万密斋治朱震三之子，结喉上生一核如李。《源病式》云∶结核者，热也。又考本草消结核之药，立一方∶
芩、连、栀、贝、昆布、海藻、桔梗、麦芽、薄荷各一钱五分，紫背天葵、元参、连翘、瞿麦各二钱，为末，温
汤调服即效。后病者服之，无不应验，名之曰神应丹。
帅碧泉公子，项下生一结核。或作 治，用药破烂，转加肿大。此任脉所过之路，元气受伤，致成疳症，
遂不救。
王思泉女四岁，耳后侧有结核。曰∶非 疮，乃痰核也，不必治，亦不为害。他医作 治之，用斑蝥内消
之药过多，脾胃受伤，致成疳劳而死。
朱氏子五岁，病结喉下起一核大如李，两旁有小核相连者二三，方用东垣凉膈散去甘草，加龙胆草、元参、
贝母、海藻、麦芽为丸，弹子大，每服一丸，研细温酒调服，七日而安。后用此方，全活小儿甚众。
薛立斋治一小儿，七岁，颈结二核，时发寒热，日久不愈，以连翘丸治之而消。若患在两臂等处，尤当用
此药。若溃而不敛，宜服托里之剂。
（附钱缚阳）
薛立斋治一小儿，二岁，茎痿湿痒，不时搔捻，茎中作痛，时出白津，以为肝火，用龙胆泻肝汤，六味地
黄丸而愈。
一小儿下疳溃烂，发热作痛。一小儿茎中作痛，不时搔捻。一小儿茎中溃痛，小便秘涩，日晡尤甚。一小
儿目痒出水，或项间结核，或两眼连札，或阴囊瘙痒。俱属肝火，皆用九味芦荟丸并愈。
万密斋治三府小女，溺出如清水，着肉处溃烂成疮。问曰∶岂女之脏腑坏耶？答曰∶膀胱受五脏之液以藏
之，化为溺也。各随本脏之色，青者肝之色也。着处成疮，肝火盛也。火之所灼，则溃烂矣。以导赤散加山栀、
条芩、胆草、甘草稍、黄柏为丸，调理五日而安。
立斋治魏户部邦宁子，年十六，鼻眼蚀烂，肝脉弦长，恚怒不息，三年不愈，诸药不应，服芦荟丸半剂顿
退，一剂而痊。
一小儿下疳溃烂，爪黑面黧，遍身生疥，此肾经内外疳症，用地黄丸为主，佐以四味肥儿丸而瘥。
邱汝诚治一婴孩，以扇缚其阳茎，肿胀不得脱，号呼欲绝，令汲水掷之于器，惊啼后复故。
万密斋治疗朱震三的儿子，结喉上方长了一个像李子大小的肿块。《源病式》中说：结核，是由热邪引起的。我又查阅本草中关于消除结核的药物，制定了一个方子：黄芩、黄连、栀子、贝母、昆布、海藻、桔梗、麦芽、薄荷各一钱五分，紫背天葵、玄参、连翘、瞿麦各二钱，研成细末，用温水调服即见效。后来患者服用这个方子，没有不灵验的，命名为神应丹。
帅碧泉的公子，脖子下面长了一个结核。有人当作疳疮来治疗，用药导致皮肤溃烂破损，反而更加肿大。这是任脉经过的地方，元气受损，导致形成疳症，最终无法救治。
王思泉的女儿四岁，耳朵后面侧面有一个结核。我说：这不是疳疮，而是痰核，不需要治疗，也不会造成危害。其他医生当作疳疮治疗，用了过多含有斑蝥的内消药物，损伤了脾胃，导致形成疳劳而死。
朱家的儿子五岁，病发于结喉下方，起一个像李子大小的肿块，旁边还有两三个小肿块相连。处方用东垣凉膈散去甘草，加入龙胆草、玄参、贝母、海藻、麦芽制成丸药，如弹子大小，每次服用一丸，研细后用温酒调服，七天就安稳了。后来使用这个方子，保全了很多小儿的生命。
薛立斋治疗一个七岁的小儿，颈部有两个结核，时常发作寒热，日久不愈，用连翘丸治疗而消散。如果患处在两臂等部位，尤其应当使用此药。如果溃破后不能愈合，适宜服用托里透脓的药剂。
（附钱缚阳案例）
薛立斋治疗一个两岁的小儿，阴茎痿软潮湿瘙痒，不时抓挠揉捏，阴茎内部疼痛，时常流出白色津液，认为是肝火，用龙胆泻肝汤和六味地黄丸治愈。
一个小儿下疳溃烂，发热疼痛。一个小儿阴茎内部疼痛，不时抓挠揉捏。一个小儿阴茎内部溃烂疼痛，小便短少涩滞，傍晚时分尤为严重。一个小儿眼睛痒出水，或者脖子间有结核，或者两眼粘连，或者阴囊瘙痒。都属于肝火，都用九味芦荟丸一起治愈。
万密斋治疗三府的小女儿，尿液排出像清水一样，接触肉体的地方溃烂成疮。问道：难道是女孩的脏腑坏了吗？回答说：膀胱受纳五脏的津液来储藏它，转化为尿液。分别随着本脏的颜色，青色是肝的颜色。接触处形成疮疡，是肝火旺盛。火热灼烧，就会溃烂。用导赤散加山栀、条芩、胆草、甘草稍、黄柏制成丸药，调理五天就安稳了。
薛立斋治疗魏户部郎中邦宁的儿子，十六岁，鼻子和眼睛蚀烂，肝脉弦长，愤怒不止，三年不愈，各种药物无效，服用芦荟丸半剂立刻消退，一剂就痊愈了。
一个小儿下疳溃烂，指甲发黑面色黧黑，全身生疥疮，这是肾经内外疳症，用地黄丸为主药，辅以四味肥儿丸而痊愈。
邱汝诚治疗一个婴儿，用扇子绑住他的阴茎，肿胀无法脱下，哭喊欲绝，让人打水泼洒在器皿中，受到惊吓啼哭后恢复原状。
Wan Mizhai treated the son of Zhu Zhen-san, who had a lump on the throat resembling a plum. The *Yuan Bing Shi* states: "Tubercles are caused by heat." I further consulted the Materia Medica for herbs that resolve tubercles and formulated a prescription: Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), Gardeniae Fructus (Zhizi), Fritillariae Bulbus (Beimu), Sargassum (Kunbu), Sargassum (Haizao), Platycodonis Radix (Jiegeng), Hordei Fructus Germinatus (Maiya), and Menthae Haplocalycis Herba (Bohe) each 1.5 qian; Persicariae Hirtae Herba (Zibei Tiankui), Scrophulariae Radix (Yuanshen), Forsythiae Fructus (Lianqiao), and Dianthi Herba (Qumai) each 2 qian. These were ground into powder and taken with warm water, yielding immediate effect. Subsequently, patients taking this formula achieved consistent results, and it was named Shenyang Dan (Miraculous Efficacy Pill).
The son of Shuai Bi-quan developed a tubercle below the neck. It was treated as a gan sore (ulcerative condition associated with malnutrition or chronic disease); the medication caused tissue destruction, leading to increased swelling. This area is traversed by the Ren Mai (Conception Vessel); damage to Yuan Qi (Original Qi) resulted in a gan syndrome, which proved incurable.
Wang Si-quan’s four-year-old daughter had a tubercle behind the side of her ear. I stated: "This is not a gan sore, but a phlegm nodule (Tan He). No treatment is necessary, nor will it cause harm." Other physicians treated it as a gan sore, using excessive internal-resolving medications containing Mylabris (Banmao), damaging the Spleen and Stomach, leading to death from gan consumption (gan lao).
Zhu’s five-year-old son presented with a plum-sized lump below the throat, accompanied by two or three smaller connected lumps on either side. The prescription used Dongyuan’s Liang Ge San (Cool the Chest Powder) minus Licorice Root (Gancao), plus Gentiana Radix (Longdancao), Scrophulariae Radix (Yuanshen), Fritillariae Bulbus (Beimu), Sargassum (Haizao), and Hordei Fructus Germinatus (Maiya), processed into pills the size of a bullet. One pill was taken per dose, crushed and mixed with warm wine. The patient stabilized after seven days. This formula subsequently saved many children.
Xue Lizhai treated a seven-year-old boy with two cervical tubercles, intermittent fever and chills, persisting for a long time. He was cured with Lianqiao Wan (Forsythia Pills). If lesions occur on the arms or other areas, this medication is particularly indicated. If ulceration occurs without healing, tonifying and expelling pus formulas should be administered.
(Attached Case: Qian Fu Yang)
Xue Lizhai treated a two-year-old boy suffering from penile flaccidity, dampness, itching, frequent scratching and rubbing, internal penile pain, and discharge of white fluid. Diagnosed as Liver Fire, he was cured with Longdan Xiegan Tang (Gentiana Decoction to Drain the Liver) and Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill).
A boy with an ulcerated chancre (xia gan) presented with fever and pain. Another boy suffered from internal penile pain and frequent scratching. A third boy had ulcerated penile pain, scanty and difficult urination, worsening in the late afternoon. A fourth boy had itchy eyes discharging fluid, cervical tubercles, adhering eyelids, or scrotal itching. All cases were attributed to Liver Fire and were simultaneously cured using Jiwei Luhui Wan (Nine-Ingredient Aloe Vera Pills).
Wan Mizhai treated the young daughter of Prefect San, whose urine flowed like clear water, causing ulceration where it contacted the skin. He asked: "Has the girl’s zang-fu organs deteriorated?" He answered: "The Bladder receives fluids from the five zang organs to store them, transforming them into urine. Each follows the color of its respective organ; green is the color of the Liver. Ulceration at contact sites indicates excess Liver Fire. Burning by fire leads to ulceration." He prescribed Daochi San (Guide Out Red Powder) plus Gardeniae Fructus (Shanzhi), Scutellariae Radix (Tiaohuangqin), Gentiana Radix (Danchangcao), Glycyrrhizae Radix et Rhizoma (Gancao Shao), and Phellodendri Cortex (Huangbai), formed into pills. The patient recovered after five days of regulation.
Xue Lizhai treated the sixteen-year-old son of Minister Wei Bangning, who suffered from erosion and ulceration of the nose and eyes. His Liver pulse was wiry and long; he experienced persistent anger for three years without relief, and various medicines failed. After taking half a dose of Luhui Wan (Aloe Vera Pill), symptoms receded immediately, and one full dose resulted in a cure.
A boy with an ulcerated chancre presented with black nails, sallow complexion, and generalized scabies. This was diagnosed as internal and external gan syndrome of the Kidney channel. He was treated primarily with Dihuang Wan (Rehmannia Pill) supplemented with Simei Fei'er Wan (Four-Ingredient Strengthening the Child Pill) and recovered.
Qiu Rucheng treated an infant whose penis was bound by a fan, causing swelling and inability to remove it. The infant cried out in despair. Qiu ordered water to be splashed into a vessel; the sudden noise startled the child, causing him to cry, after which the condition resolved.