中益气,四君子、四物、八珍,皆可间服(诸汤方见虚损。)合宜则用六君子汤(即四君子加陈、
半。)
雄黄解毒散 一切痈疽、肿毒势甚,虽用此药二、三次后,用猪蹄汤。
明矾(四两) 寒水石( ) 雄黄(飞。各一两) 水三碗,入前末(五钱) 淋洗,贴
膏药。
猪蹄汤 消肿毒,去恶肉,润疮口、止痛。用猪蹄一只煮汁五碗,煎药。
白芷 黄芩 蜂房(陈年者佳) 当归 赤芍药 甘草(各五钱) 上锉,以蹄汁煎药,去
渣,淋洗患处。以下俱洗方。
肿汤
升麻 黄 防风 生地黄 细辛 川芎(各三钱)上用水五碗,煎十余沸,稍热淋 ,内
消如神。
又方 漏芦 升麻 芒硝 栀子仁 蒴 黄芩(各三钱)上用水五碗,煎十余沸,稍热淋
,或以
净布蘸 ,效。
又方 苦参 防风 甘草 露蜂房 照前法洗。
大铁箍散 敷一切肿毒。以下皆围方。
芙蓉叶 木鳖(各四两) 寒水石 白芷 赤小豆 黄柏 白蔹(各二两) 紫荆皮 贝母
大黄 地青 羌活 白芨(各一两) 防风(五钱)
上为末,水调围四畔,如肉脆去白蔹、白芨,加生地、地榆,芭蕉汁调。
To tonify the Middle Qi (Middle Jiao Qi), Si Jun Zi Tang (Four Gentlemen Decoction), Si Wu Tang (Four Substance Decoction), and Ba Zhen Tang (Eight Treasures Decoction) can be taken alternately (see the chapter on Deficiency and Damage for various decoction formulas). Use Liu Jun Zi Tang (Six Gentlemen Decoction, i.e., Si Jun Zi Tang plus Chen Pi [Tangerine Peel] and Ban Xia [Pinellia Rhizome]) according to suitability.
Xiong Huang Jie Du San (Realgar Detoxification Powder): Indicated for all sores, carbuncles, and severe toxic swellings. After using this medicine two or three times, switch to Zhu Ti Tang (Pig Trotter Decoction).
Ming Fan (Alum, 4 liang) Han Shui Shi (Calcitum, dosage unspecified in text) Xiong Huang (Realgar, calcined. Each 1 liang) Water 3 bowls. Add the aforementioned powders (5 qian) to the water, pour over the affected area for washing, and apply plaster.
Zhu Ti Tang (Pig Trotter Decoction): Used to reduce toxic swelling, remove necrotic tissue, moisten the wound edges, and relieve pain. Take one pig trotter, boil it to obtain five bowls of broth, and use this broth to decoct the herbs.
Bai Zhi (Angelicae Dahuricae Radix) Huang Qin (Scutellariae Radix) Feng Fang (Vespa Nest, preferably aged) Dang Gui (Angelicae Sinensis Radix) Chi Shao Yao (Paeoniae Radix Rubra) Gan Cao (Glycyrrhizae Radix et Rhizoma, each 5 qian). The above herbs are coarsely crushed, decocted in the pig trotter broth, filtered to remove dregs, and used to wash the affected area. The following are all washing prescriptions.
Zhong Tang (Swelling-Decoction - *Note: Text likely implies Xiao Zhong Tang*):
Sheng Ma (Cimicifugae Rhizoma) Ma Huang (Ephedrae Herba) Fang Feng (Saposhnikoviae Radix) Sheng Di Huang (Rehmanniae Radix) Xi Xin (Asari Radix et Rhizoma) Chuan Xiong (Ligustici Chuanxiong Rhizoma, each 3 qian). The above herbs are decocted in five bowls of water for about ten boils. When slightly warm, pour over the affected area; it can dissipate internal swelling with miraculous effect.
Another prescription: Lou Lu (Euphorbiae Humifusae Herba) Sheng Ma (Cimicifugae Rhizoma) Mang Xiao (Natrii Sulfas) Zhi Zi Ren (Gardeniae Semen) Shuo Dao (Dioscoreae Hypoglaucae Caulis - *Text says "Shuo ", likely Shuo Dao*) Huang Qin (Scutellariae Radix, each 3 qian). The above herbs are decocted in five bowls of water for about ten boils. When slightly warm, pour over the affected area, or soak a clean cloth in the liquid and wipe the area; this is effective.
Another prescription: Ku Shen (Sophorae Flavescentis Radix) Fang Feng (Saposhnikoviae Radix) Gan Cao (Glycyrrhizae Radix et Rhizoma) Lu Feng Fang (Vespa Nest). Wash according to the previous method.
Da Tie Gu San (Great Iron Hoop Powder): Applied externally for all types of toxic swellings. The following are all encircling (poultice) prescriptions.
Fu Rong Ye (Hibisci Mutabilis Folium) Mu Bie (Momordicae Semen, each 4 liang) Han Shui Shi (Calcitum) Bai Zhi (Angelicae Dahuricae Radix) Chi Xiao Dou (Adzuki Bean) Huang Bo (Phellodendri Cortex) Bai Lian (Ampelopsis Radix, each 2 liang) Zi Jing Pi (Cercidiphylli Cortex) Bei Mu (Fritillariae Bulbus) Da Huang (Rhei Radix et Rhizoma) Di Qing (*Di Qing*, likely a local name or typo for Di Yu/Qing Dai) Qiang Huo (Notopterygii Rhizoma et Radix) Bai Ji (Bletillae Rhizoma, each 1 liang) Fang Feng (Saposhnikoviae Radix, 5 qian).
The above herbs are ground into powder. Mix with water to form a paste and apply around the periphery of the swelling. If the flesh is fragile and prone to ulceration, remove Bai Lian and Bai Ji, add Sheng Di Huang (Rehmanniae Radix) and Di Yu (Sanguisorbae Radix), and mix with juice from Banana Stem (Musa Basjoo).