猫眼疮名取象形,痛痒不常无血脓,光芒闪烁如猫眼,脾经湿热外寒凝。
【注】此证一名寒疮,每生于面及遍身,由脾经久郁湿热,复被外寒凝结而成。初起
形如猫眼,光彩闪烁,无脓无血,但痛痒不常,久则近胫。宜服清肌渗湿汤,外敷真君
妙贴散,兼多食鸡、鱼、蒜、韭,忌食 鱼,蟹、虾而愈。
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清肌渗湿汤
苍术(米泔水浸,炒) 浓朴(姜汁炒) 陈皮 甘草(生) 柴胡 木通 泽泻
白芷 升麻 白术(土炒) 栀子(生) 黄连(各一钱)
水二盅,生姜三片,灯心二十根,煎至八分,温服。
【方歌】清肌渗湿疮猫眼,脾湿热郁外寒缠,平胃柴胡通泻芷,升麻白术栀黄连。
真君妙贴散(见肿疡门)
鱼脊疮由虚人成,感受湿热皮间凝,虚寒发缓 津水,灸变稠脓阳气生。
【注】此证形如鱼脊,由阳气虚寒之人,复感湿热结滞而成。多生筋骨之间,以阳气
虚寒,故发长缓慢,只在皮肤坚凝 痛。初起白 ,渐长状如鱼脊,破津黄水,正脓生
迟。初治无论已破未破,宜蒜片艾灸,以通阳气;外用真君妙贴散,香油调敷,宜服内
补十宣散,得稠脓色鲜者为顺,若灸之不应,色暗腐烂,出臭水者逆。其次内、外治法,
俱按痈疽溃疡门。
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真君妙贴散(见肿疡门)
内补十宣散(见胸博 痈)
猫眼疮的名称取自其形状像猫的眼睛,疼痛和瘙痒的感觉不固定,没有血液和脓液,光芒闪烁如同猫眼,这是由于脾经湿热与外感寒邪凝结所致。
【注】此病证又名寒疮,通常生长在面部及全身各处,是由于脾经长期郁结湿热,又受到外寒凝结而形成的。初起时形状像猫眼,光彩闪烁,无脓无血,只是疼痛和瘙痒感觉不定,时间久了会靠近小腿部位。适宜服用清肌渗湿汤,外部敷贴真君妙贴散,同时多吃鸡、鱼、蒜、韭菜,忌食鱼、蟹、虾,即可痊愈。
清肌渗湿汤
苍术(用米泔水浸泡,炒制) 浓朴(用姜汁炒制) 陈皮 甘草(生用) 柴胡 木通 泽泻
白芷 升麻 白术(用土炒制) 栀子(生用) 黄连(各一钱)
加水两盅,生姜三片,灯心草二十根,煎煮至八分满,温服。
【方歌】清肌渗湿治疗猫眼疮,脾经湿热郁结外寒缠绕,平胃散合柴胡汤配合木通通利泻下,白芷、升麻、白术、栀子、黄连同用。
真君妙贴散(见肿疡门)
鱼脊疮由体质虚弱之人形成,感受湿热之气凝结于皮肤之间,因虚寒导致发病缓慢,渗出津液,通过艾灸使脓液变稠,阳气得以恢复。
【注】此病证形状像鱼脊,是由阳气虚寒之人,又感受湿热结滞而形成的。多生长在筋骨之间,因为阳气虚寒,所以发病缓慢,仅在皮肤坚凝处疼痛。初起时颜色发白,逐渐长大状如鱼脊,破溃后流出黄水,正气化脓生成迟缓。初期治疗无论是否已破溃,适宜用蒜片进行艾灸,以通达阳气;外部使用真君妙贴散,用香油调匀敷贴,适宜服用内补十宣散,得到稠厚且颜色鲜红的脓液为顺证,如果艾灸无效,颜色暗红腐烂,流出臭水的为逆证。其次的内治和外治方法,都按照痈疽溃疡门的法则处理。
Mao Yan Chuang (Cat's Eye Eruption) is named for its resemblance to a cat's eye. It presents with intermittent pain and itching, without blood or pus. Its shimmering appearance resembles a cat's eye, caused by damp-heat in the Spleen channel congealing with external cold.
[Note] This condition is also known as Han Chuang (Cold Eruption). It typically occurs on the face and all over the body. It arises from long-standing damp-heat stagnation in the Spleen channel, compounded by congealment due to external cold. Initially, it resembles a cat's eye with shimmering luster, lacking pus or blood, characterized only by irregular pain and itching. Over time, it may appear near the shins. Treatment involves taking Qing Ji Shen Shi Tang (Clear Muscle and Drain Dampness Decoction) internally, applying Zhen Jun Miao Tie San (True Lord's Miraculous Paste) externally, consuming more chicken, fish, garlic, and leeks, while avoiding fish, crab, and shrimp, leading to recovery.
Qing Ji Shen Shi Tang (Clear Muscle and Drain Dampness Decoction)
Cang Zhu (Atractylodis Rhizoma, soaked in rice water, stir-fried) Hou Po (Magnoliae Officinalis Cortex, stir-fried with ginger juice) Chen Pi (Citri Reticulatae Pericarpium) Gan Cao (Glycyrrhizae Radix et Rhizoma, raw) Chai Hu (Bupleuri Radix) Mu Tong (Akebiae Caulis) Ze Xie (Alismatis Rhizoma)
Bai Zhi (Angelicae Dahuricae Radix) Sheng Ma (Cimicifugae Rhizoma) Bai Zhu (Atractylodis Macrocephalae Rhizoma, soil-fried) Zhi Zi (Gardeniae Fructus, raw) Huang Lian (Coptidis Rhizoma) (each 1 qian)
Add two cups of water, three slices of fresh ginger, and twenty stalks of Jixin (Junci Medulla). Decoct until reduced to eight-tenths volume. Take warm.
[Formula Song] Qing Ji Shen Shi treats Mao Yan Chuang, Spleen damp-heat stagnation wrapped by external cold; Ping Wei San combined with Chai Hu Tang promotes drainage via Mu Tong, Bai Zhi, Sheng Ma, Bai Zhu, Zhi Zi, and Huang Lian are used together.
Zhen Jun Miao Tie San (See Zhong Yang Men / Swelling and Ulcer Section)
Yu Ji Chuang (Fish Spine Eruption) arises in individuals with deficiency constitutions, where damp-heat condenses between the skin. Due to deficiency-cold, the onset is slow; exudation of fluids occurs, and moxibustion helps thicken the pus, restoring Yang Qi.
[Note] This condition resembles a fish spine. It forms in persons with deficient and cold Yang who contract damp-heat stagnation. It often occurs between muscles and bones. Because of deficient and cold Yang, the development is slow, manifesting only as hardening and pain in the skin. Initially, it appears white, gradually enlarging to resemble a fish spine. Upon rupture, yellow fluid oozes out, and the formation of proper pus is delayed. In the initial stage, regardless of whether the lesion has ruptured, it is appropriate to apply moxibustion with garlic slices to unblock Yang Qi. Externally, apply Zhen Jun Miao Tie San mixed with sesame oil. Internally, take Nei Bu Shi Xuan San (Internal Tonification and Ten-Auspiciousness Powder). The emergence of thick, bright-red pus indicates a favorable prognosis (Shun). If moxibustion is ineffective, and the area becomes dark, necrotic, and discharges foul-smelling fluid, it indicates an unfavorable prognosis (Ni). Subsequent internal and external treatments should follow the protocols for Yong Ju Kai Yang (Abscess and Ulcer) sections.
Zhen Jun Miao Tie San (See Zhong Yang Men / Swelling and Ulcer Section)
Nei Bu Shi Xuan San (See Xiong Ge Yong / Chest and Diaphragm Abscess)