《巢氏病源》小儿 疮候∶寒热邪气客于经络,使血气痞涩,初生作细瘰 ,或梅李核大,或如箭杆,或丸
或长者,至五六分不过一寸,或一或两三相连,时发寒热,仍脓血不止,谓之 也。皆是五脏六腑之气不和,
致血气不足而受寒热邪气。然 者有鼠 、蝼蛄 、蚯蚓 、蛴螬等 ,今以一方疗之。
《千金》治小儿 疮方。
上取冢中锻石敷之,浓着良。
《千金》又方
上烧桑根灰敷之,并烧乌羊角灰相合敷之。
《千金翼》治 方。
上取鲤鱼肠切作五段,火上暖之。先洗疮拭干,以肠贴之,冷即易之,从旦至夜,觉痒开看,虫出即瘥。
《千金翼》又方
上取鸡子三颗,米下蒸半日出,取黄熬令黑。先拭疮汁令干,以药内疮孔中,不过三度。
《千金翼》又方
上以腊月猪脂,以纸 沾取内疮孔中,日五度,夜三度。
《千金翼》蚁 方。
上取鲮鲤甲二七枚,烧为末,猪膏和,敷之。
《千金翼》又方
上取半夏一枚屑之,以鸭膏和,敷之。
《千金翼》 方。
铁(屑) 狗颊连齿骨 鹿角甲半取毛(《千金》云∶粗皮合毛) 虎矢(各二两)
上四味捣,筛为散,以猪膏和,内疮孔中,须臾易之,日五、六。
《千金翼》治鼠 方。
死鼠(一枚,中形者) 乱发(一鸡子大)
上二味,以腊月猪膏才得没之,微火煎之,鼠发消尽膏成,以涂疮上。又以酒服半钱许,鼠从疮中出。
《圣惠》治小儿一切屡出脓水,项强头疼,四肢寒热,宜服赤小豆散方
赤小豆(一合,炒熟) 露蜂房(烧灰) 白蔹(各一两) 蛇蜕皮(二尺,烧灰)
上件药捣,细罗为散。每服以粥饮调下半钱,量儿大小加减服之。
《圣惠》治小儿久 ,移易三数处,皆生疮孔者,宜敷夜明砂散方。
夜明砂(一两) 白僵蚕 乳香 腊面茶 雄蚕娥(各半两)
上件药捣,细罗为散。敷于疮上,以瘥效。
《圣惠》治小儿诸般 疮,久不瘥,宜敷乌蛇散方。
乌蛇肉(烧令黄) 马齿苋(墙上者) 蒺藜子(各三分) 曲头棘针 乱发(烧灰) 绯帛(烧灰。各半两) 雄
黄(一分,细研)
上件药捣,细罗为散,以酒调,内疮孔中,以瘥为度。
《圣惠》治小儿诸疮,久不瘥,作 孔。丹砂膏方
丹砂 白矾(炒。各细研) 莽草(各半两) 雄黄(细研) 苦参 川大黄 黄连(去须) 茹(各一两)
上件药并细锉,用炼了猪脂二升于铛中煎药,候紫色,以绵滤去滓,入丹砂、白矾、雄黄以柳木篦搅,令
匀,以瓷合盛。涂于疮上,每日换之。
《圣惠》治小儿诸 ,穿穴成疮,痛不可忍方。
马齿苋(八两) 槲木 白皮 杏仁(汤浸去皮,炒令微黑,研如膏。各三两) 麝香(三钱,细研)
上件药除麝香、杏仁外,细锉,以水五升,煎至一升,滤去滓,澄清入麝香、杏仁相和令匀,更煎,令稀
稠得所,以瓷合盛。每使涂于故帛上贴之,日二换之。
《圣惠》又方
上以牛粪堆上赤菌,一名朝生暮落花,干者捣,罗为末,敷疮上效。
《圣惠》又方
上以干楸叶捣,细罗为末。以生油调,敷之。
《圣惠》又方
上以炼成松脂末,填疮孔令满,日三用之效。
《圣惠》又方
上以霜下瓠花曝干捣末,敷之。
《婴孺》治小儿 方。
烧菜根 犀角(屑)
上烧俱为灰合,敷之。
张涣马齿苋方 治诸疮久 不瘥。
马齿苋 乌蛇肉(酒浸一宿焙干。各一两) 蒺藜子 乱发(烧灰) 曲头棘针(烧灰) 绯帛(烧灰。各半两)
上件药捣,罗为细末。每用量疮大小,用白酒调,以帛子贴疮上。
《吉氏家传》治 疾方。
白芨 白蔹 斑蝥虫(各半两) 巴豆(一个,去皮心,研碎) 蜗牛(一个,天螺也。用麝香一钱入口中,隔露
一
夜,来日取化水)
上件用天螺水搜众药丸如细绿豆大。先以纸捻探疮深浅,然后将津在纸捻头,点药入窍内,次用膏药封,
不留口,须是三、二次,封可丸大如麻子尤妙。
《巢氏病源》中关于小儿疮的论述:寒热邪气侵入经络,导致气血阻滞不畅。初起时形成细小的瘰疬,或者像梅子、李子大小的核状物,有的像箭杆一样长,有的呈丸状或长条形,大小在五到六分之间,不超过一寸,数量有一个,也有两三个相连的,时常发作寒热症状,并且脓血不止,这被称为“瘰疬”。这都是因为五脏六腑之气不和,导致气血不足而受到寒热邪气的侵袭。然而,瘰疬类疾病有鼠瘰、蝼蛄疬、蚯蚓疬、蛴螬疬等不同类型,现在用一方来治疗它。
《千金方》治疗小儿瘰疬的方剂。
以上药物取古墓中的锻石敷贴患处,厚敷效果良好。
《千金方》又一方
以上药物将桑根烧成灰敷贴患处,并将乌羊角烧成灰混合后敷贴。
《千金翼方》治疗瘰疬的方剂。
以上药物取鲤鱼肠切成五段,在火上加热暖之。先清洗疮口并擦干,将鱼肠贴敷在上面,变冷即更换,从早到晚,感觉痒时打开查看,若有虫出则痊愈。
《千金翼方》又一方
以上药物取鸡蛋三颗,在米下蒸半个时辰,取出蛋黄熬至黑色。先擦拭疮口汁液使其干燥,将药纳入疮孔中,不超过三次。
《千金翼方》又一方
以上药物用腊月猪脂,用纸蘸取纳入疮孔中,每日五次,夜间三次。
《千金翼方》蚁瘘方。
以上药物取穿山甲鳞片十四枚,烧成粉末,用猪油调和,敷贴患处。
《千金翼方》又一方
以上药物取半夏一枚捣碎,用鸭油调和,敷贴患处。
《千金翼方》瘘管方。
铁屑(二两) 狗颊连齿骨(二两) 鹿角甲半(带毛)(《千金方》说:粗皮合毛) 虎矢(各二两)
以上四味药捣碎,筛成散剂,用猪油调和,纳入疮孔中,片刻后更换,每日五到六次。
《千金翼方》治疗鼠瘘的方剂。
死鼠(一枚,中等体型者) 乱发(如鸡蛋大小)
以上两味药,用腊月猪膏刚好淹没药材,用微火煎煮,直到鼠和发完全消尽,膏体制成,涂抹于疮上。同时用酒服用约半钱许,老鼠会从疮中排出。
《圣惠方》治疗小儿一切反复流出脓水,颈部僵硬头痛,四肢寒热,适宜服用的赤小豆散方。
赤小豆(一合,炒熟) 露蜂房(烧成灰) 白蔹(各一两) 蛇蜕皮(二尺,烧成灰)
以上药物捣碎,细筛成散剂。每次服用以米粥汤调下半钱,根据患儿年龄大小加减服用。
《圣惠方》治疗小儿久治不愈的瘰疬,转移至两三处,都生出疮孔的,适宜敷贴的夜明砂散方。
夜明砂(一两) 白僵蚕 乳香 腊面茶 雄蚕娥(各半两)
以上药物捣碎,细筛成散剂。敷于疮上,以痊愈为有效。
《圣惠方》治疗小儿各种瘰疬疮,久治不愈的,适宜敷贴的乌蛇散方。
乌蛇肉(烧至黄色) 马齿苋(生长在墙上的) 蒺藜子(各三分) 曲头棘针 乱发(烧成灰) 绯帛(烧成灰。各半两) 雄黄(一分,细研)
以上药物捣碎,细筛成散剂,用酒调匀,纳入疮孔中,以痊愈为度。
《圣惠方》治疗小儿各种疮,久治不愈,形成瘘孔的。丹砂膏方
丹砂 白矾(炒。各细研) 莽草(各半两) 雄黄(细研) 苦参 川大黄 黄连(去须) 茹(各一两)
以上药物全部细切,用炼制过的猪脂二升在锅中煎药,候药液呈紫色,用绵滤去渣滓,加入丹砂、白矾、雄黄,用柳木篦搅拌,令其均匀,用瓷盒盛装。涂于疮上,每日更换。
《圣惠方》治疗小儿各种瘘管,穿孔成疮,疼痛难忍的方剂。
马齿苋(八两) 槲树白皮 杏仁(热水浸泡去皮,炒至微黑,研如膏。各三两) 麝香(三钱,细研)
以上药物除麝香、杏仁外,细切,用水五升,煎至一升,滤去渣滓,澄清后加入麝香、杏仁混合均匀,再煎,使稀稠适度,用瓷盒盛装。每次使用时涂在旧布上贴敷,每日更换两次。
《圣惠方》又一方
以上药物取牛粪堆上生长的红菌,一名朝生暮落花,晒干后捣碎,筛成粉末,敷于疮上有效。
《圣惠方》又一方
以上药物取干楸叶捣碎,细筛成粉末。用生油调匀,敷贴患处。
《圣惠方》又一方
以上药物用炼成的松脂末,填满疮孔令其饱满,每日使用三次有效。
《圣惠方》又一方
以上药物取霜降后的瓠花晒干捣成粉末,敷贴患处。
《婴孺书》治疗小儿瘰疬的方剂。
烧菜根 犀角(屑)
以上两者烧成灰混合,敷贴患处。
张涣的马齿苋方 治疗各种疮久治不愈。
马齿苋 乌蛇肉(酒浸一夜焙干。各一两) 蒺藜子 乱发(烧成灰) 曲头棘针(烧成灰) 绯帛(烧成灰。各半两)
以上药物捣碎,罗筛成细末。每次根据疮的大小,用白酒调匀,用布贴敷于疮上。
《吉氏家传》治疗瘘疾的方剂。
白芨 白蔹 斑蝥虫(各半两) 巴豆(一个,去皮心,研碎) 蜗牛(一个,天螺也。用麝香一钱放入其口中,隔露水一夜,次日取其化水)
以上药物用天螺水调和众药,制成如细绿豆大的丸药。先用纸捻探查疮的深浅,然后将津液点在纸捻头上,点药入窍内,再用膏药封住,不留开口,通常需要三、二次,封口可如麻子大尤妙。
According to *Chao Shi Bing Yuan* (Source of Diseases by Chao Yuanfang) regarding the syndrome of pediatric sores: Cold and heat pathogenic factors invade the meridians, causing stagnation and obstruction of Qi and blood. Initially, small scrofula nodules (scrofula) form, or they may appear as hard lumps the size of plums or jujubes, some resembling arrow shafts in length, others round or elongated, ranging from five to six fen in size, not exceeding one cun. There may be a single nodule or two to three connected ones. The patient frequently experiences alternating chills and fever, accompanied by continuous discharge of pus and blood; this condition is termed "Scrofula" (Luo Li). This is caused by the disharmony of the Qi of the Zang-Fu organs, leading to deficiency of Qi and blood, which makes the body susceptible to cold and heat pathogenic factors. However, scrofula-like diseases include various types such as Rat Scrofula (Shu Luo), Mole Cricket Scrofula (Lou Gu Suo), Earthworm Scrofula (Qiu Yin Suo), and Maggot Scrofula (Qi Cao), among others. Now, a prescription is provided to treat them.
*Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) prescription for treating pediatric scrofula.
Take iron slag (Duan Shi) from tombs and apply it topically to the affected area. Applying it thickly yields good results.
Another prescription from *Qian Jin Fang*.
Burn mulberry roots to ash and apply topically. Mix this with ash from burnt black sheep horns and apply together.
*Qian Jin Yi Fang* (Supplement to Essential Prescriptions Worth a Thousand Gold) prescription for treating scrofula.
Take carp intestines, cut into five segments, and warm them over fire. First, wash the sore and dry it thoroughly. Apply the fish intestine to the lesion; replace it when it cools down. Continue from morning until night. When itching is felt, open it to check; if parasites emerge, the patient will recover.
Another prescription from *Qian Jin Yi Fang*.
Take three chicken eggs and steam them over rice for half a shichen (one hour). Extract the yolks and fry them until black. First, wipe the exudate from the sore until dry, then insert the medicine into the fistula opening. Do not exceed three applications.
Another prescription from *Qian Jin Yi Fang*.
Use pig fat rendered in the twelfth lunar month. Dip paper into the fat and insert it into the fistula opening. Apply five times during the day and three times at night.
*Qian Jin Yi Fang* Ant Fistula prescription.
Take fourteen scales of Pangolin (Lin Chi Jia), burn them to powder, mix with pig grease, and apply topically.
Another prescription from *Qian Jin Yi Fang*.
Take one piece of Pinellia Tuber (Ban Xia), crush it, mix with duck grease, and apply topically.
*Qian Jin Yi Fang* Fistula prescription.
Iron filings (2 liang), Dog jawbone with teeth attached (2 liang), Deer horn platelets with hair (half amount) (*Qian Jin Fang* states: coarse skin with hair attached), Tiger feces (each 2 liang).
Pound the four ingredients, sieve into powder, mix with pig grease, and insert into the fistula opening. Replace after a short while, five to six times daily.
*Qian Jin Yi Fang* prescription for treating Rat Fistula.
Dead rat (one medium-sized specimen), Tangled hair (size of a chicken egg).
Place these two ingredients in pig grease rendered in the twelfth lunar month, just enough to submerge them. Simmer over low heat until the rat and hair are completely dissolved and the ointment is formed. Apply to the sore. Additionally, take about half a qian orally with wine; the rat will be expelled from the sore.
*Tai Ping Sheng Hui Fang* (Prescriptions of Holy Empathy) prescription for pediatric cases with persistent purulent discharge, stiff neck, headache, and alternating chills and fever in the limbs. The suitable formula is Red Bean Powder (Chi Xiao Dou San).
Red Adzuki Beans (1 he, stir-fried until cooked), Honeycomb (Lu Feng Fang, burnt to ash), White Peony Root (Bai Lian, each 1 liang), Snake Slough (She Tui Pi, 2 chi, burnt to ash).
Pound the above medicines, sift finely into powder. Each dose consists of half a qian mixed with millet broth, adjusted according to the child's age and size.
*Tai Ping Sheng Hui Fang* prescription for pediatric scrofula that has persisted for a long time, migrated to two or three locations, and formed multiple fistulas. The suitable topical powder is Night Soil Powder (Ye Ming Sha San).
Night Soil (Ye Ming Sha, 1 liang), White Silkworm (Bai Jiang Can), Frankincense (Ru Xiang), Winter Tea (La Mian Cha), Male Silkworm Moth (Xiong Can E, each half liang).
Pound the above medicines, sift finely into powder. Apply topically to the sore until healed.
*Tai Ping Sheng Hui Fang* prescription for various pediatric scrofula sores that have persisted without healing. The suitable topical powder is Black Snake Powder (Wu She San).
Black Snake Meat (Wu She Rou, burnt until yellow), Purslane (Ma Chi Xian, grown on walls), Tribulus Seeds (Ji Li Zi, each 3 fen), Curved Thorn Needles (Qu Tou Ji Zhen), Tangled Hair (Luan Fa, burnt to ash), Crimson Silk (Fei Bo, burnt to ash, each half liang), Realgar (Xiong Huang, 1 fen, finely ground).
Pound the above medicines, sift finely into powder. Mix with wine and insert into the fistula opening until healed.
*Tai Ping Sheng Hui Fang* Cinnabar Ointment (Dan Sha Gao) for pediatric sores that persist and form fistulas.
Cinnabar (Dan Sha), Alum (Bai Fan, stir-fried, both finely ground), Atropus Herb (Mang Cao, each half liang), Realgar (Xiong Huang, finely ground), Sophora Root (Ku Shen), Sichuan Rhubarb (Chuan Da Huang), Coptis Rhizome (Huang Lian, remove stamens), Radish Root (Ru, each 1 liang).
Finely chop all ingredients. Boil in 2 sheng of refined pig grease in a cauldron until the mixture turns purple. Filter through cotton to remove dregs. Add Cinnabar, Alum, and Realgar, and stir evenly with a willow wood spatula. Store in a porcelain container. Apply to the sore and change daily.
*Tai Ping Sheng Hui Fang* prescription for pediatric fistulas perforating into sores with unbearable pain.
Purslane (Ma Chi Xian, 8 liang), Oak Bark (Hu Mu Bai Pi), Almond Kernels (Xing Ren, soaked in water, peeled, stir-fried until slightly black, pounded into paste, each 3 liang), Musk (She Xiang, 3 qian, finely ground).
Except for Musk and Almond Kernels, finely chop the other ingredients. Decoct in 5 sheng of water until reduced to 1 sheng. Filter to remove dregs, clarify the liquid, add Musk and Almond Paste, mix evenly, and decoct again until the consistency is appropriate. Store in a porcelain container. Apply to old cloth and patch onto the sore, changing twice daily.
Another prescription from *Tai Ping Sheng Hui Fang*.
Take red mushrooms growing on cow dung piles, also known as Morning-Born Evening-Wither Flower (Zhao Sheng Mu Luo Hua). Dry them, pound into powder, sift, and apply topically to the sore for effective results.
Another prescription from *Tai Ping Sheng Hui Fang*.
Dry Catalpa Leaves (Qiu Ye), pound into powder, sift finely. Mix with raw sesame oil and apply.
Another prescription from *Tai Ping Sheng Hui Fang*.
Use powdered Pine Resin (Song Zhi) that has been refined. Fill the fistula opening completely with it. Use three times daily for effectiveness.
Another prescription from *Tai Ping Sheng Hui Fang*.
Dry Pumpkin Flowers (Hu Hua) harvested after frost, pound into powder, and apply topically.
*Ying Ru Shu* (Book for Infants and Children) prescription for pediatric scrofula.
Burned Vegetable Roots, Rhinoceros Horn (Xi Jiao, powdered).
Burn both to ash, mix, and apply topically.
Zhang Huan’s Purslane Prescription for treating various sores that persist without healing.
Purslane (Ma Chi Xian), Black Snake Meat (Wu She Rou, soaked in wine overnight, baked dry, each 1 liang), Tribulus Seeds (Ji Li Zi), Tangled Hair (Luan Fa, burnt to ash), Curved Thorn Needles (Qu Tou Ji Zhen, burnt to ash), Crimson Silk (Fei Bo, burnt to ash, each half liang).
Pound the above medicines, sift into fine powder. Each time, adjust the amount based on the size of the sore, mix with white wine, apply to cloth, and patch onto the sore.
*Ji Shi Jia Chuan* (Ji Family Transmission) prescription for treating fistula diseases.
Bletilla Bulb (Bai Ji), White Peony Root (Bai Lian), Mylabris Beetle (Ban Mao Chong, each half liang), Croton Seed (Ba Dou, one seed, peel and remove heart, crush), Snail (Wo Niu, one specimen, specifically Tian Luo. Place 1 qian of Musk inside its mouth, leave exposed to dew overnight, collect the liquefied water the next day).
Mix the above medicines using the Tian Luo water to form pills the size of small mung beans. First, use a paper twist to probe the depth of the sore. Then, moisten the tip of the paper twist with saliva, dip it into the medicine, and insert it into the fistula. Seal with an ointment plaster, ensuring no opening remains. This sealing process usually requires three to four sessions; sealing it as small as a hemp seed is particularly excellent.