《病源论》云∶代指者,其指先肿, 热痛,其色不黯,然后方缘爪甲边结脓,剧者
爪甲
故肿
《短剧方》治代指法∶
单煮甘草KT 之,若无甘草,纳芒硝汁渍之,但卤得一种冷药药草菜汁KT 渍之。〔今
按∶(本
《葛氏方》代指方∶
煮地榆根作汤,渍之半日,甚良。
又方∶以指刺炊饭中二七遍,良。(以上《千金方》同之。)
又方∶以泥泥指,令通匝浓一寸许,以纳热灰中炮之,泥燥候视,指皮绉者即愈也;不
绉者
《千金方》代指方∶
麻沸汤渍之,即愈。
又方∶先刺去脓血,灸 皮令温,以缠裹周匝,痛止便愈。
又方∶取萎黄葱叶煮沸,渍之。
又云∶割甲侵肉成漏不瘥方∶
敷矾石末,裹之,以瘥为限。
又方∶捣鼠粘草根,和腊月猪脂敷,取瘥止。
《新录方》代指方∶酢和热气灰封,日二三。
又方∶盐汤渍之,良。
《集验方》代指方∶
单煮甘草渍之。
又方∶用芒硝汁渍之。
《僧深方》代指方∶
作艾炷正灸痛上七壮。
《葛氏方》指忽掣痛不可堪转上入方∶
灸病指头七壮,立瘥。(《千金方》同之。)
又云∶指端忽发疮方∶
烧铁令赤,以灼之。
又云∶卒五指筋挛急不得屈伸方∶
灸手踝骨上数壮。
《千金方》指掣痛方∶
酱渍,和蜜,温涂之,愈。(《经心方》同之。)
又云∶指疼故脱方∶
猪脂和盐,煮令消,热纳指爪中,食久瘥。
医心方卷第八
医心方卷第八背记
天养二年二月以宇治入道太相国本移点。
移点∶(少内记藤原中光。)比校∶(助教清原定安。)
移点比校之间所见及之不审,直讲中原师长医博士丹波知康重成等相共合医家本,异文
殿所
宇治本
初下点∶(行盛朝臣 朱星点 墨假字)
重加点∶(重基朝臣 朱星点 假字勘物 又以朱点句于儒点)
御本不改彼样,令点移之。
以上第一页
秒(禾穗芒也,分秒定禾数,十二秒而当一粟,当一寸。《淮南子》作“KT ”。)
《诸病源候论》说:代指这种病,手指先出现肿胀、发热疼痛,肤色不发暗,随后才沿着指甲边缘化脓结痂;病情严重的会导致指甲脱落。
《短剧方》治疗代指的方法:
单独煮甘草汁浸泡患处;如果没有甘草,可以用芒硝汁浸泡;或者只要用一种性味寒凉的药草或菜汁浸泡即可。〔按语:(此处原文有缺漏)
《葛氏方》治疗代指的方子:
煮地榆根做成汤剂,浸泡患处半天,效果很好。
另一个方子:用手指在蒸饭的蒸汽中熏烤十四次,效果良好。(以上方法与《千金方》相同。)
又一个方子:用泥巴涂抹手指,厚度约一寸,将其完全包裹住,然后放入热灰中烘烤;待泥巴干燥后观察,如果手指皮肤起皱纹,说明就好了;如果不皱,则继续治疗。
《千金方》治疗代指的方子:
用沸水浸泡患处,立刻痊愈。
另一个方子:先刺破排出脓血,艾灸患处皮肤使其温热,然后用布带缠绕包裹四周,疼痛停止即愈。
又一个方子:取萎黄葱叶煮沸,浸泡患处。
又说:治疗割指甲伤及肌肉形成瘘管久不愈合的方子:
敷上矾石粉末,包扎起来,以痊愈为限。
又一个方子:捣碎鼠粘草根,与腊月猪脂混合外敷,直到痊愈为止。
《新录方》治疗代指的方子:
用醋调和热气灰进行封包,每天二三次。
另一个方子:用盐水浸泡,效果良好。
《集验方》治疗代指的方子:
单独煮甘草汁浸泡。
另一个方子:用芒硝汁浸泡。
《葛氏方》治疗手指突然剧烈掣痛不可忍受并向上蔓延的方子:
在患病手指指尖艾灸七壮,立即痊愈。(《千金方》与此相同。)
又说:治疗手指端突然生疮的方子:
烧红铁器,用它来灼烫患处。
又说:治疗突然五指筋脉拘挛紧急不能屈伸的方子:
在手踝骨上方灸数壮。
《千金方》治疗手指掣痛的方子:
用酱浸泡,调和蜂蜜,温热后涂抹患处,即可痊愈。(《经心方》与此相同。)
又说:治疗手指疼痛导致指甲脱落的方子:
用猪脂和盐,煮至融化,趁热纳入指甲缝隙中,放置较长时间后可痊愈。
医心方卷第八
医心方卷第八背记
天养二年二月,由宇治入道太政大臣本移点校对。
移点人:(少内记藤原中光。)比校人:(助教清原定安。)
在移点和比校过程中所见到的以及未审察清楚的地方,直讲中原师长、医博士丹波知康等人共同合参医家底本,异文之处……
宇治本
初下点:(行盛朝臣 朱星点 墨假字)
重加点:(重基朝臣 朱星点 假字勘物 又以朱点句于儒点)
御本不改其样式,令点移之。
以上第一页
秒(禾穗芒也,分秒定禾数,十二秒而当一粟,当一寸。《淮南子》作“KT”。)
According to the *Bing Yuan Lun* (Treatise on Disease Etiology), Dai Zhi (Nail Paronychia) is characterized by initial swelling of the finger, accompanied by heat and pain, with the skin color not appearing dark. Subsequently, pus forms along the edge of the nail; in severe cases, the nail may fall off.
The *Duan Ju Fang* (Short Drama Formulas) method for treating Dai Zhi:
Boil Licorice Root (*Gancao*) alone and soak the affected area. If Licorice Root is unavailable, soak it in the juice of Mirabilite (*Mangxiao*). Alternatively, soaking in the juice of any single cold-natured medicinal herb or vegetable is sufficient. [Note: (Text missing here)]
The *Ge Shi Fang* (Formulas by Master Ge) for treating Dai Zhi:
Decoct the root of Sanguisorba Officinalis (*Diyu*) to make a decoction, and soak the affected area for half a day; this is very effective.
Another formula: Insert the finger into the steam of steaming rice fourteen times; this is effective. (This matches the *Qian Jin Fang*.)
Another formula: Apply mud to the finger, covering it completely to a thickness of about one cun, then place it in hot ashes to roast. Observe when the mud dries; if the finger skin wrinkles, it is cured; if not, continue treatment.
The *Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) formulas for treating Dai Zhi:
Soak in boiling water, and it will heal immediately.
Another formula: First puncture to drain pus and blood, then moxa the skin of the affected area until warm, wrap it tightly all around, and it will heal once the pain stops.
Another formula: Boil yellow scallion leaves (*Weihuang Congye*) and soak the affected area.
Also stated: For treating nail trimming that cuts into the flesh, forming a fistula that does not heal:
Apply powder of Alum (*Fanshi*), wrap it, and continue until healed.
Another formula: Crush the root of Arctium Lappa (*Shuniuzi*) and mix with lard from the twelfth lunar month for topical application, until healed.
The *Xin Lu Fang* (Newly Recorded Formulas) for treating Dai Zhi:
Seal the area with ash mixed with vinegar, two or three times daily.
Another formula: Soak in salt water; this is effective.
The *Ji Yan Fang* (Collected Proven Formulas) for treating Dai Zhi:
Soak in a decoction of Licorice Root (*Gancao*) alone.
Another formula: Soak in the juice of Mirabilite (*Mangxiao*).
The *Seng Shen Fang* (Monk Shen's Formulas) for treating Dai Zhi:
Make mugwort cones and apply direct moxibustion seven moxa cones directly on the painful spot.
The *Ge Shi Fang* for sudden unbearable pulling pain in the finger spreading upwards:
Apply seven moxa cones to the tip of the diseased finger; it will heal immediately. (Matches the *Qian Jin Fang*.)
Also stated: For sores suddenly appearing at the fingertip:
Heat an iron tool until red-hot and cauterize the lesion.
Also stated: For sudden spasm and stiffness of the five fingers preventing flexion and extension:
Apply several moxa cones above the wrist bone.
The *Qian Jin Fang* formula for finger pulling pain:
Soak in sauce, mix with honey, apply warm topically, and it will heal. (Matches the *Jing Xin Fang*.)
Also stated: For finger pain causing nail detachment:
Cook lard and salt together until melted, insert the hot mixture into the nail groove, leave it for a long time, and it will heal.
Medical Heart Formulas, Volume 8
Postscript to Medical Heart Formulas, Volume 8
Transcribed and collated in the second month of Tianyang Year 2 from the original manuscript of Prince Uji Nyudo Dajo Kanpaku.
Transcriber: (Shonaini Fujiwara Nakamitsu.) Collator: (Assistant Instructor Kiyohara Sadazane.)
During transcription and collation, discrepancies found were reconciled by Chokko Nakahara Shihan and Medical Doctor Tanba no Tomiyasu, who jointly consulted medical manuscripts...
Uji Manuscript
Initial annotations: (Arihito no Asomi - Red star marks, black kana)
Re-annotations: (Shigeyoshi no Asomi - Red star marks, kana verification, also punctuated sentences with red marks over Confucian punctuation)
The Imperial Original was not altered in style but annotated accordingly.
Above is the first page.
Miao (The awn of a grain ear; used to measure grains, twelve miao equal one su, which equals one cun. The *Huainanzi* writes it as "KT".)