论曰∶凡身体盛热,不可当风,盖风冷之气,入于肌肉,则热气搏伏不得出,故附着于
骨而
达蕴
治附骨痈,结核脓水肿痛,心腹气满。五香连翘汤方
木香 独活(去芦头) 射干 连翘(各三分) 甘草(炙锉) 桑寄生(锉炒) 升
麻(锉)
沉香(锉) 鸡舌香 乳香(研各半两) 大黄(锉微炒一两半) 麝香(研一分)
上十二味,除研者外,粗捣筛,再入麝香乳香同研拌匀,每服五钱匕,水一盏半,煎至
八分,下竹沥半合,滤去滓,空心温服,快利为度,未利再服。
治附骨痈,生股上伏肉间。淋炸贯众汤方
贯众 地骨皮(锉) 谷精草 枇杷叶(拭去毛炙) 荆芥(去梗) 蜀椒(去目并合
口者各
一两)
上六味,粗捣筛,以水三升,煮取二升,和滓淋炸,蘸布帛拓之,速效。
治附骨痈肿,根在脏腑。蛇皮散方
蛇皮 露蜂房 乱发(各半两)
上三味,并烧灰,存性研细,每服二钱匕,温酒调下,日三服。
治附骨痈。金石凌法
栀子仁(半斤) 犀角屑 麝香(研各半两) 桔梗(锉炒二两半) 石膏(椎碎) 寒
水石(
椎碎各四两) 木通(锉) 甘草(炙锉) 郁金(锉各二两) 青木香(锉一分) 朴硝
(研四斤)
金
上十二味,除朴硝麝香外,先将寒水石石膏金,以水二斗,于银器内,慢火煎至一斗,
次下
凝,
治附骨痈。密陀僧散方
密陀僧 自然铜(各半两) 杏仁(去皮尖双仁二七枚)
上三味,用苦竹筒一枚,入药在内,纸封筒口,慢火煨,候竹筒黄色,取出研细末,看
疮肿大小用药,以新汲水调匀,用鸡翎扫药,涂痈上,甚者不过二七日即效。
治附骨痈。牛胶散方
牛皮胶(黄明者慢火炙令燥) 甘草(用水一盏蘸炙水尽锉各半两)
上二味,捣罗为散,每服二钱匕,浓煎木贼汤调下,空心服,复取药末,以井水调膏,
看疮大小,摊纸贴之。
治附骨痈。槲皮散方
槲皮(三两烧令烟尽)
上一味,细研为散,每服二钱匕,空心米饮调下,日晚再服。
治附骨痈方
新鼠皮(一张)
上一味,看疮大小裁贴,日二次,若出脓已溃者,用猪脊脂贴,吮脓出尽,即瘥。
治附骨痈。甘草汤方
甘草(炙二两) 露蜂房(一两)
上二味并锉,以水五升,煎至三升去滓,以故帛二片浸汤中,更互洗疮上,日三两度即
瘥。
治附骨痈方
蓖麻子(去壳不拘多少)
上一味,研令细,取涂痈上,日三两度即瘥。
治附骨痈方
生地黄(取汁一盏)
上一味,银石器中煎至膏,候冷涂敷肿上,日三五度即瘥。
论述说:凡是身体发热严重,不可吹受风邪,因为风寒之气侵入肌肉,会导致体内热气郁结伏留而无法散发,因此热毒附着于骨骼而蕴积成病。
治疗附骨痈(深部骨骼化脓性感染)、结核脓肿、水肿疼痛及心腹胀满的方剂:五香连翘汤。
药材包括:木香、独活(去除芦头)、射干、连翘(各三分)、甘草(炙后锉碎)、桑寄生(锉碎炒制)、升麻(锉碎)、沉香(锉碎)、鸡舌香、乳香(研细,各半两)、大黄(锉碎微炒一两半)、麝香(研细一分)。
以上十二味药,除需研细的药物外,其余粗捣筛过,再加入麝香和乳香共同研匀拌匀。每次服用五钱匕,加水一盏半,煎煮至八分满,加入竹沥半合,过滤去渣,空腹温服,以大便通畅为度,若未通利可再次服用。
治疗附骨痈,生于大腿内侧肌肉间的方剂:淋炸贯众汤。
药材包括:贯众、地骨皮(锉碎)、谷精草、枇杷叶(拭去毛后炙制)、荆芥(去梗)、蜀椒(去目及闭合者,各一两)。
以上六味药,粗捣筛过,用水三升,煮取二升,连同药渣一起淋洗患处,用布帛蘸药液拓敷,见效迅速。
治疗附骨痈肿,病根在脏腑的方剂:蛇皮散。
药材包括:蛇皮、露蜂房、乱发(各半两)。
以上三味药,全部烧成灰,保留药性,研成细末。每次服用二钱匕,用温酒送服,每日三次。
治疗附骨痈的金石凌法。
药材包括:栀子仁(半斤)、犀角屑、麝香(研细,各半两)、桔梗(锉碎炒制二两半)、石膏(敲碎)、寒水石(敲碎,各四两)、木通(锉碎)、甘草(炙后锉碎)、郁金(锉碎,各二两)、青木香(锉碎一分)、朴硝(研细,四斤)。
以上十二味药,除朴硝和麝香外,先将寒水石、石膏和金(此处原文可能有误或指代特定矿物/辅料,依原文保留)放入银器中,加水二斗,用慢火煎至一斗,然后下入其他药物继续煎煮(原文此处截断,按常规理解应为煎煮取汁或制成膏剂),最后加入朴硝和麝香。
治疗附骨痈的密陀僧散方。
药材包括:密陀僧、自然铜(各半两)、杏仁(去皮尖且双仁者十四枚)。
以上三味药,取一根苦竹筒,将药物装入其中,用纸密封筒口,用慢火煨烤,待竹筒变黄时取出,研成细末。根据疮肿大小用药量,用新汲水调匀,用鸡毛蘸药涂抹于痈上,严重者不超过二七日即可见效。
治疗附骨痈的牛胶散方。
药材包括:牛皮胶(选用黄明胶,用慢火炙烤至干燥)、甘草(用水一盏蘸湿后炙烤至水尽,锉碎,各半两)。
以上两味药,捣碎过筛成散剂。每次服用二钱匕,用浓煎的木贼汤送服,空腹服用。剩余的药末,用井水调成膏状,根据疮口大小,摊在纸上贴敷。
治疗附骨痈的槲皮散方。
药材包括:槲皮(三两,烧至烟尽)。
以上一味药,细研成散剂。每次服用二钱匕,空腹时用米饮调服,晚上再服一次。
治疗附骨痈的方剂。
药材包括:新鼠皮(一张)。
以上一味药,根据疮口大小裁剪贴敷,每日两次。如果已经出脓溃破,则用猪脊脂贴敷,吸尽脓液,即可痊愈。
治疗附骨痈的甘草汤方。
药材包括:甘草(炙制二两)、露蜂房(一两)。
以上两味药一并锉碎,用水五升,煎至三升,去渣。用两块旧布浸在药汤中,交替清洗疮面,每日三到四次即可痊愈。
治疗附骨痈的方剂。
药材包括:蓖麻子(去壳,数量不限)。
以上一味药,研细,取药涂抹于痈上,每日三到四次即可痊愈。
治疗附骨痈的方剂。
药材包括:生地黄(取汁一盏)。
以上一味药,在银石器中煎至膏状,冷却后涂抹敷于肿胀处,每日三到五次即可痊愈。
Commentary states: Whenever the body is severely hot, one must not be exposed to wind. This is because cold and wind qi entering the muscles causes internal heat to stagnate and become trapped, unable to dissipate. Consequently, the pathogenic heat attaches to the bones and accumulates deeply.
Formula for treating Osteomyelitis (deep-seated bone abscess), tuberculous abscesses, edema with pain, and fullness in the heart and abdomen: Wuxiang Lianqiao Tang (Five-Aromatic Cinnamon Twig and Forsythia Decoction).
Herbs include: Aquilariae Lignum Resinatum (Muxiang), Angelicae Pubescentis Radix (Duhuo) [deprived of the radicle head], Belamcandae Rhizoma (Shegan), Forsythiae Fructus (Lianqiao) (each 3 fen), Glycyrrhizae Radix et Rhizoma (Gancao) [roasted and crushed], Taxilli Herba (Sangjisheng) [crushed and stir-fried], Cimicifugae Rhizoma (Shengma) [crushed], Agarwood (Chenxiang) [crushed], Cardamomi Semen (Jitixiang), Boswelliae Resina (Ruxiang) [ground, each 0.5 liang], Rhei Radix et Rhizoma (Dahuang) [crushed and lightly stir-fried, 1.5 liang], Moschus (Shexiang) [ground, 1 fen].
The above twelve herbs, except those requiring grinding, are coarsely pounded and sifted. Then, add Moschus and Boswelliae Resina, grind together until uniform. Each dose is 5 qianbi (a small spoon measure), decocted in 1.5 sheng of water until reduced to 0.8 sheng. Add 0.5 he of Phyllostachys Viridis Caulis Succus (Zhuli), filter to remove dregs, and take warm on an empty stomach. The treatment is considered effective when bowel movement becomes loose; if not, administer again.
Formula for treating Osteomyelitis occurring in the subcutaneous tissue of the thigh: Linzha Guanzhong Tang (Itea and Cibotium Decoction for Pouring and Compressing).
Herbs include: Cibotii Rhizoma (Guanzhong), Lycii Cortex (Digupi) [crushed], Eriocauli Flos (Gu Jingcao), Eriobotryae Folium (Pipaye) [brushed to remove hairs and roasted], Schizonepetae Spica (Jingjie) [stalks removed], Zanthoxyli Pericarpium (Shujiao) [eyes and closed ones removed, each 1 liang].
The above six herbs are coarsely pounded and sifted. Boil in 3 sheng of water to obtain 2 sheng. Use the liquid including dregs to pour over and compress the affected area. Apply with cloth for rapid effect.
Formula for treating Osteomyelitis swelling where the root lies in the zang-fu organs: Shepi San (Snake Skin Powder).
Herbs include: Ophichthidis Corium (Shepi), Vespa Nidus (Lufengfang), Capilli Humanis Carbonisatus (Luankui/Luanfa) (each 0.5 liang).
The above three herbs are all burned to ash while preserving their medicinal nature, then ground into fine powder. Each dose is 2 qianbi, taken with warm wine, three times a day.
Method "Jinshi Ling" for treating Osteomyelitis.
Herbs include: Gardeniae Fructus (Zhiren) (0.5 jin), Rhinocerotis Cornu (Xijiao) [shavings], Moschus (Shexiang) [ground, each 0.5 liang], Platycodonis Radix (Jiegeng) [crushed and stir-fried, 2.5 liang], Gypsum Fibrosum (Shigao) [broken], Arsenici Trioxidum (Hanshuishi) [broken, each 4 liang], Akebiae Caulis (Mutong) [crushed], Glycyrrhizae Radix et Rhizoma (Gancao) [roasted and crushed], Curcumae Radix (Yujin) [crushed, each 2 liang], Aquilariae Lumen (Qingmuxiang) [crushed, 1 fen], Natrii Sulfas (Pu Xiao) [ground, 4 jin].
Of the above twelve herbs, excluding Natrii Sulfas and Moschus, first place Arsenici Trioxidum, Gypsum Fibrosum, and Gold (Jin) in a silver vessel. Add 2 dou of water and slowly simmer until reduced to 1 dou. Then add the remaining herbs (text cuts off here, implying continued decoction) and finally incorporate Natrii Sulfas and Moschus.
Formula Miduoseng San (Lead Monoxide Powder) for treating Osteomyelitis.
Herbs include: Lithargyrum (Miduoseng), Pyritum (Ziran Tong) (each 0.5 liang), Armeniacae Semen Amarum (Xingren) [skin and tips removed, double-kernel, 14 pieces].
Place the above three herbs in a bitter bamboo tube. Seal the mouth with paper and slowly roast over low fire until the bamboo turns yellow. Remove and grind into fine powder. Adjust dosage according to the size of the abscess. Mix with fresh well water, apply using a chicken feather brush onto the boil. For severe cases, improvement occurs within two to seven days.
Formula Niujiao San (Ox Glue Powder) for treating Osteomyelitis.
Herbs include: Os Bovis Colla (Niu Jiao) [choose high-quality yellow glue, dry by roasting over low fire], Glycyrrhizae Radix et Rhizoma (Gancao) [moisten with 1 sheng of water, roast until dry, crush, each 0.5 liang].
Pound and sieve the above two herbs into a powder. Each dose is 2 qianbi, taken with strong decoction of Equiseti Herba (Muzei). Take on an empty stomach. Reserve some powder, mix with well water to form a paste, spread on paper according to the wound size, and apply as a patch.
Formula Hupi San (Oak Bark Powder) for treating Osteomyelitis.
Herbs include: Quercus Lignosum (Hupi) (3 liang, burned until smoke ceases).
Grind this single herb into a fine powder. Each dose is 2 qianbi, taken with rice water on an empty stomach, and again in the evening.
Formula for treating Osteomyelitis.
Herbs include: New Mouse Skin (1 piece).
Cut the skin to fit the wound size and apply. Change twice daily. If pus has drained and the wound is ulcerated, apply Porcis Medullae Spinalis (Puzhi - pig spinal marrow/fat). Suck out all pus, and the condition will heal.
Formula Gancao Tang (Licorice Decoction) for treating Osteomyelitis.
Herbs include: Glycyrrhizae Radix et Rhizoma (Gancao) [roasted, 2 liang], Vespa Nidus (Lufengfang) (1 liang).
Crush both herbs. Decoct in 5 sheng of water until reduced to 3 sheng. Filter to remove dregs. Soak two pieces of old cloth in the decoction and alternately wash the wound. Do this three to four times a day for cure.
Formula for treating Osteomyelitis.
Herbs include: Ricini Semen (Bimazi) [shelled, amount不拘/unlimited].
Grind this single herb finely. Apply to the boil three to four times a day for cure.
Formula for treating Osteomyelitis.
Herbs include: Rehmanniae Radix Recens (Sheng Dihuang) [extract juice, 1 sheng].
Decoct the juice in a silver or earthenware vessel until it forms a paste. Allow to cool and apply to the swelling three to five times a day for cure.