炙甘草 丁香 人参 白术(各五分) 木香(磨汁) 青皮 陈皮 杜仲(姜汁炒) 谷芽(炒) 藿香
大腹皮(洗) 石斛(酒炒) 半夏(曲炒) 神曲(炒) 随风子 槟榔(各三分)
上水二盅,姜三片,枣二枚,煎八分,食远服,五噎入柿干一个,膈气吐逆,入韭白三寸,枣五枚同煎。
远志酒 能托散诸毒。治女人乳痈尤效。
远志 不拘多少,用米泔浸洗,槌去心。
上为末,每服三钱,用好酒一盅调,少顷澄清饮之,以滓敷患处。
替针丸
治脓成不溃者。
白丁香 砂(另研) 真没药 乳香(各一匙)
糯米(即江米)四十粒,先以矿灰拳大一块,置瓷碗内,量入井水,待热气将息,以米排
入灰中良久,候米如水晶状,取去用之。如米未就,再用灰制,上各另为末,然后和匀
收贮。用时以饭丸麦粒大,每用一粒,水湿粘疮头上,其脓自出。凡疮疡血气壮实,脓
成不溃者,宜用此药以泄其毒,则肌肉易生,疮口易敛。若气血亏损者,须用甘温之剂,以
培根本。否则不惟不溃,且难收敛。若附骨疽及紧要之地,当及时针砭为善。
漏芦汤
治脑疽痈疽,毒盛实者。
漏芦 黄 甘草 连翘 沉香(各五钱) 大黄(一两微炒)
上每服四五钱,姜枣水煎服。
破棺丹
治疮疡热极汗多,大渴便秘,谵语发狂。
大黄(三两半,半生半熟) 芒硝 甘草(各二两)
上为末,炼蜜丸,弹子大,每服一丸。童便酒化下,白汤亦可。
万金散 一名内托散
治痈疽已溃未溃者,有消毒破血之功。
栝蒌(一个杵碎) 没药(一钱研) 大甘草节(二钱)
上酒二碗,煎去一碗,后入没药服。
牛胶散
治痈疽,使毒不内攻,不传恶证,有益无损。
牛皮胶(广中明者四两)
上用酒一碗,重汤煮化,加酒服至醉,不能饮者加白汤。
会脓散
治恶毒便毒初起妙方。
白芷 僵蚕(炒) 穿山甲(煨各二钱) 大黄(四钱) 乳香 没药(各一钱)
上为末,以当归四钱,用酒水各二盅,煎一盅,去渣。量人强弱,或全用,或一半,调
服之。此药若嫌太多,则 咀为饮,大黄生加煎服之尤妙。
生脉散
治疮疡胃气亏损,阴火上冲,口干喘促。或肢体倦怠,肌肉消瘦,面色痿黄,汲汲短
气,汗出不止,食少作渴。或脓水出多,气血俱虚,烦躁不安,睡卧不宁。或湿热大行,
火土合病,脾胃虚弱,身重气短。或金为火制,绝寒水生化之源,肢体痿软,脚欹眼黑
等症。
人参(五钱) 五味子 麦冬(各二钱)
水煎服。
香连丸
治热泻痢疾,赤白脓血,湿热侵脾,里急后重。
黄连(净十两)
切如豆粒,用净吴茱萸五两,二味用热水拌和,入瓷罐内,置热汤中,顿一日,炒
至黄连紫色为度,去茱萸不用。
木香
每制净黄连一两,木香二钱半。
上为末,醋糊丸,桐子大,每服七十丸,食前空心米饮下。
滋肾丸
降肾火。桂与火邪同体,此寒热用法也。凡不渴者,病在下焦,宜用之。《良方》云∶
或肾虚足热,小便不利,肚腹肿胀,皮肤胀裂,眼睛突出,此神剂也。
黄柏(二两酒拌阴干) 知母(同上) 肉桂(二钱)
上为细末,熟水为丸,百沸汤空心送下二百丸。
小柴胡汤
治邪在肝胆,半表半里之间,寒热往来喜呕;或日晡发热,胁痛耳聋,郁怒 疟等
证。按古方较重,今方减用。
柴胡(二三钱) 半夏 人参 黄芩(各一二钱) 生姜 甘草(五七分) 大枣(五七枚)
水煎温服。若胸中烦而不呕,去半夏人参,加栝蒌实。若渴者去半夏,加人参栝蒌
根。若腹中痛者,去黄芩,加芍药。若胁下痞硬,去大枣,加牡蛎。若心下悸,小便不
利者,去黄芩,加茯苓。若不渴,外有微热者,去人参,加肉桂,温敷取微汗愈。若咳
者去人参、大枣、生姜,加五味子、干姜。
加味逍遥散
治疮疡肝脾血虚,内热发热;或遍身搔痒寒热;或肢体作痛,头目昏重;或怔忡颊
赤,口燥咽干;或发热盗汗,食少不寐;或
口舌耳内作痛;或胸乳腹胀,小便不利。
当归 芍药 白术 茯神 丹皮 柴胡(各等分) 甘草 栀子(各七分)
姜水煎服。
三品锭子
上品 去十八种痔。
白明矾(二两) 白砒(一两五钱) 乳香 没药(各三钱半) 牛黄(三钱)
中品 去五漏,及翻花瘤气核。
白明矾(二两) 白砒(一两三钱) 乳香 没药(各三钱半) 牛黄(二钱)
下品 治瘰 气核,疔疮发背,脑疽诸恶证。
白明矾(二两) 白砒(一两半) 乳香 没药(各二钱半) 牛黄(三分)
上将砒末入紫泥罐内,次用矾末盖之,以炭火 令烟尽取出,并各药俱研极细末,用
糯米糊和为挺子,状如线香,阴干。疮内三四次,年深者五六次,其根自腐,如疮露在
外,更用蜜水调搽,干上亦可。
尝有一老媪,用此治瘰 ,索重价始肯治。其方法乃是中品锭子 疮内,以膏药贴
之,其根自腐,未尽再用,去尽更搽生肌药,数日即愈。人多异之。凡见其治气血不虚者
果验。惟气血虚者,虽溃去亦不能愈,盖此与必效散相为表里,皆攻毒去邪之药也。
如神千金方
治痔无有不效。
好信石(黄明者,三钱,打如豆粒) 明白矾(一两为末) 好黄丹(飞炒五钱) 蝎梢(七个,洗净,
瓦上焙干为末) 草乌(光实者,去皮,生研,五钱)
上用紫泥罐,先将炭火 红,放冷拭净,先下明矾烧令沸,次下信入矾内拌匀,文武
火,候沸再搅匀,次看罐通红烟起为度,将罐掇下,待冷取研为末,方入黄丹草乌蝎梢
三味,再同研极细,以瓷罐收贮。如欲敷药,先煎甘草汤或葱椒汤洗净患处,然后用生麻
油调前药,以鹅毛扫药痔上。每日敷药三次,必去黄水如胶汁,则痔头渐消,其年远者,不
出十日可取尽。日近者俱化为黄水,连根去净,更搽生肌之药。凡五痔皆可去之,此乃
临安曹五方为高宗取痔,封曹官至察使。
透骨丹
此溃脓药,外科不可缺。
蟾酥 硼砂 轻粉 巴豆(各五钱) 蜗牛(二个) 麝香(一分)
上先将巴豆研如泥,次入蜗牛麝香再研,后入各药研极细,以小瓷瓶收藏。每用少许,
以乳汁化开,先用针轻轻拨破毒头,挑药米粒许,纳于疮口,外用清凉膏贴之。
金银花酒
治一切痈疽发背,疔疮喉痹等症
金银花藤叶捣烂,取汁半盅,和热酒半盅温服,甚者不过三五服,可保无虞。
乌金膏
治发背中央肉死,涂之即腐,未死涂之即生。若初起肿痛,用点数处,则解毒顿消。
若瘀肉腐黑,涂之即溃。若恶疮顽疮,元气无亏,久不收敛者,内有毒根,以纸捻蘸
其内。有等发背,因元气虚弱,或因克伐,元气亏损,毒瓦斯散漫,中黯外赤,不腐不溃,须
服大补之剂。中涂三四寸许,至五六日间,赤黯之界,自有裂纹如刀划之状,中央渐溃腐
脱,内用纯阳之药以接元气,庶能收敛。若妄用刀针去肉出血,则阳随阴散,元气愈伤,
或涂凉药,则毒瓦斯不解,气血愈虚,非徒无益,适以害之矣。其方用巴豆肉炒黑,研为
膏,点肿处。或涂瘀肉上,则自化。或加乳香少许亦可。如涂疮肉,或加香油少许亦可,
调稀可用。若余毒不敛者,以此 之,不致成痛。
车螯散
治痈疽初发肿痛,或少年热盛,发背等症。急宜宣毒,利下热退为度。大人小儿,四
季皆可服之。
紫背车螯(一只,盐泥固济,火 通红,地上出火毒用) 轻粉 甘草(各二钱) 大黄(五钱) 黄芩
漏芦(去须) 瓜根(各半两)
上为末,每服二钱,薄荷汤下,速利,酒亦可。
蜡矾丸
服过一两以上,无不取效。最止疼痛,不伤脏腑,活人不可胜数。
白矾(一两) 黄蜡(半两) 白蜜(二钱)
上和丸,如桐子大,每服十九丸,加至五十丸,温酒送下,如未破即消,已破即合。
一日服百粒,则有性能,防毒瓦斯内攻,尤能护膜。始终须服半斤,疮愈后服之尤佳。治
蛇咬,溶化白矾,乘热滴伤处,痛即止。一方用明矾飞过研细,以鸡子二个取清,调矾
末稀稠如糊,用无灰陈好酒放开服之,脓未成者即消,已成者从大小便出,神效,其功大胜黄矾丸。
五香连翘汤
治诸疮肿。初觉一二日,便厥逆,咽喉塞,发寒热。
沉香 木香 麝香 丁香(各一两) 乳香(二两) 连翘 射干 升麻 独活 桑寄生 甘草(炙,
各一两) 大黄(一两半) 木通(二两)
上 咀,每服五钱,水盅半,煎七分,温服取利。按丹溪曰∶《精要》第一论云∶不问
痈疽疮疖,虚热冷热,先与内托散,五香连翘汤,沉麝汤等诸方。不冷不热,不问老幼
少壮,阴阳虚实冷热,多服为妙。夫痈疽疮疖,脏腑阴阳,有浅深虚实冷热,用药有补
泻温凉。老幼少壮,其禀受浓薄,形志苦乐,随年而增损。奈何欲以不冷不热,四五方而
通治之。又以多服为妙,此不能无疑也?学人当审经络,察病机而处治。岂可仗此为通治之法乎?
隔皮取脓法
治诸般肿毒。
驴蹄(细切一两炒) 荞麦面(一两) 白盐(半两) 草乌(四钱去皮)
上为末,水调作饼子,慢火炙黄,出火毒,研,米醋调成膏。用白纸摊贴患处,毒
自毛窍而出,其肿自退。
滴滴金 治疔疮。
砂 轻粉 人言 雄黄 朱砂 麝香(少许)
上为细末,每用些少,先以针刺开疮头贴药,黄水出效。
扳黄药
治疔疮走黄。
用蟾酥飞罗面为丸,梧桐子大,可将一丸放在面前舌下,实时黄出。
追脓锭子(海藏) 脓内溃不出,此药追之。
雄黄(二钱) 巴豆肉(一钱半) 轻粉(一字)
共为细末,饭和成锭。
治疔破棺丹
疔疮走黄不止。
当归 赤芍药 山栀子 牵牛(各二两半) 连翘 牡蛎 金银花 紫花地丁 京三棱 甘草(各二两)
便秘加大黄(三两)
上为细末,炼蜜和丸,如弹子大,每服一丸。食前用童便化开服,忌饮酒及生冷硬物。
治暑天 疮方
朴硝开水泡洗,三二次愈。
小儿走马牙疳
桑树白汁,擦之自愈,永不再发。
【补遗方(续)】
炙甘草、丁香、人参、白术(各五分)、木香(磨取汁液)、青皮、陈皮、杜仲(用姜汁炒制)、谷芽(炒制)、藿香、大腹皮(洗净)、石斛(用酒炒制)、半夏(用神曲炒制)、神曲(炒制)、随风子、槟榔(各三分)。
以上药材,加水两盅,生姜三片,大枣二枚,煎煮至剩余八分药液,在饭后服用。若为五噎病,加入一个柿干同煎;若为膈气病且呕吐逆乱,加入韭白三寸、大枣五枚同煎。
远志酒:能够托毒外出并消散各种毒邪。治疗妇女乳痈尤为有效。
取远志不拘多少,用米泔水浸泡清洗,捶打后去除心部。
将上述药物研成细末,每次服用三钱,用好酒一盅调匀,稍待澄清后饮用,并将药渣敷于患处。
替针丸:
治疗脓液已成但无法溃破的情况。
白丁香、砂(单独研磨)、真没药、乳香(各一匙)。
糯米(即江米)四十粒,先用拳头大小的一块矿灰,放在瓷碗内,适量加入井水,待热气即将消散时,将米粒排入灰中,停留较长时间,等到米粒变成如水晶状时,取出备用。如果米粒未完全制成,再用灰制处理。将上述各药分别研成细末,然后混合均匀收存。使用时用饭团做成麦粒大小的丸剂,每次使用一粒,用水湿润粘在疮口上,脓液自然会流出。凡是疮疡气血壮实,脓成不溃者,适宜使用此药以泄出毒邪,则肌肉容易生长,疮口容易愈合。若气血亏损者,必须使用甘温的药剂,以培补根本。否则不仅不能溃破,而且难以收敛。若是附骨疽及身体紧要部位,应当及时采用针刺放血疗法为好。
漏芦汤:
治疗脑疽、痈疽,毒势强盛实证患者。
漏芦、黄芩、甘草、连翘、沉香(各五钱)、大黄(一两,微炒)。
每次服用四五钱,用生姜、大枣水煎服。
破棺丹:
治疗疮疡热极导致汗多、大渴、便秘、胡言乱语、发狂等症状。
大黄(三两半,一半生用一半熟用)、芒硝、甘草(各二两)。
将上述药物研成细末,炼蜜为丸,如弹子大小,每次服用一丸。用童便或酒化开送服,白开水也可以。
万金散:又名内托散。
治疗痈疽已溃或未溃者,具有消毒、破血的功效。
栝蒌(一个,捣碎)、没药(一钱,研磨)、大甘草节(二钱)。
用酒两碗,煎去一碗,然后加入没药服用。
牛胶散:
治疗痈疽,使毒邪不向内攻陷,不传变为恶证,有益无害。
牛皮胶(广东产明胶四两)。
用酒一碗,隔水加热煮化,加酒服用直至醉倒,不能饮酒者加白开水。
会脓散:
治疗恶毒便毒初起的妙方。
白芷、僵蚕(炒制)、穿山甲(煨制,各二钱)、大黄(四钱)、乳香、没药(各一钱)。
将上述药物研成细末,取当归四钱,用酒和水各两盅,煎煮成一盅,去渣。根据病人强弱体质,全量服用或减半服用。此药如果觉得剂量太多,可以切碎做汤剂,大黄生用煎服尤其好。
生脉散:
治疗疮疡胃气亏损,阴火上冲,口干、气喘急促。或者肢体倦怠,肌肉消瘦,面色萎黄,气息短促,出汗不止,食少口渴。或者脓水流出过多,气血俱虚,烦躁不安,睡眠不宁。或者湿热盛行,火土合病,脾胃虚弱,身体沉重、气短。或者肺金被火克制,断绝了寒水生化之源,导致肢体痿软无力,脚歪眼黑等症状。
人参(五钱)、五味子、麦冬(各二钱)。
水煎服。
香连丸:
治疗热性泻痢疾,排出赤白脓血,湿热侵袭脾脏,里急后重。
黄连(净选十两)。
切成豆粒大小,用净吴茱萸五两,两味药用热水拌和,放入瓷罐内,置于热汤中,放置一天,炒至黄连呈紫色为止,去掉茱萸不用。
木香:每制备净黄连一两,配木香二钱半。
将上述药物研成细末,醋糊为丸,如梧桐子大小,每次服用七十丸,饭前空腹用米饮送下。
滋肾丸:
降肾火。肉桂与火邪同体,这是寒热并用的方法。凡是不口渴的,病位在下焦,适宜使用。《良方》说:如果是肾虚足热,小便不利,肚腹肿胀,皮肤胀裂,眼睛突出,这是神效之剂。
黄柏(二两,酒拌阴干)、知母(同上)、肉桂(二钱)。
将上述药物研成细末,用熟水泛丸,空腹用滚开水送服二百丸。
小柴胡汤:
治疗邪气在肝胆,处于半表半里之间,寒热往来、喜欢呕吐;或者日晡时分发热,胁痛耳聋,郁怒引起的疟疾等证候。按古方剂量较重,今方减少用量。
柴胡(二三钱)、半夏、人参、黄芩(各一二钱)、生姜、甘草(五七分)、大枣(五七枚)。
水煎温服。如果胸中烦闷但不呕吐,去掉半夏、人参,加入栝蒌实。如果口渴,去掉半夏,加入人参、栝蒌根。如果腹中疼痛,去掉黄芩,加入芍药。如果胁下痞硬,去掉大枣,加入牡蛎。如果心下悸动,小便不利,去掉黄芩,加入茯苓。如果不口渴,体表有轻微发热,去掉人参,加入肉桂,温敷取微汗即可痊愈。如果咳嗽,去掉人参、大枣、生姜,加入五味子、干姜。
加味逍遥散:
治疗疮疡肝脾血虚,内热发热;或者全身瘙痒寒热;或者肢体疼痛,头目昏重;或者心悸面颊发红,口燥咽干;或者发热盗汗,食少失眠;或者口舌耳内作痛;或者胸乳腹胀,小便不利。
当归、芍药、白术、茯神、丹皮、柴胡(各等分)、甘草、栀子(各七分)。
姜水煎服。
三品锭子:
上品:去除十八种痔疮。
白明矾(二两)、白砒(一两五钱)、乳香、没药(各三钱半)、牛黄(三钱)。
中品:去除五漏,以及翻花瘤、气核。
白明矾(二两)、白砒(一两三钱)、乳香、没药(各三钱半)、牛黄(二钱)。
下品:治疗瘰疬、气核、疔疮、发背、脑疽等各种恶证。
白明矾(二两)、白砒(一两半)、乳香、没药(各二钱半)、牛黄(三分)。
上将砒末放入紫泥罐内,其次用矾末覆盖,用炭火煅烧直到烟尽取出,并将各药都研磨成极细末,用糯米糊调和做成挺子,形状像线香,阴干。疮内用药三四次,年代久远的五六次,其根部自然腐烂。如果疮口露在外面,再用蜜水调匀涂抹,干燥状态也可以。
曾经有一位老妇人,用此药治疗瘰疬,索要高价才肯治疗。其方法是使用中品锭子纳入疮内,用膏药贴住,其根部自然腐烂,未尽再用药,去尽后再涂抹生肌药,数日即愈。人们对此感到惊奇。凡是见到气血不虚的患者果然有效。只有气血虚者,虽然溃破去腐也不能痊愈,大概这与必效散互为表里,都是攻毒祛邪的药物。
如神千金方:
治疗痔疮没有不有效的。
好信石(黄色明亮的,三钱,打成豆粒大小)、明白矾(一两,研成末)、好黄丹(飞炒五钱)、蝎梢(七个,洗净,瓦上焙干研成末)、草乌(光亮坚实的,去皮,生研,五钱)。
上用紫泥罐,先将炭火烧红,放冷擦拭干净,先下明矾烧至沸腾,次下信石放入矾内拌匀,用文武火,等到沸腾再次搅匀,接着看罐通红冒烟为止,将罐移下,待冷取出研磨成末,再加入黄丹、草乌、蝎梢三味,一同研磨极细,用瓷罐收贮。如果要敷药,先煎甘草汤或葱椒汤洗净患处,然后用生麻油调和前药,用鹅毛笔扫药在痔上。每日敷药三次,必然流出如胶汁般的黄水,则痔头逐渐消退,年代久远的,不出十日可彻底去除。日近的都会化为黄水,连根去净,再涂抹生肌的药。凡五种痔疮都可以去除,这是临安曹五献给高宗治疗痔疮的方子,封曹官至察使。
透骨丹:
这是溃脓药,外科不可缺少的。
蟾酥、硼砂、轻粉、巴豆(各五钱)、蜗牛(二个)、麝香(一分)。
上将巴豆研磨如泥,次加入蜗牛、麝香再研磨,后加入各药研磨极细,用小瓷瓶收藏。每次用少许,用乳汁化开,先用针轻轻拨破毒头,挑取米粒大小的药,纳入疮口,外用清凉膏贴敷。
金银花酒:
治疗一切痈疽发背、疔疮、喉痹等症。
金银花藤叶捣烂,取汁半盅,和热酒半盅温服,严重的不过三五服,可以保证无虞。
乌金膏:
治疗发背中央肌肉坏死,涂抹后即腐烂,未死涂抹后即生新。如果初起肿痛,点数几处,则解毒顿消。如果瘀肉腐黑,涂抹后即溃破。如果恶疮顽疮,元气无亏,久不收敛,内有毒根,用纸捻蘸药插入其中。有些发背,因元气虚弱,或因攻伐过度,元气亏损,毒瓦斯散漫,中间暗红外面赤红,不腐不溃,必须服用大补的药剂。中间涂抹三四寸许,到五六日间,赤暗交界处,自然有裂纹如刀划之状,中央逐渐溃腐脱落,内部用纯阳的药物以接续元气,才能收敛。如果妄用刀针去肉出血,则阳气随阴血散失,元气更加受伤,或者涂抹凉药,则毒瓦斯不解,气血更虚,不仅无益,反而有害。其方用巴豆肉炒黑,研磨为膏,点涂肿处。或者涂在瘀肉上,则自然化解。或者加少许乳香也可以。如果涂在疮肉上,或者加少许香油也可以,调稀可用。如果余毒不收敛,以此药掺之,不至于形成痛症。
车螯散:
治疗痈疽初发肿痛,或者少年热盛,发背等症。急宜宣通毒邪,利下热退为度。大人小孩,四季皆可服用。
紫背车螯(一只,盐泥固封,火煅通红,在地上出火毒用)、轻粉、甘草(各二钱)、大黄(五钱)、黄芩、漏芦(去须)、瓜根(各半两)。
将上述药物研成细末,每次服用二钱,薄荷汤送下,速利,酒也可以。
蜡矾丸:
服用一两以上,没有不取效的。最止疼痛,不伤脏腑,救活的人不可胜数。
白矾(一两)、黄蜡(半两)、白蜜(二钱)。
和匀为丸,如梧桐子大小,每次服用十九丸,加至五十丸,温酒送下,如未破即消,已破即合。一日服百粒,则有性能,防毒瓦斯内攻,尤能护膜。始终须服半斤,疮愈后服用尤其好。治蛇咬,溶化白矾,乘热滴在伤处,痛即止。一方用明矾飞过研细,用鸡蛋二个取清,调矾末稀稠如糊,用无灰陈年好酒放开服之,脓未成的即消,已成者从大小便排出,神效,其功大胜黄矾丸。
五香连翘汤:
治疗各种疮肿。初觉一二日,便出现厥逆,咽喉堵塞,发寒热。
沉香、木香、麝香、丁香(各一两)、乳香(二两)、连翘、射干、升麻、独活、桑寄生、甘草(炙,各一两)、大黄(一两半)、木通(二两)。
切碎,每次服用五钱,水一盅半,煎至七分,温服取利。按丹溪说:《精要》第一论说:不问痈疽疮疖,虚热冷热,先与内托散、五香连翘汤、沉麝汤等诸方。不冷不热,不问老少壮弱,阴阳虚实冷热,多服为妙。夫痈疽疮疖,脏腑阴阳,有浅深虚实冷热,用药有补泻温凉。老幼壮弱,其禀受浓薄,形志苦乐,随年而增损。奈何欲以不冷不热,四五方而通治之。又以多服为妙,这不能不有疑问?学人应当审经络,察病机而处治。岂可仗此为通治之法乎?
隔皮取脓法:
治疗各种肿毒。
驴蹄(细切一两炒)、荞麦面(一两)、白盐(半两)、草乌(四钱去皮)。
将上述药物研成细末,水调作饼子,慢火烤黄,出火毒,研磨,米醋调成膏。用白纸摊贴患处,毒自毛孔而出,其肿自然消退。
滴滴金:治疗疔疮。
砒霜、轻粉、人言、雄黄、朱砂、麝香(少许)。
将上述药物研成细末,每次用少许,先以针刺开疮头贴药,黄水出则效。
扳黄药:
治疗疔疮走黄。
用蟾酥、飞罗面为丸,梧桐子大小,可将一丸放在面前舌下,实时黄出。
追脓锭子(海藏):脓在内溃出不来,此药追之。
雄黄(二钱)、巴豆肉(一钱半)、轻粉(一字)。
共为细末,饭和成锭。
治疔破棺丹:
疔疮走黄不止。
当归、赤芍药、山栀子、牵牛(各二两半)、连翘、牡蛎、金银花、紫花地丁、京三棱、甘草(各二两)。
便秘加大黄(三两)。
将上述药物研成细末,炼蜜和丸,如弹子大小,每次服用一丸。饭前用童便化开服,忌饮酒及生冷硬物。
[Supplementary Prescriptions (Continued)]
Zhi Gancao Tang (Honey-fried Licorice Decoction): Zhi Gancao (Glycyrrhizae Radix et Rhizoma Preparata), Dingxiang (Caryophylli Flos), Renshen (Panacis Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 5 fen); Muxiang (Aucklandiae Radix) (ground for juice); Qingpi (Citri Reticulatae Pericarpium Viride); Chenpi (Citri Reticulatae Pericarpium); Duzhong (Eucommiae Cortex) (stir-fried with ginger juice); Guya (Oryzae Fructus Germinatus) (stir-fried); Huoxiang (Agastaches Herba); Dafupi (Arecae Pericarpium) (washed); Shihu (Dendrobii Caulis) (stir-fried with wine); Banxia (Pinelliae Rhizoma) (stir-fried with Shenqu); Shenqu (Massae Fermentatae Medicinalis) (stir-fried); Suifengzi (Fructus Toosendanis); Binglang (Arecae Semen) (each 3 fen).
Take the above herbs, add two zhong of water, three slices of fresh ginger, and two jujubes. Decoct until only eight parts remain. Take after meals. For Wu Ye (Five Obstructions), add one dried persimmon to decoct together; for Ge Qi (Diaphragmatic Qi stagnation) with vomiting and reflux, add three cun of leek white parts and five jujubes to decoct together.
Yuanzhi Jiu (Polygala Wine): Can expel toxins outward and dissipate various toxic pathogens. Particularly effective for treating Ru Yong (Breast Abscess) in women.
Take Yuanzhi (Polygalae Radix) in any quantity, soak and wash with rice washing water, pound to remove the heart.
Grind the above into fine powder. Take 3 qian each time, mix well with one zhong of good wine, let it settle clear, then drink. Apply the dregs to the affected area.
Tizhen Wan (Needle-Replacement Pill):
Treats cases where pus has formed but cannot ulcerate.
Baidingxiang (Vermisilica), Sha (Arsenic Trioxide) (separately ground), Zhen Moyao (Myrrha), Xuxiang (Olibanum) (each one spoonful).
Nuomi (Oryzae Fructus) forty grains. First, take a piece of mineral ash the size of a fist, place it in a porcelain bowl, add an appropriate amount of well water. When the heat is about to subside, arrange the rice grains into the ash and leave them for a long time. Wait until the rice becomes crystal-like, then remove and use. If the rice is not fully processed, treat with ash again. Grind each of the above herbs separately into fine powder, then mix evenly and store. When using, form pills the size of wheat grains using rice paste. Use one pill at a time, moisten with water, and stick it on the wound head; pus will discharge naturally. For sores and ulcers where qi and blood are robust and pus has formed but not ulcerated, this medicine should be used to drain the toxin, facilitating muscle growth and wound closure. For those with qi and blood deficiency, sweet-warm tonics must be used to nourish the root. Otherwise, not only will it not ulcerate, but healing will be difficult. For Gujigu (Bone-abscess) and critical areas, timely acupuncture or bloodletting is advisable.
Loulou Tang (Imperata Decoction):
Treats Nao Ju (Brain Carbuncle) and Yong Ju (Carbuncle) with strong, excess toxicity.
Loulou (Rhapontici Radix), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Lianqiao (Forsythiae Fructus), Chenxiang (Aquilariae Lignum Resinatum) (each 5 qian); Dahuang (Rhei Radix et Rhizoma) (1 liang, slightly stir-fried).
Take 4-5 qian each time, decoct with ginger and jujube water.
Poguan Dan (Coffin-Breaking Elixir):
Treats sores and ulcers with extreme heat causing excessive sweating, severe thirst, constipation, delirium, and mania.
Dahuang (Rhei Radix et Rhizoma) (3.5 liang, half raw half cooked), Mangxiao (Natrii Sulfas), Gancao (Glycyrrhizae Radix et Rhizoma) (each 2 liang).
Grind into powder, make pills with refined honey the size of a bullet. Take one pill each time. Dissolve in children's urine or wine; plain water is also acceptable.
Wanjing San (Ten-Thousand-Gold Powder): Also known as Neituo San (Interior-Supporting Powder).
Treats carbuncles and ulcers whether ulcerated or not; has the function of detoxifying and breaking blood stasis.
Gualou (Trichosanthis Fructus) (one fruit, crushed), Moyao (Myrrha) (1 qian, ground), Da Gancaojie (Large Licorice Joint) (2 qian).
Decoct in two bowls of wine until one bowl remains, then add Moyao and take.
Niujiao San (Cow-Hide Gelatin Powder):
Treats carbuncles and ulcers, preventing toxin from attacking inward or transforming into malignant syndromes; beneficial without harm.
Niu Pi Jiao (Corii Bovis Colla) (4 liang, high quality from Guangdong).
Decoct in one bowl of wine over double boiler until melted. Add wine and drink until intoxicated. Those who cannot drink alcohol may add plain water.
Huinong San (Pus-Converging Powder):
An excellent prescription for early-stage E Du Bian Du (Malignant Genital Sores).
Baizhi (Angelicae Dahuricae Radix), Jiangcan (Bombyx Batryticatus) (stir-fried), Chuanshanjia (Manis Squama) (roasted, each 2 qian); Dahuang (Rhei Radix et Rhizoma) (4 qian); Xuxiang (Olibanum), Moyao (Myrrha) (each 1 qian).
Grind into powder. Take Danggui (Angelicae Sinensis Radix) 4 qian, decoct with two zhong of wine and two zhong of water until one zhong remains, strain. Dosage depends on patient strength: full dose or half dose. If the dosage seems too large, chop coarsely for infusion; adding raw Dahuang for decoction is particularly effective.
Shengmai San (Generate Pulse Powder):
Treats sore/ulcer patients with Stomach Qi deficiency, Yin fire rushing upward, dry mouth, and panting. Or limb fatigue, emaciation, sallow complexion, shortness of breath, continuous sweating, poor appetite with thirst. Or excessive pus discharge leading to dual qi-blood deficiency, restlessness, and insomnia. Or rampant damp-heat, Fire-Earth combined disease, Spleen-Stomach weakness, heavy body, and shortness of breath. Or Lung Metal controlled by Fire, cutting off the source of Kidney Water generation, leading to flaccidity, foot deviation, and blurred vision.
Renshen (Panacis Ginseng Radix) (5 qian), Wuweizi (Schisandrae Fructus), Maidong (Ophiopogonis Tuber) (each 2 qian).
Decoct in water and take.
Xianglian Wan (Costus-Coptis Pill):
Treats hot dysentery with red and white purulent stool, damp-heat invading the Spleen, tenesmus.
Huanglian (Coptidis Rhizoma) (cleaned 10 liang).
Cut into bean-sized pieces. Mix with clean Wuzhuyu (Evodiae Fructus) 5 liang using hot water. Place in a porcelain jar, set in hot water bath for one day. Stir-fry until Huanglian turns purple. Remove Wuzhuyu.
Muxiang (Aucklandiae Radix): For every 1 liang of prepared Huanglian, use 2.5 qian of Muxiang.
Grind into powder, make pills with vinegar paste the size of tung seeds. Take 70 pills before meals on an empty stomach with rice gruel.
Zishen Wan (Kidney-Nourishing Pill):
Descends Kidney Fire. Rougui (Cinnamomi Cortex) shares nature with Fire pathogen; this is a method of combining cold and hot properties. Suitable for non-thirst cases where disease is in the Lower Jiao. *Liangfang* states: For Kidney deficiency with hot feet, difficult urination, abdominal swelling, skin cracking, and protruding eyes, this is a divine formula.
Huangbai (Phellodendri Cortex) (2 liang, mixed with wine and shade-dried), Zhimu (Anemarrhenae Rhizoma) (same method), Rougui (Cinnamomi Cortex) (2 qian).
Grind into fine powder, make pills with warm water. Take 200 pills on an empty stomach with boiling water.
Xiao Chaihu Tang (Minor Bupleurum Decoction):
Treats pathogens in Liver and Gallbladder, between exterior and interior, with alternating chills and fever, desire to vomit; or afternoon fever, hypochondriac pain, deafness, and malaria due to depression/anger. Ancient formulas use heavier doses; modern usage reduces them.
Chaihu (Bupleuri Radix) (2-3 qian), Banxia (Pinelliae Rhizoma), Renshen (Panacis Ginseng Radix), Huangqin (Scutellariae Radix) (each 1-2 qian); Shengjiang (Zingiberis Rhizoma Recens), Gancao (Glycyrrhizae Radix et Rhizoma) (5-7 fen); Dazao (Jujubae Fructus) (5-7 pieces).
Decoct in water, take warm. If vexation in chest without vomiting, remove Banxia and Renshen, add Gualou Shi (Trichosanthis Fructus). If thirsty, remove Banxia, add Renshen and Gualou Gen (Trichosanthis Radix). If abdominal pain, remove Huangqin, add Shaoyao (Paeoniae Radix Alba). If fullness/hardness under hypochondrium, remove Dazao, add Muli (Concha Ostreae). If palpitations and difficult urination, remove Huangqin, add Fuling (Poria). If no thirst with slight external fever, remove Renshen, add Rougui (Cinnamomi Cortex), apply warmth to induce slight sweat for cure. If cough, remove Renshen, Dazao, Shengjiang, add Wuweizi (Schisandrae Fructus), Ganjiang (Zingiberis Rhizoma).
Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder):
Treats sores/ulcers with Liver-Spleen blood deficiency, internal heat/fever; or generalized itching with chills/fever; or limb pain, heavy/dizzy head; or palpitations, flushed cheeks, dry mouth/throat; or fever, night sweats, poor appetite, insomnia; or pain in mouth/tongue/ears; or chest/breast/abdominal distension, difficult urination.
Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma), Fushen (Poria cum Radix), Danpi (Moutan Cortex), Chaihu (Bupleuri Radix) (equal parts); Gancao (Glycyrrhizae Radix et Rhizoma), Zhizi (Gardeniae Fructus) (each 7 fen).
Decoct with ginger water.
Sanpin Dingzi (Three-Grade Pastilles):
Superior Grade: Removes eighteen types of hemorrhoids.
Baimingshan (Alumen), Bai Bi (Realgar/White Arsenic - Note: Text says Bai Bi, usually refers to White Arsenic/Realgar mixture or specifically White Arsenic in some contexts, here likely White Arsenic given context of caustic), Xuxiang (Olibanum), Moyao (Myrrha) (each 3.5 qian), Niuhuang (Bovis Calculus) (3 qian).
Medium Grade: Removes five types of fistulas, and Fan Hua Liu (Reflowering Tumors) and Qi He (Gas Nodules).
Baimingshan (Alumen) (2 liang), Bai Bi (1.3 liang), Xuxiang (Olibanum), Moyao (Myrrha) (each 3.5 qian), Niuhuang (Bovis Calculus) (2 qian).
Inferior Grade: Treats Luo Li (Scrofula), Qi He, Ding Chuang (Carbuncle/Furuncle), Fa Bei (Back Carbuncle), Nao Ju, and other malignant conditions.
Baimingshan (Alumen) (2 liang), Bai Bi (1.5 liang), Xuxiang (Olibanum), Moyao (Myrrha) (each 2.5 qian), Niuhuang (Bovis Calculus) (3 fen).
Place Bai Bi powder in a purple clay jar, cover with Baimingshan powder. Calcine with charcoal fire until smoke ceases. Grind all medicines into extremely fine powder. Mix with glutinous rice paste to form pastilles like incense sticks. Dry in shade. Insert into wound 3-4 times (5-6 times for chronic cases) until roots rot. If wound is exposed externally, apply honey-water mixture; dry application is also possible.
An old woman once treated scrofula with this, demanding high prices. She used the Medium Grade pastille inserted into the wound, covered with plaster. Roots rotted naturally. Repeat until gone, then apply muscle-generating medicine. Cured in days. People were amazed. It is effective only if qi and blood are not deficient. Deficient patients cannot heal even after ulceration/debridement. This works alongside Bixiao San (Sure-Effect Powder) as both are toxin-expelling and pathogen-removing agents.
Rushen Qianjin Fang (Miraculous Thousand-Gold Prescription):
Effective for all hemorrhoids.
Hao Xinshi (Good Realgar/Stibnite - Note: Xinshi usually refers to Realgar or Antimony Sulfide, here likely Realgar or specific mineral), Ming Yan (Bright Yellow Lead Oxide/Huangdan - Note: Text says Hao Huangdan, usually Minium), Bai Mingfan (Alumen) (1 liang, powdered), Hao Huangdan (Minium) (5 qian, flown and stir-fried), Xeshao (Scorpion Tail) (7 pieces, cleaned, baked on tile, powdered), Caowu (Aconiti Radix Lateralis Preparata/Raw) (bright solid ones, peeled, raw ground, 5 qian).
Use a purple clay jar. Heat charcoal until red, cool, wipe clean. Add Alumen first, heat until boiling. Add Xinshi, mix well. Use mild heat. Boil and stir until jar glows red and smoke rises. Remove jar, cool, grind to powder. Add Huangdan, Caowu, Xeshao, grind extremely fine. Store in porcelain jar. Before application, cleanse wound with Licorice soup or Scallion/Pepper soup. Mix powder with raw sesame oil. Apply with goose feather brush to hemorrhoids. Apply 3 times daily. Yellow sticky fluid must discharge for hemorrhoids to shrink. Chronic cases cured within 10 days. Recent cases turn to yellow fluid and roots are removed. Apply muscle-generating medicine thereafter. All five types of hemorrhoids can be treated. This was Cao Wu's prescription from Lin'an presented to Emperor Gaozong.
Togu Dan (Bone-Penetrating Elixir):
A pus-draining medicine essential in surgery.
Chansu (Bufonis Venenum), Pengsha (Boris Borax), Qingfen (Calomel), Badou (Crotonis Fructus) (each 5 qian), Woniu (Helix), Shexiang (Moschus) (1 fen).
First grind Badou into paste. Add Woniu and Shexiang, grind again. Add remaining herbs, grind extremely fine. Store in small porcelain bottle. Use a small amount, dissolve in milk. Gently puncture the abscess head with a needle. Pick up a grain-sized amount of medicine and insert into the wound. Cover with cooling ointment plaster externally.
Jinyinhua Jiu (Honeysuckle Wine):
Treats all carbuncles, back abscesses, ding chuang (furuncles), and throat bi (obstruction).
Crush Jinyinhua Tengye (Lonicerae Japonicae Caulis et Folium), extract half a zhong of juice. Mix with half a zhong of hot wine. Take warm. Severe cases resolve in 3-5 doses.
Wujin Gao (Black Gold Ointment):
Treats central necrosis in back abscesses. Causes necrotic tissue to slough and healthy tissue to regenerate. For initial swelling/pain, dot application dissolves toxicity instantly. For black necrotic flesh, causes ulceration. For stubborn sores with intact yuan qi but slow healing (internal toxic root), dip paper wick in medicine and insert. For back abscesses due to weak yuan qi or over-treatment, with scattered toxicity (dark center, red periphery, non-ulcerating), administer major tonics. Apply ointment centrally for 3-4 cun. After 5-6 days, cracks appear at the boundary. Center ulcerates/sloughs. Use pure yang medicines internally to support yuan qi for healing. Do not use knife/needle to cut flesh/blood, as this scatters yang qi and damages yuan qi. Do not apply cooling medicines, as they trap toxicity and deplete qi-blood. Formula: Stir-fry Badou meat until black, grind to paste. Dot on swelling or apply to necrotic flesh to dissolve. Add Xuxiang or Sesame Oil if needed. For residual toxins not healing, sprinkle this powder to prevent pain formation.
Che'ao San (Clam Powder):
Treats initial swelling/pain of carbuncles/ulcers, or youth with excess heat/back abscesses. Urgently promote toxin discharge via bowel movement until heat subsides. Suitable for adults and children in all seasons.
Zibei Che'ao (Tridacna Gigas Shell) (one, sealed with salt mud, calcined red-hot, buried in ground to remove fire toxicity), Qingfen (Calomel), Gancao (Glycyrrhizae Radix et Rhizoma) (each 2 qian); Dahuang (Rhei Radix et Rhizoma) (5 qian); Huangqin (Scutellariae Radix), Loulu (Rhapontici Radix) (deveined), Gugen (Puerariae Radix) (each half liang).
Grind into powder. Take 2 qian each time, washed down with Mint soup. Rapid purgation desired. Wine is also acceptable.
Lafan Wan (Beeswax-Alum Pill):
Over one liang taken yields results. Best for pain relief, does not damage zang-fu organs, saves countless lives.
Baimingshan (Alumen) (1 liang), Huangla (Beeswax) (half liang), Baimi (White Honey) (2 qian).
Mix and make pills size of tung seeds. Take 19 pills, increase to 50. Wash down with warm wine. Unbroken sores resolve; broken sores close. Taking 100 pills daily prevents internal attack of toxic vapors and protects membranes. Total course half a jin. Excellent post-healing maintenance. For snake bites, melt alum, drop hot liquid on wound to stop pain. Another method: Fly Alumen, grind fine. Mix with egg white to paste consistency. Drink with unfiltered aged wine. Unformed pus resolves; formed pus discharges via bowels/bladder. Divine effect, superior to Huangfan Wan.
Wuxiang Lianqiao Tang (Five-Aromatics Forsythia Decoction):
Treats various swellings. Early stage (1-2 days) presents with cold limbs, throat obstruction, chills/fever.
Chenxiang (Aquilariae Lignum Resinatum), Muxiang (Aucklandiae Radix), Shexiang (Moschus), Dingxiang (Caryophylli Flos) (each 1 liang); Xuxiang (Olibanum) (2 liang); Lianqiao (Forsythiae Fructus), Shegan (Belamcandae Rhizoma), Shengma (Cimicifugae Rhizoma), Duhuo (Angelicae Pubescentis Radix), Sangjisheng (Taxilli Herba), Gancao (Glycyrrhizae Radix et Rhizoma) (prepared, each 1 liang); Dahuang (Rhei Radix et Rhizoma) (1.5 liang), Mutong (Akebiae Caulis) (2 liang).
Chop coarsely. Take 5 qian each time, decoct in 1.5 zhong water until 0.7 zhong remains. Take warm to induce purgation. Danxi commented: *Jingyao* Vol 1 states: Regardless of carbuncle/ulcer/furuncle, deficiency/excess, cold/heat, first use Neituo San, Wuxiang Lianqiao Tang, Chen She Tang etc. Neutral nature, suitable for all ages/constitutions. Excessive use is considered ideal. However, sores/ulcers vary in depth, deficiency/excess, cold/heat. Medicines have tonifying/purging, warming/cooling properties. Ages/constitutions vary. How can neutral formulas universally treat all? And why is "more is better" advised? Scholars must examine meridians and pathogenesis. Cannot rely on this as a universal method.
Ge Pi Qu Nong Fa (Skin-Piercing Pus Extraction Method):
Treats various swellings/toxins.
Lv Ti (Donkey Hoof) (finely chopped 1 liang, stir-fried), Qiaomai Mian (Buckwheat Flour) (1 liang), Baiban (White Salt) (half liang), Caowu (Aconiti Radix Lateralis Preparata/Raw) (4 qian, peeled).
Grind into powder. Mix with water to make cakes. Slow-fire roast until yellow. Remove fire toxicity. Grind. Mix with Rice Vinegar to form paste. Spread on white paper, apply to affected area. Toxin exits through hair follicles, swelling subsides.
Didi Jin (Dripping Gold): Treats Ding Chuang (Furuncle).
Pi Shuang (Arsenic Trioxide), Qingfen (Calomel), Renyan (Human Speech/Arsenic), Xionghuang (Realgar), Zhusha (Cinnabar), Shexiang (Moschus) (small amount).
Grind into fine powder. Use a small amount. Puncture wound head with needle, apply medicine. Discharge of yellow fluid indicates efficacy.
Banhuang Yao (Yellow-Extracting Medicine):
Treats Ding Chuang Zouhuang (Spreading Poison from Furuncle).
Make pills with Chansu (Bufonis Venenum) and Feiluo Mian (Fine Wheat Flour) size of tung seeds. Place one pill under tongue. Yellow fluid discharges immediately.
Zhuinong Dingzi (Pus-Chasing Pastille) (Haizang): Pus trapped internally not discharging; this medicine pursues it.
Xionghuang (Realgar) (2 qian), Badou Rou (Crotonis Fructus Meat) (1.5 qian), Qingfen (Calomel) (one character weight).
Grind into fine powder. Mix with rice paste to form pastilles.
Zhi Ding Poguan Dan (Treating Ding Cochin-Breaking Elixir):
For uncontrollable Ding Chuang Zouhuang.
Danggui (Angelicae Sinensis Radix), Chishaoyao (Paeoniae Radix Rubra), Shanzhizi (Gardeniae Fructus), Qianniu (Pharbitidis Semen) (each 2.5 liang); Lianqiao (Forsythiae Fructus), Muli (Concha Ostreae), Jinyinhua (Lonicerae Japonicae Flos), Zihuadiding (Viola Yedoensis Herba), Jingsanleng (Sparganii Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (each 2 liang).
If constipated, add Dahuang (Rhei Radix et Rhizoma) (3 liang).
Grind into powder. Make pills with refined honey size of bullets. Take one pill before meals, dissolved in children's urine. Avoid alcohol, cold/raw/hard foods.
Zhi Shutian Chuang Fang (Summer Sores Prescription):
Piaoxiao (Natrii Sulfas) dissolved in hot water for washing. Cures in 2-3 washes.
Xiao'er Zouma Yagan (Children's Running Horse Gum Disease):
Apply Sangshu Baizhi (Mulberry Sap). Self-heals, never recurs.