论曰小儿体有风热,脾肺不利,或湿邪搏于皮肤,壅滞血气,皮肤顽浓,则变诸癣。或
斜或圆,渐渐长大,得寒则稍减,暖则痒闷,搔之即黄汁出,又或在面上,皮如甲错干燥,
谓之奶癣。此由饮乳,乳汁渍着乃生,复以乳汁洗之,即瘥。
治小儿 癣风痒。雌黄膏方
雌黄(研) 黄连(去须) 莽草 蛇床子(炒) 黄柏(去粗皮炙) 苦参 芜荑(炒
各半两) 藜芦 硝石(研各一分) 松脂(二两半) 杏仁(汤浸去皮尖双仁别研如膏一
两)
上一十一味,除雌黄松脂杏仁外,捣罗为末,取腊月猪脂半斤,和松脂入铛中,煎令沸
,下杏仁,次下诸药末,搅匀凝为膏,每用先以醋泔洗拭干涂之,日三。
治小儿癣疥赤肿,及湿癣久不瘥。黄连膏方
黄连(去须) 黄柏(去粗皮炙) 蛇床子(炒) 茹 石(火 别研) 水银(手
掌内唾
研如泥入膏中各一两)
上六味,捣罗前四味为末,以腊月猪脂四两,同入铫子内,煎四五沸,下 石末,又煎
三两沸,取下良久。下水银,搅如稀泥候冷,先以清泔皂荚汤洗,拭干,以火炙痒涂之,日
三。
治小儿一切疮癣,痒痛不止。桑螵蛸散方
桑螵蛸(十枚烧存二分性) 腻粉(一钱) 麝香(半钱)
上三味,研为细散,生油脚调,鸡翎扫,候干有裂处,再扫。
治小儿湿癣。附子散方
附子(生去皮脐) 雄黄(研) 白矾(烧灰研) 吴茱萸(汤浸炒各一分) 米粉(半
两)
上五味,捣研罗为散,每日三次,用绵 扑之。
治小儿诸癣,及瘙痒。蛇床子散方
蛇床子(炒二两)
上一味,捣罗为散,以猪白膏和敷之。
又方
羊蹄根(捣取汁)
上一味,以蜜和匀,先刮疮四边,以药涂之。半日许拭去,更以陈米醋,和羊蹄根滓,
敷癣上。
又方
槐白皮(五两锉)
上一味,以水一升,煎三五沸,候冷数洗之。
治小儿干湿癣。雄黄散方
雄黄 麝香(各一分)
上二味,细研为散,用煎油调涂之,干再上。
治小儿湿癣。枸杞根散方
枸杞根(一两)
右一味,捣罗为散,和腊月猪脂敷之。
又方
桃枝青皮(炙锉二两)
上一味,捣罗为散,醋和敷之。
论述说:小儿体内有风热,脾肺功能不利,或者湿邪与皮肤相搏结,导致气血壅滞,皮肤变得粗糙增厚,从而变成各种癣病。有的形状斜长,有的形状圆整,逐渐长大,遇寒冷则症状稍减,遇温暖则瘙痒闷痛,搔抓后会有黄色汁液流出;也有发生在面部的,皮肤像鳞片一样交错干燥,称为奶癣。这是由于哺乳时乳汁浸渍皮肤所致,再用乳汁清洗,即可痊愈。
治疗小儿癣风瘙痒的雌黄膏方:
雌黄(研磨)、黄连(去须)、莽草、蛇床子(炒制)、黄柏(去粗皮并炙烤)、苦参、芜荑(炒制,各半两)、藜芦、硝石(研磨,各一分)、松脂(二两半)、杏仁(用热水浸泡去皮尖及双仁部分,另研成膏状,一两)。
以上十一味药,除雌黄、松脂、杏仁外,捣碎过筛成粉末。取腊月猪脂半斤,加入松脂放入锅中,煎至沸腾,下入杏仁,接着加入各种药末,搅拌均匀凝固成膏。每次使用前先用醋水清洗患处并擦干涂抹,每日三次。
治疗小儿癣疥红肿,以及湿癣久治不愈的黄连膏方:
黄连(去须)、黄柏(去粗皮并炙烤)、蛇床子(炒制)、茹草(原文缺字,推测为某草药,此处保留“茹”或依上下文补全,但按原文提取为“茹”)、石(火煅,另研)、水银(在手掌内加唾液研磨如泥状,入膏中,各一两)。
*注:原文此处有脱漏或排版错误,“茹 石”前似缺字,且“手 掌内唾 研如泥入膏中各一两”语序混乱。根据中医古籍常规,此处应为多种药材。依据原文可见文字提取实体。*
以上六味药,将前四味捣碎过筛成粉末。取腊月猪脂四两,一同放入铫子中,煎煮四五沸,下入石末,再煎煮两三沸,取下放置良久。下水银,搅拌如稀泥状,待冷却后,先用清泔皂荚汤清洗患处,擦干,用火烤热痒处后涂抹药膏,每日三次。
治疗小儿一切疮癣,瘙痒疼痛不止的桑螵蛸散方:
桑螵蛸(十枚,烧存性)、腻粉(一钱)、麝香(半钱)。
以上三味药,研磨成细散,用生油脚调和,用鸡翎扫涂,待干燥后有裂纹处,再次扫涂。
治疗小儿湿癣的附子散方:
附子(生用,去皮脐)、雄黄(研磨)、白矾(烧成灰后研磨)、吴茱萸(用水浸泡后炒制,各一分)、米粉(半两)。
以上五味药,捣碎研磨过筛成散剂。每日三次,用棉团扑撒患处。
治疗小儿各种癣病及瘙痒的蛇床子散方:
蛇床子(炒制,二两)。
以上一味药,捣碎过筛成散剂,用猪白膏调和敷贴。
又一方:
羊蹄根(捣取汁液)。
以上一味药,用蜂蜜调和均匀,先刮去疮口四周,用药液涂抹。约半天后拭去,再用陈年米醋调和羊蹄根的药渣,敷于癣上。
又一方:
槐白皮(五两,锉碎)。
以上一味药,用水一升,煎煮三五沸,待冷却后多次清洗患处。
治疗小儿干湿癣的雄黄散方:
雄黄、麝香(各一分)。
以上两味药,细研磨成散剂,用煎过的油调匀涂抹,干了再上药。
治疗小儿湿癣的枸杞根散方:
枸杞根(一两)。
以上一味药,捣碎过筛成散剂,和腊月猪脂调和敷贴。
又一方:
桃枝青皮(炙烤锉碎,二两)。
以上一味药,捣碎过筛成散剂,用醋调和敷贴。
Commentary states: Children's bodies possess wind-heat, with the Spleen and Lungs functioning poorly. Alternatively, dampness pathogen combats with the skin, causing stagnation of Qi and Blood. The skin becomes tough and thickened, transforming into various tinea (Xuan) conditions. Some are oblong, some round, gradually enlarging. Symptoms decrease slightly in cold and become itchy and stuffy in warmth; scratching yields yellow exudate. Others occur on the face, where the skin is dry and scaly like fish scales, termed "infantile tinea" (Nai Xuan). This arises from milk residue soaking the skin during nursing; washing with milk again will lead to recovery.
Formula for Cinnabar Paste (Ci Huang Gao) to treat infantile tinea with wind and itching:
Realgar (Ci Huang, ground), Rhizoma Coptidis (Huanglian, remove stamens), Herba Pogostemonis (Mangcao), Fructus Cnidii (Shechuangzi, stir-fried), Cortex Phellodendri (Huangbai, remove rough bark and stir-baked), Radix Sophorae Flavescentis (Kushen), Semen Toosendan (Wuyi, stir-fried, each half liang), Radix Veratri (Lilu), Natrii Nitras (Xiaoshi, ground, each one fen), Resina Pini (Songzhi, two and a half liang), Semen Armeniacae Amarum (Xingren, soaked in hot water, peel and remove tips and twin kernels, separately ground into paste, one liang).
The above eleven ingredients, except for Ci Huang, Songzhi, and Xingren, are crushed and sieved into powder. Take half a jin of lard from the twelfth lunar month, mix with Songzhi in a pan, boil until bubbling, add Xingren, then add the various medicinal powders, stir evenly until congealed into a paste. Before each use, wash the area with vinegar water, wipe dry, and apply. Three times daily.
Formula for Coptis Paste (Huanglian Gao) to treat infantile tinea and scabies with redness and swelling, as well as chronic damp tinea that does not heal:
Rhizoma Coptidis (Huanglian, remove stamens), Cortex Phellodendri (Huangbai, remove rough bark and stir-baked), Fructus Cnidii (Shechuangzi, stir-fried), [Missing Character] Ru, Shi (calcined by fire, separately ground), Hydrargyrum (Shuiyin, ground with saliva in palm until mud-like, added to paste, each one liang).
The above six ingredients, the first four are crushed and sieved into powder. Take four liang of lard from the twelfth lunar month, put together in a small pot, boil four or five times, add Shi powder, boil two or three more times, remove and let stand for a long time. Add Hydrargyrum, stir until like thin mud, wait for cooling. First wash with clear rice water and Gleditsia Sinensis (Zaojia) decoction, wipe dry, heat the itchy area with fire, then apply the paste. Three times daily.
Formula for Sangpiaoxiao Powder to treat all sores and tinea in children, with unceasing itching and pain:
Ovum Mantidae (Sangpiaoxiao, ten pieces, burned to retain efficacy), Calomelas (Nifen, one qian), Moschus (Shexiang, half qian).
The above three ingredients are ground into fine powder. Mix with raw oil base, apply using chicken feathers. When dry and cracked, apply again.
Formula for Fuzi Powder to treat infantile damp tinea:
Radix Aconiti Lateralis Preparata (Fuzi, raw, remove skin and umbilicus), Realgar (Xionghuang, ground), Alumen (Baifan, burned to ash and ground), Fructus Evodiae (Wuzhuyu, soaked in water and stir-fried, each one fen), Rice Flour (Mifen, half liang).
The above five ingredients are crushed, ground, and sieved into powder. Apply three times daily using cotton wool to dab/powder the area.
Formula for Shechuangzi Powder to treat various tinea and itching in children:
Fructus Cnidii (Shechuangzi, stir-fried, two liang).
The above single ingredient is crushed and sieved into powder. Mix with white pork fat and apply.
Another formula:
Radix et Rhizoma Rumicis (Yangti Gen, crush to extract juice).
The above single ingredient is mixed evenly with honey. First scrape the edges of the sore, then apply the medicine. After about half a day, wipe off. Then mix Yangti Gen dregs with aged rice vinegar and apply to the tinea.
Another formula:
Cortex Morus Albae (Huai Baipi, five liang, chopped).
The above single ingredient is boiled in one sheng of water for three to five boils. Wait for cooling and wash multiple times.
Formula for Xionghuang Powder to treat infantile dry and damp tinea:
Realgar (Xionghuang), Moschus (Shexiang, each one fen).
The above two ingredients are finely ground into powder. Mix with boiled oil and apply. Reapply when dry.
Formula for Gouqigen Powder to treat infantile damp tinea:
Radix Lycii (Gouqi Gen, one liang).
The above single ingredient is crushed and sieved into powder. Mix with lard from the twelfth lunar month and apply.
Another formula:
Cortex Ramuli Persicae (Tao Zhi Qingpi, stir-baked and chopped, two liang).
The above single ingredient is crushed and sieved into powder. Mix with vinegar and apply.