(孙彦和)
治疮疡为寒变而内陷,脓出清稀,皮肤凉,心下痞满,肠鸣切痛,大便微溏,食则呕逆
,气短呃逆,不得安卧,时发昏愦(此孙彦和治王伯禄臂疡方也。六脉沉微,色变肤凉,加
以呃
附子(炮,四钱) 干姜(炮) 羌活(三钱) 木香(钱半) 茴香 丁香 沉香
益智仁
一钱。)加生姜五片,煎。
此足阳明、三阴药也。《卫生宝鉴》曰∶经曰∶寒淫于内,治以辛热,佐以苦温。附子
、干
胃,
邪,
(《总录》)
治脑疽背疽,穿溃疼痛。
当归 生地黄 芍药 黄 人参 甘草(炙) 官桂(各一两。)
此足阳明、厥阴药也。当归、生地活血凉血,人参、黄 益气补中,官桂解毒化脓毒化
成脓,则痛渐止,芍药和脾,酸以敛之,甘草扶胃,甘以缓之,则痛自减矣(齐德之曰∶世
人皆谓乳没珍贵之药,可住疼痛;不知临病制宜,殊非一端。热痛凉之,寒痛温之,风痛除
其风,湿痛导其湿,燥痛润之,塞痛通之,虚痛补之,实痛泻之,脓郁而闭者开之,恶肉败
溃者引
敛疮长肉(疮初起者禁用)。
寒水石( ) 滑石(二两) 龙骨 海螵蛸(一两) 密陀僧 枯矾 定粉(即铅粉)
干胭脂(五钱。)共为细末,掺疮口上。
此阳明药也(阳明主肌肉)。疮口不敛,盖因脓水散溢而溃烂也。石膏(亦名寒水石。
李时珍曰∶唐宋诸方,寒水石即石膏)、滑石解肌热,龙骨、枯矾善收涩,胭脂活血解毒,
螵蛸、陀僧、
又方∶槟榔 枯矾(各一两) 陀僧 黄丹 血竭(一钱) 轻粉(五分),亦名生肌
散。张子和方∶黄连(三钱) 密陀僧(五钱)胭脂 绿豆粉(二钱) 雄黄 轻粉(一
钱),亦名生肌散∶治同。
(孙彦和)
治疗疮疡因寒邪变化而内陷,脓液流出清稀,皮肤发凉,胃脘部痞塞胀满,肠鸣且剧烈疼痛,大便轻微溏泄,进食后呕吐逆气,气短呃逆,无法安稳躺卧,时常发生昏沉意识不清。(这是孙彦和为王伯禄治疗手臂疮疡的方子。患者六脉沉微,面色改变,皮肤发凉,伴有呃逆。)
附子(炮制,四钱) 干姜(炮制) 羌活(三钱) 木香(一钱半) 小茴香 丁香 沉香 益智仁(一钱)。加入生姜五片,煎煮服用。
此方属于足阳明经及三阴经的药物。《卫生宝鉴》说:经文记载,寒邪侵袭体内,用辛热之药治疗,以苦温之药辅助。附子、干姜……(原文此处有缺漏或排版错误,结合上下文推测意为温中散寒),暖胃,祛邪……
(《总录》)
治疗脑疽、背疽,溃破后疼痛。
当归 生地黄 芍药 黄芪 人参 甘草(炙) 官桂(各一两)。
此方属于足阳明经、厥阴经的药物。当归、生地黄能活血凉血,人参、黄芪能益气补中,官桂能解毒并促进脓毒化为脓液,脓液形成后,疼痛逐渐停止;芍药调和脾脏,其酸味具有收敛作用;甘草扶助胃气,其甘味具有缓急止痛作用,这样疼痛自然减轻。(齐德之说:世人都认为乳香、没药是珍贵的药物,可以止住疼痛;却不知道根据病情灵活制宜,道理不止一端。热痛用凉药治,寒痛用温药治,风痛去除风邪,湿痛疏导湿邪,燥痛滋润它,闭塞痛疏通它,虚痛补益它,实痛泻下它,脓液郁闭者开启它,恶肉败溃者引流……)
收敛疮口,生长肌肉(疮疡初起者禁用)。
寒水石(?) 滑石(二两) 龙骨 海螵蛸(一两) 密陀僧 枯矾 定粉(即铅粉) 干胭脂(五钱)。共同研磨成细末,撒在疮口上。
此方属于阳明经药物(阳明经主管肌肉)。疮口不愈合,大概是因为脓水散溢导致溃烂。石膏(又名寒水石。李时珍说:唐宋时期的各方书中,寒水石就是石膏)、滑石能解除肌表之热,龙骨、枯矾善于收敛固涩,胭脂能活血解毒,海螵蛸、密陀僧……
又一方:槟榔 枯矾(各一两) 密陀僧 黄丹 血竭(一钱) 轻粉(五分),也名为生肌散。张子和的方子:黄连(三钱) 密陀僧(五钱) 胭脂 绿豆粉(二钱) 雄黄 轻粉(一钱),也名为生肌散,治疗功效相同。
(Sun Yanhe)
Treats sores and ulcers that have collapsed inward due to cold transformation, with clear and thin pus discharge, cool skin, epigastric fullness and obstruction (Xin Xia Pi Man), borborygmus with cutting pain, slightly loose stools, vomiting and regurgitation after eating, shortness of breath, hiccups, inability to lie down peacefully, and occasional fainting or confusion. (This is a formula by Sun Yanhe for treating an arm ulcer in Wang Bolu. The six pulses are deep and minute, the complexion has changed, the skin is cool, accompanied by hiccups.)
Fuzi (Prepared Aconiti Lateralis Radix, 4 qian) Ganjiang (Prepared Zingiberis Rhizoma) Qianghuo (3 qian) Muxiang (1.5 qian) Huixiang Dingchen Xinyiren (1 qian). Add five slices of Shengjiang, decoct and take.
This formula consists of herbs belonging to the Foot-Yangming and Three Yin meridians. *Weisheng Baojian* states: The classic says, "When cold invades the interior, treat it with acrid-hot herbs, assisted by bitter-warm herbs." Fuzi, Ganjiang... [text fragment] warm the stomach, expel pathogens...
(*Zonglu*)
Treats brain carbuncle (Nao Ju) and back carbuncle (Bei Ju), causing pain after perforation and ulceration.
Danggui Shengdihuang Shaoyao Huangqi Renshen Gancao (Honey-fried) Guigui (each 1 liang).
This formula consists of herbs belonging to the Foot-Yangming and Jueyin meridians. Danggui and Shengdihuang invigorate blood and cool blood; Renshen and Huangqi benefit qi and tonify the middle; Guigui resolves toxicity and promotes the transformation of toxic pus into mature pus. Once pus forms, the pain gradually ceases; Shaoyao harmonizes the spleen, and its sour flavor has an astringent effect; Gancao supports the stomach, and its sweet flavor has a moderating and pain-relieving effect, thus the pain naturally diminishes. (Qi Dezhi said: People generally believe that expensive herbs like Rushen and Moyao can stop pain; however, they fail to realize that treatment must be adapted to specific conditions, which involves various principles. Heat-induced pain is treated with cooling methods; cold-induced pain with warming methods; wind-induced pain by eliminating wind; damp-induced pain by draining dampness; dry-induced pain by moistening; obstructed pain by unblocking; deficiency-induced pain by tonifying; excess pain by purging; pus stagnation and closure by opening; foul flesh and ulceration by guiding out...)
Astringe wounds and promote tissue regeneration (Contraindicated for newly arising sores).
Hanshuishi (?) Huashi (2 liang) Longgu Haipiaoxiao (1 liang) Mituoseng Kufan Dingfen (i.e., Qianfen) Ganyanzhi (5 qian). Grind all into fine powder and sprinkle onto the wound surface.
This formula belongs to the Yangming category (Yangming governs muscles). Non-healing wounds are often due to the leakage of pus and fluid causing erosion. Shigao (also known as Hanshuishi. Li Shizhen stated: In formulas from the Tang and Song dynasties, Hanshuishi refers to Shigao) and Huashi relieve heat in the muscles; Longgu and Kufan are good at astringency; Ganyanzhi invigorates blood and resolves toxicity; Haipiaoxiao and Mituoseng...
Another formula: Binglang Kufan (each 1 liang) Mituoseng Huangdan Xuexie (1 qian) Qingfen (5 fen), also named Shengji San. Zhang Zihe's formula: Huanglian (3 qian) Mituoseng (5 qian) Ganyanzhi Ludoufen (2 qian) Xionghuang Qingfen (1 qian), also named Shengji San, with identical therapeutic effects.