处士蒯亮言其所知额角患瘤医为剖之得一黑石棋子巨斧击之终不伤缺复有足胫生瘤者因
至亲家为 犬所 正啮其瘤其中得针百余枚皆可用疾亦愈(稽神录)
柳休祖者善卜筮其妻病鼠瘤积年不瘥垂命休祖遂卜得颐之复按卦合得姓石人治之当获鼠
而愈
也既而乡里有奴姓石能治此病遂灸头上三处觉佳俄有一鼠迳前而伏呼犬咋之视鼠头有三灸处
妻遂瘥(拾遗记)
浮梁李生得背痒疾隐起如覆盂无所痛苦唯奇痒不可忍饮食日以削无能识其为
何病医者秦德立见之曰此虱瘤也吾能治之取药敷其上又涂一绵带绕其围经夕瘤破出虱斗许皆
蠢蠕能行动即日体轻但一小窍如箸端不合时时虱涌出不胜计竟死予记唐小说载贾魏公镇滑
台日州民病北魏公云世间无药可疗唯千年木梳烧灰及黄龙浴水乃能治尔正与此同
先痛而后肿气伤形也先肿而后痛形伤气也风胜则动热胜则肿燥胜则干寒胜则浮湿胜则濡
有男子六十一岁脚肿生疮忽食猪肉不安医以药利之稍愈时出外中风汗出后头面暴肿起紫
黑色多睡耳叶上有浮泡小疮黄汁出乃与小续命汤加羌活一倍煎服之遂愈(本草衍义)
处士蒯亮讲述他所知道的两个案例:有人额角长瘤,医生将其剖开,取出一枚黑石棋子,用巨斧敲击也无法损伤它;另有一人小腿生瘤,因至亲家的狗正咬那个瘤,从中取出百余枚针,这些针都还能使用,病人的病也痊愈了(出自《稽神录》)。
柳休祖擅长占卜,他的妻子患鼠瘤多年不愈,生命垂危。柳休祖为此占卜,得到“颐”卦,又按卦象推算,得知应由姓石的人治疗,应当能抓到老鼠而痊愈。不久,乡里有个姓石的奴仆能治这种病,于是灸了患者头部三处,感觉好转。忽然有一只老鼠径直跑到面前趴下,让人叫狗去咬它,查看老鼠头发现有三处灸痕,妻子的病随即痊愈(出自《拾遗记》)。
浮梁有一位李生患上背部瘙痒的病症,皮肤隐起如倒扣的盂状,没有痛苦,只是奇痒难忍,饮食日渐减少,无人能识别这是什么病。医生秦德立看了后说:“这是虱瘤,我能治好。”他取药敷在患处,又涂了一层绵带绕其周围。过了一夜,瘤破溃,流出约一斗多的虱子,都能蠕动活动。当天身体感到轻松,但留下一个像筷子头大小的孔洞无法愈合,虱子不断涌出,数不胜数,最终导致死亡。我记得唐代小说记载,贾魏公镇守滑台时,州民患病,贾魏公说世间无药可疗,只有将千年木梳烧成灰以及黄龙浴水才能治愈。这与本例情况相同。
先疼痛而后肿胀,是气伤及形;先肿胀而后疼痛,是形伤及气。风邪胜则肢体动摇,热邪胜则红肿,燥邪胜则干枯,寒邪胜则浮肿,湿邪胜则濡软。
《释名》说:肿,即钟聚之意,是寒热之气聚集所致(出自《太平御览》)。
治疗男子阴囊肿大如升,伴有核痛,常人难以治愈者,捣碎马鞭草外涂。
将破旧的草鞋和乱发烧成灰,用醋调和后外敷,治疗热毒引起的游走性肿胀(出自《本草》)。
用枳实半斤,破碎后炒熟,用旧布包裹熨烫患处,冷了便更换(同上)。
有一名六十一岁的男子,脚部肿胀生疮,忽然吃了猪肉后身体不适,医生用药让他腹泻,稍有好转。后来外出中风,出汗后头面部突然肿胀,呈现紫黑色,嗜睡,耳叶上有浮泡和小疮,流出黄色汁液。医生给予小续命汤,并将羌活用量加倍煎服,随后痊愈(出自《本草衍义》)。
Mr. Kuai Liang recounted two cases he knew of: One person had a tumor on the corner of his forehead; when the physician incised it, a black stone chess piece was extracted, which could not be damaged even by striking it with a giant axe. Another person had a tumor on the lower leg; because a relative's dog was biting the tumor, over a hundred needles were extracted from within, all of which were still usable, and the patient recovered (from *Ji Shen Lu*).
Liu Xizu was skilled in divination. His wife suffered from "rat tumor" (a type of subcutaneous nodule or cyst) for many years without improvement, and her life was in danger. Liu performed a divination and obtained the hexagram *Yi* (The Jaw). According to the hexagram's interpretation, he deduced that a person surnamed Shi should treat her, and she would recover after a rat was caught. Soon after, a servant in the village named Shi claimed to be able to cure this disease. Three acupuncture points were moxibusted on the patient's head, and she felt better. Suddenly, a rat ran directly in front of them and lay down. They called a dog to bite it. Upon inspection, the rat's head showed three marks from the moxibustion. The wife then recovered (from *Shi Yi Ji*).
A scholar named Li from Fuliang suffered from an itching condition on his back, where the skin rose like an inverted bowl. There was no pain, only unbearable itching. His diet decreased daily, and no one could identify the disease. Physician Qin Deli examined him and said, "This is 'louse tumor' (a tumor harboring parasites); I can cure it." He applied medicine to the lesion and wrapped a layer of cotton bandage around it. After one night, the tumor ruptured, discharging about one *dou* (approx. 10 liters) of lice, all of which were wriggling and active. That day, his body felt light, but a small hole, the size of a chopstick tip, failed to heal. Lice continued to emerge endlessly, leading to his death. I recall a Tang dynasty novel recording that when Jia Wei Gong governed Huatai, a citizen fell ill. Jia Wei Gong stated that no ordinary medicine could cure it; only the ash of a thousand-year-old wooden comb and water used by a Yellow Dragon could heal it. This case is similar.
Pain preceding swelling indicates Qi injuring Form; swelling preceding pain indicates Form injuring Qi. When Wind dominates, there is movement/tremor; when Heat dominates, there is swelling/redness; when Dryness dominates, there is dryness/withering; when Cold dominates, there is edema/fluid retention; when Dampness dominates, there is dampness/softness.
*Shi Ming* states: "Swelling" (Zhong) implies gathering/concentration, caused by the accumulation of Cold and Heat pathogens (from *Taiping Yulan*).
To treat men with scrotal swelling as large as a *sheng* (approx. 5 liters), accompanied by nodular pain, which is difficult for others to cure, crush fresh *Mabiancao* (Calystegia hederacea / Hedge Bindweed Herb) and apply externally.
For sudden vacuous swelling and pain of the pediatric scrotum, mix raw *Gancao* (Licorice Root) with earthworm feces and apply gently.
Burn broken straw sandals and tangled hair into ash, mix with vinegar, and apply externally to treat heat-toxin wandering swelling (from *Bencao*).
Use half a *jin* of *Zhishi* (Immature Bitter Orange Fruit), crush and stir-fry until cooked. Wrap in old cloth and apply as a hot compress; replace when cool (ibid.).
A sixty-one-year-old man had swollen feet with sores. After suddenly eating pork, he felt unwell. The physician induced diarrhea with medicine, and he improved slightly. Later, he contracted wind-stroke while going out. After sweating, his head and face swelled suddenly, turning purple-black. He became lethargic, and blisters and small sores appeared on his earlobes, oozing yellow fluid. The physician administered *Xiao Xuming Tang* (Minor Continue Life Decoction) with double the dosage of *Qianghuo* (Notopterygii Rhizoma et Radix), decocted and given orally. He subsequently recovered (from *Bencao Yan yi*).