治小儿虚中积,潮热寒热,心腹胀满,痛疼者。
辰砂(一两) 牛黄 生龙脑 麝香(各一分) 金箔(十四片) 粉霜(一钱) 腻
粉(一钱) 蜡
上丸如弹子圆,量虚实加减,龙脑浆水下,夜半后服,脏虚即以龙脑米饮下,每服三丸,
如小豆大,药势缓,即按令扁,疾坚者加至十丸,皆以针刺作数孔,以行药力,小儿取积丸
如绿豆,治小儿吐逆尤效,此药最下胸中烦,及虚积。
出《圣惠方》。
当归(焙干为末研细)
上着脐中,频用自瘥,予家小儿常病脐湿,五十余日,贴他药皆不瘥,《圣惠方》有十
余方。
从上试之,至此方一敷而干,后因尿入疮皮。复病,又一贴愈。
马牙硝 白矾(各半斤) 黄丹(一分)
上同研入合子固济,火烧令红,覆润地一夜,再研。加龙脑半钱,甘草汤下一字,或半
钱。
淫浸久不瘥,及耳疮等悉主之。
石录 白芷(等分)
上以生甘草洗疮,敷药一日愈。
杂记传小说中有数方,既着于书,必有良验。今录于此,《北梦琐言》,记火烧疮方法。
孙光显家人作煎饼,一婢抱孩子拥炉,不觉落火炉之上,遂以醋泥敷之。至晓不痛亦无瘢痕,
是知
《朝野佥载》。记毒蛇伤。用艾炷当啮处灸,引去毒瓦斯即瘥。其余恶虫所螫,马汗入疮,
用
又记,筋断须续者,取旋复根绞取汁,以筋相对,取汁涂而封之,即相续如故。蜀儿如
逃走,多刻筋,以此续之,百不失一。
《广五行记》。治噎疾,永徽中。绛州有僧病噎数年,临死遗命,令破喉视之,得一物
似鱼,而有两头,遍体悉是鱼鳞,致钵中,跳跃不止。以诸味置钵中,悉化为水。时寺中方
刈蓝作靛,试取少靛置钵中。此虫绕钵畏避,须臾虫化为水,世人以靛治噎疾。
《国史补》。言有白岑者,疗发背,其验十全。后为淮南十将,节度使高适,胁取其方,
然不甚效。岑至九江,为虎所食,驿吏于囊中得其真方,太原王升之,写以传布。后鲁国孔
南得岑方,为王传,《号灵方》,至今具于后。吕君子西华,洛阳人,孤贫无家,著作郎韦
与其先有旧,以其子妻之,应秀才,五举不第,与同志张元伯入王屋山,时莫知之者。俄而
华疽发背,脓血被身,筋骨俱见,告元伯曰∶“吾将死矣!扶至于水傍,俟天命而已。”元伯
无可奈何,因从其言,露卧数宿。忽有一胡僧,振锡而至,视其疮曰∶“膜尚完,可治也。”
乃出合中药,涂于软帛上,贴四五日生肌,八九日肉乃平,饮膳如故。僧云∶“吾将它适,
虑再发,此疾无药疗。”因示其方,令秘之,西华顿首曰∶“微吾师,遗骸邱亩矣。虽力未能
报,愿少伸区区。何遽言别乎?”僧曰∶“始以君病而来,今愈吾去矣,安用报为?”乃去,
数步之间不复见。西华归以事白韦,韦因请其方,西华不与,韦知其终不可得。乃白于考功
裴辉卿员外,请以名第啖而取之,裴如其言。西华对曰∶“愚修文以求名,不沽方以求进。”
竟下第而返。后河南尹闻之,谓韦曰∶“有一计取之”。韦曰何计。曰陷于法禁,免其罪而
KT之。逾月果罹其罪,狱成引决,亲喻之,令出其所秘方,可以免雪。西华守死无求免之色,
尹无奈何,乃释之。西华知失考功之旨,又见薄于外舅,虽精苦日甚,而文趣转疏,如是经
五稔,见黜于春官,乃罢去薄游。梁宋间,姨弟李潜,尉商邱,淹延半岁,以酒肉过量,疽
复发,既荐,复以前方疗之,惧人知之,忧疑阻丧,久不能决。潜知其意,乃喻之曰∶“闻
有《神授名方》,今病亟矣!奈何惧潜见方之故,忽死而不治,岂保生承继之意也。西华不
得已,口授之,潜欲审其事,皆三反复之,及药成,潜亲敷之。寻疾平,乃游荆蛮,不知所
之。潜于是手疏五十本,遍遗亲戚。以矫西华之僻。前润州金坛县尉得其方。每贮其药物,
尝游西蜀,活将死者五六人。每欲传其事贻于后,以家故行役,未谐此意。贞元十年冬十月,
偶于秋浦,与霍愿同诣周南宅,夜话既久,言及方书,遂授之于周南,令志之。方曰此发背
者,自内而出外者也,热毒中膈,气血凝涩,蒸背上虚处,先三五日隐脉妨闷,积渐成肿,
始出皮肤,结聚成脓也,其方如后。
白麦饭石(颜色黄白,类麦饭者尤佳,炭火烧出,醋中浸十遍止) 白蔹末(与石等分)
鹿角(二三寸截之,不用自脱者,元带脑骨者,即非自脱,炭火烧烟尽为度,杵为末,依前
二味)
上并捣细末,取多年米醋,于铫中煎,令鱼眼沸,即下前件药末,调如稀饧,以篦子
涂,敷肿上,只当疮头留一指面地,勿令合,以出热气,如未脓,当内消。若已作头,当撮
小
无不瘥。疮切忌手触,宜慎之。《刘梦得传信方》亦出,不如此之备。
《北齐书》。杨遵彦患发背肿,马嗣明以炼石涂之,便瘥。其方取粗黄石如鹅卵大,猛
火令赤,内酽醋中。因有屑落醋中,频烧石尽,取屑,暴捣,和醋涂于肿上,与《白岑方》
相类也。
《独异志》。唐贞观中,张宝藏为金吾卫士,尝因下直,归栎阳,路逢少年畋猎,割鲜
野食,倚树叹曰∶“张宝藏身年七十,未尝得一食酒肉如此者,可悲哉!”旁有僧指曰∶“六
十日内,官登三品,何足难也。”言讫不见,宝藏异之。即时还京师,时太宗苦于气痢,众
医不效,即下诏问殿廷左右,有能治此疾者,当重赏之。宝藏曾困其疾,即具疏乳煎荜茇方,
上服之立瘥。宣下宰臣,与五品官。魏征难之,逾月不进拟。上疾复发,问左右曰∶“吾前
服乳煎荜拨有功,复命进一啜,又平?”因思曰∶“尝令与进方,人五品官,不见除授,
也?”征惧曰∶“奉诏之后,未知文武二吏”。上怒曰∶“治得宰相,不妨已授三品官,
子也,岂不及汝耶”。乃厉声曰∶“与三品文官,授鸿胪寺卿”。时正六十日矣,其方每服,
用
《马提刑》。记医先祖忠肃公,天圣中,以工部尚书知濠州,家有媪病漏,盖十余年。
一日老兵扫庭下,且言前数日过市,有医自远来,道疮漏可治,特顷刻之力耳。媪曰∶“吾
更医多矣,不信也”。其党有以白忠肃公者,即为召医视之,曰可治无疑。须活鳝一,竹针
五七枚。医乃掷鳝于地,鳝因屈盘,就盘以竹针贯之,覆疮良久,取视,有白虫数十如针着
鳝。医即令置杯中,蠕动如线。复覆之,又得十余枚,如是五六。医者曰∶“虫固未尽,然
其余皆小虫”。竟请以常用药敷之,时家所有,槟榔黄连为散敷之,医未始用药,明日可以
干艾作汤。投白矾末二三钱,洗疮然后敷药,盖老人血气冷,必假艾力以佐阳,而艾性亦能
杀虫也。如是者再,即生肌,不一月当愈,既而如其言。医曰∶“疮一月不治则有虫,虫能
蠕动,气血亦随之,故疮漏不可遽合则结痛,实虫所为。”又曰,“人每有疾,经月不痊,则
必惫,虚劳妇人则补脾血,小儿则防惊疳,二病则并治瘴疠,医无名于世,而治疾有效,亦
良医也”。又其言有理,故并
治疗小儿因虚损导致的积滞,表现为定时发热或忽冷忽热,心胸腹部胀满疼痛的情况。
辰砂(一两)、牛黄、生龙脑、麝香(各一分)、金箔(十四片)、粉霜(一钱)、腻粉(一钱)、蜡。
以上药物制成如弹丸大小的药丸,根据患者虚实情况调整剂量,用龙脑浆水送服,在半夜之后服用;若脏腑虚弱则用龙脑米饮送服。每次服用三丸,如小豆大小。若药力过缓,可将药丸按扁;病情急重者加至十丸。所有药丸均需用针刺出数个小孔,以便药力发挥。小儿取积丸做成绿豆大小,治疗小儿呕吐逆气尤为有效。此药能最有效地消除胸中烦闷及虚性积滞。
出自《圣惠方》。
当归(焙干后研成细末)。
将药末敷于脐中,频繁使用即可自愈。我家的小儿常患脐部潮湿,五十多天未愈,贴敷其他药物均无效。《圣惠方》中有十余个方子,从上到下试了一遍,直到这个方子,敷一次就干了。后来因为尿液进入疮口,病情复发,再贴一次就好了。
马牙硝、白矾(各半斤)、黄丹(一分)。
以上药物共同研磨,放入盒子中密封好,用火烧烤至通红,然后扣在湿润的地面上过夜,再次研磨。加入龙脑半钱,用甘草汤送服一字量或半钱。
主治久治不愈的浸淫疮以及耳疮等病症。
石录、白芷(等分)。
以上药物先用生甘草清洗疮口,然后敷药,一天即可痊愈。
杂记和传小说中有几个方子,既然记载在书中,必定有良效。现在记录于此。《北梦琐言》记载了火烧伤的治疗方法:孙光显的家人做煎饼时,一个婢女抱着孩子靠近火炉,不小心让孩子掉进火炉里,于是用醋泥敷在上面。到第二天早晨,孩子既不痛也没有留下瘢痕。由此可知,《朝野佥载》记载毒蛇咬伤的治疗:用艾炷在被咬处艾灸,引出毒气即可痊愈。其余被恶虫叮咬、马汗进入疮口的情况,也用类似方法处理。又记载,肌腱断裂需要接续的情况,取旋复根绞取汁液,将断筋相对,用汁液涂抹并包扎,就能像原来一样连接起来。蜀地的小孩如果逃跑,常被刻划筋脉,用这个方法接续,百无一失。
《广五行记》记载治疗噎膈病:唐永徽年间,绛州有一位僧人患噎膈病数年,临死前遗命让人剖开喉咙查看,发现有一个像鱼一样的东西,有两个头,全身都是鱼鳞,放在钵中不停跳跃。把各种食物放进钵中,都化为水。当时寺中正在收割蓝草制作靛蓝,试着取少量靛蓝放入钵中。这只虫子绕着钵躲避,一会儿虫子化为水。世人因此用靛蓝治疗噎膈病。
《国史补》记载:有个叫白岑的人,治疗发背疽,疗效十全十美。后来他担任淮南十将,节度使高适胁迫他交出医方,但那个方子效果并不显著。白岑到了九江,被老虎吃掉,驿吏在他的囊袋中得到了真正的医方,太原人王升之抄写并传播开来。后来鲁国人孔南得到白岑的方子,由王升之传授,称为“灵方”,至今详细记载在后面。吕君子西华是洛阳人,孤苦贫穷无家可归。著作郎韦与他父亲有旧交,将女儿嫁给他。他参加秀才考试,五次落第。他与志同道合的朋友张元伯进入王屋山,当时没人知道他们的行踪。不久,子西华背上发了疽,脓血满身,筋骨俱现。他对张元伯说:“我要死了!扶我到水边,听天由命吧。”张元伯无可奈何,只好听从他的话,让他露天躺了几宿。忽然有一位胡僧,挥动锡杖来到,看了他的疮说:“皮膜还在,可以治愈。”于是拿出盒子里的药,涂在软帛上贴敷,四五天长出新肉,八九天肌肉平整,饮食恢复如常。僧人说:“我将要去别处,担心你复发,这种病没有药可治。”于是出示医方,让他保密。子西华叩头说:“如果没有老师,我的尸骨就埋在田野了。虽然力量不足以报答,但愿稍微表达一点心意,怎么急着说告别呢?”僧人说:“起初是因为你生病才来的,现在你好了我走了,何必报答呢?”于是离开,几步之间就不见了。子西华回去后将事情告诉韦,韦于是请求得到医方,子西华不给,韦知道他终究得不到。于是向考功员外裴辉卿禀报,想用功名诱骗来获取医方,裴照办了。子西华回答说:“我修身求名,不卖方子求晋升。”最终落第返回。后来河南尹听说此事,对韦说:“有一计可以获取它。”韦问是什么计策。河南尹说:“让他触犯法律禁令,免除他的罪责来交换。”过了一个月,子西华果然获罪,狱案已成,准备自杀。河南尹亲自劝慰他,让他说出秘方的医方,就可以免罪。子西华坚守死志,没有求免的神色,河南尹无可奈何,于是释放了他。子西华知道失去了考功员的旨意,又受到岳父的轻视,虽然日益精进刻苦,但文思反而疏淡。这样经过五年,在春官考试中再次被黜退,于是罢去薄游。在梁宋之间,姨弟李潜任商邱县尉,滞留半年,因酒肉过量,疽病复发。已经推荐了他,又想用前面的方子治疗,害怕别人知道,犹豫沮丧,久久不能决定。李潜知道他的心意,便劝他说:“听说有《神授名方》,现在病情危急!为什么害怕让我看见方子而忽视死亡而不治疗,这难道是保全生命继承香火的意思吗?”子西华不得已,口头传授给他,李潜想核实这件事,反复询问三次,等到药制成,李潜亲自敷药。很快病好了,于是游历荆蛮,不知去向。李潜于是亲手抄写五十本,遍赠亲戚,以矫正子西华的怪僻。前任润州金坛县尉得到了这个方子,每次储存药物,曾游历西蜀,救活将死的五六个人。每次想将此事传给后人,但因家事服役,未能实现这个意愿。贞元十年冬十月,偶然在秋浦,与霍愿一同前往周南宅,夜间长谈,谈到医书,于是将方子传授给周南,让他记录下来。方子说:这是发背疽,是从内部发出到外部的,热毒郁结在胸膈,气血凝涩,蒸灼背部空虚之处,先在三五天内隐伏脉理妨碍闷乱,逐渐形成肿胀,开始出现在皮肤表面,结聚成脓。其方如下:
白麦饭石(颜色黄白,像麦饭的最好,用炭火烧红,在醋中浸泡十次为止)、白蔹末(与石头等分)。
鹿角(二三寸截断,不用自然脱落的,原本带有脑骨的,就不是自然脱落,用炭火烧至烟尽为度,捣成末,依从前两味药的比例)。
以上一起捣成细末,取多年的米醋,在铫子中煎煮,令其出现鱼眼般的气泡沸腾,即下前件药末,调成稀饧状,用篦子涂抹,敷在肿胀处,只在疮头留一指宽的地方不要封闭,以排出热气,如果还没有化脓,应当内消。如果已经出脓头,应当撮起小口,无不痊愈。疮口切忌用手触摸,应当谨慎。《刘梦得传信方》也有记载,但不如此完备。
《北齐书》记载:杨遵彦患发背肿,马嗣明用炼过的石头涂抹,随即痊愈。其方取粗黄石如鹅卵大,猛火烤红,放入浓醋中。因为有碎屑落入醋中,频繁烧石头直到烧尽,取碎屑,晒干捣碎,和醋涂在肿胀处,与《白岑方》相似。
《独异志》记载:唐贞观年间,张宝藏是金吾卫士,曾经下班回家到栎阳,路上遇到少年打猎,割鲜肉野外进食,靠在树上叹息说:“张宝藏身年七十,从未吃过这样的酒肉,可悲啊!”旁边有位僧人指着他说:“六十日内,官登三品,有什么难的。”说完不见,张宝藏觉得很奇异。立即回京师,当时太宗苦于气痢,众医无效,于是下诏询问殿廷左右,有能治此疾的,当重赏。张宝藏曾受此病困扰,于是具疏呈上乳煎荜茇方,太宗服用后立即痊愈。宣下宰臣,授予五品官。魏征为难,超过一个月不提交拟任名单。皇上病复发,问左右说:“我之前服乳煎荜茇有功,再命进一啜,又平复了吗?”心想:“曾经命令给予进方人五品官,没见除授,怎么回事?”魏征恐惧地说:“奉诏之后,未知文武二吏。”皇上怒曰:“治好宰相的病,不妨已授三品官,你是儿子,岂不及你耶”。于是厉声曰:“与三品文官,授鸿胪寺卿”。当时正好六十日了。其方每服,用……
《马提刑》记载:医先祖忠肃公,在天圣年间,以工部尚书身份知濠州,家中有一位老妇人患漏疮,大概十多年了。有一天老兵打扫庭院,并且说前几天路过市场,有医生从远方来,说疮漏可以治,只是顷刻之力。老妇人说:“我看过很多医生了,不信。”有人将此告诉忠肃公,于是召医视之,说肯定可以治。需要活鳝一条,竹针五七枚。医生便将鳝鱼扔在地上,鳝鱼蜷曲盘绕,用竹针穿过盘子,覆盖在疮上很久,取出来看,有几十条白虫像针扎在鳝鱼上。医生即令放在杯中,蠕动如线。再覆盖上去,又得到十几条,像这样做了五六次。医生说:“虫子固然没尽,但其余都是小虫。”最终请用常用药敷之,当时家里有的,槟榔黄连为散敷之,医生并未用药,明天可以用干艾作汤。投入白矾末二三钱,洗疮然后敷药,盖老人血气冷,必借艾力以佐阳,而艾性也能杀虫也。像这样两次,就生肌,不到一个月应当痊愈,果然如其所言。医生说:“疮一个月不治则有虫,虫能蠕动,气血也随之,所以疮漏不可遽合则结痛,实为虫所为。”又说,“人每有疾,经月不痊,则必惫,虚劳妇人则补脾血,小儿则防惊疳,二病则并治瘴疠,医无名于世,而治疾有效,亦良医也”。又其言有理,故并……
Treats pediatric accumulation due to deficiency, manifesting as tidal fever or alternating chills and heat, chest and abdominal distension, fullness, and pain.
Cinnabar (Shachen, 1 liang), Realgar-derived Borneol? No, Niu Huang (Bovis Calculus), Sheng Long Nao (Crystal Borneol), She Xiang (Moschus) (each 1 fen), Jin Bo (Gold Leaf, 14 pieces), Fen Shuang (Calomel), Ni Fen (Calomel/White Lead?), La (Beeswax).
Process into pills the size of a bullet. Adjust dosage according to the patient's excess or deficiency. Administer with Long Nao Jiang Shui (Borneol water) after midnight; if the internal organs are deficient, administer with Long Nao Mi Yin (Borneol rice drink). Take three pills per dose, sized like small beans. If the medicinal effect is too slow, flatten the pill; for severe conditions, increase to ten pills. All pills must be pricked with a needle to create several holes to facilitate the release of medicinal power. For pediatric accumulation, make pills the size of mung beans; this is particularly effective for treating pediatric vomiting and reflux. This medicine most effectively eliminates chest distress and deficiency-type accumulation.
From *Sheng Hui Fang*.
Dang Gui (Angelica Sinensis Root), baked dry and ground into fine powder.
Apply the powder to the umbilicus frequently until self-healed. My family's child often suffered from damp umbilicus for over fifty days. Other applications were ineffective. *Sheng Hui Fang* contains over ten prescriptions. I tried them all in order, and upon reaching this prescription, it dried after one application. Later, urine entered the wound causing recurrence, but healed after another application.
Ma Ya Xiao (Niter), Bai Fan (Alumen), Huang Dan (Minium).
Grind these together, seal in a container, fire until red hot, invert over moist ground overnight, then grind again. Add Ban Qian of Long Nao (Borneol). Administer with Gan Cao Tang (Licorice Decoction), one character measure or half a qian.
Indicated for chronic impetigo that does not heal and otic sores.
Shi Lu (?), Bai Zhi (Angelicae Dahuricae Radix), equal parts.
Wash the sore with raw Gan Cao (Licorice) decoction, apply the medicine, and it heals in one day.
Miscellaneous records and novels contain several prescriptions which, having been recorded in books, must have good efficacy. I record them here. *Bei Meng Suo Yan* records the treatment for burns: A servant of Sun Guangxian was making pancakes; a maid holding a child near the stove accidentally dropped the child into the fire. They applied vinegar mud to it. By morning, there was no pain nor scar. Thus, *Chao Ye Qian Zai* records the treatment for venomous snake bites: Moxibustion with moxa cones at the bite site draws out the toxic qi, leading to recovery. Similar methods apply to bites from harmful insects or horse sweat entering wounds. It also records tendon rupture repair: Juice is extracted from Xuan Fu Gen (Inulae Radix), the severed tendons are aligned, coated with juice, and bandaged, restoring continuity. Children in Shu who run away often have their tendons cut; this method repairs them with 100% success.
*Guang Wu Xing Ji* records the treatment for dysphagia (Yie Ji): In the Yonghui era of Tang, a monk in Jiangzhou suffered from dysphagia for years. Before death, he ordered his throat to be opened, revealing a fish-like object with two heads and scales, jumping in a bowl. Various foods placed in the bowl turned to water. The temple was processing indigo; adding a little indigo caused the creature to avoid it and dissolve into water. People thus use indigo to treat dysphagia.
*Guo Shi Bu* records: A man named Bai Cen treated back carbuncles (Fa Bei) with perfect success. He later served as a General in Huainan. The Governor Gao Shi coerced him for his prescription, but it was not very effective. Bai Cen went to Jiujiang and was eaten by a tiger. An驿站 official found the true prescription in his bag. Wang Shengzhi of Taiyuan copied and disseminated it. Later, Kong Nan of Lugu obtained Bai Cen's prescription from Wang, calling it "Ling Fang" (Spiritual Prescription), detailed below.
Lu Zi Xihua was from Luoyang, orphaned and poor. Wei, a Writing Master, had an old friendship with his father and married his daughter to Xihua. Xihua took the Scholar Exam five times without passing. He entered Mount Wangwu with his friend Zhang Yuanbo, unknown to others. Soon, Xihua developed a back carbuncle, with pus and blood covering his body, exposing bones and sinews. He told Yuanbo, "I will die! Carry me to the water's edge, await my fate." Yuanbo complied, leaving him exposed for several nights. Suddenly, a Hu monk arrived with a staff, examined the wound, and said, "The membrane is intact; it can be cured." He applied medicine from a box onto soft silk, dressing the wound. After four to five days, new flesh grew; after eight to nine days, the flesh was level, and diet returned to normal. The monk said, "I am going elsewhere. Worry about recurrence; this disease has no cure." He showed the prescription and asked for secrecy. Xihua bowed, "Without you, my bones would be in the fields. Though I cannot repay you fully, let me express my gratitude. Why leave so soon?" The monk said, "I came because you were sick. Now you are well, I go. Why repay?" He left and vanished. Xihua reported this to Wei. Wei requested the prescription, but Xihua refused. Wei knew he could not get it. He reported to Pei Huiqing, Vice Minister of Personnel, who used official rank to entice Xihua. Xihua replied, "I cultivate literature for fame, not sell prescriptions for advancement." He failed the exam and returned. Later, the Henan Prefect told Wei, "I have a plan to get it." Wei asked how. The Prefect said, "Make him break the law, then pardon him in exchange for the secret prescription." A month later, Xihua was indeed convicted and prepared to commit suicide. The Prefect persuaded him, saying he could be pardoned if he revealed the prescription. Xihua remained firm, showing no desire to live. The Prefect released him. Xihua realized he lost the support of the Personnel Department and felt slighted by his father-in-law. Although he studied harder, his literary talent declined. Five years later, he failed the Spring Official examination again and stopped traveling. In Liangsong, his cousin Li Qian, Magistrate of Shangqiu, stayed for half a year. Due to excessive alcohol and meat, his carbuncle recurred. Li Qian wanted to use the previous prescription but feared exposure, hesitating for a long time. Li Qian understood his intent and advised, "I heard of the 'Divine Famous Prescription'. Your illness is critical! Why fear showing me the prescription and neglect treatment, contrary to preserving life and lineage?" Reluctantly, Xihua orally taught it. Li Qian verified it three times. When the medicine was ready, Li Qian applied it personally. The illness subsided quickly. Xihua wandered to Jingman, never to be seen again. Li Qian copied the prescription fifty times and distributed it to relatives to correct Xihua's eccentricity. The former County Magistrate of Jintan, Runzhou, obtained the prescription. He stored the herbs and traveled to Western Shu, saving five or six dying people. He wanted to pass the story to posterity but was delayed by family duties. In the winter of the tenth month of the tenth year of Zhenyuan, at Qiupu, Zhou Nan visited Huo Yuan. After a long night talk about medical texts, Xihua (implied context shift or Zhou Nan recording what he learned?) gave the prescription to Zhou Nan to record.
The prescription states: Back carbuncles originate internally and emerge externally. Heat-toxin stagnates in the chest/diaphragm, coagulating qi and blood, steaming the empty areas of the back. Initially, within three to five days, pulse obstruction causes stifling sensation, gradually swelling, appearing on skin, condensing into pus. The prescription is as follows:
Bai Mai Fan Shi (Wheat Meal Stone, yellow-white color, best if resembling wheat meal, fired in charcoal, soaked in vinegar ten times), Bai Lian End (Ampelopsis Radix powder, equal parts to stone).
Lu Jiao (Deer Horn, cut 2-3 cun, do not use naturally shed ones; those with brain bone attached are not natural sheds. Fire in charcoal until smoke ceases, grind to powder, proportional to the first two ingredients).
Grind all into fine powder. Take aged rice vinegar, boil in a yin vessel until "fish-eye" bubbles appear. Add the powders, mix into a thin paste. Apply with a comb. Cover the swelling, leaving only a finger-width area at the head open to vent heat. If not yet purulent, it should resolve internally. If a head forms, keep it small. No case fails. Avoid touching the sore with hands. *Liu Mengde Chuan Xin Fang* also mentions this but is less complete.
*Northern Qi Book* records: Yang Zunyan suffered from back carbuncle swelling. Ma Siming applied refined stone, curing him immediately. The prescription takes coarse yellow stone the size of a goose egg, fires it red hot, puts it in strong vinegar. Debris falls into vinegar. Repeat firing until stone is exhausted. Collect debris, dry, grind, mix with vinegar, apply to swelling. Similar to *Bai Cen Fang*.
*Duyi Zhi* records: In the Zhenguan era of Tang, Zhang Baozang, a Jinwu guard, returned to Liyang after duty. He saw youths hunting and eating fresh meat by a tree, sighing, "Zhang Baozang is seventy, never ate such wine and meat, how sad!" A monk pointed and said, "Within sixty days, you will reach third-rank official. Not difficult." Then vanished. Baozang was amazed. Returned to capital. Emperor Taizong suffered from gas dysentery; doctors failed. Edict offered reward for a cure. Baozang had suffered this, submitted a prescription of Milk-decocted Bi Bo (Long Pepper). Taizong recovered immediately. Ministers were ordered to grant fifth-rank office. Wei Zheng hesitated, delaying for a month. Illness recurred. Emperor asked, "Did the milk-Bi Bo work? Give another sip." Thinking, "Ordered fifth-rank for prescription, why no appointment?" Wei Zheng feared, "After edict, did not know civil/military officials." Emperor angry, "Cured Chancellor, why not grant third-rank? You are son, inferior to you?" Ordered, "Grant third-rank Civil Official, Honglu Temple Qing." Exactly sixty days. The prescription per dose uses...
*Ma Tixing* records: Medical ancestor Zhongsu Gong, in Tiansheng era, as Minister of Works knowing Haozhou. A household maid had a fistula for over ten years. One day, an old soldier sweeping said he saw a doctor from afar claiming fistulas are curable in an instant. Maid said, "I've seen many doctors, don't believe it." Someone told Zhongsu Gong, who summoned the doctor. Doctor said, "Definitely curable. Need one live eel, 5-7 bamboo needles." Doctor threw eel on ground; eel curled. Punctured eel with bamboo needles, covered the wound for a long time. Removed, saw dozens of white worms like needles in the eel. Doctor put them in a cup, wriggling like threads. Covered again, got more, repeated 5-6 times. Doctor said, "Worms not all gone, but rest are small." Finally prescribed common medicine. Household had Bing Lang (Areca Seed) and Huang Lian (Coptidis Rhizoma) powder to apply. Doctor didn't use drugs initially. Next day, use dry Ai (Mugwort) decoction. Add 2-3 qian Bai Fan (Alumen), wash wound, then apply medicine. Elderly have cold qi/blood, need Ai to assist Yang; Ai also kills worms. Do this twice, then flesh grows, heals in less than a month. As predicted. Doctor said, "If a sore is untreated for a month, worms appear. Worms move, dragging qi and blood. So fistulas cannot close quickly or they form painful knots, caused by worms." Also said, "When illness lasts a month without cure, exhaustion follows. Deficient women tonify Spleen blood; children prevent convulsive malnutrition. Both diseases treat malaria. This doctor is unknown but effective, truly a good physician." His words are reasonable, so I include them...