病源癣病之状,皮肉瘾疹如钱文,渐渐增长,或圆或斜,痒痛,有匡郭,里生虫,搔之
有汁,此由风湿邪气客于腠理,复值寒湿与血气相搏,则血气痞涩,发此疾,按九虫论云,
蛲虫在人肠内,变化多端,发动亦能为癣,而癣内实有虫也,养生方云,夏勿露面卧,露下
堕面,皮浓及喜成癣。(出第三十五卷中)
肘后疗癣疮方。
独活根去土,捣之一把许,附子二枚炮捣,以好酒和涂之,三日乃发,欲敷药,先以皂
荚汤洗拭令干,然后敷药便愈。(出上卷中)
深师疗癣秘方。
雄黄(一两研) 硫黄(一两研) 羊蹄根(一两) 白糖(一两) 荷叶(一两)
上五味,以后三种捣如泥,合五种更捣,和调以敷之,若强以少蜜解之令濡,不过三瘥
又疗癣神验方。
用雄黄研,以淳苦酒先和,以新布拭癣上令伤,以药涂之,神效。
又方
菖蒲细切,取五升,以水五斗,煮取二斗,以酿二斗米如酒法,熟极饮,令得极醉,即
愈,未瘥更作,无有不愈,一云长服菖蒲末,酒调并作丸佳。
又方
取干蟾蜍烧灰末,以猪脂和涂之良。(出第二十卷中)
千金翼疗癣秘方。
捣羊蹄根,分着瓷中,以白蜜和之,刮疮四边令伤,先以蜜和者敷之,如炊一石米久拭
去,更以三年大醋和之,以敷癣上,燥便瘥,若刮疮处不伤,即不瘥。(深师同出第二十三
卷中)
救急疗癣方。
先以针镰癣上,即捣瓜蒂末敷上,仍先以泔洗之。
又方
烊松脂捣熏黄末,和更煎仍以泔清洗癣,乃热敷之,一两度即瘥。(并出第五卷中)
必效疗癣方。
淳甲煎涂之愈,好口脂亦得。
又方
附子(一枚炮) 大皂荚(一枚炙) 九月九日茱萸(四合)
上三味为散,揩癣上令汁出,敷之,干癣苦酒和涂之。(深师古今录验同并出第四卷中)
古今录验疗癣方。
作麻浮敷癣上,裹之瘥,麻浮不瘥,以盐及豉和捣涂之,即瘥止。
【背景信息】
书名:外台秘要 作者:王焘 朝代:唐·天宝十一年 章节:癣疮方一十一首 类别:方剂
【原文翻译】
疾病源流中关于癣病的描述,其症状表现为皮肤肌肉出现瘾疹(风团样皮疹),形状像铜钱上的纹路,逐渐扩大,形态或圆或斜,伴有瘙痒和疼痛,边缘清晰界限分明,内部滋生虫邪,搔抓后有汁液渗出。这是由于风湿邪气侵入腠理(皮肤纹理及皮下组织间隙),又恰逢寒湿之气与血气相互搏结,导致血气运行阻滞不畅,从而引发此病。根据《九虫论》记载,蛲虫存在于人的肠道内,变化多端,发作时也能形成癣症,而癣症内部确实存在虫邪。《养生方》指出,夏季不要露脸睡觉,露水落下滴在脸上,会导致皮肤增厚并容易生成癣症。(出自第三十五卷)
《肘后备急方》治疗癣疮的方子。
取独活根去除泥土,捣碎约一把的量,附子两枚炮制后捣碎,用优质酒调和涂抹患处,三天后药效发作。欲敷药前,先用皂荚汤清洗擦拭患处至干燥,然后敷药即可痊愈。(出自上卷)
《深师方》治疗癣症的秘方。
雄黄(一两,研细) 硫黄(一两,研细) 羊蹄根(一两) 白糖(一两) 荷叶(一两)
以上五味药,将后三种药捣成泥状,与五种药一起再次捣匀,调和后敷于患处。如果药太干硬,可加少量蜂蜜稀释使其湿润,不超过三次即可痊愈。
又一方治疗癣症的神效方。
取雄黄研细,先用纯正的苦酒(醋)调和,用新布擦拭癣处使其破损,然后将药涂在上面,效果神奇。
又一方
菖蒲细细切碎,取五升,用水五斗,煮取二斗液体,按照酿酒的方法发酵二斗米,煮熟后极饮,令患者极度醉酒,即可痊愈。若未愈可再制作服用,没有不愈的。另一种说法是长期服用菖蒲粉末,用酒调服并制成丸剂更佳。
又一方
取干蟾蜍烧成灰末,用猪脂调和涂抹,效果良好。(出自第二十卷)
《千金翼方》治疗癣症的秘方。
捣碎羊蹄根,分装放入瓷容器中,用白蜜调和,刮破癣疮四周使其受损,先以蜜调和的药敷之,如同蒸一石米所需的时间后拭去,再用陈年大醋调和敷于癣上,干燥后即可痊愈。如果刮破疮处未造成损伤,则无法痊愈。(《深师方》相同,出自第二十三卷)
救急治疗癣方的方法。
先用针镰刺破癣处,随即捣碎瓜蒂末敷在上面,之前先用淘米水清洗。
又一方
熔化松脂,捣入熏黄末,混合后再煎煮,仍先用淘米水清洗癣处,然后热敷,一到两次即可痊愈。(均出自第五卷)
《必效方》治疗癣方的方法。
用淳甲煎涂抹可愈,好的口脂(唇膏/护肤品)也可以。
又一方
附子(一枚,炮制) 大皂荚(一枚,炙烤) 九月九日的茱萸(四合)
以上三味药研为散剂,揩擦癣处使其渗出汁液,然后敷药。对于干癣,用苦酒(醋)调和涂抹。(《深师方》、《古今录验》相同,均出自第四卷)
《古今录验》治疗癣方的方法。
用麻浮敷于癣处,包裹起来即可痊愈。若麻浮无效,用盐和豉(豆豉)调和捣碎涂抹,即可痊愈停止发展。
[Background Information]
Book: Waitai Miyao (Essential Prescriptions Worth a Thousand Gold for Emergencies)
Author: Wang Tao
Dynasty: Tang Dynasty, Tianbao 11th Year
Chapter: Eleven Formulas for Tinea and Scabies
Category: Formulas
[English Translation]
The etiology of tinea describes its manifestations as skin eruptions resembling coin patterns, gradually expanding in circular or oblique shapes, accompanied by itching and pain, with distinct borders. Parasitic worms are generated within the lesions, and scratching yields exudate. This condition arises from wind-damp pathogenic factors invading the couli (interstitial spaces of the skin and muscles), compounded by cold-dampness clashing with blood and qi, causing stagnation and obstruction of blood and qi circulation. According to the "Treatise on Nine Worms," pinworms reside in the intestines and can transform into various forms; their activation may also induce tinea, confirming the presence of actual parasites within tinea lesions. The "Prescriptions for Health Preservation" states that one should not sleep with an exposed face in summer, as falling dew on the face causes skin thickening and predisposition to tinea. (From Volume 35)
Formulas for treating tinea from *Zhouhou Beiji Fang* (Emergency Prescriptions Kept Up the Sleeve).
Take fresh roots of *Angelica pubescens* (Duhuo), remove soil, and crush approximately one handful. Take two prepared tubers of *Aconitum carmichaelii* (Fuzi), prepare them by processing, and crush. Mix with fine wine and apply topically. The effect manifests after three days. Before application, wash the lesion thoroughly with soap pod decoction until dry, then apply the medicine for cure. (From Upper Volume)
Secret formula for treating tinea from *Shenshi Fang*.
Realgar (1 liang, ground), Sulfur (1 liang, ground), Root of *Rumex japonicus* (Yangti Gen, 1 liang), White sugar (1 liang), Lotus leaf (1 liang).
Pulverize the latter three ingredients into a paste, mix with all five ingredients, grind together, blend, and apply. If too hard, add a little honey to moisten it. It will heal in no more than three applications.
Another miraculous formula for tinea.
Grind Realgar, mix first with pure vinegar (Ku Jiu). Wipe the tinea area with a new cloth until slightly injured, then apply the medicine. Highly effective.
Another formula.
Finely cut Calamus root (Changpu), take 5 sheng. Boil in 5 dou of water until reduced to 2 dou. Use this liquid to ferment 2 dou of rice according to wine-making methods. Drink until extremely intoxicated when fully cooked. It cures immediately. If not healed, repeat preparation. There is no case that does not heal. Another version suggests long-term consumption of Calamus powder mixed with wine, formed into pills, which is better.
Another formula.
Burn dried toad (Gan Chan Chu) to ash, mix with lard (Zhu Zhi), and apply topically. Effective. (From Volume 20)
Secret formula for treating tinea from *Qianjin Yifang*.
Crush *Rumex japonicus* root (Yangti Gen), place in porcelain containers, mix with white honey. Scrape the edges of the tinea lesion until injured. Apply the honey-mixed medicine first. After the time it takes to steam one dan of rice, wipe off. Then mix with aged strong vinegar and apply to the tinea. It heals upon drying. If the scraped area is not injured, it will not heal. (Same as *Shenshi Fang*, From Volume 23)
Emergency formula for treating tinea.
First, prick the tinea with a needle blade, then apply crushed Galla Chinensis endophyte powder (Gua Di Mo) on top. Wash beforehand with starchy water (from washing rice).
Another formula.
Melt Pine resin (Song Zhi), mix with ground Realgar (Xun Huang), boil again. Wash the tinea with starchy water first, then apply hot compress. Heals in one or two treatments. (Both from Volume 5)
Formula for treating tinea from *Bixiao Fang*.
Apply Chun Jia Jian (a specific medicinal preparation); it cures. Good lip balm/cosmetic is also acceptable.
Another formula.
Prepared Aconite tuber (Fuzi, 1 piece), Large Soap Pod (Da Zao Jia, 1 piece, roasted), Cornus officinalis fruit (Zhu Yu, harvested on the 9th day of the 9th lunar month, 4 he).
Grind these three into powder. Rub onto the tinea until exudate appears, then apply. For dry tinea, mix with vinegar (Ku Jiu) and apply. (Same as *Shenshi Fang* and *Gujin Luyuan*, From Volume 4)
Formula for treating tinea from *Gujin Luyuan*.
Apply hemp fibers (Ma Fu) to the tinea and wrap it; it heals. If hemp fibers do not work, mix salt and fermented soybeans (Chi) and apply the crushed mixture; it heals and stops spreading.