其患甚险,其害最速,生面目耳鼻之间,显而易见,生肩足衣遮之处,隐而难知。早觉
者晨
医夕愈,迟知者枉死甚多,即明枪易睹,暗箭难防之意。故妇女而患暗疔,直至发觉,误认
伤寒,致毒攻心,走黄不救。黄即毒也。如头面唇鼻肩臂手足等处生一泡,或紫红,或黄黑
者,疔也。初起刺挤恶血,见好血而止。取拔疔散插,以膏掩之,次日疔毒化脓而愈。凡属
疔毒,宜服夺命汤。
手小臂,足小腿,生如红线一条者是也。要在红线两头始末刺破,毒随血出而愈,迟则
毒入肠胃不救。
马曰∶红丝疔非刺去恶血不可,然须细看,必有红丝上延,方可用砭。否则恐是刀镰疔
,误砭立见危殆,不可不知。
马曰∶夺命汤去细辛可服。
患形阔如韭菜,长有寸余,肉色紫黑者是也。忌行针刺,以生矾三钱,葱白七根,共捣
烂作
七块,葱汤逐块送下,盖暖取汗,无汗再服葱汤催之,汗出为度。取烂鸡屎涂患立愈。迟则
毒扫心腑致命。
马曰∶忌行针刺极是。方亦平妥可用。
陶曰∶疔疮走黄,用芭蕉根捣敷之,立愈。
疔毒发肿神昏,谓之走黄。如在将昏之际,急取回疔散二钱,开水送服。少刻大痛,痛
则许救,毒化黄水,痛止命活。
杨梅疮,又谓棉花、广豆、广疮,因形而名。然其感毒无二,以化毒为贵,熏罨为忌,
罨定
复发难治。初发以三黄丸,每日五鼓取四钱,热陈酒送服,醉盖取汗。或以泻肝汤,每日
早晚轮服。昔书所载升药为丸,雄黄为衣,粥饮送服,或点药条一根,口含冷水之法。后学
万不可因此不费药资,致伤人命,自召天诛。
如有因服升药并药条熏罨复发,在五日之内,日服三黄丸,再取紫银茶时饮。如溃,以
渣煎汤,患处日洗两度,接服圣灵丹,可祛毒尽,色转红活,用洞天膏贴收功。
即如下疳、蜡烛卸等毒,总不离此前治诸法。倘疼痛难忍,以圣灵丹五分,数服奏功。
如溃
烂,俟毒退痛止,色转红活,当以药撒生肌。如阳物硬而不痿,白精流出,此乃妒精。用破
故纸、韭菜子各一两为末,每服六钱,水一碗,煎半碗服。如见愈,宜以药剩,倘毒重,服
圣灵丹,无不痊愈。
马曰∶此即江湖术士之隐药,万不可用。
马曰∶升药用水银炼成,误服,毒收入骨,须用青铅、川椒,方能解之。
这种病症非常危险,危害最为迅速。如果生在面目耳鼻等部位,显而易见;如果生在肩足等被衣物遮盖的地方,隐蔽而难以察觉。早期发现者,早晨就医晚上即可痊愈;发现较晚者,往往枉死甚多,这正是“明枪易躲,暗箭难防”的意思。所以妇女如果患有暗疔,直到发觉时,常被误认为是伤寒,导致毒气攻心,发生走黄(毒邪内陷)而无法救治。“黄”指的就是毒邪。例如在头面、唇鼻、肩臂、手足等处生出一个水泡,颜色呈紫红或黄黑色的,就是疔疮。初起时应刺破挤出恶血,见到好血为止。插入取拔疔散,用膏药覆盖,次日疔毒化脓即可痊愈。凡是属于疔毒的,适宜服用夺命汤。
在手小臂、足小腿处,生出一条红线状的,就是红丝疔。关键在于将红线两端的起始和末端刺破,毒随血液排出即可痊愈,拖延则毒邪进入肠胃无法救治。马曰:红丝疔必须刺去恶血不可,但须仔细观察,必须有红丝向上蔓延,才可用砭石放血。否则恐怕是刀镰疔,误用砭石立刻就会危及生命,这一点不可不知道。马曰:服用夺命汤时可去掉细辛。
患部形状宽阔如韭菜叶,长度有一寸多,肉质颜色紫黑的是白口疔(注:原文未明示病名,根据描述特征推断为某种特定疔疮,此处依文意直译)。忌用针刺,用生矾三钱,葱白七根,共同捣烂分成七块,用葱汤逐块送服,盖暖身体促使出汗,若无汗再服葱汤催之,以出汗为度。再用腐烂鸡屎涂抹患处,立即痊愈。拖延则毒邪扫荡心腑致命。马曰:忌用针刺非常正确。此方也平稳妥当可以使用。陶曰:疔疮发生走黄,用芭蕉根捣碎敷贴,立即痊愈。
疔毒发作导致肿胀神志昏迷,称为走黄。如果在即将昏迷之际,急忙取回疔散二钱,开水送服。片刻后剧烈疼痛,疼痛说明可以救治,毒化为黄水,疼痛停止则性命可保。
杨梅疮,又被称为棉花疮、广豆疮、广疮,因其形态而得名。然而其感受毒邪并无二致,以化解毒邪为贵,熏蒸和密闭敷贴为禁忌,密闭敷贴定会导致复发且难以治疗。初发时服用三黄丸,每天五更天取四钱,用热陈酒送服,醉酒后盖被取汗。或者服用泻肝汤,每天早晚轮流服用。古书记载用升药制成丸剂,雄黄为衣,粥饮送服,或者含一根药条,口中含着冷水的方法。后学者千万不要因为这样不费药资,而导致伤人命,自招天谴。
如果有因服用升药并用药条熏敷导致复发的,在五日内,每天服用三黄丸,再取紫银茶随时饮用。如果已经溃烂,用渣滓煎汤,患处每天清洗两次,接着服用圣灵丹,可以祛尽毒邪,肤色转为红润鲜活,再用洞天膏贴敷收功。
即使是下疳、蜡烛卸等毒症,总离不开此前治疗的诸种方法。倘若疼痛难忍,服用五分圣灵丹,数次服用即可见效。如果溃烂,等到毒退痛止,肤色转为红润鲜活时,应当撒药生肌。如果阳物坚硬而不痿软,白精流出,这是妒精。用破故纸、韭菜子各一两研为末,每次服用六钱,用水一碗,煎至半碗服用。如果见愈,宜停药;倘若毒重,服用圣灵丹,无不痊愈。
马曰:这就是江湖术士的隐药,万万不可使用。
马曰:升药用水银炼制而成,误服后,毒邪深入骨骼,必须用青铅、川椒,才能解之。
This condition is extremely dangerous, and its harm is most rapid. If it arises in the areas of the face, eyes, nose, or ears, it is obvious; if it arises in the shoulders or feet where covered by clothing, it is hidden and difficult to know. Those who perceive it early may be cured by evening if treated in the morning; those who realize it late often die in vain, which is the meaning of "open spears are easy to guard against, but hidden arrows are hard to defend." Therefore, if women suffer from hidden Ding (carbuncle/furuncle), until it is discovered, it is often mistaken for Shanghan (Cold Damage syndrome), causing the toxin to attack the heart and leading to Zouhuang (spreading yellow/toxin invasion) which is incurable. "Huang" refers to the toxin. For example, if a blister appears on the head, face, lips, nose, shoulders, arms, hands, or feet, and is purple-red or yellow-black, it is a Ding (carbuncle). At the initial stage, prick and squeeze out the evil blood until good blood appears. Insert Qu Ba Ding San (Extracting Carbuncle Powder), cover with ointment, and the next day the Ding toxin will suppurate and heal. All Ding toxins should take Duo Ming Tang (Life-Snatching Decoction).
On the little arm and lower leg, if a red thread-like line appears, it is Hong Si Ding (Red Thread Carbuncle). The key is to prick the beginning and end of the red thread, allowing the toxin to exit with the blood, resulting in cure; delaying allows the toxin to enter the intestines and stomach, making it incurable. Ma said: Hong Si Ding must have the evil blood pricked out, but one must look carefully; only if there is a red thread extending upward can Bian Shi (stone lancet) be used. Otherwise, it might be Dao Lian Ding (Knife Scythe Carbuncle), and misusing Bian Stone will immediately cause danger, which must not be ignored. Ma said: Duo Ming Tang can be taken after removing Xixin (Asarum).
The lesion is wide like a leek leaf, more than an inch long, with flesh color purple-black. Needles and acupuncture are contraindicated. Take Sheng Fan (Raw Alum) 3 qian, and 7 stalks of white onion, pound them together into a paste, divide into seven pieces, and swallow each piece with scallion water. Keep warm to induce sweating; if no sweat, take more scallion water to promote it, stopping when sweat appears. Apply rotten chicken manure to the lesion for immediate cure. Delaying allows the toxin to sweep through the heart and viscera, causing death. Ma said: Contraindicating needles and acupuncture is very correct. This prescription is also safe and usable. Tao said: For Ding sores suffering from Zouhuang, apply pounded banana root to the site for immediate cure.
When Ding toxin causes swelling and coma, it is called Zouhuang. If at the verge of fainting, urgently take Hui Ding San (Return Carbuncle Powder) 2 qian, taken with boiled water. After a short while, severe pain occurs; pain indicates that rescue is possible. When the toxin transforms into yellow fluid and pain stops, life is saved.
Yangmei Chuang (Syphilis/Kapok Sore), also known as Mian Hua Chuang (Cotton Sore), Guang Dou Chuang, or Guang Chuang, is named after its shape. However, the toxin contracted is no different; resolving the toxin is precious, while fumigation and occlusive application are contraindicated. Occlusive application leads to recurrence and is difficult to treat. At initial onset, take San Huang Wan (Three Yellows Pill), 4 qian every day at Wu Geng (early morning), taken with hot aged wine, drunk until intoxicated, then covered to induce sweat. Alternatively, take Xie Gan Tang (Drain Liver Decoction), taken alternately morning and evening. Ancient texts record using Sheng Yao (Ascend Drug) made into pills, coated with Xionghuang (Realgar), taken with porridge drink, or inserting one medicinal stick, holding cold water in the mouth. Later learners must not avoid this due to lack of medication cost, thereby harming lives and inviting heavenly punishment.
If recurrence occurs due to taking Sheng Yao and fumigating/applying medicinal sticks, within five days, take San Huang Wan daily, and drink Zi Yin Cha (Purple Silver Tea) as needed. If ulcerated, decoct the dregs and wash the lesion twice daily, then continue taking Sheng Ling Dan (Holy Spirit Elixir) to expel all toxins, turning the skin color red and vibrant. Finally, apply Dong Tian Gao (Cave Heaven Ointment) to conclude treatment.
Even for toxins such as Xia Gan (Chancre) and La Zhu Xie (Candle Residue Toxin), they generally do not depart from the aforementioned treatments. If pain is unbearable, take 5 fen of Sheng Ling Dan, which will work after several doses. If ulcerated, wait until the toxin recedes, pain stops, and the color turns red and vibrant, then sprinkle medicine to generate flesh. If the penis remains hard without flaccidity, and white essence flows out, this is Du Jing (Jealous Essence). Take Po Gu Zi (Fructus Psoraleae) and Jiu Cai Zi (Fructus Allii Tuberosi), each 1 liang, powdered. Take 6 qian per dose, decocted in one bowl of water until half a bowl remains, then drink. If healing is seen, stop the medicine; if the toxin is heavy, take Sheng Ling Dan, and recovery is assured.
Ma said: This is the hidden medicine of itinerant quacks; it must never be used.
Ma said: Sheng Yao is refined from Mercury. If mistakenly ingested, the toxin enters the bones, requiring Qing Qian (Lead) and Chuan Jiao (Sichuan Pepper) to resolve it.