《病源论》云∶浸淫疮,是心家有风热,发于肌肤。初生甚小,先痒后痛而成疮。汁出
浸淫肌肉,浸淫渐阔,乃至遍体。其疮若从口出流散四肢则轻,若从四肢生然后入口则重。
以其渐渐增长,因名浸淫疮也。
《葛氏方》治猝得浸淫疮,转广有汁,多起于心。不早治之,绕身周匝则杀人方∶
以鸡冠血涂之。
又方∶新牛屎,绞取汁涂之,烧以熏之,佳。
又方∶胡燕窠末,以水和敷之。
《录验方》天麻草汤方∶
天麻草切五升,以水一斗五升,煮取一斗,分洗,以杀疮痒也。
《极要方》疗身上疮,疮汁所着处即成疮,名曰浸淫,痒不止方∶
黄连(一两) 黄柏(一两) 芦茹(一两) 石(一两) 甘草(一两) 生胡粉
(一两)
上捣甘草以上为散。胡粉于 子中着熬令黄,和之为散。欲敷药,先以苦参汁洗,故帛
拭干即着药,不过三四度即瘥。
《苏敬本草注》云∶生嚼胡麻涂之。
《集验方》治猝毒瓦斯攻身,或肿,或赤,或痛,或痒,淫并分散。上下周匝,烦毒欲死
方∶
取生鱼,切之如作脍,以盐和敷之。若通身多作,令竟病上。干复易之。
《千金方》治浸淫疮方∶
以煎饼,热敷之取止,神良。
《病源论》云∶王烂疮者,由腑脏实热,皮肤虚而受风湿,风湿与热相搏,故初起作瘭
浆,渐渐王烂,大汗流浸渍,故曰王烂也。亦名王灼疮,以其初作瘭浆,如汤火所灼也。又
名洪烛疮,其初生如沸汤洒,作瘭浆赤烂如火烛,故名洪烛也。
《葛氏方》治大人、小儿猝得王灼疮,一名 疮,一名王烂疮,此疮初起作 浆。似火
疮,故以灼烂为名。
烧牛屎,筛下以粉之。
又方∶熬秫米令黄黑,捣以敷。
又方∶煮小豆汁,纳鸡子,绞以洗之良。
又方∶末黄连、胡粉,油和涂之。
《短剧方》有洪烛疮,身上忽生瘭浆,如沸汤洒。剧者,竟头面,亦有胸胁腰腹通如火
汤,瘭浆起者是也。治之法∶
急宜服漏芦汤下之,外宜以升麻汤浴,但倍分多煮之,以浴KT 之。其间敷升麻膏佳。
若穷地无药者,但依治丹法,用单行草菜方也。(《千金方》同之。)
《范汪方》治王烂疮方∶
大麻子,大豆等苇桶中纳之,热炙蒸篇头,取汁涂疮上,再过愈。
《僧深方》治王烂疮方∶
胡粉(烧令黄) 青木香 龙骨 滑石(各三两)
上四物,冶筛毕,以粢粉一升和之,稍稍粉疮上,日四、五愈。
《诸病源候论》说:浸淫疮,是由于心经有风热之邪,发作于肌肤。初起时很小,先感到瘙痒,随后疼痛并形成疮疡。脓水流出后侵蚀肌肉,范围逐渐扩大,甚至遍布全身。如果疮疡从口部开始向四肢流散,病情较轻;如果从四肢生发然后蔓延至口部,则病情较重。因为这种疮疡逐渐增长蔓延,所以命名为浸淫疮。
《葛氏方》治疗突然患上的浸淫疮,疮面扩大且有渗出液,多起源于心经。如果不及时治疗,环绕周身则会致死。方法:用鸡冠血涂抹患处。
又一方:取新鲜牛粪,绞取汁液涂抹,并燃烧牛粪产生的烟雾熏烤患处,效果更佳。
又一方:取胡燕窠(燕子巢)的末药,用水调和后敷贴患处。
《录验方》天麻草汤方:
将天麻草切碎五升,用水一斗五升,煎煮取汁一斗,分次清洗患处,以消除疮疡瘙痒。
《极要方》治疗身上疮疡,疮汁沾染处随即形成新疮,名为浸淫,瘙痒不止的方法:
黄连(一两) 黄柏(一两) 芦茹(一两) 石脂(一两) 甘草(一两) 生胡粉(一两)
以上药物捣碎甘草等药材制成散剂。胡粉在镬子中加热炒至黄色,与其他药粉混合成散剂。欲敷药时,先用苦参汁清洗患处,用旧布拭干后立即敷药,不超过三四次即可痊愈。
《集验方》治疗突然毒气攻身,或肿胀,或发红,或疼痛,或瘙痒,毒邪弥漫分散。上下周身,烦闷痛苦欲死的方法:
取生鱼,切成做鱼脍的样子,用盐调和后敷贴患处。如果全身多处发作,令其覆盖整个病灶。干燥后更换新的。
《千金方》治疗浸淫疮的方法:
用煎饼热敷患处,可止痒,效果神奇良好。
《诸病源候论》说:王烂疮,是由脏腑实热,皮肤虚弱而受风湿侵袭,风湿与热邪相互搏结,所以初起时形成小水泡,渐渐溃烂,大汗淋漓浸渍,所以称为王烂疮。也称为王灼疮,因为其初起形成水泡,如同被汤火烫伤一样。又名洪烛疮,因其初生时如同沸水泼洒,形成红肿溃烂如火烛燃烧,所以名为洪烛。
《葛氏方》治疗大人、小孩突然患上的王灼疮,一名丹疮,一名王烂疮,此疮初起形成水泡。类似火疮,故以灼烂为名。
烧牛粪,筛下粉末撒敷患处。
《短剧方》中有洪烛疮,身上突然生出小水泡,如同沸水泼洒。严重的,遍及头面部,也有胸胁腰腹通体如火汤烫,出现水泡的是此类。治疗方法:
急宜服用漏芦汤泻下,外用升麻汤洗浴,只需加倍剂量多煮一些,用来洗浴患处。期间敷贴升麻膏为佳。
如果在穷困之地没有药物的情况下,只要依照治疗丹毒的方法,使用单味草药方即可。(《千金方》与此相同。)
《范汪方》治疗王烂疮的方法:
将大麻子、大豆等放入芦苇桶中,加热炙烤蒸腾出头部,取汁液涂抹疮上,重复两次即可痊愈。
《僧深方》治疗王烂疮的方法:
胡粉(烧至黄色) 青木香 龙骨 滑石(各三两)
以上四味药,研磨筛选完毕后,用粢粉一升调和,少量多次地撒敷在疮上,每日四五次即可痊愈。
The *Bingyuan Lun* (Treatise on the Origins and Manifestations of Diseases) states: Jin Yin Chuang (Infiltrating Sore) is caused by wind-heat in the Heart affecting the skin and muscles. Initially, it appears very small, starting with itching followed by pain and the formation of sores. The exudate infiltrates the muscles, spreading gradually until it covers the entire body. If the sore starts from the mouth and spreads to the limbs, the condition is mild; if it originates in the limbs and then spreads to the mouth, the condition is severe. Because this sore grows and spreads progressively, it is named Jin Yin Chuang (Infiltrating Sore).
The *Ge Shi Fang* (Formulas by Master Ge) treats sudden onset of Jin Yin Chuang (Infiltrating Sore), where the lesion expands with exudate, often originating from the Heart channel. If not treated early, encircling the body can be fatal. Method: Apply blood from a rooster's comb to the affected area.
Another formula: Take fresh cow dung, squeeze out the juice, apply it topically, and fumigate the area with smoke from burning the dung for better efficacy.
Another formula: Take powder from swallow nests (Hu Yan Ke), mix with water, and apply as a poultice.
The *Lu Yan Fang* (Verified Formulas) Tian Ma Cao Tang (Decoction of Tian Ma Cao):
Chop five sheng of Tian Ma Cao (Arisaema Rhizome or similar herb contextually), boil in fifteen dou of water until one dou remains. Divide into portions to wash the affected area to relieve itching.
The *Ji Yao Fang* (Essential Formulas) treats sores on the body where exudate causes new sores upon contact, named Jin Yin Chuang (Infiltrating Sore), with unrelenting itching. Method:
Huang Lian (Coptidis Rhizoma, 1 liang), Huang Bo (Phellodendri Cortex, 1 liang), Lu Ru (Rubia Root, 1 liang), Shi Zhi (Kaolinite/Hematite, 1 liang), Gan Cao (Glycyrrhizae Radix, 1 liang), Sheng Hu Fen (Lead Carbonate, 1 liang).
Grind the Gan Cao and other ingredients into a powder. Roast the Hu Fen in a pan until yellow, then mix with the powder. Before application, wash the area with Ku Shen (Sophorae Flavescentis Radix) juice, dry with an old cloth, and immediately apply the medicine. It will heal within three to four applications.
Su Jing's *Bencao Zhu* (Commentary on Materia Medica) states: Chew raw Hu Ma (Sesame) and apply to the sore.
The *Ji Yan Fang* (Verified Formulas) treats sudden toxic qi attacking the body, causing swelling, redness, pain, or itching, with toxins spreading widely. Causing extreme distress throughout the body. Method:
Take raw fish, slice it as if preparing sashimi (Kuai), mix with salt, and apply as a poultice. If widespread, cover the entire diseased area. Replace when dry.
The *Qian Jin Fang* (Prescriptions Worth a Thousand Gold) treats Jin Yin Chuang (Infiltrating Sore):
Apply warm pancake (Jian Bing) as a hot compress to stop itching; this is miraculous and effective.
The *Bingyuan Lun* states: Wang Lan Chuang (Rotting Sore) is caused by excess heat in the fu-organs and deficiency in the skin, allowing wind-dampness to invade. Wind-dampness clashes with heat, initially forming blisters (Bao Jiang). These gradually rot and weep profusely, hence the name Wang Lan Chuang (Rotting Sore). It is also called Wang Zhuo Chuang (Scalding Sore) because the initial blisters resemble burns from boiling water or fire. It is also named Hong Zhu Chuang (Red Candle Sore) because the initial appearance resembles splashed boiling water, forming red, rotting sores like a burning candle.
The *Ge Shi Fang* treats adults and children with sudden Wang Zhuo Chuang (Scalding Sore), also known as Dan Chuang (Plague Sore) or Wang Lan Chuang (Rotting Sore). This sore initially forms blisters resembling fire blisters, hence the name referring to scalding and rotting.
Burn cow dung, sift the ash, and dust it onto the sore.
Another formula: Roast Su Mi (Millet) until yellow-black, grind, and apply.
Another formula: Boil Xiao Dou (Adzuki Bean) juice, add a chicken egg, strain, and use the liquid to wash the sore; this is effective.
Another formula: Powder Huang Lian (Coptidis Rhizoma) and Hu Fen (Lead Carbonate), mix with oil, and apply.
The *Duan Ju Fang* (Short Drama Formulas) describes Hong Zhu Chuang (Red Candle Sore), where blisters suddenly appear on the body like splashed boiling water. In severe cases, it covers the head and face, or the chest, ribs, waist, and abdomen feel like being scalded by boiling water, with blisters rising. Treatment method:
Urgently administer Lou Lu Tang (Radix Euphorbiae Humifusae Decoction) to purge downwards. Externally, bathe in Sheng Ma Tang (Cimicifugae Rhizoma Decoction), using double the dosage and boiling longer for bathing the affected area. During this period, applying Sheng Ma Gao (Cimicifugae Ointment) is excellent.
If no medicine is available in remote areas, follow the treatment methods for Dan Du (Erysipelas), using single-herb vegetable formulas. (This aligns with the *Qian Jin Fang*).
The *Fan Wang Fang* (Fan Wang's Formulas) treats Wang Lan Chuang (Rotting Sore):
Place Da Ma Zi (Hemp Seed) and Da Dou (Soybean) in a reed barrel. Heat and steam them, collect the juice from the top, and apply to the sore. Repeating twice leads to cure.
The *Seng Shen Fang* (Monk Shen's Formulas) treats Wang Lan Chuang (Rotting Sore):
Hu Fen (Lead Carbonate, roasted until yellow), Qing Mu Xiang (Aucklandiae Radix), Long Gu (Fossilized Bones), Hua Shi (Talcum) (each 3 liang).
Grind and sieve these four ingredients. Mix with one sheng of Ci Fen (Rice Flour). Dust lightly onto the sore four to five times daily until healed.