热毒疮疡，因食膏粱浓味，或乳母七情郁火所致。若肿骨作痛，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。凡药对症，无有不愈，设或妄行
攻毒，元气亏损，则变恶症而难治矣。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症，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，参之脉症虚弱，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。
一小儿患之，肿 ，敷服败毒之药，肿益甚，更作呕，视其寅关脉青赤，此肝经风热之毒，
中气复伤而然也，用五味异功散加柴胡、升麻，再用补中益气汤加白芷、桔梗而愈。
一女子十岁余，耳下连项赤肿，寒热头痛，恪敷铁箍散，此少阳胆经火症内作，非铁箍散所
能愈，余用栀子清肝散而愈。
一小儿所患同前，右关脉数，按之则弦，作呕懒食，此肝木克脾土所致，用小柴胡汤去黄芩
加茯苓、芍药而愈。
一小儿患之，余谓禀肝脾气滞，不信，用铁箍散、犀角丸，而呕吐少食，手足并冷，此脾胃
复伤也，子用五味异功散加木香；母用加味逍遥散、加味归脾汤而消。
一小儿缺盆患之，内外敷服败毒之药，发热肿痛，按之则软，此脓内溃也，喜其右腮白，左
腮黄，乃脾胃相生，其病易愈，遂针出脓，用托里散而愈。
一小儿头面患之，服清胃之药，肿痛益甚，余谓毒瓦斯炽盛，而瘀血不散也，用仙方活命饮，
二剂而愈。后因伤食，朝寒暮热，头面仍患之，服降火之剂，口舌赤肿，手足并冷，余谓胃
气复伤而虚寒也，用五味异功散而愈。
一小儿头患疖甚多，寒热作痛，时季夏，乃形病俱实，先用人参败毒散加黄连、香薷一剂，
其痛顿止；次用仙方活命饮末三服，大者出脓，小者自消。后食浓味复发，用清胃散、活命
饮各一服而愈。
一小儿素食炙 ，不时患之，此膏粱积热所致，用清胃、泻黄二散将愈。又停食，服巴豆之
药，口舌赤烂，头面生疮，此胃气复伤而内热也，用人参安胃散而愈。
一小儿不时患之，兼颊侧结核，此肝疳之症，先用龙胆泻肝汤二剂，以治肝火；又用四味肥
儿丸、五味异功散加升麻、柴胡，消疳健脾而愈。
一小儿素有肝脾之症，患疖甚多，用仙方活命饮二剂，肿痛顿退，又用四味肥儿丸、五味异
功散加柴胡、升麻而愈。其时同患此症，用犀角丸、化毒丹，伤其脾胃者，俱致不起。
一小儿头面患之，肿痛 作，属胃经热毒，先用仙方活命饮末，次用清胃散而痊。后口舌生
疮，别搽末药，腹痛重坠，作呕不食，手足指冷，余谓脾胃虚寒，用异功散加升麻而痊。
一小儿十二岁，胸前患此，肿 作痛，外敷铁箍散，内服犀角丸，腹中寒痛，验之脓已成，
先用五味异功散，再用托里消毒散，脓自出，却用托里散而愈。
一小儿臂患毒，漫肿微痛，敷铁箍散，时欲呕吐，胸腹痞满，手足并冷，此脾气虚寒也，症
属半阴半阳，铁箍散乃纯阳之药，非其所宜，遂敷冲和膏，服六君、干姜而消。盖小儿元气
，易实易虚，用寒药敷贴，逼毒入脏，而不能救者多矣。
仙方活命饮
金银花 陈皮（各三钱） 皂角刺（炒） 穿山甲（蛤粉同炒） 防风 没药 白芷 乳香 当归（各一钱）
贝母 天花粉 甘草节（各七分）
上每服五钱，酒煎服，婴儿每服一两，子母同服，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，当临症制宜。此解毒回生起死之良剂。
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，
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
上作二三剂，水煎服。
替针丸 治疮疽，脓已成不溃者。
陈坏米（一钱） 砂（五钱） 雄雀粪（四十九粒，直细者是也）
上为末，米粥丸，麦粒大。每用一粒，粘疮头上，以膏药贴之半晌，其脓自出。若疮头透而
脓不出，或出而愈痛，或发热，血气虚也，用托里散。或作呕吐痰，食少体倦，脾气虚也，
用六君子汤。
五福化毒丹 治热毒蕴积，赤咽干，口舌生疮，或头面疮疖，谵语不宁。（方见胎毒疮疡）
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，多则
反伤元气，变症不可胜言也。
天乌散
天南星 赤小豆 草乌 黄柏（各等分）
上为末，姜汁、米醋调贴患处。
四物汤 治发热烦躁，或日晡热。若因脾虚不能生血者，则用六君子汤之类，忌用前药。（方见
四君子汤 治肠胃虚热，唇口生疮，或疮不消、不溃、不敛，或食少作呕，大便不实。若因
肝木乘脾土而致者，宜加软柴胡、炒黄芍药。（方见腹痈）
六君子汤 治脾胃虚弱，饮食少思，或大便不调，肢体消瘦，面色痿黄。即四君子汤加陈皮
八珍汤 治气血俱虚，成者不能溃，溃者不能敛，或恶寒发热，或晡热作渴，饮食少思者。
（即用四君、四物二汤合用）
如圣饼 治气虚疮疡硬肿，不能消散。若大人发背等症，肉死不知痛加蟾酥。（方见流注）
四顺清凉饮
四君子汤（二方见腹痈）
加味归脾汤
小柴胡汤
栀子清肝散（三方见胁痈）
托里冲和汤（方见敷凉药）
五味异功散（方见败毒之药）
加味逍遥散（方见发热不止）
人参败毒散（方见发 ）
四味肥儿丸（方见贴骨痈）
隔蒜灸法（方见流注）
清胃散（方见热毒口疮）
补中益气汤（方见肌肉不生）
胎毒瘰 者，乃禀肝胆二经郁火气滞所致。盖肝胆经行人身之侧。若因肝火动而受患，故发于肝胆二经部分，当审
其因而药之。或因乳母恚怒，或血虚内热者，当审其所因而调其母，不可用峻厉之药，恐伤元气也。
一小儿落草，颈间有 五枚，审其母素多怒，时常寒热，或乳间作痛，或胁肋微肿，悉属肝胆经症，先用小柴胡汤
加当归、芍药，寒热顿透；又用加味逍遥散，母服两月余，其儿亦愈。
一小儿因乳母肝经有热，耳前后患之，用加味逍遥散治其母，其儿自愈。
一小儿颈间耳下各结核，三岁，久服消毒之剂，患处益甚，元气益虚，诊乳母素郁怒，致肝脾血虚而有热，用加味
归脾汤为主，佐以加味逍遥散，母热渐退；却与儿日各数匙，两月余而愈。
一小儿自落草时，颈间患有四枚，至五岁，耳前后如贯珠，元气虚甚，寒热往来，饮乳不彻，此禀肝胆经气滞之症，
用八珍、逍遥二散，与壮年妇人服之，儿饮其乳，半载之后，儿体渐充，其核渐消，又服地黄丸、逍遥散而全愈。
一小儿颈间结核，或发寒热，左颊青，额间赤，此禀肝心二经之症，用加味逍遥散加漏芦与母服，儿日服半蛤许，
两月余，核渐消。后因母怒发热，儿病仍作，先用加味小柴胡汤加漏芦，又用加味逍遥散加漏芦，与母服两月余，母子
俱安。
一小儿颈间前后各有一核，色如故，至周岁，母有怒气，
各核变赤，用加味逍遥散加漏芦五分，十余剂将愈。后因母大怒，寒热往来，四肢 ，其子亦然，又用加味逍遥散加
漏芦、钩藤钩，母子并服而安。
一小儿生下，颈间瘰 三枚，将期敷药，延及耳前，余谓此禀肝胆二经所致，诊其母肝胆脉尚洪数，余谓母子一体，
治其母，儿自愈。不信，另用必效散一服，吐泻并至，一夕而殁。
小柴胡汤
加味归脾汤（二方见胁痈）
加味逍遥散（方见发热不止）
六味地黄丸（方见作渴不止）
热毒疮疡，是由于食用肥甘厚味（油腻精细的食物），或者乳母因七情郁结化火所致。如果患处肿胀且深入骨骼作痛，这是气血凝滞的表现，使用仙方活命饮。如果口渴且便秘，这是热毒内蕴的表现，使用四顺清凉饮，并配合如圣饼。如果患处肿胀坚硬、颜色红赤，这是热毒凝聚的表现，使用仙方活命饮，并配合隔蒜灸法。如果肿块不消退，说明即将化脓，使用托里消毒散。如果不能成脓，或者成脓后不能溃破，这是气血虚弱的表现，使用八珍汤。如果溃破后肌肉鲜红而不能愈合，这是脾血虚弱的表现，使用四物汤加人参、白术。如果肌肉色白而不能愈合，这是脾气虚弱的表现，使用四君子汤加川芎、当归。如果饮食减少、身体疲倦且伤口不愈合，这是脾气虚弱的表现，使用六君子汤加当归、升麻。凡是药物对症，没有不痊愈的；假如胡乱使用攻伐解毒的药物，导致元气亏损，就会转变为恶症而难以治疗。大抵而言，属于腑病的疮疡容易治疗；元气没有亏损的，即使不治也会自愈。属于脏病的疮疡难治，如果元气已经亏损，就会转变为恶症，此时若误用克伐（攻下）药物，使元气进一步亏损，更加难以调理，所以切不可使用猛烈峻厉的药物。观察李东垣、朱丹溪所说：只要见到肿痛，参合脉象和症状发现虚弱，就给予滋补，这样血气没有亏损，可以保证最终吉利。如果使用驱逐败毒的药物，不免会有“虚虚”（使虚者更虚）的祸害了。
有一个小孩患此病，患处肿胀，敷药和内服败毒药物后，肿胀反而加重，又出现呕吐，诊察其寅关脉呈现青赤色，这是肝经风热之毒，加上中气再次受伤所致，使用五味异功散加柴胡、升麻，再用补中益气汤加白芷、桔梗而痊愈。
有一个十岁多的女子，耳下连及颈部红肿，伴有寒热头痛，严格地敷用铁箍散，这是少阳胆经火症在内发作，不是铁箍散所能治愈的，我用栀子清肝散而治愈。
有一个小孩患病情况同前，右关脉数，重按则弦，伴有呕吐、食欲不振，这是肝木克制脾土所致，用小柴胡汤去掉黄芩，加茯苓、芍药而痊愈。
有一个小孩患此病，我说是禀赋导致的肝脾气滞，他不相信，使用了铁箍散、犀角丸，结果出现呕吐、少吃、手脚冰凉，这是脾胃再次受伤，我用五味异功散加木香；母亲服用加味逍遥散、加味归脾汤而消散。
有一个小孩在缺盆穴处患病，内外敷药内服败毒药物，发热肿痛，按压时感觉柔软，这是脓液已在内部溃破，庆幸的是他右腮色白、左腮色黄，这是脾胃相生之气尚存，病情容易痊愈，于是针刺排出脓液，使用托里散而痊愈。
有一个小孩头面部患病，服用清胃药物后，肿痛更加严重，我说这是毒瓦斯炽盛，瘀血不散，使用仙方活命饮，两剂后痊愈。后来因为伤食，早晨怕冷晚上发热，头面部再次患病，服用降火药物，导致口舌红肿，手脚冰凉，我说这是胃气再次受伤而变成虚寒，使用五味异功散而痊愈。
有一个小孩头部患有很多疖子，伴有寒热疼痛，当时是夏季末，属于形体和病邪都实的情况，先用人参败毒散加黄连、香薷一剂，疼痛立刻停止；接着用仙方活命饮粉末三服，大的出脓，小的自行消散。后来吃浓味食物复发，用清胃散、仙方活命饮各一服而痊愈。
有一个小孩平时喜欢吃烤炙食物，不时患此病，这是膏粱积热所致，用清胃散、泻黄散将愈。又停食，服用巴豆类药物，导致口舌红肿糜烂，头面生疮，这是胃气再次受伤而内热，用人参安胃散而痊愈。
有一个小孩不时患此病，兼有脸颊侧面结核，这是肝疳的症状，先用龙胆泻肝汤两剂，以治疗肝火；又用四味肥儿丸、五味异功散加升麻、柴胡，消除疳积、健脾而痊愈。
有一个小孩素有肝脾病症，患疖很多，用仙方活命饮两剂，肿痛立刻减退，又用四味肥儿丸、五味异功散加柴胡、升麻而痊愈。当时其他同样患有此症的人，使用犀角丸、化毒丹，损伤了脾胃，都导致死亡。
有一个小孩头面部患病，肿痛剧烈，属于胃经热毒，先用仙方活命饮粉末，接着用清胃散而痊愈。后来口舌生疮，另外搽抹粉末药物，导致腹痛沉重下坠，呕吐不想吃东西，手指发冷，我说这是脾胃虚寒，用异功散加升麻而痊愈。
有一个十二岁的小孩，胸前患此病，肿胀作痛，外敷铁箍散，内服犀角丸，腹中寒冷疼痛，验看脓已生成，先用五味异功散，再用托里消毒散，脓自然流出，却改用托里散而痊愈。
有一个小孩手臂患毒，漫肿微痛，敷铁箍散，时常想呕吐，胸腹部痞满，手脚冰凉，这是脾气虚寒，症状属于半阴半阳证，铁箍散是纯阳药物，不适合此症，于是敷冲和膏，服用六君子汤、干姜而消散。大概小儿元气，容易变实也容易变虚，使用寒凉药物敷贴，逼迫毒气入脏，而不能救治的情况很多了。
仙方活命饮
金银花、陈皮（各三钱）、皂角刺（炒）、穿山甲（与蛤粉同炒）、防风、没药、白芷、乳香、当归（各一钱）、贝母、天花粉、甘草节（各七分）。
以上每服五钱，酒煎服，婴儿每服一两，母子同服，研成粉末用酒调服也可以。毒在表层的加麻黄散以发散毒邪，毒在内部的加大黄以攻下，应当根据临症情况制宜。这是解毒回生、起死回生的良剂。
托里消毒散 治疗胃经虚弱，或因攻伐过度，导致疮疡不能溃散，疮未形成即消散，已形成即溃破，腐肉自去。
人参、黄芪、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）。
以上作两剂，水煎慢慢服用。
托里散 治疗疮疡。因气血虚弱，不能起发、腐溃、收敛，以及恶寒发热，适宜用此药进行补益托毒。
人参（气虚加倍使用）、黄芪（炒）、当归（血虚加倍使用）、白术（加倍使用）、茯苓、芍药（酒炒，各五分）、熟地黄（二钱）。
以上作二三剂，水煎服。
替针丸 治疗疮疽，脓已成但不能溃破的。
陈坏米（一钱）、砂（五钱）、雄雀粪（四十九粒，直细的是好的）。
以上研成粉末，用米粥做成丸，大小如麦粒。每次用一粒，粘在疮头上，用膏药贴半个时辰，脓自然流出。如果疮头穿透但脓不出，或者出脓后更痛，或者发热，这是血气虚弱，用托里散。或者出现呕吐痰涎、饮食少、身体疲倦，这是脾气虚弱，用六君子汤。
五福化毒丹 治疗热毒蕴积，咽喉红肿干燥，口舌生疮，或者头面疮疖，谵语不安。（方剂见胎毒疮疡章节）
按语：前面的方子是生血凉血、解毒寒中的药剂，对于形病俱实的患者，确实有良好疗效，但一二丸即止，不可过量，多了反而损伤元气，变症不可胜数。
天乌散
天南星、赤小豆、草乌、黄柏（各等分）。
以上研成粉末，用姜汁、米醋调匀贴敷患处。
四物汤 治疗发热烦躁，或者日晡时发热。如果是因脾虚不能生血导致的，则使用六君子汤之类，忌用前面的药。（方剂见四君子汤章节）
四君子汤 治疗肠胃虚热，唇口生疮，或者疮不消、不溃、不敛，或者饮食少、呕吐，大便不成形。如果是因肝木乘脾土导致的，宜加软柴胡、炒黄芍药。（方剂见腹痈章节）
六君子汤 治疗脾胃虚弱，饮食少思，或者大便不调，肢体消瘦，面色萎黄。即四君子汤加陈皮。
八珍汤 治疗气血俱虚，成脓者不能溃破，溃破者不能收敛，或者恶寒发热，或者傍晚发热口渴，饮食少思。（即用四君子汤、四物汤两方合用）
如圣饼 治疗气虚疮疡硬肿，不能消散。如果是大人发背等症，肌肉坏死不知疼痛，加蟾酥。（方剂见流注章节）
托里冲和汤（方剂见敷凉药章节）
五味异功散（方剂见败毒之药章节）
隔蒜灸法（方剂见流注章节）
胎毒瘰疬，是禀受肝胆二经郁火气滞所致。大概肝胆经脉行于人身侧面。如果因肝火动而患病，所以发于肝胆二经部位，应当审察原因而用药。或者因乳母恚怒，或血虚内热的，应当审察其原因调理乳母，不可使用峻厉的药物，恐怕损伤元气。
有一个小孩刚出生，颈间有五枚结核，审察其母素来多怒，时常寒热，或者乳房间作痛，或者胁肋微肿，都属于肝胆经病症，先用小柴胡汤加当归、芍药，寒热立刻透解；又用加味逍遥散，母亲服用两个多月，孩子也痊愈了。
有一个小孩因为乳母肝经有热，耳前后患病，用加味逍遥散治疗其母，孩子自愈。
有一个小孩颈间耳下各有结核，三岁，久服消毒药物，患处更加严重，元气更加虚弱，诊察乳母素来郁怒，导致肝脾血虚而有热，用加味归脾汤为主，佐以加味逍遥散，母亲热渐退；却让儿子每天喝几匙，两个多月而痊愈。
有一个小孩从出生时，颈间患有四枚，到五岁时，耳前后如贯珠状，元气非常虚弱，寒热往来，吃奶不饱，这是禀受肝胆经气滞的病症，用八珍汤、逍遥散两方，给壮年妇人服用，孩子喝她的奶，半年之后，孩子身体逐渐充实，结核逐渐消散，又服用地黄丸、逍遥散而全愈。
有一个小孩颈间结核，有时发寒热，左颊青色，额间红色，这是禀受肝心二经的病症，用加味逍遥散加漏芦给母亲服用，孩子每天喝半蛤壳许，两个多月，结核逐渐消散。后来因为母亲愤怒发热，孩子病仍发作，先用加味小柴胡汤加漏芦，又用加味逍遥散加漏芦，给母亲服用两个多月，母子都平安。
有一个小孩颈间前后各有一核，颜色如故，到周岁时，母亲有怒气，各核变红，用加味逍遥散加漏芦五分，十余剂将愈。后来因为母亲大怒，寒热往来，四肢抽搐，孩子也是这样，又用加味逍遥散加漏芦、钩藤钩，母子一起服用而平安。
有一个小孩生下，颈间有三枚瘰疬，快到预产期敷药，延及耳前，我说这是禀受肝胆二经所致，诊察其母肝胆脉尚洪数，我说母子一体，治疗母亲，孩子自愈。不相信，另用必效散一服，吐泻并至，一夜而死。
Carbuncles and sores caused by heat-toxin arise from consuming rich, greasy, and strong-flavored foods, or from the fire generated by emotional stagnation in the nursing mother. If swelling involves deep bone pain, it indicates stagnation of Qi and blood; use Xianfang Huoming Yin (Immortal Life Elixir). If there is thirst and constipation, it indicates internal accumulation of heat-toxin; use Sishun Qingliang Yin (Four-Compliance Cooling Clearing Decoction), assisted with Rusheng Bing (Like-Sage Cake). If swelling is hard and red, it indicates condensation of heat-toxin; use Huoming Yin, assisted with Garlic-Partitioned Moxibustion. If swelling does not subside, it indicates impending suppuration; use Tuoli Xiaodu San (Interior-Supporting Toxin-Expelling Powder). If pus fails to form, or forms but does not ulcerate, it indicates deficiency of Qi and blood; use Bazhen Tang (Eight-Treasure Decoction). If after ulceration the flesh is red and fails to heal, it indicates deficiency of Spleen blood; use Siwu Tang (Four-Substance Decoction) plus Ginseng and Atractylodes. If the flesh is white and fails to heal, it indicates weakness of Spleen Qi; use Sijunzi Tang (Four-Gentleman Decoction) plus Chuanxiong and Angelica. If appetite is poor, the body feels fatigued, and the wound fails to heal, it indicates deficiency of Spleen Qi; use Liujunzi Tang (Six-Gentleman Decoction) plus Danggui and Shengma. When the medicine matches the syndrome, recovery is inevitable. However, if one recklessly uses toxic-expelling agents, depleting Yuan Qi (Original Qi), the condition may transform into a malignant syndrome that is difficult to treat. Generally, carbuncles belonging to the Fu organs are easy to treat; those where Yuan Qi is not depleted will heal spontaneously even without treatment. Carbuncles belonging to the Zang organs are difficult to treat; if Yuan Qi is already depleted, they transform into malignant syndromes. If one mistakenly uses purgative or attacking methods, further depleting Yuan Qi, treatment becomes especially difficult. Therefore, harsh and drastic medicines must absolutely be avoided. Observing Li Dongyuan and Zhu Danxi: whenever swelling and pain are seen, if pulse and symptoms indicate deficiency, one should provide tonification. If Blood and Qi are not depleted, auspicious outcomes can be guaranteed. Using expulsive and detoxifying agents inevitably leads to the disaster of "making the deficient more deficient."
A child suffered from this condition. After applying and taking detoxifying herbs, the swelling worsened, accompanied by vomiting. The pulse at the Yin-Guan position was green and red, indicating heat-toxin of wind in the Liver channel, compounded by injury to Middle Qi. Treatment with Wuweiyigong San (Five-Flavor Extra-Effort Powder) plus Chaihu and Shengma, followed by Buzhong Yiqi Tang (Middle-Warmer-Boosting Qi-Supplementing Decoction) plus Baizhi and Jiegeng, resulted in recovery.
A girl over ten years old had red swelling extending from below the ear to the neck, accompanied by chills, fever, and headache. Strict application of Tiegu San (Iron-Hoop Powder) was ineffective. This was an internal flare-up of Fire in the Shaoyang Gallbladder channel, which Tiegu San could not cure. I used Zhizi Qinggan San (Gardenia-Liver-Clearing Powder) and achieved a cure.
A child presented with similar symptoms. The pulse at the Right Guan position was rapid, becoming wiry upon pressure, accompanied by vomiting and reluctance to eat. This was caused by Liver Wood overacting on Spleen Earth. Treatment with Xiao Chaihu Tang (Minor Bupleurum Decoction) minus Huangqin, plus Fuling and Shaoyao, resulted in recovery.
A child suffered from this condition. I attributed it to innate Liver and Spleen Qi stagnation, but the parents did not believe me. They used Tiegu San and Xijiao Wan (Rhinoceros Horn Pill), resulting in vomiting, reduced food intake, and cold hands and feet. This indicated re-injury to the Spleen and Stomach. I treated the child with Wuweiyigong San plus Muxiang; the mother took Jiawei Xiaoyao San (Modified Free Wanderer Powder) and Jiawei Guipi Tang (Modified Heart-Supplementing Decoction), leading to resolution.
A child suffered from this condition at the Keyuan acupoint area. After external application and internal administration of detoxifying drugs, fever and painful swelling occurred. Palpation revealed softness, indicating internal suppuration. Fortunately, the right cheek was white and the left yellow, indicating mutual generation between Spleen and Stomach, suggesting an easy recovery. I punctured to drain the pus and used Tuoli San (Interior-Supporting Powder) for a cure.
A child suffered from this condition on the head and face. After taking Stomach-clearing herbs, swelling and pain worsened. I diagnosed intense toxin and unresolved blood stasis, prescribing Xianfang Huoming Yin. Recovery occurred after two doses. Later, due to food stagnation, the child experienced morning chills and evening fevers, with recurrence on the head and face. Taking fire-descending herbs led to red swollen mouth and tongue, and cold hands and feet. I diagnosed re-injury to Stomach Qi resulting in deficiency-cold, treating with Wuweiyigong San for recovery.
A child had many boils on the head, with chills, fever, and pain. It was late summer, indicating both physical constitution and pathogen were excess. First, Renshen Baidu San (Ginseng-Toxin-Expelling Powder) plus Huanglian and Xiangru was given for one dose, stopping pain immediately. Next, three doses of Xianfang Huoming Yin powder were administered; larger boils suppurated, smaller ones resolved spontaneously. Recurrence after eating rich flavors was cured with one dose each of Qingwei San (Stomach-Clearing Powder) and Huoming Yin.
A child who frequently ate roasted foods suffered intermittently from this condition, caused by accumulation of heat from rich foods. Qingwei San and Xiehuang Er San (Two Draining-Yellow Powders) brought improvement. Subsequent food stagnation and administration of Radix Crotonis Fructus (Badou) herbs led to red, eroded mouth and tongue, and facial sores. This indicated re-injured Stomach Qi and internal heat, treated with Renshen Anwei San (Ginseng-Stomach-Anchoring Powder) for recovery.
A child suffered intermittently from this condition, accompanied by tubercles on the cheeks. This was a symptom of Liver Gan (malnutrition/parasite syndrome). First, Longdan Xiegan Tang (Gentian-Draining-Liver Decoction) was given for two doses to clear Liver Fire. Then, Siwei Feier Wan (Four-Ingredient Intestine-Nourishing Pills) and Wuweiyigong San plus Shengma and Chaihu were used to resolve Gan and strengthen the Spleen, resulting in recovery.
A child with chronic Liver and Spleen issues suffered many boils. Two doses of Xianfang Huoming Yin quickly reduced swelling and pain. Then, Siwei Feier Wan and Wuweiyigong San plus Chaihu and Shengma were used for recovery. At that time, others with the same condition used Xijiao Wan and Huadu Dan (Toxin-Transforming Pellet), injuring their Spleen and Stomach, all of whom died.
A child suffered on the head and face with severe swelling and pain, attributed to Heat-Toxin of the Stomach channel. First, Xianfang Huoming Yin powder was used, followed by Qingwei San for recovery. Later, mouth ulcers appeared after applying topical powders, leading to heavy abdominal pain, vomiting, anorexia, and cold fingers. I diagnosed Spleen-Stomach deficiency-cold and treated with Yigong San plus Shengma for recovery.
A twelve-year-old child suffered on the chest with painful swelling. After applying Tiegu San and taking Xijiao Wan, cold abdominal pain occurred. Verification showed pus formation. First, Wuweiyigong San was used, then Tuoli Xiaodu San, allowing natural drainage. Finally, Tuoli San was used for recovery.
A child suffered toxicity on the arm with diffuse swelling and slight pain. After applying Tiegu San, frequent vomiting, chest/abdominal fullness, and cold limbs occurred. This indicated Spleen Qi deficiency-cold, a half-Yin half-Yang syndrome. Tiegu San, being purely Yang, was unsuitable. Instead, Chonghe Gao (Harmony Paste) was applied, and Liujunzi Tang plus Ganjiang (Dried Ginger) was taken for resolution. Children's Yuan Qi easily shifts between excess and deficiency; using cold applications forces toxins into the Zang organs, often leading to untreatable conditions.
Xianfang Huoming Yin (Immortal Life Elixir):
Jinyinhua (Lonicerae Japonicae Flos), Chenpi (Citri Reticulatae Pericarpium) (3 qian each); Zaogelaci (Gleditsiae Sinensis Spina) (stir-fried), Chuanshanjia (Manis Squama) (stir-fried with Ge Fen); Fangfeng (Saposhnikoviae Radix), Moyao (Myrrha), Baizhi (Angelicae Dahuricae Radix), Xuxiang (Olibanum), Danggui (Angelicae Sinensis Radix) (1 qian each); Beimu (Fritillariae Cirrhosae Bulbus), Tianhuafen (Trichosanthis Radix), Gancao Jie (Glycyrrhizae Radix et Rhizoma node) (0.7 qian each).
Take 5 qian per dose, decoct with wine. Infants take 1 liang. Mother and infant may take together. Alternatively, make into powder and mix with wine. For superficial toxins, add Mahuang San to disperse; for internal toxins, add Dahuang to purge. Adapt to clinical presentation. This is an excellent agent for detoxification, reviving life, and restoring the dying.
Tuoli Xiaodu San (Interior-Supporting Toxin-Expelling Powder): Treats Stomach channel deficiency or damage from purging, causing sores to fail to ulcerate or resolve. Prevents premature resolution or facilitates proper ulceration and sloughing.
Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Membranacei Radix), Danggui (Angelicae Sinensis Radix - wine-soaked), Chuanxiong (Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix Alba - stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma - stir-fried), Fuling (Poria) (1 qian each); Jinyinhua, Baizhi, Gancao (Zhi - honey-fried), Lianqiao (Forsythiae Fructus) (0.5 qian each).
Make two doses, decoct in water and take slowly.
Tuoli San (Interior-Supporting Powder): Treats carbuncles due to Qi and blood deficiency failing to raise, ulcerate, or heal, accompanied by chills and fever. Use for tonification and support.
Renshen (double dose for Qi deficiency), Huangqi (stir-fried), Danggui (double dose for Blood deficiency), Baizhu (double dose), Fuling, Shaoyao (wine-fried, 0.5 qian each), Shudihuang (Rehmanniae Radix Praeparata) (2 qian).
Make 2-3 doses, decoct in water and take.
Tizhen Wan (Needle-Replacement Pill): Treats carbuncles and ulcers where pus has formed but not ulcerated.
Chen huaimi (Old rotten rice, 1 qian), Sha (Sand, 5 qian), Xiong quefen (Male sparrow feces, 49 grains, straight and thin ones are best).
Grind into powder, form pills with rice porridge, size of wheat grains. Apply one pill to the sore head, cover with plaster for half a shichen (one hour). Pus will discharge naturally. If the sore opens but no pus comes out, or pain increases, or fever occurs, it indicates Qi and blood deficiency; use Tuoli San. If vomiting phlegm, poor appetite, and fatigue occur, it indicates Spleen Qi deficiency; use Liujunzi Tang.
Wufu Huadu Dan (Five-Blessings Toxin-Transforming Pellet): Treats accumulated heat-toxin, red dry throat, mouth/tongue ulcers, or head/face boils, with delirious restlessness. (Formula see Section on Neonatal Toxin Carbuncles).
Note: The preceding formulas generate and cool blood, clearing cold-damaging toxins. They are effective for excess syndromes of both form and pathogen. Stop after 1-2 pills; do not overdose, as excessive use damages Yuan Qi and causes unpredictable complications.
Tianwu San (Heavenly Black Powder):
Tiannanxing (Arisaematis Rhizoma), Chixiaodou (Vigna Angularis Semen), Caowu (Aconiti Radix Lateralis Preparata), Huangbai (Phellodendri Cortex) (equal parts).
Grind into powder, mix with ginger juice and rice vinegar, apply to affected area.
Siwu Tang (Four-Substance Decoction): Treats fever, irritability, or afternoon tidal fever. If caused by Spleen deficiency failing to generate blood, use Liujunzi Tang etc.; avoid the above formula. (See Sijunzi Tang section).
Sijunzi Tang (Four-Gentleman Decoction): Treats intestinal/stomach deficiency-heat, lip/mouth ulcers, or sores that do not resolve, ulcerate, or heal; poor appetite, vomiting, loose stools. If caused by Liver Wood overacting on Spleen Earth, add soft Chaihu and stir-fried Huang Shaoyao. (See Abdominal Abscess section).
Liujunzi Tang (Six-Gentleman Decoction): Treats Spleen/Stomach weakness, poor appetite, irregular bowels, emaciation, sallow complexion. It is Sijunzi Tang plus Chenpi.
Bazhen Tang (Eight-Treasure Decoction): Treats dual deficiency of Qi and Blood, inability to ulcerate formed abscesses or heal ulcerated ones, chills/fever, afternoon fever/thirst, poor appetite. (Combination of Sijunzi Tang and Siwu Tang).
Rusheng Bing (Like-Sage Cake): Treats Qi-deficiency carbuncles with hard swelling that cannot dissipate. For adult back-boils with necrotic flesh and insensitivity, add Chan Su (Toad Venom). (See Liu Zhu section).
Sishun Qingliang Yin (Four-Compliance Cooling Clearing Decoction):
Sijunzi Tang (See Abdominal Abscess section).
Jiawei Guipi Tang (Modified Heart-Supplementing Decoction)
Xiao Chaihu Tang (Minor Bupleurum Decoction)
Zhizi Qinggan San (Gardenia-Liver-Clearing Powder) (See Hypochondriac Abscess section).
Tuoli Chonghe Tang (Interior-Supporting Harmony Decoction) (See Cold Application section).
Wuweiyigong San (Five-Flavor Extra-Effort Powder) (See Toxic-Expelling Drugs section).
Jiawei Xiaoyao San (Modified Free Wanderer Powder) (See Persistent Fever section).
Ren Shen Baidu San (Ginseng-Toxin-Expelling Powder) (See Maculae section).
Siwei Feier Wan (Four-Ingredient Intestine-Nourishing Pills) (See Deep Bone Abscess section).
Ge Suan Jiu Fa (Garlic-Partitioned Moxibustion Method) (See Liu Zhu section).
Qingwei San (Stomach-Clearing Powder) (See Heat-Toxin Mouth Ulcer section).
Buzhong Yiqi Tang (Middle-Warmer-Boosting Qi-Supplementing Decoction) (See Failure of Muscle Regeneration section).
Neonatal Toxin Scrofula (Tai Du Luo Li) arises from inherited depression-fire and Qi stagnation in the Liver and Gallbladder channels. These channels run along the sides of the body. If illness arises from Liver Fire, it manifests in these areas; treat according to the cause. If caused by maternal anger or Blood deficiency with internal heat, treat the mother based on the cause. Do not use harsh drugs to avoid damaging Yuan Qi.
A newborn had five nodules on the neck. The mother had a history of anger, chills/fever, breast pain, and slight hypochondriac swelling, all indicating Liver/Gallbladder channel issues. First, Xiao Chaihu Tang plus Danggui and Shaoyao cleared the chills/fever immediately. Then, Jiawei Xiaoyao San was taken by the mother for over two months, curing the child.
A child suffered around the ears and neck because the mother had Liver channel heat. Treating the mother with Jiawei Xiaoyao San cured the child spontaneously.
A three-year-old had nodules on the neck and below the ears. Long-term use of detoxifying herbs worsened the condition and depleted Yuan Qi. The mother’s pulse indicated Liver/Spleen Blood deficiency with heat due to chronic anger. Primary treatment was Jiawei Guipi Tang, assisted by Jiawei Xiaoyao San. Maternal heat subsided; the child drank several spoonfuls daily, recovering in two months.
A child had four nodules on the neck since birth, progressing to pearl-like strands around the ears by age five. Severe Yuan Qi deficiency, alternating chills/fever, and incomplete feeding indicated inherited Liver/Gallbladder Qi stagnation. The mother took Bazhen Tang and Xiaoyao San. After six months of breastfeeding, the child’s physique improved, nodules diminished, and final recovery occurred with Dihuang Wan and Xiaoyao San.
A child had neck nodules with intermittent chills/fever, blue left cheek, and red forehead, indicating inherited Liver/Heart channel issues. The mother took Jiawei Xiaoyao San plus Loulu. The child drank half a clam-shell amount daily. Nodules diminished over two months. Recurrence due to maternal anger/fever was treated with Jiawei Xiao Chaihu Tang plus Loulu, then Jiawei Xiaoyao San plus Loulu for the mother. Both recovered after two months.
A child had one nodule each front and back on the neck. At one year, maternal anger turned them red. Jiawei Xiaoyao San plus 0.5 fen Loulu for over ten doses nearly cured it. Later, severe maternal anger caused alternating chills/fever and limb spasms in both mother and child. Jiawei Xiaoyao San plus Loulu and Goutenggou (Uncariae Ramulus cum Uncis) were taken by both, ensuring safety.
A newborn had three scrofula nodules on the neck. As delivery approached, medication spread to the pre-auricular area. I diagnosed inherited Liver/Gallbladder issues; the mother’s Liver/Gallbladder pulse was surging and rapid. Since mother and child are one entity, treating the mother would cure the child. Disbelieving, they used Bixiao San (Sure-Efficacy Powder) once, causing vomiting/diarrhea, and death occurred overnight.
Xiao Chaihu Tang (Minor Bupleurum Decoction)
Jiawei Guipi Tang (Modified Heart-Supplementing Decoction) (See Hypochondriac Abscess section).
Jiawei Xiaoyao San (Modified Free Wanderer Powder) (See Persistent Fever section).
Liuhuang Dihuang Wan (Six-Ingredient Rehmannia Pill) (See Unquenchable Thirst section).