验方
苦参 密陀僧 蛤粉 儿茶
各等分研细。先将疮洗净,挹去白皮,拭干疮上,陈蜡猪油调搓。如有脓水,干掺可也。
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陈实功曰∶肥疮由胎毒而成者少,因饮食之后油手摩头,或枕头不洁而成者多。(《正宗》)
申斗垣曰∶此疮宜槐条煎汤洗净,以烟胶、枯矾、轻粉研细,熟油调搽。(《启玄》)
冯鲁瞻曰∶此疮乃脏腑不和之气上冲,血热之毒上注,小儿阴气未足,阳气有余,
故最多犯之。宜内服连翘、天花粉、荆芥、防风、贝母、元参、赤芍药、生地黄、牛
蒡子清热解毒、凉血和血之剂,俟毒瓦斯少解,方外用药以涂之,切不可骤加寒凉涂
遏,以致热毒内攻不救,盖小儿脏腑娇嫩,易入难出也。(《锦囊》)
肥疮。
胡黄连 轻粉 雄黄(各三分) 胆矾(二分) 枯矾(一钱) 猪蹄鞋(三个, 存性)
研细,将疮洗净搽之。
又方 肥皂子 存性研末,猪胆汁调搽。
又方
松香 血丹(各等分)
研细,猪板油捣汁,青布卷条烧之取油,搽。
又方
东丹(八分) 枯矾(一钱) 真铅粉 松香(各二钱,入葱管内,饭上蒸化,等冷去葱用)
共研细末。热香油调搽,猪油亦可。
又方
黄花(烧灰) 轻粉(少许) 研匀干搽。
小儿头上肥疮、黄水疮、梅花秃。
铜绿 松香(各三钱) 黄蜡(二钱)
香油一两五钱,熬匀涂之
头上生疮,俗名粘疮,绝妙方(周氏《集验》)
海螵蛸(二钱) 白胶香 轻粉(各五分)
研匀。清油润疮,以药干掺。
肥疮极凶者。
苦参 何首乌 当归 威灵仙 甘草 金银花 胡麻 石菖蒲 连翘 生地 蝉蜕 酒水同煎。
又方(鸿禧东房传。)
大枫肉(五钱) 白信(三分) 油核桃(五个)
共捣匀作三丸。夜间取一丸在心口用手擦至二更天气,药散开,仍聚胸膛,仰
面而卧,次夕亦然,间一夜再擦一丸,七日后全愈。
头面肥疮。(经验。)
轻粉 飞血丹 白矾 雄黄(各等分)
研细。装入葱管内两头扎煨过,加龟版灰少许研,菜油调搽,立效。
地沥青膏(刘氏秘方) 治小儿头上肥疮、羊胡疮、奶癣疮、脓窠疮、脚上血疯疮癣、
妇人钮扣疯、裙边疮,耳上湿疮如神。
地沥青(一斤) 麻油(四两) 明矾 铜绿(各二两) 铅粉(一两)
共入锅内熬成红色,下黄蜡二两化尽,俟温不住手搅匀,离火,入羊胆汁二个,如
无,入牛胆汁一个,猪胆汁二个搅匀,磁钵收贮搓之。或调金毛狮子疮药,搓疮更妙。
肥疮。(王衣兰)紫草浸冰麝,头油搓二三次愈。
肥疮瘌痢 煮鸡蛋黄二个,入铜锅内熬出油,入松香一两五钱熬枯为末。又
用麻油一两入蜈蚣一条,去头尾,入油内熬枯,去渣冷定,调前末听用。
先将疮用 猪汤煎滚,洗透,去靥,或剃头后用鸡蛋数枚加花椒五分,以香油摊
煎饼盖头上,用毡帽盖之,过一宿,再用蜈蚣油调松香末搽之。
又方 海螵蛸研末,炒微黄,搽。
又方 浓朴烘碎研细末,麻油调搓。
又方
香附 枯矾(各三钱) 煎水洗。
又方 老盐鱼一块,香油炙焦去油,以油搽之。
烂眉头疮 小麦炒黑色为末,酒调敷。
头上肥疮 宰猪退毛汤洗数次。
薄皮疮又被称为广疮,是指破溃后仅留一层薄皮的疮疡。这是由于风热之邪郁结在皮毛之间而形成的。
验方:
苦参、密陀僧、蛤粉、儿茶,各取等份研成细末。先将疮面清洗干净,擦去白色死皮,拭干疮面,用陈年蜡和猪油调和后搓揉患处。如果疮面有脓水渗出,可以直接干撒药粉。
肥疮
陈实功说:肥疮由胎毒引起的较少,大多是因为饮食后用沾油的手摸头,或者枕头不干净而造成的。(出自《外科正宗》)
申斗垣说:这种疮适宜用槐树枝煎汤洗净,然后用烟胶、枯矾、轻粉研成细末,用熟油调和涂抹。(出自《启玄微》)
冯鲁瞻说:这种疮是由于脏腑之气不和上冲,血热之毒上注所致。小儿阴气不足,阳气有余,所以最容易患此病。适宜内服连翘、天花粉、荆芥、防风、贝母、元参、赤芍药、生地黄、牛蒡子等具有清热解毒、凉血和血功效的药剂,等到毒气稍微缓解后,再外用药物涂抹,切不可突然使用寒凉药物涂抹遏制,导致热毒内攻无法救治,因为小儿脏腑娇嫩,病邪易入难出。(出自《医宗金鉴·幼科心法要诀》即《锦囊》)
肥疮。
胡黄连、轻粉、雄黄(各三分),胆矾(二分),枯矾(一钱),猪蹄鞋(三个,存性)。研成细末,将疮洗净后涂抹。
又一方:肥皂子(存性研末),用猪胆汁调和涂抹。
又一方:松香、血丹(各等份)。研成细末,用猪板油捣汁,将青布卷成条烧取油脂,涂抹患处。
又一方:东丹(八分),枯矾(一钱),真铅粉、松香(各二钱,放入葱管内,在饭上蒸化,冷却后去掉葱使用)。共研成细末。用热香油调和涂抹,猪油也可以。
又一方:黄花(烧成灰)、轻粉(少许)。研匀后干撒涂抹。
治疗小儿头上肥疮、黄水疮、梅花秃。
铜绿、松香(各三钱),黄蜡(二钱)。用香油一两五钱,熬匀后涂抹。
头上生疮,俗名粘疮,绝妙方(周氏《集验方》):海螵蛸(二钱),白胶香、轻粉(各五分)。研匀。用清油润湿疮面,将药粉干撒其上。
肥疮极凶险者。
苦参、何首乌、当归、威灵仙、甘草、金银花、胡麻、石菖蒲、连翘、生地。酒水同煎。
又一方(鸿禧东房传):大枫肉(五钱),白信(三分),油核桃(五个)。共捣匀做成三丸。夜间取一丸在心口用手擦拭至二更天,药散开后仍聚于胸膛,仰面而卧,次日夜晚同样操作,间隔一夜再擦一丸,七日后痊愈。
头面肥疮。(经验方)
轻粉、飞血丹、白矾、雄黄(各等份)。研细。装入葱管内两头扎紧煨过,加入少许龟版灰研磨,用菜油调和涂抹,立即见效。
地沥青膏(刘氏秘方):治疗小儿头上肥疮、羊胡疮、奶癣疮、脓窠疮、脚上血疯疮癣、妇人钮扣疯、裙边疮,耳上湿疮如神效。
地沥青(一斤),麻油(四两),明矾、铜绿(各二两),铅粉(一两)。共同放入锅内熬成红色,下入黄蜡二两化尽,待温度适宜不停手搅匀,离火,加入羊胆汁二个,如果没有,加入牛胆汁一个或猪胆汁二个搅匀,装在磁钵中收贮搓揉患处。或者调和金毛狮子疮药,搓揉疮面更好。
肥疮。(王衣兰方)紫草浸泡冰片麝香,用头油搓揉二三次即可痊愈。
肥疮瘌痢:煮鸡蛋黄二个,放入铜锅内熬出油,加入松香一两五钱熬枯研为末。另外用麻油一两,放入蜈蚣一条,去头尾,放入油内熬枯,去渣冷却,调拌前面的药末备用。先将疮用猪退毛汤煎滚,洗透,去掉痂皮,或者剃头后用鸡蛋数枚加花椒五分,用香油摊煎饼盖在头上,用毡帽盖住,过一夜,再用蜈蚣油调松香末涂抹。
又一方:海螵蛸研末,炒微黄,涂抹。
又一方:浓朴烘碎研细末,麻油调和搓揉。
又一方:香附、枯矾(各三钱)。煎水洗。
又一方:老盐鱼一块,用香油炙焦去油,用油涂抹。
烂眉头疮:小麦炒黑为末,酒调敷。
头上肥疮:宰猪退毛汤清洗数次。
Thin-skin sores are also known as Guang sores (Guang Chuang, widespread sores), referring to sores that leave only a thin layer of skin after breaking. These are caused by the stagnation of wind-heat in the skin and hair follicles.
Verified Prescription:
Sophora flavescens root (Ku Shen), Lead monoxide (Mi Tuo Seng), Concha Tridacninae (Ge Fen), and Catechu (Er Cha) in equal parts, ground into fine powder. First, clean the sore thoroughly, wipe off the white dead skin, dry the sore surface, and rub with a paste made from aged beeswax and lard. If there is pus or exudate, simply sprinkle the dry powder directly onto the area.
Fei Chuang (Greasy Scabs / Favus)
Chen Shigong stated: Cases of Fei Chuang caused by fetal toxins are few; most are caused by rubbing one's head with oily hands after eating, or due to unclean pillows. (From *Waike Zhengzong* [Orthodox Manual of External Medicine])
Shen Douyuan stated: For this type of sore, it is suitable to wash with decoction prepared from locust tree branches, then apply a mixture of smoke gum (Yan Jiao), calcined alum (Ku Fan), and calomel (Qing Fen) ground into fine powder, blended with cooked oil. (From *Qixuan Wei* [Mysteries Revealed by Qixuan])
Feng Luzhan stated: This sore arises from the upward rush of disharmonious qi within the zang-fu organs and the downward pouring of blood-heat toxicity. Children have insufficient yin qi and excess yang qi, making them most susceptible. It is advisable to internally administer herbs such as Forsythia fruit (Lian Qiao), Trichosanthes root (Tian Hua Fen), Schizonepeta spike (Jing Jie), Saposhnikovia root (Fang Feng), Fritillaria bulb (Bei Mu), Scrophularia root (Xuan Shen), Red peony root (Chi Shao Yao), Rehmannia root (Sheng Di Huang), and Arctium fruit (Niu Bang Zi) to clear heat, detoxify, cool the blood, and harmonize the blood. Only after the toxic factors have slightly subsided should external medications be applied. One must absolutely avoid suddenly applying cold-natured topical agents to suppress the condition, which could drive the heat-toxin inward leading to untreatable internal collapse, because children's zang-fu organs are delicate, and pathogens enter easily but exit with difficulty. (From *Jinnang* [Brocade Pouch], likely referring to *Yike Xinfa Yaojue*)
For Fei Chuang:
Picrorhiza rhizome (Hu Huang Lian), Calomel (Qing Fen), Realgar (Xiong Huang) (each 3 fen), Chalcanthite (Dan Fan) (2 fen), Calcined Alum (Ku Fan) (1 qian), Pig trotter shoes (Zhu Ti Xie) (three pieces, preserved character). Grind into fine powder, clean the sore, and apply.
Another prescription: Soap nuts (Fang Zi) (preserved character, ground to powder), mixed with pig bile for application.
Another prescription: Rosin (Song Xiang), Blood Dan (Xue Dan) (equal parts). Grind into fine powder, extract juice from pork back fat (Zhu Ban You), roll green cloth into strips and burn to collect the oil, then apply.
Another prescription: Dong Dan (8 fen), Calcined Alum (Ku Fan) (1 qian), True Lead Powder (Zhen Qian Fen), Rosin (Song Xiang) (each 2 qian, placed inside scallion tubes, steamed over rice until melted, cooled, and scallions removed). Grind all into fine powder. Mix with hot sesame oil for application; lard is also acceptable.
Another prescription: Chrysanthemum flowers (Huang Hua) (burned to ash), Calomel (Qing Fen) (a small amount). Grind evenly and apply dry.
For pediatric Fei Chuang on the head, Yellow Water Sores (Huang Shui Chuang), and Plum-blossome Baldness (Meihua Tu):
Malachite (Tong Lv), Rosin (Song Xiang) (each 3 qian), Yellow Beeswax (Huang La) (2 qian). Melt with 1.5 liang of sesame oil and apply evenly.
Superb Prescription for Sores on the Head, Commonly Known as Sticky Sores (Nian Chuang) (from Zhou Shi's *Jiyan Fang*):
Cuttlefish bone (Hai Piao Xiao) (2 qian), White Rosin (Bai Jiao Xiang), Calomel (Qing Fen) (each 5 fen). Grind evenly. Moisten the sore with clear oil, then sprinkle the dry powder on top.
For Extremely Severe Fei Chuang:
Sophora flavescens root (Ku Shen), Polygonum multiflorum (He Shou Wu), Angelica sinensis (Dang Gui), Clematis root (Wei Ling Xian), Licorice root (Gan Cao), Honeysuckle flower (Jin Yin Hua), Sesame seed (Hu Ma), Acorus rhizome (Shi Chang Pu), Forsythia fruit (Lian Qiao), Rehmannia root (Sheng Di). Decoct together with water and wine.
Another prescription (Transmitted by Hongxi Dongfang): Big Maple Seed (Da Feng Rou) (5 qian), White Arsenic (Bai Xin) (3 fen), Oily Walnut (You Tao He) (five pieces). Pound together into three pills. At night, take one pill and rub it on the chest until the second watch of the night; the medicine will scatter and then gather again on the chest. Lie on your back. Repeat the next night. Skip one night, then rub another pill. After seven days, complete recovery.
For Fei Chuang on the Head and Face (Empirical Prescription):
Calomel (Qing Fen), Flying Blood Dan (Fei Xue Dan), White Alum (Bai Fan), Realgar (Xiong Huang) (equal parts). Grind finely. Place inside scallion tubes, seal both ends, and roast. Add a small amount of tortoise shell ash, grind, and mix with vegetable oil for application; effect is immediate.
Bitumen Plaster (Liu Shi's Secret Recipe): Miraculous for pediatric Fei Chuang on the head, Sheep Beard Sores (Yang Hu Chuang), Milk Eczema (Nai Xuan Chuang), Honeycomb Sores (Nong Ke Chuang), Blood Wind Sores/Lichen on feet, Button Sores (Niu Kou Feng) in women, Skirt-edge Sores (Qun Bian Chuang), and wet sores above the ears.
Bitumen (Di Qing Xi) (1 jin), Sesame Oil (Ma You) (4 liang), Alum (Ming Fan), Malachite (Tong Lv) (each 2 liang), Lead Powder (Qian Fen) (1 liang). Cook together in a pot until red. Add 2 liang of yellow beeswax and melt completely. While warm, stir continuously without stopping. Remove from fire, add two sheep gallbladders (if unavailable, use one ox gallbladder or two pig gallbladders), stir well, store in a ceramic mortar, and rub onto the sores. Alternatively, mix with medicines for Jinmao Shizi sores for better results when rubbing the sores.
Fei Chuang (Wang Yilan's Prescription): Steep Lithospermum root (Zi Cao) in ice flakes and musk, rub with head oil two or three times for cure.
Fei Chuang and Pediculosis Capitis (La Li): Boil two egg yolks, render the oil in a copper pot, add 1.5 liang of Rosin (Song Xiang) and cook until charred, then grind to powder. Separately, take 1 liang of Sesame Oil (Ma You), add one centipede (remove head and tail), fry in oil until charred, remove dregs, let cool, and mix with the previous powder for use. First, boil pig bristle-scraping water, wash the sores thoroughly, remove crusts, or after shaving the head, place several eggs mixed with 5 fen of Sichuan peppercorn on the head covered by an oil-paper pancake, then cover with a felt hat. Leave overnight. The next day, apply the Centipede Oil mixed with Rosin powder.
Another prescription: Cuttlefish bone (Hai Piao Xiao) ground to powder, lightly fried until yellow, applied topically.
Another prescription: Magnolia bark (Nong Po) dried, crushed, and ground to fine powder, mixed with sesame oil for rubbing.
Another prescription: Cyperus rhizome (Xiang Fu), Calcined Alum (Ku Fan) (each 3 qian). Decoct for washing.
Another prescription: One piece of old salted fish, roasted in sesame oil until charred, remove excess oil, and apply the oil.
Rotting Eyebrow Sores (Lan Mei Tou Chuang): Stir-fry wheat until black, grind to powder, mix with wine, and apply.
Head Fei Chuang: Wash several times with water from slaughtering pigs and removing hair.