化毒丸 治内疔
朱砂 雄黄(各一钱) 蝉蜕(十枚) 硼砂(生) 轻粉(各五分) 麝香(一分) 片脑(半分)
上末。取蟾酥为丸,如绿豆大。每用一丸,放舌上含化取涎,化后以井水漱净。无
此丸用单蟾酥代之亦可。
霹雳火 治内疔之证,发汗之妙方也。凡疔疮始觉,不曾服出汗之药,过数日间,外
证皆罢,或在胸腹,或在胁肋,赤 肿起,此乃毒瓦斯入里,内疔之所发也,宜用此法出汗,
毒瓦斯方能出也。
先置水桶一个,铁铫一个,令病患侧卧于桶上,四围以衣衾盖护,勿令泄气。却以
鹅卵石,火烧极红,放铫内,以铫安桶内,以醋投于铫内淬之,熏蒸出汗。未透,再加火
力再淬之,须令肿处汗透,不必遍身出汗也。
《灵枢》五藏身有五部∶伏兔一,腓二,腓者, 也,即足肚。)背三,五藏俞四,项五,
此五部有痈疽者死。
王海藏云∶脑、须、鬓、颐,亦为痈疽必死之处。
《鬼遗方》不可患痈疽者七处∶眼后虚处;颐接骨处;阴根上毛间、胯与尻骨接处;耳
门前后车骨接处;诸因小腹风水所成痈疽;颔骨下近耳后虚处;鼻骨中。并能害人。但以
诸法疗之,或有得瘥。唯眼后虚处最险。
背上九处不可病痈∶第一人发际为玉枕,亦为舌本;第二颈项节;第三推为崇骨;第
四大椎为五脏;第五脊骨两边肺俞穴;第六夹脊两边脾俞及肝俞;第七脊骨两边肾俞二
穴;第八后心鸠尾;第九鸠尾骨穴。
正面五处不可患痈∶第一喉骨为垂膺;第二当胸为神舍;第三心鸠尾;第四当两乳穴;
第五脐下二寸为肠屈间。
侧面三处不可患痈∶耳下近耳后牙车尖央陷中,为喉脉一穴;当膊下一穴,为肩骨,
承山上三寸一穴 肠。
上焦发痈为阳,是壅塞实候,宜解利温凉汤药,去其积热上外攻,即贴消肿逼毒药。
如已结定,即用发穴药,候穴破出,其脓毒肿平,方贴生肉等药,然后敛合疮口。亦虑
外伤风水,勿食发风热酱面毒物等,忌房事。
中焦发痈至腰上一节,前后心不定所在,皆是涩滞候。亦乘虚而作,不拘大小,前起
心鸠尾者最要紧。近两腋是虚处,两胁肋下至脐上,及脐下两傍一二寸,发痈填气,伏
硬难溃脓,为此等处偏难发穴,穴后难合疮口,并须先用暖内药,服后用热药贴令软和,
慢慢破穴,不得急破,急破即朝夕出脓不住,缓慢破穴,即一顿出脓,易为将息。后心者,
唯有十一椎脾俞下,十四椎上为肾俞,肾俞下为腰俞,两处起痈者,防毒瓦斯内攻,为此
处皆是至虚处,凡有痈起,先须补内气令实,方可放破,内气实则不内攻,且易得溃,唯
腰腿两处多成漏疾,预防节欲则先矣。
下焦发为流注虚损候,前阴股两处,起如鸡卵大,长横折内。初起肿核结块,后四
畔浮肿,相并伏硬。色青黑。先用和平药内服三五日,后用发软散及罨药,罨令软即穴,
穴后其疮口即随折子内作长疮,疮口破,宜急用抽毒膏出脓,脓尽便贴合疮口药。为此
处无肉可坏。更不须长肉也。
上《灵枢》、《鬼遗》诸书所言部分甚悉,今已散采入各条矣。其经络所属及引经之药,
已见首卷分经络篇。其初、中、后,内消、外治之法,及表里、虚实之别,则当于肿疡、溃
疡门求之。今世专科方士,所诧以为秘传之书,图写形像,分别名目以立治法者,多不
足凭,此中亦有搜采者。(如或问之类。)姑以广闻见耳,不必泥也。
Huadu Wan (Toxin-Resolving Pill): Treats internal Ding (carbuncle).
Cinnabar, Realgar (each 1 qian), Cicada Slough (10 pieces), Raw Borax, Calomel (each 5 fen), Musk (1 fen), Borneol (0.5 fen).
Grind the above ingredients into fine powder. Use Toad Venom to form pills, sized like mung beans. Use one pill each time, place it on the tongue and dissolve slowly to induce salivation; rinse thoroughly with well water after dissolution. If this pill is unavailable, using pure Toad Venom alone as a substitute is also acceptable.
Pili Huo (Thunderbolt Fire): A miraculous formula for inducing sweating to treat internal Ding syndrome. Whenever a Ding sore is first perceived and no diaphoretic medicine has been taken, after several days when external symptoms have subsided but toxicity enters the interior, manifesting as redness and swelling in the chest, abdomen, or hypochondrium, this indicates the onset of internal Ding. It is appropriate to use this method to induce sweating so that the toxic qi can be expelled.
Place a water bucket and an iron pot beforehand. Let the patient lie on their side on the bucket, covering the surroundings with clothes and quilts to prevent heat leakage. Then, heat river stones until extremely red, place them in the iron pot, set the pot inside the bucket, and pour vinegar into the pot to quench it, generating steam to fumigate and induce sweating. If sweat is not profuse, add more fire and continue quenching. It is necessary to ensure the affected area sweats thoroughly; whole-body sweating is not required.
The *Ling Shu* states there are five parts of the body corresponding to the Five Zang organs: one is the Fubao area, two is the calf (the fleshy part of the lower leg), three is the back, four is the Shu points of the Five Zang organs, and five is the neck. If carbuncles or ulcers occur in these five parts, death ensues.
Wang Haicang stated that the brain, beard, temples, and chin are also sites where carbuncles or ulcers invariably lead to death.
The *Gui Yi Fang* lists seven places where carbuncles or ulcers should not occur: the hollow behind the eyes; the junction of the chin and mandible; between the pubic hair above the root of the genitals; the junction of the hip and sacrum; the junction of the temporomandibular joint before and after the ear gate; carbuncles formed due to wind-water in the lower abdomen; the hollow below the mandible near the ear; and the middle of the nasal bone. Carbuncles in these places can be fatal. Although various treatments may cure some cases, the hollow behind the eyes is the most dangerous.
There are nine places on the back where carbuncles should not occur: the first is the hairline at the occiput, known as Yuzhen, also called the root of the tongue; the second is the cervical vertebrae; the third is identified as Chonggu; the fourth is Dazhui, corresponding to the Five Zang organs; the fifth is Feishu on both sides of the spine; the sixth is Pishu and Ganshu on both sides of the spine; the seventh is Shenshu on both sides of the spine; the eighth is Jiwei on the posterior heart; the ninth is the Jiwei bone point.
There are five places on the front where carbuncles should not occur: the first is the laryngeal bone, known as Chuiping; the second is the center of the chest, known as Shen She; the third is Xinjiwei; the fourth is the point between the two breasts; the fifth is two cun below the umbilicus, known as Changqujian.
There are three places on the side where carbuncles should not occur: the depression in the center of the jaw angle near the ear, known as Houmai; the point below the arm, known as Jiangu; and the point three cun above Chengshan, known as Chang (textual error likely, referring to intestinal connection).
Carbuncles occurring in the Upper Jiao are Yang syndromes, representing excess obstruction. It is suitable to use warm-cooling decoctions to resolve and clear accumulated heat, allowing it to attack outward, followed by applying anti-swelling and toxin-expelling plasters. If the lesion has hardened, use opening agents to wait for the abscess to rupture and drain pus. Once the pus and swelling subside, apply flesh-regenerating medicines, then finally close the wound. One must also guard against external wind-water invasion, avoid foods that trigger wind-heat such as fermented sauces, noodles, and toxic substances, and abstain from sexual intercourse.
Carbuncles occurring in the Middle Jiao, located above the waist, either anteriorly or posteriorly without fixed location, present as stagnant conditions. They arise due to deficiency regardless of size. Those starting at Xinjiwei are the most critical. The areas near the axillae are deficient zones. Carbuncles arising under the hypochondrium down to above the umbilicus, and one to two cun lateral to the umbilicus, cause Qi stagnation, becoming hard and difficult to suppurate. These areas are prone to difficulty in opening and healing. It is necessary to first administer warming internal tonics, then apply hot plasters to soften the area, allowing slow rupture. Do not rupture hastily, as this causes continuous day-and-night drainage; slow rupture allows single-drainage ease of care. For the posterior heart region, specifically below Pishu at the 11th thoracic vertebra, above Shenshu at the 14th thoracic vertebra, and below Shenshu at Yaoshu, carbuncles here risk internal attack of toxicity because these are extremely deficient areas. When a carbuncle arises, one must first tonify internal Qi to strengthen it before rupturing. Strong internal Qi prevents internal attack and facilitates suppuration. However, carbuncles in the waist and legs often become fistulas; preventing excessive sexual activity is paramount.
Carbuncles occurring in the Lower Jiao present as flowing injections and deficiency patterns. Swellings in the anterior genital and thigh areas, resembling chicken eggs, extend horizontally inward. Initially, swollen nodules form, later surrounded by edema, merging into hard masses with blue-black color. First, administer mild internal medicines for three to five days, then use softening powders and compresses. Apply compresses until soft, then open the abscess. After opening, the wound extends internally as a long sinus. Upon rupture, urgently apply detoxifying ointments to extract pus. Once pus is exhausted, apply wound-closing medicines. Since there is little tissue to destroy in this area, flesh regeneration is unnecessary.
The aforementioned texts (*Ling Shu*, *Gui Yi Fang*) describe these locations in detail, which have now been incorporated into respective sections. The meridian affiliations and guiding herbs are found in the first volume's Meridian Chapter. The methods for early, middle, and late stages, internal resolution, external treatment, and differentiation of exterior/interior and deficiency/excess should be sought in the Tumors and Ulcer sections. Modern specialists who boast of secret manuals with illustrated diagrams and specific names for treatment methods are largely unreliable. Some materials have been collected (e.g., from *Huo Wen*). This is merely to broaden knowledge; do not adhere strictly to them.