小儿 疮,皆因乳母饮食热毒、七情之火,发于内为惊痰身热,发于外为疮疡疥癣。必先令
乳母服清火解毒煎饵。小儿服解毒丸、化毒丹之类(方见前门),次用敷药(二方见前)。
月蚀疮(小儿指月耳前后疮∶)蔷薇根(四钱) 地榆皮(二钱) 轻粉(五分) 上研末,
敷。
眉疮(生眉上)∶用倾银罐研为极细末,加轻粉少许,麻油调敷。
鼻匿疮(鼻外四边生疮∶)枯矾 海螵蛸 雄黄(各一钱) 赤石脂 铅粉 黄丹(各二钱)
孩儿茶(五分) 轻粉(五分)
上研极细末,湿者干掺,干者油调搽。
鼻下烂(铅粉油敷∶)泽泻 郁金 山栀 甘草(等分) 上水煎服。
火灼疮(小儿遍身赤烂,如无皮∶)木鳖子(去壳)封半切开,用香油一钟,煎至木鳖焦(切
开无白心,)滤净碗内,坐水
中(过夜出火毒,)鹅毛搽患处。
鱼脐疮(头黑,深黄,水四畔流出∶)蛇蜕烧存性为末,鸡子清调搽。
溜脓疮(脓流至即成疮∶)绿豆粉(一两) 黄丹(三钱) 枯矾(三钱) 轻粉(一钱)
香油调搽。
赖头疮(满头生疮∶)牛皮烟胶(熏皮烟出,口上刮起者为末,一两)加黄丹、枯矾各三钱
,轻粉、香油调搽。
满头遍身疮烂痒痛∶黄连末(五钱) 蛇床子末(二钱半) 五倍子末(一钱) 轻粉(三
分)
上研匀,先以荆芥、葱、椒煎汤,冲化白矾、朴硝(各一撮,)洗净,次将前末香油调搽。
又 楝树根皮炒、研末,猪油调搽。
头疮∶地沥青(山西来者)搽,或调苦杖根末搽。前药用地沥青调尤效。
头至足诸热疮∶滑石(水飞,一两) 大黄末(二钱) 大黄末 黄柏末(各一钱五分)
青黛(二钱)
研匀,冬青叶捣汁,调搽。
周身有脓结靥诸疮,用外科万灵膏加乳香、银、朱等者,摊贴即效,且不污衣。
诸疮久不愈∶白胶香(即枫树脂,五钱) 轻粉(二钱)
上研匀,细末,猪骨髓或油调搽。
癣疮∶羊蹄根、明矾同捣,绢包,搽。或川槿皮醋磨;或马鞭草叶搽。
漏疳∶松香(葱、椒煮,晒燥,研末) 头发(烧灰) 黄丹(等分)
上研匀,油调,敷患处。
小儿疮疡,皆因乳母饮食中蕴积热毒,或七情郁结化火,内发则为惊风痰涎、身体发热,外发则为疮疡疥癣。治疗时,必须先让乳母服用清火解毒煎剂。随后给小儿服用解毒丸、化毒丹之类的药物(方剂见前文),接着使用外用敷药(两个方剂见前文)。
月蚀疮(指小儿手指、耳前后发生的疮疡):取蔷薇根四钱,地榆皮二钱,轻粉五分。将上述药材研成细末,外敷患处。
眉疮(生于眉毛上方):用倾银罐研磨成极细粉末,加入少许轻粉,用麻油调和后外敷。
鼻匿疮(生于鼻子四周的疮疡):枯矾一钱,海螵蛸一钱,雄黄一钱,赤石脂二钱,铅粉二钱,黄丹二钱,孩儿茶五分,轻粉五分。将上述药材研成极细末,若患处湿润则干掺药粉,若患处干燥则用油调匀后涂抹。
鼻下烂(鼻孔下方溃烂):泽泻、郁金、山栀、甘草各等分。将上述药材用水煎煮后内服。
火灼疮(小儿全身皮肤发红溃烂,如同无皮一般):取木鳖子(去壳),将其纵向剖开一半,用香油一钟(容量单位),煎至木鳖子焦黑(切开看内部没有白色心),过滤到碗中,置于水中浸泡过夜以去除火毒,然后用鹅毛蘸取药液涂抹患处。
鱼脐疮(疮头黑色,中间深黄色,周围流出水液):将蛇蜕烧存性后研成细末,用鸡蛋清调和后涂抹。
溜脓疮(脓水流淌处随即形成疮疡):绿豆粉一两,黄丹三钱,枯矾三钱,轻粉一钱。用香油调和后涂抹。
赖头疮(满头发生疮疡):牛皮烟胶(即熏制皮革时产生的烟垢,从口部刮起收集的粉末,一两),加入黄丹三钱、枯矾三钱,用轻粉和香油调和后涂抹。
满头及全身疮疡溃烂、瘙痒疼痛:黄连末五钱,蛇床子末二钱半,五倍子末一钱,轻粉三分。将上述药末研匀。先用荆芥、葱、花椒煎汤,冲化白矾、朴硝各一撮,洗净患处,然后将前述药末用香油调和后涂抹。
另外,也可用楝树根皮炒制后研成细末,用猪油调和后涂抹。
头疮:用地沥青(产自山西者最佳)直接涂抹,或用苦杖根末调用地沥青涂抹。以前药用地沥青调和效果尤为显著。
从头至足部的各种热疮:滑石一两(水飞法处理),大黄末二钱,大黄末一钱,黄柏末一钱五分,青黛二钱。将上述药材研匀,用冬青叶捣汁调和后涂抹。
周身有脓液结成痂盖的各种疮疡,可使用外科万灵膏,加入乳香、银朱、朱砂等成分,摊贴于患处即见效,且不会弄脏衣物。
各种疮疡久治不愈:白胶香(即枫树脂)五钱,轻粉二钱。将上述药材研匀成细末,用猪骨髓或油调和后涂抹。
癣疮:将羊蹄根与明矾共同捣碎,用绢布包裹后涂抹。或者用川槿皮磨醋涂抹;或者用马鞭草叶涂抹。
漏疳(指疮疡溃破后久不收口,状如漏孔):松香(用葱、花椒煮过,晒干后研成细末),头发(烧成灰),黄丹(三者等分)。将上述药材研匀,用油调和,敷于患处。
Infantile sores and ulcers are all caused by heat toxins accumulated in the nursing mother's diet or fire generated from emotional stagnation (Seven Emotions). Internally, this manifests as fright-phlegm and fever; externally, it presents as sores, ulcers, scabies, and tinea. Treatment must first involve administering a decoction for clearing fire and detoxifying to the nursing mother. Subsequently, the infant should be given pills such as Jiedu Wan (Detoxification Pill) or Huadu Dan (Toxin-Resolving Elixir) (formulas see previous section), followed by the application of external poultices (two formulas see previous).
Yueshi Chuang (Moon-Eclipse Sore: refers to sores on infants' fingers, ears, and surrounding areas): Take Qiangweigen (Root of Rosa multiflora) 4 qian, Diyupi (Bark of Cornus officinalis) 2 qian, Qingfen (Calomel) 5 fen. Grind into fine powder and apply externally.
Mei Chuang (Eyebrow Sore: grows above the eyebrows): Grind Qingyinguang (Silverware residue/oxide) into an extremely fine powder, add a small amount of Qingfen (Calomel), and mix with Mahuyou (Sesame Oil) for topical application.
Bi Ni Chuang (Hidden Nasal Sore: sores growing around the four sides of the nose): Kufan (Calcined Alum) 1 qian, Haipiaoxiao (Cuttlefish Bone) 1 qian, Xionghuang (Realgar) 1 qian, Chishizhi (Red Halloysite) 2 qian, Qianfen (Lead Carbonate) 2 qian, Huangdan (Litharge) 2 qian, Haiertcha (Child's Tea/Catechu) 5 fen, Qingfen (Calomel) 5 fen. Grind into an extremely fine powder. If the lesion is moist, sprinkle the dry powder; if dry, mix with oil and apply.
Bi Xia Lan (Ulceration under the Nose): Zexie (Rhizoma Alismatis), Yujin (Rhizoma Curcumae Longae), Shanzhi (Fructus Gardeniae), Gancao (Radix Glycyrrhizae) in equal proportions. Decoct in water and administer orally.
Huozhuo Chuang (Fire-Burn Sore: infant's whole body red and ulcerated, resembling skinless state): Remove the shell of Muguezi (Seed of Momordica cochinchinensis), split it open halfway. Boil in one zhong (unit of volume) of Xiangyou (Sesame Oil) until the seed is scorched (no white center when cut). Filter into a bowl, place in water overnight to remove "fire toxicity," then apply to the affected area using a goose feather.
Yuqi Chuang (Fish-Navel Sore: black head, deep yellow center, fluid oozing from surroundings): Burn Shedui (Snake Slough) until carbonized but retaining properties, grind into powder, and mix with Jiziqing (Egg White) for topical application.
Liunong Chuang (Flowing Pus Sore: sores forming where pus flows): Lvdoufen (Mung Bean Powder) 1 liang, Huangdan (Litharge) 3 qian, Kufan (Calcined Alum) 3 qian, Qingfen (Calomel) 1 qian. Mix with Xiangyou (Sesame Oil) and apply.
Laitou Chuang (Raghead Scab: sores covering the entire scalp): Niupiyanjiao (Leather Smoke Resin/Gum obtained from smoking leather, scraped from the mouth area, 1 liang), add Huangdan (Litharge) 3 qian and Kufan (Calcined Alum) 3 qian. Mix with Qingfen (Calomel) and Xiangyou (Sesame Oil) for application.
Sores and ulcers covering the head and whole body with itching and pain: Huanglianmo (Powder of Coptis Chinensis) 5 qian, Shechuangzimo (Powder of Cnidium Monnieri) 2.5 qian, Wubeizimo (Powder of Galla Chinensis) 1 qian, Qingfen (Calomel) 3 fen. Grind uniformly. First, decoct Jingjie (Herba Schizonepetae), Congbai (Scallion White), and Jiaohua (Zanthoxylum Bungeanum) in water, dissolve Baifan (Alum) and Puxiao (Mirabilite) (each one pinch) in the solution, wash the area clean, then mix the aforementioned powders with Xiangyou (Sesame Oil) and apply.
Alternatively, use Liandushenpi (Bark of Melia Azedarach) stir-fried and ground into powder, mixed with Zhuyou (Pig Fat/Oil) for application.
Tou Chuang (Head Sores): Apply Diqingli (Bitumen/Pitch, preferably from Shanxi) directly, or mix with Kuozhanggenmo (Powder of Sophora Flavescens Root) and Diqingli for application. Using Diqingli as a base for the previous medicines is particularly effective.
Heat Sores from Head to Feet: Huashi (Talcum) 1 liang (processed by water flotation), Dahuangmo (Powder of Rheum Palmatum) 2 qian, another portion of Dahuangmo 1 qian, Huangbamo (Powder of Phellodendron Amurense) 1.5 qian, Qingdai (Indigo Naturalis) 2 qian. Grind uniformly, mix with juice extracted from Dongqingye (Leaf of Ilex Aquifolioides), and apply.
For various sores on the body with pus and crusts, apply Waikke Wanling Gao (External Medicine Ten-Thousand Spirit Ointment) compounded with Ruxiang (Olibanum), Yinzhu (Cinnabar/Silver), and Zhusha (Cinnabar) onto the affected area. This is effective and does not stain clothes.
For chronic sores that do not heal: Baijiaoxiang (Gum Elemi/Franksincense resin, specifically Maple Resin here) 5 qian, Qingfen (Calomel) 2 qian. Grind uniformly into fine powder, mix with Zhu Guisui (Pig Marrow) or oil, and apply.
Xuan Chuang (Tinea/Ringworm): Crush Yangti Gen (Root of Rumex Japonicus) and Mingfan (White Alum) together, wrap in silk, and apply. Alternatively, grind Chuanjinpi (Bark of Hibiscus Tiliaceus) in vinegar for application; or apply Mabiann Cao Ye (Leaf of Patrinia Scabiosifolia).
Lou Gang (Fistula-like Ulcer): Songxiang (Rosin) (boiled with Congbai and Jiaohua, dried, and ground), Toufa (Hair) (burned to ash), Huangdan (Litharge) in equal proportions. Grind uniformly, mix with oil, and apply to the affected area.