解毒济生汤
解毒济生汤草芎 花粉柴芩归茯苓
知柏红花并远志 犀角升麻牛膝同
治脱疽初起,恶寒体倦,发热作渴,或肿或紫,或麻或痛,四肢倦怠,心志恍惚不宁者,并宜服之。
川芎 当归 黄柏 知母 天花粉 金银花 麦门冬 远志 柴胡 黄芩 犀角 茯神(各一钱) 甘草
红花 升麻(手指加) 牛膝(足趾加,各五分)
水二钟,煎八分,临服入童便一杯,随病上下服。
阴阳二气丹
阴阳二气麦天冬 片柏玄参青黛同
泽泻辰砂矾五味 人参甘草解烦癃
治脱疽久服丹石补药,致亏肾水,多成口燥咽干,至饮冰雪不知其冷,此孤阳独旺,宜服此解。
天门冬(捣膏) 麦门冬(捣膏) 五味子(砂研) 黄柏 人中白(小儿溺者,生用研) 玄参(汤泡,
去粗皮捣膏,各一两) 青黛(色娇嫩者) 甘草 枯矾 辰砂(为衣) 泽泻(各三钱) 冰片(一钱)
各为细末,同玄参二冬膏子加炼蜜少许,再捣千余下,软硬得中,丸如桐子大,每服六十丸,童便、乳汁
各一钟,空心送下,安睡一时,其功如神。
清神散
清神散内用朱砂 豆粉梅花冰片佳
解毒共于甘草节 诸疮烦呕自无他
治脱疽、疔疮、发背毒积甚者,腠理发越不尽,多致烦躁闷乱,睡则谵言,呕吐不食者,并宜服之。
甘草节(五钱) 真豆粉(一两) 大朱砂(三钱) 梅花片(五分) 牛黄(三分)
上为细末,每服一钱,淡竹叶、灯心汤调服。
雌雄霹雳火
雌雄霹雳火纯阳 蕲艾双黄丁麝香
阴毒阴疽阴发背 逢之一灸自回阳
治脱疽及一切发背,初起不疼痛者,并宜灸之。
艾茸(二钱) 丁香 雌黄 雄黄(各二分) 麝香(一钱)
上下四味,共研极细,搓入艾中,作安豆大丸放于患上灸之,毋论痛痒,以肉焦为度。如毒已经走散,就
红晕尽处排炷灸之;痛则至痒、痒则至痛为妙。灸后仍用提疔麦子粘贴膏盖,次服蟾酥丸及解毒济生汤兼治,
转回活色有脓为妙。
金液戊土丹
金液戊土丹五味 牛黄神志石菖蒲
砂雄硝石乌梅等 片射人中黄不殊
治脱疽及疔疮、发背,纵食膏粱浓味法酒,又或丹石补药,勉力房劳,多致积毒脏腑,久则胃汁中干,肾
水枯竭,不能上制心火,以致消渴、消中、消肾,饶饮多干,能食多瘦,九窍不通,惊悸健忘,此症若出后必
发疽,多难治疗。宜预服此,亦可转重就轻,移深就浅,又解五金八石之毒药也。
人中黄(法在末卷) 乌梅肉 茯神 胡黄连 五味子(各一两) 石菖蒲 辰砂 雄黄 远志 硝石(各
三钱) 牛黄 冰片(各一钱) 金箔(二十张,为衣)
各为净末,配准前数,共入乳钵内再研小转,于端午、七夕,或二至、二分吉辰,在净室中先将乌梅、地
黄二膏捣极烂,和药渐加炼蜜少许,徐徐添捣,软硬得中,每药一两,分作十丸,金箔为衣。每服一丸,用人
乳、童便共一大杯化药,随病上
下,食前后服之。此药最解膏粱、金石药毒,杀三尸,除劳热,极有奇功。又治烦颠,主安神志、辟瘴、辟瘟
及诸邪魅,谵语妄情,失心丧志者俱效。……此药用蜡封固收藏,不泄药味,愈久愈效。
解毒济生汤由草芎、花粉、柴胡、黄芩、当归、茯苓、知母、黄柏、红花、远志、犀角、升麻、牛膝组成。
(歌诀:解毒济生汤草芎,花粉柴芩归茯苓;知柏红花并远志,犀角升麻牛膝同。)
主治脱疽初起阶段,出现恶寒、身体疲倦、发热且口渴,患处或肿胀或呈紫黑色,或麻木或疼痛,四肢倦怠无力,心神恍惚不安的症状,均适宜服用此方。
处方组成:川芎、当归、黄柏、知母、天花粉、金银花、麦门冬、远志、柴胡、黄芩、犀角、茯神(各一钱);红花、升麻(若病变在手指则加用)、牛膝(若病变在足趾则加用,各五分)。
煎服方法:用水二钟,煎至八分,服药前加入童便一杯,根据病位在上或在下分别服用。
阴阳二气丹由天门冬、麦门冬、黄柏、玄参、青黛、泽泻、辰砂、枯矾、五味子、人参、甘草组成。
(歌诀:阴阳二气麦天冬,片柏玄参青黛同;泽泻辰砂矾五味,人参甘草解烦癃。)
主治因长期服用丹石类补药,导致肾水亏损,出现口燥咽干,甚至喝冰雪水也不知冷的症状。这是孤阳独旺所致,适宜服用此方以解除。
处方组成:天门冬(捣成膏状)、麦门冬(捣成膏状)、五味子(砂研)、黄柏、人中白(取小儿尿液浸渍过的石灰,生用研细)、玄参(热水浸泡,去粗皮后捣成膏状,以上各一两);青黛(色泽娇嫩者)、甘草、枯矾、辰砂(作为药衣)、泽泻(各三钱);冰片(一钱)。
制法与服法:将上述药材分别研为细末,连同玄参及二冬(天门冬、麦门冬)的膏子,加入少许炼蜜,再次捣击千余下,使软硬适中,制成如梧桐子大小的丸剂。每次服用六十丸,用童便和乳汁各一钟送服,空腹服用,服后安睡一时辰,疗效神奇。
清神散内用朱砂、豆粉、梅花冰片为佳。
(歌诀:清神散内用朱砂,豆粉梅花冰片佳;解毒共于甘草节,诸疮烦呕自无他。)
主治脱疽、疔疮、发背等毒邪积聚严重的病症,腠理开泄但毒邪未尽,多导致烦躁闷乱,睡眠中谵语妄言,呕吐不能进食的症状,均适宜服用此方。
处方组成:甘草节(五钱)、真豆粉(一两)、大朱砂(三钱)、梅花片(即冰片,五分)、牛黄(三分)。
制法与服法:以上药材研为细末,每次服用一钱,用淡竹叶、灯心草煎汤调服。
雌雄霹雳火由纯阳蕲艾、双黄(雄黄、雌黄)、丁香、麝香组成。
(歌诀:雌雄霹雳火纯阳,蕲艾双黄丁麝香;阴毒阴疽阴发背,逢之一灸自回阳。)
主治脱疽以及一切发背病症,初起时不疼痛者,均适宜施灸。
处方组成:艾茸(二钱)、丁香、雌黄、雄黄(各二分)、麝香(一钱)。
制法与施灸法:将上下四味药材共研极细,掺入艾绒中,搓成如赤小豆大小的丸粒,放置在患处进行艾灸。不论感觉痛或痒,以皮肤肌肉焦枯为度。如果毒邪已经走散,就在红晕边缘处排列艾炷施灸;以“痛变为痒、痒变为痛”为最佳效果。灸后仍需用提疔麦子粘贴膏覆盖,随后服用蟾酥丸及解毒济生汤联合治疗,待患处转回活色并有脓液排出为妙。
金液戊土丹由五味子、牛黄、茯神、石菖蒲、辰砂、雄黄、硝石、乌梅、冰片、人中黄等组成。
(歌诀:金液戊土丹五味,牛黄神志石菖蒲;砂雄硝石乌梅等,片射人中黄不殊。)
主治脱疽及疔疮、发背。若纵食膏粱厚味及烈性酒,又或服用丹石补药,勉强行房事,多导致毒邪积滞脏腑,日久胃汁干枯,肾水枯竭,不能上制心火,以致出现消渴、消中、消肾等症状,表现为虽多饮却口干,能食却消瘦,九窍不通,惊悸健忘。此症若发作后必发疽疮,大多难以治疗。适宜预先服用此方,亦可转重为轻,移深就浅,并能解五金八石之毒药。
处方组成:人中黄(制法见本书末卷)、乌梅肉、茯神、胡黄连、五味子(各一两);石菖蒲、辰砂、雄黄、远志、硝石(各三钱);牛黄、冰片(各一钱);金箔(二十张,作为药衣)。
制法与服法:将各药研为净末,按前述比例配合,共同放入乳钵中再研磨片刻。选择端午、七夕,或冬至、夏至、春分、秋分等吉日,在洁净室中先将乌梅、地黄两种膏药捣烂,混合药物并逐渐加入少许炼蜜,徐徐捣匀,使软硬适中。每两药粉分为十丸,用金箔包裹。每次服用一丸,用人乳和童便共一大杯化开药丸,根据病位在上或在下,饭前或饭后服用。此药最能解膏粱厚味及金石药物的毒性,杀三尸虫,除劳热,极具奇效。又治烦躁癫狂,主安神志、辟瘴气、辟瘟疫及各类邪魅,对谵语妄情、失心丧志者均有效。……此药用蜡密封收藏,不泄漏药味,存放越久疗效越好。
Jiedu Jisheng Tang (Detoxification and Life-Preserving Decoction)
Jiedu Jisheng Tang is composed of Chuanxiong Rhizome (Chuanxiong), Trichosanthes Root (Huafen), Bupleurum Root (Chaihu), Scutellaria Root (Huangqin), Angelica Sinensis Radix (Danggui), Poria (Fuling), Anemarrhena Rhizome (Zhimu), Phellodendron Bark (Huangbai), Safflower (Honghua), Polygala Root (Yuanzhi), Rhinoceros Horn (Xijiao - *note: substitute with water buffalo horn in modern practice*), Cimicifuga Rhizome (Shengma), and Achyranthes Root (Niuxi).
(Verse: Jiedu Jisheng Tang contains Chuanxiong, Huafen, Chaihu, Huangqin, Danggui, Fuling; Zhimu, Huangbai, Honghua, Yuanzhi, Xijiao, Shengma, Niuxi.)
Indications: For the initial stage of gangrene of the extremities (Tuoju), characterized by aversion to cold, physical fatigue, fever with thirst, swelling or purplish-black discoloration of the affected area, numbness or pain, lassitude of the four limbs, and mental restlessness. This formula is suitable for such conditions.
Prescription: Chuanxiong Rhizome, Angelica Sinensis Radix, Phellodendron Bark, Anemarrhena Rhizome, Trichosanthes Root, Honeysuckle Flower (Jinyinhua), Ophiopogon Tuber (Mendong), Polygala Root, Bupleurum Root, Scutellaria Root, Rhinoceros Horn, Poria (each 1 qian); Safflower, Cimicifuga Rhizome (add if lesions are on fingers), Achyranthes Root (add if lesions are on toes, each 0.5 qian).
Administration: Decoct with two zhong of water until reduced to eight fen. Before taking, add one cup of fresh urine from a healthy child (Tongbian). Administer according to whether the disease is located above or below.
Yinyang Erqi Dan (Two-Qi Yin-Yang Pill)
Yinyang Erqi Dan is composed of Asparagus Tuber (Tianmendong), Ophiopogon Tuber (Mendong), Phellodendron Bark, Scrophularia Root (Xuanshen), Indigo Naturalis (Qingdai), Alisma Rhizome (Zexie), Cinnabar (Chensha), Alum (Kufan), Schisandra Berry (Wuweizi), Ginseng Radix (Renshen), and Licorice Root (Gancao).
(Verse: Yinyang Erqi Dan contains Tianmendong, Mendong, Huangbai, Xuanshen, Qingdai; Zexie, Chensha, Kufan, Wuweizi, Renshen, Gancao to relieve irritability and strangury.)
Indications: Caused by long-term use of mineral tonics (Danshi), leading to depletion of Kidney Water, resulting in dry mouth and throat, even drinking ice and snow without feeling cold. This indicates solitary hyperactivity of Yang fire; this formula is suitable to resolve it.
Prescription: Asparagus Tuber (pounded into paste), Ophiopogon Tuber (pounded into paste), Schisandra Berry (ground with sand), Phellodendron Bark, Human Urine Lime (Renzhongbai - lime used in urinals, raw and ground), Scrophularia Root (soaked in hot water, coarse skin removed, pounded into paste, each 1 liang); Indigo Naturalis (delicate color), Licorice Root, Calcined Alum, Cinnabar (as coating), Alisma Rhizome (each 3 qian); Borneol (1 qian).
Preparation and Administration: Grind each ingredient into fine powder. Mix with Scrophularia paste and the pastes of Tianmendong and Mendong. Add a small amount of refined honey and pound over a thousand times until the consistency is moderate. Form pills the size of paulownia seeds. Take sixty pills per dose, delivered with one zhong each of fresh urine from a healthy child and milk, taken on an empty stomach. Sleep for one shichen (two hours) after ingestion; the effect is miraculous.
Qingshen San (Spirit-Clearing Powder)
Qingshen San uses Cinnabar, Bean Flour, and Plum-blossom Borneol as excellent ingredients.
(Verse: Qingshen San uses Cinnabar, Bean Flour, and Plum-blossom Borneol are good; Combined with Licorice Joint for detoxification, irritability and vomiting from sores will cease.)
Indications: For severe accumulation of toxins in gangrene of the extremities, carbuncles (Dingchuang), and back carbuncles (Fabai), where pores open but toxins remain unresolved, leading to irritability, confusion, delirious speech during sleep, vomiting, and inability to eat. This formula is suitable for such conditions.
Prescription: Licorice Joint (Gancao Jie - 5 qian), True Bean Flour (Zhen Difen - 1 liang), Large Cinnabar (Da Zhusha - 3 qian), Plum-blossom Borneol (Meihua Pian - 5 fen), Realgar/Bezoar? No, Niu Huang (Calculus Bovis - 3 fen).
Administration: Grind all ingredients into fine powder. Take 1 qian per dose, mixed and administered with decoction of Bamboo Leaf (Dan Zhuye) and Centella Herb/Juncus Effusus (Dengxin).
Cixiong Pili Huo (Male-Female Thunder Fire Moxibustion)
Cixiong Pili Huo consists of pure Yang Qi Ai (Mugwort from Qichun), Double Huang (Realgar and Orpiment), Clove (Dingxiang), and Musk (Shexiang).
(Verse: Cixiong Pili Huo is pure Yang, Qi Ai, Double Huang, Dingxiang, Shexiang; For Yin toxins, Yin gangrene, and Yin back carbuncle, one moxibustion restores Yang.)
Indications: For gangrene of the extremities and all types of back carbuncles that do not cause pain at the initial stage. Moxibustion is suitable.
Prescription: Mugwort Floss (Airong - 2 qian), Clove (Dingxiang), Orpiment (Cihuang), Realgar (Xionghuang - each 2 fen), Musk (Shexiang - 1 qian).
Preparation and Application: Grind the four ingredients into extremely fine powder and mix into mugwort floss. Roll into pills the size of a red bean. Place on the affected area and perform moxibustion. Regardless of pain or itching, continue until the flesh becomes scorched. If the toxin has spread, arrange moxa cones at the edge of the erythema. The optimal effect is achieved when pain turns to itching and itching turns to pain. After moxibustion, apply a plaster containing "Ti Ding Mai Zi" (likely a specific herbal plaster) to draw out toxins. Subsequently, administer Chan Su Wan (Toad Venom Pills) and Jiedu Jisheng Tang concurrently. The goal is for the tissue to regain vitality and for pus to form.
Jinye Wutu Dan (Golden Fluid Earth Earth Pill)
Jinye Wutu Dan consists of Schisandra Berry, Calculus Bovis, Poria, Acorus Rhizome, Cinnabar, Realgar, Niter (Saltpeter), Smoked Plum, Borneol, and Renzhonghuang.
(Verse: Jinye Wutu Dan contains Wuweizi, Niu Huang, Shen Zhi (Poria/Mind-calming herbs), Shichangpu; Shachen, Xionghuang, Xiaoshi, Wumei, etc., Pian (Borneol) and She (Musk?) and Renzhonghuang are no different.)
Indications: For gangrene of the extremities, carbuncles, and back carbuncles. Caused by indulgence in rich foods and strong alcohol, use of mineral tonics, or excessive sexual activity, leading to toxin accumulation in the Zang-Fu organs. Long-term effects include drying of Stomach fluids and depletion of Kidney Water, failing to control Heart Fire. Symptoms include Xiao Ke (Wasting-Thirst), Xiao Zhong (Middle Wasting), Xiao Shen (Kidney Wasting), polydipsia with dryness, polyphagia with emaciation, obstruction of the nine orifices, palpitations, and poor memory. If these symptoms manifest, gangrene will likely develop and is difficult to treat. It is advisable to take this formula prophylactically to transform severe cases into mild ones, deep diseases into superficial ones, and to detoxify heavy metals and minerals.
Prescription: Renzhonghuang (Human Medicated Dung - preparation in last volume), Smoked Plum Flesh (Wumei Rou), Poria, Picrorhiza Rhizome (Huhuanglian), Schisandra Berry (each 1 liang); Acorus Rhizome, Cinnabar, Realgar, Polygala Root, Niter (each 3 qian); Calculus Bovis, Borneol (each 1 qian); Gold Leaf (Jinbo - 20 sheets, as coating).
Preparation and Administration: Grind all ingredients into clean powder. Combine according to the specified ratios. Further grind in a mortar. Choose auspicious days such as Dragon Boat Festival, Qixi Festival, or Solstices/Equinoxes. In a clean room, first pound Smoked Plum and Rehmannia Root pastes until very soft. Gradually add the powder and a little refined honey, pounding slowly until consistency is moderate. Divide each liang of powder into ten pills, coated with gold leaf. Take one pill per dose, dissolved in a large cup of human milk and fresh urine from a healthy child. Administer before or after meals depending on the location of the disease. This formula effectively detoxifies rich foods and mineral drugs, eliminates "Three Worms," clears deficiency heat, and has remarkable efficacy. It also treats mania, calms the mind, repels miasma, prevents epidemics, and counters evil influences, delirium, and loss of spirit. ... Store this medicine sealed with wax to preserve potency; the longer it is stored, the more effective it becomes.