论一首,方一十三首
论曰∶凡恶核似射工,初得无定处,多恻恻然痛,时有不痛者,不痛便不忧,不忧则救
迟,救迟则杀人,是以宜早防之,此尤忌牛肉鸡猪鱼驴马等肉,初如粟或如麻子,在肉里而
坚似 ,长甚速,初得多恶寒,须臾即短气,取茱萸五合作末,水一升和之,绞取汁顿服之,
以滓敷之,须臾更服此汁,令毒瓦斯散,不入腹,入腹则致祸,切慎之。
江南毒瓦斯恶核射工暴肿生疮,五香散方∶
甲香 薰六香 青木香 羚羊角 丁香 犀角 鳖甲(炙) 升麻 乌莺 黄芩 黄柏
黄连 甘草(各四两) 吴茱萸(三分)
上一十四味,捣筛为末,中射工毒及诸毒,皆水服方寸匕,日三,以鸡子白和涂肿上,
干则易之,兼以水和少许洗肿上。(疑少一香。)
主射工恶核,卒中恶毒方∶
野葛(二升) 巴豆去皮 乌头 蜀椒(各五分) 附子 丹砂 茵芋(各一两) 雄
黄大
黄踯躅(各二两)
上一十味,捣筛为散,以不中水猪膏十斤,煎三上三下,去滓,纳丹砂雄黄末,搅至凝
,以枣核大摩病上,勿近眼,凡合各膏,皆不用六畜妇人小儿见之。
主遍身流肿方∶
麻子(五升,炊) 赤小豆(三升) 防风(三两) 附子(炮) 当归(各一两)
上五味,先捣麻子令熟,以水三斗煮麻子,取一斗三升,去滓,纳药及豆,合煮取四升
,去滓,食豆饮汁。
治恶毒肿或着阴卵,或偏着一边疼急挛痛,牵小腹不可忍,一宿杀人方∶
取茴香草捣取汁,饮一升,日三四服,滓薄肿上,此外国方,神验,从永嘉以来用之,
起死人神效无比。
凡风劳毒肿疼挛痛,或牵引小腹及腰胯痛方∶
取桃仁一升去尖皮、两仁者,熬令黑烟出,热研如脂,以好酒三升搅令相和,一服,覆
取汗,不过两三度,作之,瘥。
若从脚肿向上,稍进入腹杀人方∶
取赤小豆一斗,以水三斗煮烂,出豆以汁渍膝以下,日一,数日则愈矣。若已入腹者,
不须渍膝,但煮豆食之,断一切盐菜饮食米面,惟只食豆一物,渴饮豆汁,瘥乃止。
大麻子赤小豆汤 主毒肿无定处,或敕涩恶寒,或心腹刺痛烦闷者,此由毒瓦斯深重也。
大麻子(熬) 赤小豆(各五升) 生商陆(二升,薄切之) 升麻(四两) 附子(炮)
射干
(各三两)
上六味,以水四斗煮诸药,取二斗五升,去滓,研麻子令破。以麻子汁煮豆令极熟,去
滓可得六七升,一服一升,一日一夜令尽。小盒饭利,即毒除肿减,食兼此豆益佳,如汤沃
雪。凡用麻子皆不得用郁悒者,可拣择用之。
疗肿方∶
狗尿珠,一名龙葵,取汁敷之,拔出根,冬用干者汤渍取汁用之。
又方∶
取苍耳烧灰,和醋泔淀作泥封之,平即涂,勿住。取拔根出乃止。
又方∶取黑牛垢封之。
又方∶刮竹箭上取茹作炷灸上二七壮,即消矣。
又方∶末附子,醋和敷上,燥即涂。
又方∶取生荠 根汁一合,去滓,涂不过三度。
论述一篇,方剂十三首。
论述说:凡是恶核(一种突然发生的坚硬肿块),症状类似射工(古代传说中能含沙射人的毒虫所致之病),初起时位置不固定,大多感到隐隐作痛,有时也不痛。如果不痛,人们就不会担忧;不担忧就会延误救治;救治延迟就会导致死亡,因此应当尽早预防。这尤其忌讳食用牛肉、鸡肉、猪肉、鱼肉、驴肉、马肉等肉类。初起时肿块如粟米或麻子大小,位于肌肉深层且坚硬,生长速度极快。初期多伴有恶寒,片刻后即出现短气。取吴茱萸五合研成粉末,用水一升调和,绞取汁液一次性服用,并将药渣敷在患处。片刻后再服用此汁液,以使毒气消散,不使其进入腹中;若毒气入腹则会导致灾祸,务必谨慎。
江南地区毒气引发的恶核、射工毒引起的暴肿生疮,使用五香散方:
甲香、薰陆香、青木香、羚羊角、丁香、犀角、鳖甲(炙)、升麻、乌头、黄芩、黄柏、黄连、甘草(各四两)、吴茱萸(三分)。
以上十四味药,捣碎过筛制成粉末。被射工毒及其他毒物所伤者,均用水送服一方寸匕的药末,每日三次。用鸡蛋清调和药粉涂抹于肿胀处,干了就更换,同时也可用水调少量药粉清洗肿胀处。(怀疑少了一味“香”药。)
主治射工恶核,突发恶毒的方剂:
野葛(二升)、巴豆(去皮)、乌头、蜀椒(各五分)、附子、丹砂、茵芋(各一两)、雄黄、大黄、踯躅(各二两)。
以上十味药,捣碎过筛制成散剂。用未经污染的猪脂油十斤,煎煮三次(三上三下),滤去药渣,加入丹砂和雄黄的粉末,搅拌至凝固状。取枣核大小的药膏摩擦患处,注意不要靠近眼睛。凡配制各种膏药,都不要让六畜、妇女、小儿看见。
主治遍身流肿的方剂:
大麻子(五升,蒸熟)、赤小豆(三升)、防风(三两)、附子(炮制)、当归(各一两)。
以上五味药,先捣烂大麻子使其熟透,用水三斗煮大麻子,取汁一斗三升,滤去药渣,加入其他药物及赤小豆,共同煎煮取汁四升,滤去药渣,吃豆子并喝药汁。
治疗恶毒肿胀,或者侵犯阴囊,或者偏侧疼痛紧急拘挛疼痛,牵引小腹难以忍受,一夜即可致死的方剂:
取茴香草捣烂取汁,饮用一升,每日三四次。将药渣薄敷于肿胀处。这是外国传来的方剂,神效验灵,自永嘉年间以来使用,有起死回生的神奇效果,无与伦比。
凡是风劳毒肿疼痛拘挛,或者牵引小腹及腰胯疼痛的方剂:
取桃仁一升,去掉尖端皮壳及双仁者,炒至冒出黑烟,趁热研磨如脂状,用好酒三升搅匀混合。一次服用,覆盖身体取汗,不超过两三次,制作并使用后,病即痊愈。
如果从脚部肿胀向上蔓延,逐渐侵入腹中致死的方剂:
取赤小豆一斗,用水三斗煮烂,取出豆子,用豆汁浸泡膝盖以下部位,每日一次,数日即可痊愈。如果毒气已经入腹,就不必浸泡膝盖,只需煮豆子食用,断绝一切盐菜饮食及米面食物,只吃豆子这一种食物,口渴时饮豆汁,病愈为止。
大麻子赤小豆汤:主治毒肿位置不定,或者感觉涩滞恶寒,或者心腹刺痛烦闷的,这是由于毒气深重所致。
大麻子(炒)、赤小豆(各五升)、生商陆(二升,薄片切)、升麻(四两)、附子(炮制)、射干(各三两)。
以上六味药,用水四斗煎煮诸药,取汁二斗五升,滤去药渣,研磨大麻子使其破碎。用大麻子汁煮赤小豆直至极熟,滤去药渣可得六七升汁液。每次服用一升,一天一夜内服完。大便微利,则毒除肿消,饮食兼食此豆更佳,如同热水浇雪般迅速见效。凡是用大麻子,都不得使用发霉变质的,应挑选好的使用。
治疗痈肿的方剂:
狗尿珠,又名龙葵,取汁液外敷,可拔出病根。冬季用干燥者,用水浸泡取汁使用。
又一方:
取苍耳烧成灰,与醋和淘米水沉淀物混合做成泥封贴患处,平整了就涂,不要停止。直到拔出病根才停止。
又一方:
取黑牛身上的污垢封贴患处。
又一方:
刮取竹箭杆上的茹(竹笋皮或相关部分)做成艾炷,在患处灸七壮(十四壮),肿块即消退。
又一方:
取生荠菜根汁一合,滤去渣滓,涂抹不超过三次。
One treatise, thirteen prescriptions.
The treatise states: Whenever there is "Ehe" (a sudden onset of hard nodules), the symptoms resemble those caused by "Shegong" (a mythical poisonous insect said to shoot sand). Initially, the location is indefinite, and it often causes a dull pain; sometimes there is no pain. If there is no pain, one will not worry; if one does not worry, treatment will be delayed; if treatment is delayed, it can lead to death. Therefore, early prevention is advisable. It is particularly taboo to consume beef, chicken, pork, fish, donkey meat, or horse meat. Initially, the nodule is like a millet grain or a hemp seed, located deep within the muscle tissue, hard, and grows very rapidly. Initially, there are often aversion to cold, followed shortly by shortness of breath. Take five he of Evodiae Fructus (Wuzhuyu), grind into powder, mix with one sheng of water, squeeze out the juice, and take it all at once. Apply the dregs to the affected area. After a while, take this juice again to disperse the toxic qi so that it does not enter the abdomen; if the toxic qi enters the abdomen, it will cause disaster. Be extremely cautious.
In the Jiangnan region, for "Ehe" caused by toxic qi, or acute swelling and ulceration caused by Shegong poison, use the Wuxiang San (Five-Aromatic Powder) prescription:
Jiaxiang (Steleocassis Shell), Xunliu Xiang (Olibanum/Rue), Qingmuxiang (Aucklandiae Radix), Lingyangjiao (Saiga Antelope Horn), Dingxiang (Caryophylli Flos), Xijiao (Rhinocerotis Cornu), Biejia (Testudinis Carapax et Plastrum, prepared), Shengma (Cimicifugae Rhizoma), Wutou (Aconiti Lateralis Radix Praeparata), Huangqin (Scutellariae Radix), Huangbai (Phellodendri Cortex), Huanglian (Coptidis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (each four liang), Wuzhuyu (Evodiae Fructus) (three fen).
Grind the above fourteen ingredients into powder and sieve. For injuries from Shegong poison or other toxins, take one fangcunbi (a square-inch measure) of the powder with water, three times a day. Mix the powder with egg white and apply to the swollen area; change when dry. Also, wash the swollen area with a small amount of powder mixed with water. (It is suspected that one "Xiang" ingredient is missing.)
Prescription for treating Shegong Ehe and sudden severe toxicity:
Yege (Caulis Clematidis Armandii), Badou (Crotonis Fructus, peeled), Wutou (Aconiti Lateralis Radix Praeparata), Shujiao (Zanthoxyli Pericarpium) (each five fen), Fuzi (Aconiti Lateralis Radix Praeparata), Dansha (Cinnabaris), Yinyu (Epimedii Herba) (each one liang), Xionghuang (Realgar), Dahuang (Rhei Radix et Rhizoma), Zhi Zhu (Daphnes Genkwa Flos) (each two liang).
Grind the above ten ingredients into powder. Fry in ten jin of unadulterated lard oil using the method of "three up and three down" (boiling and cooling cycles). Remove the dregs, add powdered Dansha and Xionghuang, and stir until it solidifies. Rub a date-pit-sized amount onto the affected area. Do not let it near the eyes. When preparing any ointment, ensure that livestock, women, and children do not see it.
Prescription for treating generalized edema:
Dazimaizi (Cannabis Fructus, steamed, five sheng), Chixiaodou (Vigna angularis, three sheng), Fangfeng (Saposhnikoviae Radix, three liang), Fuzi (Aconiti Lateralis Radix Praeparata, one liang), Danggui (Angelicae Sinensis Radix, one liang).
First, pound the Cannabis Fructus until cooked. Boil the Cannabis Fructus in three dou of water, obtain one dou and three sheng of liquid, remove the dregs, add the other herbs and beans, and boil together to obtain four sheng of liquid. Remove the dregs. Consume the beans and drink the decoction.
Prescription for treating severe toxic swelling, invasion of the scrotum, or unilateral urgent painful spasms pulling into the lower abdomen, which can be fatal within one night:
Take Huixiangcao (Foeniculum Vulgare), pound to extract juice, drink one sheng, three to four times a day. Apply the dregs thinly to the swollen area. This is a foreign prescription, highly effective, used since the Yongjia era, with miraculous life-saving effects.
Prescription for wind-lao toxic swelling, painful spasms, or pain pulling into the lower abdomen and waist/hips:
Take one sheng of Tao Ren (Persicae Semen), remove the tips, skins, and double-kernel seeds. Stir-fry until black smoke appears. Grind while hot until it resembles fat. Mix well with three sheng of good wine. Take once, cover to induce sweating. Repeat no more than two or three times, and the disease will heal.
If swelling starts from the feet and moves upward, gradually entering the abdomen causing death:
Take one dou of Chixiaodou, boil in three dou of water until soft. Remove the beans and soak the knees and below in the bean juice once a day. It will heal in a few days. If the toxin has already entered the abdomen, do not soak the knees. Simply boil and eat the beans. Abstain from all salted vegetables, rice, and flour foods. Eat only beans. Drink bean juice when thirsty. Stop when healed.
Dazimaizi Chixiaodou Tang (Hemp Seed and Adzuki Bean Decoction): Mainly treats toxic swelling with indefinite location, feeling of astringency and aversion to cold, or stabbing pain and restlessness in the heart and abdomen. This is due to heavy and deep-seated toxic qi.
Dazimaizi (stir-fried, five sheng), Chixiaodou (five sheng), Sheng Shanglu (Phytolaccae Radix, two sheng, thinly sliced), Shengma (Cimicifugae Rhizoma, four liang), Fuzi (Aconiti Lateralis Radix Praeparata, three liang), Shegan (Belamcandae Rhizoma, three liang).
Boil the six ingredients in four dou of water, reduce to two dou and five sheng, remove dregs, and crush the Hemp Seeds. Use the Hemp Seed juice to cook the beans until very soft. Remove dregs to obtain six or seven sheng. Take one sheng per dose, finish within one day and night. Mild diarrhea indicates the removal of toxin and reduction of swelling. Eating the beans along with food is beneficial, acting as quickly as snow melting in hot water. When using Hemp Seeds, do not use moldy ones; select good quality ones.
Prescription for treating carbuncles:
Gou Nianzhu (also known as Longkai/Solanum nigrum), extract juice and apply externally to draw out the root. In winter, use dried material soaked in water to extract juice.
Another prescription:
Burn Xier (Xanthii Fructus) to ash, mix with vinegar and starch from rice washing water to make a paste. Seal the affected area. Reapply as needed. Stop only when the root is drawn out.
Another prescription:
Apply dirt/grease from black cattle to seal the area.
Another prescription:
Scrape the "Ru" (bamboo shoot skin/residue) from bamboo arrows to make moxa cones. Moxibustion on the affected area for two sets of seven burns (14 moxibustions), and the swelling will subside.
Another prescription:
Powder Fuzi, mix with vinegar, and apply. Reapply when dry.
Another prescription:
Extract one he of juice from fresh Jiqi (Brassica rapa var. parachinensis) roots, filter, and apply. No more than three applications.