儿之在母腹也，胞养十月，蕴蓄浊恶热毒之气，非一日，及岁年而后发，虽至贵
与至贱，莫不皆然。轻者稀少，重者稠密，皆因胞胎时所感。浊恶热毒之气有轻重，非独人有此
疾。凡胎生血气之属，皆有蕴蓄浊恶热毒之气。有一、二岁而发者，有三、五岁至七、八岁
而作者，有年老而发丹 瘾疹者，亦有伤寒中温毒而发
斑者，亦有阳毒发斑者。斑有大小，色有轻重。大者为阴，小者为阳，均是热也。但色重赤者，热
深；色轻红者热浅。
凡治者，轻者，因而扬之，重者，因而减之。《内经》曰∶少阳客
胜则丹疹外发，及为丹 。手少阳者，三焦少阳相火也。启玄子
云∶是五寅五申之岁，即少阳相火司天故也，他岁亦有之。但《内经》独明疮疹者，少阳相火
之所为也。俗呼曰斑疹伤寒，此言却有理。为此证时，与伤寒相兼而行，必先发热恶寒，头项痛
，腰脊强，从太阳传至四、五日， 疹始发，先从两胁
下有之，出于胁肋，次及身表，渐及四肢，故凡小儿疮 、丹
、瘾疹，皆少阳相火客气胜也。《内经》曰∶诸痛痒疮疡，皆属心火。岂有寒乎？故治疮
，与治伤寒时气同法。初觉头痛，身热恶寒，此小儿初发疮 之候也。其脉息皆浮大而有力，亦
与伤寒、时气、冒风、惊风、宿乳，一概难辨。
宜先解之。有二法∶遇亢阳炎热之时，以辛
凉解之；遇久寒凝冽之时，以辛温解之。辛凉之剂者，凉膈、通圣之类是也；辛温之剂者，升麻、葛
根之类是也。此二法慎勿互用之。既用此二法之后，次以白虎汤加人参、冷服之，勿辍。盖防疮
疹发喘。喘者，必死，人参止喘故也。或云∶立秋之后，不宜服白虎汤者，非也。假如秋深发
疟，疟者，中暑而得之，白虎大解暑毒，既有白虎汤证，岂可间以秋冬乎？疮 、瘾疹、丹
，皆是火之用也，是肺金之不及也。故曰∶白虎汤加人
疮
疹，或出不均，大小如豆黍，相亲见其不齐也。相天之寒温，以蝉壳烧灰，操半字或一字，以淡酒调少许，饮之。
大人以淡酒温调之，不半日，则均齐。如或用百祥丸、紫草饮子，皆可服之。俗以酒醋熏之者，适足增其昏瞀
耳。至六、七日， 疹出全，可调胃、凉膈下之，同调理伤寒法。或言疮疹，首尾俱不可下
者，此朱奉议公之言也。适足使人战战兢兢，而不敢用药也。钱仲阳之用百祥丸，其间有大戟，岂
奉议公独不见耶？自奉议公斯言一出，死者塞路矣！
予家其亲属故旧小儿，有患疮 黑陷，腹内喘者，余以白虎汤加人参、凉膈散加当归、桔梗
，连进数服，上灌下泄，昼夜不止，又使睡卧于寒凉之处，以新水灌其面目手足，脓水尽去。
盖四肢者，诸阳之本也。儿方为疮 外燔，沃以寒水，使阴气循经而入，达于心肺，如醉得
醒，是亦开昏破郁之端也。如此救活者，岂
啻千数？夫疮 黑陷，喘而满者，十死八、九，若根据此法，尚能活其六、七，何世医与病家
，至今犹未悟也？
近年，予之庄邻沿蔡河来往之舟，常舣于此。一日，舟师偶见败蒲一束，沿
流而下，渐迫舟次，似闻啼声而微。舟师疑其人也，探而出之，开视之，惊见一儿，四、五
岁许，疮 周匝，密不容隙，两目皎然，饥而索食，因以粥饱。其舟师之妻怒曰∶自家儿女
，多惹疮 传染，奈何私料此儿？沿蔡河来，其流缓，必
不远。持儿一鞋，逆流而上，遍河之人，皆曰无此儿。行且二十里，至一村落，舟师高唱曰
∶有儿年状如许，不知谁是疮 病死，弃之河中，今复活矣！闻酒邸中，饮者喧哗。有人出
曰∶我某村某人也，儿四、五岁，死于疮 。舟师出其鞋以示之。其父泣曰∶真吾儿也。
奔走来视，惊见儿活，大痛流涕。拜谢舟师，喜抱儿归，今二十余岁矣！此儿本死，得水而生。
伏谂来者，疮 之疾，热耶？寒耶？《经》曰∶诸痛痒疮疡，皆属心火。启玄子注云∶心寂则痛
微，心燥则痛甚。百端之起，皆自心生，疮 之疾，岂有寒欤？余承医学于先人，阅病多矣。苟
诳后人，罪将安逃？诚如此法，则原上之丘。以疮 而死者，皆误杀人也。故疗小儿，惟钱
仲阳书中可采者最多。但其方为阎孝忠所乱，有识者宜择而取之。
孩子在母腹中时，经过十个月的胞养，蕴蓄了浊恶热毒之气，这不是一天形成的，而是经过岁年积累后才发作。无论是尊贵之人还是卑贱之人，无不如此。病情轻的皮疹稀少，重的则稠密，这都是因为在胞胎期间感受所致。浊恶热毒之气的轻重不同，并非只有人类有此疾病。凡是胎生且具血气的生物，都蕴蓄有浊恶热毒之气。有的在一两岁发病，有的在三四岁至七八岁发病，也有年老后发丹毒、瘾疹的；也有因伤寒夹带温毒而发斑的；也有阳毒发斑的。斑的大小不一，颜色的深浅各异。大的属阴，小的属阳，本质上都是热证。但颜色深赤的，说明热邪深重；颜色浅红的，说明热邪较浅。
凡治疗此类疾病，轻症宜顺势发散扬越，重症宜顺势减轻消退。《黄帝内经》说：少阳客邪胜则丹疹外发，以及形成丹毒。手少阳经对应的是三焦少阳相火。启玄子（王冰）说：这是逢五寅、五申之年，即少阳相火司天所致，其他年份也有发生。但《黄帝内经》特别明确指出疮疹是由少阳相火引起的。世俗称之为“斑疹伤寒”，这种说法是有道理的。患此病时，常与伤寒同时存在，必然先出现发热、恶寒、头项疼痛、腰脊强直等症状，从太阳经传变到四五天，疹子才开始发出，先从两胁下出现，出于胁肋，接着波及全身表面，逐渐蔓延至四肢。因此，小儿的疮疡、丹毒、瘾疹，都是少阳相火客气偏胜所致。《黄帝内经》说：各种疼痛、瘙痒、疮疡，都属于心火。哪里有寒证呢？所以治疗疮疡，与治疗伤寒、时气的方法相同。初觉头痛、身热恶寒，这是小儿初发疮疡的征兆。其脉象皆浮大而有力，这也与伤寒、时气、冒风、惊风、宿乳积滞等病症难以区分。
应当先进行解表处理。有两种方法：遇到亢阳炎热之时，用辛凉药物解表；遇到久寒凝冽之时，用辛温药物解表。辛凉的药剂，如凉膈散、防风通圣散之类；辛温的药剂，如升麻、葛根之类。这两种方法千万不要混用。在使用这两种方法之后，接着服用加有人参的白虎汤，冷服，不要间断。这是为了防止疮疹引发气喘。气喘是必死的症状，用人参是为了止喘。有人说：立秋之后，不宜服用白虎汤，这是不对的。假如深秋时节患疟疾，疟疾是因中暑而得的，白虎汤能大解暑毒，既然有了白虎汤证，怎么能因为到了秋冬季节就禁用呢？疮疡、瘾疹、丹毒，都是火邪的作用，是肺金之气不及的表现。所以说：白虎汤加人参治疮疹，如果出疹不均匀，大小如豆黍，亲人看到参差不齐，应观察天气的寒暖，将蝉蜕烧成灰，取半字或一字的量，用淡酒调少许给患儿饮下。成人用淡酒温调服用，不到半天，皮疹就会均匀。如果服用百祥丸、紫草饮子，也都是可以服的。世俗用酒醋熏蒸患处，只会增加患者的昏闷感罢了。到了六七天，疹子出齐，可调胃承气汤、凉膈散攻下，同调理伤寒的方法一样。有人说疮疹从头到尾都不可攻下，这是朱奉议公的话。这足以让人战战兢兢，不敢用药。钱仲阳使用百祥丸，其中含有大戟，难道奉议公没看见吗？自从奉议公这话一出，路上死的人太多了！
我家亲属故旧的小孩，有的患疮疡黑陷，腹部气喘，我用白虎汤加人参、凉膈散加当归、桔梗，连续服用几剂，上吐下泻，昼夜不停，又让患儿睡卧在寒凉的地方，用新水浇灌其面目手足，脓水排尽。四肢是诸阳之本。孩子正被疮疡外热燔灼，浇以寒水，使阴气沿经络进入，直达心肺，如同醉酒后醒来，这也是开启昏蒙、破除郁结的开始。这样救活的孩子，岂止千数？疮疡黑陷，气喘且腹胀的，十有八九死亡，如果按照这种方法，还能救活六七成，为什么世间的医生和病人家属，至今仍未醒悟呢？
近年，我庄户邻居往来蔡河的船只，常停泊在此。一天，船夫偶然看见一束败蒲随流而下，渐渐逼近船边，似乎听到微弱的啼哭声。船夫怀疑是人，探身捞起，打开一看，惊讶地发现一个大约四五岁的孩子，疮疡遍布周身，密集得没有缝隙，但两眼明亮，饥饿索要食物，于是给他吃饱粥。船夫的妻子生气地说：“自家的儿女，多染上疮疡传染，怎么私自喂养这个孩子？”沿着蔡河来，水流缓慢，必定不远。拿着孩子的一只鞋，逆流而上，询问河中过往的人，都说没见过这孩子。走了将近二十里，到一个村落，船夫高声喊道：“有个孩子年纪大约这样，不知谁是患疮疡病死，抛弃在河中，现在复活了！”听到酒馆中饮酒者喧哗。有人出来说：“我是某村某人，孩子四五岁，死于疮疡。”船夫拿出鞋子给他看。孩子的父亲哭着说：“真是我的儿子啊。”奔跑来看，惊讶地看到孩子活着，悲痛流泪。拜谢船夫，欢喜地抱着孩子回家，如今已二十多岁。这孩子本来要死，得水而活。恳切告知后来者，疮疡之疾，是热还是寒？《内经》说：各种疼痛、瘙痒、疮疡，都属于心火。启玄子注解说：心静则痛轻微，心躁则痛剧烈。种种起因，都发自心生，疮疡之疾，哪里有寒证呢？我继承父亲的医术，阅病很多。如果欺骗后人，罪责将逃向何处？确实像这种方法，那么原野上的坟墓，因疮疡而死的人，都是被误杀的啊。所以治疗小儿，只有钱仲阳的书值得采纳的最多。但他的方子被阎孝忠扰乱，有见识的人应该选择性地取用。
When a child is in the mother's womb, after ten months of gestation, it accumulates turbid, foul, hot, and toxic qi. This accumulation does not happen in one day but develops over years before manifesting. Whether noble or base, everyone is subject to this. Mild cases present with sparse eruptions, while severe cases are dense; all result from influences received during gestation. The severity of the turbid, foul, hot, and toxic qi varies. This condition is not exclusive to humans. All viviparous beings with blood and qi accumulate such turbid, foul, hot, and toxic qi. Some manifest at one or two years old, some between three to five up to seven or eight years old, and some develop erysipelas (erysipeloid eruption) and urticaria (hives) in old age. Others may develop macules (maculae) due to warm-toxin complicating Taiyang disease (disease of the Taiyang channel), or due to Yang toxicity causing macules. Macules vary in size and color intensity. Large ones belong to Yin, small ones to Yang, yet both are essentially heat syndromes. Dark red color indicates deep heat; light red indicates shallow heat.
For treatment, mild cases should be dispersed and vented according to their nature, while severe cases should be reduced and mitigated. The *Neijing* states: "When the guest pathogen of Shaoyang prevails, erysipelas and rashes erupt externally, forming erysipelas." The Hand-Shaoyang channel corresponds to the Sanjiao Shaoyang Ministerial Fire. Qixuanzi (Wang Bing) noted: "This occurs in years of Wu-Yin and Wu-Shen, when Shaoyang Ministerial Fire governs the Heaven Qi, though it can occur in other years as well." However, the *Neijing* specifically highlights that rashes and eruptions are caused by Shaoyang Ministerial Fire. The common term "macule-rash typhoid" has merit. In this condition, it often accompanies Taiyang disease, initially presenting with fever, aversion to cold, headache, stiff neck, and rigidity of the waist and spine. After transmitting from Taiyang for four to five days, the rash begins to emerge, starting from under the hypochondrium, spreading to the chest and flanks, then to the body surface, and gradually to the limbs. Thus, pediatric eruptions, erysipelas, and urticaria are all caused by the predominance of Shaoyang Ministerial Fire as a guest pathogen. The *Neijing* states: "All pain, itching, sores, and ulcers belong to Heart Fire." How could there be cold? Therefore, treating sores and eruptions follows the same principles as treating Taiyang disease and seasonal epidemics. Initial symptoms of headache, fever, and aversion to cold indicate the onset of pediatric eruptions. The pulse is floating, large, and forceful, making it difficult to distinguish from Taiyang disease, seasonal epidemics, wind-cold invasion, convulsions, or retained milk.
Initial treatment requires releasing the exterior using two methods: in periods of extreme heat and yang abundance, use acrid-cool agents; in periods of prolonged cold and freezing weather, use acrid-warm agents. Acrid-cool preparations include Liangge San (Cool the Chest Powder) and Fangfeng Tongsheng San (Wind-Protecting Universal Rescue Powder); acrid-warm preparations include Shengma (Cimicifugae Rhizoma) and Gegen (Puerariae Radix). These two methods must not be mixed. After applying these methods, administer Baihu Tang (White Tiger Decoction) with added Ginseng, taken cold, without interruption. This prevents asthma induced by the eruption. Asthma in this context is fatal; Ginseng is used to stop wheezing. Some argue that Baihu Tang should not be used after the Start of Autumn. This is incorrect. If malaria occurs in late autumn, and it is caused by summerheat, Baihu Tang effectively clears summerheat toxicity. If the Baihu Tang syndrome is present, why restrict its use based on seasons? Eruptions, urticaria, and erysipelas are manifestations of Fire and indicate deficiency of Lung Metal. Thus, Baihu Tang with Ginseng treats eruptions. If eruptions are uneven, varying in size like beans or millet seeds, relatives observing the irregularity should assess the weather's temperature. Burn cicada slough (Cicadae Periostracum) into ash, take an amount equivalent to half or one Chinese character weight, mix with a small amount of light wine, and administer. Adults should take it warmed with light wine. Within half a day, the eruptions will become uniform. Baixiang Wan (Hundred Reliance Pill) and Zicao Yinzi (Arnebia Decoction) are also acceptable. Common practices of fumigating with wine and vinegar only increase confusion and dizziness. By the sixth or seventh day, when eruptions have fully appeared, treat with Xiaochengqi Tang (Minor Order the Stomach Decoction) or Liangge San to purge, following the same regimen as for Taiyang disease. Some claim that purgatives should never be used from start to finish for eruptions, citing Zhu Fengyi Gong. This induces fear and hesitation in prescribing. Qian Zhongyang used Baixiang Wan, which contains Daji (Euphorbiae Pekinensis Radix); did Zhu Fengyi fail to see this? Since Zhu's statement was made, many have died on the roads!
Relatives and old friends' children in my family suffered from black-retracting eruptions and abdominal asthma. I administered Baihu Tang with Ginseng and Liangge San with Danggui (Angelicae Sinensis Radix) and Jiegeng (Platycodonis Radix). Continuous administration caused vomiting and diarrhea day and night. I placed the child in a cool environment and poured fresh water over their face, hands, and feet until pus and fluid were exhausted. The four limbs are the root of all Yang qi. While the child was being scorched by external fire from the eruptions, pouring cold water allowed Yin qi to enter via the meridians, reaching the Heart and Lungs, akin to waking from a drunken stupor. This method opens congestion and breaks depression. Using this method, I saved thousands. Black-retracting eruptions with asthma and fullness usually result in 80-90% mortality. Following this method, 60-70% survival is possible. Why do physicians and families remain unaware?
Recently, boats traveling along the Cai River near my estate often moored here. One day, the boatman saw a bundle of decaying rushes drifting downstream, approaching the boat, accompanied by faint crying sounds. Suspecting a person, he retrieved it and found a child of about four or five years old. Eruptions covered the entire body densely, yet the eyes were bright, and the child cried for food. He fed the child porridge. The boatman's wife scolded him: "Our own children often contract infectious eruptions; why feed this stranger?" Since the river flow was slow, the origin must be nearby. Holding one of the child's shoes, he went upstream. Everyone asked said they hadn't seen such a child. After traveling nearly twenty li to a village, he shouted loudly: "A child of this age, who died of eruptions and was thrown into the river, is now alive!" Hearing the commotion from a tavern, a man came out saying: "I am from [Village Name]. My four-or-five-year-old son died of eruptions." The boatman showed the shoe. The father wept: "It is truly my son!" Running to look, he was shocked to see his son alive, weeping bitterly. He thanked the boatman and joyfully took his son home. The boy is now over twenty years old. This child, originally destined to die, lived because of water. I earnestly inform future practitioners: Is the eruption disease Heat or Cold? The *Classic* states: "All pain, itching, sores, and ulcers belong to Heart Fire." Qixuanzi annotated: "When the Heart is calm, pain is slight; when the Heart is agitated, pain is severe." All ailments originate from the Heart. How can eruptions be Cold? I inherited medical knowledge from my father and have treated many diseases. If I deceive future generations, where would my guilt lie? If this method is correct, then the graves on the plains represent people wrongly killed by eruptions. Therefore, for pediatric treatment, Qian Zhongyang's book offers the most valuable content. However, his formulas were corrupted by Yan Xiaozhong. Discerning practitioners should select and adopt them wisely.