但论部位而名痈疽,虽未分辨虚实,然诸名色,后学亦应知之,即如毒生头顶,而有善
、
发疽之名,颈项有落头、对口、脑疽之号。鸭蜒因毒夹于腋中,鱼肚缘患生于腿肚,失荣独
在项间,夹疽双生喉侧,脚骨号夹棍之疮,溃烂肌肤,则为驴眼。足心为涌泉之穴,毒匿脚
皮,则成牛 。腹痈指正,箭袋云偏。臭田螺,大拇指之烂名。扁担怪,肩穴中之疖毒。鬓
前疽,耳后发。腿曰腿痈,下称跨马,白谓冬瓜。手发背,脚丫疽;偷粪老鼠,又号悬痈。
漏称海底,指说蛇头,甲谓甲疽。膝盖肿云鹤膝,肾子疼曰子痈。马刀痈生于脸上,骨槽风
患于牙床,井泉疽患登心口,贴骨疽毒踞环跳。臀积毒则曰臀疽,臂上痈乃云臂毒。诸名由
部位以推,治法凭白红而别。初起未溃,当观现下之形;已溃烂久,须问始生之色。初发色
红,仍施痈药;初生色白,当用疽丹。各症治法,逐列于后,使学人辨症而精治焉。
马曰∶初起属阳,溃久血气衰,变为阴寒者,断不可仍施痈药。
如久溃腐烂不堪,以洞天救苦丹三服,每服三钱,陈酒送服,醉盖取汗。隔两日又送一
服,
再隔两日,再送一服。所隔之两日,每日以醒消丸三钱,陈酒送服。服后毒水流尽,七日后
再服醒消两次,接服大枣丸,每日早晚各进五钱,虽危险者,亦可奏效。
马曰∶丹方治梅毒湿毒,诸疮烂溃一片,有数十孔,流臭水者可服。如痈疽烂溃,虽有
数十孔,烂成一片,则不可用。
Translation focuses on the anatomical locations and nomenclature of sores and ulcers. Although yin and yang (deficiency and excess) have not yet been distinguished, students should be familiar with these various names. For instance, toxins arising on the vertex are named Shan Fa Ju (善发疽); those on the neck are called Luo Tou (落头), Dui Kou (对口), or Nao Ju (脑疽). Ya Yan (鸭蜒) occurs when toxins are trapped in the axilla; Yu Du (鱼肚) arises on the calf muscles; Shi Rong (失荣) is located exclusively in the neck region; Jia Ju (夹疽) appears bilaterally on the sides of the throat; sores on the foot bones are termed Jia Gun (夹棍); if skin and flesh ulcerate, they are called Lv Yan (驴眼). The Yongquan acupoint (Yongquan, KI1) is at the sole of the foot; if toxins hide beneath the foot skin, they form Niu (牛 - likely referring to a specific type of lesion like 'Niu Dou' or similar, kept as per text). Abdominal abscesses refer to midline lesions, while Jian Dai (箭袋) refers to lateral ones. Chou Tian Luo (臭田螺) denotes rotting of the big toe; Bian Dan Guai (扁担怪) refers to boils in shoulder acupoints; Bin Qian Ju (鬓前疽) appears behind the ears near the hairline. Leg sores are called Tui Yong (腿痈); lower leg lesions are known as Kua Ma (跨马); white-colored ones are called Dong Gua (冬瓜). Shou Bei (手发背) affects the hand back; Jiao Ya Ju (脚丫疽) affects the toes; Tou Fen Lao Shu (偷粪老鼠) is also known as Xuan Yong (悬痈). Lou (漏) is called Hai Di (海底); finger sores are She Tou (蛇头); nail bed infections are Jia Ju (甲疽). Knee swelling is He Xi (鹤膝); testicular pain is Zi Yong (子痈). Ma Dao (马刀) sores appear on the face; Gu Cao Feng (骨槽风) affects the gums; Jing Quan Ju (井泉疽) affects the chest/heart area; Tie Gu Ju (贴骨疽) toxins reside at the Huantiao acupoint (Huantiao, GB30). Buttock toxin accumulation is Bi Ju (臀疽); arm abscesses are Bi Du (臂毒). Names are deduced from locations; treatments differ based on redness or whiteness. In the early stage before ulceration, observe the current appearance; after prolonged ulceration, inquire about the initial color. If initially red, apply formulas for Yang sores (Yong); if initially white, apply formulas for Yin ulcers (Ju). Specific treatments follow below to help students distinguish symptoms and refine their practice.
Ma states: Early-stage lesions belong to Yang syndromes. If they ulcerate for a long time, leading to Qi and Blood deficiency and transforming into Yin-Cold syndromes, one must absolutely avoid using formulas for Yang sores.
If chronic ulceration results in severe rotting, administer Dong Tian Jiu Ku Dan (Cave Heaven Saving Bitter Pill) three doses, each dose being 3 qian, taken with aged wine until drunk and sweating under covers. After two days, administer another dose; after another two days, administer a third dose. During the two-day intervals, take Xing Xiao Wan (Wake-Up Eliminating Pill) 3 qian daily with aged wine. Once toxic fluids have drained completely, take Xing Xiao Wan twice more after seven days, followed by Da Zao Wan (Jujube Pill), 5 qian morning and evening. Even in critical cases, this can yield results.
Ma states: This pill formula treats syphilis and damp-toxin conditions where sores ulcerate into large patches with dozens of holes discharging foul fluid. However, it should not be used for general sores and ulcers that have ulcerated into large patches with dozens of holes, unless specifically indicated for such toxic manifestations.