内托羌活汤 治尻臀坚硬肿痛。两尺脉紧数。按之无力者。
羌活(一钱) 黄柏(酒浸二钱) 防风 归尾 本(各一钱) 黄 (一钱五分) 肉桂(三分)
连翘 苍术 陈皮 甘草(各六分) 红花(五分)
用酒、水各一钟。煎八分。食远服。
内托酒煎散 治寒湿发于腿外侧少阳经分野。患痈或附骨痈。坚硬漫肿作脓。或流至足阳明经者。
黄 当归(各二钱) 柴胡(一钱五分) 连翘 肉桂 大力子(各一钱) 升麻 黄柏 甘草(各四分)
用酒、水各一钟。煎一钟。食前温服。
大防风汤 治三阴不足。风邪乘于两膝作痛。久则膝愈大而腿愈细。因名鹤膝风。乃败症也。非此方
不能治。又治附骨疽。皮色不变。大腿通肿。疼痛无奈。及痢后脚痛缓弱。不能行步。或腿膝肿痛。
防风(三钱) 人参(二钱) 白术 黄 杜仲 牛膝 当归 川芎 白芍 熟地 羌活
大附子 甘草(各一钱)
用生姜三片。水二钟。煎一钟。食前服。
神应养真丹 治足厥阴肝经。为四气所袭。脚膝无力。及左瘫右痪。手足顽麻。语言謇涩。遍身疼痛。
当归 川芎 白芍 熟地(酒蒸捣膏) 羌活 天麻 木瓜 菟丝子
等分为末。入前地黄膏。加蜜。丸桐子大。每服百丸。空心。温酒盐汤任下。
黄犬下颏方 治肚痈。小腹痈。及腿内贴骨痈。神效。然而亦治发背。大抵此方治下部痈疽。更效。
黄狗下颏(连舌连皮毛劈下。入罐内。盐泥封固。铁盏封口。 一炷香。觉烟清即止。取出。色黑如炭为度。
全要存性。若带白色。其性已过。则无用矣。用时研极细末。宜于屠家取已杀者制用。若生取特杀。则反招
不祥。慎之戒之。) 豆粉(俗名水寒豆。又名小寒豆。生用为末。) 白蔹
上三味。各为末。等分和匀。每服以五钱为率。黄酒空心调服。外以此药用香油调敷患处。其验。以服
药后。出臭汗及熟睡为准。
按此方世多用之为敷药。散肿止痛。而不知可以内服。为下部痈疽内消之圣药也。一轿夫环跳穴
痛甚。如鸡啄火灼。与此药三钱。酒服之。未愈更进一服。则霍然如失。
穿山甲散 治痈疽漫肿不变色者。能托里排脓。及附骨疽在里能内消止痛。
露蜂房(一两) 蛇蜕(二钱五分) 头发(二钱五分一方等分烧存性加) 穿山甲(二钱五分)
为末。每服二三钱。加乳香末五分。温酒调服。些三生散加穿山甲也。治附骨疽神效。
栝蒌内托散 痈发于腿外侧者。善能活血消毒。
栝蒌(一个半生半炒) 人参 归尾 没药(各五钱) 甘草(一钱)
黄酒二碗。煎一碗。食前服。
还少丹 治鹤膝风等症。此药补肝肾。进饮食。诚对症之良剂也。
熟地黄 山药(微炒) 山茱萸 白茯苓 枸杞 巴戟天(酒浸) 牛膝(酒浸) 五味子
肉苁蓉(酒浸去鳞焙干酥炙) 杜仲(酒姜拌炒) 远志(甘草水浸汤下) 楮实子(酒浸) 石菖蒲
(去毛忌铁) 小茴香(盐酒炒) 续断(酒浸) 菟丝子(酒蒸等分)
上为末。煮红枣肉。加蜜为丸。桐子大。每服五六十丸。空心及食前各进一服。黄酒盐汤任下。
追风逐湿膏 治骨节疼痛。湿痹麻木筋挛等症。
西圣膏(一斤见首卷) 加木香 胡椒(各一两) 白芥子(二两)
为末。入膏内。搅匀。摊贴痛处。
外灸方 治风寒湿气。腰脚疼痛。
良姜 防己
等分为末。捣大蒜和为饼。安痛处。铺艾灸之。以痛至不痛。不痛至痛为度。
敷肿方 治膝痛。并寒湿香港脚。
文蛤(醋浸炒) 吴茱萸(等分)
上为末。用米醋调敷痛处。
汞升膏 治附骨疽痛。
银朱为末。烧酒调敷。如肿毒。用生桐油调敷。
金蟾膏 治骨疽。脓汁败坏。骨从疮口出者。
大虾蟆(一个) 乱头发(鸡子大一团) 猪脂油(四两 )
二味 枯。去渣收用。先以桑白皮、乌豆煎汤。淋洗疮口。拭干搽之。
一治多骨疽及瘰 疮。用密陀僧末。生桐油调敷。
内托羌活汤:治疗尻部及臀部坚硬、肿胀、疼痛。脉象两尺部紧而数,重按无力者。
处方:羌活(一钱),黄柏(用酒浸泡,二钱),防风,当归尾,藁本(各一钱),黄芪(一钱五分),肉桂(三分),连翘,苍术,陈皮,甘草(各六分),红花(五分)。
用法:用酒和水各一杯,煎至八分满。饭后服用。
内托酒煎散:治疗寒湿之邪发于大腿外侧足少阳经循行部位。患痈疽或附骨痈,局部坚硬、漫肿化脓,或者病邪流注至足阳明经者。
处方:黄芪,当归(各二钱),柴胡(一钱五分),连翘,肉桂,牛蒡子(各一钱),升麻,黄柏,甘草(各四分)。
用法:用酒和水各一杯,煎至一杯满。饭前温服。
大防风汤:治疗三阴经气血不足,风邪侵袭双膝导致疼痛。日久则膝盖肿大而小腿变细,因此命名为鹤膝风,属于难治的败症。非此方不能治愈。又用于治疗附骨疽,皮肤颜色不变,大腿整体肿胀,疼痛剧烈无法忍受,以及痢疾之后脚部疼痛、软弱无力、不能行走,或者腿膝肿胀疼痛。
处方:防风(三钱),人参(二钱),白术,黄芪,杜仲,牛膝,当归,川芎,白芍,熟地黄,羌活,大附子,甘草(各一钱)。
用法:用生姜三片,水两杯,煎至一杯满。饭前服用。
神应养真丹:治疗足厥阴肝经受风寒暑湿四气侵袭,导致脚膝无力,以及左侧瘫痪右侧偏瘫,手足顽固性麻木,言语不清,全身疼痛。
处方:当归,川芎,白芍,熟地黄(用酒蒸后捣成膏状),羌活,天麻,木瓜,菟丝子。
用法:将上述药物等分为末,加入前面的地黄膏,再加蜂蜜,制成梧桐子大小的丸药。每次服用一百丸,空腹时,用温酒或盐汤送服均可。
黄犬下颏方:治疗腹部痈疽、小腹痈疽,以及腿部贴近骨骼的痈疽,效果神奇。然而此方也治疗发背疽。大致来说,此方治疗下部痈疽更为有效。
处方:黄狗的下颏(连着舌头和皮毛劈下来,放入罐内,用盐泥密封固定,铁盏封口,烧一炷香的时间,闻到烟变清即停止,取出,以颜色黑如炭为度,必须保留药性,如果带有白色,说明药性已失效,就无用了。使用时研磨成极细粉末,适宜在屠户家取已杀死的狗制作使用,如果是活捉特杀,反而招致不祥,务必谨慎戒除。)豆粉(俗称水寒豆,又名小寒豆,生用研末。)白蔹。
用法:以上三味药,分别研末,等份混合均匀。每次服用五钱为标准,空腹时用黄酒调服。外用此药粉用香油调敷患处。验证疗效的标准是,服药后排出臭汗且熟睡。
按语:此方世人多用作外敷药,用于消散肿胀、止痛,而不知道可以内服,它是治疗下部痈疽内消的圣药。曾有一轿夫环跳穴疼痛剧烈,如鸡啄火灼一般,给予此药三钱,酒送服,未痊愈再进一服,则霍然痊愈如初。
穿山甲散:治疗痈疽漫肿但肤色不变的,能托毒外出、排脓,以及附骨疽在体内能内消止痛。
处方:露蜂房(一两),蛇蜕(二钱五分),头发(二钱五分,一方剂量等分烧存性加入),穿山甲(二钱五分)。
用法:研为末。每次服用二三钱,加入乳香末五分,用温酒调服。这是三生散加穿山甲。治疗附骨疽效果神奇。
栝蒌内托散:痈疽发于大腿外侧者,善于活血解毒。
处方:栝蒌(一个,一半生用一半炒用),人参,当归尾,没药(各五钱),甘草(一钱)。
用法:黄酒两碗,煎至一碗,饭前服用。
还少丹:治疗鹤膝风等症状。此药补益肝肾,增进饮食,确实是对症的良好药剂。
处方:熟地黄,山药(微炒),山茱萸,白茯苓,枸杞,巴戟天(酒浸),牛膝(酒浸),五味子,肉苁蓉(酒浸去鳞焙干酥炙),杜仲(酒姜拌炒),远志(甘草水浸汤下),楮实子(酒浸),石菖蒲(去毛忌铁),小茴香(盐酒炒),续断(酒浸),菟丝子(酒蒸等分)。
用法:以上药物研为末,煮红枣肉,加蜂蜜制成丸药,梧桐子大小。每次服用五六十丸,空腹及饭前各进一服,用黄酒或盐汤送服均可。
追风逐湿膏:治疗骨节疼痛、湿痹麻木、筋挛等症状。
处方:西圣膏(一斤,见首卷)加木香,胡椒(各一两),白芥子(二两)。
用法:研为末,加入膏内,搅匀,摊贴于疼痛处。
外灸方:治疗风寒湿气引起的腰脚疼痛。
处方:良姜,防己。
用法:等分为末,捣碎大蒜调和做成饼,放在疼痛处,铺上艾绒进行艾灸,以痛感消失、不痛处出现痛感为度。
敷肿方:治疗膝痛,以及寒湿香港脚(痛风/下肢肿痛)。
处方:文蛤(醋浸炒),吴茱萸(等分)。
用法:以上研为末,用米醋调敷疼痛处。
汞升膏:治疗附骨疽疼痛。
处方:银朱研为末,用烧酒调敷。如果是肿毒,用生桐油调敷。
金蟾膏:治疗骨疽,脓汁败坏,骨头从疮口排出者。
处方:大虾蟆(一个),乱头发(鸡蛋大一团),猪脂油(四两)。
用法:将前二味药烧枯,去渣收存备用。先用桑白皮、黑豆煎汤,淋洗疮口,擦干后涂抹。
Neituo Qianghuo Tang: Treats hardness, swelling, and pain in the sacral and gluteal regions. The pulse is tight and rapid at both Chi positions, feeling weak upon deep pressure.
Prescription: Qianghuo (Radix Notopterygii) (1 qian), Huangbai (Cortex Phellodendri) soaked in wine (2 qian), Fangfeng (Radix Saposhnikoviae), Guiwei (Radix Angelicae Sinensis caulis), Bencao (Rhizoma Ligustici Chuanxiong) (each 1 qian), Huangqi (Radix Astragali) (1.5 qian), Rougui (Cortex Cinnamomi) (3 fen), Lianqiao (Fructus Forsythiae), Cangzhu (Rhizoma Atractylodis Chinensis), Chenpi (Pericarpium Citri Reticulatae), Gancao (Radix Glycyrrhizae) (each 6 fen), Honghua (Flos Carthami) (5 fen).
Usage: Decoct with one cup of wine and one cup of water until reduced to 0.8 cup. Take after meals.
Neituo Jiu Jian San: Treats cold-dampness manifesting in the lateral thigh along the Shaoyang channel. Manifestations include carbuncles or osteomyelitis (bone-abscessing sores), characterized by hardness, diffuse swelling, suppuration, or spread to the Yangming channel.
Prescription: Huangqi (Radix Astragali), Danggui (Radix Angelicae Sinensis) (each 2 qian), Chaihu (Radix Bupleuri) (1.5 qian), Lianqiao (Fructus Forsythiae), Rougui (Cortex Cinnamomi), Niuxizi (Fructus Arctii) (each 1 qian), Shengma (Rhizoma Cimicifugae), Huangbai (Cortex Phellodendri), Gancao (Radix Glycyrrhizae) (each 4 fen).
Usage: Decoct with one cup of wine and one cup of water until reduced to one cup. Take warm before meals.
Da Fangle Tang: Treats deficiency of the Three Yin channels, where wind pathogens invade both knees causing pain. Over time, the knees enlarge while the calves atrophy, hence named "Crane Knee Wind" (Deforming arthritis of the knee), a critical condition. This formula is essential for treatment. It also treats osteomyelitis (bone-abscessing sores) with unchanged skin color, diffuse swelling of the entire thigh, unbearable pain, or post-dysentery leg pain, weakness, inability to walk, or swelling and pain in the legs and knees.
Prescription: Fangfeng (Radix Saposhnikoviae) (3 qian), Renshen (Radix Ginseng) (2 qian), Baizhu (Rhizoma Atractylodis Macrocephalae), Huangqi (Radix Astragali), Duzhong (Cortex Eucommiae), Niuxi (Radix Achyranthis Bidentatae), Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Baishao (Radix Paeoniae Alba), Shudi (Radix Rehmanniae Preparata), Qianghuo (Rhizoma et Radix Notopterygii), Da Fuzi (Radix Aconiti Lateralis Preparata), Gancao (Radix Glycyrrhizae) (each 1 qian).
Usage: Decoct with three slices of fresh ginger and two cups of water until reduced to one cup. Take before meals.
Shenying Yangzhen Dan: Treats invasion of the Four Evils (wind, cold, summer-heat, dampness) on the Foot-Jueyin Liver Channel, resulting in weakness of the feet and knees, hemiplegia (paralysis on one side of the body), stubborn numbness of hands and feet, slurred speech, and generalized body pain.
Prescription: Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Baishao (Radix Paeoniae Alba), Shudi (Radix Rehmanniae Preparata) steamed in wine and pounded into paste, Qianghuo (Rhizoma et Radix Notopterygii), Tianma (Rhizoma Gastrodiae), Mugua (Fructus Chaenomelis), Tusizi (Semen Cuscutae).
Usage: Pound into powder, mix with the prepared Rehmannia paste, add honey, and form pills the size of paulownia seeds. Take 100 pills per dose, empty stomach, washed down with warm wine or salted water as preferred.
Huang Quan Xiahe Fang: Treats abdominal carbuncles, lower abdominal abscesses, and bone-adherent abscesses in the legs, with miraculous efficacy. It is also effective for back carbuncles. Generally, this formula is more effective for lower body sores.
Prescription: Lower jaw of a yellow dog (including tongue and skin, split off, placed in a jar, sealed with salt mud and iron lid, roasted for the duration of one incense stick; stop when smoke clears; remove when black as charcoal; must retain medicinal nature, if white remains, it is useless; grind to fine powder; preferably obtained from slaughtered dogs, not killed alive to avoid ill omen). Doufen (Starch of Vigna angularis, raw, powdered). Bailian (Radix Belamcandae).
Usage: Powder each ingredient separately, mix equally. Take 5 qian per dose, mixed with yellow wine, empty stomach. Externally, mix powder with sesame oil and apply to the affected area. Efficacy is confirmed by the discharge of foul sweat and sound sleep after ingestion.
Note: This formula is commonly used externally for reducing swelling and pain, but its internal use as a premier remedy for resolving lower body sores internally is often overlooked. Case: A sedan chair bearer suffered severe pain at the Huantiao acupoint, like a chicken pecking or fire burning. Given 3 qian of this medicine with wine, followed by another dose if unrelieved, resulted in complete recovery.
Chanshanjia San: Treats carbuncles and sores with diffuse swelling but unchanged skin color; promotes expulsion of pus and resolves internal osteomyelitis (bone-abscessing sores) to relieve pain.
Prescription: Lufengfang (Nidus Vespaе) (1 liang), Shetui (Exuviation Bombycis) (2.5 qian), Toufa (Capilli Carbonisatus) (2.5 qian, or equal parts carbonized), Chanshanjia (Squama Manis) (2.5 qian).
Usage: Pound into powder. Take 2-3 qian per dose, mixed with 5 fen of Xiangru (Resina Frankincense) powder, washed down with warm wine. This is Sansheng San plus Chanshanjia. Highly effective for osteomyelitis.
Gualou Neituo San: Treats carbuncles occurring on the lateral thigh; effectively invigorates blood and detoxifies.
Prescription: Gualou (Fructus Trichosanthis) (one fruit, half raw, half stir-fried), Renshen (Radix Ginseng), Guiwei (Radix Angelicae Sinensis caulis), Moyao (Resina Myrrhae) (each 5 qian), Gancao (Radix Glycyrrhizae) (1 qian).
Usage: Decoct with two bowls of yellow wine until reduced to one bowl. Take before meals.
Huanshao Dan: Treats Crane Knee Wind and similar conditions. This formula tonifies the Liver and Kidneys and improves appetite, making it an excellent对症 (symptom-matching) preparation.
Prescription: Shudihuang (Radix Rehmanniae Preparata), Shanyao (Rhizoma Dioscoreae), Shanzhuyu (Fructus Corni), Bai Fuling (Poria), Gouqi (Fructus Lycii), Bajitian (Radix Morindae Officinalis) soaked in wine, Niuxi (Radix Achyranthis Bidentatae) soaked in wine, Wuweizi (Fructus Schisandrae), Rongzhurong (Herba Cistanches), Duzhong (Cortex Eucommiae) stir-fried with wine and ginger, Yuanzhi (Radix Polygalae) soaked in licorice water, Chushizi (Fructus Cudraniae Tricuspidatae) soaked in wine, Shichangpu (Rhizoma Acori Tatarinowii) (remove hairs, avoid iron), Xiaohuixiang (Fructus Foeniculi) stir-fried with salt and wine, Xuduan (Radix Dipsaci), Tusizi (Semen Cuscutae) steamed in wine (equal parts).
Usage: Pound into powder, boil red dates into flesh, add honey, and form pills the size of paulownia seeds. Take 50-60 pills per dose, empty stomach and before meals, washed down with yellow wine or salted water.
Zhuifeng Zhushi Gao: Treats joint pain, bi-syndrome with numbness due to dampness, muscle spasms, etc.
Prescription: Xisheng Gao (1 jin, see first volume) plus Muxiang (Radix Aucklandiae), Hujiao (Fructus Piperis Longi) (each 1 liang), Baijiezi (Semen Mustardae) (2 liang).
Usage: Pound into powder, incorporate into the plaster, mix well, and apply to painful areas.
Wai Jiu Fang: Treats waist and leg pain caused by wind-cold-dampness.
Prescription: Liangjiang (Rhizoma Zingiberis Recens), Fangji (Radix Stephaniae Tetrandrae).
Usage: Equal parts powder, mix with pounded garlic to make cakes. Place on the painful area, apply moxa above, and burn until the sensation changes from pain to non-pain or vice versa.
Fu Zhong Fang: Treats knee pain and cold-damp Hong Kong foot (podagra/gout-like symptoms).
Prescription: Wen Ge (Concha Meretricis) stir-fried with vinegar, Wuzhuyu (Fructus Evodiae) (equal parts).
Usage: Powder and mix with rice vinegar to apply to the painful area.
Hongsheng Gao: Treats pain from osteomyelitis (bone-abscessing sores).
Prescription: Yinzhu (Realgar processed with mercury) powder, mix with boiled wine to apply. For general swellings/toxins, mix with raw tung oil.
Jinchang Gao: Treats bone sores with foul pus and extrusion of bone fragments from the wound.
Prescription: Da Xiama (Rana Chensinensis) (one), Luantoufa (Capilli Carbonisatus) (size of an egg), Zhuzhiyou (Oleum Suillae) (4 liang).
Usage: Calcine the first two ingredients, remove dregs, and collect. First wash the wound with decoction of Sangbaipi (Cortex Mori Radicis) and Wudou (Semen Sojae Preparatum), dry, then apply.
Alternative prescription for polyosteoma and scrofula ulcers: Use Miduoseng (Litharge) powder mixed with raw tung oil for application.