夫盛夏之月。人肤腠开。易伤风热水热毒。气搏于皮肤。则生痱疮。其状如汤之沸。轻
者匝匝如粟粒。重者热汗浸渍成疮。因以为名。世呼为痱子也。
治痱子磨破成疮。宜用止痛生肌赤石脂散方。
赤石脂(半两细研) 黄柏(半两末) 白面(二两) 腊面茶(半两末) 龙脑(半
分细研)
上件药。都研令匀。每使时用绵扑之。
治热痱疮方。
干炭灰(半合) 锻石(半两微炒) 枣叶(半斤)
上件药。捣细罗为散。先以温浆水洗疮。后以药敷之瘥。
治夏月痱子及热疮方。
葛粉〔一(三)两〕 甘草(二两生用为末) 锻石(一两微炒)
上件药相和。研令匀。用绵扑之。
又方。
粟米粉(五两) 白龙脑(一钱)
上件药相和细研。先用枣叶汤洗。后以散扑之。
夫瘰 者。由风热毒瓦斯壅滞于胸膈之间。不得宣通。而搏于肝。肝主筋。故令筋蓄结而
肿。
故
治瘰 结肿疼痛。时发寒热。连翘散方。
连翘(一两) 射干(三分) 玄参(三分) 赤芍药(半两) 木香(半两) 川芒
硝(一两)
川升麻〔二(三
两炙微赤锉)
川大黄(一
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。温服。日三四服。
治瘰 寒热。结肿疼痛。心胸壅滞。宜服沉香散方。
沉香(一两) 桑寄生(一两) 射干(一两) 川升麻(一两) 防风(三分去芦头)
薰陆香
(三分) 麝香(一分细研) 川大黄(一两半锉碎微炒) 藿香(三分) 连翘(一两)
上件药。捣粗罗为散。入麝香研匀。每服四钱。以水一中盏。煎至六分。去滓温服。日
三四服。
治瘰 初生结肿。发歇寒热。玄参散方。
玄参(一两) 枳壳(一两麸炒微黄去瓤) 木通(一两锉) 独活(一两) 犀角屑
(半两)
川大黄(一两锉碎微炒) 杏仁(一两汤浸去皮尖双仁麸炒微黄)
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓温服。日三四服。
治瘰 初结肿痛。寒热。四肢不安。栝蒌子散方。
栝蒌子(三分微炒) 皂荚子仁(三分微炒) 连翘(三分) 牛蒡子(三分微炒) 牵
牛子(
三分微炒)
锉) 白
螺壳(一两)
上件药。捣细罗为散。每于食前。以温酒调下二钱。
治瘰 结肿。寒热疼痛。心腹烦壅。石燕丸方。
石燕(一枚细研) 真珠末(一钱) 麸金石(三分细研) 木香〔二(三)分〕 井
泉石(三分)
续随子(三分去皮) 槟榔(一两) 郁李仁(一两汤浸去皮微炒)
上件药。捣罗为末。同研令匀。炼蜜和捣三五百杵。丸如梧桐子大。每于食前。以粥饮
下十丸。
治瘰 结肿不散。欲成脓。致寒热不通。连翘丸方。
连翘(一两) 川大黄(一两锉碎微炒) 沉香(一两) 薰陆香(一两) 黄 (一
两锉) 牛
蒡子(一两
(三分)
羌活(三分
(一分波斯者
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每于食后。以温酒下三十丸。
治瘰 结肿。身体寒热。心胸壅滞。木通丸方。
木通(一两锉) 玄参(一两) 连翘(一两) 川升麻(一两) 败酱(三分) 大
麻仁(一两)
川
布(一
两洗
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食后。以酸浆水下三十
丸。
治瘰 生于颈腋。结肿寒热。宜用贴 白蔹散方。
白蔹(半两) 甘草(半两) 玄参(半两) 木香(半两) 赤芍药(半两) 川大
黄(半两)
上件药。捣细罗为散。以醋调为膏。贴于患上。干即易之。
盛夏时节,人体皮肤腠理开泄,容易受到风、热及水热毒邪的侵袭。邪气与体内气血搏结于皮肤,从而产生痱疮。其症状如同沸水翻滚,轻者如粟米粒般密集分布,重者因热汗浸渍而形成疮疡,因此得名。世人称之为“痱子”。
治疗痱子磨破成疮的情况,适宜使用止痛生肌赤石脂散方。
药材:赤石脂(半两,细研)、黄柏(半两,末)、白面(二两)、腊面茶(半两,末)、龙脑(半分,细研)。
制法与用法:将上述药物共同研磨均匀。每次使用时,用棉絮蘸取药粉扑撒患处。
治疗热痱疮的方剂。
药材:干炭灰(半合)、锻石(半两,微炒)、枣叶(半斤)。
制法与用法:将上述药物捣碎并过细罗成为散剂。先用温浆水清洗疮口,然后将药粉敷于患处,即可痊愈。
治疗夏季痱子及热疮的方剂。
药材:葛粉(一两)、甘草(二两,生用,研为末)、锻石(一两,微炒)。
制法与用法:将上述药物混合,研磨均匀。用棉絮蘸取药粉扑撒患处。
又一方。
药材:粟米粉(五两)、白龙脑(一钱)。
制法与用法:将上述药物混合细研。先用枣叶汤清洗患处,然后将药粉扑撒。
所谓瘰疬(luǒ lì),是由于风热毒邪壅滞于胸膈之间,无法宣通,进而搏结于肝脏。肝主筋,因此导致筋脉蓄积结肿。
治疗瘰疬结肿疼痛,时常发作寒热症状,使用连翘散方。
药材:连翘(一两)、射干(三分)、玄参(三分)、赤芍药(半两)、木香(半两)、川芒硝(一两)、川升麻(二两,炙微赤,锉)、川大黄(一两)。
制法与用法:将上述药物捣碎筛成散剂。每次服用三钱,用水一中盏,煎至六分,去渣滓,温服。每日服用三四次。
治疗瘰疬引起的寒热、结肿疼痛、心胸壅滞,适宜服用沉香散方。
药材:沉香(一两)、桑寄生(一两)、射干(一两)、川升麻(一两)、防风(三分,去芦头)、薰陆香(三分)、麝香(一分,细研)、川大黄(一两半,锉碎,微炒)、藿香(三分)、连翘(一两)。
制法与用法:将上述药物捣碎粗罗成散剂,加入麝香研磨均匀。每次服用四钱,用水一中盏,煎至六分,去渣滓温服。每日服用三四次。
治疗瘰疬初生结肿,发作间歇性寒热,使用玄参散方。
药材:玄参(一两)、枳壳(一两,麸炒微黄,去瓤)、木通(一两,锉)、独活(一两)、犀角屑(半两)、川大黄(一两,锉碎,微炒)、杏仁(一两,汤浸去皮尖双仁,麸炒微黄)。
制法与用法:将上述药物捣碎筛成散剂。每次服用三钱,用水一中盏,煎至六分,去渣滓温服。每日服用三四次。
治疗瘰疬初结肿痛,伴有寒热,四肢不安,使用栝蒌子散方。
药材:栝蒌子(三分,微炒)、皂荚子仁(三分,微炒)、连翘(三分)、牛蒡子(三分,微炒)、牵牛子(三分,微炒)、[原文此处有缺漏或错简,推测为其他药材]、白螺壳(一两)。
制法与用法:将上述药物捣碎过细罗成为散剂。每次在饭前,用温酒调服二钱。
治疗瘰疬结肿不散,欲成脓,导致寒热不通,使用石燕丸方。
药材:石燕(一枚,细研)、真珠末(一钱)、麸金石(三分,细研)、木香(二至三分)、井泉石(三分)、续随子(三分,去皮)、槟榔(一两)、郁李仁(一两,汤浸去皮,微炒)。
制法与用法:将上述药物捣罗成为粉末,共同研磨均匀。用炼蜜调和,捣杵三五百下,制成梧桐子大小的丸剂。每次在饭前,用粥饮送服十丸。
治疗瘰疬结肿不散,欲成脓,导致寒热不通,使用连翘丸方。
药材:连翘(一两)、川大黄(一两,锉碎,微炒)、沉香(一两)、薰陆香(一两)、黄芩(一两,锉)、牛蒡子(一两)、[原文此处有缺漏]、羌活(三分)、[原文此处有缺漏](一分,波斯者佳)。
制法与用法:将上述药物捣罗成为粉末。用炼蜜调和,捣杵三五百下,制成梧桐子大小的丸剂。每次在饭后,用温酒送服三十丸。
治疗瘰疬结肿,身体寒热,心胸壅滞,使用木通丸方。
药材:木通(一两,锉)、玄参(一两)、连翘(一两)、川升麻(一两)、败酱(三分)、大麻仁(一两)、[原文此处有缺漏](一两,洗)。
制法与用法:将上述药物捣罗成为粉末。用炼蜜调和,捣杵三二百下,制成梧桐子大小的丸剂。每次在饭后,用酸浆水送服三十丸。
治疗瘰疬生于颈腋部,结肿伴寒热,适宜使用贴敷白蔹散方。
药材:白蔹(半两)、甘草(半两)、玄参(半两)、木香(半两)、赤芍药(半两)、川大黄(半两)。
制法与用法:将上述药物捣碎过细罗成为散剂。用醋调成膏状,贴敷于患处,干燥后即更换。
In the height of summer, when human skin pores are open, one is prone to invasion by wind-heat and water-heat toxic pathogens. When these pathogens contend with Qi and blood in the skin, miliaria (miliaria rubra/heat rash) arises. The condition resembles boiling water; mild cases present as dense clusters like millet grains, while severe cases develop into sores due to maceration by hot sweat, hence the name. It is commonly known as "prickly heat."
For treating prickly heat that has been abraded into sores, it is advisable to use Chishizhi San (Red Halloysite Powder) for Pain Relief and Tissue Regeneration.
Ingredients: Chishizhi (Red Halloysite, 0.5 liang, finely ground), Huangbai (Phellodendri Cortex, 0.5 liang, powdered), Baifan (White Flour, 2 liang), Laniancha (Waxed Tea, 0.5 liang, powdered), Longnao (Borneol, 0.5 fen, finely ground).
Preparation and Administration: Grind all ingredients uniformly. At each application, sprinkle the powder onto the affected area using cotton wool.
Formula for Treating Heat Miliaria Sores.
Ingredients: Gantan Hui (Dry Charcoal Ash, 0.5 he), Duanshi (Calcined Alum Stone, 0.5 liang, slightly stir-fried), Zhaoye (Jujube Leaf, 0.5 jin).
Preparation and Administration: Pound the ingredients finely and sieve them into a powder. First wash the sore with warm sour rice water, then apply the powder. The condition will heal.
Formula for Treating Summer Prickly Heat and Heat Sores.
Ingredients: Gefen (Kudzu Root Starch, 1 liang), Gancao (Licorice Root, 2 liang, raw, powdered), Duanshi (Calcined Alum Stone, 1 liang, slightly stir-fried).
Preparation and Administration: Mix the ingredients and grind uniformly. Sprinkle the powder onto the affected area using cotton wool.
Another Formula.
Ingredients: Sumi Fen (Millet Starch, 5 liang), Bailongnao (White Borneol, 1 qian).
Preparation and Administration: Mix and grind finely. First wash the affected area with jujube leaf decoction, then sprinkle the powder.
The term Luoli (Scrofula/Lymphatic Tuberculosis) refers to a condition caused by the stagnation of wind-heat toxic pathogens in the chest and diaphragm, preventing their free circulation, which then contends with the Liver. Since the Liver governs the sinews, this leads to the accumulation and swelling of the sinews.
For treating Luoli with nodular swelling and pain, accompanied by intermittent chills and fever, use Lianqiao San (Forsythia Powder).
Ingredients: Lianqiao (Forsythiae Fructus, 1 liang), Shegan (Belamcandae Rhizoma, 3 fen), Xuanshen (Scrophulariae Radix, 3 fen), Chishaoyao (Red Peony Root, 0.5 liang), Muxiang (Aucklandiae Radix, 0.5 liang), Chuan Mangxiao (Mirabilitum, 1 liang), Chuan Shengma (Cimicifugae Rhizoma, 2 liang, processed with honey until slightly red and cut), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang).
Preparation and Administration: Pound and sieve the ingredients into a powder. Take 3 qian per dose. Boil with one zhong of water until reduced to 0.6 zhong. Strain and take warm. Administer three to four times daily.
For treating Luoli causing chills and fever, nodular swelling and pain, and chest/heart oppression, it is suitable to consume Chenxiang San (Agarwood Powder).
Ingredients: Chenxiang (Aquilariae Lignum Resinatum, 1 liang), Sangjisheng (Taxilli Herba, 1 liang), Shegan (Belamcandae Rhizoma, 1 liang), Chuan Shengma (Cimicifugae Rhizoma, 1 liang), Fangfeng (Saposhnikoviae Radix, 3 fen, remove radicle), Xunluxiang (Olibanum, 3 fen), Shexiang (Moschus, 1 fen, finely ground), Chuan Dahuang (Rhei Radix et Rhizoma, 1.5 liang, cut into pieces, slightly stir-fried), Huoxiang (Pogostemonis Herba, 3 fen), Lianqiao (Forsythiae Fructus, 1 liang).
Preparation and Administration: Coarsely pound and sieve the ingredients into a powder. Add Shexiang and grind uniformly. Take 4 qian per dose. Boil with one zhong of water until reduced to 0.6 zhong. Strain and take warm. Administer three to four times daily.
For treating early-stage Luoli with nodular swelling and intermittent chills and fever, use Xuanshen San (Scrophulariae Radix Powder).
Ingredients: Xuanshen (Scrophulariae Radix, 1 liang), Zhike (Aurantii Fructus, 1 liang, stir-fried with bran until slightly yellow, remove pith), Mutong (Akebiae Caulis, 1 liang, cut), Duhuo (Angelicae Pubescentis Radix, 1 liang), Xijiaoxie (Rhino Ceruos, 0.5 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, cut into pieces, slightly stir-fried), Xingren (Pruni Semen, 1 liang, soaked in water, remove skin and tips, double-kernel, stir-fried with bran until slightly yellow).
Preparation and Administration: Pound and sieve the ingredients into a powder. Take 3 qian per dose. Boil with one zhong of water until reduced to 0.6 zhong. Strain and take warm. Administer three to four times daily.
For treating early-stage Luoli with nodular swelling and pain, chills and fever, and restlessness in the four limbs, use Gualouzi San (Trichosanthis Semen Powder).
Ingredients: Gualouzi (Trichosanthis Semen, 3 fen, slightly stir-fried), Zhaojia Zi Ren (Gleditsiae Sinensis Semen, 3 fen, slightly stir-fried), Lianqiao (Forsythiae Fructus, 3 fen), Niubangzi (Arctii Fructus, 3 fen, slightly stir-fried), Qianniuzi (Pharbitidis Semen, 3 fen, slightly stir-fried), [Text missing], Bai Luoke (Concha Melaniae, 1 liang).
Preparation and Administration: Pound finely and sieve into a powder. Before meals, mix 2 qian with warm wine and take orally.
For treating persistent Luoli nodular swelling, impending suppuration, and unblocked chills and fever, use Shiyan Wan (Shiyan Pill).
Ingredients: Shiyan (Lepidocypridinae Os, 1 piece, finely ground), Zhenzhu Mo (Margarita Pulvis, 1 qian), Fushi Jinshi (Calcareous Mineral, 3 fen, finely ground), Muxiang (Aucklandiae Radix, 2-3 fen), Jingquanshi (Spring Spring Stone, 3 fen), Xuisuizi (Euphorbiae Lathyridis Semen, 3 fen, remove skin), Binglang (Arecae Semen, 1 liang), Yuliren (Prini Semen, 1 liang, soaked in water, remove skin, slightly stir-fried).
Preparation and Administration: Pound and sieve into powder. Grind uniformly. Mix with refined honey and pound 300-500 times. Form pills the size of Sophora seeds. Before meals, take 10 pills with gruel drink.
For treating persistent Luoli nodular swelling, impending suppuration, and unblocked chills and fever, use Lianqiao Wan (Forsythia Pill).
Ingredients: Lianqiao (Forsythiae Fructus, 1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, cut into pieces, slightly stir-fried), Chenxiang (Aquilariae Lignum Resinatum, 1 liang), Xunluxiang (Olibanum, 1 liang), Huangqin (Scutellariae Radix, 1 liang, cut), Niubangzi (Arctii Fructus, 1 liang), [Text missing], Qianghuo (Notopterygii Rhizoma et Radix, 3 fen), [Text missing] (1 fen, Persian origin is best).
Preparation and Administration: Pound and sieve into powder. Mix with refined honey and pound 300-500 times. Form pills the size of Sophora seeds. After meals, take 30 pills with warm wine.
For treating Luoli nodular swelling, body chills and fever, and chest/heart oppression, use Mutong Wan (Mutong Pill).
Ingredients: Mutong (Akebiae Caulis, 1 liang, cut), Xuanshen (Scrophulariae Radix, 1 liang), Lianqiao (Forsythiae Fructus, 1 liang), Chuan Shengma (Cimicifugae Rhizoma, 1 liang), Baijiangcao (Patriniae Herba, 3 fen), Dama Ren (Cannabis Seed, 1 liang), [Text missing] (1 liang, washed).
Preparation and Administration: Pound and sieve into powder. Mix with refined honey and pound 200-300 times. Form pills the size of Sophora seeds. After meals, take 30 pills with sour rice water.
For Luoli occurring in the neck and axilla, presenting with nodular swelling and chills/fever, it is suitable to use Waibian Bailian San (External Application White Peony Powder).
Ingredients: Bailian (Ampelopsis Radix, 0.5 liang), Gancao (Licorice Root, 0.5 liang), Xuanshen (Scrophulariae Radix, 0.5 liang), Muxiang (Aucklandiae Radix, 0.5 liang), Chishaoyao (Red Peony Root, 0.5 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 0.5 liang).
Preparation and Administration: Pound finely and sieve into a powder. Mix with vinegar to form a paste. Apply to the affected area. Replace when dry.