〔薛〕《宝鉴》云∶初生芽儿一块血，也无形证也无脉，有惊即系是胎惊，有热
即系是胎热。婴儿实与乳母一体，凡患疮疾，但审乳母肝经有热，用加味小柴胡汤
之类，肝经虚热用加味逍遥散之类。肾水不能生肝用地黄丸。心经积热用柴胡栀子
散。心经虚热用茯苓补心汤。膏粱积热，用东垣清胃散。脾经郁热，用钱氏泻黄散；脾
经虚热，用钱氏异功散。若服犀角丸、化毒丹，外敷寒凉之药，复伤生气，乃促其
危也。
因食膏梁浓味，或乳母七情郁火所致，若肿肾作痛，气血凝滞也，用仙方活命
饮。口渴便秘，热毒内蕴也，用四顺清凉饮，佐以如圣饼。肿硬色赤，热毒凝聚也，
用活命饮，佐以隔蒜灸。肿 不消，欲作脓也，用托里消毒散。不成脓或成脓不溃，
气血虚也，用八珍汤。溃而肉赤不敛，脾血虚也，用四物参术。肉白而不敛，脾气
弱也，用四君芎归。食少体倦而不敛，脾气虚也，用六君当归升麻。凡药对证，无
有不愈，设或妄行攻毒，元气亏损，则变恶证而难治矣。大抵疮疡属腑者易治，元
气无亏者不治自愈。属脏者难治，元气亏损者则变为恶证。误行克伐，元气亏损，
尤难疗理，故切不可用峻厉之剂。观东垣、丹溪云，但见肿痛，参之脉证，虚弱便
与滋补，血气无亏，可保终吉，若用驱逐败毒，不免有虚虚之祸矣。
漏芦散 治小儿痈疮及丹毒疮疖。（见丹毒） 当归散（见潮热）
解表消毒饮 治小儿疮疡，肿高 痛，便利调和，脉浮而洪，有表证者用之。
黄 （上部、酒拌炒，中部、米泔拌炒，下部、盐水炒，一钱半） 葛根 升麻 赤芍药 玄参 牛
蒡子（炒研） 麻黄（去根节） 甘草（各五分） 连翘（一钱） 更看是何经分野，加
引经药∶手少阴加细辛（三分）。足少阴加独活（七分）。手太阴加桔梗、白芷（各五分）。足太阴加苍术（七分）。手
厥阴加柴胡（七分）。足厥阴加柴胡、青皮（各五分）。手太阳加 本（五分）。足太阳加羌
活（七分）。手阳明加白芷（五分）。足阳明加升麻、葛根（各七分）。手足少阳加柴胡（七分）。
水一钟，生姜三片，葱白一根，煎七分，温服，不拘时。
攻里消毒饮 治小儿疮疡，肿硬痛深，大便秘涩，脉沉而实，有里证者用之。
栝蒌（连皮子，细切，三钱） 连翘 牛蒡子（炒，研） 当归 白芍药（各一钱） 川大黄（一钱半）
芒硝（五分） 甘草（七分）
上，用水一钟，煎至七分，大温服。未利，再服。
连翘散 治痈疖等。
连翘（一两） 沉香 黄 （各半两） 白蔹 川朴硝 川大黄（炮） 甘草（各一分）
上，捣为粗散。每服一钱，水一盏，抄入麝香一钱，煎五分，去滓放温，食后服。
寄生散 治毒肿甚者。
桑寄生 独活 川大黄（各一两） 犀角屑 朴硝 甘草（各半两）
上，捣、罗为细末。每服一钱，水一盏，煎五分，去滓放温服，量儿大小加减。
玄参剂 解诸般热，消疮疖。
生地黄 玄参（各一两） 大黄
末之，炼蜜、丸桐子大。每服一丸，灯心、竹叶，煎汤化下，入沙糖少许，亦
可加羌活川芎赤芍连翘防风。
凉膈散 治小儿脏腑积热烦躁，多渴头昏，唇焦咽燥，舌肿喉闭，目赤鼻衄，颔颊
结硬，口舌生疮，痰实不利，涕唾稠粘，睡卧不宁，谵语狂妄，肠胃燥结，便溺
赤涩，一切风肿，并宜服之。
川大黄 朴硝 甘草（炙。各一两） 连翘（二两） 栀子仁 黄芩 薄荷叶（去土。各半两）
上，锉散。每服二钱，水一盏，入竹叶七个，蜜少许，煎四分，食后温服，大
小加减。
四顺清凉饮（发热）
上，解表攻里之药，皆为肿疡挟有内证者设也，溃疡勿拘此例。
托里荣卫汤 治疮疡外无 肿，内亦便利调和，乃邪客经络，宜用此药调理。
黄 （炒） 红花（各一钱） 苍术（米泔浸，炒） 柴胡 连翘 羌活 防风 当归身（酒拌）
甘草（炙） 黄芩 人参（各一钱） 桂枝（七分）
上，用水一钟，酒半钟，煎八分，食远服。
秘方托里散 治一应疮毒，始终常服，不致内攻。
栝蒌（大者一枚，杵） 当归（酒拌） 黄 （如前法制） 白芍药（各一两半） 皂角刺（炒） 金银花
天花粉 熟地黄（各一两）
上为粗末。每服，以三岁儿为率，用药一两，以酒一钟，入瓷器内浓纸封口，
再用油纸重封，重汤煮之，仍覆以盖，煮至药香，取出分服，直至疮愈。
仙方活命饮
金银花 橘皮（各三钱） 皂角刺（炒） 穿山甲（蛤粉同炒） 防风 没药 白芷 乳香
当归（各一） 贝母 天花粉 甘草节（各八分）
上，每服五钱，酒煎服。婴儿每服一两，母子同服。为末酒调服亦可。毒在表
者加麻黄散下毒，在内者加大黄下之，当临时制宜。此解毒回生起死妙剂。
神效解毒散 治一切疮毒初起，肿者即消，已溃仍肿者即散，已溃毒不解者即愈。
金银花（一两） 甘草节（五钱） 黄 皂角刺（炒） 当归（各三钱） 乳香 没药（各二钱）
上为散。每服二钱，酒煎，温酒调服亦可。婴儿病乳母亦服。如疮已溃，肿痛
已止者，去乳没金银花，倍加黄 甘草。
治发背痈疖方
羌活（一两） 穿山甲（炒焦，半两） 生人骨（ 存性，半两） 麝香（少许）
上末，煎麻黄、薄荷，酒调。如阴疮，头平向内者服之即突出，其功效不可尽述，
若小儿痘疮黑陷者，只一服而起，万不失一。
玄参丸 治疹痘后余毒不散，遍身生疮不已，大能解毒。
玄参 赤芍药 生地黄 赤茯苓 荆芥 防风 木通 桔梗 黄芩 朱砂 青
黛（各等分）
上为细末，炼蜜丸，芡实大。每服一丸，薄荷汤下，大小加减服之。
五福化毒丹 治热毒蕴积，颊赤咽干，口舌生疮，或头面疮疖，谵语不宁。（方见惊搐）
按∶前方，生血凉血，解毒寒中之剂，形病俱实者殊有良验，但一二丸即止，
不可过多，过多则反伤元气，变证不可言也。
犀角消毒丸 治积热及痘疹后余毒生疮。
生地黄 防风 当归 犀角（镑屑） 荆芥穗（各一两） 牛蒡子（杵，炒） 赤芍药
连翘 桔梗（各七钱） 薄荷 黄芩 甘草（各五钱）
上为末，炼蜜、丸如芡实大。每服一丸，薄荷汤化下。
按∶前二方，善损中气，伤阴血，若大人形病俱实，脾胃健旺者庶可用之，
恐芽儿脏腑脆嫩，不能胜此。经云∶气主嘘之，血主濡之。气者，胃中冲和之元
气，若胃气一伤，不能嘘濡消散，脓已成者不能腐溃，脓已溃者不能生肌收敛，
因而难治，甚致不起，不可不慎也。
托里消毒散 治胃经虚弱，或因克伐，致疮不能溃散。疮未成即消，已成即溃，腐
肉自去，新肉自生。
人参 黄 当归（酒拌） 川芎 芍药（炒） 白术（炒） 茯苓（各一钱） 金银花
白芷 甘草（炙） 连翘（各五分）
上，作二剂，水煎，徐徐服。
托里散 治疮疡因气血虚，不能起发，腐溃收敛，及恶寒发热，宜用此补托之。
人参（气虚倍用） 黄 （炒） 当归（血虚倍用） 白术（倍用） 茯苓 芍药（酒炒。
各五分） 熟地黄（二钱，生者自制）
上，作两三剂，水煎服。
八味茯苓补心汤 治心气不足，血气不和，而患疮证。（薛制）
茯苓 酸枣仁（炒。各二钱） 五味子（炒） 当归（各一钱） 人参（一钱五分） 白术（炒，
一钱） 菖蒲（五分） 远志（去心，六分） 甘草（炒，五分）
上，作二三服，水煎。
〔外治〕
天乌散贴方
天南星 赤小豆 草乌 黄柏
上等分，为末。生姜自然汁调贴患处，用米醋调尤佳。
青露散 治背疽一切恶疮围药不胤开。
白芨 白蔹 白薇 白芷 白藓皮 朴硝 青黛 黄柏 大黄 天花粉 青露叶（即芙蓉叶）
老龙皮（即老松树皮）
上各等分，为细末。生姜自然汁调涂，留小孔，如干，再用生姜汁润。
惊毒掩 治疮疖初发，掩上即退，已成速破。
葱根（七个） 木鳖子（七个） 白芷（三个） 巴豆（十四个） 黄丹（二两） 香油（肆两）
上，先用油入前四味，武火熬，用柳木篦搅，以白芷焦黑为度，用绵滤去滓，再
入铫用文火KT ，却入黄丹，熬令紫黑色成膏为度。治诸般疮疖，去脓收疮口。
惊毒诸般肿痛掩子
蒲黄 大黄 黄柏 连翘 白芷 白芨 白蔹 真粉 牡蛎 丹参（各等分）
上为末。水调涂肿处。
敷药铁箍散 治一切疮疖痈疽。
芙蓉叶 黄柏 大黄 五倍子 白芨
上为末。用水调搽四围。
按∶前方，乃寒凉解热收敛之剂，或有用白蔹、商陆根者，有用寒水石、天
花粉者，有用苍耳、金银花者，有用芭蕉、赤小豆者，有用草乌、白芷、之类者，
皆不分寒热温凉之杂饵。《内经》云∶先肿而后痛者，形伤气也，先痛而后肿者，
气伤形也。又云∶五脏不和，九窍不通，六腑不和，留结为痈。《外科精义》云∶
凡疮肿高而软者，发于血脉，肿下而坚者，发于筋脉，肉色不变，发于骨髓，盖
必有诸中，而后形诸外，故受证之经与所患之位，各有不同，岂宜一概外敷凉药，
惟脾胃无亏，血气不和者，庶几有效。若服化毒之类，脾胃复伤，血气凝滞，亦
不能消矣。至如疔疮之类，正欲宣拔其毒，若复用前药，肌肉受寒，血气凝滞，
必致毒瓦斯入内而不救。治法必察其肿之高漫，色之赤白，痛之微甚，作脓之难易，
出脓之稠薄，生肌之迟速，以别其属阴属阳，或半阴半阳，或纯阴纯阳，而用相
宜之药以凉之、热之、和之。又当审受证之敷变，五脏之相胜，而以调补脾胃为
主，庶不致变恶证也。
神功散 治疮疡初起肿 者，用之可消，加血竭更好，丹毒未砭者亦可用之。
黄柏（炒） 草乌（生用）
上，各另为末，等分。用漱口水调敷，常漱口水润之。
上，敷贴、散肿、排脓、生肌、收口、等方，并见《疡医准绳》，宜于彼中查
之，兹不赘述。
[Xue Ji] "Xiao'er Yaozheng Zhijue" (Prescriptions for Infant Diseases) states: A newborn infant is merely a mass of blood and qi, presenting neither obvious external symptoms nor discernible pulse. If affected by fright, it is termed fetal fright (Taijing); if affected by heat, it is termed fetal heat (Taire). The infant and the nursing mother are physiologically one. Whenever sores and ulcers occur, if one examines and finds heat in the mother's Liver Meridian, formulas such as JiaWei XiaoChaiHu Tang (Modified Minor Bupleurum Decoction) should be used; if there is deficiency-heat in the Liver Meridian, formulas such as JiaWei XiaoYao San (Modified Free and Easy Wanderer Powder) should be used. If Kidney Water fails to nourish Liver Wood (Water generates Wood), DiHuang Wan (Rehmannia Pill) is indicated. For accumulated heat in the Heart Meridian, ChaiHu ZhiZi San (Bupleurum and Gardenia Powder) is used. For deficiency-heat in the Heart Meridian, FuLing BuXin Tang (Poria Tonifying Heart Decoction) is used. For accumulation-heat caused by rich and greasy diet, Li Dongyuan's QingWei San (Stomach-Clearing Powder) is used. For stagnant heat in the Spleen Meridian, Qian Shi's XieHuang San (Spleen-Draining Powder) is used; for deficiency-heat in the Spleen Meridian, Qian Shi's YiGong San (Extraordinary Assistant Powder) is used. If one takes XiJiao Wan (Rhinoceros Horn Pill) or HuaDu Dan (Toxin-Resolving Pellet), and applies cold-cooling medicines externally, it will further damage the body's vital generating qi, thereby accelerating the critical condition.
This condition arises from consuming rich and greasy foods, or from emotional stagnation transforming into fire in the nursing mother. If the area is swollen and painful, this indicates stagnation of qi and blood; XianFang HuoMing Yin (Immortal Formula for Reviving Life Decoction) is indicated. If there is thirst and constipation, this indicates internal accumulation of toxic heat; SiShun QingLiang Yin (Four-Obedience Cooling Decoction) is used, assisted by RuSheng Bing (Like-Sage Cake). If the swelling is hard and red, this indicates condensation of toxic heat; HuoMing Yin (Reviving Life Decoction) is used, assisted by GeSuan Jiu (Garlic-Separated Moxibustion). If the swelling does not subside, it indicates impending suppuration; TuoLi XiaoDu San (Supporting Interior and Resolving Toxin Powder) is indicated. If suppuration does not form or forms but does not ulcerate, this indicates deficiency of qi and blood; BaZhen Tang (Eight-Treasure Decoction) is used. If after ulceration the flesh is red but does not heal, this indicates deficiency of Spleen blood; SiWu ShenZhu Tang (Four-Substance with Ginseng and Atractylodes Decoction) is used. If the flesh is white and does not heal, this indicates weakness of Spleen qi; SiJun XiongGui Tang (Four-Gentleman with Ligusticum and Angelica Decoction) is used. If appetite is poor and the body is fatigued without healing, this indicates deficiency of Spleen qi; LiuJun DangGui ShengMa Tang (Six-Gentleman with Angelica and Cimicifuga Decoction) is used. When the medicine matches the syndrome, there is no cure that fails. However, if one recklessly uses attacking and detoxifying drugs, causing depletion of yuan qi (primordial qi), it will transform into a malignant syndrome that is difficult to treat. Generally speaking, sores and ulcers belonging to the fu organs are easy to treat; if yuan qi is not depleted, they may even heal spontaneously without treatment. Sores and ulcers belonging to the zang organs are difficult to treat; if yuan qi is depleted, they will transform into malignant syndromes. Mistaken use of purgative/attacking methods depletes yuan qi, making them particularly difficult to manage; therefore, harsh and severe agents must absolutely be avoided. Observing the words of Li Dongyuan and Zhu Danxi: whenever swelling and pain are seen, refer to the pulse and symptoms; if deficiency is present, provide tonification. As long as blood and qi are not depleted, ultimate auspiciousness can be guaranteed. If expelling and detoxifying methods are used, there is inevitably the disaster of "making the deficient more deficient."
LouLu San (Cynanchum Root Powder) treats pediatric carbuncles, sores, and erysipelas sores/furuncles. (See Erysipelas section)
DangGui San (Angelica Sinensis Powder) (See tidal fever section)
JieBiao XiaoDu Yin (Release Exterior and Resolve Toxin Decoction) treats pediatric sores and ulcers characterized by high, swollen, and painful lesions, normal bowel movements and urination, floating and surging pulse, and exterior syndrome.
HuangQi (Astragalus Root): for upper body lesions, stir-fry with wine; for middle body, stir-fry with rice wash water; for lower body, stir-fry with salt water (1 qian 5 fen); GeGen (Kudzu Root); ShengMa (Cimicifuga Rhizome); ChiShaoYao (Red Peony Root); XuanShen (Scrophularia Root); NiuBangZi (Arctium Seed, stir-fried and crushed); MaHuang (Ephedra Stem, remove root joints); GanCao (Licorice Root) (each 5 fen); LianQiao (Forsythia Fruit) (1 qian). Further, add meridian-guiding herbs based on the affected meridian: for Hand-Shaoyin (Heart) meridian, add Xi Xin (Asarum) (3 fen). For Foot-Shaoyin (Kidney) meridian, add Du Huo (Angelica Pubescens Root) (7 fen). For Hand-Taiyin (Lung) meridian, add Jie Geng (Platycodon Root) and BaiZhi (Angelica Dahurica Root) (each 5 fen). For Foot-Taiyin (Spleen) meridian, add Cang Zhu (Atractylodes Rhizome) (7 fen). For Hand-Jueyin (Pericardium) meridian, add Chai Hu (Bupleurum Root) (7 fen). For Foot-Jueyin (Liver) meridian, add Chai Hu (Bupleurum Root) and Qing Pi (Citrus Peel) (each 5 fen). For Hand-Taiyang (Small Intestine) meridian, add Gao Ben (Ligusticum Wallichii Rhizome) (5 fen). For Foot-Taiyang (Bladder) meridian, add Qiang Huo (Notopterygium Rhizome) (7 fen). For Hand-Yangming (Large Intestine) meridian, add Bai Zhi (Angelica Dahurica Root) (5 fen). For Foot-Yangming (Stomach) meridian, add Sheng Ma (Cimicifuga Rhizome) and Ge Gen (Kudzu Root) (each 7 fen). For Hand and Foot Shaoyang (Sanjiao/Gallbladder) meridians, add Chai Hu (Bupleurum Root) (7 fen).
Decoct one zhong of water with three slices of fresh ginger and one stalk of scallion white until reduced to seven-tenths. Take warm at any time.
GongLi XiaoDu Yin (Attack Interior and Resolve Toxin Decoction) treats pediatric sores and ulcers characterized by deep, hard, swollen, and painful lesions, constipation, sinking and excess pulse, and interior syndrome.
GuaLou (Trichosanthes Fruit, including peel and seeds, finely cut) (3 qian); LianQiao (Forsythia Fruit); NiuBangZi (Arctium Seed, stir-fried and crushed); DangGui (Angelica Sinensis Root); BaiShaoYao (White Peony Root) (each 1 qian); Chuan DaHuang (Rhubarb Root) (1 qian 5 fen); MangXiao (Mirabilite) (5 fen); GanCao (Licorice Root) (7 fen).
Decoct these ingredients in one zhong of water until reduced to seven-tenths. Take large warm dose. If stool is not loose, take another dose.
LianQiao San (Forsythia Powder) treats carbuncles and furuncles.
LianQiao (Forsythia Fruit) (1 liang); ChenXiang (Aquilaria Wood); HuangQi (Astragalus Root) (each half liang); BaiLian (Belamcanda Rhizome); Chuan PuXiao (Magnesium Sulfate); Chuan DaHuang (Rhubarb Root, processed); GanCao (Licorice Root) (each 1 fen).
Pulverize into coarse powder. Take 1 qian per dose, decoct in one zhong of water with 1 qian of SheXiang (Musk), reduce to five-tenths, filter dregs, let cool to warm, and take after meals.
JiSheng San (Viscum Powder) treats severe toxic swelling.
SangJiSheng (Taxillus Branch); DuHuo (Angelica Pubescens Root); Chuan DaHuang (Rhubarb Root) (each 1 liang); XiJiao (Rhinoceros Horn, shaved); PuXiao (Mirabilite); GanCao (Licorice Root) (each half liang).
Pulverize and sieve into fine powder. Take 1 qian per dose, decoct in one zhong of water, reduce to five-tenths, filter dregs, let cool to warm, and take. Adjust dosage according to child's age.
XuanShen Ji (Scrophularia Preparation) resolves various heats and eliminates sores/furuncles.
ShengDiHuang (Rehmannia Root); XuanShen (Scrophularia Root) (each 1 liang); DaHuang (Rhubarb Root).
Pulverize, mix with refined honey, and make pills the size of tung tree seeds. Take one pill per dose, dissolved in decoction of Deng Xin Cao (Juncus Effusus Pith) and Zhu Ye (Bamboo Leaf), add a little rock sugar. Can also add Qiang Huo (Notopterygium Rhizome), Chuan Xiong (Ligusticum Chuanxiong Rhizome), Chi Shao (Red Peony Root), Lian Qiao (Forsythia Fruit), Fang Feng (Saposhnikovia Root).
LiangGe San (Cool the Diaphragm Powder) treats pediatric internal organ heat accumulation causing irritability, excessive thirst, dizziness, cracked lips, dry throat, swollen tongue, throat obstruction, red eyes, epistaxis, hardness in jaw and cheeks, mouth and tongue sores, phlegm obstruction, thick sticky sputum, restless sleep, delirium, mania, intestinal dryness and constipation, dark scanty urine, and all wind-induced swellings.
Chuan DaHuang (Rhubarb Root); PuXiao (Mirabilite); GanCao (Licorice Root, honey-fried) (each 1 liang); LianQiao (Forsythia Fruit) (2 liang); ZhiZi Ren (Gardenia Seed); Huang Qin (Scutellaria Root); BoHe Ye (Mint Leaf, cleaned) (each half liang).
Cut into pieces for powder. Take 2 qian per dose, decoct in one zhong of water with seven bamboo leaves and a little honey, reduce to four-tenths, take warm after meals. Adjust according to age.
SiShun QingLiang Yin (Four-Obedience Cooling Decoction) (for fever)
The above exterior-releasing and interior-attacking medicines are designed for sores with accompanying interior syndromes. Do not rigidly apply this example to ulcerated stages.
TuoLi RongWei Tang (Support Interior and Nurture Ying-Wei Decoction) treats sores and ulcers where there is no obvious external swelling, internal bowel functions are harmonious, indicating pathogenic factors lodged in the collaterals. This medicine is suitable for regulation.
HuangQi (Astragalus Root, stir-fried); HongHua (Carthamus Flower) (each 1 qian); CangZhu (Atractylodes Rhizome, soaked in rice water, stir-fried); ChaiHu (Bupleurum Root); LianQiao (Forsythia Fruit); QiangHuo (Notopterygium Rhizome); FangFeng (Saposhnikovia Root); DangGui Shen (Angelica Sinensis Root, wine-treated); GanCao (Licorice Root, honey-fried); Huang Qin (Scutellaria Root); RenShen (Ginseng Root) (each 1 qian); GuiZhi (Cinnamon Twig) (7 fen).
Decoct one zhong of water and half a zhong of wine until reduced to eight-tenths. Take far from meals.
MiFang TuoLi San (Secret Formula Supporting Interior Powder) treats all kinds of toxic sores; taken continuously from start to finish prevents internal invasion of toxins.
GuaLou (Trichosanthes Fruit, large one, mashed); DangGui (Angelica Sinensis Root, wine-treated); HuangQi (Astragalus Root, prepared as before); BaiShaoYao (White Peony Root) (each 1.5 liang); ZaoJiao Ci (Gleditsia Spine, stir-fried); JinYinHua (Honeysuckle Flower); TianHuaFen (Trichosanthes Root); Shu DiHuang (Prepared Rehmannia Root) (each 1 liang).
Make into coarse powder. For a three-year-old child, take 1 liang of medicine, place in one zhong of wine in a porcelain vessel, seal tightly with thick paper, then re-seal with oil paper. Steam over hot water until medicinal aroma appears. Remove and divide into doses until the sore heals.
XianFang HuoMing Yin (Immortal Formula for Reviving Life Decoction)
JinYinHua (Honeysuckle Flower); JuPi (Citrus Peel) (each 3 qian); ZaoJiao Ci (Gleditsia Spine, stir-fried); ChuanShanJia (Pangolin Scale, stir-fried with clam powder); FangFeng (Saposhnikovia Root); MoYao (Myrrh); BaiZhi (Angelica Dahurica Root); RuXiang (Olibanum); DangGui (Angelica Sinensis Root) (each 1 qian); BeiMu (Fritillaria Bulb); TianHuaFen (Trichosanthes Root); GanCao Jie (Licorice Joint) (each 8 fen).
Take 5 qian per dose, decoct in wine. Infants take 1 liang per dose, taken together with the mother. Can also be taken as powder mixed with wine. If toxin is in the exterior, add MaHuang San (Ephedra Powder) to guide down the toxin; if in the interior, add DaHuang (Rhubarb) to purge it. Adapt to circumstances. This is a miraculous formula for resolving toxicity, reviving life, and bringing back the dead.
ShenXiao JieDu San (Divine Effectiveness Toxin-Resolving Powder) treats initial stage of all toxic sores; reduces swelling immediately, disperses residual swelling after ulceration, and cures cases where ulceration has not resolved toxins.
JinYinHua (Honeysuckle Flower) (1 liang); GanCao Jie (Licorice Joint) (5 qian); HuangQi (Astragalus Root); ZaoJiao Ci (Gleditsia Spine, stir-fried); DangGui (Angelica Sinensis Root) (each 3 qian); RuXiang (Olibanum); MoYao (Myrrh) (each 2 qian).
Make into powder. Take 2 qian per dose, decoct in wine, or take with warm wine. If the infant is ill, the nursing mother should also take it. If the sore is already ulcerated and swelling/pain have ceased, remove RuXiang, MoYao, and JinYinHua, and double the amount of HuangQi and GanCao.
Formula for Treating Back Carbuncles and Furuncles
QiangHuo (Notopterygium Rhizome) (1 liang); ChuanShanJia (Pangolin Scale, stir-fried until charred, half liang); Sheng RenGu (Human Bone, calcined to retain nature, half liang); SheXiang (Musk) (small amount).
Pulverize. Decoct MaHuang (Ephedra Stem) and BoHe (Mint), mix with wine for administration. If it is a yin sore with flat, inward-facing head, taking this will cause it to protrude immediately. Its efficacy cannot be fully described. If an infant has black, sunken smallpox, one dose will raise it; ten out of ten successes.
XuanShen Wan (Scrophularia Pill) treats residual toxins after rash/smallpox that fail to dissipate, causing continuous sores all over the body. It has strong detoxifying effects.
XuanShen (Scrophularia Root); ChiShaoYao (Red Peony Root); ShengDiHuang (Rehmannia Root); ChiFuLing (Red Poria); JingJie (Schizonepeta Spike); FangFeng (Saposhnikovia Root); MuTong (Akebia Stem); JieGeng (Platycodon Root); Huang Qin (Scutellaria Root); ZhuSha (Cinnabar); QingDai (Indigo Naturalis) (equal parts).
Make into fine powder, mix with refined honey, and make pills the size of euryale seed. Take one pill per dose, washed down with mint tea. Adjust dosage according to age.
WuFu HuaDu Dan (Five-Fortunes Toxin-Resolving Pellet) treats accumulated heat-toxin causing red cheeks, dry throat, mouth and tongue sores, or head/face sores/furuncles, delirium, and restlessness. (Formula see Convulsions section)
Note: The previous formulas are blood-nourishing, blood-cooling, and cold-resolving agents. They are highly effective for patients with both physical strength and excess syndromes, but stop after one or two pills. Excessive use damages yuan qi (primordial qi), leading to unpredictable changes.
XiJiao XiaoDu Wan (Rhinoceros Horn Toxin-Resolving Pill) treats accumulated heat and sores arising from residual toxins after smallpox/rash.
ShengDiHuang (Rehmannia Root); FangFeng (Saposhnikovia Root); DangGui (Angelica Sinensis Root); XiJiao (Rhinoceros Horn, shaved flakes); JingJie Sui (Schizonepeta Spike Tip) (each 1 liang); NiuBangZi (Arctium Seed, pounded, stir-fried); ChiShaoYao (Red Peony Root); LianQiao (Forsythia Fruit); JieGeng (Platycodon Root) (each 7 qian); BoHe (Mint); Huang Qin (Scutellaria Root); GanCao (Licorice Root) (each 5 qian).
Make into powder, mix with refined honey, and make pills the size of euryale seed. Take one pill per dose, dissolved in mint tea.
Note: The previous two formulas easily damage middle qi and injure yin blood. They might be usable for adults with excess syndromes and robust spleen/stomach function, but infants have fragile internal organs and cannot withstand these. The Classics state: Qi governs ventilation/movement, Blood governs moistening. Qi refers to the harmonious primordial qi in the stomach. If stomach qi is injured, it cannot ventilate and moisten to dissipate; formed pus cannot rot and ulcerate, and ulcerated wounds cannot generate flesh and close. Thus, it becomes difficult to treat, potentially fatal. Caution is essential.
TuoLi XiaoDu San (Support Interior and Resolve Toxin Powder) treats weakness of the Stomach Meridian, or sores failing to ulcerate due to excessive purgation. It causes unformed sores to resolve and formed sores to ulcerate, allowing necrotic tissue to fall off naturally and new flesh to grow.
RenShen (Ginseng Root); HuangQi (Astragalus Root); DangGui (Angelica Sinensis Root, wine-treated); ChuanXiong (Ligusticum Chuanxiong Rhizome); ShaoYao (Peony Root, stir-fried); BaiZhu (Atractylodes Macrocephala Rhizome, stir-fried); FuLing (Poria) (each 1 qian); JinYinHua (Honeysuckle Flower); BaiZhi (Angelica Dahurica Root); GanCao (Licorice Root, honey-fried); LianQiao (Forsythia Fruit) (each 5 fen).
Divide into two doses, decoct in water, and take slowly.
TuoLi San (Support Interior Powder) treats sores and ulcers where qi and blood deficiency prevents rising, ulceration, and healing, accompanied by aversion to cold and fever. Use this for tonification and support.
RenShen (Ginseng Root, double dose for qi deficiency); HuangQi (Astragalus Root, stir-fried); DangGui (Angelica Sinensis Root, double dose for blood deficiency); BaiZhu (Atractylodes Macrocephala Rhizome, double dose); FuLing (Poria); ShaoYao (Peony Root, wine-fried) (each 5 fen); ShuDiHuang (Prepared Rehmannia Root) (2 qian, prepared raw).
Divide into two or three doses, decoct in water, and take.
BaWei FuLing BuXin Tang (Eight-Ingredient Poria Tonifying Heart Decoction) treats heart qi insufficiency and disharmony of qi and blood manifesting as sores. (Prepared by Xue Ji)
FuLing (Poria); SuanZaoRen (Ziziphus Seed, stir-fried) (each 2 qian); WuWeiZi (Schisandra Berry, stir-fried); DangGui (Angelica Sinensis Root) (each 1 qian); RenShen (Ginseng Root) (1 qian 5 fen); BaiZhu (Atractylodes Macrocephala Rhizome, stir-fried) (1 qian); ChangPu (Acorus Rhizome) (5 fen); YuanZhi (Polygala Root, heart removed) (6 fen); GanCao (Licorice Root, stir-fried) (5 fen).
Divide into two or three doses, decoct in water.
[External Treatment]
TianWu San Paste Formula
Tian Nan Xing (Arisaema Rhizome); Chi Xiao Dou (Adzuki Bean); Cao Wu (Aconitum Carmichaelii Root); HuangBo (Phellodendron Bark).
Equal parts, pulverize. Mix with fresh ginger juice to paste on the lesion. Mixing with rice vinegar is even better.
QingLu San treats back abscesses and all malignant sores as a surrounding plaster to prevent spread.
Bai Ji (Bletilla Rhizome); Bai Lian (Belamcanda Rhizome); Bai Wei (Cynanchum Stauntonii Root); Bai Zhi (Angelica Dahurica Root); Bai Xian Pi (Dictamnus Bark); Pu Xiao (Mirabilite); Qing Dai (Indigo Naturalis); Huang Bo (Phellodendron Bark); Da Huang (Rhubarb Root); Tian Hua Fen (Trichosanthes Root); Qing Lu Ye (Hibiscus Mutabilis Leaf); Lao Long Pi (Old Pine Bark).
Equal parts, pulverize into fine powder. Mix with fresh ginger juice to apply, leaving a small hole. If dry, re-moisten with ginger juice.
Jing Du Yan treats early-stage sores/furuncles; applying it causes immediate subsidence, and advanced ones rupture quickly.
Cong Gen (Scallion Root) (7); Mu Bie Zi (Momordica Seed) (7); Bai Zhi (Angelica Dahurica Root) (3); Ba Dou (Croton Seed) (14); Huang Dan (Lead Monoxide) (2 liang); Xiang You (Sesame Oil) (4 liang).
First, put the first four ingredients in oil, boil over high heat, stirring with a willow wood spatula until Bai Zhi is charred black. Filter through cotton to remove dregs. Return filtrate to a pot, simmer over low heat, then add Huang Dan. Boil until purple-black ointment forms. Treats various sores/furuncles, drains pus, and closes wounds.
Jing Du Various Swelling/Pain Plaster
Pu Huang (Typha Pollen); Da Huang (Rhubarb Root); Huang Bo (Phellodendron Bark); Lian Qiao (Forsythia Fruit); Bai Zhi (Angelica Dahurica Root); Bai Ji (Bletilla Rhizome); Bai Lian (Belamcanda Rhizome); Zhen Fen (Lead Carbonate); Mu Li (Oyster Shell); Dan Shen (Salvia Root) (equal parts).
Pulverize. Mix with water and apply to swollen areas.
Fu Yao Tie Gu San (Iron Hoop Powder for Application) treats all sores, furuncles, and carbuncles.
Fu Rong Ye (Hibiscus Mutabilis Leaf); Huang Bo (Phellodendron Bark); Da Huang (Rhubarb Root); Wu Bei Zi (Gallnut); Bai Ji (Bletilla Rhizome).
Pulverize. Mix with water and apply around the perimeter.
Note: The previous formula is a cold-cooling, heat-resolving, and astringent agent. Some use Bai Lian (Belamcanda Rhizome) or Shang Lu Gen (Phytolacca Root); some use Han Shui Shi (Halloysite) or Tian Hua Fen (Trichosanthes Root); some use Cang Er Zi (Xanthium Fruit) or Jin Yin Hua (Honeysuckle); some use Ba Jiao (Banana) or Chi Xiao Dou (Adzuki Bean); some use Cao Wu (Aconite) and Bai Zhi (Angelica Dahurica). These are indiscriminate mixtures of cold, heat, warm, and cool properties. The Neijing states: Swelling preceding pain indicates injury to form affecting qi; pain preceding swelling indicates injury to qi affecting form. It also states: Disharmony of the five zang organs leads to blockage of the nine orifices; disharmony of the six fu organs leads to retention and condensation forming carbuncles. Waike Jingyi states: High and soft swellings originate in blood vessels; low and hard swellings originate in sinews and vessels; unchanged skin color originates in bone marrow. There must be internal causes manifesting externally. Therefore, the affected meridian and location vary; why apply cold medicines uniformly? Only when spleen/stomach are intact and qi/blood are disharmonious might it be effective. Taking toxin-resolving drugs again injures spleen/stomach, causing qi/blood stagnation, preventing resolution. For ding sores (hard cancers), the goal is to draw out toxins; using cold medicines causes muscle coldness and qi/blood stagnation, leading to internal toxin invasion and death. Treatment must observe height/spread, color/redness/whiteness, pain severity, ease of suppuration, thickness of discharge, and speed of flesh regeneration to distinguish yin/yang, half-yin/half-yang, or pure yin/pure yang, and use appropriate cooling, heating, or harmonizing medicines. One must also examine meridian evolution and zang organ interactions, prioritizing spleen/stomach tonification to avoid malignant transformation.
Shen Gong San treats initial swelling of sores/ulcers; effective for reduction, adding Xue Jie (Dragon's Blood) is better. Also usable for erysipelas before pricking.
Huang Bo (Phellodendron Bark, stir-fried); Cao Wu (Aconitum Carmichaelii Root, raw).
Separately pulverize, equal parts. Apply mixed with mouthwash solution, keeping moist with frequent rinsing.
The above pastes, swelling-reducing, pus-draining, flesh-generating, and wound-closing formulas are detailed in "Yangyi Zhunsheng" (Standard Guidelines for Surgeons), please consult that text. No further repetition here.