治蚍蜉漏,始发于颈,初得之如伤寒。此得之食中有蚍蜉毒不去,其根在肾。 石主
之,防风为之佐方。
石 防风 知母 雌黄 桃白皮 干地黄 独活 青黛 斑蝥 白芷 松脂(一作柏
脂) 芍药 海藻 当归(各二分) 白术 皮(各四分) 蜀椒(百粒)
上十七味,治下筛,饮服一钱匕,日三。
治蛴螬漏,始发于颈下无头尾,如枣核块累移在皮中,使人寒热心满。此得之喜怒哭
泣,其根在心。矾石主之,白术为之佐方。
矾石 白术 空青 当归(各二分) 细辛(一两) 皮 斑蝥 枸杞 地胆(各一
分)
干乌脑(三大豆许)
上十味,为末,以醋浆服方寸匕,日三。病在上侧轮卧,在下高枕,以便药流下。
治浮沮漏,始发于颈如两指,使人寒热欲卧。此得之忧愁思虑,其根在胆。地胆主之,
甘草为之佐方。
地胆 雄黄 干姜 续断 石决明 根 龙胆草(各三分) 甘草(一分) 细辛
(二
分) 大黄(半分)
上十味,治下筛,敷疮,日四五度。(《古今录验》无雄黄,有硫黄)。
治瘰 漏,始发于颈有根,初苦痛,令人寒热。此得之因新沐湿结发,汗流于颈所致,
其根在肾。雌黄主之,芍药为之佐方。
雌黄 芍药 茯苓 续断 干地黄 空青 石 干姜 桔梗 蜀椒 恒山 虎肾
狸肉 乌脑 斑蝥 矾石(各一分) 附子(一两)
上十七味,为末,蜜丸,如大豆,酒服十丸,日二。
治疗蚍蜉漏(一种因蚍蜉毒引起的瘘管),病证开始于颈部,初起时症状类似伤寒。这是由于饮食中摄入的蚍蜉毒素未能清除所致,病根在肾。以石为主药,防风为辅助药物组成方剂。
石、防风、知母、雌黄、桃白皮、干地黄、独活、青黛、斑蝥、白芷、松脂(另一种说法是柏脂)、芍药、海藻、当归(各二分)、白术、皮(各四分)、蜀椒(一百粒)。
以上十七味药,捣碎并过筛,用温水送服一钱匕大小的药量,每日三次。
治疗蛴螬漏(一种皮下结节状瘘管),病证开始于颈下,没有明显的头尾,像枣核大小的块状物在皮肤中游移,使人感到忽冷忽热且胸脘痞满。这是由于情绪喜怒或哭泣过度所致,病根在心。以矾石为主药,白术为辅助药物组成方剂。
矾石、白术、空青、当归(各二分)、细辛(一两)、皮、斑蝥、枸杞、地胆(各一分)、干乌脑(约三大豆大小)。
以上十味药,研成粉末,用醋浆送服一方寸匕大小的药量,每日三次。如果病变部位在上部,侧身卧位;如果在下部,垫高枕头,以便药力向下流动。
治疗浮沮漏(一种伴有寒热的瘘管),病证开始于颈部如两指宽,使人感到寒热欲睡。这是由于忧愁思虑过度所致,病根在胆。以地胆为主药,甘草为辅助药物组成方剂。
地胆、雄黄、干姜、续断、石决明、根、龙胆草(各三分)、甘草(一分)、细辛(二分)、大黄(半分)。
以上十味药,捣碎并过筛,外敷于疮口,每日四到五次。(《古今录验》方中没有雄黄,有硫黄)。
治疗瘰疬漏(颈部淋巴结结核溃破形成的瘘管),病证开始于颈部有根基,起初痛苦,令人感到寒热。这是由于刚洗头后头发湿润打结,汗水流至颈部所致,病根在肾。以雌黄为主药,芍药为辅助药物组成方剂。
雌黄、芍药、茯苓、续断、干地黄、空青、石、干姜、桔梗、蜀椒、恒山、虎肾、狸肉、乌脑、斑蝥、矾石(各一分)、附子(一两)。
以上十七味药,研成粉末,用蜂蜜制成丸药,大小如大豆,用酒送服十丸,每日两次。
To treat *Pifu* fistula (a fistula caused by the toxin of *Pifu*, an ant), which initially manifests on the neck and resembles *Shanghan* (Cold Damage disease) at onset. This condition arises from the failure to eliminate toxins from *Pifu* ingested in food, with its root in the Kidney (*Shen*). The principal herb is Shi (Stone/Mineral), assisted by Fangfeng.
Shi (Stone/Mineral), Fangfeng (Saposhnikovia Root), Zhimu (Anemarrhena Rhizome), Cihuang (Realgar), Taobaipi (Peach Bark), Gan Dihuang (Prepared Rehmannia Root), Duhuo (Angelica Pubescens Root), Qingdai (Indigo Naturalis), Banmao (Mylabris), Baizhi (Angelica Dahurica), Songzhi (Pinus Resin) [alternative: Baizhi (Cupressus Resin)], Shaoyao (Peony Root), Haizao (Sargassum), Danggui (Angelica Sinensis) [each 2 fen], Baizhu (Atractylodes Macrocephala Rhizome), Pi (Bark) [each 4 fen], Shujiao (Sichuan Pepper) [100 grains].
The above seventeen ingredients are crushed, sifted, and taken orally with water, one *qianbi* (approx. 1-2 grams) per dose, three times daily.
To treat *Qicao* fistula (a subcutaneous nodular fistula), which initially appears below the neck without distinct head or tail, resembling a jujube pit-sized mass migrating within the skin, causing alternating chills and fever along with chest and epigastric fullness. This condition results from excessive anger, joy, or weeping, with its root in the Heart (*Xin*). The principal herb is Fanshi (Alum), assisted by Baizhu.
Fanshi (Alum), Baizhu (Atractylodes Macrocephala Rhizome), Kongqing (Azurite), Danggui (Angelica Sinensis) [each 2 fen], Xixin (Asarum) [1 liang], Pi (Bark), Banmao (Mylabris), Gouqi (Lycium Fruit), Di Dan (Euphorbia Kansui Root) [each 1 fen], Gan Wunao (Dried Toad Venom/Gland) [size of three large soybeans].
The above ten ingredients are ground into powder, taken orally with vinegar solution, one *cunbi* (approx. 3-5 grams) per dose, three times daily. If the lesion is located superiorly, lie on one side; if inferiorly, use a high pillow, to facilitate the downward flow of the medicine.
To treat *Fuju* fistula (a fistula accompanied by chills and fever), which initially appears on the neck like two fingers wide, causing chills, fever, and drowsiness. This condition results from excessive worry and overthinking, with its root in the Gallbladder (*Dan*). The principal herb is Di Dan, assisted by Gancao.
Di Dan (Euphorbia Kansui Root), Xionghuang (Realgar), Ganjiang (Dried Ginger), Xuduan (Dipsacus Root), Shijueming (Concha Haliotidis), Gen (Root), Longdancao (Gentiana Root) [each 3 fen], Gancao (Licorice Root) [1 fen], Xixin (Asarum) [2 fen], Dahuang (Rhubarb Root) [half fen].
The above ten ingredients are crushed, sifted, and applied topically to the ulcer, four to five times daily. (In *Gujin Luyan*, Xionghuang is omitted and Liuhuang [Sulfur] is included).
To treat *Luoli* fistula (fistula resulting from ruptured cervical lymphatic tuberculosis), which initially appears on the neck with a fixed base, causing initial pain and chills/fever. This condition results from wet hair being tied up after washing, with sweat flowing onto the neck, with its root in the Kidney (*Shen*). The principal herb is Cihuang, assisted by Shaoyao.
Cihuang (Realgar), Shaoyao (Peony Root), Fuling (Poria), Xuduan (Dipsacus Root), Gan Dihuang (Prepared Rehmannia Root), Kongqing (Azurite), Shi (Stone/Mineral), Ganjiang (Dried Ginger), Jiegeng (Platycodon Root), Shujiao (Sichuan Pepper), Hengshan (Polygala Root), Hushen (Tiger Kidney), Li Rou (Fox Meat), Wunao (Toad Venom/Gland), Banmao (Mylabris), Fanshi (Alum) [each 1 fen], Fuzi (Prepared Aconite Root) [1 liang].
The above seventeen ingredients are ground into powder, mixed with honey to form pills the size of soybeans, taken orally with wine, ten pills per dose, twice daily.