体虚者,若过于劳苦,伤损气脉,则经络因之不和,周身每有浮肿不痛,不可针刺,
更伤血脉,内进调补药,外敷温和之品,缓治方得成功。
麻风,初起处必麻木不仁,毛孔闭而无汗,有红晕碎块,稍肿如云片者,有皮白生
屑如癣者,有用针刺出黑血者。
先在好肉与病肉分界处,用墨笔画一隔界圈,凡患处,或分圈,或合圈,皆圈定。次
在圈中,次第点成黑点,每点相离些许,后以九个二号针,各眼穿线,卷圆,外包布条
扎紧,须露针尖在外,每黑点刺三十六下。隔界圈,亦刺三十六下。即用麝香、冰片、牛
黄(各数分研末)入姜汁、米醋内和匀,磨墨涂刺,过黑点上,再在黑界圈上,刺三遍,亦随涂
药水一次。未愈仍照前法刺圈内。未刺之处,若足痹肿,须砭去污水尽而止。若已破皮淌
血水者,不治。既刺忌盐酱一百二十日,方不复发。
久旱不雨,则亢厉之气,流行天地间,在夏月尤甚。河井之水,亦被燥热。蒸耗人处,
斯际内受水泉之毒,外迫炎 之邪,易生时疫,互相传染。更有劳伤之辈,元气早虚,加
以饥饿,剥其脏腑,境况扰其情怀,其阴分未有不先亏者?初病疏散方中,稍加润药,以
却亢势。继以甘寒,大养阴液。若莽投温散,劫阴致变,舌干口渴,谵语神昏,狂躁不安,
恐为不救。抑知热邪,先干肺胃,肺金忌燥,胃土喜润,病由阳邪,治以阴润,阳原足以
伤阴,阴亦可以制阳,阳衰则热去,热去则阴生,于是亢阳,得与柔阴,相为济美,则
太和之气,鼓舞身中,而病倏然远退矣。
身体虚弱的人,如果过度劳累辛苦,损伤了气脉,那么经络因此就不调和,全身常常出现浮肿但不疼痛的症状。这种情况不可针刺,因为会进一步伤害血脉;应当内服调理补益的药物,外敷温和的药膏,缓慢治疗才能成功。
麻风病,在初起时患处必定麻木不仁,毛孔闭塞而无汗,有的呈现带有红晕的碎块状,稍微肿胀像云片一样;有的皮肤发白并产生皮屑,类似癣症;有的用针刺破后能流出黑血。
先在健康皮肤与患病皮肤的交界处,用墨笔画一个隔离界限圈。凡是患处,无论是分开的圈还是连在一起的圈,都要划定清楚。接着在圈内,依次点成黑点,每个黑点之间保持一点距离。然后用九根二号针,每根针眼穿上线,卷成圆形,外面包裹布条扎紧,必须露出针尖在外面。在每个黑点上刺三十六下。隔离界限圈也刺三十六下。随即取麝香、冰片、牛黄(各取几分研成粉末),放入姜汁和米醋中调和均匀,磨墨涂在刺过的部位,覆盖在黑点上,再在黑界圈上刺三遍,同时也随同涂抹药水一次。如果没有痊愈,仍然按照前面的方法刺圈内。没有刺过的地方,如果出现足部麻痹肿胀,必须用砭石刺破排出污血直到排尽为止。如果皮肤已经破损且流淌血水,则无法治愈。既然后进行了针刺,禁忌食用盐和酱一百二十天,这样才不会复发。
长久干旱不下雨,那么亢盛暴烈之气,就会流行于天地之间,在夏季尤其严重。河流井水的水源,也被燥热所影响。蒸腾耗损人体所处的环境,此时体内受到水泉之毒的影响,体外受到炎热邪气的逼迫,容易产生时疫,互相传染。更有那些因劳伤导致元气早已虚弱的人,再加上饥饿,剥蚀其脏腑,境况扰乱其情怀,他们的阴分没有不先亏损的?在疾病初起使用疏散方剂时,稍加润燥的药物,以遏制亢盛的势头。随后使用甘寒的药物,大量滋养阴液。如果鲁莽地投用温散药物,劫夺阴液导致病变,出现舌干口渴、胡言乱语、神志昏迷、狂躁不安等症状,恐怕就难以救治了。岂不知热邪首先侵犯肺胃,肺金忌讳干燥,胃土喜欢滋润,病由阳邪引起,治疗应以阴润为主,阳气原本足以损伤阴液,阴液也可以制约阳气,阳气衰退则热邪去除,热邪去除则阴液滋生,于是亢盛的阳气得以与柔和的阴气相互济助配合,那么太和之气鼓舞身体内部,疾病便突然远远退去。
In individuals with a weak constitution, if they overexert themselves through labor and hardship, damaging the Qi and meridians (Jingluo, 经络), the meridians will become disharmonious. Consequently, the whole body may present with edema (Swelling) that is painless. Acupuncture is contraindicated as it would further damage the blood vessels; instead, internal administration of tonic and regulating herbs and external application of mild topical preparations should be used, treating the condition gradually to achieve success.
Leprosy (Mafen, 麻风), in its initial stage, invariably presents with numbness and loss of sensation at the affected sites. The pores are closed with no sweating. Manifestations include red-rimmed patches slightly swollen like cloud patterns, or white skin with scaling resembling tinea (Xuan, 癣). In some cases, pricking with needles yields black blood.
First, draw an isolation boundary circle with ink at the junction between healthy and diseased skin. All affected areas, whether divided into separate circles or combined, must be clearly demarcated. Next, within the circled area, mark black dots sequentially, maintaining a slight distance between each dot. Take nine No. 2 needles, thread them through the eyes, coil them into a circular shape, wrap them tightly with cloth strips, ensuring the needle tips remain exposed. Prick each black dot thirty-six times. The isolation boundary circle is also pricked thirty-six times. Immediately prepare a mixture by grinding musk (Shexiang, 麝香), borneol (Bingpian, 冰片), and Calculus Bovis (Niuhuang, 牛黄) (each in small amounts, e.g., fen) into powder, and mix it evenly with ginger juice and rice vinegar. Grind this mixture into ink and apply it to the pricked areas, covering the black dots. Then, prick the black boundary circle three more times, applying the medicinal liquid simultaneously. If not cured, continue pricking the interior of the circle as before. For unpricked areas presenting with foot paralysis and swelling, use bian stones (Bianshi, 砭石) to puncture and drain all turbid fluid until cessation. If the skin is already broken with bleeding and weeping serum, the condition is incurable. After pricking, avoid consuming salt and soy sauce for one hundred and twenty days to prevent recurrence.
During prolonged droughts without rain, excessive and fierce qi circulates throughout heaven and earth, particularly severely during summer months. River and well waters are also subjected to dry heat. This environment steams and consumes the human body. At such times, the interior is affected by toxins from stagnant water sources, while the exterior is pressured by pathogenic heat. This facilitates the emergence of seasonal epidemics (Shiyi, 时疫) which spread through contagion. Furthermore, those whose Yuan Qi (Original Qi, 元气) is already depleted due to overwork and injury, compounded by hunger which depletes the zang-fu organs, and whose emotional state is disturbed by adverse circumstances, inevitably suffer from prior deficiency in their Yin aspect. In the initial treatment using dispersing formulas, add moistening herbs slightly to curb the hyperactive pathogenic trend. Subsequently, employ sweet and cold herbs to vigorously nourish Yin fluids. If one recklessly administers warm and dispersing agents, seizing Yin and causing complications, symptoms such as dry tongue, thirst, delirium, coma, restlessness, and mania may arise, rendering the case likely untreatable. One should understand that heat pathogens first affect the Lung and Stomach. Metal of the Lung abhors dryness, while Earth of the Stomach prefers moisture. Since the disease originates from Yang pathogens, treatment should utilize Yin-moistening methods. Originally, Yang can sufficiently injure Yin, but Yin can also restrain Yang. When Yang declines, heat dissipates; when heat dissipates, Yin generates. Thus, hyperactive Yang can harmoniously interact with gentle Yin. Consequently, the Qi of Great Harmony (Taihe Zhiqi, 太和之气) stirs within the body, and the illness recedes suddenly.