一肠痈小腹硬痛脉沉实而有瘀血者宜下之用 大黄汤
一小腹隐隐而痛大便秘者宜用 梅仁汤
一小腹软痛脉洪数者脓成也宜托之用 蜡矾丸 排脓散 薏苡仁汤 四圣散
一肠痈症腹濡而痛时时利脓者宜用 牡丹散 治乳痈法(附乳癌并吹乳)
一因暴怒或儿口气吹肿痛作寒热者宜疏肝行气用 流气饮 复元通气散
一乳痈肿痛身发寒热者宜用 蒲公英散 熏乳法 神效栝蒌散 连翘饮 外用敷乳药
一妇人乳间出黑头疮顶陷者用 内托乳香散
一乳癌初起内有结核不甚痛者先宜服 内托消毒散
一乳癌日久用 加味八珍汤
一乳溃后脓不干不敛口者宜用 大补汤加减
一便毒初起肿痛作寒热者先宜利下毒以使内消用 二母汤 牵牛丸
一便毒肿痛未成脓者宜用 乳香散 玉烛散 仙方活命饮 神效栝蒌散
一便毒溃后发热者宜用 托里当归散
一脓清不敛口者宜用 八珍汤 十全散
凡囊痈之病多是阴道亏虚湿热不利以致发热肿痛小便秘涩治宜滋阴除湿托里之药而散之
一或成脓必须兼用补剂庶易于收敛
一囊痈初起红肿未作脓者宜疏肝导湿用 疏肝饮子
一红肿作痈发热者宜用 龙胆泻肝汤加减 用牡蛎散敷
一脓成肿痛宜用 消毒托里散
一囊痈肿如水晶作痒痛出水小腹按之作水鼓小便频数此因醉后饮水入房湿毒聚于囊中名
水疝也宜用 导水丸 五苓散加 黑牵牛 小茴香
一溃后脓清不敛宜用 加味十全散 补中益气汤 紫苏末敷
一溃后囊腐 睾丸挂悬宜用 八珍汤加 黄 黄柏 知母 紫苏末敷
一溃后久不收敛脓清作渴脉大者不治
1. 肠痈(肠道化脓性炎症),小腹坚硬疼痛,脉象沉实且伴有瘀血者,适宜采用攻下法,使用大黄汤。
2. 小腹隐隐作痛,大便秘结者,适宜使用梅仁汤。
3. 小腹柔软疼痛,脉象洪数者,说明脓液已成,适宜采用托毒排脓法,使用蜡矾丸、排脓散、薏苡仁汤、四圣散。
4. 肠痈症状表现为腹部柔软而痛,时常排出脓液者,适宜使用牡丹散。此处附治乳痈(乳腺化脓性炎症)的方法(并附乳癌及吹乳症)。
5. 因暴怒或婴儿口气吹袭导致乳房肿痛,伴有寒热症状者,适宜疏肝行气,使用流气饮、复元通气散。
6. 乳痈肿痛,身体发热恶寒者,适宜使用蒲公英散、熏乳法、神效栝蒌散、连翘饮,外用敷乳药。
7. 妇人乳间出现黑头疮,疮顶凹陷者,使用内托乳香散。
8. 乳癌初起,内有结核状肿块,疼痛不剧烈者,先宜服用内托消毒散。
9. 乳癌病程日久者,使用加味八珍汤。
10. 乳房溃破后,脓液清稀,伤口不干涸不愈合者,适宜使用大补汤加减。
1. 便毒(腹股沟淋巴结炎或脓肿)初起,肿痛伴有寒热者,先宜通利大便以排毒,使之内消,使用二母汤、牵牛丸。
2. 便毒肿痛但未成脓者,适宜使用乳香散、玉烛散、仙方活命饮、神效栝蒌散。
3. 便毒溃破后发热者,适宜使用托里当归散。
4. 脓液清稀,伤口不愈合者,适宜使用八珍汤、十全散。
凡是囊痈(阴囊急性化脓性疾病)之病,多是由于阴道亏虚、湿热不利,以致发热肿痛、小便短涩,治疗适宜用滋阴除湿、托里解毒的药物来消散它。
1. 如果已经成脓,必须兼用补益剂,才容易收敛愈合。
2. 囊痈初起,红肿但未成脓者,适宜疏肝导湿,使用疏肝饮子。
3. 红肿形成痈肿,伴有发热者,适宜使用龙胆泻肝汤加减,并用牡蛎散外敷。
4. 脓液已成,肿痛者,适宜使用消毒托里散。
5. 囊痈肿胀如水晶状,发痒痛,流出水液,小腹按压时有水鼓声,小便频数,这是因为醉酒后饮水随即行房事,湿毒聚于囊中,名为水疝,适宜使用导水丸、五苓散加黑牵牛、小茴香。
6. 溃破后脓液清稀,伤口不愈合者,适宜使用加味十全散、补中益气汤,并用紫苏末外敷。
7. 溃破后阴囊腐烂,睾丸挂悬者,适宜使用八珍汤加黄芪、黄柏、知母,并用紫苏末外敷。
8. 溃破后久不收敛,脓液清稀,口渴,脉象大者,属不治之症。
1. For intestinal abscess (inflammatory suppurative disease of the intestine) presenting with hardness and pain in the lower abdomen, a deep and solid pulse, and blood stasis, purgation is indicated; use Dahuang Tang (Rhubarb Decoction).
2. For dull pain in the lower abdomen accompanied by constipation, Meiren Tang (Prunus Armeniaca Kernel Decoction) is indicated.
3. For soft pain in the lower abdomen with a flooding and rapid pulse, indicating that pus has formed, dispelling toxicity and promoting discharge is indicated; use Lafan Wan (Beeswax and Alum Pill), Paimao San (Pus-Discharging Powder), Yiyiren Tang (Coix Seed Decoction), and Sisheng San (Four Sages Powder).
4. For intestinal abscess presenting with a soft abdomen, pain, and frequent discharge of pus, Mudan San (Moutan Cortex Powder) is indicated. Herein are appended methods for treating breast abscess (suppurative inflammation of the breast) [including breast cancer and "blowing milk" syndrome].
5. For breast swelling and pain caused by sudden anger or infant breath blowing, accompanied by chills and fever, soothing the Liver and moving Qi is indicated; use Liuqi Yin (Flowing Qi Drink) and Fuyuan Tongqi San (Restoring Original Circulation Powder).
6. For breast abscess with swelling, pain, and systemic chills and fever, use Pugongying San (Dandelion Powder), Xunru Fa (Breast Fumigation Method), Shenxiao Gualou San (Miraculous Trichosanthes Powder), Lianqiao Yin (Forsythia Drink), and external breast compresses.
7. For women with black-headed sores on the breasts where the sore top is depressed, Neituo Ruxiang San (Internal Supportive Frankincense Powder) is used.
8. For early-stage breast cancer presenting with subcutaneous nodules and mild pain, internal administration of Neituo Xiaodu San (Internal Supportive Detoxification Powder) is first indicated.
9. For long-standing breast cancer, Jiawei Bazhen Tang (Modified Eight Treasures Decoction) is used.
10. For post-ulceration of the breast with thin pus, non-drying wounds, and failure to heal, Dadu Tang (Great Tonifying Decoction) modified is indicated.
1. For early-stage inguinal abscess (epidemic bubo) presenting with swelling, pain, and chills/fever, purging the bowels to eliminate toxins and promote internal resolution is first indicated; use Ermu Tang (Two Mothers Decoction) and Qianniu Wan (Morning Glory Pill).
2. For inguinal abscess with swelling and pain but no pus formation, Ruxiang San (Frankincense Powder), Yuzhu San (Jade Candle Powder), Xianfang Huoming Yin (Immortal Life-Saving Drink), and Shenxiao Gualou San (Miraculous Trichosanthes Powder) are indicated.
3. For inguinal abscess after ulceration with fever, Tuoli Danggui San (Supporting Interior Angelica Sinensis Powder) is indicated.
4. For thin pus and non-healing wounds, Bazhen Tang (Eight Treasures Decoction) and Shiquan San (Ten Perfections Powder) are indicated.
Generally, scrotal abscess (acute suppurative disease of the scrotum) arises from deficiency of the Kidney yin/fluids and damp-heat obstruction, leading to fever, swelling, pain, and scanty/difficult urination. Treatment should employ herbs to nourish yin, drain dampness, and support the interior to dissipate the condition.
1. If pus has formed, tonifying agents must be combined to facilitate healing.
2. For early-stage scrotal abscess with redness and swelling but no pus, soothing the Liver and guiding out dampness is indicated; use Shugan Yinzi (Liver-Soothing Drink).
3. For redness, swelling, abscess formation, and fever, Longdan Xiegan Tang (Gentiana Drain the Liver Decoction) modified is indicated, applied externally with Muli San (Oyster Shell Powder).
4. For formed pus with swelling and pain, Xiaodu Tuoli San (Detoxifying and Supporting Interior Powder) is indicated.
5. For scrotal swelling resembling crystal, itching/pain, weeping fluid, water-drum sound upon pressing the lower abdomen, and frequent urination: this is due to drinking water after intoxication followed by sexual activity, causing damp-toxin accumulation in the scrotum, named Shuihan (Water Hernia). Use Daoshui Wan (Water-Guiding Pill) and Wuling San (Five-Ling Powder) added with Heiqianniu (Black Morning Glory Seed) and Xiaohuixiang (Fennel Fruit).
6. For post-ulceration with thin pus and non-healing wounds, Jiawei Shiquan San (Modified Ten Perfections Powder) and Buzhong Yiqi Tang (Middle-Boosting Qi-Invigorating Decoction) are indicated, with Zisu Mo (Perilla Leaf Powder) applied externally.
7. For post-ulceration with rotting scrotum and suspended testicles, Bazhen Tang (Eight Treasures Decoction) added with Huangqi (Astragalus Root), Huangbai (Phellodendron Bark), Zhimu (Anemarrhena Rhizome), and Zisu Mo (Perilla Leaf Powder) applied externally is indicated.
8. For prolonged non-healing after ulceration, thin pus, thirst, and a large pulse, the condition is incurable.