连翘、桑白皮、白头翁、牡丹皮、防风、黄柏、
肉桂、豆豉、独活、秦艽各五钱,桑螵蛸三钱半。
为末,炼蜜丸,灯心汤下。
西江 月
小儿遍身疮疥,虫巢脓血浸淫,此由胎毒内藏深,故有许多
形症。凉血杀虫解毒,胡麻丸子通神,切防搽洗毒归心,腹痛神昏
命尽。
若是要用搽药,瘙痒无过蛇床,螶虫作楚用雄黄, 痛肿寒水
为当。不痒须加狗脊,喜盐汤火硫磺,斑猫同研熟尤良,手擦鼻闻
搽上。
小儿赤游丹毒,虽有十种,皆由心火内盛,热与血搏。或起
于手足,或发于头面胸背,游移上下,其热如火,痛不可言,赤
如丹砂,故名丹毒。自腹出四肢者易治,自四肢入腹者难治。疗
此症者,其法必先用表药,以解热毒,方可搽敷。若遽用药搽,
便气无所泄,而入于里,伤人者多矣。
小儿丹毒,一岁以上者,易治。未周岁者,难治。
有因惊后而发丹者,此毒气由内出外,易治。有先发丹而后
惊者,此毒气由外入内者,多死不治。
一从头项起着,名飞灶丹。
二从头上起者,名走灶丹。
三从面上起者,名鬼火丹。
四从背上起者,名天火丹。
五从两手起者,名天灶丹。
六从两胁起者,名水丹。
七从脐起者,名葫芦丹。
八从两脚起者,名野火丹。
九从两脚背起者,名烟火丹。
十从阴上起者,名胡漏丹。
飞灶丹:先用葱白取自然汁搽。
走灶丹红肿痛:用赤小豆末,鸡子清调擦。
鬼火丹:用伏龙肝、鸡子清调搽。
天火丹:用桑白皮末,羊脂调搽。
天灶丹:用柳木烧灰,水调搽。
水丹:用生铁锈末,猪油调搽。
葫芦丹:用槟榔末,米醋调搽。
野火丹:用乳香末,羊脂调搽。
烟火丹:用猪槽下土,清油调搽。
胡漏丹:用屋漏处的土,羊脂调搽。
以上十种丹毒,俱先服防风升麻汤,以解其热毒。次用蜞针
法,以去其毒血,如无蜞针,用砭针法,然后用救急法。
连翘、桑白皮、白头翁、牡丹皮、防风、黄柏、肉桂、豆豉、独活、秦艽各五钱,桑螵蛸三钱半。研为细末,用炼蜜制成丸剂,灯心草煎汤送服。
西江月词:小儿全身出现疮疥,虫巢脓血浸淫蔓延,这是由于胎毒深藏体内所致,因此表现出多种症状和体征。治疗应以凉血、杀虫、解毒为主,胡麻丸(黑芝麻丸)疗效神奇。务必防止外用搽洗药物导致毒邪归于心经,否则会导致腹痛、神志昏迷而死亡。
如果需要使用外用药,止痒以蛇床子最为有效;若因蝮虫叮咬引起疼痛,使用雄黄;对于痛肿,使用寒水石为宜。如果不痒,需加入狗脊;喜欢咸味者可用盐汤或火硫磺;斑蝥同研后熟用效果更佳,可手擦、鼻闻或涂抹患处。
小儿赤游丹毒,虽然分为十种类型,但都是由心火内盛,热邪与血液搏结所致。有的发于手足,有的发于头面胸背,游走不定,其热如火,疼痛难忍,颜色红如丹砂,所以称为丹毒。从腹部出发扩散至四肢的容易治疗,从四肢侵入腹部的难以治疗。治疗此症的方法,必须先用解表药,以解除热毒,然后才能进行外敷。如果急于用药外搽,就会导致气机无法宣泄,反而内陷伤人,造成很多危害。
小儿丹毒,一岁以上者,容易治疗。未满周岁者,难以治疗。
有因受惊后引发丹毒的,这是毒气由内向外发散,容易治疗。有先发丹毒而后受惊的,这是毒气由外向内侵入,大多死亡且无法治愈。
一种是从头项部开始发作的,名叫飞灶丹。
二种是从头部开始发作的,名叫走灶丹。
三种是从面部开始发作的,名叫鬼火丹。
四种是从背部开始发作的,名叫天火丹。
五种是从两手开始发作的,名叫天灶丹。
六种是从两胁部开始发作的,名叫水丹。
七种是从肚脐开始发作的,名叫葫芦丹。
八种是从两脚开始发作的,名叫野火丹。
九种是从两脚背开始发作的,名叫烟火丹。
十种是从阴部开始发作的,名叫胡漏丹。
飞灶丹:先用葱白榨取自然汁涂抹。
走灶丹红肿痛:用赤小豆粉末,鸡蛋清调和擦拭。
鬼火丹:用伏龙肝(灶心土)、鸡蛋清调和涂抹。
天火丹:用桑白皮粉末,羊脂调和涂抹。
天灶丹:用柳木烧成的灰,用水调和涂抹。
水丹:用生铁锈粉末,猪油调和涂抹。
葫芦丹:用槟榔粉末,米醋调和涂抹。
野火丹:用乳香粉末,羊脂调和涂抹。
烟火丹:用猪槽底下的泥土,清油调和涂抹。
胡漏丹:用屋檐漏水处的泥土,羊脂调和涂抹。
以上十种丹毒,都先服用防风升麻汤,以解除其热毒。接着使用蜞针法(蚂蟥吸血疗法),以去除毒血。如果没有蜞针,使用砭针法(刺络放血),然后再使用急救方法。
Forsythiae Fructus (Lianqiao, 连翘), Morus Albae Cortex (Sangbaipi, 桑白皮), Pulsatillae Radix (Baitouweng, 白头翁), Moutan Cortex (Mudanpi, 牡丹皮), Saposhnikoviae Radix (Fangfeng, 防风), Phellodendri Cortex (Huangbai, 黄柏), Cinnamomi Ramulus (Rougui, 肉桂), Fermented Soybean (Douchi, 豆豉), Angelicae Pubescentis Radix (Duohuo, 独活), Gentianae Macrophyllae Radix (Qinjiao, 秦艽) each five qian, and Mantidis Oötheca (Sangpiaoxiao, 桑螵蛸) three and a half qian. Grind into fine powder, make pills with refined honey, and take with Decoction of Juncus Effusus (Jiangxin Tang, 灯心汤).
*Xi Jiang Yue*: Infants suffering from sores and scabies all over the body, with pus and blood oozing from insect nests, this is due to deep-seated fetal toxins stored internally, thus manifesting various symptoms and signs. Treatment should focus on cooling the blood, killing parasites, and detoxifying; Hu Ma Wan (Sesame Seed Pills) offers miraculous results. One must strictly prevent external application or washing from causing toxins to return to the Heart meridian; otherwise, it may lead to abdominal pain, coma, and death.
If external medication is required, for itching, Herba Cnidii (Shechuangzi, 蛇床子) is unparalleled; if pain is caused by insect bites, use Realgar (Xionghuang, 雄黄); for painful swelling, Halitum (Hanshui Shi, 寒水石) is appropriate. If there is no itching, add Radix Drynariae (Gouji, 狗脊); those preferring salty flavors may use Salt Soup or Fire Sulfur; Mylabris (Banmao, 斑猫) ground together and cooked is particularly effective, applied by hand rubbing, nasal inhalation, or topical application.
Pediatric erysipelas (Chi You Dan Du, 赤游丹毒), although divided into ten types, is all caused by excessive internal Heart fire, where heat collides with blood. It may arise in the hands and feet, or appear on the head, face, chest, and back, wandering up and down. Its heat is like fire, pain is unbearable, and its color is red like cinnabar, hence the name Erysipelas. Cases originating from the abdomen and spreading to the limbs are easy to treat; cases entering the abdomen from the limbs are difficult to treat. The method for treating this condition must first use exterior-releasing drugs to resolve heat toxins before applying external compresses. If one hastily applies external medication, Qi will have no outlet and will sink inward, harming the patient significantly.
For pediatric erysipelas, children over one year old are easy to treat. Those under one year old are difficult to treat.
Cases developing after fright involve toxins moving from inside out, which are easy to treat. Cases where erysipelas appears first followed by fright involve toxins moving from outside in, which often result in death and are incurable.
1. Starting from the head and neck, named Fei Zao Dan (Flying Stove Erysipelas).
2. Starting from the top of the head, named Zou Zao Dan (Wandering Stove Erysipelas).
3. Starting from the face, named Gui Huo Dan (Ghost Fire Erysipelas).
4. Starting from the back, named Tian Huo Dan (Heavenly Fire Erysipelas).
5. Starting from both hands, named Tian Zao Dan (Heavenly Stove Erysipelas).
6. Starting from both flanks, named Shui Dan (Water Erysipelas).
7. Starting from the umbilicus, named Hu Lu Dan (Gourd Erysipelas).
8. Starting from both feet, named Ye Huo Dan (Wild Fire Erysipelas).
9. Starting from both insteps, named Yan Huo Dan (Smoke Fire Erysipelas).
10. Starting from the genitalia, named Hu Lou Dan (Hu Lou Erysipelas).
Fei Zao Dan: First, apply fresh juice extracted from Allium Fistulosum Bulb (Cong Bai, 葱白).
Zou Zao Dan with redness, swelling, and pain: Use powder of Phaseolus Angularis Semen (Chi Xiaodou, 赤小豆) mixed with Egg White (Jizi Qing, 鸡子清) for wiping.
Gui Huo Dan: Use Caulis Longan (Fulonggan/Zao Xin Tu, 伏龙肝/灶心土) mixed with Egg White for application.
Tian Huo Dan: Use powder of Morus Albae Cortex (Sangbaipi, 桑白皮) mixed with Sheep Fat (Yangzhi, 羊脂) for application.
Tian Zao Dan: Use ash from burned Willow Wood (Liumu, 柳木) mixed with water for application.
Shui Dan: Use powder of Rusty Iron (Sheng Tie Xiu, 生铁锈) mixed with Pig Lard (Zhuyou, 猪油) for application.
Hu Lu Dan: Use powder of Arecae Semen (Binglang, 槟榔) mixed with Rice Vinegar (Micu, 米醋) for application.
Ye Huo Dan: Use powder of Frankincense (Ruxiang, 乳香) mixed with Sheep Fat (Yangzhi, 羊脂) for application.
Yan Huo Dan: Use soil from under pig troughs mixed with Clear Oil (Qingyou, 清油) for application.
Hu Lou Dan: Use soil from places where roof leaks occur mixed with Sheep Fat (Yangzhi, 羊脂) for application.
For all ten types of erysipelas mentioned above, first administer Fang Feng Sheng Ma Tang (Saposhnikovia and Cimicifuga Decoction) to resolve heat toxins. Then use Leech Therapy (Qi Zhen Fa, 蜞针法) to remove toxic blood. If leeches are unavailable, use Bian Needle Therapy (Bian Zhen Fa, 砭针法), followed by emergency rescue methods.