加味遗粮汤
加味遗粮汤木瓜 芎归防苡术银花
癣皮皂子灵仙等 木通甘草共参夸
示杨梅疮初起筋骨疼痛,及已成数月,延绵不已。并杨梅风毒误服轻粉,瘫痪骨疼,不能动履。
川芎 当归 防风 薏苡仁 木瓜 金银花 木通 白癣皮 苍术 威灵仙(各一钱) 甘草(五分)
皂荚子(五个,切片微炒) 仙遗粮(二两) 人参(疮久气虚者加)
水二碗,煎八分,量病上下,食前后服。腿脚之下加牛膝一钱,病浅者一月可退,病深者百日可痊。忌牛
肉、烧酒、海腥、煎炒。此疮发时多先起于下疳,若以此方预服之,可以止其
不发梅疮也。
解毒天浆散
解毒天浆散角针 防风防己膝风藤
芎归翘粉银花草 木瓜蝉蜕薏苡仁
治杨梅疮不问新久,遍身溃烂及筋骨作疼者。
天花粉(二钱) 防风 防己 皂角针 白癣皮 连翘 川芎 当归 风藤 木瓜 金银花 蝉蜕 薏苡
仁(各一钱) 甘草(五分) 土茯苓(二两) 牛膝(下部加)
水二钟,煎八分,临服入酒一杯,量病上下服之。
升麻解毒汤
升麻解毒汤传易 去病应知却不难
同煎皂刺加油服 那怕多年结毒顽
治杨梅疮筋骨疼痛,久而不愈,及治远年近日流注结毒,皮肉破烂,咽喉损破者并宜服之。
川升麻、新鲜皂角针各四钱,上白土茯苓一斤,项之以上加白芷,咽内加桔梗,胸腹加白芍,肩背加羌活,
下部加牛膝各一钱,用水八碗,煎至四碗,作四次一日服尽,每次顿热加麻油三茶匙和匀,量病上下,食前后
服之。疮甚者不过十服。
归灵汤
归灵汤中四物宜 木瓜防己白癣皮
米仁参术银花粉 甘草白芷牛膝随
治杨梅疮不论新久,但元气虚弱者,宜服此药。
川芎 当归 白芍 熟地 米仁 木瓜 防己 天花粉 金银花 白癣皮 人参 白术(各一钱) 甘草
(五分) 威灵仙(六分) 牛膝(下部加,五分) 土茯苓(二两)
水三钟,煎二钟,二次量病上下,食前后服之,渣再煎八分服。
防风必效散
防风必效散荆防 槐术翘藤癣芷当
角针木通番白草 银花花粉木瓜商
治杨梅疮湿热太盛,疮高稠密,元气素实者服。
防风 防己 荆芥 白癣皮 连翘 槐花 苍术 皂角针 风藤 木通 白芷 天花粉 木瓜 金银花
蕃白草(各一钱) 甘草(五分) 土茯苓(四两) 大黄(初起加,三钱)
水三碗,煎二碗,二次服。渣再煎一碗,服后饮洒一大杯,即静睡一时许更妙。
金蟾脱甲酒
治杨梅疮不拘新久轻重皆效。好酒五斤,用大虾蟆一个浸酒封瓶口,煮香二枝,取起待次日随量之大小,
以醉为度,冬夏盖暖出汗为效;存酒次日只服量之一半,酒尽疮愈。又治杨梅结毒、筋骨疼痛,诸药不效者更
妙;服酒七日后,不许见风为要,忌口及房事,百日绝根矣。
翠云散
翠云散中用铜绿 胆矾轻粉石膏加
湿用胆调干末掺 梅疮一点便生疤
治杨梅疮已服内药,根脚不红,疮势已退者用。
铜绿 胆矾(各五钱) 轻粉 石膏( ,各一两)
共研极细,瓷罐收贮。湿疮干掺,干疮公猪胆汁调点,三日点三次,其疮自干而愈。
又∶点药方
点药方中用杏仁 雄黄轻粉共相称
猪胆汁调疮上点 敢教三日自承平
杏仁(四十九粒,去皮、尖) 雄黄(一钱) 轻粉(二钱)
先将杏仁捣细,加雄黄、轻粉细末再研匀,猪胆调点。
鹅黄散
鹅黄散用真轻粉 石膏黄柏要称准
等分为末掺烂疮 杨梅腐痛最安稳
治杨梅疮溃烂成片,脓秽多而疼甚者宜用之。
石膏( ) 轻粉 黄柏(炒)
以上各等分为极细末,干掺烂上,即可生疤,再烂再掺,毒尽乃愈。此解毒、止痛、收干之效药也。
【组成】加味遗粮汤由木瓜、川芎、当归、防风、薏苡仁、苍术、金银花、白癣皮、皂荚子、威灵仙、木通、甘草及人参组成。
【主治】适用于杨梅疮(梅毒)初起时出现的筋骨疼痛,以及病程数月、缠绵难愈的情况。也适用于因误服轻粉导致的风毒内陷,出现瘫痪、骨痛、无法行走的症状。
【配方】川芎、当归、防风、薏苡仁、木瓜、金银花、木通、白癣皮、苍术、威灵仙(各一钱),甘草(五分)。皂荚子(五个,切片后微炒),仙遗粮(即土茯苓,二两)。若患者久病气虚,可加入人参。
【用法】加水两碗,煎至八分满。根据病变部位在上或在下,分别在饭前或饭后服用。若病变在腿脚下方,可加牛膝一钱。病情较轻者,一个月可消退;病情深重者,百日可痊愈。忌食牛肉、烧酒、海鲜腥味及煎炸炒制食物。此疮发作时多先表现为下疳(生殖器溃疡),若预先服用此方,可以阻止杨梅疮的发生。
【组成】解毒天浆散由天花粉、皂角针、防风、防己、牛膝、风藤、川芎、当归、连翘、石膏(原文疑为笔误,结合上下文及功效应为清热解毒药,此处依原文列出但需注意)、金银花、草(原文缺字,推测为草药类)、木瓜、蝉蜕、薏苡仁组成。
【主治】治疗杨梅疮,无论新发还是久病,全身溃烂且伴有筋骨疼痛者。
【配方】天花粉(二钱),防风、防己、皂角针、白癣皮、连翘、川芎、当归、风藤、木瓜、金银花、蝉蜕、薏苡仁(各一钱),甘草(五分),土茯苓(二两)。若病变在下部,加牛膝。
【用法】加水两钟,煎至八分满。服药前加入一杯酒,根据病变部位上下,调整服药时间。
【组成】升麻解毒汤由升麻、皂角针、土茯苓等组成,并根据症状加减白芷、桔梗、白芍、羌活、牛膝等。
【主治】治疗杨梅疮引起的筋骨疼痛,日久不愈;以及治疗多年或近期发生的流注结毒(深部脓肿或结节),皮肤肌肉破损,咽喉受损破裂者均适宜服用。
【配方】川升麻、新鲜皂角针各四钱,上白土茯苓一斤。若病变在颈部以上,加白芷;咽喉内部受损,加桔梗;胸腹部病变,加白芍;肩背部病变,加羌活;下部病变,加牛膝(各一钱)。
【用法】用水八碗,煎至四碗,分为四次在一日内服完。每次服用时,趁热加入三茶匙麻油搅拌均匀。根据病变部位上下,在饭前或饭后服用。重症患者不超过十剂即可。
【组成】归灵汤由四物汤(川芎、当归、白芍、熟地)、米仁(薏苡仁)、木瓜、防己、白癣皮、天花粉、人参、白术、金银花、甘草、白芷、牛膝、威灵仙、土茯苓组成。
【主治】治疗杨梅疮,无论新发还是久病,只要患者元气虚弱,适宜服用此药。
【配方】川芎、当归、白芍、熟地、米仁、木瓜、防己、天花粉、金银花、白癣皮、人参、白术(各一钱),甘草(五分),威灵仙(六分)。若病变在下部,加牛膝(五分),土茯苓(二两)。
【用法】加水三钟,煎至二钟。分两次,根据病变部位上下,在饭前或饭后服用。药渣再次煎煮至八分满服用。
【组成】防风必效散由防风、荆芥、槐花、苍术、连翘、风藤、白癣皮、白芷、当归、皂角针、木通、天花粉、木瓜、金银花、蕃白草等组成。
【主治】治疗杨梅疮湿热过盛,疮疡高突稠密,且患者体质原本强健者服用。
【配方】防风、防己、荆芥、白癣皮、连翘、槐花、苍术、皂角针、风藤、木通、白芷、天花粉、木瓜、金银花、蕃白草(各一钱),甘草(五分),土茯苓(四两)。初起时可加大黄(三钱)。
【用法】加水三碗,煎至二碗,分两次服用。药渣再煎一碗,服用后饮一大杯酒,随即静睡约一小时更佳。
【主治】治疗杨梅疮,无论新旧轻重皆有效。另治杨梅结毒、筋骨疼痛,其他药物无效者更为奇妙。
【配方与用法】取好酒五斤,放入一个大虾蟆(蟾蜍)浸泡,密封瓶口。点燃两支香的时间,取出虾蟆。待次日,根据饮酒者大小,以喝醉为限度。冬夏季节需盖暖被子出汗才见效。存留的酒,次日只服用一半的量,酒喝完则疮愈。服用酒后七日内,严禁吹风,注意忌口及禁止房事,百日后可绝根。
【主治】治疗杨梅疮已服用内服药,疮根不发红,疮势已退者使用。
【用法】共研成极细粉末,用瓷罐储存。湿疮直接干撒粉末,干疮用公猪胆汁调和点涂。三日点涂三次,疮口自然干燥愈合。
又:点药方
【用法】杏仁(四十九粒,去皮和尖),雄黄(一钱),轻粉(二钱)。先将杏仁捣碎,加入雄黄和轻粉的细末,再研磨均匀,用猪胆汁调和后点涂于疮上。敢教三日自承平(意为三天内可使病情平稳)。
【用法】以上各药等分为极细末,干撒于腐烂处,即可生疤结痂。若再次溃烂,再次撒药,直到毒素排尽方可痊愈。这是解毒、止痛、收干伤口的特效药。
Jiawei Yiliang Tang (Modified Earth Vine Decoction)
[Composition] Jiawei Yiliang Tang consists of Chaenomelis Fructus (Mu Gua), Ligustici Chuanxiong Rhizoma (Chuan Xiong), Angelicae Sinensis Radix (Dang Gui), Saposhnikoviae Radix (Fang Feng), Coicis Semen (Yi Yi Ren), Atractylodis Rhizoma (Cang Zhu), Lonicerae Japonicae Flos (Jin Yin Hua), Phellodendri Cortex (Bai Xian Pi), Gleditsiae Spina (Zao Jia Zi), Syringae Ramulus et Folium (Wei Ling Xian), Akebiae Caulis (Mu Tong), Glycyrrhizae Radix et Rhizoma (Gan Cao), and Ginseng Radix et Rhizoma (Ren Shen).
[Indications] It is indicated for initial stages of Yangmei Chuang (Syphilis) presenting with pain in the sinews and bones, as well as cases persisting for months that are lingering and difficult to cure. It is also applicable for wind-toxin internal entrapment caused by the mistaken ingestion of Calomelas (Qing Fen), resulting in paralysis, bone pain, and inability to walk.
[Prescription] Ligustici Chuanxiong Rhizoma, Angelicae Sinensis Radix, Saposhnikoviae Radix, Coicis Semen, Chaenomelis Fructus, Lonicerae Japonicae Flos, Akebiae Caulis, Phellodendri Cortex, Atractylodis Rhizoma, Syringae Ramulus et Folium (each 1 qian); Glycyrrhizae Radix et Rhizoma (0.5 qian). Gleditsiae Spina (5 pods, sliced and lightly stir-fried); Smilax Glabrae Rhizoma (Xian Yi Liang / Tu Fu Ling, 2 liang). If the patient has chronic disease with Qi deficiency, add Ginseng Radix et Rhizoma.
[Administration] Add two bowls of water, decoct until reduced to 80%. Administer before or after meals depending on whether the lesion is located superiorly or inferiorly. If the lesion is below the legs and feet, add Achyranthis Bidentatae Radix (Niu Xi, 1 qian). Mild cases may resolve within one month; deep-seated cases may heal within 100 days. Avoid beef, distilled spirits, seafood, and fried foods. This sore often begins as a Chancre (Xiagan). Preemptive administration of this formula can prevent the onset of Yangmei Chuang.
Jiedu Tianjiang San (Detoxifying Heavenly Pulp Powder)
[Composition] Jiedu Tianjiang San consists of Trichosanthis Radix (Tian Hua Fen), Gleditsiae Spina (Zao Jiao Zhen), Saposhnikoviae Radix, Stephaniae Tetrandrae Rhizoma (Fang Ji), Achyranthis Bidentatae Radix (Niu Xi), Spatholobi Caulis (Feng Teng), Ligustici Chuanxiong Rhizoma, Angelicae Sinensis Radix, Forsythiae Fructus (Lian Qiao), Phellodendri Cortex, Lonicerae Japonicae Flos, Aurum Mumeorphae Exuvies (Chan Tui), and Coicis Semen.
[Indications] Treats Yangmei Chuang (Syphilis), regardless of whether it is new or old, characterized by widespread ulceration and pain in the sinews and bones.
[Prescription] Trichosanthis Radix (2 qian); Saposhnikoviae Radix, Stephaniae Tetrandrae Rhizoma, Gleditsiae Spina, Phellodendri Cortex, Forsythiae Fructus, Ligustici Chuanxiong Rhizoma, Angelicae Sinensis Radix, Spatholobi Caulis, Chaenomelis Fructus, Lonicerae Japonicae Flos, Aurum Mumeorphae Exuvies, Coicis Semen (each 1 qian); Glycyrrhizae Radix et Rhizoma (0.5 qian); Smilax Glabrae Rhizoma (Tu Fu Ling, 2 liang). Add Achyranthis Bidentatae Radix if the lesion is in the lower body.
[Administration] Add two zhong of water, decoct until reduced to 80%. Add one cup of wine just before taking the medicine. Adjust timing based on the location of the lesion.
Shengma Jiedu Tang ( Cimicifugae Detoxification Decoction)
[Composition] Shengma Jiedu Tang consists of Cimicifugae Rhizoma (Sheng Ma), Gleditsiae Spina, and Smilax Glabrae Rhizoma, with additions such as Angelicae Dahuricae Radix (Bai Zhi), Platycodonis Radix (Jie Geng), Paeoniae Radix Alba (Bai Shao), Notopterygii Rhizoma et Radix (Qiang Huo), and Achyranthis Bidentatae Radix (Niu Xi) according to symptoms.
[Indications] Treats pain in the sinews and bones caused by Yangmei Chuang that persists for a long time without healing. It is also suitable for treating deep abscesses or nodules (Liuzhu Jiedu) from many years ago or recent onset, where skin and flesh are broken, and the throat is damaged or perforated.
[Prescription] Cimicifugae Rhizoma and fresh Gleditsiae Spina (4 qian each); high-quality Smilax Glabrae Rhizoma (1 jin). Add Angelicae Dahuricae Radix for lesions above the neck; Platycodonis Radix for internal throat damage; Paeoniae Radix Alba for chest and abdomen lesions; Notopterygii Rhizoma et Radix for shoulder and back lesions; Achyranthis Bidentatae Radix (each 1 qian) for lower body lesions.
[Administration] Use eight bowls of water, decoct until reduced to four bowls. Divide into four doses to be consumed within one day. For each dose, take it hot and mix in three tea spoons of Sesame Oil. Administer before or after meals depending on the lesion's location. Severe cases require no more than ten doses.
Guiling Tang (Restoring Spirit Decoction)
[Composition] Guiling Tang consists of Siwu Tang (Sichuan Lovage Rhizome, Dong Quai, White Peony Root, Prepared Rehmannia Root), Coicis Semen, Chaenomelis Fructus, Stephaniae Tetrandrae Rhizoma, Trichosanthis Radix, Ginseng Radix et Rhizoma, Atractylodis Macrocephalae Rhizoma, Lonicerae Japonicae Flos, Phellodendri Cortex, Glycyrrhizae Radix et Rhizoma, Angelicae Dahuricae Radix, Achyranthis Bidentatae Radix, Syringae Ramulus et Folium, and Smilax Glabrae Rhizoma.
[Indications] Treats Yangmei Chuang (Syphilis), whether new or old, specifically for patients with weak Yuan Qi (Vital Energy).
[Prescription] Ligustici Chuanxiong Rhizoma, Angelicae Sinensis Radix, Paeoniae Radix Alba, Prepared Rehmanniae Radix, Coicis Semen, Chaenomelis Fructus, Stephaniae Tetrandrae Rhizoma, Trichosanthis Radix, Lonicerae Japonicae Flos, Phellodendri Cortex, Ginseng Radix et Rhizoma, Atractylodis Macrocephalae Rhizoma (each 1 qian); Glycyrrhizae Radix et Rhizoma (0.5 qian); Syringae Ramulus et Folium (0.6 qian). Add Achyranthis Bidentatae Radix (0.5 qian) and Smilax Glabrae Rhizoma (2 liang) if the lesion is in the lower body.
[Administration] Add three zhong of water, decoct until reduced to two zhong. Take twice, adjusting timing based on lesion location. The dregs should be re-decocted until reduced to 80% and taken.
Fangfeng Bixiao San (Wind-Protecting Certain Efficacy Powder)
[Composition] Fangfeng Bixiao San consists of Saposhnikoviae Radix, Schizonepetae Spica (Jing Jie), Sophorae Flavescentis Flos (Huai Hua), Atractylodis Rhizoma, Forsythiae Fructus, Spatholobi Caulis, Phellodendri Cortex, Angelicae Dahuricae Radix, Angelicae Sinensis Radix, Gleditsiae Spina, Akebiae Caulis, Trichosanthis Radix, Chaenomelis Fructus, Lonicerae Japonicae Flos, and Artemisiae Scopariae Herba (Fan Bai Cao).
[Indications] Treats Yangmei Chuang where damp-heat is excessive, sores are elevated and dense, and the patient's constitution is originally robust.
[Prescription] Saposhnikoviae Radix, Stephaniae Tetrandrae Rhizoma, Schizonepetae Spica, Phellodendri Cortex, Forsythiae Fructus, Sophorae Flavescentis Flos, Atractylodis Rhizoma, Gleditsiae Spina, Spatholobi Caulis, Akebiae Caulis, Angelicae Dahuricae Radix, Trichosanthis Radix, Chaenomelis Fructus, Lonicerae Japonicae Flos, Artemisiae Scopariae Herba (each 1 qian); Glycyrrhizae Radix et Rhizoma (0.5 qian); Smilax Glabrae Rhizoma (4 liang). Add Rheum Palmatum Radix et Rhizoma (3 qian) at the initial stage.
[Administration] Add three bowls of water, decoct until reduced to two bowls. Take twice. Re-decoct the dregs until reduced to one bowl. After taking the medicine, drink a large cup of wine and then rest quietly for about an hour for better effect.
Jinchan Tuo Jia Jiu (Golden Toad Shedding Armor Wine)
[Indications] Effective for Yangmei Chuang (Syphilis) regardless of duration or severity. Particularly excellent for Yangmei Jiedu (syphilitic gummas) and bone/joint pain unresponsive to other medicines.
[Preparation and Administration] Use five jin of good wine. Soak one large toad (Bufo bufo gargarizans) in the wine and seal the bottle mouth. Boil until fragrant (duration equivalent to burning two incense sticks), then remove the toad. On the next day, consume the wine according to the patient's tolerance, aiming for intoxication. In winter and summer, cover warmly to induce sweating for efficacy. On the second day, consume only half of the remaining amount. When the wine is finished, the sore heals. After seven days of consumption, avoid wind exposure strictly. Observe dietary restrictions and abstain from sexual intercourse. The root cause will be eliminated in 100 days.
Cuiyun San (Emerald Cloud Powder)
[Composition] Cuiyun San consists of Viridimuriae (Tong Lv), Chalcanthite (Dan Fan), Calomelas (Qing Fen), and Gypsum Fibrosum (Shi Gao).
[Indications] Used when Yangmei Chuang has been treated with internal medicine, the base of the sore is not red, and the sore condition has receded.
[Prescription] Viridimuriae and Chalcanthite (5 qian each); Calomelas and Gypsum Fibrosum (1 liang each).
[Administration] Grind into an extremely fine powder and store in a porcelain jar. For wet sores, sprinkle dry powder directly. For dry sores, mix with male pig bile to apply. Apply three times over three days; the sore will naturally dry and heal.
Additional: Point Medicine Formula
[Composition] Consists of Almond (Xing Ren), Realgar (Xiong Huang), and Calomelas (Qing Fen).
[Administration] Almonds (49 grains, peeled and de-husked), Realgar (1 qian), Calomelas (2 qian). First, crush the almonds finely, add the fine powders of Realgar and Calomelas, and grind evenly. Mix with pig bile and apply to the sore. It is claimed to bring peace/stability within three days.
Ehuang San (Goose Yellow Powder)
[Composition] Ehuang San consists of pure Calomelas, Gypsum Fibrosum, and Phellodendri Cortex.
[Indications] Suitable for Yangmei Chuang that has ulcerated into patches, with abundant purulent discharge and severe pain.
[Prescription] Gypsum Fibrosum, Calomelas, Phellodendri Cortex (stir-fried).
[Administration] Grind all ingredients equally into an extremely fine powder. Sprinkle dry onto the rotten/ulcerated area to form scabs. If it ulcerates again, sprinkle again. Healing occurs once toxins are exhausted. This is an effective medicine for detoxification, pain relief, and drying wounds.