《圣惠》小儿丹发从足趺起，正赤者是也，治之方
寒水石 硝石（各半两） 莽草（一两）
上为末。每以新汲水调下半钱，更量儿大小加减。（张氏用水调涂）
又方
赤小豆（一两） 牛角（二两，烧灰）
上，为末。鸡白、调涂。
又方 五加叶根五两，烧灰，以锻铁槽中水调涂。枣树根水煮汁，浴三五次。桑
根煮汁洗。
《圣惠》小儿丹发膝上，从两股起，及脐间走入阴头者是也。治之方，桑根白皮
一斤，锉，以水七升，煮四升，去滓，看冷热避风浴之。李树根半斤，烧灰为末，
取田中流水调涂。以屋四角茅草，烧灰为末，鸡白调涂。以桑白皮、李根、同锉，
煎汤洗之。
《圣惠》夫小儿身上或一片片赤色如胭脂及渐引，此名丹毒，俗谓之流，若
因热而得者色赤，或因风而得者色白，皆肿而壮热也，可用一铍刀散镰去恶血，毒
未入腹者可疗也。
治小儿心热，身上赤流，色如胭脂，皮肤壮热。升麻汤
川升麻 川大黄（锉，微炒） 川朴硝 玄参（各半两） 犀角屑 黄芩 栀子仁 木通 甘
草（微炒。各一分）
上为末。每服一钱，水一小盏，煎五分，去滓，温服，无时，量儿加减。
《千金》治赤流丹肿。
杵赤小豆五合，水和取汁，饮之一合良，滓、以敷五心。又，服黄龙汤二合，
并敷患上。（小柴胡汤去半夏名黄龙汤）
乳香散 定疼。
天仙藤（一两，焙干，为末） 乳香（一钱，研）
上，每一钱，温酒下。
晏元献公明效方牛黄散 治小儿初生至二三岁，一切风发赤白流，走遍四肢方
牛黄 朱砂 蜗牛肉 全蝎 白僵蚕 天麻 白附子 乳香 麝香（各一分） 生龙
脑（一钱） 螳螂翅（五对，五月中采）
上十一味为细末。每服一字，薄荷水调下。初生小儿洗了后，用乳调少许涂口
中，胎疾永除。
〔张涣〕方治小儿赤流，热如火，宜用。大黄散
川大黄（生） 郁金 黄药 腻粉 猪牙皂角（去皮子。各半两）
上为末，生油调涂。
又方
护火草汁（三合） 赤地利末（三钱） 腻粉（一钱）
上相和。量儿大小加减服之。良久，泻下血片为效。其滓，敷在赤处亦佳。
治小儿赤流，半身色红，渐渐展引不止方
牛膝（去苗，一两） 甘草（生，半两）
上锉。以水一大盏，煎五分，去滓，调伏龙肝末涂，效。
又方 大黄（一两，生） 赤小豆（半合，炒，紫色） 川朴硝（三分），为末。鸡白调敷，
勿令干。
又方 李子油（三两），朱砂末（一分），调如膏涂之。
《千金》治小儿赤游丹，一日一夜即成疮，先从背起，渐至遍身，如枣大正赤色者，
用煮棘根洗法。（其法已见朱田火丹下，所用敷药并同）
玄胡散 治小儿赤流。
玄胡索（一两） 天南星（二两） 朴硝（半两） 巴豆（二七个，去油）
上为末。芸苔汁调，毛翎扫之。
治赤流、白流、火焰、诸丹、等方
好生胆矾（一钱重） 乌 鱼骨（一钱重） 蜈蚣（一条全者，焙） 麝香（三十文） 轻粉（二十文）
上，一处乳钵内研极细。看丹多少用药，醋调令稀，毛翎扫丹上，立止。
治赤白流 雄黄（半两），白矾（一分），白芥子（一分），为末。水调扫。
治小儿表里受热之甚，忽发遍身赤肿，状似丹疹，若于腹中周遭，则不可救，名曰
赤油肿，此药如神。
胡荽（不以多少）
上，研取自然汁调水银粉，又曰轻粉，鹅毛扫上病处，须臾，赤色便变为白，或
上有白 子，不妨，或自破，亦无害，乃是病去也，调时不须太稠。
《圣惠方》云∶取摩萝叶汁，涂赤处，随手便瘥。
《幼幼新书·谭氏殊圣方》歌云∶五游忽发遍身形，恐悚令人怕怖惊，乍睡刹那生满体，
莫冤神鬼错看承，甘泉硝石苍龙骨，感摄消磨去痛疼，更取铁槽连底水，调和频扫便身轻。宜消肿散
清泉硝石 白龙骨（各一两）
上，研匀，净器收。以铁槽水调一钱，扫涂，立瘥。
《圣惠方》记载：小儿丹毒从足背发起，颜色正红，即是此证。治疗方剂如下：
寒水石、硝石（各半两）、莽草（一两）。
以上药物研为细末。每次用新汲取的凉水调服半钱，并根据患儿年龄大小酌情增减剂量。（张氏主张用水调匀后涂抹患处）
又一方：
赤小豆（一两）、牛角（二两，烧成灰）。
以上药物研为细末。用鸡蛋清调和后涂抹患处。
又一方：
五加叶和根五两，烧成灰，用锻铁锅中的水调和后涂抹。枣树根煮水取汁，洗浴三到五次。桑根煮水取汁清洗。
《圣惠方》记载：小儿丹毒从膝盖上方发起，从两条大腿开始，蔓延至肚脐并进入阴头部位，即是此证。治疗方剂如下：
桑根白皮一斤，切碎，用水七升，煮取四升，滤去药渣，待水温适宜避风洗浴。李树根半斤，烧成灰研为细末，取田间流动的清水调和后涂抹。用房屋四角的茅草，烧成灰研为细末，用鸡蛋清调和后涂抹。将桑白皮和李根一同切碎，煎汤清洗。
《圣惠方》论述：小儿身上出现一片片如胭脂般的红色，并逐渐蔓延，这名叫丹毒，俗称“流”。如果是因热邪所致，颜色发红；如果是因风邪所致，颜色发白。这两种情况都会肿胀且高热。可以用铍刀散镰放血以去除恶血，如果毒邪尚未入腹，是可以治疗的。
治疗小儿心热，身上出现赤色流丹，颜色如胭脂，皮肤高热。升麻汤：
川升麻、川大黄（切碎，微炒）、川朴硝、玄参（各半两）、犀角屑、黄芩、栀子仁、木通、甘草（微炒，各一分）。
以上药物研为细末。每次服用一钱，加水一小盏，煎至五分，滤去药渣，温服，不限时间，根据患儿情况调整剂量。
《千金方》治疗赤流丹肿：
捣碎赤小豆五合，加水取汁，饮用一合效果良好，药渣敷在两手心、两脚心和心口（五心）。另外，服用黄龙汤二合，并将药渣敷在患处。（注：小柴胡汤去掉半夏即名为黄龙汤）
乳香散：用于定痛。
天仙藤（一两，焙干，研为细末）、乳香（一钱，研碎）。
以上药物，每次一钱，用温酒送服。
晏元献公明效方牛黄散：治疗小儿初生至二三岁，所有因风引发的赤白流丹，走遍四肢的病症。
牛黄、朱砂、蜗牛肉、全蝎、白僵蚕、天麻、白附子、乳香、麝香（各一分）、生龙脑（一钱）、螳螂翅（五对，五月采集）。
以上十一味药研为细末。每次服用一字量，用薄荷水调下。初生婴儿洗澡后，用乳汁调少许涂在口中，可永久消除胎疾。
〔张涣〕方治疗小儿赤流，热势如火，适宜使用。大黄散：
川大黄（生用）、郁金、黄药、腻粉、猪牙皂角（去皮子，各半两）。
以上药物研为细末，用生油调和后涂抹。
又一方：
护火草汁（三合）、赤地利末（三钱）、腻粉（一钱）。
以上药物混合。根据患儿年龄大小调整剂量服用。过一段时间后，泻下血片即为有效。剩下的药渣敷在红色患处也很好。
治疗小儿赤流，半身发红，逐渐蔓延不止的方剂：
牛膝（去苗，一两）、甘草（生用，半两）。
以上切碎。用水一大盏，煎至五分，滤去药渣，调入伏龙肝细末涂抹，有效。
又一方：
大黄（一两，生用）、赤小豆（半合，炒至紫色）、川朴硝（三分），研为细末。用鸡蛋清调和敷贴，不要让它变干。
《千金方》治疗小儿赤游丹，一天一夜就会形成疮疡，先从背部发起，逐渐蔓延至全身，像枣粒大小、颜色正红的，用煮棘根水洗的方法。（该方法已见于朱田火丹条目下，所用外敷药物相同）
玄胡散：治疗小儿赤流。
玄胡索（一两）、天南星（二两）、朴硝（半两）、巴豆（二十七个，去油）。
以上药物研为细末。用芸苔汁调和，用羽毛扫涂患处。
治疗赤流、白流、火焰丹等各种丹毒的方剂：
好生胆矾（重一钱）、乌贼骨（重一钱）、蜈蚣（一条完整的，焙干）、麝香（三十文）、轻粉（二十文）。
以上药物在乳钵中一起研磨极细。根据丹毒面积大小用药，用醋调稀，用羽毛扫涂在丹毒上，立即停止发展。
治疗赤白流：
雄黄（半两）、白矾（一分）、白芥子（一分），研为细末。用水调和后扫涂。
治疗小儿表里受热严重，突然发作遍身赤肿，形状似丹疹，如果在腹部周围蔓延，则不可救治，名叫赤油肿，此药神效。
胡荽（适量）。
以上药物，研磨取自然汁，调和水银粉（又称轻粉），用鹅毛扫在病处，片刻间，红色就会变为白色，或者上面出现白色斑点，没关系，或者自行破溃，也无害处，这是病邪离去的表现，调制时不需要太稠。
《圣惠方》说：取摩萝叶汁，涂在红色患处，随手即可痊愈。
《幼幼新书·谭氏殊圣方》歌诀云：“五游忽发遍身形，恐悚令人怕怖惊，乍睡刹那生满体，莫冤神鬼错看承，甘泉硝石苍龙骨，感摄消磨去痛疼，更取铁槽连底水，调和频扫便身轻。”宜用消肿散：
清泉硝石、白龙骨（各一两）。
以上药物，研磨均匀，装入洁净容器收藏。用铁锅底部的水调一钱，扫涂，立即痊愈。
According to *Shenghui Fang*: Infantile erysipelas starting from the dorsum of the foot, with a bright red color, is this condition. The treatment formula is as follows:
Hanshuishi (Calcitris), Xiaoshi (Niter) (each 0.5 liang), Mangcao (Herba Draconis) (1 liang).
Grind the above ingredients into fine powder. Each time, mix half a qian with newly drawn cool water and administer orally; adjust the dosage according to the child's age and size. (Zhang's method suggests mixing with water and applying topically.)
Another formula:
Chixiaodou (Semen Phaseoli Utricoloris) (1 liang), Niujiao (Cornu Bubali) (2 liang, calcined to ash).
Grind the above ingredients into fine powder. Mix with albumen ovi (egg white) and apply topically.
Another formula:
Wujia ye gen (Folium et Radix Acanthopanacis Senticosi) (5 liang), calcined to ash, mixed with water from an iron forging trough for topical application. Boil Zao shu gen (Radix Ziziphi Jujubae) in water for bathing three to five times. Boil Sang gen (Radix Mori) in water for washing.
*Shenghui Fang* records: Infantile erysipelas starting above the knee, originating from both thighs, spreading to the umbilicus and entering the glans penis, is this condition. The treatment formula is as follows:
Sang gen bai pi (Cortex Mori Radicis) (1 jin), chopped, boiled in 7 sheng of water until reduced to 4 sheng, strain the dregs, and bathe in the warm liquid while avoiding wind. Li shu gen (Radix Pruni Salicinae) (0.5 jin), calcined to ash and ground into powder, mixed with flowing water from fields for topical application. Burn thatch grass from the four corners of the house, calcine to ash, grind into powder, mix with albumen ovi (egg white) and apply topically. Chop Sang bai pi (Cortex Mori Radicis) and Li gen (Radix Pruni Salicinae) together, decoct in water for washing.
*Shenghui Fang* discusses: Patches of crimson-red color appearing on the infant's body, gradually spreading, are named Dan Du (Erysipelas/Toxic Erythema), commonly known as "Liu". If caused by heat, the color is red; if caused by wind, the color is white. Both conditions present with swelling and high fever. One may use a Pi Dao (scalpel) to lance and release bad blood. If the toxin has not entered the abdomen, it can be treated.
For treating infantile heart heat and upper body red Liu Dan (flowing erysipelas), with color like rouge and skin feeling hot: Shengma Tang (Cimicifugae Decoction).
Chuan Shengma (Rhizoma Cimicifugae), Chuan Dahuang (Radix et Rhizoma Rhei), Chuan Pu Xiao (Natrii Sulfas), Xuanshen (Radix Scrophulariae) (each 0.5 liang), Xijiao xie (Cornu Rhinocerotis), Huangqin (Radix Scutellariae), Zhizi ren (Semen Gossypii Herbacei), Mutong (Caulis Akebiae), Gancao (Radix Glycyrrhizae, lightly fried) (each 1 fen).
Grind the above ingredients into fine powder. Take 1 qian per dose, add one small cup of water, boil down to half a cup, strain, and take warm at any time, adjusting dosage according to the child's condition.
*Qianjin Fang* treats Chi Liu Dan Zhong (Red Flowing Erysipelas Swelling):
Pound Chixiaodou (Semen Phaseoli Utricoloris) 5 he, mix with water to extract juice, drink 1 he for good effect; apply the dregs to the five centers (palms and soles). Additionally, take 2 he of Huanglong Tang (Yellow Dragon Decoction) and apply the dregs to the affected area. (Note: Huanglong Tang is Xiao Chaihu Tang without Banxia).
Ruxiang San (Frankincense Powder): For pain relief.
Tianxianteng (Vitisism Semen) (1 liang, dried and ground), Ruxiang (Resina Frankincensi) (1 qian, crushed).
Take 1 qian per dose, wash down with warm wine.
Yan Yuanxian Gong Mingxiao Fang Niuhuang San (Minister Yan's Effective Formula with Calculus Bovis): Treats all wind-induced red or white Liu Dan spreading to limbs in infants from birth to two or three years old.
Niuhuang (Calculus Bovis), Zhusha (Cinnabaris), Wonirou (Carco Murex), Quanxie (Scorpio), Bai Jiangcan (Bombyx Batryticatus), Tianma (Rhizoma Gastrodiae), Baifuzi (Rhizoma Typhonii), Ruxiang (Resina Frankincensi), Shexiang (Moschus) (each 1 fen), Sheng Longnao (Borneolum Syntheticum) (1 qian), Tanglangchi (Ala Mantidis) (5 pairs, collected in May).
Grind the above eleven ingredients into fine powder. Take one zi measure per dose, mix with mint water and administer. After bathing newborn infants, mix a small amount with milk and apply to the mouth to permanently eliminate congenital diseases.
[Zhang Huan]'s formula for treating infantile Chi Liu (Red Flowing Erysipelas) with heat like fire: Dahuang San (Rhubarb Powder).
Chuan Dahuang (Radix et Rhizoma Rhei, raw), Yujin (Radix Curcumae Longae), Huangyao (Radix Bistortae), Nifen (Hydrargyri Oxydum Rubrum), Zhuya Zaojiao (Fructus Gleditsiae Sinensis, peeled and seeded) (each 0.5 liang).
Grind into powder, mix with raw oil for topical application.
Another formula:
Huhuocao zhi (Juice of unknown herb), Chidili mo (Powder of unknown root), Nifen (Hydrargyri Oxydum Rubrum) (1 qian).
Mix the above. Adjust dosage according to the child's age. After some time, passing bloody flakes indicates efficacy. Applying the dregs to the red area is also beneficial.
Formula for treating infantile Chi Liu where half the body is red and spreading continuously:
Niuxi (Radix Achyranthis Bidentatae, stems removed) (1 liang), Gancao (Radix Glycyrrhizae, raw) (0.5 liang).
Chop the above. Boil in one large cup of water until reduced to half a cup, strain, mix with Fulonggan (Cauda Ligni Fusci) powder for topical application; effective.
Another formula:
Dahuang (Radix et Rhizoma Rhei, raw) (1 liang), Chixiaodou (Semen Phaseoli Utricoloris, half he, stir-fried until purple), Chuan Pu Xiao (Natrii Sulfas) (3 fen), ground into powder. Mix with albumen ovi (egg white) for topical application; do not let it dry.
Another formula:
Li zi you (Oil of Prunus salicina) (3 liang), Zhusha mo (Powder of Cinnabaris) (1 fen), mix into a paste for application.
*Qianjin Fang* treats infantile Chi You Dan (Roaming Red Erysipelas), which forms ulcers within a day and night, starting from the back and spreading over the whole body, resembling red jujube-sized spots. Use the method of washing with boiled Ji gen (Radix Tribuli) decoction. (This method is described under Zhu Tian Huo Dan; the topical medications used are the same.)
Xuanhu San (Corydalis Powder): Treats infantile Chi Liu.
Xuanhusuo (Rhizoma Corydalidis), Tiannanxing (Rhizoma Arisaematis), Pu Xiao (Natrii Sulfas), Badou (Semen Crotonis) (27 seeds, oil removed).
Grind into powder. Mix with Yun tai zhi (juice of Brassica parachinensis) and sweep onto the affected area with a feather.
Formulas for treating Chi Liu, Bai Liu (White Flowing Erysipelas), Huo Yan Dan (Flame Erysipelas), and other types of Dan:
Hao Sheng Danfan (Calcopyrithum), Wuyu gu (Os Sepiae) (each weighing 1 qian), Wugong (Centipeda) (one whole, dried), Shexiang (Moschus) (30 wen), Qingfen (Hydrargyri Chloridum Corrosivum) (20 wen).
Grind all ingredients extremely fine in a mortar. Apply according to the extent of the erysipelas, thinning with vinegar, and sweep onto the erysipelas with a feather; it stops immediately.
Treating Chi Bai Liu (Red and White Flowing Erysipelas):
Xionghuang (Realgar) (0.5 liang), Bai fan (Alumen) (1 fen), Bai jiezi (Semen Mustardae) (1 fen), grind into powder. Mix with water and sweep onto the area.
For severe internal and external heat in infants causing sudden generalized red swelling resembling erysipelas, which becomes incurable if it spreads around the abdomen, named Chi You Zhong (Red Oil Swelling), this medicine is miraculous.
Huisui (Coriandrum sativum) (as needed).
Grind to extract natural juice, mix with Qingshen (Hydrargyri Chloridum Corrosivum, also called Qingfen), and sweep onto the lesion with a goose feather. Within moments, the redness turns white, or white spots appear; this is harmless and indicates the disease is leaving. Do not make the mixture too thick.
*Shenghui Fang* states: Extract juice from Moluo Ye (Folium Hederae Helicae), apply to the red area, and it heals instantly.
Song from *Youyou Xinshu · Tan Shi Shusheng Fang*: "Five-roaming suddenly appears covering the body, causing fear and shock; appearing in a blink after sleep, do not blame spirits or ghosts wrongly. Sweet spring water, Niter, and Cang Gu Long (fossilized bone) absorb and dissipate pain. Furthermore, take water from the bottom of the iron trough, mix frequently and sweep, bringing lightness to the body." Use Xiao Zhong San (Swelling-Reducing Powder):
Qingquan Xiaoshi (Natrii Sulfas from clear springs), Bai Gu Long (Os Fossile) (each 1 liang).
Grind evenly, store in a clean container. Mix 1 qian with water from the iron trough, sweep and apply; heals immediately.