人有久生恶疮,或在手足,或在胸背,或在头面,终年经岁而不愈,臭腐不堪,
百药罔效,外药敷之不应,内药服之无功,世人故谓之顽疮。然疮虽顽,治之当如
何?盖人身气血和,断不生疮疖,间或生之,亦旬日而愈。其不和者,或因湿浸,
或因热盛,或因湿热寒邪之交至,遂至气结而不宣,血滞而不散,结于皮而皮生疮,
结于肉而肉生疮。久则脓血不净,因而生虫。人以为虫也,又用杀虫之药,而反伤
其皮肉,则气血愈虚,力难兼到,弃皮肉于膜外而罔顾,则疮成为冥顽不灵之患矣。
故治疮皆以行气活血为主,而虫与毒不必计也。然而血不易活,气不易行,非补气
补血不可。盖气得补而气自行于周身,血得补而血自活于遍体也。方用救顽汤∶
当归(二两) 黄 (一两) 白术(一两) 生甘草(三钱) 熟地(一两) 山茱萸(五钱)
麦冬(一两) 柴胡(一两) 茯苓(五钱) 半夏(二钱) 防风(一钱) 连翘(一钱) 附子(一片)
水煎服。连服二剂,而疮口必然发肿,断不可惧。从前无效,今服药发肿,乃药助气血与
疮相战也,乃速愈之机。再服二剂,不痛而痒矣。再服二剂,痒止而肉生矣。再服二剂,
结靥而愈。再服二剂,不再发。
此方单去活血行气,得补之力也。气行血活,虫将安寄?故不必杀虫而顽疮自尽愈矣。
人有内股生疮,敛如豆许,翻出肉一块,宛如菌状,人以为虫蚀外翻也,孰知
是肝经风热血燥之故乎。夫肝热则生风,此风乃内风而非外风也。外风清凉而内风
蕴热,故外风宜散而内风宜清。然但清其风而不补其血,则热不可解,而风不可舒
也。必须养血之中而益之清热之味,则燥不能燥,热退而风自静矣。方用清风汤∶
白芍(一两) 人参(五钱) 当归(五钱) 白术(三钱) 炒栀子(三钱) 甘草(一钱)
川芎(二钱) 丹皮(三钱) 沙参(三钱) 柴胡(一钱) 天花粉(三钱) 连翘(一钱)
水煎服。一连数剂,疮口自敛。
此方滋血以养肝,非消肉以化毒。然何以疮敛而愈也?盖疮成于肝木之旺,平
肝而血无过燥之虞,自然风散而热无炎烧之祸也。苟不平肝而内用降火之品,外用
追蚀之法,则蚀而又翻,翻而又蚀,其肉益大,而气愈虚,变出非常,正难救援耳。
一个人长期患有恶性的疮疡,位置可能在手足,也可能在胸背或头面,常年甚至跨年都不愈合,散发恶臭、腐烂不堪,各种药物都无效,外用药敷贴没有反应,内服药服用也没有功效,世人因此称之为“顽疮”(顽固性疮疡)。然而,虽然疮疡顽固,治疗应当如何进行呢?大概人身气血调和,绝不会生疮疖,偶尔生出,也会在十几天内痊愈。那些气血不和的,有的因为湿气浸渍,有的因为热邪炽盛,有的因为湿热与寒邪交织侵袭,导致气机郁结而不能宣通,血液停滞而不能消散,气结于皮肤则皮肤生疮,结于肌肉则肌肉生疮。时间久了,脓血排不干净,因而滋生虫蚁。人们以为是虫蚀,又使用杀虫的药物,反而损伤了皮肉,使得气血更加虚弱,力量难以兼顾,抛弃皮肉不顾,那么疮疡就成为冥顽不灵、难以治愈的祸患了。所以治疗疮疡都以行气活血为主,而虫毒不必特意计较。然而血液不易活化,气机不易运行,非补气补血不可。因为气得到补益,气就能自行运行于周身;血得到补益,血就能自行活化于遍体。方剂用救顽汤:当归(二两)、黄芪(一两)、白术(一两)、生甘草(三钱)、熟地黄(一两)、山茱萸(五钱)、麦冬(一两)、柴胡(一两)、茯苓(五钱)、半夏(二钱)、防风(一钱)、连翘(一钱)、附子(一片),水煎服。连续服用两剂,疮口必然会出现肿胀,千万不要害怕。以前无效,现在服药后出现肿胀,这是药力辅助气血与疮邪相争的表现,是迅速痊愈的契机。再服用两剂,就不痛而发痒了。再服用两剂,痒止而新肉生长了。再服用两剂,结痂而痊愈。再服用两剂,不再复发。
这个方子单靠活血行气是不够的,必须借助补益的力量。气行血活,虫蚁哪里还能寄居?所以不必杀虫,而顽疮自然就会痊愈。
有的人在大腿内侧生疮,收敛时像豆子大小,翻出时露出一块肉,宛如菌状,人们以为是虫蚀导致外皮翻出,谁知道这是肝经风热血燥的缘故呢?肝热则生风,这种风是内风而不是外风。外风性质清凉,内风蕴藏热邪,所以外风适宜疏散,内风适宜清解。然而如果只是清解风邪而不补益血液,那么热邪无法解除,风邪也无法舒缓。必须在养血之中加入清热之品,那么燥邪不能肆虐,热退而风自静止。方剂用清风汤:白芍(一两)、人参(五钱)、当归(五钱)、白术(三钱)、炒栀子(三钱)、甘草(一钱)、川芎(二钱)、牡丹皮(三钱)、沙参(三钱)、柴胡(一钱)、天花粉(三钱)、连翘(一钱),水煎服。连续服用数剂,疮口自然收敛。
这个方子是滋血以养肝,不是通过消除肉芽来化解毒邪。为什么疮口收敛就能痊愈呢?大概疮疡形成于肝木之气过旺,平抑肝气则血液没有过度干燥的忧虑,自然风散而热无炎烧之祸。如果不平抑肝气,而内部使用降火药物,外部使用追蚀疗法,那么腐蚀后又翻出,翻出后又腐蚀,那块肉会越来越大,而人气越虚,变生非常之症,正难救援罢了。
A person suffers from malignant sores for a long time, located on the hands and feet, or on the chest and back, or on the head and face. These sores do not heal throughout the year or even across years, emitting an unbearable foul odor and putrefaction. All medications prove ineffective; topical applications yield no response, and internal administration produces no benefit. Hence, the common people call this condition "Wan Chuang" (Stubborn Sore). However, although the sore is stubborn, how should it be treated? Generally, if the Qi and Blood in the human body are harmonious, carbuncles and furuncles will never arise. If they occasionally appear, they heal within ten days. In cases of disharmony, it may be due to dampness infiltration, excessive heat, or the interplay of damp-heat and cold pathogens. This leads to Qi stagnation without free flow, and Blood stasis without dispersion. When Qi knots in the skin, skin sores arise; when it knots in the flesh, flesh sores arise. Over time, pus and blood fail to clear completely, leading to the generation of worms (parasitic sensation/ulcerative debris). People assume these are actual worms and use vermifuges, which instead damage the skin and flesh, further depleting Qi and Blood. With strength insufficient to address both, the skin and flesh are neglected, turning the sore into an intractable affliction. Therefore, treating sores primarily focuses on promoting Qi circulation and activating Blood, while disregarding worms and toxins. However, Blood is difficult to activate, and Qi is difficult to move; tonifying Qi and Blood is indispensable. When Qi is tonified, it circulates freely throughout the body; when Blood is tonified, it flows actively throughout the entire system. The prescription used is Jiu Wan Tang (Rescue Stubborn Sore Decoction): Dang Gui (Radix Angelicae Sinensis) 2 liang, Huang Qi (Radix Astragali Membranacei) 1 liang, Bai Zhu (Rhizoma Atractylodis Macrocephalae) 1 liang, Sheng Gan Cao (Radix Glycyrrhizae Preparata) 3 qian, Shu Di Huang (Radix Rehmanniae Preparata) 1 liang, Shan Zhu Yu (Fructus Corni Officinalis) 5 qian, Mai Dong (Radix Ophiopogonis Japonici) 1 liang, Chai Hu (Radix Bupleuri) 1 liang, Fu Ling (Sclerotium Poria cocos) 5 qian, Ban Xia (Rhizoma Pinelliae Ternatae) 2 qian, Fang Feng (Radix Saposhnikoviae Divaricatae) 1 qian, Lian Qiao (Fructus Forsythiae Suspensae) 1 qian, Fu Zi (Radix Aconiti Lateralis Preparata) 1 slice. Decoct in water and take orally. After taking two doses, the sore opening will inevitably swell; one must not fear this. The previous ineffectiveness followed by swelling after medication indicates that the drug assists Qi and Blood in battling the sore pathogen, signaling a rapid recovery. Take another two doses, and pain ceases, replaced by itching. Take another two doses, itching stops, and new flesh grows. Take another two doses, scabs form, and healing occurs. Take another two doses, and recurrence is prevented.
This formula relies not merely on moving Qi and activating Blood, but gains power from tonification. When Qi moves and Blood activates, where can worms lodge? Thus, there is no need to kill worms, and the stubborn sore heals naturally.
Another case involves a person with a sore on the inner thigh. When contracted, it is bean-sized; when everted, a piece of flesh protrudes like a mushroom. People assume it is caused by worm erosion causing the exterior to flip out. Little do they know this results from Wind-Heat and Blood Dryness in the Liver Meridian. Liver Heat generates Wind; this is Internal Wind, not External Wind. External Wind is cool and clear, suitable for dispersal; Internal Wind harbors heat, suitable for clearing. However, merely clearing Wind without nourishing Blood means Heat cannot be resolved, and Wind cannot be soothed. One must add heat-clearing herbs to blood-nourishing ones, so that dryness does not prevail, Heat retreats, and Wind calms naturally. The prescription is Qing Feng Tang (Clear Wind Decoction): Bai Shao (Radix Paeoniae Alba) 1 liang, Ren Shen (Radix Ginseng) 5 qian, Dang Gui (Radix Angelicae Sinensis) 5 qian, Bai Zhu (Rhizoma Atractylodis Macrocephalae) 3 qian, Chao Zhi Zi (Fructus Gardeniae Jasminoidis Praeparatus) 3 qian, Gan Cao (Radix Glycyrrhizae Uralensis) 1 qian, Chuan Xiong (Rhizoma Chuanxiong) 2 qian, Dan Pi (Cortex Moutan Radicis) 3 qian, Sha Shen (Radix Glehniae Littoralis seu Radix Adenophorae Strictae) 3 qian, Chai Hu (Radix Bupleuri) 1 qian, Tian Hua Fen (Radix Trichosanthis Kirilowii) 3 qian, Lian Qiao (Fructus Forsythiae Suspensae) 1 qian. Decoct in water and take orally. After several consecutive doses, the sore opening naturally contracts.
This formula nourishes the Liver by enriching Blood, rather than eliminating flesh to resolve toxins. Why does contraction lead to healing? The sore arises from exuberance of Liver Wood. Calming the Liver prevents Blood from becoming overly dry; naturally, Wind dissipates, and Heat causes no burning disaster. If the Liver is not calmed, but instead internal fire-lowering agents are used and external cauterizing/erosive methods applied, the tissue erodes then everts, everts then erodes. The flesh grows larger, Qi becomes more deficient, and unusual complications arise, making rescue extremely difficult.