止痛清心,行气活血如神。
草乌(去皮尖,生用) 乳香(火熨) 没药(火熨) 五灵脂(各三两) 生麝香(少
许)
上为末,酒糊丸如指头大,朱砂五钱研为衣。每服一丸,薄荷、生姜研汁磨化,痛止。
人之一身,血气周流则平。若冷热不调,喜怒不常,饮食不节,稍有壅聚,则随所发现。
痈
疖
觉
者,其脓深,小按即痛者,其脓浅。按之软而复者有脓,按之强而不复者无脓。 赤肿高者
为实,软慢冷肿者为虚,初作宜宣热拔毒,外以洗涤、角敷,以敛其痕瘢,是大要法也。已
溃则排脓止痛,朝夕亦洗涤,以舒其毒瓦斯,脓尽则生肌敷痂。次第施治,不可怆惶失序,亦
不可拘一,酌量轻重形证逆顺,寒则温之,热则清之,虚则补之,实则泄之。导以针石,灼
以
肉
一恶
溃,
不治
不止
难
病
病
病深
破
身
坏
附骨疽证。心痈者,乃心经有热,或好饮酒,或嗜热物,积聚成热,久而不散,熏发于皮
之外,气血不流,凝滞而生,虽曰原道颇险,而实可治。宜用托里活血之剂,攻出外来,肿
高不陷,可保无虞。若陷入里,亦不可恃。如不饮食,急须扶脾;能食,疮已破穿见肉膜,
亦未为害,但要洗涤净洁,以生肉药掺四畔,自然而愈。肾痈乃与内肾相对,皆由肾气衰败
而成。突起皮赤者易安,陷入皮黑者难瘥。如精神清爽,颜色红润,饮食不减,多起少卧,
此为善美也。颜色黑黄,饮食全减,斯为可忧,惟须详审速疗。肺痈乃将理失宜,劳伤气血
,风寒之气乘间而入,内舍于肺,及挟邪热,其气结聚,或作寒热,脉数而实是也。肠痈乃
荣卫相干,气为败浊,小腹如肿,大小便或涩,或复汗出,或复寒热是也。若腹皮急,按之
濡,身无热,乃阴冷所成;小腹坚痞,按之痛,身有热,乃结热所成。脉数,脓已成,不可
下;脉迟紧,脓未成,或下瘀血而愈。附骨疽痛深,按之无益,着骨而生,脓水腐溃,碎骨
出尽方愈。治之宣热去毒,又当温肾,未可专用凉剂。更在针烙其病,务详浅深,刺拔其根
则易愈。不尔,则顺脉流走,遍体洪肿,卒致不救,惜哉!至于所患之时,犹或多于外证,
未溃已前发渴,乃脏腑焦燥;痢下乃引饮无度;已溃而渴,则脓血去多,津液中干;或复肠
胃暴虚,遂成下痢;体虚受寒,则嗽声不息;气逆挟热,则痰盛于胸;热毒不泄,为二便秘
涩;毒瓦斯迫心,为呕哕惊悸;阴阳交争,血气不和,寒热并作;脏腑伤败,便血迸出;毒瓦斯
攻外,烦躁异常,惟须大方科药同治可也。至于诸疮,犹当举其大略∶丁疮,含蓄毒瓦斯,疮
头黑硬如钉,四畔带赤如火,瘢痕突起,痛痒异常,随变焦黑,未几肿大而光,转为湿烂,
深孔透肌,如大穿针之状;外证心惊,头疼,拘急,恶寒,四肢痛强,或寒热交作,颊舌间
赤黑,点点如珠;若毒入腹心,则烦闷呕逆,恍惚痴眠,其毙可立而待。治之当清心行血,
破毒拔疔,则或愈矣。瘰 生于项腋之间,凡人少小以来,动即蓄怒,或忧思惊恐,抑郁不
伸,遂致结核,日积月累,风热毒瓦斯聚焉,于是肿湿开疮,起伏无已,甚则牵连腋下,延蔓
心胸;外证寒热往来,或痛或不痛。治之须用斑蝥、地胆,使其根从小便中出,或如粉片,
或如块血,或如烂肉,皆其验也。治疗不早,则无及矣。漏疮之由,多发于项腋僻肛门之间
,治之失时,即生寒热。凡痈疽诸发,随所在处,苟有宿脓、败肉、朽骨停蓄其间,皆为之
漏。治法,温散风冷,收水生肌,用窒寒之药,必得痊平,惟须戒房事耳。瘾疹为病,风热
在表,天时炎暄,而燥气乘之,则为赤疹;天时寒凉,冷气折之,则为白疹。治之须疏风行
气,气行则消矣。其有疥癣等疮,各自不同,浸淫不已,皆由脾肺风热,或心肾久虚所致。
热则平血解毒,冷则清心温肾,又何患其不瘳矣。
Pain relief and heart-clearing, promoting Qi circulation and blood activation are as miraculous as divine.
Caowu (Aconiti Kusnezoffii Radix, peeled tip, raw) Xuruxiang (Frankincense, fire-roasted) Moyao (Myrrh, fire-roasted) Wulingzhi (Trogopteri Dung, three taels each) Shengmoxiang (Musk, a small amount)
The above ingredients are ground into powder, mixed with wine paste to form pills the size of a finger joint, coated with five qian of cinnabar powder. Take one pill per dose, grind it in mint and fresh ginger juice, and the pain will cease.
In the human body, when Qi and blood circulate smoothly, health is maintained. If there is disharmony between cold and heat, irregular emotions, or unregulated diet, even slight stagnation and accumulation can manifest according to the affected area.
Yong and Jie (superficial skin abscesses): deep ones cause pain upon light palpation; superficial ones require firm pressure to elicit pain. Softness with slow rebound indicates pus presence; hardness without rebound indicates no pus. Redness, swelling, and elevation signify excess patterns; softness, flaccidity, and cold swelling indicate deficiency patterns. In the initial stage, it is appropriate to disperse heat and extract toxins, using external washing and horn application to heal scars, which is a primary method. Once ulcerated, drain pus and relieve pain, wash morning and evening to vent toxic vapors, and apply agents to promote tissue regeneration and scabbing after pus is exhausted. Treat sequentially without panic or disorder, nor be rigid; assess severity, morphology, and prognosis. For cold patterns, warm them; for heat patterns, clear them; for deficiency patterns, tonify them; for excess patterns, drain them. Guide with acupuncture and moxibustion.
Fuguju (deep bone abscess). Xinyong (heart abscess) arises from heat in the Heart Meridian, often due to excessive alcohol consumption or preference for hot foods, leading to accumulated heat that persists and steams outward, causing Qi and blood stagnation. Though seemingly dangerous, it is treatable. Use formulas that support the interior and invigorate blood to expel external pathogens. If swelling is elevated and not depressed, recovery is assured. If it sinks inward, do not rely solely on this. If appetite is lost, urgently strengthen the Spleen; if appetite remains and the wound exposes fascia, it is not harmful provided it is kept clean and topical agents promoting flesh growth are applied around the edges for natural healing. Shenyong (kidney abscess) corresponds to the internal Kidney, resulting from Kidney Qi decline. Protruding red skin is easy to heal; sinking black skin is difficult. Clear spirit, ruddy complexion, normal diet, and frequent rising with little sleep are good signs. Dark yellow complexion and loss of appetite are worrying; careful and rapid treatment is needed. Feiyong (lung abscess) results from improper care, Qi and blood injury, and invasion of Wind-Cold, lodging in the Lung, accompanied by pathogenic heat, causing Qi aggregation, chills and fever, and a rapid, full pulse. Changyong (intestinal abscess) involves conflict between Ying and Wei, turbid Qi, lower abdominal swelling, dysuria or constipation, sweating, or chills and fever. Tight abdominal skin with soft palpation and no fever indicates Yin-cold; hard lower abdomen with pain upon palpation and fever indicates Heat binding. Rapid pulse indicates formed pus, contraindicating purgation; slow-tight pulse indicates unformed pus, where purging blood stasis may lead to cure. Fuguju causes deep pain unrelieved by palpation, adhering to bone, with rotting pus and bone fragments; healing occurs only when all debris is expelled. Treatment requires dispersing heat, removing toxins, and warming the Kidney, avoiding pure cooling agents. Acupuncture and cauterization should be used carefully based on depth; extracting the root facilitates healing. Otherwise, toxins spread along meridians, causing generalized edema and sudden death—regrettable! During illness, symptoms often exceed external signs: thirst before ulceration indicates organ dryness; diarrhea with excessive drinking indicates fluid loss; thirst after ulceration indicates loss of fluids via pus and blood; sudden Spleen-Stomach deficiency leads to diarrhea; body weakness with Cold causes persistent cough; rebellious Qi with Heat causes chest phlegm; unvented Heat toxin causes constipation; toxic vapors pressing on the Heart cause vomiting, hiccups, and palpitations; Yin-Yang conflict causes Qi-blood disharmony and alternating chills/fever; organ damage causes hematochezia; external toxin attack causes extreme restlessness. Large-formula herbal treatments are required. Regarding various sores: Dingchuang (hard carbuncle) contains toxic vapors, with a black, hard head like a nail, red borders like fire, raised scars, severe itching/pain, turning black, then swelling, becoming wet and rotten, penetrating deep into muscle like a needle hole; external signs include heart fright, headache, stiffness, aversion to cold, limb pain, alternating chills/fever, dark red/black spots on cheeks/tongue; if toxin enters the heart, causing irritability, vomiting, confusion, and lethargy, death is imminent. Treatment requires clearing the Heart, moving blood, breaking toxicity, and extracting the carbuncle for potential cure. Luoli (scrofula) occurs between the neck and axilla, caused by childhood anger, worry, fear, or depression leading to nodules, accumulating Wind-Heat toxin, causing swelling, weeping, and recurrence, spreading to axilla/chest; external signs include alternating chills/fever, pain or no pain. Treatment uses Blatta orientalis and Euphorbia kansui to expel roots via urine (as powder, blood clots, or rotting meat), verifying efficacy. Delayed treatment is futile. Louchuang (fistula) often occurs in neck, axilla, or anus; delayed treatment causes chills/fever. Any abscess with retained pus, necrotic flesh, or dead bone becomes a fistula. Treatment warms and disperses Wind-Cold, consolidates fluids, generates tissue, avoids cold-astringent drugs, ensures recovery, and requires abstinence from sexual activity. Yinzhen (urticaria) involves Wind-Heat at the exterior; hot weather with Dryness causes red rash; cold weather with Cold causes white rash. Treatment promotes Qi movement to resolve it. Scabies and tinea vary but result from Spleen-Lung Wind-Heat or chronic Heart-Kidney deficiency. Heat patterns require cooling blood and detoxifying; cold patterns require clearing the Heart and warming the Kidney, ensuring recovery.