消渴后成痈疽 · 圣济总录

圣济总录

消渴后成痈疽453 / 1302

圣济总录 · 消渴后成痈疽 · 宋

古文

论曰消渴则随饮而出，皆作小便，由少服乳石所致，久则营卫损伤，精血不足，肌肤减
耗，石气增炽，附带经络，津液内竭，经络凝涩，营卫不行，热气留滞，故变痈疽。此当精
穷治法，恐毒瓦斯不出穿通腑脏也。
治消渴后虚热留滞，结成痈疽。栝蒌根丸方
栝蒌根（一两一分）铅丹（研一两）干葛粉（三分）附子（炮裂去皮脐半两）
上四味，以二味捣罗为细末，与葛粉铅丹和匀，炼蜜丸梧桐子大，每服二十丸，温水下，
不拘时候。
治消渴后烦热，结成痈疽。八珍散方
水银（入铅丹点少水研令星尽）栝蒌根（各一两）苦参（锉）知母（焙各一两半）
铅丹
（半两）密陀僧（研）牡蛎（熬）黄连（去须各一两）
上八味，除水银铅丹外，捣罗为细散，入水银铅丹末和匀，每服一钱匕，温水调下。不
拘时候。
治渴利后，经络痞涩，营卫留结成痈疽。玄参散方
玄参（洗切）犀角（镑屑）芒硝（研细）黄（细锉）沉香（锉）木香羚
羊角（镑屑
各一两）甘草（生锉三分）
上八味，捣罗为细散，每服二钱匕，温水调下，不拘时候。
治消渴后成痈疽。磁石饮方
磁石（性紧者四两）
上一味，杵碎，以水五升，瓷器中煮取四升，候冷不拘多少，旋饮之。
治消渴后成痈疽。磁石散方
磁石（引铁者火烧醋淬二十遍一两）黄（细锉）地骨皮（洗）生干地黄（焙各
三分）
五味子枳壳（去瓤麸炒）桂（去粗皮）槟榔（锉各半两）
上八味，捣罗为细散，每服三钱匕，温水调下，日三服。
治消渴后，热毒结成痈疽。麦门冬汤方
麦门冬（去心焙）赤茯苓（去黑皮）栝蒌实（焙）地骨皮（洗切各二两）甘草
（炙锉三
两）
上五味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服，不拘时。
治消渴后心肺气独盛，结成痈疽。桑根白皮汤方
桑根白皮（锉炒半斤）
上一味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，日再。
治消渴后成痈疽。石膏汤方
石膏（碎一两半）知母（焙一两半）犀角（镑屑一两）升麻（三分）栝蒌根（生
者削去皮
细切可半斤烂研生布绞取汁两合半如无以干者四两代之）土瓜根（绞取汁两合半无生者以
干
者四两代之）
上六味，除汁外，粗捣筛，每服三钱匕，二药汁各半合，水一盏半，小麦少许，同煎至
八分，去滓温服，不拘时。
治消渴后虚热，结成痈疽。铅丹散方
铅丹（别研半两）栝蒌根（一两）泽泻石膏（研）赤石脂白石脂（各一两一
分）胡
粉（研半两）甘草（炙锉一两）
上八味。捣罗五味为细散。入别研三味和匀。每服二钱匕。温水调下。不拘时服。
治消渴内虚热。结成痈疽。磁石丸方
磁石（火烧醋淬二七遍一两）大豆（二合）荠（洗切）人参赤茯苓（去黑皮）
葛根
（锉各三分）石膏（碎一两一分）黄芩（去黑心）栝蒌根甘草（炙锉）知母（焙
各一两）
上一十一味。捣研为细末。炼蜜和丸。梧桐子大。每服三十丸。温水下。日三服。

白话

论述说：消渴病（以多饮、多食、多尿、身体消瘦为特征的疾病）患者饮水后随即排出，全部变成小便，这是由于长期服用乳石（矿物药）所导致。日久则导致营卫之气受损，精血亏虚，肌肤消瘦耗损，石毒之气更加炽盛，并波及经络，致使体内津液枯竭，经络凝滞涩阻，营卫运行不畅，热气停留阻滞，因此转变为痈疽（一种发于体表的化脓性疾患）。对此应当穷尽治疗方法，恐怕毒气不能排出而穿透脏腑。

治疗消渴病后出现的虚热留滞，凝结成痈疽的方剂：栝蒌根丸方
栝蒌根（一两一分）铅丹（研磨一两）干葛粉（三分）附子（炮制裂开，去皮和脐半两）
以上四味药，将其中两味捣碎过筛成细末，与葛粉、铅丹混合均匀，用炼蜜制成如梧桐子大小的丸药，每次服用二十丸，温水送下，不限时间。

治疗消渴病后烦热，凝结成痈疽的方剂：八珍散方
水银（加入铅丹和少量水研磨至星点消失）栝蒌根（各一两）苦参（切碎）知母（焙干，各一两半）铅丹（半两）密陀僧（研磨）牡蛎（煅烧）黄连（去须，各一两）
以上八味药，除水银、铅丹外，其余捣碎过筛成细散，加入水银、铅丹粉末混合均匀，每次服用一钱匕，温水调服。不限时间。

治疗消渴病后，经络痞塞涩滞，营卫滞留凝结成痈疽的方剂：玄参散方
玄参（洗净切片）犀角（镑成屑）芒硝（研细）黄芪（细切）沉香（切碎）木香羚羊角（镑成屑，各一两）甘草（生切三分）
以上八味药，捣碎过筛成细散，每次服用二钱匕，温水调服，不限时间。

治疗消渴病后形成痈疽的方剂：磁石饮方
磁石（质地紧密者四两）
以上一味药，捣碎，用水五升，在瓷器中煮取四升，待冷却后，不拘多少量，随时饮用。

治疗消渴病后形成痈疽的方剂：磁石散方
磁石（能吸铁的，火烧后醋淬二十遍，一两）黄芪（细切）地骨皮（洗净）生干地黄（焙干，各三分）五味子枳壳（去瓤，麸炒）桂枝（去粗皮）槟榔（切碎，各半两）
以上八味药，捣碎过筛成细散，每次服用三钱匕，温水调服，每日三次。

治疗消渴病后，热毒凝结成痈疽的方剂：麦门冬汤方
麦门冬（去心焙干）赤茯苓（去黑皮）栝蒌实（焙干）地骨皮（洗净切片，各二两）甘草（炙烤切碎，三两）
以上五味药，粗捣筛过，每次服用三钱匕，用水一盏，煎至七分，去渣温服，不限时间。

治疗消渴病后心肺之气独盛，凝结成痈疽的方剂：桑根白皮汤方
桑根白皮（切碎炒制，半斤）
以上一味药，粗捣筛过，每次服用三钱匕，用水一盏，煎至七分，去渣温服，每日两次。

治疗消渴病后形成痈疽的方剂：石膏汤方
石膏（打碎一两半）知母（焙干一两半）犀角（镑成屑一两）升麻（三分）栝蒌根（新鲜者削去皮细切烂研，用生布绞取汁两合半；若无鲜品，用干品四两代替）土瓜根（绞取汁两合半；若无鲜品，用干品四两代替）
以上六味药，除汁液外，其余粗捣筛过，每次服用三钱匕，两种药汁各取半合，水一盏半，少许小麦，同煎至八分，去渣温服，不限时间。

治疗消渴病后虚热，凝结成痈疽的方剂：铅丹散方
铅丹（另研半两）栝蒌根（一两）泽泻石膏（研）赤石脂白石脂（各一两一分）胡粉（研半两）甘草（炙烤切碎一两）
以上八味药。将其中五味捣罗成细散。加入另外三种另研的药粉混合均匀。每次服用二钱匕。温水调服。不限时间服用。

治疗消渴病内虚热，凝结成痈疽的方剂：磁石丸方
磁石（火烧醋淬十四遍，一两）大豆（二合）荠苨（洗净切片）人参赤茯苓（去黑皮）葛根（切碎，各三分）石膏（打碎一两一分）黄芩（去黑心）栝蒌根甘草（炙烤切碎）知母（焙干，各一两）
以上十一味药。捣碎研磨成细末。用炼蜜调和制成丸药，大小如梧桐子。每次服用三十丸，温水送下，每日三次。

英文

Discussion: In Xiao Ke (Xiao Ke Syndrome, characterized by excessive thirst, hunger, urination, and emaciation), fluids consumed are immediately excreted as urine. This is caused by the long-term ingestion of Rushi (Mineral Drugs). Over time, Ying and Wei Qi (Defensive and Nutritive Qi) are damaged, essence and blood become deficient, and muscle and skin waste away. The toxic nature of the minerals intensifies, affecting the meridians. Internal body fluids are exhausted, meridians become coagulated and obstructed, and Ying and Wei circulation ceases. Heat qi remains stagnant, thus transforming into Yong Ju (Carbuncles and Ulcers, suppurative skin lesions). Thorough treatment methods must be employed to prevent the toxic vapors from failing to exit and penetrating the Zang-Fu organs.

Formula for treating carbuncles and ulcers formed after Xiao Ke due to lingering deficiency-heat: Gualou Gen Wan (Trichosanthes Root Pill)
Gualou Gen (Root of Trichosanthes kirilowii, 1 liang 1 fen) Qian Dan (Lead Oxide, ground, 1 liang) Gan Ge Fen (Powder of Pueraria lobata root, 3 fen) Fuzi (Prepared Aconite carmichaelii lateral root, cracked, peel and navel removed, 0.5 liang)
The above four ingredients: Two of them are pounded and sifted into fine powder, mixed evenly with Gan Ge Fen and Qian Dan. Honey is refined and used to form pills the size of paulownia seeds. Take 20 pills per dose, washed down with warm water, at any time.

Formula for treating carbuncles and ulcers formed after Xiao Ke due to irritability and heat: Bazhen San (Eight Treasures Powder)
Shuiyin (Mercury, added to Qian Dan with a little water and ground until no star-like particles remain) Gualou Gen (Root of Trichosanthes kirilowii, each 1 liang) Kushen (Sophora flavescens root, chopped) Zhimu (Rhizoma Anemarrhenae, baked, each 1.5 liang) Qian Dan (Lead Oxide, 0.5 liang) Mituo Seng (Litharge, ground) Muli (Oyster Shell, calcined) Huanglian (Rhizoma Coptidis, whiskers removed, each 1 liang)
The above eight ingredients: Excluding Shuiyin and Qian Dan, the rest are pounded and sifted into fine powder. Add the powders of Shuiyin and Qian Dan and mix evenly. Take one qianbi (a spoonful measure) per dose, mixed with warm water. At any time.

Formula for treating carbuncles and ulcers formed after Xiao Ke due to meridian obstruction and stagnation of Ying and Wei: Xuanshen San (Scrophularia Root Powder)
Xuanshen (Radix Scrophulariae, washed and sliced) Xijiao (Horn of Rhinoceros, shaved into flakes) Mangxiao (Natrii Sulfas, finely ground) Huangqi (Radix Astragali, finely chopped) Chenxiang (Aquilaria Lignum) Muxiang (Radix Aucklandiae) Lingyangjiao (Horn of Saiga Antelope, shaved into flakes, each 1 liang) Gancao (Radix Glycyrrhizae, raw and chopped, 3 fen)
The above eight ingredients are pounded and sifted into fine powder. Take two qianbi per dose, mixed with warm water. At any time.

Drink for treating carbuncles and ulcers formed after Xiao Ke: Cishi Yin (Magnetite Drink)
Cishi (Magnetite, dense texture, 4 liang)
The above single ingredient is crushed. Boil in five sheng of water in a porcelain vessel until four sheng remain. Wait for it to cool. Drink as much as desired, at any time.

Powder for treating carbuncles and ulcers formed after Xiao Ke: Cishi San (Magnetite Powder)
Cishi (Magnetite that attracts iron, fired and quenched in vinegar twenty times, 1 liang) Huangqi (Radix Astragali, finely chopped) Digupi (Cortex Lycii, washed) Sheng Gan Dihuang (Dried Rehmannia Root, baked, each 3 fen) Wuweizi (Fructus Schisandrae) Zhike (Fructus Aurantii, pith removed, stir-fried with bran) Guizhi (Ramulus Cinnamomi, coarse bark removed) Binglang (Semen Arecae, chopped, each 0.5 liang)
The above eight ingredients are pounded and sifted into fine powder. Take three qianbi per dose, mixed with warm water. Three doses daily.

Decoction for treating carbuncles and ulcers formed after Xiao Ke due to heat-toxin accumulation: Maidong Tang (Ophiopogon Decoction)
Maidong (Herba Ophiopogonis, heart removed, baked) Chi Fuling (Poria with Red Host, black skin removed) Gualou Shi (Fructus Trichosanthis, baked) Digupi (Cortex Lycii, washed and sliced, each 2 liang) Gancao (Radix Glycyrrhizae, honey-fried and chopped, 3 liang)
The above five ingredients are coarsely pounded and sieved. Take three qianbi per dose. Add one zhan of water, decoct to seven-tenths, remove dregs, and take warm. At any time.

Decoction for treating carbuncles and ulcers formed after Xiao Ke due to excessive Qi in Heart and Lung: Sangbaipi Tang (Mulberry Root Bark Decoction)
Sangbaipi (Cortex Mori, chopped and stir-fried, 0.5 jin)
The above single ingredient is coarsely pounded and sieved. Take three qianbi per dose. Add one zhan of water, decoct to seven-tenths, remove dregs, and take warm. Twice daily.

Decoction for treating carbuncles and ulcers formed after Xiao Ke: Shigao Tang (Gypsum Decoction)
Shigao (Gypsum Fibrosum, crushed, 1.5 liang) Zhimu (Rhizoma Anemarrhenae, baked, 1.5 liang) Xijiao (Horn of Rhinoceros, shaved into flakes, 1 liang) Shengma (Rhizoma Cimicifugae, 3 fen) Gualou Gen (Root of Trichosanthes kirilowii, fresh ones peeled, finely cut, mashed, and juice squeezed through raw cloth, 2.5 he; if unavailable, use dried ones, 4 liang) Tugua Gen (Root of Trichosanthes rosthornii, juice squeezed, 2.5 he; if unavailable, use dried ones, 4 liang)
The above six ingredients: Except for the juices, the rest are coarsely pounded and sieved. Take three qianbi per dose. Add half a he of each juice, one and a half zhan of water, and a small amount of Xiaomai (Triticum aestivum grain). Decoct together to eight-tenths, remove dregs, and take warm. At any time.

Powder for treating carbuncles and ulcers formed after Xiao Ke due to deficiency-heat: Qiandan San (Lead Oxide Powder)
Qiandan (Lead Oxide, separately ground, 0.5 liang) Gualou Gen (Root of Trichosanthes kirilowii, 1 liang) Zexie (Rhizoma Alismatis) Shigao (Gypsum Fibrosum, ground) Chishizhi (Halloysitum Rubrum) Baishizhi (Halloysitum Album, each 1 liang 1 fen) Hufen (Cerussa, ground, 0.5 liang) Gancao (Radix Glycyrrhizae, honey-fried and chopped, 1 liang)
The above eight ingredients. Pound and sift five of them into fine powder. Mix in the three other separately ground ingredients. Take two qianbi per dose, mixed with warm water. Take at any time.

Pill for treating internal deficiency-heat in Xiao Ke forming carbuncles and ulcers: Cishi Wan (Magnetite Pill)
Cishi (Magnetite, fired and quenched in vinegar fourteen times, 1 liang) Dadou (Soybean, 2 he) Jini (Radix Adenophorae, washed and sliced) Renshen (Radix Ginseng) Chi Fuling (Poria with Red Host, black skin removed) Gegen (Radix Puerariae, chopped, each 3 fen) Shigao (Gypsum Fibrosum, crushed, 1 liang 1 fen) Huangqin (Radix Scutellariae, black heart removed) Gualou Gen (Root of Trichosanthes kirilowii) Gancao (Radix Glycyrrhizae, honey-fried and chopped) Zhimu (Rhizoma Anemarrhenae, baked, each 1 liang)
The above eleven ingredients are pounded and ground into fine powder. Mix with refined honey to form pills the size of paulownia seeds. Take 30 pills per dose, washed down with warm water. Three doses daily.