皆以此方治之。
以绯帛一片裹药,取匝为限,乱发鸡子大,摊布帛上,牛黄如梧子大、反钩棘针二十一
枚、赤小豆七粒为末并布发上,卷绯帛作团,外以发作绳,十字缚之,熨斗中急火烧灰,研
筛细,以枸杞或子、或根皮枝叶随得为末,用枸杞末二匕,绯帛灰一匕,共成三匕,研匀,
分二服,空腹酒调下。
治一切疔肿神良方。
苍耳(根茎苗子,但取一色便可用)
上烧为灰。醋泔淀和如泥涂上,干即易之,不过十度,即拔根出。
痈疽初无定处,随其所发即命名,在外则为发背、发脑;在内则为肠痈、内痈、心痈、
肾痈、肺痈、脐痈等。治得其法则生,失法则死。外证易识,内证难明,不可不备述也。肠
痈为病,身甲错,腹皮急,按之濡,如肿状,腹无聚积,身无热,脉数,此为肠内有脓,久
积阴冷所成也,故《金匮》用附子温之。小腹肿痞,按之痛如淋,小便自调,发热,身无汗
,复恶寒,其脉迟紧者,脓未成,可下之,当有血;洪数者,脓已成,不可下。此以内结热
所成也,故《金匮》用大黄利之。甚者,腹胀大,转侧闻水声,或绕脐生疮,或脓从脐出,
或大便出脓血,不治必死。其如五内生疮,亦止分阴阳利而已,不比外痈,须根据四节八事之
次第也。《千金》引官羽林妇病,医诊之,其脉滑数,滑则为实,数则为热,滑则为荣,
数则为卫,卫数下降,荣滑上升,荣卫相干,血为败浊,少腹痞坚,小便或涩,或复汗出,
或复恶寒,脓为已成,设脉迟紧,即为瘀血,血下即愈。更《内经》所载,有 积病。比见
有得之二三年,遍身微肿,续乃大肠与脐连日出脓,遂致不救,此亦肠痈之类也,不可不审。
All are treated with this prescription.
Take a piece of crimson silk to wrap the medicine, limiting the size to one circumference. Place a clump of tangled hair the size of a chicken egg on cloth, add rhinoceros horn (Niu Huang) the size of a Chinese walnut seed, twenty-one hooked thorns (Ji Zhen), and seven adzuki beans (Chi Xiao Dou), grind them together into powder, and spread this mixture onto the hair. Roll the crimson silk into a ball, tie it tightly in a cross shape with a rope made of hair, burn it quickly to ash in an ironing pan, grind and sieve until fine. Use goji berry (Gou Qi Zi) or its root bark, leaves, and branches as available, grind into powder. Take two level scoops of goji berry powder and one level scoop of crimson silk ash, totaling three level scoops, mix evenly. Divide into two doses, taken orally with wine on an empty stomach.
This is a miraculous prescription for treating all types of ding sores and swellings.
Cang Er (Xanthii Fructus; roots, stems, leaves, and fruits may be used, provided they are of uniform color).
Burn these to ash. Mix with vinegar and rice wash sediment to form a paste, apply topically, and replace when dry. Within ten applications, the root of the sore will be extracted.
Yong Ju (Carbuncles and Ulcers) have no fixed location initially; they are named according to their site of occurrence. On the exterior, they are called Fa Bei (Back Carbuncle) or Fa Nao (Head Carbuncle); within the interior, they are termed Chang Yong (Intestinal Abscess), Nei Yong (Internal Abscess), Xin Yong (Heart Abscess), Shen Yong (Kidney Abscess), Fei Yong (Lung Abscess), Qi Yong (Umbilical Abscess), etc. If treated correctly, life is preserved; if treated incorrectly, death ensues. Exterior manifestations are easy to identify, while interior manifestations are difficult to clarify; therefore, they must be described in detail.
Chang Yong (Intestinal Abscess) presents with rough, scaly skin (Shen Jia Cuo), tense abdominal wall, softness upon palpation despite a swollen appearance, absence of abdominal masses, lack of fever, and a rapid pulse (Mai Shu). This indicates pus within the intestines, formed by long-standing accumulation of yin-cold. Hence, *Jin Gui Yao Lue* employs Fu Zi (Aconite Lateral Root) to warm. If there is swelling and hardness in the lower abdomen, pain upon palpation resembling strangury, normal urination, fever, anhidrosis, aversion to cold, and a slow-tight pulse (Mai Chi Jin), the pus has not yet formed; purgation may be used, and blood should be expelled. If the pulse is surging-rapid (Hong Shu), the pus has already formed; purgation is contraindicated. This condition arises from internal heat accumulation; hence, *Jin Gui Yao Lue* employs Da Huang (Rhubarb Rhizome) to promote drainage. In severe cases, the abdomen becomes distended, water sounds may be heard during movement, ulcers may form around the umbilicus, pus may discharge from the umbilicus, or pus and blood may appear in stool; without treatment, death is inevitable. For ulcers within the five zang organs, differentiation of yin and yang and promotion of drainage suffice, unlike external carbuncles which require adherence to the sequence of "four sections and eight matters."
*Qian Jin Fang* cites a case of an official's wife: her pulse was slippery-rapid (Hua Shu). Slippery indicates excess; rapid indicates heat. Slippery relates to Ying (Nutritive Qi); rapid relates to Wei (Defensive Qi). When Wei qi descends rapidly and Ying qi ascends slipperily, they interfere with each other, causing blood to become turbid and敗坏 (ruined). This leads to hardness in the lower abdomen, occasional urinary difficulty, sweating, or aversion to cold, indicating that pus has formed. If the pulse were slow-tight, it would indicate blood stasis; expulsion of blood would lead to recovery. Furthermore, referring to the "Ji" (Accumulation) disease described in *Nei Jing*: recently, patients suffering for two or three years presented with generalized mild edema, followed by daily pus discharge connecting the large intestine and umbilicus, leading to fatal outcomes. This is also a category of Chang Yong (Intestinal Abscess) and must be carefully examined.