论曰月蚀疮小儿多有之,盖由嗜甘肥,营卫不清,风湿毒热之气,蕴蓄腑脏,其疮多生
于两
月晦
治月蚀疮。多在两耳上,及窍傍,随月盈虚,水银膏涂敷方
水银(一分) 胡粉(研) 黄连(去须为末) 松脂(各半两) 猪脂(四两)
上五味,先熬脂令沸,下松脂诸药末,水银搅令匀,瓷合盛,先以盐汤洗疮,涂敷日三
五度。
又方
虎头骨(末) 猪脂(各二两)
上二味,和调如糊,先用盐汤洗疮,涂敷疮上,日三五度。
治月蚀疮,甘草散涂敷方
甘草(末) 青蛙(自死者烧作灰) 母猪蹄甲(烧作灰) 救月杖(烧作灰一两)
上四味,捣罗研细拌匀,以蜜调涂敷疮上,日三五度。
治月蚀疮入鼻口,及九窍孔,并诸疮。豉涂敷方
豉 虾蟆(五月五日取一枚自死者)
上二味,将盐豉不以多少,填满虾蟆腹,挂于屋北,令干燥,以纸泥裹之,埋釜锅底三
炊久烧之,取出去泥,捣细研为末,涂敷疮上,干即以猪脂和,七月七日修合亦得。日三五
度。
治月蚀疮。鼓皮醋涂方
鼓皮(如手掌大) 醋(二升)
上二味,以醋浸皮经一宿,取汁涂敷疮上,日三五度。
治月蚀疮息肉。硫黄涂敷方
石硫黄(细研) 茹(末各一两) 斑蝥(去足翅半两细研)
上三味,捣研和匀,先用盐汤洗疮,后涂敷疮上,如干者以猪脂调和涂敷,日三度。
治月蚀湿虫疮 。半夏根散方
半夏根(五月五日取一两) 木瓜(根) 乌头(各一两)
上三味,阴干并细锉,捣罗为散,每取枣核许大,以绵裹,纳谷道中,日二度。
治月蚀疮。矾石涂敷方
矾石(研) 石硫黄(研各半两) 五月五日虾蟆(自死者一枚烧作灰)
上三味,细研为末,先以盐汤洗疮,涂敷日三五度,以瘥为度。
治月蚀疮,茱萸汤洗方
茱萸根 地榆根 蔷薇根(各一两)
上三味细锉,以水五升,煎至二升半,去滓温洗疮,冷即止,日三两度洗之,敷以他药
治月蚀下部湿 。兔头散方
腊月兔头(一枚烧过) 五月五日虾蟆(自死者一枚烧灰) 代赭(一两) 地黄叶灰
(半两)
虎头骨(炙令赤黑色二两) 贝子(烧过七枚) 小蓟灰(半两)
上七味,捣罗为散,以绵裹如枣核大,纳下部中,兼每日空心新汲井水,调下半钱匕服
,以瘥为度。
治月蚀疮酥粉涂敷方
酥(二两) 胡粉(一两细研)
上二味,调和如糊,涂敷疮上,日三五度。
治卒得月蚀疮涂敷方
上取罗摩草,研绞取汁涂敷,日三五度。
又方
射干(三两) 甘草(炙一两)
上二味,粗捣筛,每服五钱匕,用水一盏半,煎至五合,滤去滓,空心温服,午时晚间
再煎服。
治卒得月蚀疮涂敷方
虾蟆(一枚自死者) 兔粪(月望夜取)
上二味,破虾蟆腹,纳兔粪满合定,于炭内烧过,细研为末,涂敷疮上,日三五度。
又方
地龙粪(烧通赤为末) 猪脂(各三两)
上二味,调涂敷疮上,日三五次,以瘥为度。
论述说:月蚀疮在小儿中较为多见,这主要是因为嗜食甘甜肥腻之物,导致营卫之气不清,风湿毒热之气蕴蓄于脏腑。这种疮疡多发生在两耳上方及耳窍旁边,其病情变化随月亮的盈亏而消长。
治疗月蚀疮的方剂:
水银膏涂敷方
药材:水银(一分)、胡粉(研细)、黄连(去须后研成末)、松脂(各半两)、猪脂(四两)。
制法与用法:以上五味药,先熬煮油脂至沸腾,加入松脂及各药末,将水银搅拌混合均匀,盛放在瓷盒中。先用盐水汤清洗疮口,然后涂敷此药,每日三到五次。
又一方:
药材:虎头骨(研成末)、猪脂(各二两)。
制法与用法:将这两味药调和如糊状,先用盐水汤清洗疮口,然后涂敷在疮上,每日三到五次。
治疗月蚀疮的甘草散涂敷方:
药材:甘草(研成末)、青蛙(自然死亡者烧成灰)、母猪蹄甲(烧成灰)、救月杖(烧成灰一两)。
制法与用法:以上四味药,捣碎过筛研细拌匀,用蜂蜜调匀后涂敷在疮上,每日三到五次。
治疗月蚀疮侵入鼻、口及九窍孔,以及各类疮疡的豉涂敷方:
药材:豆豉、虾蟆(五月五日取一只自然死亡的)。
制法与用法:以上两味药,取适量盐豉填满虾蟆腹部,悬挂在房屋北面,使其干燥,用纸泥包裹,埋在锅底烧煮三次饭的时间,取出后去掉纸泥,捣细研成末,涂敷在疮上;若变干则以猪脂调和,七月七日制作亦可。每日三到五次。
治疗月蚀疮的鼓皮醋涂方:
药材:鼓皮(如手掌大小)、醋(二升)。
制法与用法:以上两味药,用醋浸泡鼓皮过夜,取汁液涂敷在疮上,每日三到五次。
治疗月蚀疮息肉的硫黄涂敷方:
药材:石硫黄(研细)、茹(即白薇或类似根茎类,此处依原文“茹”,通常指白薇或茜草根等,保留原名)、斑蝥(去足翅,半两,研细)。
制法与用法:以上三味药,捣研混合均匀,先用盐水汤清洗疮口,然后涂敷在疮上;如果变干,以猪脂调和后涂敷,每日三次。
治疗月蚀湿虫疮的半夏根散方:
药材:半夏根(五月五日取一两)、木瓜(根)、乌头(各一两)。
制法与用法:以上三味药,阴干并切细,捣碎过筛制成散剂。每次取枣核大小的量,用棉布包裹,纳入肛门(谷道)中,每日两次。
治疗月蚀疮的矾石涂敷方:
药材:矾石(研细)、石硫黄(研细,各半两)、五月五日自然死亡的虾蟆(一枚,烧成灰)。
制法与用法:以上三味药,细研成末,先用盐水汤清洗疮口,然后涂敷,每日三到五次,以痊愈为度。
治疗月蚀疮的茱萸汤洗方:
药材:茱萸根、地榆根、蔷薇根(各一两)。
制法与用法:以上三味药切细,用水五升,煎煮至二升半,滤去药渣,温洗疮口,水冷即停止,每日三到五次洗涤,之后敷用其他药物。
治疗月蚀下部湿疮的兔头散方:
药材:腊月兔头(一枚,烧过)、五月五日自然死亡的虾蟆(一枚,烧成灰)、代赭(一两)、地黄叶灰(半两)、虎头骨(炙至赤黑色,二两)、贝子(烧过七枚)、小蓟灰(半两)。
制法与用法:以上七味药,捣碎过筛制成散剂,用棉布包裹如枣核大小,纳入下部(肛门或外阴),同时每日空腹用新汲取的井水,调服半钱匕,以痊愈为度。
治疗月蚀疮的酥粉涂敷方:
药材:酥(二两)、胡粉(一两,研细)。
制法与用法:将这两味药调和如糊状,涂敷在疮上,每日三到五次。
治疗突然患上的月蚀疮的涂敷方:
取罗摩草,研磨绞取汁液涂敷,每日三到五次。
又一方:
药材:射干(三两)、甘草(炙,一两)。
制法与用法:以上两味药粗捣筛过,每次服用五钱匕,用水一盏半,煎煮至五合,滤去药渣,空腹温服,中午和晚间再煎服一次。
治疗突然患上的月蚀疮的涂敷方:
药材:虾蟆(一枚,自然死亡)、兔粪(望日之夜采集)。
制法与用法:以上两味药,剖开虾蟆腹部,填入兔粪使其满合,在炭火中烧过,细研成末,涂敷在疮上,每日三到五次。
Discussion states: Yue Shi Chuang (Moon Eclipse Sores) is common in children, primarily due to a preference for sweet and fatty foods, which leads to turbid Ying and Wei (Nutritive and Defensive Qi), causing dampness, wind, toxic heat to accumulate in the Zang-Fu organs. These sores often occur above both ears and around the ear orifices, fluctuating with the waxing and waning of the moon.
Formulas for Treating Yue Shi Chuang:
Shuiyin Gao (Mercury Ointment) Application Formula
Ingredients: Shuiyin (Hydrargyrum, 1 fen), Hufen (Minium, ground), Huanglian (Coptidis Rhizoma, de-stamened and powdered), Songzhi (Pini Resin, each 0.5 liang), Zhuzhi (Suis Medulla, 4 liang).
Preparation and Administration: For the above five ingredients, first boil the fat until boiling, then add Songzhi and the powdered herbs. Stir in Shuiyin until evenly mixed. Store in a porcelain container. First wash the sore with salt water decoction, then apply the ointment three to five times daily.
Another Formula:
Ingredients: Hutou Gu (Tigris Ossis, powdered), Zhuzhi (Suis Medulla, each 2 liang).
Preparation and Administration: Mix these two ingredients into a paste-like consistency. First wash the sore with salt water decoction, then apply to the sore three to five times daily.
Gancao San (Licorice Powder) Application Formula for Treating Yue Shi Chuang:
Ingredients: Gancao (Glycyrrhizae Radix et Rhizoma, powdered), Qingwa (Rana temporaria chensinensis, ash from naturally dead specimens), Zhu Mu Ti Jia (Suis Unguis, ash), Jiuyue Zhang (Herba Siegesbeckiae, ash, 1 liang).
Preparation and Administration: Pulverize the above four ingredients, sift, grind finely, and mix well. Blend with honey and apply to the sore three to five times daily.
Chi Application Formula for Treating Yue Shi Chuang Penetrating Nose, Mouth, Nine Orifices, and Various Sores:
Ingredients: Chi (Faber Semen Preparatum), Xama (Bufo bufo gargarizans, one naturally dead specimen collected on the fifth day of the fifth lunar month).
Preparation and Administration: For the above two ingredients, fill the abdomen of the Xama with an appropriate amount of Yan Chi (Salt-processed Faber Semen). Hang it in the north of the house to dry. Wrap it in paper mud and bury it at the bottom of a cooking pot; roast for the duration of cooking three meals. Remove, discard the mud, grind finely into powder, and apply to the sore. If it dries, blend with Zhuzhi (Suis Medulla). Preparation on the seventh day of the seventh lunar month is also acceptable. Apply three to five times daily.
Gupi Cu (Vinegar-Soaked Drum Skin) Application Formula for Treating Yue Shi Chuang:
Ingredients: Gupi (Skin of fermented soybean cakes, size of a palm), Cu (Vinegar, 2 sheng).
Preparation and Administration: For the above two ingredients, soak the skin in vinegar overnight. Take the juice and apply to the sore three to five times daily.
Liuhuang Application Formula for Treating Yue Shi Chuang Polyps:
Ingredients: Shi Liuhuang (Realgar, finely ground), Ru (Baiwei/Cimicifugae Rhizoma or similar root, powdered, each 1 liang), Banmao (Mylabris, legs and wings removed, 0.5 liang, finely ground).
Preparation and Administration: Grind and mix the above three ingredients evenly. First wash the sore with salt water decoction, then apply to the sore. If dry, blend with Zhuzhi (Suis Medulla) before application. Apply three times daily.
Banxia Gen San (Pinellia Root Powder) Formula for Treating Yue Shi Chuang Damp Worm Sores:
Ingredients: Banxia Gen (Pinelliae Tuber Root, collected on the fifth day of the fifth lunar month, 1 liang), Mugua (Chaenomelis Fructus Root), Wutou (Aconiti Lateralis Radix Praeparata, each 1 liang).
Preparation and Administration: Dry the above three ingredients in shade, cut finely, pulverize, and sift to make a powder. Each time, take an amount the size of a jujube pit, wrap in cotton, and insert into the anus (Gu Dao). Apply twice daily.
Fanshi Application Formula for Treating Yue Shi Chuang:
Ingredients: Fanshi (Alumen, ground), Shi Liuhuang (Realgar, ground, each 0.5 liang), Xama naturally dead on the fifth day of the fifth lunar month (one specimen, burned to ash).
Preparation and Administration: Grind the above three ingredients finely into powder. First wash the sore with salt water decoction, then apply three to five times daily. Continue until healed.
Zhuyu Tang (Cornel Decoction) Washing Formula for Treating Yue Shi Chuang:
Ingredients: Zhuyu Gen (Corni Fructus Root), Diyugen (Sanguisorbae Radix), Qiangweigen (Rosae Rugosae Radix, each 1 liang).
Preparation and Administration: Cut the above three ingredients finely. Boil in 5 sheng of water until reduced to 2.5 sheng. Strain and use the liquid warm to wash the sore. Stop when cool. Wash three to five times daily, then apply other medications.
Tutou San (Rabbit Head Powder) Formula for Treating Lower Body Damp Yue Shi Chuang:
Ingredients: Layue Tutou (Leporis Caput, prepared in the twelfth lunar month, one specimen, roasted), Xama naturally dead on the fifth day of the fifth lunar month (one specimen, burned to ash), Daizhe (Haematitum, 1 liang), Dihuang Ye Hui (Asparagi Folii Ash, 0.5 liang), Hutou Gu (Tigris Ossis, roasted until reddish-black, 2 liang), Beizi (Concha Arcae, seven specimens, roasted), Xiaoji Hui (Cirsii Japonici Herba Ash, 0.5 liang).
Preparation and Administration: Pulverize and sift the above seven ingredients to make a powder. Wrap an amount the size of a jujube pit in cotton and insert into the lower orifice. Additionally, take half a qian bi (measure) of the powder mixed with fresh well water on an empty stomach daily. Continue until healed.
Supen Application Formula for Treating Yue Shi Chuang:
Ingredients: Su (Butyrum, 2 liang), Hufen (Minium, 1 liang, finely ground).
Preparation and Administration: Mix these two ingredients into a paste-like consistency and apply to the sore three to five times daily.
Application Formula for Sudden Onset of Yue Shi Chuang:
Take Luomo Cao (Herba Lobeliae or similar herb), grind and squeeze out the juice, and apply to the sore three to five times daily.
Another Formula:
Ingredients: Shegan (Belamcandae Rhizoma, 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 1 liang).
Preparation and Administration: Coarsely crush and sieve the above two ingredients. Take 5 qian bi per dose. Add 1.5 zhan of water, boil down to 5 he. Strain and drink warm on an empty stomach. Re-boil and administer again at noon and evening.
Application Formula for Sudden Onset of Yue Shi Chuang:
Ingredients: Xama (Bufo bufo gargarizans, one naturally dead specimen), Tuben (Leporis Faeces, collected on the night of the full moon).
Preparation and Administration: For the above two ingredients, break open the Xama's abdomen, fill with Tuben until full, seal, and roast over charcoal. Grind finely into powder and apply to the sore three to five times daily.
Another Formula:
Ingredients: Dilong Fen (Lumbricus Excrementum, roasted until red-hot and powdered), Zhuzhi (Suis Medulla, each 3 liang).
Preparation and Administration: Mix and apply to the sore three to five times daily. Continue until healed.