痘痈毒留经络中,发无定处肿不红,留于肌肉为治易,结于骨节难成功。
【注】此证因出大痘,浆灌不足,以致毒浆不得透发,留结经络之中,随处可生。小
如李者为毒,大如桃者为痈,漫肿不红,亦无 痛,身热多烦。若生单个者,毒在肌肉
属顺,易治;连发数处者,船小载重属险;若结于骨节之间,或成对发出者,其毒已盛,溃
破之后,渗泄气血,不能敛口属逆。初发不可强消,俱宜服透脓散,外敷乌龙膏;脓熟
针之,加味太乙膏贴之;若气血虚弱者,兼服保元汤。溃后潮热全退,毒瓦斯方净,否则
他处又发。忌生冷、硬面、发物。
保元汤
人参 白术(土炒) 当归 黄 (各一钱) 甘草(炙,三分)
生姜一片,红枣肉二枚,水二盅,煎八分,食远服。
【方歌】保元汤补真元气,脾胃虚弱服更宜,人参白术炙甘草,当归姜枣共黄 。
透脓散 乌龙膏(俱见肿疡门)
加味太乙膏(见溃疡门)
葡萄疫同葡萄状,感受疠疫郁凝生,遍身发点青紫色,毒攻牙齿类疳形。
【注】此证多因婴儿感受疠疫之气,郁于皮肤,凝结而成。大、小青紫斑点,色状若
葡萄,发于遍身,惟腿胫居多;甚则邪毒攻
胃,以致牙龈腐烂,臭味出血,形类牙疳,而青紫斑点,其色反淡,久则令人虚羸。初起
宜服羚羊角散,久虚者,宜服胃脾汤,米泔水漱口。以非疳散日擦四五次即效。近见中
年之人下虚者,亦患此证,治法同前。
羚羊角散
羚羊角(镑) 麦冬(去心) 黄芩 知母 牛蒡子(炒,研) 防风 元参(各八分)
甘草(生,二分)
水二盅,淡竹叶十片,煎六分,食远服。
【方歌】羚羊角散麦冬芩,知蒡防风草元参,葡萄疫发初宜服,煎加竹叶效如神。
胃脾汤
白术(土炒) 远志(去心) 麦冬(去心) 沙参 茯神 陈皮(各六分) 五味子
甘草(炙,各五分)
水二盅,煎六分,食远服。虚弱自汗者,去沙参,加人参、黄 各五分。
【方歌】胃脾汤治葡萄疫,日久虚添羸弱宜,术远麦冬五味子,沙参甘草茯陈皮。
非疳散
冰片(四分) 人中白( ,去臭气,存性) 五倍子(炒茶褐色,存性,各一两)
共研细末,先用米泔水漱口,后擦此药。
【方歌】非疳中白 五倍,二味同研冰片兑,医治诸疳患处擦,清热止疼去臭秽。
痘痈是毒邪滞留于经络之中,发病部位不固定,肿胀但不发红。若毒邪停留在肌肉层,治疗较为容易;若结聚在骨节之间,则难以治愈成功。
【注】这种病症是因为出痘时浆液灌注不足,导致毒邪和浆液无法透发,从而留结在经络之中,随处都可能发生。小的像李子一样的是“毒”,大的像桃子一样的是“痈”。表现为漫肿而不红,也没有疼痛感,伴有身体发热、烦躁不安。如果只生单个的,说明毒邪在肌肉层面,属于顺证,容易治疗;如果连续在多处发作,就像小船承载重物一样,属于险证;如果结聚在骨节之间,或者成对发出,说明毒势已经旺盛,溃破之后,气血渗泄流失,伤口不能愈合,属于逆证。初发时不可强行消散,都适宜服用透脓散,外部敷贴乌龙膏;脓液成熟后用针穿刺排脓,再加味太乙膏贴敷;如果气血虚弱的人,兼服保元汤。等到溃破后潮热完全消退,毒气才算是清理干净,否则会在其他部位再次发作。忌食生冷、硬面以及发物。
保元汤
人参、白术(土炒)、当归、黄芪(各一钱)、甘草(炙,三分)
生姜一片,红枣肉两枚,水两盅,煎至八分,饭后服用。
【方歌】保元汤补益真元气,脾胃虚弱者服用更适宜,人参、白术、炙甘草,加上当归、生姜、大枣共同配伍黄芪。
葡萄疫的症状表现如同葡萄状斑点,是由于感受疠疫之气郁结凝滞而生。遍身发出青紫色的斑点,毒邪攻冲牙齿,形态类似牙疳。
【注】这种病症多因婴儿感受疠疫之气,郁结于皮肤,凝结而成。大小不一的青紫斑点,颜色形状像葡萄,发于遍身,但多见于腿胫部位。严重时邪毒攻胃,导致牙龈腐烂,有臭味并出血,形态类似牙疳,而此时的青紫斑点颜色反而变淡,时间久了会让人变得虚弱消瘦。初起时适宜服用羚羊角散,久病体虚者,适宜服用胃脾汤,并用米泔水漱口。使用非疳散每日擦拭患处四五次即可见效。近来见到中年人体质下虚的人也患此病,治疗方法同上。
羚羊角散
羚羊角(镑片)、麦冬(去心)、黄芩、知母、牛蒡子(炒,研碎)、防风、玄参(各八分)
甘草(生用,二分)
水两盅,淡竹叶十片,煎至六分,饭后服用。
【方歌】羚羊角散包含麦冬、黄芩,知母、牛蒡子、防风、甘草、玄参,葡萄疫初发时适宜服用,煎煮时加入竹叶效果如神。
胃脾汤
白术(土炒)、远志(去心)、麦冬(去心)、沙参、茯神、陈皮(各六分)
五味子、甘草(炙,各五分)
水两盅,煎至六分,饭后服用。若虚弱自汗者,去掉沙参,加入人参、黄芪各五分。
【方歌】胃脾汤治疗葡萄疫,日久体虚羸弱者适宜,白术、远志、麦冬、五味子,加上沙参、甘草、茯神、陈皮。
非疳散
冰片(四分)、人中白(煅,去除臭气,保留药性)、五倍子(炒至茶褐色,保留药性,各一两)
共同研磨成细末,先用米泔水漱口,然后擦拭此药。
【方歌】非疳散由人中白、五倍子组成,二味同研兑入冰片,医生将其涂抹于诸疳患处,能清热止痛,去除臭秽。
Deng Yong (Smallpox Carbuncle) refers to toxic pathogens lingering within the meridians. The onset location is indefinite, presenting with swelling but without redness. If the toxin remains in the muscle layer, it is easy to treat; if it knots at the bone joints, success in treatment is difficult.
[Note] This condition arises because during smallpox eruption, the pus filling was insufficient, causing the toxic pus to fail to penetrate and emerge, thereby remaining and knotting within the meridians, capable of arising anywhere. Small lesions resembling plums are termed "Du" (Toxic Nodule), while large ones resembling peaches are termed "Yong" (Carbuncle). They present as diffuse swelling without redness or pain, accompanied by fever and irritability. If a single lesion occurs, the toxin is in the muscles, which is a favorable syndrome (Shun Zheng) and easy to treat; if multiple lesions erupt consecutively, it is like a small boat carrying heavy weight, representing a dangerous syndrome; if it knots between bone joints or erupts in pairs, the toxicity is vigorous. After ulceration, Qi and Blood seep out, and the wound fails to close, representing an unfavorable syndrome (Ni Zheng). At the initial stage, forced resolution should not be attempted; all cases should take Tou Nong San (Pus-Expelling Powder) externally applied with Wu Long Gao (Black Dragon Ointment); once the pus matures, puncture with a needle, followed by application of Jia Wei Tai Yi Gao (Modified Tai Yi Plaster); for those with deficient Qi and Blood, Baoyuan Tang (Protecting Origin Decoction) should be taken concurrently. Only after ulceration does the tidal fever completely subside, indicating that the toxic vapors are cleared; otherwise, it may reappear elsewhere. Avoid raw/cold foods, hard noodles, and stimulating foods.
Baoyuan Tang (Protecting Origin Decoction)
Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Rhizoma, stir-baked with soil), Dang Gui (Angelicae Sinensis Radix), Huang Qi (Astragali Radix) (each 1 qian), Gan Cao (Licorice Radix et Rhizoma, honey-fried) (0.3 qian).
One slice of Sheng Jiang (Zingiberis Rhizoma Recens), two pieces of Hong Zao Mei (Fructus Jujubae pulp), two cups of water, decocted to 0.8 cup, taken far from meals.
[Fang Ge - Prescription Song]: Baoyuan Tonifies True Original Qi, suitable for Spleen-Stomach deficiency; Ren Shen, Bai Zhu, Honey-fried Gan Cao, combined with Dang Gui, Sheng Jiang, Hong Zao, and Huang Qi.
Tou Nong San (Pus-Expelling Powder) and Wu Long Gao (Black Dragon Ointment) (both see Swollen Ulcer Section)
Jia Wei Tai Yi Gao (Modified Tai Yi Plaster) (see Ulcerated Ulcer Section)
Pu Tao Yi (Grape Plague) presents with spots resembling grapes, caused by contracting epidemic pestilence qi, leading to stagnation and condensation. It manifests as widespread cyanotic-purple macules on the body, with toxic pathogens attacking the teeth, resembling canker sores.
[Note] This condition often occurs in infants who contract epidemic pestilence qi, which stagnates in the skin and condenses into formation. Large and small cyanotic-purple macules resemble grapes in color and shape, appearing all over the body, predominantly on the lower legs. In severe cases, evil toxins attack the Stomach, causing gum rot, foul odor, and bleeding, resembling dental canker sores (Ya Gan), while the cyanotic-purple macules appear paler. Over time, this leads to emaciation and weakness. At the onset, Ling Yang Jiao San (Antelope Horn Powder) is suitable; for chronic deficiency, Wei Pi Tang (Stomach-Spleen Decoction) is suitable, along with rinsing the mouth with Mi Tan Shui (Rice Wash Water). Applying Fei Gan San (Non-Canker Powder) four to five times daily yields effective results. Recently, middle-aged individuals with lower body deficiency have also suffered from this condition, treated similarly.
Ling Yang Jiao San (Antelope Horn Powder)
Ling Yang Jiao (Saiga Tatarica Cornu, sliced), Mai Dong (Ophiopogonis Radix, heart removed), Huang Qin (Scutellariae Radix), Zhi Mu (Anemarrhenae Rhizoma), Niu Bang Zi (Arctii Fructus, stir-baked and crushed), Fang Feng (Saposhnikoviae Radix), Xuan Shen (Scrophulariae Radix) (each 0.8 fen), Gan Cao (Licorice Radix et Rhizoma, raw) (0.2 fen).
Two cups of water, ten leaves of Dan Zhu Ye (Lophatheri Herba), decocted to 0.6 cup, taken far from meals.
[Fang Ge - Prescription Song]: Ling Yang Jiao San contains Mai Dong and Huang Qin, Zhi Mu, Niu Bang Zi, Fang Feng, Gan Cao, and Xuan Shen; suitable for early-stage Pu Tao Yi, adding Zhu Ye yields miraculous effects.
Wei Pi Tang (Stomach-Spleen Decoction)
Bai Zhu (Atractylodis Rhizoma, stir-baked with soil), Yuan Zhi (Polygalae Radix, heart removed), Mai Dong (Ophiopogonis Radix, heart removed), Sha Shen (Glehniae Radix or Adenophorae Radix), Fu Shen (Poria with Hostwood), Chen Pi (Citri Reticulatae Pericarpium) (each 0.6 fen), Wu Wei Zi (Schisandrae Chinensis Fructus), Gan Cao (Licorice Radix et Rhizoma, honey-fried) (each 0.5 fen).
Two cups of water, decocted to 0.6 cup, taken far from meals. For those with weakness and spontaneous sweating, remove Sha Shen, add Ren Shen (Ginseng Radix et Rhizoma) and Huang Qi (Astragali Radix) each 0.5 fen.
[Fang Ge - Prescription Song]: Wei Pi Tang treats Pu Tao Yi, suitable for long-standing deficiency and emaciation; Bai Zhu, Yuan Zhi, Mai Dong, Wu Wei Zi, Sha Shen, Gan Cao, Fu Shen, and Chen Pi.
Fei Gan San (Non-Canker Powder)
Bing Pian (Borneolum Syntheticum) (0.4 fen), Ren Zhong Bai (Natrii Uras) (calcined, remove foul odor, retain efficacy), Wu Bei Zi (Galla Chinensis, stir-baked to tea-brown color, retain efficacy) (each 1 liang).
Grind together into fine powder. First rinse the mouth with Mi Tan Shui (Rice Wash Water), then apply this medicine to the affected area.
[Fang Ge - Prescription Song]: Fei Gan consists of Ren Zhong Bai and Wu Bei Zi, ground together mixed with Bing Pian; physicians apply it to various Gan lesions, clearing heat, relieving pain, and removing foul odors.