论曰小儿禀受纯阳,腑脏蕴热,自内出外,随气熏蒸,散于荣卫肌肉之间,留连肉腠,
或因
如蚊
出脓
小
然亦须详审,若大便已利,或疮已出者,皆不可疏,亦不可汗,若发其表,则疮孔开泄,更
增斑烂,仓公扁鹊常用油剂草剂,其法最妙,大率汤剂之用,所以透肌和里,开通中外,使
疹毒通快,不致壅瘀,去其邪毒,乃得痊瘥,然食乳婴孩,与童儿疮疹,治法不同,婴孩之
病,唯宜调节乳母,令气血清和,乳汁通利,最为要法,若初断乳小儿,则以汤剂和其阴阳
,调其荣卫,既瘥之后,尤宜利其脏腑。以去余毒,此治疮疹之大法也。
治断乳婴孩并童儿患疹痘疾,其候初觉,多似伤寒,面色与四肢俱赤,壮热头痛腰脊疼
,足多厥冷,眼睛黄色,脉息多浮洪,至数数大不定,小便赤少,大便多秘,才觉四肢色候
及脉息,虽是疹痘疾未攻皮毛穴出者,便可以服饵匀和脏腑疏泄遂下药,按仓公论云,可服
油剂,不可用燥药,不可用冷药,若疹已结在皮毛穴处,微微出,即不可疏泄也,或疹出太
盛窦穴脓水者,却可疏利也,或未与疏转,即宜急服紫草汤剂。紫草汤方
紫草(二两新者)
上一味细锉,先以百沸汤浸,便以物合定,勿令紫草气出,放令如人体温,凡五十日至
一百日
三岁至
治小儿脏腑伏热,未成疹子疾,候四肢微觉有热。食物似减,头发干直,或时额上微热
,宜服,生油汤剂法,扁鹊及仓公用此谓之神剂。
生油一盏
上令如人体温,将熟水一小盏,旋旋入油碗内,不住手以箸打搅,候入熟水尽,令匀如
蜜即止,夜卧时服,周 至三岁儿,每服二蚬壳许,五岁至七岁儿,每服三蚬壳许,十五岁
每服
三大蚬壳许,直至大人,每服五蚬壳许,或三大合,每日饭后良久与服,服了令卧少时,如
三五服,大小便利,四肢热退,则疹痘不复发,当自安也。
治疹豆欲令速出。胡荽酒方
胡荽(半握)
上一味细锉,先以酒二升,煎令百沸,浸胡荽,便以物合定,不令气出,候冷去滓。微
微从项以下喷背膂,及两脚胸腹令遍,唯不可喷面。
治疮疹将发,证候已见,当护面目,勿令粘染,欲用胡荽酒喷时,当先用此方涂面上,
大人婴孩有此疾,悉宜护面。黄柏膏方
黄柏(去粗皮一两) 绿豆(一两半) 甘草(炙四两)
上三味,捣罗为末,再研令匀细,以生麻油调如薄膏,从耳门前及眼窠,并浓涂。昼夕
三五上,涂面后,可用胡荽酒喷也,如用此方涂面,纵出疹痘亦少。
大人小儿疮疹出。护眼法。
上才觉患,以盐花少许,汤浸了令温,洗两眼,昼夕可三两度,大人以指 盐花水。
点眼内,旋以帛子拭之,初用眼即多痛。三上后,即不觉痛。不计大人小儿,或患欲退时,
眼内有余热者,亦宜用此法洗点。
治小儿未满百日,患痘疮。槐白皮汤浴方
槐白皮(一两) 益母草(五两)
上二味,以水五升,煎至三升,去滓浴儿了,更取芸薹菜浓煎汁再浴,作芸薹菜。与乳
母吃、亦佳。
治小儿斑疮豌豆疮。青黛散方
青黛(研如粉半两) 铁精浆(一升)
上二味,将青黛为散,临时斟酌铁浆调之,一百日儿至二百日儿,每服一字匕,乳前服
,一岁儿至二岁,半钱匕,食前午后,各一服,随儿大小,以意加减。
治小儿斑疮豌豆疮。方
上取熟煮大豆汁服之。
治小儿斑疮豌豆疮。方
头发(一两烧灰)
上一味,研罗为末,汤调服两字,随儿大小,以意加减。
治疮 将出,未能匀遍,透肌解毒。必胜汤方
恶实(不拘多少炒熟)
上一味,粗捣筛,每服二钱匕,入荆芥二穗,水一小盏,同煎至六分,去滓放温,分作
三服,如疮疹已出后,与服亦妙。
治小儿疮 出不快,或黑陷。木通汤方
木通 枳壳(去瓤麸炒) 甘草(炙) 紫草茸
上四味等分,粗捣筛,每服二钱匕,水八分,煎至六分,去滓分温三服。
治小儿疮疹欲出不快。四味散方
大虾(干者为末) 猪干血 恶实 甘草(炙等分)
上四味为散,三岁以下,半钱匕,五岁以上,一钱匕,煎赤芍药酒调下,不拘时候。日
夜各一服。
治小儿斑疮毒瓦斯不快。败毒汤方
紫草 板蓝根(各半两)
上二味,粗捣筛,每服二钱匕,水八分,煎至五分,去滓分温二服。
治小儿麸痘疮欲出,浑身壮热,情绪不乐,不思饮食。四妙汤方
紫草 升麻 糯米(各一两) 甘草(生一分)
上四味,粗捣筛,每服二钱匕,水一小盏,煎至六分,去滓分温二服。日三。
治小儿疮疹出迟。发毒散方
地龙(去土) 防风(去叉)
上二味等分,捣罗为细散,每服一字匕,用酒水各少许调下,不拘时候。
治小儿疮痘将出。人参汤方
人参(一钱) 葡萄苗(一分) 林檎(一枚) 木猴梨(七枚)
上四味,各锉碎,以水两盏,煎至一盏,去滓放冷,时时令吃。
治小儿疮疹不出。青黛散方
青黛(螺儿者不拘多少)
上一味研为散,每服半钱匕,新汲水调服。
治小儿疮疹毒瓦斯出不快,及触犯秽气黑色。夺命煎法
牛蒡子(黑熟者)
上一味,用八月九月内采,不计多少,沙盆内研,生绢绞取汁,银石器内,慢火熬成煎
,盛
然红
治小儿疮子不出,烦闷惊悸。浮萍丸方
浮萍草(阴干) 晚蚕砂 白薄荷叶(各一分)
上三味,捣研为末,用薄荷自然汁煮面糊,和为丸,如鸡头大,每服一丸,薄荷汤化下
,不拘时。
治发斑疮。千金散方
石榴叶(不拘多少)
上一味为散,每服一字,或半钱匕,温水调下。
治小儿出疮子不透,旋出旋焦者。龙脑散方
龙脑 牛黄 丹砂 地龙(去土取末) 麝香 乳香 雄黄(各一钱研) 鲮鲤甲(五
片烧
上一十一味,捣研为散,用猪尾上血拌匀,入在竹筒子内,用油单封裹。线缠定,于深
坑子内,调稀猪粪浸二七日,取出净洗,每服一皂子大,龙脑水化下,并三服见效。
治小儿疮疹,毒瓦斯不出,或出后干黑色,服此药发出毒瓦斯。定命散方
丹砂(研半两) 龙脑(研) 乳香(研) 马牙(硝研) 甘草(为末各二钱)
上五味,再同研匀,用十二月新 猪血半升,同研匀,取青竹筒长二尺,留两头。截
开一头
水洗
治小儿疮疹倒厌,紫雪汤方
紫草茸 地龙(去土等分)
上二味为粗末,每服二钱匕,用水酒共七分,煎至四分,去滓温服。
治小儿疮疹恶候不快,及黑疮子,并一切恶候。无比散方
丹砂(一两) 牛黄 麝香 龙脑 腻粉(各细研一分)
上五味,同研为散,每服小儿一字,大人半钱,以水银少许,津唾研,同小 猪尾上
血三两
便安,
治小儿疮 ,欲出不出,虽出不快,及倒厌者。神效散方
上用抱鸡子壳内白皮,不拘多少,以木炭火烧为灰,出火毒研细,以新汲水调下一钱匕
治小儿斑毒倒厌,发斑。方
人牙(五枚)
上烧灰入麝香半字,同研为细散,分三服,温酒调下。
治小儿疮痘蓄伏黑陷。通神散方
雄黄(通明者研水飞) 麝香(用当门子为末各半钱匕)
上二味,同研细,只作一剂,一岁儿作三服,温酒调下。
治小儿疮子倒陷。方
白僵蚕(炒) 蝉壳(去土)
上二味,各三枚,同为粗末,水一盏半,煎至半盏,去滓分作二服,微热服、立出。
治小儿疮疹倒厌黑色,及出不快。丁香散方
丁香 鹿肉(干者各半两) 紫草(一分)
上三味,捣为细散,每服二钱匕,酒一盏,入麝香少许,同煎至半盏,放冷灌之。如人
行三二里再服。立发红色。
治小儿疮子黑陷不出。黑金散方
猪悬蹄甲(半两) 蛇蜕皮(三条) 鲮鲤甲(一分) 皮(一枚) 鸦翅(一对) 蛤
粉(一
上六味,都入在藏瓶内,用盐泥固济,烧一宿,研为细散,一二岁每服半钱匕,猪尾血
温汤调下,不出再服。
治小儿疮子黑色。人参丸方
人参(一分为末)
上一味,用牛李子汁,瓷器内熬成膏,和为丸,如豌豆大,每服一丸,杏胶汤化下。不
拘时。
治小儿疮子黑色,及出不快。神验散方
鲮鲤甲(火炮黄色全者二十片) 地龙(去土炒二十枚) 紫草(五枚)
上三味,捣罗为细散,每服半钱匕,温酒调下后,用衣盖,即红色出。
治小儿触着疮子,毒瓦斯入里,疮变黑色,须臾不救。再苏散方
白矾(熬令汁枯) 地龙(去土炒各一分)
上二味,研为细散,每服半钱匕,用 猪尾上血,一橡斗多,同新汲水少许调下。不
时。
治小儿斑痘疮退热躁。冲和散方
白药子 甘草(炙各一分) 雄黄(一钱醋淬)
上三味,捣研为散,每服半钱匕,量儿大小加减,蜜汤调下。
治小儿斑毒不退。南朱散方
赤豆(炒) 槐花(炒各二钱) 麝香(研少许)
上三味,捣研为散,每服一字匕,温酒调下,量儿大小加减。
治小儿出疮。解热丸方
甘草(生锉) 铁粉(研) 青黛(研各半两)
上三味,捣研为末,再研匀,炼蜜和丸,如鸡头大,每服一丸,熟水化下。
治小儿疹痘穴后,灭瘢痕。楝实膏方
楝实(去核炒) 槐子(各一两)
上二味,并拍碎。用猪脂鹅脂各四两,同于铜铫内,以文武火煎一二十沸,去滓入在瓷
合中,候凝涂瘢痕。日二度。
又方
蚬子(活者)
上一味,以淮水或江水养五日,旋取此水,洗手面,日渐生肉。乃无瘢痕。
论述说:小儿禀受纯阳之体,脏腑蕴藏热邪,热气自内向外发散,随着气机熏蒸,散布在荣卫和肌肉之间,滞留于皮肤纹理。
因此(治疗需)仔细审察。如果大便已经通畅,或者疹痘已经发出,都不可使用疏泄法,也不可发汗。如果强行发汗解表,会导致疮孔开泄,更加增加斑烂。仓公、扁鹊常用油剂和草剂,这种方法最为奇妙。大抵汤剂的作用,在于透达肌表、调和里气,开通内外,使疹毒通畅排出,不致壅滞瘀结,去除邪毒,才能痊愈。然而,吃奶的婴儿与儿童的疮疹,治疗方法不同。婴儿的疾病,只适宜调节乳母,使乳母气血清和,乳汁通利,这是最重要的方法。如果是刚断奶的小儿,则用汤剂调和阴阳,调畅荣卫,病愈之后,尤其应当通利脏腑,以去除余毒。这是治疗疮疹的大法。
治疗刚断奶的婴儿及儿童患疹痘疾,初起感觉时,多像伤寒,面色和四肢都发红,高热头痛,腰脊疼痛,脚部大多厥冷,眼睛发黄,脉象多浮洪,至数快而大且不固定,小便赤少,大便多秘结。才发觉四肢色泽及脉象异常时,虽然疹痘尚未攻伐皮毛穴窍而出,就可以服用匀和脏腑、疏泄遂下的药物。按仓公的论述,可以服用油剂,不可用燥药,不可用冷药。如果疹子已经在皮毛穴处凝结,微微发出,就不可再疏泄了;或者疹出太盛,窦穴化脓流水的,却可以疏利。如果还未疏转,就应立即服用紫草汤剂。
紫草汤方
紫草(二两,新鲜的)
以上一味药,细切锉碎,先用滚开水浸泡,随即用器物盖严,不让紫草的气味散出,放置到如人体温度般温热。凡五十日至一百日大的婴儿……三岁至……
治疗小儿脏腑伏热,未形成疹痘疾,候诊见四肢微觉发热,食欲减退,头发干枯直立,有时额头微热,适宜服用生油汤剂法。扁鹊及仓公称此法为神剂。
生油一盏
以上令药液如人体温度,取熟水一小盏,慢慢倒入油碗中,不停地用筷子搅拌,直到熟水倒完,使油水混合均匀如蜜状即停止。夜间睡觉时服用,一至三岁幼儿,每次服约两蚬壳量,五岁至七岁幼儿,每次服约三蚬壳量,十五岁……每次服三大蚬壳量,直至成人,每次服五蚬壳量或三大合。每日饭后良久服用,服后令其躺卧片刻。如服用三五次后,大小便通畅,四肢热退,则疹痘不再复发,自然安宁。
治疗疹豆欲令快速发出。胡荽酒方
胡荽(半握)
以上一味药,细切锉碎,先用酒二升,煎煮至沸腾,浸泡胡荽,随即用器物盖严,不让气味散出,候冷去渣。从颈部以下喷洒背部脊柱,以及双脚、胸腹部使其遍洒,唯独不可喷洒面部。
治疗疮疹将要发出,证候已见,应当保护面目,不要让疹毒粘染。想要用胡荽酒喷洒时,应当先用此方涂抹面部。大人婴儿有此疾,都应当护面。黄柏膏方
黄柏(去粗皮一两) 绿豆(一两半) 甘草(炙四两)
以上三味药,捣碎过筛成末,再次研磨令其均匀细碎,用生麻油调成薄膏状,从耳门前及眼窝处,并浓涂。白天晚上涂三五次,涂面后,可以用胡荽酒喷洒。如果使用此方涂面,即使出疹痘也较少。
大人小儿疮疹出。护眼法。
以上才发觉患病,用少许盐花,用热水浸温,洗两眼,白天晚上可洗两三度。大人用手指蘸盐花水点入眼内,随即用帛子擦拭。初用眼时多痛。三次后,就不觉得痛了。不论大人小儿,或者患疹欲退时,眼内有残余热邪的,也适宜用此法洗点。
治疗小儿未满百日,患痘疮。槐白皮汤浴方
槐白皮(一两) 益母草(五两)
以上二味药,用水五升,煎至三升,去渣给婴儿洗浴。之后再取芸薹菜浓煎汁再次洗浴。让乳母吃芸薹菜也很好。
治疗小儿斑疮豌豆疮。青黛散方
青黛(研如粉半两) 铁精浆(一升)
以上二味药,将青黛做成散剂,临时斟酌用铁浆调服。一百日婴儿至二百日婴儿,每次服一字匕,喂奶前服。一岁至二岁,服半钱匕,饭前午后各一服。根据婴儿大小,酌情加减。
治疗小儿斑疮豌豆疮。方
头发(一两烧灰)
以上一味药,研磨过筛成末,用汤调服两字量。根据婴儿大小,酌情加减。
治疗疮疹将要发出,未能均匀遍布,透肌解毒。必胜汤方
恶实(不拘多少,炒熟)
以上一味药,粗捣筛,每次服二钱匕,加入荆芥二穗,水一小盏,同煎至六分,去渣放温,分作三服。如果疮疹已出后再服用也很妙。
治疗小儿疮出不快,或黑陷。木通汤方
木通 枳壳(去瓤麸炒) 甘草(炙) 紫草茸
以上四味药等分,粗捣筛,每次服二钱匕,水八分,煎至六分,去渣分温三服。
治疗小儿疮疹欲出不快。四味散方
大虾(干者为末) 猪干血 恶实 甘草(炙等分)
以上四味药为散剂,三岁以下,服半钱匕,五岁以上,服一钱匕,用煎赤芍药酒调下,不拘时候。日夜各一服。
治疗小儿斑疮毒瓦斯不快。败毒汤方
紫草 板蓝根(各半两)
以上二味药,粗捣筛,每次服二钱匕,水八分,煎至五分,去渣分温二服。
治疗小儿麸痘疮欲出,浑身壮热,情绪不乐,不思饮食。四妙汤方
紫草 升麻 糯米(各一两) 甘草(生一分)
以上四味药,粗捣筛,每次服二钱匕,水一小盏,煎至六分,去渣分温二服。每日三次。
治疗小儿疮疹出迟。发毒散方
地龙(去土) 防风(去叉)
以上二味药等分,捣罗为细散,每次服一字匕,用酒水各少许调下,不拘时候。
治疗小儿疮痘将出。人参汤方
人参(一钱) 葡萄苗(一分) 林檎(一枚) 木猴梨(七枚)
以上四味药,各锉碎,用水两盏,煎至一盏,去渣放冷,时时令其饮用。
治疗小儿疮疹不出。青黛散方
青黛(螺儿者不拘多少)
以上一味药研为散,每次服半钱匕,新汲水调服。
治疗小儿疮疹毒瓦斯出不快,及触犯秽气黑色。夺命煎法
牛蒡子(黑熟者)
以上一味药,用八月九月内采集,不计多少,在沙盆内研磨,生绢绞取汁,银石器内,慢火熬成煎剂,盛装……然红……
治疗小儿疮子不出,烦闷惊悸。浮萍丸方
浮萍草(阴干) 晚蚕砂 白薄荷叶(各一分)
以上三味药,捣研为末,用薄荷自然汁煮面糊,和为丸,如鸡头大,每次服一丸,薄荷汤化下,不拘时。
治疗发斑疮。千金散方
石榴叶(不拘多少)
以上一味药为散,每次服一字,或半钱匕,温水调下。
治疗小儿出疮子不透,旋出旋焦者。龙脑散方
龙脑 牛黄 丹砂 地龙(去土取末) 麝香 乳香 雄黄(各一钱研) 鲮鲤甲(五片烧……
以上十一味药,捣研为散,用猪尾上血拌匀,放入竹筒子内,用油单封裹,线缠定,于深坑子内,调稀猪粪浸二七日,取出净洗,每次服一皂子大,龙脑水化下,并三服见效。
治疗小儿疮疹,毒瓦斯不出,或出后干黑色,服此药发出毒瓦斯。定命散方
丹砂(研半两) 龙脑(研) 乳香(研) 马牙硝(研) 甘草(为末各二钱)
以上五味药,再同研匀,用十二月新……猪血半升,同研匀,取青竹筒长二尺,留两头。截开一头……水洗……
治疗小儿疮疹倒厌,紫雪汤方
紫草茸 地龙(去土等分)
以上二味药为粗末,每次服二钱匕,用水酒共七分,煎至四分,去渣温服。
治疗小儿疮疹恶候不快,及黑疮子,并一切恶候。无比散方
丹砂(一两) 牛黄 麝香 龙脑 腻粉(各细研一分)
以上五味药,同研为散,每次服小儿一字,大人半钱,以水银少许,津唾研,同小……猪尾上血三两……便安……
治疗小儿疮,欲出不出,虽出不快,及倒厌者。神效散方
以上用抱鸡子壳内白皮,不拘多少,以木炭火烧为灰,出火毒研细,以新汲水调下一钱匕。
治疗小儿斑毒倒厌,发斑。方
人牙(五枚)
以上烧灰入麝香半字,同研为细散,分三服,温酒调下。
治疗小儿疮痘蓄伏黑陷。通神散方
雄黄(通明者研水飞) 麝香(用当门子为末各半钱匕)
以上二味药,同研细,只作一剂,一岁儿作三服,温酒调下。
治疗小儿疮子倒陷。方
白僵蚕(炒) 蝉壳(去土)
以上二味药,各三枚,同为粗末,水一盏半,煎至半盏,去渣分作二服,微热服,立出。
治疗小儿疮疹倒厌黑色,及出不快。丁香散方
丁香 鹿肉(干者各半两) 紫草(一分)
以上三味药,捣为细散,每次服二钱匕,酒一盏,入麝香少许,同煎至半盏,放冷灌之。如人行二三里再服。立发红色。
治疗小儿疮子黑陷不出。黑金散方
猪悬蹄甲(半两) 蛇蜕皮(三条) 鲮鲤甲(一分) 皮(一枚) 鸦翅(一对) 蛤粉(一……
以上六味药,都入在藏瓶内,用盐泥固济,烧一宿,研为细散,一二岁每服半钱匕,猪尾血温汤调下,不出再服。
治疗小儿疮子黑色。人参丸方
人参(一分为末)
以上一味药,用牛李子汁,瓷器内熬成膏,和为丸,如豌豆大,每次服一丸,杏胶汤化下。不拘时。
治疗小儿疮子黑色,及出不快。神验散方
鲮鲤甲(火炮黄色全者二十片) 地龙(去土炒二十枚) 紫草(五枚)
以上三味药,捣罗为细散,每次服半钱匕,温酒调下后,用衣盖,即红色出。
治疗小儿触着疮子,毒瓦斯入里,疮变黑色,须臾不救。再苏散方
白矾(熬令汁枯) 地龙(去土炒各一分)
以上二味药,研为细散,每次服半钱匕,用……猪尾上血,一橡斗多,同新汲水少许调下。不时。
治疗小儿斑痘疮退热躁。冲和散方
白药子 甘草(炙各一分) 雄黄(一钱醋淬)
以上三味药,捣研为散,每次服半钱匕,量儿大小加减,蜜汤调下。
治疗小儿斑毒不退。南朱散方
赤豆(炒) 槐花(炒各二钱) 麝香(研少许)
以上三味药,捣研为散,每次服一字匕,温酒调下,量儿大小加减。
治疗小儿出疮。解热丸方
甘草(生锉) 铁粉(研) 青黛(研各半两)
以上三味药,捣研为末,再研匀,炼蜜和丸,如鸡头大,每次服一丸,熟水化下。
治疗小儿疹痘穴后,灭瘢痕。楝实膏方
楝实(去核炒) 槐子(各一两)
以上二味药,并拍碎。用猪脂鹅脂各四两,同于铜铫内,以文武火煎一二十沸,去渣入在瓷合中,候凝涂瘢痕。日二度。
Commentary states: Children are endowed with a "Pure Yang" constitution (Chunyang, pure yang), and their fu organs harbor heat. This heat emanates from within to the exterior, steaming along with the qi mechanism, dispersing between the Ying (Nutritive) and Wei (Defensive) levels and muscles, lingering in the skin and interstices.
Therefore, careful examination is required. If the stool has already been unblocked, or if the rash/pox has already erupted, neither purgation nor diaphoresis should be used. Forcing diaphoresis will cause the sores to open and leak, exacerbating the maceration of spots. Cang Gong and Bian Que commonly used oil-based and herbal preparations; this method is most excellent. Generally, the use of decoctions serves to penetrate the muscle layer, harmonize the interior, open the internal and external pathways, allowing the rash toxin to flow freely without stagnation or stasis, thereby eliminating the pathogenic toxin and achieving recovery. However, the treatment for nursing infants differs from that for children regarding rash/pox diseases. For infant illnesses, it is best to regulate the mother's diet and state so that her Qi and Blood are clear and harmonious, ensuring smooth lactation; this is the most crucial method. For toddlers who have just been weaned, decoctions should be used to harmonize Yin and Yang, and regulate Ying and Wei. After recovery, it is especially important to promote the free flow of the Zang-Fu organs to eliminate residual toxins. This is the general principle for treating rash/pox diseases.
For weaned infants and children suffering from rash/pox diseases, the initial symptoms often resemble Taiyang disease (Exterior syndrome). The face and limbs appear red, there is high fever, headache, and pain in the waist and spine, while the feet are often cold. The eyes may appear yellowish, and the pulse is typically floating and surging, rapid, large, and irregular. Urine is scanty and red, and stool is often constipated. As soon as changes in the color of the limbs and pulse characteristics are noticed, even if the rash/pox has not yet attacked the skin pores to erupt, one may administer medications that harmonize the Zang-Fu organs and promote drainage. According to Cang Gong's discussion, oil-based preparations can be taken, but dry/harsh medicines and cold medicines should be avoided. If the rash has already condensed at the skin pores and is slightly emerging, purgation/drainage should not be performed. Conversely, if the eruption is too excessive and the follicles are suppurating with pus and water, drainage may be appropriate. If drainage has not yet been performed, Zicao Decoction (Purple Gromwell Decoction) should be administered immediately.
Zicao Decoction Formula
Radix Arnebiae seu Lithospermi (Lithospermi Radix, two liang, fresh)
The above single herb is finely chopped. First, soak it in boiling water, then cover it tightly with a vessel to prevent the aroma of the herb from escaping. Let it cool to body temperature. For infants aged fifty to one hundred days... to three years old...
To treat latent heat in the Zang-Fu organs of children before the formation of rash/pox, when the limbs feel slightly hot, appetite decreases, hair becomes dry and straight, and the forehead is occasionally slightly hot, Shengyou Tangji Method (Raw Oil Decoction Method) is suitable. Bian Que and Cang Gong referred to this as the "Divine Method."
One cup of Raw Oil
Warm the oil to body temperature. Take half a cup of boiled water and slowly pour it into the bowl of oil, stirring constantly with chopsticks until the water is fully incorporated and the mixture resembles honey. Stop stirring. Administer at bedtime. For infants aged one to three years, each dose is approximately two clam shells; for children aged five to seven years, each dose is approximately three clam shells; for fifteen-year-olds... each dose is three large clam shells; up to adults, each dose is five clam shells or three large he. Administer well after meals. After taking, allow the patient to lie down for a short time. If after three to five doses, urination and defecation become normal and limb heat subsides, the rash/pox will not recur, and the patient will naturally calm down.
Huixi Jiu Fang (Coriander Wine Method) to promote rapid eruption of rash/peas.
Coriandri Fructus (Coriander, half a handful)
Finely chop the above single herb. First, boil two sheng of wine until bubbling, then soak the coriander. Cover tightly to prevent aroma loss. Cool and strain. Spray gently from the neck downwards on the back/spine, as well as both legs, chest, and abdomen, ensuring coverage, but do not spray on the face.
When treating rash/pox that is about to erupt and signs are visible, protect the face and eyes to prevent contamination. Before using Huixi Jiu for spraying, apply this formula to the face first. Both adults and infants with this condition should protect their faces. Huangbai Gao Fang (Phellodendron Ointment Formula).
Cortex Phellodendri Amurensis (Huangbai, one liang, coarse bark removed) Semen Sojae Preparatum (Green Soybean, one and a half liang) Radix Glycyrrhizae Preparata (Licorice Root, roasted four liang)
Pulverize the above three herbs and sieve them. Grind again until uniform and fine. Mix with raw sesame oil to form a thin ointment. Apply thickly from the front of the ears to the eye sockets. Apply three to five times day and night. After applying the face ointment, Huixi Jiu can be sprayed. If this facial ointment is used, even if rash/pox erupts, it will be minimal.
Eye Protection Method for Adults and Children with Erupting Rash/Pox.
At the first sign of illness, take a small amount of salt crystals, steep in warm water, and wash both eyes. Wash two to three times day and night. Adults dip fingers in the salt water solution and apply drops into the eyes, wiping immediately with a cloth. Initially, application causes pain. After three applications, pain ceases. Regardless of age, if residual heat remains in the eyes during the resolution phase, this washing and dropping method is also suitable.
Huaimai Bai Pi Tang Yu Fang (Locust Tree White Bark Bathing Formula) for infants under one hundred days suffering from smallpox.
Cortex Morus Albae (Locust Tree White Bark, one liang) Herba Leonuri Japonici (Motherwort, five liang)
Boil the above two herbs in five sheng of water until reduced to three sheng. Strain and bathe the infant. Then, prepare a strong decoction of Youmaicai (Rapeseed) and bathe again. It is also beneficial for the nursing mother to consume Rapeseed.
Qingdai San Fang (Indigo Powder Formula) for infant macular rash and chickenpox.
Concha Mantisidis cum Excrementis (Qingdai, half a liang, ground to powder) Ferri Carbonas (Iron Slag/Water, one sheng)
Prepare Qingdai as a powder. Mix with Iron Water appropriately at the time of administration. For infants aged one hundred to two hundred days, administer one zi bi (a measure roughly equivalent to a pinch); give before breastfeeding. For one- to two-year-olds, administer half a qian bi; give before meals and in the afternoon, one dose each. Adjust according to the child's size.
Formula for Infant Macular Rash and Chickenpox.
Take the juice of cooked soybeans and administer orally.
Formula for Infant Macular Rash and Chickenpox.
Capilli Carbonized (Human Hair, one liang, burnt to ash)
Grind the above single herb into a fine powder. Mix with water/decoction to administer two zi amounts. Adjust according to the child's size.
Bisheng Tang Fang (Victorious Decoction Formula) to penetrate the muscle and detoxify when rash/pox is emerging but not evenly distributed.
Fructus Arctii Lappae (Niubangzi/Burdock Fruit, any amount, roasted)
Coarsely crush and sieve the above single herb. Each dose is two qian bi. Add two spikes of Jingjie (Schizonepeta). Boil in one small cup of water until reduced to six parts. Strain and warm. Divide into three doses. It is also effective if administered after the rash has erupted.
Mutong Tang Fang (Akebia Decoction Formula) for slow eruption or black depression of infant sores.
Caulis Akebiae Trifoliatae (Mutong) Fructus Aurantii (Zhike, pith removed, bran-roasted) Radix Glycyrrhizae Preparata (Licorice, roasted) Radix Arnebiae seu Lithospermi (Zicao Rong)
Equal parts of the above four herbs. Coarsely crush and sieve. Each dose is two qian bi. Boil in eight parts water until reduced to six parts. Strain and divide into three warm doses.
Siwei San Fang (Four-Ingredient Powder Formula) for slow eruption of infant rash/pox.
Crabris Carapax et Squama (Dried Large Shrimp, ground) Sanguis Porcinus Siccatum (Dried Pig Blood) Fructus Arctii Lappae (Burdock Fruit) Radix Glycyrrhizae Preparata (Licorice, roasted, equal parts)
Grind the above four herbs into a powder. For children under three years, half a qian bi; for over five years, one qian bi. Take with Chishao Yao Jiu (Red Peony Root Wine). No specific timing. One dose day and night.
Baidu Tang Fang (Detoxifying Decoction Formula) for sluggish toxic vapors in infant macular rash.
Radix Arnebiae seu Lithospermi (Zicao) Radix Isatidis (Banlangen, half a liang each)
Coarsely crush and sieve the above two herbs. Each dose is two qian bi. Boil in eight parts water until reduced to five parts. Strain and divide into two warm doses.
Simiao Tang Fang (Four Wonders Decoction Formula) for infant wheat-pox about to erupt, accompanied by whole-body high fever, low mood, and anorexia.
Radix Arnebiae seu Lithospermi (Zicao) Radix Cimicifugae (Shengma) Semen Oryzae Glutinosum (Glutinous Rice, one liang each) Radix Glycyrrhizae Cruda (Licorice, one fen)
Coarsely crush and sieve the above four herbs. Each dose is two qian bi. Boil in one small cup of water until reduced to six parts. Strain and divide into two warm doses. Three times daily.
Fadu San Fang (Erupting Toxin Powder Formula) for delayed eruption of infant rash/pox.
Draco (Longearthworm, earth removed) Rhizoma Saposhnikoviae (Fangfeng, forked parts removed)
Equal parts of the above two herbs. Grind into a fine powder. Each dose is one zi bi. Take with a little wine and water. No specific timing.
Renshen Tang Fang (Ginseng Decoction Formula) for impending eruption of infant pox.
Radix Ginseng (one qian) Caulis Vitis Viniferae (Grape Vine) Pomi Malus (Apple, one piece) Pyri Sinensis Fructus (Chinese Pear, seven pieces)
Chop the above four herbs. Boil in two cups of water until reduced to one cup. Strain and let cool. Allow the child to sip frequently.
Qingdai San Fang (Indigo Powder Formula) for non-erupting infant rash/pox.
Concha Mantisidis cum Excrementis (Qingdai, spiral variety, any amount)
Grind the above single herb into a powder. Each dose is half a qian bi. Take with freshly drawn cold water.
Duoming Jian Fa (Life-Seizing Decoction Method) for slow eruption of toxic vapors or black discoloration due to foul odors in infant rash/pox.
Fructus Arctii Lappae (Burdock Fruit, black and ripe)
Harvest in August or September. Grind in a stone mortar. Extract juice through raw silk. Slowly simmer in silver or earthenware vessels until concentrated into a syrup. Store... turns red...
Fuping Wan Fang (Duckweed Pill Formula) for non-erupting infant sores with restlessness and palpitations.
Herba Spirodelae (Spirodela/Duckweed, shade-dried) Granum Bombycis (Silkworm Droppings) Folium Menthae Haplocalycis (White Mint Leaf, one fen each)
Grind the above three herbs into powder. Use natural mint juice to cook flour paste and mix into pills the size of a corn kernel. Take one pill per dose, dissolved in mint tea. No specific timing.
Qianjin San Fang (Thousand Gold Powder Formula) for treating macular rash.
Folium Punicae Granati (Pomegranate Leaf, any amount)
Grind into powder. Each dose is one zi or half a qian bi. Take with warm water.
Longnao San Fang (Borneol Powder Formula) for incomplete eruption or rapid scorching of infant sores.
Borneolum Syntheticum (Longnao/Borneol) Moschus (Musk) Cinnabar (Dansha) Draco (Earthworm, earth removed, powdered) Moschus (Musk) Resina Incense (Frankincense) Realgar (Xionghuang, one qian each, ground) Squama Manis (Pangolin Scale, five pieces, burnt...)
Grind the above eleven herbs into powder. Mix with blood from the pig's tail. Place in a bamboo tube, seal with oil paper, tie securely. Bury in a deep pit filled with diluted pig manure for fourteen days. Remove, wash clean. Each dose is the size of a soap nut, dissolved in Borneol water. Effective after three doses.
Dingming San Fang (Life-Determining Powder Formula) for infant rash/pox where toxic vapors do not emerge, or emerge dry and black; this medicine promotes the release of toxins.
Cinnabar (Dansha, half a liang, ground) Borneolum Syntheticum (Longnao, ground) Resina Incense (Frankincense, ground) Natrii Sulfas (Mayaxiao/Glauber's Salt, ground) Radix Glycyrrhizae (Licorice, powdered, two qian each)
Grind the above five herbs together uniformly. Mix with half a sheng of fresh pig blood from December. Grind uniformly. Take a green bamboo tube two chi long, leaving both ends intact. Cut open one end... wash with water...
Zixue Tang Fang (Purple Snow Decoction Formula) for infant rash/pox inversion/reversal.
Radix Arnebiae seu Lithospermi (Zicao Rong) Draco (Earthworm, earth removed, equal parts)
Coarsely crush the above two herbs. Each dose is two qian bi. Boil in seven parts water and wine until reduced to four parts. Strain and take warm.
Wubi San Fang (Peerless Powder Formula) for unfavorable conditions, black sores, and all bad prognoses in infant rash/pox.
Cinnabar (Dansha, one liang) Moschus (Musk) Borneolum Syntheticum (Longnao) Calamina (Nifen/Zinc Oxide, one fen each, finely ground)
Grind the above five herbs together into a powder. For children, one zi bi; for adults, half a qian bi. Grind with a small amount of mercury and saliva. Mix with... pig tail blood three liang... then calm.
Shenxiao San Fang (Miraculous Effect Powder Formula) for infant sores that want to erupt but cannot, or erupt slowly, or show inversion.
Use the inner white skin of hatching eggshells. Any amount. Burn with charcoal to ash, remove fire toxicity, grind fine. Take one qian bi mixed with freshly drawn cold water.
Formula for Infant Macular Toxicity Inversion and Eruption.
Dentes Humanus (Human Teeth, five pieces)
Burn to ash, add half a zi of Musk, grind fine. Divide into three doses. Take with warm wine.
Tongshen San Fang (Spirit-Penetrating Powder Formula) for latent black depression of infant pox.
Realgar (Xionghuang, transparent, water-floated and ground) Moschus (Musk, Dangmenzi core, powdered, half a qian bi each)
Grind the above two herbs finely. Prepare as a single dose. For one-year-olds, divide into three doses. Take with warm wine.
Formula for Infant Sore Depression/Inversion.
Bombyx Batryticatus (Stiff Silkworm, roasted) Periostracum Cicadae (Cicada Slough, earth removed)
Three pieces of each. Coarsely crush. Boil in one and a half cups of water until reduced to half a cup. Strain and divide into two doses. Take warm; eruption occurs immediately.
Dingxiang San Fang (Clove Powder Formula) for black inversion or slow eruption of infant rash/pox.
Caryophylli Flos (Clove) Carnis Cervi (Deer Meat, dried, half a liang each) Radix Arnebiae seu Lithospermi (Zicao, one fen)
Grind into fine powder. Each dose is two qian bi. Add one cup of wine and a little Musk. Simmer until reduced to half a cup. Cool and force-feed. Re-administer after walking two or three li. Redness appears immediately.
Heijin San Fang (Black Gold Powder Formula) for black depression and non-eruption of infant sores.
Unguis Sus Scrofa Domesticus (Pig Hoof Nail, half a liang) Dermis Serpentis (Snake Slough, three strips) Squama Manis (Pangolin Scale, one fen) Skin (one piece) Corvus Alae (Crow Wing, one pair) Concha Arcae (Clam Shell Powder, one...)
Place the above six herbs in a sealed jar. Seal with salt mud. Roast overnight. Grind to fine powder. For one- to two-year-olds, take half a qian bi. Take with pig tail blood and warm water. Re-administer if no eruption.
Renshen Wan Fang (Ginseng Pill Formula) for black infant sores.
Radix Ginseng (one fen, powdered)
Mix with juice of Prunus salicina (Cow Plum) in a porcelain vessel, simmer into a paste. Form pills the size of peas. Take one pill per dose, dissolved in Apricot Gum Tea. No specific timing.
Shenyuan San Fang (Miraculous Verification Powder Formula) for black infant sores and slow eruption.
Squama Manis (Pangolin Scale, twenty pieces, fire-roasted to yellow) Draco (Earthworm, earth removed, roasted, twenty pieces) Radix Arnebiae seu Lithospermi (Zicao, five pieces)
Grind into fine powder. Each dose is half a qian bi. Take with warm wine, then cover with clothing. Redness emerges.
Zaisu San Fang (Revival Powder Formula) for infant contact with sores, toxic vapors entering the interior, sores turning black, requiring immediate rescue.
Alumen (Baifan/Raw Alum, boiled until dry) Draco (Earthworm, earth removed, roasted, one fen each)
Grind into fine powder. Each dose is half a qian bi. Mix with pig tail blood (more than one acorn cup) and a little freshly drawn cold water. Take as needed.
Chonghe San Fang (Harmonizing Powder Formula) for reducing heat and irritability in infant macular/pox eruptions.
Radix Polygoni Cuspidati (Baiaoyezi/Fleeceflower Root) Radix Glycyrrhizae Preparata (Licorice, roasted, one fen each) Realgar (Xionghuang, one qian, quenched in vinegar)
Grind into powder. Each dose is half a qian bi. Adjust based on child's size. Take with honey water.
Nanzhu San Fang (South Vermilion Powder Formula) for persistent infant macular toxicity.
Semen Phaseoli Angularis (Adzuki Bean, roasted) Flos Sophorae (Sophora Flower, roasted, two qian each) Moschus (Musk, ground, small amount)
Grind into powder. Each dose is one zi bi. Take with warm wine. Adjust based on child's size.
Jiere Wan Fang (Heat-Resolving Pill Formula) for infant sores.
Radix Glycyrrhizae Cruda (Licorice, raw chopped) Ferrum Pulveratum (Iron Powder, ground) Concha Mantisidis cum Excrementis (Qingdai/Indigo, ground, half a liang each)
Grind into powder, mix uniformly. Bind with refined honey into pills the size of corn kernels. Take one pill per dose, dissolved in warm water.
Lianshi Gao Fang (Melia Ointment Formula) for erasing scars after infant rash/pox eruption.
Fructus Meliae Toosendan (Melia Fruit, pitted and roasted) Semen Gleditsiae Sinensis (Gleditsia Seed, one liang each)
Crush the above two herbs. Mix with four liang each of Pig Fat and Goose Fat. Simmer in a copper pot over medium-high heat for ten to twenty boils. Strain and store in a porcelain container. Apply to scars when solidified. Twice daily.
Another Formula
Venerupis (Clams, live)
Raise in Huai River or Yangtze River water for five days. Use this water to wash hands and face. Flesh regenerates gradually, leaving no scars.