陈实功曰∶古之良医,有好生之德,以口吮脓,后世人渐嫌秽,每多重手强挤,致
患者野狼狈不堪,或因循听其自溃,脓毒不得外发,必致内攻,乃生烦躁,重如负石,
非用药筒拔提内蓄之脓,毒瓦斯终难外泄也。法预用径口一寸二三分新鲜嫩竹一段,长
七寸,一头留节,用刀划去外青,留内白一半,约浓分许,靠节钻一小孔,以杉木
条紧塞,将羌活、独活、紫苏、蕲艾、鲜菖蒲、白芷、甘草各五钱,连须葱二两,灌
入筒内,筒口用葱塞之,将筒横放锅内,以物压住,勿得浮起,用清水十大碗 筒,煮
数滚,约内药浓熟为度,候用。再用披针于疮顶上一寸内,品字放开三孔,深入浅
寸,约在筒圈内将药筒连汤用大磁钵盛贮,患者榻前,将筒药倒出,急用筒口乘热对
疮合上,以手捺紧,自然吸住,约待片时,药筒已温,拔去塞孔木条,其筒自脱,将
器倒出筒中物色,看其何样∶如有脓血相粘,鲜明红黄之色,亦有一二杯许,此是
活疮,治必终愈。如拔出物色,纯是败血,气秽紫黑稀水,而无脓意相粘者,其人气
血内败,肌肉不活,必是死疮,强治亦无功矣。此法家传,屡经有验,如阳疮易溃
易脓之证,不必用此,以伤气血,此法阴疮用之,要在十五日前后,坚硬不溃不脓
者,行之最当。此法的有回天之效,医家真不可缺也。(《正宗》)
Chen Shigong stated: Ancient virtuous physicians possessed the virtue of cherishing life, using their mouths to suck out pus. Later generations gradually found this practice unclean, often resorting to forcibly squeezing with hands, leaving patients in a wretched state; or they would passively wait for spontaneous rupture, causing pus and toxins to fail to discharge outward, inevitably leading to internal attack by pathogens, resulting in restlessness and a sensation of heaviness as if carrying a heavy stone. Without employing the medicinal jar suction method to extract accumulated pus from within, toxic vapors would ultimately fail to dissipate externally.
The procedure is as follows: Prepare a segment of fresh tender bamboo with a diameter of one inch and two or three fen (approx. 3-4 cm), seven cun (approx. 23 cm) in length, retaining one node. Use a knife to scrape off the outer green skin, preserving half of the inner white layer, approximately one fen thick. Drill a small hole near the node and tightly plug it with a fir wood strip. Place Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Zisu (Perillae Folium), Qi Ai (Artemisiae Argyi Folium), Xian Changpu (Acori Tatarinowii Rhizoma), Baizhi (Angelicae Dahuricae Radix), and Gancao (Glycyrrhizae Radix et Rhizoma), each five qian (approx. 15 g), along with two liang (approx. 60 g) of scallions with roots, into the bamboo tube. Plug the tube mouth with scallion segments. Place the tube horizontally in a pot, weigh it down to prevent floating, add ten large bowls of clear water, and boil until the liquid inside is thoroughly cooked and concentrated. Set aside for use.
For application: Using a lancet, puncture three holes in a triangular ("pin") pattern on the apex of the sore, within one cun, penetrating superficially to a depth of about one cun. Place the medicinal tube together with its broth in a large porcelain bowl near the patient's bed. Pour out the liquid from the tube, and immediately press the hot tube mouth firmly against the sore. Hold it tight with your hand so that it adheres naturally. After a short while, when the tube has cooled slightly, remove the wooden plug from the hole, and the tube will detach spontaneously. Empty the contents of the tube into a vessel and observe the nature of the discharge: If there is pus mixed with blood, exhibiting a bright red-yellow color, amounting to one or two cups, this indicates a "living sore" (viable tissue), which will surely heal with treatment. If the discharged material consists purely of necrotic blood, with a foul odor, purple-black color, and watery consistency without any viscous pus, it indicates internal failure of Qi and Blood and non-viable muscle tissue, signifying a "dead sore" (non-viable tissue). In such cases, forced treatment will be ineffective.
This method was passed down in my family and has proven effective repeatedly. For Yang sores (superficial, acute infections) that easily suppurate and rupture, this method should not be used, as it may damage Qi and Blood. This method is suitable for Yin sores (deep, chronic infections), specifically applied around fifteen days after onset when the lesion is hard, unruptured, and non-suppurating. This method indeed possesses the power to reverse critical conditions and is indispensable for physicians. (From *Waike Zhengzong*)