十全大补汤 八珍汤(见痈疽溃疡门)
逍遥散 冰蛳散 小柴胡汤(见瘰 门)
托里消毒散(见肿疡门)
阿魏化痞膏(见痞疾门)
(附∶鹤膝风)
夫附骨疽者,乃阴寒入骨之病也。但人之气血生平壮实,虽遇寒冷则邪不入骨。凡入者,皆由体虚之人,
夏秋露卧,寒湿内袭;或房欲之后,盖复单薄,寒气乘虚入里,遂成斯疾也。初起则寒热交作,稍似风邪;随
后臀腿筋骨作疼,不热不红,疼至彻骨。甚者曲伸不能转侧,日久阴变为阳,寒化为热,热甚而腐肉为脓,此
疽已成也。凡治此症,初起寒热作痛时,便用五积散加牛膝、红花发汗散寒、通行经络,或万灵丹发汗亦可;
次以大防风汤行经活血、渗湿补虚。又有生于尻臀部位漫肿作疼者,内托羌活汤;腿内近膝股,漫肿木痛者,
内托 柴汤;腿外侧者,内托酒煎汤。初起通用人参败毒散加木瓜、牛膝、苏木、红花,虚者十全大补汤加羌
活、防己、牛膝;已成欲作脓者,附子八珍汤;脓成胀痛者,即针之;脓稠而黄体实者,十全大补汤;脓清色
白体虚者,保元大成汤;食少体倦者,香砂六君子汤;脾虚寒热者,补中益气汤,以此调理可也。又有风湿相
乘之症,初起寒热交作,次传腿肿作痛,其形光亮微红,发热肿痛,按之如泥不便起者,宜当归拈痛汤或茯苓
佐经汤,间服万灵丹和之。以上之症,皆由元气不足中来,不可误用损脾、泄气、败毒等药,外禁寒凉等法,
如误用之,必致气血冰凝,内肉瘀腐,日久化为污水败脓,流而不禁者终死,又有房欲劳伤,寒热互变,气血
乖违,经脉横解,受病日深以成斯疾者,其患大腿渐渐肿如冬瓜,上过胯腹,下连足底,牵连漫肿,皮色不红,
日久溃脓,色白腥秽,肿仍不消,痛仍不减,元气日衰,身体缩小,唇舌干焦,二便枯秘,诸药不效,饮食不
进者,终为不治。又有鹤膝风,乃足三阴亏损之症。初起寒热交作时,亦宜五积散加牛膝、红花,或万灵丹发
汗俱可;如汗后肿痛仍不消减,此阴寒深伏,以大防风汤温暖经络,重者兼灸膝眼二穴,敷以琥珀膏,亦可渐
渐取效。又如以上之法俱不效者,终成痼疾,不必强药消之,只宜先天大造丸、史国公酒药每常服之,终年亦
可转重就轻,移步行履,尚可图也。
十全大补汤、八珍汤(参见痈疽溃疡门)
逍遥散、冰蛳散、小柴胡汤(参见瘰疬门)
托里消毒散(参见肿疡门)
阿魏化痞膏(参见痞疾门)
(附:鹤膝风)
所谓附骨疽,是一种阴寒之邪深入骨骼的疾病。但是,如果一个人的气血平时强壮结实,即使遇到寒冷,邪气也不会侵入骨骼。凡是邪气侵入的,都是因为体质虚弱的人,在夏秋季节露宿野外,寒湿之气从内部侵袭;或者在房事之后,覆盖单薄,寒气乘虚而入,于是形成了这种疾病。初起时出现寒热交替发作,稍微有点像风邪;随后臀部和大腿的筋骨疼痛,不红不热,疼痛直达骨头。严重的甚至不能弯曲伸展和翻身,日子久了,阴证转化为阳证,寒证转化为热证,热势炽盛而腐蚀肌肉化为脓液,这就是附骨疽已经形成的表现。凡治疗此症,在初起寒热作痛时,就使用五积散加牛膝、红花来发汗散寒、疏通经络,或者使用万灵丹发汗也可以;接着用大防风汤来通行经络、活血、渗湿并补虚。又有生于尻臀部位,漫肿疼痛的,用内托羌活汤;大腿内侧靠近膝盖处,漫肿麻木疼痛的,用内托柴胡汤;大腿外侧的,用内托酒煎汤。初起时通用人参败毒散加木瓜、牛膝、苏木、红花,体虚的用十全大补汤加羌活、防己、牛膝;脓肿已成欲化脓的,用附子八珍汤;脓成胀痛明显的,立即针刺排脓;脓液稠厚且黄色、身体壮实的,用十全大补汤;脓液清稀色白、身体虚弱的,用保元大成汤;食欲少、身体疲倦的,用香砂六君子汤;脾虚伴有寒热的,用补中益气汤,以此进行调理即可。又有风湿相兼的病症,初起寒热交替发作,随后传变为腿部肿胀疼痛,皮肤光亮微红,发热肿痛,按压后凹陷不起,宜用当归拈痛汤或茯苓佐经汤,间服万灵丹调和。以上的病症,都是由元气不足引起的,不可误用损伤脾胃、耗泄正气、败解毒邪等药物,外治禁止使用寒凉等方法,如果误用,必然导致气血凝滞,内部肌肉瘀腐,日子久了化为污水败脓,流出不止最终死亡。又有因房劳过度受伤,寒热相互变化,气血失调,经脉松弛,患病日久加深而形成这种疾病的,患侧大腿渐渐肿得像冬瓜一样,向上超过胯部和腹部,向下连接足底,牵连漫肿,皮色不红,日子久了溃烂流脓,颜色白且腥臭秽浊,肿胀仍不消退,疼痛仍不减轻,元气日益衰弱,身体缩小,嘴唇舌头干燥焦裂,大小便干枯秘结,各种药物无效,饮食无法进服的,最终属于不治之症。又有鹤膝风,这是足三阴经亏损的病症。初起寒热交替发作时,也适宜用五积散加牛膝、红花,或者万灵丹发汗都可以;如果发汗后肿痛仍然不消减,这是阴寒深伏,用大防风汤温暖经络,病情重的同时艾灸膝眼两个穴位,敷贴琥珀膏,也可以逐渐见效。又如以上方法都不见效的,最终成为顽固性疾病,不必强行用药消除,只宜常服先天大造丸、史国公酒药,整年服用也可以使重病转轻,能够行走步履,还可以有所图谋恢复。
Shiquan Dabu Tang (Decoction for Perfect Ten Tonics), Bazhen Tang (Eight-Treasure Decoction) (see Men on Ulceration and Sores of Carbuncles and Foul Ulcers)
Xiaoyao San (Free and Easy Wanderer Powder), Bingsi San (Ice Snail Powder), Xiaochaihu Tang (Minor Bupleurum Decoction) (see Men on Scrofula)
Tuoli Xiaodu San (Interior-Supporting and Toxin-Expelling Powder) (see Men on Swollen Ulcers)
awei Huapi Gao (Asafoetida Plaster for Dissolving Masses) (see Men on Abdominal Masses)
(Attachment: Crux Popliteum / Elephant Foot Disease)
Fu Gu Ju (Bone-Adhering Abscess) is a disease caused by Yin-cold pathogenic factors penetrating into the bone. However, if a person's Qi and Blood are robust in daily life, even when encountering cold, the pathogenic factors will not invade the bone. Those whose pathogenic factors do invade are all due to individuals with weak constitutions who sleep outdoors in summer and autumn, allowing cold-dampness to invade from within; or after sexual intercourse, when covered thinly, cold qi takes advantage of the deficiency to enter the interior, thus forming this disease. Initially, alternating chills and fever occur, resembling wind-pathogen symptoms slightly; subsequently, pain arises in the tendons, bones, and muscles of the buttocks and thighs, without heat or redness, with pain penetrating to the bone. In severe cases, flexion, extension, and turning over become impossible. After a long time, the Yin condition transforms into Yang, and cold transforms into heat. When heat becomes excessive, flesh rots and turns into pus, indicating that the Fu Gu Ju has formed. For treating this syndrome, during the initial stage of alternating chills, fever, and pain, Wujie San (Five Accumulations Powder) added with Niuxi (Radix Achyranthis Bidentatae) and Honghua (Flos Carthami) should be used to induce sweating, dispel cold, and unblock the meridians; alternatively, Wanling Dan (Ten Thousand Spirits Pill) can be used to induce sweating. Subsequently, Dafangfeng Tang (Great Saposhnikovia Decoction) is used to circulate the meridians, invigorate blood, drain dampness, and tonify deficiency. For those presenting with diffuse swelling and pain in the sacral and gluteal regions, Neituo Qianghuo Tang (Interior-Supporting Notopterygium Decoction) is indicated; for diffuse swelling and numbness/pain near the knee on the medial thigh, Neituo Chai Tang (Interior-Supporting Bupleurum Decoction) is indicated; for the lateral thigh, Neituo Jiu Jian Tang (Interior-Supporting Wine-Decocted Decoction) is indicated. Generally, at the onset, Renshen Baidu San (Ginseng Detoxification Powder) added with Mugua (Fructus Chaenomelis), Niuxi, Sumu (Lignum Sappan), and Honghua is used; for the deficient, Shiquan Dabu Tang added with Qianghuo (Rhizoma et Radix Notopterygii), Fangji (Radix Stephaniae Tetrandrae), and Niuxi is used. For abscesses formed but about to suppurate, Fuzi Bazhen Tang (Aconite Eight-Treasure Decoction) is used. For painful swelling due to formed pus, immediate needle drainage is performed. For thick yellow pus and a robust constitution, Shiquan Dabu Tang is used. For thin white pus and a weak constitution, Baoyuan Dacheng Tang (Protect Origin Great Success Decoction) is used. For poor appetite and fatigue, Xiangsha Liujunzi Tang (Aucklandia and Amomum Six-Gentlemen Decoction) is used. For spleen deficiency with alternating chills and fever, Buzhong Yiqi Tang (Middle-Boosting and Qi-Supplementing Decoction) is used, and regulation with these methods is sufficient. There are also syndromes where wind and dampness combine, initially presenting with alternating chills and fever, then progressing to leg swelling and pain, with shiny, slightly red skin, fever, swollen painful areas that pit upon pressure and do not rebound quickly. Danggui Niantong Tang (Angelica Joint-Pain Relieving Decoction) or Fuling Zuojing Tang (Poria Meridian-Assisting Decoction) should be used, with intermittent administration of Wanling Dan to harmonize. All the above syndromes stem from insufficiency of Yuan Qi (Original Qi). One must not mistakenly use herbs that damage the spleen, deplete Qi, or defeat toxins, nor apply external cold-cooling methods. If mistakenly used, it will inevitably cause Qi and Blood to congeal like ice, leading to internal tissue stasis and rotting. Over time, this turns into foul water and败脓 (decayed pus), flowing uncontrollably, ultimately resulting in death. Additionally, there are cases caused by sexual exhaustion and injury, where cold and heat alternate, Qi and Blood deviate, and meridians relax. As the disease deepens over days, the affected thigh gradually swells like a winter melon, extending above the hip and abdomen, connecting below to the sole of the foot, with diffuse swelling. The skin color is not red. After a long time, it ulcerates and discharges pus that is white, foul-smelling, and turbid. The swelling does not subside, and the pain does not diminish. Yuan Qi declines daily, the body shrinks, lips and tongue become dry and scorched, urination and defecation become dry and constipated, various medicines fail, and food intake ceases; such cases are ultimately incurable. Another condition is He Xi Feng (Crane Knee Wind), which is a syndrome of deficiency in the Three Yin Meridians of the Foot. At the initial stage of alternating chills and fever, Wujie San added with Niuxi and Honghua, or Wanling Dan to induce sweating, are both suitable. If swelling and pain persist after sweating, it indicates deep-seated Yin-cold; Dafangfeng Tang should be used to warm the meridians. In severe cases, moxibustion on the two Xiyang acupoints (Eye of the Knee) combined with application of Hupo Gao (Amber Plaster) can gradually yield results. If the aforementioned methods are ineffective, it eventually becomes a stubborn disease. It is unnecessary to force resolution with strong medications; instead, continuous consumption of Xiantian Dazao Wan (Heavenly Origin Great Creation Pills) and Shiguogong Jiu (State Duke's Medicinal Wine) throughout the year can transform severe illness into mild, allowing for walking and movement, offering hope for recovery.