《内经》针灸刺腋肿,有二法∶
其一取胆。经云∶胆足少阳之脉所生病者,缺盆中肿痛、腋下肿是也。
其二取心。经云∶心主手厥阴脉是动,则病手心热腋肿,皆视虚实寒热陷下,施补泻疾留灸也。
〔丹〕腋气神效方
密陀僧(一两) 白矾(七钱) 砂(少许) 麝香(少)
上为细末,先用皂角煎汤洗,后敷上。
又方
铜青 密陀僧 辰砂 白矾 砂 白附子
亦如前法搽之。
〔《本》〕治腋气。用夜明砂,不拘多少为末,用豆豉汁调涂,立效。
又方 以铜青好者,不以多少,米醋调成膏,先洗净腋下,用轻粉掺过,即使上件涂之,立效。
〔《经》〕治狐臭。用生姜涂腋下,绝根本。
〔《三因》〕治狐臭。大蜘蛛一个,以黄泥入少赤石脂,捣罗极细,入盐少许,杵为一窠,包藏蜘蛛在内,
以火烧令通红,放冷剖开,将蜘蛛研细,临卧入轻粉一字,用酽醋调成膏,敷腋下。明日登厕,必泻下墨汁,
臭秽不可闻,于远僻处倾埋之,免致染人。
〔世〕治腋气。先用刀削去腋毛净,用白定粉,水调搽敷患处,至过六七日夜后,次日早看腋下有一黑点,
如针孔大,用笔点定,即用艾炷灸七枚,灸过攻心中痛,当用后药下之。
青木香 槟榔 丁香 檀香 麝香 大黄
上煎服,以下为度。
《黄帝内经》中关于针灸治疗腋部肿胀的方法,有两种:
第一种取胆经。经文说:足少阳胆经所发生的疾病中,包括缺盆部位肿痛、腋下肿胀等。
第二种取心经(具体为手厥阴心包经)。经文说:手厥阴心包经发生变动时,会导致手心发热、腋下肿胀,均应根据虚实寒热及脉象陷下等情况,施行补法、泻法、疾刺或留针艾灸。
〔丹〕治疗腋臭的神效方
密陀僧(一两) 白矾(七钱) 砂(少许) 麝香(少量)
以上药物研成细末,先用皂角煎汤清洗患处,然后敷上药粉。
又一方
铜青 密陀僧 辰砂 白矾 砂 白附子
也按照上述方法涂抹。
〔《本草》〕治疗腋气(腋臭)。使用夜明砂,数量不限,研成粉末,用豆豉汁调和后涂抹,立即见效。
又一方 选用优质的铜青,数量不限,用米醋调成膏状,先洗净腋下,撒上轻粉,然后再涂上上述药膏,立即见效。
〔《三因方》〕治疗狐臭。取大蜘蛛一只,用黄泥加入少量赤石脂,捣碎筛选至极细,加入少许盐,杵成一个巢穴形状,将蜘蛛包裹在内,用火烧烤至通红,放冷后剖开,将蜘蛛研细,临睡前加入一字量的轻粉,用浓醋调成膏状,敷于腋下。第二天上厕所时,必定会排出墨汁样的粪便,气味恶臭难闻,应在偏僻处倾倒掩埋,以免传染他人。
〔世传方〕治疗腋气。先用刀刮净腋毛,用白定粉(铅粉),用水调和涂抹患处,经过六七天后,第二天早上查看腋下会出现一个黑点,如针孔大小,用笔标记确定位置,随即用艾炷灸七壮,灸过后若感到心胸攻痛,应当服用以下药物导泻。
青木香 槟榔 丁香 檀香 麝香 大黄
以上药物煎服,以下便为度。
According to the *Huangdi Neijing* (Yellow Emperor's Inner Canon), there are two methods for acupuncture and moxibustion in treating axillary swelling:
The first involves the Gallbladder Meridian. The classic states: "The diseases generated by the Foot-Shaoyang Gallbladder Meridian include swelling and pain in the supraclavicular fossa and swelling in the axilla."
The second involves the Heart Meridian (specifically, the Pericardium Meridian of Hand-Jueyin). The classic states: "When the Pericardium Meridian of Hand-Jueyin is disturbed, it causes heat in the palm and axillary swelling. Treatment should be based on observing deficiency, excess, cold, heat, and sinking pulse conditions, applying tonification, sedation, rapid insertion, or retained moxibustion accordingly."
[Dan] Divine Efficacy Prescription for Axillary Odor
Lithargyrum (1 liang) Alum (7 qian) Sand (a small amount) Musk (a small amount)
Grind the above into a fine powder. First wash with a decoction of Sophora flavescens root bark (Zaojiao), then apply the powder.
Another Prescription
Chrysocolla Lithargyrum Cinnabar Alum Sand Bai Fuzi (Radix Aconiti Kusnezoffii Preparata)
Apply as described above.
[Bencao] Treatment for Axillary Odor. Use Ye Ming Sha (Stool of Oriental Hornet), quantity unrestricted, ground into powder, mixed with Fermented Soybean Juice (Douchi Zhi) for topical application; effect is immediate.
Another Prescription Select high-quality Chrysocolla, quantity unrestricted, mix with Rice Vinegar to form a paste. First clean the axilla thoroughly, sprinkle Calomel (Qing Fen) over the area, then apply the aforementioned paste; effect is immediate.
[Jing] Treatment for Fox Odor (Axillary Odor). Apply fresh Ginger to the axilla to eradicate the root cause.
[Sanyin Fang] Treatment for Fox Odor. Take one large spider. Mix yellow clay with a small amount of Red Halloysite (Chishi Zhi), pound and sieve until extremely fine. Add a little salt, knead into a nest shape, enclose the spider inside. Fire-roast until red-hot. Allow to cool, open, and grind the spider into a fine powder. Just before bedtime, add one zi (approx. 0.5-1g) of Calomel, mix with strong vinegar to form a paste, and apply to the axilla. The next day during defecation, black tarry stool will inevitably be discharged, which will be foul-smelling. Dispose of it in a remote place and bury it to prevent transmission to others.
[Shichuan Fang] Treatment for Axillary Odor. First shave off all axillary hair cleanly. Use Bai Ding Fen (Lead Carbonate/White Lead), mix with water, and apply to the affected area. After six or seven days, check the axilla the next morning for a black spot, size of a needle hole. Mark this point with a pen. Immediately apply seven moxa cones (Ai Zhu) to this spot. If chest pain ensues after moxibustion, administer the following prescription to induce purgation:
Qing Mu Xiang (Radix Aucklandiae) Areca Seed (Bing Lang) Clove (Ding Xiang) Sandalwood (Tan Xiang) Musk (She Xiang) Rhubarb (Da Huang)
Decoct and take orally. Stop when purgation occurs.