《巢氏病源》小儿白秃候∶白秃之候，头上白点斑剥，初似癣而上有白皮屑，久则生痂又成疮，遂至遍头。
洗刮除其痂，头皮疮孔如箸头大，里有脓汁出，不痛而有微痒时，其里有虫，甚细微难见。九虫论亦云∶是蛲
虫动作而成此疮，乃至自小及长大不瘥，头发秃落，故谓之白秃也。
《唐本草注》∶小儿白秃疮方。
鸡窠中草 白头翁花
上等分烧灰，以蜡月猪脂调涂之，仍先以酸泔洗，然后涂。
《葛氏肘后》白秃方。
上以葶苈捣末，以汤洗讫涂上。
《子母秘录》小儿白秃疮，头上疮，团团白色方。
上以牛屎敷之。
《子母秘录》小儿白秃发不生，汁出惨痛方。
上浓煮陈香薷汁少许，脂和胡粉敷上。
《子母秘录》小儿白秃疮，凡头上团团然白色者方。
上以蒜揩白处，早朝使之。
《圣惠》治小儿白秃疮，瘥而复生。皂角散方
皂角（二挺，烧灰） 白芨（半分） 黄芩 朱砂 麝香（二味细研） 黄丹（微炒） 槟榔 干姜（烧灰。各一
分）
上件药捣，罗为末，以浓醋脚调涂之，甚者不过三上瘥。
《圣惠》治小儿白秃疮及诸癣。松脂膏
松脂（半两） 清油（二两） 天南星 川乌头（去皮脐） 腻粉（各一分） 黄蜡 杏仁（汤浸，去皮，别研如
膏。各一两）
上件药捣，罗为末，先取油蜡入于瓷器内，以慢火熔之，后下诸药末，和搅令匀，熬三、五沸，膏成候冷，
涂疮上，日再用之。
《圣惠》又方
芜荑 豆豉（各一分） 川椒（二十粒，去目）
上件药捣如泥，以陈酱汁调涂之。
《圣惠》小儿白秃疮，痛痒不瘥方。
桃花（三月三日收，未开者阴干） 赤桑根（各一两）
上件药捣，细罗为散，以腊月猪脂和如膏，每使时先以桑柴灰汁净洗，拭干涂之即瘥。
《圣惠》又方
细柳枝（一握） 水银（半两，以津研令星尽） 皂角（一挺，去皮子）
上件药细锉，以醋一升，煎令浓，去滓，再熬成膏，下水银，搅令匀，以瓷盒盛，日二涂之。
《圣惠》治小儿白秃疮，无发苦痒。野葛膏方
野葛（末） 猪脂 羊脂（各一两）
上件药同煎三五沸，搅令匀，滤去滓，盛于瓷器中候冷涂之，不过三上瘥。
《圣惠》治小儿白秃疮及疳，头发连根作穗脱落，发不生者，宜涂黑豆沥方
黑豆 巨 子（各三合） 诃黎勒皮（一两）
上件药捣，罗为末，以油水中半，拌令匀，内在竹筒中，用乱发塞口，以 火烧，沥取膏，贮于不津器
中。每使时，先以米泔、皂角净洗，然后涂之，日二用，十日内发生矣。
《圣惠》又方
巴豆（十枚，去皮、心，用纸裹压去油） 盐（一块如栗子大） 麻油（一合）
上件药，都入乳钵内，研如膏，日三度涂之瘥。
《圣惠》治小儿白秃疮，发落苦痒。黄柏散方
黄柏（末） 薰陆香（各一两）
上件药细研，以生麻油调稀稠得所、涂之，干即更涂，不过四五度瘥。
《圣惠》治小儿白秃疮，发不生方。
上取蔓菁子、川乌头等分，烧灰细研，以生油和涂之。
《圣惠》治小儿白秃疮，久不瘥方。
上取鲫鱼一头重四两者，去肚肠，实填乱发，以湿纸裹烧为灰，细研，入雄黄末二钱，更研令匀。每用时
以泔清净洗疮，拭干，以腊月猪脂调涂之，生油调亦得。
《圣惠》治小儿白秃疮方。
上取东引楝木枝，锉碎，捣罗为末，以猪脂和涂之。
《圣惠》又方
马肠根（一两，锉，微炒） 藜芦（半两，去芦头，锉，炒令焦）
上捣、罗为末。每用时先以泔清净洗疮，拭干敷之。
《圣惠》又方
上以梁上尘五两，细研，每用时先以皂角汤温温净洗疮，拭干敷之。
《圣惠》又方
上以雄鸡粪白细研，以陈酱汁调涂之。《婴孺》先以苦酒洗了涂之。
《圣惠》又方
上以熊脂五两，熔令消，涂之。
《圣惠》又方
上取瓦青衣细研，以生油调涂之。
《圣惠》又方
上以醋泔洗头，后淋荞麦灰汁再洗之。
《圣惠》又方
上以葵根烧灰，细研敷之。
《圣惠》又方
上以蛇蜕皮烧灰，细研敷之。
茅先生治小儿白秃疮及头疮方。
漆HT 豆豉 白矾（等分）
上都入 器内，泥裹烧过，研细入轻粉，油调涂之。
长沙医者丁时发传治小儿累年不效白头烂方。
石炭（以童子小便浸七日，又换小便浸之） 蛇胞子叶（阴干。等分）
上为细末。先用白纱子头上裹定，次用鸭卵饼一个在头上，又用白绢裹定，良久，虫在纱子上，却去纱绢
卵，次用药涂之，不过三、五上瘥。
《巢氏病源》中关于小儿白秃的证候描述：白秃的症状表现为头部出现白色斑点，呈片状剥脱，起初类似癣症但表面有白色皮屑，时间久了会结痂并演变为疮疡，最终蔓延至整个头部。
清洗并刮除其痂皮后，头皮上的疮孔大小如同筷子头，里面有脓液流出，患者不感到疼痛但偶尔有轻微瘙痒，这是因为内部有虫，这些虫非常细微难以看见。《九虫论》中也说：这是蛲虫活动而形成的这种疮疡，甚至从幼小到长大都不能痊愈，导致头发脱落，所以称为白秃。
《唐本草注》记载的小儿白秃疮方剂：
取鸡窝中的草和白头翁花，两者上等分，烧成灰，用腊月（农历十二月）的猪脂调和涂抹，在此之前先用酸淘米水清洗，然后再涂抹。
《葛氏肘后方》治疗白秃的方剂：
将葶苈捣碎成粉末，用热水清洗患处后涂抹药粉。
《子母秘录》治疗小儿白秃疮、头上疮疡呈团状白色的方剂：
直接用牛屎敷在患处。
《子母秘录》治疗小儿白秃导致头发不生、流出汁液且剧烈疼痛的方剂：
将陈年香薷浓煮取少量汁液，用胡粉（铅粉）调和后敷在患处。
《子母秘录》治疗小儿白秃疮，凡是头上呈团状白色的方剂：
用大蒜擦拭发白的部位，在早晨进行。
《太平圣惠方》治疗小儿白秃疮，治愈后又复发的皂角散方：
皂角（两根，烧成灰）、白芨（半钱）、黄芩、朱砂、麝香（这两味药细研）、黄丹（微炒）、槟榔、干姜（烧成灰，以上各一钱）。
将上述药物捣碎，过筛成粉末，用浓醋脚（沉淀的醋渣或浓醋液）调和涂抹，严重的不过三次即可痊愈。
《太平圣惠方》治疗小儿白秃疮及各类癣症的松脂膏：
松脂（半两）、清油（二两）、天南星、川乌头（去皮脐）、腻粉（以上各一钱）、黄蜡、杏仁（用热水浸泡，去皮，另研如膏状，以上各一两）。
将上述药物捣碎，过筛成粉末，先取油和蜡放入瓷器内，用慢火熔化，然后加入诸药粉末，搅拌混合均匀，熬煮三到五沸，膏成后冷却，涂抹于疮上，每日使用两次。
《太平圣惠方》又一方：
芜荑、豆豉（各一钱）、川椒（二十粒，去目）。
将上述药物捣烂如泥，用陈年酱汁调和涂抹。
《太平圣惠方》治疗小儿白秃疮，痛痒不止的方剂：
桃花（三月三日采集，未开放的阴干）、赤桑根（各一两）。
将上述药物捣碎，细筛成散剂，用腊月猪脂调和如膏状，每次使用时先用桑柴灰汁洗净患处，擦干后涂抹即可痊愈。
《太平圣惠方》又一方：
细柳枝（一把）、水银（半两，用唾液研磨至星点消失）、皂角（一根，去皮子）。
将上述药物细切，用一升醋煎煮至浓稠，滤去渣滓，再熬成膏，加入水银，搅拌均匀，盛放在瓷盒中，每日涂抹两次。
《太平圣惠方》治疗小儿白秃疮，无发且苦于瘙痒的野葛膏方：
野葛（粉末）、猪脂、羊脂（各一两）。
将上述药物一同煎煮三到五沸，搅拌均匀，滤去渣滓，盛放在瓷器中冷却后涂抹，不超过三次即可痊愈。
《太平圣惠方》治疗小儿白秃疮及疳积，头发连根像穗一样脱落、不再生长的，宜涂黑豆沥方：
黑豆、巨胜子（即黑芝麻，各三合）、诃黎勒皮（一两）。
将上述药物捣碎，过筛成粉末，用一半油一半水的混合物拌匀，放入竹筒中，用乱发塞住口，用火烧烤，沥取膏液，储存在不透水的容器中。每次使用时，先用米泔水和皂角洗净患处，然后涂抹，每日两次，十日内头发即可再生。
《太平圣惠方》又一方：
巴豆（十枚，去皮、心，用纸包裹压去油）、盐（一块如栗子大）、麻油（一合）。
将上述药物全部放入乳钵内，研磨如膏状，每日涂抹三次即可痊愈。
《太平圣惠方》治疗小儿白秃疮，脱发且苦于瘙痒的黄柏散方：
黄柏（粉末）、薰陆香（即乳香，各一两）。
将上述药物细研，用生麻油调至稀稠适宜，涂抹患处，干了就再涂，不超过四五次即可痊愈。
《太平圣惠方》治疗小儿白秃疮，头发不生的方剂：
取蔓菁子和川乌头各等分，烧成灰细研，用生油调和涂抹。
《太平圣惠方》治疗小儿白秃疮，久治不愈的方剂：
取一条重四两的鲫鱼，去掉肚肠，填满乱发，用湿纸包裹烧成灰，细研，加入雄黄末二钱，再次研磨均匀。每次使用时，用淘米水洗净疮面，擦干，用腊月猪脂调和涂抹，用生油调和也可以。
《太平圣惠方》治疗小儿白秃疮的方剂：
取向东生长的楝树枝，切碎，捣碎过筛成粉末，用猪脂调和涂抹。
《太平圣惠方》又一方：
马肠根（一两，切碎，微炒）、藜芦（半两，去芦头，切碎，炒至焦黑）。
捣碎，过筛成粉末。每次使用时先用淘米水洗净疮面，擦干后敷药。
《太平圣惠方》又一方：
取房梁上的灰尘五两，细研，每次使用时先用皂角汤温热洗净疮面，擦干后敷药。
《太平圣惠方》又一方：
取公鸡粪便的白色部分细研，用陈年酱汁调和涂抹。《婴孺方》建议先用醋清洗后再涂抹。
《太平圣惠方》又一方：
取熊脂五两，熔化后涂抹。
《太平圣惠方》又一方：
取瓦屋青苔（瓦青衣）细研，用生油调和涂抹。
《太平圣惠方》又一方：
用醋淘米水洗头，之后再用荞麦灰汁淋洗。
茅先生治疗小儿白秃疮及头疮的方剂：
漆姑草、豆豉、白矾（等分）。
将上述药物一起放入容器中，用泥包裹烧制过后，研细加入轻粉，用油调和涂抹。
长沙医生丁时发传授的治疗小儿多年无效、白头溃烂的方剂：
石炭（用童子小便浸泡七天，再换小便浸泡）、蛇床子叶（阴干，等分）。
制成细末。先用白纱布裹住头部，然后在头上放一个鸭蛋饼，再用白绢包裹固定，过了一会儿，虫子会爬到纱布上，此时去掉纱、绢和蛋饼，再用药涂抹，不超过三到五次即可痊愈。
According to *Chao Shi Bing Yuan* (Source of Diseases by Chao Yuanfang) regarding the syndrome of pediatric white alopecia (Bai Tu): The manifestation of white alopecia involves white spots on the scalp that peel off in patches. Initially resembling tinea (Xuan) but with white scales on the surface, over time it forms scabs and evolves into sores, eventually spreading across the entire head.
After washing and scraping off the scabs, the pores of the scalp sores are as large as a chopstick tip, with pus oozing out internally. There is no pain, only occasional slight itching, indicating the presence of parasites inside, which are extremely minute and difficult to see. *Jiu Chong Lun* (Treatise on Nine Parasites) also states: This sore is caused by the activity of pinworms (Ruichong). It may persist from childhood to adulthood without healing, leading to hair loss, hence the name "white alopecia."
*Tang Bencao Zhu* (Commentary on Tang Materia Medica) records a prescription for pediatric white alopecia sores:
Take equal parts of grass from chicken coops and flowers of *Pulsatilla chinensis* (Baitouweng). Burn them to ash, mix with lard rendered in the twelfth lunar month (Layue), and apply. Prior to application, wash the area with acidic rice-washing water.
*Ge Shi Zhou Hou Fang* (Emergency Prescriptions Kept at the Elbow of Ge Hong) for white alopecia:
Crush *Descurainia sophia* seeds (Tingli) into powder. Wash the affected area with hot water and then apply the powder.
*Zimu Milu* (Secret Records of Mother and Child) for pediatric white alopecia sores, where sores on the head appear as circular white patches:
Apply cow dung directly to the affected area.
*Zimu Milu* for pediatric white alopecia causing hair loss, exudation, and severe pain:
Concentrate-boil aged *Elsholtzia splendens* (Chen Xiangru) to obtain a small amount of juice. Mix with lead carbonate (Hufen) and apply to the lesion.
*Zimu Milu* for pediatric white alopecia sores, characterized by circular white patches on the head:
Rub garlic on the depigmented areas; perform this treatment in the early morning.
*Tai Ping Sheng Hui Fang* (Imperial Grace Formulary of the Taiping Era) Zao Jiao San (Gleditsia Sinensis Powder) for treating pediatric white alopecia sores that recur after healing:
*Gleditsia sinensis* (Zaojiao) (2 pods, burned to ash), *Bletilla striata* (Baiji) (0.5 qian), *Scutellaria baicalensis* (Huangqin), Cinnabar (Zhusha), Musk (Shexiang) (the latter two finely ground), Red Lead (Huandan) (lightly stir-fried), Areca Seed (Binglang), Dried Ginger (Ganjiang) (burned to ash; each 1 qian).
Grind all ingredients into a fine powder. Mix with thick vinegar residue or concentrated vinegar liquid and apply. Severe cases will heal within three applications.
*Tai Ping Sheng Hui Fang* Song Zhi Gao (Pine Resin Ointment) for pediatric white alopecia sores and various tinea infections:
Pine Resin (Songzhi) (0.5 liang), Refined Oil (Qingyou) (2 liang), *Aconium kusnezoffii* rhizome (Tiannanxing), *Aconitum carmichaelii* lateral root (Chuanchuwu) (peeled and navel removed), Calomel (Nifen) (each 1 qian), Yellow Beeswax (Huangla), Almond Kernel (Xingren) (soaked in hot water, peeled, and separately ground into a paste; each 1 liang).
Grind all ingredients into a fine powder. First, melt the oil and beeswax in a porcelain vessel over low heat. Then add the powdered herbs, stir evenly, and boil for three to five cycles of boiling. Once the ointment is formed, let it cool before applying to the sores. Use twice daily.
*Tai Ping Shing Hui Fang* Another Prescription:
Mume Seed (Wuyi), Fermented Soybean (Douchi) (each 1 qian), Sichuan Pepper (Chuanjiao) (20 grains, eyes removed).
Grind all ingredients into a paste. Mix with aged soy sauce and apply.
*Tai Ping Sheng Hui Fang* for pediatric white alopecia sores with persistent pain and itching:
Peach Blossom (Taohua) (collected on the third day of the third lunar month, dried in shade before blooming), Red Mulberry Root Bark (Chisanggan) (each 1 liang).
Grind and sieve into a powder. Mix with lard rendered in the twelfth lunar month to form a paste. Before each use, wash the area thoroughly with ash water from mulberry wood branches, dry, and apply. Healing will follow.
*Tai Ping Sheng Hui Fang* Another Prescription:
Fine Willow Branch (Xiliuzhi) (one handful), Mercury (Shuiyin) (0.5 liang, ground with saliva until no visible particles remain), *Gleditsia sinensis* pod (Zaojiao) (one pod, peeled and seeded).
Finely chop all ingredients. Decoct in one sheng of vinegar until concentrated. Strain the dregs, continue boiling to form a paste, add mercury, and stir evenly. Store in a porcelain box. Apply twice daily.
*Tai Ping Sheng Hui Fang* Ye Ge Gao (Wild Kadsura Ointment) for pediatric white alopecia sores with hair loss and intense itching:
*Polygonum multiflorum* (Yege) (powder), Lard (Zhuzhi), Mutton Fat (Yangzhi) (each 1 liang).
Decoct all ingredients together for three to five boils. Stir evenly, strain, and store in a porcelain vessel. Cool before applying. Healing occurs within three applications.
*Tai Ping Sheng Hui Fang* Hei Dou Li (Black Bean Distillate) for pediatric white alopecia sores associated with infantile malnutrition (Gan), where hair falls out in clumps from the root and fails to regrow:
Black Bean (Heidou), Sesame Seeds (Juzi) (each 3 he), Pericarp of Terminalia Chebula (Helilepi) (1 liang).
Grind and sieve into a powder. Mix with half oil and half water. Place the mixture in a bamboo tube, seal the mouth with loose hair, and roast over fire to distill the ointment. Store in a non-porous container. Before each use, wash the area clean with rice water and *Gleditsia sinensis*. Apply twice daily. Hair will regenerate within ten days.
*Tai Ping Sheng Hui Fang* Another Prescription:
Croton Seed (Badou) (10 seeds, peeled, cored, wrapped in paper, and pressed to remove oil), Salt (a piece the size of a chestnut), Sesame Oil (Mayou) (1 he).
Grind all ingredients in a mortar until they form a paste. Apply three times daily for healing.
*Tai Ping Sheng Hui Fang* Huang Bo San (Phellodendron Powder) for pediatric white alopecia sores with hair loss and intense itching:
Phellodendron Bark (Huangbai) (powder), Frankincense (Xunluxiang) (each 1 liang).
Finely grind the ingredients. Mix with raw sesame oil to an appropriate consistency and apply. Reapply when dry. Healing occurs within four to five applications.
*Tai Ping Sheng Hui Fang* for pediatric white alopecia where hair does not grow:
Take equal parts of Turnip Seed (Manjingzi) and *Aconitum carmichaelii* root (Chuanchuwu). Burn to ash, grind finely, and mix with raw oil for topical application.
*Tai Ping Sheng Hui Fang* for chronic pediatric white alopecia sores unresponsive to treatment:
Take one crucian carp weighing four liang. Remove internal organs, stuff with loose hair, wrap in wet paper, and burn to ash. Grind finely, add 2 qian of Realgar powder (Xionghuang), and grind uniformly. Before use, wash the sore clean with rice water, dry, and apply mixed with lard rendered in the twelfth lunar month. Mixing with raw oil is also acceptable.
*Tai Ping Sheng Hui Fang* for pediatric white alopecia sores:
Take branches of Chinaberry tree (*Melia azedarach*) growing towards the east. Chop, crush, and sieve into powder. Mix with lard and apply.
*Tai Ping Sheng Hui Fang* Another Prescription:
Root of Horse Intestine Plant (Machanggen) (1 liang, chopped, lightly stir-fried), Veratrum Nigrum (Lilu) (0.5 liang, remove rhizome, chop, stir-fry until scorched).
Grind and sieve into powder. Before use, wash the sore clean with rice water, dry, and apply.
*Tai Ping Sheng Hui Fang* Another Prescription:
Take 5 liang of dust from roof beams. Grind finely. Before use, wash the sore gently with warm decoction of *Gleditsia sinensis*, dry, and apply.
*Tai Ping Sheng Hui Fang* Another Prescription:
Take the white part of rooster feces, grind finely, mix with aged soy sauce, and apply. *Ying Ru* suggests washing with vinegar first before application.
*Tai Ping Sheng Hui Fang* Another Prescription:
Take 5 liang of Bear Fat, melt, and apply.
*Tai Ping Sheng Hui Fang* Another Prescription:
Take green moss growing on tiles (Wa Qingyi), grind finely, mix with raw oil, and apply.
*Tai Ping Sheng Hui Fang* Another Prescription:
Wash the head with vinegar-rice water, then rinse with ash water from buckwheat hulls.
*Tai Ping Sheng Hui Fang* Another Prescription:
Burn Mallow Root (Kuigen) to ash, grind finely, and apply.
*Tai Ping Sheng Hui Fang* Another Prescription:
Burn Snake Slough (Shetuipi) to ash, grind finely, and apply.
Master Mao's prescription for pediatric white alopecia sores and head sores:
*Selaginella tamariscina* (Qigu), Fermented Soybean (Douchi), Alum (Baifan) (equal parts).
Place all ingredients in a vessel, seal with mud, and bake. Grind finely, add Calomel (Qingfen), mix with oil, and apply.
Prescription passed down by Ding Shifa, a physician from Changsha, for treating pediatric chronic white alopecia with ulceration that has resisted previous treatments:
Coal (Shitan) (soaked in urine of a young boy for seven days, changing the urine repeatedly), Leaves of *Cnidium monnieri* (Shebaoyezi) (dried in shade; equal parts).
Grind into a fine powder. First, wrap the head securely with white gauze. Place an egg-shaped cake on the head, then wrap tightly with white silk. After some time, the parasites will migrate onto the gauze. Remove the gauze, silk, and egg cake. Then apply the medication. Healing occurs within three to five applications.