肘后夫丹者,恶毒之气,五色无常,不即疗之,痛不可堪,又待坏则去脓血数升,或发
于节解,多断人四肢,盖疽之类疗之方。
煮栗 有刺者洗之。(姚同)
又疗发足踝方。
捣蒜如泥,以浓涂,干即易之。(集验文仲备急同出第二卷中)
短剧说丹毒一名天火也,肉中忽有赤如丹涂之色,大者如手掌,其剧者竟身体亦有痛痒
微肿方。
赤小豆(一升)
上一味末下筛,以鸡子白和如泥,涂之,干复涂之,逐手消也,竟身者倍合之,尽复作
(删繁千金同)
又疗丹,诸单行方或行得一物瘥。
水苔 生蛇衔 生地黄 生菘叶 蒴 叶 五叶藤 慎火草 浮萍草 豆豉 大黄 栀
子黄芩 芒硝
上十三味,但得一物捣以贴之,即瘥,赤小豆末和鸡子白涂,无鸡子水和用之。(千金
同)
又方
新附淋草(半斤) 蛇蜕皮(一条) 露蜂房(三两)
上二味,以水一斗,煮取四升,以帛拓洗之,随手消神妙,经用效,故附此卷传之。
又方
煮粟取浓汁,以洗之妙。
又方
取蛐 粪,水和如泥,涂之。
千金论曰,丹毒一名天火,肉中忽有赤如丹涂,大者如手掌,甚者竟身痒微肿,又白丹
肉中起痒痛,微虚肿如吹瘾疹起,亦有鸡冠丹赤起,大者如钱,小者如麻豆粒,如鸡冠上涩
,一名茱萸火丹,有水丹,由体热过水湿搏之结丹,晃晃黄赤色,如有水在中,喜着腹及阴
处
,此虽小疾,不治令人至死,疗之皆用升麻膏方。
升麻 白薇 漏芦 连翘 芒硝(各二两) 黄芩 蛇衔 枳实(炙各三两) 栀子(二
十
枚) 蒴 (四两)
上十味捣碎令细,以水三升渍半日,猪脂五升煎之,候水气竭,去滓,干器中收之,量
取敷
仲备
又疗丹神验方。
芸薹茱萸捣令熟,浓封之,随手即消散,余热未愈,再封,臣以贞观七年三月八日于内
江县饮多,至夜睡中,觉四体骨肉并疼,比至晓头痛目眩,额左角如弹子大肿,痛不可得近,
至午
瘥,
《肘后备急方》中记载的“夫丹”,是指恶毒之气,其颜色五色无常,如果不立即治疗,疼痛难以忍受;如果拖延到皮肤溃烂,则会流出数升脓血。这种病有时发作于关节处,常导致四肢坏死,属于疽类疾病的治疗方剂。
又治疗足踝部发丹的方子。
捣蒜成泥状,浓涂患处,干了就更换。(出自《集验方》、《文仲备急方》,均见于第二卷)
《短剧方》说丹毒又名“天火”,肌肉中突然出现像丹砂涂抹一样的红色,大的如手掌大小,严重的甚至遍布全身,伴有轻微肿痛。
赤小豆(一升)
将上述一味药研末过筛,用鸡蛋清调和成泥状,涂敷患处,干了再涂,随着手的移动逐渐消退,若遍布全身则加倍配制,直至痊愈。(《删繁方》、《千金方》相同)
又治疗丹毒,各种单方或单味药疗法,有时只用一味药就能治愈。
水苔、生蛇衔草、生地黄、生菘叶、蒴藋叶、五叶藤、慎火草、浮萍草、豆豉、大黄、栀子、黄芩、芒硝。
以上十三味药,只要取其中一味捣碎贴敷,即可痊愈。也可用赤小豆末加鸡蛋清涂敷,若无鸡蛋清可用水代替。(《千金方》相同)
又一方
新附淋草(半斤)、蛇蜕皮(一条)、露蜂房(三两)。
以上三味药(注:原文列三味但称二味,依原文转录),用水一斗,煎取四升,用布巾蘸药液拓洗患处,随手消散,效果神妙,经长期验证有效,故附于此卷流传。
《千金方》论述说,丹毒又名“天火”,肌肉中突然出现像丹砂涂抹一样的红色,大的如手掌,严重的遍布全身,瘙痒微肿。又有白丹,在肌肉中起痒痛,微虚肿如同风疹块突起;也有鸡冠丹,红色突起,大的如铜钱,小的如麻豆粒,表面粗糙如鸡冠,又名茱萸火丹。还有水丹,因体内热盛与水湿搏结而成丹,呈晃晃的黄赤色,好像里面有水,喜欢发生在腹部及阴部。这虽然是小病,但不治疗会导致死亡,治疗都使用升麻膏方。
升麻、白薇、漏芦、连翘、芒硝(各二两)、黄芩、蛇衔草、枳实(炙,各三两)、栀子(二十枚)、蒴藋(四两)。
以上十味药捣碎令细,用水三升浸泡半天,加入猪脂五升煎制,待水分蒸发干后,滤去药渣,装入干燥容器中收藏,使用时适量敷用。(此处原文似有残缺,“仲备”二字疑为衍文或人名残留,依原文保留位置)
又治疗丹毒的神验方。
芸薹(油菜)与茱萸捣熟,浓封患处,随手即消散。若余热未愈,再次封敷。臣下我在贞观七年三月八日于内江县饮酒过多,到了夜里睡觉时,感觉四肢骨肉都疼痛,等到天亮头痛目眩,额头左侧角如弹子大的一块肿胀,疼痛得不能触碰,到了中午就好了。
The *Zhouhou Beiji Fang* (Emergency Prescriptions Kept in the Sleeve) records "Fu Dan" (夫丹), which refers to malignant toxic qi. Its color varies unpredictably among the five colors. If not treated immediately, the pain becomes unbearable; if delayed until the skin ulcerates, several sheng (a unit of volume) of pus and blood will flow out. This condition sometimes occurs at the joints and often leads to the necrosis of the four limbs; it belongs to the category of carbuncles (ju).
Boiled Chestnut: Use the spiny husks after washing them. (Yao Sengyuan holds the same view.)
Another prescription for treating Dan toxin on the ankle.
Crush garlic into a paste, apply it thickly to the affected area, and replace it when it dries. (From *Jiyan Fang*, *Wenzhong Beiji Fang*, both appearing in Volume 2.)
The *Duanju Fang* states that Dan toxin is also called "Tianhuo" (Heavenly Fire). Suddenly, the flesh exhibits a red color like cinnabar paint. The lesions can be as large as a palm, and in severe cases, they may cover the entire body, accompanied by slight swelling and pain/itching.
Red Adzuki Bean (1 sheng)
Grind the above single herb into powder and sift it. Mix with egg white to form a paste, apply to the affected area, and reapply when dry. It will gradually subside with hand movements. If covering the whole body, double the dosage. Continue until recovery. (Same as *Shanfan Fang* and *Qianjin Fang*.)
Another treatment for Dan toxin: Various single-herb prescriptions or monotherapy methods sometimes cure the disease using just one herb.
Hydrocharis mosses (Shuitai), Fresh Ophiopogon japonicus (Sheng Sheyan), Fresh Rehmannia glutinosa (Sheng Dihuang), Fresh Brassica chinensis leaves (Sheng Songye), Leaves of Datura metel (Shuo Bi Ye), Five-leaf Vine (Wuye Teng), Plantago asiatica (Shenhuo Cao), Duckweed (Fuping Cao), Fermented Soybean (Douchi), Rhubarb (Dahuang), Gardenia (Zhizi), Scutellaria baicalensis (Huangqin), Mirabilite (Mangxiao).
Of the above thirteen herbs, simply take any one, crush it, and apply it topically; the disease will heal. Alternatively, mix Red Adzuki Bean powder with egg white for application; if egg white is unavailable, water may be used. (Same as *Qianjin Fang*.)
Another prescription
Newly added Polygonum aviculare (Xinfu Lincao) (0.5 jin), Snake Slough (Yitiao), Honeycomb of Vespa (Lufengfang) (3 liang).
Take the above three ingredients (Note: Text says "two", but lists three), boil in ten dou of water until reduced to four sheng. Apply to the affected area using a cloth pad for washing/compressing. It dissipates instantly upon contact, showing miraculous efficacy. Having been effective over long-term use, it is attached here for transmission.
Another prescription
Boil millet to obtain a thick decoction, and use it to wash the affected area; this is excellent.
Another prescription
Collect feces from centipedes (Quyin), mix with water to form a paste, and apply to the affected area.
The *Qianjin Fang* discusses: Dan toxin is also called "Tianhuo." Suddenly, the flesh shows a red color like cinnabar paint. Large lesions are palm-sized, while severe ones cover the whole body, causing itching and slight swelling. There is also "White Dan," which presents as itchy and painful swelling in the flesh, resembling urticaria (wind rash). There is also "Chicken Comb Dan," which appears as red elevations, large as coins or small as hemp seeds, rough like a chicken comb, also known as Cornelian Cherry Fire Dan. There is also "Water Dan," caused by internal heat combining with dampness to form Dan toxin, presenting as shimmering yellow-red color, seemingly containing fluid, and preferring to occur on the abdomen and genital areas. Although this is a minor ailment, failure to treat it can lead to death. Treatment generally employs Shengma Gao (Cimicifuga Ointment).
Cimicifuga herba (Shengma), Anemarrhenae Rhizoma (Baiwei), Euphorbiae Pekinensis Radix (Loulu), Forsythiae Fructus (Lianqiao), Natrii Sulfas (Mangxiao) (each 2 liang), Scutellaria baicalensis (Huangqin), Ophiopogon japonicus (Sheyan), Aurantii Fructus Immaturus (Zhishi) (roasted, each 3 liang), Gardeniae Fructus (Zhizi) (20 pieces), Datura metel leaves (Shuo Bi) (4 liang).
Crush the above ten herbs finely. Soak in three sheng of water for half a day. Add five sheng of lard and decoct. Wait until the water evaporates completely, remove the dregs, and store in a dry container. Apply an appropriate amount externally. (Text fragment "Zhongbei" remains here as in original).
Another miraculous prescription for treating Dan toxin.
Crush Rapeseed greens (Yuntai) and Cornelian cherry fruits (Zhuyu) thoroughly, apply thickly to the affected area. It dissipates instantly. If residual heat persists, reapply. I, your subject, drank excessively in Neijiang County on March 8th of the 7th year of Zhenguan. During the night sleep, I felt pain in all four limbs' bones and muscles. By dawn, I suffered from headache and dizziness. A swelling the size of a marble appeared on the left corner of my forehead, so painful that it could not be touched. By noon, it had healed.