有气肿病,其状如痈,无头虚肿色不变,皮上急痛,手裁着便觉痛,此由体热当风,复
被暴冷凉折之,结成气肿也。宜服五香连翘汤,白针气写之,敷蒺藜薄,亦可用小豆薄,并
得消也。
蒺藜薄方
蒺藜子二升,下筛,以麻油和如泥,熬令焦黑,以涂细故熟布上,剪如肿大,勿开头,
之。无蒺藜可舂小豆下筛,鸡子白和,涂肿上,干复涂之,并得消也。
有气痛病,身中忽有一处痛,如打棵之状,不可堪耐,亦左右走身中,发作有时,痛发
时则小热,痛静时便觉其处如冷水霜雪所加,此皆由冬时受温风,至春复暴寒凉来折之,不
成温病,乃变作气痛也。
宜先服五香连翘汤数剂,及竹沥汤,摩丹参膏,又以白酒煮杨柳树皮,暖熨之,有赤气
点点见处,宜 去血也,其间将白薇散。
小竹沥汤,治气痛方。
淡竹沥(二升) 夜干(二两) 杏仁(二两) 茵芋(半两) 黄芩(半两) 白术
(二两) 木
防己(二两) 防风(二两) 秦艽(二两) 茯苓(三两) 麻黄(一两) 独活(二两)
枳实(二
两)
凡十五物, 咀,以水九升,煮药折半,乃可纳竹汁,煮取三升,分四服,少嫩人分作
五服。
白薇散,治风热相搏结气痛,左右走身中,或有恶核疹起者,积服汤余热未平复,宜此
白薇散以消余热方。
白薇(六分) 葳蕤(四分) 当归(四分) 麻黄(三分) 秦艽(五分) 天门冬
(四分) 蜀
椒(二分) 木防己(四分) 紫胡(三分) 草(二分) 独活(四分) 枳实(四分)
乌头(二
分) 术(六分) 人参(四分) 夜干(六分) 山茱萸(四分) 青木香(四分) 防
风(六分)
白芷(
凡二十物,捣下绢筛,以酢浆服方寸匕,渐至二匕,日三。少嫩人随长少减服之。毒微
者,可用酒也。
There is a disease called Qi Swelling (Qi Zhong), whose symptoms resemble an abscess (Yong). It presents as a hollow swelling without a head, with unchanged skin color. The skin surface feels tight and painful; touching it lightly causes pain. This condition arises from body heat combined with exposure to wind, followed by sudden cold injury, leading to the coagulation of Qi and formation of Qi Swelling. It is advisable to take Wuxiang Lianqiao Tang (Five-Aroma Forsythia Decoction), perform acupuncture with white needles (fine filiform needles) to drain (Xie) the pathogenic factors, and apply external compresses of Jili Bo (Tribulus Paste) or alternatively Xiaodou Bo (Adzuki Bean Paste), both of which can resolve the swelling.
Recipe for Jili Bo:
Take two sheng of Tribulus seeds (Jili Zi), grind them into fine powder through a sieve, mix with sesame oil to form a paste, and stir-fry until charred black. Spread this mixture onto fine, old, cooked cloth, cutting it to fit the size of the swelling. Do not pierce the top. If Tribulus is unavailable, adzuki beans may be pounded, ground into powder, mixed with egg white, applied to the swelling, and reapplied when dry. This method also resolves the swelling.
There is a disease called Qi Pain (Qi Tong), characterized by sudden pain in one area of the body, feeling as if struck by a club, unbearable in intensity. The pain migrates left and right within the body and occurs at specific times. During attacks, there is slight fever; when the pain subsides, the affected area feels cold, as if covered by cold water, frost, or snow. This results from contracting warm winds in winter, which are then abruptly checked by cold weather in spring. Instead of developing into a Warm Disease (Wen Bing), it transforms into Qi Pain.
It is advisable to first administer several doses of Wuxiang Lianqiao Tang (Five-Aroma Forsythia Decoction), along with Zhuli Tang (Bamboo Juice Decoction), massage with Danshen Gao (Salvia Ointment), and apply hot compresses using willow bark boiled in white wine. Where red spots appear, bloodletting (Qu Xue) is indicated. During this period, Baiwei San (Cynanchum Powder) should be taken.
Small Bamboo Juice Decoction (Xiao Zhuli Tang), a formula for treating Qi Pain:
Dan Zhu Li (Light Bamboo Juice) [2 Sheng], Ye Gan (Dried Ginger, i.e., Gan Jiang) [2 Liang], Xing Ren (Apricot Seed) [2 Liang], Yin Yu (Ilex Leaf) [0.5 Liang], Huang Qin (Scutellaria Root) [0.5 Liang], Bai Zhu (Atractylodes Macrocephala Rhizome) [2 Liang], Mu Fang Ji (Stephania Tetrandra Root) [2 Liang], Fang Feng (Saposhnikovia Root) [2 Liang], Qin Jiao (Gentiana Macrophylla Root) [2 Liang], Fu Ling (Poria) [3 Liang], Ma Huang (Ephedra Herb) [1 Liang], Du Huo (Angelica Pubescens Root) [2 Liang], Zhi Shi (Immature Bitter Orange) [2 Liang].
These fifteen herbs are roughly chopped, decocted in nine Sheng of water until reduced by half. Then, add the bamboo juice and boil until three Sheng remain. Divide into four doses; for frail individuals, divide into five doses.
Baiwei San (Cynanchum Powder), used to treat Qi Pain caused by the binding of Wind-Heat, where pain migrates left and right in the body, or where hard nodules (E He) and rashes appear. If residual heat persists after taking herbal decoctions, this Baiwei San is suitable to clear the remaining heat.
Bai Wei (Cynanchum Atratum Root) [6 Fen], Wei Ru (Polygonatum Rhizome) [4 Fen], Dang Gui (Angelica Sinensis Root) [4 Fen], Ma Huang (Ephedra Herb) [3 Fen], Qin Jiao (Gentiana Macrophylla Root) [5 Fen], Tian Dong (Asparagus Root) [4 Fen], Shu Jiao (Sichuan Pepper) [2 Fen], Mu Fang Ji (Stephania Tetrandra Root) [4 Fen], Zi Hu (Likely a textual error for Chai Hu / Bupleurum Root, but extracted as written) [3 Fen], Cao (Likely Gan Cao / Licorice Root, extracted as written) [2 Fen], Du Huo (Angelica Pubescens Root) [4 Fen], Zhi Shi (Immature Bitter Orange) [4 Fen], Wu Tou (Aconite Root) [2 Fen], Shu (Likely Bai Zhu / Atractylodes Macrocephala Rhizome, extracted as written) [6 Fen], Ren Shen (Ginseng Root) [4 Fen], Ye Gan (Dried Ginger) [6 Fen], Shan Zhu Yu (Cornus Fruit) [4 Fen], Qing Mu Xiang (Vladimiria Root) [4 Fen], Fang Feng (Saposhnikovia Root) [6 Fen], Bai Zhi (Angelica Dahurica Root).
These twenty herbs are crushed, sifted through silk gauze, and administered with vinegar solution. Start with one Cun Bi (a square-inch measure of powder) per dose, gradually increasing to two Cun Bi, taken three times daily. Reduce the dosage for children according to their age. For cases with mild toxicity, wine may be used as the vehicle.