小儿黄水粘疮，属肝脾二经，风热积热所致。邪在表而痒痛者，轻则犀角消毒散；重则连翘防风汤。邪在内而大便
秘者，轻则九味解毒散；重则大连翘饮。若头目不清，憎寒壮热，作渴便秘者，表里俱有邪也，加味清凉饮。若误服克
伐之药，而致发热恶寒者，肺气伤也，用四君、桔梗、柴胡。发热呕吐，胃气伤也，用异功散。发热作泻，脾气虚也，
用六君子汤，并加柴胡、升麻。余当随症裁之。
一小儿患此，脓水淋漓，寒热作痛，服抱龙丸、败毒散，更加气喘等症。盖气喘发搐，乃肝火乘脾。切牙流涎，乃
脾气虚寒。遂朝用补中益气汤，夕用五味异功散，外敷立效散而愈。
一小儿患此，发热惊悸，倦怠面黄，懒食流涎，服清凉之药，更加吐泻，睡而露睛，余谓心脾虚热，用六君、干姜
一剂，顿愈，又用异功散、立效散而愈。
一小儿患此，或痒或痛，脓水沥淋，服表散之剂，更恶寒发热，呕吐不食，手足并冷，此病气实而元气虚也，先用
异功散加桔梗、藿香而呕吐止，又用异功散而寒热除，用人参消风散而疮愈。
一小儿所患同前，服荆防败毒散，加喘嗽腹胀，四肢发搐，此脾肺气虚而肝木乘之。用异功散加柴胡、升麻、桔梗，
一剂诸症顿退，又服异功散，二剂而愈。
一小儿患此，服抱龙丸之类，汗出喘嗽，此肺气虚而为外邪所乘也，用异功散加桔梗二剂。又伤风发热咳嗽，其疮
复甚，用惺惺散一服，外邪顿退，又用异功散而痊。
毛通府子患此，卯关脉青，两目时札，形体困倦，此土虚木旺，当用和肝补脾汤，反服败毒散，前症益甚，更加吐
泻不食，遍身发泡。余用前汤，刺泡出水，同绿豆、甘草末，频铺席上，任儿睡卧，后用神效当归膏而愈。
沈尚宝子患此，咳嗽恶寒，用大连翘饮，腹胀少食，此表症泻里，致元气复损，非其治也，用补中益气汤而愈。
一小儿患此，作痒发热，脓水淋漓，面青恶寒，此肝火血热，用加味逍遥散稍愈，又用和肝补脾汤而痊。
一女子十四岁，遍身疙瘩，搔破脓水淋漓，发热烦躁，日晡益甚，此血气虚而有热也，用加味逍遥散而愈。
大连翘饮 治风毒热毒，发热作痛，二便不利，表里俱实。（方见臂痈）
柴胡栀子散 治肝胆风热生疮，作痛发热，或搔破而脓水淋漓，或发寒热晡热。即柴胡栀子散。（方见胁痈）
犀角消毒散 治热毒积毒，发于肌表，而头面生疮，或痛或痒者。（方见发 ）
九味解毒散 治热毒胎毒而发疮疡之类，未溃作痛者。
黄连（炒，三分） 金银花 连翘 芍药（各三分） 山栀（四分） 白芷（六分） 当归（八分） 防风（三分）
甘草（三分）
上水煎，母子并服。
人参消风散（方见赤白游风）
加味清凉饮 治热毒积毒，在内患疮疡，大便不通，而欲痛作渴。
当归 赤芍药 甘草（炙） 大黄（炒。各三分） 山栀（炒，三分） 牛蒡子（炒杵。各四分）
上水煎服。
荆芥败毒散 治风热相搏，邪气在表，患疮疡之类，寒热作痛者。（方见流注）
补中益气汤 治疮疡之类，过服败毒之药，致中气虚弱，发热或寒者。（方见发热不止）
六君子汤 治疮疡，脾胃虚弱，不能饮食，更或呕吐，而疮不愈者。（方见内钓）
人参消风散 治诸风上攻，头目昏眩，项背拘急，肢体烦疼，肌肉颤动，耳若蝉鸣，鼻塞多嚏，皮肤顽麻，瘙
痒隐疹，目涩昏困。（方见赤白游风）
连翘防风汤 治小儿肝脾风热时毒，头面生疮。
连翘（研碎） 防风 黄连 陈皮 芍药 当归 独活 白蒺藜（炒，去刺） 荆芥 茯苓 黄芩 甘草 牛蒡子
（炒研，等分）
上每服二钱，水煎服。
惺惺散 治风寒疮疹，痰嗽发热。
桔梗 细辛 人参 甘草 栝蒌根 白茯苓
上为末，每服二钱，入薄荷五叶，水煎服。
和肝补脾汤 治风热疮疹，脾土不及，肝木太过。
人参 陈皮 川芎（各五分） 白术 茯苓 芍药（各七分） 柴胡 甘草（炙。各三分） 山栀（炒，四分）
上作二剂，水煎服。
益脾清肝汤 治肝脾风热疮，寒热体痛，脾胃虚弱。
人参 白术 茯苓 甘草 川芎 当归 黄 （各三分） 柴胡 牡丹皮（各二分）
上水煎服。
三黄散 治风热疳热生疮，水浸淫脓流处便湿烂。
松香 五倍子 黄连 黄丹 海螵蛸（各一钱） 轻粉 雄黄（各少许）
上为末，用莹肌散煎洗渗之，干者油敷。
立效散
定粉 松香 黄柏 黄连 枯矾（各一钱）
上为末，用清烛油调搽。
四君子汤（方见腋痈）
异功散（方见败毒之药）
加味逍遥散（方见发热不止）
小儿黄水粘疮，归属于肝经和脾经，由风热与积热蕴结所致。若邪气在体表而表现为瘙痒疼痛的，病情轻者使用犀角消毒散；病情重者使用连翘防风汤。若邪气在体内且伴有大便便秘的，病情轻者使用九味解毒散；病情重者使用大连翘饮。如果头部和眼睛昏沉不清爽，憎恶寒冷且高热，口渴且大便不通的，说明表里都有邪气，使用加味清凉饮。如果误服了攻伐性质的药物，导致出现发热、恶寒的症状，这是肺气受损，使用四君子汤、桔梗、柴胡。如果发热并呕吐，这是胃气受损，使用异功散。如果发热并腹泻，这是脾气虚弱，使用六君子汤，并加入柴胡、升麻。其余情况应当根据症状灵活裁量治疗。
有一个小儿患此病，脓水淋漓不止，伴有寒热交替和疼痛，服用抱龙丸、败毒散后，反而加重出现气喘等症状。大概气喘和抽搐，是肝火乘袭脾土所致；咬牙流口水，是脾气虚寒所致。于是早晨服用补中益气汤，晚上服用五味异功散，外用立效散敷贴，最终痊愈。
有一个小儿患此病，出现发热、惊悸、倦怠、面色萎黄、食欲不振、流口水，服用清凉类药物后，反而加重出现呕吐腹泻，睡觉时眼睛半睁（露睛），我认为这是心脾虚热，使用六君子汤加干姜，一剂药后立刻痊愈，随后又用异功散、立效散巩固治疗而愈。
有一个小儿患此病，有时痒有时痛，脓水沥沥不断，服用解表发散的药物后，更加出现恶寒发热、呕吐不能进食、手脚冰凉，这是病气实而元气虚的表现，先用异功散加桔梗、藿香使呕吐停止，再用异功散使寒热消除，最后用人参消风散使疮疡痊愈。
有一个小儿所患与前例相同，服用荆芥败毒散后，出现气喘咳嗽、腹胀、四肢抽搐，这是脾肺气虚而肝木乘虚侵袭所致。使用异功散加柴胡、升麻、桔梗，一剂药后各种症状迅速消退，又服用异功散，两剂药后痊愈。
有一个小儿患此病，服用抱龙丸之类的药物后，出汗、气喘咳嗽，这是肺气虚而被外邪乘袭所致，使用异功散加桔梗，两剂药后。后来又伤风发热咳嗽，疮疡复发加重，服用惺惺散一剂，外邪迅速消退，再用异功散而痊愈。
毛通府的儿子患此病，卯关脉象青色，两眼不时眨动，形体困倦，这是脾土虚弱而肝木过旺，应当使用和肝补脾汤，却反服败毒散，前面的症状更加严重，又加上呕吐腹泻不能进食，全身起水泡。我用前文提到的方剂，刺破水泡排出积水，配合绿豆、甘草粉末，频繁铺在席子上，让孩子随意睡卧，后来用神效当归膏涂抹而痊愈。
沈尚宝的儿子患此病，咳嗽恶寒，使用大连翘饮，出现腹胀、食欲减少，这是表证误治入里，导致元气再次受损，不是正确的治疗方法，使用补中益气汤而痊愈。
有一个小儿患此病，瘙痒发热，脓水淋漓，面色青白、恶寒，这是肝火血热所致，使用加味逍遥散稍见好转，后又使用和肝补脾汤而痊愈。
有一个十四岁的女子，全身疙瘩，抓破后脓水淋漓，发热烦躁，傍晚时分症状加重，这是气血虚弱而有内热，使用加味逍遥散而痊愈。
大连翘饮 治疗风毒热毒，发热疼痛，大小便不利，表里俱实。（方剂见臂痈）
柴胡栀子散 治疗肝胆风热生疮，疼痛发热，或抓破后脓水淋漓，或出现寒热及傍晚发热。即柴胡栀子散。（方剂见胁痈）
犀角消毒散 治疗热毒积毒，发于肌表，头面生疮，或痛或痒的。（方剂见发斑）
黄连（炒，三分） 金银花 连翘 芍药（各三分） 山栀（四分） 白芷（六分） 当归（八分） 防风（三分）
甘草（三分）
以上用水煎煮，母亲和孩子一起服用。
加味清凉饮 治疗热毒积毒，在内引发疮疡，大便不通，且欲痛口渴。
当归 赤芍药 甘草（炙） 大黄（炒。各三分） 山栀（炒，三分） 牛蒡子（炒杵。各四分）
以上用水煎服。
荆芥败毒散 治疗风热相搏，邪气在表，患疮疡之类，寒热疼痛的。（方剂见流注）
补中益气汤 治疗疮疡之类，因过服败毒药物，导致中气虚弱，发热或恶寒的。（方剂见发热不止）
六君子汤 治疗疮疡，脾胃虚弱，不能饮食，更或呕吐，而疮疡不愈的。（方剂见内钓）
人参消风散 治疗诸风上攻，头目昏眩，项背拘急，肢体烦疼，肌肉颤动，耳若蝉鸣，鼻塞多嚏，皮肤顽麻，瘙痒隐疹，目涩昏困。（方剂见赤白游风）
连翘防风汤 治疗小儿肝脾风热时毒，头面生疮。
连翘（研碎） 防风 黄连 陈皮 芍药 当归 独活 白蒺藜（炒，去刺） 荆芥 茯苓 黄芩 甘草 牛蒡子
（炒研，等分）
以上每次服用二钱，用水煎服。
惺惺散 治疗风寒疮疹，痰嗽发热。
桔梗 细辛 人参 甘草 栝蒌根 白茯苓
以上研为末，每次服用二钱，加入薄荷五叶，用水煎服。
和肝补脾汤 治疗风热疮疹，脾土不及，肝木太过。
人参 陈皮 川芎（各五分） 白术 茯苓 芍药（各七分） 柴胡 甘草（炙。各三分） 山栀（炒，四分）
以上制成两剂，用水煎服。
益脾清肝汤 治疗肝脾风热疮，寒热体痛，脾胃虚弱。
人参 白术 茯苓 甘草 川芎 当归 黄芪（各三分） 柴胡 牡丹皮（各二分）
以上用水煎服。
三黄散 治疗风热疳热生疮，水浸淫脓流处便湿烂。
松香 五倍子 黄连 黄丹 海螵蛸（各一钱） 轻粉 雄黄（各少许）
以上研为末，用莹肌散煎洗患处并渗透，干燥者用油敷。
立效散
定粉 松香 黄柏 黄连 枯矾（各一钱）
以上研为末，用清烛油调匀涂抹。
四君子汤（方剂见腋痈）
异功散（方剂见败毒之药）
Pediatric yellow-water sticky sores (Huangshui Zhichuang) belong to the Liver and Spleen meridians, caused by wind-heat and accumulated heat. If the pathogen is in the exterior manifesting as itching and pain, for mild cases use Xijiao Xiaodu San (Rhinoceros Horn Detoxification Powder); for severe cases use Lianqiao Fangfeng Tang (Forsythia and Saposhnikovia Decoction). If the pathogen is in the interior accompanied by constipation, for mild cases use Jiwei Jiedu San (Nine-Ingredient Detoxification Powder); for severe cases use Da Lianqiao Yin (Large Forsythia Drink). If there is cloudiness of the head and eyes, aversion to cold with high fever, thirst, and constipation, it indicates pathogens in both the interior and exterior; use Jiawei Qingliang Yin (Modified Cooling Drink). If mistakenly administered with harsh purgative drugs leading to fever and aversion to cold, this indicates damage to Lung Qi; use Six Gentlemen Decoction (Sijunzi Tang), Scutellaria Root (Jiegeng), and Bupleurum (Chaihu). If fever and vomiting occur, this indicates damage to Stomach Qi; use Yigong San (Extra-Efficacy Powder). If fever and diarrhea occur, this indicates deficiency of Spleen Qi; use Liu Junzi Tang (Six Gentlemen Decoction), adding Bupleurum (Chaihu) and Cimicifuga (Shengma). Other cases should be treated according to specific symptoms.
A child suffered from this condition with dripping pus, alternating chills and fever, and pain. After taking Baolong Wan (Pawlong Pill) and Baidu San (Detoxification Powder), symptoms worsened with asthma. Asthma and convulsions indicate Liver Fire attacking the Spleen; grinding teeth and drooling indicate deficiency-cold of Spleen Qi. Therefore, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) was administered in the morning, and Wuwei Yigong San (Five-Ingredient Extra-Efficacy Powder) in the evening, with external application of Lixiao San (Instant Efficacy Powder), resulting in recovery.
Another child suffered from this condition with fever, palpitations, fatigue, sallow complexion, anorexia, and drooling. After taking cooling medications, vomiting and diarrhea worsened, and the child slept with eyes partially open. This was diagnosed as deficiency-heat of the Heart and Spleen. One dose of Liu Junzi Tang (Six Gentlemen Decoction) added with Dried Ginger (Ganjiang) resulted in immediate improvement, followed by Yigong San (Extra-Efficacy Powder) and Lixiao San (Instant Efficacy Powder) for complete recovery.
Another child suffered from this condition with intermittent itching and pain, and dripping pus. After taking exterior-releasing agents, aversion to cold, fever, vomiting, inability to eat, and cold extremities worsened. This indicated excess pathogenic qi but deficient primordial qi. First, Yigong San (Extra-Efficacy Powder) added with Scutellaria Root (Jiegeng) and Agastache (Huoxiang) stopped the vomiting. Then, Yigong San (Extra-Efficacy Powder) eliminated the chills and fever, and Renshen Xiaofeng San (Ginseng Wind-Expelling Powder) cured the sores.
Another child had the same condition as above. After taking Jingjie Baidu San (Schizonepeta Detoxification Powder), asthma, cough, abdominal distension, and limb convulsions occurred. This indicated deficiency of Spleen and Lung qi with Liver Wood overacting. Yigong San (Extra-Efficacy Powder) added with Bupleurum (Chaihu), Cimicifuga (Shengma), and Scutellaria Root (Jiegeng) was used; one dose rapidly relieved all symptoms. Subsequent administration of Yigong San (Extra-Efficacy Powder) for two doses led to recovery.
Another child suffered from this condition. After taking Baolong Wan (Pawlong Pill) and similar drugs, sweating, asthma, and cough occurred. This indicated deficiency of Lung qi with invasion by external pathogens. Two doses of Yigong San (Extra-Efficacy Powder) added with Scutellaria Root (Jiegeng) were used. Later, a wind-cold attack caused fever and cough, worsening the sores. One dose of Xingxing San (Xingxing Powder) rapidly expelled the external pathogens, followed by Yigong San (Extra-Efficacy Powder) for recovery.
The son of Mao Tongfu suffered from this condition. The pulse at the Mao position was greenish, eyes blinked frequently, and the body felt weary. This indicated deficiency of Earth (Spleen) and hyperactivity of Wood (Liver). He should have used He Gan Bu Pi Tang (Harmonize Liver and Tonify Spleen Decoction) but instead took Baidu San (Detoxification Powder), worsening previous symptoms and adding vomiting, diarrhea, anorexia, and generalized blistering. I used the aforementioned decoction, pricked the blisters to drain fluid, and applied a mixture of Mung Bean (Lvdou) and Licorice (Gancao) powder frequently on the bedding for the child to lie on. Finally, Shenxiao Danggui Gao (Miraculous Angelica Ointment) was applied for recovery.
The son of Shen Shangbao suffered from this condition with cough and aversion to cold. Da Lianqiao Yin (Large Forsythia Drink) was used, but abdominal distension and reduced appetite ensued. This indicated that treating exterior symptoms incorrectly affected the interior, causing further damage to primordial qi, which was incorrect treatment. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) was used for recovery.
Another child suffered from this condition with itching, fever, dripping pus, blueish complexion, and aversion to cold. This indicated Liver fire and blood-heat. Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) provided slight relief, followed by He Gan Bu Pi Tang (Harmonize Liver and Tonify Spleen Decoction) for full recovery.
A fourteen-year-old girl had widespread nodules. Scratching them caused dripping pus, fever, irritability, and worsening symptoms in the late afternoon. This indicated deficiency of Qi and Blood with internal heat. Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) was used for recovery.
Da Lianqiao Yin (Large Forsythia Drink): Treats wind-toxin and heat-toxin, fever with pain, difficulty in urination and defecation, and excess in both interior and exterior. (Formula see Bi Yong/Abscess of Arm)
Chaihu Zhizi San (Bupleurum and Gardenia Powder): Treats sores caused by wind-heat of Liver and Gallbladder, fever with pain, or dripping pus after scratching, or alternating chills/fever and afternoon fever. Same as Chaihu Zhizi San. (Formula see Xie Yong/Abscess of Flank)
Xijiao Xiaodu San (Rhinoceros Horn Detoxification Powder): Treats heat-toxin and accumulated toxin erupting on the skin surface, causing sores on the head and face, painful or itchy. (Formula see Fa Ban/Eruption)
Jiwei Jiedu San (Nine-Ingredient Detoxification Powder): Treats sores caused by heat-toxin and fetal toxin, painful before ulceration.
Coptis Rhizome (Chuanlian, fried, 3 fen) Honeysuckle Flower (Jinyinhua) Forsythia Fruit (Lianqiao) Peony Root (Shaoyao, 3 fen each) Gardenia Fruit (Shanzhi, 4 fen) Angelica Dahurica (Baizhi, 6 fen) Chinese Angelica Root (Danggui, 8 fen) Saposhnikovia Root (Fangfeng, 3 fen)
Licorice Root (Gancao, 3 fen)
Decoct in water, taken by both mother and child.
Renshen Xiaofeng San (Ginseng Wind-Expelling Powder): (Formula see Chi Bai You Feng/Red and White Wandering Wind)
Jia Wei Qingliang Yin (Modified Cooling Drink): Treats heat-toxin and accumulated toxin internally causing sores, constipation, pain, and thirst.
Chinese Angelica Root (Danggui) Red Peony Root (Chishaoyao) Licorice Root (Gancao, roasted) Rhubarb (Dahuang, fried, 3 fen each) Gardenia Fruit (Shanzhi, fried, 3 fen) Arctium Seed (Niubangzi, fried and pounded, 4 fen each)
Decoct in water and take orally.
Jingjie Baidu San (Schizonepeta Detoxification Powder): Treats sores caused by struggle between wind and heat, pathogen in the exterior, with chills, fever, and pain. (Formula see Liuzhu/Flowing Abscess)
Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction): Treats sores where excessive use of detoxifying drugs has weakened Middle Qi, causing fever or aversion to cold. (Formula see Fare Bu Zhi/Unremitting Fever)
Liu Junzi Tang (Six Gentlemen Decoction): Treats sores where Spleen and Stomach weakness prevents eating, possibly with vomiting, and sores do not heal. (Formula see Nei Diao/Internal Hook)
Renshen Xiaofeng San (Ginseng Wind-Expelling Powder): Treats various winds attacking upwards, causing dizziness, neck/back stiffness, limb pain, muscle tremors, tinnitus, nasal congestion, sneezing, skin numbness, itching, hidden rashes, dry eyes, and fatigue. (Formula see Chi Bai You Feng/Red and White Wandering Wind)
Lianqiao Fangfeng Tang (Forsythia and Saposhnikovia Decoction): Treats pediatric liver-spleen wind-heat seasonal toxins, sores on head and face.
Forsythia Fruit (Lianqiao, crushed) Saposhnikovia Root (Fangfeng) Coptis Rhizome (Huanglian) Tangerine Peel (Chenpi) Peony Root (Shaoyao) Chinese Angelica Root (Danggui) Actaea Root (Duhuo) Tribulus Fruit (Bajili, fried, thorns removed) Schizonepeta Spike (Jingjie) Poria (Fuling) Scutellaria Root (Huangqin) Licorice Root (Gancao) Arctium Seed (Niubangzi, fried and pounded, equal parts)
Take 2 qian per dose, decoct in water and drink.
Xingxing San (Xingxing Powder): Treats wind-cold rash, phlegm-cough, and fever.
Scutellaria Root (Jiegeng) Asarum (Xixin) Ginseng Root (Renshen) Licorice Root (Gancao) Trichosanthes Root (Gualougen) Poria (Baifuling)
Grind into powder, take 2 qian per dose, add five mint leaves, decoct in water and drink.
He Gan Bu Pi Tang (Harmonize Liver and Tonify Spleen Decoction): Treats wind-heat rash due to Spleen Earth insufficiency and Liver Wood excess.
Ginseng Root (Renshen) Tangerine Peel (Chenpi) Ligusticum Rhizome (Chuanxiong, 5 fen each) Atractylodes Macrocephala (Baizhu) Poria (Fuling) Peony Root (Shaoyao, 7 fen each) Bupleurum Root (Chaihu) Licorice Root (Gancao, roasted, 3 fen each) Gardenia Fruit (Shanzhi, fried, 4 fen)
Make into two doses, decoct in water and drink.
Yi Pi Qing Gan Tang (Benefit Spleen and Clear Liver Decoction): Treats liver-spleen wind-heat sores, chills/fever, body pain, and Spleen-Stomach weakness.
Ginseng Root (Renshen) Atractylodes Macrocephala (Baizhu) Poria (Fuling) Licorice Root (Gancao) Ligusticum Rhizome (Chuanxiong) Chinese Angelica Root (Danggui) Astragalus Root (Huangqi, 3 fen each) Bupleurum Root (Chaihu) Moutan Bark (Mudanpi, 2 fen each)
Decoct in water and drink.
San Huang San (Three Yellows Powder): Treats sores caused by wind-heat and malnutrition-heat, where pus flows and causes wet rot.
Rosin (Songxiang) Chinese Gallnut (Wubeizi) Coptis Rhizome (Huanglian) Lead Oxide (Huangdan) Cuttlefish Bone (Haipiaoxiao, 1 qian each) Calomel (Qingfen) Realgar (Xionghuang, small amount)
Grind into powder. Wash the area with Yingji San decoction and apply. For dry areas, apply with oil.
Lixiao San (Instant Efficacy Powder)
Calamine (Dingfen) Rosin (Songxiang) Phellodendron Bark (Huangbai) Coptis Rhizome (Huanglian) Calcined Alum (Kufan, 1 qian each)
Grind into powder, mix with candle oil and apply.
Sijunzi Tang (Four Gentlemen Decoction): (Formula see Ye Yong/Abscess of Axilla)
Yigong San (Extra-Efficacy Powder): (Formula see Baidu Zhi Yao/Detoxifying Drugs)
Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder): (Formula see Fare Bu Zhi/Unremitting Fever)