夫诸疮及痈疽。皆是风湿搏于血气。血气蕴结生热。发肌肉成疮。久不瘥者。多生恶肉
血边皮起。而好肉不生。此由毒热未尽。经络尚壅。血气不到故也。
治痈疽蚀恶肉。藜芦散方。
藜芦(半两) 真珠末(半两) 硫黄(三分细研) 马齿矾(三分烧令汁尽) 雄黄
(三分细
研) 麝香(一分细研) 茹(一两)
上件药。捣细罗为散。每日二三上。用少许敷疮。
又方。
雄黄(一两) 矾石(一两烧令汁尽) 茹
上件药。捣细罗为散。每日二三上。用少许敷疮。
治诸疮瘥后。疮瘢 肉未消。瘰 风结等疾。宜贴此柳皮膏方。
柳白皮(五斤) 楸皮(五斤) 木通(一斤) 枳壳(半斤) 皂荚(一斤) 木香
末(三两)
上件药。细锉。以水八斗。煮取汁二(一)斗。去滓。移于小锅子中。下木香。煎至七
升
。去滓。又移于小锅中。以慢火煎。搅勿住手。炼如饧。捻得成丸。即住。以细帛裹收之。
每日涂于帛上贴之。取平复为度。
治疮中新肉 出方。
上捣乌梅肉。更以蜜和捣。捏作饼子如钱许浓。贴疮。以瘥为度。
治诸疮 肉。如蛇出数寸方。
硫黄(一两细研)
上于肉上。薄涂之。须臾便缩。平复。
夫疽者。五脏不调所生也。五脏主里。气行经络而沉。若喜怒不测。饮食不节。阴阳不
和。
营者
阳气
之皮
治也
因痰而渴者。年盛必发疽。此由脾胃虚热故也。年衰者亦发痈疽。脏虚。血气否涩故也。又
肿一寸至二寸。疖也。二寸至五寸。痈也。五寸至一尺疽也。一尺至三尺者。名曰竟体。脓
成九孔皆出。此盖诸气积郁。不遂志欲者。血气蓄积。多发此疾。诊其脉弦洪相搏。外急内
热
死
有
各种疮疡以及痈疽,都是风湿邪气与人体血气相互搏结所致。血气郁滞蕴结而生热,熏蒸肌肉从而形成疮疡。如果久治不愈,往往会长出恶肉(指腐烂坏死的组织)。
在疮口边缘皮肤隆起,而正常的好肉无法生长,这是由于毒热尚未清除干净,经络仍然壅塞不通,导致气血无法到达患处所致。
治疗痈疽腐蚀产生的恶肉,使用藜芦散方。
藜芦(半两)、真珠末(半两)、硫黄(三分,细研)、马齿矾(三分,烧至汁液流尽)、雄黄(三分,细研)、麝香(一分,细研)、茹草(一两)。
以上药物,捣碎过细罗成为散剂。每天敷用二三次,取少量药粉敷于疮口上。
又一方:
雄黄(一两)、矾石(一两,烧至汁液流尽)、茹草。
以上药物,捣碎过细罗成为散剂。每天敷用二三次,取少量药粉敷于疮口上。
治疗各种疮疡痊愈后,疮疤处的腐肉未消除,以及瘰疬风结等病症,适宜贴敷此柳皮膏方。
柳白皮(五斤)、楸皮(五斤)、木通(一斤)、枳壳(半斤)、皂荚(一斤)、木香末(三两)。
以上药物,细细切碎。用水八斗,煎煮取汁一斗。滤去药渣,倒入小锅中,加入木香。继续煎煮至七升。滤去药渣,再次倒入小锅中,用慢火煎煮,不断搅拌不要停手,熬炼至像饴糖一样粘稠,用手能捏成丸子即可停止。用细布包裹收存。每天涂抹在细布上贴敷患处,直到疮面平复愈合为止。
治疗疮疡中新生的肉芽突出(息肉)的方子:
将乌梅肉捣烂,再用蜂蜜调和捣匀,捏成如铜钱大小厚度的饼子,贴在疮口上,以痊愈为度。
治疗各种疮疡中长出腐肉,状如蛇伸出数寸长的方子:
硫黄(一两,细研)。
将此药薄薄地涂在腐肉上,片刻之后腐肉便会收缩,恢复平整。
所谓疽病,是由于五脏功能失调所产生的。五脏主里,气行于经络且深沉。如果喜怒无常,饮食不节制,导致阴阳不和……(原文此处有脱漏或错简,似涉及营卫、阳气等概念混乱,依文意译为:若因痰湿导致口渴,壮年人必发疽病,这是由脾胃虚热所致。年老体衰者也会发生痈疽,这是因为脏腑虚弱,气血阻滞涩滞所致。)另外,肿一寸到二寸的叫疖;二寸到五寸的叫痈;五寸到一尺的叫疽;一尺到三尺的,名叫“竟体”(指全身性严重感染),脓液从九个孔洞流出。这大概是各种气机积郁,志向欲望不得舒展,导致血气蓄积,所以多发此疾。诊察其脉象弦洪相搏,外表急迫内部发热……(原文此处中断,似有“死”字及未尽之语,推测为预后不良的判断)。
Various sores and carbuncles are caused by the struggle between wind-dampness pathogens and the body's blood and qi. When blood and qi stagnate and accumulate, heat is generated, steaming the muscles to form sores. If left untreated for a long time, malignant flesh (necrotic tissue) often grows.
The skin at the edge of the sore rises, while healthy flesh fails to regenerate. This occurs because the toxic heat has not been fully cleared, the meridians remain obstructed, and thus blood and qi cannot reach the affected area.
To treat malignant flesh caused by carbuncles and sores, use the Lili San (Corydalis Rhizome Powder) formula:
Lili Rhizoma (Banliang), Zhenzhu Mo (Pearl Powder, Banliang), Liuhuang (Sulfur, Sanfen, finely ground), Mashi Fan (Alum, Sanfen, calcined until liquid evaporates), Xionghuang (Realgar, Sanfen, finely ground), Shexiang (Musk, Yifen, finely ground), Rucao (Artemisia ruji, Yi liang).
Crush the above ingredients and sift them through a fine sieve to make a powder. Apply a small amount of the powder to the sore two or three times daily.
Another prescription:
Xionghuang (Realgar, Yi liang), Fanshi (Alum, Yi liang, calcined until liquid evaporates), Rucao (Artemisia ruji).
Crush the above ingredients and sift them through a fine sieve to make a powder. Apply a small amount of the powder to the sore two or three times daily.
For sores that have healed but still have residual necrotic tissue in the scar, or conditions such as scrofula and wind-nodules, apply this Liupi Gao (Willow Bark Ointment):
Liubai Pi (Willow White Bark, Wu jin), Qiu Pi (Chaparral Bark, Wu jin), Mutong (Akebia Caulis, Yi jin), Zhike (Bitter Orange, Ban jin), Zaojia (Tamarix Twig, Yi jin), Muxiang Mo (Costus Root Powder, San liang).
Finely chop the above ingredients. Boil in eight dou of water until reduced to one dou of juice. Strain out the dregs, transfer to a small pot, add Muxiang, and simmer until reduced to seven sheng. Strain again, transfer back to a small pot, and simmer over low heat, stirring constantly without stopping. Cook until it reaches the consistency of maltose syrup and can be rolled into pills. Stop cooking. Wrap in fine silk cloth for storage. Apply the ointment on the silk cloth to the affected area daily until the wound heals flat.
For new granulation tissue protruding from sores:
Mash Wumei fruit pulp, mix with honey, and pound until uniform. Shape into cakes about the thickness of a coin. Apply to the sore until healed.
For malignant flesh growing from sores like a snake extending several inches:
Liuhuang (Sulfur, Yi liang, finely ground).
Apply thinly to the affected flesh. The tissue will shrink and flatten shortly after application.
Jū (Carbuncle/Deep Abscess) arises from dysfunction of the five zang organs. The zang organs govern the interior; qi circulates through the meridians and is deep-seated. If emotions are uncontrolled, diet is irregular, and yin and yang are disharmonious... [Text contains lacunae/corruptions regarding Ying-Wei and Yang Qi]. If thirst is caused by phlegm-dampness, vigorous individuals will develop jū due to deficiency-heat in the spleen and stomach. Elderly individuals also develop carbuncles due to organ deficiency and stagnant, sluggish blood and qi. Furthermore, swelling of one to two cun is called ji (boil); two to five cun is called yōng (abscess); five cun to one chi is called jū; one chi to three chi is called "Jing Ti" (whole-body infection), where pus discharges from nine orifices. This is generally caused by the accumulation of qi stagnation, unfulfilled desires, and the accumulation of blood and qi, leading to frequent occurrence of this disease. Diagnosis reveals a pulse that is wiry and surging, indicating exterior tension and interior heat... [Text ends abruptly, implying a poor prognosis].