一位妇女在患过瘰疬(颈部淋巴结结核)之后,全身皮肤瘙痒,脉象宏大但重按无力,用十全大补汤(具有益气补血功效的方剂),加入香附治疗而痊愈。一般来说,溃疡后午前瘙痒发作属于气虚,午后瘙痒发作属于血虚,如果当作风邪病症治疗,必然导致死亡。张子和(金元四大家之一)治疗一位妇人,病情为瘰疬蔓延至胸部和胁肋部,都形成相连的大疮,没有完好的皮肤肌肉,请求戴人(张子和的字)治疗。戴人说:这是火邪过盛所致,治疗应用咸寒之法,命令使用沧盐(一种矿物药,主要成分为氯化钠,此处用作涌吐药)进行催吐,结果一次呕吐后就结痂了,随后使用凉膈散(清热泻火、通便的方剂)、解毒汤等药剂,皮肤和肌肉反复恢复如初。
李东垣(金元四大家之一)的连翘散坚汤,治疗从耳下延伸至缺盆(锁骨上窝)、或至肩部长出的疮疡,坚硬如石头,推动时没有根基的,称为马刀(瘰疬的一种形态)。这种疮疡是从手少阳三焦经和足少阳胆经传来的,或者生在两胁部,或者已经流脓成疮,或者尚未破溃,均可以使用此方治疗。
药材组成:当归(用酒清洗)、黄芩(生用)、连翘、莪术(用酒炒制)、京三棱(细切,与莪术一起用酒洗一次,微炒干,以上各半……)
A woman, after suffering from scrofula (tuberculosis of the cervical lymph nodes), experienced generalized pruritus. Her pulse was large but empty upon deep pressure. She was treated with Shiquan Dabu Tang (Ten-Ingredient Great Supplement Decoction) with added Cyperi Rhizoma (Xiangfu), and she recovered. Generally speaking, if itching occurs in the morning after ulceration, it is due to Qi deficiency; if it occurs in the afternoon, it is due to Blood deficiency. If treated as a Wind syndrome, the patient will certainly die. Zhang Zihe (Zhang Congzheng) treated a woman whose scrofula had spread to her chest and hypochondrium, forming large, connected ulcers with no healthy skin or flesh remaining. She sought treatment from Dai Ren (Zhang Zihe's courtesy name). Dai Ren stated: "This is caused by excessive Fire pathogenic factor. It should be treated with salty and cold methods." He prescribed Cangyan (Halite/Cyan Salt) to induce vomiting. After one episode of vomiting, scabs formed immediately. Subsequently, he used Liangge San (Cooling the Diaphragm Powder) and Jiedu Tang (Detoxification Decoction), among other formulas, until the skin and flesh were restored to their original state.
Li Dongyuan's Lianqiao Sanjian Tang treats sores arising from below the ear extending to the Quepen (Supraclavicular Fossa, LI15) or to the shoulder. These sores are hard as stone and have no root when moved; this condition is called Machdao (Scimitar Scrofula). The sores originate from the Hand-Shaoyang Sanjiao Meridian and Foot-Shaoyang Gallbladder Meridian. They may appear on both flanks, or they may have already suppurated into ulcers, or they may not yet have broken open. All these conditions can be treated with this formula.
Ingredients: Danggui (Angelicae Sinensis Radix, washed with wine), Huangqin (Scutellariae Radix, raw), Lianqiao (Forsythiae Fructus), Ezhu (Curcumae Rhizoma, stir-fried with wine), Jing Sanleng (Sparganii Rhizoma, finely sliced, washed once with wine together with Ezhu, then slightly stir-fried until dry; each of the above... half...)