加味甘桔汤
甘草 桔梗 荆芥(各三钱) 牛蒡子(炒,二钱) 贝母(一钱五分) 薄荷(五分) 水煎服。
若两颐肿盛者加丹皮三钱,柴胡一钱五分。
普济消毒饮 神治天行疫毒、大头诸病。
牛蒡子(炒) 连翘 桔梗 甘草 板蓝根 马屁勃 橘红 玄参 柴胡 僵蚕(炒,各二钱)
黄芩(酒炒) 黄连(酒炒,各五钱) 新升麻(七分) 人参(三钱)
为末。汤调服之或蜜丸嚼化,或有加
当归、川芎。如便闭加酒炒大黄一钱利之,肿热甚者砭法刺之。一方有薄荷一钱,无人参。
此方黄连、黄芩味苦,泻心肺热以为君;橘红、元参苦寒,生甘草甘寒,泻火
补气以为臣;连翘、鼠粘、薄荷味苦辛平,板蓝根味甘寒,马屁勃、僵蚕味苦平,散
肿消毒以为佐;升麻、柴胡苦平,行少阳、阳明不得伸之郁气,桔梗味辛温为舟楫,不
令下行。如是调治,方可保全。
耳边腮肿 五倍子湿纸包烧存性研末,鸡子白调糊遍敷,立消。
无风寒腮赤肿 安丝鱼煨汤吃自消。
敷法 如意金黄散用葱汁、黄蜜调敷,中留一孔透气,外用桑皮纸扯碎贴之,
如干,纸外以蜜水润之,自消。
时毒 腮 治风寒郁热,耳边腮颐结肿,恶寒发热, 赤口干,每年仲春小
阳时令,必多此症。有只肿一边者,有先肿一边,一二日又肿一边,亦有两边齐肿
者,名曰时毒。更有两颏硬肿颔下肿者,名曰蛤蟆毒。均宜疏寒散热,不得骤用寒凉冰伏。
葛根 荆芥 防风 桔梗 甘草 白芷 赤芍 连翘 泽泻
白水煎。二三剂后加贝母、牛蒡子、玄参、银花、夏枯草、丹皮、山栀、柴胡,按
症加减,七日自消。
头疼,耳边发肿,太阳 腮,俱疼不可忍(周鹤仙)
生大黄(一两) 青木香 姜黄 槟榔(各三钱)
共为细末,醋蜜调敷患处,中留一孔出气,干则换敷,二三次即愈。
又方 生大黄末葱汁调敷四围,中露一顶自消。
又方 醋调锻石,敷之即消。
又方
生大黄 黄柏 赤小豆 石膏 穿山甲(各等分)
共研细末,醋调敷。
加味甘桔汤
甘草、桔梗、荆芥(各三钱),牛蒡子(炒制,二钱),贝母(一钱五分),薄荷(五分)。用水煎煮后服用。
如果两侧面颊肿胀严重的,加入丹皮三钱,柴胡一钱五分。
普济消毒饮
神奇地治疗天行疫毒、大头瘟等各种疾病。
牛蒡子(炒制)、连翘、桔梗、甘草、板蓝根、马屁勃、橘红、玄参、柴胡、僵蚕(炒制,各二钱);
黄芩(酒炒制)、黄连(酒炒制,各五钱);新升麻(七分);人参(三钱)。
研成细末。用汤药调服,或者制成蜜丸嚼碎吞服。有的方剂中加入当归、川芎。如果大便闭塞,加入酒炒大黄一钱以通利大便;如果肿胀热势严重,采用砭法刺络放血。另一版本有一钱薄荷,无人参。
这个方子中,黄连、黄芩味苦,作为君药,清泻心、肺的热邪;橘红、元参(玄参)味苦寒,生甘草味甘寒,作为臣药,泻火补气;连翘、鼠粘子(牛蒡子)、薄荷味苦辛平,板蓝根味甘寒,马屁勃、僵蚕味苦平,作为佐药,消散肿毒;升麻、柴胡味苦平,疏通少阳经、阳明经郁结不得伸展的气机,桔梗味辛温,作为舟楫之药,防止药力下行。像这样调配治疗,才能保全身体。
耳边腮肿
用五倍子湿纸包裹烧至存性,研成细末,用鸡蛋清调成糊状,均匀敷贴,立即消退。
无风寒引起的腮部赤肿
吃安丝鱼煨制的汤,自然消退。
敷法
使用如意金黄散,用葱汁、蜂蜜调匀敷贴,中间留一个孔透气,外面用桑皮纸撕碎贴上。如果干了,在纸外用蜂蜜水润湿,自然消退。
时毒腮
治疗风寒郁积化热,导致耳边腮颊结块肿胀,恶寒发热,面色发红口干。每年仲春小阳春时节,必定多发此症。有的只肿一边,有的先肿一边,过一两天又肿另一边,也有两边同时肿的,名叫时毒。更有两颏硬肿、颌下肿胀的,名叫蛤蟆毒。都适宜疏解寒邪、散发热邪,不能骤然使用寒凉药物导致冰伏。
葛根、荆芥、防风、桔梗、甘草、白芷、赤芍、连翘、泽泻。
白水煎煮。服用二三剂后,加入贝母、牛蒡子、玄参、银花、夏枯草、丹皮、山栀、柴胡,根据症状加减,七日自然消退。
头疼,耳边发肿,太阳经腮部疼痛,都疼得不可忍受(周鹤仙提供)
生大黄(一两)、青木香、姜黄、槟榔(各三钱)。
共同研成细末,用醋和蜂蜜调匀敷于患处,中间留一个孔出气,干了就更换敷药,两三次即可痊愈。
又一方
生大黄末用葱汁调匀敷于四周,中间露出一个顶,自然消退。
又一方
醋调锻石,敷贴即消。
Jiawei Ganjie Decoction (Additive Licorice and Platycodon Decoction)
Gancao (Radix Glycyrrhizae), Jiegeng (Radix Platycodonis), Jingjie (Herba Schizonepetae) (each 3 qian); Niubangzi (Fructus Arctii, processed by stir-frying, 2 qian); Beimu (Bulbus Fritillariae Cirrhosae, 1.5 qian); Bohe (Herba Menthae, 0.5 qian). Decoct in water and take orally.
If there is severe swelling of both cheeks, add Danpi (Cortex Moutan, 3 qian) and Chaihu (Radix Bupleuri, 1.5 qian).
Puji Xiaodu Yin (Great Benefit Decoction to Eliminate Toxins)
Miraculously treats epidemic toxins from heavenly travel (epidemic diseases), Da Tou Wen (Big Head Plague), and various other conditions.
Niubangzi (Fructus Arctii, processed by stir-frying), Lianqiao (Fructus Forsythiae), Jiegeng (Radix Platycodonis), Gancao (Radix Glycyrrhizae), Banlangen (Radix Isatidis), Mapibo (Herba Siegesbeckiae), Juhong (Pericarpium Citri Reticulatae), Xuanshen (Radix Scrophulariae), Chaihu (Radix Bupleuri), Jiangcan (Bombyx Batryticatus, processed by stir-frying) (each 2 qian);
Huangqin (Radix Scutellariae, wine-fried), Huanglian (Rhizoma Coptidis, wine-fried) (each 5 qian); Xin Shengma (Rhizoma Cimicifugae, 0.7 qian); Renshen (Radix Ginseng, 3 qian).
Grind into fine powder. Take mixed with decoction or chew honey pills. Some formulas add Danggui (Radix Angelicae Sinensis) and Chuanxiong (Rhizoma Chuanxiong). If constipation occurs, add Jiudahuang (Radix et Rhizoma Rhei, wine-fried, 1 qian) to promote bowel movement; if swelling and heat are severe, use Bianfa (scarification therapy) for pricking bloodletting. Another version contains 1 qian Bohe (Herba Menthae) and no Renshen (Radix Ginseng).
In this formula, Huanglian (Rhizoma Coptidis) and Huangqin (Radix Scutellariae) are bitter in flavor and serve as the Jun (Monarch) herb to clear and drain heat from the Heart and Lung; Juhong (Pericarpium Citri Reticulatae) and Yuanshen (Radix Scrophulariae, i.e., Xuanshen) are bitter and cold, and Sheng Gancao (Radix Glycyrrhizae) is sweet and cold, serving as the Chen (Minister) herbs to drain fire and tonify Qi; Lianqiao (Fructus Forsythiae), Shuniu (Niubangzi/Fructus Arctii), and Bohe (Herba Menthae) are bitter, pungent, and neutral in flavor; Banlangen (Radix Isatidis) is sweet and cold; Mapibo (Herba Siegesbeckiae) and Jiangcan (Bombyx Batryticatus) are bitter and neutral, serving as the Zuo (Assistant) herbs to dissipate swelling and eliminate toxins; Shengma (Rhizoma Cimicifugae) and Chaihu (Radix Bupleuri) are bitter and neutral, moving the stagnant Qi of the Shaoyang and Yangming meridians that cannot extend freely; Jiegeng (Radix Platycodonis) is pungent and warm, acting as a boat and oar to prevent the medicinal action from descending downward. With such regulation and treatment, preservation can be achieved.
Swelling of Cheeks Near Ear
Wrap Wubeizi (Galla Chinensis) in wet paper and burn until carbonized but retaining its nature, grind into powder, mix with egg white (Jizi Bai) to form a paste, apply evenly over the area, and it will subside immediately.
Red Swelling of Cheeks Without Wind-Cold
Drink soup made from Ansi Fish (Ansi Yu) roasted/boiled, and it will subside naturally.
Application Method
Use Ruyi Jinhuang San (Ruyi Golden Powder). Mix with scallion juice and honey to apply. Leave one hole in the center for ventilation. Cover externally with torn mulberry bark paper (Sangpi Zhi). If dry, moisten the outside of the paper with honey water, and it will subside naturally.
Shidu Sore (Seasonal Toxicity affecting Cheeks)
Treats wind-cold stagnation transforming into heat, causing nodular swelling at the cheeks near the ears, aversion to cold, fever, redness, and dry mouth. This condition frequently occurs during the minor spring warmth period in mid-spring. Some cases involve swelling on only one side; some start on one side and spread to the other after one or two days; some involve simultaneous swelling on both sides, named Shidu (Seasonal Toxicity). Others present with hard swelling of both chins and swelling under the jaw, named Hamaduo (Toad Poison). All should be treated by dispersing cold and clearing heat; sudden use of cold-natured drugs causing ice-like stagnation must be avoided.
Gegen (Puerariae Lobatae Radix), Jingjie (Herba Schizonepetae), Fangfeng (Radix Saposhnikoviae), Jiegeng (Radix Platycodonis), Gancao (Radix Glycyrrhizae), Baizhi (Radix Angelicae Dahuricae), Chishao (Radix Paeoniae Rubra), Lianqiao (Fructus Forsythiae), Zexie (Rhizoma Alismatis).
Decoct in plain water. After taking two or three doses, add Beimu (Bulbus Fritillariae Cirrhosae), Niubangzi (Fructus Arctii), Xuanshen (Radix Scrophulariae), Yinhua (Flos Lonicerae), Xiakucao (Herba Prunellae), Danpi (Cortex Moutan), Shanzhi (Fructus Gardeniae), and Chaihu (Radix Bupleuri), adjusting according to symptoms. It will subside naturally within seven days.
Headache, swelling near the ear, Taiyang channel cheek pain, unbearable pain (provided by Zhou Hexian)
Sheng Dahuang (Radix et Rhizoma Rhei, raw, 1 liang); Qingmuxiang (Radix Aucklandiae), Jianghuang (Rhizoma Curcumae Longae), Binglang (Semen Arecae) (each 3 qian).
Grind together into fine powder. Mix with vinegar and honey to apply to the affected area. Leave one hole in the center for air release. Replace when dry. It will heal in two or three applications.
Another Prescription
Apply powder of raw Dahuang (Radix et Rhizoma Rhei) mixed with scallion juice around the periphery, leaving the top exposed. It will subside naturally.
Another Prescription
Mix Duanshi (Calamina) with vinegar and apply. It will subside immediately.
Another Prescription
Sheng Dahuang (Radix et Rhizoma Rhei), Huangbai (Cortex Phellodendri), Chixiaodou (Semen Phaseoli Uradis), Shigao (Gypsum Fibrosum), Chuanshanjia (Squama Manis) (equal parts).
Grind into fine powder. Mix with vinegar and apply.