合谷疔,俗称虎口百丫也。此患多有疙瘩泡起,亦有红丝
走上,故有疔名之称。此手阳明、胃经湿毒攻注作痒,痒热 疼,初起挑破,贴蟾酥饼膏盖,金黄散敷之;三
日后,肿聚必欲作脓,换膏贴之。软肿胀痛者,脓已成、针之即愈。肿甚寒热者,必内外消托。
金黄散(见肿疡门)
蟾酥饼(见疔疮门)
鼻中出血,乃肺经火旺,逼血妄行而从鼻窍出也。外用紫土散敷囟顶上,内服羚羊清肺汤亦可自止。
羚羊清肺汤
羚羊清肺汤柴芍 甘藕蒲黄地骨皮
玄地芎归石膏等 栀连芦荟白茅宜
治鼻中无故出血不止,及寻常吐血、咳血并效。
羚羊角(镑) 黄连 银柴胡 玄参 石膏 川芎 当归身 白芍 生地 蒲黄 地骨皮 山栀(各一钱)
芦荟 甘草(各五分) 藕节(三个) 白茅根(四两,捣汁,用水一碗,和绞去渣)
用茅根汁一大碗,煎七分,入童便一杯,食后服。
紫土散
紫土散须从治法 更兼火酒要调稠
将药敷于囱顶上 自然血止不相流
治鼻中无辜出血不止。用倾银紫土新罐碾细,以火酒调敷囟门上,其血自止,此从治之法也。
牙缝出血,阳明胃经实火上攻而出也。又有胃虚火动,腐烂牙龈,以致淡血常常渗流不已。实火清胃散、
楝果裘塞之,
虚火芦荟丸、人中白散服搽自愈。
清胃散
清胃散中用石膏 芩连生地不相饶
丹皮加上升麻好 阳明胃热实时消
治胃经有热,牙齿或牙龈作肿、出血不止并效。
黄芩 黄连 生地 丹皮 升麻 石膏(各一钱)
水二钟,煎八分,食后服。
楝果裘
治阳明胃经实火上攻,血从牙缝流出。
用楝树果二个,连肉、核捣烂,丝绵包裹,先用温汤漱净瘀血,塞于牙缝内,其血自止。
芦荟丸 人中白散(见口疳门)
合谷疔,俗称虎口百丫。这种病症多表现为疙瘩水泡突起,也有红丝向上蔓延的,因此被称为疔。这是手阳明大肠经和胃经的湿毒攻注导致瘙痒,伴有痒、热、痛的症状。初起时挑破患处,贴上蟾酥饼膏覆盖,再敷上金黄散;三日后,肿胀聚集必然化脓,更换药膏贴敷。如果肿胀变软且疼痛,说明脓已形成,针刺排脓即可痊愈。如果肿胀严重并伴有寒热症状,必须采用内服外用的消托法治疗。
鼻中出血,是由于肺经火旺,逼迫血液妄行而从鼻窍流出所致。外用紫土散敷在囟门顶上,内服羚羊清肺汤也可以自行止血。
羚羊清肺汤由柴胡、白芍、甘草、藕节、蒲黄、地骨皮、玄参、生地、川芎、当归、石膏等药材组成,还有栀子、黄连、芦荟、白茅根适宜使用。
该方治疗鼻中无故出血不止,以及寻常的吐血、咳血均有效。
处方:羚羊角(镑片)、黄连、银柴胡、玄参、石膏、川芎、当归身、白芍、生地、蒲黄、地骨皮、山栀(各一钱),芦荟、甘草(各五分),藕节(三个),白茅根(四两,捣汁,用水一碗,混合绞取汁液去渣)。
用法:用茅根汁一大碗,煎至七分,加入童便一杯,饭后服用。
紫土散
紫土散的治疗需要遵循治法,并用火酒调成稠状。
将药物敷在囟门顶上,血液自然停止不再流淌。
治疗鼻中无故出血不止。使用倾银紫土新罐碾细,用火酒调匀敷在囟门上,血液自然停止,这是从治的方法。
牙缝出血,是阳明胃经实火上攻导致的。又有因胃虚火动,腐烂牙龈,导致淡血常常渗流不止的情况。实火证用清胃散,或用楝果裘塞入患处;虚火证用芦荟丸、人中白散内服或外搽,即可自愈。
清胃散
清胃散中含有石膏、黄芩、黄连、生地,搭配丹皮和升麻效果很好,能消除阳明胃经的实热。
治疗胃经有热,牙齿或牙龈肿胀、出血不止均有效。
处方:黄芩、黄连、生地、丹皮、升麻、石膏(各一钱)。
用法:水二钟,煎至八分,饭后服用。
楝果裘
治疗阳明胃经实火上攻,血液从牙缝流出。
用法:取楝树果两个,连肉带核捣烂,用丝绵包裹,先用温汤漱口洗净瘀血,将其塞入牙缝内,血液自然停止。
芦荟丸、人中白散(见口疳门)
Carbuncle of Hegu (LI4), commonly known as "Hukou Baiya". This condition often presents with the emergence of nodular blisters, or sometimes red threads spreading upwards, hence the name "carbuncle" (Ding Chuang). It is caused by damp-toxin attacking and accumulating in the Hand-Yangming Large Intestine Meridian and Stomach Meridian, resulting in itching, heat, and pain. In the initial stage, puncture the lesion, apply a Chan Su Bing plaster (Toad Venom Cake) to cover it, and sprinkle Jin Huang San (Golden Yellow Powder) over it; after three days, if swelling gathers and suppuration is inevitable, change the plaster. If the swelling becomes soft and painful, pus has formed; pricking it with a needle will lead to recovery. If swelling is severe accompanied by chills and fever, internal and external methods for resolving and supporting must be employed.
Epistaxis (Nosebleed) is caused by excessive fire in the Lung Meridian forcing blood to flow recklessly out through the nasal orifice. Externally, apply Zi Tu San (Purple Earth Powder) to the top of the fontanelle; internally, taking Ling Yang Qing Fei Tang (Antelope Horn Lung-Clearing Decoction) can also stop the bleeding spontaneously.
Ling Yang Qing Fei Tang consists of Chai Hu (Bupleuri Radix), Bai Shao (Paeoniae Radix Alba), Gan Cao (Glycyrrhizae Radix et Rhizoma), Ou Jie (Nelumbinis Node), Pu Huang (Pollinis Typhae), Di Gu Pi (Lycii Cortex), Xuan Shen (Scrophulariae Radix), Sheng Di (Rehmanniae Radix), Chuan Xiong (Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Shi Gao (Gypsum Fibrosum), etc., along with Zhi Zi (Gardeniae Fructus), Huang Lian (Coptidis Rhizoma), Lu Hui (Aloe), and Bai Mao Gen (Imperatae Rhizoma).
It treats spontaneous continuous epistaxis, as well as ordinary hematemesis (vomiting blood) and hemoptysis (coughing up blood), with efficacy in all cases.
Prescription: Ling Yang Jiao (Capris Cornu, sliced), Huang Lian (Coptidis Rhizoma), Yin Chai Hu (Stellariae Radix), Xuan Shen (Scrophulariae Radix), Shi Gao (Gypsum Fibrosum), Chuan Xiong (Chuanxiong Rhizoma), Dang Gui Shen (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba), Sheng Di (Rehmanniae Radix), Pu Huang (Pollinis Typhae), Di Gu Pi (Lycii Cortex), Shan Zhi (Gardeniae Fructus) (each 1 qian); Lu Hui (Aloe), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 0.5 qian); Ou Jie (Nelumbinis Node) (3 pieces); Bai Mao Gen (Imperatae Rhizoma) (4 liang, crushed for juice, mixed with one bowl of water, squeezed to remove dregs).
Usage: Take one large bowl of Bai Mao Gen juice, decoct until reduced to 7/10 volume, add one cup of Tong Bian (Child's Urine), and take after meals.
Zi Tu San
The treatment with Zi Tu San requires adherence to therapeutic principles and mixing with Huo Jiu (Fire Wine) to a thick consistency.
Apply the medicine to the top of the fontanelle; the blood will naturally stop flowing.
It treats spontaneous continuous epistaxis. Use Zi Tu from a new jar used for pouring silver, grind finely, mix with Huo Jiu, and apply to the fontanelle; the bleeding will stop spontaneously. This is a method of treating from the root.
Bleeding from between the teeth is caused by excess fire attacking upward from the Yangming Stomach Meridian. Another cause is deficiency-fire stirring due to Spleen/Stomach deficiency, rotting the gums, leading to constant oozing of pale blood. For excess fire, use Qing Wei San (Stomach-Clearing Powder), or plug the area with Lian Guo Qiu (Melia Fruit Pouch); for deficiency fire, use Lu Hui Wan (Aloe Pill) and Ren Zhong Bai San (Human Tooth Ash Powder) taken internally or applied externally, which will heal spontaneously.
Qing Wei San
Qing Wei San contains Shi Gao (Gypsum Fibrosum), Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Sheng Di (Rehmanniae Radix); adding Dan Pi (Moutan Cortex) and Sheng Ma (Cimicifugae Rhizoma) is beneficial, effectively eliminating excess heat in the Yangming Stomach.
It treats heat in the Stomach Meridian, causing swelling or bleeding of the teeth or gums continuously, with efficacy in all cases.
Prescription: Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Sheng Di (Rehmanniae Radix), Dan Pi (Moutan Cortex), Sheng Ma (Cimicifugae Rhizoma), Shi Gao (Gypsum Fibrosum) (each 1 qian).
Usage: Two zhong of water, decoct to 8/10 volume, take after meals.
Lian Guo Qiu
Treats bleeding from between the teeth caused by excess fire attacking upward from the Yangming Stomach Meridian.
Usage: Take two fruits of the Melia tree, crush them including flesh and seeds, wrap in silk cotton, first rinse the mouth with warm water to clean away stagnant blood, then insert into the gap between teeth; the bleeding will stop spontaneously.
Lu Hui Wan (Aloe Pill), Ren Zhong Bai San (Human Tooth Ash Powder) (see section on Kou Gan Mouth Ulcers).