寸白,是九虫内之一虫也。凡九虫在人腹内,居肠胃之间,腑脏气实,则虫不动,不为
人害。虚者,虫便发动滋长,乃至毙人。
又云∶饮白酒,以桑枝贯牛肉炙食,食生栗、生鱼,仍饮乳酪,能变生寸白者也。
血性得寒则凝,得热则流散。若劳伤经络,其血虚,热渗入胞,故尿血也。
劳伤经脉则生热。热乘于血,血得热则流散,渗入于大肠,故大便血也。
肾与膀胱合,而肾藏精。若劳动膀胱,伤损肾气,则表里俱虚,不收制于精,故失精也
足阳明之经,胃之脉也,其直者,从缺盆下于乳。因劳动则腠理虚,受风邪,入
于荣卫,荣卫痞涩,血气不流,热结于乳,故令乳肿。其结肿不散,则成痈。
此由新产后,儿未能饮之,及饮不泄;或断儿乳,捻其汁法不尽,皆令乳汁蓄结,与血
气相搏,即壮热、大渴引饮,牢强掣痛、手不得近是也。
初觉,便以手助捻其汁,并令傍人助嗍引之;不尔,成疮有脓。其热势盛,则成痈。
肿结皮薄以泽,是痈也。足阳明之经脉,有从缺盆下于乳者,劳伤血气,其脉虚,腠理
虚,寒客于经络,寒搏于血,则血涩不通,其气又归之,气积不散,故结聚成痈者。痈气不
宣,与血相搏,则生热;热盛乘于血,血化成脓;亦有因乳汁蓄结,与血相搏,蕴积生热,
结聚而成乳痈。
年四十已还,治之多愈;年五十以上,慎,不当治之,多死。不治,自当终年。又,怀
娠发乳痈肿及体结痈,此无害也。盖怀胎之痈,病起阳明,阳明胃之脉也,主肌肉,不伤脏
,故无害。
诊其右手关上脉,沉则为阴,虚者则病乳痈。乳痈久不瘥,因变为 。
《养生方》云∶热食汗出,露乳伤风,喜发乳肿,名吹乳,因喜作痈。
Chuncui (Taenia saginata, Beef Tapeworm) is one of the Nine Worms. Generally, the Nine Worms reside within the human abdomen, dwelling between the intestines and stomach. If the Qi of the Zang-Fu organs is substantial, the worms remain inactive and do not harm the person. If the Qi is deficient, the worms become active and multiply, potentially leading to death.
It is also stated that drinking white wine, roasting beef skewered with mulberry branches for consumption, eating raw chestnuts and raw fish, along with consuming milk and cheese, can induce the generation of Chuncui worms.
Yinchou (Foul odor from the genitalia) arises from cold in the Zi Zang (uterus). The cold combats with body fluids, causing accumulation. When Qi rushes upward to the yin region, it transforms into a foul odor.
Blood tends to coagulate when exposed to cold and flow freely when exposed to heat. If exertion damages the meridians, resulting in blood deficiency, heat may penetrate the Bao (uterus/bladder area), causing hematuria (blood in urine).
Exertion damaging the meridians generates heat. Heat affects the blood; when blood is heated, it flows and scatters, penetrating into the large intestine, thus causing hematochezia (blood in stool).
The Kidney and Bladder are exterior-interior paired organs, and the Kidney stores Essence. If excessive labor injures the Bladder and damages Kidney Qi, both the interior and exterior become deficient. Unable to control and retain Essence, loss of essence (seminal emission or spermatorrhea) occurs.
The Foot-Yangming Meridian is the meridian of the Stomach. Its straight branch descends from Quepen (ST12) to the breast. Exertion causes the Cou Li (pores and interstitial spaces) to become deficient, allowing Wind pathogen to enter the Ying and Wei (Nutritive and Defensive levels). This leads to stagnation and obstruction in Ying and Wei, preventing the smooth flow of Blood and Qi. Heat knots in the breast, causing swelling. If this knotting and swelling does not dissipate, an abscess (Yong) forms.
This condition often occurs shortly after childbirth, either because the infant has not suckled, or the milk has not been fully drained; or during weaning, improper milking techniques leave residual milk. All these factors cause milk to accumulate and knot, combusting with Blood and Qi. Symptoms include high fever, intense thirst with a desire to drink, firm and rigid pulling pain in the breast that cannot be touched by hand.
Upon initial sensation, one should manually assist in expressing the milk and have others help suckle and drain it. Otherwise, sores with pus will form. If the heat intensity is severe, an abscess will develop.
A swelling with thin, shiny skin indicates an abscess (Yong). The Foot-Yangming meridian has a branch descending from Quepen (ST12) to the breast. Exertion damages Blood and Qi, making the pulse deficient and the Cou Li vulnerable. Cold pathogens invade the meridians, combing with Blood, causing blood stasis and obstruction. Qi converges here, accumulating without dispersing, thus forming a knot that becomes an abscess. If the Qi of the abscess is not unblocked and combats with Blood, heat is generated. Severe heat affects the Blood, transforming it into pus. Alternatively, accumulated milk combats with Blood and Qi, generating heat through accumulation, which knots to form Breast Abscess (Ru Yong).
For those under forty years old, treatment usually results in recovery. For those over fifty, caution is advised; treatment is generally contraindicated as it often leads to death. Without treatment, the patient will eventually die of natural causes. Furthermore, breast abscesses occurring during pregnancy, or abscesses elsewhere on the body, are harmless. This is because abscesses during pregnancy originate in the Yangming Meridian, which belongs to the Stomach and governs the muscles, not injuring the Zang organs, hence no harm.
Palpating the Guan position on the right wrist: if the pulse is Deep (Chen), it indicates Yin syndrome; if Deficient (Xu), it indicates Breast Abscess (Ru Yong). If Breast Abscess persists and fails to heal, it may transform into a fistula (Lou).
The *Yangsheng Fang* (Prescriptions for Nourishing Life) states: After eating hot food and sweating, exposing the breasts to wind easily causes breast swelling, known as "Blown Milk" (Chui Ru), which frequently develops into an abscess.