附骨疽,肉里浮肿,而皮色不变也。宜用艾炷灸之,俾其转阴为阳乃吉。若生于膝上三
寸,名曰伏兔疽,法在不治。
蛇头毒,手足指肿,大如蛇头也。宜用艾炷,隔蒜灸之。以雄黄、白芷,等分为末,同大
蒜捣烂炙之,或嚼生栗,敷之亦效。
脱疽,生于手足指,肿大如蛇头也,肿腐溃烂,掺以海浮散,贴以万全膏。
疮,生于足之内外 ,宜服生熟地黄丸,并敷海浮散,贴以万全膏。若湿热甚,而溃
烂不收口者,于海浮散内,加入黄柏散,同敷立效。
肠痈,有生于肠内者,腹内胀急,大小便牵痛如淋,转侧摇之作水声,溃后则脓从大便
出。有生于肠外者,当脐肿痛,腹皮胀急,溃后则脓自脐出,甚则穿溃大肠,食虫亦自脐出
势难为矣。初起宜用千金牡丹皮散以消之。既溃,则用参耆内托之剂。
丹皮(五钱) 苡仁(一两) 栝蒌仁(去油,三钱) 桃仁(去皮尖研,二十枚
水煎服。
(脏毒 内痔 外痔 脱肛)
悬痈,生于肾囊之后,肛门之前,又名海底漏,最难收功。脏毒,生于肛门之两旁。初
时肿痛,总由湿热相火,内灼庚金而然者,宜服国老散、加减地黄丸,并敷海浮
散,贴膏药,此一定之治法也。内痔外痔,亦并可服前药,洗以忍冬藤、菖蒲草,兼用田螺水
搽之,可以立消。脱肛属气虚,补中益气汤。亦有血虚火旺者,四物汤加升麻。
附骨疽,表现为肌肉深层浮肿,但皮肤颜色没有改变。适宜用艾炷进行艾灸,使其由阴证转为阳证,这样才是吉兆。如果病灶生在膝盖上方三寸处,称为伏兔疽,治疗法则属于难治之症。
蛇头毒,表现为手足指头肿胀,大得像蛇头一样。适宜用艾炷,隔着蒜片进行艾灸。将雄黄、白芷按等份研成粉末,与大蒜一起捣烂后敷在患处并施灸,或者嚼碎生栗子敷在患处也有效。
脱疽,生于手足指头,肿大像蛇头一样,肿胀腐烂溃烂,撒上海浮散,贴上万全膏。
疮(此处指足部特定疮疡),生于足部的内侧或外侧,适宜服用生熟地黄丸,并外敷海浮散,贴上万全膏。如果湿热很重,且溃烂后伤口不愈合的,在海浮散中加入黄柏散,一同外敷,立刻见效。
肠痈,有长在肠道内部的,腹部胀满急迫,大小便时牵引疼痛如同淋病,身体转动摇晃时腹部发出水声,溃破后脓液从大便排出。有长在肠道外部的,肚脐周围肿痛,腹皮胀满急迫,溃破后脓液从肚脐流出,严重时穿透大肠,连食虫也从肚脐流出,这就很难救治了。初起时适宜用千金牡丹皮散来消散它。已经溃破后,则使用人参、黄芪内托的方剂。
丹皮(五钱) 薏苡仁(一两) 瓜蒌仁(去油,三钱) 桃仁(去皮尖研碎,二十枚) 水煎服。
(脏毒 内痔 外痔 脱肛)
悬痈,生于肾囊之后,肛门之前,又名海底漏,最难治愈收功。脏毒,生于肛门的两旁。初起时肿痛,总归是由湿热相火,在内灼伤肺金(庚金)所致,适宜服用国老散、加减地黄丸,并外敷海浮散,贴膏药,这是固定的治疗方法。内痔外痔,也可以服用前面的药物,用忍冬藤、菖蒲草清洗,兼用田螺水擦拭,可以立刻消除。脱肛属于气虚,用补中益气汤。也有血虚火旺的,用四物汤加升麻。
Fugu Ju (Abscess attached to the bone) presents with swelling in the deep muscle layers, while the skin color remains unchanged. It is appropriate to use moxa cones for moxibustion, aiming to transform the condition from a Yin syndrome to a Yang syndrome, which is auspicious. If it occurs three cun above the knee, it is named Fubu Ju (Abscess at the thigh rabbit area), and the treatment principle indicates it is difficult to cure.
Shetou Du (Poison resembling a snake's head) presents with swelling of the fingers on the hands or feet, large as a snake's head. It is appropriate to use moxa cones for moxibustion through garlic slices. Equal parts of Xionghuang (Realgar) and Baizhi (Angelicae Dahuricae Radix) are ground into powder, mixed with garlic, pounded into a paste, applied to the affected area, and then moxibusted. Alternatively, chewing raw chestnuts and applying them to the site is also effective.
Tuoju (Gangrene of the digits) occurs on the fingers of the hands or feet, swelling like a snake's head, with swelling, putrefaction, and ulceration. Hai Fu San (Sea Floating Powder) should be sprinkled on the wound, and Wan Quan Gao (Wan Quan Ointment) should be applied.
Chuang (Ulcer/Canker) occurring on the medial or lateral aspects of the foot: It is appropriate to take Sheng Shu Di Huang Wan (Raw and Prepared Rehmannia Pill) and externally apply Hai Fu San (Sea Floating Powder) and Wan Quan Gao (Wan Quan Ointment). If damp-heat is severe and the ulcer fails to heal, add Huang Bai San (Phellodendron Powder) to Hai Fu San (Sea Floating Powder) for external application, which yields immediate results.
Chang Yong (Intestinal Abscess): Some occur inside the intestines, presenting with abdominal distension and urgency, pulling pain during defecation and urination similar to strangury (Lin syndrome), and water-sloshing sounds in the abdomen upon turning or shaking. After rupture, pus discharges via the stool. Others occur outside the intestines, presenting with swelling and pain around the umbilicus and abdominal wall tension. After rupture, pus discharges from the umbilicus; if severe, it may perforate the large intestine, causing intestinal worms to discharge from the umbilicus, making it difficult to treat. In the initial stage, Qianjin Mudan Pi San (Million-Gold Moutan Cortex Powder) is used to dissipate the abscess. After rupture, formulas containing Renshen (Ginseng Root) and Huangqi (Astragali Radix) for internal support are used.
Mudanpi (Cortex Moutan) (5 qian), Yiren (Semen Coicis) (1 liang), Gualouren (Pericarpium Trichosanthis) (3 qian, oil removed), Taoren (Semen Persicae) (20 seeds, skin and tips removed, crushed). Decoct in water and take orally.
(Zangdu Internal Hemorrhoids External Hemorrhoids Rectal Prolapse)
Xuanyong (Hanging Sore) occurs behind the scrotum and in front of the anus, also known as Haidi Lou (Underwater Leak), and is the most difficult to cure successfully. Zangdu (Visceral Toxin) occurs on both sides of the anus. Initially presenting with swelling and pain, it is generally caused by damp-heat and ministerial fire burning internally, damaging Metal (Lung). It is appropriate to take Guolao San (Old Man Powder) and Jiadi Dihuang Wan (Modified Rehmannia Pill), and externally apply Hai Fu San (Sea Floating Powder) and medicated plasters. This is a fixed treatment method. For internal and external hemorrhoids, the aforementioned medicines can also be taken, washed with Rendongteng (Lonicerae Japonicae Caulis) and Changpu Cao (Acori Tatarinowii Rhizoma), and rubbed with Snail Water, which can eliminate the condition immediately. Rectal prolapse belongs to Qi deficiency, treated with Buzhong Yiqi Tang (Middle-Boosting Qi-Supplementing Decoction). There are also cases of Blood deficiency with Fire hyperactivity, treated with Siwu Tang (Four Substances Decoction) plus Shengma (Cimicifugae Rhizoma).