病源 疮积久不瘥者,由肤腠虚,则风湿之气停滞,虫在肌肉之间则生长,常痒痛,故
经久不瘥。(出第三十五卷中)
广济疗 疮久不瘥方。
豆豉熬令极干为末,先以泔清洗疮拭干以生麻油和之,敷上,瘥以油单片裹之,三日开
,未瘥,更涂,瘥止。
又疗诸 疮经年,依手拂疽,痒引日生不瘥,疮久则有疽虫,藜芦膏方。
藜芦(六分) 黄连(八分) 矾石(熬汁尽) 松脂 雄黄(研各八分) 苦参(六
分)
上六味捣,以浓绢筛之,用猪脂二升煎之,候膏成去滓,入雄黄矾石末,搅令和调,待
凝以敷之,诸疮经年,或搔之汁出不生痂,百药疗不瘥,悉主之, 疥痒头疮亦效,热疮者
,起疮便生白脓是也,黄烂疮者,起疮浅,但出黄汁若肥疮是也,侵淫疮者,浅疮黄汁出,
兼搔之漫延长不止是也, 疮者,喜着手足相对,痛痒折裂,春夏随瘥。(集验同)
又方
锉羊桃枝叶
上一味水煮以洗之,三四度。
刘涓子疗久 疥癣诸恶疮毒,五黄膏方。
雄黄(二两研) 乱发(如鸡子大烧) 黄连(一两) 黄柏(二两) 黄芩(二两) 青
木香(
二两) 鸡舌香(一两) 白芷(二两) 野狼跋子(四十枚) 雌黄(二两研)
上十味 咀,以苦酒半升渍诸药一宿,以腊月猪膏三升煎,取发,三四沸,纳诸药,又
三沸止,绞去滓,膏成敷疮,日五过。(出第五卷中)
崔氏疗疮积年不瘥,疮汁浸四畔,好肉复变成疮,疮色赤黑,痒不可耐,搔之并汁出者
方。
黄连 黄柏 豉心(各三分捣为末一方加蔓菁子亦有加杏仁者与黄连等分捣筛之) 胡
粉
水银 油脂(以上三物和之如泥)
上六物若虑水银不散,可纳掌中细细和唾研之,自当散讫,然后搅胡粉等以涂疮上,仍
取黄连末粉之,此疮多有黄汁,着药候汁彻即易之,以瘥为度。(出第五卷中)
【病因】疮疡经久不愈的,是由于皮肤腠理虚弱,导致风湿之气停滞,虫在肌肉之间滋生生长,经常感到又痒又痛,所以长时间不能痊愈。(出自第三十五卷中)
《广济方》治疗疮疡经久不愈的方子。
将豆豉熬至极干后研成粉末,先用淘米水清洗疮口并擦干,用生麻油调和药末,敷在患处,用油单片包裹起来,三天后打开,如果未愈,再次涂抹,痊愈即止。
又方治疗各种疮疡经年不愈,像手背上的疽病一样,瘙痒日益加重且不能痊愈,久疮会有“疽虫”,藜芦膏方。
藜芦(六分) 黄连(八分) 矾石(熬至汁液尽) 松脂 雄黄(研细,各八分) 苦参(六分)
以上六味药捣碎,用细密的绢筛过滤,用猪脂二升煎煮,待膏成后滤去药渣,加入雄黄和矾石的粉末,搅拌调和,待凝固后敷用。此方主治各种经年不愈的疮疡,或者搔抓后流汁不出痂,百药治疗无效的,都有效;治疥疮、头疮也有效。热疮,是指起疮时便生出白脓;黄烂疮,是指起疮较浅,只流出黄色汁液,类似肥疮;浸淫疮,是指浅表疮疡流出黄汁,兼有搔抓后蔓延延长不止的情况;疳疮,喜欢发生在手足相对的部位,疼痛瘙痒伴有裂口,春夏季节随病情缓解而减轻。(与《集验方》相同)
又一方
锉碎羊桃的枝叶。
以上一味药用水煎煮,用来洗涤患处,洗三到四次。
刘涓子治疗久患疥癣等各种恶疮毒气的五黄膏方。
雄黄(二两,研细) 乱发(如鸡蛋大小,烧焦) 黄连(一两) 黄柏(二两) 黄芩(二两) 青木香(二两) 鸡舌香(一两) 白芷(二两) 野狼跋子(四十枚) 雌黄(二两,研细)
以上十味药切碎,用半升醋浸泡诸药一夜,用腊月猪脂三升煎煮,先取出头发,煮沸三四次,放入其他药物,再煮沸三次后停止,绞去药渣,膏成后敷于疮上,每天五次。(出自第五卷中)
崔氏治疗疮疡积年不愈,疮汁浸渍四周,好肉重新变成疮,疮色赤黑,瘙痒难忍,搔抓后流汁的方子。
黄连 黄柏 豉心(各三分,捣为粉末,另一版本加蔓菁子,也有加杏仁与黄连等分捣筛的) 胡粉 水银 油脂(以上三样物混合如泥状)
以上六味药,如果担心水银不散,可以放在手掌中细细混合唾液研磨,水银自然就会散开,然后搅拌胡粉等药物涂在疮上,最后仍取黄连粉末撒在上面。这种疮多有黄汁,用药候汁液渗透后即更换药物,以痊愈为标准。(出自第五卷中)
[Pathogenesis] Sores that fail to heal for a long time are caused by the deficiency of skin and interstices (pores), leading to the stagnation of wind-dampness, and the growth of parasites between muscles. This results in frequent itching and pain, thus preventing healing over a long period. (From Volume 35)
*Guangji Fang* prescription for treating sores that fail to heal for a long time.
Roast fermented soybean (Douchi) until extremely dry, then grind into powder. First, wash the sore with rice water and dry it. Mix the powder with raw sesame oil, apply to the affected area, and wrap with an oil-treated cloth sheet. Open after three days; if not healed, reapply. Stop when healed.
Another prescription for various sores persisting for years, resembling carbuncles on the hand, with increasing itching and failure to heal. Long-standing sores may harbor "carbuncle worms." *Lilu Gao* (Veratrum Ointment).
*Lilu* (Veratri Radix, 6 fen) *Huanglian* (Coptidis Rhizoma, 8 fen) *Fanshi* (Alumen, boiled until liquid is exhausted) *Songzhi* (Pini Resin) *Xionghuang* (Realgar, ground, each 8 fen) *Kushen* (Sophorae Flavescentis Radix, 6 fen)
Grind the above six herbs, sieve through fine silk. Decoct with 2 sheng of lard. When the ointment is ready, remove dregs. Add powdered Realgar and Alumen, mix well. Apply when solidified. This treats various sores persisting for years, or those weeping fluid without forming scabs despite extensive treatment. It is also effective for scabies and head sores.
- Heat sores: characterized by white pus appearing upon onset.
- Yellow rotting sores: shallow lesions exuding yellow fluid, similar to favus.
- Spreading sores: shallow lesions with yellow fluid, spreading indefinitely upon scratching.
- Gan sores: preferentially occurring on opposing surfaces of hands and feet, painful and itchy with fissures, improving in spring and summer. (Consistent with *Jiyan Fang*)
Another prescription
Chop branches and leaves of *Yangtao* (Actinidia arguta).
Decoct this single herb in water and wash the affected area 3–4 times.
Liu Juanzi's *Wuhuang Gao* (Five Yellows Ointment) for chronic scabies, tinea, and various malignant sores/toxins.
*Xionghuang* (Realgar, 2 liang, ground) Disordered hair (size of a chicken egg, burnt) *Huanglian* (Coptidis Rhizoma, 1 liang) *Huangbai* (Phellodendri Cortex, 2 liang) *Huangqin* (Scutellariae Radix, 2 liang) *Qingmuxiang* (Aucklandiae Radix, 2 liang) *Jishe Xiang* (Styrax, 1 liang) *Baizhi* (Angelicae Dahuricae Radix, 2 liang) *Yelangbazǐ* (Semen Cichorii, 40 pieces) *Ci Huang* (Orpiment, 2 liang, ground)
Chop the above ten herbs. Soak in half a sheng of vinegar overnight. Decoct with 3 sheng of lard from the twelfth lunar month. Remove the hair after boiling 3–4 times. Add other herbs, boil for another 3 times, then stop. Strain out dregs. Apply ointment to sores five times daily. (From Volume 5)
Cui Shi's prescription for sores persisting for years, where exudate infiltrates surrounding healthy tissue, turning it into new sores. The sores are red-black, intensely itchy, and weep upon scratching.
*Huanglian* (Coptidis Rhizoma) *Huangbai* (Phellodendri Cortex) *Shixin* (Fermented Soybean Heart, each 3 fen, ground to powder; alternative versions add Radish seed or Almond equal to Coptidis) *Hufen* (Lead Carbonate) *Shuiyin* (Mercurius) Youzhi (Animal Fat/Oil)
Mix the last three ingredients into a paste-like consistency. If concerned about Mercurius not dispersing, grind it finely with saliva in the palm until dispersed. Then mix with Hufen and apply to the sore. Finally, dust with Huanglian powder. These sores often have yellow exudate; change dressing once the fluid penetrates. Continue until healed. (From Volume 5)