夫 疮者。皆由肾脏虚寒。风邪毒瓦斯。外攻三里之旁。灌于阴交之侧。风热毒瓦斯。流注
两
脚生疮。肿烂疼痛臭秽。步履维艰。此病生于 骨为重。以其骨上肉少皮薄。故难愈。至有多
年无
已。疮口开阔。皮烂肉现。臭秽可畏。治法当先取虫。然后敷药。须翘足端坐。勿多行履。
庶可痊矣。
一治 腿生疮。或癣疥等症。
四生散
白附子 黄 羌活 沙苑蒺藜
上各等分为末。每服三钱。用猪腰子破开。入药。湿纸包裹煨熟。细辛煎汤下。风癣。
酒下。
一论 疮。乃湿毒所致。及治遍体热疮。
黄白散
黄柏(去皮一两) 轻粉(三钱)
上为细末。用猪胆汁调涂。湿则干掺。
一论远年近月。一切 疮溃烂至骨疼痛。当止痛生肌如神。
三香膏
乳香(二钱) 松香(三钱)
上为细末。真生香油调。用包粽子笋叶薄者。密针刺孔。将药摊其上。用笋叶贴患处。
药居中。上用完笋叶盖。叶上帛扎住即效。
一方。用松香为末。入葱根须叶等分。同捣为饼。外用乳香为末。少掺药饼上。搭在疮
口。布帛扎住。二日一换。盐茶洗净。一治 疮方。
密陀僧(八钱) 石乳(二钱) 铜青(八分) 血竭(一钱)
上为末。将油纸刺孔。桐油扫纸上。掺药在油上。隔纸贴之效。
一治 疮顽疮裾边疮。许敬吾传。
地沥青(二两) 黄蜡(三钱) 白蜡 香油(各三钱) 密陀僧(一两五钱为末)
上将此四味。入粗碗火上煎化。频频入陀僧在内。搅不住手。成膏为度。将油纸刺孔上药
油纸反折。以孔在下贴疮。
一治两足生 疮,诸疮久不已。后山李怀严传。
轻粉(一钱) 宫粉(二钱)
上用猪板油同捣烂。浇油纸上贴疮。外帛包紧。一日换一次。先用盐茶洗净。贴药。
一治 疮烂脚方。先用米泔水洗净。再用川椒、艾叶浓煎水洗净。用黄丹不拘多少。真
香油调茶碗内。以艾烧烟熏至黄色。上用隔纸膏贴之妙。
疮,都是由于肾脏虚寒,风邪毒气,从外部侵袭足三里穴旁边,灌注到阴交穴侧面。风热毒气,流注于双脚,导致生疮,肿胀溃烂,疼痛且有恶臭气味,行走困难。这种病生于骨部,因为骨头上的肉少皮薄,所以难以痊愈。甚至多年不愈,疮口开阔,皮肤腐烂肌肉外露,气味恶臭令人畏惧。治疗方法应当先去除虫体,然后敷药。必须翘起脚端正坐,不要多走路,才可以痊愈。
一方治疗腿部生疮,或者癣疥等症状。
四生散:白附子、黄柏(原文“黄”疑为黄柏或黄芪,此处依常见配伍及后文语境暂作保留,若指药材通常需明确,此处按原文列出)、羌活、沙苑蒺藜。
以上药物各等分研成粉末。每次服用三钱,用猪腰子剖开,放入药粉,用湿纸包裹,在火上煨熟,用细辛煎汤送服。若是风癣,用酒送服。
另一篇论述疮症,是由湿毒所致,以及治疗遍身热疮。
黄白散:黄柏(去皮一两)、轻粉(三钱)。
以上研成细末,用猪胆汁调匀涂抹。如果患处湿润,则干撒药粉。
另一篇论述远年近月,一切疮疡溃烂至骨并疼痛的情况,应当止痛生肌,效果神奇。
三香膏:乳香(二钱)、松香(三钱)。
以上研成细末,用真正的生香油调和。选用包粽子较薄的笋叶,用密针刺孔,将药摊在笋叶上,用笋叶贴敷患处,药居中,上面再用完好的笋叶覆盖,叶上用布帛扎紧即可见效。
另一方,用松香研成末,加入葱根、须、叶等量,一起捣成饼状。外用乳香研成末,少量掺在药饼上,搭在疮口,用布帛扎紧。两天更换一次,用盐茶洗净。这是一治疗疮方的方剂。
密陀僧(八钱)、石乳(二钱)、铜青(八分)、血竭(一钱)。
以上研成末,将油纸刺孔,用桐油扫在纸上,将药粉撒在油上,隔着纸贴敷,有效。
一方治疗顽疮、裾边疮,由许敬吾传授。
地沥青(二两)、黄蜡(三钱)、白蜡、香油(各三钱)、密陀僧(一两五钱,研成末)。
以上将这四味药放入粗碗中,在火上煎化,频频加入密陀僧末,不停搅拌,直到成为膏状为止。将油纸刺孔,涂上药油,油纸反折,以孔在下贴敷疮处。
一方治疗双脚生疮,各种疮疡久治不愈,由后山李怀严传授。
轻粉(一钱)、宫粉(二钱)。
以上用猪板油一起捣烂,浇在油纸上贴敷疮处,外面用布帛包紧。一天更换一次。先用盐茶洗净,再贴药。
一方治疗疮烂脚方。先用米泔水洗净,再用川椒、艾叶浓煎的水洗净。用黄丹不拘多少,用真香油在茶碗内调和,用艾草烧烟熏至黄色,上面用隔纸膏贴敷,效果奇妙。
Sores are all caused by deficiency and coldness of the Kidney, with wind-pathogenic toxic qi attacking externally from beside the Zusanli (ST36) acupoint and pouring into the side of the Yinjiao (RN7) acupoint. Wind-heat toxic qi flows and accumulates in both feet, causing sores to arise, characterized by swelling, ulceration, pain, and foul odor, making walking difficult. This disease arises in the bone region; because there is little flesh and thin skin above the bone, it is difficult to heal. It may persist for many years without cessation, with wide-open sore openings, rotting skin, exposed muscle, and a terrifyingly foul odor. The treatment method should first involve removing worms, followed by applying medicated plasters. One must sit upright with feet elevated and avoid excessive walking to ensure recovery.
One prescription treats leg sores or conditions such as tinea and scabies.
Four Raw Powders (Sisheng San): Bai Fuzi (Arisaematis Rhizoma Praeparatum), Huang Bo (Phellodendri Cortex), Qiang Huo (Notopterygii Rhizoma et Radix), Shayuan Jili (Astragali Complanati Semen).
Grind each ingredient into powder in equal proportions. Take three qian per dose. Split open a pig kidney, insert the medicine, wrap it in wet paper, and roast it over fire. Swallow with decoction prepared from Xixin (Asari Radix et Rhizoma). For wind-tinea, take with wine.
Another discussion on sores states they are caused by damp-toxin, and also treats heat sores covering the whole body.
Yellow and White Powder (Huangbai San): Huang Bo (Phellodendri Cortex, peeled, one liang), Qing Fen (Calomelas, three qian).
Grind into fine powder. Mix with pig bile for topical application. If the area is moist, sprinkle dry powder directly.
Another discussion addresses chronic sores that have ulcerated down to the bone and cause pain. To stop pain and promote tissue regeneration, this divine formula is effective.
Three Fragrant Ointment (Sanxiang Gao): Ru Xiang (Boswelliae Resina, two qian), Song Xiang (Pini Resina, three qian).
Grind into fine powder. Mix with genuine raw sesame oil. Select thin bamboo leaves used for wrapping zongzi, prick them densely with needles, spread the medicine on the leaf, and apply the leaf to the affected area with the medicine centered. Cover with intact bamboo leaves and bind tightly with cloth. This will be effective.
Another prescription uses Song Xiang (Pini Resina) ground into powder, mixed with equal parts of green onion roots, hairs, and leaves, pounded into a cake. Externally, mix Ru Xiang (Boswelliae Resina) powder sparingly onto the cake, place it on the sore opening, and bind with cloth. Change every two days. Cleanse with salt tea water. This is another prescription for sores.
Miduo Seng (Lithargyri), Shi Ru (Gypsum Fibrosum), Tong Qing (Vermiculi Cupri Viridis), Xue Jie (Dragon's Blood).
Grind into powder. Prick holes in oiled paper, brush tung oil onto the paper, sprinkle the medicine on the oil, and apply through the paper. This is effective.
One prescription treats stubborn sores and marginal sores, transmitted by Xu Jingwu.
Di Li Qing (Bitumen), Huang La (Cera Flava), Bai La (Cera Alba), Xiang You (Semen Sesami Indici Oleum, three qian each), Miduo Seng (Lithargyri, five qian, ground).
Place these four ingredients in a coarse bowl and melt over fire. Frequently add Miduo Seng powder while stirring continuously until an ointment forms. Prick holes in oiled paper, apply the medicinal oil, fold the paper back, and apply to the sore with the holes facing downward.
One prescription treats foot sores and chronic sores that do not heal, transmitted by Li Huaiyan from Houshan.
Qing Fen (Calomelas, one qian), Gong Fen (Cerussa, two qian).
Pound together with Su Pan You (Porci Adeps) until smooth. Pour onto oiled paper and apply to the sore. Wrap tightly with cloth. Change once daily. First cleanse with salt tea water, then apply the medicine.
One prescription for treating rotten foot sores. First cleanse with rice washing water. Then cleanse with a strong decoction of Chuan Jiao (Zanthoxyli Pericarpium) and Ai Ye (Artemisiae Argyi Folium). Use Huang Dan (Minii Preparatum) in any amount, mix with genuine sesame oil in a tea bowl, and smoke with burning mugwort until it turns yellow. Apply a plaster separated by paper on top. This is miraculous.