《千金》云∶凡热疮起便生白脓,即今俗名脓窠疮是也。其初起即浅,但出黄汁,名
肥疮,又名黄烂疮。初作亦如肥疮,喜着手足,常相对生,随月生死,痛痒坼裂,春夏
秋冬随瘥,剧者名 疮,治法已见疥门。
脓胞疮,治热为主。
黄芩 黄连 大黄(各三钱) 蛇床子 寒水石(二钱) 黄丹(五分) 白矾(一钱) 轻粉 白
芷无名异(各少许) 木香(少许,痛者加)
上为细末,麻油调涂。
又方 荞麦面(一两) 硫黄(八钱,研) 水银制铅(一钱,研)
或油或猪胆汁,调搽。
白蒺藜散 治热毒疮瘙痒,心神壅躁。
白蒺藜(炒,去刺) 白鲜皮 防风(去芦) 川大黄(锉,炒) 赤芍药 栀子仁 子芩 麦门
冬(去心,焙) 玄参 桔梗(去芦) 甘草(炙赤,锉) 前胡(去芦,各一两)
上为细末。每服二钱,食后,用薄荷汤
调服。
密陀僧散 治热毒恶疮、臭烂,久不生肌。
密陀僧 雄黄 雌黄 定粉(各半两) 腻粉(三钱)
上研为细末。先用柳枝一握、生甘草一两、捶碎,以浆二升煎六七沸,去滓。稍热,
淋洗疮净,拭干敷之。
白金散 治风毒攻注遍身,及手足生热疮,疼痛出黄水。
用桂府滑石为细末,先用虎杖、甘草、豌豆各等分,约半两许。水二碗煎上项药至一
碗,去滓。微热淋洗疮,水冷拭干。上掺滑石末令通身,便睡至明,决愈。
玉粉散 治热汗浸渍成疮,肿痒 痛。
定粉(一两) 蛤粉(九两半) 白石脂 白龙骨 石膏(各半两) 滑石(八两半) 寒水石(烧通
赤,放净地上冷,出火毒,一两) 粟米粉(二两)
上为细末,研匀。每用些少,干擦患处。
七宝散 治热汗浸渍成疮,痒痛不止。
黄 当归 防风 荆芥穗 地骨皮 木通(各二两) 白矾(一两)
上为粗末。每用药一两,水三大碗煎五六沸,滤去滓。稍热,淋渫患处,避风少时。
赤石脂散 治痱子磨破成疮,用此止痛生肌。
赤石脂(细研) 黄柏(去粗皮,锉) 腊茶末(各半两) 白面(二两) 龙脑(半钱,另研)
上为细末,研匀。每用时,绵 扑之。
龙脑粉方 治痱疮,痒痛。
龙脑(一钱,研) 粟米粉(五两)
上研匀。先用枣叶汤洗后,用绵 扑之。
玉女英 治痱疮,痒痛。
滑石(半两,细研) 绿豆粉(四两,微炒)
上研匀,以绵擦扑之。一方,有枣叶一两。
楝花粉敷方 治痱子,瘙痒。
上用苦楝花不拘多少,焙干为末,入蚌粉、滑石末各少许,研匀。日频敷之。治暑
月,汗渍腋下赤肿,及痱疮。
上取腊雪水,和蛤粉敷之。
戴院使治痱子,用香扑粉入朴硝末,如常扑使,更入少许枯矾末。
治热痱疮,遍身如蚕子。用不灰木、枣叶为末,疮上搽之即止。又法,用茨菰叶,阴
干为末,敷之。又方,用腊雪以瓶收贮。遇生痱时,以所化水涂敷。又方,用黄瓜切断,
擦痱子上,即安。又方,用枣叶煎汤浴之。又方,用蚌粉四两、绿豆粉二两、滑石一两为
末,干擦之。
《千金方》记载:凡是热疮刚起时就生出白色脓液,这就是现在俗称的脓窠疮。这种病初起时位置表浅,只流出黄色汁水,称为肥疮,又叫做黄烂疮。初期表现也像肥疮,喜欢长在手脚部位,常常对称生长,随着月份盈亏变化而发作或痊愈(随月生死),伴有疼痛、瘙痒和皮肤皲裂,在春夏秋冬四季中病情随之好转或加重,严重的称为疳疮,治疗方法已在疥疮门类中见过。
脓胞疮的治疗以清热为主。
药材:黄芩、黄连、大黄(各三钱)、蛇床子、寒水石(二钱)、黄丹(五分)、白矾(一钱)、轻粉、白芷、无名异(各少许)、木香(少许,若疼痛则加入)。
将上述药物研成细末,用麻油调和后涂抹。
另一个方子:荞麦面(一两)、硫黄(八钱,研磨)、水银制铅(一钱,研磨)。
用油或猪胆汁调和后搽涂。
白蒺藜散:治疗热毒引起的疮疡瘙痒,以及心神烦闷躁动。
药材:白蒺藜(炒制,去刺)、白鲜皮、防风(去芦头)、川大黄(锉碎,炒制)、赤芍药、栀子仁、子芩(黄芩之嫩者)、麦门冬(去心,焙干)、玄参、桔梗(去芦头)、甘草(炙至赤色,锉碎)、前胡(去芦头,各一两)。
将上述药物研成细末。每次服用二钱,饭后用薄荷汤调服。
密陀僧散:治疗热毒恶疮、腐烂发臭,久不愈合生肌。
药材:密陀僧、雄黄、雌黄、定粉(各半两)、腻粉(三钱)。
将上述药物研成细末。先用柳枝一把、生甘草一两,捶碎,用米浆二升煎煮六七沸,滤去药渣。待药液稍热,淋洗疮面使其洁净,擦干后敷上药粉。
白金散:治疗风毒攻注遍身,以及手足生热疮,疼痛并流出黄水。
用桂府滑石研成细末。先用虎杖、甘草、豌豆各等分,约半两许。加水两碗煎煮上述药物至一碗,滤去药渣。待药液微热,淋洗疮处,水冷后擦干。将滑石末均匀撒布全身,然后睡觉直到天亮,必定痊愈。
玉粉散:治疗因热汗浸渍形成的疮疡,肿胀瘙痒疼痛。
药材:定粉(一两)、蛤粉(九两半)、白石脂、白龙骨、石膏(各半两)、滑石(八两半)、寒水石(烧至通红,放在干净地面上冷却以去除火毒,一两)、粟米粉(二两)。
将上述药物研成细末,混合均匀。每次取少量,干擦患处。
七宝散:治疗因热汗浸渍形成的疮疡,瘙痒疼痛不止。
药材:黄芪、当归、防风、荆芥穗、地骨皮、木通(各二两)、白矾(一两)。
将上述药物制成粗末。每次用药一两,加大水三大碗煎煮五六沸,滤去药渣。待药液稍热,淋洗患处,避风片刻。
赤石脂散:治疗痱子磨破形成疮疡,用此方止痛生肌。
药材:赤石脂(细研)、黄柏(去粗皮,锉碎)、腊茶末(各半两)、白面(二两)、龙脑(半钱,另研)。
将上述药物研成细末,混合均匀。每次使用时,用棉团蘸药粉扑擦患处。
龙脑粉方:治疗痱疮,瘙痒疼痛。
药材:龙脑(一钱,研磨)、粟米粉(五两)。
将上述药物研匀。先用枣叶汤清洗患处后,用棉团蘸药粉扑擦。
玉女英:治疗痱疮,瘙痒疼痛。
药材:滑石(半两,细研)、绿豆粉(四两,微炒)。
将上述药物研匀,用棉团擦拭扑打患处。另一版本方剂,含有枣叶一两。
楝花粉敷方:治疗痱子,瘙痒。
取苦楝花不拘多少,焙干研末,加入蚌粉、滑石末各少许,研匀。每日频繁敷用。治疗暑月,汗渍导致腋下红肿,以及痱疮。
另外一方:取腊雪水,调和蛤粉敷用。
戴院使治疗痱子,使用香扑粉加入朴硝末,像平常扑粉一样使用,再加入少许枯矾末。
治疗热痱疮,遍身如蚕子状。用不灰木、枣叶研末,搽于疮上即止。又一种方法,用茨菰叶,阴干研末,敷用。又一方,用腊雪装在瓶中收藏。遇到生痱时,用融化的雪水涂抹敷用。又一方,用黄瓜切断,擦于痱子上,即安。又一方,用枣叶煎汤洗澡。又一方,用蚌粉四两、绿豆粉二两、滑石一两研末,干擦患处。
According to the *Qianjin Fang* (Prescriptions Worth a Thousand Gold): Whenever a heat sore appears and immediately produces white pus, it is what is commonly known today as "Nongke Chuang" (Pustular Impetigo). This condition begins superficially, exuding only yellow fluid, and is named "Fei Chuang" (Greasy Sore), also called "Huang Lan Chuang" (Yellow Rotting Sore). Initially resembling Fei Chuang, it tends to appear on the hands and feet, often symmetrically. It fluctuates with the lunar cycle (waxing and waning), accompanied by pain, itching, and skin fissures. Its severity varies with the seasons, improving or worsening accordingly. Severe cases are termed "Gan Chuang" (Ulcerative Sores); treatment methods have been described in the section on Scabies.
The treatment of Nongbao Chuang (Pustular Eczema) focuses primarily on clearing Heat.
Ingredients: Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Dahuang (Rhei Radix et Rhizoma) (each 3 qian); Shechuangzi (Cnidii Fructus), Hanshuishi (Aqua Calcitae) (2 qian); Huangdan (Lithargyrum) (0.5 qian); Bai Fan (Alumen) (1 qian); Qingfen (Calomelas), Baizhi (Angelicae Dahuricae Radix), Wumingyi (Haematites) (a small amount each); Muxiang (Aucklandiae Radix) (a small amount, add if painful).
Grind the above ingredients into a fine powder. Mix with sesame oil and apply topically.
Another prescription: Qiaomai Mian (Tartary Buckwheat Flour) (1 liang); Liuhuang (Sulfur) (8 qian, ground); Shuiyin Zhi Qian (Mercury-treated Lead) (1 qian, ground).
Mix with oil or pig bile and apply.
Bajili San (White Tribulus Powder): Treats sores caused by Heat-Toxin with itching, and mental restlessness due to congestion.
Ingredients: Bajili (Tribuli Fructus) (stir-fried, thorns removed); Baixianpi (Dictamni Cortex); Fangfeng (Saposhnikoviae Radix) (rhizome removed); Chuan Dahuang (Rhei Radix et Rhizoma) (cut into pieces, stir-fried); Chishao Yao (Paeoniae Radix Rubra); Zhizi Ren (Gardeniae Fructus); Zixin (Scutellariae Radix - young root); Maimendong (Ophiopogonis Tuber) (heart removed, baked); Xuanshen (Scrophulariae Radix); Jiegeng (Platycodonis Radix) (rhizome removed); Gancao (Glycyrrhizae Radix et Rhizoma) (roasted until reddish-brown, cut into pieces); Qianhu (Peucedani Radix) (rhizome removed) (each 1 liang).
Grind the above ingredients into a fine powder. Take 2 qian per dose, mixed with mint decoction after meals.
Mituoeng San (Lead Monoxide Powder): Treats malignant sores caused by Heat-Toxin, foul rotting, and ulcers that fail to heal and regenerate flesh over time.
Ingredients: Mituoeng (Litharge); Xionghuang (Realgar); Cihuang (Orpiment); Dingfen (Cerussite) (each 0.5 liang); Ninifen (Calomelas) (3 qian).
Grind the above ingredients into a fine powder. First, take one handful of willow branches and 1 liang of raw Gancao, crush them, and boil in 2 sheng of rice water for six or seven boils. Strain the liquid. While slightly warm, wash the sore clean, dry it, and apply the powder.
Baijin San (Platinum Powder): Treats Wind-Toxin attacking the whole body, and heat sores on hands and feet causing pain and yellow discharge.
Use Guifu Huashi (Kaolin from Guilin) ground into a fine powder. First, prepare a decoction using Huzhang (Polygoni Cuspidati Rhizoma et Radix), Gancao, and Wandou (Viciae Semen) in equal parts, approximately 0.5 liang. Boil these in two bowls of water until reduced to one bowl. Strain. Wash the sore with the warm decoction, then dry with cool water. Dust the entire body with the Huashi powder, then sleep until morning; recovery is assured.
Yufen San (Jade Powder): Treats sores formed by maceration from hot sweat, characterized by swelling, itching, and pain.
Ingredients: Dingfen (Cerussite) (1 liang); Hafu (Concha Tridacnae) (9.5 liang); Baishizhi (Halloysitum Rubrum); Bailonggu (Os Draconis); Shigao (Gypsum Fibrosum) (each 0.5 liang); Huashi (Kaolinite) (8.5 liang); Hanshuishi (Aqua Calcitae) (calcined until red-hot, cooled on clean ground to remove fire toxicity, 1 liang); Sumi Fen (Millet Flour) (2 liang).
Grind the above ingredients into a fine powder and mix uniformly. Apply a small amount directly to the affected area as a dry powder.
Qibao San (Seven Treasures Powder): Treats sores formed by maceration from hot sweat, with persistent itching and pain.
Ingredients: Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Fangfeng (Saposhnikoviae Radix), Jingjie Sui (Schizonepetae Spica), Digupi (Bark of Lycium Root), Mutong (Akebiae Caulis) (each 2 liang); Bai Fan (Alumen) (1 liang).
Make into coarse powder. For each dose, use 1 liang of the powder, boil in three large bowls of water for five or six boils, strain. Wash the affected area with the slightly warm liquid, and avoid wind for a short while.
Chishizhi San (Red Halloysite Powder): Treats prickly heat that has been rubbed open into sores; used to stop pain and promote tissue regeneration.
Ingredients: Chishizhi (Halloysitum Rubrum) (finely ground); Huangbai (Phellodendri Cortex) (bark removed, cut); Laccha Mo (Powder of aged tea) (each 0.5 liang); Baifan (Wheat Flour) (2 liang); Longnao (Borneolum Syntheticum) (0.5 qian, separately ground).
Grind the above ingredients into a fine powder and mix uniformly. When applying, dab gently with cotton.
Longnao Fen Formula: Treats prickly heat sores, itching, and pain.
Ingredients: Longnao (Borneolum Syntheticum) (1 qian, ground); Sumi Fen (Millet Flour) (5 liang).
Grind uniformly. First wash the area with jujube leaf decoction, then dab with cotton soaked in the powder.
Yunü Ying (Jade Maiden's Essence): Treats prickly heat sores, itching, and pain.
Ingredients: Huashi (Kaolinite) (0.5 liang, finely ground); Ludou Fen (Mung Bean Flour) (4 liang, lightly stir-fried).
Grind uniformly. Rub and dab onto the affected area with cotton. Another version includes 1 liang of jujube leaves.
Lanhua Fen Fu Fang (Toosendan Flower Powder Application): Treats prickly heat and itching.
Take any amount of Lanhua (Meliae Flos), bake until dry, grind into powder. Add a small amount of Bangfen (Concha Tridacnae) and Huashi powder. Grind uniformly. Apply frequently during the day. Treats redness and swelling under the arms caused by sweat maceration in summer, as well as prickly heat.
Alternative method: Use snow water collected in winter (Laxue Shui) to mix with Hafen (Concha Tridacnae) for application.
Imperial Physician Dai treated prickly heat using incense dusting powder mixed with Xiaokao (Mirabilite) powder, applied as usual, with a small amount of Gufan (Calcined Alumen) added.
For treating heat prickly heat sores appearing all over the body like silkworm eggs: Grind Buhui Mu (Asbestos/Non-combustible wood) and Zao Ye (Jujube Leaves) into powder and apply to the sores to stop symptoms. Another method: Dry Cibao Ye (Zantedeschia Leaf) in the shade, grind into powder, and apply. Another method: Collect winter snow (Laxue) in a bottle. When prickly heat occurs, melt the snow and apply the water. Another method: Cut a cucumber and rub it on the prickly heat spots for immediate relief. Another method: Bathe in a decoction of jujube leaves. Another method: Mix Bangfen (Concha Tridacnae) 4 liang, Ludou Fen (Mung Bean Flour) 2 liang, and Huashi (Kaolinite) 1 liang into powder, and apply dry to the affected area.