〔薛〕腋痈属足少阳手少阴手厥阴三经，小儿患之，多禀赋肝火所致。初起先用
活命饮。次用柴胡栀子散。五七日间作脓 肿作痛者，亦用活命饮杀其大势，虽溃
亦轻而易敛。若脓已成，用托里消毒散。已出用托里散。如有变证，当随证治之。
〔薛〕胁肋者，足厥阴、少阳之经，相火之司也，乃木之主，肝胆之气不平，则
风火内搏，荣逆血郁，热聚为脓，而痈肿之所由生也。亦有禀赋母气肝胆之热，恚
怒之火而致。然初患 肿作痛者，宜用柴胡栀子散。未消者，用仙方活命饮。其热
既杀而肿不消者，则必成脓也，乃用托里消毒散。其脓既成，以代针膏决之，仍用
托里散自愈。若脓出而痛止肿消，则不必用药也。
加味归脾汤 治小儿因乳母忧思郁怒，胸胁作痛，或肝脾经分患疮疡之证，或
寒热惊悸无寐，或便血盗汗，疮口不敛等证。
人参 黄 （炒） 茯神（去木） 甘草（炒） 白术（炒。各一钱） 木香（五分）
远志（去心） 酸枣仁 龙眼肉 当归 牡丹皮 山栀（炒。各一钱）
上，水煎，乳母服，儿亦服之。
小柴胡汤 治肝胆经分一切疮疡发热潮热，或饮食少思。加山栀、牡丹皮，名加味
小柴胡汤。（方见发热）
柴胡清肝散 治肝经风热，或乳母怒火患一切疮疡。（见肝热）
栀子清肝散（一名栀子柴胡散） 治三焦及足少阳经风热生疮，或发热耳内生疮作痒，
或出水疼痛。（见肾热）
【薛己】腋痈归属于足少阳胆经、手少阴心经和手厥阴心包经。小儿患此病，多因先天禀赋导致肝火旺盛所致。初起时先用仙方活命饮（一种具有清热解毒、消肿溃坚功效的方剂）。随后使用柴胡栀子散。在发病五到七天内，如果开始化脓并出现肿痛，也使用仙方活命饮来遏制病势的大势发展，即使已经溃破，病情也会较轻且容易愈合。如果脓液已经完全形成，则使用托里消毒散。如果脓液已经排出，使用托里散。如果出现变证，应当根据具体症状进行治疗。
【薛己】胁肋部位，是足厥阴肝经和足少阳胆经循行之处，由相火所主，属于木行的主导，若肝胆之气不平，则风火在内搏击，营气逆乱、血液郁滞，热邪聚集化为脓液，从而产生痈肿。也有因禀受母体肝胆之热，或因愤怒之火而导致的。然而，初患时若红肿作痛，适宜使用柴胡栀子散。若肿块未消退，使用仙方活命饮。其热势既已减退但肿块仍未消退者，则必然成脓，此时使用托里消毒散。脓液既已形成，用代针膏刺破排脓，仍继续使用托里散即可自愈。如果脓液排出后疼痛停止、肿块消退，则不必再用药。
加味归脾汤：治疗小儿因乳母忧思郁怒，导致胸胁疼痛，或肝脾经分发生疮疡病症，或寒热惊悸无法入睡，或便血盗汗，疮口不收敛等症状。
人参、黄芪（炒）、茯神（去除木质部分）、甘草（炒）、白术（炒，各一钱）、木香（五分）、远志（去除心）、酸枣仁、龙眼肉、当归、牡丹皮、山栀（炒，各一钱）。
以上药材，加水煎煮，乳母服用，婴儿也服用。
小柴胡汤：治疗肝胆经分一切疮疡引起的发热、潮热，或饮食减少、食欲不振。加入山栀、牡丹皮，名为加味小柴胡汤。（方剂见“发热”章节）
[Xue Ji] Axillary carbuncle (Axillary abscess) belongs to the Foot Shaoyang Gallbladder Channel, Hand Shaoyin Heart Channel, and Hand Jueyin Pericardium Channel. In children, it is mostly caused by innate liver fire (Liver Fire). At the initial stage, Xianfang Huoming Yin (Immortal Life Elixir) should be used first. Subsequently, Chaihu Zhizi San (Bupleurum and Gardenia Powder) is administered. Between the fifth and seventh days, if suppuration occurs accompanied by swelling and pain, Xianfang Huoming Yin is also used to suppress the major pathogenic factors; even if ulceration has occurred, the condition will be mild and heal easily. If pus is fully formed, Tuoli Xiaodu San (Supporting the Interior and Detoxifying Powder) is used. If pus has been discharged, Tuoli San (Supporting the Interior Powder) is applied. If complicated symptoms arise, treatment should be adjusted according to the specific presentation.
[Xue Ji] The hypochondriac region is governed by the Foot Jueyin Liver Channel and Foot Shaoyang Gallbladder Channel, which are under the jurisdiction of Ministerial Fire (Xiang Huo) and represent the primary aspect of Wood. When the Qi of the Liver and Gallbladder is imbalanced, Wind and Fire contend internally, causing counterflow of Ying (Nutritive) Qi and stagnation of Blood. Heat accumulates and transforms into pus, giving rise to carbuncles and swellings. This may also result from inheriting maternal Liver-Gallbladder heat or from anger-induced fire. However, in the early stage with redness, swelling, and pain, Chaihu Zhizi San is appropriate. If the swelling does not subside, Xianfang Huoming Yin is used. Once the heat is suppressed but the swelling persists, suppuration is inevitable, at which point Tuoli Xiaodu San is employed. After pus formation, Daizhen Gao (Needle-Replacement Paste) is used to puncture and drain, followed by continued use of Tuoli San for spontaneous recovery. If pain ceases and swelling subsides after pus discharge, no further medication is necessary.
Jiawei Guipi Tang (Modified Restore the Spleen Decoction): Treats conditions in infants caused by the wet nurse's worry, thinking, depression, and anger, leading to chest and hypochondriac pain, sores and ulcers in the Liver and Spleen channels, alternating chills and fever, palpitations with fright, insomnia, hematochezia, night sweats, and non-healing wound margins.
Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix, stir-fried), Fushen (Poria with Hostwood, woody part removed), Gan Cao (Licorice Radix et Rhizoma, stir-fried), Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried, each 1 qian), Mu Xiang (Aucklandiae Radix, 0.5 qian), Yuan Zhi (Polygalae Radix, heart removed), Suan Zao Ren (Ziziphi Spinosae Semen), Long Yan Rou (Longan Aril), Dang Gui (Angelicae Sinensis Radix), Mu Dan Pi (Moutan Cortex), Zhi Zi (Gardeniae Fructus, stir-fried, each 1 qian).
Decoct these ingredients in water. The wet nurse takes the decoction, and the infant also ingests it.
Xiao Chai Hu Tang (Minor Bupleurum Decoction): Treats all types of sores and ulcers in the Liver and Gallbladder channels characterized by fever or tidal fever, or poor appetite. Adding Zhi Zi and Mu Dan Pi creates Jiawei Xiao Chai Hu Tang (Modified Minor Bupleurum Decoction). (Formula see "Fever")
Chaihu Qinggan San (Bupleurum Clearing Liver Powder): Treats Wind-Heat in the Liver channel, or sores and ulcers caused by the wet nurse's angry fire. (See "Liver Heat")
Zhizi Qinggan San (Gardenia Clearing Liver Powder, also known as Zhizi Chaihu San): Treats sores caused by Wind-Heat in the Sanjiao and Foot Shaoyang Gallbladder channels, or ear sores with itching due to fever, or oozing and pain. (See "Kidney Heat")