《鬼遗》云∶左右发际起如粟米,头白肉赤,热痛如锥刺,此疾妇人患多,丈夫患少,
始因风湿上攻发际,亦宜出脓无伤。或问∶发际生疮何如?曰∶此名发际疮也。状如芡实,
漫肿寒热,或痛或痒者,发际疽也,此由风热上壅所致。宜服防风通圣散、紫金丹、夺
命丹汗之。
〔丹〕 防风通圣散为末,酒浸焙干,凡三次。食后,白汤调服,月三服,至头有汗
效。
〔世〕 浓煎盐汤洗,三五日一洗,用一上散敷之,久年不愈神效。
〔丹〕 用好紫霄炭烧通红,入水淬之,又烧又淬,以水热为度。取所淬之水,日日
洗之,使热毒宣发而愈。外以胡荽子、伏龙肝、悬龙尾(屋梁尘也。)黄连、白矾为末,调敷。
又服酒炒通圣散效。
一方,单用黄连末。敷之累效。
或问∶头上生疮,状如葡萄痛甚,久而无脓,何如?曰∶名鬈毛疮,治法上同。必
须详验其疮,若中陷而四畔高起,色如黄蜡者,广疮也。
松脂膏 治头疮,经年月不瘥。 松脂 黄连(去须,各七钱半) 黄芩 苦参
(各一两) 蛇床子(二钱半) 大黄 白矾(枯,各半两) 水银(一两半) 胡粉(半两,合水银入少水同研,
令无星为度)
上为细末,研匀。用腊猪脂调敷疮上,大效。
贝母膏 治头秃疮。
贝母 半夏(生) 南星 五倍子 白芷 黄柏 苦参(各二钱半) 虢丹( ,一钱半) 雄
黄(一钱)
上为细末,先以蜂房、白芷、苦参、大腹皮、荆芥煎汤熏洗拭干。即用蜜水调敷两
三次后,干掺药。
加味平胃散 治一切恶疮,头上疮。
上平胃散入腻粉,清油调敷之,甚妙。
螵蛸散 治头上生疮,俗曰粘疮。
海螵蛸(二钱) 白胶香 轻粉(各半两)
为细末研匀。先用清油润疮,后掺药,只一上可。
治头极痒不痛生疮方
鹁鸽粪(五合)
上以好醋和膏,煮三两沸,日两三次,涂之。
《鬼遗方》记载:左右发际处出现如粟米大小的疮疹,顶部色白而根部肉赤,灼热疼痛如同锥子刺入。这种病妇女患得较多,男子患得较少。起初是因为风湿之邪上攻至发际所致,治疗应当使其排脓而不损伤正气。有人问:发际处长疮是怎么回事?回答说:这叫做发际疮。其形态像芡实,弥漫性肿胀,伴有寒热症状,或者疼痛或者瘙痒的,称为发际疽,这是由风热上壅所致。适宜服用防风通圣散、紫金丹、夺命丹通过发汗来治疗。
〔朱丹溪〕将防风通圣散研成粉末,用酒浸泡后焙干,反复三次。饭后,用白开水调服,每月服用三次,直到头部出汗即见效。
〔世传方〕浓煎盐水清洗患处,每隔三五天洗一次,使用一上散外敷,对于多年不愈者有神奇疗效。
〔朱丹溪〕取优质的紫霄炭烧至通红,放入水中淬火,再烧再淬,直到水变热为止。取淬火后的水,每天清洗患处,使热毒宣散发散而痊愈。外用胡荽子、伏龙肝、悬龙尾(即屋梁上的灰尘)、黄连、白矾研成粉末,调和后敷贴。另外服用经酒炒制的通圣散也有效。
另一单方,单用黄连末外敷,屡次有效。
有人问:头上长疮,形状像葡萄,疼痛剧烈,久了却不化脓,怎么办?回答说:这叫鬈毛疮,治疗方法同上。必须详细检查疮口,如果中间凹陷而四周高起,颜色像黄蜡一样的,是广疮。
松脂膏 治疗头疮,经过年月久不愈合。配方:松脂、黄连(去须,各七钱半)、黄芩、苦参(各一两)、蛇床子(二钱半)、大黄、白矾(枯矾,各半两)、水银(一两半)、胡粉(半两,与水银加入少量水共同研磨,直到没有银色星点为止)。以上药材研成细末,搅拌均匀。用腊月猪油调和敷在疮上,效果显著。
贝母膏 治疗头秃疮。配方:贝母、半夏(生)、南星、五倍子、白芷、黄柏、苦参(各二钱半)、虢丹(红丹,一钱半)、雄黄(一钱)。以上药材研成细末,先用蜂房、白芷、苦参、大腹皮、荆芥煎汤熏洗并擦干。然后用蜜水调和敷贴两三次,之后干燥时掺药粉。
加味平胃散 治疗一切恶疮,包括头上的疮。即在原平胃散中加入腻粉,用清油调和敷贴,非常妙。
螵蛸散 治疗头上长疮,俗称粘疮。配方:海螵蛸(二钱)、白胶香、轻粉(各半两)。研成细末均匀混合。先用清油润湿疮口,然后掺药粉,只需一次即可。
治疗头部极痒但不痛且生疮的方子:鹁鸽粪(五合)。用好醋调和成膏状,煮两三沸,每天涂抹两到三次。
According to the *Gui Yi Fang* (Ghost's Legacy): On both sides of the hairline, eruptions resembling millet grains appear; the tops are white while the roots are red. The area feels hot and painful, as if pierced by an awn. This condition is more common in women than in men. Initially, it is caused by wind-dampness attacking upward toward the hairline. Treatment should aim to discharge pus without damaging healthy qi. A question was raised: "What about sores arising at the hairline?" The answer is: This is called Hairline Sore (Faji Chuang). Its appearance resembles a water caltrop; it presents with diffuse swelling accompanied by aversion to cold and fever, or pain or itching. This is termed Hairline Carbuncle (Faji Ju), caused by the accumulation of wind-heat ascending upward. It is appropriate to administer Fangfeng Tongsheng San (Saposhnikovia Decoction for Unblocking the Supreme), Zijin Dan (Purple Gold Pill), and Mingdan Dan (Life-Seizing Pill) to induce sweating.
[Zhu Danxi]: Grind Fangfeng Tongsheng San into powder, soak in wine, then bake dry. Repeat this process three times. After meals, take the powder mixed with warm water, three doses per month. Efficacy is achieved when sweat appears on the head.
[Popular Prescription]: Wash the affected area with strongly brewed salt water once every three to five days, and apply Yishang San (First Application Powder). For chronic cases lasting many years, this yields miraculous results.
[Zhu Danxi]: Take high-quality Zixiao Tan (Purple Sky Charcoal), heat until red-hot, and quench in water. Repeat heating and quenching until the water becomes hot. Use this quenched water to wash the lesion daily, allowing the heat-toxin to disperse and heal externally. Apply a mixture of Huizizi (Coriander Seed), Fulonggan (Dragon Sitting Earth), Xuanlongwei (Dust from Roof Beams), Huanglian (Coptis Rhizome), and Baifan (Alum) ground into powder, mixed and applied topically. Additionally, taking Tongsheng San stir-fried with wine is effective.
Another single prescription: Apply Huanglian powder alone topically; repeated applications have proven effective.
A question was raised: "Sores arise on the head, resembling grapes, causing severe pain, yet failing to suppurate after a long time. What should be done?" The answer is: This is called Curly-Hair Sore (Quanmao Chuang); the treatment method is the same as above. One must carefully examine the sore. If the center is depressed while the margins are elevated, and the color resembles yellow wax, it is Guang Chuang (Broad Sore/Leprosy-like sore).
Songzhi Gao (Pine Resin Ointment): Treats head sores that persist for months or years without healing. Ingredients: Songzhi (Pine Resin), Huanglian (Coptis Rhizome, trimmed, each 37.5g), Huangqin (Scutellaria Root), Kushen (Sophora Root) (each 50g), Shechuangzi (Cnidium Fruit) (12.5g), Dahuang (Rhubarb Root), Baifan (Alum, calcined) (each 25g), Shuiyin (Mercury) (75g), Hufen (Lead Carbonate) (25g, combined with mercury and a little water, ground together until no silver specks remain). Grind all ingredients into a fine powder and mix uniformly. Blend with lard from the twelfth lunar month and apply to the sore; this is highly effective.
Beimu Gao (Fritillaria Ointment): Treats alopecia barbae/capitis associated with sores. Ingredients: Beimu (Fritillaria Bulb), Banxia (Pinellia Tuber, raw), Nanxing (Arisaema Rhizome), Wubeizi (Gallnut), Baizhi (Angelica Dahurica Root), Huangbai (Phellodendron Bark), Kushen (Sophora Root) (each 7.5g), Guodian (Red Lead Oxide) (4.5g), Xionghuang (Realgar) (3g). Grind into a fine powder. First, fumigate and wash the area with a decoction of Fengfang (Beechomb), Baizhi, Kushen, Dafupi (Areca Peel), and Jingjie (Schizonepeta Spike), then dry. Mix with honey-water for topical application two to three times, then sprinkle dry powder afterwards.
Jiawei Pingwei San (Modified Pingwei Powder): Treats all kinds of malignant sores, including those on the head. Add Nifen (Calomel/Calomelous Mercury) to the original Pingwei San, blend with refined sesame oil, and apply topically; this is excellent.
Piaoxiao San (Cuttlebone Powder): Treats sores on the head, commonly known as Sticky Sore (Nian Chuang). Ingredients: Haipiaoxiao (Cuttlebone) (7.5g), Baijiaoxiang (Mastic Gum), Qingfen (Calomel) (each 25g). Grind into a fine powder and mix uniformly. First moisten the sore with refined sesame oil, then sprinkle the powder. Only one application is needed.
Prescription for Extremely Itchy but Non-Painful Head Sores: Bobofen (Pigeon Droppings) (150g). Mix with good vinegar to form a paste, boil for two or three boils. Apply twice or three times daily.