易老祛风丸治疥癞经曰脉风成病即癞也
黄 枳壳 防风 芍药 甘草 熟地黄 生地黄 地骨皮 枸杞子
上九味木杵臼为细末炼蜜为丸桐子大白汤下五十丸
按此出少阴诸风例药也
东坡四神丹医未有专此四味者久服可愈大风疾
羌活 玄参 熟地黄 当归
按此出少阴肾气例药也
补气泻营汤治 库使病疠风满面连颈极痒眉毛已脱须用热水沃之稍缓每昼夜须数次或砭
刺亦
缓予记内经云疠者荣卫热 治者以锐针刺其肿处按出其恶气肿尽乃止如以药治当破恶血去热
升阳去痒泻荣运辛温散之甘温补之行阳明经泻心火补肺气乃治之正也
升麻 连翘(各六钱) 苏木 当归 黄连 黄 全蝎 地龙(各三分) 生地黄 黄芩
(生
各四分) 人参(二分) 甘草(一分半) 桔梗(半钱) 桃仁(三个) 麝香(少许) 胡桐泪(一
分) 蠓虫(去翅足炒三个) 水蛭(炒令烟尽三个) 白豆蔻(二分)
上件除连翘另锉胡桐泪研白豆蔻为细末二味另放麝香蠓虫水蛭三味为细末另放都作一服
水二
盏煎入酒一盏至一盏六分入连翘煎去滓再入豆蔻二味并麝香等三味再熬至七分稍热服早饭后
忌酒面及生冷硬物
宝鉴醉仙散治大风疾遍身瘾疹瘙痒麻木
胡麻子 牛蒡子 枸杞子 蔓荆子(各一两同炒) 白蒺藜 苦参 栝蒌根 防风(各半
两)
上为细末每十五钱末入轻粉一钱拌匀每服一钱茶调下晨午夕各一服后五七日先于牙缝内出臭
黄涎浑身疼痛昏闷如醉次后利下脓血恶臭气病根乃去
按丹溪方轻粉二钱药八味各半两前四味为粗末炒紫色为度云须量人大小虚实与之证候重
而急
者须先以再造散下之候补养得还复与此药服此药须断盐酱醋诸般鱼肉椒料果实煨烧炙爆等止
可淡粥及煮熟时菜亦须淡食茄亦不可食惟诸般蛇以淡酒蒸熟食之可以助药
易老祛风丸:治疗疥疮、癞病。《黄帝内经》说:“脉风成病,即癞也。”
药材:黄耆、枳壳、防风、芍药、甘草、熟地黄、生地黄、地骨皮、枸杞子。
以上九味药,用木臼杵捣成细末,炼蜜制成梧桐子大小的丸剂,用白开水送服五十丸。
按语:此方出自少阴经各类风证的用药范例。
东坡四神丹:医生中以前没有专门使用这四味药的,长期服用可以治愈大风疾(麻风病)。
药材:羌活、玄参、熟地黄、当归。
按语:此方出自少阴肾气类药物的用药范例。
补气泻营汤:治疗库使患的疠风病,满脸连及颈部极度瘙痒,眉毛已经脱落,需要用热水浇淋才能稍感缓解,每昼夜需要数次,或者用砭石刺破皮肤也能稍缓。我记得《黄帝内经》说:“疠风是由于营卫热盛所致,治疗时用锐利的针刺其肿胀处,放出恶气,直到肿胀消退才停止。”如果用药物治疗,应当破除恶血、去除热邪、升发阳气、止痒、泻除营分热邪、运行气血,使用辛温药物发散,甘温药物补益,行于阳明经,泻心火,补肺气,这才是正确的治疗方法。
药材:升麻、连翘(各六钱)、苏木、当归、黄连、黄耆、全蝎、地龙(各三分)、生地黄、黄芩(生用,各四分)、人参(二分)、甘草(一分半)、桔梗(半钱)、桃仁(三个)、麝香(少许)、胡桐泪(一分)、蠓虫(去翅足炒制,三个)、水蛭(炒至烟尽,三个)、白豆蔻(二分)。
以上药材,除了连翘另外切碎,胡桐泪和白豆蔻研成细末,这两味药单独放置;麝香、蠓虫、水蛭这三味药研成细末,也单独放置。每次取上述所有药材作为一剂。用水两盏,加入酒一盏,煎煮至一盏六分,放入连翘继续煎煮,去渣滓后,再放入豆蔻二味以及麝香等三味药,再次熬煮至七分,稍温热时服用。早饭后服用。忌食酒类、面食以及生冷坚硬的食物。
宝鉴醉仙散:治疗大风疾,全身出现瘾疹,伴有瘙痒、麻木。
药材:胡麻子、牛蒡子、枸杞子、蔓荆子(各一两,同炒)、白蒺藜、苦参、栝蒌根、防风(各半两)。
以上药材研成细末,每十五钱药末中加入轻粉一钱,拌匀。每次服用一钱,用茶水调服,早晨、中午、晚上各服一次。服药后五到七天,先从牙缝中排出臭黄的涎液,随后浑身疼痛、昏闷如醉酒状,接着排泄出脓血和恶臭气体,病根才得以去除。
按语:根据丹溪先生的方子,轻粉二钱,其他八味药各半两。前四味药捣成粗末,炒至紫色为度。必须根据患者体型大小、虚实情况进行调整。证候严重而急迫的患者,必须先服用再造散进行攻下,待身体补养恢复后再服用此药。服用此药期间,必须断绝盐、酱、醋以及各种鱼肉、椒料、果实、煨烧炙爆等食物,只能吃淡粥和煮熟的时蔬,也必须清淡饮食,茄子也不可食用,只有各种蛇肉可以用淡酒蒸熟食之,这样可以辅助药效。
Yilao Qufeng Wan (Easy Old Wind-Expelling Pill): Treats scabies and leprosy. The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: "Wind entering the vessels leads to disease, which is leprosy."
Herbs: Huangqi (Astragali Radix), Zhike (Aurantii Fructus), Fangfeng (Saposhnikoviae Radix), Shaoyao (Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Shudihuang (Rehmanniae Radix Praeparata), Shengdihuang (Rehmanniae Radix), Digupi (Lycii Cortex), Gouqizi (Lycii Fructus).
The above nine herbs are pounded into a fine powder using a wooden mortar and pestle, mixed with refined honey to form pills the size of tung tree seeds. Take 50 pills with warm water.
Commentary: This prescription originates from the category of wind-disease treatments for the Shaoyin meridian.
Dongpo Sishen Dan (Dongpo Four-God Decoction): Previously, physicians did not have a dedicated prescription consisting solely of these four ingredients. Long-term consumption can cure severe wind diseases (leprosy).
Herbs: Qianghuo (Notopterygii Rhizoma et Radix), Xuanshen (Scrophulariae Radix), Shudihuang (Rehmanniae Radix Praeparata), Danggui (Angelicae Sinensis Radix).
Commentary: This prescription originates from the category of kidney-qi treatments for the Shaoyin meridian.
Buqi Xieying Tang (Tonifying Qi and Draining Ying Decoction): Treats "Kushi" suffering from li feng (leprosy). The face and neck are extremely itchy, eyebrows have fallen out, requiring hot water irrigation for slight relief. This must be done several times a day or night. Alternatively, scarification (bi ci) provides slight relief. I recall the *Huangdi Neijing* stating: "Li feng is caused by heat in the ying and wei levels. Treatment involves using sharp needles to puncture swollen areas and drain the evil qi until the swelling subsides." If treating with medicine, one should break up stagnant blood, remove heat, raise yang qi, relieve itching, drain ying heat, circulate qi and blood, use acrid-warm herbs to disperse, sweet-warm herbs to tonify, guide the action to the Yangming meridian, clear heart fire, and tonify lung qi. This is the correct method of treatment.
Herbs: Shengma (Cimicifugae Rhizoma), Lianqiao (Forsythiae Fructus) [6 qian each], Sumu (Sappan Lignum], Danggui (Angelicae Sinensis Radix), Huanglian (Coptidis Rhizoma), Huangqi (Astragali Radix), Quanxie (Scorpio), Dilong (Pheretima) [3 fen each], Shengdihuang (Rehmanniae Radix), Huangqin (Scutellariae Radix) [raw, 4 fen each], Renshen (Ginseng Radix) [2 fen], Gancao (Glycyrrhizae Radix et Rhizoma) [1.5 fen], Jiegeng (Platycodonis Radix) [0.5 qian], Taoren (Persicae Semen) [3 pieces], Shexiang (Moschus) [a small amount], Hutonglei (Tamarisci Flos) [1 fen], Mengchong (Tabanus) [wings and feet removed, fried, 3 pieces], Shuizhi (Hirudo) [fried until smoke ceases, 3 pieces], Baidoukou (Cardamomi Fructus) [2 fen].
Preparation: Except for Lianqiao which is sliced separately, Hutonglei and Baidoukou are ground into fine powder and set aside separately. Shexiang, Mengchong, and Shuizhi are ground into fine powder and set aside separately. All ingredients constitute one dose. Add two cups of water and one cup of wine, decoct until 1.6 cups remain. Add Lianqiao and decoct further. Strain. Then add the Baidoukou powder and the Shexiang/Mengchong/Shuizhi powders. Re-decoct until 0.7 cups remain. Take slightly warm after breakfast. Avoid alcohol, wheat products, and cold/raw/hard foods.
Baojian Zuixian San (Treasure Mirror Intoxicating Immortal Powder): Treats severe wind disease with generalized urticaria, itching, and numbness.
Herbs: Humaizi (Sesami Fructus), Niubangzi (Arctii Fructus), Gouqizi (Lycii Fructus), Manjingzi (Viticis Fructus) [1 liang each, stir-fried together], Baijili (Tribuli Fructus), Kushen (Sophorae Flavescentis Radix), Gualougen (Trichosanthis Radix), Fangfeng (Saposhnikoviae Radix) [0.5 liang each].
Grind all into a fine powder. For every 15 qian of powder, mix in 1 qian of Qingfen (Calomelas). Take 1 qian per dose, mixed with tea water, taken once in the morning, noon, and evening. After five to seven days of taking this medicine, foul yellow saliva will first exude from the gum spaces. Subsequently, the whole body will ache, and the patient will feel dizzy and intoxicated-like. Then, pus, blood, and foul-smelling gas will be discharged, eliminating the root of the disease.
Commentary: According to Danxi’s formula, use 2 qian of Qingfen and 0.5 liang each of the other eight herbs. The first four herbs should be coarsely powdered and stir-fried until purple. Dosage must be adjusted according to the patient's size and deficiency/excess patterns. For severe and acute cases, first administer Zaizao San to purge, then wait for recovery and nourishment before administering this medicine. During the course of this medicine, salt, soy sauce, vinegar, meat, fish, spices, fruits, roasted/grilled/fried foods must be avoided. Only plain congee and boiled vegetables may be consumed, also lightly seasoned. Eggplant is forbidden. Only snake meat steamed with plain wine may be eaten to assist the medicinal effect.