【方歌】婴儿初产患胎瘤，胎热瘀血是根由，色紫渐大熟透刺，
放出脓汁自可瘳。
【注】此证由胎前孕母积热，以致胞热，更兼血瘀滞结而成。
多生头上及胸乳间，初如李核，渐大如馒，色紫微硬，
漫肿不甚疼痛。婴儿初生即有者，候过满月熟透，方可
针之，放出赤豆汁或脓水汁，其肿即消。初服五福化毒
丹，兼贴黄连膏；溃贴生肌玉红膏，生肌敛口。若满月
后生者，必待脓鼓熟透针之。若瘤皮含血丝者，详注于
红丝瘤。
方剂：五福化毒丹（见赤游丹毒）
黄连膏（见鼻部鼻疮）
生肌玉红膏（见溃疡门）
【方歌】婴儿初生红丝瘤，皮含血丝先天由，精中红丝肾伏火，
相传患此终难瘳。
【注】此证一名胎瘤，发无定处，由小渐大，婴儿落草，或一
、二岁之间患之。瘤皮色红，中含血丝，亦有自破者。
治法虽同胎瘤，但此患由先天肾中伏火，精有血丝，以
气相传，生子故有此疾，终变火证，溃处亦难收敛。
【方歌】〔敛〕疮始发头眉间，胎中血热受风缠，干痒白屑湿淫
水，热极红晕类火丹。
【注】此证生婴儿头项，或生眉端，又名奶癣。痒起白屑，形
如癣疥，由胎中血热，落草受风缠绵，此系干〔敛〕；
有误用烫洗，皮肤起粟，搔痒无度，黄水浸淫，延及遍
身，即成湿〔敛〕。俱服消风导赤汤，干者抹润肌膏；
湿者用嫩黄柏头末，与滑石等分撒之。脓痂过厚，再以
润肌膏润之，又有热极皮肤火热，红晕成片，游走状如
火丹，治法不宜收敛，只宜外发，宜服五福化毒丹，亦
以润肌膏抹之；痒甚者，俱用乌云膏搽之。乳母俱忌河
海鱼腥、鸡、鹅、辛辣、动风、发物，缓缓自效。
方剂：消风导赤汤
组成：生地 赤茯苓（各一钱）
牛蒡（炒，研） 白藓皮
金银花 南薄荷叶
木通（各八分） 黄连（酒炒）
甘草（生，各三分）
灯心五十寸，水煎，徐徐服。
【方歌】消风导赤医胎〔歛〕，疏风清热蒡黄连，白藓生地赤苓
薄，银花灯草木通甘。
又方：乌云膏
组成：松香末（二两） 硫黄末（一两）
研匀，香油拌如糊，摊南青布下少半指厚，卷成条
，线扎之；再用香油泡一日，取出刮去余油，以火点着
一头，下用粗碗接之，布灰陆续剪去，取所滴药油，浸
冷水内一宿，出火毒抹之。
【方歌】乌云膏搽胎〔歛〕疮，油拌松香末硫黄，布摊卷扎香油
泡，火燃去灰用油良。
又方：润肌膏（见头部白屑风）
五福化毒丹（见赤游丹毒）
【方歌】婴儿出生后患上胎瘤，其根源在于胎热与瘀血。待肿块颜色紫暗、逐渐增大且成熟透脓时，刺破放出脓汁，即可自然痊愈。
【注】此证是由于孕妇在孕期体内积热，导致胞宫受热，加之血液瘀滞凝结而成。多发生于头部及胸乳之间，初起如李子核大小，逐渐增大如馒头状，颜色紫暗微硬，漫肿但疼痛不明显。若婴儿出生即有者，需等待满月后肿块成熟透脓，方可针刺，放出赤豆汁或脓水，肿胀随即消退。初期服用五福化毒丹，并外贴黄连膏；溃烂后贴生肌玉红膏，以促进肌肉生长和伤口愈合。若在满月后发病，必须等待脓液鼓胀成熟透脓后方可针刺。若瘤皮中含有血丝者，详见“红丝瘤”条下。
方剂：五福化毒丹（见赤游丹毒）
黄连膏（见鼻部鼻疮）
生肌玉红膏（见溃疡门）
【方歌】婴儿出生即患红丝瘤，皮肤含有血丝源于先天。肾中伏火潜藏于精室，相传至子代而患此病，最终难以彻底治愈。
【注】此证又名胎瘤，发作部位不固定，由小渐大，婴儿落地后，或在一至二岁之间患病。瘤体皮肤色红，内含血丝，也有自行破溃的。治疗方法虽与胎瘤相同，但此病源于先天肾中伏火，精气中带有血丝，以气相传给儿子，故有此疾，最终转化为火证，溃烂处也难以收敛愈合。
【方歌】敛疮（奶癣）起初发于头眉之间，因胎中血热受风邪缠绕所致。表现为干燥瘙痒有白屑，或湿淫流水，热极时红晕成片类似火丹。
【注】此证生于婴儿头项，或生于眉端，又名奶癣。瘙痒起白屑，形状如癣疥，由胎中血热，出生后受风邪缠绵所致，这属于干性敛疮；若误用烫洗，导致皮肤起粟粒状疹子，搔痒无度，黄水浸淫，蔓延至全身，即成为湿性敛疮。均服用消风导赤汤，干性者涂抹润肌膏；湿性者用嫩黄柏研末，与滑石粉等分撒敷。若脓痂过厚，再用润肌膏滋润。又有因热极导致皮肤火热，红晕成片，游走状如火丹，治疗不宜收敛，只宜向外发散，宜服用五福化毒丹，亦用润肌膏涂抹；瘙痒严重者，均使用乌云膏搽涂。乳母均忌食河海鱼腥、鸡、鹅、辛辣、动风及发物，缓缓调理自会见效。
方剂：消风导赤汤
组成：生地、赤茯苓（各一钱）
牛蒡子（炒，研）、白鲜皮
金银花、南薄荷叶
木通（各八分）、黄连（酒炒）
甘草（生，各三分）
灯心草五十寸，水煎，徐徐服用。
【方歌】消风导赤汤治疗胎敛疮，疏风清热用牛蒡子和黄连，白鲜皮、生地、赤茯苓、薄荷，金银花、灯心草、木通、甘草。
又方：乌云膏
组成：松香末（二两）、硫黄末（一两）
研匀，用香油拌成糊状，摊在南青布上约半指厚，卷成条，用线扎紧；再用香油浸泡一天，取出刮去多余油脂，点燃一头，下方用粗碗承接，陆续剪去燃烧后的布灰，收集滴下的药油，浸入冷水中一夜以去火毒，然后涂抹患处。
【方歌】乌云膏搽涂胎敛疮，油拌松香末和硫黄，布摊卷扎后用香油泡，火燃去灰取油良效。
又方：润肌膏（见头部白屑风）
五福化毒丹（见赤游丹毒）
[Verse] When an infant is born with a congenital tumor (congenital tumor), the root cause lies in fetal heat and blood stasis. Once the lesion turns purple, gradually enlarges, and matures to suppuration, puncturing it to drain the pus will lead to natural recovery.
[Note] This condition arises from accumulated heat in the mother during pregnancy, causing heat in the uterus, compounded by blood stasis and coagulation. It commonly occurs on the head and between the chest and breasts. Initially, it resembles a plum pit, gradually enlarging to the size of a steamed bun, appearing purple and slightly hard, with diffuse swelling but little pain. If present at birth, one must wait until after one month when the lesion matures and suppurates before puncturing; draining red-bean-like fluid or pus water will cause the swelling to subside. Initially, administer Wufu Huadu Dan (Five Blessings Detoxifying Pill) and apply Huanglian Gao (Coptis Ointment); after ulceration, apply Shengji Yuhong Gao (Muscle-Regenerating Jade Red Ointment) to promote tissue regeneration and wound closure. If the disease develops after one month, one must wait for the pus to swell and mature before puncturing. If the tumor skin contains blood threads, see the section on "Red Thread Tumor".
Formulas: Wufu Huadu Dan (see Chiyou Dandu); Huanglian Gao (see Nasal Ulcer); Shengji Yuhong Gao (see Ulcer Section).
[Verse] Infants born with red thread tumors have blood threads in the skin due to congenital factors. Hidden fire in the kidneys resides within the essence, transmitted to offspring, making this disease difficult to cure completely.
[Note] This condition is also known as a congenital tumor. It has no fixed location, starts small and grows larger. Infants may develop it shortly after birth or between one and two years of age. The tumor skin is red with internal blood threads, and some cases rupture spontaneously. Although the treatment method is similar to that of general congenital tumors, this specific condition stems from congenital hidden fire in the kidneys, where the essence contains blood threads. Transmitted via Qi to the son, it eventually transforms into a fire syndrome, and the ulcerated area is difficult to heal.
[Verse] Lian Chuang (Nipple Eczema/Dermatitis) initially appears between the eyebrows and head, caused by fetal blood heat entangled with wind pathogens. Symptoms include dryness, itching, white scales, or wet exudate. When heat is extreme, red halos appear in patches resembling Huo Dan (Fire Carbuncle).
[Note] This condition occurs on the infant's head and neck or at the ends of the eyebrows, also known as Nipple Eczema. It presents with itching, white scales, and a shape resembling tinea or scabies. Caused by fetal blood heat and lingering wind pathogens after birth, this is classified as Dry Lian Chuang. If mistakenly treated with hot washing, causing millet-like rashes on the skin, excessive scratching, yellow fluid exudation, and spread over the body, it becomes Wet Lian Chuang. Both types are treated with Xiaofeng Daochi Tang (Wind-Dispersing and Heart-Clearing Decoction). For dry type, apply Runji Gao (Moisturizing Muscle Ointment); for wet type, sprinkle equal parts of tender Huangbai powder (Phellodendron Bark) and Talcum Powder. If the crust is too thick, reapply Runji Gao. In cases of extreme heat causing fiery skin with wandering red patches resembling Huo Dan, treatment should not focus on astringency but rather on venting outward. Administer Wufu Huadu Dan and apply Runji Gao externally. For severe itching, apply Wuyun Gao (Dark Cloud Ointment). Nursing mothers must avoid river/sea fish, poultry (chicken/goose), spicy foods, wind-aggravating items, and hair-trigger foods; gradual improvement will occur with proper care.
Formula: Xiaofeng Daochi Tang
Composition: Shengdi (Rehmanniae Radix), Chifuling (Poria with Red Cochineal) (each 1 qian); Niubangzi (Arctii Fructus, fried and ground), Baixianpi (Dictamni Cortex); Jinyinhua (Lonicerae Flos), Nanboheye (Menthae Haplocalycis Folium); Mutong (Akebiae Caulis) (each 8 fen), Huanglian (Coptidis Rhizoma, wine-fried); Gancao (Glycyrrhizae Radix et Rhizoma, raw) (each 3 fen); Dengxincao (Junci Medulla) 50 cun. Decoct in water and administer slowly.
[Verse] Xiaofeng Daochi Tang treats fetal Lian Chuang, dispersing wind and clearing heat with Arctii and Coptis; Dictamnus, Rehmannia, Poria, and Mint; Lonicera, Juncus, Akebia, and Licorice.
Another Formula: Wuyun Gao
Composition: Songxiang (Pini Resina) powder (2 liang), Liuhuang (Sulfur) powder (1 liang).
Grind uniformly, mix with Sesame Oil to form a paste, spread on Southern Green Cloth to a thickness of half a finger, roll into strips, and tie with thread. Soak in Sesame Oil for one day, remove, scrape off excess oil, ignite one end, and collect dripping oil under a coarse bowl by trimming ash. Soak the collected oil in cold water overnight to eliminate fire toxicity, then apply.
[Verse] Wuyun Gao applied to fetal Lian Chuang uses oil-mixed Pine Resin and Sulfur; spread on cloth, rolled, soaked in oil, ignited to extract ash-free oil for good effect.
Another Formula: Runji Gao (see Head Dandruff); Wufu Huadu Dan (see Chiyou Dandu).