而反伤元气○单腹胀属脾虚肝旺腹现青筋为木克土难治膏糁肉桂末贴心口脐上亦以浓朴为君
加党参白术当归酒芍半夏陈皮神曲官桂香附花椒黄连吴萸木瓜腹皮肉苁蓉苏子莱菔子车前子
泽泻青矾红枣之属炒熨参以健脾膏或竟用健脾膏兼用散阴膏此膏不必用○东垣有通治胀满浓
朴半夏汤亦可酌用文中亦有方○此症难治与噎膈同初起未见真脏脉者用此膏即不加药亦能开
关亦能消胀特终久难免复发耳)泄泻。(多属脾湿症见文中○膏贴胸口脐上再用苍术浓朴陈皮
泽泻车前子木通飞滑石之类炒熨或用白术五钱车前子八钱炒熨泻不止用黄丹枯矾丁香糁膏贴
艾一斤坐在身下)痢疾。(症详文中○初起膏糁川连吴萸木香砂仁末贴脐上三日后者糁花椒麝
香贴通用苍术香附灵脂延胡黑丑当归赤芍山楂神曲黄连黄芩吴萸杏仁青皮枳壳槟榔羌活川乌
皂角车前子炮甲各一钱大黄二钱为粗末加姜葱莱菔子五钱炒热分两包轮熨并缚脐冷则换气通
自愈○噤口痢用九节菖蒲煎水抹胸口再贴膏并烧醋炭热毒重者用田螺麝香敷脐○治痢法腹痛
宜和芍药陈皮后重宜下木香槟榔身重除湿猪苓泽泻脓血稠粘者以大黄芒硝竭之身冷自汗者以
附子干姜温之○又治痢之药色黑大黄色紫地榆色红黄芩色淡生姜色白官桂色黄山楂利气枳壳
破血桃仁里急当归身尾痛甚木香栀子 溏官桂木香通中有涩乌梅血痢金银藤梧桐叶荷叶马苋
槐花柏叶地榆)疟疾。(症详文中○膏贴心口背心先用生姜擦后贴或加葱白煎抹或用羌活防风
柴胡黄芩青皮川芎白芷细辛半夏知母贝母苍术浓朴灵仙枳实槟榔炮甲白芍桂枝各用一钱为粗
末以一半加姜葱煎汤抹胸背取汗一半炒热缚脐六经皆可用数发后无痰食积滞者可用散阴膏截
之○治疟之法入门云大阳桂枝阳明白虎少阳小柴胡意甚明显挟痰合二陈挟食合平胃尿涩合五
苓便秘合大柴胡无汗干葛苍术有汗黄芩白术汗多乌梅又气滞青皮香附食积神曲麦芽山楂枳实
积甚玉棱莪术瘀血桃仁红花夜发川芎当归日久常山首乌灵仙槟榔疟母鳖甲山棱莪术去癖须用
大戟芫花破水之类或糁或煎抹或炒熨又寒疟用川乌白芷紫苏青皮草果良姜白芥子白胡椒官桂
吴萸灵仙甚加附子热疟用柴胡黄芩半夏知母石膏蚓泥新汲水之类夏月可用西瓜镇心)心胃气
痛。(有寒热痰饮食积血瘀气滞之分○膏贴痛处热痛用柴胡黄芩栝蒌花粉白芍枳壳黄连栀子
橘红木通生甘草食盐煎抹冷痛用紫苏香附灵脂延胡姜黄蒲黄蓬术当归良姜草果官桂胡椒益智
仁吴萸陈皮半夏没药浓朴苍术乌药川芎炒熨不论气血痰食皆可用亦可撮三五味而用积冷心腹
痛仿和剂抽刀散法良姜一两斑蝥三个同炒黑去斑蝥用姜糁贴心痛彻背背痛彻心金匮有乌附方
冷热不调者用和胃饮萸连桂芍橘皮香附当归炙草干姜之类)肝气胁肋痛。(胁腋属肝胆肝邪流
于两胁为诸般胁痛亦有风寒气滞血瘀食积痰饮冷热之别膏贴痛处如冷痛即用上胃气中药炒熨
古人胃病治肝故可通用热痛者用柴胡抑肝汤柴胡青皮赤芍丹皮地骨皮香附栀子苍术川芎神曲
连翘生地甘草煎抹或食加平胃痰加二陈肝胃不和者用上平肝顺气方亦可并参用清肝膏若虚肝
用滋阴膏糁木香青皮官桂或糁吴萸黄连末贴房劳伤肾者宜芎归故纸等)腹痛。(中气不行也亦
有寒热痰饮瘀血食滞虫等之别○膏贴脐上看症用上药例中药或糁或煎抹炒熨○虫痛用川椒乌
梅各一两炒熨并缚脐当下虫重则加雄黄明矾三棱槟榔)腰痛。(有七症详见文中大约肾虚是本
风寒湿热痰饮气滞血瘀闪挫是标○膏糁白术官桂末贴痛处再用羌活防风杜仲故纸牛膝续断木
瓜萆 香附当归延胡红花半夏陈皮黑豆之类炒熨参用文中摩腰方风寒湿跌打损伤均宜散阴膏
阴虚宜滋阴膏加桂)小肠气痛。(不全属寒者膏贴脐下用川楝子小茴乌头栀子盐炒熨偏于寒者
用散阴膏)○妇人痛经。(膏贴膺上或用散阴膏中疟疾末子糁膏贴脐上再用当归延胡红花胡椒
蚕砂醋炒熨)妇人乳核(由气血凝滞成核不红肿者用姜葱汤洗后膏内糁广木香贴或再用青皮白
芍当归川芎香附半夏南星滴乳香丁香生姜炒熨如红肿热痛者用情阳膏加乌龙锭敷)妇人产后
儿枕痛。(膏贴痛处或用起枕散延胡当归官桂末糁膏贴或再用此三味加川芎蒲黄灵脂吴萸红
花
乳香没药等醋炒熨并缚之凡瘀血为病皆可用此消散血得热则行也)○小儿风寒积滞皆可用。
○外症如胁痈等未破者亦可用。○此膏力量亦大。非重症不可轻用大张。亦不可轻加重药。
局中常用大半单膏。膏 不过二三分。小儿减半。若有加药。必审症明白再加。且由渐而增
。不骤加也。○诸膏须分别用。然亦可合并用此。非明于医理者。不能用膏药。亦必读书以
此。
苍术(五两) 上白术(四两) 羌活 川乌 姜黄 生半夏(姜制) 乌药 川芎 青皮
生大黄(各三两) 生香附 炒香附 生灵脂 炒灵脂 生延胡 炒延胡 枳实 黄连 姜
制浓朴 当归 灵仙 黑丑头(半生半炒) 巴仁(各二两) 枯黄芩 黄柏 生蒲黄 黑山栀
川郁金 莪术 三棱 槟榔 陈皮 山楂 麦芽 神曲 南星 白丑头 苦葶苈 苏梗
藿梗 南薄荷 草乌 独活 柴胡 前胡 细辛 白芷 荆芥穗 防风 连翘 干葛 苦桔
梗知母 大贝母 甘遂 大戟 芫花 防己 栝蒌仁 腹皮 天花粉 赤芍 白芍 枳壳
茵陈 川楝子 木通 泽泻 车前子 猪苓 宣木瓜 皂角 苦杏仁 桃仁 苏子 益智
仁良姜 草果 吴萸 红花 木鳖仁 蓖麻仁 僵蚕 全蝎 蜈蚣 蝉蜕 生山甲 生甘
草(各一两) 发团(二两) 飞滑石(四两) 生姜 葱白 韭白 薤白 大蒜头 红凤仙 白
凤仙(全) 槐枝 柳枝 桑枝(各一斤凤仙干者或用四两)
榆枝 桃枝(各八两俱连叶) 石菖蒲
佛手干 小茴 艾(各一两)○两共享油四十斤分熬丹收○再入净松香 生石膏(各四两) 陈
壁土 明矾(各二两) 雄黄 轻粉 砂仁 白芥子 川椒 广木香 檀香 官桂 制乳香
制没药(各一两) 牛胶(四两酒蒸化如前下法)○或加苏合油临用加沉麝○旧合平痧膏治霍乱
者即此膏减味。阴痧救急膏治麻脚痧者即扶阳膏减味。故皆不存。
反而损伤元气。单腹胀属于脾虚肝旺,腹部出现青筋,这是木克土的表现,难以治疗。膏药敷贴肉桂末于心口、脐上,也以浓朴为君药,加入党参、白术、当归、酒芍、半夏、陈皮、神曲、官桂、香附、花椒、黄连、吴茱萸、木瓜、腹皮、肉苁蓉、苏子、莱菔子、车前子、泽泻、青矾、红枣等药材。炒熨时用人参以健脾,或者干脆使用健脾膏,兼用散阴膏。此膏不必使用。
李东垣有通治胀满的浓朴半夏汤,也可以酌情使用,文中也有相关方剂。此症难治,与噎膈相同。初起未见真脏脉者,使用此膏即不加药也能开通关窍,也能消除胀满,但终究难免复发。
泄泻。(多属脾湿证,症状详见文中。)膏药贴胸口、脐上,再用苍术、浓朴、陈皮、泽泻、车前子、木通、飞滑石之类炒熨;或者用白术五钱、车前子八钱炒熨。若泻不止,用黄丹、枯矾、丁香研粉敷贴膏药,下面坐艾一斤熏蒸。
痢疾。(症状详见文中。)初起膏药敷贴川连、吴茱萸、木香、砂仁末于脐上,三日后再敷贴花椒、麝香。通用方:苍术、香附、灵脂、延胡索、黑丑、当归、赤芍、山楂、神曲、黄连、黄芩、吴茱萸、杏仁、青皮、枳壳、槟榔、羌活、川乌、皂角、车前子、炮甲各一钱,大黄二钱,研为粗末,加姜、葱、莱菔子五钱,炒热分两包轮流熨烫并缚于脐部,冷则更换气机通畅自愈。噤口痢用九节菖蒲煎水涂抹胸口,再贴膏药,并烧醋炭。热毒重者用田螺、麝香敷脐。治疗痢疾的方法:腹痛宜和芍药、陈皮;后重宜下木香、槟榔;身重除湿用猪苓、泽泻;脓血稠粘者用大黄、芒硝攻逐;身冷自汗者用附子、干姜温补。又治痢之药:色黑如大黄,色紫如地榆,色红如黄芩(注:此处原文可能有误,通常黄芩色黄,地榆色红或紫,大黄色黄褐,依原文直译),色淡如生姜,色白如官桂(注:原文如此,官桂通常色棕褐,可能指某种特定状态或笔误,依原文),色黄如山楂。利气用枳壳,破血用桃仁,里急用当归,身尾痛甚用木香、栀子。溏泄用官桂、木香,通中有涩用乌梅。血痢用金银藤、梧桐叶、荷叶、马齿苋、槐花、柏叶、地榆。
疟疾。(症状详见文中。)膏药贴心口、背心,先用生姜擦拭后贴,或加葱白煎水涂抹,或用羌活、防风、柴胡、黄芩、青皮、川芎、白芷、细辛、半夏、知母、贝母、苍术、浓朴、灵仙、枳实、槟榔、炮甲、白芍、桂枝各用一钱,研为粗末。取一半加姜、葱煎汤抹胸背取汗,一半炒热缚脐。六经皆可用,数发后无痰食积滞者可用散阴膏截断发作。治疗疟疾的方法,《入门》云:太阳病用桂枝汤,阳明病用白虎汤,少阳病用小柴胡汤,意思非常明显。挟痰合二陈汤,挟食合平胃散,尿涩合五苓散,便秘合大柴胡汤,无汗用干葛、苍术,有汗用黄芩、白术,汗多用乌梅。又有气滞用青皮、香附,食积用神曲、麦芽、山楂、枳实,积甚用玉棱、莪术,瘀血用桃仁、红花,夜发用川芎、当归,日久用常山、首乌、灵仙、槟榔,疟母用鳖甲、山棱、莪术去癖须用大戟、芫花破水之类。或敷粉、或煎抹、或炒熨。寒疟用川乌、白芷、紫苏、青皮、草果、良姜、白芥子、白胡椒、官桂、吴茱萸、灵仙,甚则加附子。热疟用柴胡、黄芩、半夏、知母、石膏、蚯蚓泥、新汲水之类,夏月可用西瓜镇心。
心胃气痛。(有寒、热、痰、饮食积、血瘀、气滞之分。)膏药贴痛处。热痛用柴胡、黄芩、栝蒌、花粉、白芍、枳壳、黄连、栀子、橘红、木通、生甘草、食盐煎水涂抹。冷痛用紫苏、香附、灵脂、延胡索、姜黄、蒲黄、蓬术、当归、良姜、草果、官桂、胡椒、益智仁、吴茱萸、陈皮、半夏、没药、浓朴、苍术、乌药、川芎炒熨。不论气血痰食皆可用,也可撮三五味而用。积冷心腹痛仿《和剂局方》抽刀散法:良姜一两、斑蝥三个同炒黑,去斑蝥,用姜汁调敷贴心痛彻背、背痛彻心,《金匮要略》有乌附方。冷热不调者用和胃饮:萸连、桂芍、橘皮、香附、当归、炙甘草、干姜之类。
肝气胁肋痛。(胁腋属肝胆,肝邪流于两胁为诸般胁痛,亦有风寒、气滞、血瘀、食积、痰饮、冷热之别。)膏药贴痛处。如冷痛即用上胃气中药炒熨,古人胃病治肝故可通用。热痛者用柴胡抑肝汤:柴胡、青皮、赤芍、丹皮、地骨皮、香附、栀子、苍术、川芎、神曲、连翘、生地、甘草煎水涂抹。或食积加平胃散,痰加二陈汤。肝胃不和者用上平肝顺气方亦可并参用清肝膏。若虚肝用滋阴膏,敷贴木香、青皮、官桂,或敷贴吴茱萸、黄连末。房劳伤肾者宜用川芎、当归、故纸等。
腹痛。(中气不行也,亦有寒、热、痰、饮、瘀血、食滞、虫等之别。)膏药贴脐上,看症状用上药例,中药或敷粉、或煎抹、炒熨。虫痛用川椒、乌梅各一两炒熨并缚脐,当下虫,重则加雄黄、明矾、三棱、槟榔。
腰痛。(有七症详见文中,大约肾虚是本,风寒湿热、痰饮、气滞、血瘀、闪挫是标。)膏药敷贴白术、官桂末于痛处,再用羌活、防风、杜仲、故纸、牛膝、续断、木瓜、萆薢、香附、当归、延胡索、红花、半夏、陈皮、黑豆之类炒熨。参考文中摩腰方。风寒湿跌打损伤均宜用散阴膏,阴虚宜用滋阴膏加桂。
小肠气痛。(不全属寒者,膏药贴脐下,用川楝子、小茴、乌头、栀子盐炒熨。偏于寒者用散阴膏。)
妇人痛经。(膏药贴膺上,或用散阴膏,中疟疾末子敷贴膏药于脐上,再用当归、延胡索、红花、胡椒、蚕砂醋炒熨。)
妇人乳核。(由气血凝滞成核,不红肿者用姜葱汤洗后膏内敷贴广木香,或再用青皮、白芍、当归、川芎、香附、半夏、南星、滴乳香、丁香、生姜炒熨。如红肿热痛者用情阳膏加乌龙锭敷。)
妇人产后儿枕痛。(膏药贴痛处,或用起枕散,延胡索、当归、官桂末敷贴膏药,或再用此三味加川芎、蒲黄、灵脂、吴茱萸、红花、乳香、没药等醋炒熨并缚之。凡瘀血为病皆可用此消散,血得热则行也。)
小儿风寒积滞皆可用。外症如胁痈等未破者亦可用。此膏力量亦大,非重症不可轻用大张,亦不可轻加重药。局中常用大半单膏,膏不过二三分。小儿减半。若有加药,必审症明白再加,且由渐而增,不骤加也。诸膏须分别用,然亦可合并用此,非明于医理者,不能用膏药,亦必读书以此。
苍术(五两)、上白术(四两)、羌活、川乌、姜黄、生半夏(姜制)、乌药、川芎、青皮、生大黄(各三两)、生香附、炒香附、生灵脂、炒灵脂、生延胡索、炒延胡索、枳实、黄连、姜制浓朴、当归、灵仙、黑丑头(半生半炒)、巴豆仁(各二两)、枯黄芩、黄柏、生蒲黄、黑山栀、川郁金、莪术、三棱、槟榔、陈皮、山楂、麦芽、神曲、南星、白丑头、苦葶苈、苏梗、藿梗、南薄荷、草乌、独活、柴胡、前胡、细辛、白芷、荆芥穗、防风、连翘、干葛、苦桔梗、知母、大贝母、甘遂、大戟、芫花、防己、栝蒌仁、腹皮、天花粉、赤芍、白芍、枳壳、茵陈、川楝子、木通、泽泻、车前子、猪苓、宣木瓜、皂角、苦杏仁、桃仁、苏子、益智仁、良姜、草果、吴茱萸、红花、木鳖仁、蓖麻仁、僵蚕、全蝎、蜈蚣、蝉蜕、生山甲、生甘草(各一两)、发团(二两)、飞滑石(四两)、生姜、葱白、韭白、薤白、大蒜头、红凤仙、白凤仙(全)、槐枝、柳枝、桑枝(各一斤,凤仙干者或用四两)、榆枝、桃枝(各八两俱连叶)、石菖蒲、佛手干、小茴、艾(各一两)。两共享油四十斤分熬丹收。再入净松香、生石膏(各四两)、陈壁土、明矾(各二两)、雄黄、轻粉、砂仁、白芥子、川椒、广木香、檀香、官桂、制乳香、制没药(各一两)、牛胶(四两酒蒸化如前下法)。或加苏合油,临用加沉麝。旧合平痧膏治霍乱者即此膏减味。阴痧救急膏治麻脚痧者即扶阳膏减味。故皆不存。
Furthermore, it may damage the Yuan Qi (Original Qi). Monostrophic abdominal distension belongs to Spleen deficiency and Liver hyperactivity; the appearance of green veins on the abdomen indicates Wood overcoming Earth, which is difficult to treat. Apply a plaster with Cinnamon Twig powder (Guizhi) to the chest and umbilicus, using Magnolia Bark (Houpo) as the sovereign herb, and add Codonopsis Radix (Dangshen), Atractylodis Rhizoma (Baizhu), Angelicae Sinensis Radix (Danggui), Wine-processed White Peony Root (Jiushaoyao), Pinellia Tuber (Banxia), Tangerine Peel (Chenpi), Medicated Leaven (Shenqu), Cinnamon Twig (Guigui), Cyperi Rhizoma (Xiangfu), Zanthoxylum Pericarpium (Huajiao), Coptis Rhizome (Huanglian), Evodia Fruit (Wuyu), Quince (Mugua), Betel Nut Pericarp (Fupi), Cistanche Stem (Roucongrong), Perilla Fruit (Suzi), Radish Seed (Laifuzi), Plantago Seed (Cheqianzi), Alumen (Zexie), Green Vitriol (Qingfan), and Red Dates (Hongzao). For hot compresses, use Ginseng Radix (Renshen) to strengthen the Spleen, or simply use Piwei Tang (Spleen-Strengthening Decoction) combined with San Yin Gao (Scatter-Yin Plaster). This plaster need not be used.
Li Dongyuan has a general formula for abdominal distension, Houpo Banxia Tang (Magnolia and Pinellia Decoction), which can also be used酌情ly; there are also formulas in the text. This condition is difficult to treat, similar to Yige (Dysphagia). If the True Zang Pulse is not seen at the onset, using this plaster can open the orifices and reduce distension even without added herbs, but recurrence is inevitable in the long run.
Diarrhea. (Mostly belongs to Spleen dampness; symptoms detailed in the text.) Apply plaster to the chest and umbilicus, then use hot compresses with Atractylodis Rhizoma (Cangzhu), Magnolia Bark (Houpo), Tangerine Peel (Chenpi), Plantago Seed (Zexie), Plantago Seed (Cheqianzi), Akebia Caulis (Mutong), and Calcined Talcum (Feihuashi); or use Atractylodis Rhizoma (Baizhu) 5 qian and Plantago Seed (Cheqianzi) 8 qian for hot compresses. If diarrhea persists, apply a plaster dusted with Lead Oxide (Huandan), Alum (Kufan), and Clove (Dingxiang), and sit over 1 jin of Mugwort (Aiye) fumigation.
Dysentery. (Symptoms detailed in the text.) At onset, apply a plaster dusted with Coptis Rhizome (Chuanlian), Evodia Fruit (Wuyu), Aucklandia Root (Muxiang), and Amomum Fruit (Sharen) to the umbilicus for three days, then apply dusted with Zanthoxylum Pericarpium (Huajiao) and Moschus (Shexiang). General formula: Atractylodis Rhizoma (Cangzhu), Cyperi Rhizoma (Xiangfu), Dried Blood (Lingzhi), Corydalis Rhizome (Yanhuxu), Dark Morning Glory Seed (Heiqiu), Angelicae Sinensis Radix (Danggui), Red Peony Root (Chishao), Hawthorn Fruit (Shanzha), Medicated Leaven (Shenqu), Coptis Rhizome (Huanglian), Scutellaria Root (Huangqin), Evodia Fruit (Wuyu), Apricot Kernel (Xingren), Green Tangerine Peel (Qingpi), Aurantium Fructus (Zhike), Areca Seed (Binglang), Notopterygium Rhizome (Qianghuo), Aconitum Lateralis Preparata (Chuanwu), Gleditsia Spine (Zaojiao), Plantago Seed (Cheqianzi), and Testudo Carapax et Plastrum Preparatum (Paojia) each 1 qian; Rhubarb (Dahuang) 2 qian. Grind into coarse powder, add Ginger (Jiang), Scallion (Cong), and Radish Seed (Laifuzi) 5 qian, heat well, divide into two bags, and alternate hot compresses binding to the umbilicus. Change when cold until qi flows freely and self-heals. For Jin Kou Li (Anorexic Dysentery), decoct Nine-joint Acorus (Jiuji Changpu) water, smear on the chest, then apply plaster, and burn Vinegar Charcoal. For severe heat-toxin, apply Fresh Apple Snail (Tianluo) and Moschus (Shexiang) to the umbilicus. Treatment methods for dysentery: Abdominal pain should harmonize Shaoyao (Peony) and Chenpi (Tangerine Peel); tenesmus should purge Muxiang (Aucklandia) and Binglang (Areca Seed); heavy body should remove dampness with Zhuling (Polyporus) and Zexie (Plantago Seed); thick sticky pus and blood should be exhausted with Dahuang (Rhubarb) and Mangxiao (Mirabilite); cold body with spontaneous sweating should be warmed with Fuzi (Aconite) and Ganjiang (Dried Ginger). Herbs for treating dysentery: Black like Dahuang, Purple like Diyü (Sanguisorba), Red like Huangqin (Scutellaria - *note: text says Huangqin is pale, likely error in source or specific context*), Pale like Shengjiang (Fresh Ginger), White as Guigui (Cinnamon Twig - *note: text says Guigui is yellow, likely error*), Yellow like Shanzha (Hawthorn). Regulate qi with Zhike (Aurantium Fructus), break blood with Tao Ren (Apricot Kernel), relieve urgency with Danggui (Angelicae Sinensis Radix), severe tail/body pain with Muxiang (Aucklandia) and Zhizi (Gardenia). Loose stool with Guigui and Muxiang, unblocking with astringency using Wumei (Mume Fruit). Bloody dysentery with Jinyinteng (Lonicerae Caulis), Wutong Ye (Firmiana Leaf), Heluye (Lotus Leaf), Machixian (Portulaca), Huaihua (Sophora Flower), Bo Ye (Platycladi Cacumen), and Diyü (Sanguisorba).
Malaria. (Symptoms detailed in the text.) Apply plaster to the heart area and back, first wipe with Fresh Ginger before applying, or add Scallion White (Congbai) decoction to smear, or use Notopterygium Rhizome (Qianghuo), Saposhnikovia Root (Fangfeng), Bupleuri Radix (Chaihu), Scutellaria Root (Huangqin), Green Tangerine Peel (Qingpi), Ligusticum Rhizome (Chuanxiong), Angelica Dahurica Root (Baizhi), Asarum Root (Xixin), Pinellia Tuber (Banxia), Anemarrhena Rhizome (Zhimu), Fritillaria Bulb (Beimu), Atractylodis Rhizoma (Cangzhu), Magnolia Bark (Houpo), Dioscorea Hypoglauca Rhizome (Lingxian), Aurantium Fructus (Zhishi), Areca Seed (Binglang), Testudo Carapax et Plastrum Preparatum (Paojia), White Peony Root (Baishao), and Cinnamon Twig (Guizhi) each 1 qian, grind into coarse powder. Take half, add Ginger and Scallion, decoct to smear chest and back to induce sweat; take the other half, heat well, and bind to the umbilicus. Applicable to all six meridians. After several attacks, if there is no phlegm or food stagnation, San Yin Gao (Scatter-Yin Plaster) can be used to intercept. Treatment methods for malaria: "Ru Men" states Taiyang uses Guizhi Tang (Cinnamon Twig Decoction), Yangming uses Baihu Tang (White Tiger Decoction), Shaoyang uses Xiaochaihu Tang (Minor Bupleurum Decoction), meaning is very clear. With phlegm combine Erchen Tang (Two-Aged Decoction); with food combine Pingwei San (Stomach-Pacifying Powder); with scanty urine combine Wuling San (Five-Ling Powder); with constipation combine Dachaihu Tang (Major Bupleurum Decoction); with no sweat use Ge Gen (Kudzu Root) and Cangzhu (Atractylodis Rhizoma); with sweat use Huangqin (Scutellaria Root) and Baizhu (Atractylodis Rhizoma); with profuse sweat use Wumei (Mume Fruit). Also: Qi stagnation with Qingpi (Green Tangerine Peel) and Xiangfu (Cyperi Rhizoma); food stagnation with Shenqu (Medicated Leaven), Maiya (Hordeum Sprout), Shanzha (Hawthorn), and Zhishi (Aurantium Fructus); severe accumulation with Yuleng (Curcuma Zedoaria) and Ezhu (Curcuma Longa); blood stasis with Tao Ren (Apricot Kernel) and Honghua (Carthamus); night attacks with Chuanxiong (Ligusticum Rhizome) and Danggui (Angelicae Sinensis Radix); chronic cases with Changshan (Polygala Root), Shouwu (Polygoni Multiflori Radix), Lingxian (Dioscorea Hypoglauca Rhizome), and Binglang (Areca Seed); malaria mass with Biejia (Testudo Carapax), Shanleng (Curcuma Zedoaria), and Ezhu (Curcuma Longa); to remove masses must use Daji (Euphorbia Root) and Yuanhua (Genkwa Flos) to break fluid retention. Or dust, or decoct and smear, or hot compress. Cold malaria uses Chuanwu (Aconitum Lateralis Preparata), Baizhi (Angelica Dahurica Root), Zisu (Perilla Leaf), Qingpi (Green Tangerine Peel), Caoguo (Tsaoko Fruit), Liangjiang (Galangal Rhizome), Baijiezi (Mustard Seed), Baihujiao (White Pepper), Guigui (Cinnamon Twig), Wuyu (Evodia Fruit), Lingxian (Dioscorea Hypoglauca Rhizome), adding Fuzi (Aconite) if severe. Hot malaria uses Chaihu (Bupleuri Radix), Huangqin (Scutellaria Root), Banxia (Pinellia Tuber), Zhimu (Anemarrhena Rhizome), Shigao (Gypsum Fibrosum), Qiu Yin Ni (Earthworm Mud), and Xin Ji Shui (Fresh Well Water); in summer, Watermelon (Xigua) can cool the Heart.
Heart and Stomach Qi Pain. (Divided into Cold, Heat, Phlegm, Food Stagnation, Blood Stasis, Qi Stagnation.) Apply plaster to the painful area. For Heat pain, use Chaihu (Bupleuri Radix), Huangqin (Scutellaria Root), Gualou (Trichosanthes Fruit), Huafen (Trichosanthes Root), Baishao (White Peony Root), Zhike (Aurantium Fructus), Huanglian (Coptis Rhizome), Zhizi (Gardenia), Juhong (Citrus Reticulata Peel), Mutong (Akebia Caulis), Sheng Gancao (Raw Licorice Root), and Salt, decoct to smear. For Cold pain, use Zisu (Perilla Leaf), Xiangfu (Cyperi Rhizoma), Lingzhi (Dried Blood), Yanhuxu (Corydalis Rhizome), Jianghuang (Turmeric Rhizome), Puhuang (Lygodii Pollen), Pengzhu (Curcuma Zedoaria), Danggui (Angelicae Sinensis Radix), Liangjiang (Galangal Rhizome), Caoguo (Tsaoko Fruit), Guigui (Cinnamon Twig), Hujiao (Black Pepper), Yizhiren (Alpinia Oxyphylla Fruit), Wuyu (Evodia Fruit), Chenpi (Tangerine Peel), Banxia (Pinellia Tuber), Moyao (Myrrha), Houpo (Magnolia Bark), Cangzhu (Atractylodis Rhizoma), Wuyao (Lindera Root), Chuanxiong (Ligusticum Rhizome), hot compress. Applicable regardless of Qi, Blood, Phlegm, or Food; can also select 3-5 herbs. For accumulated cold in Heart/Abdominal pain, imitate Heji Jufang Choudao San method: Liangjiang (Galangal Rhizome) 1 liang, Banmao (Mylabris) 3 pieces, stir-fry until black, remove Banmao, use Ginger juice to paste. For Heart pain radiating to Back or Back pain radiating to Heart, Jingui Yaolue has Wu Fu Fang (Aconite and Cinnamon Formula). For Cold-Heat imbalance, use Hewei Yin (Harmonize Stomach Infusion): Yulian (Cornus and Coptis), Guishao (Cinnamon and Peony), Ju pi (Tangerine Peel), Xiangfu (Cyperi Rhizoma), Danggui (Angelicae Sinensis Radix), Zhi Gancao (Honey-fried Licorice), Ganjiang (Dried Ginger).
Liver Qi Hypochondriac Pain. (Hypochondrium and axilla belong to Liver/Gallbladder; Liver pathogen flowing to both hypochondria causes various pains, also differentiated by Wind-Cold, Qi Stagnation, Blood Stasis, Food Stagnation, Phlegm-Fluid, Cold-Heat.) Apply plaster to painful area. If Cold pain, use above Stomach Qi Chinese herbs for hot compress; ancients treated Stomach disease via Liver, so generally applicable. For Heat pain, use Chaihu Yi Gan Tang (Bupleurum to Pacify Liver Decoction): Chaihu (Bupleuri Radix), Qingpi (Green Tangerine Peel), Chishao (Red Peony Root), Danpi (Moutan Cortex), Digupi (Lycium Bark), Xiangfu (Cyperi Rhizoma), Zhizi (Gardenia), Cangzhu (Atractylodis Rhizoma), Chuanxiong (Ligusticum Rhizome), Shenqu (Medicated Leaven), Lianqiao (Forsythia Fruit), Shengdi (Rehmannia Root), Gancao (Licorice Root), decoct to smear. Add Pingwei San (Stomach-Pacifying Powder) for food, Erchen Tang (Two-Aged Decoction) for phlegm. For Liver-Stomach disharmony, use above Liver-Pacifying Qi-Harmonizing formula, or refer to Qinggan Gao (Clear-Liver Plaster). For Deficient Liver, use Ziyin Gao (Nourish-Yin Plaster), dust with Muxiang (Aucklandia), Qingpi (Green Tangerine Peel), Guigui (Cinnamon Twig), or dust with Wuyu (Evodia Fruit) and Huanglian (Coptis Rhizome) powder. For Kidney injury from sexual excess, use Chuanxiong (Ligusticum Rhizome), Danggui (Angelicae Sinensis Radix), Guzhi (Psoralea Fruit).
Abdominal Pain. (Due to failure of Middle Qi to move; also differentiated by Cold, Heat, Phlegm, Fluid, Blood Stasis, Food Stagnation, Parasites.) Apply plaster to umbilicus, observe symptoms and use above herb examples; Chinese herbs can be dusted, decocted/smear, or hot compressed. For Parasite pain, use Chuanjiao (Sichuan Pepper) and Wumei (Mume Fruit) each 1 liang, hot compress and bind to umbilicus to expel parasites; if severe, add Xionghuang (Realgar), Mingfan (Alum), Sanleng (Sparganium Rhizome), Binglang (Areca Seed).
Lower Back Pain. (Seven types detailed in text; roughly Kidney Deficiency is root, Wind-Cold-Damp-Heat, Phlegm-Fluid, Qi Stagnation, Blood Stasis, Sprain/Trauma are branches.) Dust plaster with Baizhu (Atractylodis Rhizoma) and Guigui (Cinnamon Twig) powder on painful area, then use Qianghuo (Notopterygium Rhizome), Fangfeng (Saposhnikovia Root), Duzhong (Eucommia Bark), Guzhi (Psoralea Fruit), Niuxi (Achyranthes Root), Xuduan (Dipsacus Root), Mugua (Quince), Bibi (Dioscorea Hypoglauca Rhizome), Xiangfu (Cyperi Rhizoma), Danggui (Angelicae Sinensis Radix), Yanhuxu (Corydalis Rhizome), Honghua (Carthamus), Banxia (Pinellia Tuber), Chenpi (Tangerine Peel), Heidou (Black Soybean), hot compress. Refer to Mo Yao Fang (Rubbing Lower Back Formula) in text. For Wind-Cold-Damp and trauma, San Yin Gao (Scatter-Yin Plaster) is suitable; for Yin Deficiency, Ziyin Gao (Nourish-Yin Plaster) with Gui (Cinnamon).
Small Intestine Qi Pain. (Not entirely Cold; apply plaster below umbilicus, use Chuanlianzi (Melia Toosendan Fruit), Xiaohui (Fennel Fruit), Wutou (Aconite Root), Zhizi (Gardenia) salt-fried hot compress. If leaning towards Cold, use San Yin Gao (Scatter-Yin Plaster).)
Women's Dysmenorrhea. (Apply plaster to upper chest, or use San Yin Gao (Scatter-Yin Plaster), dust with Malaria powder on umbilical plaster, then use Danggui (Angelicae Sinensis Radix), Yanhuxu (Corydalis Rhizome), Honghua (Carthamus), Hujiao (Black Pepper), Can Sha (Silkworm Frass) vinegar-fried hot compress.)
Women's Breast Nodule. (Formed by Qi-Blood stagnation; if not red/swollen, wash with Ginger-Scallion soup, apply plaster dusted with Guangmuxiang (Aucklandia), or further use Qingpi (Green Tangerine Peel), Baishao (White Peony Root), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligusticum Rhizome), Xiangfu (Cyperi Rhizoma), Banxia (Pinellia Tuber), Nanxing (Arisaema Cum Bile), Diliruxiang (Frankincense), Dingxiang (Clove), Shengjiang (Fresh Ginger), hot compress. If red/swollen/hot/painful, use Qingyang Gao (Clear-Yang Plaster) plus Wulong Ding (Black Dragon Tablet) application.)
Postpartum Uterine Lochia Pain. (Apply plaster to painful area, or use Qizhen San (Raise Pillow Powder), Yanhuxu (Corydalis Rhizome), Danggui (Angelicae Sinensis Radix), Guigui (Cinnamon Twig) powder dusted on plaster, or these three plus Chuanxiong (Ligusticum Rhizome), Puhuang (Lygodii Pollen), Lingzhi (Dried Blood), Wuyu (Evodia Fruit), Honghua (Carthamus), Rushiang (Frankincense), Moyao (Myrrha) vinegar-fried hot compress and bind. All Blood Stasis diseases can use this to dissipate; Blood moves when heated.)
Children's Wind-Cold and Accumulation can all use this. External conditions like Hypochondriac Abscess not yet ruptured can also use this. This plaster has strong power; do not lightly use large sheets for non-severe cases, nor lightly add heavy herbs. The bureau commonly uses mostly single-plaster, thickness not exceeding 2-3 fen. Children halve this. If adding herbs, must clearly diagnose before adding, and increase gradually, not abruptly. Various plasters must be used separately, but can also be combined; only those who understand medical principles can use plasters, and must study books accordingly.
Cangzhu (Atractylodis Rhizoma) 5 liang, Shang Baizhu (Atractylodis Rhizoma) 4 liang, Qianghuo (Notopterygium Rhizome), Chuanwu (Aconitum Lateralis Preparata), Jianghuang (Turmeric Rhizome), Sheng Banxia (Pinellia Tuber, Ginger-processed), Wuyao (Lindera Root), Chuanxiong (Ligusticum Rhizome), Qingpi (Green Tangerine Peel), Sheng Dahuang (Rhubarb) (each 3 liang), Sheng Xiangfu (Cyperi Rhizoma), Chao Xiangfu (Cyperi Rhizoma, fried), Sheng Lingzhi (Dried Blood), Chao Lingzhi (Dried Blood, fried), Sheng Yanhuxu (Corydalis Rhizome), Chao Yanhuxu (Corydalis Rhizome, fried), Zhishi (Aurantium Fructus), Huanglian (Coptis Rhizome), Jiang Zhi Houpo (Magnolia Bark, Ginger-processed), Danggui (Angelicae Sinensis Radix), Lingxian (Dioscorea Hypoglauca Rhizome), Heiqiu Tou (Dark Morning Glory Seed, half raw half fried), Bari (Adzuki Bean? No, likely Badou Ren/Baoren - Adzuki is Chi Xiao Dou, here likely Badou/Croton seed given context of harsh purgatives or specific local name, WHO term usually Croton Seed if Badou, but text says Ba Ren which is often Coix Seed, however paired with Heiqiu suggests harsher agent. Given "Ba Ren" usually means Coix Seed (Yiyiren) or Croton (Badou). In plasters for accumulation, Badou (Croton) is common. I will translate as Croton Seed if Badou, or Coix Seed if Yiyiren. Text says "Ba Ren". Standard TCM Ba Ren is Coix Seed. But in this harsh formula with Dahuang/Daji/Yuanhua, Badou (Croton) is more likely intended for expulsion. However, strictly translating "Ba Ren" -> Coix Seed. Let's stick to literal: Coix Seed). Each 2 liang, Ku Huangqin (Scutellaria Root, dried), Huangbo (Phellodendron Bark), Sheng Puhuang (Lygodii Pollen), Hei Zhizi (Gardenia, charred), Chuan Yujin (Curcuma Aromatica Rhizome), Ezhu (Curcuma Longa), Sanleng (Sparganium Rhizome), Binglang (Areca Seed), Chenpi (Tangerine Peel), Shanzha (Hawthorn Fruit), Maiya (Hordeum Sprout), Shenqu (Medicated Leaven), Nanxing (Arisaema Cum Bile), Baiqiu Tou (Morning Glory Seed, white), Ku Tingli (Descurainiae Semen), Sugeng (Perilla Stem), Huogeng (Patchouli Stem), Nan Bohe (Mentha Haplocalyx), Caowu (Aconitum Carmichaelii Preparata), Duhuo (Angelicae Pubescentis Radix), Chaihu (Bupleuri Radix), Qianhu (Peucedani Radix), Xixin (Asarum Root), Baizhi (Angelica Dahurica Root), Jingjisui (Schizonepeta Spike), Fangfeng (Saposhnikovia Root), Lianqiao (Forsythia Fruit), Gan Ge (Kudzu Root), Ku Jiegeng (Platycodon Root), Zhimu (Anemarrhena Rhizome), Da Beimu (Fritillaria Bulb), Gansui (Euphorbia Kansui Root), Daji (Euphorbia Root), Yuanhua (Genkwa Flos), Fangji (Stephania Tetrandra Root), Gualou Ren (Trichosanthes Seed), Fupi (Betel Nut Pericarp), Tianhuafen (Trichosanthes Root), Chishao (Red Peony Root), Baishao (White Peony Root), Zhike (Aurantium Fructus), Yichen (Artemisiae Scopariae Herba), Chuanlianzi (Melia Toosendan Fruit), Mutong (Akebia Caulis), Zexie (Alisma Rhizoma), Cheqianzi (Plantago Seed), Zhuling (Polyporus), Xuan Mugua (Quince), Zaojiao (Gleditsia Spine), Ku Xingren (Apricot Kernel), Tao Ren (Apricot Kernel), Suzi (Perilla Fruit), Yizhiren (Alpinia Oxyphylla Fruit), Liangjiang (Galangal Rhizome), Caoguo (Tsaoko Fruit), Wuyu (Evodia Fruit), Honghua (Carthamus), Mubie Ren (Momordica Seed), Bimaren (Castor Seed), Jiangcan (Bombyx Batryticatus), Quanxie (Scorpio), Wugong (Scolopendra), Chantui (Cicada Slough), Sheng Shanjia (Testudo Carapax et Plastrum Preparatum, raw), Sheng Gancao (Licorice Root) (each 1 liang), Fatuan (Human Hair Ball) 2 liang, Fei Huashi (Calcined Talcum) 4 liang, Shengjiang (Fresh Ginger), Congbai (Scallion White), Jiubai (Leek White), Xiebai (Allium Macrostemon Bulb), Dasuantou (Garlic Head), Hong Fengxian (Red Impatiens), Bai Fengxian (White Impatiens, whole), Huaizhi (Locust Branch), Liuzhi (Willow Branch), Sangzhi (Mulberry Branch) (each 1 jin, Fengxian dry or 4 liang), Yuzhi (Elm Branch), Taozhi (Peach Branch) (each 8 liang with leaves), Shichangpu (Acorus Tatarinowii Rhizome), Foushougan (Bergamot Fruit, dried), Xiaohui (Fennel Fruit), Ai (Mugwort) (each 1 liang). Use 40 jin of oil for two shares, boil separately, collect with Dan (lead oxide). Then add Jing Songxiang (Pure Pine Rosin), Sheng Shigao (Gypsum Fibrosum) (each 4 liang), Chen Bitu (Old Wall Soil), Mingfan (Alum) (each 2 liang), Xionghuang (Realgar), Qingfen (Calomel), Sharen (Amomum Fruit), Baijiezi (Mustard Seed), Chuanjiao (Sichuan Pepper), Guangmuxiang (Aucklandia), Tanxiang (Sandalwood), Guigui (Cinnamon Twig), Zhi Ruxiang (Frankincense, processed), Zhi Moyao (Myrrha, processed) (each 1 liang), Niu Jiao (Bovis Cornu Colla) 4 liang (steamed in wine, dissolve as before). Or add Suhé You (Styrax Oil), add Chen She (Moschus) before use. Old Ping Sha Gao (Ping-Sand Plaster) for treating Huoluan (Cholera) is this plaster with reduced ingredients. Yin Sha Jiuji Gao (Yin-Sha Emergency Plaster) for treating Majiao Sha (Paralytic Cholera) is Fuyang Gao (Support-Yang Plaster) with reduced ingredients. Therefore, they are not preserved.