升麻葛根汤 治丹毒面红。发热气急。啼叫惊搐等症。
升麻 葛根 白芍 柴胡 黄芩 栀子(各一钱) 木通 甘草(各五分)
用水二钟。煎一钟。母子同服。
百解散 治一切丹毒。
升麻 葛根 赤芍 黄芩 连翘 麻黄 薄荷 半夏 荆芥 金银花 甘草
水煎。母子同服。
驱风散 治紫赤丹毒。及诸疮咽喉肿痛。并伤风发热烦躁。鼻塞气喘。痰嗽惊风等症。
金银花(三钱) 牛蒡子(炒) 防风 荆芥 当归 川芎 白芍 黄芩 连翘(各八分)
木通 甘草(各四分) 甚。加大黄 丹毒。加麻仁(炒研)
水二钟。煎八分。母子同服。
大连翘饮 丹毒发热。痰涎壅盛一切诸疮痧疹颈项生核。或伤风伤寒。时行发热等症。
连翘 牛蒡子 防风 荆芥穗 黄芩 柴胡 栀子 蝉蜕 当归 赤芍 石膏 滑石 木通 瞿麦
车前子 甘草(等分)
用灯草二十根。水煎。母子同服。
紫雪散 治小儿赤游丹毒。甚者毒瓦斯入里。肚腹膨胀。气急不乳。宜此救之。又治伤寒热燥发狂。及外
科一切蓄毒在内。烦躁口干。恍惚不宁等症。
升麻 寒水石 石膏 犀角 羚羊角(各一两) 玄参(二两) 沉香 木香(各五钱) 甘草(八钱)
用水五碗。煎至一碗。滤清再煎。滚投提净朴硝三两六钱。微火慢煎。水气将尽。欲凝结之时。倾入碗
内。下朱砂、冰片各二钱。金箔百张。各预研细末和匀。将碗顿水内。候冷。凝成紫雪。收用。如大人每用
一钱。小儿用二分。十岁者用五分。含口内。徐徐咽之。即效。甚者倍服之。或用淡竹叶、灯心煎汤化服。
亦佳。
四圣散 治胎受热毒。两目不开。及丹毒眼胞红晕。
黄连 秦皮 木贼 灯心 枣子(等分咀片)
每用二三钱。水一盏。煎七分。澄清去渣。不时洗目。
淋洗丹毒等方
丹毒赤晕渐开。或晕有碎疮者。用甘草两许。水一大钟。煎半钟。待温。令乳母满口含漱。徐徐吐淋病
处。以手掌并指揩洗之。勿犯指甲。仍与小儿些须饮之。只一次。则晕不开大矣。良久再淋。三淋必瘥。
一用柳叶或桑白皮。每取一升。用水一斗。煎三升。于避风处淋洗之。日五七次。
敷丹毒类方
芸薹菜子研末。酒调。澄清饮之。渣涂之。或轻粉末杵芫荽汁调稀。鹅翎蘸扫患处。须臾。赤色变白。或
生。或自破。而愈。或景天草杵汁。加陈醋涂之。或紫檀香一块。水磨汁涂之。
丹流入腹者。杵马齿苋汁饮之。渣敷。
丹流入阴。赤肿出血者。用牛膝一两。生甘草五钱。水一钟。煎五分。加鸡子清调伏龙肝末涂之。(伏龙肝即
灶心烧红之土也)
Shengma Gegen Tang (Cinnamon Twig and Kudzu Root Decoction): Treats erysipelas presenting with facial redness, fever, rapid breathing, crying, convulsions, and other symptoms.
Ingredients: Shengma (Rhizoma Cimicifugae), Gegen (Radix Puerariae), Baishao (Radix Paeoniae Alba), Chaihu (Radix Bupleuri), Huangqin (Scutellariae Radix), Zhizi (Fructus Gardeniae) (each 1 qian); Mutong (Caulis Akebiae), Gancao (Radix Glycyrrhizae) (each 0.5 qian).
Preparation and Administration: Use two zhong of water, decoct to one zhong. The mother and infant should take it together.
Baijie San (Hundred-Resolving Powder): Treats all types of erysipelas.
Ingredients: Shengma (Rhizoma Cimicifugae), Gegen (Radix Puerariae), Chishao (Radix Paeoniae Rubra), Huangqin (Scutellariae Radix), Lianqiao (Forsythiae Fructum), Mahuang (Ephedrae Herba), Bohe (Menthae Haplocalycis Herba), Banxia (Pinelliae Rhizoma), Jingjie (Schizonepetae Spica), Jinyinhua (Lonicerae Japonicae Flos), Gancao (Radix Glycyrrhizae).
Preparation and Administration: Decoct in water. The mother and infant should take it together.
Qufeng San (Wind-Expelling Powder): Treats purple-red erysipelas, swelling and pain of the throat caused by various sores, as well as symptoms of wind-cold with fever and irritability, nasal congestion, panting, phlegm cough, and convulsive diseases.
Ingredients: Jinyinhua (Lonicerae Japonicae Flos) (3 qian), Niubangzi (Arctii Fructus) (stir-fried), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica), Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Baishao (Radix Paeoniae Alba), Huangqin (Scutellariae Radix), Lianqiao (Forsythiae Fructum) (each 0.8 fen); Mutong (Caulis Akebiae), Gancao (Radix Glycyrrhizae) (each 0.4 fen). If symptoms are severe, add Dahuang (Rhei Radix et Rhizoma). For erysipelas, add Maren (Cannabis Semen) (stir-fried and crushed).
Preparation and Administration: Use two zhong of water, decoct to 0.8 zhong. The mother and infant should take it together.
Da Lianqiao Yin (Large Forsythia Drink): Treats erysipelas with fever, excessive phlegm-saliva, all kinds of sores, sand-rash, nodules on the neck, or wind-cold/typhoid with fever.
Ingredients: Lianqiao (Forsythiae Fructum), Niubangzi (Arctii Fructus), Fangfeng (Saposhnikoviae Radix), Jingjie Sui (Schizonepetae Spica), Huangqin (Scutellariae Radix), Chaihu (Radix Bupleuri), Zhizi (Fructus Gardeniae), Chantui (Cicadae Periostracum), Danggui (Angelicae Sinensis Radix), Chishao (Radix Paeoniae Rubra), Shigao (Gypsum Fibrosum), Huashi (Talcum), Mutong (Caulis Akebiae), Qumai (Dianthi Herba), Cheqianzi (Plantaginis Semen), Gancao (Radix Glycyrrhizae) (equal parts).
Preparation and Administration: Use twenty stalks of Dengcao (Junci Medulla), decoct in water. The mother and infant should take it together.
Zixue San (Purple Snow Powder): Treats erysipelas migrans in infants. In severe cases where toxins enter the interior causing abdominal distension, rapid breathing, and inability to nurse, this formula is used for emergency rescue. It also treats mania due to heat-dryness from typhoid, and internal accumulation of toxins in surgical conditions causing irritability, dry mouth, and mental restlessness.
Ingredients: Shengma (Rhizoma Cimicifugae), Hanshuishi (Aqua Calcitae), Shigao (Gypsum Fibrosum), Xijiao (Rhino Ceratios) (each 1 liang); Xuanshen (Scrophulariae Radix) (2 liang); Chenxiang (Aquilariae Lignum Resinatum), Muxiang (Aucklandiae Radix) (each 5 qian); Gancao (Radix Glycyrrhizae) (8 qian).
Preparation and Administration: Use five bowls of water, decoct to one bowl. Filter and clarify, then decoct again. When boiling, add Tijing Puxiao (Natrii Sulfas Purified) 3 liang 6 qian. Simmer slowly over low heat until most water evaporates and the liquid is about to coagulate. Pour into a bowl. Add Zhusha (Cinnabaris) and Bingpian (Borneolum Syntheticum) each 2 qian, and 100 sheets of Jinbo (Gold Leaf), previously ground into fine powder and mixed evenly. Place the bowl in water to cool until it solidifies into "Purple Snow." Store for use. Adults take 1 qian per dose; infants take 0.2 qian; ten-year-olds take 0.5 qian. Hold in the mouth and swallow slowly for immediate effect. Severe cases may double the dose. Alternatively, dissolve in decoction of Danzhuye (Phyllostachys Viridis Caulis) and Dengxincao (Junci Medulla).
Sisheng San (Four-Sages Powder): Treats fetuses affected by heat-toxins resulting in inability to open eyes, and erysipelas causing red halos around the eyelids.
Ingredients: Huanglian (Coptidis Rhizoma), Qinpi (Fraxini Cortex), Muzei (Equiseti Herba), Dengxin (Junci Medulla), Zaozi (Jujubae Fructus) (equal parts, sliced).
Usage: Take 2-3 qian per dose, decoct in one盏 of water to 0.7盏. Clarify and remove dregs. Wash the eyes frequently.
Washing Formulas for Erysipelas:
If the erysipelas halo spreads gradually or has broken sores within the halo, use approximately 1 liang of Gancao (Radix Glycyrrhizae) and one large zhong of water, decoct to half a zhong. When warm, have the nursing mother hold the liquid in her mouth and rinse, then spit out gently to wash the lesion. Gently rub with palm and fingers, avoiding fingernails. Give the infant a small amount to drink. One application prevents the halo from expanding. Repeat after some time; three applications will cure it.
Alternative: Use Liu Ye (Salix Leaf) or Sangbaipi (Mori Cortex), take one sheng each, decoct in one dou of water to three sheng. Wash in a draft-free area, five to seven times daily.
Topical Formulas for Erysipelas:
Grind YunTai Caizi (Brassicae Napus Semen) into powder, mix with wine, clarify and drink internally; apply the residue externally. Or mix fine powder with crushed Yuanxu juice (Coriandri Fructus Juice) to a thin consistency, sweep onto the lesion with a goose feather. The redness turns white quickly, blisters may form or rupture spontaneously, leading to healing. Or crush Jingtian Cao (Sedum Acre) to extract juice, mix with aged vinegar, and apply. Or grind a piece of Zitany Xiang (Pterocarpus Santalinus Lignum) with water to extract juice and apply.
If erysipelas enters the abdomen, crush Machixian juice (Portulacae Herba Juice) to drink internally, apply residue externally.
If erysipelas enters the yin region with redness, swelling, and bleeding, use 1 liang of Niuxi (Achyranthis Bidentatae Radix) and 5 qian of Sheng Gancao (Raw Radix Glycyrrhizae), decoct in one zhong to 0.5 zhong. Mix with egg white and Fulonggan (Uterus Draconis / Hearth Earth) powder for topical application. (Fulonggan is soil from the center of a burning stove).