牛角(切成片) 蚌粉(三钱匕) 糯米(安角上同于炭火上 成灰,取七钱匕)
上作五服,嚼乳香酒下,乳香入在内尤佳。
皂角灰 蛤粉
上为细末,半钱或一字,温酒调下。急以手揉乳,敷以天南星末,用水调上,未效加木
别子以醋调涂,次服栝蒌散。
栝蒌(一两) 乳香(一钱)
上为细末,每服一钱,温酒调下。如有乳者急以纸五寸阔一片,用火烧于三寸许置瓶中
,火欲过未过,便以瓶口掩乳,以手扶定。其乳吸在瓶中,觉飕飕乳在瓶,则便取去,急洗
以药。若本无乳,根据痈法治,危亦林《得效方》云热者加石膏末少许。
问曰∶软疖之称何由有此。
答曰∶大人毒存而为漏,小儿毒存而为软疖,逼其毒而已矣。
寻常小可疮疖,无脓而痛,不可忍,诸药所不能止者,用此立效。
水银(一分,要好者) 寒水石(一两) 巴豆(二十七粒,火炮过) 朱砂(半两,要好)
硫黄 犀角 白蔹(各半两) 海螵蛸 黄丹( ,各二两)
上先以津液调和水银如泥后,和诸药末,用米饮丸如两梧桐大,取新汲井水研药一丸,
当疮心点之。如水透内则住,不然加之,以知为度。服金石人,用砂糖为丸,去海螵硝加朴
硝半两井花水顿进五粒便下,然须识证者可使,否则虚实失宜矣。
牛角(切成片) 蚌粉(三钱匕) 糯米(放在牛角上一起在炭火上烧成灰,取七钱匕)
以上药物制成五服,嚼碎乳香后用酒送下,如果乳香能进入病灶内部效果更佳。
皂角灰 蛤粉
以上药物研成细末,每次服用半钱或一字量,用温酒调服。立即用手揉按乳房,敷上天南星粉末,用水调和后涂在上面,如果无效则加木别子用醋调和涂抹,随后服用栝蒌散。
栝蒌(一两) 乳香(一钱)
以上药物研成细末,每次服用一钱,用温酒调服。如果有乳汁淤积,立即取一张宽五寸的纸,点燃约三寸长后放入瓶中,火将灭未灭时,迅速将瓶口对准乳房,用手固定好。乳汁会被吸入瓶中,感觉到乳汁在瓶中发出飕飕声时,便取下瓶子,立即用药清洗患处。如果原本没有乳汁淤积,按照痈疽的方法治疗,危亦林《得效方》说热证者加少许石膏末。
问:软疖这个名称由来是什么?
答:成人毒邪滞留形成漏症,小儿毒邪滞留形成软疖,这是逼迫毒邪外出的方法而已。
寻常轻微的小疮疖,没有脓液却疼痛难忍,各种药物都无法止痛的,使用此法立刻见效。
水银(一分,要选优质的) 寒水石(一两) 巴豆(二十七粒,经火炮制过) 朱砂(半两,要选优质的)
硫黄 犀角 白蔹(各半两) 海螵蛸 黄丹(各二两)
以上药物先用唾液调和如水银如泥状,然后加入其他药物的粉末,用米汤制成梧桐子大小的丸药。取新打的井水研磨一丸药,点在疮口中心。如果药力透入内部就停止,否则继续添加,以见效为度。服用金石类药物的人,用砂糖为粘合剂制丸,去掉海螵蛸加朴硝半两,用井花水一次性吞服五粒即可排出,但这必须由懂辨证的人使用,否则虚实判断失误就会造成危害。
Cow horn (sliced) Concha Tridacnitis (three qian bi) Glutinous rice (placed on the cow horn and burned together over charcoal fire until ash, take seven qian bi)
Process the above ingredients into five doses. Chew Resina Incense (Ruxiang) and swallow with wine; it is especially effective if the incense can penetrate into the lesion.
Ash of Gleditsia Sinensis Fruit (Zaojiao Hui) Concha Meretricis (Ge Fen)
Grind the above ingredients into a fine powder. Take half a qian or one "zi" (a traditional small weight unit), mixed with warm wine for oral administration. Immediately massage the breast manually, then apply powder of Rhizoma Pinelliae Preparatum (Tiannanxing), mixed with water for topical application. If there is no improvement, add Semen Momordicae (Mubiezi), mixed with vinegar for external application, followed by oral administration of Decoction of Trichosanthes Root (Gualou San).
Fructus Trichosanthis (Gualou, one liang) Resina Incense (Ruxiang, one qian)
Grind the above ingredients into a fine powder. Take one qian per dose, mixed with warm wine for oral administration. If there is milk stasis, immediately take a piece of paper five cun wide, ignite about three cun of it, and place it in a bottle. When the flame is about to go out but not yet extinguished, quickly cover the breast with the mouth of the bottle and hold it firmly in place with your hand. The milk will be sucked into the bottle. When you hear a hissing sound indicating milk is in the bottle, remove the bottle immediately and wash the affected area with medicine. If there was originally no milk stasis, treat according to the methods for carbuncle (Yong). Wei Yilin's *Defang Fang* states that for heat syndromes, add a small amount of powder of Gypsum Fibrosum (Shigao).
Question: What is the origin of the term "soft boil" (Ruanjie)?
Answer: In adults, retained pathogenic toxins form fistulas (Lou); in children, retained pathogenic toxins form soft boils (Ruanjie). This refers to forcing the toxins outward.
For ordinary minor sores and boils without pus but with unbearable pain, which cannot be stopped by various medicines, this method produces immediate results.
Mercurius (Shuiyin, one fen, high quality) Lapis Alumen (Hanshuishi, one liang) Semen Crotonis (Badou, twenty-seven grains, prepared by fire roasting) Cinnabaris (Zhusha, half liang, high quality)
Sulfur (Liu Huang) Cornu Bubali (Xijiao) Radix Ampelopsis (Bailian, each half liang) Sepiae Endoconcha (Haipiaoxiao) Minium (Huandan, each two liang)
First, mix Mercurius with saliva until it resembles mud, then combine with the powders of the other drugs. Form pills the size of two paulownia seeds using rice drink as a binder. Grind one pill in newly drawn well water and apply it directly to the center of the sore. Stop when the medicinal effect penetrates inward; otherwise, continue adding until the desired effect is achieved. For patients taking mineral drugs, use rock sugar as a binder to form pills, remove Sepiae Endoconcha, add half liang of Natrii Sulfas (Puxiao), and administer five pills at once with well water to induce purgation. However, this must only be used by those who understand syndrome differentiation; otherwise, misjudging deficiency and excess will lead to harm.