肾岩乃疡科恶候,鲜有收功。经治以来,翻花肿硬虽见松轻,究未可恃也。仍宗前法进步。
红枣 藕 怀山药 当归 黄柏 泽泻 茯苓 知母 麦冬
坚岩肿势较平,慎防出血,拟方多服保守而已。
怀山药 当归 川连 生地 黄柏 赤白芍 泽泻 龟板 茯苓 知母 乌鲫骨 丹皮
玉茎者,即宗筋也,乃肾脏之主。又十二经络之总会马口,端属手少阴心经。肾脏阴虚
火郁,心肝二脏之火复会于此。始时茎头马口痒碎,渐生坚肉,业已年余。今夏破溃翻花,出
数次,火郁日久,必致外越,血得热而妄行。经云∶实火可泻,虚火可补。且龙雷之火不宜直
折,脉细数,阴分大伤,急当峻补真阴,兼介类潜阳之法。俾龙雷之火得以归窟,而外患方保无虞。
西洋参 麦冬 丹皮 天冬 小生地 元武板 粉茸 泽泻 白芍 藕
脱囊黑腐,温邪内逼,哕恶泄泻,脉细,舌白,高年重症,慎防呃脱,先为和中止泄。
川朴 菖根 枳壳 车前子 左金丸 茯苓 藿梗 广皮 半夏 大腹皮 炙甘草 荷叶 土灶心
伏兔痈漫肿内硬,已延两月,发热口干,脉虚数,宜养温通经络。
中生地 淮牛膝 肉桂 当归 陈皮 炙甲片 黄柏 制半夏 赤芍 甘草 桑枝
伏兔痈溃久,湿热上升,腮龈口舌糜腐,先为清解。
元参 川毛连 桔梗 连翘 花粉 粉丹皮 甘草 黄芩 灵根
肾岩是外科中的危重证候,很少能治愈。经过治疗以来,虽然翻花状肿硬的症状有所减轻,但终究不能掉以轻心。仍遵循之前的治法继续进步。
红枣、藕、怀山药、当归、黄柏、泽泻、茯苓、知母、麦冬。
坚硬的岩肿之势较为平复,需谨防出血,拟定方剂多服以保守治疗为主。
怀山药、当归、川连、生地、黄柏、赤白芍、泽泻、龟板、茯苓、知母、乌鲫骨、丹皮。
玉茎(阴茎),即宗筋,是肾脏的主管部位。又十二经络的总会马口(尿道口),端属于手少阴心经。肾脏阴虚,火气郁结,心肝二脏的火气又汇聚于此。起初茎头和马口瘙痒溃烂,逐渐长出坚硬肉块,已经一年多了。今年夏天破溃并出现翻花状,出了几次血,火气郁结日久,必然导致外越,血液受热而妄行。医经说:实火可以泻,虚火可以补。况且龙雷之火(相火)不宜直接折损,脉象细数,阴分大伤,急需峻补真阴,兼用介类潜阳的方法。使得龙雷之火得以归位,外患才能确保无忧。
西洋参、麦冬、丹皮、天冬、小生地、元武板(龟板)、粉茸(石斛)、泽泻、白芍、藕。
脱囊(阴囊坏死)黑腐,温邪内逼,呃逆恶心泄泻,脉细,舌苔白,高龄重症,谨防呃逆脱证,先调和中焦止泄。
川朴(厚朴)、菖根(石菖蒲根)、枳壳、车前子、左金丸、茯苓、藿梗(广藿香梗)、广皮(陈皮)、半夏、大腹皮、炙甘草、荷叶、土灶心(伏龙肝)。
伏兔痈漫肿且内部坚硬,已经延续两个月,发热口干,脉象虚数,宜养阴温通经络。
中生地、淮牛膝、肉桂、当归、陈皮、炙甲片(穿山甲)、黄柏、制半夏、赤芍、甘草、桑枝。
伏兔痈溃烂日久,湿热上升,腮部牙龈口舌糜烂腐败,先进行清解。
元参(玄参)、川毛连(黄连)、桔梗、连翘、花粉(天花粉)、粉丹皮、甘草、黄芩、灵根(金银花藤/忍冬藤)。
Shenyan (Penile Cancer) is a malignant condition in surgery, rarely curable. Since treatment began, although the everted-flower-like swelling and hardness have slightly eased, one must not rely on this lightly. Continue with the previous method to advance.
Hongzao (Jujube), Ou (Lotus Rhizome), Huaishanyao (Dioscoreae Hypoglaucae Rhizoma), Danggui (Angelicae Sinensis Radix), Huangbai (Phellodendri Cortex), Zexie (Alismatis Rhizoma), Fuling (Poria), Zhimu (Anemarrhenae Rhizoma), Maidong (Ophiopogonis Radix).
The hard rock-like swelling has relatively flattened; beware of bleeding. Prescribe this formula for prolonged intake for conservative management.
Huaishanyao (Dioscoreae Hypoglaucae Rhizoma), Danggui (Angelicae Sinensis Radix), Chuanlian (Coptidis Rhizoma), Shengdi (Rehmanniae Radix), Huangbai (Phellodendri Cortex), Chi Baishao (Paeoniae Radix Rubra et Alba), Zexie (Alismatis Rhizoma), Guiban (Testudinis Carapax et Plastrum), Fuling (Poria), Zhimu (Anemarrhenae Rhizoma), Wuji Gu (Sepiae Endoconcha), Danpi (Moutan Cortex).
Yujing (Penis), also known as Zongjin (Convergent Sinews), is governed by the Kidney. The Makou (Urethral Orifice), where the twelve meridians converge, belongs to the Hand-Shaoyin Heart Meridian. Kidney Yin deficiency with Fire stagnation, combined with Fire from the Heart and Liver converging here. Initially, itching and erosion at the glans and Makou, gradually developing into hard flesh, lasting over a year. This summer, it ulcerated and everted, bleeding several times. Long-standing Fire stagnation inevitably leads to outward flare-up; Blood moves recklessly when heated. The Classics state: Excess Fire can be purged, Deficient Fire can be tonified. Moreover, Longlei Fire (Ministerial Fire) should not be directly suppressed. The pulse is fine and rapid, indicating severe injury to Yin. Urgently tonify True Yin, combined with the method of anchoring Yang using shell substances. Thus, Longlei Fire returns to its cave, ensuring safety from external complications.
Xiyangshen (American Ginseng), Maidong (Ophiopogonis Radix), Danpi (Moutan Cortex), Tiandong (Asparagi Radix), Xiaoshengdi (Rehmanniae Radix Prepared), Yuanwu Ban (Testudinis Carapax et Plastrum), Fenrong (Dendrobii Caulis), Zexie (Alismatis Rhizoma), Baishao (Paeoniae Radix Alba), Ou (Lotus Rhizoma).
Tuonang (Fournier's Gangrene/Necrotizing Fasciitis of Scrotum) presents with black necrosis; Warm pathogen presses inward. Hiccups, nausea, diarrhea, fine pulse, white tongue coating. Severe case in an elderly patient; beware of hiccups leading to collapse. First, harmonize the Middle Jiao and stop diarrhea.
Chuanpo (Magnoliae Officinalis Cortex), Changgen (Acori Tatarinowii Rhizoma), Zhiqiao (Aurantii Fructus), Cheqianzi (Plantaginis Semen), Zuojin Wan (Left Metal Pill), Fuling (Poria), Huogeng (Pogostemonis Herba), Guangpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Dafupi (Arecae Pericarpium), Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata), Heye (Nelumbinis Folium), Tuzaoxin (Fossilized Hearth Soil).
Futu Yong (Abscess of Thigh/Femoral Region) presents with diffuse swelling and internal hardness, persisting for two months. Fever, dry mouth, deficient-rapid pulse. Nourish Yin and warm/unblock the meridians.
Zhong Shengdi (Rehmanniae Radix Fresh), Huainiuxi (Achyranthis Bidentatae Radix), Rougui (Cinnamomi Cortex), Danggui (Angelicae Sinensis Radix), Chenpi (Citri Reticulatae Pericarpium), Zhi Jiapian (Manis Squama), Huangbai (Phellodendri Cortex), Zhi Banxia (Pinelliae Rhizoma Preparatum), Chishao (Paeoniae Radix Rubra), Gancao (Glycyrrhizae Radix et Rhizoma), Sangzhi (Mori Ramulus).
Futu Yong has been ulcerated for a long time; Damp-Heat rises. Erosion and putrefaction of cheeks, gums, mouth, and tongue. First, clear and resolve.
Yuanshen (Scrophulariae Radix), Chuanmaolian (Coptidis Rhizoma), Jiegeng (Platycodonis Radix), Lianqiao (Forsythiae Fructus), Huafen (Trichosanthis Radix), Fen Danpi (Moutan Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix), Linggen (Lonicerae Japonicae Caulis).