刘涓子 肿病方。
斑蝥（四十枚去足翅熬） 桂心（四分） 芫青（十枚去足翅熬） 葛上亭长（三十枚
熬）
上四味捣下筛，酒服半钱匕，日一，忌生葱。
又疗 方。
斑蝥（四十枚去足翅熬） 地胆（三十枚去首足翅熬） 蜥蜴（三枚炙）
上三味捣之千杵，蜜和如大豆，服二丸。
又疗 众方不瘥效验方。
牡蒙（数两）
上一味捣之，汤和适寒温，取一升许，敷疮上，冷易，经宿佳。
又疗 生肉膏方。
桑薪灰三升，水四升淋之，复重淋之，取三升锻石熬令黄，纳灰汁中，以两重帛裹绞去
滓，
更鱼目煎取二升，勿用急火煎，随 孔深浅，初时作服散而瘥，孔若深四寸，新药与孔里薤
白使濡，安药薤白，入药孔里。若深四寸，随 根而灸两处，每处与四十壮，唯勿灸 孔，
随深浅去脓，散与膏安着疮孔里十五过，少迁延日月，取瘥，肉满脓亦断，神良无比。（出
第六卷中）
肘后论此本在诸方疮条中，病类既多，今状出为别一篇。凡 病有鼠蛇蜂蛙蚓类似而小
异，皆从饮食中得其精气，入人肌体，变化成形，疮既穿溃，浸诸经脉，则亦杀人，而鼠蚁
最多，以其间近人故也。
通治诸 方。
以八月中多取斑蝥虫，即纳苦酒中半日许，出曝干，使十取六七枚，着铜器中，微火上
遥熬令熟，捣作屑，巴豆一粒去皮熬之，又拔取黄犬背上毛二七枚，亦熬作屑，好朱以钱五
分匕
都合和，以苦酒顿服之，虫当尽出。若一服未效，先时可预作三两剂，后日服，远不过三两
剂。（通按朱一作末）
又方
虎蓟根 杜蘅 枳根 酸枣根（各一把） 斑蝥（一枚一方云三分去头足翅熬） 猫蓟
根（
各一把）
上六味捣蜜丸，日一服，如枣一枚，以小丸着疮中。
又方
若先着下部边，或上出耳后颈项诸处者，苦参切五升，以苦酒一斗，渍三四日，宜服一
升，亦加之，但多作以知为度，不过三四度，必瘥。
又疗 方。
槲木皮长一尺，阔六寸，去黑皮细切，以水一斗，煮取五升，去滓，纳白糖十挺，煎取
一升，分三服，以铜器接吐出看视之。
又方
新生儿屎一百日以来，皆收置蜜器中，五十六十日，取涂疮孔中。
又方
鲤鱼肠切作五段，火上脱之，洗疮拭干，以肠封之，冷即易，自暮至旦，干止觉痒，开
看虫出瘥。
崔氏疗 方。
槲白皮（切取五升）
上一味，以水八升，煮令泣泣，绞去滓，重煎，令成膏，日服半枣，渐加至一枣许，亦
着疮上，无忌。患疮唯宜煮饭，苜蓿盐酱，又不得多食之。（出第五卷中）
备急疗 生肉膏方。
楝白皮（二两） 鼠肉（二两） 薤白（三两） 当归（四两） 生地黄（五两）
上五味，以腊月猪膏三升，煎薤白黄色，膏成，敷疮孔上，令生肉。（肘后文仲同）
又葛氏云苦着口裹方。
刘涓子的治疗肿病（体表化脓性感染）的方剂。
斑蝥（四十枚，去除足和翅膀，炒制） 桂心（四分） 芫青（十枚，去除足和翅膀，炒制） 葛上亭长（三十枚，炒制）
以上四味药捣碎过筛，用酒送服半钱匕的量，每日一次，忌食生葱。
又治疗肿病的方剂。
斑蝥（四十枚，去除足和翅膀，炒制） 地胆（三十枚，去除头、足和翅膀，炒制） 蜥蜴（三枚，炙烤）
以上三味药捣一千杵，用蜂蜜调和如大豆大小，每次服用两丸。
又治疗众方无效时的有效方剂。
牡蒙（数两）
以上一味药捣碎，用汤药调和至适宜温度，取约一升，敷在疮口上，变冷即更换，过夜效果更佳。
又治疗肿病生肌膏方。
桑木灰三升，用水四升淋滤，再次淋滤，取得三升锻石液，将锻石熬至黄色，放入灰汁中，用两层帛包裹绞去渣滓，
再用鱼目煎煮取二升，不要用急火煎煮，根据疮孔深浅，起初做成散剂服用即可痊愈，若疮孔深达四寸，用新药与疮孔内的薤白使其湿润，安放药和薤白于疮孔内。如果深达四寸，随根在两侧各灸四十壮，唯独不要直接灸疮孔，
根据深浅排脓，将散剂和膏药交替放入疮孔十五次，稍作拖延时日，直到痊愈，肌肉长满，脓液断绝，神效无比。（出自第六卷中）
《肘后备急方》论述此病原本在各方的疮疡条文中，因病类繁多，现在将其单独列为一篇。凡是肿病有鼠、蛇、蜂、蛙、蚯蚓等类似而略有不同的情况，都是从饮食中获得精气，进入人体肌体，变化成形，疮疡既已穿溃，浸淫诸经脉，也会致人死亡，其中鼠蚁最多，因为它们离人近的缘故。
通治各种肿病的方剂。
在八月多取斑蝥虫，立即放入醋中浸泡半天左右，取出晒干，取六七枚，放入铜器中，在微火上远火慢炒至熟，捣成屑，巴豆一粒去皮炒制，再拔取黄犬背上毛十四根，也炒成屑，好朱砂末五分匕，
全部混合，用醋一次性顿服，虫子应当全部排出。如果一次服药未见效，先前可预先制作三两剂，日后服用，最多不超过三两剂。（通按：朱一作末）
又一方
虎蓟根 杜蘅 枳根 酸枣根（各一把） 斑蝥（一枚，另一说三分，去除头足翅并炒制） 猫蓟根（
各一把）
以上六味药捣碎，用蜂蜜制成丸剂，每日服用一次，如枣核大小，将小丸放入疮口中。
又一方
如果先发生在下部边缘，或向上蔓延至耳后颈项各处者，苦参切五升，用醋一斗，浸泡三四天，宜服用一升，也可外敷，只要多做以见效为度，不超过三四次，必定痊愈。
又治疗肿病的方剂。
槲树白皮长一尺，宽六寸，去除黑皮细切，用水一斗，煮取五升，去渣，加入白糖十挺，煎取一升，分三次服用，用铜器接住吐出的东西查看。
又一方
新生儿出生一百天内的屎，都收集放在蜜器中，经过五六十天，取出涂抹在疮孔中。
又一方
鲤鱼肠切成五段，在火上烤干，清洗疮口擦干，用鱼肠封贴，变冷即更换，从傍晚到早晨，干燥时只觉痒，打开看虫子出来则痊愈。
崔氏治疗肿病的方剂。
槲树白皮（切取五升）
以上一味药，用水八升，煮至沸腾冒泡，绞去渣滓，再次煎煮，使之成为膏状，每日服用半个枣大小的量，逐渐增加到一个枣核大小，也可敷在疮上，无禁忌。患疮者只宜吃煮饭，苜蓿盐酱，又不得多吃。（出自第五卷中）
备急疗法治疗肿病生肌膏方。
楝树白皮（二两） 鼠肉（二两） 薤白（三两） 当归（四两） 生地黄（五两）
以上五味药，用腊月猪脂三升，煎薤白至黄色，膏成，敷在疮孔上，令其生肌。（《肘后方》文仲版本相同）
Liu Juanzi's prescription for treating swelling diseases (superficial purulent infections).
Mylabris (forty pieces, remove feet and wings, stir-fry) Guixin (Cinnamon Twig Heart, four fen) Mylabris phalerata (ten pieces, remove feet and wings, stir-fry) Ge Shang Ting Chang (thirty pieces, stir-fry)
The above four herbs are crushed and sifted. Take half a qianbi dose with wine, once daily. Avoid raw green onions.
Another prescription for treating swelling diseases.
Mylabris (forty pieces, remove feet and wings, stir-fry) Di Dan (Eleodes orientalis or similar beetle, thirty pieces, remove head, feet, and wings, stir-fry) Lizard (three pieces, roast)
The above three herbs are pounded for a thousand strokes, mixed with honey into pills the size of soybeans. Take two pills per dose.
Another effective prescription when other formulas fail.
Mu Meng (Dioscorea polystachya, several liang)
The above single herb is crushed, mixed with decoction to a suitable temperature, take about one sheng, apply to the sore. Change when cold; leaving it overnight is better.
Another prescription for generating flesh in swelling diseases.
Three sheng of mulch ash, leached with four sheng of water, leached again to obtain three sheng of liquid. Stir-fry Duan Shi (Calcined Alumen) until yellow, add to the ash liquid. Wrap in two layers of silk, squeeze to remove dregs. Further boil with fish eyes to obtain two sheng. Do not use high heat. According to the depth of the sore hole, initially administer as a powder to cure. If the hole is four cun deep, mix the new medicine with the white part of wild garlic (Xie Bai) inside the hole to moisten it, and place the medicine and Xie Bai into the hole. If four cun deep, moxa forty zhuang at two points along the root, but do not moxa directly on the hole. Drain pus according to depth. Apply powder and ointment alternately into the sore hole fifteen times. Delay slightly over days until cured, flesh fills up, pus stops. Extremely miraculous. (From Volume Six)
The *Zhou Hou Bei Ji Fang* discusses this disease originally in the sores section of various formulas. Since disease types are numerous, it is now presented as a separate chapter. Generally, swelling diseases resemble those caused by mice, snakes, bees, frogs, and earthworms, with slight differences. These arise from essence obtained through diet, entering the body's tissues, changing form. Once the sore perforates and invades the meridians, it can be fatal. Mice and ants are most common because they are close to humans.
General prescriptions for all swelling diseases.
In the eighth month, collect many Mylabris insects, put them in vinegar for half a day, take out and dry. Use six or seven out of ten. Place in a copper vessel, slowly cook over low fire until ripe, crush into powder. One Ba Dou (Croton seed), peeled and stir-fried. Also pluck fourteen hairs from the back of a yellow dog, also stir-fry into powder. Five fen bi of good Cinnabar (Zhu Sha),
Mix all together, take in one dose with vinegar. The parasites should be completely expelled. If one dose is ineffective, prepare three liang doses in advance, take on subsequent days. Do not exceed three liang doses. (Note: Zhu may refer to powder)
Another formula
Hu Ji Gen (Acanthospermum hispidum root) Du Heng (Peucedanum praeruptorum) Zhi Gen (Hovenia dulcis root) Suan Zao Gen (Ziziphus jujuba root) (each one ba) Ban Mao (one piece, another version says three fen, remove head, feet, wings, stir-fry) Mao Ji Gen (Acanthospermum hispidum root? Or similar thistle root) (each one ba)
Crush the above six herbs, mix with honey to make pills. Take one dose daily, size of a date. Place small pills into the sore.
Another formula
If it first appears on the lower body edges, or spreads upwards to behind the ears and neck, cut Ku Shen (Sophora flavescens root) five sheng, soak in one dou of vinegar for three to four days. Take one sheng orally. It can also be applied externally. Make enough until efficacy is seen. Not more than three or four times, must cure.
Another prescription for treating swelling diseases.
Hu Mu Pi (Quercus variabilis bark), one chi long, six cun wide. Remove black skin, cut finely. Boil in one dou of water to obtain five sheng. Remove dregs. Add ten ting of white sugar. Boil to obtain one sheng. Divide into three doses. Catch vomit in a copper vessel to inspect.
Another formula
Collect feces of newborn infants within one hundred days, store in a honey container for fifty-six to sixty days. Take out and apply to the sore hole.
Another formula
Cut carp intestines into five segments, roast over fire. Wash the sore and dry. Seal with the intestine. Change when cold. From evening to morning, if dry, only feel itching. Open to see parasites expelled, then cured.
Cui Shi's prescription for treating swelling diseases.
Hu Bai Pi (Quercus variabilis inner bark, cut to five sheng)
The above single herb, boil in eight sheng of water until bubbling. Strain dregs. Re-boil to form an ointment. Take half a date-sized amount daily, gradually increase to one date-sized amount. Can also be applied to the sore. No dietary restrictions. Patients with sores should only eat boiled rice, alfalfa salt sauce, and avoid eating too much. (From Volume Five)
Emergency treatment for generating flesh in swelling diseases.
Lian Bai Pi (Melia azedarach bark, two liang) Shu Rou (Rat meat, two liang) Xie Bai (Allium macrostemon white bulb, three liang) Dang Gui (Angelica sinensis, four liang) Sheng Di Huang (Rehmannia glutinosa root, five liang)
The above five herbs, boil in three sheng of lard rendered in the twelfth lunar month. Fry Xie Bai until yellow. When the ointment is ready, apply to the sore hole to promote flesh growth. (Same as Wen Zhong's version in *Zhou Hou Bei Ji Fang*)
Also, Ge Shi says for bitter mouth wrapping prescription.