治一切疮疖痈毒,及肠痈、背疽,或赤肿而未破,或已破而脓血不散,浑
不可堪忍者。并治妇人奶痈,一切毒肿,并宜服之。
地蜈蚣 赤芍药 当归 甘草(各等分)
上为细末。每服二钱,温酒调下,不拘时候。
治疮疥发于四肢,臀髀痛痒不常,甚至憎寒发热,攻刺疼痛,浸淫浮肿。
阴下湿痒,耳鸣眼痛,皆治之。
干姜 熟枳壳(各半钱) 干葛 熟苍术 桔梗 升麻(各一两) 当归 熟半夏 茯
苓
上为锉散。每服四大钱,水一盏半,姜三片,灯心十五茎,煎至七分,去渣,食前服。
治一切恶核,瘰 痈疽,恶肿等病。(出《三因方》)。
沉香(不见火) 乳香(不见火,研) 甘草(生) 舶上青木香(不见火,各一分)
连翘(
胡,或者土
两) 大黄(蒸,
上 咀。每服四大钱,水二盏,煮取一盏以上,去渣,取八厘清汁,空心热服,半日以
上未利,再吃一服,以利下恶物为度。未生肉前服不妨,以折去热毒之气。本方有竹沥、芒
硝,恐泥(去声)者不能斟酌,故阙之,智者当自添减。
五香连翘汤方甚多,当以《三因》为正,《李氏方》今并存之。
李氏方 用乳香、甘草、木香、沉香、连翘、射干、升麻、木通、桑寄生、独活各三分
丁香半两,大便秘者加大黄三分。李氏所以不用大黄者,盖恐虚人、老人不宜服,故临时
减用。
又一方 青木香三分,桑寄生二分,沉香、木通、生黄 、大黄各一两,酒浸,煨,麝
香二钱,乳香、藿香、川升麻、连翘各半两,鸡舌香三分。此方与《三因》《李氏方》同,
但外加鸡舌香、藿香耳。
【排脓托里散】治疗各种疮疖痈毒,以及肠痈(肠道化脓性炎症)、背疽(背部严重的痈疽),无论是红肿尚未破溃,还是已经破溃但脓血排出不畅、痛苦难以忍受的情况。同时也治疗妇女乳痈(乳房急性化脓性疾病)及一切毒肿,均适宜服用此方。
地蜈蚣、赤芍药、当归、甘草(各等分)。
将上述药材研成细末。每次服用二钱,用温酒调服,不限具体时间。
【升麻和气饮】治疗因疮疥引发的四肢病变,臀部和大腿部位疼痛瘙痒无常,甚至出现怕冷发热、刺痛感,皮肤浸淫浮肿。对于阴部潮湿瘙痒、耳鸣眼痛等症状,也都能治疗。
干姜、熟枳壳(各半钱)、干葛(葛根)、熟苍术、桔梗、升麻(各一两)、当归、熟半夏、茯苓。
将上述药材切碎成散剂。每次服用四大钱,加水一盏半,生姜三片,灯心草十五茎,煎煮至剩余七分药液,滤去药渣,饭前服用。
【五香连翘汤】治疗各种恶核(皮下硬结肿块)、瘰疬(颈部淋巴结结核)、痈疽、恶肿等疾病。(出自《三因极一病证方论》)。
沉香(不经过火烤)、乳香(不经过火烤,研磨)、甘草(生用)、舶上青木香(不经过火烤,各一分)、连翘(用量未详,或为土连翘两许)、大黄(蒸制,适量)。
将上述药材切碎。每次服用四大钱,加水二盏,煮取一盏以上药液,滤去药渣,取八厘清汁,空腹热服。如果半天以上仍未通便排出,再服用一次,以排出体内恶物为度。在肌肉生长之前服用也无妨,以此折退热毒之气。本方原包含竹沥和芒硝,担心体质虚弱者不能斟酌用量,故省略不用,聪明的人应当自行添加调整。
五香连翘汤的方子很多,应以《三因方》为正统,《李氏方》现在一并保存。
李氏方:使用乳香、甘草、木香、沉香、连翘、射干、升麻、木通、桑寄生、独活各三分,丁香半两,大便秘结者加大黄三分。李氏之所以不用大黄,大概是担心体虚之人、老人不宜服用,所以临时减少用量。
又一方:青木香三分,桑寄生二分,沉香、木通、生黄芪、大黄各一两,酒浸后煨制,麝香二钱,乳香、藿香、川升麻、连翘各半两,鸡舌香三分。此方与《三因方》《李氏方》相同,只是额外增加了鸡舌香和藿香。
[Painong Tuoli San (Pus-Discharging and Qi-Supporting Powder)] Treats all kinds of sores, boils, carbuncles, and toxic infections, as well as intestinal abscesses (Chang Yong) and back carbuncles (Bei Ju). Whether the area is red and swollen but unbroken, or already broken with pus and blood failing to discharge, causing unbearable suffering. It also treats women's breast abscesses (Nai Yong) and all types of toxic swellings; this formula is suitable for these conditions.
Diwugong (Scutellaria barbata), Chishao Yao (Red Peony Root), Danggui (Angelica Sinensis), Gancao (Licorice Root) (equal parts).
Grind the above herbs into a fine powder. Take two qian per dose, mixed with warm wine, at any time.
[Shengma Heqi Yin (Cimicifuga and Harmonizing Qi Decoction)] Treats limb lesions caused by sores and scabies, frequent pain and itching in the buttocks and thighs, even progressing to aversion to cold, fever, stabbing pain, and infiltrative edema. It also treats dampness and itching in the genital area, tinnitus, and eye pain.
Ganjiang (Dried Ginger), Shu Zhike (Processed Aurantium Fructus), Gange (Kudzu Root), Shu Cangzhu (Processed Atractylodis Rhizoma), Jiegeng (Platycodon Root), Shengma (Cimicifugae Rhizoma) (each one liang); Danggui (Angelica Sinensis), Shu Banxia (Processed Pinellia Tuber), Fuling (Poria).
Cut the above herbs into coarse pieces for decoction. Take four qian per dose, add one and a half zhen of water, three slices of fresh ginger, and fifteen stems of Dengxincao (Junci Medulla), decoct until one-seventh remains, strain, and take before meals.
[Wuxiang Lianqiao Tang (Five-Aromatic and Forsythia Decoction)] Treats various evil nodules (Ehe), scrofula (Luoli), carbuncles, malignant swellings, etc. (From *San Yin Fang*).
Chenxiang (Aquilaria Wood, not roasted), Ruxiang (Frankincense, not roasted, ground), Gancao (Raw Licorice Root), Boshang Qingmuxiang (Imported Blue Sandalwood, not roasted, each one fen), Lianqiao (Forsythiae Fructus, amount unspecified, or local Forsythia, approx. two liang), Dahuang (Rhubarb Radix et Rhizoma, steamed, appropriate amount).
Cut the above herbs. Take four qian per dose, add two zhen of water, boil to obtain more than one zhen of liquid, strain, take eight li of the clear juice, and drink hot on an empty stomach. If bowel movement has not occurred after half a day, take another dose. The goal is to evacuate foul matter from the body. It is safe to take before granulation tissue forms, as it reduces heat-toxic qi. This formula originally included Zhuli (Bamboo Sap) and Mangxiao (Mirabilite), but these were omitted because weak patients might not be able to adjust the dosage appropriately; wise practitioners should add them according to their judgment.
There are many versions of Wuxiang Lianqiao Tang; the version in *San Yin Fang* is considered standard. The *Li Shi Fang* version is preserved here for reference.
Li Shi Fang: Uses Ruxiang, Gancao, Muxiang, Chenxiang, Lianqiao, Shegan (Belamcanda Rhizome), Shengma, Mutong (Akebia Caulis), Sangjisheng (Taxilli Cacumen), Du Huo (Angelicae Pubescentis Radix) each three fen; Dingxiang (Caryophylli Flos) half a liang. For constipation, add Dahuang three fen. Li Shi omitted Dahuang likely because he feared it was unsuitable for deficient or elderly patients, thus reducing the dosage temporarily.
Another Formula: Qingmuxiang three fen, Sangjisheng two fen, Chenxiang, Mutong, Sheng Huangqi (Raw Astragali Radix), Dahuang each one liang (soaked in wine and roasted), Shexiang (Musk) two qian, Ruxiang, Huoxiang (Agastaches Herba), Chuan Shengma, Lianqiao each half a liang, Jiti Xiang (Cardamomi Semen) three fen. This formula is identical to those in *San Yin Fang* and *Li Shi Fang*, except it additionally includes Jiti Xiang and Huoxiang.