〔薛〕小儿时毒，因感四时不正之气，致鼻面耳项或咽喉赤肿，寒热头痛，甚者
恍惚不宁，咽喉闭塞，状如伤寒，五七日间亦能杀人。脉浮数者邪在表，脉沉涩者
邪在里，在表用葛根牛蒡子汤，在里用栀子仁汤，表里俱病者犀角升麻汤，甚则宜
砭，及用通气散宣泄其毒，旬日自消。若不消而欲作脓者用托里消毒散，欲收敛者
用托里散，若咽肿不能言、头肿不能食者，必死。
通气散 治时毒 痛，咽喉不利，取嚏以泄其毒。
玄胡索 猪牙皂荚 川芎（各一钱） 藜芦（五分） 羊踯躅花（三分）
上为细末。用纸捻蘸少许 鼻内取嚏，为效。
犀角升麻汤 治风热，口唇、颊车连牙肿痛。
犀角（镑，二钱） 升麻 防风 羌活 川芎 白芷（各五分） 黄芩 甘草（各一钱）
白附子（四分）
上，每服三五钱，水煎。
栀子仁汤 治时毒肿痛，大便秘结。
郁金 枳壳（麸炒） 升麻 山栀仁 牛蒡子（研碎，炒） 大黄（炒。各等分）
上为细末。每服二三钱，蜜水调服。
葛根牛蒡子汤 治时毒肿痛。消毒解热。
葛根 管仲 甘草 江西豆豉 牛蒡子（半生半炒，研碎。各等分）
上，每服三五钱，水煎。
〔薛〕小儿流注，乃气流而滞，血注而凝，元气不足之证也，或因闪跌堕伤，或
因肝火气逆，或因六淫内侵，或因脾虚食积，或因禀赋所致，结于四肢节HT ，患于
胸腹腰臀，或结块，或漫肿，或作痛，悉用葱熨之法，须固元气为主。闪跌者和血
定痛丸，肝火者九味芦荟丸，食积者四味肥儿丸，药能对证，未成自消，已成自溃。
若脓成不溃者，元气虚也，先补而针之，庶使毒瓦斯不致内攻，气血不致脱陷。若脓
出而反痛者，气血虚也，用八珍汤。作呕少食者，胃气虚也，用四君子汤。欲呕不
食，或腹作胀者，脾气虚也，用六君子汤。口噤搐搦者，气血虚极而变症也，十全
大补汤。内热晡热，阴血虚也，四物、参、 、白术。表热恶寒，阳气虚也，十全
大补汤。热来复去，或昼见夜伏，昼伏夜发者，虚热也，当大补元气。若色赤肿起
而脓稠者尚可治，不赤硬而脓清，或脉洪大，寒热发渴，及不受补者，皆不可治。
健脾渗湿饮 治疮疡初起， 肿作痛，或湿毒下注，或环跳穴痛。
人参 白术 苍术 防己（酒拌） 黄柏（炒） 川芎 陈皮 当归 茯苓（各五分） 木瓜（不
犯铁器） 柴胡稍 甘草（各三分）
上，姜水煎服。如三五剂不退，加桂少许，酒煎亦可，小便涩、加牛膝，身痛、
加羌活。
和血定痛丸（一名黑丸子） 治流注、膝风，或闪跌瘀血，肢节肿痛，服之自消。若溃
而发热，与补药兼服，自效。
百草霜（五两） 赤小豆（半斤） 川乌（炮，一两五钱） 白蔹（八两） 白芨 南星（炮。
各二两） 芍药 当归 牛膝（各五两） 骨碎补（四两）
上为末。酒糊、丸桐子大。每服二三十丸，白汤下。
神效葱熨法 治流注结核，或骨痈鹤膝等证。先用隔蒜灸，若余肿尚存，用此熨之，
以助气行血，散其壅滞，功效甚速。又治跌扑损伤，止痛、散血、消肿之良法也。
其法、用葱细切、捣烂、炒热，频熨患处，冷则易之，如鹤膝风，兼服大防风汤
而愈。
隔蒜灸法 治流注及痈疽、鹤膝风、等证。每日灸二三十壮，痛者灸至不痛，不痛者
灸至痛，其毒随火而散，盖火以畅达，拔引郁毒，此从治之法，有回生之功。其
法用大蒜去皮，切三文钱浓，安患处，用艾壮于蒜上灸之，三壮、换蒜复灸，未
成即消，已成者亦杀其毒，如疮大，用蒜杵烂、摊患处，将艾铺上烧之，蒜败再
易。如不痛，或作脓，或不起发，及疮属阴证者，尤当多灸，凡疮不痛、不作脓、
不起发者，皆气血虚也，多主不治。惟患在头面者，不宜多灸。论中婴儿灸法，
见疔疮。
如圣饼 治流注及一切疮疡，不能消散，或溃而不敛。
乳香 没药 木香 血竭 当归（各等分） 麝香（减半）
上为末。用酒糊、和饼二个，乘热熨之。毒疮加蟾酥。
当归补血汤 治流注及溃疡肌热、面赤、烦渴，脉洪大而虚，重按全无，此血虚证
也，误服白虎汤，必死。（方见虚热）
益气养荣汤 治流注气血虚弱，不能消散，或四肢颈项患肿，不问坚软、赤白，或
痛或不痛，日晡发热，或溃而不敛。（方见后）
十全大补汤 治诸疮血气虚弱，不能消散、溃腐、收敛。或寒热汗出，口眼歪斜，
肌瘦少食。或日晡发热，自汗盗汗。或朝寒暮热，疮口不敛等证。（方见自汗）
【薛己】小儿时毒，是因为感受了四时不正之气，导致鼻、面、耳、项部或咽喉出现赤肿，伴有寒热、头痛等症状，严重的会出现神志恍惚、不安宁，咽喉闭塞，症状类似伤寒，在五到七天内也可能致死。脉象浮数的，说明邪气在表；脉象沉涩的，说明邪气在里。邪气在表的用葛根牛蒡子汤，邪气在里的用栀子仁汤，表里同病的用犀角升麻汤，病情严重的适宜用砭石放血疗法，并配合使用通气散来宣泄毒邪，大约十天自然消退。如果毒邪不消散且即将化脓的，用托里消毒散；如果伤口欲收敛愈合的，用托里散。如果出现咽喉肿胀不能说话、头部肿胀不能进食的情况，必定死亡。
通气散：治疗时毒疼痛，咽喉不利，通过取嚏来泄出毒邪。
药材：玄胡索、猪牙皂荚、川芎（各一钱），藜芦（五分），羊踯躅花（三分）。
制法与用法：研成细末。用纸捻蘸取少许药粉纳入鼻内，以打出喷嚏为有效。
犀角升麻汤：治疗风热引起的口唇、颊车连及牙齿肿痛。
药材：犀角（镑片，二钱），升麻、防风、羌活、川芎、白芷（各五分），黄芩、甘草（各一钱），白附子（四分）。
制法与用法：以上药材，每次服用三至五钱，加水煎煮。
栀子仁汤：治疗时毒引起的肿痛，大便秘结。
药材：郁金、枳壳（麸炒）、升麻、山栀仁、牛蒡子（研碎，炒）、大黄（炒，各等分）。
制法与用法：研成细末。每次服用二至三钱，用蜜水调服。
葛根牛蒡子汤：治疗时毒引起的肿痛。具有消毒解热的功效。
药材：葛根、管仲、甘草、江西豆豉、牛蒡子（半生半炒，研碎，各等分）。
制法与用法：以上药材，每次服用三至五钱，加水煎煮。
【薛己】小儿流注，是气流滞涩、血液凝注，属于元气不足的证候。可能因为闪挫跌打损伤，或者因为肝火气逆，或者因为六淫邪气内侵，或者因为脾虚食积，或者因为先天禀赋所致。病邪结聚于四肢关节，患于胸腹腰臀部位，表现为结块，或者漫肿，或者疼痛，全部使用葱熨的方法治疗，必须以固护元气为主。如果是闪挫跌打导致的，用和血定痛丸；肝火旺盛的，用九味芦荟丸；食积导致的，用四味肥儿丸。药物如果对证，未成脓的自然消散，已成脓的自然溃破。如果脓成但不溃破的，是元气虚弱，先补益正气再针刺排脓，这样才能使毒邪不至于内攻，气血不至于脱陷。如果脓液流出后反而疼痛的，是气血虚弱，用八珍汤。出现呕吐、食欲减少的，是胃气虚弱，用四君子汤。想要呕吐但不进食，或者腹部胀满的，是脾气虚弱，用六君子汤。出现牙关紧闭、抽搐痉挛的，是气血极度虚弱而变生的症候，用十全大补汤。体内发热、傍晚发热，是阴血虚弱，用四物汤加人参、[此处原文缺字，通常指黄芪或麦冬等，依语境保留原意]、白术。体表发热、恶寒，是阳气虚弱，用十全大补汤。热势往来不定，或者白天显现晚上潜伏，白天潜伏晚上发作的，是虚热，应当大补元气。如果患处颜色红赤肿胀且脓液稠厚的还可以治疗；如果不红硬且脓液清稀，或者脉象洪大，伴有寒热口渴，以及无法接受补益治疗的，都不可治。
健脾渗湿饮：治疗疮疡初起，红肿作痛，或者湿毒下注，或者环跳穴疼痛。
药材：人参、白术、苍术、防己（酒拌）、黄柏（炒）、川芎、陈皮、当归、茯苓（各五分），木瓜（不接触铁器）、柴胡梢、甘草（各三分）。
制法与用法：以上药材，用姜水煎服。如果服用三至五剂不退，加入少许桂枝，用酒煎也可以。小便涩痛，加牛膝；身体疼痛，加羌活。
和血定痛丸（又名黑丸子）：治疗流注、膝风，或者闪挫跌打瘀血，肢体关节肿痛，服用后自然消散。如果溃破后发热，配合补药一起服用，自见疗效。
药材：百草霜（五两），赤小豆（半斤），川乌（炮制，一两五钱），白蔹（八两），白芨、南星（炮制，各二两），芍药、当归、牛膝（各五两），骨碎补（四两）。
制法与用法：研成粉末。用酒糊制作成梧桐子大小的丸药。每次服用二三十丸，用白开水送下。
神效葱熨法：治疗流注结核，或者骨痈、鹤膝风等证候。先用隔蒜灸，如果剩余肿胀尚存，用此法熨烫，以助气行血，消散壅滞，功效非常迅速。又治疗跌扑损伤，是止痛、散血、消肿的好方法。
具体方法：将葱切碎、捣烂、炒热，频繁熨烫患处，冷了则更换新的，像鹤膝风，同时服用大防风汤即可痊愈。
隔蒜灸法：治疗流注及痈疽、鹤膝风等证候。每天灸二三十壮，痛的灸到不痛，不痛的灸到痛，毒邪随着火气而消散。因为火能畅达气机，拔引郁结之毒，这是从治的方法，有起死回生的功效。
具体方法：用大蒜去皮，切成三文钱厚的片，放在患处，用艾炷在蒜上灸。灸三壮，换一片蒜继续灸。未成脓的即消散，已成脓的也能杀灭毒邪。如果疮口较大，将蒜捣烂摊在患处，将艾铺在上面烧灼，蒜坏了再换。如果患处不痛，或者化脓，或者不起发，以及疮属阴证的，尤其应当多灸。凡是疮口不痛、不作脓、不起发的，都是气血虚弱，大多主不治之症。只有患在头面部的，不宜多灸。关于婴儿的灸法，详见疔疮章节。
如圣饼：治疗流注及一切疮疡，不能消散，或者溃破后不收敛。
药材：乳香、没药、木香、血竭、当归（各等分），麝香（减半）。
制法与用法：研成粉末。用酒糊调和做成两个饼，趁热熨烫患处。毒疮加上蟾酥。
当归补血汤：治疗流注及溃疡后的肌热、面赤、烦渴，脉象洪大而虚，重按全无，这是血虚证候，误服白虎汤，必死。（方剂见虚热章节）
益气养荣汤：治疗流注气血虚弱，不能消散，或者四肢颈项患肿，不论坚硬柔软、色赤色白，或者痛或不痛，傍晚发热，或者溃破后不收敛。（方剂见后文）
十全大补汤：治疗各种疮疡血气虚弱，不能消散、溃腐、收敛。或者寒热汗出，口眼歪斜，肌肉消瘦、食欲减少。或者傍晚发热，自汗盗汗。或者早晨怕冷晚上发热，疮口不收敛等证候。（方剂见自汗章节）
[Xue Ji] Pediatric "Shidu" (Seasonal Toxin) is caused by contracting the abnormal qi of the four seasons, leading to redness and swelling in the nose, face, ears, neck, or throat, accompanied by aversion to cold, fever, and headache. In severe cases, it may cause mental confusion and restlessness, throat obstruction, resembling "Shanghan" (Cold Damage Disease). It can be fatal within five to seven days. A floating and rapid pulse indicates the pathogen is at the exterior; a deep and choppy pulse indicates the pathogen is at the interior. For pathogens at the exterior, use Gegen Niuzi Tang (Kudzu and Burdock Seed Decoction); for pathogens at the interior, use Zhizi Ren Tang (Gardenia Kernel Decoction); for simultaneous exterior and interior involvement, use Xijiao Shengma Tang (Rhinoceros Horn and Cimicifuga Decoction). In severe cases, bloodletting with a bi stone (Bianshi, 砭石) is appropriate, along with Tongqi San (Ventilation Powder) to vent the toxin, which will naturally resolve in about ten days. If the toxin does not dissipate but begins to suppurate, use Tuoli Xiaodu San (Support Interior and Eliminate Toxin Powder); if the wound is ready to heal/converge, use Tuoli San (Support Interior Powder). If there is throat swelling preventing speech or head swelling preventing eating, death is inevitable.
Tongqi San: Treats pain from Shidu, throat discomfort, inducing sneezing to vent the toxin.
Ingredients: Yanhusuo (Corydalis Rhizome), Zhuya Zaojia (Toothed Soap Pod), Chuanxiong (Ligusticum Rhizome) (each 1 qian), Lilu (Veratrum Rhizome) (0.5 qian), Yangzhizhu Hua (Daphne Odora Flower) (0.3 qian).
Preparation and Administration: Grind into fine powder. Dip a paper twist in a small amount of powder and insert into the nostril to induce sneezing as the desired effect.
Xijiao Shengma Tang: Treats wind-heat causing swelling and pain of the lips, jaw joint (Jiache), and teeth.
Ingredients: Xijiao (Rhinoceros Horn, sliced, 2 qian), Shengma (Cimicifuga Rhizome), Fangfeng (Saposhnikovia Root), Qianghuo (Notopterygium Rhizome), Chuanxiong (Ligusticum Rhizome), Baizhi (Angelica Dahurica Root) (each 0.5 qian), Huangqin (Scutellaria Root), Gancao (Licorice Root) (each 1 qian), Baifuzi (Aconitum Carlemanii Bulb) (0.4 qian).
Preparation and Administration: Take 3-5 qian per dose, decoct in water.
Zhizi Ren Tang: Treats swelling and pain from Shidu, with constipation.
Ingredients: Yujin (Curcuma Root), Zhike (Bitter Orange Fruit, stir-baked with bran), Shengma (Cimicifuga Rhizome), Shanzhiren (Gardenia Kernel), Niuzi (Burdock Seed, crushed and stir-baked), Dahuang (Rhubarb Root, stir-baked) (all in equal proportions).
Preparation and Administration: Grind into fine powder. Take 2-3 qian per dose, mix with honey water and swallow.
Gegen Niuzi Tang: Treats swelling and pain from Shidu. Has effects of detoxification and clearing heat.
Ingredients: Gegen (Kudzu Root), Guanzhong (Asparagus Fern Stem), Gancao (Licorice Root), Jiangxi Douchi (Fermented Soybean from Jiangxi), Niuzi (Burdock Seed, half raw half stir-baked, crushed) (all in equal proportions).
Preparation and Administration: Take 3-5 qian per dose, decoct in water.
[Xue Ji] Pediatric Liuzhu (Flowing Abscess) refers to stagnation of Qi flow and coagulation of blood injection, representing a syndrome of insufficient Yuan Qi (Original Qi). It may result from sprains or falls, Liver fire with rebellious Qi, invasion of the Six Exogenous Pathogens, Spleen deficiency with food retention, or congenital predisposition. The pathogen knots in the limbs and joints, affecting the chest, abdomen, waist, and buttocks, presenting as nodules, diffuse swelling, or pain. All should be treated with Congyi Method (Green Onion Moxibustion/Fomentation), prioritizing the consolidation of Yuan Qi. For sprains and falls, use Heblood Dingtong Wan (Harmonize Blood and Stop Pain Pill); for Liver fire, use Jiuwei Lujian Wan (Nine-Ingredient Aloe Pill); for food retention, use Siwei Fei'er Wan (Four-Ingredient Child-Nourishing Pill). If the medication matches the syndrome, unformed abscesses will dissipate spontaneously, and formed abscesses will rupture spontaneously. If pus forms but does not rupture, it is due to deficient Yuan Qi; tonify first, then puncture, so that the toxin does not attack internally and Qi and Blood do not collapse. If pain persists after pus discharge, it is due to deficient Qi and Blood; use Bazhen Tang (Eight-Treasure Decoction). If vomiting and poor appetite occur, it is due to deficient Stomach Qi; use Sijunzi Tang (Four-Gentlemen Decoction). If there is nausea without eating or abdominal distension, it is due to deficient Spleen Qi; use Liujunzi Tang (Six-Gentlemen Decoction). If trismus and convulsions occur, it is a transformation syndrome due to extreme deficiency of Qi and Blood; use Shiquan Dabu Tang (Comprehensive Great Tonifying Decoction). Internal heat and afternoon fever indicate Yin Blood deficiency; use Siwu Tang (Four-Material Decoction) plus Renshen (Ginseng), [missing character in text, likely Huangqi or Maidong], and Baizhu (Atractylodes Macrocephala Rhizome). Exterior heat with aversion to cold indicates Yang Qi deficiency; use Shiquan Dabu Tang (Comprehensive Great Tonifying Decoction). Fluctuating heat, or heat appearing by day and hiding by night, or hiding by day and appearing by night, indicates deficient heat; one should greatly tonify Yuan Qi. If the lesion is red, swollen, and the pus is thick, it is treatable; if it is not red or hard, the pus is thin/clear, or the pulse is flooding, accompanied by aversion to cold, fever, thirst, and intolerance to tonification, it is untreatable.
Jianpi Shen Shi Yin (Strengthen Spleen and Leach Out Dampness Decoction): Treats early-stage sores with redness, swelling, and pain; damp-toxin flowing downward; or pain in the Huantiao acupoint.
Ingredients: Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), Cangzhu (Atractylodes Lancea Rhizome), Fangji (Stephania Root, mixed with wine), Huangbai (Phellodendron Bark, stir-baked), Chuanxiong (Ligusticum Rhizome), Chenpi (Citrus Peel), Danggui (Angelica Sinensis Root), Fuling (Poria) (each 0.5 qian), Mugua (Chaenomeles Fruit, avoid iron), Chaihu Shao (Bupleurum Root tip), Gancao (Licorice Root) (each 0.3 qian).
Preparation and Administration: Decoct in ginger water. If symptoms persist after 3-5 doses, add a small amount of Guizhi (Cinnamon Twig) and decoct in wine. For astringent urination, add Niuxi (Achyranthes Root); for body pain, add Qianghuo (Notopterygium Rhizome).
Heblood Dingtong Wan (also known as Heiwanzi/Black Pill): Treats Liuzhu, knee wind, or blood stasis from sprains/falls, causing limb and joint swelling and pain; self-dissipates upon ingestion. If fever occurs after ulceration, take concurrently with tonics for efficacy.
Ingredients: Baicaoshuang (Herbal Charcoal), Chixiaodou (Adzuki Bean), Chuanwu (Aconitum Carleilii Root, processed), Bailian (Belamcanda Rhizome), Baiji (Polygonatum Rhizome), Nanxing (Arisaema Rhizome, processed) (each 2 liang), Shaoyao (Peony Root), Danggui (Angelica Sinensis Root), Niuxi (Achyranthes Root) (each 5 liang), Gusuibu (Drynaria Rhizome) (4 liang).
Preparation and Administration: Grind into powder. Make pills using wine paste, sized like paulownia seeds. Take 20-30 pills per dose, washed down with plain warm water.
Shenxiao Congyi Method (Miraculous Green Onion Fomentation): Treats Liuzhu nodules, bone carbuncles, or crane-knee disease. First apply Ge Suan Jiu (Garlic-Separated Moxibustion); if residual swelling remains, use this fomentation method to promote Qi circulation and blood flow, dispersing stagnation with rapid effect. Also an excellent method for treating traumatic injuries, stopping pain, dispelling blood stasis, and reducing swelling.
Method: Finely chop green onions, pound them, stir-fry until hot, and frequently foment the affected area. Replace when cool. For crane-knee disease, concurrently administer Dafangfeng Tang (Great Saposhnikovia Decoction) for cure.
Ge Suan Jiu Method (Garlic-Separated Moxibustion): Treats Liuzhu, carbuncles and ulcers, crane-knee disease, etc. Apply 20-30 moxa cones daily. Moxa painful areas until pain ceases, and non-painful areas until pain arises. The toxin disperses with the fire. Fire facilitates free flow and draws out stagnant toxins; this is a contrary treatment method with life-saving power.
Method: Peel garlic, slice to the thickness of three cash coins, place on the lesion, and moxa on top of the garlic. After three cones, replace the garlic and continue moxa. Unformed lesions will dissipate; formed lesions will have their toxicity neutralized. For large sores, pound garlic and spread on the lesion, place moxa on top and burn. Replace garlic when it spoils. For lesions that are painless, suppurring, or non-elevating, and for Yin-type sores, moxa heavily. Generally, painless, non-suppurating, non-elevating sores indicate Qi and Blood deficiency and are often untreatable. However, sores on the head and face should not be heavily moxa. Infant moxibustion methods are detailed in the section on Ding Chuang (Carbuncle Sores).
Rusheng Bing (Like-Sage Cake): Treats Liuzhu and all sores that cannot dissipate, or ulcers that fail to converge/heal.
Ingredients: Ruxiang (Frankincense), Moyao (Myrrh), Muxiang (Aucklandia Root), Xuexie (Dragon's Blood), Danggui (Angelica Sinensis Root) (all in equal proportions), Shexiang (Musk) (half proportion).
Preparation and Administration: Grind into powder. Mix with wine paste to form two cakes, and foment while hot. Add Chan Su (Toad Venom) for toxic sores.
Danggui Buxue Tang (Angelica Tonifying Blood Decoction): Treats Liuzhu and post-ulcer internal heat, facial redness, irritability, and thirst, with a flooding yet empty pulse (empty upon heavy pressure). This is a Blood deficiency syndrome; misusing Baihu Tang (White Tiger Decoction) will be fatal. (Formula see Deficient Heat section)
Yiqi Yangrong Tang (Benefit Qi and Nourish Ying Decoction): Treats Liuzhu due to Qi and Blood weakness, inability to dissipate, or swelling in limbs and neck, regardless of hardness or color, pain or no pain, afternoon fever, or failure to heal after ulceration. (Formula see later)
Shiquan Dabu Tang (Comprehensive Great Tonifying Decoction): Treats various sores due to Qi and Blood weakness, unable to dissipate, suppurate, or heal. Or chills and fever with sweating, deviation of mouth and eyes, emaciation, and poor appetite. Or afternoon fever, spontaneous or nocturnal sweating. Or morning chills and evening heat, failure of sore to heal. (Formula see Spontaneous Sweating section)