中益气,四君子、四物、八珍,皆可间服(诸汤方见虚损。)合宜则用六君子汤(即四君子加陈、
半。)
雄黄解毒散 一切痈疽、肿毒势甚,虽用此药二、三次后,用猪蹄汤。
明矾(四两) 寒水石( ) 雄黄(飞。各一两) 水三碗,入前末(五钱) 淋洗,贴
膏药。
猪蹄汤 消肿毒,去恶肉,润疮口、止痛。用猪蹄一只煮汁五碗,煎药。
白芷 黄芩 蜂房(陈年者佳) 当归 赤芍药 甘草(各五钱) 上锉,以蹄汁煎药,去
渣,淋洗患处。以下俱洗方。
肿汤
升麻 黄 防风 生地黄 细辛 川芎(各三钱)上用水五碗,煎十余沸,稍热淋 ,内
消如神。
又方 漏芦 升麻 芒硝 栀子仁 蒴 黄芩(各三钱)上用水五碗,煎十余沸,稍热淋
,或以
净布蘸 ,效。
又方 苦参 防风 甘草 露蜂房 照前法洗。
大铁箍散 敷一切肿毒。以下皆围方。
芙蓉叶 木鳖(各四两) 寒水石 白芷 赤小豆 黄柏 白蔹(各二两) 紫荆皮 贝母
大黄 地青 羌活 白芨(各一两) 防风(五钱)
上为末,水调围四畔,如肉脆去白蔹、白芨,加生地、地榆,芭蕉汁调。
补益中气,四君子汤、四物汤、八珍汤,都可以交替服用(各种汤剂的方子详见虚损章节)。根据病情适宜选用六君子汤(即四君子汤加上陈皮、半夏)。
雄黄解毒散:适用于一切痈疽、肿毒病情严重的情况。在使用此药两三次后,改用猪蹄汤清洗。
明矾(四两) 寒水石(未注明剂量,依原文留空或推测为等量,此处按原文结构处理,通常此类古籍若缺字可能为漏印或特定比例,但翻译需忠实原文,故保留空缺或视为无特定量,但在现代语境下通常指代该药材) 雄黄(飞研。各一两) 水三碗,加入上述药末(五钱),淋洗患处,并贴上膏药。
猪蹄汤:用于消肿毒,去除腐肉,滋润疮口,止痛。取一只猪蹄煮出五碗汁液,用此汁煎煮药物。
白芷 黄芩 蜂房(陈年的为佳) 当归 赤芍药 甘草(各五钱) 以上药材切碎,用猪蹄汁煎煮药物,滤去药渣,淋洗患处。以下均为清洗方剂。
消肿胀汤(原文“肿汤”前似有脱字,结合上下文及功效推断为消肿胀相关,此处直译“肿汤”或意译为消除肿胀之汤,鉴于要求忠实原文,暂译为“肿汤”,并在解释中隐含其意,但严格来说应译为“[消]肿汤”或仅“肿汤”。考虑到学术严谨性,若原文确为“肿汤”,则译为“肿汤”。注:原文可能有误,常见为“消肿汤”,但此处严格按“肿汤”处理,或理解为省略了动词。为了通顺,可译为“治疗肿胀的汤剂”或直接音译/直译。这里选择直译“肿汤”,并在英文中对应。)
升麻 麻黄 防风 生地黄 细辛 川芎(各三钱) 以上药材用水五碗,煎煮十余次沸腾,待稍热时淋洗,内服外敷均有如神效。(注:原文“淋 ,内消如神”,中间缺字,通常为“淋洗”或“熏洗”,且“内消”可能指内服或内部消散。结合前文“淋洗”,此处应为外用淋洗,而“内消”可能指药效深入内部消散肿块,或者原文有误。根据常规中医外治法,多为熏洗。此处译为“稍热时淋洗,可使内部肿块如神速般消散”。)
又一方:漏芦 升麻 芒硝 栀子仁 蒴藋(原文“蒴 ”,通常指蒴藋) 黄芩(各三钱) 以上药材用水五碗,煎煮十余次沸腾,待稍热时淋洗,或者用干净的布蘸取药液擦拭,效果良好。
大铁箍散:敷贴治疗一切肿毒。以下皆为围敷方剂。
芙蓉叶 木鳖子(各四两) 寒水石 白芷 赤小豆 黄柏 白蔹(各二两) 紫荆皮 贝母 大黄 地青(原文“地青”,疑为“地榆”或“青黛”之误,或地方别名,此处保留原名或译为Diqing) 羌活 白及(各一两) 防风(五钱)
以上药材研为细末,用水调匀后围敷在肿毒四周。如果肉质脆弱易溃烂,则去掉白蔹、白及,加入生地黄、地榆,用芭蕉汁调和。
To tonify the Middle Qi (Middle Jiao Qi), Si Jun Zi Tang (Four Gentlemen Decoction), Si Wu Tang (Four Substance Decoction), and Ba Zhen Tang (Eight Treasures Decoction) can be taken alternately (see the chapter on Deficiency and Damage for various decoction formulas). Use Liu Jun Zi Tang (Six Gentlemen Decoction, i.e., Si Jun Zi Tang plus Chen Pi [Tangerine Peel] and Ban Xia [Pinellia Rhizome]) according to suitability.
Xiong Huang Jie Du San (Realgar Detoxification Powder): Indicated for all sores, carbuncles, and severe toxic swellings. After using this medicine two or three times, switch to Zhu Ti Tang (Pig Trotter Decoction).
Ming Fan (Alum, 4 liang) Han Shui Shi (Calcitum, dosage unspecified in text) Xiong Huang (Realgar, calcined. Each 1 liang) Water 3 bowls. Add the aforementioned powders (5 qian) to the water, pour over the affected area for washing, and apply plaster.
Zhu Ti Tang (Pig Trotter Decoction): Used to reduce toxic swelling, remove necrotic tissue, moisten the wound edges, and relieve pain. Take one pig trotter, boil it to obtain five bowls of broth, and use this broth to decoct the herbs.
Bai Zhi (Angelicae Dahuricae Radix) Huang Qin (Scutellariae Radix) Feng Fang (Vespa Nest, preferably aged) Dang Gui (Angelicae Sinensis Radix) Chi Shao Yao (Paeoniae Radix Rubra) Gan Cao (Glycyrrhizae Radix et Rhizoma, each 5 qian). The above herbs are coarsely crushed, decocted in the pig trotter broth, filtered to remove dregs, and used to wash the affected area. The following are all washing prescriptions.
Zhong Tang (Swelling-Decoction - *Note: Text likely implies Xiao Zhong Tang*):
Sheng Ma (Cimicifugae Rhizoma) Ma Huang (Ephedrae Herba) Fang Feng (Saposhnikoviae Radix) Sheng Di Huang (Rehmanniae Radix) Xi Xin (Asari Radix et Rhizoma) Chuan Xiong (Ligustici Chuanxiong Rhizoma, each 3 qian). The above herbs are decocted in five bowls of water for about ten boils. When slightly warm, pour over the affected area; it can dissipate internal swelling with miraculous effect.
Another prescription: Lou Lu (Euphorbiae Humifusae Herba) Sheng Ma (Cimicifugae Rhizoma) Mang Xiao (Natrii Sulfas) Zhi Zi Ren (Gardeniae Semen) Shuo Dao (Dioscoreae Hypoglaucae Caulis - *Text says "Shuo ", likely Shuo Dao*) Huang Qin (Scutellariae Radix, each 3 qian). The above herbs are decocted in five bowls of water for about ten boils. When slightly warm, pour over the affected area, or soak a clean cloth in the liquid and wipe the area; this is effective.
Another prescription: Ku Shen (Sophorae Flavescentis Radix) Fang Feng (Saposhnikoviae Radix) Gan Cao (Glycyrrhizae Radix et Rhizoma) Lu Feng Fang (Vespa Nest). Wash according to the previous method.
Da Tie Gu San (Great Iron Hoop Powder): Applied externally for all types of toxic swellings. The following are all encircling (poultice) prescriptions.
Fu Rong Ye (Hibisci Mutabilis Folium) Mu Bie (Momordicae Semen, each 4 liang) Han Shui Shi (Calcitum) Bai Zhi (Angelicae Dahuricae Radix) Chi Xiao Dou (Adzuki Bean) Huang Bo (Phellodendri Cortex) Bai Lian (Ampelopsis Radix, each 2 liang) Zi Jing Pi (Cercidiphylli Cortex) Bei Mu (Fritillariae Bulbus) Da Huang (Rhei Radix et Rhizoma) Di Qing (*Di Qing*, likely a local name or typo for Di Yu/Qing Dai) Qiang Huo (Notopterygii Rhizoma et Radix) Bai Ji (Bletillae Rhizoma, each 1 liang) Fang Feng (Saposhnikoviae Radix, 5 qian).
The above herbs are ground into powder. Mix with water to form a paste and apply around the periphery of the swelling. If the flesh is fragile and prone to ulceration, remove Bai Lian and Bai Ji, add Sheng Di Huang (Rehmanniae Radix) and Di Yu (Sanguisorbae Radix), and mix with juice from Banana Stem (Musa Basjoo).