凡人无病时。不善调理而致生百病。况既病之后。若不加调摄而病岂能得愈乎。其调治有法。初起病。
以先看病者元气虚实。次看疮之阴阳险否。然后用药调治。当攻即攻。可补便补。不可因循耽误。以致
变态不虞也。且患者又当安定心神。相忘诸念。毋使怆慌。乃保神气不得变乱也。再顺天时。假如夏热。
坐卧不可当风。忌置水于榻前床下。冬寒须避。起居常要温和。非柴火不可开疮。看视常有寒侵。致生
多变。又未溃之先。毒瓦斯内作。倘有口干渴症者。凉物须当少少与之。以滋蕴热。至溃脓之后。生冷硬物。
一概禁之。不然。伤脾损胃。脓必难成。致疮软陷。又难收敛。饮食须当。香燥甘甜。粥饭随其喜恶。毋餐过
饱。宜少宜热宜浓。方无停滞。又得易化故也。如大疮溃后。气血两虚。脾胃并弱。必制八仙糕早晚随食
数饼。以接补真元。培助根本。再熬参术膏。如患者脾胃俱虚。饮食减少。胸膈不宽。饮食无味者。用白术
膏三匙。人参膏二匙。清米汤空心化服。喜饮者酒化亦可。若精神短少。昏沉多睡。自汗劳倦。懒于动作
者。用人参膏三匙。白术膏二匙。亦酒化服。如肌肤粗涩。面苍不泽。或大便血少虚秘。以及皮干发槁者。
同地黄膏各二匙和服。或饮阳春酒更妙。其功强健精神。顿生气血。开胃助脾。润肌荣骨。此二药功甚
非小。大疮不可缺之。实非草药之比。病者当信用之乃无更变。虚视者又多反复不常。故有易愈难愈
之态。实在乎得此失此之规也。
When a person is free from disease, if they do not manage their health well, various illnesses may arise. How much more so after illness has set in; if no care and regulation are applied, how can the disease be cured? There are methods for such regulation and treatment. At the onset of the disease, one must first assess whether the patient's Yuan Qi (Original Qi) is deficient or excess, then determine whether the sore/ulcer is Yin or Yang type and whether it is dangerous. Only then should medication be administered for regulation and treatment. When attack (purging/draining) is indicated, attack it; when tonification is suitable, tonify it. One must not delay or procrastinate, leading to unexpected complications.
Furthermore, the patient should calm their mind and spirit, forget distracting thoughts, and avoid panic, thereby preserving the Shen (Spirit) and Qi from disorder. One must also adapt to seasonal changes. For instance, in summer heat, one should not sit or lie in drafts, and placing cold water near the bed or under the bed should be avoided. In winter cold, one must avoid chill, and daily life should remain warm. Without the warmth of firewood, it is difficult to promote the opening and draining of sores; if caregivers are frequently exposed to cold, it may lead to varied complications.
Before the sore ulcerates, if toxic factors act internally and symptoms such as dry mouth and thirst appear, cool substances should be given in small amounts to nourish and clear internal accumulated heat. After the sore ulcerates and pus drains, all raw, cold, and hard foods are strictly prohibited. Otherwise, the Spleen and Stomach will be damaged, making it difficult for pus to form, causing the sore to become soft and sunken, and hindering healing and contraction. Diet should consist of aromatic, dry, sweet, and pungent foods. Porridge and rice should follow the patient's preferences, but overeating must be avoided. Food should be taken in small quantities, kept hot, and be thick/concentrated to prevent stagnation, as these are easier to digest.
After a large sore ulcerates, when both Qi and Blood are deficient and the Spleen and Stomach are weak, "Baxian Gao" (Eight Immortals Cake) should be prepared and consumed morning and evening, several pieces at a time, to replenish and tonify the True Yuan (True Original Qi) and strengthen the root. Additionally, "Shenzhu Gao" (Ginseng and Atractylodes Paste) should be decocted. If the patient has dual deficiency of the Spleen and Stomach, reduced appetite, chest and diaphragm fullness/stiffness, and lack of taste for food, take three spoons of Baizhu Gao (Atractylodes Macrocephala Paste) and two spoons of Renshen Gao (Ginseng Paste), dissolved in clear rice soup on an empty stomach. Those who prefer alcohol may dissolve them in wine instead. If there is mental fatigue, drowsiness, spontaneous sweating, lassitude, and reluctance to move, use three spoons of Renshen Gao (Ginseng Paste) and two spoons of Baizhu Gao (Atractylodes Macrocephala Paste), also dissolved in wine. If the skin is rough and dry, the complexion is dull and lusterless, or there is constipation due to blood deficiency with scanty stools, and the skin is dry with brittle hair, mix two spoons each of Dihuang Gao (Rehmannia Paste) and take together, or drink Yangchun Jiu (Spring Wine) for better effect. The efficacy of these two pastes lies in strengthening the spirit, rapidly generating Qi and Blood, opening the appetite, assisting the Spleen, moistening the skin, and nourishing the bones. Their power is significant and cannot be compared to ordinary herbal medicines. They are indispensable for large sores. Patients should trust and use them to avoid further complications. Those who neglect proper care often experience relapses and instability, resulting in varying degrees of curability, which ultimately depends on adhering to or neglecting these regulatory principles.