柴胡清肝汤
柴胡清肝芎芍归 黄芩栀子地黄随
防风牛子天花粉 甘草连翘一处宜
治鬓疽初起未成者,毋论阴阳、表里俱可服之。
川芎 当归 白芍 生地黄 柴胡 黄芩 山栀 天花粉 防风 牛蒡子 连翘 甘草节(各一钱)
水二钟,煎八分,食远服。
鼠粘子汤
鼠粘子汤甘桔归 赤芍连翘地骨皮
玄参麦冬天花粉 防风大黄不可遗
治鬓疽初起,热多寒少,头眩作痛,口燥咽干,渴常饮冷,二便秘涩,六脉沉实有力,烦闷疼痛者。
鼠粘子 桔梗 当归 甘草梢 赤芍 连翘 玄参 地骨皮 防风 天花粉 木通(各一钱) 大黄
(炒,二钱)
水二钟,煎八分,食前服,渣再煎服。
加味逍遥散
加味逍遥白术苓 红花丹芍柴胡陈
当归栀贝天花粉 甘草羚羊效更奇
治鬓疽七日以上,根盘深硬,色紫 痛者宜服。
白术 茯苓 牡丹皮 白芍 柴胡 陈皮 当归 山栀 贝母 天花粉(各八分) 甘草 红花 羚羊角
(各五分)
水二钟,淡竹叶二十片,煎八分,食后服。
栀子清肝汤
栀子清肝汤牛子 柴苓芎芍石当归
黄连甘草丹皮等 用水同煎一处煨
治少阳经虚,肝火风热上攻,遂成鬓疽。痛连颈、项、胸、乳、太阳等处,或寒热晡甚,胸满、口苦、舌
干。
牛蒡子 柴胡 川芎 白芍 石膏 当归 山栀 牡丹
皮(各一钱) 黄芩 黄连 甘草(各五分)
水二钟,煎八分,食后服。
清肝解郁汤
清肝解郁汤归芍 苓术栀柴贝母随
人参半夏丹皮附 川芎熟地草陈皮
治暴怒伤肝,忧思郁结,致肝火妄动,发为鬓疽。头眩痛彻太阳,胸膈痞连两胁,呕酸水,皆服之。
当归 白芍 茯苓 白术 贝母 熟地 山栀(各一钱) 半夏 人参 柴胡 丹皮 陈皮 香附
川芎(各六分) 甘草(四分)
水二钟,姜三片,煎八分,食远服。
参苓内托散
参苓内托散归 芎芍陈皮白术随
山药熟地并官桂 附子甘丹地骨皮
治鬓疽已成,坚而不溃,溃而不敛,气血俱虚,身凉脉细,饮食少思,口淡无味及形体消瘦者服。
归身 黄 川芎 白芍 陈皮 白术 山药 熟地 茯苓 人参(各一钱) 甘草 肉桂 熟附子
牡丹皮 地骨皮(各五分)
姜三片,枣二枚,水二钟,煎八分,食远服。
保安万灵丹(见痈疽门)
治鬓疽初起,憎寒壮热,头眩恶心,四肢拘急者。
柴胡清肝汤
柴胡清肝汤由川芎、白芍、当归、黄芩、栀子、生地黄组成,并随证加入防风、牛蒡子、天花粉、甘草和连翘。
适用于鬓疽(生于鬓部的痈疽)初起尚未化脓者,无论属阴证还是阳证,表证还是里证,均可服用。
药材及剂量:川芎、当归、白芍、生地黄、柴胡、黄芩、山栀、天花粉、防风、牛蒡子、连翘、甘草节(各一钱)。
煎服法:加水两钟(约400-500毫升),煎至八分(约300-400毫升),在饭后较长时间服用。
鼠粘子汤
鼠粘子汤由牛蒡子、甘草、桔梗、当归、赤芍、连翘、地骨皮、玄参、麦冬、天花粉、防风和大黄组成,不可遗漏其中任何一味。
适用于鬓疽初起,热象重于寒象,头晕头痛,口干咽燥,口渴喜冷饮,大小便干涩不通,六脉沉实有力,伴有烦闷疼痛的患者。
药材及剂量:牛蒡子、桔梗、当归、甘草梢、赤芍、连翘、玄参、地骨皮、防风、天花粉、木通(各一钱),大黄(炒制,二钱)。
煎服法:加水两钟,煎至八分,饭前服用,药渣再次煎煮后服用。
加味逍遥散
加味逍遥散在白术、茯苓、红花、丹皮、白芍、柴胡、陈皮的基础上,加入当归、栀子、贝母、天花粉和羚羊角,疗效更佳。
适用于鬓疽发病七日以上,疮根盘底深且坚硬,颜色紫暗,疼痛明显的患者宜服用。
药材及剂量:白术、茯苓、牡丹皮、白芍、柴胡、陈皮、当归、山栀、贝母、天花粉(各八分),甘草、红花、羚羊角(各五分)。
煎服法:加水两钟,淡竹叶二十片,煎至八分,饭后服用。
栀子清肝汤
栀子清肝汤由牛蒡子、柴胡、茯苓、川芎、白芍、石膏、当归、黄连、甘草、牡丹皮等组成,用水同煎慢火煨熟。
适用于少阳经气虚,肝火与风热上攻头部,从而形成鬓疽。症状表现为疼痛牵连颈部、项部、胸部、乳房、太阳穴等处,或出现午后发热加重(晡甚),胸闷、口苦、舌干。
药材及剂量:牛蒡子、柴胡、川芎、白芍、石膏、当归、山栀、牡丹皮(各一钱),黄芩、黄连、甘草(各五分)。
煎服法:加水两钟,煎至八分,饭后服用。
清肝解郁汤
清肝解郁汤由当归、白芍、茯苓、白术、栀子、柴胡、贝母、人参、半夏、丹皮、附子、川芎、熟地黄、甘草和陈皮组成。
适用于因暴怒损伤肝脏,忧思导致气机郁结,致使肝火妄动而引发的鬓疽。症状表现为头晕痛彻太阳穴,胸膈痞闷并牵连两侧胁肋,呕吐酸水,此类情况均适用此方。
药材及剂量:当归、白芍、茯苓、白术、贝母、熟地黄、山栀(各一钱),半夏、人参、柴胡、丹皮、陈皮、香附、川芎(各六分),甘草(四分)。
煎服法:加水两钟,生姜三片,煎至八分,在饭后较长时间服用。
参苓内托散
参苓内托散由当归、川芎、白芍、陈皮、白术、山药、熟地黄、肉桂、附子、甘草、丹皮和地骨皮组成,并随证加入人参和茯苓。
适用于鬓疽已经成脓,但质地坚硬不溃破,或者溃破后伤口难以收敛,气血俱虚,身体发凉,脉象细弱,饮食减少,口中淡而无味以及形体消瘦的患者服用。
药材及剂量:归身黄芪、川芎、白芍、陈皮、白术、山药、熟地黄、茯苓、人参(各一钱),甘草、肉桂、熟附子、牡丹皮、地骨皮(各五分)。
煎服法:生姜三片,大枣二枚,加水两钟,煎至八分,在饭后较长时间服用。
Chaihu Qinggan Tang (Bupleurum Decoction to Clear the Liver)
Chaihu Qinggan Tang consists of Chuanxiong Rhizome (Chuanxiong), White Peony Root (Baishao), Angelica Sinensis Radix (Danggui), Scutellaria Baicalensis Root (Huangqin), Gardenia Fruit (Zhizi), and Rehmannia Glutinosa Root Preparata (Shengdihuang), with added Saposhnikovia Divaricata Root (Fangfeng), Arctium Lappa Seed (Niubangzi), Trichosanthes Root (Tianhuafen), Licorice Root (Gancao), and Forsythia Fruit (Lianqiao).
It is indicated for early-stage Bianju (carbuncle located at the temple hairline) that has not yet suppurated, regardless of whether it presents as a Yin or Yang syndrome, or exterior or interior pattern.
Ingredients: Chuanxiong Rhizome, Angelica Sinensis Radix, White Peony Root, Prepared Rehmannia Root, Bupleurum Root, Scutellaria Baicalensis Root, Gardenia Fruit, Trichosanthes Root, Saposhnikovia Divaricata Root, Arctium Lappa Seed, Forsythia Fruit, Licorice Root segments (each 1 qian / approx. 3-4g).
Preparation and Administration: Add two zhong (approx. 400-500ml) of water, decoct until reduced to eight-tenths (approx. 300-400ml), and take well after meals.
Shuniuzi Tang (Arctium Decoction)
Shuniuzi Tang consists of Arctium Lappa Seed, Licorice Root, Platycodon Root, Angelica Sinensis Radix, Red Peony Root, Forsythia Fruit, Phellodendron Bark (Digupi), Scrophularia Root (Xuanshen), Ophiopogon Tuber (Maidong), Trichosanthes Root, Saposhnikovia Divaricata Root, and Rheum Palmatum Root (Dahuang); no ingredient should be omitted.
It is indicated for early-stage Bianju characterized by heat predominating over cold, dizziness and headache, dry mouth and throat, thirst with preference for cold drinks, constipation and difficult urination, deep and forceful pulse in all six positions, accompanied by irritability and pain.
Ingredients: Arctium Lappa Seed, Platycodon Root, Angelica Sinensis Radix, Licorice Root tip, Red Peony Root, Forsythia Fruit, Scrophularia Root, Phellodendron Bark, Saposhnikovia Divaricata Root, Trichosanthes Root, Akebia Caulis (Mutong) (each 1 qian / approx. 3-4g), Rheum Palmatum Root (stir-fried, 2 qian / approx. 6-8g).
Preparation and Administration: Add two zhong of water, decoct until reduced to eight-tenths, take before meals, and re-decoct the dregs for a second dose.
Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder)
Jiawei Xiaoyao San is based on Atractylodes Macrocephala Rhizome (Baizhu), Poria (Fuling), Safflower Flower (Honghua), Moutan Cortex (Danpi), White Peony Root, Bupleurum Root, and Tangerine Peel (Chenpi), with added Angelica Sinensis Radix, Gardenia Fruit, Fritillaria Bulb (Beimu), Trichosanthes Root, and Saiga Antelope Horn (Lingyangjiao), yielding superior efficacy.
It is indicated for Bianju presenting seven days or more after onset, with a deep and hard base, purple discoloration, and significant pain.
Ingredients: Atractylodes Macrocephala Rhizome, Poria, Moutan Cortex, White Peony Root, Bupleurum Root, Tangerine Peel, Angelica Sinensis Radix, Gardenia Fruit, Fritillaria Bulb, Trichosanthes Root (each 0.8 qian / approx. 2.4-3.2g), Licorice Root, Safflower Flower, Saiga Antelope Horn (each 0.5 qian / approx. 1.5-2g).
Preparation and Administration: Add two zhong of water and twenty leaves of Lophatherum Herb (Danzhuyexie), decoct until reduced to eight-tenths, and take after meals.
Zhizi Qinggan Tang (Gardenia Decoction to Clear the Liver)
Zhizi Qinggan Tang consists of Arctium Lappa Seed, Bupleurum Root, Poria, Chuanxiong Rhizome, White Peony Root, Gypsum Fibrosum (Shigao), Angelica Sinensis Radix, Coptis Rhizome (Huanglian), Licorice Root, and Moutan Cortex, decocted together in water and simmered slowly.
It is indicated for deficiency of the Shaoyang Meridian with Liver Fire and Wind-Heat attacking upwards, resulting in Bianju. Symptoms include pain radiating to the neck, nape, chest, breasts, and Taiyang region, or worsening fever in the late afternoon (Wu hour), chest fullness, bitter taste in the mouth, and dry tongue.
Ingredients: Arctium Lappa Seed, Bupleurum Root, Chuanxiong Rhizome, White Peony Root, Gypsum Fibrosum, Angelica Sinensis Radix, Gardenia Fruit, Moutan Cortex (each 1 qian / approx. 3-4g), Scutellaria Baicalensis Root, Coptis Rhizome, Licorice Root (each 0.5 qian / approx. 1.5-2g).
Preparation and Administration: Add two zhong of water, decoct until reduced to eight-tenths, and take after meals.
Qinggan Jieyu Tang (Liver-Clearing and Depression-Unblocking Decoction)
Qinggan Jieyu Tang consists of Angelica Sinensis Radix, White Peony Root, Poria, Atractylodes Macrocephala Rhizome, Gardenia Fruit, Bupleurum Root, Fritillaria Bulb, Ginseng Radix (Renshen), Pinellia Tuber (Banxia), Moutan Cortex, Aconite Lateralis Radix Preparata (Fuzi), Chuanxiong Rhizome, Prepared Rehmannia Root (Shudi), Licorice Root, and Tangerine Peel.
It is indicated for Bianju caused by sudden anger injuring the Liver, or worry and thought leading to Qi stagnation, causing erratic movement of Liver Fire. Symptoms include dizziness and pain penetrating the Taiyang region, chest and diaphragm stuffiness extending to both hypochondria, and vomiting of sour fluid; this formula is suitable for such cases.
Ingredients: Angelica Sinensis Radix, White Peony Root, Poria, Atractylodes Macrocephala Rhizome, Fritillaria Bulb, Prepared Rehmannia Root, Gardenia Fruit (each 1 qian / approx. 3-4g), Pinellia Tuber, Ginseng Radix, Bupleurum Root, Moutan Cortex, Tangerine Peel, Cyperus Rhizome (Xiangfu), Chuanxiong Rhizome (each 0.6 qian / approx. 1.8-2.4g), Licorice Root (0.4 qian / approx. 1.2-1.6g).
Preparation and Administration: Add two zhong of water and three slices of Ginger Rhizome (Jiang), decoct until reduced to eight-tenths, and take well after meals.
Shenling Neituo San (Ginseng and Poria Internal-Pushing Powder)
Shenling Neituo San consists of Angelica Sinensis Radix, Chuanxiong Rhizome, White Peony Root, Tangerine Peel, Atractylodes Macrocephala Rhizome, Chinese Yam Rhizome (Shanyao), Prepared Rehmannia Root, Cinnamon Twig (Rougui), Prepared Aconite Root (Shufuzi), Licorice Root, Moutan Cortex, and Phellodendron Bark (Digupi), with added Codonopsis Pilosula Radix (Renshen/Shen) and Poria.
It is indicated for established Bianju that is firm but does not ulcerate, or ulcerates but fails to heal, characterized by deficiency of both Qi and Blood, cool body temperature, fine pulse, poor appetite, bland taste in the mouth, and emaciation.
Ingredients: Angelica Sinensis Radix with Huangqi (Astragalus Root), Chuanxiong Rhizome, White Peony Root, Tangerine Peel, Atractylodes Macrocephala Rhizome, Chinese Yam Rhizome, Prepared Rehmannia Root, Poria, Ginseng Radix (each 1 qian / approx. 3-4g), Licorice Root, Cinnamon Twig, Prepared Aconite Root, Moutan Cortex, Phellodendron Bark (each 0.5 qian / approx. 1.5-2g).
Preparation and Administration: Add three slices of Ginger Rhizome and two Jujubes (Zao), with two zhong of water, decoct until reduced to eight-tenths, and take well after meals.
Bao'an Wanling Dan (See Chapter on Carbuncles and Ulcers)
Indicated for early-stage Bianju presenting with aversion to cold and high fever, dizziness and nausea, and stiffness and spasm of the four limbs.