马刀疮生于缺盆之外,自胸而至胁,盖由痰核瘰 之时,治不如法,以至潮热频作,血气精神减少,肿起大
溃,以致脓血毒瓦斯下流,而发此症。何谓马刀?盖马者,行甚速也,刀者,利器也,行疾而器利无将岂能善敌哉。
必须先服奔毒饮,外着艾灸肩井、肺俞、膻中、风池、中腕、百劳、曲池等穴,各五、六壮,宜用前瘰 症内诸
方皆可服。若马刀未破,其面小即从核上灸之,外贴万灵膏,并敷药调理自愈。如稍迟延,虽神丹不可治也。
二十四味奔毒饮
花粉、牛子、生地、当归、昆布、柴胡、青皮、桑白皮、黄柏、桔根、川芎、人参、黄 、白术、乳香、没
药、雄黄、羌活、麦冬、干葛、升麻、黄连、朱砂、陈皮。
食远服。
十七味瘰 时方
海藻、海带、昆布(以上各二钱,但以醋浸洗、焙干火 ),连翘(去隔)、陈皮、桔根、石膏、黄芩、牡
蛎(火 )各二钱,荆芥、柴胡、防风、黄柏、苦参、黄连(姜汁炒)各一钱,木通、夏枯草各四钱。
此药要用十剂。空心服,忌生冷发物。
外一方
用苍术三斤,葱斤半,俱切片熬膏,以青布摊膏贴之效,一日三换。
四味敷方
蓖麻子(去壳、油)一两,松香(嫩者)五钱,乳香、血竭各一钱,捣成膏敷贴之。已破后,即用此方。
十味瘰 药酒方
二花四两,萱草根四两,益母草四两,紫花地丁四两,玄参、甘草、大黄、石菖蒲各五钱,鹅不食草、归尾
各四钱。
用好酒十壶,煮三炷香埋土中三日,取出,不拘时服。已溃
未溃,服之俱效。
十七味痰核肿痛方
连翘、归尾、白芷各二钱,防风六分、干葛四分、枳壳三分,花粉七分、陈皮六分、贝母五分,茯苓四分,
苦参三分,二花二钱,炙草三分,桔根六分,黄芩三分,苏梗三分,夏枯草二钱。
以上药味,俱不可加减,用水碗半煎一碗,再用野菊花根煎水酒共三钟,对前药,每日早中晚食后服。此方
神效,救人多矣。
Madao Chuang (Horse-Scallop Sore) arises outside the Quepen acupoint (supraclavicular fossa), extending from the chest to the hypochondrium. This condition typically results from improper treatment of Tanhe Luoli (Phlegm Nodules and Scrofula), leading to frequent tidal fevers, depletion of Qi and Blood, and spirit, swelling of masses, and subsequent ulceration. Consequently, pus, blood, and toxic vapors flow downward, triggering this syndrome.
What is meant by "Madao" (Horse-Scallop)? "Ma" (Horse) signifies rapid movement; "Dao" (Sword/Knife) signifies a sharp weapon. Rapid movement combined with a sharp weapon implies that without vigilance, one cannot effectively resist the enemy.
Treatment must begin with administering Bendu Yin (Poison-Fleeing Decoction). Externally, moxibustion should be applied to the Jianjing (GB21), Feishu (BL13), Danzhong (CV17), Fengchi (GB20), Zhongwan (CV12), Bailao (EX-B1), and Quchi (LI11) acupoints, five to six moxa cones per point. The various formulas previously mentioned for treating Luoli (Scrofula) are also suitable for internal use. If Madao Chuang has not yet ulcerated, apply moxibustion directly onto the nodule if it is small on the face, externally apply Wanling Gao (Myriad Miracles Plaster), and regulate with herbal medication for spontaneous recovery. Any delay in treatment renders even divine elixirs ineffective.
Twenty-Four Herb Bendu Yin (Poison-Fleeing Decoction)
Tianhuafen (Trichosanthes Root), Niuzi (Arctii Fructus), Shengdi (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Kunbu (Laminariae Thallus), Chaihu (Bupleuri Radix), Qingpi (Aurantii Fructus Pericarpium), Sangbaipi (Mori Cortex), Huangbai (Phellodendri Cortex), Jiegen (Platycodonis Radix), Chuanxiong (Chuanxiong Rhizoma), Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Xuruxiang (Olibanum), Moyao (Myrrha), Xionghuang (Realgar), Qianghuo (Notopterygii Rhizoma et Radix), Maidong (Ophiopogonis Tuber), Gan Ge (Puerariae Radix), Shengma (Cimicifugae Rhizoma), Huanglian (Coptidis Rhizoma), Zhusha (Cinnabar), Chenpi (Citri Reticulatae Pericarpium).
Take well after meals.
Seventeen-herb Luoli Seasonal Formula
Haizao (Sargassum Thallus), Haidai (Eckloniae Thallus), Kunbu (Laminariae Thallus) [each 2 qian, soaked in vinegar, washed, dried, and stir-fried], Lianqiao (Forsythiae Fructus) [deveined], Chenpi (Citri Reticulatae Pericarpium), Jiegen (Platycodonis Radix), Shigao (Gypsum Fibrosum), Huangqin (Scutellariae Radix), Muli (Ostreae Concha) [calcined] each 2 qian, Jingjie (Schizonepetae Spica), Chaihu (Bupleuri Radix), Fangfeng (Saposhnikoviae Radix), Huangbai (Phellodendri Cortex), Kushen (Sophorae Flavescentis Radix), Huanglian (Coptidis Rhizoma) [stir-fried with ginger juice] each 1 qian, Mutong (Akebiae Caulis), Xiakucao (Prunellae Spica) each 4 qian.
This medicine requires ten doses. Take on an empty stomach; avoid raw, cold, and stimulating foods.
External Formula One
Use Cangzhu (Atractylodis Rhizoma) three jin, Congbai (Allii Fistulosi Bulbus) half a jin. Slice both and decoct into a paste. Spread the paste on blue cloth and apply to the affected area for efficacy. Change once daily three times.
Four-Herb Poultice Formula
Bimazi (Ricini Semen) [shelled and oil removed] 1 liang, Songxiang (Colophonium) [tender] 5 qian, Xuruxiang (Olibanum), Xuexie (Draconis Sanguis) each 1 qian. Pound into a paste and apply. Use immediately after ulceration.
Ten-Herb Luoli Medicinal Wine Formula
Jinhua (Lonicerae Japonicae Flos) 4 liang, Xuancgen (Daylily Root) 4 liang, Yimucao (Leonuri Herba) 4 liang, Zihuadiding (Violae Herba) 4 liang, Xuanshen (Scrophulariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Dahuang (Rhei Radix et Rhizoma), Shichangpu (Acori Tatarinowii Rhizoma) each 5 qian, Ebushicao (Petasitis Herba), Guiwei (Angelicae Sinensis Radix caudex) each 4 qian.
Decoct in ten hu of good wine until three incense sticks have burned. Bury in soil for three days, then retrieve. Take at any time. Effective whether ulcerated or not.
Seventeen-Herb Phlegm Nodule Swelling and Pain Formula
Lianqiao (Forsythiae Fructus), Guiwei (Angelicae Sinensis Radix caudex), Baizhi (Angelicae Dahuricae Radix) each 2 qian, Fangfeng (Saposhnikoviae Radix) 6 fen, Gan Ge (Puerariae Radix) 4 fen, Zhike (Aurantii Fructus) 3 fen, Tianhuafen (Trichosanthes Root) 7 fen, Chenpi (Citri Reticulatae Pericarpium) 6 fen, Beimu (Fritillariae Cirrhosae Bulbus) 5 fen, Fuling (Poria) 4 fen, Kushen (Sophorae Flavescentis Radix) 3 fen, Jinhua (Lonicerae Japonicae Flos) 2 qian, Zhigancao (Glycyrrhizae Radix et Rhizoma preparata) 3 fen, Jiegen (Platycodonis Radix) 6 fen, Huangqin (Scutellariae Radix) 3 fen, Sugeng (Perillae Caulis) 3 fen, Xiakucao (Prunellae Spica) 2 qian.
The above herbs must not be altered. Decoct half a bowl of water to yield one bowl. Separately decoct Yejuhua Gen (Wild Chrysanthemum Root) with water and wine to obtain three zhong. Mix with the previous decoction. Take after morning, noon, and evening meals. This formula is miraculous and has saved many lives.