《圣惠》小儿丹发两膀,不过一日、便赤黑,谓之神火丹。景天草花绞汁,先微揩丹
上,后涂之,以瘥为度。鲫鱼半斤,杵如泥,涂之,频涂为良。醋调栀子仁末涂。
《圣惠》小儿丹发如灼,在胁下正赤,初从额起,或从耳起而多痛,名荧火丹。
赤小豆(一合),硝石(半两),寒水石(一分),为末,每以冷水调半钱,日三服,量儿加减。(张氏用
冷水调涂)灶中黄土(一合),生油(二合),同研如泥,时用涂之,以瘥为度。若痛上阴,不治
即杀人也。景天草杵烂,以醋调涂。
《圣惠》小儿丹先发于背,遍身,一日一夜而成疮,名朱田火丹。治法取棘根煮
汁洗之,若已成疮,用小豆末敷之,未成疮,即以鸡清调小豆末敷。蓝靛涂。鸡清涂。
《圣惠》小儿丹发两膀里尻间,正赤,流至阴头赤肿血出者是也。治之方
荠叶(三两) 赤小豆(一合) 炉门上灰(一两) 青羊脂(三两) 葱白(二茎,切)
上相和,杵如膏。磨之,燥再磨之。
又方 细辛(一两),糯米(一合),景天草(三两),杵如泥,涂丹上瘥。
又方 伏龙肝、赤小豆等分为末,鸡子白调涂。又桑根煮汁浴之。车前子为末,
水调涂。蚕砂一升水煮,去滓洗。铁落末,饧和如膏,涂。杵生浮萍敷。
《千金》云∶小儿丹从髀起,小儿未满百日,犯行路灶君,若热流下,至阴赤肿血出。
以鸡清调伏龙肝敷。又以鲫鱼肉同赤白豆杵烂,入少水和敷。
《圣惠方》记载:小儿丹毒发作于两臂,不到一天,患处便变为赤黑色,称为神火丹。用景天草的花绞取汁液,先在丹毒部位轻轻擦拭,然后涂抹药汁,以痊愈为度。取半斤鲫鱼,捣烂如泥状,涂抹患处,频繁涂抹效果较好。用醋调和栀子仁粉末涂抹。
《圣惠方》记载:小儿丹毒发作如火灼烧,位于胁下且颜色正红,起初从额头发起,或从耳朵发起且疼痛较多,称为荧火丹。取赤小豆(一合)、硝石(半两)、寒水石(一分),研成粉末,每次用冷水调服半钱,每日三次服用,根据患儿情况增减剂量。(张氏主张用冷水调匀后外涂)。取灶中的黄土(一合)与生油(二合),一同研磨如泥状,时常涂抹,以痊愈为度。如果丹毒蔓延至阴部,无法治愈便会致死。将景天草捣烂,用醋调和后涂抹。
《圣惠方》记载:小儿丹毒先发于背部,遍及全身,一日一夜形成疮疡,称为朱田火丹。治疗方法是取棘根煮汁清洗患处;若已结成疮,用小豆粉末敷贴;若未结成疮,即用鸡蛋清调和少量豆末敷贴。也可用蓝靛涂抹,或用鸡蛋清涂抹。
《圣惠方》记载:小儿丹毒发作于两臂内侧及臀部之间,颜色正红,流注至阴头导致红肿出血的即是此症。治疗方剂:荠叶(三两)、赤小豆(一合)、炉门上的灰(一两)、青羊脂(三两)、葱白(两根,切碎)。以上药物混合在一起,捣烂如膏状。摩擦患处,干燥后再行摩擦。
另一个方子:细辛(一两)、糯米(一合)、景天草(三两),捣烂如泥,涂抹于丹毒处可愈。
又一个方子:伏龙肝、赤小豆等分研末,用鸡蛋清调和涂抹。又可用桑根煮汁洗浴。车前子研末,用水调匀涂抹。蚕砂一升用水煮,去渣后清洗。铁落粉末,用饴糖调和如膏状,涂抹。捣碎的生浮萍敷贴。
《千金方》说:小儿丹毒从大腿根部发起,未满百日的小儿,若触犯行路灶君,热气下行,至阴部红肿出血。用鸡蛋清调和伏龙肝敷贴。又用鲫鱼肉同赤小豆、白小豆捣烂,加入少许水和匀敷贴。
According to *Shenghui Fang*: When infantile erysipelas (Xiao'er Dan) erupts on both arms and turns crimson-black within a day, it is called Shenhuo Dan (Divine Fire Erysipelas). Crush the flowers of Sedum sarmentosum (Jingtian Cao) to extract juice. First, gently rub the affected area with the juice, then apply it topically. Continue until healed. Take half a jin (approx. 250g) of crucian carp, pound it into a paste, and apply it to the lesion; frequent application is beneficial. Apply powder of Gardenia jasminoides seed (Zhizi Ren) mixed with vinegar.
According to *Shenghui Fang*: Infantile erysipelas that feels like burning, located under the ribs with a bright red color, initially starting from the forehead or ears and accompanied by significant pain, is called Yinghuo Dan (Fluorescent Fire Erysipelas). Take Adzuki bean (Chixiaodou, 1 he), Niter (Xingshi, 0.5 liang), and Cold Water Stone (Hanshui Shi, 1 fen), grind them into powder. Mix half a qian with cold water for oral administration three times daily, adjusting the dose according to the child's condition. (Zhang's method suggests mixing with cold water for topical application only). Mix loess from the stove (Zaohuang Tu, 1 he) with raw sesame oil (Sheng You, 2 he), grind into a paste, and apply frequently until healed. If the eruption spreads to the yin region, it is incurable and fatal. Pound Sedum sarmentosum (Jingtian Cao) thoroughly, mix with vinegar, and apply.
According to *Shenghui Fang*: Infantile erysipelas that first appears on the back and spreads over the entire body, forming sores within one day and night, is called Zhutian Huodan (Vermilion Field Fire Erysipelas). The treatment involves boiling roots of Ceanothus (Jigen) to make a wash. If sores have formed, dust with powder of Adzuki beans (Chixiaodou); if not yet formed, mix Adzuki bean powder with egg white (Jiqing) for application. Alternatively, apply Indigofera tinctoria leaf extract (Lan Dian) or egg white (Jiqing).
According to *Shenghui Fang*: Infantile erysipelas erupting between the inner aspects of both arms and the buttocks, appearing bright red and flowing to the glans penis causing swelling, redness, and bleeding, is identified as such. Treatment formula: Shepherd's purse leaves (Qie Ye, 3 liang), Adzuki beans (Chixiaodou, 1 he), ash from the stove door (Lumen Shang Hui, 1 liang), fat from blue sheep (Qingyang Zhi, 3 liang), and scallion whites (Cong Bai, 2 stalks, chopped). Mix all ingredients and pound into a ointment. Rub onto the affected area; re-apply when dry.
Another prescription: Asarum sieboldii (Xixin, 1 liang), glutinous rice (Nuomi, 1 he), and Sedum sarmentosum (Jingtian Cao, 3 liang), pounded into a paste and applied to the erysipelas until cured.
Yet another prescription: Dragon's house liver (Fulonggan, i.e., kiln earth) and Adzuki beans (Chixiaodou) in equal proportions, ground into powder and mixed with egg white (Jizi Bai) for topical application. Also, bathe with decoction of mulberry root (Sanggen). Powdered Plantago seed (Cheqianzi) mixed with water for application. Boil one sheng of silkworm excrement (Cansha) in water, strain, and use for washing. Iron filings (Tieluo) powder mixed with maltose (Xing) into a paste for application. Pounded fresh duckweed (Sheng Fuping) applied externally.
*Qianjin Fang* states: Infantile erysipelas starting from the thigh/groin area. For infants under one hundred days old, if they offend the Kitchen God associated with travel/stoves, heat flows downward, causing the yin region to become red, swollen, and bleed. Apply powder of Dragon's house liver (Fulonggan) mixed with egg white (Jiqing). Alternatively, pound crucian carp meat together with red and white adzuki beans, add a little water, and apply.