论二首 方三十八首
论曰∶夫甘湿之为病也，或热或寒如病虎状，或时下痢，或痢则断，或常痢不止，无有
时节，或时睡眠，有时思食，而气力渐弱，日日羸瘦，腹背挛急，头项无力，嗜卧食少，试
法先指琢其脊上两边，若逐指即起如粟者，即是疳病，若不起者，非是疳也。若起者可渐向
上琢之，若起至颈骨两边者，即是虫已入脑矣，病难愈矣。疗十得二，终须多灸，若未入脑，
医
先以绳拘项向心压头，令当齐骨下尖处，即插着转绳向背，背上当脊骨插头，横量病患
口两吻头，作定于捉绳头，脊骨上点两处，灸，必须细意点处齐平即灸，初旦灸二壮，满一
七日至第二七日，灸二七壮，第三七日旦暮灸七壮，第四七日目只三壮，第五七日日二壮。
看初灸二三日，若灸疮发脓者易瘥，五六日乃发者难瘥。唯得食白饭苜蓿苦苣蔓荆菜香浆少
许烧盐，瘥后百日，乃可得依常食。又须灌药三遍，相去五日一灌。
葱白（一握） 豉（二升） 蜀椒（三合） 盐（二合）
上四味，又水一斗，煮取七升，去滓，暖灌之，取一升乃灌也。
疗疳湿食口齿及下部方∶
飞廉蒿（蜀名）
上一味，烧作灰，捣筛，以两钱匕着病处，甚痛，忍之。若不痛，则非疳也。特忌油腻
、蜜、鱼。有人患疳，食口刺痛，穿着此得瘥，着下部中虫如马尾大，相续出无数，十日后
瘥。二十日平复。
又方∶
取五叶紫花草末和杏仁苇花相和，吹下部中瘥。
疳湿方∶
捣五叶紫花草熟，先病上拭干，纳着病上，瘥为限。所中疳者绞取汁五合服之，日三夜
一。
下部痒如虫行方∶
真朱砂（一铢） 矾石（二分，烧） 芎 （一分）
上三味，捣末绵裹，纳下部中。
又方∶取虾蟆末、兔矢末，用之如上法。
又方∶
以纸裹莨菪根 火烧熟，以蜜涂纳下部中，一切虫痔皆愈。
又方∶
黄连（二两） 蛇床子（半两） 黄柏 栀子（各一两）
上四味，捣筛为散，以腊月猪脂和，涂纳下部中，日再。
又方∶
大黄 黄芩 黄 玄参（各一两） 丹参（三分） 芍药（半两） 吴茱萸（五分，
炒）
上七味，捣筛为散，酒服方寸匕，日三。
治疳湿，久下痢赤白，百疗不瘥方∶
兔头（炙） 狐骨（皆腊日采，炙） 葶苈子（熬） 百草（五月五日收） 蛇头（炙），
虾蟆（
炙） 蜣螂（皆五月五日采，炙） 石黛 晚蚕蛾（熬） 青矾（熬） 黄矾（熬） 丁香 麝
香菥
（灰） 故绯（灰） 苦参 柏皮干姜 角蒿（灰） 丹砂 芒硝 铁衣 印成盐救月木 蝎
虫
矢桂心 床中桄木
上二十七味，等分，细研如粉，以筒子吹下部，日三，良。（《千金》有倒挂草。）
疳湿下虫方（《千金》云∶下黑∶）
熏黄 朱砂 石黛 石盐 麝香 丁香 矾石（熬） 栀子 铁衣 莨菪子（熬） 细
辛（
熬） 土瓜（熬） 干姜（熬） 蜀椒（汗） 葶苈子（熬） 菖蒲（熬） 虾蟆干者（熬）
故靴底
（炙）
上一十九味，等分，捣筛为散，以筒子吹药杏仁大下部中。
所有患疳疮，悉敷之，其丁香麝香皆别细研，纳药中合之，一方有芥子，若病大重者，
用灌法如下∶
丁香 麝香 甘草（各三分） 犀角（五分）
上四味，细末如粉，别以盐三合、蜀椒三合、豉二升，以水三升煮取一升，去滓纳诸药
合和，分再灌之，旦一酉一。
月蚀恶疮息肉方∶
硫黄（一云雄黄） 茹 斑蝥（去足翅，熬，各一两）
上三味，捣筛为散，以粉疮上，干者以猪膏和涂，日三夜二。
治疳食人诸处凡是赤白痢久不瘥秘之方∶
五月五日虾蟆（一枚半，熬半生，作末） 金银土埚（五分） 麝香（一分） 人矢灰
（五分）
上五味，细研如粉，敷病上即瘥，三七日慎食甜物，痢者吹下部中。
凡人口中生疮，久不瘥，下至咽喉、胸中，有三年不瘥者，此亦是疳食病，宜涂角蒿灰
于病上，有汁咽之，不过一宿，瘥。
又方∶蔷薇根浓煮汁含咽三宿，瘥。
又方∶
大麻子 胡麻（各一升半，并熬令焦赤）
上二味，以三升瓦瓶，泥裹上浓一寸，待干纳麻子等令满，以四五枚苇管插口中，密泥
之，掘地作灶，立瓶灶口中，灶底着瓦器承之，密填灶孔与地平。聚瓶罐四面以系垒之。日
没放火烧之，至明旦开取脂，适寒温灌下部中一合。寻觉咽有药气为佳，亦不得过多，多则
伤人，隔日一灌，重者再三灌止。旦起灌，至日夕极觉体中之劳，勿怪也。非惟治疳湿，凡
百异同疮疥癣。并洗涂之。无不瘥。一云口含一丸。
疳食下部生疮，及日月食方∶
麝香 干姜 蠹虫矢 葵茎灰 矾石（各三分，烧） 五月五日虾蟆（一枚，炙）
上六味，捣筛为粉，以竹管吹下部入纳三寸，日再。
又方∶
芦（一两） 野狼牙（三两） 橘皮 蓄 青葙（各半两）
上五味，准前法用之。
疳湿方∶
取干羊矢一升，以暖水三升渍之一宿，绞取矢汁和末石黛一颗，纳汁中温之，灌下部，
令药停腹一食久，病乃瘥。
又急疳，食鼻口，数日尽，欲死方∶
蓝淀涂所食上令遍，日十度夜四，瘥止。
又方∶细末没石子吹下部，立瘥。
又方∶烧文蛤灰，腊月猪脂和涂。
又方∶灌白马尿一升。
治痛疮方∶
细楸枝叶水煮稠可丸，以竹筒纳下部中，疳痔漏皆瘥。煎楸叶汁数洗之，良。
疳虫月蚀湿 等方∶
腊月兔头（二枚，烧） 五月五日虾蟆（一枚，烧） 青黛（一两） 地黄叶灰（鸡子
大） 虎
头（八分，炙） 贝齿（七枚，烧） 小蓟灰（鸡子大）
上七味，为散，绵裹如枣核大，纳下部中。亦筒吹半枣核大，成人者井华水旦服五分匕
，隔日一服。
论曰∶凡患湿 虫，多是热病后或久下不上，或有客热结在腹中，或遇暑湿凉气者，多
生此病。病亦有燥 ，不甚泄痢，而下部疮痒，不问燥湿，久则杀人。为病诊齿无色，舌上
尽白，甚者满口有疮，四肢沉重喜眠，如此者，此为虫蚀其肛，肛烂尽见五脏，即死矣。治
之方∶
黄连 生姜（各十两，切） 艾叶（八两） 苦参（四两）
上四味， 咀，以水一斗，煮取三升，为三服，日三，久者三剂良。
凡湿 ，欲得冷而苦痢，单煮黄连及艾叶、苦参之属皆可单用。
Two Discussions, Thirty-Eight Prescriptions
Discussion: Regarding the disease of Gan Shi (Gan Dampness), symptoms may include fever or chills resembling tiger bites, sudden onset of dysentery, intermittent dysentery, or chronic non-stop dysentery without fixed timing. Patients may experience periods of sleepiness alternating with appetite, yet gradually weakening in strength, becoming emaciated daily. Symptoms include spasms and tightness in the abdomen and back, weakness in the head and neck, lethargy, and poor appetite. The diagnostic test involves pressing along both sides of the spine with a finger; if mounds rise like millet grains under the finger, it is Gan Disease (Pediatric Malnutrition/Parasitic Disease). If no mound rises, it is not Gan Disease. If mounds rise, press gradually upward; if the reaction extends to both sides of the cervical vertebrae, it indicates that parasites have entered the brain, making the disease difficult to cure. Only two out of ten cases may recover. Extensive moxibustion is required. If parasites have not entered the brain, the physician first ties a rope around the neck, pulling towards the heart to compress the head, aligning the rope with the tip of the bone below the umbilicus. The rope is then turned to the back, aligned with the spinal column. Measure horizontally across the patient's mouth corners to fix the rope length. Mark two points on the spine ensuring they are level, then perform moxibustion. On the first morning, apply two moxa cones (Zhuang). By the end of the first seven days, up to the second seven-day period, apply fourteen moxa cones. In the third seven-day period, apply seven moxa cones morning and evening. In the fourth seven-day period, apply only three moxa cones. In the fifth seven-day period, apply two moxa cones daily. Observe the moxa sores for two to three days after initial application; if pus develops easily, recovery is likely. If pus develops after five to six days, recovery is difficult. Diet should be restricted to white rice, alfalfa, bitter lettuce, Vitex fruit, Xiangjiang (a type of herb/soup), and a small amount of roasted salt. Normal diet can resume one hundred days after recovery. Medication enemas should be administered three times, with a five-day interval between each.
Scallion White (one handful) Fermented Soybean (Er Chi) Shu Jiao (Sichuan Pepper, San He) Salt (Er He)
These four ingredients are boiled in one Dou of water until seven Sheng remain. Strain and administer warm as an enema, using one Sheng per administration.
Prescription for Gan Shi causing ulcers in the mouth, teeth, and lower body:
Fei Lian Hao (Artemisia scoparia, local name in Shu)
Burn this single ingredient to ash, grind and sieve. Apply two Qian Bi (measurements) of powder to the affected area. It causes severe pain; endure it. If there is no pain, it is not Gan Disease. Strictly avoid greasy food, honey, and fish. A case report mentions a patient with Gan disease experiencing sharp pain in the mouth when eating; applying this medicine cured them. Parasites resembling horse tails were expelled from the lower body in large numbers. Recovery occurred after ten days, full health after twenty days.
Another Prescription:
Grind Wu Ye Zi Hua Cao (Five-leaf Purple Flower Herb) into powder, mix with Almond and Reed Flower, and insufflate into the lower body. Cure.
Prescription for Gan Shi:
Cook and crush Wu Ye Zi Hua Cao. Wipe the affected area dry first, then insert the herb. Continue until cured. For those infected with Gan, extract five He of juice and ingest it, three times daily and once at night.
Prescription for Lower Body Itching Like Worms Crawling:
True Cinnabar (One Zhu) Alum (Fen Shi, Two Fen, calcined) Chuan Xiong (Sichuan Lovage Root, One Fen)
Grind these three ingredients into powder, wrap in cotton, and insert into the lower body.
Another Prescription: Use Toad Powder and Rabbit Feces Powder, applied as above.
Another Prescription:
Wrap Dang Shen Gen (Cocklebur Root) in paper, roast thoroughly with fire, coat with honey, and insert into the lower body. Cures all types of worm hemorrhoids.
Another Prescription:
Huang Lian (Coptis Rhizome, Two Liang) She Chuang Zi (Cnidium Fruit, Half Liang) Huang Bo (Phellodendron Bark) Zhi Zi (Gardenia Fruit, One Liang each)
Grind these four ingredients into powder. Mix with lard rendered in the twelfth lunar month. Apply and insert into the lower body twice daily.
Another Prescription:
Da Huang (Rhubarb Root) Huang Qin (Scutellaria Root) Huang Qin (Scutellaria Root) Xuan Shen (Scrophularia Root) (One Liang each) Dan Shen (Salvia Root, Three Qian) Shao Yao (Peony Root, Half Liang) Wu Zhu Yu (Evodia Fruit, Five Qian, stir-fried)
Grind these seven ingredients into powder. Take one Fang Cun Bi (square inch measure) with wine, three times daily.
Prescription for Gan Shi, Chronic Dysentery with Red and White Discharge, Refractory to Other Treatments:
Rabbit Head (roasted) Fox Bone (collected on Laba Day, roasted) Ting Li Zi (Descurainia Seed, processed) Bai Cao (Hundred Herbs, collected on May 5th) Snake Head (roasted) Toad (roasted) Dung Beetle (collected May 5th, roasted) Shi Dai (Mineral Blue) Late Silkworm Moth (processed) Qing Fan (Green Alum, processed) Huang Fan (Yellow Alum, processed) Ding Xiang (Clove) She Xiang (Musk) Xi Xin (Thlaspi Ash) Gu Fei (Old Crimson Fabric Ash) Ku Shen (Sophora Root) Bai Pi (Cypress Bark) Gan Jiang (Dried Ginger) Jiao Hao (Artemisia Capillaris Ash) Dan Sha (Cinnabar) Mang Xiao (Mirabilite) Tie Yi (Iron Rust) Yin Cheng Yan (Stamped Salt) Jiu Yue Mu (Rescue Moon Wood) Xie Chong Shi (Scorpion Feces) Gui Xin (Cinnamon Twig) Chuang Zhong Guang Mu (Bed Beam Wood)
These twenty-seven ingredients are equal parts, finely ground to powder. Insufflate into the lower body using a tube, three times daily. Effective. (*Qian Jin Fang* includes Dao Gua Cao / Hanging Grass).
Prescription for Parasites in Lower Body due to Gan Shi (Note: *Qian Jin Fang* notes "Black Discharge"):
Xun Huang (Realgar) Zhu Sha (Cinnabar) Shi Dai (Mineral Blue) Shi Yan (Rock Salt) She Xiang (Musk) Ding Xiang (Clove) Fan Shi (Alum, processed) Zhi Zi (Gardenia) Tie Yi (Iron Rust) Lang Dang Zi (Datura Seed, processed) Xi Xin (Asarum, processed) Tu Gua (Wild Melon, processed) Gan Jiang (Dried Ginger, processed) Shu Jiao (Sichuan Pepper, sweat-treated) Ting Li Zi (Descurainia Seed, processed) Chang Pu (Acorus, processed) Gana Toad (Dry Toad, processed) Gu Xue Di (Old Boot Sole, roasted)
Nineteen ingredients, equal parts, ground to powder. Insufflate almond-sized amounts into the lower body.
For all Gan Ulcers, apply this powder. Ding Xiang and She Xiang must be separately finely ground and mixed in. Some versions include Jie Zi (Mustard Seed). For severe cases, use the following enema method:
Ding Xiang (Clove) She Xiang (Musk) Gan Cao (Licorice Root) (Three Qian each) Xi Jiao (Rhinoceros Horn, Five Qian)
Grind these four into fine powder. Separately boil San He Salt, San He Shu Jiao, and Er Sheng Fermented Soybean in three Sheng water to yield one Sheng. Strain and mix with the powder. Divide into two doses for enema, morning and evening.
Prescription for Lunar Eclipse Malignant Sores and Polyps:
Liu Huang (Sulfur) [Or Xiong Huang / Realgar] Ru [Root] Ban Mao (Meloidae Beetle, remove feet/wings, processed, One Liang each)
Grind to powder. Dust onto sores. For dry sores, mix with pig fat and apply. Three times daily, twice at night.
Prescription for Gan Eating Disease affecting various parts, Chronic Red/White Dysentery Refractory to Treatment:
Toad (Collected May 5th, One and a half, half-cooked, powdered) Jin Yin Tu Guo (Gold/Silver Earth Pot, Five Qian) She Xiang (Musk, One Qian) Ren Shi Hui (Human Feces Ash, Five Qian)
Grind to powder. Apply to affected area for cure. Avoid sweet foods for twenty-one days. For dysentery, insufflate into lower body.
For oral ulcers persisting for years, extending to throat and chest, also considered Gan Eating Disease: Apply Jiao Hao Ash to the lesion. Swallow any juice produced. Cure within one night.
Another Prescription:
Concentrated decoction of Rose Root, gargle and swallow for three nights. Cure.
Another Prescription:
Da Ma Zi (Hemp Seed) Hu Ma (Sesame) (One and a half Sheng each, roasted until dark red)
Place in a three-Sheng clay bottle, seal top with thick mud (one cun). Fill with seeds. Insert four or five reed tubes into the mouth. Seal tightly with mud. Build a furnace pit, place bottle upright in pit, support bottom with a tile. Pack earth around. Burn from sunset to dawn. Collect the oil. When temperature is suitable, instill one He into the lower body. Sensation of medicinal aroma in throat is good. Do not overdose. Administer every other day. Severe cases may require three administrations. Morning administration causes extreme fatigue by evening; do not worry. This treats Gan Shi and various skin diseases (sores, scabies, tinea). Wash and apply externally. Alternatively, form into pills and hold in mouth.
Prescription for Gan Eating Lower Body Ulcers and Solar/Lunar Eclipse Sores:
She Xiang (Musk) Gan Jiang (Dried Ginger) Du Chong Shi (Woodworm Feces) Kui Jing Hui (Sunflower Stem Ash) Fan Shi (Alum, Three Qian each, calcined) Toad (Collected May 5th, One, roasted)
Grind to powder. Insufflate into lower body using bamboo tube, depth three cun. Twice daily.
Another Prescription:
Lu (Reed) Ye Lang Ya (Wild Wolf Tooth) Ju Pi (Tangerine Peel) Xu (Smartweed) Qing Xiang (Celosia Seed) (Half Liang each)
Use according to previous methods.
Prescription for Gan Shi:
Take one Sheng of dry sheep feces. Soak in three Sheng warm water overnight. Squeeze out juice. Mix with one piece of Shi Dai powder. Warm and enema into lower body. Retain medicine in abdomen for the duration of one meal. Cure.
Emergency Prescription for Acute Gan Eating Nose/Mouth, Fatal Within Days:
Apply Lan Dian (Indigo Paste) over the eaten areas. Ten times daily, four times nightly. Stop when cured.
Another Prescription:
Finely powder Mo Zi (Gallnut). Insufflate into lower body. Immediate cure.
Another Prescription:
Burn Wen Ge (Clam Shell) to ash. Mix with lard from twelfth lunar month. Apply.
Another Prescription:
Instill one Sheng of White Horse Urine.
Prescription for Painful Sores:
Boil Xi Qiu (Fine Walnut Tree) branches and leaves until thick enough to form pills. Insert into lower body using bamboo tube. Cures Gan Hemorrhoids and Fistulas. Decoction of Qiye can also be used for washing. Effective.
Prescription for Gan Worms, Lunar Eclipse Dampness, etc.:
Rabbit Head (Two, collected in 12th month, burned) Toad (One, collected May 5th, burned) Qing Dai (Indigo Naturalis, One Liang) Di Huang Ye Hui (Rehmannia Leaf Ash, Egg-size) Tiger Head (Eight Fen, roasted) Bei Chi (Conch Shell, Seven, burned) Xiao Ji Hui (Lesser Thistle Ash, Egg-size)
Grind to powder. Wrap in cotton like a date pit. Insert into lower body. Alternatively, insufflate half-date-pit size. Adults take Five Qian Bi with well-water at dawn, every other day.
Discussion: Wet Worm diseases often occur after febrile diseases or chronic dysentery, or due to pathogenic heat accumulating in the abdomen, or exposure to summer-dampness and cool air. There are dry and wet types. Dry types involve less diarrhea but lower body ulcer itching. Regardless of type, prolonged illness is fatal. Diagnosis: Teeth lack color, tongue is entirely white. Severe cases have mouth ulcers, heavy limbs, and excessive sleepiness. This indicates worms eroding the anus; if the anus rots away exposing internal organs, death ensues.
Treatment Prescription:
Huang Lian (Coptis Rhizome) Sheng Jiang (Fresh Ginger) (Ten Liang each, sliced) Ai Ye (Mugwort Leaf) (Eight Liang) Ku Shen (Sophora Root) (Four Liang)
Chop these four ingredients. Boil in one Dou of water to yield three Sheng. Divide into three doses, taken three times daily. For chronic cases, three courses are effective.
For Wet Worm disease with desire for cold drinks and painful dysentery, Huang Lian, Ai Ye, or Ku Shen can be used singly.