人参 黄 白术 茯苓 熟地黄 当归 川芎 芍药 甘草(等分) 桂心(少许)
疮久,血气虚弱,颈面腹背皆疮者,此方主之。
疮疥生于手足者为轻,生于颈面腹背者,气血虚羸之盛,乃小人道长之象。故用人参、
黄、白术、茯苓、甘草大补其气。用当归、川芎、白芍、熟 、桂心大补其血。气血得其
补,则腹背之疮先愈,而君子道长,小人道消矣。脾胃门参苓白术散,亦可酌用。
古方有苦参、沙参、忍冬花、皂角刺者,此皆治疮善药。若根据前法,则此辈不用变愈,
必欲用之,苦参宜用酒炒。
古方涂药,有用蛇床子、川椒、雄黄、樟脑、水银、槟榔者,有少入人言者,皆杀虫也。
有
铅粉、黄丹者,为解热者。或以 油涂者,或以麻油涂者,或以猪脂涂者。予少时常自用之
,率验于此而违于彼,今月少愈,再月即发,竟以服药而瘳,终无益于涂也。然病浅者,间
有涂之而愈,故涂药亦所不废。
叙曰∶幻化之躯,不能无死,但曰暴死,则非正命矣。君子顺受其正,胡然以非命归耶?
故
人参 白术 茯苓 甘草 半夏 陈皮 天麻
暴死口噤吐沫,身体温暖,脉来虚大者,中风暴死也,此方主之。
暴死者,卒然而倒,不省人事也。风燥则筋急,故令口噤。吐沫者,风盛气涌使然,乃
风来潮汹之象,风为阳邪,故令身体温暖。脉来虚大者,正气虚而邪气盛也。斯时也,主辛
散之剂以驱风,则恹恹之气必绝,非其治也。故用人参、白术、茯苓、甘草之甘温者急固其
气,复用半夏、陈皮之辛利者以平其沫。天麻之加,定风邪尔。
人参、黄芪、白术、茯苓、熟地黄、当归、川芎、芍药、甘草(各等分),桂心(少量)。
疮疡日久,导致血气虚弱,颈项、面部、腹部、背部均生疮者,此方主治。
疮疥生于手足部位属于轻症,生于颈面腹背部位,则是气血极度虚弱的表现,也是“小人道长”(邪气盛)的征象。因此用人参、黄芪、白术、茯苓、甘草来大补元气;用当归、川芎、白芍、熟地黄、桂心来大补阴血。气血得到补充,则腹背部的疮疡先愈合,象征“君子道长”(正气复)、“小人道消”(邪气退)。脾胃门中的参苓白术散,也可以酌情使用。
古方中有使用苦参、沙参、忍冬花、皂角刺的,这些都是治疗疮疡的有效药物。如果依据上述补气养血的方法,这些药物可以不用而自愈;若一定要使用,苦参宜用酒炒制。
古方外涂药物中,有用蛇床子、川椒、雄黄、樟脑、水银、槟榔的,有的还加入少许人言(砒霜),这些都是为了杀虫。有用铅粉、黄丹的,是为了清热解毒。有的用植物油涂抹,有的用麻油涂抹,有的用猪脂涂抹。我年轻时经常自行使用这些外用药,往往在此处有效而在彼处无效,有时一个月稍有好转,两个月又复发,最终依靠内服药物才痊愈,外用药物终究没有益处。然而病情浅表者,偶尔也有外涂而痊愈的,所以外涂药物也不完全废弃。
叙曰:虚幻变化之躯,不可能不死,如果说突然死亡,就不是正常的寿终正寝了。君子顺应并接受正常的命运,何必将非正常死亡归咎于意外呢?
突然昏倒、牙关紧闭、口吐涎沫,身体温暖,脉象虚大的,是中风暴死证,此方主治。
所谓暴死,是突然跌倒,不省人事。风燥导致筋脉拘急,所以出现牙关紧闭。口吐涎沫,是因为风邪旺盛、气机上涌所致,这是风势如潮汹涌的象征。风为阳邪,所以导致身体温暖。脉象虚大,表示正气虚弱而邪气强盛。此时,如果使用辛散的药物来驱风,那么微弱的元气必然断绝,这不是正确的治疗方法。因此用人参、白术、茯苓、甘草的甘温性质来紧急固护元气,再用半夏、陈皮的辛散通利性质来平息痰沫。加入天麻,是为了平息风邪。
Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix), Bai Zhu (Atractylodis Rhizoma), Fu Ling (Poria), Shu Di Huang (Rehmanniae Radix Preparata), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shao Yao (Paeoniae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) (equal parts), Gui Xin (Cinnamomi Cortex, small amount).
For chronic sores resulting in deficiency of blood and qi, with sores appearing on the neck, face, abdomen, and back, this formula is indicated.
Sores and scabies occurring on the hands and feet are considered mild; those occurring on the neck, face, abdomen, and back indicate severe deficiency of blood and qi, which is a manifestation of "the path of the petty man growing" (excess of evil pathogens). Therefore, Ren Shen, Huang Qi, Bai Zhu, Fu Ling, and Gan Cao are used to greatly tonify qi. Dang Gui, Chuan Xiong, Bai Shao, Shu Di Huang, and Gui Xin are used to greatly tonify blood. When blood and qi are replenished, the sores on the abdomen and back heal first, symbolizing "the path of the noble person grows" (recovery of righteous qi) and "the path of the petty man declines" (disappearance of evil pathogens). Shen Ling Bai Zhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) from the Spleen and Stomach section can also be used as appropriate.
Ancient formulas include Ku Shen (Sophorae Flavescentis Radix), Sha Shen (Glehniae Radix or Adenophorae Radix), Ren Dong Hua (Lonicerae Flos), and Zao Jiao Ci (Gleditsiae Spina) as effective medicines for treating sores. If following the aforementioned method of tonifying qi and blood, these herbs may be omitted for spontaneous recovery; if they must be used, Ku Shen should be stir-fried with wine.
In ancient topical applications, herbs such as She Chuang Zi (Cnidii Fructus), Chuan Jiao (Zanthoxyli Pericarpium), Xiong Huang (Realgar), Zhang Nao (Borneolum Syntheticum), Shui Yin (Mercurius), and Bing Lang (Arecae Semen) were used, sometimes with a small amount of Ren Yan (Arsenicum Rubrum), all intended to kill parasites. Qian Fen (Minium) and Huang Dan (Red Lead Oxide) were used to clear heat and resolve toxicity. Some were applied with vegetable oil, sesame oil, or lard. In my youth, I often used these topical remedies myself; they were often effective in one area but ineffective in another. Sometimes there was slight improvement after one month, followed by recurrence after two months. Ultimately, it was internal medication that led to recovery, proving that topical application had no lasting benefit. However, for superficial diseases, occasional cures via topical application do occur, so topical treatments are not entirely discarded.
Preface: The illusory and changing body cannot avoid death. To speak of sudden death implies an unnatural demise. The gentleman accepts his fate in accordance with principle; why attribute it to an accidental death?
Ren Shen, Bai Zhu, Fu Ling, Gan Cao, Ban Xia (Pinelliae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Tian Ma (Gastrodiae Rhizoma).
Sudden collapse, lockjaw, foaming at the mouth, warmth of the body, and a deficient and large pulse indicate stroke-like sudden death (Zhong Feng Bao Si); this formula is indicated.
"Sudden death" refers to collapsing abruptly and losing consciousness. Wind-dryness causes tendon tension, leading to lockjaw. Foaming at the mouth results from excessive wind and surging qi, resembling the surge of a tide. Since wind is a yang pathogen, it causes the body to feel warm. A deficient and large pulse indicates deficiency of righteous qi and excess of evil qi. At this time, using acrid-dispersing agents to expel wind would cause the faint qi to cease, which is not the correct treatment. Therefore, the sweet-warm properties of Ren Shen, Bai Zhu, Fu Ling, and Gan Cao are used to urgently secure the qi. Subsequently, the acrid and dispersing properties of Ban Xia and Chen Pi are used to calm the foam. Tian Ma is added to settle the wind pathogen.