烙针二枚须一样,箸大头圆七寸长,捻时蘸油烧火上,斜入向软烙斯良。一烙不透
宜再烙,脓水流出始安康。再用纸捻入烙口,外贴膏药古称强。此法今时不常用,惟恐患
者畏惊惶。今时多用阳燧锭,代火针烙实奇方。
【注】痈疽流注,经久不消,内溃不痛,宜用火针烙之。二枚一样,形如箸粗,头圆,
长七寸。捻时蘸香油炭火上烧红,于疮头近下斜入,向软处烙之。一烙不透再烙,必得
脓水不假手按流出,方用绵纸撮捻如绳状,随深浅捻入烙口,余纸分开,外贴膏药,此古
法也,今罕用之。盖恐患者惊惧,故以阳燧锭代之。
阳燧锭
蟾酥(末) 朱砂(末) 川乌(末) 草乌(末,各五分) 直僵蚕(末,一条)
以上共和匀,用硫黄一两五钱,置杓内,微火炖化;次入前蟾酥等末,搅匀;再入当
门子麝香二分,冰片一分,搅匀;即倾入湿瓷盘内,速荡转成片,俟冷取收瓷罐内。用
时取甜瓜子大一块,要上尖下平,先用红枣肉擦灸处,粘药于上,用灯草蘸油,捻火
药锭上,灸五壮或七壮、九壮毕,即饮米醋半酒盅。候起小 ,用线针串破,出黄水些
须,贴万应膏,其毒即消。如风气痛,用箸子于骨缝中按之,酸痛处以墨点记,灸之。
再诸疮初起,于肿处各灸三五壮,立瘥。
【方歌】阳燧锭灸寒肿疮,朱砂二乌僵硫黄,火炼加蟾共冰麝,乘热倾出成片良。
烙针需要两枚,且规格必须一致。筷子般粗细、头部圆润、长七寸的烙针,使用时蘸取香油在炭火上烧红,斜着刺入并朝向患处柔软部位进行烙治,效果良好。如果一次烙治未能穿透,应当再次烙治,直到脓水自然流出,患者才算安康。随后再用纸捻插入烙口,外部贴上膏药,这是古代所称的高效方法。此法在当今已不常用,主要是担心患者感到畏惧和惊慌。如今多使用阳燧锭,替代火针烙治,这确实是一个奇妙的方子。
【注】对于痈疽流注,经久不消,内部溃烂但不疼痛的情况,适宜用火针烙治。两枚烙针规格相同,形状像筷子那样粗,头部圆润,长度七寸。使用时蘸取香油,在炭火上烧至通红,于疮头近下方斜向刺入,朝向柔软处烙治。一次烙治若未透,需再次烙治,务必使脓水在不借助手按的情况下自行流出,才用绵纸搓捻成绳状,根据深浅程度捻入烙口,剩余的纸张分开,外部贴膏药,这是古法,如今很少使用。大概是担心患者惊惧,所以用阳燧锭来替代。
阳燧锭配方:蟾酥(研末)、朱砂(研末)、川乌(研末)、草乌(研末,各五分)、直僵蚕(研末,一条)。以上药物混合均匀,取硫黄一两五钱,放入勺中,用微火炖化;接着加入前述蟾酥等药末,搅拌均匀;再加入当门子麝香二分、冰片一分,搅拌均匀;立即倒入湿瓷盘中,迅速晃动使其成片,待冷却后取出收存于瓷罐内。使用时取如甜瓜子大小的一块,要求上尖下平,先用红枣肉擦拭灸治部位,将药粘在上面,用灯心草蘸油,点燃火药锭,灸五壮或七壮、九壮结束后,立即饮用半酒盅米醋。等待起小水泡,用线针挑破,流出少许黄水,贴上万应膏,毒气即可消除。如果是风气痛,用筷子在骨缝中按压,以酸痛处用墨点标记,然后施灸。另外,各种疮疡初起时,在肿胀处各灸三五壮,立刻痊愈。
【方歌】阳燧锭用于灸治寒性肿胀疮疡,由朱砂、二乌、僵蚕、硫黄组成,经火炼加入蟾酥及冰片、麝香,趁热倾倒制成薄片效果良佳。
Two moxibustion needles are required, and they must be identical. The needle should be as thick as a chopstick, with a rounded head and a length of seven cun. When used, it is dipped in sesame oil and heated red-hot over charcoal fire. It is inserted obliquely towards the soft area of the lesion for cauterization, which yields good results. If one application does not penetrate thoroughly, it should be repeated until pus and fluid flow out naturally, indicating the patient's recovery. Subsequently, a paper twist is inserted into the cauterized opening, and an external plaster is applied; this was highly regarded in ancient times. This method is rarely used nowadays, primarily due to fear of causing panic or distress to the patient. Currently, Yangsui Ding (Yang Fire Tablet) is mostly used to replace hot needles for cauterization, which is indeed a remarkable prescription.
[Note] For carbuncles, ulcers, or flowing nodules that persist without resolving, and where internal ulceration occurs without pain, hot needle cauterization is appropriate. The two needles must be identical, shaped like chopsticks in thickness, with rounded heads and a length of seven cun. During use, dip them in sesame oil and heat them red-hot over charcoal. Insert them obliquely near the head of the sore towards the softer tissue. If one insertion is insufficient, repeat it until pus flows out spontaneously without manual pressure. Then, take cotton paper twisted into a rope-like shape and insert it into the cauterized tract according to its depth. Spread the remaining paper apart and apply an external plaster. This is the ancient method, now seldom used, likely because patients are afraid of being startled. Therefore, Yangsui Ding is used as a substitute.
Yangsui Ding (Yang Fire Tablet):
Chan Su (Toad Venom, powdered), Zhusha (Cinnabar, powdered), Chuan Wu (Aconitum carmichaelii Debx., powdered), Cao Wu (Aconitum kusnezoffii Reichb., powdered, each 5 fen), Zhi Jiang Can (Bombyx Batryticatus, powdered, 1 piece).
Mix the above ingredients evenly. Place Liu Huang (Sulfur, 1 liang 5 qian) in a spoon and melt it over low heat. Next, add the powdered Chan Su and other ingredients, stirring well. Then add Dang Men Zi She Xiang (Moschus, 2 fen) and Bing Pian (Borneolum Syntheticum, 1 fen), and stir evenly. Immediately pour the mixture into a wet porcelain dish, swirling quickly to form sheets. Once cooled, remove and store in a porcelain jar.
For use, take a piece the size of a sweet melon seed, with a pointed top and flat bottom. First, rub the area to be moxaed with red date flesh, then attach the medicated tablet. Light the tablet using a rush pith dipped in oil. Perform moxibustion for five, seven, or nine moxa cones (zhuang). After completion, immediately drink half a wine cup of rice vinegar. Wait for small blisters to appear, puncture them with a thread needle, allow a little yellow fluid to drain, and apply Wanying Gao (All-Effect Plaster); the toxicity will dissipate. For wind-dampness pain, press with a chopstick along bone gaps, mark the sore spot with ink, and perform moxibustion. Additionally, for all sores in their initial stage, perform three to five moxa cones on the swollen area, leading to immediate recovery.
[Preset Verse] Yangsui Ding treats cold-type swelling and sores via moxibustion, composed of Cinnabar, Aconitum species, Bombyx Batryticatus, and Sulfur. Refined by fire with Toad Venom, Borneol, and Musk, poured hot into sheets for excellent efficacy.