消坚肿,定酸痛,阴寒之证甚效。
急性子
一味研末,随证大小酌用,热陈酒调敷患处,外用温煦薄贴盖之,或调入温煦薄贴作浓
膏药贴亦佳。
【方解】 急性子性最激烈,内服催生堕胎,其效甚迅。以作外治,宜其通经入
络,散肿定痛,捷于影响。此寿颐以意为之,试用颇应,命名“独圣”,允无愧色。
治暑疡热疖,小证初起,能消坚块止痛。此酒色如酱油,耳食者皆谓西法酱油药水可以
消毒,即此。
碘片(一钱五分) 火酒(四两)
此药入酒即化,用时以毛笔蘸酒涂患处,一抹即干。不可频搽,须隔五六小时再搽一次
,肌肤小疖自能消散。如搽之太过,即令外皮腐烂,滋水侵淫,反以贻害。
【方解】 此西法也。西学家亦以为普通用品。然碘片之力极厉,贮入瓷瓶中,
如以木
,自能深入肌腠,以消坚块。但药性自外而入,几如硝镪性质,频频用之,即令肌肤发腐,
而内之坚块如故,所以只能治小小之疖,浅在皮里方能有效。若肿块稍深,则药力亦不及病
所,纵使外皮腐烂,亦不能消其坚肿。恒见有并以治瘰 痰核,深藏经络之证,则未见其利
,只见其弊,是不知于药物性质上体会研究者也。
疡患初起,其有形块者,但贴退消膏药,已是适用;而漫肿无垠,不辨根脚者,则薄贴
即无所用之。此惟末子敷药,可以遍涂患处,使之收束,其轻者亦可消散。市肆中有如意金
黄散一种,未尝普通习用之品,疡医书中无不载之。然药味尚未免稍杂,轻证可效,重大者
颇嫌不胜其任;且只此一方,而以通治寒热虚实,总嫌笼统不切。徐洄溪所谓一证有一证切
要之药,非通套方剂,可以奏效云云,固亦有见于此。然必每证各备敷药亦太繁琐,此老盖
未免大言欺人。敝师门朱氏分温凉两种,如薄贴之例,亦已无施不可。简而能赅,是可法也
Eliminates indurated swelling and relieves soreness and pain; it is particularly effective for conditions of Yin-cold nature.
*Impatiens glandulifera Herba* (Jixingzi)
Grind the single herb into powder, use an appropriate amount according to the severity of the condition, mix with aged hot wine, and apply topically to the affected area. Cover with a warm plaster externally, or mix into the warm plaster to make a thick paste for application, which is also excellent.
[Formula Analysis] *Impatiens glandulifera Herba* has the most intense medicinal property. When taken internally, it induces labor and aborts fetuses with rapid effect. For external treatment, it should be able to unblock meridians and enter collaterals, dissipate swelling and relieve pain, with efficacy as swift as shadow following form. This was conceived by my own intention (Shouyi), tested and found effective. Naming it "Du Sheng" (Solely Holy) is fully justified.
Treats summer-heat sores and heat boils in their early stages; can eliminate indurated masses and relieve pain. The liquid is dark like soy sauce. Those who listen to hearsay claim that Western-style soy sauce water can disinfect, referring to this preparation.
Iodine Tablets (1.5 qian) / Spiritus Vini Rectificatus (4 liang)
The medicine dissolves immediately upon entering the wine. When used, dip a brush into the solution and paint it on the affected area; it dries instantly after one stroke. Do not apply frequently; wait five to six hours before applying again. Small boils on the skin will naturally dissipate. If applied excessively, it causes the epidermis to rot and exudate to spread, causing harm instead.
[Formula Analysis] This is a Western method. Western scholars also consider it a common item. However, the power of Iodine is extremely fierce. Stored in porcelain bottles, if ground with a wooden pestle, it can penetrate deep into the muscle tissue to eliminate induration. But since the medicinal nature enters from the outside, it is akin to the properties of strong acids (Xiao Qiang). Frequent use causes the skin to rot while the internal induration remains unchanged. Therefore, it is only effective for small boils located superficially in the skin. If the mass is slightly deeper, the medicinal power cannot reach the disease site; even if the epidermis rots, it cannot eliminate the induration and swelling. It is often seen that people use it to treat scrofula and phlegm nodules, conditions deeply hidden in the meridians, where only disadvantages are seen without benefits. This stems from a failure to understand and study the nature of the drugs.
In the early stage of ulcerative diseases, if there is a palpable mass, applying the Tuixiao Plaster is already applicable. However, for diffuse swelling without boundaries and unclear roots, plasters are useless. Only powdered敷药 (topical powders) can be applied all over the affected area to consolidate the swelling, and mild cases can also dissipate. In the market, there is a product called Ruyi Jinhuang San. Although it is not a universally commonly used item, it is recorded in all surgical texts. However, the ingredients are somewhat complex; it is effective for mild cases but insufficient for severe ones. Moreover, relying solely on this one formula to treat all conditions of cold, heat, deficiency, and excess is too general and imprecise. Xu Huixi stated, "Each syndrome requires specific essential herbs; generic formulas cannot achieve efficacy." This statement certainly has merit here. However, preparing different topical powders for every syndrome is too cumbersome. That old gentleman (referring to Xu Huixi) might have been exaggerating to deceive people. My master's school, the Zhu family, divided them into warm and cool types, similar to the classification of plasters, making them versatile. Concise yet comprehensive, this approach is worthy of emulation.