【方歌】猫眼疮名取象形,痛痒不常无血脓,光芒闪烁如猫眼,
脾经湿热外寒凝。
【注】此证一名寒疮,每生于面及遍身,由脾经久郁湿热,复
被外寒凝结而成。初起形如猫眼,光彩闪烁,无脓无血
,但痛痒不常,久则近胫。宜服清肌渗湿汤,外敷真君
妙贴散,兼多食鸡、鱼、蒜、韭,忌食鲶鱼、蟹、虾而
愈。
方剂:清肌渗湿汤
组成:苍术(米泔水浸,炒) 厚朴(姜汁炒)
陈皮 甘草(生)
柴胡 木通
泽泻 白芷
升麻 白术(土炒)
栀子(生) 黄连(各一钱)
水二钟,生姜三片,灯心二十根,煎至八分,温服
。
【方歌】清肌渗湿疮猫眼,脾湿热郁外寒缠,平胃柴胡通泻芷,
升麻白术栀黄连。
又方:真君妙贴散(见肿疡门)
【方歌】鱼脊疮由虚人成,感受湿热皮间凝,虚寒缓缓疱津水,
灸变稠脓阳气生。
【注】此证形如鱼脊,由阳气虚寒之人,复感湿热结滞而成。
多生筋骨之间,以阳气虚寒,故发长缓慢,只在皮肤坚
凝〔兴〕痛。初起白疱,渐长状如鱼脊,破津黄水。正
脓生迟,初治无论已破未破,宜蒜片艾灸,以通阳气;
外用真君妙贴散,香油调敷,宜服内补十宣散。得稠脓
色鲜者为顺,若灸之不应,色暗腐烂,出臭水者逆。其
次内、外治法,俱按痈疽溃疡门。
方剂:真君妙贴散(见肿疡门)
内补十宣散(见胸部〔其〕历痈)
【方歌】猫眼疮的名称取自其形状像猫的眼睛,疼痛和瘙痒程度不固定,没有血液和脓液,光芒闪烁如同猫眼,这是由于脾经湿热与外感寒邪凝结所致。
【注】此病证又名寒疮,通常生长在面部及全身各处,是由脾经长期郁结湿热,又复被外感寒邪凝结而成。初起时形状像猫眼,光彩闪烁,无脓无血,只是疼痛和瘙痒程度不定,时间久了病灶会靠近小腿胫骨部位。适宜服用清肌渗湿汤,外部敷贴真君妙贴散,同时多吃鸡、鱼、蒜、韭菜,忌食鲶鱼、蟹、虾,即可痊愈。
方剂:清肌渗湿汤
组成:苍术(用米泔水浸泡后炒制) 厚朴(用姜汁炒制)
陈皮 甘草(生用)
柴胡 木通
泽泻 白芷
升麻 白术(用土炒制)
栀子(生用) 黄连(各一钱)
加水二钟,生姜三片,灯心草二十根,煎煮至八分满,温服。
【方歌】清肌渗湿汤治疗猫眼疮,因脾经湿热郁结且受外寒缠绕,方中含平胃散之意配合柴胡、木通、泽泻、白芷,以及升麻、白术、栀子、黄连。
另一方:真君妙贴散(见肿疡门章节)
【方歌】鱼脊疮多由体质虚弱之人形成,感受湿热之邪凝滞于皮肤之间,因虚寒导致疱内津液渗出缓慢,通过艾灸可使其变为稠脓,从而阳气得以生发。
【注】此病证形状像鱼脊,是由于阳气虚寒之人,又感受湿热之邪结滞而成。多生长在筋骨之间,因为阳气虚寒,所以发病生长缓慢,仅在皮肤坚凝处伴有疼痛。初起为白色疱疹,逐渐长大状如鱼脊,破溃后流出黄色水液。正常脓液生成较迟,初期治疗无论是否已破溃,都适宜用蒜片进行艾灸,以疏通阳气;外部使用真君妙贴散,用香油调匀后敷贴,适宜服用内补十宣散。若出现稠密脓液且颜色鲜红者为顺证,如果艾灸无效,颜色暗紫腐烂,流出臭水者为逆证。其次的内治和外治方法,均按照痈疽溃疡门章节处理。
方剂:真君妙贴散(见肿疡门章节)
内补十宣散(见胸部各类痈章节)
[Prescription Verse] The name "Mao Yan Chuang" (Cat's Eye Eruption) is derived from its shape resembling a cat's eye. It presents with intermittent pain and itching, without blood or pus. Its radiance flickers like a cat's eye. This condition arises from the condensation of damp-heat in the Spleen Meridian combined with external cold stagnation.
[Annotation] This syndrome is also known as "Han Chuang" (Cold Eruption). It typically appears on the face and all over the body. It is caused by long-standing damp-heat stagnation in the Spleen Meridian, compounded by external cold condensation. Initially, it resembles a cat's eye with flickering luster, lacking pus or blood, characterized only by variable pain and itching. Over time, lesions may appear near the tibia. It is appropriate to take Qing Ji Shen Shi Tang (Clear Muscle and Drain Dampness Decoction) internally, apply Zhen Jun Miao Tie San externally, consume more chicken, fish, garlic, and leeks, while avoiding catfish, crab, and shrimp for recovery.
Formula: Qing Ji Shen Shi Tang (Clear Muscle and Drain Dampness Decoction)
Composition: Cang Zhu (Atractylodis Rhizoma, soaked in rice water and stir-fried), Hou Po (Magnoliae Officinalis Cortex, stir-fried with ginger juice), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma, raw), Chai Hu (Bupleuri Radix), Mu Tong (Akebiae Caulis), Ze Xie (Alismatis Rhizoma), Bai Zhi (Angelicae Dahuricae Radix), Sheng Ma (Cimicifugae Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma, soil-stir-fried), Zhi Zi (Gardeniae Fructus, raw), Huang Lian (Coptidis Rhizoma). Each herb is used in an amount of one qian.
Preparation: Add two zhong of water, three slices of fresh ginger, and twenty roots of Jixin (Junci Medulla). Decoct until reduced to eight fen. Take warm.
[Prescription Verse] Qing Ji Shen Shi Tang treats Mao Yan Chuang (Cat's Eye Eruption), where damp-heat in the Spleen is stagnant and entangled by external cold. The formula incorporates principles of Ping Wei San along with Chai Hu, Mu Tong, Ze Xie, and Bai Zhi, plus Sheng Ma, Bai Zhu, Zhi Zi, and Huang Lian.
Another Formula: Zhen Jun Miao Tie San (See Chapter on Swelling and Ulceration)
[Prescription Verse] Yu Ji Chuang (Fish Spine Eruption) often develops in individuals with deficiency constitutions, where damp-heat pathogens condense in the skin. Due to deficiency-cold, the blister fluid exudes slowly; moxibustion can transform this into thick pus, thereby generating Yang Qi.
[Annotation] This syndrome resembles a fish spine. It occurs in persons with deficient and cold Yang who contract damp-heat pathogens leading to stagnation. It frequently arises between muscles and bones. Because of deficient and cold Yang, the onset is slow, manifesting only as firm, painful skin nodules. Initially, white blisters appear, gradually enlarging to resemble a fish spine, breaking to discharge yellow fluid. Normal pus formation is delayed. In early treatment, regardless of whether the lesion has ruptured, it is suitable to use sliced garlic for moxibustion to unblock Yang Qi. Externally, apply Zhen Jun Miao Tie San mixed with sesame oil. Internally, it is suitable to take Nei Bu Shi Xuan San (Tonify Interior and Ten-Accumulations Powder). The emergence of thick pus with bright color indicates a favorable prognosis (Shun). If moxibustion is ineffective, and the area becomes dark, necrotic, discharging foul-smelling fluid, it indicates an unfavorable prognosis (Ni). Subsequent internal and external treatments should follow the guidelines in the Chapter on Carbuncles, Ulcers, and Ulcerations.
Formula: Zhen Jun Miao Tie San (See Chapter on Swelling and Ulceration)
Nei Bu Shi Xuan San (Tonify Interior and Ten-Accumulations Powder) (See Chapter on Various Carbuncles of the Chest)