（第三十六）
小儿初生，口内血气凝结，上 及舌上有泡如疖，或如芦FS 样，名曰悬痈，一名垂痈。凡
有此，急宜以针用绵缠裹，惟留针锋，如粟米许，刺泡上，泄出黄赤血汁，用盐汤洗，用蜜调一
字散、如圣散，鹅翎蘸刷之。一刺不消，次日再刺，不过数次，自消尽。
一字散
朱砂 硼砂（各五分） 冰片（少许）
上为细末，蜜调少许，鹅翎刷入口内，咽下无妨。
如圣散
真铅粉（一钱） 牛黄 辰砂 太阴玄精石
上各等分，为细末，掺入口内患处。
（第三十七）
小儿瘰 ，是脏腑久伏积热，而颈项筋宛之中及项下有核如梅李初生，渐次而多，谓之瘰
。瘰 者，结核是也。或在耳后，或在耳前，或在耳下，连及颐项，或在颈下连缺盆，皆谓
瘰。或胸前及胸侧，或在两胁，是为马刀疮，手足少阳经主之。
散 汤小儿结核成 ，先用此方。
连翘 桔梗梢 甘草梢 贝母 天花粉 黄 大黄 玄参 青皮 赤芍药（各等分）
上咀，每服四钱，水盏半，灯芯二十根，煎六分，食后临晚卧服。
槲皮散小儿瘰 痛，以此洗之。
槲皮（去粗皮，此木在处有之，即包益槲叶木是也） 不拘多少，切碎水煎，温汤频洗。
白芨散 治瘰 已溃，脓汁出不干。
白芨 贝母（各半两） 轻粉（一钱）
上为细末，先以槲皮散洗过，后用清油调敷。
其余瘰 治法与大人大同，惟在量其大小虚实加减耳。
（第三十六）
小儿刚出生时，口腔内的血气凝结，向上蔓延至舌面出现像疖子一样的水泡，或者形状像芦苇管一样，这种病叫做悬痈，也叫垂痈。凡是遇到这种情况，应当立即用针包裹绵絮，只露出针尖，大小如粟米般，刺破水泡，放出黄红色的血水，然后用盐开水清洗，再用蜜调匀一字散或如圣散，用鹅毛蘸取涂抹患处。如果一次针刺后未消退，第二天再刺，不过几次，自然就会完全消散。
一字散
朱砂、硼砂（各五分）、冰片（少许）
以上药材研成细末，用蜂蜜调和少量，用鹅毛刷涂入口内，咽下无妨。
如圣散
真铅粉（一钱）、牛黄、辰砂、太阴玄精石
以上药材各等分，研成细末，撒布在口腔患处。
（第三十七）
小儿瘰疬，是由于脏腑长期潜伏积热，导致颈项筋脉之间及颈部下方出现像初生的梅李核一样的肿块，逐渐增多，称为瘰疬。瘰疬就是结核的意思。有的在耳后，有的在耳前，有的在耳下，连及下巴和颈部；有的在颈部下方连及锁骨上窝，都称为瘰疬。有的在胸前及胸侧，或在两胁部，这称为马刀疮，由手足少阳经所主。
散结汤：小儿结核形成瘰疬，先用此方。
连翘、桔梗梢、甘草梢、贝母、天花粉、黄芪、大黄、玄参、青皮、赤芍药（各等分）
以上药材切碎，每次服用四钱，加水一盏半，灯芯草二十根，煎至六分满，饭后傍晚睡前服用。
槲皮散：小儿瘰疬疼痛，用此方清洗。
槲皮（去掉粗皮，这种树到处都有，就是包益槲叶的树木），用量不拘，切碎后用水煎煮，用温热的药汤频繁清洗。
白芨散：治疗瘰疬已经溃破，脓汁流出不干涸的情况。
白芨、贝母（各半两）、轻粉（一钱）
以上药材研成细末，先用槲皮散清洗过，然后用清油调和敷贴。
(36)
When a newborn infant is born, blood and qi coagulate in the mouth, extending upward to form blisters on the tongue resembling boils or shaped like reed tubes. This condition is called Xuan Yong (Hanging Abscess), also known as Chui Yong (Drooping Abscess). Whenever this occurs, one should urgently use a needle wrapped in cotton, leaving only the needle tip exposed, about the size of a millet grain, to puncture the blister and drain the yellowish-red bloody fluid. Then wash with salt water, and apply Yi Zi San (One-Character Powder) or Ru Sheng San (Like-Sage Powder) mixed with honey using a goose feather brush. If it does not subside after one puncture, puncture again the next day; after no more than a few times, it will naturally disappear completely.
Yi Zi San (One-Character Powder)
Cinnabar (Zhu Sha), Borax (Peng Sha) (each 5 fen), Borneol (Bing Pian) (a small amount)
Grind the above into fine powder, mix with a small amount of honey, and brush into the mouth with a goose feather. It is harmless if swallowed.
Ru Sheng San (Like-Sage Powder)
Real Lead White (Zhen Qian Fen), Realgar (Niu Huang - *Note: Niu Huang usually refers to Calculus Bovis, but text says Zhen Qian Fen then Niu Huang, likely distinct ingredients*), Chen Sha (Vermilion), Tai Yin Xuan Jing Shi (Taiyin Black Crystal Stone)
Grind each into fine powder in equal proportions, and sprinkle onto the affected area in the mouth.
(37)
Xiao Er Luo Li (Pediatric Scrofula) is caused by long-standing latent accumulated heat in the zang-fu organs, leading to nodules appearing in the tendons and vessels of the neck and under the chin, initially resembling young plums or medlars. These gradually increase in number, termed Luo Li. Luo Li refers to tubercles. They may appear behind the ear, in front of the ear, below the ear, connecting to the jaw and neck; or below the neck connecting to the supraclavicular fossa, all referred to as Luo Li. Those on the chest front and sides, or in the two hypochondriac regions, are called Ma Dao Chuang (Horse Knife Sores), governed by the Hand-Shaoyang and Foot-Shaoyang meridians.
San Jie Tang (Scatter-Knot Decoction): For pediatric tubercles forming Luo Li, first use this formula.
Forsythiae Fructus (Lian Qiao), Prunella Vulgaris (Jie Geng Shao - *Note: Text says Jie Geng Shao, likely Pedicel of Platycodon*), Glycyrrhizae Radix et Rhizoma (Gan Cao Shao), Fritillariae Bulbus (Bei Mu), Trichosanthis Radix (Tian Hua Fen), Astragali Radix (Huang Qi), Rheum Palmatum (Da Huang), Scrophulariae Radix (Xuan Shen), Aurantii Fructus (Qing Pi), Paeoniae Radix Rubra (Chi Shao Yao) (all in equal proportions)
Cut the above into pieces. Take 4 qian per dose, add 1.5 cups of water and 20 stalks of Juncus effusus (Deng Xin), decoct until reduced to 0.6 parts. Administer after meals, late in the evening before sleep.
Hu Pi San (Oak Bark Powder): For painful pediatric Luo Li, use this for washing.
Quercus variabilis bark (Hu Pi) (remove coarse bark; this tree is found everywhere, specifically the tree that wraps Yi leaves). Use any amount, cut into pieces, decoct in water, and wash frequently with warm liquid.
Bai Ji San (Bletilla Powder): Treats Luo Li that has already ulcerated, with non-drying pus discharge.
Bletillae Rhizoma (Bai Ji), Fritillariae Bulbus (Bei Mu) (each 0.5 liang), Calomelas (Qing Fen) (1 qian)
Grind the above into fine powder. First wash with Hu Pi San, then mix with pure sesame oil and apply externally.
The remaining methods for treating Luo Li are largely the same as those for adults, differing only in dosage adjustments based on the child's size and deficiency/excess patterns.