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，候过盈月熟透，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。若盈月后生者，必待脓鼓熟透针之。若瘤皮含血丝者，详注于红丝瘤。
五福化毒丹（见赤游丹毒）
黄连青（见鼻部鼻疮）
生肌玉红膏（见溃疡门）
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。
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】此证生婴儿头顶，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 ；有误用烫洗，皮肤起粟，搔痒无度，黄水浸淫，延及遍身，即
成湿 。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
浓，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。
消风导赤汤
生地 赤茯苓（各一钱） 牛蒡（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）
灯心五十寸，水煎，徐徐服。
【方歌】消风导赤医胎 ，疏风清热蒡黄连，白鲜生地赤苓薄，银花灯草木通甘。
乌云膏
松香末（二两） 硫黄末（一两）
研匀，香油拌如糊，摊南青布上少半指浓，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，出火毒抹用。
【方歌】乌云膏搽胎 疮，油拌松香末硫黄，布摊卷扎香油泡，火燃去灰用油良。
润肌膏（见头部白屑风）
五福化毒丹（见赤游丹毒）
婴儿刚出生时患上胎瘤，其根源在于胎热与瘀血。若肿块颜色发紫且逐渐增大至成熟透脓，用针刺破放出脓汁后，疾病自然痊愈。
【注】此证是由于怀孕前母亲体内积热，导致胞宫受热，再加上血液瘀滞凝结而成。多发生于头部及胸乳之间，起初像李子核大小，后来逐渐增大如馒头，颜色紫红、质地微硬，肿胀弥漫但疼痛不明显。如果是婴儿出生时就有的，需等到满月之后肿块成熟透脓，方可进行针刺，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。若是满月后才长出的，必须等待脓液鼓胀成熟透脓后再针刺。如果瘤皮中含有血丝，详见“红丝瘤”条目。
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）
婴儿出生后患红丝瘤，皮肤含有血丝源于先天因素。这是肾中伏火潜伏于精血之中，通过气机相传给子女所致，最终难以彻底治愈。
【注】此证又名胎瘤，发病部位不固定，由小变大，婴儿出生时即有，或在出生后一、二岁之间患病。瘤体皮肤呈红色，中间含有血丝，也有自行破裂的情况。治疗方法虽与胎瘤相同，但此病源于先天肾中伏火，精血中有血丝，通过气机遗传给子女，最终转化为火证，溃烂处也难以收敛愈合。
胎疮开始发作于头眉之间，是因为胎儿在母体内血热受风邪缠绕所致。表现为干燥瘙痒、有白色皮屑，或渗出湿液，热极时出现红晕，类似火丹。
【注】此证生于婴儿头顶，或生于眉毛末端，又名奶癣。瘙痒起白屑，形状像癣疥，是由胎中血热，出生后受风邪缠绵所致，这属于干性胎疮；如果误用烫水洗浴，皮肤起粟粒状疹子，搔痒无度，黄水浸淫蔓延至全身，则成为湿性胎疮。均服用消风导赤汤治疗，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，游走不定状如火丹，治疗方法不宜收敛，只宜向外发散，宜服用五福化毒丹，并以润肌膏涂抹；瘙痒严重者，均使用乌云膏搽涂。乳母均需忌食河海鱼腥、鸡、鹅肉、辛辣、动风及发物，缓缓调理自会见效。
消风导赤汤
生地 赤茯苓（各一钱） 牛蒡子（炒，研碎） 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，慢慢服用。
【方歌】消风导赤医胎疮，疏风清热蒡黄连，白鲜生地赤苓薄，银花灯草木通甘。
乌云膏
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，厚度约半个手指，卷成条状，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，浸泡在冷水中过夜以去除火毒，然后涂抹使用。
【方歌】乌云膏搽胎疮，油拌松香末硫黄，布摊卷扎香油泡，火燃去灰用油良。
润肌膏（见头部白屑风）
五福化毒丹（见赤游丹毒）
Infants born with fetal tumors (fetal tumor), the root cause lies in fetal heat and blood stasis. If the mass turns purple, gradually enlarges, and matures to suppuration, pricking it to drain the pus will lead to natural recovery.
[Note] This condition arises from accumulated heat in the mother prior to pregnancy, causing heat in the uterus, compounded by blood stasis and knotting. It commonly occurs on the head and between the chest and breasts. Initially resembling a plum pit, it gradually enlarges to the size of a steamed bun, appearing purplish-red and slightly hard, with diffuse swelling but little pain. For those present at birth, one must wait until after one month when the lesion matures and suppuration is evident before pricking it; draining red-bean-like fluid or pus water will cause the swelling to subside. Initially, administer Wufu Huadu Dan (Five Blessings Toxin-Resolving 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. For those developing after one month, one must wait for the pus to swell and mature before pricking. If the tumor skin contains blood threads, see the entry for "Red Thread Tumor."
Wufu Huadu Dan (see Chiyou Dandu)
Huanglian Gao (see Nasal Ulcer)
Shengji Yuhong Gao (see Ulcer Section)
Infants born with red thread tumors (red thread tumor), the presence of blood threads in the skin stems from congenital factors. This results from latent fire in the kidneys hiding within the essence and blood, transmitted via qi to the offspring, making it difficult to cure completely.
[Note] This condition is also known as fetal tumor, with no fixed location, growing from small to large. It may be present at birth or develop within one to two years after birth. The tumor skin is red, containing blood threads internally, and may also rupture spontaneously. Although the treatment method is similar to that of fetal tumors, this disease originates from congenital latent fire in the kidneys, where blood threads in the essence are transmitted via qi to the child, eventually transforming into a fire syndrome, making ulcerated areas difficult to heal.
The onset of fetal eczema (fetal eczema) begins between the head and eyebrows, caused by blood heat and wind entanglement while in the womb. Symptoms include dryness, itching, white scales, or exudation of damp fluids; when heat is extreme, red halos appear, resembling huodan (fire carbuncle).
[Note] This condition occurs on the infant's crown or eyebrow tips, also known as milk tinea (milk tinea). Itchy with white scales, resembling tinea or scabies, it is caused by fetal blood heat and lingering wind pathogen after birth; this is classified as dry type. If mistakenly washed with hot water, millet-sized bumps appear on the skin, intense itching ensues, yellow fluid exudes and spreads over the body, becoming wet type. Both types are treated with Xiaofeng Daochi Tang (Wind-Dispersing and Heart-Clearing Decoction); the dry type is smeared with Runji Gao (Moisturizing Muscle Ointment); the wet type uses powder made from tender Huangbai (Phellodendron Bark) mixed equally with Huashi (Talcum Powder). If crusts are too thick, apply Runji Gao again to moisturize. Another variant involves extreme heat causing fiery skin with成片 (patchy) red halos, wandering like huodan (fire carbuncle); treatment should not focus on astringency but rather on venting outward. Administer Wufu Huadu Dan (Five Blessings Toxin-Resolving Pill) and smear with Runji Gao (Moisturizing Muscle Ointment); for severe itching, use Wuyun Gao (Dark Cloud Ointment). Nursing mothers must avoid river and sea fish, seafood, chicken, goose, spicy foods, wind-aggravating items, and fa-wu (stimulating foods); gradual improvement will follow.
Xiaofeng Daochi Tang (Wind-Dispersing and Heart-Clearing Decoction)
Shengdi (Rehmanniae Radix Preparata) and Chifuling (Poria Cocos with Red Core) (each 1 qian), Niubangzi (Arctii Fructus, stir-fried and crushed), Baixianpi (Dictamni Cortex), Jinyinhua (Lonicerae Japonicae 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, decocted in water, taken slowly.
[Prescription Verse] Xiaofeng Daochi treats fetal eczema, dispersing wind and clearing heat with Arctii and Coptis, Dictamnus, Rehmannia, Poria, Mint, Lonicera, Juncus, Akebia, and Licorice.
Wuyun Gao (Dark Cloud Ointment)
Songxiangmo (Boli Resina) 2 liang, Liuhuangmo (Sulfur) 1 liang.
Grind uniformly, mix with Xiangyou (Sesame Oil) into a paste, spread on Nanqingbu (Southern Blue Cloth) to a thickness of half a finger, roll into strips, tie with thread, soak in Xiangyou (Sesame Oil) for one day, remove and scrape off excess oil, ignite one end, hold a coarse bowl underneath to catch dripping liquid, trim burnt cloth ash continuously, collect the medicinal oil, soak in cold water overnight to eliminate fire toxicity, then apply.
[Prescription Verse] Wuyun Gao applied to fetal eczema, sesame oil mixed with Boli Resina and Sulfur, spread on cloth, rolled and soaked in sesame oil, ignited to remove ash, using the oil is beneficial.
Runji Gao (Moisturizing Muscle Ointment) (see Head White Scale Wind)
Wufu Huadu Dan (Five Blessings Toxin-Resolving Pill) (see Chiyou Dandu)