《巢氏病源》伤寒发痘疮后减瘢候∶伤寒病发疮者,皆是热毒所为,其病折则疮愈,而毒瓦斯尚未全散。故疮
痂虽落,其瘢犹 ,或凹凸肉起,所以宜用消毒减瘢之药以敷之。
谭氏小儿方疗小儿面上疮痘子瘢。
上用黄明胶,慢火炙为末。温酒调服一钱匕,出者服之无瘢,未出服之泻下。
谭氏小儿方疗痘疮瘢 。
上以密陀僧细研。水调,夜涂之,明旦洗去,平复矣。
《圣惠》治小儿热毒发疹痘疮初愈,宜涂疮瘢方
蒺藜子 豉(各一两) 栀子仁(二两)
上件药捣,细罗为散。用醋浆水调如泥,每夜涂疮上,来日以淡浆水洗之。
《圣惠》又方
胡粉(一两) 腻粉(一分)
上件药相和,研令匀。入炼了猪脂拌和如膏,薄薄涂瘢上。每夜涂之,至明以浆水洗之。
《圣惠》又方
鹰粪白(一两) 衣中白鱼(二十枚)
上件药细研,入白蜜调和如稀汤。用涂疮瘢上。
《圣惠》又方
牡蛎( 为粉,三两) 土瓜根(一两)
上件药捣,细罗为散。每夜取二钱,用白蜜调涂面及疮瘢,明旦以暖浆水洗之。
《圣惠》治小儿伤寒热毒斑疮、疹痘疮瘥后减瘢膏方。
马齿苋(自然汁,一升) 炼成猪脂(三两)
上件药相和,以慢火煎成膏,日夜涂疮瘢上。
《圣惠》又方
羊 (一具,用酒一升,浸一宿,来日搅滤去汁。取羊 尽去筋膜) 牛酥(四两)
上二味入银铫子内,慢火煎三五沸,新绵滤入净器中盛。每夜取涂面上,来日用生甘草一两,以浆水二大
盏,煎七八沸,去滓,放温,洗面。
《圣惠》又方
猪 (一斤) 天鼠(二枚)
上二味细切,入铫子内,煎炼令天鼠焦,绞滤取膏。日夜摩涂疮瘢上。
《圣惠》又方
上用颅 粪二两,研如粉。以炼了腊月猪脂三合,调搅令匀,涂于疮瘢上。
《圣惠》又方
上用川升麻,不计多少,细锉,用水煎,去滓取汁。以绵沾汁洗拭疮瘢上。
《圣惠》又方
豉(一升) 羊粪(一合)
上件药相和,以水一斗,煎十余沸,去滓。看冷暖,洗浴疮瘢。
《圣惠》又方
上用黄柏细锉二两,以水二升,煎取一升,去滓。摩拭疮瘢上。
《圣惠》又方
上用赤小豆末一两,以鸡子白调如稀饧,涂疮瘢上。
《圣惠》又方
上用上好白蜜,不计多少,通身涂疮,痂落无瘢。
《圣惠》治小儿疹痘疮,并减瘢痕方。
上用羊 骨髓一两,炼之,入轻粉一分,研成白膏。于瓷合内盛,用涂疮上,减瘢极效。
张涣青金散方 治痘疮、麸疹、疮瘢不省。
白蒺藜 山栀子(并为细末) 青黛(研细。各半两) 腻粉(研一分)
上件一处都细研为末。每用少许,生油调涂疮上。
《良方》疗病豌豆疮,欲无瘢。
上频揭去痂,勿令隐肌,乃不成瘢。纵揭伤有微血,但以面膏涂,即无苦也。疮家不可食鸡鸭卵,实时盲。
瞳子如卵白,其应如神,不可不戒也。
《巢氏病源》中关于伤寒发痘疮后减轻瘢痕的论述:伤寒病引发痘疮,都是热毒所致。当病情缓解时,疮疡虽然愈合,但毒气尚未完全消散。因此,即使疮痂已经脱落,留下的瘢痕仍然可能凹凸不平、肉质突起,所以适宜使用具有消毒和减轻瘢痕作用的药物进行外敷。
谭氏小儿方治疗小儿面部痘疮留下的瘢痕。
取黄明胶,用慢火炙烤后研成粉末。用温酒调服一钱匕(古代量器,约相当于现代的一小勺),如果痘疮已经发出,服用后可不留瘢痕;如果痘疮尚未发出,服用后可促使痘疮排出。
谭氏小儿方治疗痘疮留下的瘢痕。
取密陀僧细细研磨。用水调和,夜间涂抹在患处,次日清晨洗去,皮肤即可恢复平整。
《圣惠方》治疗小儿因热毒引发的疹痘疮初愈后,减轻瘢痕的方剂。
蒺藜子、豆豉(各一两)、栀子仁(二两)。
将上述药物捣碎,过细筛制成散剂。用醋浆水调成泥状,每晚涂抹在疮疤上,第二天用淡浆水洗去。
《圣惠方》另一个方剂。
胡粉(一两)、腻粉(一分)。
将上述药物混合,研磨均匀。加入炼制过的猪脂拌和成膏状,薄薄地涂在瘢痕上。每晚涂抹,次日清晨用浆水洗去。
《圣惠方》又一个方剂。
鹰粪白(一两)、衣中白鱼(二十枚)。
将上述药物细细研磨,加入白蜜调和成稀汤状。涂抹在疮疤上。
《圣惠方》又一个方剂。
牡蛎(煅烧成粉,三两)、土瓜根(一两)。
将上述药物捣碎,过细筛制成散剂。每晚取二钱,用白蜜调匀涂抹于面部及疮疤处,次日清晨用暖浆水洗去。
《圣惠方》治疗小儿伤寒热毒引起的斑疮、疹痘疮痊愈后减轻瘢痕的膏剂方。
马齿苋(取自然汁,一升)、炼成的猪脂(三两)。
将上述药物混合,用慢火煎制成膏,日夜涂抹在疮疤上。
《圣惠方》又一个方剂。
羊脂(一副,用酒一升浸泡一夜,次日搅拌过滤取汁。取纯净羊脂,去除筋膜)、牛酥(四两)。
将这两味药放入银锅中,用慢火煎煮三到五沸,用新棉过滤倒入干净的容器中盛放。每晚取适量涂抹于面部,次日早晨取生甘草一两,用两大盏浆水,煎煮七八沸,去渣,待温度适宜后用来洗脸。
《圣惠方》又一个方剂。
猪脂(一斤)、天鼠屎(二枚)。
将这两味药细细切碎,放入锅中煎炼,直到天鼠屎焦枯,绞滤取膏。日夜按摩涂抹在疮疤上。
《圣惠方》又一个方剂。
取颅腔内的粪便二两,研磨如粉。用炼制好的腊月猪脂三合,调和搅拌均匀,涂抹在疮疤上。
《圣惠方》又一个方剂。
取川升麻,数量不限,细细锉碎,用水煎煮,去渣取汁。用棉蘸取汁液擦拭疮疤处。
《圣惠方》又一个方剂。
豆豉(一升)、羊粪(一合)。
将上述药物混合,用一斗水,煎煮十余沸,去渣。根据水温冷暖,洗浴疮疤部位。
《圣惠方》又一个方剂。
取黄柏细细锉碎二两,用水二升,煎取一升,去渣。摩擦擦拭疮疤处。
《圣惠方》又一个方剂。
取上好赤小豆末一两,用鸡蛋清调成稀糖状,涂抹在疮疤上。
《圣惠方》又一个方剂。
取上好的白蜜,数量不限,全身涂抹于疮口,待痂皮脱落后即无瘢痕。
《圣惠方》治疗小儿疹痘疮,并减轻瘢痕的方剂。
取羊骨髓一两,炼制后,加入轻粉一分,研磨成白色膏状。盛放在瓷盒中,涂抹于疮口,减轻瘢痕效果极佳。
张涣的青金散方,治疗痘疮、麸疹、疮疤不消退。
白蒺藜、山栀子(均研成细末)、青黛(研细,各半两)、腻粉(研一分)。
将上述药物一起细细研磨成粉末。每次取少许,用生油调匀涂抹在疮口上。
《良方》治疗患豌豆疮(天花),想要不留瘢痕。
频繁揭去痂皮,不要让它遮盖肌肤,这样就不会形成瘢痕。即使揭除时损伤有微量出血,只要涂上脸膏,也就没有痛苦了。患疮的人不可食用鸡鸭卵,否则会立即导致失明。瞳孔变得像蛋清一样浑浊,其应验如同神助,不可不警惕啊。
According to *Chao Shi Bing Yuan* (Source of Diseases by Chao Yuanfang) regarding the reduction of scars after chickenpox/smallpox following cold damage: The occurrence of sores and pustules in cold damage diseases is caused by heat-toxin. When the disease subsides, the sores heal, but the toxic qi has not yet fully dissipated. Therefore, even if the scabs have fallen off, the remaining scars may still be uneven or raised with flesh. It is thus appropriate to use medicinal preparations that dispel toxins and reduce scars for external application.
Tan's Pediatric Formula for treating facial scars from smallpox/chickenpox in children.
Take Huangming Jiao (Yellow Clear Gelatin), roast it slowly over low fire until powdered. Mix one Qianbi (ancient unit of measurement, approx. a small spoonful) with warm wine and ingest. If the pustules have erupted, taking this will prevent scarring; if they have not yet erupted, it will promote their discharge.
Tan's Pediatric Formula for treating scars from smallpox/chickenpox.
Grind Mituo Seng (Litharge/Lead Monoxide) finely. Mix with water and apply at night; wash off the next morning, and the skin will become smooth.
*Sheng Hui Fang* (Formulas from the Holy Benefit Bureau) for treating initial healing of rashes and smallpox/chickenpox caused by heat-toxin in children, a formula to reduce scars.
Jili Zi (Tribulus Fruit) and Chi Shao (Fermented Soybean) (each 1 liang); Zhizi Ren (Gardenia Seed) (2 liang).
Pound the above ingredients and sieve them into a fine powder. Mix with vinegar-water to form a paste. Apply to the scars every night, and wash off the next day with weak starch water.
Another formula from *Sheng Hui Fang*.
Hu Fen (Basic Lead Carbonate) (1 liang); Ni Fen (Calomel/Mercurous Chloride) (1 fen).
Mix the above ingredients and grind evenly. Combine with refined lard to form a ointment. Apply thinly to the scars every night, and wash off with starch water the next morning.
Another formula from *Sheng Hui Fang*.
Ying Fen Bai (White Eagle Droppings) (1 liang); Yi Zhong Bai Yu (Silverfish found in clothes) (20 pieces).
Grind the above ingredients finely and mix with white honey to a consistency like thin soup. Apply to the scars.
Another formula from *Sheng Hui Fang*.
Mu Li (Oyster Shell calcined into powder) (3 liang); Tu Gua Gen (Trichosanthes Root) (1 liang).
Pound the above ingredients and sieve into a fine powder. Take 2 qian each night, mix with white honey, and apply to the face and scars. Wash off the next morning with warm starch water.
*Sheng Hui Fang* ointment for reducing scars after the resolution of macular rash and smallpox/chickenpox caused by heat-toxin from cold damage in children.
Ma Chi Xian (Purslane natural juice) (1 sheng); Refined Lard (3 liang).
Mix the above ingredients and simmer over low fire to form an ointment. Apply to the scars day and night.
Another formula from *Sheng Hui Fang*.
Yang Zhi (Sheep Fat) (one whole piece, soaked in 1 sheng of wine overnight; stir and filter to remove residue next day; take pure sheep fat removing all fascia); Niu Su (Cow Butter/Ghee) (4 liang).
Place these two ingredients in a silver pot and simmer over low fire for three to five boils. Filter through new cotton into a clean container. Apply to the face every night. The next morning, take 1 liang of raw Gan Cao (Licorice Root), boil in two large bowls of starch water for seven or eight boils, remove dregs, let cool to a suitable temperature, and use to wash the face.
Another formula from *Sheng Hui Fang*.
Zhu Zhi (Pork Fat) (1 jin); Tian Shu (Sky Rat droppings/Bat Guano) (2 pieces).
Finely chop these two ingredients and place in a pot. Simmer until the Tian Shu is scorched, then strain to extract the grease. Massage and apply to the scars day and night.
Another formula from *Sheng Hui Fang*.
Take 2 liang of feces from the cranial cavity (likely referring to specific animal waste used in ancient contexts, literally "skull dung"), grind into powder. Mix with 3 he of refined lard from the twelfth lunar month, stir evenly, and apply to the scars.
Another formula from *Sheng Hui Fang*.
Take Chuan Sheng Ma (Cimicifugae Rhizoma), quantity unspecified, finely cut, decoct in water, remove dregs to obtain the juice. Dip cotton in the juice and wipe the scars.
Another formula from *Sheng Hui Fang*.
Chi Shao (Fermented Soybean) (1 sheng); Yang Fen (Sheep Droppings) (1 he).
Mix the above ingredients, add 1 dou of water, boil for more than ten times, remove dregs. Use the liquid at a comfortable temperature to bathe the scarred areas.
Another formula from *Sheng Hui Fang*.
Take 2 liang of finely cut Huang Bo (Phellodendron Bark), decoct in 2 sheng of water to obtain 1 sheng, remove dregs. Rub onto the scars.
Another formula from *Sheng Hui Fang*.
Take 1 liang of fine powder from Chi Xiao Dou (Adzuki Bean), mix with egg white to a consistency like thin syrup, and apply to the scars.
Another formula from *Sheng Hui Fang*.
Take high-quality Bai Mi (White Honey), quantity unspecified, apply to the entire body where sores exist. Once the scabs fall off, no scars will remain.
*Sheng Hui Fang* for treating pediatric rashes and smallpox/chickenpox, and reducing scars.
Take 1 liang of Yang Sui (Sheep Bone Marrow), refine it, add 1 fen of Qing Fen (Calomel), and grind into a white ointment. Store in a porcelain box and apply to the sores; it is extremely effective in reducing scars.
Zhang Huan's Qing Jin San (Blue Gold Powder) for treating persistent smallpox/chickenpox, bran-like rash, and scars.
Bai Ji Li (Tribulus Fructus) and Shan Zhi Zi (Gardeniae Fructus) (both ground into fine powder); Qing Dai (Indigo Naturalis) (finely ground, half liang each); Ni Fen (Calomel) (ground, 1 fen).
Grind all ingredients together into a fine powder. Take a small amount each time, mix with raw oil, and apply to the sores.
*Liang Fang* (Good Prescriptions) for treating variola (smallpox) without leaving scars.
Frequently remove the scabs, ensuring they do not cover the underlying skin, so that scars do not form. Even if slight bleeding occurs during removal, applying Mian Gao (Facial Ointment) will cause no distress. Patients with sores must not consume chicken or duck eggs, as this will immediately cause blindness. The pupils becoming cloudy like egg white is a sign that comes true like a spirit; one must not disregard this warning.