(附论)
夫风疽者。本由风湿之气。入于腠理。流注血脉。凝涩不利。挛曲肿起。发作疮疽。
所以疼痛。经久不瘥者是也。盖风胜则动。故其疽留止无常。得之醉卧出汗当风。入肤腠。
客于经络。与荣卫相搏而成也。
方
黄 丸(出圣济总录)治酒醉汗出。风入经络。久成风疽。
黄 (锉) 犀角 黄连(去须) 茯神(去木) 当归(切焙) 芍药 升麻 黄芩
(去黑心
各五分) 木通(八分) 甘草(生锉三分) 防风(去叉五分) 麝香(另研半分) 上
为末拌
匀。炼蜜丸如桐子大。每服二十丸。空心生姜汤下。食后再服。即煎麦门冬汤下。
麻黄汤(出圣济总录)治酒醉汗出。风入经络成风疽。
麻黄(去根节三两) 五加皮(一两半) 防风(去叉) 独活(去芦头) 桂(去粗
皮) 当归
(切皮) 芎 干姜(炮各二两) 附子(去皮脐一枚) 牛膝(二两半) 杏仁(去皮
尖双仁八
十枚) 上细锉。以水九升。先煎麻黄。掠去沫入诸药。煎取三升。绞去滓。每用一盏温服。
并三服。温覆微汗避风。
防风汤(出圣济总录)治风毒中人。留血脉不散。与荣卫相搏。结成风疽。身
体烦热。昏冒肿痛。
防风(去叉) 柴胡(去苗) 白芷 桔梗(炒) 木通(锉) 当归(切焙各一两半)
羌活
(去芦头) 麻黄(去根节煎去沫掠焙) 附子(炮去皮脐) 甘草(炙锉各一两) 上
咀如麻
豆。每服五钱。水一盏半。煎至八分。去滓温服。食后临卧各一。如欲出汗。空心并两服。
后以热姜稀粥投。盖覆取汗。慎外风。
海桐皮浸酒方(出圣济总录)治热毒风结成疽。肿痛行履不得。
海桐皮(锉) 五加皮(锉) 独活(去芦头) 防风(去叉) 干蝎(炒) 杜仲(去
粗皮) 牛
膝(去苗酒浸切焙) 薏苡仁(炒各一两) 生干地黄(焙三两) 上粗捣筛。生绢袋贮。
以好酒
一斗五升。浸于瓷瓶中。密封。秋夏三日。春冬七日。开取食。煎温酒合。加至四五合。不
拘时。甚者常令酒气相续。
秦艽丸(出圣济总录)治风毒瓦斯客于经络。成风疽。
秦艽(去土) 苦参 升麻 黄芩(去黑皮) 枳壳(麸炒) 防风(去叉) 恶实(炒
各四分)
乌蛇(酒浸去皮骨炙) 蒺藜子(炒各五分) 上为末。炼蜜丸如梧桐子大。早晚食后。以
蒺藜
子煎汤下二十丸。
大豆酒方(出圣济总录)治热毒风肿成疽。日夜热痛。
大豆(紧小者三升) 麻子仁(细研二升) 乌蛇(一条头尾皮骨重四两捶碎) 上相
和令
匀。就甑内蒸令熟。去甑底汤。将好酒一斗五升。就甑中淋候酒热。又淋。凡七八遍。入瓷
甑内。密封候冷。量性饮。常带酒气佳。
大豆汁涂方(出千金方)治风疽。搔之黄水出。(凡脚 及曲 中痒搔则黄
汁
出是)
大豆(一升) 马屎(二升一作屎尿) 白蜜(半斤) 上拌令匀。用青竹筒盛屎。筑
架在炭
火上。当中慢烧。将瓷碗两头盛取汁。先用泔清入盐少许。和温洗疮上。拭干后。以药汁涂。
日三五度。一方无白蜜。入糠马屎。
又方(出千金方)
用嚼胡麻敷。以绵裹之。至旦易。
(附论)
所谓风疽,原本是由风湿之气侵入腠理(皮肤纹理及肌肉间隙),流注于血脉之中,导致气血凝滞不畅,进而引起肢体拘挛弯曲、肿胀隆起,最终发作形成疮疡疽毒。因此出现疼痛症状,且经久不愈的情况,就是风疽。大概因为风邪偏盛则会导致动摇不定,所以这种疽毒停留的位置没有固定规律。这是由于醉酒后出汗,当风而卧,风邪乘虚进入肌肤腠理,客居于经络之中,与营气(行于脉中,具有营养作用的气)和卫气(行于脉外,具有防御作用的气)相互搏结而形成的。
方剂
黄丸(出自《圣济总录》):治疗因酒醉汗出,风邪侵入经络,日久形成风疽。
药材:黄(锉碎)、犀角、黄连(去除须根)、茯神(去除木质部分)、当归(切片焙干)、芍药、升麻、黄芩(去除黑色中心部分,各五分)、木通(八分)、甘草(生锉,三分)、防风(去除叉枝,五分)、麝香(单独研磨,半分)。
制法与用法:将上述药物研成细末并搅拌均匀,用炼蜜制成如梧桐子大小的丸剂。每次服用二十丸,空腹时用生姜汤送服;进食后再服用一次,此时改用麦门冬汤送服。
麻黄汤(出自《圣济总录》):治疗因酒醉汗出,风邪侵入经络形成风疽。
药材:麻黄(去除根节,三两)、五加皮(一两半)、防风(去除叉枝)、独活(去除芦头)、桂(去除粗皮)、当归(切片去皮)、川芎、干姜(炮制,各二两)、附子(去皮脐,一枚)、牛膝(二两半)、杏仁(去皮尖的双仁者,八十枚)。
制法与用法:将药物细细切碎,用水九升,先煎煮麻黄,撇去浮沫后加入其他药物,煎取三升药液,过滤去渣。每次温服一盏,共服用三次。服药后覆盖衣被以微微出汗为宜,并注意避风。
防风汤(出自《圣济总录》):治疗风毒侵袭人体,留滞血脉不散,与营卫相搏结,形成风疽。症状表现为身体烦热、头晕目眩、昏沉冒昧、肿痛。
药材:防风(去除叉枝)、柴胡(去除苗)、白芷、桔梗(炒制)、木通(锉碎)、当归(切片焙干,各一两半)、羌活(去除芦头)、麻黄(去除根节,先煎去沫后掠干焙制)、附子(炮制,去皮脐)、甘草(炙制锉碎,各一两)。
制法与用法:将药物咬碎如麻豆大小。每次服用五钱,加水一盏半,煎至八分,过滤去渣后温服。饭后及临睡前各服一次。如果想要发汗,可空腹同时服用两次,随后喝热姜稀粥,覆盖衣被以取汗。注意慎防外风侵袭。
海桐皮浸酒方(出自《圣济总录》):治疗热毒风邪结聚成疽,导致肿痛严重,行走困难。
药材:海桐皮(锉碎)、五加皮(锉碎)、独活(去除芦头)、防风(去除叉枝)、干蝎(炒制)、杜仲(去除粗皮)、牛膝(去苗,酒浸后切片焙干)、薏苡仁(炒制,各一两)、生干地黄(焙干,三两)。
制法与用法:将药物粗捣筛过,装入生绢袋中。用好酒一斗五升,浸泡在瓷瓶中,密封。夏季三日,冬季七日。开封后食用,煎温酒混合饮用,逐渐增加至四五合(容量单位),不拘泥于具体时间。病情严重者,常令酒气接续不断。
秦艽丸(出自《圣济总录》):治疗风毒瓦斯客居于经络,形成风疽。
药材:秦艽(去除泥土)、苦参、升麻、黄芩(去除黑皮)、枳壳(麸炒)、防风(去除叉枝)、恶实(炒制,各四分)、乌蛇(酒浸,去皮骨后炙烤)、蒺藜子(炒制,各五分)。
制法与用法:将药物研成细末,用炼蜜制成如梧桐子大小的丸剂。早晚饭后,用蒺藜子煎汤送服二十丸。
大豆酒方(出自《圣济总录》):治疗热毒风邪肿胀形成疽,日夜发热疼痛。
药材:大豆(颗粒紧小者,三升)、麻子仁(细研,二升)、乌蛇(一条,头尾皮骨重四两,捶碎)。
制法与用法:将上述材料混合均匀,放入甑(古代蒸食用的器具)内蒸熟。去掉甑底的汤汁,将好酒一斗五升,直接在甑中淋浇,待酒变热后再次淋浇,反复七八次。然后倒入瓷甑内,密封冷却。根据酒量适量饮用,保持体内常有酒气为佳。
大豆汁涂方(出自《千金方》):治疗风疽,搔抓后有黄色液体流出。(凡是脚部及关节屈伸处瘙痒,搔抓后流出黄汁的即是此症)。
药材:大豆(一升)、马屎(二升,一作马屎尿)、白蜜(半斤)。
制法与用法:将材料拌匀,用青竹筒盛装马屎,架设在炭火上,从中间缓慢烧灼,用瓷碗在两头收集流出的汁液。先用淘米水加入少许盐,调和温热后清洗疮口,擦干后,用药汁涂抹。每天三到五次。另一版本无白蜜,加入糠和马屎。
又方(出自《千金方》)
使用嚼碎的胡麻敷贴患处,用棉布包裹,到第二天早晨更换。
(Attached Discussion)
The so-called Feng Ju (Wind Carbuncle) originates from Wind-Dampness Qi invading the Cou Li (skin texture and muscle interstices), flowing into the blood vessels, causing stagnation and obstruction. This leads to limb spasms, curling, swelling, and protrusion, eventually manifesting as sores and carbuncles. Consequently, pain occurs, and the condition persists without healing for a long time; this is Feng Ju. Generally, because Wind pathogen predominates, it causes movement and instability; thus, the location of this carbuncle is irregular. It arises from sweating after drunkenness and lying exposed to wind, allowing Wind to enter the skin and Cou Li, lodging in the meridians, and clashing with Ying Qi (nutritive Qi circulating within the vessels) and Wei Qi (defensive Qi circulating outside the vessels).
Prescriptions
Huang Wan (Cinnamon Pill) (from *Shengji Zonglu*): Treats Feng Ju formed over time due to Wind entering the meridians after sweating following drunkenness.
Ingredients: Huang (Cinnamomi Ramulus, sliced), Xijiao (Rhinocerotis Cornu), Huanglian (Coptidis Rhizoma, whiskers removed), Fushen (Poria Cum Radix Pini, woody part removed), Danggui (Angelicae Sinensis Radix, sliced and dried), Shaoyao (Paeoniae Radix), Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix, black heart removed, each 5 fen), Mutong (Akebiae Caulis, 8 fen), Gancao (Glycyrrhizae Radix et Rhizoma, raw and sliced, 3 fen), Fangfeng (Saposhnikoviae Radix, forked parts removed, 5 fen), Shexiang (Moschus, separately ground, 0.5 fen).
Preparation and Administration: Grind the above ingredients into fine powder and mix evenly. Use refined honey to make pills the size of paulownia seeds. Take 20 pills per dose. Swallow on an empty stomach with Ginger Decoction. Take another dose after meals, swallowing with Ophiopogonis Decoction.
Mahuang Tang (Ephedra Decoction) (from *Shengji Zonglu*): Treats Feng Ju caused by Wind entering the meridians after sweating following drunkenness.
Ingredients: Mahuang (Ephedrae Herba, roots and joints removed, 3 liang), Wujia Pi (Acanthopanacis Cortex, 1.5 liang), Fangfeng (Saposhnikoviae Radix, forked parts removed), Duhuo (Angelicae Pubescentis Radix, radix head removed), Gui (Cinnamomi Ramulus, rough bark removed), Danggui (Angelicae Sinensis Radix, sliced and peeled), Xiong (Ligustici Chuanxiong Rhizoma), Ganjiang (Zingiberis Rhizoma, processed, each 2 liang), Fuzi (Aconiti Lateralis Radix Praeparata, skin and navel removed, 1 piece), Niuxi (Achyranthis Bidentatae Radix, 2.5 liang), Xingren (Armeniacae Semen Amarum, skin and tip removed, double kernels, 80 pieces).
Preparation and Administration: Finely chop the herbs. Add 9 sheng of water. First decoct Mahuang, skim off the foam, then add the remaining herbs. Decoct until 3 sheng remain. Strain to remove dregs. Warm and take one zhan per dose. Take three doses in total. After taking the medicine, cover with warm blankets to induce slight sweating and avoid wind.
Fangfeng Tang (Saposhnikovia Decoction) (from *Shengji Zonglu*): Treats Wind-Toxin invading the body, lingering in the blood vessels without dispersing, clashing with Ying and Wei Qi to form Feng Ju. Symptoms include bodily restlessness and heat, dizziness, confusion, swelling, and pain.
Ingredients: Fangfeng (Saposhnikoviae Radix, forked parts removed), Chaihu (Bupleuri Radix, sprouts removed), Baizhi (Angelicae Dahuricae Radix), Jiegeng (Platycodonis Radix, stir-fried), Mutong (Akebiae Caulis, sliced), Danggui (Angelicae Sinensis Radix, sliced and dried, each 1.5 liang), Qianghuo (Notopterygii Rhizoma et Radix, radix head removed), Mahuang (Ephedrae Herba, roots and joints removed, first decocted to remove foam then dried), Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and navel removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and sliced, each 1 liang).
Preparation and Administration: Chew or crush the herbs to the size of hemp seeds. Take 5 qian per dose. Add 1.5 zhan of water, decoct until 0.8 zhan remains, strain, and take warm. Take once after meals and once before bed. To induce sweating, take two doses together on an empty stomach, followed by hot ginger rice gruel, and cover to sweat. Be cautious of external Wind.
Haitongpi Jiu Fang (Sea Tongue Bark Wine Infusion) (from *Shengji Zonglu*): Treats Heat-Toxin and Wind coagulating into carbuncles, causing severe swelling and pain that impedes walking.
Ingredients: Haitongpi (Sapiae Cortex, sliced), Wujia Pi (Acanthopanacis Cortex, sliced), Duhuo (Angelicae Pubescentis Radix, radix head removed), Fangfeng (Saposhnikoviae Radix, forked parts removed), Ganxie (Scorpio, stir-fried), Duzhong (Eucommiae Cortex, rough bark removed), Niuxi (Achyranthis Bidentatae Radix, sprouts removed, wine-soaked, sliced, and dried), Yiyiren (Coicis Semen, stir-fried, each 1 liang), Sheng Ganyedi (Rehmanniae Radix, dried, 3 liang).
Preparation and Administration: Coarsely grind and sieve the herbs. Store in a raw silk bag. Soak in 1.5 dou of good wine in a porcelain jar, seal tightly. Soak for 3 days in autumn/summer and 7 days in spring/winter. Open and consume. Mix with warmed wine, gradually increasing to 4-5 he (volume unit). Take at any time. For severe cases, maintain continuous wine intoxication.
Qinjiao Wan (Genkwa Pill) (from *Shengji Zonglu*): Treats Wind-Toxin Qi lodging in the meridians, forming Feng Ju.
Ingredients: Qinjiao (Gentianae Macrophyllae Radix, soil removed), Kushen (Sophorae Flavescentis Radix), Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix, black skin removed), Zhike (Aurantii Fructus, bran-stir-fried), Fangfeng (Saposhnikoviae Radix, forked parts removed), Eshi (Arctii Fructus, stir-fried, each 4 fen), Wushe (Agkistrodon, wine-soaked, skin and bones removed, roasted), Jili Zi (Tribuli Fructus, stir-fried, each 5 fen).
Preparation and Administration: Grind into fine powder. Use refined honey to make pills the size of paulownia seeds. Take 20 pills in the morning and evening after meals, swallowed with Tribuli Decoction.
Daydou Jiu Fang (Soybean Wine Infusion) (from *Shengji Zonglu*): Treats Heat-Toxin and Wind causing swelling into carbuncles, with fever and pain day and night.
Ingredients: Daydou (Glycines Max Seed, small and tight ones, 3 sheng), Maziren (Cannabis Semen, finely ground, 2 sheng), Wushe (Agkistrodon, one strip, head, tail, skin, and bones weighing 4 liang, crushed).
Preparation and Administration: Mix evenly. Steam in a steamer (zeng) until cooked. Remove the liquid from the bottom of the steamer. Pour 1.5 dou of good wine over the herbs in the steamer. Wait for the wine to heat up, then pour again. Repeat 7-8 times. Transfer to a porcelain steamer, seal, and cool. Drink according to tolerance; maintaining a mild wine sensation is ideal.
Daydou Zhi Tu Fang (Soybean Juice Topical Application) (from *Qianjin Fang*): Treats Feng Ju where scratching yields yellow fluid. (Specifically refers to itching in the feet and joint flexures where scratching produces yellow discharge).
Ingredients: Daydou (Glycines Max Seed, 1 sheng), Mashi (Equi Stercus, 2 sheng; alternatively horse urine), Baimi (Apis Mellifica, half jin).
Preparation and Administration: Mix evenly. Place horse manure in a green bamboo tube, set over charcoal fire, and slowly roast from the middle. Collect the juice in porcelain bowls at both ends. First, wash the sore with clear rice water mixed with a little salt, warm. Dry the area, then apply the medicinal juice. Apply 3-5 times daily. Another version excludes Baimi and adds bran and horse manure.
Another Prescription (from *Qianjin Fang*)
Apply chewed Sesame paste to the affected area, wrap with cotton cloth, and change the next morning.