《内经·运气》丹 皆属火。经云∶少阳司天,客胜则丹疹外发,及为丹 是也。
《圣惠》云∶夫一切丹毒者,为人身体忽然变赤如丹之状,故谓之丹毒也。或发手足,或
发腹上如手大,皆风热恶毒所为,重者亦有疽之类也。若不急治则痛不可忍,久则坏烂
出脓血数升。若发于节间,便令人四肢毒肿,入于肠则杀人,小儿得之最为急也。 戴复
云∶发丹色状不一,痒痛亦异,大概皆因血热肌虚风邪所搏而发。然色赤者多,以赤
故谓之丹。宜消风散,入烧枫树子存性为末,酒调服。有发而色白者,谓之冷漠。宜消风
散杂黑神散酒调。此病多缘肌肉疏,为风邪所袭而成,风热则赤,风冷则白,今人但呼
赤为丹,白为瘼,所以用酒调土朱服之而愈者,亦以脾主肌肉,土能入脾,各从其类。古
方亦名为瘾疹,非特分寒热,亦兼备四气,近世方论呼为白婆瘼,赤为血风。赤白二证并
可用乌药顺气散,和消风散酒调服。白者多用顺气散,赤者多用消风散,病此者俱宜用
藿香正气散煎。有人一生不可食鸡肉及獐鱼动风等物,才食则丹随发,以此见得系是脾
风。脾主身之肌肉,藿香正气散乃治脾之药,而土朱亦入脾之药,此方屡试屡验。丹溪云∶
内伤斑者,胃气极虚,一身之火游行于外所致,宜补以降之。 尝治一中年男子,痈溃
后发热干呕,背发丹 ,用诸般敷贴丹 药,及用刀于个个丹头出血,丹皆不退,后以半、
陈、生姜加补剂,治呕不效,遂纯用参半两,归、术各钱半,浓煎一帖呕止,二三帖丹渐
缓,热渐减,约五十余帖热始除,神气始复。
金花散 治一切丹毒,热痛 赤。
郁金 黄连 黄芩(各一两) 糯米(三合)
上为末。每用蜜水调如泥,鸡翎扫丹上,干即易之。
治一切丹毒恶气攻刺,身体赤肿,疼痛不可忍。(《简要济众》)
车前草 益母草 地胆草
上等分。烂研涂,干再涂之。(如无新者,只以干者为末,冷水调敷。)
治一切丹毒恶气,五色无常,不即疗之,痛不可忍。若皮肤坏则出脓血,或发节解,则
断人四肢。此盖疽之类也,宜速治之方。
大蒜或小蒜
上杵如泥。浓涂之,干即再涂,以瘥为度。
又方 赤小豆(一升) 羊角(烧灰,半两)
上为末,鸡白和涂。如无羊角,即单用小豆亦良。
治一切丹毒,走皮中浸淫疼痛方。
蛴螬(研)
上以鸡子白和涂,干再涂。(先刺破,涂之良。)
治一切丹毒遍身。
芸苔子(一两)
上以酒一大盏,和研去滓,煎五七沸。无时温服一合。孙真人云∶治丹神验方,捣芸
苔叶,敷之即瘥。未愈,但三日内敷之。臣以正观十七年三月八日,内江县,每以饮多
至夜,睡中觉四肢骨肉疼痛,目眩头疼,额角上如弹丸大肿,不得手近,痛至午时至右
角,至夜诸处皆到,其眼合并不得开,几至于毙。县令周公,种种药治不瘥,经七日。臣
自处此方,其效如神,故疏之以传于世。又∶戴行之家传方云∶如无青者以干者为末,
水调敷,凡丹毒遍身,或连腰腹周匝,百方不能治,惟此辄能治之,凡治二十四般丹毒。
仙人水鉴治火丹
荞麦面 黄连(各少许)
上二味同研细,涂立瘥。切不得入油及盐。
孙真人曰∶丹毒一名天火。肉中忽有赤
如丹涂之状,大者如掌,甚者遍身,有痒有肿无定色。或有白丹,肉中肿起,痒而复痛,
微虚肿如吹瘾疹状。亦有鸡冠丹,赤色而起,大者如钱,小者麻豆粒状,如鸡冠色皮涩,一
名茱萸丹。或有火丹,或有水丹,遍身起,遇水湿搏之,晃晃然如黄色,如有水在皮中,喜
着眼及阴,此虽小疾,令人至死也。
治丹毒拓方
升麻 漏芦 芒硝(各二两) 栀子(二十枚) 黄芩(三两) 蒴 (五两)
上件以水三升,浸良久,煮取二升。以故布染汁拓后,须服漏芦汤。
漏芦汤方 非里实证,不可用。
漏芦 白蔹 黄芩 麻黄 白薇 枳壳 升麻 芍药 甘草 大黄(各三两)
上以水一斗,煮三升,分三服,快下之。无药之处,只单用大黄下之。
五香汤 主热毒瓦斯,卒肿痛结核,或似痈疽,使人头疼寒热,气急者,数日不除杀
人方。
青木香 藿香 沉香 丁香 薰六香(各一两)
上以水五升,煮取二升。分三服,不瘥更服之。
《刘涓子鬼遗方》治丹、痈疽始发, 热浸淫长成,拓汤方。
升麻 黄芩(各三两) 黄连 大黄(各二两) 当归 甘草(炙,各一两) 芎 (二两) 芒
硝(三两) 羚羊角屑(一两)
上 咀。以水一斗三升,煮取五升,绞去滓。铛中纳芒硝,上火搅令成沸尽滓。稍
分适冷热,贴帛拓肿上数过,其热随手消散。王练,甘林所秘不传此方。
朱氏家传治火丹
伏龙肝 猪槽下土(多年者) 朱砂(少许)
上为末。鸡子清调,鹅毛扫。
又方
踯躅花根 曲 土 壁上多丝虫窠 百草霜 伏龙肝 猪槽下土
上如上法用之。
金花散(《鬼遗》) 治一切丹毒。
郁金 黄芩 甘草 山栀子 大黄 黄连 糯米(以上各一两)
上七味,生为末。冷水和少生蜜调药,以鹅毛扫之。
圣涂散 长沙医者,郑愈传治大孕丹,诸般毒。
凌霄花 万州黄(各一分) 苎根(半两,切、焙)
上同杵烂,以酒和蜜同调服少许,仍涂丹上立效。
麻黄散(《千金》) 治恶毒丹及风疹。
麻黄 升麻 葛根(各一两) 射干 鸡舌香 甘草(炙,各半两) 石膏(半合)
上 咀。以水三升煮取一升。大人作一服,三岁儿分三服,日三。
〔本事〕 治烟火丹发从背起,或两胁及两足赤如火。景天草,真珠末一两,捣和如
泥,涂之。又方,治萤火丹从头起。慎火草(即景天)。捣,和苦酒,涂之。
丹毒,蓝靛敷,热即易(《子母秘录》)
〔肘〕 丹者恶毒之疮,五色无常。苎根三斤,水三斗煮汁,每日涂之。
治赤丹。用黄瓜种中瓤水,去子以器贮之。用时以水涂患处。又方,用腊雪贮器中,
久化为水,以水涂赤游妙。(并《初虞世》)
〔丹〕 诸丹毒肿。蚯蚓矢水和敷之。(《圣惠方》《外台》同。)
〔千〕 疗丹瘾疹方,酪和盐煮。以手摩之,手下消。
治赤游风肿。荞麦面,苦酒调敷。(《兵部手集》)
〔杨〕 治热赤游丹。栝蒌末二大两,酽醋调涂之。
治五色丹毒。煮栗皮有刺者,洗之佳。
拔毒散 治热毒丹肿,游走不定。
石膏 寒水石(并生用,各四两) 黄柏 甘草(各一两)
上为细末。以新水调扫之,或纸花子小
贴尤妙。凉水润之。
十二件单方 治丹毒,或得一物瘥。
水苔 生地黄 生松叶 蒴 叶 慎火草 浮萍 豆豉(水和) 大黄(水和) 栀子(水和)
黄芩(水和) 硝石 豆叶
上一十二味,但得一味捣以贴之,即瘥。赤小豆末,和鸡子涂之。无鸡子水和用之。
疗灶丹,从两脚赤如火烧。
上用五加叶,烧作灰五两,取 铁槽中水,和涂之。
治丹毒瘤
蜈蚣(干者,一条) 白矾(如皂子大) 雷丸(一个) 百部(二钱)
上为细末,醋调涂之。
郭氏金黄散 治热毒丹流游走不定,疼痛不止。
寒水石(二两) 郁金(一对) 蓝实 大黄 黄柏 黄连 景天(各一两)
上为细末。用鸡子清调敷,水亦可。
〔风丹〕
痛者为丹毒,痒者为风丹。
贾宅小娘,风痒。黄精丸四十粒,与
白术(七分) 枳实(炒) 黄芩(四钱)。
上分八帖,下之食前。
遍身风痒瘾疹。凌霄花细末,酒下一钱,立止。
鲍允中年五十岁,风丹痒甚,腹微疼,咽不利,面身微肿,五六日不退,两寸脉滑大
实,右浮大,左浮弦小,以炒芩,炒连、归、芎、芍、地、桔、草、黍粘、紫葳各一钱,防
风、黄 各半钱,凡五六帖而安。
〔世〕 河间神佑丸。(治风丹愈而复发,或隔一月发,或隔半年发者,此丸下之百发百中。
方见杂病水肿门。)
〔丹〕 一人患风丹,遍身痒,因酒得者。
浮萍(半两) 防风 黄 羌活(三钱) 当归(二钱) 干葛 麻黄(一钱) 生甘草(半钱)
〔世〕 治冷丹风。
防风 甘草 白僵蚕 蝉蜕 川芎 白芷 茯苓 荆芥 陈皮 浓朴 苍耳子 人
参
上为末。豆淋酒调服,二钱。
丹痒者,用韭叶掺些盐,与香油以手摩热,于丹上揩之,立愈。治风丹,用穿山甲
洗去腥,于瓦上炒过存性,每一两入甘草三钱为末,米饮调服。治血风疙瘩疮,斑疮。浮
萍捣取自然汁,豆淋酒下;四物浸酒下亦得。
〔丹〕 用羊蹄菜根,于生铁上以好醋磨,旋旋刮取,涂患处,未瘥更入硫黄少许,磨
涂之。
《黄帝内经·素问·六元正纪大论》中关于五运六气的论述指出:丹毒(一种皮肤红肿热痛的疾病)的病机属性皆归属于火。经文说:“少阳相火司天之年,客气胜则导致丹疹外发,以及出现丹毒症状。”
《太平圣惠方》记载:凡是各种丹毒,都是人体身体突然变得像丹砂一样赤红,所以称为丹毒。有的发作在手脚,有的发作在腹部,大小如手掌,这都是由风热恶毒邪气所致,严重的也有类似疽的病变。如果不紧急治疗,疼痛将难以忍受,时间久了则会溃烂流脓血数升。如果发作在关节之间,就会使人四肢肿胀有毒;邪气侵入肠道则会导致死亡,小儿患此病最为急重。戴复庵说:丹毒发作时的颜色和形态不一,瘙痒和疼痛的表现也不同,大概都是因为血热、肌肤虚弱,风邪搏结而引发。其中颜色发红的较多,因为红色所以称为丹。适宜使用消风散,加入烧枫树子(保留药性,研成粉末),用酒调服。有发作时颜色发白的,称为“冷丹”。适宜用消风散混合黑神散,用酒调服。这种病多是因为肌肉腠理疏松,被风邪侵袭而成,感受风热则色赤,感受风寒则色白。现在的人只把红色的叫作丹,白色的叫作瘼(此处指白色丹毒或瘾疹类病症),所以有些人服用土朱(赤石脂)并用酒调服而痊愈,这也是因为脾主肌肉,土能入脾,各从其类的缘故。古方也称之为瘾疹,不仅区分寒热,也兼备四气(风、寒、暑、湿)。近世的方论称白色的为“白婆瘼”(即白丹),红色的为“血风”。赤色和白色两种证型都可以使用乌药顺气散,配合消风散用酒调服。白色者多用顺气散,红色者多用消风散,患有此病的人都适宜服用藿香正气散煎剂。有人一生都不能吃鸡肉及獐鱼等动风的食物,一吃丹毒就随即发作,由此可以看出这是脾风所致。脾主管身体的肌肉,藿香正气散是治疗脾病的药物,而土朱也是入脾的药物,这个方子屡试屡验。朱丹溪说:内伤导致的斑疹,是因为胃气极度虚弱,一身之火游行于体表所致,适宜用补益法以降火。我曾治疗一名中年男子,痈疽溃破后发热干呕,背部发出丹毒,用了各种敷贴丹毒的药,又用刀在每个丹头刺破出血,但丹毒都不消退。后来用半夏、陈皮、生姜加上补益药剂,治疗呕吐无效,于是单纯重用人参半两,当归、白术各钱半,浓煎一帖,呕吐停止,两三帖后丹毒逐渐缓解,热势渐减,大约五十多帖后热势才完全消除,神气才恢复。
金花散:治疗各种丹毒,热痛且色赤。
配方:郁金、黄连、黄芩(各一两)、糯米(三合)。
制法与用法:以上药物研为细末。每次取适量,用蜂蜜水调成泥状,用鸡毛扫在丹毒患处,干了就更换。
治疗各种丹毒恶气攻刺,身体赤肿,疼痛不可忍受。(出自《简要济众方》)
配方:车前草、益母草、地胆草。
制法与用法:以上药物等分。捣烂研碎后涂敷,干了再涂。(如果没有新鲜的,只用干品研末,冷水调敷即可。)
治疗各种丹毒恶气,颜色五色无常,不立即治疗,疼痛难忍。如果皮肤坏损则流出脓血,或者发作在关节处,则会导致四肢断绝坏死。这大概是疽的一类,应当迅速治疗的方子。
配方:大蒜或小蒜。
制法与用法:捣成泥状。浓涂在患处,干了就再涂,以痊愈为度。
又一方:赤小豆(一升)、羊角(烧成灰,半两)。
制法与用法:研为细末,用鸡蛋清调和涂敷。如果没有羊角,单用赤小豆也很好。
治疗各种丹毒,游走于皮中,浸淫疼痛的方子。
配方:蛴螬(研碎)。
制法与用法:用鸡蛋清调和涂敷,干了再涂。(先刺破皮肤,涂之效果好。)
治疗各种丹毒遍身。
配方:芸苔子(油菜籽,一两)。
制法与用法:用一大盏酒,和研去渣,煎煮五六沸。随时温服一合。孙真人说:治疗丹毒的神效方,捣烂芸苔叶,敷上即刻痊愈。如果没好,只要在三日内敷用。臣下我在贞观十七年三月八日,在内江县,因为饮酒过多到夜晚,睡觉中觉得四肢骨肉疼痛,目眩头疼,额角上像弹丸大的肿块,不能用手触碰,疼痛直到中午传到右角,到了夜晚各处都到了,眼睛合并得无法睁开,几乎致死。县令周公,用各种药治疗都没好,经过七天。我自己拟定这个方子,效果如神,所以记录下来流传于世。另外:戴行之家传方说:如果没有青色的芸苔,就用干品研末,用水调敷。凡是丹毒遍身,或者连腰腹周围,百方不能治的,只有这个方能治好,凡治疗二十四种丹毒。
仙人水鉴:治疗火丹。
配方:荞麦面、黄连(各少许)。
制法与用法:以上两味同研细,涂敷立刻痊愈。切记不得加入油和盐。
孙真人说:丹毒又名天火。肉中忽然出现像丹砂涂抹一样的红色,大的如手掌,严重的遍身,有痒有肿,颜色不定。或者有白丹,肉中肿起,痒后又痛,微虚肿得像吹起的瘾疹状。也有鸡冠丹,红色而起,大的如铜钱,小的如麻豆粒状,像鸡冠色,皮涩,一名茱萸丹。或者有火丹,或者有水丹,遍身起,遇到水湿搏结,晃晃然呈黄色,好像有水在皮中,喜欢侵犯眼睛及阴部,这虽然是小病,但令人至死。
治疗丹毒拓方(热敷方):
配方:升麻、漏芦、芒硝(各二两)、栀子(二十枚)、黄芩(三两)、蒴藋(五两)。
制法与用法:以上药材用水三升,浸泡很久,煮取二升。用旧布蘸汁热敷患处,之后必须服用漏芦汤。
漏芦汤方:如果不是里实证,不可用。
配方:漏芦、白蔹、黄芩、麻黄、白薇、枳壳、升麻、芍药、甘草、大黄(各三两)。
制法与用法:用水一斗,煮取三升,分三次服,使大便通畅泻下。无药之处,只单用大黄泻下即可。
五香汤:主治热毒瓦斯,突然肿痛结核,或像痈疽,使人头疼寒热,气急的,数日不除杀人的方子。
配方:青木香、藿香、沉香、丁香、薰陆香(乳香,各一两)。
制法与用法:用水五升,煮取二升。分三次服,不好再服。
《刘涓子鬼遗方》治疗丹、痈疽始发,热浸淫长成,热敷汤方。
配方:升麻、黄芩(各三两)、黄连、大黄(各二两)、当归、甘草(炙,各一两)、川芎(二两)、芒硝(三两)、羚羊角屑(一两)。
制法与用法:切碎。用水一斗三升,煮取五升,绞去渣。将芒硝放入锅中,上火搅拌令其沸腾尽滓。稍分冷热,贴帛热敷肿处数次,热随手消散。王练,甘林所秘不传此方。
朱氏家传治疗火丹:
配方:伏龙肝、猪槽下土(多年的)、朱砂(少许)。
制法与用法:研为细末。用鸡蛋清调和,鹅毛扫涂。
又方:
配方:踯躅花根、曲、土、壁上多丝虫窠、百草霜、伏龙肝、猪槽下土。
制法与用法:如上法使用。
金花散(出自《鬼遗方》):治疗一切丹毒。
配方:郁金、黄芩、甘草、山栀子、大黄、黄连、糯米(以上各一两)。
制法与用法:以上七味,生研为末。冷水和少量生蜜调药,用鹅毛扫涂。
圣涂散:长沙医者郑愈传治大孕丹,各种毒。
配方:凌霄花、万州黄(各一分)、苎根(半两,切、焙)。
制法与用法:同捣烂,用酒和蜜同调服少许,仍涂丹上立效。
麻黄散(出自《千金方》):治疗恶毒丹及风疹。
配方:麻黄、升麻、葛根(各一两)、射干、鸡舌香、甘草(炙,各半两)、石膏(半合)。
制法与用法:切碎。用水三升煮取一升。大人作一服,三岁儿分三服,日三。
〔本事方〕 治疗烟火丹发从背起,或两胁及两足赤如火。景天草,真珠末一两,捣和如泥,涂之。又方,治疗萤火丹从头起。慎火草(即景天)。捣,和苦酒(醋),涂之。
〔肘后备急方〕 丹是恶毒之疮,五色无常。苎根三斤,水三斗煮汁,每日涂之。
治疗赤丹。用黄瓜种中瓤水,去子以器贮之。用时以水涂患处。又方,用腊雪贮器中,久化为水,以水涂赤游妙。(并出自《初虞世》)
〔丹溪心法〕 诸丹毒肿。蚯蚓矢水和敷之。(《圣惠方》《外台秘要》同。)
〔千金方〕 疗丹瘾疹方,酪和盐煮。以手摩之,手下消。
〔杨氏家藏方〕 治疗热赤游丹。栝蒌末二大两,酽醋调涂之。
治疗五色丹毒。煮栗皮有刺者,洗之佳。
拔毒散:治疗热毒丹肿,游走不定。
配方:石膏、寒水石(并生用,各四两)、黄柏、甘草(各一两)。
制法与用法:研为细末。用新水调扫之,或用纸花子小贴尤妙。凉水润之。
十二件单方:治疗丹毒,或得一物瘥。
配方:水苔、生地黄、生松叶、蒴藋叶、慎火草、浮萍、豆豉(水和)、大黄(水和)、栀子(水和)、黄芩(水和)、硝石、豆叶。
制法与用法:以上十二味,只要得一味捣烂贴之,即愈。赤小豆末,和鸡蛋涂之。无鸡蛋水和用之。
疗灶丹,从两脚赤如火烧。
用上方的五加叶,烧作灰五两,取铁槽中水,和涂之。
治丹毒瘤:
配方:蜈蚣(干者,一条)、白矾(如皂子大)、雷丸(一个)、百部(二钱)。
制法与用法:研为细末,醋调涂之。
郭氏金黄散:治疗热毒丹流游走不定,疼痛不止。
配方:寒水石(二两)、郁金(一对)、蓝实、大黄、黄柏、黄连、景天(各一两)。
制法与用法:研为细末。用鸡蛋清调敷,水亦可。
贾宅小娘,风痒。黄精丸四十粒,与白术(七分)、枳实(炒)、黄芩(四钱)。
制法与用法:分八帖,食前下之。
鲍允中年五十岁,风丹痒甚,腹微疼,咽不利,面身微肿,五六日不退,两寸脉滑大实,右浮大,左浮弦小,以炒芩,炒连、归、芎、芍、地、桔、草、黍粘、紫葳各一钱,防风、黄芩各半钱,凡五六帖而安。
〔世医得效方〕 河间神佑丸。(治风丹愈而复发,或隔一月发,或隔半年发者,此丸下之百发百中。方见杂病水肿门。)
〔丹溪心法〕 一人患风丹,遍身痒,因酒得者。
配方:浮萍(半两)、防风、黄芩、羌活(三钱)、当归(二钱)、干葛、麻黄(一钱)、生甘草(半钱)。
〔世医得效方〕 治疗冷丹风。
配方:防风、甘草、白僵蚕、蝉蜕、川芎、白芷、茯苓、荆芥、陈皮、浓朴、苍耳子、人参。
制法与用法:研为末。豆淋酒调服,二钱。
丹痒者,用韭叶掺些盐,与香油以手摩热,于丹上揩之,立愈。治风丹,用穿山甲洗去腥,于瓦上炒过存性,每一两入甘草三钱为末,米饮调服。治血风疙瘩疮,斑疮。浮萍捣取自然汁,豆淋酒下;四物浸酒下亦得。
According to the discussion on the Five Movements and Six Qi in *Huangdi Neijing* (Yellow Emperor's Inner Canon), Dan Du (a skin disease characterized by redness, swelling, heat, and pain) is pathogenically attributed to Fire. The classic states: "In years when Shaoyang Ministerial Fire governs the sky, if the guest pathogen prevails, it leads to the external eruption of Dan Zhen (red rashes) and the appearance of Dan Du symptoms."
*Tai Ping Sheng Hui Fang* records: All types of Dan Du are conditions where the body suddenly turns red like cinnabar, hence the name Dan Du. It may erupt on the hands and feet, or on the abdomen, with lesions the size of a palm. These are all caused by toxic wind-heat pathogens; severe cases may resemble Ju (deep-seated suppurative infections). If not treated urgently, the pain becomes unbearable, and over time, ulceration occurs with the discharge of pus and blood. If it erupts between joints, it causes toxic swelling in the four limbs; if the pathogen enters the intestines, it can be fatal. Children suffering from this condition face the most acute danger. Dai Fu'an stated: The color and shape of Dan Du eruptions vary, as do the sensations of itching and pain. Generally, they arise from the interaction of blood heat, deficient muscle tissue, and wind pathogens. Red eruptions are more common, and because of their red color, they are called Dan. The appropriate formula is Xiaofeng San (Wind-Dispersing Powder), mixed with burnt Fengshuizi (Fructus Aceris, preserved for its medicinal properties) and taken with wine. Eruptions that appear white are called "Leng Dan" (Cold Dan). The appropriate treatment is Xiaofeng San mixed with Heishen San (Black Divine Powder), taken with wine. This disease often results from loose muscle texture allowing wind pathogens to invade. Wind-heat causes redness, while wind-cold causes whiteness. Nowadays, people only refer to red eruptions as Dan and white ones as Mo (referring to white Dan Du or urticaria-like conditions). Therefore, some recover after taking Tuzhu (Hematitum, red ochre) mixed with wine, which works because the Spleen governs muscles, Earth enters the Spleen, and things follow their own kind. Ancient texts also call this Yinzhen (urticaria), distinguishing not only cold and heat but also the Four Qi (wind, cold, summer-heat, dampness). Recent medical theories refer to white eruptions as "Baipo Mo" (white Dan) and red ones as "Xuefeng" (Blood Wind). Both red and white syndromes can be treated with Wuyao Shunqi San (Aucklandia and Cyperus Powder to Promote Qi Circulation) combined with Xiaofeng San, taken with wine. White cases mostly use Shunqi San, while red cases mostly use Xiaofeng San. Patients with this condition should generally take Huoxiang Zhengqi San (Agastache Powder to Rectify the Qi). Some individuals must never consume chicken, zhang fish, or other wind-aggravating foods; eating them triggers immediate Dan eruptions, indicating this is Spleen Wind. The Spleen governs the body's muscles. Huoxiang Zhengqi San treats Spleen diseases, and Tuzhu also enters the Spleen; this formula has proven effective repeatedly. Zhu Danxi stated: Spots caused by internal injury result from extreme deficiency of Stomach Qi, causing the fire of the whole body to wander externally. It is appropriate to use tonification to descend the fire. I once treated a middle-aged man who, after an abscess ruptured, suffered fever and dry retching, with Dan erupting on his back. Various topical Dan medicines were applied, and knives were used to bleed each Dan head, but the Dan did not recede. Later, Banxia (Pinelliae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), and Shengjiang (Zingiberis Rhizoma Recens) were added to tonifying agents, but vomiting persisted. Finally, pure Ginseng Radix et Rhizoma (5 liang), Danggui Radix (1.5 qian), and Baizhu Rhizoma (1.5 qian) were decocted strongly in one dose; vomiting stopped. After two or three doses, the Dan gradually eased, and fever subsided. After about fifty doses, the fever was completely eliminated, and spirit recovered.
Jinhua San (Golden Flower Powder): Treats all types of Dan Du, characterized by heat, pain, and redness.
Ingredients: Jinyu (Curcumae Aromatae Rhizoma), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix) (each 1 liang); Nuomi (Oryza Sativa Glutinosa) (3 he).
Preparation and Administration: Grind into fine powder. For each use, mix with honey water to form a paste. Apply to the Dan area with a chicken feather; change when dry.
Treats all types of Dan Du with toxic qi attacking and piercing, causing red swelling and unbearable pain. (*Jianyao Jizhong Fang*)
Ingredients: Cheqiancao (Plantaginis Herba), Yimumcao (Leonuri Herba), Dichancao (Achyranthis Bidentatae Radix).
Preparation and Administration: Equal parts. Mash and grind until soft, then apply. Reapply when dry. (If fresh herbs are unavailable, use dried herbs ground into powder and mixed with cold water.)
Treats all types of Dan Du with toxic qi, presenting with five colors changing unpredictably. If not treated immediately, pain becomes unbearable. If the skin breaks down, pus and blood discharge; if it erupts at joint fissures, it may lead to limb necrosis. This is likely a type of Ju and requires rapid treatment.
Ingredients: Dasuan (Allii Sativi Bulbus) or Xiaoasuan (Allii Macrostemonis Bulbus).
Preparation and Administration: Pound into a paste. Apply thickly. Reapply when dry, until healed.
Another Formula: Chixiaodou (Vigna Semen Rubrum) (1 sheng); Yangjiao (Cornu Bubali) (burnt to ash, 0.5 liang).
Preparation and Administration: Grind into powder, mix with egg white, and apply. If Yangjiao is unavailable, using only Chixiaodou is also effective.
Treats all types of Dan Du wandering in the skin, causing infiltrating pain.
Ingredients: Qicao (Larva Blapsis Mortisaga).
Preparation and Administration: Grind, mix with egg white, and apply. Reapply when dry. (It is best to puncture the skin first before applying.)
Treats all types of Dan Du covering the whole body.
Ingredients: Yuntaizi (Brassicae Napus Semen) (1 liang).
Preparation and Administration: Mix with one large cup of wine, grind, filter dregs, and boil for five to seven boils. Take one she warm at any time. Sun Simiao said: A miraculous formula for treating Dan Du: mash Yuntaizi leaves and apply; healing follows immediately. If not cured, continue application within three days. In the 17th year of Zhenguan (March 8), in Neijiang County, due to excessive drinking at night, I felt pain in the bones and flesh of my four limbs while sleeping, experienced dizziness and headache, and had a swelling on the forehead the size of a bullet, too painful to touch. By noon, the pain spread to the right corner; by night, it affected all areas, closing my eyes so I could not open them, nearly leading to death. The county magistrate, Mr. Zhou, tried various medicines without success for seven days. I formulated this prescription myself, and its effect was miraculous. Thus, I recorded it for dissemination. Additionally, the Dai Xing family secret formula states: If green Yuntaizi is unavailable, use dried powder mixed with water. For any Dan Du covering the body or surrounding the waist and abdomen, resistant to hundreds of treatments, this formula alone can cure it, treating twenty-four types of Dan Du.
Xianren Shuijian (Immortal Water Mirror): Treats Huo Dan (Fire Dan).
Ingredients: Qiaomaimian (Fagopyri Tatarici Farina), Huanglian (each a small amount).
Preparation and Administration: Grind both together finely and apply; healing is immediate. Do not add oil or salt.
Sun Simiao said: Dan Du is also called Tianhuo (Heavenly Fire). Suddenly, red patches like cinnabar appear on the flesh. Large lesions are palm-sized; severe cases cover the whole body. There may be itching and swelling, with no fixed color. There may be Bai Dan (White Dan), where flesh swells, itches, then hurts, appearing slightly swollen like blown urticaria. There is also Jiguan Dan (Chicken Comb Dan), which rises red, large as a coin, small as hemp seeds, resembling chicken comb color with rough skin, also known as Zhuyu Dan. There may be Huo Dan (Fire Dan) or Shui Dan (Water Dan), erupting all over the body. When encountering dampness/water, it appears yellowish, as if water is under the skin. It favors the eyes and yin organs. Although a minor illness, it can be fatal.
Tuofang (Hot Compress Formula) for Dan Du:
Ingredients: Shengma (Cimicifugae Rhizoma), Loulu (Euphorbiae Humifusae Radix), Mangxiao (Natrii Sulfas) (each 2 liang); Zhizi (Gardeniae Fructus) (20 pieces); Huangqin (3 liang); Shudie (Polygoni Multiflori Caulis) (5 liang).
Preparation and Administration: Soak in three sheng of water for a long time, boil to obtain two sheng. Dip old cloth in the juice and compress the affected area. Afterwards, Loulu Tang must be taken.
Loulu Tang Formula: Do not use if there is no interior excess syndrome.
Ingredients: Loulu, Bailian (Puerariae Lobatae Radix), Huangqin, Mahuang (Ephedrae Herba), Baiwei (Cleistestes Radix), Zhike (Aurantii Fructus Immaturus), Shengma, Shaoyao (Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Dahuang (Rhei Radix et Rhizoma) (each 3 liang).
Preparation and Administration: Boil in ten dou of water to obtain three sheng. Divide into three doses to promote rapid purgation. In areas without these drugs, using only Dahuang for purgation is acceptable.
Wuxiang Tang: Mainly treats sudden swelling, pain, and nodules caused by hot toxic qi, resembling carbuncles, causing headache, chills/fever, and shortness of breath. If not resolved in a few days, it can be fatal.
Ingredients: Qingmuxiang (Aucklandiae Radix), Huoxiang (Pogostemonis Herba), Chenxiang (Aquilariae Lignum), Dingxiang (Caryophylli Flos), Xunliuxiang (Boswelliae Resina) (each 1 liang).
Preparation and Administration: Boil in five sheng of water to obtain two sheng. Divide into three doses. If not cured, take again.
*Liu Juanzi Guiyi Fang* treats early-stage Dan and carbuncles where heat spreads and grows, using a hot compress decoction.
Ingredients: Shengma, Huangqin (each 3 liang); Huanglian, Dahuang (each 2 liang); Danggui (Angelicae Sinensis Radix), Gancao (roasted, each 1 liang); Xiong (Ligusticum Chuanxiong Rhizoma) (2 liang); Mangxiao (3 liang); Lingyangjiaoxie (Saigae Tataricae Cornu) (1 liang).
Preparation and Administration: Cut into pieces. Boil in thirteen sheng of water to obtain five sheng, strain to remove dregs. Add Mangxiao to the pot, boil until bubbling and dregs settle. Apply slightly warm or cool via cloth compress to the swollen area several times; heat dissipates instantly. Wang Lian kept this formula secret from Ganlin.
Zhu Family Inherited Formula for Huo Dan:
Ingredients: Fulonggan (Calaminis Septum), Zhucao Xiatu (Soil under pig trough, aged), Zhusha (Cinnabaris) (small amount).
Preparation and Administration: Grind into powder. Mix with egg white and apply with a goose feather.
Another Formula:
Ingredients: Zhizhuhuagen (Rhizoma Drynariae? Note: Text says 踯躅花根 - Rhododendri Mollis Flos root), Qu (Medicated Leaven), Tu (Soil), Bishang Duosichongke (Spider webs on walls), Baicaoshuang (Soot from hundred herbs), Fulonggan, Zhucao Xiatu.
Preparation and Administration: Use as above.
Jinhua San (*Guiyi Fang*): Treats all types of Dan Du.
Ingredients: Jinyu, Huangqin, Gancao, Shanzhizi (Gardeniae Fructus), Dahuang, Huanglian, Nuomi (each 1 liang).
Preparation and Administration: Grind the seven ingredients raw into powder. Mix with cold water and a little raw honey, apply with a goose feather.
Shengtu San: Transmitted by Zheng Yu, a physician from Changsha, for treating Da Yun Dan and various toxins.
Ingredients: Lingxiaohua (Campsis Grandiflorae Flos), Wanzhouhuang (Radix Scrophulariae? Note: Specific regional term), Zhugen (Bambusae Caulis Internodium) (0.5 liang, cut and dried).
Preparation and Administration: Pound together until soft. Mix with wine and honey, take a small amount orally, and still apply to the Dan area for immediate effect.
Mahuang San (*Qianjin Fang*): Treats evil toxic Dan and wind rash.
Ingredients: Mahuang, Shengma, Gegen (Puerariae Radix) (each 1 liang); Shegan (Belamcandae Rhizoma), Jishexiang (Cardamomi Semen), Gancao (roasted, each 0.5 liang); Shigao (Gypsum Fibrosum) (0.5 he).
Preparation and Administration: Cut into pieces. Boil in three sheng of water to obtain one sheng. Adults take one dose; a three-year-old child divides into three doses, three times a day.
*[Ben Shi Fang]* Treats Yanhuo Dan starting from the back, or red as fire on both flanks and legs. Jingtiancao (Sedum aizoon), Zhenzhu mo (Pearl powder, 1 liang). Mash into a paste and apply. Another formula for Yinghuo Dan starting from the head: Shenhuocao (i.e., Jingtiancao). Mash, mix with Kujiu (vinegar), and apply.
Dan Du: Apply Landian (Indigofera tinctoria leaf extract). Change when hot. (*Zimu Milu*)
*[Zhou Hou Bei Ji Fang]* Dan is an evil toxic sore with unpredictable colors. Use three jin of Zhugen, boil in three dou of water for juice, apply daily.
Treat Chi Dan (Red Dan). Use the water from the pulp of cucumber seeds, remove seeds, store in a vessel. Apply water to the affected area when needed. Another method: Store winter snow in a vessel, let it melt into water over time, and apply to Chi You (wandering red Dan) for excellent results. (Both from *Chu Yushi*)
*[Danxi Xinfa]* For all Dan Du swellings: Mix earthworm excrement with water and apply. (*Shenghui Fang*, *Waitai Mi Yao* agree.)
*[Qianjin Fang]* Formula for Dan Urticaria: Boil milk curd with salt. Massage with hand; it dissipates upon massage.
Treat Chi You Feng Zhong (Red Wandering Wind Swelling): Mix Buckwheat flour with vinegar and apply. (*Bingbu Shouji*)
*[Yangshi Jiacang Fang]* Treat Re Chi You Dan: Mix Gualou end (Trichosanthis Fructus) powder with strong vinegar and apply.
Treat Wu Se Dan Du (Five-Color Dan Du): Boil thorny chestnut peel and wash with it.
Badu San: Treats hot toxic Dan swelling that wanders不定ly.
Ingredients: Shigao, Hanshuishi (Aragoniti Lapis) (both raw, each 4 liang); Huangbai (Phellodendri Cortex), Gancao (each 1 liang).
Preparation and Administration: Grind into fine powder. Mix with new water and sweep/apply, or use paper flower patches which is even better. Moisten with cool water.
Twelve Single-Item Formulas: Treat Dan Du; obtaining one item can cure it.
Ingredients: Shuitai (Aquatic moss), Shengdihuang (Rehmanniae Radix), Shengsongye (Pinus Massoniana Leaf), Shudieye (Polygoni Multiflori Caulis Leaf), Shenhuocao, Fuping (Lemna Minoris Herba), Douchi (Fermented Soybean) (mixed with water), Dahuang (mixed with water), Zhizi (mixed with water), Huangqin (mixed with water), Xiaoshi (Natrii Nitras), Douye (Soybean Leaf).
Preparation and Administration: Of the twelve items, if you get just one, pound and apply; it will heal. Chixiaodou powder mixed with egg white can also be applied. If no egg white, use water.
Treat Zaodan (Stove Dan), red as fire burning from both feet.
Use Wujia Ye (Acanthopanacis Cortex Leaf), burn to ash (5 liang), mix with water from an iron trough, and apply.
Treat Dan Du Liu (Dan Du Nodule):
Ingredients: Wugong (Dry Centipede, one), Baifan (Alumen) (size of soap bean), Leiwan (Polyporus Umbellatus), Baibu (Stemonae Radix) (2 qian).
Preparation and Administration: Grind into fine powder, mix with vinegar and apply.
Guoshi Jinhuang San: Treats hot toxic Dan flowing and wandering不定ly, with unceasing pain.
Ingredients: Hanshuishi (2 liang), Jinyu (one pair), Lanshi (Indigo Naturalis Fruit), Dahuang, Huangbai, Huanglian, Jingtiancao (each 1 liang).
Preparation and Administration: Grind into fine powder. Mix with egg white for application; water is also acceptable.
*[Feng Dan]*
Painful ones are Dan Du; itchy ones are Feng Dan (Wind Dan).
Lady Jia's young daughter had wind itch. Given 40 pills of Huangjing Wan (Polygonatum Pill), along with Baizhu (0.7 fen), Zhishi (fried), Huangqin (4 qian).
Preparation and Administration: Divide into eight doses, take before meals.
Whole-body wind itch and urticaria: Fine powder of Lingxiaohua, take one qian with wine; stops immediately.
Bao Yunzhong, age 50, suffered severe wind Dan itch, slight abdominal pain, difficulty swallowing, slight facial and body swelling, lasting 5-6 days without receding. Pulse at both Cun positions was slippery, large, and full; Right was floating and large, Left was floating, wiry, and small. Prescribed fried Huangqin, fried Huanglian, Danggui, Xiong, Shaoyao, Dihuang, Jiegeng, Gancao, Niuzi (Arctii Fructus), Ziwei (Campsis Grandiflora) (each 1 qian), Fangfeng, Huangqin (0.5 qian each). After 5-6 doses, he recovered.
*[Shiyi Dexiao Fang]* Hejian Shenyuan Wan. (Treats Wind Dan that recurs after healing, or recurs after a month or half a year. This pill induces purgation with 100% success. See Syndrome Differentiation for Edema.)
*[Danxi Xinfa]* One person suffered Wind Dan, whole-body itch, caused by alcohol.
Ingredients: Fuping (0.5 liang), Fangfeng, Huangqin, Qianghuo (3 qian), Danggui (2 qian), Gange (Ge Gen), Mahuang (1 qian), Sheng Gancao (0.5 qian).
*[Shiyi Dexiao Fang]* Treat Leng Dan Feng (Cold Dan Wind).
Ingredients: Fangfeng, Gancao, Baijiangcan (Bombyx Batryticatus), Chantui (Cicadae Periostracum), Chuanxiong, Baizhi (Angelicae Dahuricae Radix), Fuling (Poria), Jingjie (Schizonepetae Spica), Chenpi (Citri Reticulatae Pericarpium), Houpo (Magnoliae Officinalis Cortex), Cang'erzi (Xanthii Fructus), Renshen (Ginseng Radix).
Preparation and Administration: Grind into powder. Take 2 qian mixed with Doulun Jiu (wine poured through soybeans).
For Dan itch: Mix leek leaves with some salt, rub with sesame oil until warm, and wipe over the Dan area; heals immediately. To treat Wind Dan: Wash Chanshanjia (Manis Squama) to remove fishy smell, stir-fry on tile until charred but retaining nature. For every 1 liang, add 3 qian Gancao, grind into powder, take with rice drink. For Xuefeng Ge Da Chuang (Blood Wind Nodule Sores) and Ban Chuang (Smallpox/Rash): Mash Fuping to extract natural juice, take with Doulun Jiu; or take Siwu Tang soaked in wine.
*[Danxi Xinfa]* Use Yangti Caigen (Root of Rumex japonicus). Grind on raw iron with good vinegar, scrape off gradually, and apply to the affected area. If not healed, add a little sulfur, grind, and apply again.