汤氏云∶此四者，皆由血气凝滞，而有热毒之气乘之，故结聚成痈疖肿毒也。备急神验方，未结之初，微见有头，
红起隐痛者，急用不语唾，夜半频频涂之，即消散。若已结成，当用天乌散贴方。治小痈疮，惊毒疖肿，皆可服漏芦
散，真良方也。热甚者，青解毒丸，四顺清凉散加防风、连翘，玄参剂亦可服，五福化毒丹尤良，连翘汤可服。青露散
掩之，留小孔，后用惊毒掩子收疮口取效。热甚者，凉膈散亦可服。
天乌散贴方
天南星 赤小豆 草乌 黄柏
上等分为末，生姜自然汁，调贴患处。用米醋调尤佳。
漏芦散 治小儿痈疮，及丹毒疮疖。
漏芦 麻黄（去根节） 芒硝 连翘 黄芩 川升麻 甘草（各二钱半） 川大黄（一两、炒） 白敛（七钱半）
上锉散，每服二钱，水一盏，煎五分，去滓，量大小加减，不拘时候，加减温服。可加羌活、荆芥、川芎、防风、
枳壳。
青解毒丸 见第九十问。
四顺清凉饮 见第四十四问。
玄参剂 解诸般热，消疮疖。
生地黄 玄参（各一两） 大黄（煨、半两）
上为末，炼蜜丸桐子大，每服一丸，煎灯心竹叶汤化下，入沙糖少许，亦可加羌活、川芎、赤芍药、连翘、防风。
又方 治疹痘后，余毒不散，遍身生疮不已，大能解毒。
玄参 赤芍药 生地黄 赤茯苓 荆芥 防风 木通 桔梗 黄芩 朱砂 青黛（各等分）
上为细末，炼蜜丸芡实大，每服一丸，薄荷汤下，大小加减服之。
五福化毒丹 治小儿蕴积毒热，惊惕狂躁，颊赤咽干，口舌生疮，夜卧不宁，谵言烦躁，头面身体多生疮疖。
玄参 桔梗（各二两） 茯苓（二两半） 人参 牙硝 青黛（各一两） 甘草（七钱半） 麝香（一字） 金箔
银箔（各十片为衣）
上为末，炼蜜丸和剂，如芡实大，每服一丸，薄荷汤下，不拘时。及治疮疹后、余毒上攻，口齿涎血臭气，以生地
黄汁、化下一丸，及用鸡翎刷在口内。
连翘汤 见第三问大连翘饮子。
青露散 治背疽，一切恶疮，围药不胤开。
白芨 白敛 白微 白芷 白藓皮 朴硝 青黛 黄柏 大黄 天花粉 青露叶（即芙蓉叶） 老龙皮（即老松木
皮，各等分）
上为细末，生姜自然汁调涂，留小孔，如干再用生姜汁润。
惊毒掩子 治疮疖初发，掩上即退，已成速破。
葱根（七个） 木鳖（七个） 白芷（三个） 巴豆（十四个） 黄丹（二两） 油（四两）
上先用油入前四味，武火熬，用柳木篦搅，以白芷焦黑为度，用绵滤去滓。再入铫，用文火熬，却入黄丹，熬令紫
黑色，成膏为度。治诸般疮疖，去脓收疮口。
惊毒诸般肿痛掩子
蒲黄 大黄 黄柏 真粉 连翘 白芷 白芨 白敛 牲蛎 丹参（各等分）
上为末，水调涂肿处。
凉膈散 治小儿腑脏积热，烦躁多渴，头昏唇焦，咽燥舌肿，赤目鼻衄，颔颊结硬，口舌生疮，痰实不利，涕
唾稠粘，睡卧不宁，谵语狂妄，肠胃燥结，便溺赤涩，一切风肿，并宜服之。
川大黄 朴硝 甘草（炙、各一两） 连翘（二两） 栀子仁 黄芩 薄荷叶（去土各半两）
上锉散，每服二钱，水一盏，入竹叶七片，蜜少许，煎四分，食后温服，大小加减。
汤氏说：这四种情况，都是由气血凝滞，又有热毒之气侵袭，从而结聚形成痈、疖、肿、毒。《备急神验方》记载，在尚未结成脓包之初，微微见到有头，红肿且隐隐作痛时，应立即使用人唾液（不语唾），在半夜时分频繁涂抹患处，即可消散。如果已经结成脓包，应当使用天乌散贴敷方治疗。治疗小痈疮、惊毒疖肿，都可以服用漏芦散，这是真正的良方。热象严重的，可服用青解毒丸、四顺清凉散加防风、连翘，玄参剂也可以服用，五福化毒丹尤其好，连翘汤也可服用。用青露散覆盖患处，留出一个小孔，之后再用惊毒掩子收敛疮口以取效。热象严重的，凉膈散也可以服用。
天乌散贴方
天南星、赤小豆、草乌、黄柏。
以上药材等分研为细末，用生姜自然汁调和后贴敷于患处。用米醋调和效果更佳。
漏芦散 治疗小儿痈疮，以及丹毒疮疖。
漏芦、麻黄（去除根节）、芒硝、连翘、黄芩、川升麻、甘草（各二钱半）、川大黄（一两，炒制）、白敛（七钱半）。
以上药材切碎捣散，每次服用二钱，加水一盏，煎煮至五分水量，滤去药渣，根据患儿年龄大小酌情增减剂量，不拘泥于特定时间，温服。可以加入羌活、荆芥、川芎、防风、枳壳。
青解毒丸 见第九十问。
四顺清凉饮 见第四十四问。
玄参剂 解除各种热邪，消除疮疖。
生地黄、玄参（各一两）、大黄（煨制，半两）。
以上药材研为细末，用炼蜜制成如梧桐子大小的丸剂，每次服用一丸，用灯心草、竹叶煎汤送服，加入少许砂糖。也可以加入羌活、川芎、赤芍药、连翘、防风。
又一方 治疗疹痘之后，余毒未清不散，遍身生疮不止，具有极强的解毒功效。
玄参、赤芍药、生地黄、赤茯苓、荆芥、防风、木通、桔梗、黄芩、朱砂、青黛（各等分）。
以上药材研为细末，用炼蜜制成如芡实大小的丸剂，每次服用一丸，用薄荷汤送服，根据患儿年龄大小酌情增减剂量。
五福化毒丹 治疗小儿体内蕴积毒热，受惊惕、狂躁，面颊红赤、咽喉干燥，口舌生疮，夜间睡眠不安，胡言乱语、烦躁，头面身体多处生疮疖。
玄参、桔梗（各二两）、茯苓（二两半）、人参、牙硝、青黛（各一两）、甘草（七钱半）、麝香（一字）、金箔、银箔（各十片作为衣料）。
以上药材研为细末，用炼蜜和剂制成如芡实大小的丸剂，每次服用一丸，用薄荷汤送服，不拘泥于特定时间。此外还治疗疮疹之后，余毒上攻，导致口齿流涎带血、口臭，可用生地黄汁化开一丸服用，并用鸡毛刷涂在口腔内。
青露散 治疗背疽，一切恶疮，围药不溃破者。
白芨、白敛、白微、白芷、白藓皮、朴硝、青黛、黄柏、大黄、天花粉、青露叶（即芙蓉叶）、老龙皮（即老松木皮，各等分）。
以上药材研为细末，用生姜自然汁调和涂抹，留出一个小孔，如果变干再用生姜汁润湿。
惊毒掩子 治疗疮疖初发，覆盖后即消退，已成脓者迅速使其破溃。
葱根（七个）、木鳖（七个）、白芷（三个）、巴豆（十四个）、黄丹（二两）、油（四两）。
以上先用油放入前四味药材，用武火熬制，用柳木篦搅拌，直到白芷焦黑为止，用绵布滤去药渣。再倒入铫中，用文火熬制，然后加入黄丹，熬至紫黑色，成为膏状为止。治疗各种疮疖，去除脓液并收敛疮口。
惊毒诸般肿痛掩子
蒲黄、大黄、黄柏、真粉、连翘、白芷、白芨、白敛、牡蛎、丹参（各等分）。
以上药材研为细末，用水调和后涂抹于肿胀处。
凉膈散 治疗小儿脏腑积热，烦躁多渴，头晕唇焦，咽喉干燥、舌头肿胀，眼睛发红、鼻出血，下巴脸颊结硬，口舌生疮，痰多阻滞不利，鼻涕唾液稠粘，睡眠不安，胡言乱语狂妄，肠胃燥结，小便短赤涩痛，一切风肿，都适宜服用。
川大黄、朴硝、甘草（炙制，各一两）、连翘（二两）、栀子仁、黄芩、薄荷叶（去土，各半两）。
以上药材切碎捣散，每次服用二钱，加水一盏，放入七片竹叶、少许蜂蜜，煎煮至四分水量，饭后温服，根据患儿年龄大小酌情增减剂量。
Tang Shi stated: These four conditions all result from the stagnation of Qi and blood, compounded by the invasion of heat-toxin pathogenic factors, leading to the accumulation and formation of carbuncles (Yong), furuncles (Jie), swelling, and toxic sores. The *Beiji Shenyuan Fang* records that in the initial stage before suppuration, when a slight head is visible with redness, swelling, and dull pain, human saliva should be applied frequently at midnight, which will cause the lesion to dissipate. If suppuration has already formed, the Tianwu San Paste Formula should be used. For treating small carbuncles, sores, toxic furuncles, and swellages, the Loulu San can be administered; this is a truly effective prescription. In cases of severe heat, Qing Jiedu Wan, Sishun Qingliang San supplemented with Fangfeng and Lianqiao, or Xuan Shen Ji may be taken; Wufu Huadu Dan is particularly excellent, and Lianqiao Tang is also suitable. Apply Qinglu San over the affected area, leaving a small opening, and subsequently use Jingdu Yanzi to draw the sore closed for therapeutic effect. In cases of severe heat, Liangge San may also be administered.
**Tianwu San Paste Formula**
*Tian Nan Xing*, *Chi Xiao Dou*, *Chao Wu*, *Huang Bo*.
Grind the above ingredients into fine powder in equal proportions. Mix with fresh ginger juice and apply to the affected area. Mixing with rice vinegar yields better results.
**Loulu San** Treats pediatric carbuncles and sores, as well as erysipelas, sores, and furuncles.
*Lou Lu*, *Mahuang* (roots and nodes removed), *Mang Xiao*, *Lian Qiao*, *Huang Qin*, *Chuan Sheng Ma*, *Gan Cao* (each 2.5 qian), *Chuan Da Huang* (1 liang, stir-fried), *Bai Lian* (7.5 qian).
Crush and scatter the above herbs. Take 2 qian per dose, add one cup of water, and decoct until five-tenths of the water remains. Strain the dregs. Adjust the dosage according to the child's age. Take warm at any time. Additional herbs such as *Qiang Huo*, *Jing Jie*, *Chuan Xiong*, *Fang Feng*, and *Zhi Ke* may be added.
**Qing Jiedu Wan** See Question 90.
**Sishun Qingliang Yin** See Question 44.
**Xuan Shen Ji** Resolves various types of heat and eliminates sores and furuncles.
*Sheng Di Huang*, *Xuan Shen* (each 1 liang), *Da Huang* (baked, 0.5 liang).
Grind the above into powder. Make pills using refined honey, sized like paulownia seeds. Take one pill per dose, dissolved in a decoction of *Deng Xin Cao* and *Zhu Ye*. A small amount of rock sugar may be added. Herbs such as *Qiang Huo*, *Chuan Xiong*, *Chi Shao Yao*, *Lian Qiao*, and *Fang Feng* may also be added.
Another Prescription: Treats residual toxins after exanthematous diseases (such as measles or smallpox) that fail to disperse, causing persistent widespread sores. It has potent detoxifying effects.
*Xuan Shen*, *Chi Shao Yao*, *Sheng Di Huang*, *Chi Fu Ling*, *Jing Jie*, *Fang Feng*, *Mu Tong*, *Jie Geng*, *Huang Qin*, *Zhu Sha*, *Qing Dai* (equal parts).
Grind the above into fine powder. Make pills using refined honey, sized like *Euryale Seed* (Qianshi). Take one pill per dose with mint tea. Adjust dosage according to the child's age.
**Wufu Huadu Dan** Treats accumulated heat-toxins in children, manifesting as fright, restlessness, manic agitation, flushed cheeks, dry throat, mouth and tongue ulcers, restless sleep at night, delirium, irritability, and multiple sores and furuncles on the head, face, and body.
*Xuan Shen*, *Jie Geng* (each 2 liang), *Fu Ling* (2.5 liang), *Ren Shen*, *Ya Xiao*, *Qing Dai* (each 1 liang), *Gan Cao* (7.5 qian), *She Xiang* (one zi), *Jin Bo*, *Yin Bo* (each ten leaves, used as coating).
Grind the above into powder. Form pills with refined honey, sized like *Euryale Seed*. Take one pill per dose with mint tea, at any time. This formula also treats residual toxins attacking upward after sores and rashes, causing salivary bleeding from gums/teeth and foul odor. Dissolve one pill in fresh *Sheng Di Huang* juice for ingestion, and brush the oral cavity with a chicken feather.
**Lianqiao Tang** See Question 3, Da Lianqiao Yin Zi.
**Qinglu San** Treats back carbuncles and all malignant sores where external poultices have not induced rupture.
*Bai Ji*, *Bai Lian*, *Bai Wei*, *Bai Zhi*, *Bai Xian Pi*, *Pu Xiao*, *Qing Dai*, *Huang Bo*, *Da Huang*, *Tian Hua Fen*, *Qing Lu Ye* (i.e., *Fu Rong Ye*), *Lao Long Pi* (i.e., old pine bark, equal parts).
Grind the above into fine powder. Mix with fresh ginger juice and apply, leaving a small opening. Re-moisten with ginger juice if it dries out.
**Jingdu Yanzi** Treats early-stage sores and furuncles; application causes immediate resolution. For established lesions, it promotes rapid rupture.
Scallion roots (seven), *Mu Bie* (seven), *Bai Zhi* (three), *Ba Dou* (fourteen), *Huang Dan* (2 liang), Oil (4 liang).
First, place the first four ingredients in oil and boil over high heat, stirring with a willow wood spatula until the *Bai Zhi* turns black. Filter through cotton cloth to remove dregs. Return the filtrate to a crucible and boil over low heat. Add *Huang Dan* and continue boiling until it becomes a purple-black paste. This treats various sores and furuncles, draining pus and closing the wound.
**Jingdu Various Swelling and Pain Poultice**
*Pu Huang*, *Da Huang*, *Huang Bo*, *Zhen Fen*, *Lian Qiao*, *Bai Zhi*, *Bai Ji*, *Bai Lian*, *Mu Li*, *Dan Shen* (equal parts).
Grind the above into powder. Mix with water and apply to the swollen area.
**Liangge San** Treats accumulated heat in the zang-fu organs of children, manifesting as irritability, excessive thirst, dizziness, cracked lips, dry throat, swollen tongue, red eyes, epistaxis, indurated submandibular and cheek areas, mouth and tongue ulcers, phlegm obstruction, thick sticky nasal discharge and saliva, restless sleep, delirium, mania, intestinal dryness and constipation, scanty dark urination, and all wind-induced swellings. It is suitable for all these conditions.
*Chuan Da Huang*, *Pu Xiao*, *Gan Cao* (honey-fried, each 1 liang), *Lian Qiao* (2 liang), *Zhi Zi Ren*, *Huang Qin*, *Bo He Ye* (cleaned, each 0.5 liang).
Crush and scatter the above herbs. Take 2 qian per dose, add one cup of water, seven leaves of *Zhu Ye*, and a little honey. Decoct until four-tenths of the water remains. Take warm after meals. Adjust dosage according to the child's age.