小儿斑疹，其掀肿于外者，属少阳相火也，谓之斑。红点在
皮肤之中不出者，厉少阴君火也，谓之疹。
其症有阴阳轻重之别，阳斑用托里消热，化斑凉血，此急治
其标也。阴疹用调中温胃，其疹自消，此缓则治其本也。大抵安里
之药多，发表之药少，首尾不可妄下。
阳毒者，或发于面部，或发于背部，或发于四肢，极其稠
密，状如锦纹。红赤着，胃热也。紫黑者，胃烂也。一则下之
早，其热乘虚而入胃，一则下之晚，其胃热不得发越，当服消斑
青黛饮。
阴疹者，或出于胸背、手足稀而小者，此由失守之火，聚于
胸中，上薰于肺，传于皮肤，而成斑点，如蚊蚋蚤虱所咬，而非
锦纹也。宜服理中汤主之，其火自降，其斑自退矣。
斑疹若自吐泻者，慎勿乱治。因其毒气，上下皆出，宜调中
气。若吐泻之后，遍身发斑如锦纹者，此热即乘虚入胃，其症多得
于夏天，化斑汤主之。
黄连、甘草、石膏、知母、柴胡、山栀仁、玄参、
升麻、生地、黄芩、人参、青黛，生姜三片，豆豉二十
粒引。
苍术、陈皮、砂仁、白芍(炒)、甘草(炙)、藿香叶、
桔梗、半夏、白芷、羌活、枳壳、川芎，姜三片引。
人参、石膏、知母、甘草、水竹叶，粳米引。
如斑红者易治，黑者难治。
小儿瘾疹多属于脾，以其隐隐在皮肤之间，发而多痒。或不
红者，并风与湿而成也。加味羌活散治之，或加减攻毒散亦效。
小儿的斑疹，如果红肿隆起于皮肤表面，属于少阳相火（三焦与胆经之火）所致，称为“斑”。红点隐没在皮肤内部而不突出的，属于少阴君火（心经之火）所致，称为“疹”。
这些病症有阴阳、轻重的区别。对于阳斑，采用托里消热、化斑凉血的方法，这是紧急治疗其标症。对于阴疹，采用调理中焦、温养胃气的方法，疹子自然会消退，这是缓则治其本。大抵而言，安内固里的药物较多，发表透邪的药物较少，从头到尾不可妄用泻下法。
阳毒斑，有时发于面部，有时发于背部，有时发于四肢，极其稠密，形状像锦缎上的花纹。颜色红赤的，是胃热所致。颜色紫黑的，是胃腑腐烂之象。这通常是因为泻下过早，热气乘虚侵入胃中；或者是泻下过晚，胃中的热气无法发散。应当服用消斑青黛饮。
阴疹，有时出于胸背、手足，稀疏且细小，这是由于失守之火聚集于胸中，向上熏蒸于肺，传至皮肤，形成斑点，像被蚊子、虻虫、跳蚤、虱子叮咬一样，而不是像锦纹那样密集。适宜服用理中汤来主治，体内的火气自然下降，斑点自然消退。
如果斑疹患者出现自发性呕吐和腹泻，切勿胡乱治疗。因为毒气通过上下二窍排出，适宜调理中焦之气。如果在吐泻之后，全身发出如锦纹般的斑点，这是热气乘虚进入胃中，这种症状多见于夏季，以化斑汤为主治方剂。
[化斑汤组成] 黄连、甘草、石膏、知母、柴胡、山栀仁、玄参、升麻、生地、黄芩、人参、青黛，生姜三片、豆豉二十粒作为药引。
[另一组方/或指代前文提到的其他情况，原文此处未明确方名，但列出了药材] 苍术、陈皮、砂仁、白芍(炒)、甘草(炙)、藿香叶、桔梗、半夏、白芷、羌活、枳壳、川芎，姜三片作为药引。
[又一组方/或指代理中汤加减] 人参、石膏、知母、甘草、水竹叶，粳米作为药引。
如果斑色红者容易治疗，黑者难治。
小儿瘾疹多归属于脾脏，因为其隐隐约约位于皮肤之间，发作时多伴有瘙痒。如果不发红，则是风邪与湿邪结合而成。可用加味羌活散治疗，或者使用加减攻毒散也有效。
In children, macules that are swollen and raised on the exterior belong to Shaoyang Xianghuo (Ministerial Fire of Shaoyang), and are called "ban" (macules). Red spots that remain within the skin without protruding belong to Shaoyin Junhuo (Monarchial Fire of Shaoyin), and are called "zhen" (papules/rash).
These conditions differ in terms of Yin/Yang and severity. For Yang ban, treatment involves supporting the interior, clearing heat, resolving macules, and cooling blood; this is an urgent treatment of the branch (symptoms). For Yin zhen, treatment involves regulating the middle jiao and warming the stomach, causing the rash to subside naturally; this is treating the root when the condition is not acute. Generally, there are more herbs for stabilizing the interior than for releasing the exterior, and purgative methods should never be used recklessly from beginning to end.
Yang toxin macules may appear on the face, back, or limbs, being extremely dense with patterns resembling brocade. Reddish color indicates Stomach Heat. Purple-black color indicates rotting of the Stomach tissue. This occurs either because purgatives were administered too early, allowing heat to enter the Stomach via deficiency, or because purgatives were administered too late, preventing Stomach Heat from venting. One should administer Xiaoban Qingdai Yin (Macule-Resolving Indigo Decoction).
Yin zhen may appear on the chest, back, hands, and feet, being sparse and small. This results from uncontrolled fire accumulating in the chest, steaming upward into the Lungs, and transmitting to the skin, forming spots resembling bites from mosquitoes, midges, fleas, or lice, rather than the dense brocade-like pattern. Lizhong Tang (Regulate the Middle Decoction) is suitable for primary treatment; the fire will naturally descend, and the spots will recede.
If macules and rashes are accompanied by spontaneous vomiting and diarrhea, do not treat them recklessly. Since the toxic qi is exiting through both upper and lower orifices, it is appropriate to regulate the Qi of the middle jiao. If, after vomiting and diarrhea, the entire body breaks out in macules resembling brocade, this indicates heat entering the Stomach via deficiency. Such symptoms often occur in summer and are primarily treated with Huaban Tang (Resolve Macules Decoction).
Huaban Tang Composition: Huanglian (Coptidis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma), Chaihu (Bupleuri Radix), Shanzhiren (Gardeniae Semen), Xuanshen (Scrophulariae Radix), Shengma (Cimicifugae Rhizoma), Shengdi (Rehmanniae Radix), Huangqin (Scutellariae Radix), Renshen (Ginseng Radix), Qingdai (Indigo Naturalis). Use three slices of Shengjiang (Zingiberis Rhizoma Recens) and twenty grains of Douchi (Sojae Semen Praeparatum) as guides.
Another formulation: Cangzhu (Atractylodis Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Sharen (Amomi Fructus), Baishao (Paeoniae Radix Alba, stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Huoxiangye (Agastaches Herba), Jiegeng (Platycodonis Radix), Banxia (Pinelliae Rhizoma), Baizhi (Angelicae Dahuricae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Zhike (Aurantii Fructus Immaturus), Chuanxiong (Ligustici Chuanxiong Rhizoma). Use three slices of Shengjiang (Zingiberis Rhizoma Recens) as a guide.
Another formulation: Renshen (Ginseng Radix), Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Shuizhuye (Phyllostachys Viridis Folium). Use Jingmi (Oryza Sativa Germen) as a guide.
If the macules are red, they are easy to treat; if black, they are difficult to treat.
Children's yinzhen (urticaria/pruritic rash) mostly belongs to the Spleen, as it appears faintly between the skin layers and is often pruritic. If it is not red, it is formed by the combination of Wind and Dampness. It can be treated with Jiawei Qianghuo San (Modified Notopterygium Powder) or Jiajian Gongdu San (Modified Toxin-Attacking Powder), which is also effective.