集验论胸中痛少气,急入暗中,以手掩左眼,竟视右眼见光者,胸中结痈也,若不见光
,瘭疽内发,若吐脓血。此不疗之疾,宜以灰掩脓血上,不尔,着傍人也,又齿间臭热血出,
是
作
瘭
千金瘭疽论说曰∶瘭疽者,肉中忽生点子如豆粒,小者如黍粟,剧者如梅李,或赤黑青
白不
烂坏
上,
若犀
呼作
作黯
推出
成此
急同
刘涓子疗瘭疽侵淫广大,羊髓膏方。
羊髓(二两) 大黄 甘草(炙) 胡粉(各二两)
上四味 咀,以猪膏二升半,合煎微火,三上三下,绞去滓敷,日四五。(深师云兼疗
赤黑烂坏成疮出第五卷中)
千金疗瘭疽着手足肩背,累累如米起,色白,刮之汁出,愈复发方。
黄 (六分) 款冬花(二分) 升麻(四分) 附子(一分炮) 苦参(一分) 赤
小豆(一分
)
上六味下筛,酒服半钱匕,渐增至一钱,日三服。(范汪方无苦参有赤小豆)
又方
虎粪白者以马尿和之,曝令干,烧灰粉之。(翼同)
又方
胡粉 青木香 龙骨 滑石(各二两)
上四味下筛,以米粉一升和之,稍以粉之,日四五。
又方
灶室尘 灶突中墨 灶釜底土(各一升)
上三味合研令匀,以清水一斗,煮三沸,取汁,洗疮,日二三度。
又凡瘭疽手足肩背,忽累累如赤小豆,刺之汁出者是,疗之方。
剥却疮皮,温泔清洗,胡燕窠和百日男子屎涂之。
又方
熬芜菁子熟捣,绵裹敷之,勿止。(文仲备急附后同)
又方
熬麻子末摩上,日五六度。
又方
面和酒敷之。
又方
鲫鱼三寸长者,乱发如鸡子大,猪脂一斤煎,以成膏涂之。
又疗瘭疽秘方,世所不传,神良无比。
射干 甘草(炙) 升麻 枳实(炙各二两) 大黄(十分) 麝香(二分研) 干地
黄(二两) 犀角(六分屑) 前胡(三两本方云三分)
上九味切,以水九升,煮取三升,分三服,瘥止,不限剂数。(翼同深师加黄芩十分余
同)
又瘭疽漏芦汤方。
漏芦 白蔹 黄芩 麻黄(去节) 白薇 枳实(炙) 升麻 芍药 甘草(各二两炙)
大
黄(三两)
上十味切,以水一斗,煮取三升,分三服,无药,单用大黄下之良。(张文仲备急并翼
并同)
又升麻膏方。
升麻 白薇 漏芦 连翘 芒硝(各二两) 黄芩 蛇衔 枳实(各二两炙) 栀子仁
(二
十枚) 蒴 (四两)
上十味切,捣破令细,后以水三升渍半日,以猪膏五升煎,水气竭,去滓,敷诸丹毒皆
用,及热疮肿上,并日三易之。
升麻 汤方。
升麻 漏芦 芒硝(各二两) 栀子(二十枚) 黄芩(三两)
上五味切,以水一斗,合蒴 五两,煮取七升。冷 诸丹肿上,常令湿,内宜服漏芦汤
,甚佳。
又疮瘭疽侵淫多汁,日就浸大。胡粉散方。
胡粉(二分熬) 黄连(三分) 甘草(三分炙) 茹(二分)
上四味下筛,以粉疮上,日三。(翼文仲备急深师同并出第二十三卷中)
千金翼薄 汤,主瘭疽侵淫,欲作未成,或如桃李核,或如鸡子赤 方。
甘草(炙) 黄芩 大黄 黄连 当归 芒硝(各两)
上六味切,以水一斗,煮取三升,绞去滓,铛中下芒硝一沸,搅之。贴布帛中,以 肿
上,数百遍。(刘涓子深师同出第二十三卷中)
《集验方》论述:若胸中疼痛且气息短少,急忙进入暗处,用手遮住左眼,只用右眼看,若能看见光亮,这是胸中有结痈;如果看不见光亮,则是瘭疽从内部发作,可能会吐出脓血。这种病如果不治疗,应当用灰烬覆盖在流出的脓血上,否则脓血会沾染到旁人身上。另外,如果牙齿间有臭血流出,这也是瘭疽发作的表现。
《千金方·瘭疽论》说:瘭疽是肌肉中突然生出像豆粒大小的点状物,小的如黍米粟粒,严重的如梅子李子大小,颜色或赤、或黑、或青、或白,不溃烂坏死的,称为“犀”(音同“呼作黯”,意为黑色坏死);如果推之能移动成形的,称为“急”(此处原文可能有误或为特定术语,依文意理解为某种形态)。
刘涓子治疗瘭疽蔓延扩大的羊髓膏方。
羊髓(二两) 大黄 甘草(炙) 胡粉(各二两)
以上四味药切碎,用猪脂二升半,配合微火煎煮,采用“三上三下”的方法(即加热后离火,反复三次),绞去药渣,外敷患处,每天四五次。(《深师方》说此方兼治赤黑溃烂成疮的情况,详见第五卷)
《千金方》治疗瘭疽生于手足肩背,颗粒累累如米粒突起,颜色发白,刮之有汁液流出,但容易复发方。
黄(六分) 款冬花(二分) 升麻(四分) 附子(一分,炮制) 苦参(一分) 赤小豆(一分)
以上六味药研成细末过筛,用酒送服半钱匕,逐渐增加至一钱,每天服用三次。(范汪方中没有苦参,但有赤小豆)
又一方
白色的虎粪用马尿调和,晒干后烧成灰,撒在患处。(《千金翼方》相同)
又一方
胡粉 青木香 龙骨 滑石(各二两)
以上四味药研成细末过筛,用米粉一升调和,稍微涂抹在患处,每天四五次。
又一方
灶室尘 烟囱中的烟墨 锅底土(各一升)
以上三味药混合研磨均匀,用清水一斗,煮沸三次,取汁液清洗疮口,每天二三次。
凡是瘭疽生于手足肩背,突然颗粒累累如赤小豆,刺破后有汁液流出的,属于此类,治疗方如下。
剥去疮皮,用温淘米水清洗,用燕子窝和百日大男婴的粪便涂抹患处。
又一方
将芜菁子炒熟捣碎,用棉布包裹敷在患处,不要停止。(《文仲备急方》附在后面,与此相同)
又一方
用面粉和酒调敷患处。
又一方
长三寸的鲫鱼三条,鸡蛋大小的乱发一团,一斤猪脂一起煎炼,制成膏药涂抹患处。
又治疗瘭疽的秘方,世间不流传,神效良无比。
射干 甘草(炙) 升麻 枳实(炙,各二两) 大黄(十分) 麝香(二分,研细) 干地黄(二两) 犀角(六分,锉屑) 前胡(三两,本方注云三分)
以上九味药切碎,用水九升,煮取三升,分三次服用,病愈即止,不限定剂数。(《千金翼方》与《深师方》相同,《深师方》加黄芩十分,其余相同)
又瘭疽漏芦汤方。
漏芦 白蔹 黄芩 麻黄(去节) 白薇 枳实(炙) 升麻 芍药 甘草(各二两,炙) 大黄(三两)
以上十味药切碎,用水一斗,煮取三升,分三次服用。若无其他药物,单用大黄泻下也良好。(张文仲《备急方》及《千金翼方》均相同)
又升麻膏方。
升麻 白薇 漏芦 连翘 芒硝(各二两) 黄芩 蛇衔 枳实(各二两,炙) 栀子仁(二十枚) 蒴藋(四两)
以上十味药切碎,捣碎令其细碎,然后用水三升浸泡半天,再用猪脂五升煎煮,待水气蒸发尽,去掉药渣,用于敷贴各种丹毒以及热疮肿处,每天更换三次。
升麻汤方。
升麻 漏芦 芒硝(各二两) 栀子(二十枚) 黄芩(三两)
以上五味药切碎,与水一斗,加入蒴藋五两,煮取七升。冷却后湿敷于各种丹毒肿胀处,常保持湿润。内服宜用漏芦汤,效果很好。
又疮瘭疽蔓延多汁,日渐扩大。胡粉散方。
胡粉(二分,熬制) 黄连(三分) 甘草(三分,炙) 茹(二分,注:疑为“如”或某药材名,原文如此)
以上四味药研成细末过筛,撒在疮面上,每天三次。(《千金翼方》、《文仲备急方》、《深师方》相同,均出自第二十三卷)
《千金翼方》薄桂汤,主治瘭疽蔓延,欲发未成,或如桃李核,或如鸡蛋赤色肿块方。
甘草(炙) 黄芩 大黄 黄连 当归 芒硝(各一两)
以上六味药切碎,用水一斗,煮取三升,绞去药渣,在锅中放入芒硝再煮一沸,搅拌。贴在布帛中,敷于肿胀处,反复数百遍。(刘涓子、《深师方》相同,均出自第二十三卷)
Ji Yan Fang (Collected Verified Prescriptions) discusses: If there is pain in the chest accompanied by shortness of breath, one should quickly enter a dark place, cover the left eye with the hand, and look only with the right eye. If light can be seen, it indicates a carbuncle (Jie Yong) forming in the chest; if light cannot be seen, it indicates that Biao Ju (a type of severe carbuncle or gangrene) is erupting from within, which may lead to vomiting of pus and blood. This is a disease that, if untreated, requires covering the exuding pus and blood with ash; otherwise, the discharge will contaminate others. Additionally, if foul-smelling bloody fluid flows from between the teeth, this is also a sign of Biao Ju onset.
Qian Jin Fang (Essential Prescriptions for Worth a Thousand Gold) on Biao Ju states: Biao Ju manifests as sudden nodules in the flesh, resembling bean grains. Small ones are like millet seeds, while severe cases are as large as plums or peaches. The color may be red, black, green, or white. If they do not ulcerate or necrose, they are referred to as "Xi" (dark/black); if they are movable and form distinct shapes, they are referred to as "Ji".
Liu Juanzi's Sheep Marrow Ointment for treating spreading Biao Ju.
Sheep Marrow (2 liang), Rhubarb (Da Huang), Licorice Root (Gan Cao, honey-fried), Lead Carbonate (Hu Fen) (each 2 liang).
The above four ingredients are coarsely crushed. Combine with 2.5 sheng of lard and simmer over a low fire using the "three ups and three downs" method (heating, removing from heat, repeating three times). Strain out the dregs and apply externally, 4-5 times daily. (Shen Shi Fang notes this formula also treats red-black ulcerated sores; see Volume 5).
Qian Jin Fang formula for Biao Ju occurring on hands, feet, shoulders, and back, presenting as clustered grain-like protrusions, white in color, exuding fluid when scraped, but prone to recurrence.
Cistanche (Huang Cong, likely typo for Huang Jing or similar, context implies root herb) (6 fen), Winter Flower (Kuan Dong Hua), Cimicifuga (Sheng Ma), Aconite Root (Fu Zi, processed) (1 fen), Sophora Root (Ku Shen), Adzuki Bean (Chi Xiao Dou) (each 1 fen).
The above six ingredients are powdered and sieved. Take half a qian bi with wine, gradually increasing to one qian bi, taken three times daily. (Fan Wang's formula lacks Ku Shen but includes Chi Xiao Dou).
Another prescription:
White Tiger Excrement mixed with Horse Urine, dried and burned to ash, applied as powder to the lesion. (Same as Qian Jin Yi Fang).
Another prescription:
Lead Carbonate (Hu Fen), Aquilaria Wood (Qing Mu Xiang), Dragon Bone (Long Gu), Talcum (Hua Shi) (each 2 liang).
The above four ingredients are powdered and sieved. Mix with 1 sheng of rice flour and apply lightly to the lesion, 4-5 times daily.
Another prescription:
Dust from the stove room, Soot from the chimney, Soil from the bottom of the cooking pot (each 1 sheng).
The above three ingredients are ground together until uniform. Boil in 10 dou of clear water for three boils. Use the decoction to wash the sore, 2-3 times daily.
Generally, Biao Ju appearing on hands, feet, shoulders, and back presents suddenly as clustered nodules resembling adzuki beans. Puncturing them yields fluid. Treatment follows.
Peel off the skin of the sore, clean with warm rice-washing water, and apply a mixture of swallow nests and feces from a hundred-day-old male infant.
Another prescription:
Roast turnip seeds until cooked, crush thoroughly, wrap in cotton cloth, and apply. Do not stop treatment. (Wen Zhong Bei Ji Fu Hou is identical).
Another prescription:
Roast hemp seeds, grind into powder, and rub onto the area, 5-6 times daily.
Another prescription:
Apply a paste made of wheat flour and wine.
Another prescription:
Three crucian carp (approx. 3 cun long), a clump of tangled hair the size of an egg, and 1 jin of lard. Fry together to make an ointment and apply.
Another secret recipe for treating Biao Ju, not transmitted in the world, possessing divine efficacy.
Belamcanda Rhizome (She Gan), Licorice Root (Gan Cao, honey-fried), Cimicifuga (Sheng Ma), Immature Bitter Orange (Zhi Shi, honey-fried) (each 2 liang), Rhubarb (Da Huang) (10 fen), Musk (She Xiang, 2 fen, finely ground), Dried Rehmannia Root (Sheng Di Huang) (2 liang), Rhinoceros Horn (Xi Jiao, 6 fen, shaved), Peucedanum Root (Qian Hu) (3 liang; original text notes 3 fen).
The above nine ingredients are cut. Decoct in 9 sheng of water to obtain 3 sheng. Divide into three doses. Stop when cured; no fixed limit on dosage. (Identical to Qian Jin Yi Fang and Shen Shi Fang; Shen Shi Fang adds Scutellaria Root (Huang Qin) 10 fen, rest same).
Another formula: Biao Ju Lou Lu Tang.
Euphorbia Lousewort Root (Lou Lu), Ampelopsis Radix (Bai Lian), Scutellaria Root (Huang Qin), Ephedra Stem (Ma Huang, nodes removed), Cynanchum Atratum Root (Bai Wei), Immature Bitter Orange (Zhi Shi, honey-fried), Cimicifuga (Sheng Ma), Peony Root (Shao Yao), Licorice Root (Gan Cao, honey-fried) (each 2 liang), Rhubarb (Da Huang) (3 liang).
The above ten ingredients are cut. Decoct in 10 dou of water to obtain 3 sheng. Divide into three doses. If other herbs are unavailable, using Rhubarb alone to purge is effective. (Zhang Wen Zhong Bei Ji and Qian Jin Yi Fang are identical).
Another formula: Sheng Ma Gao (Cimicifuga Ointment).
Cimicifuga (Sheng Ma), Cynanchum Atratum Root (Bai Wei), Euphorbia Lousewort Root (Lou Lu), Forsythia Fruit (Lian Qiao), Mirabilite (Mang Xiao) (each 2 liang), Scutellaria Root (Huang Qin), Snake Herb (She Xian), Immature Bitter Orange (Zhi Shi, honey-fried) (each 2 liang), Gardenia Seed (Zhi Zi Ren) (20 seeds), Polygonum Multiflorum Vine (Suo Yang, likely typo for Suo Luo/Dioscorea or similar vine, text says Suo Luo) (4 liang).
The above ten ingredients are cut and pounded fine. Soak in 3 sheng of water for half a day. Then fry in 5 sheng of lard until the water evaporates. Strain out dregs. Apply to various Dan Du (erysipelas/toxic swelling) and hot sores/swellings. Change application three times daily.
Sheng Ma Tang (Cimicifuga Decoction).
Cimicifuga (Sheng Ma), Euphorbia Lousewort Root (Lou Lu), Mirabilite (Mang Xiao) (each 2 liang), Gardenia (Zhi Zi) (20 seeds), Scutellaria Root (Huang Qin) (3 liang).
The above five ingredients are cut. Combine with 10 dou of water and 5 liang of Suo Luo. Decoct to obtain 7 sheng. Cool and apply wet compresses to areas of Dan Du swelling, keeping it constantly moist. Internally, taking Lou Lu Tang is highly recommended.
Another formula for Biao Ju spreading with excessive fluid, enlarging daily: Hu Fen San (Lead Carbonate Powder).
Lead Carbonate (Hu Fen, 2 fen, roasted), Coptis Rhizome (Huang Lian) (3 fen), Licorice Root (Gan Cao, honey-fried) (3 fen), Ru (likely referring to a resin or specific herb, text says Ru) (2 fen).
The above four ingredients are powdered and sieved. Dust onto the sore, 3 times daily. (Identical to Qian Jin Yi Fang, Wen Zhong Bei Ji, Shen Shi Fang; all from Volume 23).
Qian Jin Yi Fang Bo Gui Tang, primarily for Biao Ju spreading, about to erupt but not yet formed, presenting as nodules like plums/peaches or red swellings like eggs.
Licorice Root (Gan Cao, honey-fried), Scutellaria Root (Huang Qin), Rhubarb (Da Huang), Coptis Rhizome (Huang Lian), Angelica Sinensis (Dang Gui), Mirabilite (Mang Xiao) (each 1 liang).
The above six ingredients are cut. Decoct in 10 dou of water to obtain 3 sheng. Strain out dregs. Add Mang Xiao to the vessel and boil once. Stir. Apply soaked in cloth/silk to the swollen area, repeating hundreds of times. (Identical to Liu Juan Zi and Shen Shi Fang; from Volume 23).