论曰痈疽者,乳石之疾,多发于阳部,故在背则发腑俞之间,在头则发脑,以头者诸阳
所会
灸
皮肤
化为
论曰发脑者,六腑不和,经络否涩,气血不行,壅结所成也。此皆脏腑蕴积热毒,或乳
石发动,毒瓦斯上攻于脑,发于皮肤,头如黍米,四畔 赤肿硬,遍于耳项,寒热疼痛,若不
急治
治发脑及一切热毒瓦斯结硬肿痛,通利脏腑壅滞。大黄丸方
大黄(二两锉醋浸一炊久慢火炒令熟) 枳壳(去瓤麸炒一两) 牵牛子(二两半微炒
一半
生用一半) 木香(生锉) 青橘皮(汤浸去白焙各半两) 皂荚(伍挺不 者椎碎酒一升
浸取
汁绵
上六味,捣罗五味为末,取皂荚汁,于银锅内,慢火煎成膏,入药末和捣百余杵,丸如
梧桐子大,食前葱茶下三十丸,快利为度。
治发脑成痈,及热毒疮肿。宜贴黄连饼子方
黄连(一两) 乳香(一两) 薰陆香(一两) 雄雀粪(四十九粒尖细者是)
上四味,捣罗为细散,用蔓荆根二两,洗净漉去水,细切捣如泥,若肿甚,即更用蜀葵
根二两,入前药四味,合捣调匀,即取出,于瓷器中贮之,可肿头捻作饼子,浓二分许贴之,
干
治发脑结肿。止痛散方
木香(二两) 紫葛(一两半锉) 檀香(三分) 川朴硝(二两)
上四味,捣罗为细散,以温浆水调如面糊,涂在绢上,摊贴于肿痛处,候干即再贴,以
瘥为度。
治发脑已穴,脓出后,痛闷转甚,热乱脑中,若车马走动,痛楚不可忍。犀角散方
石膏(碎) 犀角(镑) 升麻 芍药(各一两) 甘草(炙半两) 黄 (细锉二分)
木通(
锉一两半)
上七味,粗捣筛,每服五钱匕,水二盏,煎至七分,下朴硝一钱匕,滤去滓,空心温服
,日晚再服,未愈更入玄参三分,去黄 。
治发脑疮肿 赤,疼痛烦躁。沉香汤方
沉香(三分) 麦门冬(去心焙) 赤芍药 玄参 甘草(生锉) 枳实(麸炒) 升
麻前胡
(去芦头) 大黄(锉炒) 生干地黄(焙各一两) 犀角(镑三分) 麝香(研一分) 葳
蕤黄
(细
上一十四味,除麝香外,粗捣筛,每服四钱匕,水一大盏,煎至七分,去滓入麝香少许
,温服不拘时。
治痈发脑,拔去疮中毒。羊桃根散贴方
羊桃根(锉) 硝石(研) 凝水石(研各一两) 天灵盖(慢火烧烟绝) 木香 白
蔹(各半
两)
上六味,捣罗为散,清水调如糊,摊于故帛上贴之,干即易,痒则瘥。
治发脑始结,疼痛妨闷,欲成痈疽, 之令内消。方
硝石(研二两) 木通(锉) 紫檀香 甜葶苈(隔纸炒) 白蔹 莽草(各一两) 大
黄(三
两)
上七味,捣罗为末,每用浆水旋调得所,涂于肿上,干即易。
治脑疽初生,如黄枳实,破后如盏底,深半寸许。乳石散方
花乳石(研) 赤石脂(研) 滑石(研) 炉甘石(研) 密陀僧(研各半两) 乳
香(研一分)
上六味,捣研为细散,未破者醋调敷之,已破者即干贴。
治痈疽肿疼,发脑发背。方
柳树(上白木耳) 黄连(去须) 乳香 杏仁(去皮尖各一分) 盐花(少许) 新
蔓荆根(
一握不得用隔旬者如无以菘菜代之) 蛇床子(少许)
上七味,捣罗为末,似觉有肿,以温水调敷,干即易之。
【背景信息】
书名:圣济总录 作者:由政府组织编写 朝代:宋·徽宗 章节:痈疽发脑统论 / 发脑 类别:综合
【待处理原文】
论曰痈疽者,乳石之疾,多发于阳部,故在背则发腑俞之间,在头则发脑,以头者诸阳
所会
灸
皮肤
化为
论曰发脑者,六腑不和,经络否涩,气血不行,壅结所成也。此皆脏腑蕴积热毒,或乳
石发动,毒瓦斯上攻于脑,发于皮肤,头如黍米,四畔 赤肿硬,遍于耳项,寒热疼痛,若不
急治
治发脑及一切热毒瓦斯结硬肿痛,通利脏腑壅滞。大黄丸方
大黄(二两锉醋浸一炊久慢火炒令熟) 枳壳(去瓤麸炒一两) 牵牛子(二两半微炒
一半
生用一半) 木香(生锉) 青橘皮(汤浸去白焙各半两) 皂荚(伍挺不 者椎碎酒一升
浸取
汁绵
上六味,捣罗五味为末,取皂荚汁,于银锅内,慢火煎成膏,入药末和捣百余杵,丸如
梧桐子大,食前葱茶下三十丸,快利为度。
治发脑成痈,及热毒疮肿。宜贴黄连饼子方
黄连(一两) 乳香(一两) 薰陆香(一两) 雄雀粪(四十九粒尖细者是)
上四味,捣罗为细散,用蔓荆根二两,洗净漉去水,细切捣如泥,若肿甚,即更用蜀葵
根二两,入前药四味,合捣调匀,即取出,于瓷器中贮之,可肿头捻作饼子,浓二分许贴之,
干
治发脑结肿。止痛散方
木香(二两) 紫葛(一两半锉) 檀香(三分) 川朴硝(二两)
上四味,捣罗为细散,以温浆水调如面糊,涂在绢上,摊贴于肿痛处,候干即再贴,以
瘥为度。
治发脑已穴,脓出后,痛闷转甚,热乱脑中,若车马走动,痛楚不可忍。犀角散方
石膏(碎) 犀角(镑) 升麻 芍药(各一两) 甘草(炙半两) 黄 (细锉二分)
木通(
锉一两半)
上七味,粗捣筛,每服五钱匕,水二盏,煎至七分,下朴硝一钱匕,滤去滓,空心温服
,日晚再服,未愈更入玄参三分,去黄 。
治发脑疮肿 赤,疼痛烦躁。沉香汤方
沉香(三分) 麦门冬(去心焙) 赤芍药 玄参 甘草(生锉) 枳实(麸炒) 升
麻前胡
(去芦头) 大黄(锉炒) 生干地黄(焙各一两) 犀角(镑三分) 麝香(研一分) 葳
蕤黄
(细
上一十四味,除麝香外,粗捣筛,每服四钱匕,水一大盏,煎至七分,去滓入麝香少许
,温服不拘时。
治痈发脑,拔去疮中毒。羊桃根散贴方
羊桃根(锉) 硝石(研) 凝水石(研各一两) 天灵盖(慢火烧烟绝) 木香 白
蔹(各半
两)
上六味,捣罗为散,清水调如糊,摊于故帛上贴之,干即易,痒则瘥。
治发脑始结,疼痛妨闷,欲成痈疽, 之令内消。方
硝石(研二两) 木通(锉) 紫檀香 甜葶苈(隔纸炒) 白蔹 莽草(各一两) 大
黄(三
两)
上七味,捣罗为末,每用浆水旋调得所,涂于肿上,干即易。
治脑疽初生,如黄枳实,破后如盏底,深半寸许。乳石散方
花乳石(研) 赤石脂(研) 滑石(研) 炉甘石(研) 密陀僧(研各半两) 乳
香(研一分)
上六味,捣研为细散,未破者醋调敷之,已破者即干贴。
治痈疽肿疼,发脑发背。方
柳树(上白木耳) 黄连(去须) 乳香 杏仁(去皮尖各一分) 盐花(少许) 新
蔓荆根(
一握不得用隔旬者如无以菘菜代之) 蛇床子(少许)
上七味,捣罗为末,似觉有肿,以温水调敷,干即易之。
[Background Information]
Book: Shengji Zonglu (General Records of Holy Relief)
Author: Compiled by government organization
Dynasty: Song Dynasty, Emperor Huizong
Chapter: General Discussion on Carbuncles and Ulcers Originating in the Brain / Originating in the Brain
Category: Comprehensive
[Original Text to be Processed]
Discussion states that carbuncles and ulcers are diseases caused by mineral drugs (Ru Shi), mostly occurring in Yang regions. Therefore, when occurring on the back, they develop between the Back-Shu points of the Fu organs; when occurring on the head, they develop in the brain, because the head is the convergence point of all Yang meridians. [Text fragment incomplete: moxibustion skin transformed into...]
Discussion states that "Originating in the Brain" is caused by disharmony of the Six Fu organs, obstruction and stagnation of the meridians and collaterals, failure of Qi and Blood to circulate, resulting from accumulation and knotting. This is due to heat toxins accumulating within the Zang-Fu organs, or triggered by mineral drugs (Ru Shi), where toxic vapors attack upward to the brain, manifesting on the skin. The head resembles a millet grain, with redness, swelling, and hardness around the periphery, extending to the ears and neck, accompanied by chills, fever, and pain. If not treated urgently...
To treat "Originating in the Brain" and all heat-toxic vapor knots causing hard swelling and pain, unblocking and promoting the flow of Zang-Fu organ stagnation. Formula for Dahuang Wan (Rhubarb Pill):
Dahuang (Rhei Radix et Rhizoma, 2 liang, sliced, soaked in vinegar for the duration of one meal, stir-fried over slow fire until cooked)
Zhike (Aurantii Fructus, 1 liang, pulp removed, stir-fried with bran)
Qianniu Zi (Pharbitidis Semen, 2.5 liang, lightly stir-fried; half used raw, half processed)
Muxiang (Aucklandiae Radix, sliced raw)
Qingjupi (Citri Reticulatae Pericarpium Viride, soaked in boiling water, white pith removed, dried, each 0.5 liang)
Zaojiao (Gleditsiae Fructus, 5 stalks, if not good quality, crushed; soaked in 1 sheng of wine to extract juice...)
[Text fragment incomplete: cotton...]
Take the above six ingredients, pound and sieve five of them into powder. Take the Gleditsiae Fructus juice, boil it into an ointment in a silver pot over slow fire, mix with the herbal powder, pound and knead over a hundred times, form pills the size of Sophora japonica seeds. Take 30 pills before meals with scallion and tea, until brisk evacuation is achieved.
To treat "Originating in the Brain" developing into carbuncles, and heat-toxic sores and swellings. Formula for Huanglian Bingzi (Coptis Cake) to be applied:
Huanglian (Coptidis Rhizoma, 1 liang)
Ruxiang (Olibanum, 1 liang)
Xunluxiang (Frankincense, 1 liang)
Xiongquefen (Male Sparrow Feces, 49 grains, those that are sharp and fine are selected)
Pound and sieve the above four ingredients into fine powder. Use Manjing Gen (Vitexis Trifoliae Radix, 2 liang), wash clean, drain water, cut finely and pound into paste. If swelling is severe, add Shukui Gen (Malvae Root, 2 liang). Mix with the four herbs above, pound and blend evenly, then take out, store in porcelain ware. Shape the swollen head into a cake, approximately 2 fen thick, and apply it. [Text fragment incomplete: dry...]
To treat knotting and swelling of "Originating in the Brain". Formula for Zhitong San (Pain-Relieving Powder):
Muxiang (Aucklandiae Radix, 2 liang)
Zige (Puerariae Radix, 1.5 liang, sliced)
Tanxiang (Santalum Album Lignum, 3 fen)
Chuan Poxiao (Natrii Sulfas, 2 liang)
Pound and sieve the above four ingredients into fine powder. Mix with warm Jiangshui (fermented rice water) to the consistency of flour paste, spread on silk, and apply to the swollen and painful area. Reapply when dry, until recovery is achieved.
To treat "Originating in the Brain" already ulcerated, after pus discharge, pain and oppression become more severe, heat disturbs the brain, feeling as if chariots and horses are moving, unbearable pain. Formula for Xijiao San (Rhino Horn Powder):
Shigao (Gypsum Fibrosum, crushed)
Xijiao (Rhino Cornu, shaved)
Shengma (Cimicifugae Rhizoma)
Shaoyao (Paeoniae Radix, each 1 liang)
Gancao (Licorice Root, honey-fried, 0.5 liang)
Huangqi (Astragali Radix, finely sliced, 2 fen) [Text fragment incomplete: Huang...]
Mutong (Akebiae Caulis, sliced, 1.5 liang) [Text fragment incomplete: Mutong...]
Pound and sieve the above seven ingredients coarsely. Each dose: 5 qianbi (measure), 2 zhan of water, decoct to 7/10 volume. Add 1 qianbi of Poxiao (Natrii Sulfas), filter dregs, take warm on an empty stomach. Take again in the evening. If not healed, add 3 fen of Xuanshen (Scrophulariae Radix), remove Huangqi. [Text fragment incomplete: Remove Huang...]
To treat "Originating in the Brain" sores and swellings, redness, pain, and irritability. Formula for Chenxiang Tang (Agarwood Decoction):
Chenxiang (Aquilariae Lignum Resinatum, 3 fen)
Maimendong (Ophiopogonis Radix, heart removed, dried)
Chishaoyao (Red Paeoniae Radix)
Xuanshen (Scrophulariae Radix)
Gancao (Licorice Root, sliced raw)
Zhishi (Aurantii Fructus Immaturus, stir-fried with bran)
Shengma (Cimicifugae Rhizoma)
Qianhu (Peucedani Radix, radicle removed)
Dahuang (Rhei Radix et Rhizoma, sliced and stir-fried)
Sheng Dihuang (Rehmanniae Radix, dried, each 1 liang)
Xijiao (Rhino Cornu, shaved, 3 fen)
Shexiang (Moschus, ground, 1 fen)
Weiruhuang (Polygonati Odorati Rhizoma, finely sliced...) [Text fragment incomplete: Weiruhuang...]
The above fourteen ingredients, except Moschus, are coarsely pounded and sieved. Each dose: 4 qianbi, 1 large zhan of water, decoct to 7/10 volume, filter dregs, add a little Moschus, take warm at any time.
To treat carbuncles originating in the brain, extracting poison from the sore. Formula for Yangtao Gen San Paste:
Yangtao Gen (Fici Tomentosae Radix, sliced)
Xiaoshi (Nitrums, ground)
Ningshuishi (Halloysitum, ground, each 1 liang)
Tianlinggai (Human Cranium, burned slowly until smoke ceases)
Muxiang (Aucklandiae Radix)
Bailian (Trollii Radix, each 0.5 liang)
Pound and sieve the above six ingredients into powder. Mix with clear water to form a paste, spread on old cloth and apply. Change when dry, healing occurs when itching appears.
To treat early knotting of "Originating in the Brain", pain and oppression, about to develop into carbuncles and ulcers, making it resolve internally. Formula:
Xiaoshi (Nitrums, ground, 2 liang)
Mutong (Akebiae Caulis, sliced)
Zitanxiang (Pterocarpus Santalinus Lignum)
Tian Tingli (Descurainiae Semen, stir-fried through paper)
Bailian (Trollii Radix)
Mangcao (Magnoliol, each 1 liang)
Dahuang (Rhei Radix et Rhizoma, 3 liang)
Pound and sieve the above seven ingredients into powder. Each use: mix appropriately with Jiangshui (fermented rice water), apply to the swelling, change when dry.
To treat initial stage of Naoju (Brain Carbuncle), resembling yellow Zhishi (Aurantii Fructus), after rupture like the bottom of a cup, depth about 0.5 cun. Formula for Rushi San (Mineral Stone Powder):
Hua Rushi (Flower Mineral Stone, ground)
Chishizhi (Halloysitum Rubrum, ground)
Huashi (Talcum, ground)
Luganshi (Calamina, ground)
Mituo seng (Lithargyrum, ground, each 0.5 liang)
Ruxiang (Olibanum, ground, 1 fen)
Pound and grind the above six ingredients into fine powder. For unruptured sores, mix with vinegar and apply; for ruptured sores, apply dry.
To treat carbuncles and ulcers with swelling and pain, originating in the brain or back. Formula:
Liushu (Willow Tree, specifically white fungus growing on it)
Huanglian (Coptidis Rhizoma, roots removed)
Ruxiang (Olibanum)
Xingren (Pruni Semen, peel and tips removed, each 1 fen)
Yanhua (Salt Flower, a small amount)
Xin Manjing Gen (Vitexis Trifoliae Radix, fresh, one handful; do not use those stored for ten days; if unavailable, substitute with Songcai/Bok Choy)
Shechuangzi (Cnidii Fructus, a small amount)
Pound and sieve the above seven ingredients into powder. When swelling is felt, mix with warm water and apply, change when dry.