{"resource_id":15194,"title":"秘传外科方","format":"md","encoding":"utf-8","chapters":[{"id":"chapter-1","title":"秘傳外科方","sections":[{"id":"chapter-1-section-1","title":"秘傳外科方","paragraphs":["總論十八條","化毒消腫托里散","內託千金散","秘傳十六味流氣飲","內塞散","仙方解毒生肌定痛散"]},{"id":"chapter-1-section-2","title":"洗藥","paragraphs":["化毒散血拔毒散","鐵筒拔毒膏"]},{"id":"chapter-1-section-3","title":"仙方隔紙膏","paragraphs":["太一神應膏","內固清心散","透膿散","破血散","南星膏","吃藥即效散","復元通氣散","苦參丸","秘傳隔紙膏","追疔奪命湯、飛龍奪命丹"]},{"id":"chapter-1-section-4","title":"疔瘡治法","paragraphs":["桃紅散","自沸湯","雄黃丸","玉紅散"]},{"id":"chapter-1-section-5","title":"李世安治疔法","paragraphs":["當歸散","海馬拔毒散"]},{"id":"chapter-1-section-6","title":"李防禦五痔方","paragraphs":["水澄膏","荊芥湯","潤腸丸","龍石散","導赤散","雙金散","內補散","國老湯","水澄膏","紅肉膏","洗痔金花散","龍骨海蛤散","乳香膏","當歸飲","通真煨姜丸","下膈散","洗腸犀角散","止痛麥煎散","黑神黃散","宣風散","木通散","收膿膏","車前散","注青膏","金花散","山甲散","解腸散"]},{"id":"chapter-1-section-7","title":"神驗治痔方","paragraphs":[]},{"id":"chapter-1-section-8","title":"跋","paragraphs":[]},{"id":"chapter-1-section-9","title":"治諸雜證品","paragraphs":[]},{"id":"chapter-1-section-10","title":"神醫華佗雲","paragraphs":[]},{"id":"chapter-1-section-11","title":"又婦人產方","paragraphs":[]},{"id":"chapter-1-section-12","title":"又婦人產方","paragraphs":["紫蘇飲","濟陰丹"]},{"id":"chapter-1-section-13","title":"救解諸毒傷寒雜病一切等證","paragraphs":["解毒散"]},{"id":"chapter-1-section-14","title":"神仙解毒丸方","paragraphs":["神授太乙散","十宣散","黃蠟丸","柞木飲子","合掌散","推車丸","人參交龍散","二母散","黑龍丸","化痰丸","如神丹","神應散"]},{"id":"chapter-1-section-15","title":"治諸雜證品","paragraphs":["生犀復明散"]},{"id":"chapter-1-section-16","title":"治風溼腰腳諸疾","paragraphs":["換骨丹","舒筋散","活絡丹"]},{"id":"chapter-1-section-17","title":"治諸瘡","paragraphs":["神授香蘇散","仙方三補丸"]},{"id":"chapter-1-section-18","title":"治大風","paragraphs":["消風散","追風散","磨風丸","總論十八條","夫醫官用藥，如將帥之用兵。諺雲：千軍易得，一將難求。決勝者，良將也；決效者，良醫自勝；雖有千萬無良醫，則藥不能自效。盡良將必得兵而用之，良醫必得藥而用之。良將之威，以能用奇兵而勝敵；良醫之功，以能用奇藥而癒疾。用兵用藥，當先求其良將良醫而用之。","苟非其人，則兵藥無成功矣。治身之不疾，當從其良醫之美論。","《聖惠方》經雲：夫癰疽何以別之善。然五臟不調則致癰。久患消渴之證，亦多發癰疽之疾不通，而熱相搏，乃發為癰疽，故生大熱，甚則肉腐為膿。然不能陷肌膚於骨髓，骨髓不為焦。癰疽之生，有內有外；內則生於胸腹臟腑之間，外則生於膚肉肌骨之表。凡此二毒，發無定處，而有常名。夫癰之本者，始於血老不作汗，內陳不脫垢，蒸氣不能外達，留積遂成，熱所為也。","夫癰疽疔生膿水之成，非天降，非地出，蓋積之所成也。夫保全性命者，竭醫於無傷，防萌於、為疽，初覺小異，須懷大怖，時人輕之，誤死者眾。","夫癰疽初生，其狀至微，人多不以為然，宜速療。熱發於皮膚之間，是以浮腫根小，至大不虛有實，虛則補之，實則瀉之。有實熱者易療，虛寒邪熱者難療。腫起堅硬膿稠者為實，腫下軟慢膿稀者為虛。蓋病多為方法，而無次序，臨時倉惶，何能辨此疾之淺深，是以斃也。","夫療癰疽者，同夫暴蹶之疾，有是傷必為患。然而發癰疽有急治：發於喉舌頭面腦項之間，肩背比此傷生者不一也。","凡療斯疾，如救火拯溺，追奔逐賊之類也。若不速療，必為大禍矣。然癰疽所發有三等：腫；深瘡者，欲在濃處也。","夫癰疽腫，大按乃痛者膿深，小按便痛者膿淺。所按之處不復者無膿，必是水也；按之即復謂氣結為腫，久久而不消，後亦成癰疽、疔毒，此是寒氣所為也。留積經久，極陰生陽，寒化為熱，所以潰者也。此潰必成。然而病有變證，疾有盛衰，明之於心，非偶能盡。醫者意也，隨時之議。","《聖惠》曰：癰疽、發背、疔瘡、乳癰、疽之癤，有五善七惡之證，不可不察也。煩躁而嗽疼也；肩項不便，四肢沉重，五惡也；不能進食飲，服藥嘔吐，食不知味，六惡也，聲嘶色脫，唇鼻青赤，面目、四肢浮腫，七惡也。痛息自寧，飲食知味，一善也，便利調勻，二善也；膿腫自消，色鮮不死，三善也；神采晶明，語聲清朗，四善也；體氣和平，五善也。若五善見二則瘥，七惡見四則危。然則病有原同七惡，皮緊急之如善；病有原同五善，皮緩虛而如惡。夫如是者，豈凡夫之所知哉。若五善並至，則善無以加也。若七惡並臻，則惡劇矣。","今載後證，並加俞募以詳明之。","募中腑隱隱而痛者，肺疽也；上肉微起者，肺癰也。巨闕隱隱而痛者，心疽也；上肉微起者，心癰也。期門隱隱而痛者，肝疽也；上肉微起者，肝癰也。章門隱隱而痛者，脾疽也；上肉微起者，脾癰也。中脘隱隱而痛者，胃疽也；上肉微起者，胃癰也。京門隱隱而痛丹田隱隱而痛者，三焦疽也；上肉微起者，三焦癰也。關元隱隱而痛者，小腸疽也；上肉微起者，小腸癰也。","上驗其人所募，根據此證，審定癰疽淺深者，病從何髒髮，先曾食何乳石，又驗其氣虛實，參詳而療之。","《千金》曰：凡癰疽始發，或大癤或小癤，或大痛或小痛，宜善察之。見有小異，即須大驚復，乃可任意耳。若不緊固，新肉易傷，傷重又潰，再發則禍至矣。慎之，慎之。","凡癰疽初發，急服追疔奪命湯，即能內消。化毒消腫托里散、秘傳內託千金散、十六味流氣毒藥點破，令膿即出。如出不盡，用藥煮吸筒拔出其膿毒水血，即便愈矣。","凡腫根腳廣一寸至三寸癤也，二寸至五寸癰也，五寸至一尺疽也，一尺至三尺名竟體，如豆痛藥，肉滿之後，用隔紙膏藥。","又經雲：氣塞於經絡中，血氣俱澀不行，壅結為癰疽。不言熱氣所作，其後成癰，乃言陽氣成癰者可消。若按之都牽強者未有膿也，按之半軟者有膿也。又手按上下不熱者無膿，若熱甚者有膿。凡覺有膿，急當破之。無膿但氣腫，若有血，慎之慎之，不可針破也，以用千金拔毒膏點散住之。四圍堅、中軟者，此為有膿審也。一邊軟，亦可有膿。都堅者，此為惡核，或有氣也。都軟者，此為有血，血瘤也。當審堅軟虛實為要。若堅疽積久後，若更變熱，偏有軟處，當軟處切，不可針破也。軟疽者，溫暖裹衣置之耳，若針灸刺破，不可療也凡癰疽有膿，勿憂其皮濃也，宜急破之。如是骨癰者，皮色不變也，急服化毒消腫托里散及入三四分深。如是出膿，不可當頭破之，須從下頭破者為順。膿出盡矣，則肉生，用生肌敷藥，次用膏藥愈矣。","又曰：發於頸者，名曰夭疽，其狀大而赤黑，不急速療則熱氣下入淵腋，前傷任脈，內燻肝肺，十餘日死。《經》曰：項前頸名。","《衛濟寶書》：耳後一寸三分，至命之處，發之必死。故銳毒不治。銳毒者，銳其毒也，名曰發頤，乃熱氣上蒸，連額而口者，穿喉立死。","又發腦疽者，熱氣上攻於腦，出皮膚作頭，初發如黍米，四畔赤腫硬，連於耳項，寒熱疼《外臺》：諸發於嗌中，名曰猛疽，不急治，則血為膿不瀉，塞咽喉而死；半日血化為膿者心煩者死，不可治之。又驗其氣虛實，參詳而療之也。又曰：發於胸者，名井疽，狀如豆大，三四日起，不早療，下入腹中，入腹不療，十日死。寒熱不去亦死矣。又曰；發於足指，名曰脫疽，其狀赤黑，無水者，死不療；不赤黑有水者，可療；療不衰，急斬去"]}]}],"toc":[{"id":"chapter-1-section-1","chapter_title":"秘傳外科方","section_title":"秘傳外科方","is_available":true},{"id":"chapter-1-section-2","chapter_title":"秘傳外科方","section_title":"洗藥","is_available":true},{"id":"chapter-1-section-3","chapter_title":"秘傳外科方","section_title":"仙方隔紙膏","is_available":true},{"id":"chapter-1-section-4","chapter_title":"秘傳外科方","section_title":"疔瘡治法","is_available":true},{"id":"chapter-1-section-5","chapter_title":"秘傳外科方","section_title":"李世安治疔法","is_available":true},{"id":"chapter-1-section-6","chapter_title":"秘傳外科方","section_title":"李防禦五痔方","is_available":true},{"id":"chapter-1-section-7","chapter_title":"秘傳外科方","section_title":"神驗治痔方","is_available":true},{"id":"chapter-1-section-8","chapter_title":"秘傳外科方","section_title":"跋","is_available":true},{"id":"chapter-1-section-9","chapter_title":"秘傳外科方","section_title":"治諸雜證品","is_available":true},{"id":"chapter-1-section-10","chapter_title":"秘傳外科方","section_title":"神醫華佗雲","is_available":true},{"id":"chapter-1-section-11","chapter_title":"秘傳外科方","section_title":"又婦人產方","is_available":true},{"id":"chapter-1-section-12","chapter_title":"秘傳外科方","section_title":"又婦人產方","is_available":true},{"id":"chapter-1-section-13","chapter_title":"秘傳外科方","section_title":"救解諸毒傷寒雜病一切等證","is_available":true},{"id":"chapter-1-section-14","chapter_title":"秘傳外科方","section_title":"神仙解毒丸方","is_available":true},{"id":"chapter-1-section-15","chapter_title":"秘傳外科方","section_title":"治諸雜證品","is_available":true},{"id":"chapter-1-section-16","chapter_title":"秘傳外科方","section_title":"治風溼腰腳諸疾","is_available":true},{"id":"chapter-1-section-17","chapter_title":"秘傳外科方","section_title":"治諸瘡","is_available":true},{"id":"chapter-1-section-18","chapter_title":"秘傳外科方","section_title":"治大風","is_available":true}],"plain_text":"# 秘傳外科方\n## 秘傳外科方\n總論十八條\n化毒消腫托里散\n內託千金散\n秘傳十六味流氣飲\n內塞散\n仙方解毒生肌定痛散\n## 洗藥\n化毒散血拔毒散\n鐵筒拔毒膏\n## 仙方隔紙膏\n太一神應膏\n內固清心散\n透膿散\n破血散\n南星膏\n吃藥即效散\n復元通氣散\n苦參丸\n秘傳隔紙膏\n追疔奪命湯、飛龍奪命丹\n## 疔瘡治法\n桃紅散\n自沸湯\n雄黃丸\n玉紅散\n## 李世安治疔法\n當歸散\n海馬拔毒散\n## 李防禦五痔方\n水澄膏\n荊芥湯\n潤腸丸\n龍石散\n導赤散\n雙金散\n內補散\n國老湯\n水澄膏\n紅肉膏\n洗痔金花散\n龍骨海蛤散\n乳香膏\n當歸飲\n通真煨姜丸\n下膈散\n洗腸犀角散\n止痛麥煎散\n黑神黃散\n宣風散\n木通散\n收膿膏\n車前散\n注青膏\n金花散\n山甲散\n解腸散\n## 神驗治痔方\n## 跋\n## 治諸雜證品\n## 神醫華佗雲\n## 又婦人產方\n## 又婦人產方\n紫蘇飲\n濟陰丹\n## 救解諸毒傷寒雜病一切等證\n解毒散\n## 神仙解毒丸方\n神授太乙散\n十宣散\n黃蠟丸\n柞木飲子\n合掌散\n推車丸\n人參交龍散\n二母散\n黑龍丸\n化痰丸\n如神丹\n神應散\n## 治諸雜證品\n生犀復明散\n## 治風溼腰腳諸疾\n換骨丹\n舒筋散\n活絡丹\n## 治諸瘡\n神授香蘇散\n仙方三補丸\n## 治大風\n消風散\n追風散\n磨風丸\n總論十八條\n夫醫官用藥，如將帥之用兵。諺雲：千軍易得，一將難求。決勝者，良將也；決效者，良醫自勝；雖有千萬無良醫，則藥不能自效。盡良將必得兵而用之，良醫必得藥而用之。良將之威，以能用奇兵而勝敵；良醫之功，以能用奇藥而癒疾。用兵用藥，當先求其良將良醫而用之。\n苟非其人，則兵藥無成功矣。治身之不疾，當從其良醫之美論。\n《聖惠方》經雲：夫癰疽何以別之善。然五臟不調則致癰。久患消渴之證，亦多發癰疽之疾不通，而熱相搏，乃發為癰疽，故生大熱，甚則肉腐為膿。然不能陷肌膚於骨髓，骨髓不為焦。癰疽之生，有內有外；內則生於胸腹臟腑之間，外則生於膚肉肌骨之表。凡此二毒，發無定處，而有常名。夫癰之本者，始於血老不作汗，內陳不脫垢，蒸氣不能外達，留積遂成，熱所為也。\n夫癰疽疔生膿水之成，非天降，非地出，蓋積之所成也。夫保全性命者，竭醫於無傷，防萌於、為疽，初覺小異，須懷大怖，時人輕之，誤死者眾。\n夫癰疽初生，其狀至微，人多不以為然，宜速療。熱發於皮膚之間，是以浮腫根小，至大不虛有實，虛則補之，實則瀉之。有實熱者易療，虛寒邪熱者難療。腫起堅硬膿稠者為實，腫下軟慢膿稀者為虛。蓋病多為方法，而無次序，臨時倉惶，何能辨此疾之淺深，是以斃也。\n夫療癰疽者，同夫暴蹶之疾，有是傷必為患。然而發癰疽有急治：發於喉舌頭面腦項之間，肩背比此傷生者不一也。\n凡療斯疾，如救火拯溺，追奔逐賊之類也。若不速療，必為大禍矣。然癰疽所發有三等：腫；深瘡者，欲在濃處也。\n夫癰疽腫，大按乃痛者膿深，小按便痛者膿淺。所按之處不復者無膿，必是水也；按之即復謂氣結為腫，久久而不消，後亦成癰疽、疔毒，此是寒氣所為也。留積經久，極陰生陽，寒化為熱，所以潰者也。此潰必成。然而病有變證，疾有盛衰，明之於心，非偶能盡。醫者意也，隨時之議。\n《聖惠》曰：癰疽、發背、疔瘡、乳癰、疽之癤，有五善七惡之證，不可不察也。煩躁而嗽疼也；肩項不便，四肢沉重，五惡也；不能進食飲，服藥嘔吐，食不知味，六惡也，聲嘶色脫，唇鼻青赤，面目、四肢浮腫，七惡也。痛息自寧，飲食知味，一善也，便利調勻，二善也；膿腫自消，色鮮不死，三善也；神采晶明，語聲清朗，四善也；體氣和平，五善也。若五善見二則瘥，七惡見四則危。然則病有原同七惡，皮緊急之如善；病有原同五善，皮緩虛而如惡。夫如是者，豈凡夫之所知哉。若五善並至，則善無以加也。若七惡並臻，則惡劇矣。\n今載後證，並加俞募以詳明之。\n募中腑隱隱而痛者，肺疽也；上肉微起者，肺癰也。巨闕隱隱而痛者，心疽也；上肉微起者，心癰也。期門隱隱而痛者，肝疽也；上肉微起者，肝癰也。章門隱隱而痛者，脾疽也；上肉微起者，脾癰也。中脘隱隱而痛者，胃疽也；上肉微起者，胃癰也。京門隱隱而痛丹田隱隱而痛者，三焦疽也；上肉微起者，三焦癰也。關元隱隱而痛者，小腸疽也；上肉微起者，小腸癰也。\n上驗其人所募，根據此證，審定癰疽淺深者，病從何髒髮，先曾食何乳石，又驗其氣虛實，參詳而療之。\n《千金》曰：凡癰疽始發，或大癤或小癤，或大痛或小痛，宜善察之。見有小異，即須大驚復，乃可任意耳。若不緊固，新肉易傷，傷重又潰，再發則禍至矣。慎之，慎之。\n凡癰疽初發，急服追疔奪命湯，即能內消。化毒消腫托里散、秘傳內託千金散、十六味流氣毒藥點破，令膿即出。如出不盡，用藥煮吸筒拔出其膿毒水血，即便愈矣。\n凡腫根腳廣一寸至三寸癤也，二寸至五寸癰也，五寸至一尺疽也，一尺至三尺名竟體，如豆痛藥，肉滿之後，用隔紙膏藥。\n又經雲：氣塞於經絡中，血氣俱澀不行，壅結為癰疽。不言熱氣所作，其後成癰，乃言陽氣成癰者可消。若按之都牽強者未有膿也，按之半軟者有膿也。又手按上下不熱者無膿，若熱甚者有膿。凡覺有膿，急當破之。無膿但氣腫，若有血，慎之慎之，不可針破也，以用千金拔毒膏點散住之。四圍堅、中軟者，此為有膿審也。一邊軟，亦可有膿。都堅者，此為惡核，或有氣也。都軟者，此為有血，血瘤也。當審堅軟虛實為要。若堅疽積久後，若更變熱，偏有軟處，當軟處切，不可針破也。軟疽者，溫暖裹衣置之耳，若針灸刺破，不可療也凡癰疽有膿，勿憂其皮濃也，宜急破之。如是骨癰者，皮色不變也，急服化毒消腫托里散及入三四分深。如是出膿，不可當頭破之，須從下頭破者為順。膿出盡矣，則肉生，用生肌敷藥，次用膏藥愈矣。\n又曰：發於頸者，名曰夭疽，其狀大而赤黑，不急速療則熱氣下入淵腋，前傷任脈，內燻肝肺，十餘日死。《經》曰：項前頸名。\n《衛濟寶書》：耳後一寸三分，至命之處，發之必死。故銳毒不治。銳毒者，銳其毒也，名曰發頤，乃熱氣上蒸，連額而口者，穿喉立死。\n又發腦疽者，熱氣上攻於腦，出皮膚作頭，初發如黍米，四畔赤腫硬，連於耳項，寒熱疼《外臺》：諸發於嗌中，名曰猛疽，不急治，則血為膿不瀉，塞咽喉而死；半日血化為膿者心煩者死，不可治之。又驗其氣虛實，參詳而療之也。又曰：發於胸者，名井疽，狀如豆大，三四日起，不早療，下入腹中，入腹不療，十日死。寒熱不去亦死矣。又曰；發於足指，名曰脫疽，其狀赤黑，無水者，死不療；不赤黑有水者，可療；療不衰，急斬去","is_preview":true,"preview_page_limit":10}