(附论)
夫肾痈于内肾相对。皆由肾气衰败而成。突起皮赤者易安。陷入皮黑者难痊。如精神清
爽。颜色红润。饮食不减。多起少卧。此为善义也。颜色黑黄。饮食全减。斯为可忧。惟须
详审速疗。肾痈乃将理失宜。劳伤气血。风寒之气。乘虚而入。内舍于肾。及挟邪热。其气
结聚。或作寒热。脉数而实者是也。
消毒散(出百一选方)治男子肾痈。妇人乳痈。一切赤肿 毒。服之自散。
赤土(一皂子大) 木鳖子(七个炮去皮) 上同研令极匀。分三服。热酒或米饮调下。
食
后服。不动脏腑。不过一剂效。
治外肾痈疮
用抱鸡卵壳、鹰爪、黄连、轻粉等分为末。煎过。清油调涂。
治丈夫阴头痈(出肘后方)
用鳖甲一个。烧为末。以鸡子白和。敷之。
治肾痈及天行热疾
用乌贼骨末粉。敷之。
甘草膏(出百一选方)治水谷道前后生痈。谓之悬痈。乃肛门及膀胱处。生核
子如橄榄样。或梅李状。初不作痛。至旬日。渐作热。不早治疮溃脓血出。日数碗。有
至肠腐而大便从疮口出者。其苦不可言。近以数月。远至一二年亦愈。须是作核未痛以
前治之。不过一二服便自消。此病初发如松子大。渐如莲子。数十日后。如觉赤肿似桃
李即破。若破则难治。服此药。此痈已破服此药二服。疮口即合。甚妙。
用粉草半斤。内用无节者四两。如算子样劈破了。取泉石间长流水。以甘草入水中浸透。
以炭火将甘草蘸水焙炙。以一碗水尽为度。不可急性擘开。和将所炙甘草另用泉水五盏。无
灰好酒五盏。用瓦罐煎至二之一如膏。一起服之。立愈。另用有节甘草四两。仍用泉水随罐
大小煎汤。漉洗患处三遍。其效如神。如水冷再温热洗。一方治悬痈卒肿。用硼砂半钱。绵
裹含咽津瘥。
治悬痈。
大黄 甘草节 贝母 白芷 上为末。小酒调。兼治弩气诸疮疖瘥。虚弱人加当归一半。
大黄煨一半。
治悬痈乖宜。咽中妨闷。(出本草)
白矾(一两焙灰) 盐(一两) 上细研为散。以箸头点药在上瘥。
(Attached Discussion)
Shenyong (Kidney Abscess) is located opposite the inner kidney. It is formed due to the decline and failure of Kidney Qi. Those that suddenly protrude with red skin are easy to heal; those that sink into the blackened skin are difficult to cure. If the spirit is clear, the complexion is ruddy, food intake is not reduced, and there is more sitting and less lying down, this is a favorable sign. If the complexion is dark yellow, and food intake is completely reduced, this is a cause for concern. Careful examination and rapid treatment are required. Shenyong results from improper management, labor injury damaging Qi and Blood, where Wind-Cold pathogens enter through the deficiency and lodge internally in the Kidney, accompanied by pathogenic Heat. This causes Qi stagnation and accumulation, sometimes presenting with alternating chills and fever, characterized by a rapid and excess pulse.
Xiaodu San (Disinfecting Powder, from *Bai Yi Xuan Fang*) treats Shenyong in men, Ruyong (Breast Abscess) in women, and all types of red swelling and toxic sores. Self-resolution occurs after administration.
Chitu (Red Earth, size of a soapberry) Mubiezi (Strychni Semen, seven seeds, processed and peeled). Grind these two together until extremely uniform. Divide into three doses. Administer with warm wine or rice water after meals. It does not damage the Zang-Fu organs, and efficacy is usually achieved within one dose.
Treatment for External Genital Abscesses
Use Baoji Luanké (Hen's Eggshell), Yingzhao (Eagle Claw), Huanglian (Coptidis Rhizoma), and Qingfen (Calomelas) in equal parts, grind into powder. After decoction, mix with clarified sesame oil and apply topically.
Treatment for Male Glans Abscess (from *Zhou Hou Fang*)
Use one Biejia (Testudinis Carapax et Plastrum). Burn into powder, mix with Jizi Bai (Albumen Ovi Galli), and apply as a poultice.
Treatment for Shenyong and Epidemic Febrile Diseases
Apply Mougu Fen (Sepiae Endoconcha Powder) as a dusting powder.
Gancao Gao (Licorice Paste, from *Bai Yi Xuan Fang*) treats abscesses occurring before and after the digestive tract, known as Xuanyong (Hanging Abscess). These occur at the anus and bladder area, forming nodules resembling olives or plums. Initially painless, they gradually become hot after ten days. If not treated early, the sore ulcerates, discharging pus and blood, up to several bowls per day. In severe cases, intestinal rot may occur, causing feces to exit through the wound, an indescribable suffering. Recovery can take months to a year or two. Treatment must begin before the nodule becomes painful. Usually, one or two doses will cause it to resolve spontaneously. The disease starts the size of a pine nut, grows to the size of a lotus seed, and after dozens of days, if redness and swelling appear like a plum or peach, it will rupture. Once ruptured, it is difficult to treat. Taking this medicine, even if the abscess has ruptured, two more doses will close the wound, which is very effective.
Use Banjin of Fengan Gancao (Powdered Licorice Root), selecting four liang of stem-free licorice. Split it like counting rods. Take running spring water from between rocks, soak the licorice thoroughly, then roast over charcoal fire while dipping in water, until one bowl of water is consumed. Do not break it open hastily. Take the roasted licorice and decoct it separately with five cups of spring water and five cups of good non-ashy wine in a clay pot until reduced to one-third, forming a paste. Take all at once for immediate cure. Additionally, use four liang of licorice with nodes, decoct in spring water according to pot size, filter, and wash the affected area three times. The effect is miraculous. Re-warm if the water cools. Another method for sudden swelling of Xuanyong: use half a qian of Pengsha (Borax), wrap in cotton, hold in mouth, swallow saliva until healed.
Treatment for Xuanyong.
Dahuang (Rhei Radix et Rhizoma) Gancaojie (Licorice Node) Beimu (Fritillariae Bulbus) Baizhi (Angelicae Dahuricae Radix). Grind into powder, mix with small amount of wine. Also treats persistent Qi stagnation and other sores/boils after healing. For weak persons, add half dosage of Danggui (Angelicae Sinensis Radix). Use half dosage of Wei Dahuang (Roasted Rhubarb).
Treatment for Xuanyong caused by improper care, resulting in obstruction and stuffiness in the throat (from *Ben Cao*).
Baifan (Alumen, one liang, calcined to ash) Yan (Salt, one liang). Grind finely into a powder. Apply to the lesion using the tip of a chopstick until healed.