〔薛〕小儿时毒，因感四时不正之气，致鼻面耳项或咽喉赤肿，寒热头痛，甚者
恍惚不宁，咽喉闭塞，状如伤寒，五七日间亦能杀人。脉浮数者邪在表，脉沉涩者
邪在里，在表用葛根牛蒡子汤，在里用栀子仁汤，表里俱病者犀角升麻汤，甚则宜
砭，及用通气散宣泄其毒，旬日自消。若不消而欲作脓者用托里消毒散，欲收敛者
用托里散，若咽肿不能言、头肿不能食者，必死。
通气散 治时毒 痛，咽喉不利，取嚏以泄其毒。
玄胡索 猪牙皂荚 川芎（各一钱） 藜芦（五分） 羊踯躅花（三分）
上为细末。用纸捻蘸少许 鼻内取嚏，为效。
犀角升麻汤 治风热，口唇、颊车连牙肿痛。
犀角（镑，二钱） 升麻 防风 羌活 川芎 白芷（各五分） 黄芩 甘草（各一钱）
白附子（四分）
上，每服三五钱，水煎。
栀子仁汤 治时毒肿痛，大便秘结。
郁金 枳壳（麸炒） 升麻 山栀仁 牛蒡子（研碎，炒） 大黄（炒。各等分）
上为细末。每服二三钱，蜜水调服。
葛根牛蒡子汤 治时毒肿痛。消毒解热。
葛根 管仲 甘草 江西豆豉 牛蒡子（半生半炒，研碎。各等分）
上，每服三五钱，水煎。
〔薛〕小儿流注，乃气流而滞，血注而凝，元气不足之证也，或因闪跌堕伤，或
因肝火气逆，或因六淫内侵，或因脾虚食积，或因禀赋所致，结于四肢节HT ，患于
胸腹腰臀，或结块，或漫肿，或作痛，悉用葱熨之法，须固元气为主。闪跌者和血
定痛丸，肝火者九味芦荟丸，食积者四味肥儿丸，药能对证，未成自消，已成自溃。
若脓成不溃者，元气虚也，先补而针之，庶使毒瓦斯不致内攻，气血不致脱陷。若脓
出而反痛者，气血虚也，用八珍汤。作呕少食者，胃气虚也，用四君子汤。欲呕不
食，或腹作胀者，脾气虚也，用六君子汤。口噤搐搦者，气血虚极而变症也，十全
大补汤。内热晡热，阴血虚也，四物、参、 、白术。表热恶寒，阳气虚也，十全
大补汤。热来复去，或昼见夜伏，昼伏夜发者，虚热也，当大补元气。若色赤肿起
而脓稠者尚可治，不赤硬而脓清，或脉洪大，寒热发渴，及不受补者，皆不可治。
健脾渗湿饮 治疮疡初起， 肿作痛，或湿毒下注，或环跳穴痛。
人参 白术 苍术 防己（酒拌） 黄柏（炒） 川芎 陈皮 当归 茯苓（各五分） 木瓜（不
犯铁器） 柴胡稍 甘草（各三分）
上，姜水煎服。如三五剂不退，加桂少许，酒煎亦可，小便涩、加牛膝，身痛、
加羌活。
和血定痛丸（一名黑丸子） 治流注、膝风，或闪跌瘀血，肢节肿痛，服之自消。若溃
而发热，与补药兼服，自效。
百草霜（五两） 赤小豆（半斤） 川乌（炮，一两五钱） 白蔹（八两） 白芨 南星（炮。
各二两） 芍药 当归 牛膝（各五两） 骨碎补（四两）
上为末。酒糊、丸桐子大。每服二三十丸，白汤下。
神效葱熨法 治流注结核，或骨痈鹤膝等证。先用隔蒜灸，若余肿尚存，用此熨之，
以助气行血，散其壅滞，功效甚速。又治跌扑损伤，止痛、散血、消肿之良法也。
其法、用葱细切、捣烂、炒热，频熨患处，冷则易之，如鹤膝风，兼服大防风汤
而愈。
隔蒜灸法 治流注及痈疽、鹤膝风、等证。每日灸二三十壮，痛者灸至不痛，不痛者
灸至痛，其毒随火而散，盖火以畅达，拔引郁毒，此从治之法，有回生之功。其
法用大蒜去皮，切三文钱浓，安患处，用艾壮于蒜上灸之，三壮、换蒜复灸，未
成即消，已成者亦杀其毒，如疮大，用蒜杵烂、摊患处，将艾铺上烧之，蒜败再
易。如不痛，或作脓，或不起发，及疮属阴证者，尤当多灸，凡疮不痛、不作脓、
不起发者，皆气血虚也，多主不治。惟患在头面者，不宜多灸。论中婴儿灸法，
见疔疮。
如圣饼 治流注及一切疮疡，不能消散，或溃而不敛。
乳香 没药 木香 血竭 当归（各等分） 麝香（减半）
上为末。用酒糊、和饼二个，乘热熨之。毒疮加蟾酥。
当归补血汤 治流注及溃疡肌热、面赤、烦渴，脉洪大而虚，重按全无，此血虚证
也，误服白虎汤，必死。（方见虚热）
益气养荣汤 治流注气血虚弱，不能消散，或四肢颈项患肿，不问坚软、赤白，或
痛或不痛，日晡发热，或溃而不敛。（方见后）
十全大补汤 治诸疮血气虚弱，不能消散、溃腐、收敛。或寒热汗出，口眼歪斜，
肌瘦少食。或日晡发热，自汗盗汗。或朝寒暮热，疮口不敛等证。（方见自汗）
【薛己】小儿时毒，是因为感受了四时不正之气，导致鼻、面、耳、项或咽喉出现赤肿，伴有寒热、头痛等症状，严重的会出现神志恍惚、不安宁，咽喉闭塞，症状类似伤寒，在五到七天内也可能致死。脉象浮数的，说明邪气在表；脉象沉涩的，说明邪气在里。邪气在表的用葛根牛蒡子汤治疗，邪气在里的用栀子仁汤治疗，表里同病的用犀角升麻汤治疗，病情严重的适宜采用砭石放血疗法，并使用通气散来宣泄毒邪，大约十天自然消退。如果毒邪不消退且将要化脓的，用托里消毒散治疗；将要收敛愈合的用托里散治疗。如果咽喉肿胀不能说话、头部肿胀不能进食的，必定死亡。
通气散：治疗时毒疼痛，咽喉不利，通过取嚏来泄出毒邪。
药材：玄胡索、猪牙皂荚、川芎（各一钱），藜芦（五分），羊踯躅花（三分）。
制法与用法：将上述药物研成细末。用纸捻蘸取少许药粉，纳入鼻内引发喷嚏，以见效为度。
犀角升麻汤：治疗风热引起的口唇、颊车连及牙齿肿痛。
药材：犀角（镑片，二钱），升麻、防风、羌活、川芎、白芷（各五分），黄芩、甘草（各一钱），白附子（四分）。
制法与用法：以上药物，每次服用三至五钱，加水煎服。
栀子仁汤：治疗时毒引起的肿痛，大便秘结。
药材：郁金、枳壳（麸炒）、升麻、山栀仁、牛蒡子（研碎，炒）、大黄（炒，各等分）。
制法与用法：将上述药物研成细末。每次服用二至三钱，用蜜水调服。
葛根牛蒡子汤：治疗时毒引起的肿痛。具有消毒解热的功效。
药材：葛根、管仲（注：此处疑为“荆芥”之误或地方异名，依原文保留）、甘草、江西豆豉、牛蒡子（半生半炒，研碎，各等分）。
制法与用法：以上药物，每次服用三至五钱，加水煎服。
【薛己】小儿流注，是气流滞涩、血液凝注所致，属于元气不足的证候。可能由于闪挫跌打损伤，或因肝火气逆，或因六淫邪气内侵，或因脾虚食积，或因先天禀赋不足所致。病变结于四肢关节，患于胸腹腰臀部位，表现为结块，或漫肿，或疼痛。全部使用葱熨法治疗，必须以固护元气为主。因闪跌受伤的用和血定痛丸，肝火旺盛的用九味芦荟丸，食积停滞的用四味肥儿丸。药物若能对症，未成脓的自然消散，已成脓的自然溃破。如果脓成但不溃破的，是元气虚弱，先补益正气再针刺排脓，这样可使毒邪不至于内攻，气血不至于脱陷。如果脓出后反而疼痛的，是气血虚弱，用八珍汤治疗。作呕、食欲减少的，是胃气虚弱，用四君子汤治疗。想呕吐但不进食，或腹部胀满的，是脾气虚弱，用六君子汤治疗。口噤抽搐的，是气血极度虚弱而出现的变证，用十全大补汤治疗。内有热感、傍晚发热，是阴血虚弱，用四物汤加人参、[缺字，通常指黄芪或麦冬等，依语境推测补气养阴药]、白术。体表发热、恶寒，是阳气虚弱，用十全大补汤治疗。热感来时又退去，或白天出现夜间潜伏，白天潜伏夜间发作的，是虚热，应当大补元气。如果颜色红赤肿胀且脓液稠厚的还可以治疗，如果不红硬且脓液清稀，或脉象洪大，伴有寒热口渴，以及不能耐受补药的，都不可治疗。
健脾渗湿饮：治疗疮疡初起，红肿疼痛，或湿毒下注，或环跳穴疼痛。
药材：人参、白术、苍术、防己（酒拌）、黄柏（炒）、川芎、陈皮、当归、茯苓（各五分），木瓜（不接触铁器）、柴胡梢、甘草（各三分）。
制法与用法：以上药物，用姜水煎服。如果服用三至五剂不退，加入少许桂枝，用酒煎服也可以。小便涩滞的，加牛膝；身体疼痛的，加羌活。
和血定痛丸（又名黑丸子）：治疗流注、膝风，或闪跌瘀血，肢体关节肿痛，服用后可自行消散。如果溃破后发热，与补药兼服，自有效验。
药材：百草霜（五两），赤小豆（半斤），川乌（炮制，一两五钱），白蔹（八两），白芨、南星（炮制，各二两），芍药、当归、牛膝（各五两），骨碎补（四两）。
制法与用法：将上述药物研成粉末。用酒糊制作成梧桐子大小的丸药。每次服用二三十丸，用白开水送下。
神效葱熨法：治疗流注结核，或骨痈、鹤膝风等证候。先用隔蒜灸法，如果余肿尚存，用此法熨烫，以助气行血，消散壅滞，功效非常迅速。也治疗跌扑损伤，是止痛、散血、消肿的好方法。
具体方法：将葱切碎、捣烂、炒热，频繁熨烫患处，冷了则更换，如果是鹤膝风，兼服大防风汤即可痊愈。
隔蒜灸法：治疗流注及痈疽、鹤膝风等证候。每天灸二三十壮，痛的灸到不痛为止，不痛的灸到痛为止，毒邪随火气而消散。因为火能畅达气机，拔引郁结之毒，这是从治的方法，有起死回生的功效。
具体方法：用大蒜去皮，切成三文钱厚的片，放在患处，用艾炷在蒜片上灸。灸三壮后，换蒜片继续灸。未成脓的可消散，已成脓的可抑制毒势。如果疮口较大，将蒜捣烂摊在患处，将艾铺在上面烧灼，蒜坏了再换。如果不觉疼痛，或化脓，或不发起来，以及疮属阴证的，尤其应当多灸。凡是疮不痛、不作脓、不起发的，都是气血虚弱，大多主不治。只有患在头面的，不宜多灸。关于婴儿的灸法，见疔疮章节。
如圣饼：治疗流注及一切疮疡，不能消散，或溃破后不收敛。
药材：乳香、没药、木香、血竭、当归（各等分），麝香（减半）。
制法与用法：将上述药物研成粉末。用酒糊调和做成两个饼，趁热熨烫患处。毒疮加蟾酥。
当归补血汤：治疗流注及溃疡后的肌热、面赤、烦渴，脉象洪大而虚，重按全无，这是血虚证候，误服白虎汤，必死。（方剂见虚热章节）
益气养荣汤：治疗流注气血虚弱，不能消散，或四肢颈项患肿，不问坚硬柔软、发红发白，或痛或不痛，傍晚发热，或溃破后不收敛。（方剂见后文）
十全大补汤：治疗各种疮疡血气虚弱，不能消散、溃腐、收敛。或寒热汗出，口眼歪斜，肌肉消瘦、食欲减少。或傍晚发热，自汗盗汗。或早晨怕冷傍晚发热，疮口不收敛等证候。（方剂见自汗章节）
[Xue Ji] Pediatric "Shidu" (Seasonal Toxic Disease) is caused by contracting the abnormal Qi of the four seasons, resulting in redness and swelling of the nose, face, ears, neck, or throat, accompanied by chills, fever, and headache. In severe cases, it may lead to mental confusion and restlessness, throat obstruction, resembling Taiyang disease (a syndrome caused by pathogenic factors affecting the Taiyang meridian). It can be fatal within five to seven days. A floating and rapid pulse indicates the pathogen is at the exterior; a deep and choppy pulse indicates the pathogen is at the interior. For pathogens at the exterior, Gegen Niuziangzi Tang (Kudzu and Burdock Seed Decoction) is used; for pathogens at the interior, Zhizi Ren Tang (Gardenia Seed Decoction) is used; for simultaneous exterior and interior involvement, Xijiao Shengma Tang (Rhinoceros Horn and Cimicifuga Decoction) is used. In severe cases, bloodletting with a bi stone (ancient surgical knife for bleeding) is appropriate, along with Tongqi San (Ventilation Powder) to vent the toxicity, which will naturally resolve in about ten days. If the toxicity does not resolve and suppuration is imminent, Tuoli Xiaodu San (Support the Interior and Eliminate Toxin Powder) is used; if healing and contraction are desired, Tuoli San (Support the Interior Powder) is used. If throat swelling prevents speech or head swelling prevents eating, the prognosis is fatal.
Tongqi San: Treats pain from Shidu and throat discomfort; induces sneezing to vent toxicity.
Ingredients: Yanhusuo (Corydalis Rhizome), Zhu Ya Zao Jia (Toothed Soap Pod), Chuanxiong (Ligusticum Rhizome) (each 1 qian), Lilü (Veratrum Rhizome) (0.5 qian), Yangzhizhu Hua (Daphne Odora Flower) (0.3 qian).
Preparation and Administration: Grind into fine powder. Dip a paper twist in a small amount of powder and insert into the nostril to induce sneezing until effective.
Xijiao Shengma Tang: Treats wind-heat causing swelling and pain of the lips, jaw joint, and teeth.
Ingredients: Xijiao (Rhinoceros Horn, sliced) (2 qian), Shengma (Cimicifuga Rhizome), Fangfeng (Saposhnikovia Root), Qianghuo (Notopterygium Rhizome), Chuanxiong (Ligusticum Rhizome), Baizhi (Angelica Dahurica Root) (each 0.5 qian), Huangqin (Scutellaria Root), Gancao (Licorice Root) (each 1 qian), Baifuzi (Aconitum Carlemanii Bulb) (0.4 qian).
Preparation and Administration: Take 3–5 qian per dose, decoct in water.
Zhizi Ren Tang: Treats swelling and pain from Shidu with constipation.
Ingredients: Yujin (Curcuma Root), Zhike (Bitter Orange, stir-fried with bran), Shengma (Cimicifuga Rhizome), Shanzhiren (Gardenia Seed), Niuziangzi (Burdock Fruit, crushed and stir-fried), Dahuang (Rhubarb Root, stir-fried) (all in equal proportions).
Preparation and Administration: Grind into fine powder. Take 2–3 qian per dose, mix with honey water.
Gegen Niuziangzi Tang: Treats swelling and pain from Shidu. Disperses toxin and clears heat.
Ingredients: Gegen (Kudzu Root), Guanzhong (Note: Likely a variant name or error for Jingjie, retained as per text), Gancao (Licorice Root), Jiangxi Douchi (Fermented Soybean from Jiangxi), Niuziangzi (Burdock Fruit, half raw half stir-fried, crushed) (all in equal proportions).
Preparation and Administration: Take 3–5 qian per dose, decoct in water.
[Xue Ji] Pediatric Liuzhu (Flowing Abscess) results from stagnant Qi flow and coagulated Blood injection, representing a syndrome of insufficient Yuan Qi (Primary Qi). Causes include sprains and falls, Liver Fire with rebellious Qi, invasion of the Six Excesses (pathogenic factors), Spleen deficiency with food stagnation, or congenital predisposition. Lesions occur at the joints of the four limbs or in the chest, abdomen, waist, and buttocks, presenting as nodules, diffuse swelling, or pain. All cases should be treated with Cong Yi Fa (Green Onion Moxibustion/Fomentation), prioritizing the consolidation of Yuan Qi. For sprains and falls, Hexue Dingtong Wan (Harmonize Blood and Stop Pain Pill) is used; for Liver Fire, Jiwei Lujian Wan (Nine-Ingredient Aloe Pill) is used; for food stagnation, Siwei Fei'er Wan (Four-Ingredient Child-Nourishing Pill) is used. If the medication matches the syndrome, unformed abscesses will dissipate spontaneously, and formed abscesses will rupture spontaneously. If pus forms but does not rupture, it indicates deficient Yuan Qi; tonify first, then puncture, so that toxin does not attack internally and Qi and Blood do not collapse. If pain persists after pus discharge, it indicates deficient Qi and Blood; Bazen Tang (Eight Treasures Decoction) is used. Vomiting and poor appetite indicate deficient Stomach Qi; Sijunzi Tang (Four Gentlemen Decoction) is used. Desire to vomit without eating, or abdominal distension, indicates deficient Spleen Qi; Liujunzi Tang (Six Gentlemen Decoction) is used. Jaw stiffness and convulsions indicate extreme deficiency of Qi and Blood leading to transformation syndromes; Shiquan Dabu Tang (Complete Great Tonifying Decoction) is used. Internal heat and afternoon fever indicate Yin Blood deficiency; Siwu Tang (Four Substances Decoction) plus Renshen (Ginseng), [missing character, likely Huangqi or Maidong], and Baizhu (Atractylodes Macrocephala Rhizome) are used. Exterior heat and aversion to cold indicate deficient Yang Qi; Shiquan Dabu Tang is used. Heat that comes and goes, or appears by day and hides by night, or vice versa, indicates deficient heat; greatly tonify Yuan Qi. If the area is red, swollen, and pus is thick, it is treatable. If it is not red or hard, pus is thin, pulse is flooding, accompanied by chills, fever, thirst, and inability to tolerate tonification, it is untreatable.
Jianpi Shen Shi Yin: Treats early-stage sores with redness, swelling, and pain; damp-toxin flowing downward; or pain at the Huantiao acupoint.
Ingredients: Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), Cangzhu (Atractylodes Lancea Rhizome), Fangji (Stephania Root, mixed with wine), Huangbai (Phellodendron Bark, stir-fried), Chuanxiong (Ligusticum Rhizome), Chenpi (Tangerine Peel), Danggui (Angelica Sinensis Root), Fuling (Poria) (each 0.5 qian), Mugua (Chaenomeles Fruit, avoid iron), Chaihu Shao (Bupleurum Root tip), Gancao (Licorice Root) (each 0.3 qian).
Preparation and Administration: Decoct in ginger water. If no improvement after 3–5 doses, add a little Gui (Cinnamon Twig) and decoct in wine. Add Niuxi (Achyranthes Root) for dysuria; add Qianghuo (Notopterygium Rhizome) for body pain.
Hexue Dingtong Wan (also known as Hei Wan Zi): Treats Liuzhu, knee wind, or blood stasis from sprains/falls, causing limb and joint swelling and pain; resolves spontaneously upon ingestion. If fever occurs after ulceration, take concurrently with tonics for efficacy.
Ingredients: Baicaoshuang (Soot from Hundred Herbs Burnt), Chi Xiaodou (Red Bean) (half jin), Chuanwu (Aconitum Carleilii Root, processed) (1.5 liang), Bailian (Belamcanda Rhizome) (8 liang), Baiji (Polygonatum Rhizome), Nanxing (Pinellia Tuber, processed) (each 2 liang), Shaoyao (Peony Root), Danggui (Angelica Sinensis Root), Niuxi (Achyranthes Root) (each 5 liang), Gusuibu (Drynaria Rhizome) (4 liang).
Preparation and Administration: Grind into powder. Make pills using wine paste, size of paulownia seeds. Take 20–30 pills per dose, swallow with plain warm water.
Shenxiao Cong Yi Fa: Treats Liuzhu nodules, bone carbuncles, or crane-knee wind. First apply Ge Suan Jiu (Garlic-Separated Moxibustion); if residual swelling remains, use this fomentation method to promote Qi circulation and Blood flow, dispersing stagnation with rapid effect. Also treats traumatic injuries, effectively stopping pain, dispersing blood stasis, and reducing swelling.
Method: Finely chop green onions, crush, stir-fry until hot, and frequently foment the affected area. Replace when cool. For crane-knee wind, concurrently administer Dafangfeng Tang (Great Saposhnikovia Decoction) for cure.
Ge Suan Jiu Fa: Treats Liuzhu, carbuncles, furuncles, and crane-knee wind. Apply 20–30 moxa cones daily. For painful lesions, moxa until pain ceases; for painless lesions, moxa until pain arises. The toxin disperses with the fire. Fire promotes free flow and draws out stagnant toxin; this is a contrary treatment method with life-saving power.
Method: Peel garlic, slice to the thickness of three cash coins, place on the lesion, and moxa on top of the garlic. After three cones, replace garlic and continue. Unformed abscesses will dissipate; formed ones will have their toxicity suppressed. For large sores, crush garlic, spread on the lesion, lay moxa on top and burn. Replace garlic when burnt. For painless lesions, non-suppurating lesions, non-elevating lesions, or Yin-type sores, moxa heavily. Generally, painless, non-suppurating, non-elevating sores indicate Qi and Blood deficiency and are often untreatable. However, lesions on the head and face should not be moxa heavily. Infant moxibustion methods are described in the Carbuncle section.
Rusheng Bing: Treats Liuzhu and all sores that cannot dissipate, or ulcers that do not contract.
Ingredients: Ruxiang (Olibanum), Moyao (Myrrh), Muxiang (Aucklandia Root), Xuexie (Dragon's Blood), Danggui (Angelica Sinensis Root) (all in equal proportions), Shexiang (Musk) (half proportion).
Preparation and Administration: Grind into powder. Mix with wine paste to form two cakes, foment while hot. Add Chan Su (Toad Venom) for toxic sores.
Danggui Buxue Tang: Treats Liuzhu and post-ulcer internal heat, facial redness, irritability, and thirst. Pulse is flooding yet empty, vanishing under heavy pressure, indicating Blood deficiency. Misuse of Baihu Tang (White Tiger Decoction) will be fatal. (Formula see Deficient Heat section)
Yiqi Yangrong Tang: Treats Liuzhu due to Qi and Blood deficiency, unable to dissipate; or swelling in limbs and neck, regardless of hardness, color (red/white), pain or no pain; afternoon fever; or ulcers not contracting. (Formula see following section)
Shiquan Dabu Tang: Treats various sores due to Qi and Blood deficiency, unable to dissipate, suppurate, or contract. Or chills, fever, sweating, facial deviation, emaciation, poor appetite. Or afternoon fever, spontaneous or nocturnal sweating. Or morning chills and evening fever, non-contracting sores. (Formula see Spontaneous Sweating section)