论曰∶周官疡医与疾医，分职而异治，凡有疡者，受其药焉，盖非专门之学，不足以深
究博
血老
之不
轻者
不通
也。
涸竭，
二者，
石疏其
则难瘥
则其形
薄之辨
痈之类
针烙之
病
内经谓痈疽不得顷时回，恐内烂筋骨，穿通脏腑，岂有人神之忌耶。
疗疾所向吉凶方
三月七月十一月，不得向西方治病。
四月八月十二月，不向南方治病。
正月五月九月，不向东方治病。
二月六月十月，不向北方治病。
凡治病，将患人行年本命，算与生气天德福德合者，往之必瘥，仍须与生气人看待患者
吉，占病色，候面上法，凡患人目中赤脉，从上下贯瞳子者，一脉一年死，二脉二年死，若
脉下者
色
论痈疽所生忌穴。
背面九处不可患疮。
第一入发际为玉枕，亦为舌本。
第二项颈节。
第三为崇骨。
第四大椎，为五脏。
第五脊骨两边，肺俞穴。
第六夹脊骨两边，脾俞及肝俞穴。
第七脊骨两边，肾俞穴。
第八后心鸠穴。
第九鸠尾骨穴。
正面五处不可患疮
第一喉骨，为垂膺。
第二当胸前，为神舍。
第三为心鸠尾。
第四当两乳穴。
第五脐下二寸，为肠屈之间。
侧面三处不可患疮
耳下近耳后牙车尖央陷中，为喉脉，一穴当 下，一穴为肩骨。
承山上三寸，一穴，为 肠。
辨痈疽证候美恶法
夫痈疽外发，其理易明，至于内痈内疽，隐而不见，目既不接，治之至难，然五脏六腑
有俞
之发
恶也
目
能
息
语声清亮，四善也。体气和平，五善也。然病有证合七恶，皮急紧如善者，病有证合五善，
皮
载
也
微
起
肝
痈也
脾痈
肾痈也。
管一穴一名
枢二穴在脐
田一名石门一名精室一名命门一穴在脐下二寸） 关元隐隐而痛者，小肠疽也。上肉微起者，
小肠痈也
脏
腑发，
痈疽攻疗诸法
凡痈疽疖初生，皆只如粟黍粒许大，微似有痛痒，或触破之，即 展，初觉有之，即须
速服犀
四畔贴
是痈疖
以膏涂
即滞，
候烂肉
辨痈疽宜灸不宜灸法
凡痈疽发背初生，如黍粟粒许，或痒或痛，觉似有，即用汤水淋射，兼贴药 之，经一
两日
彻，
其疮
当疮
尤佳
焦枯
三壮
之火
承
光（在头上五处穴后二寸是） 神庭（在发际直鼻上）
竹
空（在眉后陷中） 膺窗（在胸下一寸六分两乳中） 脑户（
府（在
脑后发际一寸大筋旁宛宛中） 喑门（在项后发际宛宛中）
阳
络（在臂上大脉沟上一寸） 下关（在耳前动脉是也） 耳中
大脉应
手挟结喉旁通五脏） 石门（在脐下二寸女子禁不灸） 伏兔
（在足
小趾次趾本节后间去侠溪傍一寸五分）上件穴，据针经并禁不可灸，或于上出疮疖，亦不得
便灸，且以诸方法，及汤水注射，
纵针烙出之，即并无妨，其经久 ，即
别取少许硫黄，于火上烧之，以银钗脚挑之，取焰点
为度。
辨痈疽宜针烙不宜针烙法
夫痈疽者，头少肿处多，出脓不快者，宜针烙，脓未盛以前，不可不以诸药贴 救疗，
以安
以至
处，
众热
瘀无
为良
皮薄
之功
如
之
为
勿顿出脓，徐徐令出，痈疽广大脓溃肌者，惧一时之痛，不肯四畔多下针烙，唯开三两处而
已，欲望早愈，不亦难乎，常见有开肿者，不审浅深，所烙或当时无脓，经宿方溃，或下针
不出，别处生头，或抑擦 动，益加损疼，真气转伤。经云，病浅针深，则气血伏沉，若病
深针浅，则毒瓦斯不泄，反为大痈也。如务求速瘥，肿内余脓及脓根未尽，便令疮合，后必再
发，诸发肿都软而不痛者，即并宜针烙，若发于背者，即须用水角，乃得痊愈。
辨痈疽宜水角不宜水角法
凡疗痈疽发背，肿高坚硬，脓稠 盛色赤者，宜水角，陷下肉色不变，软慢稀者，不用
水角
坑二
下，
腰间
被水
每
恻
惊
萌
溃
贵
于
至
论述说：《周礼》中的疡医与疾医，分工不同而治疗方法各异。凡是患有疮疡的人，由疡医给予药物治疗，这并非专门之学，不足以深入探究血液枯竭、瘀血阻滞不通的细微差别。
《内经》说：“痈疽发病不能片刻延误”，恐怕会导致内部筋骨腐烂，穿透脏腑，这难道是人神所忌讳的吗？
治疗疾病时朝向的吉凶方位：
三月、七月、十一月，不可面向西方治病。
四月、八月、十二月，不可面向南方治病。
正月、五月、九月，不可面向东方治病。
二月、六月、十月，不可面向北方治病。
凡治病，需考察患者的行年本命（出生年份及流年），若与生气、天德、福德等吉神相合，前往治疗必能痊愈。同时必须观察生气之人看待患者时的反应是否吉利，并占测病色，候察面部色泽的方法。凡是患病者眼中出现赤脉，从上下贯穿瞳孔的，一条赤脉预示一年死，两条赤脉预示二年死……（原文此处有缺漏）。
论述痈疽生长所忌避的穴位。
背部和正面九处部位不可生疮。
第一处进入发际为玉枕穴，也称为舌本。
第二处项部颈骨节。
第三处为崇骨。
第四处大椎穴，对应五脏。
第五处脊骨两边，肺俞穴。
第六处夹脊骨两边，脾俞穴及肝俞穴。
第七处脊骨两边，肾俞穴。
第八处后心鸠尾穴。
第九处鸠尾骨穴。
正面五处部位不可生疮：
第一处喉骨，称为垂膺。
第二处胸前正中，称为神舍。
第三处为心鸠尾。
第四处当两乳之间。
第五处脐下二寸，为肠屈之间。
侧面三处部位不可生疮：
耳下近耳后牙车尖中央凹陷处，为喉脉，一穴当下颌，一穴为肩骨。
承山穴上三寸，一穴，为大肠。
辨别痈疽证候善恶的方法：
大凡痈疽向外发散，其道理容易明白；至于内痈内疽，隐蔽而不见，眼睛既看不到，治疗极其困难。然而五脏六腑有俞穴……（原文此处有缺漏）。呼吸平稳，语声清亮，这是五善之一。体气和平，这是五善之二。然而病证符合七恶特征的，皮肤紧急紧缩如善证般……（原文此处有缺漏）。微起……肝痈也……脾痈……肾痈也。
枢二穴在脐旁。田一名石门，一名精室，一名命门，一穴在脐下二寸。关元穴隐隐作痛的，是小肠疽。上腹部肌肉微微隆起的，是小肠痈。
脏腑发生痈疽攻疗的各种方法：
大凡痈疽疖肿初生，都像粟米黍粒那样大小，微微感到疼痛或瘙痒，或者触碰破裂后，即……（原文此处有缺漏）。初觉有之，即须速服犀角地黄汤等药，四畔贴敷……是痈疖……以膏涂……即滞……候烂肉……
辨别痈疽宜灸不宜灸的方法：
大凡痈疽发背初生，如黍粟粒许大，或痒或痛，感觉似乎有邪气，即用汤水淋射，兼贴药物……经一两日……彻……其疮……当疮……尤佳……焦枯……三壮之火……承光（在头上五处穴后二寸处）、神庭（在发际直鼻上）、竹空（在眉后陷中）、膺窗（在胸下一寸六分两乳中）、脑户（在脑后发际一寸大筋旁宛宛中）、喑门（在项后发际宛宛中）、阳络（在臂上大脉沟上一寸）、下关（在耳前动脉处）、耳中大脉应手挟结喉旁通五脏）、石门（在脐下二寸女子禁不灸）、伏兔（在足……小趾次趾本节后间去侠溪傍一寸五分）。上述穴位，根据《针经》记载禁止不可艾灸，或者在上面长出疮疖，也不得便施灸，暂且用各种方法，及汤水注射，纵使用针烙出之，即并无妨碍，其经久……即别取少许硫黄，于火上烧之，以银钗脚挑之，取焰点……为度。
辨别痈疽宜针烙不宜针烙的方法：
大凡痈疽，头少肿处多，出脓不快者，宜针烙。脓未盛以前，不可不以诸药贴救疗，以安……以至……处，众热……瘀无……为良……皮薄……之功……如……之……为……勿顿出脓，徐徐令出。痈疽广大脓溃肌者，惧一时之痛，不肯四畔多下针烙，唯开三两处而已，欲望早愈，不亦难乎？常见有开肿者，不审浅深，所烙或当时无脓，经宿方溃，或下针不出，别处生头，或抑擦动，益加损疼，真气转伤。经云：“病浅针深，则气血伏沉；若病深针浅，则毒瓦斯不泄，反为大痈也。”如果务求速愈，肿内余脓及脓根未尽，便令疮合，后必再发。诸发肿都软而不痛者，即并宜针烙。若发于背者，即须用水角（拔罐），乃得痊愈。
辨别痈疽宜水角不宜水角的方法：
凡疗痈疽发背，肿高坚硬，脓稠盛色赤者，宜水角。陷下肉色不变，软慢稀者，不用水角……坑二……下……腰间……被水……每……恻……惊……萌……溃……贵于……至……
Commentary states: In the "Rites of Zhou" (Zhou Li), surgeons (Yang Yi) and physicians for internal diseases (Ji Yi) had distinct divisions of labor and different treatment methods. Those suffering from sores and ulcers were treated by surgeons with medicinal applications, as this was not a specialized discipline sufficient to deeply investigate the subtle distinctions of blood exhaustion and stasis obstruction.
The "Inner Canon" (Neijing) states: "Sores and carbuncles must not be delayed for even an instant," lest they cause internal rotting of muscles and bones, penetrating through the zang-fu organs. Is this not taboo to heaven and humanity?
Auspicious and inauspicious directions for treating diseases:
In the third, seventh, and eleventh months, one must not face west when treating diseases.
In the fourth, eighth, and twelfth months, one must not face south when treating diseases.
In the first, fifth, and ninth months, one must not face east when treating diseases.
In the second, sixth, and tenth months, one must not face north when treating diseases.
When treating any disease, one must examine the patient's natal year and current annual fate (Xing Nian Ben Ming). If it aligns with auspicious stars such as Sheng Qi (Vital Energy), Tian De (Heavenly Virtue), and Fu De (Fortune Virtue), going there will surely lead to recovery. One must also observe whether the person observing the patient in accordance with Sheng Qi indicates auspiciousness, and diagnose based on facial complexion colors. If a patient has red veins in the eyes running vertically through the pupil, one vein indicates death within one year, two veins indicate death within two years... (text missing here).
Discussion on acupoints contraindicated for the development of sores and carbuncles.
Nine areas on the back and front are forbidden for sores.
1. Entering the hairline is Yuzhen (玉枕), also known as Sheben.
2. The cervical vertebrae of the neck.
3. Chonggu (崇骨).
4. Dazhui (大椎), corresponding to the five zang organs.
5. Both sides of the spinal column, Feishu (肺俞) acupoint.
6. Both sides of the paravertebral muscles, Pishu (脾俞) and Ganshu (肝俞) acupoints.
7. Both sides of the spinal column, Shenshu (肾俞) acupoint.
8. Posterior heart Jiwei (鸠尾) acupoint.
9. Jiwei bone acupoint.
Five areas on the front are forbidden for sores:
1. Throat bone, called Chuiping (垂膺).
2. Center of the chest, called Shenshe (神舍).
3. Xinjiuwei (心鸠尾).
4. Between the two breasts.
5. Two cun below the umbilicus, between the intestinal folds.
Three areas on the side are forbidden for sores:
1. The depression at the tip of the jaw near the ear behind the ear, called Houmai (喉脉); one point is under the mandible, one is the shoulder bone.
2. Three cun above Chengshan (承山), one point, for the large intestine.
Method for distinguishing good and bad prognoses of sores and carbuncles:
Generally, external sores and carbuncles are easy to understand; however, internal sores and carbuncles are hidden and invisible, making treatment extremely difficult since they cannot be seen. However, the five zang and six fu organs have shu points... (text missing here). Breathing is calm, voice is clear and bright; this is the fifth sign of good prognosis. Body qi is peaceful; this is the second sign of good prognosis. However, if symptoms match the seven signs of bad prognosis, the skin is tight and contracted like in good cases... (text missing here). Slight elevation... Liver abscess... Spleen abscess... Kidney abscess.
Shu Er (枢二) acupoint is beside the umbilicus. Tian (田), also named Shimen (石门), Jing Shi (精室), or Ming Men (命门), is one acupoint two cun below the umbilicus. If Guanyuan (关元) acupoint presents with dull pain, it is Small Intestine Carbuncle (Xiao Chang Ju). If the upper abdomen muscle slightly bulges, it is Small Intestine Abscess (Xiao Chang Yong).
Various methods for treating organ-related sores and carbuncles:
When sores, carbuncles, and boils first appear, they are about the size of millet grains, with slight pain or itching. If touched or broken, they spread... (text missing here). Upon initial sensation, one must quickly administer Rhinoceros Horn Decoction (Xijiao Dihuang Tang - inferred contextually though text says "Xi"), apply patches around the four sides... These are sores and boils... Apply ointment... Stagnation occurs... Wait for necrotic tissue...
Method for distinguishing when moxibustion is suitable or unsuitable for sores and carbuncles:
When sores and carbuncles on the back first appear, sized like millet grains, causing itching or pain, suggesting pathogenic presence, use hot water irrigation and apply medicinal patches... After one or two days... Penetrate... The sore... Over the sore... Especially good... Scorched and dry... Three moxa cones' fire... Chengguang (承光) (two cun posterior to Wuchu acupoint on the head), Shenting (神庭) (straight above the nose at the hairline), Zhukong (竹空) (in the depression behind the eyebrow), Yingchuang (膺窗) (one cun six fen below the chest, between the breasts), Naohu (脑户) (in the depression beside the large tendon one cun inside the posterior hairline), Yanmen (喑门) (in the depression at the posterior hairline of the neck), Yangluo (阳络) (one cun above the major pulse groove on the arm), Xiaguan (下关) (at the arterial pulse anterior to the ear), Ear major pulse responding to hand, flanking the larynx connecting to five zang organs), Shimen (石门) (two cun below the umbilicus, prohibited for women), Futu (伏兔) (on the leg... lateral to Xiaxi, one cun five fen distal to the base of the second toe). According to the "Classic of Acupuncture" (Zhenjing), these acupoints are prohibited for moxibustion. If sores or boils appear on them, do not apply moxibustion immediately. Instead, use various methods and water injection. Even if needling and cauterization are used, there is no harm. For chronic cases, take a small amount of sulfur, burn it over fire, pick it up with the tip of a silver hairpin, and use the flame to cauterize... to the appropriate degree.
Method for distinguishing when needle cauterization is suitable or unsuitable for sores and carbuncles:
For sores and carbuncles with little swelling at the head but extensive surrounding swelling, and slow pus discharge, needle cauterization is suitable. Before the pus becomes abundant, one must not fail to use various medicinal patches for rescue and treatment to stabilize... until... place, excessive heat... stasis without... is best... thin skin... merit... like... of... as... Do not drain pus abruptly; let it flow slowly. For large sores and carbuncles with ruptured pus and damaged muscle, fearing momentary pain, patients refuse multiple needle cauterizations around the periphery, opening only two or three places. Desiring early healing is not difficult? It is observed that some open swellings without assessing depth; cauterization may yield no pus initially, leading to suppuration overnight, or needles fail to release pus, causing new heads to form elsewhere, or pressing causes movement, increasing damage and pain, further injuring true qi. The Classic states: "If the disease is superficial but the needle is deep, qi and blood become submerged; if the disease is deep but the needle is shallow, toxic vapors are not discharged, resulting in a larger carbuncle." If one seeks rapid recovery while residual pus and pus roots remain, closing the wound will inevitably lead to recurrence. All swollen masses that are soft and painless should undergo needle cauterization. If occurring on the back, cupping therapy (Shui Jiao/Water Horn) is required for recovery.
Method for distinguishing when cupping therapy (Shui Jiao) is suitable or unsuitable for sores and carbuncles:
When treating sores and carbuncles on the back, if the swelling is high and hard, with thick, abundant, red-colored pus, cupping therapy is suitable. If the area is depressed, flesh color unchanged, soft, slow, and sparse, cupping therapy is not used... Pit two... down... waist region... affected by water... every... side... shock... sprout... rupture... precious to... to...