【方歌】肚门痈在股肚生,股内近膝箕门痈,二证红肿焮热痛,
膀胱脾经湿热成。
【注】此二证俱属湿热凝结而成。肚门痈生于大腿肚,属足太
阳膀胱经;箕门痈生于股内近膝,属足太阴脾经。初起
红肿焮痛者,宜服神授卫生汤;若焮肿便秘,烦躁之冷
,脉数者,热淫于内也,宜内疏黄连汤,或双解贵金丸
下之;若肿痛寒热,脉沈而无力,胸腹胀满,饮食如常
者,宜服槟苏散;如肿痛寒热已止,即换服逍遥散;若
肿痛色不变,寒热,食少,体倦者,由肝虚湿痰下注也
,宜补中益气汤加茯苓、半夏、芍药服之;若患此入房
,肿硬,二便不通者,宜六味地黄丸加牛膝、车前;俟
二便通利,仍服补中益气汤。余治按痈疽肿疡、溃疡门
。
方剂:槟苏散
组成:槟榔 紫苏
香附 木瓜
陈皮 大腹皮(各一钱)
羌活(五分) 木香(三分)
生姜三片,葱白三寸,水二钟,煎一钟,空心服。
【方歌】槟苏腹胀气不舒,股内箕门痈可除,香附木瓜陈大腹,
木香羌活槟榔苏。
又方:神授卫生汤、内疏黄连汤、双解贵金丸(俱见肿疡门)
逍遥散(见背部上搭手)
补中益气汤(见溃疡门)
六味地黄丸(见面部雀斑)
【方歌】腿游风在绕腿生,赤肿如云焮热疼,荣卫风热相搏滞,
宜砭出血双解清。
【注】此证两腿里外忽生赤肿,形如堆云,焮热疼痛,由荣卫
风热相搏,结滞而成。凡遇此证,先施砭石,放出恶血
随服双解通圣散,次以掌归拈痛汤清解治之;外贴牛肉
片,以拔风毒甚效。
方剂:当归拈痛汤
组成:当归羌活茵蔯蒿苍术(米泔水浸,炒)防风(各一钱)苦参白术(
土炒)升麻(各七分)葛根泽泻人参知母黄芩猪苓甘草(各五分)
黄柏(三分)
水二钟,煎八分,食前服。
【方歌】当归拈痛腿游风,羌活人参二术升,茵蔯葛草芩知柏,
苦参风泻共猪苓。
又方:双解通圣散(见唇部唇风)
【方歌】肚门痈发生在大腿肚部位,箕门痈发生在股内侧靠近膝盖处,这两种病症都表现为红肿、灼热和疼痛,是由膀胱经和脾经的湿热蕴结而成的。
【注】这两种病症都属于湿热凝结所致。肚门痈生于大腿肚,归属于足太阳膀胱经;箕门痈生于股内侧近膝处,归属于足太阴脾经。初起时若出现红肿灼痛,适宜服用神授卫生汤(Shen Shou Wei Sheng Tang);如果红肿灼热且伴有便秘、烦躁发冷、脉象数疾,这是热邪内盛的表现,适宜使用内疏黄连汤(Nei Shu Huang Lian Tang)或双解贵金丸(Shuang Jie Gui Jin Wan)进行攻下治疗;如果出现肿痛伴寒热往来、脉象沉而无力、胸腹胀满但饮食正常的情况,适宜服用槟苏散(Bing Su San);如果肿痛和寒热症状已经停止,随即换服逍遥散(Xiao Yao San);如果肿痛颜色没有变化,伴有寒热、食欲不振、身体疲倦,这是由于肝虚导致湿痰下注所致,适宜服用补中益气汤(Bu Zhong Yi Qi Tang)加茯苓(Poria)、半夏(Pinellia Rhizome)、芍药(Peony Root);如果在患病期间行房事,导致患处肿硬、大小便不通,适宜服用六味地黄丸(Liu Wei Di Huang Wan)加牛膝(Achyranthes Root)、车前子(Plantago Seed);待大小便通畅后,仍继续服用补中益气汤。其余治疗方法参照痈疽肿疡、溃疡章节。
方剂:槟苏散
组成:槟榔(Areca Seed)、紫苏(Perilla Leaf)、香附(Cyperus Rhizome)、木瓜(Chaenomelis Fructus)、陈皮(Citrus Reticulatae Pericarpium)、大腹皮(Areca Peel)各一钱;羌活(Notopterygii Rhizoma et Radix)五分;木香(Aucklandiae Radix)三分。生姜三片,葱白三寸,水两钟,煎至一钟,空腹服用。
【方歌】槟苏散可治腹胀气机不畅,消除股内侧箕门痈,方中含香附、木瓜、陈皮、大腹皮,以及木香、羌活、槟榔、紫苏。
其他方剂:神授卫生汤、内疏黄连汤、双解贵金丸(均见肿疡章节);逍遥散(见背部上搭手章节);补中益气汤(见溃疡章节);六味地黄丸(见面部雀斑章节)。
【方歌】腿游风发生于环绕腿部,皮肤赤红肿胀如云状,伴有灼热疼痛,这是营卫之气与风热邪气相互搏结阻滞所致,适宜采用砭石刺络出血并服用双解清(Shuang Jie Qing)治疗。
【注】此证表现为双腿内外突然生出赤色肿胀,形状如堆积的云彩,伴有灼热疼痛,这是由于营卫之气与风热邪气相互搏结,郁滞而成。凡是遇到此证,先施行砭石疗法,放出恶血,随后服用双解通圣散(Shuang Jie Tong Sheng San),接着用当归拈痛汤(Dang Gui Nian Tong Tang)清热解表进行治疗;外用贴敷牛肉片,以拔除风毒,效果显著。
方剂:当归拈痛汤
组成:当归(Angelica Sinensis Radix)、羌活(Notopterygii Rhizoma et Radix)、茵陈蒿(Artemisiae Scopariae Herba)、苍术(Atractylodis Rhizoma,用米泔水浸泡后炒制)、防风(Saposhnikoviae Radix)各一钱;苦参(Sophorae Flavescentis Radix)、白术(Atractylodis Macrocephalae Rhizoma,土炒)、升麻( Cimicifugae Rhizoma)各七分;葛根(Puerariae Lobatae Radix)、泽泻(Alismatis Rhizoma)、人参(Ginseng Radix)、知母(Anemarrhenae Rhizoma)、黄芩(Scutellariae Radix)、猪苓(Polyporus)、甘草(Glycyrrhizae Radix et Rhizoma)各五分;黄柏(Phellodendri Cortex)三分。水两钟,煎至八分,饭前服用。
【方歌】当归拈痛汤治疗腿游风,方中含羌活、人参、二术(苍术、白术)、升麻,以及茵陈、葛根、甘草、黄芩、知母、黄柏,还有苦参、防风、泽泻、猪苓。
[Formula Song] The Dubmen abscess arises in the calf of the thigh, while the Jimen abscess occurs on the medial aspect of the thigh near the knee. Both conditions present with redness, swelling, burning heat, and pain, resulting from damp-heat accumulation in the Bladder Meridian and Spleen Meridian.
[Annotation] These two conditions are both caused by the coagulation of damp-heat. The Dubmen abscess (Abscess at the Calf) arises in the calf of the thigh and belongs to the Foot-Taiyang Bladder Meridian; the Jimen abscess (Abscess at Jimen Point) arises on the medial aspect of the thigh near the knee and belongs to the Foot-Taiyin Spleen Meridian. In the initial stage, if there is redness, swelling, burning, and pain, Shen Shou Wei Sheng Tang (Divine Grant Health-Preserving Decoction) is appropriate. If there is burning swelling accompanied by constipation, irritability, aversion to cold, and a rapid pulse, this indicates excessive heat within; Nei Shu Huang Lian Tang (Internal Draining Coptis Decoction) or Shuang Jie Gui Jin Wan (Double Resolving Golden Pill) should be used for purgation. If there is swelling and pain accompanied by alternating chills and fever, a deep and weak pulse, chest and abdominal distension, but normal appetite, Bing Su San (Betel Nut and Perilla Powder) is appropriate. Once the swelling, pain, and alternating chills and fever have subsided, switch to Xiao Yao San (Free and Easy Wanderer Powder). If the swelling and pain show no change in color, accompanied by chills and fever, poor appetite, and fatigue, this is due to Liver deficiency with damp-phlegm sinking downward; Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) added with Fu Ling (Poria), Ban Xia (Pinellia Rhizome), and Bai Shao (Peony Root) is appropriate. If sexual intercourse occurs during the illness, leading to hard swelling and obstruction of urination and defecation, Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) added as Niuxi (Achyranthes Root) and Che Qian Zi (Plantago Seed) is appropriate; once urination and defecation become unobstructed, continue taking Bu Zhong Yi Qi Tang. For other treatments, refer to the sections on Carbuncles and Ulcers.
Formula: Bing Su San (Betel Nut and Perilla Powder)
Composition: Bing Lang (Areca Seed), Zi Su Ye (Perilla Leaf), Xiang Fu (Cyperus Rhizome), Mu Gua (Chaenomelis Frizctus), Chen Pi (Citrus Reticulatae Pericarpium), Da Fu Pi (Areca Peel), each 1 qian; Qiang Huo (Notopterygii Rhizoma et Radix) 0.5 qian; Mu Xiang (Aucklandiae Radix) 0.3 qian. Add three slices of Sheng Jiang (Fresh Ginger), three cun of Cong Bai (Scallion White), and two zhong of water; decoct to one zhong. Take on an empty stomach.
[Formula Song] Bing Su San treats abdominal distension and qi stagnation, eliminating the Jimen abscess on the inner thigh. It contains Xiang Fu, Mu Gua, Chen Pi, Da Fu Pi, Mu Xiang, Qiang Huo, Bing Lang, and Zi Su.
Other Formulas: Shen Shou Wei Sheng Tang, Nei Shu Huang Lian Tang, Shuang Jie Gui Jin Wan (see section on Carbuncles); Xiao Yao San (see section on Upper Back Hand-Da Carbuncle); Bu Zhong Yi Qi Tang (see section on Ulcers); Liu Wei Di Huang Wan (see section on Facial Freckles).
[Formula Song] Leg You Feng (Wandering Wind of the Leg) arises encircling the leg, presenting with redness and swelling like clouds, accompanied by burning heat and pain. This results from the struggle and stagnation between Ying (Nutritive) and Wei (Defensive) qi interacting with wind-heat. It is appropriate to use Bian Shi (stone lancet) therapy to bleed out bad blood and administer Shuang Jie Qing (Double Resolving Clearing Agent).
[Annotation] This condition presents as sudden redness and swelling on the medial and lateral aspects of both legs, shaped like piled clouds, with burning heat and pain. It is caused by the struggle and stagnation of Ying and Wei qi combined with wind-heat. Whenever this condition occurs, first apply Bian Shi therapy to release bad blood, then take Shuang Jie Tong Sheng San (Double Resolving Holy Guardian Powder), followed by Dang Gui Nian Tong Tang (Angelica Pain-Relieving Decoction) to clear and resolve. Externally apply beef slices to draw out wind-toxin, which is very effective.
Formula: Dang Gui Nian Tong Tang (Angelica Pain-Relieving Decoction)
Composition: Dang Gui (Angelica Sinensis Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Yin Chen Hao (Artemisiae Scopariae Herba), Cang Zhu (Atractylodis Rhizoma, soaked in rice water and stir-fried), Fang Feng (Saposhnikoviae Radix), each 1 qian; Ku Shen (Sophorae Flavescentis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried with soil), Sheng Ma (Cimicifugae Rhizoma), each 0.7 qian; Ge Gen (Puerariae Lobatae Radix), Ze Xie (Alismatis Rhizoma), Ren Shen (Ginseng Radix), Zhi Mu (Anemarrhenae Rhizoma), Huang Qin (Scutellariae Radix), Zhu Ling (Polyporus), Gan Cao (Glycyrrhizae Radix et Rhizoma), each 0.5 qian; Huang Bo (Phellodendri Cortex) 0.3 qian. Use two zhong of water, decoct to eight fen. Take before meals.
[Formula Song] Dang Gui Nian Tong Tang treats Leg You Feng, containing Qiang Huo, Ren Shen, Er Zhu (Cang Zhu and Bai Zhu), Sheng Ma, Yin Chen, Ge Gen, Gan Cao, Huang Qin, Zhi Mu, Huang Bo, Ku Shen, Fang Feng, Ze Xie, and Zhu Ling.
Other Formula: Shuang Jie Tong Sheng San (see section on Lip Wind).