治KT 病方。
宜服漏芦汤自下,外以锋针数 去血气,针泻其结核处,敷小豆薄则消,皆可根据治丹法
消之,亦用治痈三物甘焦薄薄也。及至溃成脓,火针、敷膏散,亦如治痈法之。
《经》言∶寒气客于经络之中,则血气凝涩不行,壅结则为痈疽也,不言热之所作。其
成痈久,寒化为热,热盛则肉腐烂为脓也。根据经诊候之,由人体中有热,被寒冷搏之,血脉
凝涩不行,热气拥结则为痈疽也。是以治痈疽方有灸法者,治其始。其始,中寒未成热之时
也。其用冷薄贴者,治其热已成,以消热使不成脓也。今人多不悟,其始不用温治及灸法也。
今出要方,以治其成形者耳。赤色肿有尖头者,根广一寸以还,名为疖;其广一寸以上者,
便为小痈也;其如豆粒大为 。
治作痈令消方。
取鹿角就磨刀石上水摩之,以汁涂,燥复涂,则消也。内宜服连翘汤下。
又方
生舂小豆下筛,鸡子白和如泥涂之。
治始作痈,正赤热痛方。
单烧鹿角作未,苦酒和薄之,干复涂之,自消。
又方
单捣大黄,苦洒和薄之,温则易。
治痈及疖始结肿赤热方。
水摩半夏涂之,燥更涂,得KT 便消也。山草中自可掘取半夏乃佳,神验。
有石痈者,始微坚,皮核相亲着,不赤,头不甚尖,微痛热,热渐自歇,便极坚如石,
故谓石痈,难消,又不自熟,熟皆可百日中也。
初作便服防己连翘汤,白针气写之,敷练石薄,积日可消。若失时不得治,不可消。已
有脓者,亦用此薄,则速溃,脓浅易为火针。诸痈溃后用膏散,根据治缓疽法,初作即以小豆
薄涂之,亦消也。
治痈结肿坚如石,或如大核,色不变,或作石痈不消者方。
鹿角(八两,烧作灰) 白蔹(二两) 粗理黄色磨石片(一斤)
烧石极令赤,纳五升苦酒中,复烧,烧竟复更纳苦酒中,令减半止,捣石作末,并鹿角
屑、白蔹屑,以余苦酒和如泥,浓涂痈上,才干更涂,取消也。
治石痈方。
单磨鹿角、半夏涂,不如上方佳也。
治始发诸痈疽发背及乳痈方。
半夏末,鸡子白和,涂良。生者神验,以水和涂之。
有 者,始结肿与石痈相似,所可为异者,其一种中按之垒垒有数核便是也。
初作喜不痛、不热,即以练石薄敷之,内服防己连翘汤下之,便可得消。若失时不治结
脓者,亦以练石薄薄令速熟,熟用火针、膏散,如治痈法。初作即以小豆薄涂之,亦消。
又桐君说∶
赤小豆 白蔹 黄芩 黄 牡蛎
凡五物,分等,下筛,酒服方寸匕。
治疗疖病(一种皮肤红肿热痛的化脓性疾患)的方剂。
适宜服用漏芦汤以通下,外用锋针多次刺破出血气,针刺泻法作用于结核部位,敷上赤小豆薄贴即可消散,均可参照治疗丹毒的方法进行消散,也可使用治疗痈肿的三物甘焦薄贴。等到溃烂成脓时,用火针、敷膏散,也如同治疗痈肿的方法一样。
《内经》说:寒气侵入经络之中,则血气凝滞涩阻不行,壅结就会形成痈疽,并没有说是由热邪所致。痈肿形成日久,寒邪转化为热邪,热盛则肌肉腐烂化为脓液。根据经典诊候来看,是因为人体中有热,被寒冷搏结,导致血脉凝滞涩阻不行,热气拥结就形成了痈疽。因此,治疗痈疽的方剂中有灸法的,是针对疾病初期使用的。所谓初期,是受寒但尚未化热的阶段。那些使用冷性薄贴治疗的,是针对热邪已经形成,用以清热使不化脓。现在的人大多不明白这一点,在初期不使用温治及灸法。现在提出的简要方剂,是用来治疗已经成形阶段的病症。
如果患处发红肿胀且有尖头,根部宽度在一寸以内的,称为疖;宽度超过一寸的,便称为小痈;大小如豆粒的称为……(原文此处似有缺字或指代不明,暂略)。
治疗初起痈肿使其消散的方剂。
取鹿角在磨刀石上加水研磨,用汁液涂抹,干燥后再涂,即可消散。内服宜服用连翘汤通下。
又一方:
将生赤小豆捣碎过筛,用鸡蛋清调和如泥状涂抹。
治疗刚发生痈肿,局部正红、发热、疼痛的方剂。
单独烧制鹿角制成灰烬,用醋调和后薄涂,干燥后再涂,自然消散。
又一方:
单独捣碎大黄,用醋调和后薄涂,变温后更换。
治疗痈及疖刚开始结肿、发红、发热、疼痛的方剂。
用水研磨半夏涂抹,干燥后再涂,遇到疖病即可消散。山草中自行挖掘取得的半夏效果更佳,非常神验。
如果有石痈,起初微微坚硬,皮肤与皮下组织紧密相连,不发红,顶端不太尖,微痛发热,热度逐渐自行消退,就变得极其坚硬如石头,所以称为石痈,难以消散,也不会自行熟透化脓,即使熟透也需要一百天左右的时间。
刚发生时便服用防己连翘汤通下,用白针行气泻法,敷上练石薄贴,经过多日可以消散。如果错过时机未能治疗,就无法消散。已经有脓液的,也使用此薄贴,则会迅速溃破,脓浅者容易用火针处理。各种痈肿溃破后使用膏散,参照治疗缓疽的方法,初起时即用赤小豆薄贴涂抹,也能消散。
治疗痈肿结块坚硬如石头,或如大核,颜色不变,或形成石痈不消散的方剂。
鹿角(八两,烧成灰) 白蔹(二两) 粗理黄色磨石片(一斤)
将石头烧得极红,放入五升醋中,再烧,烧完后再次放入醋中,直到醋减少一半为止,将石头捣成粉末,并加入鹿角屑、白蔹屑,用剩余的醋调和如泥状,厚涂于痈肿上,干了再涂,以求消散。
治疗初发各种痈疽、发背及乳痈的方剂。
半夏末,用鸡蛋清调和,涂抹效果好。生用的效果神验,用水调和涂抹亦可。
有一种……(原文此处似有缺字),初起结肿与石痈相似,不同的是,其中一种按压时有多个结节累累的感觉。
初起时喜欢不痛、不热,即用练石薄贴敷上,内服防己连翘汤通下,便可消散。如果错过时机未治而结脓,也用练石薄贴使其迅速熟透,熟透后用火针、膏散,如同治疗痈肿的方法。初起时即用赤小豆薄贴涂抹,也能消散。
另外桐君说:
赤小豆 白蔹 黄芩 黄芪 牡蛎
以上五味药,分量相等,捣碎过筛,用酒送服方寸匕。
Formula for treating Jie disease (a type of skin condition characterized by redness, swelling, heat, and pain, leading to suppuration).
It is suitable to take Loulu Tang (Coptis Decoction) to promote purgation. Externally, use a sharp needle multiple times to bleed qi and blood, apply acupuncture with draining method at the site of nodules, and apply a small bean poultice to resolve it. All can be resolved according to the methods for treating Dan toxin (erysipelas-like conditions). One may also use the Sanwu Ganjiao Poultice used for treating Yong abscesses. Once it ulcerates and forms pus, use fire needles and apply ointment powders, following the same methods as for treating abscesses.
The *Classic* states: When cold pathogen invades the meridians, blood and qi become stagnant and sluggish, obstructing flow; accumulation leads to the formation of Yong abscesses or Ju sores. It does not state that they are caused by heat. After an abscess has existed for a long time, cold transforms into heat; excessive heat causes flesh to rot and turn into pus. According to diagnostic principles from the classics, this occurs because there is internal heat in the body that is constrained by cold, causing blood vessels to stagnate and become sluggish. The accumulation of heat leads to Yong abscesses or Ju sores. Therefore, among the formulas for treating Yong and Ju, those involving moxibustion are used at the beginning stage. The "beginning" refers to the time when cold has invaded but heat has not yet formed. Those using cold poultices are used when heat has already formed, aiming to clear heat to prevent suppuration. Nowadays, many people do not understand this; they do not use warm treatments or moxibustion at the initial stage. The essential formulas presented here are intended for treating conditions that have already taken shape.
If the lesion is red, swollen, and has a pointed head, with a base width within one cun, it is called Jie (furuncle); if wider than one cun, it is called Xiao Yong (small abscess); if the size is like a bean, it is referred to as [missing term].
Formula to treat early-stage Yong abscesses to make them resolve.
Take deer horn and grind it on a whetstone with water. Apply the juice; reapply when dry, and it will resolve. Internally, it is suitable to take Lianqiao Tang (Forsythia Decoction) to promote purgation.
Another formula:
Pound fresh adzuki beans, sift them, mix with egg white until paste-like, and apply externally.
Formula for treating newly onset Yong abscesses presenting with redness, heat, and pain.
Burn deer horn alone to ash, mix with vinegar, apply thinly; reapply when dry, and it will naturally resolve.
Another formula:
Pound Rhizoma Polygoni Cuspidati (Dahuang) alone, mix with vinegar, apply thinly; change when it becomes warm.
Formula for treating early-stage Yong abscesses and Jie furuncles presenting with swelling, redness, heat, and pain.
Grind Rhizoma Pinelliae (Banxia) with water and apply; reapply when dry. For Jie disease, it will resolve. Pinellia dug from wild herbs is superior and highly effective.
For Shi Yong (Stone Abscess): Initially slightly hard, the skin adheres closely to underlying tissue, no redness, tip not very pointed, slight pain and heat which gradually subsides, becoming extremely hard like stone. Hence called Stone Abscess. It is difficult to resolve and does not ripen spontaneously; even if it ripens, it takes about one hundred days.
At the onset, take Fangji Lianqiao Tang (Stephania and Forsythia Decoction) to promote purgation, use white needle therapy to drain qi, and apply Lianshi Poultice. Over several days, it can resolve. If treatment is delayed, it cannot be resolved. If pus has already formed, apply this poultice to accelerate rupture; for shallow pus, use fire needles. After all abscesses ulcerate, apply ointments and powders following the methods for treating Huan Ju (slow-acting sores). At the onset, applying adzuki bean poultice can also cause resolution.
Formula for treating Yong abscesses with hard nodules like stone or large kernels, unchanged color, or persistent Stone Abscesses.
Deer Horn (8 liang, burned to ash) Radix Bupleuri (Bailian) (2 liang) Coarse-grained yellow grinding stone slices (1 jin)
Heat the stone until extremely red, immerse in five sheng of vinegar, reheat, then immerse again until the vinegar reduces by half. Pound the stone into powder, mix with deer horn ash and Bailian powder, combine with remaining vinegar to form a paste. Apply thickly to the abscess; reapply when dry to achieve resolution.
Formula for treating Stone Abscess.
Grinding deer horn and Banxia alone for application is inferior to the above formula.
Formula for treating initial onset of various Yong abscesses, Ju sores, back carbuncles, and breast abscesses.
Powdered Rhizoma Pinelliae (Banxia), mixed with egg white, is excellent for external application. Fresh usage is highly effective; mixing with water for application is also acceptable.
There is a type [missing term] where initial swelling resembles Stone Abscess. The distinguishing feature is that upon palpation, multiple nodular lumps are felt within the area.
Initially, if there is no pain or heat, apply Lianshi Poultice. Internally, take Fangji Lianqiao Tang to promote purgation, which can lead to resolution. If treatment is delayed and suppuration occurs, apply Lianshi Poultice to accelerate ripening. Once ripe, use fire needles and ointment powders, following standard abscess treatment protocols. Applying adzuki bean poultice at the onset can also cause resolution.
Furthermore, Tong Jun stated:
Adzuki Bean Radix Bupleuri (Bailian) Radix Scutellariae (Huangqin) Radix Astragali (Huangqi) Concha Ostreae (Muli)
These five substances, in equal parts, are pounded and sifted. Take one fangcun bi (square-inch spoonful) with wine.