疔疮皆生四肢,发黄泡,中或紫黑,必先痒后痛、先寒后热也。其中或紫黑色有条如红丝直上,
仓卒之际,急以针于红丝所至处必刺出毒血,然后以蟾酥丹药于刺处涂之。针时以病者知痛出血即好。
否则,红丝入腹攻心,必致危矣。
疔疮者,风邪热毒相搏也。
退疔夺命丹(专治疔疮。)
防风(八分) 青皮(七分) 羌活(一钱) 独活(一钱) 黄连(一钱) 赤芍(六分)
细辛(八分) 僵蚕(一钱) 蝉蜕(四分) 泽兰叶(五分) 金银花(七分)
甘草节(一钱) 独脚莲(七分) 紫河车(一名金线重楼,七分。)
上锉五钱先服,倍金银花一两,泽兰一两少用叶、生姜十片,同内捣烂,好酒旋热泡之,去渣热服,
不饮酒者,水煎亦可,然后用酒水各一半,煎生姜十片。热服出汗,病退减后,再加大黄五钱同煎,热服,
以利二三次,去除毒。若有脓,加何首乌、白芷梢;在脚加槟榔、木瓜;要通利加青皮、木香、大黄、
栀子、牵牛。
治龙芽一醉饮 治疔疮如神。
龙芽草,五月五日端午采收阴干,将好酒浸,捣取汁,量加乳香、没药、绿豆粉,入汁内同饮,将渣
敷疮上。此日不许吃一些茶水,只可饮酒就洗,亦不可用水。
秘传妙方 治误食瘟牛、马、羊肉生出疔疮、疔毒。
用桐油树叶捣烂,绞汁一二碗,顿服,得大泻毒瓦斯乃愈。如冬月无叶,挖取嫩根研水服之,以利二三次
为度。
神效丹(即黑舌丹) 治伤寒初起,诸般恶毒、疔疮、发背,一切肿毒、遍身痒痛;又治伤寒咳嗽、
鼻涕劳嗽久咳、小儿痘疮黑陷不起、喉痹肿痛;又治蛊毒并破伤风。
朱砂 雄黄 片脑(各五分) 乳香 没药 轻粉(各三分) 血竭(三钱) 真蟾酥(一钱)
麝香(当门子者二分。)
上共为末,用酥油或乳汁为丸,如扁豆大。每一丸,噙化,用好酒嗽咽下。
飞龙夺命丹 治疔疮、脑疽、发背、乳痈、附骨疽、一切无名肿毒、恶疮,服之便有头迹。不痛者,
服之便痛。已成者,服之立愈。此皆恶症,乃药中至宝。危者,服之立安。
雄黄(二钱) 蟾酥(干者二钱,老酒化开) 铜绿 乳香 没药 胆矾 寒水石 血竭(各三钱)
朱砂(一钱,研,为衣) 轻粉 片脑
麝香(当门子者,各五分) 蜈蚣(一条,酒浸炙黄去头足) 蜗牛(二十个。)
上件俱为细末,先将蜗牛连壳研如泥,和药为丸,如绿豆大。如丸不就,入酒打面糊丸之。
每服二十丸。用葱白三寸,令病患嚼烂,吐于男左女右手心,将丸药放在内,用无灰热酒三
四杯送下。于避风处以衣被盖之,约人行五里之久;再用热酒三四杯以助药,发热大汗为度。
如重者无汗,再进二丸,汗出即愈。如疔疮走黄过心者,并出汗冷者,难治。病患不能嚼葱者,
研烂裹之与服。疮在上,食后服;在下,食前服。忌冷水、黄瓜、茄子、油腻、鸡、鱼肉、湿面,
一切发物不可食。
神仙解毒丸 治一切疔疮、发背、鱼口、诸般恶疮、无名肿毒,初发,一服即消。白矾
不拘多少,熔化作丸,如绿豆大,朱砂为衣。每服十丸,用连须葱七八根水煎至二碗送下。汗出立愈。
已成者不伤,未成者即消。
疔疮外施之药
蟾酥丹 用大癞虾膜,以针破眉棱上,手捻出酥,于油纸上或桑叶上,用竹蔑刮下。然后插在
背阴处自干取用。蟾酥以白面、黄丹等分拌和丸,如麦粒状,针破患处,以一粒纳之。
类圣散 治一切疔疮恶毒肿痛如神。
川乌 草乌 苍术 细辛 白芷 薄荷 防风 甘草(炙,五钱)
上为细末,鸡子清调,涂患处留顶。
追毒膏 治诸般恶疮及无名肿毒。
乳香(五分) 没药(一钱) 儿茶(二钱) 血竭(一分) 青木香(一钱) 广木香(五分)
芙蓉叶(四两) 白芨(四两) 上各为细末,匀在一处,临用时,看疮大小,以生蜜调,涂患处,以
绵纸附之。不过三五
次即消。
疔毒方 急将毒用针刺破,葱白捣烂敷上,手帕系住,人行五里之时,其疔出。然后用热醋洗净。
一切疔疮,用黄花苗、老葱、蜂蜜共一处捣烂,贴疮即好。
治疔疮方
核桃仁一个、古铜钱一个,二者细嚼,黄酒送下。至重不过二服,其效如神。
小夺命丹 治脑疽及疔疮恶毒、无名肿毒,其效如神。
千头子(即扫帚子) 槐花子 地丁
上三味各等分,水煎,通口温服,加蟾酥尤妙。
铁柱杖 治疔疮、发背、头风。
用草乌头不拘多少,去皮净为末,用葱白去须叶,捣烂为丸,碗豆大,以雄黄为衣,每一丸。
先将葱细嚼,热酒下。或恶心吐三四口,冷水一口止之即卧,以被浓盖汗出为度。
一男子患疔,服夺命丹,汗不止而疮不痛,热不止而便不利,此汗多亡阳、毒瓦斯盛而真气伤矣。
用参、 、归、术、芍药、防风、五味子二剂,诸症悉愈,唯以小便不利为忧。余曰∶汗出不宜利
小便,汗既止,阳气复而自利矣。仍用前药去防风,加麦门冬,用当归、黄 ,四剂便行,疮溃而愈。
灸法 治疔疮恶毒。
用大蒜捣烂成膏,涂肿处四围,留露肿顶,以艾炷灸之,以爆为度。如不爆稍则难愈,宜多灸
百余壮,无不愈者。
Carbuncles (Ding Chuang) all occur on the four limbs, presenting with yellow blisters; the center may be purple or black. The symptoms invariably begin with itching followed by pain, and chills followed by fever. If a purple-black line resembling a red thread extends straight upward from the lesion, in an emergency, one must urgently prick the tip of the red thread with a needle to drain toxic blood, then apply Chan Su Pill (Toad Venom Pill) to the pricked site. During needling, it is appropriate when the patient feels pain and blood flows. Otherwise, the toxin may travel along the red thread into the abdomen and attack the Heart, leading to critical danger.
The etiology of Carbuncles is the struggle between Wind pathogen and Heat toxin.
Tui Ding Duo Ming Dan (Retreat Carbuncle Life-Rescuing Pill) (Specially treats Carbuncles.)
Fangfeng (Saposhnikovia Root, 8 fen) Qingpi (Citrus Peel, 7 fen) Qianghuo (Notopterygium Rhizome, 1 qian) Duhuo (Angelica Pubescens Root, 1 qian) Huanglian (Coptis Rhizome, 1 qian) Chishao (Red Peony Root, 6 fen)
Xixin (Asarum Root, 8 fen) Jiangcan (Bombyx Batryticatus, 1 qian) Chantui (Cicada Slough, 4 fen) Zelan Ye (Lycopus Leaf, 5 fen) Jinyinhua (Honeysuckle Flower, 7 fen)
Gancao Jie (Licorice Joint, 1 qian) Du Jiao Lian (Single-foot Lotus, 7 fen) Zi He Che (Human Placenta, also known as Jin Xian Chong Lou, 7 fen.)
Grind the above ingredients finely, take 5 qian first. For severe cases, increase Jinyinhua to 1 liang and Zelan to 1 liang (use fewer leaves), add 10 slices of Shengjiang (Fresh Ginger), crush them together, soak in good wine while hot, strain, and drink hot. For those who do not drink alcohol, decocting in water is also acceptable. Then, decoct 10 slices of Shengjiang in half wine and half water. Drink hot to induce sweating. After the disease subsides, add Dahuang (Rhubarb Root) 5 qian, decoct together, drink hot, and promote defecation two or three times to eliminate toxins. If pus has formed, add Heshouwu (Polygonum Multiflorum Root) and Baizhi Sha (Angelica Dahurica Root Tip); if located on the foot, add Binglang (Areca Seed) and Mugua (Chaenomeles Fruit); to enhance purgative action, add Qingpi, Muxiang (Aucklandia Root), Dahuang, Zhizi (Gardenia Fruit), and Qianniu (Pharbitis Seed).
Long Ya Yi Zui Yin (Dragon Sprout One-Drunken Drink) (Treats Carbuncles with miraculous effect.)
Longya Cao (Agrimony Herb), harvested on the fifth day of the fifth lunar month (Dragon Boat Festival) and dried in shade. Soak in good wine, crush to extract juice, add appropriate amounts of Ruxiang (Frankincense), Moyao (Myrrh), and Lv Dou Fen (Mung Bean Powder), mix with the juice and drink. Apply the dregs to the sore. On this day, refrain from drinking tea; only use wine for ingestion and washing, and do not use water.
Secret Effective Prescription (Treats Carbuncles and Ling Du caused by mistakenly eating beef, horse meat, or mutton from plague-stricken animals.)
Use Tong You Shu Ye (Vernicia Fordii Leaf), crush and squeeze out one to two bowls of juice, consume in one dose. Recovery occurs after severe diarrhea expels toxic vapors. In winter without leaves, dig up tender roots, grind into water, and ingest. Two or three bowel movements are sufficient.
Shen Xiao Dan (Divine Efficacy Pill) (Also known as Hei She Dan / Black Tongue Pill) (Treats early-stage Shang Han [Cold Damage], various malignant toxins, Carbuncles, Fa Bei [Back Abscess], all swellings and sores, whole-body itching and pain; also treats Shang Han cough, chronic cough with nasal discharge and phlegm, pediatric smallpox lesions that are black and depressed, Hou Bi [Throat Obstruction] swelling and pain; also treats Gu Du [Poisonous Worm Toxin] and Po Shang Feng [Broken Wind/Tetanus].)
Zhusha (Cinnabar) Xionghuang (Realgar) Pian Nao (Borneol) (each 5 fen) Ruxiang (Frankincense) Moyao (Myrrh) Qingfen (Calomel) (each 3 fen) Xuexie (Dragon's Blood Resin, 3 qian) Zhen Chan Su (Authentic Toad Venom, 1 qian)
Shexiang (Musk, select Dang Men Zi, 2 fen.)
Grind all ingredients into fine powder. Form pills using Su You (Butter Oil) or Ru Zhi (Breast Milk), size of a broad bean. Take one pill at a time, hold in mouth to dissolve slowly, swallow with good wine after rinsing the throat.
Fei Long Duo Ming Dan (Flying Dragon Life-Rescuing Pill) (Treats Carbuncles, Nao Ju [Brain Carbuncle], Fa Bei [Back Abscess], Ru Yong [Breast Abscess], Fu Gu Ju [Bone-Attacking Abscess], all unnamed swellings and sores, malignant ulcers. Upon ingestion, the sore will show a head. If painless, it becomes painful. If already formed, it heals immediately. These are all malignant conditions; this medicine is a treasure among medicines. Critical cases stabilize immediately upon ingestion.)
Xionghuang (Realgar, 2 qian) Chan Su (Toad Venom, dry 2 qian, dissolved in old wine) Tong Lü (Verdigris) Ruxiang (Frankincense) Moyao (Myrrh) Dan Fan (Alum) Han Shui Shi (Halloysite) Xuexie (Dragon's Blood Resin) (each 3 qian)
Zhusha (Cinnabar, 1 qian, ground, used as coating) Qingfen (Calomel) Pian Nao (Borneol)
Shexiang (Musk, select Dang Men Zi, each 5 fen) Wugong (Centipede, one strip, soaked in wine, roasted until yellow, remove head and feet) Woniu (Snail, twenty pieces.)
Grind all ingredients into fine powder. First, grind Woniu with shell into mud, mix with medicine to form pills, size of a mung bean. If difficult to form, use wine-dissolved flour paste.
Take 20 pills per dose. Have the patient chew 3 cun long Cong Bai (Scallion White), spit into the left palm (for males) or right palm (for females), place the pill inside, and wash down with three to four cups of warm, unadulterated wine. Cover with blankets in a wind-sheltered place for the time it takes to walk five li. Assist the medicine with another three to four cups of warm wine until profuse sweating occurs. If severe cases have no sweat, administer two more pills; recovery follows sweating. If Carbuncle Zou Huang [Toxic Spread] has reached the Heart, or if sweating is cold, treatment is difficult. If the patient cannot chew scallion, grind it and wrap the pill for administration. For sores on the upper body, take after meals; for lower body, take before meals. Avoid cold water, cucumber, eggplant, greasy food, chicken, fish, wet noodles, and all "Fa Wu" [stimulating foods that trigger diseases].
Shen Xian Jie Du Wan (Immortal Detoxification Pill) (Treats all Carbuncles, Fa Bei [Back Abscess], Yu Kou [Fish Mouth Abscess], various malignant ulcers, unnamed swellings and sores. At initial onset, one dose causes resolution. Bai Fan (Alum), amount unspecified, melt and form pills size of mung beans, coat with Zhusha (Cinnabar). Take 10 pills per dose, decoct seven or eight Gen Xu Cong (Scallion with roots) in water to yield two bowls, and drink. Sweating leads to immediate cure. Already formed sores are not harmed; unformed ones dissipate instantly.)
External Medicines for Carbuncles
Chan Su Dan (Toad Venom Pill) Use membrane from large toads. Prick the skin above the eyebrow ridge with a needle, squeeze out venom onto oil paper or mulberry leaf, scrape off with bamboo splint. Dry naturally in shade. Mix Chan Su (Toad Venom) with equal parts Bai Mian (White Flour) and Huang Dan (Red Lead), form pills size of wheat grains. Prick the affected area, insert one pill.
Lei Sheng San (Miraculous Sage Powder) (Treats all Carbuncles, malignant toxins, swelling and pain with miraculous effect.)
Chuan Wu (Sichuan Aconite Root) Cao Wu (Kansu Aconite Root) Cang Zhu (Atractylodes Rhizome) Xixin (Asarum Root) Baizhi (Angelica Dahurica Root) Bohe (Mint) Fangfeng (Saposhnikovia Root) Gancao (Licorice Root, honey-fried, 5 qian)
Grind into fine powder, mix with Ji Zi Qing (Egg White), apply to affected area leaving the top exposed.
Zhui Du Gao (Toxin-Chasing Ointment) (Treats various malignant ulcers and unnamed swellings.)
Ruxiang (Frankincense, 5 fen) Moyao (Myrrh, 1 qian) Er Cha (Catechu, 2 qian) Xuexie (Dragon's Blood Resin, 1 fen) Qing Mu Xiang (Costus Root, 1 qian) Guang Mu Xiang (Aucklandia Root, 5 fen)
Furong Ye (Hibiscus Leaf, 4 liang) Bai Ji (Bletilla Rhizome, 4 liang) Grind each into fine powder, mix evenly. When applying, according to sore size, mix with raw honey, apply to affected area, cover with cotton paper. Dissipation occurs within three to five applications.
Ling Du Fang (Carbuncle Toxin Formula) Urgently prick the toxin with a needle, crush Cong Bai (Scallion White) and apply, tie with handkerchief. After walking five li, the carbuncle will emerge. Then wash with hot vinegar.
For all Carbuncles, mix Huang Hua Miao (Dandelion Herb), Lao Cong (Old Scallion), and Feng Mi (Honey), crush together, apply to sore for healing.
Zhi Ling Chuang Fang (Formula for Treating Carbuncles)
One Walnut Kernel, one ancient copper coin. Chew thoroughly together, swallow with Huang Jiu (Yellow Wine). Severe cases require no more than two doses; efficacy is miraculous.
Xiao Duo Ming Dan (Small Life-Rescuing Pill) (Treats Nao Ju [Brain Carbuncle], Carbuncle malignant toxins, unnamed swellings; efficacy is miraculous.)
Qian Tou Zi (Broom Seeds, also known as Sao Zhou Zi) Huai Hua Zi (Sophora Flower Bud) Di Ding (Viola Herb)
Equal parts of these three herbs, decoct in water, drink warm. Adding Chan Su (Toad Venom) is especially excellent.
Tie Zhu Zhang (Iron Pillion) (Treats Carbuncles, Fa Bei [Back Abscess], Tou Feng [Head Wind].)
Use Cao Wu Tou (Kansu Aconite Root), amount unspecified. Remove peel, grind to powder. Use Cong Bai (Scallion White), remove roots and leaves, crush to form pills size of pea, coat with Xionghuang (Realgar). Take one pill per dose.
First, chew scallion finely, swallow with hot wine. If nausea/vomiting occurs three or four times, stop with a sip of cold water, then lie down. Cover thickly with blankets until sweating occurs.
A man suffered from a Carbuncle. After taking Duo Ming Dan, he had incessant sweating but painless sore, persistent fever but constipation. This indicated Yang collapse due to excessive sweating,盛 toxic vapors damaging true Qi.
Prescribed Ren Shen (Ginseng Root), [missing character, likely Huang Qi], Dang Gui (Angelica Sinensis Root), Zhu (Atractylodes Macrocephala Rhizome), Shao Yao (Peony Root), Fangfeng (Saposhnikovia Root), Wu Wei Zi (Schisandra Fruit). Two doses cured all symptoms, except worry about difficulty urinating. I said: Difficulties in urination should not be treated with diuretics after sweating. Once sweating stops, Yang Qi recovers and urination will normalize naturally. Continued with previous formula, removing Fangfeng, adding Mai Men Dong (Ophiopogon Tuber), Dang Gui (Angelica Sinensis Root), [missing character, likely Huang Qi]. Four doses resulted in normal urination, ulceration of the sore, and recovery.
Moxibustion Method (Treats Carbuncle malignant toxins.)
Crush Da Suan (Garlic) into paste, apply around the swollen area, leaving the apex exposed. Perform moxibustion with Ai Zhu (Moxa Cone) until a popping sensation is felt. If no popping occurs, healing is difficult; perform over one hundred moxa cones. No case fails to heal.