万密斋长孙生下，遍身生疮疥。因制一方，用乌稍蛇，酒浸去皮骨，取净肉焙干一钱，苦参酒浸，切片晒
干，取末一钱半，白蒺藜炒去刺一钱半，三味为末，酒糊丸，如粟米大。每服十五丸，竹叶煎汤下，虫疥灭迹，
不再发矣。
一小儿身生虫疥，医用药搽之，疮尽没，腹胀而喘，求药于万。曰∶幸未发搐，尚可治也。乃与雄黄解毒
丸，竹叶灯心煎汤下，利黄涎，疮复出而安。或问曰∶虫疥不可搽乎？曰∶虫疥者，胎毒也。宜用解毒之药，
使毒散于外，不可妄用搽药，逼之使反于内也。搽疮之药，必用砒霜、水银以杀虫，药毒之气乘虚入里，误儿
性命，宜慎之。（雄按∶大人疮疥亦有此证。）
一弥月小儿，先于口内生疮，后延于身，年余不愈，以土茯苓为末，乳汁调服，月余而愈。
一儿生下一月后，遍身虫疥，浸淫湿烂，其皮如脱，日夜啼。忽一日，其疮尽隐，发搐而死。
冯楚瞻治其孙，因母久患阴虚夜热之症，生下百余日，遍体癞疮。（未必非其母妊时，久服八味所致。案
见难产门。）以生地、丹皮、当归、赤芍、萆 、首乌、银花、连翘、土贝、甘草、鳖虱、胡麻、土茯苓、
木通节，大剂，乳母
日夜进服数十剂，后湿热下趋，两足溃烂，清水淋漓，指甲皆脱。乳母旁人，近者无不传染。此先天热毒之气，
已尽出外矣。后于耳后结一大毒，此阴虚无根之火凝聚也。以八味加牛膝、五味煎汤，数剂，高肿脓而愈。自
后津液衰涸，疮靥干枯，或愈或发。防其内攻，乃以羊肉四两煎汤，入生黄 四钱，当归二钱，银花三钱，炒
升麻四分，姜三片，枣二枚煎与服。不及十剂，足疮全愈，升于头项。再服，头疮亦痊。（雄按∶又用八味，
以致溃后津枯。）
刘禹锡《传信方》云∶顷在武陵生子，蓐内便有热疮，涂诸药无益，而日益剧，蔓延半身，号啼，不乳不
睡。用鸡子五枚，煮熟，去白取黄，乱发煎，乃有液出，旋取置碗中，以液尽为度，取涂疮上，即以苦参末糁
之，果神效。《本草纲目》。
孙文垣治一儿，耳后生一毒，肿痛，遍身生大泡疮，憎寒发热，与金银花、当归尾、甘草、赤芍、连翘、
僵蚕、牛蒡、元参两剂而消。
薛立斋治一小儿，自脱胎时，两目赤肿，或作痒，或生翳，此胎内之肝火也。用芦荟、六味二丸而愈。
万密斋治一儿，五岁，每至春时，则遍身生脓泡疮，此胎毒也。戒用搽药，恐粉砒之毒乘虚入腹，以胡麻
复之而愈。
万州李四守，生子五岁，遍身湿疥，一旦尽干。万曰∶疮出惊止，始无忧也。连更数医，不能治。
立斋治梁阁老孙，甫周岁，项患胎毒，俟其有脓刺之，脓出碗许，乳食如常。用托里药，月余而愈。靳阁
老子亦患此，待脓自出，几至不救。吾乡徐内翰子患痘毒，及时针刺，毒不内侵，数日而愈。小儿血气弱，脓
成不针，鲜不毙矣。
万密斋的长孙出生后，全身生出疮疥。为此他配制了一个方子，使用乌梢蛇，用酒浸泡后去除皮骨，取净肉焙干至一钱重；苦参用酒浸泡，切片晒干，研成细末取一钱半；白蒺藜炒制去刺，取一钱半。将这三味药研为细末，用酒调糊制成丸药，大小如粟米。每次服用十五丸，用竹叶煎汤送服，虫疥即可消除且不再复发。
有一个小儿身上生虫疥，医生用药膏涂抹，导致疮口全部收敛消失，但出现腹胀和喘息症状，于是向万密斋求药。万密斋说：“幸好没有发生抽搐，还可以治疗。”于是给予雄黄解毒丸，用竹叶、灯心草煎汤送服，患儿排出黄色涎沫，疮毒重新发出来，病情才安定下来。有人问：“虫疥不可以涂抹药物吗？”万密斋说：“虫疥属于胎毒。应当使用解毒的药物，使毒素散发于体表，不可胡乱使用外涂药物，逼迫毒素反陷于体内。外涂治疮的药物，必然含有砒霜、水银等以杀虫，药物的毒性之气会趁虚侵入体内，误伤患儿性命，应当谨慎对待。（吴谦按：成年人患疮疥也有此类证候。）”
有一个刚满一个月的小儿，先在口腔内生疮，随后蔓延至全身，一年多未愈。用土茯苓研为细末，用乳汁调服，一个多月后痊愈。
有一个婴儿出生一个月后，全身生虫疥，浸淫湿烂，皮肤像脱落一样，日夜啼哭。忽然有一天，身上的疮口全部隐没，随即发生抽搐而死。
冯楚瞻治疗他的孙子，因为母亲长期患有阴虚夜间发热的病症，孩子出生后一百多天，全身长出癞疮。（这未必不是其母亲在怀孕期间，长期服用八味地黄丸所致。案例见难产门。）冯楚瞻使用生地、丹皮、当归、赤芍、萆薢、首乌、银花、连翘、土贝母、甘草、鳖虱（注：此处原文可能有误，疑为某种虫类或药材，暂保留原意）、胡麻、土茯苓、木通节，大剂量给乳母日夜进服数十剂。后来湿热下注，导致双足溃烂，清水淋漓，指甲全部脱落。乳母及周围人，靠近者无不传染。这是先天热毒之气，已全部发泄于体外了。后来在耳后结成一个大的毒肿，这是阴虚无根之火凝聚所致。冯楚瞻使用八味地黄丸加牛膝、五味子煎汤，服用数剂，高肿化脓而痊愈。此后津液衰少枯竭，疮痂干枯，时好时发。为了防止毒邪内攻，于是用羊肉四两煎汤，加入生黄芪四钱、当归二钱、银花三钱、炒升麻四分、生姜三片、大枣二枚煎煮后让乳母服用。不到十剂，足部疮口完全愈合，毒邪上移至头项。再服药，头部的疮口也痊愈了。（吴谦按：又使用了八味地黄丸，导致溃破后津液枯竭。）
刘禹锡《传信方》记载：以前在武陵生孩子时，产后便有热疮，涂抹各种药物无效，且日益严重，蔓延至半身，患儿哭闹不止，不吃奶不睡觉。使用鸡蛋五个，煮熟后去掉蛋白只留蛋黄，与乱发一起煎煮，于是有液体流出，随时收集放入碗中，直到液体流尽为止，取此液体涂抹疮上，再以苦参末撒在上面，果然神效。出自《本草纲目》。
孙文垣治疗一个患儿，耳后生一个毒肿，肿痛，全身生大泡疮，怕冷发热，给予金银花、当归尾、甘草、赤芍、连翘、僵蚕、牛蒡子、玄参，服用两剂后消退。
薛立斋治疗一个小儿，从出生时开始，双眼红肿，有时发痒，有时生翳，这是胎内的肝火所致。使用芦荟丸、六味地黄丸治愈。
万密斋治疗一个五岁患儿，每到春天，全身就生脓泡疮，这是胎毒。告诫不要使用外涂药物，恐怕粉砒的毒性趁虚进入腹部，用胡麻覆盖患处而痊愈。
万州李四守，生子五岁，全身生湿疥，一旦全部干燥。万密斋说：“疮出而惊风停止，才开始无忧虑。”连续经过多位医生诊治，都不能治愈。
薛立斋治疗梁阁老的孙子，刚满周岁，颈部患胎毒，等到化脓后用针刺破，脓液流出约一碗许，吃奶吃饭如常。使用托里透脓的药物，一个多月后痊愈。靳阁老的儿子也患此病，等待脓液自然流出，几乎致死。我家乡徐内翰的儿子患痘毒，及时针刺，毒邪没有内侵，几天后痊愈。小儿气血虚弱，脓成而不针刺，很少有不死亡的。
Wan Mizhai's eldest grandson was born with sores and scabies all over his body. Therefore, he formulated a prescription using *Zaocys* (Ushao She), soaked in wine, skin and bones removed, with the clean meat dried by roasting to one qian; *Sophorae Flavescentis Radix* (Kushen) soaked in wine, sliced and sun-dried, ground into powder taking one and a half qians; *Tribuli Fructus* (Bajili) stir-fried to remove spines, taking one and a half qians. These three ingredients were ground into powder, mixed with wine paste to make pills the size of millet seeds. Each time, fifteen pills were taken, washed down with decoction of bamboo leaves. The parasitic scabies would disappear and not recur.
A child had parasitic scabies on his body. A physician applied medicinal ointment, causing the sores to completely retract, but the child developed abdominal distension and wheezing. He sought treatment from Wan Mizhai. Wan said, "Fortunately, convulsions have not occurred; it is still treatable." He prescribed *Xionghuang Jiedu Wan* (Realgar Detoxification Pill), administered with decoction of bamboo leaves and *Juncus* (Dengxincao). After the child discharged yellow phlegm, the sores reappeared, and the condition stabilized. Someone asked, "Can parasitic scabies not be treated with topical applications?" Wan replied, "Parasitic scabies is a type of fetal toxin. It is appropriate to use detoxifying medicines to allow the toxin to disperse externally. One must not recklessly use topical drugs that force the toxin back inward. Topical remedies for sores often contain realgar (*Pishuang*) and mercury to kill parasites; the toxic qi of these drugs can enter the interior through deficiency, endangering the child's life. Caution is advised. (Wu Qian notes: Adults also present with this syndrome when suffering from sores and scabies.)"
A one-month-old infant first developed sores in the mouth, which then spread to the entire body, lasting for over a year without healing. *Smilax Glabrae Rhizoma* (Tufuling) was ground into powder and administered mixed with breast milk. The infant recovered after more than a month.
Another infant, one month old, developed parasitic scabies all over the body, with weeping, wet rotting, and skin shedding like peeling. The child cried day and night. Suddenly, one day, all the sores disappeared, followed by convulsions and death.
Feng Chuzhan treated his grandson. The mother had long suffered from yin deficiency with night fevers. Over a hundred days after birth, the infant developed widespread leprosy-like sores. (This may well be due to the mother taking *Bawei Dihuang Wan* (Eight-Ingredient Rehmannia Pill) for a long time during pregnancy. See the section on Dystocia.) Feng used *Rehmanniae Radix Preparata* (Shengdi), *Moutan Cortex* (Danpi), *Angelicae Sinensis Radix* (Danggui), *Paeoniae Radix Rubra* (Chishao), *Dioscoreae Hypoglaucae Rhizoma* (Bixie), *Polygoni Multiflori Radix* (Shouwu), *Lonicerae Japonicae Flos* (Yinhua), *Forsythiae Fructus* (Lianqiao), *Fritillariae Thunbergii Bulbus* (Tubei), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Cicadae Periostracum* (Bieshi - likely a typo or local term, kept as is), *Sesami Fructus* (Huma), *Smilacis Glabrae Rhizoma* (Tufuling), and *Akebiae Caulis* (Mutong). Large doses were administered to the nursing mother day and night for dozens of prescriptions. Later, damp-heat moved downward, causing ulceration of both feet with dripping clear fluid and loss of fingernails. Those close to the nursing mother were infected. This indicated that the congenital heat-toxin qi had been fully expelled outward. Subsequently, a large toxic swelling formed behind the ear, caused by the aggregation of rootless fire due to yin deficiency. Feng used *Bawei Dihuang Wan* (Eight-Ingredient Rehmannia Pill) added with *Achyranthis Bidentatae Radix* (Niuxi) and *Schisandrae Fructus* (Wuweizi) in decoction. After several doses, the swelling suppurated and healed. Afterwards, body fluids became depleted, and the scabs dried up, with conditions alternating between healing and recurring. To prevent internal invasion of toxins, four liang of mutton were boiled in water, to which four qians of raw *Astragali Radix* (Huangqi), two qians of *Angelicae Sinensis Radix* (Danggui), three qians of *Lonicerae Japonicae Flos* (Yinhua), four fen of stir-fried * Cimicifugae Rhizoma* (Shengma), three slices of ginger, and two jujubes were added. The decoction was given to the nursing mother. In less than ten doses, the foot sores completely healed, and the toxicity rose to the head and neck. Upon further administration, the head sores also healed. (Wu Qian notes: The subsequent use of *Bawei Dihuang Wan* led to dryness of fluids after ulceration.)
Liu Yuxi's *Chuanxin Fang* records: Previously, while giving birth in Wuling, I encountered hot sores immediately postpartum. Various topical medications were ineffective, and the condition worsened daily, spreading to half the body. The infant cried loudly, refused milk, and could not sleep. Five eggs were boiled thoroughly, the whites discarded, and only the yolks retained. They were decocted with tangled hair until liquid exuded. This liquid was collected in a bowl until exhausted. It was applied to the sores, and dusted with powder of *Sophorae Flavescentis Radix* (Kushen). It proved miraculously effective. Cited in *Bencao Gangmu*.
Sun Wen Yuan treated a child who had a toxic swelling behind the ear, painful and swollen, accompanied by large blister-like sores all over the body, aversion to cold, and fever. He prescribed *Lonicerae Japonicae Flos* (Yinhua), *Angelicae Sinensis Radix* (Dangguiwei), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Paeoniae Radix Rubra* (Chishao), *Forsythiae Fructus* (Lianqiao), *Bombyx Batryticatus* (Jiangcan), *Arctii Fructus* (Niubangzi), and *Scrophulariae Radix* (Yuanshen). After two doses, the symptoms subsided.
Xue Lizai treated a child whose eyes were red and swollen since birth, sometimes itching, sometimes developing nebulae. This was liver fire from the fetal stage. He cured him with *Aloe Pill* (Luhui Wan) and *Liudihuang Wan* (Six-Ingredient Rehmannia Pill).
Wan Mizhai treated a five-year-old child who developed pustular sores all over the body every spring. This was fetal toxin. He warned against using topical applications, fearing that the toxicity of powdered realgar might enter the abdomen through deficiency. The child recovered after covering the sores with sesame.
Li Sishou of Wanzhou had a son aged five who developed wet scabies all over the body, which suddenly dried up. Wan said, "Once the sores appear and the convulsions stop, there is no cause for worry." Several physicians had treated the case unsuccessfully before.
Xue Lizai treated the grandson of Grand Secretary Liang. At just one year old, the child had fetal toxin on the neck. Xue waited until suppuration occurred, then punctured it. About one bowl of pus drained out, and the child's feeding remained normal. He administered tonifying and promoting pus-discharge medicines, and the child recovered after more than a month. Grand Secretary Jin's son suffered from the same condition. He waited for the pus to discharge naturally and nearly died. My hometown scholar Xu Neihan's son suffered from smallpox toxin. Timely puncturing prevented internal invasion of the toxin, and he recovered in a few days. Children have weak blood and qi. If pus forms but is not punctured, death is rare to avoid.