论曰∶风疽者,本由风湿之气,入于腠理,流注血脉,凝涩不利,挛曲肿起,发作疮疽
,所以
肤腠,
治风毒结肿,聚为恶脓瘀血,毒壅不散,发作成疽。五香连翘汤方
连翘 射干 独活(去芦头) 桑寄生 木通 升麻(各二两) 大黄(三两) 丁香
(一两)
木香 沉香 薰陆香 麝香(各二两)
上十二味, 咀如麻豆大,每服五钱匕,水二盏,煎至一盏,入竹沥半合,再煎取沸,
去滓温服,未瘥再服。
治风毒中人,留血脉不散,与营卫相搏,结成风疽,身体烦热,昏冒肿痛。防风汤方
防风(去叉) 柴胡(去苗) 白芷 桔梗(炒) 木通(锉) 当归(切焙各一两半)
羌活(
去芦头) 麻黄(去根节煎掠去沫焙) 附子(炮裂去皮脐) 甘草(炙锉各一两)
上十味, 咀如麻豆,每服五钱匕,水一盏半,煎至八分,去滓温服,食后临卧各一,
如欲出汗,空心并两服,后以热姜稀粥投,盖复取汗,慎外风。
治热毒风结成疽,肿痛行履不得。海桐皮浸酒方
海桐皮(锉) 五加皮(锉) 独活(去芦头) 防风(去叉) 干蝎(炒) 杜仲(去
粗皮切)
牛膝(去苗酒浸切焙) 薏苡仁(炒各一两) 生干地黄(焙三两)
上九味,粗捣筛,生绢囊贮,以好酒一斗五升,浸于瓷瓶中密封,秋夏三日,春冬七日
开取,食前温酒三合,加至四五合,不拘时,甚者常令酒气相续。
治热毒风肿成疽,日夜热痛。大豆酒方
大豆(紧小者三升) 麻子仁(研碎三升) 乌蛇(一条去头尾皮骨重四两椎碎)
上三味,相和令匀,就甑内蒸,临熟去甑底汤,将好酒一斗五升,就甑中淋,候酒热又
淋,凡七八遍,入瓷瓶内密封,候冷量性饮之,常带酒气,佳。
治醉酒汗出,风入经络,成风疽。麻黄汤方
麻黄(去根节三两) 五加皮(一两半) 防风(去叉) 独活(去芦头) 桂(去粗
皮) 当归
(切
皮尖双仁
八十
上十一味,各细锉,以水九升,先煎麻黄掠去沫,纳诸药,煎取三升,绞去滓,每用一
盏温服,并三服,温复微汗,慎外风。
治风毒瓦斯客经络,成风疽。秦艽丸方
秦艽(去土) 苦参 升麻 黄芩(去黑心) 枳壳(去瓤麸炒) 防风(去叉) 恶
实(炒各
四分) 乌蛇(酒浸去皮骨炙) 蒺藜(炒各五分)
上九味,捣罗为末,炼蜜和丸,如梧桐子大,早晚食后,以蒺藜子煎汤,下二十丸。
治酒醉汗出,风入经络,久成风疽。黄 丸方
黄 (锉) 犀角(镑各三两) 黄连(去须) 茯神(去木) 当归(切焙) 防风
(去叉)
芍药 升麻 黄芩(去黑心各五分) 木通(八分) 甘草(生锉三分) 麝香(别研半分)
上十二味,捣研为末拌匀,炼蜜丸如梧桐子大,每服二十丸,空腹生姜汤下,食后再服
,即煎麦门冬汤下。
治风疽,搔之黄水出。大豆汁涂方
大豆(一升) 马尿(二升) 白蜜(半斤)
上三味拌匀,用青竹筒盛筑实,架在炭火上当中慢烧,将瓷碗两头盛取汁,先用泔清入
盐少许和,温洗疮上拭干,后以药汁涂,日三五度。
又方
胡麻子
上一味细嚼,涂敷疽上,以绵裹缚之,日三两上,以瘥为度。
论述说:风疽,原本是由于风湿之气,侵入腠理(皮肤纹理及皮下肌肉间隙),流注于血脉之中,导致气血凝滞、运行不畅,出现肢体拘挛弯曲、肿胀隆起,进而发作成疮疡疽毒。因此,肌肤腠理之间,治疗风毒结聚而成的肿块,这些邪气聚集化为恶臭的脓液和瘀血,毒邪壅塞无法消散,最终发作形成疽病。
五香连翘汤方:
连翘、射干、独活(去除芦头)、桑寄生、木通、升麻(各二两)、大黄(三两)、丁香(一两)、木香、沉香、薰陆香、麝香(各二两)。
以上十二味药,切碎如麻豆大小,每次服用五钱匕,加水两盏,煎煮至一盏,加入竹沥半合,再次煎至沸腾,滤去药渣,温服。若未痊愈,可再服用。
此方主治风毒侵入人体,滞留血脉不散,与营卫之气相搏结,结成风疽,表现为身体烦热、头晕目眩、肿痛。
防风汤方:
防风(去除叉枝)、柴胡(去除苗头)、白芷、桔梗(炒制)、木通(锉碎)、当归(切后焙干,各一两半)、羌活(去除芦头)、麻黄(去除根节,煎煮后掠去浮沫并焙干)、附子(炮裂后去皮脐)、甘草(炙制后锉碎,各一两)。
以上十味药,切碎如麻豆大小,每次服用五钱匕,加水一盏半,煎煮至八分,滤去药渣,温服。饭后及临睡前各服一次。如果想要发汗,可在空腹时同时服用两次,随后饮用热姜稀粥,覆盖衣被以取汗,注意避免外感风邪。
海桐皮浸酒方:
主治热毒风邪结聚成疽,肿痛严重到行走困难。
海桐皮(锉碎)、五加皮(锉碎)、独活(去除芦头)、防风(去除叉枝)、干蝎(炒制)、杜仲(去除粗皮切丝)、牛膝(去除苗头,用酒浸泡后切丝焙干)、薏苡仁(炒制,各一两)、生干地黄(焙干,三两)。
以上九味药,粗捣筛过,装入生绢袋中,用好酒一斗五升,浸泡在瓷瓶中并密封。夏秋季节浸泡三日,冬春季节浸泡七日,开封取出。饭前温服酒三合,逐渐增加至四至五合,不拘泥于固定时间,病情严重者应常令体内保持酒气相连续的状态。
大豆酒方:
主治热毒风邪肿胀成疽,日夜发热疼痛。
大豆(紧小者三升)、麻子仁(研碎,三升)、乌蛇(一条,去除头尾皮骨,重四两,捶碎)。
以上三味药,混合均匀,放入甑内蒸熟。临近熟时,去掉甑底的汤水,将好酒一斗五升,直接在甑中淋浇,待酒变热后再淋,如此反复七八遍。倒入瓷瓶内密封,待冷却后根据体质适量饮用,常保持体内有酒气为佳。
麻黄汤方:
主治醉酒出汗后,风邪侵入经络,形成风疽。
麻黄(去除根节,三两)、五加皮(一两半)、防风(去除叉枝)、独活(去除芦头)、桂(去除粗皮)、当归(切,取皮尖双仁者,八十...此处原文似有缺漏或排版错误,依文意推测为剂量或描述,暂按原文保留“八十”字样或视为单位缺失,但在翻译中需体现其存在,结合上下文通常为重量或数量,此处依原文直译结构)... 上十一味药,各自细锉,用水九升,先煎麻黄并掠去浮沫,纳入其他药物,煎取三升,绞去药渣,每次用一盏温服,共服三次,温覆衣被使微微出汗,注意避免外感风邪。
秦艽丸方:
主治风毒瓦斯客居经络,形成风疽。
秦艽(去除泥土)、苦参、升麻、黄芩(去除黑心部分)、枳壳(去除瓤麸炒)、防风(去除叉枝)、恶实(炒制,各四分)、乌蛇(酒浸后去皮骨炙烤)、蒺藜(炒制,各五分)。
以上九味药,捣碎过筛成粉末,炼蜜调和制成丸药,如梧桐子大小。早晚饭后,用蒺藜子煎汤送服二十丸。
黄(此处原文可能缺字,如黄芪或黄柏等,依原文“黄”字处理)丸方:
主治酒醉出汗,风邪侵入经络,日久形成风疽。
黄(锉碎)、犀角(镑片,各三两)、黄连(去除须根)、茯神(去除木质部)、当归(切后焙干)、防风(去除叉枝)、芍药、升麻、黄芩(去除黑心部分,各五分)、木通(八分)、甘草(生锉,三分)、麝香(另研,半分)。
以上十二味药,捣研成粉末拌匀,炼蜜制成如梧桐子大小的丸药。每次服用二十丸,空腹时用生姜汤送服,饭后再次服用,此时则用麦门冬汤送服。
大豆汁涂方:
主治风疽,搔抓后有黄水流出。
大豆(一升)、马尿(二升)、白蜜(半斤)。
以上三味药拌匀,用青竹筒盛装并压实,架在炭火中间慢烧,用瓷碗在两头承接流出的汁液。先用淘米水加入少许盐调和,温热清洗疮面并拭干,然后用药汁涂抹,每日三至五次。
Discourse states: Fengju (Wind Carbuncle) originates from wind-dampness qi invading the couli (skin texture and subcutaneous interstices), flowing into the blood vessels, causing stagnation and obstruction of qi and blood. This leads to limb spasms, curling, swelling, and protrusion, eventually manifesting as sores and carbuncles. Therefore, within the skin and couli, one must treat the swelling formed by the accumulation of wind-toxin. These pathogens gather to form foul pus and stasis, where toxin congestion fails to dissipate, ultimately erupting as Ju (carbuncle).
Wuxiang Liaoqiao Tang (Five-Aroma Forsythia Decoction):
Liaoqiao (Fructus Forsythiae), Shegan (Radix Belamcandae), Duhuo (Radix Angelicae Pubescentis, remove rhizome), Sangjisheng (Ramulus Taxilli), Mutong (Caulis Akebiae), Shengma (Rhizoma Cimicifugae) [each 2 liang]; Dahuang (Radix et Rhizoma Rhei, 3 liang); Dingxiang (Flos Caryophylli, 1 liang); Muxiang (Radix Aucklandiae), Chenxiang (Lignum Aquilariae Resinatum), Xunluxiang (Resina Olibani), Shexiang (Moschus) [each 2 liang].
The above twelve herbs are chopped like hemp or bean seeds. Each dose is 5 qianbi, boiled in 2 zhan of water until reduced to 1 zhan. Add Banli (Bamboo Juice) 0.5 he, boil again until bubbling, strain, and take warm. If not cured, take again.
This formula treats wind-toxin entering the body, lingering in the blood vessels without dispersing, clashing with Yingwei (Nutritive and Defensive Qi) to form Fengju, characterized by bodily restlessness and heat, dizziness, swelling, and pain.
Fangfeng Tang (Saposhnikovia Decoction):
Fangfeng (Radix Saposhnikoviae, remove forked branches), Chaihu (Radix Bupleuri, remove sprouts), Baizhi (Radix Angelicae Dahuricae), Jiegeng (Radix Platycodonis, stir-fried), Mutong (Caulis Akebiae, crushed), Danggui (Radix Angelicae Sinensis, sliced and dried, each 1.5 liang), Qianghuo (Rhizoma et Radix Notopterygii, remove rhizome), Mahuang (Herba Ephedrae, remove root joints, boil and skim foam then dry), Fuzi (Radix Aconiti Lateralis Preparata, roasted, split, remove skin and umbilicus), Gancao (Radix Glycyrrhizae Preparata, honey-roasted and crushed, each 1 liang).
The above ten herbs are chopped like hemp or bean seeds. Each dose is 5 qianbi, boiled in 1.5 zhan of water until reduced to 0.8 zhan. Strain and take warm. Take once after meals and once before bed. To induce sweating, take both doses on an empty stomach, followed by hot ginger thin gruel, cover with blankets to induce sweat, and avoid external wind.
Haitongpi Infused Wine (Sea Pine Bark Infused Wine):
Treats heat-toxin and wind clumping to form carbuncle, with severe swelling and pain making walking impossible.
Haitongpi (Cortex Tsoosakiae), Wujiaopi (Cortex Acanthopanacis Senticosi), Duhuo (Radix Angelicae Pubescentis, remove rhizome), Fangfeng (Radix Saposhnikoviae, remove forked branches), Ganxie (Scorpio, stir-fried), Duzhong (Cortex Eucommiae, remove rough bark and slice), Niuxi (Radix Achyranthis Bidentatae, remove sprouts, soak in wine, slice and dry), Yiyiren (Semen Coicis, stir-fried, each 1 liang), Shengdihuang (Radix Rehmanniae Preparata, dried, 3 liang).
The above nine herbs are coarsely crushed and sifted, stored in a raw silk bag. Soak in 1 dou 5 sheng of good wine in a porcelain jar, sealed tightly. In autumn and summer, soak for 3 days; in spring and winter, for 7 days. Open and retrieve. Take 3 he of warm wine before meals, gradually increasing to 4-5 he. Time is not restricted; for severe cases, maintain a continuous state of intoxication.
Daydou Wine (Soybean Wine):
Treats heat-toxin and wind swelling forming carbuncle, with fever and pain day and night.
Daydou (Semen Sojae Glycines, tight and small ones, 3 sheng), Maziren (Semen Cannabis, crushed, 3 sheng), Wushe (Naja atra, one snake, remove head, tail, skin, and bone, weight 4 liang, crushed).
The above three ingredients are mixed evenly, steamed in a steamer basket. Near completion, remove the soup from the bottom of the steamer. Pour 1 dou 5 sheng of good wine over the ingredients in the steamer. When the wine becomes hot, pour it again. Repeat this process 7-8 times. Store in a sealed porcelain jar. Drink according to tolerance when cool. It is best to maintain a slight state of intoxication.
Mahuang Tang (Ephedra Decoction):
Treats wind entering the meridians due to sweating after drunkenness, forming Fengju.
Mahuang (Herba Ephedrae, remove root joints, 3 liang), Wujiaopi (Cortex Acanthopanacis Senticosi, 1.5 liang), Fangfeng (Radix Saposhnikoviae, remove forked branches), Duhuo (Radix Angelicae Pubescentis, remove rhizome), Gui (Ramulus Cinnamomi, remove rough bark), Danggui (Radix Angelicae Sinensis, slice, use tips and double-kernel seeds, quantity "eighty" noted in text)... The above eleven herbs are finely chopped. Boil in 9 sheng of water. First boil Mahuang and skim the foam, then add the other herbs. Boil until 3 sheng remain. Strain. Take 1 zhan warm per dose, total 3 doses. Cover warmly to induce slight sweating. Avoid external wind.
Qinjiao Wan (Gentiana Pill):
Treats wind-toxin qi lodging in the meridians, forming Fengju.
Qinjiao (Radix Gentianae Macrophyllae, remove soil), Kushen (Radix Sophorae Flavescentis), Shengma (Rhizoma Cimicifugae), Huangqin (Radix Scutellariae, remove black heart), Zhike (Fructus Aurantii, remove pulp and bran, stir-fried), Fangfeng (Radix Saposhnikoviae, remove forked branches), Eshi (Fructus Arctii, stir-fried, each 4 fen), Wushe (Naja atra, soak in wine, remove skin and bone, roast), Jili (Fructus Tribuli, stir-fried, each 5 fen).
The above nine herbs are crushed, sifted into powder, and mixed with refined honey to make pills the size of tung tree seeds. Take 20 pills morning and evening after meals, washed down with decoction of Tribuli seeds.
Huang Pill (Yellow Herb Pill - Text incomplete/ambiguous):
Treats wind entering meridians due to sweating after drunkenness, long-term formation of Fengju.
Huang (Crushed), Xijiao (Cornu Rhinocerotis, shaved, each 3 liang), Huanglian (Rhizoma Coptidis, remove roots), Fushen (Poria with Hostwood, remove wood), Danggui (Radix Angelicae Sinensis, slice and dry), Fangfeng (Radix Saposhnikoviae, remove forked branches), Shaoyao (Radix Paeoniae Alba), Shengma (Rhizoma Cimicifugae), Huangqin (Radix Scutellariae, remove black heart, each 5 fen), Mutong (Caulis Akebiae, 8 fen), Gancao (Radix Glycyrrhizae, raw and crushed, 3 fen), Shexiang (Moschus, separately ground, 0.5 fen).
The above twelve herbs are crushed, ground into powder, mixed evenly, and made into pills with refined honey the size of tung tree seeds. Take 20 pills per dose. On an empty stomach, wash down with ginger decoction; after meals, take again washed down with Ophiopogon decoction.
Daydou Zhi Tu Fang (Soybean Juice Topical Application):
Treats Fengju, where scratching yields yellow fluid.
Daydou (Semen Sojae Glycines, 1 sheng), Ma Niao (Urine Equi, 2 sheng), Baimi (Mel Album, half jin).
The above three ingredients are mixed well, placed in a green bamboo tube, packed tightly, and slowly roasted over charcoal fire. Collect the juice in porcelain bowls at both ends. First, wash the sore with clear rice water mixed with a little salt, wipe dry, then apply the medicinal juice. Apply 3-5 times daily.
Another Formula:
Humaizi (Semen Sesami Nigrum).
Chew this single herb thoroughly and apply to the carbuncle. Wrap with cotton cloth and bind. Apply 3+ times daily, until cured.