歧伯曰∶赤疽发于额不泻,十余日死。可刺也。其脓赤多血死,未有脓,可治。人年二
十五、三十一、六十、九十五人神在额不可见血,见者死。
杼疽发项,若两耳下不泻,十六日死。其六日可刺,其色黑见脓而痈者死不可治。人年
十九、二十三、三十五、四十九、五十一、五十五、六十一、八十七、九十九,神在两耳下,
不
蜂疽发背,起心俞若肩 ,二十日不泻,死,其八日可刺也,其色赤黑脓见者死不治。
人年六岁、十八、二十四、三十五、五十六、六十七、七十二、九十八神在肩不可见血,见
者死。
刺疽发肺俞,若肝俞不泻,二十日死。其八日可刺,发而赤,其上肉如椒子者死不可治
。人年十九、二十五、三十三、四十九、五十七、六十八、七十三、八十一、九十七神在背,
不
侠荣疽发胁,起若两肘头,二十五日不泻,死。其九日可刺,发赤白间其脓多白而无赤
,可治。年十六、二十六、三十二、四十八、五十八、六十四、八十、九十六神在胁不可见
血,见者死。
勇疽发股,起太阴,若伏兔,二十五日不泻,死。其十日可刺,发青脓赤黑者死。白者
尚可治。年十一、十五、二十、三十一、四十三、四十六、五十九、六十三、七十五、九十
一神在尻尾,不可见血,见者死。
标叔疽发,热同,同耳聋,后六十日肿如水状,如此可刺之,但出水后乃有血,血出即
除也。年五十七、六十五、七十三、八十、九十七神在背不可见血,见者死。
旁疽发足趺,若足下三十日不泻,死。其十二日可刺。发赤白脓而不大多,其上痒赤黑
,死不可治。年十三、二十九、三十五、六十一、七十三、九十三神在足,不可见血,见者
死。
歧伯说:赤疽发于额头,如果脓液不能排出,十余日后会死亡。这种情况可以进行针刺治疗。如果脓液中血液多而颜色红赤,患者会死亡;如果没有形成脓液,则还可以治疗。人在二十五岁、三十一岁、六十岁、九十五岁时,神气位于额头,此时不可见血,见了血就会死亡。
杼疽发于颈部,如果在两耳下方脓液不能排出,十六日后会死亡。发病六天后可以针刺,如果颜色发黑且出现脓液并伴有痈肿的,属于死证,无法治疗。人在十九岁、二十三岁、三十五岁、四十九岁、五十一岁、五十五岁、六十一岁、八十七岁、九十九岁时,神气位于两耳下方,不可见血,见了血就会死亡。
蜂疽发于背部,起始于心俞穴或肩井穴附近,二十天后脓液不能排出,会死亡,发病八天后可以针刺,如果颜色呈赤黑色且见到脓液的,属于死证,无法治疗。人在六岁、十八岁、二十四岁、三十五岁、五十六岁、六十七岁、七十二岁、九十八岁时,神气位于肩部,不可见血,见了血就会死亡。
刺疽发于肺俞穴或肝俞穴,如果脓液不能排出,二十天后会死亡。发病八天后可以针刺,如果患处发红,其上的肌肉像花椒籽一样的,属于死证,无法治疗。人在十九岁、二十五岁、三十三岁、四十九岁、五十七岁、六十八岁、七十三岁、八十一岁、九十七岁时,神气位于背部,不可见血,见了血就会死亡。
侠荣疽发于胁部,起始处类似两个肘头的位置,二十五天后脓液不能排出,会死亡。发病九天后可以针刺,如果患处发红白相间,其中脓液多白色而没有红色的,还可以治疗。人在十六岁、二十六岁、三十二岁、四十八岁、五十八岁、六十四岁、八十岁、九十六岁时,神气位于胁部,不可见血,见了血就会死亡。
勇疽发于大腿,起始于太阴经或伏兔穴附近,二十五天后脓液不能排出,会死亡。发病十天后可以针刺,如果发出青色脓液或赤黑色脓液的,会死亡。如果是白色脓液的,还可以治疗。人在十一岁、十五岁、二十岁、三十一岁、四十三岁、四十六岁、五十九岁、六十三岁、七十五岁、九十一岁时,神气位于尾骶部,不可见血,见了血就会死亡。
标叔疽发作时,发热情况相同,伴随耳聋,六十天后肿胀如水状,这种情况下可以针刺,但出水之后才会出血,血流出后病邪即可去除。人在五十七岁、六十五岁、七十三岁、八十岁、九十七岁时,神气位于背部,不可见血,见了血就会死亡。
旁疽发于足背或足底,三十天后脓液不能排出,会死亡。发病十二天后可以针刺。如果发出赤白色脓液且量不多,其上皮肤瘙痒、颜色赤黑的,属于死证,无法治疗。人在十三岁、二十九岁、三十五岁、六十一岁、七十三岁、九十三岁时,神气位于足部,不可见血,见了血就会死亡。
Qibo said: When Chiju (Red Carbuncle) occurs on the forehead and does not discharge, death will occur within ten days. Acupuncture may be applied. If the pus is red with much blood, death ensues; if no pus has formed yet, it is treatable. In individuals aged twenty-five, thirty-one, sixty, and ninety-five, the Shen (Spirit) resides in the forehead. Bloodletting should be avoided; if blood appears, death results.
When Zhujü (Zhú Carbuncle) occurs on the neck, if it does not discharge from below both ears, death will occur within sixteen days. It may be needled on the sixth day. If the color turns black and pus appears accompanied by a carbuncle, it is incurable and fatal. In individuals aged nineteen, twenty-three, thirty-five, forty-nine, fifty-one, fifty-five, sixty-one, eighty-seven, and ninety-nine, the Shen resides below both ears. Bloodletting should be avoided; if blood appears, death results.
When Fengju (Bee Carbuncle) occurs on the back, originating at Xinshu (BL-15) or Jianjing (GB-21), if it does not discharge within twenty days, death ensues. It may be needled on the eighth day. If the color is red-black and pus appears, it is incurable and fatal. In individuals aged six, eighteen, twenty-four, thirty-five, fifty-six, sixty-seven, seventy-two, and ninety-eight, the Shen resides in the shoulder. Bloodletting should be avoided; if blood appears, death results.
When Ciju (Piercing Carbuncle) occurs at Feishu (BL-13) or Ganshu (BL-18), if it does not discharge within twenty days, death ensues. It may be needled on the eighth day. If the lesion is red and the flesh resembles peppercorns, it is incurable and fatal. In individuals aged nineteen, twenty-five, thirty-three, forty-nine, fifty-seven, sixty-eight, seventy-three, eighty-one, and ninety-seven, the Shen resides in the back. Bloodletting should be avoided; if blood appears, death results.
When Xiayongju (Xiayong Carbuncle) occurs in the hypochondrium, originating near the elbows, if it does not discharge within twenty-five days, death ensues. It may be needled on the ninth day. If the lesion is red and white mixed, with pus being predominantly white without redness, it is treatable. In individuals aged sixteen, twenty-six, thirty-two, forty-eight, fifty-eight, sixty-four, eighty, and ninety-six, the Shen resides in the hypochondrium. Bloodletting should be avoided; if blood appears, death results.
When Yongju (Brave Carbuncle) occurs on the thigh, originating at Taiyin (Spleen Meridian) or Futu (ST-32), if it does not discharge within twenty-five days, death ensues. It may be needled on the tenth day. If the pus is green or red-black, death ensues. If the pus is white, it is still treatable. In individuals aged eleven, fifteen, twenty, thirty-one, forty-three, forty-six, fifty-nine, sixty-three, seventy-five, and ninety-one, the Shen resides in the sacrococcygeal region. Bloodletting should be avoided; if blood appears, death results.
When Biaoshuju (Biaoshu Carbuncle) occurs, fever presents similarly, accompanied by deafness. After sixty days, swelling appears resembling water retention. At this stage, acupuncture may be applied. However, only after fluid discharges will blood appear; once blood flows, the pathogen is expelled. In individuals aged fifty-seven, sixty-five, seventy-three, eighty, and ninety-seven, the Shen resides in the back. Bloodletting should be avoided; if blood appears, death results.
When Pangju (Side Carbuncle) occurs on the dorsum of the foot or sole, if it does not discharge within thirty days, death ensues. It may be needled on the twelfth day. If the pus is red and white but scanty, and the skin above is itchy with red-black discoloration, it is incurable and fatal. In individuals aged thirteen, twenty-nine, thirty-five, sixty-one, seventy-three, and ninety-three, the Shen resides in the foot. Bloodletting should be avoided; if blood appears, death results.