洁古云∶ 疹之病, 肿于外者,属少阳相火也,谓之 。小红靥隐于皮肤中
者,属少阴君火也,谓之疹。 疹并出,则小儿难禁,然首尾俱不可下,大抵安里
药多,发表药少,小便秘则微疏之,身温者顺,身凉者逆,大忌外敷寒凉,内用疏
导,无此二者,可保无虞。
葛根橘皮汤 治发 烦闷,呕吐清汁,兼治麻痘等证。
葛根 陈皮 杏仁(去皮尖) 麻黄(去节) 知母(炒) 甘草(炙) 黄芩(各半两)
上,每服二三钱,水煎服。
玄参升麻汤 治 疹已发未发,或身如锦纹,甚则烦躁,语言,喉闭肿痛。
玄参 升麻 甘草
上,每服二三钱,水煎服。
化 汤
人参 石膏 知母 甘草(各二钱)
上,每服二钱,水一盏,入糯米半合,煎六分,米熟为度,去滓,温服。
荆防败毒散 (即人参败毒散加荆芥防风)
人参败毒散 治疮疡邪气在表应发者,若憎寒壮热,项强脊疼,或恶心咳嗽,亦宜
用之。
人参 伏苓 川芎 羌活 独活 前胡 柴胡 枳壳(麸皮,炒) 桔梗 甘草(炒,等分)
上,每服二三钱,水煎。
〔东垣〕人参安胃散 治 疹因服峻厉之剂,脾胃虚热,泄泻呕吐,饮食少思等证。
人参(一钱) 黄 (炒,二钱) 生甘草 炙甘草(各五分) 白芍(酒炒,七分) 白茯苓
(四分) 陈皮(三分) 黄连(炒,二分)
上为末。每服二钱,水煎服。
犀角消毒散 治 疹、丹毒发热痛痒,及疮疹等症。
牛蒡子 甘草 荆芥 防风(各五分) 犀角(镑末,二分) 金银花(三分)
上,水煎熟,入犀角,倾出服。
地龙散 治小儿风热瘾疹,状如伤寒,耳尖及手足冷。
地龙(洗去土,半两,焙干) 穿山甲(半两,以皂角灰炒令黄) 朱砂(二钱,研细)
上,前二味为细末,后入朱砂,一处再研和匀。每服一钱,用紫草煎汤调下,
不拘时,量儿大小加减。
消毒饮(咽喉) 清凉饮子(里热)
治大人小儿瘾疹入腹即杀人方
用芜菁子末,酒调服三钱,小儿加减。又,酒服牛膝末三钱,小儿减之。又,
以盐汤洗了, 蓼子敷。
治风肿及瘾疹。
巴豆五十个,去皮,以水三升,煮取一升,以绵浸汤中,适寒温以拭病上,随
手瘥。
治风疹入腹,身体强肿,舌干燥硬。
蔓菁子三两,为末,每用温酒调一钱。
治风疹痒不止。
酪(五合),盐(一两),二味相和,煎过,摩病处立瘥。
又方 蛇蜕皮一条,水一升 煎半升,鸡翎扫揩上即瘥。
又方 白矾五两为末,以酒三合,小便一升,煎如稀膏,以绵蘸药,于病上轻手揩
之,令热彻入皮肤,须臾消尽。此方神奇,能治百计不瘥者。(出《圣惠》)
洁古说:疹这种病,肿胀表现于体表的,属于少阳相火,称为“痧”(此处原文缺字,根据语境及后文“小红靥”推断为“痧”或类似指代外显肿物的词,但依原文忠实翻译为“谓之[缺字]”);小红点隐没在皮肤里面的,属于少阴君火,称为“疹”。如果痧和疹同时发出,小儿难以承受,但是发病初期和末期都不可使用泻下法,大体上应当多用安内固里的药物,少用发表透邪的药物。如果小便不通畅,则轻微地通利小便;身体温暖的为顺证,身体发凉的为逆证,特别忌讳外用寒凉药物敷贴,以及内服疏导攻下的药物,如果没有这两种误治情况,就可以保证没有危险。
葛根橘皮汤:治疗发痧时出现的烦闷、呕吐清稀汁液,兼治麻疹、痘疮等病症。
药材:葛根、陈皮、杏仁(去皮尖)、麻黄(去节)、知母(炒制)、甘草(炙制)、黄芩(各半两)。
用法:以上药材,每次服用二三钱,加水煎煮后服用。
玄参升麻汤:治疗痧疹已经发出或尚未发出的情况,或者身体出现如锦缎花纹般的皮疹,严重时出现烦躁不安、胡言乱语、喉部闭塞肿痛等症状。
药材:玄参、升麻、甘草。
用法:以上药材,每次服用二三钱,加水煎煮后服用。
化[缺字]汤(根据上下文推测可能为“化毒汤”或类似方剂,原文缺字):
药材:人参、石膏、知母、甘草(各二钱)。
用法:以上药材,每次服用二钱,用水一盏,加入糯米半合,煎至六分熟,米粒煮熟为止,滤去药渣,温服。
荆防败毒散(即人参败毒散加上荆芥、防风):
人参败毒散:治疗疮疡邪气在体表应当发散的情况,如果出现憎恶寒冷且高热、项背强直脊背疼痛,或者恶心咳嗽,也适宜使用此方。
药材:人参、茯苓、川芎、羌活、独活、前胡、柴胡、枳壳(麸皮炒)、桔梗、甘草(炒制,等分)。
用法:以上药材,每次服用二三钱,加水煎煮。
〔东垣〕人参安胃散:治疗因服用峻烈药物导致痧疹发作,脾胃虚弱有热,出现泄泻、呕吐、食欲不振等症状。
药材:人参(一钱)、黄芪(炒制,二钱)、生甘草、炙甘草(各五分)、白芍(酒炒制,七分)、白茯苓(四分)、陈皮(三分)、黄连(炒制,二分)。
用法:以上药材研成细末。每次服用二钱,加水煎煮后服用。
犀角消毒散:治疗痧疹、丹毒引起的发热、疼痛、瘙痒,以及疮疹等症候。
药材:牛蒡子、甘草、荆芥、防风(各五分)、犀角(镑成粉末,二分)、金银花(三分)。
用法:以上药材加水煎煮成熟,放入犀角粉,倾倒出药液服用。
地龙散:治疗小儿风热引起的瘾疹,症状像伤寒,耳尖及手脚发冷。
药材:地龙(洗净泥土,半两,焙干)、穿山甲(半两,用皂角灰炒至黄色)、朱砂(二钱,研细)。
用法:前两种药材研成细末,再加入朱砂,一起再次研磨混合均匀。每次服用一钱,用紫草煎成的汤调服,不限时间,根据患儿大小增减剂量。
消毒饮(针对咽喉症状)、清凉饮子(针对里热症状):
治疗大人小孩瘾疹入腹即刻致命的方子:
使用芜菁子粉末,用酒调服三钱,小儿酌情减量。另外,用酒送服牛膝粉末三钱,小儿酌情减量。还有,用盐汤清洗患处后,用蓼子敷贴。
治疗风肿及瘾疹:
巴豆五十个,去皮,用水三升,煮取一升药液,用绵布浸在药液中,调节至适宜温度擦拭患处,随手即可痊愈。
治疗风疹入腹,身体强直肿胀,舌头干燥坚硬:
蔓菁子三两,研成粉末,每次用温酒调服一钱。
治疗风疹瘙痒不止:
酪(五合),盐(一两),将这两味东西混合,煎煮过后,涂抹按摩患处,立即痊愈。
又一方:蛇蜕皮一条,水一升,煎至半升,用鸡翎扫拭患处即可痊愈。
又一方:白矾五两研成粉末,用酒三合,小便一升,煎成稀膏状,用绵蘸取药物,在患处轻轻揩擦,使热量彻底渗入皮肤,片刻之间即可消散。此方神奇,能治疗许多久治不愈的病例。(出自《圣惠方》)
Jieguo stated: Regarding the disease of zhen (rash), if swelling manifests externally, it belongs to Shaoyang Xianghuo (Ministerial Fire of Shaoyang) and is called [missing character]. If small red macules are hidden within the skin, it belongs to Shaoyin Junhuo (Imperial Fire of Shaoyin) and is called zhen (rash). If both sha and zhen erupt simultaneously, the child may find it difficult to endure. However, purgative methods should not be used at either the beginning or the end of the illness. Generally, more medications for stabilizing the interior should be used, while fewer medications for releasing the exterior should be employed. If urination is obstructed, mild diuresis should be applied. A warm body indicates a favorable prognosis (shun), while a cold body indicates an unfavorable prognosis (ni). It is strictly forbidden to apply external cooling compresses or internally use draining and guiding agents. Without these two errors, safety can be ensured.
Gegen Jupi Tang (Kudzu Root and Tangerine Peel Decoction): Treats restlessness and vomiting of clear fluid during the eruption of sha; also treats conditions such as measles and smallpox.
Ingredients: Gegen (Puerariae Radix), Chenpi (Citri Reticulatae Pericarpium), Xingren (Armeniacae Semen Amarum, peeled and tip removed), Mahuang (Ephedrae Herba, nodes removed), Zhimu (Anemarrhenae Rhizoma, stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Huangqin (Scutellariae Radix) (each 0.5 liang).
Usage: For each dose of 2-3 qian, decoct in water and take orally.
Xuanshen Shengma Tang (Scrophularia and Cimicifugae Decoction): Treats zhen that has erupted or not yet erupted; or skin resembling brocade patterns; when severe, irritability, delirious speech, throat obstruction, and swelling/pain occur.
Ingredients: Xuanshen (Scrophulariae Radix), Shengma (Cimicifugae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma).
Usage: For each dose of 2-3 qian, decoct in water and take orally.
Hua [missing character] Tang:
Ingredients: Renshen (Ginseng Radix et Rhizoma), Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (each 2 qian).
Usage: For each dose of 2 qian, add 1 cup of water and half he of glutinous rice. Decoct until reduced to 6/10 volume, until the rice is cooked. Strain and take warm.
Jingfang Baidu San (Jingjie and Fangfeng Detoxification Powder): This is Renshen Baidu San added with Jingjie (Schizonepetae Herba) and Fangfeng (Saposhnikoviae Radix).
Renshen Baidu San (Ginseng Detoxification Powder): Treats sores and ulcers where pathogenic factors are in the exterior and should be released. It is suitable for cases involving aversion to cold with high fever, stiffness of the neck and back pain, nausea, or cough.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Chuanxiong (Ligustici Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Qianhu (Peucedani Radix), Chaihu (Bupleuri Radix), Zhiqiao (Aurantii Fructus, bran-fried), Jiegeng (Platycodonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried) (equal parts).
Usage: For each dose of 2-3 qian, decoct in water.
[Dongyuan] Renshen Anwei San (Ginseng Stomach-Anchoring Powder): Treats conditions caused by taking harsh medicines leading to rash eruptions, characterized by deficiency-heat in the Spleen and Stomach, diarrhea, vomiting, and poor appetite.
Ingredients: Renshen (Ginseng Radix et Rhizoma, 1 qian), Huangqi (Astragali Radix, stir-fried, 2 qian), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) (each 0.5 fen), Baishao (Paeoniae Radix Alba, wine-fried, 0.7 qian), Baifuling (White Poria, 0.4 qian), Chenpi (Citri Reticulatae Pericarpium, 0.3 qian), Huanglian (Coptidis Rhizoma, stir-fried, 0.2 fen).
Usage: Grind into powder. For each dose of 2 qian, decoct in water and take orally.
Xijiao Xiaodu San (Rhino Horn Detoxification Powder): Treats rash, erysipelas with fever, pain, and itching, as well as pustular rashes.
Ingredients: Niubangzi (Arctii Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix) (each 0.5 fen), Xijiao (Rhinocerotis Cornu, shaved into powder, 0.2 fen), Jinyinhua (Lonicerae Japonicae Flos, 0.3 fen).
Usage: Decoct in water until cooked, add Xijiao powder, pour out and take.
Dilong San (Earthworm Powder): Treats children's wind-heat yinzhen (urticaria/rash) presenting like Taiyang disease, with cold ear tips and cold hands and feet.
Ingredients: Dilong (Pheretima, washed to remove soil, 0.5 liang, baked dry), Chuanshanjia (Manis Squama, 0.5 liang, stir-fried with soap ash until yellow), Zhusha (Cinnabar, 2 qian, finely ground).
Usage: Grind the first two ingredients into fine powder, then add Zhusha and grind together to mix evenly. For each dose of 1 qian, mix with decoction of Zicao (Arnebiae Radix et Rhizoma) and take orally. Time is unrestricted; dosage adjusted according to the child's age and size.
Xiaodu Yin (Detoxifying Drink - for throat symptoms), Qingliang Yinzi (Cooling Decoction - for interior heat):
Formula for fatal yinzhen entering the abdomen in adults and children:
Use Wujingzi (Brassicae Semis Albarubri) powder, mixed with wine, taken 3 qian. Dosage for children adjusted accordingly. Alternatively, take Niuxi (Achyranthis Bidentatae Radix) powder mixed with wine, 3 qian, adjusted for children. Another method: Wash the affected area with salt water, then apply Liaozhongzi (Polygoni Orientalis Fructus).
Treatment for wind swelling and yinzhen:
Badou (Crotonis Fructus) 50 pieces, peeled. Boil in 3 sheng of water until reduced to 1 sheng. Soak cotton cloth in the liquid, adjust to appropriate temperature, and wipe the affected area. Healing occurs immediately upon application.
Treatment for wind rash entering the abdomen, causing body stiffness/swelling, and dry/hard tongue:
Wanjingsanzi (Brassicae Semis Albarubri) 3 liang, ground into powder. Take 1 qian mixed with warm wine each time.
Treatment for persistent itching from wind rash:
Lao (Fermented Milk/Dairy Product) 5 he, Yan (Salt) 1 liang. Mix these two, boil slightly, and massage onto the affected area for immediate relief.
Another formula: She tuipi (Ophiopogonis Mucosa/Snake Skin) one strip, boiled in 1 sheng of water until reduced to 0.5 sheng. Use chicken feather to sweep/apply on the affected area for healing.
Another formula: Bai fan (Alumen) 5 liang ground into powder. Mix with 3 he of wine and 1 sheng of urine. Boil into a thin paste. Dip cotton in the medicine and gently rub the affected area, allowing heat to penetrate the skin completely. The rash will dissipate in moments. This formula is miraculous and can treat cases unresponsive to hundreds of other treatments. (From *Shenghui Fang*)