(牙根腐烂者是)
凡大人热病之后。及小儿痘症后。火毒流于胃经。致有此患。势
透鼻。一二日即能致命。故有走马之名。言其骤也。此症有五不治。
腐如筋者不治。白色肉浮者为胃烂不治。牙落穿腮鼻臭不堪闻者不治
如是凶险。命在须臾。急用生大黄(三钱) 丁香(十粒) 绿豆(二
心。最为神效。仍照后金鞭散治之。庶几十可救五。又名金鞭散。绿矾(五两
白(三两 ) 明雄(二两) 真麝香 顶上梅花冰片(各一钱)先将银针挑刮去腐
将药研末敷之。吐出毒血恶涎。方能愈也。又名赤霜散。专治走马牙疳。用
红砒(一粒如黄豆大)扎好放瓦上。炭火炙至枣枯烟尽为度。取出用碗盖
冰片(一分)研末。将患处洗净吹入。效甚。久烂之孔。生肌亦速。又
许)搽。又陈年南枣核烧灰研末掺之。又屋上猫屎。经过霜雪雨
炙灰研细。放在地俟冷。加冰片(少许)研和吹之。虽延及喉间者
又生附子(一钱) 生半夏(二钱) 加葱白共捣烂扎脚底。男
名人中白散。治男妇大小走马牙疳。(并治咽喉疼痛腐烂
效) 人中白 儿茶 真青黛 真硼砂(各一钱) 薄荷
花冰片(二分)共研极细。(如灰面细放舌上无渣为度)掺之
珠(五分)其效更速。(咽喉痛用笔管吹入日三次夜二次更
(牙根腐烂的即是)
凡是成年人在热病之后,以及小儿出痘症之后,火毒流注于胃经,导致出现这种病症。病情发展迅速,甚至穿透鼻孔,一两天内就能致命。所以称为“走马”,是形容其发病急骤之意。此症有五种情况属于不治之症:
牙龈腐烂如筋脉状者不治;白色肌肉浮肿者为胃烂,不治;牙齿脱落、脸颊穿孔、鼻部恶臭不堪闻者不治。
如此凶险,性命危在旦夕。急需使用生大黄(三钱)、丁香(十粒)、绿豆(二心),最为神效。仍然按照后文的金鞭散方法治疗,或许能救活一半。又名金鞭散。绿矾(五两)、白(三两)、明雄黄(二两)、真麝香、顶上梅花冰片(各一钱)。先将银针挑刮去除腐肉,将药研成末敷上。吐出毒血和恶涎,才能痊愈。又名赤霜散。专门治疗走马牙疳。用红砒(一粒如黄豆大小)扎好放在瓦片上,用炭火炙烤至枣核干枯、烟尽为止。取出后用碗盖住,加冰片(一分)研成末。将患处洗净吹入药粉,效果很好。对于久烂的孔洞,生肌长肉也很迅速。又法:用许(此处原文可能有缺字或指代不明,暂译为“许”)搽涂。又用陈年的南枣核烧成灰研成末掺撒。又用屋顶上的猫屎,经过霜雪雨淋后,炙烤成灰研细。放在地上等待冷却,加入少许冰片研和吹入。即使病变延及喉间者,也能治疗。
又用生附子(一钱)、生半夏(二钱),加葱白共同捣烂,扎在脚底。
名人中白散。治疗男女老少走马牙疳。(并治咽喉疼痛腐烂,效果显著)人中白、儿茶、真青黛、真硼砂(各一钱)、薄荷花、冰片(二分),共同研成极细粉末。(以像面粉一样细,放在舌上没有渣滓为度)掺撒患处。珍珠(五分),其效果更快。(咽喉痛用笔管吹入,每日三次,夜间二次,更)
(Those with rotting gum roots are)
Whenever adults, after suffering from febrile diseases, or children, after recovering from smallpox/variolous diseases, have fire-toxins flowing into the Stomach Meridian, leading to this condition. The condition is severe and can penetrate through the nose, being fatal within one or two days. Hence it is named "Zouma" (Running Horse), indicating its rapid progression. This condition has five types that are untreatable:
Gums rotting like sinews are untreatable; white flesh floating indicates stomach rot, which is untreatable; teeth falling out, cheeks perforating, and unbearable nasal odor are untreatable.
Such is the peril, with life hanging in the balance for an instant. Urgently use Raw Rhizoma Polygoni Cuspidati (San Huang, 3 qian), Fructus Caryophylli (Dingxiang, 10 grains), and Cotyledon of Mung Bean (Lü Dou, 2 hearts), which is most miraculous. Still treat according to the Jinbian San (Golden Whip Powder) described below, so that perhaps five out of ten can be saved. It is also known as Jinbian San. Alum (Lv Fan, 5 liang), White [Alum/Chalk] (Bai, 3 liang), Realgar (Ming Xiong, 2 liang), Real Moschus (Shexiang), and Plum-blossom Borneol (Meihua Bingpian, each 1 qian). First, use a silver needle to pick and scrape away the necrotic tissue, then grind the medicine into powder and apply it to the affected area. Expelling toxic blood and foul saliva allows for recovery. It is also known as Chishuang San. Specifically treats Zouma Yagan. Use Red Arsenic (Hong Pi, one grain the size of a soybean), wrap it securely, place it on a tile, and roast over charcoal fire until the date pit is dry and smoke ceases. Take it out, cover with a bowl, add Borneol (Bingpian, 1 fen), grind into powder. Clean the affected area and insufflate the powder. The effect is excellent. For long-standing ulcers, flesh regeneration is also rapid. Another method: Apply [Xu] (unclear reference). Another method: Burn old Southern Jujube pits (Nanzao He) to ash, grind into powder, and sprinkle. Another method: Cat feces from roofs, exposed to frost, snow, and rain, roasted to ash, ground finely. Place on the ground to cool, add a little Borneol (Bingpian), mix, and insufflate. Even if it spreads to the throat, it can be treated.
Another method: Use Raw Radix Aconiti Lateralis Preparata (Sheng Fuzi, 1 qian), Raw Rhizoma Pinelliae (Sheng Banxia, 2 qian), add White Scallion Stem (Congbai), mash together, and bind to the sole of the foot.
Renzhong Bai San (Human Urine Deposit Powder). Treats Zouma Yagan in men, women, and children of all ages. (Also treats sore throat with pain and ulceration, effective.) Human Urine Deposit (Ren Zhong Bai), Catechu (Ercha), Real Indigo Naturalis (Qingdai), Real Borax (Pengsha, each 1 qian), Mint Flower (Bohehua), Borneol (Bingpian, 2 fen), grind together into extremely fine powder. (As fine as flour, no residue when placed on the tongue). Sprinkle on the lesion. Pearl (Zhenzhu, 5 fen), the effect is even faster. (For sore throat, insufflate using a bamboo tube, three times daily and twice at night, more...)