八十七、猪尾膏。治疮疹初作，未能出透，及已出尽，内外热毒贯注，血 如豆，在于
肌皮之上，不结痂 ，二者皆用之。且疮疹蕴伏，毒热欲出而未能透，则热甚动心，心烦狂
躁妄语，或见鬼神，此皆心热也。盖心营于血，血热则瘀，瘀则色败，未出者则为鬼疮子，
一出而便黑也。已出者为黑靥。大抵疮痘自红斑生成血 ， 至五七日结脓窠，至六七日不
结脓窠者，此是毒瓦斯弥满，恐复入里。古人用龙脑香凉心血，行荣卫，用猪心血者，以心归
心，用猪尾血者，取其常动欲散外也，况有前狂躁证而未省者，以温酒化下，此意欲散而行
荣卫故也，皆治热毒太盛者。后人见用猪尾膏，亦名龙脑膏得效，间有虚而陷伏者亦用之，
误人甚多，深可怪也。又有当用一字，却用一钱，热少而不能当之，及以为害者亦多。如合
用一字者，且与半字，如伤寒作渴甚，能饮一斗者，且与五升，正此之意。况有心经热，兼
有他虚寒证见者，又不可轻服。如吐泻人发热烦渴，小便赤，则不全为寒证治也。烦躁人大
便自利而小便清，则不全为热证治也。如有此证，在医者两全之，去其所苦，扶和阴阳，不
至偏绝，无不安者。
上用龙脑半字许，研细，旋滴猪心血和丸，以紫草汤化下。烦躁狂闷未省者，以温酒浸
服之，钱氏用猪尾膏用猪尾血，其意皆通，又名龙脑膏。
八十八、控心散。小儿斑疮，一服而出。
全蝎（二十四个，炒） 雄黄 麻黄（去节，各一分）
上为细末，每服一钱，用胡荽煎酒调下。蝎治诸风瘾疹，中风半身不遂，口眼歪斜，语
涩抽掣者，为能手透诸筋脉，雄黄主恶疮疽痔，透百节，治疥疡，亦治疮疹，毒瓦斯不能出也
，麻黄解肌，泄邪气恶气，消赤黑斑毒，三药治疮疹当出而不出者，如自然出快者，不须服
也。
八十九、独味麻黄汤。治斑疮倒靥。
上用麻黄三十寸，去节，蜜拌炒令香，紫色为度，水一盏，煎至六分服。昔有人得此方
后，知兖州仙源县，值工笔李用之子肉疮倒靥，已至危困，投此药一服，疮子便出，其应如
神。未至胃烂便血者，皆可治服。
九十、南金散。治小儿疮疹已出而复颠，其热甚危，诸药不效者，万无一失。
紫背荷叶（霜后搭水紫背者） 白僵蚕（直者，炒去丝）
上为细末，各一钱匕，小儿半钱，研胡荽汁和酒下，米饮亦得。本家在处贴印施人，其
全活者甚众。盖药有用龙脑人牙齿者，卒难得之，唯此药无毒而效速，荷叶卒难得，可于盐
铺内寻之。
九十一、滑石散。治疮痘出迟，恐壅瘀黑色，此药滑窍令出快，治膈上烦热多渴，小便
赤涩，面青气粗，大便不利者。
滑石 甘草（炙）
上等分为细末，每服一钱，鸡子清酒少许调服。
九十二、橄榄核水。治疮子倒靥。
上用橄榄子核中截断，水磨少许服，立发。
九十三、快毒丹。治小儿疮疹，气匀即出快。盖血与气相随，若内有邪热，即血妄行，
使气不匀，大抵疮疹气快自匀，宜快毒丹，疮疹出，皆服之。
牵牛（黑者，炒） 木香（各一分） 肉豆蔻（半两，面里煨熟） 青皮（一两，半生
半熟）
上为细末，滴水和丸，如黍米大，每服七丸至二丸，浓煎紫草葱白汤下，乳前服之，量
其大小加减。
九十四、红粉丹。治脏腑热，疮疹不匀。
龙脑（细研，一钱） 坏子胭脂 天竺黄 朱砂（细研，各一两） 南星（腊日酿牛酪
中百日内阴干，取末一两）
上五味，炼蜜和搜为丸，如鸡头子大，每服一丸，煎人参汤化下。
九十五、乳香猪血膏，治斑疮不发。
上以乳香研细，用猪心血为丸，如樱桃大，每服一丸，用水磨化下。
九十六、紫金散。治小儿疮疹倒靥，及出不快者。
紫草 蛇蜕（炒焦） 牛李子（炒，各半两）
上为粗末，每服一钱，水七分盏，煎至四分，去滓温服，不拘时候。蛇蜕治一切恶疮，
十年不愈者，亦用之，良故也。
九十七、钩藤紫草散。发斑疹，令出快。
钩藤钩子 紫草茸
上等分为细末，每服一字，或半钱，用温酒调下，无时服。紫草滑窍利小便，散诸十二
经毒瓦斯，钩藤治小儿寒热，十二惊痫，治疮疹而用之。《素问》云∶疮疡烦躁痛痒，皆出于
心，惊痫，心病也，疮疡，亦心所主者，故用也。
九十八、麝香猪血丸。治小儿疮疹不透。
上旋取猪心血调麝香少许，两手心涂之，并涂些小口唇上，无不极验。
九十九、木星饮子。治小儿疮疹不出，及出不快者。
朱砂（一分） 郁金（半两）
上为细末，每服一字或二字，量大小，入龙脑少许，以新汲水茶脚少许同调匀，然后刺
猪尾滴三点子入药汁，令服。不过一二时辰，疮子出便红活。小儿无他病，神效。本草云∶
郁金辛寒，主血积下气，生肌上血，破恶血气，尿血金疮，以意详疮疹出于心也，由热而出
也，朱砂安心，性微寒，以治热也，热有所蕴蓄，则壅瘀而不出。用郁金者，下气消恶血，
无壅瘀则出，出而不迟也。
一百、四圣散。治疮疹出不快及倒靥。
紫草 木通 甘草（炙） 枳壳（麸炒） 黄麸
上件等分为粗末，每服一钱，水一中盏，煎六分，去渣温服。
一百○一、脱壳散。
上以鸡子抱出壳子，于新瓦上焙干，去膜取壳，捣研如粉细，遇小儿斑疮倒靥颠不出，
或脏腑粪血粪黑头疮，昏睡不醒，用酒调一字，涂儿唇上，令儿舐，或以酒调涂风池，背上
心前，此名脱壳散，或以热汤调一字服之。
一百○二、山栀子汤。治麸疹及斑毒，状如蚊蚤所啮，毒盛黑色者。
山栀子仁 白藓皮 赤芍药 升麻（各一两） 寒水石 甘草（炙，各半两）
上件为细末，每服一钱，水八分盏，以紫草薄荷各少许，同煎至五分，去滓放温服。
一百○三、化毒散。
郁金香（一枚） 甘草（炙，一分）
上用水半碗，同煎令水干，去甘草，将郁金切作片，令干为末，入生脑子五分，研令匀
，用猪血研成稀膏子，煎薄荷汤化下一钱，不过二服，其毒瓦斯从手足心出乃瘥，此五死一生
之候。若便血疮坏无脓者，十死不治。一法可用蝉蜕末一钱，好脑子一皂角子大，大猪心血
三皂子大，和作膏子，用热酒浸紫草令温化下，服移时。身上发大热，疮毒顿出，然后根据证
调治。
一百○四、宣毒膏。治毒瓦斯盛，疮疹已出不快，倒靥，急服此药，曾经大效。
猪血（先腊八日取后尾血一升，用新瓦器盛） 好朱砂（细研） 拣乳香（细研，各
一两） 甘草（炙，为末） 马牙硝（各半两） 片脑 麝香（各一字）
上件一处，同猪血拌匀，用一宽新竹筒底二个，尽入诸药在筒内，用密纸数重系定，于
大粪坑屋梁上，至清明日取出曝干，更入脑麝各一钱，细研匀，滴水丸，如皂角子大，煎人
参汤化下一丸。若毒盛疮黑靥服之者，疮疹红活再长，神验。
一百○五、百祥丸。治疮疹黑陷，而耳尻反热者，为逆也，用百祥丸牛李膏各三服而不
愈。又云∶紫黑干陷者，百祥丸下之。不黑者，谨勿下。又云∶黑者无问何时，十难救一。
其候或寒战噤牙，或耳黄肿紫，宜急以百祥丸下之。下之复恶寒不已，身冷汗，耳尻反热者
，死病也。得身温欲饮水，可治。又云∶疮黑陷而不发寒，病未固也，遂用百祥丸为药，以
牛李膏为助，各一大服，五日而复红活，七日而愈。
上红芽大戟，不以多少，阴干浆水煮软，去骨，日中曝干，复入汁中，煮汁尽，焙干为
末，水丸，如粟大，每服一二十丸，研赤芝麻汤下。吐利同，无时。
一百○六、牛李膏。治疮痘倒靥。又云∶已出未出快者宜服紫草散、玳瑁散之类，重者
以牛李膏。又云∶治小儿疮疹，毒瓦斯不散，出不快，及触犯黑色者宜用之，又云夺命膏。
上用黑熟牛李子，七八月内采于盆内，研汁，生绢裂去滓，用银器盛，慢火熬成膏，瓷
器内收，常令透风，每服一皂角子大。煎杏胶化，如人行二十里，再进一服，其疮疹自然红
色，毒瓦斯慢，此药神妙，一切疮疹出不快并可服。钱乙同名牛李膏。又云∶至秋结实，黑圆
成穗，无生者，市肆中干者为末，水熬代用。董汲治小儿疮疹痘 恶候，见皮肤下不出，或
出不快长，及紫黑干陷，亦用此药。仍云∶汲小年病此，恶候极危殆，父母不忍见之，遇钱
乙下此药得安，因恳求得真方，遂傅于世。惟于收时不知早晚，故无全效，今并收时载之，
九月后收取，研滤成膏，每膏二两，研入好麝香半钱，收贮不津器中。《九 卫生方》同，
但用桃胶半两，牛李子一两，炒为粗末，每服一钱，水七分盏，煎至四分，去滓温服，治疗
亦同。
一百○七、倍金散。治小儿疮痘倒靥黑色。
鼠粘子（炒，二两） 神曲（炒，半两） 减杖华 山果子（连枚，一两）
上为粗末，每服一钱，水八分盏，入荆芥七穗，紫草十根，同煎至四分，去渣温服。
一百○八、抵圣丸。治小儿斑疮不出反入方。
上用十二月老鸦左翅，不计多少，风中令干，辰日烧为灰，用中等 猪背上刺血为丸
，如鸡头实大，每服一丸，以 猪尾上血少许，温水同化下，未效，二三时间再一服。
一百○九、湿生虫散。治疮子倒靥。
上用湿生虫，不计多少，焙干为末，酒调下一字。
一百一十、白花蛇散。治大人小儿疮子倒靥。
白花蛇（连骨一两，火炙令干，勿焦） 大丁香（二十一枚）
上为细末，每服一钱，小儿半钱，以水解淡酒调下，如黑靥者服之，移时重红生如圣。
八十七、猪尾膏。治疗疮疹初起，未能透发出来，以及已经出齐，内外热毒灌注，血液凝滞如豆状，停留在肌肤表面，不能结痂的两种情况，都使用此方。况且疮疹蕴藏潜伏，毒热想要透出却未能透发，就会导致热势极盛扰动心神，出现心烦、狂躁、胡言乱语，甚至看见鬼神的现象，这都是心经有热的表现。因为心主血脉，血热则瘀滞，瘀滞则血色败坏，未发出的成为鬼疮子，一旦发出就变黑。已发出的称为黑靥。大抵痘疮从红斑生成血点，到五七日结成脓窠，到六七日还不结脓窠的，这是毒瓦斯弥漫充满，恐怕会再次陷入体内。古人用龙脑香来凉心血，运行营卫之气；用猪心血，是因为心归于心；用猪尾血，是取其经常活动、善于发散外邪的特性。何况如果有前面提到的狂躁症状且神志不清的，用温酒送服，这意图在于发散并运行营卫之气，都是治疗热毒太盛的病症。后人见到使用猪尾膏，也叫龙脑膏，确实有效，但间或有体质虚弱而致疮疹内陷潜伏的也使用它，误人很多，实在令人奇怪。又有应当用“一字”量的药，却用了“一钱”，药力轻微而不能胜任病情，以及认为有害的人也有很多。比如合适用一字的，暂且给半字，就像伤寒口渴严重，能喝下一斗水那样，暂且给五升，正是这个意思。况且有心经热，兼有其他虚寒证候表现的，又不可轻易服用。比如呕吐腹泻的人发热烦渴，小便赤黄，则不完全是寒证，应按此治法处理。烦躁的人大便自利而小便清长，则不完全是热证，应按此治法处理。如果有这种情况，在医生要全面权衡，去除病人的痛苦，扶持调和阴阳，不至于偏颇绝灭，就没有不安稳的。
上面取龙脑约半字量，研细，随时滴入猪心血和匀制成丸剂，用紫草汤化开送服。烦躁狂闷神志不清的，用温酒浸服。钱乙（钱氏）使用猪尾膏用猪尾血，其用意都是相通的，又名龙脑膏。
八十八、控心散。小儿斑疮，服用一次即可透发出来。
全蝎（二十四个，炒制） 雄黄 麻黄（去节，各一分）
以上研为细末，每次服用一钱，用胡荽煎酒调服。蝎子治疗各种风邪引起的瘾疹，中风半身不遂，口眼歪斜，言语涩滞抽搐的，是能手透达诸筋脉；雄黄主治恶疮疽痔，透达百节，治疗疥疡，也治疗疮疹，毒瓦斯不能透发的情况；麻黄解肌表之邪，泄除邪气恶气，消除赤黑斑毒。这三味药治疗疮疹应当发出而发不出来的，如果自然发出顺畅的，不需要服用。
八十九、独味麻黄汤。治疗斑疮倒靥（疮疹内陷）。
上面取麻黄三十寸，去节，用蜜拌炒至香气溢出，呈紫色为止，用水一盏，煎至六分，服用。过去有人得到此方后，任兖州仙源县知县时，遇到工笔李用之子的肉疮倒靥，已经到了危重困顿的地步，投以此药一次，疮子便发出了，反应神奇。未到胃烂便血的阶段，都可以治疗服用。
九十、南金散。治疗小儿疮疹已经发出又复陷，热势很危险，其他药物无效的，万无一失。
紫背荷叶（霜后采摘带水的紫背者） 白僵蚕（直条的，炒去丝）
以上研为细末，成人各一钱匕，小儿半钱，研胡荽汁和酒送下，米饮也可以。本家在各地贴印施药救人，保全性命的人很多。大概药物有用龙脑入牙齿的，突然很难得到，只有此药无毒且见效快，荷叶突然难得到，可以在盐铺里寻找。
九十一、滑石散。治疗疮痘发出迟缓，恐怕壅瘀变黑，此药滑利窍道令其发出快，治疗膈上烦热多渴，小便赤涩，面色青气粗，大便不利的情况。
滑石 甘草（炙）
以上等分为细末，每次服用一钱，用鸡蛋清和少许酒调服。
九十二、橄榄核水。治疗疮子倒靥。
上面取橄榄子核中间截断，用水磨取少许汁液服用，立即发出来。
九十三、快毒丹。治疗小儿疮疹，气息均匀即发出快。盖因血与气相随，若内有邪热，即血妄行，使气不均匀，大抵疮疹气机顺畅自然均匀，宜用快毒丹，疮疹发出，都服用它。
牵牛（黑色的，炒制） 木香（各一分） 肉豆蔻（半两，面裹煨熟） 青皮（一两，半生半熟）
以上研为细末，滴水泛丸，如黍米大小，每次服用七丸至二丸，浓煎紫草葱白汤送下，哺乳前服用，根据孩子大小加减剂量。
九十四、红粉丹。治疗脏腑热，疮疹出不均匀。
龙脑（细研，一钱） 坏子胭脂 天竺黄 朱砂（细研，各一两） 南星（腊月酿在牛酪中一百日内阴干，取末一两）
以上五味药，炼蜜和搜制成丸剂，如鸡头子大小，每次服用一丸，煎人参汤化开送服。
九十五、乳香猪血膏，治疗斑疮不发。
上面将乳香研细，用猪心血制成丸剂，如樱桃大小，每次服用一丸，用水磨化开送服。
九十六、紫金散。治疗小儿疮疹倒靥，以及发出缓慢的情况。
紫草 蛇蜕（炒焦） 牛李子（炒，各半两）
以上为粗末，每次服用一钱，水七分盏，煎至四分，去渣温服，不拘时候。蛇蜕治疗一切恶疮，十年不愈的，也用此药，确实是良方。
九十七、钩藤紫草散。发斑疹，令其发出快。
钩藤钩子 紫草茸
以上等分为细末，每次服用一字或半钱，用温酒调服，无固定时间服用。紫草滑利窍道利小便，散除十二经毒瓦斯；钩藤治疗小儿寒热，十二惊痫，治疗疮疹而使用它。《素问》说：疮疡烦躁痛痒，都出于心，惊痫也是心病，疮疡也是心所主的，所以使用它。
九十八、麝香猪血丸。治疗小儿疮疹不透。
上面随时取猪心血调少许麝香，涂在两手心，并涂一点在小口唇上，无不极其灵验。
九十九、木星饮子。治疗小儿疮疹不出，以及发出缓慢的情况。
朱砂（一分） 郁金（半两）
以上研为细末，每次服用一字或二字，根据大小，加入少许龙脑，用新汲水和少许茶脚同调匀，然后刺猪尾滴三点血入药汁，令其服用。不超过一二个时辰，疮子发出便红活。小儿无其他病，神效。本草说：郁金辛寒，主血积下气，生肌上血，破恶血气，尿血金疮。凭意详察疮疹出于心，由热而出，朱砂安心，性微寒，以治热。热有所蕴蓄，则壅瘀而不出。用郁金的，下气消恶血，无壅瘀则发出，发出而不迟。
一百、四圣散。治疗疮疹发出缓慢及倒靥。
紫草 木通 甘草（炙） 枳壳（麸炒） 黄麸
以上件等分为粗末，每次服用一钱，水一中盏，煎六分，去渣温服。
一百○一、脱壳散。
上面取鸡蛋抱出的壳子，在新瓦上焙干，去掉膜取壳，捣研如粉细，遇到小儿斑疮倒靥陷不出，或者脏腑粪血粪黑头疮，昏睡不醒，用酒调一字，涂在孩子嘴唇上，让孩子舔舐，或者用酒调涂风池穴，背上心前，此名脱壳散，或者用热汤调一字服用。
一百○二、山栀子汤。治疗麸疹及斑毒，状如蚊蚤所咬，毒盛黑色者。
山栀子仁 白藓皮 赤芍药 升麻（各一两） 寒水石 甘草（炙，各半两）
以上件为细末，每次服用一钱，水八分盏，以紫草薄荷各少许，同煎至五分，去滓放温服。
一百○三、化毒散。
郁金香（一枚） 甘草（炙，一分）
以上用水半碗，同煎令水干，去掉甘草，将郁金切作片，令干为末，加入生脑子五分，研令匀，用猪血研成稀膏子，煎薄荷汤化开一钱，不过两次服药，其毒瓦斯从手足心出乃痊愈，这是五死一生之候。若便血疮坏无脓的，十死不治。一法可用蝉蜕末一钱，好脑子一皂角子大，大猪心血三皂子大，和作膏子，用热酒浸紫草令温化下，服移时。身上发大热，疮毒顿出，然后根据证调治。
一百○四、宣毒膏。治疗毒瓦斯盛，疮疹已出不快，倒靥，急服此药，曾经大效。
猪血（先腊八日取后尾血一升，用新瓦器盛） 好朱砂（细研） 拣乳香（细研，各一两） 甘草（炙，为末） 马牙硝（各半两） 片脑 麝香（各一字）
以上件一处，同猪血拌匀，用一宽新竹筒底二个，尽入诸药在筒内，用密纸数重系定，于大粪坑屋梁上，至清明日取出曝干，更入脑麝各一钱，细研匀，滴水丸，如皂角子大，煎人参汤化下一丸。若毒盛疮黑靥服之者，疮疹红活再长，神验。
一百○五、百祥丸。治疗疮疹黑陷，而耳尻反热者，为逆也，用百祥丸牛李膏各三服而不愈。又云：紫黑干陷者，百祥丸下之。不黑者，谨勿下。又云：黑者无问何时，十难救一。其候或寒战噤牙，或耳黄肿紫，宜急以百祥丸下之。下之复恶寒不已，身冷汗，耳尻反热者，死病也。得身温欲饮水，可治。又云：疮黑陷而不发寒，病未固也，遂用百祥丸为药，以牛李膏为助，各一大服，五日而复红活，七日而愈。
上面红芽大戟，不以多少，阴干浆水煮软，去骨，日中曝干，复入汁中，煮汁尽，焙干为末，水丸，如粟大，每服一二十丸，研赤芝麻汤下。吐利同，无时。
一百○六、牛李膏。治疗疮痘倒靥。又云：已出未出快者宜服紫草散、玳瑁散之类，重者以牛李膏。又云：治小儿疮疹，毒瓦斯不散，出不快，及触犯黑色者宜用之，又云夺命膏。
上面用黑熟牛李子，七八月内采于盆内，研汁，生绢裂去滓，用银器盛，慢火熬成膏，瓷器内收，常令透风，每服一皂角子大。煎杏胶化，如人行二十里，再进一服，其疮疹自然红色，毒瓦斯慢，此药神妙，一切疮疹出不快并可服。钱乙同名牛李膏。又云：至秋结实，黑圆成穗，无生者，市肆中干者为末，水熬代用。董汲治小儿疮疹痘恶候，见皮肤下不出，或出不快长，及紫黑干陷，亦用此药。仍云：汲小年病此，恶候极危殆，父母不忍见之，遇钱乙下此药得安，因恳求得真方，遂傅于世。惟于收时不知早晚，故无全效，今并收时载之，九月后收取，研滤成膏，每膏二两，研入好麝香半钱，收贮不津器中。《九卫生方》同，但用桃胶半两，牛李子一两，炒为粗末，每服一钱，水七分盏，煎至四分，去滓温服，治疗亦同。
一百○七、倍金散。治疗小儿疮痘倒靥黑色。
鼠粘子（炒，二两） 神曲（炒，半两） 减杖华 山果子（连枚，一两）
以上为粗末，每次服用一钱，水八分盏，入荆芥七穗，紫草十根，同煎至四分，去渣温服。
一百○八、抵圣丸。治疗小儿斑疮不出反入方。
上面用十二月老鸦左翅，不计多少，风中令干，辰日烧为灰，用中等猪背上刺血为丸，如鸡头实大，每服一丸，以猪尾上血少许，温水同化下，未效，二三时间再一服。
一百○九、湿生虫散。治疗疮子倒靥。
上面用湿生虫，不计多少，焙干为末，酒调下一字。
一百一十、白花蛇散。治疗大人小儿疮子倒靥。
白花蛇（连骨一两，火炙令干，勿焦） 大丁香（二十一枚）
以上为细末，每次服用一钱，小儿半钱，以水解淡酒调下，如黑靥者服之，移时重红生如圣。
87. Zhuwei Gao (Pig Tail Ointment). Indicated for early-stage chickenpox and smallpox that has not yet fully erupted, as well as cases where the eruption is complete but internal and external heat-toxins are flooding the system. It is used when blood stagnates like bean-sized nodules on the skin surface without forming scabs in either scenario. Furthermore, when rashes are latent with heat-toxin attempting to emerge but failing to do so, severe heat may disturb the Heart, causing mental restlessness, mania, delirious speech, or hallucinations of ghosts and spirits; these are all signs of Heat in the Heart. Since the Heart governs the Blood, Blood Heat leads to stasis, and stasis causes discoloration. Un-erupted lesions become "Ghost Sores," turning black upon eruption. Erupted lesions are called "Black Crusts." Generally, pockmarks develop from red macules into bloody points; by the fifth to seventh day, they should form pustular bases. If no pustular base forms by the sixth or seventh day, it indicates that toxins are pervasive, risking re-entry into the interior. Ancients used Longnao Xiang (Borneol) to cool Heart Blood and promote the circulation of Ying and Wei Qi. Pig Heart Blood was used because "Heart returns to Heart"; Pig Tail Blood was chosen for its dynamic nature, symbolizing dispersion outward. In cases with preceding mania and unconsciousness, administering with warm wine aims to disperse and circulate Ying and Wei Qi. These methods treat excessive Heat-Toxin. Later practitioners found Zhuwei Gao, also known as Longnao Gao (Borneol Ointment), effective. However, it was occasionally misused for deficiency-type collapsed eruptions, causing much harm, which is astonishing. Some prescribed one qian (approx. 3-5g) instead of the required yi zi (approx. 0.3-0.5g), resulting in insufficient potency or perceived harm. For instance, if a dose of one yi zi is indicated, half may be given initially, similar to treating severe thirst in Cold Damage where a patient capable of drinking one dou (approx. 10L) might start with five sheng (approx. 5L). Moreover, if Heart Channel Heat coexists with other deficiency-cold patterns, it should not be taken lightly. For patients with vomiting/diarrhea, fever, irritability, thirst, and dark urine, treatment should not assume pure cold. For irritable patients with spontaneous loose stools and clear urine, treatment should not assume pure heat. Physicians must balance these conditions, alleviate suffering, harmonize Yin and Yang, avoid extremes, and ensure safety.
Preparation: Take approximately half a yi zi of Longnao (Borneol), grind finely, mix with fresh Pig Heart Blood to form pills. Dissolve in Zicao Tang (Arnebia Decoction). For mania and suffocation with unconsciousness, take with warm wine. Qian Yi (Qianshi) used Pig Tail Blood in this formula; the rationale is consistent. It is also named Longnao Gao.
88. Kongxin San (Controlling Heart Powder). For pediatric exanthems; one dose promotes eruption.
Quanxie (Scorpio, 24 pieces, stir-fried), Xionghuang (Realgar), Mahuang (Ephedrae Herba, de-stemmed, each 1 fen).
Grind into fine powder. Take 1 qian per dose, mixed with Huixu Jianjiu (Coriander Decoction Wine). Scorpions treat various wind-induced urticaria, hemiplegia from stroke, facial paralysis, dysarthria, and spasms; they penetrate meridians and sinews. Realgar treats malignant sores, carbuncles, hemorrhoids, penetrates joints, treats scabies and ulcers, and aids in expelling toxins from exanthems that fail to erupt. Mahuang releases the muscle layer, expels pathogenic qi, and eliminates red/black toxic spots. These three herbs treat exanthems that should erupt but do not. If eruption occurs naturally and smoothly, administration is unnecessary.
89. Duwei Mahuang Tang (Single-Ingredient Ephedra Decoction). Treats inverted crusts (retracted exanthems).
Take 30 cun of Mahuang (Ephedrae Herba), de-stemmed, stir-fried with honey until fragrant and purple. Decoct in one sheng of water until reduced to six-tenths. Administer. Historically, an official in Xianyuan County treated a critical case of inverted meat-sores with one dose, resulting in immediate eruption, proving miraculous. It is treatable before gastric ulceration and hematochezia occur.
90. Nanjin San (Southern Gold Powder). For pediatric exanthems that erupt then retract, with severe dangerous heat unresponsive to other drugs; infallible.
Zibei Heye (Purple-backed Lotus Leaf, harvested after frost with water droplets), Baijiangcan (Bombyx Batryticatus, straight strands, stir-fried to remove silk).
Grind into fine powder. Adult dose: 1 qian bi (approx. 1-2g); Pediatric dose: half a qian bi. Mix with crushed Huixu juice and wine, or rice drink. Widely distributed by the originators, saving many lives. Borneol is hard to obtain for dental use; this formula is non-toxic and fast-acting. Lotus leaves are rare; check salt shops.
91. Huashi San (Talcum Powder). Treats delayed eruption of exanthems/pocks, fearing obstruction and blackening. This formula lubricates orifices to accelerate eruption. Treats upper diaphragm irritability, excessive thirst, dark/scanty urine, cyanotic face, coarse breathing, and constipation.
Huashi (Talcum), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried).
Equal parts ground into fine powder. Take 1 qian per dose, mixed with egg white and a little wine.
92. Ganlan He Shui (Olive Pit Water). Treats inverted crusts.
Cut olive pits in half. Grind with water to extract a small amount. Take immediately to induce eruption.
93. Kaidu Dan (Rapid Toxin Pill). For pediatric exanthems; ensures smooth eruption when qi is balanced. Blood and qi follow each other; internal heat causes erratic blood flow and qi imbalance. Exanthems require smooth qi for proper eruption. Take this pill during eruption.
Qianniu (Pharbitidis Semen, black, stir-fried), Muxiang (Aucklandiae Radix, each 1 fen), Roudoukou (Myristicae Semen, half liang, baked in flour), Qingpi (Citri Reticulatae Pericarpium Viride, 1 liang, half raw/half cooked).
Grind into powder, mix with water to make pills the size of millet seeds. Take 2-7 pills per dose, washed down with strong decoction of Zicao (Arnebiae Radix) and Congbai (Allii Fistulosi Bulbus). Take before breastfeeding. Adjust dosage by age/size.
94. Hongfen Dan (Red Powder Pill). Treats organ heat and uneven exanthems.
Longnao (Borneol, finely ground, 1 qian), Huazi Yanzhi (Bad Seed Rouge), Tianzhu Huang (Calamusi Reliquia), Zhusha (Cinnabaris, finely ground, each 1 liang), Nanting (Arisaema Cum Bile, dried indoors for 100 days after being stuffed in cow butter on Laba Day, powdered, 1 liang).
Mix the five ingredients with refined honey to form pills the size of corn kernels. Take one pill per dose, dissolved in Ginseng Decoction.
95. Ruxiang Zhuxue Gao (Frankincense Pig Blood Ointment). Treats non-erupting exanthems.
Grind Ruxiang (Boswelliae Fructus) finely. Form pills with Pig Heart Blood, size of cherries. Take one pill per dose, dissolved in water.
96. Zijin San (Purple Gold Powder). Treats inverted crusts and slow eruption in children.
Zicao (Arnebiae Radix), Shetui (Bovis Cornu Deglutitum, stir-fried to char), Niuzili (Prunellae Fructus, stir-fried, each half liang).
Coarse powder. Take 1 qian per dose. Decoct in 0.7 sheng water until 0.4 sheng remains. Strain and take warm. Anytime. Snake slough treats stubborn malignant sores; hence its efficacy here.
97. Gouteng Zicao San (Uncaria Arnebia Powder). Promotes rapid eruption of macules/rashes.
Goutenggouzi (Uncariae Ramulus cum Uncis), Zicaorong (Arnebiae Radix et Rhizoma).
Equal parts ground into powder. Take 1 yi zi or half a qian per dose, mixed with warm wine. Anytime. Zicao lubricates orifices, promotes urination, and disperses toxins in the twelve channels. Gouteng treats pediatric chills/fever and twelve types of convulsive epilepsy. Used for exanthems because *Suwen* states: "Sore, ulcer, irritability, pain, itching all originate from the Heart; epilepsy is a Heart disease; sores/ulcers are also governed by the Heart."
98. Shexiang Zhuxue Wan (Musk Pig Blood Pill). Treats incomplete eruption of pediatric exanthems.
Mix fresh Pig Heart Blood with a small amount of Shexiang (Moschus). Apply to palms and lips. Highly effective.
99. Muxing Yinzi (Jupiter Drink). Treats non-erupting or slowly erupting pediatric exanthems.
Zhusha (Cinnabaris, 1 fen), Yujin (Curcumae Radix, half liang).
Grind into powder. Take 1-2 yi zi per dose based on size. Add a little Longnao (Borneol). Mix with fresh water and tea dregs. Then, prick pig tail to add three drops of blood to the medicine. Take within 1-2 hours; eruptions will turn red and vibrant. Effective for healthy children. Materia Medica states: Yujin is pungent and cold, resolves blood accumulation, directs qi downward, generates flesh, breaks bad blood/qi, treats hematuria and trauma. Exanthems originate from the Heart due to heat. Zhusha calms the Heart and is slightly cold to treat heat. Heat retention causes obstruction. Yujin directs qi downward and resolves bad blood, removing obstruction for timely eruption.
100. Sisheng San (Four Sages Powder). Treats slow eruption and inverted crusts.
Zicao (Arnebiae Radix), Mutong (Akebiae Caulis), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Zhike (Aurantii Fructus, bran-fried), Huangfu (Wheat Bran).
Equal parts coarse powder. Take 1 qian per dose. Decoct in one sheng water until 0.6 sheng remains. Strain and take warm.
101. Tuoke San (Shed Shell Powder).
Use shells from hatched eggs. Bake on new tiles until dry. Remove membrane, grind to fine powder. For inverted/retracted exanthems, intestinal bleeding/black head sores, lethargy/coma: Mix one yi zi with wine, apply to child's lips for licking. Or apply to Fengchi (GB20) and anterior back/heart area with wine. Alternatively, mix one yi zi with hot water and ingest.
102. Shanzhizi Tang (Gardenia Decoction). Treats wheat-rash and spot-toxin resembling mosquito/flea bites, with severe black toxicity.
Shanzhiziren (Gardeniae Fructus), Baixianpi (Dictamni Cortex), Chishaoyao (Paeoniae Radix Rubra), Shengma (Cimicifugae Rhizoma, each 1 liang), Hanshuishi (Calcitum), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each half liang).
Fine powder. Take 1 qian per dose. Decoct with small amounts of Zicao (Arnebiae Radix) and Bohe (Menthae Haplocalycis Herba) in 0.8 sheng water until 0.5 sheng remains. Strain and take warm.
103. Huadu San (Resolving Toxin Powder).
Yujin (Curcumae Radix, 1 piece), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 fen).
Decoct in half a bowl of water until dry. Remove Gancao. Slice Yujin, dry, and grind to powder. Add Shengnaozi (Raw Borneol, 5 fen), grind evenly. Mix with Pig Blood to form a thin paste. Take 1 qian dissolved in Mint Decoction. Within two doses, toxins exit via palms/soles, indicating recovery (one in ten survives). If bloody stool/necrotic sores without pus occur, death is certain. Alternative method: Mix Chan Tui (Cicada Slough, 1 qian), Hao Naozi (Good Borneol, size of soap pod), and Da Zhuxue (Large Pig Blood, size of three soap pods) into a paste. Dissolve in warm wine-infused Zicao. Take for a while. Body heats up, toxins erupt suddenly. Then treat according to symptoms.
104. Xuandu Gao (Dispersing Toxin Ointment). Treats severe toxin load, slow eruption, inverted crusts. Urgent use; historically effective.
Zhuxue (Pig Blood, tail blood collected on Laba Day, 1 sheng, stored in new tile vessel), Hao Zhusha (Good Cinnabar, finely ground), Jian Ruxiang (Selected Frankincense, finely ground, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, powdered), Mayaxiao (Mirabilite, each half liang), Pian Nao (Camphor), Shexiang (Moschus, each 1 yi zi).
Mix all with Pig Blood. Place in two wide bamboo tubes. Seal tightly with multiple layers of paper. Hang over a manure pit until Qingming Festival. Remove, dry in sun. Add Camphor and Musk (1 qian each), grind finely. Make pills with water, size of soap pods. Take one pill dissolved in Ginseng Decoction. For severe toxin/black crusts, restores red/vibrant color. Miraculous.
105. Baixiang Wan (Hundred Auspicious Pills). Treats black/collapsed exanthems with heat in ears/buttocks (ominous sign). If Baixiang Wan and Niuli Gao fail after three doses... Also: Purple-black dry collapse requires purging with Baixiang Wan. Non-black cases must NOT be purged. Black cases at any stage have only 1 in 10 survival. Symptoms: chills/jaw clenching, yellow/swollen/purple ears. Purge urgently with Baixiang Wan. If worsening chills, cold sweat, and ear/buttock heat persist after purging, it is fatal. Warm body/thirst indicates treatability. Another view: Black collapse without chills means unstable disease. Use Baixiang Wan assisted by Niuli Gao (large dose each). Red/vibrant return in 5 days, cure in 7.
Hongya Daji (Euphorbiae Humifusae Radix), any amount. Dry in shade. Boil in grain water until soft. Remove bone. Dry in sun. Re-boil in same liquid until dry. Grind to powder. Make water pills, size of millet. Take 10-20 pills per dose, washed down with crushed Red Sesame Soup. Same for vomiting/diarrhea. Anytime.
106. Niuli Gao (Prunella Ointment). Treats inverted crusts. Also: For partial/slow eruption, use Zicao San or Dai Mao San; for severe cases, use Niuli Gao. Also: For pediatric exanthems with unresolved toxins, slow eruption, or black contact, use it. Also called Deming Gao (Life-Saving Ointment).
Use ripe black Prunella fruits (Niuzili), harvested July-August. Crush in basin. Filter through raw silk. Store in silver vessel. Simmer slowly to ointment. Store in porcelain, keep ventilated. Take size of soap pod. Dissolve in Apricot Gum. After walking 20 li, take another dose. Eruptions turn red, toxins subside. Miraculous for all slow eruptions. Qian Yi used the same name. Autumn fruits are black, round, clustered, never raw. Market-dried ones can be powdered and boiled as substitute. Dong Ji used this for severe pediatric exanthems (subcutaneous non-eruption, slow growth, purple-black dry collapse). He suffered from it as a child; Qian Yi cured him with this, leading to its dissemination. Timing of harvest affects efficacy. Now recorded: Harvest after September. Grind/filter to ointment. Add 0.5 qian of Good Musk per 2 liang of ointment. Store in non-leaky vessel. *Jiu Wei Sheng Fang* uses Peach Gum (half liang) and Niuzili (1 liang), coarse powder, 1 qian dose, decocted in 0.7 sheng water to 0.4 sheng. Treatment is similar.
107. Beijin San (Double Gold Powder). Treats inverted black crusts in pediatric exanthems/pocks.
Niu Bang Zi (Arctii Fructus, stir-fried, 2 liang), Shenqu (Massa Medicata Fermentata, stir-fried, half liang), Jian Zhang Hua, Shan Guozi (Mountain Fruit, with stem, 1 liang).
Coarse powder. Take 1 qian per dose. Decoct with 7 Jingjie (Schizonepetae Spica) and 10 Zicao (Arnebiae Radix) in 0.8 sheng water until 0.4 sheng remains. Strain and take warm.
108. Disheng Wan (Approaching Sage Pill). Formula for pediatric exanthems that fail to erupt and retract.
Left wing of December-old crow, dried in wind. Burn to ash on Chen day. Mix with blood pricked from middle pig's back. Form pills size of corn kernels. Take one pill per dose, dissolved with a little Pig Tail Blood in warm water. If ineffective, repeat in 2-3 hours.
109. Shisheng Chong San (Moist-Born Insect Powder). Treats inverted crusts.
Shisheng Chong (Moist-born insects), any amount. Bake dry, grind to powder. Take 1 yi zi with wine.
110. Baihua She San (White Flower Snake Powder). Treats inverted crusts in adults and children.
Baihua She (Bungarus multicinctus, with bone, 1 liang, fire-roasted dry, not burnt), Da Dingxiang (Cloves, 21 pieces).
Fine powder. Adult dose: 1 qian; Pediatric dose: half qian. Mix with water and light wine. For black crusts. Within a while, redness regenerates miraculously.