五疔者,皆由喜怒忧思,冲寒冒热,恣饮醇酒,多嗜甘肥毒鱼酢酱,色欲过度之所为也。
蓄其毒邪,浸溃脏腑,久不摅散,始变为疔。其名有五,一曰白疔,二曰赤疔,三曰黄疔,
四曰黑疔,五曰青疔。白疔起于右鼻下,初如粟米,根赤头白,麻木或痛痒,使人憎寒头重,
状若伤寒,不欲食,胸膈闷,喘促昏冒者死,未者可治,此疾不过五日,祸必至矣,宜速治
之。赤疔在舌下,根头俱赤,发痛,舌本硬不能多言,惊烦闷恍惚,多渴引水不休,小便不
通,狂者死也,未者可治,此不出七日,祸必至矣。大人小儿皆能患也。黄疔起于唇齿龈边
,其色黄,中有黄水,发则令人多食而还出,手足麻木,涎出不止,腹胀而烦,多睡不寐者
死也,未者可治。黑疔起于耳前,状如瘢痕,其色黑,长减不定,使人牙关急,腰脊脚膝不
仁,不然则病,亦不出三岁死。皆由肾渐绝也,宜慎欲事。青疔起于目下,始如瘤瘢,其身
青硬如石,使人目昏昏然无所见,多恐悸,睡不安宁,久不愈,令目盲,或脱精,不出一年
,祸必至矣。白疔其根肺,赤疔其根心,黄疔其根脾,黑疔其根肾,青疔其根肝。五疔之候
,最为巨疾,不可不察也。
夫痈疽疮肿之作者,皆五脏六腑蓄毒不流,非独因营卫壅塞而发者也。其行也有处,其
主也有归。假令发于喉舌者,心之毒;发于皮毛者,肺之毒;发于肌肉者,脾之毒;发于骨
体者,肾之毒。发于下者阴之毒,发于上者阳之毒,发于外者六腑之毒,发于内者五脏之毒。
故
感于五脏则难瘳也。又近骨者多冷,近虚者多热。近骨者久不愈,则化成血蛊。近虚者久不
愈,则传气成漏。成蛊则多痒少痛,或先痒后痛。生漏则多痛少痒,或不痛不痒,内虚外实
者,多痛少痒。血不止则多死,脓疾溃则多生。或吐逆无度,饮食不时,皆痈疽之使然。种
候万端,要在明详耳。
Wu Ding (Five Types of Ding Sores) are all caused by emotional disorders such as anger, joy, worry, and overthinking; exposure to cold and heat; indulgence in strong wine; excessive consumption of sweet, fatty foods, poisonous fish, and vinegar sauces; and sexual excess.
These toxic pathogens accumulate, infiltrate, and ulcerate the Zang-Fu organs. If they are not dispersed for a long time, they eventually transform into Ding sores. There are five names: one is Bai Ding (White Ding), two is Chi Ding (Red Ding), three is Huang Ding (Yellow Ding), four is Hei Ding (Black Ding), and five is Qing Ding (Green/Blue Ding).
Bai Ding arises below the right nostril. Initially, it is like a millet grain, with a red root and white head. The area may feel numb or experience pain and itching. It causes aversion to cold and heaviness of the head, resembling Taiyang disease (a syndrome caused by pathogenic invasion of the Taiyang channel). The patient loses appetite, feels stifling oppression in the chest and diaphragm. If panting, shortness of breath, and mental confusion occur, death ensues; if these severe symptoms are absent, it is treatable. This disease will inevitably bring disaster within five days, so prompt treatment is required.
Chi Ding is located under the tongue. Both the root and head are red. It develops pain, the base of the tongue becomes stiff making speech difficult, accompanied by fright, irritability, mental depression, and trance-like states. The patient suffers from extreme thirst, drinking water incessantly, and urinary retention. If mania occurs, death ensues; if absent, it is treatable. Disaster will inevitably occur within seven days. Both adults and children can suffer from this.
Huang Ding arises at the edge of the lips and gums. Its color is yellow, containing yellow fluid. Upon eruption, it causes polyphagia followed by vomiting, numbness of the hands and feet, continuous salivation, abdominal distension, and irritability. If the patient sleeps excessively yet cannot rest properly, death ensues; if absent, it is treatable.
Hei Ding arises in front of the ear. It resembles a scar, is black in color, and varies in length. It causes lockjaw, insensitivity or numbness in the lower back, spine, legs, and knees. Otherwise, illness also occurs. Death will inevitably happen within three years. This is due to the gradual exhaustion of Kidney Qi. One should be cautious regarding sexual activities.
Qing Ding arises below the eyes. Initially, it resembles a tumor or scar. The body is green/blue and hard as stone. It causes blurred vision, frequent fear and palpitations, and restless sleep. If prolonged without healing, it leads to blindness or loss of essence. Disaster will inevitably occur within one year.
The root of Bai Ding is the Lung; the root of Chi Ding is the Heart; the root of Huang Ding is the Spleen; the root of Hei Ding is the Kidney; the root of Qing Ding is the Liver. The manifestations of Wu Ding are among the most severe diseases and must not be overlooked.
As for the formation of Yong Ju (carbuncles and ulcers) and swelling sores, they are all caused by the accumulation and stagnation of toxic pathogens in the Five Zang and Six Fu organs, not merely by the obstruction of Ying and Wei (Defensive and Nutritive Qi). Their occurrence has specific locations, and their dominance has specific origins. For instance, eruptions on the throat and tongue stem from Heart toxicity; those on the skin and hair from Lung toxicity; those on the muscles from Spleen toxicity; and those on the bones and body from Kidney toxicity. Eruptions in the lower parts are Yin toxicity; those in the upper parts are Yang toxicity; those on the exterior are Six Fu toxicity; and those on the interior are Five Zang toxicity. Therefore, infections originating in the Five Zang organs are difficult to cure.
Furthermore, lesions near bones often present with cold signs, while those near deficient areas often present with heat signs. Lesions near bones that do not heal for a long time may transform into Xue Gu (Blood Gu, a condition characterized by abdominal masses and bleeding). Lesions near deficient areas that do not heal for a long time may transmit Qi dysfunction, forming Lou (fistulas). Conditions developing into Gu typically feature more itching than pain, or itching preceding pain. Fistulas typically feature more pain than itching, or neither pain nor itching. Internal deficiency with external excess usually presents with more pain than itching. Uncontrolled hemorrhage often leads to death, whereas the rupture and discharge of pus often lead to survival. Some patients experience uncontrolled vomiting and irregular eating habits, all of which are consequences of Yong Ju. There are myriad variations in symptoms, but the key lies in clear and detailed differentiation.