凡痈疽溃后,腐肉渐尽,患口大者,尚流浓黄脓,碍动患底之肉,即流鲜血,口小孔深
者,必插药捻,插至见红血者,以及日久漏管,既经提拔,脓管已去,后插生肌药,亦觉肌生
血见者,俱可收功于迟早。以上各症,或溃淌稀脓污黑汁,或流黄水白浆者,是气血早伤,
肌肉腐败,阴阳之机,不能鼓荡,其生发无功,于无中为有。安望敛肌完口,可指日而待哉?
素来湿盛热炽者,或嗜酒生湿,或喜食辛辣之物热结脏腑之内,日久皆能 伏生虫,流
入大肠,盘踞肛门,奇痒异常。虽服煎药,外施熏洗,终不见功。今有验方列下。
杏仁(二钱) 轻粉(一钱) 黄连(二钱) 芜荑(一钱) 蛇床子(二钱) 花椒(一钱) 朝脑
(一钱) 枯矾(一钱) 黄柏(三钱)
共研细末,用黑枣肉同捣烂,做如笔杆粗,约长寸许,晒干,外裹丝棉,以棉线一根,
系紧药条端打结,插入肛门内,留线拖于外。一日一换,数日除根。
人受湿邪内困,肢体便觉顽重,无寒无热,面色不泽,精神委顿,一见饮食,心中即泛
泛欲呕,不饥不食,日久难退,此当专责之于脾,不关于胃。盖脾喜香燥,燥脾则湿去,犹之
地上湿润,一得日照风吹,其湿立干。非比胃经湿热,宜渗宜润。至湿滞于脾,尤不可用补
腻,以窒闷中宫者也。治方附后。
炒焦 赤苓(三钱) 焦苡米(三钱) 焦神曲(三钱) 焦扁豆皮(三钱) 焦泽泻(一钱)
焦冬瓜子(三钱) 焦茵陈(钱半) 焦车前子(三钱)
引用焦陈米一酒杯,布包煨。
Whenever a carbuncle or ulcer has ulcerated and the necrotic flesh is gradually exhausted, if the wound opening is large but still exudes yellow thick pus, and touching the muscle at the bottom of the wound causes fresh blood to flow; or if the wound opening is small and deep, requiring the insertion of a medicated wick until red blood appears; as well as cases where a sinus tract formed over a long period, which after being elevated and removed, subsequent insertion of tissue-regenerating medicines also feels like muscle growth and blood seepage—these conditions can achieve healing regardless of whether it happens early or late. For the above various symptoms, if upon ulceration there flows thin pus or dirty black fluid, or yellow water and white serum, this indicates early injury to Qi and Blood, corruption of muscles, and an inability of Yin and Yang mechanisms to stimulate and drive regeneration. Their regenerative function is ineffective, failing to create substance from nothing. How can one expect to gather the muscles and close the wound, expecting it to heal in a few days?
Those who naturally have abundant Dampness and blazing Heat, or who indulge in alcohol leading to internal Dampness generation, or who prefer spicy foods causing Heat to knot within the Zang-Fu organs, over time can all harbor parasites that breed internally, flow into the Large Intestine, and lodge in the anus, causing extreme itching. Although taking decocted herbal medicines and applying external fumigation and washing therapies ultimately show no effect. Now, a verified prescription is listed below:
Almond (2 qian) Calomelas (1 qian) Coptidis Rhizoma (2 qian) Chukwania Fruit (1 qian) Cnidii Fructus (2 qian) Zanthoxypi Pericarpium (1 qian) Borneolum Syntheticum (1 qian) Alum (1 qian) Phellodendri Cortex (3 qian)
Grind together into fine powder, mash with black date pulp, form into strips about as thick as a pen and roughly one cun long, dry them, wrap externally in silk cotton, tie a cotton thread tightly around one end of the medicinal strip to form a knot, insert into the anus, leaving the thread hanging outside. Change once a day, and the root cause will be eliminated in a few days.
When a person is constrained internally by Dampness pathogen, the limbs feel heavy and stiff, without aversion to cold or fever, the complexion lacks luster, and spirit is listless. Upon seeing food, one feels nauseous, lacks appetite, and does not wish to eat; if prolonged, it is difficult to resolve. This should be specifically attributed to the Spleen, not related to the Stomach. The Spleen favors aromatic and drying properties; drying the Spleen eliminates Dampness, just as wet ground dries instantly upon exposure to sunlight and wind. This differs from Damp-Heat in the Stomach Meridian, which is suitable for leaching and moistening. Regarding Dampness stagnating in the Spleen, one must especially avoid using tonifying and cloying substances, which would obstruct the Middle Jiao. The treatment formula is attached below.
Scorched Red Poria (3 qian) Scorched Coix Seed (3 qian) Scorched Medicated Leaven (3 qian) Scorched Broad Bean Peel (3 qian) Scorched Alisma Rhizome (1 qian) Scorched Benincasa Seed (3 qian) Scorched Artemisiae Capillariae Herba (1.5 qian) Scorched Plantaginis Seed (3 qian)
Use scorched aged rice as a guide, one wine cup, wrapped in cloth and simmered.