【方歌】连珠毒发贯珠形,在背微疼色淡红,发时尿闭少腹满,
阴囊作肿百节疼。
【注】此证生于背,不论左右,连肿三、五块,形若贯珠。由
荣血火毒,或酒色过度而成。其疮微痛,皮色淡红,发
时少腹胀满,小水闭涩,阴囊作肿,百节疼痛。初起宜
服神授卫生汤加木通、车前。其余内外治法,俱按痈疽
肿疡、溃疡门。
方剂:神授卫生汤(见肿疡门)
【方歌】丹毒发如汤火伤,细癗赤晕渴非常,丹石刚剂致此证,
红活者生紫黯亡。
【注】此证生于背,形如汤火所伤,细癗无数,赤晕延开,发
时其渴非常,由素服丹石刚剂所致。初服黄连消毒饮,
兼国老膏服之,外用牛肉薄片贴之。其色红活鲜润,神
清者生;若紫黯神昏,更兼脉躁、膨胀、呕哕者亡。
方剂:国老膏
组成:甘草(大者,二斤)
捶碎,河水浸一宿,揉令浆汁浓,去尽筋渣,再用
绢滤过;银器内慢火熬成膏,用磁罐收贮。每服三钱,
无灰温酒调下,或白滚水亦可。
【方歌】国老膏解丹石毒,诸疮用此肿即消,甘草二斤河水泡,
取汁熬膏温酒调。
又方:黄连消毒饮(见头部百会疽)
【方歌】禽疽毒由时气成,数块似疹色紫红,背生形如拳打状,
拘急麻木不作疼。
【注】此疽之毒,由时气风热而成。始发数块如疹,其色紫红
,在背而生,形如拳打之状,脊背麻木拘急,并不作痛
。神清脉和,服药得汗者顺;若神昏脉躁,或微或代,
发寒齿噤者逆。初宜急服仙方活命饮加羌活、独活汗之
,外敷二味拔毒散,或蝌蚪拔毒散消之。若漫肿不溃,
即服托里透脓汤。其余内外治法,俱按痈疽肿疡、溃疡
门。
方剂:仙方活命饮、二味拔毒散、蝌蚪拔毒散(俱见肿疡门)
托里透脓汤(见头部侵脑疽)
【方歌】连珠毒发作时呈串珠状,生于背部微痛且颜色淡红,发作时小便闭塞、少腹胀满,阴囊肿胀且全身关节疼痛。
【注】此证生于背部,不论左侧或右侧,连续肿胀三至五块,形状如同串珠。由营血中的火毒,或因饮酒和房事过度所致。其疮疡微痛,皮色淡红,发作时少腹胀满,小便闭涩不通,阴囊肿胀,全身关节疼痛。初起适宜服用神授卫生汤,并加入木通、车前子。其余内服和外治方法,均参照痈疽肿疡、溃疡门的相关记载。
方剂:神授卫生汤(见肿疡门)
【方歌】丹毒发作如同被开水或火烧伤,皮肤出现细密的小疱和红色晕圈,口渴非常严重,这是由于服用丹石类刚猛药物导致的此证,若患处颜色红活者生,紫黯者死。
【注】此证生于背部,形状如同被汤火烫伤,无数细密小疱,红色晕圈向外蔓延,发作时极度口渴,这是由于平素服用丹石类刚猛药物所致。初起服用黄连消毒饮,同时兼服国老膏,外用牛肉薄片贴敷。若患处颜色红活鲜润,神志清醒者预后良好;若颜色紫黯、神志昏迷,更兼脉象躁动、腹部膨胀、呕吐呃逆者预后不良。
方剂:国老膏
组成:甘草(选用大的,二斤)
捣碎,用河水浸泡一夜,揉搓使其浆汁浓稠,去除尽筋膜残渣,再用绢布过滤;在银器内用慢火熬制成膏,用磁罐收存。每次服用三钱,用无灰温酒调服,或用白开水冲服亦可。
【方歌】国老膏能解丹石之毒,各种疮疡使用此药肿胀即刻消退,甘草二斤用河水浸泡,取汁熬成膏后用温酒调服。
又一方:黄连消毒饮(见头部百会疽)
【方歌】禽疽毒由时行气邪而成,数块肿块似皮疹且颜色紫红,生于背部形状如被拳头殴打后的痕迹,拘急麻木且不感到疼痛。
【注】此疽的毒邪,由时行气邪的风热所致。开始发作时出现数块如皮疹般的肿块,颜色紫红,生于背部,形状如同被拳头殴打后的样子,脊背麻木拘急,并不产生疼痛。若神志清醒、脉象平和,服药后得汗出者为顺证;若神志昏迷、脉象躁动,或脉象微弱或代脉,发作寒战、牙齿打颤者为逆证。初起宜紧急服用仙方活命饮,并加入羌活、独活以发汗,外敷二味拔毒散,或蝌蚪拔毒散以消散。若漫肿不溃破,即服用托里透脓汤。其余内外治法,均参照痈疽肿疡、溃疡门的相关记载。
方剂:仙方活命饮、二味拔毒散、蝌蚪拔毒散(均见肿疡门)
托里透脓汤(见头部侵脑疽)
[Prescription Verse] The "Lianzhu" (String of Pearls) toxin erupts in a string-of-pearls shape, located on the back with slight pain and pale red color. Upon eruption, there is urinary retention and fullness in the lower abdomen, swelling of the scrotum, and pain in all joints.
[Annotation] This condition arises on the back, regardless of the left or right side, presenting as three to five consecutive swellings shaped like a string of pearls. It is caused by fire-toxin in the Ying (Nutritive) blood, or resulting from excessive consumption of alcohol and sexual indulgence. The sores are slightly painful with pale red skin color. During eruptions, there is fullness in the lower abdomen, difficulty and obstruction in urination, scrotal swelling, and pain in all joints. In the initial stage, it is appropriate to administer Shenshou Weisheng Tang (Divine Grant Health-Preserving Decoction), supplemented with Mutong (Akebiae Caulis) and Cheqian (Plantaginis Semen). All other internal and external treatment methods should follow the guidelines in the "Yong Ju Zhongyang" (Carbuncle and Ulcer Swelling Section) and "Youyang" (Ulcerated Section).
Formula: Shenshou Weisheng Tang (See Zhongyang Section)
[Prescription Verse] Dan Du (Erysipelas/Red Toxin) erupts resembling burns from boiling water or fire, characterized by numerous fine vesicles and red halos, accompanied by extreme thirst. This condition is caused by the ingestion of rigid/mineral drugs (Dan Shi). If the lesion color is bright red and vibrant, the patient survives; if purple and dark, death ensues.
[Annotation] This condition occurs on the back, resembling burns from hot liquids or fire, with countless fine vesicles and spreading red halos. Upon eruption, there is extreme thirst, caused by the habitual use of rigid/mineral drugs (Dan Shi). Initially, Huanglian Xiaodu Yin (Coptis Detoxification Decoction) should be taken, concurrently administered with Guolao Gao (Old Man's Paste), and externally applied with thin slices of beef. If the lesion color is bright red and moist, and the spirit is clear, the prognosis is good; if the color is purple and dark, accompanied by coma, rapid/agitated pulse, abdominal distension, vomiting, and hiccups, the prognosis is fatal.
Formula: Guolao Gao (Old Man's Paste)
Composition: Gancao (Licorice Root, large roots, 2 jin)
Crushed, soaked in river water overnight, kneaded until the juice becomes thick, all fibrous residues removed, then filtered through silk cloth; slowly boiled into a paste in a silver vessel, stored in porcelain jars. Take 3 qian per dose, mixed with warm wine without ash, or plain boiled water is also acceptable.
[Prescription Verse] Guolao Gao resolves the toxicity of mineral drugs; for various sores, swelling subsides immediately upon its use. Two jin of Licorice Root soaked in river water, juice extracted and boiled into paste, taken with warm wine.
Another Formula: Huanglian Xiaodu Yin (See Baihui Ju of the Head)
[Prescription Verse] Qin Ju (Bird Carbuncle) toxin arises from seasonal qi pathogens. Several lumps resemble rashes with purple-red color. Located on the back, the shape resembles bruises from being punched. There is stiffness, numbness, and absence of pain.
[Annotation] The toxicity of this carbuncle arises from wind-heat in seasonal qi pathogens. Initially, several rash-like lumps appear, purple-red in color, occurring on the back, shaped like contusions from punches. The spine and back exhibit stiffness and numbness without pain. If the spirit is clear and the pulse is harmonious, and sweating occurs after medication, it is a favorable sign (Shun); if the spirit is confused, the pulse is agitated, weak, or intermittent (Dai), accompanied by chills and clenched teeth, it is an unfavorable sign (Ni). Initially, Xianfang Huoming Yin (Immortal Life-Saving Decoction) should be urgently administered, supplemented with Qianghuo (Notopterygii Rhizoma et Radix) and Duhuo (Angelicae Pubescentis Radix) to induce sweating. Externally apply Erwei Baidu San (Two-Ingredient Antidote Powder) or Ketou Baidu San (Tadpole Antidote Powder) to dissipate the swelling. If the swelling is diffuse and does not suppurate, Tuoli Toulong Tang (Interior-Supporting Pus-Expelling Decoction) should be taken. All other internal and external treatment methods should follow the guidelines in the "Yong Ju Zhongyang" (Carbuncle and Ulcer Swelling Section) and "Youyang" (Ulcerated Section).
Formulas: Xianfang Huoming Yin, Erwei Baidu San, Ketou Baidu San (All see Zhongyang Section)
Tuoli Toulong Tang (See Qinao Ju of the Head)