论曰小儿肌肉柔脆，外邪易侵，故风寒搏于肌肉，凝于气血。则致皴裂，久而生疮。或
痒或痛，其状 肿，破出脓汁，多在两耳，或手足间，故谓之冻烂疮。
治小儿冻疮，蜀椒汤方
蜀椒（去目并闭口炒出汗） 盐（各二两）
上二味，以清酒五升，煎至二升，数数蘸之，其药可五六日用。
治小儿冻足烂疮。附子散方
附子（生锉二枚） 干姜（炮二两）
上二味，捣罗为散，入绵中装袜，如有疮脓，即调腊月猪脂涂之。
治小儿冻耳成疮，或痒或痛。黄柏散涂方
黄柏（去粗皮炙锉） 白蔹（各半两）
上二味，捣罗为散，先用汤洗疮，后以生麻油调涂之。
治小儿冻脚，或痒或痛。小麦汤方
小麦（半升） 穣草（三握锉）
上二味，用醋一升，水二升，同煮至二升，去滓放温洗足。
治小儿冻手皴折痛。白蔹散方
白蔹（二分） 白芨（半两） 生油麻（二合生捣烂）
上三味，将白蔹白芨，同捣罗为散，与油同研匀，更入炊莱菔一枚烂研，以酒调如糊，
先以童子小便洗手，后涂手上。
治小儿冻耳并手面皴痛。 猪 膏方
猪 （一具）
上一味，研如膏，入浆水少许，候稀稠得所，先用童子小便，洗手面，后以匙抄少许，
匀涂手面上。
治小儿冻疮，手足指欲堕，及耳欲落。柏叶膏方
柏叶（炙干为末三两） 杏仁（二十枚汤浸去皮尖别捣如膏） 麻油（三两） 头发（一团如
鸡子大） 盐（研一分） 乳香（研半分） 蜡（半两）
上七味，先煎油蜡沸，即下诸药，以发消为度，搅匀贮瓷器中。每用先以小便洗疮，绵
缠手指 干，浓涂膏，即以软帛裹之。如脚指相掩处，尤须多用膏，裹帛纱，浓以绵裹，勿
令寒气得入，每两日一洗疮换药。稍愈后，三四日一换。
论述说：小儿的肌肉柔嫩脆弱，外邪容易侵袭，所以风寒之邪搏结于肌肉，凝滞于气血之中。这就导致皮肤皴裂，日久形成疮疡。有的发痒，有的疼痛，症状表现为肿胀，破溃后流出脓汁，多发生在双耳或手足之间，因此称为冻烂疮。
治疗小儿冻疮，蜀椒汤方
蜀椒（去除目及闭口者，炒至出油） 盐（各二两）
以上两味药，用清酒五升，煎煮至二升，多次蘸取涂抹，药物可使用五六天。
治疗小儿冻足烂疮，附子散方
附子（生切为末，两枚） 干姜（炮制，二两）
以上两味药，捣碎过筛成散剂，装入棉布中做成袜状，如果有疮脓，就用腊月猪脂调和涂抹。
治疗小儿冻耳成疮，或痒或痛，黄柏散涂方
黄柏（去除粗皮，炙后切锉） 白蔹（各半两）
以上两味药，捣碎过筛成散剂，先用热水清洗疮面，然后用生麻油调匀涂抹。
治疗小儿冻脚，或痒或痛，小麦汤方
小麦（半升） 穣草（三握，切碎）
以上两味药，用醋一升，水二升，共同煮至二升，去渣放温后洗脚。
治疗小儿冻手皴裂疼痛，白蔹散方
白蔹（二分） 白芨（半两） 生油麻（二合，生捣烂）
以上三味药，将白蔹、白芨一同捣碎过筛成散剂，与油一起研磨均匀，再加入一个蒸熟的莱菔捣烂，用酒调成糊状，先用童子小便洗手，然后涂抹在手上。
治疗小儿冻耳以及手面部皴裂疼痛，猪膏方
猪膏（一副）
以上一味药，研磨如膏状，加入少许浆水，待稀稠适度，先用童子小便洗手面，然后用勺子取少量，均匀涂抹在手面上。
治疗小儿冻疮，手足指即将脱落，以及耳朵即将脱落，柏叶膏方
柏叶（炙干研末，三两） 杏仁（二十枚，热水浸泡去皮尖，另捣如膏状） 麻油（三两） 头发（一团，如鸡蛋大小） 盐（研细，一分） 乳香（研细，半分） 蜡（半两）
以上七味药，先煎煮油和蜡沸腾，随即放入其他药物，以头发消融为度，搅拌均匀后储存在瓷器中。每次使用时，先用小便清洗疮面，用棉线缠住手指吸干水分，厚涂药膏，然后用软布包裹。如果是脚趾相互遮挡的地方，尤其需要多用膏药，用帛纱包裹，再用厚棉包裹，不要让寒气侵入，每两天清洗疮面换一次药。稍有好转后，三四天换一次药。
Discussion states: Children's muscles are tender and fragile, making them susceptible to invasion by external pathogens. Thus, wind-cold pathogens contend with the muscles and coagulate in the qi and blood. This leads to skin chapping and cracking, which may develop into sores over time. The symptoms may include itching or pain, manifesting as swelling; upon rupture, pus exudes. These lesions commonly occur on both ears or between the hands and feet, hence termed "frostbite rotting sores" (Donglan Chuang).
To treat frostbite sores in children, Shujiao Decoction (Shu Jiao Tang):
Sichuan Pepper (Zanthoxyli Pericarpium, remove eyes and closed ones, stir-fry until oil appears) Salt (each two liang)
Take the above two ingredients, decoct in five sheng of clear wine until reduced to two sheng. Dip frequently and apply; the medicine can be used for five to six days.
To treat frostbite rotting sores on the feet in children, Fuzi Powder (Fuzi San):
Aconite Root (Raw, crushed, two pieces) Dried Ginger (Pao Zhi, two liang)
Crush and sieve the above two ingredients into a powder. Place in cotton cloth to make socks. If there is pus from the sores, mix with pig lard rendered in the twelfth lunar month and apply.
To treat frostbite sores on the ears in children, characterized by itching or pain, Huangbai Powder Application (Huangbai San Tu Fang):
Phellodendron Bark (Huang Bo, remove coarse bark, heat-process and cut) Akebia Stem (Bai Lian, each half liang)
Crush and sieve the above two ingredients into a powder. First wash the sore with hot water, then blend with raw sesame oil and apply.
To treat frostbitten feet in children, characterized by itching or pain, Xiaomai Decoction (Xiao Mai Tang):
Wheat (Ban Sheng) Straw (Rang Cao, three handfuls, chopped)
Decoct the above two ingredients in one sheng of vinegar and two sheng of water until reduced to two sheng. Strain and let cool to warm temperature before washing the feet.
To treat chapped and painful hands in children due to cold, Bailian Powder (Bailian San Fang):
Akebia Stem (Bai Lian, two fen) Bletilla Tuber (Bai Ji, half liang) Raw Sesame Seeds (Sheng You Ma, two ge, raw and pounded)
Pound the Bai Lian and Bai Ji together, sieve into a powder, and grind evenly with oil. Add one steamed radish, pound thoroughly, and mix with wine to form a paste. First wash hands with urine from a young boy, then apply to the hands.
To treat frostbite on the ears and chapped, painful hands and face in children, Zhugao Ointment (Zhu Gao Fang):
Pig Fat (Zhu Gao, one set)
Grind the fat into an ointment consistency. Add a small amount of fermented rice water. When the consistency is appropriate, first wash the hands and face with urine from a young boy, then scoop a small amount with a spoon and spread evenly on the hands and face.
To treat frostbite sores in children where fingers or toes are about to fall off, and ears are about to detach, Baiye Ointment (Baiye Gao Fang):
Cypress Leaves (Bai Ye, heat-dry and powder, three liang) Apricot Seed (Xing Ren, twenty seeds, soak in hot water, remove skin and tips, pound separately into a paste) Sesame Oil (Ma You, three liang) Human Hair (Yi Tuan, size of a chicken egg) Salt (Yan, finely ground, one fen) Frankincense (Ru Xiang, finely ground, half fen) Beeswax (La, half liang)
Boil the oil and wax first, then add the other herbs. Continue until the hair dissolves. Stir well and store in a porcelain vessel. Before each use, wash the sore with urine, wrap fingers with cotton to dry, apply a thick layer of ointment, and cover with soft cloth. For areas where toes touch, apply more ointment, wrap with gauze, and then with thick cotton to prevent cold pathogen entry. Change medication every two days. Once slightly improved, change every three to four days.