人有头面无端忽生小疮，痒甚，第二日即头重如山，第三日面目青紫。世人多
不识此症，此乃至危至急之病，苟不速救，数日之内必一身发青黑而死。若青不至
心胸者，尚可救疗。因其人素服房中热药，热极便为毒也。凡人入房而久战不泄者，
虽气主之，而实火主之也。气旺而非火济之，则不足以鼓动其兴趣，而博久战之欢。
补气之药，断不能舍参、 而求异味。世人贪欢者多，吝惜者亦复不少，用热药以
助火，非多加人参不足以驾驭其猛烈之威，无如人参价高，力难多备，方士不得已
迁就世人，乃少减人参，则功力自薄，及多加热药以壮其火，于是金石火 之药纷
然杂用，谓不如此，不足以助其命门之火也。夫命门之火，肾火也，非真阴之水不
养，不同于脾胃之火可以外水解之也。且肾火既旺，则外势刚强，必多御女，一取
快乐，偶尔纵欲，亦复何伤。无奈淫心无尽，愈战愈酣，火炽则水干，火沸则水涸，
即不频泄其精水，亦不足以制火，而热毒有结于肠胃者矣。况战久则兴必深，未有
不尽兴而大泄者，精泄过多，则火更旺，未免阳易举而再战。或归于前药之太少，
更多服以助其势，孰知药益多而火益烈，战益频而水益竭乎。久之水涸火炎，阳虽
易举而不能久战，未免有忍精 绻之时，勉强而斗，精不化而变为毒，结于阴之部
位而成痈，结于阳之部位而成毒。头上者，正阳之部位也，较生于阴之部位者更为
可畏。非多用化毒之药，又安能起死为生哉。方用回生至圣丹∶
生甘草（五钱） 金银花（半斤） 玄参（三两） 蒲公英（三两） 天花粉（三钱） 川芎（一两）
水煎服。
一剂而头轻，青紫之色淡矣。再服二剂，青紫之色尽消而疮亦尽愈，不必三剂也。
此方化毒而不耗其气，败毒而不损其精，所以建功甚奇也。此毒原系水亏之极，
而泻毒诸药无不有损于阴阳，惟金银花攻补兼妙，故必须此品为君。但少用则味单
而力薄，多用则味重而力浓。又加玄参以去火，甘草以泻毒，蒲公英之清热，天花
粉之消毒，川芎之散结，自然相助而奏效也。
一无名肿毒，生于思虑不到之处，而其势凶恶，有生死之关，皆可以无名肿毒
名之，不必分上中下也。前条止言头上，而在身之左右前后与手足四肢尚未言也。
不知得其治法，无不可以通治。失其治法，则在上者不可以治中，在中者不可治下，
在下者不可以治上中也。得其治法者若何，大约上中下之生无名肿毒者，多起于淫
欲无度之人。又加之气恼忧郁，火乘其有隙之处，蕴藏结毒，故一发而不可救，所
以无名肿毒尽是阴症，而绝无阳症也。然则治之法宜用解阴毒之药矣，惟是解阴毒之
药多半消铄真阴，因虚而结毒，复解毒而亏阴，安有济乎。故无名肿毒往往不救，
乃是故也。余得异人之传，仍于补阴之中以行其散郁之法，可佐之解毒之品，微助
行经之味，是以多收其效。余不敢湮秘传之书而负万世之人也。方用∶
玄参（一斤） 柴胡（三钱） 生甘草（一两） 三味煎汤十碗，为主。倘生于头面，加川芎
二两、附子二钱，再煎汁取三碗，分作二日服完。未破者即消，已破者即生肌
而自愈，不必二剂也。倘生于身中前后左右，加当归二两、甘菊花一两、附子
三分，亦如前煎服。倘生于手足四肢，加白术二两、附子五分、茯苓一两，亦
如前煎服，无不收功。
此方名收黑虎汤，言即至恶之人见黑虎亦未有不寒心者，是恶毒得之尽散也。
玄参最善退浮游之火，得甘草之助，能解其迅速之威，得柴胡之辅，能舒其抑郁之
气。且又有各引经之味，引至结毒之处，大为祛除。妙在用至一斤，则力量更大。
又妙是补中去散，则解阴毒而不伤阴气，所以奏功更神。人勿惊其药料之重而不敢
轻试，深负（铎）一片 救世之怀也。若些小轻症与非阴症疮毒，俱不必用此重剂，
又不可不知耳。
【背景信息】
书名：辨证录 作者：陈士铎 朝代：清 章节：无名肿毒门（二则） 类别：综合
【待处理原文翻译】
有人头面部位突然无缘无故地生出小疮，瘙痒剧烈，第二天便感觉头部沉重如压巨石，第三天面目呈现青紫色。世人大多不认识这种病症，这是极其危险且急迫的疾病，如果不迅速救治，几天之内必然全身发青黑色而死。如果青色没有蔓延到心胸部位，还可以抢救治疗。这是因为患者平时服用房中助热的药物，热极盛便化为毒邪。凡是行房事而久战不泄的人，虽然由气机主导，但实际上是由实火主导的。气机旺盛而没有火来激发它，就不足以鼓动情欲兴致，从而获得持久交欢的快乐。补气的药物，绝对不能离开人参而寻求其他异样的药材。世人贪恋欢愉的多，吝惜钱财的也不少，使用热药以助长火势，如果不是多加人参就不足以驾驭其猛烈的威力。无奈人参价格昂贵，难以大量储备，方士们不得已迁就世人，于是减少人参用量，药效自然薄弱，接着又多加热药以壮大火势，导致金石类火热之药纷纷杂用，认为不如此，就不足以补助命门之火。命门之火就是肾火，如果没有真阴之水来滋养，就不能像脾胃之火那样可以用外来的水液来制约。况且肾火既然旺盛，外在气势刚强，必定会多御女色，一旦取得快乐，偶尔纵欲，又有什么伤害呢？无奈淫心无尽，越交战越酣畅，火势炽盛则津液干枯，火沸腾则水源枯竭，即使不频繁排泄精水，也不足以制约火势，于是热毒就会结聚在肠胃之中。何况交战久了，性欲必然深重，没有不尽兴而大泄精液的，精液排泄过多，则火势更旺，难免阳气再次勃起而继续交战。或者归咎于前面的药量太少，更多服用以助长势头，谁知道药越多火势越猛烈，交战越频繁津液越枯竭呢？久而久之，津液枯竭，虚火上炎，阳气虽然容易勃起但不能持久交战，难免有忍精不射、缠绵悱恻的时候，勉强交战，精液不能正常化生而变为毒邪，结聚在阴的部位而成痈疽，结聚在阳的部位而成疔毒。头部是正阳的部位，比生于阴部位的更为可怕。不是多用化解毒邪的药物，怎么能起死回生呢？方剂用回生至圣丹：
生甘草（五钱） 金银花（半斤） 玄参（三两） 蒲公英（三两） 天花粉（三钱） 川芎（一两）
用水煎服。
服用一剂后头部变轻，青紫之色变淡。再服两剂，青紫之色完全消退，疮疡也全部痊愈，不需要第三剂。这个方剂化解毒邪而不耗损正气，败解毒邪而不损伤精气，所以建功非常神奇。这种毒邪原本是由于肾水亏损到了极点，而泻毒的各种药物无不损害阴阳，只有金银花攻补兼施、妙处双全，所以必须以此药为君药。但是少用则味道单一而力量薄弱，多用则味道厚重而力量浓厚。又加入玄参以清除火邪，甘草以泻解毒邪，蒲公英清热，天花粉消毒，川芎散结，自然相互帮助而奏效。
还有一种无名肿毒，生长在思虑不到的地方，其势头凶恶，关乎生死，都可以称为无名肿毒，不必区分上、中、下部位。前一条只说了头上，而对于身体左右前后以及手足四肢还没有说到。不知道得到治疗方法的话，没有不可以通治的。失去治疗方法，那么在上的不可以治中的，在中的不可治下的，在下的不可以治上中的。得到治疗方法的是怎样的呢？大概上中下产生无名肿毒的，多起于淫欲无度的人。又加上气恼忧郁，火邪乘其有空隙之处，蕴藏结聚毒邪，所以一发而不可救，因此无名肿毒全是阴证，而绝无阳证。那么治疗的方法应该使用解阴毒的药物了，只是解阴毒的药物多半消烁真阴，因为虚而结毒，又解毒而亏阴，怎么会有帮助呢？所以无名肿毒往往无法救治，就是这个原因。我得到异人的传授，仍然在补阴之中施行疏散郁结的方法，可以佐以解毒的物品，微微辅助行经的味道，因此多收效验。我不敢埋没传承的书而辜负万世之人。方剂用：
玄参（一斤） 柴胡（三钱） 生甘草（一两） 三味煎汤十碗，作为主方。倘若生在头面，加川芎二两、附子二钱，再煎汁取三碗，分作两天服完。未破溃的就消散，已破溃的就生肌而自愈，不需要两剂。倘若生在身体中间前后左右，加当归二两、甘菊花一两、附子三分，也像前面一样煎服。倘若生在手足四肢，加白术二两、附子五分、茯苓一两，也像前面一样煎服，没有不收功的。
这个方名叫收黑虎汤，意思是即使是极恶毒的人见到黑虎也没有不寒心的，是恶毒得到此方尽数消散的意思。玄参最善于退除浮游之火，得到甘草的帮助，能解除其迅速的威力，得到柴胡的辅佐，能舒展其抑郁之气。而且又有各引经的味道，引导至结毒之处，大为祛除。妙在用至一斤，则力量更大。又妙在补中去散，则解阴毒而不伤阴气，所以奏效更神奇。人不要惊讶其药料之重而不敢轻易尝试，深深辜负了我一片救世的情怀啊。如果是些微轻症与非阴证的疮毒，都不必用此重剂，这也是不可不知道的。
Background Information:
Book: *Bian Zheng Lu* (Record of Syndrome Differentiation)
Author: Chen Shiduo
Dynasty: Qing
Chapter: Wu Ming Zhong Du Men (Chapter on Nameless Swelling and Toxins, Two Cases)
Category: Comprehensive
[Translation]
There are cases where a person suddenly develops small sores on the head and face without any apparent cause, with severe itching. By the second day, the head feels as heavy as a mountain; by the third day, the face and eyes turn blue-purple. Most people in the world do not recognize this syndrome. It is an extremely critical and urgent disease. If not rescued quickly, within a few days, the entire body will turn blue-black, leading to death. However, if the blueness does not reach the chest and heart area, it can still be treated. This occurs because the patient has been taking hot-tonic medicines for sexual enhancement. Extreme heat transforms into toxin. In sexual intercourse, when one engages in prolonged activity without ejaculation, although Qi governs the movement, it is actually Fire that dominates. When Qi is vigorous but not stimulated by Fire, it is insufficient to arouse desire and sustain the joy of prolonged intercourse. Tonifying Qi medicines cannot replace Ginseng (*Ren Shen*) with other ingredients. Those who crave pleasure are numerous, and those who are stingy with money are also many. They use hot medicines to assist Fire, believing that only by adding large amounts of Ginseng can they control its fierce power. However, since Ginseng is expensive and difficult to stock in large quantities, practitioners, out of necessity to accommodate patients, reduce the amount of Ginseng, causing the efficacy to weaken. Consequently, they add more hot medicines to strengthen Fire, resulting in the chaotic use of mineral and fire-heating substances, claiming that this is necessary to boost the Fire of the Gate of Life (*Ming Men*). The Fire of the Gate of Life is Kidney Fire, which requires True Yin Water to nourish it; it differs from Spleen and Stomach Fire, which can be cooled by external water. Moreover, once Kidney Fire is vigorous, the external demeanor becomes strong, leading to frequent sexual encounters. Once pleasure is obtained, occasional indulgence causes no harm. However, lust is endless; the more intense the intercourse, the fiercer the Fire burns, drying up the Water. When Fire boils, Water dries up. Even if semen is not frequently ejaculated, it is insufficient to restrain the Fire, allowing Heat-Toxin to accumulate in the Intestines and Stomach. Furthermore, prolonged arousal leads to deep sexual excitement, rarely ending without massive ejaculation. Excessive loss of essence makes Fire even stronger, causing the Yang to rise again for further intercourse. Some blame the previous prescription for being too weak and take more to boost their momentum. Little do they know that the more medicine they take, the fiercer the Fire becomes; the more frequent the intercourse, the more depleted the Water becomes. Over time, Water dries up and Fire flares upward. Although Yang rises easily, it cannot last long. There are times when one endures ejaculation, lingering in缠绵 (lingering intimacy). Forcing intercourse while holding back essence causes the essence to fail to transform properly and instead become toxic. This toxicity accumulates in Yin areas, forming carbuncles (*Yong*), or in Yang areas, forming toxins (*Du*). The head is a pure Yang area, making conditions here more terrifying than those in Yin areas. Without using abundant detoxifying herbs, how can one bring the dying back to life? The prescription used is Hui Sheng Zhi Sheng Dan (Revival Supreme Holy Pill):
Sheng Gan Cao (Raw Licorice Root, 5 qian), Jin Yin Hua (Honeysuckle Flower, 0.5 jin), Xuan Shen (Scrophularia Root, 3 liang), Pu Gong Ying (Dandelion, 3 liang), Tian Hua Fen (Trichosanthes Root, 3 qian), Chuan Xiong (Ligusticum Chuanxiong Rhizome, 1 liang).
Decoct in water and take orally.
After one dose, the head feels lighter, and the blue-purple color fades. After two more doses, the blue-purple color disappears completely, and the sores heal entirely; a third dose is unnecessary. This formula resolves toxins without depleting Qi and defeats toxins without damaging Essence, hence its miraculous efficacy. This toxin originates from extreme depletion of Kidney Water. Most purgative herbs damage both Yin and Yang. Only Jin Yin Hua offers both attacking and tonifying benefits, making it the Sovereign herb. However, a small dose yields single flavor and weak power, while a large dose provides heavy flavor and strong power. Xuan Shen is added to clear Fire, Gan Cao to purge toxins, Pu Gong Ying to clear heat, Tian Hua Fen to disinfect, and Chuan Xiong to dissipate nodules. These naturally assist each other to achieve efficacy.
Another type of Wu Ming Zhong Du (Nameless Swelling and Toxin) appears in unexpected places, with a vicious势头 (momentum) involving life-and-death stakes. All such cases can be named Wu Ming Zhong Du, regardless of upper, middle, or lower locations. The previous case only discussed the head, not the left, right, front, back of the body, or limbs. Knowing the treatment method allows for universal application. Lacking it, upper lesions cannot be treated for middle ones, middle for lower, and lower for upper-middle. What is this treatment method? Generally, Wu Ming Zhong Du arising in upper, middle, or lower regions stems from individuals with excessive lust. Combined with anger and depression, Fire exploits these vulnerabilities, accumulating and knotting toxins. Thus, once manifested, it is incurable. Therefore, all Wu Ming Zhong Du are Yin Syndromes, with absolutely no Yang Syndromes. The treatment should use herbs that resolve Yin Toxins. However, most Yin-toxin-resolving herbs consume True Yin. Since the toxin formed due to deficiency, resolving it further damages Yin, offering no help. Hence, Wu Ming Zhong Du often proves untreatable. I received transmission from an extraordinary person: treat by tonifying Yin while dispersing stagnation, assisted by detoxifying agents and mild meridian-circulating flavors, thereby achieving good results. I dare not hide this transmitted book and betray humanity for generations. The prescription is:
Xuan Shen (Scrophularia Root, 1 jin), Chai Hu (Bupleurum Root, 3 qian), Sheng Gan Cao (Raw Licorice Root, 1 liang). Decoct these three in ten bowls of water as the main decoction. If located on the head/face, add Chuan Xiong (2 liang) and Fu Zi (Aconite Lateralis Radix Praeparata, 2 qian); decoct again to obtain three bowls, divided over two days. Unruptured lesions will dissipate; ruptured ones will regenerate flesh and heal spontaneously, requiring no more than two doses. If located on the torso (front/back/left/right), add Dang Gui (Angelica Sinensis Radix, 2 liang), Gan Ju Hua (Chrysanthemum Morifolium Flos, 1 liang), and Fu Zi (3 fen), decocting and administering as before. If located on limbs, add Bai Zhu (Atractylodes Macrocephala Rhizome, 2 liang), Fu Zi (5 fen), and Fu Ling (Poria, 1 liang), decocting and administering as before, with guaranteed success.
This formula is named Shou Hei Hu Tang (Black Tiger Gathering Decoction), implying that even the most vicious person would feel chilled seeing a black tiger; thus, vicious toxins are completely dispersed. Xuan Shen best retreats floating Fire. Assisted by Gan Cao, it neutralizes rapid aggression; aided by Chai Hu, it soothes depressed Qi. Additionally, guiding herbs direct the action to the site of toxin accumulation for significant removal. The brilliance lies in using one jin of Xuan Shen, maximizing potency. Another brilliance is tonifying while dispersing, resolving Yin toxins without injuring Yin Qi, thus achieving miraculous results. Do not be startled by the heavy dosage and hesitate to try it, thereby deeply betraying my intention to save the world. For minor mild cases or non-Yin toxin sores, this heavy dosage is unnecessary, a fact one must know.