集验疗痈肿,大按乃痛者病深,小按便痛者病浅,按之处陷不复者无脓。按之即复者有
脓,
出尽
取白荻灰水淋之,煎令如膏,此不宜预作,作之十日则歇,并可以去黑子,黑子药注便
即拭去,不时拭则伤肤,又一方以桑皮灰亦妙。
凡破诸病肉浓处,当先广封四面,不尔,疮披裂气泄便死,不可救也。(以前范汪同)
有
久痈余
青黑,
温赤龙
可一
取猪屎烧作灰,下绢筛,以粉疽败疮中令满,汁出脱去,便敷之,长敷须差也,若更生
青肉,复着白 茹微如前法也。(出第八卷中)
千金翼凡五子日夜半,五丑日鸡鸣,五寅日平旦;
五卯日日出,五辰日食时,五巳日禺中;
五午日日中,五未日日 ,五申日晡时;
五酉日日入,五戌日黄昏,五亥日人定。
右以此日时遇疾发者,皆不起也。(出第二十三卷中)
广济疗痈肿肿溃,内服药,外宜贴膏方。
松脂(一斤炼者) 脂(三合生) 椒叶(一两) 白蜡(三两) 蛇衔(一两) 黄
(一两) 芎 (一两) 白芷(一两) 当归(一两) 细辛(一两) 芍药(一两)
上十一味切,以水先煎脂蜡烊尽,纳诸药,三上三下,白芷色黄,膏成,用剪故帛,可
疮大小涂膏粘贴,日夜各一。又疗痈肿,脓溃疮中,有紫肉硬不消,以此散兑头内蚀之方。
石硫黄(一分研) 马齿矾石(二分熬令汁尽) 漆头 茹(二分) 麝香(二分研) 雄
黄(
二分) 雌黄(一分研) 白矾(二分熬令汁尽) 丹砂(二分研)
上八味捣筛为散,搅令调熟,以敷疮中,疮恶肉上贴膏。日二易。(千金并翼深师同并
出第三十卷中)
刘涓子疗痈肿方。
白蔹 乌头(炮) 黄芩(各等分)
上三味捣下筛,和鸡子白敷上,即愈。(出第十卷中)
疗痈肿有热,黄 贴方,数用神验。
甘草(炙) 大黄 白蔹 黄 芎
上五味各等分捣筛,以鸡子黄和,如浊泥,涂布上,随赤热有坚处大小贴之。燥易甚效
删繁疗痈肿,白蔹薄贴方。
白蔹 当归 芍药 大黄 莽草 芎
上六味各等分捣筛,下鸡子黄和如泥,涂布随大小贴之。燥易。
又疗痈肿坚核不消,白蔹贴之方。
白蔹 大黄 赤石脂 芍药 莽草 黄芩 黄连 茱萸
上八味各等分捣筛,以鸡子黄和如浊泥,涂布上随核大小贴之。燥易。
又疗痈肿,黄 贴之方。(通按肿一作疽)
黄 (一两半) 黄芩(一两) 芎 (一两) 黄连 白芷 芍药(各二两) 当归
(一两半)
上七味捣筛,以鸡子白和如膏,诸暴肿起处,以涂着布上,已贴燥易,肿处不觉贴冷便
愈,热势毒者,加白蔹一两尤佳。
又疗痈肿,黄 贴方。
黄 大黄 白芷 牡蛎(熬) 白蔹
上五味各等分捣筛,和鸡子贴燥易。
又疗痈肿已溃,四物黄连薄贴方。
黄连 黄柏 地榆 白芷(各一两)
上药捣筛,鸡子白和涂布,敷痈上,对疮口穿布出痈气,令疏气。
又疗痈肿,一物栝蒌薄贴方。
以栝蒌根随多少,止一物切五片,纳苦酒中熬燥,捣筛之,苦酒和涂纸上,以贴痈肿上
,服散人宜用。(并出第九卷中)
千金疗痈肿。松脂贴方。
当归 黄 黄连 芍药 蜡 黄芩 芎 大黄(各一两细切) 松脂(一斤半)
脂(一合半)
上十味切,以微火煎之,三上三下,绵布绞去滓,向火炙涂生笺纸上,随大小贴之,一
日三度易之。即瘥。
又疗肿蒺藜散方。
蒺藜子(一升熬令黄)
上一味捣筛,以麻油和之如泥,炒令焦黑,以涂故布上,剪如肿大,勿开头笺上,无蒺
藜子,用小豆和鸡子如前,干则易之,甚妙。
又笺汤方。
大黄 黄芩 白蔹(各三两) 芒硝(六分)
上四味以水六升,煮取三升,以故帛四重纳汁中,以笺肿上,暖复易,昼夜为之。(翼
同)
又痈肿痛烦困方。
以生楸叶十重贴之,以布绵裹,缓急得所,日二易,止痛消肿,食脓血,良无比,胜于
众贴。冬以先收干者,临时盐汤沃润用之。亦可薄削楸皮用之。(备急张文仲肘后同)
又诸痈肿牢坚诸药不疗方。
削附子如棋子,浓一指,正着肿上,以少唾湿附子,火炙附子令热彻,附子欲干,辄令
更唾湿之,常令附子热气入肿中,无不愈者,此法绝妙。(并出第二十三卷中)
千金翼黄 汤,主痈肿,热盛口干,除热止渴方。
黄 升麻 栝蒌 干地黄(各二两) 麦门冬(去心) 芍药(各二两) 黄苓(一
两半)
栀子(二十枚擘)
上八味切以水一斗,煮取三升,分三服。(刘涓子用升麻一两栀子十四枚余药同)
又白蔹薄贴,主痈肿方。
白蔹 大黄 黄芩(各等分)
上三味捣筛,和鸡子白如泥,涂布上薄贴肿上,干则易之,可以三指撮药末,纳三升水
中煮
汁拭
又疗痈肿方。
伏龙肝以大酢和作泥,涂布上贴之,干则易之,消矣。
又凡肿已溃未溃者方。
以胶一片,水渍令软,纳纳然称肿之大小贴,当头上开孔。若已溃还合者,脓当被胶,
急撮之,脓皆出尽,未有脓者,肿当自消矣。
又方
烧鲤鱼作灰,酢和涂之一切肿上,以瘥为度,至良。
又温中汤,主痈肿取冷过多,寒中下利,食完出方。
甘草(炙) 干姜 附子(各六分炮) 蜀椒(二百四十枚汗)
上四味切,以水六升,煮取二升,分三服。忌海藻、菘菜、猪肉、冷水。(刘涓子同出
第二十三卷中)
张文仲刘涓子疗痈消脓。木占斯散方。
木占斯 桂心 人参 细辛 败酱 干姜 浓朴(炙) 甘草 防风 桔梗(各一两) 栝
蒌(一两)
上十一味捣为散,服方寸匕,入咽觉流入疮中,若痈及疽,灸亦不能发,坏者可服之,
疮未坏者去败酱。已坏发脓者,纳败酱,此药时有化痈疽令成水,为妙。
隐居必效方消痈肿。
白蔹(二分) 藜芦(一分)
上二味捣为末,以苦酒和如泥,贴肿上,日三,大良。(备急同出第五卷中)
Jiyan Fang (Collected Proven Prescriptions) treats carbuncles and swellings: pain upon deep pressure indicates a deep-seated disease; pain upon slight pressure indicates a superficial disease; indentation that does not rebound after pressing indicates no pus. Indentation that rebounds immediately after pressing indicates the presence of pus. After the pus is completely drained, take ash from white reeds (Bai Di), leach it with water to obtain the juice, and decoct it until it becomes like paste. This medicine should not be prepared in advance; if prepared, it loses efficacy after ten days. It can also remove black nevi (Heizi). The medicine applied to the nevus should be wiped off immediately; otherwise, it will damage the skin. Another method using mulberry bark ash is also excellent.
Whenever incising areas where flesh is thickened due to various conditions, one must first widely seal the four sides. Otherwise, if the sore cracks open and Qi leaks out, death will ensue, which is incurable. (The above views are consistent with Fan Wang.)
For chronic carbuncles leaving behind bluish-black discoloration, use Wen Chilong (Warm Red Dragon, a specific treatment). Take pig manure, burn it to ash, sieve it through fine silk, and apply the powder into ulcers and necrotic sores until full. When fluid exudes and detaches, apply the powder again. Continue application until recovery. If greenish necrotic tissue regrows, apply Bai Lian (Ampelopsis Radix) and Ru (such as Huang Qin/Coptidis Rhizoma or similar heat-clearing herbs) lightly as before. (From Volume 8)
Qianjin Yi Fang (Supplement to Essential Prescriptions for Value of a Thousand Gold): If illness onset occurs on Wu Zi days (Rat days) at midnight, Wu Chou days (Ox days) at cockcrow, Wu Yin days (Tiger days) at dawn; Wu Mao days (Rabbit days) at sunrise, Wu Chen days (Dragon days) at mealtime, Wu Si days (Snake days) at late morning; Wu Wu days (Horse days) at noon, Wu Wei days (Goat days) at afternoon sun decline, Wu Shen days (Monkey days) at late afternoon; Wu You days (Rooster days) at sunset, Wu Xu days (Dog days) at twilight, Wu Hai days (Pig days) at nightfall. Illnesses occurring on these days and hours are generally fatal. (From Volume 23)
Guangji Fang (Broad Relief Formulas) treats carbuncles and swellings that have ulcerated: internal medication is taken, and external application of plasters is suitable. Song Zhi (Pinus Resin, 1 jin refined), Zhi (likely animal fat or resin, 3 he raw), Jiao Ye (Pepper Leaves, 1 liang), Bai La (White Beeswax, 3 liang), She Xian (Ophiopogon Japonicus Root, 1 liang), Huang Qi (Astragali Radix, 1 liang), Xiong (Chuanxiong Rhizome, 1 liang), Bai Zhi (Angelicae Dahuricae Radix, 1 liang), Dang Gui (Angelicae Sinensis Radix, 1 liang), Xi Xin (Asari Radix et Rhizoma, 1 liang), Shao Yao (Paeoniae Radix, 1 liang). The above eleven ingredients are cut, and Zhi and La are first decocted in water until fully melted. Add all other herbs, boil three times up and down. When Bai Zhi turns yellow, the plaster is ready. Cut old cloth with scissors, apply the plaster according to the size of the sore, and change once day and night. For treating carbuncles where pus has ulcerated and purple hard flesh remains unresolved, use this powder mixed with head material to cauterize. Shi Liu Huang (Sulfur, 1 fen ground), Ma Chi Fan Shi (Alumen Rubrum calcined until juice is gone, 2 fen), Qi Tou (Lac Head, likely a typo or specific term), Ru (Ru Suan/Coptidis Rhizoma or similar, 2 fen), She Xiang (Musk, 2 fen ground), Xiong Huang (Realgar, 2 fen), Ci Huang (Orpiment, 1 fen ground), Bai Fan (Alumen, 2 fen calcined until juice is gone), Dan Sha (Cinnabar, 2 fen ground). The above eight ingredients are pounded and sieved into powder, stirred well, applied into the sore, and covered with plaster on the necrotic tissue. Change twice daily. (Consistent with Qianjin Fang, Qianjin Yi Fang, and Shen Shi Fang, all from Volume 30)
Liu Juanzi's Formula for Carbuncles and Swellings. Bai Lian (Ampelopsis Radix), Wu Tou (Aconiti Lateralis Radix Praeparata), Huang Qin (Scutellariae Radix) in equal parts. The above three ingredients are pounded and sieved, mixed with egg white, and applied. Cure is immediate. (From Volume 10)
Formula for Carbuncles with Heat: Huang Qi Plaster. Highly effective with repeated use. Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted), Da Huang (Rhei Radix et Rhizoma), Bai Lian, Huang Qi (Astragali Radix), Xiong (Chuanxiong Rhizome). The above five ingredients in equal parts are pounded and sieved, mixed with egg yolk to form a muddy consistency, spread on cloth, and applied according to the size of the red, hot, and hardened area. Replace when dry; highly effective.
Shanfan Formula for Carbuncles: Bai Lian Thin Plaster. Bai Lian, Dang Gui, Shao Yao, Da Huang, Mang Cao (Dichroa Radix), Xiong. The above six ingredients in equal parts are pounded and sieved, mixed with egg yolk to form mud, spread on cloth, and applied according to size. Replace when dry.
Another formula for resolving hard nodules in carbuncles: Bai Lian Plaster. Bai Lian, Da Huang, Chi Shi Zhi (Halloysitum Rubrum), Shao Yao, Mang Cao, Huang Qin, Huang Lian (Coptidis Rhizoma), Zhu Yu (Evodiae Fructus). The above eight ingredients in equal parts are pounded and sieved, mixed with egg yolk to form a muddy consistency, spread on cloth, and applied according to the nodule size. Replace when dry.
Another formula for carbuncles: Huang Qi Plaster. (Note: "Zhong" may refer to "Ju" carbuncle). Huang Qi (1.5 liang), Huang Qin (1 liang), Xiong (1 liang), Huang Lian, Bai Zhi, Shao Yao (each 2 liang), Dang Gui (1.5 liang). The above seven ingredients are pounded and sieved, mixed with egg white to form a paste. Apply to sudden swelling sites via cloth. Replace when dry. Cured when cold sensation disappears. For severe heat and toxicity, add 1 liang of Bai Lian for better effect.
Another formula for carbuncles: Huang Qi Plaster. Huang Qi, Da Huang, Bai Zhi, Mu Li (Ostrea Shell, calcined), Bai Lian. The above five ingredients in equal parts are pounded and sieved, mixed with egg for application. Replace when dry.
Four-Ingredient Huang Lian Thin Plaster for Ulcerated Carbuncles. Huang Lian, Huang Bo (Phellodendri Cortex), Di Yu (Sanguisorbae Radix), Bai Zhi (each 1 liang). Pounded and sieved, mixed with egg white, spread on cloth, and applied to the carbuncle. Pierce the cloth at the sore opening to vent toxic qi and promote drainage.
One-Ingredient Gua Lou Thin Plaster for Carbuncles. Take appropriate amount of Gua Lou Gen (Trichosanthis Radix), cut into five slices. Only this single ingredient. Simmer in vinegar until dry, pound and sieve. Mix with vinegar, spread on paper, and apply to carbuncles. Suitable for those taking oral powders. (All from Volume 9)
Qianjin Fang for Carbuncles: Song Zhi Plaster. Dang Gui, Huang Qi, Huang Lian, Shao Yao, La (Beeswax), Huang Qin, Xiong, Da Huang (each 1 liang finely cut), Song Zhi (Pinus Resin, 1.5 jin), Zhi (Animal Fat/Resin, 1.5 he). The above ten ingredients are cut, decocted over low fire, boiled three times up and down. Strain through cotton cloth, heat over fire, and spread on raw paper. Apply according to size, changing three times daily. Cure follows.
Callosity Powder for Tumors: Ji Li San. Ji Li Zi (Tribuli Fructus, 1 sheng, fried until yellow). The above single ingredient is pounded and sieved, mixed with sesame oil to form mud, fried until dark black, spread on old cloth, and cut to match tumor size. Leave space at the top of the paper. If Ji Li Zi is unavailable, use adzuki beans and eggs as before. Replace when dry; very effective.
Jian Tang Decoction. Da Huang, Huang Qin, Bai Lian (each 3 liang), Mang Xiao (Mirabilite, 6 fen). The above four ingredients are decocted in 6 sheng of water to yield 3 sheng. Soak four layers of old cloth in the liquid, apply to the swelling, keep warm, and replace. Day and night. (Consistent with Qianjin Yi Fang)
Formula for Painful, Restless Carbuncles and Swellings. Apply ten layers of fresh Qiuye (Firmiana Leaf), wrap with cloth and cotton, adjust tightness appropriately, change twice daily. Relieves pain, reduces swelling, digests pus and blood. Superior to other plasters. In winter, use pre-stored dried leaves, moisten with salt water before use. Alternatively, use thin slices of Qiupie (Firmiana Bark). (Consistent with Beiji Zhangwen Zhong and Zhouhou)
Formula for Firm, Hard Carbuncles Unresponsive to Other Medicines. Slice Fu Zi (Aconiti Lateralis Radix Praeparata) like chess pieces, thickness of one finger. Place directly on the swelling. Moisten Fu Zi with saliva, roast over fire until heat penetrates. When Fu Zi dries, re-moisten with saliva. Constantly allow heat to enter the swelling. All cases heal. This method is exquisite. (All from Volume 23)
Qianjin Yi Fang Huang Qi Tang: Mainly for carbuncles, excessive heat, dry mouth, clears heat and stops thirst. Huang Qi, Sheng Ma (Cimicifugae Rhizoma), Gua Lou, Gan Di Huang (Rehmanniae Radix Preparata) (each 2 liang), Mai Men Dong (Ophiopogonis Tuber, heart removed), Shao Yao (each 2 liang), Huang Qin (1.5 liang), Zhi Zi (Gardeniae Fructus, 20 pods split). The above eight ingredients are cut, decocted in 1 dou of water to yield 3 sheng. Divide into three doses. (Liu Juanzi uses 1 liang Sheng Ma, 14 Zhi Zi, others same)
Bai Lian Thin Plaster for Carbuncles. Bai Lian, Da Huang, Huang Qin (equal parts). The above three ingredients are pounded and sieved, mixed with egg white to form mud, spread on cloth, and thinly applied to swelling. Replace when dry. Use three-finger pinch of powder, boil in 3 sheng of water, and use the decoction to wipe.
Another Formula for Carbuncles. Fu Long Gan (Dragon's House Earth) mixed with strong vinegar to form mud, spread on cloth, and applied. Replace when dry. Resolution follows.
Formula for Swellings Whether Ulcerated or Not. Take one piece of glue, soak in water until soft. Weigh naturally to match swelling size, apply, leaving an opening at the top. If ulcerated and closed, pus is trapped by glue; urgently open to drain all pus. If no pus, swelling will subside spontaneously.
Another Prescription. Burn carp to ash, mix with vinegar, apply to all swellings until healed. Very good.
Wen Zhong Tang (Warm Middle Decoction): Mainly for carbuncles caused by excessive cold intake, cold invading middle jiao causing diarrhea with undigested food. Gan Cao (roasted), Gan Jiang (Zingiberis Rhizoma), Fu Zi (each 6 fen, prepared), Shu Jiao (Sichuan Pepper, 240 seeds, sweat removed). The above four ingredients are cut, decocted in 6 sheng of water to yield 2 sheng. Divide into three doses. Avoid Seaweed, Song Cai (Chinese Cabbage), Pork, and Cold Water. (Consistent with Liu Juanzi, from Volume 23)
Zhang Wen Zhong and Liu Juanzi's Mu Zhan Si San for Dissolving Pus in Carbuncles. Mu Zhan Si (Stemona Radix), Gui Xin (Cinnamomi Ramulus), Ren Shen (Ginseng Radix), Xi Xin, Bai Jiang Cao (Patriniae Herba), Gan Jiang, Hou Po (Magnoliae Officinalis Cortex, roasted), Gan Cao, Fang Feng (Saposhnikoviae Radix), Jie Geng (Platycodonis Radix) (each 1 liang), Gua Lou (1 liang). The above eleven ingredients are pounded into powder. Take 1 cun bi per dose. Feeling flow into the sore. If carbuncle or ju cannot be dispersed by moxibustion, or if necrotic, take this. For non-necrotic sores, remove Bai Jiang Cao. For necrotic sores producing pus, add Bai Jiang Cao. This medicine can sometimes transform carbuncles/ju into water, which is wonderful.
Yinju Bixiao Fang for Eliminating Carbuncles and Swellings. Bai Lian (2 fen), Li Lu (Veratris Radix, 1 fen). The above two ingredients are pounded into powder, mixed with vinegar to form mud, applied to swelling three times daily. Excellent effect. (Consistent with Beiji, from Volume 5)