凡痈疽已溃,多有瘀肉坏在四旁,遂令疮深寝至断筋蚀骨。法须去瘀肉,用速急生肉煎
,庶几不令伤风,日久不愈。去瘀肉法∶淡醋一碗入盐一字,以鸡羽轻轻拂瘀肉处,少顷,
用竹片夹缚作一摘,镊子摘去瘀肉,以药掺之。
川乌(一分,炮) 诃子(三个,去核) 紫藤香(一分) 生硫黄 食茱萸(各半两) 龙骨
白蔹(各一钱)
上为细末干掺,却用生肉膏浮虚盖之,勿令相着,其肉立生。如疮干,恐痛,或干已痛
,则用茱萸四十至五十粒,清油一灯盏,煎取茱萸焦调敷佳。
安愈后宜用之。
牡丹皮(一两) 柴胡(三分) 赤芍药 茯苓 白芍药 当归(各半两) 甘草
上为末,每服一钱半,水一盏,姜三片,枣一个,同煎至八分,通口服,一日三服,不
凡乳痈易萌,皆由气逆,寒热相乘,荣卫缝结,乳汁不行而生痈。四十以下,治之多愈
;四十以上十愈四五。未成者吸其乳,非乳者下。其已成者,如痈法治之。在乳房而不善治
,腐漏者三年而死。中乳房者不救(此句言针)。
\r针乳痈图\pk-k7.bmp\r
萱草根
上捣烂酒浸服,滓敷。
又方
苣霜叶
上不计多少,取阴干为末,如急用则焙干之,以井花水调涂,不若取丝瓜汁调最妙。此
药贴涂发背、一切痈疖,与玉女飞花散为表里。
凡是痈疽已经溃破,往往有腐败的肉组织残留在疮口四周,从而导致疮口越来越深,甚至损伤筋腱、腐蚀骨骼。治疗方法必须去除这些腐败肉组织,使用速效生肌煎剂,这样才不至于因伤口久不愈合而受风邪侵袭。去除腐败肉组织的方法:取一碗淡醋,加入约“一字”量的盐,用鸡毛轻轻拂拭患处,片刻之后,用竹片夹住腐肉做成一个提手,再用镊子将腐肉夹去,然后撒上药物粉末。
川乌(一分,炮制)、诃子(三个,去核)、紫藤香(一分)、生硫黄、食茱萸(各半两)、龙骨、白蔹(各一钱)
以上药材研成细末,直接干撒在创面上,随后用生肌膏覆盖浮虚之处,注意不要让药粉与膏体直接接触,肌肉即可迅速生长。如果疮面干燥,担心疼痛,或者已经感到疼痛,则取四十至五十粒茱萸,加一盏清油,煎至茱萸焦枯,调匀后敷贴效果最佳。
此方适用于疮口愈合后的调理。
牡丹皮(一两)、柴胡(三分)、赤芍药、茯苓、白芍药、当归(各半两)、甘草
以上药材研成粉末,每次服用一钱半,加水一盏,生姜三片,大枣一个,共同煎煮至八分满,一次性口服,每日三次。
凡是乳痈容易发作,都是由于气机逆乱,寒热相互搏结,营卫之气郁结阻滞,导致乳汁排泄不畅而生痈。四十岁以下患者,治疗大多能痊愈;四十岁以上患者,十人之中只能痊愈四五人。尚未形成脓肿的,应吸出乳汁,非哺乳期者则需通下。已经形成的脓肿,按照治疗痈的方法处理。如果在乳房部位未能妥善治疗,导致腐烂漏脓,三年后会死亡。如果痈肿位于乳房内部中心,则无法救治(这句话指的是针刺疗法)。
又一方
以上药材不限数量,采集后阴干研成粉末,如果急需使用则焙干,用井花水调和涂抹,不如用丝瓜汁调和最为巧妙。此药贴涂于发背及一切痈疖,与玉女飞花散互为表里配合。
Whenever a carbuncle or ulcer has ruptured, there are often necrotic tissues remaining around the wound margins, causing the sore to deepen progressively until it damages tendons and erodes bone. The method requires removing the necrotic tissue and using a rapid flesh-regenerating decoction, so as to prevent wind-pathogen invasion due to prolonged non-healing. Method for removing necrotic tissue: Take one bowl of light vinegar, add salt equivalent to "one character" (a small measure), gently brush the affected area with a chicken feather. After a short while, use a bamboo strip clamped to form a handle, and use tweezers to extract the necrotic tissue. Then sprinkle medicine powder on it.
Rhizoma Aconiti Lateralis Preparatum (Chuanwu, 1 fen, processed), Fructus Chebulae (Hezi, 3 pieces, pitted), Cortex Viticis (Zitengxiang, 1 fen), Sulfur (Shengliuhuang), Fructus Zanthoxyli Bungeani (Shizhuyu, each 0.5 liang), Os Draconis (Longgu), Radix Ampelopsis (Bailian, each 1 qian).
Grind the above into a fine powder and apply dry. Then cover the superficial voids with Flesh-Regenerating Ointment (Shengrou Gao), ensuring they do not touch each other directly; the flesh will regenerate immediately. If the sore is dry and painful, or already painful, take 40 to 50 grains of Zanthoxylum, add one lampful of clear oil, fry until the Zanthoxylum is scorched, mix well, and apply externally for best results.
This formula is suitable for post-healing care.
Cortex Moutan (Mudanpi, 1 liang), Radix Bupleuri (Chaihu, 3 fen), Radix Paeoniae Rubra (Chishao), Poria (Fuling), Radix Paeoniae Alba (Baishao), Radix Angelicae Sinensis (Danggui, each 0.5 liang), Radix Glycyrrhizae (Gancao).
Grind the above into powder. Take 1.5 qian per dose, with one lampful of water, three slices of fresh ginger, and one jujube. Decoct together until reduced to 0.8 parts. Drink all at once, three times a day.
Breast abscess (Ruyong) tends to arise easily, all due to rebellious Qi, where cold and heat clash, causing stagnation and knotting of Ying and Wei (Nutritive and Defensive) qi, leading to milk stasis and subsequent abscess formation. For patients under forty, treatment mostly leads to recovery; for those over forty, only four or five out of ten recover. If not yet formed into an abscess, suck out the milk; if not breastfeeding, induce purgation. If already formed, treat according to the methods for carbuncles. If not treated properly in the breast region, leading to rotting and leakage, death occurs within three years. If the abscess is located deep within the breast center, it is incurable (this sentence refers to acupuncture therapy).
[Image: Diagram of Acupuncture for Breast Abscess]
Radix Hemerocallis (Xuanguogen).
Pound thoroughly, soak in wine, and drink. Apply the dregs externally.
Another Formula
Leaves of Sonchus oleraceus (Qushuangye).
Take an unspecified amount of the above, shade-dry and grind into powder. If urgent use is needed, bake dry. Mix with spring water from a well for topical application; however, mixing with juice from Luffa cylindrica (Sigua) is considered most excellent. This paste applied to back carbuncles and all types of boils and furuncles works in conjunction with Jade Maiden Flying Flower Powder (Yunü Feihua San) as exterior-interior counterparts.