《圣惠》凡小儿一切丹，皆由风毒在于腠理，热毒搏于血，蒸发其外，其皮上热
而赤，如丹涂之状，故谓之丹也。若又不歇，则肌肉坏烂。若毒瓦斯入腹，则杀人也。
今以一方同疗之，故号一切丹也。《婴童宝鉴》小儿诸丹毒歌∶丹火初成似火烧，
天火浑身赤转饶，伊芳火膀边青黑色，厉从额上起根苗，臀并谷道 丹毒，如带 红
暴火调，留火发时一日甚，改变无常五色标，家火颊连双腋乳，天灶内踝及阴尻，
背并膝赤飞丹病，股内脐阴尿灶招。巢氏云∶火丹候，往来如伤寒，赤着身、而日
渐大者，是也。又云∶丹火候，状发赤如火烧，须臾 浆起，是也。《婴孺方》
云∶火丹者，往来如伤寒，赤着身体，不从伤火而得名，如日出时，以从其处，又
名日丹，宜同用《千金》漏芦散。〔曾〕经云∶赤紫丹瘤，皆心火内郁而发，赤如
丹砂。心主血，而火性热，血热相搏，阴滞于阳，即发丹毒，心虚寒则痒，心实热
则痛，自腹生出四肢者易治，自四肢生入腹者难疗。先用百解散表之，次以当归散
加连翘、荆芥，水煎服，及牛蒡汤加炒麻仁研碎同煎，与宣热拔毒，其次赤葛散，
或初用化丹汤亦好。有身上发时，亦如前证，不甚燥痒，但见出浮于遍体，神昏不
悦，名阴湿毒证，先以冲和饮加南木香水姜煎服，次用当归散、雄黄散，然此二证
不问赤白，若入腹入肾，多致为害，不可轻视如常，自取困尔。〔汤〕小儿丹毒，
乃热毒之气极，与血相搏而风乘之，故赤肿及游走遍身者，又名赤游风，入肾入腹
则杀人也。大抵丹毒虽有多种，病源则一，有赤丹毒遍身痒者，或女子十五六而脉
未通者多发丹疹，皆由血有风毒乘之，宜服防己散。
葛根白术散 治小儿赤白丹毒。
白术 枳壳（各一钱） 茯苓（二钱） 木香（一钱半） 葛根（三钱） 甘草（二钱半）
上锉散。用水一盏煎，不拘时服。
犀角解毒散 治小儿赤丹瘤。壮热狂燥，睡卧不安，胸膈闷满，咽喉肿痛，遍身
丹毒。
牛蒡子（炒，一两五钱） 防风 甘草（各二钱半） 荆芥穗（五钱） 犀角（一钱半）
上锉散。用水煎，不拘时服。
防风升麻汤 治小儿丹瘤赤肿。
防风 升麻 山栀（去壳） 麦门冬（去心） 木通 甘草节（各一钱）
上 咀。用淡竹叶三片煎，食远服。
荆芥散
防风 天花粉 羌活 生地黄 当归 蝉蜕（各等分）
上，水煎服。
百解散（惊）
防己散
汉防己（半两） 朴硝 犀角 黄芩 升麻（各一分） 黄 （各一分）
上 咀。竹叶水煎，量大小加减。
牛蒡汤（咽喉）
化丹汤 解利丹毒遍身燥痒，发热烦啼。
川独活 射干 麻黄（去根节） 青木香 甘草 黄芩 薄桂（刮去粗皮。各五钱） 石膏末
上锉。每服二钱，水一盏，煎七分，无时温服。
治小儿一切丹毒。漏芦汤 （一名漏芦散）
漏芦 麻黄（去根节） 连翘 川升麻 黄芩 白蔹 甘草 川芒硝（各一分） 川大黄（一
两，锉，微炒） 一方，加枳实（一分），麸炒微黄赤芍药（一分），锉
上为粗末。每一钱，水一小盏，煎至五分，去滓，温服，无时。
〔丹〕小儿黑 、红 、疮痒、瘾疹。并用防风通圣散治之。
治小儿月内发一切丹。蓝叶散
蓝叶（一两） 黄芩 犀角屑 川大黄（锉，微炒） 柴胡（去芦） 栀子仁（以上各一分）
川升麻（一分半） 石膏（一分半） 甘草（半分，微炙）
上为粗末。每服一钱，水一小盏，煎至五分，去滓。下竹沥半台，更煎三两沸。
放温，无时，量儿大小加减服，后同。（气怯弱者可去大黄）
治小儿一切丹，遍身壮热烦渴。升麻散
川升麻（一分） 黄芩（一分） 麦门冬（三分，去心） 葛根（三分） 川大黄（微炒，一分）
川朴硝（一分）
上为粗末。每服一钱，水一小盏，煎至五分，去滓，温服，无时。
治小儿一切丹毒遍身赤痛。大黄散
川大黄（半两，锉，微炒） 防风（半两，去芦） 川升麻（一分） 黄芩（一分） 麻黄（一分，
去根节） 秦艽（去芦，一分） 川朴硝（二分）
上，同 咀。每服一钱，水一小盏，煎至五分，去滓，温服，无时。
治小儿丹疮，脏腑壅热太过，心神烦闷，大小便不通。
大黄散
川大黄（微炒） 川升麻 川朴硝 葵子（各半两） 栀子仁（一分）
上为粗末。每一钱，水一小盏，煎五分，去滓，量儿加减温服。以利为度。
治小儿一切丹，发无常处，身热如火烧。宜用升麻膏
川升麻 川大黄 护火草 蛇衔草 栀子仁 寒水石 川芒硝 蓝叶 生地黄 芭蕉根 羚羊角屑
梧桐皮（各半两）
上细锉。以竹沥浸一宿，明日漉出，却入铛中以腊月猪脂一斤，慢火熬一食久，
乘热以绵滤去滓，候冷成膏，瓷盒盛。旋取磨涂之，兼以膏如枣大，竹沥化服之。
《千金》治小儿热毒痈疽，赤白诸丹，毒瓦斯疮疖方
漏芦 连翘 白蔹 芒硝 甘草（炙。各一分） 大黄（四分） 升麻 枳实 麻黄（去节）
黄芩（各一分半）
上，以水一升，煎取五合。儿生一日至七日，取一合，分三服。八日至十五日，
取一合半，分三服。十六日至二十日，取二合，分三服。二十日至三十日，取三
合，分三服。三十日至四十日，五合，分三服。
又方 治小儿丹毒，大肿身热，百治不折。
寒水石（十六分） 干蓝青（切） 竹沥（各一升） 犀角 柴胡 杏仁（去皮尖，熬，研。
各八分） 生葛汁（四合，澄清） 知母（十分） 甘草（五分） 羊角（六分） 芍药（七分）
栀子（十一分） 黄芩（七分） 蜜（二升） 石膏（十三分）
上水五升，并竹沥煮三升三合，去滓，内杏仁脂、葛汁、蜜、微火煎二升。三
岁儿服二合，大者量加之。药分太大，婴儿服未得。
又方 治小儿丹，数非一，皆主之。
大黄 甘草 当归 川芎 白芷 独活 黄芩 芍药 升麻 沉香 青木香
木兰皮（各一两） 芒硝（三两）
上，以水一斗二升，煮取四升，去滓，内硝汤中。适寒温拓之，干，再用，瘥
乃止。
〔汤〕张三太尉女年十五岁病此，诸医百药俱试而不能中，召余视之。以生料四
物汤加防风、黄芩，一日而愈。
生料四物汤 治血热生疮，遍身肿痒，及脾胃常弱，不禁大黄等冷药，尤宜服之。
生地黄 赤芍药 川芎 当归 防风（各半两） 黄芩（一钱半）
上 咀。水煎，量大小加减，忌酒、面、猪羊肉、豆腐。
〔丹〕小儿赤瘤，主伤血热。宜生地黄、木通、荆芥、苦药带发表之类，外以芭蕉油
涂患处。
治小儿一切丹毒，大赤肿，身体壮热如火。巳服诸药未减，宜服。蓝青散方
蓝青 知母 栀子仁 甘草（微炙） 杏仁（去皮、尖、双仁，麸炒微黄，各半两） 寒水石
石膏 犀角屑 柴胡（去苗） 黄芩（各一两） 赤芍药 羚羊角屑（各三分）
上为粗末。每服一钱，水一盏，煎至五分，去滓，入竹沥、蜜、生葛等汁，共一合，
更煎三两沸。放温，无时服，量儿大小加减。
解毒散
寒水石 滑石 石膏（各等分）
上为末。入辰砂少许，量儿大小，灯心汤下。
赤葛散 治因血热与风热相搏，遍身丹毒燥痒，日久不消。
赤葛（二两） 甘草（三钱）
上碎。每服二钱，无灰酒一盏，煎七分。无时，温服。不饮酒者，止用水一盏，
入酒一大匙同煎服。
泉州大智禅师（文宥） 经进必效方载神圣治小儿头面皮肤，忽生疮疡火燎丹，发起赤肿
晕，有碎小疮及赤晕上疮，初发如钱，渐晕开一二尺，良久遍身，入口耳到脏腑，
即不救，此证可畏，速治之，此乃自积热得。
甘草（一两或半两）
上，拍破，入水一盏或半盏煎汤，温温，令乳母全口呷，含漱，徐徐吐，淋洗病
处，以手掌与揩，不得犯指甲，仍与儿甘草汤吃，一用即不晕开，良久再淋，三
用立瘥。
治丹毒，并土虺咬。红散子
茜根（半斤）
上，为末。每服二钱，温酒调下。立效。
治小儿一切丹毒通用
护火草（半两） 紫葛 硝石（各半两）
上为末。冷水调涂，干即再涂，以瘥为度。
治小儿一切丹毒，遍身发热。硝石散
硝石（一两） 乳香（一分）
上为末。以鸡子清调，涂之。
又方
太阴玄精石（一两） 白矾（一两）
为末。水调、涂。
治小儿诸丹，遍身如火，缠腰，即杀人。
芸苔子（不以多少）
研细，酒调饮，兼涂丹上。一方，以酒研细，温服，无时。
治小儿一切热毒丹及赤肿疼痛。
大黄 马牙硝（研。各一两）
上，先将大黄为末，入牙硝同研，水调，涂患处。干再易之。
《简要济众方》治小儿丹毒从脐中起。
灶下黄土年深者（细研）
上，以屋漏水或新汲水和成泥，贴之，干、即易。
《子母秘录》治小儿一切丹烦。
柳叶（一斤）
上，用水一斗，煮三升。日洗七八次。
绿袍散
绿豆（五钱） 大黄（二钱）
上为极细末。用生姜、薄荷汁入蜜，涂。
白玉散
白玉（即滑石） 寒水石（各二钱半）
上为极细末。用醋调涂。或井水调涂亦得。
碧雪
芒硝 青黛 寒水石 石膏 朴硝 马牙硝 甘草（各一钱）
上为极细末。敷。
冰黄散 治小儿赤瘤丹、毒丹，铍刀子疏去瘤头赤晕恶血毒汁。
土硝（五钱） 大黄（一钱）
上为极细末。用新井水调匀，涂。
〔汤〕又敷丹毒方，只一夜消尽，用花蕊石、生姜、薄荷、自然汁调，鹅毛刷上患处，
为妙。
《圣惠方》记载：凡是小儿患各种丹毒，都是由风毒停留在腠理（皮肤与肌肉之间的间隙），热毒与血液搏结，向外蒸腾，导致皮肤发热发红，像涂了丹砂一样的样子，所以称为“丹”。如果病情不缓解，就会导致肌肉腐烂。如果毒气进入腹部，就会致死。现在用一个方子共同治疗，所以称为“一切丹”。
《婴童宝鉴》中关于小儿各种丹毒的歌诀说：丹火初起像火烧，天火全身红艳转饶，伊芳火在膀边呈现青黑色，厉丹从额头开始起根苗，臀部及肛门处的丹毒，如带状红色暴火需调理，留火发作时一天比一天严重，改变无常表现为五色标志，家火脸颊连接双腋和乳房，天灶在内踝及阴部尻骨，背部及膝盖发红是飞丹病，大腿内侧、肚脐及阴部的尿灶丹会招致此病。
巢元方说：火丹候，症状往来如同伤寒，身体发红且日渐扩大，就是这种病。又说：丹火候，发作时状如赤色如火烧，须臾之间出现水疱，就是这种病。
《婴孺方》说：火丹，往来如同伤寒，身体发红，不是因为被火烫伤而得名，就像日出时的景象，从其处得名，又名日丹，适宜同用《千金方》的漏芦散。
曾氏经云：赤紫丹瘤，都是心火内郁而发，颜色红得像丹砂。心主血，火性热，血热相互搏结，阴气阻滞于阳气，就会引发丹毒，心虚寒则瘙痒，心实热则疼痛，从腹部生出蔓延至四肢的容易治疗，从四肢生入腹部的难治。先用百解散发散表邪，再用当归散加连翘、荆芥，水煎服，以及牛蒡汤加炒麻仁研碎同煎，以宣散热毒拔除毒素，其次是赤葛散，或者初起时用化丹汤也好。身上发丹时，也像前面的证候，不甚燥痒，只见浮出于遍体，神志昏沉不悦，名为阴湿毒证，先以冲和饮加南木香、水姜煎服，次用当归散、雄黄散，然而这两种证候不论赤白，如果入腹入肾，多会导致危害，不可轻视如常，自取困厄罢了。
汤氏认为：小儿丹毒，乃是热毒之气极盛，与血相搏而风邪乘之，所以红肿及游走遍身者，又名赤游风，入肾入腹则致死。大抵丹毒虽有多种，病源则一，有赤丹毒遍身痒者，或女子十五六岁而脉未通者多发丹疹，皆由血有风毒乘之，适宜服用防己散。
葛根白术散：治疗小儿赤白丹毒。
药材：白术、枳壳（各一钱），茯苓（二钱），木香（一钱半），葛根（三钱），甘草（二钱半）。
制法：切碎成散剂。用水一盏煎煮，不拘时候服用。
犀角解毒散：治疗小儿赤丹瘤。壮热狂躁，睡卧不安，胸膈闷满，咽喉肿痛，遍身丹毒。
药材：牛蒡子（炒，一两五钱），防风、甘草（各二钱半），荆芥穗（五钱），犀角（一钱半）。
制法：切碎成散剂。用水煎煮，不拘时候服用。
防风升麻汤：治疗小儿丹瘤赤肿。
药材：防风、升麻、山栀（去壳）、麦门冬（去心）、木通、甘草节（各一钱）。
制法：切碎。用淡竹叶三片煎煮，饭后服用。
荆芥散
药材：防风、天花粉、羌活、生地黄、当归、蝉蜕（各等分）。
制法：水煎服。
百解散（惊）
防己散
药材：汉防己（半两），朴硝、犀角、黄芩、升麻（各一分），黄芪（各一分）。
制法：切碎。用竹叶水煎煮，根据年龄大小加减剂量。
牛蒡汤（咽喉）
化丹汤：解利丹毒遍身燥痒，发热烦啼。
药材：川独活、射干、麻黄（去根节）、青木香、甘草、黄芩、薄桂（刮去粗皮，各五钱），石膏末。
制法：切碎。每服二钱，用水一盏，煎至七分，无固定时间温服。
治小儿一切丹毒：漏芦汤（一名漏芦散）
药材：漏芦、麻黄（去根节）、连翘、川升麻、黄芩、白蔹、甘草、川芒硝（各一分），川大黄（一两，切碎，微炒）。一方，加枳实（一分），麸炒微黄赤芍药（一分），切碎。
制法：制成粗末。每一钱，用水一小盏，煎至五分，去渣，温服，无固定时间。
治小儿月内发一切丹：蓝叶散
药材：蓝叶（一两），黄芩、犀角屑、川大黄（切碎，微炒）、柴胡（去芦）、栀子仁（以上各一分），川升麻（一分半），石膏（一分半），甘草（半分，微炙）。
制法：制成粗末。每服一钱，用水一小盏，煎至五分，去渣。加入竹沥半合，再煎三两沸。放温，无固定时间，根据婴儿大小加减服用，后面相同。（气怯弱者可去掉大黄）
治小儿一切丹，遍身壮热烦渴：升麻散
药材：川升麻（一分），黄芩（一分），麦门冬（三分，去心），葛根（三分），川大黄（微炒，一分），川朴硝（一分）。
制法：制成粗末。每服一钱，用水一小盏，煎至五分，去渣，温服，无固定时间。
治小儿一切丹毒遍身赤痛：大黄散
药材：川大黄（半两，切碎，微炒），防风（半两，去芦），川升麻（一分），黄芩（一分），麻黄（一分，去根节），秦艽（去芦，一分），川朴硝（二分）。
制法：一起切碎。每服一钱，用水一小盏，煎至五分，去渣，温服，无固定时间。
治小儿丹疮，脏腑壅热太过，心神烦闷，大小便不通：
大黄散
药材：川大黄（微炒），川升麻，川朴硝，葵子（各半两），栀子仁（一分）。
制法：制成粗末。每一钱，用水一小盏，煎五分，去渣，根据婴儿大小加减温服。以利为度。
治小儿一切丹，发无常处，身热如火烧。宜用升麻膏
药材：川升麻、川大黄、护火草、蛇衔草、栀子仁、寒水石、川芒硝、蓝叶、生地黄、芭蕉根、羚羊角屑、梧桐皮（各半两）。
制法：细切。用竹沥浸泡一夜，第二天捞出，放入锅中，用腊月猪脂一斤，慢火熬一顿饭的时间，趁热用绵滤去渣，候冷成膏，用瓷盒盛装。随时取磨涂患处，兼以膏如枣大，竹沥化开服下。
《千金方》治小儿热毒痈疽，赤白诸丹，毒瓦斯疮疖方
药材：漏芦、连翘、白蔹、芒硝、甘草（炙，各一分），大黄（四分），升麻、枳实、麻黄（去节）、黄芩（各一分半）。
制法：用水一升，煎取五合。儿生一日至七日，取一合，分三服。八日至十五日，取一合半，分三服。十六日至二十日，取二合，分三服。二十日至三十日，取三合，分三服。三十日至四十日，五合，分三服。
又一方：治小儿丹毒，大肿身热，百治不折。
药材：寒水石（十六分），干蓝青（切）、竹沥（各一升），犀角、柴胡、杏仁（去皮尖，熬，研，各八分），生葛汁（四合，澄清），知母（十分），甘草（五分），羊角（六分），芍药（七分），栀子（十一分），黄芩（七分），蜜（二升），石膏（十三分）。
制法：水五升，并竹沥煮三升三合，去渣，加入杏仁脂、葛汁、蜜，微火煎二升。三岁儿服二合，大者量加之。药分太大，婴儿服未得。
又一方：治小儿丹，数非一，皆主之。
药材：大黄、甘草、当归、川芎、白芷、独活、黄芩、芍药、升麻、沉香、青木香、木兰皮（各一两），芒硝（三两）。
制法：用水一斗二升，煮取四升，去渣，加入硝汤中。适寒温拓之，干，再用，瘥乃止。
汤氏案例：张三太尉女年十五岁病此，诸医百药俱试而不能中，召余视之。以生料四物汤加防风、黄芩，一日而愈。
生料四物汤：治血热生疮，遍身肿痒，及脾胃常弱，不禁大黄等冷药，尤宜服之。
药材：生地黄、赤芍药、川芎、当归、防风（各半两），黄芩（一钱半）。
制法：切碎。水煎，根据大小加减，忌酒、面、猪羊肉、豆腐。
丹氏认为：小儿赤瘤，主伤血热。宜生地黄、木通、荆芥、苦药带发表之类，外以芭蕉油涂患处。
治小儿一切丹毒，大赤肿，身体壮热如火。巳服诸药未减，宜服：蓝青散方
药材：蓝青、知母、栀子仁、甘草（微炙）、杏仁（去皮、尖、双仁，麸炒微黄，各半两），寒水石、石膏、犀角屑、柴胡（去苗）、黄芩（各一两），赤芍药、羚羊角屑（各三分）。
制法：制成粗末。每服一钱，用水一盏，煎至五分，去渣，入竹沥、蜜、生葛等汁，共一合，再煎三两沸。放温，无固定时间服，根据婴儿大小加减。
解毒散
药材：寒水石、滑石、石膏（各等分）。
制法：制成粉末。入辰砂少许，根据婴儿大小，灯心汤送下。
赤葛散：治因血热与风热相搏，遍身丹毒燥痒，日久不消。
药材：赤葛（二两），甘草（三钱）。
制法：切碎。每服二钱，无灰酒一盏，煎七分。无固定时间，温服。不饮酒者，只用水一盏，入酒一大匙同煎服。
泉州大智禅师（文宥）经进必效方载神圣治小儿头面皮肤，忽生疮疡火燎丹，发起赤肿晕，有碎小疮及赤晕上疮，初发如钱，渐晕开一二尺，良久遍身，入口耳到脏腑，即不救，此证可畏，速治之，此乃自积热得。
药材：甘草（一两或半两）。
制法：拍破，入水一盏或半盏煎汤，温温，令乳母全口呷，含漱，徐徐吐，淋洗病处，以手掌与揩，不得犯指甲，仍与儿甘草汤吃，一用即不晕开，良久再淋，三用立瘥。
治丹毒，并土虺咬：红散子
药材：茜根（半斤）。
制法：为末。每服二钱，温酒调下。立效。
治小儿一切丹毒通用
药材：护火草（半两）、紫葛、硝石（各半两）。
制法：为末。冷水调涂，干即再涂，以瘥为度。
治小儿一切丹毒，遍身发热：硝石散
药材：硝石（一两），乳香（一分）。
制法：为末。以鸡子清调，涂之。
又方
药材：太阴玄精石（一两），白矾（一两）。
制法：为末。水调、涂。
治小儿诸丹，遍身如火，缠腰，即杀人。
药材：芸苔子（不以多少）。
制法：研细，酒调饮，兼涂丹上。一方，以酒研细，温服，无固定时间。
治小儿一切热毒丹及赤肿疼痛。
药材：大黄、马牙硝（研，各一两）。
制法：先将大黄为末，入牙硝同研，水调，涂患处。干再易之。
《简要济众方》治小儿丹毒从脐中起。
药材：灶下黄土年深者（细研）。
制法：以屋漏水或新汲水和成泥，贴之，干、即易。
《子母秘录》治小儿一切丹烦。
药材：柳叶（一斤）。
制法：用水一斗，煮三升。日洗七八次。
绿袍散
药材：绿豆（五钱），大黄（二钱）。
制法：为极细末。用生姜、薄荷汁入蜜，涂。
白玉散
药材：白玉（即滑石）、寒水石（各二钱半）。
制法：为极细末。用醋调涂。或井水调涂亦得。
碧雪
药材：芒硝、青黛、寒水石、石膏、朴硝、马牙硝、甘草（各一钱）。
制法：为极细末。敷。
冰黄散：治小儿赤瘤丹、毒丹，铍刀子疏去瘤头赤晕恶血毒汁。
药材：土硝（五钱），大黄（一钱）。
制法：为极细末。用新井水调匀，涂。
According to the *Shenghui Fang*: All cases of various types of Dan (erysipelas) in children are caused by wind-toxin residing in the couli (the interstitial spaces between skin and muscle), where heat-toxin clashes with blood, steaming outward. This causes the skin to become hot and red, resembling the appearance of cinnabar applied to the surface, hence the name "Dan". If the condition does not subside, it leads to the rotting of muscle tissue. If the toxic qi enters the abdomen, it can be fatal. Currently, a single formula is used to treat all these conditions, thus it is called "Yiqie Dan" (All-encompassing Dan).
The song from *Yingtong Baojian* regarding various Dan toxins in children states: When Dan fire first forms, it resembles a burning fire; Tianhuo (Heaven Fire) makes the whole body red and abundant; Yifang Huo appears as cyan-black on the sides of the arms; Li Dan starts from the root at the forehead; Dan toxin on the buttocks and anus resembles a band of red violent fire needing regulation; Liu Huo worsens daily upon onset, changing unpredictably with five-color markers; Jia Huo connects the cheeks to both armpits and breasts; Tian Zao affects the inner ankle and the yin region near the sacrum; Redness on the back and knees indicates Fei Dan disease; Dan zao (Urine Zao) in the inner thighs, umbilicus, and yin region invites this illness.
Chao Yuanfang stated: The Huo Dan syndrome presents with symptoms alternating like Taiyang disease (common cold/febrile disease), with redness spreading over the body and enlarging daily; this is it. He also stated: In the Dan Hou syndrome, the eruption appears red like a burning fire, and blisters rise within moments; this is it.
The *Yingru Fang* stated: Huo Dan presents with symptoms alternating like Taiyang disease, with redness covering the body. It is not named after being burned by fire, but rather resembles the rising sun, deriving its name from that imagery, also known as Ri Dan. It is appropriate to use the Loulu San (Radix Isatidis Powder) from the *Qianjin Fang*.
Zeng Shi Jing noted: Chi Zi Dan Liu (Red-purple Dan tumors) are all caused by internal depression of Heart Fire erupting, appearing red like cinnabar. The Heart governs blood, and fire nature is hot; when blood-heat clashes, yin stagnates in yang, causing Dan Du (toxic erysipelas). If the Heart is deficient and cold, there is itching; if the Heart is excess and hot, there is pain. Cases originating from the abdomen and spreading to the limbs are easy to treat; those originating from the limbs and entering the abdomen are difficult to cure. First, use Baijie San (Hundred-Resolutions Powder) to release the exterior, then use Danggui San (Angelica Sinensis Powder) added with Qiaqiao (Forsythiae Fructus) and Jingjie (Schizonepetae Herba), decocted in water. Also, use Niubang Tang (Arctii Decoction) added with fried Hemp Seed (Cannabis Semen) crushed and decocted together, to vent heat and extract toxins. Next, use Chige San (Red Kudzu Powder), or initially use Huadan Tang (Transform-Dan Decoction). When Dan erupts on the body, similar to previous syndromes, without severe dryness or itching, but floating across the entire body accompanied by mental confusion and displeasure, it is named Yinshi Du Zheng (Yin-Damp Toxic Syndrome). First, use Chonghe Yin (Harmonizing Infusion) added with Nanmuxiang (Aucklandiae Radix) and Shuijiang (Fresh Ginger Juice), decocted. Then use Danggui San and Xionghuang San (Realgar Powder). However, for these two syndromes, regardless of whether they are red or white, if they enter the abdomen or Kidneys, they often cause harm and should not be treated lightly as ordinary cases, lest one bring about distress oneself.
Tang Shi believed: Pediatric Dan Du is caused by extreme heat-toxic qi clashing with blood while wind pathogens take advantage, resulting in redness, swelling, and migration across the body, also known as Chiyou Feng (Red Wandering Wind). If it enters the Kidneys or abdomen, it is fatal. Generally, although Dan Du has many types, the pathological source is one. For red Dan Du with whole-body itching, or for girls aged fifteen or sixteen whose pulses have not yet unblocked who frequently develop Dan rashes, all are due to wind-toxin in the blood taking advantage; it is suitable to take Fangji San (Stephania Tetrandra Powder).
**Gegen Baizhu San**: Treats pediatric red and white Dan Du.
Ingredients: Baizhu (Atractodis Rhizoma), Zhike (Aurantii Fructus Immaturus) (each 1 qian); Fuling (Poria) (2 qian); Muxiang (Aucklandiae Radix) (1.5 qian); Gegen (Puerariae Lobatae Radix) (3 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (2.5 qian).
Preparation: Coarsely powdered. Decoct in one cup of water, take at any time.
**Xijiao Jiedu San**: Treats pediatric red Dan Liu. Symptoms include high fever, mania, restlessness during sleep, chest and diaphragm fullness, sore throat and swelling, and whole-body Dan Du.
Ingredients: Niubangzi (Arctii Fructus), stir-fried (1.5 liang); Fangfeng (Saposhnikoviae Radix), Gancao (each 2.5 qian); Jingjiesui (Schizonepetae Spica) (5 qian); Xijiao (Rhinocerotis Cornu) (1.5 qian).
Preparation: Coarsely powdered. Decoct in water, take at any time.
**Fangfeng Shengma Tang**: Treats pediatric Dan Liu with redness and swelling.
Ingredients: Fangfeng, Shengma (Cimicifugae Rhizoma), Shanzhi (Gardeniae Fructus, husked), Maidong (Ophiopogonis Tuber, heart removed), Mutong (Akebiae Caulis), Gancaojie (Glycyrrhizae Radix et Rhizoma nodules) (each 1 qian).
Preparation: Cut into small pieces. Decoct with three slices of Danzhuye (Bambusae Folium), take well after meals.
**Jingjie San**
Ingredients: Fangfeng, Tianhuafen (Trichosanthis Radix), Qianghuo (Notopterygii Rhizoma et Radix), Shengdihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Chantui (Cicadae Periostracum) (equal parts).
Preparation: Decoct in water and take.
**Baijie San (for fright)**
**Fangji San**
Ingredients: Hanfangji (Stephaniae Tetrandrae Radix) (0.5 liang); Poxiao (Natrii Sulfas), Xijiao, Huangqin (Scutellariae Radix), Shengma (each 1 fen); Huangqi (Astragali Radix) (1 fen).
Preparation: Cut into small pieces. Decoct in bamboo leaf water, adjust dosage according to age and size.
**Niubang Tang (for throat)**
**Huadan Tang**: Relieves Dan Du with whole-body dryness and itching, fever, and irritability/crying.
Ingredients: Chuanduohuo (Actaeos Radix), Shegan (Belamcandae Rhizoma), Mahuang (Ephedrae Herba, roots and joints removed), Qingmuxiang (Aquilariae Lignum Resinatum), Gancao, Huangqin, Bo Gui (Cinnamomi Ramulus, coarse bark scraped off) (each 5 qian); Shigao powder (Gypsum Fibrosum).
Preparation: Coarsely cut. Take 2 qian per dose, decoct in one cup of water until reduced to 70%, take warm at any time.
**Treats all pediatric Dan Du: Loulu Tang (also known as Loulu San)**
Ingredients: Loulu (Radix Isatidis), Mahuang (roots and joints removed), Lianqiao (Forsythiae Fructus), Chuanshengma (Cimicifugae Rhizoma), Huangqin, Bailian (Trollii Radix), Gancao, Chuanchuanxiaomingxiao (Magnsii Sulfas) (each 1 fen); Chuan Dahuang (Rhei Radix et Rhizoma) (1 liang, coarsely cut, slightly stir-fried). Another prescription adds Zhishi (Aurantii Fructus Immaturus) (1 fen), Chishao Yao (Paeoniae Radix Rubra) stir-fried with bran until slightly yellow (1 fen), coarsely cut.
Preparation: Make into coarse powder. Take 1 qian, decoct in a small cup of water until reduced to 50%, strain, take warm at any time.
Dan Shi stated: For pediatric black Dan, red Dan, sores with itching, and urticaria, use Fangfeng Tongsheng San (Wind-Barrier Universal Salvation Powder) to treat them.
**Lanye San**: Treats all Dan erupting within the first month of life in infants.
Ingredients: Lanye (Isatidis Folium) (1 liang); Huangqin, Xijiao xie (Rhinocerotis Cornu fragments), Chuan Dahuang (coarsely cut, slightly stir-fried), Chaihu (Bupleuri Radix, awn removed), Zhizi Ren (Gardeniae Semen) (each 1 fen above); Chuanshengma (1.5 fen); Shigao (1.5 fen); Gancao (0.5 fen, slightly roasted).
Preparation: Make into coarse powder. Take 1 qian, decoct in a small cup of water until reduced to 50%, strain. Add half a he of Zhuli (Bambusa Textilis Sap), boil for three more boils. Let cool, take warm at any time, adjusting for infant size. (For infants with weak qi, remove Dahuang).
**Shengma San**: Treats all pediatric Dan with whole-body high fever and thirst.
Ingredients: Chuanshengma (1 fen); Huangqin (1 fen); Maidong (3 fen, heart removed); Gegen (3 fen); Chuan Dahuang (slightly stir-fried, 1 fen); Chuan Poxiao (1 fen).
Preparation: Make into coarse powder. Take 1 qian, decoct in a small cup of water until reduced to 50%, strain, take warm at any time.
**Dahuang San**: Treats all pediatric Dan Du with whole-body redness and pain.
Ingredients: Chuan Dahuang (0.5 liang, coarsely cut, slightly stir-fried); Fangfeng (0.5 liang, awn removed); Chuanshengma (1 fen); Huangqin (1 fen); Mahuang (1 fen, roots and joints removed); Qinjiao (Gentianae Macrophyllae Radix, awn removed, 1 fen); Chuan Poxiao (2 fen).
Preparation: Coarsely cut together. Take 1 qian, decoct in a small cup of water until reduced to 50%, strain, take warm at any time.
**Dahuang San**: Treats pediatric Dan sores caused by excessive internal heat congestion in the zang-fu organs, leading to mental restlessness and obstruction of urination and defecation.
Ingredients: Chuan Dahuang (slightly stir-fried), Chuanshengma, Chuan Poxiao, Kuizi (Abutili Semen) (each 0.5 liang); Zhizi Ren (1 fen).
Preparation: Make into coarse powder. Take 1 qian, decoct in a small cup of water for five minutes, strain, adjust dosage for infant and take warm. Stop when bowel movement occurs.
**Shengma Gao**: For all pediatric Dan erupting at random locations, with body heat like burning fire.
Ingredients: Chuanshengma, Chuan Dahuang, Huhuocao (Herba Siegesbeckiae), Shexiancao (Herba Patriniae), Zhizi Ren, Hanshuishi (Halloysitum Rubrum), Chuanchuanxiaomingxiao, Lanye, Shengdihuang, Bajiaogen (Musa Basjoo Radix), Lingyangjiao xie (Capricornu Saigae Tataricae Fragmenta), Wutongpi (Celtis Cortex) (each 0.5 liang).
Preparation: Finely cut. Soak in Zhuli overnight. Strain out the next day, place in a cauldron with one jin of lard from the twelfth lunar month, simmer slowly for the duration of a meal. Filter hot through cotton to remove dregs. Cool to form a paste, store in porcelain boxes. Apply ground paste to affected areas as needed. Also, take a date-sized amount of paste dissolved in Zhuli orally.
**Qianjin Fang**: Formula for pediatric heat-toxic carbuncles, sores, red and white Dan, and toxic pustules.
Ingredients: Loulu, Lianqiao, Bailian, Mangxiao (Natrii Sulfas), Gancao (roasted, each 1 fen); Dahuang (4 fen); Shengma, Zhishi, Mahuang (joints removed), Huangqin (each 1.5 fen).
Preparation: Decoct in one sheng of water to obtain five he. For infants one to seven days old, take one he, divided into three doses. Eight to fifteen days, take one and a half he, divided into three doses. Sixteen to twenty days, take two he, divided into three doses. Twenty to thirty days, take three he, divided into three doses. Thirty to forty days, take five he, divided into three doses.
**Another Prescription**: Treats pediatric Dan Du with massive swelling and fever, resistant to hundred treatments.
Ingredients: Hanshuishi (16 fen); Gan Lanqing (cut), Zhuli (each one sheng above); Xijiao, Chaihu, Xingren (skin and tips removed, roasted, pounded, each 8 fen); Sheng Gezhi (fresh Kudzu juice, clarified, four he); Zhimu (Anemarrhenae Rhizoma) (10 fen); Gancao (5 fen); Yangjiao (Ovis Caprina Cornu) (6 fen); Shaoyao (Paeoniae Radix) (7 fen); Zhizi (Gardeniae Fructus) (11 fen); Huangqin (7 fen); Honey (two sheng); Shigao (13 fen).
Preparation: With five sheng of water and Zhuli, boil down to three sheng and three he. Strain, add Xingren fat, Gezhi, and honey, simmer on low heat to two sheng. Three-year-old children take two he, older children increase accordingly. The dosage is too large for infants.
**Another Prescription**: Treats pediatric Dan, numerous types, all governed by this.
Ingredients: Dahuang, Gancao, Danggui, Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Duohuo (Notopterygii Rhizoma et Radix), Huangqin, Shaoyao, Shengma, Chenxiang (Aquilariae Lignum), Qingmuxiang, Mulanpi (Magnoliae Officinalis Cortex) (each 1 liang); Mangxiao (3 liang).
Preparation: Boil in twelve sheng of water to obtain four sheng. Strain, add to the Mangxiao decoction. Apply warm to the area, reapply when dry, stop when healed.
**Tang Shi Case**: The daughter of Marshal Zhang San, aged fifteen, suffered from this condition. Various physicians tried hundreds of medicines without success. I was summoned to examine her. I prescribed Shengliao Siwu Tang (Raw Material Four Substances Decoction) added with Fangfeng and Huangqin. She recovered in one day.
**Shengliao Siwu Tang**: Treats sores arising from blood-heat, whole-body swelling and itching, and weak spleen-stomach constitution unable to tolerate cold medicines like Dahuang. Especially suitable.
Ingredients: Shengdihuang, Chishao Yao, Chuanxiong, Danggui, Fangfeng (each 0.5 liang); Huangqin (1.5 qian).
Preparation: Cut into small pieces. Decoct in water, adjust dosage by size. Avoid alcohol, wheat noodles, pork, mutton, and tofu.
**Dan Shi stated**: Pediatric red Liu is primarily due to injury from blood-heat. Use Shengdihuang, Mutong, Jingjie, bitter herbs with exterior-releasing properties, and externally apply Bajiao You (Banana Oil) to the affected area.
**Lanqing San**: Treats all pediatric Dan Du with severe redness and swelling, and body heat like fire, which has not subsided after taking various medicines.
Ingredients: Lanqing (Indigo Naturalis), Zhimu, Zhizi Ren, Gancao (slightly roasted), Xingren (skin, tips, and double kernels removed, bran-roasted until slightly yellow, each 0.5 liang above); Hanshuishi, Shigao, Xijiao xie, Chaihu (awn removed), Huangqin (each 1 liang); Chishao Yao, Lingyangjiao xie (each 3 fen).
Preparation: Make into coarse powder. Take 1 qian, decoct in one cup of water until reduced to 50%, strain. Add Zhuli, honey, and fresh Gezhi juice, totaling one he. Boil for three more boils. Let cool, take warm at any time, adjusting for infant size.
**Jiedu San**
Ingredients: Hanshuishi, Huashi (Talcum), Shigao (equal parts).
Preparation: Make into powder. Add a small amount of Chensha (Cinnabar). Take with Dengxin Tang (Junci Medulla Decoction) according to infant size.
**Chige San**: Treats whole-body Dan Du with dryness and itching caused by the clash of blood-heat and wind-heat, persisting for a long time without resolving.
Ingredients: Chige (Kudzu Root Bark) (2 liang); Gancao (3 qian).
Preparation: Crush. Take 2 qian, decoct in one cup of non-gray wine until reduced to 70%. Take warm at any time. For those who do not drink alcohol, use one cup of water with one large spoon of wine, decoct and take together.
**Quanzhou Dazhi Chan Shi (Wen You)** recorded in *Bixiao Fang*: A divine method treats sudden eruption of fire-burn Dan on the head, face, and skin of children, presenting as red swelling halos with small sores and sores on the red halo. Initially starting the size of a coin, gradually expanding one or two chi, eventually covering the whole body. If it enters the mouth, ears, or viscera, it is incurable. This condition is terrifying; treat quickly. It arises from accumulated heat.
Ingredients: Gancao (1 liang or 0.5 liang).
Preparation: Smash, decoct in one cup or half a cup of water. Warm the liquid. Have the wet nurse gargle thoroughly, hold in mouth, spit out slowly, rinse the affected area, wipe with palm (do not use fingernails). Also give the infant Gancao Tang. One application stops expansion; rinse again after a while. Three applications lead to immediate recovery.
**Hong San Zi**: Treats Dan Du and bites from earth vipers.
Ingredients: Qiangen (Rubiae Radix et Rhizoma) (0.5 jin).
Preparation: Make into powder. Take 2 qian, mix with warm wine. Immediate effect.
**General Formula for All Pediatric Dan Du**
Ingredients: Huhuocao (0.5 liang), Zige (Polygoni Cuspidati Caulis), Xiaoshi (Nitrums) (each 0.5 liang).
Preparation: Make into powder. Mix with cold water and apply. Reapply when dry until healed.
**Xiaoshi San**: Treats all pediatric Dan Du with whole-body fever.
Ingredients: Xiaoshi (1 liang); Ruxiang (Olibanum) (1 fen).
Preparation: Make into powder. Mix with egg white and apply.
**Another Prescription**
Ingredients: Taiyin Xuanjingshi (Halloysitum Albidum) (1 liang); Bai Fan (Alumen) (1 liang).
Preparation: Make into powder. Mix with water and apply.
**Treats all pediatric Dan with whole-body heat like fire, encircling the waist, which is fatal.**
Ingredients: Yuntaizi (Brassicae Pekinensis Semen) (as needed).
Preparation: Grind finely, mix with wine to drink, and also apply on the Dan. Another method: grind finely with wine, take warm at any time.
**Treats all pediatric heat-toxic Dan and red swelling/pain.**
Ingredients: Dahuang, Mayaxiao (Sal Nitratis Crystallizatus) (pounded, each 1 liang).
Preparation: First make Dahuang into powder, mix with Mayaxiao, grind together. Mix with water and apply to affected area. Change when dry.
**Jianyao Jizhong Fang**: Treats pediatric Dan Du starting from the umbilicus.
Ingredients: Zaoxia Huangtu (Yellow soil from under the stove, aged) (finely pounded).
Preparation: Mix with roof leak water or fresh well water to form mud. Apply to the area, change when dry.
**Zimu Milu**: Treats all pediatric Dan with restlessness.
Ingredients: Liuye (Populus Euphratica Leaf) (1 jin).
Preparation: Decoct in ten dou of water to obtain three sheng. Wash several times a day.
**Lv Pao San**
Ingredients: Lv Dou (Vigna Angularis Semen) (5 qian); Dahuang (2 qian).
Preparation: Make into extremely fine powder. Mix with Shengjiang (Zingiberis Rhizoma) and Bohe (Menthae Haplocalycis Herba) juice and honey, apply.
**Bai Yu San**
Ingredients: Baiyu (i.e., Huashi/Talcum), Hanshuishi (each 2.5 qian).
Preparation: Make into extremely fine powder. Mix with vinegar and apply. Mixing with well water is also acceptable.
**Bi Xue**
Ingredients: Mangxiao, Qingdai (Indigo Naturalis), Hanshuishi, Shigao, Poxiao, Mayaxiao, Gancao (each 1 qian).
Preparation: Make into extremely fine powder. Apply.
**Binghuang San**: Treats pediatric red Liu Dan and toxic Dan. Use a scalpel to drain the red halo and toxic blood/fluid from the tumor head.
Ingredients: Tuxiao (Sal Nitratis Impurus) (5 qian); Dahuang (1 qian).
Preparation: Make into extremely fine powder. Mix with fresh well water and apply.
**Tang Shi's External Application Formula for Dan Du**: Clears completely in one night. Mix Huarui Shi (Pyritum), Shengjiang, Bohe, and natural juices. Apply with a goose feather brush to the affected area. This is excellent.