论曰热毒之气,暴发于皮肤间,不得外泄,则蓄热为丹毒。以其色如涂丹之赤,又复阳
气伏于皮中,故谓之丹也。热气剽悍,其发无常处,大则如掌,甚则周流四体,不急治,或
至坏烂出脓血,若发于骨节之间,则肢断如截,毒瓦斯入腹,则能杀人,治法用镰割,明不
缓故也。
治丹毒游走,及鱼脐疮。 砂丸方
砂(研) 雄雀屎 桂(去粗皮) 獭胆(去膜) 砒黄 丹砂(研细各一分) 麝
香(研一
上一十味,除蜡外,捣研为末,先将蜡于瓷器内,慢火上熔,下药调为丸,如梧桐子大
,先用针拨破疮口,入一丸,醋调面涂故帛,贴两宿,痛止即揭去,收药丸可再用。
治丹毒游走,拓洗后服此。漏芦汤方
漏芦(去芦头) 白蔹 麻黄(去根节汤煮掠去沫) 黄芩(去黑心) 升麻 白薇 芍
药
上九味。粗捣筛,每服五钱匕。水一盏半,煎至八分,去滓食后温服,至晚再服,以瘥
为度。
治丹毒流移不定方
生羊肉(牛肉亦得)
上一味,薄切作片,贴丹上频易。
治丹毒发背诸肿方
马齿苋
上一味,熟捣敷之,频易不止者,得蓝淀和之更佳。
治丹热痈疽,始发 热,浸淫长大。黄芩汤拓方
黄芩(去黑心) 升麻(各一两半) 黄连(去须) 芎 大黄(各一两) 甘草(炙
锉) 当
上八味,细锉,每用一两,以水五盏,煎至三盏,去滓下芒硝半两搅匀,以故帛三两
浸药汁,温拓患处,数十遍,早晚用之,以瘥为度。
治丹毒。吴蓝汤拓方
吴蓝(一两) 生地黄(三分) 升麻 石膏 黄芩(去黑心) 犀角(镑) 白蔹 栀
子仁
上九味细锉,每用半两,以竹沥一盏,水七盏,同煎至四盏,去滓以故帛浸拓患处,日
五七次。
治丹毒。升麻汤拓方
升麻(二两) 漏芦 黄芩(去黑心各三两) 栀子(去皮一两)
上四味细锉,每用半两,以水五盏,煎至三盏,去滓下芒硝二钱匕搅匀,以故帛三两重
浸汤中,温拓患处数十遍,日两次。
治风丹。胡粉涂敷方
胡粉 赤小豆 糯米 山茱萸 黄连(去须各一两) 水银(半两)
上六味,除水银外,捣罗为散,生油调如糊,后取水银于掌中,以津唾研如泥,入药内
研匀,先以椒汤洗丹上拭干,用药涂敷,日三两遍。
治赤黑丹。羚羊角散涂敷方
羚羊角(烧灰三两)
上一味,研为散,以鸡子白调如糊,涂敷患处,日三两次。
治丹毒如手掌大,身体赤发,痛痒微肿。赤小豆涂敷方
赤小豆
上一味,捣罗为末,以鸡子白调如糊,涂丹上,干即易。
治赤黑丹。鹿角散涂敷方
鹿角(烧灰五两)
上一味,细研为散,炼猪脂调和,涂患处,日三次。
又方
猪屎(烧灰)
上一味,细研为散,以鸡子白旋调如糊,涂敷丹上,日三五次。
又方
豉(一两) 香薷 蓼叶(各半两)
上三味,合和入酒少许,细研成膏,涂患处,干即易。
治丹毒遍身赤肿。生萝摩汁涂敷方
生萝摩
上一味,捣绞取汁,涂丹上,日三五次。
又方
茺蔚草 蛇衔草 慎火草(各一两)
上三味,锉捣令熟,水调敷患处,日数次。
又方
恶实根(五两取时匀令见风及鸡犬)
上一味锉捣令熟。水调敷患处,干即易。
治一切丹胗方
生蛇衔草(锉) 生地黄(切) 慎火草 五叶草 水萍 豉 大黄(生锉) 山栀子
仁
上一十一味。但得一味,不拘多少,捣贴之即瘥,干即入鸡子清少许调。
治诸丹毒方
上取芸苔汁,入大黄末,芒硝生铁衣,相和涂之佳。
治火丹热毒之气,五色无定,宜先宣转,然后用药。鸡苏涂方
捣生鸡苏,浓涂之。
又方
捣苎麻根,敷之。
又方
赤小豆一升,羊角一对,同烧存性为末,和蜜敷之。
又方
研豉和屋尘等分,以苦酒调敷之。
又方
水磨羚羊角,服之妙。
又方
取连钱草,以盐 敷之。
论述说:热毒之气,突然爆发在皮肤之间,不能向外宣泄,于是蓄积热量形成丹毒。因为它的颜色像涂抹了丹砂那样的红色,再加上阳气伏藏在皮中,所以称之为“丹”。热气剽悍猛烈,发作没有固定的位置,大的像手掌那么大,严重的则流遍四肢,如果不及时救治,可能会导致溃烂流出脓血;如果发于骨节之间,肢体可能像被切断一样坏死;毒气进入腹部,则能致人死亡,治疗时甚至需要用镰刀割除,说明病情紧急不容迟缓。
治疗丹毒游走不定,以及鱼脐疮的砂丸方:
砂(研碎)一分、雄雀屎一分、桂枝(去掉粗皮)一分、獭胆(去掉薄膜)一分、砒黄一分、丹砂(研细)一分、麝香(研碎)一分。(注:原文此处似有缺漏,通常此类方剂为多味药,依文意推测前文列举药材后应有“上十味”等字样,但原文仅列出部分及剂量描述混乱,此处按原文字面翻译,保留原词)。
以上十味药,除了蜡以外,捣碎研成粉末。先将蜡在瓷器内用慢火熔化,加入药粉调制成丸,大小如梧桐子大。先用针挑破疮口,放入一丸药,用醋调和面粉涂在旧布上,贴敷两个晚上,疼痛停止就揭去,收集剩下的药丸可以再用。
治疗丹毒游走,拓洗之后服用此方。漏芦汤方:
漏芦(去掉芦头)、白蔹、麻黄(去掉根节,用水煮后掠去浮沫)、黄芩(去掉黑心)、升麻、白薇、芍药。
以上九味药,粗捣筛过,每次服用五钱匕。用水一盏半,煎至八分,去渣,饭后温服,到晚上再服,以病愈为标准。
治疗丹毒流移不定的方子:
生羊肉(牛肉也可以)。
以上一味药,薄切作片,贴在丹毒处,频繁更换。
治疗丹毒发背及各种肿块的方子:
马齿苋。
以上一味药,熟捣后敷在上面,频繁更换不停止的话,加入蓝淀调和效果更好。
治疗丹热痈疽,刚开始发热,浸淫扩大。黄芩汤拓方:
黄芩(去掉黑心)、升麻(各一两半)、黄连(去掉须)、川芎、大黄(各一两)、甘草(炙后锉碎)、当归。
以上八味药,细锉,每次用一两,用水五盏,煎至三盏,去渣后加入芒硝半两搅匀,用旧布三两浸透药汁,温热拓敷患处,数十遍,早晚使用,以病愈为标准。
治疗丹毒。吴蓝汤拓方:
吴蓝(一两)、生地黄(三分)、升麻、石膏、黄芩(去掉黑心)、犀角(镑片)、白蔹、栀子仁。
以上九味药细锉,每次用半两,用竹沥一盏,水七盏,同煎至四盏,去渣,用旧布浸透拓敷患处,每天五到七次。
治疗丹毒。升麻汤拓方:
升麻(二两)、漏芦、黄芩(去掉黑心,各三两)、栀子(去皮,一两)。
以上四味药细锉,每次用半两,用水五盏,煎至三盏,去渣后加入芒硝二钱匕搅匀,用旧布三两重浸在汤中,温热拓敷患处数十遍,每天两次。
治疗风丹。胡粉涂敷方:
胡粉、赤小豆、糯米、山茱萸、黄连(去掉须,各一两)、水银(半两)。
以上六味药,除了水银以外,捣碎过筛成散剂,用生油调成糊状。然后取少量水银放在手掌中,用唾液研磨如泥状,混入药内研匀。先用花椒汤清洗丹毒处并擦干,用药涂敷,每天两三次。
治疗赤黑丹。羚羊角散涂敷方:
羚羊角(烧成灰,三两)。
以上一味药,研成散剂,用鸡蛋清调成糊状,涂敷患处,每天两三次。
治疗丹毒如手掌大,身体发红发热,痛痒微肿。赤小豆涂敷方:
赤小豆。
以上一味药,捣碎过筛成粉末,用鸡蛋清调成糊状,涂在丹毒上,干了就更换。
治疗赤黑丹。鹿角散涂敷方:
鹿角(烧成灰,五两)。
以上一味药,细研成散剂,用炼过的猪脂调和,涂敷患处,每天三次。
又一方:
猪屎(烧成灰)。
以上一味药,细研成散剂,用鸡蛋清现调成糊状,涂敷丹毒上,每天三到五次。
又一方:
豉(一两)、香薷、蓼叶(各半两)。
以上三味药,混合在一起,加入少许酒,细研成膏,涂敷患处,干了就更换。
治疗丹毒遍身赤肿。生萝摩汁涂敷方:
生萝摩。
以上一味药,捣碎绞取汁液,涂在丹毒上,每天三到五次。
又一方:
茺蔚草、蛇衔草、慎火草(各一两)。
以上三味药,锉碎捣熟,用水调敷患处,每天数次。
又一方:
恶实根(五两,采挖时要均匀见风,且避开鸡犬)。
以上一味药,锉碎捣熟。用水调敷患处,干了就更换。
治疗一切丹疹方:
生蛇衔草(锉碎)、生地黄(切片)、慎火草、五叶草、水萍、豉、大黄(生锉)、山栀子仁。
以上十一味药。只要得到其中一味,不拘多少,捣碎贴敷即可痊愈,干了就加入少许鸡蛋清调和。
治疗诸丹毒方:
上面取芸苔汁,加入大黄末、芒硝、生铁衣,混合涂敷效果佳。
Commentary states: The pathogenic factor of heat-toxin erupts suddenly between the skin and hair follicles. If it cannot be vented outward, heat accumulates to form Dan Du (Erysipelas). Because its color is red like cinnabar paint, and Yang Qi is trapped within the skin, it is called "Dan" (Cinnabar/Redness). The heat qi is fierce and rapid; its eruption has no fixed location. It may be as large as a palm, or in severe cases, circulate throughout the four limbs. If not treated promptly, it may lead to ulceration with pus and blood discharge. If it occurs between bone joints, the limb may undergo necrosis as if severed; if the toxic gas enters the abdomen, it can be fatal. Treatment methods may even require incision with a sickle, indicating that the condition is urgent and allows no delay.
Formula for Sand Pills (Sha Wan) to treat wandering Dan Du and Fish Umbilicus Ulcer (Yu Qi Chuang):
Sha (ground), 1 fen; Xiong Que Shi (Male Sparrow Droppings), 1 fen; Guizhi (Cinnamon Twig, bark removed), 1 fen; Da Dan (Rabbit Gallbladder, membrane removed), 1 fen; Pi Huang (Yellow Orpiment), 1 fen; Dansha (Cinnabar, finely ground), 1 fen; Shexiang (Musk, ground), 1 fen.
(Note: The original text lists ingredients but the dosage description is fragmented; assuming standard preparation based on context).
Take the above ten medicinal materials, excluding beeswax. Pound and grind into powder. First, melt the beeswax slowly in a porcelain vessel over low fire, then add the medicinal powder to mix into pills the size of Sophora japonica seeds. Puncture the ulcer with a needle first, insert one pill, mix flour with vinegar to apply on old cloth, and patch for two nights. Remove when pain stops. Collect remaining pills for reuse.
Formula for Loulu Decoction (Loulu Tang) to treat wandering Dan Du, applied after washing/tuofu, then taken orally:
Loulu (Rhizoma Euphorbiae Humifusae, rhizome head removed), Bailian (Radix Akebiae), Mahuang (Herba Ephedrae, roots and nodes removed, boiled and scum removed), Huangqin (Radix Scutellariae, black heart removed), Shengma (Rhizoma Cimicifugae), Baiwei (Radix Cynanchi Atrati), Shaoyao (Radix Paeoniae Alba/Lactiflorae).
Crush and sieve the above nine medicinal materials. Take 5 qianbi per dose. Add 1.5 sheng of water, decoct until 0.8 sheng remains, remove dregs, and take warm after meals. Take again at night. Continue until cured.
Formula to treat migrating Dan Du:
Sheng Yangrou (Fresh Mutton). Beef is also acceptable.
Slice thinly and apply frequently to the Dan Du area.
Formula to treat Dan Du Fa Bei (Back Dan) and various swellings:
Machixian (Herba Portulacae).
Pound thoroughly and apply. Change frequently. Adding Lanyan (Indigo Naturalis) improves efficacy.
Formula for Huangqin Tuofu (Huangqin Compress) to treat Dan Re Yong Ju (Heat-Dan Abscess), starting with fever and spreading:
Huangqin (Radix Scutellariae, black heart removed), Shengma (Rhizoma Cimicifugae), each 1.5 liang; Huanglian (Rhizoma Coptidis, whiskers removed), Xiongnun (Radix Leonuri? Note: Text says 'Xiong', likely Xiong Gui or similar, but strictly translating character 'Xiong' usually implies male or specific herb, here likely Xiong Gui/Angelica or typo for Chuanxiong given context, but sticking to literal 'Xiong' as per instruction to keep names), Dahuang (Radix et Rhizoma Rhei), Zhigancao (Radix Glycyrrhizae Uralensis, roasted and cut), Danggui (Radix Angelicae Sinensis).
(Note: Original text cuts off 'Dang'. Assuming Danggui based on common formula structure, but strictly translating visible text).
Finely cut the above eight medicinal materials. Use 1 liang per dose. Add 5 sheng of water, decoct to 3 sheng. Remove dregs, add Mangxiao (Natrii Sulfas) 0.5 liang, and stir well. Soak 3 liang of old cloth in the medicinal juice, warm compress the affected area dozens of times. Use morning and evening until cured.
Formula for Wulan Tuofu (Wulan Compress) to treat Dan Du:
Wulan (Isatis Root/Leaf?), 1 liang; Sheng Dihuang (Radix Rehmanniae Recens), 3 fen; Shengma (Rhizoma Cimicifugae), Shigao (Gypsum Fibrosum), Huangqin (Radix Scutellariae, black heart removed), Xijiao (Cornu Rhinocerotis, shaved), Bailian (Radix Akebiae), Zhizi Ren (Semen Gardeniae).
Finely cut the above nine medicinal materials. Use 0.5 liang per dose. Add 1 sheng of Zhuli (Bamboo Juice) and 7 sheng of water. Decoct together to 4 sheng. Remove dregs. Soak old cloth in the liquid and compress the affected area. Apply 5-7 times daily.
Formula for Shengma Tuofu (Shengma Compress) to treat Dan Du:
Shengma (Rhizoma Cimicifugae), 2 liang; Loulu (Rhizoma Euphorbiae Humifusae), Huangqin (Radix Scutellariae, black heart removed), each 3 liang; Zhizi (Fructus Gardeniae, peel removed), 1 liang.
Finely cut the above four medicinal materials. Use 0.5 liang per dose. Add 5 sheng of water, decoct to 3 sheng. Remove dregs, add Mangxiao (Natrii Sulfas) 2 qianbi, and stir well. Soak 3 liang of heavy old cloth in the decoction, warm compress the affected area dozens of times. Twice daily.
Formula for Hufen Tufu (Hufen Application) to treat Feng Dan (Wind Dan):
Hufen (Cerussa/Lead Carbonate), Chixiaodou (Semen Phaseoli Angularis), Nuomi (Oryza Sativa Glutinosa), Shanzhuyu (Fructus Corni), Huanglian (Rhizoma Coptidis, whiskers removed), each 1 liang; Shuiyin (Hydrargyrum), 0.5 liang.
Grind all except Hydrargyrum into powder using oil mill/sieve. Mix with raw oil to form a paste. Place Hydrargyrum in palm, grind with saliva into mud, then mix into the medicine evenly. Wash the Dan area with Zhitang (Pepper soup) and dry. Apply medicine. 2-3 times daily.
Formula for Lingyangjiao San Tufu (Lingyangjiao Powder Application) to treat Chihei Dan (Red-Black Dan):
Lingyangjiao (Cornu Saigae Tataricae, burnt to ash), 3 liang.
Grind into powder. Mix with Jizibai (Album Ovi Galli) to form a paste. Apply to affected area. 2-3 times daily.
Formula for Chixiaodou Tufu (Chixiaodou Application) to treat Dan Du palm-sized, body red/hot, painful/itchy/swollen:
Chixiaodou (Semen Phaseoli Angularis).
Grind into powder. Mix with Jizibai (Album Ovi Galli) to form a paste. Apply to Dan. Change when dry.
Formula for Lu Jiao San Tufu (Lu Jiao Powder Application) to treat Chihei Dan (Red-Black Dan):
Lu Jiao (Cornu Cervi Pantotrichum, burnt to ash), 5 liang.
Finely grind into powder. Mix with refined Zhizhi (Porcine Fat) and apply. Three times daily.
Another Formula:
Zhushi (Sus Scrofa Domesticus Feces, burnt to ash).
Finely grind into powder. Mix with Jizibai (Album Ovi Galli) freshly to form a paste. Apply to Dan. 3-5 times daily.
Another Formula:
Chi (Fermented Soybean), 1 liang; Xiangru (Herba Moslae), Liaoye (Folium Polygoni Orientalis), each 0.5 liang.
Mix these three, add a little wine, grind finely into paste. Apply to affected area. Change when dry.
Formula for Sheng Luomo Zhi Tufu (Sheng Luomo Juice Application) to treat widespread red/swollen Dan Du:
Sheng Luomo (Herba Cynanchi Auriculati).
Pound and squeeze out juice. Apply to Dan. 3-5 times daily.
Another Formula:
Chongweicao (Herba Leonuri Japonici), She xiancao (Herba Siegesbeckiae), Shenhuocao (Herba Patriniae?), each 1 liang.
Cut and pound thoroughly. Mix with water and apply. Several times daily.
Another Formula:
Eshi Gen (Radix Arctii), 5 liang (Harvest uniformly exposed to wind, avoid chickens/dogs).
Cut and pound thoroughly. Mix with water and apply. Change when dry.
Formula to treat all kinds of Dan Zhen (Dan Rash):
Sheng She xiancao (Herba Siegesbeckiae, cut), Sheng Dihuang (Radix Rehmanniae Recens, sliced), Shenhuocao (Herba Patriniae?), Wuyecao (Folium Pentapodi?), Shuiping (Spirodela Polyrrhiza), Chi (Fermented Soybean), Dahuang (Radix et Rhizoma Rhei, raw cut), Shanzhizi Ren (Semen Gardeniae).
Of the above eleven materials, obtain any one, quantity不限. Pound and apply. Cured quickly. If dry, add a little Jiziqing (Album Ovi Galli) to moisten.
Formula to treat various Dan Du:
Extract Yuncai juice (Brassica parachinensis juice), mix with Dahuang powder (Radix et Rhizoma Rhei), Mangxiao (Natrii Sulfas), and Shengtieyi (Iron Rust from smelting furnace). Mix and apply. Good effect.
Formula for Jisu Tufu (Jisu Application) to treat Huo Dan (Fire Dan) where heat-toxin qi causes unpredictable colors; first promote circulation/ventilation, then apply medicine:
Pound fresh Jisu (Elsholtzia splendens), apply thickly.
Another Formula:
Pound Zhumagen (Radix Boehmeriae Niveae), apply.
Another Formula:
Chixiaodou (Semen Phaseoli Angularis), 1 sheng; Yangjiao (Cornu Caprae Hirci), 1 pair. Burn together until carbonized (preserve nature), grind to powder, mix with honey and apply.
Another Formula:
Grind Chi (Fermented Soybean) and Wuchen (House Dust) in equal parts. Mix with Kujiu (Vinegar) and apply.
Another Formula:
Water-grind Lingyangjiao (Cornu Saigae Tataricae). Ingestion is excellent.
Another Formula:
Take Lianqiancao (Herba Lysimachiae), apply with salt.