汤泼火烧,此患原无内症,皆从外来也。有汤火热极,逼毒内攻;又有外伤寒凉,极毒入里,外皮损烂者,
以清凉膏、粟壳膏涂之;毒瓦斯入里,烦躁口干,二便秘涩者,四顺清凉饮下之;泡破珍珠散搽之自愈。
四顺清凉饮
四顺清凉饮赤芍 防风羌活共连翘
当归甘草山栀等 大黄加上热俱消
治汤泼火烧,热极逼毒入里,或外被凉水所汲,火毒内攻,致生烦躁,内热口干,大便秘实者服。
连翘 赤芍 羌活 防风 当归 山栀 甘草(各一钱) 大黄(炒,二钱)
上水二钟,灯心二十根,煎八分,食远服。
罂粟膏
罂粟膏医汤火烧 麻油白蜡共煎熬
将凝加上真轻粉 涂于患上痛随消
治汤泼火烧,皮肉损烂,疼苦 热,起泡流水者。
麻油四两,罂粟花十五朵,无花以壳代之,浸油内,煎枯滤清,将油再入杓内,下白占三钱,熬化倾入罐
内,待四边将凝
时,下真轻粉细末二钱搅匀,水内顿冷取起。临用将泡挑破,用抿脚挑膏手心中捺化搽患上,软绵纸盖扎,日
换二次,其疼即止。次日将软帛挹净腐皮,再搽之自愈。
珍珠散(见下疳门)
治汤泼火烧,腐皮已尽,疼痛已止,用此掺即愈。前杖疮门中锻石水调麻油成膏,即清凉膏也,搽汤泼火
烧亦效。
汤泼火烧,这种病患原本没有内在的病症,都是由于外部因素引起的。有因汤火极热,逼迫毒邪向内攻陷;又有因外伤受寒凉,极毒深入体内,导致外皮破损溃烂的,用清凉膏、粟壳膏涂抹患处;若毒气进入体内,出现烦躁、口干、大小便不通畅的情况,服用四顺清凉饮;水泡破裂后,用珍珠散外搽即可自愈。
四顺清凉饮
四顺清凉饮由赤芍、防风、羌活、连翘、当归、甘草、山栀等药组成,再加入大黄,可使热邪全部消除。
治疗汤泼火烧,热极逼迫毒邪入里,或因被凉水浇淋,火毒内攻,导致产生烦躁、内热、口干、大便秘结的情况时服用。
连翘、赤芍、羌活、防风、当归、山栀、甘草(各一钱),大黄(炒制,二钱)。
以上药材加水两钟,灯心草二十根,煎至八分满,饭后服用。
罂粟膏
罂粟膏用于治疗汤泼火烧,将麻油和白蜡共同煎熬。
在即将凝固时加入真轻粉,涂抹于患处,疼痛随之消除。
治疗汤泼火烧,皮肉破损溃烂,痛苦发热,起泡流水的情况。
麻油四两,罂粟花十五朵,若无花则以果壳代替,浸泡在油中,煎至枯黄后滤去渣滓澄清。再将油倒入勺中,下白占三钱,熬化后倾入罐内,待四周即将凝固时,下真轻粉细末二钱搅匀,放入水中迅速冷却取出。临用时将水泡挑破,用抿脚挑起药膏在手心中融化后涂抹于患处,用软绵纸覆盖包扎,每日更换两次,疼痛即刻停止。次日将软帛擦净腐皮,再涂抹即可自愈。
珍珠散(见下疳门)
治疗汤泼火烧,腐皮已完全脱落,疼痛已停止,用此药掺敷即可痊愈。前文杖疮门中提到的锻石水调麻油成膏,即为清凉膏,涂抹于汤泼火烧处也有效。
Scalds and Burns, this condition originally has no internal symptoms, all arising from external causes. There are cases where scalding fire is extremely hot, forcing toxic pathogens to attack inward; there are also cases where external injury is exposed to cold and chill, allowing extreme toxins to penetrate deeply into the interior, causing damage and ulceration of the outer skin. Apply Qingliang Ointment (Cooling Ointment) or Yusu Gao (Poppy Shell Ointment) externally. If toxic vapors enter the interior, causing restlessness, dry mouth, and constipation with difficult urination, administer Sishun Qingliang Yin (Four-Obedience Cooling Decoction). If blisters rupture, apply Zhenzhu San (Pearl Powder) topically for spontaneous recovery.
Sishun Qingliang Yin (Four-Obedience Cooling Decoction)
Sishun Qingliang Yin consists of Chi Shao (Radix Paeoniae Rubra), Fang Feng (Radix Saposhnikoviae), Qiang Huo (Rhizoma Notopterygii), Lian Qiao (Fructus Forsythiae), Dang Gui (Radix Angelicae Sinensis), Gan Cao (Radix Glycyrrhizae), Shan Zhi (Fructus Gardeniae), etc., plus Da Huang (Radix et Rhizoma Rhei), which eliminates all heat.
It treats scalds and burns where extreme heat forces toxins inward, or where being splashed with cold water causes fire-toxins to attack internally, resulting in restlessness, internal heat, dry mouth, and solid fecal impaction.
Lian Qiao (Fructus Forsythiae), Chi Shao (Radix Paeoniae Rubra), Qiang Huo (Rhizoma Notopterygii), Fang Feng (Radix Saposhnikoviae), Dang Gui (Radix Angelicae Sinensis), Shan Zhi (Fructus Gardeniae), Gan Cao (Radix Glycyrrhizae) (each 1 qian), Da Huang (Radix et Rhizoma Rhei) (stir-fried, 2 qian).
Take two zhong of water and twenty roots of Deng Xin Cao (Caulis Junci), decoct until eight parts remain, and take after meals.
Yusu Gao (Poppy Shell Ointment)
Yusu Gao treats scalds and burns by boiling Ma You (Sesame Oil) and Bai La (White Beeswax) together.
When it is about to congeal, add Zhen Qing Fen (Calamina), apply to the affected area, and pain will subside.
It treats scalds and burns where skin and flesh are damaged and ulcerated, causing painful heat, blistering, and oozing fluid.
Ma You (Sesame Oil) 4 liang, Ying Su Hua (Flos Papaveris) 15 flowers; if flowers are unavailable, use pods instead. Soak in oil, fry until withered, filter clear. Pour the oil back into a ladle, add Bai Zhan (White Beeswax) 3 qian, melt, and pour into a jar. When the edges are about to congeal, add Zhen Qing Fen (Calamina) fine powder 2 qian, stir evenly, and cool rapidly in water to retrieve. Before use, puncture blisters, pick up ointment with a spatula, melt in the palm, and apply to the affected area. Cover with soft cotton paper and bandage, change twice daily, and pain will stop immediately. The next day, wipe clean necrotic skin with soft silk, reapply, and it will heal spontaneously.
Zhenzhu San (Pearl Powder) (See Xiagan Section)
Treats scalds and burns where necrotic skin has completely fallen off and pain has ceased; applying this powder leads to recovery. In the Zhangchuang Section mentioned earlier, Duan Shi Shui (Water from Calcined Stone) mixed with Ma You (Sesame Oil) to form an ointment is Qingliang Gao (Cooling Ointment), which is also effective for scalds and burns.