论曰心恶热,风热蕴于心经,则神志躁郁,气血鼓作,发于肌肤而为浸淫疮也,其状初
生甚
者轻
治心有风热,生浸淫疮遍体。升麻汤方
升麻 大黄(锉微炒) 黄芩(去黑心) 枳实(去瓤麸炒令黄) 芍药(各一两) 甘
草(炙)
当归(切焙各半两)
上七味,粗捣筛,每服五钱匕,用水一盏半,入灯心一握,煎至一盏去滓,空心晚食前
温服。
治浸淫疮。苦瓠散涂敷方
苦瓠(一两) 蛇蜕(炙焦) 蜂房(炙焦各半两) 大豆(半升) 梁上尘(一合)
上五味,为细末,以粉粥调,涂敷疮上,以纸贴之,日三五度。
治疮癣浸淫,鲫鱼涂敷方
生鲫鱼(长三寸) 豉(一合)
上二味,合捣令细,涂敷疮上、日三。
治浸淫疮。戎盐涂敷方
戎盐(半两) 大黄(一两) 茹心(一分)
上三味,为细末,以酒调、涂敷疮上,日三五度。
治卒得浸淫疮。不早治则绕身周匝,能杀人。鸡冠血涂方
雄鸡冠上刺血
上一味,涂敷,日三五度。
治浸淫疮。牛屎汁涂方
牛屎(新者绞汁)
上一味,敷之,或取干者烧烟熏之,亦佳。
治浸淫疮。胡燕窠敷方
胡燕窠
上一味,捣罗为末,敷疮上,日三五度。
治浸淫疮,苦楝敷方
苦楝枝及皮
上一味,烧灰研细湿即敷之,干即猪脂调涂疮上。
论述说:心厌恶热邪,若风热之邪蕴结于心经,则会导致神志烦躁抑郁,气血鼓动发作,发于肌肤而成为浸淫疮。其症状初起时,病情重的表现较轻(注:此处原文“甚者轻”语意晦涩,通常理解为重症初期或重症表现为某种特定形态,依字面直译为:严重的病例初期症状较轻/或指重症与轻症的对比描述,结合语境保留原意)。治疗心脏有风热,生浸淫疮遍布全身。升麻汤方:升麻、大黄(锉碎微炒)、黄芩(去除黑心部分)、枳实(去除瓤麸炒至黄色)、芍药(各一两)、甘草(炙烤)、当归(切后焙干,各半两)。以上七味药,粗捣筛过,每次服用五钱匕,用水一盏半,加入灯心草一握,煎煮至一盏量,去渣滓,空腹及晚饭前温服。
治疗浸淫疮。苦瓠散涂敷方:苦瓠(一两)、蛇蜕(炙焦)、蜂房(炙焦,各半两)、大豆(半升)、梁上尘(一合)。以上五味药,研为细末,用米粥调和成粉状,涂抹于疮口上,用纸贴盖,每日三至五次。
治疗疮癣浸淫。鲫鱼涂敷方:生鲫鱼(长三寸)、豆豉(一合)。以上两味药,合在一起捣烂至极细,涂抹于疮口上,每日三次。
治疗浸淫疮。戎盐涂敷方:戎盐(半两)、大黄(一两)、茹心(一分,注:即茜草根心)。以上三味药,研为细末,用酒调和,涂抹于疮口上,每日三至五次。
治疗突然患上的浸淫疮。若不早治,则会环绕身体周身,能致人死亡。鸡冠血涂方:刺取雄鸡冠上的血。以上一味药,涂抹患处,每日三至五次。
治疗浸淫疮。牛屎汁涂方:新鲜牛屎(绞取汁液)。以上一味药,敷于患处,或者取干燥的牛屎燃烧烟雾熏烤患处,也很好。
Commentary states: The Heart dislikes heat. If wind-heat accumulates in the Heart Meridian (Heart Channel), it causes restlessness and depression of the spirit, and the vigorous movement of Qi and Blood erupts on the skin and muscles, manifesting as Jinyin Chuang (Oozing Eczema). Its initial presentation varies; severe cases may present with specific mild characteristics initially (Note: Literal translation of "severe cases are light"). To treat Wind-Heat in the Heart causing Jinyin Chuang covering the whole body. Shengma Tang Decoction Formula: Shengma (Cimicifugae Rhizoma), Dahuang (Rhei Radix et Rhizoma, crushed and lightly stir-fried), Huangqin (Scutellariae Radix, removed black heart), Zhishi (Aurantii Fructus Immaturus, pith removed, bran-stir-fried until yellow), Shaoyao (Paeoniae Radix, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Danggui (Angelicae Sinensis Radix, sliced and baked, each 0.5 liang). The above seven herbs are coarsely pounded and sieved. Each dose is 5 qianbi (approx. 15-20g depending on era standard), boiled with 1.5 zhan (approx. 300ml) of water and a handful of Dengxincao (Junci Medulla), decocted until 1 zhan remains. Strain and take warm on an empty stomach and before evening meal.
To treat Jinyin Chuang. Ku Hu San Powder for External Application: Ku Hu (Benedictae Fructus, 1 liang), She Tui (Bombyx Batryticatus, stir-fried to char), Feng Fang (Vespa Crabro Nest, stir-fried to char, each 0.5 liang), Da Dou (Sojae Semen, 0.5 sheng), Liang Shang Chen (Dust from roof beams, 1 he). The above five ingredients are ground into fine powder. Mix with congee to form a paste, apply to the sores, cover with paper, and repeat 3-5 times daily.
To treat Chu Xuan Jinyin (Eczema and Tinea spreading). Ji Yu Paste for External Application: Fresh Ji Yu (Carassius auratus, 3 cun long), Chi (Fermented Soybean, 1 he). The above two ingredients are mashed together until very fine and applied to the sores, 3 times daily.
To treat Jinyin Chuang. Rong Yan Salt Paste for External Application: Rong Yan (Sal Rubrum, 0.5 liang), Dahuang (Rhei Radix et Rhizoma, 1 liang), Ru Xin (Qian Cao Gen Xin, Radix Rubiae Cordifoliae Core, 1 fen). The above three ingredients are ground into fine powder. Mix with wine and apply to the sores, 3-5 times daily.
To treat sudden onset of Jinyin Chuang. If not treated early, it will encircle the body and can be fatal. Ji Guan Xue Blood Application: Prick the comb of a rooster to obtain blood. Apply this single ingredient to the affected area, 3-5 times daily.
To treat Jinyin Chuang. Niu Shi Juice Application: Fresh Niu Shi (Bovis Faeces, extract juice by pressing). Apply this single ingredient to the affected area. Alternatively, burn dried Bovis Faeces and fumigate the area with smoke, which is also effective.
To treat Jinyin Chuang. Hu Yan Ke Swallow Nest Application: Hu Yan Ke (Swallow's Nest). Grind this single ingredient into fine powder and apply to the sores, 3-5 times daily.
To treat Jinyin Chuang. Ku Lian Bitter Chinaberry Application: Ku Lian Zhi Pi (Fraxini Cortex / Meliae Cortex, branches and bark). Burn this single ingredient to ash, grind finely. Apply directly while moist; if dry, mix with Su Zhi (Porci Adeps) and apply to the sores.