(附论)
夫心恶热。风热蕴于心经。则神志躁郁。气血鼓作。发于肌肤而为浸淫疮。其状初生甚
微。
气
方
水沉膏
乳香 轻粉 白蔹 赤蔹(各二钱) 雄黄(半钱) 白芨 黄丹 乌鱼骨(各一钱) 上
为细末
上。贴
升麻汤(出圣济总录)
治心有风热。生浸淫疮遍体。
升麻 大黄(锉炒) 黄芩 枳实 芍药(各一两) 甘草(炙) 当归(各半两) 上
粗捣筛。每
苦瓠散(出圣惠方)
治浸淫疮。表里相当多。
苦瓠(一两) 蜂房 蛇蜕(各半两) 大豆(半两) 梁上尘(一两) 上制下筛。
以粉为粥。和
胡粉散(出圣惠方)
治浸淫疮多汁。
胡粉(研炒黄) 甘草 茹 黄连(去须以上各半两) 上捣细罗为散。日三四上以
敷之。
戌盐涂敷方(出圣惠方)
治浸淫疮。
戎盐(半两) 大黄(一两) 茹心(一分) 上为细末。以酒调。涂敷疮上。日三
五度。治面上耳边生浸淫疮。有黄水出。久不愈。名辨香疮。
羊须 荆芥 干枣(去核各二钱) 上烧灰存性研匀。入腻粉半钱。同研极细。每用
许
立效丸治浸淫疮。疼痛动脏腑。
雄黄(一两) 雌黄(五钱) 没药(半两) 巴豆(一两去皮不出油另研) 乳香(五
钱) 木香(
下。
又方(出千金方)治浸淫疮。
以猪牙车骨年久者捶破。烧令脂出。热涂之。
鸡冠血涂方(出圣济总录)
治猝得浸淫疮。早不治则绕身周匝。能杀人。外台云。浸淫疮转
以雄鸡冠上刺血涂敷。日三五度。
牛屎汁涂方(出圣济总录)
治浸淫及湿 、丹毒。
以牛屎新者绞汁。敷之。或取干者烧烟熏之。亦佳。
治猝得浸淫疮有汗。多发于心。不早治。散周身则杀人。(出肘后方)
以秫米熬令黄黑。杵末以敷之。
疗猝毒瓦斯攻身。或肿或赤。痛痒。并分散上下周匝。烦毒欲死方(出圣惠方)
以生鲫鱼切之如脍。以盐和捣敷之。若通身。即多作敷遍病上。干复易之。此为浸淫疮
也。
苦楝散(又名苦楝膏出圣惠方)
治浸淫疮。及大人、小儿秃恶疮。
上以苦楝根日干存性。或用皮亦得。为末。猪脂调敷。湿则掺。先用苦楝参大腹皮煎汤
洗。
治猝得浸淫疮有汗。多出于心。不早治。周匝身则杀人。(出圣惠方)
取胡燕窠中末水和。敷之。
治浸淫疮(出本草)
以瞿麦捣。敷之。
治浸淫恶疮。
用胡麻子生嚼。敷之。
治浸淫疮绕身至心者死。\x
用燕子窠中草。烧灰为末。酒调服之。
【附论】
心脏厌恶热邪。若风热之邪蕴结于心经,则会导致神志烦躁郁闷,气血鼓动发作,发于肌肤便形成浸淫疮。其症状初起时非常轻微。
方剂:水沉膏
药材:乳香、轻粉、白蔹、赤蔹(各二钱)、雄黄(半钱)、白芨、黄丹、乌鱼骨(各一钱)。
制法与用法:将上述药物研成细末。使用时贴敷于患处。
升麻汤(出自《圣济总录》)
主治:心脏有风热,全身生出浸淫疮。
药材:升麻、大黄(锉碎并炒制)、黄芩、枳实、芍药(各一两)、甘草(炙烤)、当归(各半两)。
制法与用法:将药物粗捣后筛过。每次取适量……(原文此处缺失后续用量及用法描述)。
苦瓠散(出自《圣惠方》)
主治:浸淫疮,表里病情相当严重。
药材:苦瓠(一两)、蜂房、蛇蜕(各半两)、大豆(半两)、梁上尘(屋檐上的灰尘,一两)。
制法与用法:将药物加工并筛成细粉。用粉末调成粥状,混合后……(原文此处缺失后续用法描述)。
胡粉散(出自《圣惠方》)
主治:浸淫疮渗出汁液较多者。
药材:胡粉(研磨并炒至黄色)、甘草、茹(指山慈菇或类似根茎类药材,原文仅写“茹”)、黄连(去须,以上各半两)。
制法与用法:将药物捣碎并通过细罗筛成散剂。每日涂抹三到四次。
戌盐涂敷方(出自《圣惠方》)
主治:浸淫疮。
药材:戎盐(半两)、大黄(一两)、茹心(一分)。
制法与用法:将药物研成细末。用酒调匀,涂敷在疮面上。每日三到五次。用于治疗面部和耳旁生出的浸淫疮,伴有黄水流出,久治不愈,名为辨香疮。
方剂:羊须荆枣散(原文未命名,根据药材推断)
药材:羊须、荆芥、干枣(去核,各二钱)。
制法与用法:将药物烧成灰但保留药性,研磨均匀。加入腻粉(即铅粉/碱式碳酸铅)半钱,共同研磨至极细。每次使用少许……(原文此处缺失具体用法描述)。
立效丸
主治:浸淫疮,疼痛剧烈甚至牵动脏腑。
药材:雄黄(一两)、雌黄(五钱)、没药(半两)、巴豆(一两,去皮但不出油,另研)、乳香(五钱)、木香(……原文此处中断)。
制法与用法:……(原文此处缺失后续步骤)。
又一方(出自《千金方》)
主治:浸淫疮。
用法:使用年代久远的猪牙车骨,将其捶破,烧至油脂流出,趁热涂敷患处。
鸡冠血涂方(出自《圣济总录》)
主治:突然患上的浸淫疮,若早期不治疗,则会环绕身体一周,能致人死亡。《外台秘要》记载:浸淫疮转……(原文此处中断)。
用法:用雄鸡冠上刺出的血进行涂敷。每日三到五次。
牛屎汁涂方(出自《圣济总录》)
主治:浸淫疮及湿疮、丹毒。
用法:用新鲜的牛粪绞取汁液,敷于患处。或者取干燥的牛粪燃烧烟雾熏烤患处,效果也很好。
治猝得浸淫疮有汗,多发于心,不早治,散周身则杀人。(出自《肘后方》)
用法:将秫米熬至黄黑色,捣成粉末后敷于患处。
疗猝毒瓦斯攻身,或肿或赤,痛痒,并分散上下周匝,烦毒欲死方(出自《圣惠方》)
用法:取活鲫鱼切成像脍一样的薄片,用盐调和捣烂后敷于患处。如果遍布全身,就多做些敷遍所有病处,干了再换。这属于浸淫疮的治疗方法。
苦楝散(又名苦楝膏,出自《圣惠方》)
主治:浸淫疮,以及成人、小儿的秃头恶疮。
用法:取苦楝根晒干至保留药性,或用树皮也可以。研成粉末,用猪脂调匀后敷用。若患处湿润则直接撒粉。先用苦楝参和大腹皮煎汤清洗患处。
治猝得浸淫疮有汗,多出于心,不早治,周匝身则杀人。(出自《圣惠方》)
用法:取胡燕窠中的泥土用水调和,敷于患处。
[Attached Discussion]
The Heart dislikes heat. If wind-heat pathogenic factors accumulate in the Heart meridian, it leads to restlessness and depression of the spirit (Shen), and the vigorous movement of Qi and Blood erupts on the skin and muscles, manifesting as Jingyin Chuang (Oozing Sore). The initial symptoms are very subtle.
Formula: Shuichen Gao (Water-Sinking Ointment)
Ingredients: Xurong (Frankincense), Qingfen (Calomel), Bailian (Ampelopsis root), Chilian (Red Ampelopsis root) (each 2 qian), Xionghuang (Realgar) (0.5 qian), Baiji (Bletilla rhizome), Huangdan (Minium), Wuyu Gu (Cuttlefish bone) (each 1 qian).
Preparation and Administration: Grind the above ingredients into a fine powder. Apply externally to the affected area.
Shengma Tang (Cinnamon Twig Decoction - *Note: Literal translation of name, though ingredients suggest a different composition*) (From *Shengji Zonglu*)
Indications: Wind-heat in the Heart causing widespread Jingyin Chuang.
Ingredients: Shengma (Cimicifugae Rhizoma), Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried), Huangqin (Scutellariae Radix), Zhishi (Aurantii Fructus Immaturus), Shaoyao (Paeoniae Radix) (each 1 liang), Gancao (Licorice Root, honey-fried), Danggui (Angelicae Sinensis Radix) (each 0.5 liang).
Preparation and Administration: Coarsely crush and sieve the herbs. Take each dose... [Text missing].
Kuhu San (Bitter Bottle Powder) (From *Shenghui Fang*)
Indications: Jingyin Chuang with severe exterior and interior involvement.
Ingredients: Kuhu (Bitter Bottle), Fengfang (Vespa nest), Shetui (Snake slough) (each 0.5 liang), Dadou (Soybean) (0.5 liang), Liangshang Chen (Dust from roof beams) (1 liang).
Preparation and Administration: Process and sieve the herbs into a fine powder. Mix the powder with water to form a porridge-like consistency... [Text missing].
Hufen San (Lead White Powder) (From *Shenghui Fang*)
Indications: Jingyin Chuang with excessive exudate.
Ingredients: Hufen (Lead Carbonate, ground and stir-fried until yellow), Gancao (Licorice Root), Ru (likely referring to Shan Cigu or similar root, text says "Ru"), Huanglian (Coptidis Rhizoma, remove stamens) (each 0.5 liang).
Preparation and Administration: Pound the herbs and sieve through a fine mesh to make a powder. Apply externally three to four times daily.
Xuyan Topical Application Formula (From *Shenghui Fang*)
Indications: Jingyin Chuang.
Ingredients: Rongyan (Potassium Nitrate/Saltpeter) (0.5 liang), Dahuang (Rhei Radix et Rhizoma) (1 liang), Ru Xin (Heart of the root referred to as "Ru") (1 fen).
Preparation and Administration: Grind into a fine powder. Mix with wine and apply to the sore. Use three to five times daily. Treats Jingyin Chuang appearing on the face and around the ears, oozing yellow fluid, chronic and unhealed, also known as Bianxiang Chuang.
Formula: Yangxu Jingjie Gan Zao San (Sheep Whisker, Schizonepeta, and Jujube Powder) [Unnamed in text]
Ingredients: Yangxu (Sheep whiskers), Jingjie (Schizonepetae Spica), Ganzao (Dried Jujube, pitted) (each 2 qian).
Preparation and Administration: Char the herbs to ash while preserving their medicinal properties, grind evenly. Add Nifen (Basic Lead Carbonate) 0.5 qian, and grind together until extremely fine. Use a small amount each time... [Text missing].
Lixiao Wan (Instant Efficacy Pill)
Indications: Jingyin Chuang with severe pain affecting the internal organs.
Ingredients: Xionghuang (Realgar) (1 liang), Cihuang (Orpiment) (5 qian), Moyao (Myrrha), Badou (Crotonis Semen, peeled but not releasing oil, separately ground), Xurong (Frankincense) (5 qian), Muxiang (Aucklandiae Radix)... [Text interrupted].
Preparation and Administration: ... [Text missing].
Another Prescription (From *Qianjin Fang*)
Indications: Jingyin Chuang.
Administration: Take old pig jawbone, break it by pounding, burn until fat/oil emerges, and apply while hot.
Jiguan Xue Topical Application Formula (From *Shengji Zonglu*)
Indications: Acute onset of Jingyin Chuang; if not treated early, it may encircle the body and be fatal. *Waitai Mi Yao* states: Jingyin Chuang transforms... [Text interrupted].
Administration: Pierce the comb of a rooster to obtain blood and apply to the lesion. Use three to five times daily.
Niushi Zhi Topical Application Formula (From *Shengji Zonglu*)
Indications: Jingyin Chuang, Shi Chuang (Damp Sores), Danshu (Erysipelas).
Administration: Juice fresh cow dung and apply. Alternatively, burn dry cow dung and fumigate the area with smoke, which is also effective.
Treating acute Jingyin Chuang with sweating, often originating from the Heart; if not treated early and it spreads over the whole body, it can be fatal. (From *Zhouhou Fang*)
Administration: Cook Sorghum (Shumi) until yellow-black, pound into powder, and apply.
Treatment for Sudden Toxic Qi Attacking the Body, causing swelling or redness, pain and itching, spreading up, down, and all around, with extreme distress and toxicity (From *Shenghui Fang*)
Administration: Slice live crucian carp thinly like sashimi, mix with salt, pound into a paste, and apply. If covering the whole body, prepare enough to cover all lesions. Replace when dry. This is a treatment for Jingyin Chuang.
Kulian San (Bitter Chinaberry Powder, also known as Kulian Gao/Ointment) (From *Shenghui Fang*)
Indications: Jingyin Chuang, as well as alopecia and malignant sores in adults and children.
Administration: Sun-dry the root of the Chinaberry tree (Kulian Gen) until it retains its medicinal nature; the bark may also be used. Grind into powder. Mix with lard for topical application. If the area is wet, sprinkle the powder directly. First, wash the area with a decoction of Kulian Shen and Fupipi.
Treating acute Jingyin Chuang with sweating, often originating from the Heart; if not treated early and it encircles the body, it can be fatal. (From *Shenghui Fang*)
Administration: Take soil from a swallow's nest, mix with water, and apply.
Treating Jingyin Chuang (From *Bencao* records)
Administration: Pound Qumai (Dianthera Herba) and apply.
Treating Jingyin malignant sores.
Administration: Chew raw Sesame seeds (Huma Zi) and apply.
If Jingyin Chuang encircles the body reaching the heart, it is fatal.\x
Administration: Take grass from a swallow's nest, char to ash, grind into powder, and take with wine.