鹅口疮,皆心、脾二经胎热上攻,致满口皆生白斑雪片;甚则咽间叠叠肿起,致难乳哺,多生啼叫。以青
纱一条裹箸头上,蘸新汲水揩去白胎,以净为度,重手出血不妨,随以冰硼散搽之,内服凉膈之药。
冰硼散(见咽喉门)
凉膈散(见齿病门)
痘痈乃原痘溜浆不足,流毒于脾、肺二经,致手、脚、胸、背结成漫肿,大如桃李,此多发于收靥之后、
身凉不渴者为吉。有此不必内消,宜太乙膏粘贴,候脓熟针之。元气虚弱者,兼服保元汤助脾健胃为要。
保元汤
保元汤力效无穷 救困扶危立大功
甘草参 兼白术 枣姜加上起疲癃
治痘痈出脓之后,脾胃虚弱、脓清不敛者服之。
人参 黄 白术(各一钱) 甘草(三分)
姜一片,枣二枚,水二钟,煎八分,食远服。
痘疔乃痘毒升发不尽,留痘心、肝二经者发之。初生紫点,次日变黑,毒浅者,浮高而润;毒甚者,深陷
而焦。其发多出于七朝上下将靥之际,又生于臀、腿、手、足,身温疤润音清者吉;发在肚腹、腰肾,身热色
枯声哑者凶。凡见此者,急用针刺疔根,插入蟾酥条,候四边裂缝、疔摇动者,用刀割去,搽玉红膏生肌完口;
如针无血,插药干枯不变脓者,终为不治。但此症属有余,首尾俱宜加减鼠粘子汤为要也。
加减鼠粘子汤
加减鼠粘子汤 花粉知母其藏
荆芥山栀甘草 灯心竹叶难忘
鼠粘子 天花粉 知母 荆芥 山栀(各六分) 甘草(三分)
水二钟,淡竹叶、灯心各二十件煎服。身热加柴胡、黄芩,有痰加麦冬、贝母,咽哑加玄参、桔梗,切牙
加薄荷、石膏,便秘加蜂蜜、玄明粉,昏愦加黄连、朱砂,痂枯加当归、生地,恋疤加蝉蜕、川芎。
八珍汤(见溃疡门)
治痘疔落后,气血虚弱,脓水出多,不能生肌收敛,宜服之。
蟾酥条(贝疔疮门)
玉红膏(见肿疡门)
Ergou Chuang (Thrush) is caused by fetal heat attacking upward from the Heart and Spleen meridians, resulting in white patches like snowflakes covering the entire mouth; in severe cases, the throat becomes layered and swollen, making breastfeeding difficult and causing frequent crying. Wrap a piece of green gauze around the tip of a chopstick, dip it in freshly drawn cool water, and wipe away the white membrane until clean. It does not matter if slight bleeding occurs with firm pressure. Subsequently, apply Bingpeng San (Ice and Borax Powder) to the affected area and internally administer Liangge San (Cooling the Diaphragm Decoction).
Dou Yong (Varicella Abscess) occurs when insufficient pus formation in primary smallpox allows toxic pathogens to flow into the Spleen and Lung meridians, causing diffuse swelling on the hands, feet, chest, and back, resembling plums or peaches. This often appears after the scabbing stage, when the body temperature is normal and there is no thirst, which is considered an auspicious sign. Internal resolution is unnecessary; instead, apply Taiyi Gao (Great Emperor Ointment) externally. Once the pus matures, puncture it with a needle. For patients with deficient Yuan Qi (Primal Qi), taking Baoyuan Tang (Preserve the Origin Decoction) to strengthen the Spleen and Stomach is essential.
This formula treats post-pus discharge conditions characterized by weak Spleen and Stomach function, thin pus, and failure of wound closure.
Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix), Bai Zhu (Atractylodis Rhizoma) (each 1 qian), Gan Cao (Licorice Root) (0.3 qian), add one slice of Sheng Jiang (Zingiberis Rhizoma Recens) and two dates. Decoct in two bowls of water until reduced to 0.8 bowl. Take after meals.
Dou Ding (Varicella Carbuncle) is caused by incomplete eruption of smallpox toxins remaining in the Heart and Liver meridians. Initially presenting as purple spots, they turn black the next day. If the toxin is shallow, the lesion floats high and remains moist; if deep, it sinks deeply and becomes scorched. These lesions often appear around the seventh day, just before scabbing, particularly on the buttocks, legs, hands, and feet. Auspicious signs include mild body temperature, moist lesions, and clear voice. Inauspicious signs involve lesions on the abdomen, waist, or kidneys, accompanied by fever, withered complexion, and hoarseness. Upon seeing this condition, urgently prick the root of the carbuncle with a needle, insert a Chan Su Strip (Toad Venom Strip), and wait until the surrounding tissue cracks and the carbuncle moves. Then, cut it off with a knife and apply Yuhong Gao (Jade Red Ointment) to promote granulation and healing. If pricking yields no blood and the inserted medicine causes dryness without pus formation, the condition is incurable. Since this syndrome belongs to excess patterns, Jiajian Shuniangzi Tang (Modified Burdock Seed Decoction) should be used throughout the treatment course.
Add Chai Hu (Bupleuri Radix) and Huang Qin (Scutellariae Radix) for fever; add Mai Dong (Ophiopogonis Tuber) and Bei Mu (Fritillariae Bulbus) for phlegm; add Xuan Shen (Scrophulariae Radix) and Jie Geng (Platycodonis Radix) for hoarseness; add Bo He (Menthae Haplocalycis Herba) and Shi Gao (Gypsum Fibrosum) for teeth grinding; add Feng Mi (Honey) and Xuan Ming Fen (Mirabilite) for constipation; add Huang Lian (Coptidis Rhizoma) and Zhu Sha (Cinnabar) for confusion; add Dang Gui (Angelicae Sinensis Radix) and Sheng Di Huang (Rehmanniae Radix) for dry scabs; add Chan Tui (Cicadae Periostracum) and Chuan Xiong (Ligustici Chuanxiong Rhizoma) for delayed scab shedding.
Ba Zhen Tang (Eight Treasures Decoction) treats post-Dou Ding conditions characterized by Qi and Blood deficiency, excessive pus discharge, and failure of granulation and wound closure.
Chan Su Strip (See Beiding Chuang Section).
Yuhong Gao (Jade Red Ointment) (See Zhongyang Section).