小儿生痈疖者。由六腑不和。风毒邪热干于皮肤。搏于血气。入客经络之间。留结而生。小而有头者
为疖。大而无头者为痈。初生则赤肿。渐渐肿起。外则皮薄而光。内则肉腐败溃。变而为脓。无头者
须针刺破。有头者不必刺也。熟则捻去脓血得尽者。随即便瘥。若脓血不尽。疮口合者。虽临时得瘥。终须更
发。或根边别生。若邪毒入
深。附骨留结者。则为附骨痈。若出脓血。复遇风冷所乘。传搏日久不瘥者。则为疽疮。若外面皮肤虽合。而毒
气入里。攻溃转深。只有疮孔。时出恶汁者。此变 疮也。
治痈疖方 以甘草一两锉。各二寸长。用水八分一碗。将甘草蘸水。文武火上炙至水尽。为粗末。别用水一碗。
煎至半碗。时时放温。量性服。取微利。其毒自消。未利再服。
又方 治痈疖欲成。未见其头。但肿痛不已。官桂陈皮等分杵末。水调敷肿处。
又方 治如前。以大黄朴硝等分为末，每用三钱。入面一钱。新水调涂。
雄黄膏
治痈疖才发。赤肿作痛。或用龙角散忍冬散。三方大妙。
雄黄（半两研水飞） 天南星（半两生末） 寒水石（ 过一两研） 黄丹（一分） 乳香（半两研）
上拌匀。细蜜调成膏。摊帛子上贴之。
龙角散
地龙（去土秤一两） 荆芥穗（一两） 甘草（一两） 角刺（一两取紫色不枯者净洗捣去骨只用皮）
上为粗末。每用一合。水三盏。酒一盏。煎至二盏半。去滓。再煎至二盏。入研细乳香末一钱调匀。量大小
渐渐与服。五七岁儿半盏。以下分二服。日日与服。神验。
忍冬散
忍冬草（干者半两） 甘草节（半两） 大黄（半两生）
上同为细末。每用三钱匕。水一大盏。煎至七分。调乳香末半钱。服如上法。
又方 治痈疽无头要生。以葵菜子一粒。新汲水吞下。即生头破而脓出。要两处破。服二粒。要破几处。即
逐粒加之。
又方 治痈疽无头。以穿山甲猪牙皂角去皮弦。各一两。共炙焦黄为末。每用一钱。热酒调下。服药毕。其
疮便破。甚妙。仍以冬瓜藤为末敷。疮干即水调敷之。诸疖疮皆可用。
乳香膏
贴痈疖。
乳香（一两研） 腻粉（半两研） 松脂（半两研） 密陀僧（半两研）
生地黄汁（半两）
上拌匀。先用一铫子煎好油四两。黄蜡二两。至熔熟。下瓷器盛之。窨一宿。每用看大小剪贴子。摊药在上
贴之。一日两换。
沉香散
治痈疖。
沉香（半两） 黄 （半两） 白蔹（一分） 川朴硝（一分） 川大黄（一分炮） 甘草（一分）
上为粗散。每用一钱。水一小盏，入麝香少许。煎至五分。去滓温服。
又方 治背上生痈疖。凡疮生背上者。非善疮也。以多年烟熏壁土。并黄柏二味。等分为细末。生姜自然汁
调成膏。摊纸上贴之。更以茅香汤调下一钱。大妙。
治附骨疽 以槲皮烧末。每服一钱匕。已破者。以蜣螂七枚。和大麦烂捣。贴封之。
治痈疮久不瘥。败坏成虫。
大虾蟆（一枚自死者） 乱发（一块鸡子大） 猪脂（一斤）
上同煎之。至消尽前二物时取下。入盐一合搅匀。放冷成膏。每用先以龙骨研作粉。围疮四面。浓二分许。
以膏药着疮中。日二易。有虫出如发。出尽愈。
又方 治如前。以白杨叶杵末敷之。
又方 治如前。
鸡舌香散
鸡舌香 木香 沉香（各一两） 麻黄（去根节） 海藻（洗去咸味） 大黄（炮各半两）
上为粗散，每用一大钱。水一盏。入竹沥二三点。煎至五分。去滓温服。兼煎适温热。淋渫其疮。
治痈疽 疮（余治 疮方并在后）。铜绿湿生虫。同研细末。每用芥子心许。纸捻蘸药。任入疮口。
小儿患痈疖的原因，是由于六腑功能失调，风毒邪热侵袭皮肤，与血气搏结，侵入经络之间，停留凝聚而生成。小而有脓头的称为疖；大而无脓头的称为痈。初起时局部红肿，逐渐肿胀隆起，外部皮肤变薄且光亮，内部肌肉腐败溃烂，转化为脓液。没有脓头的需要用针刺破；有脓头的不必刺破。待脓熟后，将脓血彻底挤出，随即痊愈。如果脓血未排尽，疮口便闭合，虽然暂时看似好转，但最终会再次发作，或在根部旁边另生新疮。如果邪毒深入，附着在骨骼上停留凝聚，则形成附骨痈。如果排出脓血后，又遭受风寒侵袭，病程迁延日久不愈，则形成疽疮。如果外部皮肤虽然愈合，但毒气内陷，侵蚀转深，仅留疮孔，时常流出恶臭液体，这是变为瘘管（漏疮）的表现。
治疗痈疖的方剂：取甘草一两，切成二寸长的段，用八分一碗的水，将甘草蘸水，在文火和武火交替下炙烤至水分完全蒸发，研成粗末。另取一碗水，煎至半碗，不时放温，根据患儿体质服用，以取得轻微腹泻的效果，毒素自然消除。若未见效可再服。
另一个方子：治疗痈疖即将形成，尚未见脓头，但持续肿痛不止。取官桂和陈皮等份，捣碎成末，用水调匀敷于肿胀处。
又一个方子：治疗方法同上。取大黄和朴硝等份研成末，每次用三钱，加入一钱面粉，用新汲水调匀涂抹。
雄黄膏：治疗痈疖刚发作，红肿疼痛。或者使用龙角散、忍冬散，这三个方子效果都非常好。
雄黄（半两，研磨后水飞法处理）、天南星（半两，生品研末）、寒水石（过筛的一两，研磨）、黄丹（一分）、乳香（半两，研磨）。
以上药物拌匀，用细蜜调制成膏药，摊在帛子上贴敷。
龙角散：
地龙（去土，秤取一两）、荆芥穗（一两）、甘草（一两）、角刺（一两，选取紫色未枯者，洗净捣碎后只取皮）。
以上药物研成粗末。每次用一合，加水三盏，酒一盏，煎至二盏半，滤去渣滓，再煎至二盏，加入研磨细的乳香末一钱调匀。根据患儿年龄大小，逐渐给予服用。五七岁的儿童喝半盏，以下年龄分两次服用。每日服用，疗效神奇。
忍冬散：
忍冬草（干品半两）、甘草节（半两）、大黄（半两，生用）。
以上药物共同研成细末。每次用三钱匕，加大盏水，煎至七分，调入乳香末半钱。服用方法同上。
又一个方子：治疗痈疽无头欲生脓头时，用葵菜子一粒，用新汲水吞服，即可生出脓头并破溃出脓。若要两处破溃，服用两粒；要破几处，就逐粒增加数量。
又一个方子：治疗痈疽无头，用穿山甲和猪牙皂角（去皮弦），各一两，共同炙烤至焦黄，研成末。每次用一钱，用热酒调服。服药完毕后，疮口便会破溃，效果极佳。随后仍以冬瓜藤研末外敷，若疮面干燥则用水调敷。各种疖疮均可使用。
乳香膏：
贴敷痈疖。
乳香（一两，研磨）、腻粉（半两，研磨）、松脂（半两，研磨）、密陀僧（半两，研磨）、生地黄汁（半两）。
以上药物拌匀。先用一个锅煎好油四两、黄蜡二两，至熔化，倒入瓷器中储存，密封一夜。每次使用时，根据大小剪取药贴，将药摊在上面贴敷。每天更换两次。
沉香散：
治疗痈疖。
沉香（半两）、黄芪（半两）、白蔹（一分）、川朴硝（一分）、川大黄（一分，炮制）、甘草（一分）。
以上药物研成粗散。每次用一钱，加一小盏水，放入少许麝香，煎至五分，滤去渣滓，温服。
又一个方子：治疗背上生痈疖。凡是生在背上的疮，都不是良性的。用多年烟熏的墙壁土和黄柏两味药，等份研成细末，用生姜自然汁调成膏，摊在纸上贴敷。同时用茅香汤调服一钱，效果极好。
治疗附骨疽：用槲皮烧成末，每次服用一钱匕。已经破溃的，用七枚蜣螂和大麦烂捣，贴封患处。
治疗痈疮久治不愈，败坏生虫。
大虾蟆（一枚，自死的）、乱发（一块如鸡蛋大小）、猪脂（一斤）。
以上共同煎煮，直到前两种物质完全消尽时取下，加入一合盐搅匀，冷却成膏。每次使用前，先用龙骨研成粉，围绕疮口四周，厚度约二分，将膏药涂在疮口中，每天更换两次。若有虫体排出如头发状，排尽即愈。
又一个方子：治疗方法同上。
鸡舌香散：
鸡舌香、木香、沉香（各一两）、麻黄（去根节）、海藻（洗去咸味）、大黄（炮制，各半两）。
以上药物研成粗散，每次用一大钱，加水一盏，加入竹沥二三点，煎至五分，滤去渣滓，温服。同时煎药保持温热，淋洗冲刷疮口。
Infants and children develop carbuncles (boils) and furuncles due to disharmony of the six fu organs. Wind-toxin and pathogenic heat invade the skin, contend with blood and qi, enter the meridians and collaterals, and remain stagnant to form lesions. Small lesions with a head are called furuncles; large lesions without a head are called carbuncles. Initially, there is redness and swelling, which gradually rise. Externally, the skin becomes thin and shiny; internally, the flesh corrupts and ulcerates, transforming into pus. Lesions without a head require puncture with a needle; those with a head do not need puncturing. Once mature, squeezing out all pus and blood leads to immediate recovery. If pus and blood are not fully drained and the wound closes, although it may appear healed temporarily, it will eventually recur or generate new sores at the root. If pathogenic toxins penetrate deeply and adhere to the bone, forming stagnation, it is called osteomyelitis (bone-attached carbuncle). If pus and blood are discharged but subsequently exposed to wind-cold, leading to a prolonged course without healing, it becomes a chancre (ulcerative sore). If the external skin heals but toxic qi penetrates inward, causing deep erosion, leaving only a sinus tract that occasionally discharges foul fluid, this transforms into a fistula (draining sore).
Formula for treating carbuncles and furuncles: Take one liang of Licorice Root (Gancao), cut into two-cun segments. Use eight fen (approx. 0.8 bowl) of water. Dip the licorice in water and roast it over alternating mild and strong fire until the water is completely evaporated. Grind into coarse powder. Add another bowl of water, decoct until half a bowl remains. Allow to cool to a lukewarm temperature and administer according to the child's constitution, aiming for mild purgation. The toxin will naturally dissipate. If no effect, administer again.
Another formula: For carbuncles and furuncles about to form, where no head is visible but pain and swelling persist. Take Cinnamon Twig (Guigui) and Tangerine Peel (Chenpi) in equal parts, pound into powder. Mix with water and apply to the swollen area.
Another formula: Treatment as above. Take Rhubarb (Dahuang) and Mirabilite (Puxiao) in equal parts, grind into powder. Use three qian each time, add one qian of flour, mix with fresh well-water, and apply topically.
Xionghuang Ointment: For early-stage carbuncles and furuncles presenting with redness, swelling, and pain. Alternatively, use Longjiao San or Rendong San. All three formulas are highly effective.
Realgar (Xionghuang, half liang, ground and purified by water flotation); Aconitum Bulb (Tian Nansxing, half liang, raw, ground); Halloysitum Rubrum (Hanshuishi, passed through sieve, one liang, ground); Minium (Huandan, one fen); Frankincense (Ruxiang, half liang, ground).
Mix evenly. Blend with fine honey to form an ointment. Spread on silk cloth and apply as a plaster.
Longjiao San:
Earthworm (Dilong, earth removed, weighed one liang); Schizonepeta Spike (Jingjie Sui, one liang); Licorice Root (Gancao, one liang); Thorny Acacia Bark (Jiaoci, one liang, select purple non-withered pieces, wash clean, pound, and use only the bark).
Grind into coarse powder. Each time, use one he (volume measure), add three zhan of water and one zhan of wine. Decoct until two and a half zhan remain. Strain, then decoct again until two zhan remain. Add one qian of finely ground Frankincense powder and mix well. Administer gradually according to age. For children aged five to seven, give half a zhan. For younger children, divide into two doses. Administer daily for miraculous efficacy.
Rendong San:
Honeysuckle Stem (Rendong Cao, dried, half liang); Licorice Joint (Gancao Jie, half liang); Rhubarb (Dahuang, half liang, raw).
Grind together into fine powder. Each time, use three qian bi (spoonfuls), add one large zhan of water. Decoct until seven fen remain. Mix in half a qian of Frankincense powder. Administer as described above.
Another formula: For carbuncles and ulcers lacking a head to facilitate suppuration. Swallow one seed of Malva Seed (Kuicaizi) with fresh well-water. This induces head formation and rupture with pus discharge. To induce rupture in two places, take two seeds; adjust the number of seeds based on the desired number of rupture sites.
Another formula: For carbuncles and ulcers without heads. Use Pangolin Scales (Chuanshanjia) and Soapberry Fruit (Zhuyazaojiao, skin and strings removed), one liang each. Roast until scorched yellow and grind into powder. Take one qian each time, dissolve in hot wine. After administration, the sore will rupture. This is very effective. Subsequently, apply powder from Winter Melon Vine (Dongguateng) topically; if the sore dries, reapply mixed with water. Applicable to various furuncles and sores.
Ruxiang Ointment:
For applying to carbuncles and furuncles.
Frankincense (Ruxiang, one liang, ground); Calomelas (Nifen, half liang, ground); Pine Resin (Songzhi, half liang, ground); Litharge (Mituoseng, half liang, ground); Fresh Rehmannia Juice (Sheng Dihuang Zhi, half liang).
Mix evenly. First, melt four liang of good oil and two liang of Yellow Beeswax (Huangla) in a pot. Pour into a porcelain vessel and seal overnight. Each time, cut the plaster to size, spread the medicine on it, and apply. Change twice daily.
Chensan Powder:
For treating carbuncles and furuncles.
Agarwood (Chenxiang, half liang); Astragalus Root (Huangqi, half liang); White Peony Root (Bailian, one fen); Sichuan Mirabilite (Chuan Puxiao, one fen); Prepared Rhubarb (Chuan Dahuang, prepared, one fen); Licorice Root (Gancao, one fen).
Grind into coarse granules. Take one qian each time, add a small zhan of water and a little Musk (Shexiang). Decoct until five fen remain. Strain and take warm.
Another formula: For carbuncles and furuncles arising on the back. Sores on the back are generally not benign. Use soil from walls smoked by cooking fires for many years and Phellodendron Bark (Huangbai) in equal parts. Grind into fine powder. Mix with fresh Ginger Juice (Shengjiang Ziran Zhi) to form a paste. Spread on paper and apply. Additionally, take one qian mixed with Maoxiang Tang orally. Highly effective.
Treatment for Osteomyelitis (Fugu Ju): Burn Oak Bark (Kupi) to ash. Take one qian bi orally. For already ruptured cases, crush seven Dung Beetles (Qianglang) with rotten Big Barley (Damai) and apply as a sealant.
Treatment for chronic carbuncles that fail to heal, becoming necrotic and harboring worms.
Large Toad (Da Xiamu, one self-deceased specimen); Tangled Hair (Luafa, piece the size of a chicken egg); Pig Fat (Zhuzhi, one jin).
Decoct together until the first two materials are completely consumed. Remove from heat, add one he of salt, stir well, and cool to form an ointment. Before each application, first grind Dragon Bone (Longgu) into powder and apply around the perimeter of the sore, approximately two fen thick. Place the ointment directly into the sore. Change twice daily. When worm-like filaments resembling hair are expelled and completely cleared, the condition resolves.
Another formula: Treatment as above. Apply powder made from Poplar Leaves (Baiyangye).
Another formula: Treatment as above.
Jishe Xiang San:
Cardamom Seed (Jishe Xiang); Costus Root (Muxiang); Agarwood (Chenxiang) (each one liang); Ephedra Herb (Mahuang, roots and nodes removed); Sargassum Thallus (Haizao, washed to remove salinity); Prepared Rhubarb (Dahuang, prepared, half liang each).
Grind into coarse granules. Take one large qian each time, add one zhan of water and two or three drops of Bamboo Sap (Zhuli). Decoct until five fen remain. Strain and take warm. Simultaneously, keep the decoction warm and use it to irrigate and wash the sore.
Treatment for Carbuncles and Ulcers (Other formulas for treating sores follow later). Green Verdigris (Tonglv) moistened with insect secretion, ground together into fine powder. Take an amount the size of a mustard seed heart. Dip a paper wick in the medicine and insert it freely into the sore opening.