《宝鉴》云∶初生芽儿一块血也。无形症也，无脉有惊，即系是胎惊，有热，即系是胎热。
婴儿实与乳母一体，凡患疮疾，但审乳母肝经有热，用加味小柴胡汤之类。肝经虚热，用加
味逍遥散之类。肾水不能生肝，用地黄丸。心经积热，用柴胡栀子散。心经虚热，用茯苓补
心汤。膏粱积热，用东垣清胃散。脾经郁热，用钱氏泻黄散。脾经虚热，用钱氏异功散。若
服犀角丸、化毒丹，外敷寒凉之药，复伤生气，乃促其危也。
一小儿生下，耳前肿一块如小栗，旬余色赤肿高，触之则哭，此属胆经部位，诊乳母，果肝
胆经脉数，此禀生母肝火所致，乳母有肝火而益甚也。又数日作吵不安，手足时搐，此因作
脓痛而然。又三日早间以手指微按疮头，肿随指复起，其脓已成也。至午疮顶起薄皮，脓
已熟也。点代针膏，将晚出脓，儿顿安，肿赤顿消，此疮家最善症也。贴太乙膏，以护风寒
，乳母服逍遥散而愈。
一小儿生下，臂外 肿一块寸许，月余忽赤肿二寸许，外赤晕势欲走散，此脓毒内 ，针之
随出脓，赤晕退，儿即安。诊乳母肝胆脉弦数，按之有力，先用加味小柴胡汤加黄连二剂，
去黄连又二剂，却用加味逍遥散与乳母服，儿寻愈。
一小儿生下，大腿肿寸许一块，面目色白，将期敷药而溃，脓水清稀，二期而未愈。后呵欠
切牙，此禀肾虚，朝用补中益气汤，夕用地黄丸料，与母子同服半杯，年余而愈。
一小儿生下，左胁间一块，漫肿无头，肉色不变，敷铁箍散，溃而脓清，欲呕，余谓禀肝经
气滞，而脾气虚，不能愈也。先用异功散加柴胡、升麻，以补脾胃；又以托里散加柴胡、山
栀，以托里清肝。其子亦饮数匙，三月而愈。
一小儿生下，小腹患肿一块，年余不溃，寒热往来，此禀肝火而然也。其母果经事不调，内
热体倦。用地黄丸、八珍汤与母服，子日服半杯，寻愈。
一小儿生下，胸胁间肿赤，年余不消，余谓禀肝血热，但治其母。不信，另用铁箍散、犀角
丸，作呕不乳，此胃气虚而复伤，余用五味异功散，救子之胃气；用加味逍遥散，治母之肝
火，顿愈。
一小儿生下，遍身无皮色赤，原母素食膏粱之物，以寒水石一两，炒焦黄柏二两，净黄土四
两，俱为细末，时敷遍身，母服清胃散加漏芦；五日赤少淡，却用黄土五两，炒焦黄柏一两
敷之，母服加味逍遥散；又三日赤顿淡，水顿少；又三日，但敷黄土一味，母服八珍汤加牡
丹皮、柴胡而愈。
一小儿生下有疥，审其母素郁怒，用消毒散，以当归膏调敷，母服加味逍遥散加漏芦，及加
味归脾汤而愈。后复发，为母食膏粱，用清胃散，及敷前药而愈。
一小儿生下有痔疮，三岁后作痛，服化毒丹、犀角丸，以治大肠之火，更腹痛作泻，切牙呵
欠，仍欲治火。余曰∶呵欠切牙，属肝经之症。《内经》云∶因而饱食，筋脉横解，肠 为
痔。此禀肝火为患，儿服地黄丸；母服逍遥散加漏芦而愈。
一小儿阴囊赤痒，或时如无皮状，两目常闭，服化毒丹益甚。余曰∶化毒丹、犀角丸，治脾
胃实火之剂。前症乃禀肝肾经阴虚也。不信，仍服之，几危。余用六味地黄丸、四味肥儿丸
；母服加味逍遥散而痊。
一小儿生下，阴囊赤肿。余谓禀肾肝阴虚。不信，另用化毒丹之类，前症益甚，更呕吐不乳
，手足并冷，此脾胃被伤，先用五味异功散；母用大剂地黄丸料加炒黑黄柏及漏芦与数剂而
消。其时患是症，服化毒丹，敷凉药者，俱不救。
一小儿生下，臀尖微肿寸许一块，敷铁箍散，服化毒丹，越月肿起色赤，啼声不绝，以指按
之，随手复起，此脓内熟而痛也。遂针之，出稠脓，啼声即止。余谓∶血气无亏，不必用药
。彼欲速效，另服犀角丸，致吐泻发搐，欲投惊药。余曰∶此因脾胃亏损，而内生风耳。急
以人参一两，细切和壮妇乳一钟，置粥釜中煮良久，取出绞乳汁，以绵作乳头样者，蘸乳频
与儿吮之，一日吮尽，却服乳化地黄丸，母日服八珍汤加漏芦，不月而愈。
一小儿生下，臀内 赤肿二寸许一块，有脓内溃，遂针之，出脓甚多，随眼闭切牙。余谓∶
眼闭脾气虚，不能开也，发搐切牙乃脾气虚，而肝火动也。以人参如前渍乳儿吮，母服八珍
汤加漏芦，月余而疮愈。
一小儿生旬余，头患毒，高寸许，有赤晕，势危急，卧镰砭出黑血，儿即安。翌日，眉间有
患，亦有赤晕，余意宜即砭之，众议第二日砭之，果血凝不出，腹胀而殁。
敷药铁箍散 治一切疮疖痈疽。
芙蓉叶 黄柏 大黄 五倍子 白芨
上为末，用水调搽四围。
按∶前方乃寒凉解热收敛之剂。或有用白蔹、商陆根者，有用寒水石、天花粉者，有用苍耳
、金银花者，有用芭蕉、赤小豆者，有用草乌、白芷之类者，皆不分寒热温凉之杂饵。《内
经》云∶先肿而后痛者，形伤气也；先痛而后肿者，气伤形也。又云∶五脏不和，九窍不通
；六腑不和，瘤结为痈。《外科精义》云∶凡疮肿高而软者，发于血脉；肿下而坚者，发于
筋脉；肉色不变，发于骨髓。盖必有诸中而后形诸外。故受症之经，与所患之位，各有不同
，岂宜一概外敷凉药。惟脾胃无亏，血气不和者庶几有效。若服化毒之类，脾胃复伤，运气凝
滞，亦不能消矣。至如疔疮之类，正欲宜拔其毒，若复用前药，肌肉受寒，血气凝滞，必致
毒瓦斯入内而不救。治法必察其肿之高漫，色之赤白，痛之微甚，作脓之难易，出脓之稠薄，
生肌之迟速，以别其属阴属阳，或半阴半阳，或纯阴纯阳而用相宜之药，以凉之、热之、和
之。又当审受症之传变，五脏之相胜，而以调补脾胃为主，庶不致变恶症也。
五福化毒丹 治胎毒及痘后，头面生疮，眼目肿痛。
生地黄（杵膏） 熟地黄（自制杵膏） 天门冬（去心杵膏） 麦门冬（去心杵膏） 玄参（各三两） 甘草 甜
硝（各一两） 青黛（一两五钱）
上为末，炼蜜丸如芡实大，每服一丸，白滚汤化下。甜硝即朴硝，以滚汤制过者便是。
按∶前症服此而痰喘发搐者，皆中气受伤，而变虚热也，急服五味异功散。若手足并冷者，
中气虚寒也，前汤加姜、桂，多有生者。
犀角消毒丸 治积热及痘疹后，余毒生疮。
生地黄 防风 当归 犀角屑（镑） 荆芥穗（各一两） 牛蒡子（杵炒） 赤芍药 连翘 桔梗（各七
钱
上为末，炼蜜丸如芡实大。每服一丸，薄荷汤化下。
按∶前二方善损中气，伤阴血。若大人形病俱实，脾胃健旺者，庶可用之，恐芽儿脏腑脆嫩
不能胜此。经云∶气主嘘之，血主濡之。气者胃中冲和之元气。若胃气一伤，不能嘘濡消散
，脓已成者不能腐溃；脓已溃者不能生肌收敛。因而难治，甚致不起，不可不慎也！
八味茯苓补心汤 治心气不足，血气不和，而患疮症。（愚制）
茯苓（五分） 酸枣仁（炒。各二钱） 五味子（炒） 当归（各一钱） 人参（一钱五分） 白术（炒，
一钱） 菖蒲（五分） 远志（去心，六分） 甘草（炒，五分）
上作二三服，水煎。
柴胡栀子散（方见胁痈）
托里散（方见热毒）
《宝鉴》说：初生的婴儿只是一团血。没有固定的症状表现，如果没有脉象但出现惊厥，这就是胎惊；如果有发热，就是胎热。
婴儿与乳母在生理上是一体的。凡是婴儿患有疮疡疾病，只要审察乳母的肝经有热，就用加味小柴胡汤之类的方剂。如果是肝经虚热，就用加味逍遥散之类的方剂。如果是肾水不能滋养肝木（水生木），就用地黄丸。如果是心经积热，就用柴胡栀子散。如果是心经虚热，就用茯苓补心汤。如果是因饮食肥甘厚味导致的积热，就用东垣清胃散。如果是脾经郁热，就用钱氏泻黄散。如果是脾经虚热，就用钱氏异功散。如果服用犀角丸、化毒丹，并在外部敷用寒凉性质的药物，反而会损伤人体的生气，从而加速病情危重。
有一个小儿出生后，耳前肿起一块像小栗子大小的肿块，十几天后颜色变红、肿胀高突，触碰时就会哭闹，这属于胆经循行的部位。诊察乳母的脉搏，果然肝胆经脉数疾，这是禀受生母肝火所致，乳母本身有肝火因而更加严重。又过了几天，孩子吵闹不安，手足不时抽搐，这是因为化脓疼痛引起的。再过三天早上，用手指轻轻按压疮头，肿块随手指按压后随即弹起恢复原状，说明脓已经形成。到了中午，疮顶起了薄皮，说明脓已成熟。点上代针膏，傍晚时脓液排出，孩子顿时安静，红肿立刻消退，这是疮疡治疗中最理想的症候。贴上太乙膏以保护免受风寒侵袭，乳母服用逍遥散而痊愈。
另一个小儿出生后，手臂外侧肿起一块约一寸大小，一个多月后突然变红肿胀至二寸左右，周围红色晕圈扩散欲散，这是脓毒内蕴。针刺后流出脓液，红色晕圈消退，孩子立即安宁。诊察乳母肝胆脉弦而数，按之有力，先用加味小柴胡汤加黄连两剂，去掉黄连后再服两剂，接着让乳母服用加味逍遥散，孩子不久便痊愈。
还有一个小儿出生后，大腿肿起一块约一寸大小，面色苍白，到预定期限敷药后溃破，脓水清稀，两个周期仍未愈合。后来出现打哈欠、咬牙齿的症状，这是禀受肾虚所致。早晨服用补中益气汤，晚上服用地黄丸药料，给母子同服半杯，一年多后痊愈。
又一个小儿出生后，左胁间有一块漫肿无头的肿块，肌肉颜色不变，敷用铁箍散，溃破后脓液清稀，伴有想呕吐的症状。我认为这是禀受肝经气滞，且脾气虚弱，所以难以痊愈。先用异功散加柴胡、升麻，来补益脾胃；又用托里散加柴胡、山栀，来托毒外出并清泄肝火。让孩子也喝几匙，三个月后痊愈。
还有一个小儿出生后，小腹患有一块肿块，一年多不溃破，伴有寒热往来，这是禀受肝火所致。其母亲果然月经不调，体内有热且身体疲倦。用地黄丸、八珍汤给母亲服用，孩子每天服用半杯，不久便痊愈。
还有一个小儿出生后，胸胁间红肿，一年多不消退。我认为这是禀受肝血热，只需治疗母亲。但家属不信，另用铁箍散、犀角丸，导致孩子呕吐、不吃奶，这是胃气虚弱又受损伤。我用五味异功散，救治孩子的胃气；用加味逍遥散，治疗母亲的肝火，顿时痊愈。
还有一个小儿出生后，全身无皮色赤，原来是因为母亲平时食用膏粱厚味之物。用寒水石一两，炒焦的黄柏二两，净黄土四两，都研成细末，时常敷遍全身，母亲服用清胃散加漏芦；五天后红色减少变淡，改用黄土五两，炒焦的黄柏一两外敷，母亲服用加味逍遥散；又过三天红色顿时变淡，渗出液顿时减少；再过三天，只敷黄土一味药，母亲服用八珍汤加牡丹皮、柴胡而痊愈。
还有一个小儿出生时有疥疮，审察其母亲素来抑郁易怒，用消毒散，用当归膏调匀后外敷，母亲服用加味逍遥散加漏芦，以及加味归脾汤而痊愈。后来复发，是因为母亲吃了膏粱厚味，用清胃散，以及外敷之前的药物而痊愈。
还有一个小儿出生时有痔疮，三岁后开始疼痛，服用化毒丹、犀角丸，以治疗大肠之火，反而出现腹痛腹泻、咬牙打哈欠，仍想治火。我说：打哈欠咬牙，属于肝经的症状。《内经》说：因为饱食，筋脉松弛横解，肠道形成痔疮。这是禀受肝火为患，孩子服用地黄丸；母亲服用逍遥散加漏芦而痊愈。
还有一个小儿阴囊红肿瘙痒，有时像没有皮肤一样，双眼常闭，服用化毒丹后病情加重。我说：化毒丹、犀角丸，是治疗脾胃实火的方剂。前面的症状乃是禀受肝肾经阴虚所致。家属不信，仍然服用，几乎危及生命。我用六味地黄丸、四味肥儿丸；母亲服用加味逍遥散而痊愈。
还有一个小儿出生后，阴囊红肿。我认为这是禀受肾肝阴虚。家属不信，另用化毒丹之类，前面的症状更加严重，更出现呕吐不吃奶、手脚冰凉，这是脾胃被损伤。先用五味异功散；母亲用大剂量的地黄丸药料加炒黑黄柏及漏芦服用数剂而消肿。当时患这种症状，服用化毒丹、敷用凉药的，都不救活。
还有一个小儿出生后，臀部尖端微肿一块约一寸大小，敷用铁箍散，服用化毒丹，过了一个月肿块隆起颜色变红，啼哭声不停，用手指按压，随手弹起，这是脓已成熟而疼痛。于是针刺，流出稠脓，啼哭声立即停止。我说：气血没有亏损，不必用药。他们想要快速见效，另服犀角丸，导致吐泻、抽搐，想用治惊的药。我说：这是因为脾胃亏损，而内生风邪罢了。急忙用人参一两，细细切碎，和着壮年妇女的一钟乳汁，放在粥锅里煮很久，取出绞取乳汁，用棉布做成乳头形状，蘸乳汁频繁给孩子吸吮，一天吸完，然后服用乳化地黄丸，母亲每天服用八珍汤加漏芦，不到一个月痊愈。
还有一个小儿出生后，臀部内侧红肿一块约二寸大小，有脓在内溃破，于是针刺，流出很多脓，随后眼睛闭合、咬牙。我说：眼睛闭合是脾气虚，不能睁开；抽搐咬牙是脾气虚，而肝火动扰所致。用人参像前面那样浸泡乳汁给孩子吸吮，母亲服用八珍汤加漏芦，一个多月后疮口愈合。
还有一个小儿出生十多天，头部患毒疮，高出一寸左右，有红色晕圈，形势危急。卧位用镰砭刺出黑血，孩子立即安宁。第二天，眉间又有患处，也有红色晕圈，我意思是应该立即砭刺，众人商议第二天再砭刺，结果血液凝固流不出，腹胀而死。
敷药铁箍散 治疗一切疮疖痈疽。
芙蓉叶 黄柏 大黄 五倍子 白芨
以上研成末，用水调匀搽涂四周。
按语：前方乃是寒凉解热收敛的方剂。有人有用白蔹、商陆根的，有用寒水石、天花粉的，有用苍耳、金银花的，有用芭蕉、赤小豆的，有用草乌、白芷之类的，都是不分寒热温凉地杂合服用。《内经》说：先肿而后痛的，是形体受伤影响气机；先痛而后肿的，是气机受伤影响形体。又说：五脏不和，九窍不通；六腑不和，瘤结形成痈疽。《外科精义》说：凡是疮肿高突而柔软的，发于血脉；肿下而坚硬的，发于筋脉；肌肉颜色不变的，发于骨髓。必定内部有病才会表现在外部。所以受病的经络与患病的位置，各有不同，岂能一概外用凉药？只有脾胃无亏损，血气调和的才可能有效。如果服用化毒丹之类，脾胃再次受损，运气凝滞，也不能消除。至于如疔疮之类，正应当拔除其毒，如果再用前面的药，肌肉受寒，血气凝滞，必然导致毒瓦斯入内而不救。治法必须观察肿的高突或漫散，颜色的赤或白，疼痛的轻微或剧烈，化脓的难易，出脓的稠或稀，生肌的迟或速，以此辨别属于阴证还是阳证，或是半阴半阳，或纯阴纯阳，而使用相宜的药物，或用凉的、热的、调和的。还应当审察受病的传变，五脏之间的相克关系，而以调补脾胃为主，才不至于变成恶症。
五福化毒丹 治疗胎毒及痘疹后，头面生疮，眼目肿痛。
生地黄（捣成膏） 熟地黄（自制捣成膏） 天门冬（去心捣成膏） 麦门冬（去心捣成膏） 玄参（各三两） 甘草 甜硝（各一两） 青黛（一两五钱）
以上研成末，炼蜜制成如芡实大小的丸药，每次服用一丸，用白开水化开服用。甜硝即朴硝，用开水处理过的便是。
按语：前面的症状服用此药而出现痰喘抽搐的，都是中气受伤，而变为虚热，急忙服用五味异功散。如果手脚冰凉，是中气虚寒，前面的汤药加姜、桂，多有救活的。
犀角消毒丸 治疗积热及痘疹后，余毒生疮。
生地黄 防风 当归 犀角屑（镑片） 荆芥穗（各一两） 牛蒡子（捣碎炒） 赤芍药 连翘 桔梗（各七钱）
以上研成末，炼蜜制成如芡实大小的丸药。每次服用一丸，用薄荷汤化开服用。
按语：前两个方子容易损伤中气，伤害阴血。如果是成年人形病俱实，脾胃健旺的，或许可以使用，恐怕婴儿脏腑脆嫩不能承受这些。经书说：气主嘘（推动运行），血主濡（滋润）。气是胃中冲和的元气。如果胃气一伤，不能嘘濡消散，脓已成者不能腐溃；脓已溃者不能生肌收敛。因而难治，甚至致死，不可不谨慎啊！
八味茯苓补心汤 治疗心气不足，血气不和，而患疮症。（愚制）
茯苓（五分） 酸枣仁（炒。各二钱） 五味子（炒） 当归（各一钱） 人参（一钱五分） 白术（炒，一钱） 菖蒲（五分） 远志（去心，六分） 甘草（炒，五分）
以上分成二三服，水煎。
According to the *Baojian*, a newborn infant is merely a lump of blood. There are no fixed symptom patterns; if there is no pulse but convulsions occur, this is fetal convulsion (Tai Jing); if there is fever, this is fetal heat (Tai Re).
The infant and the nursing mother are physiologically one. Whenever an infant suffers from sores or ulcers, one must examine whether the nursing mother's Liver Channel has heat. If so, use formulas such as Jiawei Xiaochaihu Tang (Modified Minor Bupleurum Decoction). If it is deficiency-heat in the Liver Channel, use formulas such as Jiawei Xiaoyao San (Modified Free Wanderer Powder). If Kidney Water fails to nourish Liver Wood (Water generates Wood), use Dihuang Wan (Rehmannia Pill). If there is accumulated heat in the Heart Channel, use Chaihu Zhizi San (Bupleurum and Gardenia Powder). If there is deficiency-heat in the Heart Channel, use Fuling Buxin Tang (Poria Tonifying Heart Decoction). If there is accumulated heat due to rich and greasy food, use Dongyuan Qingwei San (Dongyuan Stomach-Clearing Powder). If there is constrained heat in the Spleen Channel, use Qianshi Xiehuang San (Qian's Draining Yellow Powder). If there is deficiency-heat in the Spleen Channel, use Qianshi Yigong San (Qian's Yi Gong Powder). If one administers Xijiao Wan (Rhinoceros Horn Pill) or Huadu Dan (Toxin-Dissolving Pellet), and applies cold-natured medicines externally, it will damage the body's vital energy (Sheng Qi), thereby accelerating critical danger.
One infant, after birth, had a swelling on the front of the ear like a small chestnut. After more than ten days, it became red, swollen, and elevated, crying upon touch. This belongs to the Gallbladder Channel area. The nursing mother's pulse was examined and found to be rapid in the Liver and Gallbladder channels. This was caused by inheriting the mother's Liver Fire, which was exacerbated by the mother's existing Liver Fire. A few days later, the infant became restless and irritable, with occasional twitching of the hands and feet, caused by pain from suppuration. Three days later, in the morning, gentle pressure on the head of the sore caused the swelling to rebound immediately, indicating that pus had formed. By noon, a thin skin appeared on the top of the sore, indicating the pus was ripe. Applying Daizhen Gao (Needle-Replacing Ointment), pus drained in the evening, and the infant instantly calmed down, with the redness and swelling disappearing immediately. This is the most favorable outcome for treating sores. Applying Taiyi Gao (Great Unity Ointment) protected against wind and cold, and the nursing mother took Xiaoyao San (Free Wanderer Powder) and recovered.
Another infant, after birth, had a swelling about one cun in size on the outer arm. Over a month, it suddenly became red and swollen to about two cun, with a spreading red halo, indicating internal accumulation of pus toxin. Pricking released pus, the red halo receded, and the infant settled. The nursing mother's Liver and Gallbladder pulses were wiry and rapid, forceful upon pressure. First, Jiawei Xiaochaihu Tang (Modified Minor Bupleurum Decoction) with two qian of Huanglian (Coptis Rhizome) was given for two doses. Then, Huanglian was removed for another two doses. Subsequently, the nursing mother took Jiawei Xiaoyao San (Modified Free Wanderer Powder), and the infant soon recovered.
Yet another infant, after birth, had a swelling about one cun in size on the thigh, with a pale complexion. When the time came to apply medicine and ulcerate, the pus water was clear and thin, and it did not heal after two cycles. Later, yawning and teeth-grinding occurred, indicating inherited Kidney Deficiency. In the morning, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was administered; in the evening, Dihuang Wan (Rehmannia Pill) material was given. Half a cup was shared between mother and son, and recovery took over a year.
Another infant, after birth, had a diffuse, headless swelling in the left hypochondrium with unchanged flesh color. Tiegu San (Iron-Hoop Powder) was applied. Upon ulceration, the pus was clear, accompanied by nausea. I reasoned that this was due to inherited Liver Channel Qi stagnation and Spleen Qi deficiency, making healing difficult. First, Yigong San (Yi Gong Powder) with Chaihu (Bupleurum Root) and Shengma (Cimicifuga Rhizome) was used to tonify the Spleen and Stomach. Then, Tuoli San (Support the Interior Powder) with Chaihu (Bupleurum Root) and Shanzhi (Gardenia Fruit) was used to support the interior and clear Liver fire. The child also drank several spoonfuls, recovering in three months.
Another infant, after birth, had a swelling in the lower abdomen that did not ulcerate for over a year, accompanied by alternating chills and fever. This was due to inherited Liver Fire. The mother indeed suffered from irregular menstruation, internal heat, and fatigue. Dihuang Wan (Rehmannia Pill) and Bazhen Tang (Eight-Treasure Decoction) were given to the mother, and the child took half a cup daily, recovering soon.
Another infant, after birth, had red and swollen chest and hypochondrium that did not subside for over a year. I reasoned this was inherited Liver Blood Heat and advised treating only the mother. Disbelieving, they used Tiegu San (Iron-Hoop Powder) and Xijiao Wan (Rhinoceros Horn Pill), causing vomiting and refusal to nurse. This indicated damaged Stomach Qi. I used Wuyi Yigong San (Five-Essence Yi Gong Powder) to save the child's Stomach Qi and Jiawei Xiaoyao San (Modified Free Wanderer Powder) to treat the mother's Liver Fire, resulting in immediate recovery.
Another infant, after birth, had exposed, red skin all over the body. This originated from the mother's habitual consumption of rich foods. Using 1 liang of Hanshui Shi (Calcitum), 2 liang of fried Huangbai (Phellodendron Bark), and 4 liang of clean Huangtu (Yellow Earth), all ground into fine powder, it was applied frequently over the body. The mother took Qingwei San (Stomach-Clearing Powder) with Loulu (Euphorbia Root). After five days, the redness diminished and lightened. Then, 5 liang of Huangtu (Yellow Earth) and 1 liang of fried Huangbai (Phellodendron Bark) were applied. The mother took Jiawei Xiaoyao San (Modified Free Wanderer Powder). After three more days, the redness faded significantly, and exudate decreased. After another three days, only Huangtu (Yellow Earth) was applied, and the mother took Bazhen Tang (Eight-Treasure Decoction) with Mudanpi (Moutan Cortex) and Chaihu (Bupleurum Root), leading to recovery.
Another infant born with scabies: examining the mother revealed chronic depression and anger. Xiaodu San (Detoxification Powder) was mixed with Danggui Gao (Angelica Ointment) for application. The mother took Jiawei Xiaoyao San (Modified Free Wanderer Powder) with Loulu (Euphorbia Root) and Jiawei Guipi Tang (Modified Restore the Spleen Decoction), recovering. Later recurrence was due to the mother eating rich foods; Qingwei San (Stomach-Clearing Powder) and previous external applications cured it.
Another infant born with hemorrhoids began experiencing pain at age three. Taking Huadu Dan (Toxin-Dissolving Pellet) and Xijiao Wan (Rhinoceros Horn Pill) to treat Large Intestine Fire resulted in abdominal pain, diarrhea, teeth-grinding, and yawning, yet treatment still aimed at clearing fire. I stated: yawning and teeth-grinding belong to the Liver Channel. The *Neijing* says: "Due to overeating, tendons and vessels relax transversely, forming hemorrhoids in the intestines." This was caused by inherited Liver Fire. The child took Dihuang Wan (Rehmannia Pill); the mother took Xiaoyao San (Free Wanderer Powder) with Loulu (Euphorbia Root), and both recovered.
Another infant had red, itchy scrotum, sometimes appearing skinless, with eyes often closed. Taking Huadu Dan (Toxin-Dissolving Pellet) worsened the condition. I stated: Huadu Dan (Toxin-Dissolving Pellet) and Xijiao Wan (Rhinoceros Horn Pill) treat Stomach and Spleen Excess Fire. The previous symptoms were due to inherited Liver and Kid Yin Deficiency. Disbelieving, they continued administration, nearly causing death. I used Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) and Siwei Fei'er Wan (Four-Ingredient Child-Nourishing Pill); the mother took Jiawei Xiaoyao San (Modified Free Wanderer Powder), and recovery ensued.
Another infant had a red and swollen scrotum after birth. I reasoned this was inherited Liver and Kidney Yin Deficiency. Disbelieving, they used Huadu Dan (Toxin-Dissolving Pellet) and similar remedies, worsening symptoms, followed by vomiting, refusal to nurse, and cold extremities, indicating Spleen and Stomach damage. First, Wuyi Yigong San (Five-Essence Yi Gong Powder) was used. The mother took a large dose of Dihuang Wan (Rehmannia Pill) material with fried-black Huangbai (Phellodendron Bark) and Loulu (Euphorbia Root) for several doses, reducing the swelling. At that time, those suffering from this condition who took Huadu Dan (Toxin-Dissolving Pellet) and applied cold medicines were not saved.
Another infant had a slight swelling, about one cun, at the tip of the buttocks. Applying Tiegu San (Iron-Hoop Powder) and taking Huadu Dan (Toxin-Dissolving Pellet), after a month the swelling rose, turned red, and the infant cried incessantly. Pressing with a finger caused immediate rebound, indicating mature pus and pain. Pricking released thick pus, and crying stopped immediately. I stated: Blood and Qi were not deficient, so medication was unnecessary. Desiring quick results, they took Xijiao Wan (Rhinoceros Horn Pill), causing vomiting, diarrhea, and convulsions, prompting attempts to use anti-convulsant drugs. I stated: This is wind generated internally due to Spleen and Stomach deficiency. Urgently, 1 liang of Renshen (Ginseng Root) was finely sliced and mixed with one zhong of milk from a healthy woman, boiled in a porridge pot for a long time, then strained. Cotton was shaped like a nipple, dipped in the milk, and frequently offered to the infant to suckle. Consumed in one day, followed by Emu Dihuang Wan (Emulsified Rehmannia Pill). The mother took Bazhen Tang (Eight-Treasure Decoction) with Loulu (Euphorbia Root) daily, recovering in less than a month.
Another infant had a red and swollen patch, about two cun, inside the buttock, with internal pus rupture. Pricking released much pus, followed by eye-closing and teeth-grinding. I stated: Eye-closing indicates Spleen Qi deficiency unable to open; convulsions and teeth-grinding indicate Spleen Qi deficiency with stirring Liver Fire. Renshen (Ginseng Root) was soaked in milk as before for the infant to suckle. The mother took Bazhen Tang (Eight-Treasure Decoction) with Loulu (Euphorbia Root), and the sore healed in over a month.
An infant, more than ten days old, developed a toxic sore on the head, rising one cun high with a red halo, in critical condition. Lying down, a lancet scarification released black blood, and the infant calmed. The next day, a lesion appeared between the eyebrows with a red halo. I intended to scarify immediately, but others suggested waiting until the second day. Consequently, blood coagulated and could not flow out, leading to abdominal distension and death.
Tiegu San (Iron-Hoop Powder) treats all sores, boils, and carbuncles.
Furong Ye (Hibiscus Leaf) Huangbai (Phellodendron Bark) Dahuang (Rhubarb Root) Wubeizi (Chinese Gall) Baiji (Bletilla Rhizome)
Grind into powder, mix with water, and apply around the periphery.
Note: The above formula is a cold-natured agent for clearing heat and astringing. Some use Bailian (Ampelopsis Radix) or Shanglugen (Phytolacca Root); some use Hanshui Shi (Calcitum) or Tianhuafen (Trichosanthes Root); some use Canger (Xanthium Fruit) or Jinyinhua (Lonicera Flower); some use Bajiao (Banana) or Chixiaodou (Adzuki Bean); some use Caowu (Aconite Root) or Baizhi (Angelica Dahurica Root). These are indiscriminate mixtures regardless of cold, heat, warm, or cool nature. The *Neijing* states: "Swelling first, then pain, means shape injury affecting Qi; pain first, then swelling, means Qi injury affecting shape." It also states: "Disorder of the Five Zang organs leads to blockage of the Nine Orifices; disorder of the Six Fu organs leads to nodules forming abscesses." The *Waike Jingyi* states: "Sores that are high and soft originate in the Blood and Vessels; sores that are low and hard originate in the Tendons and Vessels; sores with unchanged flesh color originate in the Marrow and Bones." Internal pathology must manifest externally. Therefore, the affected meridian and location vary; how can one uniformly apply cold medicines externally? Only when the Spleen and Stomach are intact and Blood and Qi are harmonious might there be efficacy. If Huadu Dan (Toxin-Dissolving Pellet) and similar agents are taken, damaging the Spleen and Stomach again, causing stagnation of Qi transformation, resolution cannot occur. For conditions like Ding Chuang (Carbuncles), the goal is to draw out toxicity; using the aforementioned cold medicines would chill the muscles, stagnate Blood and Qi, and inevitably cause toxic pathogens to enter internally, leading to untreatable cases. Treatment must observe whether the swelling is high or diffuse, the color red or white, the pain mild or severe, the ease or difficulty of suppuration, the thickness or thinness of pus, and the speed of tissue regeneration, to distinguish Yin or Yang syndromes, or semi-Yin semi-Yang, or pure Yin or pure Yang, and use appropriate cooling, warming, or harmonizing medications. One must also assess the transmission of the disease and the mutual overcoming of the Five Zang organs, focusing primarily on regulating and tonifying the Spleen and Stomach, to avoid transformation into malignant conditions.
Wufu Huadu Dan (Five-Fortunes Toxin-Dissolving Pellet) treats fetal toxins and sores arising on the head and face after smallpox/variolae, with eye swelling and pain.
Sheng Dihuang (Raw Rehmannia Root, pounded into paste) Shu Dihuang (Prepared Rehmannia Root, homemade pounded into paste) Tianmendong (Asparagus Tuber, heart removed, pounded into paste) Maimendong (Ophiopogon Tuber, heart removed, pounded into paste) Xuanshen (Scrophularia Root) (each 3 liang) Gancao (Licorice Root) Tianxiao (Sweet Niter) (each 1 liang) Qingdai (Indigo Naturalis) (1.5 liang)
Grind into powder, refine honey, and make pills the size of a Chinese quince seed. Take one pill per dose, dissolved in boiling water. Tianxiao (Sweet Niter) is Puxiao (Mirabilite), processed with boiling water.
Note: For the previous symptoms, if taking this formula causes phlegm-wheezing and convulsions, it indicates injury to Middle Qi transforming into deficiency-heat. Urgently take Wuyi Yigong San (Five-Essence Yi Gong Powder). If extremities are cold, it indicates Middle Qi deficiency-cold; adding Ginger and Cinnamon to the previous decoction often yields survival.
Xijiao Xiaodu Wan (Rhinoceros Horn Detoxification Pill) treats accumulated heat and sores arising from residual toxins after smallpox/variolae.
Sheng Dihuang (Raw Rehmannia Root) Fangfeng (Saposhnikovia Root) Danggui (Angelica Sinensis Root) Xijiao Xie (Rhinoceros Horn Shavings, sliced) Jingjie Sui (Schizonepeta Spike) (each 1 liang) Niubangzi (Arctium Seed, pounded and fried) Chi Shaoyao (Red Peony Root) Lianqiao (Forsythia Fruit) Jiegeng (Platycodon Root) (each 7 qian)
Grind into powder, refine honey, and make pills the size of a Chinese quince seed. Take one pill per dose, dissolved in Mint Decoction.
Note: The previous two formulas easily damage Middle Qi and injure Yin Blood. They may be used only if adults present with excess syndrome and robust Spleen and Stomach function. Infants have fragile and tender viscera and cannot withstand these. The Classics state: "Qi governs pushing/venting, Blood governs moistening." Qi is the harmonious Original Qi in the Stomach. If Stomach Qi is injured, it cannot push, vent, and moisten; formed pus cannot undergo putrefaction and discharge; discharged pus cannot regenerate tissue and close wounds. Thus, it becomes difficult to treat, even fatal. One must be extremely cautious!
Bawei Fuling Buxin Tang (Eight-Ingredient Poria Tonifying Heart Decoction) treats insufficient Heart Qi, disharmony of Blood and Qi, and sores. (Formulated by the author)
Fuling (Poria, 5 fen) Suanzaoren (Spina Date Seed, fried, each 2 qian) Wuweizi (Schisandra Berry, fried) Danggui (Angelica Sinensis Root, each 1 qian) Renshen (Ginseng Root, 1.5 qian) Baizhu (Atractylodes Macrocephala Rhizome, fried, 1 qian) Changpu (Acorus Rhizome, 5 fen) Yuanzhi (Polygala Root, heart removed, 6 fen) Gancao (Licorice Root, fried, 5 fen)
Divide into two or three doses, decoct in water.
Chaihu Zhizi San (Bupleurum and Gardenia Powder) (See formula for Hypochondriac Carbuncle)
Tuoli San (Support the Interior Powder) (See formula for Heat Toxicity)