丁香(九粒) 干姜(一钱)
痘色灰白不起者,此方主之。
气血原实,或以饮食凉剂,寒其中气,致痘不起。故只用丁香、干姜以温中,而不必参、
猪尾血(腊月取以新瓦瓶盛,挂于当风阴干为末) 牛黄 冰片 麝香 腻粉(各一
分)
上为细末,一岁者服一字,大者五分,温水和乳少许调服。
痘陷色黑,危困恶候,此方主之。
痘之为物,外感秽气,则陷而入。内食秽物,则凸而出。故猪血、牛黄、麝香,原皆秽
物,可以起痘。乃马牙硝者,所以攻结毒;朱砂、腻粉者,所以攻结热。冰片则神于行滞而
已。是方也,为热毒倒入脏腑,不得已而用之,以少卧时许,取下恶物如鱼脑为吉,然非平
剂也。
紫背荷叶(取霜后搭水者) 白僵蚕(取直者炒去丝,各等分)
共为末,每服五分,胡荽汁和酒调下。
痘已出而复隐,其势甚危者,此方主之。
小儿气体怯弱,外感不正之气,则痘已出而复隐。荷叶芬香,可以却秽,得震卦仰盂之
象,可以升其生生之气,而长养痘疮。佐以白僵蚕,一以取其就毒化毒,一以取其疏利风痰
尔。
痘出陷顶,浆滞不行,或为风久克者,用水杨柳枝叶五升,水一大釜煎汤,先将三分之
一置于盆内,以手试之,勿使甚热,亦勿使过冷。先服宜用汤药,然后入汤浴洗,渐渐添易,
不可太冷。浴洗久许,乃以油纸捻燃灯照之。累累然有起势,陷处晕晕有丝,此浆影也。浆
必满足,如不满,又浴如前。若体弱者,只浴洗头面手足可也。桂岩云∶此犹黄钟一动,而
冻蛰启户;东风一吹,而坚冰解腹,始虽二物,竟则同一春也。
丁香(九粒) 干姜(一钱)
痘疹颜色灰白、不能隆起的,用此方主治。
患者气血原本充足,但因为饮食了凉性药物或食物,导致中焦寒气内盛,致使痘疹无法起发。因此仅使用丁香、干姜来温补中焦,而不必用人参等补气药。
猪尾血(腊月采集,用新瓦瓶盛装,挂在通风处阴干后研成粉末) 牛黄 冰片 麝香 腻粉(各一分)
将上述药材研成细末,一岁的患儿服用“一字”量,较大的患儿服用五分,用温水调和少量乳汁送服。
痘疹凹陷、颜色发黑,属于危重且不良的征象,用此方主治。
痘疹这种病邪,若外感秽浊之气,则陷入体内;若内食秽浊之物,则向外凸起。所以猪血、牛黄、麝香,原本都是秽浊之物,却能够促使痘疹起发。而马牙硝的作用在于攻逐结聚的毒邪;朱砂、腻粉的作用在于攻逐结聚的热邪。冰片的作用仅仅是通行气滞而已。这个方剂,是因为热毒倒陷入脏腑,不得已才使用的。服药后约一顿饭的时间,若能排出像鱼脑一样的恶物为吉利,但这并非平和之剂。
紫背荷叶(取霜降后沾带露水采摘的) 白僵蚕(选取笔直的炒制并去除丝状物,两者等分)
共同研成粉末,每次服用五分,用胡荽汁调和酒送下。
痘疹已经发出却又隐没回去,病情非常危急的,用此方主治。
小儿先天禀赋怯弱,外感不正之气,就会导致痘疹已出而复隐。荷叶芬芳清香,可以驱除秽浊,它具有震卦仰盂的形象,可以提升生生不息之气,从而长养痘疮。辅以白僵蚕,一是取其能引毒化毒,二是取其能疏利风痰。
痘疹发出后凹陷于顶部,浆液停滞不行,或者被风邪久克所致,用水杨柳枝叶五升,水一大釜煎煮成汤。先将三分之一的药汤放入盆中,用手试温,不要使其太热,也不要过冷。先服用适宜的汤药,然后进入药汤中洗浴,逐渐添加热水更换,不可太冷。洗浴一段时间后,再用油纸捻点燃灯火照射。痘疹累累然有起势,凹陷处晕晕出现丝状纹理,这是浆液的影子。浆液必须充满饱满,如果不满,再按前法洗浴。如果体质虚弱者,只洗浴头面手足即可。桂岩说:这就像黄钟律动,冻蛰开启门户;东风吹拂,坚冰消融腹部,起初虽然是两种不同的状态,最终却归于同一春天。
Dingxiang (Caulis Caryophylli, nine grains) Ganjiang (Rhizoma Zingiberis Preparatum, one qian)
For eruptions that are grayish-white and fail to rise, this formula is the primary treatment.
Although the patient's Qi and Blood were originally substantial, consumption of cold-natured food or medicine caused Cold to accumulate in the Middle Jiao, resulting in the failure of the eruptions to rise. Therefore, only Dingxiang and Ganjiang are used to warm the Middle Jiao, without the need for Renshen (Ginseng Radix et Rhizoma) or other tonics.
Zhuwei Xue (Pig Tail Blood, collected in the twelfth lunar month, stored in a new earthenware jar, dried in the shade in a windy place, and ground into powder) Niuhuang (Calculus Bovis) Bingpian (Borneolum Syntheticum) Shexiang (Moschus) Nifen (Calomelas) (each one fen)
Grind the above ingredients into a fine powder. For a one-year-old infant, administer a quantity equivalent to "one character" (approx. 0.3-0.5g); for older children, administer five fen. Mix with warm water and a small amount of breast milk, then administer orally.
For eruptions that have sunk inward and turned black, indicating a critical and ominous prognosis, this formula is the primary treatment.
Regarding the nature of eruptive diseases: if external turbid pathogens invade, the eruptions sink inward; if internal consumption of turbid substances occurs, they protrude outward. Thus, Zhuwei Xue, Niuhuang, and Shexiang, although inherently turbid substances, can promote the rising of the eruptions. Mayaxiao (Natrii Sulfas) serves to attack accumulated toxins; Zhusha (Cinnabaris) and Nifen serve to attack accumulated Heat. Bingpia merely facilitates the movement of stagnation. This formula is employed out of necessity when Heat-Toxin invades the Zang-Fu organs. After administration, approximately during the time it takes to eat a meal, if foul matter resembling fish brains is discharged, it is auspicious. However, this is not a mild formula.
Zibai Heye (Purple-backed Lotus Leaf, harvested after frost with dew) Baijiangcan (Bombyx Batryticatus) (select straight specimens, stir-fry to remove silk, use equal parts)
Grind together into a powder. Administer five fen per dose, mixed with Huisu Juice (Coriander Juice) and wine.
When eruptions have appeared but subsequently receded, indicating a very critical condition, this formula is the primary treatment.
Children with weak constitutional Qi, upon contracting abnormal external pathogens, may experience eruptions that appear and then vanish. Heye possesses a fragrant aroma capable of dispelling turbidity. Its shape resembles the trigram Zhen (Thunder) with an open cup, which can elevate the vitalizing Qi to nourish the eruptions. Baijiangcan is added as an assistant herb: primarily to attract and transform toxins, and secondarily to disperse Wind and resolve Phlegm.
For eruptions that emerge with sinking tops, where the pus remains stagnant and does not flow, or due to prolonged suppression by Wind, use five sheng of branches and leaves of Shuiyangliu (Salix matsudana), boiled in a large cauldron of water. Place one-third of the decoction into a basin. Test the temperature with your hand; ensure it is neither too hot nor too cold. First, administer appropriate herbal decoctions orally, then enter the bathwater for washing. Gradually add hot water to replace the cooling liquid, avoiding excessive coldness. After bathing for a while, illuminate the area with a lamp lit from an oil-paper wick. The eruptions will show signs of rising, and faint thread-like patterns will appear around the sunken areas; this indicates the presence of pus shadow. The pustules must fill completely. If they do not, repeat the bathing procedure. For those with weak constitutions, only wash the head, face, hands, and feet. Guiyan stated: "This is like the vibration of the Huangzhong pitch-pipe causing hibernating insects to open their burrows; like the East Wind blowing causing hard ice to melt. Although initially two different states, ultimately they return to the same Spring."