《圣惠》∶夫小儿热疮者，是诸阳气在表。阳气盛则表热，小儿解脱腠理开，则为风邪所客，风热相搏，留
于皮肤则生疮。初作瘭浆黄汁出，风多则痒，热多则痛，血气乘之则多脓血，故名热疮也。
《千金》治小儿热疮水银膏方
水银 胡粉 松脂（各三分）
上三味，以猪脂四升煎松脂，水气尽，下二物，搅令匀，不见水银以敷之。
陈藏器治小儿赤白游疹，火焱热疮。
上捣马藻绞汁服，去暴热热痢，止渴。（生水上，如马齿相连。）
刘禹锡《传信方》乱发鸡子膏 主孩子热疮。
上以鸡子五枚，去白取黄，乱发如鸡子许大。二味相和于铁铫子中，炭火熬。初甚干，少顷即发焦，遂有
液出，旋取置一瓷碗中，以液尽为度。取涂热疮上，即以苦参末粉之。顷在武陵生子蓐内便有热疮，因阅本
草至发 。《本经》云∶合鸡子黄煎之，消为水，疗小儿惊热下痢。注云∶俗中妪母为小儿作鸡子煎，用
发杂熬，良久得汁，与小儿服，去痰热，主百病。用发皆取久梳头乱者。
《圣惠》治小儿热疮生于身体。黄芩散方
黄芩（三分） 石膏 柴胡（去苗） 川大黄（锉碎，炒） 川升麻（各一两） 甘草（炙微赤，锉） 元参（各
半两）
上件药捣，粗罗为散。每服一钱，以水一小盏煎至五分，去滓放温，量儿大小分减服之。
《圣惠》治小儿身上生热疮，心躁，皮肤 疼。枳壳散方
枳壳（麸炒微黄，去瓤） 甘草（炙，锉） 黄连（去须。各半两）
上件药捣，细罗为散。每服以蜜水调下半钱，量儿加减服之。
《圣惠》治小儿热毒疮。栀子膏方
栀子仁 川升麻 蛇衔 黄芩（各一两） 犀角（屑，三分） 蓝叶（切，五合） 生地黄（二两）
上件药细锉，以猪脂一斤半同入铛内，于微火上煎十余沸，滤去滓膏成，于瓷盒中盛，涂于故帛上贴之。
《圣惠》治小儿热疮黄脓出。黄芩膏方
黄芩（一两半） 水银（入少水与胡粉同研，令星尽矣） 川大黄（各一两） 黄柏 栀子仁 黄连（去须） 胡
粉（各三分） 竹叶（二两） 生地黄（二两半）
上件药除水银、胡粉外，并锉如豆大，以新绵裹，用猪脂一斤半入铛内，于慢火上煎十余沸，候药色紫去
绵，以布绞取汁候凝，下水银、胡粉。以柳木篦搅令匀，膏成以瓷盒盛，日夜三四度涂之。
《圣惠》又方
黄柏 白矾（烧令汁尽。各一两）
上件药捣，细罗为散，敷于疮上，日三用之。
《圣惠》又方
黄连（半两，去须为末） 腻粉（一分）
上件药研令匀，以诸菜汁和，涂于疮上，日三用之。
《圣惠》又方
上以豆豉炒干，捣末敷之。《婴孺》仍先数煮桃叶浴之。
《圣惠》又方
上以伏龙肝捣末，用鸡子白和涂之。
张涣青砂散方 治身体头面热毒疮。
青黛（研） 朱砂（细研。各一两） 硫黄（研） 水银（以枣瓤研令星尽。各半两） 胡粉（研） 赤小豆（各
一两）
上件拌匀研细，每用少许，用生油、腻粉调涂患处。
《惠眼观证》芭蕉散 涂退丹毒热疮方。
寒水石（ 过） 蚌粉
上为末，用芭蕉汁调涂，鹅翎扫之。
《张氏家传》治小儿生大血泡疮。黑圣丸（云和尚方）
草乌（三十二两米泔浸三宿，洗去皮尖，簿切晒干） 甘草（切，焙） 零陵香 藿香（各洗，锉，晒） 茅香 五
灵脂（洗去沙土，晒，各四两） 荆芥（三两，锉，日晒） 没药（入白瓦盏内） 川芎 石膏（入伏龙肝五两，乃灶
下红土，加些不假，细末。各一两） 血竭（如无，用乳香钵内研细，研时口中念元胡索字并是，用二两）
上件前药，各有过度，为末，用好酒糊为丸如大梧桐子，阴干，磨第一等墨染过，入些乳香在墨内，亦阴
干甚佳，都干了，用葛布袋盛之，当风处。非但治头风疼，伤寒进饮食，大小儿生大血泡疮，并治肿处，醋
磨贴之。治牙痛，更治血风。有妊妇人不可服。
《庄氏家传》治身生大疮方。
黄丹（一两） 腻粉（一钱匕）
上研匀，嚼仁取汁，调药敷之。
《王氏手集》治小儿疳热诸疮不瘥方。（鲁直）
上取驴前蹄一只，自沥水之下烧过为末，入少麝香，湿敷，干油涂。
《吉氏家传》治生下一百二十日内，身上或头上遍身痈疖赤光肿，先用镇心散，后用贴肿药（方见急惊风门中，
吉氏方用同。）
上用蓖麻子不拘多少，去壳烂研成膏，贴在肿处内自消，赤肿结成者，贴得破。
安师传治小儿热毒疮方。
生硫黄（一钱） 槟榔（一两）
上同为细末，油调敷之立效。凡欲用药，先烂捣丝瓜儿罨一宿，次日敷贴。
《圣惠方》记载：所谓小儿热疮，是由于诸阳之气郁结在体表。阳气旺盛则体表发热，小儿肌肤腠理疏松，风邪乘虚侵入，风与热相互搏结，滞留于皮肤之间，从而生成疮疡。初起时出现脓疱，流出黄色汁液，风邪偏盛则瘙痒，热邪偏盛则疼痛，若气血受邪气侵扰则产生大量脓血，因此称为热疮。
《千金方》治疗小儿热疮的水银膏方：
水银、胡粉、松脂（各三分）
以上三味药，用四升猪油煎煮松脂，待水分完全蒸发后，加入另外两味药，搅拌使其均匀，直到看不见水银颗粒为止，然后外敷患处。
陈藏器治疗小儿赤白游疹及火焱状热疮的方法：
将马藻捣碎绞取汁液服用，可去除暴发性热邪和热性痢疾，并能止渴。（马藻生长在水面上，形状像马齿草一样相连。）
刘禹锡《传信方》中的乱发鸡子膏，主治儿童热疮。
取鸡蛋五枚，去掉蛋白只留蛋黄，再取一团如鸡蛋大小的乱发。将这两味药混合放入铁锅中，用炭火熬制。开始很干燥，过了一会儿就会烧焦，随即有液体渗出，随时收集液体放入一个瓷碗中，直到液体全部提取完毕。将此液涂抹在热疮上，随后撒上苦参粉末。过去我在武陵生孩子坐月子期间身上长了热疮，因为阅读本草书籍看到关于头发的记载。《神农本草经》说：头发与鸡蛋黄一起煎煮，能化为水，用于治疗小儿惊风发热和下痢。注释中说：民间老妇人给小儿制作“鸡子煎”，是用头发混杂在一起熬制，很久才能取得汁液，给小儿服用，可以去除痰热，主治各种疾病。使用的头发都要选取长期梳头留下的散乱头发。
《圣惠方》治疗小儿身体生热疮的黄芩散方：
黄芩（三分）、石膏、柴胡（去苗）、川大黄（锉碎，炒）、川升麻（各一两）、甘草（炙至微红，锉碎）、元参（各半两）
以上药物捣碎，粗筛成散剂。每次服用一钱，用水一小盏煎至五分，滤去药渣放温，根据孩子的大小酌情减量服用。
《圣惠方》治疗小儿身上生热疮，心中烦躁，皮肤疼痛的枳壳散方：
枳壳（麸炒至微黄，去瓤）、甘草（炙，锉碎）、黄连（去须，各半两）
以上药物捣碎，细筛成散剂。每次用蜜水调服半钱，根据孩子情况加减剂量服用。
《圣惠方》治疗小儿热毒疮的栀子膏方：
栀子仁、川升麻、蛇衔、黄芩（各一两）、犀角（锉屑，三分）、蓝叶（切碎，五合）、生地黄（二两）
以上药物细细锉碎，与一斤半猪油一同放入铛中，在微火上煎煮十余次沸腾，滤去药渣制成膏，盛放在瓷盒中，涂在旧布上贴敷患处。
《圣惠方》治疗小儿热疮流黄脓的黄芩膏方：
黄芩（一两半）、水银（加少量水与胡粉共同研磨，直到水银星点消失）、川大黄（各一两）、黄柏、栀子仁、黄连（去须）、胡粉（各三分）、竹叶（二两）、生地黄（二两半）
以上药物除水银、胡粉外，其余都锉成豆粒大小，用新棉包裹，放入一斤半猪油的铛中，在慢火上煎煮十余次沸腾，等到药色变紫取出棉包，用布绞取药汁，待其冷却凝固后，加入水银、胡粉。用柳木棍搅拌使其均匀，膏成后盛放在瓷盒中，每天涂抹三四次。
《圣惠方》又一方：
黄柏、白矾（烧至汁液流尽，各一两）
以上药物捣碎，细筛成散剂，敷在疮上，每天使用三次。
《圣惠方》又一方：
黄连（半两，去须研末）、腻粉（一分）
以上药物研磨均匀，用各种菜汁调和，涂在疮上，每天使用三次。
《圣惠方》又一方：
将豆豉炒干，捣成粉末敷在患处。《婴孺书》建议先用桃叶多次煮水洗澡。
《圣惠方》又一方：
将伏龙肝捣成粉末，用鸡蛋清调和后涂抹。
张涣的青砂散方，治疗身体头面部的热毒疮。
青黛（研细）、朱砂（细研，各一两）、硫黄（研细）、水银（以枣肉研磨至星点消失，各半两）、胡粉（研细）、赤小豆（各一两）
以上药物拌匀研细，每次取少许，用生油和腻粉调和后涂抹患处。
《惠眼观证》芭蕉散，涂抹退治丹毒热疮的方子。
寒水石（煅过）、蚌粉
以上药物研成粉末，用芭蕉汁调和涂抹，用鹅毛扫涂患处。
《张氏家传》治疗小儿生大血泡疮的黑圣丸（据说是和尚的方子）：
草乌（三十二两，用米泔水浸泡三夜，洗去皮尖，薄切晒干）、甘草（切片，焙干）、零陵香、藿香（各洗净，锉碎，晒干）、茅香、五灵脂（洗去沙土，晒干，各四两）、荆芥（三两，锉碎，日晒）、没药（放入白瓦盏内）、川芎、石膏（放入伏龙肝五两，即灶下的红土，添加一些无妨，研成细末，各一两）、血竭（如果没有，可用乳香在钵内研细，研磨时口中念“元胡索”字并诚心祈祷，用二两）
以上前药，各有特殊处理，研成粉末，用好酒糊制作成如大梧桐子大小的丸药，阴干，磨第一等的墨染色，并在墨中加入一些乳香，也阴干效果更佳。全部晾干后，用葛布袋盛装，挂在通风处。此方不仅治疗头风痛、伤寒后进食困难，也能治疗大小儿生的大血泡疮，以及消肿处，用醋磨开贴敷。还能治疗牙痛，更治疗血风病。孕妇不可服用。
《庄氏家传》治疗身上生大疮的方子：
黄丹（一两）、腻粉（一钱匕）
以上药物研磨均匀，嚼杏仁取汁，调和药物敷之。
《王氏手集》治疗小儿疳热引起的各种疮疡不愈的方子。（鲁直）
取驴的前蹄一只，在沥水之下烧成粉末，加入少量麝香，湿敷，干了后用油涂抹。
《吉氏家传》治疗出生一百二十天内，身上或头上遍身痈疖红肿光亮，先用镇心散，后用贴肿药（方见急惊风门中，吉氏方同）。
上面用蓖麻子不拘多少，去壳烂研成膏，贴在肿处内部自然消退，如果是赤肿结成硬块的，贴了能使疮破溃。
安师传授的治疗小儿热毒疮方：
生硫黄（一钱）、槟榔（一两）
以上共同研为细末，用油调和敷之，立即见效。凡是想要用药，先烂捣丝瓜儿敷盖一夜，第二天再敷贴。
*Shenghui Fang* records: The so-called pediatric heat sores (Re Chuang) are caused by the accumulation of Yang Qi on the exterior. When Yang Qi is abundant, the exterior becomes hot. Due to the loose texture of children's skin and open pores (Cou Li), wind pathogens invade easily. Wind and heat contend with each other, remaining in the skin, thereby generating sores. Initially, pustules appear with yellow exudate; if wind predominates, there is itching; if heat predominates, there is pain. If blood and Qi are affected by the pathogen, excessive pus and blood are produced, hence the name "heat sore."
*Qianjin Fang* formula for Shuiyin Gao (Mercury Ointment) to treat pediatric heat sores:
Mercury (Shuiyin), Lead Carbonate (Hufen), Pine Resin (Songzhi) (each 3 fen).
The above three ingredients are processed by boiling Pine Resin in 4 sheng of lard until all moisture evaporates. Then add the other two ingredients, stir until uniform, until no visible mercury particles remain, and apply externally.
Chen Cangqi's method for treating pediatric erysipelas-like rashes (Chi Bai You Zhen) and flame-like heat sores:
Crush *Hydrocharis dubia* (Ma Zao), squeeze out the juice, and administer orally. It removes sudden heat and heat-type dysentery, and relieves thirst. (*Hydrocharis dubia* grows on water surfaces, resembling linked horse teeth.)
Liu Yuxi's *Chuanxin Fang* formula for Luanfa Jizi Gao (Ragged Hair Egg Yolk Ointment), primarily for childhood heat sores.
Take five eggs, separate the yolks from the whites. Take a clump of ragged hair roughly the size of an egg yolk. Mix these two ingredients in an iron pot and simmer over charcoal fire. Initially dry, it will soon scorch, releasing liquid. Collect the liquid into a porcelain bowl until extraction is complete. Apply this liquid to the heat sores, then dust with powder of *Sophora flavescens* (Kushen). Previously, while confined to bed after childbirth in Wuling, I developed heat sores. Reading herbal texts regarding hair, I found that the *Shennong Bencao Jing* states: Cooking hair with egg yolk transforms it into water, treating pediatric convulsive fever and dysentery. Annotations mention that folk midwives prepare "Egg Yolk Decoction" for children by simmering hair for a long time to extract juice, which clears phlegm-heat and treats various ailments. The hair used should be loose strands from long-term combing.
*Shenghui Fang* formula for Huangqin San (Scutellaria Powder) to treat heat sores on the body.
*Scutellaria baicalensis* (Huangqin) (3 fen), Gypsum (Shigao), Bupleurum (Chaihu) (remove seedlings), Sichuan Rhubarb (Chuan Dahuang) (crushed, fried), Cimicifuga (Chuan Shengma) (each 1 liang), Licorice (Gancao) (roasted until slightly red, crushed), Scrophularia (Yuanshen) (each 0.5 liang).
Pulverize the above herbs and sieve coarsely to make a powder. Take 1 qian per dose, decoct in one small cup of water until reduced to half a cup, filter, and let cool to warm. Adjust dosage according to the child's age and condition.
*Shenghui Fang* formula for Zhike San (Citrus Aurantium Powder) to treat heat sores on the body accompanied by mental restlessness and skin pain.
Bitter Orange (Zhike) (bran-fried until slightly yellow, remove pith), Licorice (Gancao) (roasted, crushed), Coptis (Huanglian) (remove roots, each 0.5 liang).
Pulverize the above herbs and sieve finely to make a powder. Take half a qian per dose, mixed with honey water, adjusting dosage according to the child's condition.
*Shenghui Fang* formula for Zhizi Gao (Gardenia Ointment) to treat pediatric heat-toxin sores.
Gardenia Fruit (Zhizi Ren), Cimicifuga (Chuan Shengma), *Patrinia villosa* (She Xian), *Scutellaria baicalensis* (Huangqin) (each 1 liang), Rhinoceros Horn (Xijiao) (shaved, 3 fen), Isatis Leaf (Lanye) (chopped, 5 he), Rehmannia Root (Sheng Dihuang) (2 liang).
Finely chop the above herbs and simmer with 1.5 jin of lard in a pan over low heat for about ten boils. Filter out the dregs to form the ointment. Store in a porcelain box and apply via old cloth patches.
*Shenghui Fang* formula for Huangqin Gao (Scutellaria Ointment) to treat pediatric heat sores with yellow purulent discharge.
*Scutellaria baicalensis* (Huangqin) (1.5 liang), Mercury (Shuiyin) (mixed with a little water and Lead Carbonate/Hufen, ground until mercury stars disappear), Sichuan Rhubarb (Chuan Dahuang) (each 1 liang), Phellodendron (Huangbai), Gardenia Fruit (Zhizi Ren), Coptis (Huanglian) (remove roots), Lead Carbonate (Hufen) (each 3 fen), Bamboo Leaves (Zhuye) (2 liang), Rehmannia Root (Sheng Dihuang) (2.5 liang).
Except for Mercury and Lead Carbonate, chop the remaining herbs into bean-sized pieces. Wrap in new cotton, place in a pan with 1.5 jin of lard, and simmer slowly for about ten boils. When the medicine turns purple, remove the cotton bag and squeeze the juice through cloth. Allow to cool and solidify, then add Mercury and Lead Carbonate. Stir uniformly with a willow stick. Store the finished ointment in a porcelain box and apply 3-4 times daily.
*Shenghui Fang*, another prescription:
Phellodendron (Huangbai), Alum (Baifan) (burned until liquid drains, each 1 liang).
Pulverize the above herbs, sieve finely, and apply to the sores three times daily.
*Shenghui Fang*, another prescription:
Coptis (Huanglian) (0.5 liang, remove roots and powder), Calomel (Nifen) (1 fen).
Grind the above ingredients uniformly, mix with vegetable juices, and apply to the sores three times daily.
*Shenghui Fang*, another prescription:
Fry Fermented Soybeans (Douchi) until dry, powder, and apply. *Yingru Shu* suggests bathing frequently with peach leaf decoction beforehand.
*Shenghui Fang*, another prescription:
Powder Dragon's Liver Earth (Fulonggan), mix with egg white, and apply.
Zhang Huan's Qingsha San (Azurite Powder) for treating heat-toxin sores on the body, head, and face.
Indigo Naturalis (Qingdai) (ground), Cinnabar (Zhusha) (finely ground, each 1 liang), Sulfur (Liuhuang) (ground), Mercury (Shuiyin) (ground with date pulp until stars disappear, each 0.5 liang), Lead Carbonate (Hufen) (ground), Adzuki Bean (Chixiaodou) (each 1 liang).
Mix and grind finely. Apply a small amount mixed with raw sesame oil and Calomel to the affected area.
*Huiyan Guanzheng* Bajiao San (Plantain Powder) for applying to reduce erysipelas and heat sores.
Calcined Aragonite (Hanshuishi) (calcined), Pearl Powder (Bangfen).
Grind into powder, mix with Plantain juice, apply, and sweep with a goose feather.
*Zhangshi Jiazhan* Heisheng Wan (Black Holy Pill) for treating large blood blister sores in children (said to be a monk's prescription):
Aconite Root (Caowu) (32 liang, soaked in rice water for three nights, washed, peel and tips removed, thinly sliced and dried), Licorice (Gancao) (sliced, baked), *Lingzhi Fragrant Grass* (Linglingxiang), Agastache (Huoxiang) (each washed, chopped, dried), *Acorus tatarinowii* (Maoxiang), Trogopterus Dung (Wulingzhi) (washed to remove sand, dried, each 4 liang), Schizonepeta (Jingjie) (3 liang, chopped, sun-dried), Myrrh (Moyao) (placed in a white clay bowl), Ligusticum (Chuanxiong), Gypsum (Shigao) (mixed with 5 liang of Dragon's Liver Earth/Fulonggan, i.e., red soil from under the stove, add freely, finely powdered, each 1 liang), Dragon's Blood (Xuexie) (if unavailable, use Frankincense/Ruxiang ground fine in a mortar; chant "Yuanhusuo" while grinding with sincerity, use 2 liang).
Process each herb as specified, grind into powder, bind with good wine paste into pills the size of large paulownia seeds. Dry in shade. For coating, grind high-quality ink with added frankincense, also dry in shade. Store in a nettle fiber bag and hang in a ventilated place. This not only treats headache due to wind-stroke, poor appetite after cold damage, and large blood blister sores in children, but also reduces swelling when applied with vinegar. It also treats toothache and blood-wind disorders. Contraindicated in pregnancy.
*Zhuangshi Jiazhan* formula for treating large sores on the body:
Lead Monoxide (Huandan) (1 liang), Calomel (Nifen) (1 qianbi).
Grind uniformly, chew apricot kernels to extract juice, mix with the medicine, and apply.
*Wangshi Shouji* formula for treating persistent sores due to pediatric malnutrition-heat (by Luzhi).
Take one front trotter of a donkey, burn it below a dripping water source, grind to powder, add a little Musk (Shexiang). Apply wet, and cover with oil when dry.
*Jishi Jiazhan* for treating widespread carbuncles and boils with bright red swelling on the body or head within 120 days of birth. First use Zhenxin San, then apply swelling-reducing patches (formula see Emergency Convulsion section, same as Ji Shi's formula).
Use Castor Seeds (Bimazi) as needed, remove shells, crush into paste, and apply to the swollen area to resolve internally. If hardened red swelling forms, application will cause rupture.
An Shi's transmitted formula for pediatric heat-toxin sores:
Native Sulfur (Sheng Liuhuang) (1 qian), Betel Nut (Binglang) (1 liang).
Grind together into fine powder, mix with oil and apply for immediate effect. Before applying medication, first mash and apply young loofah sponge overnight, then apply the next day.