《病源方》云∶野狼 者,年少之时,不自谨慎,或大怒,气上不下之所生也。始发之时,
在于颈项,有根出缺盆,上转连耳本,根在肝。
《刘涓子方》治野狼 为病,始发于颈,肿有根,起于缺盆,上转连耳本。此因忧、恚,
气上不得下。
空青(二分) 燥脑(二分) 燥肝(一具) 芎 (半分) 独活(一分) 女
妇草(一分) 黄芩(一分) 鳖甲(一分) 斑蝥(一分) 干姜(一分) 当归(一分)
蜀椒(三十枚) 茴香(一分) 矾石(一分) 地胆(一分)
十五物,捣,下筛。酒服方寸匕,日三。十五日服之。
《病源论》云∶鼠 者,饮食之时不择,虫蛆之毒而变化,入于脏,出于脉,不去使人
寒热。其根在肺,出于颈项。
《千金方》疗鼠 疮瘥后复发,及不愈出脓血不止方∶
以不中水猪脂, 咀生地黄,纳脂中,令脂与地黄足相淹和,煎六、七沸。桑灰汁净洗
疮去恶汁,以地黄膏涂上,日一易。
又云∶鼠 肿核痛未成脓方∶
以柏叶敷着肿上,熬盐着叶上熨之,令热气下即消。神良。
又云∶治风 及鼠 方∶
赤小豆 白蔹 黄 牡蛎
凡四味,等分,酒服方寸匕,日三。(今按∶《短剧方》加黄芩治诸 。)
《葛氏方》治鼠 方∶
取槲白皮浓煮取二升,服一升,当吐鼠子。
又方∶捣车前草以敷之。
又方∶巴豆去心皮,以和艾作柱,灸疮上。
又方∶取小鼠子剥去皮,炙令燥,捣末,以腊月猪膏和,敷之。
又云∶若已有口,脓血出者,以热牛屎涂之,日三。
《范汪方》治颈鼠 累累方∶
贝母(二分) 干姜(一分) 桂心(一分) 蜀椒(一分) 吴茱萸(一分) 本
(一分)
凡六物,冶,下筛。先食,以酒服一撮,良。
《录验方》∶治鼠 及痈三十年∶
乌头散方∶
乌头(一两) 黄柏(二两)
凡二物,冶下筛。酒服一刀圭,日八夜四,起令药热相继,初得痈,即服良。
《刘涓子方》治鼠 方∶
又方∶死蜣螂,烧作屑,苦酒和,涂之。
《经心方》治鼠 方∶
烧地黄叶,粘贴得瘥。
又云∶鼠子 ,结核未破者,用大针针之,无不瘥。
《病源方》记载:野狼疬(一种颈部淋巴结结核类疾病),是由于年少时不够谨慎,或者大怒导致气机上逆而不能下行所引发的。发病初期,病灶位于颈项部,有根基从缺盆穴处生出,向上延伸连接至耳根,其根本在于肝脏。
《刘涓子方》治疗野狼疬病症,起初发于颈部,肿胀且有根基,起于缺盆穴,向上延伸连接耳根。这是因为忧愁、愤怒,导致气机上逆不能下降所致。
空青(二分) 脑麝(二分,原文“燥脑”疑为“脑麝”或类似芳香开窍药,此处依文意保留原名并注) 肝(一具,原文“燥肝”疑为药材名误植或特指某物,此处保留原名) 川芎(半分) 独活(一分) 女妇草(一分) 黄芩(一分) 鳖甲(一分) 斑蝥(一分) 干姜(一分) 当归(一分) 蜀椒(三十枚) 茴香(一分) 矾石(一分) 地胆(一分)。
以上十五味药,捣碎后过筛。用酒送服一方寸匕,每日三次。连续服用十五日。
《病源论》记载:鼠瘰(即淋巴结核,俗称老鼠疮),是因为饮食时不挑剔,摄入了虫蛆的毒素而发生变化,毒素进入脏腑,出于血脉,若不及时去除,会导致人体寒热交替。其根源在肺,表现于颈项部。
《千金方》治疗鼠瘰疮愈后复发,以及久治不愈、流脓血不止的方剂:
取未被水污染的猪脂,将生地黄切碎,放入猪脂中,使猪脂与生地黄充分混合浸泡,煎煮六到七沸。用桑灰汁洗净疮口,去除恶臭分泌物,涂抹上地黄膏,每天更换一次。
又记载:治疗鼠瘰肿块硬结疼痛但尚未化脓的方剂:
将柏叶敷在肿胀处,将盐炒热放在柏叶上进行熨烫,使热气下沉即可消散。效果极佳。
又记载:治疗风癭及鼠瘰的方剂:
赤小豆 白蔹 黄芪 牡蛎
以上四味药,等分研磨。用酒送服一方寸匕,每日三次。(按语:《短剧方》在此基础上加黄芩以治疗各种癭瘤。)
《葛氏方》治疗鼠瘰的方剂:
取槲树白皮浓煎取汁二升,服用一升,应当能吐出鼠瘰内的核状物。
又一方:取小鼠瘰核剥去外皮,烤干后研成粉末,用腊月收集的猪油调和,外敷患处。
又记载:如果已经溃破,流出脓血的,用热的牛粪涂抹患处,每日三次。
《范汪方》治疗颈部鼠瘰累累不断的方剂:
贝母(二分) 干姜(一分) 桂心(一分) 蜀椒(一分) 吴茱萸(一分) 藁本(一分,原文“本”通常指藁本)
以上六味药,捣碎过筛。饭前,用酒送服一撮,疗效良好。
《录验方》:治疗鼠瘰及痈疽长达三十年者:
乌头散方:
乌头(一两) 黄柏(二两)
以上两味药,捣碎过筛。用酒送服一刀圭,白天八次,晚上四次,服药间隔要短以保持药力温热相继。刚患上痈疽时服用效果良好。
The *Bingyuan Fang* (Source of Diseases Formula) states: Ye Lang Li (Wild Wolf Scrofula, a type of cervical lymphadenitis) arises from imprudence in youth or from excessive anger causing Qi to rise and fail to descend. Initially, the lesion appears on the neck and nape, with its root emerging from the Quepen area (Collarbone depression), extending upward to connect with the base of the ear; its root lies in the Liver.
The *Liu Juanzi Fang* treats Ye Lang Li disease, which begins in the neck, presenting as swelling with a root, arising from the Quepen area and extending upward to connect with the base of the ear. This is caused by sorrow and indignation, leading to Qi rising without descending.
Kongqing (Azurite, 2 fen), Naonao (Camphor/Musk, 2 fen, text reads "Zao Nao"), Zaogan (Liver, 1 unit, text reads "Zao Gan", likely a specific preparation or error for an herb), Xiong (Sichuan Lovage Rhizome, 0.5 fen), Duhuo (Angelica Pubescens Root, 1 fen), Nvfucacao (Nvfu Grass, 1 fen), Huangqin (Scutellaria Root, 1 fen), Biejia (Tartar Testudinis, 1 fen), Banmao (Mylabris, 1 fen), Ganjiang (Dried Ginger, 1 fen), Danggui (Chinese Angelica Root, 1 fen), Shujiao (Sichuan Pepper, 30 seeds), Huixiang (Fennel Fruit, 1 fen), Fanshi (Alumen, 1 fen), Dichan (Euphorbia Kansui Root, 1 fen).
These fifteen substances are pounded and sifted. Take one fangcun bi (a measure approx. 2-3 grams) with wine, three times daily. Administer for fifteen days.
The *Bingyuan Lun* states: Shu Luo (Scrofula/Rat Lumps) results from indiscriminate eating, where toxins from insects and maggars transform and enter the Zang organs, emerge in the vessels, and if not expelled, cause alternating chills and fever. Its root is in the Lung, manifesting in the neck and nape.
The *Qianjin Fang* provides a formula for treating recurrent Shu Luo sores after healing, or those that do not heal and continue to discharge pus and blood:
Take pig lard that has not been contaminated by water. Chop fresh Dihuang (Rehmannia Root) and place it in the lard, allowing the lard and Dihuang to mix sufficiently. Boil for six or seven boils. Cleanse the sore with clean ash juice derived from mulberry branches to remove foul discharge. Apply the Dihuang ointment to the sore, changing once daily.
It also states: For Shu Luo swelling and nodules that are painful but have not yet suppurrated:
Apply Baiye (Cypress Leaf) over the swelling. Place heated salt on the leaf and apply heat compresses until the heat penetrates downward, causing the swelling to subside. This is highly effective.
It also states: A formula for treating Feng Ying (Wind Goiter) and Shu Luo:
Chixiaodou (Adzuki Bean), Bailian (White Anemone Root), Huangqi (Astragalus Root), Muli (Oyster Shell).
These four ingredients are used in equal parts. Take one fangcun bi with wine, three times daily. (Note: The *Duanju Fang* adds Huangqin to treat various goiters.)
The *Ge Shi Fang* treats Shu Luo:
Concentrate-boil the inner bark of Quercus variabilis (Oak Bark) to obtain two sheng of liquid. Take one sheng orally; this should induce vomiting of the "rat offspring" (the necrotic core/nodule).
Another formula: Pound Cheqiancao (Plantain Herb) and apply externally.
Another formula: Remove the heart and skin of Badou (Croton Seed), mix with mugwort to form moxa cones, and moxibustion on the sore.
Another formula: Take small Shu Luo nodules, peel off the skin, dry them by roasting, pound into powder, mix with pig fat collected in the twelfth lunar month, and apply externally.
It also states: If the sore has already ulcerated and discharges pus and blood, apply warm cow dung to the area, three times daily.
The *Fan Wang Fang* treats multiple Shu Luo nodules on the neck:
Beimu (Fritillaria Bulb), Ganjiang (Dried Ginger), Guixin (Cinnamon Twig Heart), Shujiao (Sichuan Pepper), Wuzhuyu (Evodia Fruit), Bencao (Ligusticum Chuanxiong Rhizome, text reads "Ben").
These six substances are processed and sifted. Before meals, take one cuo (a pinch) with wine. This is excellent.
The *Lu Yan Fang*: Treats Shu Luo and carbuncles lasting thirty years:
Wutou San Formula:
Wutou (Aconite Root, 1 liang), Huangbai (Phellodendron Bark, 2 liang).
These two substances are processed and sifted. Take one daogui with wine, eight times during the day and four times at night. Ensure the medicinal heat is continuous. Take immediately upon onset of carbuncle for best results.
The *Liu Juanzi Fang* treats Shu Luo:
Another formula: Burn dead Qianglang (Dung Beetle) to ashes, mix with vinegar, and apply topically.
The *Jingxin Fang* treats Shu Luo:
Burn Dihuang leaves and apply as a plaster until healed.
It also states: For Shu Luo nodules that are hard and unruptured, puncture them with a large needle; all will heal.