治疮为寒变而内陷者,脓出清解,皮肤凉,心下痞满,肠鸣切痛,大便微溏,食则呕,
气短促,吃逆不绝,不知安卧,时有昏愦。
丁香 沉香 茴香 益智仁 陈皮(各一钱) 木香 羌活 干姜(炙,二钱) 黑附
子(炮,去皮脐,四钱)
《内经》曰∶寒淫于内,治以辛热,佐以苦温。以附子干姜大辛热温中,外发阳气,自
--
里之表,以为君,羌活苦辛温,透关节,炙甘草甘温,补脾胃,行经络,通血脉,胃寒则呕
吐吃逆,不下食,益智仁丁香沉香大辛热,以散寒为佐,疮气内攻,气聚而为满,木香茴香
陈皮苦辛温,治痞散满,为使也。
上 咀,作一服,水三盏,生姜五片,煎至一盅,去滓,不拘时温服,忌一切冷物。
治耳下至缺盆,或至肩上生疮,坚硬如石,动之无根,名曰马刀。从手足少阳经中来也,
或生两胁,或已流脓,作疮未破者,并皆治之。
连翘 黄芩(生用) 芍药 当归尾(酒制) 京三棱(细锉) 广术(细锉,同三棱
酒制一次,微炒,以上各半两) 草龙胆(酒制四次,二两) 黄芩(酒炒二次) 黄连(酒
炒二次) 苍术(以上各二钱) 土瓜根(酒炒,一两) 柴胡(一两二钱) 甘草(炙,
三钱)
上件一半为末。炼蜜和丸,如绿豆大,每服一百丸,或百五十丸,一半 咀。每服半两
,水一盏八分,浸半日,煎至一盏,去滓,临睡热服。头下脚高,去枕而卧,每口作十次咽
,留一口送下丸药,毕,卧如常。
治疗因寒邪导致疮毒内陷的病症,表现为脓液清稀、皮肤发凉、胃脘部痞塞胀满、肠鸣且剧烈疼痛、大便轻微溏泄、进食后呕吐、气短急促、呃逆不止、无法安稳入睡、时常出现神志昏乱。
丁香、沉香、茴香、益智仁、陈皮(各一钱)、木香、羌活、干姜(炙用,二钱)、黑附子(炮制,去皮脐,四钱)。
《黄帝内经》说:寒邪侵袭体内,应用辛热药物治疗,辅以苦温药物。用附子和干姜的大辛大热之性来温补中焦,使阳气从里达表,作为君药;羌活味苦辛性温,能透达关节;炙甘草味甘性温,能补益脾胃,疏通经络,通行血脉;胃寒则会导致呕吐呃逆、饮食不下,益智仁、丁香、沉香大辛大热,用来散寒作为佐药;疮毒之气内攻,气机郁结导致胀满,木香、茴香、陈皮味苦辛性温,用来治疗痞塞、消散胀满,作为使药。
将上述药材切碎,作一服量,加水三盏,生姜五片,煎煮至一盏,滤去药渣,不拘时候温服,忌食一切生冷食物。
治疗耳下至缺盆穴,或延伸至肩上的疮疡,坚硬如石头,推动时没有根基,名为“马刀”。此病源于手足少阳经,或者生于两胁,或者已经流脓,或是尚未破溃的疮疡,均予以治疗。
连翘、黄芩(生用)、芍药、当归尾(酒制)、京三棱(细切)、莪术(广术,细切,与三棱一同用酒浸制一次,微炒,以上各半两)、草龙胆(酒制四次,二两)、黄芩(酒炒二次)、黄连(酒炒二次)、苍术(以上各二钱)、土瓜根(酒炒,一两)、柴胡(一两二钱)、甘草(炙用,三钱)。
将上述药材的一半研为粉末。用炼蜜调和制成丸药,大小如绿豆,每次服用一百丸,或一百五十丸;另一半切碎。每次取半两,加水一盏八分,浸泡半天,煎煮至一盏,滤去药渣,临睡前热服。服药时头部垫高、脚部放低,去掉枕头仰卧,每口分十次咽下药汁,留一口药汁送服丸药,服完后像平常一样睡觉。
For treating sores that have collapsed inward due to cold transformation, presenting with clear and resolved pus, cool skin, epigastric fullness and obstruction (Xin Xia Pi Man), borborygmus with cutting pain, slightly loose stools, vomiting after eating, shortness of breath, incessant hiccup (Ni), inability to sleep peacefully, and occasional confusion or stupor.
Dingxiang (Clove), Chenxiang (Aquilaria Wood), Huixiang (Fennel), Yizhiren (Alpinia Oxyphylla Fruit), Chenpi (Tangerine Peel) (each 1 qian); Muxiang (Aucklandia Root), Qianghuo (Notopterygium Root), Ganjiang (Dried Ginger) (roasted, 2 qian); Hei Fuzi (Prepared Black Aconite Root) (processed, peeled and de-navelled, 4 qian).
The *Neijing* states: "When cold invades the interior, treat it with pungent-hot substances, assisting with bitter-warm ones." Using the great pungent-hot nature of Fuzi (Aconite Lateral Root) and Ganjiang (Dried Ginger) to warm the middle and emit yang qi from the interior to the exterior, serving as the Sovereign drug; Qianghuo (Notopterygium Rhizome and Root) is bitter-pungent-warm, penetrating the joints; Zhi Gancao (Honey-fried Licorice Root) is sweet-warm, tonifying the spleen and stomach, moving meridians and collaterals, and unblocking blood vessels; Cold in the stomach leads to vomiting, hiccup, and inability to eat; Yizhiren (Alpinia Oxyphylla Fruit), Dingxiang (Clove), and Chenxiang (Aquilaria Wood) are great pungent-hot, used to disperse cold as Assistant drugs; The pathogenic qi of sores attacks inward, causing qi accumulation leading to fullness; Muxiang (Aucklandia Root), Huixiang (Fennel), and Chenpi (Tangerine Peel) are bitter-pungent-warm, treating pi-syndrome (obstruction) and dispersing fullness, serving as Envoy drugs.
Chop the above ingredients into one dose, add three zhan of water and five slices of fresh ginger, decoct until one zhan remains, strain, and take warm at any time. Avoid all cold foods.
Treating sores arising from below the ear to the Quepen point (LI15), or extending to the shoulder, which are hard as stone and have no root when moved, named "Ma Dao" (Horse Dagger). These originate from the Hand-Shaoyang and Foot-Shaoyang meridians, or arise in the hypochondrium, whether already suppurating or not yet broken, are all treated.
Lianqiao (Forsythia Fruit), Huangqin (Scutellaria Root) (raw), Shaoyao (Peony Root), Dangguiwei (Angelica Sinensis Tail) (wine-processed), Jingsanleng (Burreed Tuber) (finely sliced), Guangzhu (Curcuma Zedoary Rhizome) (finely sliced, wine-processed once together with Sanleng, lightly fried, each half liang above); Caolongdan (Gentiana Scabra Root) (wine-processed four times, 2 liang); Huangqin (Scutellaria Root) (wine-fried twice); Huanglian (Coptis Rhizome) (wine-fried twice); Cangzhu (Atractylodes Rhizome) (each two qian above); Tugua Gen (Melon Root) (wine-fried, 1 liang); Chaihu (Bupleurum Root) (1 liang 2 qian); Gancao (Licorice Root) (roasted, 3 qian).
Take half of the above ingredients and grind into powder. Mix with refined honey to make pills the size of mung beans. Take 100 pills per dose, or 150 pills. Take the other half and chop. For each dose, take half liang, add one zhan eight fen of water, soak for half a day, decoct until one zhan remains, strain, and take hot before sleeping. Lie with head elevated and feet lowered, remove pillow and lie on back. Swallow the liquid medicine ten times per mouthful, reserve one mouthful to wash down the pills, then sleep as usual.