治发背热渴诸方 · 太平圣惠方

太平圣惠方

治发背热渴诸方961 / 1538

太平圣惠方 · 治发背热渴诸方 · 宋

古文

夫发背热渴者。由寒气客于经络。折于气血。气血涩则不通。乃结成疮。发于背上。则
腑脏皆热。热则脏燥。故渴而引冷冻饮料也。
治发背及乳痈。赤肿疼痛。体热大渴。麦门冬散方。
麦门冬（一两半去心）黄（一两半锉）黄芩（一两半锉）川升麻（一两）知
母（二两）
甘草（一两生锉）玄参（一两）栝蒌根〔三（二）两〕赤芍药（一两）当归（一两）
赤茯
苓（一
上件药。捣筛为散。每服四钱。以水一中盏。入生地黄半两。淡竹叶二七片。煎至五分
去滓。不计时候温服。
治发背及一切疮肿。未穴。攻刺疼痛。或烦热。渴燥不食。犀角散方。
犀角屑（一两）人参（三两去芦头）知母（三分）赤茯苓〔一（二）分〕麦门
冬（一两
去心）地骨皮（一两）黄（一两锉）甘草（一两生锉）葛根（三分锉）栝蒌根
（三分）
川大黄（
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治发背壅热。烦渴。不思饮食。宜服生干地黄散方。
生干地黄（二两）黄（一两锉）甘草（半两生锉）麦门冬（一两去心）赤芍
药（一两）
黄芩（一两）人参（一两去芦头）石膏（一两）当归（三分）半夏（半两汤浸七
遍去滑）
上件药。捣筛为散。每服四钱。以水一中盏。入淡竹叶二七片。生姜半分。煎至六分。
去滓。不计时候温服。
治发背。热毒肿疼痛。烦热渴。解毒散方。
犀角屑（三分麸炒）川升麻（半两）栀子仁（二分）木通（一两锉）麦门冬（三
分去心）
枳壳（三分麸炒微黄去瓤）甘草（三分生锉）葛根（三分锉）地骨皮（一两）
上件药。捣筛为散。每服四钱。以水一中盏。入生地黄一分。豉半合。煎至六分。去滓。
不计时候温服。
治发背热渴疼痛。宜服黄饮子方。
黄（一两锉）栝蒌根（一两）赤芍药（半两）麦门冬（半两去心）玄参（半
两）甘草
（半两生锉）赤茯苓（半两）川升麻（半两）当归（半两）
上件药。细锉和匀。每服半两。以水一中盏。入淡竹叶一七片。煎至五分。去滓。不计
时候温服。
治发背。及乳痈壅毒。热渴疼痛。升麻散方。
川升麻〔三（二）分〕犀角屑（半两）木通（三分锉）黄芩（三分）麦门冬（三
分去心）
生干
芦根（三
上件药。捣筛为散。每服四钱。以水一中盏。入黑豆一百粒。淡竹叶二七片。煎至六分。
去滓。不计时候温服。
治发背。一切痈疖。身体烦躁。热渴疼痛。芦根散方。
芦根（一两锉）连翘（一两）玄参（一两）射干（一两）川升麻（一两）栀
子仁（一两）
赤芍药（一两）羚羊角屑（一两）寒水石（二两）甘草（三分生锉）生干地黄（二
两）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。

白话

发背热渴，是由于寒气侵袭经络，导致气血受阻。气血运行涩滞则不通畅，进而凝结成疮，发生在背部，致使脏腑皆受热邪影响。热邪会导致脏腑干燥，因此出现口渴并想饮用冷冻饮料的症状。

治疗发背及乳痈（乳房红肿疼痛的疮疡），症见局部赤肿疼痛、身体发热且极度口渴的麦门冬散方：
麦门冬（一两半，去心）黄芪（一两半，锉碎）黄芩（一两半，锉碎）川升麻（一两）知母（二两）
甘草（一两，生用锉碎）玄参（一两）栝蒌根（三两或二两）赤芍药（一两）当归（一两）赤茯苓（一两）
以上药物，捣碎过筛制成散剂。每次服用四钱，用水一中盏，加入生地黄半两、淡竹叶十四片，煎煮至剩余五分水量，滤去药渣，不分时候温服。

治疗发背及一切疮肿，症见未溃破时攻刺样疼痛，或伴有烦热、口渴烦躁、不思饮食的犀角散方：
犀角屑（一两）人参（三两，去芦头）知母（三分）赤茯苓（一分或二分）麦门冬（一两，去心）地骨皮（一两）黄芪（一两，锉碎）甘草（一两，生用锉碎）葛根（三分，锉碎）栝蒌根（三分）川大黄（一两，酒浸，切，焙干）
以上药物，捣碎过筛制成散剂。每次服用四钱，用水一中盏，煎煮至剩余六分水量，滤去药渣，不分时候温服。

治疗发背壅盛之热，症见烦渴、不思饮食的生干地黄散方：
生干地黄（二两）黄芪（一两，锉碎）甘草（半两，生用锉碎）麦门冬（一两，去心）赤芍药（一两）黄芩（一两）人参（一两，去芦头）石膏（一两）当归（三分）半夏（半两，汤浸七遍，去滑）
以上药物，捣碎过筛制成散剂。每次服用四钱，用水一中盏，加入淡竹叶十四片、生姜半分，煎煮至剩余六分水量，滤去药渣，不分时候温服。

治疗发背，症见热毒壅肿疼痛、烦热口渴的解毒散方：
犀角屑（三分，麸炒）川升麻（半两）栀子仁（二分）木通（一两，锉碎）麦门冬（三分，去心）枳壳（三分，麸炒微黄，去瓤）甘草（三分，生用锉碎）葛根（三分，锉碎）地骨皮（一两）
以上药物，捣碎过筛制成散剂。每次服用四钱，用水一中盏，加入生地黄一分、豆豉半合，煎煮至剩余六分水量，滤去药渣，不分时候温服。

治疗发背热渴疼痛，宜服用的黄芪饮子方：
黄芪（一两，锉碎）栝蒌根（一两）赤芍药（半两）麦门冬（半两，去心）玄参（半两）甘草（半两，生用锉碎）赤茯苓（半两）川升麻（半两）当归（半两）
以上药物，细锉混合均匀。每次服用半两，用水一中盏，加入淡竹叶七片，煎煮至剩余五分水量，滤去药渣，不分时候温服。

治疗发背及乳痈壅毒，症见热渴疼痛的升麻散方：
川升麻（三分或二分）犀角屑（半两）木通（三分，锉碎）黄芩（三分）麦门冬（三分，去心）生干芦根（三寸或二寸）
以上药物，捣碎过筛制成散剂。每次服用四钱，用水一中盏，加入黑豆一百粒、淡竹叶十四片，煎煮至剩余六分水量，滤去药渣，不分时候温服。

治疗发背及一切痈疖，症见身体烦躁、热渴疼痛的芦根散方：
芦根（一两，锉碎）连翘（一两）玄参（一两）射干（一两）川升麻（一两）栀子仁（一两）赤芍药（一两）羚羊角屑（一两）寒水石（二两）甘草（三分，生用锉碎）生干地黄（二两）
以上药物，捣碎过筛制成散剂。每次服用四钱，用水一中盏，煎煮至剩余六分水量，滤去药渣，不分时候温服。

英文

Fa Bei (Back Carbuncle) with heat and thirst arises from cold pathogenic factors invading the meridians, obstructing Qi and Blood. When Qi and Blood flow becomes stagnant and unobstructed, sores form on the back, causing heat to affect all internal organs. Heat dries the zang organs, leading to thirst and a desire to drink cold beverages.

Mendong San Decoction for treating Fa Bei and Ru Yong (Breast Abscess), characterized by redness, swelling, pain, systemic fever, and severe thirst:
Ophiopogonis Radix (1.5 liang, heart removed), Astragali Radix (1.5 liang, sliced), Scutellariae Radix (1.5 liang, sliced), Cimicifugae Rhizoma (1 liang), Anemarrhenae Rhizoma (2 liang), Glycyrrhizae Radix et Rhizoma (1 liang, raw, sliced), Scrophulariae Radix (1 liang), Trichosanthis Radix (3 or 2 liang), Paeoniae Radix Rubra (1 liang), Angelicae Sinensis Radix (1 liang), Poria Cocos with Red Cortex (1 liang).
The above herbs are crushed, sifted into a powder. Take 4 qian per dose. Add 1 zhong of water, half a liang of fresh Rehmanniae Radix, and 14 leaves of Lophatheri Herba. Decoct until 0.5 zhong remains, strain, and take warm at any time.

Xijiao San Powder for treating Fa Bei and all types of sores and swellings, before ulceration, characterized by stabbing pain, irritability, heat, dry thirst, and anorexia:
Rhinocerotis Cornu (1 liang), Ginseng Radix (3 liang, radix removed), Anemarrhenae Rhizoma (3 fen), Poria Cocos with Red Cortex (1 or 2 fen), Ophiopogonis Radix (1 liang, heart removed), Lycii Cortex (1 liang), Astragali Radix (1 liang, sliced), Glycyrrhizae Radix et Rhizoma (1 liang, raw, sliced), Puerariae Radix (3 fen, sliced), Trichosanthis Radix (3 fen), Rheum Palmatum et Tanguticum Radix et Rhizoma (1 liang, soaked in wine, sliced, dried).
The above herbs are crushed, sifted into a powder. Take 4 qian per dose. Add 1 zhong of water. Decoct until 0.6 zhong remains, strain, and take warm at any time.

Sheng Gan Di Huang San Powder for treating Fa Bei with abundant heat, irritability, thirst, and loss of appetite:
Dried Rehmanniae Radix (2 liang), Astragali Radix (1 liang, sliced), Glycyrrhizae Radix et Rhizoma (0.5 liang, raw, sliced), Ophiopogonis Radix (1 liang, heart removed), Paeoniae Radix Rubra (1 liang), Scutellariae Radix (1 liang), Ginseng Radix (1 liang, radix removed), Gypsum Fibrosum (1 liang), Angelicae Sinensis Radix (3 fen), Pinelliae Rhizoma (0.5 liang, soaked in boiling water seven times, remove slime).
The above herbs are crushed, sifted into a powder. Take 4 qian per dose. Add 1 zhong of water, 14 leaves of Lophatheri Herba, and 0.5 ban of fresh Zingiberis Rhizoma. Decoct until 0.6 zhong remains, strain, and take warm at any time.

Jiedu San Powder for treating Fa Bei with heat-toxin accumulation, swelling, pain, irritability, and thirst:
Rhinocerotis Cornu (3 fen, bran-fried), Cimicifugae Rhizoma (0.5 liang), Gardeniae Fructus (2 fen), Tetrapanacis Medulla (1 liang, sliced), Ophiopogonis Radix (3 fen, heart removed), Aurantii Fructus (3 fen, bran-fried until slightly yellow, placenta removed), Glycyrrhizae Radix et Rhizoma (3 fen, raw, sliced), Puerariae Radix (3 fen, sliced), Lycii Cortex (1 liang).
The above herbs are crushed, sifted into a powder. Take 4 qian per dose. Add 1 zhong of water, 1 fen of fresh Rehmanniae Radix, and 0.5 he of Fabae Semen Preparatum. Decoct until 0.6 zhong remains, strain, and take warm at any time.

Huangqi Yinzi for treating Fa Bei with heat, thirst, and pain:
Astragali Radix (1 liang, sliced), Trichosanthis Radix (1 liang), Paeoniae Radix Rubra (0.5 liang), Ophiopogonis Radix (0.5 liang, heart removed), Scrophulariae Radix (0.5 liang), Glycyrrhizae Radix et Rhizoma (0.5 liang, raw, sliced), Poria Cocos with Red Cortex (0.5 liang), Cimicifugae Rhizoma (0.5 liang), Angelicae Sinensis Radix (0.5 liang).
The above herbs are finely sliced and mixed evenly. Take 0.5 liang per dose. Add 1 zhong of water and 7 leaves of Lophatheri Herba. Decoct until 0.5 zhong remains, strain, and take warm at any time.

Shengma San Powder for treating Fa Bei and Ru Yong with toxin accumulation, heat, thirst, and pain:
Cimicifugae Rhizoma (2 or 3 fen), Rhinocerotis Cornu (0.5 liang), Tetrapanacis Medulla (3 fen, sliced), Scutellariae Radix (3 fen), Ophiopogonis Radix (3 fen, heart removed), Dried Arundinis Caulis (3 or 2 cun).
The above herbs are crushed, sifted into a powder. Take 4 qian per dose. Add 1 zhong of water, 100 black soybeans, and 14 leaves of Lophatheri Herba. Decoct until 0.6 zhong remains, strain, and take warm at any time.

Lugen San Powder for treating Fa Bei and all carbuncles and furuncles, characterized by bodily restlessness, heat, thirst, and pain:
Arundinis Caulis (1 liang, sliced), Forsythiae Fructus (1 liang), Scrophulariae Radix (1 liang), Belamcandae Rhizoma (1 liang), Cimicifugae Rhizoma (1 liang), Gardeniae Fructus (1 liang), Paeoniae Radix Rubra (1 liang), Saigae Tataricae Cornu (1 liang), Halloysitum Rubrum (2 liang), Glycyrrhizae Radix et Rhizoma (3 fen, raw, sliced), Dried Rehmanniae Radix (2 liang).
The above herbs are crushed, sifted into a powder. Take 4 qian per dose. Add 1 zhong of water. Decoct until 0.6 zhong remains, strain, and take warm at any time.