夫小儿丹发膝上。从两股起。及脐间。走入阴头。谓之尿灶火丹也。
治小儿尿灶火丹方。
桑根白皮(一斤)
上细锉。以水七升。煮至四升。去滓。看冷热。避风洗浴。
又方。
李树根(半斤烧灰)
上细研为散。用田中流水调涂之。
又方。
屋四角茅(烧灰)
上细研为散。以鸡子白调涂之。
夫小儿有肌肉虚者。为风毒热气所乘。热毒搏于血气。则皮肤赤而肿起。其风随气行游
不定
治小儿赤游。皮肤作片。赤肿。此是风热所致。宜服犀角散方。
犀角屑(一分) 黄芩(一分) 黄 (一分锉) 川升麻(一分) 栀子仁〔二(一)
分〕 牛
黄(
上件药。捣细罗为散。不计时候。煎竹叶汤调下半钱。量儿大小。加减服之。
治小儿头面。及身体赤毒。肿起作片。宜用升麻膏方。
川升麻(一两) 犀角屑(半两) 射干(半两) 赤芍药(半两) 黄芩(半两) 栀
子仁(半
两) 川大黄(半两) 大青(半两) 蓝子(半两) 玄参(半两) 羚羊角屑(半两) 生
地黄(二
两)
上件药。细锉。以猪脂一斤半。入于铛中。于慢火上煎。不住手搅。候药色变。膏成。
去滓
又方。
黄柏(末半两) 川大黄(末半两) 川朴硝(半两细研) 马勃(一分) 水银(一
分手心内
津研
上件药。都研如膏。每用时。先以铍针铍破。然后以膏涂之。
又方。
鸡冠花(半两) 商陆(半两) 紫 (半两) 川大黄(半两)
上件药。捣细罗为散。以鸡子清入生油用。等分调涂之。干即更涂。
又方。
附子(半两去皮脐) 川椒(半两去目) 石盐(三分)
上件药。捣罗为末。以炼了猪脂四两相和。于慢火上熬成膏。以瓷盒盛。候冷。时用涂
之。
又方。
栝蒌根(二两末) 伏龙肝(半两)
上件药。细研为散。以醋调涂之。干即再涂之。
治小儿赤游。肿行于体上。入腹即损人。宜用此方。
上取白豆末。水和涂之。干即更涂。
小儿丹毒发作于膝盖以上,从两腿大腿处起始,蔓延至肚脐之间,进而侵入阴头部位,这被称为尿灶火丹。
治疗小儿尿灶火丹的方剂:
桑根白皮(一斤)
将药材细细切碎,用水七升,煎煮至四升,滤去药渣。待药液温度适宜(冷热适中),避开风口给患儿洗浴。
另一个方子:
李树根(半斤,烧成灰)
将药材细细研磨成散剂,用田间的流动清水调和后涂抹患处。
又一个方子:
屋檐四角的茅草(烧成灰)
将药材细细研磨成散剂,用鸡蛋清调和后涂抹患处。
小儿若肌肉虚弱,易受风毒热气侵袭。热毒与血气搏结,导致皮肤发红且肿胀隆起。风邪随气机运行而游走不定。
治疗小儿赤游丹,皮肤出现片状红肿,这是由风热引起的,适宜服用犀角散方。
犀角屑(一分) 黄芩(一分) 黄芪(一分,切碎) 川升麻(一分) 栀子仁(二分) 牛黄(一分)
将上述药物捣碎并过细罗筛成散剂。不拘时候,用竹叶汤冲服半钱。根据患儿年龄大小,酌情增减剂量服用。
治疗小儿头面部及身体出现的赤毒,肿胀成片,适宜使用升麻膏方。
川升麻(一两) 犀角屑(半两) 射干(半两) 赤芍药(半两) 黄芩(半两) 栀子仁(半两) 川大黄(半两) 大青(半两) 蓝子(半两) 玄参(半两) 羚羊角屑(半两) 生地黄(二两)
将上述药物细细切碎,放入猪脂一斤半中,置于锅中,在慢火上煎熬,不停搅拌,直到药色改变,膏体形成。滤去药渣。
又一个方子:
黄柏(末,半两) 川大黄(末,半两) 川朴硝(半两,细细研磨) 马勃(一分) 水银(一分,在手心内用唾液研磨)
将上述药物一起研磨成膏状。每次使用时,先用铍针挑破患处,然后将药膏涂抹上去。
又一个方子:
鸡冠花(半两) 商陆(半两) 紫草(半两) 川大黄(半两)
将上述药物捣碎并过细罗筛成散剂,加入鸡蛋清和生油,按等比例调和后涂抹。干了就再涂。
又一个方子:
附子(半两,去皮和脐) 川椒(半两,去目) 石盐(三分)
将上述药物捣碎过罗筛成粉末,与炼过的猪脂四两混合,在慢火上熬制成膏。装入瓷盒中,待冷却后,随时涂抹。
When infantile erysipelas (Dan disease) erupts above the knees, starting from both thighs and spreading to the umbilicus, then invading the glans penis, it is called "Niaozao Huodan" (Urine-burning Fire Erysipelas).
Prescription for treating infantile Niaozao Huodan:
*Morii Cortex* (one *jin*)
Finely chop the herb. Boil in seven *sheng* of water until reduced to four *sheng*. Strain the dregs. Allow the liquid to cool or warm appropriately, and use it to bathe the child away from drafts.
Another prescription:
*Pruni Rami Cortex* (half a *jin*, calcined to ash)
Finely grind into powder. Mix with flowing water from fields and apply topically.
Yet another prescription:
*Imperatae Rhizoma* (thatch from the four corners of the roof, calcined to ash)
Finely grind into powder. Mix with egg white and apply topically.
Infants with deficient muscles are susceptible to invasion by wind-toxic heat qi. When heat-toxin contends with blood and qi, the skin becomes red and swollen. The wind pathogen moves unpredictably following the qi circulation.
For treating infantile Chiyou Dan (Red Wandering Erysipelas), where the skin presents as patchy redness and swelling caused by wind-heat, it is appropriate to administer Xijiao San Powder.
*Rhinocerotis Cornu* (one *fen*) *Scutellariae Radix* (one *fen*) *Astragali Radix* (one *fen*, chopped) *Cimicifugae Rhizoma* (one *fen*) *Gardeniae Fructus* (two *fen*) *Bovis Calculus* (one *fen*)
Pulverize the above herbs finely and sieve through a fine mesh. Take half a *qian* mixed with decoction of bamboo leaves, at any time. Adjust the dosage according to the child's age and size.
For treating infantile head, face, and body red-toxic lesions presenting as patchy swelling, Shengma Ointment is appropriate.
*Cimicifugae Rhizoma* (one *liang*) *Rhinocerotis Cornu* (half a *liang*) *Belamcandae Rhizoma* (half a *liang*) *Paeoniae Radix Rubra* (half a *liang*) *Scutellariae Radix* (half a *liang*) *Gardeniae Fructus* (half a *liang*) *Rhei Radix et Rhizoma* (half a *liang*) *Isatidis Folium* (half a *liang*) *Indigo Naturalis* (half a *liang*) *Scrophulariae Radix* (half a *liang*) *Saigae Tataricae Cornu* (half a *liang*) *Rehmanniae Radix Recens* (two *liang*)
Finely chop the above herbs. Add one and a half *jin* of lard into a cauldron. Simmer over low heat while stirring constantly until the color changes and the ointment forms. Strain the dregs.
Another prescription:
*Phellodendri Cortex* (powder, half a *liang*) *Rhei Radix et Rhizoma* (powder, half a *liang*) *Natrii Sulfas* (half a *liang*, finely ground) *Fumiti Spora* (one *fen*) *Hydrargyrum* (one *fen*, ground in palm with saliva)
Grind all ingredients together into a paste. Before application, first puncture the lesion with a bi needle, then apply the ointment.
Another prescription:
*Galii Veri Herba* (half a *liang*) *Moutan Cortex* (half a *liang*) *Arnebiae Radix seu Lithospermi Radix* (half a *liang*) *Rhei Radix et Rhizoma* (half a *liang*)
Pulverize the above herbs finely and sieve. Mix with egg white and vegetable oil in equal parts for topical application. Reapply when dry.
Another prescription:
*Aconiti Lateralis Radix Praeparata* (half a *liang*, peeled and navel removed) *Zanthoxyli Fructus* (half a *liang*, eyes removed) *Sal* (three *fen*)
Pulverize the above herbs and sieve. Mix with four *liang* of refined lard. Simmer over low heat to form an ointment. Store in a porcelain box. Apply when cooled.
Another prescription:
*Trichosanthis Radix* (two *liang*, powdered) *Longan Arillus* (half a *liang*) [Note: Fulonggan refers to the inner lining of the clay stove]
Finely grind into powder. Mix with vinegar for topical application. Reapply when dry.
For treating infantile Chiyou Dan, where swelling travels across the body; if it enters the abdomen, it damages the person. This prescription is appropriate.
Take powder of *Phaseoli Semen Album* (white adzuki bean/soybean). Mix with water and apply topically. Reapply when dry.