皆以此方治之。
以绯帛一片裹药,取匝为限,乱发鸡子大,摊布帛上,牛黄如梧子大、反钩棘针二十一
枚、赤小豆七粒为末并布发上,卷绯帛作团,外以发作绳,十字缚之,熨斗中急火烧灰,研
筛细,以枸杞或子、或根皮枝叶随得为末,用枸杞末二匕,绯帛灰一匕,共成三匕,研匀,
分二服,空腹酒调下。
治一切疔肿神良方。
苍耳(根茎苗子,但取一色便可用)
上烧为灰。醋泔淀和如泥涂上,干即易之,不过十度,即拔根出。
痈疽初无定处,随其所发即命名,在外则为发背、发脑;在内则为肠痈、内痈、心痈、
肾痈、肺痈、脐痈等。治得其法则生,失法则死。外证易识,内证难明,不可不备述也。肠
痈为病,身甲错,腹皮急,按之濡,如肿状,腹无聚积,身无热,脉数,此为肠内有脓,久
积阴冷所成也,故《金匮》用附子温之。小腹肿痞,按之痛如淋,小便自调,发热,身无汗
,复恶寒,其脉迟紧者,脓未成,可下之,当有血;洪数者,脓已成,不可下。此以内结热
所成也,故《金匮》用大黄利之。甚者,腹胀大,转侧闻水声,或绕脐生疮,或脓从脐出,
或大便出脓血,不治必死。其如五内生疮,亦止分阴阳利而已,不比外痈,须根据四节八事之
次第也。《千金》引官羽林妇病,医诊之,其脉滑数,滑则为实,数则为热,滑则为荣,
数则为卫,卫数下降,荣滑上升,荣卫相干,血为败浊,少腹痞坚,小便或涩,或复汗出,
或复恶寒,脓为已成,设脉迟紧,即为瘀血,血下即愈。更《内经》所载,有 积病。比见
有得之二三年,遍身微肿,续乃大肠与脐连日出脓,遂致不救,此亦肠痈之类也,不可不审。
都用这个方子来治疗。
取一块红色丝织品包裹药物,以绕一圈为限度,再取一团乱发如鸡蛋大小,铺在布帛上,加上如梧桐子大小的牛黄、二十一枚倒钩的棘针、七粒赤小豆,一起研成细末并铺在头发上,将红丝帛卷成团状,外面用头发编成的绳子十字交叉捆扎紧,放入熨斗中急火焚烧成灰,研磨过筛至极细,再用枸杞(或果实、或根皮、或枝叶,随取可用)研成粉末,取两平勺枸杞末,一平勺红丝帛灰,共凑成三平勺,研磨均匀,分两次服用,空腹时用酒调服。
这是治疗各种疔疮肿毒的神效良方。
苍耳(根、茎、苗、子,只要选取其中一种颜色一致的部分即可使用)
将其烧成灰烬。用醋和淘米水沉淀物调和成泥状涂抹患处,干了就更换,不超过十次,就能将病根拔出。
痈疽初起没有固定的位置,随着它发生的地方命名,在体表则为发背、发脑;在体内则为肠痈、内痈、心痈、肾痈、肺痈、脐痈等。治疗方法得当就能存活,失当就会死亡。体表的证候容易识别,体内的证候难以明了,不能不详细叙述。肠痈这种病,身体皮肤粗糙如鳞甲交错,腹部皮肤紧张,按压时柔软,像是有肿胀的样子,但腹部没有积聚包块,身体无发热,脉象数,这是因为肠内有脓液,由长期积累的阴寒之气所形成,所以《金匮要略》用附子来温阳散寒。如果小腹肿胀痞硬,按压疼痛如同淋证,小便正常,伴有发热,身体无汗,又恶寒,脉象迟而紧的,说明脓液尚未形成,可以用攻下法,应当排出瘀血;如果脉象洪大而数的,说明脓液已经形成,不可用攻下法。这是由于内部结聚热邪所形成,所以《金匮要略》用大黄来通腑泄热。病情严重的,腹部胀大,翻身转动时可听到水声,或者围绕肚脐生疮,或者脓液从肚脐流出,或者大便排出脓血,如果不治疗必定死亡。如果是五脏内部生疮,也只是区分阴阳进行利导而已,不像体表痈疽,必须根据四节八事的次第来处理。《千金方》引用官羽林妇患病的事例,医生诊察其脉象滑数,滑脉主实证,数脉主热证,滑脉属营气,数脉属卫气,卫气数动下降,营气滑利上升,营卫相互干扰,血液败坏浑浊,导致少腹痞塞坚硬,小便有时涩滞,或者出汗,或者恶寒,这说明脓液已经形成;假如脉象迟而紧,就是瘀血,瘀血下行则病愈。再参考《内经》所载的“积”病。近来见到有人患此病两三年,全身轻微浮肿,随后大肠与肚脐相连处每日流出脓液,最终导致不治身亡,这也是肠痈的一类,不可不仔细审察。
All are treated with this prescription.
Take a piece of crimson silk to wrap the medicine, limiting the size to one circumference. Place a clump of tangled hair the size of a chicken egg on cloth, add rhinoceros horn (Niu Huang) the size of a Chinese walnut seed, twenty-one hooked thorns (Ji Zhen), and seven adzuki beans (Chi Xiao Dou), grind them together into powder, and spread this mixture onto the hair. Roll the crimson silk into a ball, tie it tightly in a cross shape with a rope made of hair, burn it quickly to ash in an ironing pan, grind and sieve until fine. Use goji berry (Gou Qi Zi) or its root bark, leaves, and branches as available, grind into powder. Take two level scoops of goji berry powder and one level scoop of crimson silk ash, totaling three level scoops, mix evenly. Divide into two doses, taken orally with wine on an empty stomach.
This is a miraculous prescription for treating all types of ding sores and swellings.
Cang Er (Xanthii Fructus; roots, stems, leaves, and fruits may be used, provided they are of uniform color).
Burn these to ash. Mix with vinegar and rice wash sediment to form a paste, apply topically, and replace when dry. Within ten applications, the root of the sore will be extracted.
Yong Ju (Carbuncles and Ulcers) have no fixed location initially; they are named according to their site of occurrence. On the exterior, they are called Fa Bei (Back Carbuncle) or Fa Nao (Head Carbuncle); within the interior, they are termed Chang Yong (Intestinal Abscess), Nei Yong (Internal Abscess), Xin Yong (Heart Abscess), Shen Yong (Kidney Abscess), Fei Yong (Lung Abscess), Qi Yong (Umbilical Abscess), etc. If treated correctly, life is preserved; if treated incorrectly, death ensues. Exterior manifestations are easy to identify, while interior manifestations are difficult to clarify; therefore, they must be described in detail.
Chang Yong (Intestinal Abscess) presents with rough, scaly skin (Shen Jia Cuo), tense abdominal wall, softness upon palpation despite a swollen appearance, absence of abdominal masses, lack of fever, and a rapid pulse (Mai Shu). This indicates pus within the intestines, formed by long-standing accumulation of yin-cold. Hence, *Jin Gui Yao Lue* employs Fu Zi (Aconite Lateral Root) to warm. If there is swelling and hardness in the lower abdomen, pain upon palpation resembling strangury, normal urination, fever, anhidrosis, aversion to cold, and a slow-tight pulse (Mai Chi Jin), the pus has not yet formed; purgation may be used, and blood should be expelled. If the pulse is surging-rapid (Hong Shu), the pus has already formed; purgation is contraindicated. This condition arises from internal heat accumulation; hence, *Jin Gui Yao Lue* employs Da Huang (Rhubarb Rhizome) to promote drainage. In severe cases, the abdomen becomes distended, water sounds may be heard during movement, ulcers may form around the umbilicus, pus may discharge from the umbilicus, or pus and blood may appear in stool; without treatment, death is inevitable. For ulcers within the five zang organs, differentiation of yin and yang and promotion of drainage suffice, unlike external carbuncles which require adherence to the sequence of "four sections and eight matters."
*Qian Jin Fang* cites a case of an official's wife: her pulse was slippery-rapid (Hua Shu). Slippery indicates excess; rapid indicates heat. Slippery relates to Ying (Nutritive Qi); rapid relates to Wei (Defensive Qi). When Wei qi descends rapidly and Ying qi ascends slipperily, they interfere with each other, causing blood to become turbid and敗坏 (ruined). This leads to hardness in the lower abdomen, occasional urinary difficulty, sweating, or aversion to cold, indicating that pus has formed. If the pulse were slow-tight, it would indicate blood stasis; expulsion of blood would lead to recovery. Furthermore, referring to the "Ji" (Accumulation) disease described in *Nei Jing*: recently, patients suffering for two or three years presented with generalized mild edema, followed by daily pus discharge connecting the large intestine and umbilicus, leading to fatal outcomes. This is also a category of Chang Yong (Intestinal Abscess) and must be carefully examined.