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[Xue Ji] Axillary carbuncle (Axillary abscess) belongs to the Foot Shaoyang Gallbladder Channel, Hand Shaoyin Heart Channel, and Hand Jueyin Pericardium Channel. In children, it is mostly caused by innate liver fire (Liver Fire). At the initial stage, Xianfang Huoming Yin (Immortal Life Elixir) should be used first. Subsequently, Chaihu Zhizi San (Bupleurum and Gardenia Powder) is administered. Between the fifth and seventh days, if suppuration occurs accompanied by swelling and pain, Xianfang Huoming Yin is also used to suppress the major pathogenic factors; even if ulceration has occurred, the condition will be mild and heal easily. If pus is fully formed, Tuoli Xiaodu San (Supporting the Interior and Detoxifying Powder) is used. If pus has been discharged, Tuoli San (Supporting the Interior Powder) is applied. If complicated symptoms arise, treatment should be adjusted according to the specific presentation.

[Xue Ji] The hypochondriac region is governed by the Foot Jueyin Liver Channel and Foot Shaoyang Gallbladder Channel, which are under the jurisdiction of Ministerial Fire (Xiang Huo) and represent the primary aspect of Wood. When the Qi of the Liver and Gallbladder is imbalanced, Wind and Fire contend internally, causing counterflow of Ying (Nutritive) Qi and stagnation of Blood. Heat accumulates and transforms into pus, giving rise to carbuncles and swellings. This may also result from inheriting maternal Liver-Gallbladder heat or from anger-induced fire. However, in the early stage with redness, swelling, and pain, Chaihu Zhizi San is appropriate. If the swelling does not subside, Xianfang Huoming Yin is used. Once the heat is suppressed but the swelling persists, suppuration is inevitable, at which point Tuoli Xiaodu San is employed. After pus formation, Daizhen Gao (Needle-Replacement Paste) is used to puncture and drain, followed by continued use of Tuoli San for spontaneous recovery. If pain ceases and swelling subsides after pus discharge, no further medication is necessary.

Jiawei Guipi Tang (Modified Restore the Spleen Decoction): Treats conditions in infants caused by the wet nurse's worry, thinking, depression, and anger, leading to chest and hypochondriac pain, sores and ulcers in the Liver and Spleen channels, alternating chills and fever, palpitations with fright, insomnia, hematochezia, night sweats, and non-healing wound margins.
Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix, stir-fried), Fushen (Poria with Hostwood, woody part removed), Gan Cao (Licorice Radix et Rhizoma, stir-fried), Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried, each 1 qian), Mu Xiang (Aucklandiae Radix, 0.5 qian), Yuan Zhi (Polygalae Radix, heart removed), Suan Zao Ren (Ziziphi Spinosae Semen), Long Yan Rou (Longan Aril), Dang Gui (Angelicae Sinensis Radix), Mu Dan Pi (Moutan Cortex), Zhi Zi (Gardeniae Fructus, stir-fried, each 1 qian).
Decoct these ingredients in water. The wet nurse takes the decoction, and the infant also ingests it.

Xiao Chai Hu Tang (Minor Bupleurum Decoction): Treats all types of sores and ulcers in the Liver and Gallbladder channels characterized by fever or tidal fever, or poor appetite. Adding Zhi Zi and Mu Dan Pi creates Jiawei Xiao Chai Hu Tang (Modified Minor Bupleurum Decoction). (Formula see "Fever")

Chaihu Qinggan San (Bupleurum Clearing Liver Powder): Treats Wind-Heat in the Liver channel, or sores and ulcers caused by the wet nurse's angry fire. (See "Liver Heat")

Zhizi Qinggan San (Gardenia Clearing Liver Powder, also known as Zhizi Chaihu San): Treats sores caused by Wind-Heat in the Sanjiao and Foot Shaoyang Gallbladder channels, or ear sores with itching due to fever, or oozing and pain. (See "Kidney Heat")