歌曰∶丁木茴香三香丸,砂仁紫苏黄芩兼,白术茯苓陈皮草,干姜泽泻香附全,猪苓木通同草果,天花粉末面糊丸,
一切寒凉虚危症,饮食不进效若仙。
(处方) 丁香(二钱) 木香(三钱) 小茴(七钱) 砂仁(五钱) 紫苏(七钱) 黄芩(一钱)
茯苓(三钱) 猪苓(一钱) 白术(三钱) 陈皮(三钱) 干姜(一钱) 泽泻(一钱) 香附(二钱) 木通(一
钱) 草果(五个) 花粉(三钱)
(制法) 共为细末,面糊为丸,绿豆大。
(用法) 每服三钱,空心姜汤下。如患者气体虚弱,饮食少思,服中九丸后有呕吐、腹痛之副作用者,速服此丸
三钱,即解。
此方专治一切冷痰危症甚效,若患者体质虚弱,胃纳不旺,服中九丸后发生恶心、呕吐、头眩、腹痛,及泄泻者,
可加此丸三钱同服,即可免除乖象。此方药味殊嫌庞杂(与木香流气饮略有出入),倘因服中九丸后发生呕吐者,亦可用
炒山栀及白蔻,加入香砂六君子汤中服之,效力亦与本方之作用相等。
歌曰∶化肉灵膏妙无穷,桑麻锻石一样同,二乌灵仙同煎水,淋漓入锅看雌雄,五灰虽然同此用,加减较彼有神功。
(处方) 桑枝灰(五升) 麻梗灰(五升) 广锻石(五升未发者)
(制法) 共合一处备用,另以威灵仙一两,川乌四两,草乌一两,野芋头一两,生半夏一
两,巴豆五钱共为咀片,煎成浓汁,将前灰放在竹箕内(先用稻草垫底),继将
药汁淋于灰上,滤下之水,用器接收(滤得之水,以沾于舌上如针刺者为佳),约一大碗,入锅慢火煎之,俟浓缩到相当
程度时,再加白矾一两,收膏贮瓶,黄蜡封口备用。
(用法) 用时将药取出,研细如泥,挑置少许,涂于疮之中央,其药力自能散布四周,以奏化腐消毒之功。如觉
疼痛,可揭开查看,如患部四边有红线样物时,即喷以冷水一口,其痛可立止。倘腐烂已去,欲生新肌时,可将此膏少
许,用水调如淡茶色,用新笔蘸水,于疮上洗之,即可逐渐生肌敛口。此膏之腐蚀力甚大,故使用之后异常疼痛,因其
作用乃化学上之“轻氧化钾”也。现今新药群中颇不乏相同之物,如硫酸铜、硝酸银、石炭酸等,皆具有相同之腐蚀力
量,如感觉自制麻烦时,亦不妨以此类化学品代用。赤水元珠有“化瘤膏”一方(即五灰膏),其处方虽与本方不尽相同,
而其作用则完全一致,今摘录于此∶桑木灰、枣木灰、桐壳灰、 麦灰各二升半,共和一处,放于已垫稻草之竹箕中,
淋汁约五碗许,入斑蝥四十只,山甲五片,乳香五钱,冰片一钱,用水煎作一碗,以瓷器盛之。用时以新锻石调膏敷之,
干则随以清水润之。“化肉膏”之作用专在追蚀恶疮腐肉,惟嫌其性质过暴,远不若薛己外科精义之“针头散”及仙拈集
之“脱烂散”来得王道,故余意不若迳以二方之一以代替之,更为圆满。
歌诀说:丁香、木香、小茴香组成三香丸,再加上砂仁、紫苏、黄芩;白术、茯苓、陈皮、甘草,以及干姜、泽泻、香附齐全;还有猪苓、木通同草果一起,天花粉研成粉末,用面糊制成丸剂。对于一切寒凉虚损危重病症,若出现饮食不进的情况,服用此药效果神奇如仙。
(处方) 丁香(二钱) 木香(三钱) 小茴香(七钱) 砂仁(五钱) 紫苏(七钱) 黄芩(一钱) 茯苓(三钱) 猪苓(一钱) 白术(三钱) 陈皮(三钱) 干姜(一钱) 泽泻(一钱) 香附(二钱) 木通(一钱) 草果(五个) 天花粉(三钱)
(制法) 将上述药材共同研磨成细末,用面糊作为粘合剂制成丸剂,大小如绿豆。
(用法) 每次服用三钱,空腹时用生姜汤送服。如果患者体质虚弱,食欲不振,服用“中九丸”后出现呕吐、腹痛等副作用,可立即服用本丸三钱,即可缓解症状。
此方专门治疗各种冷痰引起的危重病症,效果显著。如果患者体质虚弱,胃纳不佳,服用“中九丸”后出现恶心、呕吐、头晕、腹痛及腹泻等症状,可以加服本丸三钱一同服用,即可免除这些不良反应。此方药味确实显得庞杂(与木香流气饮略有出入),倘若因服用“中九丸”后发生呕吐,也可以使用炒山栀和白蔻,加入香砂六君子汤中服用,其效力与本方的作用相当。
歌诀说:化肉灵膏妙用无穷,桑枝灰、麻梗灰、锻石用量相同,威灵仙、川乌、草乌一同煎水,淋在灰上观察滤液情况。虽然五种灰的使用类似,但加减变化比它更有神效。
(处方) 桑枝灰(五升) 麻梗灰(五升) 广锻石(五升,未发酵者)
(制法) 将上述三种灰混合在一起备用。另外取威灵仙一两,川乌四两,草乌一两,野芋头一两,生半夏一两,巴豆五钱,共同切成饮片,煎煮成浓汁。将前面的灰放在竹箕内(底部先用稻草垫好),然后将药汁淋在灰上,用容器接收滤下的水(滤得的水以沾在舌头上有针刺感为佳),约一大碗,放入锅中用慢火煎煮。等到浓缩到适当程度时,再加入白矾一两,收膏存入瓶中,用黄蜡封口备用。
(用法) 使用时取出药膏,研磨细腻如泥,挑取少许涂于疮口中央,药力自然能散布四周,起到化腐消毒的作用。如果觉得疼痛,可以揭开查看,如果患部边缘有红线样物体时,即喷一口冷水,疼痛可立即停止。如果腐烂组织已去除,想要生成新肌肉时,可将此膏少许,用水调成淡茶色,用新毛笔蘸水,在疮面上清洗,即可逐渐生肌敛口。此膏的腐蚀力很大,因此使用后异常疼痛,因为其作用相当于化学上的“轻氧化钾”。现今新药群中不乏相同之物,如硫酸铜、硝酸银、石炭酸等,都具有相同的腐蚀力量,如果觉得自制麻烦,也不妨以此类化学品代替。赤水元珠中有“化瘤膏”一方(即五灰膏),其处方虽与本方不尽相同,但其作用完全一致,现摘录于此:桑木灰、枣木灰、桐壳灰、麦灰各二升半,混合在一起,放在已垫稻草的竹箕中,淋汁约五碗许,加入斑蝥四十只,穿山甲五片,乳香五钱,冰片一钱,用水煎成一碗,用瓷器盛装。使用时用新锻石调膏敷之,干了就随时用清水润湿。“化肉膏”的作用专在于追蚀恶疮的腐肉,只是嫌其性质过于猛烈,远不如薛己《外科精义》中的“针头散”及《仙拈集》中的“脱烂散”来得王道(温和稳妥),所以我意不如直接用这两方之一来代替更为圆满。
The song states: Dingmu Huixiang Sanxiang Wan (Ding, Mu, and Huixiang Three-Aromatic Pill) consists of Clove Bud (Caryophylli Flos), Costus Root (Aucklandiae Radix), and Fennel Fruit (Foeniculi Fructus). It is combined with Amomum Fruit (Amomi Fructus), Perilla Leaf (Perillae Folium), and Scutellaria Root (Scutellariae Radix). Atractylodes Rhizome (Atractylodis Rhizoma), Poria (Poria), Tangerine Peel (Citri Reticulatae Pericarpium), and Licorice Root (Glycyrrhizae Radix et Rhizoma) are included, along with Dried Ginger (Zingiberis Rhizoma), Alisma Tuber (Alismatis Rhizoma), and Cyperus Rhizome (Cyperi Rhizoma). Also included are Polyporus (Polyporus), Akebia Stem (Akebiae Caulis), and Koelreuteria Seed (Koelreuteriae Semen). Angelica Dahurica Root (Angelicae Dahuricae Radix) is powdered, and the mixture is formed into pills using wheat paste. For all conditions caused by cold, deficiency, and critical states where food intake is poor, its efficacy is miraculous as if from a fairy.
(Prescription) Clove Bud (2 qian), Costus Root (3 qian), Fennel Fruit (7 qian), Amomum Fruit (5 qian), Perilla Leaf (7 qian), Scutellaria Root (1 qian), Poria (3 qian), Polyporus (1 qian), Atractylodes Rhizome (3 qian), Tangerine Peel (3 qian), Dried Ginger (1 qian), Alisma Tuber (1 qian), Cyperus Rhizome (2 qian), Akebia Stem (1 qian), Koelreuteria Seed (5 pieces), Angelica Dahurica Root (3 qian).
(Preparation) Grind all ingredients into a fine powder. Form pills using wheat paste, sized like mung beans.
(Usage) Take 3 qian per dose, taken on an empty stomach with ginger decoction. If the patient has weak constitution and poor appetite, and experiences side effects such as vomiting and abdominal pain after taking Zhongjiu Wan (Central Nine Pill), immediately take 3 qian of this pill to resolve the symptoms.
This formula is specifically effective for treating all critical conditions caused by cold phlegm. If the patient has a weak constitution and poor gastric appetite, and develops nausea, vomiting, dizziness, abdominal pain, and diarrhea after taking Zhongjiu Wan, adding 3 qian of this pill to be taken simultaneously can eliminate these adverse reactions. The composition of this formula is indeed somewhat complex (slightly different from Muxiang Liqi Yin [Costus Qi-Regulating Decoction]). If vomiting occurs after taking Zhongjiu Wan, one may also use Stir-fried Gardenia Fruit (Gardeniae Fructus) and White Cardamom Seed (Cardamomi Semens Album), added to Xiangsha Liujunzi Tang (Aucklandia and Amomum Six-Gentlemen Decoction), which yields efficacy equivalent to that of this formula.
The song states: Huarou Linggao (Meat-Dissolving Spirit Ointment) has boundless wonders. Mulberry Branch Ash, Hemp Stem Ash, and Calcined Alum are used in equal amounts. Chinese Silvervine Root (Sinopodophylli Radix), Sichuan Aconite Root (Aconiti Radix Carnea), and Grass Aconite Root (Aconiti Radix) are decocted together in water. The liquid is poured over the ash to observe the separation. Although five types of ash are used similarly, the modifications yield more divine efficacy.
(Prescription) Mulberry Branch Ash (5 sheng), Hemp Stem Ash (5 sheng), Guang Calcined Alum (5 sheng, unfermented).
(Preparation) Mix the three ashes together for later use. Separately, take 1 liang of Chinese Silvervine Root, 4 liang of Sichuan Aconite Root, 1 liang of Grass Aconite Root, 1 liang of Wild Taro Tuber (Arisaema Cum Baccis), 1 liang of Raw Pinellia Tuber (Pinelliae Rhizoma Crude), and 5 qian of Croton Seed (Crotonis Semen). Cut them into slices and decoct into a concentrated liquid. Place the aforementioned ashes in a bamboo sieve (lined with rice straw at the bottom). Pour the medicinal liquid over the ashes. Collect the filtered water in a vessel (the filtered water is ideal if it feels like needle pricks when touched to the tongue), approximately one large bowl. Simmer slowly in a pot until concentrated to an appropriate degree. Then add 1 liang of Alum (Alumen) to form the ointment. Store in a bottle and seal with yellow beeswax for later use.
(Usage) When needed, take out the ointment, grind it finely into a mud-like consistency. Apply a small amount to the center of the sore. The medicinal power will naturally spread to the surrounding areas, achieving the effect of dissolving necrotic tissue and disinfecting. If pain is felt, uncover to check. If red line-like structures appear around the affected area, spit a mouthful of cold water onto it, and the pain will stop immediately. If the necrotic tissue has been removed and new muscle growth is desired, mix a small amount of this ointment with water to a light tea color. Use a new brush dipped in water to wash the sore surface, which will gradually promote muscle regeneration and wound closure. This ointment has strong corrosive power, causing exceptional pain after use, as its action is chemically similar to "light Potassium Hydroxide". Modern pharmaceuticals include similar substances such as Copper Sulfate, Silver Nitrate, and Carbolic Acid, which possess identical corrosive properties. If self-preparation is troublesome, it is acceptable to substitute these chemical agents. Shuishui Yuanzhu contains a formula called "Hualiu Gao" (Tumor-Dissolving Ointment, i.e., Five-Ash Ointment). Although its prescription differs slightly from this formula, its function is exactly the same. It is excerpted here: Mulberry Wood Ash, Jujube Wood Ash, Tung Shell Ash, and Wheat Ash, each 2.5 sheng, mixed together and placed in a bamboo sieve lined with rice straw. Pour liquid until about five bowls are obtained. Add 40 Blister Beetle (Mylabris), 5 slices of Pangolin Scale (Manis Squama), 5 qian of Frankincense (Olibanum), and 1 qian of Borneol (Borneolum Syntheticum). Decoct in water to make one bowl, and store in porcelain. When using, mix with fresh calcined alum to form a paste for application. Keep moist with clear water when dry. The function of "Huarou Gao" is specifically to chase and erode necrotic tissue from malignant sores. However, its nature is considered too violent. It is far inferior to the "Zhentou San" (Needle-Head Powder) from Xue Ji's *Waike Jingyi* (Essentials of Surgery) and the "Tuolan San" (Slough-Removing Powder) from *Xian Nian Ji*, which are more gentle and orthodox. Therefore, I suggest that it would be more satisfactory to directly substitute one of those two formulas instead.