白矾(五钱) 青黛(三钱) 冢间贴背干锻石(三钱)
上为细末,研至无声为度,打和令匀。每服三钱,井花水半碗调,柳条搅千百下令匀,
顿服之。浓衣盖覆良久,用葱豉汤入醋少许,极热服,少助药力,得汗而解。
若始不觉是疔疮,不曾以前法出汗,过数日方觉,则寒热体痛皆罢,毒瓦斯入里矣。须用
利药使内中毒瓦斯下泄,雄黄丸主之。
雄黄(五钱) 郁金(五钱) 巴豆(半钱,去心壳略去油)
一方加信石一字许,不可多用,以清油煮半日取出,晒干入药。一方加斑蝥七个,去翅
嘴,以糯米炒变色,去米用。又治瘰 。一方加玄明粉三钱,又治咽喉肿痛喉闭等证。
上各研为细末,面糊为丸如绿豆大。每服七丸,冷茶清吞下,取利为度,如不利再服。
寒水石(一两, ) 轻粉(少许) 国丹(少许)
上件研为细末,掺疮口上,日夜二洗二换。盖蟾酥膏、桃红散,皆为毒药,故令疮疼
痛,
,可用李世安一宗治法主之,功效尤速。
当归尾(二两) 川芎 荆芥穗 干葛 乌药 川独活 赤芍药 白芷 升麻(各一两)
羌活 甘草 防风(去芦) 枳壳(各半两) 红花 苏木(各二钱半)
如疮疼痛者,加乳香、没药、白芷各五钱。疮热不退,加 竹青、山栀仁各少许;大便
闭,
节各半两;眼晕者,倍加川芎、白芷、荆芥、防风;渴而小便闭者,加滑石一两。
上件 咀,每服五钱,灯草十数茎,乌豆十粒,水一钟半,煎至八分。病在上食后服
,病在
胁之间,或在胸之下肿起,此乃毒瓦斯入里所致,宜用霹雳火治之。若服当归散,外证不解者
,亦急用霹雳火发散。
霹雳火法 鹅卵石炭火 通赤,淀桶一只,先置竹椅一只于桶内。又用一杓置竹椅下,
令病
,
衾覆盖,别用一衾盖病患头上,只留口鼻在外,令遍身汗出,须要头面皆有汗,病即出矣,
此法绝妙。老人、虚人、孕妇不宜汗下,可针破疮口,用海马拔毒散点疮,酒煎苍耳服。至
如毒入里,用霹雳火时,病患不须入桶,止用一小水桶,根据前法以杓盛 石在桶中,用醋淋
沃,令病患侧卧身,以肿处覆在桶上,四围用衾被遮护,勿令气泄,良久肿处出汗。如汗未
透,可再加火力,再沃之,须令肿处汗透,却不必遍身汗也。
若疮在两胁间,毒瓦斯欲奔心,乃危急之证也。可急于患处尖上,用艾炷灸三五状,仍于
灸穴
松针截法,针断红丝路。如疮于两胯间毒瓦斯欲奔肾者,用松针于两胯红丝路尽处,针断出血
。如疮生头面上者,可于项间丝路尽出针断出血,或各处红丝路亦有不现者,亦可以意消详
,用松针针之。
凡用松针者,盖因红丝路不现,无可下手出,故用此法,于颔下、两腋间、两跨间虚软
处下手,针断毒瓦斯,毋令攻心、攻肾而已。
松针法 取向北松枝上叶极硬者,顿齐作一束,扎令极紧,缓缓以意消详,毒瓦斯所经行
虚软
以温酒调一二服与之服之,方下针。
若表证皆罢,毒瓦斯入里者,用前雄黄丸主之。若手足厥冷,六脉俱绝者,此乃毒瓦斯已深
,气
则脉自回矣。然后根据法治之,万无一失。
【背景信息】
书名:秘传外科方 章节:自沸汤 / ... / 当归散(共4节) 类别:方剂
【待处理原文翻译】
白矾(五钱)、青黛(三钱)、冢间贴背干锻石(三钱)。
以上药材研成细末,研磨至听不到沙沙声为止,混合均匀。每次服用三钱,用半碗井花水调服,用柳条搅拌千百次使其均匀,一次性服下。穿厚衣服覆盖身体良久,再用葱豉汤加入少许醋,极热时服用,以辅助药力,出汗后病邪即可解除。
如果起初没有察觉是疔疮,没有按照前面的方法发汗,过了几天才发觉,那么寒热和身体疼痛都会停止,毒气已经入里了。必须使用泻下药使体内的毒气向下排泄,雄黄丸主治此证。
雄黄(五钱)、郁金(五钱)、巴豆(半钱,去心壳并略去油)。
另一配方加信石约一字许,不可多用,用清油煮半天取出,晒干后入药。另一配方加斑蝥七个,去翅嘴,用糯米炒至变色,去掉米使用。又治瘰疬。另一配方加玄明粉三钱,又治咽喉肿痛、喉闭等证。
以上各药研为细末,用面糊做成如绿豆大小的丸药。每次服用七丸,用冷茶送服,以腹泻为度,如果不腹泻再服用。
寒水石(一两,煅)、轻粉(少许)、国丹(少许)。
以上药材研为细末,撒在疮口上,日夜各清洗更换两次。覆盖蟾酥膏、桃红散,都是毒药,所以会让疮口疼痛,(若疼痛剧烈),可用李世安的一宗治法为主,功效尤其迅速。
当归尾(二两)、川芎、荆芥穗、干葛、乌药、川独活、赤芍药、白芷、升麻(各一两)。
羌活、甘草、防风(去芦)、枳壳(各半两)、红花、苏木(各二钱半)。
如果疮口疼痛,加乳香、没药、白芷各五钱。如果疮热不退,加竹青、山栀仁各少许;如果大便闭塞,(加芒硝、大黄各半两);如果眼晕,加倍增加川芎、白芷、荆芥、防风;如果口渴且小便闭塞,加滑石一两。
以上药材切碎,每次服用五钱,灯草十数茎,黑豆十粒,水一钟半,煎至八分。病在上部者饭后服用,病在下部者饭前服用。如果在胁之间,或在胸之下肿起,这是毒气入里所致,宜用霹雳火治疗。如果服用当归散后,外证不解,也急用霹雳火发散。
霹雳火法:将鹅卵石烧得通红,放入一只淀桶中,先在桶内放一把竹椅。再用一个勺子放在竹椅下,让病患坐在上面,用被子覆盖全身,另外再用一床被子盖住病患头部,只露出口鼻,令全身出汗,必须头面部都有汗,病邪即可排出,此法绝妙。老人、体虚之人、孕妇不宜发汗或泻下,可针刺破疮口,用海马拔毒散点涂疮口,酒煎苍耳子服用。至于毒气入里,使用霹雳火时,病患不必进入桶中,只用一个小水桶,根据前面的方法,用勺子盛烧红的石头在桶中,用醋淋浇,令病患侧卧身,将肿胀处覆盖在桶上,四周用被褥遮护,不让热气泄漏,良久肿胀处出汗。如果汗未透,可再加火力,再淋醋,必须令肿胀处汗透,却不必全身出汗。
如果疮生在两胁间,毒气欲攻心,乃是危急之证。可急于患处尖端,用艾炷灸三五壮,仍在灸穴处用松针截法,针断红丝路。如果疮在两胯间,毒气欲攻肾者,用松针于两胯红丝路尽头处,针断出血。如果疮生头面上者,可在项间丝路尽头出针断出血,或各处红丝路也有不显现的,也可以凭心意详察,用松针刺之。
凡是用松针的,是因为红丝路不显现,无处下手,所以用此法,在颔下、两腋间、两胯间虚软处下手,针断毒气,不让其攻心、攻肾而已。
松针法:选取向北生长的松枝上叶极硬的,整齐地作一束,扎得非常紧,缓缓凭心意详察毒气所经过的虚软之处,用温酒调服一二服之后,再下针。
如果表证都已解除,毒气入里的,用前面的雄黄丸主治。如果手足厥冷,六脉俱绝的,这是毒气已深,正气衰竭,(只要救治得当),则脉象自然恢复。然后根据法治之,万无一失。
[Background Information]
Book: Secretly Transmitted Surgical Formulas (Mizhuan Waike Fang)
Chapter: Self-Boiling Soup / ... / Danggui San (Total 4 sections)
Category: Formula
[English Translation]
Bai Fan (Alumen, 白矾, five qian), Qing Dai (Indigo Naturalis, 青黛, three qian), and Zhengjian Tiebei Gan Duanshi (Dry Calcined Iron Ore from Graveyard Backs, 冢间贴背干锻石, three qian).
Grind the above ingredients into a fine powder until no grinding sound is heard. Mix thoroughly. Take three qian each time, mixed with half a bowl of well water (Jinghua Shui, 井花水). Stir with a willow twig for thousands of times to ensure uniformity, and take in one dose. Cover with thick clothing for a long time. Then, consume Congchi Tang (Scallion and Fermented Soybean Decoction, 葱豉汤) with a little vinegar while extremely hot, to assist the medicinal power. The disease will be resolved through sweating.
If initially the Ding Chuang (Furuncle/Carbuncle, 疔疮) was not recognized and the previous method of inducing sweat was not used, and it is realized only after several days, then the chills, fever, and body pain will have ceased, indicating that the toxic qi has entered the interior. One must use purgative medicines to drain the internal toxic qi downward; Xionghuang Wan (Realgar Pill, 雄黄丸) is the primary treatment.
Xionghuang (Realgar, 雄黄, five qian), Yujin (Curcuma Longa Rhizome, 郁金, five qian), Badou (Croton Seed, 巴豆, half qian, remove heart and shell, slightly remove oil).
Another prescription adds Xinshi (Arsenolite, 信石) about one yi (a small unit of weight), do not use too much. Boil in clear sesame oil for half a day, take out, dry in the sun, and add to the medicine. Another prescription adds Banmao (Mylabris, 斑蝥) seven pieces, remove wings and heads, stir-fry with glutinous rice until color changes, discard the rice and use the insects. It also treats Luoli (Scrofula, 瘰疬). Another prescription adds Xuanning Fen (Mirabilite, 玄明粉) three qian, which also treats sore throat, swelling, and Hou Bi (Laryngeal Obstruction, 喉闭).
Grind all ingredients into a fine powder. Use wheat paste to make pills the size of mung beans. Swallow seven pills with cold tea water. Stop when diarrhea occurs; if no diarrhea, take again.
Hanshuishi (Calcium Carbonate Rock, 寒水石, one liang, calcined), Qingfen (Calomel, 轻粉, a little), Guodan (Toad Venom/Pellet, 国丹, a little).
Grind the above ingredients into a fine powder and sprinkle on the wound. Wash and change twice daily and nightly. Apply Chansu Gao (Toad Venom Plaster, 蟾酥膏) and Taohong San (Peach Kernel and Safflower Powder, 桃红散). These are poisonous drugs, so they cause pain in the wound. If pain is severe, Li Shi'an's specific treatment method should be used as the main therapy, which is particularly effective.
Danggui Wei (Angelica Sinensis Tail, 当归尾, two liang), Chuanxiong (Ligusticum Chuanxiong Rhizome, 川芎), Jingjie Sui (Schizonepeta Spike, 荆芥穗), Gange (Pueraria Lobata Root, 干葛), Wuyao (Lindera Aggregate Root, 乌药), Chuan Duhuo (Angelica Pubescens Root, 川独活), Chi Shaoyao (Red Peony Root, 赤芍药), Baizhi (Angelica Dahurica Root, 白芷), Shengma (Cimicifuga Rhizome, 升麻) (one liang each).
Qianghuo (Notopterygium Rhizome, 羌活), Gancao (Licorice Root, 甘草), Fangfeng (Saposhnikovia Root, 防风, remove rhizome), Zhike (Aurantii Fructus, 枳壳) (half liang each), Honghua (Carthamus Flower, 红花), Sumu (Pterocarpus Santalinus Wood, 苏木) (two qian half each).
If the wound is painful, add Ruxiang (Frankincense, 乳香), Moyao (Myrrh, 没药), and Baizhi (Angelica Dahurica Root, 白芷) five qian each. If heat in the wound does not subside, add Zhuqing (Bamboo Sap/Green Bamboo Shoot, 竹青) and Shanzhiren (Gardenia Seed, 山栀仁) a little. If constipation occurs, add Mangxiao (Mirabilite, 芒硝) and Dahuang (Rhubarb Root, 大黄) half liang each. If dizziness occurs, double the dosage of Chuanxiong, Baizhi, Jingjie, and Fangfeng. If thirsty with urinary retention, add Huashi (Talcum, 滑石) one liang.
Decoct the above ingredients. Take five qian each time with ten-plus stems of Dengcao (Juncus Effusus, 灯草) and ten black soybeans (Wudou, 乌豆) in one and a half zhong of water. Decoct until eight parts remain. For diseases in the upper part, take after meals; for diseases in the lower part, take before meals. If swelling occurs between the hypochondrium or below the chest, this is caused by toxic qi entering the interior. Use Pili Huo (Thunderbolt Fire, 霹雳火) treatment. If external symptoms do not resolve after taking Danggui San, urgently use Pili Huo to dissipate.
Pili Huo Method: Heat cobblestones until red-hot. Place them in a stercus bucket (Dian Tong, 淀桶). First, place a bamboo chair inside the bucket. Place a ladle under the bamboo chair. Let the patient sit on the chair. Cover the patient's body with quilts. Cover the patient's head with another quilt, leaving only the mouth and nose exposed. Induce sweating throughout the body, ensuring the head and face also sweat. The disease will exit. This method is excellent. Elderly, deficient, and pregnant patients should not undergo sweating or purging. Instead, puncture the wound, apply Haima Baidu San (Sea Horse Detoxification Powder, 海马拔毒散), and take Cang'er (Xanthium Fruit, 苍耳) decocted in wine. When toxic qi enters the interior and Pili Huo is used, the patient need not enter the bucket. Use a small water bucket. According to the previous method, place red-hot stones in the bucket using a ladle. Pour vinegar over the stones. Have the patient lie on their side and cover the swollen area over the bucket. Shield the surroundings with quilts to prevent heat leakage. After a while, the swollen area will sweat. If sweat does not penetrate, increase heat and pour vinegar again. Ensure the swollen area sweats thoroughly; whole-body sweating is not necessary.
If the wound is between the two hypochondria and toxic qi threatens the heart, it is a critical condition. Urgently moxa (Ai Zhu, 艾炷) three to five zhuang at the tip of the affected area. Still, at the moxa point, use Songzhen Jiefa (Pine Needle Interception Method, 松针截法) to needle and cut the "red silk path" (Hong Silu, 红丝路). If the wound is between the two groin areas and toxic qi threatens the kidneys, use pine needles at the end of the red silk path in the groins to needle and bleed. If the wound is on the head or face, needle and bleed at the end of the red silk path in the neck. Or, if the red silk path is not visible elsewhere, judge by intuition and needle with pine needles.
The reason for using pine needles is that the red silk path is not visible, providing no entry point. Thus, this method is used at soft areas under the jaw, in the armpits, and in the groin to needle and cut the toxic qi, preventing it from attacking the heart or kidneys.
Songzhen Fa (Pine Needle Method): Select very hard leaves from pine branches facing north. Bundle them tightly. Slowly judge by intuition where the toxic qi travels through soft areas. Administer one or two doses adjusted with warm wine. Then, perform the needle insertion.
If exterior symptoms have ceased and toxic qi has entered the interior, use the aforementioned Xionghuang Wan. If hands and feet are cold and all six pulses are absent, this indicates deep toxic qi and depleted qi. (With proper treatment), the pulse will return naturally. Then treat according to the law. There will be no failure.