东垣敛疮口方,木香槟榔散,用之决无疼痛。以蜡油涂覆疮上,生肌敛肉甚速,必
无恶血,疮口疾合,易取平复,惟膏粱热疮所宜用也。贫人害地之寒湿,外来寒疮者,禁
不可用。
木香槟榔散方
木香 槟榔 黄连(各等分)
上为极细末。新汲水调摊纸上贴之,湿则干贴。
治寒疮敛疮口药
当归身(一钱,洗净,晒干) 青皮(去白,二分) 木香(一分) 黄连(五分)
上四味,为极细末。蜡油调涂,取效甚速。
保命乳香散 疮口大者。
寒水石( ) 滑石(各一两) 乳香 没药(各半两) 脑子(少许)
上各研细和匀,少许掺疮口上。
圣效散 收敛疮口。
黄柏(一两,去粗皮,细切,炒至赤黑色) 穿山甲(一两,炒黄) 槟榔 木香(各半两,炒令
黄色) 鸡 (七枚,生用)
上为细末。每用少许,候大脓出尽,洗净,方可干掺疮上。
桃红散 敛疮口定痛,辟风邪。
滑石(四两) 乳香 轻粉(各二钱) 小豆粉(一两) 寒水石(三两, )
上为细末,干掺口上。一方,改小豆粉
为定粉。又方 治疮口久不收。
小椒(去目,炒黑,一钱) 定粉 风化硝(二钱) 白矾(二钱半) 乳香 没药(各一钱)
上为细末,掺之。
有人患背疽,已溃如碗面大,视五脏仅隔膜耳。自谓必死。用大鲫鱼一尾,去肠肚,
以羯羊粪入其中,烘焙焦黑极燥,为细末。干掺之,疮口遂收,至今无恙。此方累用有效,
须候脓少,欲生肌肉时用之。
〔丹〕 《精要》论痈疽,久而疮口不合,其肉白而脓血少,此为疮口冷滞,乃病气血
枯竭,不潮于疮,遂致如此。用北艾叶一把,入瓦器内浓煎汤,避风处,乘热用艾汤浇洗
疮口四围净肉,以绢帛兜艾叶,乘热浇沃,一日一次,洗了须避风,仍烧松香,以烟熏疮
口,良久,用神异膏贴之。不可与厌秽之人见,若不能禁忌,疮口难安,药亦无效。夫
以血气枯燥,不知补接于内,惟务热洗于外,不揣其本,而齐其末,而乃归罪于冷滞。大
抵溃疡宜洗,若非行补接之药以实其内,窃恐淋洗有一时之快,少顷恐病体自觉疲惫,有
不耐烦之意,非虚而何,可不先议补接乎。(补接即参 、归术之类,是也。)
〔苏〕 乱发、蜂房、蛇蜕皮,各烧灰存
性,每味取一钱匕,酒调服。治疮久不合神验。(丹溪云∶发补阴之功,甚大。)
〔丹〕 收敛疮口,止有柳皮、白蔹,煎汤饮之。
黄丹散 敛疮口。
黄丹( ) 白矾(枯) 龙骨 寒水石 乳香 木香(不见火) 黄连 黄芩 槟榔 腻粉(各
三钱) 脑子(少许)
上为末。随疮干湿用之,于则用温盐汤洗湿净干,却掺其上,用不可太早,须脓血
去尽,临好方用,不然,则又 作。
李东垣治疗疮口收敛的方剂,木香槟榔散,使用它绝对不会引起疼痛。用蜡油涂抹覆盖在疮面上,生肌长肉非常迅速,必定没有恶血滞留,疮口快速愈合,容易恢复平整,只适宜用于膏粱厚味所致热毒疮疡。贫穷之人遭受地气寒湿侵袭,患有外感寒邪所致疮疡者,禁止使用。
木香槟榔散方
木香、槟榔、黄连(各等分)
将上述药物研成极细粉末。用新汲取的凉水调匀,摊在纸上贴敷患处,若患处湿润则直接干贴。
治疗寒性疮疡收敛疮口的药物
当归身(一钱,洗净,晒干)、青皮(去白,二分)、木香(一分)、黄连(五分)
将以上四味药研成极细粉末。用蜡油调和后涂抹,取效非常迅速。
保命乳香散 适用于疮口较大的情况。
寒水石(煅)、滑石(各一两)、乳香、没药(各半两)、脑子(少许,即冰片)
将各药分别研细并混合均匀,取少量撒在疮口上。
圣效散 用于收敛疮口。
黄柏(一两,去掉粗皮,细切,炒至赤黑色)、穿山甲(一两,炒黄)、槟榔、木香(各半两,炒至黄色)、鸡子(七枚,生用,此处疑为“鸡子”或特定药材,原文作“鸡”,结合语境及常见方剂,可能指鸡蛋清或特定部位,但依原文直译保留“鸡”或理解为特定药用部分,此处按字面“鸡”处理,注:古籍中“鸡”有时指鸡子卵或鸡内金等,此处未明确,故保留原词或意译为相关部位,鉴于要求保留原名,暂译为“鸡”或根据常识推断为“鸡蛋/鸡子”,但为了严谨,保留“鸡”并加注或仅译字面。*修正:原文“鸡”后无单位,且与“七枚”连用,通常指鸡蛋。但在中药里单写“鸡”较少见,多为“鸡子”、“鸡内金”。此处依原文翻译为“鸡(七枚,生用)*)。
将上述药物研成细末。每次取少量,待脓液排尽后,洗净患处,方可干撒在疮面上。
桃红散 用于收敛疮口、定痛、驱避风邪。
滑石(四两)、乳香、轻粉(各二钱)、小豆粉(一两)、寒水石(三两,煅)
将上述药物研成细末,干撒在疮口上。另一方法,将小豆粉改为定粉(铅粉)。又一方,治疗疮口长期不愈合。
花椒(去目,炒黑,一钱)、定粉、风化硝(二钱)、白矾(二钱半)、乳香、没药(各一钱)
将上述药物研成细末,撒在患处。
有人患背疽,溃烂面积如碗口大,看下去五脏之间仅剩一层隔膜。自认为必死无疑。用一条大鲫鱼,去除肠肚,将羯羊粪填入其中,烘焙至焦黑极燥,研成细末。干撒在疮口上,疮口随即收敛,至今安然无恙。此方多次使用均有效,必须等到脓液减少,准备生肌长肉时使用。
〔朱丹溪〕《精要》论述痈疽,日久疮口不合,肌肉苍白而脓血少,这是疮口冷滞,属于气血枯竭,不能潮润于疮面,导致如此状况。用北艾叶一把,放入瓦器内浓煎汤剂,在避风处,趁热用艾汤浇洗疮口四周健康的皮肤,用绢帛兜住艾叶,趁热浇沃,一日一次,洗完必须避风,同时燃烧松香,用烟熏疮口,许久之后,用神异膏贴敷。不可让厌恶秽气的人看见,如果不能禁忌,疮口难以安宁,药物也无效。对于气血枯燥的情况,不知在内补接,只致力于外部热洗,不探究根本,而只求表面整齐,反而归咎于冷滞。大抵溃疡适宜清洗,如果不是服用行补接之药以充实内部,恐怕淋洗虽有一时之快,片刻后患者自觉疲惫,有不耐烦之意,这难道不是虚证吗?怎能不先商议补接呢。(补接即人参、当归、白术之类。)
〔苏颂〕乱发、蜂房、蛇蜕皮,各烧灰存性,每味取一钱匕的量,用酒调服。治疗疮口久不愈合,效果神奇。(丹溪说:头发补阴的功效很大。)
黄丹散 用于收敛疮口。
黄丹(煅)、白矾(枯)、龙骨、寒水石、乳香、木香(不见火,即不直接接触明火高温)、黄连、黄芩、槟榔、腻粉(各三钱)、脑子(少许)
将上述药物研成粉末。根据疮面的干湿情况使用,如果干燥则用温盐水洗净擦干,再撒在上面。用药不可太早,必须等到脓血去尽,快要痊愈时才使用,否则,又会再次溃烂。
Li Dongyuan's formula for closing wound openings, Muxiang Binglang San (Buckland and Areca Nut Powder), when used, will definitely cause no pain. Applying wax oil to cover the sore promotes rapid tissue regeneration and flesh growth, ensures no foul blood remains, accelerates wound closure, and facilitates easy recovery to a flat state. It is only suitable for heat-toxemias caused by rich, greasy diets. It is strictly contraindicated for poor individuals suffering from cold-dampness of the earth or external cold sores.
Formula: Muxiang Binglang San (Buckland and Areca Nut Powder)
Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), Huanglian (Coptidis Rhizoma) (equal parts)
Grind the above into an extremely fine powder. Mix with newly drawn cool water, spread on paper, and apply to the site. If moist, apply dry.
Medicine for treating cold sores and closing wound openings
Dangguishen (Angelicae Sinensis Radix, one qian, washed and sun-dried), Qingpi (Citri Reticulatae Pericarpium Viride, two fen, pith removed), Muxiang (Aucklandiae Radix, one fen), Huanglian (Coptidis Rhizoma, five fen)
Grind the above four herbs into an extremely fine powder. Mix with wax oil and apply; efficacy is very rapid.
Baoming Rushang San (Life-Preserving Frankincense Powder) For large wound openings.
Hanshuishi (Calcitum, calcined), Huashi (Talcum, each one liang), Rushang (Frankincense), Moyao (Myrrh, each half liang), Naobi (Borneolum Syntheticum, a small amount)
Grind each herb finely, mix evenly, and sprinkle a small amount onto the wound opening.
Shengxiao San (Sage Efficacy Powder) To contract wound openings.
Huangbai (Phellodendri Cortex, one liang, remove coarse bark, cut finely, stir-fry until reddish-black), Chuanshanjia (Manis Squama, one liang, stir-fry until yellow), Binglang (Arecae Semen), Muxiang (Aucklandiae Radix, each half liang, stir-fry until yellow), Ji (Chicken eggs, seven pieces, raw use) [Note: Text says "Ji", context implies eggs or specific part, translated as Chicken/Eggs per text].
Grind the above into a fine powder. Each time, take a small amount. After all thick pus has drained out and the area is cleaned, sprinkle dry powder onto the sore.
Taohong San (Peach Red Powder) To close wounds, relieve pain, and repel wind pathogen.
Huashi (Talcum, four liang), Rushang (Frankincense), Qingfen (Calomelas, each two qian), Xiaodoufen (Vigna Angularis Powder, one liang), Hanshuishi (Calcitum, three liang, calcined)
Grind the above into a fine powder and sprinkle dryly onto the opening. Another method replaces Xiaodoufen with Dingfen (Minii Preparatio). Yet another method treats long-standing non-healing wounds.
Xiaojiao (Zanthoxyli Fructus, remove eyes, stir-fry until black, one qian), Dingfen (Minii Preparatio), Fenghua Xiao (Natrii Sulfas Efflorescens, two qian), Baijian (Alumen, two qian and half), Rushang (Frankincense), Moyao (Myrrh, each one qian)
Grind the above into a fine powder and sprinkle.
A person suffered from a carbuncle on the back, ulcerated to the size of a bowl face, revealing that only a diaphragm separated the internal organs. He believed he would surely die. Use one large crucian carp, remove intestines and belly, fill with sheep dung, bake until charred black and extremely dry, grind into a fine powder. Sprinkle dryly on the wound; the wound closed immediately, and he remained healthy since. This formula has been effective in repeated uses. It must be used only when pus is scant and tissue regeneration is desired.
[Danxi] The *Jingyao* discusses carbuncles and ulcers where wounds fail to close after a long time, with white flesh and little pus or blood. This is due to cold stagnation at the wound site, resulting from exhaustion of Qi and Blood, which fails to nourish the sore. Use a handful of Bei Ai Ye (Artemisiae Argyi Folium), decoct strongly in a clay vessel. In a wind-sheltered place, pour hot mugwort water over the healthy skin around the wound margins. Wrap the mugwort leaves in silk cloth and pour hot liquid over it once a day. Avoid wind after washing. Burn Song Xiang (Pini Resina) and fumigate the wound with smoke for a while, then apply Shenyi Gao (Miraculous Ointment). Do not allow people who detest filth to see it; if such taboos cannot be observed, the wound will remain unsettled, and the medicine will be ineffective. For cases of dry Qi and Blood, failing to tonify and connect internally while only focusing on external hot washing, without investigating the root but merely smoothing the branches, and then blaming cold stagnation... Generally, ulcers are suitable for washing. If one does not administer tonifying and connecting medicines to solidify the interior, I fear that although washing brings momentary relief, shortly thereafter the patient will feel fatigued and impatient. Is this not deficiency? How can one not first discuss tonification and connection? (Tonification and connection refer to herbs like Renshen, Danggui, Baizhu, etc.)
[Su] Luanfa (Human Hair), Fengfang (Vespa Nidus), Shedupi (Ophiopogonis Dermatosis/Snake Skin), each burned to ash while retaining nature. Take one qian bi (a spoonful measure) of each, mix with wine, and take orally. Miraculously effective for wounds that do not heal for a long time. (Danxi said: Human hair has great yin-tonifying power.)
[Danxi] To contract wound openings, only Liupi (Salix Cortex) and Bailian (Ampelopsis Radix) should be decocted in water and drunk.
Huangdan San (Yellow Lead Powder) To contract wound openings.
Huangdan (Minii Preparatio, calcined), Baijian (Alumen, burnt), Longgu (Fossilia Os Mastodi, calcined), Hanshuishi (Calcitum), Rushang (Frankincense), Muxiang (Aucklandiae Radix, avoid direct fire), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Binglang (Arecae Semen), Ninifen (Calomelas, each three qian), Naobi (Borneolum Syntheticum, a small amount)
Grind the above into powder. Apply according to the moisture level of the sore. If dry, wash with warm salt water, dry thoroughly, then sprinkle powder. Do not use too early; wait until all pus and blood are gone and healing is imminent. Otherwise, the wound may reopen.