【方歌】凤眉疽生两眉棱,形长如瓜漫肿红,膀胱小肠肝胆热,
烦闷呕逆不食凶。
【注】此疽亦名眉发,生于眉棱,无论左右,俱属足太阳膀胱
、手太阳小肠、足厥阴肝、足少阳胆四经积热所致。形
长如瓜,疼痛引脑,二目合肿,坚硬色赤,按之有根。
六日内刺之得脓则吉,无脓则险。甚则十四日不溃,烦
闷、呕逆、不食者凶。初宜服仙方活命饮,次服托里透
脓汤。速溃为妙,迟则恐攻眼损睛矣。其余内外治法,
按痈疽溃疡门。
【方剂】仙方活命饮(见肿疡门)
托里透脓汤(见头部浸脑疽)
【方歌】眉心疽生在印堂,硬肿是疽浮肿疡,督经风热气凝滞,
根坚木痛当疔防。
【注】此证生于两眉中间,疽名曰印堂疽。毒初起色暗根平,
肿硬疼痛,至二十一日,腐溃出稠脓者顺,无脓黑陷者
逆。疡名曰风面毒。疡毒初起,色赤浮肿,焮痛易治,
七日溃脓。若色黑木痛,麻痒太过,根硬如铁钉之状,
寒热并作,即眉心疔也,俱由督脉经风热壅结气滞所成
。疽疡二证,俱按百会疽,眉心疔治法同疔。
【方歌】龙泉疽起在人中,麻痒坚疼赤豆形,上焦风热攻督脉,
憎寒壮热治同疔。
【注】此证生于水沟穴,即人中是也,属督脉经。形如赤豆,
势小根深,坚硬木痛,色紫顶焦,寒热交作,不时麻痒
,由上焦风热攻于督脉而成。宜按疔门急速治之。迟则
毒气内攻,令人烦闷,恶心干呕,神乱昏愦,腮项俱肿
,多致不救。
【方歌】凤眉疽生长在两眉棱骨处,形状像长瓜一样漫肿发红,这是膀胱、小肠、肝、胆四经积热所致,若出现烦闷、呕吐逆气、不能进食则预后凶险。
【注】这种疽也叫眉发疽,生于眉棱骨处,无论左右,都属于足太阳膀胱经、手太阳小肠经、足厥阴肝经、足少阳胆经这四条经络积热所导致。形状像长瓜,疼痛牵引头部,双眼肿胀,质地坚硬且颜色红赤,按压时感觉有根基。六天内刺破排脓则吉利,若无脓排出则危险。如果十四天还不溃破,且伴有烦闷、呕吐逆气、不能进食的症状,则为凶兆。初期适宜服用仙方活命饮,随后服用托里透脓汤。尽快溃破为佳,拖延则恐怕会侵蚀眼睛损伤视力。其余内外治疗方法,参照痈疽溃疡门。
【方歌】眉心疽生长在印堂穴,硬肿的是疽,浮肿的是疡,督脉受风热气凝滞,根部坚硬麻木疼痛应当按疔疮预防。
【注】此证生长于两眉中间,疽名为印堂疽。毒邪初起时颜色暗淡、根部平坦,肿胀坚硬疼痛,到二十一天时,腐烂溃破流出稠厚脓液为顺证,无脓且黑陷为逆证。疡名为风面毒。疡毒初起时,颜色红赤、浮肿,红肿热痛容易治疗,七天即可溃破出脓。如果颜色发黑、麻木疼痛,麻痒过度,根部坚硬如铁钉状,寒热交替发作,这就是眉心疔,均由督脉经风热壅结、气机阻滞所形成。疽和疡两种证候,均参照百会疽处理,眉心疔的治疗方法同疔疮。
【方歌】龙泉疽起于人中穴,感到麻痒、坚硬疼痛,形状像赤豆,上焦风热侵袭督脉,恶寒壮热的治疗方法同疔疮。
【注】此证生长于水沟穴,即人中穴,属于督脉经。形状像赤豆,病势小而根深,坚硬麻木疼痛,颜色紫暗、顶部焦枯,寒热交替发作,不时感到麻痒,由上焦风热侵袭督脉而成。适宜参照疔疮门迅速治疗。拖延则毒气内攻,使人烦闷、恶心干呕,神志混乱昏沉,腮部和颈部都肿胀,多导致无法救治。
[Prescription Verse] Fengmei Ju (Phoenix Eyebrow Carbuncle) arises at the supraorbital ridges of both eyebrows, presenting as a long, melon-shaped swelling with diffuse redness. It is caused by accumulated heat in the Bladder, Small Intestine, Liver, and Gallbladder meridians. If accompanied by restlessness, vomiting, and anorexia, the prognosis is ominous.
[Annotation] This carbuncle is also known as Meifa Ju. It occurs on the supraorbital ridge, regardless of whether it is on the left or right side, and is attributed to accumulated heat in four meridians: the Foot-Taiyang Bladder Meridian, Hand-Taiyang Small Intestine Meridian, Foot-Jueyin Liver Meridian, and Foot-Shaoyang Gallbladder Meridian. The lesion is elongated like a melon, painful with radiation to the head, causing bilateral eye swelling. It is hard, red, and feels rooted upon palpation. Puncturing within six days to drain pus indicates a favorable outcome; absence of pus suggests danger. If it fails to suppurate after fourteen days, especially when accompanied by restlessness, vomiting, and anorexia, the prognosis is poor. Initially, Xianfang Huoming Yin (Immortal Life Elixir) should be administered, followed by Tuoli Tou Nong Tang (Supporting Interior and Penetrating Pus Decoction). Rapid suppuration is ideal; delay may lead to erosion of the eyes and damage to vision. For other internal and external treatments, refer to the Chapter on Ulcerative Sores and Carbuncles.
[Prescriptions] Xianfang Huoming Yin (Immortal Life Elixir) (see Chapter on Swollen Sores)
Tuoli Tou Nong Tang (Supporting Interior and Penetrating Pus Decoction) (see Head Submerged Brain Carbuncle)
[Prescription Verse] Xinjian Ju (Heart Center Carbuncle) arises at the Yintang point. Hard swelling indicates a carbuncle (Ju), while puffy swelling indicates a sore (Yang). Wind-heat stagnation in the Du Meridian causes the root to be hard and the pain to be numb; it should be guarded against as a Ding (Ding Carbuncle).
[Annotation] This condition arises between the two eyebrows, and the carbuncle is named Yintang Ju. At the onset, the toxin presents with dark color and flat root, accompanied by hard, painful swelling. By the twenty-first day, if it ulcerates and discharges thick pus, it is a favorable course; absence of pus with black sinking is unfavorable. The sore is named Fengmian Du (Wind-Face Toxin). At the onset, the toxin is red, puffy, hot, and painful, and is easy to treat, typically ulcerating within seven days. However, if the color is black, numbness and pain prevail, excessive itching occurs, the root is hard like an iron nail, and chills and fever alternate, it is identified as Xinjian Ding (Heart Center Ding). All these are caused by wind-heat congestion and Qi stagnation in the Du Meridian. Both carbuncle and sore conditions should be managed according to the treatment for Baihui Ju. The treatment for Xinjian Ding is the same as that for Ding carbuncles.
[Prescription Verse] Longquan Ju (Dragon Spring Carbuncle) arises at the Renzhong point. Symptoms include numbness, itching, hardness, and pain, with a shape resembling a red bean. Upper Jiao wind-heat attacks the Du Meridian; chills and high fever are treated similarly to Ding carbuncles.
[Annotation] This condition arises at the Shuigou point, i.e., Renzhong (GV26), belonging to the Du Meridian. It resembles a red bean, with a small surface manifestation but deep roots. It is hard, numb, and painful, with purple discoloration and a scorched apex. Chills and fever alternate, and there is intermittent numbness and itching. It is caused by upper Jiao wind-heat attacking the Du Meridian. It should be treated urgently according to the Ding chapter. Delay allows the toxin to attack internally, causing restlessness, nausea, dry heaving, mental confusion, and stupor, along with swelling of the cheeks and neck, often leading to death.