论曰∶瘰 之候,大概有三∶一曰风毒,得之于风;二曰气毒,得之于气;三曰热毒,
得之
疮,
治热风毒瓦斯,结为瘰 ,恶寒壮热,劳即更甚,将成 。木香丸方
木香 犀角(镑) 芍药 连翘(各一两半) 白蔹(一两一分) 射干 海藻(洗去
咸焙干)
乌蛇(酒浸一宿去皮骨炙) 玄参(各二两) 大黄(锉微炒三两) 昆布(去咸焙干二
两)
上十一味,捣罗为散,炼蜜丸梧子大,每服十丸,空心温酒下,至夜再服。
治热毒瓦斯毒风毒,结成瘰 。连翘丸方
连翘(一两) 芍药 玄参 大黄(锉炒) 犀角(镑) 防己 羌活(去芦头) 木
香山栀
子仁(各一两)
上九味,捣罗为末,炼蜜丸如梧子大,食后米饮下二十丸,日再服。
治风热气毒,结成瘰 。木通丸方
木通(锉) 车前子(酒浸炒) 大黄(锉炒) 连翘(去梗) 玄参 知母(各一两)
上六味,捣罗为末,炼蜜丸如梧子大,每服十丸,腊茶下。
治项下并腋下,热毒瓦斯毒,结成瘰 。斑蝥散方
斑蝥(去头翅足糯米炒黄色半两) 炒豆黄末炒糯米末(各一两) 甘草(一中指节大
半生
半炙) 腻粉(一分)
上五味,捣罗为散,一处重研匀,空心米饮调下二钱匕,当吐泻下恶物,即煮糯米粥补
之,如吐不止,以炒豆黄末煎汤止之,如吐甚不止,磨少许雄黄麝香止之,将息后再服,取
吐泻
治风毒久不解,搏于筋脉,因成瘰 结核,生颈腋下。秦艽汤方
秦艽(去苗土) 连翘 青橘皮(去白焙) 槟榔(煨各半两) 犀角(镑三分)
上五味,粗捣筛,每服三钱匕,水一盏,入木通少许,同煎至七分,去滓温服。
治风毒瓦斯毒热毒,瘰 不破者。大黄散方
大黄(湿纸裹煨微焦色) 甘草(炮) 白僵蚕(去土焙干各一两) 槟榔(煨一分)
上四味,捣罗为散,每服二钱匕,用蜜熟水调下,日可三五服,取下恶物如鱼脑,即愈
治气 疼痛,及热毒结核,或多烦闷,热而不寒者。鸡鸣散方
牵牛子末(一两) 胡粉(一钱) 大黄(蒸末二钱) 朴硝(炼成粉三钱)
上四味,捣罗为散,鸡鸣时,以井华水,调服三钱匕,以利为度,不利再服。
治风热气
胡粉(一钱) 雄黄(研一钱) 雌黄(研一钱)
上三味,研令匀,用乌鸡子三枚,取白调药,入净瓷盏内,于饭上炊,令硬软得所,丸
如梧子大,每服三十丸,至四十丸,温热水下,转下恶物为验。
治风热毒瓦斯结瘰 。内消羌活散方
羌活(去芦头一两半) 白僵蚕(炙一两)
上二味,捣罗为散,每日空心,以蜜酒调下四钱匕,夜再服。
治风毒瓦斯毒不顺,结聚成 ,或破或不破。内消膏方
皮(生锉一枚)
上一味,用瓷合盛,泥固济,木炭烧为灰,酒调顿服之。
治风毒瓦斯毒瘰 。白梅丸方
白僵蚕(直者不拘多少炒令黄色)
上一味,捣罗为末,用陈白梅肉,捣和为丸,梧桐子大,每服三十丸,熟水下,空心午
后各一。
治热毒瓦斯毒,结为瘰 。蜂房膏方
露蜂房(炙) 蛇蜕皮(炙) 玄参 黄 (锉细) 蛇床子(各三分) 杏仁(一两
半) 乱发
(鸡子许大) 铅丹(三两) 蜡(二两)
上九味,先将前五味锉细,绵裹用酒少许浸一宿,勿令酒多,用油半斤,纳杏仁乱发,
煎十五沸,待发消尽,即用绵滤,更下铛中,然后下铅丹蜡,又煎五六沸,即泻出,于瓷器
中盛
治热毒风毒瓦斯毒瘰 。内消赤豆散方
赤小豆(炒) 黄药子 硝石(研如粉) 大黄(生各一分) 木鳖子(三枚去壳) 猪
牙皂
荚
上六味,捣罗为散,以不语津调涂之,干即易。
论述说:瘰疬的证候,大致有三种:一是风毒,由风邪引起;二是气毒,由气滞引起;三是热毒,由疮疡引起。
治疗热风毒瓦斯(指具有流动性的毒邪),凝结成瘰疬,伴有恶寒壮热,劳累后症状加重,即将形成溃疡的药物方剂:木香丸方。
木香、犀角(镑片)、芍药、连翘(各一两半)、白蔹(一两一分)、射干、海藻(洗去咸味焙干)、乌蛇(酒浸一夜去皮骨炙烤)、玄参(各二两)、大黄(锉碎微炒三两)、昆布(去咸味焙干二两)。
以上十一味药,捣碎过筛制成散剂,用炼蜜制成梧桐子大小的丸药,每次服用十丸,空腹时用温酒送服,夜间再服一次。
治疗热毒、瓦斯毒、风毒,凝结结成瘰疬的药物方剂:连翘丸方。
连翘(一两)、芍药、玄参、大黄(锉碎炒制)、犀角(镑片)、防己、羌活(去芦头)、木香、山栀子仁(各一两)。
以上九味药,捣碎过筛制成细末,用炼蜜制成梧桐子大小的丸药,饭后用米汤送服二十丸,每日两次。
治疗风热气毒,凝结结成瘰疬的药物方剂:木通丸方。
木通(锉碎)、车前子(酒浸炒制)、大黄(锉碎炒制)、连翘(去梗)、玄参、知母(各一两)。
以上六味药,捣碎过筛制成细末,用炼蜜制成梧桐子大小的丸药,每次服用十丸,用腊茶送服。
治疗颈部及腋下部位,因热毒、瓦斯毒凝结成瘰疬的药物方剂:斑蝥散方。
斑蝥(去头翅足,用糯米炒至黄色,半两)、炒豆黄末、炒糯米末(各一两)、甘草(取中间一节大小,一半生用,一半炙用)、腻粉(一分)。
以上五味药,捣碎过筛制成散剂,混合均匀研磨,空腹时用米汤调服二钱匕,应当出现呕吐腹泻排出恶物的情况,随即煮糯米粥来补养身体。如果呕吐不止,用炒豆黄末煎汤止呕;如果呕吐非常剧烈不止,磨少许雄黄和麝香来止呕,调养后再服用,以促使呕吐腹泻排出恶物为效验。
治疗风毒久治不愈,搏结于筋脉,因而形成瘰疬结核,生于颈腋下部的药物方剂:秦艽汤方。
秦艽(去苗土)、连翘、青橘皮(去白焙干)、槟榔(煨制,各半两)、犀角(镑片三分)。
以上五味药,粗捣筛过,每次服用三钱匕,用水一盏,加入少许木通,共同煎煮至七分,去渣温服。
治疗风毒、瓦斯毒、热毒,瘰疬未破溃的药物方剂:大黄散方。
大黄(湿纸包裹煨至微焦色)、甘草(炮制)、白僵蚕(去土焙干,各一两)、槟榔(煨制一分)。
以上四味药,捣碎过筛制成散剂,每次服用二钱匕,用蜂蜜熟水调服,每日可服用三到五次,排出如鱼脑状的恶物,即可痊愈。
治疗气滞疼痛,以及热毒结核,或伴有多烦闷、发热而不恶寒的症状的药物方剂:鸡鸣散方。
牵牛子末(一两)、胡粉(一钱)、大黄(蒸制研末二钱)、朴硝(炼成粉三钱)。
以上四味药,捣碎过筛制成散剂,在鸡鸣时分(黎明),用井华水(清晨第一次打的井水)调服三钱匕,以利下为度,不利则再次服用。
治疗风热气滞(原文此处可能有缺字,结合上下文推测为气结或类似病症,依原文直译)。
胡粉(一钱)、雄黄(研细一钱)、雌黄(研细一钱)。
以上三味药,研磨均匀,用三个乌鸡蛋清调和药物,放入洁净的瓷盏内,放在饭上蒸熟,使其软硬适中,制成梧桐子大小的丸药,每次服用三十至四十丸,用温热水送服,以转下恶物为效验。
治疗风热毒瓦斯凝结成瘰疬的药物方剂:内消羌活散方。
羌活(去芦头一两半)、白僵蚕(炙制一两)。
以上两味药,捣碎过筛制成散剂,每日空腹时,用蜜酒调服四钱匕,夜间再服一次。
治疗风毒、瓦斯毒不顺,结聚成瘰疬,或破溃或未破溃的药物方剂:内消膏方。
皮(生锉一枚,原文此处“皮”前似缺字,可能指某种树皮或特定药材,依原文保留“皮”)。
以上一味药,用瓷盒盛装,用泥密封固定,用木炭烧成灰,用酒调匀顿服。
治疗风毒、瓦斯毒引起的瘰疬的药物方剂:白梅丸方。
白僵蚕(直的不拘多少,炒令黄色)。
以上一味药,捣碎过筛制成细末,用陈年白梅肉,捣和制成梧桐子大小的丸药,每次服用三十丸,用温水送服,空腹及午后各服一次。
治疗热毒、瓦斯毒,凝结成瘰疬的药物方剂:蜂房膏方。
露蜂房(炙制)、蛇蜕皮(炙制)、玄参、黄芪(锉细)、蛇床子(各三分)、杏仁(一两半)、乱发(鸡子许大)、铅丹(三两)、蜡(二两)。
以上九味药,先将前五味药锉细,用绵布包裹,用少许酒浸泡一夜,不要让酒太多。用油半斤,放入杏仁和乱发,煎十五沸,待头发完全消融,即用绵布过滤,再倒入锅中,然后放入铅丹和蜡,又煎五六沸,即倒出,盛放在瓷器中。
治疗热毒、风毒、瓦斯毒引起的瘰疬的药物方剂:内消赤豆散方。
赤小豆(炒制)、黄药子、硝石(研如粉)、大黄(生用,各一分)、木鳖子(三枚去壳)、猪牙皂荚。
以上六味药,捣碎过筛制成散剂,用不语津(默不作声时口中分泌的唾液)调涂患处,干了就更换。
Discourse states: The manifestations of scrofula (Luo Li, a disease characterized by tubercles in the neck) generally fall into three categories: first, wind-toxin, caused by wind pathogen; second, qi-toxin, caused by qi stagnation; third, heat-toxin, caused by sores.
Formula for treating wind-heat toxin and volatile toxins condensing into scrofula, accompanied by aversion to cold and high fever, worsening upon exertion, and about to ulcerate: Muxiang Wan (Wood Fragrance Pill).
Muxiang (Aucklandiae Radix), Xijiao (Rhinocerotis Cornu, note: modern usage substitutes with other materials due to conservation laws), Shaoyao (Paeoniae Radix), Lianqiao (Forsythiae Fructus) (each 1.5 liang), Bailian (Ixiae Bulbus) (1.1 liang), Shegan (Belamcandae Rhizoma), Haizao (Sargassum), Wushe (Bungarus multicinctus) (soaked in wine overnight, skin and bones removed, roasted), Xuanshen (Scrophulariae Radix) (each 2 liang), Dahuang (Rhei Radix et Rhizoma) (crushed and lightly stir-fried, 3 liang), Kunbu (Eckloniae Thallus) (2 liang).
The above eleven ingredients are crushed, sieved into powder, and formed into pills the size of wutong seeds using refined honey. Take ten pills per dose, swallowed with warm wine on an empty stomach, and take another dose at night.
Formula for treating heat toxin, volatile toxin, and wind toxin condensing into scrofula: Lianqiao Wan (Forsythia Pill).
Lianqiao (Forsythiae Fructus) (1 liang), Shaoyao (Paeoniae Radix), Xuanshen (Scrophulariae Radix), Dahuang (Rhei Radix et Rhizoma) (crushed and stir-fried), Xijiao (Rhinocerotis Cornu), Fangji (Stephaniae Tetrandrae Radix), Qianghuo (Notopterygii Rhizoma et Radix) (rhizome removed), Muxiang (Aucklandiae Radix), Shanzhizi Ren (Gardeniae Semen) (each 1 liang).
The above nine ingredients are crushed, sieved into fine powder, and formed into pills the size of wutong seeds using refined honey. Take twenty pills per dose after meals, swallowed with rice water, twice daily.
Formula for treating wind-heat qi-toxin condensing into scrofula: Mutong Wan (Akebia Pill).
Mutong (Akebiae Caulis) (crushed), Cheqianzi (Plantaginis Semen) (wine-soaked and stir-fried), Dahuang (Rhei Radix et Rhizoma) (crushed and stir-fried), Lianqiao (Forsythiae Fructus) (stalks removed), Xuanshen (Scrophulariae Radix), Zhimu (Anemarrhenae Rhizoma) (each 1 liang).
The above six ingredients are crushed, sieved into fine powder, and formed into pills the size of wutong seeds using refined honey. Take ten pills per dose, swallowed with aged tea.
Formula for treating scrofula in the neck and axilla caused by heat toxin and volatile toxins condensing: Banmao San (Mustard Beetle Powder).
Banmao (Mylabris) (head, wings, and feet removed, stir-fried with glutinous rice until yellow, 0.5 liang), Chao Douhuang Mo (Stir-fried Soybean Powder), Chao Nuomi Mo (Stir-fried Glutinous Rice Powder) (each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (size of one finger joint, half raw, half roasted), Nifen (Calomel) (1 fen).
The above five ingredients are crushed, sieved into powder, mixed uniformly, and ground together. Take two qianbi (small spoonfuls) per dose on an empty stomach, mixed with rice water. Vomiting and diarrhea should occur to expel evil substances. Immediately afterward, cook glutinous rice porridge to nourish the body. If vomiting persists, decoct stir-fried soybean powder to stop it. If vomiting is severe and unceasing, grind a small amount of Xionghuang (Realgar) and Shexiang (Moschus) to stop it. After recuperation, take again. The goal is to induce vomiting and diarrhea to expel evil substances.
Formula for treating long-standing wind-toxin that has not resolved, binding with meridians and collaterals, forming scrofula nodules in the neck and axilla: Qinjiao Tang (Gentiana Decoction).
Qinjiao (Gentianae Macrophyllae Radix) (rhizome and soil removed), Lianqiao (Forsythiae Fructus), QingjuPi (Citri Reticulatae Pericarpium) (albedo removed, dried), Binglang (Arecae Semen) (roasted, each 0.5 liang), Xijiao (Rhinocerotis Cornu) (shaved, 3 fen).
The above five ingredients are coarsely crushed and sifted. Take three qianbi per dose, with one cup of water and a little Mutong (Akebiae Caulis), decoct until reduced to 70%, strain, and take warm.
Formula for treating scrofula not yet ulcerated, caused by wind-toxin, volatile toxin, and heat-toxin: Dahuang San (Rhubarb Powder).
Dahuang (Rhei Radix et Rhizoma) (wrapped in wet paper and roasted until slightly charred), Gancao (Glycyrrhizae Radix et Rhizoma) (processed), Baijiangcan (Bombyx Batryticatus) (cleaned and dried, each 1 liang), Binglang (Arecae Semen) (roasted, 1 fen).
The above four ingredients are crushed, sieved into powder. Take two qianbi per dose, mixed with honey-water. Take three to five times daily. Healing occurs when fish-brain-like evil substances are expelled.
Formula for treating qi stagnation pain, heat-toxin nodules, or excessive irritability with fever but no aversion to cold: Jiming San (Crowing Rooster Powder).
Qianniuzi Mo (Pharbitidis Semen Powder) (1 liang), Hufen (Lead Carbonate) (1 qian), Dahuang (Rhei Radix et Rhizoma) (steamed and powdered, 2 qian), Puxiao (Natrii Sulfas) (refined powder, 3 qian).
The above four ingredients are crushed, sieved into powder. At dawn (cockcrow time), take three qianbi mixed with Jinghua Shui (first-drawn well water). Stop when purged; if not purged, take again.
[Text fragment regarding treatment for wind-heat qi stagnation]
Hufen (Lead Carbonate) (1 qian), Xionghuang (Realgar) (powdered, 1 qian), Cihuang (Orpiment) (powdered, 1 qian).
The above three ingredients are ground uniformly. Mix with the whites of three black chicken eggs. Place in a clean porcelain cup and steam over rice until firm but tender. Form into pills the size of wutong seeds. Take thirty to forty pills per dose, swallowed with warm hot water. Expulsion of evil substances indicates efficacy.
Formula for internal resolution of wind-heat toxin and volatile toxins condensing into scrofula: Neixiao Qianghuo San (Internal Resolution Notopterygium Powder).
Qianghuo (Notopterygii Rhizoma et Radix) (rhizome removed, 1.5 liang), Baijiangcan (Bombyx Batryticatus) (roasted, 1 liang).
The above two ingredients are crushed, sieved into powder. Take four qianbi per dose on an empty stomach, mixed with honey-wine, and take again at night.
Formula for treating irregular flow of wind-toxin and volatile toxins, condensing into scrofula, whether ulcerated or not: Neixiao Gao (Internal Resolution Ointment).
Pi (Bark, raw and crushed, one piece). [Note: Source text omits specific plant name before 'Pi'].
One ingredient. Store in a porcelain container, seal tightly with mud, and burn to ash using charcoal wood. Mix with wine and take in one dose.
Formula for treating scrofula caused by wind-toxin and volatile toxins: Baimei Wan (White Plum Pill).
Baijiangcan (Bombyx Batryticatus) (straight ones, as needed, stir-fried until yellow).
One ingredient. Crush into fine powder. Mix with flesh of aged white plums to form pills the size of wutong seeds. Take thirty pills per dose, swallowed with cooked water, once on an empty stomach and once in the afternoon.
Formula for treating heat toxin and volatile toxins condensing into scrofula: Fengfang Gao (Honeycomb Ointment).
Lufengfang (Vespa Utero) (roasted), Shetuipi (Ophichthus Skin) (roasted), Xuanshen (Scrophulariae Radix), Huangqi (Astragali Radix) (finely crushed), Chuangzi (Cnidii Fructus) (each 3 fen), Xingren (Pruni Semen) (1.5 liang), Luankou (Human Hair Tangle) (size of a chicken egg), Qiandan (Minii Oxidum Rubrum) (3 liang), La (Beeswax) (2 liang).
The above nine ingredients: First, finely crush the first five ingredients, wrap in silk, and soak in a small amount of wine overnight (do not use too much wine). Add half a jin of oil, along with Xingren (Pruni Semen) and Luankou (Human Hair Tangle). Boil for fifteen cycles. When the hair dissolves completely, filter through silk. Return to the pot, then add Qiandan (Minii Oxidum Rubrum) and La (Beeswax). Boil for five to six cycles. Pour out and store in a porcelain vessel.
Formula for internal resolution of heat-toxin, wind-toxin, and volatile-toxin scrofula: Neixiao Chidou San (Internal Resolution Red Bean Powder).
Chixiaodou (Phaseoli Semen Rubrum) (stir-fried), Huangyaozi (Dioscoreophyllicae Rhizoma), Xiaoshi (Nitrums), Dahuang (Rhei Radix et Rhizoma) (raw, each 1 fen), Muguezi (Momordicae Semen) (three pieces, shell removed), Zhuyazao Jia (Gleditsiae Sinensis Spina) (fruit pod).
The above six ingredients are crushed, sieved into powder. Apply externally mixed with saliva (produced while silent). Change when dry.