【方歌】痰注发如布袋形,按之木硬觉微疼,其发不红亦不热,
湿痰七情郁滞成。
【注】此证发于脊背,长形如布袋,短形如冬瓜,按之木硬,
微觉疼痛,不热不红,皮色如常。由湿痰、七情,郁滞
凝结于肌肉之分,日积深久而成。初起宜服疮科流气饮
,外贴金凤化痰膏消之。如此久远疲顽,治之不消者,
届期要溃。治法俱按痈疽溃疡门。
方剂:疮科流气饮
组成:人参 厚朴(姜制)
桔梗 防风
紫苏 黄耆(盐水炒)
枳壳(麸炒) 当归
白芍(酒炒) 肉桂
乌药 甘草(各七分)
川芎 南木香
白芷 槟榔(各五分)
引用生姜一片,水二钟,煎八分温服。
【方歌】流气饮舒痰涎壅,人参朴桔芷防风,苏耆壳桂木香草,
乌药槟榔归芍芎。
又方:金凤化痰膏
组成:凤仙花(去青蒂,研末,一捧)
大葱自然汁(一茶钟) 好米醋(一茶钟)
广胶(切如米粒大,入葱汁内泡之,三钱)
人中白(火微〔火段〕存性,研末,八钱)
先将葱汁、米醋、广胶投入锅内熬化,次下凤仙花
末熬成膏,再入人中白末,将锅离火不时搅匀。用时以
重汤炖化,量痰包之大小,薄纸摊贴,候膏自落,再换
新膏。
【方歌】金凤化痰消硬坚,湿痰串注贴更痊,凤仙中白广胶醋,
葱汁同熬用纸摊。
【方歌】痰注表现为头发呈布袋状,按压时感觉木质般坚硬且微有疼痛,患处不红也不发热,这是由湿痰和七情郁滞所形成的。
【注】此证发于脊背部位,形状长如布袋,短如冬瓜,按压时质地木硬,微微感到疼痛,局部不热不红,皮肤颜色正常。这是由于湿痰与七情(喜、怒、忧、思、悲、恐、惊)相互郁滞,凝结在肌肉腠理之间,日积月累而形成的。初起时适宜服用疮科流气饮,外用金凤化痰膏贴敷以消散病灶。如果病程久远、病情顽固,治疗未能消散的,到期自然会溃破。治疗方法均参照痈疽溃疡门的规范进行。
方剂:疮科流气饮
组成:人参、厚朴(姜制)、桔梗、防风、紫苏、黄耆(盐水炒)、枳壳(麸炒)、当归、白芍(酒炒)、肉桂、乌药、甘草(各七分)、川芎、南木香、白芷、槟榔(各五分)。
用法:引用生姜一片,水两钟,煎至八分,温服。
【方歌】流气饮能舒展气机、消除痰涎壅盛,方中含有人参、厚朴、桔梗、白芷、防风、紫苏、黄耆、枳壳、肉桂、南木香、甘草、乌药、槟榔、当归、白芍、川芎。
又一方:金凤化痰膏
组成:凤仙花(去除青色蒂头,研成粉末,一捧)、大葱自然汁(一茶钟)、好米醋(一茶钟)、广胶(切成米粒大小,放入葱汁中浸泡,三钱)、人中白(经微火煅烧存性,研成粉末,八钱)。
制作与用法:先将葱汁、米醋、广胶放入锅内熬化,接着加入凤仙花粉末熬制成膏,最后加入人中白粉末,将锅离火并不断搅拌均匀。使用时隔水炖化,根据痰包的大小,用薄纸摊开贴敷,待膏药自然脱落后再更换新膏。
【方歌】金凤化痰膏能消除硬结坚块,对于湿痰串注之症贴敷疗效更佳,方中包含凤仙花、人中白、广胶、米醋、葱汁一同熬制,用纸摊贴使用。
[Prescription Verse] Tan Zhu (Phlegm Nodule) presents as a hair-like pouch shape; upon palpation, it feels woody and hard with slight pain. The area is neither red nor hot. It is formed by damp-phlegm and the stagnation of the Seven Emotions (Joy, Anger, Worry, Pensiveness, Sorrow, Fear, Fright).
[Annotation] This condition occurs on the back. Its shape is long like a pouch or short like a winter melon. Upon palpation, it feels woody and hard, with slight pain. There is no heat or redness, and the skin color remains normal. It arises from damp-phlegm and the stagnation of the Seven Emotions condensing and knotting within the muscle layers, accumulating over time to form. In the early stage, it is appropriate to take Chuang Ke Liu Qi Yin (Traumatology Flowing Qi Decoction) internally and apply Jin Feng Hua Tan Gao (Golden Phoenix Phlegm-Resolving Plaster) externally to dissipate it. If the disease has persisted for a long time and is stubborn, failing to resolve with treatment, it will eventually suppurate at the appointed time. The treatment methods follow those specified in the section on Ulcerative Sores and Carbuncles.
Formula: Chuang Ke Liu Qi Yin (Traumatology Flowing Qi Decoction)
Composition: Ren Shen (Ginseng Radix et Rhizoma), Hou Po (Magnoliae Officinalis Cortex) processed with ginger, Jie Geng (Platycodonis Radix), Fang Feng (Saposhnikoviae Radix), Zi Su (Perillae Folium), Huang Qi (Astragali Radix) stir-fried with salt water, Zhi Qiao (Aurantii Fructus) stir-fried with bran, Dang Gui (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba) stir-fried with wine, Rou Gui (Cinnamomi Cortex), Wu Yao (Linderae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) [each 0.7 qian], Chuan Xiong (Ligustici Chuanxiong Rhizoma), Nan Mu Xiang (Aucklandiae Radix), Bai Zhi (Angelicae Dahuricae Radix), Bing Lang (Arecae Semen) [each 0.5 qian].
Usage: Add one slice of fresh ginger and two zhong of water, decoct until reduced to eight-tenths, and take warm.
[Prescription Verse] Liu Qi Yin soothes qi movement and resolves phlegm-saliva congestion; it contains Ren Shen, Hou Po, Jie Geng, Bai Zhi, Fang Feng, Zi Su, Huang Qi, Zhi Qiao, Rou Gui, Mu Xiang, Gan Cao, Wu Yao, Bing Lang, Dang Gui, Bai Shao, and Chuan Xiong.
Another Formula: Jin Feng Hua Tan Gao (Golden Phoenix Phlegm-Resolving Plaster)
Composition: Feng Xian Hua (Impatiens balsamina flower) (remove green calyx, grind into powder, one handful), Da Cong natural juice (one tea cup), Hao Mi Cu (Good rice vinegar) (one tea cup), Guang Jiao (Colla Corii Asini) (cut into rice-grain size, soak in scallion juice, 3 qian), Ren Zhong Bai (Calcinatus Hominis Os) (calcined gently over fire to preserve nature, grind into powder, 8 qian).
Preparation and Usage: First, melt the scallion juice, rice vinegar, and Colla Corii Asini in a pot. Then add the Impatiens balsamina powder and boil into a plaster. Finally, add the Calcinatus Hominis Os powder, remove from heat, and stir constantly. When using, melt it by double-boiling. Spread thinly on paper according to the size of the phlegm nodule, apply as a plaster, wait for it to fall off naturally, and then replace with a new plaster.
[Prescription Verse] Jin Feng Hua Tan Gao eliminates hardness and firmness; applying it is more curative for conditions where damp-phlegm spreads and knots. It consists of Impatiens balsamina, Calcinatus Hominis Os, Colla Corii Asini, rice vinegar, and scallion juice boiled together and spread on paper for application.