\r汤泼火疮\p04-a41a219.bmp\r
申斗垣曰∶火之为用，性最猛烈，万物倾刻成灰，何况人之皮肉，经此灼燔，皮
焦肉卷，苦痛难熬，轻则成疮，重则致死，百计千方，难免其苦，特选奇方以救汤火中伤之苦。（《启玄》）
又曰∶滚汤沸油热粥失误，常遭其害，令人皮 肉烂。
又曰∶每见贫苦烤火御寒，炽令火气入肉，成疮作痛出汁，宜制柏散加苏荷末掺之。
陈实功曰∶但凡水火之气，当分其势而利导之，切不可骤用冷汁淋漓，凉药涂
敷，热毒得冷，更深入骨难瘥。设令寒凉一逼，火毒归心，杀人更速。（《正宗》）
又曰∶此患原无内证，皆从外来也。有汤火热极，逼毒内攻，又有外伤寒凉，激
毒入极，外皮损烂者，用清凉膏等药涂之。如毒瓦斯入内，烦躁口干，二便秘涩者下之，
破珍珠散搽之。（《正宗》）
钱青抡曰∶汤火伤饮冷水者，必死。浸冷水生必烂至骨。（《丹方》）
澄曰∶凡被火伤闷绝者，急用轮回酒或童便灌之，或温水和蜜灌之，甚则用酒
烫热，入浴缸内，令被伤人浸酒中，极重不死。若发热作渴，小便赤涩，用四物汤
加连翘、栀子、甘草滋阴养血，以消其毒。若伤处死肉而不作痛者，用四君子汤加当
归、川芎、连翘，健其脾胃，以消其毒。若伤处死肉不溃，用八珍汤加白芷，补气排
脓。如不应，加肉桂，如不敛，用四君子汤加当归、川芎、黄 健脾养胃生肌，不
应，加炮姜。若小儿被伤，目睫头摇，用四君子汤加当归、川芎、山栀健脾胃，清
肝火。若食后被伤，腹胀作痛，用四君子汤加山栀、神曲、山楂壮脾胃以消之，此
乃规矩准绳，不可更张至误也。
《医鉴》曰∶凡被回禄烟熏至死者，白萝卜捣汁灌之即苏，以其辛能散气也。
澄曰∶凡被火伤之人，宜用羌活一两煎服，俾火毒得汗外泄，庶免内攻。
申斗垣说：火的性质最为猛烈，万物顷刻间化为灰烬，何况人的皮肉，经过这种灼烧焚烧，皮肤焦枯、肌肉卷缩，痛苦难以忍受，轻则形成疮疡，重则导致死亡，各种方法都无法避免其痛苦，特意精选奇方来解救被汤火烫伤者的痛苦。（出自《启玄》）
又说：滚开的汤、沸油或热粥不慎失误，常遭受这种伤害，使人皮肉腐烂。
又说：经常见到贫苦之人烤火御寒，炽热使火气侵入肌肉，形成疮疡并疼痛流脓水，适宜制作柏散加入紫苏和薄荷粉末掺敷患处。
陈实功说：凡是水火之气造成的伤害，应当分清病势而顺势引导，切不可突然使用冷汁淋漓浇淋，或用凉药涂抹敷贴，热毒遇到寒冷，会深入骨骼难以治愈。假如被寒凉一逼，火毒归于心，杀人速度更快。（出自《正宗》）
又说：这种病患原本没有内在证候，都是从外部引起的。有因汤火热极，逼迫毒邪向内攻冲；又有因外伤寒凉，激发毒邪深入至极，外皮损伤腐烂的，用清凉膏等药物涂抹。如果毒瓦斯进入体内，出现烦躁口干、大小便闭塞涩滞的情况，则用泻下法治疗，并用破珍珠散搽涂患处。（出自《正宗》）
钱青抡说：喝冷水治疗汤火伤的人，必定死亡。浸泡冷水求生，必然烂至骨头。（出自《丹方》）
顾世澄说：凡是因火伤导致昏迷不省人事的，急忙用轮回酒或童便灌服，或者用温水调和蜂蜜灌服，情况严重的则用酒烫热，放入浴缸内，让受伤者浸在酒中，即使极重的伤势也能不死。如果出现发热口渴、小便赤红涩痛的症状，用四物汤加连翘、栀子、甘草，以滋阴养血，消除毒邪。如果伤处死肉且不感到疼痛的，用四君子汤加当归、川芎、连翘，健运脾胃，以消除毒邪。如果伤处死肉不溃烂排脓的，用八珍汤加白芷，补气排脓。如果无效，加肉桂；如果伤口不收敛，用四君子汤加当归、川芎、黄芪健脾养胃生肌，如果无效，加炮姜。如果是小儿被烧伤，出现眼睑跳动、头部摇动的症状，用四君子汤加当归、川芎、山栀，健脾胃，清肝火。如果在进食后被烧伤，出现腹胀疼痛，用四君子汤加山栀、神曲、山楂，壮脾胃以消导积滞，这是规矩准绳，不可更改以免出错。
《医鉴》说：凡是因火灾烟熏致死的人，用白萝卜捣汁灌服即可苏醒，因为萝卜辛味能发散气机。
Scald and Fire Burns
Shen Douyuan stated: The nature of fire is the most fierce; all things turn to ashes in an instant. How much more so human skin and flesh? After being scorched and burned, the skin becomes dry and curled, and the muscles contract. The pain is unbearable. Light injuries result in sores, while severe ones can be fatal. Various methods cannot alleviate this suffering. Therefore, I have specially selected miraculous prescriptions to relieve the suffering of those injured by boiling water or fire. (From *Qixuan*)
He also said: Accidental spills of boiling water, boiling oil, or hot porridge often cause such harm, leading to the rotting of skin and flesh.
He further said: I frequently observe poor people warming themselves by fires. The intense heat allows fire qi to penetrate the muscles, causing sores, pain, and discharge of fluid. It is appropriate to prepare Ba San (Cypress Powder) mixed with powder of Perilla Herba (Zisu, 紫苏) and Menthae Haplocalycis (Bohe, 薄荷) for topical application.
Chen Shigong stated: For injuries caused by fire or water, one must distinguish the pathogenic trend and guide it appropriately. One must absolutely avoid suddenly pouring cold liquids over the injury or applying cooling medicines. When heat-toxin encounters cold, it penetrates deeper into the bones and becomes difficult to heal. If forced inward by cold, the fire-toxin returns to the Heart, killing even faster. (From *Zhengzong*)
He also said: This condition originally has no internal manifestations; it arises from external causes. In cases where scalding heat is extreme, forcing toxins to attack internally, or where external cold stimulation drives toxins deeply, resulting in damage and rotting of the outer skin, apply cooling ointments such as Qingliang Gao (Cooling Ointment). If toxic vapors enter the interior, causing restlessness, dry mouth, and constipation or dysuria, use purgative methods and apply Pozhenzhu San (Broken Pearl Powder) topically. (From *Zhengzong*)
Qian Qinglun stated: Those who drink cold water to treat scalds or fire burns will certainly die. Immersing in cold water to survive will inevitably lead to rot extending to the bone. (From *Danfang*)
Gu Shicheng stated: For those rendered unconscious by fire injuries, urgently administer Huilun Jiu (Reincarnation Wine) or children's urine (Tongbian, 童便), or administer warm water mixed with honey. In severe cases, heat wine and place the patient in a bathtub filled with the hot wine, allowing them to soak in it; even extremely severe injuries may not prove fatal. If fever and thirst occur, accompanied by red, scanty, or painful urination, use Siwu Tang (Four Substances Decoction) added with Forsythiae Fructus (Lianqiao, 连翘), Gardenia Fruit (Zhizi, 栀子), and Licorice Root (Gancao, 甘草) to nourish yin and blood, thereby eliminating toxins. If the necrotic tissue at the wound site does not hurt, use Sijunzi Tang (Four Gentlemen Decoction) added with Angelicae Sinensis Radix (Danggui, 当归), Ligusticum Chuanxiong Rhizome (Chuanxiong, 川芎), and Forsythiae Fructus (Lianqiao, 连翘) to strengthen the Spleen and Stomach, thereby eliminating toxins. If the necrotic tissue does not ulcerate and drain pus, use Bazhen Tang (Eight Treasures Decoction) added with Angelicae Dahuricae Radix (Baizhi, 白芷) to tonify qi and expel pus. If there is no response, add Cinnamon Bark (Rougui, 肉桂); if the wound fails to close, use Sijunzi Tang added with Danggui, Chuanxiong, and Astragali Radix (Huangqi, 黄芪) to strengthen the Spleen and Stomach and generate flesh. If there is still no response, add Prepared Ginger (Paojiang, 炮姜). If a child suffers a burn and exhibits twitching of the eyelids or shaking of the head, use Sijunzi Tang added with Danggui, Chuanxiong, and Gardenia Fruit (Zhizi) to strengthen the Spleen and Stomach and clear Liver fire. If injured after eating, presenting with abdominal distension and pain, use Sijunzi Tang added with Gardenia Fruit (Zhizi), Medicated Leaven (Shenqu, 神曲), and Hawthorn Fruit (Shanzha, 山楂) to strengthen the Spleen and Stomach and resolve stagnation. These are standard principles that must not be altered to avoid error.
*Yijian* (Medical Mirror) stated: For those killed by smoke inhalation from fire, administering juice extracted from crushed white radish (Raphani Radix, 萝卜) will restore consciousness, because its pungent nature can disperse qi.
Gu Shicheng stated: For anyone injured by fire, it is appropriate to decoct and administer Qianghuo (Notopterygii Rhizoma et Radix, 羌活) in a dosage of one liang, so that fire-toxin is released outward through sweating, thus preventing internal invasion.