论曰∶字书凡字从票,皆有疾转之义,瘭疽为病,毒发疾转,不旋踵而害人,故其字从
票,音同于飘风之飘。治之不可稍缓也。古人谓人受恶风,入于肌脉,变成斯病,盖厉气蕴
伏,
其痛
以
治瘭疽。枳实汤方
枳实(炒) 射干 升麻 生干地黄(焙) 黄芩(去黑心) 前胡(去芦头) 犀角
屑大黄
(锉炒) 甘草(炙锉各一两)
上九味,粗捣筛,每服五钱匕,水二盏,煎至一盏,去滓入麝香半字搅匀,空心温服,
日三。
治瘭疽初觉,宜速取利。犀角丸方
犀角屑(一两半) 大黄(锉炒) 黄芩(去黑心各三分) 防风(去叉) 人参 当
归黄
(锉) 栀子仁 黄连(去须) 干蓝 甘草(炙锉各半两) 巴豆(十二粒去皮心研)
上十二味,除巴豆外,捣罗为末,研入巴豆令匀,炼蜜丸如梧桐子大,每日空心米饮下
三丸,如未利,加五七丸,以利为度。
治瘭疽。漏芦汤方
漏芦(去芦头) 白蔹 黄芩(去黑心) 麻黄(去根节) 白薇 枳实(炒) 升麻 芍
药
甘草(炙锉) 大黄(锉炒各一两)
上十味,粗捣筛,每服五钱匕,水二盏,煎至一盏,去滓空心温服,日三。
治瘭疽诸疽,十指头 赤,痛而痒。猪蹄汤方
白芷 大黄(锉炒) 芎 黄芩(去黑心) 黄连(去须) 甘草(炙) 细辛(去
苗叶)
本(去苗土) 当归(切焙) 藜芦 莽草(各一两)
上十一味, 咀如麻豆,每用水二斗,煮猪蹄一具,取一斗,入药三两,再煮取五升,
浸淋疮处。
治瘭疽,手足累累如米起,色白刮之汁出,愈后复发。款冬花散方
款冬花(半两) 黄 (锉一两半) 升麻(一两) 赤小豆 附子(炮裂去皮脐) 苦
参(各
一两一分)
上六味,捣罗为散,每服一钱匕,空心温酒调服,日再,加至二钱匕。
治瘭疽,浸淫多日,渐长大。黄连散方
黄连(去须一两) 胡粉 甘草(炙锉) 茹(各半两)
上四味,除胡粉外,捣罗为散,入胡粉令匀,涂敷疮上,日三五度。
治瘭疽。丹砂膏方
丹砂(细研) 犀角屑 射干 大黄(锉炒) 芎 黄芩(去黑心) 升麻 前胡(去
芦头)
沉香 木香(各一两) 猪脂(二斤半) 生地黄(二两) 麝香(半分研)
上十三味,除丹砂麝香猪脂外,锉碎,以醋半升和匀,浸一宿,先熬脂令沸,次下诸药
,煎
又
治瘭疽炽甚。消毒散方
藜芦 大黄(锉炒) 黄柏(去粗皮) 黄连 当归 甘草(各一两)
上六味, 咀如麻豆,以水一斗,煮至五升,去滓浸淋疮处即瘥。
治瘭疽。方
灶室尘 灶突中墨 灶釜下土(各一升)
上三味,以水九升,煮三沸取汁,以洗疮口,三四度。
又方
胡粉(二两) 青木香 滑石 龙骨(各二两半) 米粉(一两)
上五味,捣罗为细末,稍以粉疮上,日三。
治瘭疽,着手足肩背,忽发累累如赤豆,剥之汁出者。方
麻子(不以多少)
上一味细研,用水煎取沫,摩于疮上即瘥。
治瘭疽溃后。皂荚散方
皂荚(二梃去皮子烧为灰)
上一味,细研为散,用盐汤洗疮令净,干掺敷,日三。
治瘭疽似痈小异,去脓明旦还满,血如小豆汁者。芸苔熨方
芸苔叶(不拘多少)
上一味,烂捣炒热,以布袋二枚盛,更互热熨之,冷即换,冬用干者,又将甘草汤洗疮
令净干,以黄柏末涂敷,熨了即用,以瘥为度。
论述说:字书中凡是偏旁为“票”的字,都有疾病迅速转变的含义。瘭疽这种病,毒邪发作且病情变化极快,眨眼之间就会危害人体,所以它的字形从“票”,读音与“飘风”(疾风)的“飘”相同。治疗此病不可有丝毫迟缓。古人认为人受到恶风的侵袭,邪气进入肌肉和血脉,从而变成这种病,这大概是厉气(强烈的致病邪气)蕴藏潜伏所致。
用枳实汤治疗瘭疽。
枳实汤方:
枳实(炒制)、射干、升麻、生干地黄(焙干)、黄芩(去除黑心部分)、前胡(去除芦头)、犀角屑、大黄(锉碎并炒制)、甘草(炙烤后锉碎,各一两)。
以上九味药,粗捣筛过,每次服用五钱匕,加水两盏,煎煮至一盏,滤去药渣,加入半字的麝香搅拌均匀,空腹温服,每日三次。
治疗瘭疽初起感觉不适时,应当迅速采取通下法以泄热毒。犀角丸方:
犀角屑(一两半)、大黄(锉碎并炒制)、黄芩(去除黑心部分,各三分)、防风(去除叉枝)、人参、当归、黄(此处疑为黄芩或黄芪之误,依原文保留)、栀子仁、黄连(去除须根)、干蓝、甘草(炙烤后锉碎,各半两)、巴豆(十二粒,去皮心后研碎)。
以上十二味药,除巴豆外,捣碎过罗成粉末,将巴豆研入其中使其均匀混合,用炼蜜制成梧桐子大小的丸剂,每天空腹用米饮送服三丸,如果未产生泻下效果,可加至五到七丸,以大便通畅为度。
治疗瘭疽。漏芦汤方:
漏芦(去除芦头)、白蔹、黄芩(去除黑心部分)、麻黄(去除根节)、白薇、枳实(炒制)、升麻、芍药、甘草(炙烤后锉碎)、大黄(锉碎并炒制,各一两)。
以上十味药,粗捣筛过,每次服用五钱匕,加水两盏,煎煮至一盏,滤去药渣,空腹温服,每日三次。
治疗瘭疽及其他各种疽症,十个手指头部发红,疼痛且瘙痒。猪蹄汤方:
白芷、大黄(锉碎并炒制)、川芎、黄芩(去除黑心部分)、黄连(去除须根)、甘草(炙烤)、细辛(去除苗叶)、本(去除苗土)、当归(切片焙干)、藜芦、莽草(各一两)。
以上十一味药,切碎如麻豆大小,每次用水二斗,煮一只猪蹄,取汁一斗,加入药物三两,再煎煮取五升,用来浸洗淋浇疮处。
治疗瘭疽,手足上出现累累如米粒般的突起,颜色发白,刮之有汁液流出,痊愈后容易复发。款冬花散方:
款冬花(半两)、黄(锉碎,一两半)、升麻(一两)、赤小豆、附子(炮裂后去皮脐)、苦参(各一两一分)。
以上六味药,捣碎过罗成散剂,每次服用一钱匕,空腹用温酒调服,每日两次,剂量可增至二钱匕。
治疗瘭疽,浸淫蔓延多日,逐渐长大。黄连散方:
黄连(去除须根,一两)、胡粉、甘草(炙烤后锉碎)、茹(此处疑为某药材名残缺或通假,依原文保留,各半两)。
以上四味药,除胡粉外,捣碎过罗成散剂,加入胡粉使其均匀混合,涂抹敷于疮口上,每日三到五次。
治疗瘭疽。丹砂膏方:
丹砂(细研)、犀角屑、射干、大黄(锉碎并炒制)、川芎、黄芩(去除黑心部分)、升麻、前胡(去除芦头)、沉香、木香(各一两)、猪脂(二斤半)、生地黄(二两)、麝香(半分,研碎)。
以上十三味药,除丹砂、麝香、猪脂外,其余锉碎,用半升醋调和均匀,浸泡一夜。先熬炼猪脂使其沸腾,然后放入其他药物,煎煮……(原文此处似有缺漏,意为煎制药油)。
治疗瘭疽炽盛严重的情况。消毒散方:
藜芦、大黄(锉碎并炒制)、黄柏(去除粗皮)、黄连、当归、甘草(各一两)。
以上六味药,切碎如麻豆大小,用水一斗,煮至五升,滤去药渣,用来浸洗淋浇疮处即可痊愈。
治疗瘭疽。方:
灶室尘、灶突中墨(烟囱内的烟灰)、灶釜下土(锅底下的泥土,各一升)。
以上三味药,用水九升,煮沸三次取汁,用来清洗疮口,三到四次。
又一方:
胡粉(二两)、青木香、滑石、龙骨(各二两半)、米粉(一两)。
以上五味药,捣碎过罗成细末,稍微撒粉在疮上,每日三次。
治疗瘭疽,发生在手脚肩背,突然发作,累累如赤豆般突起,剥开后有汁液流出。方:
麻子(不限多少)。
以上一味药,细研,用水煎取泡沫,涂抹摩擦于疮上即可痊愈。
治疗瘭疽溃烂之后。皂荚散方:
皂荚(两根,去皮去子,烧成灰)。
以上一味药,细研成散剂,用盐汤清洗疮口使其洁净,干燥后掺敷药粉,每日三次。
治疗瘭疽,症状类似痈但略有不同,排脓后第二天伤口又填满,血液像赤豆汁一样。芸苔熨方:
芸苔叶(不拘多少)。
以上一味药,捣烂炒热,用两个布袋盛装,交替热敷患处,冷了就更换,冬天用干者。另外还要用甘草汤清洗疮口使其洁净干燥,涂上黄柏末,热敷后立即使用,以痊愈为度。
Discussion states: In character dictionaries, any character with the radical "Piao" (票) implies the meaning of rapid transformation of disease. The condition known as Biaozhu (Biaozhu, a type of severe carbuncle/furuncle) involves toxic pathogens that erupt and change rapidly; it harms the human body in the blink of an eye. Hence, its character contains the radical "Piao," and its pronunciation is identical to "Piao" in Piaofeng (Piaofeng, swift wind). Treatment must not be delayed in the slightest. The ancients stated that when humans are invaded by malignant wind, the pathogen enters the muscles and meridians, transforming into this disease. This is likely due to the accumulation and latent presence of Liqi (Liqi, intense pathogenic qi).
Use Zhishi Tang (Citrus Aurantium Decoction) to treat Biaozhu.
Zhishi Tang Formula:
Zhishi (Stir-fried Zhi Shi, Fructus Aurantii), Shegan (Belamcanda Rhizome), Shengma (Cimicifugae Rhizoma), Sheng Gan Dihuang (Baked Raw Rehmanniae Radix), Huangqin (Scutellariae Radix, black heart removed), Qianhu (Peucedani Radix, radicle removed), Xijiao Jie (Rhinocerotis Cornu Pulvis), Dahuang (Crushed and stir-fried Rheum Palmatum Rhizoma), Gancao (Honey-fried Licorice Root, crushed, each 1 liang).
The above nine ingredients are coarsely pounded and sieved. Each dose consists of 5 qianbi (a small measuring spoon), boiled in 2 zhan (ancient liquid measure) of water until reduced to 1 zhan. Strain the dregs, add Banzi (a small weight unit) of Shexiang (Musk), mix well, and take warm on an empty stomach, three times daily.
For early-stage Biaozhu, prompt purgation is indicated. Xijiao Wan (Rhino Horn Pill) Formula:
Xijiao Jie (1.5 liang), Dahuang (crushed and stir-fried), Huangqin (black heart removed, each 0.3 fen), Fangfeng (forks removed), Renshen (Ginseng Radix), Danggui (Angelica Sinensis Radix), Huang (likely Huangqi or Huangqin, preserved as per text), Zhizi Ren (Gardeniae Semen), Huanglian (Coptidis Rhizoma,须 removed), Ganlan (Isatidis Folium dried), Gancao (honey-fried and crushed, each 0.5 liang), Badou (12 grains, skin and heart removed, ground).
The above twelve ingredients, excluding Badou, are pounded and sifted into powder. The Badou is ground and mixed evenly into the powder. Honey pills are made the size of Sophora japonica seeds. Take 3 pills orally with rice water on an empty stomach daily. If no purgation occurs, increase to 5-7 pills, stopping when bowel movement is achieved.
To treat Biaozhu. Loulu Tang (Euphorbiae Humifusae Herba Decoction) Formula:
Loulu (radicle removed), Bailian (Ampelopsis Radix), Huangqin (black heart removed), Mahuang (roots and joints removed), Baiwei (Clehomaniae Radix), Zhishi (stir-fried), Shengma, Shaoyao (Paeoniae Radix), Gancao (honey-fried and crushed), Dahuang (crushed and stir-fried, each 1 liang).
The above ten ingredients are coarsely pounded and sieved. Each dose consists of 5 qianbi, boiled in 2 zhan of water until reduced to 1 zhan. Strain the dregs, take warm on an empty stomach, three times daily.
To treat Biaozhu and various other Ju (carbuncles), where the tips of the ten fingers become red, painful, and itchy. Zhu Ti Tang (Pig Trotter Decoction) Formula:
Baizhi (Angelicae Dahuricae Radix), Dahuang (crushed and stir-fried), Xiong (Chuanxiong Rhizoma), Huangqin (black heart removed), Huanglian (须 removed), Gancao (honey-fried), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed), Ben (Ligustici Chuanxionghomologous Rhizoma, seedlings and soil removed), Danggui (sliced and baked), Lilu (Veratrum Nigrum Rhizoma), Mangcao (Illicii Anisi Staranis Herba, each 1 liang).
The above eleven ingredients are chopped like hemp or bean seeds. Use 2 dou (ancient volume measure) of water to boil one pig trotter, reducing to 1 dou. Add 3 liang of herbs, boil again to obtain 5 sheng. Soak and wash the affected area.
To treat Biaozhu, presenting as grain-like protrusions on hands and feet, white in color, exuding fluid when scraped, prone to recurrence after healing. Kuandonghua San (Kalanchoe Flower Powder) Formula:
Kuandonghua (Flos Farfarae, 0.5 liang), Huang (chopped, 1.5 liang), Shengma (1 liang), Chixiaodou (Adzuki Bean), Fuzi (processed, skin and navel removed), Kushen (Sophorae Flavescentis Radix, each 1 liang 1 fen).
The above six ingredients are pounded and sifted into powder. Each dose is 1 qianbi, taken warm with wine on an empty stomach, twice daily. Dosage may be increased to 2 qianbi.
To treat Biaozhu, spreading over many days and gradually enlarging. Huanglian San (Coptis Powder) Formula:
Huanglian (须 removed, 1 liang), Hufen (Lead Carbonate), Gancao (honey-fried and crushed), Ru (preserved as per text, likely a typo for another herb, 0.5 liang each).
The above four ingredients, excluding Hufen, are pounded and sifted into powder. Mix in the Hufen evenly. Apply topically to the sore, 3-5 times daily.
To treat Biaozhu. Dansha Gao (Cinnabar Ointment) Formula:
Dansha (finely ground), Xijiao Jie, Shegan, Dahuang (crushed and stir-fried), Xiong, Huangqin (black heart removed), Shengma, Qianhu (radicle removed), Chenxiang (Aquilaria Wood), Muxiang (Costi Radix, each 1 liang), Zhizhi (Porcine Fat, 2.5 jin), Sheng Dihuang (Raw Rehmanniae Radix, 2 liang), Shexiang (ground, 0.5 fen).
The above thirteen ingredients, excluding Dansha, Shexiang, and Zhizhi, are chopped. Mix with half a sheng of vinegar and soak overnight. First boil the fat until bubbling, then add the other herbs... [Text incomplete].
To treat severe and blazing Biaozhu. Xiaodu San (Detoxification Powder) Formula:
Lilu, Dahuang (crushed and stir-fried), Huangbai (Phellodendri Cortex, rough bark removed), Huanglian, Danggui, Gancao (each 1 liang).
The above six ingredients are chopped like hemp or bean seeds. Boil in 1 dou of water until reduced to 5 sheng. Strain and use to soak and wash the affected area for cure.
To treat Biaozhu. Formula:
Zaoshi Chen (Dust from stove room), Zhotu Zhong Mo (Soot from chimney flue), Zaofu Xia Tu (Earth under stove pot, each 1 sheng).
The above three ingredients are boiled in 9 sheng of water for three boils to extract the juice. Wash the sore opening with this juice, 3-4 times.
Another Formula:
Hufen (2 liang), Qingmuxiang (Aucklandiae Radix), Huashi (Talcum), Longgu (Fossilized Bones, each 2.5 liang), Mifen (Rice Flour, 1 liang).
The above five ingredients are pounded and sifted into fine powder. Dust lightly onto the sore, three times daily.
To treat Biaozhu appearing on hands, feet, shoulders, and back, suddenly erupting as red-bean-like protrusions that exude fluid when peeled. Formula:
Mazi (Hemp Seed, quantity unspecified).
The above single ingredient is finely ground, boiled in water to extract the foam, and rubbed onto the sore for cure.
To treat post-ulceration of Biaozhu. Zhaojia San (Gleditsia Sinensis Powder) Formula:
Zhaojia (two pods, skin and seeds removed, burned to ash).
The above single ingredient is finely ground into powder. Wash the sore clean with salt water, dry, and apply the powder, three times daily.
To treat Biaozhu resembling Yi (abscess) but slightly different, refilling the next day after pus drainage, with blood resembling red-bean juice. YunTai Yi Method (Brassica Napus Compress) Formula:
Yuntaie (Leaves of Brassica Napus, quantity unspecified).
The above single ingredient is mashed and stir-fried until hot. Place in two cloth bags and alternate compressing the affected area. Replace when cool. In winter, use dried leaves. Additionally, wash the sore clean with Gancao Tang (Licorice Decoction), dry it, apply Huangbai Mo (Phellodendron Powder), and perform the compress immediately. Continue until cured.