玉红膏 太乙膏(见肿疡门)
柴胡清肝汤 栀子清肝汤(见鬓疽门)
荆防败毒散(见时毒门)
十全大补汤(见溃疡门)
归脾汤(见痔疮门)。
夫鬓疽者,乃手少阳三焦相火妄动,又兼肾水不能生水,或外受风热所感。但此经多气少血,肌肉相搏,
凡有患最难腐溃。此皆起于情性急暴,房欲、血虚火动,肝气凝结而成。疽之初起,寒热交作,头眩痛彻太阳,
甚则耳目连鬓通肿。治法不可妄用针灸,必分阴阳、表里、邪正、虚实治之,庶不有误。且如初见疮时,多寒
少热,口干作渴,好饮热汤,六脉虚数无力;又兼患上坚硬,多不 痛,无溃无脓,疮根流散,此等之症,
乃真气虚而邪气实也。治以托里为主,消毒佐之,如清肝养血汤、托里消毒散之类是也。又如见症时热多寒少,
头眩作痛,口燥舌干,渴欲饮冷,二便秘涩,六脉沉实有力,疮亦 肿疼痛,身体发热,易腐易脓,根脚不开,
肿在外,此乃正气实而邪气虚也。治以消毒为主,托里佐之,如栀子清肝汤、鼠粘子汤之类是也。大抵正气
胜则实,邪气胜则虚,必然一胜则一负,邪正不并立,欲其虚而不待损而自虚矣。又有未见疮时,先作渴症,
或一年半载,日久日重,然后发为鬓疽;其形色多紫黑,疮多平陷,坚硬无脓,毒流耳项;又兼气味不正,形
容不泽,精神不明,饮食不进者,俱为不治。
Yuhong Ointment, Taiyi Ointment (see section on Ulcerated Sores)
Chaihu Qinggan Decoction, Zhizi Qinggan Decoction (see section on Temporal Carbuncle)
Jingfang Baidu San (see section on Seasonal Toxins)
Shiquan Dabu Decoction (see section on Ulcerated Wounds)
Guipi Decoction (see section on Hemorrhoids).
The so-called Temporal Carbuncle (Biju) arises from the reckless movement of Ministerial Fire (Xianghuo) in the Hand-Shaoyang Sanjiao (Triple Burner) meridian, compounded by Kidney Water failing to nourish and control it, or by external contraction of Wind-Heat pathogens. Since this meridian is abundant in Qi but deficient in Blood, when muscle tissue is involved, it is extremely difficult for the lesion to suppurate and drain. These conditions generally originate from an irritable and violent temperament, excessive sexual activity, blood deficiency leading to internal fire agitation, and stagnation of Liver Qi. At the onset of the carbuncle, there are alternating chills and fever, severe headache radiating to the Taiyang region, and in severe cases, swelling extending from the ears and eyes to the temples. The treatment must not involve arbitrary use of acupuncture or moxibustion; one must differentiate Yin and Yang, Exterior and Interior, Pathogenic factors and Healthy Qi, and Deficiency and Excess to avoid therapeutic errors. For instance, if at the initial stage of the sore, symptoms include more chills than fever, dry mouth with thirst, preference for hot drinks, and a pulse that is empty, rapid, and weak throughout all six positions; additionally, the affected area is hard, mostly painless, without ulceration or pus, and the base of the sore spreads diffusely, this condition indicates that True Qi is deficient while Pathogenic factors are excess. The treatment should focus on supporting the interior (Tuoli) to promote drainage, assisted by detoxification, such as using Qinggan Yangxue Decoction or Tuoli Xiaodu San. Conversely, if symptoms present with more fever than chills, dizziness and headache, dry mouth and tongue, desire for cold drinks, constipation and dysuria, and a pulse that is deep, solid, and forceful throughout all six positions; meanwhile, the sore is swollen and painful, the body is febrile, it easily suppurates, but the root remains firm and the swelling is localized externally, this indicates that Healthy Qi is excess while Pathogenic factors are relatively deficient. The treatment should focus on detoxification, assisted by supporting the interior, such as using Zhizi Qinggan Decoction or Shuniu Zi Decoction. Generally speaking, when Healthy Qi prevails, it manifests as an Excess pattern; when Pathogenic factors prevail, it manifests as a Deficiency pattern. There is an inverse relationship: as one prevails, the other declines. Pathogenic factors and Healthy Qi cannot coexist; if the pathogen is defeated, the condition will naturally transition to a state of deficiency without requiring further damage. Furthermore, in some cases, thirst appears before the sore becomes visible, persisting for one and a half to two years, worsening over time, before developing into a temporal carbuncle. In such instances, the sore often appears purple-black, flat and depressed, hard without pus, with toxicity spreading to the ears and neck. If accompanied by foul odor, lackluster complexion, mental fatigue, and loss of appetite, these are considered incurable cases.