(论一首 方三十八首)
论曰∶丹毒,一名天火,肉中忽有赤如丹涂之色,大者如手掌,甚者遍身有痒有肿,无
定色。有白丹者,肉中肿起,痒而复痛,微虚,肿如吹状,瘾疹起也。有鸡冠丹者,赤色而
起,大者如连钱。小者如麻豆粒状,肉上粟粟如鸡冠肌理也,一名茱萸丹。有水丹者,由
遍体热起,遇水湿搏之结丹,晃晃黄赤色,如有水在皮中,喜着股及阴处。此虽小疾,不治
令人至死。
升麻 白薇(《肘后》作白蔹) 漏芦 连翘 芒硝 黄芩(各二两) 蛇衔 枳实(各
三
两) 蒴 (四两) 栀子(四十枚)
上十味微捣,以水三升,浸半日,以猪膏五升煎,令水气尽,去滓,膏成敷上。诸丹皆
用之,及热疮肿上,日三。(《经心录》无枳实,以治诸毒肿)。
治丹毒方。
升麻 漏芦 芒硝(各二两) 黄芩(三两) 蒴 (五两) 栀子(二十枚)
上六味 咀,以水一斗浸良久,煮取七升冷,以故帛染汁拓诸丹毒上,常令其湿,拓后
须服饮并漏芦汤方,并见前痈肿条中,服之立瘥。(《短剧》用治丹疹,赤毒肿)。
丹方∶
水苔 生蛇衔 生地黄 生菘菜(即芸苔) 蒴 菜 慎火草 五叶藤 豆叶 浮萍
以上取一味,单捣涂之。
大黄 栀子 黄芩 芒硝
以上取一味,下水和用。
上十三味或捣成末,单用一味立瘥。
又方 凡天下极冷,无过于藻菜,但有患热毒肿并丹等,取渠中藻菜细切,熟捣敷之
,浓三分,干即易。
治诸丹神验方∶
以芸薹菜熟捣,浓封之,随手即消。余热气未愈,但三日内封之,瘥止。纵干亦封之不
歇,以绝本。余以贞观七年三月八日于内江县饮多,至夜睡中觉四体骨肉疼痛,至晓头痛目
眩,额左角上如弹丸大肿痛,手不得近,至午时至右角,至夜诸处皆到,目遂闭合不得开,
几致殒毙,县令周公以种种药治不瘥,经七日余,自处此方,其验如神,故疏之以传来世云
耳。
治五色油丹方(俗云油肿,若犯者多致死,不可轻之)∶
缚母猪枕头卧,甚良。
又方 牛屎涂之,干即易。
治赤流肿丹毒方∶
取榆根白皮为末,鸡子白和敷。(《翼方》又用鸡子白和蒲席灰敷)。
又方 捣大麻子,水和敷之。
又方 煎羊脂摩之,得青羊脂最良。(《集验》云∶治人面目身体卒赤黑丹起,如疥状
,不治日剧遍身,即杀人也)。
治小儿丹毒方∶
捣马齿苋一握,取汁饮,以滓敷上。
又方 捣赤小豆五合,水和取汁,饮一合良。滓涂五心。
又方 浓煮大豆汁涂之良,瘥后亦无瘢痕。
又方 腊月猪脂,和釜下土敷之,干即易。
治小儿五色丹方∶
用猪槽下烂泥敷之,干即易(《集验》治卒赤黑丹)。
又方 捣蒴 叶敷之。
又方 服黄龙汤二合,并敷患上佳。
治小儿白丹方∶
烧猪屎灰,以鸡子白和敷之良。
治小儿赤丹方∶
捣芸薹叶,汁服三合。滓敷上良(《翼》云∶芸薹末以鸡子白和涂之)。
治小儿赤丹斑驳者方∶
以唾和胡粉,从外向内敷之。
又方 铜铁屎,以猪脂和敷之。
又方 以屋尘,腊月猪脂和敷之。
治小儿火丹赤如朱,走皮中方∶以醋和豉研敷之。
又方 鲤鱼血敷之,良。
又方 捣荏子敷之。
又方 猪屎水和,绞取汁,服少许良。
治小儿天火丹,肉中有赤如丹色,大者如手,甚者遍身,或痛或痒或肿方∶
赤小豆二升为末,以鸡子白和如薄泥敷之,干即易便瘥。一切丹并用此方皆瘥。
又方 生麻油涂之。
治小儿骨火丹,其疮见骨方∶
捣大小蒜,浓敷之,着足踝者是。
治小儿殃火丹毒,着两胁及腋下者方∶
用伏龙肝为末,油和敷之,干则易。若入腹及阴,以慎火草取汁用之。
治小儿尿灶丹,初从两股起及脐间,走入阴头,皆赤色者方∶
桑白皮切二升,以水二升,煮取汁,浴之良。
又方 烧李根为灰,以田中流水和,敷之良。
治小儿朱田火丹,病一日一夜即成疮,先从背起,渐至遍身,如枣大正赤色者方。
浓煮棘根汁洗之。已成疮者,赤小豆末敷之。未成疮者,鸡子白和小豆末,敷之。
治小儿天灶火丹,病自髀间起,小儿未满百日,阴头赤肿血出方∶
伏龙肝捣末,以鸡子白和敷之,日三良。
又方 鲫鱼肉(锉五合) 赤小豆末(三合)
上二味和捣,少水和,敷之良。
治小儿野火丹,病通身皆赤者方∶
用油涂之。
治小儿茱萸丹,病初从背起,遍身如细缬,一宿成疮者方∶
用赤小豆为末,以粉之。如未成疮者,鸡子白和敷之。
治小儿废灶火丹,初从足趺起,正赤色者方∶
以枣根煮汁,沐浴五六度良。
(论述一篇,方剂三十八首)
论述说:丹毒,又名天火,皮肤肌肉中突然出现像涂了丹砂一样的红色,大的如手掌大小,严重的遍及全身,伴有瘙痒和肿胀,颜色不固定。有白丹,肌肉中肿胀突起,先痒后痛,身体微虚,肿胀像吹起来的样子,伴有瘾疹发作。有鸡冠丹,呈赤色突起,大的像连在一起的铜钱,小的像麻豆粒状,皮肤上颗粒隆起如同鸡冠的肌理,又名茱萸丹。有水丹,由于全身发热,遇到水湿搏结而成丹,呈现晃动的黄赤色,好像皮中有水,喜欢发生在大腿及阴部。这虽然是小病,但不治疗会导致死亡。
升麻、白薇(《肘后备急方》作白蔹)、漏芦、连翘、芒硝、黄芩(各二两)、蛇衔、枳实(各三两)、蒴藋(四两)、栀子(四十枚)。
以上十味药轻微捣碎,用水三升,浸泡半天,用猪脂五升煎煮,直到水分蒸发尽,滤去药渣,制成膏剂敷在患处。各种丹毒都可用此方,以及热疮肿胀处,每日三次。(《经心录》无枳实,用于治疗各种毒肿)。
治疗丹毒的方剂。
升麻、漏芦、芒硝(各二两)、黄芩(三两)、蒴藋(五两)、栀子(二十枚)。
以上六味药切碎,用水一斗浸泡良久,煎煮取七升,冷却后,用旧布蘸药汁拓敷在各种丹毒患处,常保持湿润,拓敷后必须服用汤剂并参考漏芦汤方,均见前文痈肿条中,服用后立刻痊愈。(《短剧方》用于治疗丹疹,赤毒肿)。
丹毒单方:
水苔、生蛇衔、生地黄、生菘菜(即芸苔)、蒴藋菜、慎火草、五叶藤、豆叶、浮萍。
以上任选一味,单独捣烂外涂。
大黄、栀子、黄芩、芒硝。
以上任选一味,加水调和使用。
以上十三味药或捣成粉末,单用一味即可立即痊愈。
又一方:凡天下极冷的东西,没有比藻菜更冷的,只要有患热毒肿并丹毒等症,取渠中的藻菜细细切碎,煮熟捣烂敷之,厚度三分,干了就更换。
治疗各种丹毒神效方:
用芸薹菜煮熟捣烂,厚厚封贴,随手即消。其余热气未愈,只要在三天内封贴,痊愈即止。即使干了也继续封贴不停,以绝病根。我在贞观七年三月八日于内江县饮酒过多,到夜里睡觉时觉得四肢骨肉疼痛,到天亮头痛目眩,额头左角上肿起如弹丸大,手不能触碰,到中午时肿势移至右角,到夜里各处都到了,眼睛遂闭合无法睁开,几乎致死,县令周公用各种药物治不好,经过七天多,我自己用了这个方子,其验效如神,所以记录下来流传后世罢了。
治疗五色油丹方(俗称为油肿,如果患病大多致死,不可轻视):
绑住母猪作为枕头卧在上面,效果很好。
又一方:用牛屎涂抹,干了就更换。
治疗赤流肿丹毒方:
取榆树根白皮为粉末,用鸡蛋清调和敷之。(《翼方》又用鸡蛋清和蒲席灰调和敷之)。
又一方:捣大麻子,用水调和敷之。
又一方:煎羊脂按摩患处,得青羊脂最好。(《集验方》说:治疗人面目身体突然出现的赤黑丹毒,像疥疮一样,不治疗每天加重遍及全身,就会杀人)。
又一方:捣赤小豆五合,用水调和取汁,饮用一合效果好。药渣涂敷五心(两手心、两足心、心口)。
又一方:浓煮大豆汁涂抹效果好,痊愈后也没有瘢痕。
又一方:腊月猪脂,和锅底土涂抹,干了就更换。
治疗小儿五色丹方:
用猪槽下的烂泥涂抹,干了就更换(《集验方》治疗突然出现的赤黑丹)。
又一方:捣蒴藋叶敷之。
又一方:服用黄龙汤二合,并敷在患处的效果更好。
治疗小儿白丹方:
烧猪屎成灰,用鸡蛋清调和敷之效果好。
治疗小儿赤丹方:
捣芸薹叶,取汁服用三合。药渣敷在患处效果好(《翼方》说:芸薹末用鸡蛋清调和涂抹)。
又一方:铜铁锈,用猪脂调和敷之。
又一方:鲤鱼血敷之,效果好。
又一方:捣荏子敷之。
又一方:猪屎和水调和,绞取汁液,服用少许效果好。
治疗小儿天火丹,肉中有赤色如丹砂色,大的如手掌,严重的遍及全身,或痛或痒或肿方:
赤小豆二升为粉末,用鸡蛋清调和如薄泥敷之,干了就更换便痊愈。一切丹毒都用此方皆能痊愈。
又一方:生麻油涂抹。
治疗小儿骨火丹,疮疡深可见骨方:
捣大小蒜,厚厚敷之,长在足踝部位的是此类。
治疗小儿殃火丹毒,发生在两胁及腋下者方:
用伏龙肝为粉末,用油调和敷之,干了就更换。如果邪气入腹及阴部,用慎火草取汁使用。
治疗小儿尿灶丹,初起从两股及脐间,走入阴头,都是赤色者方:
桑白皮切细二升,用水二升,煮取汁液,洗浴患处效果好。
又一方:烧李根成灰,用田间的流水调和,敷之效果好。
治疗小儿朱田火丹,病发一日一夜即成疮,先从背部起,逐渐至遍身,如枣大正赤色者方:
浓煮棘根汁清洗患处。已成疮的,用赤小豆粉末敷之。未成疮的,用鸡蛋清和小豆粉末调和,敷之。
治疗小儿天灶火丹,病自髀间起,小儿未满百日,阴头赤肿出血方:
伏龙肝捣成粉末,用鸡蛋清调和敷之,每日三次效果好。
又一方:鲫鱼肉(切碎五合)、赤小豆粉末(三合)。
以上两味和捣,少加水调和,敷之效果好。
治疗小儿野火丹,病通身皆赤者方:
用油涂抹。
(One Treatise, Thirty-Eight Prescriptions)
The treatise states: Dan Du (Erysipelas), also known as Tian Huo (Heavenly Fire), is characterized by a sudden appearance of redness in the skin and flesh resembling applied cinnabar. The lesions may be as large as a palm; in severe cases, they cover the whole body with itching and swelling, and the color is not fixed. There is Bai Dan (White Erysipelas), where swelling rises in the flesh, starting with itching followed by pain, accompanied by slight deficiency, swelling resembling inflation, and the eruption of urticaria. There is Ji Guan Dan (Rooster Comb Erysipelas), which appears as raised red patches, large ones resembling connected coins, small ones resembling hemp or bean grains, with granular elevations on the skin like the texture of a rooster comb; it is also called Zhu Yu Dan (Cornel Erysipelas). There is Shui Dan (Water Erysipelas), caused by systemic heat interacting with dampness to form the lesion, presenting with a shimmering yellow-red color as if water were trapped under the skin, commonly occurring on the thighs and genital area. Although this is a minor ailment, failure to treat it can lead to death.
Sheng Ma (Cimicifugae Rhizoma), Bai Wei (Cynanchi Atrati Radix [Zhou Hou] uses Bai Lian (Ampelopsis Radix)), Lou Lu (Euphorbiae Humifusae Herba), Lian Qiao (Forsythiae Fructus), Mang Xiao (Natrii Sulfas), Huang Qin (Scutellariae Radix) (each 2 liang), She Xian (Ophiopogonis Radix? Note: Context suggests a specific herb, likely Ophiopogon or similar, kept as She Xian), Zhi Shi (Aurantii Fructus Immaturus) (each 3 liang), Shuo Di (Polygoni Multiflori Caulis? Or Achyranthis Bidentatae Caulis? Kept as Shuo Di), Zhi Zi (Gardeniae Fructus) (40 seeds).
Crush the above ten ingredients slightly, soak in 3 sheng of water for half a day, then decoct with 5 sheng of pig fat until all moisture evaporates. Strain the dregs. Apply the resulting ointment to the affected area. This prescription is used for all types of Dan Du, as well as hot sores and swellings, three times daily. (Jing Xin Lu omits Zhi Shi, using it for various toxic swellings).
Prescription for treating Dan Du.
Sheng Ma (Cimicifugae Rhizoma), Lou Lu (Euphorbiae Humifusae Herba), Mang Xiao (Natrii Sulfas) (each 2 liang), Huang Qin (Scutellariae Radix) (3 liang), Shuo Di (4 liang), Zhi Zi (Gardeniae Fructus) (20 seeds).
Crush the above six ingredients, soak in 1 dou of water for a long time, decoct to obtain 7 sheng, and cool. Soak old cloth in the juice and apply compresses to all Dan Du lesions, keeping them constantly moist. After application, one must take oral decoctions; refer to the Lou Lu Tang prescription mentioned earlier in the abscess and swelling section. Immediate recovery follows administration. (Duan Ju Fang uses this for Dan Zhen [erysipelas-like rash] and red toxic swellings).
Single-herb prescriptions for Dan Du:
Shui Tai (Aquatic Moss), Sheng She Xian (Fresh Ophiopogon/Herb), Sheng Di Huang (Rehmanniae Radix), Sheng Song Cai (Fresh Brassica Chinensis/Turnip Greens), Shuo Di Cai (Vegetable part of Shuo Di), Shen Huo Cao (Artemisiae Annuae Herba?), Wu Ye Teng (Five-leaf Vine), Dou Ye (Bean Leaves), Fu Ping (Moscus Moschatellae).
Select any one of the above, crush alone, and apply externally.
Da Huang (Rhei Radix et Rhizoma), Zhi Zi (Gardeniae Fructus), Huang Qin (Scutellariae Radix), Mang Xiao (Natrii Sulfas).
Select any one of the above, mix with water and use.
Of the above thirteen herbs, whether crushed into powder or used singly, immediate recovery occurs.
Another prescription: Among all extremely cold substances in the world, none is colder than algae/seaweed. For patients suffering from hot toxic swellings and Dan Du, take algae from ditches, cut finely, cook thoroughly, crush, and apply. Apply at a thickness of 3 fen; replace when dry.
Divine and effective prescription for all Dan Du:
Cook and crush You Mai (Brassica Juncea/Rape Seeds), apply thickly. The swelling subsides immediately. If residual heat remains, continue applying for three days until cured. Even if it dries, continue applying without cessation to eradicate the root cause. In the seventh year of Zhenguan, on March 8th, after drinking excessively in Neijiang County, I felt pain in my limbs and bones during sleep at night. By dawn, I suffered from headache and dizziness. A swelling like a bullet appeared on the left corner of my forehead, too painful to touch. By noon, it moved to the right corner. By night, it spread everywhere, causing my eyes to close tightly, nearly leading to death. Prefect Zhou Gong failed to cure me with various medicines. After more than seven days, I used this prescription myself, and its efficacy was miraculous. Thus, I record it for posterity.
Prescription for Five-Color You Dan (Vernacular: You Zhong/Swelling Oil). Those who contract this often die; do not underestimate it.
Tie a sow to use as a pillow for sleeping; this is very effective.
Another prescription: Apply cow dung; replace when dry.
Prescription for Chi Liu Zhong Dan Du (Red Flowing Swelling Erysipelas):
Take the white inner bark of Elm root, grind into powder, and mix with egg white for external application. (Yi Fang also uses egg white mixed with ash from rush mats).
Another prescription: Crush hemp seeds, mix with water, and apply.
Another prescription: Melt sheep fat and massage the area; green sheep fat is best. (Ji Yan Fang states: Treats sudden onset of red-black erysipelas on face, head, and body, resembling scabies. Without treatment, it worsens daily, spreads over the body, and causes death).
Prescription for pediatric Dan Du:
Crush a handful of Ma Chi Xian (Portulacae Herba), extract the juice for oral consumption, and apply the dregs externally.
Another prescription: Crush Chi Xiao Dou (Adzuki Beans) 5 he, mix with water, extract juice, and drink 1 he. Apply the dregs to the five centers (palms, soles, and chest).
Another prescription: Decoct Da Dou (Soybeans) strongly and apply the juice. It is effective and leaves no scars after recovery.
Another prescription: Mix pig fat from the twelfth lunar month with soil from under the cooking pot and apply; replace when dry.
Prescription for pediatric Five-Color Dan:
Apply rotten mud from under the pig trough; replace when dry. (Ji Yan Fang treats sudden red-black Dan).
Another prescription: Apply crushed Shuo Di leaves.
Another prescription: Take 2 he of Huang Long Tang orally, and apply topically to the affected area for best results.
Prescription for pediatric Bai Dan (White Erysipelas):
Burn pig feces to ash, mix with egg white, and apply. This is effective.
Prescription for pediatric Chi Dan (Red Erysipelas):
Crush You Mai leaves, take 3 he of the juice orally. Apply the dregs externally. (Yi Fang states: Mix You Mai powder with egg white and apply).
Prescription for pediatric Chi Dan with mottled patterns:
Mix Tu Fen (Lead Carbonate) with saliva and apply from the outside inward.
Another prescription: Mix copper/iron rust with pig fat and apply.
Another prescription: Mix house dust with pig fat from the twelfth lunar month and apply.
Prescription for pediatric Huo Dan (Fire Erysipelas) red as vermilion, migrating across the skin:
Mix Cu (Vinegar) with Chi Dou (Fermented Soybeans), grind, and apply.
Another prescription: Apply carp blood; this is effective.
Another prescription: Crush Ren Zi (Perilla Seeds) and apply.
Another prescription: Mix pig feces with water, squeeze out the juice, and take a small amount orally.
Prescription for pediatric Tian Huo Dan (Heavenly Fire Erysipelas), where flesh shows redness like cinnabar, large as a hand, severe cases covering the whole body, with pain, itching, or swelling:
Grind 2 sheng of Chi Xiao Dou (Adzuki Beans) into powder, mix with egg white to a thin paste, and apply. Replace when dry; recovery follows. This prescription is effective for all types of Dan Du.
Another prescription: Apply raw sesame oil.
Prescription for pediatric Gu Huo Dan (Bone Fire Erysipelas), where the sore exposes bone:
Crush large and small garlic, apply thickly. This applies to lesions on the ankles.
Prescription for pediatric Yang Huo Dan Du affecting both flanks and axillae:
Use Fu Long Gan (Dragon's House Earth/Cooked Soil) as powder, mix with oil, and apply; replace when dry. If the pathogen enters the abdomen or genitals, use Shen Huo Cao juice.
Prescription for pediatric Niao Zao Dan (Urine Stove Erysipelas), starting from both thighs and umbilicus, spreading to the glans penis, all red:
Cut 2 sheng of Sang Bai Pi (Morus Alba Root Bark), decoct in 2 sheng of water, and bathe the affected area. This is effective.
Another prescription: Burn Li Gen (Plum Root) to ash, mix with flowing water from fields, and apply. This is effective.
Prescription for pediatric Zhu Tian Huo Dan. The disease forms sores within one day and night, starting from the back and spreading to the whole body, red as dates:
Decoct Ji Gen (Pyracantha Root) strongly and wash the area. For formed sores, apply Chi Xiao Dou powder. For unformed sores, mix Chi Xiao Dou powder with egg white and apply.
Prescription for pediatric Tian Zao Huo Dan, starting from the thigh region, in infants under 100 days old, with red, swollen, bleeding prepuce:
Grind Fu Long Gan (Dragon's House Earth) into powder, mix with egg white, and apply three times daily. This is effective.
Another prescription: Carp meat (chopped 5 he) and Chi Xiao Dou powder (3 he).
Crush and mix the above two ingredients with a little water and apply. This is effective.
Prescription for pediatric Ye Huo Dan (Wild Fire Erysipelas), where the whole body is red:
Apply oil.
Prescription for pediatric Zhu Yu Dan (Cornel Erysipelas), starting from the back, spreading over the body with fine network-like patterns, forming sores overnight:
Use Chi Xiao Dou powder to dust the area. If sores have not formed, mix with egg white and apply.
Prescription for pediatric Fei Zao Huo Dan (Abandoned Stove Fire Erysipelas), starting from the dorsum of the foot, bright red:
Decoct Zao Gen (Jujube Root) and bathe 5-6 times. This is effective.