甘草 桔梗 黄芩(酒炒) 黄连(酒炒各一钱) 玄参 橘红 柴胡(各五分) 薄荷(六
分) 升麻(二分) 连翘 牛蒡子(炒各一钱五分)
水煎服,便闭甚者加大黄酒炒一钱,体虚加人参五分。
(胁痈 肚痈 鱼口 臀痈)
生于心,名曰井口疽。生于胁,名曰胁痈。生于腹,名曰肚痈。生于手足腕,名曰穿骨
疽。生于腿岔,名曰鱼口。生于臀,名曰臀痈。施治并如前法。
患井口疽者,宜多用。它症亦宜用此。
远志肉(一两五钱去心,甘草水泡炒) 绿豆粉(二两) 甘草(五钱炒) 明乳香(二两土
炒) 辰砂(二钱,研细水飞)
共为细末,每服三钱,开水下。
治鱼口便毒、骑马痈、横 ,初起未成脓者宜此。
儿茶 血竭 乳香 没药 青木香 穿山甲(炒,各一钱)
上各等分为末,归尾三两,红花二两。酒煎膏,丸如桐子大,每服二钱。空心热酒送下
,敷服自消。
疔疮初起如芥,形如粉刺,或小泡坚硬如疔,故名曰疔。大抵肉色红肿,根脚不散者吉
。若平塌浸肿,四围灰白者凶。其状不一,其色不同。有红紫黄白黑之五种,以应五脏。若
生两足,多有红丝至脐。生两手,多有红丝至心。生面唇,多有红丝入喉。俱难治。速宜针
红丝出血,多有生者。若患于肢末之处,毒愈凝滞,药难到达。艾灸之功为大。内服菊花甘
草汤至效。如妄用疏利之剂,损耗真气,不惟无以去毒,而害反随之矣。其治法。即见前十
法中。
甘草、桔梗、黄芩(用酒炒制)、黄连(用酒炒制,各一钱)、玄参、橘红、柴胡(各五分)、薄荷(六分)、升麻(二分)、连翘、牛蒡子(炒制,各一钱五分)。
用水煎煮后服用。如果大便闭塞严重的,加大黄酒炒一钱;身体虚弱的,加人参五分。
(胁痈、肚痈、鱼口、臀痈)
生于心脏部位的,名叫井口疽。生于胁肋部的,名叫胁痈。生于腹部的,名叫肚痈。生于手足腕部的,名叫穿骨疽。生于大腿内侧分叉处的,名叫鱼口。生于臀部部位的,名叫臀痈。治疗这些病症都采用前面的方法。
患有井口疽的患者,适宜多用此方。其他病症也适宜使用此方。
远志肉(一两五钱,去心,用甘草水泡过并炒制)、绿豆粉(二两)、甘草(五钱,炒制)、明乳香(二两,用土炒制)、辰砂(二钱,研细后用水飞法处理)。
共同研磨成细末,每次服用三钱,用开水送服。
治疗鱼口、便毒、骑马痈、横痃,初起尚未化脓的适宜使用此方。
儿茶、血竭、乳香、没药、青木香、穿山甲(炒制,各一钱)。
以上药材各等分研磨成末,当归尾三两,红花二两。用酒煎煮成膏状,制成如梧桐子大小的丸剂,每次服用二钱。空腹时用热酒送下,内服外敷即可自行消散。
取一个大胡桃剖开一个口,将全蝎二枚放入其中,烧成炭存性,研磨成末,用热酒冲服。
疔疮初起时像芥菜籽一样大,形状像粉刺,或者小水泡坚硬如同疔疮,所以名叫疔。大体上肉质颜色红肿,根脚不散开的为吉兆。如果平塌肿胀,四周呈灰白色的为凶兆。其形态不一,颜色不同。有红、紫、黄、白、黑五种颜色,以对应五脏。如果生在双脚,多有红线延伸至肚脐。生在手部,多有红线延伸至心脏部位。生在面部嘴唇,多有红线延伸至咽喉。这些都难以治疗。应当迅速针刺红线使其出血,多能治愈。如果患在肢体末端,毒邪更加凝滞,药物难以到达。艾灸的功效很大。内服菊花甘草汤非常有效。如果胡乱使用通利泻下的药剂,会损耗真气,不仅不能去除毒邪,反而会带来危害。其治疗方法,即见前十法中所述。
Gancao (Licorice Root), Jiegeng (Platycodon Root), Huangqin (Scutellaria Root, processed with wine), Huanglian (Coptis Rhizome, processed with wine, each 1 qian), Xuanshen (Scrophularia Root), Juhong (Aged Tangerine Peel), Chaihu (Bupleurum Root, each 5 fen), Bohe (Mint, 6 fen), Shengma (Cimicifuga Rhizome, 2 fen), Lianqiao (Forsythia Fruit), Niubangzi (Arctium Seed, fried, each 1.5 qian).
Decoct in water and take orally. If constipation is severe, add Dahuang (Rhubarb Root, processed with wine) 1 qian; if the body is deficient, add Renshen (Ginseng Root) 5 fen.
(You Yong [Abscess of the Flank], Du Yong [Abdominal Abscess], Yukou [Fish Mouth], Tun Yong [Gluteal Abscess])
Those arising in the heart region are named Jingkou Ju (Well-mouth Carbuncle). Those arising in the flank are named You Yong (Flank Abscess). Those arising in the abdomen are named Du Yong (Abdominal Abscess). Those arising in the wrists of hands or feet are named Chuangu Ju (Bone-penetrating Carbuncle). Those arising in the groin crease are named Yukou (Fish Mouth). Those arising in the buttocks are named Tun Yong (Gluteal Abscess). The treatment for these conditions follows the previous methods.
Patients suffering from Jingkou Ju should use this formula frequently. It is also suitable for other conditions.
Yuanshi Rou (Polygala Flesh, 1.5 liang, core removed, soaked in Licorice water and fried), Lvdou Fen (Mung Bean Powder, 2 liang), Gancao (Licorice Root, 5 qian, fried), Ming Xuxiang (Clear Frankincense, 2 liang, fried with earth), Chen Sha (Cinnabar, 2 qian, finely ground and washed with water).
Grind all into a fine powder. Take 3 qian per dose, swallowed with boiled water.
For treating Yukou (Fish Mouth), Biandu (Perineal Abscess), Qima Yong (Horse-riding Abscess), and Heng Xuan (Transverse Stricture/Abscess), when they are in the early stage and have not yet suppurated, this formula is appropriate.
Ercha (Kino), Xuejie (Dragon's Blood), Xuxiang (Frankincense), Moyao (Myrrh), Qingmuxiang (Aquilaria Wood), Chanshanjia (Pangolin Scales, fried, each 1 qian).
Grind the above ingredients into equal parts as powder. Use Guiwei (Angelica Sinensis Tail) 3 liang, Honghua (Safflower) 2 liang. Decoct in wine to make a paste, form pills the size of paulownia seeds. Take 2 qian per dose. Swallow on an empty stomach with hot wine. Internal administration and external application will lead to spontaneous resolution.
Cut open a large walnut, insert two Quanxie (Whole Scorpion) inside, burn to charcoal while preserving its nature, grind into powder, and take with hot wine.
Dingchuang (Carbuncle/Furuncle) initially appears as small as a mustard seed, resembling a pimple, or a small blister hard like a carbuncle, hence named Ding (钉/Carbuncle). Generally, if the flesh is red and swollen with a localized root, it is auspicious. If it is flat and swollen with grayish-white surroundings, it is ominous. The manifestations vary, and colors differ. There are five colors: red, purple, yellow, white, and black, corresponding to the Five Zang Organs. If occurring on both feet, there are often red threads extending to the umbilicus. If on the hands, red threads extend to the heart region. If on the face and lips, red threads extend to the throat. All are difficult to treat. One should quickly prick the red threads to bleed; many patients survive. If occurring at the extremities, the toxin becomes more stagnant, and medicines find it hard to reach. The efficacy of Moxibustion (Ai Jiu) is significant. Internally administering Juhua Gancao Tang (Chrysanthemum and Licorice Decoction) is highly effective. If one recklessly uses purgative agents, it damages the True Qi (Zhenqi); not only will the toxin not be eliminated, but harm will follow. The treatment methods are described in the preceding ten methods.