治一切疮疹,并痈肿,收口皆效。
当归 生地(各一两) 紫草 木鳖子肉(去壳) 麻黄 大枫子肉(去壳、研) 防风 黄柏
元参(各五钱) 麻油(八两) 黄蜡(二两)
先将前九味,入油熬枯,滤去渣,再将油复入锅内,熬至滴水成珠,再下黄蜡,试水中
不散为度,倾入盖碗内,坐水中出火三日,听搽。
古方治噎膈,多以止吐之剂通用,不思吐,湿症也,宜燥。噎膈,燥症也,宜润。经云
∶三阳结谓之隔。结,结热也,热甚则物干。凡噎膈症,不出胃脘干槁四字。槁在上脘者,
水饮可行,食物难入。槁在下脘者,食虽可入,久而复出。夫胃既槁矣,而复以燥药投之,
不愈益其燥乎?是以大、小半夏汤,在噎膈门为禁剂。予尝用启膈散开关,更佐以四君子汤
调理脾胃。挟郁者,则用逍遥散主之。虽然,药逍遥而人不逍遥,亦无益也。张鸡峰云∶此
症乃神思间病,法当内观静养。斯言深中病情。然其间有挟虫、挟血、挟痰与食,而为患者
皆当按法兼治,不可忽也。
通噎膈,开关之剂,屡效。
沙参(三钱) 丹参(三钱) 茯苓(一钱) 川贝母(去心,一钱五分) 郁金(五分) 砂仁壳(四分)
荷叶蒂(二个) 杵头糠(五分
水煎服。
虚者,加人参。前症若兼虫积,加胡连、芜荑,甚则用河间雄黄散吐之。若兼
血积,加桃仁、红花,或另以生韭汁饮之。若兼痰积,加广橘红。若兼食积,加卜子、麦芽
此症有生蛇 者,华佗以醋蒜食之,令饱,则吐物而出,真神法也。
四君子汤 (见虚证)
Treats all kinds of sores, rashes, as well as carbuncles and swellings, with efficacy in promoting wound healing.
Angelicae Sinensis Radix (Danggui), Rehmanniae Radix Recens (Shengdi) (each 1 liang), Arnebiae Radix seu Lithospermi Radix (Zicao), Bischofiae Semen (Mubiezi Rou) (shelled), Ephedrae Herba (Mahuang), Terminalia Chebulae Fructus (Dafengzi Rou) (shelled, pounded), Saposhnikoviae Radix (Fangfeng), Phellodendri Cortex (Huangbai), Scrophulariae Radix (Yuan Shen) (each 5 qian), Sesame Oil (Mayou), Beeswax (Huangla) (2 liang).
First, put the first nine herbs into the oil and boil until scorched, then filter out the dregs. Pour the oil back into the pot and continue boiling until a drop forms a bead when tested in water. Then add the beeswax, testing that it does not disperse in water. Pour the ointment into a covered bowl and place it in water to cool for three days to eliminate "fire qi," ready for application.
Ancient prescriptions for treating Yige (dysphagia and obstruction of the esophagus) often commonly used anti-emetic agents, without considering that vomiting is caused by dampness and should be treated with drying methods. Yige is a dryness syndrome and should be treated with moistening methods. The Classic says: "Accumulation of heat in the Three Yang meridians is called Ge." Accumulation refers to heat stagnation; severe heat leads to dryness. All cases of Yige fall under the description of "dryness and withering of the stomach cavity." If the withering is in the upper stomach, fluids can pass but food is difficult to enter. If the withering is in the lower stomach, food may enter but is vomited up after a long time. Since the stomach is already withered, administering drying medicines would only exacerbate the dryness. Therefore, Da Banxia Tang (Large Pinellia Decoction) and Xiao Banxia Tang (Small Pinellia Decoction) are contraindicated in the category of Yige. I have used Qige San (Qi-Opening Powder) to open the obstruction, assisted by Sijunzi Tang (Four Gentlemen Decoction) to regulate the spleen and stomach. In cases complicated by depression, Xiaoyao San (Free Wanderer Powder) is the primary prescription. Although Xiaoyao San is used, if the patient's mind is not free from worry, it is of no benefit. Zhang Jifeng said: "This disease is an ailment of the spirit and mind; the method should involve introspection and quiet nourishment." This statement deeply hits the mark regarding the condition. However, among these cases, some are complicated by parasites, blood stasis, phlegm accumulation, or food retention, which must be treated concurrently according to the law, and cannot be ignored.
Prescriptions for unblocking Yige and opening obstructions have proven effective repeatedly.
Glehniae Radix (Shashen), Salviae Miltiorrhizae Radix (Danshen), Poria (Fuling), Fritillariae Thunbergii Bulbus (Chuanbeimu) (core removed, 1.5 qian), Curcumae Radix (Yujin) (0.5 qian), Amomi Fructus Rotundus Pericarpium (Sharen Qiao) (0.4 qian), Nelumbinis Nucleus Pedunculus (Hetiao Di) (2 pieces), Rice Bran from Mortar Base (Chutou Kang) (0.5 qian).
Decoct in water and take orally.
For deficiency patterns, add Ginseng Radix et Rhizoma (Renshen). If the aforementioned symptoms are accompanied by parasite accumulation, add Coptidis Rhizoma (Hulian) and Terminalia Catappa Seed (Wuyi); in severe cases, use Hejian Xionghuang San (Hejian Realgar Powder) to induce vomiting. If accompanied by blood stasis, add Persicae Semen (Taoren) and Carthami Flos (Honghua), or drink fresh juice of Allium Tuberosum (Shengjiuzhi). If accompanied by phlegm accumulation, add Citri Reticulatae Pericarpium (Guangjuhong). If accompanied by food retention, add Raphani Semen (Bai Fuzi/Laobu) and Malto (Maiya). In this disease, there are cases presenting as "Shengshe" (likely referring to herpes zoster or similar dermatological conditions); Hua Tuo used vinegar-soaked garlic, having the patient eat until full, causing the expulsion of foreign matter, which is truly a miraculous method.
Sijunzi Tang (Four Gentlemen Decoction) (See Deficiency Patterns)