短剧代指者,其状先肿, 热痛,色不黯黑,然后缘爪甲边结脓,剧者爪皆脱落,亦
谓之代指病也。
又代指无毒,正由人筋骨中热盛撮结故耳,吴人名遭指,野夫名为土卢,即皆是代指疾
也
,疗方。
单煮甘草汁渍之,或用芒硝汤渍之,捣青菜汁拓之,但得一种浸拓之,即瘥。(千金同)
肘后疗代指方。
以猪膏和白 敷之,数易瘥止。(深师千金翼同白 一作蛐 土)
又方
以指刺炊上热饭中七遍。(文仲集验深师千金范汪同)
又方
取梅核中熟捣,以淳苦酒和敷之,须臾瘥止。(文仲同)
又指忽掣痛不可忍方。
灸指头痛处七壮愈。(千金同)
又指端忽发疮方。
烧铁令热,勿令赤,以灼之,上二方俱主代指。(并出第五卷中)
千金翼疗代指方。
先刺去脓,蛐炙 皮令热,以裹缚指令周匝,痛即止,便愈。(千金同出第二十三卷中)
崔氏论代指者,是五脏之气使然,流注于十二源经脉,热冲手指不还,即代指也。
当取热汤急渍之,即出,使满七度,便以冷水中浸之讫,又复浸之,如此三度,即涂羊
胆愈,未成脓,此方甚效,或以猪胆盛代指缠之瘥。(本方云讫干封桂末便愈出第四卷中)
备急疗手指忽肿痛不已者,名为代指方。
和泥泥指令遍周匝,浓一寸许,以热灰中炮之令燥,视皮皱即愈,不皱者更为之,良。
(文仲深师范汪同)
又方
取粱米粉铁铛中熬令赤,以众人唾和之,涂上,令浓一寸,即消。
又方
小便和盐作泥浓裹之,数易瘥, 针刺血出最妙。(出第五卷中)
治疗代指病的方剂十一首。
所谓“短剧代指”,其症状表现为先出现肿胀,伴有灼热疼痛,肤色不呈黯黑色,随后在指甲边缘形成脓液;病情严重者指甲会全部脱落,这也称为代指病。
另外,代指并无大毒,主要是由于人体筋骨中热盛聚集所致。吴地人称之为“遭指”,乡野农夫称之为“土卢”,这些名称指的皆是代指这一疾病。以下是治疗方法。
单方:单独煎煮甘草汁浸泡患处,或者用芒硝汤浸泡,捣碎青菜取汁外敷。只要采用其中一种方法浸泡或外敷,即可痊愈。(《千金方》记载相同)
《肘后备急方》治疗代指的方剂。
用猪脂(猪油)调和白及粉敷于患处,多次更换直至痊愈。(《深师方》、《千金翼方》记载相同,其中“白及”一作“蛐土”)
又一方:
将患指插入刚蒸好的热饭中七次。(《文仲方》、《集验方》、《深师方》、《千金方》、《范汪方》记载相同)
又一方:
取梅核中的仁熟捣,用纯正的苦醋调和后敷于患处,片刻后即可痊愈。(《文仲方》记载相同)
又治手指突然抽掣疼痛难以忍受的方剂。
在手指疼痛处施灸七壮即可痊愈。(《千金方》记载相同)
又治手指端突然生疮的方剂。
烧红铁器使其发热,但不要烧至通红,用它来灼烫患处。以上两个方子均主治代指病。(均出自本书第五卷)
《千金翼方》治疗代指的方剂。
先刺破排出脓液,将蛐土皮烤热,包裹并缠绕手指使其周匝覆盖,疼痛即止,随即痊愈。(《千金方》记载相同,出自第二十三卷)
崔氏论述代指病,认为是五脏之气失调所致,热气流注于十二经脉,冲逆于手指而不消散,便形成代指病。
应当取热水迅速浸泡患处,取出后再泡,如此反复满七次,然后用冷水浸泡,再重复浸泡过程,像这样进行三次,最后涂抹羊胆即可痊愈。若尚未化脓,此方非常有效;也有人用猪胆盛装代指部位缠绕,也能痊愈。(本方原文说:处理后干燥封固,撒上桂末即可痊愈,出自第四卷)
和泥涂抹手指,使其周匝覆盖,厚度约一寸,放入热灰中烘烤至干燥,观察皮肤起皱即愈;若不皱则再做一次,效果良好。(《文仲方》、《深师方》、《范汪方》记载相同)
又一方:
取米粉放入铁锅中炒至发红,用众人的唾液调和,涂在患处,厚度约一寸,即可消肿。
又一方:
用尿液和盐调成浓稠的泥状包裹患处,多次更换可痊愈,针刺放血最为妙效。(出自第五卷)
Eleven Formulas for Treating Dai Zhi (Paronychia)
The condition known as "Duan Ju Dai Zhi" initially presents with swelling, accompanied by burning pain and a skin color that is not dark or black. Subsequently, pus forms along the nail margins. In severe cases, all fingernails may fall off; this is also referred to as Dai Zhi disease.
Furthermore, Dai Zhi is not highly toxic; it arises primarily from excessive heat accumulation within the tendons and bones. In the Wu region, it is called "Zao Zhi," while rural folk refer to it as "Tu Lu." These names all denote the same disease entity, Dai Zhi. The following are treatment formulas.
Single Herb Formula:
Decoct Licorice Root (Gancao, 甘草) alone in water and soak the affected area. Alternatively, soak in a solution of Mirabilite (Mangxiao, 芒硝), or apply juice extracted from crushed green vegetables. Employing any one of these methods for soaking or topical application will lead to recovery. (Identical record found in *Qianjin Fang*)
Formula from *Zhou Hou Bei Ji Fang* for treating Dai Zhi:
Apply a mixture of Pig Fat (Zhugao, 猪膏) and White Rhizome of Bletilla (Baiji, 白及) to the lesion. Change the dressing frequently until healed. (Identical records found in *Shen Shi Fang* and *Qianjin Yi Fang*; note: "Baiji" is alternatively written as "Qu Tu")
Another Formula:
Insert the affected finger into freshly steamed hot rice seven times. (Identical records found in *Wen Zhong Fang*, *Ji Yan Fang*, *Shen Shi Fang*, *Qianjin Fang*, and *Fan Wang Fang*)
Another Formula:
Take the kernels from plum pits, crush them thoroughly, and mix with pure sour vinegar (Ku Jiu, 苦酒). Apply topically. Recovery occurs after a short period. (Identical record found in *Wen Zhong Fang*)
Another Formula for Sudden, Unbearable Twitching Pain in the Finger:
Moxibustion applied to the site of pain on the finger for seven moxa cones (Zhuang, 壮) results in cure. (Identical record found in *Qianjin Fang*)
Another Formula for Sudden Abscess Formation at the Finger Tip:
Heat an iron instrument until hot, but do not let it glow red-hot. Use it to cauterize the lesion. Both of the above formulas are indicated for Dai Zhi. (Both sourced from Volume 5 of this text)
Formula from *Qianjin Yi Fang* for treating Dai Zhi:
First, lance the abscess to drain the pus. Heat the skin of Qu Tu (likely referring to a specific plant bark or root, contextually linked to Baiji or similar herbs) and wrap/bind it around the finger completely. The pain will cease, and healing will follow. (Identical record found in *Qianjin Fang*, sourced from Volume 23)
Cui Shi’s Discussion on Dai Zhi:
Dai Zhi is caused by the dysfunction of Qi in the Five Viscera (Wu Zang, 五脏). Heat flows into the twelve primary meridians (Shi Er Yuan Jing Mai, 十二源经脉) and rushes upward to the fingers without dissipating, resulting in Dai Zhi.
One should quickly soak the affected part in hot water, remove it, and repeat this process seven times. Then, soak it in cold water, repeating the cycle three times in total. Finally, apply Sheep Gallbladder (Yang Dan, 羊胆) to heal the wound. If the abscess has not yet formed pus, this formula is highly effective. Alternatively, some use a pig gallbladder to hold and wrap the affected finger, which also leads to recovery. (The original text of this formula states: After drying and sealing, applying Cinnamon Bark powder (Gui Mo, 桂末) leads to cure. Sourced from Volume 4)
Emergency Formula from *Bei Ji Qian Jin Yao Fang* for Sudden, Unremitting Swelling and Pain of the Fingers, Named Dai Zhi:
Mix mud and apply it around the entire finger to a thickness of approximately one cun (approx. 3.3 cm). Bake it in hot ashes until dry. Observe if the skin wrinkles; if so, it is cured. If not, repeat the process. This is effective. (Identical records found in *Wen Zhong Fang*, *Shen Shi Fang*, and *Fan Wang Fang*)
Another Formula:
Stir-fry Rice Flour (Liang Mi Fen, 粱米粉) in an iron pan until red-hot. Mix with saliva from multiple people and apply to the lesion to a thickness of one cun. The swelling will subside.
Another Formula:
Mix urine with salt to form a thick paste, wrap the affected area, and change frequently until healed. Pricking the area to release blood is considered the most excellent method. (Sourced from Volume 5)