〔汪〕前人谓小儿虚实不等,不可拘以日数,有热三日而成 ,有热六七日而生
者,有至十余日而生 者,但足上有 为出齐。出齐之后,长成血泡,血泡七日,
当结脓窠,苟或血泡之中,尚有红 点相夹而生,则又不可拘以日数,待其皆作血
泡为齐。血泡七日结脓窠,此乃荣卫调和,内外无诸感冒,方能如期,且如血泡正
作之际,遇天令寒暑燥湿风不节,气候异宜,因而迟速失序,亦不可拘以日数,但
以红点皆为血泡日为齐。若出血泡七日,病患气虚,尚有红点未能皆成血泡者,为
毒瓦斯弥盛而不敛,急用猪尾膏,则随时结痂 矣。〔万〕世俗谓几日发热,几日出
形,几日起发,几日作浆,几日收靥,此大略之言耳,痘有疏密,毒有微甚,人有
虚实,岂可一切拘以日数,如疮本疏者其毒微,其人中气实,又能食,自然易出易
靥,固不待于旬日者。如疮本密者,其毒甚,其人中气实,又能食,荣卫调和,内
外无诸伤犯,至十二三日,可以刻期收靥也。若其人中气虚,食少,或内外曾有伤
犯,或遇气候乖变,因而难靥,岂可必拘以日数哉。
闻人氏云∶禀气实者,夏酷暑而不甚畏热,冬严寒而不甚畏冷,禀气怯者,易
寒易热,天寒阴雨,则感寒湿而濡泻,天气稍炎,则伏热而中 。是故先知节候者,
能辨阴阳寒暑之盛衰,经云∶阳盛人耐冬不耐夏,阴盛人耐夏不耐冬。此亦知人禀
受之不同,且自立夏气变纯阳,万物盛大,治药者用热远热,如桂枝、麻黄之辈,
必加知母、升麻、石膏等服之,立冬气合纯阴,治药者用寒远寒,如用诸凉剂,
中病即止,不必尽剂。又如冬温暖则虚者安而实者病,夏寒凉则实者安而虚者病,
冬温暖、夏寒凉非节之气,来暴而去速,在人将摄之如何尔。如天大寒,盖覆
常宜温暖,勿使受寒,恐毒瓦斯为寒所触而不得出也,如天大热,不可盖覆,却宜清
凉,勿使客热与毒相并,致增烦躁,使疮溃烂也,如时有迅雷烈风豪雨之变,宜谨
帏帐,添盖覆,多烧辟秽香,以辟一时不正之气。卧处常要无风,又要通明,切
忌幽暗,夜静不断灯火,不离亲人看守,恐要饮食,一时得具,或有痒痛,与之抚
摩,恐他人未必尽心如法也。
闻人氏云∶木得桂则枯,雌黄遇胡粉则黑,柑得脯则坏,物之相畏,有如此者,
痘疮之畏秽恶杂气,其理亦如是也。房中淫 气、妇人经候气、狐臭漏腋气、醉
酒荤秽气、硫黄蚊药气、霉烂蒸湿气、误烧油发气、泼粪淋尿气、熬油煎卵气一
切腥臊气、五辛之气、远行染带之气,以上最宜避忌,仍令人谨伺门户,勿令生人
辄入,勿扫房室,勿动沟渠,勿启溷厕,勿烧脑、麝、酷烈诸香。仲景云∶疮痘
欲出之间,宜烧苍术、猪甲二物。床帐左右前后,宜挂胡荽,以酒喷之,或烧乳
香尤妙,盖荣卫得香则营运甚速,可使疮毒易出,苟防备一不如法,则祸患踵至,
欲出者使之不出,已出者斑烂成片,甚者疮黑陷伏,加以烂臭,痛如刀剜,闷乱而
死,其中纵得安者,亦令瘢痕经年黑色,或反成疥癣,不可不戒。凡痘疮初出,
即当禁戒房事,室中常烧辟秽香,令烟不绝,更多烧硬石,以水浇之,若有触犯,
疮或色变,或作痒者,以茵陈熏法解之。
辟秽香(灌浆) 茵陈熏法(起发)
〔袁〕治痘触变焦紫方
痘触变焦紫,倏时喘急起,急觅丝瓜皮,取末蜜调处,甘草地黄汤,一服痘更
起,若加烦 时,犀角磨汤水,此是四五朝,治触当如此,期若至七八,空壳触
必死,浆半犯触证,按验莫糊指。(丝瓜皮,须要看他未生筋时,取来燥干,临用只取皮、蒂为末。)
治触变灰白痘方
痘触变灰白,枭痒忍不得,附子紧黄 ,愈多功愈特,助药已备前,何须甚分
悉,凭君自摅奇,奇处如应敌。(此痘,须详察盘座,有元红则挽治得全,若无真元根缕,不
必疗治。)
治痘被月经触变方
痘正匈匈才翕浆,适为月水正当场,不知净洁相防护,致使花栏倏变常,月月
红花一样药,不分枝叶取煎汤,嫩杪煎汤投酒服,根枝浓沸活花郎,不消时刻还
归正,任汝经红触满床。
治痘被麝触痒方
麝香一触痒难熬,点点花心带黑椒,急把升麻苍耳草,浓煎慢浴转明饶,内托
应须求卫气,参 归芍橘甘遭,生地防风蝉蜕倍,红花赤豆共成标。(详考赤豆,非家种
赤小豆,是生于山谷,粒粗而扁,越人取而镶嵌首饰,色极红美,若无,以家赤大豆代之。)
治痘被尸厌触变方
死尸触变目番斜,痘必沉潜吐沫加,速把元荽并枣艾,为筒烧喷正灵家,外取
辰砂煮姜醴,时时引呷振栏花,虽然尸厌未戕痘,主此依然丽美葩。(愚治此痘,宜元荽
和辰砂姜酒服,外烧其方药,而辰砂性沉滞,善能振痘,不宜多服者也。)
治痘被客忤触变方
客忤相侵似若惊,啼号不歇面浑青,丝瓜细结含花者,露摘蒸来焙粉成,见证
蜜调多少服,随儿大小要详明,此时莫说丝瓜贱,一寸丝瓜一寸金。
治痘被兽惊缩方
痘五六朝,正要灌浆翕脓时候,偶为猫犬诸兽惊吓,而痘随缩匿,或色变为斜,
或形沉于底,盖心失其主而血不能以归辅,气弗协以充托也,急服乌龙散。
乌龙散方
乌龙散治痘中惊,惊系猪猫犬马形,只求远志菖蒲等,蝉脱须将水洗清,再加
醴酒频频煮去却菖蒲远志们,独留蝉脱研为末,砂糖调服酒含噙。
远志净一两,菖蒲净细实者一两,和酒煮熟,去二味,蝉蜕焙为末,将药酒进
服,再投鸡鸣散,无不全美者矣。
钱氏云∶凡疮疹,当乳母慎口,不可令饥及受风冷。闻人氏云∶凡人一日不食
则饥,触风冷则病,况小儿当疮痘之际,正欲赖谷气以助其内,避风寒以护其外,
苟谷气亏少,风寒侵袭,则为患可胜言哉。乳下婴儿,宜常令其母饮食充足,居处
避风,能食童子,专令老成耐事人时时管顾,虽然,事亦贵得其平,或者以失饥、
冒风寒为戒,遂致过饱极温,非徒无益,而又害之,疮痘之家,宜备知之。陈氏
云,痘疮发热,口干烦渴不止者,切不可与水吃,亦不宜与蜜、红柿、西瓜、橘
子等冷物食之。(若脉实,中有实热者,不必忌生冷。)痘疮欲靥已靥之间,忽不能靥,腹胀烦
渴,不可与水、蜜等冷物食之,或头温足指冷,或泻渴气促,亦不可与之。十
二日十三日,疮痂已落,其瘢犹黯,或凹或凸,肌肉尚嫩,不可澡浴,亦不宜食炙
爆物,酸辣五辛有毒之物,恐热毒熏膈,眼目多生翳障。海藏云∶世人徒知怜惜
过爱,信其俗而不药,病已成而方忧,摩抚从容,无所不从,岂知爱之适足以害之,
惜之适足以弃之,始不早治,治不全终,卒之殒毙,劳而无功,至是咎医,呜呼,
其计亦缪矣!
【汪】前人认为小儿体质虚实不等,不能拘泥于发病天数。有的发热三天就出疹,有的发热六七天才出疹,甚至有的十余天才出疹,只要脚上出现红点就算出齐。出齐之后,长成血泡,血泡经过七天,应当结成脓窠。如果血泡之中还有红点夹杂生长,那么又不可拘泥于天数,要等到全部变成血泡才算出齐。血泡七天结脓窠,这是营卫调和、内外没有受邪感冒,才能如期完成。况且在血泡正形成之际,如果遇到天气寒暑燥湿风不节,气候异常,因而导致出疹快慢失序,也不可拘泥于天数,只要看到红点都变成血泡的日子就算出齐。如果出了血泡七天,病患气虚,还有红点未能全部变成血泡的,这是因为毒瓦斯太盛而不能收敛,急需使用猪尾膏,就能随时结痂了。
【万】世俗说法是几天发热,几天出形,几天起发,几天作浆,几天收靥,这只是大略的说法罢了。痘疮有疏密之分,毒气有微甚之别,人有虚实之异,怎么能一概拘泥于天数呢?比如痘疮本来稀疏的,其毒气轻微,患者中气充实,又能进食,自然容易出疹也容易收靥,根本不需要等到十天。比如痘疮本来密集的,其毒气严重,患者中气充实,又能进食,营卫调和,内外没有受邪伤犯,到十二三天,就可以按期收靥了。如果患者中气虚弱,吃得少,或者内外曾经受过伤犯,或者遇到气候乖变,因而难以收靥,怎么能一定拘泥于天数呢?
闻人氏说:禀赋气实的人,夏天酷暑而不怎么怕热,冬天严寒而不怎么怕冷;禀赋气怯的人,容易受寒也容易发热,天寒阴雨时,就会感受寒湿而患濡泻(水样便),天气稍热时,就会有伏热而中暑。所以预先知道节气变化的人,能辨别阴阳寒暑的盛衰。《内经》说:阳盛的人耐冬不耐夏,阴盛的人耐夏不耐冬。这也是因为人的禀受不同。况且从立夏开始,气候变为纯阳,万物盛大,用药者用热药时要避开热气(指夏季慎用大热药),如桂枝、麻黄这类药,必须加入知母、升麻、石膏等服用。立冬时气候合于纯阴,用药者用寒药时要避开寒气(指冬季慎用大寒药),如用各种凉剂,中病即止,不必服完整个剂量。又如冬天温暖则体虚者安适而体实者生病,夏天寒凉则体实者安适而体虚者生病。冬天的温暖和夏天的寒凉是非正常的节气之气,来得猛烈去得也快,关键在于人们如何调养。如果天气大寒,覆盖保暖常宜温暖,不要使身体受寒,恐怕毒瓦斯被寒气所触而不能透出;如果天气大热,不可过度覆盖,却宜清凉,不要使客热与毒气相并,导致增加烦躁,使疮溃烂。如果时有迅雷烈风豪雨的变化,应谨慎帷帐,添加盖覆,多烧辟秽香,以驱避一时不正之气。卧处常要无风,又要通明,切忌幽暗,夜里灯火不断,不离亲人看守,恐怕需要饮食时,一时能准备好,或者有痒痛,给予抚摩,恐怕他人未必尽心如法。
闻人氏说:木头遇到桂枝就会枯死,雌黄遇到胡粉就会变黑,柑橘遇到脯肉就会腐烂,事物之间的相畏,像这样。痘疮畏惧秽恶杂气,道理也是这样。房中淫气、妇人经候气、狐臭漏腋气、醉酒荤秽气、硫黄蚊药气、霉烂蒸湿气、误烧油发气、泼粪淋尿气、熬油煎卵气、一切腥臊气、五辛之气、远行染带之气,以上这些最应该避忌。仍让人谨守门户,不要让生人随意进入,不要打扫房室,不要触动沟渠,不要开启厕所,不要烧脑麝等酷烈诸香。张仲景说:疮痘将要出的时候,适宜烧苍术、猪甲两物。床帐左右前后,适宜挂胡荽,用酒喷洒它,或者烧乳香尤其好,因为营卫得到香气则运行很快,可以使疮毒容易透出。如果防备有一点不如法,祸患就会接踵而至,想出的出不来,已出的斑烂成片,严重的疮黑陷伏,加上腐烂发臭,疼痛如刀剜,闷乱而死,其中即使得以平安的,也会留下瘢痕经年黑色,或者反而成为疥癣,不可不戒除。凡是痘疮初出,就应当禁戒房事,室中常烧辟秽香,让烟不绝,再多烧硬石,用水浇它,如果有触犯,疮或变色,或作痒的,用茵陈熏法解除。
辟秽香(用于灌浆期) 茵陈熏法(用于起发期)
【袁】治痘触变焦紫方
痘疮触变焦紫,忽然喘急起来,急忙寻找丝瓜皮,取末用蜜调敷患处,甘草地黄汤,一服后痘更起发,如果加上烦渴时,磨犀角用汤水送服,这是四五天的情况,治疗触犯应当如此,如果到了七八天,空壳触犯必死,浆半满时触犯证,按验不要糊涂。(丝瓜皮,须要看他未生筋时,取来干燥,临用时只取皮、蒂为末。)
治触变灰白痘方
痘疮触变灰白,瘙痒难忍,附子紧黄,愈多功效越特别,助药已备在前面,何必非常详细,凭你自己抒发奇策,奇处如同应对敌人。(此痘,须详察盘座,有元红则能挽回治疗痊愈,如果没有真元根缕,不必治疗。)
治痘被月经触变方
痘疮正喧嚷刚要吸浆,恰好遇到月经正当时,不知道净洁相互防护,致使花栏突然变得平常,每月用红花一样的药,不分枝叶取来煎汤,嫩梢煎汤投酒服,根枝浓沸活花郎,不用片刻还归正常,任凭你经血红触满床。
治痘被麝触痒方
麝香一触痒难熬,点点花心带黑椒,急忙把升麻苍耳草,浓煎慢浴转明饶,内托应须求卫气,参归芍橘甘遭,生地防风蝉蜕倍,红花赤豆共成标。(详考赤豆,非家种赤小豆,是生于山谷,粒粗而扁,越人取而镶嵌首饰,色极红美,若无,以家赤大豆代之。)
治痘被尸厌触变方
死尸触变目翻斜,痘必沉潜吐沫加,速把元荽并枣艾,为筒烧喷正灵家,外取辰砂煮姜醴,时时引呷振栏花,虽然尸厌未戕痘,主此依然丽美葩。(愚治此痘,宜元荽和辰砂姜酒服,外烧其方药,而辰砂性沉滞,善能振痘,不宜多服者也。)
治痘被客忤触变方
客忤相侵似若惊,啼号不歇面浑青,丝瓜细结含花者,露摘蒸来焙粉成,见证蜜调多少服,随儿大小要详明,此时莫说丝瓜贱,一寸丝瓜一寸金。
治痘被兽惊缩方
痘五六天,正要灌浆吸脓时候,偶然被猫犬诸兽惊吓,而痘随之收缩隐匿,或色变为斜,或形沉于底,盖心失其主而血不能以归辅,气弗协以充托也,急忙服用乌龙散。
乌龙散方
乌龙散治痘中惊,惊系猪猫犬马形,只求远志菖蒲等,蝉脱须将水洗清,再加醴酒频频煮去却菖蒲远志们,独留蝉脱研为末,砂糖调服酒含噙。
远志净一两,菖蒲净细实者一两,和酒煮熟,去二味,蝉蜕焙为末,将药酒进服,再投鸡鸣散,无不全美者矣。
钱氏说:凡是疮疹,当让乳母慎口,不可令其饥饿及受风冷。闻人氏说:凡人一天不食则饥,触风冷则病,何况小儿在疮痘之际,正欲依赖谷气以助其内,避风寒以护其外,如果谷气亏少,风寒侵袭,则为患可胜言哉。乳下婴儿,宜常令其母饮食充足,居处避风,能食童子,专令老成耐事人时时管顾,虽然,事亦贵得其平,或者以失饥、冒风寒为戒,遂致过饱极温,非徒无益,而又害之,疮痘之家,宜备知之。陈氏说,痘疮发热,口干烦渴不止者,切不可与水吃,亦不宜与蜜、红柿、西瓜、橘子等冷物食之。(若脉实,中有实热者,不必忌生冷。)痘疮欲靥已靥之间,忽不能靥,腹胀烦渴,不可与水、蜜等冷物食之,或头温足指冷,或泻渴气促,亦不可与之。十二日十三日,疮痂已落,其瘢犹黯,或凹或凸,肌肉尚嫩,不可澡浴,亦不宜食炙爆物,酸辣五辛有毒之物,恐热毒熏膈,眼目多生翳障。海藏说:世人徒知怜惜过爱,信其俗而不药,病已成而方忧,摩抚从容,无所不从,岂知爱之适足以害之,惜之适足以弃之,始不早治,治不全终,卒之殒毙,劳而无功,至是咎医,呜呼,其计亦缪矣!
[Wang] Predecessors stated that children's constitutions vary in deficiency and excess, so one cannot rigidly adhere to the number of days. Some develop rashes after three days of fever, some after six or seven days, and even some after more than ten days; as long as red spots appear on the feet, it is considered fully erupted. After full eruption, blood blisters form. After seven days of blood blisters, they should form pustular scabs. If red spots are still interspersed within the blood blisters, then one cannot rigidly adhere to the number of days; one must wait until all become blood blisters to consider it complete. Blood blisters forming pustular scabs after seven days indicates harmonious Ying (Nutritive) and Wei (Defensive) Qi, with no external pathogenic invasions, allowing the process to proceed as scheduled. Moreover, during the formation of blood blisters, if weather conditions such as cold, heat, dryness, dampness, and wind are irregular, causing abnormal climate variations that lead to disorderly speed of eruption, one cannot rigidly adhere to the number of days. One should only consider the day when all red spots have turned into blood blisters as the completion point. If after seven days of blood blisters, the patient has deficient Qi and some red spots have not yet formed blood blisters, this is due to excessive toxic vapors that fail to consolidate. Urgently apply Zhuwei Gao (Pig Tail Ointment), and scabs will form promptly. [Wan] Popular belief holds that there are specific days for fever, appearance, development, pus formation, and crusting. These are merely generalizations. Rashes vary in density, toxins vary in severity, and constitutions vary in deficiency and excess. How can one rigidly adhere to a fixed number of days? For instance, if rashes are originally sparse, the toxin is mild, the patient has solid Middle Jiao Qi, and can eat, eruption and crusting will naturally be easy, not requiring ten days. If rashes are originally dense, the toxin is severe, but the patient has solid Middle Jiao Qi, can eat, and has harmonious Ying and Wei Qi without internal or external invasions, crusting can occur on schedule by the twelfth or thirteenth day. However, if the patient has deficient Middle Jiao Qi, poor appetite, previous internal or external invasions, or encounters abnormal climate changes, making crusting difficult, how can one rigidly adhere to the number of days?
Wenren Shi said: Those with robust constitution endure summer heat without much fear and winter cold without much fear. Those with weak constitution easily catch cold or heat; in cold rainy weather, they suffer from damp diarrhea due to cold-damp invasion; in slightly hot weather, they suffer from latent heat and heatstroke. Therefore, those who understand seasonal changes can distinguish the prosperity and decline of Yin-Yang and cold-heat. The Classic states: Those with Yang excess endure winter but not summer; those with Yin excess endure summer but not winter. This also reflects different constitutional endowments. Furthermore, from Lixia (Start of Summer), the climate becomes purely Yang, and all things flourish. Physicians using hot herbs should avoid heat (i.e., use caution with strongly heating herbs in summer); for herbs like Guizhi Tang (Cinnamon Twig Decoction) and Mahuang Tang (Ephedra Decoction), one must add Zhimu (Anemarrhena Rhizome), Shengma (Cimicifugae Rhizome), and Shigao (Gypsum Fibrosum). At Lidong (Start of Winter), the climate aligns with pure Yin. Physicians using cold herbs should avoid cold (i.e., use caution with strongly cooling herbs in winter); when using cooling formulas, stop once the disease is addressed, do not necessarily finish the dose. Also, in warm winters, those with deficiency are comfortable while those with excess get sick; in cool summers, those with excess are comfortable while those with deficiency get sick. Warm winters and cool summers are abnormal climatic energies, arriving violently and departing quickly; it depends on how people regulate themselves. In extreme cold, cover warmly to prevent cold invasion, lest toxic vapors be blocked by cold and fail to erupt. In extreme heat, avoid over-covering; keep cool to prevent external heat combining with toxin, causing agitation and ulceration. During sudden storms or heavy rains, be cautious with curtains, add covers, and burn incense to dispel malodorous air. Sleeping areas should be windless yet bright, never dark. Keep lights on at night, have relatives watch closely to ensure food/drink availability and provide massage for itching/pain, as others may not care as diligently.
Wenren Shi said: Wood withers with Guizhi (Cinnamomi Ramulus), realgar turns black with Hufen (Lead Carbonate), citrus rots with dried meat. Things repel each other thus. Rashes fear foul and mixed airs similarly. Avoid: sexual odors, menstrual blood odor, fox sweat/armpit odor, alcohol and greasy food odors, sulfur and mosquito repellent odors, moldy humid air, burnt oil/hair odors, feces/urine splashes, frying oil/eggs odors, all fishy/foul odors, five pungent spices odors, and odors from travel. These must be strictly avoided. Guard doors, prevent strangers from entering, do not sweep rooms, do not disturb drains, do not open latrines, do not burn strong aromatics like Naozhang (Borneol) and Shexiang (Musk). Zhang Zhongjing said: When rashes are about to erupt, burn Cangzhu (Atractylodis Rhizoma) and Zhujia (Porcis Cutis Corneum). Hang Huyuan (Coriandri Fructus) around the bed, spray with wine, or burn Rushiang (Olibanum) is excellent, as fragrance accelerates Ying and Wei Qi circulation, helping toxin erupt. If precautions fail, disaster follows: eruptions fail, existing ones become necrotic patches, severe cases turn black and depressed, rotting and smelling foul, causing pain like knife wounds, delirium, and death. Even survivors may have permanent black scars or eczema. Must beware. Upon initial eruption, forbid sexual activity, burn dispelling-incense continuously, and heat hard stones with water. If touched, causing color change or itching, treat with Yinchen Moxibustion method.
Dispelling Incense (for Pus-filling stage) Yinchen Moxibustion Method (for Development stage)
[Yuan] Formula for Treating Rashes Turning Purple upon Contact
If rashes turn purple suddenly with panting, seek loofah skin immediately, powder it, mix with honey for application. Gancao Dihuang Tang (Licorice and Rehmannia Decoction) taken once promotes eruption. If irritability/thirst occurs, grind Xijiao (Rhinocerotis Cornu) in water decoction. This applies to days 4-5. Treatment for contact should be as above. By days 7-8, if empty shells are contacted, death is certain. If half-filled blisters are contacted, verify carefully. (Loofah skin should be harvested before veins form, dried, and only skin/stem powdered for use.)
Formula for Treating Ash-White Rashes after Contact
If rashes turn ash-white with unbearable itching, Fuzi (Aconiti Lateralis Radix Praeparata) tight and yellow, the more used, the better the effect. Supporting herbs are prepared previously; details need not be exhaustive. Use your ingenuity as in battle. (Examine the base; if original redness exists, it can be saved; if no true root, do not treat.)
Formula for Treating Rashes Touched by Menstrual Blood
When rashes are erupting and filling, coinciding with menstruation, lack of cleanliness leads to regression. Use Honghua (Carthami Flos) monthly, decoct branches and leaves in wine. Tender tips decocted in wine restore normalcy quickly, regardless of menstrual blood contact.
Formula for Treating Itching Caused by Musk Contact
Musk causes unbearable itching with black specks. Immediately decoct Shengma (Cimicifugae Rhizoma) and Cang'er Cao (Xanthii Fructus) for slow bathing to improve condition. Internally support Wei Qi with Renshen (Ginseng Radix), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix), Shengdi Huang (Rehmanniae Radix), Fangfeng (Saposhnikoviae Radix), Chan Tui (Cicadae Periostracum), Honghua (Carthami Flos), and Chidou (Phaseoli Semen Rubrum). (Note: Chidou refers to wild coarse flat red beans, not domesticated small red beans. Substitute with large red soybeans if unavailable.)
Formula for Treating Rashes Affected by Corpse Oppression
Corpse touch causes eye deviation and sinking rashes with foaming. Quickly burn Yuan Sui (Coriandri Fructus) and Zao Ai (Jujubae Fructus with Artemisia Argyi) in a tube to fumigate. Externally, boil Chen Sha (Cinnabar) with ginger wine to sip frequently to lift rashes. Although corpse oppression does not kill the rash, this treatment restores beauty. (I treat this with Yuan Sui, Chen Sha, and ginger wine internally, and burn the medicine externally. Chen Sha is heavy and settling, good for lifting rashes, but should not be taken in large amounts.)
Formula for Treating Rashes Affected by Guest Wu (Fright from Strangers)
Guest Wu invasion resembles fright, with crying and blue face. Use finely knotted loofah with flowers, dew-harvested, steamed, and baked into powder. Mix with honey and dose according to age. Do not say loofah is cheap; an inch of loofah is worth an inch of gold.
Formula for Treating Rashes Shrinking from Animal Fright
On days 5-6, during pus-filling, if frightened by cats/dogs, rashes shrink, turn slanted, or sink. This is because Heart loses mastery, blood fails to assist, and Qi fails to support. Urgently take Wulong San (Black Dragon Powder).
Wulong San Formula
Wulong San treats fright in rashes caused by pigs, cats, dogs, horses. Use Yuanzhi (Polygalae Radix) and Changpu (Acori Tatarinowii Rhizoma), wash Chan Tui (Cicadae Periostracum) clean. Boil with sweet wine, remove Yuanzhi and Changpu, leave Chan Tui, powder it, mix with brown sugar, and swallow with wine.
Clean Yuanzhi 1 liang, fine Changpu 1 liang, boil in wine, remove herbs, bake Chan Tui to powder, administer with medicinal wine, then give Jiming San. All recover beautifully.
Qian Yi said: For all rashes, wet nurses must guard their diet, avoiding hunger and cold/wind exposure. Wenren Shi said: A person fasting for a day gets hungry; touching cold/wind causes illness. How much more so for infants with rashes relying on grain Qi internally and needing protection from wind/cold externally? If grain Qi is deficient and wind/cold invades, consequences are dire. Infants nursing should have mothers with sufficient diet and wind-free living. Older children should be watched by experienced adults. Balance is key; avoiding hunger/cold should not lead to overfeeding/overheating, which harms rather than helps. Families should know this. Chen Shi said: For feverish rashes with unrelenting thirst, absolutely do not give water, nor cold foods like honey, persimmons, watermelon, or oranges. (If pulse is excess with internal heat, cold foods are not forbidden.) Between crusting stages, if crusting stops, with abdominal distension and thirst, do not give water/honey/cold foods. If head is warm but toes cold, or with diarrhea/thirst/rapid breathing, do not give them. On days 12-13, after scabs fall, if scars are dark or uneven, and skin tender, do not bathe, nor eat roasted/spicy/pungent/toxic foods, fearing heat-toxin steaming the diaphragm and causing eye opacities. Hai Zang said: People often love too much, believing customs over medicine, worrying only when illness is advanced. They rub gently and obey everything, not knowing that excessive love harms and excessive pity abandons. Delaying treatment leads to incomplete cure, death, and wasted effort, then blaming the doctor. Alas, their plan is flawed!