治一切恶疮,发背疔疽便毒,始发脉弦洪实数,肿甚欲作脓者。(脉弦洪实数,乃
坚满之症,故宜下之。)
金银花 当归(一两) 大黄 朴硝 花粉 连翘 牡蛎 皂角刺(三钱) 黄芩 赤
芍(一钱)
金银花清热解毒,痈疮主药。当归赤芍调营血,大黄芒硝荡胃热。黄芩清肺火,牡蛎软
坚痰
赤,
虽大
风药
可下
不知
治通身湿热疮疹,及下部红肿热痛诸疮,神效。外以螵蛸粉敷之。
龙胆草 栀子 黄芩 木通 泽泻(钱半) 芍药 生地(二钱) 白蒺藜(连刺捣碎。
五钱。
如火不甚者,宜去龙胆草栀子,加当归茯苓米仁之属。如湿毒盛者,加土茯苓五钱,或
一二
治痈疽疮疹,血气不行,邪毒不化,内无实热,而痛肿淋漓者,悉宜用之。此
藜煎,相为奇正也,当酌其详。
当归 熟地 芍药(酒炒) 何首乌(二钱) 甘草(炙) 防风 川芎 白芷 荆芥
穗(一钱)
服后饮酒数杯,
化者,加人参黄
治一切痈疽恶疮。
凡人初觉发背,欲结未结,赤肿 痛。以湿纸覆其上,先干处,即痈头也。取独头大蒜
切片
觉早
中间
愈。
气上
至夜
不
按
毒
治百般痈毒,诸疮损伤,疼痛,腐肉,肿胀。或风寒湿气,留聚走注疼痛等症,无
效。
百草(凡田野山间者,无论诸品,皆可取用。然以山草为胜,辛香者佳。冬月可用干者,
不
蘸
可以除热。热者可以散寒,香者可以行气,毒者可以解毒,无所不用,亦无所不到。汤得药
气,则汤气无害。药得汤气,则药力愈行。凡用百草以煎膏者,其义亦以此。此诚外科中最
要最佳之法,亦传之方外人者也。(若洗水鼓肿胀,每次须用二三十斤,煎浓汤二三锅,用
大盆盛贮,以席簟遮风,熏洗良久,每日一二次。内服廓清饮分利等剂,妙甚。)
治疗各种恶疮、发背、疔疽、便毒,初起时脉象弦、洪、实、数,肿胀严重,即将化脓的病症。(脉象弦、洪、实、数,属于坚满的证候,因此适宜使用攻下法。)
金银花、当归(一两)、大黄、朴硝、花粉、连翘、牡蛎、皂角刺(三钱)、黄芩、赤芍(一钱)。
金银花具有清热解毒的功效,是治疗痈疮的主药。当归和赤芍调理营血,大黄和芒硝清除胃中积热。黄芩清泻肺火,牡蛎软化坚硬的痰结。虽然是大风药,但可知可以使用下法。
治疗全身湿热引起的疮疹,以及下部红肿热痛的各种疮疡,效果显著。外用海螵蛸粉敷贴患处。
龙胆草、栀子、黄芩、木通、泽泻(钱半)、芍药、生地(二钱)、白蒺藜(带刺捣碎,五钱)。如果火热症状不严重的,应当去掉龙胆草和栀子,加入当归、茯苓、薏苡仁之类的药物。如果湿毒旺盛的,加入土茯苓五钱,或者一二两。
治疗痈疽疮疹,因气血运行不畅,邪毒无法化解,体内没有实热,但疼痛肿胀淋漓不断的病症,都适宜使用此方。这是与“百草煎”互为奇正配合的方剂,应当斟酌其详细用法。
当归、熟地黄、芍药(酒炒)、何首乌(二钱)、甘草(炙)、防风、川芎、白芷、荆芥穗(一钱)。
服药后饮用几杯酒,有助于药力发散。如果有气虚需要补益的情况,加入人参、黄芪。
治疗各种痈疽恶疮。
凡是人刚开始感觉发背欲发未发,局部发红肿胀疼痛时。用湿纸覆盖在患处,先变干的地方,就是痈头所在。取独头大蒜切成薄片……(原文此处有缺漏或排版错误,推测意为贴在痈头上)……感觉早处理……中间……痊愈。气上……至夜……不按……毒……(原文片段破碎,意指通过观察和早期干预来治愈,避免毒气扩散)。
治疗百般痈毒,各种疮疡损伤,疼痛,腐肉,肿胀。或者是风寒湿气,留聚游走导致的疼痛等症状,没有无效的时候。
百草(凡是田野山间生长的草药,无论品种,都可以取用。但以山草为佳,气味辛香的更好。冬季可以使用干燥的草药,可以去除热邪。热症可以用它来散寒,香气浓郁的药物可以行气,有毒性的药物可以解毒,无所不用,也无处不到。汤药得到药气,则汤气无害;药物得到汤气,则药效更加发挥。凡是用百草煎膏的道理也是如此。这确实是外科中最重要最佳的方法,也是传授给方外之人的秘诀。(如果是治疗水鼓导致的水肿,每次须用二三十斤草药,煎煮浓汤二三锅,用大盆盛装,用席子遮挡风口,熏洗很长时间,每天一到两次。内服廓清饮等分利药剂,效果奇妙。)
Treats all kinds of malignant sores, carbuncles on the back (Fabei), ding abscesses, and venereal sores. In the initial stage, the pulse is wiry, surging, full, and rapid; swelling is severe, and suppuration is imminent. (A wiry, surging, full, and rapid pulse indicates a syndrome of hardness and fullness, thus purgation is appropriate.)
Jinyinhua (Lonicerae Japonicae Flos), Danggui (Angelicae Sinensis Radix) (1 liang), Dahuang (Rhei Radix et Rhizoma), Puxiao (Natrii Sulfas), Huafen (Trichosanthis Radix), Lianqiao (Forsythiae Fructus), Muli (Concha Ostreae), Zaojiaoci (Gleditsiae Spina), Huangqin (Scutellariae Radix), Chishao (Paeoniae Radix Rubra) (1 qian).
Jinyinhua clears heat and resolves toxicity, serving as the principal herb for treating carbuncles and sores. Danggui and Chishao regulate Ying and Xue (nutritive blood); Dahuang and Mangxiao (Natrii Sulfas) purge stomach heat. Huangqin clears Lung fire, and Muli softens hard phlegm. Although these are herbs that disperse wind, it is known that purgative methods can be applied.
Treats widespread damp-heat rashes and various sores in the lower body characterized by redness, swelling, heat, and pain, with divine efficacy. Externally apply Sepiae Endoconcha powder (Oumiao Xiao Fen) to the affected area.
Longdancao (Gentianae Radix), Zhizi (Gardeniae Fructus), Huangqin (Scutellariae Radix), Mutong (Akebiae Caulis), Zexie (Alismatis Rhizoma) (1.5 qian), Shaoyao (Paeoniae Radix), Shengdi (Rehmanniae Radix) (2 qian), Baijili (Tribuli Fructus) (crushed with spines, 5 qian). If the heat is not severe, remove Longdancao and Zhizi, and add Danggui, Fuling (Poria), and Yiren (Coicis Semen). If damp-toxin is abundant, add Tufuling (Smilacis Glabrae Rhizoma) 5 qian, or 1-2 liang.
Treats carbuncles, ulcers, and rashes where Qi and Blood circulation is obstructed, pathogenic toxins cannot be resolved, there is no excess heat internally, yet pain and swelling are profuse. This formula is suitable for all such cases. It works in conjunction with Baicao Jian (Decoction of Hundred Herbs) as complementary strategies; one should consider their detailed applications.
Danggui (Angelicae Sinensis Radix), Shudi (Rehmanniae Radix Preparata), Shaoyao (Paeoniae Radix) (stir-fried with wine), Heshouwu (Polygoni Multiflori Radix) (2 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted), Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Jingjie (Schizonepetae Spica) (1 qian).
After taking the medicine, drink several cups of wine to aid dispersion. If Qi deficiency requires tonification, add Renshen (Ginseng Radix) and Huangqi (Astragali Radix).
Treats all kinds of carbuncles, ulcers, and malignant sores.
When one first feels the onset of a back carbuncle, before it has fully formed, presenting with redness, swelling, and pain: cover the area with wet paper; the spot that dries first indicates the head of the carbuncle. Take a single-clove garlic, slice it... [text fragmentary] ... treat early ... center ... heal. Prevent toxic qi from spreading ... at night ... do not press ... toxin. [Note: The original text here is fragmented, implying early intervention and observation to cure and prevent toxin spread.]
Treats myriad types of carbuncle toxins, various sore injuries, pain, putrid flesh, and swelling. Or conditions caused by wind-cold-dampness stagnating and wandering causing pain; there is no case where this is ineffective.
Baicao (Hundred Herbs) (Any herbs found in fields or mountains can be used, regardless of species. However, mountain herbs are superior, especially those with pungent and aromatic qualities. Dried herbs can be used in winter. They can clear heat; heat can be dispersed by them; aromatic herbs promote Qi movement; toxic herbs resolve toxicity. They are useful everywhere and reach every part. When decocted, the water absorbs the herbal essence, neutralizing any harmful properties of the water itself; conversely, the water enhances the herbal potency. This principle applies equally to making pastes from hundred herbs. This is indeed the most important and excellent method in external medicine, passed down to practitioners outside the mainstream. (For treating edema due to abdominal distension/shui-gu, use 20-30 jin of herbs per session, boil into strong decoctions in batches of 2-3 pots, store in large basins, shield from wind with mats, and fumigate/wash for a long time, once or twice daily. Internally administer Kuqing Yin and other diuretic formulas for wonderful results.))