【方歌】滞热丹毒赤游形，伤乳多食滞热生，较之赤游走缓慢，
先宜消食次宜清。
【注】此证初发，形若赤游丹，较之赤游丹游走缓慢。因婴儿
乳食过多，不能运化，蕴热于内，达于肌表而生。发热
面赤，口酸，舌有黄胎，宜服保和丸，先消食滞。若唇
焦便秘者，宜一捻金服之，丹毒仍作者，宜犀角散服之
。其余治法，俱按赤游丹。
方剂：保和丸
组成：白茯苓 半夏（制）
山查肉 神麴（炒，各一两）
陈皮 萝卜子（炒）
连翘（去心）
上研细末，粥丸如梧桐子大。每服三十丸，白滚水
化下。
【方歌】保和丸用茯苓夏，陈皮萝卜子山查，神麴连翘丸水服，
能消乳积效堪嘉。
又方：一捻金
组成：人参 大黄
黑丑 白丑
槟榔（各等分）
共为细末，每服一字，蜜水调下。
【方歌】一捻金医食火积，唇焦便秘服通利，大黄黑白丑人参，
槟榔为末须加蜜。
又方：犀角散
组成：犀角屑 升麻
防己 山栀
朴硝 黄芩
黄耆（各一钱） 牛黄（五分）
上为细末，每服五分，竹叶煎汤调下，量儿加减用
之。
【方歌】犀角散治丹毒赤，升麻防己共山栀，硝芩黄耆牛黄末，
竹叶汤调服无时。
【方歌】婴儿疮疡乳火成，因食厚味滞火凝，更兼六淫气感受，
肿溃治法按疽痈。
【注】凡婴儿生疮疡小疖，多由乳母七情之火，或过周岁能饮
食者，由过食干焦厚味，而生滞火，更兼六淫之气感受
，皆能成之。但发表、攻里、托里、消毒等法，及肿溃
外治，俱按痈疽肿疡、溃疡门。婴儿纯阳，火证居多，
非峻剂不能胜其病，但肌体脏腑柔脆，应效即止，不可
过剂。
【方歌】滞热丹毒表现为皮肤红肿如丹砂，形态游走不定；多因婴儿乳食过量，导致饮食停滞、蕴生内热所致。与赤游丹相比，其病情发展较为缓慢。治疗上应先以消食导滞为主，随后再行清热之法。
【注】此证初起时，形态类似赤游丹（一种急性皮肤感染，红斑迅速蔓延），但比赤游丹的游走速度要慢。这是因为婴儿乳食过多，脾胃无法运化，导致热气蕴结于体内，外达肌表而发病。症状包括发热、面色发红、口中酸腐味、舌苔发黄。适宜服用保和丸，先消除食积。若出现嘴唇焦裂、大便秘结者，适宜服用一捻金以通腑泄热。若丹毒仍然反复发作，适宜服用犀角散。其余治疗方法，均参照赤游丹的处理原则。
方剂：保和丸
组成：白茯苓、制半夏、山楂肉、炒神曲（各一两）、陈皮、炒莱菔子、去心连翘。
以上药材研成细末，用米粥糊制成梧桐子大小的药丸。每次服用三十丸，用温开水送服或化开服用。
【方歌】保和丸由茯苓、半夏组成，配以陈皮、萝卜子（莱菔子）、山楂、神曲、连翘，用水泛为丸服用，能消除乳食积滞，疗效显著。
又一方：一捻金
组成：人参、大黄、黑丑（牵牛子黑色者）、白丑（牵牛子白色者）、槟榔（各等分）。
共研为细末，每次服用一字量（约0.5-1克），用蜂蜜水调服。
【方歌】一捻金用于治疗食积化火，针对嘴唇焦裂、大便秘结者，具有通便泻火之效。方中含大黄、黑白丑、人参，槟榔研末后需加蜜调和。
又一方：犀角散
组成：犀角屑、升麻、防己、山栀（栀子）、朴硝（芒硝）、黄芩、黄芪（各一钱）、牛黄（五分）。
以上药材研为细末，每次服用五分，用竹叶煎汤调服，根据患儿年龄和体质酌情增减用量。
【方歌】犀角散治疗丹毒引起的皮肤红肿，配伍升麻、防己、山栀，加上朴硝、黄芩、黄芪、牛黄研末，用竹叶汤调服，随时可服用。
【方歌】婴儿疮疡多由“乳火”形成，因食用厚味导致火热之气凝滞，再加上感受六淫邪气，从而致病。对于肿胀和溃破的治疗，应参照痈疽肿疡、溃疡门的方法进行。
【注】凡是婴儿发生疮疡小疖，多由乳母情绪波动产生的“七情之火”，或者周岁以上的婴儿过食干燥、焦香、油腻厚重的食物，产生停滞之火，再加上感受六淫（风、寒、暑、湿、燥、火）邪气，都能导致此病。但是，发表（解表）、攻里（通腑）、托里（扶正祛邪）、消毒等治法，以及肿胀期和溃破期的外治方法，均按照痈疽肿疡、溃疡门的规范执行。婴儿属于“纯阳”之体，火证居多，非峻猛之剂不能战胜疾病；但婴儿肌肉脏腑柔嫩脆弱，一旦见效应立即停药，不可过度用药。
[Formula Song] Stagnant Heat Dan Du (Erysipelas caused by stagnant heat) presents with redness resembling cinnabar and a wandering shape; it is mostly caused by excessive milk or food intake in infants, leading to food stagnation and the generation of internal heat. Compared to Chi You Dan (Wandering Red Erysipelas), its progression is slower. Treatment should first focus on resolving food stagnation, followed by clearing heat.
[Note] At the onset, this condition resembles Chi You Dan in appearance but spreads more slowly than Chi You Dan. This is due to excessive milk and food intake in infants, which the spleen and stomach cannot transform, causing heat to accumulate internally and manifest on the skin surface. Symptoms include fever, flushed face, sour breath, and yellow tongue coating. It is appropriate to administer Bao He Wan (Preserve Harmony Pill) to first resolve food stagnation. If symptoms include cracked lips and constipation, Yi Nian Jin (One Pinch of Gold) is appropriate to promote bowel movement. If the erysipelas persists or recurs, Xi Jiao San (Rhinoceros Horn Powder) is appropriate. Other treatment methods follow those for Chi You Dan.
Formula: Bao He Wan (Preserve Harmony Pill)
Composition: Bai Fu Ling (Poria cocos), Zhi Ban Xia (Prepared Pinellia ternata tuber), Shan Zha Rou (Crataegus pinnatifida fruit flesh), Chao Shen Qu (Stir-fried Medicated Leaven) (each 1 liang), Chen Pi (Citrus reticulata peel), Chao Luo Bo Zi (Stir-fried Raphanus sativus seed), Lian Qiao (Forsythia suspensa fruit, heart removed).
Grind the above ingredients into fine powder, make pills using rice gruel paste, sized like paulownia seeds. Take 30 pills each time, swallowed or dissolved in warm boiled water.
[Formula Song] Bao He Wan contains Poria and Pinellia, along with Citrus peel, Raphanus seed, Crataegus, Medicated Leaven, and Forsythia; taken as water-habituated pills, it effectively resolves milk and food accumulation.
Another Formula: Yi Nian Jin (One Pinch of Gold)
Composition: Ren Shen (Panax ginseng root), Da Huang (Rheum palmatum rhizome), Hei Chou (Black Semen Convolvuli), Bai Chou (White Semen Convolvuli), Bing Lang (Areca catechu seed) (equal parts).
Grind into fine powder. Take one "zi" (approx. 0.5-1g) each time, mixed with honey water.
[Formula Song] Yi Nian Jin treats food stagnation transforming into fire, indicated for cracked lips and constipation, promoting purgation. It contains Da Huang, Black and White Chou, Ren Shen; Bing Lang is powdered and must be added with honey.
Another Formula: Xi Jiao San (Rhinoceros Horn Powder)
Composition: Xi Jiao Xie (Rhinoceros horn shavings - *Note: Substitute with Water Buffalo Horn in modern practice*), Sheng Ma (Cimicifuga foetida rhizome), Fang Ji (Stephania tetrandra root), Shan Zhi (Gardenia jasminoides fruit), Pu Xiao (Mirabilite), Huang Qin (Scutellaria baicalensis root), Huang Qi (Astragalus membranaceus root) (each 1 qian), Niu Huang (Calculus Bovis) (5 fen).
Grind into fine powder. Take 5 fen each time, mixed with decoction of Zhu Ye (Bambusa leaves); adjust dosage according to the infant's condition.
[Formula Song] Xi Jiao San treats erysipelas with redness, combined with Cimicifuga, Stephania, and Gardenia; Mirabilite, Scutellaria, Astragalus, and Calculus Bovis are powdered and taken with Bamboo leaf decoction at any time.
[Formula Song] Infant sores and ulcers are often formed by "milk fire"; thick flavors cause fire stagnation, compounded by exposure to the Six Excesses (pathogenic factors). Treatment for swelling and ulceration follows the protocols for carbuncles and sores.
[Note] Any infantile sores or small boils are mostly caused by "fire from seven emotions" in the nursing mother, or by infants over one year old consuming excessive dry, fried, or rich foods, generating stagnant fire, further compounded by exposure to the Six Excesses (Wind, Cold, Summerheat, Dampness, Dryness, Fire). However, methods such as releasing the exterior, purging the interior, supporting the interior to expel pathogens, and detoxifying, as well as external treatments for the swelling and ulceration stages, all follow the standards set forth in the Carbuncles and Sores chapters. Infants possess a "pure yang" constitution, making them prone to fire syndromes; thus, potent agents are often required to overcome the disease. However, their muscles and viscera are delicate and fragile; treatment should cease immediately upon efficacy, avoiding overdose.