《录验方》云∶解散除热,热结肿坚,起始欲作痈,大黄汤方∶
升麻 大黄 夕药 枳实(各二两) 黄芩(三两) 甘草 当归(各一两)
凡七物,以水八升,煮取二升半,分三服。快下,肿即消。(《短剧方》云∶升麻汤。)
《千金方》云∶痈疽发背,皆由服五石、寒食、更生散所致,亦有单服钟乳而发者。又
有生平未服石而自发者,此是上世有服之者,其候稍多。
又云∶养生者,小觉背上痈痒有异,即取净土水和作泥,捻(都念反)作饼子,径一寸
半,浓二分,以粗艾作炷(音主,下同),灸泥上灸之。一炷一易。饼子若粟米大时可灸七
饼,若如榆荚大,灸七炷即瘥。若至钱许大,日夜灸不住即瘥。
又云∶恒冷水射之,渍冷石熨之,日夜勿止,待瘥住手。
《庞氏论》云∶凡诸服草石散者,皆不可灸身体,令人喜发炎疽疮也。若体有疮不可温
治也。唯以水渍布贴之,烧李子中人作膏,以摩疮上,诸洗如故。薛侍郎云∶若发疮及肿,
但服五香连翘汤等。(在《短剧》治恶脉方。)
又云∶若肿有根,坚如铁石,带赤色者,服汤仍以小,小艾炷当肿上灸一两炷为佳。
皇甫谧云∶或周体悉肿,不能自转,从坐久停息,不饮酒,药气沉在皮肤之内,血脉不
通故也。饮酒冷洗,自劳行步即瘥。不能行者,使健人扶曳行之。
《秦承祖方》云∶凡药发之后,身体浮肿,多取冷所致,甘草汤方∶
甘草(三两,炙) 栀子(十四枚)
凡二物,以汤五升,煮取一升半,分再服。
又云∶疗散发赤肿贴方∶
黄芩(四两) 鸡子(四枚) 吴茱萸(四两)
凡三物,捣下粗筛,以水一升,合鸡子白于器搅之,令沸出,染巾,贴肿上,温复易之,
数十过。
《千金方》云∶若从脚肿向上稍进入腹则杀人方∶
赤小豆(一斗)
以水三斗,煮烂出豆,以渍脚膝以下,日一,数日为之,愈矣。
又云∶若已入腹者,不须渍煮豆食之,断一切姜菜饮食米曲,唯只食豆一物,渴饮汁,
瘥乃止。
又云∶散发赤肿摩膏方∶
生地黄(五两) 大黄(一两) 木(李。杏,或本此字)仁(三十枚) 生章陆(三
两)
四味,切,酢渍一宿,猪脂一升,煎章陆黑,去滓,摩之,日三夜一。
《录验方》记载:用于解散热邪、消除因热结导致的坚硬肿胀,在痈疽初起阶段使用的“大黄汤”处方如下:
升麻、大黄、芍药(此处原文作“夕药”,应为芍药之误或通假)、枳实(各二两)、黄芩(三两)、甘草、当归(各一两)。
以上共七味药,用水八升,煎煮至剩余二升半,分三次服用。服药后大便通畅泻下,肿胀即可消退。(《短剧方》称此方为“升麻汤”。)
《千金方》记载:背部的痈疽,都是由服用五石散、寒食散、更生散所导致,也有单服钟乳石而引发的。又有平生未曾服用石药却自发者,这是因为上古时代有人服用过这类药物,其后代体质受其影响,故此类症状较多见。
又记载:注重养生的人,如果感觉背部痈疽部位发痒且有异样,应立即取干净的泥土和水调和成泥,捏成直径一寸半、厚度二分的小饼子,用粗艾绒做成艾炷,在泥饼上施灸。每燃尽一炷更换一个新饼。若泥饼小如粟米大,可灸七个饼;若如榆钱大小,灸七炷即可痊愈。若肿物大如铜钱许,日夜不停歇地灸治即可痊愈。
又记载:常用冷水浇淋患处,或用冷石头熨烫患处,日夜不停,直到痊愈才停止。
《庞氏论》记载:凡是服用草石散的人,都不可对身体其他部位施灸,否则容易引发发炎溃烂的疮疡。如果身体已有疮疡,不可用温法治疗。只需用冷水浸湿布贴敷患处,将李子核烧制成膏,涂抹于疮口上,清洗方法同前。薛侍郎说:如果发生疮疡及肿胀,只需服用五香连翘汤等方剂。(该方见于《短剧方》治疗恶脉的章节。)
又记载:如果肿胀有根脚,坚硬如铁石,且带有赤色,服用汤药的同时,在小艾炷于肿胀处灸一两炷为佳。
皇甫谧说:有时全身全部肿胀,无法自行转动,这是由于久坐不动、不饮酒,导致药气沉滞于皮肤之内,血脉不通畅的缘故。饮酒并用冷水洗浴,适当活动行走即可痊愈。如果不能行走,让健壮的人搀扶拖着走。
《秦承祖方》记载:凡是药毒发作之后,身体浮肿,多是因为贪凉所致,“甘草汤”处方如下:
甘草(三两,炙烤)、栀子(十四枚)。
以上共两味药,用水五升,煎煮至剩余一升半,分两次服用。
又记载:治疗散发赤肿的外敷方:
黄芩(四两)、鸡蛋(四个)、吴茱萸(四两)。
以上共三味药,捣碎并筛去粗渣,用水一升,加入蛋清在容器中搅拌,煮沸后取出,浸染毛巾,贴敷于肿胀处,温热时更换,数十次。
《千金方》记载:如果肿胀从脚部向上蔓延进入腹部,则有致死危险,处方如下:
赤小豆(一斗)。
用水三斗,煮烂后取出豆子,用煮过的豆水浸泡双脚膝盖以下,每天一次,连续数日,即可痊愈。
又记载:如果肿胀已经进入腹部,不需要浸泡和煮豆子食用,应断绝一切姜、菜、饮食、米曲,只吃豆类这一种食物,口渴时饮用豆汁,痊愈为止。
又记载:治疗散发赤肿的按摩膏方:
生地黄(五两)、大黄(一两)、杏仁(三十枚,原文注:木李杏,或本此字,指杏仁)、生章陆(三两)。
以上四味药,切碎,用醋浸泡一夜,加入猪脂一升,煎煮章陆至黑色,滤去药渣,涂抹按摩患处,每日三次,夜间一次。
According to the *Lu Yan Fang* (Verified Records Formulary): To dissipate heat and resolve heat-induced firm swelling, specifically when an abscess is just beginning to form, the "Da Huang Tang" (Rhubarb Decoction) formula is as follows:
Shengma (Cimicifugae Rhizoma), Dahuang (Rhei Radix et Rhizoma), Shaoyao (Paeoniae Radix Alba/Rubra - text says "Xi Yao", likely a variant/typo for Shaoyao), Zhishi (Aurantii Fructus Immaturus) (each 2 liang), Huangqin (Scutellariae Radix) (3 liang), Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix) (each 1 liang).
These seven herbs are boiled in 8 sheng of water until reduced to 2.5 sheng, divided into three doses. After promoting bowel movement with a laxative effect, the swelling will subside. (The *Duan Ju Fang* (Short Drama Formulary) refers to this as "Shengma Tang".)
The *Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) states: Abscesses on the back are all caused by taking Wushi San (Five Minerals Powder), Hanshi San (Cold Food Powder), or Gengsheng San (Rebirth Powder). There are also cases triggered solely by taking Zhongru Shi (Stalactite/Gypsum-related mineral). Furthermore, some individuals who have never taken mineral powders develop them spontaneously; this is because ancestors in ancient times took such substances, leaving a hereditary predisposition, hence these symptoms are more common.
It further states: For those practicing health preservation, if one feels unusual itching at the site of a developing back abscess, one should immediately take clean soil mixed with water to make mud, shape it into cakes 1.5 cun in diameter and 0.2 cun thick. Use coarse mugwort moxa cones. Apply the moxa cone on top of the mud cake to moxibustion. Replace the cake after each cone burns out. If the cake is as small as a millet seed, moxibustion on seven cakes is sufficient; if as large as a elm seed, seven cones suffice for cure. If the swelling is as large as a coin, continuous day and night moxibustion will lead to recovery.
It also states: Frequently splash cold water on the affected area or apply cold stone compresses, continuing day and night without stopping until healed.
The *Pang Shi Lun* (Discussions by Master Pang) states: Anyone taking Caoshi San (Herbal and Mineral Powders) must not undergo moxibustion on other parts of the body, as it may induce inflammatory ulcers. If sores already exist on the body, warm treatments should be avoided. Instead, wet cloths soaked in cold water should be applied. Burn plum pits into a paste and rub it onto the sores; washing methods remain unchanged. Vice Minister Xue stated: If sores and swelling occur, simply administer Wuxiang Liaoqiao Tang (Five-Spice Forsythia Decoction), etc. (Found in the *Duan Ju Fang* under the treatment of E Mai/Malignant Veins.)
It further states: If the swelling has a root, is hard as iron or stone, and has a reddish hue, while taking decoctions, applying one or two small moxa cones directly on the swelling is optimal.
Huangfu Mi stated: Sometimes the entire body swells, making self-rotation impossible. This is due to prolonged sitting and inactivity, combined with abstinence from alcohol, causing the qi of the medicine to sink into the skin, leading to blocked blood vessels. Drinking alcohol, washing with cold water, and engaging in moderate walking will lead to recovery. If unable to walk, let a strong person support and drag them to walk.
The *Qin Cheng Zu Fang* (Formulary of Qin Chengzu) states: After drug toxicity erupts, bodily edema is often caused by exposure to cold. The "Gan Cao Tang" (Licorice Decoction) formula is as follows:
Gancao (Licorice Root) (3 liang, honey-fried), Zhizi (Gardeniae Fructus) (14 fruits).
These two herbs are boiled in 5 sheng of water until reduced to 1.5 sheng, divided into two doses.
It also states: A topical paste for treating diffuse red swelling:
Huangqin (Scutellariae Radix) (4 liang), Ji Zi (Chicken Egg) (4 eggs), Wu Zhu Yu (Evodiae Fructus) (4 liang).
These three ingredients are crushed and coarsely sieved. Mix with 1 sheng of water and egg whites in a vessel, boil, then remove. Soak a cloth in the liquid and apply it to the swollen area. Replace with a warm cloth repeatedly, dozens of times.
The *Qian Jin Fang* states: If swelling spreads from the feet upward into the abdomen, it can be fatal. The formula is:
Chi Xiao Dou (Adzuki Bean) (1 dou).
Boil in 3 dou of water until soft, remove the beans, and use the bean water to soak the legs below the knees once daily for several days until cured.
It further states: If the swelling has entered the abdomen, soaking and eating the boiled beans is unnecessary. Instead, abstain from all ginger, vegetables, grains, and yeast-based foods, consuming only beans. Drink bean juice when thirsty, and stop when recovered.
It also states: A massage ointment for treating diffuse red swelling:
Sheng Di Huang (Rehmanniae Radix Recens) (5 liang), Dahuang (Rhei Radix et Rhizoma) (1 liang), Xing Ren (Armeniacae Semen Amarum) (30 kernels - note: text mentions "Mu Li Xing", likely referring to Apricot Kernel), Sheng Zhang Lu (Phytolaccae Radix) (3 liang).
Cut the four ingredients and soak in vinegar overnight. Add 1 sheng of lard and simmer the Phytolacca root until black. Strain the dregs and massage the ointment onto the affected area, three times daily and once at night.