〔海〕小儿经络蕴热，头面及身体生疮，四君子加栝蒌根、桔梗各半钱，煎服。
〔汤〕小儿恶疮，天气温和，频与澡洗更衣，名曰外宣，亦不宜服药。小儿不得已而
服药，此乃下法。若将养合宜，何疾可侵，更令乳哺有节，勿令过饱，其身乃如药
树，此养生之理也。
〔汤〕恶疮方 频浴身安，外宣无病。
春用柳条荆芥 夏用枣叶槐枝 秋冬用苦参 俱煎汤洗浴。
加味羌活散 治小儿四气外搏肌肤，发为瘾疹，憎寒发热身痒。
羌活 前胡（各一两） 人参 桔梗 茯苓 甘草（炙） 川芎 枳壳（麸炒） 天麻（各半两）
蝉蜕（去须） 薄荷（各二钱）
上锉碎。每服三钱，水一盏，生姜三片，煎至六分，不拘时服。
当归饮子 治小儿心血凝滞，内蕴风热，发见皮肤遍身疮疥，或肿或痒，或脓水浸淫。
当归（去芦） 赤芍药 川芎 生地黄 蒺藜（炒，去刺） 荆芥穗 防风（去芦。各一两）
何首乌 黄 （去芦） 甘草（炙。各半两）
上锉碎。每服四钱，水一盏，姜三片，煎六分，服无时。
胎毒疮疥，因禀胎热，或娠毋饮食之毒，七情之火，初如干癣，后则脓水淋漓，
或结靥成片，如发于两耳眉，或耳前后发际之间，属手少阳经。若发于四肢，属脾
胃经。发于两胁，属肝经。发于额，属心经。发于脑，属膀胱经。发于颏颊，属肾
经。当随各经所主，五脏胜负，及乳母食啖浓味，郁怒所传致而调治之，不可辄
用化毒、犀角、等丸，设元气复伤，转变他证，尤为难疗。一小儿遍身患之，服牛
黄解毒丸皆愈，惟头结痂作痒出水。此禀肾经虚热。用地黄丸、解毒散而愈。一
小儿患于发际之间作痒，诊其母有肝火，用加味逍遥散加漏芦，用牛黄解毒丸、解
毒散而愈。（解毒散一名托毒散）一小儿患于左耳发际，渐延上头作痒，此禀肝胆二经热
毒。用柴胡清肝散，母子并服而愈。后不戒膏粱复发，脓水淋漓，右颊赤色，此胃经
有热，先用清胃散，仍用柴胡清肝散治肝火，母子俱服，又用立效散、牛黄解毒丸、
而愈。一小儿两眉患之，延及遍身四肢为患，脓水淋漓，寒热往来。属肝脾积热。
用清胃散、小柴胡汤、立效散而愈。后眉间复患，两目连札，小便白浊。用四味
肥儿丸、九味芦荟丸而愈。一小儿因乳母不戒七情浓味，患此久不愈。母用清
胃、逍遥、二散，子用牛黄解毒丸愈。后儿食甘味，眉间生疮，痒痛目札。用四味
肥儿丸为主，佐以加味逍遥散、清胃散、而愈。一小儿遍身患之，两胁为甚。子用
四味肥儿丸、立效散，母用柴胡栀子散而愈。
牛黄解毒丸 治胎毒疮疖，及一切疮疡。
牛黄（三钱） 甘草 金银花（一两） 草紫河车（五钱）
上为末。炼蜜丸，量儿服。
立效散 治鬓疮、耳疮、及一切疮疥。
定粉（末） 松香（末） 黄柏（末） 黄连（末） 枯矾（末。各一两）
上，各另为末，用清油、烛油、调搽。
敷药解毒散 治一切毒疮风疹痒痛。
大黄 黄柏 山栀 寒水石（各等分）
上为末。水调搽。若破而脓水淋漓，用当归膏或清烛油调，尤善。
柴胡栀子散（发热） 四味肥儿丸（疳） 九味芦荟丸（疳） 金黄散（天泡疮）
热毒疮疥，因乳哺过早，或嗜甘肥，脏腑积热，或母食膏粱浓味，或七情内火
所致，当分脏腑所属之因，病之虚实，调其血气，平其所胜。如肝经实热，用柴胡
清肝散，虚热用六味地黄丸。心经实热，用导赤散，虚热用补心汤。脾经实热，用
泻黄散，虚热用补中汤。肺经实热，用泻白散，虚热用五味异功散。肾经热，用六
味地黄丸。大凡手足冷者，属虚寒，手足热者，属实热，脉沉数有力，作渴饮冷，
大便干实，此邪在里，宜内疏。若脉浮数有力，作渴饮冷，此邪在表，宜发散。若
脉浮大，按举无力，或作渴饮汤，乳食少思，此真气虚而发热也，调理脾胃，其病
自愈，切不可用寒凉之剂，复损真气。婴儿宜调治乳母为主。一小儿胁间患此，寒
热如疟，小便频数。此禀肝火所致。先用柴胡清肝散，又用加味逍遥散而愈。后因
乳母肝火动而复发，用加味逍遥散及八珍汤加牡丹皮、山栀，母子服之，并愈。一
小儿腹间患此，发热便血，面黄少食，或作呕，或作泻，手足时冷，右关脉弦数。
此脾土虚弱，肝火为患。先用五味异功散加升麻、柴胡、山栀、益肝气，清肝火，
后用地黄丸滋肾水，生肝血，而愈。一小儿腿内股患此，色赤不愈，发热，面色或
赤或青。此禀肾阴不足，而木火炽盛。先用柴胡栀子散以清肝心，后用地黄丸以补
肝肾而愈。一小儿肘间患此，作渴饮冷，右寸关脉数而无力。此胃经积热，传于肺
经也。先用泻黄、泻白、二散，渐愈，后用五味异功散、四味肥儿丸、而愈。一小
儿嗜膏粱甘味，先患背胛，后沿遍身淋漓。此饮食之热而伤脾血也。先用清胃、泻
黄、二散而愈，但形气怯弱，用五味异功散而元气复。
诸疳疮疥，因脾胃亏损，内亡津液，虚火妄动，或乳母六淫七情，饮食起居失
宜，致儿为患，当分其因，审其经而平之。如面青寒热，或白翳遮睛，肝经之证也。
面赤身热，或作渴惊悸，心经之证也。面黄体瘦，或作渴泄泻，脾经之证也。面白
咳嗽，或鼻间生疮，肺金之证也。面黧体瘦，或喜卧湿地，肾经之证也。婴儿宜调
治乳母，若不审五脏胜负，形病虚实，妄行败毒，多致不救。
〔汤〕敷疮药方
剪刀草 黄连 苦参
上等分，为末。先洗净，次用麻油、轻粉、调敷。
〔田〕疮癣治法，浸淫疮，宜用苦瓠散涂之。干癣，宜用羊蹄根绞自然汁，调腻粉涂
之。湿癣，宜用青金散贴之。
苦瓠散 治小儿浸淫疮，渐展不止。
苦瓠（二两） 蛇蜕（烧灰） 蜂房（微炒。各半两） 梁上尘（一合）
上为细末。生油调，涂摊帛上贴。
青金散 治小儿湿癣、浸淫疮。
白胶香（研，一两） 轻粉（半两） 青黛（二钱半）
上研为细末。干糁疮上。
《秘录》治小儿风疹。白矾十二分，热酒熔化，马尾蘸酒涂。
〔山〕小儿头面烂疮。木耳舂细，蜜调敷。又，冷水调平胃散敷，俱干则易之。
【海藏】小儿经络中蕴积热邪，导致头面部及身体生出疮疡，可用四君子汤（益气健脾的基础方）加入栝蒌根、桔梗各半钱，煎煮后服用。
【汤氏】小儿患恶疮时，若天气温和，应频繁为其洗澡并更换衣物，这种方法称为“外宣”，此时也不宜内服药物。如果小儿不得已必须服药，这属于攻下法。若能精心调养得当，什么疾病能侵袭呢？还要让哺乳喂养有节制，不要让小儿过饱，这样他的身体就会像药树一样强健，这是养生的道理。
【汤氏】治疗恶疮的方剂：经常洗浴身体可保平安，通过外部宣散可使无病。春季使用柳条和荆芥，夏季使用枣叶和槐枝，秋冬季节使用苦参，均煎汤洗浴。
加味羌活散：治疗小儿受风、寒、暑、湿四种外邪侵袭肌肤，引发瘾疹（皮肤出现红色丘疹或风团），伴有怕冷发热、全身瘙痒的症状。
药材：羌活、前胡（各一两）；人参、桔梗、茯苓、甘草（炙）、川芎、枳壳（麸炒）、天麻（各半两）；蝉蜕（去须）、薄荷（各二钱）。
制法与用法：将药材切碎。每次服用三钱，加水一盏，生姜三片，煎至六分量的药液，不拘时间服用。
当归饮子：治疗小儿心血凝滞，体内蕴积风热，表现在皮肤上遍身生疮疥，或者肿胀瘙痒，或者有脓水渗出浸淫。
药材：当归（去芦头）、赤芍药、川芎、生地黄、蒺藜（炒，去刺）、荆芥穗、防风（去芦头，各一两）；何首乌、黄芪（去芦头）、甘草（炙，各半两）。
制法与用法：将药材切碎。每次服用四钱，加水一盏，生姜三片，煎至六分量的药液，随时服用。
胎毒疮疥，是因为禀受胎热，或者是孕妇饮食中的毒素，以及七情之火所致。起初像干癣，后来则脓水淋漓，或者结成痂皮成片。如果发于两眉之间，或耳前后发际之间，属于手少阳经病变。如果发于四肢，属于脾胃经病变。发于两胁部，属于肝经病变。发于额头，属于心经病变。发于脑后，属于膀胱经病变。发于下巴脸颊，属于肾经病变。应当根据各经所属的主治脏腑，五脏之间的胜负关系，以及乳母食用浓味食物、郁怒情绪所传致的原因来进行调治，不可随意使用化毒丸、犀角丸等药物。假如元气再次受损，转变为其他证候，就尤为难以治疗。有一个小儿遍身患病，服用牛黄解毒丸后都痊愈了，只有头部结痂作痒出水。这是禀受肾经虚热。用地黄丸、解毒散而治愈。有一个小儿患于发际之间作痒，诊察其母亲有肝火，用加味逍遥散加漏芦，配合牛黄解毒丸、解毒散而治愈。（解毒散又名托毒散）。有一个小儿患于左耳发际，逐渐蔓延至头部作痒，这是禀受肝胆二经的热毒。用柴胡清肝散，母子同时服用而治愈。后来不忌口膏粱厚味而复发，脓水淋漓，右颊发红，这是胃经有热，先用清胃散，仍用柴胡清肝散治疗肝火，母子俱服，又用立效散、牛黄解毒丸，而治愈。有一个小儿两眉患病，蔓延及遍身四肢为患，脓水淋漓，寒热往来。属于肝脾积热。用清胃散、小柴胡汤、立效散而治愈。后来眉间再次患病，两眼连眨，小便白浊。用四味肥儿丸、九味芦荟丸而治愈。有一个小儿因为乳母不戒七情波动和浓味食物，患此病久不愈。母亲用清胃散、逍遥散两个方剂，儿子用牛黄解毒丸治愈。后来孩子吃甜食，眉间生疮，痒痛且眼睛抽搐。用四味肥儿丸为主，佐以加味逍遥散、清胃散，而治愈。有一个小儿遍身患病，两胁部位尤其严重。儿子用四味肥儿丸、立效散，母亲用柴胡栀子散而治愈。
牛黄解毒丸：治疗胎毒疮疖，以及一切疮疡。
药材：牛黄（三钱）、甘草、金银花（一两）、草紫河车（五钱）。
制法与用法：研为细末。炼蜜为丸，根据小儿年龄量体服用。
立效散：治疗鬓角疮、耳疮，以及一切疮疥。
药材：定粉（粉末）、松香（粉末）、黄柏（粉末）、黄连（粉末）、枯矾（粉末，各一两）。
制法与用法：分别研为细末，用清油、烛油调和涂抹。
敷药解毒散：治疗一切毒疮风疹痒痛。
药材：大黄、黄柏、山栀、寒水石（各等分）。
制法与用法：研为细末。用水调匀涂抹。如果皮肤破损且脓水淋漓，用当归膏或清烛油调和，效果更好。
柴胡栀子散（主治发热）、四味肥儿丸（主治疳积）、九味芦荟丸（主治疳积）、金黄散（主治天泡疮）。
热毒疮疥，是因为哺乳过早，或者嗜好甘甜肥腻食物，导致脏腑积热；或者是母亲食用膏粱厚味浓烈食物，或者因七情内火所致。应当分辨脏腑所属的原因，辨别疾病的虚实，调理气血，平抑其所胜之气。如肝经实热，用柴胡清肝散；虚热用六味地黄丸。心经实热，用导赤散；虚热用补心汤。脾经实热，用泻黄散；虚热用补中汤。肺经实热，用泻白散；虚热用五味异功散。肾经热，用六味地黄丸。大凡手足冷的，属于虚寒；手足热的，属于实热。脉象沉数有力，口渴想喝冷水，大便干结坚硬，这是邪气在里，适宜用内疏法。如果脉象浮数有力，口渴想喝冷水，这是邪气在表，适宜用发散法。如果脉象浮大，按之无力，或者口渴想喝热汤，乳食减少不想进食，这是真气虚弱而发热，应当调理脾胃，病自然会好，切不可使用寒凉药剂，以免再次损伤真气。婴儿应以调治乳母为主。有一个小儿胁间患病，寒热如疟疾，小便频数。这是禀受肝火所致。先用柴胡清肝散，又用加味逍遥散而治愈。后来因为乳母肝火动而复发，用加味逍遥散及八珍汤加牡丹皮、山栀，母子服用，一并治愈。有一个小儿腹间患病，发热便血，面色发黄食欲不振，有时呕吐，有时腹泻，手足时而发冷，右关脉弦数。这是脾土虚弱，肝火为患。先用五味异功散加升麻、柴胡、山栀，以益肝气，清肝火，后用地黄丸滋补肾水，生养肝血，而治愈。有一个小儿大腿内侧患病，颜色红不退，发热，面色有时红有时青。这是禀受肾阴不足，而木火炽盛。先用柴胡栀子散以清肝心，后用地黄丸以补肝肾而治愈。有一个小儿肘间患病，口渴想喝冷水，右寸关脉数而无力。这是胃经积热，传于肺经。先用泻黄散、泻白散两个方剂，逐渐痊愈，后用五味异功散、四味肥儿丸，而治愈。有一个小儿嗜好膏粱甘味，先患背胛，后蔓延遍身淋漓。这是饮食之热伤了脾血。先用清胃散、泻黄散两个方剂而治愈，但形体气息怯弱，用五味异功散而元气恢复。
各种疳疮疥，是因为脾胃亏损，体内津液亡失，虚火妄动；或者是乳母受六淫七情影响，饮食起居失宜，导致小儿患病。应当分辨原因，审察所属经脉而平复它。如面青寒热，或者白翳遮睛，是肝经的证候。面赤身热，或者口渴惊悸，是心经的证候。面黄体瘦，或者口渴泄泻，是脾经的证候。面白咳嗽，或者鼻间生疮，是肺金的证候。面黑体瘦，或者喜欢睡湿地，是肾经的证候。婴儿宜调治乳母，如果不审察五脏胜负、形病虚实，妄行败毒之法，多会导致无法救治。
【汤氏】敷疮药方：剪刀草、黄连、苦参。
上等分，研为细末。先洗净患处，再用麻油、轻粉调和敷贴。
【田氏】疮癣治法：浸淫疮，宜用苦瓠散涂之。干癣，宜用羊蹄根绞取自然汁，调腻粉涂之。湿癣，宜用青金散贴之。
苦瓠散：治疗小儿浸淫疮，逐渐扩展不止。
药材：苦瓠（二两）、蛇蜕（烧成灰）、蜂房（微炒，各半两）、梁上尘（一合）。
制法与用法：研为细末。用生油调和，涂在帛布上贴敷。
青金散：治疗小儿湿癣、浸淫疮。
药材：白胶香（研碎，一两）、轻粉（半两）、青黛（二钱半）。
制法与用法：研为细末。干粉撒在疮面上。
[Haizang] When heat is accumulated in the meridians of infants and children, causing sores to appear on the head, face, and body, Si Jun Zi Tang (Four Gentlemen Decoction) can be used with added Gualou Gen (Trichosanthis Radix) and Jiegeng (Platycodonis Radix), each half a qian, decocted and taken orally.
[Tang Shi] For infants and children suffering from malignant sores, if the weather is mild, frequent bathing and changing of clothes should be provided. This method is called "Wai Xuan" (External Ventilation/Dispersion), and internal medication is not advisable at this time. If medication is unavoidable for the child, it constitutes a purgative method. If proper care is maintained, what disease could invade? Nursing should be regulated, avoiding overfeeding, so that the child's body becomes as robust as a medicinal tree; this is the principle of health preservation.
[Tang Shi] Formula for treating malignant sores: Frequent bathing ensures safety, and external dispersion prevents illness. In spring, use willow twigs and Jingjie (Schizonepetae Herba); in summer, use jujube leaves and huai zhi (Sophorae Tomentosae Ramulus); in autumn and winter, use Kushen (Sophorae Flavescentis Radix). All are decocted in water for bathing.
Jia Wei Qiang Huo San (Modified Notopterygium Powder): Treats infantile urticaria caused by the invasion of wind, cold, summer-heat, and dampness into the skin, accompanied by aversion to cold, fever, and generalized itching.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Qianhu (Peucedani Radix) (each 1 liang); Renshen (Ginseng Radix), Jiegeng (Platocodonis Radix), Fuling (Poria), Gancao (Licorice Root, honey-fried), Chuanxiong (Ligusticum Chuanxiong Rhizome), Zhike (Aurantii Fructus, bran-fried), Tianma (Gastrodiae Rhizoma) (each 0.5 liang); Chantui (Cicadae Periostracum, whiskers removed), Bohe (Menthae Haplocalycis Herba) (each 2 qian).
Preparation and Administration: Coarsely crush the herbs. Take 3 qian per dose, add one cup of water and three slices of fresh ginger, decoct until reduced to 0.6 cups, and take at any time.
Dang Gui Yin Zi (Angelica Decoction): Treats blood stasis in the heart vessels and internal accumulation of wind-heat in infants and children, manifesting as generalized sores and scabs on the skin, swelling, itching, or oozing pus.
Ingredients: Danggui (Angelica Sinensis Radix, radix removed), Chi Shaoyao (Paeoniae Radix Rubra), Chuanxiong (Ligusticum Chuanxiong Rhizome), Sheng Dihuang (Rehmanniae Radix Recens), Jili (Tribuli Fructus, stir-fried, thorns removed), Jingjie Sui (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix, radix removed) (each 1 liang); Heshouwu (Polygoni Multiflori Radix), Huangqi (Astragali Radix, radix removed), Gancao (Licorice Root, honey-fried) (each 0.5 liang).
Preparation and Administration: Coarsely crush the herbs. Take 4 qian per dose, add one cup of water and three slices of ginger, decoct until reduced to 0.6 cups, and take at any time.
Fetal toxin sores and scabs result from inheriting fetal heat, maternal dietary toxins, or emotional fire. Initially resembling dry tinea, they later ooze pus or form crusts in patches. Eruptions between the eyebrows or around the ears belong to the Hand Shaoyang Meridian. Eruptions on the limbs belong to the Spleen and Stomach Meridians. Eruptions on the hypochondrium belong to the Liver Meridian. Eruptions on the forehead belong to the Heart Meridian. Eruptions on the back of the head belong to the Bladder Meridian. Eruptions on the chin and cheeks belong to the Kidney Meridian. Treatment should follow the governing organs of each meridian, the balance of the five zang organs, and factors such as the wet nurse's diet of rich flavors or emotional anger. Do not arbitrarily use Huadu Wan (Detoxification Pill) or Xijiao Wan (Rhinoceros Horn Pill); damaging the primordial qi may lead to difficult-to-treat complications. One case involved a child with generalized sores cured by Niuhuang Jiedu Wan (Calculus Bovis Detoxification Pill), except for crusting, itching, and weeping on the head, indicating Kidney meridian deficiency heat, cured by Dihuang Wan (Rehmannia Pill) and Jiedu San (Detoxification Powder). Another case involved itching at the hairline, attributed to the mother's liver fire, cured by Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) plus Loulu (Euphorbiae Humifusae Herba), along with Niuhuang Jiedu Wan and Jiedu San. (Jiedu San is also known as Tuodu San). A third case involved spreading itching from the left ear hairline, attributed to liver-gallbladder heat toxicity, cured by Chaihu Qinggan San (Bupleurum Liver-Clearing Powder) taken by both mother and child. Relapse due to rich diet led to weeping pus and redness on the right cheek, indicating stomach heat; treated first with Qingwei San (Stomach-Clearing Powder), then Chaihu Qinggan San for liver fire, plus Lixiao San (Efficient Powder) and Niuhuang Jiedu Wan, curing both. Another case involved eyebrows spreading to limbs with weeping pus and alternating chills and fever, attributed to liver-spleen accumulated heat, cured by Qingwei San, Xiaochaihu Tang (Minor Bupleurum Decoction), and Lixiao San. Subsequent eyebrow recurrence with eye twitching and turbid urine was cured by Simei Fei'er Wan (Four-Ingredient Stomach-Nourishing Pill) and Jiwei Lushen Wan (Nine-Ingredient Aloe Pill). A child whose mother ignored emotional and dietary restrictions was cured by the mother taking Qingwei San and Xiaoyao San, and the child taking Niuhuang Jiedu Wan. Later, sweet foods caused eyebrow sores with itching, pain, and eye twitching, cured by Simei Fei'er Wan as the main formula, assisted by Jiawei Xiaoyao San and Qingwei San. Another case with severe hypochondriac involvement was cured by the child taking Simei Fei'er Wan and Lixiao San, and the mother taking Chaihu Zhizi San (Bupleurum and Gardenia Powder).
Niuhuang Jiedu Wan (Calculus Bovis Detoxification Pill): Treats fetal toxin boils and all types of sores.
Ingredients: Niuhuang (Calculus Bovis, 3 qian), Gancao (Licorice Root), Jinyinhua (Lonicerae Japonicae Flos, 1 liang), Cao Zihewche (Placenta Humanum, 5 qian).
Preparation and Administration: Grind into powder. Form pills with refined honey, dosing according to the child's age.
Lixiao San (Efficient Powder): Treats temporal sores, ear sores, and all types of sores and scabs.
Ingredients: Dingfen (Lead Carbonate Powder), Songxiang (Pini Resin), Huangbai (Phellodendri Cortex), Huanglian (Coptidis Rhizoma), Kufan (Alumen) (each 1 liang).
Preparation and Administration: Grind each into fine powder separately. Mix with clear sesame oil or candle oil for topical application.
Fuyao Jiedu San (Topical Detoxification Powder): Treats all toxic sores, wind-rash, itching, and pain.
Ingredients: Dahuang (Rhei Radix et Rhizoma), Huangbai (Phellodendri Cortex), Shanzhi (Gardeniae Fructus), Hanshuishi (Calcitum) (equal parts).
Preparation and Administration: Grind into powder. Mix with water for topical application. If broken with weeping pus, mix with Danggui Gao (Angelica Ointment) or clear candle oil for better effect.
Chaihu Zhizi San (treats fever), Simei Fei'er Wan (treats gan syndrome), Jiwei Lushen Wan (treats gan syndrome), Jinhuang San (treats bullous impetigo).
Heat-toxin sores and scabs result from early nursing, preference for sweet/greasy foods causing organ heat, maternal rich diet, or emotional fire. Differentiate by organ involvement and excess/deficiency patterns to regulate qi and blood. Liver excess heat: Chaihu Qinggan San; deficiency heat: Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). Heart excess heat: Daochi San (Guide Out Redness Powder); deficiency heat: Buxin Tang (Heart-Nourishing Decoction). Spleen excess heat: Xiehuang San (Drain Yellow Powder); deficiency heat: Buzhong Tang (Middle-Supporting Decoction). Lung excess heat: Xiebai San (Drain White Powder); deficiency heat: Wuwei Yigong San (Five-Ingredient Extraordinary Assistant Powder). Kidney heat: Liuwei Dihuang Wan. Cold extremities indicate deficiency-cold; hot extremities indicate excess-heat. Deep, rapid, forceful pulse with thirst for cold drinks and constipation indicates interior pathogen, treat with internal purgation. Floating, rapid, forceful pulse with thirst for cold drinks indicates exterior pathogen, treat with dispersal. Floating, large, weak pulse with thirst for warm drinks and poor appetite indicates primordial qi deficiency fever; regulate spleen and stomach, avoid cold medicines to prevent further damage. Infant treatment focuses on the wet nurse. One case of hypochondriac sores with malaria-like chills/fever and frequent urination, attributed to liver fire, was cured by Chaihu Qinggan San followed by Jiawei Xiaoyao San. Relapse due to maternal liver fire was cured by Jiawei Xiaoyao San plus Bazhen Tang (Eight-Treasure Decoction) with Mudanpi (Moutan Cortex) and Zhizi (Gardeniae Fructus), taken by both. One case of abdominal sores with fever, bloody stool, sallow complexion, vomiting/diarrhea, cold extremities, and wiry-rapid right guan pulse indicated spleen deficiency with liver fire. Treated first with Wuwei Yigong San plus Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), Zhizi to benefit liver qi and clear liver fire, then Dihuang Wan to nourish kidney water and generate liver blood. One case of inner thigh sores with redness, fever, and variable facial color indicated kidney yin deficiency with hyperactive wood-fire. Treated first with Chaihu Zhizi San to clear liver-heart, then Dihuang Wan to tonify liver-kidney. One case of elbow sores with thirst for cold drinks and weak rapid right cun/guan pulses indicated stomach heat transmitting to lungs. Treated first with Xiehuang San and Xiebai San, then Wuwei Yigong San and Simei Fei'er Wan. One case of back/shoulder sores spreading due to rich diet indicated spleen blood injury from dietary heat, cured by Qingwei San and Xiehuang San, then Wuwei Yigong San to restore qi.
Various gan sores and scabs result from spleen-stomach deficiency, fluid depletion, and deficient fire, or maternal exposure to six excesses/seven emotions and improper lifestyle. Differentiate causes and meridians. Green face with chills/fever or white film over eyes indicates liver meridian syndrome. Red face with fever, thirst, palpitations indicates heart meridian syndrome. Sallow face with emaciation, thirst, diarrhea indicates spleen meridian syndrome. Pale face with cough or nasal sores indicates lung metal syndrome. Dark face with emaciation or preference for lying on damp ground indicates kidney meridian syndrome. Infant treatment focuses on the wet nurse. Failure to assess organ balance and excess/deficiency before using toxic-clearing methods often leads to fatal outcomes.
[Tang Shi] Topical Sores Formula: Jiandao Cao (Scissors Grass), Huanglian (Coptidis Rhizoma), Kushen (Sophorae Flavescentis Radix). Equal parts, grind to powder. Cleanse area, then mix with sesame oil and Qingfen (Calomelas) for application.
[Tian Shi] Treatment for sores/tinea: For eroding sores, apply Ku Hu San (Bitter Gourd Powder). For dry tinea, apply natural juice of Yangti Gen (Aconiti Radix preparation) mixed with Nifen (Calomelas). For wet tinea, apply Qingjin San (Green Gold Powder).
Ku Hu San: Treats progressive eroding sores in infants.
Ingredients: Ku Hu (Benincasa Fructus, 2 liang), She Tui (Bombyx Batryticatus, burnt to ash), Feng Fang (Vespa Nidus, lightly fried), Liang Shang Chen (Dust from roof beam, 1 he).
Preparation and Administration: Grind to fine powder. Mix with raw sesame oil, spread on cloth, and apply.
Qingjin San: Treats wet tinea and eroding sores in infants.
Ingredients: Bai Jiaoxiang (Elemi Resin, ground, 1 liang), Qingfen (Calomelas, 0.5 liang), Qingdai (Indigo Naturalis, 2.5 qian).
Preparation and Administration: Grind to fine powder. Dust dry powder onto sores.
"Milu" records for infantile wind-rash: 12 fen of Baifan (Alumen), melted in hot wine, applied with horsehair brush.
[Shan Shi] Infantile head/face ulceration: Mash black fungus (Mu Er), mix with honey for application. Alternatively, mix Pingwei San (Stomach-Pacifying Powder) with cold water for application; change when dry.