湿痰流注(初起肿痛无头,皮色不变,久而不治则发热作脓。知觉早者,于未破
时急服此方
土茯苓(磁锋刮去皮,木槌打碎)四两 真胆星二钱 川贝 僵蚕(炒) 纯银花 槐
花(炒) 五倍子各三钱 桔红 秦艽 防风各一钱 防己八分 木通一钱 白甘遂(刮去
皮,末)七分 皂角子(鲜者,敲碎)九个 肥皂子(鲜者,敲碎)十个
虚弱人加石斛、苡仁各一钱;痰在头顶、胸者加夏枯草一钱;痰在背脊者加羌活五分;
痰在胁肋者加柴胡五分;痰在肚腹者加赤芍二钱,泽泻一钱;痰在臂者加独活五分;痰在腿
脚者加木瓜二钱,牛膝一钱五分。用河水九碗,砂锅内煎三碗,每日早、中、晚各热服一碗。
如痰在心之上者食后服;痰在心之下者食前服。如虚弱者分二剂,极虚者分三剂,小儿分四
剂。忌食盐、酱、茶、醋、猪肉、鲜鱼、鸡、鹅、鸭一切发物,炒、煎、姜椒、烟、酒、生
冷。但药内有甘遂,与甘草相反,恐别样丸散内有甘草者切不可服。已破头者只服四、五剂,
使气血调治,不致流他处。随服十全大补汤加川贝二钱五分,石斛二钱,滴乳香( 过)四
分。须服数十剂,方能全愈。若系多火之人,十全汤内减去肉桂。(《愿体集》)
治流注
石膏一两 官硼三钱
飞面作十丸,穿一孔贯以铁线,炭火烧红,取酒一碗投入,冷又烧红,入酒内,以丸尽
为度,其酒热即服,一日二服自消。(抄本)
一用地榆、苦参各二两,红花、金银花各三钱,酒水各半盏煎服。近者三剂,远者七剂
即消。(《单方全集》)
湿痰流注(由湿痰阻滞经络引起的流注病证,初期表现为局部肿胀疼痛但无脓头,皮肤颜色正常;若长期不治疗则会发热并化脓。若能早期发现,应在未破溃时立即服用此方):
土茯苓(用磁器锋刃刮去外皮,木槌打碎)四两,真胆星二钱,川贝母,僵蚕(炒制),纯金银花,槐花(炒制),五倍子各三钱,桔红,秦艽,防风各一钱,防己八分,白甘遂(刮去外皮,研成粉末)七分,皂角子(鲜品,敲碎)九个,肥皂子(鲜品,敲碎)十个。
体质虚弱者加石斛、薏苡仁各一钱;痰浊位于头顶或胸部者加夏枯草一钱;痰浊位于背脊者加羌活五分;痰浊位于胁肋部者加柴胡五分;痰浊位于肚腹者加赤芍二钱、泽泻一钱;痰浊位于手臂者加独活五分;痰浊位于腿脚者加木瓜二钱、牛膝一钱五分。
使用河水九碗,在砂锅内煎煮至剩三碗药液,每日早、中、晚三次,每次温服一碗。如果痰浊位于心脏上方,则在饭后服用;如果痰浊位于心脏下方,则在饭前服用。如果患者体质虚弱,将药分为两剂服用;极度虚弱者分为三剂服用;小儿分为四剂服用。忌食食盐、酱料、茶、醋、猪肉、鲜鱼、鸡、鹅、鸭等一切发物,以及炒制、煎炸食品、姜、辣椒、烟草、酒类、生冷食物。由于药方中含有甘遂,与甘草相反,恐怕其他丸散剂中可能含有甘草,因此若有此类药物切不可同时服用。已经破溃出脓的,只服用四到五剂,以调理气血,防止痰浊流窜到其他部位。随后服用十全大补汤加川贝母二钱五分、石斛二钱、滴乳香(炮制过)四分。需要服用数十剂,才能完全痊愈。如果是多火体质的人,十全大补汤内减去肉桂。(出自《愿体集》)
治疗流注:
将上述药物与飞面混合制成十丸,每丸穿一个孔并用铁丝贯穿,在炭火烧至通红后,取一碗酒投入其中,冷却后再烧红,再投入酒中,直到药丸用完为止,待药酒热时即行服用,一日两次,症状自会消除。(抄本)
一方:用地榆、苦参各二两,红花、金银花各三钱,用酒和水各半盏煎服。病程近者服三剂,病程远者服七剂即可消散。(出自《单方全集》)
**Damp-Phlegm Liuzhu (Flowing Abscess)** [Liuzhu (Flowing Abscess): A disease characterized by deep-seated abscesses that appear and disappear in various parts of the body, often caused by phlegm-dampness or blood stasis.] (In the early stage, there is swelling and pain without a head, and the skin color remains unchanged. If left untreated for a long time, fever and suppuration will occur. If detected early, take this prescription immediately before ulceration.)
* Tufuling (Smilax Glabrae Rhizoma) four liang: scraped with a porcelain edge to remove the skin, crushed with a wooden mallet.
* Zhen Danning (Arisaema Cum Bile) two qian.
* Chuanbeimu (Fritillariae Cirrhosae Bulbus).
* Jiangcan (Bombyx Batryticatus) one qian: stir-fried.
* Chun Jinyinhua (Lonicerae Japonicae Flos).
* Huaihua (Sophorae Flos) three qian: stir-fried.
* Wubeizi (Galla Chinensis) three qian.
* Juhong (Citri Reticulatae Pericarpium Rubrum) one qian.
* Qinjiao (Gentianae Macrophyllae Radix) one qian.
* Fangfeng (Saposhnikoviae Radix) one qian.
* Fangji (Stephaniae Tetrandrae Radix) eight fen.
* Baigan sui (Kansui Radix) seven fen: scraped to remove skin, powdered.
* Saojiaozzi (Gleditsiae Sinensis Fructus) nine pieces: fresh, crushed.
* Feizaobanzi (Gleditsiae Sinensis Fructus) ten pieces: fresh, crushed.
For patients with weak constitution, add Shihu (Dendrobii Caulis) and Yiren (Coicis Semen) one qian each. For phlegm located at the top of the head or chest, add Xiakucao (Prunellae Spica) one qian. For phlegm located on the spinal column, add Qianghuo (Notopterygii Rhizoma et Radix) five fen. For phlegm located in the hypochondrium, add Chaihu (Bupleuri Radix) five fen. For phlegm located in the abdomen, add Chishao (Paeoniae Radix Rubra) two qian and Zexie (Alismatis Rhizoma) one qian. For phlegm located in the arms, add Duhsuo (Angelicae Pubescentis Radix) five fen. For phlegm located in the legs and feet, add Mugua (Chaenomelis Fructus) two qian and Niuxi (Achyranthis Bidentatae Radix) one qian five fen.
Decoct the ingredients in nine bowls of river water in a clay pot until three bowls remain. Take one bowl hot, three times daily (morning, noon, and evening). If the phlegm is above the heart, take it after meals; if below the heart, take it before meals. If the patient is weak, divide the dose into two portions; if extremely weak, divide into three portions; for children, divide into four portions. Avoid salt, soy sauce, tea, vinegar, pork, fresh fish, chicken, goose, duck, and all "fa wu" (stimulating foods), as well as fried, roasted, ginger, pepper, tobacco, alcohol, and raw/cold foods. Since the formula contains Gansui (Kansui Radix), which is incompatible with Gancao (Glycyrrhizae Radix), do not take this if other pills or powders containing Gancao are being used. If the abscess has already ruptured, take only four to five doses to regulate qi and blood and prevent the spread of phlegm to other areas. Subsequently, take Shiquan Dabu Tang (Ten Significant Tonifying Decoction) added with Chuanbeimu (Fritillariae Cirrhosae Bulbus) two qian five fen, Shihu (Dendrobii Caulis) two qian, and Diliruxiang (Olibanum) four fen (processed). It requires taking dozens of doses for complete recovery. For individuals with excessive heat/fire, remove Rougui (Cinnamomi Cortex) from Shiquan Dabu Tang. (From *Yuan Ti Ji*)
**Treatment for Liuzhu:**
* Shigao (Gypsum Fibrosum) one liang.
* Guanpeng (Borax) three qian.
Mix with Feimian (prepared wheat flour) to make ten pills. Pierce a hole through each pill and thread with an iron wire. Heat red-hot over charcoal fire, then immerse in one bowl of wine. Cool down, reheat until red-hot, and immerse again in wine. Repeat until the pills are consumed. Drink the wine while hot, twice a day. The condition will resolve spontaneously. (Copied manuscript)
**Another Prescription:**
Use Diyü (Sanguisorbae Radix) and Kushen (Sophorae Flavescentis Radix) two liang each, Honghua (Carthami Flos) and Jinyinhua (Lonicerae Japonicae Flos) three qian each. Decoct with half a cup of wine and half a cup of water. Take orally. For recent onset, three doses suffice; for long-standing cases, seven doses will cause resolution. (From *Danfang Quanji*)