经曰。诸痛痒疮疾。皆属心火。
发挥云。心火者。君火也。君务德而不为毒。为痒痛疮疡者。乃命门相火之所为也
儿诸疮。皆胎毒也。命门者。右肾也。虽云男子以藏精。女子以系胞。父母命门之中。原有
伏火。胚胎之始。儿则受之。既生之后。其火必发为痈疽丹疹癣一切恶疮。名曰胎毒者。是
也。古人立法。于儿初生之时。有拭口法。有黄连甘草朱密法。无非以解毒而设也。后人因
之。合上三法。取脐带合药。名曰育婴延龄解毒丹。方备载在前幼疾条内。
东垣之治红丝瘤。丹溪之治小便淋。皆有解毒之法。见格致余论。请博求。
予立一方。以丹溪三补丸半生用半酒炒。甘草半生半炙。各等分为末。雪水丸。麻子大
砂雄黄各二分之一。水飞为衣。淡豆豉汤送下。初生二腊内服之良。天行痘疹之岁。尤宜服
小儿初生。有育婴延龄解毒丹。服之能解其胎毒。其有发疮疡者。有溯源解毒汤。乳母
丹瘤。此胎毒之最酷者。即红丝瘤也。名龙缠火带也。乃小儿之恶疾。二岁以上儿可治
周岁者难治。百无一二也。发处肿硬一块。其色甚赤。手不可近。如火炙流铜。往下HT 走。
自头上起至心即死。自足下起至肾即死。古方治法。无可取者。唯家传蜞针法砭法。出其恶
气。以泄其火毒。十治六七。诚良法也。经云血食者决之是也。切不可用寒冷之药敷之。使
火毒郁而不得泄。入腹为腹胀。为腹痛。为喘。为惊狂。为搐搦者。必死。宜用通圣散全料
。锉细入酒中浸湿晒干炒。碾为极细末。蜜水调服。外以通圣散加金银花藤叶煎汤浴之。此
水渍法。亦火郁则发之也。先发惊后发丹者。可治。通圣散主之。或用导赤散加连翘玄参防
风荆芥穗泻青丸。先发丹后发惊者不治。
疥癣。干者可治。胡麻丸主之。若浸淫溃烂。内无完肤。日夜啼哭者。不可治。切不可
用砒硫粉汞为药搽之。使毒瓦斯乘虚入腹。发搐发喘者皆死。
胡麻丸
胡麻仁（炒） 苦参 甘菊花 大力子（炒） 石菖蒲 何首乌 威灵仙 蔓荆子 乌梢蛇
（酒
。竹叶汤下。此祖传十三方也。
治小儿疮疥。宜调乳母。溯源解毒汤主之。
人参 归身 赤芍药 川芎 黄连（酒炒） 连翘 木通 生地黄 陈皮 甘草 水煎服
。以少许喂儿佳。一本有竹沥。
小儿生下。遍身虫疥干痒。喜人摩拍。予制一方。用乌蛇酒浸焙干取肉一钱。苦参酒浸
二钱。胡麻仁（炒） 白蒺藜（炒去刺） 各一钱五分共为末。用浸蛇与苦参酒糊为丸。甘草汤
下愈。
一儿五岁。每至春时。则遍身生脓胞疮。此胎毒也。予戒用搽药。恐粉砒硫之毒。乘虚
入腹。以胡麻服之而愈。更灸风池血海曲池三里。自此再不发矣。
儿疮入腹。腹胀。大小便不通。或喘或作搐者。先用雄黄解毒丸治之。
鸡冠雄黄（飞二钱） 真郁金 庄大黄（各二钱） 巴豆霜（一钱） 一本无大黄 上共碾匀
。水糊丸。小豆大。每服一二丸。茶清下。 此祖传十三方也。
黄州李四守。生子五个月。遍身湿疥。一旦尽干。召全问之。全曰。疮出惊止无忧也。
连更数医不能治。
小儿生痈毒者。不可轻针。恐伤筋骨。慎之。
一子盈月后。血盆中发一痈。请外科胡长官针之。断其骨。竟不可救。
小儿颈下或耳前后有结核者。此热也。切不可作瘰 治之。内服蟹螯。外施针灸及烂药
。必杀儿也。戒之。予家传消结神应丸。乃新立。真神方也。
黄芩（酒炒） 黄连（炒） 山栀仁 生贝母 海昆布（酒炒） 海藻（洗） 桔梗 麦 （炒
各一
糊丸。芡实大。每服一丸。酒下。
蕲水朱震三子。结喉上生一核如李。问予求治。予谓病原式云。结核者。热也。又考本
结喉之药。立一方与之。遂买药制成。碾末。温汤调服。效。病此者服之。无不应验。乃名
之曰神应丹。
团风帅碧泉。致仕在家。唯一公子。项下生一结核。惑于医作 治。用药破烂。转加肿
大。此任脉所过之路。元气受伤。致成疳证。医无识其证者。及请予往。势不可为矣。
王思泉一女四岁。耳后侧有结核。问予。予曰。非 疮。乃痰核也。不必治。亦不为害
他医所惑作 治之。用斑蝥内消之药过多。脾胃受伤。致成疳痨而死。哀哉。马刀多生于耳
前后。肿硬赤痛。俗名 腮。用散毒散敷之。神效。
主方用生绿豆。碾为细末。酽醋调如膏。敷之再换。神效。
又方。治结核用五倍子研为细末。醋调服之皆效。此皆家传之方也。
肥疮脓血堆久不愈。用熟皮灶上烟胶松香共研。清油调搽。如虫多不绝。用水银铅制
入钟内。指揉唾调搽上。虫尽毙矣。
软疖不愈。只用紫金丹水磨搽之。脓尽干而自效也。又苦参研末敷之。
耳前后。或鼻下。或眉间。生疮赤烂。用炉甘石海螵蛸研末。入轻粉三分之一。和匀敷
脚背上生疮。痒痛不常。久不愈。俗呼牛颈癣。用鸡子黄熬油搽之。
舌上生疮。此心脾二经有热也。用柏连散搽之。
生黄柏 生黄连 生地黄（各等分） 白槟榔（减半） 研细末搽之。
满口舌生疮。乳食不得者。宜洗心散服之。
大黄 麻黄 白术 当归 芍药 荆芥穗 甘草 薄荷叶（各等分） 上锉水煎服。更用
柏连散搽之。
满口生白雪疮。又名鹅口疮。先翁用朱砂白矾。研末涂口舌效。又用鹅公一只。以糯米
于口中喂食尽。取水洗之。
一儿患口舌生疮。医用药服之搽之者。皆芩连知柏类无效。予曰。心热所为。苦入心而
反助其热。宜无效。乃作洗心散与之。一服而安。
予外甥。李中庵子也。满口生疮。咽喉唇舌皆是。令人取药。予制一方。用柏连一钱。
朱砂白矾五分。鼠妇焙干三分。共研细。敷之立效。乃奇方也。
儿有重舌重龈者。宜用三棱针。刺去血。内服东垣凉膈散。凡口内诸病。唯针最捷。
舒舌者。心热也。导赤散。弄舌者。脾热也。泻黄散主之。
钱氏云。心主惊。心藏神。儿心气怯弱。或闻大声。见异物异人。未有不动其神也。谓
之客忤。
惊后其气不散。郁而生痰。痰生热。热生风。如此而发搐者。钱氏所谓气逆而作搐而发
惊者是也。此惊风二字。所以不同。
凡因惊而发搐者。此心火旺而肝木乘之。宜先止其搐。导赤散作汤吞下河间当归龙荟丸
安其神。钱氏安神丸主之。有痰涎壅塞者。先降其痰。辰砂膏主之。次止其搐。后安其神。
辰砂膏。下痰甚妙。
辰砂（飞三钱） 硼砂 马牙硝（各钱半） 玄明粉（二钱） 全蝎（去毒） 珍珠（各一钱）
麝香
治胎惊。乳汁和枣汤下。
先翁治惊风至圣保命丹 方见肝部。此但加蝉蜕（一钱） 使君子（一钱五分）
英山县大尹吴清溪子病惊风。诸医作风治之不效。急差人请予。予往见尹曰。非风也。乃
因惊得之。风从肝治。惊从心治。不识病原。如何有效。乃取至圣保命丹治之。搐止。次日
邑中僚属士夫皆来问之。尹曰。名不虚传。果良医也。彼一见自有主意。不似他人费力。留
住数日。浓待而归。
心属火恶热。心热则烦。多夜啼。宜导赤散主之。或日夜啼。皆宜服之。
本县大尹张鼎石公子。生四月无乳。取一名壮妇人乳之。一夜大啼。取医甘大用治之。
初所治者。呼为腹痛。用理中汤不效。又呼为伤食。用益黄散。又不效。夜更啼哭。急请予视之
。甘语其故。意欲我扶同其言也。心本恶热。药中又犯干姜丁香。如何不助火而增益其病也
。乃请公子看之。尹曰。夜啼四日矣。全曰。夜啼有四。心烦一也。尹曰。伤食乎。腹痛乎
。余曰。腹痛则面多青。伤食则面多 白。今面多赤。心烦证的也。大用趋出。予用导赤散
加麦冬灯心进一服。次早往问。大用自内出云。昨夜到天明不止。予叹之。彼喜其药不中病
也。不知病退矣。余入问。尹曰。昨夜哭犹甚也。予告之曰。公子病安矣。公子贵体违和。
四日夜未乳。昨夜病退思乳。乳母在外。故知往夜之哭。病哭也。昨夜之哭。饥哭也。尹喜
曰。怪哉乳母来后。再不复啼矣。病果退矣。
心热。有喜面合卧者。有喜仰卧者。宜导赤散。三黄泻心丸主之。
儿性执拗。凡平日亲爱之人。玩弄之物。不可失也。失则心思。思则伤脾。昏睡不食。
不得则怒。怒则伤肝。啼哭不止。此忤其心也。谓客忤成病也。平日未亲爱之人。未见之物
。不可使之见。见则惊。惊则伤心。凡未见之人。不可使之近。迫近则恐。恐则伤肾。令儿
成痫。此皆客忤病也。今之为父母者。则称所畏者以止之。如长老止夜啼之故事。为医者因
儿不服药。则持针抟灸以迫之。令儿生病。
楚府典仪胡西序渤。三溪翁之伯子也。幼多疾。托予调养。至丁酉七月七夕周岁。三溪
。请予作乞巧会。日没后。哭不止。予视之无疾。复即席。初更哭犹甚。母促再视。果无疾
。曰。无疾何以黄昏哭。一更不止。予思外候无证。但见儿左右顾盼其当值之人。如有所失
者。口不能言。但啼哭。此拗哭也。猛询问。其当值曰。此儿今日所戏者。是玉印子也。已
收拾矣。急命取与之。儿笑而哭止。三溪曰。如保赤子。心诚求之。善哉。添酒欢醉而归。
万全发挥说：心火，就是君火。君主之火重在施行德化，而不产生毒性。那些导致瘙痒、疼痛、疮疡的，乃是命门相火的作用。
小儿的各种疮疡，都是胎毒所致。命门，位于右肾。虽然常说男子用命门来藏精，女子用命门来系胞，但在父母的命门之中，原本就潜伏着火气。胚胎形成的开始，胎儿便接受了这种火气。出生后，这火气必然发作，成为痈疽、丹疹、癣等各种恶疮，称为“胎毒”，说的就是这种情况。古人制定法规，在婴儿刚出生时，有擦拭口腔的方法，有用黄连、甘草、朱砂密（朱密）的方法，无非是为了解毒而设立的。后人沿袭这些方法，将上述三种方法合并，取脐带配合药物，名为“育婴延龄解毒丹”。该方剂详细记载在前面的幼疾条目中。
李东垣治疗红丝瘤，朱丹溪治疗小便淋证，都有解毒的方法，见于《格致余论》，请广泛寻求参考。
我设立一方，用丹溪三补丸半生用、半酒炒，甘草半生用、半炙用，各等分研为末，用雪水泛丸，大小如麻子，外层包裹雄黄粉（各占二分之一比例），用水飞法处理作为衣料，用淡豆豉汤送服。初生两个月内服用效果良好。在瘟疫痘疹流行的年份，尤其适宜服用。
小儿初生，有育婴延龄解毒丹，服用它能解除胎毒。如果已经发生疮疡的，可用溯源解毒汤。乳母患丹瘤，这是胎毒中最猛烈的一种，也就是红丝瘤，名叫“龙缠火带”，是小儿的恶疾。两岁以上的患儿可治，周岁以内的难治，百无一二。发病处肿硬一块，颜色很红，手不能靠近，像火烤流铜一样，向下蔓延。从头上发起直到心脏就会死亡，从脚下发起直到肾脏就会死亡。古方的治法，没有可取的。只有家传的蜞针法和砭法，放出恶气，以泄火毒，十次能治好六七次，确实是良法。《内经》说：“血食者决之”就是指此。切不可用寒凉药物外敷，使火毒郁结而不能宣泄，入腹会导致腹胀、腹痛、气喘、惊狂、抽搐，必定死亡。宜用通圣散全方，锉细后放入酒中浸湿，晒干再炒，碾成极细末，用蜜水调服。外用通圣散加金银花藤叶煎汤洗浴。这也是“火郁则发之”的水渍法。先出现惊风后出丹疹的，可治，主用通圣散。或用导赤散加连翘、玄参、防风、荆芥穗，或泻青丸。先出丹疹后出现惊风的，不可治。
疥癣，干燥的可治，主用胡麻丸。如果浸淫溃烂，体内没有完好的皮肤，日夜啼哭的，不可治。切不可用砒霜、硫磺、汞制成的药粉涂抹，使毒瓦斯乘虚进入腹部，引发抽搐、气喘的都会死亡。
胡麻丸
胡麻仁（炒）、苦参、甘菊花、大力子（炒）、石菖蒲、何首乌、威灵仙、蔓荆子、乌梢蛇（酒浸）。竹叶汤送下。这是祖传的十三方之一。
治疗小儿疮疥，宜调理乳母，主用溯源解毒汤。
人参、归身、赤芍药、川芎、黄连（酒炒）、连翘、木通、生地黄、陈皮、甘草，水煎服。喂给婴儿少许为佳。另一版本有竹沥。
小儿生下，遍身虫疥干燥发痒，喜欢被人抚摸拍打。我配制一方，用乌梢蛇酒浸焙干取肉一钱，苦参酒浸二钱，胡麻仁（炒）、白蒺藜（炒去刺）各一钱五分，共研为末。用浸蛇的酒与苦参的酒糊为丸，甘草汤送下即愈。
一个五岁儿童，每到春天，遍身生脓疱疮，这是胎毒。我告诫不要用搽药，恐怕粉砒硫的毒气乘虚入腹。让他服用胡麻丸而痊愈。又灸风池、血海、曲池、足三里穴，从此不再复发。
小儿疮疡入腹，腹胀，大小便不通，或者气喘或者抽搐的，先用雄黄解毒丸治疗。
鸡冠雄黄（飞制二钱）、真郁金、庄大黄（各二钱）、巴豆霜（一钱）。另一版本无大黄。以上共碾匀，水糊丸，大小如小豆。每服一二丸，茶清送下。这是祖传十三方之一。
黄州李四守，生子五个月，遍身湿疥，一天之内全部干枯。召请万全询问。万全说：“疮出而惊止，无需担忧。”连续多位医生不能治愈。
小儿生痈毒的，不可轻易针刺，恐怕伤及筋骨，务必谨慎。
一个儿子满月后，血盆口（口腔）中发一痈，请外科胡长官针刺，断其骨，最终无法救治。
小儿颈下或耳前后有结核的，这是热邪所致。切不可当作瘰疬治疗。内服蟹螯，外施针灸及腐蚀性药物，必杀儿。务必戒除。我家传消结神应丸，是新立的，真是神方。
黄芩（酒炒）、黄连（炒）、山栀仁、生贝母、海昆布（酒炒）、海藻（洗）、桔梗、麦冬（炒），各等分，水糊丸，大小如芡实。每服一丸，酒送下。
蕲水朱震三的第三个儿子，喉结上生一核如李子大，向我求治。我说《病原式》云：“结核者，热也。”又考证本经关于结喉的药物，立一方给他。于是买药制成，碾末，温汤调服，有效。患此病的人服用它，无不验效，于是命名为“神应丹”。
团风帅碧泉，退休在家，只有一个公子，项下生一结核，被庸医误作瘰疬治疗，用药腐蚀破烂，反而肿大。这是任脉经过之路，元气受伤，导致成疳证。医生没有识别出这个证候。等到请我去，病情已不可为。
王思泉的女儿四岁，耳后侧有结核，问我。我说：“不是瘰疬疮，乃是痰核。”不必治疗，也不会有什么危害。被其他医生迷惑，当作瘰疬治疗，用斑蝥内消的药过多，损伤脾胃，导致成疳痨而死，可悲啊。马刀瘿多生于耳前后，肿硬赤痛，俗名“虾蟆腮”。用散毒散敷之，神效。
主方用生绿豆，碾为细末，浓醋调如膏，敷之，再换，神效。
又一方，治结核用五倍子研为细末，醋调服之皆效。这都是家传之方。
肥疮脓血堆积日久不愈，用熟皮灶上的烟胶、松香共研，清油调搽。如果虫子多不绝，用水银铅制入钟内，用手指揉唾调搽在上面，虫子全部毙命。
软疖不愈，只用紫金丹水磨搽之，脓尽干而自效。又可用苦参研末敷之。
耳前后，或鼻下，或眉间，生疮赤烂，用炉甘石、海螵蛸研末，入轻粉三分之一，和匀敷之。
脚背上生疮，痒痛无常，久不愈，俗呼牛颈癣，用鸡子黄熬油搽之。
舌上生疮，这是心脾二经有热。用柏连散搽之。
生黄柏、生黄连、生地黄（各等分）、白槟榔（减半），研细末搽之。
满口舌生疮，乳食不得的，宜洗心散服之。
大黄、麻黄、白术、当归、芍药、荆芥穗、甘草、薄荷叶（各等分），上锉水煎服。更用柏连散搽之。
满口生白雪疮，又名鹅口疮。先父用朱砂、白矾，研末涂口舌有效。又用一只公鸡，将糯米塞入其口中喂食尽，取水清洗患处。
一个儿童患口舌生疮，医生用药服之搽之的，都是黄芩、黄连、知母、黄柏之类，无效。我说：“这是心热所为，苦味入心反而助其热，所以无效。”于是作洗心散给他，一服而安。
我的外甥，李中庵的儿子，满口生疮，咽喉唇舌皆是。让人取药。我配制一方，用柏连一钱，朱砂、白矾五分，鼠妇焙干三分，共研细，敷之立效，乃奇方也。
小儿有重舌、重龈的，宜用三棱针刺去血，内服东垣凉膈散。凡口内诸病，唯针刺最快捷。
钱乙说：心主惊，心藏神。小儿心气怯弱，或闻大声，见异物异人，没有不触动其神的。称之为客忤。
惊后其气不散，郁而生痰，痰生热，热生风。如此而发搐的，是钱氏所谓的气逆而作搐而发惊的情况。这就是“惊风”二字之所以不同的原因。
凡是因惊而发搐的，这是心火旺而肝木乘之。宜先止其搐，导赤散作汤吞下河间当归龙荟丸以安其神。钱氏安神丸主之。有痰涎壅塞的，先降其痰，辰砂膏主之。其次止其搐，后安其神。辰砂膏，下痰甚妙。
辰砂（飞制三钱）、硼砂、马牙硝（各钱半）、玄明粉（二钱）、全蝎（去毒）、珍珠（各一钱）、麝香。
治胎惊，乳汁和枣汤下。
先父治惊风至圣保命丹，方见肝部。此处仅加蝉蜕（一钱）、使君子（一钱五分）。
英山县大尹吴清溪的儿子患惊风，众医作风治之不效，急派人请我。我去见尹曰：“不是风，乃因惊得之。风从肝治，惊从心治。不识病原，如何有效？”于是取至圣保命丹治之，搐止。次日邑中僚属士夫皆来问之。尹曰：“名不虚传，果良医也。彼一见自有主意，不似他人费力。”留住数日，厚待而归。
心属火恶热，心热则烦，多夜啼。宜导赤散主之。或日夜啼，皆宜服之。
本县大尹张鼎石的公子，生四月无乳，取一名壮妇人乳之。一夜大啼，取医甘大用治之。初所治者，呼为腹痛，用理中汤不效。又呼为伤食，用益黄散，又不效。夜更啼哭，急请予视之。甘语其故，意欲我扶同其言也。心本恶热，药中又犯干姜丁香，如何不助火而增益其病也？乃请公子看之。尹曰：“夜啼四日矣。”全曰：“夜啼有四，心烦一也。”尹曰：“伤食乎？腹痛乎？”余曰：“腹痛则面多青，伤食则面多白。今面多赤，心烦证的也。”大用趋出，予用导赤散加麦冬灯心进一服。次早往问，大用自内出云：“昨夜到天明不止。”予叹之，彼喜其药不中病也，不知病退矣。余入问，尹曰：“昨夜哭犹甚也。”予告之曰：“公子病安矣。公子贵体违和，四日夜未乳，昨夜病退思乳，乳母在外，故知往夜之哭，病哭也。昨夜之哭，饥哭也。”尹喜曰：“怪哉！乳母来后，再不复啼矣。病果退矣。”
小儿性情执拗，凡平日亲爱之人，玩弄之物，不可失也。失则心思，思则伤脾，昏睡不食。不得则怒，怒则伤肝，啼哭不止。此忤其心也，谓之客忤成病也。平日未亲爱之人，未见之物，不可使之见。见则惊，惊则伤心。凡未见之人，不可使之近。迫近则恐，恐则伤肾，令儿成痫。此皆客忤病也。今之为父母者，则称所畏者以止之，如长老止夜啼之故事。为医者因儿不服药，则持针抟灸以迫之，令儿生病。
楚府典仪胡西序渤，三溪翁之伯子也。幼多疾，托予调养。至丁酉七月七夕周岁，三溪请予作乞巧会。日没后，哭不止。予视之无疾，复即席。初更哭犹甚。母促再视，果无疾。曰：“无疾何以黄昏哭？”一更不止。予思外候无证，但见儿左右顾盼其当值之人，如有所失者，口不能言，但啼哭。此拗哭也。猛询问，其当值曰：“此儿今日所戏者，是玉印子也。已收拾矣。”急命取与之，儿笑而哭止。三溪曰：“如保赤子，心诚求之。善哉。”添酒欢醉而归。
The *Classic of Medicine* (Huangdi Neijing) states: All pain, itching, and sores belong to Heart Fire.
Wan Quan elaborates: Heart Fire refers to the Sovereign Fire (Jun Huo). The Sovereign focuses on virtue and does not produce toxicity. Those causing itching, pain, and sores are actually the work of the Minister Fire (Xiang Huo) of the Mingmen (Gate of Life).
All sores in children are caused by fetal toxins (Tai Du). The Mingmen is located in the right kidney. Although it is said that men use it to store essence and women use it to connect to the uterus (Bao), there is originally latent fire within the parents' Mingmen. At the beginning of embryonic formation, the fetus receives this fire. After birth, this fire must erupt, manifesting as carbuncles, erysipelas, rashes, tinea, and all kinds of malignant sores. This is called fetal toxin. The ancients established regulations; at the time of a newborn's birth, there were methods for wiping the mouth and applying Coptis Rhizome (Huanglian), Licorice Root (Gancao), and Cinnabar (Zhusha). These were all established for detoxification. Later generations followed these methods, combining the above three methods with the umbilical cord and other medicines, naming it "Yuying Yanling Jiedu Dan" (Infant Nourishing and Longevity Detoxification Pill). The prescription is fully recorded in the previous section on childhood diseases.
Li Dongyuan's treatment of red thread tumors and Zhu Danxi's treatment of strangury both involved detoxification methods, as seen in *Gezhi Yulun*. Please seek them extensively.
I established a formula using Danxi's Sanbu Wan (Three Tonifying Pills), half raw and half wine-fried; Licorice Root (Gancao), half raw and half honey-fried, each in equal parts, ground into powder. Formed into pills the size of hemp seeds using snow water, coated with one-half part of Realgar (Xionghuang) prepared by water levigation, and taken down with light fermented soybean tea (Dandouchi Tang). It is beneficial to take it within the first two lunar months after birth. In years when epidemic pox occurs, it is especially suitable to take it.
For newborns, the Yuying Yanling Jiedu Dan can be taken to resolve fetal toxins. For those who have already developed sores, the Suyuan Jiedu Tang (Source-Tracing Detoxification Decoction) should be used. If the nursing mother suffers from a dan tumor (Dan Liu), which is the most severe form of fetal toxin, also known as the Red Thread Tumor or Dragon-Wrapping Fire Belt, this is a malignant disease of infants. Children over two years old can be cured, but those under one year old are difficult to treat, with only one or two successes out of a hundred. The affected area is swollen and hard, very red, cannot be touched, feels like burning copper flowing, and spreads downward. If it starts from the head and reaches the heart, death ensues; if it starts from the feet and reaches the kidneys, death ensues. Ancient prescriptions offer no viable treatments. Only the family-tradition Leech Needle Method (Qizhen Fa) and Bian Stone Therapy (Bian Fa) can release the evil qi and drain the fire toxin, curing six or seven out of ten cases. This is indeed a good method. As the Classic says, "For blood disorders, puncture them." One must absolutely avoid applying cold medicines externally, as this will cause the fire toxin to stagnate and fail to vent. If it enters the abdomen, it causes abdominal distension, abdominal pain, asthma, mania, and convulsions, leading to certain death. It is appropriate to use the complete Tongsheng San (Unimpeded Dispersion), finely chopped, soaked in wine, dried, fried, and ground into an extremely fine powder, taken mixed with honey water. Externally, bathe with a decoction of Tongsheng San plus Honeysuckle Vine and Leaves (Jinyinhua Tengye). This is a water-soaking method, also based on the principle of "venting fire stagnation." If convulsions appear before the rash, it is treatable; Tongsheng San is the primary formula. Alternatively, use Daochi San (Guide Out Redness Powder) plus Forsythia Fruit (Lianqiao), Scrophularia Root (Xuanshen), Saposhnikovia Root (Fangfeng), and Schizonepeta Spike (Jingjie Sui), along with Xieqing Wan (Drain Green Pill). If the rash appears before convulsions, it is untreatable.
Tinea and scabies that are dry are treatable; Humaren Pill (Huma Wan) is the primary formula. If they are oozing and ulcerated, with no intact skin left, and the child cries day and night, it is untreatable. Absolutely do not apply medicines containing Arsenic Trioxide (Pishuang), Sulfur (Liuhuang), or Mercury (Shuiyin) powders, as the toxic vapors will enter the abdomen through the deficiency, causing convulsions and asthma, resulting in death.
**Humaren Pill (Huma Wan)**
Sesamum Indicum Seed (Huma Ren, stir-fried), Sophora Flavescens Root (Kushen), Chrysanthemum Morifolium Flower (Ganjuhua), Arctium Lappa Seed (Niumuzi, stir-fried), Acorus Tatarinowii Rhizome (Shichangpu), Polygonum Multiflorum Root (Heshouwu), Clematis Chinensis Root (Weilingxian), Vitex Trifolia Fruit (Manjingzi), Zaocys (Wushaoshe, soaked in wine).
Take down with Bamboo Leaf Decoction (Zhuye Tang). This is one of the thirteen ancestral formulas.
To treat childhood sores and scabies, the nursing mother should be regulated, primarily using Suyuan Jiedu Tang.
Ginseng Radix (Renshen), Angelica Sinensis Root (Guishen), Paeonia Rubra Root (Chishaoyao), Ligusticum Chuanxiong Rhizome (Chuanxiong), Coptis Rhizome (Huanglian, wine-fried), Forsythia Fruit (Lianqiao), Akebia Caulis (Mutong), Rehmannia Glutinosa Root (Shengdihuang), Citrus Reticulata Pericarp (Chenpi), Licorice Root (Gancao). Decoct in water and take. Feed a small amount to the infant, which is best. Another version includes Bamboo Sap (Zhuli).
When a newborn has widespread dry, itchy insect scabies and likes to be rubbed and patted, I formulated a prescription: Zaocys (Wushaoshe) soaked in wine, baked dry, meat taken (1 qian); Sophora Flavescens Root (Kushen) soaked in wine (2 qian); Sesamum Indicum Seed (Huma Ren, stir-fried) and Tribulus Terrestris Fruit (Bajili, stir-fried and thorns removed) each (1.5 qian). Grind all into powder. Use the wine from soaking the snake and Sophora to make a paste for pills. Take down with Licorice Decoction (Gancao Tang) for cure.
A five-year-old boy develops pustular sores all over his body every spring. This is fetal toxin. I advised against using topical applications, fearing the toxicity of arsenic and sulfur powders entering the abdomen through deficiency. He was cured by taking Humaren Pill. Acupoints Fengchi (GB20), Xuehai (SP10), Quchi (LI11), and Zusanli (ST36) were moxa-burned, and it never recurred.
If childhood sores enter the abdomen, causing abdominal distension, obstruction of urination and defecation, asthma, or convulsions, first treat with Xionghuang Jiedu Wan (Realgar Detoxification Pill).
Rooster Comb Realgar (Xionghuang, water-levigated, 2 qian), Curcuma Aromatica Rhizome (Zhen Yujin), Rheum Palmatum Root (Zhuang Dahuang) each (2 qian), Croton Seed Frost (Badoushuang, 1 qian). Another version omits Rheum. Grind uniformly. Make pills with water paste, size of mung beans. Take 1-2 pills per dose, down with clear tea. This is one of the thirteen ancestral formulas.
Li Sishou of Huangzhou had a son of five months with widespread wet scabies that suddenly dried up. He summoned Wan Quan for advice. Wan Quan said, "Sores appearing with cessation of fright requires no worry." Several doctors failed to treat it.
Children developing carbuncles and toxins should not be lightly needled, lest tendons and bones be injured. Be cautious.
After one month, a son developed a carbuncle in the oral cavity. An external surgeon, Officer Hu, needled it, severing the bone, and he could not be saved.
If a child has tubercles under the neck or around the ears, this is due to heat. Do not treat it as Scrofula (Luoli). Internal administration of crab claws, external acupuncture, and cauterizing medicines will kill the child. Beware. My family-tradition Xiaojie Shenyin Wan (Eliminating Knots Divine Response Pill) is newly established and truly a divine prescription.
Scutellaria Baicalensis Root (Huangqin, wine-fried), Coptis Rhizome (Huanglian, stir-fried), Gardenia Jasminoides Seed (Shanzhiren), Fritillaria Thunbergii Bulb (Sheng Beimu), Ecklonia Kelp (Hai Kunbu, wine-fried), Sargassum Thallus (Haizao, washed), Platycodon Grandiflorus Root (Jiegeng), Ophiopogon Japonicus Root (Maidong, stir-fried). Equal parts. Make pills with paste, size of Coicis Semen (Eshi). Take one pill per dose, down with wine.
Zhu Zhensan's third son from Qishui had a kernel the size of a plum growing above the larynx. He asked me for treatment. I stated that *Bing Yuan Shi* says: Tubercles are heat. Consulting the classics regarding laryngeal medicines, I established a formula for him. He bought the medicine, processed it, ground it into powder, and took it with warm water. It was effective. Those suffering from this condition who take it will find it invariably effective. Thus, it was named Shenyin Dan (Divine Response Pill).
Shi Biquan from Tuanfeng, retired at home, had only one young master who developed a tubercle on the neck. Confused by doctors treating it as Scrofula, corrosive medicines were used, making it swell larger. This is the pathway of the Ren Mai (Conception Vessel). The primordial qi was damaged, leading to a Gan syndrome (Childhood Malnutrition Syndrome). Doctors did not recognize the syndrome. By the time I was invited, the situation was hopeless.
Wang Siquan's four-year-old daughter had a tubercle behind her ear. She asked me. I said, "It is not Scrofula, but a Phlegm Nodule (Tan He)." No treatment is needed; it will not cause harm. Confused by other doctors and treated as Scrofula, excessive doses of blister beetle (Banmao) internal-resolving medicines damaged the spleen and stomach, leading to death from Gan-Lao (Malnutrition Consumption). How sorrowful. Machdao (Marine Swelling) often occurs around the ears, swelling, hardening, reddening, and hurting. Commonly called Mumps. Apply Sandu San (Disperse Toxicity Powder) externally. It is miraculous.
The main prescription uses raw Mung Bean (Lv Dou), ground into fine powder, mixed with strong vinegar into a paste, applied and replaced. Miraculous effect.
Another prescription for tubercles uses Chinese Gall (Wubeizi) ground into fine powder, taken mixed with vinegar. All effective. These are all family-tradition prescriptions.
For肥疮 (Fei Chuang - Greasy Sores/Pediculosis Capitis) with pus and blood accumulating and not healing for a long time, use soot from the stove on cooked leather and Rosin (Songxiang), ground together, mixed with sesame oil for application. If worms persist, process Mercury (Shuiyin) and Lead (Qian) in a bell, rub with finger saliva, and apply. All worms will die.
For soft boils not healing, simply grind Zijin Dan (Purple Gold Pill) with water and apply. When pus dries up, it heals itself. Alternatively, apply Sophora Flavescens Root (Kushen) powder.
For sores that are red and ulcerated around the ears, under the nose, or between the eyebrows, use Calamine (Luganshi) and Cuttlebone (Haipiaoxiao) ground into powder, mixed with one-third Mercuric Chloride (Qingfen), and applied evenly.
For sores on the dorsum of the foot, with intermittent itching and pain, not healing for a long time, commonly called Cow Neck Tinea, apply oil rendered from Chicken Egg Yolk (Jizihuang).
Sores on the tongue indicate Heat in the Heart and Spleen meridians. Apply Bailian San (Phellodendron and Coptis Powder).
Raw Phellodendron Amurense Bark (Huangbai), Raw Coptis Rhizome (Huanglian), Raw Rehmannia Glutinosa Root (Sheng Dihuang) in equal parts; Areca Seed (Binglang), halved. Grind into fine powder and apply.
For sores all over the mouth and tongue preventing breastfeeding and eating, take Xixin San (Cleanse Heart Powder).
Rhubarb Root (Dahuang), Ephedra Stem (Mahuang), Atractylodes Macrocephala Rhizome (Baizhu), Angelica Sinensis Root (Danggui), Peony Root (Shaoyao), Schizonepeta Spike (Jingjie Sui), Licorice Root (Gancao), Mint Leaf (Bohaye) in equal parts. Chop, decoct in water, and take. Also apply Bailian San.
For white snow-like sores all over the mouth, also known as Thrush (E Kou Chuang). My late father used Cinnabar (Zhusha) and Alum (Baifan) ground into powder and applied to the mouth and tongue with effect. Also, feed a rooster glutinous rice stuffed in its mouth until consumed, then use the water from washing the rooster to clean the area.
A child suffered from mouth and tongue sores. Medicines prescribed by doctors, both internal and external, such as Scutellaria, Coptis, Anemarrhena, and Phellodendron, were ineffective. I said, "This is caused by Heart Heat. Bitter flavors enter the Heart but aggravate heat, hence ineffective." I gave him Xixin San. One dose brought peace.
My nephew, son of Li Zhongan, had sores all over his mouth, throat, lips, and tongue. He requested medicine. I formulated a prescription: Bailian (1 qian), Cinnabar and Alum (0.5 qian each), Porcellio (Shufu, baked dry, 0.3 qian). Grind finely and apply. Immediate effect. Truly a miraculous prescription.
For children with double tongue or double gums, use a triangular needle to prick and release blood. Internally take Dongyuan's Liangge San (Cooling Diaphragm Powder). For all oral diseases, acupuncture is the fastest.
Protruding tongue indicates Heart Heat; Daochi San is used. Playing tongue indicates Spleen Heat; Xiehuang San is the primary formula.
Qian Yi said: The Heart governs fright and houses the spirit. Children have weak Heart Qi. Hearing loud noises or seeing strange objects or people inevitably disturbs their spirit. This is called Ke Wu (Guest Intolerance).
After fright, the qi does not dissipate, stagnates to generate phlegm, phlegm generates heat, and heat generates wind. Convulsions occurring in this manner are what Qian Yi referred to as "qi reversing causing convulsions and frightening." This is why the term "Jing Feng" (Fright Wind) is distinct.
For convulsions caused by fright, this is Hyperactive Heart Fire overcoming Liver Wood. First stop the convulsions. Take Daochi San as a decoction to swallow Hejian's Danggui Longhui Wan (Angelica and Gelsemium Pill) to calm the spirit, or primarily use Qian's Anshen Wan (Calming Spirit Pill). If there is phlegm-saliva obstruction, first reduce the phlegm using Chen Sha Gao (Cinnabar Paste), then stop convulsions, then calm the spirit.
Chen Sha Gao reduces phlegm excellently.
Cinnabar (Water-levigated, 3 qian), Borax (Pengsha), Marine Salt Crystal (Mayaxiao) each (1.5 qian), Mirabilite (Xuanmingfen, 2 qian), Scolopendra (Quanchi, detoxified), Pearl (Zhenzhu) each (1 qian), Musk (Shexiang).
For fetal fright, take down with milk and jujube date decoction.
My late father's Zhisheng Baoming Dan (Supreme Holy Life-Preserving Pill) for treating fright wind is found in the Liver section. Here, add Cicada Slough (Chantui, 1 qian) and Quinine Seed (Shijunzi, 1.5 qian).
The son of Wu Qingxi, Magistrate of Yingshan County, suffered from fright wind. Various doctors treated it as wind without effect. Urgent messengers were sent to summon me. Upon seeing the Magistrate, I said, "This is not wind, but caused by fright. Wind is treated from the Liver; fright is treated from the Heart. Without recognizing the etiology, how can there be effectiveness?" I used Zhisheng Baoming Dan. Convulsions stopped. The next day, officials and scholars came to inquire. The Magistrate said, "The reputation is well-deserved. Indeed a good doctor. He has his own ideas upon first sight, unlike others who struggle. Keep him for several days and treat him generously before returning."
The Heart belongs to Fire and dislikes heat. Heart heat causes irritability and frequent night crying. Daochi San is the primary formula. Even if crying day and night, it is suitable to take it.
The young master of Zhang Dingshi, Magistrate of this county, was four months old and had no breast milk. A robust woman was hired to nurse him. One night he cried loudly and incessantly. Doctor Gan Dayong was consulted. Initially diagnosed as abdominal pain, Lizhong Tang was ineffective. Then diagnosed as food stagnation, Yihuang San was ineffective. Night crying intensified. I was urgently summoned. Gan Dayong explained the situation, implying I should agree with him. The Heart dislikes heat; the medicine contained Dried Ginger (Ganjiang) and Clove (Dingxiang). How could this not assist fire and worsen the illness? I examined the young master. The Magistrate said, "Night crying for four days." I said, "There are four types of night crying; Heart vexation is one." The Magistrate asked, "Food stagnation? Abdominal pain?" I said, "Abdominal pain presents with a bluish face; food stagnation presents with a pale face. Now the face is very red, confirming Heart vexation." Gan Dayong withdrew. I administered Daochi San plus Ophiopogon Root ( Maidong) and Imperata Rhizome root tip (Dengxincao). One dose. Next morning, I visited. Gan Dayong came out saying, "He cried until dawn." I sighed; he rejoiced that his medicine didn't match the disease, unaware the illness had retreated. I entered and asked. The Magistrate said, "He cried severely last night." I told him, "The young master is well. His high body was unwell, fasting for four days and nights. Last night the illness retreated, craving milk. The nurse was outside, so the crying last night was illness-crying. Last night's crying was hunger-crying." The Magistrate joyfully said, "Strange! Since the nurse arrived, he hasn't cried again." The illness indeed retreated.
Heart heat may present with a preference for lying face down or supine. Daochi San and Sanhuang Xiexin Wan (Three Yellows Draining Heart Pill) are indicated.
Children are stubborn. They cannot lose people they usually love or toys they play with. Losing them causes mental distress; distress damages the Spleen, leading to lethargy and loss of appetite. Not getting what they want causes anger; anger damages the Liver, leading to incessant crying. This violates the Heart, called Guest Intolerance becoming illness. People and objects not usually loved or seen should not be shown to them. Seeing them causes fright; fright damages the Heart. Unseen people should not be allowed near. Forced proximity causes fear; fear damages the Kidney, leading to epilepsy in children. All these are Guest Intolerance illnesses. Today's parents use figures of authority to stop children, like elders stopping night crying. Doctors, because children refuse medicine, use needles and moxibustion to force them, causing illness.
Hu Xixu Bo, official attendant of the Chu Mansion and eldest son of Sanxi Weng, was sickly in childhood and entrusted to my care. On the seventh day of the seventh lunar month in the Dingyou year, at one year old, Sanxi Weng invited me to a Qixi gathering. After sunset, he cried incessantly. I examined him and found no illness. Returning to the seat, he cried severely during the first watch. The mother urged another examination. Indeed, no illness. I asked, "Why cry at dusk?" He cried through the first watch. I considered external signs showed no pathology, but saw the child looking left and right at the person on duty, as if having lost something, unable to speak, only crying. This is stubborn crying. I urgently questioned. The person on duty said, "The toy the child played with today was a jade seal, now put away." I ordered it retrieved and given to him. The child smiled and crying stopped. Sanxi Weng said, "Like protecting an infant, seeking with sincere heart. Excellent." We added wine and returned drunk with joy.