《病源》大热病在表,已发汗未解,或吐下后,热毒瓦斯不散,烦躁谬语,此为表虚里实
,热气燥于外,故身体发斑如锦文。凡发斑不可用发表药,令疮开泄,更增斑烂,表虚故也
。(出第九卷中)
《肘后》比岁有病天行发斑疮,头面及身须臾周匝,状如火疮,皆戴白浆,随决随生,
不即疗,剧者数日必死,疗得瘥后,疮瘢紫黯,弥岁方灭,此恶毒之气也。世人云∶以建武
中于南阳击虏所得,仍呼为虏疮,诸医参详作疗,用之有效方。
取好蜜通身摩疮上,亦以蜜煎升麻,数数拭之。亦佳。
又方
以水浓煮升麻渍绵洗之。苦酒渍煮弥佳,但燥痛难忍也。(并出第二卷中)
文仲陶氏云,天行发斑疮,须臾遍身,皆戴白浆,此恶毒瓦斯方。
云永徽四年,比疮从西域东流于海内,但煮葵菜叶、蒜齑啖之则止,鲜羊血入口亦止,
初患急食之,少饭下菜亦得。(出第二卷中)
《病源》夫表虚里实,热毒内盛,攻于脏腑,余气流于肌肉,遂于皮肤毛孔之中,结成
此疮,重者匝遍其身,状如火疮,若根赤头白则毒轻,若色紫黑则毒重,其疮形如豌豆,亦
名豌豆疮。脉洪数者,是其候也。(出第九卷中)
《千金》疗人及六畜天行热气病,豌豆疮方。
浓煮黍穣汁洗之,若是 穣则不瘥,疮若黑
者,捣蒜封之,又煮干芸苔汁洗之。
又方
真波斯青黛大如枣,水服之,瘥。
又热病后发豌豆疮方
黄连三两,去毛,水二升,煮取八合,顿服之。忌猪肉、冷水。
又若赤黑发如疥大者方
煎羊脂摩敷之。
又方
青木香二两,水三升,煮取一升,顿服之,效。
又方
小豆屑,和鸡子白敷之。
又方
以月布拭之。
又疗豌豆疮,初发觉欲作者方。
煮大黄五两服之。(《延年》同)
又疗疮出烦疼者。木香汤方。
青木香(二两) 丁香(一两) 薰陆香(一两) 白矾(一两) 麝香(二分)
上五味,以水四升,煮取一升半,分再服。热盛者,加一两生犀角,如无犀角,以升麻
代之;如病轻,去矾石,大神效。
又方
疮上以芒硝和猪胆涂,勿动,痂落无瘢,仍卧黄土末上良。此病小便涩有血者,中坏
疮皆黑靥不出脓,死不疗。
又内发疮盛方
醋四合 大猪胆一具
上二味,煎三沸。一服一合,日五服,良验。(并出第十卷中)
《延年》疗天行壮热头痛,发疮如豌豆遍身。大青汤方。
大青(三两) 栀子(二七枚擘) 犀角(屑一两) 豉(五合)
上四味,切,以水五升,煮取二升,分三服。服之无所忌。
《古今录验》水解散 疗天行热气,则生 疮疼痛,解肌出汗方。(出翟世平)
麻黄(一两去节) 黄芩(三分) 芍药(二分) 桂心(一分)
上四味,捣筛,暖水解服二方寸匕。覆令出汗,日再服,瘥者减之。忌海藻、菘菜、生
葱。(《延年》同。出第二卷中。一方有大黄三分、甘草二分)
《诸病源候论》指出:大热病邪在体表,已经发汗但病未解除,或者在呕吐、泻下之后,热毒之气未能消散,出现烦躁不安、胡言乱语的症状,这属于表虚里实的证候。热气燥烈于外,所以身体出现如锦缎花纹般的斑疹。凡是出现发斑症状,不可使用发表药物,以免使疮口开泄,加重斑烂,这是因为表气已虚的缘故。(出自第九卷)
《肘后备急方》记载:近年来有患天行发斑疮的病,头面及全身短时间内遍布,形状像火疮,都带有白色脓浆,破裂后随即长出新的,如果不立即治疗,严重的数日内必然死亡;治疗后痊愈,留下的疮疤呈紫黑色,要过一年才能消退,这是恶毒之气所致。世人说:这种病是在建武年间在南阳攻打敌虏时所得的,因此称为“虏疮”,各位医生研究治疗方法,使用有效的方剂。
取优质蜂蜜全身涂抹在疮上,也可以用蜜煎煮升麻,频繁擦拭患处,也很好。
另一个方子:用水浓煮升麻,浸泡绵布清洗患处。用醋浸泡煮制更好,只是会导致干燥疼痛难以忍受。(均出自第二卷)
文仲和陶氏说,天行发斑疮,短时间内遍布全身,都带有白色脓浆,这是恶毒之气的方证。
据说永徽四年,这种疮从西域向东流传到中原,只要煮葵菜叶、蒜泥吃就能停止(病情),喝鲜羊血也能停止,初患病时紧急食用,少量米饭配蔬菜也可以。(出自第二卷)
《诸病源候论》说:表虚里实,热毒内盛,攻冲脏腑,余气流窜于肌肉,于是在皮肤毛孔之中,结成这种疮,重的遍布全身,形状像火疮,如果根部红、头白则毒性轻,如果颜色紫黑则毒性重,其疮形如豌豆,也叫做豌豆疮。脉象洪大而数的,是它的征候。(出自第九卷)
《千金方》治疗人和六畜天行热气病、豌豆疮的方子。
浓煮黍穣汁清洗患处,如果是黍穣则不能治愈,如果疮色黑,捣碎大蒜封敷,又煮干芸苔汁清洗。
另一个方子:真波斯青黛如枣大小,用水送服,可愈。
又治热病后发豌豆疮的方子:黄连三两,去毛,水二升,煮取八合,一次性服用。忌食猪肉、冷水。
又治若赤黑发如疥疮大小的方子:煎煮羊脂涂抹敷贴。
另一个方子:青木香二两,水三升,煮取一升,一次性服用,有效。
另一个方子:小豆屑,调和鸡蛋清敷贴。
另一个方子:用月布擦拭患处。
又治疗豌豆疮,初发觉欲发作时的方子:煮大黄五两服用。(《延年秘录》相同)
又治疗疮出烦疼的木香汤方:
青木香(二两) 丁香(一两) 薰陆香(一两) 白矾(一两) 麝香(二分)
以上五味药,用水四升,煮取一升半,分两次服用。热势盛的,加一两生犀角,如果没有犀角,用升麻代替;如果病轻,去掉矾石,效果极佳。
另一个方子:疮上以芒硝和猪胆涂敷,不要触动,痂皮脱落无疤痕,仍睡在黄土末上很好。此病小便涩痛有血的,中坏疮皆成黑色结痂不出脓,无法治疗,必死。
又治内发疮盛的方子:
醋四合 大猪胆一个
以上两味药,煎煮三沸。一次服用一合,每日五次,疗效显著。(均出自第十卷)
《延年秘录》治疗天行壮热头痛,发疮如豌豆遍布全身的大青汤方:
大青(三两) 栀子(十四枚掰开) 犀角(锉屑一两) 豉(五合)
以上四味药,切碎,用水五升,煮取二升,分三次服用。服用时无禁忌。
《古今录验》水解散 治疗天行热气,则生疮疼痛,解肌出汗的方子。(出自翟世平)
麻黄(一两去节) 黄芩(三分) 芍药(二分) 桂心(一分)
以上四味药,捣筛,暖水解服二方寸匕。覆盖身体令其出汗,每日两次服用,痊愈后减量。忌海藻、菘菜、生葱。(《延年秘录》相同。出自第二卷。另一版本有大黄三分、甘草二分)
According to *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases): When a severe heat disease is in the exterior, sweating has been administered but the condition remains unresolved, or after vomiting and purging, the heat-toxin qi fails to dissipate, resulting in restlessness and delirious speech. This constitutes a syndrome of deficiency in the exterior and excess in the interior. The heat qi dries out the exterior, causing the body to develop macules resembling brocade patterns. Whenever macules appear, exterior-releasing drugs must not be used, as this will cause the sores to open and leak, worsening the ulceration due to the existing exterior deficiency. (From Volume 9)
*Zhou Hou Bei Ji Fang* (Handbook of Prescriptions for Emergencies) records: In recent years, there have been cases of epidemic macule-forming sores. Within a short time, the head, face, and entire body become covered. The lesions resemble fire blisters, all containing white pus. They rupture and regenerate continuously. If not treated immediately, severe cases will result in death within a few days. After recovery from treatment, the scars remain purple and dark, taking a year to fade. This is caused by malignant toxic qi. People say that this disease was acquired during the Jianwu era when fighting enemies in Nanyang; hence it is called "Lu Chuang" (Barbarian Sore). Physicians have studied treatments and found effective prescriptions.
Apply high-quality honey over the entire body onto the sores. Alternatively, decoct Shengma (Cimicifugae Rhizoma) with honey and frequently wipe the affected area. This is also excellent.
Another prescription: Boil Shengma (Cimicifugae Rhizoma) strongly in water, soak cotton cloth in it, and wash the sores. Soaking and boiling with Cujiu (Vinegar) is even better, though it may cause unbearable dryness and pain. (Both from Volume 2)
Wenzhong and Tao Shi stated that epidemic macule-forming sores spread over the whole body in a short time, all containing white pus. This is the prescription for malignant toxic qi.
It is said that in the Yonghui fourth year, this sore flowed eastward from the Western Regions into the Central Plains. Simply boiling and eating Kuaicaiye (Malvae Folium) and Suanqi (Allii Sativi Bulbus minced) can stop the progression. Drinking fresh Yangxue (Ovis Aries Blood) also stops it. It should be eaten urgently at the onset of illness; a small amount of rice with vegetables is also acceptable. (From Volume 2)
*Zhu Bing Yuan Hou Lun* states: With exterior deficiency and interior excess, internal heat-toxin is abundant, attacking the Zang-Fu organs. The residual flow moves into the muscles, eventually forming these sores within the skin pores. In severe cases, they cover the entire body, resembling fire blisters. If the root is red and the head white, the toxicity is mild; if the color is purple-black, the toxicity is severe. The shape of the sore resembles a pea, thus also named Wandou Chuang (Smallpox/Pea Sore). A pulse that is Hong (Surging) and Shuo (Rapid) is its characteristic sign. (From Volume 9)
*Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) provides prescriptions for treating humans and six domestic animals suffering from epidemic heat qi disease and Wandou Chuang.
Boil Shurang juice (Juice from the husk of Setaria italica) strongly and wash the sores. If using Shurang alone, it will not cure. If the sores are black, crush Da Suan (Allii Tuberosi Bulbus) and apply it as a poultice. Alternatively, boil Gan Yuntaizhi (Dried Brassica parachinensis Juice) and wash.
Another prescription: Take Zhen Bosi Qingdai (True Persian Indigo Naturalis) the size of a date, take orally with water, and it will heal.
Another prescription for Wandou Chuang appearing after a heat disease: Huanglian (Coptidis Rhizoma) 3 liang, remove hairs, add 2 sheng of water, decoct to obtain 8 he, and take in one dose. Avoid pork and cold water.
Another prescription for sores that are red-black and sized like scabies: Decoct Yangzhi (Sheep Fat) and rub/apply it.
Another prescription: Qingmuxiang (Aucklandiae Radix) 2 liang, add 3 sheng of water, decoct to obtain 1 sheng, take in one dose, effective.
Another prescription: Xiaodouxie (Minced Vigna angularis), mix with Jizi Bai (Album Ovi Galli) and apply.
Another prescription: Wipe the affected area with Yuebu (Moon Cloth).
Another prescription for treating Wandou Chuang at the initial stage of detection and impending eruption: Boil Dahuang (Rhei Radix et Rhizoma) 5 liang and take orally. (*Yan Nian Mi Lu* agrees).
Another prescription for sores accompanied by irritability and pain: Muxiang Tang Prescription.
Qingmuxiang (Aucklandiae Radix) 2 liang, Dingxiang (Caryophylli Flos) 1 liang, Xunluxiang (Boswelliae Resina) 1 liang, Bai Fan (Alumen) 1 liang, Shexiang (Moschus) 2 fen.
The above five herbs, add 4 sheng of water, decoct to obtain 1.5 sheng, divide into two doses. If heat is excessive, add 1 liang of Sheng Xijiao (Rhinocerotis Cornu); if unavailable, replace with Shengma (Cimicifugae Rhizoma). If the disease is mild, remove Alumen. This yields great efficacy.
Another prescription: Apply Mangxiao (Natrii Sulfas) mixed with Zhudannao (Suis Vesica Bile) to the sores. Do not disturb them. When the scab falls off, no scar remains. Sleeping on Huangtu Mo (Yellow Earth Powder) is beneficial. If this disease presents with difficult urination and blood in urine, and the sores turn black crusts without suppurating, it indicates organ failure and is incurable, leading to death.
Another prescription for severe internal eruptive sores:
Cu (Vinegar) 4 he, Da Zhu Dan (Gallus Domesticus Vesica Bile) 1 whole.
The above two ingredients, boil for three boils. Take 1 he per dose, five times daily. Highly effective. (All from Volume 10)
*Yan Nian Mi Lu* provides Daqing Tang Prescription for treating epidemic severe fever with headache and eruptions resembling peas covering the body.
Daqing (Indigotidis Folium) 3 liang, Zhizi (Gardeniae Fructus) 14 pieces (split), Xijiao (Rhinocerotis Cornu) 1 liang (crushed powder), Chi Dou (Fermented Soybean) 5 he.
The above four herbs, cut, add 5 sheng of water, decoct to obtain 2 sheng, divide into three doses. No dietary restrictions after taking.
*Gu Jin Lu Yan* provides Shuijie San Prescription for treating epidemic heat qi, which causes painful eruptions, releasing muscle layer tension and inducing sweating. (From Zhai Shiping)
Mahuang (Ephedrae Herba) 1 liang (remove joints), Huangqin (Scutellariae Radix) 3 fen, Shaoyao (Paeoniae Radix) 2 fen, Guixin (Cinnamomi Ramulus) 1 fen.
The above four herbs, pound and sieve, take orally with warm water, 2 fangcun bi (square-inch spoonfuls). Cover to induce sweating, take twice daily. Reduce dosage upon recovery. Avoid Haizao (Sargassum), Songcai (Brassica pekinensis), and raw Cong (Allium fistulosum). (*Yan Nian Mi Lu* agrees. From Volume 2. Another version includes Dahuang 3 fen, Gancao 2 fen).