枳实(十六枚) 赤芍药(六分) 桔梗(二分) 杵为散,取鸡子黄一枚,以药散与
鸡子黄相等
甘草(二两) 桔梗(三两) 生姜(一两) 大枣(十枚) 以水三升,煮取一升,
温服五合,日
排脓散汤方有二,汤草枣姜散芍枳,其中桔梗二方俱,可知排脓先提气。气不开提血不
通,
泄气
下。
欲排其脓,必先提气。举此以推,疡科之要可知矣。)
(苏颂《图经本草》) 解百药毒;兼治阴茎挺长,胀痛不堪,此名“筋疝
甘草 黑大豆
甘豆汤解百药毒,性味和平功足录。(《重修政和经史证类备用本草》引苏颂曰∶孙思邈
称“大豆解百药毒,尝试之不效,乃加甘草,为甘豆汤,其验更速。”)阴茎胀痛亦能医,此
名筋疝由淫欲。(筋疝阴茎挺长掣痛,由肆于淫欲得之,用此方者,亦取其解毒。甘草当用
梢,以梢能径达茎中也。)
治百合病。百合病者,百脉一宗,悉致其病也。意欲食,复不能食,常默然,
卧,欲行不能行,饮食或有美时,或有不欲闻食臭时,如寒无寒,如热无热,口苦
诸药不能治,得药则剧吐利,身形如和,其脉微数。每溺时头痛者,六十日乃愈
不痛,淅淅然者,四十日愈;若溺快然,但头眩者,二十日愈。其证或未病而预
五日而出,或病二十日或一月后见者,各随证治之。若未经吐、下、发汗,病形
方主之。
百合(七枚) 生地黄汁(一升) 先以水洗百合,渍一宿,当白沫出,去其水,更以
泉水二升
如漆。
【排脓散汤方】
枳实(十六枚) 赤芍药(六分) 桔梗(二分) 捣碎成散剂,取鸡蛋黄一枚,将药散与鸡蛋黄混合均匀。
甘草(二两) 桔梗(三两) 生姜(一两) 大枣(十枚) 用水三升,煮取一升,温服五合,每日服用。
排脓散和排脓汤这两个方子,药物包含甘草、大枣、生姜、芍药、枳实,其中桔梗是两个方子共有的,由此可知排脓必须先提升气机。气机如果不提升,血液就无法通畅,导致气泄于下。想要排出脓液,必须先提升气机。举这个例子可以类推,外科治疗的要点也就知道了。(苏颂《图经本草》记载:甘草能解各种药物的毒性;兼治阴茎异常勃起,胀痛难忍,这叫做“筋疝”。)
甘豆汤能解各种药物的毒性,其性味平和,功效值得记录。(《重修政和经史证类备用本草》引用苏颂的话说:孙思邈称“大豆能解各种药物的毒性,尝试后无效,于是加入甘草,制成甘豆汤,验证起来更快。”)阴茎胀痛也能医治,这叫做筋疝,是由过度淫欲引起的。(筋疝表现为阴茎异常勃起并伴有牵拉疼痛,是由于放纵淫欲所致,使用此方也是取其解毒之意。甘草应当用梢部,因为梢部能直达茎中。)
治疗百合病(一种以精神恍惚、饮食行为失调为主要表现的疾病)。百合病,是指全身血脉同出一源,都受到了病邪的影响。患者想吃饭却又吃不下,常常沉默不语,想睡觉却睡不安稳,想行走却又走不动,饮食有时觉得美味,有时又不想闻到食物的气味,感觉像冷其实不冷,感觉像热其实不热,口苦,小便颜色偏红,这些症状让医生感到困惑,各种药物都不能治愈,服药后反而剧烈呕吐或腹泻,身体外形看起来正常,脉象微数。每次小便时如果头痛,六十天后才能痊愈;如果不头痛,只是感觉怕风,四十天痊愈;如果小便畅快,只是头晕,二十天痊愈。这些症状有的在发病前就预先出现,有的在发病后五天出现,有的在发病后二十天或一个月后出现,都要根据具体症状进行治疗。如果没有经过催吐、泻下或发汗治疗,病情形态尚未改变,就用百合地黄汤来主治。
百合(七枚) 生地黄汁(一升) 先用水清洗百合,浸泡一夜,当水面出现白色泡沫时,倒掉水,再用泉水二升煮百合,煮至剩余半升,去渣,加入生地黄汁,再煎煮至药液如漆一样浓稠。
[Paishang San Tang Formula]
Zhishi (Immature Bitter Orange, *Citri Reticulatae Fructus Immaturus*) (16 pieces), Chishao (Red Peony Root, *Paeoniae Radix Rubra*) (6 fen), Jiegeng (Platycodon Root, *Platycodonis Radix*). Pound into a powder. Take one egg yolk (*Jizi Huang*), and mix the herbal powder with the egg yolk in equal proportions.
Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) (2 liang), Jiegeng (Platycodon Root, *Platycodonis Radix*) (3 liang), Shengjiang (Fresh Ginger, *Zingiberis Rhizoma Recens*) (1 liang), Dazao (Jujube, *Ziziphi Jujubae Fructus*) (10 pieces). Add 3 sheng of water, decoct to obtain 1 sheng. Take 5 he as a warm dose, administered daily.
There are two formulas for draining pus: Paishang San and Paishang Tang. The ingredients include Gancao, Dazao, Shengjiang, Shaoyao, and Zhishi, while Jiegeng is common to both. This indicates that to drain pus, one must first elevate Qi. If Qi is not elevated, Blood cannot flow smoothly, leading to the leakage of Qi downward. To drain pus, one must first elevate Qi. By inferring from this example, the key principles of surgery (Yangke) can be understood. (Su Song's *Tujing Bencao* records: Gancao can detoxify various medicines; it also treats abnormal erection of the penis with unbearable distending pain, known as "Jinshan" [Sinew Hernia].)
Gandou Tang can detoxify various medicines; its nature and flavor are mild and harmonious, and its efficacy is worthy of record. (Quoted from Su Song in *Chongxiu Zhenghe Jingshi Zhenglei Beiyong Bencao*: Sun Simiao stated, "Soybeans can detoxify various medicines. I tried them but they were ineffective, so I added Gancao to make Gandou Tang, and the verification was faster." It can also treat penile distending pain, which is called Jinshan, caused by excessive sexual indulgence. [Jinshan manifests as abnormal erection of the penis with pulling pain, resulting from unrestrained sexual desire. Using this formula also aims at detoxification. One should use the tip of Gancao, as the tip can reach directly to the glans penis.])
Treating Baihe Bing (Lily Disease). Baihe Bing refers to a condition where all meridians share the same origin, yet all are affected by the disease. The patient desires to eat but cannot, often remains silent, wishes to sleep but cannot rest peacefully, wishes to walk but cannot move, sometimes finds food delicious, and at other times cannot bear the smell of food. They feel cold but are not actually cold, feel hot but are not actually hot, have a bitter taste in the mouth, and experience reddish urine. These symptoms confuse physicians; various medicines fail to cure, and administering medicine causes severe vomiting or diarrhea. The physical appearance seems normal, but the pulse is slightly rapid. If headache occurs during urination, recovery takes sixty days; if there is no headache but a sensation of chilliness, recovery takes forty days; if urination is smooth but accompanied only by dizziness, recovery takes twenty days. These symptoms may appear before the illness begins, five days after onset, or twenty days to one month after onset. Treatment should follow the specific symptoms. If the patient has not undergone emesis, purgation, or diaphoresis, and the disease pattern remains unchanged, Baihe Dihuang Tang is indicated.
Baihe (Lily Bulb, *Lilii Bulbus*) (7 pieces), Shengdihuang Zhi (Juice of Raw Rehmannia Root, *Rehmanniae Radix Preparata* juice) (1 sheng). First, wash the Baihe with water, soak overnight until white foam appears on the surface, discard the water, then add 2 sheng of spring water to decoct the Baihe until reduced to half a sheng. Strain and remove the dregs, then add the Shengdihuang Zhi, and decoct again until the liquid becomes thick like lacquer.