薛立斋治一三岁小儿，臂患毒 痛，服解毒丸，及搽神功散而消。常治便秘，或烦躁，服五福化毒丹亦效。
若脓成者，急刺去，用纸捻蘸麻油 疮内，以膏药贴之。若儿安静，不必服药。候有脓取去，仍用 贴。有小
儿疮毒不愈，或愈而后发，皆因其母食炙爆辛辣，或有热症，宜先治母热，就于母药中加漏芦，令母服之，其
疮亦愈。
一周岁小儿，先于头患疮疥，渐至遍身，久而不愈，饮四物汤加防风、黄芩、升麻，外搽消毒散，月余而愈。
一小儿头面患疮数枚，作痒出水，水到处皆溃成疮，名曰黄水疮也，用绿豆粉、松香为末，香油调敷，饮
以荆防败毒散而愈。
一小儿头面生疮数枚，作痒，疮痂累积，名曰粘疮也，以枯白矾、黄丹末等分，麻油调搽，更饮败毒散而愈。
一小儿瘾疹瘙痒，发热不安，以消风散治之。又一小儿亦患此，咳嗽时呕，以葛根橘皮汤并愈。
一小儿颈面胸腹，患水泡数枚，溃而成疮，此风邪乘于皮肤而然也，名曰瘭疮。饮荆防败毒散，更以牛粪
烧存性为末，敷之而愈。又瘭疮一症，为患最毒，形如粟许，大者如栗，患无常处，多在手指，溃而出血。用
南星、半夏、白芷末敷之，重见骨，或狂言烦闷。
一小儿遍身患疥，或痒或痛，肢体消瘦发热，口干作渴，大便不实，年余矣。此肝脾食积郁热，服芦荟丸，
不月而愈。
一小儿因有食积，服克滞之剂，肢体生疮似疥，服消毒之药，发疙瘩赤色作痒，脓水浸淫。先用五味异
功散加柴胡、山栀以补脾胃，平肝木，赤痒渐消。又用四味肥儿丸、五味异功散治之而食积愈。
一女子赤晕作痒，寒热发搐，服风药身发疙瘩，搔破出水，此肝血风热症。先用加味小柴胡汤，后用四味
肥儿丸而愈。
一小儿伤食咳嗽，头面瘙痒微肿，先用消风散一剂，又用栀子清肝散而痊。
一小儿遍身生疮，小便不调，颈间结核，两目连札，服祛风之剂，眉毛脱落。谓肝经风热之症，先用大芦
荟丸，后用四味肥儿丸渐愈。后因饮食停滞发热，其疮复起，用大芜荑汤，四味肥儿丸而痊。后每停食，遍身
发赤作痒，服四味肥儿丸即愈。
一小儿面部浮肿，遍身如癣，半年后变疙瘩，色紫作痒，敷巴豆等药，皮破出水，痛痒寒热，大便坚硬，
脾肺脉洪数而实，先用防风诸经散。便利调和，又用四物汤加荆、防、黄芩、柴胡、角刺、甘草节诸药，渐愈。
更以八珍汤加白术、荆、防、角刺、五加皮而愈。后但劳则上体发赤晕，日晡益甚，此气血虚而有火也，先用
四物汤加丹皮、参、术、柴胡，治之稍愈。又用补中益气，加酒炒黑知、柏，月余全愈。
一小儿遍身生疮，大便下血，发热作渴，腹大青筋，眉毛渐落，用大芦荟丸、五味异功丸，其疮渐愈。佐
以补中益气汤，加吴茱萸、制黄连治之，血止疮愈。
一女子素有肝火，因怒，颈项结核，寒热晡热，遍身起赤晕作痒，服祛风之药，搔痒出水，唇口搐动。以
为脾经血虚，内热生风，用栀子清肝散加钩藤，而寒热顿减。又用当归川芎散而渐愈。乃用加味逍遥散而痊。
一小儿遍身瘙痒，或如虫行，内服胡麻散，外敷解毒药，患处皆溃，诚如麻风。视其唇或掣动，或两目连
札，此肝木乘脾土，用升麻汤煎服泻青丸而渐愈，又用桦皮散而痊。
一小儿身瘙痒起赤晕，后脓水不止，先用归脾饮二剂，又用胡麻散而愈。后因惊，挟食发热起赤晕，用越
鞠丸一钱，枳、术、蓬术末各五分，葱汤调服二次。又用消风散一服，赤晕顿消，又用越鞠丸而痊。
Dr. Xue Lizhai treated a three-year-old child with toxic sores on the arm causing pain. The condition resolved after administering Jiedu Wan (Detoxification Pill) and applying Shengong San (Divine Efficacy Powder) externally. If the child frequently suffered from constipation or irritability, Wufu Huadu Dan (Five Blessings Detoxifying Pill) was also effective.
If pus had formed, it should be punctured urgently to drain it. A paper wick dipped in sesame oil was inserted into the sore, followed by application of a plaster. If the child remained calm, medication was not necessary. After the pus was drained, the plaster application continued. For pediatric sores that failed to heal or recurred after healing, the cause was often attributed to the mother consuming roasted, fried, or spicy foods, or having heat syndromes. It was advisable to first treat the mother's heat syndrome by adding Loulu (Radix Euphorbiae Humifusae) to her prescription; upon the mother's consumption, the child's sores would also heal.
A one-year-old child initially developed sores and scabies on the head, which gradually spread to the entire body and persisted for a long time. The condition healed after more than a month of drinking Siwu Tang (Four Substances Decoction) supplemented with Fangfeng (Radix Saposhnikoviae), Huangqin (Radix Scutellariae), and Shengma (Rhizoma Cimicifugae), along with external application of Xiaodu San (Detoxification Powder).
A child presented with several sores on the head and face, characterized by itching and weeping. Wherever the fluid flowed, ulcers formed. This condition is named Huangshui Chuang (Yellow Water Sore). It was treated with a paste made from Lvdou Fen (Powder of Vigna Radiata Seed) and Songxiang (Resina Pini) mixed in Xiangyou (Sesame Oil), combined with oral administration of Jingfang Baidu San (Schizonepeta and Saposhnikovia Powder to Overcome Toxicity), resulting in recovery.
Another child had several sores on the head and face, accompanied by itching and accumulated crusts, known as Nian Chuang (Sticky Sore). Equal parts of Kubai Fan (Calcined Alum) and Huangdan (Litharge) were ground into powder, mixed with sesame oil for topical application, and followed by oral administration of Baidu San (Toxin-Overcoming Powder), leading to cure.
A child suffered from urticaria with itching, fever, and restlessness, treated with Xiaofeng San (Wind-Dispersing Powder). Another child with similar symptoms, who also experienced coughing and vomiting, was cured using Gegen Chupi Tang (Pueraria and Tangerine Peel Decoction).
A child developed several blisters on the neck, face, chest, and abdomen, which ulcerated into sores. This resulted from wind pathogen invading the skin and is named Biaochuang (Blistering Sore). Treatment involved oral Jingfang Baidu San and topical application of powdered Niufen (Cow Dung) calcined to retain its properties, resulting in recovery. Additionally, Biaochuang is considered highly toxic; lesions resemble millet grains, growing up to the size of a chestnut, appearing unpredictably, mostly on fingers, and bleeding upon ulceration. Topical application of Nanxing (Rhizoma Arisaematis), Banxia (Rhizoma Pinelliae), and Baizhi (Radix Angelicae Dahuricae) powders was used. Severe cases might present with exposed bone or delirium and agitation.
A child suffered from generalized scabies, alternating between itching and pain, with emaciation, fever, dry mouth, thirst, and loose stools, persisting for over a year. This was diagnosed as liver and spleen food stagnation with郁热 (depressed heat). Administration of Lushui Wan (Aloe Pill) led to recovery within less than a month.
A child with food stagnation took agents to break stagnation, resulting in limb sores resembling scabies. Subsequent use of detoxifying herbs caused red, itchy bumps and oozing pus. Initially, Wuwei Yigong San (Five-Ingredient Extraordinary Meridian Powder) supplemented with Chaihu (Radix Bupleuri) and Shanzhi (Fructus Gardeniae) was used to tonify the spleen and stomach and soothe the liver wood, reducing redness and itching. Subsequently, Simaifei'er Wan (Four-Ingredient Child-Nourishing Pill) and Wuwei Yigong San were administered to resolve the food stagnation.
A female patient presented with facial erythema and itching, alternating chills and fever, and convulsions. After taking wind-dispersing herbs, she developed bumps that wept when scratched. This was identified as Liver Blood Wind-Heat Syndrome. She was first treated with Jiawei Xiao Chai Hu Tang (Modified Minor Bupleurum Decoction) and subsequently with Simaifei'er Wan, resulting in recovery.
A child with food-injury cough presented with itchy, slightly swollen head and face. One dose of Xiaofeng San was given first, followed by Zhizi Qinggan San (Gardenia Liver-Clearing Powder), leading to complete recovery.
A child with generalized sores, irregular urination, cervical lymphadenopathy, and frequent blinking of both eyes, experienced eyebrow loss after taking wind-dispersing agents. This was diagnosed as Liver Meridian Wind-Heat Syndrome. Da Lushui Wan (Large Aloe Pill) was administered first, followed by Simaifei'er Wan, leading to gradual improvement. Later, due to food stagnation causing fever, the sores recurred. Dahuang Tui Tang (Large Rhubarb and Wormwood Decoction) and Simaifei'er Wan were used for recovery. Thereafter, whenever food stagnation occurred, causing generalized redness and itching, Simaifei'er Wan provided relief.
A child presented with facial edema and generalized eczema-like lesions. Half a year later, these transformed into purple, itchy bumps. Application of Badou (Seed of Croton Tiglium) and other drugs caused skin breakdown and weeping, accompanied by pain, itching, chills, fever, and hard stools. The spleen and lung pulses were surging, rapid, and excess. Fangfeng Zhujing San (Saposhnikovia Decoction for All Meridians) was administered first. Once bowel movements normalized, Siwu Tang (Four Substances Decoction) supplemented with Jingjie (Herba Schizonepetae), Fangfeng, Huangqin, Chaihu, Jiaoci (Spina Gleditsiae), and Gancao Jie (Node of Licorice Root) was used, leading to gradual improvement. Further treatment with Bazhen Tang (Eight-Treasure Decoction) supplemented with Baizhu (Rhizoma Atractylodis Macrocephalae), Jingjie, Fangfeng, Jiaoci, and Wujia Pi (Cortex Acanthopanacis Senticosi) resulted in full recovery. Later, exertion triggered upper body erythema, worsening in the late afternoon, indicating Qi and Blood deficiency with fire. Siwu Tang supplemented with Mudanpi (Cortex Moutan), Renshen (Radix Ginseng), Baizhu, and Chaihu was used, showing slight improvement. Finally, Buzhong Yiqi Tang (Middle-Boosting Qi-Invigorating Decoction) supplemented with Jiuchao Hei Zhimu (Wine-fried Black Rhizoma Anemarrhenae) and Heibai (Black Phellodendri Cortex) led to complete recovery after more than a month.
A child with generalized sores, hematochezia, fever, thirst, abdominal distension with visible veins, and falling eyebrows was treated with Da Lushui Wan and Wuwei Yigong Wan. The sores gradually improved. Supplementing with Buzhong Yiqi Tang, plus Wuzhuyu (Fructus Evodiae) and Zhi Huanglian (Prepared Rhizoma Coptidis), stopped the bleeding and healed the sores.
A female patient with pre-existing Liver Fire developed cervical lymphadenopathy, chills, fever, and afternoon fever due to anger. Generalized erythema and itching appeared. After taking wind-dispersing herbs, scratching caused weeping and lip/mouth twitching. This was diagnosed as Spleen Meridian Blood Deficiency generating internal heat and wind. Zhizi Qinggan San supplemented with Gouteng (Uncaria Rhynchophylla) reduced chills and fever immediately. Danggui Chuanxiong San (Angelica and Ligusticum Powder) was then used for gradual improvement, followed by Jiawei Xiaoyao San (Modified Free Wanderer Powder) for complete recovery.
A child suffered from generalized itching, sometimes feeling like insects crawling. Oral Huma San (Sesame Powder) and external detoxifying applications caused ulceration at the sites, resembling leprosy. Observation of lip twitching and eye blinking indicated Liver Wood overacting on Spleen Earth. Shengma Tang (Cimicifuga Decoction) was decocted to administer Xieqing Wan (Drain Green Pill), leading to gradual improvement. Huapi San (Birch Bark Powder) was then used for recovery.
A child with generalized itching and erythema, followed by persistent weeping, was first treated with two doses of Guipi Yin (Restore the Spleen Decoction), then Huma San, resulting in recovery. Later, fright combined with food stagnation caused fever and erythema. Yueju Wan (Regulating Depression Pill) 1 qian, along with Zhike (Pericarpium Citri Reticulatae), Baizhu, and Pengzhu (Rhizoma Curcumae Phaeocaulis) powders each 5 fen, were mixed with green onion soup and taken twice. One dose of Xiaofeng San rapidly cleared the erythema, followed by Yueju Wan for final recovery.