董仙治痘法∶今人看痘不知法则难也。初起时不论强弱补其气血为要,加之发散之药,
重者
一小
第一日方,见小儿身热,眼如醉眼者,是也。不是醉眼不可用此方。外感治之,见醉眼
急投
钱
先煎
速愈
第二日方∶白术二钱 麦冬三钱 甘草一钱 桔梗二钱 当归五钱 元参三钱 生地五
钱
服。
第三日方∶人参五分 白芍三钱 白术三钱 茯苓三钱 元参二钱 神曲三分 丹皮一
钱。
第四日方∶人参一钱 当归二钱 熟地五钱 茯苓三钱 金银花三钱 陈皮五分 甘草
一钱
不可
第五方∶人参一钱 茯苓三钱 白术二钱 甘草一钱。有加麦芽五分,山楂五粒,不伤
食不
四
华真人传坏症方∶治已黑者,人将弃之,下喉即活,用人参三钱 陈皮一钱 蝉蜕五分 元
参二钱 当归二钱 荆芥穗一钱。水二盅,煎八分,灌下即活。大约坏症皆元气虚而火不能
发,用参以助元气,元参以去浮游之火。陈皮去痰开胃,参无所碍。荆芥以发之,引火归
当归生新去旧,消滞气。蝉蜕去毒斑。世人如何知此妙法,初起不可服,必坏症乃可服
人参一钱 黄 一钱 甘草一钱 白芍二钱 生地二钱 麦冬二钱 柴胡八分 红花五
分。
色黑
有汗倍加黄 ;有痰加白芥子一钱;痒加荆芥子六分;身痛者加广
加肉桂一钱,人参、黄 多加;头不突者气虚也,倍黄 ;浆不满
熟地二钱可也。
董大仙治疗痘疹的方法:现在的人看诊痘疹,如果不了解法则是很困难的。在痘疹初起时,不论患者体质强弱,以补益气血为关键,再加上发散表邪的药物。
第一日方:如果见到小儿身体发热,眼睛像喝醉了一样(眼神迷离、红肿),这就是适用此方的指征。如果不是这种“醉眼”症状,不可使用此方。这是针对外感邪气进行治疗的,见到上述症状应紧急投药,先煎煮药物,以求快速痊愈。
第二日方:白术二钱,麦冬三钱,甘草一钱,桔梗二钱,当归五钱,玄参三钱,生地五钱。
第三日方:人参五分,白芍三钱,白术三钱,茯苓三钱,玄参二钱,神曲三分,丹皮一钱。
第四日方:人参一钱,当归二钱,熟地五钱,茯苓三钱,金银花三钱,陈皮五分,甘草一钱。
第五方:人参一钱,茯苓三钱,白术二钱,甘草一钱。如果有饮食积滞的情况,可加麦芽五分,山楂五粒;如果没有伤食,则不加。
华真人传授的治疗坏症(痘疹逆证)的方子:治疗痘色发黑的,旁人认为没救了,但服药后喉头即活。用人参三钱,陈皮一钱,蝉蜕五分,玄参二钱,当归二钱,荆芥穗一钱。用水两盅,煎至八分,灌服后即可救活。大概坏症都是因为元气虚弱而火毒不能透发,用人参来补助元气,用玄参来清除浮游之火。陈皮用来祛痰开胃,使人参补而不滞。荆芥用来发散,引导火毒归元。当归用来生新血去旧瘀,消除滞气。蝉蜕用来去除毒斑。世人怎么能知道这个妙法呢?痘疹初起时不可服用,必须是出现坏症时才可以使用。
(另一首方剂/加减法):人参一钱,黄芪一钱,甘草一钱,白芍二钱,生地二钱,麦冬二钱,柴胡八分,红花五分。
(针对痘色黑或有汗等情况的加减):如果痘色黑,有汗者加倍加入黄芪;有痰者加白芥子一钱;瘙痒者加荆芥子六分;身体疼痛者加广藿香(原文缺字,推测或为其他解表药,此处依文意保留结构,通常此类语境下可能指加味,但原文仅列“加广”,后接换行,结合下文“加肉桂”,此处暂按原文转录,若需补全常理多为加味药,但严格忠实原文则留空或视上下文,此处原文断句较乱,根据常见医案逻辑,“身痛者加...”后文缺失具体药名,但下一句是“加肉桂...”,故此处提取实体时需注意)。*注:原文此处排版混乱,“加广”后直接换行“加肉桂”,推测“广”后缺字,如广木香或广藿香,但依据规则不推测,仅提取明确出现的。然而观察下文“加肉桂一钱”,前文“身痛者加广”疑似截断。再看最后一段:“浆不满...”。*
修正理解最后一段杂乱文本:
色黑(指痘色黑)。
有汗倍加黄芪;有痰加白芥子一钱;痒加荆芥子六分;身痛者加[缺](原文“加广”后无字,下一行“加肉桂”可能是针对另一症状或接续上文,但通常肉桂用于阳虚寒盛,此处暂不强行关联,仅提取明确药材)。
加肉桂一钱,人参、黄芪多加;头不突者气虚也,倍黄芪;浆不满(痘浆不满)... 熟地二钱可也。
Dong the Immortal's Method for Treating Smallpox: It is difficult for people today to diagnose smallpox without knowing the principles. At the initial stage, regardless of whether the patient's constitution is strong or weak, the key lies in tonifying Qi and Blood, combined with herbs that release the exterior.
Formula for the First Day: If a child presents with fever and eyes that appear "drunk" (dull, red, and swollen), this is the indication for using this formula. If the "drunk eye" symptom is not present, this formula must not be used. This treats external pathogenic factors; upon seeing these symptoms, administer urgently, decoct first, to achieve a rapid recovery.
Formula for the Second Day: Atractylodis Macrocephalae Rhizoma (Baizhu) 2 qian, Ophiopogonis Radix (Maidong) 3 qian, Glycyrrhizae Radix et Rhizoma (Gancao) 1 qian, Platycodonis Radix (Jiegeng) 2 qian, Angelicae Sinensis Radix (Danggui) 5 qian, Scrophulariae Radix (Yuanshen) 3 qian, Rehmanniae Radix (Shengdi) 5 qian.
Formula for the Third Day: Ginseng Radix (Renshen) 5 fen, Paeoniae Radix Alba (Baishao) 3 qian, Atractylodis Macrocephalae Rhizoma (Baizhu) 3 qian, Poria (Fuling) 3 qian, Scrophulariae Radix (Yuanshen) 2 qian, Massa Medicata Fermentata (Shenqu) 3 fen, Moutan Cortex (Danpi) 1 qian.
Formula for the Fourth Day: Ginseng Radix (Renshen) 1 qian, Angelicae Sinensis Radix (Danggui) 2 qian, Prepared Rehmanniae Radix (Shudi) 5 qian, Poria (Fuling) 3 qian, Lonicerae Japonicae Flos (Jinyinhua) 3 qian, Citri Reticulatae Pericarpium (Chenpi) 5 fen, Glycyrrhizae Radix et Rhizoma (Gancao) 1 qian.
Fifth Formula: Ginseng Radix (Renshen) 1 qian, Poria (Fuling) 3 qian, Atractylodis Macrocephalae Rhizoma (Baizhu) 2 qian, Glycyrrhizae Radix et Rhizoma (Gancao) 1 qian. If there is food stagnation, add Coici Semen Germinatum (Maiya) 5 fen and Crataegi Fructus (Shanzha) 5 pieces; if there is no food stagnation, do not add them.
Master Hua's Formula for Treating Adverse Cases (Huai Zheng): For treating blackened pustules, which others may deem hopeless, administration will revive the patient immediately. Use Ginseng Radix (Renshen) 3 qian, Citri Reticulatae Pericarpium (Chenpi) 1 qian, Bombyx Batryticatus (Chantui) 5 fen, Scrophulariae Radix (Yuanshen) 2 qian, Angelicae Sinensis Radix (Danggui) 2 qian, Schizonepetae Spica (Jingjie Sui) 1 qian. Decoct two zhong of water until reduced to eight fen, and administer by force-feeding to revive the patient. Generally, adverse cases are caused by deficiency of Yuan Qi, preventing the fire-toxin from erupting. Ginseng is used to assist Yuan Qi, and Scrophularia is used to clear floating fire. Citri Reticulatae Pericarpium resolves phlegm and opens the stomach, ensuring Ginseng does not cause stagnation. Schizonepeta disperses pathogens and guides fire back to its source. Angelica generates new blood and removes old stasis, eliminating stagnant Qi. Bombyx removes toxic macules. How can common people know this wonderful method? It must not be taken during the initial stage; it is only suitable for adverse cases.
[Additional Formula/Modifications]: Ginseng Radix (Renshen) 1 qian, Astragali Radix (Huangqi) 1 qian, Glycyrrhizae Radix et Rhizoma (Gancao) 1 qian, Paeoniae Radix Alba (Baishao) 2 qian, Rehmanniae Radix (Shengdi) 2 qian, Ophiopogonis Radix (Maidong) 2 qian, Bupleuri Radix (Chaihu) 8 fen, Carthami Flos (Honghua) 5 fen.
[Modifications based on symptoms]: If the pustule color is black: If there is sweating, double the dose of Astragali Radix (Huangqi); if there is phlegm, add Sinapis Albi Semen (Baijiezhi) 1 qian; if there is itching, add Schizonepetae Fructus (Jingjiezhi) 6 fen; if there is body pain, add [text missing/cut off after "Guang"]; add Cinnamomi Cortex (Rougui) 1 qian, and increase the doses of Ginseng Radix (Renshen) and Astragali Radix (Huangqi); if the head does not protrude, it indicates Qi deficiency, so double the dose of Astragali Radix (Huangqi); if the pus is insufficient, Prepared Rehmanniae Radix (Shudi) 2 qian is appropriate.