（痈疽瘰 ）凡十一门
《巢氏病源》小儿痈疮候∶六腑不和，寒气客于皮肤，寒搏于血，则壅遏不通，稽留于经络之间，结肿而成
痈。其状肿，上皮薄而泽是也。热气乘之，热胜于寒，则肉血腐败化为脓。脓溃之后，其疮不瘥，故曰∶痈疮也。
《养生必用》论治痈疽等方谓∶凡痈疽始作，皆须以大黄等药极转利。既利之后，病患当自知之，勿以困苦
为念。若曰∶与其腹背溃烂，脏腑焦枯，脓血流漓，孔穴穿空，备诸恶而死，不若利而死，况有生道哉。古圣
贤立法，率用五香连翘、漏芦等汤。道路贫苦，恐不能及，即单煮大黄、甘草作汤以利之。须排日不废，直
至脓溃、渐有生意，即服黄 等药，排脓止痛，《千金》、《外台》备矣。世医不学，蔽以妄意，不达标本。皆
曰∶疮发于表，岂可转利，死者比比，良可悲夫。孙真人云∶缓急单煮大黄一物，服取快利，此要法也。
张涣谨按∶小儿痈疽、毒肿、疮疖、瘰 、结核、瘿气、诸 、疳疮等，皆与大人无异。经云∶五脏不和，
则九窍不通，六腑不和，则流结为痈，皆由寒热结搏。浅则为痈，甚则为疽。毒肿者挟风，又肿及寸者为疖。
邪热上冲于头面则生疮，结于皮肤间则成瘰 。气结于颈下则成瘿，病久不瘥则成 ，甚则成疳，本根一也。
《千金》漏芦汤 治小儿热毒痈疽赤白，诸丹毒疮疖方。
漏芦 连翘（《肘后》用白薇） 白蔹 芒硝（《肘后》用芍药） 甘草（炙。各六铢） 黄芩 升麻 枳实（麸炒）
麻黄（去根节。各九铢） 大黄（一两）
上十味， 咀，以水一升半，煎取五合。儿生一日至七日取一合，分三服。八日至十五日取一合半，分三
服。十六日至二十日取二合，分三服。二十日至三十日取三合，分三服。三十日至四十日取五合，分三服。
（《肘后》治大人用漏芦、白蔹、黄芩、白薇、枳实、炙、升麻、甘草炙、芍药、麻黄去节各二两，大黄三两，十
物以水一斗，煮取三升。若无药，用大黄下之佳。其丹毒须针才去血。《经心录》无连翘，有知母、芍药、犀角各等分。）
《千金》五香连翘汤 治小儿风热毒肿，肿色白，或有恶核、瘰 、附骨痈疽、节解不举，白丹走竟身中，白
疹瘙不已方。
青木香 薰陆香 鸡舌香 沉香 麻黄（去根节） 黄芩（各六铢） 升麻 枳实（麸炒） 连翘 海藻 射干（各
半两） 麝香（三铢） 大黄（二两） 竹沥（三合）
上十四味 咀，以水四升煮药，减半内竹沥，煮取一升二合。儿生百日至二百日，一服三合。二百日至期
岁，一服五合。一方不用麻黄。
《千金》治大人小儿痈肿方。
上用生猪脑敷纸上贴之，干则易，日三、四度。
《千金》又方
上用芥子末汤和，敷纸上贴。（《千金翼》以猪胆和涂。）
《千金》又方
上用白姜石末、蒜和捣，敷上瘥。
《千金》又方
上马鞭草捣，敷上即头出。
《千金翼》禁痈方。
咒曰∶痈非痈，疖非疖，土块矢，痈即灭。三七遍，取一土块摩肿上，传与病患，男左女右。
《圣惠》治小儿痈肿成疮，脏腑壅滞。犀角散方
犀角（屑） 红雪 元参 赤芍药 荠 葳蕤 升麻（各半两） 甘草（一分） 麦门冬（三分，去心焙）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓，入竹沥半合，更煎一两沸，量儿大小，
不计时候，分减服之。
《圣惠》治小儿心肺热毒，攻于诸处，生痈疮及项腋下有结核，烦热疼痛，不得睡卧，宜服吴蓝叶散方。
吴蓝叶 犀角（屑） 元参 川升麻 栀子仁 甘草 黄 （锉） 连翘子（各半两） 大青 黄芩（各一分） 川
大黄（三分，锉碎，微炒）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓，量儿大小，不计时候，分温服。
《圣惠》治小儿痈疮及丹毒疮疖。漏芦散方
漏芦 麻黄（去根节） 连翘 川升麻 黄芩 川芒硝 甘草（各一分） 白蔹（三分） 大黄（一两，锉，微炒）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓，量儿大小，不计时候，分减温服。
《圣惠》治小儿痈疮脓溃，数日不止，致体虚烦热，头痛昏闷，黄 散方。
黄 （锉） 防风（去芦头） 川升麻 羚羊角（屑） 白茯苓 甘草 地骨皮 人参（去芦头，各半两） 芎
（一分） 石膏（一两）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分去滓，量儿大小，不计时候，分减温服。
《圣惠》治小儿痈疮脓水出不尽，心中烦闷不已。麦门冬散方
麦门冬（三分，去心，焙） 紫葛（锉） 黄 （锉） 川升麻 犀角（屑） 甘草（炙微赤，锉） 木通（各半
两）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分去滓，量儿大小，不计时候，分减温服。
《圣惠》治小儿痈疮，脏腑壅热太过，心神烦闷，大小便不通。大黄散方
川大黄（锉碎，微炒） 川升麻 葵子 川朴硝（各半两） 栀子仁（一分）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓温服，以利为度，更量儿大小加减服之。
《圣惠》治小儿痈疮，脏腑涩滞。大麻仁丸方
大麻仁（二两） 枳实（麸炒，微炒黄，去瓤） 甘草（炙微赤，锉） 木香（各半两） 川大黄（锉碎，微炒）
牛蒡子（微炒。各一两）
上件药捣，罗为末，炼蜜和丸如绿豆大。每服以熟水下十丸，以利为度，更量儿大小加减服之。
《圣惠》治小儿痈疮肿毒，热赤疹痛。消肿散方
川大黄（生锉） 杏仁（汤浸去皮，别研） 盐花（各三分）
上件药捣，细罗为散。入杏仁，以新汲水和，稀稠得所，旋取涂疮肿上，干即易之，以效为度。
《圣惠》治小儿痈疮肿方。
上用益母草不限多少，锉碎，捣取汁，每服半合，量儿大小加减服之。更以滓敷痈疮上良。
《圣惠》又方
上用鸡羽毛七枚，烧灰细研，以水调服之即溃。
《圣惠》又方
上用伏龙肝末，以好醋调作膏，涂于故帛上贴之。
《圣惠》又方
上以地松烂捣敷之，干即易之。
《圣惠》又方
上以马齿苋烂捣敷之。
《圣惠》又方
上用赤小豆末，以鸡子白和，涂之。
《圣惠》又方
上用地龙粪以新汲水调涂之。
《圣惠》又方
上以龙葵菜烂捣敷之。
《圣惠》又方
上以鸡肠草烂捣敷之。
《圣惠》又方
上以芸薹叶烂捣敷之。
《圣惠》又方
上以景天叶烂捣敷之。
茅先生小儿身上发痈毒方。
黄丹 草乌 天南星（末） 白芨（各等分）
上为末，冷水调如泥，用纸贴赤肿处，不久自破。
《婴孺》漏芦汤 治小儿热毒痈疽赤白丹、疮疖方。
漏芦 连翘 白蔹 芒硝 甘草（炙。各一分） 细辛 升麻 枳实（炙） 麻黄（去节） 黄芩（各三分） 大
黄（四分）
上以水一升煮五合。儿生一日至七日，一合为三服。八日至十五日，一合半为三服。十六日至二十日，二
合为三服。二十日至三十日，三合为三服。三十日至四十日，五合为三服。百日至二百日，一服三合。二百
日及一岁，一服五合。此方比《千金》加细辛及分两不同尔。
张涣连翘散方 治痈疖等。
连翘（一两） 沉香 黄 （各半两） 白蔹 川朴硝 川大黄（炮） 甘草
上件捣，罗为粗散，每服一钱，水一盏，抄入麝香一钱，煎至五分，去滓放温服，食后。
张涣益母散方 痈疖皆可用。
益母草（烧灰，二两） 盐花（炒干，一两） 伏龙肝（半两）
上件研为细末，每用一钱，新水调，稀稠得所，旋取涂上疮口。
《惠眼观证》白乳散 涂破痈毒方。
白丁香（半两） 乳香 黄丹 白芨（各一分）
上为末，用水调涂在帛上贴之。
《惠眼观证》柏连散 合痈疮口方。
黄柏 黄连 白蔹 白芨
上等分为末。每用二钱，以水调浓贴之。如汤火所伤，以鸡子清调涂，两上愈。
长沙医者郑愈传治痈疽身上热冷泻不止，郁金散方
郁金 青皮（各二钱） 白豆蔻（一个，面裹煨）
上件为末，少许点于奶上吃。
《千金》灸法∶大人小儿痈肿，灸两足、大拇指奇中立瘥。仍随病左右。
《诸病源候论》中关于小儿痈疮的论述：六腑功能失调，寒气侵袭皮肤，寒邪与血液搏结，导致气血壅滞不通，停留于经络之间，凝结肿胀而形成痈。其症状表现为局部肿胀，表皮薄且光亮。若热气乘虚而入，热势超过寒势，则肌肉和血液腐败化为脓液。脓液溃破后，如果疮口不能愈合，就称为“痈疮”。
《养生必用》中讨论治疗痈疽等疾病的方剂时说：凡是痈疽初起，都必须使用大黄等药物强力通利大便。通便之后，患者自己会感到舒适，不要担心身体虚弱痛苦。如果说：“与其让腹背溃烂、脏腑焦枯、脓血流尽、孔洞穿空，遭受各种恶疾而死，不如通过通便排泄而死，况且还有生存的希望呢。”古代圣贤制定法则，通常使用五香连翘汤、漏芦汤等。对于路途遥远或贫困困苦的人家，恐怕无法负担这些药物，那就单煮大黄、甘草做成汤剂来通利大便。必须每天坚持服用不中断，直到脓液溃破、逐渐恢复生机时，再服用黄芪等药物，以排脓止痛，《千金方》和《外台秘要》中记载得很详细。世俗医生不学习经典，被妄意蒙蔽，不能触及疾病根本。都说：“疮疡发于体表，怎么可以通利大便？”导致死者比比皆是，实在令人悲哀。孙思邈说：“在紧急情况下，单煮大黄一味药服用，以求快速通利，这是关键的方法。”
张涣谨慎地按语：小儿的痈疽、毒肿、疮疖、瘰疬、结核、瘿气、各种瘘管、疳疮等，都与成人没有不同。医经说：“五脏不和，则九窍不通；六腑不和，则气血流注凝结而成痈”，这都是由寒热邪气交结搏阻所致。病位浅表的称为痈，严重的称为疽。毒肿是兼夹风邪，又肿胀蔓延至一寸左右的称为疖。邪热上冲头面则生疮，结聚在皮肤间则形成瘰疬。气结聚在颈部下方则形成瘿，病程长久不愈则形成瘘，严重时形成疳疮，其根本原因是一样的。
《千金方》漏芦汤：治疗小儿热毒引起的赤白痈疽，以及各种丹毒、疮疖的方剂。
药材：漏芦、连翘（《肘后备急方》用白薇）、白蔹、芒硝（《肘后备急方》用芍药）、甘草（炙。各六铢）、黄芩、升麻、枳实（麸炒）、麻黄（去根节。各九铢）、大黄（一两）。
以上十味药，切碎，用水一升半，煎取五合药汁。出生一日至七日的婴儿，取一合，分三次服用。八日至十五日，取一合半，分三次服用。十六日至二十日，取二合，分三次服用。二十日至三十日，取三合，分三次服用。三十日至四十日，取五合，分三次服用。（《肘后备急方》治疗成人用漏芦、白蔹、黄芩、白薇、枳实、炙甘草、升麻、炙甘草、芍药、去节麻黄各二两，大黄三两，十味药用水一斗，煮取三升。如果没有其他药，用大黄泻下效果更佳。其中的丹毒必须针刺放血才能去除。《经心录》中没有连翘，有知母、芍药、犀角各等分。）
《千金方》五香连翘汤：治疗小儿风热毒肿，肿胀颜色发白，或有恶核、瘰疬、附骨疽、关节活动不利，白丹毒蔓延全身，白疹瘙痒不止的方剂。
药材：青木香、薰陆香（乳香）、鸡舌香（丁香）、沉香、麻黄（去根节）、黄芩（各六铢）、升麻、枳实（麸炒）、连翘、海藻、射干（各半两）、麝香（三铢）、大黄（二两）、竹沥（三合）。
以上十四味药切碎，用水四升煮药，水量减半后加入竹沥，继续煮取一升二合。出生百日至二百日的婴儿，一次服用三合。二百日至一岁，一次服用五合。另一版本不用麻黄。
《千金方》治疗成人小儿痈肿的方剂。
上面用生猪脑敷在纸上贴患处，干了就更换，每天三四次。
《千金方》又一方
上面用芥子末加温水调和，敷在纸上贴患处。（《千金翼方》用猪胆汁调和涂抹。）
《千金方》又一方
上面用白姜石末、大蒜一起捣烂，敷在患处可痊愈。
《千金翼方》禁治痈方的咒语。
咒语说：“痈不是痈，疖不是疖，土块和大便，痈即消灭。”念三七遍，取一块土块在肿胀处摩擦，传给病人，男左女右。
《太平圣惠方》治疗小儿痈肿成疮，脏腑壅滞的犀角散方。
药材：犀角（镑屑）、红雪、玄参、赤芍药、荠苨、玉竹、升麻（各半两）、甘草（一分）、麦门冬（三分，去心焙干）。
以上药物捣碎，粗筛为散剂。每次服用一钱，用水一小盏，煎至五分，去渣，加入竹沥半合，再煎一两沸，根据孩子大小，不限时候，分次减量服用。
《太平圣惠方》治疗小儿心肺热毒，攻窜各处，生痈疮及项腋下有结核，烦热疼痛，无法睡卧，宜服用的吴蓝叶散方。
药材：吴蓝叶、犀角（镑屑）、玄参、川升麻、栀子仁、甘草、黄芪（锉）、连翘子（各半两）、大青、黄芩（各一分）、川大黄（三分，锉碎，微炒）。
以上药物捣碎，粗筛为散剂。每次服用一钱，用水一小盏，煎至五分，去渣，根据孩子大小，不限时候，分温服用。
《太平圣惠方》治疗小儿痈疮及丹毒疮疖的漏芦散方。
药材：漏芦、麻黄（去根节）、连翘、川升麻、黄芩、川芒硝、甘草（各一分）、白蔹（三分）、大黄（一两，锉，微炒）。
以上药物捣碎，粗筛为散剂。每次服用一钱，用水一小盏，煎至五分，去渣，根据孩子大小，不限时候，分次减量温服。
《太平圣惠方》治疗小儿痈疮脓液溃破，数日不止，导致身体虚弱烦热，头痛昏闷的黄芪散方。
药材：黄芪（锉）、防风（去芦头）、川升麻、羚羊角（镑屑）、白茯苓、甘草、地骨皮、人参（去芦头，各半两）、川芎（一分）、石膏（一两）。
以上药物捣碎，粗筛为散剂。每次服用一钱，用水一小盏，煎至五分去渣，根据孩子大小，不限时候，分次减量温服。
《太平圣惠方》治疗小儿痈疮脓水排出不尽，心中烦闷不已的麦门冬散方。
药材：麦门冬（三分，去心，焙干）、紫葛（锉）、黄芪（锉）、川升麻、犀角（镑屑）、甘草（炙微赤，锉）、木通（各半两）。
以上药物捣碎，粗筛为散剂。每次服用一钱，用水一小盏，煎至五分去渣，根据孩子大小，不限时候，分次减量温服。
《太平圣惠方》治疗小儿痈疮，脏腑壅热太过，心神烦闷，大小便不通的大黄散方。
药材：川大黄（锉碎，微炒）、川升麻、葵子、川朴硝（各半两）、栀子仁（一分）。
以上药物捣碎，粗筛为散剂。每次服用一钱，用水一小盏，煎至五分，去渣温服，以通利大便为度，再根据孩子大小加减服用。
《太平圣惠方》治疗小儿痈疮，脏腑涩滞的大麻仁丸方。
药材：大麻仁（二两）、枳实（麸炒，微炒黄，去瓤）、甘草（炙微赤，锉）、木香（各半两）、川大黄（锉碎，微炒）、牛蒡子（微炒。各一两）。
以上药物捣碎，过筛为末，炼蜜和丸如绿豆大。每次用熟水送服十丸，以通利大便为度，再根据孩子大小加减服用。
《太平圣惠方》治疗小儿痈疮肿毒，热赤疹痛的消肿散方。
药材：川大黄（生锉）、杏仁（温水浸泡去皮，另研）、盐花（各三分）。
以上药物捣碎，细筛为散剂。加入杏仁，用新汲水调和，稀稠适中，随时取涂在疮肿上，干了就更换，以见效为度。
《太平圣惠方》治疗小儿痈疮肿的方剂。
上面用益母草不限多少，切碎，捣取汁液，每次服用半合，根据孩子大小加减服用。剩下的药渣敷在痈疮上很好。
《太平圣惠方》又一方
上面用鸡羽毛七枚，烧成灰细研，用水调服即可溃破。
《太平圣惠方》又一方
上面用伏龙肝末，用好醋调成膏状，涂在旧布上贴患处。
《太平圣惠方》又一方
上面用地龙粪用新汲水调涂之。
茅先生小儿身上发痈毒方。
药材：黄丹、草乌、天南星（末）、白芨（各等分）。
以上为末，冷水调如泥状，用纸贴在红肿处，不久自然破溃。
《婴孺方》漏芦汤：治疗小儿热毒痈疽赤白丹、疮疖的方剂。
药材：漏芦、连翘、白蔹、芒硝、甘草（炙。各一分）、细辛、升麻、枳实（炙）、麻黄（去节）、黄芩（各三分）、大黄（四分）。
以上用水一升煮取五合。出生一日至七日，一合分三次服。八日至十五日，一合半分三次服。十六日至二十日，二合分三次服。二十日至三十日，三合分三次服。三十日至四十日，五合分三次服。百日至二百日，一次服三合。二百日及一岁，一次服五合。此方比《千金方》加了细辛且分量不同。
张涣连翘散方：治疗痈疖等。
药材：连翘（一两）、沉香、黄芪（各半两）、白蔹、川朴硝、川大黄（炮）、甘草。
以上捣碎，筛为粗散，每次服用一钱，水一盏，加入麝香一钱，煎至五分，去渣放温服，饭后服用。
张涣益母散方：痈疖皆可用。
药材：益母草（烧灰，二两）、盐花（炒干，一两）、伏龙肝（半两）。
以上研为细末，每次用一钱，新水调匀，稀稠适中，随时取涂上疮口。
《惠眼观证》白乳散：涂破痈毒方。
药材：白丁香（半两）、乳香、黄丹、白芨（各一分）。
以上为末，用水调涂在帛上贴之。
《惠眼观证》柏连散：合拢痈疮口方。
药材：黄柏、黄连、白蔹、白芨。
以上等分为末。每次用二钱，用水调浓贴之。如果是汤火烫伤，用鸡蛋清调涂，两处都能痊愈。
长沙医者郑愈传授治疗痈疽身上热冷泻不止的郁金散方。
药材：郁金、青皮（各二钱）、白豆蔻（一个，面粉包裹煨）。
以上为末，少许点于乳汁中吃。
[Carbuncles, Ulcers, and Scrofula] Divided into eleven categories.
*Zhubing Yuanhou Lun* (Source of All Diseases) on the syndrome of pediatric carbuncles and sores: When the functions of the six fu-organs are disharmonious, cold pathogenic factors invade the skin. Cold condenses with blood, causing stagnation and obstruction, lingering between the meridians and collaterals, knotting and swelling to form a carbuncle. Its presentation involves local swelling, with thin, shiny epidermis. If heat pathogenic factors take advantage of this, and heat exceeds cold, muscle and blood rot and transform into pus. After the pus ruptures, if the sore does not heal, it is called "carbuncle and sore."
*Yangsheng Biyong* (Essentials for Health Preservation) discusses prescriptions for treating carbuncles and ulcers: Whenever a carbuncle or ulcer first appears, one must use herbs such as *Rhei Radix et Rhizoma* (Dahuang) to strongly promote bowel movement. After bowel movement is achieved, the patient will naturally feel comfortable; do not worry about physical weakness or distress. One might say, "Rather than suffering abdominal and back ulceration, scorching of the internal organs, profuse flow of pus and blood, perforation of holes, and death from various malignant conditions, it is better to die through purgation, let alone have a chance of survival." The ancient sages established laws, generally using formulas such as *Wuxiang Lianqiao Decoction* and *Loulu Decoction*. For those in remote areas or living in poverty who cannot afford these drugs, one may decoct only *Rhei Radix et Rhizoma* (Dahuang) and *Glycyrrhizae Radix et Rhizoma* (Gancao) to promote purgation. This must be done daily without interruption until the pus ruptures and vitality gradually returns, at which point herbs like *Astragali Radix* (Huangqi) should be taken to expel pus and relieve pain. These are well documented in *Qianjin Fang* (Prescriptions Worth a Thousand Gold) and *Waitai Miyao* (Secret Essentials of the Outer Chamber). Modern physicians who do not study classics are blinded by subjective opinions and fail to address the root cause. They claim, "Sores manifest on the exterior; how can one use purgatives?" resulting in frequent deaths, which is truly lamentable. Sun Simiao said, "In emergencies, decocting a single herb of *Rhei Radix et Rhizoma* (Dahuang) to achieve rapid purgation is a crucial method."
Zhang Huan cautiously notes: Pediatric carbuncles, ulcers, toxic swellings, furuncles, scrofula, tubercles, goiter, various fistulas, and gan-sores are no different from those in adults. The classics state: "When the five zang-organs are disharmonious, the nine orifices become obstructed; when the six fu-organs are disharmonious, qi and blood flow and knot to form carbuncles." All are caused by the binding and struggling of cold and heat pathogens. Superficial involvement constitutes a carbuncle; severe involvement constitutes an ulcer. Toxic swelling involves concurrent wind pathogens; swelling extending up to one cun is called a furuncle. Evil heat rushing upward to the head and face causes sores; knotting between the skin forms scrofula. Qi knotting below the neck forms goiter; prolonged illness that fails to heal forms fistulas; severely, it forms gan-sores. The root cause is identical.
*Qianjin Fang* (Prescriptions Worth a Thousand Gold) Loulu Decoction: A prescription for treating pediatric red-and-white carbuncles and ulcers caused by heat-toxin, as well as various erysipelas, sores, and furuncles.
Herbs: *Euphorbiae Humifusae Herba* (Loulu), *Forsythiae Fructus* (Lianqiao - *Zhouhou* uses *Cynanchi Atrati Radix* [Baiwei]), *Ampelopsis Radix* (Bailian), *Natrii Sulfas* (Mangxiao - *Zhouhou* uses *Paeoniae Radix Alba* [Baishao]), *Glycyrrhizae Radix et Rhizoma* (Gancao, honey-fried. Each 6 zhu), *Scutellariae Radix* (Huangqin), *Cimicifugae Rhizoma* (Shengma), *Immaturae Fructus Citri Reticulatae* (Zhishi, bran-fried), *Ephedrae Herba* (Mahuang, remove roots and joints. Each 9 zhu), *Rhei Radix et Rhizoma* (Dahuang, 1 liang).
The above ten herbs are cut into pieces, decocted in 1.5 sheng of water to yield 5 he of liquid. For infants aged 1 to 7 days, administer 1 he divided into three doses. For 8 to 15 days, 1.5 he divided into three doses. For 16 to 20 days, 2 he divided into three doses. For 20 to 30 days, 3 he divided into three doses. For 30 to 40 days, 5 he divided into three doses. (*Zhouhou* treats adults using *Euphorbiae Humifusae Herba* (Loulu), *Ampelopsis Radix* (Bailian), *Scutellariae Radix* (Huangqin), *Cynanchi Atrati Radix* (Baiwei), *Immaturae Fructus Citri Reticulatae* (Zhishi), honey-fried *Glycyrrhizae Radix et Rhizoma* (Gancao), *Cimicifugae Rhizoma* (Shengma), honey-fried *Glycyrrhizae Radix et Rhizoma* (Gancao), *Paeoniae Radix Alba* (Baishao), *Ephedrae Herba* (Mahuang) without joints, each 2 liang, and *Rhei Radix et Rhizoma* (Dahuang) 3 liang. Ten herbs decocted in 1 dou of water to yield 3 sheng. If other herbs are unavailable, using *Rhei Radix et Rhizoma* (Dahuang) for purgation is excellent. Erysipelas requires needle-lancing to release blood. *Jingxin Lu* lacks *Forsythiae Fructus* (Lianqiao) but includes *Anemarrhenae Rhizoma* (Zhimu), *Paeoniae Radix Alba* (Baishao), and *Rhinocerotis Cornu* (Xijiao) in equal parts.)
*Qianjin Fang* Wuxiang Lianqiao Decoction: A prescription for pediatric wind-heat toxic swelling with white discoloration, or presence of malignant nodules, scrofula, deep-seated abscesses, immobility of joints, spreading white erysipelas, and persistent itching of white rashes.
Herbs: *Aquilariae Lignum Resinatum* (Qingmuxiang), *Boswelliae Resina* (Xunluxiang/Ru Xiang), *Myrti Flos* (Jishe Xiang/Dingxiang), *Aquilariae Lignum* (Chenxiang), *Ephedrae Herba* (Mahuang, remove roots and joints), *Scutellariae Radix* (Huangqin) (Each 6 zhu), *Cimicifugae Rhizoma* (Shengma), *Immaturae Fructus Citri Reticulatae* (Zhishi, bran-fried), *Forsythiae Fructus* (Lianqiao), *Sargassum* (Haizao), *Belamcandae Rhizoma* (Shegan) (Each half liang), *Moschus* (Shexiang, 3 zhu), *Rhei Radix et Rhizoma* (Dahuang, 2 liang), *Bambusae Caulis Succus* (Zhuli, 3 he).
The above fourteen herbs are cut into pieces, decocted in 4 sheng of water. When the volume is reduced by half, add *Bambusae Caulis Succus* (Zhuli), and continue decocting to yield 1.2 sheng. For infants aged 100 to 200 days, administer 3 he per dose. From 200 days to one year, administer 5 he per dose. Another version excludes *Ephedrae Herba* (Mahuang).
*Qianjin Fang* Prescription for treating adult and pediatric carbuncles and swellings.
Apply fresh pig brain spread on paper to the affected area. Replace when dry, three to four times daily.
*Qianjin Fang* Another Prescription
Mix mustard seed powder with warm water, spread on paper, and apply to the affected area. (*Qianjin Yifu* uses pig bile for mixing and application.)
*Qianjin Fang* Another Prescription
Mix *Baijiangshi* (White Jiangshi) powder with garlic, pound thoroughly, and apply to the affected area for cure.
*Qianjin Fang* Another Prescription
Pound *Verbenae Herba* (Mabiancao) thoroughly and apply; the head of the abscess will emerge immediately.
*Qianjin Yifu* Incantation for Suppressing Carbuncles.
Incantation: "Carbuncle is not carbuncle, furuncle is not furuncle, earth clod and feces, carbuncle shall vanish." Recite thirty-seven times. Take one earth clod and rub it over the swelling, then pass it to the patient, left side for males, right side for females.
*Taiping Shenghui Fang* Xijiao San for treating pediatric carbuncles and swellings turning into sores with organ stagnation.
Herbs: *Rhinocerotis Cornu* (Xijiao, shaved), *Hongxue* (Red Snow), *Scrophulariae Radix* (Yuanshen), *Paeoniae Radix Rubra* (Chishaoyao), *Jini* (Qie Ni), *Polygonati Odorati Rhizoma* (Weirui), *Cimicifugae Rhizoma* (Shengma) (Each half liang), *Glycyrrhizae Radix et Rhizoma* (Gancao, 1 fen), *Ophiopogonis Tuber* (Mendong, 3 fen, degerminated and roasted).
Pound the above herbs, sieve coarsely to make a powder. Take 1 qian per dose, decoct in a small cup of water until reduced to 0.5 cup, strain, add 0.5 he of *Bambusae Caulis Succus* (Zhuli), boil briefly again. Adjust dosage according to the child's size, administer at any time, divided into reduced doses.
*Taiping Shenghui Fang* Wulan Ye San for treating pediatric heart and lung heat-toxin attacking various sites, causing carbuncles and sores, tubercles under the neck and armpits, irritability, fever, pain, and insomnia.
Herbs: *Isatidis Folium* (Wulan Ye), *Rhinocerotis Cornu* (Xijiao, shaved), *Scrophulariae Radix* (Yuanshen), *Cimicifugae Rhizoma* (Chuan Shengma), *Gardeniae Fructus* (Zhizi Ren), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Astragali Radix* (Huangqi, sliced), *Forsythiae Fructus* (Lianqiao Zi) (Each half liang), *Isatidis Radix* (Daqing), *Scutellariae Radix* (Huangqin) (Each 1 fen), *Rhei Radix et Rhizoma* (Chuan Dahuang, 3 fen, sliced and lightly stir-fried).
Pound the above herbs, sieve coarsely to make a powder. Take 1 qian per dose, decoct in a small cup of water until reduced to 0.5 cup, strain. Adjust dosage according to the child's size, administer warm at any time, divided into doses.
*Taiping Shenghui Fang* Loulu San for treating pediatric carbuncles, erysipelas, sores, and furuncles.
Herbs: *Euphorbiae Humifusae Herba* (Loulu), *Ephedrae Herba* (Mahuang, remove roots and joints), *Forsythiae Fructus* (Lianqiao), *Cimicifugae Rhizoma* (Chuan Shengma), *Scutellariae Radix* (Huangqin), *Natrii Sulfas* (Chuan Mangxiao), *Glycyrrhizae Radix et Rhizoma* (Gancao) (Each 1 fen), *Ampelopsis Radix* (Bailian, 3 fen), *Rhei Radix et Rhizoma* (Dahuang, 1 liang, sliced and lightly stir-fried).
Pound the above herbs, sieve coarsely to make a powder. Take 1 qian per dose, decoct in a small cup of water until reduced to 0.5 cup, strain. Adjust dosage according to the child's size, administer warm at any time, divided into reduced doses.
*Taiping Shenghui Fang* Huangqi San for treating pediatric carbuncles where pus has ruptured and continues for several days, leading to physical weakness, irritability, fever, headache, and dizziness.
Herbs: *Astragali Radix* (Huangqi, sliced), *Saposhnikoviae Radix* (Fangfeng, remove radicle), *Cimicifugae Rhizoma* (Chuan Shengma), *Saigae Tataricae Cornu* (Lingyangjiao, shaved), *Poria* (Baifuling), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Lycii Cortex* (Digupi), *Ginseng Radix* (Renshen, remove radicle) (Each half liang), *Ligustici Chuanxiong Rhizoma* (Chuanxiong, 1 fen), *Gypsum Fibrosum* (Shigao, 1 liang).
Pound the above herbs, sieve coarsely to make a powder. Take 1 qian per dose, decoct in a small cup of water until reduced to 0.5 cup, strain. Adjust dosage according to the child's size, administer warm at any time, divided into reduced doses.
*Taiping Shenghui Fang* Mendong San for treating pediatric carbuncles where pus drainage is incomplete, causing persistent mental restlessness.
Herbs: *Ophiopogonis Tuber* (Mendong, 3 fen, degerminated and roasted), *Puerariae Radix* (Zige, sliced), *Astragali Radix* (Huangqi, sliced), *Cimicifugae Rhizoma* (Chuan Shengma), *Rhinocerotis Cornu* (Xijiao, shaved), *Glycyrrhizae Radix et Rhizoma* (Gancao, honey-fried slightly reddened and sliced), *Akebiae Caulis* (Mutong) (Each half liang).
Pound the above herbs, sieve coarsely to make a powder. Take 1 qian per dose, decoct in a small cup of water until reduced to 0.5 cup, strain. Adjust dosage according to the child's size, administer warm at any time, divided into reduced doses.
*Taiping Shenghui Fang* Dahuang San for treating pediatric carbuncles with excessive internal heat stagnation, mental restlessness, and obstruction of urination and defecation.
Herbs: *Rhei Radix et Rhizoma* (Chuan Dahuang, sliced and lightly stir-fried), *Cimicifugae Rhizoma* (Chuan Shengma), *Abutili Semen* (Kuizi), *Natrii Sulfas* (Chuan Puxiao) (Each half liang), *Gardeniae Fructus* (Zhizi Ren, 1 fen).
Pound the above herbs, sieve coarsely to make a powder. Take 1 qian per dose, decoct in a small cup of water until reduced to 0.5 cup, strain and administer warm. Stop when bowel movement is achieved, adjusting dosage according to the child's size.
*Taiping Shenghui Fang* Dama Ren Wan for treating pediatric carbuncles with sluggish internal organs.
Herbs: *Cannabis Semen* (Dama Ren, 2 liang), *Immaturae Fructus Citri Reticulatae* (Zhishi, bran-fried, lightly stir-fried yellow, pith removed), *Glycyrrhizae Radix et Rhizoma* (Gancao, honey-fried slightly reddened and sliced), *Aquilariae Lignum* (Muxiang) (Each half liang), *Rhei Radix et Rhizoma* (Chuan Dahuang, sliced and lightly stir-fried), *Arctii Fructus* (Niubangzi, lightly stir-fried. Each 1 liang).
Pound the above herbs, sieve to make powder, mix with refined honey to form pills the size of mung beans. Administer ten pills with cooked water per dose, stopping when bowel movement is achieved, adjusting dosage according to the child's size.
*Taiping Shenghui Fang* Xiaozhong San for treating pediatric carbuncles, toxic swellings, hot red rashes, and pain.
Herbs: *Rhei Radix et Rhizoma* (Chuan Dahuang, raw sliced), *Pruni Armeniaci Semen Amarum* (Xingren, soaked in water, peeled, separately ground), *Sal Flor* (Yanhua) (Each 3 fen).
Pound the above herbs, sieve finely to make powder. Add Xingren, mix with fresh water to appropriate consistency. Apply to swollen sores as needed; replace when dry, until effective.
*Taiping Shenghui Fang* Prescription for pediatric carbuncle swelling.
Use *Leonuri Herba* (Yimucao) in unlimited quantity, slice finely, pound to extract juice. Administer 0.5 he per dose, adjusting according to the child's size. Applying the residue to the carbuncle is also beneficial.
*Taiping Shenghui Fang* Another Prescription
Burn seven chicken feathers to ash, grind finely, mix with water and administer to induce suppuration.
*Taiping Shenghui Fang* Another Prescription
Mix *Longgu* (Fulonggan) powder with good vinegar to form a paste, apply to old cloth, and patch onto the affected area.
*Taiping Shenghui Fang* Another Prescription
Pound *Disporum cantoniense* (Disong) thoroughly and apply; replace when dry.
*Taiping Shenghui Fang* Another Prescription
Pound *Portulacae Herba* (Machixian) thoroughly and apply.
*Taiping Shenghui Fang* Another Prescription
Mix *Phaseoli Semen Rubrum* (Chixiaodou) powder with egg white and apply.
*Taiping Shenghui Fang* Another Prescription
Mix earthworm excrement (*Di Long Fen*) with fresh water and apply.
*Taiping Shenghui Fang* Another Prescription
Pound *Solanum nigrum* (Longkui Cai) thoroughly and apply.
*Taiping Shenghui Fang* Another Prescription
Pound *Commelina communis* (Jichang Cao) thoroughly and apply.
*Taiping Shenghui Fang* Another Prescription
Pound *Brassica rapa* var. *nipposinica* (Yuntai Ye) thoroughly and apply.
*Taiping Shenghui Fang* Another Prescription
Pound *Sedum aizoon* (Jingtian Ye) thoroughly and apply.
Mr. Mao's Prescription for Pediatric Carbuncles and Toxins on the Body.
Herbs: *Minii Preparatum* (Huandan), *Aconiti Kusnezoffii Radix* (Caowu), *Pinelliae Tuber* (Tiannanxing, powder), *Bletillae Rhizoma* (Baiji) (Equal parts).
Grind into powder, mix with cold water to mud consistency. Apply on paper to red swollen areas; it will rupture spontaneously soon.
*Yingru Fang* Loulu Decoction: A prescription for pediatric heat-toxin carbuncles, ulcers, red-and-white erysipelas, sores, and furuncles.
Herbs: *Euphorbiae Humifusae Herba* (Loulu), *Forsythiae Fructus* (Lianqiao), *Ampelopsis Radix* (Bailian), *Natrii Sulfas* (Mangxiao), *Glycyrrhizae Radix et Rhizoma* (Gancao, honey-fried. Each 1 fen), *Asari Radix et Rhizoma* (Xixin), *Cimicifugae Rhizoma* (Shengma), *Immaturae Fructus Citri Reticulatae* (Zhishi, honey-fried), *Ephedrae Herba* (Mahuang, remove joints), *Scutellariae Radix* (Huangqin) (Each 3 fen), *Rhei Radix et Rhizoma* (Dahuang, 4 fen).
Decoct in 1 sheng of water to yield 5 he. For infants aged 1 to 7 days, divide 1 he into three doses. For 8 to 15 days, divide 1.5 he into three doses. For 16 to 20 days, divide 2 he into three doses. For 20 to 30 days, divide 3 he into three doses. For 30 to 40 days, divide 5 he into three doses. For 100 to 200 days, administer 3 he per dose. For 200 days to one year, administer 5 he per dose. This formula differs from *Qianjin Fang* by adding *Asari Radix et Rhizoma* (Xixin) and having different dosages.
Zhang Huan's Lianqiao San: For treating carbuncles and furuncles.
Herbs: *Forsythiae Fructus* (Lianqiao, 1 liang), *Aquilariae Lignum* (Chenxiang), *Astragali Radix* (Huangqi) (Each half liang), *Ampelopsis Radix* (Bailian), *Natrii Sulfas* (Chuan Puxiao), *Rhei Radix et Rhizoma* (Chuan Dahuang, processed), *Glycyrrhizae Radix et Rhizoma* (Gancao).
Pound and sieve coarsely. Take 1 qian per dose, 1 cup of water, add 1 qian of *Moschus* (Shexiang), decoct to 0.5 cup, strain, cool, and administer after meals.
Zhang Huan's Yimu San: Suitable for all carbuncles and furuncles.
Herbs: *Leonuri Herba* (Yimucao, burnt to ash, 2 liang), *Sal Flor* (Yanhua, stir-fried dry, 1 liang), *Longgu* (Fulonggan, half liang).
Grind into fine powder. Take 1 qian per dose, mix with fresh water to appropriate consistency, and apply to the wound as needed.
*Huiyan Guanzheng* Bailu San: For applying to ruptured carbuncles and toxins.
Herbs: *Streptopeliae Faeces* (Baidingxiang, half liang), *Boswelliae Resina* (Ruxiang), *Minii Preparatum* (Huandan), *Bletillae Rhizoma* (Baiji) (Each 1 fen).
Grind into powder, mix with water, apply on cloth, and patch.
*Huiyan Guanzheng* Bailian San: For closing carbuncle wounds.
Herbs: *Phellodendri Cortex* (Huangbai), *Coptidis Rhizoma* (Huanglian), *Ampelopsis Radix* (Bailian), *Bletillae Rhizoma* (Baiji).
Grind into equal parts powder. Take 2 qian per dose, mix with water to thick consistency, and apply. For burns and scalds, mix with egg white and apply; both conditions will heal.
Zheng Yu, a physician from Changsha, transmitted Yujin San for treating carbuncles and ulcers with alternating hot/cold diarrhea.
Herbs: *Curcumae Radix* (Yujin), *Citri Reticulatae Pericarpium* (Qingpi) (Each 2 qian), *Amomi Fructus Rotundus* (Baidoukou, one, wrapped in flour and roasted).
Grind into powder. Take a small amount, sprinkle into milk, and feed.
*Qianjin Fang* Moxibustion Method: For adult and pediatric carbuncles and swellings, moxa two points located centrally on the odd toes of both feet. Treat according to the left or right side of the lesion.