阴毒乃纯阴无阳,被天时寒冷肃杀之气,侵入肌肤,沉于骨髓,致气不能升,血不能行,凝滞经络,疼痛
切骨。初起不肿不热,朝轻暮重;久则作肿渐红,烂斑黑靥,臭水淋漓,秽气熏蒸,腐烂渐开,终久必死。
一人年三十岁,冬月隔沟与邻妇私交,房事方毕,忽妇夫回,慌忙隔沟赴水而走,热身受寒。五日后,小
腹、大臀阴痛不肿,日夜响叫,至一月后,谷道傍生一烂斑,黑靥倒陷,诸药不效;至半月大臀连黑,腐烂作
臭,干靥无脓;十日大脏俱坏,黑败而死也。又一人年四十岁,夏月好饮火酒,至夜赤身露卧,手膊连背阴疼
难忍,一月后肩发烂斑一块,周遭微硬,色如红枣,日渐延开,半月后手膊、半背共成黑靥,臭秽不堪,一月
不食而死。一人中年肥胖,亦冬夏好饮火酒,饮后随吃凉水,方卧一日,颈项作疼微肿,坚硬如石,二月外项
大如头,石硬不热,此阴毒也,辞不可治。后请别医治之,项同身大乃异症,不食而死。……。
失荣者,先得后失,始富终贫,亦有虽居富贵,其心或因六欲不遂,损伤中气,郁火相凝,隧痰失道停结
而成。其患多生肩之以上,初起微肿,皮色不变,日久渐大,坚硬如石,推之不移,按之不动;半载一年,方
生阴痛,气血渐衰,形容瘦削,破烂紫斑,渗流血水。或肿泛如莲,秽气熏蒸,昼夜不歇,平生疙瘩,愈久愈
大,越溃越坚,犯此俱为不治。予立二方,曾治数
人,虽不获全愈,而不夭札速死者,诚缓命药也。
和荣散坚丸
和荣散坚归地参 茯陈术附贝宁星
丹酸远柏并龙齿 芦荟朱砂与角沉
治失荣症坚硬如石,不热不红,渐肿渐大者服。
归身 熟地 茯神 香附 人参 白术 橘红(各二两) 贝母 南星 酸枣仁 远志 柏子仁 丹皮
(各一两) 龙齿(一对, 。无龙齿,鹿角尖二两 代之) 芦荟 角沉(各八钱) 朱砂(六钱,为衣)
上为细末,炼蜜丸桐子大,每服八十丸,食后用合欢树根皮煎汤送下。患者若改往从新,淡薄甘命,其中
有得愈者,十中一、二,否则难脱然也。
飞龙阿魏化坚膏
治失荣症及瘿瘤、乳岩、瘰 、结毒,初起坚硬如石,皮色不红,日久渐大,或疼不疼,但未破者,俱用
此贴。
用蟾酥丸药末一料,加金头蜈蚣五条炙黄去头足研末,同入熬就,乾坤一气膏二十四两化开搅和,重汤内
顿化;红缎摊贴,半月一换,轻者渐消,重者亦可停止,常贴保后无虞矣。
阴毒是由于体内纯阴而无阳气,受到天时寒冷肃杀之气的侵袭,邪气深入肌肤,沉伏于骨髓,导致气机不能升发,血液不能运行,凝滞于经络之中,引起疼痛剧烈如刀割入骨。初起时局部不肿不热,症状早晨轻晚上重;日久则出现肿胀并逐渐发红,溃烂后形成黑色痂皮,流出恶臭脓水,散发难闻气味,腐烂范围逐渐扩大,最终必然死亡。
曾有一人三十岁,冬季在沟渠边与邻居妇人私会,房事刚结束,忽然妇人的丈夫回来,惊慌失措地跳过沟渠跳入水中逃跑,身体尚热却遭受寒凉侵袭。五日后,小腹和大腿臀部内侧疼痛但无肿胀,日夜发出声响般的痛呼,一个月后,肛门旁边长出一块溃烂黑斑,黑色痂皮凹陷,各种药物无效;再过半个月,大腿臀部连成一片变黑,腐烂散发臭味,干燥的痂皮下没有脓液;十天后五脏六腑全部败坏,因黑色败象而死。
又有一个人四十岁,夏季喜欢饮用烈性白酒,到了夜晚赤身露体睡觉,手臂连带背部感到阴冷疼痛难以忍受,一个月后肩部生出一块溃烂黑斑,周围微微发硬,颜色像红枣一样,日渐扩散,半个月后手臂和半个背部共同形成黑色痂皮,气味腥臭不堪,一个月不吃东西而死。
还有一人身材中年肥胖,无论冬夏都喜欢喝烈酒,酒后随即喝凉水,然后躺下休息一天,颈部开始疼痛并轻微肿胀,坚硬如石头,两个月后脖子大得像头一样,石硬且不发热,这就是阴毒,拒绝治疗无法治愈。后来请其他医生诊治,认为脖子粗大如同身体一般大小属于奇异病症,最终因不进食而死。……。
失荣症,是指先拥有后失去(指人生境遇由富转贫),或者虽然身处富贵,但因六欲(眼耳鼻舌身意)不得满足,损伤了中焦之气,郁结之火相互凝结,痰浊阻滞通道停聚而成。这种病症多发生在肩膀以上部位,初起时轻微肿胀,皮肤颜色不变,日子久了逐渐变大,坚硬如石头,推不动,按着也不动;经过半年到一年,才开始产生阴冷的疼痛,气血逐渐衰弱,形体消瘦,皮肤破烂出现紫色斑点,渗出带血的液体。或者肿胀泛滥像莲花一样,散发腥臭气味,昼夜不停,身上原有的疙瘩,越久越大,越是溃破越坚硬,患此病的人都属于不治之症。我制定了两个方子,曾经治疗过几个人,虽然没能完全痊愈,但没有让人早死,确实是延缓生命的药物。
和荣散坚丸
组成:当归、熟地黄、人参、茯苓、陈皮、白术、附子、贝母、宁心(此处疑为远志或类似安神药,原文“宁星”可能指天南星或特定炮制法,结合下文“南星”,此处保留原词或依下文修正,下文有南星,故此处“宁星”极可能是“南星”之误或异写,但翻译需忠实原文,暂译为“Ningxing (likely Arisaema)”,但在实体提取中归为药材)、丹参(原文“丹酸”疑为丹皮或丹参,下文有丹皮,此处存疑,依下文“丹皮”处理,但原文写作“丹酸”,暂译作“Dansuan”)、酸枣仁、远志、柏子仁、龙骨(原文“龙齿”)、芦荟、朱砂、角沉(沉香)。
主治:治疗失荣症,肿块坚硬如石头,不热不红,逐渐肿胀变大的患者服用。
具体配方:当归身、熟地黄、茯神、香附、人参、白术、橘红(各二两),贝母、南星、酸枣仁、远志、柏子仁、牡丹皮(各一两),龙齿(一对,若无龙齿,用鹿角尖二两代替),芦荟、角沉(各八钱),朱砂(六钱,作为药衣)。
制作与服用方法:将上述药材研成细末,用炼蜜制成梧桐子大小的丸药,每次服用八十丸,饭后用合欢树根皮煎汤送服。如果患者能改过自新,饮食清淡,顺应天命,其中可能有痊愈的,十人中有一二人,否则很难摆脱病痛。
飞龙阿魏化坚膏
主治:治疗失荣症以及瘿瘤(甲状腺肿大)、乳岩(乳腺癌)、瘰疬(淋巴结结核)、结毒等,初起时坚硬如石头,皮肤颜色不红,日子久了逐渐变大,或者疼痛或者不疼痛,但尚未破溃的,都使用此膏药贴敷。
制作方法:取蟾酥丸药的粉末一料,加入五条金头蜈蚣,炙黄后去掉头和足研成粉末,一同放入熬好的乾坤一气膏二十四两中融化搅匀,隔水加热使其完全融化;涂在红缎上贴敷,半个月更换一次,轻症者逐渐消退,重症者也可停止发展,经常贴敷可保证后续无忧。
Yin Poison is caused by an excess of Yin and a lack of Yang, where the cold and desolate Qi of the season invades the skin and muscles, sinking into the bone marrow. This prevents Qi from ascending and Blood from circulating, causing stagnation in the meridians and resulting in pain that feels as if bones are being cut. Initially, there is no swelling or heat; symptoms are lighter in the morning and heavier in the evening. Over time, swelling appears and gradually turns red, ulcerating with black eschars, oozing foul-smelling pus, and emitting a putrid odor. The rot spreads until death is inevitable.
A thirty-year-old man had an illicit affair with a neighbor's wife in winter. Immediately after intercourse, the husband returned. In panic, the man jumped over a ditch into water while his body was still warm, exposing himself to cold. Five days later, he experienced deep pain in the lower abdomen and inner buttocks without swelling, crying out day and night. One month later, a black, sunken eschar appeared near the anus; all medications failed. Half a month later, the buttocks turned black and rotten with a foul smell, and the dry eschar contained no pus. Ten days later, his internal organs were completely destroyed, and he died from blackening and failure.
Another man, forty years old, enjoyed drinking strong liquor in summer and slept naked at night. He suffered unbearable yin-cold pain in his arms and back. One month later, a purple-red, hard-edged ulcerated patch appeared on his shoulder, resembling a red date, spreading daily. Half a month later, his arm and half his back formed a large black eschar with an unbearable stench; he died after one month of not eating.
A middle-aged obese man also drank strong liquor regardless of season, followed immediately by cold water before lying down. After one day, his neck became painful and slightly swollen, hard as stone. Two months later, his neck swelled to the size of his head, remaining stone-hard and cool. This was Yin Poison; he refused treatment and could not be cured. Later, other doctors treated him, considering the massive neck enlargement a strange disease, but he died from starvation. ...
Shi Rong (Loss of Prosperity) arises from prior wealth followed by loss, or from those in luxury whose desires are unfulfilled, damaging Middle Qi. Stagnant fire and phlegm accumulate due to blocked pathways. The lesion usually occurs above the shoulders. Initially, it presents as slight swelling with unchanged skin color. Over time, it grows larger, becoming hard as stone, immobile upon pushing or pressing. After six months to a year, yin-cold pain begins. Qi and Blood decline, the body emaciates, and the skin ulcerates with purple spots leaking bloody fluid. It may swell like a lotus flower, emitting a foul odor day and night. Existing nodules grow larger and harder despite ulceration. This condition is considered incurable. I formulated two prescriptions and treated several patients. Although complete cure was not achieved, they did not die prematurely; these are indeed life-extending medicines.
He Rong San Jian Wan (Harmonize Ying and Disperse Hardness Pill)
Ingredients: Dang Gui (Angelicae Sinensis Radix), Di Huang (Rehmanniae Radix Preparata), Ren Shen (Ginseng Radix), Fu Ling (Poria), Chen Pi (Citri Reticulatae Pericarpium), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Zi (Aconiti Lateralis Radix Preparata), Bei Mu (Fritillariae Cirrhosae Bulbus), Ning Xing (Likely Nan Xing/Arisaematis Rhizoma), Dan Pi (Moutan Cortex), Suan Zao Ren (Ziziphi Spinosae Semen), Yuan Zhi (Polygalae Radix), Bai Zi Ren (Platycladi Semen), Long Chi (Dent Draconis Os), Lu Hui (Aloe), Zhu Sha (Cinnabaris), Jiao Chen (Aquilariae Lignum Resinatum).
Indications: For Shi Rong presenting as stone-hard, non-hot, non-red lesions that gradually swell and enlarge.
Formula Details: Dang Gui, Shu Di, Fu Shen, Xiang Fu, Ren Shen, Bai Zhu, Ju Hong (each 2 liang); Bei Mu, Nan Xing, Suan Zao Ren, Yuan Zhi, Bai Zi Ren, Dan Pi (each 1 liang); Long Chi (1 pair; substitute with 2 liang of Deer Antler Tip if unavailable); Lu Hui, Jiao Chen (each 8 qian); Zhu Sha (6 qian, used for coating).
Preparation and Administration: Grind into fine powder, mix with refined honey to make pills the size of tung seeds. Take 80 pills per dose after meals, washed down with decoction of Albizia Bark (He Huan Pi). If the patient reforms their lifestyle, eats bland food, and accepts fate, some may recover (one or two in ten); otherwise, escape from illness is difficult.
Fei Long A Wei Hua Jian Gao (Flying Dragon Asarum Hardness-Dispersing Plaster)
Indications: For Shi Rong, Ying Liu (goiter), Ru Yan (breast cancer), Luo Li (scrofula), and Jie Du (chancre/gumma) in the early stage when hard as stone, skin color unchanged, gradually enlarging, painful or painless, but unbroken. Apply this plaster.
Preparation: Take one portion of Chan Su (Toad Venom) pill powder. Add five golden-headed Wugong (Scolopendra), roasted yellow, heads and feet removed, ground to powder. Mix into 24 liang of Qian Kun Yi Qi Gao (Universe Qi Plaster base) melted over heat. Stir well. Spread onto red silk. Change every half month. Mild cases will gradually resolve; severe cases can be stabilized. Regular application ensures safety thereafter.