清肝导滞汤
清肝导滞汤瞿麦 滑石甘草并 蓄
大便秘之加大黄 灯心为引空心服
治肝经湿热,玉茎肿痛,小水涩滞作疼者服之。
蓄(四钱) 瞿麦(三钱) 滑石(二钱) 甘草(一钱) 大黄(二钱,便秘加)
水二钟,灯心二十根,煎八分,空心服。
龙胆泻肝汤
龙胆泻肝汤地黄 车前泽泻麦冬当
黄芩栀子甘草等 湿用黄连秘大黄
治肝经湿热,玉茎患疮,或便毒、悬痈,小便赤涩,或久溃烂不愈。又治阴囊肿痛,红热甚者并效。
龙胆草 连翘 生地黄 泽泻(各一钱) 车前子 木通 归尾 山栀 甘草 黄连 黄芩(各五分)
大黄(二钱,便秘加)
水二钟,煎八分,食前服。
清肝渗湿汤
清肝渗湿汤二术 苓朴昆陈粉木通
山栀泽泻川芎等 当归甘草木香同
治阴囊玉茎湿肿如猪肚,小水不利,坠重作痛。
苍术 白术 茯苓 山栀 浓朴 泽泻 陈皮 木通 天花粉 昆布(各一钱) 甘草(五分) 木香
(三分) 川芎 当归(各六分)
水二钟,煎八分,空心服。作热红色加黄连、龙胆草各七分。
清心莲子饮
清心莲子饮黄 赤茯人参地骨皮
黄芩甘草并泽泻 麦冬加上效堪题
治心经蕴热,小便赤涩,玉茎肿痛,或茎窍作疼;及上盛下虚,心火炎上,口苦咽干,烦躁作渴。
治虚阳口干,小便白浊,夜则安静,昼则发热者。
石莲肉 黄 黄芩 赤茯苓 人参(各一钱) 炙甘草 泽泻 麦门冬 地骨皮(各五分)
水二钟,煎八分,空心并食前服。
八正散
八正散中用木通 车前瞿麦大黄同
蓄山栀并滑石 加之甘草效无穷
治肝经积热,小便淋闭不通,及一切淋病俱效。
大黄 车前子 瞿麦 蓄 山栀 木通 甘草(各一钱) 滑石(二钱)
水二钟,煎八分,食前服。
解毒木通汤
解毒木通汤柏连 胆草山栀芦荟全
瞿麦滑石并甘草 还用灯心作引煎
治男妇房术热药所伤,致玉茎、阴户痒痛,小水涩滞,白浊滑精,至夜阳物兴举不得眠者服之。
木通 黄连 龙胆草 瞿麦 滑石 山栀 黄柏 知母(各一钱) 芦荟 甘草(各五分)
水二钟,灯心二十根,煎二分,食前服。
芦荟丸
芦荟丸中用二连 芜荑鹤虱共雷丸
青皮麝木香同等 饼糊丸来共此全
治下疳溃烂作痛。又治妇人阴蚀疮作痒,及小儿肝积发热,口鼻生疮,牙龈蚀烂等症。
胡黄连 黄连 芦荟 白芜荑 青皮 白雷丸 鹤虱草(各一两) 麝香(一钱) 木香(三钱)
上为末,蒸饼糊丸如麻子大,每服一钱,空心清米汤送下。
银粉散
银粉散效真罕稀 锡炒朱砂数不微
轻粉水银并 粉 下疳结毒敢相违
治下疳毋论新久,但腐烂作痛及杨梅疮熏后结毒,玉茎腐烂,或阳物半伤半全者,并宜用之。
好锡六钱化开,下朱砂末二钱搅炒,砂枯去砂,留锡再化开, 水银一两,和匀倾出听用,杭粉一两研细,
铺夹纸平山上,卷成一条,一头点火,煨至纸尽为度,吹去灰用粉同煎末,锡加真轻粉一两,共成一家研细。
凡遇前患,先用甘草汤淋洗,挹干随用此药掺上,止痛生肌、收敛极妙。
珍珠散
珍珠散效实堪夸 轻粉还兼缸子花
诸肿诸疮诸痛疾 用之一掺自无他
治下疳皮损腐烂,痛极难忍;及诸疮新肉已满,不能生皮。又汤泼火烧,皮损肉烂,疼痛不止者。
青缸花(五分,如无,用头刀靛花轻虚色翠者代之,终不及缸花为妙) 珍珠(一钱,不论大小以新白
为上,入豆腐内煮数滚,研为极细无声方用) 真轻粉(一两)
上三味,共研千转,细如飞面,方入罐收。凡下疳初起皮损,搽之即愈。腐烂疼痛者,甘草汤洗净。猪脊
髓调搽;如诸疮不生皮者,用此干掺即可生皮。又妇人阴蚀疮或新嫁内伤痛甚者,亦可此搽极效。汤泼火烧痛
甚者,用玉红膏调搽之。
疳疮简便方
用油透罗缎旧帽沿烧灰,杭粉瓦上 黄色各等分,共研极
细,瓷罐收贮。先用红枣十五个、甘草三钱,煎汤温洗患上,挹干搽药即效。
太乙膏(见肿疡门)
治玉茎皮损疼痛不止者,用此贴之,其疼即止。
清肝导滞汤由瞿麦、滑石、甘草组成。若大便秘结,则加入大黄;以灯心草为引药,空腹服用。
本方主治肝经湿热证,表现为阴茎(玉茎)肿胀疼痛,小便涩滞且伴有疼痛者,服用此方。
处方用量:蓄(四钱)、瞿麦(三钱)、滑石(二钱)、甘草(一钱)。若大便秘结,加用大黄(二钱)。
煎服方法:加水两碗,灯心草二十根,煎至八分满,空腹服用。
龙胆泻肝汤由龙胆草、地黄、车前子、泽泻、麦冬、当归、黄芩、栀子、甘草等组成。若湿邪重,加用黄连;若大便秘结,加用大黄。
本方主治肝经湿热证,表现为阴茎患疮疡,或便毒(腹股沟淋巴结炎)、悬痈(会阴部脓肿),小便赤红涩痛,或久溃烂不愈。又主治阴囊肿胀疼痛,红肿热盛者,均有疗效。
处方用量:龙胆草、连翘、生地黄、泽泻(各一钱);车前子、木通、归尾、山栀、甘草、黄连、黄芩(各五分)。若大便秘结,加用大黄(二钱)。
煎服方法:加水两碗,煎至八分满,饭前服用。
清肝渗湿汤由苍术、白术、茯苓、厚朴、昆布、陈皮、天花粉、木通、山栀、泽泻、川芎、当归、甘草、木香组成。
本方主治阴囊和阴茎湿肿如猪肚状,小便不利,坠胀疼痛。
处方用量:苍术、白术、茯苓、山栀、浓朴、泽泻、陈皮、木通、天花粉、昆布(各一钱);甘草(五分);木香(三分);川芎、当归(各六分)。
煎服方法:加水两碗,煎至八分满,空腹服用。若属热证且局部发红,加黄连、龙胆草各七分。
清心莲子饮由黄芩、赤茯苓、人参、地骨皮、黄芩、甘草、泽泻、麦冬组成,效果显著。
本方主治心经蕴热证,表现为小便赤红涩痛,阴茎肿痛,或尿道口疼痛;以及上盛下虚、心火炎上所致口苦咽干、烦躁口渴。
亦主治虚阳上浮导致的口干,小便白浊,夜间安静,白天发热者。
处方用量:石莲肉、黄芩、黄芩(注:原文重复,通常指黄芩与另一味清热药,此处依原文列出)、赤茯苓、人参(各一钱);炙甘草、泽泻、麦门冬、地骨皮(各五分)。
煎服方法:加水两碗,煎至八分满,空腹及饭前服用。
八正散中用木通、车前子、瞿麦、大黄、蓄、山栀、滑石、甘草,疗效无穷。
本方主治肝经积热证,表现为小便淋沥闭塞不通,以及一切淋病均有效。
处方用量:大黄、车前子、瞿麦、蓄、山栀、木通、甘草(各一钱);滑石(二钱)。
煎服方法:加水两碗,煎至八分满,饭前服用。
解毒木通汤由黄柏、黄连、龙胆草、山栀、芦荟、瞿麦、滑石、甘草组成,并用灯心草作为引药煎煮。
本方主治男女因房事过度或误服热性药物所伤,导致阴茎、阴道瘙痒疼痛,小便涩滞,白浊滑精,夜间阴茎勃起无法入睡者,服用此方。
处方用量:木通、黄连、龙胆草、瞿麦、滑石、山栀、黄柏、知母(各一钱);芦荟、甘草(各五分)。
煎服方法:加水两碗,灯心草二十根,煎至二分满(注:原文“二分”疑为笔误,通常指剩余少量或特定比例,此处直译),饭前服用。
芦荟丸中用黄连、胡黄连、芜荑、鹤虱、雷丸、青皮、麝香、木香等制成。
本方主治下疳溃烂疼痛。又主治妇人阴蚀疮瘙痒,以及小儿肝积发热、口鼻生疮、牙龈蚀烂等症状。
处方用量:胡黄连、黄连、芦荟、白芜荑、青皮、白雷丸、鹤虱草(各一两);麝香(一钱);木香(三钱)。
制法用法:以上药材研为细末,用蒸饼糊制作成梧桐子大小的丸剂,每次服用一钱,空腹时用清米汤送服。
银粉散功效罕见稀有。将锡炒朱砂,配合轻粉、水银、飞白粉,治疗下疳结毒,敢与之抗衡。
本方主治下疳无论新发还是久病,凡是腐烂疼痛,以及杨梅疮熏蒸后形成的结毒,阴茎腐烂,或生殖器部分损伤部分完好者,都适宜使用。
制法:取好锡六钱熔化,加入朱砂末二钱搅拌翻炒,待砂枯后去掉砂,留下锡再次熔化,加入水银一两,混合均匀倒出备用。取杭粉一两研细,铺在夹纸上摊平,卷成一条,一头点火,煨至纸尽为止,吹去灰烬得到粉末。将此粉与真轻粉一两混合,共同研磨极细。
用法:凡遇到上述病症,先用甘草汤淋洗患处,擦干后撒上此药,止痛生肌、收敛伤口效果极佳。
珍珠散功效实在值得夸赞。轻粉还兼有缸子花(青黛类染料植物花)。
对于各种肿胀、各种疮疡、各种疼痛疾病,使用此药撒敷一次即可痊愈,无其他后患。
本方主治下疳皮肤破损腐烂,疼痛剧烈难以忍受;以及各类疮疡新肉已长满,但不能生皮的情况。又主治烫伤、火烧导致的皮肤破损、肌肉腐烂、疼痛不止者。
处方用量:青缸花(五分,如果没有,可用头刀靛花中颜色轻浮翠绿的代替,但终究不如缸花妙);珍珠(一钱,不论大小,以新鲜白色为上品,放入豆腐内煮数次滚沸,研为极细无声的程度才可使用);真轻粉(一两)。
制法用法:以上三味药,共同研磨千次,细如飞面,然后装入罐中收藏。凡下疳初起皮肤破损,涂抹即愈。腐烂疼痛者,先用甘草汤洗净,用猪脊髓调和涂抹;如各类疮疡不生皮者,直接用此药干撒即可生皮。又治妇人阴蚀疮或新婚房事伤痛严重者,也可用此药涂抹,效果极佳。烫伤火烧疼痛严重者,用玉红膏调和涂抹。
疳疮简便方
用油浸透的罗缎旧帽沿烧成灰,与瓦上的杭粉(煅石膏)呈黄色者各等份,共同研磨极细,存入瓷罐中。先用十五个红枣、三钱甘草,煎汤温洗患处,擦干后搽药即见效。
太乙膏(见肿疡门)
主治阴茎皮肤破损疼痛不止者,用此膏贴敷,疼痛即刻停止。
Qinggan Daozhi Decoction (Clear the Liver and Guide Out Stagnation Decoction)
Qinggan Daozhi Decoction consists of Dianthus Herba (Qumai), Talcum (Huashi), and Glycyrrhizae Radix et Rhizoma (Gancao). If there is constipation, add Rheum Palmatum Radix et Rhizoma (Dahuang); use Juncus Effusus Caulis (Dengxin) as a guiding herb, taken on an empty stomach.
This decoction treats damp-heat in the Liver channel, manifesting as swelling and pain of the penis (Yujing), with difficult and painful urination.
Dosage: Dianthus Herba (Qumai) (4 qian), Dianthus Herba (Qumai) (3 qian), Talcum (Huashi) (2 qian), Glycyrrhizae Radix et Rhizoma (Gancao) (1 qian). If constipated, add Rheum Palmatum Radix et Rhizoma (Dahuang) (2 qian).
Preparation and Administration: Add two bowls of water and 20 stalks of Juncus Effusus Caulis (Dengxin), decoct until one-eighth remains, and take on an empty stomach.
Longdan Xiegan Decoction (Gentian Liver-Draining Decoction)
Longdan Xiegan Decoction consists of Gentianae Radix (Longdancao), Rehmanniae Radix (Dihuang), Alismatis Rhizoma (Zexie), Ophiopogonis Radix (Maidong), Angelicae Sinensis Radix (Danggui), Scutellariae Radix (Huangqin), Gardeniae Fructus (Zhizi), and Glycyrrhizae Radix et Rhizoma (Gancao). If dampness is heavy, add Coptidis Rhizoma (Huanglian); if constipated, add Rheum Palmatum Radix et Rhizoma (Dahuang).
This decoction treats damp-heat in the Liver channel, manifesting as sores on the penis, or bubo (inguinal lymphadenitis), perineal abscess (Xuanyong), red and difficult urination, or chronic non-healing ulcers. It is also effective for scrotal swelling and pain with severe redness and heat.
Dosage: Gentianae Radix (Longdancao), Forsythiae Fructum (Lianqiao), Rehmanniae Radix Recens (Shengdihuang), Alismatis Rhizoma (Zexie) (each 1 qian); Semen Plantaginis (Cheqianzi), Akebiae Caulis (Mutong), Angelicae Sinensis Radix (Guowei), Gardeniae Fructus (Shanzhi), Glycyrrhizae Radix et Rhizoma (Gancao), Coptidis Rhizoma (Huanglian), Scutellariae Radix (Huangqin) (each 5 fen). If constipated, add Rheum Palmatum Radix et Rhizoma (Dahuang) (2 qian).
Preparation and Administration: Add two bowls of water, decoct until one-eighth remains, and take before meals.
Qinggan Shen Shi Tang (Clear the Liver and Percolate Dampness Decoction)
Qinggan Shen Shi Tang consists of Atractylodis Rhizoma (Cangzhu), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), Magnoliae Officinalis Cortex (N Houpu), Sargassum (Kunbu), Citri Reticulatae Pericarpium (Chenpi), Polygoni Multiflori Caulis (Tianhuafen - *Note: Tianhuafen is Trichosanthis Radix*), Akebiae Caulis (Mutong), Gardeniae Fructus (Zhizi), Alismatis Rhizoma (Zexie), Ligustici Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Glycyrrhizae Radix et Rhizoma (Gancao), and Aucklandiae Radix (Muxiang).
This decoction treats damp swelling of the scrotum and penis resembling a pig's belly, with difficult urination, heaviness, and pain.
Dosage: Atractylodis Rhizoma (Cangzhu), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), Gardeniae Fructus (Zhizi), Magnoliae Officinalis Cortex (N Houpu), Alismatis Rhizoma (Zexie), Citri Reticulatae Pericarpium (Chenpi), Akebiae Caulis (Mutong), Trichosanthis Radix (Tianhuafen), Sargassum (Kunbu) (each 1 qian); Glycyrrhizae Radix et Rhizoma (Gancao) (5 fen); Aucklandiae Radix (Muxiang) (3 fen); Ligustici Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui) (each 6 fen).
Preparation and Administration: Add two bowls of water, decoct until one-eighth remains, and take on an empty stomach. If it is a heat syndrome with redness, add Coptidis Rhizoma (Huanglian) and Gentianae Radix (Longdancao) each 7 fen.
Qingxin Lianzi Yin (Clear the Heart and Lotus Seed Decoction)
Qingxin Lianzi Yin consists of Scutellariae Radix (Huangqin), Poria (Chifuling), Ginseng Radix et Rhizoma (Renshen), Lycii Cortex (Digupi), Scutellariae Radix (Huangqin - *Note: Repeated in text*), Glycyrrhizae Radix et Rhizoma (Gancao), Alismatis Rhizoma (Zexie), and Ophiopogonis Radix (Maidong), yielding excellent results.
This decoction treats heat accumulation in the Heart channel, manifesting as red and difficult urination, penile swelling and pain, or urethral pain; as well as upper excess and lower deficiency, flaming Heart fire causing bitter taste in the mouth, dry throat, irritability, and thirst.
It also treats dry mouth due to floating deficient yang, white turbid urine, quiet at night but feverish during the day.
Dosage: Nelumbinis Semen (Shilianrou), Scutellariae Radix (Huangqin), Scutellariae Radix (Huangqin), Poria (Chifuling), Ginseng Radix et Rhizoma (Renshen) (each 1 qian); Roasted Glycyrrhizae Radix et Rhizoma (Zhi Gancao), Alismatis Rhizoma (Zexie), Ophiopogonis Radix (Maimendong), Lycii Cortex (Digupi) (each 5 fen).
Preparation and Administration: Add two bowls of water, decoct until one-eighth remains, and take on an empty stomach and before meals.
Bazheng San (Eight Righteousnesss Powder)
Bazheng San uses Akebiae Caulis (Mutong), Semen Plantaginis (Cheqian), Dianthus Herba (Qumai), Rheum Palmatum Radix et Rhizoma (Dahuang), Dianthus Herba (Qumai), Gardeniae Fructus (Zhizi), Talcum (Huashi), and Glycyrrhizae Radix et Rhizoma (Gancao), yielding boundless efficacy.
This powder treats heat accumulation in the Liver channel, manifesting as strangury and urinary obstruction, and is effective for all types of strangury.
Dosage: Rheum Palmatum Radix et Rhizoma (Dahuang), Semen Plantaginis (Cheqianzi), Dianthus Herba (Qumai), Dianthus Herba (Qumai), Gardeniae Fructus (Zhizi), Akebiae Caulis (Mutong), Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 qian); Talcum (Huashi) (2 qian).
Preparation and Administration: Add two bowls of water, decoct until one-eighth remains, and take before meals.
Jiedu Mutong Tang (Detoxification and Akebia Decoction)
Jiedu Mutong Tang consists of Phellodendri Cortex (Huangbai), Coptidis Rhizoma (Huanglian), Gentianae Radix (Danshen/Ganchao - *Note: Text says Dancao, likely Longdancao or Huanglian context, here translated as Gentianae Radix based on formula name context or Coptidis if Danlian, but text lists both. Text says "Bo Lian Dan Cao", likely Phellodendri, Coptidis, Gentianae*), Gardeniae Fructus (Zhizi), Aloe (Luhui), Dianthus Herba (Qumai), Talcum (Huashi), and Glycyrrhizae Radix et Rhizoma (Gancao), decocted with Juncus Effusus Caulis (Dengxin) as a guide.
This decoction treats men and women injured by excessive sexual activity or hot medicinal drugs, resulting in itching and pain of the penis or vagina, difficult urination, white turbidity and seminal emission, and nocturnal erections preventing sleep.
Dosage: Akebiae Caulis (Mutong), Coptidis Rhizoma (Huanglian), Gentianae Radix (Longdancao), Dianthus Herba (Qumai), Talcum (Huashi), Gardeniae Fructus (Zhizi), Phellodendri Cortex (Huangbai), Anemarrhenae Rhizoma (Zhimu) (each 1 qian); Aloe (Luhui), Glycyrrhizae Radix et Rhizoma (Gancao) (each 5 fen).
Preparation and Administration: Add two bowls of water and 20 stalks of Juncus Effusus Caulis (Dengxin), decoct until a small amount remains, and take before meals.
Luhui Wan (Aloe Pill)
Luhui Wan uses Coptidis Rhizoma (Huanglian), Coptidis Rhizoma (Huhuanglian - *Note: Huhuanglian is Coptidis Chinensis Rhizoma*), Bruchae Semen (Wuyi), Heterospartii Spica (Heshi), Holosteli Nidus (Leiwu), Citri Exocarpium Viride (Qingpi), Moschus (Shexiang), and Aucklandiae Radix (Muxiang).
This pill treats chancre ulcers with pain. It also treats vaginal erosion with itching in women, and pediatric liver accumulation with fever, sores in the mouth and nose, and gum erosion.
Dosage: Coptidis Rhizoma (Huhuanglian), Coptidis Rhizoma (Huanglian), Aloe (Luhui), White Bruchae Semen (Bai Wuyi), Citri Exocarpium Viride (Qingpi), White Holosteli Nidus (Bai Leiwu), Heterospartii Spica (Heshicao) (each 1 liang); Moschus (Shexiang) (1 qian); Aucklandiae Radix (Muxiang) (3 qian).
Preparation and Administration: Grind the above ingredients into powder, mix with steamed cake paste to make pills the size of hemp seeds. Take 1 qian per dose, swallowed with clear rice soup on an empty stomach.
Yinfen San (Silver Powder Powder)
Yinfen San has rare and miraculous effects. Stir-fried Tin with Cinnabar, combined with Calomelas (Qingfen), Hydrargyrum (Shuiyin), and Prepared Kaolin (Hangfen), dares to confront chancre toxins.
This powder treats chancre regardless of whether it is new or old, especially when rotting and painful, or toxic nodules formed after mercury fumigation for lues venerea (syphilis), penile ulceration, or partial injury to the genitals.
Preparation: Melt 6 qian of good tin, stir-fry with 2 qian of Cinnabar powder until the cinnabar is dry, remove the cinnabar, remelt the tin, add 1 liang of Hydrargyrum (Mercury), mix evenly, and pour out for use. Grind 1 liang of Hangfen (Prepared Kaolin) finely, spread it flat on sandwich paper, roll it into a strip, ignite one end, and bake until the paper is consumed. Blow away the ash to obtain the powder. Mix this powder with 1 liang of real Calomelas (Qingfen) and grind together until extremely fine.
Administration: For the aforementioned conditions, first wash the affected area with Licorice Decoction, dry it, and then apply this powder. It is excellent for stopping pain, generating flesh, and astringing wounds.
Zhenzhu San (Pearl Powder)
Zhenzhu San is truly praiseworthy for its effects. It combines Calomelas (Qingfen) with Cyan Flower (Gangzi Hua).
For various swellings, sores, and pains, applying this powder once leads to cure without further issues.
This powder treats chancre skin damage and ulceration with unbearable pain; and sores where new flesh has grown but skin cannot regenerate. It also treats burns and scalds causing skin damage, muscle rot, and unceasing pain.
Dosage: Cyan Flower (Qingganghua) (5 fen; if unavailable, use high-quality indigo flower that is light and emerald green, though not as good as cyan flower); Pearl (Zhenzhu) (1 qian, fresh and white is best, boil in tofu several times, grind to an extremely fine silent powder); Real Calomelas (Qingfen) (1 liang).
Preparation and Administration: Grind these three ingredients together a thousand times until fine as flour, then store in a jar. Apply to early-stage chancre skin damage for immediate healing. For rotting and painful sores, wash with Licorice Decoction and apply mixed with pork spinal marrow. For sores failing to generate skin, apply dry powder to promote skin growth. It is also highly effective for vaginal erosion or severe pain from marital intercourse in women. For severe burn/scald pain, apply mixed with Yuhong Gao.
Simple Prescription for Chancre Sores
Burn the brim of an old silk hat soaked in oil to ash. Mix equal parts with yellow-colored Hangfen (calcined gypsum) found on tiles. Grind extremely finely and store in a porcelain jar. First, wash the affected area with warm decoction of 15 red dates and 3 qian of Licorice, dry it, and apply the medicine for immediate effect.
Taiyi Gao (See Swelling and Ulcer Section)
Treats unceasing pain from penile skin damage. Apply this plaster to stop the pain immediately.