孙姓一乳妪。患发背坚硬高肿。根盘如碗。疮顶白点如粟米甚多。余曰。此症甚险。不可轻视。付以散坚消肿丸药
数钱。令每日服五钱。来朝视之。坚块尽消。其症如失。余大异之。曰。余存丸药。当仍还余。因修合不易。非吝惜也。
出药视之。所存无几。乃伊芳于一昼夜服十余次。每服必二三十粒。已服完矣。余曰。幸而体壮。否则岂不误事。然凡痈
毒坚肿不消。惟此丸无不应验如神。即脓已成。亦不必开刀。自能穿破出毒。溃后收功亦易。诚至宝也。
宁城西门外陈浓载子。年甫十三。项侧瘰 如贯珠。面色 白。脉沉细而微。先起之疮已溃年余。疮口白陷。稠水
淋漓。皮内之核。如弹丸。半露皮外。半在肉里。余核坚硬未破。余曰。此症色脉俱属虚寒。急宜温补气血。若不善治。
绵延岁月。多成童劳。遂用人参养荣汤。加鹿角胶。十余剂疮口渐转红活。其核未消。仍用前方。兼用洞天救苦丹
小金丹。间日轮服。服至三十余日。其核化脓。以渐流去。未破者亦渐消散。乃用生肌末药。加参须、象皮。用阳和解
凝膏盖贴。仍服生肌养血健脾之汤丸。两月而愈。人亦从此强壮。此王洪绪先生法也。世医多用降丹取核。痛不
可当。必不能愈。故治疮疡诸症。以不痛为第一妙法。此虚寒症之治法也。瘰 种数甚多。治法亦各不同。必于平
日留心临症方有把握。
孙家的一位乳母,患了发背(生于背部的大疮疡),患处坚硬且高高肿起,基底范围像碗口一样大。疮顶有许多像粟米大小的白色脓点。我说:这个病症非常危险,不可轻视。于是给她开了散坚消肿丸药几钱,嘱咐她每天服用五钱。第二天早上我去看时,坚硬的肿块全部消散,症状好像消失了一样。我非常诧异,说:我存有的丸药应当还给我。因为配制不容易,并非我吝惜。拿出药查看,剩下的已经不多了,原来她在一天一夜里服用了十几次,每次必吃二三十粒,已经全部服完了。我说:幸好她身体强壮,否则岂不是误了事。然而凡是痈毒坚硬肿胀不消的,只有这丸药没有不灵验如神的。即使脓已经形成,也不必开刀,自然能穿破排出毒邪。溃烂后收口也容易。真是至宝啊。
宁城西门外的陈浓载的儿子,年仅十三岁。颈部侧面瘰疬(颈侧淋巴结结核)像串珠一样排列,面色㿠白,脉象沉细而微弱。先发作的疮疡已经溃烂一年多,疮口凹陷发白,流出稠厚的液体淋漓不断。皮下的硬结,像弹丸大小,一半露在皮肤外面,一半在肌肉里面。其余的硬结坚硬未破。我说:这个病症的色泽和脉象都属于虚寒,急需温补气血。如果治疗不当,拖延岁月,大多会发展成童劳(小儿虚损劳热)。于是用人参养荣汤,加入鹿角胶。服用十余剂后,疮口逐渐转为红活。那些硬结仍未消除,仍然使用前方,同时配合使用洞天救苦丹和小金丹,隔天轮流服用。服药三十多天后,硬结化脓,逐渐流出。未破的也渐渐消散。于是使用生肌末药,加入参须、象皮,用阳和解凝膏覆盖贴敷。继续服用生肌养血健脾的汤剂和丸剂。两个月后痊愈,人也从此变得强壮。这是王洪绪先生的治法。世间的医生多用降丹(腐蚀性药物)来取核,疼痛难忍,必定不能治愈。所以治疗疮疡各种病症,以不痛为第一妙法。这是针对虚寒症的治疗方法。瘰疬的种类很多,治疗方法也各不相同。必须在平时留心临证,才会有把握。
A wet nurse from the Sun family suffered from a "Fa Bei" (a severe carbuncle on the back). The affected area was hard and significantly swollen, with a base as wide as a bowl. The apex of the sore had many white pustules resembling millet seeds. I said, "This condition is very dangerous and must not be taken lightly." I prescribed several qian of San Jian Xiao Zhong Wan (Pills to Disperse Hardness and Reduce Swelling), instructing her to take five qian daily. The next morning, upon inspection, the hard mass had completely dissipated, and the symptoms seemed to have vanished. I was greatly astonished and said, "The pills I kept should be returned to me. It is not out of stinginess, but because compounding them is difficult." Upon checking the medicine, very little remained; it turned out she had taken it more than ten times within a day and night, consuming twenty to thirty pills each time, thus finishing the entire supply. I remarked, "Fortunately, her constitution is strong; otherwise, this would have caused harm. However, for any toxic swelling that is hard and does not subside, only these pills are invariably effective. Even if pus has already formed, surgical incision is unnecessary, as the poison will naturally discharge through rupture. Healing after ulceration is also easy. Truly, it is a supreme treasure."
The son of Chen Nongzai, west of the West Gate in Ningcheng, was thirteen years old. He had scrofula (tuberculous lymphadenitis of the neck) arranged like beads on the side of his neck. His complexion was pale white, and his pulse was deep, fine, and faint. The initially erupted sore had been ulcerated for over a year; the wound was sunken and white, oozing thick fluid continuously. Subcutaneous nodules were the size of bean shots, half exposed outside the skin and half embedded in the flesh. Other nodules remained hard and unruptured. I said, "The color and pulse both indicate deficiency-cold. Urgent warming and tonification of Qi and Blood are required. If not treated properly, prolonged duration may lead to 'Tong Lao' (pediatric consumptive fever)." Thus, I used Renshen Yangrong Tang (Ginseng Decoction to Nourish the Ying) supplemented with Lujiao Jiao (Deer Antler Glue). After more than ten doses, the wound gradually became red and vibrant. Since the nodules had not yet subsided, I continued with the previous formula while concurrently administering Dongtian Jiuku Dan (Sky Cave Saving Pain Pill) and Xiaojin Dan (Little Gold Pill), alternating every other day. After more than thirty days of administration, the nodules suppurated and gradually drained. Those unruptured also gradually dissipated. Then, I applied Shengji Mo Yao (Powder to Generate Flesh) containing Renshen Xu (Ginseng Rootlets) and Xiangpi (Leatherback Turtle Shell), covered with Yanghe Jiening Gao (Yanghe Resolving Stasis Plaster), and continued administering decoctions and pills to generate flesh, nourish blood, and strengthen the Spleen. Cured in two months, the patient's constitution became robust thereafter. This is the method of Mr. Wang Hongxu. Physicians of the world often use Jiang Dan (corrosive mercury compounds) to remove nodules, causing unbearable pain, which inevitably leads to failure to cure. Therefore, in treating various sores and ulcers, achieving painlessness is the first and best method. This is the treatment approach for deficiency-cold syndromes. There are many types of scrofula, and their treatments vary. One must pay close attention to clinical presentations in daily practice to ensure accuracy.