夫发背者。由六腑不和。经络否涩。血壅不通。热毒蕴积。结成痈也。其肿起于背胛中
。白
散
治发背及恶毒疮肿。宜用抽风毒淋拓。枳壳汤方。
枳壳(二两) 苦参(二两) 莽草(二两) 甘草(二两) 水荭(二两) 细辛(二
两) 本
(二两) 白芷(二两) 黄 (二两) 白矾(一两)
上件药。并细锉。拌令匀。分作三贴。每贴。以水五升。入葱白五茎。煎至三升。滤去
滓。于避风处。用软帛替换。承热。 药水淋拓患处。以水冷为度。
治背疮毒肿。 烂疼痛。宜拓黄连汤方。
黄连(一两) 麻黄根(一两) 甘草(一两) 野狼牙(一两) 羌活(一两) 桑枝
(一两) 白
矾(一两)
上件药。捣令细。每用二两。入葱白五茎。以水五升。煎至二升。去滓。用软帛承热。
药水更番淋拓患处。水冷即止。
治发背及一切疮肿。穿穴后。止疼痛。抽风毒。化疮根洗熨方。
莽草(半两) 露蜂窠(半两) 白芷(半两) 桑根白皮(半两) 甘草(半两) 防
风(半两)
本(半两) 垂柳枝(一握) 细辛(半两) 葱白〔二(一)握〕
上件药。细锉。以水一斗。煎至五升。去滓。及热。于避风处。用软帛替换。蘸药水
承热熨患处。以水冷为度。
治发背。猪蹄汤洗之方。
猪蹄(一对烧去毛净洗) 黄 (一两半) 黄连(一两半) 赤芍药(一两半) 黄
芩(一两)
蔷薇根(四两) 野狼牙根(四两)
上件药。细锉。以水一斗五升。先煮猪蹄取一斗。入药煎取五升。去滓洗疮。以绵拭干
后。贴生肌膏。日二贴之。汤即每日洗之。
治发背及诸肿毒。宜拓升麻汤方。
川升麻(一两) 黄芩(二两) 栀子(一两) 漏芦(一两) 蒴 根(三两) 川
芒硝(二两)
上件药。锉碎。以水一斗。煮取五升。去滓。候冷用帛 药拓肿处。常令湿润。即消也
治发背。始作便成疮。烂坏。宜拓地黄汤方。
生地黄汁(一升) 川升麻(二两) 白蔹(二两) 栀子仁(二两) 黄连〔二(一)
两〕 黄柏
〔一(二)两〕 当归(二两) 赤芍药(二两) 射干(二两) 川大黄(二两) 甘草
(二两半锉)
上件药。细锉。以水一斗。煮至六升。去滓。下地黄汁。搅令微温。以故帛纳汤中。
蘸拓于肿上。
治发背肿痛。宜拓竹沥汤方。
竹沥〔三(二)升〕 川大黄(一两) 黄连(一两) 苦参(一两) 黄芩(一两) 栀
子仁(一
两) 锻石(一两) 木兰皮(一两) 黄柏(一两)
上件药。细锉。以水五升。入竹沥。煮药至三升。去滓。以绵 汤拓疮上。日十余度。
治发背不消。宜拓黄芩汤方。
黄芩(一两) 白芷(一两) 川大黄(三两) 栝蒌根(一两) 甘草(一两) 当
归(一两)
上件药。细锉。以水七升。煮至三升。去滓。以故帛 汤。更番拓患处。
发背病,是由于六腑功能失调,经络阻滞不畅,气血壅塞不通,热毒蕴结积聚,最终形成痈肿。其肿胀出现在背部肩胛之间。
白散方:用于治疗发背及恶毒疮肿。适宜采用抽风毒、淋拓的方法。枳壳汤方:
枳壳(二两)、苦参(二两)、莽草(二两)、甘草(二两)、水荭(二两)、细辛(二两)、藁本(二两)、白芷(二两)、黄芩(二两)、白矾(一两)。
以上药物,全部切碎拌匀。分为三帖。每帖用水五升,加入葱白五茎,煎煮至三升。滤去药渣。在避风处,用软布替换,趁热敷于患处,用药水淋洗拓敷患处,直到药水变冷为止。
治疗背疮毒肿、溃烂疼痛,适宜拓敷黄连汤方:
黄连(一两)、麻黄根(一两)、甘草(一两)、野狼牙(一两)、羌活(一两)、桑枝(一两)、白矾(一两)。
以上药物,捣碎成细末。每次取二两,加入葱白五茎,用水五升,煎煮至二升。去渣。用软布蘸药液趁热敷拓患处,交替淋拓,水冷即止。
治疗发背及一切疮肿,在穿破出脓后,用于止痛、抽风毒、化除疮根,洗熨方:
莽草(半两)、露蜂窠(半两)、白芷(半两)、桑根白皮(半两)、甘草(半两)、防风(半两)、藁本(半两)、垂柳枝(一握)、细辛(半两)、葱白(二握)。
以上药物,切碎,用水一斗,煎煮至五升。去渣。趁热,在避风处,用软布替换,蘸药液趁热敷熨患处,直到水冷为止。
治疗发背,猪蹄汤清洗方:
猪蹄(一对,烧去毛洗净)、黄芩(一两半)、黄连(一两半)、赤芍药(一两半)、黄芩(一两)、蔷薇根(四两)、野狼牙根(四两)。
以上药物,切碎,用水一斗五升,先煮猪蹄取汁一斗,再加入药物煎取五升。去渣,清洗疮口。用绵巾拭干后,贴敷生肌膏,每日两次。汤剂则每日清洗。
治疗发背及诸肿毒,适宜拓敷升麻汤方:
川升麻(一两)、黄芩(二两)、栀子(一两)、漏芦(一两)、蒴藋根(三两)、川芒硝(二两)。
以上药物,锉碎,用水一斗,煮取五升。去渣。候冷,用帛蘸药液拓敷肿处,常令湿润,即可消退。
治疗发背,初起便成疮,溃烂坏死者,适宜拓敷地黄汤方:
生地黄汁(一升)、川升麻(二两)、白蔹(二两)、栀子仁(二两)、黄连(一两)、黄柏(二两)、当归(二两)、赤芍药(二两)、射干(二两)、川大黄(二两)、甘草(二两半,锉)。
以上药物,切碎,用水一斗,煮至六升。去渣,加入地黄汁,搅匀微温。用旧帛浸入汤中,蘸拓于肿上。
治疗发背肿痛,适宜拓敷竹沥汤方:
竹沥(二升)、川大黄(一两)、黄连(一两)、苦参(一两)、黄芩(一两)、栀子仁(一两)、锻石(一两)、木兰皮(一两)、黄柏(一两)。
以上药物,切碎,用水五升,加入竹沥,煮药至三升。去渣,用绵巾蘸汤拓敷疮上,每日十余次。
治疗发背不消,适宜拓敷黄芩汤方:
黄芩(一两)、白芷(一两)、川大黄(三两)、栝蒌根(一两)、甘草(一两)、当归(一两)。
以上药物,切碎,用水七升,煮至三升。去渣,用旧帛蘸汤,交替拓敷患处。
Fa Bei (Back Carbuncle) arises from the disharmony of the Six Fu Organs, obstruction and stagnation of the meridians and collaterals, congestion and blockage of blood and Qi, accumulation of heat-toxin, which condenses to form a carbuncle. The swelling rises in the middle of the back between the shoulder blades.
Bai San Powder: Used for Fa Bei and malignant toxic sores and swellings. It is suitable to use the method of drawing out wind-toxin and applying wet compresses (Lin Tuo). Zhike Tang Decoction:
Zhike (Fructus Aurantii, 2 liang), Kushen (Radix Sophorae Flavescentis, 2 liang), Mangcao (Herba Pogostemonis, 2 liang), Gancao (Radix Glycyrrhizae, 2 liang), Shuihong (Eupatorium Fortunei, 2 liang), Xixin (Radix Asari, 2 liang), Bencao (Rhizoma Ligustici Chuanxiong, 2 liang), Baizhi (Radix Angelicae Dahuricae, 2 liang), Huangqin (Radix Scutellariae, 2 liang), Bai Fan (Alumen, 1 liang).
All the above medicines are finely chopped and mixed evenly. Divided into three doses. For each dose, add five sheng of water and five stalks of scallion white parts. Decoct until three sheng remain. Filter out the dregs. In a draft-free place, use soft cloth to replace and apply hot compresses. Apply the medicinal liquid by pouring and pressing on the affected area until the liquid cools down.
For treating back sores with toxic swelling, ulceration, and pain, it is suitable to apply Huanglian Tang Decoction:
Huanglian (Rhizoma Coptidis, 1 liang), Mahuanggen (Caulis Ephedrae, 1 liang), Gancao (Radix Glycyrrhizae, 1 liang), Yelangya (Herba Siegesbeckiae, 1 liang), Qianghuo (Rhizoma et Radix Notopterygii, 1 liang), Sangzhi (Ramulus Mori, 1 liang), Bai Fan (Alumen, 1 liang).
The above medicines are pounded into fine powder. Use two liang each time, add five stalks of scallion white parts, and five sheng of water. Decoct until two sheng remain. Remove the dregs. Use soft cloth to hold the medicine hot and apply by pressing on the affected area alternately. Stop when the liquid cools.
For treating Fa Bei and all kinds of sore swellings, after the abscess has ruptured, this wash and hot compress formula stops pain, draws out wind-toxin, and resolves the root of the sore:
Mangcao (Herba Pogostemonis, 0.5 liang), Lu Fengke (Nidus Vespae, 0.5 liang), Baizhi (Radix Angelicae Dahuricae, 0.5 liang), Sanggen Bapi (Cortex Morae Radicis, 0.5 liang), Gancao (Radix Glycyrrhizae, 0.5 liang), Fangfeng (Radix Saposhnikoviae, 0.5 liang), Bencao (Rhizoma Ligustici Chuanxiong, 0.5 liang), Chuiliuzhi (Ramulus Salicis Purpureae, one handful), Xixin (Radix Asari, 0.5 liang), Congbai (Scallion White Parts, two handfuls).
The above medicines are finely chopped. Add ten dou of water and decoct until five sheng remain. Remove the dregs. While hot, in a draft-free place, use soft cloth to replace and dip in the medicinal liquid to apply hot compresses on the affected area until cool.
For treating Fa Bei, Pig Trotter Soup for washing:
Zhuti (Pig Trotters, one pair, burnt to remove hair and washed clean), Huangqin (Radix Scutellariae, 1.5 liang), Huanglian (Rhizoma Coptidis, 1.5 liang), Chi Shaoyao (Radix Paeoniae Rubra, 1.5 liang), Huangqin (Radix Scutellariae, 1 liang), Qiangweigen (Radix Rosae Rugosae, 4 liang), Yelangyagen (Radix Siegesbeckiae, 4 liang).
The above medicines are finely chopped. Add fifteen sheng of water. First boil the pig trotters to obtain ten sheng of broth. Add the medicines and decoct to obtain five sheng. Remove the dregs and wash the sore. After wiping dry with cotton, apply Shengji Gao (Regenerating Flesh Ointment). Apply twice daily. Wash with the soup daily.
For treating Fa Bei and various toxic swellings, it is suitable to apply Shengma Tang Decoction:
Chuan Shengma (Rhizoma Cimicifugae, 1 liang), Huangqin (Radix Scutellariae, 2 liang), Zhizi (Fructus Gardeniae, 1 liang), Loulu (Radix Euphorbiae Humifusae, 1 liang), Shuodi Gen (Radix Polygoni Multiflori, 3 liang), Chuan Mangxiao (Natrii Sulfas, 2 liang).
The above medicines are crushed. Add ten dou of water and boil to obtain five sheng. Remove the dregs. When cool, use cloth to dip in the medicine and press on the swollen area. Keep it moist constantly, and it will subside.
For treating Fa Bei that starts as a sore, ulcerates and necrotizes, it is suitable to apply Dihuang Tang Decoction:
Sheng Dihuang Zhi (Jus Rhizomatis Rehmanniae Recens, 1 sheng), Chuan Shengma (Rhizoma Cimicifugae, 2 liang), Bailian (Rhizoma Belamcandae, 2 liang), Zhizi Ren (Semen Gardeniae, 2 liang), Huanglian (Rhizoma Coptidis, 1 liang), Huangbai (Cortex Phellodendri, 2 liang), Danggui (Radix Angelicae Sinensis, 2 liang), Chi Shaoyao (Radix Paeoniae Rubra, 2 liang), Shegan (Rhizoma Belamcandae, 2 liang), Chuan Dahuang (Radix et Rhizoma Rhei, 2 liang), Gancao (Radix Glycyrrhizae, 2.5 liang, crushed).
The above medicines are finely chopped. Add ten dou of water and decoct until six sheng remain. Remove the dregs, add Dihuang juice, stir until slightly warm. Dip old cloth into the soup and press on the swelling.
For treating Fa Bei with swelling and pain, it is suitable to apply Zhuli Tang Decoction:
Zhuli (Succus Bambusae, 2 sheng), Chuan Dahuang (Radix et Rhizoma Rhei, 1 liang), Huanglian (Rhizoma Coptidis, 1 liang), Kushen (Radix Sophorae Flavescentis, 1 liang), Huangqin (Radix Scutellariae, 1 liang), Zhizi Ren (Semen Gardeniae, 1 liang), Duanshi (Calcitum, 1 liang), Mulanpi (Cortex Magnoliae Officinalis, 1 liang), Huangbai (Cortex Phellodendri, 1 liang).
The above medicines are finely chopped. Add five sheng of water and Zhuli. Boil the medicine until three sheng remain. Remove the dregs. Use cotton to dip in the soup and press on the sore. Do this more than ten times a day.
For treating Fa Bei that does not resolve, it is suitable to apply Huangqin Tang Decoction:
Huangqin (Radix Scutellariae, 1 liang), Baizhi (Radix Angelicae Dahuricae, 1 liang), Chuan Dahuang (Radix et Rhizoma Rhei, 3 liang), Gualou Gen (Radix Trichosanthis, 1 liang), Gancao (Radix Glycyrrhizae, 1 liang), Danggui (Radix Angelicae Sinensis, 1 liang).
The above medicines are finely chopped. Add seven sheng of water and decoct until three sheng remain. Remove the dregs. Use old cloth to dip in the soup and alternate pressing on the affected area.