(附论)
内经谓湿伤肉。以脾主肌肉。而恶湿也。诸疮未合。或中于水。则水毒发肿。能为 痛、
脓溃不止。是为湿伤肌肉。治宜敷药使水尽出。则肌肉温平。疮可愈。
方
乱发熏方 治诸疮水毒。或中风反张。肿入腋者杀人。
乱发 鸡粪(二两) 大麻子(三两) 黑豆(三两) 青布(一尺以蜡二两于火上摊
令尽) 上以
上安药。复以
汗出勿见风。熏讫。余蜡滴疮口内。良效。
追风散 治诸疮水毒。肿痛不止。
真炭灰(四两) 猪胆(一枚) 蛤粉(二两) 上罗细灰。以纸一幅铺地上。摊灰可
两指浓。取
合者。以针
包子散 治水毒入疮肿痛。或入刺骨者。
皂荚子(不蛀者七枚) 上用坩埚入药在内。瓦盖锅口。慢火烧。烟尽取出研细。每用
药先以
寸金散 治一切疮。或外伤肌肉。水作脓。 肿久不瘥。
虾蟆(自死者) 新砖(等分) 上捣末。捏作饼子。爆干为细散。掺疮口上。即撮出
毒水尽
铅丹散 治破伤水入。肿溃不愈。
铅丹 蛤粉(等分) 上同炒令变色。掺疮口上。水即出。
乌梅散 治诸疮水毒肿痛。
乌梅 皂荚子(等分) 上各烧存性研匀。贴疮上。毒汁即出。
乌犀膏 治皂荚水及恶水入疮。热痛不止。
皂荚子(烧存性一分) 沙糖(半两) 上先研皂荚子灰令细。续入沙糖和匀如膏。贴
疮上。胡粉涂方 治诸疮中水毒攻肿。
胡粉 锻石(研罗各三两) 上炼猪脂调如糊。涂疮上。水即出。一方用炭白灰。
天雄散 治一切水毒入疮肿。及驴涎马汗。
以天雄去皮。用瓷瓦刮细末。贴疮口。
治疮水毒及竹签刺、痈疽、热毒等方。
以糯米三升。入瓷盆内。于端午前四十五日。以冷水浸之。一日两度换水。换时轻淘辟
去水
散。
口作
才
竹
惟
治凡八九月中刺伤手足。因犯恶露肿杀人。不可轻视。须用此药。
以生桑枝三枚。纳 灰中。挨引令极热斫断。正以枝头拄疮口上。热即尽易之。尽三枝
则
若
治刺伤中风水方
以黑牛热屎。一服二升。三服即止。
又方(出千金方)
以蜡一两。热炙熨敷。裹上。令水出。愈。
又方(出千金方)
以鱼目烧灰。敷之。
又方(出千金方)
以热煮韭。拓之良。
又方(出千金方)
以刮箭羽下漆。涂于患处。
治入水手足肿痛方(出儒门事亲)
以生胡麻捣烂。敷之。
治诸疮水毒肿方
以生白矾末水调。涂之自消。
治中寒露。水入手疮。痛不可忍方(出肘后方)
以盐数合。着疮上裹之。火灸令热气透疮。又以蜡入竹管内。插热灰中。令蜡熔。滴入
疮口
唤。
针头散(出肘后方)
治疮疡 肿木硬。
上用蟾酥、麝香各一钱研细。以儿乳汁调和泥。入瓷合内盛。干不妨。每用以唾津调。
拨少
治疮肿因中水。及中风寒所作。其肿入腹。则杀人方。(出肘后方)
多以桑灰淋汁。渍冷复易之。取愈当令热。神秘。
若已中水及恶露、风寒、肿痛方。(出肘后方)
用蒲黄、败青布。于小口器中烧以熏之。疮汁出尽。则愈。
疗疮中风水神效方(出肘后方)
取干竹三指大。节疏者佳。每于节间截断。中间勿留节。令得长三二尺。总六七枚。烧
一头
令水
竹
治疮肿因中水及风寒所作。其肿入腹。则杀人方(出肘后方)
烧黍瓤若马牛干屎。桑条辈多烟之物。作炕中烧之。以板掩坎上。穿板作小孔。即以疮
口当
治生疮因入汤成毒脓出。或赤肿者方。(出百一选方)
以淡豆豉不拘多少。手内碾为膏子。捏作饼。敷贴之。以片帛裹定。脓即止。未有头。
以米
脚面伤、手疮。因水入作肿。
用耳塞敷之。
疗疮中风方(出肘后方)
用煎盐令花出。以物取盐。稍沥去水。及热安疮上。取瘥良。一周时着盐勿住手。盐浓
即拨
浸之
治水中烂疮皮皲方(出本草)
用含水藤叶捣。敷之。
治手足水烂疮方(出本草)
以占斯煎汤。洗之。
(附论)
《内经》说湿气损伤肌肉。因为脾主司肌肉,而肌肉厌恶湿气。各种疮疡在愈合之前,如果受到水湿侵袭,就会导致水毒发作并引起肿胀,造成剧烈疼痛、脓液溃烂不止。这就是湿气损伤肌肉的表现。治疗应当使用外敷药物使水湿排尽,这样肌肉就能恢复平和温暖,疮疡即可痊愈。
方剂
乱发熏方:治疗各种疮疡的水毒症状。如果是中风引起的角弓反张,或者肿胀蔓延至腋下,会危及生命。
配方:乱发、鸡粪(各二两)、大麻子(三两)、黑豆(三两)、青布(一尺,用蜡二两在火上熔化摊开浸透)。
用法:将上述药物放在下面,上面覆盖青布,进行熏蒸。熏蒸后出汗,注意不要吹风。熏完后,剩余的蜡滴入疮口内,效果良好。
追风散:治疗各种疮疡水毒引起的肿痛不止。
配方:真炭灰(四两)、猪胆(一枚)、蛤粉(二两)。
用法:将炭灰过细筛。用一张纸铺在地上,将炭灰摊成约两指厚的厚度,取中间部分,用针扎孔,包裹好敷于患处。
包子散:治疗水毒侵入疮疡引起的肿痛,或者毒气深入刺骨的病症。
配方:皂荚子(无虫蛀的七枚)。
用法:将药材放入坩埚中,用瓦片盖住锅口,慢火烘烤,直到烟烧尽取出,研磨成细粉。每次使用时,先用……(原文此处有缺漏,推测为清洗或预处理疮口),然后用药粉敷贴。
寸金散:治疗一切疮疡,或者是外伤导致肌肉受损,水湿化为脓液,肿胀长久不愈的情况。
配方:死去的虾蟆(蟾蜍)、新砖(等量)。
用法:捣碎成末,捏成饼状,爆干后研成细散,撒在疮口上,立即能吸出毒水,直到水尽为止。
铅丹散:治疗破伤后水湿侵入,肿胀溃烂不愈。
配方:铅丹、蛤粉(等量)。
用法:共同炒至颜色改变,撒在疮口上,水湿即会排出。
乌梅散:治疗各种疮疡水毒引起的肿痛。
配方:乌梅、皂荚子(等量)。
用法:分别烧至存性(烧焦保留药性),研磨均匀,贴在疮上,毒汁就会流出。
乌犀膏:治疗皂荚水及恶水侵入疮疡,热痛不止。
配方:皂荚子(烧至存性,一分)、沙糖(半两)。
用法:先将皂荚子灰研磨细腻,接着加入沙糖调和均匀如膏状,贴在疮上。
胡粉涂方:治疗各种疮疡中水毒攻注引起的肿胀。
配方:胡粉、锻石(分别研磨过筛,各三两)。
用法:炼制猪脂调成糊状,涂在疮上,水湿即会排出。另一方法是用炭白灰。
天雄散:治疗一切水毒侵入疮疡引起的肿胀,以及驴涎马汗污染。
用法:将天雄去皮,用瓷瓦刮成细末,贴在疮口上。
治疗疮疡水毒以及竹签刺伤、痈疽、热毒等的方剂。
配方:糯米三升。
用法:放入瓷盆内,在端午节前四十五天,用冷水浸泡。每天换两次水,换水时轻轻淘洗,撇去水面漂浮物……(原文此处有缺漏,推测为继续浸泡直至制成散剂或膏剂)。
治凡在八九月份刺伤手足,因触犯恶露导致肿胀杀人的情况,不可轻视,必须使用此药。
配方:生桑枝三枚。
用法:将桑枝纳入灰烬中,引燃使其极热后砍断,正以枝头拄在疮口上,变冷后立即更换。用完三根枝条则……(原文此处有缺漏,推测为病愈)。
若……(原文此处有缺漏,推测为其他症状描述)。
治刺伤后感受风水邪气的方剂
配方:黑牛的热屎,一次服用二升,服用三次即止。
又一方(出自《千金方》)
配方:蜡一两。
用法:加热后炙烤熨敷,包裹患处,令水湿排出,即可痊愈。
又一方(出自《千金方》)
配方:鱼目烧成的灰。
用法:敷于患处。
又一方(出自《千金方》)
配方:热煮的韭菜。
用法:拓敷患处,效果良好。
又一方(出自《千金方》)
配方:刮取箭羽下的漆。
用法:涂于患处。
治入水后手足肿痛的方剂(出自《儒门事亲》)
配方:生胡麻。
用法:捣烂,敷于患处。
治各种疮疡水毒肿胀的方剂
配方:生白矾末。
用法:用水调匀,涂之自消。
治中寒露,水进入手疮,疼痛难忍的方剂(出自《肘后方》)
配方:盐数合。
用法:放在疮上包裹,用火灸令热气透过疮口。另外将蜡放入竹管内,插入热灰中,令蜡熔化,滴入疮口……(原文此处有缺漏,推测为引流或止痛)。
针头散(出自《肘后方》)
治疗疮疡肿胀木硬。
配方:蟾酥、麝香各一钱。
用法:研磨细腻,用婴儿乳汁调和成泥,装入瓷盒内储存,干燥也无妨。每次使用时用唾液调和,拨少许……(原文此处有缺漏,推测为涂抹患处)。
治疮肿因中水,以及中风寒所致。如果肿胀进入腹部,则会危及生命的方剂。(出自《肘后方》)
配方:桑灰淋出的汁液。
用法:浸泡患处,冷了再换,保持温热。此法神秘有效。
如果已经中水及恶露、风寒,出现肿痛的方剂。(出自《肘后方》)
配方:蒲黄、败坏的青布。
用法:在小口容器中燃烧以熏之,待疮汁排尽,则痊愈。
疗疮中风水神效方(出自《肘后方》)
配方:干竹,直径三指大,节疏者佳。
用法:每在节间截断,中间不留节,使其长二三尺,共六七枚。烧一头……(原文此处有缺漏,推测为熏蒸患处),令水……(原文此处有缺漏)。
治疮肿因中水及风寒所作。其肿入腹,则杀人方(出自《肘后方》)
配方:烧黍瓤或马牛干屎、桑条等多烟之物。
用法:在炕中燃烧,用板掩盖坑口,穿板作小孔,即以疮口对准小孔……(原文此处有缺漏,推测为熏蒸)。
治生疮因入汤成毒脓出,或赤肿的方剂。(出自《百一选方》)
配方:淡豆豉不拘多少。
用法:用手碾为膏子,捏作饼,敷贴之,以片帛裹定,脓即止。未有头……(原文此处有缺漏,推测为催脓或收敛)。
脚面伤、手疮,因水入作肿。
配方:耳塞。
用法:敷之。
疗疮中风方(出自《肘后方》)
配方:煎盐令花出(盐析出结晶)。
用法:以物取盐,稍沥去水,趁热安于疮上,取瘥良。一周时间内持续加盐勿停手,盐浓即拨……(原文此处有缺漏,推测为更换新盐)。
浸之……(原文此处有缺漏)。
(Attached Discussion)
The *Neijing* (Inner Canon) states that dampness injures the flesh. This is because the Spleen governs the muscles, and the muscles dislike dampness. Before various sores heal, if they are exposed to water or dampness, water-toxin will manifest causing swelling, severe pain, and continuous pus discharge. This constitutes dampness injuring the muscles. The treatment should involve applying external medicines to drain the water completely, allowing the muscles to return to a warm and balanced state, thereby healing the sore.
Prescriptions
**Luafa Xun Fang (Hair Fumigation Formula)**: Treats water-toxin in various sores. If wind-stroke causes opisthotonos (backward arching of the body), or if swelling spreads into the armpit, it can be fatal.
Ingredients: Loose hair (Luanfa), Chicken manure (Jifen, 2 liang), Hemp seeds (Damaizi, 3 liang), Black beans (Heidou, 3 liang), Blue cloth (Qingbu, 1 chi length, soaked in 2 liang of melted wax).
Usage: Place the ingredients below, cover with the blue cloth, and fumigate. After fumigation, sweating may occur; avoid exposure to wind. After fumigation, drip the remaining wax into the sore opening for good effect.
**Zhuifeng San (Wind-Chasing Powder)**: Treats persistent swelling and pain in various sores due to water-toxin.
Ingredients: True charcoal ash (Zhentan hui, 4 liang), Pig gallbladder (Zhu dan, 1 unit), Arca shell powder (Gefen, 2 liang).
Usage: Sieve the charcoal ash finely. Spread a sheet of paper on the ground and spread the ash to a thickness of about two fingers. Take the middle part, puncture with needles, wrap, and apply to the affected area.
**Baozi San (Packet Powder)**: Treats swelling and pain caused by water-toxin entering sores, or toxin penetrating to the bone.
Ingredients: Gleditsia sinensis pods (Zaojiazi, 7 non-worm-eaten pods).
Usage: Place the medicine in a crucible, cover the pot mouth with a tile, and slow-roast until smoke disappears. Remove and grind into fine powder. Each time use... [text missing], then apply the powder.
**Cunjin San (Inch-Gold Powder)**: Treats all kinds of sores, especially those where external trauma damages the muscle, water transforms into pus, and swelling persists without healing.
Ingredients: Dead toads (Xama, naturally deceased), New bricks (Xin zhuan, equal parts).
Usage: Pound into powder, form into cakes, dry thoroughly, and grind into fine powder. Sprinkle on the sore opening to extract toxic water until it stops.
**Qiandan San (Lead Tetroxide Powder)**: Treats swelling and non-healing ulceration after traumatic injury with water invasion.
Ingredients: Lead tetroxide (Qiandan), Arca shell powder (Gefen, equal parts).
Usage: Stir-fry together until the color changes. Sprinkle on the sore opening to drain water.
**Wumei San (Dark Plum Powder)**: Treats swelling and pain in various sores due to water-toxin.
Ingredients: Dark plums (Wumei), Gleditsia sinensis pods (Zaojiazi, equal parts).
Usage: Char each until "preserving nature" (burnt but retaining medicinal properties), grind uniformly, and apply to the sore to drain toxic fluid.
**Wuxi Gao (Black Rhinoceros Ointment)**: Treats heat and pain caused by soap pod water or foul water entering sores.
Ingredients: Charred Gleditsia sinensis pods (Zaojiazi, 1 fen), Rock sugar (Shatang, 0.5 liang).
Usage: Grind the charred pods finely, mix with rock sugar to form an ointment, and apply to the sore.
**Hufen Tu Fang (White Lead Paste Formula)**: Treats swelling caused by water-toxin attacking sores.
Ingredients: White lead (Hufen), Calcined lime (Duanshi, sifted separately, 3 liang each).
Usage: Refine lard and mix into a paste. Apply to the sore to drain water. Another method uses charcoal white ash.
**Tianxiong San (Aconiti Lateralis Radix Praeparata Powder)**: Treats swelling from water-toxin entering sores, as well as contamination from donkey saliva or horse sweat.
Usage: Peel Tianxiong (*Aconiti Lateralis Radix Praeparata*), scrape into fine powder using porcelain tiles, and apply to the sore opening.
**Formulas for treating sores, water-toxin, bamboo splinters, carbuncles, and heat-toxin:**
Ingredients: Glutinous rice (Nuomi, 3 sheng).
Usage: Place in a porcelain basin. Soak in cold water starting 45 days before the Dragon Boat Festival. Change water twice daily, gently washing and skimming off floating matter... [text missing].
**Formula for hand/foot injuries in August/September infected with foul menses/toxin causing fatal swelling:**
Do not underestimate this condition. Use this medicine.
Ingredients: Fresh mulberry branches (Sheng sangzhi, 3 branches).
Usage: Place branches in hot ashes until extremely hot, then cut. Press the hot branch tip against the sore opening, replacing immediately when cooled. Repeat with three branches... [text missing].
**Formula for wind-water invasion after piercing injury:**
Ingredients: Hot dung of a black cow (Heiniu reshi shi, 2 sheng per dose).
Usage: Administer orally. Stop after three doses.
**Another Prescription (from *Qianjin Fang*):**
Ingredients: Wax (La, 1 liang).
Usage: Heat and apply as a compress/warm pack. Wrap the area to drain water. Cures the condition.
**Another Prescription (from *Qianjin Fang*):**
Ingredients: Ash of fish eyes (Yumu shao hui).
Usage: Apply topically.
**Another Prescription (from *Qianjin Fang*):**
Ingredients: Hotly boiled Chinese chives (Re zhu jiu).
Usage: Apply as a poultice. Effective.
**Another Prescription (from *Qianjin Fang*):**
Ingredients: Lacquer scraped from under arrow feathers (Kua jian yu xia qi).
Usage: Apply to the affected area.
**Formula for swollen/painful hands/feet after water exposure (from *Rumen Shiqin*):**
Ingredients: Raw sesame seeds (Sheng humazhima).
Usage: Pound into a paste and apply.
**Formula for various sore water-toxin swelling:**
Ingredients: Raw alum powder (Sheng bai fan mo).
Usage: Mix with water and apply. Swelling subsides spontaneously.
**Formula for cold-damp invasion into hand sores causing unbearable pain (from *Zhouhou Fang*):**
Ingredients: Salt (Yan, several he).
Usage: Place on the sore and wrap. Moxibustion to penetrate heat through the sore. Alternatively, melt wax in a bamboo tube inserted in hot ashes and drip into the sore... [text missing].
**Zhentou San (Needle-Head Powder) (from *Zhouhou Fang*):**
Treats sore swelling, numbness, and hardness.
Ingredients: Toad venom (Chansu), Musk (Shexiang, 1 qian each).
Usage: Grind finely, mix with infant milk to form a paste, store in a porcelain container. Dry paste is acceptable. When using, mix with saliva and apply a small amount... [text missing].
**Formula for sore swelling due to water/cold invasion, fatal if swelling enters abdomen (from *Zhouhou Fang*):**
Ingredients: Juice from soaking mulberry ash (Sang hui lin zhi).
Usage: Soak the affected area, replacing with fresh liquid when cool. Keep it warm. This method is mysterious and effective.
**Formula for swelling/pain after water/foul menses/cold-wind invasion (from *Zhouhou Fang*):**
Ingredients: Spore of Polyporus (Puhuang), old blue cloth (Bai qingbu).
Usage: Burn in a narrow vessel to fumigate the sore. Cure occurs when toxic juice drains completely.
**Divine Effect Formula for Carbuncle Wind-Water Invasion (from *Zhouhou Fang*):**
Ingredients: Dry bamboo, 3 fingers thick, with sparse nodes.
Usage: Cut between nodes, keeping lengths of 2-3 chi, total 6-7 pieces. Burn one end... [text missing] to let water... [text missing].
**Formula for sore swelling due to water/cold invasion, fatal if swelling enters abdomen (from *Zhouhou Fang*):**
Ingredients: Burned millet husks, dried cow/horse dung, mulberry twigs (materials producing much smoke).
Usage: Burn in a kiln, cover with a board having small holes, and position the sore over the hole... [text missing].
**Formula for sores turning toxic/pus-filled or red/swollen after boiling water injury (from *Baiyi Xuanfang*):**
Ingredients: Fermented soybeans (Danshoudouchi), any amount.
Usage: Mash by hand into a paste, form into cakes, apply, and wrap with cloth. Pus stops. If no head has formed... [text missing].
**For foot/shin or hand sores swollen due to water entry:**
Ingredients: Ear plugs (Er sai).
Usage: Apply as a poultice.
**Formula for Carbuncle Wind-Stroke (from *Zhouhou Fang*):**
Ingredients: Salt heated until crystallizing (Jian yan ling hua chu).
Usage: Collect salt, drain excess water, and apply while hot to the sore. Continue adding salt for a week without stopping. Replace concentrated salt... [text missing].
Soak... [text missing].
**Formula for rotting sores/skin cracking from water exposure (from *Bencao*):**
Ingredients: Leaves of *Hydrangea heteromalla* (Hanshui teng ye).
Usage: Pound and apply.
**Formula for rotting sores on hands/feet from water (from *Bencao*):**
Ingredients: Decoction of *Zanthoxylum* (Zhan si jian tang).
Usage: Wash the affected area.