治缓疽方。
初作宜服五香连翘汤, 去血,以小豆薄涂之,其间数以 针去血,又薄之,取消良也。
不消,色未变青KT 者,以练石薄薄之。若失时不得消已烂者,犹服五香连翘汤及漏芦汤
下之,随热多少投方也。外以升麻汤 洗之,敷升麻膏。若生臭恶肉者,可以单行一物白
茹散敷之。青黑肉去尽便敷也。好肉熟生,但敷生麻膏良。肉不生,敷单行一物黄 散也。
若敷白 茹散积日,青黑恶肉不尽者,可以漆头赤皮 茹散取半钱匕,和杂三大钱匕白 茹
散中合冶之,稍以敷之,恶肉去尽,还淳用白 茹散也。视好肉欲生,可敷黄 散也。
白 茹散
漆头 茹散
黄 散
上三方,并一物单行,随多少舂下筛用耳。
治缓疽,初作即以小豆薄涂之,亦消也。
附骨疽,一名 疽,以其无头附骨成脓故也。又名痈疽,以其广大竟体有脓故也。附骨
急疽,与贼风实相似也。其附骨疽者,由人体盛有热,久当风冷入骨解中,风与热相搏,其
始候,为欲眠、沉重、惚惚耳。急者热多风少,缓者风多热少也。
贼风者,其人体平无热,中暴风冷,则骨解深痛。附骨疽久者则肿见结脓,贼风久则枯
或结瘰 ,以此为异也。是附骨疽而作贼风治,则益其病,深脓多也。是贼风而作附骨疽
治,则加其冷,风增遂成瘰 、偏枯、挛曲之疾也。
附骨急疽者,其痛处壮热,体中乍寒乍热,索索恶寒不用热,小便或赤,大便或难,无
汗也。即得治下去热,便得消也。纵不消尽,亦得浮浅近外易得坏溃,其不复附骨也。贼风
之证,但痛应骨不可按抑,痛处不壮热,体不仁,乍寒乍热,但觉体KT 以冷,欲得热,
热熨痛处即小宽,时有汗也。即得针灸熨,服治风温药,便效也。
初得附骨疽,即服漏芦汤下之,敷小豆薄得消也。下利,利已虚而肿处未消者,可除大
黄用生地黄及干地黄也。热渐退余风未歇者,可服五香连翘汤除大黄也。余热未消,可敷升
麻膏佳。若失时不消成脓者,用火针膏散如治痈法也。
Decoction for Treating Huan Ju (Slow-Developing Abscess).
In the initial stage, it is appropriate to take Wuxiang Liaoqiao Tang (Five-Spice and Forsythia Decoction) to expel blood stasis. Apply a thin layer of crushed Adzuki Bean (Vigna angularis) to the affected area. During this period, puncture the area with a needle multiple times to drain blood, then reapply the crushed beans. This method yields excellent results.
If the swelling does not subside and the color has not turned cyanotic or blackish, apply a thin layer of polished stone powder (Lian Shi) to the lesion. If the condition is neglected and fails to resolve, leading to ulceration, continue administering Wuxiang Liaoqiao Tang and Loulu Tang (Euphorbiae Humifusae Decoction) to purge heat toxins, adjusting the dosage according to the severity of the heat. Wash the external wound with Shengma Tang (Cimicifugae Decoction) and apply Shengma Ointment. If foul-smelling necrotic tissue grows, apply Baoru San (White Rhizome Powder) alone externally. Once the cyanotic and black necrotic tissue is completely removed, resume application. When healthy granulation tissue begins to regenerate, applying raw Hemp Seed Oil Ointment (Sheng Ma Gao) is beneficial. If flesh fails to regenerate, apply Huang San (Yellow Powder) alone.
If prolonged application of Baoru San fails to remove all cyanotic and black necrotic tissue, mix half a measure of Qitou Chipi Ru San (Lac-Head Red-Bark Rhizome Powder) with three large measures of Baoru San, grind them together thoroughly, and apply gradually. Once all necrotic tissue is removed, revert to using pure Baoru San. Observe when healthy tissue is about to grow; at this point, apply Huang San.
Baoru San (White Rhizome Powder)
Qitou Chipi Ru San (Lac-Head Red-Bark Rhizome Powder)
Huang San (Yellow Powder)
The above three formulas consist of single herbs used independently. Crush and sieve them as needed for use.
To treat Huan Ju, apply crushed Adzuki Beans thinly in the early stages; this can also resolve the condition.
Fugu Ju (Abscess Attached to Bone), also known as Tie Gu Ju (Bone-Clinging Abscess), derives its name from the absence of a head and the formation of pus adhering closely to the bone. It is also called Yong Ju (Carbuncle-Abscess) because the lesion is extensive and involves widespread suppuration throughout the body. Fugu Ji Ju (Acute Abscess Attached to Bone) presents symptoms similar to Zei Feng (Thief Wind). This condition arises when internal heat accumulates in the body, and prolonged exposure to wind-cold allows cold pathogens to penetrate deep into the interstices of the bones. The wind and heat pathogens then contend with each other. Initial signs include somnolence, heaviness of the body, mental confusion, and tinnitus. In acute cases, heat predominates over wind; in chronic cases, wind predominates over heat.
Patients with Zei Feng typically have a normal body temperature without internal heat. Upon sudden exposure to violent cold winds, they experience deep pain in the bone joints. Chronic Fugu Ju leads to swelling and pus formation, whereas chronic Zei Feng may result in emaciation or the development of Lu Li (Scrofula/Lymphatic Tuberculosis). This distinction serves as a diagnostic criterion. Treating Fugu Ju as Zei Feng exacerbates the disease, increasing deep-seated pus. Conversely, treating Zei Feng as Fugu Ju aggravates the cold pathogen, potentially leading to complications such as Lu Li, hemiplegia, and tendon contraction/deformity.
In patients with Acute Fugu Ju, the painful area is hot to the touch, accompanied by alternating chills and fever, shivering aversion to cold (disliking warmth), reddish urine, difficult defecation, and anhidrosis. Immediate treatment to clear heat will lead to resolution. Even if complete resolution does not occur, the lesion becomes superficial and easier to rupture, ceasing to adhere deeply to the bone. The syndrome of Zei Feng is characterized by pain localized to the bone that cannot be pressed, absence of local heat, numbness, alternating chills and fever, a sensation of coldness in the body, and a desire for warmth. Pain relief can be achieved through hot compresses on the painful area, sometimes accompanied by sweating. Immediate acupuncture, moxibustion, and hot iron therapy (Wen), along with administration of wind-warming herbal medicines, yield effective results.
Upon the onset of Fugu Ju, immediately administer Loulu Tang to purge, and apply crushed Adzuki Beans thinly to resolve the swelling. If diarrhea occurs after purging, leaving the patient deficient while the swelling persists, replace Da Huang (Rhei Radix et Rhizoma) with Sheng Di Huang (Rehmanniae Radix Recens) and Gan Di Huang (Rehmanniae Radix Preparata). As heat subsides but residual wind remains, administer Wuxiang Liaoqiao Tang without Da Huang. If residual heat persists, applying Shengma Ointment is optimal. If the condition is neglected and suppuration forms, treat it using fire needles, ointments, and powders according to the protocols for treating Yong (Carbuncles).