《圣惠》夫黑丹者,由风毒伤于肌肉,故令黑色也,初发痒痛或 肿起,微黑色也。
风化锻石二两,屋四角茅草三两,烧灰为末,鸡清调涂。茺蔚子、蛇衔草、护
火草、各二两,杵烂,鸡白调涂。青羊脂熟摩病上,日三五度用之。(如无青羊,白
羊亦可,但不及尔) 猪槽下泥涂。又,以喂猪杓子炙令热,熨之。
张涣祛毒丹 治丹黑色,痒痛肿起。
川升麻 漏芦 芒硝(各二两) 黄芩 栀子仁(各一两)
上为粗末。每以水三盏,煎两匙头末,微热,以帛拓丹上,以消为度。
《圣惠》夫小儿丹发肉中,有如丹赤色者,大者如手,剧者遍身赤痒,故号天火
丹也。
《本事》天火丹从背起赤点,用桑白皮末、羊指调涂。麻油五合,生鲫鱼半
斤,同杵如泥,涂丹上,干即易。虎脂二两,黄丹一两,研为膏涂。桑根白皮二
两,甘菊花一两半,丹参、莽草各一两,锉匀,每用二两,水三升,煮二升,去
滓,温浴儿,避风。以小儿埋胞衣瓶子中水一二合,时时与儿服,及涂身上有毒处。
《千金》治天火丹病、初从髀间起,小儿未满百日,犯行路灶君,若热流阴头,赤肿
血出,方用伏龙肝为末,鸡清调涂。
又方 鲫鱼肉(锉,五合),小豆末(三合),杵成膏,水和,敷之良。又诸火丹,天火
龙火着肉作疮,急以盐汤喷,次以山药涂。(如无生者,只以干者为末,水调涂)又方,以羊脂
调赤)
石脂末涂之。
《圣惠方》:所谓黑丹,是由于风毒侵袭肌肉,导致皮肤呈现黑色。初发时伴有瘙痒疼痛或肿胀隆起,颜色微黑。
配方一:风化煅石二两,屋檐四角茅草三两,烧成灰后研为细末,用鸡蛋清调和涂抹患处。
配方二:茺蔚子、蛇衔草、护火草各二两,捣烂如泥,用蛋清调和涂抹。
配方三:用熟青羊脂在患处反复按摩,每日使用三至五次。(如果没有青羊,白羊也可以,但效果不如青羊。)
配方四:用猪槽底下的泥土涂抹。
又法:用喂猪的勺子烤热,熨烫患处。
张涣的祛毒丹:治疗黑色的丹毒,症状为瘙痒、疼痛、肿胀隆起。
药材:川升麻、漏芦、芒硝(各二两);黄芩、栀子仁(各一两)。
制法与用法:将上述药物制成粗末。每次取两匙头的药末,加入三盏水,煎煮至剩余少量,趁微热时用布巾蘸药液敷贴于丹毒处,以消退为度。
《圣惠方》:小儿丹毒发作于肌肉中,出现如丹砂般的赤红色,大的如手掌大小,严重的全身赤红瘙痒,所以称为天火丹。
《本事方》:天火丹从背部开始,出现赤色斑点,用桑白皮粉末和羊脂调和涂抹。
配方一:麻油五合,生鲫鱼半斤,一同捣烂如泥,涂抹在丹毒处,干了就更换。
配方二:虎脂二两,黄丹一两,研磨成膏涂抹。
配方三:桑根白皮二两,甘菊花一两半,丹参、莽草各一两,切碎混合均匀。每次取二两,加水三升,煮至二升,去渣,温洗患儿身体,注意避风。
配方四:将小儿埋藏胎衣的瓶子中的水一二合,不时给患儿服用,并涂抹在身上有毒的部位。
《千金方》:治疗天火丹病,初起于大腿内侧,患儿未满百日,若触犯行路灶君(迷信说法,指禁忌),热气流注到阴头,导致红肿出血,方用伏龙肝研为细末,用鸡蛋清调和涂抹。
又一方:鲫鱼肉(切碎,五合),小豆末(三合),捣成膏状,用水调匀,外敷效果良好。
又方:各种火丹,以及天火、龙火附着肌肉形成疮疡,急用盐水喷洒,随后用山药涂抹。(如果没有新鲜的,只用干山药研为细末,用水调匀涂抹。)
又一方:用羊脂调和赤石脂末涂抹。
*Shenghui Fang*: The so-called "Black Dan" (black erysipelas) is caused by wind-toxin invading the muscles, resulting in black discoloration of the skin. Initially, it presents with itching, pain, or swelling and elevation, with a slightly black color.
Formula 1: Eructed Calcined Stone (Fenghua Duan Shi) 2 liang, thatch grass from the four corners of the roof 3 liang, burned to ash and ground into fine powder, mixed with egg white for topical application.
Formula 2: Leonurus Herba (Chongwei Zi) and Dracocephalum Herba (She Xian Cao), each 2 liang, pounded until mushy, mixed with egg white for topical application.
Formula 3: Apply cooked fat of a young black sheep repeatedly to the affected area, three to five times daily. (If a young black sheep is unavailable, a white sheep may be used, though less effective.)
Formula 4: Apply mud from under a pig trough topically.
Another method: Heat a wooden spoon used for feeding pigs and apply heat compresses (warm moxibustion-like therapy) to the affected area.
Zhang Huan's Qudu Dan (Detoxification Pill): Treats black Dan (erysipelas) characterized by itching, pain, and swelling.
Ingredients: Cimicifugae Rhizoma (Chuan Shengma), Euphorbiae Humifusae Herba (Lou Lu), Natrii Sulfas (Mang Xiao) (each 2 liang); Scutellariae Radix (Huang Qin), Gardeniae Semen (Zhi Zi Ren) (each 1 liang).
Preparation and Administration: Grind the above ingredients into coarse powder. For each dose, take two spoonfuls of the powder, add three cups of water, and decoct until reduced. While still warm, apply using a cloth pad over the Dan lesion, continuing until resolution.
*Shenghui Fang*: In infants, Dan (erysipelas) erupts within the flesh, appearing red like cinnabar. Large lesions may cover an area as big as a hand; severe cases involve whole-body redness and itching, hence termed Tianhuo Dan (Heavenly Fire Dan).
*Benshi Fang*: Tianhuo Dan begins on the back with red spots. Use powder of Morus Alba Cortex (Sang Bai Pi) mixed with sheep fat for topical application.
Formula 1: Sesame Oil (Ma You) 5 he, fresh crucian carp half jin, pounded together into a paste, applied to the Dan lesion, changing when dry.
Formula 2: Tiger Fat 2 liang, Minium (Huang Dan) 1 liang, ground into an ointment for topical application.
Formula 3: Cortex Mori Radicis (Sang Gen Bai Pi) 2 liang, Chrysanthemi Flos (Gan Ju Hua) 1.5 liang, Salviae Miltiorrhizae Radix et Rhizoma (Dan Shen), Aristolochiae Herba (Mang Cao) each 1 liang, cut uniformly. Take 2 liang per dose, add 3 sheng of water, boil down to 2 sheng, strain, and use the warm liquid to bathe the infant, avoiding wind exposure.
Formula 4: Obtain one or two he of water from the jar in which the infant's placenta was buried, administer occasionally to the infant orally, and also apply topically to toxic areas on the body.
*Qianjin Fang*: Treats Tianhuo Dan disease, initially starting between the thighs. For infants under one hundred days old, if they offend the taboo of the Kitchen Stove Deity encountered while walking, and heat flows to the glans causing redness, swelling, and bleeding, use Long Gu (Fulong Gan - calcined hematite/loess) ground into powder, mixed with egg white for topical application.
Another Formula: Crucian Carp Meat (cut, 5 he), Vigna Angularis Powder (Xiao Dou Mo, 3 he), pounded into a paste, mixed with water, and applied externally for good effect.
Another Formula: For various fire-Dan conditions, where Heavenly Fire or Dragon Fire adheres to the flesh forming ulcers, urgently spray with salt water, then apply Dioscorea Rhizome (Shan Yao). (If fresh rhizome is unavailable, use dried rhizome ground into powder, mixed with water for topical application.)
Another Formula: Mix Lithii Carbonas (Chi Shi Zhi) powder with sheep fat for topical application.