隔蒜灸法,胜用刀针。书云,不痛灸至痛,痛灸不痛时。凡治痈疽疔肿流注及一切无名
肿毒,以大蒜切片,安疮顶上,用陈艾炷安蒜上,香点灸之。其艾炷大小,看疮毒大小为取
裁。若痈疽之大者,以蒜捣饼,敷上灸之。不痛者灸至痛而止,痛者灸至不痛而止。若内已
有脓,即将乌金膏涂灸处,外用普救万全膏贴之。烂开大口,卸却瘀脓,易收功也。若口不
收,或腐肉不脱,洗用防风汤,敷以海浮散,外贴万全膏,腐自去,新自生,计日可愈,真
神药也。
凡肿在头面以上者,不宜艾灸,恐引火气上攻,宜用火照法,神乎其神。法用火照散,
安纸捻中,以麻油浸点。每用火三枝,离毒半寸许照之。自外而内,俾气透入。皮色紫滞者
,立转红活。若疮热平塌者,立转高耸。仍须不时照之,则毒瓦斯顷解,转阴为阳,以收全功
。且此法不止施于头上,即如发背等毒,亦宜用之。其头面患毒,亦有用艾灸而愈者。因其
毒纯阴,平塌顽麻,非艾灸无功。但艾炷宜小,如黍粒样式。二法乃疮疽门之宝筏,宜互用
参考,以神其用。
凡毒有胀痛紧急,脓已成熟,无暇待灼艾火照者,即宜用刀法开之。但刀法,须在的确
脓熟之时,又须要深浅合度。以左手按肿处,先看脓之成否。如按下软而不痛,肿随手起者
,脓已成也。按下硬而痛,或凹陷不起者,脓未成也。已成脓者可刺,未成脓者宜姑待之。
若脾气虚弱者,宜托补之。又须看其脓之深浅,以手指按下,软肉深者,其脓必深;软肉浅
者,其脓亦浅。若脓浅刀深,恐伤好肉。脓深刀浅,恐脓不出而肉败,最宜斟酌。更有伏骨
之疽,脓腐于肉,皮色不变者,宜以刀刺入深处,放出瘀脓。或灸开大口放出之。不得姑息
因循,俾毒瓦斯越烂越深也。其小刀须利刃,勿令病者见,恐惊彼耳。砭法施于头面及耳前后
。因其漫肿无头,急用此法以泻其毒。取上细瓷锋,用竹箸夹住紧扎,放锋出半分,对患处
,另以箸敲之,遍刺肿处,俾紫血多出为善。刺毕,以精肉切片贴,再用鸡子清调乳香末润
之。此地不宜成脓,头肉中空,耳前后更多曲折,提脓拔毒,恒多未便,故砭法断宜早施。
The method of moxibustion with garlic slices is superior to the use of knives and needles. Ancient texts state: "For sores that do not cause pain, moxa should be applied until pain is felt; for sores that cause pain, moxa should be applied until the pain ceases." Whenever treating carbuncles (Yong Ju), Ding sores, flowing abscesses (Liu Zhu), and all kinds of nameless swellings and toxic masses, slice fresh garlic and place it on top of the lesion. Place a cone of aged mugwort (Chen Ai) on the garlic slice and ignite it for moxibustion. The size of the moxa cone should be determined according to the size of the sore or toxic mass. For larger carbuncles or sores, mash garlic into a cake, apply it to the affected area, and perform moxibustion. If the sore does not hurt, stop moxibustion once pain is induced; if it hurts, stop when the pain subsides. If pus has already formed internally, immediately apply Wujin Ointment (Black Gold Ointment) to the moxibusted area and cover it externally with Pujiu Wanquan Plaster (Universal Salvation Plaster). This will facilitate the opening of the sore, draining of stagnant pus, and thus promote healing. If the sore fails to close or necrotic tissue does not shed, wash with Fangfeng Decoction (Saposhnikovia Decoction), apply Haifu Powder (Sea Floating Powder), and cover externally with Wanquan Plaster. The necrotic tissue will naturally fall off, new flesh will grow, and recovery can be expected within days; this is truly a miraculous remedy.
For swellings located above the head and face, moxibustion is contraindicated as it may draw fire qi upward to attack. Instead, the Fire Illumination Method (Huo Zhao Fa) should be used, which yields miraculous results. The method involves placing Huozhao San (Fire Illumination Powder) inside a paper wick, soaking it in sesame oil, and igniting it. Use three such wicks at a time, holding them about half an cun away from the toxic area to illuminate it. Illuminate from the outside inward to allow the medicinal qi to penetrate. Purple and stagnant skin color will immediately turn red and vibrant. Flat and collapsed sores with heat will immediately become elevated and prominent. Continuous illumination is necessary so that the toxic factors are resolved quickly, transforming Yin conditions into Yang conditions to achieve complete cure. Moreover, this method is not limited to the head; it is also suitable for toxic masses such as Back Carbuncle (Fa Bei). However, some head and facial toxic masses can also be cured by moxibustion if they are purely Yin toxins, characterized by flatness, stubbornness, and numbness, which require moxibustion to be effective. In such cases, the moxa cones should be small, the size of millet grains. These two methods are precious techniques for treating sores and carbuncles and should be used in conjunction for reference to enhance their efficacy.
When a toxic mass presents with distending pain and urgency, and the pus is mature, leaving no time for waiting for moxibustion or fire illumination, the knife method should be employed immediately. However, incision must only be performed when the maturity of the pus is certain, and the depth must be appropriate. Press the swollen area with the left hand to first determine if pus has formed. If pressing feels soft and painless, and the swelling rebounds immediately upon release, the pus has formed. If pressing feels hard and painful, or if depression remains after release, the pus has not yet formed. Sores with formed pus can be punctured; those without formed pus should be waited upon. If the patient's Spleen Qi is deficient, supportive tonification methods should be used. One must also assess the depth of the pus: pressing with fingers, thick subcutaneous soft tissue indicates deep pus, while thin soft tissue indicates shallow pus. If the pus is shallow but the incision is too deep, healthy flesh may be damaged. If the pus is deep but the incision is too shallow, pus may not drain, leading to tissue necrosis; careful consideration is essential. Furthermore, for Gu Bone Abscess (Fu Gu Zhi Ju), where pus corrupts deep within the muscle and the skin color remains unchanged, the knife should be inserted deeply to drain the stagnant pus. Alternatively, the pus can be drained by opening a large wound via moxibustion. Do not hesitate or delay, allowing the toxic factors to rot deeper. The small knife must be sharp, and the patient should not see it to avoid fright. The Bian Stone method (Bian Fa) is applied to the head, face, and areas around the ears. Since these areas present with diffuse swelling without a distinct head, this method is urgently needed to drain toxicity. Select a fine porcelain shard, secure it tightly with chopsticks, exposing only half a fen of the sharp edge. Position it against the affected area and tap it with another chopstick to prick the swollen area repeatedly, aiming for the discharge of dark blood. After pricking, apply a slice of lean meat to the site, moistened with Frankincense Powder (Ruxiang Mo) mixed with egg white. Pus formation is unsuitable in these areas because the head muscles are hollow and the areas around the ears are complex and tortuous, making drainage and detoxification difficult. Therefore, the Bian Stone method should be applied early.