一曰癌
\r癌图\pk-k1.bmp\r
癌疾初发，却无头绪，只是肉热痛。过一七或二七，忽然紫赤微肿，渐不疼痛，迤逦软
熟紫赤色，只是不破。宜下大车螯散取之，然后服排脓败毒托里内补等散。破后用麝香膏贴
之。五积丸散疏风和气，次服余药（方见后）。
二曰瘭
（布昭切）
\r瘭图\pk-k2.bmp\r
瘭者，始初聚结，尖肿，根脚赤白色，高处带红赤，肿实疼痛，憎寒壮热，口干渴，百
节疼痛，困倦沉重。饮食者，未破者，即下大车螯散。如先破，下小车螯散。然后服轻肌活
脓内托等药，次洗点破等药，加服小车螯散。脓毒不决即服二三，取活脓血。
三曰疽
\r疽图\pk-k3.bmp\r
疽初起如麻豆子大，痒痛，抓破如小疮。后渐结瘢痕作 。以次皮破窍穴渐如蜂房
，多有脓毒不出，结痛，憎寒多热，满闷无力，头目昏眩，百节拘急，睡卧不得，或有吐逆
，日加烦痛，疮如火烧，更不可服大车螯散，只服小车螯散与解关轻肌活体等散，止疼痛，
退寒热，解昏眩，仍勤用洗贴，去烂肉与脓毒（方见后）。
四曰痼
\r痼图\pk-k4.bmp\r
痼发者，形状三两个，或手背不日消退自破，苦无脓血毒汁意以为安愈。忽因消渴，肾
所攻，及至春冬，再在背膊或肾 上生一个二个。疼痛赤肿、腰疼筋紧拘急，吃多物常饥燥
，小便赤，大便涩，三五日一通，或破，下小车螯散。未破，下大车螯散。逐日下内消内解
散（方见后）。
五曰痈
\r痈图\pk-k5.bmp\r
痈初起，突如蒸饼，又如鱼形，一头大或多头小，或横在背膊，或在胁肋间，及二三寸
许，坚实赤肿，时发热疼痛。如未破，服大车螯散。已破，服小车螯散。次用内解内消等药
与治痼法治之。
问曰∶古今之用药制度与夫金石之变，草木之反，虚实之蒸，食毒之发，愿尽言之。
答曰∶古之治病，随证施设，如箭中的，故应手而愈。妙体存乎心，模体行以意。今人
之体，古方书无有加减，祸福相半。古称单方疗病为效最切，择以佐使斯为治病。痈疽之疾
如山源之水，一夕暴涨，非决其要会支之大渠，使杀其势，则横潦为灾。猛烈之疾以猛烈之
药，此所谓以毒攻毒也。金丹之性，真水不胜，客火上炎。草木之反，热毒蕴结。五金八石
，各从其类。朱砂下砒，硝石化伏（伏谓伏火丹也。）犀角、大黄，攻治无畏。仙芝无虚实证
此外则针灸佐之（谓如仙芝方，它方非针灸佐之不可）。《千金方》惟五香连翘散、猪蹄汤、
金犀角丸有准。《鬼遗方》世称奇妙，究其所以，除木占斯散未闻可以施手，而败酱占斯，
世皆莫识，遂为文具苏梗、忍冬不能救急，绿豆、乳香可治金石，举此显显数者，以别是非
，尔后不可概举。然仓卒之间，医者纷纷莫知适从，上下毕备，乃可成事，应入门看候，便
须以醋调药。未溃者当心点之如棋子大，良久视其痛与不痛。不知痛者加一点，不痛良久又
加一点，至满上而不痛及痛如昔者，为入肉，为不应药（以上论仙芝，无他法，只以本方用
之）。已溃者 子试之，及数与未及数者，决轻重，应点随手而痛者妙。食顷者四分，又食
七分（此言寻常痛，今点愈痛，昔日痛今不痛，皆应上法）。消息在临时之妙，须定意商量，
于此时决死生也。即应病服药，初进二钱，如五里进三钱，如五里进四钱，如早至晚六钱。
止如此两者，亦言以毒攻毒也（此言仙芝，余药根据本法）。当日进药三服后，即用药敷之围疮
面所阔肿处，以防其它，注视其东西四向。除以上法涂围外，于其头上用药一点，此妙不传
试法论疮已溃，须用好浓纸作一合索 子捻入，看分数，如背上自肝 以上，试直入
无偏斜，及一寸三分者为将通，十全三四，过此不治。虽过数而精神强者，须以竹膜一片可
敷疮口。密者，先择一净明室中，以水湿疮口四旁。然后敷竹膜，在静看其动，似气之拽拽
则已通矣。非风非扇而与呼吸相应，十死不治。无此者可疗，余法载前论。一应背溃皆以此
法试至妙，如无大竹膜可糊合为之。
腐肉色青黑缺牙不附骨者，用炼刀竹刀割之，或已腐而肌肉薄者，不可割，当下食，恶
肉膏。先熏后用，应溃后无死证，可下手，不然不治（证见前论）。
长肉之法，须恶肉尽乃可下，下而看淫，淫生而有红黄者，红黄者吉；淫生而无肉意青
黑者凶。未下前先用药汤洗，洗后复用葱少盐多汤洗之，微干乃可用。忌一切厌秽妇人孝子
见之，下后仍不许他人揭看。大凡无淫肉不生，淫上有一层淫，淫如黄绵在肉之上也。
有脓者，脉洪数而紧，痛如刀锥鸡啄，按之似欲随手，当先以取脓针溃之。溃之而脉愈
证退，不加针灸，唯平补而愈。当用十奇散之类。溃而证不退加针灸法。又有肉里痈一证，
在好肉之里有脓当决之，否则成附骨。决而以油捻子塞之，良久乃出，可以尽毒。应行肉里
，针须量其人平日饮量，以酒调药，乘其服药酒后而决之。然背无此证，浓肉有之。肠痈在
肤准此。
打针法用马衔铁于甲子日，一日炼打阳针一枚如韭叶，长三寸六分；丁酉日打阴针一
枚，长二寸四分；惊蛰日打雷锋针一枚，长二寸四分；又打取脓针一枚，如韭叶，长三寸六
分；打炼刀一枚，小钓一个。上用桑白皮，紫藤香煮一周时，以紫藤香末藏之。阳针，针独
疽。阴针，针痈。雷锋针，针怪形。非怪形者，必须辨认仔细，乃可针。或以尾为头，误人
不浅；中脊膊贴，大痛不止。先后失序，疗之难愈。假如只一个疮而四面无头，其头在中，
仍不许于中点之，大逆，只于四旁浓涂，根据常法。假如一个至数个，须察其至甚、先甚后轻
、先轻后甚。法当先其轻者，后其甚者。反此者即与本方，服药不能应，虽不害其命，而留
之日久。病形虽多，针敷则一，收外攻内，侯其聚合。内毒盛者，急攻其内；外毒盛者，速
泻其热。日夜收攻，庶几无失。
骑竹马量灸法∶发背脑疽、肠痈、下部痈、乳痈、喉痈、牙痈、手足一切痈疽、或胸腹
不测丹痈、紧硬之属。先令病患以肘凭几竖臂腕，要直，用篾一条，自臂腕中曲处横纹，男
左女右，贴肉量起，直至中指尖尽处截断为准，不量指爪。却用竹杠一条，使病患脱衣骑定
，令身直。前后用两人杠起，令脚不着地。又令一人左右扶定，勿令僵仆。却将前所量臂腕
篾，从竹杠坐处尾闾穴直贴脊骨，量至篾尽处为准，用墨点定。此穴是取中，非灸穴也。却
用稻杆子量病患中指中节，相去两横纹为准，男左女右剪断，将稻杆准子从篾点定处，两边
各横量一寸，准子尽处取两穴各五壮或七壮，不可多灸。不问痈生何处，并用此法灸之，无
不愈也。此二穴心脉所起，凡痈皆心火留滞而生，灸此二穴则心火实时流通，不三日而愈，
可以起死救危，有非常之功也。屡试而屡验矣。《素问》云∶诸痛痒疮皆属于心。又云∶荣
气不和，逆于肉理，则生痈肿。荣气者，血也。心能行血，血即滞则脉不行，故逆于肉理，
则生痈肿。灸此二穴，心火调畅，血脉自流通，愈于服药多矣。
癌疾初发时，没有明显的头绪，只是局部肌肉发热疼痛。过了一七天或两个七天，突然呈现紫红色且轻微肿胀，逐渐不再疼痛，蔓延开来变得软熟呈紫赤色，只是不溃破。适宜服用大车螯散来攻下排毒，然后服用排脓、败毒、托里、内补等散剂。溃破后用麝香膏贴敷。再用五积丸散疏风和气，接着服用其他药物（方剂见后文）。
瘭病，起初聚集结块，尖端肿胀，根部呈赤白色，高处带红赤色，肿胀坚实疼痛，憎恨寒冷且壮热，口干口渴，全身关节疼痛，困倦沉重。若尚未溃破，即服用大车螯散；如果已经先溃破，则服用小车螯散。然后服用轻肌、活脓、内托等药物，接着清洗点涂破溃处等药物，加服小车螯散。若脓毒不能排出，即服用二三剂，以引出活的脓血。
三曰疽（指深部组织化脓性疾病）
疽初起如麻子豆子大小，痒痛，抓破后像小疮。后来逐渐结成瘢痕，皮肤破裂出现孔穴，渐渐像蜂房一样多孔，多有脓毒排不出来，结聚疼痛，憎寒多热，胸脘满闷无力，头目昏眩，全身关节拘急，睡卧不安，或有呕吐逆气，每天加重烦痛，疮口如火烧一般，此时不可再服用大车螯散，只服用小车螯散与解关、轻肌、活体等散剂，以止疼痛，退寒热，解昏眩，仍要勤用洗剂和贴敷，去除烂肉与脓毒（方剂见后文）。
四曰痼（指顽固难愈的疮疡）
痼病发作时，形状有三两个，或者在手背不久消退自破，痛苦在于无脓血毒汁，误以为安愈。忽然因为消渴症，肾脏受邪攻击，等到春冬季节，又在背部膊肋或肾脏部位生出一二个。疼痛赤肿、腰痛筋紧拘急，吃得多却常感饥饿燥热，小便赤黄，大便涩滞，三五天一次排便，或者溃破，服用小车螯散。未溃破，服用大车螯散。每天服用内消、内解散（方剂见后文）。
五曰痈（指体表浅部化脓性疾病）
痈初起，突起如蒸饼，又像鱼形，一头大或多头小，或者横在背部膊肋，或在胁肋间，直径约二三寸，坚实赤肿，时常发热疼痛。如果未溃破，服用大车螯散。已溃破，服用小车螯散。接着用内解、内消等药物，按照治疗痼病的方法处理。
问曰：古今用药的制度以及金石药性的变化，草木药性的相反，虚实证候的演变，食毒的发作，希望全部讲清楚。
答曰：古代治病，随证施治，如同射箭中的，所以应手而愈。精妙之处在于用心体会，通过意念引导形体动作。现在人的体质，古方书中没有加减变化，祸福参半。古人称单方疗病效果最确切，选择适当的佐使药配合，这才是治病之道。痈疽之疾如山间水源之水，一夜之间暴涨，如果不决开主要支流的大渠，使其势头减弱，那么泛滥的雨水就会成为灾害。猛烈之疾要用猛烈之药，这就是所谓的“以毒攻毒”。金丹的药性，真水难以克制，客火上炎。草木药性的反常，导致热毒蕴结。五金八石，各从其类。朱砂压制砒霜，硝石化解伏火丹（伏火是指伏火丹）。犀角、大黄，攻治无所畏惧。仙芝（指某种剧毒丹药或草药，此处语境似指猛药）没有虚实之分，此外则用针灸辅助（例如仙芝方，其他方剂非用针灸辅助不可）。《千金方》中只有五香连翘散、猪蹄汤、金犀角丸有确切疗效。《鬼遗方》世人称为奇妙，探究其原理，除了木占斯散外，没听说可以施用的，而败酱占斯，世人都不能识别，于是成了摆设。苏梗、忍冬不能救急，绿豆、乳香可治金石中毒，列举这些显著的例子，以辨别是非，此后不可一概而论。然而仓促之间，医生们纷纷不知从何下手，上下准备齐全，才能成事。入门看候，就必须用醋调药。未溃破者，在心口点涂如棋子大小，很久观察其痛或不痛。不知道痛的就加一点，不痛很久又加一点，直到涂满上部而不痛，或者痛如从前，这是入肉，是不应药（以上论述仙芝，没有其他方法，只用本方使用）。已溃破者，用黍米试之，以及数量未到和超过数量的，决定轻重，点涂后随手而痛的很妙。吃一顿饭的时间痛四分，又吃七分（这是说寻常痛，现在点涂更痛，昔日痛今日不痛，都适用上述方法）。消息在于临时的精妙，必须定意商量，在此时决定生死。就应对病服药，初次进服二钱，如果是五里（地名或特定剂量单位，此处疑为笔误或特指，按原文保留），进三钱，如果是五里，进四钱，如果早至晚六钱。停止如此两者，也是说以毒攻毒（此言仙芝，其余药物根据本法）。当天进药三服后，即用药物敷在疮面周围肿胀宽阔处，以防扩散，注视其东西四个方向。除以上方法涂围外，在其头上用药点涂一点，此妙法不传。试法论疮已溃，须用好浓纸做一个合索子捻入，看分数，如在背上自肝俞以上，试直入无偏斜，及一寸三分者为将通，十全三四，超过此数不治。虽然超过数但精神强者，须用一片竹膜敷在疮口。密封者，先在洁净明亮的房间中，用水湿润疮口四周。然后敷上竹膜，静静看其动静，似气之拽拽则已通了。不是风也不是扇动，而是与呼吸相应，十死不治。没有这种情况的可以治疗，其余方法载在前论。所有背部溃破都用此法尝试极妙，如果没有大竹膜，可用糊合代替。
腐肉颜色青黑，缺牙不附骨者，用炼刀或竹刀割之，或者已经腐烂而肌肉薄者，不可割，当下食恶肉膏。先熏后用，应溃后无死证，可下手，不然不治（证候见前论）。
长肉的方法，必须恶肉尽去才可下药，下药后看淫液，淫液生出而有红黄色的，红黄色者吉；淫液生出而无肉意青黑色的凶。未下药前先用药汤清洗，洗后再用葱少盐多的汤清洗，微干才可用。忌一切厌秽之物，妇人孝子见了，下药后仍不许他人揭开看。大凡没有淫液肉不生，淫液上有一层淫液，淫液如黄绵在肉之上也。
有脓者，脉洪数而紧，痛如刀锥鸡啄，按之似乎随手，应当先用取脓针溃破它。溃破后脉象好转症状减退，不加针灸，唯平补而愈。应当用十奇散之类。溃破后症状不退加针灸法。又有肉里痈一证，在好肉里面有脓当决破它，否则成为附骨疽。决破后用油捻子塞住，很久才取出，可以尽除毒邪。应行肉里，针刺须衡量其人平日饮酒量，用酒调药，乘其服药酒后而决破它。然而背部没有此证，厚肉处有之。肠痈在肤表准此法。
打针法：用马衔铁在甲子日，一天炼制打阳针一枚如韭菜叶，长三寸六分；丁酉日打阴针一枚，长二寸四分；惊蛰日打雷锋针一枚，长二寸四分；又打取脓针一枚，如韭菜叶，长三寸六分；打炼刀一枚，小钩一个。上面用桑白皮、紫藤香煮一周时间，以紫藤香末藏之。阳针，针独疽。阴针，针痈。雷锋针，针怪形。非怪形者，必须辨认仔细，才可针刺。或者以尾为头，误人不浅；中脊膊贴，大痛不止。先后失序，疗之难愈。假如只有一个疮而四面无头，其头在中，仍不许于中点之，大逆，只于四旁浓涂，根据常法。假如一个至数个，须察其至甚、先甚后轻、先轻后甚。法当先其轻者，后其甚者。反此者即与本方，服药不能应，虽不害其命，而留之日久。病形虽多，针敷则一，收外攻内，侯其聚合。内毒盛者，急攻其内；外毒盛者，速泻其热。日夜收攻，庶几无失。
骑竹马量灸法：发背脑疽、肠痈、下部痈、乳痈、喉痈、牙痈、手足一切痈疽、或胸腹不测丹痈、紧硬之属。先令病患以肘凭几竖臂腕，要直，用篾一条，自臂腕中曲处横纹，男左女右，贴肉量起，直至中指尖尽处截断为准，不量指爪。却用竹杠一条，使病患脱衣骑定，令身直。前后用两人杠起，令脚不着地。又令一人左右扶定，勿令僵仆。却将前所量臂腕篾，从竹杠坐处尾闾穴直贴脊骨，量至篾尽处为准，用墨点定。此穴是取中，非灸穴也。却用稻杆子量病患中指中节，相去两横纹为准，男左女右剪断，将稻杆准子从篾点定处，两边各横量一寸，准子尽处取两穴各五壮或七壮，不可多灸。不问痈生何处，并用此法灸之，无不愈也。此二穴心脉所起，凡痈皆心火留滞而生，灸此二穴则心火实时流通，不三日而愈，可以起死救危，有非常之功也。屡试而屡验矣。《素问》云：诸痛痒疮皆属于心。又云：荣气不和，逆于肉理，则生痈肿。荣气者，血也。心能行血，血即滞则脉不行，故逆于肉理，则生痈肿。灸此二穴，心火调畅，血脉自流通，愈于服药多矣。
1. Cancer (Here referring to a malignant ulcer, not modern cancer)
When the cancer disease first appears, there are no clear indications, only heat and pain in the flesh. After one or two seven-day periods, it suddenly turns purple-red with slight swelling, gradually ceasing to hurt, spreading out to become soft and ripe with a purple-red color, yet remaining unbroken. It is appropriate to administer Da Che'ao San (Large Scorpion Powder) to purge and detoxify, followed by powders for draining pus, defeating toxins, supporting the interior, and internal nourishment. After breaking, apply Shexiang Gao (Musk Ointment). Then use Wuji Wan San (Five Accumulations Pill and Powder) to disperse wind and harmonize qi, followed by other medicines (formulas see later).
2. Biao (Zhao, referring to acute suppurative infection, similar to carbuncle/furuncle)
Biao disease initially gathers and knots, with a swollen tip and a root that is red-white, the higher part carrying redness. The swelling is solid and painful, accompanied by aversion to cold and high fever, dry mouth and thirst, pain in all joints, fatigue, and heaviness. If not yet broken, administer Da Che'ao San (Large Scorpion Powder). If already broken first, administer Xiao Che'ao San (Small Scorpion Powder). Then take medicines such as Qingji Huonong Neituo (Light Flesh, Living Pus, Internal Support) and wash/apply medicines to the broken area, adding Xiao Che'ao San (Small Scorpion Powder). If pus and toxins do not resolve, take two or three doses to extract living pus and blood.
3. Ju (Referring to deep-seated suppurative diseases)
Ju begins like a hemp seed or bean, itchy and painful, breaking like a small sore when scratched. Later, it gradually forms scars, the skin breaks open into holes resembling a honeycomb, often with pus and toxins unable to exit, causing knotted pain, aversion to cold with much heat, chest and epigastric fullness and weakness, dizziness of head and eyes, stiffness and urgency of all joints, inability to sleep, possibly vomiting and regurgitation, daily worsening of vexation and pain, the sore feeling like burning fire. At this time, Da Che'ao San (Large Scorpion Powder) must not be taken; only take Xiao Che'ao San (Small Scorpion Powder) and Jieguan Qingji Huoti San (Unlocking Gate, Light Flesh, Living Body Powder) to stop pain, reduce cold and heat, relieve dizziness, and diligently use washes and applications to remove rotten flesh and pus/toxins (formulas see later).
4. Gu (Referring to stubborn, difficult-to-heal sores)
When Gu disease erupts, its shape consists of three or two lesions, or they disappear and break on the back of the hand after a few days. The suffering lies in the absence of pus, blood, and toxic fluid, mistakenly thought to be healing. Suddenly, due to Xiao Ke (Wasting and Thirsting Syndrome), the Kidney is attacked. When spring and winter arrive, one or two more appear on the back, shoulder blades, or Kidney region. Painful, red, and swollen; lower back pain, tendon tightness and stiffness; eating much but often feeling hungry and dry; urine is red; stool is astringent, passing once every three to five days, or breaking. Take Xiao Che'ao San (Small Scorpion Powder) if broken; Da Che'ao San (Large Scorpion Powder) if not broken. Daily take Neixiao Neijie San (Internal Resolution and Internal Dissolution Powder) (formula see later).
5. Yong (Referring to superficial suppurative diseases)
Yong initially rises like a steamed cake or fish shape, one end large or multiple ends small, lying across the back/shoulder or between costal margins, about two or three cun in diameter, solid, red, and swollen, with intermittent fever and pain. If unbroken, take Da Che'ao San (Large Scorpion Powder). If broken, take Xiao Che'ao San (Small Scorpion Powder). Then use Neijie Neixiao (Internal Resolution and Internal Dissolution) medicines and treat according to the method for Gu.
Question: I wish to hear fully about the dosage systems of ancient and modern medicines, the changes in mineral properties, the contrary effects of herbs, the evolution of deficiency and excess syndromes, and the eruption of food poisons.
Answer: Ancient treatment of diseases was prescribed according to symptoms, like an arrow hitting the target, thus healing upon contact. The subtlety lies in understanding with the mind and guiding the body with intention. Modern patients' constitutions lack additions and subtractions in ancient formula books, resulting in mixed fortune and misfortune. Ancients stated that single-formula treatments are most effective; selecting appropriate assistants and guides is the way to cure diseases. Diseases like Yong and Ju are like mountain springs swelling overnight; without opening the main channels to reduce the momentum, floodwaters will cause disaster. Violent diseases require violent medicines; this is called "attacking poison with poison." The nature of Golden Elixirs cannot be overcome by True Water, leading to guest fire flaming upward. The contrary nature of herbs causes heat toxins to accumulate. The Five Metals and Eight Stones follow their own categories. Cinnabar suppresses Arsenic; Niter resolves Fuhuo Dan (Fire-Subduing Pill). Rhinoceros Horn and Rhubarb attack fearlessly. Xianzhi (Immortal Mushroom/Potent Herb) has no deficiency or excess distinctions; besides this, acupuncture and moxibustion assist (e.g., for Xianzhi formulas, acupuncture assistance is indispensable). In *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold), only Wuxiang Lianqiao San (Five Fragrance Forsythia Powder), Zhuti Tang (Pig Trotter Decoction), and Jin Xi Jiao Wan (Golden Rhinoceros Horn Pill) are reliable. *Guiyi Fang* (Ghost Loss Formula) is praised as miraculous by the world, but examining its principles, apart from Muzhansi San (Wood Parasite Powder), none are heard of being applicable, while Baijiang Zhasi (Patrinia Parasite) is unrecognized by the world, becoming mere decoration. Sugu (Perilla Stem) and Rendong (Honeysuckle) cannot save emergencies; Moutun (Mung Bean) and Ruxiang (Frankincense) can treat mineral poisoning. Listing these obvious examples distinguishes right from wrong; thereafter, generalizations should be avoided. However, in sudden emergencies, doctors are confused and do not know where to start. Only with complete preparation above and below can success be achieved. Upon entry observation, medicine must be mixed with vinegar. For unbroken sores, apply like a chess piece size at the heart center; observe after a long time whether it hurts or not. If unknown pain, add a dot; if not hurting after a long time, add another dot, until the upper part is covered and does not hurt, or hurts as before; this indicates penetration into the flesh or non-response (Above discusses Xianzhi; no other methods, use only this formula). For broken sores, test with millet grains, and those with insufficient or excessive numbers determine severity; immediate pain upon application is excellent. Pain lasting the duration of a meal is four parts, again seven parts (This refers to ordinary pain; now point causes more pain, yesterday's pain today is gone, all applying the above methods). The subtlety lies in temporary judgment; one must settle intentions and deliberate, deciding life and death at this moment. Administer medicine corresponding to the disease; initial dose two qian; if Wuli, advance to three qian; if Wuli, advance to four qian; if morning to evening, six qian. Stopping at these two amounts also speaks of attacking poison with poison (This refers to Xianzhi; other medicines follow this method). On the day, after three doses of medicine, apply medication around the wide swollen area of the sore surface to prevent spread elsewhere, observing the four directions east and west. Besides the above method of surrounding application, apply one dot of medicine on the head; this subtle method is not transmitted. Trial method for broken sores: insert a tightly rolled thick paper cord, observing the depth. If on the back above Ganshu, inserting straight without deviation to 1.3 cun indicates approaching passage; ten out of three or four recover; beyond this, incurable. Even if exceeding the number, if spirit is strong, apply a piece of bamboo membrane over the sore. For sealed cases, first choose a clean, bright room, moisten the surroundings of the sore with water. Then apply the bamboo membrane, quietly watching for movement; if it seems like dragging air, it is passed. Not wind nor fan, but responding to breathing; ten deaths, incurable. Without this, it can be treated; other methods recorded in previous discussions. All back ulcers are tested with this method as extremely effective; if no large bamboo membrane is available, paste together to make one.
For rotten flesh colored cyan-black, missing teeth-like projections and not attached to bone, cut with a refined knife or bamboo knife. If already rotten but muscle is thin, do not cut; instead, apply Erou Gao (Flesh-Eliminating Ointment). Fumigate first, then apply. If post-ulceration shows no fatal signs, intervention is possible; otherwise, incurable (signs see previous discussion).
The method for growing flesh requires that all rotten flesh be removed before applying medicine. After application, observe the exudate ("yin"). If the exudate produces red and yellow colors, it is auspicious; if the exudate produces no fleshy intent but is cyan-black, it is ominous. Before applying, wash with medicinal decoction; after washing, wash again with soup containing little scallion and much salt, then dry slightly before use. Avoid all disgusting things; women and filial sons should not see it. After application, others are forbidden to uncover and look. Generally, without exudate, flesh does not grow; on top of the exudate is another layer of exudate, like yellow cotton on the flesh.
With pus, the pulse is surging, rapid, and tight; pain is like knife thrusts or chicken pecking; pressing feels as if yielding easily. One should first use a pus-draining needle to puncture it. After puncturing, if the pulse improves and symptoms recede, do not add acupuncture/moxibustion; only tonify evenly for recovery. Use Shiqi San (Ten Miracles Powder) type. If symptoms persist after puncturing, add acupuncture/moxibustion methods. There is also a syndrome of "Flesh-Li Yong" (Yong within the flesh); if pus exists within healthy flesh, it must be drained, otherwise it becomes Fugu Ju (Bone-Attacking Carbuncle). After draining, plug with an oil-soaked wick, leave for a long time, then remove, to exhaust toxins. For procedures within the flesh, needle depth must consider the patient's usual alcohol tolerance; mix medicine with wine and drain while under the influence of medicine. However, the back does not have this syndrome; thick flesh areas do. Chang Yong (Intestinal Abscess) follows this rule on the skin surface.
Needle Making Method: Use horse-bit iron. On Jiazi day, forge one Yang Needle like a leek leaf, 3.6 cun long. On Dingyou day, forge one Yin Needle, 2.4 cun long. On Jingzhe day, forge one Leifeng Needle, 2.4 cun long. Also forge one Pus-Draining Needle like a leek leaf, 3.6 cun long; forge one refining knife and one small hook. Boil with Mulberry White Bark and Purple Vine Fragrance for a week, storing with Purple Vine Fragrance powder. Yang Needles treat Du Ju (Solitary Carbuncles). Yin Needles treat Yong. Leifeng Needles treat strange shapes. For non-strange shapes, careful identification is required before needling. Mistaking tail for head causes great error; hitting the spine/shoulder blade causes unbearable pain. Disorderly sequence makes healing difficult. Suppose there is only one sore with no head on four sides, the head is in the center; do not puncture the center, which is highly adverse. Only apply thickly on the four sides according to normal methods. Suppose one to several sores, observe which is most severe, first severe then light, or first light then severe. The method should treat the light ones first, then the severe ones. Reversing this gives the base formula; medicine will not respond. Although not fatal, it prolongs the disease. Although many disease forms exist, needling and application are unified; gather external attacks inward, waiting for aggregation. If internal toxins are abundant, urgently attack internally; if external toxins are abundant, quickly drain heat. Day and night gathering and attacking, hopefully without error.
Riding Bamboo Horse Moxibustion Measurement Method: For Fa Bei (Back Carbuncle), Nao Ju (Brain Carbuncle), Chang Yong (Intestinal Abscess), Xia Bu Yong (Lower Body Carbuncle), Ru Yong (Breast Carbuncle), Hou Yong (Throat Carbuncle), Ya Yong (Tooth Carbuncle), all hand/foot sores/carbuncles, or unpredictable Dan Yong (Red Carbuncle) on chest/abdomen, and tight/hard types. First, let the patient lean elbow on table, raise arm/wrist straight. Use a bamboo strip, starting from the transverse crease at the middle curve of the wrist,贴肉 (against skin), measuring male left, female right, up to the tip of the middle finger, cutting off as standard, excluding fingernails. Then use a bamboo pole, let the patient undress and sit astride it straight. Two people lift front and back, feet not touching ground. Another person supports left and right to prevent falling. Take the previously measured wrist bamboo strip, place it straight along the spine from the Weilu acupoint at the sitting position of the bamboo pole, measure to the end of the strip, mark with ink. This point is for measurement, not moxa site. Then use rice straw to measure the middle segment of the patient's middle finger, distance between two transverse creases as standard, cut male left, female right. Place the rice straw standard from the marked point, measure horizontally one cun on both sides. At the end of the standard, select two acupoints, moxa each five or seven moxibustions, do not moxa excessively. Regardless of where the Yong arises, use this moxa method, all heal. These two acupoints originate from the Heart Pulse. All Yong arise from stagnation of Heart Fire. Moxa here allows Heart Fire to circulate instantly, healing in less than three days, capable of reviving the dead and saving crises, with extraordinary merit. Tested repeatedly and verified. *Suwen* says: All pain, itching, and sores belong to the Heart. Also says: When Ying Qi is discordant and reverses in the muscle tissue, Yong Swelling is generated. Ying Qi is Blood. The Heart moves Blood; if Blood stagnates, vessels do not move, thus reversing in muscle tissue generates Yong Swelling. Moxa these two acupoints, Heart Fire is regulated, blood vessels naturally circulate, healing is far superior to taking medicine.