1.诸浮数脉,应当发热,而反洒淅恶寒,若有痛处,当发其痈。
2.师曰∶诸痈肿,欲知有脓无脓,以手掩肿上,热者为有脓,不热者为无脓。
3.肠痈之为病,其身甲错,腹皮急,按之濡,如肿状,腹无积聚,身无热,脉数,此为肠内有痈脓,薏苡
附子败酱散主之。
薏苡附子败酱散方
薏苡仁(十分) 附子(二分) 败酱(五分)
上三味,杵为末,取方寸匕,以水二升,煎减半,顿服,小盒饭下。
4.肠痈者,少腹肿痞,按之即痛如淋,小便自
调,时时发热,自汗出,复恶寒。其脉迟紧者,脓未成,可下之,当有血。脉洪数者,脓已成,不可下也。大黄
牡丹汤主之。
大黄牡丹汤方
大黄(四两) 牡丹(一两) 桃仁(五十个) 瓜子(半升) 芒硝(三合)
上五味,以水六升,煮取一升,去滓,纳芒硝,再煎沸,顿服之。有脓当下,如无脓,当下血。
5.问曰∶寸口脉微而涩,法当亡血,若汗出。设不汗者云何?答曰∶若身有疮,被刀斧所伤,亡血故也。
6.病金疮,王不留行散主之。
王不留行散方
王不留行(十分八月八日采) 蒴 细叶(十分七月七日采) 桑东南根白皮(十分三月三日采) 甘草(十
八分) 川椒(三分,除目及闭口,去汗) 黄芩(二分) 干姜(二分) 芍药(二分) 浓朴(二分)
上九味,桑根皮以上三味,烧灰存性,勿令灰过,各别杵筛,合治之为散,服方寸匕。小疮即粉之,大疮但
服之,产后亦可服。如风寒,桑东根勿取之,前三物皆阴干百日。
排脓散方
枳实(十六枚) 芍药(六分) 桔梗(二分)
上三味,杵为散,取鸡子黄一枚,以药散与鸡黄相等,揉和令相得,饮和服之,日一服。
排脓汤方
甘草(二两) 桔梗(三两) 生姜(一两) 大枣(十枚)
上四味,以水三升,煮取一升,温服五合,日再服。
7.浸淫疮,从口流向四肢者可治,从四肢流来入口者,不可治。
8.浸淫疮,黄连粉主之。(方未见。)
1. 凡是脉象浮而数,通常应当出现发热症状,但反而感到怕冷、战栗,如果身体某处有疼痛感,说明即将发生痈肿。
2. 老师说:对于各种痈肿,想要知道是否有脓液,可以用手覆盖在肿胀部位上,感觉发热的说明有脓,不感觉发热的说明没有脓。
3. 肠痈这种病,患者皮肤粗糙如鳞甲交错(肌肤甲错),腹部皮肤紧张,但按压时感觉柔软,像是有肿块的样子,腹部没有积聚包块,身体没有发热,脉象数,这是肠道内有痈脓,用薏苡附子败酱散主治。
薏苡附子败酱散方
薏苡仁(十分) 附子(二分) 败酱(五分)
以上三味药,捣碎成粉末,取一方寸匕的药量,用水二升,煎煮至剩下一升,一次性服用,小便应当通畅。
4. 肠痈病,表现为小腹肿胀痞硬,按压就疼痛,感觉像淋病一样,但小便正常,时常发热,自汗出,又伴有恶寒。脉象迟紧的,说明脓尚未形成,可以用攻下法治疗,应该会排出瘀血。脉象洪数的,说明脓已经形成,不可用攻下法。用大黄牡丹汤主治。
大黄牡丹汤方
大黄(四两) 牡丹皮(一两) 桃仁(五十个) 瓜子(半升) 芒硝(三合)
以上五味药,用水六升,煮取一升药液,去掉药渣,加入芒硝,再煮沸,一次性服用。如果有脓,就会排出脓液;如果没有脓,就会排出瘀血。
5. 问:寸口脉微而涩,按照医理应当是失血或汗出过多所致。假如没有汗出,是怎么回事?答:如果是身上有疮疡,被刀斧等利器所伤,导致失血,所以会出现这种情况。
6. 患金疮(金属利器造成的创伤),用王不留行散主治。
王不留行散方
王不留行(十分,八月八日采集) 蒴藋细叶(十分,七月七日采集) 桑树东南方向的根白皮(十分,三月三日采集) 甘草(十八分) 川椒(三分,去除椒目及闭合不张口者,去汗气) 黄芩(二分) 干姜(二分) 芍药(二分) 厚朴(二分)
以上九味药,桑根皮等前三味药,烧成灰但保留药性,不要烧成过焦的灰,分别捣碎筛粉,混合制成散剂,每次服用一方寸匕。小伤口可以直接撒粉,大伤口只内服,产后妇女也可以服用。如果遇到风寒天气,不要用桑树东南根的皮,前三味药都要阴干一百天。
排脓散方
枳实(十六枚) 芍药(六分) 桔梗(二分)
以上三味药,捣碎成散剂,取一个鸡蛋黄,用药散与蛋黄量相等,揉和均匀,温水送服,每天一次。
排脓汤方
甘草(二两) 桔梗(三两) 生姜(一两) 大枣(十枚)
以上四味药,用水三升,煮取一升药液,温服五合,每天两次。
7. 浸淫疮,从口部流向四肢部位的可以治愈,从四肢流回入口部的,难以治愈。
1. Whenever the pulse is floating and rapid, fever should typically occur; however, if there is a contrary sensation of chills and aversion to cold, and if there is a specific painful area, an abscess (carbuncle) is likely to develop.
2. The Master said: Regarding various swellings and abscesses, to determine whether pus has formed, place one's hand over the swollen area. If it feels hot, pus is present; if it does not feel hot, pus is absent.
3. In cases of intestinal abscess (Chang Yong), the patient presents with rough, scaly skin (Jia Cuo), tight abdominal wall skin that feels soft upon palpation resembling a swelling, but without any abdominal masses or accumulation. The body temperature is normal, yet the pulse is rapid. This indicates pus formation within the intestines. Yi Yi Fu Zi Bai Jiang San (Coix Seed, Aconite, and Patrinia Decoction) is the primary formula.
Yi Yi Fu Zi Bai Jiang San Formula
Yi Yi Ren (Coicis Semen, Coix Seed) - 10 parts
Fu Zi (Aconiti Lateralis Radix Praeparata, Prepared Lateral Root of Aconite) - 2 parts
Bai Jiang Cao (Patriniae Herba, Herb of Patrinia) - 5 parts
Process the above three ingredients by pounding into powder. Take one cun bi (a square-inch measure) of the powder, add two sheng (approx. 400ml) of water, and decoct until half remains. Administer in a single dose. Urination should be clear and unobstructed.
4. In intestinal abscess, symptoms include swelling and distension in the lower abdomen, pain upon pressure resembling strangury (Lin syndrome), yet urination remains normal. There is intermittent fever, spontaneous sweating, and aversion to cold. If the pulse is slow and tight, pus has not yet formed; purgation may be used, and bloody discharge is expected. If the pulse is surging and rapid, pus has already formed; purgation is contraindicated. Da Huang Mu Dan Tang (Rhubarb and Moutan Decoction) is the primary formula.
Da Huang Mu Dan Tang Formula
Da Huang (Rhei Radix et Rhizoma, Rhubarb) - 4 liang
Mu Dan Pi (Moutan Cortex, Bark of Tree Peony Root) - 1 liang
Tao Ren (Persicae Semen, Seed of Peach) - 50 pieces
Gua Zi (Benincasae Semen, Seed of Benincasa) - 0.5 sheng
Mang Xiao (Natrii Sulfas, Mirabilite) - 3 he
Decoct the above five ingredients in six sheng (approx. 1200ml) of water until one sheng remains. Strain the dregs, add Mang Xiao, boil again until boiling, and administer in a single dose. If pus is present, it will be discharged; if no pus, blood will be discharged.
5. Question: A faint and choppy pulse at the Cun Kou (radial artery) typically indicates blood loss or excessive sweating. What if there is no sweating? Answer: If the person has wounds or injuries from knives or axes resulting in blood loss, this explains the pulse condition.
6. For Jin Chuang (metal weapon injuries), Wang Bu Liu Xing San (Vaccaria Powder) is the primary formula.
Wang Bu Liu Xing San Formula
Wang Bu Liu Xing (Vaccariae Semen, Seed of Vaccaria) - 10 parts (harvested on the 8th day of the 8th lunar month)
Shuodie Xiye (Dysosdi Herba, Herb of Dysosdia) - 10 parts (harvested on the 7th day of the 7th lunar month)
Sang Dongnan Gen Baipi (White Bark of Southeastern Root of Mulberry Tree) - 10 parts (harvested on the 3rd day of the 3rd lunar month)
Gan Cao (Glycyrrhizae Radix et Rhizoma, Licorice Root) - 18 parts
Chuan Jiao (Zanthoxyli Pericarpium, Pericarp of Zanthoxylum) - 3 parts (remove seeds and closed pods, remove moisture/sweat)
Huang Qin (Scutellariae Radix, Root of Scutellaria) - 2 parts
Gan Jiang (Zingiberis Rhizoma, Dried Ginger) - 2 parts
Bai Shao (Paeoniae Radix Alba, White Peony Root) - 2 parts
Hou Po (Magnoliae Officinalis Cortex, Bark of Magnolia) - 2 parts
For the first three ingredients (Mulberry bark, etc.), burn them to ash while preserving their medicinal properties, avoiding complete carbonization. Pound and sieve each separately, then mix to form a powder. Take one cun bi per dose. For minor wounds, apply the powder topically; for major wounds, take orally. It can also be taken postpartum. In cases of wind-cold, do not use the southeastern mulberry root bark; the first three ingredients should be dried in shade for 100 days.
Pai Nong San (Pus-Discharging Powder) Formula
Zhi Shi (Immature Bitter Orange Fruit) - 16 pieces
Bai Shao (Paeoniae Radix Alba, White Peony Root) - 6 fen
Jie Geng (Platycodonis Radix, Root of Platycodon) - 2 fen
Pound the above three ingredients into a powder. Take one egg yolk, mix with an equal amount of the powder, knead until uniform, and take with warm water once daily.
Pai Nong Tang (Pus-Discharging Decoction) Formula
Gan Cao (Glycyrrhizae Radix et Rhizoma, Licorice Root) - 2 liang
Jie Geng (Platycodonis Radix, Root of Platycodon) - 3 liang
Sheng Jiang (Zingiberis Rhizoma Recens, Fresh Ginger) - 1 liang
Da Zao (Jujubae Fructus, Date) - 10 pieces
Decoct the above four ingredients in three sheng (approx. 600ml) of water until one sheng remains. Take five ge (approx. 100ml) warm, twice daily.
7. For Jin Yin Chuang (oozing sores/eczema), if the lesion spreads from the mouth/trunk to the limbs, it is treatable; if it spreads from the limbs back to the mouth/trunk, it is difficult to treat.
8. For Jin Yin Chuang (oozing sores/eczema), Huang Lian Fen (Coptis Powder) is the primary formula. (Formula details are not preserved.)