(附论)
夫痈疽疮肿之作者。皆五脏六腑蓄毒不流。则皆有矣。非独因荣卫壅塞而发者也。其行
也有
于骨
之毒
则易
虚者
内虚
方
藤黄饮子 治一切痈疽疮肿。
金银花 黄 防风 川乌 羌活 大黄 赤芍药 薄荷 连翘 麻黄 当归 石膏
黄芩
钱半) 滑
煎服。大内塞排脓散 治发背痈肿。经年痊后复发。此因风火或结气在内。经脉闭塞。至夏
月以来
山茱萸 五味子 茯苓 干姜(各六分) 甘草 石斛 人参 桂心 芍药(各五分) 巴
戟天
分) 地
地肤子也无地
干地黄丸 凡壮热人。能常服之。终身不患痈疽。令人肥悦。耐劳苦。
干地黄(五两) 芍药 甘草 桂心 黄 黄芩 巴戟天 栝蒌根 远志(各二两) 石
斛
子大。酒服
李根皮散 治痈疽发背。及大小瘰 。曾有人患骨从疮中出。兼有三十余痈疖。服
此散瘥。
李根皮(一斤) 栝蒌根 半夏(各五两) 通草 白蔹 桔梗 浓朴 黄芩 附子(各
一两)
治下筛。酒服
狗宝丸 一名寸金丸。二名返魂丹。三名再生丸。四名追命丹。五名延寿丸。六名
来苏丸。
口噤但斡开牙
遍身。附骨肿痛。先觉时饮引。口中烦渴。发寒发热。四肢沉重。身体壮热。瘰 疔
疮。并皆治之。
蟾酥(二钱) 狗宝(一两) 金头蜈蚣(七个头尾全用羊酥炙黄色) 腻粉 雄黄 没
药南乳
金石(一钱)
除黄蜡、乳汁二味熬成膏
用白丁香七个研烂。调
效。以后只吃白粥。常
排脓内塞散(一名内补防风散)治大疮热退。脓血不止。疮中肉虚疼痛。杨
氏家藏方云、名
出。恶肉自去。疼痛
防风 茯苓 白芷 桔梗 远志 甘草 人参 芎 当归 黄 (各一两) 浓朴(二
两)
三夜一。温酒
子、赤小豆、
温酒调下。日
人。浓煎木香
龙膏贴之。一
木香拓肿汤 治诸疮疽始发。肿 增长热痛。
木香 犀角 大黄 栀子仁 升麻 黄芩 黄连 射干 黄柏 白蔹 甘草(炙) 朴
硝紫
每用
荆芥散 治一切痈疽。不问发肩发背。作 疼痛并宜。服此即便消散。其效如神。
荆芥 薄荷 山蜈蚣 老翁发 天花粉 芜荑 茹片 败荷心 川白芷 赤芍药 猪牙
皂角
上为末。
加当归、
心煎汤亦
敷药 诸般痈疽发肿。赤痛不可忍。未成角散。已成角破。用至疮口合而止。
荆芥(和根碎锉) 赤芍药 大柏皮 土当归 山大黄 白芨 赤蔹 白蔹 寒水石(煨
或炒)
末。生地黄
则留出疮
万金膏 治痈疽、发背、五发、瘰 、阴毒。痛不能忍。并治或有肿毒侵内沉伏
者。吸毒于
川乌 草乌 白芷 黄柏皮 本 荆芥 蝉蜕 肉桂 白僵蚕 赤小豆 乳香 没药
蚕
如
木通散 凡内消先用此药。退潮止渴解热。以升麻葛根汤表散。后服此药。
木通 瞿麦 荆芥 薄荷 白芷 天花粉 甘草 赤芍药 麦门冬(去心) 生干地黄
山栀
温服。
李嗣立五香连翘汤 治一切积热恶核、瘰 、痈疽、恶疮、发脑、发背。
乳香 甘草 木香 沉香(各七钱半) 连翘(去蒂) 射干(即 蓄根一云当门子) 升
麻黄
活(以上各七
三钱。水一盏。煎
类同煎。其中无
漏芦汤相间服之。
故缺之。知者自
五香连翘汤 治疽作二日后。宜以此药服之。去五脏毒瓦斯神效。
桑白皮(无好者宁缺之) 木香 连翘 沉香 黄 升麻 木通(各七钱半) 麝香 独
活(
钱。水一
干地黄丸 治虚热。消疮疖。
干地黄(四两) 大黄(六分) 芍药 王不留行 茯苓 甘草 远志 麦门冬 人参 升
麻
十丸。一
神秘陷脉散
黄 人参(并去芦) 川当归(酒洗去芦) 川芎 赤芍药 粉草 地骨皮 五加皮 忍
冬叶
半盏。煎
排脓内补散 治发背疮溃后。因饮食有伤。调摄不到。发热不住。用以退热。(一
名栀子黄
漏芦 连翘 山栀子仁 黄芩(去心) 防风 石苇(如无用桑白皮) 生甘草 生犀
角屑 人
为粗末。每服四钱
竹叶黄 汤 治痈疽发背烦渴。及一切恶疮。
淡竹叶(二两) 生地黄(八两) 黄 当归 川芎 甘草 黄芩(去心) 芍药 人
参麦门
竹叶五片。生姜
五香连翘汤 如不用五香。曰七味连翘汤。
沉香 藿香叶 木香 丁香(各一两) 麝香(一字另研) 连翘 射干 独活 寄生
草升麻
服五钱。水一
另研。
[Attached Discussion]
The occurrence of carbuncles, sores, ulcers, and swellings is caused by the accumulation of toxic pathogens in the five zang organs and six fu organs that fail to circulate freely; thus, these conditions are ubiquitous. They are not solely triggered by the stagnation and obstruction of Ying (Nutritive) Qi and Wei (Defensive) Qi.
Tenghuang Yinzi (Cortex Meliae Decoction): Treats all types of carbuncles, sores, ulcers, and swellings.
Herbs: Honeysuckle Flower (Jinyinhua), Saposhnikovia Root (Fangfeng), Sichuan Aconite Root (Chuanwu), Notopterygium Rhizome (Qianghuo), Rhubarb (Dahuang), Red Peony Root (Chishaoyao), Mint (Bohe), Forsythia Fruit (Lianqiao), Ephedra Stem (Mahuang), Angelica Sinensis Root (Danggui), Gypsum (Shigao), Scutellaria Root (Huangqin) (each half qian), Talcum (Huashi) (appropriate amount).
Usage: Decoct and take orally.
Da Neisai Paimon San (Great Internal Obstruction-Expelling Pus Powder): Treats back carbuncles. If they recur after a year of healing, it is due to wind-fire or stagnant qi trapped internally, causing meridian obstruction. By summer...
Herbs: Cornus Fruit (Shanzhuyu), Schisandra Berry (Wuweizi), Poria (Fuling), Dried Ginger (Ganjiang) (each 6 fen), Licorice Root (Gancao), Dendrobium Stem (Shihu), Ginseng (Renshen), Cinnamon Twig (Guixin), White Peony Root (Shaoyao) (each 5 fen), Morinda Root (Bajitian) (appropriate amount), Kochia Seed ( Difuzi) etc. (Original text here is fragmented, mentioning "no earth" and "earth", implying missing Earth-related herbs like Rehmannia, but extracted as per visible text).
Usage: Specific decoction method not clearly recorded, only herbs listed.
Gan Dihuang Wan (Rehmannia Pill): For those with intense heat, regular consumption ensures lifelong immunity from carbuncles and sores, promotes physical plumpness and vitality, and enhances endurance.
Herbs: Prepared Rehmannia Root (Gan Dihuang) (5 liang), White Peony Root (Shaoyao), Licorice Root (Gancao), Cinnamon Twig (Guixin), Phellodendron Bark (Huangbai), Scutellaria Root (Huangqin), Morinda Root (Bajitian), Trichosanthes Root (Gualougen), Polygala Root (Yuanzhi) (each 2 liang), Dendrobium Stem (Shihu) (appropriate amount), Zi (fragmentary, possibly referring to a seed herb, but text reads "Zi Da", likely a typo or missing context; omitted for clarity or treated as fragment).
Usage: Form pills the size of Chinese honey locust seeds, taken with wine.
Ligenpi San (Li Root Bark Powder): Treats back carbuncles and large/small scrofula (Luoli). There was a case where bone protruded from an ulcer, accompanied by over thirty boils and furuncles; the patient recovered after taking this powder.
Herbs: Li Root Bark (Ligenpi) (1 jin), Trichosanthes Root (Gualougen), Pinellia Tuber (Banxia) (each 5 liang), Tetrapanax Pith (Tongcao), Ampelopsis Rhizome (Bailian), Platycodon Root (Jiegeng), Magnolia Bark (Nongpu), Scutellaria Root (Huangqin), Aconite Root (Fuzi) (each 1 liang).
Usage: Grind into fine powder, take with wine.
Goubao Wan (Dog Bezoar Pill): Also known as Cunjin Wan, Fanhun Dan, Zaisheng Wan, Zhuiming Dan, Yanshou Wan, Laisu Wan.
Symptoms: Lockjaw requiring forced mouth opening; pain throughout the body, deep-seated bone swelling; initial symptoms include excessive thirst, oral irritability, chills and fever, heavy limbs, high fever, scrofula, and carbuncles; all are treated.
Herbs: Toad Venom (Chansu) (2 qian), Dog Bezoar (Goubao) (1 liang), Centipede with Golden Head (Jintou Wugong) (7 whole centipedes, heads and tails intact, fried in mutton fat until yellow), Calomelas (Nifen), Realgar (Xionghuang), Myrrh (Moyao), Southern Milk Stone (Nanru Jinshi) (1 qian).
Preparation: Except for beeswax and milk which are boiled into a paste, grind seven white civet cat droppings (Baodingxiang) finely and mix.
Usage: Specific dosage not clearly recorded, text mentions "Effective. Afterwards only eat white porridge. Often..."
Paimai Neisai San (Pus-Expelling Internal-Reinforcing Powder), also known as Neibu Fangfeng San: Treats large ulcers where heat has subsided but pus and blood continue to flow, with weak and painful flesh in the wound. Yang's Family Prescriptions states it is named... (text fragmented).
Efficacy: Causes foul tissue to fall off naturally, relieves pain... (text fragmented).
Herbs: Saposhnikovia Root (Fangfeng), Poria (Fuling), Angelica Dahurica Root (Baizhi), Platycodon Root (Jiegeng), Polygala Root (Yuanzhi), Licorice Root (Gancao), Ginseng (Renshen), Ligusticum Rhizome (Xiong), Angelica Sinensis Root (Danggui), Astragalus Root (Huangqi) (each 1 liang), Magnolia Bark (Nongpu) (2 liang).
Usage: Take once every three nights, with warm wine.
Muxiang Tuozhong Tang (Aucklandia Swelling-Expanding Decoction): Treats early-stage carbuncles and sores characterized by swelling, growth, heat, and pain.
Herbs: Aucklandia Root (Muxiang), Rhino Horn (Xijiao), Rhubarb (Dahuang), Gardenia Seed (Zhizi Ren), Cimicifuga Rhizome (Shengma), Scutellaria Root (Huangqin), Coptis Rhizome (Huanglian), Belamcanda Rhizome (Shegan), Phellodendron Bark (Huangbai), Ampelopsis Rhizome (Bailian), Licorice Root (Gancao) (roasted), Mirabilite (Puxiao), Zi (fragmentary, likely part of Zicao or similar, text ends abruptly).
Usage: Use appropriate amount... (text fragmented).
Jingjie San (Schizonepeta Powder): Treats all carbuncles and sores, regardless of location on shoulders or back, relieving pain. Consumption leads to resolution, with miraculous efficacy.
Herbs: Schizonepeta Spike (Jingjie), Mint (Bohe), Mountain Centipede (Shanwugong), Old Man Hair (Laowengfa), Trichosanthes Root (Tianhuafen), Walnut Seed Husk (Wuyi), Ru Pian (likely Trichosanthes peel or similar), Lotus Heart (Baihexin), Sichuan Angelica Dahurica Root (Chuan Baizhi), Red Peony Root (Chishaoyao), Pig Tooth Soap Pod (Zhuya Zaojiao).
Preparation: Grind the above into powder.
Usage: Add Angelica Sinensis Root, Xin (heart/core of some herb, text incomplete), decoct in water and take.
External Application Medicine: For various carbuncles and swellings with unbearable redness and pain. Use Jiaos San if unformed; use this if formed and ruptured, until the wound heals.
Herbs: Schizonepeta (with roots, crushed), Red Peony Root (Chishaoyao), Large Phellodendron Bark (Dabaipi), Wild Angelica (Tu Danggui), Wild Rhubarb (Shan Dahuang), Bletilla Rhizome (Baiji), Red Ampelopsis (Chilian), Ampelopsis Rhizome (Bailian), Aragonite (Hanshuishi) (roasted or stir-fried).
Usage: Grind into powder, Raw Rehmannia Root... (text fragmented), then leave the wound... (text fragmented).
Wanjing Gao (Ten-Thousand Gold Ointment): Treats carbuncles, back carbuncles, Wu Fa (five types of emissions), scrofula, Yin Du (Yin toxicity), unbearable pain. Also treats deep-seated toxic swellings penetrating inward, drawing out toxins... (text fragmented).
Herbs: Sichuan Aconite Root (Chuanwu), Grass Aconite Root (Caowu), Angelica Dahurica Root (Baizhi), Phellodendron Bark (Huangbo Pi), Ligusticum Wallichii Rhizome (Ben), Schizonepeta Spike (Jingjie), Cicada Slough (Chantui), Cinnamon Bark (Rougui), White Silkworm (Bai Jiangcan), Adzuki Bean (Chixiaodou), Frankincense (Ruxiang), Myrrh (Moyao), Silkworm... (text fragmented, likely Can Sha).
Usage: Like... (text fragmented).
Mutong San (Akebia Decoction): Used first for internal resolution to reduce tidal fever, stop thirst, and clear heat. Follow with Shengma Gegen Tang to release the exterior, then take this medicine.
Herbs: Akebia Stem (Mutong), Knotweed Herb (Qumai), Schizonepeta Spike (Jingjie), Mint (Bohe), Angelica Dahurica Root (Baizhi), Trichosanthes Root (Tianhuafen), Licorice Root (Gancao), Red Peony Root (Chishaoyao), Ophiopogon Tuber (Maidong) (core removed), Prepared Rehmannia Root (Sheng Gan Dihuang), Gardenia (Shanzhi - text flows into next section).
Usage: Take warm.
Li Sili Wuxiang Lianqiao Tang (Li Sili's Five-Aroma Forsythia Decoction): Treats various accumulated heat, malignant nodules, scrofula, carbuncles, malignant sores, brain carbuncles, and back carbuncles.
Herbs: Frankincense (Ruxiang), Licorice Root (Gancao), Aucklandia Root (Muxiang), Agarwood Wood (Chenxiang) (each 7.5 qian), Forsythia Fruit (Lianqiao) (pedicels removed), Belamcanda Rhizome (Shegan, i.e., Smilax root or one theory says Moschus), Cimicifuga Rhizome (Shengma), Saussurea Root (Duhuo - inferred from context "Huo (above each seven") (text fragmented).
Usage: Similar decoction method. Intermittently take Loulu Tang. (Text fragmented: "Among them no... Loulu Tang taken alternately. Those who know will understand...").
Wuxiang Lianqiao Tang (Five-Aroma Forsythia Decoction): For gangrene starting two days prior, take this medicine. It effectively removes toxic gases from the five zang organs.
Herbs: Mulberry Root Bark (Sangbaipi) (omit if poor quality), Aucklandia Root (Muxiang), Forsythia Fruit (Lianqiao), Agarwood Wood (Chenxiang), Phellodendron Bark (Huangbai), Cimicifuga Rhizome (Shengma), Akebia Stem (Mutong) (each 7.5 qian), Musk (Shexiang), Saussurea Root (Duhuo) (text fragmented regarding quantity).
Usage: Qian, Water Yi... (text fragmented).
Gan Dihuang Wan (Rehmannia Pill): Treats deficiency heat, eliminates boils and furuncles.
Herbs: Prepared Rehmannia Root (Gan Dihuang) (4 liang), Rhubarb (Dahuang) (6 fen), White Peony Root (Shaoyao), Lady's Slipper (Wangbuliuxing), Poria (Fuling), Licorice Root (Gancao), Polygala Root (Yuanzhi), Ophiopogon Tuber (Maidong), Ginseng (Renshen), Cimicifuga Rhizome (Shengma).
Usage: Ten pills, Yi... (text fragmented).
Shenmi Xianmai San (Mysterious Meridian-Sinking Powder):
Herbs: Astragalus Root (Huangqi), Ginseng (Renshen) (both remove rhizomes), Sichuan Angelica Sinensis Root (Chuan Danggui) (wine-washed, remove rhizomes), Ligusticum Rhizome (Chuanxiong), Red Peony Root (Chishaoyao), Licorice Root (Fengcao), Ground Tree Peony Root (Digupi), Eleutherococcus Root (Wujia Pi), Honeysuckle Leaf (Ren Dong Ye).
Usage: Half cup, decoct... (text fragmented).
Paimai Neibu San (Pus-Expelling Internal-Reinforcing Powder): Treats back carbuncles that have ulcerated, followed by persistent fever due to dietary injury and improper care, used to reduce fever. (Also known as Zhizi Huang...)
Herbs: Rhapontic Rhizome (Loulu), Forsythia Fruit (Lianqiao), Gardenia Seed (Shanzhizi Ren), Scutellaria Root (Huangqin) (remove heart), Saposhnikovia Root (Fangfeng), Pyrola Root (Shiwei) (use Mulberry Root Bark if unavailable), Raw Licorice Root (Sheng Gancao), Raw Rhino Horn Shavings (Sheng Xijiao), Ren... (text fragmented).
Preparation: Coarse powder. Take 4 qian per dose.
Zhuye Huang... Tang (Bamboo Leaf Huang... Decoction - Title Fragmented): Treats irritability and thirst from back carbuncles, and all malignant sores.
Herbs: Light Bamboo Leaves (Dan Zhuye) (2 liang), Raw Rehmannia Root (Sheng Dihuang) (8 liang), Astragalus Root (Huangqi), Angelica Sinensis Root (Danggui), Ligusticum Rhizome (Chuanxiong), Licorice Root (Gancao), Scutellaria Root (Huangqin) (remove heart), White Peony Root (Shaoyao), Ginseng (Renshen), Ophiopogon Tuber (Maidong).
Usage: Five bamboo leaves, Ginger... (text fragmented).
Wuxiang Lianqiao Tang (Five-Aroma Forsythia Decoction): If the five aromas are not used, it is called Seven-Ingredient Forsythia Decoction.
Herbs: Agarwood Wood (Chenxiang), Litsea Leaf (Huoxiang Ye), Aucklandia Root (Muxiang), Clove Bud (Dingxiang) (each 1 liang), Musk (Shexiang) (1 zi, separately ground), Forsythia Fruit (Lianqiao), Belamcanda Rhizome (Shegan), Saussurea Root (Duhuo), Mistletoe (Jisheng), Cimicifuga Rhizome (Shengma).
Usage: Take 5 qian, Water Yi... (text fragmented).
Separately ground.