蝼蛄串者，乃得于思虑伤脾，脾气郁结所生。是疾气血浇薄者多，盖四肢属脾土，其患多生于两手，初起
骨中作痛，渐生
漫肿坚硬，不热不红，手背及内关前后连肿数块，不能转侧；日久出如豆腐浆汁，串通诸窍，日夜相流，肿痛
仍在，患者面黄肌瘦，饮食减少，日则寒热交作，内症并出。首尾俱宜益气养荣汤、加味逍遥散调和气血，扶
助脾胃，其中可生者十有二、三矣。补而不应，气血沥尽而亡者多。
益气养荣汤 加味逍遥散（见瘰 门）。
痘风疮，因痧、痘后毒发未尽，留热肌肤，复被外风侵入，其患先从细疮作痒，次渐沿开成片，脂水生痂，
搔之无度，因用麦饯散搽之，兼戒口味，避风自愈。
麦饯散
麦饯散治痘风疮 硫黄人信要相当
川椒生熟枯矾等 麻油调擦自然光
治小儿痘风作痒，叠叠成片，甚则顽麻不知痛。
用小麦一升炒枯黄色，乘热入钵内和硫黄四两、白砒一两，细末搅匀，待冷取起；加烟胶半斤，川椒三两，
生枯矾各二两共碾细末，临用葱汤洗净，用麻油调搽，油纸盖扎，三日一换，三次愈。
赤游丹，受毒于未生前，发病于有生后。盖身在胞胎，皆赖父精母血借以生养，父母不能节其欲，多致淫
火猖炽，胎必侵受；又不能戒诸浓味，以及炭火烘熏、重衾叠褥，往往受热，子无弗有，及致生后，热汤洗浴，
烘熏衣物，触动内毒，而欲发之时，先发身热、啼叫、惊搐，次生红肿光亮、发热，瞬息游走，发无定处。先
从头额起者，名天夺丹，以升麻葛根汤母子同
服。余皆起于腹背，流入四肢者轻，起于四肢、流入胸腹者重，有此总皆先砭恶血为要。砭血之后，先用精猪
肉缝片贴之一时许，换如意金黄散，用水芭蕉根捣汁调敷，甚者日换二次。内以大连翘饮、消毒犀角饮、五福
化毒丹。毒瓦斯入里，腹胀坚硬不乳者，紫雪散下之。三日后身渐彻凉，砭血之处肉便软活，声清腹软，乳哺如
常者顺，反此为逆。
升麻葛根汤
升麻葛根汤芍药 柴胡栀子共连翘
木通甘草同煎服 丹毒游行效最高
治丹毒身体发热，面红气急，啼叫惊搐等症服。
升麻 干葛 白芍 柴胡 黄芩 山栀（各一钱） 木通 甘草（各五分）
水二钟，煎八分，不拘时母子同服。
大连翘饮
大连翘饮栀芍归 车前滑石石膏随
荆防甘麦柴芩等 蝉蜕木通牛子宜
治小儿丹毒，发热痰涎壅盛，一切诸疮痧疹，颈项生核；或伤风伤寒，时行发热等症，并宜服之。
连翘 瞿麦 滑石 车前子 牛蒡子 赤芍 山栀 木通 当归 防风 黄芩 柴胡 甘草 荆芥 蝉蜕
石膏（各五分）
水二钟，灯心二十根，煎八分，母子同服。
消毒犀角饮
消毒犀角饮防风 加上黄连甘草同
还用灯心为引使 赤游丹肿效神功
治小儿丹毒，身热气粗，啼叫、惊搐不宁等症服。
犀角（镑） 防风（各一钱） 甘草（五分） 黄连（三分）
上水二钟，灯心二十根，煎四分，徐徐服之。
紫雪散
紫雪羚羊犀角同 升麻寒水石膏逢
玄参沉木香甘草 硝片朱砂金箔从
治小儿赤游丹毒，甚者毒瓦斯入里，肚腹膨胀，气急不乳，即宜此药救之。又治伤寒热燥发狂，及外科一切
蓄毒在内，烦躁口干，恍惚不宁等症。
升麻 寒水石 石膏 犀角 羚羊角（各一两） 玄参（二两） 沉香 木香（各五钱） 甘草（八钱）
水五碗，同药煎至五碗，滤清再煎滚，投提净朴硝三两六钱微火漫煎，水气将尽欲凝结之时，倾入碗内，
下朱砂、冰片各二钱，金箔一百张，各预研细和匀，碗顿水内，候冷凝成雪也。大人每用一钱，小儿二分，十
岁者五分，徐徐咽之即效。病重者加一钱亦可，或用淡竹叶、灯心汤化服。
针砭法
针砭法来针砭法 披针头向患中插
箸头复向针上敲 敲出血来以箸刮
治小儿赤游丹毒，红赤 肿，游走不定，须砭之。用披针锋尖向患上，以乌木重箸在针上面击之，密砭去
血多者为妙；血红者轻，紫者重，黑者死。砭毕温汤洗净，用干精猪肉缝大片贴砭处一时许，方换如意金黄散、
水芭蕉根捣汁调敷。
如意金黄散（见肿疡门）
治小儿赤游丹毒，红如朱，热如火，走如云，散及遍身不定者，用水芭蕉根捣汁调敷；加蜜亦可。
五福化毒丹（见胎瘤门）
蝼蛄串，是由于思虑过度损伤脾脏，导致脾气郁结而形成的疾病。这种病多见于气血虚弱之人，因为四肢归属于脾土，所以患处多生于双手。初起时骨中作痛，逐渐出现漫肿且坚硬，不热不红，手背及内关穴前后连成数块肿胀，无法转动；日久破溃流出如豆腐浆般的汁液，窜通各个孔窍，日夜不停流淌，肿痛依然存在，患者面色萎黄、肌肉消瘦，饮食减少，白天寒热交替发作，内部病症一并出现。治疗从头到尾都适宜使用益气养荣汤、加味逍遥散来调和气血，扶持扶助脾胃，其中能够治愈的约占十分之二三。如果补益后无效，因气血耗尽而死亡的很多。
益气养荣汤、加味逍遥散（见瘰疬门）。
痘风疮，是因为痧症、痘疹后余毒未清，余热留滞肌肤，又受到外风侵入所致。其症状先从细小疮疡瘙痒开始，随后逐渐蔓延成片，渗出脂水结成痂皮，搔抓无度，因此使用麦饯散涂抹，同时忌口，避风即可自愈。
麦饯散
麦饯散治疗痘风疮：硫黄与信石比例要相当，川椒、生熟枯矾各等分，用麻油调匀擦拭自然痊愈。
治疗小儿痘风瘙痒，层层叠叠成片，甚至顽固麻木不知疼痛。
取小麦一升炒至枯黄色，趁热放入钵内，加入硫黄四两、白砒一两，研成细末搅匀，待冷却后取出；再加入烟胶半斤、川椒三两、生枯矾和枯矾各二两，共同碾成细末。临用时用葱汤洗净患处，用麻油调匀涂抹，用油纸覆盖包扎，三天更换一次，三次即可痊愈。
赤游丹，是在出生前受毒，出生后发病。身体在胞胎中时，全靠父精母血滋养，父母不能节制欲望，多导致淫火猖獗，胎儿必然受到侵袭；又不能戒除浓味食物，以及炭火烘烤、厚被重褥，往往受热，胎儿无不受到影响。等到出生后，热水洗浴，衣物烘烤熏蒸，触动体内毒素，想要发作时，先发身热、啼叫、惊厥抽搐，接着产生红肿光亮、发热，瞬息间游走不定，发作没有固定位置。先从头额开始的，名叫天夺丹，用升麻葛根汤母子同服。其余大多从腹背开始，流入四肢的较轻，从四肢开始流入胸腹的较重，有此病总要先用砭法刺破放出恶血为关键。砭血之后，先用精猪肉切片贴敷约一个时辰，然后换用如意金黄散，用水芭蕉根捣汁调敷，严重的每天更换两次。内服大连翘饮、消毒犀角饮、五福化毒丹。如果毒气入里，腹胀坚硬不吃奶的，用紫雪散攻下。三天后身体逐渐彻底凉快，砭血处的肉变软灵活，声音清亮腹部柔软，吃奶如常的为顺证，反之则为逆证。
升麻葛根汤
升麻葛根汤含芍药，柴胡栀子共连翘，木通甘草同煎服，丹毒游行疗效最高。
治疗丹毒身体发热，面红气急，啼叫惊搐等症状服用。
升麻、干葛、白芍、柴胡、黄芩、山栀（各一钱），木通、甘草（各五分）。
水两钟，煎至八分，不拘时候母子同服。
大连翘饮
大连翘饮含栀芍归，车前滑石石膏随，荆防甘麦柴芩等，蝉蜕木通牛子宜。
治疗小儿丹毒，发热痰涎壅盛，一切诸疮痧疹，颈项生核；或伤风伤寒，时行发热等症状，都适宜服用。
连翘、瞿麦、滑石、车前子、牛蒡子、赤芍、山栀、木通、当归、防风、黄芩、柴胡、甘草、荆芥、蝉蜕、石膏（各五分）。
水两钟，灯心二十根，煎至八分，母子同服。
消毒犀角饮
消毒犀角饮配防风，加上黄连甘草同，还用灯心为引使，赤游丹肿效神功。
治疗小儿丹毒，身热气粗，啼叫、惊搐不安等症状服用。
犀角（镑片）、防风（各一钱），甘草（五分），黄连（三分）。
以上药物加水两钟，灯心二十根，煎至四分，慢慢服用。
紫雪散
紫雪羚羊犀角同，升麻寒水石膏逢，玄参沉木香甘草，硝片朱砂金箔从。
治疗小儿赤游丹毒，严重时毒气入里，肚腹膨胀，气急不吃奶，就应当用此药救治。又治疗伤寒热燥发狂，以及外科一切蓄毒在内，烦躁口干，恍惚不安等症状。
升麻、寒水石、石膏、犀角、羚羊角（各一两），玄参（二两），沉香、木香（各五钱），甘草（八钱）。
水五碗，同药煎至五碗，滤清再煎滚，投入提净朴硝三两六钱，微火慢煎，水气将尽欲凝结之时，倒入碗内，下朱砂、冰片各二钱，金箔一百张，预先研细混合均匀，碗置于水中，候冷凝成雪状。大人每次用一钱，小儿二分，十岁者五分，慢慢咽下即见效。病重者可加一钱也可，或用淡竹叶、灯心汤化开服用。
针砭法
针砭法来针砭法，披针头向患中插，箸头复向针上敲，敲出血来以箸刮。
治疗小儿赤游丹毒，红赤肿胀，游走不定，必须用砭法。用披针锋尖指向患处，用乌木重筷在针上面敲击，密集砭去较多血液为妙；血色红的轻，紫色的重，黑色的死。砭毕后用温汤洗净，用干精猪肉大片贴敷砭处约一个时辰，然后换用如意金黄散、水芭蕉根捣汁调敷。
如意金黄散（见肿疡门）
治疗小儿赤游丹毒，红如朱砂，热如火焰，走如云气，散布遍身不定者，用水芭蕉根捣汁调敷；加蜂蜜也可以。
五福化毒丹（见胎瘤门）
Lougu Chuan (Mole Cricket Striation) is caused by excessive worry damaging the Spleen, leading to Qi stagnation. This disease mostly affects those with deficient and thin Qi and Blood, as the four limbs belong to the Earth element of the Spleen; thus, lesions often occur on both hands. Initially, there is pain in the bones, gradually developing into diffuse swelling that is hard, without heat or redness. Swelling occurs in several blocks connecting the back of the hand and the areas before and after Neiguan (PC6), making movement impossible. After a long time, it breaks open, discharging fluid resembling tofu dregs, spreading through various orifices, flowing day and night, while pain and swelling persist. The patient appears sallow and emaciated, with reduced appetite, alternating chills and fever during the day, and internal symptoms manifesting together. Throughout the course of the disease, Yi Qi Yang Rong Tang (Qi-Nourishing and Blood-Enriching Decoction) and Jia Wei Xiao Yao San (Modified Free Wanderer Powder) are suitable to harmonize Qi and Blood, support the Spleen and Stomach. Only two or three out of ten cases may recover. If tonification fails, death due to exhaustion of Qi and Blood is common.
Yi Qi Yang Rong Tang, Jia Wei Xiao Yao San (see Scrofula Section).
Dou Feng Chuang (Chickenpox Wind Ulcer) arises from residual toxins from smallpox or measles not fully cleared, leaving heat in the skin, compounded by external wind invasion. Symptoms begin with itching from fine ulcers, which gradually spread into patches, exuding serum and forming scabs. Excessive scratching necessitates the application of Mai Jiang San (Wheat Paste Powder), along with dietary restrictions and avoidance of wind for self-healing.
Mai Jiang San
Mai Jiang San treats Dou Feng Chuang: Sulfur and Realgar should be proportioned equally; Sichuan Pepper, raw and calcined Alum in equal parts; mix with Sesame Oil for application, resulting in natural recovery.
It treats pediatric Dou Feng causing itching, layer upon layer in patches, even becoming numb and insensitive to pain.
Take one sheng of wheat, stir-fry until charred yellow, place in a mortar while hot, add four liang of Sulfur and one liang of White Arsenic, grind into fine powder and mix well. Let cool and remove; add half a jin of Tobacco Resin, three liang of Sichuan Pepper, and two liang each of raw and calcined Alum. Grind all into fine powder. Before use, wash the lesion with Scallion Decoction, apply mixed with Sesame Oil, cover with oil paper, change every three days. Three applications will cure.
Chi You Dan (Red Roaming Erysipelas) receives toxicity before birth and manifests after birth. While in the womb, the fetus relies on paternal essence and maternal blood for nourishment. If parents cannot restrain their desires, excessive fire flares up, invading the fetus; if they do not avoid rich foods, charcoal heating, or heavy quilts, heat accumulates, affecting the fetus. After birth, hot water bathing, heated clothing, and薰 steaming can trigger internal toxins. Upon onset, fever, crying, and convulsions appear first, followed by red, swollen, shiny, and hot areas that migrate rapidly without fixed locations. If starting from the forehead, it is called Tian Duo Dan (Heaven-Plundered Dan); treat with Sheng Ma Ge Gen Tang (Cimicifugae et Puerariae Decoction) taken by mother and child together. Lesions starting on the abdomen/back spreading to limbs are mild; those starting on limbs spreading to chest/abdomen are severe. In all cases, phlebotomy (Bian Fa) to release bad blood is essential. After phlebotomy, apply fresh lean pork slices for about one hour, then replace with Ru Yi Jin Huang San (Ruyi Golden Yellow Powder) mixed with juice of Musa Basjoo root. Severe cases require twice-daily changes. Internally administer Da Lian Qiao Yin (Large Forsythia Drink), Xiao Du Xi Jiao Yin (Detoxifying Rhinoceros Horn Drink), or Wu Fu Hua Du Dan (Five Blessings Detoxifying Pill). If toxins enter the interior causing abdominal distension, hardness, and refusal to nurse, use Zi Xue San (Purple Snow Powder) to purge. After three days, if the body cools completely, flesh at phlebotomy sites becomes soft and mobile, voice clear, abdomen soft, and nursing normal, this is favorable (Shun); otherwise, it is unfavorable (Ni).
Sheng Ma Ge Gen Tang
Sheng Ma Ge Gen Tang contains Shaoyao, Chaihu, Zhizi, and Lianqiao; combined with Mutong and Gancao, it effectively treats migrating erysipelas.
It treats erysipelas with fever, facial redness, rapid breathing, crying, and convulsions.
Shengma, Gegen, Baishao, Chaihu, Huangqin, Zhizhi (each 1 qian); Mutong, Gancao (each 0.5 qian).
Decoct in two zhong of water to obtain eight fen. Take at any time, shared by mother and child.
Da Lian Qiao Yin
Da Lian Qiao Yin contains Zhizi, Shaoyao, Danggui, Cheqian, Huashi, and Shigao; Jingjie, Fangfeng, Gancao, Xiaomai, Chaihu, Huangqin, Chan Tui, Mutong, and Niuzi are also suitable.
It treats pediatric erysipelas with fever and profuse phlegm-saliva, all sores and rashes, cervical lymphadenopathy; or wind-cold/wind-heat with epidemic fever.
Lianqiao, Qumai, Huashi, Cheqianzi, Niuzi, Chishao, Zhizi, Mutong, Danggui, Fangfeng, Huangqin, Chaihu, Gancao, Jingjie, Chan Tui, Shigao (each 0.5 qian).
Decoct in two zhong of water with twenty roots of Dengxincao to obtain eight fen. Take shared by mother and child.
Xiao Du Xi Jiao Yin
Xiao Du Xi Jiao Yin combines Fangfeng, Huanglian, and Gancao, using Dengxincao as a guide, showing miraculous efficacy for Chi You Dan swelling.
It treats pediatric erysipelas with fever, rough breathing, crying, and restless convulsions.
Xi Jiao (sliced), Fangfeng (each 1 qian); Gancao (0.5 qian); Huanglian (0.3 qian).
Decoct in two zhong of water with twenty roots of Dengxincao to obtain four fen. Administer slowly.
Zi Xue San
Zi Xue San combines Lingyang Jiao and Xi Jiao with Shengma, Hanshui Shi, and Shigao; Xuanshen, Chenxiang, Muxiang, Gancao, Xiaoshi, Zhusha, and Jinbo follow.
It treats severe pediatric Chi You Dan where toxins enter the interior causing abdominal distension, rapid breathing, and refusal to nurse. It also treats mania from cold-heat dryness, and surgical conditions with internal accumulated toxins causing irritability, dry mouth, and mental confusion.
Shengma, Hanshui Shi, Shigao, Xi Jiao, Lingyang Jiao (each 1 liang); Xuanshen (2 liang); Chenxiang, Muxiang (each 5 qian); Gancao (8 qian).
Decoct in five bowls of water until five bowls remain, filter, boil again. Add purified Xiaoshi (3.6 liang), simmer gently until nearly dry and congealing. Pour into a bowl. Add Zhusha and Bingpian (each 2 qian), and 100 sheets of Jinbo, previously ground fine and mixed evenly. Place bowl in water to cool and solidify like snow. Adults take 1 qian; infants 2 fen; 10-year-olds 5 fen. Swallow slowly for effect. For severe cases, add 1 qian. Can also be dissolved in Danzhuye or Dengxin Decoction.
Zhen Bian Fa (Needle Phlebotomy Method)
The Zhen Bian method involves inserting the needle head into the lesion, striking the needle with chopsticks, scraping out blood with chopsticks.
It treats pediatric Chi You Dan with red, swollen, migrating lesions requiring phlebotomy. Use a broad-bladed needle pointed at the lesion, strike the needle with heavy ebony chopsticks. Releasing abundant blood is ideal; bright red indicates mildness, purple indicates severity, black indicates fatality. After phlebotomy, wash with warm water, apply large slices of dry lean pork to the site for about an hour, then replace with Ru Yi Jin Huang San mixed with Musa Basjoo root juice.
Ru Yi Jin Huang San (see Abscess Section)
It treats pediatric Chi You Dan with redness like cinnabar, heat like fire, migration like clouds, spreading over the whole body unpredictably. Apply mixed with Musa Basjoo root juice; honey may be added.
Wu Fu Hua Du Dan (see Fetal Tumor Section)