黄连救苦汤 脑疽、发鬓、发颐。及天行时毒。初起憎寒壮热。头面耳项俱肿。服之未成者自消。已成者
速溃。
黄连 黄芩 柴胡 升麻 葛根 连翘 桔梗 川芎 归尾 赤芍 羌活 防风 金银花 甘草节(等分)
用水二碗。煎八分。入酒一杯。食远热服。
解毒天浆散 脑疽积毒日深。坚肿木硬。口燥舌干。恶心烦渴。六脉沉实有力。大便闭结不通者。并宜
服之。
石决明(生研) 僵蚕 穿山甲 防风 连翘 金银花 羌活 乳香 黄连 当归尾 甘草(各一钱) 大黄
(三钱) 天花粉(用新鲜未晒者四两石臼内捣烂投水一碗搅匀取汁去渣用)
上将花粉汁碗半。同药煎八分。入酒一杯。空心热服。行三次。方用饮食。忌煎炒发物。
回毒银花散 脑疽及诸发。阴疮不起。色变紫黑者。
金银花(二两) 黄 (生用四两) 甘草(生用一两)
细酒二十两。同药入小口砂罐内。密封重汤煮三炷香为度。取起滤清。服之。盖暖患上。其疮渐渐高
肿。此转阴为阳。吉矣。后用托里药溃脓。如服后不痛不起。疮头流出黑水者。为真阴。不治。
梅花五气丹 脑疽发背。诸般疔肿。初起寒热交作。筋骨疼痛。有似伤风。恶心呕吐。但未成脓者。并宜
服之。
梅花冰片(一钱) 麝香(用当门子一钱) 辰砂 轻粉(各一钱二分) 爪儿血竭 乳香
没药 明雄黄(各二钱) 真蟾酥(端午日取四钱用男乳调膏)
上药各研细末。对准分数。于端午日辰时制。至午时向日为丸。如茄子大。一时晒干。用川椒二十七
粒。灯心二十七段。同药收罐内养之。黄蜡封口勿泄气。每用时。先食美馔令饱。用无根水漱净口。再
含水一口。少顷待温。用葱白五寸同水嚼烂咽下。随将药饼一枚放舌下。睡于暖处。被盖。药化苦水。
徐徐咽之。疮势大者二三饼亦可。药尽其汗即到如淋。诸病若失。如冬月天寒难汗。噙后将葱汤推
之。即汗。
如暗疔人所不及觉者。及觉而失治者。毒瓦斯入里。人便昏沉。一中便倒。不能根据法服药。急用连须葱
白七根。煎酒一杯。研药五饼灌下。药气到心。其功如汤泼雪。患者实时苏醒。诚外科之奇方也。不可
忽之。
大保安汤 脑项诸发。痈疽恶疮大毒。已溃之后。脓水出多。气血虚弱。精神短少。饮食不思。坐卧不宁。
烦躁不眠。昼则安静。夜则发热。及虚阳烦渴等症。
人参 白术 茯苓 当归 川芎 白芍 熟地 山药 山茱萸 牡丹皮 五味子 黄 (各一钱)
熟附子 肉桂
麦门冬 甘草(各五分)
用煨姜三片。大枣二枚。莲肉七个。水二钟。煎八分。食前后服。
脑疽灸法 用骑竹马法灸之。
一法。用线横量患人口至两角为则。次用线以黄蜡拖过。从患人项上垂下至两乳头为则。剪之。复
从患人颈上往后。自项垂下贴脊。比齐线尽处为则。以墨记之。再将先比口之则。于墨记处两傍。各
横开一侧尽处。是穴以墨记之。用艾于两傍穴上各灸三壮。或五壮。其毒自痿而不大发。徐徐而愈。
一灸气海穴二七壮。三里穴各五壮。
黄连救苦汤:适用于脑疽、发鬓(生于鬓角部的痈肿)、发颐(腮颊部痈肿)以及天行时毒(具有传染性的急性热毒病证)。初起时出现憎寒壮热(恶寒与高热并见),头面及耳项部位全部肿胀。服用此方,若脓未形成则自行消散;若已化脓则迅速溃破。
药物组成:黄连、黄芩、柴胡、升麻、葛根、连翘、桔梗、川芎、归尾(当归尾部)、赤芍、羌活、防风、金银花、甘草节(以上药材等分)。
煎服方法:用水两碗,煎至八分满,加入酒一杯,饭后趁热服用。
解毒天浆散:适用于脑疽积毒日久深重,局部坚硬肿胀且麻木僵硬,伴有口燥舌干、恶心烦渴,六脉沉实有力,大便闭结不通的患者,均宜服用此方。
药物组成:石决明(生研细粉)、僵蚕、穿山甲、防风、连翘、金银花、羌活、乳香、黄连、当归尾、甘草(各一钱),大黄(三钱),天花粉(选用新鲜未晒干的四两,在石臼内捣烂后投入一碗水中,搅匀后取汁去渣备用)。
煎服方法:取上述花粉汁半碗,同其他药物一起煎至八分满,加入酒一杯,空腹趁热服用。服药后大便通行三次,方可进食饮食。忌食煎炒及发物。
回毒银花散:适用于脑疽及其他各类痈发,阴疮不起发,颜色变为紫黑色的情况。
药物组成:金银花(二两)、黄芪(生用四两)、甘草(生用一两)。
煎服方法:用细酒二十两,将药物放入小口砂罐内,密封后用隔水炖煮的方法,煮至三炷香的时间为度。取出药液过滤澄清后服用。服药后覆盖保暖患处,疮口会逐渐高肿,这是由阴证转为阳证的吉兆。之后使用托里透脓的药物促使排脓。如果服药后不痛且疮口不起,疮头流出黑水的,属于真阴证,难以治愈。
梅花五气丹:适用于脑疽、发背(背部痈肿)以及各种疔肿,初起时寒热交替发作,筋骨疼痛,症状类似伤风,伴有恶心呕吐,但尚未成脓的情况,均宜服用此方。
药物组成:梅花冰片(一钱)、麝香(选用当门子一钱)、辰砂、轻粉(各一钱二分)、爪儿血竭、乳香、没药、明雄黄(各二钱)、真蟾酥(端午日采集四钱,用男子乳汁调制成膏状)。
制作与服用方法:将上述药物分别研成细末,按准确比例混合。在端午日的辰时进行制作,到午时面向太阳搓成丸药,大小如茄子,在一个时辰内晒干。用川椒二十七粒、灯心草二十七段,与药丸一同收存在罐内养护。用黄蜡封口以防漏气。每次使用时,先吃美味佳肴吃饱,用无根水漱口干净,再含一口水,稍待水温适宜,将五寸长的葱白连同水一起嚼烂咽下,随即放一枚药饼在舌下,睡在温暖处,盖上被子。药化开后会有苦水流下,徐徐咽下。疮势严重者可用二三枚药饼。药力尽时汗出如雨淋般,诸病若失。如果是冬季天气寒冷难以出汗,含药后将葱汤推助之,即可出汗。
如果是暗疔这种人们不易察觉的病,以及发现后延误治疗导致毒瓦斯入里的情况,患者会昏沉,甚至一中毒就倒下,无法按规定服药。此时急用带须葱白七根,煎酒一杯,研磨药丸五枚灌服。药气到达心脏,功效如同雪遇热汤般迅速化解。患者随即苏醒,这确实是外科的奇方,不可忽视。
大保安汤:适用于脑项部各类痈发,以及痈疽恶疮大毒,溃破之后,脓水流出过多,导致气血虚弱,精神短少,不思饮食,坐卧不宁,烦躁失眠,白天安静,夜间发热,以及虚阳烦渴等症状。
药物组成:人参、白术、茯苓、当归、川芎、白芍、熟地、山药、山茱萸、牡丹皮、五味子、黄芪(各一钱),熟附子、肉桂,麦门冬、甘草(各五分)。
煎服方法:用煨姜三片、大枣二枚、莲肉七个,加水两钟,煎至八分满,饭前或饭后服用。
第一种方法:用线横向测量患者口角至两耳角作为标准长度。然后用线以黄蜡涂抹过,从患者颈部垂下至两乳头作为标准长度,剪断此线。再从患者颈后沿脊柱向下垂贴,比齐线的尽头作为标记,用墨记号标出。再将之前测量口角的线,在墨记处的两旁,各横向开一侧至尽头,此处即为穴位,用墨记号标出。在两旁的穴位上各灸三壮或五壮,毒气自然萎缩而不大发,逐渐痊愈。
Huanglian Jiuku Tang (Coptis Decoction for Saving from Misery): Indicated for Naoju (carbuncle of the brain/neck), Fabian (carbuncle of the hairline), Fayi (mumps/carbuncle of the parotid region), and Tianxing Shidu (epidemic toxic heat). In the initial stage, it presents with aversion to cold and high fever, swelling of the head, face, ears, and neck. If taken when pus has not yet formed, it will resolve spontaneously; if pus has already formed, it will suppurate rapidly.
Ingredients: Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Chaihu (Bupleuri Radix), Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix), Lianqiao (Forsythiae Fructus), Jiegeng (Platycodonis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Guiwei (Tail of Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Jinyinhua (Lonicerae Japonicae Flos), Gancao Jie (Jointed Licorice Root). All ingredients are used in equal proportions.
Preparation and Administration: Decoct two bowls of water until reduced to 80%. Add one cup of wine. Take warm after meals.
Jiedu Tianshang San (Antitoxic Heavenly Pulp Powder): Indicated for Naoju where accumulated toxin is deep-seated, presenting with hard, swollen, and numb stiffness, dry mouth and tongue, nausea, irritability, and thirst, with six pulses being deep, solid, and forceful, accompanied by constipation. It is suitable for all such cases.
Ingredients: Shijueming (Concha Haliotidis, raw and ground), Jiangcan (Bombyx Batryticatus), Chuanshanjia (Manis Squama), Fangfeng, Lianqiao, Jinyinhua, Qianghuo, Ruxiang (Olibanum), Huanglian, Dangguiwei (Tail of Angelicae Sinensis Radix), Gancao (each 1 qian), Dahuang (3 qian), Tianhuafen (Trichosanthis Radix, 4 liang of fresh, un-dried root pounded in a stone mortar, mixed with one bowl of water, stirred evenly, juice extracted and dregs removed).
Preparation and Administration: Take half a bowl of the Tianhuafen juice, decoct together with other herbs until reduced to 80%. Add one cup of wine. Take warm on an empty stomach. After three bowel movements, food may be consumed. Avoid fried foods and fa-wu (stimulating foods that may aggravate disease).
Huidu Yinhua San (Return-to-Toxin Honeysuckle Powder): Indicated for Naoju and various other carbuncles where yin sores fail to rise and change color to purple-black.
Ingredients: Jinyinhua (2 liang), Huangqi (Astragali Radix, raw, 4 liang), Gancao (Licorice Root, raw, 1 liang).
Preparation and Administration: Use 20 liang of fine wine. Place herbs in a small-mouthed clay pot, seal tightly, and cook in a double boiler for the duration of three incense sticks. Strain the clear liquid and take. Keep the affected area covered and warm. The sore will gradually swell and rise, indicating a transformation from yin to yang, which is auspicious. Subsequently, use Tuoli medicines (tonifying and promoting suppuration) to expel pus. If there is no pain or rising after taking the medicine, and black fluid flows from the sore head, it indicates True Yin syndrome, which is incurable.
Meihua Wuqi Dan (Plum Blossom Five Qi Pill): Indicated for Naoju, Fabei (carbuncle of the back), and various Dingzhong (hard boils), initially presenting with alternating chills and fever, bone and muscle pain resembling wind-cold invasion, nausea, and vomiting, before pus formation. It is suitable for all such cases.
Ingredients: Meihua Bingpian (Plum Blossom Borneol, 1 qian), Shexiang (Moschus, Dangmenzi variety, 1 qian), Chen Sha (Cinnabar), Qingfen (Calomelas, each 1.2 qian), Zhao'er Xuejie (Dragon's Blood), Ruxiang (Olibanum), Moyao (Myrrha), Ming Xionghuang (Real Realgar, each 2 qian), Zhen Chansu (Toad Venom, collected on Dragon Boat Festival Day, 4 qian, mixed with male breast milk into a paste).
Preparation and Administration: Grind each herb into fine powder and mix according to precise proportions. Prepare on Dragon Boat Festival Day during the Chen hour (7-9 AM). At the Wu hour (11 AM-1 PM), shape into pills facing the sun, size of an eggplant. Dry for one hour. Store with 27 grains of Sichuan pepper and 27 segments of rush pith in a jar. Seal with yellow wax to prevent air leakage. To use, eat a good meal first, rinse mouth with "rootless water" (rainwater/snowmelt), hold a mouthful of water, chew five cun of scallion white with the water and swallow. Place one pill under the tongue, lie in a warm place, and cover. As the pill melts, slowly swallow the bitter fluid. For severe cases, use 2-3 pills. When the medicine takes effect, profuse sweating like rain occurs, and diseases vanish. In winter cold, if sweating is difficult, push with scallion soup after holding the pill to induce sweat.
For An Ding (hidden boils) that go unnoticed, or those treated too late where toxin enters the interior causing coma or sudden collapse, making oral administration impossible: urgently decoct seven roots of scallion white with mustache in one cup of wine, grind five pills, and administer forcibly. When the medicinal qi reaches the heart, the effect is like snow melting in hot water. The patient wakes up immediately. This is indeed a miraculous formula for surgery; do not neglect it.
Da Bao'an Tang (Great Security Decoction): Indicated for various carbuncles of the head and neck, and malignant ulcers with severe toxicity, after ulceration with excessive discharge of pus, leading to deficiency of qi and blood, shortness of spirit, loss of appetite, restlessness, irritability, insomnia, calmness during the day, fever at night, and deficiency-yang irritability and thirst.
Ingredients: Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Danggui (Angelicae Sinensis Radix), Chuanxiong, Baishao (Paeoniae Radix Alba), Shudi (Rehmanniae Radix Preparata), Shanyao (Dioscoreae Rhizoma), Shanzhuyu (Corni Fructus), Mudanpi (Moutan Cortex), Wuweizi (Schisandrae Fructus), Huangqi (Astragali Radix, each 1 qian), Shu Fuzi (Prepared Aconiti Lateralis Radix), Rougui (Cinnamon Bark), Maimendong (Ophiopogonis Radix), Gancao (Licorice Root, each 5 fen).
Preparation and Administration: Use three slices of roasted ginger, two jujubes, and seven lotus seeds. Decoct two zhong of water until reduced to 80%. Take before or after meals.
Naojiu Jiu Fa (Moxibustion Method for Naoju): Use the "Riding Bamboo Horse" moxibustion method.
Method One: Measure horizontally from the corner of the mouth to both ear angles with a thread as a standard. Coat the thread with yellow wax. From the patient's neck, hang down to both nipples as a standard, cut the thread. Then, from the back of the patient's neck, hang down along the spine, aligning with the end of the thread as a mark, and mark with ink. Take the previous mouth-measuring thread, and at the ink mark, open horizontally to both sides to the end. These points are the acupoints, marked with ink. Apply moxa to both side points, 3 or 5 moxa cones each. The toxin will naturally subside without severe outbreak, healing gradually.
Another moxibustion method: Moxa Qihai (CV6) for 14 cones (two sevens), and Zusanli (ST36) on both sides for 5 cones each.