小儿有缘身生诸恶疮者。由腑脏有热。冲发于外。外被风湿所干。内外相乘。搏于血气。随其经络虚处。停
滞留结而生。或大或小。
或痒或痛。破溃成疮,或脓或血。或腐或败。挟毒所作者。久而不瘥。皆曰恶疮。若毒行攻里。亦皆能变 疮
也。
治儿身生小疮作痒痛
宣连(去须一两) 腻粉(一分) 白芨(一两) 芜荑(去皮半两)
上为细末。先洗浮疮拭干。生油调涂。
治生大疮作 痛 黄丹一两。腻粉一钱。研细匀。嚼杏仁取汁调敷。
治生疮如火烧 以赤薜荔叶杵末。油调涂之。
治肺毒风疮如癞 以好桑叶洗净。蒸一宿。日晒干为末。每服一钱。温水调下。无时。
治恶疮不识者 以蜣螂杵烂。绞汁敷之。亦治疳疮。
治诸恶疮 以黄牛蹄甲烧灰。须再三烧令极细末。入麝香少许拌匀。干掺疮上。
又方 治如前。以地骨皮先刮取浮皮。别收之。次取浮皮下白皮如粉者。为细末。又以其下赤坚皮细锉。共
浮皮一处相和为粗末。粗细各贮之。每用以粗末一合。煎浓汁乘热洗疮。直候汤冷。以软帛拭干。用细末敷之。
每日洗敷一次。取瘥。
又方 治如前。炒豉焦至烟绝为细末敷之。不过数次。瘥。
又方 治如前。以陈小麦半升。不犯铁器中炒黑色。枯白矾灰半钱。同为细末。每用少许贴疮上。
又方 治如前。
黄柏(浓者去粗皮) 黄连(去须) 山栀子(去壳) 甘草(各一两)
上各锉如豆大。于沙石铫子内炒令烟绝。如 炭样。放冷研细。入麝香一钱拌匀。先以温浆洗疮去脓血净。
软帛拭干。掺药在疮上。以纸片子盖了。软帛子包系护之。隔日再用。不得入水。昔卫州一老兵患疮九年。溃烂
见骨。得此药效愈。
治疗灸疮伤 以猪胫骨髓腻粉和为剂。却入骨内。泥裹。火煨熟取出。先以盐水洗疮净。后乃敷之。立效。
追恶疮脓血 以巴豆二十粒捶碎。用清麻油二两。煎至黑焦。去豆滤过。入黄丹一两,以东引柳条数枝搅
之。煎成膏。每用以绢帛摊药贴之。以茭节烧灰敷之。
治小儿鱼脐疮。谓疮形状似鱼脐也。此亦恶疮候。 蛇蜕皮炙焦黄
一两。烧灰细研。用鸡子清旋调少许涂之。
治小儿鱼脐疮 以寒食饧烧灰研末敷之。以白莴苣杵烂绞汁。先以针刺疮四畔。滴汁于疮口上。
治小儿风气相搏。身生疮疡。
地龙(去土一两) 白僵蚕(去嘴丝一两) 川芎(一两) 甘草(一两生用)
上为细末。薄荷汤调下一钱或半钱。
治恶疮久不效。黑肉烂脓。色黑赤。 先以不灰木槟榔各一分为细末。掺贴疮上,候肉红脓黄。即用后木香
散。
木香散
木香(二钱) 槟榔(一钱) 黄连(去须四钱)
上同为细末。干掺粘贴。用之必效。
马苋散
治诸疮久不瘥。变 疮。
马齿苋(一两墙上生者) 乌蛇肉(一两酒浸一宿焙干) 蒺藜子(半两炒去刺) 乱发(半两烧灰) 曲
头棘针(半两烧灰) 绯帛子(半两烧灰)
上为细末。每量疮大小。用白酒调药。摊帛子上。贴疮上。
贴久 疮 白胶香赤石脂黄柏密陀僧各半两。为细末。干贴疮上。
又方 治诸 疮。以蜗牛三个。瓷合子内收。入麝香少许盖了。火内烧过。研为细末。水和小丸子。每用一
丸纳疮中。
又方 以牛膝末敷之。妙。
又方 治如前。以赤小豆黄连等分为末。温浆水入盐。洗疮净掺药。或只以白胶香末掺之。亦效。
乌金散
治疳疮 。出脓水。痛不止。诸药无效者。有虫。以羊羔儿骨不拘多少。入藏瓶内。盐泥固济。炭火烧合
宜。研细。每用末五钱。入麝末一钱。雄黄末一钱。同研拌匀。时看疮大小。先以通手汤洗脓血净。口含洗之。
软帛拭干。将药满填疮口。当次生肉。三日外疮合。
小儿身上生出各种恶疮,是因为脏腑内有热邪,向外冲发,外部又受到风湿邪气的侵袭。内外邪气相互搏结,与血气相搏,随着经络中虚弱的部位停留、积聚而生成。疮的大小不一,或痒或痛,破溃后形成疮口,流出脓液或血液,组织腐烂败坏。由毒邪引起的,如果久治不愈,都称为恶疮。如果毒邪向内攻伐脏腑,也都能转变为疮证。
治疗小儿身上生小疮,伴有瘙痒疼痛:
宣连(去除须根,一两)、腻粉(一分)、白芨(一两)、芜荑(去皮,半两)。
将上述药物研成细末。先清洗浮起的疮面并擦干,用生油调和药末涂抹患处。
治疗生大疮,伴有疼痛:
黄丹一两,腻粉一钱。研细混合均匀,嚼碎杏仁取汁调敷患处。
治疗肺毒风疮,状如癞病:
取优质桑叶洗净,蒸一夜,日晒干燥后研成细末。每次服用一钱,温水送服,不拘时间。
治疗无法识别的恶疮:
将蜣螂捣烂,绞取汁液敷在患处。此法也能治疗疳疮。
治疗各种恶疮:
取黄牛蹄甲烧成灰,需反复烧至极细末,加入少许麝香拌匀,干撒在疮面上。
另一方法,治疗同上:
取地骨皮,先刮取表面的浮皮,单独收存。再刮取浮皮下的白色粉末状皮,研成细末。接着刮取下面的红色坚硬皮,细细切碎。将这三种皮混合在一起制成粗末。粗细粉末分别储存。使用时,取粗末一合,煎煮浓汁,趁热清洗疮面,直到汤药变冷,用软布擦干,再用细末敷在疮上。每天清洗敷药一次,直至痊愈。
又一方法,治疗同上:
炒豆豉至焦黑无烟,研成细末敷在患处。不过数次即可痊愈。
又一方法,治疗同上:
取陈小麦半升,在不接触铁器的容器中炒至黑色,加入枯白矾灰半钱,共同研成细末。每次取少量贴在疮上。
又一方法,治疗同上:
黄柏(浓者去掉粗皮)、黄连(去须)、山栀子(去壳)、甘草(各一两)。
将各药锉成豆子大小,在沙石铫子内炒至无烟,呈炭样,放凉后研细,加入麝香一钱拌匀。先用温浆水清洗疮面,去净脓血,用软布擦干,将药粉撒在疮上,用纸片覆盖,再用软布包裹保护。隔日再用,不得沾水。过去卫州一名老兵患疮九年,溃烂见骨,得到此药后疗效显著。
治疗灸疮损伤:
取猪胫骨髓与腻粉和成药剂,填入骨孔内,用泥包裹,火煨熟后取出。先用盐水洗净疮面,然后敷药,立即见效。
追出恶疮中的脓血:
取巴豆二十粒捶碎,用清麻油二两,煎至黑焦,去掉豆渣过滤。加入黄丹一两,用东向生长的柳条数枝搅拌。煎成膏状。每次用绢帛摊药贴敷,并用茭节烧成的灰敷在上面。
治疗小儿鱼脐疮,即疮的形状像鱼肚脐一样。这也是恶疮的一种征候。
蛇蜕皮炙至焦黄,一两,烧成灰细研。用鸡蛋清随时调少许涂抹。
治疗小儿鱼脐疮:
取寒食饧烧成灰研末敷之。用白莴苣捣烂绞汁,先用针刺疮的四周,将汁滴在疮口上。
治疗小儿风气相搏,身上生疮疡:
地龙(去土,一两)、白僵蚕(去嘴丝,一两)、川芎(一两)、甘草(一两,生用)。
将上述药物研成细末。用薄荷汤调下一钱或半钱。
治疗恶疮日久无效,黑肉腐烂流脓,颜色黑赤:
先用不灰木、槟榔各一分为细末,掺贴疮上,等到肉色转红、脓液变黄时,再用后面的木香散。
木香散:
木香(二钱)、槟榔(一钱)、黄连(去须,四钱)。
共同研成细末,干撒粘贴使用,效果必佳。
马苋散:
治疗各种疮日久不愈,变为恶疮。
马齿苋(一两,墙上生长的)、乌蛇肉(一两,酒浸一夜焙干)、蒺藜子(半两,炒去刺)、乱发(半两,烧灰)、曲头棘针(半两,烧灰)、绯帛子(半两,烧灰)。
将上述药物研成细末。根据疮的大小,用白酒调药,摊在帛子上,贴在疮上。
贴敷久不愈合的疮:
白胶香、赤石脂、黄柏、密陀僧各半两。研成细末,干贴疮上。
又一方法,治疗各种恶疮:
取蜗牛三个,放入瓷盒内,加入少许麝香盖好,在火中烧过,研成细末。用水和小丸子,每次取一丸纳入疮中。
又一方法,治疗同上:
取赤小豆、黄连等分为末,用温浆水加盐,洗净疮后撒药。或者只用白胶香末撒之,也有效。
乌金散:
治疗疳疮,流出脓水,疼痛不止,诸药无效,且有虫的情况。取羊羔儿骨不拘多少,放入藏瓶内,用盐泥密封固定,炭火烧至适宜程度,研细。每次用末五钱,加入麝末一钱、雄黄末一钱,共同研磨拌匀。时常观察疮的大小,先用通手汤洗净脓血,口中含汤漱口清洗疮面,用软布擦干,将药满填疮口。当次即可生肉,三日外疮口愈合。
Infants and children developing various "evil sores" (Echuang, severe ulcers) on the body are caused by heat pathogens in the fu organs rushing outward. Externally, they are affected by wind-dampness. The internal and external pathogens multiply each other, contending with blood and qi. They stop and accumulate at weak points along the meridians, generating lesions of varying sizes, either itchy or painful. Upon rupture, they form sores discharging pus or blood, with tissue rotting and decaying. Those caused by toxic factors that persist without healing are all termed "evil sores." If the toxin attacks inwardly, it can also transform into sore conditions.
Treatment for small sores with itching and pain:
Xuanlian (Coptidis Rhizoma, 1 liang, remove rootlets), Nifen (Calomelas, 1 fen), Baiji (Bletillae Rhizoma, 1 liang), Wuyi (Alpiniae Katsumadai Semen, 0.5 liang, remove skin).
Grind into fine powder. First wash the superficial sores and dry them. Mix with raw sesame oil and apply topically.
Treatment for large sores with pain:
Huandan (Lithargyri Pulvis, 1 liang), Nifen (Calomelas, 1 qian). Grind finely and mix uniformly. Chew apricot kernels to extract juice and use it to mix and apply the powder.
Treatment for sores feeling like burns:
Pound leaves of Ficus pumila (Chibiliye) into powder. Mix with oil and apply.
Treatment for lung-toxic wind-sores resembling leprosy:
Take high-quality mulberry leaves, wash clean, steam overnight, sun-dry, and grind into powder. Take 1 qian per dose, mixed with warm water, at any time.
Treatment for unrecognized evil sores:
Mash dung beetles (Qianglang), squeeze out the juice, and apply. This method also treats gan sores (childhood malnutrition-related ulcers).
Treatment for various evil sores:
Burn hooves of yellow cattle to ash, ensuring repeated burning until extremely fine. Add a small amount of Moschus (Shexiang), mix well, and sprinkle dry powder onto the sore.
Another prescription, treating as above:
Scrape the outer bark of Cortex Lycii Radicis (Digupi) first, set aside separately. Then scrape the white, powdery inner bark beneath it, grind into fine powder. Next, finely chop the red, hard bark below that. Mix all three types together to make coarse powder. Store coarse and fine powders separately. For use, take 1 he of coarse powder, decoct into a thick liquid, and wash the sore while hot until cool. Dry with soft cloth, then apply the fine powder. Wash and apply once daily until healed.
Another prescription, treating as above:
Stir-fry fermented soybeans (Chidou) until charred and smokeless, grind into fine powder, and apply. It usually heals within a few applications.
Another prescription, treating as above:
Take half a sheng of aged wheat, stir-fry until black in a vessel not made of iron. Add half a qian of calcined alum (Kubai Fan) ash. Grind together into fine powder. Apply a small amount to the sore.
Another prescription, treating as above:
Cortex Phellodendri Amurensis (Huangbai, remove coarse bark if thick), Rhizoma Coptidis (Huanglian, remove rootlets), Fructus Gardeniae Jasminoidis (Shanzhizi, remove shell), Radix Glycyrrhizae Uralensis (Gancao, 1 liang each).
Cut each herb into bean-sized pieces. Stir-fry in a stone pot until smoke ceases, resembling charcoal. Cool, grind finely, add 1 qian of Moschus (Shexiang), and mix well. First wash the sore with warm rice water to remove pus and blood completely. Dry with soft cloth, sprinkle medicine on the sore, cover with paper slices, and wrap with soft cloth for protection. Reapply every other day; keep away from water. Previously, an old soldier in Weizhou suffered from sores for nine years, with ulceration exposing bone. He was cured effectively using this remedy.
Treatment for damage from moxibustion sores:
Mix marrow from pig tibia bones with Calomelas (Nifen) to form a paste. Insert into the bone cavity. Wrap with mud, roast over fire until cooked, then remove. First wash the sore with salt water, then apply. Immediate effect is expected.
Expelling pus and blood from evil sores:
Crush 20 seeds of Croton Tiglium (Badou). Fry in 2 liang of pure hemp seed oil until blackened and scorched. Remove beans and filter. Add 1 liang of Lithargyri Pulvis (Huandan). Stir with several branches of willow growing eastward. Decoct into a plaster. Spread on silk and apply as a patch. Cover with ash from reed joints (Jiajie).
Treatment for infant fish-umbilical sores (Yuzhi Chuang), named for their resemblance to a fish's navel. This is also a type of evil sore.
Roast snake slough (Shetuipi) until golden yellow, 1 liang. Burn to ash and grind finely. Mix with egg white and apply sparingly.
Treatment for infant fish-umbilical sores:
Burn cold-food maltose (Hanshi Xing) to ash, grind, and apply. Pound white lettuce (Baiwoju), squeeze juice. Prick the four sides of the sore with a needle, then drip the juice onto the wound.
Treatment for wind-qiang contention causing sores in infants:
Earthworm (Dilong, remove soil, 1 liang), Bombyx Batryticatus (Baijiangcan, remove mouthparts, 1 liang), Rhizoma Chuanxiong (Chuanxiong, 1 liang), Radix Glycyrrhizae Uralensis (Gancao, 1 liang, raw).
Grind into fine powder. Take 1 qian or 0.5 qian, mixed with mint tea.
Treatment for chronic evil sores unresponsive to treatment, with black rotting flesh and dark-red pus:
First, grind equal parts of Ashwood (Buhui Mu) and Areca Seed (Binglang) into fine powder. Sprinkle on the sore. Wait until flesh turns red and pus becomes yellow, then use the following Muxiang San.
Muxiang San:
Radix Aucklandiae (Muxiang, 2 qian), Areca Seed (Binglang, 1 qian), Rhizoma Coptidis (Huanglian, remove rootlets, 4 qian).
Grind together into fine powder. Apply dry powder directly. It is highly effective.
Maxian San:
Treating various sores that have persisted and transformed into evil sores.
Portulaca Oleracea (Maxiancai, 1 liang, preferably from walls), Dabo Viper Meat (Wushe Rou, 1 liang, soaked in wine overnight, dried), Tribulus Terrestris Fruit (Jili Zi, 0.5 liang, stir-fried, thorns removed), Human Hair (Luankuafa, 0.5 liang, burned to ash), Thorn of Ziziphus Jujuba (Qutoujizhen, 0.5 liang, burned to ash), Red Silk Cloth (Feibozzi, 0.5 liang, burned to ash).
Grind into fine powder. Based on the size of the sore, mix medicine with white wine, spread on cloth, and apply to the sore.
Application for chronic non-healing sores:
Colophony (Baijiaoxiang), Halloysitum Rubrum (Chishizhi), Cortex Phellodendri Amurensis (Huangbai), Litharge (Miduoseng), 0.5 liang each. Grind into fine powder. Apply dry powder to the sore.
Another prescription, treating various sores:
Place 3 snails in a porcelain box. Add a little Moschus (Shexiang), cover, and roast over fire. Grind into fine powder. Mix with water to form pills. Insert one pill into the sore per use.
Another prescription:
Apply powder of Achyranthes Bidentata Root (Niuxi). It is excellent.
Another prescription, treating as above:
Mix equal parts of Adzuki Bean (Chixiaodou) and Rhizoma Coptidis (Huanglian) into powder. Wash the sore with warm rice water containing salt, then sprinkle medicine. Alternatively, simply sprinkle Colophony (Baijiaoxiang) powder alone. It is also effective.
Wujin San:
Treating gan sores discharging pus and water, with persistent pain, unresponsive to other medicines, and presence of worms. Take lamb bones in any quantity. Place in a sealed jar, seal with salt mud, roast over charcoal until appropriate. Grind finely. Take 5 qian of powder, add 1 qian of Moschus powder and 1 qian of Realgar powder. Grind and mix well. Observe the size of the sore. First wash pus and blood clean with warm water suitable for hand-washing. Swish in the mouth to clean the area. Dry with soft cloth. Fill the sore cavity completely with the medicine. Flesh regeneration occurs immediately; the sore closes within three days.