隔蒜灸法,胜用刀针。书云∶不痛灸至痛,痛灸不痛时。凡治痈疽、疔肿、流注,及一
切无名肿毒,以大蒜切片安疮顶上,用陈艾炷安蒜上,香点灸之,其艾炷大小,看疮毒大小
为取裁。若痛疽之大者,以蒜捣饼,敷上灸之。不痛者灸至痛而止,痛者灸至不痛而止。若
内已有脓,即将乌金膏涂灸处,外用普救万全膏贴之,烂开大口,卸却瘀脓易收功也。若口
不收,或腐肉不脱,洗用防风汤,敷以海浮散,外贴万全膏,腐自去,新自生。计日可愈,
凡肿在头面以上者,不宜艾灸,恐引火气上攻,宜用火照法,神乎其神。法用火照散,
安纸燃中,以麻油浸点,每用火三枝,离毒半寸许照之。自外而内,俾气透入,皮色紫滞者
立转红活,若疮热平塌者,立转高耸。仍须不时照之,则毒瓦斯顿解,转阴为阳,以收全
功。且此法不止施于头上,即如发背等毒,亦宜用之。其头面患毒,亦有用艾灸而愈者,因
其毒纯阴,平塌顽麻,非艾灸无功。但艾炷宜小,如黍粒样式。二法乃疮疽门之宝筏,宜互
凡毒有胀痛紧急,脓已成熟,无暇待灼艾火照者,即宜用刀法开之。但刀法,须在的确
脓熟之时,又须要深浅合度。以左手按肿处,先看脓之成否。如按下软而不痛,肿随手起者
脓已成也;按下硬而痛,或凹陷不起者,脓未成也。已成脓者可刺,未成脓者,宜姑待之
若脾气虚弱者,宜托补之。又须看其脓之深浅,以手指按下,软肉深者,其脓必深;软肉
浅者,其脓亦浅。若脓浅刀深,恐伤好肉。脓深刀浅,恐脓不出而肉败,最宜斟酌。更有伏
骨之疽,脓腐于肉,皮色不变者,宜以刀刺入深处,放出瘀脓,或灸开大口,放出之,不得
姑息因循,俾毒瓦斯越烂越深也。其小刀,须利刃,勿令病者见,恐惊彼耳。砭法,施于头面
及耳前后,因其漫肿无头,急用此法,以泻其毒。取上细瓷锋,用竹箸,夹住紧扎,放锋出
半分,对患处,另以箸敲之,遍刺肿处,俾紫血多出为善。刺毕,以精肉切片贴,再用鸡子
清,调乳香末润之。此地不宜成脓,头肉中空,耳前后更多曲折,提脓拔毒,恒多未便,故
隔蒜灸法,其疗效胜过使用刀针。古籍记载说:对于不痛的疮疡,要灸到产生痛感为止;对于疼痛的疮疡,要灸到痛感消失为止。凡是治疗痈疽、疔肿、流注,以及一切无名肿毒,将大蒜切成薄片放置在疮口顶部,把陈年的艾炷放在蒜片上,点燃施灸。艾炷的大小,根据疮毒的大小来裁量决定。如果是较大的痛疽,将大蒜捣成饼状敷在患处进行施灸。不痛的疮疡,灸至感到疼痛时停止;疼痛的疮疡,灸至痛感消失时停止。如果内部已经化脓,立即涂抹乌金膏于施灸处,外部贴上普救万全膏,使疮口溃烂扩大,排出瘀积的脓液,这样容易收功愈合。如果疮口难以收敛,或者腐肉无法脱落,清洗后使用防风汤,外敷海浮散,再贴上万全膏,腐肉自然去除,新肉自然生长。按天数计算即可痊愈。
凡是肿胀发生在头面以上的,不宜使用艾灸,恐怕会引动火气向上攻冲,适宜使用火照法,效果神奇。此法使用火照散,包裹在纸中点燃,用麻油浸湿点燃,每次使用三枝,距离毒肿约半寸处照射。从外向内照射,使药气透入,皮肤颜色紫暗滞涩的,立刻转为红润鲜活;如果疮热平塌不起的,立刻转为高耸。仍需不时进行照射,则毒瓦斯顿时解除,由阴证转为阳证,从而取得完全疗效。而且此法不仅适用于头部,即使是发背等毒肿,也适宜使用。那些头面部患毒的,也有使用艾灸而痊愈的,因为那是纯阴之毒,表现为平塌、顽固麻木,非艾灸无效。但艾炷宜小,如黍粒大小。这两种方法是治疗疮疽门的宝贵方法,应当互相参考。
凡是有毒肿胀痛紧急,脓液已经成熟,没有闲暇等待灼艾或火照治疗的,就应当用刀法切开排脓。但是刀法,必须在确知脓液成熟之时,并且深浅必须合乎度。用左手按压肿胀处,先观察脓液是否形成。如果按下柔软且不痛,肿胀随手弹起的,说明脓已成;如果按下坚硬且痛,或者凹陷不起的,说明脓未成。脓已形成的可以刺破,脓未形成的,宜暂时等待。如果脾气虚弱者,宜采用托补法。又须观察脓液的深浅,用手指按压,皮下软肉深的,其脓必深;皮下软肉浅的,其脓亦浅。如果脓浅而刀切得太深,恐怕损伤好肉。如果脓深而刀切得太浅,恐怕脓出不来而导致肌肉败坏,最需谨慎斟酌。更有伏骨疽,脓液腐败在肌肉中,皮色不变的,宜用刀刺入深处,放出瘀积的脓液,或者灸开大口放出脓液,不可姑息拖延,致使毒瓦斯越烂越深。所用的小刀,必须是利刃,不要让病人看见,以免惊吓他们。砭石法,施用于头面及耳前后,因为这些部位漫肿无头,急需用此法以泻除毒邪。选取上细瓷锋(尖锐部分),用竹筷子夹住紧扎,露出锋尖半分,对准患处,另用筷子敲击瓷锋,遍刺肿胀处,使紫血多出为好。刺毕,用精肉切片贴敷,再用鸡蛋清调和乳香末润湿覆盖。这些地方不宜化脓,头部肌肉中空,耳前后更多曲折,提脓拔毒往往多有不便,所以……
The method of moxibustion with garlic slices is superior to the use of knives and needles. Ancient texts state: "For non-painful lesions, moxa until pain arises; for painful lesions, moxa until pain ceases." In treating carbuncles (Yong Ju), ding swellings (Ding Zhong), flowing abscesses (Liu Zhu), and all kinds of unnamed swelling-toxins, place a slice of garlic on top of the lesion, position a mugwort cone (Ai Zhu) made from aged mugwort on the garlic slice, ignite it, and apply moxibustion. The size of the mugwort cone should be determined according to the size of the lesion/toxin. For larger carbuncles, mash garlic into a cake, apply it to the area, and perform moxibustion. For non-painful lesions, stop when pain is felt; for painful lesions, stop when pain disappears. If pus has already formed internally, immediately apply Wujin Ointment (Wu Jin Gao) to the treated area and cover externally with Puji Wanquan Plaster (Puji Wanquan Gao). This causes the ulcer to open widely, allowing the discharge of stagnant pus, which facilitates healing. If the wound fails to close or necrotic tissue does not detach, wash with Fangfeng Decoction (Fangfeng Tang), apply Haifu Powder (Haifu San), and cover with Wanquan Plaster; the necrotic tissue will naturally fall off, and new flesh will regenerate. Healing can be expected within a calculated number of days.
For swellings located above the head and face, moxibustion is contraindicated as it may draw fire qi upward to attack. Instead, the Fire Illumination Method (Huo Zhao Fa) should be used, which yields miraculous results. This method uses Huozhao Powder (Huozhao San), wrapped in paper and ignited, dipped in sesame oil for lighting. Three sticks are used per treatment, held approximately half an cun away from the toxin to illuminate the area. Illuminating from outside inward allows the medicinal qi to penetrate. Purple and stagnant skin color will immediately turn red and vibrant; flat and collapsed heat-sores will immediately become elevated. Continuous illumination is necessary so that the toxin qi is instantly resolved, transforming yin conditions into yang conditions to achieve complete recovery. This method is not limited to the head; it is also suitable for toxins such as back carbuncles (Fa Bei). However, some head and facial toxins can also be cured by moxibustion if they are purely yin toxins presenting as flat, stubborn, and numb lesions, where moxibustion is effective. In such cases, the mugwort cone should be small, the size of a millet grain. These two methods are precious techniques for treating carbuncles and ulcers and should be used in conjunction.
When there is urgent swelling and pain from a toxin, and the pus is mature, leaving no time for waiting for moxibustion or fire illumination, the knife method should be used to incise. However, the knife method must only be employed when the maturity of the pus is certain, and the depth must be appropriate. Press the swollen area with the left hand to first assess whether pus has formed. If pressing feels soft without pain and the swelling rebounds immediately upon release, the pus has formed; if pressing feels hard and painful, or remains depressed, the pus has not yet formed. Formed pus can be punctured; unformed pus should be waited for. If the Spleen Qi is deficient, supportive tonification methods should be used. One must also observe the depth of the pus: pressing with fingers, deep subcutaneous soft tissue indicates deep pus; shallow subcutaneous soft tissue indicates shallow pus. If the pus is shallow but the incision is too deep, healthy flesh may be damaged. If the pus is deep but the incision is too shallow, the pus may not drain, leading to tissue decay; careful deliberation is essential. Furthermore, in cases of bone-hidden carbuncles (Fu Gu Ju) where pus corrupts the muscle but the skin color remains unchanged, a knife should be inserted deeply to drain the stagnant pus, or a large opening created via moxibustion to drain it. Indulgence or delay must be avoided to prevent the toxin qi from rotting deeper. The small knife used must be sharp, and the patient should not see it to avoid fright. The Bian stone method (Bian Fa) is applied to the head, face, and around the ears because these areas present with diffuse swelling without a head; this method is urgently needed to drain the toxin. Select a fine porcelain shard with a sharp edge, clamp it tightly with bamboo chopsticks, exposing half a fen of the edge. Aim at the affected area and strike the chopsticks with another pair to pierce the swollen area repeatedly, ensuring the discharge of dark blood is abundant. After piercing, cover with a slice of lean meat, then moisten with Frankincense Powder (Ruxiang Mo) mixed with egg white. Pus formation is unsuitable in these areas; the head muscles are hollow, and the areas around the ears are complex and folded, making the extraction of pus and draining of toxins often inconvenient, therefore...