疔。火证也。形小根深。发无定处。如火焰疔多生唇口及手掌指节间。初生一点红黄小
。
痛兼麻痒。此心经毒火也。紫焰疔多生筋骨间。初生紫 。次日破流血水。此肝经毒火也。
黄鼓疔多生颧腮眠胞。黄 麻痒。此脾经毒火也白刃疔多生鼻孔两手。白 顶硬。根突痒痛
。易腐易陷。重则腮损。此肺经毒火也。黑 疔多生耳窍牙缝。胸腹腰间。黑斑紫 。顽硬
如钉。痛彻骨髓。重则手足紫。软陷孔深。此肾经毒火也。又有红丝疔发于手掌。及骨节间
。初起小疮。渐发红丝。上攻手膊。急用针于红丝尽处砭断出血。寻至初起疮上挑破。用蟾
酥条。又有暗疔腋下先坚肿无头次肿阴囊睾丸。 热疼痛。又有内疔先发寒热。腹痛数日间
。忽然肿起一块。暗疔内疔不用挑法。用蟾酥丸三丸。葱白三寸裹药。黄酒送下。盖卧出汗
。少时无汗。系毒热滞结。仍用汗下法毒热随解。又有羊毛疔。身发寒热。前心后心有红点
如疹形。先将紫黑斑点用衣针挑出如羊毛状。前后共挑数处。实时汗出而愈。
(有因竹木刺戳伤。或瓷铁锋擦碎。溃而痛甚。时流秽水。肉色紫黯身发寒热。此本阴
虚所
致治以酸甘敛阴补虚。或咸苦制火泄热。宜参考溃疡门治法。若误作疔治。蔓延不效。反为
大害。)
Ding (Furuncle/Carbuncle with deep root). It is a fire-toxin syndrome. Its characteristics are a small surface shape but a deep root, and it can arise anywhere. For example, Huoyan Ding (Flame Ding) often occurs on the lips, mouth, and interphalangeal joints of the hands. Initially, it presents as a small red-yellow papule, accompanied by pain, numbness, and itching; this is due to toxic fire in the Heart Meridian (Heart Channel). Ziyan Ding (Purple Flame Ding) often arises between muscles and bones. Initially purple, it breaks down the next day bleeding serosanguinous fluid; this is due to toxic fire in the Liver Meridian (Liver Channel). Huanggu Ding (Yellow Drum Ding) often occurs on the zygomatic cheeks and eyelids, presenting with yellow discoloration, numbness, and itching; this is due to toxic fire in the Spleen Meridian (Spleen Channel). Bairun Ding (White Blade Ding) often occurs around the nostrils and both hands. The top is white and hard, the root is protruding, with itching and pain; it easily suppurates and sinks inward. In severe cases, it damages the cheeks; this is due to toxic fire in the Lung Meridian (Lung Channel). Hei Ding (Black Ding) often occurs in the ear canals, dental gaps, chest, abdomen, and waist. It presents with black spots or purple macules, stubbornly hard like a nail, with pain penetrating to the bone marrow. In severe cases, the extremities turn purple, the lesion becomes soft and sunken with a deep pore; this is due to toxic fire in the Kidney Meridian (Kidney Channel). There is also Hongsi Ding (Red Thread Ding), which develops on the palms and between joints. It begins as a small sore, gradually spreading red threads upward to the forearm. Urgently, use a needle to pricking and bleed at the end of the red thread, then return to the initial sore to puncture it, and apply Chansu Strip (Toad Venom Strip). There is also An Ding (Hidden Ding), where hardness and swelling first appear in the axilla without a head, subsequently swelling to the scrotum and testes, with local heat and pain. There is also Nei Ding (Internal Ding), which initially presents with chills and fever, abdominal pain for several days, followed by a sudden lump swelling. For An Ding and Nei Ding, the puncturing method is not used. Instead, administer three pills of Chansu Wan (Toad Venom Pill), wrapped in a 3-cun-long Scallion White (Congbai, Allii Fistulosae Bulbus), taken with yellow wine. Cover the patient to induce sweating. If no sweat occurs shortly after, it indicates stagnation and accumulation of toxic heat; still employ diaphoresis and purgation methods to resolve the toxic heat. There is also Yangmao Ding (Wool Ding), where the body presents with chills and fever, and red spots resembling rashes appear on the anterior and posterior chest. First, prick the purple-black spots with a clothing needle until wool-like material emerges, pricking several locations on the front and back. Sweating immediately ensues, leading to recovery.
(Some cases result from puncture wounds by bamboo or wood splinters, or abrasions by sharp porcelain or iron. After ulceration, pain is severe, with frequent discharge of foul fluid, dark purple skin color, and systemic chills and fever. This is fundamentally caused by Yin Deficiency (Yin Xu). Treatment should employ sour and sweet flavors to astringe Yin and tonify deficiency, or salty and bitter flavors to subdue fire and drain heat. Refer to the treatment methods in the Ulcer Section. If mistakenly treated as Ding, the condition will spread and be ineffective, causing great harm.)