夹丹者,此皆毒火浮游散漫于皮肤之间也。宜投甘桔荆防黑玄参,牛蒡知柏与黄芩,木通苦参连翘入,
连进数剂斑丹青。
《经》曰∶皮肉鲜红如云片者,丹也;点粒如蚊咬者,斑也。皆由毒火熏灼于中,故斑丹与疹齐出于外
也,宜用荆芥散毒汤或消斑汤主之。
口为脾窍,舌乃心苗,引火下降,则热自除,宜用清上饮。
薄荷、桔梗、甘草、黄芩、防风、大力、干葛、连翘、玄参、麦冬、花粉、川连、石膏。
口舌生疮用有功,敷药方中薄荷柏,
黄连青黛月石同,冰片少许研为末。
眼者,五脏血气之精华也。毒瓦斯郁滞于肌肤者为痈为疖,而其留滞于精华者则发为眼患矣。其毒火发
露在表,又在至高之地,宜用麦冬清肺饮或蝉化散治之。蝉衣、荆芥、防风、甘菊、
川芎、黄芩、柴胡、车前、桔梗、山栀、升麻、木通、胆草,再加蒺藜、蕤仁、蒙花。
两目红肿,羚羊、荆芥为先,次以菊花、连翘。《经》曰∶毒内流于肺,精珠不得看,搜去肝风毒,眼
目自安然。凡目病在表宜疏风兼清热,或向外下泪难开名羞明,宜清热兼疏风,加升麻、黄芩。论疹毒为害,
咽喉先,眼次之,但观两眼红脉虬缠,或闭或肿,多生眵泪,或上星障,急泻肝火,以免伤目之患,蝉化散主之。
发热之时,忽经水适来如期,此积污随出,毒从此解,勿药而愈。倘若不止,热邪乘血海之虚,逼血妄
行,回时宜服小柴胡汤合生地黄汤以清其热。又有非其期而忽行,此毒火内蕴,扰乱血海妄行,亦宜凉血为
主;或发热之时,经水适断,宜柴胡四物汤治之,以防毒邪乘虚而入。使已憎寒壮热,神气不清,言语错
乱,此为热入血海。血海者,冲任是也。肝主之肝藏血,肝为血海,天癸至后,血已空虚,热乘而入,四物合
导赤散加麦冬,与安神散间而服之,加丹参、凌霄花可也。
Jia Ban Dan (Erythema and Macules occurring together) is caused by toxic fire floating and diffusing between the skin. It is appropriate to administer Gan Jie Jing Fang Hei Xuan Shen, Niu Bang Zhi Bai Yu Huang Qin, Mu Tong Ku Shen Lian Qiao Ru [a decoction formula], and continue taking it for several doses until the erythema and macules clear.
The *Classic* states: Those with fresh red skin and flesh resembling cloud patches are called Dan (erythema); those with dot-like lesions resembling mosquito bites are called Ban (macules). All are due to toxic fire steaming and scorching from within, causing Ban, Dan, and Zhen (rash) to erupt simultaneously on the exterior. It is appropriate to use Jing Jie San Du Tang or Xiao Ban Tang as the primary treatment.
The mouth is the orifice of the Spleen, and the tongue is the sprout of the Heart. Guiding the fire downward eliminates heat naturally; Qing Shang Yin is appropriate.
Ingredients include: Bo He (Mint), Jie Geng (Platycodon Root), Gan Cao (Licorice Root), Huang Qin (Scutellaria Root), Fang Feng (Saposhnikovia Root), Da Li (Arctii Fructus/Great Burdock Fruit), Gan Ge (Kudzu Root), Lian Qiao (Forsythia Fruit), Xuan Shen (Scrophularia Root), Mai Dong (Ophiopogon Tuber), Hua Fen (Trichosanthes Root), Chuan Lian (Coptis Rhizome), Shi Gao (Gypsum Fibrosum).
This prescription is effective for mouth and tongue ulcers. For external application, the formula contains Bo He (Mint) and Bai (Phellodendron Bark),
along with Huang Lian (Coptis Rhizome), Qing Dai (Indigo Naturalis), and Yue Shi (Natrium Sulfas/Mirabilite), mixed with a small amount of Bing Pian (Borneolum Syntheticum) ground into powder.
The eyes are the essence of the blood and qi of the five zang organs. When toxic vapors stagnate in the muscles and skin, they form Yong (carbuncle) and Jie (furuncle); when they stagnate in the essence (eyes), eye disorders arise. Since this toxic fire manifests on the exterior and resides in the highest part of the body, Mai Dong Qing Fei Yin or Chan Hua San is appropriate. Ingredients include: Chan Yi (Cicada Slough), Jing Jie (Schizonepeta Spike), Fang Feng (Saposhnikovia Root), Gan Ju (Chrysanthemum Flower), Chuan Xiong (Ligusticum Rhizome), Huang Qin (Scutellaria Root), Chai Hu (Bupleurum Root), Che Qian (Plantago Seed), Jie Geng (Platycodon Root), Shan Zhi (Gardenia Fruit), Sheng Ma (Cimicifuga Rhizome), Mu Tong (Akebia Stem), Dan Cao (Gentiana Root), plus Ji Li (Tribulus Fruit), Rui Ren (Prunus Armeniaca Seed), and Meng Hua (Flos Buddlejae).
For redness and swelling of both eyes, Ling Yang (Antelope Horn) and Jing Jie (Schizonepeta Spike) should be used first, followed by Ju Hua (Chrysanthemum Flower) and Lian Qiao (Forsythia Fruit). The *Classic* states: When toxins flow inward to the Lung, the pupil cannot see clearly; one must search out and remove Liver wind toxins, and the eyes will naturally become peaceful. For eye diseases on the exterior, disperse wind and clear heat concurrently. If there is tearing outward and photophobia (Xiu Ming) making opening difficult, clear heat and disperse wind concurrently, adding Sheng Ma (Cimicifuga Rhizome) and Huang Qin (Scutellaria Root). Regarding the harm of Zhen toxins, the throat is affected first, then the eyes. Observing entangled red vessels in both eyes, closure or swelling, excessive discharge and tearing, or Shang Xing Zhang (nebula on the cornea), urgently purge Liver fire to avoid damaging the eyes; Chan Hua San is the primary treatment.
During fever, if menstruation arrives on schedule, accumulated impurities are expelled with the blood, and toxins are resolved from here; recovery occurs without medication. If menstruation does not stop, heat pathogens take advantage of the emptiness of the Blood Sea, forcing blood to move recklessly. Upon return to the menstrual cycle, Xiao Chai Hu Tang combined with Sheng Di Huang Tang should be taken to clear heat. If menstruation occurs unexpectedly outside the normal period, this is due to internal accumulation of toxic fire disturbing the Blood Sea, causing reckless bleeding; cooling blood is the primary treatment. If menstruation ceases exactly during fever, Chai Hu Si Wu Tang is appropriate to prevent pathogens from entering through deficiency. If chills and high fever occur, accompanied by unclear spirit and confused speech, this is Heat entering the Blood Sea. The Blood Sea refers to the Chong and Ren meridians. The Liver governs storing blood, so the Liver is the Blood Sea. After Tian Gui arrives, blood is already empty; heat enters taking advantage of this emptiness. Si Wu Tang combined with Dao Chi San plus Mai Dong (Ophiopogon Tuber), taken alternately with An Shen San, is appropriate. Adding Dan Shen (Salvia Miltiorrhiza Root) and Ling Xiao Hua (Campsis Flower) is also acceptable.