痈疽轻证七日时,神灯照法最相宜,未成自消已成溃,即发即腐实称奇。油浸灼火
周遭照,初用三根渐加之,照后敷药贴患上,有脓汤洗不宜迟。
【注】凡痈疽轻证,初起七日前后,神灯照法最宜。能使未成者自消,已成者自溃,不
起发者即起发,不腐者即腐,实有奇验。将神灯照麻油浸透,用火点着,离疮半寸许,自
外而内,周遭徐徐照之,火头向上,药气入内,毒瓦斯随火解散,自不致内侵脏腑。初用
三根,渐加至四五根,候疮势渐消时,仍照之。但照后即用敷药,围敷疮根,比疮晕大
二三分为率。疮口用万应膏贴之。如干及有脓,用猪蹄汤润洗之。如已溃,大脓泻时,不
必用此照法。
神灯照法方
朱砂 雄黄 血竭 没药(各二钱) 麝香(四分)
共为细末,每用三分。红绵纸裹药搓捻,长七寸,麻油浸透听用。
【方歌】神灯照法功速急,麝没雄朱血竭
宜,为末纸裹麻油润,火点熏疮火毒离。
痈疽初起肿且疼,重若负石不溃脓,桑柴烘法能解毒,止痛消肿有奇功。新桑树根
劈条用,木枝长有九寸零,劈如指粗一头燃,吹灭用火患处烘。片时火尽宜再换,再用三
四枝方灵,每日须烘二三次,肿溃腐脱新肉生。
【注】凡痈疽初起肿痛,重若负石,坚而不溃者,桑柴烘之,能解毒止痛,消肿散瘀,
毒水一出,即能内消。若溃而不腐,新肉不生,疼痛不止者,用之助阳气,散瘀毒,生
肌肉,移深居浅,实有奇验。法用新桑树根,劈成条,或桑木枝,长九寸,劈如指粗,一
头燃着吹灭,用火向患处烘片时,火尽再换。每次烘三四枝,每日烘二三次,以知热、肿
溃、肉腐为度,此古法也。但桑柴火力甚猛,宜用于未溃之先,可以生发阳气,速溃速腐。
若已溃之后,或疮口寒,或天气寒,或肌肉生迟者,亦须烘之,使肌肉常暖。法以桑木
烧作红炭,以漏杓盛之,悬患上,自四围烘至疮口,或高或低,总以疮知热为度。每日
烘后,再换敷贴之药。盖肌肉遇暖则生,溃后烘法,亦疡科所不可缺也。
[Song of the Divine Lamp Illumination Method]
For mild cases of carbuncles and sores around the seventh day after onset, the Divine Lamp Illumination Method is most appropriate. If pus has not yet formed, it can resolve spontaneously; if pus has already formed, it promotes ulceration. It takes effect immediately and causes necrotic tissue to slough off, truly remarkable. A torch soaked in oil (Divine Lamp) is used to illuminate the area surrounding the lesion. Initially, three lamps are used, gradually increasing the number. After illumination, medicaments should be applied and patched onto the affected area. If pus is present, it should be washed with a decoction without delay.
[Note] For mild cases of carbuncles and sores within seven days before or after onset, the Divine Lamp Illumination Method is most suitable. It enables lesions that have not yet suppurrated to resolve spontaneously, and those that have suppurrated to ulcerate spontaneously. Lesions that do not rise will subsequently rise, and those that do not putrefy will subsequently putrefy, demonstrating remarkable efficacy. The hemp seed oil-soaked wicks for the Divine Lamp are lit by fire, held approximately half an inch away from the sore, and slowly illuminated in a circular motion from the outside inward, with the flame pointing upward. The medicinal vapor enters the interior, and toxic pathogens disperse with the heat, preventing internal invasion of the Zang-Fu organs. Start with three lamps, gradually increasing to four or five. Continue illumination as the lesion's severity subsides. Immediately after illumination, apply medicaments, covering the base of the lesion, extending two or three fen larger than the erythema. Apply Wanying Gao (Universal Plaster) to the wound opening. If dry or purulent, rinse with Zhu Ti Tang (Pig Trotter Decoction). If already ulcerated with profuse discharge, this illumination method is unnecessary.
Formula for Divine Lamp Illumination Method
Cinnabar (Zhusha), Realgar (Xionghuang), Dragon's Blood (Xuexie), Myrrh (Moyao) (each 2 qian), Musk (Shexiang) (4 fen).
Grind all into a fine powder. Use 3 fen per application. Wrap the powder in red cotton paper, roll into a stick seven cun long, soak thoroughly in sesame oil, and set aside for use.
[Prescription Song] The Divine Lamp Illumination Method acts quickly and urgently; Musk, Myrrh, Realgar, Cinnabar, and Dragon's Blood are suitable. Grind into powder, wrap in paper, moisten with sesame oil, ignite to fumigate the sore, driving away fire-toxins.
[Song of Mulberry Wood Fire Roasting Method]
When carbuncles and sores first appear with swelling and pain, feeling heavy as if bearing a stone, hard without suppuration, the Mulberry Wood Fire Roasting Method can detoxify, relieve pain, reduce swelling, and eliminate edema with remarkable efficacy. Use new mulberry tree roots split into strips, or branches about nine cun long, split to the thickness of a finger. Ignite one end, blow out the open flame, and roast the affected area with the residual heat. Replace when the fire burns out; using three or four sticks yields better results. Roast two to three times daily until swelling subsides, ulceration occurs, necrotic tissue sloughs off, and new flesh grows.
[Note] For initial carbuncles and sores presenting with swelling, pain, heaviness like bearing a stone, hardness, and lack of suppuration, roasting with mulberry wood can detoxify, relieve pain, reduce swelling, dissipate stasis, and promote internal resolution once toxic fluids exit. If ulcerated but not putrefying, with no new flesh growth and persistent pain, this method aids Yang Qi, dissipates stasis and toxins, generates muscle tissue, and moves deep pathology to superficial levels, demonstrating remarkable efficacy. The method uses new mulberry root split into strips, or mulberry branches nine cun long, split to finger thickness. Ignite one end and blow out the flame. Roast the affected area with the heat for a period, replacing when exhausted. Use three or four sticks per session, twice or thrice daily, stopping when warmth is felt, swelling subsides, ulceration occurs, and tissue putrefies. This is an ancient method. However, mulberry wood fire is intense and should be used before ulceration to generate Yang Qi and accelerate suppuration and putrefaction. After ulceration, if the wound is cold, weather is cold, or flesh growth is delayed, roasting is also necessary to keep the tissue warm. Burn mulberry wood into red charcoal, place in a perforated ladle, suspend above the lesion, and roast from the periphery toward the center, adjusting height based on sensation of warmth. Change dressings after each daily roasting session. Since flesh grows when warm, post-ulceration roasting is indispensable in surgical dermatology.