六味地黄丸 方见卷一胎疾门。此加鹿茸、上桂。
补中益气汤 方见卷一保产门。
六君子汤 方见卷二类搐门。此加干姜、上桂、升麻、柴胡。
小儿赤游丹毒,皆由心火内壅,热与血搏,或起于手足,或发于头面胸背,游移上下。其热如火,痛不可
言,赤如丹砂,故名丹毒。凡自腹出四肢者易治,自四肢入腹者难治。治丹之法,先用辛凉解表,使毒渐消,
方可搽敷;若先不解毒,遽用搽敷,必逼毒
入腹,以致不救,小儿一岁以外者易治,未周岁者难治,治之得法,无论大小。予尝治百日内外火丹,从阴囊
下起,按法治之,三日后阴囊蜕去一壳而愈。
小儿十种丹毒,如三日不治,攻入肠胃则不救。宜逐一辨认,根据方治之,百不失一。
凡治丹毒,俱宜先服防风升麻汤,以解毒发表。次用磁锋针去其血,则毒随血散。至神至捷,百发百中。
防风升麻汤 总治十种丹毒。
北防风 绿升麻 黑栀仁 大麦冬 荆芥穗 淮木通 粉干葛 南薄荷 润玄参 牛蒡子(以上各一钱)
粉甘草(五分)
灯心十茎,水煎,热服。便闭,加大黄利之。
瓷针砭法 用上清瓷器,轻轻敲破,取其锋锐者一枚,将箸头劈破,横夹瓷针,露锋于外,将线扎紧,以瓷
锋正对丹毒之处,另以箸一条,于瓷锋箸上轻轻敲之,其血自出,多刺更妙。毒血出尽,立时见功。
治丹若不砭去恶血,专用搽敷,十不救一。
六味地黄丸:方剂详见卷一“胎疾门”。此处是在原方基础上加入鹿茸、肉桂。
补中益气汤:方剂详见卷一“保产门”。
六君子汤:方剂详见卷二类搐门。此处是在原方基础上加入干姜、肉桂、升麻、柴胡。
小儿赤游丹毒,都是由于心火内郁壅滞,热邪与血相搏结所致。发病部位或起于手足,或发于头面胸背,游走不定,上下移动。患处灼热如火,疼痛难以言表,颜色红如丹砂,因此称为丹毒。凡是毒素从腹部向四肢扩散的容易治疗,从四肢向腹部内陷的难以治疗。治疗丹毒的方法,先用辛凉解表的药物,使毒邪逐渐消散,然后才可以进行外敷;如果先不解开毒邪,就急于使用外敷药,必然逼迫毒邪深入腹部,导致无法救治。一岁以外的小儿容易治疗,未满周岁的小儿难以治疗,只要治疗方法得当,无论年龄大小都能治愈。我曾经治疗过一百天以内外的火丹(丹毒),病灶从阴囊下方开始,按照正确方法治疗,三天后阴囊蜕去一层死皮而痊愈。
小儿十种丹毒,如果三天不治疗,毒邪攻入肠胃则无法救治。应当逐一辨认类型,根据具体证候施治,百无一失。
凡治疗丹毒,都适宜先服用防风升麻汤,以解毒并发表散邪。接着用磁锋针刺破皮肤放血,这样毒邪就会随着血液发散出去。这种方法极其灵验快捷,百发百中。
防风升麻汤:总治十种丹毒。
北防风、绿升麻、黑栀仁、大麦冬、荆芥穗、淮木通、粉干葛、南薄荷、润玄参、牛蒡子(以上各一钱)
粉甘草(五分)
灯心草十茎,加水煎煮,趁热服用。若大便闭塞不通,加大黄以通便泄热。
瓷针砭法:选用上清瓷器,轻轻敲碎,取其中锋利的一枚碎片,将筷子头劈破,横向夹住瓷针碎片,让锋锐部分露在外面,用线扎紧固定。将瓷针锋端正对丹毒患处,另取一根筷子,在夹着瓷针的筷子上轻轻敲击,血液自然流出,多刺几次效果更好。恶毒之血排尽,立刻见效。
治疗丹毒如果不通过砭法去除恶血,专门依赖外敷药,十个人里救不活一个。
Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill): The formula is detailed in Volume 1, under the section "Congenital Diseases". This version adds Antler Powder (Lurong) and Cinnamon Bark (Rougui).
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction): The formula is detailed in Volume 1, under the section "Protecting Childbirth".
Liujunzi Tang (Six-Gentlemen Decoction): The formula is detailed in Volume 1, under the section "Convulsions". This version adds Dried Ginger (Ganjiang), Cinnamon Bark (Rougui), Cimicifugae Rhizoma (Shengma), and Bupleuri Radix (Chaihu).
Pediatric Red Roaming Erysipelas (Chiyou Dandu) is caused by internal stagnation of Heart Fire, where Heat collides with Blood. It may originate from the limbs or erupt on the head, face, chest, or back, wandering up and down. The affected area is hot as fire, pain is unbearable, and the color is red like cinnabar, hence the name "Dandu" (Erysipelas/Red Poison). Cases where the toxin spreads from the abdomen to the limbs are easy to treat; cases where it sinks from the limbs into the abdomen are difficult to treat. The method for treating erysipelas is to first use Acrid-Cool Exterior-Releasing methods to gradually dissipate the toxin before applying external plasters; if one does not resolve the toxin first but hastily applies external treatments, it will inevitably force the toxin into the abdomen, leading to untreatable conditions. Children over one year old are easy to treat; those under one year old are difficult to treat. If treated correctly, regardless of age, they can be cured. I once treated a case of Fire Erysipelas in an infant within or around 100 days old, starting from below the scrotum. Following the correct method, after three days, the scrotal skin shed like a shell, and the child recovered.
For the ten types of pediatric erysipelas, if left untreated for three days, the toxin attacking the intestines and stomach becomes untreatable. One must identify each type individually and treat according to the specific formula, ensuring nearly perfect success.
In all cases of treating erysipelas, it is appropriate to first administer Fangfeng Shengma Tang (Saposhnikovia and Cimicifuga Decoction) to resolve toxicity and release the exterior. Subsequently, use magnetic needle pricking to bleed, so that the toxin disperses with the blood. This method is extremely effective and swift, with 100% accuracy.
Fangfeng Shengma Tang: Treats all ten types of erysipelas generally.
North Saposhnikovia Root (Beifangfeng), Green Cimicifuga Rhizome (Lvshengma), Black Gardenia Seed (Heizhiren), Large Ophiopogon Tuber (Damaidong), Schizonepeta Spike (Jingjiesui), Huai Akebia Stem (Huaimutong), Kudzu Root (Fengange), Southern Mint Leaf (Nanbohe), Moist Scrophularia Root (Runxuanshen), and Bullace Seed (Niubangzi) (each 1 qian);
Powdered Licorice Root (Fengangcao) (0.5 qian).
Ten stalks of Juncus Effusus pith (Dengxin), decocted in water, taken while hot. If constipation occurs, add Rheum Palmatum (Dahuang) to promote bowel movement.
Porcelain Needle Pricking Method: Select fine porcelain, gently break it, and take one sharp fragment. Split the tip of a chopstick, horizontally clamp the porcelain needle fragment, exposing the sharp edge outside, and tie it tightly with thread. Position the porcelain needle edge directly against the erysipelas lesion. Use another chopstick to gently tap the chopstick holding the porcelain needle, causing blood to flow out naturally. Multiple pricks are better. Once the toxic blood is fully expelled, immediate results are seen.
If treating erysipelas without using pricking to remove bad blood, relying solely on external plasters, fewer than one in ten patients will survive.