{"resource_id":14952,"title":"外科发挥","format":"md","encoding":"utf-8","chapters":[{"id":"chapter-1","title":"外科發揮","sections":[{"id":"chapter-1-section-1","title":"外科發揮","paragraphs":[]},{"id":"chapter-1-section-2","title":"立齋外科發揮","paragraphs":[]},{"id":"chapter-1-section-3","title":"目錄","paragraphs":[]},{"id":"chapter-1-section-4","title":"序","paragraphs":[]},{"id":"chapter-1-section-5","title":"卷一","paragraphs":[]},{"id":"chapter-1-section-6","title":"卷二","paragraphs":[]},{"id":"chapter-1-section-7","title":"卷三","paragraphs":[]},{"id":"chapter-1-section-8","title":"卷四","paragraphs":[]},{"id":"chapter-1-section-9","title":"卷五","paragraphs":[]},{"id":"chapter-1-section-10","title":"卷六","paragraphs":[]},{"id":"chapter-1-section-11","title":"卷七","paragraphs":[]},{"id":"chapter-1-section-12","title":"卷八","paragraphs":[]},{"id":"chapter-1-section-13","title":"敘","paragraphs":["醫家內外科實相表裡，惟小兒為難治，故謂之“啞科”。雖瘡瘍為有形之症，然亦必先審乎賦，移於所感，是故人有老少強弱之等，而脈亦有盛衰虛實之異。故療病治瘡瘍者，皆當先辨其有餘、不足，而為主客、緩急之施則善矣。其見於東垣、丹溪、河間、仲景之論，可考而知也。吾切嘆夫世之庸醫，未嘗讀書明理，以瘡瘍試方藥，而遂誤人者，不少也。嘗見南京判院薛君《外科心法》，精當切要，可傳，而許其有扶困起廢之仁。一日，持是編以告餘先君，子欲以隨治驗方萃以成編，庶克濟人，且以自驗其力。餘承先意，乃今分症異，欲而錄其既驗者，尤致詳於有餘不足之辨，而為虛實主客之宜。欲鋟諸梓以傳，庶有便於窮鄉下邑之無名醫者，不獨自驗而已也。少宰蒲汀李公嘗見之，標曰：《立齋外科發揮》，子盍敘之。餘惟君子不忘乎親，不私其有。夫不忘其親之謂孝，不私其有之謂仁，孝則仁，仁則公，公則溥。君之是編，其真君子之用心哉！吾儒以推己及物求仁，而欲措天下於仁壽之域。","是編之行，於人必大有濟，故為之敘，以推展而傳之。","嘉靖戊子秋孟月朔，南京刑部員外郎前進士郡人張淮敘。"]},{"id":"chapter-1-section-14","title":"卷一","paragraphs":["[卷一]腫瘍（謂瘡瘍未出膿者）","腫高痛脈浮者，邪在表也，宜託之；腫硬痛深脈沉者，邪在內也，宜下之；外無腫，內拘急，或頭痛者，邪在表也，宜散之；大痛，或不痛者，邪氣實也，隔蒜灸之，更用解毒；煩躁飲冷，痛脈數者，邪在上也，宜清之；惡寒而不潰者，氣實兼寒邪也；宜宣而補之；痛發熱，汗多大渴，便秘譫語者，結陽證也，宜下之；不作膿，或熟而不潰者，虛也，宜補之。","一男子胸患癰，腫高痛，脈浮而緊，以內託復煎散二劑，表證悉減；以托里消毒散，四劑而消。","一男子腹患癰，腫硬愈悶，煩熱便秘，脈數而實。以黃連內疏湯，一劑少愈；以黃連解毒湯，二劑頓退；更以金銀花散四劑，出水而消。","一男子患腿痛而不腫，內亦便利調和，用托里榮衛湯數劑而消。","一婦人項患毒，痛發寒熱。以荊防敗毒散，二劑少愈；以小柴胡湯，加連翹、牛蒡子、桔梗，四劑而消。","一男子肩患毒，痛飲冷，煩躁便秘，脈數而實。以清涼飲二劑少愈；以金銀花散四劑悉退；又以十宣散，去桂加天花粉、金銀花，數劑，瘡頭潰而痊。","一婦人臂患腫，惡寒不作膿。以十宣散六劑而潰；以托里散數劑而瘳。","一男子患癰，腫硬疼痛，發熱煩躁，飲冷，脈沉實，大便秘，乃邪在髒也。用內疏黃連湯疏，四劑而消。","一男子內股患毒，腫硬痛甚，不作膿。隔蒜灸五十餘壯，勢退七八；以仙方活命飲，四劑而膿成；用十宣散，六劑膿潰而愈。凡瘡大痛，或不痛麻木，灸最良。","一婦人臂腫，未成膿，飲食少思，遇勞作痛發熱。以補中益氣湯二劑，痛少止；以補氣血健脾胃藥而消。","一男子素弱，胸患癰，飲食少而倦。以六君子湯加芎、歸、黃，膿成，針之；更以托里藥而癒。","一婦人脅患癰，未成膿，惡寒脈緊。以十宣散加柴胡二劑，表證悉退；更以托里散數劑，膿潰而愈。","一婦人臂患毒腫硬，咽喉壅塞，四肢逆冷，發寒熱。以五香連翹湯二劑，頓愈；以瘡科流氣飲四劑而消。","一男子臂患癰，脈弦緊有力。以白芷升麻湯二劑頓退；又二劑而消。","一婦人肩下患毒，脈弦緊。以白芷升麻湯二劑，表證已退；更以托里藥潰之而愈。","一男子臂患癰，不作膿。灸以豆豉餅，及飲托里藥三十餘劑而潰，又月餘而瘳。","一男子膿熟不潰，予欲針之，補以托里。彼不信，乃服攻毒藥，及致噁心少食，始悟而用針。更以六君子湯，加藿香、當歸四劑，稍可；再以加味十全大補湯，數劑而斂。凡瘡膿熟，不行針刺，膿毒侵蝕，輕者難療，重者不治。老弱之人，或偏僻之處，及緊要之所，若一有膿，宜急針之，更以托里，庶無變證。","一男子患毒作痛。服寒涼藥，痛雖止而食愈少，瘡亦不潰。以六君子湯而食進，再以托里藥者，以溫熱之劑散之。因風而痛者，除其風。因溼而痛者，導其溼。燥而痛者潤之。塞而痛者通之。虛而痛者補之。實而痛者瀉之。膿鬱而閉者開之。惡肉侵蝕者去之。陰陽不和者調之。經絡秘澀者利之。慎勿概用寒涼之藥。況血脈喜溫而惡寒，若冷氣入裡，血即凝滯，反為難瘥之證矣。","一男子素弱，肘患腫。欲內消，服涼藥，反致作瀉少食。以二神丸及香砂六君子湯加肉豆蔻木堅固。次以行經活血藥佐之，參以經絡時令，使毒瓦斯外發，施治之早，可以內消。此內託之意也。又云：腫瘍內外皆壅，宜以托里表散為主。如欲用大黃，寧無孟浪之非？潰瘍內外皆虛，宜以補接為主。如欲用香散，未免虛虛之失。大抵癰腫之證，不可專泥於火為患。經雲：營氣不從，逆於肉理，乃生癰腫。又云：形傷痛，氣傷腫，六淫七情，皆能致之。況稟有虛實，及老弱不同，豈可概用寒涼之藥？設若毒始聚，膿未作，勢不盛，庶可消。尤當推其病因，別其虛實，若概用寒涼藥，必致誤事。如膿將成，邪盛氣實，用消毒之劑，先殺其毒，雖作膿不為大苦，潰亦不甚。若就用托里，必益其勢。如膿將成不成及不潰，方用托里。膿成勢盛者針之，膿一出，諸證悉退矣。"]},{"id":"chapter-1-section-15","title":"附方","paragraphs":["內託復煎散","治瘡瘍腫在外，其脈多浮。邪氣勝，必侵內，宜用此藥託之。","地骨皮黃芩（炒）茯苓白芍藥（炒）人參黃（鹽水拌炒）白朮（炒）桂皮甘草（炙）防己（酒拌）當歸（酒拌，各一錢）防風（二錢）咀，先以蒼朮一升，水五升，煎。去術，入藥，再煎至二升，終日飲之。蒼朮渣外，再煎服。","托里消毒散","治瘡疽已攻發不消者，宜服此藥，未成即消，已成即潰，腐肉易去，新肉易生。如有瘡口，宜貼膏藥。斂即不用，切不可用生肌之藥。","人參黃（鹽水拌炒）當歸（酒拌）川芎芍藥（炒）白朮（炒）茯苓（各一錢）白芷","內疏黃連湯","（一名黃連內疏湯）治瘡瘍腫硬，發熱作嘔，大便秘澀，煩躁飲冷，嘔心煩，脈沉實。此邪在髒也。急服以內除之，使邪不得犯經絡。","黃連山梔當歸（酒拌）芍藥木香檳榔黃芩薄荷桔梗甘草（各一錢）連翹大黃（炒，各二錢）作一劑，水二鍾，煎八分，食前服。","黃連解毒湯"]},{"id":"chapter-1-section-16","title":"（方見瘡瘍作嘔門）","paragraphs":["荊防敗毒散"]},{"id":"chapter-1-section-17","title":"（方見疔瘡門）","paragraphs":[]},{"id":"chapter-1-section-18","title":"隔蒜灸法","paragraphs":[]},{"id":"chapter-1-section-19","title":"仙方活命飲","paragraphs":["清涼飲","十宣散"]},{"id":"chapter-1-section-20","title":"（四方見發背門）","paragraphs":["香砂六君子湯"]},{"id":"chapter-1-section-21","title":"（方見作嘔門）","paragraphs":["破棺丹"]},{"id":"chapter-1-section-22","title":"（方見發背門）","paragraphs":["托里散","治瘡瘍飲食少思，或不腐，不收斂。","人參黃（鹽水拌炒）當歸（酒拌"]}]}],"toc":[{"id":"chapter-1-section-1","chapter_title":"外科發揮","section_title":"外科發揮","is_available":true},{"id":"chapter-1-section-2","chapter_title":"外科發揮","section_title":"立齋外科發揮","is_available":true},{"id":"chapter-1-section-3","chapter_title":"外科發揮","section_title":"目錄","is_available":true},{"id":"chapter-1-section-4","chapter_title":"外科發揮","section_title":"序","is_available":true},{"id":"chapter-1-section-5","chapter_title":"外科發揮","section_title":"卷一","is_available":true},{"id":"chapter-1-section-6","chapter_title":"外科發揮","section_title":"卷二","is_available":true},{"id":"chapter-1-section-7","chapter_title":"外科發揮","section_title":"卷三","is_available":true},{"id":"chapter-1-section-8","chapter_title":"外科發揮","section_title":"卷四","is_available":true},{"id":"chapter-1-section-9","chapter_title":"外科發揮","section_title":"卷五","is_available":true},{"id":"chapter-1-section-10","chapter_title":"外科發揮","section_title":"卷六","is_available":true},{"id":"chapter-1-section-11","chapter_title":"外科發揮","section_title":"卷七","is_available":true},{"id":"chapter-1-section-12","chapter_title":"外科發揮","section_title":"卷八","is_available":true},{"id":"chapter-1-section-13","chapter_title":"外科發揮","section_title":"敘","is_available":true},{"id":"chapter-1-section-14","chapter_title":"外科發揮","section_title":"卷一","is_available":true},{"id":"chapter-1-section-15","chapter_title":"外科發揮","section_title":"附方","is_available":true},{"id":"chapter-1-section-16","chapter_title":"外科發揮","section_title":"（方見瘡瘍作嘔門）","is_available":true},{"id":"chapter-1-section-17","chapter_title":"外科發揮","section_title":"（方見疔瘡門）","is_available":true},{"id":"chapter-1-section-18","chapter_title":"外科發揮","section_title":"隔蒜灸法","is_available":true},{"id":"chapter-1-section-19","chapter_title":"外科發揮","section_title":"仙方活命飲","is_available":true},{"id":"chapter-1-section-20","chapter_title":"外科發揮","section_title":"（四方見發背門）","is_available":true},{"id":"chapter-1-section-21","chapter_title":"外科發揮","section_title":"（方見作嘔門）","is_available":true},{"id":"chapter-1-section-22","chapter_title":"外科發揮","section_title":"（方見發背門）","is_available":true}],"plain_text":"# 外科發揮\n## 外科發揮\n## 立齋外科發揮\n## 目錄\n## 序\n## 卷一\n## 卷二\n## 卷三\n## 卷四\n## 卷五\n## 卷六\n## 卷七\n## 卷八\n## 敘\n醫家內外科實相表裡，惟小兒為難治，故謂之“啞科”。雖瘡瘍為有形之症，然亦必先審乎賦，移於所感，是故人有老少強弱之等，而脈亦有盛衰虛實之異。故療病治瘡瘍者，皆當先辨其有餘、不足，而為主客、緩急之施則善矣。其見於東垣、丹溪、河間、仲景之論，可考而知也。吾切嘆夫世之庸醫，未嘗讀書明理，以瘡瘍試方藥，而遂誤人者，不少也。嘗見南京判院薛君《外科心法》，精當切要，可傳，而許其有扶困起廢之仁。一日，持是編以告餘先君，子欲以隨治驗方萃以成編，庶克濟人，且以自驗其力。餘承先意，乃今分症異，欲而錄其既驗者，尤致詳於有餘不足之辨，而為虛實主客之宜。欲鋟諸梓以傳，庶有便於窮鄉下邑之無名醫者，不獨自驗而已也。少宰蒲汀李公嘗見之，標曰：《立齋外科發揮》，子盍敘之。餘惟君子不忘乎親，不私其有。夫不忘其親之謂孝，不私其有之謂仁，孝則仁，仁則公，公則溥。君之是編，其真君子之用心哉！吾儒以推己及物求仁，而欲措天下於仁壽之域。\n是編之行，於人必大有濟，故為之敘，以推展而傳之。\n嘉靖戊子秋孟月朔，南京刑部員外郎前進士郡人張淮敘。\n## 卷一\n[卷一]腫瘍（謂瘡瘍未出膿者）\n腫高痛脈浮者，邪在表也，宜託之；腫硬痛深脈沉者，邪在內也，宜下之；外無腫，內拘急，或頭痛者，邪在表也，宜散之；大痛，或不痛者，邪氣實也，隔蒜灸之，更用解毒；煩躁飲冷，痛脈數者，邪在上也，宜清之；惡寒而不潰者，氣實兼寒邪也；宜宣而補之；痛發熱，汗多大渴，便秘譫語者，結陽證也，宜下之；不作膿，或熟而不潰者，虛也，宜補之。\n一男子胸患癰，腫高痛，脈浮而緊，以內託復煎散二劑，表證悉減；以托里消毒散，四劑而消。\n一男子腹患癰，腫硬愈悶，煩熱便秘，脈數而實。以黃連內疏湯，一劑少愈；以黃連解毒湯，二劑頓退；更以金銀花散四劑，出水而消。\n一男子患腿痛而不腫，內亦便利調和，用托里榮衛湯數劑而消。\n一婦人項患毒，痛發寒熱。以荊防敗毒散，二劑少愈；以小柴胡湯，加連翹、牛蒡子、桔梗，四劑而消。\n一男子肩患毒，痛飲冷，煩躁便秘，脈數而實。以清涼飲二劑少愈；以金銀花散四劑悉退；又以十宣散，去桂加天花粉、金銀花，數劑，瘡頭潰而痊。\n一婦人臂患腫，惡寒不作膿。以十宣散六劑而潰；以托里散數劑而瘳。\n一男子患癰，腫硬疼痛，發熱煩躁，飲冷，脈沉實，大便秘，乃邪在髒也。用內疏黃連湯疏，四劑而消。\n一男子內股患毒，腫硬痛甚，不作膿。隔蒜灸五十餘壯，勢退七八；以仙方活命飲，四劑而膿成；用十宣散，六劑膿潰而愈。凡瘡大痛，或不痛麻木，灸最良。\n一婦人臂腫，未成膿，飲食少思，遇勞作痛發熱。以補中益氣湯二劑，痛少止；以補氣血健脾胃藥而消。\n一男子素弱，胸患癰，飲食少而倦。以六君子湯加芎、歸、黃，膿成，針之；更以托里藥而癒。\n一婦人脅患癰，未成膿，惡寒脈緊。以十宣散加柴胡二劑，表證悉退；更以托里散數劑，膿潰而愈。\n一婦人臂患毒腫硬，咽喉壅塞，四肢逆冷，發寒熱。以五香連翹湯二劑，頓愈；以瘡科流氣飲四劑而消。\n一男子臂患癰，脈弦緊有力。以白芷升麻湯二劑頓退；又二劑而消。\n一婦人肩下患毒，脈弦緊。以白芷升麻湯二劑，表證已退；更以托里藥潰之而愈。\n一男子臂患癰，不作膿。灸以豆豉餅，及飲托里藥三十餘劑而潰，又月餘而瘳。\n一男子膿熟不潰，予欲針之，補以托里。彼不信，乃服攻毒藥，及致噁心少食，始悟而用針。更以六君子湯，加藿香、當歸四劑，稍可；再以加味十全大補湯，數劑而斂。凡瘡膿熟，不行針刺，膿毒侵蝕，輕者難療，重者不治。老弱之人，或偏僻之處，及緊要之所，若一有膿，宜急針之，更以托里，庶無變證。\n一男子患毒作痛。服寒涼藥，痛雖止而食愈少，瘡亦不潰。以六君子湯而食進，再以托里藥者，以溫熱之劑散之。因風而痛者，除其風。因溼而痛者，導其溼。燥而痛者潤之。塞而痛者通之。虛而痛者補之。實而痛者瀉之。膿鬱而閉者開之。惡肉侵蝕者去之。陰陽不和者調之。經絡秘澀者利之。慎勿概用寒涼之藥。況血脈喜溫而惡寒，若冷氣入裡，血即凝滯，反為難瘥之證矣。\n一男子素弱，肘患腫。欲內消，服涼藥，反致作瀉少食。以二神丸及香砂六君子湯加肉豆蔻木堅固。次以行經活血藥佐之，參以經絡時令，使毒瓦斯外發，施治之早，可以內消。此內託之意也。又云：腫瘍內外皆壅，宜以托里表散為主。如欲用大黃，寧無孟浪之非？潰瘍內外皆虛，宜以補接為主。如欲用香散，未免虛虛之失。大抵癰腫之證，不可專泥於火為患。經雲：營氣不從，逆於肉理，乃生癰腫。又云：形傷痛，氣傷腫，六淫七情，皆能致之。況稟有虛實，及老弱不同，豈可概用寒涼之藥？設若毒始聚，膿未作，勢不盛，庶可消。尤當推其病因，別其虛實，若概用寒涼藥，必致誤事。如膿將成，邪盛氣實，用消毒之劑，先殺其毒，雖作膿不為大苦，潰亦不甚。若就用托里，必益其勢。如膿將成不成及不潰，方用托里。膿成勢盛者針之，膿一出，諸證悉退矣。\n## 附方\n內託復煎散\n治瘡瘍腫在外，其脈多浮。邪氣勝，必侵內，宜用此藥託之。\n地骨皮黃芩（炒）茯苓白芍藥（炒）人參黃（鹽水拌炒）白朮（炒）桂皮甘草（炙）防己（酒拌）當歸（酒拌，各一錢）防風（二錢）咀，先以蒼朮一升，水五升，煎。去術，入藥，再煎至二升，終日飲之。蒼朮渣外，再煎服。\n托里消毒散\n治瘡疽已攻發不消者，宜服此藥，未成即消，已成即潰，腐肉易去，新肉易生。如有瘡口，宜貼膏藥。斂即不用，切不可用生肌之藥。\n人參黃（鹽水拌炒）當歸（酒拌）川芎芍藥（炒）白朮（炒）茯苓（各一錢）白芷\n內疏黃連湯\n（一名黃連內疏湯）治瘡瘍腫硬，發熱作嘔，大便秘澀，煩躁飲冷，嘔心煩，脈沉實。此邪在髒也。急服以內除之，使邪不得犯經絡。\n黃連山梔當歸（酒拌）芍藥木香檳榔黃芩薄荷桔梗甘草（各一錢）連翹大黃（炒，各二錢）作一劑，水二鍾，煎八分，食前服。\n黃連解毒湯\n## （方見瘡瘍作嘔門）\n荊防敗毒散\n## （方見疔瘡門）\n## 隔蒜灸法\n## 仙方活命飲\n清涼飲\n十宣散\n## （四方見發背門）\n香砂六君子湯\n## （方見作嘔門）\n破棺丹\n## （方見發背門）\n托里散\n治瘡瘍飲食少思，或不腐，不收斂。\n人參黃（鹽水拌炒）當歸（酒拌","is_preview":true,"preview_page_limit":10}