诸疮惟疔毒为甚,而杀人亦速。古云∶疔有十三种,种各不同,内三十六疔,满其数即不可救。亦有不满其数而死
者,乃毒瓦斯走散故也。若痘毒染人,发于头面或遍身者,又非此类。在小儿多因乳母食有毒之物,或儿卒中饮食之毒,
或感四时不正之气,皆能致之。其疮多生头面、四肢,形色不一,或如小疮,或如水泡,或痛或痒,或麻木不仁,外症
寒热,呕吐恶心,肢体拘急。大要当分邪之在表在里,急用隔蒜灸法, 解毒之剂。若不省人事,牙关紧闭,急以夺命
丹为末,熟酒调灌。如食生冷之物,或用凉水淋洗,则轻者难愈,重者不治。其生于两足者,多有红丝至脐。生于两手
者,多有红丝至心。生于唇口之内者,多有红丝入喉。急用针挑,出恶血以泄其毒,可保无虞。其在偏僻之处,药难导
达者,惟灸法有回生之功,若投峻厉之剂,是促其危矣。小儿肌肉脆嫩,且不能言痛否,灸法须将蒜切薄片着肉,一面
略剜少空,灼艾灸蒜,先置大人臂上,试其冷热得宜,然后移着疮上,又别灼艾如前法试之,以待相易,勿令间歇。
毗陵金文冶子,将周岁,唇上患疔,余用活命饮,母子并服,更欲隔蒜灸,彼不从,见肿势益盛,勉灸数壮,余诫
以多灸为佳,又为人所阻而止,头面益肿,乃复灸五十余壮,肿势渐消。时与乳母服活命饮,疮出黄水,翌日,溃而得
生。
一小儿三岁,手患紫疔二颗,寒热作痛,用仙方活命饮,
半杯而愈。数日后手臂俱肿,乃用隔蒜灸,服前药而愈。
一小儿足患之,呕吐腹胀,二日不食,欲用护心散,诊气口脉大,审其大便所出皆酸秽,余曰∶此饮食停滞耳,非
疮毒内攻也。若用护心等剂则误矣,急投保和丸二服,及隔蒜灸而愈。其时同患是症,用护心、败毒之剂者,俱致不救。
一小儿面上患之,寒热发搐,此热极而肝火动也。用荆防败毒散,及隔蒜灸,搐止热退,更服异功散加升麻、柴胡、
桔梗而愈。
一小儿患于胸,外敷寒凉,内服败毒,更欲呕不食,面色痿黄,右关脉浮数,按之微细,此脾胃复伤所致也,急用
隔蒜灸,服异功散,倍加白术、半夏,翌日又服活命饮而愈。
一小儿患前症,服败毒之药,作呕不食,余谓胃气复伤,不信,另服护心散,呕甚,神思沉困,手足并冷,脉微细
如无,急用五味异功散加干姜,二服呕止食进,去姜又四服而愈。夫护心散,皆寒凉之药,乃宋人为服丹砂蓄热发疽者
而设。胃气有伤,即当温补,多因此药,停于胸隔,惟觉阴冷作呕沉困者,世人皆谓毒瓦斯攻心,而遂概用之,其鲜有不
败事者矣。
一小儿手背患此,敷服皆寒凉之剂,腹胀痰喘,泻粪秽臭,余谓脾胃复伤而饮食停滞也,不信,仍服治疮之药而殁。
一小儿臂患之,色赤肿起,恪用化毒丹、铁箍散,肿处顿平,肉色白陷,再日色黯,痰喘气促,余谓疮毒反入于内
也,辞不治。果殁。
飞龙夺命丹 治疮毒发背脑疽等症。
真蟾蜍(干者酒化) 轻粉 枯白矾 寒水石 铜碌 乳香 没药 麝香 朱砂(各六钱) 蜗牛(四十个另研,
如无亦可)
上各为末,入蟾酥蜗牛,或加酒少许糊丸,绿豆大。每
服一二丸,温酒或葱汤下,重者外用隔蒜灸法。
荆防败毒散 即人参败毒散加荆芥、防风。(方见流注)
保和丸(方见发热不止)
五味异功散(方见败毒之药)
仙方活命饮(方见热毒疮疡)
各种疮疡中,疔毒最为严重,致死速度也最快。古语说:疔有十三种,种类各不相同,其中三十六疔若发作满数则不可救治。也有未达满数而死者,这是因为毒瓦斯走散所致。如果是痘毒传染于人,发于头面或遍身的,又不属于此类。在小儿身上多因乳母食用有毒之物,或小儿突然摄入饮食之毒,或感受四时不正之气,都能导致此病。其疮多生于头面、四肢,形色不一,有的像小疮,有的像水泡,或痛或痒,或麻木不仁,外症表现为寒热交替,呕吐恶心,肢体拘急。大要应当分辨邪气在表还是在里,紧急使用隔蒜灸法,配合解毒的药剂。如果神志不清,牙关紧闭,紧急将夺命丹研为末,用熟酒调匀灌服。如食用生冷之物,或用凉水淋洗,则轻者难愈,重者不治。生于两足的,多有红丝延伸至脐部。生于两手的,多有红丝延伸至心部。生于唇口之内的,多有红丝深入咽喉。紧急用针挑破,放出恶血以泄其毒,可保无虞。如果在偏僻之处,药物难以导达病灶,只有灸法有起死回生的功效,若投用峻烈猛厉的药剂,是加速其死亡。小儿肌肉脆嫩,且不能表达疼痛与否,施灸时必须将蒜切成薄片贴在肉上,中间略挖空少许,将艾炷放在蒜上灼烧,先放在大人手臂上试其冷热适宜,然后移到疮上,另外再灼艾如前法测试,以便随时更换,不要令其间断。
毗陵金文冶的儿子,将近周岁,唇上患疔,我用活命饮,让母子一起服用,又建议隔蒜灸,他不听从,见肿势更加旺盛,勉强灸了几壮,我告诫他多灸为佳,又被他人阻止而停止,头面更加肿胀,于是再次灸五十余壮,肿势逐渐消退。当时让乳母和我一同服用活命饮,疮流出黄水,第二天,溃破而得生。
一个三岁小儿,手上患紫疔两颗,寒热作痛,用仙方活命饮,半杯即愈。数日后手臂全部肿胀,于是用隔蒜灸,服用前面的药而愈。
一个小儿足部患此病,呕吐腹胀,两天不进食,想用护心散,诊察气口脉大,审察其大便排出皆酸秽,我说:这是饮食停滞罢了,不是疮毒内攻。如果用护心等药剂就错了,紧急投保和丸二服,以及隔蒜灸而愈。当时同样患此症的,用护心、败毒药剂的,都导致无法救治。
一个小儿面部患此病,寒热发搐,这是热极而肝火动也。用荆防败毒散,以及隔蒜灸,抽搐停止热退,再服用异功散加升麻、柴胡、桔梗而愈。
一个小儿胸部患此病,外敷寒凉药,内服败毒药,更想呕吐不食,面色萎黄,右关脉浮数,按之微细,这是脾胃再次受伤所致,紧急用隔蒜灸,服用异功散,倍加白术、半夏,第二天又服用活命饮而愈。
一个小儿患前述病症,服用败毒药物,作呕不食,我说胃气再次受伤,他不信,另服护心散,呕吐严重,神思沉困,手足并冷,脉微细如无,紧急用五味异功散加干姜,二服后呕吐停止进食增加,去掉干姜又服四剂而愈。夫护心散,都是寒凉药物,是宋人为服用丹砂蓄热发疽者所设。胃气有伤,即当温补,多因此药停于胸膈,只觉阴冷作呕沉困的人,世人都谓毒瓦斯攻心,而遂概用之,很少有不败事的。
一个小儿手背患此病,敷服皆是寒凉药剂,腹胀痰喘,泻粪秽臭,我说脾胃再次受伤而饮食停滞,他不信,仍服治疮的药而死。
一个小儿手臂患此病,色赤肿起,严格使用化毒丹、铁箍散,肿处顿平,肉色白陷,第二天色黯,痰喘气促,我说疮毒反入于内,推辞不治。果然死亡。
飞龙夺命丹 治疗疮毒发背脑疽等症。
真蟾蜍(干者酒化) 轻粉 枯白矾 寒水石 铜绿 乳香 没药 麝香 朱砂(各六钱) 蜗牛(四十个另研,如无亦可)
以上各为末,加入蟾酥蜗牛,或加少许酒糊丸,绿豆大。每服一二丸,温酒或葱汤送下,重者外用隔蒜灸法。
荆防败毒散 即人参败毒散加荆芥、防风。(方见流注)
保和丸(方见发热不止)
五味异功散(方见败毒之药)
仙方活命饮(方见热毒疮疡)
Among all sores, Ding poison (Ding carbuncle) is the most severe and kills fastest. Ancient texts state: There are thirteen types of Ding, each different; if the thirty-six Ding conditions reach their full count, they are incurable. Some die before reaching the full count due to the dispersion of toxic vapors. If it is smallpox toxin infecting a person, appearing on the head, face, or all over the body, it does not belong to this category. In children, it is often caused by the nursing mother consuming toxic substances, the child suddenly ingesting dietary toxins, or contracting abnormal Qi of the four seasons. The sores mostly appear on the head, face, and limbs, with varying colors and shapes: some resemble small sores, others blisters; symptoms include pain, itching, numbness, and insensitivity. External signs include alternating chills and fever, vomiting, nausea, and limb stiffness. Generally, one must distinguish whether the pathogen is in the exterior or interior, urgently employing Garlic-Separated Moxibustion (Ge Suan Jiu) and detoxifying formulas. If consciousness is lost and the jaw is clenched, urgently administer Duoming Dan (Life-Rescuing Pill) powder mixed with warm wine for灌服 (forced administration). If cold/raw foods are consumed or cold water is used for washing, mild cases become difficult to cure, and severe cases become untreatable. When occurring on both feet, red threads often extend to the navel; on both hands, to the heart region; inside the lips and mouth, into the throat. Urgently puncture with a needle to release evil blood and drain the toxin, ensuring safety. In remote areas where medicines cannot easily reach the lesion, only moxibustion has the power to revive the dying; using harsh and potent drugs would hasten death. Children have tender skin and cannot express pain. For moxibustion, slice garlic thinly and place it on the skin, hollowing it slightly in the center. Place the moxa cone on the garlic and burn it. First test the temperature on an adult's arm to ensure comfort, then move it to the sore. Prepare another moxa cone as before to swap when necessary, avoiding interruption.
Jin Wenyе's son from Biling, nearly one year old, developed a Ding on his upper lip. I prescribed Huoming Yin (Living Death Decoction), administered to both mother and child, and suggested Garlic-Separated Moxibustion. He refused. Seeing the swelling worsen, he reluctantly underwent several moxa cones. I advised more moxibustion was better, but he was dissuaded by others. His head and face swelled further, so he underwent over fifty moxa cones, after which the swelling gradually subsided. Meanwhile, the mother and child took Huoming Yin. The sore exuded yellow fluid, ulcerated the next day, and he survived.
A three-year-old child had two purple Dings on the hand, accompanied by chills, fever, and pain. Xianfang Huoming Yin (Immortal Formula for Rescuing Life Decoction) cured him with half a cup. Days later, his entire arm swelled. He was treated with Garlic-Separated Moxibustion and the previous formula, resulting in recovery.
A child suffered from this condition on the foot, with vomiting, abdominal distension, and no food intake for two days. I considered using Huxin San (Heart-Protecting Powder). Palpating the Qi-kou pulse revealed it was large. Examining the stool showed it was sour and foul. I stated: This is food stagnation, not internal attack by sore toxin. Using Huxin San would be a mistake. Urgently administer Bahe Wan (Harmony-Preserving Pill) twice, along with Garlic-Separated Moxibustion, leading to recovery. At that time, others with similar symptoms who used Huxin San or detoxifying agents failed to survive.
A child developed this on the face, with chills, fever, and convulsions. This indicated extreme heat stirring Liver Fire. Jingfang Baidu San (Schizonepeta and Saposhnikovia Detoxifying Powder) and Garlic-Separated Moxibustion stopped the convulsions and reduced the fever. Subsequently, Yigong San (Extraordinary Efficacy Powder) with Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), and Jiegeng (Platycodonis Radix) led to recovery.
A child developed this on the chest. After applying cold-natured external remedies and taking detoxifying internal medicine, he experienced retching, anorexia, and sallow complexion. The Right Guan pulse was floating and rapid, but fine upon pressure. This indicated secondary injury to the Spleen and Stomach. Urgent Garlic-Separated Moxibustion and Yigong San with doubled Baizhu (Atractylodis Macrocephalae Rhizoma) and Banxia (Pinelliae Tuber) were used. The next day, Huoming Yin was taken, leading to recovery.
A child suffering from the aforementioned condition took detoxifying herbs, resulting in vomiting and anorexia. I attributed this to secondary injury of Stomach Qi. He did not believe me and took Huxin San instead. Vomiting worsened, mental spirit became depressed and lethargic, extremities turned cold, and the pulse became minute and faint, almost imperceptible. Urgently administer Wumei Yigong San (Five-Ingredient Extraordinary Efficacy Powder) with Ganjiang (Zingiberis Rhizoma). After two doses, vomiting ceased and appetite returned. Removing Ganjiang and taking four more doses led to recovery. Huxin San consists of cold-cleared herbs, originally designed by Song dynasty physicians for those developing abscesses due to heat accumulation from cinnabar ingestion. When Stomach Qi is injured, warming and tonification are required. However, many people suffer from chest oppression, cold sensations, vomiting, and lethargy because the herb remains in the chest/diaphragm. People mistakenly attribute this to "toxic vapor attacking the heart" and indiscriminately use it, rarely without causing failure.
A child developed this on the back of the hand. Both topical and internal treatments were cold-natured. He developed abdominal distension, phlegm, wheezing, and foul-smelling diarrhea. I diagnosed secondary Spleen/Stomach injury with food stagnation. He did not believe me, continued taking sore-treatment herbs, and died.
A child developed this on the arm, with redness and swelling. Strictly using Huodu Dan (Toxin-Dissipating Pill) and Tiegu San (Iron-Hoop Powder) flattened the swelling, but the flesh became white and sunken. The next day, the color darkened, accompanied by phlegm, wheezing, and shortness of breath. I diagnosed the toxin retreating inward and declined treatment. He subsequently died.
Feilong Duoming Dan (Flying Dragon Life-Rescuing Pill): Treats sore toxins, carbuncles on the back, brain abscesses, etc.
True Toad (dried, dissolved in wine) 6 qian, Qingfen (Calomel) 6 qian, Kubaifan (Calcined Alum) 6 qian, Hanshuishi (Aqua Marina) 6 qian, Tonglu (Chalcanthite) 6 qian, Ruxiang (Frankincense) 6 qian, Moyao (Myrrh) 6 qian, Zhusha (Cinnabar) 6 qian, Woniu (Snail) 40 pieces (ground separately, optional if unavailable).
Grind all into powder, mix with Chan Su (Toad Venom) and Woniu, add a little wine to make pills the size of mung beans. Take 1-2 pills with warm wine or scallion decoction. For severe cases, use external Garlic-Separated Moxibustion.
Jingfang Baidu San: Ren Shen Baidu San (Ginseng Detoxifying Powder) plus Jingjie (Schizonepetae Herba) and Fangfeng (Saposhnikoviae Radix). (Formula see Liuzhu)
Bahe Wan: (Formula see Fever Unceasing)
Wumei Yigong San: (Formula see Detoxifying Drugs)
Xianfang Huoming Yin: (Formula see Heat-Toxin Sores)