证属阳明胃经,或因风热所乘,或因积热而致。内热肿痛,外用敷方,内服祛风清火之药。
主方 治风热上攻,面目肿痛,牙关紧急。
白芷 升麻(各二钱半) 当归(一钱五分) 甘草(一钱) 苍术(八分) 葛根(七分)
草豆蔻 柴胡 黄柏 本 羌活(各四分) 蔓荆子 僵蚕(各三分) 麻黄(七分)上水煎服。
敷方 靛青、蚯蚓泥(水研) 井底泥。随取一味,敷患处。
证由忧愁思虑,惊恐悲伤,或过热毒药物。初生下连颈项隐痛,内有小核渐大,牙龈肿痛,
寒热间作,穿溃腐烂淋漓不已。或左或右,牙关不开,饮食难进。始宜鹅翎蘸生桐油探吐,多去
痰热。切忌刀针。已破,切勿入风,多致不救。
主方 (宜接服活命饮) 黄连 黄柏 黄芩 栀子 玄参 桔梗 柴胡 甘草(等分)
升麻(减半)上水煎服。
证因怒郁、惊惶、积愤而成。属手少阳三焦经。初觉宜隔蒜灸多壮。内服活命饮加玄参、桔
梗之类。
壮者攻下,老弱补托。神劳多怒,颈项肿硬,用八珍汤加柴胡、香附。劳心过度,宜服补中益气
汤。
痈发嗌中,忧愤积热所致。属任脉及手太阳少阴,宜清热攻毒,用真人活命饮、黄连消毒散
、紫金锭。壮人攻下,若过时失治,穿溃咽嗌者死。
证由热毒上攻,属足太阳膀胱之经。甚者,类脑痈治;轻者取鲜白茄蒂七个,鲜何首乌对称
准,水钟半,煎服。如出脓,再一服收口。如无鲜者,干者亦可。
证候属于阳明胃经,可能是因为风热邪气侵袭,也可能是因为体内积热所致。表现为内部热盛、肿胀疼痛,治疗上外用敷贴方药,内服祛风清火的药物。
主方:用于治疗风热邪气向上攻冲,导致面目肿胀疼痛,牙关紧闭紧急。
药材:白芷、升麻(各二钱半)、当归(一钱五分)、甘草(一钱)、苍术(八分)、葛根(七分)、草豆蔻、柴胡、黄柏、藁本、羌活(各四分)、蔓荆子、僵蚕(各三分)、麻黄(七分)。以上药材用水煎煮后服用。
敷方:靛青、蚯蚓泥(用水研磨)、井底泥。任选其中一味,敷于患处。
证候由忧愁思虑、惊恐悲伤,或服用过热毒性的药物引起。初起时颈部隐痛,体内有小肿块逐渐增大,牙龈肿痛,寒热交替发作,破溃后腐烂流脓不止。病变部位或在左或在右,牙关无法张开,饮食难以进入。初期宜用鹅毛蘸取生桐油探喉催吐,以排出大量痰热。切忌使用刀针切割。一旦破溃,切勿受风,否则多导致死亡。
主方:(适宜接续服用仙方活命饮)黄连、黄柏、黄芩、栀子、玄参、桔梗、柴胡、甘草(等量分配)、升麻(用量减半)。以上药材用水煎煮后服用。
证候因愤怒郁结、惊惶、积愤而成。归属于手少阳三焦经。初起时适宜隔蒜灸,施灸多壮。内服仙方活命饮,加入玄参、桔梗等药物。
体质强壮者采用攻下法,年老体弱者采用补托法。神志劳损且易怒,颈项肿硬,使用八珍汤加柴胡、香附。用心过度劳累,适宜服用补中益气汤。
痈疽发于咽喉之中,由忧愤积热所致。归属于任脉及手太阳小肠经、手少阴心经。适宜清热攻毒,使用真人活命饮、黄连消毒散、紫金锭。体质强壮者采用攻下法,如果延误时机失去治疗机会,穿溃至咽喉者死亡。
证候由热毒向上攻冲所致,归属于足太阳膀胱经。病情严重者,按脑痈的方法治疗;病情轻者,取七个鲜白茄蒂,与鲜何首乌重量相等,加水半钟,煎煮后服用。如果排出脓液,再服一剂即可收口。如果没有新鲜的药材,干品也可以使用。
The syndrome belongs to the Yangming Stomach Meridian, caused either by invasion of Wind-Heat pathogenic factors or by accumulation of internal Heat. It presents with internal Heat, swelling, and pain; treatment involves external application of poultices and internal administration of herbs that dispel Wind and clear Fire.
Main Formula: Used for Wind-Heat attacking upward, causing swelling and pain in the face and eyes, and stiffness of the jaw.
Ingredients: Angelicae Dahuricae Radix (Baizhi), Cimicifugae Rhizoma (Shengma) (each 2.5 qian), Danggui Radix (Danggui) (1.5 qian), Glycyrrhizae Radix et Rhizoma (Gancao) (1 qian), Atractylodis Rhizoma (Cangzhu), Puerariae Radix (Gegen), Cardamomi Fructus Rotundus (Caodoukou), Bupleuri Radix (Chaihu), Phellodendri Cortex (Huangbai), Ligustici Rhizoma et Radix (Ben), Notopterygii Rhizoma et Radix (Qianghuo) (each 4 fen), Viticis Fructus (Manjingzi), Bombyx Batryticatus (Jiangcan) (each 3 fen), Ephedrae Herba (Mahuang) (7 fen). Decoct these ingredients in water and take orally.
External Poultice: Indigo naturalis (Dianqing), Earthworm soil (Qiu Yin Ni) (ground with water), Well-bottom mud. Select any one of these and apply to the affected area.
The syndrome arises from sorrow, overthinking, fright, sadness, or the ingestion of drugs with excessive Heat-Toxin properties. Initially, there is dull pain connecting to the neck, a small lump inside that gradually enlarges, swelling and pain of the gums, alternating chills and fever, and after ulceration, profuse discharge of pus and rotting tissue. The lesion may be on the left or right side, with inability to open the mouth and difficulty in eating. Initially, it is appropriate to use a goose feather dipped in raw Tung oil to induce vomiting, thereby expelling much Phlegm-Heat. Knife and needle incisions are strictly contraindicated. Once ulcerated, exposure to Wind must be avoided, as it often leads to death.
Main Formula: (Suitable to be taken consecutively with Xian Fang Huo Ming Yin) Coptidis Rhizoma (Huanglian), Phellodendri Cortex (Huangbai), Scutellariae Radix (Huangqin), Gardeniae Fructus (Zhizi), Scrophulariae Radix (Xuanshen), Platycodonis Radix (Jiegeng), Bupleuri Radix (Chaihu), Glycyrrhizae Radix et Rhizoma (Gancao) (equal parts), Cimicifugae Rhizoma (Shengma) (half dose). Decoct these ingredients in water and take orally.
The syndrome results from anger, depression, fright, and accumulated resentment. It belongs to the Hand-Shaoyang Sanjiao Meridian. In the early stage, moxibustion with garlic partitioning should be applied with many moxa cones. Internally, administer Xian Fang Huo Ming Yin added with Xuanshen and Jiegeng.
For robust individuals, employ purgative methods; for the elderly and weak, use tonification and support methods. For those with mental fatigue and frequent anger, with swollen and hard neck and neck, use Ba Zhen Tang added with Chaihu and Xiangfu. For those who overwork their mind, Bu Zhong Yi Qi Tang is suitable.
An abscess developing in the throat is caused by accumulated Heat due to worry and indignation. It involves the Ren Mai (Conception Vessel) and the Hand-Taiyang Small Intestine Meridian and Hand-Shaoyin Heart Meridian. Clear Heat and attack Toxins using Zhen Ren Huo Ming Yin, Huang Lian Xiao Du San, and Zi Jin Ding. For robust individuals, use purgatives; if treatment is delayed and missed, perforation into the throat leads to death.
The syndrome is caused by Heat-Toxin attacking upward and belongs to the Foot-Taiyang Bladder Meridian. In severe cases, treat according to the method for Brain Abscess (Nao Yong); in mild cases, take seven fresh white eggplant stems (Qie Di), weighed equally against fresh Polygoni Multiflori Radix Preparata (He Shou Wu), add half a zhong of water, decoct, and drink. If pus is discharged, take one more dose to close the wound. If fresh materials are unavailable, dried ones may also be used.