(散,即《局方》十宣散)参 芎,归桂白芷及防风。甘桔浓朴酒调服,痈疡脉弱赖之
充。(人参、黄 、当归各二钱,川芎、桂心、白芷、防风、甘草、桔梗、浓朴各一钱,热
酒调服。参、 补气,当归和血,甘草解毒,防风发表,浓朴散满,桂枝、桔梗排脓,表里
气血交治,共成内托之功。)
(汤,孙彦和)姜附羌,茴木丁沉共四香。陈皮益智兼甘草,寒疡内陷呕泻良。(附子
(炮)四钱,炮姜、羌活各三钱,木香钱半,茴香、丁香、沉香、益智仁、陈皮、甘草各二
钱,加姜五片煎。治疮疡变寒内陷,心痞便溏,呃逆昏 。疡寒内陷,故用姜附温中助阳,
羌活通关节,炙草益脾元,益智、丁、沉以止呃进食,茴、木、陈皮以散满除痞。此孙彦和
治王伯禄臂疡,盛夏用此,亦舍时从证之变法也。)
(汤)四物兼,(地黄、川芎、当归、白芍。)乳香没药桂心添。再加蜜炒罂粟壳,溃疡
虚痛去如拈。(罂粟壳收涩,能止诸痛;四物活血,托里充肌。乳香能引毒瓦斯外出,不致内
攻,,与没药并能消肿止痛。)
(汤,东垣)知柏连,花粉黄芩龙胆宣。升柴翘葛兼甘桔,归芍棱莪昆布全。〔黄芩八
钱半(酒炒半生用),知母、黄柏(酒炒)、花粉、胆草(酒炒)、桔梗、昆布各五钱,柴胡
四钱,升麻、连翘、甘草(炙)、三棱(酒炒)、莪术(酒洗炒)各三钱,葛根、归尾(酒洗)、
白芍(酒炒)各二钱,每服五、六钱,先浸后煎。连翘、升、葛解毒升阳,甘、桔、花粉排
脓利膈,归、芍活血,昆布散痰,棱、莪破血行气,龙胆、知、柏、芩、连大泻诸经之火也。〕
(散剂,即《太平惠民和剂局方》中的十宣散)由人参、川芎、当归、桂枝、白芷及防风组成。用甘草、桔梗、厚朴,以酒调服,适用于痈疡患者脉象虚弱者。(配方:人参、黄芪、当归各二钱,川芎、桂心、白芷、防风、甘草、桔梗、厚朴各一钱,用热酒调服。人参、黄芪补气,当归调和血液,甘草解毒,防风发表散邪,厚朴消除胀满,桂枝、桔梗排脓,表里气血共同治疗,共同起到内托疮毒的功效。)
(汤剂,孙彦和方)由干姜、附子、羌活、小茴香、木香、丁香、沉香共四味香药组成。加上陈皮、益智仁兼配甘草,适用于寒性疮疡内陷引起的呕吐腹泻。(配方:炮附子四钱,炮姜、羌活各三钱,木香钱半,茴香、丁香、沉香、益智仁、陈皮、甘草各二钱,加生姜五片煎煮。治疗疮疡变为寒证且内陷,出现心下痞塞、大便溏薄、呃逆昏迷等症状。因为疮疡寒邪内陷,所以用干姜、附子温中助阳,羌活疏通关节,炙甘草补益脾元,益智仁、丁香、沉香用以止呃逆、增进食欲,茴香、木香、陈皮用以消除胀满和痞塞。这是孙彦和治疗王伯禄手臂疮疡时所用的方子,在盛夏使用,也是舍去时令而顺从病证的变法。)
(汤剂)在四物汤基础上加减(地黄、川芎、当归、白芍)。加入乳香、没药、桂心。再加蜜炒的罂粟壳,用于溃疡虚痛,效果显著。(罂粟壳具有收涩作用,能制止各种疼痛;四物汤活血,托里生肌。乳香能引导毒气外出,不致向内攻陷,与没药配合能消肿止痛。)
(汤剂,李东垣方)由知母、黄柏、黄连、天花粉、黄芩、龙胆草组成。加上升麻、柴胡、连翘、葛根兼配甘草、桔梗,再用当归、白芍、三棱、莪术、昆布全方具备。〔黄芩八钱半(一半酒炒,一半生用),知母、黄柏(酒炒)、天花粉、龙胆草(酒炒)、桔梗、昆布各五钱,柴胡四钱,升麻、连翘、甘草(炙)、三棱(酒炒)、莪术(酒洗炒)各三钱,葛根、当归尾(酒洗)、白芍(酒炒)各二钱,每次服用五、六钱,先浸泡后煎煮。连翘、升麻、葛根解毒升阳,甘草、桔梗、天花粉排脓利膈,当归、白芍活血,昆布化痰,三棱、莪术破血行气,龙胆草、知母、黄柏、黄芩、黄连大泻各条经络的火邪。〕
(Decoction powder, i.e., Shixuan San from *Taiping Huimin Heji Jufang*) consists of Renshen (Ginseng Radix), Chuanxiong Rhizoma, Danggui (Angelicae Sinensis Radix), Guizhi (Cinnamomi Ramulus), Baizhi (Angelicae Dahuricae Radix), and Fangfeng (Saposhnikoviae Radix). It is taken with Gancao (Licorice Root), Jiegeng (Platycodon Root), Houpo (Magnolia Bark), mixed with wine. It relies on this formula for patients with carbuncles and sores presenting a weak pulse. (Prescription: Renshen, Huangqi (Astragali Radix), and Danggui each 2 qian; Chuanxiong, Guixin (Cinnamon Twig), Baizhi, Fangfeng, Gancao, Jiegeng, and Houpo each 1 qian. Mix with hot wine for administration. Renshen and Huangqi tonify Qi, Danggui harmonizes blood, Gancao detoxifies, Fangfeng releases the exterior, Houpo disperses fullness, Guizhi and Jiegeng expel pus. Treating both interior and exterior, Qi and blood simultaneously, it jointly achieves the effect of internal support.)
(Tang decoction, Sun Yanhe's formula) consists of Jiang (Zingiberis Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata), Qianghuo (Notopterygii Rhizoma et Radix), Huixiang (Foeniculi Fructus), Muxiang (Aucklandiae Radix), Dingxiang (Caryophylli Flos), and Chenxiang (Aquilariae Lignum Resinatum), totaling four aromatic herbs. Added are Chenpi (Citri Reticulatae Pericarpium), Yizhiren (Alpiniae Oxyphyllae Fructus), and Gancao (Licorice Root). It is excellent for cold-type sores sinking inward accompanied by vomiting and diarrhea. (Prescription: Pao Fuzi 4 qian, Pao Jiang and Qianghuo each 3 qian, Muxiang 1.5 qian, Huixiang, Dingxiang, Chenxiang, Yizhiren, Chenpi, and Gancao each 2 qian. Add 5 slices of fresh ginger and decoct. Treats sores transforming into cold syndrome and sinking inward, causing epigastric fullness, loose stools, hiccups, and coma. Because the cold pathogen sinks inward in the sore, Jiang and Fuzi are used to warm the middle and assist Yang, Qianghuo unblocks the joints, Zhi Gancao benefits the Spleen Yuan, Yizhiren, Dingxiang, and Chenxiang stop hiccups and promote appetite, while Huixiang, Muxiang, and Chenpi disperse fullness and remove stagnation. This was the method used by Sun Yanhe to treat Wang Bolu's arm sore; using it in midsummer represents the variable method of abandoning the season to follow the syndrome.)
(Tang decoction) based on Siwu Tang (Rehmannia Radix, Chuanxiong Rhizoma, Danggui, Baishao (Paeoniae Radix Alba)). Adds Xiangru (Boswelliae Resina), Moyao (Myrrha), and Guixin (Cinnamon Twig). Additionally adds honey-fried Ying Susuke (Papaveris Pericarpium). For deficiency pain in ulcers, it removes pain as if plucking something light. (Yingsuke has astringent properties and can stop various pains; Siwu Tang invigorates blood and supports the interior to generate flesh. Xiangru guides toxic vapors outward, preventing internal attack, and together with Moyao reduces swelling and stops pain.)
(Tang decoction, Li Dongyuan's formula) includes Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Lian (Coptidis Rhizoma), Huafen (Trichosanthis Radix), Huangqin (Scutellariae Radix), and Longdancao (Gentianae Radix). Added are Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), Lianqiao (Forsythiae Fructus), Gegen (Puerariae Lobatae Radix), along with Gancao (Licorice Root) and Jiegeng (Platycodon Root). The complete formula also includes Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Sanleng (Sparganii Rhizoma), Ezhu (Curcumae Rhizoma), and Kunbu (Sargassum). [Huangqin 8.5 qian (half wine-fried, half raw), Zhimu, Huangbai (wine-fried), Huafen, Danchao (Longdancao, wine-fried), Jiegeng, Kunbu each 5 qian, Chaihu 4 qian, Shengma, Lianqiao, Gancao (honey-fried), Sanleng (wine-fried), Ezhu (water-washed and fried) each 3 qian, Gegen, Guiwei (Danggui tail, wine-washed), Baishao (wine-fried) each 2 qian. Take 5-6 qian per dose, soak first then decoct. Lianqiao, Shengma, and Gegen detoxify and raise Yang; Gancao, Jiegeng, and Huafen expel pus and benefit the diaphragm; Danggui and Baishao invigorate blood; Kunbu dissipates phlegm; Sanleng and Ezhu break blood stasis and move Qi; Longdancao, Zhimu, Huangbai, Huangqin, and Lian greatly purge fire from all meridians.]