(附论)
夫恶核病者。肉中忽有核累累如梅李核。小者如豆粒。皮肉 痛壮热。 索恶寒是也。
与诸
治入
又
无常定处。多恻恻然痛。或时不痛。人不痛者便不忧。不忧则救迟。救迟即杀人。是以宜早
防之。尤忌鱼鸡猪牛马驴等肉。其疾初如粟米。或似麻子在肉里而坚似 。长甚速。初得多
恶寒。须臾即短气。取吴茱萸五合作末。水一升和之。取汁顿服。以滓敷上。服此汁令毒散
止。即不入腹也。入腹则成祸矣。切慎之。
方
五香散(一名五香连翘汤)治肉中或有恶核生。肿破不消。恶肉恶脉。瘰
肿。结气。(出圣惠方)
鸡舌香(各一两) 射香(一分细研) 薰陆香(一两) 射干 紫葛(锉) 川
升麻 独活 桑寄
香(各一两) 上为散
更煎一二沸。温服。
连翘散(出圣惠方)治项上恶核 肿。
连翘 川升麻 独活 木通(锉) 木香 沉香(各一两) 桑寄生 丁香(各半两) 川
大黄(
独活散(出圣惠方)治恶核风结肿毒。四肢烦热拘急。
独活 木香 射干 连翘 甘草(生锉) 桑寄生 川升麻 沉香 川大黄(生用各一
两) 上
之。日
丹参膏(出肘后方)治恶核肿。
白蔹散(出圣惠方)治恶核 肿不消。及痈疽。
白蔹 川大黄 赤石脂 赤芍药 芥草 黄芩 黄连(去须) 吴茱萸(各一两) 上
为末。以
黄 散(出圣惠方)治恶核 肿疼痛。
黄 (一两半锉) 黄芩 芎 黄连(去须) 白芷 赤芍药 当归(各一两) 上
为末。以
贴恶核散
赤小豆 猪牙皂角 硝石 黄柏 木鳖子(各半两) 上为末。鸡子清调。涂气体壮实
者。仍
治恶核肿结不散方(出肘后方)
吴茱萸(末一两) 小蒜(二两) 上捣为汁敷之。日三换。以瘥为度。
治恶核
蜗牛 蟾酥 以针挑破贴之。
治恶核肌黄患肿
以针破。用香油烧竹。滴油在患处。
又方
用火炮姜捣碎如飞盐。刺核破。揩黄水流出亦妙。后用蓖麻子百粒。去壳捣烂。加小七
香丸
治恶核肿不散
用鲜鲫鱼杵敷之。一方用鲤鱼烧灰。调醋敷之。或加天仙子米醋。调匀敷患处。尤佳。
治结核(出本草)
用堇菜干末。和油煎成膏。摩结核上。日三度瘥。
(Attached Discussion)
The disease known as "Ehe" (Malignant Nodule) refers to the sudden appearance of nodules within the muscle tissue, resembling plum or apricot pits in size, with smaller ones being like bean grains. The skin and flesh are painful, accompanied by high fever and severe aversion to cold.
This condition has no fixed location and is mostly characterized by a lingering pain, though sometimes it may be painless. If there is no pain, people will not worry; if they do not worry, treatment will be delayed; delayed treatment leads to death. Therefore, early prevention is essential. One should particularly avoid consuming meats such as fish, chicken, pig, cow, horse, and donkey. Initially, the disease appears like millet grains or like hemp seeds embedded firmly in the flesh, growing very rapidly. Early stages often involve aversion to cold, followed shortly by shortness of breath. Take 5 he of Evodiae Fructus (Wuzhuyu, 吴茱萸), grind it into powder, mix with 1 sheng of water, extract the juice, and take it all at once. Apply the dregs to the affected area. Taking this juice helps dissipate the toxicity and prevents it from spreading; thus, it does not enter the abdomen. If it enters the abdomen, disaster ensues. Be extremely cautious.
Formulas:
Wuxiang San (Five-Aromatic Powder) (also known as Wuxiang Lianqiao Tang / Cinnamon Twig and Forsythia Decoction), treats malignant nodules arising in the muscle, where swelling breaks but does not resolve, accompanied by necrotic flesh and abnormal vessels, scrofula-like swellings, and qi stagnation. (From *Shenghui Fang*)
Jiti Xiang (Clove, 1 liang each), Shexiang (Moschus/Musk, 1 fen, finely ground), Xunlu Xiang (Olibanum/Frankincense, 1 liang), Shegan (Belamcanda Rhizome), Zige (Polygoni Multiflori Caulis/Caulis Polygoni Multiflori, chopped), Chuan Shengma (Cimicifugae Rhizoma, 1 liang each), Duhuo (Angelicae Pubescentis Radix), Sangjisheng (Taxilli Herba), Chenxiang (Aquilariae Lignum Resinatum/Agarwood, 1 liang each). Grind the above into a powder, decoct for one or two boils, and take warm.
Lianqiao San (Forsythia Powder) (From *Shenghui Fang*), treats malignant nodules and swelling on the neck.
Lianqiao (Forsythiae Fructus), Chuan Shengma (Cimicifugae Rhizoma), Duhuo (Angelicae Pubescentis Radix), Mutong (Akebiae Caulis/Caulis Akebiae, chopped), Muxiang (Aucklandiae Radix), Chenxiang (Aquilariae Lignum Resinatum/Agarwood, 1 liang each), Sangjisheng (Taxilli Herba), Dingxiang (Caryophylli Flos/Clove, half liang each), Chuan Dahuang (Rhei Radix et Rhizoma/Rhubarb Root).
Duhuo San (Angelicae Pubescentis Powder) (From *Shenghui Fang*), treats malignant nodules caused by wind accumulation and toxic swelling, with vexing heat and stiffness in the four limbs.
Duhuo (Angelicae Pubescentis Radix), Muxiang (Aucklandiae Radix), Shegan (Belamcanda Rhizome), Lianqiao (Forsythiae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma/Raw and chopped), Sangjisheng (Taxilli Herba), Chuan Shengma (Cimicifugae Rhizoma), Chenxiang (Aquilariae Lignum Resinatum/Agarwood), Chuan Dahuang (Rhei Radix et Rhizoma/Raw, 1 liang each). Grind the above into [powder], take daily... [text incomplete].
Danshen Gao (Salvia Miltiorrhiza Ointment) (From *Zhouhou Fang*), treats malignant nodules and swelling.
Bailian San (Ampelopsis Radix Powder) (From *Shenghui Fang*), treats persistent malignant nodule swelling and carbuncles/furuncles.
Bailian (Ampelopsis Radix), Chuan Dahuang (Rhei Radix et Rhizoma/Rhubarb Root), Chishizhi (Halloysit Rubra/Halloysite Red), Chishaoyao (Paeoniae Radix Rubra/Red Peony Root), Jiecao [likely Jiexue Cao or similar, text says Jiecao], Huangqin (Scutellariae Radix/Baical Skullcap Root), Huanglian (Coptidis Rhizoma/Coptis Rhizome, remove stamens), Wuzhuyu (Evodiae Fructus/Evodia Fruit, 1 liang each). Grind the above into powder, use [to prepare]... [text incomplete].
Huang... San (Yellow... Powder) (From *Shenghui Fang*), treats painful malignant nodule swelling.
[Huangqi? Huangbo?] (1.5 liang, chopped), Huangqin (Scutellariae Radix/Baical Skullcap Root), Xiong [Chuanxiong?], Huanglian (Coptidis Rhizoma/Coptis Rhizome, remove stamens), Baizhi (Angelicae Dahuricae Radix/Dahurian Angelica Root), Chishaoyao (Paeoniae Radix Rubra/Red Peony Root), Danggui (Angelicae Sinensis Radix/Sweet Angelica Root, 1 liang each). Grind the above into powder, use [to prepare]... [text incomplete].
Tie Ehe San (Paste for Malignant Nodules Powder)
Xiaohongdou (Phaseoli Semen Adzuki/Adzuki Bean Seed), Zhuya Zaojiao (Gleditsiae Sinensis Spina/Gleditsia Sinensis Thorn), Xiaoshi (Natrii Sulfas/Niter), Huangbai (Phellodendri Cortex/Phellodendron Bark), Mubiezi (Strychni Semen/Strychnos Seed, half liang each). Grind the above into powder, blend with egg white. Apply to those with strong constitutions... [text incomplete].
Formula for Treating Persistent Malignant Nodule Swelling (From *Zhouhou Fang*)
Wuzhuyu (Evodiae Fructus/Evodia Fruit, powdered, 1 liang), Xiao Suan (Allium Macrostemon/Small Garlic, 2 liang). Pound and crush to extract juice, apply to the area. Change three times a day, until healed.
Treating Malignant Nodules
Woniu (Helix Aspersa Snail), Chansu (Bufonis Venenum/Toad Venom). Puncture the nodule with a needle and apply the paste.
Treating Malignant Nodules with Yellow Muscle Swelling
Puncture with a needle. Burn bamboo in sesame oil, and drip the oil onto the affected area.
Another Formula
Roast ginger over fire, pound into powder like flying salt. Pierce the nodule, wipe away the yellow fluid; this is also effective. Afterwards, use 100 Castor Seeds (Ricini Semen/Castor Bean Seed), remove shells, pound into a paste, add Xiao Qixiang Wan [Seven-Aromatic Pill]... [text incomplete].
Treating Persistent Malignant Nodule Swelling
Apply pounded fresh crucian carp. Another method uses burnt carp ash mixed with vinegar for application. Or add Tianxianzi (Daturae Semen/Datura Seed) and rice vinegar, mix well, and apply to the affected area, which is especially good.
Treating Scrofula/Tubercles (From *Bencao*)
Use dried powder of Jincai (Viola Herb/Violet Herb), mix with oil, boil into an ointment, and massage onto the tubercles. Three times a day until healed.