此谓痈疽发于乳,脓溃之后,或虚 ,或疼痛,或渴也。凡发乳溃后,出脓血多,
则腑脏虚燥,则渴而引饮。饮入肠胃,肠胃虚,则变下痢也。
此谓肤腠理虚,有风湿之气乘虚客之,与血气相搏,而热加之,则生疮也。
肿而皮强,上如牛领之皮,谓之疽也。足阳明之脉,有从缺盆下于乳者,其脉虚则腠理
开,寒气客之,寒搏于血,则血涩不通,故结肿;而气又归之,热气淳盛,故成疽也。热久
不散,则肉败为脓也。
足阳明之经脉,有从缺盆下于乳者,其经虚,风冷乘之,冷折于血,则结肿。夫肿热则
变败血为脓,冷则核不消。又重疲劳,动气而生热,亦 烊。其汤熨针石,别有正方,补养
宣导,今附于后。
《养生方·导引法》云∶ 踞,以两手从曲脚内入,据地,曲脚加其上,举尻。其
可用行气。愈瘰 ,乳痛。交两脚,以两手从曲脚极 ,举十二通,愈瘰 、乳痛也
乳石痈之状,微强不甚大,不赤,微痛热,热自歇,是足阳明之脉,有下于乳者,其经
虚,为风寒气客之,则血涩结成痈肿。而寒多热少者,则无大热,但结核如石,谓之乳石痈
五脏不调则致疽,疽者,肿结皮强,如牛领之皮。六腑不和则致痈,痈者,肿结薄以泽
是也。腑与脏为表里,其经脉循行于身,俞皆在背;腑脏不调和,而腠理开,受于风寒,折
于血,则结聚成肿,深则为疽,浅乃为痈。随寒所客之处,血则痞涩不通,热又加之,故成
痈疽发背也。
This refers to carbuncles and sores occurring in the breast. After the pus has ulcerated, symptoms may include deficiency of the Zang-Fu organs (Viscera), dryness, pain, or thirst. Generally, after a breast abscess ulcerates and discharges excessive amounts of pus and blood, it leads to deficiency and dryness of the Zang-Fu organs, resulting in thirst and a desire to drink. When fluids enter the stomach and intestines, if these organs are deficient, it may transform into dysentery (diarrhea).
This describes a condition where the skin and interstices (Couli) are deficient, allowing wind-dampness pathogens to invade due to this weakness. These pathogens contend with the body's Qi and blood, and when combined with heat, they generate sores.
Swelling accompanied by stiff skin, resembling the thick skin on a cow's neck, is termed Ju (Deep Sores/Carbuncles). The Foot-Yangming Stomach Meridian has branches descending from the Quepen (ST 12) acupoint towards the breast. If this meridian is deficient, the Couli open, allowing cold pathogens to lodge. Cold contending with blood causes blood stasis and obstruction, leading to nodular swelling; Qi then converges here, creating intense heat, which ultimately forms a Ju. If the heat persists without dissipating, the flesh rots and transforms into pus.
The Foot-Yangming Stomach Meridian has branches descending from the Quepen (ST 12) acupoint towards the breast. If this meridian is deficient, wind-cold pathogens invade. Cold condenses the blood, causing nodular swelling. If the swelling is hot, it transforms stagnant blood into pus; if cold, the nodules do not resolve. Additionally, severe fatigue generates Qi movement and heat, which can also cause melting of the tissue. For such conditions, decoctions, moxibustion/warming therapies, acupuncture, and stone therapy have specific formulas. Methods for tonification, nourishment, and guided breathing exercises are attached below.
The *Yangsheng Fang* (Prescriptions for Nourishing Life) · *Dao Yin Fa* (Guiding and Pulling Methods) states: Squat, insert both hands from inside the bent knees to support the ground, bend the legs over the hands, and lift the hips. This method can be used to regulate Qi, curing scrofula and breast abscesses. Cross the legs, place both hands at the deepest point of the knee bends, and lift upwards twelve times. This cures scrofula and breast abscesses.
The presentation of Ru Shi Yong (Breast Stone Abscess) involves slight stiffness but not significant enlargement, no redness, mild pain and heat that subsides spontaneously. This occurs because the Foot-Yangming Stomach Meridian descends through the breast; if the meridian is deficient and invaded by wind-cold pathogens, blood becomes stagnant and forms an abscess. If there is more cold than heat, there is no high fever, only hard nodules like stones, which is called Ru Shi Yong.
Disharmony of the Five Zang Organs leads to Ju (Deep Sores); Ju is characterized by swollen, hardened skin resembling a cow's neck. Disharmony of the Six Fu Organs leads to Yong (Superficial Abscesses); Yong is characterized by swollen, thin, and glossy skin. The Fu and Zang organs are exterior-interior pairs, and their meridians circulate throughout the body, with Shu points located on the back. When Zang-Fu disharmony causes the Couli to open, wind-cold invasion damages the blood, leading to aggregation and swelling. Deep lesions become Ju, while superficial ones become Yong. Depending on where the cold pathogen lodges, blood becomes obstructed and stagnant; combined with heat, this results in Carbuncles and Back Sores (Yong Ju Fa Bei).