治疮为寒变而内陷者,脓出清解,皮肤凉,心下痞满,肠鸣切痛,大便微溏,食则呕,
气短促,吃逆不绝,不知安卧,时有昏愦。
丁香 沉香 茴香 益智仁 陈皮(各一钱) 木香 羌活 干姜(炙,二钱) 黑附
子(炮,去皮脐,四钱)
《内经》曰∶寒淫于内,治以辛热,佐以苦温。以附子干姜大辛热温中,外发阳气,自
--
里之表,以为君,羌活苦辛温,透关节,炙甘草甘温,补脾胃,行经络,通血脉,胃寒则呕
吐吃逆,不下食,益智仁丁香沉香大辛热,以散寒为佐,疮气内攻,气聚而为满,木香茴香
陈皮苦辛温,治痞散满,为使也。
上 咀,作一服,水三盏,生姜五片,煎至一盅,去滓,不拘时温服,忌一切冷物。
治耳下至缺盆,或至肩上生疮,坚硬如石,动之无根,名曰马刀。从手足少阳经中来也,
或生两胁,或已流脓,作疮未破者,并皆治之。
连翘 黄芩(生用) 芍药 当归尾(酒制) 京三棱(细锉) 广术(细锉,同三棱
酒制一次,微炒,以上各半两) 草龙胆(酒制四次,二两) 黄芩(酒炒二次) 黄连(酒
炒二次) 苍术(以上各二钱) 土瓜根(酒炒,一两) 柴胡(一两二钱) 甘草(炙,
三钱)
上件一半为末。炼蜜和丸,如绿豆大,每服一百丸,或百五十丸,一半 咀。每服半两
,水一盏八分,浸半日,煎至一盏,去滓,临睡热服。头下脚高,去枕而卧,每口作十次咽
,留一口送下丸药,毕,卧如常。
For treating sores that have collapsed inward due to cold transformation, presenting with clear and resolved pus, cool skin, epigastric fullness and obstruction (Xin Xia Pi Man), borborygmus with cutting pain, slightly loose stools, vomiting after eating, shortness of breath, incessant hiccup (Ni), inability to sleep peacefully, and occasional confusion or stupor.
Dingxiang (Clove), Chenxiang (Aquilaria Wood), Huixiang (Fennel), Yizhiren (Alpinia Oxyphylla Fruit), Chenpi (Tangerine Peel) (each 1 qian); Muxiang (Aucklandia Root), Qianghuo (Notopterygium Root), Ganjiang (Dried Ginger) (roasted, 2 qian); Hei Fuzi (Prepared Black Aconite Root) (processed, peeled and de-navelled, 4 qian).
The *Neijing* states: "When cold invades the interior, treat it with pungent-hot substances, assisting with bitter-warm ones." Using the great pungent-hot nature of Fuzi (Aconite Lateral Root) and Ganjiang (Dried Ginger) to warm the middle and emit yang qi from the interior to the exterior, serving as the Sovereign drug; Qianghuo (Notopterygium Rhizome and Root) is bitter-pungent-warm, penetrating the joints; Zhi Gancao (Honey-fried Licorice Root) is sweet-warm, tonifying the spleen and stomach, moving meridians and collaterals, and unblocking blood vessels; Cold in the stomach leads to vomiting, hiccup, and inability to eat; Yizhiren (Alpinia Oxyphylla Fruit), Dingxiang (Clove), and Chenxiang (Aquilaria Wood) are great pungent-hot, used to disperse cold as Assistant drugs; The pathogenic qi of sores attacks inward, causing qi accumulation leading to fullness; Muxiang (Aucklandia Root), Huixiang (Fennel), and Chenpi (Tangerine Peel) are bitter-pungent-warm, treating pi-syndrome (obstruction) and dispersing fullness, serving as Envoy drugs.
Chop the above ingredients into one dose, add three zhan of water and five slices of fresh ginger, decoct until one zhan remains, strain, and take warm at any time. Avoid all cold foods.
Treating sores arising from below the ear to the Quepen point (LI15), or extending to the shoulder, which are hard as stone and have no root when moved, named "Ma Dao" (Horse Dagger). These originate from the Hand-Shaoyang and Foot-Shaoyang meridians, or arise in the hypochondrium, whether already suppurating or not yet broken, are all treated.
Lianqiao (Forsythia Fruit), Huangqin (Scutellaria Root) (raw), Shaoyao (Peony Root), Dangguiwei (Angelica Sinensis Tail) (wine-processed), Jingsanleng (Burreed Tuber) (finely sliced), Guangzhu (Curcuma Zedoary Rhizome) (finely sliced, wine-processed once together with Sanleng, lightly fried, each half liang above); Caolongdan (Gentiana Scabra Root) (wine-processed four times, 2 liang); Huangqin (Scutellaria Root) (wine-fried twice); Huanglian (Coptis Rhizome) (wine-fried twice); Cangzhu (Atractylodes Rhizome) (each two qian above); Tugua Gen (Melon Root) (wine-fried, 1 liang); Chaihu (Bupleurum Root) (1 liang 2 qian); Gancao (Licorice Root) (roasted, 3 qian).
Take half of the above ingredients and grind into powder. Mix with refined honey to make pills the size of mung beans. Take 100 pills per dose, or 150 pills. Take the other half and chop. For each dose, take half liang, add one zhan eight fen of water, soak for half a day, decoct until one zhan remains, strain, and take hot before sleeping. Lie with head elevated and feet lowered, remove pillow and lie on back. Swallow the liquid medicine ten times per mouthful, reserve one mouthful to wash down the pills, then sleep as usual.