(俗名大头伤寒。)
头目赤肿,耳前后尤甚,疼痛不可忍,发热恶寒,咽嗌填塞,牙关紧急,涕唾稠粘,饮
食难
,用托里温经汤,根据方服之,以薄衣复其首,以浓被复其身,卧于暖处,使经血温,腠理开
,寒气散,阳气升,大汗出后,肿减八、九,再去麻黄、防风,加连翘、牛蒡子全愈。
一、凶荒之际,疫气流行,凡患如前证,而家家户户传染者,当按后面部时毒之法治之
。
托里温经汤
麻黄(五分或八分) 升麻(五分) 防风 干葛 人参 白芷 当归 白芍 甘草 苍
术(各一钱)
上水二钟煎一钟服,卧暖处,得汗乃散,或加柴胡。
(溃久名蝼蛄串。)
患生婴孩头发内,肿块不红,初起往往错认跌肿,至高硕作疼方知觉。医者每以为头属
阳,
也,宜用小金丹疗之。初起三服乃消,溃后七丸而愈,外贴阳和解凝膏。如能服煎剂者,则
以加味保元汤加当归、熟地服之尤善。
小金丹(通用五十二。)
阳和解凝膏(通用七十七。)
加味保元汤(通用二十九。)
(又名发际疮。)
生头上及顶后发际,顶白肉赤,状似葡萄,痛如锥刺,痒如火燎,破流脓水,亦有浸淫
发内者,惟胖人多生之,乃内郁湿也。宜贴以黄香饼。
黄香饼
黄柏(一两) 乳香(三钱)
上各末共研,槐花煎水调作饼贴之。
(俗称大头伤寒。)
头部和眼睛红肿,耳朵前后尤其严重,疼痛难以忍受,伴有发热恶寒,咽喉部堵塞感,牙关紧闭,鼻涕和唾液粘稠,饮食困难。使用托里温经汤,按照方剂服用,用薄衣包裹头部,用厚被覆盖身体,躺在温暖的地方,使经络血液温暖,腠理(皮肤纹理及汗孔)开放,寒气消散,阳气升发,大汗出后,肿胀消退八九成,此时去掉麻黄、防风,加入连翘、牛蒡子,即可痊愈。
一、在饥荒年间,疫气流行,凡是出现上述症状,且家家户户相互传染的,应当按照后面“面部时毒”的方法来治疗。
托里温经汤
麻黄(五分或八分) 升麻(五分) 防风 干葛 人参 白芷 当归 白芍 甘草 苍术(各一钱)
以上药材用水二钟煎至一钟服用,睡在温暖处,出汗后病邪散去,或者可以加柴胡。
(溃烂日久名为蝼蛄串。)
患处生在婴儿头发内,肿块不红,初起时往往误认为是跌打损伤引起的肿胀,直到肿势高耸作痛时才察觉。医生通常认为头属阳位,应当使用小金丹来治疗。初起时服用三服即可消除,溃烂后服用七丸即可痊愈,外部贴敷阳和解凝膏。如果能服用汤剂的话,则使用加味保元汤加入当归、熟地黄服用效果更佳。
小金丹(通用五十二。)
阳和解凝膏(通用七十七。)
加味保元汤(通用二十九。)
(又名发际疮。)
生长在头上及头顶后方发际处,顶部白色肉质发红,形状像葡萄,疼痛如锥刺,瘙痒如火烧,破溃后流出脓水,也有蔓延到发内的,只有肥胖的人容易生此病,这是由于体内湿气郁结所致。适宜贴敷黄香饼。
黄香饼
黄柏(一两) 乳香(三钱)
以上药材分别研成粉末混合,用槐花煎水调制成饼状贴敷。
(Also known as "Big Head Typhoid".)
Redness and swelling of the head and eyes, especially severe around the ears, with unbearable pain. Accompanied by fever and aversion to cold, a sensation of blockage in the throat, trismus (lockjaw), thick and sticky nasal discharge and saliva, and difficulty in eating and drinking. Use Tuoli Wenjing Tang (Supporting Interior and Warming Meridian Decoction). Take according to the prescription. Wrap the head with thin clothing, cover the body with thick blankets, and lie in a warm place to warm the meridian blood, open the couli (pores and skin texture), dissipate cold qi, and raise yang qi. After profuse sweating, the swelling will reduce by eight or nine tenths. At this point, remove Mahuang (Ephedrae Herba) and Fangfeng (Saposhnikoviae Radix), add Lianqiao (Forsythiae Fructus) and Niubangzi (Arctii Fructus), and complete recovery will ensue.
1. During times of famine when epidemic qi is prevalent, for those suffering from the aforementioned symptoms where infection spreads among every household, treat according to the methods described later for Facial Shidu (Seasonal Toxic Swelling on the Face).
Tuoli Wenjing Tang (Supporting Interior and Warming Meridian Decoction)
Mahuang (Ephedrae Herba) (5 fen or 8 fen) Shengma (Cimicifugae Rhizoma) (5 fen) Fangfeng (Saposhnikoviae Radix) Gange (Puerariae Lobatae Radix) Renshen (Ginseng Radix et Rhizoma) Baizhi (Angelicae Dahuricae Radix) Danggui (Angelicae Sinensis Radix) Baishao (Paeoniae Radix Alba) Gancao (Glycyrrhizae Radix et Rhizoma) Cangzhu (Atractylodis Rhizoma) (each 1 qian)
Boil the above ingredients in two zhong of water until one zhong remains, then take orally. Lie in a warm place; once sweat occurs, the pathogen will dissipate. Chaihu (Bupleuri Radix) may be added if necessary.
(When ulcerated for a long time, it is called "Mole Cricket String".)
The lesion arises within the hair of infants. The mass is not red. Initially, it is often mistaken for swelling due to trauma. Awareness only comes when the swelling becomes high and painful. Physicians generally consider the head to be a Yang region, so Xiaojin Dan (Little Golden Pill) should be used for treatment. Three doses at the initial stage can eliminate the swelling. Seven pills after ulceration lead to cure. Apply Yanghe Jiening Gao (Yanghe Resolving Hardness Plaster) externally. If decoctions can be taken, Jiawei Baoyuan Tang (Modified Baoyuan Decoction) with added Danggui (Angelicae Sinensis Radix) and Shudihuang (Rehmanniae Radix Preparata) yields particularly good results.
Xiaojin Dan (Little Golden Pill) (General Formula No. 52.)
Yanghe Jiening Gao (Yanghe Resolving Hardness Plaster) (General Formula No. 77.)
Jiawei Baoyuan Tang (Modified Baoyuan Decoction) (General Formula No. 29.)
(Also known as Hairline Sore.)
Occurs on the head and the hairline at the back of the vertex. The top is white flesh with redness underneath, resembling grapes. Pain feels like needle pricks, itching feels like burning fire. Upon rupture, pus flows out. It may also spread into the hair. This condition primarily affects obese individuals and is caused by internal dampness stagnation. It is suitable to apply Huangxiang Bing (Huangxiang Cake/Patch).
Huangxiang Bing (Huangxiang Cake/Patch)
Huangbai (Phellodendri Cortex) (1 liang) Ruxiang (Olibanum) (3 qian)
Grind each ingredient into powder separately and mix them. Mix with water boiled from Huaihua (Sophorae Flos) to form a cake/patch for external application.