夫小儿白秃疮者。由头上白点斑剥。初似癣。而上有白皮屑。久则生痂成疮。遂至遍头。
洗
九虫论云。是蛲虫动作而成此疮。乃至自小及长不瘥。头发秃落。故谓之白秃疮也。
治小儿白秃疮。瘥而复生。皂荚散方。
皂荚(二挺烧灰) 黄芩〔二(一)分〕 朱砂(一分细研) 麝香(一分细研) 黄
丹〔二(一)
分
上件药。捣罗为末。以浓醋脚调涂之。甚者不过三上瘥。
治小儿白秃疮。及诸癣。松脂膏方。
松脂(半两) 天南星(一分) 川乌头(一分去皮脐) 腻粉(一分) 杏仁(一两
汤浸去皮
别研
上件药。捣罗为末。先取油蜡。入于瓷器内。以慢火熔之。后下诸药末。和搅令匀。熬
三五
又方。
芜荑(一分) 豆豉(一分) 川椒(二十粒去目)
上件药。捣如泥。以陈酱汁调涂之。
治小儿白秃疮。痛痒不瘥方。
赤桑根(一两) 桃花(一两三月三日收未开者阴干)
上件药。捣细罗为散。以腊月猪脂和如膏。每使时。先以桑柴灰汁净洗。拭干涂之。即
瘥。
又方。
细柳枝(一握) 水银(半两以津研令星尽) 皂荚(一挺去皮子)
上件药。细锉。以醋一升。煎令浓。去滓。再熬成膏。下水银。搅令匀。以瓷盒盛。日
二涂
治小儿白秃疮。血发苦痒。野葛膏方。
野葛末(一两) 猪脂(一两) 羊脂(一两)
上件药。同煎三五沸。搅令匀。滤去滓。盛于瓷器中。候冷涂之。不过三上瘥。
治小儿白秃疮及疳。头发连根作穗脱落。发不生者。宜涂黑豆沥方。
黑豆(三合) 苣KT 子(三合) 诃黎勒皮(一两)
上件药。捣罗为末。以油水各半。拌令匀。内在竹筒中。用乱发塞口。以 火烧。沥取
膏。
又方。
巴豆(十枚去皮心研纸裹压去油) 盐(一块如粟子大) 麻油(一合)
上件药。都入乳钵内。研如膏。日三度涂之瘥。
治小儿白秃疮。发落苦痒。黄柏散方。
黄柏(末一两) 薰陆香(一两)
上件药。细研。以生麻油调稀稠得所。涂之。干即更涂。不过四五度。
治小儿白秃疮。发不生方。
上取蔓菁子川乌头。等分。烧灰细研。以生油和涂之。
治小儿白秃发不生。疮有汁出。或无汁。干燥痛方。
上取鸡子七枚。用黄。以铜器中急火熬令干。细研敷之。
治小儿白秃疮。久不瘥方。
上取鲫鱼一头。重四两者。去肚肠。实填乱发。以湿纸裹烧为灰。细研。入雄黄末二钱。
更
治小儿白秃疮方。
上取东引楝树枝。锉碎。捣罗为末。以猪脂和涂之。
又方。
马蔺(肠)根(一两锉微炒) 藜芦(半两去芦头锉炒令焦)
上捣罗为末。每用时。先以泔清净洗疮。拭干敷之。
又方。
梁上尘(五两)
上细研。每用时。先以皂荚汤。温温净洗疮。拭干敷之。
又方。
上用芫花捣末。以腊月猪脂和涂之。
又方。
上以雄鸡粪白细研。以陈酱汁调涂之。
又方。
上以熊脂五两。熔令消涂之。
又方。
上取瓦青衣细研。以生油调涂之。
又方。
上以醋泔洗头。后淋乔麦灰汁。再洗之。
又方。
上以葵根烧灰。细研敷之。
又方。
上以蛇蜕皮烧灰。细研敷之。
又方。
上以大蒜研令烂敷之。
又方。
上以牛粪涂之。
又方。
上以苦葶苈子微炒。捣如膏敷之。
小儿白秃疮,是由于头上出现白斑、皮肤剥落,起初类似癣疾,但表面有白色皮屑。时间久了会结痂形成疮疡,进而蔓延至整个头部。
《九虫论》记载,这是由蛲虫活动引起的这种疮疡,从幼童到成人久治不愈,导致头发脱落,因此称为白秃疮。
治疗小儿白秃疮,痊愈后复发的皂荚散方:
皂荚(二挺,烧成灰) 黄芩(二分) 朱砂(一分,细研) 麝香(一分,细研) 黄丹(二分)
以上药物,捣碎过筛为末。用浓醋调和涂抹患处。严重的,不超过三次即可痊愈。
治疗小儿白秃疮及各类癣疾的松脂膏方:
松脂(半两) 天南星(一分) 川乌头(一分,去皮脐) 腻粉(一分) 杏仁(一两,汤浸去皮,另研)
以上药物,捣碎过筛为末。先取油蜡放入瓷器内,用慢火熔化。然后加入诸药末,搅拌混合均匀。熬煮三五个时辰(注:原文此处可能有缺字或简写,通常指一定时间),制成膏状。
又一方:
芜荑(一分) 豆豉(一分) 川椒(二十粒,去目)
以上药物,捣烂如泥。用陈年的酱汁调和涂抹。
治疗小儿白秃疮,疼痛瘙痒久治不愈的方子:
赤桑根(一两) 桃花(一两,三月三日采集未开放的花瓣,阴干)
以上药物,捣细过筛为散剂。用腊月猪脂调和成膏。每次使用时,先用桑柴灰汁洗净患处,擦干后涂抹,即可痊愈。
又一方:
细柳枝(一握) 水银(半两,以唾液研磨至星点消失) 皂荚(一挺,去皮子)
以上药物,切碎。用一升醋煎煮至浓稠,去渣。再熬制成膏,加入水银,搅拌均匀。盛放在瓷盒中,每日涂抹两次。
治疗小儿白秃疮,血发苦痒的野葛膏方:
野葛末(一两) 猪脂(一两) 羊脂(一两)
以上药物,共同煎煮三五个沸程,搅拌均匀。滤去药渣,盛于瓷器中,冷却后涂抹。不超过三次即可痊愈。
治疗小儿白秃疮及疳积,头发连根像穗一样脱落,不再生长的,宜涂黑豆沥方:
黑豆(三合) 苣苔子(三合,注:原文“苣KT”疑为苣荬菜或类似植物种子,此处依字形推测或保留原意,通常指某种草药籽) 诃黎勒皮(一两)
以上药物,捣碎过筛为末。用油和水分各半,拌匀。放入竹筒中,用乱发塞住口,用火烧烤,沥取膏液。
又一方:
巴豆(十枚,去皮心,用纸包裹压榨去油) 盐(一块,如粟米大小) 麻油(一合)
以上药物,全部放入乳钵中,研磨成膏状。每日涂抹三次,即可痊愈。
治疗小儿白秃疮,脱发且痛苦瘙痒的黄柏散方:
黄柏(末一两) 薰陆香(即乳香,一两)
以上药物,细研。用生麻油调至稀稠适宜,涂抹患处。干了就再涂,不超过四五次。
治疗小儿白秃疮,头发不再生长的方子:
取蔓菁子和川乌头,等分,烧成灰细研。用生油调和涂抹。
治疗小儿白秃发不生,疮面有渗出液或无渗出液,干燥疼痛的方子:
取鸡蛋七个,只用蛋黄。在铜器中急火熬干,细研后敷贴患处。
治疗小儿白秃疮,久治不愈的方子:
取鲫鱼一条,重四两。去掉肚肠,填满乱发。用湿纸包裹烧成灰,细研。加入雄黄末二钱,更……(原文此处似有残缺,意为混合均匀)。
治疗小儿白秃疮方:
取向东生长的楝树枝,切碎,捣碎过筛为末。用猪脂调和涂抹。
又一方:
马蔺(马蔺草)根(一两,切碎微炒) 藜芦(半两,去芦头,切碎炒至焦黑)
以上捣碎过筛为末。每次使用时,先用淘米水洗净疮面,擦干后敷药。
又一方:
梁上尘(五两)
以上细研。每次使用时,先用皂荚汤温温地洗净疮面,擦干后敷药。
又一方:
用雄鸡粪白细研,用陈年酱汁调和涂抹。
又一方:
取熊脂五两,熔化后涂抹。
又一方:
用醋和淘米水洗头,然后用荞麦灰汁淋洗,再次清洗。
又一方:
用大蒜研烂后敷贴。
又一方:
用牛粪涂抹。
Pediatric white baldness tinea (Xia'er Bai Tu Chuang) is characterized by white patches and desquamation on the scalp. Initially resembling tinea (fungal infection), it presents with white scales. Over time, crusts form into sores, eventually spreading across the entire head.
According to the *Jiu Chong Lun* (Treatise on Nine Parasites), this condition arises from the activity of Enterobius vermicularis (pinworms). It persists from childhood to adulthood without healing, leading to hair loss, hence the name "white baldness tinea."
**Saponaria Dispersion Formula for Pediatric White Baldness Tinea that Recurs after Healing:**
- Gleditsiae Fructus Carbonis (Gao Jiao Tan): 2 pods, carbonized
- Scutellariae Radix (Huang Qin): 2 fen
- Cinnabar (Zhu Sha): 1 fen, finely ground
- Moschus (She Xiang): 1 fen, finely ground
- Minium (Huang Dan): 2 fen
Pulverize the above ingredients and sieve them into a fine powder. Mix with strong vinegar to form a paste for topical application. For severe cases, healing occurs within no more than three applications.
**Pinus Rosin Ointment Formula for Pediatric White Baldness Tinea and Various Tineas:**
- Pinus Rosin (Song Zhi): 0.5 liang
- Arisaema Rhizoma (Tian Nan Xing): 1 fen
- Aconiti Lateralis Radix Preparata (Chuan Wu Tou): 1 fen, skin and embryo removed
- Calomelas (Ni Fen): 1 fen
- Armeniacae Semen Amarum (Xing Ren): 1 liang, soaked in hot water, skin removed, separately ground
Pulverize and sieve the above ingredients. Melt beeswax and sesame oil in a porcelain vessel over low heat. Add the powdered herbs, stir uniformly, and simmer until an ointment consistency is achieved.
**Another Prescription:**
- Myrobalan Terminalia Chebula (Wu Yi): 1 fen
- Fermented Soybean (Dou Chi): 1 fen
- Sichuan Pepper (Chuan Jiao): 20 grains, eyes removed
Pulverize into a paste. Mix with aged soy sauce for topical application.
**Formula for Pediatric White Baldness Tinea with Persistent Pain and Itching:**
- Root Bark of Red Mulberry (Chi Sang Gen): 1 liang
- Peach Blossom (Tao Hua): 1 liang, collected on the third day of the third lunar month (unopened buds), dried in shade
Pulverize and sieve into a fine powder. Mix with lard rendered in the twelfth lunar month to form a膏 (ointment). Before each use, wash the area thoroughly with ash water from mulberry wood branches, dry, and apply. Healing follows.
**Another Prescription:**
- Young Willow Branches (Xi Liu Zhi): 1 handful
- Mercury (Shui Yin): 0.5 liang, triturated with saliva until granules disappear
- Gleditsiae Fructus (Gao Jiao): 1 pod, skin and seeds removed
Finely chop the herbs. Decoct in 1 sheng of vinegar until concentrated. Strain and further reduce to a paste. Add mercury and mix uniformly. Store in a porcelain container. Apply twice daily.
**Wild Ginger Ointment Formula for Pediatric White Baldness Tinea with Bloody Discharge, Bitterness, and Severe Itching:**
- Polygoni Multiflori Caulis (Ye Ge): 1 liang, powdered
- Porcine Fat (Zhu Zhi): 1 liang
- Ovine Fat (Yang Zhi): 1 liang
Simmer together for three to five boiling periods. Stir uniformly, strain, and store in a porcelain vessel. Apply when cool. Healing occurs within no more than three applications.
**Black Bean Drip Formula for Pediatric White Baldness Tinea and Gan Syndrome, where Hair Falls Out by the Root and Fails to Regrow:**
- Black Soybean (Hei Dou): 3 he
- Sesame Seeds or similar herb seed (Ju Mai Zi - Note: Original text "Ju KT" likely refers to a specific seed, interpreted here contextually): 3 he
- Chebula Terminalia Pericarpium (He Li Le Pi): 1 liang
Pulverize and sieve into a powder. Mix with equal parts oil and water. Place inside a bamboo tube, seal the mouth with loose hair, and roast over fire to drip out the medicinal juice/ointment.
**Another Prescription:**
- Croton Seed (Ba Dou): 10 grains, skin and heart removed, pressed between paper to remove oil
- Salt (Yan): One piece the size of a millet grain
- Sesame Oil (Ma You): 1 he
Grind all ingredients in a mortar until a paste forms. Apply three times daily for healing.
**Phellodendron Dispersion Formula for Pediatric White Baldness Tinea with Hair Loss, Pain, and Itching:**
- Phellodendri Cortex (Huang Bo): 1 liang, powdered
- Frankincense (Xun Lu Xiang / Ru Xiang): 1 liang
Finely grind. Mix with raw sesame oil to a suitable viscosity. Apply; reapply when dry. Healing occurs within four to five applications.
**Formula for Pediatric White Baldness Tinea where Hair Fails to Regrow:**
Take Radish Seeds (Man Jing Zi) and Prepared Aconite Root (Chuan Wu Tou) in equal proportions. Carbonize, grind finely, and mix with raw oil for topical application.
**Formula for Pediatric White Baldness Tinea with No Hair Regrowth, Exudative or Dry Sores, and Pain:**
Take seven chicken eggs. Use only the yolks. Cook rapidly in a copper vessel until dry. Grind finely and apply as a poultice.
**Formula for Chronic Pediatric White Baldness Tinea:**
Take one crucian carp weighing 4 liang. Remove guts, fill with loose hair. Wrap in wet paper and burn to ash. Grind finely. Add 2 qian of Realgar Powder (Xiong Huang) and mix.
**Formula for Pediatric White Baldness Tinea:**
Take Eastern-facing Chinaberry Tree Branches (Dong Yin Lian Shu). Chop, pulverize, and sieve. Mix with lard for topical application.
**Another Prescription:**
- Iris Root (Ma Lin Gen): 1 liang, chopped and lightly stir-fried
- Veratrum Root (Li Lu): 0.5 liang, rhizome removed, chopped and stir-fried until charred
Pulverize and sieve. Wash the sore with rice water before each use, dry, and apply.
**Another Prescription:**
- Dust from Roof Beams (Liang Shang Chen): 5 liang
Grind finely. Wash the sore gently with Saponaria decoction before each use, dry, and apply.
**Another Prescription:**
- Genkwa Flower (Yuan Hua): Pulverize. Mix with lard from the twelfth lunar month for topical application.
**Another Prescription:**
- Male Chicken Droppings (Xiong Ji Fen Bai): Finely grind. Mix with aged soy sauce for topical application.
**Another Prescription:**
- Bear Fat (Xiong Zhi): 5 liang. Melt and apply.
**Another Prescription:**
- Green Moss from Tiles (Wa Qing Yi): Finely grind. Mix with raw oil for topical application.
**Another Prescription:**
- Wash hair with vinegar and rice water, then rinse with Buckwheat Ash Juice. Repeat washing.
**Another Prescription:**
- Burn Mallow Root (Kui Gen) to ash, grind finely, and apply.
**Another Prescription:**
- Burn Snake Slough (She Tui Pi) to ash, grind finely, and apply.
**Another Prescription:**
- Crush Garlic (Da Suan) and apply.
**Another Prescription:**
- Apply Cow Dung (Niu Fen).
**Another Prescription:**
- Lightly stir-fry Descurainia Seeds (Ku Ting Li Zi), crush into a paste, and apply.