黄连除湿汤
黄连除湿汤芩朴 苍术陈归枳壳翘
防风甘草硝黄等 脏毒悬痈此莫逃
治脏毒初起,湿热流注肛门,结肿疼痛,小水不利,大便秘结,身热口干,脉数有力,或里急后重。
黄连 黄芩 川芎 当归 防风 苍术 浓朴 枳壳 连翘(各一钱) 甘草(五分) 大黄 朴硝
(各二钱)
水二钟,煎八分,空心服。
凉血地黄汤
凉血地黄汤连芍 生地芎归术地榆
人参花粉茯苓草 山栀加上效应孚
治脏毒已成未成、或肿不肿,肛门疼痛,大便坠重,或泄或秘,常时便血,头晕眼花,腰膝无力者。
川芎 当归 白芍 生地 白术 茯苓(各一钱) 黄连 地榆 人参 山栀 天花粉 甘草(各五分)
水二钟,煎八分,食前服。
内托黄 散
内托黄 散芍归 川芎山甲共陈皮
角针白术槟榔等 脏毒将成此药医
治脏毒已成,红色光亮,已欲作脓,不必内消,宜服此药溃脓。
川芎 当归 陈皮 白术 黄 白芍 穿山甲 角针(各一钱) 槟榔(三分)
水二钟,煎八分,食前服。
黄连解毒汤(见痈疽肿疡门)
治好饮法酒,纵食膏粱,积热流入大肠,致肛门结成肿痛,疼刺如钟,坚硬如石宜服。
金液戊土膏(见痈疽门)
治脏毒出于骄奢情性,惯于急暴,烈火猖狂,思不如愿,水已枯竭,火不发泄,旺而又郁,郁而又旺,以
致肛门结肿,毒攻五内,痛如芒刺,炽如火炕,臭水淋漓,生命难望,宜服此药,免生惆怅也。
珍珠散(见下疳门)
治肛门肿泛如箍,红紫急胀,坚硬痛极。本方加冰片研极细,猪脊髓调涂患上,早晚日用二次。
方歌:黄连除湿汤由黄芩、厚朴、苍术、陈皮、当归、枳壳、连翘组成,再加上防风、甘草、芒硝、大黄等药。对于脏毒和悬痈这两种病症,此方没有不能治愈的。
主治:治疗脏毒初起阶段,湿热之邪流注于肛门,凝结成肿并伴有疼痛,小便不通畅,大便干结难解,身体发热且口干,脉搏快而有力,或者出现里急后重(想排便但排不出或排不尽的感觉)的症状。
药物组成:黄连、黄芩、川芎、当归、防风、苍术、厚朴、枳壳、连翘(各一钱),甘草(五分),大黄、芒硝(各二钱)。
煎服法:用水两钟,煎至八分满,空腹服用。
方歌:凉血地黄汤包含黄连、白芍、生地黄、川芎、当归、白术、地榆,再加入人参、天花粉、茯苓、甘草,以及山栀,疗效显著。
主治:治疗脏毒已经形成或尚未完全形成的情况,无论肛门是否肿胀,只要出现肛门疼痛、大便有下坠感,或者腹泻或便秘交替,经常便血,头晕眼花,腰膝酸软无力的症状。
药物组成:川芎、当归、白芍、生地黄、白术、茯苓(各一钱),黄连、地榆、人参、山栀、天花粉、甘草(各五分)。
煎服法:用水两钟,煎至八分满,饭前服用。
方歌:内托黄芪散由白芍、当归、川芎、穿山甲、陈皮、皂角刺、白术、槟榔等组成,是治疗脏毒即将化脓时的良药。
主治:治疗脏毒已经形成,局部皮肤红色光亮,即将化脓的情况。此时不需要再使用消散的方法,适宜服用此药以促进脓液排出。
药物组成:川芎、当归、陈皮、白术、黄芪、白芍、穿山甲、皂角刺(各一钱),槟榔(三分)。
煎服法:用水两钟,煎至八分满,饭前服用。
黄连解毒汤(参见痈疽肿疡门章节)
主治:治疗因长期饮酒、嗜食肥甘厚味,导致积热流入大肠,致使肛门结成肿痛,疼痛剧烈如针刺,肿块坚硬如石头,适宜服用此药。
金液戊土膏(参见痈疽门章节)
主治:治疗因骄奢淫逸、性情急躁暴烈,导致烈火般的邪气猖狂肆虐,思虑不顺,阴液枯竭,火热之邪无法发泄,郁结与亢盛交替,最终导致肛门结肿,毒邪攻犯五脏内部,疼痛如芒刺扎入,炽热如火烤,流出恶臭脓水,生命垂危难以挽救的情况,适宜服用此药,以免产生遗憾。
珍珠散(参见下疳门章节)
主治:治疗肛门肿胀泛发如箍紧一般,颜色红紫,紧急胀满,坚硬且疼痛至极。本方加入冰片研成极细粉末,用猪脊髓调和涂抹于患处,早晚各使用一次。
Huanglian Shidu Decoction (Coptis Dampness-Draining Decoction)
Verse: Huanglian Shidu Decoction consists of Huangqin (Scutellariae Radix), Houpo (Magnoliae Officinalis Cortex), Cangzhu (Atractylodis Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), Zhike (Aurantii Fructus Immaturus), Lianqiao (Forsythiae Fructus), along with Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Xiaoshi (Natrii Sulfas), and Dahuang (Rhei Radix et Rhizoma). This formula is effective for treating Zangdu (Anal Abscess/Fistula) and Xuanyong (Perineal Abscess).
Indications: Treats the initial stage of Zangdu, where damp-heat flows into the anus, causing swelling, pain, difficult urination, constipation, fever, dry mouth, a rapid and forceful pulse, or tenesmus.
Ingredients: Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Fangfeng (Saposhnikoviae Radix), Cangzhu (Atractylodis Rhizoma), Houpo (Magnoliae Officinalis Cortex), Zhike (Aurantii Fructus Immaturus), Lianqiao (Forsythiae Fructus) (each 1 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 qian); Dahuang (Rhei Radix et Rhizoma), Xiaoshi (Natrii Sulfas) (each 2 qian).
Administration: Decoct in two zhong of water until reduced to eight-tenths; take on an empty stomach.
Liangxue Dihuang Tang (Blood-Cooling Rehmannia Decoction)
Verse: Liangxue Dihuang Tang contains Huanglian (Coptidis Rhizoma), Baishao (Paeoniae Radix Alba), Shengdi (Rehmanniae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Diyuyu (Sanguisorbae Radix), plus Renshen (Ginseng Radix), Tianhuafen (Trichosanthis Radix), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), and Shanzhi (Gardeniae Fructus), yielding excellent effects.
Indications: Treats Zangdu that has formed or is forming, regardless of whether there is swelling. It addresses anal pain, heaviness or bearing-down sensation during defecation, diarrhea or constipation, frequent hematochezia, dizziness, blurred vision, and weakness in the lower back and knees.
Ingredients: Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Shengdi (Rehmanniae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria) (each 1 qian); Huanglian (Coptidis Rhizoma), Diyuyu (Sanguisorbae Radix), Renshen (Ginseng Radix), Shanzhi (Gardeniae Fructus), Tianhuafen (Trichosanthis Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (each 0.5 qian).
Administration: Decoct in two zhong of water until reduced to eight-tenths; take before meals.
Neituo Huangqi San (Internal-Supporting Astragalus Powder)
Verse: Neituo Huangqi San comprises Baishao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chuanshanjia (Manis Squama), Chenpi (Citri Reticulatae Pericarpium), Jiaozhen (Gleditsiae Spina), Baizhu (Atractylodis Macrocephalae Rhizoma), and Binglang (Arecae Semen), serving as medicine for Zangdu about to suppurate.
Indications: Treats Zangdu that has formed, characterized by bright red, shiny skin, indicating impending suppuration. Internal resolution is no longer necessary; this formula should be taken to promote pus discharge.
Ingredients: Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Chenpi (Citri Reticulatae Pericarpium), Baizhu (Atractylodis Macrocephalae Rhizoma), Huangqi (Astragali Radix), Baishao (Paeoniae Radix Alba), Chuanshanjia (Manis Squama), Jiaozhen (Gleditsiae Spina) (each 1 qian); Binglang (Arecae Semen) (0.3 qian).
Administration: Decoct in two zhong of water until reduced to eight-tenths; take before meals.
Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity) (See Chapter on Carbuncles and Ulcers)
Indications: Treats conditions caused by excessive drinking and indulgence in rich, greasy foods, leading to accumulated heat flowing into the large intestine. This results in painful, swollen masses at the anus, with piercing pain like bells ringing and hardness like stone. This formula is suitable.
Jinye Wutu Gao (Golden Fluid Earth Soil Ointment) (See Chapter on Carbuncles)
Indications: Treats Zangdu arising from luxurious living and irritable temperament, where fierce fire-like pathogens rage unchecked. Due to unfulfilled desires and depleted yin fluids, fire cannot vent, leading to alternating stagnation and hyperactivity. This ultimately causes anal swelling, toxin attacking the five zang organs, pain like thorns, intense burning heat, profuse foul-smelling discharge, and critical condition with little hope of survival. This ointment is suitable to prevent regret.
Zhenzhu San (Pearl Powder) (See Chapter on Chancre)
Indications: Treats anal swelling that spreads like a tight band, with red-purple color, urgent distension, extreme hardness, and severe pain. Add Bingshan Pian (Borneolum Syntheticum) ground to fine powder to this formula, mix with pig spinal marrow, and apply to the affected area twice daily, morning and evening.