《病源论》云∶恶肉者,身里忽有肉如赤豆粒突出,细细长乃如牛马乳大,亦如鸡冠之
状,不痛也,亦久不治,长不已。春冬被恶风所伤,风入肌肉,结瘀血积而生也。
《短剧方》云∶有恶肉病,身中忽有肉如赤豆粒突出,便长推出不息,如牛马乳,亦如
鸡冠状也。不治其为自推出不肯止,亦不痛痒也。此由春冬时,受恶风入肌脉中变成此疾也。
治之宜服漏芦汤,外烧铁烁之,日日稍烁令焦尽也。烁竟以升麻膏敷之,积日乃瘥耳。
(今按∶漏芦汤、升麻膏在治丹之方。)
《病源论》云∶恶脉者,身里忽有赤络,脉起 聚如死蚯蚓状。看如似有水在脉中,
长短皆逐其,络脉所出见是也。由春冬受恶风,入络脉中,其血瘀结所作也。
《短剧方》治恶脉病方∶
宜服五香连翘汤及竹沥汤, 去恶血,敷丹参膏,积日则瘥。亦以白雄鸡屎涂之。(《集
验方》同之。)
《刘涓子方》治恶脉肿毒方∶
乌扇(二两) 升麻(二两,生者用一两) 栀子(十四枚,擘破)
上三物,切,以酒三升,煮取一升半,分为再服,以滓敷肿上甚良。
又云∶升麻汤治恶脉毒肿方∶
升麻(一两) 吴茱萸(一两) 薰陆香(二两) 鸡香舌(一两) 雄黄(一两) 鳖
甲(一两,炙) 甘草(一两) 乌扇(三两) 青木香(一两)
上九物,以水七升煮取二升半,适寒温,分三服,相去一里。治脉肿神良。(今按∶升
麻汤,又有《短剧》治丹之方,药种与此不同。)
《诸病源候论》说:恶肉这种病,身体内部忽然长出像赤豆粒大小的肉块突出体外,细细长长如同牛马乳房大小,形状也像鸡冠。这种肉块不疼痛,如果长期不治疗,就会不断生长不止。这是因为在春冬季节受到恶风侵袭,风邪侵入肌肉,导致瘀血积聚而形成的。
《短剧方》说:有一种恶肉病,身体中忽然长出像赤豆粒大小的肉块突出,随后持续向外推挤生长不止,大小如同牛马乳房,形状也像鸡冠状。如果不治疗,它就会自行推挤生长不肯停止,而且也不痛不痒。这是由于在春冬时节,受恶风侵入肌脉之中而变成这种疾病的。
治疗此病适宜服用漏芦汤(Loulou Decoction),外用烧红的铁器烙烫患处,每天逐渐烙烫直到焦枯为止。烙烫结束后,涂抹升麻膏(Shengma Ointment),经过多日才能痊愈。(按语:漏芦汤、升麻膏记载于治疗丹毒的方剂章节中。)
《诸病源候论》说:恶脉这种病,身体内部忽然出现红色的络脉,脉络隆起聚集在一起,形状像死蚯蚓一样。看起来好像有液体在脉络中流动,长短不一,随着络脉的走向显现出来。这是由于春冬季节受恶风侵袭,风邪进入络脉,导致血液瘀结而造成的。
《短剧方》中治疗恶脉病的方子:
适宜服用五香连翘汤(Wuxiang Liaoqiao Decoction)及竹沥汤(Zhuli Decoction),以去除恶血,并外敷丹参膏(Danshen Ointment),经过多日即可痊愈。也可以用白雄鸡屎涂抹患处。(《集验方》与此相同。)
《刘涓子方》中治疗恶脉肿毒的方子:
乌扇(二两) 升麻(二两,生用一两) 栀子(十四枚,掰破)
以上三味药,切碎,用酒三升,煮取一升半药液,分两次服用,并将药渣敷在肿胀处,效果很好。
又说:升麻汤(Shengma Decoction)治疗恶脉毒肿的方子:
升麻(一两) 吴茱萸(一两) 薰陆香(二两) 鸡香舌(一两) 雄黄(一两) 鳖甲(一两,炙烤) 甘草(一两) 乌扇(三两) 青木香(一两)
以上九味药,用水七升,煮取二升半药液,待温度适宜时,分三次服用,每次服药间隔约走一里的路程时间。治疗脉肿非常灵验。(按语:升麻汤,另有《短剧方》中治疗丹毒的方子,药物种类与此不同。)
The *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: Regarding "E Rou" (Malignant Flesh), a fleshy protuberance suddenly appears within the body, resembling a red bean in size. It grows slender and long, comparable to the size of a cow or horse's udder, and its shape resembles that of a rooster's comb. It is painless. If left untreated for a long time, it will continue to grow indefinitely. This condition arises from exposure to pathogenic wind during spring and winter; the wind enters the muscles, causing blood stasis to accumulate and form the lesion.
The *Duanju Fang* (Short Formulas) states: There is a disease called "E Rou" (Malignant Flesh), where a fleshy protuberance suddenly emerges from the body like a red bean, continuously pushing outward without stopping. It is as large as a cow or horse's udder and shaped like a rooster's comb. If not treated, it will self-propel and grow incessantly, yet it remains neither painful nor itchy. This results from pathogenic wind invading the muscle channels during spring and winter, transforming into this ailment.
Treatment should involve taking Loulu Tang (Cistanche Decoction) internally, and externally cauterizing the area with a heated iron tool daily until it becomes charred. After cauterization, apply Shengma Gao (Cimicifuga Unguent); recovery will occur after several days. (Note: Loulu Tang and Shengma Gao are found in the section treating Dan Du [Carbuncle].)
The *Zhubing Yuanhou Lun* states: Regarding "E Mai" (Malignant Veins), red collaterals suddenly appear within the body. The veins rise and cluster together, resembling dead earthworms. They appear as if fluid is present within the vessels, varying in length, manifesting along the course of the collateral channels. This is caused by pathogenic wind entering the collaterals during spring and winter, leading to blood stasis and coagulation.
The *Duanju Fang* provides a formula for treating E Mai Bing (Malignant Vein Disease):
It is suitable to take Wuxiang Liaoqiao Tang (Five-Aromatic Forsythia Decoction) and Zhuli Tang (Bamboo Sap Decoction) to expel malignant blood, and apply Danshen Gao (Salvia Miltiorrhiza Unguent). Recovery will occur after several days. Alternatively, white male chicken droppings can be applied topically. (This matches the *Jiyan Fang*.)
The *Liu Juanzi Fang* provides a formula for treating E Mai Zhongdu (Malignant Vein Swelling and Toxicity):
Wushan (2 liang), Shengma (2 liang, use 1 liang raw), Zhizi (14 seeds, broken open).
Cut these three herbs, boil in 3 sheng of wine to obtain 1.5 sheng of liquid. Divide into two doses. Apply the dregs to the swelling; this is very effective.
It also states: Shengma Tang (Cimicifuga Decoction) for treating E Mai Duzhong (Malignant Vein Toxic Swelling):
Shengma (1 liang), Wu Zhu Yu (1 liang), Xunlu Xiang (Frankincense) (2 liang), Jixiang She (1 liang), Xionghuang (Realgar) (1 liang), Biejia (Tartar Testudinis) (1 liang, roasted), Gancao (Licorice Root) (1 liang), Wushan (3 liang), Qingmuxiang (Aucklandiae Radix) (1 liang).
Boil these nine herbs in 7 sheng of water to obtain 2.5 sheng of liquid. When the temperature is suitable, divide into three doses. Take them at intervals equivalent to walking one li. This is highly effective for treating vein swelling. (Note: Shengma Tang, as cited in the *Duanju* for treating Dan Du [Carbuncle], contains different herbal ingredients.)