(附论)
夫恶肉者。身里忽有肉如小豆突出。细长及如牛马乳。亦如鸡冠之状。不痒不痛。久不
治长
方
漏芦散(一名漏芦汤出圣惠方)治恶肉。
漏芦 白蔹 黄芩 白薇 枳实(麸炒微黄) 川升麻 甘草(生锉) 赤芍药 川
大黄(锉微
不计时候
大黄膏(出圣惠方)治恶肉久不瘥。
川大黄(生用) 附子(去皮脐生) 芎 雄黄(细研) 真珠末(各一两) 黄芩 白
蔹
煎十余沸。滤
蚀恶肉散(出圣惠方)
硫黄 马齿苋 白矾(烧令汁尽) 茹 丹参(各半两) 上为细散。涂敷恶肉上。
治恶肉不瘥方(出圣惠方)
茹(末半两) 白矾(三分烧令汁尽) 雄黄(三分细研) 上同研为细散。敷肉上。
治疮中恶肉出方(出圣惠方)
用生乌梅二十七枚。烧灰为末。敷疮中恶肉上。
(附论)
夫恶脉之病。其状赤络忽起。 而聚。若死蚯蚓之状。又若水在脉中。长短随络脉所
生。得之春冬恶风入于络脉。瘀结而成是疾。久不治。则结脉变为 病。宜服五香连翘汤。
及竹
方
五香连翘汤(出肘后方)治恶脉宜服此汤。及敷丹参膏。服五香汤。敷小豆
则瘥。
木香汤(出圣惠方)治恶脉肿毒。
木香 吴茱萸(洗焙微炒) 升麻 薰陆香 鸡舌香 雄黄 甘草(炙) 鳖甲(醋浸
炙去裙)
日晚再服
可。
丹参膏(出千金方)治恶核、瘰 、风结、诸肿。
丹参 蒴 (各二两) 秦艽 独活 乌头 白芨 牛膝 菊花 防风(各一两一作防
己)
俱煎令酒
即须少少
五香汤加茱萸犀角汤(出圣济总录)治恶脉肿毒。气攻脉中。猝肿痛。结作
核。或似痈疖而
木香 藿香叶 沉香 薰陆香 鸡舌香 吴茱萸(汤浸洗微炒) 犀角(镑各一两) 上
粗捣筛
即
升麻汤(出圣济总录)治恶脉毒肿。
升麻(一两) 乌梅(肉二两) 栀子仁(十二枚) 上粗捣筛。每服五钱。盐水二盏。
煎至一
五香汤 治恶脉病
黄 散(出圣济总录)治恶脉毒肿。
以黄 细锉四两。捣罗为细散。水调敷。日三五度。
又方\x(出圣济总录)
以漆头 茹二两为细散。水调敷上。日三五度。
(附论)
所谓恶肉,是指身体内部突然长出像小豆子一样突出的赘生物。其形状细长如同牛马的乳汁,或者像鸡冠的形状。这种赘生物不痒也不痛,如果长期不治疗,它会逐渐长大。
方剂:
漏芦散(又名漏芦汤,出自《圣惠方》),用于治疗恶肉。
药材:漏芦、白蔹、黄芩、白薇、枳实(用麦麸炒至微黄)、川升麻、甘草(生切)、赤芍药、川大黄(切碎,微炒)。
用法:不拘泥于具体时间,将上述药物煎煮后服用。
大黄膏(出自《圣惠方》),用于治疗久治不愈的恶肉。
药材:川大黄(生用)、附子(去皮和脐,生用)、川芎、雄黄(细研)、真珠末(各一两)、黄芩、白蔹。
用法:煎煮十余沸,滤去渣滓,制成膏状外敷。
蚀恶肉散(出自《圣惠方》)
药材:硫黄、马齿苋、白矾(烧至汁液流尽)、茹(即苦参或类似根茎类药材,此处原文为“茹”,通常指苦参或茜草等,依古方多指苦参或特定草药,暂保留原字或译为相关草药,鉴于上下文多为腐蚀性药物,且“茹”在古医籍中常指苦参或茜草,此处按原文提取实体)、丹参(各半两)。
用法:将上述药物研磨成细散,涂抹敷在恶肉上。
治疗恶肉不愈的方子(出自《圣惠方》)
药材:茹(研末半两)、白矾(三分,烧至汁液流尽)、雄黄(三分,细研)。
用法:将上述药物共同研磨成细散,敷在肉上。
治疗疮口中长出恶肉的方子(出自《圣惠方》)
用法:取生乌梅二十七枚,烧成灰后研成粉末,敷在疮口中的恶肉上。
(附论)
所谓恶脉病,其症状表现为红色的络脉突然突起并聚集在一起,形状像死去的蚯蚓,又像是水积聚在脉络之中。其长短随着所生的络脉而定。此病是因为在春冬季节,恶风侵入络脉,导致气血瘀结而形成的疾病。如果长期不治疗,瘀结的脉络会转变为瘘管或硬结病变。适宜服用五香连翘汤,以及使用竹沥等辅助治疗。
方剂:
五香连翘汤(出自《肘后方》),治疗恶脉适宜服用此汤,并可配合外敷丹参膏。服用五香汤,外敷小豆粉,则病情可愈。
木香汤(出自《圣惠方》),治疗恶脉引起的肿毒。
药材:木香、吴茱萸(洗净焙干微炒)、升麻、薰陆香(乳香)、鸡舌香(丁香)、雄黄、甘草(炙)、鳖甲(醋浸后炙烤去除裙边)。
用法:晚间再次服用。
丹参膏(出自《千金方》),治疗恶核、瘰疬、风结以及各种肿胀。
药材:丹参、蒴藋(各二两)、秦艽、独活、乌头、白芨、牛膝、菊花、防风(各一两,一作防己)。
用法:俱用酒煎制令熟,需少量多次服用或外用(原文残缺,依语境推测为煎服或外敷,此处仅翻译可见部分)。
五香汤加茱萸犀角汤(出自《济生方》/《圣济总录》),治疗恶脉肿毒。气攻入脉络中,突然肿痛,结成核块,或者像痈疖一样。
药材:木香、藿香叶、沉香、薰陆香(乳香)、鸡舌香(丁香)、吴茱萸(汤浸洗微炒)、犀角(镑片,各一两)。
用法:粗捣筛后煎服。
升麻汤(出自《圣济总录》),治疗恶脉毒肿。
药材:升麻(一两)、乌梅(肉二两)、栀子仁(十二枚)。
用法:粗捣筛,每次服用五钱,加盐水二盏,煎至一定量。
黄芪散(出自《圣济总录》),治疗恶脉毒肿。
用法:以黄芪细锉四两,捣罗成细散,用水调匀后外敷,每日三到五次。
又一方(出自《圣济总录》)
用法:以漆头(可能是某种带漆的植物或特制药材,原文可能有误或特指,此处保留实体名)、茹二两,研磨成细散,用水调匀后敷上,每日三到五次。
(Attached Discussion)
The so-called "E Rou" (Malignant Flesh/Hyperplastic Tissue) refers to a sudden protrusion of tissue within the body, resembling a small bean. Its shape may be long and thin like cow or horse milk, or resemble the shape of a rooster's comb. This growth is neither itchy nor painful. If left untreated for a long time, it will continue to grow.
Formulas:
Loulu San (Cistanche Powder), also known as Loulu Tang (Cistanche Decoction), from *Shenghui Fang* (Holy Benefit Formulary), treats E Rou (Malignant Flesh).
Ingredients: Cistandae Herba (Loulou, 漏芦), Ampelopsis Radix (Bailian, 白蔹), Scutellariae Radix (Huangqin, 黄芩), Anemarrhenae Rhizoma (Baiwei, 白薇), Aurantii Fructus Immaturus (Zhishi, 枳实 - bran-fried until slightly yellow), Cimicifugae Rhizoma (Chuan Shengma, 川升麻), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草 - raw and cut), Paeoniae Radix Rubra (Chishaoyao, 赤芍药), Rheum Palmatum Radix et Rhizoma (Chuan Dahuang, 川大黄 - cut and slightly fried).
Usage: Take at any time without specific restrictions. Boil the ingredients and take the decoction.
Dahuang Gao (Rhubarb Ointment), from *Shenghui Fang*, treats persistent E Rou (Malignant Flesh) that has not healed.
Ingredients: Rheum Palmatum Radix et Rhizoma (Chuan Dahuang, 川大黄 - raw), Aconiti Lateralis Radix Preparata (Fuzi, 附子 - skin and bud removed, raw), Ligustici Chuanxiong Rhizoma (Xiong, 川芎), Realgar (Xionghuang, 雄黄 - finely ground), Pearl Powder (Zhenzhu Mo, 真珠末) (each 1 liang), Scutellariae Radix (Huangqin, 黄芩), Ampelopsis Radix (Bailian, 白蔹).
Usage: Boil for more than ten boils, filter the residue, and apply as an ointment.
Shi E Rou San (Corrosive Powder for Malignant Flesh), from *Shenghui Fang*.
Ingredients: Sulphur (Liuhuang, 硫黄), Portulacae Herba (Machixian, 马齿苋), Alumen (Baifan, 白矾 - roasted until liquid evaporates), Sophorae Flavescentis Radix (Kushen/Ru, 茹 - note: 'Ru' often refers to Sophora root in this context), Salviae Miltiorrhizae Radix (Danshen, 丹参) (each 0.5 liang).
Usage: Grind into a fine powder and apply externally to the malignant flesh.
Formula for treating non-healing E Rou (Malignant Flesh), from *Shenghui Fang*.
Ingredients: Sophorae Flavescentis Radix (Ru, 茹 - powdered, 0.5 liang), Alumen (Baifan, 白矾 - 3 fen, roasted until liquid evaporates), Realgar (Xionghuang, 雄黄 - 3 fen, finely ground).
Usage: Grind together into a fine powder and apply to the affected tissue.
Formula for treating malignant flesh emerging from ulcers, from *Shenghui Fang*.
Usage: Take 27 fresh Chinese Jujubes (Wumei, 乌梅), burn them to ash, grind into powder, and apply to the malignant flesh inside the ulcer.
(Attached Discussion)
The disease known as "E Mai" (Malignant Veins/Vascular Malformation) presents with sudden protrusion and aggregation of red collateral vessels. The appearance resembles dead earthworms or water accumulated within the vessels. The length varies according to the collateral vessels involved. This condition arises when pathogenic wind enters the collaterals during spring and winter, causing blood stasis and knotting. If left untreated for a long time, the knotted collaterals may transform into fistulas or hard nodules. It is advisable to take Wuxiang Liaoqiao Tang (Five-Aromatic Liaoqiao Decoction) and use bamboo sap for treatment.
Formulas:
Wuxiang Liaoqiao Tang (Five-Aromatic Liaoqiao Decoction), from *Zhouhou Fang* (Handbook of Prescriptions for Emergencies), treats E Mai (Malignant Veins). It is recommended to take this decoction and apply Danshen Gao (Salvia Ointment) externally. Taking Wuxiang Tang and applying Vigna Angularis Powder (Xiaodou, 小豆) leads to recovery.
Muxiang Tang (Aucklandia Decoction), from *Shenghui Fang*, treats swelling and toxicity caused by E Mai (Malignant Veins).
Ingredients: Aucklandiae Radix (Muxiang, 木香), Evodiae Fructus (Wuzhuyu, 吴茱萸 - washed, dried, and slightly fried), Cimicifugae Rhizoma (Shengma, 升麻), Boswelliae Resina (Xunluxiang/Ru Xiang, 薰陆香), Caryophylli Flos (Jitixiang/Dingxiang, 鸡舌香), Realgar (Xionghuang, 雄黄), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草 - honey-fried), Trionycis Carapax et Plastrum (Biejia, 鳖甲 - vinegar-soaked, roasted, skirt removed).
Usage: Take again in the evening.
Danshen Gao (Salvia Ointment), from *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold), treats E He (Malignant Nodules), Luoli (Scrofula), Fengjie (Wind Knots), and various swellings.
Ingredients: Salviae Miltiorrhizae Radix (Danshen, 丹参), Polygoni Multiflori Caulis (Shuodiao, 蒴藋) (each 2 liang), Gentianae Macrophyllae Radix (Qinjiao, 秦艽), Angelicae Pubescentis Radix (Duohuo, 独活), Aconiti Radix (Wutou, 乌头), Bletillae Rhizoma (Baiji, 白芨), Achyranthis Bidentatae Radix (Niuxi, 牛膝), Chrysanthemi Flos (Juhua, 菊花), Saposhnikoviae Radix (Fangfeng, 防风) (each 1 liang; alternatively Peucedani Radix/Fangji, 防己).
Usage: Decoct with wine until ripe. Take in small amounts frequently.
Wuxiang Tang Plus Evodia and Rhinoceros Horn Decoction, from *Shengji Zonglu* (Compendium of Holy Efficacy), treats swelling and toxicity of E Mai (Malignant Veins). Qi attacks the vessels, causing sudden swelling and pain, forming knots, or resembling carbuncles and furuncles.
Ingredients: Aucklandiae Radix (Muxiang, 木香), Pogostemonis Herba (Huoxiangye, 藿香叶), Aquilariae Lignum Resinatum (Chenxiang, 沉香), Boswelliae Resina (Xunluxiang, 薰陆香), Caryophylli Flos (Jitixiang, 鸡舌香), Evodiae Fructus (Wuzhuyu, 吴茱萸 - soaked in water, washed, slightly fried), Rhinocerotis Cornu (Xijiao, 犀角 - shaved, each 1 liang).
Usage: Coarsely crush and sieve, then decoct.
Shengma Tang (Cimicifuga Decoction), from *Shengji Zonglu*, treats toxic swelling of E Mai (Malignant Veins).
Ingredients: Cimicifugae Rhizoma (Shengma, 升麻) (1 liang), Chinese Jujube Fruit (Wumei, 乌梅 - pulp, 2 liang), Gardeniae Fructus (Zhizi Ren, 栀子仁) (12 seeds).
Usage: Coarsely crush and sieve. Take 5 qian per dose, with 2 zhan of salt water, decoct to the required volume.
Wuxiang Tang (Five-Aromatic Decoction) treats E Mai (Malignant Veins) disease.
Huangqi San (Astragalus Powder), from *Shengji Zonglu*, treats toxic swelling of E Mai (Malignant Veins).
Usage: Finely cut 4 liang of Astragali Radix (Huangqi, 黄芪), grind into a fine powder, mix with water, and apply externally. Apply 3-5 times daily.
Another Formula, from *Shengji Zonglu*.
Usage: Use 2 liang of Qitou (Qi head - likely a specific plant part or typo for a resinous herb) and Ru (Sophora Root/Kushen, 茹), grind into a fine powder, mix with water, and apply externally. Apply 3-5 times daily.