论曰痈疽烦渴之证,由热气熏灼五脏津液不足于内也,盖营卫气血,腐化为脓血,则津
液不得不耗,津液既耗,热气复盛,则心神内烦而引饮不止,然或为呕哕下利者,以五脏虚
热,
治诸疮肿发渴。托里黄 汤方
绵黄 (十两) 甘草(一两炙)
上二味,并锉如麻豆,每服五钱匕,水二盏,煎五七沸,去滓温热随意服,不拘时候。
治痈疽虚热大渴。地黄汤方
生地黄 芍药 升麻 木通 甘草(炙) 大黄(锉微炒) 知母 赤茯苓(去黑皮) 人
参
两) 前胡
(去
上一十五味, 咀如麻豆,每服五钱匕,用水一盏半,入竹叶七片,煎至八分,去滓空
心温服,如小便利,除木通,大热加人参,晚再服,以瘥为度。
治痈疽热盛,口燥发渴,除热止渴。黄 汤方
黄 栝蒌根 生干地黄(焙) 升麻(各一两) 麦门冬(去心焙一两半) 栀子仁
(一两)
芍药(一两半) 黄芩(去黑心一两)
上八味,锉如麻豆,每服五钱匕,水一盏半,煎至八分,去滓空心温服,日晚再服。
治发背痈疽,热渴闷乱。枸杞汤方
枸杞枝叶(五两) 石膏(末) 栝蒌根 黄连(去须) 甘草(炙各一两)
上五味, 咀如麻豆,每服五钱匕,用水一盏半,煎至八分,去滓空心温服,日晚再服
治发背干呕吐,此因先患热渴,饮冷太过,胃寒所致,宜服温脾平胃。陈粟汤方
陈粟米(微炒一合) 干姜(炮裂半两) 甘草(炙四两)
上三味, 咀如麻豆,每服五钱匕,用水一盏半,煎至八分,去滓空心温服,日晚再服
,以瘥为度。
治发背痈疽发大渴,口干不可止。凝水石煎方
凝水石 石膏蜜(各半斤)
上三味,先捣二味石药,罗为末,以水五升,煎令稠,即下蜜,更煎成煎,用瓷合盛,
每日空心,取一枣大,含化咽津,日五七服。
治痈疽发背,四肢虚热,大渴。竹叶汤方
竹叶(一握净洗锉煎取汁三盏) 生地黄(二两) 黄芩(去黑心) 人参 芍药 知
母甘
草(炙) 赤茯苓(去黑皮各一两) 升麻 黄 栝蒌根 麦门冬(去心焙各一两半)
上一十二味,除竹叶外,锉如麻豆,每服三钱匕,以竹叶汁一盏,入枣三枚擘破,同
煎至七分,去滓温服,一日三服,早晨午时夜卧各一。
治痈疽发背兼渴。竹叶黄 汤方
淡竹叶(一握) 黄 (锉炒) 甘草(炙锉) 麦门冬(去心焙) 黄芩(去黑心) 芍
药(各
三两
地黄(切
焙八
上一十二味,粗捣筛,每服五钱匕,以水一盏半,入生姜一分拍碎,大枣五枚擘破,竹
叶七片,煎取八分,去滓温服,日三夜一。
治诸痈肿,脏腑壅滞,口干脚冷寒热,头痛呕逆不下食,烦渴引饮。麦门冬汤方
生麦门冬(去心焙二两) 葛根(锉) 芦根 石膏(碎) 生犀角(镑) 葳蕤 荠
芍药
淡竹叶(切) 甘草(炙锉各一两)
上一十味,粗捣筛,每服五钱匕,水一盏半,煎至一盏,入硝石一钱匕,去滓温服,不
拘时。
论述说:痈疽伴随烦渴的症状,是由于热气熏蒸灼烧五脏,导致体内津液不足。因为营卫气血腐败化为脓血,津液必然消耗;津液既已耗损,热气又盛,就会导致心神内部烦乱而不断想喝水。然而,有的患者出现呕吐、呃逆或腹泻,这是因为五脏虚热所致。
治疗各种疮肿引发口渴的托里黄汤方:
绵黄芪(十两),甘草(一两,炙制)。
以上两味药,都切碎如麻豆大小,每次服用五钱匕,加水二盏,煎煮五到七沸,滤去药渣,温热后随意服用,不限时间。
治疗痈疽虚热大渴的地黄汤方:
生地黄、芍药、升麻、木通、甘草(炙)、大黄(切碎微炒)、知母、赤茯苓(去掉黑皮)、人参、前胡(去掉芦头)。
以上十五味药,切碎如麻豆大小,每次服用五钱匕,用水一盏半,加入竹叶七片,煎至八分满,滤去药渣,空腹温服。如果小便通畅,去掉木通;大热者加用人参,晚上再服一次,以病愈为度。
治疗痈疽热盛,口燥发渴,清热止渴的黄连汤方(注:原文方名似缺字,据组成推测可能为黄连类或含黄连之剂,此处依原文“黄 汤”保留结构,但根据上下文及常见方剂,此方实为《圣济总录》中的“黄连汤”或类似变方,然严格依原文翻译):
黄连、栝蒌根、生干地黄(焙)、升麻(各一两),麦门冬(去心焙一两半),栀子仁(一两),芍药(一两半),黄芩(去掉黑心一两)。
以上八味药,切碎如麻豆大小,每次服用五钱匕,加水一盏半,煎至八分满,滤去药渣,空腹温服,早晚各服一次。
治疗发背痈疽,热渴闷乱的枸杞汤方:
枸杞枝叶(五两),石膏(研末),栝蒌根,黄连(去须),甘草(炙,各一两)。
以上五味药,切碎如麻豆大小,每次服用五钱匕,用水一盏半,煎至八分满,滤去药渣,空腹温服,早晚各服一次。
治疗发背干呕吐,这是由于先前患有热渴,饮水冷物过多,导致胃寒所致,适宜服用温脾平胃的陈粟汤方:
陈粟米(微炒一合),干姜(炮裂半两),甘草(炙四两)。
以上三味药,切碎如麻豆大小,每次服用五钱匕,用水一盏半,煎至八分满,滤去药渣,空腹温服,早晚各服一次,以病愈为度。
治疗发背痈疽发大渴,口干不止的凝水石煎方:
凝水石、石膏、蜜(各半斤)。
以上三味药(注:原文列三味但只提二味石药,结合语境应为凝水石与石膏),先捣碎两种石药,筛成粉末,用水五升,煎至浓稠,然后加入蜂蜜,再煎成膏状,用瓷盒盛装。每天空腹时,取枣核大小的量,含在口中化开咽下津液,每天五到七次。
治疗痈疽发背,四肢虚热,大渴的竹叶汤方:
竹叶(一握,洗净切碎煎取汁三盏),生地黄(二两),黄芩(去黑心),人参,芍药,知母,甘草(炙),赤茯苓(去黑皮,各一两),升麻,黄芪,栝蒌根,麦门冬(去心焙,各一两半)。
以上十二味药,除竹叶外,切碎如麻豆大小,每次服用三钱匕,用竹叶汁一盏,加入三枚掰破的大枣,同煎至七分满,滤去药渣温服,一天三次,分别在早晨、中午、睡前服用。
治疗痈疽发背兼有口渴的竹叶黄芪汤方:
淡竹叶(一握),黄芪(切碎炒),甘草(炙切碎),麦门冬(去心焙),黄芩(去黑心),芍药(各三两),地黄(切焙八两——注:原文此处排版混乱,“地黄(切焙八”疑似漏字或断句错误,通常地黄用量较大,此处依原文片段处理,实际应为地黄八两或类似剂量,但严格按原文提取实体,不补全剂量描述中的缺失部分,仅翻译可见内容),上一十二味,粗捣筛,每次服用五钱匕,用水一盏半,加入生姜一分拍碎,大枣五枚掰破,竹叶七片,煎取八分满,滤去药渣温服,日三夜一。
治疗各种痈肿,脏腑壅滞,口干脚冷寒热,头痛呕逆不下食,烦渴引饮的麦门冬汤方:
生麦门冬(去心焙二两),葛根(切碎),芦根,石膏(捣碎),生犀角(镑片),葳蕤,荠苨,芍药,淡竹叶(切碎),甘草(炙切碎,各一两)。
以上十味药,粗捣筛,每次服用五钱匕,加水一盏半,煎至一盏,加入硝石一钱匕,滤去药渣温服,不限时间。
The treatise states: The syndrome of carbuncles and sores accompanied by vexation and thirst arises from heat qi steaming and scorching the five zang organs, leading to a deficiency of body fluids internally. Since the Ying (Nutritive) and Wei (Defensive) Qi and Blood rot and transform into pus and blood, body fluids are inevitably consumed. Once body fluids are depleted and heat qi becomes abundant, it causes internal vexation of the Shen (Spirit) and incessant desire to drink. However, some patients experience vomiting, hiccups, or diarrhea due to deficient heat in the five zang organs.
Tuo Li Huang Tang (Supporting Interior Decoction with Astragalus) for treating thirst caused by various sores and swellings:
Mian Huangqi (Astragali Radix, ten taels), Gancao (Licorice Root, one tael, prepared by stir-frying with honey).
The above two herbs are all chopped like hemp seeds. Each dose is five qian bi (approx. 15-20g depending on era/measure), boiled in two zhan (approx. 400ml) of water for five to seven boils. Strain the dregs and take warm at will, without restriction on time.
Di Huang Tang (Rehmannia Decoction) for treating severe thirst due to deficient heat in carbuncles and sores:
Sheng Dihuang (Fresh Rehmanniae Radix), Shaoyao (Paeoniae Radix), Shengma (Cimicifugae Rhizoma), Mutong (Akebiae Caulis), Gancao (Licorice Root, prepared), Dahuang (Rhei Radix et Rhizoma, chopped and slightly stir-fried), Zhimu (Anemarrhenae Rhizoma), Chifuling (Polyporus with Red Skin, black skin removed), Renshen (Ginseng Radix et Rhizoma), Qianhu (Peucedani Radix).
The above fifteen herbs are chopped like hemp seeds. Each dose is five qian bi, boiled in one and a half zhan of water with seven leaves of Zhuye (Bamboo Leaves) until reduced to eight-tenths. Strain and take warm on an empty stomach. If urination is smooth, remove Mutong; if there is severe heat, add Renshen. Take again in the evening. Continue until recovery.
Huanglian Tang (Coptis Decoction - Note: Original text says "Huang [missing] Tang", composition includes Huanglian) for treating carbuncles and sores with excessive heat, dry mouth, thirst, clearing heat and stopping thirst:
Huanglian (Coptidis Rhizoma), Gualougen (Trichosanthis Radix), Sheng Ganshengdihuang (Dried Prepared Rehmanniae Radix, baked), Shengma (Cimicifugae Rhizoma) (each one tael), Maimendong (Ophiopogonis Radix, heart removed and baked, one and a half taels), Zhiziren (Gardeniae Semen, one tael), Shaoyao (Paeoniae Radix, one and a half taels), Huangqin (Scutellariae Radix, black heart removed, one tael).
The above eight herbs are chopped like hemp seeds. Each dose is five qian bi, boiled in one and a half zhan of water until reduced to eight-tenths. Strain and take warm on an empty stomach, twice daily (morning and evening).
Gouqi Tang (Lycium Decoction) for treating back carbuncles and sores with heat, thirst, and mental confusion:
Gouqi Zhiye (Lycii Cortex and Leaves, five taels), Shigao (Gypsum Fibrosum, powdered), Gualougen (Trichosanthis Radix), Huanglian (Coptidis Rhizoma,须 removed), Gancao (Licorice Root, prepared, each one tael).
The above five herbs are chopped like hemp seeds. Each dose is five qian bi, boiled in one and a half zhan of water until reduced to eight-tenths. Strain and take warm on an empty stomach, twice daily (morning and evening).
Chensu Tang (Aged Millet Decoction) for treating dry vomiting in back carbuncles. This is caused by previous heat-thirst, excessive drinking of cold liquids, resulting in Stomach cold. It is suitable to take this decoction to warm the Spleen and harmonize the Stomach:
Chensumi (Aged Millet Grain, slightly stir-fried, one he), Jiangyan (Dried Ginger, roasted until cracked, half tael), Gancao (Licorice Root, prepared, four taels).
The above three herbs are chopped like hemp seeds. Each dose is five qian bi, boiled in one and a half zhan of water until reduced to eight-tenths. Strain and take warm on an empty stomach, twice daily (morning and evening). Continue until recovery.
Ningshuishi Jian (Halloysitum Decoction) for treating back carbuncles and sores with severe thirst and unquenchable dry mouth:
Ningshuishi (Halloysitum), Shigao (Gypsum Fibrosum), Fengmi (Honey) (each half jin).
First, crush the two mineral drugs and sieve them into powder. Boil in five sheng (approx. 1 liter) of water until thick. Then add honey and boil into a syrup. Store in a porcelain jar. On an empty stomach daily, take a date-sized amount, hold in the mouth to dissolve and swallow the saliva, five to seven times a day.
Zhuye Tang (Bamboo Leaf Decoction) for treating back carbuncles and sores with deficient heat in the four limbs and severe thirst:
Zhuye (Bamboo Leaves, one handful, washed clean, chopped, decocted to obtain three zhan of juice), Sheng Dihuang (Fresh Rehmanniae Radix, two taels), Huangqin (Scutellariae Radix, black heart removed), Renshen (Ginseng Radix et Rhizoma), Shaoyao (Paeoniae Radix), Zhimu (Anemarrhenae Rhizoma), Gancao (Licorice Root, prepared), Chifuling (Polyporus with Red Skin, black skin removed, each one tael), Shengma (Cimicifugae Rhizoma), Huangqi (Astragali Radix), Gualougen (Trichosanthis Radix), Maimendong (Ophiopogonis Radix, heart removed and baked, each one and a half taels).
The above twelve herbs, except Zhuye, are chopped like hemp seeds. Each dose is three qian bi. Use one zhan of Zhuye juice, add three broken Da Zao (Jujubae Fructus), and decoct together until reduced to seven-tenths. Strain and take warm. Three doses a day: morning, noon, and before sleep.
Zhuye Huangqi Tang (Bamboo Leaf and Astragalus Decoction) for treating back carbuncles and sores with accompanying thirst:
Dan Zhuye (Light Bamboo Leaves, one handful), Huangqi (Astragali Radix, chopped and stir-fried), Gancao (Licorice Root, prepared and chopped), Maimendong (Ophiopogonis Radix, heart removed and baked), Huangqin (Scutellariae Radix, black heart removed), Shaoyao (Paeoniae Radix) (each three taels), Dihuang (Rehmanniae Radix, sliced and baked, eight taels - *Note: Text fragmentary*).
The above twelve herbs are coarsely crushed and sieved. Each dose is five qian bi. Boil in one and a half zhan of water with one fen of smashed Shengjiang (Zingiberis Rhizoma Recens), five broken Da Zao (Jujubae Fructus), and seven Zhuye (Bamboo Leaves). Decoct until eight-tenths remain. Strain and take warm. Three times during the day, once at night.
Maimendong Tang (Ophiopogon Decoction) for treating various sores and swellings, organ stagnation, dry mouth, cold feet, alternating chills and fever, headache, vomiting, inability to eat, vexation, thirst, and excessive drinking:
Sheng Maimendong (Fresh Ophiopogonis Radix, heart removed and baked, two taels), Gegen (Puerariae Radix, chopped), Lugen (Phragmitis Rhizoma), Shigao (Gypsum Fibrosum, crushed), Sheng Xijiao (Fresh Rhinocerotis Cornu, shaved), Weirui (Polygonati Odorati Rhizoma), Jini (Akebiae Caulis? Or potentially another herb, likely referring to a specific root), Shaoyao (Paeoniae Radix), Dan Zhuye (Light Bamboo Leaves, cut), Gancao (Licorice Root, prepared and chopped, each one tael).
The above ten herbs are coarsely crushed and sieved. Each dose is five qian bi. Boil in one and a half zhan of water until reduced to one zhan. Add Xiaoshi (Natrii Sulfas, one qian bi). Strain and take warm, without restriction on time.