治表,凡肿病须百方内外攻之,不可一概方。
生商陆(一斤) 猪膏(一斤煎,可得二升)
上二味和煎令黄,去滓,以摩肿,亦可服少许,并涂以纸覆上燥辄敷之,不过三日。瘥。
治妇人短气虚羸,遍身浮肿,皮肤急,人所稀见方。
麝香(三铢) 雄黄(六铢) 芫花 甘遂(各二分)
上四味为末,酒服五匕。老少以意增减。亦可为丸如小豆大,强者服七丸。(《短剧》
无雄黄。深师以蜜丸如大豆,服二丸,日三。治三焦决满,水在胸外,名曰水病。腹独大在
腹表,用大麝香丸。《华佗方》、《肘后》有人参二分,为九服)。
治虚劳浮肿方
灸太冲百壮。
又灸肾俞。
(凡六类)
(论一首方二十九首 证十五首灸法一首)
论曰∶夫禀形之类,须存摄养。将息失度,百病萌生。故四时代谢,阴阳递兴。二气更
相击怒,当是时也,必有暴气。夫暴气者,每月之中,卒然大风大雾,大寒大热,若不时避
,人忽遇之,此皆入人四体,顿折皮肤,流注经脉,遂使腠理壅隔,营卫结滞,阴阳之气不
得宣泄,变成痈疽疔毒,恶疮诸肿。至于疔肿,若不预识,令人死不逮辰。所以养生之士须
早识此方,凡是疮痍无所逃遁。
凡疗疔肿,皆刺中心至痛。又刺四边十余下,令血出,去血敷药,药气得入针孔中。若
不达疮内,疗不得力。
又其肿好着口中颊边舌上,见赤黑如珠子,碜痛应心是也。是秋冬寒毒久结皮中,变作
此疾,不即疗之,日夜根长,流入诸脉数道,如箭入身捉人不得动摇。若不慎口味房室,死
不旋踵。经五六日不瘥,眼中见火,神昏口干心烦,即死也。
一曰麻子疔,其状肉上起头,大如黍米,色稍黑,四边微赤多痒,忌食麻子及衣麻,勿
入麻田中行。
二曰石疔,其状皮肉相连,色乌黑如黑豆,甚硬,刺之不入肉内隐隐微疼,忌瓦砾砖石
之属。
三曰雄疔,其状 头黑 ,四畔仰疮 浆起,有水出,色黄大如钱孔形高,忌房室。
四曰雌疔,其状疮头稍黄,向里 亦如灸疮,四畔 浆起,心凹色赤,大如钱孔,
忌房室。
五曰火疔,其状如汤火烧灼,疮头黑 ,四边有 浆起,如赤粟米,忌火炙烁。
六曰烂疔,其状色稍黑有白斑,疮中溃溃则有脓水流出,疮形大小如匙面,忌沸热食烂
臭物。
七曰三十六疔,其状头黑浮起,形如黑豆,四畔起大赤色,今日生一,明日生二,后日
生三,乃至十,若满三十六,药所不能治,如未满三十六者可治,俗名黑 。忌嗔怒蓄积愁
恨。
八曰蛇眼疔,其状疮头黑皮上浮,生形如小豆,状似蛇眼,大体硬,忌恶眼看,并嫉妒
人见之及毒药。
九曰盐肤疔,其状大如匙面,四畔皆赤,有黑粟粒起,忌食咸物。
十曰水洗疔,其状大如钱形或如钱孔大,疮头白里黑 ,汁出中硬,忌饮浆水,水洗渡
河。
十一曰刀镰疔,其状疮阔狭如薤叶大,长一寸,左侧肉黑如烧烁,忌刺及镰刀切割铁刀
所伤,可以药治。
十二曰浮沤疔,其状疮体曲圆少许不合,长而狭如薤叶大,内黄外黑,黑处刺不痛,内
黄处刺之则痛。
十三曰牛拘疔,其状肉 起,掐不破。
上十三种疮,初起必先痒后痛,先寒后热,热定则寒,多四肢沉重、头痛、心惊、眼花
,若大重者则呕逆,呕逆者难治。其麻子疔一种始末惟痒。所忌者不得犯触,犯触者即难
疗。其浮沤疔、牛拘疔二种,无所禁忌,纵不疗亦不能杀人,其状寒热与诸疔同,皆以此方
疗之,万不失一。欲知犯触之状,但脊强,疮痛极甚不可忍者是也。
治十三种疔方∶
用枸杞,其药有四名∶春名天精,夏名枸杞,秋名却老,冬名地骨。春三月上建日采叶
,夏三月上建日采枝,秋三月上建日采子,冬三月上建日采根。凡四时初逢建日,取叶子枝
根等四种并曝干。若得五月五日午时合和大良,如不得根据法采者,但得一种亦得,用绯缯一
片以裹药,取匝为限,乱发鸡子大,牛黄梧子大,反钩棘针二十七枚为末,赤小豆七枚末,
先于绯上薄布乱发,以牛黄末等布上曝,即卷绯缯作团,以发作绳,十字缚之,熨斗中急火
熬令沸,沸定后自干,即刮取捣为末,绢筛以一方寸匕,取枸杞四味合捣,绢筛取二匕和合
前一匕,共为三匕令相得,又分为二份,早晨空腹酒服一份,日二。
治疗体表疾病,凡是肿病都需要用多种方法从内、外两方面同时治疗,不能只用一种固定的方子。
生商陆(一斤) 猪脂膏(一斤煎煮,可得二升)
以上两味药混合煎至黄色,滤去药渣,用来涂抹肿胀处,也可以少量服用,并涂在患处,上面覆盖纸张,干燥后重新敷药,不超过三天即可痊愈。
治疗妇女气短、身体虚弱消瘦,全身浮肿,皮肤紧绷,这种人们很少见到的病症的方子。
麝香(三铢) 雄黄(六铢) 芫花 甘遂(各二分)
以上四味药研成粉末,用酒送服五匕(古代量器名)。老人和小孩根据情况酌情增减剂量。也可以制成如小豆大小的丸剂,体质强者服用七丸。(《短剧》方中无雄黄。《深师方》用蜜制成如大豆大小的丸剂,每次服二丸,每日三次。治疗三焦决渎功能失常导致的水液停聚胸胁之外,称为水病。腹部单独肿大位于腹表,使用大麝香丸。《华佗方》、《肘后备急方》中有加入人参二分,制成丸剂服用)。
(共六类)
(论述一篇,方剂二十九首,证候十五种,灸法一篇)
论述说:人类禀受形体而生,必须注重保养摄生。如果调摄失度,百病就会萌生。因此四季更替,阴阳交替兴盛。二气相互激荡冲突,在这个时候,必然会有暴戾之气产生。所谓暴气,是指每月之中突然刮起的大风大雾,极寒或极热的天气,如果不及时躲避,人忽然遭遇这些邪气,它们都会侵入人的四肢,骤然损伤皮肤,流注于经脉,致使腠理闭塞不通,营卫之气凝结阻滞,阴阳之气不得宣泄,从而变成痈疽疔毒、恶疮等各种肿病。至于疔肿,如果不能预先识别,会使人来不及等到天亮就死亡。所以养生之士必须尽早认识这些方剂,凡是疮疡痈肿都无处可逃。
凡治疗疔肿,都要针刺中心部位直到感到疼痛。又针刺四周十余下,令血液流出,去除瘀血后敷药,使药力能够进入针孔中。如果药力达不到疮内,治疗效果就不好。
另外,这种肿病喜欢长在口角、脸颊边、舌头上,看到颜色赤黑像珠子一样,刺痛应心就是这种症状。这是秋冬季节寒毒长久结聚在皮中,变作此疾,如果不立即治疗,日夜根部生长,流入各种脉道,像箭射入身体让人无法动弹。如果不谨慎饮食口味和房事,很快就会死亡。经过五六天不痊愈,眼中见火,神志昏乱,口干心烦,就会死亡。
第一种叫麻子疔,其形状是肉上突起头状,大小如黍米,颜色稍黑,四周微红且多痒,忌食麻子及穿麻衣,不要进入麻田中行走。
第二种叫石疔,其形状是皮肉相连,颜色乌黑如黑豆,非常坚硬,刺之不入,肉内隐隐微痛,忌接触瓦砾砖石之类物品。
第三种叫雄疔,其形状头黑,四周仰起的疮口有浆液渗出,有水流出,颜色黄大如钱孔,形状高突,忌房事。
第四种叫雌疔,其形状疮头稍黄,向内看也像灸疮,四周有浆液渗出,中心凹陷颜色赤红,大如钱孔,忌房事。
第五种叫火疔,其形状像被热水烫火烧灼,疮头黑,四周有浆液渗出,如赤粟米,忌用火炙烤。
第六种叫烂疔,其形状颜色稍黑有白斑,疮中溃烂则有脓水流出,疮形大小如匙面,忌吃沸热食物及腐烂臭物。
第七种叫三十六疔,其形状头黑浮起,形如黑豆,四周起大红色,今天长一个,明天长两个,后天长三个,乃至十个,如果满三十六个,药物就不能治愈了,如果未满三十六个的可以治疗,俗名叫黑疔。忌发怒蓄积愁恨。
第八种叫蛇眼疔,其形状疮头黑皮上浮,生长形状如小豆,状似蛇眼,整体坚硬,忌恶眼看,并忌嫉妒之人看见以及毒药。
第九种叫盐肤疔,其形状大如匙面,四周皆赤,有黑粟粒突起,忌食咸物。
第十种叫水洗疔,其形状大如铜钱形或如钱孔大,疮头白里黑,汁出中间硬,忌饮浆水,忌水洗渡河。
第十一种叫刀镰疔,其形状疮阔狭如薤叶大,长一寸,左侧肉黑如烧灼,忌被刺及镰刀切割铁刀所伤,可以用药物治疗。
第十二种叫浮沤疔,其形状疮体曲圆少许不合,长而狭如薤叶大,内黄外黑,黑处刺之不痛,内黄处刺之则痛。
第十三种叫牛拘疔,其形状肉突起,掐不破。
上述十三种疮,初起时先痒后痛,先寒后热,热定则寒,多伴有四肢沉重、头痛、心惊、眼花,如果病情严重则会呕逆,呕逆者难治。其中麻子疔一种始终只有痒感。所忌讳的是不得犯触,犯触了就难治疗。其中浮沤疔、牛拘疔两种,没有禁忌,即使不治疗也不能杀人,其症状寒热与其他疔相同,都用此方治疗,万无一失。想知道犯触后的症状,只要脊背强直,疮痛极度剧烈不可忍受的就是。
治疗十三种疔的方子:
用枸杞,这味药有四个名字:春天叫天精,夏天叫枸杞,秋天叫却老,冬天叫地骨。春三月逢建日采叶,夏三月逢建日采枝,秋三月逢建日采子,冬三月逢建日采根。凡是四季初逢建日,取叶子、枝、根等四种一起晒干。如果在五月五日午时合制效果最好,如果无法按此法采集,只要得到其中一种也可以,用一块绯色丝绸包裹药材,以匝数为限,加上乱发鸡蛋大小,牛黄梧桐子大小,反钩棘针二十七枚研为粉末,赤小豆七枚研为粉末,先在绯色丝绸上薄薄铺一层乱发,将牛黄末等铺在上面晒干,然后卷起绯色丝绸做成团,用乱发做绳子,十字交叉捆扎,在熨斗中急火熬至沸腾,沸腾稳定后自然冷却,即刮取捣碎为粉末,用绢筛过,取一方寸匕,取枸杞四味一起捣碎,绢筛过取二匕与前一方寸匕混合,共为三匕使其调和,又分为两份,早晨空腹用酒送服一份,每日两次。
To treat exterior conditions, for all swelling diseases, it is necessary to attack them from both the interior and exterior using a hundred different methods; one cannot rely on a single fixed formula.
Sheng Shanglu (Radix Phytolaccae Acinosae) (one jin)
Zhu Gao (Porcine Fat) (one jin, decocted to yield two sheng)
Combine the above two ingredients and decoct until yellow, remove the dregs, apply to the swelling by rubbing (mo), or take a small amount internally. Apply to the affected area, cover with paper, and reapply when dry. It will heal within three days.
A formula to treat women with shortness of breath, emaciation due to deficiency, generalized edema, and tight skin, a condition rarely seen by people.
She Xiang (Moschus) (three zhu)
Xiong Huang (Realgar) (six zhu)
Yuan Hua (Flos Genkwa)
Gan Sui (Radix Euphorbiae Kansui) (each two fen)
Grind the above four ingredients into powder, take five bi (ancient measuring spoon) with wine. Adjust dosage according to age and constitution for the elderly and young. Alternatively, make pills the size of small beans; strong individuals take seven pills. (The *Duanju* formula lacks Xiong Huang. The *Shenshi Fang* uses honey to make pills the size of large beans, taking two pills three times a day. Treats Sanjiao [Triple Burner] dysfunction leading to fluid retention outside the chest, known as Shui Bing [Water Disease]. When only the abdomen is enlarged and located superficially, use Da She Xiang Wan [Large Musk Pill]. The *Huato Fang* and *Zhoubu Houbei Fang* include Ren Shen [Codonopsis Ginseng Radix et Rhizoma] two fen, made into pills for administration.)
Formula to treat edema caused by Xu Lao [Deficiency Consumption]:
Moxibustion at Taichong (LR3) for one hundred zhuang.
Additionally, moxibustion at Shenshu (BL23).
(Six categories in total)
(One discussion, twenty-nine formulas, fifteen syndromes, one moxibustion method)
Discussion states: Humans are born with physical forms and must maintain self-cultivation and preservation. If regulation and rest are improper, hundreds of diseases will arise. Therefore, as the four seasons change, Yin and Yang alternate in prosperity. When these two qi interact violently, violent qi inevitably emerges. This "violent qi" refers to sudden strong winds and fog, extreme cold or heat occurring within each month. If not avoided in time, humans suddenly encounter these pathogens, which enter the four limbs, abruptly damage the skin, flow into the meridians, causing the couli [pores/skin texture] to become blocked, and Ying Wei [Nutritive and Defensive Qi] to stagnate. Consequently, Yin and Yang qi cannot be vented, transforming into yong ju [carbuncles and sores], ding du [carbuncles and toxic swellings], evil sores, and various swellings. Regarding Ding Zhong [Carbuncles], if not recognized early, they can cause death before noon. Thus, those who practice health preservation must recognize these formulas early, so that no sores or ulcers can escape detection.
When treating Ding Zhong [Carbuncles], prick the center until pain is felt. Then prick the surrounding areas more than ten times to allow blood to flow out. Remove the blood and apply medicine so that the medicinal power enters through the needle holes. If the medicinal power does not reach inside the sore, the treatment will be ineffective.
Furthermore, these swellings often appear on the corners of the mouth, cheeks, or tongue. Seeing red-black colors like beads, with stinging pain affecting the heart, indicates this condition. This results from cold toxins lingering in the skin during autumn and winter, transforming into this disease. If not treated immediately, the root grows day and night, flowing into various meridians, immobilizing the person like an arrow piercing the body. If one does not carefully regulate diet and sexual activity, death will follow swiftly. If not healed after five or six days, seeing fire in the eyes, mental confusion, dry mouth, and irritability indicate imminent death.
First is Mazi Ding [Hemp Seed Carbuncle]. Its appearance is a head rising from the flesh, the size of a millet seed, slightly black in color, with slightly red surroundings and much itching. Avoid eating hemp seeds and wearing hemp clothes; do not walk in hemp fields.
Second is Shi Ding [Stone Carbuncle]. Its appearance is connected to skin and flesh, dark black like black beans, very hard. Pricking does not penetrate deeply; there is dull pain inside the flesh. Avoid contact with tiles, gravel, bricks, and stones.
Third is Xiong Ding [Male Carbuncle]. Its appearance has a black head, with raised sores around the edges exuding serum, containing water, yellow in color, the size of a coin hole, and protruding high. Avoid sexual intercourse.
Fourth is Ci Ding [Female Carbuncle]. Its appearance has a slightly yellow sore head, looking inward like a moxibustion scar, with serum rising around the edges, a concave center that is red, the size of a coin hole. Avoid sexual intercourse.
Fifth is Huo Ding [Fire Carbuncle]. Its appearance resembles scalding by boiling water or burning by fire. The sore head is black, with serum rising around the edges like red millet grains. Avoid exposure to fire or hot objects.
Sixth is Lan Ding [Rotting Carbuncle]. Its appearance is slightly black with white spots. The sore ulcerates and flows with pus and water. The sore shape is the size of a spoon face. Avoid boiling hot food and rotten, smelly substances.
Seventh is Thirty-Six Ding [Thirty-Six Carbuncles]. Its appearance has a black, floating head, shaped like a black bean, with bright red surroundings. One appears today, two tomorrow, three the next day, up to ten. If it reaches thirty-six, it cannot be cured by medicine. If less than thirty-six, it is curable. Commonly called Hei Ding [Black Carbuncle]. Avoid anger and accumulating sorrow and resentment.
Eighth is Sheyan Ding [Snake Eye Carbuncle]. Its appearance has a black head floating on the skin, growing like a small bean, resembling a snake's eye, generally hard. Avoid being looked at by evil eyes, jealous people, or poisons.
Ninth is Yanku Ding [Salt Skin Carbuncle]. Its appearance is the size of a spoon face, surrounded entirely by redness, with black millet-like grains rising. Avoid salty foods.
Tenth is Shuixi Ding [Washing Water Carbuncle]. Its appearance is the size of a coin or a coin hole. The sore head is white outside and black inside, with juice exuding and hardness in the center. Avoid drinking sour water, washing with water, or crossing rivers by swimming.
Eleventh is Daolian Ding [Sickle Carbuncle]. Its appearance is wide and narrow like a leek leaf, one cun long. The flesh on the left side is black as if burned. Avoid injury from pricking, sickles, cutting, or iron knives. It can be treated with medicine.
Twelfth is Fou'ou Ding [Floating Bubble Carbuncle]. Its appearance is curved and round but slightly incomplete, long and narrow like a leek leaf, yellow inside and black outside. Pricking the black area causes no pain; pricking the yellow area causes pain.
Thirteenth is Niujiu Ding [Cow Contraction Carbuncle]. Its appearance is flesh rising, unable to be broken by pinching.
For the above thirteen types of sores, initially there is itching followed by pain, chills followed by fever. After the fever subsides, chills return. There is often heaviness in the four limbs, headache, palpitations, and blurred vision. If severe, there may be vomiting and retching, which are difficult to treat. The Mazi Ding type experiences only itching throughout. The taboo is not to touch or irritate the sore; if touched, it becomes difficult to treat. The Fou'ou Ding and Niujiu Ding types have no taboos; even if untreated, they will not kill. Their symptoms of chills and fever are the same as other Ding types. All can be treated with this formula, with absolute certainty. To know the signs of irritation, look for stiffness of the spine and unbearable extreme pain in the sore.
Formula to treat thirteen types of Ding:
Use Gouqi [Lycium Fruit], which has four names: Tianjing [Heavenly Essence] in spring, Gouqi in summer,quelao [Age-Defying] in autumn, Digut [Earth Bone] in winter. In the first month of spring, collect leaves on the Jian day; in the third month of summer, collect branches on the Jian day; in the ninth month of autumn, collect fruits on the Jian day; in the twelfth month of winter, collect roots on the Jian day. Whenever the beginning of the four seasons meets a Jian day, take the leaves, branches, fruits, and roots, all four types, and sun-dry them. If prepared on the fifth day of the fifth month at Wu hour, it is excellent. If collection cannot follow this method, obtaining just one part is sufficient. Wrap the medicine in a piece of crimson silk, limiting the quantity by circumference. Add hair clumps the size of an egg, Niu Huang [Calculus Bovis] the size of a tung tree seed, and twenty-seven reverse-hook thorns, grind into powder. Take seven Chi Xiao Dou [Adzuki Beans], grind into powder. First, thinly spread the hair clumps on the crimson silk, then spread the Niu Huang powder and others on top, sun-dry, then roll the crimson silk into a ball. Use hair as rope to tie it in a cross shape. Boil rapidly in a flatiron until bubbling. After boiling stabilizes, let it cool naturally. Scrape off, crush into powder, and sieve through silk. Take one fangcun bi (square-inch spoon). Crush the four parts of Gouqi together, sieve, and take two bi. Mix with the previous one bi, totaling three bi to ensure harmony. Divide into two portions. Take one portion on an empty stomach in the morning with wine, twice daily.