煎剂中,须加犀角地黄汤,并用甘遂散,吹至舌根,及舌旁,时刻不可间断,方可速愈
。如痈势重者,再配入制巴豆,兼吞上清丸。
最为急症,起时立用加味硝黄散,或甘遂散,周遭重吹,并内服煎剂。如便闭,加大黄
、芒硝,并吞上清丸。如虚喉用噙化丸化咽,如症候太重,丹中加牛黄少许,吹之,稍迟则难救
矣。臭花娘子根,捣汁咽之效。
如内外赤肿,闭塞不通,用牙硝、硼砂、食盐,加入开关散少许吹之,立效。煎剂,加
如喉及牙关紧闭,难以吹丹,一时无以治疗,症又紧急,顷刻之间,用蟾酥磨水,令患
人仰
鼻方。【谔按∶ 同锁。锁紧之意也。】
最为难愈。须患者敛神晏息为妙,用麝香散,一日夜连吹五六次,渐愈。并服清肺饮,
虽不损人,最难速愈,须令病患耐心为妙,急用麝香散频吹,并服清肺饮,徐徐灌之。
急用赤小豆一升,杵碎,将水三碗,和捣取汁,每服一盏,不拘时服。再用槐花末掺之
连砂散配入去腐方频吹,去其腐。后用口疳药,倍加珠黄,再配去腐方,吹去紫色,独
用长肉药,频吹数日可愈。煎剂,养阴降火。【谔按∶高锦庭云∶此症患者,有二因,一生于风
寒暑热,阳明湿热交蒸;一生于阴亏络空,少阳胆火上逆。其脓结于盘牙尽处者,为牙咬
。结于腮边外,为托腮。结于牙根,为牙痈。如不急治,俱转变为骨槽。治宜疏肝散郁,育
阴为主,佐以解毒泄热。此症当与下数条参观自得。】
在煎剂中,必须加入犀角地黄汤,并使用甘遂散,吹至舌根及舌头两侧,时刻不可间断,才能迅速痊愈。如果痈肿病情严重,再配入制巴豆,同时吞服上清丸。
这是最为急重的病症,发作时立即使用加味硝黄散,或甘遂散,在患处周围重重吹药,并内服煎剂。如果大便闭塞不通,加大黄、芒硝,并吞服上清丸。如果是虚喉(一种咽喉疾病),用噙化丸含化咽下;如果症状过于严重,在丹剂中加入少许牛黄,吹入患处,稍一延误就难以救治了。臭花娘子根,捣汁咽下有效。
如果内外红肿,闭塞不通,用牙硝、硼砂、食盐,加入少许开关散吹入,立刻见效。煎剂中,加入……(原文此处似有缺漏,依文意推测为继续描述加减法,但根据“保持不增添”原则,仅翻译可见部分)
如果喉咙及牙关紧闭,难以吹入丹药,一时没有治疗方法,病情又紧急,顷刻之间,用蟾酥磨水,让患者仰鼻吸入方好。【谔按:同“锁”。指锁紧之意也。】
这是最难治愈的。必须让患者收敛心神、安静休息为妙,使用麝香散,一天一夜连续吹五六次,逐渐好转。并服用清肺饮。
虽然不危及生命,但最难迅速痊愈,必须让病患耐心对待为妙,急忙使用麝香散频繁吹药,并服用清肺饮,慢慢灌服。
急忙使用赤小豆一升,捣碎,用水三碗,和着捣取汁液,每次服用一盏,不限时间服用。再用槐花末掺敷患处。
连砂散配入去腐方频繁吹药,去除腐肉。之后用口疳药,加倍加入珍珠、牛黄,再配入去腐方,吹去紫色,单独使用长肉药,频繁吹药数日可愈。煎剂方面,养阴降火。【谔按:高锦庭说:这类患者,有两个病因,一是生于风寒暑热,阳明湿热交蒸;二是生于阴亏络空,少阳胆火上逆。脓结于盘牙尽处者,称为牙咬。结于腮边外,称为托腮。结于牙根,称为牙痈。如果不及时治疗,都会转变为骨槽风。治疗宜疏肝散郁,以育阴为主,佐以解毒泄热。此症应当与下面几条互相参照阅读自然明白。】
In the decoction, Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) must be added, and Gansui San (Kansui Powder) should be used to insufflate into the root of the tongue and the sides of the tongue. This must not be interrupted at any time for a rapid recovery. If the abscess is severe, processed Baidu Dou (Croton Seed) should be added, and Shangqing Wan (Upper Clearing Pill) swallowed simultaneously.
This is an extremely critical condition. Upon onset, Jiawei Xiaohuang San (Modified Mirabilite and Rhubarb Powder) or Gansui San should be immediately used, with heavy insufflation around the affected area, accompanied by internal administration of the decoction. If there is constipation, Dahuang (Rhubarb Root and Rhizome) and Mangxiao (Mirabilite) are added, and Shangqing Wan is swallowed. For Xu Hou (Deficiency Throat), Qinhua Wan (Holding and Melting Pill) is held in the mouth and swallowed. If the symptoms are too severe, a small amount of Niuhuang (Calculus Bovis) is added to the powder for insufflation; slight delay makes it difficult to save the patient. The juice of Chouhuaniangzi Gen (Root of *Clerodendrum bungei* or similar local herb) is effective when crushed and swallowed.
If there is redness and swelling inside and out, with blockage and obstruction, Yaxiao (Niter), Pengsha (Borax), and Shiyen (Salt) are used, with a small amount of Kaiguan San (Opening Lock Powder) added for insufflation, yielding immediate results. In the decoction, add... [Text fragment]
If the throat and jaw are tightly closed, making insufflation difficult, and there is no treatment available at the moment while the condition is urgent, within moments, Chan Su (Toad Venom) is ground with water and insufflated into the nostrils while the patient lies on their back. [Note by E: Same as "Suo" (Lock). Meaning locking tight.]
This is the most difficult to cure. It is advisable for the patient to calm their spirit and rest quietly. Moxiang San (Musk Powder) should be insufflated five or six times continuously over one day and night until gradual improvement occurs. Qingfei Yin (Lung-Clearing Infusion) should also be taken.
Although it does not endanger life, it is hardest to cure quickly. It is best for the patient to remain patient. Urgently use Moxiang San for frequent insufflation, and take Qingfei Yin, administered slowly.
Urgently use one sheng of Chixiaodou (Adzuki Bean), crush it, mix with three bowls of water, pound and extract the juice. Take one zhan per dose, at any time. Then, apply Huaihua Mo (Sophora Flower Powder) externally.
The illness can be cured by decocting and drinking Chouju Ye (Stinking Orange Leaf). If there is pain and swelling, frequent insufflation of Liansha San (Lotus Ash Powder) is advisable.
Liansha San is combined with Qufu Fang (Remove Rot Formula) for frequent insufflation to remove necrotic tissue. Afterwards, Kougan Yao (Mouth Ulcer Medicine) is used, with doubled amounts of Zhufen (Pearl Powder) and Niuhuang (Calculus Bovis), combined again with the Remove Rot Formula to insufflate away the purple discoloration. Use Changrou Yao (Flesh-Growing Medicine) alone, insufflating frequently for several days until cured. For the decoction, nourish yin and descend fire. [Note by E: Gao Jinting said: Patients with this condition have two etiologies: one arises from wind, cold, summer-heat, and heat, with damp-heat steaming in the Yangming channel; the other arises from yin deficiency and empty collaterals, with Shaoyang Gallbladder fire counterflow. When pus gathers at the end of the molar teeth, it is called Ya'ao (Tooth Bite). When it gathers outside the cheek, it is called Tuosai (Cheek Support). When it gathers at the tooth root, it is called Yayong (Tooth Abscess). If not treated urgently, all transform into Gucao Feng (Bone Trench Wind). Treatment should focus on soothing the liver and dispersing stagnation, primarily nourishing yin, assisted by detoxifying and clearing heat. This condition should be studied in conjunction with the following sections for full understanding.]