八梅十六豆,一豆管三椒,
青陈各半两,丁木不相饶,
更加萝卜子,醋打面糊调。
重车行十里,是铁化为销。
乌梅(八个) 巴豆(十六个) 胡椒(四十八个) 青陈皮(各五钱) 丁木香(各
二钱) 萝卜子(一两) 醋糊丸。大人、壮人二十一丸,小人、弱人十五丸,盐酒下,心
疼醋汤下,恶心姜汤下。
在两胁下。如面色发红,及病上至心下至脐者,不可贴。忌鸡、鱼羊肉。
片脑(真,五厘) 透骨草 胆矾 木鳖仁 轻粉 穿山甲(各一钱)
上为细末。大人用一分,小人用三五厘。用大钱一个,将独瓣蒜捣烂,摊在钱上,掺药
捻蒜上,将钱药合在病上,布勒之。大人贴一炷香,小人贴半炷香,去药,虽痛无害,觉肚
内响好,见大便恶物下好。贴后三时莫食,饮百沸汤一钟后食。
曾经针灸过及病势大者,难治。忌发物。
阿魏(三钱) 蜈蚣(二条,炙) 全蝎(三钱,炙) 硼砂(三钱) 血竭(三钱) 栀
子(二两为末,五两方得) 大黄(二两) 芦荟(三钱) 雄黄(二钱) 胡黄连(二钱)
砂(三钱) 以上药,俱要真正,研细听用。
用蜂蜜五钱,皮硝二两,萝卜汁二两,黑狗脑子一个,滚发酒糟二两,葱白汁二两,鸡
子清二个,各汁合前末药和成膏子。每贴三钱或五钱,摊于生布上,外加布裹在病上,用一
年老耐心人,昼夜常常用熨斗盛微火,慢慢熨之。每一贴贴一昼夜,待三五日再一贴。待大
便见脓血,是效。消后须服补药。
【化铁丹】
八枚乌梅,十六粒巴豆,一粒巴豆对应三粒胡椒(共四十八粒),青皮和陈皮各半两,丁香和木香互不饶让(各二钱),再加上萝卜子,用醋调和成面糊。经过重车行走十里路(指制作过程或药效如铁销般迅速),能将坚硬的积块化为消融。
药材:乌梅八个,巴豆十六个,胡椒四十八个,青皮和陈皮各五钱,丁香和木香各二钱,萝卜子一两。
制法与用法:用醋制成糊丸。成人及体质强壮者服用二十一丸,儿童及体弱者服用十五丸。一般情况用盐酒送服;若为心腹疼痛,用醋汤送服;若有恶心症状,用姜汤送服。
【贴小儿癖块】
病位位于两侧胁下。如果面色发红,或者病症向上延伸至心窝部、向下延伸至肚脐部,不可使用此贴敷法。忌食鸡肉、鱼肉和羊肉。
药材:冰片(真品,五厘),透骨草,胆矾,木鳖仁,轻粉,穿山甲(各一钱)。
制法与用法:将上述药物研成细末。成人用量一分,儿童用量三至五厘。取一个大铜钱,将独瓣蒜捣烂,摊在铜钱上,撒上药粉并揉捏在蒜泥上,然后将铜钱连同药贴在患处,用布带勒紧固定。成人贴敷一炷香的时间,儿童贴敷半炷香的时间。取下药物后,即使感到疼痛也无妨,若感觉肠鸣且排出恶臭粪便则为好现象。贴敷后三个时辰内不要进食,喝下一杯煮沸的开水后再进食。
【经验贴癖膏】
曾经接受过针灸治疗以及病情严重的患者,难以治愈。忌食发物。
药材:阿魏(三钱),蜈蚣两条(炙烤),全蝎三钱(炙烤),硼砂三钱,血竭三钱,栀子(先炒至焦黑成炭,需五两才能得二两炭末),大黄二两,芦荟三钱,雄黄二钱,胡黄连二钱,砂(三钱)。以上药物必须确保地道正宗,研磨细腻备用。
制法与用法:用蜂蜜五钱,皮硝二两,萝卜汁二两,黑狗脑子一个,发酵的酒糟二两,葱白汁二两,鸡蛋清两个,将各种汁液与前文药末混合熬制成膏状。每次取三钱或五钱,摊在生布上,外加布料包裹固定在患处。由一位年老且有耐心的人,昼夜不停地用熨斗盛装微火,慢慢熨烫患处。每一贴敷贴一昼夜,等待三到五天后再换一贴。待大便中出现脓血,即为见效。积块消除后需要服用补益药物。
[Hua Tie Dan (Iron-Melting Pill)]
Eight dried plums, sixteen beans of abrus precatorius, with one bean corresponding to three peppercorns (totaling forty-eight), equal parts of green tangerine peel and aged tangerine peel each weighing two-and-a-half taels, cloves and costus root used in equal measure (each two qian), plus radish seeds, mixed into a paste using vinegar. After the process of heavy carts traveling ten li (symbolizing the potent transformation), it can dissolve hard accumulations.
Herbs: Fructus Mume (Wumei) eight pieces, Semen Abrus (Badou) sixteen pieces, Piperis Longi Fructus (Hujiao) forty-eight pieces, Pericarpium Citri Reticulatae Viride (Qingpi) and Pericarpium Citri Reticulatae (Chenpi) each five qian, Flos Caryophylli (Dingxiang) and Radix Aucklandiae (Muxiang) each two qian, Semen Raphani (Luobozhi) one liang.
Preparation and Administration: Form pills using vinegar as a binder. Adults and robust individuals take twenty-one pills; children and weak individuals take fifteen pills. Administer with salted wine generally; for heart or abdominal pain, administer with vinegar decoction; for nausea, administer with ginger decoction.
[Application for Pediatric Pi Mass]
The lesion is located under the hypochondrium on both sides. If the facial complexion is red, or if the disease extends upward to the epigastrium and downward to the umbilicus, this application method is contraindicated. Avoid chicken, fish, mutton, and lamb.
Herbs: Borneolum Syntheticum (Pian Nao, authentic) five li, Herba Centellae Asiaticae (Tougucao), Chalcanthitum (Danfan), Semen Strychnos (Mubie Ren), Calomelas (Qingfen), Squama Manis (Chuanshanjia) each one qian.
Preparation and Administration: Grind the above herbs into a fine powder. Adults use one fen; children use three to five li. Take a large copper coin, mash a single-clove garlic into a paste, spread it on the coin, sprinkle the medicine powder onto the garlic and knead it together, then place the coin with the medicine against the affected area and secure it tightly with a cloth bandage. Adults apply for the duration of one incense stick; children for half an incense stick. Upon removal, mild pain is acceptable; hearing intestinal rumbling and passing foul stools indicates efficacy. Do not eat for three shi hours after application; drink one cup of boiling water before eating.
[Jingyan Tie Pi Gao (Experience Paste for Pi Mass)]
Patients who have previously undergone acupuncture or those with severe conditions are difficult to treat. Avoid triggering foods (fa wu).
Herbs: Resina Ferulae (Awei) three qian, Scolopendra (Wugong) two pieces (roasted), Scorpio (Quanxie) three qian (roasted), Borax (Pengsha) three qian, Dracaena Sangue (Xuejie) three qian, Fructus Gardeniae (Zhizi) two liang (charred from five liang), Radix et Rhizoma Rhei (Dahuang) two liang, Aloe (Luhui) three qian, Realgar (Xionghuang) two qian, Radix Picrorhizae (Huhuanglian) two qian, Sand (Sha) three qian. All herbs must be authentic and finely ground for use.
Preparation and Administration: Mix honey five qian, Natrii Sulfas (Pixiao) two liang, Juice Radicis et Rhizomatis Raphani (Luobozhi Jiang) two liang, Brain Canis Nigrus (Heigou Naonzi) one piece, fermented wine lees (Fajiu Zao) two liang, Juice Bulbi Allii Fistulosi (Congbai Jiang) two liang, Albumen Ovi Galli (Jizi Qing) two pieces with the aforementioned powders to form a paste. Apply three or five qian per patch on raw cloth, wrap with additional cloth over the lesion. Have an elderly, patient person slowly iron the area day and night using a hot iron. Each patch remains for one full day and night; apply another patch every three to five days. The appearance of pus and blood in the stool indicates effectiveness. After the mass dissipates, administer tonic medicines.