忍冬藤即金银花 贝母 甘草节 天花粉 橘皮 当归 防风 白芷 乳香 没药 皂角刺 穿山甲
一切痈疽及不知名恶疮初得,此方主之。
痈疽皆由气血逆于肌理,加寒与湿凝,风共火搏乃发。红肿尖痛,为阳为痈。深硬黑陷,为阴为疽。势大身
发热,食日减,晓夜不安眠,其症则重而险。入手,醇酒煎服。盖忍冬花、甘草节、天花粉、贝母、橘皮清热解
毒,兼能利湿除痰。当归、防风、白芷、乳香、没药活血疏风,更可定痛护
膜。乃皂角刺、穿山甲引前药直达病所,以决壅破坚。酒煎者,欲其通行周身,使邪速散云尔。服而活命,非仙
方如何。
诗曰∶仙方没药粉加餐,乳母归宁未忍还,芷橘甘草年可引,采芝防刺莫穿山。
羌活 防风 白芷 穿山甲 沉香 红花 连翘 忍冬花 皂角刺 花粉 熟大黄 石决明 乳香 当归 甘草
痈疽初起, 肿赤痛,顶高根活,皮薄而光,脉浮大有力,活命饮不应,主此方。方解前已悉,其所以不应
者,倏增身热头痛,二便秘结。故去贝母、橘皮、没药,用羌活、沉香内升外发,逼邪从表出。大黄、连翘小清
大利,俾毒随便下。其石决、红花,以肿系血凝,脓由痰化。进二三剂,未成则散,已成则溃。署名卫生是已,
神授恐未必然。
诗曰∶药剂十五九前方,为贝非川橘没香,羌选红花沉石决,大黄乔办卫生汤。
忍冬藤即金银花,加上贝母、甘草节、天花粉、橘皮、当归、防风、白芷、乳香、没药、皂角刺、穿山甲。
一切痈疽(皮肤及皮下组织的化脓性感染)以及不知名的恶疮在初发阶段,此方主治。
痈疽都是因为气血在肌理中逆乱,加上寒邪与湿邪凝结,风邪与火邪搏结而发作。红肿且顶部疼痛,属于阳证,称为痈。病灶深部坚硬、颜色黑陷,属于阴证,称为疽。如果病势盛大,身体发热,饮食日渐减少,日夜无法安睡,其症状则严重而危险。使用时用纯酒煎煮服用。因为忍冬花、甘草节、天花粉、贝母、橘皮能清热解毒,兼能利湿除痰。当归、防风、白芷、乳香、没药能活血疏风,更可定痛保护膜组织。至于皂角刺、穿山甲则是引导前面的药物直达病所,以决断壅滞、破除坚积。用酒煎煮,是希望药力通行全身,使邪气迅速消散罢了。服用后能保全性命,如果不是仙方又能是什么呢?
诗曰:仙方没药粉加餐,乳母归宁未忍还,芷橘甘草年可引,采芝防刺莫穿山。
羌活、防风、白芷、穿山甲、沉香、红花、连翘、忍冬花、皂角刺、花粉、熟大黄、石决明、乳香、当归、甘草。
痈疽初起,肿胀发红疼痛,顶部高突,根基活动,皮肤薄而光亮,脉象浮大有力,使用活命饮无效时,以此方为主治。方解前文已经详尽说明,之所以之前无效的原因,是因为突然增加了身体发热、头痛,大小便闭塞不通的症状。因此去掉贝母、橘皮、没药,改用羌活、沉香内升外发,逼迫邪气从体表排出。大黄、连翘轻微清利,使毒邪随二便下行。石决明、红花,是因为肿胀系于血凝,脓液由痰化生。服用二三剂后,未成脓的则消散,已成脓的则溃破。署名为卫生汤是合适的,说是神授恐怕未必必然。
诗曰:药剂十五九前方,为贝非川橘没香,羌选红花沉石决,大黄乔办卫生汤。
*Jindong Teng* (Lonicerae Japonicae Caulis) is *Jinyinhua* (*Flos Lonicerae Japonicae*). Add *Beimu* (*Fritillariae Bulbus*), *Gancao Jie* (Node of *Glycyrrhizae Radix et Rhizoma*), *Tianhuafen* (*Trichosanthis Radix*), *Ju Pi* (*Citri Reticulatae Pericarpium*), *Danggui* (*Angelicae Sinensis Radix*), *Fangfeng* (*Saposhnikoviae Radix*), *Baizhi* (*Angelicae Dahuricae Radix*), *Ruxiang* (*Olibanum*), *Moyao* (*Myrrha*), *Zaogel Ci* (*Gleditsiae Sinensis Spina*), and *Chuanshanjia* (*Manis Squama*).
For all types of *Yongju* (carbuncles and sores, i.e., suppurative infections of the skin and subcutaneous tissues) and unknown malignant ulcers in their initial stage, this formula is indicated.
*Yongju* arise from the reversal of Qi and Blood in the muscle tissue, compounded by the coagulation of Cold and Dampness, and the struggle between Wind and Fire. Redness, swelling, and sharp pain indicate a Yang pattern, termed *Yong* (carbuncle). Deep hardness and black depression indicate a Yin pattern, termed *Ju* (sore/abscess). If the condition is severe with high fever, decreasing appetite, and insomnia day and night, the symptoms are critical and dangerous. Decoct with pure wine for administration. This is because *Jinyinhua*, *Gancao Jie*, *Tianhuafen*, *Beimu*, and *Ju Pi* clear heat and resolve toxicity, while also promoting diuresis to remove dampness and phlegm. *Danggui*, *Fangfeng*, *Baizhi*, *Ruxiang*, and *Moyao* invigorate blood and disperse wind, further alleviating pain and protecting membranes. *Zaogel Ci* and *Chuanshanjia* guide the preceding herbs directly to the site of disease to break stagnation and dissolve hardness. The use of wine decoction aims to circulate the medicinal power throughout the body, causing the pathogenic factors to dissipate rapidly. To survive after taking it, if not a "Fairy Formula," what else could it be?
The poem states:
Add powder of *Moyao* to the Fairy Formula as a meal,
The nursing mother returns home but cannot bear to leave.
*Baizhi*, *Ju Pi*, and *Gancao* can guide the year,
Gathering herbs, avoid thorns, do not use *Chuanshanjia*.
*Qianghuo* (*Notopterygii Rhizoma et Radix*), *Fangfeng*, *Baizhi*, *Chuanshanjia*, *Chenxiang* (*Aquilariae Lignum Resinatum*), *Honghua* (*Carthami Flos*), *Lianqiao* (*Forsythiae Fructus*), *Jinyinhua*, *Zaogel Ci*, *Huafen* (*Trichosanthis Radix*), *Shu Dahuang* (*Rhei Radix et Rhizoma Praeparata cum Melle*), *Shijueming* (*Concha Arcae*), *Ruxiang*, *Danggui*, *Gancao*.
For the initial stage of *Yongju*, characterized by red, swollen, painful lesions with a high apex and active base, thin and shiny skin, and a floating, large, and forceful pulse, when *Huo Ming Yin* (Prescription for Saving Life) is ineffective, this formula is indicated. The explanation of the previous formula has been detailed earlier. The reason for its ineffectiveness is the sudden onset of fever, headache, and constipation of both stool and urine. Therefore, *Beimu*, *Ju Pi*, and *Moyao* are removed; instead, *Qianghuo* and *Chenxiang* are used to ascend internally and release externally, forcing pathogens out through the exterior. *Dahuang* and *Lianqiao* provide mild clearing and draining, allowing toxins to exit via urination and defecation. *Shijueming* and *Honghua* address the swelling caused by blood stasis and the pus formed from phlegm transformation. After two or three doses, unformed pus will dissipate, and formed pus will rupture. Naming it *Wei Sheng Tang* (Health Preservation Decoction) is appropriate; claiming it was divinely bestowed is likely not necessarily true.
The poem states:
Fifteen ingredients, nine from the previous formula,
Remove *Beimu*, *Chuan* (referring to Chuanxiong or similar), *Ju*, *Moyao*, and *Xiang*;
Select *Qianghuo*, *Honghua*, *Chenxiang*, and *Shijueming*,
*Dahuang* and *Lianqiao* prepare the Health Preservation Decoction.