〔薛〕人身诸阳之气，会于首而聚于面，其有患疮痍者，因脏腑不和，气血凝滞
于诸阳之经，或禀赋肾阴虚肝火，或受母胎毒，或乳母六淫七情，或食膏粱醇酒，
或儿食甘肥浓味所致，其因不同，当各辨其经络，审其所因而治之。若发于目锐 、
耳前上颊抵鼻至目内 者，皆属小肠经。发于巅及头角下颊耳后脑左右者，皆属胆
经。发于颊前鼻孔及人中左右者，皆属大肠经。发于鼻之挟孔，下唇口及承浆、耳
后颊车、耳前发际额颅者，皆属胃经。发于目内 上额尖，至后脑项者，皆属膀胱
经。既察其经，即当分治，若禀肾火者用六味地黄丸（肾）。胎毒者犀角消毒丸（见前）。食
积疳者四味肥儿丸（疳）。乳母膏粱者东垣清胃散（齿）。至于诸腑受病，必兼诸脏，故患于
额间属心经，发热饮冷者为实热，用导赤散心。发热饮汤者属虚热，用养心汤。左腮属肝经，
或颈项劲强者为实热，用柴胡清肝散（热）。或切牙顿闷者虚热，用六味地黄丸。右腮属肺经，
喘嗽饮冷者为实热，泻白散（肺）。发热咳嗽者为火刑金，用人参平肺散（嗽）。鼻间属胃经，
发热饮冷，大便黄硬者为实热，用泻黄散（脾）。发热饮汤，大便青白者为虚热，用异功散。
患于颏及耳叶者属膀胱经，肾无实证，唯用地黄丸。若疮已溃，久而不愈，则当审其脏气之相胜，
病邪之传变，而以调补脾胃为主。若因乳母遗热为患者，当先治其母，则儿病自愈也。
养心汤 治心气不足，虚热上攻而患疮疡者。
黄 （炒） 白茯苓 半夏曲 当归 川芎 辣桂 柏子仁 酸枣仁（炒） 五味子（杵）
人参（各三钱） 甘草（炒，四钱）
上，每服一二钱，姜枣水煎。为末服亦可。
牛黄解毒散 治胎毒头面生癞，或延及遍身，痒痛不安，浸淫不愈，及眉炼疮。
生甘草（一两） 牛黄（五钱，膏粱之子必用之） 金银花（一两）
上，各为末。每服二三分，乳汁调服。或用甘草煎膏为丸，芡实大。每一丸，
白汤化服。外敷青金散亦可。
拔毒散 治证同前，及疥癞疮癣。
黄芩 黄连 白矾（三味俱生用） 雄黄（各五钱） 铜绿（二钱，痒甚、加之） 松香
上，各另为末。干糁患处。或用油调搽。疥疮，宜加枯矾三钱。
〔头疮〕
小儿头疮，是六阳受毒热而攻头成疮也，若头上散成片，常常燥痒，毛发稀少，
有类白屑，此因积热上攻，名曰秃疮。疮虽生于头，世人只知以药外敷得愈，不逾
旬月，其疮又发，何为而然。盖头者，诸阳所会之处，《洪范》五行，火曰炎上。热
毒上攻，两阳相灼，故疮生于头，法当解陈 （音锉）之积热，导心经之烦躁，斯可矣。
〔世〕治久癞头。用黄连细末敷之。治年久癞头，内用苦参丸食后服之，外用苦参末
油敷之，二月愈。
〔丹〕又方 用防风通圣散酒制，除大黄另研为末，再用酒拌，晒干为末。每一钱，
水煎服，日四五服。至三十帖见效。
又方
川芎 片芩（酒） 芍药（酒） 陈皮（各半两） 白术（酒） 当归（酒。各一两）
天麻（酒，七钱半） 苍耳（七钱半） 黄柏（酒） 粉草（酒） 防风（各三钱）
上 咀。煎服，四五次服之，服过，睡片时。
小儿癞头。用烧红炭 长流水令热，洗之，仍用芫荽子煎猪脂，去滓，用脂敷患处。
又法，用胡荽子、伏龙肝、悬龙尾、黄连、白矾为末，油调敷。
头疮方
猪油（一钱，半生半熟） 雄黄 水银（各二钱半）
上，研和匀，敷疮上。
又方 治小儿癞头，并身癞等证。用松皮烧灰、白胶香、枯矾、大黄、黄地沥青调敷
患处。又方，用腊月马脂油搽患处极效。
〔简〕头疮。大笋壳烧灰，量疮大小，用灰调生油敷。又加腻粉佳。
《秘录》小儿头身诸疮。烧鸡卵壳和猪脂敷之。
〔世〕治癞头。
松香（一两，干铫熔开，安在石上、候冷，取起轻轻研细） 黑龙尾（即屋尘垂挂者） 黄丹（各三
钱） 白芷（半两） 松树皮（烧灰、存性） 水银 雄黄 白矾（各二钱）
上为末。以血余入香油煎烂，调敷患处。
鳝攻头疮方
用败龟板、酥炙，为末，以飞面少许和油调，涂顶上。留孔出毒，不可调太柔。
〔面疮〕
〔世〕治小儿面疮，通面烂，无全肤，脓水流漓，百药不效者。陈年腊猪油，不
入盐者，敷之神效。
【薛己】人体诸阳经之气，汇聚于头部并聚集于面部。如果发生疮疡，是因为脏腑功能失调，气血在诸阳经中凝滞。或者由于禀赋导致肾阴虚、肝火旺，或者受到母体胎毒的影响，或者因为乳母感受六淫邪气或七情内伤，或者乳母食用膏粱厚味和醇酒，又或者婴儿食用甘甜肥腻浓味的食物所致。病因不同，应当分别辨别其所属经络，审察致病原因进行治疗。
如果疮发于目外角、耳前、上颊部，抵鼻至目内眦者，都属于小肠经。
如果疮发于头顶及头角下颊、耳后、脑后左右两侧者，都属于胆经。
如果疮发于颊前、鼻孔及人中左右者，都属于大肠经。
如果疮发于鼻翼两旁、下唇口、承浆穴、耳后颊车穴、耳前发际及额颅者，都属于胃经。
如果疮发于目内眦上方、额尖，直至后脑项部者，都属于膀胱经。
既然查明了所属经络，就应当分经治疗。如果是禀赋肾火（肾阴不足虚火上炎）者，使用六味地黄丸（主治肾脏）。如果是胎毒者，使用犀角消毒丸（见前文）。如果是食积疳积者，使用四味肥儿丸（主治疳积）。如果是乳母饮食膏粱厚味所致者，使用东垣清胃散（主治齿病）。至于诸腑受病，必然兼涉诸脏，所以：
患于额间属心经，发热且喜饮冷水者为实热，使用导赤散（主治心脏）。发热且喜饮热汤者为虚热，使用养心汤。
左腮属肝经，伴有颈项强直者为实热，使用柴胡清肝散（主治热证）。如果咬牙、闷乱者为虚热，使用六味地黄丸。
右腮属肺经，气喘咳嗽且喜饮冷水者为实热，使用泻白散（主治肺脏）。发热咳嗽者为火克金（心火刑肺），使用人参平肺散（主治咳嗽）。
鼻间属胃经，发热喜饮冷水，大便黄硬者为实热，使用泻黄散（主治脾脏）。发热喜饮热汤，大便青白者为虚热，使用异功散。
患于下巴及耳垂者属膀胱经，肾无实证，只用地黄丸。
如果疮疡已经溃破，久不愈合，则应当审察脏腑之气的偏胜情况，以及病邪的传变规律，以调补脾胃为主。如果是因乳母遗留热毒影响患儿者，应当先治疗乳母，那么患儿疾病自然痊愈。
养心汤：治疗心气不足，虚热上攻而患疮疡者。
黄芪（炒）、白茯苓、半夏曲、当归、川芎、辣桂（肉桂）、柏子仁、酸枣仁（炒）、五味子（捣碎）、人参（以上各三钱）、甘草（炒，四钱）。
以上药物，每次服用一二钱，用生姜、大枣煎水送服。研成末服用也可以。
牛黄解毒散：治疗胎毒导致头面生癞，或者蔓延至全身，瘙痒疼痛不安，浸淫不止不愈，以及眉棱骨处的疮疡。
生甘草（一两）、牛黄（五钱，膏粱之子必用此药）、金银花（一两）。
以上各研为末。每次服用二三分，用乳汁调服。或者用甘草煎膏制成丸剂，如芡实大小。每一丸，用白开水化开服用。外敷青金散也可以。
拔毒散：主治证候同上，以及疥疮、癞疮、癣疾。
黄芩、黄连、白矾（这三味都生用）、雄黄（以上各五钱）、铜绿（二钱，若瘙痒严重可加入）、松香。
以上各另研为末。干撒患处。或者用油调匀涂抹。若是疥疮，宜加枯矾三钱。
【头疮】
小儿头疮，是六阳经受毒热侵袭而攻于头部形成疮疡。如果头上成片散发，常常干燥瘙痒，毛发稀少，有类似白屑的样子，这是因为积热上攻，名叫秃疮。疮虽然生于头部，世人只知道用药外敷才能痊愈，但不过旬月，疮又复发，这是为什么呢？盖因头部是诸阳经会合之处，《洪范》五行中，火性炎上。热毒上攻，两阳相灼，所以疮生于头部，治法应当解除陈旧的积热，引导心经的烦躁，这样就可以治愈了。
【世医】治疗多年的癞头。用黄连细末敷贴患处。治疗年久的癞头，内服苦参丸，饭后服用；外用苦参末调和油敷贴，两个月可愈。
【丹溪】又一方：用防风通圣散，用酒炮制，除去大黄单独研为末，再用酒拌湿，晒干研为末。每次一钱，水煎服，每日四五次。服用三十帖见效。
又一方：
川芎、片芩（酒制）、芍药（酒制）、陈皮（以上各半两）、白术（酒制）、当归（酒制，以上各一两）、天麻（酒制，七钱半）、苍耳子（七钱半）、黄柏（酒制）、粉草（酒制）、防风（以上各三钱）。
以上切碎。煎服，分四五次服用，服完后睡一会儿。
小儿癞头。用烧红的炭投入长流水中使其变热，用来清洗患处，仍然用芫荽子煎猪脂，去渣，用脂敷患处。
又一种方法，用胡荽子、伏龙肝、悬龙尾、黄连、白矾研为末，用油调匀敷贴。
头疮方：
猪油（一钱，半生半熟）、雄黄、水银（以上各二钱半）。
以上研和均匀，敷于疮上。
又一方：治疗小儿癞头，以及身体癞疮等证。用松皮烧灰、白胶香、枯矾、大黄、黄地沥青调匀敷患处。又一方，用腊月马脂油搽患处极有效。
【简】头疮。大笋壳烧成灰，根据疮的大小，用灰调和生油敷贴。再加腻粉更好。
《秘录》治疗小儿头身诸疮。烧鸡卵壳和猪脂敷贴。
【世医】治疗癞头。
松香（一两，在干燥锅中熔化，放在石头上，冷却后取起轻轻研细）、黑龙尾（即屋尘垂挂者）、黄丹（以上各三钱）、白芷（半两）、松树皮（烧灰，存性）、水银、雄黄、白矾（以上各二钱）。
以上研为末。用血余（头发）入香油煎烂，调匀敷患处。
[Xue Ji] The Qi of all Yang meridians in the human body converges at the head and gathers on the face. If sores or ulcers occur, it is due to disharmony of the Zang-Fu organs and stagnation of Qi and Blood in the Yang meridians. This may be caused by congenital Kidney Yin deficiency with Liver Fire hyperactivity, exposure to fetal toxin from the mother, the wet nurse's exposure to the Six Exogenous Pathogens (Six Evils) or emotional injuries, the wet nurse consuming rich and greasy food and strong wine, or the infant eating sweet, fatty, and strong-flavored foods. Since the causes differ, one must distinguish the affected meridian and examine the etiology to treat accordingly.
If the sore appears at the outer canthus of the eye, anterior to the ear, upper cheek, reaching the nose and inner canthus, it belongs to the Small Intestine Meridian.
If the sore appears on the vertex, lower jaw near the temple, behind the ear, and left/right sides of the back of the head, it belongs to the Gallbladder Meridian.
If the sore appears on the front of the cheek, nostrils, and left/right sides of the philtrum, it belongs to the Large Intestine Meridian.
If the sore appears on both sides of the nostrils, lower lip, Chengjiang point (CV24), Jiache point (ST6) behind the ear, hairline anterior to the ear, and forehead/skull, it belongs to the Stomach Meridian.
If the sore appears above the inner canthus, on the tip of the forehead, extending to the back of the head and nape, it belongs to the Bladder Meridian.
Having identified the meridian, treatment should be differentiated. For those with congenital Kidney Fire (deficiency fire), use Liuwei Dihuang Wan (Kidney). For fetal toxin, use Xijiao Xiaodu Wan (see previous text). For food accumulation and malnutrition (Gan syndrome), use Siwei Fei'er Wan (Gan). For issues caused by the wet nurse's rich diet, use Dongyuan Qingwei San (Teeth). Since diseases of the Fu organs inevitably involve the Zang organs:
Sore on the forehead belongs to the Heart Meridian. Fever with craving for cold drinks indicates Excess Heat; use Daochi San (Heart). Fever with craving for hot drinks indicates Deficiency Heat; use Yangxin Tang.
Sore on the left cheek belongs to the Liver Meridian. Accompanied by neck stiffness indicates Excess Heat; use Chaihu Qinggan San (Heat). Teeth grinding and restlessness indicate Deficiency Heat; use Liuwei Dihuang Wan.
Sore on the right cheek belongs to the Lung Meridian. Wheezing, coughing, and craving for cold drinks indicate Excess Heat; use Xiebai San (Lung). Fever and cough indicate Fire insulting Metal (Heart Fire insulting Lung); use Renshen Pingfei San (Cough).
Sore on the nose belongs to the Stomach Meridian. Fever, craving for cold drinks, and yellow/hard stool indicate Excess Heat; use Xiehuang San (Spleen). Fever, craving for hot drinks, and green/white stool indicate Deficiency Heat; use Yigong San.
Sore on the chin and earlobes belongs to the Bladder Meridian. The Kidney has no Excess patterns; only use Dihuang Wan.
If the ulcer has ruptured and fails to heal for a long time, one must examine the imbalance of Zang organ Qi and the transmission of pathogenic factors, focusing primarily on regulating and tonifying the Spleen and Stomach. If the disease is caused by residual heat from the wet nurse, treating the mother first will cure the infant spontaneously.
Yangxin Tang: Treats sores and ulcers caused by Heart Qi deficiency and ascending Deficiency Heat.
Huangqi (Astragali Radix, stir-fried), Baifuling (Poria), Banxiaqu (Pinelliae Fermentum), Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Lagui (Cinnamomi Ramulus/Cortex), Baiziren (Biota Seed), Szaoren (Ziziphi Spinosae Semen, stir-fried), Wuweizi (Schisandrae Fructus, crushed), Renshen (Ginseng Radix) [each 3 qian], Gancao (Licorice Radix, stir-fried, 4 qian).
Take 1-2 qian per dose, decoct with fresh ginger and jujube. Taking as powder is also acceptable.
Niuhuang Jiedu San: Treats fetal toxin causing scabies-like sores on the head and face, spreading to the whole body, with unbearable itching and pain, oozing and non-healing, as well as sores on the eyebrow ridge.
Sheng Gancao (Raw Licorice Radix, 1 liang), Niuhuang (Calculus Bovis, 5 qian, essential for children of rich families), Jinyinhua (Lonicerae Japonicae Flos, 1 liang).
Grind each into powder. Take 2-3 fen per dose, mixed with breast milk. Alternatively, decoct Gancao into a paste to form pills the size of Euryale Seed. Dissolve one pill in warm water. Applying Qingjin San externally is also effective.
Badu San: Treats the same conditions as above, as well as scabies, tinea capitis, and tinea corporis.
Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Baifan (Alumen) [all used raw], Xionghuang (Realgar), Tonglv (Chalcanthite, 2 qian, add if itching is severe), Songxiang (Pini Resina).
Grind each separately into powder. Dust dry onto the lesion. Alternatively, mix with oil for application. For scabies, add Gufan (Calcined Alumen) 3 qian.
[Head Sores]
Pediatric head sores are caused by toxic heat invading the Six Yang meridians and attacking the head. If patches appear on the head, often dry and itchy, with sparse hair resembling dandruff, this is due to accumulated heat attacking upward, named Tuo Chuang (Baldness Sores). Although the sore is on the head, people only know to apply external medicine for healing. However, within ten days to a month, the sore recurs. Why? Because the head is the convergence point of all Yang meridians. In the *Hongfan*, the element Fire flares upward. Toxic heat attacks upward, and two Yangs scorch each other, so sores arise on the head. The method should resolve chronic accumulated heat and guide away irritability from the Heart Meridian.
[Worldly Physicians] To treat chronic tinea capitis: Apply fine Huanglian powder externally. Internally, take Kushen Wan after meals. Externally, apply Kushen powder mixed with oil. It heals in two months.
[Danyu] Another prescription: Use Fangfeng Tongsheng San processed with wine. Remove Dahuang, grind separately into powder, moisten with wine, dry, and grind again. Take 1 qian, decoct in water, take 4-5 times daily. Effective after 30 doses.
Another prescription:
Chuanxiong (Rhizoma Chuanxiong), Pian Qin (Scutellariae Radix, wine-processed), Shaoyao (Paeoniae Radix, wine-processed), Chenpi (Citri Reticulatae Pericarpium, each half liang), Baizhu (Atractylodis Macrocephalae Rhizoma, wine-processed), Danggui (Angelicae Sinensis Radix, wine-processed, each 1 liang), Tianma (Gastrodiae Rhizoma, wine-processed, 7.5 qian), Can'er (Xanthii Fructus, 7.5 qian), Huangbai (Phellodendri Cortex, wine-processed), Fencao (Licorice Radix, wine-processed), Fangfeng (Saposhnikoviae Radix, each 3 qian).
Cut into pieces. Decoct and take, divided into 4-5 doses. Sleep for a while after taking.
For pediatric tinea capitis: Wash with hot water heated by red-hot charcoal. Then apply pig fat decocted with Yuanxu Zi (Coriandri Fructus), strained.
Another method: Grind Huxu Zi (Coriandri Fructus), Fulonggan (Dragon's House Earth), Xuanlongwei (Scolopendra), Huanglian, and Baifan into powder, mix with oil, and apply.
Head Sore Prescription:
Zhuyou (Pig Fat, 1 qian, half raw half cooked), Xionghuang (Realgar), Shuiyin (Hydrargyrum) [each 2.5 qian].
Grind and mix evenly, apply to the sore.
Another prescription: Treats pediatric tinea capitis and body tinea. Mix pine bark ash, Baijiaoxiang (Colophony), Gufan (Calcined Alumen), Dahuang (Rhei Radix et Rhizoma), and yellow asphalt for topical application. Another prescription: Apply horse fat from the twelfth lunar month for excellent results.
[Jian] Head sores: Burn large bamboo husks to ash. Mix ash with raw oil according to the size of the sore for application. Adding Nifen (Calomel) is better.
*Milu* treats various sores on the head and body of infants: Burn chicken eggshells and mix with pig fat for application.
[Worldly Physicians] To treat tinea capitis:
Songxiang (Pini Resina, 1 liang, melt in a dry wok, place on stone, cool, and finely grind), Heilongwei (House dust hanging from eaves), Huangdan (Minium) [each 3 qian], Baizhi (Angelicae Dahuricae Radix, half liang), Songsongpi (Pine Bark, burnt to ash but retaining nature), Shuiyin (Hydrargyrum), Xionghuang (Realgar), Baifan (Alumen) [each 2 qian].
Grind into powder. Fry Xueyu (Human Hair) in sesame oil until soft, mix, and apply to the lesion.
Eel Attack Head Sore Prescription:
Use Baiduiban (Testudinis Carapax et Plastrum), roasted with butter, ground into powder. Mix with a little Feimian (Washed Wheat Flour) and oil. Apply to the top of the head. Leave holes to vent toxins. Do not make the mixture too runny.
[Facial Sores]
[Worldly Physicians] To treat pediatric facial sores where the entire face is ulcerated with no intact skin, pus flowing freely, and unresponsive to hundreds of medicines: Apply aged lard from the twelfth lunar month, unsalted. This is miraculous.