夫湿 病者。由脾胃虚弱。为水湿所乘。腹内虫动。侵蚀成 也。多因下痢不止。或时
病之
舌
肛
象
气
病
则变呕哕。虫蚀腑脏伤败。痢出瘀血。如此者死。其因脾胃虚微。土气衰弱。为水湿所蚀。
虫动成 。故名湿 也。又云天行之湿。初得不觉。行坐不废。恒少气力。或微痢。或不痢
。病成则变呕吐。即是虫内蚀于脏。又云有急结湿。先因腹痛。下痢。脓血相兼。出成病也
。翻大小便不通。头项皆痛。小腹急满。起坐安然。亦有内蚀五脏。凡如此者。虽初证未发
于外。而心腹亦常烦懊。至于临困。唇口及肛门方复生疮。即死也。
治虫蚀肛门赤烂。下血疼痛。名曰湿 。宜用此兔头散方。
兔头(一分烧灰) 狐骨(一分烧灰) 甜葶苈(一分炒令香) 蛇头(一枚微炙) 虾
蟆(一
分烧灰) 百草霜(一分) 蜣螂(一枚微炙) 青黛(一分细研) 晚蚕蛾(一分微炒) 青
矾(一
分) 黄矾〔三(一
(五寸烧灰)
苦参(半分锉) 黄柏(半
(半分) 川
芒硝(一分) 铁衣(一分) 朱末(
心(半
分) 蜗(蝎)虫粪(半分) 床中桄(枕)木
上件药。捣细罗为散。入研了药令匀。每用一钱。以绵裹纳下部中。日再用良。
治疳湿 。下赤黑血。肛门虫蚀赤烂。日夜疼痛。熏黄散方。
熏黄(一分) 朱砂(一分细研) 食盐(一分) 青黛(一分细研) 丁香(一分) 白
矾(一
分烧灰) 铁衣(一分)
姜(炮
裂锉) 甜葶苈 菖蒲
上各一
钱) 髑髅骨〔一分炙煮(黄)
上件药。捣细罗为散。每用一钱。以绵裹纳下部中。日再易。有疮敷上。
治疳湿 。洗熨下部。丁香散方。
丁香末(一分) 麝香(一钱研) 犀角屑(三分) 甘草(三分末)
上件药同研。以盐三合。椒三合。豉二合。水三升。都煎至一升。去滓。令稍热。用绵
蘸洗熨下部。冷即再暖用之。
治疳湿 。蚀口齿及下部方。
飞廉〔二(三)两〕
上烧为灰。细研。每用一钱。敷病处。痛甚忍之。若不痛则非疳也。
又方。
苦参(锉) 青葙子 甘草(各二两生用锉)
上件药。捣细罗为散。每于食前。暖生地黄汁调下一钱。
治疳湿 。杀虫青葙子散方。
青葙子 雄黄(细研) 硫黄(细研) 芜荑 雷丸(以上各半两) 苦参(三分锉) 野狼
牙(三分
上件药。捣罗为末。以绵裹一钱。纳下部中。日再易之。
又方。
青黛(一两细研) 丁香(半两) 黄连(一两去须)
上件药。捣罗为末。以泔淀和丸。如枣核大。以绵裹纳下部中。日再易之。
治下部疳 疮。经年不瘥。宜用此方。
丁香(半两) 青黛(半两细研) 木香(半两) 黄连(半两去须) 锻石(半两) 麝
香(一
上件药。捣细罗为散。每用半钱敷疮上。日三两易之。
又方。
白矾(半两) 桂心(半两) 徐长卿(半两)
上件药。捣细罗为散。每用半钱。日二三上敷疮。
又方。
蜈蚣烧灰。以腊月猪脂和涂之。大效。
又方。
兰香曝干捣末。敷疮上神效。
湿病,是由于脾胃虚弱,被水湿邪气侵袭所致。表现为腹内虫动,侵蚀组织形成疮疡。多因久痢不止,或时行疫病引起。若病情变化出现呕吐呃逆,说明虫蚀脏腑导致败坏,大便排出瘀血,这种情况预后不良,多致死亡。其病因在于脾胃虚微,土气衰弱,被水湿侵蚀,虫动成疮,所以称为“湿”。
另外有一种说法是“天行之湿”,初起时不觉明显症状,行动坐卧如常,但常感气力不足,或有轻微腹泻,或不腹泻。病势发展后变为呕吐,这是因为虫在体内侵蚀五脏。还有一种叫“急结湿”,起初因腹痛、下痢,脓血混杂而出而发病。随后出现大小便不通,头项疼痛,小腹急胀满闷,但起身坐卧尚安。也有内部侵蚀五脏的情况。凡是此类病症,虽然初期外在证候未发,但心腹常觉烦闷懊恼。到了病危时刻,嘴唇、口角及肛门才生出疮疡,随即死亡。
治疗虫蚀肛门红肿溃烂、下血疼痛的病症,名为“湿”,适宜使用此兔头散方。
药物组成:兔头(一分,烧成灰)、狐骨(一分,烧成灰)、甜葶苈(一分,炒至香)、蛇头(一枚,微炙)、虾蟆(一分,烧成灰)、百草霜(一分)、蜣螂(一枚,微炙)、青黛(一分,细研)、晚蚕蛾(一分,微炒)、青矾(一分)、黄矾(一分)、五寸烧灰(此处原文可能有误,疑为某药烧灰,暂译作“某药五寸烧成灰”)、苦参(半分,锉碎)、黄柏(半分)、川...(原文此处缺字,推测为药材名)、芒硝(一分)、铁衣(一分)、朱末(...)、心(...)、蜗蝎虫粪(半分)、床中桄木(即枕木,...)。
以上药物,捣碎过细罗成为散剂,加入已研细的药物混合均匀。每次取一钱,用棉布包裹纳入下部患处,每日两次,效果良好。
治疗疳积湿疮,下赤黑色血液,肛门虫蚀红肿溃烂,日夜疼痛的病症,使用熏黄散方。
药物组成:熏黄(一分)、朱砂(一分,细研)、食盐(一分)、青黛(一分,细研)、丁香(一分)、白矾(一分,烧成灰)、铁衣(一分)、姜(炮裂锉碎)、甜葶苈、菖蒲(各一钱)、髑髅骨(一分,炙煮至黄)。
以上药物,捣碎过细罗成为散剂。每次取一钱,用棉布包裹纳入下部患处,每日更换两次。若有疮面,直接敷于其上。
治疗疳积湿疮,清洗熨烫下部患处,使用丁香散方。
药物组成:丁香末(一分)、麝香(一钱,研细)、犀角屑(三分)、甘草(三分,研末)。
以上药物共同研磨。用盐三合、花椒三合、豆豉二合、水三升,一同煎煮至一升,去渣滓。待药液稍热,用棉蘸取药液清洗熨烫下部患处。冷了再加热使用。
治疗疳积湿疮,侵蚀口齿及下部患处的方子。
药物组成:飞廉(三两)。
将其烧成灰,细研。每次取一钱,敷于病处。疼痛剧烈时需忍耐。如果不痛则不是疳疮。
又一方。
药物组成:苦参(锉碎)、青葙子、甘草(各二两,生用锉碎)。
以上药物,捣碎过细罗成为散剂。每次在饭前,用温热的生地黄汁调服一钱。
治疗疳积湿疮,杀虫的青葙子散方。
药物组成:青葙子、雄黄(细研)、硫黄(细研)、芜荑、雷丸(以上各半两)、苦参(三分,锉碎)、野狼牙(三分)。
以上药物,捣碎过筛成为粉末。用棉布包裹一钱药粉,纳入下部患处,每日更换两次。
又一方。
药物组成:青黛(一两,细研)、丁香(半两)、黄连(一两,去须)。
以上药物,捣碎过筛成为粉末。用淘米水沉淀液和丸,如枣核大小。用棉布包裹纳入下部患处,每日更换两次。
治疗下部疳疮,经久不愈的病症,适宜使用此方。
药物组成:丁香(半两)、青黛(半两,细研)、木香(半两)、黄连(半两,去须)、锻石(半两)、麝香(...)。
以上药物,捣碎过细罗成为散剂。每次取半钱敷于疮上,每日更换两到三次。
又一方。
药物组成:白矾(半两)、桂心(半两)、徐长卿(半两)。
以上药物,捣碎过细罗成为散剂。每次取半钱,每日二到三次敷于疮上。
Dampness disease arises from the deficiency of the Spleen and Stomach, allowing water-dampness pathogenic factors to invade. It manifests as movement of worms within the abdomen, eroding tissues and forming sores. It is often caused by persistent dysentery or epidemic diseases. If the condition changes to include vomiting and hiccups, it indicates that worms have eroded the Zang-Fu organs leading to deterioration, with bloody stool excretion; such cases are fatal. The etiology lies in the slight deficiency of the Spleen and Stomach and the weakness of Earth Qi, which is eroded by water-dampness, causing worm activity and sore formation, hence named "Dampness" (Shi).
Another type is referred to as "Epidemic Dampness" (Tian Xing Zhi Shi). Initially, there are no obvious symptoms, and daily activities remain normal, but there is a constant lack of energy, mild dysentery, or no dysentery at all. As the disease progresses, it transforms into vomiting, indicating internal erosion of the Zang organs by worms. Another type is called "Acute Knotting Dampness" (Ji Jie Shi), starting with abdominal pain and dysentery mixed with pus and blood. This leads to obstruction of urination and defecation, pain in the head and neck, and urgency/fullness in the lower abdomen, while sitting and rising remain relatively comfortable. There may also be internal erosion of the Five Zang organs. In such cases, although external signs are absent initially, the heart and abdomen feel constantly vexed and restless. Upon nearing death, sores appear on the lips, mouth corners, and anus, followed by death.
For treating worm-eroded anal redness, ulceration, bleeding, and pain, known as "Dampness," the Rabbit Head Powder (Tutou San) formula is suitable.
Ingredients: Rabbit Head (1 fen, calcined to ash), Fox Bone (1 fen, calcined to ash), Sweet Descurainia Seed (Tian Ting Li, 1 fen, stir-fried until fragrant), Snake Head (1 piece, lightly roasted), Toad (1 fen, calcined to ash), Ever-soot (Baicao Shuang, 1 fen), Dung Beetle (Qianglang, 1 piece, lightly roasted), Indigo Naturalis (Qingdai, 1 fen, finely ground), Silkworm Moth (Wan Can E, 1 fen, lightly stir-fried), Green Alum (Qing Fan, 1 fen), Yellow Alum (Huang Fan, 1 fen), [Text unclear/corrupted, likely an herb] calcined to ash (5 cun), Sophora Root (Kushen, 0.5 fen, sliced), Phellodendron Bark (Huangbai, 0.5 fen), [Text missing], Mirabilite (Mangxiao, 1 fen), Iron Rust (Tieyi, 1 fen), Cinnabar Powder (Zhu Mo, ...), Heart [Text missing], Scorpion Feces (Wo Xie Chong Fen, 0.5 fen), Bed Frame Wood/Zheng Wood (Chuang Zhong Guang Mu, ...).
The above herbs are finely pounded and sifted through a fine sieve. Mix with the already ground ingredients evenly. Take 1 qian per dose, wrap in cotton, and insert into the lower orifice. Use twice daily for good effect.
For treating Gan dampness sores with passage of dark red/black blood, anal worm erosion, redness, ulceration, and day-and-night pain, use the Realgar Fumigation Powder (Xunhuang San) formula.
Ingredients: Realgar (Xunhuang, 1 fen), Cinnabar (Zhusha, 1 fen, finely ground), Table Salt (Yanshi, 1 fen), Indigo Naturalis (Qingdai, 1 fen, finely ground), Clove (Dingxiang, 1 fen), White Alum (Bai Fan, 1 fen, calcined to ash), Iron Rust (Tieyi, 1 fen), Ginger (Pao Lie Cuo), Sweet Descurainia Seed (Tian Ting Li), Acorus (Changpu) [each 1 qian], Human Skull Bone (Dulou Gu, 1 fen, roasted/boiled until yellow).
The above herbs are finely pounded and sifted. Take 1 qian per dose, wrap in cotton, and insert into the lower orifice. Change twice daily. Apply directly to any sores.
For washing and fomenting lower body Gan dampness sores, use the Clove Powder (Dingxiang San) formula.
Ingredients: Clove Powder (Dingxiang Mo, 1 fen), Musk (Shexiang, 1 qian, ground), Rhinoceros Horn Chips (Xijiao Xie, 3 fen), Licorice Root (Gancao, 3 fen, powdered).
Grind the above herbs together. Boil with 3 he of salt, 3 he of Sichuan Pepper (Jiaozhong), 2 he of Fermented Soybean (Chidou), and 3 sheng of water until reduced to 1 sheng. Strain. While slightly warm, dip cotton in the decoction to wash and foment the lower body. Reheat when cool.
For treating Gan dampness sores eroding the teeth/mouth and lower body:
Ingredient: Thistle Stem (Feilian, 3 liang).
Calcine to ash and grind finely. Apply 1 qian to the affected area. Endure severe pain if necessary; if painless, it is not Gan disease.
Another formula:
Ingredients: Sophora Root (Kushen, sliced), Celosia Seed (Qingxiangzi), Licorice Root (Gancao) [each 2 liang, raw, sliced].
Pound and sift finely. Before meals, take 1 qian mixed with warm fresh Rehmannia Juice (Sheng Dihuang Zhi).
For treating Gan dampness sores and killing worms, use the Celosia Seed Powder (Qingxiangzi San) formula.
Ingredients: Celosia Seed (Qingxiangzi), Realgar (Xionghuang, finely ground), Sulfur (Liu Huang, finely ground), Chinese Walnut Twig (Wuyi), Omphalia Fungus (Leiwu) [each 0.5 liang], Sophora Root (Kushen, 3 fen, sliced), Wild Wolf's Tooth (Yelangya, 3 fen).
Pound and sift into powder. Wrap 1 qian in cotton and insert into the lower orifice. Change twice daily.
Another formula:
Ingredients: Indigo Naturalis (Qingdai, 1 liang, finely ground), Clove (Dingxiang, 0.5 liang), Coptis Rhizome (Huanglian, 1 liang, remove stamens).
Pound and sift into powder. Mix with rice wash sediment to form pills the size of a jujube seed. Wrap in cotton and insert into the lower orifice. Change twice daily.
For lower body Gan sores persisting for years without healing, use this formula:
Ingredients: Clove (Dingxiang, 0.5 liang), Indigo Naturalis (Qingdai, 0.5 liang, finely ground), Costus Root (Muxiang, 0.5 liang), Coptis Rhizome (Huanglian, 0.5 liang, remove stamens), Calcined Lime (Duanshi, 0.5 liang), Musk (Shexiang, ...).
Pound and sift finely. Apply 0.5 qian to the sore. Change 2-3 times daily.
Another formula:
Ingredients: White Alum (Bai Fan, 0.5 liang), Cinnamon Heart (Guixin, 0.5 liang), Cynanchum Paniculatum (Xuchangqing, 0.5 liang).
Pound and sift finely. Apply 0.5 qian to the sore 2-3 times daily.
Another formula:
Centipede (Wugong) calcined to ash, mixed with lard from the twelfth lunar month, applied topically. Highly effective.
Another formula:
Litsea Cubeba (Lanxiang) dried and powdered, applied to sores. Divine efficacy.