夫肠痈者。由寒温不适。喜怒无常。使邪气与荣卫相干在于肠内。遇热加之。血气蕴
积。结
小便数似淋
其脉迟紧者。未有脓也。甚者腹胀大。转侧闻水声。或绕脐生疮。而穿脓出。或自
或大便去脓血。唯宜急治之。又云。大便脓血。似赤白下者。是肠痈也。卒得肠
治之。错者不少。寸口脉滑而数。滑则为实。数则为热。滑则为荣。数则为卫。
上升。遇热则荣卫相干。血为独惫。小腹痞满。小便或难。汗出或复恶寒。脓为已成。设脉
迟紧。聚为瘀血。血下则愈。脓成引白。又诸浮数脉。当发热而反淅淅恶寒。若有痛处者
当积有脓。脉滑涩相搏。肠痈唾脓者也。
治肠内生痈肿。令人心膈间气滞。急痛。肚热。呕逆。小便黄赤 。表发肿。肠中
夜间
当归(一两) 没药(三分) 麝香(半两细研) 乳香(半两) 桂心(半两) 朱
砂(半两细
研) 黄 (三分) 漏
(半两)
麒麟竭(三分) 槟榔(
白芷
(半两) 密陀僧(半两) 赤芍药(三分) 野驼脂(三分) 黄犬脂〔三分(两)〕 生
地黄(半
斤绞取汁)
上件药。除脂。并捣罗为末。银锅内。先用好酒五升。以慢火煎去二升。即下地黄汁。
更煎
心午
治肠痈。占斯散方。
占斯(一两) 甘草(一两炙微赤锉) 细辛(一两) 栝蒌根(一两) 浓朴(一两
去粗皮涂
生姜汁炙令
梗(一两
去芦头)
上件药。捣细罗为散。每于食前。以温粥饮调下二钱。
治肠痈未成脓。腹中痛不可忍。牡丹散方。
(此处有缺文。按原本缺一页。计二十六行)
刀刺痛。及背胛疼。肠中已成肿。或大便有脓。宜服此方。
甜瓜子〔二分(一合)〕 蛇蜕皮(一尺) 当归(一两锉微炒)
上件药。捣筛。以水一大盏。煎至七分。去滓。食前分温二服。以利下恶物为效。
治肠痈。腹胀皮急。微汗。小腹重。强按之即痛。小便数似淋。未有脓方。
牛蒡根汁(五合) 川芒硝(一两)
上件药相和。煎三(一二)沸。分为三(二)服。空心及晚食前温服。
Intestinal abscess (Chang Yong) arises from improper regulation of cold and warmth, and irregularity in joy and anger, causing pathogenic factors to interfere with Ying and Wei Qi (Defensive and Nutritive Qi) and remain within the intestines. Upon encountering heat, Qi and blood stagnate and accumulate, forming a mass. Symptoms include frequent urination resembling strangury (Lin syndrome). A slow and tight pulse indicates that pus has not yet formed; severe cases present with abdominal distension, audible fluid sounds when turning over, or sores around the umbilicus that rupture and discharge pus, or spontaneous passage of pus and blood. Urgent treatment is required. It is also stated that passing pus and blood in stool, resembling dysentery with red and white discharge, constitutes intestinal abscess. Patients suddenly afflicted with intestinal abscess are often treated incorrectly. If the Cun-kou pulse is slippery and rapid, slipperiness indicates excess, while rapidity indicates heat; slipperiness reflects the state of Ying Qi, and rapidity reflects the state of Wei Qi. If heat rises and interferes with Ying and Wei due to heat, blood becomes exhausted alone, presenting with fullness and stuffiness in the lower abdomen, difficulty in urination, sweating, or recurrent aversion to cold, indicating that pus has already formed. If the pulse is slow and tight, it signifies coagulation of stasis; if blood passes downward, the disease resolves; mature pus draws out white discharge. Furthermore, floating and rapid pulses typically accompany fever, but if there is instead a sensation of shivering aversion to cold and fixed pain, pus accumulation should be suspected. A pulse that is both slippery and choppy indicates intestinal abscess with expectoration of pus.
Treatment for internal intestinal abscess swelling, which causes Qi stagnation in the chest and diaphragm, acute pain, abdominal heat, vomiting and regurgitation, yellow-red urine, superficial edema, and nighttime (pain exacerbation).
Formula: Dang Gui (Radix Angelicae Sinensis), Moyao (Olibanum), Shexiang (Moschus), Ruxiang (Boswelliae Fructus), Guixin (Cinnamomi Cortex), Zhusha (Cinnabar), Huang Qin (Scutellariae Radix), Lousheng (Leuzeae Rhizoma), Qilinjie (Santalum Rubrum), Binglang (Arecae Semen), Baizhi (Angelicae Dahuricae Radix), Mituosen (Lithargyri), Chishao Yao (Paeoniae Radix Rubra), Ye Tuo Zhi (Fat of Wild Camel), Huang Quan Zhi (Fat of Yellow Dog), Sheng Di Huang (Rehmanniae Radix Recens, expressed juice).
The above herbs, excluding the fats, are pounded and sieved into powder. In a silver pot, first add five sheng of good wine and simmer slowly until two sheng remain. Then add the Rehmanniae Radix Recens juice and simmer further.
Zhan Si San Formula for treating intestinal abscess.
Formula: Zhan Si (likely a specific local herb or typo for another herb, kept as transliteration), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red and cut), Xi Xin (Asari Radix et Rhizoma), Gua Lou Gen (Trichosanthis Radix), Hou Po (Magnoliae Officinalis Cortex, bark removed, brushed with ginger juice and dried), Geng (likely Stems or Roots of a specific plant, context unclear, kept as Geng).
The above herbs are finely pounded and sieved into powder. Before meals, take two qian mixed with warm rice decoction.
Mu Dan San Formula for treating intestinal abscess where pus has not yet formed, characterized by unbearable abdominal pain.
(Missing text here. According to the original, one page is missing, totaling twenty-six lines.)
Stabbing pain like a knife cut, and pain in the back and scapula. If a mass has formed in the intestines or there is pus in the stool, this formula is suitable.
Formula: Tian Gua Zi (Benincasae Semen), She Tui Pi (Bombyx Batryticatus), Dang Gui (Radix Angelicae Sinensis, cut and lightly fried).
The above herbs are pounded and sifted. Add one da zhan of water, boil down to seven-tenths, strain, and take half the dose warm before meals. Effectiveness is indicated by the passage of foul matter.
Formula for treating intestinal abscess with abdominal distension and tight skin, slight sweating, heaviness in the lower abdomen, tenderness upon firm pressure, and frequent urination resembling strangury, where pus has not yet formed.
Formula: Niu Bang Gen Juice (Arctii Lappa Radix Juice), Chuan Mang Xiao (Natrii Sulfas).
Mix the above ingredients, boil for one or two boils, divide into three (or two) doses. Take warm on an empty stomach and before evening meal.