《圣惠》∶夫小儿脚瘃者,是小儿肉嫩,外风冷中于足掌中涌泉穴也。是儿脚上皮肉间血气与风邪相感,便
肉硬血气不通,阳气不达,致使然也。
《圣惠》治小儿脚瘃肿硬疼痛,宜用沸蘸方。
川椒(二两) 盐(一两)
上以清酒五升,煎取三升,频频蘸之,候冷即住,其药重暖三五七度用之。
《圣惠》又方
附子(一两) 干姜(二两)
上件药捣,罗为末。入于绵中、装袜与儿着之。
《圣惠》又方
上用猪脂,日三、二度涂之。《吉氏家传方》浓煎腊脂涂之。
《巢氏病源》小儿冻烂疮候∶小儿冬月,为寒气伤于肌肤,寒气搏于血气,血气壅滞,因即生疮,其疮亦 肿而难
瘥,乃至皮肉烂,谓之为冻烂疮。
《千金》治冻烂疮方。
上以猪后悬蹄,以夜半时烧之,研细,筛,以猪脂和敷。亦治小儿。
《千金翼》治冬月冒涉冻凌,面目手足瘃坏及始热疼痛故瘃方。
上取麦窠,煮取浓汁,热渍手足兼洗之,三、五度即瘥。
《千金翼》治手足皴冻欲脱方。
椒 芎 (各半两) 白芷 防风 姜(一秤盐。各一分)
上五味,以水四升,煎令浓,涂洗之三数遍即瘥。
《千金翼》治冻伤十指欲堕方。
上取马屎三升,煮令麻沸,渍冷易之,半日愈。
《子母秘录》治小儿冻疮方。
上用雀儿脑髓涂之立瘥。
孟诜治冻疮方
上取腊日新死者牡鼠一枚,油一大升煎之使烂,绞去滓,重煎成膏,涂冻疮及折破疮。
《圣惠》治小儿冻耳成疮,或痒或痛。黄柏散方
黄柏 白蔹(各半两)
上件药捣,细罗为散。先用汤洗疮,后以生油调涂之。
《圣惠》治小儿冻脚成疮,或痒或痛,宜用此方。
小麦(半升) 穣草(三握)
上件药用醋一升,水二升,同煮至二升,去滓。温如人体,洗两脚,夜间频洗之效。
《圣惠》治小儿冻手,皴裂成疮。白蔹散方
白蔹(末,三分) 白芨(末,半两) 生油麻(二合,生捣)
上件药同研令匀,更用蒸萝卜一个,烂研一处,以酒调似稀膏。先以童子小便洗,后便涂之效。
《养生必用》冻疮久不愈方。
上以马兰花子为末,煎汤带热淋洗。
张涣治小儿冬月乳母不慎调适,为寒气伤于皮肤,搏于血气,令 肿生疮,难瘥,俗呼为冻疮,或偏发耳上手
足。黄柏膏方
黄柏 白蔹(各末一两) 白芨(末,半两) 生油麻(二合,生捣取汁)
上件药同研令匀,更用蒸萝卜一个,一处以好酒一盏烂捣成膏。每用少许,先以童子小便洗,后用药,看
患处涂之。
《圣惠方》:所谓小儿脚瘃,是因为小儿肌肤柔嫩,外感风冷之邪侵袭足底的涌泉穴。此时患儿脚部皮肉间的血气与风邪相互感应,导致肌肉僵硬、气血运行不畅,阳气无法通达,从而形成此病。
《圣惠方》治疗小儿脚部冻疮肿胀坚硬疼痛,宜用“沸蘸方”。
川椒(二两) 盐(一两)
以上药物用清酒五升,煎煮至剩余三升,频繁蘸洗患处,待药液变冷即停止,该药需加热后重复使用三至七次。
《圣惠方》又一方:
附子(一两) 干姜(二两)
将上述药物捣碎,过筛成粉末。装入棉布袋中,做成袜子给患儿穿上。
《圣惠方》又一方:
取猪脂,每日涂抹三至两次。《吉氏家传方》建议浓煎腊脂涂抹。
《诸病源候论·小儿冻烂疮候》:小儿在冬季,因寒气损伤肌肤,寒气与血气搏结,导致血气壅滞,因而生疮。这种疮疡肿胀且难以愈合,甚至导致皮肉腐烂,称为冻烂疮。
《千金方》治疗冻烂疮的方剂:
取猪后腿悬挂蹄,在半夜时烧焦,研细,过筛,用猪脂调和后敷于患处。此方也适用于小儿。
《千金翼方》治疗冬季冒雪涉冰,导致面目手足冻伤坏死及初起发热疼痛的方剂:
取麦根巢,煮取浓汁,趁热浸泡并清洗手足,三至五次即可痊愈。
《千金翼方》治疗手足皴裂冻伤欲脱落的方剂:
花椒 川芎(各半两) 白芷 防风 生姜(一秤盐,各一分)
以上五味药,用水四升,煎煮至浓稠,涂抹或清洗三数次即可痊愈。
《千金翼方》治疗冻伤十指即将脱落的方剂:
取马粪三升,煮至沸腾如麻油状,浸泡患处,待冷却后更换,半天即可痊愈。
《子母秘录》治疗小儿冻疮的方剂:
取麻雀脑髓涂抹患处,立即痊愈。
孟诜治疗冻疮的方剂:
取腊月新死的公鼠一只,用一大升油煎炸至烂,过滤去渣,再浓缩熬成膏,涂抹于冻疮及破裂的疮口。
《圣惠方》治疗小儿冻耳成疮,或痒或痛,黄柏散方:
黄柏 白蔹(各半两)
将上述药物捣碎,细筛成散剂。先用热水清洗疮面,后用生油调匀涂抹。
《圣惠方》治疗小儿冻脚成疮,或痒或痛,宜用此方:
小麦(半升) 稻秆草(三握)
将上述药物用醋一升、水二升,同煮至剩余二升,去渣。温度保持与人体体温相当,清洗双脚,夜间频繁清洗效果更佳。
《圣惠方》治疗小儿冻手,皴裂成疮,白蔹散方:
白蔹(末,三分) 白芨(末,半两) 生油麻(二合,生捣)
将上述药物共同研磨均匀,另取一个蒸熟的萝卜,捣烂混合,用酒调成稀膏状。先用童子小便清洗,然后涂抹,效果显著。
《养生必用》治疗冻疮久不愈合的方剂:
取马兰花种子为末,煎汤趁热淋洗。
张涣治疗小儿冬季乳母护理不慎,寒气损伤皮肤,与血气搏结,导致肿胀生疮,难以愈合,俗称冻疮,或偏发于耳、手、足的方剂,黄柏膏方:
黄柏 白蔹(各为一两末) 白芨(末,半两) 生油麻(二合,生捣取汁)
将上述药物共同研磨均匀,另取一个蒸熟的萝卜,加入一盏好酒,一同捣烂成膏。每次取少许,先以童子小便清洗患处,然后用药,根据患处情况涂抹。
*Shenghui Fang*: The condition known as "jiao zhe" (frostbite of the feet) in infants is caused by their tender skin being invaded by external wind-cold pathogens affecting the Yongquan acupoint (Kidney 1, located on the sole of the foot). In this state, the qi and blood between the skin and flesh of the infant's feet interact with the wind-pathogen, resulting in muscle stiffness and obstruction of qi and blood circulation, preventing yang qi from reaching the extremities, thus causing this disease.
*Shenghui Fang* treats swelling, hardness, and pain in infants' frostbitten feet using the "Fei Zhan Fang" (Boiling Dip Decoction).
Chuanjiao (Sichuan Pepper, *Zanthoxyli Pericarpium*) (2 liang) Yan (Salt) (1 liang)
Decoct the above ingredients in 5 sheng of clear wine until reduced to 3 sheng. Frequently dip the affected area in the warm solution; stop when it cools down. Reheat and repeat the application three to seven times.
Another prescription from *Shenghui Fang*:
Fuzi (Prepared Aconite Root, *Aconiti Lateralis Radix Praeparata*) (1 liang) Ganjiang (Dried Ginger Rhizome, *Zingiberis Rhizoma*) (2 liang)
Pound the above herbs into powder, sieve them, place them in a cotton bag, and fashion them into socks for the infant to wear.
Another prescription from *Shenghui Fang*:
Apply pig lard (Su Zhi) three to four times daily. *Jishi Jiachuan Fang* suggests applying concentrated rendered tallow.
*Zhoubing Yuanhou Lun · Infantile Frost-Burned Ulcer Syndrome*: In winter, cold qi damages the skin and flesh of infants. Cold qi clashes with qi and blood, causing stagnation and congestion, leading to ulcer formation. These ulcers are swollen and difficult to heal, potentially progressing to necrosis of skin and flesh, termed "dong lan chuang" (frost-burned ulcer).
*Qianjin Fang* treats frost-burned ulcers:
Take the hind trotter of a pig that has been hanging suspended, burn it at midnight, grind it finely, sieve it, and mix with pig lard for topical application. This formula is also suitable for infants.
*Qianjin Yifang* treats frostbite necrosis of the face, hands, and feet, and initial heat-induced pain due to exposure to cold and ice in winter:
Take wheat root nests, decoct to obtain a thick liquid, and soak and wash the hands and feet while hot. Three to five applications will lead to recovery.
*Qianjin Yifang* treats chapped and frostbitten hands and feet prone to shedding:
Jiaojiao (Sichuan Pepper, *Zanthoxyli Pericarpium*), Xiong (Sichuan Lovage Rhizome, *Ligustici Chuanxiong Rhizoma*) (each 0.5 liang), Baizhi (Angelica Dahurica Root, *Angelicae Dahuricae Radix*), Fangfeng (Saposhnikovia Root, *Saposhnikoviae Radix*), Jiang (Ginger, *Zingiberis Rhizoma Recens*). Note: The text mentions "Yi cheng yan", likely a textual error or specific measurement context, but lists "one part each" for salt and others. Assuming standard proportions based on context: Salt (1 fen each for listed items).
Decoct the above five herbs in 4 sheng of water until concentrated. Apply or wash three to five times for recovery.
*Qianjin Yifang* treats frostbite of ten fingers threatening amputation:
Take 3 sheng of horse manure, boil until bubbling like sesame oil, soak the affected area, replace with fresh warm solution upon cooling. Recovery occurs within half a day.
*Zimu Milu* treats infantile frostbite:
Apply sparrow brain marrow to the affected area for immediate recovery.
Meng Shen's prescription for frostbite:
Take one male mouse newly dead on the Laba Festival (8th day of the 12th lunar month), fry in 1 sheng of oil until soft, strain out residues, and further reduce to form a ointment. Apply to frostbite and broken sores.
*Shenghui Fang* treats frostbite of ears in infants causing ulcers, itching, or pain, using Huangbai San (Phellodendron Powder):
Huangbai (Phellodendron Bark, *Phellodendri Chinensis Cortex*), Bailian (Belamcanda Rhizome, *Belamcandae Rhizoma*) (each 0.5 liang)
Pound the herbs, sieve finely into powder. First wash the ulcer with hot water, then mix with raw sesame oil for topical application.
*Shenghui Fang* treats frostbite of feet in infants causing ulcers, itching, or pain:
Xiaomai (Wheat Grain, *Tritici Fructus*), Rangcao (Rice Straw, *Oryzae Sativa Culm*) (three handfuls)
Decoct the above ingredients in 1 sheng of vinegar and 2 sheng of water until reduced to 2 sheng. Strain. Wash both feet with the solution at a temperature similar to body heat; frequent washing at night is effective.
*Shenghui Fang* treats frostbite of hands in infants causing chapping and ulcers, using Bailian San (Belamcanda Powder):
Bailian (Belamcanda Rhizome, *Belamcandae Rhizoma*) (powder, 3 fen), Baiji (Chinese Tussilago Rhizome, *Bletillae Rhizoma*) (powder, 0.5 liang), Sheng Youma (Raw Sesame Seeds, *Sesami Fructus*) (2 he, freshly pounded)
Grind the herbs uniformly together. Take one steamed radish, mash it thoroughly, mix with the herb powder, and adjust with wine to a thin paste consistency. First wash with urine from a young boy, then apply the mixture for efficacy.
*Yangsheng Biyong* treats chronic non-healing frostbite:
Grind Malan flower seeds into powder, decoct in water, and wash with the hot liquid.
Zhang Huan treats infantile frostbite caused by improper care by wet nurses in winter, where cold qi damages the skin and clashes with qi and blood, causing swelling and difficult-to-heal ulcers, commonly known as frostbite, occurring on ears, hands, or feet. Huangbai Gao (Phellodendron Ointment):
Huangbai (Phellodendron Bark, *Phellodendri Chinensis Cortex*), Bailian (Belamcanda Rhizome, *Belamcandae Rhizoma*) (each 1 liang powdered), Baiji (Chinese Tussilago Rhizome, *Bletillae Rhizoma*) (powder, 0.5 liang), Sheng Youma (Raw Sesame Seeds, *Sesami Fructus*) (2 he, freshly pounded to extract juice)
Grind the herbs uniformly. Add one steamed radish and one cup of good wine, mash thoroughly into an ointment. Apply a small amount after first washing the affected area with urine from a young boy, then apply the medicine according to the lesion.