急救方 用葱头一个，去须留涎，蘸麻油润入肛门内，胎粪自利。
一法 以戥杆蘸油润入肛门，自通。
验方
人乳（四合） 葱白（一寸）
同煎，分为四服，小便即通。
冯鲁瞻曰∶后天诸毒易辨，先天所中难明，轻则发而为疮也。起似风瘾，渐成
细瘰，一作搔痒，即湿而起片，如癣白头，遍体上下随感而发，其疮有虫，故名虫胞，
谓从胎胞而来也。总是湿火相乘，血热毒盛，腠理愈开，淫毒益炽，痒为气虚，楚
属血虚，其证属腑，旋久而气血两虚，则因热而起，又因热乘虚而内攻矣。治宜托
里解毒为主。然愈时结聚于顶者，六阳诸毒上冲，火毒炎上之征也。若初起便发于
顶者，胎毒壅盛，上参阳位也。如发稀而有白屑，至久不愈者即名秃疮，亦有年长
而患脑疳，白秃不生发者，盖足少阴肾，其华在发，因疳热血气损少，不能荣发耳。有
收在四肢者，是日久脾虚，湿热感袭也。其惊疮者，惊本无物，因蹉其血气，在脏为
积。在腑流溢皮肤而为疮也。恋银疮者，眉间生疮，是肺热也。风疮者亦发遍身，其
形甚小，俗呼谓疥也。虫窠疮窠内有虫如细虮子者是也。诸疮治法，若痛痒不可忍
者，及性急面黑而血热者，宜若寒如芩连、苦参之类，体胖之人宜祛风燥湿清火为主。
如久病之后，湿蒸于外达者，但宜补托，切勿多浴涂遏，致毒内攻。然诸疮虽属心火，
当用寒凉，但热则行，寒则凝，凝则毒反滞而难痊。故莫如透肌解毒，和血养阴，则
风火息而燥痒除，且气血充固，诸毒不能为患矣。若痘疹之后生疮者，余毒未尽也，
亦宜化毒和血；若疮前发惊与夫疮后发惊者，皆因疮而致也。并宜理疮为主，至于
一切胎毒，俱宜凉血清热，解毒发散于外，
切勿轻从外治，以致热毒内攻，卒成不救，小儿脏腑娇嫩，易入难出耳。若致疮色焦
枯，肚腹青黑者，生疮而无脓汁者，或遍体皆疮毒发于肋，或在少腹，或在顶门肿起者，并皆不治。（《锦囊》）
陈实功曰∶小儿遗毒烂斑，乃未生前在于胞胎禀受，或因父母杨梅疮后遗毒，既
生之后先发红点，次成烂斑，甚者口角谷道，眼眶鼻面皮肉俱坏，多妨乳哺，啼叫
不安。初治宜早用土茯苓汤调人中黄末，每日数次，共饮四五分，外用解毒紫金丹磨
涂患上，效者可保十之三四，迟则烂斑遍身不乳，百难治一二，此根蒂受毒之深也。（《正宗》）
又曰∶胎毒疮乃母食辛热浓味遗毒于胎，则生子生疮，治之当戒发物及母欲后乳子，不然恐难除根。
又曰∶有等小儿初产，背上有大孔窬一二个，但内中有膜，完护脏腑者得生，如
无膜露见脏腑者即死无救。如有膜者以补中益气汤与产母服之，乳儿自能长完，亦有虽活，三五岁而死者有之。
陈远公曰∶小儿生半岁或一二岁，忽身上手足肚腹，头面臂上长成大疮，久变
为毒，百计治之不效，此非儿毒，乃父母之毒。当日结胎，或感杨梅毒瓦斯，坐胎之
后，或感淫气火邪，以至贻害小儿。治不得法，多半死亡，吾遇异传，治此证已数
十人矣。吾不传方，则负异人之善念，而小儿无方失救，不犹吾杀之乎！用金银花
二两，生甘草、天花粉、黄药、锦地罗各三钱，人参二钱，水煎服，二剂毒全消。倘
外口不愈，另有外治，用蜗牛、生甘草、儿茶、樟脑、黄丹、水粉、枯矾各三钱，冰
片、轻粉各一钱，地龙粪五钱，麝香三分为细末，麻油调敷，数日疮内生肉，疮口
外敛，真神方也。轻者用煎方，不必外治，重者内外合治，无不速痊。余从万世起见，
将方传世，愿人广传，体余之心为心，勿自试为私秘不传，以受天谴。（《冰鉴》）
汪省之曰∶小儿遗毒烂斑，乃在胎胞禀受，故既生之后，热汤洗浴，烘熏衣物，
外热触动内毒始发。（《理例》）
钱青抡曰∶小儿胎中遗毒，患赤剥杨梅疮并无皮，脓血淋漓，疮疡名曰竹衣乖，竟有胎胎皆然者。（《幼科良方》）
骆潜庵曰∶胎中受母热毒，致生胎毒病证。三朝、一七、十日、半月之日，最
难救治；五六日犹难，速服延寿丹豆大三粒，即愈。（《推拿秘书》）
急救方：取一个葱头，去掉根须保留黏液，蘸取麻油润入肛门内，胎粪自然排出。
另一种方法：用戥秤的秤杆蘸油润入肛门，大便自然通畅。
验方：
人乳（四合） 葱白（一寸）
一同煎煮，分为四次服用，小便即可通畅。
冯鲁瞻说：后天的各种毒邪容易辨别，先天所受的毒邪难以明确，轻则表现为疮疡。起初像风疹瘾块，逐渐形成细小的瘰疬，一旦搔痒，湿气便随之而起，成片出现，如同癣疾白头，遍布全身上下，随感而发，这些疮中有虫，所以名叫“虫胞”，意思是来源于胎胞。这总是湿火相兼，血热毒盛，腠理（皮肤纹理及汗孔）越开，淫毒越炽盛，瘙痒属于气虚，疼痛属于血虚，病证归属于腑，时间久了则气血两虚，于是因热而起，又因热乘虚内攻。治疗应以托里解毒为主。然而痊愈时结聚于头顶的，是六阳经诸毒上冲，火毒炎上的征象。如果初起就发于头顶的，是胎毒壅盛，上犯阳位。如头发稀疏且有白屑，很久不愈的，名叫秃疮；也有年长后患脑疳，白秃不生头发的，这是因为足少阴肾，其荣华表现在头发，因疳热血气亏损减少，不能滋养头发所致。有发作在四肢的，是日久脾虚，湿热侵袭所致。那种惊疮，惊本无实物，是因为挫伤血气，在脏为积滞，在腑流溢到皮肤而成为疮。恋银疮，眉间生疮，这是肺热。风疮也发遍全身，形状很小，俗称疥疮。虫窠疮，窠内有虫如细虮子的是这类。各种疮的治疗，如果痛痒难忍，以及性急面黑而血热的，宜用寒凉药如黄芩、黄连、苦参之类；身体肥胖的人，宜以祛风燥湿清火为主。如久病之后，湿气蒸腾外达的，只宜补益托毒，切勿多洗澡涂抹遏止，导致毒邪内攻。然而各种疮虽属心火，当用寒凉，但热则行，寒则凝，凝则毒反而停滞而难痊愈。所以不如透肌解毒，和血养阴，这样风火平息而燥痒消除，且气血充固，诸毒不能为害了。如果在痘疹之后生疮的，是余毒未尽，也宜化毒和血；如果在出疮前发惊或出疮后发惊的，都是因为疮所致。都应以调理疮疡为主。至于一切胎毒，都宜凉血清热，解毒发散于外，切勿轻易从外治入手，以致热毒内攻，最终造成不可救治的后果，因为小儿脏腑娇嫩，毒邪易入难出。如果导致疮色焦枯，肚腹青黑的，生疮而无脓汁的，或遍体都是疮毒发于胁肋，或在少腹，或在顶门肿起的，都属于不治之症。（出自《锦囊》）
陈实功说：小儿遗毒烂斑，是在未出生前在胞胎中禀受，或因父母患有杨梅疮后遗留毒邪，出生后先发红点，次成烂斑，严重的口角、肛门、眼眶、鼻面部皮肉俱坏，多妨碍吃奶，啼叫不安。初治宜尽早用土茯苓汤调服人中黄末，每日数次，共饮四五分，外用解毒紫金丹磨涂患处，有效的可以保全十分之三或四，迟则烂斑遍身不吃奶，百难治一二，这是根蒂受毒深重所致。（出自《正宗》）
又说：胎毒疮是由于母亲食用辛辣浓味食物遗留毒邪于胎，导致生子生疮，治疗时应忌食发物及母亲欲事之后哺乳婴儿，否则恐难除根。
又说：有等小儿刚出生，背上有大孔穴一两个，只要内部有膜，完好保护脏腑的就能存活，如果没有膜露见脏腑的就立即死亡无法救治。如果有膜的，给产母服用补中益气汤，乳汁喂养婴儿自然能长好，也有虽然活下来，三五岁死亡的。
陈远公说：小儿半岁或一两岁时，忽然身上手足肚腹、头面臂上长成大疮，久了变为毒邪，百计治疗无效，这不是孩子的毒，而是父母的毒。当日结胎时，或许感受了杨梅毒瓦斯，坐胎之后，或许感受了淫气火邪，以至于贻害小儿。治疗不得法，多半死亡，我遇到异人传授，治疗此证已有数十人了。我不传这个方子，就辜负了异人的善意，而小儿没有方子失去救治，不就像是我杀了他们吗！用金银花二两，生甘草、天花粉、黄药、锦地罗各三钱，人参二钱，水煎服，两剂后毒全消。如果外口不愈，另有外治法，用蜗牛、生甘草、儿茶、樟脑、黄丹、水粉、枯矾各三钱，冰片、轻粉各一钱，地龙粪五钱，麝香三分，研为细末，用麻油调敷，数日后疮内生肉，疮口外敛，真是神方。轻的用内服方，不必外治，重的内外合治，无不迅速痊愈。我为了万世起见，将此方传世，愿人们广泛传播，体谅我的心意作为心意，不要私自秘而不传，以免受到天谴。（出自《冰鉴》）
汪省之说：小儿遗毒烂斑，是在胎胞中禀受，所以出生后，热汤洗浴，烘熏衣物，外热触动内毒才开始发作。（出自《理例》）
钱青抡说：小儿胎中遗毒，患赤剥杨梅疮并无皮，脓血淋漓，疮疡名叫竹衣乖，竟然有胎胎皆然的。（出自《幼科良方》）
骆潜庵说：胎中受母热毒，导致产生胎毒病证。在三朝、一七、十日、半月之日，最难救治；五六日还难，速服延寿丹豆大三粒，即愈。（出自《推拿秘书》）
Emergency Prescription: Take one scallion head, remove the roots but retain the mucilage, dip it in sesame oil (Sesamum indicum oil), and lubricate it into the anus; the meconium will naturally pass.
Another method: Dip the rod of a small steelyard scale in oil and insert it into the anus to promote natural bowel movement.
Verified Prescription:
Human milk (4 he) Scallion white (1 cun)
Decoct together, divide into four doses; urination will then become unobstructed.
Feng Luzhan stated: Acquired toxins are easy to identify, whereas congenital ones are difficult to clarify. Mild cases manifest as sores. Initially resembling wind-induced wheals, they gradually develop into small lymph node swellings (scrofula). Once scratched, dampness arises and spreads in patches, resembling tinea capitis with white scales, appearing all over the body upon exposure. These sores contain insects, hence named "insect sac" (Chong Bao), implying origin from the fetal sac. This condition is essentially caused by the interaction of dampness and fire, with excessive blood heat and toxicity. As the interstices (Cou Li, referring to skin texture and pores) open further, the pathogenic factors intensify. Itching indicates Qi deficiency, while pain indicates Blood deficiency. The syndrome belongs to the Fu organs. Prolonged illness leads to dual deficiency of Qi and Blood, causing the condition to arise from heat and subsequently attack internally due to deficiency. Treatment should primarily focus on supporting the interior and resolving toxicity. However, if nodules form at the vertex during recovery, it signifies the upward rush of toxins from the six Yang meridians, a sign of flaming fire toxicity ascending. If lesions appear at the vertex from the onset, it indicates severe congestion of congenital toxin attacking the Yang regions. Sparse hair with white scales that persist for a long time is named "bald sore" (Tu Chuang); older children suffering from brain phagedenic disease (Nao Gan) with non-growing bald patches suffer because the Kidney (Shen), whose flourishing manifests in the hair, has damaged Qi and Blood due to phagedenic heat, failing to nourish the hair. Lesions on the limbs result from long-standing Spleen deficiency and invasion of damp-heat. "Startle sores" arise not from external objects but from disrupted Qi and Blood; stagnation occurs in Zang organs, while overflow into Fu organs reaches the skin to form sores. "Silver-clinging sores," appearing between the eyebrows, indicate Lung heat. "Wind sores" also spread over the body with small lesions, commonly known as scabies. "Insect nest sores" contain insects resembling fine lice within the nests. For treating various sores, if pain and itching are unbearable, or if the patient is irritable with dark complexion indicating blood heat, cold-natured herbs such as Scutellariae Radix (Huang Qin), Coptidis Rhizoma (Huang Lian), and Sophorae Flavescentis Radix (Ku Shen) are suitable. For obese individuals, treatment should prioritize dispelling wind, drying dampness, and clearing fire. In prolonged illness where dampness steams outward, only tonification and support for expelling toxicity are appropriate; frequent bathing or topical suppression should be avoided to prevent internal attack of toxins. Although sores belong to Heart fire and require cooling agents, heat promotes circulation while cold causes stagnation; stagnation traps toxins, hindering recovery. Therefore, it is better to penetrate the muscle layer to resolve toxicity, harmonize Blood, and nourish Yin. This extinguishes wind-fire, eliminates dryness and itching, consolidates Qi and Blood, and prevents toxic harm. Sores appearing after smallpox/rubella indicate residual toxins; detoxification and blood harmonization are indicated. Startling before or after sores is caused by the sores themselves; regulating the sores is primary. All congenital toxins should be treated by cooling Blood, clearing heat, and resolving toxicity through dispersion outward. Do not lightly resort to external treatments alone, which may drive heat-toxin inward, leading to untreatable conditions, as infants' Zang-Fu organs are delicate, making pathogens enter easily but exit with difficulty. Conditions characterized by scorched-dry sores, cyanotic-black abdomen, lack of pus, widespread toxicity on flanks, lower abdomen, or swelling at the fontanelle are incurable. (From *Jin Nang*)
Chen Shigong stated: Infant residual poison causing ulcerated spots results from inheritance in the fetal sac, possibly due to parents' prior syphilis (Yangmei Chuang). After birth, red spots appear first, followed by ulcers. Severe cases involve destruction of skin and flesh around the mouth corners, anus, eye sockets, nose, and face, interfering with feeding and causing restless crying. Early treatment should use Tu Fuling Tang (Smilax Glabra Decoction) mixed with Ren Zhong Huang powder, administered several times daily in small amounts externally applied Jie Du Zi Jin Dan (Detoxifying Purple Gold Pill). With timely treatment, 30-40% survival is possible; delay leads to widespread ulcers, refusal to feed, and mortality rates exceeding 98%, due to deep-rooted toxicity. (From *Zheng Zong*)
He further stated: Congenital toxin sores result from the mother consuming spicy, hot, and rich foods, transmitting toxins to the fetus. Treatment requires avoiding stimulating foods and breastfeeding immediately after maternal sexual intercourse, otherwise the root cause cannot be eliminated.
He also stated: Some newborns have large holes on their backs. If protected by a membrane covering the viscera, they survive; if exposed without a membrane, death is inevitable. If a membrane exists, administer Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) to the mother; breastfed infants will heal naturally. Some survive but die between ages three and five.
Chen Yuangong stated: Infants aged six months to two years suddenly develop large sores on limbs, abdomen, head, face, and arms, which become toxic and resist all treatments. This is not the child's toxin but the parents'. At conception, exposure to syphilitic vapors or subsequent exposure to lascivious qi and fire evil harms the child. Improper treatment often leads to death. I received a secret transmission and have cured dozens. Not sharing this prescription would betray the benefactor's kindness and condemn infants to death, akin to murder. Use Jin Yin Hua (Lonicerae Japonicae Flos) 2 liang, Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma), Tian Hua Fen (Trichosanthis Radix), Huang Yao, Jin Di Luo each 3 qian, and Ren Shen (Ginseng Radix) 2 qian. Decoct in water and take orally; toxins dissipate completely after two doses. For persistent external wounds, apply an external powder made from Snail, Sheng Gan Cao, Er Cha, Zhang Nao, Huang Dan, Shui Fen, Ku Fan each 3 qian, Bing Pian (Borneolum Syntheticum), Qing Fen each 1 qian, Earthworm excrement 5 qian, and She Xiang (Moschus) 3 fen. Mix with Sesamum indicum oil and apply. Granulation tissue forms in days, and wounds close. This is a miraculous formula. Mild cases need only oral medication; severe cases require combined internal and external therapy for rapid recovery. For the benefit of future generations, I publish this formula. Please disseminate widely, share my compassion, and do not hoard it privately to avoid heavenly retribution. (From *Bing Jian*)
Wang Shengzhi stated: Infant residual poison causing ulcerated spots is inherited in the fetal sac. After birth, hot baths or heated clothing trigger the internal toxin via external heat. (From *Li Li*)
Qian Qinglun stated: Infant congenital residual poison causes erythematous, peeling syphilis-like sores without skin, oozing pus and blood, named "Zhu Yi Guai." Some fetuses exhibit this universally. (From *You Ke Liang Fang*)
Luo Qian'an stated: Congenital infection of maternal heat-toxin causes congenital toxin syndromes. The most critical periods for rescue are the third day, seventh day, tenth day, and half-month marks; the fifth and sixth days are also difficult. Rapid administration of three pills of Yan Shou Dan (Longevity Pill), sized like soybeans, leads to cure. (From *Tui Na Mi Shu*)