初生小儿，蓄伏胎热欲发丹者，必先见于外，但人不之察耳，小儿在襁褓中无
故眼生浓眵者，此丹毒欲发之候也，更微喘急者，毒瓦斯已甚而上乘于肺也，才觉有
此证，急以水调龙脑饮子，或蓝根、犀角、等药，潜消其毒，如浑身已有赤处，即
更以芸苔等外挫其锋，消息而次第治之。予家凡两儿，初生眼有浓眵，后俱发丹。
何宰宜人外孙女生七日，眼生眵，已而小腹下有赤丹一点如钱，渐渐引开，上至腹
心而死，不可不知也。初虞世谓∶百日内，发必死，不治，然亦有可治者，不可不
治也。
大凡小儿病诸丹肿，其势虽盛，切不可遽用大黄、芒硝、辈决药大下之，恐毒
气乘虚入里，以客为主，即难施功也，但用性平解毒托里药，常调停脏腑，微微通
利而已，此则护元气而排外邪，庶保十全也。比舍陶氏子半岁病丹，医以青金丹下
之太过，蓄毒入里，发喘生惊而死。盖婴孺肌肤柔弱，易虚易实，而服药复不能多，
治之固不可怠慢，然亦不可躁急，全在精专调护，以保无虞，世俗多不知此，故广
记而备言之。小儿丹发，若预度其势必展引至咽颈、腹心、阴尻、诸虚处，可先涂
药以护之，仍砭砂其引头所向，微出恶血以泄其毒，或谓当以篦子刮去恶血令尽，
直至清黄水出即止，此必势危气壮而血热者始宜之，大抵此疾人受之有轻重，年长
气实乃能禁当，若未盈月儿，而感之又重，恐不可概用此法。无为主簿张康道子二
岁，得火焰丹，鲁医为砂之，出恶血盏余，两日而殂。不可不知也。《本草》云∶
大人小儿丹毒，宜食鲫鱼 及 。 即水母，俗名海蛰者是也，然不可以宜食而恣
食之，反能为害。鲫鱼亦鱼类，得无不宜。
初生的婴儿，体内蓄积潜伏着胎热，即将发作丹毒时，症状必然先表现在外部，只是人们没有察觉罢了。如果婴儿在襁褓之中，无缘无故眼睛产生浓稠的眼屎，这是丹毒将要发作的征兆；如果再伴有轻微的喘息急促，说明毒气已经非常严重并向上侵犯肺部。刚察觉到这些证候，应立即用水调服龙脑饮子，或者使用蓝根、犀角等药物，暗中消除其毒性。如果全身已经出现红色斑块，就再用芸苔等药物外敷以挫败病势，根据病情轻重缓急依次进行治疗。
我家有两个孩子，出生时眼睛就有浓稠眼屎，后来都发了丹毒。何宰宜人的外孙女出生第七天，眼睛产生眼屎，随后小腹下方出现一个如铜钱大小的红色丹斑，逐渐蔓延扩大，上行至腹部和心脏部位而死亡，这种情况不可不知道。初虞世说：百日内发病必定死亡，无法治疗，但其中也有可以治愈的情况，不能不进行治疗。
大凡小儿患各种丹肿，虽然病势猛烈，但切不可立即使用大黄、芒硝等峻下药物进行强力攻下，恐怕毒气乘虚进入体内，使邪气占据主导地位，这样就难以施治了。只需用性质平和、能解毒托里的药物，经常调理脏腑，微微通利即可，这样既能保护元气又能排除外邪，或许能保证痊愈。邻居陶氏的儿子半岁时患丹毒，医生用青金丹给他泻下太过，导致毒气内陷入里，引发喘息和惊风而死。因为婴幼儿肌肤柔弱，容易虚实变化，而且服药量又不能多，治疗固然不可怠慢，但也不可急躁，完全在于精心专注地调养护理，以保证平安无事。世俗之人大多不知道这些道理，所以我详细记录并全面说明。
小儿丹毒发作，如果预先判断病势一定会蔓延到咽喉颈部、腹部心脏、阴部尾骶等虚弱部位，可以先涂抹药物加以保护，并用砭石刺破丹毒蔓延的前端，放出少量恶血以泄出毒性。有人说应当用篦子刮去恶血直到排尽，直到流出清黄色的水才停止，这种方法只适用于病势危急、正气尚壮且血热的患者。大体上这种疾病，人感受到的有轻有重，年长且体质强壮的人才能承受得住，如果是未满月的婴儿，感受的毒邪又很重，恐怕不可以一概使用这种方法。无为主簿张康道的儿子两岁，得了火焰丹，鲁地的医生为他用砭石刺破，流出一盏多的恶血，两天后就死去了。这种情况不可不知道。《本草》记载：大人和小儿的丹毒，适宜食用鲫鱼和水母（即海蜇）。但是不可以因为适宜食用就放纵多吃，反而会造成危害。鲫鱼也是鱼类，难道也不适宜吗？
Newborn infants who have accumulated latent fetal heat and are about to develop erysipelas (Dan) will necessarily show external signs first, although people often fail to notice them. If an infant in the cradle produces thick purulent eye discharge without cause, this is a sign that erysipelas is about to erupt. If accompanied by slight panting and urgency, it indicates that the toxic qi has become severe and is ascending to invade the Lung. As soon as these symptoms are detected, one should urgently use Longnaoyin Zi (Dragon Brain Decoction) mixed with water, or herbs such as Banlangen (Isatis Root) and Xijiao (Rhinoceros Horn), to secretly dissipate the toxicity. If red patches have already appeared all over the body, one should then apply Yuntaie (Rapeseed) externally to curb the momentum of the disease, treating it step-by-step according to its progression.
My family had two children who, at birth, had thick eye discharge, and both subsequently developed erysipelas. The granddaughter of He Zaiyi died at seven days old; she first had eye discharge, then a coin-sized red spot of Dan appeared below her lower abdomen, which gradually spread upward to her abdomen and heart. This situation must be known. Chu Yushi stated: "Erysipelas occurring within the first hundred days is fatal and untreatable," yet there are cases that can be treated, so treatment should not be neglected.
Generally, for pediatric cases of various Dan swellings, even if the pathogenic force is strong, one must absolutely avoid using drastic purgatives like Dahuang (Rhubarb Rhizome) and Mangxiao (Mirabilite) to forcefully purge the bowels. Doing so risks allowing the toxic qi to enter the interior due to deficiency, making the pathogen dominant and rendering treatment difficult. Instead, one should only use herbs with neutral properties that detoxify and support the interior, frequently regulating the Zang-Fu organs, and promoting mild bowel movement. This approach protects the Yuan Qi (Primordial Qi) while expelling external pathogens, thereby ensuring a high chance of complete recovery. For instance, the son of neighbor Tao suffered from erysipelas at six months of age. A physician used Qingjindan (Green Gold Pill) to purge him excessively, causing the toxin to sink into the interior, leading to panting and convulsions, and ultimately death. Infants have delicate skin and flesh, their conditions easily shift between deficiency and excess, and they cannot take large doses of medicine. Therefore, treatment must not be negligent, but also not hasty; it relies entirely on precise and dedicated nursing care to ensure safety. Laypeople generally do not understand this, so I record it comprehensively.
When pediatric erysipelas erupts, if one predicts that the pathogenic force will inevitably spread to weak areas such as the throat and neck, the abdomen and heart, or the genitals and sacrum, one should first apply medication to protect these areas. Additionally, one should use Bian Sha (Bian Stone) to puncture the leading edge of the spreading lesion, releasing a small amount of evil blood to drain the toxicity. Some suggest scraping away all the evil blood with a comb until clear yellow fluid appears, stopping only then. This method is suitable only for patients with critical condition but strong Zheng Qi (Upright Qi) and intense blood heat. Generally, susceptibility to this disease varies in severity; older children with robust constitution can tolerate it. However, for infants under one month old who have contracted a heavy toxin, this method should not be applied universally. Zhang Kangdao, Vice Magistrate of Wuwei, had a two-year-old son who suffered from Huoyan Dan (Flame Erysipelas). A physician in Lu performed Bian Sha therapy, draining over a cup of evil blood, and the child died two days later. This must be known. The *Bencao* states: "For erysipelas in adults and children, it is advisable to eat Crucian Carp (Jiyu) and Shui Mu (Water Mother, commonly known as Jellyfish)." However, one should not indulge in eating them just because they are recommended, as doing so may cause harm. Since Crucian Carp is also a type of fish, is it not also unsuitable?