(附论)
夫时气发豌豆疮者。是热毒瓦斯攻于脏腑。余气流于肌肉。遂于皮肤毛孔之中结成此疮。
所出如豌豆颗。因以名之。但以解热毒之药。其疮即止。脉洪数者是其候也。
方
犀角散(出圣惠方)治时气发豌豆疮。出后疼痛。心神烦闷。
犀角屑(五钱) 丁香(半两) 薰陆香(半两) 木香(半两) 玄参(一两) 川
升麻(一两)
麝香(一分) 上为散。每服二钱。以水一中盏。煎至五分。去滓。不计时候服。
又方(出圣惠方)
用黄连二两去须。为散。每服三钱。以水一中盏。煎至五分。去滓。不计时候。温服。
治时气发豌豆疮。如爪甲大。赤黑色者。(出圣惠方)
羊胆(七枚取汁) 羊脂(三两) 上二味相和。于银锅中煎五七沸。待冷。摩敷疮上。
每
日用四五次。
又方(出活人书)
用川芒硝二两。细研。以猪胆汁和涂于疮上。勿令动着。直候痂落无瘢。仍卧黄土末上。
良。此病小便涩。有血者中坏也。疮皆黑靥不出脓者死。不疗。
治时气发豌豆疮(出圣惠方)
以好白蜜。通身涂于疮上。亦可救。数食蜜。如疮烂痛。可用细研黄土敷之。
治时气热毒攻发豌豆疮(出圣惠方)
用苦参二两。细锉。以水二大盏。煎至一盏。去滓。分为二服。日三四服之。
治时气发豌豆疮初觉(出圣惠方)
用川大黄半两。锉碎微炒。以水一大盏。煎至七分。去滓。分为二服。日三四服之。
又方(出千金方)
用青黛半两。细研。以新汲水调服之。日三四次。一方用真波斯青黛大如枣。
又方(出千金方)
用木香一两。捣碎。以水一大盏。煎至六分。去滓。不计时候。温服。圣济总录用二两。
以水三升。煮取一升。顿服之。
治时气发豌豆疮。亦治及时六畜。时气热病。(出千金方)
用浓煮黍穣汁洗之。若误使 穣。不即瘥。圣济总录。疮若黑者。捣蒜封之。
治伤寒时气热毒。豌豆疮。(出幼幼新书)
用桦木皮锉。煎汁。温服取安。
又方 治时气热病。豌豆疮。
用芸苔煮汁洗之。
又方(出千金方)
若赤黑发如芥大者。煎羊脂摩敷之。
又方(出千金方)
用小豆屑。鸡子白。和敷。
又方(出千金方)
用妇人月水帛。拭之。
又方(出千金方)
小儿着用月水汁。和水浴之。
治时行病发疮(出肘后方)
用好蜜遍身摩疮上。亦可以蜜煎升麻摩之。并数数拭之。外台秘要、肘后。此岁有病天
行发斑疮。头面及身须臾周匝。状如火疮。皆戴白浆。随没随生。不即疗。剧者数日必死。
得瘥后。疮瘢紫黯色。弥岁方灭。此恶毒之气也。世人云。建武中于南阳击虏所得。乃呼为
虏疮。诸医参详治疗。用之有效。
治伤寒时行热毒发疮。头面及身须臾周匝。状如火疮。皆带白浆。随没随生。
葵菜(煮烂) 蒜 齑(各不拘多少) 上拌匀。初患急食之。不早治杀人。但瘥后疮
瘢色
黑。弥岁方灭。此是恶毒时气也。
又方(出肘后方)
用水浓煮升麻汁。渍绵洗之。苦酒渍弥佳。但燥痛难忍。
水解散 治天行热气则生 疮疼痛。解肌出汗。
麻黄(一两去节) 黄芩(二分) 芍药(二分) 桂心(二分) 上捣筛。暖水调服
二方寸
匕。覆令出汗。日再服。瘥者减之。忌海藻、菘菜。
龙脑散 治时疾天行豌豆疮。赤疮子未透。心烦狂躁。气喘妄语。或见神鬼。
以龙脑一钱。细研。旋滴猪心血和丸。如鸡头大。每服一丸。紫草汤下。少时心神便定。
得睡复发透。根据常将息取安。
治时气病。骨中热。生豌豆疮 疮。
饮铁浆瘥。
治豌豆疮(出本草)
服油麻一升。须利。即不生白浆。大效。
又方
以蔓菁根捣汁。挑疮破敷在上。
(附论)
所谓时气引发的豌豆疮,是由于热毒之气侵袭脏腑,其余邪流窜至肌肉,最终在皮肤毛孔中凝结形成这种疮疡。
其形态如同豌豆颗粒,因此得名。只要使用解除热毒的药物,疮疡即可停止发展。脉象洪大而数是其典型征候。
方剂
犀角散(出自《圣惠方》),治疗时气引发的豌豆疮,疮疡破溃后疼痛,心神烦闷不安。
犀角屑(五钱)、丁香(半两)、薰陆香(半两)、木香(半两)、玄参(一两)、川升麻(一两)、麝香(一分)。以上药物研为散剂。每次服用二钱,用水一中盏,煎煮至五分水量,滤去药渣,不限时间服用。
又一方(出自《圣惠方》)
取黄连二两,去除须根,研为散剂。每次服用三钱,用水一中盏,煎煮至五分水量,滤去药渣,不限时间,温服。
治时气引发的豌豆疮,疮形如爪甲大小,呈赤黑色的方子(出自《圣惠方》)
羊胆(七个,取汁)、羊脂(三两)。将上述两味药混合,在银锅中煎煮五到七沸,待冷却后,涂抹按摩于疮上。
每日使用四到五次。
又一方(出自《活人书》)
取川芒硝二两,细细研磨,用猪胆汁调和后涂抹于疮上,不要触动它。直接等待痂皮脱落且不留疤痕为止。最好睡在黄土末上。
此病若小便涩痛、带血者,属于病情恶化;疮疡皆呈黑色结痂且不化脓者,预后不良致死。若不治疗,后果严重。
治时气引发的豌豆疮(出自《圣惠方》)
用好白蜜,全身涂抹于疮上。也可以多食用蜂蜜。如果疮疡腐烂疼痛,可用细研的黄土敷贴。
治时气热毒攻发豌豆疮(出自《圣惠方》)
取苦参二两,细细切碎,用水两大盏,煎煮至一盏水量,滤去药渣,分为两份服用,每日服用三到四次。
治时气引发豌豆疮初起阶段(出自《圣惠方》)
取川大黄半两,切碎微炒,用水一大盏,煎煮至七分水量,滤去药渣,分为两份服用,每日服用三到四次。
又一方(出自《千金方》)
取青黛半两,细细研磨,用新汲取的冷水调服,每日三到四次。另一说法是用真正的波斯青黛,大小如枣。
又一方(出自《千金方》)
取木香一两,捣碎,用水一大盏,煎煮至六分水量,滤去药渣,不限时间,温服。《圣济总录》中记载用二两,水三升,煮取一升,一次性顿服。
治时气引发豌豆疮,也治疗家畜六畜的时气热病(出自《千金方》)
用浓煮的黍穣汁清洗患处。如果误用了黍穣(指未处理或错误的用法),则不能立即痊愈。《圣济总录》记载:疮若变黑,捣蒜封贴。
治伤寒时气热毒引起的豌豆疮(出自《幼幼新书》)
取桦木皮切碎,煎煮汁液,温服以获安宁。
又一方(出自《千金方》)
如果疮色赤黑,大小如芥菜籽,煎煮羊脂涂抹按摩患处。
又一方(出自《千金方》)
用小豆屑和鸡蛋清调和后敷贴。
又一方(出自《千金方》)
用妇女月经期的布帛擦拭患处。
又一方(出自《千金方》)
小儿若沾上月经血汁,加水洗澡。
治时行病引发的疮疡(出自《肘后方》)
用好蜂蜜遍身涂抹疮上。也可以用蜂蜜煎煮升麻来涂抹,并频繁擦拭。《外台秘要》、《肘后备急方》记载:这是岁运异常导致的时行斑疮,头面及身体瞬间布满,形状如火烧疮,顶端都带有白色浆液,随破随生。如果不立即治疗,重症者数日内必死。
痊愈后,疮疤呈紫暗色,经过一年才能消退。这是恶毒之气。世人说,东汉建武年间在南阳攻打敌虏时所得,所以称为“虏疮”。各位医生研究治疗方案,使用有效。
治伤寒时行热毒引发的疮疡,头面及身体瞬间布满,形状如火烧疮,都带有白色浆液,随破随生。
葵菜(煮烂)、蒜、醋酱(各适量)。以上拌匀,初患时紧急食用。不早治疗会杀人。但痊愈后疮疤颜色黑,经过一年才能消退。这是恶毒的时气。
又一方(出自《肘后方》)
用水浓煮升麻汁,浸泡绵絮清洗患处。用醋浸泡更佳,但会导致干燥疼痛难忍。
水解散,治疗天行热气导致的疮疡疼痛。解肌发汗。
麻黄(一两,去节)、黄芩(二分)、芍药(二分)、桂心(二分)。以上捣碎筛粉,用温水调服二方寸匕。覆盖衣被令其出汗,每日两次。病愈后减量。忌食海藻、菘菜(白菜)。
龙脑散,治疗时疾天行豌豆疮,赤色疮子未透发,心烦狂躁,气喘胡言乱语,或见神鬼幻象。
取龙脑一钱,细细研磨,随时滴入猪心血和丸,如鸡头大小。每次服用一丸,用紫草汤送下,不久心神便安定。若能入睡,随后疮毒透发。按照常规调养以求安宁。
治时气病,骨中发热,生豌豆疮。
饮铁浆可痊愈。
治豌豆疮(出自《本草》)
服用油麻一升,必须导致腹泻,这样就不会生出白色浆液,效果显著。
又一方
用蔓菁根捣汁,挑破疮口敷在上面。
(Attached Discussion)
The so-called "pea sores" (Dou Pei Chuang, a type of smallpox-like eruption) caused by seasonal pathogens arise when heat-toxic qi attacks the Zang-Fu organs. The residual pathogenic factors flow into the muscles and eventually condense within the skin pores to form these sores.
Their appearance resembles pea grains, hence the name. By administering herbs that resolve heat toxicity, the progression of the sores can be halted. A surging and rapid pulse (Hong Shu Mai) is the characteristic sign.
Prescriptions
Xi Jiao San (Rhinoceros Horn Powder) [Source: *Sheng Hui Fang*]: Treats pea sores caused by seasonal pathogens, characterized by pain after ulceration and mental restlessness.
Rhino Horn in Chips (Wu Qian), Clove (Ban Liang), Frankincense (Ban Liang), Costus Root (Ban Liang), Scrophularia Root (Xuan Shen, Yi Liang), Cimicifuga Rhizome (Chuan Sheng Ma, Yi Liang), Musk (Yi Fen). Grind the above ingredients into a powder. Take 2 qian per dose with one zhong zhan of water, decoct until reduced to five fen of liquid, strain, and take at any time.
Another Prescription [Source: *Sheng Hui Fang*]
Take two liang of Coptis Rhizome (Huang Lian), remove the roots, and grind into a powder. Take 3 qian per dose with one zhong zhan of water, decoct until reduced to five fen of liquid, strain, and take warm at any time.
For pea sores caused by seasonal pathogens, where sores are the size of a fingernail and appear dark red or black [Source: *Sheng Hui Fang*]
Seven Sheep Gallbladders (extract juice), three liang of Mutton Fat. Mix the two ingredients and boil in a silver pot for five to seven boils. After cooling, massage and apply onto the sores.
Apply four to five times daily.
Another Prescription [Source: *Huo Ren Shu*]
Take two liang of Mirabilite (Chuan Mang Xiao), grind finely, and mix with Pig Bile to apply on the sores. Do not disturb them. Wait until the scabs fall off without leaving scars. It is beneficial to lie on fine yellow earth dust.
If this disease presents with dysuria and hematuria, it indicates deterioration. If all sores turn black with eschars and fail to suppurate, the prognosis is fatal. Lack of treatment leads to severe outcomes.
For pea sores caused by seasonal pathogens [Source: *Sheng Hui Fang*]
Apply high-quality white honey over the entire body on the sores. Consuming honey frequently may also help. If the sores are ulcerated and painful, apply finely ground yellow earth.
For heat-toxic aggression causing pea sores due to seasonal pathogens [Source: *Sheng Hui Fang*]
Take two liang of Sophora Root (Ku Shen), cut finely, and decoct in two da zhan of water until reduced to one zhan. Strain and divide into two doses, taken three to four times daily.
For early-stage pea sores caused by seasonal pathogens [Source: *Sheng Hui Fang*]
Take half a liang of Rhubarb (Chuan Da Huang), cut into pieces and lightly stir-fried. Decoct in one da zhan of water until reduced to seven fen. Strain and divide into two doses, taken three to four times daily.
Another Prescription [Source: *Qian Jin Fang*]
Take half a liang of Indigo Naturalis (Qing Dai), grind finely, and take mixed with fresh well-water, three to four times daily. Another method uses genuine Persian Indigo Naturalis, sized like a date.
Another Prescription [Source: *Qian Jin Fang*]
Take one liang of Costus Root (Mu Xiang), crush it, and decoct in one da zhan of water until reduced to six fen. Strain and take warm at any time. *Sheng Ji Zong Lu* records using two liang, decocted in three sheng of water to yield one sheng, taken in one dose.
Treats pea sores caused by seasonal pathogens; also treats seasonal heat diseases in livestock [Source: *Qian Jin Fang*]
Wash with thickly boiled juice from Sorghum Straw (Shu Rang). If incorrect usage occurs, healing will not be immediate. *Sheng Ji Zong Lu* states: if sores turn black, apply crushed garlic as a poultice.
Treats pea sores caused by cold damage and seasonal heat toxicity [Source: *You You Xin Shu*]
Cut Birch Bark (Hua Mu Pi) and decoct the juice. Take warm to achieve relief.
Another Prescription for treating seasonal heat diseases and pea sores
Boil Rape Greens (Yun Tai) juice and wash the affected area.
Another Prescription [Source: *Qian Jin Fang*]
If sores are red-black and the size of mustard seeds, decoct Mutton Fat and massage/apply it.
Another Prescription [Source: *Qian Jin Fang*]
Mix Vigna Angularis Husk (Xiao Dou Xie) with Egg White (Ji Zi Bai) and apply.
Another Prescription [Source: *Qian Jin Fang*]
Wipe the area with cloth used during menstruation.
Another Prescription [Source: *Qian Jin Fang*]
If children come into contact with menstrual blood, bathe them with water containing it.
Treats sores caused by epidemic diseases [Source: *Zhou Hou Fang*]
Massage the entire body with good honey. Alternatively, decoct Cimicifuga Rhizome (Sheng Ma) in honey for application, wiping frequently. *Wai Tai Mi Yao* and *Zhou Hou Bei Ji Fang* record: This is an epidemic macular eruption caused by abnormal annual qi. It spreads rapidly over the head, face, and body, resembling fire blisters, all topped with white serum. They rupture and regenerate quickly. Without immediate treatment, severe cases result in death within days.
After recovery, the scars remain purple-dark for a year before fading. This is evil toxic qi. People say it originated from capturing enemies in Nanyang during the Jianwu era of Eastern Han, hence called "Slave Sores" (Lu Chuang). Physicians have studied treatments with efficacy.
Treats sores caused by cold damage, seasonal heat toxicity, spreading rapidly over head, face, and body, resembling fire blisters with white serum, rupturing and regenerating.
Malva Verticillata (Kui Cai, boiled soft), Garlic (Suan), Vinegar Sauce (Ji). Mix well. Eat urgently at onset. Delayed treatment is fatal. However, post-recovery scars remain black for a year. This is evil seasonal qi.
Another Prescription [Source: *Zhou Hou Fang*]
Decoct Cimicifuga Rhizome (Sheng Ma) in water, soak cotton, and wash the area. Soaking in Vinegar (Ku Jiu) is better but causes intolerable dryness and pain.
Shui Jie San (Water-Resolving Powder): Treats pain from sores caused by epidemic heat qi. Releases the muscle layer and induces sweating.
Ephedra Stem (Ma Huang, Yi Liang, nodes removed), Scutellaria Root (Huang Qin, Er Fen), Peony Root (Bai Shao, Er Fen), Cinnamon Twig (Gui Xin, Er Fen). Crush and sieve. Mix with warm water and take two fang cun bi. Cover to induce sweating. Take twice daily. Reduce dosage upon recovery. Avoid Seaweed (Hai Zao) and Chinese Cabbage (Song Cai).
Long Nao San (Borneol Powder): Treats epidemic pea sores where red sores have not fully erupted, accompanied by mental restlessness, mania, panting, delirium, or visual hallucinations.
Grind one qian of Borneol (Long Nao) finely. Mix with fresh Pig Heart Blood (Zhu Xin Xue) drop by drop to form pills the size of a chicken head. Take one pill per dose with Purple Gromwell Root Decoction (Zi Cao Tang). Mental state stabilizes shortly. Sleep promotes further eruption. Follow standard care for recovery.
Treats seasonal diseases with bone-deep heat and pea sores.
Drinking Ferrous Sulfate Solution (Tie Jiang) leads to recovery.
Treats pea sores [Source: *Ben Cao*]
Consume one sheng of Sesame Seeds (You Ma). Diarrhea must occur; this prevents the formation of white serum. Highly effective.
Another Prescription
Crush Turnip Roots (Man Jing Gen) to extract juice. Pierce the sores and apply the juice.