论曰凡伤寒热毒内盛,多发 疮者,以病患里实表虚故也,里实则毒瓦斯不能内消。表虚
故乘虚发于肌肉而成疮也,其疮大小形如豌豆,其色或白或赤,若头作瘭浆戴白脓者,其毒
则轻,若紫黑色作根,隐隐在肌肉里者,其毒则重,甚者周匝遍身,五脏七窍皆有也。
治伤寒天行,壮热头痛,发疮如豌豆。石膏汤方
石膏(碎二两) 柴胡(去苗) 虎杖(各一两) 知母(焙半两) 芍药(一两) 山
栀子仁(三分)
上六味,粗捣筛,每服五钱匕,水一盏半,煎至八分,去滓温服。
治伤寒热病生豌豆疮并 疮。烦闷昏迷。参麻汤方
玄参(一两) 升麻(三分) 犀角(镑半两) 干蓝叶(一两) 甘草(炙锉三分)
上五味,粗捣筛,每服五钱匕,水一盏半,入葱白三寸,豉一百粒,同煎至一盏,去滓
温服、日二。
治伤寒天行热病,毒瓦斯盛生豌豆并 疮。烦躁迷闷。二黄汤方
大黄(锉炒半两) 黄芩(去黑心) 麦门冬(去心焙) 芍药(各一两) 甘草(炙
锉三分) 大青(半两)
上六味,粗捣筛,每服五钱匕,水一盏半,煎至八分,去滓温服。
治伤寒发豌豆疮,四边赤肿。胡荽汤方
胡荽(一握) 生地黄(一两)
上二味,细切,捣绞取汁,空心顿服一盏许。
治伤寒热盛,发豌豆疮,升麻汤方
升麻(半两) 大黄(锉炒一两) 黄连(去须) 甘草(炙锉各三分) 山栀子仁(一
两)
上五味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服日二。
治伤寒热病发豌豆疮,未成脓者。黄连汤方
黄连(去须一两半)
上一味,细锉,水一盏,煎至七分,去滓食后温服。
治伤寒热毒瓦斯盛,发疮如豌豆,犀角汤方
犀角(镑二两) 麻黄(去根节) 黄连(去须各一两半) 木香(一两)
上四味,粗捣筛,每服五钱匕,水一盏半,煎至八分,去滓温服。
治伤寒天行,壮热头痛,发疮如豌豆遍身。大青汤方
大青(一两) 山栀子仁 犀角(镑各半两)
上三味,粗捣筛,每服三钱匕,水一盏,入豉一百粒,煎至七分,去滓温服。
治伤寒热毒,发疮如豌豆。牡丹汤方
牡丹皮 山栀子仁 黄芩(去黑心) 大黄(锉炒) 木香 麻黄(去根节)
上六味,等分,锉如麻豆大,每服三钱匕,水一盏,煎至七分,去滓温服。
治伤寒发斑。豆疮欲出。化毒汤方
甘草(微炙一两) 黄连(去须微炒一分)
上二味,锉如麻豆大,每服五钱匕,水一盏半,煎至八分,去滓温服,不计时候。
治伤寒时行,热毒发疮,头面及身,须臾周匝,状如火疮,皆带瘭浆,随没随生。方
葵菜(煮烂) 蒜齑(各不以多少)
上二味,拌匀,初患急食之,不早治杀人,既瘥后,疮瘢色黑,弥岁方灭,此是恶毒时
气也。
治伤寒热病,欲生豌豆疮,毒未出,令不成,内消散方
墨(烧去烟一分)
上一味,用酒三合,磨令尽,顿饮之。
治伤寒热病,生 疮,烦躁迷闷。紫草饮方
紫草(并根细锉二两)
上一味,粗捣筛,每服三钱匕,水一盏,煎至七分去滓,不计时候温服。
治伤寒时气,发疮如豌豆烦闷。竹叶汤方
苦竹叶(切) 小麦(各二两) 石膏(碎二两)
上三味,粗捣筛,每服五钱匕,水一盏半,煎至一盏,去滓温服,不计时候。
治伤寒时疾,发豌豆疮,及赤疮子未透,心烦狂躁,气喘妄语,或见神鬼。龙脑丸方
龙脑(一钱)
上一味,细研,旋滴猪心血,和丸如鸡头实大,每服一丸,紫草汤化下。
治伤寒热病,初出豌豆疮三五个,便服此,令疮不出。黑散子方
腊月猪粪(不拘多少)
上一味,以新砂瓶子盛,瓦盖口,炭烧令通赤,取出安地上。出火毒,入乳钵研细,每
服空心,新汲水调下二钱匕。
又方
青黛(一分)
上一味,研细,每服新汲水,调下一钱匕,不拘时候。
治伤寒发斑疹豆疮。紫方
紫草 荆芥穗 恶实(等分)
上三味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服。
论述说:凡是伤寒热毒在体内炽盛,导致多发疮疡的,是因为患者里实表虚的缘故。里实则毒邪之气不能在内消散;表虚则毒邪乘虚侵入肌肉而形成疮疡。这些疮疡大小形状像豌豆,颜色有的白、有的红。如果疮头起脓疱、顶部有白色脓液的,其毒性较轻;如果是紫黑色且根深,隐隐潜伏在肌肉里的,其毒性较重。严重的甚至周身遍布,五脏七窍都有发生。
治疗伤寒天行(流行性传染病),壮热头痛,发疮如豌豆的石膏汤方:
石膏(打碎二两) 柴胡(去苗) 虎杖(各一两) 知母(焙干半两) 芍药(一两) 山栀子仁(三分)
以上六味药,粗捣筛过,每次服用五钱匕,加水一盏半,煎至八分,去渣温服。
治疗伤寒热病生豌豆疮并伴有疮疡,烦闷昏迷的参麻汤方:
玄参(一两) 升麻(三分) 犀角(镑片半两) 干蓝叶(一两) 甘草(炙后锉碎三分)
以上五味药,粗捣筛过,每次服用五钱匕,加水一盏半,加入葱白三寸、豆豉一百粒,同煎至一盏,去渣温服,每日两次。
治疗伤寒天行热病,毒邪炽盛生豌豆及疮疡,烦躁迷闷的二黄汤方:
大黄(锉碎炒制半两) 黄芩(去黑心) 麦门冬(去心焙干) 芍药(各一两) 甘草(炙后锉碎三分) 大青(半两)
以上六味药,粗捣筛过,每次服用五钱匕,加水一盏半,煎至八分,去渣温服。
治疗伤寒发豌豆疮,四周红肿的胡荽汤方:
胡荽(一握) 生地黄(一两)
以上两味药,细切,捣烂绞取汁液,空腹一次性服用约一盏。
治疗伤寒热盛,发豌豆疮的升麻汤方:
升麻(半两) 大黄(锉碎炒制一两) 黄连(去须) 甘草(炙后锉碎各三分) 山栀子仁(一两)
以上五味药,粗捣筛过,每次服用三钱匕,加水一盏,煎至七分,去渣温服,每日两次。
治疗伤寒热病发豌豆疮,尚未成脓的黄连汤方:
黄连(去须一两半)
以上一味药,细锉,加水一盏,煎至七分,去渣饭后温服。
治疗伤寒热毒炽盛,发疮如豌豆的犀角汤方:
犀角(镑片二两) 麻黄(去根节) 黄连(去须各一两半) 木香(一两)
以上四味药,粗捣筛过,每次服用五钱匕,加水一盏半,煎至八分,去渣温服。
治疗伤寒天行,壮热头痛,发疮如豌豆遍布全身的大青汤方:
大青(一两) 山栀子仁 犀角(镑片各半两)
以上三味药,粗捣筛过,每次服用三钱匕,加水一盏,加入豆豉一百粒,煎至七分,去渣温服。
治疗伤寒热毒,发疮如豌豆的牡丹汤方:
牡丹皮 山栀子仁 黄芩(去黑心) 大黄(锉碎炒制) 木香 麻黄(去根节)
以上六味药,等量分配,锉碎如麻豆大小,每次服用三钱匕,加水一盏,煎至七分,去渣温服。
治疗伤寒发斑,豆疮欲出的化毒汤方:
甘草(微炙一两) 黄连(去须微炒一分)
以上两味药,锉碎如麻豆大小,每次服用五钱匕,加水一盏半,煎至八分,去渣温服,不限时候。
治疗伤寒时行(季节性流行病),热毒发疮,头面及身体,片刻间遍布全身,状如火疮,都带有脓疱,随破随生。方剂:
葵菜(煮烂) 蒜齑(捣碎的蒜泥,用量不限)
以上两味药,拌匀,初患时急食之,若不早治会致死。痊愈后,疮疤色黑,需一年才能消退,这是恶毒时气所致。
治疗伤寒热病,欲生豌豆疮,毒未出,令其不成形的内消散方:
墨(烧去烟一分)
以上一味药,用酒三合,磨尽,一次性饮下。
治疗伤寒热病,生疮,烦躁迷闷的紫草饮方:
紫草(连同根细锉二两)
以上一味药,粗捣筛过,每次服用三钱匕,加水一盏,煎至七分去渣,不限时候温服。
治疗伤寒时气,发疮如豌豆烦闷的竹叶汤方:
苦竹叶(切碎) 小麦(各二两) 石膏(打碎二两)
以上三味药,粗捣筛过,每次服用五钱匕,加水一盏半,煎至一盏,去渣温服,不限时候。
治疗伤寒时疾,发豌豆疮,以及赤疮子未透,心烦狂躁,气喘妄语,或见神鬼的龙脑丸方:
龙脑(一钱)
以上一味药,细研,随时滴入猪心血,和丸如鸡头实大小,每次服用一丸,用紫草汤送服。
治疗伤寒热病,初出豌豆疮三五个,便服此方,令疮不出。黑散子方:
腊月猪粪(不拘多少)
以上一味药,用新砂瓶盛装,瓦盖口,用炭火烧至通红,取出放在地上。去除火毒,放入乳钵研细,每次空腹,用新汲水调下二钱匕。
又一方:
青黛(一分)
以上一味药,研细,每次用新汲水调下一钱匕,不限时候。
治疗伤寒发斑疹豆疮的紫方:
紫草 荆芥穗 恶实(牛蒡子,等分)
以上三味药,粗捣筛过,每次服用三钱匕,加水一盏,煎至七分,去渣温服。
Commentary states: In cases where the heat-toxin of Cold Damage (Shanghan, a syndrome caused by exogenous cold pathogens) is excessively abundant internally, leading to the frequent occurrence of sores, it is due to the patient having interior excess and exterior deficiency. Interior excess prevents the pathogenic factors from being resolved internally; exterior deficiency allows the pathogens to invade the muscles through the void, forming sores. These sores are of varying sizes and shaped like peas. Their color may be white or red. If the head of the sore forms a pustule with white pus on top, the toxicity is mild. If the sore is purple-black with deep roots, faintly hidden within the muscles, the toxicity is severe. In extreme cases, they cover the entire body, affecting the five Zang organs (Heart, Liver, Spleen, Lung, Kidney) and seven orifices.
Formula for Gypsum Decoction (Shigao Tang) to treat Cold Damage epidemic diseases, with high fever, headache, and pea-like sores:
Gypsum (crushed, 2 liang), Bupleurum Root (Chaihu, de-radicle), Polygonum Cuspidatum Rhizome et Radix (Huzhang, each 1 liang), Anemarrhena Rhizome (Zhimu, baked, 0.5 liang), Peony Root (Shaoyao, 1 liang), Gardenia Fruit Seed (Shanzhizi Ren, 3 fen).
The above six herbs are coarsely crushed and sieved. Take 5 qianbi per dose, add 1.5 zhan of water, decoct until 0.8 zhan remains, remove the dregs, and take warm.
Formula for Scrophularia and Cimicifuga Decoction (Canma Tang) to treat Cold Damage febrile disease producing pea-like sores and other ulcers, accompanied by irritability, stifling sensation, and coma:
Scrophularia Root (Xuanshen, 1 liang), Cimicifuga Rhizome (Shengma, 3 fen), Rhinoceros Horn (Xijiao, sliced, 0.5 liang), Dried Isatis Leaf (Ganlan Ye, 1 liang), Licorice Root (Gancao, honey-fried and cut, 3 fen).
The above five herbs are coarsely crushed and sieved. Take 5 qianbi per dose, add 1.5 zhan of water, three cun of scallion white, and 100 grains of prepared soybean (Douchi). Decoct together until 1 zhan remains, remove the dregs, and take warm. Twice daily.
Formula for Erhuang Tang (Two-Yellow Decoction) to treat Cold Damage epidemic febrile disease with excessive toxic factors producing pea-like sores and ulcers, accompanied by restlessness and confusion:
Rhubarb Rhizome and Root (Dahuang, cut and stir-fried, 0.5 liang), Scutellaria Root (Huangqin, remove black heart), Ophiopogon Tuber (Mendong, remove core and bake), Peony Root (Shaoyao, each 1 liang), Licorice Root (Gancao, honey-fried and cut, 3 fen), Indigo Naturalis (Daqing, 0.5 liang).
The above six herbs are coarsely crushed and sieved. Take 5 qianbi per dose, add 1.5 zhan of water, decoct until 0.8 zhan remains, remove the dregs, and take warm.
Formula for Coriander Decoction (Huisui Tang) to treat Cold Damage producing pea-like sores with redness and swelling around them:
Coriander Fruit (Huisui, one handful), Rehmannia Root (Shengdihuang, 1 liang).
The above two herbs are finely cut, pounded, and squeezed to extract juice. Take about one zhan in one dose on an empty stomach.
Formula for Cimicifuga Decoction (Shengma Tang) to treat Cold Damage with excessive heat producing pea-like sores:
Cimicifuga Rhizome (Shengma, 0.5 liang), Rhubarb Rhizome and Root (Dahuang, cut and stir-fried, 1 liang), Coptis Rhizome (Huanglian, remove mustache), Licorice Root (Gancao, honey-fried and cut, each 3 fen), Gardenia Fruit Seed (Shanzhizi Ren, 1 liang).
The above five herbs are coarsely crushed and sieved. Take 3 qianbi per dose, add 1 zhan of water, decoct until 0.7 zhan remains, remove the dregs, and take warm. Twice daily.
Formula for Coptis Decoction (Huanglian Tang) to treat Cold Damage febrile disease producing pea-like sores that have not yet suppurated:
Coptis Rhizome (Huanglian, remove mustache, 1.5 liang).
The above single herb is finely cut, add 1 zhan of water, decoct until 0.7 zhan remains, remove the dregs, and take warm after meals.
Formula for Rhinoceros Horn Decoction (Xijiao Tang) to treat Cold Damage with excessive heat-toxin producing pea-like sores:
Rhinoceros Horn (Xijiao, sliced, 2 liang), Ephedra Stem (Mahuang, remove root and joints), Coptis Rhizome (Huanglian, remove mustache, each 1.5 liang), Costus Root (Muxiang, 1 liang).
The above four herbs are coarsely crushed and sieved. Take 5 qianbi per dose, add 1.5 zhan of water, decoct until 0.8 zhan remains, remove the dregs, and take warm.
Formula for Indigo Naturalis Decoction (Daqing Tang) to treat Cold Damage epidemic disease with high fever, headache, and pea-like sores covering the whole body:
Indigo Naturalis (Daqing, 1 liang), Gardenia Fruit Seed (Shanzhizi Ren), Rhinoceros Horn (Xijiao, sliced, each 0.5 liang).
The above three herbs are coarsely crushed and sieved. Take 3 qianbi per dose, add 1 zhan of water and 100 grains of prepared soybean (Douchi). Decoct until 0.7 zhan remains, remove the dregs, and take warm.
Formula for Moutan Decoction (Mudan Tang) to treat Cold Damage heat-toxin producing pea-like sores:
Moutan Bark (Mudanhpi), Gardenia Fruit Seed (Shanzhizi Ren), Scutellaria Root (Huangqin, remove black heart), Rhubarb Rhizome and Root (Dahuang, cut and stir-fried), Costus Root (Muxiang), Ephedra Stem (Mahuang, remove root and joints).
The above six herbs are taken in equal parts, cut into pieces the size of hemp seeds. Take 3 qianbi per dose, add 1 zhan of water, decoct until 0.7 zhan remains, remove the dregs, and take warm.
Formula for Detoxification Decoction (Huadu Tang) to treat Cold Damage macules and emerging pea-like sores:
Licorice Root (Gancao, lightly fried, 1 liang), Coptis Rhizome (Huanglian, remove mustache and lightly fried, 1 fen).
The above two herbs are cut into pieces the size of hemp seeds. Take 5 qianbi per dose, add 1.5 zhan of water, decoct until 0.8 zhan remains, remove the dregs, and take warm at any time.
Formula for treating Cold Damage seasonal epidemics where heat-toxin causes sores on the head, face, and body, spreading rapidly all over, resembling fire blisters, all carrying pustules, breaking and regenerating quickly:
Malva Vegetable (Kuicai, boiled soft), Minced Garlic (Suanji, amount unspecified).
The above two herbs are mixed well. Eat urgently upon initial onset; failure to treat early can be fatal. After recovery, the scar marks remain black for a year before fading. This is caused by malignant epidemic qi.
Formula for Neixiaosan (Internal Dissipation Powder) to treat Cold Damage febrile disease where pea-like sores are desired but toxins have not emerged, preventing their formation:
Ink Stick (Mo, burnt to remove smoke, 1 fen).
The above single herb is ground in 3 he of wine until dissolved, and drunk in one dose.
Formula for Purple Gromwell Drink (Zicao Yin) to treat Cold Damage febrile disease producing sores, with restlessness and confusion:
Purple Gromwell Root (Zicao, including roots, finely cut, 2 liang).
The above single herb is coarsely crushed and sieved. Take 3 qianbi per dose, add 1 zhan of water, decoct until 0.7 zhan remains, remove the dregs, and take warm at any time.
Formula for Bamboo Leaf Decoction (Zhuye Tang) to treat Cold Damage epidemic qi causing pea-like sores and stifling sensation:
Bitter Bamboo Leaves (Kuzhuye, cut), Wheat (Xiaomai, each 2 liang), Gypsum (Shigao, crushed, 2 liang).
The above three herbs are coarsely crushed and sieved. Take 5 qianbi per dose, add 1.5 zhan of water, decoct until 1 zhan remains, remove the dregs, and take warm at any time.
Formula for Borneol Pills (Longnao Wan) to treat Cold Damage epidemic diseases producing pea-like sores, along with red sores not fully erupted, mental agitation, mania, panting, delirious speech, or seeing spirits and ghosts:
Borneol (Longnao, 1 qian).
The above single herb is finely ground, and pig heart blood is dropped in gradually to form pills the size of corn kernels. Take one pill per dose, washed down with Purple Gromwell Decoction (Zicao Tang).
Formula for Black Powder (Heisanzi) to treat Cold Damage febrile disease where only three or five pea-like sores have initially appeared; taking this prevents further eruption:
Pig Manure from the Twelfth Lunar Month (Layue Zhifen, amount unspecified).
The above single herb is placed in a new clay pot, covered with a tile, and burned with charcoal until red hot. Remove and place on the ground to eliminate fire toxicity. Grind finely in a mortar. Take 2 qianbi on an empty stomach, mixed with fresh drawn water.
Another Formula:
Indigo Naturalis (Qingdai, 1 fen).
The above single herb is finely ground. Take 1 qianbi per dose, mixed with fresh drawn water, at any time.
Formula for Zi Fang (Purple Formula) to treat Cold Damage macules, rashes, and pea-like sores:
Purple Gromwell Root (Zicao), Schizonepeta Spike (Jingjie Sui), Arctium Fruit (Eshi, equal parts).
The above three herbs are coarsely crushed and sieved. Take 3 qianbi per dose, add 1 zhan of water, decoct until 0.7 zhan remains, remove the dregs, and take warm.