拔黄药
用蟾酥,飞罗面为丸,如梧桐子大。可将一丸放在面前舌下,实时黄出。
破棺丹 治疔黄,走胤不止。
当归 赤芍药 山栀子 牵牛(各二两半) 连翘 牡蛎 金银花 紫花地丁(各一两半) 京三棱
甘草(各二两) 便秘加大黄(三两)
上为细末,炼蜜和丸,如弹子大。每服一丸,食前用童便化开服。忌饮酒及生冷硬
物。
立马回疔丹 治疔疮,走胤不止。
金脚信 蟾酥 血竭 朱砂 没药(各半钱) 轻粉 龙脑 麝香(各一字)
上为细末。用生草鸟头汁,和作锭如麦子大,用时将疮顶刺破,将药一锭放疮口内,
第二日疮肿是效。
治疗走了黄,打滚将死者。
牡蛎 大黄 山栀子 金银花 木通 连翘 牛蒡子 地骨皮 乳香 没药 皂角
刺栝蒌
上各等分,锉碎。每服半两,气壮者加朴硝,用水一碗,酒半碗,煎一服定愈。
蟾酥走黄丸 治疔疮走黄。
朱砂(研) 黄丹(飞) 白面(各等分)
上末。取蟾酥搜作剂,丸如麦粒大。先刺疮口,次安一粒在疮口内,仍以水沉膏贴
之。又以五七丸,葱汤吞下,发汗即愈。
回疮蟾酥锭子 治疔疮,毒瓦斯攻心欲死,以针刺其疮向心行处,但觉痛,有血处下锭
子。若累刺至心侧近,皆不痛无血者,急针百会穴,痛有血者,下锭子。若无血以亲人
热血代之,犹活三四,况疮初发,无有不效。大抵疔疮生于四肢,及胸背、头项、骨节间,
唯胸背、头项最急。初生痛痒不常,中陷如钉,盖撼之有根,壮热恶心是也。
天南星 款冬花 巴豆仁 黄丹 白信(各一钱) 独活(五分)磐 斑蝥(去头足,十个)
上为极细末。用新蟾酥和药,如黍米大,捻作锭子。每遇疔疮,先以针刺其疮,必不
知痛,有血出者,下锭子。如觉痛,不须再用。若更不知痛,再隋疮所行处,迎夺刺之,
至有血知痛即止。其原疮亦觉疼痛,以膏药贴之,脓出自瘥。用锭子法,度以银作细筒
子一个,约长三寸许,随针下至疮痛处,复以细银丝子,内药于筒内,推至痛处。
肘后犯疔肿垂死 菊花叶一握,捣绞汁一升,入口即活,此神验,亦用其根。(丹溪云∶
根、茎、叶、花,皆可,紫梗者佳。)
疔肿困重 生捣苍耳根、叶,和小儿尿绞汁,冷服一升,日三服甚验。
拔黄药
使用蟾酥和精细的罗面制作成丸剂,大小如同梧桐子。可以将一丸放在舌下,黄疸(疔疮毒邪内陷引起的发黄症状)会随即排出。
破棺丹
治疗疔疮走黄,毒邪扩散不止。
当归、赤芍药、山栀子、牵牛子(各二两半)、连翘、牡蛎、金银花、紫花地丁(各一两半)、京三棱、甘草(各二两)。如果大便秘结,加入大黄(三两)。
将上述药材研成细末,用炼蜜调和制成丸剂,大小如弹丸。每次服用一丸,饭前用童子尿化开送服。忌食饮酒及生冷坚硬食物。
立马回疔丹
治疗疔疮,毒邪扩散不止。
金脚信(一种含砷矿物药)、蟾酥、血竭、朱砂、没药(各半钱)、轻粉、龙脑(冰片)、麝香(各一字)。
将上述药材研成细末。用生草乌头的汁液调和,制成如麦粒大小的药锭。使用时先将疮顶刺破,将一锭药放入疮口内,第二天如果疮肿消退即为有效。
治疗毒邪走黄导致患者翻滚濒死的情况。
牡蛎、大黄、山栀子、金银花、木通、连翘、牛蒡子、地骨皮、乳香、没药、皂角刺、栝蒌。
以上药材各等分,切碎。每次服用半两,体质壮实者加朴硝,用水一碗、酒半碗,煎煮后服用,即可痊愈。
蟾酥走黄丸
治疗疔疮走黄。
朱砂(研磨)、黄丹(飞制过的铅丹)、白面(各等分)。
将上述药材研成粉末。取蟾酥调和作为粘合剂,制成如麦粒大小的丸剂。先刺破疮口,然后将一粒药放入疮口内,仍用水调制的膏药贴敷。另外再吞服五到七丸,用葱汤送下,出汗后即可痊愈。
回疮蟾酥锭子
治疗疔疮,毒气攻心导致濒临死亡。用针刺入疮口向心脏方向蔓延的路径上,只要感觉到疼痛、有血液流出的地方,就放置药锭。如果多次针刺直到靠近心脏侧边,都不痛且无血流出,应立即针刺百会穴,若感到疼痛且有血流出,则放置药锭。如果没有血流出,可以用亲人的热血代替,仍有三四成的存活机会,何况是疮疡初发时,没有不有效的。大抵疔疮生于四肢,以及胸背、头项、骨节之间,其中以胸背、头项最为危急。初起时疼痛瘙痒无常,中间凹陷如钉状,撼动时有根脚,伴有高热恶心等症状。
天南星、款冬花、巴豆仁、黄丹、白信(砒霜)、独活(各一钱)、斑蝥(去头足,十个)。
将上述药材研成极细粉末。用新鲜的蟾酥调和药物,制成如黍米大小的药锭。每当遇到疔疮,先用针刺破疮口,如果完全不知疼痛且有血流出,就放置药锭。如果感觉到疼痛,就不必再用。如果仍然不知疼痛,再顺着疮毒蔓延的方向迎头痛击(针刺),直到有血流出且感到疼痛为止。原发疮口也会感到疼痛,贴上膏药,脓液排出后即可痊愈。使用药锭的方法:准备一个银制的细筒,长约三寸左右,随针插入至感到疼痛处,再将细银丝将药推入筒内,送至疼痛处。
肘后备急方中治疗疔肿垂死之症
菊花叶一把,捣碎绞取汁液一升,入口即能救活,此法神验,也可以使用其根部。(丹溪说:根、茎、叶、花都可以使用,以紫梗者为佳。)
Bahuang Medicine (Yellow-Expelling Medicine)
Use Chan Su (Toad Venom, *Raniformis Venenum*) and fine sifted wheat flour to make pills the size of *Koelreuteria paniculata* seeds. Place one pill under the tongue; jaundice (yellowing caused by toxin invasion in carbuncles) will be expelled immediately.
Poguan Dan (Breaking Coffin Pill)
Treats Ding Chuang (Carbuncle) Zouhuang (Spreading Yellow/Toxin Invasion) with unceasing spread of toxins.
Dang Gui (*Angelicae Sinensis Radix*), Chi Shao Yao (*Paeoniae Radix Rubra*), Shan Zhi Zi (*Gardeniae Fructus*), Qian Niu (*Pharbitidis Semen*) (each 2.5 liang), Lian Qiao (*Forsythiae Fructus*), Mu Li (*Ostreae Concha*), Jin Yin Hua (*Lonicerae Japonicae Flos*), Zi Hua Di Ding (*Viola Yedoensis Herba*) (each 1.5 liang), Jing San Leng (*Sparganii Rhizoma*), Gan Cao (*Glycyrrhizae Radix et Rhizoma*) (each 2 liang). If constipation is present, add Da Huang (*Rhei Radix et Rhizoma*) (3 liang).
Grind the above herbs into a fine powder, mix with refined honey to form pills the size of a bullet. Take one pill per dose, dissolve in Tong Bian (Child's Urine) before meals. Avoid alcohol, raw, cold, and hard foods.
Limahui Ding Dan (Immediate Return Carbuncle Pill)
Treats Ding Chuang (Carbuncle) with unceasing spread of toxins.
Jin Jiao Xin (A type of arsenic mineral), Chan Su (*Raniformis Venenum*), Xue Jie (*Santalum Rubrum*), Zhu Sha (*Cinnabaris*), Mo Yao (*Myrrha*) (each half qian), Qing Fen (*Calomelas*), Long Nao (*Borneolum Syntheticum*), She Xiang (*Moschus*) (each one zi).
Grind the above herbs into a fine powder. Mix with juice from fresh Cao Wu Tou (*Aconiti Kusnezoffii Radix Preparata* or raw form) to make pellets the size of wheat grains. When using, pierce the top of the sore, place one pellet inside the wound. Reduction of swelling on the second day indicates efficacy.
Treatment for Zouhuang (Spreading Yellow) causing the patient to roll on the ground near death.
Mu Li (*Ostreae Concha*), Da Huang (*Rhei Radix et Rhizoma*), Shan Zhi Zi (*Gardeniae Fructus*), Jin Yin Hua (*Lonicerae Japonicae Flos*), Mu Tong (*Akebiae Caulis*), Lian Qiao (*Forsythiae Fructus*), Niu Bang Zi (*Arctii Fructus*), Di Gu Pi (*Lycii Cortex*), Ru Xiang (*Olibanum*), Mo Yao (*Myrrha*), Zao Jiao Ci (*Gleditsiae Spina*), Gua Lou (*Trichosanthis Fructus*).
All ingredients in equal parts, chopped. Take half liang per dose. For those with strong constitution, add Po Xiao (*Natrii Sulfas*). Decoct with one bowl of water and half a bowl of wine. One dose cures.
Chansu Zouhuang Wan (Toad Venom Spreading Yellow Pill)
Treats Ding Chuang (Carbuncle) Zouhuang (Spreading Yellow).
Zhu Sha (*Cinnabaris*, ground), Huang Dan (*Lithargyri*, calcined), Bai Mian (White Flour) (equal parts).
Grind into powder. Use Chan Su (*Raniformis Venenum*) as a binder to make pills the size of wheat grains. First pierce the wound, then insert one pill into the wound. Cover with a plaster made by mixing with water. Additionally, swallow five to seven pills with Scallion Soup; sweating indicates recovery.
Huichuang Chansu Dingzi (Return Carbuncle Toad Venom Pellet)
Treats Ding Chuang (Carbuncle) where toxic qi attacks the heart leading to near-death state. Pierce the path of toxin spread from the wound towards the heart. Wherever pain is felt and blood flows, place the pellet. If piercing repeatedly near the heart side yields no pain and no blood, urgently pierce the Baihui acupoint (*GV20*). If pain and blood are present there, place the pellet. If no blood flows, substitute with the warm blood of a relative; there is still a 30-40% chance of survival. Especially if the carbuncle is in its early stages, it is invariably effective. Generally, Ding Chuang (Carbuncles) occur on the four limbs, chest, back, head, neck, and joints. The chest, back, head, and neck are the most critical. Initially, pain and itching are irregular, the center sinks like a nail, has roots when shaken, accompanied by high fever and nausea.
Tian Nan Xing (*Arisaematis Rhizoma*), Kuan Dong Hua (*Farfarae Flos*), Ba Dou Ren (*Crotonis Semen*), Huang Dan (*Lithargyri*), Bai Xin (Arsenic Trioxide), Du Huo (*Angelicae Pubescentis Radix*) (each one qian), Ban Mao (*Mylabris*) (remove head and feet, ten).
Grind into extremely fine powder. Mix with fresh Chan Su (*Raniformis Venenum*) to form pellets the size of millet seeds. Upon encountering a Ding Chuang (Carbuncle), first pierce the wound. If there is no pain but blood flows, place the pellet. If pain is felt, do not use again. If still no pain, pierce along the direction of toxin spread until blood flows and pain is felt. The original wound will also become painful; apply a plaster, and recovery occurs after pus discharges. Method for using the pellet: Prepare a thin silver tube about three cun long. Insert it with the needle to the painful area, then use a thin silver wire to push the medicine inside the tube to the painful spot.
Zhouhou Fang treatment for severe Ding Zhong (Carbuncle Swelling) near death.
One handful of Ju Hua Ye (Chrysanthemum Leaf), crush and squeeze to obtain one sheng of juice. Drinking it upon entry saves life; this method is miraculous. The root can also be used. (Danxi said: Roots, stems, leaves, and flowers can all be used; purple stems are best.)
Severe Ding Zhong (Carbuncle Swelling) Condition.
Freshly crush Cang Er Gen (Cocklebur Root) and leaves, mix with children's urine, squeeze out the juice, and take one sheng cold. Three times daily is very effective.