肛边生鼠乳,出在外者,时时出脓血者是也。
夫内热外虚,为风湿所乘,则生疮。所以然者,肺主气,候于皮毛;脾主肌肉。气虚则
肤腠开,为风湿所乘;内热则脾气温,脾气温则肌肉生热也。湿热相搏,故头面身体皆生疮
。其疮初如 ,须臾生汁。热盛者,则变为脓。随瘥随发。
诸久疮者,内热外虚,为风湿所乘,则头面身体生疮。其脏内热实气盛,热结肌肉,其
热留滞不歇,故疮经久不瘥。
诸疮生身体,皆是体虚受风热,风热与血气相搏,故发疮。若热风热挟湿毒之气者,则疮
痒痛 肿,而疮多汁,身体壮热,谓之恶疮也。其汤熨针石,别有正方,补养宣导,今附于
《养生方》云∶铜器盖食,汗入食,发恶疮、内疽也。
又云∶醉而交接,或致恶疮。
又云∶饮酒热未解,以冷水洗面,令人面发恶疮;轻者 。
又云∶五月五日,取枣叶三升,井华水捣取汁,浴,永不生恶疮。
又云∶井华水和粉洗足,不病恶疮。
又云∶五月一日、八月二日、九月九日、十月七日、十一月四日、十二月十三日,沐浴
,除恶疮。
《养生方·导引法》云∶龙行气,低头下视,不息十二通。愈风疥、恶疮,热不能入咽
A protruding nodule resembling a mouse's breast growing beside the anus, which frequently discharges pus and blood, is identified as *Muzhi* (Oyster Hemorrhoid).
Swelling beside the anus with the formation of sores accompanied by bleeding is identified as *Maizhi* (Vascular Hemorrhoid).
Sores appearing beside the anus, characterized by initial itching followed by pain and bleeding, are also identified as *Maizhi* (Vascular Hemorrhoid).
Hard, painful nodules beside the anus, accompanied by chills, fever, and bleeding, are identified as *Changzhi* (Intestinal Hemorrhoid).
Bright red blood flowing out during defecation is identified as *Xuezhi* (Blood Hemorrhoid).
When internal heat coexists with external deficiency, and wind-dampness pathogenic factors invade, sores will arise. The reason for this is that the Lung governs Qi and corresponds to the skin and hair; the Spleen governs muscles. When Qi is deficient, the pores (*Couli*) open, allowing wind-dampness to invade; internal heat causes the Spleen Qi to become excessive, and excessive Spleen Qi generates heat in the muscles. The interaction between damp-heat results in sores appearing on the head, face, and body. Initially, these sores resemble millet grains, but fluid soon accumulates. If heat is severe, it transforms into pus. The condition recurs after apparent recovery.
Various chronic sores result from internal heat and external deficiency, where wind-dampness invades, causing sores on the head, face, and body. If the internal organs possess excess heat and vigorous Qi, heat binds within the muscles, lingering without cessation, thus causing sores that fail to heal for a long time.
Sores arising on the body are all due to constitutional weakness combined with wind-heat invasion. Wind-heat clashes with Blood and Qi, triggering the sores. If wind-heat carries damp-toxicity, the sores become itchy, painful, swollen, and exudative, accompanied by high fever; this is termed *Echuang* (Malignant Ulcer). Regarding treatments such as herbal decoctions, moxibustion/ironing, acupuncture, and stone therapy, there are separate specific formulas. Methods of nourishment and Daoyin (guiding and pulling exercises) are appended here from the *Yangsheng Fang* (Prescriptions for Nourishing Life): It states that covering food with copper vessels allows sweat to enter the food, inducing malignant ulcers and internal abscesses. It further states that sexual intercourse while intoxicated may cause malignant ulcers. It also states that washing the face with cold water while the heat from alcohol has not yet dissipated causes malignant ulcers on the face; mild cases present with local swelling. It states that on the fifth day of the fifth lunar month, taking three sheng of jujube leaves, crushing them with well water drawn at dawn (*Jinghua Shui*), and bathing in the juice prevents malignant ulcers forever. It states that washing feet with well water mixed with powder prevents malignant ulcers. It states that bathing on the first day of the fifth month, second day of the eighth month, ninth day of the ninth month, seventh day of the tenth month, fourth day of the eleventh month, and thirteenth day of the twelfth month eliminates malignant ulcers. The *Daoyin Fa* (Guiding and Pulling Methods) in the *Yangsheng Fang* states: Practice "Dragon Moving Qi," lowering the head and looking down, holding the breath twelve times. This cures wind-scabies and malignant ulcers, preventing heat from entering the throat.