罗氏破棺丹 治疮气入腹,危者。
大黄(二两,半生半熟) 甘草 芒硝(各一两)
上为细末,炼蜜丸,如弹子。每服半丸,食后温酒化下,或童溺半盏,研化之,忌冷
水。
又破棺丹(一方有当归、赤芍、连翘、牡蛎、金银花、紫花地丁,宜选用之)
山栀 牵牛末 大黄(各一两) 甘草 京三棱(炮,各七钱)
上炼蜜丸,如弹子大。酒化服之。
内托连翘散 疔疮出时,皮色不变及不疼痛,按摇不动,身发寒热便是。此疮有水
疔、鱼脐疔、紫燕疔、火疔、诸般疔疮、如疮黄于黄上用针刺,仍服内托散,自然消散。
连翘 白芷 生地黄 赤芍药(各一两)
大黄(去皮) 黄栀(去顶、蒂) 薄荷叶(各七钱) 朴硝(二两) 黄芩(去心,半两) 甘草(一两
半)
上为粗末。每服一两,水一碗,灯心、竹叶煎七分,其人喘加人参少许,大病只三四
服愈。如服了心烦呕,用不二散止之。
甘草(半两) 绿豆粉(一两)
上为末,分作二服,酸齑水下。
夺命丹 治疔疮大便秘实不通者,或心腹痛者。
巴豆(去壳) 大黄(各一钱) 郁金 雄黄 乳香(各五分) 朱砂 黄丹(各三分) 轻粉(二分)
麝香(少许) 蟾酥(不拘多少)
上末面糊为丸,如绿豆大。随虚实服之,茶清送下,五七丸至九丸止,以利为度。如
无此丸,以雄黄丸代之。
雄黄丸 治证如前。
巴豆(十四粒) 麝香(少许) 全蝎 牙皂 雄黄 大黄 郁金(各一钱)
上末米糊丸,如绿豆大,朱砂为衣。每服五七丸,茶清送下,以利为度。
追毒丸
海浮石(烧赤醋淬,七次,半两) 乳香 没药(各一钱) 巴豆(四十九粒) 川乌(一两)
上为末,醋糊丸如桐子大。若患二三日服十丸;五六日服十四丸,随病上下服之。先
吃冷酒半盏,或一盏,又用冷酒吞下。如呕吞之,不妨出药,根据上服之。病患大便不动
再用三丸。如疔看得端的爪破,用头垢留患处后,服药。
五圣散 治疔疮。
皂角针(二两) 栝蒌(一个) 大黄 金银花 生姜 甘草(各一两)
上 咀。用好酒二升,同煎至八分,去渣。不拘时温服。
夺命返魂散 治一切疔疮憎寒发热,昏闷不语,肿遍皮肤,不思饮食。
大黄 连翘 山栀子(以上各二钱半,研为细末) 巴豆 杏仁(各二钱,麸皮同炒黑色,研为细
末) 人言(五钱,用大蒜五个,去心,填入人言,同烧过性,研为末) 牵牛头末 苦丁香(各一钱)
上为细末,研匀。每眼半钱,病重者服一钱,用新汲井花水调下,一服见效。如病
重无脉者,吃下药约一顿饭时,吐了药便医不得,吐不了药即活。
立马回疔夺命散 治疔疮及喉痹、乳鹅肿痛大效。
牡蛎 当归 牛蒡子 白僵蚕(各半两) 大黄(一两)
上 咀。每服半两,用青石磨刀水、酒各一盏煎,去滓,连进二服。疔疮服后出汗
者生,无汗者死。
御史散 治疔疮。
生铁锈(三钱)
为末。木香磨酒调下。分病上下,食前食后服之,得微汗而愈。
愚按∶此方乃秘法也,未尝试用。常治疔疮有赤丝攻心腹者,用铁锈三钱、牡蛎二
钱、青盐一钱,为末,挑破疮头,以灯盏内油调,搽其丝自回,名唤回丹。但未用服。考
之《本草》云∶铁锈生铁上衣也,治恶疮、疥癣、蜘蛛等咬,蒜磨敷之,亦未云服。家藏
方用猫儿眼草,一担,细切,以水担余浸二日,煮百余沸,去渣,取汁煎至三四碗,用
生铁锈细研末,三两,徐徐入汁内,以铁杖不住手搅,再煎至二碗许,成膏子。治一切
痈疽疮毒甚效,瘰 溃后涂疮内,尤效。
罗氏破棺丹:治疗疮毒之气攻入腹部,病情危重的情况。
大黄(二两,一半生用一半熟用) 甘草 芒硝(各一两)
以上药材研为细末,用炼蜜制成丸药,大小如弹子。每次服用半丸,饭后用温酒送服化开,或者用童子尿半盏,研磨化开服用,忌食冷水。
另一种破棺丹配方(一方中有当归、赤芍、连翘、牡蛎、金银花、紫花地丁,宜选用这些药材):
山栀 牵牛子末 大黄(各一两) 甘草 京三棱(炮制,各七钱)
以上药材炼蜜制成丸药,大小如弹子。用酒送服化开。
内托连翘散:治疗疔疮发出时,皮肤颜色不变且不觉疼痛,按压摇动不动,身体出现寒热症状的情况。这就是水疔、鱼脐疔、紫燕疔、火疔等各种疔疮。如果疮口像黄疽样发黄,用针刺破后,仍然服用内托散,自然就会消散。
连翘 白芷 生地黄 赤芍药(各一两)
大黄(去皮) 黄栀子(去顶和蒂) 薄荷叶(各七钱) 朴硝(二两) 黄芩(去心,半两) 甘草(一两半)
以上药材研为粗末。每次服用一两,用水一碗,加入灯心草、竹叶煎至七分,如果患者气喘,加少许人参;大病只需服用三四次即可痊愈。如果服药后心烦呕吐,用不二散来止住。
甘草(半两) 绿豆粉(一两)
以上药材研为末,分两次服用,用酸醋水送下。
夺命丹:治疗疔疮导致大便秘结不通,或者心腹疼痛的情况。
巴豆(去壳) 大黄(各一钱) 郁金 雄黄 乳香(各五分) 朱砂 黄丹(各三分) 轻粉(二分)
麝香(少许) 蟾酥(不限多少)
以上药材研末,用面糊制成丸药,大小如绿豆。根据患者虚实情况服用,用茶清送下,每次五到七丸至九丸为止,以大便通畅为度。如果没有这种丸药,可以用雄黄丸代替。
雄黄丸:治疗证候同上。
巴豆(十四粒) 麝香(少许) 全蝎 牙皂 雄黄 大黄 郁金(各一钱)
以上药材研末,用米糊制成丸药,大小如绿豆,用朱砂做外衣。每次服用五到七丸,用茶清送下,以大便通畅为度。
追毒丸
海浮石(烧红后用醋淬炼七次,半两) 乳香 没药(各一钱) 巴豆(四十九粒) 川乌(一两)
以上药材研为末,用醋糊制成丸药,大小如梧桐子。如果患病两三天,服用十丸;患病五六天,服用十四丸,根据病位上下服用。先喝半盏或一盏冷酒,再用冷酒吞服药丸。如果发生呕吐将药吐出,不妨碍,继续按上述方法服用。如果患者大便仍不通,再用三丸。如果疔疮看得确切,用指甲抓破,用头垢留在患处后,再服药。
五圣散:治疗疔疮。
皂角针(二两) 栝蒌(一个) 大黄 金银花 生姜 甘草(各一两)
以上药材切碎。用好酒二升,同煎至八分,去渣。不拘时间温服。
夺命返魂散:治疗各种疔疮引起的憎寒发热,神志昏闷不语,肿胀遍布皮肤,不思饮食。
大黄 连翘 山栀子(以上各二钱半,研为细末) 巴豆 杏仁(各二钱,与麸皮同炒至黑色,研为细末) 人言(五钱,用五个大蒜,去心,填入人言,同烧去毒性,研为末) 牵牛子头末 苦丁香(各一钱)
以上药材研为细末,搅拌均匀。每眼半钱(注:此处原文“每眼”疑为“每服”之误,依语境译为每次服用),病情重者服用一钱,用新打的井水调下,一次服用见效。如果病情重且无脉象,吃下药大约一顿饭的时间,如果吐了药就无法医治,吐不出药就能活。
立马回疔夺命散:治疗疔疮以及喉痹、乳蛾肿痛,效果显著。
牡蛎 当归 牛蒡子 白僵蚕(各半两) 大黄(一两)
以上药材切碎。每次服用半两,用青石磨刀的水、酒各一盏煎煮,去渣,连续服用两次。疔疮服用后出汗的能生还,不出汗的死亡。
御史散:治疗疔疮。
生铁锈(三钱)
研为末。用木香磨酒调下。根据病位上下,饭前或饭后服用,得到微汗即可痊愈。
我按语:这个方子是秘法,未曾尝试使用。常治疗疔疮有赤丝攻向心腹的情况,用铁锈三钱、牡蛎二钱、青盐一钱,研为末,挑破疮头,用灯盏内的油调和,涂抹在赤丝上,赤丝自然退回,名叫回丹。但此方未用于内服。考证《本草》记载:铁锈是生铁表面的锈衣,治疗恶疮、疥癣、蜘蛛等咬伤,用蒜磨敷,也未提及内服。家藏方中使用猫儿眼草,一担,细细切碎,用水浸两天,煮一百多沸,去渣,取汁煎至三四碗,用生铁锈细研末三两,慢慢加入汁液中,用铁杖不停手搅拌,再煎至约二碗,成为膏状。治疗各种痈疽疮毒非常有效,瘰疬溃烂后涂于疮内,尤其有效。
Luo's Po Guan Dan: Treats the condition where toxin qi from sores enters the abdomen, which is critical.
Dahuang (Rhei Radix et Rhizoma) (2 liang, half raw and half cooked), Gancao (Glycyrrhizae Radix et Rhizoma), Mangxiao (Natrii Sulfas) (each 1 liang).
Grind the above ingredients into a fine powder, mix with refined honey to make pills the size of a bullet. Take half a pill after meals, dissolving it in warm wine, or dissolve it in half a cup of urine from an uncircumcised boy. Avoid cold water.
Another formula for Po Guan Dan (one version includes Danggui (Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Lianqiao (Forsythiae Fructus), Muli (Ostreae Concha), Jinyinhua (Lonicerae Japonicae Flos), Zihuadiding (Viola Yedoensis Herba), which should be selected):
Shanzhi (Gardeniae Fructus), Qianniu mǒ (Semen Pharbitidis pulvis), Dahuang (Rhei Radix et Rhizoma) (each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma), Jingsanleng (Sparganii Rhizoma) (processed, each 7 qian).
Grind the above ingredients, mix with refined honey to make pills the size of a bullet. Dissolve and take with wine.
Neituo Lianqiao San: Used when Dingchuang (furuncle-like sore) erupts, with unchanged skin color and no pain, immovable upon pressing and shaking, accompanied by chills and fever. This refers to Shuiding (water furuncle), Yuqid ding (fish-umbilicus furuncle), Ziyan ding (purple swallow furuncle), Huoding (fire furuncle), and various other Dingchuang. If the sore appears yellow like jaundice, prick it with a needle, then continue taking Neituo San, and it will naturally dissipate.
Lianqiao (Forsythiae Fructus), Baizhi (Angelicae Dahuricae Radix), Shengdihuang (Rehmanniae Radix Recens), Chishaoyao (Paeoniae Radix Rubra) (each 1 liang).
Dahuang (Rhei Radix et Rhizoma) (peeled), Huangzhi (Gardeniae Fructus) (top and stalk removed), Boheye (Menthae Haplocalycis Folium) (each 7 qian), Puxiao (Natrii Sulfas) (2 liang), Huangqin (Scutellariae Radix) (heart removed, 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (1.5 liang).
Grind the above ingredients into a coarse powder. Take 1 liang per dose, decoct with one bowl of water, Dengxincao (Junci Medullia), and Zhuye (Phyllostachys nigra var. henonis Folium) until reduced to 0.7 parts. If the patient has asthma/wheezing, add a small amount of Renshen (Ginseng Radix et Rhizoma). Severe illnesses can be cured with just three or four doses. If the patient experiences heart vexation and vomiting after taking the medicine, use Bu'er San to stop it.
Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang), Lüdoufen (Phaseoli Radiati Semen pulvis) (1 liang).
Grind into powder, divide into two doses, take with sour vinegar water.
Duoming Dan: Treats Dingchuang accompanied by severe constipation or abdominal pain.
Badou (Crotonis Fructus) (shelled), Dahuang (Rhei Radix et Rhizoma) (each 1 qian), Yujin (Curcumae Radix), Xionghuang (Realgar), Ruxiang (Olibanum) (each 5 fen), Zhusha (Cinnabaris), Huangdan (Lithargyrum) (each 3 fen), Qingfen (Calomelas) (2 fen).
Shexiang (Moschus) (a little), Chansu (Bufonis Venenum) (as needed).
Grind the above ingredients into powder, bind with wheat paste to make pills the size of mung beans. Take according to deficiency or excess, sending down with clear tea. Start with 5-7 pills up to 9 pills, stopping when bowel movement occurs. If this pill is unavailable, substitute with Xionghuang Wan.
Xionghuang Wan: Treats the same conditions as above.
Badou (Crotonis Fructus) (14 grains), Shexiang (Moschus) (a little), Quanxie (Scorpio), Yazao (Gleditsiae Sinensis Spina), Xionghuang (Realgar), Dahuang (Rhei Radix et Rhizoma), Yujin (Curcumae Radix) (each 1 qian).
Grind into powder, bind with rice paste to make pills the size of mung beans, coat with Zhusha (Cinnabaris). Take 5-7 pills per dose, sending down with clear tea, stopping when bowel movement occurs.
Zhidu Wan
Haifushi (Pumex) (burned red and quenched in vinegar seven times, 0.5 liang), Ruxiang (Olibanum), Moyao (Myrrha) (each 1 qian), Badou (Crotonis Fructus) (49 grains), Chuanwu (Aconiti Radix Preparata) (1 liang).
Grind into powder, bind with vinegar paste to make pills the size of paulownia seeds. If suffering for 2-3 days, take 10 pills; if 5-6 days, take 14 pills. Take according to the location of the disease (upper or lower). First drink half a cup or one cup of cold wine, then swallow the pills with cold wine. If vomiting occurs and the medicine is expelled, it does not matter; continue taking as instructed. If the patient's bowels do not move, take another 3 pills. If the Dingchuang is clearly identified, scratch the head with a fingernail, apply head scurf to the lesion, then take the medicine.
Wusheng San: Treats Dingchuang.
Zaojiaozhen (Gleditsiae Sinensis Spina) (2 liang), Gualou (Trichosanthis Fructus) (one fruit), Dahuang (Rhei Radix et Rhizoma), Jinyinhua (Lonicerae Japonicae Flos), Shengjiang (Zingiberis Rhizoma Recens), Gancao (Glycyrrhizae Radix et Rhizoma) (each 1 liang).
Chop the above ingredients. Decoct with 2 sheng of good wine until reduced to 0.8 parts, strain. Take warm at any time.
Duoming Fanhun San: Treats all types of Dingchuang with aversion to cold and fever, confusion and inability to speak, swelling covering the skin, and loss of appetite.
Dahuang (Rhei Radix et Rhizoma), Lianqiao (Forsythiae Fructus), Shanzhizi (Gardeniae Fructus) (above each 2.5 qian, ground into fine powder), Badou (Crotonis Fructus), Xingren (Armeniacae Semen Amarum) (each 2 qian, stir-fried with bran until black, ground into fine powder), Renyan (Arsenicum) (5 qian, place five garlic cloves, cored, around the arsenic, roast together to remove toxicity, grind into powder), Qianniu toumo (Semen Pharbitidis caput pulvis), Kudingxiang (Costi Rhizoma) (each 1 qian).
Grind into fine powder and mix evenly. Take half a qian per dose (Note: "per eye" in original likely means "per dose"), or 1 qian for severe cases. Mix with fresh well water and take. One dose shows effect. If the case is severe with no pulse, if the patient vomits the medicine after about the time it takes to eat a meal, they cannot be saved; if they do not vomit, they will survive.
Limahui Ding Duoming San: Highly effective for treating Dingchuang, Houbi (throat obstruction), and Ru'e (tonsillar swelling/pain).
Muli (Ostreae Concha), Danggui (Angelicae Sinensis Radix), Niubangzi (Arctii Fructus), Baijiangcan (Bombyx Batryticatus) (each 0.5 liang), Dahuang (Rhei Radix et Rhizoma) (1 liang).
Chop the above ingredients. Take 0.5 liang per dose, decoct with one cup of water used for grinding knives on bluestone and one cup of wine, strain. Take continuously for two doses. Patients with Dingchuang who sweat after taking this medicine will live; those who do not sweat will die.
Yushi San: Treats Dingchuang.
Shengtiexiu (Ferrugo) (3 qian).
Grind into powder. Grind Muxiang (Aquilariae Lignum Resinatum) in wine to mix and take. Take before or after meals according to the upper or lower location of the disease. Recovery occurs with slight sweating.
My commentary: This formula is a secret method, and I have not attempted to use it. In common treatment of Dingchuang where red threads attack the heart and abdomen, I use 3 qian of iron rust, 2 qian of Muli (Ostreae Concha), and 1 qian of Qingyan (Natrii Chloridum), grind into powder, pierce the sore head, mix with oil from a lamp wick holder, and apply to the threads so they retreat naturally, called Huidan. However, this is not taken internally. Consulting Bencao (Compendium of Materia Medica): Iron rust is the coating on raw iron, used for malignant sores, tinea, spider bites, etc., applied externally with garlic paste; there is no mention of internal use. A family-prescribed method uses Maor Yancao (Euphorbia humifusa Herba), one dan, finely chopped, soaked in water for two days, boiled over 100 times, strained, juice decocted to 3-4 bowls. Add 3 liang of finely ground Shengtiexiu (Ferrugo) slowly into the juice, stirring constantly with an iron rod, decoct again to about 2 bowls to form a paste. This is very effective for all kinds of carbuncles, ulcers, and sores. Applied inside ulcerated Luoli (scrofula), it is especially effective.