丹皮汤 治胃痈肠痈。腹肿痞坚。按之即痛。脉迟而紧者。脓未成也。宜此汤下之。
丹皮(一钱) 栝蒌仁(一钱) 桃仁泥(二钱) 朴硝(二钱) 大黄(五钱)
水二钟。煎一钟。去渣。入硝再煎数滚。不拘时服。
赤豆薏苡仁汤 治胃痈脉洪数者。脓已成也。宜此排之。
赤小豆 薏苡仁(炒) 防己 甘草(五分)
水二钟。煎八分。食远服。
射干汤 治痈疮肿痛。脉洪实数者。
射干 犀角 升麻 玄参 黄芩 麦冬 大黄(各一钱) 栀子(五分) 加竹叶 芒硝(为竹叶
芒硝肺胃二经药也)
水煎服。以利为度。
脾痈之发。必先章门穴隐痛不已。(穴在乳下右胁端与内痈肠痈同法)
肝痈之发。必先期门穴隐痛不已。(穴在直乳二肋间不容旁一寸五分)令人两 满。卧则惊。不得
小便。由愤郁气逆所致。初宜栝蒌散。或柴胡清肝汤调之。溃后用六味丸、八珍汤。滋阴托里。此肝心火
盛而虚中有热也。禁用温
补药。及针灸等法。
柴胡清肝汤 治肝痈初起胁痛。
柴胡(一钱五分) 黄芩(一钱) 人参(一钱) 栀子(一钱五分) 川芎(一钱) 连翘(一钱)
桔梗(一钱) 甘草(五分)
水二钟。煎八分。食远服。
栝蒌散(见内痈) 六味地黄丸 八珍汤(见溃疡门)
丹皮汤:治疗胃痈和肠痈。症状表现为腹部肿胀、痞块坚硬,按压时即感疼痛,脉象迟而紧的,说明脓液尚未形成,适宜用此汤剂攻下。
丹皮(一钱) 栝蒌仁(一钱) 桃仁泥(二钱) 朴硝(二钱) 大黄(五钱)
用水两钟,煎至一钟,去渣,加入朴硝再煎煮数次沸腾,不拘时间服用。
赤豆薏苡仁汤:治疗胃痈脉象洪大而数的,说明脓液已经形成,适宜用此方排脓。
赤小豆 薏苡仁(炒) 防己 甘草(五分)
用水两钟,煎至八分,在饭后较远的时间服用。
射干汤:治疗痈疮肿痛,脉象洪实而数的。
射干 犀角 升麻 玄参 黄芩 麦冬 大黄(各一钱) 栀子(五分) 加竹叶 芒硝(因为竹叶和芒硝是肺经和胃经的药物)
用水煎服,以大便通畅为度。
脾痈发作时,必须先出现章门穴处的隐痛不止。(该穴位在乳头下方右侧胁肋端,治疗方法与内痈、肠痈相同)
肝痈发作时,必须先出现期门穴处的隐痛不止。(该穴位在乳头直下第二肋骨间,距离旁开一寸五分处)。使人两胁胀满,睡觉时易惊,小便不通畅。这是由于愤懑郁结导致气机逆乱所致。初期适宜用栝蒌散,或用柴胡清肝汤调理。溃破后使用六味丸、八珍汤,以滋阴托毒。这是肝心火盛而虚中有热的表现。禁用温补药物,以及针灸等方法。
柴胡清肝汤:治疗肝痈初起时的胁痛。
柴胡(一钱五分) 黄芩(一钱) 人参(一钱) 栀子(一钱五分) 川芎(一钱) 连翘(一钱) 桔梗(一钱) 甘草(五分)
用水两钟,煎至八分,在饭后较远的时间服用。
栝蒌散(见内痈章节) 六味地黄丸 八珍汤(见溃疡门章节)
Danpi Decoction: Treats Stomach Abscess (Wei Yong) and Intestinal Abscess (Chang Yong). Symptoms include abdominal swelling, firm distension, pain upon pressure, and a slow, tight pulse, indicating that pus has not yet formed. It is appropriate to use this decoction for purgation.
Radix Paeoniae Rubra (Danpi, 1 qian), Semen Trichosanthis (Gualou Ren, 1 qian), Paste of Peach Kernel (Taoren Ni, 2 qian), Natrii Sulfas (Puxiao, 2 qian), Radix et Rhizoma Rhei (Dahuang, 5 qian).
Add two zhong of water, decoct until one zhong remains, strain the dregs, add Natrii Sulfas, boil a few more times, and take at any time.
Chidou Yiyiren Decoction: Treats Stomach Abscess with a surging and rapid pulse, indicating that pus has already formed. It is appropriate to use this formula to drain pus.
Phaseoli Radiatus Semen (Chixiaodou), Coix Seed (Yiyiren, stir-fried), Stephania Tetrandra (Fangji), Licorice Root (Gancao, 0.5 qian).
Add two zhong of water, decoct until eight fen remain, and take well after meals.
Shegan Decoction: Treats abscesses and sores with swelling and pain, accompanied by a surging, full, and rapid pulse.
Belamcanda Rhizome (Shegan), Cornu Rinocerotis (Xijiao), Cimicifugae Rhizoma (Shengma), Scrophulariae Radix (Xuanshen), Scutellariae Radix (Huangqin), Ophiopogonis Tuber (Maidong), Radix et Rhizoma Rhei (Dahuang) (each 1 qian), Gardenia Fruit (Zhizi, 0.5 qian), add Lophatherum Herb (Zhuye) and Natrii Sulfas (Mangxiao) (as Zhuye and Mangxiao are herbs of the Lung and Stomach meridians).
Decoct in water and take orally; stop when bowel movement is achieved.
Buzhong Yiqi Decoction, Shengmai San, Modified Dihuang Wan
The onset of Spleen Abscess (Pi Yong) must first manifest as persistent dull pain at Zhangmen (LR13) acupoint. (This acupoint is located below the nipple at the end of the right hypochondrium; the treatment method is the same as for internal abscesses and intestinal abscesses.)
The onset of Liver Abscess (Gan Yong) must first manifest as persistent dull pain at Qimen (LR14) acupoint. (This acupoint is located between the second intercostal space directly below the nipple, 1.5 cun lateral to the midline.) It causes distension in both hypochondria, fright during sleep, and difficulty urinating. This is caused by qi rebellion due to frustration and depression. Initially, Gualou Powder or Chaihu Qinggan Decoction should be used for regulation. After ulceration, Liuwei Wan and Bazhen Tang should be used to nourish yin and support the interior to expel toxins. This indicates excessive fire in the Liver and Heart with deficiency-heat within. Warm-tonifying medicines, as well as acupuncture and moxibustion methods, are contraindicated.
Chaihu Qinggan Decoction: Treats hypochondriac pain at the initial stage of Liver Abscess.
Bupleuri Radix (Chaihu, 1.5 qian), Scutellariae Radix (Huangqin, 1 qian), Ginseng Radix (Renshen, 1 qian), Gardenia Fruit (Zhizi, 1.5 qian), Ligusticum Rhizoma (Chuanxiong, 1 qian), Forsythiae Fructum (Lianqiao, 1 qian), Platycodon Root (Jiegeng, 1 qian), Licorice Root (Gancao, 0.5 qian).
Add two zhong of water, decoct until eight fen remain, and take well after meals.
Gualou Powder (see Internal Abscess section), Liuwei Dihuang Wan, Bazhen Tang (see Ulcer Section).