四十一、胡荽酒。治小儿初觉不安,辨证是疮疹,或已发未发,以出而快者用之。盖疮
疡烦躁痛痒,皆出于心,胡荽味辛,能通心窍,故以胡荽酒煎喷之立出。心主疮疡,主烦躁
,主痛痒,主惊悸。凡为疮疹,数证必备,是胡荽能通心窍,而通之则疮疹易出也。若辨证
是疮疹,而大便利者,紫草胡荽二药皆未可用,恐紫草性寒,胡荽利大肠故也。则宜先温之
,脏腑如常,疮疹证未退者宜用之。
上用胡荽三两,细切,以酒二大盏,煎令沸沃胡荽,便以物合定,不令气出,候冷去滓
,微微从顶以下涂儿面颊眼目之间,喷背膂及两脚胸腹令遍,勿喷于面。钱氏用好酒二盏煎
一两沸,入胡荽四两再煎。又云∶病患左右上下常令有胡荽气,即令辟去汗气恶气,疮疹出
快,忌外人及向秽触之物。虽不可受风冷,然亦不可壅遏,常令衣服得中,并虚凉处坐卧。
四十二、葡萄酒。治时气发疮疹不出者。
上以葡萄研酒饮之。葡萄味甘平,利小便,取穗出快之义也。
四十三、烧赤术猪甲。
仲景谓疮疹表出之间,宜于房室烧赤术(乃苍术也) 猪甲二物辟恶气,父母常戒其色
欲,亦令人守房室门户,勿令外人入房,恐触犯,令小儿疮疹难出。或有触犯,得上喘面青
黄色者犹轻。因此犯而死者,不可胜数,宜谨之。
四十四、烧乳香。熏疮疹法。
如疮疹正发,则忌诸臭秽恶气,以逆荣卫,恐陷伏倒靥也。于房室中常令烧乳香不绝,
可去恶气,疮疹无不效者。
四十五、黄土末敷疮痘已出者,不可发表。如又表之者,更增斑烂,若发脓痛甚者,即
用干净黄土罗为细末敷之,仍数数食蜜为妙。
四十六、芒硝猪胆汁,如疮斑烂为不合,表之太过,一手一足,面脑腹背,皆各为一片
疮相似。令不忍观之者,用芒硝猪胆汁调涂疮上,勿令动着,直候疮痂落,有大段疮发不通
卧席者,用麦麸簟卧,将息为妙。
四十七、黑牛粪烧灰贴疮疹,治已出而未平,切忌见杂人,恐劳力之人及狐臭熏触故也
,未愈不可风,当风则成疮瘢也。如脓 出,可 黑牛粪贴之,令速愈而无瘢痕也。
四十八、黄柏膏,小儿疮痘出后,即须爱护面目,勿令沾染,欲用胡荽酒,喷时,先用
此方涂面上,然后喷四肢,大人婴孩有此,悉宜用之。
黄柏(一两) 绿豆(一两) 甘草(四两,生)
上件捣罗为末,再研令细,后以生麻油调如薄膏,从耳前眼唇并浓涂三五遍,上涂面后
,可用胡荽酒喷也。早用此方涂面上,令不生疹痘也。如用此方涂迟,纵有疹痘亦少。诸家
方爱护面目者,皆以此方治疗,分两用法皆同,惟疹痘论,一料用缘豆粉三两五钱。
四十九、白芥子散。治小儿患疮疹,令不入眼。
上用白芥子为末,水调敷脚心,则疮不入目矣。
五十、烂肉汁治豌豆疮。
上用烂肉汁洗之,干脯亦得。
四十一、胡荽酒。治疗小儿刚开始出现不适,辨证为疮疹(天花或麻疹等出疹性疾病),无论皮疹已经发出还是尚未发出,旨在促进皮疹迅速透发时使用。因为疮疡引起的烦躁、疼痛和瘙痒,根源都在心经,胡荽味辛,能够通达心窍,所以用胡荽酒煎煮后喷洒,能使皮疹立即透出。心主疮疡,主烦躁,主痛痒,主惊悸。凡是疮疹病症,这些症状都必备,说明胡荽能通达心窍,心窍通则皮疹容易发出。如果辨证是疮疹,但患者大便通畅者,紫草和胡荽这两味药都不可使用,恐怕是因为紫草性寒,而胡荽有利大肠的作用。此时应当先温补调理,待脏腑功能恢复正常,若疮疹证候仍未消退,则适宜使用此方。
以上药材取胡荽三两,细细切碎,用两大盏酒,煎至沸腾后浇在胡荽上,随即用器物盖严,不让气味散失,待冷却后滤去药渣,轻轻涂抹于患儿面部、脸颊及眼目之间,并喷洒背部、脊柱以及双脚、胸部和腹部,使其均匀覆盖,注意不要喷洒在面部正中央。钱乙的方法是用好酒二盏,煎一两沸,加入胡荽四两再煎。又说:病患周围上下左右常要有胡荽的气味,这样可以驱除汗气和恶气,使疮疹透出迅速,忌讳外人及污秽之物触碰。虽然不能受风冷侵袭,但也不宜过度捂闷,应让衣物适中,并在通风凉爽处坐卧。
四十二、葡萄酒。治疗时行疫病引发的疮疹无法透发者。
以上药材将葡萄研磨后与酒混合饮用。葡萄味甘平,能利小便,取其穗状果实快速脱落的寓意,象征皮疹速出。
四十三、烧赤术猪甲。
张仲景说,在疮疹欲从表透发的阶段,应当在居室中焚烧赤术(即苍术)和猪甲这两种物品以辟除恶气。父母常需戒除色欲,也要让人看守房室门户,不让外人进入房间,恐怕触犯禁忌,导致小儿疮疹难以透出。如果有被触犯的情况,出现气喘、面色青黄的症状的还算轻症。因此类触犯而导致死亡的,数不胜数,应当谨慎对待。
四十四、烧乳香。熏治疮疹的方法。
当疮疹正在发作时,忌讳各种臭秽恶气,因为这些气体会阻碍营卫之气的运行,恐怕导致皮疹内陷、倒靥(皮疹隐没不出)。应当在居室中持续焚烧乳香,可以去除恶气,对疮疹没有无效的。
四十五、黄土末敷。疮痘已经发出的,不可再用发表法。如果再次使用发表法,会加重斑烂;如果脓疱疼痛严重,即用干净的黄土过筛成细末敷贴患处,同时多次食用蜂蜜为好。
四十六、芒硝猪胆汁。如果疮斑因护理不当(不合)或因发表太过,导致手足、头面、腹部、背部皆融合成片,惨不忍睹,可用芒硝和猪胆汁调和涂抹于疮上,不要触动它,直等到疮痂脱落。如果有大片疮口溃烂不通、卧床难安者,用麦麸编制的席子垫着躺卧,静养调护为好。
四十七、黑牛粪烧灰贴。用于疮疹已发出但未平复的情况,切忌接触陌生人,恐怕是劳累之人及狐臭者的气息熏触所致。未痊愈前不可吹风,迎风则会留下疮瘢。如果脓液流出,可用黑牛粪灰贴敷,令其快速愈合且不留瘢痕。
四十八、黄柏膏。小儿疮痘发出后,必须爱护面目,不要让药物沾染。想使用胡荽酒喷洒时,先用此方涂抹面部,然后再喷洒四肢。大人和婴儿有此情况,都适宜使用。
黄柏(一两) 绿豆(一两) 甘草(四两,生用)
以上药材捣碎过筛成末,再研磨细腻,然后用生麻油调制成稀薄的膏状,从耳前、眼周、唇部浓涂三到五遍,涂完面部后,可以用胡荽酒喷洒。早上用此方涂抹面部,可防止生出疹痘。如果使用此方涂抹较晚,即使有疹痘也会较少。各家方书中关于爱护面目的方法,都是用此方治疗,分量用法都相同,只有《疹痘论》中一料药使用缘豆粉三两五钱。
四十九、白芥子散。治疗小儿患疮疹,防止皮疹侵入眼睛。
以上药材将白芥子研成粉末,用水调匀敷贴脚心,则疮疹就不会进入眼睛了。
Forty-one. Huixu Wine (Coriander Wine). Used to treat infants who initially show signs of discomfort, where the syndrome differentiation indicates chuangzhen (exanthematous diseases such as smallpox or measles), whether the rash has erupted or not yet, with the aim of promoting rapid eruption. Since irritability, pain, and itching associated with sores and ulcers originate from the Heart, and Coriander (Huixi) is pungent in flavor and can unblock the Heart orifices, decocting it in wine and spraying it allows the rash to erupt immediately. The Heart governs sores and ulcers, irritability, pain and itching, and palpitations with fright. All these symptoms are essential for chuangzhen syndromes; thus, Huixi unblocks the Heart orifices, and once unblocked, the rash erupts easily. However, if the syndrome is differentiated as chuangzhen but the patient has loose stools, neither Zicao (Arnebiae Radix seu Rhizoma) nor Huixi should be used, likely because Zicao is cold in nature and Huixi promotes bowel movement in the Large Intestine. In such cases, one should first warm and tonify until the Zang-Fu organs function normally; if the chuangzhen syndrome persists, this formula is appropriate.
Take three liang of Huixi, finely chopped, and two large cups of wine. Boil the wine, pour it over the Huixi, cover tightly immediately to prevent the vapor from escaping, let it cool, strain off the dregs, and gently apply between the forehead, cheeks, and eyes. Spray the back, spine, both feet, chest, and abdomen evenly, avoiding direct application to the center of the face. Qian Yi's method uses two cups of good wine, boiled briefly, then add four liang of Huixi and boil again. It is also stated that there should always be the scent of Huixi around the patient, above and below, left and right, to dispel sweat odor and foul air, facilitating rapid eruption of the rash. Avoid contact with outsiders and filthy objects. Although wind and cold must be avoided, excessive confinement should also be prevented; clothing should be moderate, and the patient should sit and lie in a ventilated, cool place.
Forty-two. Grape Wine. Used to treat exanthematous diseases caused by epidemic qi that fail to erupt.
Grind grapes and mix with wine for drinking. Grapes have a sweet and neutral flavor and promote urination; this utilizes the symbolism of grape clusters shedding quickly to represent the rapid eruption of the rash.
Forty-three. Burned Chi Zhu (Atractylodis Rhizoma) and Pig Claws.
Zhang Zhongjing stated that during the phase when chuangzhen is attempting to erupt from the exterior, one should burn Chi Zhu (which is Cang Zhu, Atractylodis Rhizoma) and pig claws in the living quarters to ward off foul odors. Parents should abstain from sexual desires and ensure others guard the doors and windows, preventing outsiders from entering the room to avoid taboo violations that might hinder the eruption of the child's rash. If violated, mild cases may present with panting and yellowish-green complexion. Fatalities due to such violations are countless; caution is imperative.
Forty-four. Burning Ru Xiang (Frankincense). Method for fumigating chuangzhen.
When chuangzhen is actively erupting, all foul odors must be avoided as they obstruct the flow of Ying and Wei Qi, potentially causing the rash to collapse inward or invert. Continuous burning of Ru Xiang in the living quarters removes foul odors and is effective for chuangzhen.
Forty-five. Application of Yellow Earth Powder. For eruptions that have already appeared, exterior-releasing methods should not be used. Repeated use of exterior-releasing methods will worsen ulceration. If pus-filled lesions cause severe pain, apply fine powder of clean yellow earth to the affected area. Consuming honey frequently is also beneficial.
Forty-six. Mangxiao (Mirabilite) and Pig Bile. If ulceration occurs due to improper care or excessive use of exterior-releasing methods, resulting in confluent patches on hands, feet, face, head, abdomen, and back that are distressing to behold, mix Mangxiao and pig bile and apply to the sores without disturbing them. Wait until the scabs fall off. For extensive non-healing wounds causing restlessness in bed, lying on a mat woven from wheat bran is advisable for recuperation.
Forty-seven. Black Cow Manure Ash Application. For chuangzhen that have erupted but not yet flattened. Strictly avoid contact with strangers, as the exertion of laborers or the odor of fox-like body odor may interfere. Do not expose to wind before healing, as wind exposure leads to scarring. If pus discharges, apply black cow manure ash to accelerate healing and prevent scarring.
Forty-eight. Huangbo Paste (Phellodendron Paste). After pediatric chuangzhen erupts, protect the face and eyes from contamination. Before spraying Huixu Wine, apply this paste to the face, then spray the limbs. This is suitable for adults and infants alike.
Huangbo (Phellodendri Cortex, 1 liang), Lv Dou (Mung Bean, 1 liang), Gancao (Licorice Root, 4 liang, raw).
Pulverize the ingredients, grind finely, and mix with raw sesame oil to form a thin paste. Apply thickly three to five times to the areas anterior to the ears, around the eyes, and lips. After applying to the face, Huixu Wine may be sprayed. Applying this paste in the morning prevents the generation of rashes. If applied late, even if rashes appear, they will be fewer. Various texts regarding facial protection use this formula with identical dosages and methods, except for the "Lun Zhen Dou" text, which specifies using 3.5 qian of Yuan Dou powder per batch.
Forty-nine. Baijiezi Powder (White Mustard Seed Powder). Used to treat pediatric chuangzhen and prevent the rash from affecting the eyes.
Grind Baijiezi into powder, mix with water, and apply to the soles of the feet to prevent the rash from entering the eyes.
Fifty. Rotten Meat Juice for Treating Pea Pox.
Wash the affected area with rotten meat juice; dried meat jerky is also acceptable.