此毒多生头面四肢,色赤或肿,游走不定,甚者宜用前瓷锋砭法,使毒血遇刺皆出,更以
神功散敷之,内服荆防败毒散,或五福化毒丹,若使毒瓦斯入腹则不治。或愈而复发,皆因母食
辛辣炙 以致肉热,宜于母药中加漏芦煎服,或令自服亦愈。
小儿鹅口(三百七)
凡小儿口内白屑满口者为鹅口疮,则不能饮乳。用发或软绢缠指,醮井水拭舌上使净。
如屑不能脱,浓煮栗木汤以绵缠箸头拭洗,却用飞过黄丹搽之。
加味太乙膏(三百八)一切疮疡并宜贴之。先用隔蒜炙,更服活命饮以收全功。
当归 生地黄 芍药 玄参 大黄(各二两) 加甘草(四两)
用麻油二斤煎,丹收。
景岳会通膏(三百九) 凡诸痈毒、痞块、风气,骨节疼痛,无所不治。
大黄 木鳖仁 当归 川芎 芍药 生地 麻黄 细辛 白芷 防风 荆芥 苍术 羌活
川乌 甘草 乌药 南星 半夏 香附 官桂 苍耳 骨碎补 草乌 艾叶 皂角 枳壳 三棱
蓬术 萝卜子 水红花子 巴豆 五倍 独活 桃仁 苏木 红花 续断 连翘 栀子 苦参
槐花 皂刺 干姜 蓖麻子 透骨草(晒干) 穿山甲 全蝎 僵蚕 蜂房(各一两) 蛇蜕(一
大条) 蜈蚣(十四根) 虾蟆(三只) 血余(一团) 独蒜(四头)
上五十四味,用麻油五斤,浸三日,先煎血余、蓖麻、木鳖、桃仁、巴豆、虾蟆、独
蒜、待半枯,然后人余药煎黑,去滓丹收,后下细药十味。
阿魏(二两) 乳香(制) 没药(制,各一两) 木香 丁香 雄黄 朱砂 血竭
儿茶(各五钱) 麝香(不拘一二钱)
上麝香、丁香、木香三味宜最后下之。以上收油法,凡熬成熟油一斤,下飞净好红丹八两;
若欲微嫩,则止下七两五钱。
神异膏(三百十) 治痈疽疮毒及收口甚效,此疮疡中第一方也。
麻油(二斤) 黄丹(十二两) 黄 杏仁 玄参(名一两) 蛇蜕(半两) 男发(如鸡
子团) 蜂房(子多者佳,一两)
上先以黄 、杏仁、玄参入油煎至将黑,乃入蛇蜕、蜂房、乱发再煎至黑,去 ,徐
徐下丹慢火煎收,黄丹不必拘数,但以得中为度。凡膏药用久,必至老硬,煎时预留嫩膏少许,
如硬,量和之。
清凉膏(三一一) 治一切疮疡溃后宜用之。
当归(二两) 白芷 白芨 木鳖子 黄柏 白蔹 乳香 白胶香(各五钱) 黄丹(五两净)
净麻油(十二两)
上用油煎前六味,以槐柳枝顺搅油熟,丹收然后下乳香等二味。
阿魏膏(三一二)治一切痞块,更服胡连丸。
羌活 独活 玄参 官桂 赤芍药 穿山甲 生地黄 两头尖 大黄 白芷 天麻
红花(各半两) 木鳖(十枚,去壳) 乱发(一团) 槐柳桃枝(各半两)
上用麻油二斤四两,煎药黑去 ,入发再煎,发化仍去 入上好真正黄丹煎收,软硬
得中,入后细药即成膏矣。
阿魏 芒硝 苏合油 乳香 没药(各五钱) 麝香(三钱)
上凡贴膏药,须先用朴硝随患处铺半指浓,以纸盖用热熨斗熨良久,如硝耗再加熨之,
二时许方贴膏药。若是肝积,加芦荟末同熨之。
朱砂膏(三一三)治一切顽疮破疮,杖疮痈疽,发背破伤者,最妙最佳。
麻油(一斤) 飞母(六两) 水银(一两) 朱砂(佳者一两半飞) 好黄蜡(四两)
先下油熬数沸,下鸡子二枚,敲开连壳投之,熬焦捞去子,退火俟油定,下水银五钱,
再加微火搅熬饭顷,即入丹渐收成膏,后下黄占再搅,候大温,下极细好朱砂一两五钱搅匀,
瓷罐收贮。
神效当归膏(三一四)治一切发背疮疡,汤火疼痛等证,去腐肉,生新肉,其效如神。
凡洗拭换膏,必须预备即贴之,新肉畏风故也。如用白蜡尤好。此药生肌止痛,补血续筋,
故与新肉相宜。
当归 生地黄 黄蜡(各二两。白蜡当减半) 麻油(六两)
上先将当归、地黄各一两入油煎黑去 ,又将二味各入一两煎至微焦,复去滓,乃入蜡溶
化,候冷搅匀即成膏矣。用涂患处,以纸盖之,如有死肉,须用利刀剪去,则生肌尤速。
攻坚败毒膏(三一五)亦名乾坤一气膏。专攻痞块,诸疮毒,痔漏。
当归 熟地 生地 白芍药 赤芍药 南星 半夏 三棱 蓬术 木鳖 两头尖 穿山甲
巴豆仁 肉桂 五灵脂 桃仁 续断 玄参 玄胡索 蓖麻子仁 白芷 羌活 独活 大黄
红花 川乌 草乌 苏木 川芎 防风 杏仁(各一两)
上用麻油四十两,浸诸药三日,桑柴火煎成,丹收后下细药。
乳香(制) 没药(制,各一两) 真阿魏(一两半) 麝香(三钱)
上方于细药中加芦荟、木香各一两,蟾酥三钱,即名消痞大成膏。
消痞膏(三一六)
三棱 蓬术 穿山甲 木鳖仁 杏仁 水红花子 萝卜子 透骨草(晒干) 大黄(各一两)
独头蒜(四个)
上用香油一斤,入前药十味煎油成,以飞丹收之,后下细药。
真阿魏 乳香 没药(各一两) 麝香(三钱)
上先下乳、没、阿魏三味,后下麝香,搅匀待冷,倾水中浸数日,用瓷瓶收贮,勿使
泄气。用时以白布或坚白纸摊贴,八九日一换。或见大便去脓血,勿以为异,亦有不去脓血而
自愈者。若治泻痢,可贴脐腹。忌房事生冷。凡贴症积痞块,先用荞麦面和作一圈,围住患处
四边,其块上放皮硝二三两,盖浓纸以熨斗熨,令热气内达,然后去硝用膏药贴之。上原方用
白花菜同透骨草另煎膏二两,搅入膏内收用,但白花菜惟西北方间有之,求觅不易,故余用独
蒜、萝卜子代之,其功亦不减也。
琥珀膏(三一七)治颈项瘰 ,及腋下初结小核、渐加连珠,不消不溃,或溃而脓
水不绝,经久不瘥,或成漏证。
琥珀 白芷 防风 当归 木鳖子 木通(各一两) 丁香 桂心 朱砂 木香 松香(各半两)
麻油(二斤)
上先将琥珀等六味为末,其余药入油煎黑,滤去 ,徐入黄丹再煎,软硬得中,入前
药成膏贴之。
贴痞琥珀膏(三一八)贴症积痞块。
大黄、朴硝各一两为末,以大蒜同捣膏贴之。
水红花膏(三一九)贴痞块。
用水红花或子,每一碗以水三碗,用桑柴文武火熬成膏,量痞大小用纸摊贴,以无方为度,
仍将膏用酒调服。忌荤腥油腻。不饮酒者,白汤下。
火龙膏(三百二十) 治风寒湿毒所袭,筋骨挛痛,及湿痰流注,经络壅痛,不能行步,
并治历节风,鹤膝风,其效如神。
生姜(八两,取汁) 乳香(为末) 没药(为末,各五钱) 麝香(一钱) 真牛皮广胶(二两)
上先将姜汁并胶熔化,方下乳香、没药调匀,待少温下麝香即成膏矣。摊贴患处,更
服五积散。如鹤膝风,须服大防风汤。
赵府膏(三二一) 专贴疼痛肿毒。
干虾蟆(三个) 全蝎 僵蚕(各一两) 蜈蚣(四条) 斑蝥(四十个) 商陆根(一两六钱)
花椒(一钱) 童子发(六分) 鸡内金(二个) 槐枝(三寸长者各四十根)
细药∶
儿茶 乳香 没药 血竭 龙骨 黄占 白占(各五钱) 麝香(一钱)
上用麻油二斤煎,飞丹收。
密陀膏(三二二) 此膏治 湿诸疮,风漏等证神效。凡治疼痛,先以葱、姜擦患处,
然后贴之。
先用密陀僧一二斤打碎,将童便煮之,觉其浊性去而童便气清乃可止矣。用便煮过则贴疮
不痛。晾干,研极细如面候用。
用桐油不拘几斤,熬至将黑为度,每熟油一斤,用陀僧六两收之,于将成膏之顷取起,离
火候稍凉,量膏多少,入冷水数碗徐搅之,恐其泛出,俟少定,即逼去其水,再上火熬化,复
入水数碗搅逼如前,或三次更妙,然后熬净其水,每油一斤,再入官粉二两熬收,其色方黑。
凡熬此者,铜锅须大方可用。
八仙红玉膏(三二三)治诸疮。
龙骨 赤石脂 儿茶 血竭 没药 乳香(各一钱) 轻粉(五分或一钱) 冰片(二分)
上用麻油二两,入当归五钱煎枯去滓,入龙、石、茶、蝎四味,再煎一二沸,次入乳、没
略煎匀后,入黄占五钱溶化,冷定入轻、冰摊贴。
碧油膏(三二四)止痛排脓,灸后宜用之。
桃枝 柳枝 桑枝 槐枝(各二两) 乳香(另研) 血竭(各五钱) 黄丹(四两,净)
上用麻油十两煎,膏成后下乳香、血竭。
长肉膏(三二五)
人参 黄 当归 夜合树皮 玄参(各一两) 血余(三两) 老鼠(一个)
细药∶
血竭 龙骨 赤石脂 白腊(各五钱)
上用麻油一斤煎,飞丹收。
保养元气膏(三二六)此膏助元阳,补精髓,通血脉,镇玉池,养龟存精,百战百胜,
待妇人经净之时,去膏而泄则可成孕,并治腰膝疼痛,五劳七伤,诸虚百损,半身不遂,膀胱
疝气,带浊淫淋,阴痿不举,无不效者。
此邵真人进御方也。
麻油一斤四两,入甘草二两,先熬六七滚,然后下诸药。
生地黄 熟地黄(俱酒洗) 麦门冬 肉苁蓉(酒洗) 远志肉 蛇床子(酒浸)
菟丝子(酒浸) 牛膝(酒洗) 鹿茸 川续断 虎骨 紫梢花 木鳖仁 谷精草 大附子
肉桂(各五钱)
上熬成,以煮过松香四两,飞丹半斤收之,次下细药。
次下龙骨 倭硫黄 赤石脂(各二钱)
又次下乳香 沉香 丁香 木香(各一钱)
又次下阳起石(三钱) 麝香(五分) 蟾酥 鸦片(各一钱)
又次下黄占五两上煎成,入井中浸三四日。每用膏七八钱,红绢摊贴脐上,或腰眼间,每
帖五六十日再换。
药煮松香法(三二七)凡用松香收膏药者,必用水多煮一二遍,去其涩燥之性,方
可贴疮不痛。若用贴症痞血
块,则当加药如后法煮过用之方妙。
大都松香(三斤) 用皮硝(一碗) 水红花(四两) 大黄 当归 生地(各二两)
三棱 蓬术(各一两)
上药七味,用水一桶、先熬汁,去滓净,用煮松香,徐徐添入,以汁完为度,收用之极
佳。一、收油之法,凡煮过松香一斤,入熬熟药油五两,即成膏矣。
这种毒疮多生于头面及四肢,患处色红或肿胀,疼痛游走不定。病情严重者,适宜使用前文提到的瓷锋砭法(用瓷器碎片刺破皮肤放血),使毒血随针刺而出,再外敷神功散,内服荆防败毒散,或者五福化毒丹。如果让毒气侵入腹部,则难以治愈。有的患者虽然痊愈但反复发作,都是因为母亲食用辛辣炙烤食物导致体内蕴热所致,应当在母亲的用药中加入漏芦煎服,或者让患儿自行服用也能痊愈。
小儿鹅口疮(第三百七条)
凡是小儿口腔内布满白色碎屑的,称为鹅口疮,此时婴儿无法吸吮乳汁。可用头发或软绢缠绕手指,蘸井水擦拭舌头使其洁净。如果白屑不能脱落,可将栗木汤浓煮后用棉絮包裹筷子头进行擦拭清洗,之后再用经过飞制处理的黄丹涂抹。
加味太乙膏(第三百零八条)
一切疮疡都适宜贴敷此膏。使用时先用隔蒜灸法处理,再内服活命饮以取得完全疗效。
配方:当归、生地黄、芍药、玄参、大黄(各二两),加甘草(四两)。
用法:用麻油二斤煎煮,加入黄丹收膏。
景岳会通膏(第三百零九条)
凡各种痈毒、痞块、风气引起的骨节疼痛,没有不治疗的。
配方:大黄、木鳖仁、当归、川芎、芍药、生地、麻黄、细辛、白芷、防风、荆芥、苍术、羌活、川乌、甘草、乌药、南星、半夏、香附、官桂、苍耳、骨碎补、草乌、艾叶、皂角、枳壳、三棱、蓬术、萝卜子、水红花子、巴豆、五倍子、独活、桃仁、苏木、红花、续断、连翘、栀子、苦参、槐花、皂刺、干姜、蓖麻子、透骨草(晒干)、穿山甲、全蝎、僵蚕、蜂房(各一两),蛇蜕(一大条),蜈蚣(十四条),虾蟆(三只),血余(一团),独蒜(四头)。
用法:以上五十四味药,用麻油五斤,浸泡三天,先煎煮血余、蓖麻、木鳖、桃仁、巴豆、虾蟆、独蒜,待其半枯焦后,再加入其余药物煎至黑色,滤去药渣,加入黄丹收膏,最后加入十味细药。
细药:阿魏(二两)、乳香(制)、没药(制,各一两)、木香、丁香、雄黄、朱砂、血竭、儿茶(各五钱)、麝香(不拘一二钱)。
注:麝香、丁香、木香这三味药宜在最后加入。以上收油方法,凡熬制成熟油一斤,加入飞净的好红丹八两;如果想要膏体稍嫩,则只加七两五钱。
神异膏(第三百一十条)
治疗痈疽疮毒以及收敛疮口非常有效,这是疮疡科中的第一方。
配方:麻油(二斤)、黄丹(十二两)、黄芪、杏仁、玄参(名一两,疑为“各一两”之误,依原文保留)、蛇蜕(半两)、男发(如鸡蛋大小一团)、蜂房(子多的为佳,一两)。
用法:先将黄芪、杏仁、玄参放入油中煎至将黑,然后加入蛇蜕、蜂房、乱发再煎至黑色,滤去药渣,慢慢加入黄丹,用慢火煎收。黄丹的数量不必拘泥,只要达到软硬适中即可。凡膏药用久了,必然变得老硬,煎制时预留少许嫩膏,如果变硬,调和进去即可。
清凉膏(第三一一条)
治疗一切疮疡溃烂后适宜使用。
配方:当归(二两)、白芷、白芨、木鳖子、黄柏、白蔹、乳香、白胶香(各五钱)、黄丹(五两净)、净麻油(十二两)。
用法:用油煎前六味药,用槐柳枝顺向搅拌,油熟后加入黄丹收膏,然后再加入乳香等两味药。
阿魏膏(第三一二条)
治疗一切痞块,同时内服胡连丸。
配方:羌活、独活、玄参、官桂、赤芍药、穿山甲、生地黄、两头尖、大黄、白芷、天麻、红花(各半两)、木鳖(十枚,去壳)、乱发(一团)、槐柳桃枝(各半两)。
用法:用麻油二斤四两,煎药至黑色,滤去药渣,加入头发再煎,头发化掉后仍滤去药渣,加入上好真正的黄丹煎收,软硬适中,加入后面的细药即成膏。
细药:阿魏、芒硝、苏合油、乳香、没药(各五钱)、麝香(三钱)。
用法:凡贴膏药,须先用朴硝在患处铺半指厚,用纸盖住,用热熨斗熨烫很久,如果硝消耗了再加熨,约两个时辰后才贴膏药。如果是肝积,加芦荟末一同熨烫。
朱砂膏(第三一三条)
治疗一切顽疮、破疮、杖疮、痈疽、发背破伤者,最为奇妙最佳。
配方:麻油(一斤)、飞母(疑为“飞丹”或特定原料,依原文保留)(六两)、水银(一两)、朱砂(佳者一两半,飞制)、好黄蜡(四两)。
用法:先下油熬数沸,打入鸡蛋二枚,敲开连壳投入,熬焦后捞去蛋壳,退火等待油定,下水银五钱,再加微火搅拌熬煮一顿饭工夫,随即加入黄丹逐渐收成膏状,随后加入黄蜡再搅拌,等大温时,加入极细好的朱砂一两五钱搅匀,装入瓷罐贮存。
神效当归膏(第三一四条)
治疗一切发背疮疡、汤火烫伤疼痛等症状,去除腐肉,生成新肉,效果如神。
凡清洗擦拭更换膏药时,必须预备好立即贴上,因为新肉怕风。如果使用白蜡更好。此药能生肌止痛,补血续筋,所以与新肉相适宜。
配方:当归、生地黄、黄蜡(各二两。若用白蜡应减半)、麻油(六两)。
用法:先将当归、地黄各一两放入油中煎黑,滤去药渣;又将这两味药各入一两煎至微焦,再次滤去药渣,然后加入蜡熔化,冷却后搅匀即成膏。涂于患处,用纸覆盖。如果有死肉,需用利刀剪去,则生肌更快。
攻坚败毒膏(第三一五条)
又名乾坤一气膏。专攻痞块、各种疮毒、痔漏。
配方:当归、熟地、生地、白芍药、赤芍药、南星、半夏、三棱、蓬术、木鳖、两头尖、穿山甲、巴豆仁、肉桂、五灵脂、桃仁、续断、玄参、玄胡索、蓖麻子仁、白芷、羌活、独活、大黄、红花、川乌、草乌、苏木、川芎、防风、杏仁(各一两)。
用法:用麻油四十两,浸泡诸药三天,用桑柴火煎成,加入黄丹收膏后,加入细药。
细药:乳香(制)、没药(制,各一两)、真阿魏(一两半)、麝香(三钱)。
注:在上述细药中加入芦荟、木香各一两,蟾酥三钱,即名为消痞大成膏。
消痞膏(第三一六条)
配方:三棱、蓬术、穿山甲、木鳖仁、杏仁、水红花子、萝卜子、透骨草(晒干)、大黄(各一两)、独头蒜(四个)。
用法:用香油一斤,将前十味药煎入油中成膏,以飞丹收膏,后加入细药。
细药:真阿魏、乳香、没药(各一两)、麝香(三钱)。
用法:先下乳香、没药、阿魏三味,后下麝香,搅匀待冷,倾入水中浸泡数日,用瓷瓶收贮,不要使其泄气。用时用白布或坚硬的白纸摊贴,八九日换一次。如果见大便排出脓血,不要以为奇怪,也有不去脓血而自愈的情况。如果治疗泻痢,可贴脐腹部。忌房事和生冷食物。凡贴治症积痞块,先用荞麦面和做成一圈,围住患处四周,在肿块上放皮硝二三两,盖上厚纸用熨斗熨烫,令热气内达,然后去掉硝,用膏药贴之。原方用白花菜同透骨草另煎膏二两,搅入膏内收用,但白花菜只在西北方间有,求取不易,所以我用独蒜、萝卜子代替,功效也不减。
琥珀膏(第三一七条)
治疗颈项瘰疬,以及腋下初结小核、逐渐加重呈连珠状,不消散不溃破,或者溃破后脓水不绝,经久不愈,或者形成漏证。
配方:琥珀、白芷、防风、当归、木鳖子、木通(各一两)、丁香、桂心、朱砂、木香、松香(各半两)、麻油(二斤)。
用法:先将琥珀等六味药研为末,其余药放入油中煎黑,滤去药渣,慢慢加入黄丹再煎,软硬适中,加入前面的药末成膏贴之。
贴痞琥珀膏(第三一八条)
贴治症积痞块。
配方:大黄、朴硝各一两为末,与大蒜同捣成膏贴之。
水红花膏(第三一九条)
贴治痞块。
用法:用水红花或其种子,每一碗药材加水三碗,用桑柴文武火熬成膏,根据痞块大小用纸摊贴,以无固定范围为准,仍将膏药用酒调服。忌荤腥油腻。不饮酒者,用白开水送下。
火龙膏(第三百二十条)
治疗风寒湿毒所侵袭,筋骨挛痛,以及湿痰流注,经络壅滞疼痛,不能行走,并治疗历节风、鹤膝风,效果如神。
配方:生姜(八两,取汁)、乳香(为末)、没药(为末,各五钱)、麝香(一钱)、真牛皮广胶(二两)。
用法:先将姜汁和胶熔化,才下乳香、没药调匀,待稍温时下麝香即成膏。摊贴患处,更内服五积散。如果是鹤膝风,须内服大防风汤。
赵府膏(第三二一条)
专贴疼痛肿毒。
配方:干虾蟆(三个)、全蝎、僵蚕(各一两)、蜈蚣(四条)、斑蝥(四十个)、商陆根(一两六钱)、花椒(一钱)、童子发(六分)、鸡内金(二个)、槐枝(三寸长者各四十根)。
细药:儿茶、乳香、没药、血竭、龙骨、黄占、白占(各五钱)、麝香(一钱)。
用法:用麻油二斤煎,飞丹收膏。
密陀膏(第三二二条)
此膏治疗浸淫湿疮、风漏等证神效。凡治疗疼痛,先用葱、姜擦拭患处,然后贴之。
用法:先用密陀僧一二斤打碎,用童便煮它,觉得其浊性去除而童便气味清亮才可以停止。用便煮过后则贴疮不痛。晾干,研极细如面粉备用。
用法:用桐油不拘几斤,熬至将黑为止,每熟油一斤,用陀僧六两收膏,在即将成膏时取起,离火候稍凉,根据膏多少,加入冷水数碗慢慢搅拌,恐怕其泛出,等稍定,即逼去其水,再上火熬化,再次入水数碗搅拌逼水如前,或者三次更佳,然后熬净水分,每油一斤,再入官粉二两熬收,颜色才黑。
注:凡熬此膏,铜锅必须大方可用。
八仙红玉膏(第三二三条)
治疗各种疮疡。
配方:龙骨、赤石脂、儿茶、血竭、没药、乳香(各一钱)、轻粉(五分或一钱)、冰片(二分)。
用法:用麻油二两,入当归五钱煎枯去滓,入龙、石、茶、蝎四味,再煎一二沸,次入乳、没略煎匀后,入黄占五钱溶化,冷定入轻、冰摊贴。
碧油膏(第三二四条)
止痛排脓,灸后适宜使用。
配方:桃枝、柳枝、桑枝、槐枝(各二两)、乳香(另研)、血竭(各五钱)、黄丹(四两,净)。
用法:用麻油十两煎,膏成后下乳香、血竭。
长肉膏(第三二五条)
配方:人参、黄芪、当归、夜合树皮、玄参(各一两)、血余(三两)、老鼠(一个)。
细药:血竭、龙骨、赤石脂、白腊(各五钱)。
用法:用麻油一斤煎,飞丹收膏。
保养元气膏(第三二六条)
此膏助元阳,补精髓,通血脉,镇玉池,养龟存精,百战百胜,待妇人经净之时,去膏而泄则可成孕,并治疗腰膝疼痛,五劳七伤,诸虚百损,半身不遂,膀胱疝气,带浊淫淋,阴痿不举,无不有效。
此是邵真人进献御用的方子。
配方:麻油一斤四两,入甘草二两,先熬六七滚,然后下诸药。
主药:生地黄、熟地黄(俱酒洗)、麦门冬、肉苁蓉(酒洗)、远志肉、蛇床子(酒浸)、菟丝子(酒浸)、牛膝(酒洗)、鹿茸、川续断、虎骨、紫梢花、木鳖仁、谷精草、大附子、肉桂(各五钱)。
用法:熬成后,以煮过松香四两,飞丹半斤收膏,次下细药。
次下细药:龙骨、倭硫黄、赤石脂(各二钱)。
又次下细药:乳香、沉香、丁香、木香(各一钱)。
又次下细药:阳起石(三钱)、麝香(五分)、蟾酥、鸦片(各一钱)。
又次下细药:黄占五两。上煎成,入井中浸三四日。每用膏七八钱,红绢摊贴脐上,或腰眼间,每帖五六十日再换。
药煮松香法(第三二七条)
凡用松香收膏药者,必用水多煮一二遍,去其涩燥之性,方可贴疮不痛。若用贴症痞血块,则当加药如后法煮过用之方妙。
配方:大都松香(三斤)、用皮硝(一碗)、水红花(四两)、大黄、当归、生地(各二两)、三棱、蓬术(各一两)。
用法:上药七味,用水一桶,先熬汁,去滓净,用煮松香,徐徐添入,以汁完为度,收用之极佳。一、收油之法,凡煮过松香一斤,入熬熟药油五两,即成膏矣。
This type of toxic sore often occurs on the head, face, and limbs. The affected area is red or swollen, with wandering pain. In severe cases, the porcelain blade bloodletting method (using shards of porcelain to prick the skin for bloodletting) mentioned earlier should be used to allow toxic blood to flow out upon pricking. Then apply Shengong San externally, and internally administer Jingfang Baidu San or Wufu Huadu Dan. If the toxic qi invades the abdomen, it becomes incurable. Some patients may recover but suffer recurrences; this is all due to the mother consuming spicy and roasted foods, leading to internal heat. Leolu (Radix Agrimoniae) should be added to the mother's medication for decoction and ingestion, or the infant can take it themselves to achieve recovery.
Pediatric Goose Mouth Sore (Article 307)
When a child's oral cavity is filled with white flakes, it is called "Goose Mouth Sore," and the infant cannot suckle milk. Wrap hair or soft silk around the finger, dip it in well water, and wipe the tongue clean until the flakes are removed. If the flakes do not detach, boil Lignum Juglandis (Chestnut Wood) decoction strongly, wrap cotton around the tip of a chopstick, and wipe/wash the area. Afterwards, apply Feizhi Huangdan (Calcined Minium) topically.
Jiawei Taiyi Gao (Article 308)
Suitable for application on all types of sores and ulcers. First apply Garlic-Separated Moxibustion, then internally ingest Huoming Yin to ensure complete recovery.
Ingredients: Danggui (Radix Angelicae Sinensis), Shengdihuang (Radix Rehmanniae Recens), Shaoyao (Radix Paeoniae Alba/Rubra), Xuanshen (Radix Scrophulariae), Dahuang (Radix et Rhizoma Rhei) (each 2 liang); add Gancao (Radix Glycyrrhizae) (4 liang).
Preparation: Decoct in 2 jin of Sesame Oil (Sesamum indicum Oleum), collect into an ointment using Minium (Huangdan).
Jingyue Huitong Gao (Article 309)
Treats various carbuncles, toxic swellings, phlegm nodules, wind-pathogen conditions, and bone/joint pain without exception.
Ingredients: Dahuang, Mugueren (Semen Bischofiae), Danggui, Chuanxiong (Rhizoma Chuanxiong), Shaoyao, Shengdi, Mahuang (Herba Ephedrae), Xixin (Herba Asari), Baizhi (Radix Angelicae Dahuricae), Fangfeng (Radix Saposhnikoviae), Jingjie (Herba Schizonepetae), Cangzhu (Rhizoma Atractylodis Chinensis), Qianghuo (Rhizoma Notopterygii), Chuanwu (Radix Aconiti Kusnezoffii), Gancao, Wuyao (Fructus Linderae), Nanxing (Rhizoma Arisaematis), Banxia (Rhizoma Pinelliae), Xiangfu (Rhizoma Cyperi), Guanzi (Cortex Cinnamomi), Can'er (Fructus Xanthii), Gusuibu (Rhizoma Drynariae), Caowu (Radix Aconiti), Aiye (Folium Artemisiae Argyi), Zaojiao (Fructus Gleditsiae), Zhike (Fructus Aurantii), Sanleng (Rhizoma Sparganii), Pengze (Rhizoma Curcumae), Luobozhongzi (Semen Raphani), Shuihonghuazi (Semen Alternantherae), Badou (Semen Crotonis), Wubeizi (Galla Chinensis), Duhuo (Radix Angelicae Pubescentis), Taoren (Semen Persicae), Sumu (Lignum Sappan), Honghua (Flos Carthami), Xuduan (Radix Dipsaci), Lianqiao (Fructus Forsythiae), Zhizi (Fructus Gardeniae), Kushen (Radix Sophorae Flavescentis), Huaihua (Flos Sophorae), Zaoci (Spina Gleditsiae), Jiangjiang (Rhizoma Zingiberis Recens), Bitongcao (Herba Centellae Asiaticae, dried), Chuanshanjia (Squama Manis), Quanxie (Scorpio), Jiangcan (Bombyx Batryticatus), Fengfang (Nidus Vespae) (each 1 liang); Shedui (Cuticle Ophiophagi, one large strip); Wugong (Scolopendra, 14 pieces); Hamax (Bufo bufo gargarizans, 3 specimens); Xueyu (Pilus humanus coctus, one ball); Dousuan (Allium sativum, 4 cloves).
Preparation: For the above 54 ingredients, soak in 5 jin of Sesame Oil for three days. First decoct Xueyu, Bitong, Mugueren, Taoren, Badou, Hamax, and Dousuan until half-charred. Then add the remaining herbs and decoct until black. Filter off the dregs, collect into an ointment using Minium, and finally add ten fine powder ingredients.
Fine Powders: Awei (Resina Ferulae, 2 liang); Xuxiang (Resina Frankincensi, processed), Moyao (Resina Myrrhae, processed) (each 1 liang); Muxiang (Radix Aucklandiae), Dingxiang (Flos Caryophylli), Xionghuang (Realgar), Zhusha (Cinnabaris), Xuejie (Sanguis Draconis), Ercha (Katechu) (each 5 qian); Shexiang (Moschus) (1-2 qian as needed).
Note: Shexiang, Dingxiang, and Muxiang should be added last. For collecting the oil: for every 1 jin of mature oil, add 8 liang of refined Red Minium; for a softer consistency, use only 7.5 liang.
Shenyi Gao (Article 310)
Highly effective for treating carbuncles, toxic sores, and promoting wound closure; considered the premier formula for sores and ulcers.
Ingredients: Sesame Oil (2 jin); Huangdan (Minium, 12 liang); Huangqi (Radix Astragali), Xingren (Semen Armeniacae), Xuanshen (Radix Scrophulariae) (1 liang); Shedui (0.5 liang); Nanfa (Human hair, size of a chicken egg); Fengfang (Vespa nest, those with many larvae are best, 1 liang).
Preparation: First decoct Huangqi, Xingren, and Xuanshen in oil until nearly black. Then add Shedui, Fengfang, and human hair, decocting until black. Filter off dregs, slowly add Minium, and simmer on low heat to collect the ointment. The amount of Minium need not be fixed; aim for a medium consistency. Old ointments become hard; reserve some fresh/soft ointment during preparation to blend in if the stored ointment hardens.
Qingliang Gao (Article 311)
Suitable for use after the ulceration of all types of sores.
Ingredients: Danggui (2 liang); Baizhi, Baiji (Rhizoma Bletillae), Muguzi (Semen Bischofiae), Huangbai (Cortex Phellodendri), Bailian (Radix Ampelopsis) (each 5 qian); Xuxiang, Baijiaoxiang (Resina Elemi) (each 5 qian); Huangdan (Refined Minium, 5 liang); Pure Sesame Oil (12 liang).
Preparation: Decoct the first six ingredients in oil, stirring clockwise with locust or willow branches until the oil is cooked. Add Minium to collect the ointment, then add Xuxiang and the other two ingredients.
Awei Gao (Article 312)
Treats all phlegm nodules; also ingest Hulu Wan.
Ingredients: Qianghuo, Duhuo, Xuanshen, Guanzi, Chi Shaoyao (Radix Paeoniae Rubra), Chuanshanjia, Shengdihuang, Liangtoujian (Rhizoma Typhonii), Dahuang, Baizhi, Tianma (Rhizoma Gastrodiae), Honghua (each 0.5 liang); Mugie (10 seeds, shelled); Human hair (one ball); Huailiutao zhi (Locust, Willow, Peach branches) (each 0.5 liang).
Preparation: Decoct in 2 jin 4 liang of Sesame Oil until black, filter dregs, add human hair and decoct again until dissolved. Filter dregs, add high-quality Minium to collect the ointment to a medium consistency, then add the following fine powders.
Fine Powders: Awei, Mangxiao (Natrii Sulfas), Suheyou (Styrax Liquid), Xuxiang, Moyao (each 5 qian); Shexiang (3 qian).
Application: Before applying the ointment, spread Puxiao (Natrii Sulfas) half-finger thick on the affected area, cover with paper, and apply hot ironing for a long time. If the salt depletes, continue ironing. After about two hours, apply the ointment. For liver accumulations, add Lvlu (Resina Aloe) powder and iron together.
Zhusha Gao (Article 313)
Best for treating stubborn sores, broken sores, beating injuries, carbuncles, and back abscesses that have ruptured.
Ingredients: Sesame Oil (1 jin); Feimu (likely referring to a specific mineral or processed ingredient, kept as per text) (6 liang); Shuiyin (Hydrargyrum, 1 liang); Zhusha (Cinnabaris, best quality 1.5 liang, refined); Good Huangla (Beeswax, 4 liang).
Preparation: Boil the oil briefly. Crack two eggs into the oil with shells, fry until charred, remove shells, and let the fire subside until the oil settles. Add 5 qian of Hydrargyrum, apply slight heat, and stir/fry for the duration of a meal. Gradually add Minium to form the ointment. Then add Huangla and stir. When slightly warm, add 1.5 liang of very fine Zhusha, mix well, and store in a porcelain jar.
Shenxiao Danggui Gao (Article 314)
Treats back abscesses, sores, burns, and scalds; removes necrotic tissue and generates new flesh with miraculous effect.
When cleaning and changing the dressing, prepare to apply the ointment immediately because new flesh fears wind. Using Bai La (White Beeswax) is particularly good. This medicine generates flesh, stops pain, nourishes blood, and reconnects tendons, making it suitable for new flesh.
Ingredients: Danggui, Shengdihuang, Huangla (Beeswax) (each 2 liang; if using Bai La, reduce by half); Sesame Oil (6 liang).
Preparation: First, decoct 1 liang each of Danggui and Dihuang in oil until black, filter dregs. Then add another 1 liang each and decoct until slightly scorched, filter dregs again. Finally, add wax to melt, cool, and mix well. Apply to the affected area and cover with paper. If dead flesh exists, cut it off with a sharp knife to accelerate flesh generation.
Gongjian Baidu Gao (Article 315)
Also known as Qiankun Yiqi Gao. Specifically targets phlegm nodules, various toxic sores, and hemorrhoidal fistulas.
Ingredients: Danggui, Shudi (Radix Rehmanniae Praeparata), Shengdi, Baishaoyao, Chi Shaoyao, Nanxing, Banxia, Sanleng, Pengze, Mugie, Liangtoujian, Chuanshanjia, Badou Ren (Semen Crotonis), Rougui (Cortex Cinnamomi), Wulingzhi (Faeces Trogopterori), Taoren, Xuduan, Xuanshen, Yanhusuo (Rhizoma Corydalis), Bitongzi Ren (Semen Ricini), Baizhi, Qianghuo, Duhuo, Dahuang, Honghua, Chuanwu, Caowu, Sumu, Chuanxiong, Fangfeng, Xingren (each 1 liang).
Preparation: Soak herbs in 40 liang of Sesame Oil for three days. Decoct over mulberry wood fire, collect with Minium, then add fine powders.
Fine Powders: Xuxiang (processed), Moyao (processed) (each 1 liang); True Awei (1.5 liang); Shexiang (3 qian).
Note: Adding Lvlu and Muxiang (1 liang each) and Chan Su (Toad Venom, 3 qian) to the above fine powders creates Xiaopi Dacheng Gao.
Xiaopi Gao (Article 316)
Ingredients: Sanleng, Pengze, Chuanshanjia, Mugueren, Xingren, Shuihonghuazi, Luobozhongzi, Bitongcao (dried), Dahuang (each 1 liang); Dutousuan (Single-clove garlic, 4 bulbs).
Preparation: Decoct the ten ingredients in 1 jin of Sesame Oil, collect with refined Minium, then add fine powders.
Fine Powders: True Awei, Xuxiang, Moyao (each 1 liang); Shexiang (3 qian).
Preparation: Add Xuxiang, Moyao, and Awei first, then Shexiang. Mix well, cool, immerse in water for several days, and store in a porcelain bottle to prevent gas escape. Apply using white cloth or stiff white paper; change every 8-9 days. Passing pus/blood in stool is normal; some heal without it. For dysentery, apply to the navel/abdomen. Avoid sexual activity and raw/cold foods. For phlegm nodules, make a ring of buckwheat flour paste around the lesion, place 2-3 liang of Puxiao on the lump, cover with thick paper, and iron to drive heat inward. Remove salt, then apply ointment. Original formula uses Baihuacai (Flowers of Cevallia sinensis) with Bitongcao; since it is rare, I substitute Dutousuan and Luobozhongzi with equal efficacy.
Hupo Gao (Article 317)
Treats cervical scrofula (Luoli), small nodules initially forming in the armpit that progress to pearl-like chains, neither resolving nor suppurating, or suppurating with continuous discharge, chronic non-healing, or fistula formation.
Ingredients: Hupo (Electrum), Baizhi, Fangfeng, Danggui, Muguzi, Mutong (Caulis Akebiae) (each 1 liang); Dingxiang, Guixin (Cortex Cinnamomi), Zhusha, Muxiang, Songxiang (Pine Resin) (each 0.5 liang); Sesame Oil (2 jin).
Preparation: Powder the first six ingredients. Decoct the remaining herbs in oil until black, filter dregs, slowly add Minium and decoct to medium consistency. Add the pre-powdered ingredients to form the ointment for application.
Tiepi Hupo Gao (Article 318)
For applying to phlegm nodules and masses.
Ingredients: Dahuang, Puxiao (each 1 liang), powdered. Pound with garlic into a paste for application.
Shuihonghua Gao (Article 319)
For applying to phlegm nodules.
Preparation: Use Shuihonghua plant or seeds. For every 1 bowl of material, add 3 bowls of water. Decoct over mulberry wood fire (medium to low) until it forms a paste. Spread on paper according to the size of the nodule. Also take the paste mixed with wine. Avoid meat, fish, and greasy food. Non-drinkers should take with plain water.
Huolong Gao (Article 320)
Treats invasion by wind-cold-damp toxins causing muscle/tendon spasms and pain, wet-phlegm flowing into collaterals causing obstruction and pain preventing walking, as well as Polyarthropathy (Lijie Feng) and Elephant Foot (Hexi Feng). Effect is miraculous.
Ingredients: Shengjiang (Fresh Ginger, 8 liang, juice extracted); Xuxiang (powdered), Moyao (powder) (each 5 qian); Shexiang (1 qian); Zhen Niupi Guangjiao (True Cowhide Gelatin, 2 liang).
Preparation: Melt ginger juice and gelatin first. Add Xuxiang and Moyao, mix well. When slightly warm, add Shexiang to form the ointment. Apply to the affected area. Internally administer Wuji San. For Hexi Feng, internally administer Dafangfeng Tang.
Zhao Fu Gao (Article 321)
Specifically for applying to painful swelling and toxicity.
Ingredients: Gan Hamax (Dried Toad, 3 specimens); Quanxie, Jiangcan (each 1 liang); Wugong (4 pieces); Banmao (Mylabris, 40 pieces); Shanglushen (Radix Phytolaccae, 1.6 liang); Huajiao (Pericarpium Zanthoxyli, 1 qian); Tongzi Fa (Boy's hair, 6 fen); Jineijin (Endothelium Corneum Gigeriae Galli, 2 pieces); Huaizhi (Willow branches, 3 cun long, 40 sticks).
Fine Powders: Ercha, Xuxiang, Moyao, Xuejie, Longgu (Os Costae et Fascia), Huangzhan (Yellow Resin), Baizhan (White Resin) (each 5 qian); Shexiang (1 qian).
Preparation: Decoct in 2 jin of Sesame Oil, collect with refined Minium.
Mituo Gao (Article 322)
Miraculous for treating impetigo, damp sores, wind fistulas, etc. For pain, rub the affected area with Cong (Scallion) and Shengjiang (Ginger) before applying.
Preparation: Crush 1-2 jin of Mituoseng (Litharge) and boil in Tongbian (Child's Urine) until the turbid nature is gone and the urine smells clear. Boiling in urine prevents pain upon application. Dry and grind to a fine powder like flour.
Preparation: Decoct Tongyou (Tung Oil) until nearly black. For every 1 jin of mature oil, use 6 liang of Mituoseng to collect the ointment. Just before completion, remove from heat, let cool slightly, add several bowls of cold water, and stir slowly to prevent splashing. Once settled, drain the water, reheat to melt, add water again, stir/drain as before (three times is better). Finally, boil off all water. For every 1 jin of oil, add 2 liang of Guanfen (Lead Carbonate) to collect. The color will turn black. Note: Use a large copper pot.
Baxian Hongyu Gao (Article 323)
Treats various sores.
Ingredients: Longgu, Chishizhi, Ercha, Xuejie, Moyao, Xuxiang (each 1 qian); Qingfen (Calomelas, 5 fen or 1 qian); Bingpian (Borneolum Syntheticum, 2 fen).
Preparation: Heat 2 liang of Sesame Oil, add 5 qian of Danggui, fry until withered, filter dregs. Add Longgu, Chishizhi, Ercha, and Jiangcan, boil 1-2 times. Add Xuxiang and Moyao, stir briefly. Add 5 qian of Huangzhan to melt. Cool, add Qingfen and Bingpian, spread for application.
Biyou Gao (Article 324)
Stops pain and drains pus; suitable for use after moxibustion.
Ingredients: Tao zhi, Liu zhi, Sang zhi, Huai zhi (each 2 liang); Xuxiang (separately ground), Xuejie (each 5 qian); Huangdan (Refined Minium, 4 liang).
Preparation: Decoct in 10 liang of Sesame Oil. After the ointment forms, add Xuxiang and Xuejie.
Zhangrou Gao (Article 325)
Ingredients: Renshen (Radix Ginseng), Huangqi (Radix Astragali), Danggui, Yehe Shupipi (Cortex Albiziae Julibrissinis), Xuanshen (each 1 liang); Xueyu (3 liang); Laoshu (Mouse, 1 specimen).
Fine Powders: Xuejie, Longgu, Chishizhi, Baila (White Beeswax) (each 5 qian).
Preparation: Decoct in 1 jin of Sesame Oil, collect with refined Minium.
Baoyang Yuanyuan Gao (Article 326)
This ointment supports Yuan Yang, tonifies essence and marrow, unblocks collaterals, calms the Jade Pool, nourishes the turtle (kidney essence), ensures victory in battle. Applied when a woman's menstruation has ceased, allowing conception. Also treats lower back/knee pain, five exhaustion and seven injuries, various deficiencies and damages, hemiplegia, bladder hernia, leukorrhea/dysuria, erectile dysfunction. All are effective.
This is a formula presented by Daoist Master Shao to the Emperor.
Preparation: 1 jin 4 liang Sesame Oil, add 2 liang Gancao, boil 6-7 times, then add herbs.
Main Herbs: Shengdihuang, Shudihuang (both wine-washed), Maimendong (Radix Ophiopogonis), Rongshen (Cynomorium), Yuanzhi (Radix Polygalae), Chuangzi (Fructus Cnidii) (wine-soaked), Tusizi (Semen Cuscutae) (wine-soaked), Niuxi (Radix Achyranthis Bidentatae) (wine-washed), Lurong (Cornu Cervi Pantotrichum), Chuanxuduan, Hubone (Os Tigris), Zishaohua, Mugueren, Gujingcao (Flos Eyebright), Dafuzi (Radix Aconiti Lateralis Preparata), Rougui (each 5 qian).
Preparation: After decoction, add 4 liang of boiled Songxiang (Pine Resin) and 0.5 jin of refined Minium to collect. Then add fine powders.
Next add: Longgu, Wowuhuang (Native Sulfur), Chishizhi (each 2 qian).
Next add: Xuxiang, Chenxiang (Radix Aquilariae), Dingxiang, Muxiang (each 1 qian).
Next add: Yangqishi (Lapis Yangqi), Shexiang (5 fen), Chan Su, Yapien (Opium) (each 1 qian).
Next add: Huangzhan (5 liang). Finish decoction, immerse in a well for 3-4 days. Use 7-8 qian per application, spread on red silk, apply to navel or kidney area. Change every 50-60 days.
Medicated Pine Resin Boiling Method (Article 327)
When using Pine Resin (Songxiang) to collect ointments, boil it in water 1-2 times to remove its astringent and dry properties, so it does not cause pain when applied to sores. If used for phlegm nodules and blood stasis, add the following herbs and boil before use for best results.
Ingredients: Dada Songxiang (3 jin); Pixiao (1 bowl); Shuihonghua (4 liang); Dahuang, Danggui, Shengdi (each 2 liang); Sanleng, Pengze (each 1 liang).
Preparation: For these seven ingredients, use one bucket of water, boil down to extract juice, filter clean. Use this juice to boil the Songxiang, adding gradually until the juice is consumed. Collect for excellent results. One: Oil collection method: For every 1 jin of boiled Songxiang, add 5 liang of decocted medicinal oil to form the ointment.