《圣惠》夫赤丹者,由风毒之重,故使赤也,初发胗起,大如连钱,小者如麻豆,
肉上生粟,色如鸡冠,故亦谓之茱萸丹也。
治小儿赤丹毒肿。升麻膏
川升麻 白蔹 漏芦 川芒硝(各一两) 黄芩 枳壳 连翘 蛇衔草(各一两半) 栀子
仁蒴 (各二两)
上锉细。以猪脂一斤半,慢火煎诸药令赤色,去滓,放冷,瓷盒收。旋取涂之。
治小儿面身卒得赤丹,或痒或肿,不速疗之,即杀人,宜用此方。
羚羊角屑(八两)
上,以水五升,煎一升,绢滤。入炼了猪脂五两和涂。
张涣升麻膏 治赤丹初发,肉如火,色如鸡冠,又名茱萸丹。
川升麻 白蔹 漏芦 芒硝(各一分) 连翘 栀子仁(各半两)
上细锉。以猪脂半斤,慢火同煎诸药,令赤色,去滓,放冷涂。
《千金》云∶凡小儿丹初从背起,遍身如细 ,一宿成疮,名茱萸丹。赤小豆为粉、
粉之,如未成疮,以鸡子白调敷之。
治小儿赤丹。
醋和荞麦面涂之。唾调胡粉,从外向内涂之。猪脂和锻铁屎敷之。鸡白调黄
米粉涂。赤足蜈蚣为末,入硫黄研匀,水调,翎扫,头焦即止。天茄儿叶,
俗名老鸦眼睛,取叶和醋擂,敷。以蓼子盐汤洗了, 蓼涂之。
《千金》治小儿火丹,色如朱,皮中走。
醋研豉成膏,敷。鲤鱼血频频涂。研粟米涂。
《圣惠方》论述:所谓赤丹,是由于风毒之邪较重,导致皮肤发红。初起时皮疹出现,大的如连钱状,小的如麻豆大小,皮肤上生出粟粒样疹子,颜色像鸡冠一样红,所以也称为茱萸丹。
治疗小儿赤丹毒肿的方剂:升麻膏。
药材:川升麻、白蔹、漏芦、川芒硝(各一两)、黄芩、枳壳、连翘、蛇衔草(各一两半)、栀子仁、蒴藋(各二两)。
制法与用法:将上述药材切碎。用一斤半猪脂,以慢火煎煮诸药至呈赤色,滤去药渣,冷却后装入瓷盒中保存。随时取适量涂抹患处。
治疗小儿面部及全身突然患上赤丹,或痒或肿,若不迅速治疗,即可致死,适宜使用此方。
药材:羚羊角屑(八两)。
制法与用法:用水五升,煎煮至一升,用绢布过滤。加入炼好的猪脂五两调和后涂抹。
张涣的升麻膏:治疗赤丹初发,皮肤灼热如火,颜色像鸡冠,又名茱萸丹。
药材:川升麻、白蔹、漏芦、芒硝(各一分)、连翘、栀子仁(各半两)。
制法与用法:将药材细切。用半斤猪脂,以慢火同煎诸药,至呈赤色,滤去药渣,冷却后涂抹。
《千金方》记载:凡是小儿丹毒初起从背部开始,遍身如细沙状,一夜之间形成疮疡,名为茱萸丹。将赤小豆磨成粉,扑撒在患处;如果尚未形成疮疡,用鸡蛋清调和敷贴。
治疗小儿赤丹的其他方法:
用醋调和荞麦面涂抹。用唾液调和胡粉,从外向内涂抹。用猪脂调和锻铁屎敷贴。用鸡蛋清调和黄米粉涂抹。将赤足蜈蚣研成末,加入硫黄研磨均匀,用水调匀,用羽毛扫涂,头部焦黑即停止。天茄儿叶(俗名老鸦眼睛),取叶子加醋擂碎,敷贴。用蓼子盐汤清洗后,用蓼草涂抹。
According to the *Shenghui Fang*: Chi Dan (Red Erysipelas) is caused by severe Wind-Toxin, resulting in redness. Initially, rashes appear; large ones are like linked coins, small ones like hemp seeds or beans. Granular eruptions arise on the skin, with a color resembling a rooster's comb, hence it is also called Zhuyu Dan (Cornel Erysipelas).
Formula for treating Chi Dan and toxic swelling in children: Shengma Gao (Cinnamon Twig Ointment).
Ingredients: Chuan Shengma (*Cimicifugae Rhizoma*), Bai Lian (*Ampelopsis Radix*), Lou Lu (*Euphorbiae Humifusae Herba*), Chuan Mangxiao (*Natrii Sulfas Crystallisatus*) (each 1 liang), Huang Qin (*Scutellariae Radix*), Zhi Qiao (*Aurantii Fructus*), Lian Qiao (*Forsythiae Fructus*), She Xian Cao (*Siphonostegiae Herba*) (each 1.5 liang), Zhi Zi Ren (*Gardeniae Semen*), Shuo Die (*Polygoni Multiflori Caulis*) (each 2 liang).
Preparation and Administration: Coarsely crush the herbs. With 1.5 jin of lard, slowly decoct the herbs until they turn red. Strain out the dregs, allow to cool, and store in a porcelain jar. Apply as needed.
For treating sudden onset of Chi Dan on the face and body in children, whether itchy or swollen; if not treated promptly, it can be fatal. This formula is suitable.
Ingredients: Ling Yang Jiao Xie (Antelope Horn Shavings) (8 liang).
Preparation and Administration: Decoct in 5 sheng of water until reduced to 1 sheng. Filter through silk cloth. Mix with 5 liang of refined lard and apply.
Zhang Huan's Shengma Gao: For treating initial stages of Chi Dan, where the flesh feels hot like fire and the color resembles a rooster's comb; also known as Zhuyu Dan.
Ingredients: Chuan Shengma (*Cimicifugae Rhizoma*), Bai Lian (*Ampelopsis Radix*), Lou Lu (*Euphorbiae Humifusae Herba*), Mangxiao (*Natrii Sulfas Crystallisatus*) (each 1 fen), Lian Qiao (*Forsythiae Fructus*), Zhi Zi Ren (*Gardeniae Semen*) (each 0.5 liang).
Preparation and Administration: Finely crush the herbs. With half a jin of lard, slowly decoct the herbs together until red. Strain out the dregs, allow to cool, and apply.
The *Qianjin Fang* states: Whenever infantile erysipelas begins from the back and spreads over the body like fine sand, forming sores overnight, it is named Zhuyu Dan. Grind Chi Xiao Dou (Vigna angularis) into powder and dust it on the affected area. If sores have not yet formed, mix with egg white and apply.
Other treatments for pediatric Chi Dan:
Apply buckwheat flour mixed with vinegar. Mix Hu Fen (Lead Carbonate) with saliva and apply from the outside inward. Apply Duan Tie Shi (Iron Oxide/Scale) mixed with lard. Apply Huang Mi Fen (Yellow Rice Flour) mixed with egg white. Powder the Chi Zu Wu Gong (Scolopendra subspinipes mutilans), mix evenly with Liu Huang (Sulfur), dilute with water, and sweep onto the area with a feather; stop when the head turns scorched black. Take Tian Qie Er Ye (Leaves of Solanum torvum), commonly known as Lao Ya Yan Jing, mash with vinegar, and apply. Wash with salt water made from Liao Zi (Polygoni Orientalis Seed), then apply Liao Cao (Polygoni Orientalis Herba).
The *Qianjin Fang* treats pediatric Huo Dan (Fire Erysipelas), where the color is like cinnabar and the pathogen moves within the skin.
Treatment: Grind Chi Dou (Fermented Soybean) with vinegar into a paste and apply. Frequently apply carp blood. Grind Su Mi (Millet) and apply.