儿生无皮有二端，父母梅毒遗染传，或因未足月生早，无皮赤烂痛难堪，
梅毒换肌消毒散，胎怯当归饮能痊，外敷清凉鹅黄粉，毒解形完肤自坚。
[注]
婴儿生下无皮，其证有二，
或因父母素有杨梅结毒，传染胞胎，
故生下或上半身赤烂，或下半身赤烂，甚至色带紫黑，
又有因月分末足，生育太早，遍体浸渍红嫩而光，
二证俱属恶候遗毒者，内服换肌消毒散，外用清凉膏，或鹅黄散敷之，
胎元不足者，内服当归饮，外用稻米粉扑之，
毒解形完者，谓解去毒气，其皮自惭渐生完而坚实矣。
(换肌消毒散) 当归 生地黄 赤芍药 川芎 皂刺 土茯苓 金银花
连翘去心 甘草生自芷 苦参 白藓皮 防风 引用灯心水煎服。
(方歌)
无皮换肌消毒治，四物皂刺土茯苓，银花连翘草白芷，苦参白藓共防风。
(当归饮) 何首乌制 白藓皮 白蒺藜 甘草 当归 生地黄 白芍药
人参 黄耆 川芎 水煎服。
(方歌)
当归饮治儿无皮，面白肢冷服最宜，首乌藓皮白蒺藜，甘草四物共参耆。
(清凉膏) 石灰四两朱经水湿成块者 用水泡之，没指半许，
露一宿，面上有浮起如云片者，轻轻取之，微带清水，视其多寡，
对小磨香油亦如之，以顺搅成膏为度，用鸡翎搽之自愈。
(鹅黄散)
黄蘖生 石膏各等分煆 共研为细末扑之，湿则干扑，干则用猪苦胆调搽。
(扑粉法) 旱稻白米作粉，时时扑之，其皮渐生神效。
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初生门
新生儿无皮症主要有两种成因：一是父母患有梅毒，遗传传染所致；二是因早产，胎儿未足月而生。患儿表现为皮肤缺失、局部赤烂、疼痛难忍。
对于由梅毒遗毒引起的病例，内服换肌消毒散，外用清凉鹅黄粉，待毒气解除、形体完备后，皮肤自然生长坚固。
【注释】
婴儿出生后无皮，其病症分为两类：
一类是因父母素有杨梅结毒（梅毒），传染给胞胎，导致婴儿出生时上半身或下半身出现赤烂，甚至颜色呈紫黑色；
另一类是因月份不足、生育过早，导致全身皮肤浸渍、红嫩且光亮。
对于属于恶候遗毒的病例，内服换肌消毒散，外用清凉膏或鹅黄散敷贴；
对于胎元不足的病例，内服当归饮，外用稻米粉扑撒。
所谓“毒解形完”，是指去除了毒气，皮肤自然会逐渐生长完备并变得坚实。
【换肌消毒散方】
组成：当归、生地黄、赤芍药、川芎、皂刺、土茯苓、金银花、连翘（去心）、甘草、生白芷、苦参、白藓皮、防风。
用法：引用灯心草水煎服。
【方歌】
无皮换肌消毒治，四物皂刺土茯苓，银花连翘草白芷，苦参白藓共防风。
【当归饮方】
组成：制何首乌、白藓皮、白蒺藜、甘草、当归、生地黄、白芍药、人参、黄耆、川芎。
用法：水煎服。
【方歌】
当归饮治儿无皮，面白肢冷服最宜，首乌藓皮白蒺藜，甘草四物共参耆。
【清凉膏制法】
取石灰四两（经朱砂水浸泡成块的石灰），用水浸泡，深度没过手指半许，露置一夜。待表面浮起如云片状的物质，轻轻取出，保留少量清水，根据取出的量加入等量的小磨香油，顺向搅拌成膏状，用鸡毛涂抹患处即可自愈。
【鹅黄散制法】
组成：生黄蘖、石膏各等分，煅烧后共研为细末。
用法：湿证干扑，干证用猪苦胆汁调匀后搽涂。
【扑粉法】
将旱稻白米磨成粉，时常扑撒于患处，皮肤会逐渐生长，效果神奇。
初生门
Congenital absence of skin in newborns has two main etiologies: one is transmission from parents suffering from syphilis; the other is prematurity, where the fetus is born before full term. The condition presents with missing skin, erythema and ulceration, and unbearable pain.
For cases caused by residual venereal toxins (syphilis), administer HuANJI Xiaodu San internally and apply Qingliang Ehuang Fen externally. Once the toxin is resolved and the body structure is complete, the skin will naturally grow firm and intact.
[Annotation]
Infants born without skin present with two types of syndromes:
One type results from parents having had Yangmei Jiedu (chancre of syphilis) previously, which infects the fetal sac. Consequently, upon birth, the infant may exhibit erythema and ulceration on either the upper or lower body, or even a purplish-black discoloration.
The other type results from premature delivery due to insufficient gestational months, causing the entire body's skin to be macerated, red, tender, and shiny.
For cases attributed to malignant conditions and residual toxins, administer Huanji Xiaodu San internally, and apply Qingliang Gao or Ehuang San externally.
For cases of deficient fetal origin (congenital weakness), administer Danggui Yin internally, and apply rice flour externally.
"Resolution of toxin and completion of form" refers to the elimination of toxic qi, after which the skin will gradually regenerate, becoming complete and robust.
[Huanji Xiaodu San Formula]
Ingredients: Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix Recens), Chi Shao Yao (Paeoniae Radix Rubra), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Zao Ci (Gleditsiae Spina), Tu Fu Ling (Smilacis Glabrae Rhizoma), Jin Yin Hua (Lonicerae Japonicae Flos), Lian Qiao (Forsythiae Fructus, heart removed), Gan Cao (Glycyrrhizae Radix et Rhizoma), Sheng Bai Zhi (Angelicae Dahuricae Radix), Ku Shen (Sophorae Flavescentis Radix), Bai Xian Pi (Dictamni Cortex), Fang Feng (Saposhnikoviae Radix).
Administration: Decoct with Deng Xin Cao (Junci Medullia) water.
[Formula Song]
Wu pi huan ji xiao du zhi, Si wu zao ci tu fu ling,
Yin hua lian qiao cao bai zhi, Ku shen bai xian gong fang feng.
[Danggui Yin Formula]
Ingredients: Zhi He Shou Wu (Polygoni Multiflori Preparata Caulis), Bai Xian Pi (Dictamni Cortex), Bai Ji Li (Tribuli Fructus), Gan Cao (Glycyrrhizae Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix Recens), Bai Shao Yao (Paeoniae Radix Alba), Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma).
Administration: Decoct with water.
[Formula Song]
Dang gui yin zhi er wu pi, Mian bai zhi leng fu zui yi,
Shou wu xian pi bai ji li, Gan cao si wu gong shen qi.
[Qingliang Gao Preparation]
Take four liang of Shi Hui (Calcium Carbonatum) that has been soaked in Zhu Sha Shui (Cinnabar water) until it forms lumps. Soak it in water to a depth slightly exceeding half an inch. Leave it exposed overnight. When cloud-like flakes float on the surface, gently collect them, retaining a small amount of clear water. Add an equivalent amount of Xiao Mo Xiang You (Sesame Oil) based on the quantity collected. Stir clockwise until a paste forms. Apply with a chicken feather for spontaneous healing.
[Ehuang San Preparation]
Ingredients: Sheng Huang Bo (Phellodendri Cortex raw), Shi Gao (Gypsum Fibrosum) in equal parts. Calcine and grind into a fine powder.
Administration: For moist lesions, apply dry powder; for dry lesions, mix with Pig Gallbladder Juice (Zhu Dan) and apply.
[Rice Flour Method]
Grind white grains of dry-rice (Han Dao) into powder. Apply frequently to the affected area. The skin will gradually regenerate with miraculous efficacy.
Section on Newborns