痒疮之轻者宜此膏。
锌氧粉 凡士林 水杨酸
用如上法。
【方解】 水杨酸亦西药,收湿止痒,盖亦樟冰同等之性,而无气臭。较之樟冰
则和平而淡泊,轻证可用,痒重者不足恃。
疡患坚肿,初起可退,虽以内服煎剂为主,而外治药末必不可少。朱氏成法简而易行,
但分阴阳二证。度量轻重,已是无往不宜。可谓指南之车,金针度世也。
治痈疽初起,不论深浅大小皆可用。
上瑶桂(去粗皮二两) 北细辛(去净泥垢一两) 干姜(八钱) 公丁香(五钱)
各为细末,小证每用二三分,上用温煦薄贴盖之;大证则用三五钱,调入温煦薄贴料中
摊贴,或再加麝香分许。
【方解】 此肿疡初起形巨块坚者通用之药。凡酸痛漫肿,深在肉里,附着骨节
者,温
暑天热疖初起时形块虽坚者弗用。
治痈疡高肿将欲成脓,及阳发初起,来势迅速者。又乳疡、乳发、胸臂腹皮诸痈,内挟
肝胆相火,不能用四温丹及温煦薄贴者,宜以此膏粘于清凉薄粘贴用之,未成可消,已成即
提脓高肿,易于针溃,捷验异常。
蓖麻子(去壳取净白肉一斤) 大天南(腊月牛胆汁制透六钱) 乳香 没药(制去油各三
两) 急性子(一两) 银朱 血竭(各二两) 上好麝香(三钱)
以上先以蓖麻子置石臼中捶极细,绵稠如酱,乃入后七味,俱各先研细末,缓缓杵匀,
瓷器密收听用。
【方解】 此方以蓖麻为君,银朱、急性子等为佐,消肿退毒,捷于影响。阳发
疡患初
。古书称蓖麻能堕胎云云,亦以其流动而过甚言之。然寿颐习用此膏,即孕妇痈疡皆不避忌
,确未有因此堕胎者,以此知古说之未可尽信。亦犹古今本草皆云凡食蓖麻者一生不可食大
豆,犯此忌者必胀死;而寿颐在七八龄时,有人赠此种子,云是外国豆,莳之后圃,秋收辄
数十斤,炒熟之,阖家作为消闲食品者凡六七年,不知是蓖麻子,亦不知忌食豆也,然全家
幸未尝一病。迨弱冠时,始知向之所谓外国豆者,原来即是蓖麻之俗名。又其后研究医药,
乃见有忌豆之说,于是悟到凡百医书,大都人云亦云,未必皆为确论。姑附识于此,以见此
物之真。后有君子,欲于医药中求实在效力,不可不从经验阅历四字上,有一番精细工夫。
若彼此懵懵,徒于故纸堆中寻生活,亦安往而不误己误人也耶。
对于症状较轻的痒疮,适宜使用此膏。
锌氧粉、凡士林、水杨酸。
制备方法同前法。
【方解】 水杨酸也是西药,具有收敛湿气、止痒的功效,其性质与樟脑、冰片相当,但没有气味臭味。相比樟脑和冰片,它更为平和淡泊,轻症可以使用,但瘙痒严重者则不足以依赖。
对于疮疡患处的坚硬肿胀,初起时可以通过药物消退,虽然以内服汤剂为主,但外治的药末也必不可少。朱氏(朱仁康)的成法简单且易于施行,仅分为阴证和阳证两类。衡量病情的轻重,已经无所不宜。这可以说是指南车,金针度世般的指导方法。
治疗痈疽初起,不论深浅大小都可以使用。
上瑶桂(去除粗皮二两)、北细辛(去除干净泥土污垢一两)、干姜(八钱)、公丁香(五钱)。
各自研磨成细末,轻微病症每次使用二三分,外用温煦薄贴覆盖;严重病症则使用三到五钱,调入温煦薄贴的材料中摊开贴敷,或者再加少许麝香。
【方解】 这是用于肿疡初起形成巨大坚硬块状物的通用药物。凡是酸痛、漫肿、深在肌肉内部、附着于骨节的情况适用。但在暑天热疖初起时,即使形块坚硬也不宜使用。
治疗痈疡高肿即将化脓,以及阳发初起、来势迅速者。还有乳疡、乳发、胸臂腹部皮肤等各种痈肿,内部夹杂肝胆相火,不能使用四温丹及温煦薄贴的,适宜将此膏粘贴在清凉薄贴上使用。未成脓的可以消散,已成脓的即可提脓高肿,易于针刺溃破,效果快捷显著。
蓖麻子(去壳取纯净白肉一斤)、大天南星(腊月用牛胆汁制透六钱)、乳香、没药(炼制去油各三两)、急性子(一两)、银朱、血竭(各二两)、上好麝香(三钱)。
以上先将蓖麻子放入石臼中捶打至极细,绵密粘稠如酱状,然后加入后七味药,都先研磨成细末,缓缓捣匀,装入瓷器中密封保存听候使用。
【方解】 此方以蓖麻为君药,银朱、急性子等为佐药,消肿退毒,效果迅速如影随形。阳发疮疡初起……古书称蓖麻能堕胎等等,也是因为它流动性过强而过分夸张的说法。然而我(寿颐,即张山雷自号)习惯使用此膏,即使是孕妇患有痈疡也不避忌,确实没有因此导致堕胎的情况,由此可知古人的说法未必全可信。这也如同古今本草都声称凡是食用蓖麻的人一生不可吃大豆,违反这个禁忌必定胀死;而我(寿颐)在七八岁时,有人赠送这种种子,说是外国豆,种植在后园,秋天收获几十斤,炒熟后,全家作为消闲食品吃了六七年,不知道是蓖麻子,也不知道要忌食大豆,然而全家幸运地未曾生过一次病。等到二十岁左右,才知道之前所谓的外国豆,原来就是蓖麻的俗名。后来又研究医药,才看到有忌豆的说法,于是悟到凡是各种医书,大多是人云亦云,未必都是确论。暂且记录于此,以揭示此物的真相。后来的君子,想要在医药中寻求实际效力,不能不从“经验”和“阅历”四个字上下功夫,有一番精细的功夫。如果彼此懵懂无知,只在故纸堆中寻找生活,又怎么能不误己误人呢?
For mild cases of pruritic sores (prurigo), this ointment is suitable.
Zinc Oxide Powder, Vaseline, Salicylic Acid.
Preparation method follows the aforementioned procedure.
[Formula Analysis] Salicylic acid is also a Western medicine; it has the effect of drying dampness and relieving itching. Its nature is similar to that of Camphor (Zhangnao) and Borneol (Bingpian), but without an odor. Compared to Camphor and Borneol, it is milder and more bland. It can be used for mild conditions, but it is not sufficient for severe itching.
For hard and swollen ulcerative lesions, they can be reduced in the early stage. Although internal decoctions are the main treatment, external medicinal powders are indispensable. The established methods of Mr. Zhu are simple and easy to perform, dividing conditions only into Yin and Yang syndromes. Assessing the severity makes it universally applicable. It can be regarded as a guiding chariot or a golden needle passed down to benefit the world.
It can be used for the initial stage of carbuncles and furuncles, regardless of depth or size.
Shangyao Gui (Cinnamon Twig, removed coarse bark, 2 liang), Beixixin (Asarum Root, cleaned of mud/dirt, 1 liang), Ganjiang (Dried Ginger, 8 qian), Gongdingxiang (Clove, 5 qian).
Each is ground into fine powder. For minor cases, use 2-3 fen per application, covered with a Wenshu Bo Tie (Warm-Nourishing Plaster); for major cases, use 3-5 qian, mixed into the material of the Wenshu Bo Tie for application, or add a small amount of Moschus (She Xiang).
[Formula Analysis] This is a general-purpose medicine for the initial stage of swelling ulcers forming large, hard masses. It is suitable for soreness, diffuse swelling, deep-seated in muscle tissue, and attached to joints. However, it should not be used when heat boils (re du) first appear in summer, even if the mass is hard.
It treats carbuncles and sores with high swelling about to suppurate, and Yang Fa (Yang eruption) in the early stage with rapid onset. It is also suitable for breast sores, breast eruptions, and various carbuncles on the chest, arms, and abdominal skin, which internally involve the ministerial fire of the Liver and Gallbladder, and where Siwen Dan (Four-Warming Pill) and Wenshu Bo Tie cannot be used. It is appropriate to paste this ointment onto a Qingliang Bo Tie (Cool-Clearing Plaster). If not yet formed, it can dissipate; if already formed, it promotes pus discharge and high swelling, facilitating needle lancing, with exceptionally swift and effective results.
Bimazi (Castor Seed, shelled, pure white meat, 1 jin), Datian Nan (Arisaema Cum Bile, processed with ox bile in the twelfth lunar month until penetrated, 6 qian), Ruxiang (Frankincense), Moyao (Myrrh, processed to remove oil, 3 liang each), Jixingzi (Prunus Armeniaca Seed/Accelerator Fruit, 1 liang), Yinzhu (Vermilion/Red Lead), Xuexie (Dragon's Blood, 2 liang each), Shanghao Moxiang (High-quality Moschus/Musk, 3 qian).
First, place the Castor Seeds in a stone mortar and pound them extremely finely until soft and viscous like paste. Then add the latter seven ingredients, all previously ground into fine powder, and slowly pound evenly. Store in a porcelain vessel, tightly sealed, for future use.
[Formula Analysis] In this formula, Castor Seed serves as the Sovereign drug, while Vermilion and Accelerator Fruit serve as Assistant drugs. It reduces swelling and eliminates toxins with speed comparable to an echo. Regarding Yang Fa sores in the early stage... Ancient texts claim that Castor Seed can induce abortion, speaking excessively of its mobile nature. However, I (Shouyi, i.e., Zhang Shanlei) have habitually used this ointment; even for pregnant women with carbuncles, there are no taboos, and indeed, no abortions have occurred due to this. Thus, we know that ancient sayings are not entirely trustworthy. Similarly, ancient and modern Materia Medica all state that anyone who eats Castor Seeds must never eat soybeans in their lifetime, and violating this taboo will cause death by bloating. Yet, when I was seven or eight years old, someone gave me these seeds, calling them "foreign beans." I planted them in my backyard, harvested dozens of jin in autumn, roasted them, and my whole family ate them as snacks for six or seven years. We did not know they were Castor Seeds, nor did we know to avoid soybeans. Fortunately, none of us fell ill. When I reached adulthood, I learned that the so-called "foreign bean" was actually the common name for Castor Seed. Later, upon studying medicine, I saw the warning against eating beans with Castor Seeds, and realized that most medical books are merely echoing others and may not all be accurate conclusions. I record this here to reveal the true nature of this substance. Future scholars seeking real efficacy in medicine must put careful effort into "experience" and "personal observation." If one remains ignorant and merely searches through old papers for a living, how can one avoid harming oneself and others?