论曰内经谓湿伤肉,以脾主肌肉而恶湿也,诸疮未合,或中于水,则水毒发肿,能为
痛脓溃不止,是为湿伤肌肉,治宜敷药,使水尽出,则肌肉温平疮可愈。
治水毒入诸疮,肿痛不止。追水散方
真炭灰(四两) 猪胆(一枚) 蛤粉(二两)
上三味,细罗灰,以纸一幅铺地上,摊灰可两指浓,取猪胆汁倾灰上,经宿取湿着者灰
曝干,入蛤粉同研匀,每用少许掺疮上,如疮口合者,以针挑破、掺之,水即出。
治水毒入疮肿痛,或刺入骨者,皂子散方
皂荚子(不 者七枚) 大虾蟆(干者一枚) 胡椒(十五粒)
上三味,用坩锅入药在内,瓦盖锅口,慢火烧烟尽,取出研细,每用药、先以温浆水洗
疮口,拭干掺药,次以别膏药贴之,良久水尽出,有刺者即自见。
治一切疮,或外伤肌肉,水入作脓 肿,久不瘥。寸金散方
虾蟆(自死者) 新砖(等分)
上二味,同捣匀,捏作饼子,曝干为细散,掺疮口上,即撮出毒水尽,以别药敷贴。
治破伤水入,肿溃不愈。铅丹散方
铅丹 蛤粉(等分)
上二味,同炒令变色,掺疮上,水即出。
治诸疮水毒肿痛。乌梅散方
乌梅 皂荚子(等分)
上二味,各烧存性研匀,贴疮上,毒汁即出。
治皂荚水及恶水,入疮热痛不止。乌犀膏方
皂荚子(烧存性一分) 沙糖(半两)
上二味,先研皂荚子灰令细,续入沙糖和匀如膏,贴疮上。
治一切水毒入疮肿,及驴涎马汗。天雄散方
天雄(去皮)
上一味,用瓷瓦子刮细末,贴疮口。
治诸疮水毒,或中风反张,肿入腹者杀人。乱发熏方
乱发(一两) 鸡粪(三两) 大麻子 黑豆(各三两) 青布(一尺以蜡三两于火
上摊令尽)
上五味,以发散青蜡布上,次掺鸡屎麻豆等令匀,卷如饼缠缚之,以筒瓦一口仰。慢火
上安
汗出
治诸疮中水毒,攻肿。胡粉涂方
胡粉 锻石(研罗各三分)
上二味,炼猪脂调如糊,涂疮上,水即出。
论述说:《内经》提到湿邪损伤肌肉,是因为脾脏主管肌肉且厌恶湿气。各种疮疡在愈合之前,如果受到水湿侵袭,就会导致水毒发作引起肿胀,进而化脓溃烂、久不愈合,这就是湿邪损伤了肌肉,治疗适宜使用外敷药物,使水湿排尽,那么肌肉就会恢复平和,疮口即可痊愈。
治疗水毒侵入各类疮疡,导致肿痛不止的方剂:追水散方
真炭灰(四两) 猪胆(一枚) 蛤粉(二两)
以上三味药,将炭灰细细过筛,用一张纸铺在地上,将灰摊开约两指厚,取猪胆汁倒在灰上,过夜后取出潮湿部分的灰,晒干,加入蛤粉一同研匀。每次取少量撒在疮口上,如果疮口已经闭合,就用针挑破,再撒上药粉,水湿自然排出。
治疗水毒侵入疮疡导致肿痛,或者刺入骨中的方剂:皂子散方
皂荚子(未成熟的七枚) 大虾蟆(干者一枚) 胡椒(十五粒)
以上三味药,放入坩埚中,用瓦片盖住锅口,用慢火加热至烟尽,取出研细。每次用药前,先用温浆水清洗疮口,擦干后撒上药粉,再用其他膏药贴敷,过一段时间后水湿排尽,如果有异物刺入便会自行显露。
治疗各种疮疡,或因外伤肌肉导致水湿进入化脓肿胀,久不痊愈的方剂:寸金散方
虾蟆(自然死亡的) 新砖(等量)
以上两味药,一同捣碎均匀,捏成饼状,晒干后研成细粉,撒在疮口上,即可吸出毒水,然后用其他药物敷贴。
治疗破伤后水湿侵入,肿胀溃烂不愈的方剂:铅丹散方
铅丹 蛤粉(等量)
以上两味药,一同炒至变色,撒在疮口上,水湿自然排出。
治疗各类疮疡水毒肿痛的方剂:乌梅散方
乌梅 皂荚子(等量)
以上两味药,分别烧制保留药性后研匀,贴敷于疮口,毒汁自然流出。
治疗皂荚水及恶毒之水侵入疮疡,导致热痛不止的方剂:乌犀膏方
皂荚子(烧制保留药性一分) 沙糖(半两)
以上两味药,先将皂荚子灰研细,随后加入沙糖调和均匀如膏状,贴敷于疮口。
治疗一切水毒侵入疮疡肿胀,以及驴涎马汗污染的方剂:天雄散方
天雄(去皮)
以上一味药,用瓷瓦刮成细末,贴敷于疮口。
治疗各类疮疡水毒,或中风引起的角弓反张,肿胀入腹致死的方剂:乱发熏方
乱发(一两) 鸡粪(三两) 大麻子 黑豆(各三两) 青布(一尺,用三两蜡在火上摊开使其完全渗透)
以上五味药,将头发分散在涂有蜡的青布上,接着撒上鸡屎、麻子、豆子等使其均匀,卷成饼状缠绕缚紧,用一个仰放的筒瓦覆盖。用慢火加热……(原文此处似有缺漏或排版错误,“汗出”二字位置突兀,结合语境应为熏蒸过程中患者出汗或药气熏蒸之意,但依原文直译)
治疗各类疮疡中水毒,攻注肿胀的方剂:胡粉涂方
胡粉 锻石(研筛各三分)
以上两味药,用炼制的猪脂调成糊状,涂抹于疮口,水湿自然排出。
Commentary states: The *Neijing* (Inner Canon) mentions that dampness injures the flesh, because the Spleen governs the muscles and dislikes dampness. When various sores are not yet healed, or if they are exposed to water, water toxicity may erupt causing swelling, leading to pain, suppuration, and persistent ulceration without healing. This is referred to as dampness injuring the muscles. Treatment should involve applying external medicaments to drain the water completely; once the water is expelled, the muscle tissue will return to a balanced state, and the sore can heal.
Formula for Treating Water Toxicity Entering Various Sores with Persistent Swelling and Pain: Zhuishui San (Water-Chasing Powder)
Zhen Tan Hui (True Charcoal Ash), 4 liang; Zhu Dan (Pig Gallbladder), 1 unit; Ge Fen (Clam Shell Powder), 2 liang.
Sieve the charcoal ash finely. Spread a sheet of paper on the ground and spread the ash to a thickness of two fingers. Pour pig bile onto the ash. After one night, remove the ash that has absorbed moisture, dry it in the sun, and mix it thoroughly with clam shell powder. Apply a small amount to the sore. If the sore opening has closed, puncture it with a needle before applying the powder, allowing the fluid to drain.
Formula for Treating Water Toxicity Entering Sores Causing Swelling and Pain, or Penetrating into Bone: Zaozi San (Soap Nut Powder)
Zao Jia Zi (Gleditsia Sinensis Seed), 7 unripe seeds; Da Xia Wa (Large Toad), 1 dried specimen; Hu Jiao (Black Pepper), 15 grains.
Place the three ingredients in a crucible, cover the mouth with a tile, and heat slowly over a low fire until the smoke ceases. Remove and grind into fine powder. Before application, wash the sore with warm rice water, dry it, sprinkle the powder, and then apply another plaster. After some time, the fluid will drain completely, and any penetrating foreign bodies will become visible.
Formula for Treating All Sores, Including Those Where External Trauma to Muscles Allows Water Entry Leading to Suppurative Swelling and Chronic Non-Healing: Cunjin San (Inch-Gold Powder)
Xia Wa (Toad), naturally deceased; Xin Zhuan (New Brick), equal parts.
Grind the two ingredients together until uniform, shape into cakes, dry in the sun, and grind into a fine powder. Sprinkle onto the sore opening to extract toxic fluids, then apply other medicaments.
Formula for Treating Broken Skin with Water Entry, Resulting in Swelling, Ulceration, and Non-Healing: Qiandan San (Lead Tetroxide Powder)
Qiandan (Lead Tetroxide); Ge Fen (Clam Shell Powder), equal parts.
Stir-fry the two ingredients together until the color changes. Sprinkle onto the sore to allow fluid drainage.
Formula for Treating Water Toxicity and Swelling/Pain in Various Sores: Wumei San (Dark Plum Powder)
Wumei (Dark Plum); Zao Jia Zi (Gleditsia Sinensis Seed), equal parts.
Calcine each ingredient separately until the original properties are preserved, grind uniformly, and apply to the sore to discharge toxic juices.
Formula for Treating Heat and Unremitting Pain Caused by Soap Pod Water or Malignant Water Entering Sores: Wuxi Gao (Rhinoceros Horn Ointment)*
Zao Jia Zi (Gleditsia Sinensis Seed), calcined to preserve properties, 1 fen; Sha Tang (Brown Sugar), 0.5 liang.
Grind the soap pod ash finely, mix with brown sugar to form an ointment consistency, and apply to the sore.
Formula for Treating All Cases of Water Toxicity Entering Sores with Swelling, as well as Contamination from Donkey Saliva or Horse Sweat: Tianxiong San (Aconite Root Powder)
Tianxiong (Processed Lateral Root of Aconitum), peeled.
Scrape the single ingredient into a fine powder using a ceramic tile and apply to the sore opening.
Formula for Treating Water Toxicity in Various Sores, Wind-Stroke with Opisthotonos, or Swelling Entering the Abdomen Which Can Be Fatal: Luafa Xun (Human Hair Fumigation)
Luafa (Shed Human Hair), 1 liang; Ji Fen (Chicken Manure), 3 liang; Da Ma Zi (Hemp Seed); Hei Dou (Black Soybean), 3 liang each; Qing Bu (Blue Cloth), 1 chi, impregnated with 3 liang of wax melted over fire.
Spread the hair on the wax-impregnated blue cloth, evenly scatter chicken manure, hemp seeds, and black beans on top. Roll into a cake-like bundle and bind tightly. Place an inverted tube-shaped tile over it. Heat slowly... [Text fragment "Han Chu" (Sweat Out) appears isolated here].
Formula for Treating Water Toxicity in Various Sores Attacking with Swelling: Hufen Tu (White Lead Paste)
Hufen (White Lead); Duanshi (Calcareous Earth), sifted and ground, 3 fen each.
Mix the two ingredients with rendered lard to form a paste, apply to the sore to facilitate fluid drainage.