《巢氏病源》小儿阴肿候∶足少阴为肾之经,其气下通于阴。小儿有少阴之经,虚而受风邪者,邪气冲于阴,
与血气相搏结,则阴肿也。
《千金》治小儿阴肿方。
上用狐茎,炙,捣末,酒服之。
《千金》又方
上捣芜菁敷上。《外台》捣芜菁菜叶根敷之。《婴孺》杵芜菁子敷之。
《千金》又方
上用猪屎五升,水煮沸,布裹安肿上。
《千金》又方
上捣垣衣敷之。
《千金》又方
上以衣中白鱼敷之。
《千金》又方
上桑株白汁涂之。
《圣惠》治小儿小肠虚冷,因多啼气下,致令阴肿。桃仁丸方
桃仁(汤浸去皮尖、双仁,麸炒微黄) 白蒺藜(微炒,去刺) 郁李仁(汤浸,去皮,微炒。各三分) 黄柏(一
分,微炙,锉) 牡丹 桂心(各半两)
上件药捣,罗为末,炼蜜和丸如绿豆大。三岁儿每于食前以温酒下七丸。量儿大小以意加减。
《圣惠》治小儿阴肿,壮热。甘遂丸方
甘遂(煨令微黄) 麝香(细研。各一分) 川大黄(锉,微炒) 木香(各一两) 前胡(二两,去芦头) 黄
芩(半两)
上件药捣,罗为末,炼蜜和丸如绿豆大。三岁儿每于食前以温水下三丸。量儿大小以意加减。
《圣惠》治小儿阴肿,为肠虚冷,多啼 气下所为,宜服牡丹丸方
牡丹皮 桂心 郁李仁(汤浸去皮,微炒。各半两) 桃仁(一分,汤浸去皮尖、双仁,麸炒微黄)
上件药捣,罗为末,炼蜜为丸如麻子大。一、二岁儿每服以温水下五丸,早晨、晚后各一服。量儿大小以
意加减。
《圣惠》治小儿阴肿大黄散方
木通(锉) 羌活 川大黄(锉、炒。各一分) 桑根白皮(半两,锉) 川朴硝(三分)
上件药捣,粗罗为散。一、二岁儿每服一钱,以水一小盏,煎至五分,去滓。量儿大小分减温服。
《圣惠》治小儿卒阴囊肿痒蛇床仁汤熨方
蛇床仁 柳HT 屑(各一两)
上件药,以水一大碗,煎六、七沸洗之,取其滓,以帛裹,熨儿肿处妙。
《圣惠》治小儿阴卒肿痛胀牛蒡膏方
生牛蒡汁(二大盏,煎令如膏) 赤小豆(末,半两) 肉桂(末,一分)
上件药相和如膏,涂儿肿处,立消。
《圣惠》又方
上取蔓菁子末,以猪脂调涂之。
《圣惠》又方
上以苋菜根捣汁,频频涂之。
《圣惠》又方
上以马鞭草烂捣,裹之,日二易之。
《圣惠》又方
上用桃仁汤浸,去皮尖、双仁,麸炒微黄,捣研如膏。三岁儿以温酒化豇豆大服之,日三服。量儿大小以
意加减。
茅先生小儿阴茎赤肿方。
大黄 赤小豆
上等分为末,用鸡子清调涂之。
《婴孺》治阴卒肿痛如刺,汗出方。
小蒜 韭 杨柳根(各一斤)
上合烧,以酒灌之,及热,以气蒸之,瘥。
钱乙附方 治小儿外肾肿硬成疝。
上用干蚯蚓为细末,唾调涂,常避风冷湿地。
张涣治小儿足少阴之经虚而受风邪者,冲于下经则成阴肿,桃仁丹方
桃仁(三分,汤浸去皮尖、双仁,麸炒微黄) 郁李仁(一分,汤浸去皮,微炒) 牡丹 白蒺藜(微炒,去刺) 桂
心(各半两)
上件捣,罗为细末,炼蜜和丸如黍米大。每服十粒,以温酒下,乳食前。量儿大小加减。
张涣胡连散方 治阴肿生疮。
胡黄连(去须) 胡粉(各半两) 白矾灰(一分)
上件捣,罗为细末。每用少许,以生油调涂患处。
《吉氏家传》∶疝气,外肾大茎肿方。
牡丹皮 肉桂 豉心(熬) 铁粉(等分)
上件为末,炼蜜丸如绿豆大。空心温酒下二十丸,小儿乳汁下三、五丸。
《朱氏家传》治小儿外肾肿赤胀痛,如圣丸方
上石燕子二个,细研末,米醋调成膏子,涂在肾上。
长沙医者丁时发传治小儿阴肿壮热甘遂丸方
甘遂(煨令黄) 麝香(各一分) 木香 川大黄(各一两,炒) 前胡(二两) 子芩(半两)
上件为末,炼蜜为丸如绿豆大。三岁一丸,于温水下。量大小加减。
长沙医者丁时发传治小儿外肾赤肿吊痛方。
上用江中水螺壳细研为粉,冷水调,拂于肿处。
长沙医者丁时发传白丁香散 治小儿外肾浮肿吊痛方。
上白丁香半合,用道人头三十枚,同白丁香合子,取霜子半钱,小儿一字。葱五寸同药纸裹定,酒浸,火
内煨香熟,细嚼,时时服。
《葛氏肘后》灸法∶小儿阴疝,发时肿痛,随左右灸足大指第二节下横纹理正中央五壮,佳。姚云∶足大指本三壮。
《圣惠》灸法∶阴肿灸内昆仑各三壮,在内踝后五分筋骨间陷中,炷如小麦大。又灸大敦七壮。
《巢氏病源》中关于小儿阴肿的论述:足少阴经是肾脏的经脉,其气向下通达于阴部。如果小儿足少阴经虚弱而受到风邪侵袭,邪气冲击阴部,与体内的血气相互搏结,就会导致阴囊肿胀。
《千金方》治疗小儿阴肿的方剂。
取狐阴茎,烤炙后捣成粉末,用酒送服。
《千金方》另一个方子
将芜菁捣烂敷在患处。《外台秘要》建议捣烂芜菁菜的叶和根敷用。《婴孺书》建议捣烂芜菁子敷用。
《千金方》又一个方子
取猪粪五升,用水煮沸,用布包裹敷在肿胀处。
《千金方》又一个方子
将墙上的旧衣服捣烂敷用。
《千金方》又一个方子
取衣箱中的白鱼(蠹虫)敷用。
《千金方》又一个方子
取桑树茎干流出的白色汁液涂抹患处。
《太平圣惠方》治疗小儿小肠虚冷,因啼哭过多导致气机下陷,从而引起阴肿的桃仁丸方
桃仁(热水浸泡去皮尖及双仁,麸皮炒至微黄) 白蒺藜(微炒,去刺) 郁李仁(热水浸泡去皮,微炒。各三分) 黄柏(一分,微炙,切碎) 牡丹皮 桂心(各半两)
以上药物捣碎,过筛成细末,用炼蜜调和制成如绿豆大小的丸药。三岁的儿童每次在饭前用温酒送服七丸。根据患儿大小酌情增减剂量。
《太平圣惠方》治疗小儿阴肿、高热壮热的甘遂丸方
甘遂(煨至微黄) 麝香(细研。各一分) 川大黄(切碎,微炒) 木香(各一两) 前胡(二两,去芦头) 黄芩(半两)
以上药物捣碎,过筛成细末,用炼蜜调和制成如绿豆大小的丸药。三岁的儿童每次在饭前用温水送服三丸。根据患儿大小酌情增减剂量。
《太平圣惠方》治疗小儿阴肿,因肠虚冷、多啼哭导致气机下陷所致的牡丹丸方
牡丹皮 桂心 郁李仁(热水浸泡去皮,微炒。各半两) 桃仁(一分,热水浸泡去皮尖及双仁,麸皮炒至微黄)
以上药物捣碎,过筛成细末,用炼蜜制成如麻子大小的丸药。一至两岁的儿童每次用温水送服五丸,早晨和晚上各一次。根据患儿大小酌情增减剂量。
《太平圣惠方》治疗小儿阴肿的大黄散方
木通(切碎) 羌活 川大黄(切碎、炒。各一分) 桑根白皮(半两,切碎) 川朴硝(三分)
以上药物捣碎,粗筛成散剂。一至两岁的儿童每次服用一钱,用水一小盏,煎至五分,去渣。根据患儿大小分次温热服用。
《太平圣惠方》治疗小儿突发阴囊肿胀瘙痒的蛇床仁汤熨法
蛇床仁 柳枝屑(各一两)
以上药物,用一大碗水,煎煮六到七沸后清洗患处,取药渣,用布包裹,热敷患儿的肿胀处,效果很好。
《太平圣惠方》治疗小儿阴部突然肿痛发胀的牛蒡膏方
生牛蒡汁(两大盏,煎至如膏状) 赤小豆(研末,半两) 肉桂(研末,一分)
以上药物混合成膏状,涂抹在患儿肿胀处,立即消退。
《太平圣惠方》另一个方子
取马鞭草捣烂,包裹患处,每天更换两次。
《太平圣惠方》另一个方子
取桃仁热水浸泡,去皮尖及双仁,麸皮炒至微黄,捣研成膏状。三岁儿童用温酒化开如豇豆大小的量服用,每天三次。根据患儿大小酌情增减剂量。
茅先生治疗小儿阴茎红肿的方子。
大黄 赤小豆
以上等分为末,用鸡蛋清调匀涂抹。
《婴孺书》治疗阴部突然肿痛如针刺、出汗的方子。
小蒜 韭菜 杨柳根(各一斤)
以上合在一起烧制,用酒浇灌,趁热用蒸汽熏蒸,即可痊愈。
钱乙附方 治疗小儿外肾肿硬形成疝气。
取干蚯蚓研成细末,用唾液调匀涂抹,平时常避开风冷湿地。
张涣治疗小儿足少阴经虚弱受风邪,邪气冲击下部经脉导致阴肿的桃仁丹方
桃仁(三分,热水浸泡去皮尖及双仁,麸皮炒至微黄) 郁李仁(一分,热水浸泡去皮,微炒) 牡丹皮 白蒺藜(微炒,去刺) 桂心(各半两)
以上药物捣碎,过筛成细末,用炼蜜调和制成如黍米大小的丸药。每次服用十粒,用温酒送服,在吃奶吃饭之前。根据患儿大小增减剂量。
张涣胡连散方 治疗阴肿生疮。
胡黄连(去须) 胡粉(各半两) 白矾灰(一分)
以上药物捣碎,过筛成细末。每次取少许,用生油调匀涂抹患处。
《吉氏家传》:治疗疝气,外肾大茎肿胀的方子。
牡丹皮 肉桂 豆豉心(熬制) 铁粉(等分)
以上药物研成末,炼蜜制成如绿豆大小的丸药。空腹时温酒送服二十丸,小儿用乳汁送服三到五丸。
《朱氏家传》治疗小儿外肾红肿胀痛,如圣丸方
取石燕子两个,研成细末,用米醋调成膏状,涂在睾丸上。
长沙医生丁时发传授的治疗小儿阴肿壮热的甘遂丸方
甘遂(煨至黄色) 麝香(各一分) 木香 川大黄(各一两,炒) 前胡(二两) 子芩(半两)
以上药物研成末,炼蜜制成如绿豆大小的丸药。三岁儿童每次一丸,用温水送服。根据大小增减剂量。
长沙医生丁时发传授的治疗小儿外肾红肿牵引疼痛的方子。
取江中水螺壳研成细粉,用冷水调匀,拂拭在肿胀处。
长沙医生丁时发传授的白丁香散 治疗小儿外肾浮肿牵引疼痛的方子。
取白丁香半合,用三十枚道人头(一种中药,此处指代特定药材或部位,依原文直译),连同白丁香放入盒中,取出霜状种子半钱,小儿用量为一字。葱五寸同药纸包裹固定,酒浸,在火内煨至香熟,细细咀嚼,不时服用。
《葛氏肘后方》灸法:小儿阴疝,发作时肿痛,随左右侧在足大指第二节下横纹理正中央灸五壮,效果佳。姚云说:足大指根部灸三壮。
According to *Chao Shi Bing Yuan* (Source of Diseases by Chao Yuanfang) regarding the syndrome of pediatric genital swelling: The Foot-Shaoyin meridian is the channel of the Kidney, and its Qi extends downward to the genitals. If a child's Foot-Shaoyin meridian is deficient and susceptible to Wind pathogenic factors, the pathogenic Qi attacks the genitals, where it contends with and knots together with Blood and Qi, resulting in genital swelling.
*Qianjin Fang* (Prescriptions Worth a Thousand Gold) treats pediatric genital swelling.
Take the penis of a fox, roast it, pound it into powder, and take it with wine.
Another prescription from *Qianjin Fang*:
Pound *Brassica rapa* (Turnip) and apply externally. *Waitai Miyao* (Essential Prescriptions from the Imperial Library) suggests pounding the leaves and roots of turnip greens for application. *Yingru Shu* (Book for Infants and Children) suggests pounding turnip seeds for application.
Another prescription from *Qianjin Fang*:
Take five sheng of pig manure, boil in water, wrap in cloth, and apply to the swollen area.
Another prescription from *Qianjin Fang*:
Pound old wall clothes and apply externally.
Another prescription from *Qianjin Fang*:
Apply bookworms (*Thylacosoma acuminatum*, commonly known as "white fish" in clothing) found in wardrobes.
Another prescription from *Qianjin Fang*:
Apply the white sap from mulberry tree trunks.
*Tai Ping Sheng Hui Fang* (Imperial Grace Formulary of the Tai Ping Era) treats pediatric genital swelling caused by deficiency-cold of the Small Intestine and downward sinking of Qi due to excessive crying. Prescription: Tao Ren Wan (Peach Kernel Pill).
Tao Ren (Peach Kernel) (soaked in hot water, remove skin and tips, remove double kernels, stir-fry with bran until slightly yellow) Bai Jili (White Tribulus) (lightly stir-fry, remove spines) Yuli Ren (Bush Cherry Seed) (soaked in hot water, remove skin, lightly stir-fry. Each 3 fen) Huang Bo (Phellodendron Bark) (1 fen, lightly roasted, chopped) Mudan Pi (Moutan Cortex) Guixin (Cinnamon Twig) (Each 0.5 liang)
Pound the above medicines, sift into fine powder, mix with refined honey, and form pills the size of mung beans. For three-year-old children, administer seven pills orally with warm wine before meals. Adjust dosage according to the child's size.
*Tai Ping Sheng Hui Fang* treats pediatric genital swelling accompanied by high fever. Prescription: Gan Sui Wan (Kansui Root Pill).
Gan Sui (Kansui Root) (roasted until slightly yellow) She Xiang (Musk) (finely ground. Each 1 fen) Chuan Da Huang (Rhubarb) (chopped, lightly stir-fried) Mu Xiang (Aucklandia Root) (Each 1 liang) Qian Hu (Peucedanum Root) (2 liang, remove rhizome) Huang Qin (Scutellaria Root) (0.5 liang)
Pound the above medicines, sift into fine powder, mix with refined honey, and form pills the size of mung beans. For three-year-old children, administer three pills orally with warm water before meals. Adjust dosage according to the child's size.
*Tai Ping Sheng Hui Fang* treats pediatric genital swelling caused by intestinal deficiency-cold and downward sinking of Qi due to excessive crying. It is suitable to take Mudan Wan (Moutan Pill).
Mudan Pi (Moutan Cortex) Guixin (Cinnamon Twig) Yuli Ren (Bush Cherry Seed) (soaked in hot water, remove skin, lightly stir-fried. Each 0.5 liang) Tao Ren (Peach Kernel) (1 fen, soaked in hot water, remove skin and tips, remove double kernels, stir-fry with bran until slightly yellow)
Pound the above medicines, sift into fine powder, and form pills with refined honey the size of sesame seeds. For one- or two-year-old children, administer five pills orally with warm water each time, once in the morning and once in the evening. Adjust dosage according to the child's size.
*Tai Ping Sheng Hui Fang* treats pediatric genital swelling. Prescription: Da Huang San (Rhubarb Powder).
Mu Tong (Akebia Stem) (chopped) Qiang Huo (Notopterygium Rhizome) Chuan Da Huang (Rhubarb) (chopped, stir-fried. Each 1 fen) Sang Gen Bai Pi (Mulberry Root Bark) (0.5 liang, chopped) Chuan Po Xiao (Mirabilite) (3 fen)
Pound the above medicines, coarsely sift into powder. For one- or two-year-old children, administer one qian per dose. Add one small cup of water, decoct until reduced to half a cup, strain. Administer warm liquid in divided doses according to the child's size.
*Tai Ping Sheng Hui Fang* treats sudden pediatric genital swelling and itching. Method: She Chuang Ren Tang Fumigation (Cnidium Seed Decoction Compress).
She Chuang Ren (Cnidium Fruit) Liu Zhi Xie (Willow Branch Fragments) (Each 1 liang)
Boil the above medicines in one large bowl of water for six or seven boils. Wash the affected area with the liquid. Take the dregs, wrap in silk/cloth, and apply as a hot compress to the child's swollen area; this is excellent.
*Tai Ping Shui Fang* treats sudden pediatric genital swelling, pain, and distension. Prescription: Niu Bang Gao (Arctium Ointment).
Sheng Niu Bang Zhi (Fresh Arctius Juice) (two large cups, decocted until like paste) Chi Xiao Dou (Red Adzuki Bean) (ground, 0.5 liang) Rou Gui (Cinnamon Bark) (ground, 1 fen)
Mix the above medicines into an ointment and apply to the child's swollen area; it will subside immediately.
Another prescription from *Tai Ping Sheng Hui Fang*:
Take powder of Man Jing Zi (Turnip Seed), mix with lard, and apply.
Another prescription from *Tai Ping Sheng Hui Fang*:
Pound Amaranthus root to extract juice and apply frequently.
Another prescription from *Tai Ping Sheng Hui Fang*:
Pound Verbena officinalis until mushy, wrap around the area, change twice daily.
Another prescription from *Tai Ping Sheng Hui Fang*:
Soak Tao Ren (Peach Kernel) in hot water, remove skin and tips, remove double kernels, stir-fry with bran until slightly yellow, pound and grind into paste. For three-year-old children, dissolve a quantity the size of a cowpea in warm wine and administer orally, three times daily. Adjust dosage according to the child's size.
Mr. Mao's prescription for pediatric penile redness and swelling.
Da Huang (Rhubarb) Chi Xiao Dou (Red Adzuki Bean)
Grind the above into equal parts powder, mix with egg white, and apply.
*Yingru Shu* (Book for Infants and Children) treats sudden genital swelling and stabbing pain with sweating.
Xiao Suan (Small Allium) Jiu Cai (Chinese Chives) Yang Liu Gen (Poplar/Willow Root) (Each 1 jin)
Combine and roast, pour wine over them. While hot, use the steam to fumigate; the condition will heal.
Qian Yi's Supplementary Formula treats pediatric external genital swelling and hardness forming hernia.
Use dried earthworms ground into fine powder, mix with saliva, and apply. Always avoid wind, cold, and damp places.
Zhang Huan treats pediatric genital swelling caused by deficiency of the Foot-Shaoyin meridian and invasion of Wind pathogenic factors, which attack the lower meridians. Prescription: Tao Ren Dan (Peach Kernel Pellet).
Tao Ren (Peach Kernel) (3 fen, soaked in hot water, remove skin and tips, remove double kernels, stir-fry with bran until slightly yellow) Yuli Ren (Bush Cherry Seed) (1 fen, soaked in hot water, remove skin, lightly stir-fried) Mudan Pi (Moutan Cortex) Bai Jili (White Tribulus) (lightly stir-fried, remove spines) Guixin (Cinnamon Twig) (Each 0.5 liang)
Pound the above, sift into fine powder, mix with refined honey, and form pellets the size of millet grains. Administer ten pellets orally with warm wine before milk or food. Adjust dosage according to the child's size.
Zhang Huan's Hu Lian San (Coptis Powder) treats genital swelling with sores.
Hu Huang Lian (Picrorhiza Root) Hu Fen (Lead Carbonate) (Each 0.5 liang) Bai Fan Hui (Alum Ash) (1 fen)
Pound the above, sift into fine powder. Apply a small amount mixed with raw oil to the affected area.
*Ji Shi Jia Chuan* (Ji Family Transmission): Treats hernia qi with swelling of the external genitals and penis.
Mudan Pi (Moutan Cortex) Rou Gui (Cinnamon Bark) Chi Xin (Fermented Soybean Heart) (roasted) Tie Fen (Iron Powder) (equal parts)
Grind the above into powder, mix with refined honey to form pills the size of mung beans. Take twenty pills orally with warm wine on an empty stomach; for children, take three to five pills with breast milk.
*Zhu Shi Jia Chuan* (Zhu Family Transmission) treats pediatric external genital redness, swelling, and painful distension. Prescription: Ru Sheng Wan (Like Sage Pill).
Take two Shi Yan Zi (Stone Swallow Eggs - likely referring to a specific mineral or fossil used in TCM), grind finely, mix with rice vinegar to form a paste, and apply to the kidneys/genitals.
Ding Shifa, a physician from Changsha, transmits a formula for pediatric genital swelling with high fever: Gan Sui Wan (Kansui Root Pill).
Gan Sui (Kansui Root) (roasted until yellow) She Xiang (Musk) (Each 1 fen) Mu Xiang (Aucklandia Root) Chuan Da Huang (Rhubarb) (Each 1 liang, stir-fried) Qian Hu (Peucedanum Root) (2 liang) Zi Qin (Scutellaria Root) (0.5 liang)
Grind the above into powder, mix with refined honey to form pills the size of mung beans. One pill for three-year-olds, taken with warm water. Adjust dosage according to size.
Ding Shifa, a physician from Changsha, transmits a formula for pediatric external genital redness, swelling, and pulling pain.
Grind shells of river snails into fine powder, mix with cold water, and apply to the swollen area.
Ding Shifa, a physician from Changsha, transmits Bai Ding Xiang San (White Dinosaur Egg Powder) to treat pediatric external genital edema and pulling pain.
Take half he of Bai Ding Xiang (Stork Excrement), combine with thirty Dao Ren Tou (Daoist Head - likely a specific herbal ingredient or part), place in a box with Bai Ding Xiang, take half qian of the frost-like substance; for children, take one zi. Wrap five cun of scallion with the medicine in paper, soak in wine, roast in fire until fragrant and cooked, chew thoroughly, and take occasionally.
*Ge Shi Hou Fang* (Emergency Prescriptions Kept at the Elbow) Moxibustion method: For pediatric Yin Hernia, when swelling and pain occur during attacks, moxa five cones on the center of the transverse crease below the second joint of the big toe, on either side; this is good. Yao Yun says: moxa three cones at the base of the big toe.
*Tai Ping Sheng Hui Fang* Moxibustion method: For genital swelling, moxa Nei Kun Lun (Neikunlun) three cones on each side, located in the depression between bone and tendon five fen behind the medial malleolus; cone size like wheat grain. Also moxa Da Dun (Liver 1) seven cones.