(牙车急附)
《千金》治失欠颊车蹉闪不合方。
上用一人以手指牵其颐以渐推之,则复入矣,推当急出指,恐误齿伤人指也。
《千金》失欠颊车蹉方。
上消蜡和水敷之。
《千金翼》治牙车急,口眼相引,舌不转方。
牡蛎(熬) 伏龙肝 附子(炮,去皮) 矾石(烧)
上四味,等分末之。以白酒和为泥,敷其上,干则易之,取瘥止。
《千金》灸法∶失欠颊车蹉,灸背第五椎,一日二七壮,满三日。未瘥。灸气冲二百壮,胸前喉下甲骨中
是,亦名气堂。
《千金》又灸足内踝上三寸宛宛中,或三寸五分百壮,三报,此三阴交穴也。
(一切丹毒) (凡三十八门)
《巢氏病源》小儿丹候∶风热毒瓦斯,客在腠理,热毒搏于血气,蒸发于外,其皮上热而赤,如丹之色,故
谓之丹也。若久不瘥,即肌肉烂伤。(《圣惠方》若久不歇则肌肉坏烂,若毒瓦斯入腹则杀人也。)
土虺丹∶发两手指,作红丝,迤渐下行至关节,便杀人。(以下丹无方者,可于一切丹门中求之)。眼丹∶眼卒然赤
肿,生翳,至有十数翳者是也。五色丹∶发而变改无常,或青、黄、白、黑、赤。茱萸丹∶发初从背起,遍身如细缬。
赤丹∶丹之纯赤色者是也。白丹∶初发痒痛,微虚肿,如吹奶起,不痛不赤,而白色者是也。黑丹∶初发痒痛,
或肿起,微黑色者是也。殃火丹∶发两胁及腋下膀上。神火丹∶发两膀,不过一日便赤黑。野火丹∶发赤斑
斑如梅子,遍背腹。骨火丹∶初发在臂起,正赤若黑。家火丹∶初发着两腋下,两膀上。火丹∶往往如伤寒,
赤着身而日渐大。丹火∶其状发赤,如火之烧,须臾 浆起者是也。朱田火丹∶先发背起遍身,一日一夜而成
疮。天灶火丹∶发两膀里尻间,正赤流阴头,赤肿血出。赤流丹∶身上或一片片赤色,如燕脂染及,渐引,俗
谓之流。若因热而得者色赤,因风而得者色白,皆肿而壮热是也。赤游肿∶其状皮肤赤而肿起,行游不定者是
也。风火丹∶初发肉黑,忽肿起。暴火丹之状带黑 色。游火丹∶发两臂及背如火炙。石火丹∶发通身,自
入起如细粟大,色青黑。郁火丹∶发从背起。赤黑丹∶本是毒热折于血气,蕴蒸色赤而复有冷气乘之,冷热互
交,更相积瘀令色赤黑。厉火丹∶发初从髂下起,背赤能移走。飞火丹∶着两臂及背膝。留火丹∶发一日一夜
便成疮,如枣大正赤色。
蓝注候∶小儿为风冷乘其血脉,血得冷则结聚成核,其皮肉色如蓝,乃经久不歇,世谓之蓝注。
《颅囟经》∶黄帝问歧伯曰∶后生少稚多被恶疾、丹毒,二品昔分?歧伯曰∶阳解百年一十以上为毒,一
十以下为丹。丹毒一也,随其大小分别之。治之有毒至根据方万无一差。喻人问∶男女皆遭丹毒之有毒至体,此枉
死者复何限哉。良由信邪师之语,仍被恐之。过昧之人,勿与下手,请根据方用之。今出此图形状如后。
伊芳火丹从两胁起。神灶丹从肚起。尿灶丹从踝起。胡吹灶丹从阴囊上起。天火丹从腹背遍身起。天雷丹从
头项起。 火丹从背甲起。胡漏灶丹从脐中起。废灶丹从曲臂起。神气丹从头背上起。土灶丹从阴踝起。朱黄
丹赤豆色遍身上起。萤火丹从耳起。野龟丹从背脊起。鬼火丹从面上起。
《婴童宝鉴》小儿诸般丹毒歌∶
丹火初成似火烧,天火浑身赤转饶。伊芳火膀边青黑色,厉从额上起根苗。臀并谷道 丹毒,如带 红暴火
调。留火发时一日甚,变改无时五色 。家火颊连双腋乳,天灶内肿到阴尻。背并膝赤飞丹病,股内脐阴尿灶招。
(牙关紧急拘急)
《千金方》治疗因打哈欠导致颊车关节错位脱臼无法闭合的方剂。
上方用法:让一个人用手指牵引患者的下颌,逐渐将其推回原位,即可复位。推入后应当迅速抽出手指,恐怕误伤牙齿或伤及手指。
《千金方》治疗因打哈欠导致颊车关节错位的方剂。
上方用法:将融化的蜡与水混合后敷在患处。
《千金翼方》治疗牙关紧急、口眼相互牵引歪斜、舌头不能转动的方剂。
牡蛎(煅烧) 伏龙肝 附子(炮制,去皮) 矾石(烧制)
以上四味药,等分研成细末。用白酒调和成泥状,敷在患处,干了就更换,直到痊愈为止。
《千金方》灸法:治疗因打哈欠导致颊车关节错位,灸背部第五椎旁,每日七壮,连续三天。如果未愈,再灸气冲穴二百壮,位置在胸前喉下甲骨中间,这里也叫做气堂。
《千金方》又记载灸足内踝上三寸宛宛中,或者三寸五分处,共一百壮,重复三次,这是三阴交穴。
(一切丹毒病症) (共三十八门)
《诸病源候论》小儿丹毒证候:风热毒邪,客居在腠理之间,热毒与血气搏结,向外蒸腾,皮肤表面发热且发红,颜色像丹砂一样,所以称为丹。如果久治不愈,就会导致肌肉腐烂损伤。(《太平圣惠方》记载:如果久治不愈则肌肉坏烂,如果毒邪进入腹部则会致死。)
土虺丹:发作于两手手指,出现红丝,蜿蜒下行至关节,便会致死。(以下没有列出方剂的丹毒,可以在“一切丹”门类中查找)。
五色丹:发作时颜色变化无常,有的呈青色、黄色、白色、黑色、红色。
茱萸丹:初起从背部发作,全身像细密的缬染花纹一样。
白丹:初发时瘙痒疼痛,轻微虚肿,像吹起的奶泡一样,不痛不红,而呈现白色的即是。
殃火丹:发作于两胁及腋下膀臂之上。
家火丹:初发附着于两腋下,两膀臂之上。
朱田火丹:先发于背部,蔓延全身,一日一夜而成疮。
天灶火丹:发作于两膀臂内侧尻部之间,正红色流注至阴头,赤肿出血。
赤流丹:身上或一片片呈赤色,像胭脂染色一样,逐渐蔓延,俗称为“流”。如果是因热邪所致则色赤,因风邪所致则色白,都伴有肿胀和高热。
游火丹:发作于两臂及背部,像火烤一样。
石火丹:发作于通身,从内部发起如细粟米大小,颜色青黑。
郁火丹:发作从背部开始。
赤黑丹:本是毒热折损于血气,蕴结蒸腾色赤,又有冷气乘虚而入,冷热交互,更相积瘀使得颜色变为赤黑。
厉火丹:初起从髂下开始,背部发红并能移动游走。
飞火丹:附着于两臂及背部膝盖。
留火丹:发作一日一夜便成疮,如枣大,正红色。
蓝注候:小儿被风冷侵袭血脉,血液遇冷则凝结聚集成核,其皮肉颜色像蓝色,经久不愈,世人称之为蓝注。
《颅囟经》:黄帝问歧伯说:后生幼童多被恶疾、丹毒所害,这两者以前是如何区分的?歧伯说:阳气解离百年一十岁以上为毒,一十岁以下为丹。丹和毒本质是一样的,随其大小分别称呼它们。治疗如果有毒至根据的方剂,万无一失。有人问:男女都遭受丹毒之毒侵入体内,这种枉死者又有多少呢?这全是因为相信邪师的话,仍然被恐吓。过于愚昧的人,不要让他们动手,请根据方剂使用。现在出示此图形状如下。
伊芳火丹从两胁起。
神灶丹从肚起。
尿灶丹从踝起。
胡吹灶丹从阴囊上起。
天火丹从腹背遍身起。
天雷丹从头项起。
火丹从背甲起。
胡漏灶丹从脐中起。
废灶丹从曲臂起。
神气丹从头背上起。
土灶丹从阴踝起。
朱黄丹赤豆色遍身上起。
萤火丹从耳起。
野龟丹从背脊起。
鬼火丹从面上起。
《婴童宝鉴》小儿诸般丹毒歌:
丹火初成似火烧,天火浑身赤转饶。
伊芳火膀边青黑色,厉从额上起根苗。
臀并谷道丹毒,如带红暴火调。
留火发时一日甚,变改无时五色 [缺字]。
家火颊连双腋乳,天灶内肿到阴尻。
背并膝赤飞丹病,股内脐阴尿灶招。
(Jaw Joint Dislocation)
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold): Formula for treating jaw joint dislocation caused by yawning, where the joint cannot close.
Method: Have one person use their fingers to pull the patient's chin and gradually push it back into place; it will then re-enter. After pushing it in, withdraw the finger immediately to avoid accidentally injuring the teeth or the finger.
*Qianjin Fang*: Formula for jaw joint dislocation caused by yawning.
Method: Mix melted wax with water and apply as a poultice to the affected area.
*Qianjin Yi Fang* (Supplement to Essential Prescriptions Worth a Thousand Gold): Formula for treating acute jaw stiffness, facial distortion with mouth and eyes pulling towards each other, and inability to move the tongue.
Oyster Shell (calcined), Longtan Earth (Fulonggan), Aconite Root (processed, peeled), Alum (burned).
Take equal parts of the above four herbs, grind them into fine powder. Mix with white wine to form a paste, apply to the affected area, replace when dry, continue until healed.
*Moxibustion Method from Qianjin Fang*: For jaw joint dislocation caused by yawning, moxa is applied to the fifth thoracic vertebra on the back, seven moxa cones per session, twice daily, for three days. If not cured, apply two hundred moxa cones to the Qichong (Stomach 30) acupoint, located in the middle of the bone below the throat on the chest, also known as Qitang.
*Qianjin Fang* further records moxibustion at the depression three cun above the medial malleolus, or at three cun five fen, one hundred moxa cones, repeated three times. This is the Sanyinjiao (Spleen 6) acupoint.
(All Types of Erysipelas/Dan Du) (Thirty-eight Categories)
*Zhubing Yuanhou Lun* (Source Book of All Diseases and Symptoms) - Pediatric Dan Syndrome: Wind-heat toxic pathogens lodge in the couli (interstices). Heat-toxin clashes with blood and qi, steaming outward. The skin becomes hot and red, resembling the color of cinnabar, hence named "Dan". If prolonged without cure, muscles rot and are damaged. (*Taiping Shenghui Fang* states: If prolonged without cure, muscles necrose; if toxic pathogens enter the abdomen, it causes death.)
Tuhui Dan (Earth Snake Dan): Starts in both hands' fingers, presenting as red threads that meander down to the joints, causing death. (For Dan types without listed formulas below, consult the "All Dan" category.)
Yan Dan (Eye Dan): Sudden redness and swelling of the eyes, formation of pterygium/opacities, up to ten or more opacities.
Wuse Dan (Five-Color Dan): Color changes unpredictably upon onset, appearing green, yellow, white, black, or red.
Zhuyu Dan (Euodia Dan): Begins on the back, spreading over the body like fine tie-dye patterns.
Chi Dan (Red Dan): Purely red Dan.
Bai Dan (White Dan): Initially itchy and painful, slightly swollen and flaccid, resembling blown milk foam, painless, non-red, but white.
Hei Dan (Black Dan): Initially itchy and painful, or swollen and raised, appearing slightly black.
Yanghuo Dan (Calamity Fire Dan): Appears on both hypochondria and upper arms/axillae.
Shenhuo Dan (Divine Fire Dan): Appears on both upper arms, turning dark red/black within a day.
Yehuodan (Wild Fire Dan): Presents as red spots like plums, covering the back and abdomen.
Guhuodan (Bone Fire Dan): Begins on the arm, bright red approaching black.
Jiahuodan (Household Fire Dan): Begins in both axillae and upper arms.
Huodan (Fire Dan): Often resembles Taiyang disease (cold damage), with redness spreading over the body and enlarging daily.
Danhuo (Dan Fire): Appearance is red, burning like fire, forming blisters suddenly.
Zhutianhuo Dan (Vermilion Field Fire Dan): Begins on the back, spreading over the body, forming sores within one day and night.
Tianzao Huodan (Heavenly Stove Fire Dan): Appears between the inner upper arms and sacrum, bright red flowing to the glans penis, with redness, swelling, and bleeding.
Chiliu Dan (Red Flowing Dan): Patches of redness on the body like rouge staining, spreading gradually, colloquially called "Flow". Caused by heat (red) or wind (white), accompanied by swelling and high fever.
Chiyou Zhong (Red Wandering Swelling): Skin is red and swollen, moving/wandering不定ly.
Fenghuo Dan (Wind Fire Dan): Flesh turns black initially, then suddenly swells.
Baohuo Dan (Violent Fire Dan): Shape carries a black color.
Youhuo Dan (Wandering Fire Dan): Appears on both arms and back, feeling like scorching fire.
Shihuodan (Stone Fire Dan): Covers the whole body, arising internally like fine millet grains, green-black in color.
Yuhuodan (Stagnant Fire Dan): Begins on the back.
Chihei Dan (Red-Black Dan): Originally heat-toxin damages blood and qi, stagnating and steaming red, then cold pathogen invades. Cold and heat interact, accumulating stasis, resulting in red-black color.
Lihuo Dan (Malignant Fire Dan): Begins below the ilium, red on the back and migratory.
Feihuo Dan (Flying Fire Dan): Attaches to both arms, back, and knees.
Liuhuodan (Retaining Fire Dan): Forms sores within one day and night, like a jujube, bright red.
Lanzhu Hou (Blue Injection Syndrome): Children suffer from wind-cold invading blood vessels. Blood congeals due to cold, forming nodules. Skin and flesh appear blue, persisting for a long time, known in the world as Lanzhu.
*Luxin Jing* (Cranial Fontanelle Classic): Yellow Emperor asked Qibo: Why do infants and young children often suffer from severe diseases and Dan Du? How were these two distinguished previously? Qibo replied: Yang dissociation after ten years of age constitutes "Du" (Toxin); under ten years constitutes "Dan". Dan and Du are essentially the same, distinguished only by size/severity. Treatment using correct formulas ensures no error. Someone asked: If both men and women suffer from Dan Du toxins entering the body, how many unjust deaths occur? This is largely due to believing evil teachers and being terrified. Do not let ignorant people handle this; please follow the formulas. The shapes described in the following diagram are presented now.
Yifang Huodan starts from the hypochondria.
Shenzao Dan starts from the abdomen.
Niaozao Dan starts from the ankle.
Huchui Zao Dan starts from the scrotum.
Tianhuo Dan starts from the abdomen and back, spreading over the body.
Tianlei Dan starts from the head and neck.
Huodan starts from the back scapula.
Hulou Zao Dan starts from the umbilicus.
Feizao Dan starts from the flexed arm.
Shenqi Dan starts from the head and back.
Tuzao Dan starts from the medial ankle.
Zhuhuang Dan appears all over the body like red beans.
Yinghuo Dan starts from the ear.
Yegui Dan starts from the spinal ridge.
Guihuo Dan starts from the face.
*Yingtong Baojian* Song of Various Pediatric Dan Toxins:
Dan Huo initially forms like fire burning, Tian Huo makes the whole body intensely red.
Yifang Huo presents as green-black on the arms, Li Huo originates from the forehead.
Buttock and anal region Dan Du, like a belt of red, Baohuo adjusts.
Liuhuo worsens within a day, changing unpredictably into five colors.
Jia Huo connects cheeks to both axillae and breasts, Tian Zao internal swelling reaches the yin and sacrum.
Back and knee redness indicates Fei Dan illness, thigh, umbilicus, and yin attract Niao Zao.