论一首 方二十一首 灸法三首
论曰∶一切痈疽,皆是疮 根本所患,痈之后脓汁不止,得冷即是鼠 ,是以漏方次之
,大须急救之。
治鼠 方∶
马齿草(五升,切 白皮(一斤,水煮五升,取一升澄清) 麝香(半脐,干之,研
末)
杏仁(半升,曲煎令黑捣如粉)
上四味,以瓷器贮之,合和,以三四重帛密系口,病已成疮者,以泔清煎减半,洗,作
贴子涂药贴着疮上,日三易之,若未作疮如瘰 子者,以艾一升熏黄如枣大,干膝如枣大,
三味末之,和艾作炷灸之三七壮,止。
治诸漏方∶
取新生儿屎,一百日以来皆收置密器中五六日,取涂疮孔中。
又方∶
取鲤鱼肠切作五段,火上暖之,先洗疮拭干,以肠贴之,冷即易之,从旦至夜,干止觉
痒,开看虫出,即瘥。
又方∶
取鸡子三颗,米下,蒸半日出,取黄,熬令黑,先拭疮汁令干,以药纳疮孔中,不过三
度。
又方∶
以腊月猪脂,以纸 沾取,纳疮孔中,日五度,夜三度。
风漏及鼠漏方∶
赤小豆 白蔹 牡蛎(熬) 黄
上四味,等分,捣筛为散,酒服方寸匕,日三。
蚁漏方∶
取陵鲤甲二七枚,烧为末,猪膏和敷之。
又方∶取半夏一枚,屑之,以鸭膏和敷之。
漏方∶
铁屑 狗颊连齿骨 虎矢 鹿角甲半取毛(各二两,《千金》云∶鹿皮合毛)
上四味,捣筛为散,以猪膏和纳疮孔中,须臾易之,日五六。
治鼠漏方∶
死鼠(一枚,中形者) 乱发(一鸡子大)
上二味,以腊月猪膏才得没之,微火煎之。鼠发消尽膏成,以涂疮上,又以酒服半分许
,鼠从疮中出。
寒热瘰 方∶
连翘 黄柏 黄 苦芩 栝蒌 土瓜根 芍药恒山(各一两) 龙胆(二两) 狸头
骨(
一枚,炙)
上九味,捣筛为散,酒服五分匕,日三。
治身体瘰 及常有细疮,又口中有疮,蔷薇丸方∶
蔷薇根 黄柏 黄 黄参 芍药 苦参 白蔹 栝蒌 防风 栀子 龙胆 鼠李根皮
(各一两) 石龙芮(二两)
上一十三味,捣筛为末,炼蜜和丸如梧桐子,饮服十丸,日三。(《千金》无黄柏。)
颈漏∶
捣生商陆根作饼子如大钱,浓三分,贴漏上,以艾灸之,饼干热则易之,可灸三四升艾
,便瘥。
一法∶
葶苈子(二合) 豉(一升)
上二味,合捣大烂,熟作饼子如上,以一饼子当孔上贴,以艾柱如小指大,灸上三壮一
易,三饼九柱,日三,隔三日一灸。
一法∶
凡是一名瘰 ,有结核欲作痈疖者,以独颗蒜去两头,灸之如前法,日灸三度,瘥。
一法∶
七月七日日未出时,采麻花,五月五日取艾,等分合作炷,灸漏上百壮。
治 方∶
马齿草(阴干) 腊月淳麻烛(烬)
上二味,等分,细筛,以腊月猪脂和之,先以暖泔清洗疮,拭干涂之。
又方∶
槲木皮一尺,阔六寸,去黑皮细切,以水二斗,煮取五升,去滓,纳白糖十挺,煎取一
升,分三服,以铜器中贮之,若吐,吐着器中看之。
又方∶
五月五日午时,取马齿草一石,以水一石煮取三斗,去滓,纳白糖十挺煎取九升,分三
服,以铜器贮之,若吐,吐着器中看之。
论一首 方二十一首 灸法三首
论述说:所有的痈疽,都是疮疡的根本病变。痈疽溃破后脓汁不止,遇到寒冷就会形成鼠瘘(一种以颈部淋巴结结核为主要表现的慢性化脓性疾病),所以治疗漏症的方剂排在后面,必须紧急救治。
治疗鼠瘘的方子:
马齿苋(五升,切碎) 白皮(一斤,用水煮至五升,取一升澄清液) 麝香(半脐量,干燥后研成粉末) 杏仁(半升,用曲煎至黑色,捣碎如粉状)
以上四味药,用瓷器储存,混合均匀,用三四层丝绸严密系住瓶口。如果病已经形成疮口,用淘米水煎减半,清洗患处,做成贴膏将药贴在疮上,每天更换三次。如果尚未形成疮口,像瘰疬(颈侧淋巴结结核)那样,用艾叶一升熏烤,直到颜色变黄如枣大;或者将干膝(此处疑为药材名或部位,依原文保留)如枣大,将这三味药研成末,与艾混合做成艾炷进行艾灸,灸三七壮(21壮)为止。
治疗各种漏症的方子:
取出生一百天以内的新生儿粪便,都收集在密闭容器中放置五六天,取出涂抹在疮孔中。
另一个方子:
取鲤鱼肠切成五段,在火上加热变暖,先清洗疮口并擦干,用鱼肠贴在疮上,凉了就要更换,从早到晚,干了只感觉痒,打开看有虫子出来,病就好了。
又一个方子:
取鸡蛋三个,在米汤中煮熟半个时辰,取出蛋黄,熬至黑色,先擦拭疮口汁液使其干燥,将药纳入疮孔中,不超过三次。
又一个方子:
用腊月(农历十二月)的猪脂,用纸蘸取,纳入疮孔中,每天五次,晚上三次。
风漏及鼠漏方:
赤小豆 白蔹 牡蛎(煅烧) 黄芪
以上四味药,等分,捣碎过筛成为散剂,用酒送服一方寸匕,每天三次。
又一个方子:取半夏一枚,捣碎,用鸭油调和敷在患处。
漏症方:
铁屑 狗颊连齿骨 虎粪 鹿角甲半取毛(各二两,《千金》注:鹿皮合毛)
以上四味药,捣碎过筛成为散剂,用猪油调和纳入疮孔中,一会儿就更换,每天五六次。
治疗鼠漏方:
死鼠(一只,中等大小的) 乱发(一个鸡蛋大小)
以上两味药,用腊月猪膏刚好淹没它们,用微火煎煮。老鼠和头发完全融化后膏体制成,用来涂抹疮上,同时用酒服用半分许,死鼠会从疮中排出。
寒热瘰疬方:
连翘 黄柏 黄芪 黄芩 瓜蒌 土瓜根 芍药 常山(各一两) 龙胆(二两) 狸头骨(一枚,炙烤)
以上九味药,捣碎过筛成为散剂,用酒送服五分匕,每天三次。
治疗身体瘰疬以及常有细疮,还有口中有疮的蔷薇丸方:
蔷薇根 黄柏 黄芪 黄参(即人参) 芍药 苦参 白蔹 瓜蒌 防风 栀子 龙胆 鼠李根皮(各一两) 石龙芮(二两)
以上十三味药,捣碎过筛成为粉末,炼蜜和丸如梧桐子大小,温水送服十丸,每天三次。(《千金》方中没有黄柏。)
颈漏:
捣碎生商陆根做成饼子,如大铜钱大小,厚三分,贴在漏管上,用艾灸它,饼干了发热就更换,可以灸三四升量的艾绒,病就好了。
一种方法:
葶苈子(二合) 豆豉(一升)
以上两味药,一起捣烂熟透做成饼子如上所述,用一个饼子对准孔贴上,用艾柱如小指粗细,在上面灸三壮换一个,共三个饼九个柱,每天一次,每隔三天灸一次。
一种方法:
凡是有一个瘰疬,有结核准备变成痈疖的,用独颗大蒜去掉两头,按前面的方法艾灸,每天灸三次,病好。
一种方法:
七月七日日出之前,采集麻花,五月五日采集艾草,等分混合做成艾炷,灸漏上百壮。
治疗瘘方:
马齿苋(阴干) 腊月纯麻烛灰
以上两味药,等分,细细过筛,用腊月猪脂调和,先用温热的淘米水清洗疮口,擦干后涂抹。
又一个方子:
槲树树皮一尺,宽六寸,去掉黑皮细切,用水二斗,煮取五升,去渣,加入白糖十挺,煎取一升,分三次服用,用铜器储存,如果呕吐,把吐出的东西放在器中观察。
又一个方子:
五月五日午时,取马齿苋一石,用水一石煮取三斗,去渣,加入白糖十挺煎取九升,分三次服用,用铜器储存,如果呕吐,把吐出的东西放在器中观察。
One Treatise, Twenty-One Formulas, Three Moxibustion Methods
Treatise: All carbuncles and sores (Yong Ju) are the fundamental pathological changes of ulcers. After a carbuncle ruptures, if pus does not stop flowing, exposure to cold will result in "Shu Lou" (a chronic suppurative disease characterized mainly by cervical lymph node tuberculosis). Therefore, formulas for treating fistulas/leaks are listed subsequently, and urgent treatment is required.
Formula for Treating Shu Lou:
Portulaca Oleracea Herb (Wuchi Cao, 5 sheng, chopped) Bark of White Tree (Baipi, 1 jin, boiled in water until reduced to 5 sheng, take 1 sheng of clarified liquid) Musk (Shexiang, half umbilical amount, dried and ground into powder) Apricot Kernel (Xingren, 0.5 sheng, fried with yeast until black, pounded into powder)
Store the above four ingredients in a porcelain vessel, mix thoroughly, and tightly seal the mouth with three or four layers of silk. If the lesion has already formed an ulcer, wash it with reduced rice-washing water decoction, apply the medicine as a plaster on the ulcer, and change it three times daily. If no ulcer has formed yet, resembling Luoli (scrofula/cervical lymphadenitis), fumigate with one sheng of Artemisia Argyi Leaf (Ai Ye) until it turns yellow like a date; or pound dry Xi (here retaining original term) date-sized pieces along with the other two ingredients into powder, mix with Ai Ye to form moxa cones, and perform moxibustion for 21 moxa cones (San Qi Zhuang) until cessation.
Formula for Treating Various Fistulas/Leaks:
Collect feces from newborns within 100 days of birth, store them in a sealed container for five to six days, and apply to the ulcer hole.
Another Formula:
Cut carp intestines into five segments, warm them over fire. First wash the ulcer and dry it, then apply the intestine to the wound. Replace when cool. From morning to night, when it dries, only itching is felt. Open to check for worms coming out; the disease will heal.
Another Formula:
Take three chicken eggs, boil them in rice water for half a day (approx. 4 hours). Take the yolks and fry them until black. First wipe the ulcer discharge dry, then insert the medicine into the ulcer hole. Do not exceed three applications.
Another Formula:
Use lard from the twelfth lunar month. Dip paper in it and insert into the ulcer hole. Apply five times during the day and three times at night.
Formula for Wind Fistula and Shu Fistula:
Adzuki Bean (Chixiaodou) Belamcanda Rhizome (Bailian) Oyster Shell (Muli, calcined) Astragalus Root (Huangqi)
Pound and sieve the above four ingredients in equal parts to make a powder. Take one cun-bi (measure) with wine, three times daily.
Formula for Ant Fistula:
Take fourteen scales of Pangolin Scales (Lingli Jia), burn them into powder, and apply mixed with lard.
Another Formula: Take one Pinellia Tuber (Banxia), crush it, and apply mixed with duck fat.
Formula for Fistula/Leak:
Iron Filings (Tiexie) Bone of Dog Cheek with Teeth (Gou Jia Lian Chi Gu) Tiger Feces (Hu Shi) Deer Horn Armor with Half Hair Quoted from Qianjin: Deer Skin with Hair (Lu Jiao Jia Ban Qu Mao) (each 2 liang)
Pound and sieve the above four ingredients to make a powder. Mix with lard and insert into the ulcer hole. Change frequently, five to six times daily.
Formula for Treating Shu Fistula:
Dead Rat (one medium-sized) Tangled Hair (Luan Fa, size of a chicken egg)
Boil the dead rat and hair in just enough lard from the twelfth lunar month over low heat. When the rat and hair dissolve completely and the ointment forms, apply it to the ulcer. Also take half a fen approximately with wine. The dead rat will be expelled from the ulcer.
Formula for Cold-Heat Luoli (Scrofula):
Forsythia Fruit (Lianqiao) Phellodendron Bark (Huangbai) Astragalus Root (Huangqi) Scutellaria Root (Huangqin) Trichosanthes Root (Gualou) Thladiantha Root (Tugua Gen) Peony Root (Shaoyao) Polygala Root (Hengshan) each 1 liang Gentian Root (Longdan) 2 liang Civet Cat Skull Bone (Li Tou Gu, one piece, roasted)
Pound and sieve the above nine ingredients to make a powder. Take five fen-bi with wine, three times daily.
Rose Pill Formula for Treating Body Luoli, Frequent Small Ulcers, and Oral Ulcers:
Rose Root (Qiangwei Gen) Phellodendron Bark (Huangbai) Astragalus Root (Huangqi) Ginseng Root (Huangshen/Renshen) Peony Root (Shaoyao) Sophora Root (Kushen) Belamcanda Rhizome (Bailian) Trichosanthes Root (Gualou) Saposhnikovia Root (Fangfeng) Gardenia Fruit (Zhizi) Gentian Root (Longdan) Rhamnus Root Bark (Shuli Genpi) each 1 liang Batatavine Root (Shilongrui) 2 liang
Pound and sieve the above thirteen ingredients into powder. Mix with refined honey to form pills the size of tung tree seeds. Take ten pills with water, three times daily. (Note: Huangbai is absent in the Qianjin formula.)
Neck Fistula:
Pound fresh Phytolacca Root (Shanglu) into cakes the size of large coins, thickness 3 fen. Apply to the fistula and perform moxibustion. Replace when the cake dries and becomes hot. Moxibustion can use 3-4 sheng of moxa; the disease will heal.
Method One:
Lepidium Seed (Tinglizi) 2 he Fermented Soybeans (Chi) 1 sheng
Pound the above two ingredients thoroughly until soft and cooked-like. Make cakes as described above. Place one cake over the hole and apply moxa cones the size of a little finger. Perform three moxa cones per cake, changing after each set. Total: three cakes, nine cones. Once daily, moxibustion every three days.
Method Two:
For any single Luoli nodule that is about to become a carbuncle or boil, remove the top and bottom of a single garlic clove. Perform moxibustion as previously described, three times daily, until healed.
Method Three:
On the seventh day of the seventh lunar month before sunrise, collect Hemp Flower (Mahua). On the fifth day of the fifth lunar month, collect Mugwort (Ai). Mix equal parts to form moxa cones. Perform over 100 moxa cones on the fistula.
Formula for Treating Fistula:
Portulaca Oleracea Herb (Machi Cao, shade-dried) Ash of Pure Hemp Candle from Twelfth Lunar Month (Chunmazhu Jin)
Mix the above two ingredients in equal parts, sift finely, and blend with lard from the twelfth lunar month. First wash the ulcer with warm rice-washing water, dry it, and apply.
Another Formula:
Oak Bark (Humu Pi) one chi long, six cun wide. Remove black outer bark and cut finely. Boil in two dou of water until reduced to five sheng. Strain, add ten ting of white sugar, and simmer until reduced to one sheng. Divide into three doses. Store in a copper vessel. If vomiting occurs, observe the vomitus in the vessel.
Another Formula:
At noon on the fifth day of the fifth lunar month, take one shi of Portulaca Oleracea Herb. Boil in one shi of water until reduced to three dou. Strain, add ten ting of white sugar, and simmer until reduced to nine sheng. Divide into three doses. Store in a copper vessel. If vomiting occurs, observe the vomitus in the vessel.