凤眉疽生两眉棱,形长如瓜漫肿红,膀胱小肠肝胆热,烦闷呕逆不食凶。
【注】此疽亦名眉发,生于眉棱,无论左右,俱属足太阳膀胱、手太阳小肠、足厥
阴肝、足少阳胆四经积热所致。形长如瓜,疼痛引脑,二目合肿,坚硬色赤,按之有根。
六日内刺之得脓则吉,无脓则险。甚则十四日不溃,烦闷、呕逆、不食者凶。初宜服仙
方活命饮,次服托里透脓汤。速溃为妙,迟则恐攻眼损睛矣。其余内外治法,按痈疽溃疡门。
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仙方活命饮(见肿疡门)
托里透脓汤(见头部侵脑疽)
眉心疽生在印堂,硬肿为疽浮肿疡,督经风热气凝滞,根坚木痛当疔防。
【注】此证生于两眉中间,疽名曰印堂疽。毒初起色暗根平,肿硬疼痛,至二十一
日,腐溃出稠脓者顺,无脓黑陷者逆。疡名曰面风毒。疡毒初起,色赤浮肿, 痛易治,
七日溃脓。若色黑木痛,麻痒太过,根硬如铁钉之状,寒热并作,即眉心疔也,俱由督
脉经风热壅结气滞所成。疽疡二证,俱按百会疽,眉心疔治法同疔。
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龙泉疽起在人中,麻痒坚疼赤豆形,上焦风热攻督脉,憎寒壮热治同疔。
【注】此证生于水沟穴,即人中是也,属督脉经。形如赤豆,势小根深,坚硬木痛,
色紫顶焦,寒热交作,不时麻痒,由上焦风热,攻于督脉而成。宜按疔门急速治之,迟
则毒瓦斯内攻,令人烦闷,恶心干呕,神乱昏
愦,腮项俱肿,多致不救。
\r龙泉疽图\p04-34a53.bmp\r
Fengmei Ju (Phoenix Eyebrow Carbuncle) arises on the ridge of either eyebrow, with a shape long like a melon, presenting diffuse swelling and redness. It is caused by accumulated heat in the Bladder, Small Intestine, Liver, and Gallbladder channels. If accompanied by irritability, oppression, vomiting, and inability to eat, the prognosis is ominous.
[Note] This carbuncle is also known as Meifa Ju (Eyebrow Hair Carbuncle). It arises on the eyebrow ridge; regardless of whether it is on the left or right, it is caused by accumulated heat in the Foot-Taiyang Bladder Channel, Hand-Taiyang Small Intestine Channel, Foot-Jueyin Liver Channel, and Foot-Shaoyang Gallbladder Channel. Its shape is long like a melon, pain radiates to the head, both eyes swell, the mass is hard and red, and pressing it reveals a deep root. If punctured within six days and pus is discharged, it is auspicious; if no pus appears, it is dangerous. In severe cases, if it does not ulcerate within fourteen days, and is accompanied by irritability, vomiting, and anorexia, the prognosis is ominous. Initially, Xianfang Huoming Yin (Immortal Formula for Saving Lives Decoction) should be taken, followed by Tuoli Tou Nong Tang (Supporting Interior and Penetrating Pus Decoction). Rapid ulceration is desirable; delay may lead to erosion of the eye and damage to vision. For other internal and external treatments, refer to the section on Ulcerated Sores and Carbuncles.
Xinque Ju (Heart Center Carbuncle) arises at the Yintang point. Hard swelling indicates a carbuncle (Ju), while edematous swelling indicates a sore (Yang). It is caused by wind-heat invading the Governing Vessel, leading to stagnation of Qi. The root is hard, and numbness and pain suggest it should be guarded against as a Ding (Hard Carbuncle).
[Note] This condition arises between the two eyebrows; the carbuncle is named Yintang Ju (Yintang Carbuncle). At the onset, the toxin presents with dark color and flat root, with swollen, hard, and painful tissue. By the twenty-first day, if it腐rupts and discharges thick pus, it is a favorable course (Shun); if there is no pus and it sinks blackly, it is unfavorable (Ni). The sore is named Mian Feng Du (Facial Wind Toxin). At the onset of the sore toxin, the color is red and swollen, painful but easy to treat, and it ulcerates within seven days. If the color is black, numb and painful, with excessive itching and tingling, and the root is hard like an iron nail, accompanied by alternating chills and fever, it is Xinque Ding (Heart Center Hard Carbuncle). All these are formed by wind-heat congestion and Qi stagnation in the Governing Vessel channel. Both carbuncle and sore conditions should be treated according to the methods for Baihui Ju (Baihui Carbuncle); the treatment for Xinque Ding is the same as for general Ding.
Longquan Ju (Dragon Spring Carbuncle) arises at the Renzhong point. It presents with itching, hardness, pain, and a shape resembling a red bean. It is caused by upper Jiao wind-heat attacking the Governing Vessel. The symptoms of aversion to cold and high fever are treated similarly to Ding.
[Note] This condition arises at the Shuigou point, i.e., Renzhong (Governing Vessel 26), belonging to the Governing Vessel channel. Its shape resembles a red bean, the lesion is small but the root is deep, hard, numb, and painful, with purple color and a scorched apex. Chills and fever alternate, with intermittent itching. This is caused by upper Jiao wind-heat attacking the Governing Vessel. It should be treated urgently according to the methods in the Ding section; delay allows the toxin to attack inward, causing irritability, nausea, dry heaving, mental confusion, and stupor, with swelling of the cheeks and neck, often leading to untreatable outcomes.