(血疽附)
《巢氏病源》小儿身有赤处候∶小儿因汗为风邪热毒所伤,与血气相搏,热气蒸发于外,其肉色赤而壮热是也。
《葛氏肘后》治身上有赤肿处者。
上熬粉令黑,和唾涂之。
《千金》治小儿半身皆红赤,渐渐长引者方。
牛膝 甘草(炙)
上二味 咀,合得五升,以水八升煮三沸,去滓,和伏龙肝末敷之。
《千金》治小儿身赤肿起者方。
伏龙肝 乱发(灰)
上二味末之,以膏和,涂之。
《圣惠》治小儿身上有赤引于颊上或口旁、眼下,赤如燕脂,面上皮即皴剥,渐渐引多,此是心热血凝所为。
其治法宜以小刀子锋头镰破,令血出后宜服丹参散方
丹参 黄芩 枳壳(麸炒微黄,去瓤) 葛根(锉) 犀角(屑,以上各一分) 麻黄(半两,去根节)
上件药捣,粗罗为散。每服一钱,以水一小盏,入竹叶十片、竹茹半分煎至五分,去滓放温,不计时候。
量儿大小分减服之。
《圣惠》治小儿身上有赤,烦热。麦门冬散方
麦门冬(去心) 芦根(锉) 葛根(锉) 犀角(屑) 甘草(炙微赤,锉) 漏芦(各半两)
上件药捣,粗罗为散。每服一钱,以水一小盏,入竹叶十片煎至五分,去滓放温、不计时候。量儿大小分减服之。
《圣惠》治小儿身上有赤,或瘀肿,或如火丹,烦渴,浑身赤引壮热。铅霜散方
铅霜 绿豆粉(各半两)
上件药细研为散,以芸薹菜汁调涂之。
《圣惠》又方
上桃仁汤浸去皮,研令烂,以面脂和涂。
《圣惠》又方
上黄蒿穗,以水浓煎汤,入盐少许,温温洗之。
《圣惠》又方
上白矾细研,以生油调涂之。
《圣惠》又方
上芭蕉根捣,绞汁涂之。
《圣惠》又方
上水中苔捣末,以水调涂之。
《圣惠》又方
上川芒硝以水研涂之。
《吉氏家传》治小儿腿上并座处血疽方。此疾但有赤色如燕脂,渐引阔如钱大,或手掌大,皮肤光紧,此名血
疽。此因心热,心主血,血得热即凝聚不散,宜用此药。
上以锻石炒令极热即以水沃之,澄清三度,敷之。
(血疽附方)
《诸病源候论》关于小儿身上有红斑的论述:小儿因出汗时受风邪和热毒侵袭,与体内的血气相互搏结,热气向外蒸腾,导致肌肉呈现红色并伴有高热。
《葛氏肘后方》治疗身上出现红肿部位的方法。
将药物炒至变黑,混合唾液涂抹患处。
《千金方》治疗小儿半身发红赤,且逐渐蔓延扩大的方剂。
牛膝、甘草(炙制)。
以上两味药切碎,合计五升量,加入八升水煮沸三次,滤去药渣,混合伏龙肝粉末外敷。
《千金方》治疗小儿身上红肿隆起的方剂。
伏龙肝、乱发(烧成灰)。
以上两味药研成细末,用油脂调和后涂抹。
《太平圣惠方》治疗小儿身上有红斑,蔓延至脸颊或口旁、眼下,颜色红如胭脂,面部皮肤随即粗糙剥落,且逐渐增多扩散,这是由心热血凝所致。
治疗方法宜先用小刀锋尖挑破,令血液流出后,再服用丹参散方。
丹参、黄芩、枳壳(麸炒至微黄,去瓤)、葛根(锉碎)、犀角(锉屑,以上各一分)、麻黄(半两,去根节)。
以上药材捣碎,粗筛为散剂。每次服用一钱,用水一小盏,加入十片竹叶、半分竹茹,煎至五分水量,滤去药渣,放温,不限时间服用。
根据患儿年龄大小酌情减量服用。
《太平圣惠方》治疗小儿身上发红,伴烦热的麦门冬散方。
麦门冬(去心)、芦根(锉碎)、葛根(锉碎)、犀角(锉屑)、甘草(炙至微赤,锉碎)、漏芦(各半两)。
以上药材捣碎,粗筛为散剂。每次服用一钱,用水一小盏,加入十片竹叶,煎至五分水量,滤去药渣,放温,不限时间服用。根据患儿年龄大小酌情减量服用。
《太平圣惠方》治疗小儿身上发红,或瘀肿,或如火丹,烦渴,全身发红伴高热的铅霜散方。
铅霜、绿豆粉(各半两)。
以上药材细研为散剂,用芸薹菜汁调匀后涂抹。
《太平圣惠方》又一方。
取桃仁,用汤浸泡去皮,研磨至烂,用面脂调和涂抹。
《太平圣惠方》又一方。
取黄蒿穗,用水浓煎成汤,加入少许盐,温热清洗患处。
《吉氏家传》治疗小儿腿部及坐处血疽的方剂。此病表现为红斑如胭脂色,逐渐扩大如铜钱大或手掌大,皮肤光亮紧绷,这称为血疽。这是因为心热,心主血脉,血受热则凝聚不散,适宜使用此药。
取锻石炒至极热,立即用水浇淋,澄清三次,取上清液敷用。
(Attached to Blood Abscess)
*Zhubing Yuanhou Lun* (Source of All Diseases) on the condition of red spots on a child's body: When children sweat, they are injured by wind pathogens and heat toxins. These interact with the blood and qi, causing heat to evaporate outward. This results in the flesh turning red accompanied by high fever.
*Ge Shi Zhou Hou Fang* (Emergency Handbook by Ge Hong) for treating red and swollen areas on the body.
Stir-fry the ingredients until black, mix with saliva, and apply topically.
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) for treating children whose half-body turns red and spreads gradually.
*Huai Niu Xi* (Radix Achyranthis Bidentatae), *Zhi Gan Cao* (Prepared Licorice Root).
Chop the above two ingredients, totaling five sheng. Add eight sheng of water, boil three times, remove the dregs, mix with powder of *Fu Long Gan* (Dragon's House Soil) and apply externally.
*Qianjin Fang* for treating children with raised red swelling on the body.
*Fu Long Gan* (Dragon's House Soil), *Luan Fa Hui* (Ash of Tangled Hair).
Pulverize the above two ingredients, mix with ointment/fat, and apply.
*Taiping Shenghui Fang* for treating children with red patches spreading to the cheeks, beside the mouth, or under the eyes, red as rouge, with the facial skin becoming rough and peeling, spreading further. This is caused by heart-heat and blood stasis.
The treatment method involves pricking the area with the tip of a small knife to allow blood to flow out, followed by administering the Danshen San formula.
*Dan Shen* (Salvia Miltiorrhiza Root), *Huang Qin* (Scutellaria Baicalensis Root), *Zhi Ke* (Bitter Orange Fruit, stir-fried with bran until slightly yellow, pith removed), *Ge Gen* (Kudzu Root, crushed), *Xi Jiao* (Rhinoceros Horn, crushed; each one fen), *Ma Huang* (Ephedra Herba, half liang, roots and joints removed).
Pound the above herbs, sieve coarsely to make a powder. Take one qian per dose, add one small cup of water, ten leaves of *Zhu Ye* (Bamboo Leaf), and half fen of *Zhu Ru* (Bamboo Shavings). Decoct until five fen of liquid remains, remove dregs, let cool to warm temperature, take at any time.
Adjust the dosage according to the child's age and size.
*Taiping Shenghui Fang* Mai Dong San for treating children with redness on the body accompanied by irritability and heat.
*Qu Xin Mai Dong* (Ophiopogon Japonicus Tuber, heart removed), *Lu Gen* (Reed Rhizome, crushed), *Ge Gen* (Kudzu Root, crushed), *Xi Jiao* (Rhinoceros Horn, crushed), *Zhi Gan Cao* (Prepared Licorice Root, stir-fried until slightly red, crushed), *Lou Lu* (Euphorbia Lathyris Root; each half liang).
Pound the above herbs, sieve coarsely to make a powder. Take one qian per dose, add one small cup of water and ten leaves of *Zhu Ye*. Decoct until five fen of liquid remains, remove dregs, let cool to warm temperature, take at any time. Adjust the dosage according to the child's age and size.
*Taiping Shenghui Fang* Qian Shuang San for treating children with redness on the body, or bruising/swelling, or resembling fire-dan (erysipelas), accompanied by irritability, thirst, generalized redness, and high fever.
*Qian Shuang* (Lead Frost), *Lu Dou Fen* (Mung Bean Powder; each half liang).
Grind the above herbs finely into a powder, mix with juice from *Yun Tai Cai* (Rapeseed Greens) and apply topically.
*Taiping Shenghui Fang*, another prescription.
Soak *Tao Ren* (Apricot Seed) in hot water, peel, grind until smooth, mix with *Mian Zhi* (Wheat Germ Oil/Fat) and apply.
*Taiping Shenghui Fang*, another prescription.
Take *Huang Hao Sui* (Artemisia Annua Flower Heads), decoct strongly in water, add a little salt, and wash the area while warm.
*Taiping Shenghui Fang*, another prescription.
Grind *Bai Fan* (Alum) finely, mix with raw oil and apply.
*Taiping Shenghui Fang*, another prescription.
Crush *Ba Jiao Gen* (Banana Root), squeeze out the juice and apply.
*Taiping Shenghui Fang*, another prescription.
Crush *Shui Zhong Tai* (Aquatic Moss) into powder, mix with water and apply.
*Taiping Shenghui Fang*, another prescription.
Dissolve *Chuan Mang Xiao* (Mirabilite) in water and apply.
*Ji Shi Jia Chuan* (Family Transmission of the Ji Family) for treating blood abscesses on the legs and buttocks of children. This disease presents as red patches like rouge, gradually expanding to the size of a coin or palm, with shiny and tight skin. This is called "Blood Abscess." It is caused by heart-heat; since the heart governs the blood, heat causes the blood to coagulate and not disperse. This medicine is suitable.
Stir-fry *Duan Shi* (Calcined Alumen/Mineral Salt) until extremely hot, then pour water over it. Clarify three times and apply the supernatant liquid.