主寒热瘰 ,在颈脉如杏李方∶
人参 干姜 白芷 甘草(各一两)
上四味,捣筛为散,先食,饮服方寸匕,日三,少小半匕,以意增加。
又方∶
狸骨(五分,炙) 乌头(七分,炮,去皮) 黄柏(一两)
上三味,捣筛为散,先食,酒服一钱匕,日三。
又方∶
连翘 黄连 芍药 苦参 土瓜根 龙胆 当归(各半两)
上七味,捣筛为散,先食,以温酒服钱五匕,日三,稍加至方寸匕。(《千金》无当归
,有栝蒌,恒山,为八味。)
又方∶取桃枝上不落子,捣末,以大醋和敷之。
鼠乳方∶
常思根拭去土,勿洗,以附本系之,一日一夜便断消。
方八首
瘭疽秘方,世所不传,神良无比。
升麻 干地黄 枳实(炙,各二两) 大黄(二两半) 前胡(三分) 犀角(一两半)
麝香
上九味,以水九升煮三升,分三服,以瘥为度,不限剂数。
主瘭疽诸疽,十指头 赤痛痒已溃方∶
猪蹄(一具,治如食法) 大黄 白芷 川芎 黄芩 黄连 细辛 当归 本 藜芦
(
炙,一本无) 莽草 甘草(各一两)
上一十二味,以水三斗煮猪蹄,取一斗,煮药,取五升洗渍疮。
主瘭疽浸淫欲作未成,或如桃李核,或如鸡子赤 方∶
黄芩 黄连 大黄 当归 芒硝 甘草(各一两)
上六味,以水六升,煮取三升,去滓还铛中,纳芒硝一沸,贴布帛中,以拓肿上数百遍
瘭疽浸淫多日渐大方∶
胡粉(一分,熬) 黄连 茹 甘草(各二两)
上四味,捣筛为散,以粉上,日三。
瘭疽着手足肩背,累累如米起色白,刮之汁出,愈而复发方∶
黄 (一两) 款冬花 升麻(各一两) 赤小豆 附子(炮,去皮) 苦参(各一分)
上六味,捣筛为散,酒服半钱匕,稍增至一钱匕,日三服。
又方∶
取虎矢白者,以马矢和之,曝干烧灰,以粉之。
又方∶
龙骨 胡粉(烧) 滑石(各半两) 青木香(二两)
上四味,捣筛为散,以米粉一升和之,稍稍粉之,日四五。
瘭疽方∶
灶室尘 灶突中墨 灶釜下土(各一升)
上三味,以水九升煮三沸,取汁,以洗疮,日三四度。
主治寒热往来、瘰疬(颈部淋巴结结核),肿块在颈部脉络处如杏子或李子大小的方剂:
人参、干姜、白芷、甘草(各一两)。
以上四味药,捣碎过筛制成散剂,饭前服用,用温水送服一方寸匕,每日三次;儿童减半匕,可根据情况适当增加剂量。
又一方:
狸骨(五分,炙烤)、乌头(七分,炮制,去皮)、黄柏(一两)。
以上三味药,捣碎过筛制成散剂,饭前服用,用酒送服一钱匕,每日三次。
又一方:
连翘、黄连、芍药、苦参、土瓜根、龙胆、当归(各半两)。
以上七味药,捣碎过筛制成散剂,饭前服用,用温酒送服五钱匕,每日三次,逐渐增加至一方寸匕。(《千金要方》中无当归,有栝蒌、恒山,共八味药。)
又一方:取桃树枝上未脱落的果实,捣成粉末,用大醋调和后敷于患处。
治疗鼠乳(丝状疣)的方剂:
常思根(即商陆根)拭去泥土,不要清洗,用附子根部系住,一天一夜后肿块就会断裂消退。
第八组方剂:
治疗瘭疽(急性化脓性感染)的秘方,世间不传,疗效神奇无比。
升麻、干地黄、枳实(炙,各二两)、大黄(二两半)、前胡(三分)、犀角(一两半)、麝香。
以上九味药,用水九升煮取三升,分三次服用,以病愈为度,不限定具体次数。
主治瘭疽及其他各种疽病,十个手指头部红肿疼痛瘙痒,已经溃破的方剂:
猪蹄(一个,按食用方法处理)、大黄、白芷、川芎、黄芩、黄连、细辛、当归、藁本、藜芦(炙,有的版本没有此药)、莽草、甘草(各一两)。
以上十二味药,用水三斗煮猪蹄,取汁一斗,再放入药物煎煮,取汁五升,用来清洗浸泡疮口。
主治瘭疽浸淫扩散,即将形成但尚未完全形成的症状,或者肿块像桃李核一样,或者像鸡蛋一样红肿的方剂:
黄芩、黄连、大黄、当归、芒硝、甘草(各一两)。
以上六味药,用水六升,煮取三升,去掉药渣,将药液倒回锅中,加入芒硝煮沸一次,用布帛包裹药液,在肿胀处反复拓敷数百次。
瘭疽浸淫严重,日渐扩大的方剂:
胡粉(一分,熬制)、黄连、茹草(即茜草根,此处指代某种草药,古文中“茹”常指茜草或类似植物,结合语境及常见配伍,此处保留原字或译为特定草药,鉴于“茹”在中药里较少单独作为主药名出现,且可能有通假或简写,参考《千金方》原文多为“黄芩、黄连、大黄...”,此处依原文“茹”字,通常指茜草Radix Rubiae或类似清热凉血药,但在《千金翼方》此条中,原文确为“茹”,后世校勘多认为可能是“黄芩”之误或特指某药,此处忠实原文翻译为“茹草”或保留“茹”并注,考虑到通俗性,暂译为“茹草”或根据上下文理解为清热药,但为了准确,直接译作“茹”对应的药材,若无法确定具体现代对应物,可译为“Ru Grass (specific herb)”或保留拼音。经查证,《千金翼方》此方通常作“黄芩、黄连、大黄...”,但此处原文为“茹”,可能指“茜草”或“紫草”类,亦有可能为衍文。为严谨起见,译为“茹(一种草药)”或直接音译加注。但在标准翻译中,若不确定,通常保留原名。此处译为“Ru Herb”。不过,更常见的解释是“茹”通“如”或为错字,但在实体提取时我们只提取原文。翻译时译为“茹草”即可。)、甘草(各二两)。
以上四味药,捣碎过筛制成散剂,撒在疮面上,每日三次。
瘭疽发生在手足肩背,累累如米粒突起,颜色发白,刮之有汁液流出,愈合后又复发的方剂:
黄芪(一两)、款冬花、升麻(各一两)、赤小豆、附子(炮制,去皮)、苦参(各一分)。
以上六味药,捣碎过筛制成散剂,用酒送服半钱匕,逐渐增加至一钱匕,每日三次服用。
又一方:
取白色的虎粪,与马粪混合,晒干后烧成灰,用灰粉撒在患处。
又一方:
龙骨、胡粉(烧制)、滑石(各半两)、青木香(二两)。
以上四味药,捣碎过筛制成散剂,用米粉一升与之混合,少量多次地撒在患处,每日四五次。
治疗瘭疽的方剂:
灶室灰尘、灶突中的烟墨、灶釜下的泥土(各一升)。
以上三味药,用水九升煮三沸,取汁液,用来清洗疮口,每日三四次。
Formula for treating alternating chills and fever, scrofula (tuberculosis of cervical lymph nodes), with lumps in the neck vessels resembling apricots or plums:
Ren Shen (Ginseng Radix), Gan Jiang (Dried Ginger Rhizome), Bai Zhi (Angelicae Dahuricae Radix), Gan Cao (Licorice Root) (each 1 liang).
The above four herbs are crushed, sifted, and made into a powder. Take one fang cun bi (square-inch spoonful) before meals, dissolved in water, three times a day. For children, take half a bi; increase the dosage as appropriate.
Another formula:
Li Gu (Fox Bone, roasted), Wu Tou (Aconite Lateralis Radix Praeparata, processed, peeled), Huang Bo (Phellodendri Cortex) (5 fen, 7 fen, 1 liang respectively).
The above three herbs are crushed, sifted, and made into a powder. Take one qian bi (coin-sized spoonful) before meals, dissolved in wine, three times a day.
Another formula:
Lian Qiao (Forsythiae Fructum), Huang Lian (Coptidis Rhizoma), Shao Yao (Paeoniae Radix), Ku Shen (Sophorae Flavescentis Radix), Tu Gua Gen (Trichosanthes Radix), Long Dan (Gentianae Radix), Dang Gui (Angelicae Sinensis Radix) (each 0.5 liang).
The above seven herbs are crushed, sifted, and made into a powder. Take five qian bi before meals, dissolved in warm wine, three times a day, gradually increasing to one fang cun bi. (In *Qian Jin Yao Fang*, Dang Gui is absent, while Gua Lou and Heng Shan are present, making eight herbs.)
Another formula: Take fruits from peach branches that have not fallen off, crush them into powder, mix with strong vinegar, and apply topically.
Formula for treating shu ru (filiform warts):
Chang Si Gen (Moutan Cortex root? Note: Chang Si usually refers to Moutan or similar, but contextually often implies a specific root used for warts, likely *Moutan* or *Shanglu*. Given "Chang Si", it might be a typo for "Chang Shan" or refer to *Moutan*. However, strictly translating "Chang Si Gen" as "Root of Chang Si". In TCM, "Chang Si" is not a standard single herb name, often referring to *Moutan Cortex* (Mu Dan Pi) or potentially *Shang Lu* (Phytolaccae Radix). Let's stick to literal translation with pinyin if ambiguous, but "Chang Si" is often associated with *Moutan* in some contexts or a local name. Actually, *Chang Si* is likely a variant name or typo. Let's use *Chang Si Gen* (Root of Chang Si)). Wipe off the soil without washing. Tie it with the root of Fu Zi (Prepared Aconite Lateralis Radix). After one day and night, the lesion will detach and disappear.
Group of Formulas Eight:
Secret formula for treating biao ju (acute suppurative infection), unknown to the world, extremely effective.
Sheng Ma (Cimicifugae Rhizoma), Gan Di Huang (Rehmanniae Radix Preparata), Zhi Shi (Aurantii Fructus Immaturus, roasted), Da Huang (Rhei Radix et Rhizoma, 2.5 liang), Qian Hu (Peucedani Radix), Xi Jiao (Rhino Ceratostigma - note: substitute with Buffalo Horn/Shui Niu Jiao in modern practice, but translate original term), She Xiang (Moschus).
The above nine ingredients are boiled in nine sheng of water until reduced to three sheng. Divide into three doses. Continue until cured, regardless of the number of doses.
Formula for treating biao ju and various other ju diseases, where the tips of the ten fingers are red, painful, itchy, and already ulcerated:
Zhu Ti (Swine Trotter, prepared as food), Da Huang, Bai Zhi, Chuan Xiong (Ligusticum Chuanxiong Rhizoma), Huang Qin (Scutellariae Radix), Huang Lian, Xi Xin (Asari Radix et Rhizoma), Dang Gui, Ben Cao (Ligusticum Wallichii Rhizoma), Li Lu (Veratrum Nigrum Rhizoma, roasted - absent in some versions), Mang Cao (Polygoni Multiflori Caulis), Gan Cao (each 1 liang).
The above twelve ingredients are boiled with three dou of water and one Zhu Ti until the liquid reduces to one dou. Then add the herbs and boil until reduced to five sheng. Use this decoction to wash and soak the wound.
Formula for treating biao ju spreading diffusely, about to form but not yet fully formed, presenting as lumps like apricot/plum pits or eggs, red and swollen:
Huang Qin, Huang Lian, Da Huang, Dang Gui, Mang Xiao (Mirabilite), Gan Cao (each 1 liang).
The above six ingredients are boiled in six sheng of water until reduced to three sheng. Remove the dregs, return the liquid to the pot, add Mang Xiao, and boil once. Soak a cloth in the hot liquid and apply it to the swollen area, repeating hundreds of times.
Formula for severe, progressively enlarging biao ju spreading diffusely:
Hu Fen (Lead Carbonate, roasted), Huang Lian, Ru (Ru Cao/Rubi Radix or similar, literally "Ru"), Gan Cao (each 2 liang).
The above four ingredients are crushed, sifted, and made into a powder. Apply the powder to the lesion, three times a day.
Formula for biao ju occurring on hands, feet, shoulders, and back, appearing as clustered white bumps like rice grains, oozing fluid when scraped, recurring after healing:
Huang Qi (Astragali Radix, 1 liang), Kuan Dong Hua (Farfarae Flos), Sheng Ma (each 1 liang), Chi Xiao Dou (Adzuki Bean), Fu Zi (Prepared Aconite Lateralis Radix, processed, peeled), Ku Shen (each 1 fen).
The above six ingredients are crushed, sifted, and made into a powder. Take half a qian bi with wine, gradually increasing to one qian bi, three times a day.
Another formula:
Take white tiger feces, mix with horse feces, dry in the sun, burn to ash, and apply the ash powder to the lesion.
Another formula:
Long Gu (Fossilized Bones), Hu Fen (Roasted), Hua Shi (Talcum) (each 0.5 liang), Qing Mu Xiang (Aucklandiae Radix, 2 liang).
The above four ingredients are crushed, sifted, and made into a powder. Mix with one sheng of rice flour. Apply the powder sparingly, four to five times a day.
Formula for biao ju:
Zao Shi Chen (Ash from stove room), Zao Tu Zhong Mo (Soot from chimney flue), Zao Fu Xia Tu (Soil under stove pot) (each 1 sheng).
The above three ingredients are boiled in nine sheng of water for three boils. Take the juice and wash the wound, three to four times a day.