天泡疮者,形如水泡,皮薄而泽,或生头面,或生遍身。由天行少阳相火为病,故名天
泡。为风热客于皮肤间,外不得泄,沸热血液,结而成泡。宜清热凉血,热解则愈;如兼表
邪而发热脉数者,宜荆防败毒散;如火盛者,或加芩、连、连翘、金银花、元参之属;如
肿疼痛,脉数便结者,此表里俱实也,宜防风通圣散双解之;如外多毒水,以金黄散敷之,
或以石珍散掺之,无有不愈。
翻花疮者,由疮疡溃后,肝火血燥生风所致。或疮口 肉突出如菌,大小不同,或出如
蛇头,长短不一,揩损每流鲜血,久亦虚人。治法当滋肝养血,如栀子清肝汤是也;外涂藜
芦膏(景岳方), 肉自入,须候元气渐复,脓毒将尽,涂之有效,不然虽入而复溃。若误用
刀针、蚀药、火灸,其势益甚,或出血不止,必致寒热呕吐等证,须大补脾胃为善。
脓窠疮者,大如黄豆,黄脓起泡,痛甚。起时先从水泡作痒,后变脓泡。乃肺经有热,
脾经有湿,二气交感而成。治当清热散风、凉血除湿,如四妙汤加防风、荆芥,或凉血消风
散;外搽普济丹,或蛇床子散,或一扫光;若不痒而痛者,以生大黄二两,生石膏一两,研
末,麻油调搽,兼戒口味,自愈。
黄水疮者,头面耳项,忽生黄泡,破流脂水,顷刻沿开,多生痛痒。此因日晒风吹,热
毒郁于皮毛,暴感湿热;或内餐湿热之物,致风动火生而发。当内服祛风、凉血、清热之药
,外以汤洗之,用蛤粉散搽之;有用雄猪胆一个,入黄柏一两浸,焙干为末,掺之;或用井
花水调搽,殊妙。
天泡疮,其形态如同水泡,皮肤薄而光亮,有时生长在头面部,有时遍布全身。这是由于时行邪气导致少阳相火亢盛为病,所以称为天泡。它是风热之邪客居在皮肤之间,向外不能宣泄,使血液沸腾受热,凝结而成水泡。治疗应当清热凉血,热邪解除则痊愈;如果兼有表邪且出现发热、脉数等症状的,适宜使用荆防败毒散;如果火热炽盛的,可以加入黄芩、黄连、连翘、金银花、玄参这类药物;如果肿胀疼痛,脉数且大便干结的,这是表里俱实的证候,适宜用防风通圣散来表里双解;如果外部渗出较多毒水,可以用金黄散外敷,或者撒石珍散,没有不治愈的。
翻花疮,是由于疮疡溃烂之后,肝火旺盛、血液枯燥而生风所导致的。有的疮口长出赘肉突出像菌类一样,大小不同;有的长出来像蛇头,长短不一,擦拭破损后常流出鲜血,时间久了也会使人虚弱。治疗方法应当滋养肝脏、养血,比如栀子清肝汤就是这样的方剂;外用涂抹藜芦膏(张景岳的方子),赘肉自然会缩回,但必须等到元气逐渐恢复,脓毒即将排尽时,涂抹才有效,否则即使缩回也会再次溃烂。如果误用刀针切割、腐蚀药物或火灸,病情会更加严重,或者出血不止,必然导致寒战高热、呕吐等证候,此时必须以大补脾胃为好。
脓窠疮,大小如黄豆,黄色脓液形成水泡,疼痛剧烈。发作时先从水泡处感到瘙痒,随后变成脓泡。这是因为肺经有热,脾经有湿,两气相互感应交结而成的。治疗应当清热散风、凉血除湿,比如四妙汤加防风、荆芥,或者凉血消风散;外用搽抹普济丹,或者蛇床子散,或者一扫光;如果不痒而是疼痛的,取生大黄二两,生石膏一两,研成粉末,用麻油调和后搽抹,同时忌口,自然痊愈。
黄水疮,在头面、耳朵、颈部突然生出黄色水泡,破溃后流出脂状液体,顷刻间蔓延扩大,多伴有疼痛和瘙痒。这是因为日晒风吹,热毒郁积在皮毛,突然感受湿热;或者是内服了湿热性质的食物,导致风动火生而发病。应当内服祛风、凉血、清热的药物,外用汤药清洗,用蛤粉散搽抹;也有用一个雄猪胆,放入一两黄柏浸泡,焙干后研成粉末,撒在患处;或者用井花水调和搽抹,效果非常奇妙。
Tianpao Chuang (Heavenly Blister), resembling water blisters, has thin and lustrous skin. It may appear on the head and face or spread over the entire body. This condition is caused by epidemic pathogens leading to hyperactivity of Shaoyang Ministerial Fire (Shaoyang Xianghuo, fire associated with the Shaoyang channel often linked to metabolic heat), hence the name Tianpao. It results from Wind-Heat pathogenic factors lodging between the skin layers; unable to vent outward, they cause the blood to boil and heat up, condensing into blisters. Treatment should focus on Clearing Heat and Cooling Blood (Qingre Liangxue); once the Heat is resolved, the condition heals. If accompanied by exterior pathogens manifesting as fever and a rapid pulse, Jingfang Baidu San (Jingfang Decoction for Resisting Toxins) is indicated. If Fire is excessive, herbs such as Huangqin (Scutellariae Radix), Lianqiao (Forsythiae Fructus), Jinyinhua (Lonicerae Japonicae Flos), and Yuanshen (Scrophulariae Radix) may be added. If swelling and pain are present with a rapid pulse and constipation, this indicates excess in both the interior and exterior; Fangfeng Tongsheng San (Fangfeng Decoction for Unblocking and Assisting Health) is suitable for resolving both exterior and interior excesses. If there is abundant discharge of toxic fluid externally, Jinhuang San (Golden Yellow Powder) can be applied topically, or Shizhen San (Stone Treasure Powder) sprinkled; all cases will heal.
Fanhuai Chuang (Flower-Reversing Sore) arises after ulceration, caused by Liver Fire and dry Blood generating Wind. Exophytic tissue may protrude from the wound like a mushroom, varying in size, or resemble a snake's head, varying in length. Rubbing or damaging it causes fresh blood to flow, and prolonged duration leads to deficiency in the person. The treatment method should nourish the Liver and nourish Blood, such as using Zhizi Qinggan Tang (Gardenia Decoction for Clearing the Liver). Topically applying Lizhi Gao (Veratrum Ointment, a formula by Zhang Jingyue) will cause the exophytic tissue to retract, but this must be done only when Yuanqi (Primal Qi) has gradually recovered and pus/toxins are nearly exhausted; otherwise, retraction followed by recurrent ulceration occurs. Misuse of knives, needles, caustic medicines, or moxibustion will exacerbate the condition, potentially causing uncontrollable bleeding and symptoms such as chills, high fever, and vomiting. In such cases, greatly tonifying the Spleen and Stomach is advisable.
Nongke Chuang (Pus-Nest Sore) is sized like a soybean, forming yellow purulent blisters with severe pain. Initially, itching occurs at the water blister stage, which then transforms into purulent blisters. This is formed by the interaction of Heat in the Lung Channel and Dampness in the Spleen Channel. Treatment should Clear Heat, disperse Wind, cool Blood, and remove Dampness, such as using Simiao Tang (Four Marvels Decoction) added with Fangfeng (Saposhnikoviae Radix) and Jingjie (Schizonepetae Spica), or Liangxiao Xiaofeng San (Cool Blood and Eliminate Wind Powder). Topically apply Pujidan (Universal Benefit Elixir), Shechuangzi San (Cnidus Seed Powder), or Yisaoguang (One Sweep Light). If painful rather than itchy, mix Erliang of raw Dahuang (Rhei Radix et Rhizoma) and one liang of raw Shigao (Gypsum Fibrosum), grind into powder, and apply mixed with sesame oil, while observing dietary restrictions; it will heal spontaneously.
Huangshui Chuang (Yellow Water Sore) suddenly presents as yellow blisters on the head, face, ears, and neck. Upon rupture, serous fluid flows out, spreading rapidly within moments, accompanied by pain and itching. This is due to sun exposure and wind blowing, causing Heat-Toxin to stagnate in the skin and hair, combined with sudden contraction of Damp-Heat. Alternatively, consuming Damp-Heat generating foods internally causes Wind to move and Fire to arise, triggering the eruption. Internal administration of herbs that dispel Wind, cool Blood, and Clear Heat is required. Externally, wash with decoction and apply Ge Fen San (Clam Shell Powder). Another method involves soaking one male pig gallbladder with one liang of Huangbai (Phellodendri Cortex), drying it by roasting, grinding into powder, and sprinkling it. Alternatively, mixing well-water (Jinghua Shui) for topical application yields excellent results.