《圣惠》夫小儿疳疮生于面鼻上,不痒不痛,常有汁出,汁所流处,随即成疮,
亦生身上,小儿多患之。亦是风湿搏于血气,所以不痒不痛,故名疳疮也。钱乙论
疳在外,鼻下赤烂,自揉鼻头,上有疮不着痂,渐绕耳生疮。治鼻疮烂,兰香散。
诸疮,白粉散(二方并见鼻疳条。)主之。
〔张涣〕四珍丹 治诸疳羸瘦,毛发焦黄,口鼻生疮。
干大蟾(一枚,去四足,掰开腹,入胡黄连半两在腹内,以线缝合,用湿纸三两重裹,以泥四面固济,用木炭火烧,
令通赤为度,放冷、去泥,捣为细末) 芦荟(半两,研) 麝香(一分,研)
上件都拌匀,再研令细,以白面糊和,如黍米大。每服五粒至七粒,粥饮下,量儿大小加减。
熊胆膏 治疳疮不瘥。
熊胆 蚺蛇胆 芦荟(各半两) 黄矾(一分,瓜州者良。以上捣罗为细末,次用) 麝香 牛黄(各一分) 龙
脑(一钱。并细研)
上件细研匀,以井华水三合搅匀,盛银器中,重汤煮成膏。每用少许涂患处。
治小儿一切疳毒有疮方
苦楝皮(五斤,锉) 七姑叶(半两,锉) 甘草 白矾(各二两) 葱白(十茎)
上粗捣令匀,用水五斗煮五七沸,旋旋添洗疮处,如久患,只两服,立效。
《谭氏殊圣》治小儿疳肥疮,多生头上,浸淫久不瘥,及耳疮等,悉皆治之。
石绿 白芷(各等分)
上,以生甘草水洗疮敷药自愈。
《太平圣惠方》记载:小儿疳疮生于面部和鼻部,不痒也不痛,经常有液体渗出,液体流到的地方随即形成疮疡,身体其他部位也会生疮,小儿多患此病。这也是风湿邪气与血气相搏结所致,所以不痒不痛,因此命名为疳疮。钱乙论述疳疮在体表的表现为:鼻子下方红肿溃烂,患儿自己揉搓鼻头,上面生疮但不结痂,逐渐蔓延至耳周生疮。治疗鼻部疮疡溃烂,使用兰香散。各种疮疡,使用白粉散(这两个方剂均见“鼻疳”条目)。主治之。
张涣的四珍丹:治疗各种疳疾导致的身体消瘦、毛发焦黄、口鼻生疮。
干大蟾蜍(一枚,去掉四只脚,剖开腹部,放入半两胡黄连在腹内,用线缝合,用重三两的湿纸包裹,四周用泥密封固定,用木炭火烧,烧至通红为度,放冷后去掉泥土,捣成细末) 芦荟(半两,研磨) 麝香(一分,研磨)
以上药物混合均匀,再次研磨至极细,用白面糊调和,制成如黍米大小的丸药。每次服用五粒至七粒,用米粥汤送服,根据患儿年龄大小增减剂量。
熊胆膏:治疗疳疮久治不愈。
熊胆 蚺蛇胆 芦荟(各半两) 黄矾(一分,瓜州产的质量好。以上药物捣碎过筛成细末,接着用) 麝香 牛黄(各一分) 龙脑(一钱。全部细研)
以上药物细细研磨均匀,用三合井华水搅匀,盛放在银器中,隔水加热煮成膏状。每次取少量涂抹患处。
治疗小儿一切疳毒伴有疮疡的方剂:
苦楝皮(五斤,切碎) 七姑叶(半两,切碎) 甘草 白矾(各二两) 葱白(十根)
以上药物粗捣均匀,用水五斗煮沸五六次,随时添加热水清洗疮处,如果是久患此病,只需洗两次,立刻见效。
《谭氏殊圣》记载:治疗小儿疳肥疮,多生于头部,浸淫日久不愈,以及耳疮等,都能治疗。
石绿 白芷(各等分)
以上药物,用生甘草水洗疮后敷药,自愈。
According to the *Taiping Shenghui Fang*: Infantile gan sores occur on the face and nose, are neither itchy nor painful, and often exude fluid. Wherever the fluid flows, sores immediately form. They may also appear on other parts of the body, a condition commonly suffered by infants. This is caused by wind-dampness clashing with blood and qi, hence the lack of itching or pain, and thus named "gan sore." Qian Yi discussed external manifestations of gan sores: redness and erosion under the nose, where the child rubs their nose; sores form without scabbing, gradually spreading around the ears. For treating nasal sores and erosion, use Lanxiang San (Perilla Leaf Powder). For various sores, use Baifen San (White Powder). (Both formulas are detailed under the section "Nasal Gan").
Zhang Huan's Sizhen Dan: Treats various forms of gan disease characterized by emaciation, scorched yellow hair, and sores in the mouth and nose.
Dried Bufo bufo gargarizans (one specimen, remove four feet, split abdomen, insert half liang of Coptidis Rhizoma into the abdomen, suture with thread, wrap in three liang of wet paper, seal all sides with mud, fire with charcoal until thoroughly red, cool down, remove mud, grind to fine powder) Aloe (half liang, ground) Moschus (one fen, ground)
Mix all ingredients evenly, grind again until very fine, bind with wheat flour paste into pills the size of millet seeds. Administer five to seven pills per dose, taken with gruel broth, adjusting dosage according to the child's age and size.
Xiongdan Gao: Treats persistent gan sores.
Ursi Gallus (Bear Bile) Pythonis Gallus (Python Bile) Aloe (each half liang) Vitriolum Flavum (Yellow Alum) (one fen, preferably from Guazhou. Grind the above into fine powder, then add) Moschus (one fen) Bovis Calculus (Ox Gallstone) (one fen) Borax (One qian. All finely ground)
Grind all ingredients finely and uniformly, mix with three he of well water, place in a silver vessel, and simmer over boiling water until it becomes a paste. Apply a small amount to the affected area each time.
Formula for treating all types of gan toxicity with sores in children:
Meliae Cortex (Toosendan Fructus Bark) (five jin, chopped) Chuguye (Half liang, chopped) Glycyrrhizae Radix et Rhizoma (Licorice Root) Alumen (White Alum) (each two liang) Allii Cepae Album (Scallion White) (ten stalks)
Coarsely chop and mix evenly. Boil in five dou of water for five to seven boils. Add hot water as needed to wash the sores. For chronic cases, only two applications are needed for immediate effect.
*Tan Shi Shu Sheng* records: Treats infantile gan fatty sores, which mostly occur on the head, persisting for a long time without healing, as well as ear sores, etc.
Chlorocrysocolla (Malachite) Angelicae Dahuricae Radix (Bai Zhi) (equal parts)
Wash the sores with raw Licorice Root water, apply the medicine, and it will heal spontaneously.