〔子和〕 经曰∶寒疮流水,俗呼为冻疮。或经年不愈者,用野中净土晒干,以大蒜研
如泥,捏作饼子如大观钱浓薄,量疮口大小贴之,以艾火加于饼上灸之,不计壮数以泥
干为度。去干饼子再换湿饼子灸,不问多少,直至疮痂觉痛痒,是疮可治也。然后口含浆
水洗渍,用鸡翎二十茎缚作刷子,于疮上刷洗净。以此洗刷,不致肌肉损伤也,以软帛
拭干。用木香槟榔散敷之。如夏月医之更妙。
〔世〕 足跟红肿冻疮。 足跟(左足指面后跟赤白肉际骨下,刺入三分,弹针出血,可灸三七壮)
足跟冻疮溃破,用葱椒汤洗,刮去腐肉,用三棱针出血,将马屁勃入生牛骨髓,调和
敷之效。
〔禹锡〕 取腊月牡鼠死者一枚,油一大升,煎之使烂绞出渣,再煎成膏,涂冻疮及
拆破疮。
治冻疮,用茄根烧成灰,洗了,用雀儿脑髓涂之。
〔丹〕 治冻疮,用煎熟桐油,调密陀僧敷。
〔山〕 用五倍子,煎汤洗。
如神散(罗氏) 治冻疮皮烂,痛不可忍。用川大黄不拘多少为细末。新水调扫冻破疮上,
痛止立效。
〔子和〕 戴人女僮,足有冻疮。戴人令服舟车丸、浚川散大下之,遂愈。人或疑之?
戴人曰∶心火降则寒消,何疑之有。
雉脑膏 治冻疮久不瘥,年年发歇,先痒后痛,然后肿破出黄水及血出不止。
雄雉脑 (一枚,研烂) 黄腊(各等分) 清油(减半)
上同于慢火上熬成膏,去滓,入瓷器中盛。每用涂疮上。
柏叶膏 治冻疮,手足指欲坠及耳欲落。
柏叶(炙干为末,四两) 杏仁(去皮研,四十个) 头发(一拳大) 食盐(半两,研) 乳香(二钱
半,研) 黄蜡(一两) 油(一升)
上先煎油沸,次下前五味药,待发尽。再下黄蜡搅匀,瓷盒收。先以热小便洗疮,以
绵挹干,后以药涂。即以软帛裹,勿令寒气侵入。每日一换,如疮渐瘥,三四日一换。
橄榄散 治脚冻疮
上用橄榄核,烧灰存性、为末。入轻粉,油调涂。
一女年数岁,严寒上京,两足受冻不仁,用汤泡渍,至春十指俱烂,牵连未落。予用
托里之剂,助其阳气自溃脱,得保其生。此因寒邪遏绝,运气不至,又加热汤泡渍,故
死而不痛也。余尝见人之严寒而出,冻伤其耳,不知痛痒,若以手触之,其耳即落。当
以暖处良久,或热手熨之无恙。若以火烘汤泡,其耳即死,至春必溃脱落矣。北方寒气
损人若此,可不察之。
[Hezi (Zhang Yuansu)] The *Classic of Internal Medicine* states: "Cold sores with flowing fluid," commonly known as frostbite. For those not healing after years, take pure soil from the wild, dry it in the sun, grind garlic into a paste, shape it into a cake with the thickness of a Daguan coin, and apply it to the wound according to its size. Apply moxibustion on top of the cake until the soil dries out. Remove the dried cake and replace it with a wet one for continued moxibustion, without limit, until the scab feels painful or itchy, indicating the wound is treatable. Then rinse and soak with saliva-water (water held in the mouth), using twenty chicken feathers bound together as a brush to gently scrub the wound clean. This method prevents damage to the muscle tissue. Dry with a soft cloth. Apply Muxiang Binglang San (Buckthorn and Areca Nut Powder). Treatment in summer is even more effective.
[Popular Prescription] Redness and swelling of the heel due to frostbite. He Gu point (located under the bone at the junction of red and white flesh behind the left foot's toes; puncture 3 cun, use flicking needle technique to bleed, can be moxibusted 21-27 times).
For ulcerated frostbite of the heel, wash with Cong Jiao Tang (Scallion and Pepper Decoction), scrape off necrotic tissue, bleed using a three-edged needle, then mix Mapibo (Smilax Glabra Rhizome) with raw bovine bone marrow and apply externally for efficacy.
[Yuxi] Take one male rat that died in the twelfth lunar month, add one sheng of oil, boil until the rat is thoroughly softened, strain out the residue, and boil again to form an ointment. Apply to frostbite and broken sores.
To treat frostbite, burn eggplant roots to ash, wash the area, and apply sparrow brain marrow.
[Danyang (Zhu Danxi)] To treat frostbite, use boiled tung oil mixed with Miduoseng (Litharge) for external application.
[Shan] Use Wubeizi (Galla Chinensis), decoct in water for washing.
Rushen San (Formula by Luo) Treats frostbite with skin erosion and unbearable pain. Use Chuan Dahuang (Rheum Palmatum Rhizome) in any amount, ground into fine powder. Mix with fresh water and sweep/apply onto the frostbitten, broken skin; pain stops immediately with striking effect.
[Hezi (Zhang Yuansu)] Dai Ren’s (Zhang Yuansu's courtesy name) female servant had frostbite on her feet. Dai Ren ordered her to take Zhouche Wan (Boat and Cart Pill) and Junchuan San (River Clearing Powder) for strong purgation, resulting in recovery. Some people doubted this? Dai Ren said: "When Heart Fire descends, cold dissipates; what is there to doubt?"
Zhi Nao Gao (Pheasant Brain Ointment) Treats chronic frostbite that recurs annually, starting with itching followed by pain, then swelling, rupture, and continuous discharge of yellow fluid and blood.
Xiong Zhi Nao (Male Pheasant Brain, one piece, pounded to paste) Huang La (Beeswax, equal parts) Qing You (Clear Oil, half the amount)
Simmer all ingredients slowly over low heat until they form an ointment, filter out residues, and store in porcelain containers. Apply to the wound each time.
Bai Ye Gao (Cypress Leaf Ointment) Treats frostbite where fingers/toes are about to fall off or ears are about to detach.
Bai Ye (Cupressus Leaves, roasted dry and powdered, 4 liang) Xing Ren (Apricot Kernels, peeled and pounded, 40 pieces) Tou Fa (Human Hair, fist-sized) Yan Yan (Rock Salt, half liang, pounded) Ru Xiang (Frankincense, 2.5 qian, pounded) Huang La (Beeswax, 1 liang) You (Oil, 1 sheng)
First boil the oil, then add the first five herbs. Once the medicinal aroma is released, add the beeswax and stir evenly. Store in a porcelain box. First wash the wound with warm urine, dab dry with cotton, then apply the medicine. Wrap with soft cloth to prevent cold air invasion. Change daily; if the wound improves, change every 3-4 days.
Golan San (Olive Kernel Powder) Treats foot frostbite.
Burn olive kernels to ash while preserving their nature, grind into powder. Add Qingfen (Calomel), mix with oil, and apply.
A girl of several years old went to the capital during severe cold. Her feet became numb from freezing. She soaked them in hot water. By spring, all ten fingers were rotten and hanging on. I used Tuo Li formulas (supporting interior tonics) to assist her Yang Qi to naturally separate the dead tissue, thereby saving her life. This was because Cold Evil obstructed circulation, preventing vital energy flow, compounded by soaking in hot water, leading to necrosis without pain. I have seen people who go out in extreme cold suffer ear frostbite, losing sensation. If touched by hand, the ear may detach. They should remain in a warm place for a long time or be warmed by hands to recover safely. If exposed to fire or hot water, the ear will die completely and inevitably slough off by spring. Northern cold damages humans so severely; one must examine this carefully.