集成金粟丹 此丸专能疏风化痰,清火降气,并治咳嗽上气,喘急不定,嗽声不转,眼翻手搐。凡诸家
截风定搐之方,皆不及此
方之圣。倘前医用药不当,误而致搐,昏沉不醒,即以全身灯火醒之,用此丸一服即痊。
九制牛胆南星(二两) 明天麻(一两,姜汁炒) 节白附(一两,姜汁炒) 净全蝎(拣去尾足,以滚
汤泡净,去其盐泥,晒干,炒,一两) 明乳香(去油净,一两) 代赭石(火 红,以好醋淬之, 七次,
淬七次,研细末,以水飞,晒干,一两) 直僵蚕(炒,去丝,一两) 赤金箔(五十张) 真麝香(三分)
梅花片(三分)
共为细末,炼蜜为丸,皂角子大,贴以金箔。每用一丸,姜汤化服。此方比抱龙、金液、保命、至宝、定
命等方,功倍十百,惟虚寒之痰,无根之气,绝脱之证,不可用之,以其降令重也。
制南昌法 用生南星半斤,研极细末,盛于碗内,取牛胆一枚,倾出胆汁于碗内,将南星末和匀,仍
复装入胆皮之内,悬有风无日之处,俟其阴干。有胆之时,将前胆剖破,取出南星研末,仍以胆汁和匀,装入悬
之,能装过九胆,诚为至宝。任彼正真牛黄,莫能及此,且今之牛黄,切无真者。若市肆胆星,一胆而已,不
可用。
《千金》曰∶丹毒一名天火,皆风热恶毒所为,入腹则杀人。其证由心火炽盛,热与血搏,或起于手足,或
发于头面胸背,游移上下,其热如火,赤如丹砂,形如锦纹,其痛非常。凡自胸腹而散于四肢者,易治;自四肢
而入腹者,难治。
按∶丹毒虽曰风热,而有胎毒之发者,十之八九,小儿最多,方脉无此。世有丹毒伤生而不知者,盖此毒每
发于隐密之处,倘父母不觉,遂致伤儿。大凡小儿头面四肢、胸背胁腋,忽有红晕一点,渐次散开,色如锦纹,
外带黄色,即是火丹。速宜砭去恶血,内服沆瀣丹,庶不致内攻作搐;倘医者不知针砭,妄用搽敷,逼毒入内,
必致作搐而死。每见丹毒之祸儿者,比比矣。
Jicheng Jinsu Wan: This pill is specifically capable of dispersing wind and resolving phlegm, clearing fire and descending qi. It treats cough with rebellious lung qi (cough and asthma due to upward reversal of lung qi), irregular急促 panting, unsmooth cough sounds, eyes rolling upward, and convulsions of the hands and feet. All formulas from various schools for cutting off wind and stopping convulsions are inferior to this formula in efficacy. If previous physicians used inappropriate medications, mistakenly causing convulsions, coma, and unconsciousness, one should immediately use whole-body lamp-moxibustion to awaken the patient, and administer one dose of this pill for a complete recovery.
Ingredients and dosages: Jiuzhi Niudan Nanting (Prepared Arisaema with Bovis Gallus, 2 liang), Ming Tianma (Gastrodiae Rhizoma, 1 liang, stir-fried with ginger juice), Jie Baifu (Typhonii Rhizoma Praeparatum, 1 liang, stir-fried with ginger juice), Jing Quanxie (Scorpio, 1 liang, tails and legs removed, rinsed clean with boiling water, salt and mud removed, dried and stir-fried), Ming Ruxiang (Boswelliae Resina, 1 liang, defatted), Daizheshi (Haematitum, 1 liang, heated until red-hot, quenched in good vinegar seven times, ground into fine powder, processed by water flotation, dried), Zhi Jiangcan (Bombyx Batryticatus, 1 liang, stir-fried, silk removed), Chijinbo (Lamina Auricae, 50 sheets), Zhen Shexiang (Moschus, 3 fen), Meihuapian (Borneolum Syntheticum, 3 fen).
Grind all ingredients into a fine powder, mix with refined honey to form pills, sized like Gleditsia sinensis seeds, coated with gold foil. Take one pill per dose, dissolve and take with ginger decoction. The efficacy of this formula is ten to a hundred times greater than that of Baolong Wan, Jinli Dan, Baoming Dan, Zhibao Dan, and Dingming Dan. However, it must not be used for phlegm of deficiency-cold nature, qi without root, or syndromes of collapse, because its descending action is too heavy.
Nanchang Preparation Method: Take Ban Xia Nanxing (Raw Arisaematis Rhizoma) half a jin, grind into an extremely fine powder, and place in a bowl. Take one bovine gallbladder, pour out the bile into the bowl, mix the Arisaema powder evenly with the bile, and refill the mixture into the gallbladder membrane. Hang it in a ventilated place away from direct sunlight until it dries naturally. When new gallbladders are available, cut open the previous one, remove the Arisaema, grind it again, mix with fresh bile, and hang it in a new gallbladder. If this process can be repeated through nine gallbladders, it is truly a precious treasure. Even genuine Niuhuang (Calculus Bovis) cannot compare, and moreover, genuine Niuhuang is rarely found in the market today. Commercially available Dansing prepared with only one gallbladder is unusable.
The *Qianjin Fang* states: Danshu (Erysipelas) is also known as Tianhuo (Heavenly Fire), caused by toxic wind-heat. If the toxin enters the abdomen, it is fatal. The syndrome arises from blazing heart-fire, where heat combats blood. It may originate on the limbs or erupt on the head, face, chest, and back, moving up and down. The heat feels like fire, the color is red like cinnabar, the pattern resembles brocade, and the pain is severe. Cases where the eruption spreads from the chest/abdomen to the limbs are easy to treat; cases where it invades from the limbs into the abdomen are difficult to treat.
Commentary: Although Danshu is attributed to wind-heat, eighty to ninety percent of cases involve the eruption of fetal toxins, most commonly in infants, and such cases do not occur in adult pulse-diagnosis contexts. There are instances of death from Danshu where the cause is unknown, likely because this toxin often erupts in hidden areas. If parents fail to notice it, it harms the infant. Generally, if an infant suddenly presents with a small red halo on the head, face, limbs, chest, back, ribs, or axillae, which gradually spreads, resembling brocade patterns with a yellowish tint externally, this is Huodan (Fire Erysipelas). One should promptly use bian-shi (stone lancet) therapy to expel bad blood and internally administer Hangxie Dan, so as to prevent internal attack leading to convulsions. If physicians ignore needle-lancet therapy and recklessly apply external plasters, forcing the toxin inward, it will inevitably lead to convulsions and death. Instances of infants harmed by Danshu are commonplace.