《巢氏病源》小儿月蚀疮候∶小儿耳鼻口间生疮,世谓之月蚀疮,随月生死,因以为名也。世云∶小儿见月
初生,以手指指之,则令耳下生疮,故呼为月蚀疮也。
《千金》论曰∶凡日月蚀时,忌食饮。腹中生 虫,及房室生子不具足,必患月蚀疮。亦不得与儿乳,日月
生后乃不忌。令人口臭、齿断、宣露常有血出,舌上生疮者,皆由犯此所致耳。日月蚀时须救,不救出行逢暴
雨。其救月杖须收,取治 之神药,预备患此者施之救疗。
《圣惠》论月蚀疮∶夫月蚀疮者,生于两耳及鼻面间,并下部诸孔窍侧。侵蚀乃至筋骨,月初则疮盛,月
末则疮衰,以随月生,因名之为月蚀疮也。又小儿耳下生疮,亦名月蚀疮。世云∶小儿见月以手指指之,则令
病此疮也。其生诸孔窍中,则有虫矣,久不瘥则变成 也。
《葛氏肘后》小儿初得月蚀疮,多在两耳及七孔窍,随月生死,俗言小儿指月所为。方∶
上烧蚯蚓屎令赤,膏和敷之,《千金》和以猪膏。
《葛氏肘后》又方
上以五月虾蟆屑,膏和涂之。《外台》和以猪脂。
《千金》治小儿月蚀疮,随月生死方。
上以胡粉和酥敷之,五日瘥。
《千金》治月蚀九窍皆有疮者方。
上水和粉敷之。
《千金》治月蚀恶疮 肉方。
硫黄 茹 斑蝥(各等分。《圣惠》硫黄、 茹各半两斑蝥一分。仍以糯米炒斑蝥,微黄去足。)
上三味,治下筛。敷疮上,干者以猪脂和敷之,日三夜一。
《千金》又方
吴茱萸根 蔷薇根 地榆根(各三两)
上三味治下筛。以盐汤洗疮上敷之,日三。(《圣惠方》每用半两,投汤中,候温洗之。)
《外台》∶《集验》疗小儿头疮、月蚀、口边肥疮、蜗疮悉瘥。黄连胡粉膏方
黄连(二两) 胡粉 水银(研入。各一两)
上三味捣为散,相和水银研令相得,以敷疮上。纵黄汁引成疮,亦以粉之即瘥。一方有白矾一两、烧,蛇
床子一两,末入,用亦甚妙。至耳边到项上并用。
《子母秘录》治小儿耳后月蚀疮方。
上末黄连敷之。
《圣惠》治小儿月蚀疮,生在两耳上,出脓水不止,宜敷水银膏方。
水银 黄连(去头、捣为末。各二两) 松脂 胡粉(点少水,与水银同研,令星尽。各一两。)
上件药入乳钵内,研令匀,以粉疮上。疮若干,用炼成猪脂和如膏。每用先以盐汤洗疮令净,拭干,然后
涂之。
《圣惠》治小儿月蚀疮立效方。
败鼓皮(一两,烧灰) 虾蟆(一枚,烧灰)
上件药细研为散。以炼成猪脂和如膏,涂之即瘥。
《圣惠》治小儿月蚀疮不瘥方。
干蟾(一枚,五月五日者,烧灰) 硫黄(一两,细研) 白矾(二两,烧令斗尽,一本用一两。)
上件药同研细为散,用敷疮上。
《圣惠》治小儿月蚀疮方。
母猪蹄甲 蜻蜓(各一枚) 救月杖(三分)
上件药烧灰,细研为散。以蜜水和涂之。
《圣惠》又方
上用虎头骨二两,捣细罗为散,以猪脂一升煎令黄色,膏成倾于不津器中,候冷即涂之。
《圣惠》又方
上以水麦 捣罗为末,敷之。
《圣惠》治月蚀疮腻粉散方。
腻粉 黄连(去须,为末) 胡粉(炒令微黄) 松脂(各一两)
上件药都研细,先以温盐浆水洗疮令净,拭干,以散敷之,如疮干用生油调涂以瘥也。
《圣惠》又方
自死青蛙 母猪蹄壳(各一枚,烧灰) 救月杖(烧灰)
上件药都研匀细,每用少许,蜜调涂之。
《圣惠》治小儿卒得月蚀疮方。
上于望月取兔粪,内虾蟆腹中,合烧为灰,细研敷之。
《圣惠》又方
上用萝 草捣取汁,涂之。
《圣惠》又方
上以救月蚀鼓皮手许大,醋渍一宿,取汁涂之。《万全方》烧为灰,细研,以面、脂和敷之。
张涣蔷薇散方 治月蚀疮病。
蔷薇根(一两,细锉,焙干) 地榆根(细锉、焙) 虎头骨(各半两)
上件药捣罗为细末。每服一字,先以温盐汤洗净,拭干敷之。
《诸病源候论》中关于小儿月蚀疮的论述:小儿在耳朵、鼻子和嘴巴周围生疮,世人称之为月蚀疮,这种疮随着月亮的盈亏而发作或消退,因此得名。民间传说:小儿看到新月初升时,用手指指向月亮,就会导致耳下生疮,所以叫作月蚀疮。
《千金方》论述说:凡是发生日食或月食的时候,忌讳饮食。如果违反禁忌,会导致腹中生虫,以及房事所生子女发育不全,必定患上月蚀疮。在此期间也不得给婴儿喂奶,直到日月恢复正常后才不再忌讳。若出现口臭、牙齿断裂、牙龈萎缩经常出血、舌上生疮等症状,都是由于触犯此禁忌所致。日月食时必须进行“救月”仪式,若不救助而出门遇到暴雨,则更为凶险。“救月”所用的杖必须收回,取来治疗的神药,预先准备好给患此病的人施用救治。
《太平圣惠方》论述月蚀疮:所谓月蚀疮,生于两耳及鼻面之间,以及下部各种孔窍的侧面。侵蚀深入甚至伤及筋骨,月初时疮势旺盛,月末时疮势衰退,因为它随月亮盈亏而变化,所以命名为月蚀疮。另外,小儿耳下生疮,也称为月蚀疮。民间传说:小儿见月亮用手指指它,就会染上这种疮。如果在各个孔窍中生出疮疡,说明体内有虫,久治不愈则会变成恶疾。
《葛氏肘后方》记载小儿初患月蚀疮,多发生在两耳及七窍(眼、耳、口、鼻)部位,随月亮盈亏而生死,俗话说是小儿指月所致。方剂:将蚯蚓屎烧至变红,用膏脂调和后敷于患处,《千金方》建议用猪脂调和。
《葛氏肘后方》另一首方剂:取五月收集的蛤蟆屑,用膏脂调和涂抹。《外台秘要》建议用猪脂调和。
《千金方》治疗小儿月蚀疮,随月亮盈亏变化的方剂:用胡粉(铅白霜)和酥油调和敷涂,五日可愈。
《千金方》治疗月蚀疮导致九窍皆有疮疡的方剂:用水调和米粉敷涂。
《千金方》治疗月蚀疮恶疮腐肉的方剂:硫黄、茹草、斑蝥(各等分。《圣惠方》中硫黄、茹草各半两,斑蝥一分。仍需用糯米炒斑蝥至微黄,去足翅。)以上三味药,捣碎过筛。敷在疮上,干燥时用猪脂调和再敷,每日三次,夜间一次。
《千金方》另一首方剂:吴茱萸根、蔷薇根、地榆根(各三两)。以上三味药捣碎过筛。用盐汤清洗疮面后敷药,每日三次。(《圣惠方》每用半两,投入汤中,待温热时清洗。)
《外台秘要》引《集验方》治疗小儿头疮、月蚀疮、口边肥疮、蜗牛疮均能治愈的黄连胡粉膏方:黄连(二两)、胡粉、水银(研磨入药。各一两)。以上三味药捣成散剂,加水与水银一同研磨均匀,敷于疮上。即使流出黄色汁液形成疮面,也用药粉敷之即可痊愈。另一版本加白矾一两(烧制)、蛇床子一两(研末加入),使用也非常奇妙。从耳边到颈部均可使用。
《太平圣惠方》治疗小儿月蚀疮生在两耳上,脓水不止,宜敷水银膏方:水银、黄连(去头,捣为末。各二两)、松脂、胡粉(点少许水,与水银同研,直至水银星消失。各一两)。以上药物放入乳钵内,研磨均匀,以药粉敷于疮上。若疮面干燥,用炼过的猪脂调成膏状。每次使用前先用盐汤洗净疮面,擦干,然后涂抹。
《太平圣惠方》治疗小儿月蚀疮立效方:败鼓皮(一两,烧成灰)、蛤蟆(一枚,烧成灰)。以上药物细研为散剂。用炼过的猪脂调成膏状,涂之即愈。
《太平圣惠方》治疗小儿月蚀疮久治不愈方:干蟾(一枚,五月五日采集的,烧成灰)、硫黄(一两,细研)、白矾(二两,烧至尽火,另一版本用一两)。以上药物共同研细为散剂,敷于疮上。
《太平圣惠方》治疗小儿月蚀疮方:母猪蹄甲、蜻蜓(各一枚)、救月杖(三分)。以上药物烧成灰,细研为散剂。用蜂蜜和水调和后涂敷。
《太平圣惠方》另一首方剂:用虎头骨二两,捣细罗为散剂,用一升猪脂煎至黄色,膏成后倒入不透水的容器中,冷却后涂敷。
《太平圣惠方》治疗月蚀疮腻粉散方:腻粉(轻粉)、黄连(去须,为末)、胡粉(炒令微黄)、松脂(各一两)。以上药物都研细,先用温盐水浆清洗疮面令净,擦干,以散剂敷之,如疮面干燥用生油调涂即可痊愈。
《太平圣惠方》另一首方剂:自死青蛙、母猪蹄壳(各一枚,烧成灰)、救月杖(烧成灰)。以上药物都研匀细,每次用少许,用蜜调涂。
《太平圣惠方》治疗小儿突然患上月蚀疮方:在望月之夜取兔粪,放入蛤蟆腹中,合烧成灰,细研敷之。
《太平圣惠方》另一首方剂:取约一手掌大小的救月蚀鼓皮,醋浸泡一夜,取汁液涂敷。《万全方》将其烧成灰,细研,用面粉和油脂调和敷之。
张涣蔷薇散方 治疗月蚀疮病:蔷薇根(一两,细锉,焙干)、地榆根(细锉、焙)、虎头骨(各半两)。以上药物捣罗为细末。每次服用一字量,先用温盐汤洗净疮面,擦干后敷药。
According to *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) regarding the condition of pediatric "Moon Eclipse Sores" (Ulcers appearing in infants, believed to correlate with lunar phases): Ulcers appear around the ears, nose, and mouth of children. The world calls this "Moon Eclipse Sore," as it rises and falls with the moon, hence the name. Folklore states: If a child points at the newly born moon with their finger, it causes ulcers to grow under the ear, thus named "Moon Eclipse Sore."
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) discusses: During solar or lunar eclipses, one must avoid eating and drinking. Violating this taboo leads to intestinal parasites and incomplete development of offspring conceived during intercourse; one will inevitably suffer from Moon Eclipse Sores. One must also not breastfeed the infant until the sun and moon return to normal. Symptoms such as bad breath, broken teeth, receding gums with frequent bleeding, and ulcers on the tongue are all caused by violating this taboo. It is necessary to perform the "Rescue the Moon" ritual during an eclipse; failing to do so and going out into a rainstorm brings disaster. The staff used for rescuing the moon must be collected, and divine medicines for treatment should be prepared in advance to administer to those suffering from this condition.
*Tai Ping Sheng Hui Fang* (Imperial Grace Formulary of the Taiping Era) discusses Moon Eclipse Sores: These sores arise between the two ears and the nose/face, as well as on the sides of various lower orifices. They erode deeply, reaching bone and muscle. The sores peak at the beginning of the lunar month and wane at the end, changing with the moon's phases, hence the name. Additionally, ulcers growing under a child's ear are also called Moon Eclipse Sores. Folklore claims that pointing at the moon causes this disease. If sores develop within various orifices, it indicates the presence of parasites; if untreated for a long time, they transform into malignant conditions.
*Ge Shi Zhou Hou Fang* (Emergency Prescriptions Kept at the Elbow of Ge Hong) records that early-stage pediatric Moon Eclipse Sores mostly occur in the two ears and seven orifices (eyes, ears, mouth, nose), rising and falling with the moon. Common belief attributes this to children pointing at the moon. Formula: Burn earthworm feces until red, mix with ointment/fat, and apply. *Qianjin Fang* suggests mixing with pig fat.
Another formula from *Ge Shi Zhou Hou Fang*: Use toad powder collected in May, mixed with ointment/fat for application. *Wai Tai Mi Yao* (Prescriptions from the Imperial Library) suggests using pig fat.
*Qianjin Fang* formula for treating pediatric Moon Eclipse Sores, varying with the moon: Mix lead white (Hu Fen) with butter/suet and apply. Cures in five days.
*Qianjin Fang* formula for Moon Eclipse Sores affecting all nine orifices: Mix rice flour with water and apply.
*Qianjin Fang* formula for treating malignant Moon Eclipse Sores with necrotic flesh: Sulfur (Liu Huang), Ru Cao (a type of herb), and Mylabris (Ban Mao) in equal parts. (*Sheng Hui Fang* specifies half liang each of Liu Huang and Ru Cao, and one fen of Ban Mao. Roast Ban Mao with glutinous rice until slightly yellow, remove legs and wings.) Grind the three ingredients into powder. Apply to the sore; if dry, reapply mixed with pig fat, three times daily and once at night.
Another *Qianjin Fang* formula: Evodia root (Wu Zhu Yu Gen), Rose root (Qiang Wei Gen), and Sanguisorba root (Di Yu Gen) in equal parts (3 liang each). Grind into powder. Wash the sore with salt water before applying, three times daily. (*Sheng Hui Fang* uses half liang per dose, added to warm water for washing.)
*Wai Tai Mi Yao* citing *Ji Yan Fang* for curing pediatric head sores, Moon Eclipse Sores, perioral fatty sores, and snail sores: Huang Lian Hu Fen Ointment. Coptis chinensis (Huang Lian, 2 liang), Lead White (Hu Fen), and Mercury (Shui Yin, ground in; each 1 liang). Grind the three ingredients into powder. Mix with water and grind with mercury until uniform. Apply to sores. Even if yellow fluid flows forming a new sore, dusting with powder cures it. Another version adds calcined Alum (Bai Fan, 1 liang) and Cnidium seed (She Chuang Zi, 1 liang, powdered); this is also excellent. Apply from the ear to the neck.
*Zi Mi Mi Lu* formula for pediatric post-auricular Moon Eclipse Sores: Powdered Coptis chinensis (Huang Lian) applied topically.
*Tai Ping Sheng Hui Fang* formula for pediatric Moon Eclipse Sores on the upper ears with continuous pus discharge, recommending Mercury Ointment: Mercury (Shui Yin), Coptis chinensis (Huang Lian, heads removed, powdered; each 2 liang), Pine Rosin (Song Zhi), and Lead White (Hu Fen, mixed with a little water and ground with mercury until mercury stars disappear; each 1 liang). Grind all ingredients evenly in a mortar. Dust powder onto sores. If sores are dry, use refined pig fat to make a paste. Before each application, wash sores clean with salt water, dry, then apply.
*Tai Ping Sheng Hui Fang* highly effective formula for pediatric Moon Eclipse Sores: Old drum skin (Bai Gu Pi, 1 liang, burned to ash), Toad (Xia Wa, 1 unit, burned to ash). Grind finely into powder. Mix with refined pig fat to form a paste; apply to cure.
*Tai Ping Sheng Hui Fang* formula for stubborn pediatric Moon Eclipse Sores: Dried Toad (Gan Chan, 1 unit, collected on the 5th day of the 5th lunar month, burned to ash), Sulfur (Liu Huang, 1 liang, finely ground), Alum (Bai Fan, 2 liang, burned until fire extinguishes; another version uses 1 liang). Grind together finely into powder and apply to sores.
*Tai Ping Sheng Hui Fang* formula for pediatric Moon Eclipse Sores: Sow's hoof nail (Zhu Mu Ti Jia), Dragonfly (Qing Ting; each 1 unit), Rescue Moon Staff (Jiu Yue Zhang, 3 fen). Burn to ash, grind finely into powder. Mix with honey and water for topical application.
Another *Tai Ping Sheng Hui Fang* formula: Tiger skull bone (Hu Tou Gu, 2 liang), ground fine. Fry in 1 sheng of pig fat until yellow. Pour the resulting ointment into a non-porous container. Cool and apply.
Another *Tai Ping Sheng Hui Fang* formula: Water wheat (Shui Mai), ground into powder and applied.
*Tai Ping Sheng Hui Fang* Nifen Powder for Moon Eclipse Sores: Calomel/Nifen (Ni Fen), Coptis chinensis (Huang Lian, whiskers removed, powdered), Lead White (Hu Fen, stir-fried until slightly yellow), Pine Rosin (Song Zhi; each 1 liang). Grind all finely. First wash sores clean with warm salt water, dry, then apply powder. If sores are dry, mix with raw oil for application to cure.
Another *Tai Ping Sheng Hui Fang* formula: Naturally dead frog (Zi Si Qing Wa), Sow's hoof shell (Zhu Mu Ti Qiao; each 1 unit, burned to ash), Rescue Moon Staff (burned to ash). Grind uniformly fine. Use a small amount, mix with honey, and apply.
*Tai Ping Sheng Hui Fang* formula for sudden onset of pediatric Moon Eclipse Sores: On the night of the full moon, collect rabbit feces, place inside a toad's abdomen, burn together to ash, grind fine, and apply.
Another *Tai Ping Sheng Hui Fang* formula: Milkwort grass (Luo Bu Cao), crushed to extract juice, and applied.
Another *Tai Ping Sheng Hui Fang* formula: Take a piece of Rescue Moon Eclipse Drum Skin about the size of a hand, soak in vinegar overnight, extract juice, and apply. *Wan Quan Fang* burns it to ash, grinds fine, and mixes with flour and fat for application.
Zhang Huan's Qiang Wei San Formula for treating Moon Eclipse Sores: Rose root (Qiang Wei Gen, 1 liang, finely cut, dried), Sanguisorba root (Di Yu Gen, finely cut, dried), Tiger skull bone (Hu Tou Gu; each half liang). Grind into fine powder. Take one "zi" (a small measure) per dose. First wash sores clean with warm salt water, dry, then apply.