十八、独胜散。治小发疮痘,早微热,晚大热,目黄胁动,身热手冷,发甚如惊者。又
名牛蒡僵蚕散。
牛蒡子(半两) 白僵蚕(一分)
上为粗末,每服一大钱,水六分盏,紫草二七寸,同煎至四分盏,连进三服,其痘便出
,此药用牛蒡子出痈透肌。
白僵蚕治遍身瘾疹,疼痛成疮,为末酒调服之,立瘥。又以紫草煎之,令利窍,是疮疹
证无虚寒证者,服之立出也。
十九、抱龙丸。治小儿一切风热,中暑惊悸,疮疹欲出,多睡咳嗽,痰盛面赤,手足冷
,发温壮,睡中惊,搐搦不宁,脉洪数,头痛呕吐,小便赤涩。
南星(锉开,里白者为末,用腊月黄牛胆汁和为剂,却入胆中阴干,再为末,半斤) 天
竺黄(二两) 朱砂(二钱,研,水飞) 雄黄(半两,水飞) 麝香(一钱) 牛黄(半
钱)
上同研极细,滴水和丸,如鸡头实大,每服二岁儿竹叶薄荷汤化下一丸,不拘时候。钱
氏云∶因惊而生热,用药发散,热入于表,故表热不退而生斑,宜服之。有大热者利小便,
有小热者宜解毒,其出快勿表下,宜服抱龙丸。
紫草膏 治麻豆不快
紫草 白附子(各一钱) 麻黄(去节) 甘草(各二钱) 全蝎(十个) 僵蚕(二
个,炒)
上件为末,用蜜一两,酒半盏,入紫草煎数沸后,令旋旋同和前药,丸如皂角子大,每
服一粒,用紫草煎汤化下,续用黄 散调治。详之本草云∶无毒治病,十去其半,此上等药
也,犹如紫草膏治疮痘,兼此药治惊痫风疾。又治疮痘出不快,如疮疹所作之初,似伤寒伤
风,惊风疮疹,疑贰之间与服之,皆有主治,不至败事,可与上等药同矣。医家常善之为妙。
十八、独胜散。治疗痘疮初起,早晨轻微发热,晚上高热,眼睛发黄,胁部抽动,身体发热但手脚冰冷,发作时像受惊一样。又名牛蒡僵蚕散。
牛蒡子(半两) 白僵蚕(一分)
将上述药材捣成粗末,每次服用一大钱,用水六分盏,紫草二七寸长,一起煎煮至剩余四分盏,连续服用三次,痘疮就能发出。此药利用牛蒡子的功效来透发痘毒于肌表。
白僵蚕治疗全身瘾疹,疼痛形成疮疡,研成末后用酒调服,立刻痊愈。又用紫草煎煮,以通利窍道,因为疮疹证没有虚寒证的情况,服用后痘疮立刻发出。
十九、抱龙丸。治疗小儿各种风热,中暑惊悸,疮疹将要发出,嗜睡咳嗽,痰多面红,手脚冰冷,发热壮热,睡眠中受惊,抽搐不安,脉象洪数,头痛呕吐,小便赤涩。
南星(切开,取内部白色部分研末,用腊月黄牛胆汁调和成药剂,再放入胆中阴干,再次研末,半斤) 天竺黄(二两) 朱砂(二钱,研磨,水飞法处理) 雄黄(半两,水飞法处理) 麝香(一钱) 牛黄(半钱)
将上述药材共同研磨至极细,滴水泛丸,如鸡头实大小,每服两岁儿童用竹叶薄荷汤化开一丸,不限时候。钱乙说:因受惊而生热,用药发散,热邪进入体表,所以表热不退而生斑,适宜服用此药。有大热的要利小便,有小热的要解毒,痘疮出得快不要解表或攻下,适宜服用抱龙丸。
紫草膏 治疗麻豆(天花/麻疹)出不快
紫草 白附子(各一钱) 麻黄(去节) 甘草(各二钱) 全蝎(十个) 僵蚕(二个,炒制)
将上述药材研成末,用蜜一两,酒半盏,加入紫草煎煮几沸后,随即与前药混合,制成如皂角子大小的丸剂,每次服用一粒,用紫草煎汤化开服用,随后用黄 散调理。详细查看本草记载:无毒的药物治疗疾病,能去除一半病邪,这是上等药物。如同紫草膏治疗疮痘,兼治惊痫风疾。又治疗疮痘出不快,在疮疹发作初期,类似伤寒伤风,惊风疮疹,在疑似之间服用它,都有主治作用,不会坏事,可以与上等药物相提并论。医生常善于使用它为妙。
18. Dusheng San (Unique Victory Powder). Treats early-stage smallpox/chickenpox, with slight fever in the morning and high fever at night, yellow eyes, twitching of the hypochondrium, body heat with cold hands and feet, and severe episodes resembling convulsions. Also known as Niubang Jiangcan San (Burdock and Silkworm Powder).
Bullae Fructus (Niu Bang Zi) (half tael)
Bombyx Batryticatus (Bai Jiang Can) (one fen)
Grind the above into a coarse powder. For each dose, take one large qian, add six-tenths of a zhan of water and two seven-cun lengths of Arnebiae Radix seu Lithospermi (Zi Cao), decoct together until four-tenths of a zhan remains. Take continuously for three doses, and the pustules will erupt. This medicine utilizes the properties of Bullae Fructus to vent the toxin through the skin.
Bombyx Batryticatus treats generalized urticaria, pain forming sores; grind into powder and take mixed with wine, recovery is immediate. Furthermore, decocting with Arnebiae Radix seu Lithospermi opens the orifices. Since rashes/pustule conditions do not present with deficiency-cold patterns, taking this leads to immediate eruption.
19. Baolong Wan (Embracing Dragon Pill). Treats all types of wind-heat in children, heatstroke with palpitations and fright, impending eruption of rashes/pustules, excessive sleepiness and coughing, profuse phlegm with red face, cold hands and feet, high fever, waking from sleep with fright, restless convulsions, surging and rapid pulse, headache and vomiting, dark and scanty urination.
Arisaema Cum Bile (Nan Xing) (cut open, use the white interior ground into powder, mix with bile from a yellow ox in the twelfth lunar month to form a paste, place back into the gallbladder to dry in shade, then grind into powder again, half jin)
Tianshu Huang (Tian Zhu Huang) (two liang)
Cinnabaris (Zhu Sha) (two qian, ground, processed by levigation)
Realgar (Xiong Huang) (half tael, processed by levigation)
Moschus (She Xiang) (one qian)
Calculus Bovis (Niu Huang) (half qian)
Grind all ingredients together to an extremely fine powder. Add water dropwise to make pills the size of a cock's head fruit (Elaeocarpus decipiens). For a two-year-old child, dissolve one pill in Decoction of Bamboo Leaves and Mint (Zhuye Bohe Tang) per dose, at any time. Qian Yi stated: Heat arises from fright; using dispersing medicines causes heat to enter the exterior, thus exterior heat does not recede and spots appear. It is suitable to take this. For high heat, promote urination; for mild heat, resolve toxicity. If eruptions are fast, do not use exterior-releasing or purgative methods; it is suitable to take Baolong Wan.
Zicao Gao (Arnebia Ointment). Treats slow eruption of smallpox/chickenpox.
Arnebiae Radix seu Lithospermi (Zi Cao)
Fuzii Lateralis Preparata (Bai Fu Zi) (each one qian)
Ephedrae Herba (Mahuang) (nodes removed)
Glycyrrhizae Radix et Rhizoma (Gancao) (each two qian)
Scorpio (Quan Xie) (ten pieces)
Bombyx Batryticatus (Jiang Can) (two pieces, stir-fried)
Grind the above ingredients into powder. Use one tael of honey and half a zhan of wine. Add Arnebiae Radix seu Lithospermi and boil for several boils. Then immediately mix with the previous medicines and roll into pills the size of a soap pod. Take one pill per dose, dissolved in a decoction of Arnebiae Radix seu Lithospermi. Subsequently, treat with Huang [San] (Yellow Powder). According to detailed records in Bencao (Compendium of Materia Medica): Non-toxic medicines treating diseases remove half the pathogen; these are superior medicines. Just as Zicao Gao treats rashes/pustules, this medicine also treats fright, epilepsy, and wind disorders. It further treats slow eruption of rashes/pustules. In the initial stage of rash/pustule onset, resembling cold damage or wind strike, or between suspected cases of wind-stroke and rashes, taking it has specific indications and prevents mishaps, comparable to superior medicines. It is excellent for physicians to skillfully utilize it.