肿高 痛脉浮者。邪在表也。宜托之。如内托复煎散。
肿硬痛深脉沉者。邪在内也。宜下之。如黄连内疏汤。仙方活命饮。苦参丸。
外无 肿。内则便利调和者。邪在经络也。宜调和荣卫。如托里荣卫汤。白芷升麻辈。
痛燥烦。或咽干作渴者。宜降火。如黄连解毒汤。
痛发热。或拘急。或头痛者。邪在表也。宜散之。如荆防败毒散。人参败毒散辈。
大痛或不痛者。邪气实也。隔蒜灸之。更用解毒。如仙方活命饮。
烦躁饮冷 痛脉数者。邪在上也。宜清之。如清凉饮。或金银花散。
恶寒而不溃者。气实兼寒邪也。宜宣而补之。如十宣散。
痛发热。汗多。大渴。便秘。谵语者。结阳症也。宜下之。如黄连内疏汤。破棺丹辈
不作脓或熟而不溃者。虚也。宜补之。如补中益气汤。八物汤。十全大补汤辈。
痛或不痛及麻木者。邪气盛也。隔蒜灸之。
肿痛或不作脓者。邪气凝结也。宜解之。如仙方活命饮。
肿痛饮冷发热睡语者。火也。宜清之。如清心汤。或防风通胜散加黄连。
不作脓。或不溃。及不敛者。阳气虚也。宜补之。如托里消毒散。疮后当调养。
患后当调养。若瘰 流注之症。尤当补益。否则更患他症矣。必难措治。慎之。蜡矾丸
。败毒散。流气饮。
脓熟不溃者。阳气虚也。宜补之。如圣愈汤。
瘀肉不腐者。宜大补阳气。更以桑柴火灸之。如参 归术。
脓清或不敛者。气血俱虚。宜大补。如八物汤。
溃后食少无睡。或发热者。虚也。宜补之。如内补黄 汤。
倦怠懒言。食少不睡者。虚也。宜补之。如黄 人参汤。
寒气袭于疮口。不敛。或陷下不敛者。温补之。如十全大补汤。
脉大无力。或涩微。而肌肉迟生者。气血俱虚也。峻补之。如十全大补汤。
出血或脓多烦躁不眠者。乃亡阳也。急补之。脓多或清者。血气俱虚也。宜峻补之。
右关脉弱而肌肉迟生者。宜健脾胃。如六君子汤。
脓清补之不应及不痛。或木闷及坚硬者。俱不治。
Swelling is high, painful, and the pulse is floating. This indicates pathogenic factors at the exterior. Treatment should employ the method of supporting and expelling (Tuo). For example, Neituo Fujian San (Internal Support and Double-Boiled Powder).
Swelling is hard, pain is deep, and the pulse is sunken. This indicates pathogenic factors in the interior. Treatment should employ the purgative method (Xia). For example, Huanglian Neishu Tang (Coptis Internal-Draining Decoction), Xianfang Huoming Yin (Immortal Formula for Life-Living Drink), Kushen Wan (Sophora Pill).
Externally there is no swelling; internally, bowel movements and urination are smooth and harmonious. This indicates pathogenic factors in the meridians and collaterals. Treatment should harmonize Ying and Wei (Nutritive and Defensive Qi). For example, Tuoli Rongwei Tang (Support Interior Harmonize Nutritive-Defensive Decoction), drugs such as Baizhi (Angelicae Dahuricae Radix) and Shengma (Cimicifugae Rhizoma).
Pain accompanied by dryness and irritability, or dry throat and thirst. Treatment should descend fire. For example, Huanglian Jiedu Tang (Coptis Detoxification Decoction).
Pain accompanied by fever, or muscle spasms/tightness, or headache. This indicates pathogenic factors at the exterior. Treatment should employ the dispersing method (San). For example, Jingfang Baidu San (Schizonepeta and Saposhnikovia Detoxification Powder), Ren Shen Baidu San (Ginseng Detoxification Powder).
Severe pain or absence of pain. This indicates excess of pathogenic factors. Apply garlic-separated moxibustion (Gesaruan Jiu). Further use detoxifying agents. For example, Xianfang Huoming Yin (Immortal Formula for Life-Living Drink).
Irritability, desire to drink cold fluids, pain, and rapid pulse. This indicates pathogenic factors in the upper jiao. Treatment should employ the clearing method (Qing). For example, Qingliang Yin (Cooling Drink), or Jinyinhua San (Honeysuckle Powder).
Aversion to cold and failure of the sore to ulcerate. This indicates excess of healthy qi combined with cold pathogen. Treatment should unblock and tonify. For example, Shixuan San (Ten-Ventilation Powder).
Pain, fever, profuse sweating, extreme thirst, constipation, and delirium. This is Jieyang Syndrome (Yang Knotting Syndrome). Treatment should employ the purgative method (Xia). For example, Huanglian Neishu Tang (Coptis Internal-Draining Decoction), Po Guan Dan (Sarcophagus-Breaking Pill).
Failure to form pus, or mature pus that fails to ulcerate. This indicates deficiency. Treatment should employ the tonifying method (Bu). For example, Buzhong Yiqi Tang (Middle-Supporting Qi-Supplementing Decoction), Bawu Tang (Eight-Ingredient Decoction), Shiquan Dabu Tang (Perfect Ten Great Tonifying Decoction).
Pain or absence of pain, along with numbness. This indicates flourishing pathogenic factors. Apply garlic-separated moxibustion (Gesaruan Jiu).
Swelling and pain, or failure to form pus. This indicates condensation of pathogenic factors. Treatment should resolve/disperse them. For example, Xianfang Huoming Yin (Immortal Formula for Life-Living Drink).
Swelling and pain, desire to drink cold fluids, fever, and somniloquy (talking in sleep). This indicates Fire pathogen. Treatment should employ the clearing method (Qing). For example, Qingxin Tang (Clear Heart Decoction), or Fangfeng Tongsheng San (Saposhnikovia Unblocking-Overcoming Powder) added with Huanglian (Coptidis Rhizoma).
Failure to form pus, or failure to ulcerate, and failure of the wound to close. This indicates deficiency of Yang Qi. Treatment should employ the tonifying method (Bu). For example, Tuoli Xiaodu San (Support Interior Detoxification Powder). Post-ulcer care requires regulation and nourishment.
After the onset of disease, regulation and nourishment are required. Especially for conditions like Luoli (Scrofula) and Liuzhu (Flowing Abscess), tonification is particularly necessary. Otherwise, other diseases may arise, making treatment difficult. Caution is advised. Lafan Wan (Beeswax and Alum Pill), Baidu San (Detoxification Powder), Liuqi Yin (Moving-Qi Drink).
Mature pus that fails to ulcerate. This indicates deficiency of Yang Qi. Treatment should employ the tonifying method (Bu). For example, Shengyu Tang (Sheng-Yu Decoction).
Necrotic tissue that does not slough off. Treatment should greatly tonify Yang Qi. Additionally, apply mugwort moxibustion using mulberry wood fire. Herbs include Renshen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma).
Thin/clear pus or failure of the wound to close. This indicates deficiency of both Qi and Blood. Treatment should greatly tonify. For example, Bawu Tang (Eight-Ingredient Decoction).
Post-ulceration: poor appetite, insomnia, or fever. This indicates deficiency. Treatment should employ the tonifying method (Bu). For example, Neibu Huangqi Tang (Internal-Nourishing Astragalus Decoction).
Fatigue, reluctance to speak, poor appetite, and insomnia. This indicates deficiency. Treatment should employ the tonifying method (Bu). For example, Huangqi Renshen Tang (Astragalus and Ginseng Decoction).
Cold pathogen invading the sore, leading to failure to close, or sinking/depression without closure. Treatment should employ warming and tonifying methods. For example, Shiquan Dabu Tang (Perfect Ten Great Tonifying Decoction).
Pulse is large but forceless, or choppy and faint, with slow muscle regeneration. This indicates deficiency of both Qi and Blood. Treatment should employ vigorous tonification. For example, Shiquan Dabu Tang (Perfect Ten Great Tonifying Decoction).
Bleeding or excessive pus, accompanied by irritability and insomnia. This indicates collapse of Yang (Wang Yang). Urgent tonification is required. Excessive or clear pus indicates deficiency of both Qi and Blood. Vigorous tonification is required.
Weak pulse at the Right Guan position with slow muscle regeneration. Treatment should strengthen the Spleen and Stomach. For example, Liujunzi Tang (Six-Gentlemen Decoction).
Clear pus, unresponsive to tonification, absence of pain, or numbness/distension and hardness. These are untreatable cases.