凡病中设有挟风寒者,即宜断去荤腥油腻,微服散药。俟外邪祛尽,另用滋味调补。大
抵将息痈肿,不可缺少滋味,以血肉能生血肉也。然又不宜过多,使肉气胜谷气。更忌生冷
滞气之物,恐反伤脾胃耳。并宜避风邪,戒嗔怒,寡思虑,少言语,兢兢保养为贵。至于病
后将息,毒大者,三年内宜远帷幕。毒小者,期年内宜远帷幕。犯之则成虚损,或成偏枯,
或阴减天年,不可不慎也。其他戒怒慎风,亦须常作有病时想。
以上十法,乃治痈疽发背之大纲。大者可为,小者可知已。余生平善治外证,其心法全
在于此。约而能赅,确而可守也。至于周身上下所患之病名,备载于后,以资参考。
(对心发 肾俞发 搭肩 手发 足发)
生于背,名曰发背。肺经火毒也。生于背下,与心相对,名曰对心发。心经火毒也。生
于腰,名曰肾俞发。肾经相火之毒。若生于肩脊,名曰搭肩。右为肺火,左为肝火也。生于
手背,名曰手发。生于足背,名曰足发。脾经湿热之毒也。有如莲子形者,头多突起。有如
蜂窠形者,孔多内陷。外结螺靥,此二种,须防毒陷。大率此症皆由膏粱浓味,或六淫外客
,七情内郁所致。积聚不散,以致荣气不从,逆于肉理耳。初觉肿痛,即宜用药消散之。散
而不去,则用艾灸提脓等法。痈疽之症,始为热中,末为寒中,不可不察也。
凡是患病期间如果兼夹风寒邪气,就应当立即停止食用荤腥油腻食物,服用轻清疏散的药物。等到外邪完全祛除后,再另行使用滋味浓厚的食物进行调补。大抵调养痈肿疾病,不可缺少滋味浓厚的食物,因为血肉之品能够滋养人体的血肉。然而又不宜吃得过多,以免肉气的滋腻胜过谷气的运化。更要忌讳生冷及容易阻滞气机的食物,恐怕反而损伤脾胃。并且应当避开风邪,戒除嗔怒,减少思虑,少说话,以谨慎小心地保养身体为贵。至于病后的调养,毒邪严重的,三年内应当远离帷帐(避免房事);毒邪轻微的,一年内应当远离帷帐。如果违反这些禁忌,就会形成虚损证,或者导致半身不遂,或者缩短寿命,不可不慎重。其他的如戒怒、慎避风邪等,也应当常常当作自己仍有病时那样对待。
以上十种方法,是治疗痈疽发背的大纲要领。重大的问题可以据此推演,细微的问题也可以由此知晓。我生平擅长治疗外科病症,其心法精髓全在于此。内容简约而能涵盖全面,确切而可遵循。至于全身上下所患的各种病名,详细记载在后面,以供参考。
生长在背部,名叫发背。这是肺经的火毒所致。生长在背部下方,与心脏相对的位置,名叫对心发。这是心经的火毒所致。生长在腰部,名叫肾俞发。这是肾经相火的毒邪。如果生长在肩脊部位,名叫搭肩。右侧属于肺火,左侧属于肝火。生长在手背,名叫手发。生长在足背,名叫足发。这是脾经湿热毒邪所致。有的形状像莲子,头部多突起;有的形状像蜂巢,孔洞多内陷。外部结成螺靥状,这两种情况,必须警惕毒邪内陷。大率这类病症都是由膏粱厚味(肥甘厚味),或六淫外邪侵袭,七情内郁所致。邪气积聚不散,导致营气运行不畅,逆乱于肌肉纹理之间。初起感觉肿痛,就应当用药消散它。如果消散不去,则采用艾灸提脓等方法。痈疽这类病症,初期多为热证,末期多为寒证,不可不仔细辨别。
Whenever a disease is complicated by wind-cold pathogens, one should immediately abstain from meat, fish, and greasy foods, and take mild diaphoretic (sweat-inducing) herbs. Wait until the external pathogens are completely eliminated, then use nourishing foods to tonify the body. Generally speaking, the convalescence of carbuncles and swellings cannot do without rich, nourishing foods, as animal products can generate human flesh and blood. However, one must not consume them in excess, lest the cloying nature of meat overpower the transformative power of grain. One must also avoid raw, cold, and qi-stagnating foods, for fear of damaging the Spleen and Stomach. It is also advisable to avoid wind pathogens, refrain from anger, reduce overthinking, speak little, and prioritize cautious preservation of health. Regarding post-illness care: for severe toxicity, one should avoid sexual intercourse (symbolized by staying away from curtains/bedchambers) for three years; for mild toxicity, for one year. Violating these taboos may lead to deficiency consumptive diseases, hemiplegia, or a shortened lifespan; thus, caution is essential. Other precautions such as avoiding anger and shielding from wind should be kept in mind as if one were still ill.
The above ten methods constitute the general principles for treating carbuncles and back sores. Major issues can be addressed through them, and minor ones understood. Throughout my life, I have specialized in treating external conditions, and my core methodology lies entirely herein. It is concise yet comprehensive, accurate and practicable. The names of various diseases affecting the entire body are detailed below for reference.
(Duixin Fa, Shenshu Fa, Dajian, Shoufa, Zu Fa)
A sore arising on the back is called "Fabei" (Back Sores). It is caused by Fire-Toxin in the Lung Meridian. A sore arising on the lower back, opposite the heart, is called "Duixin Fa" (Opposite-Heart Sores). It is caused by Fire-Toxin in the Heart Meridian. A sore arising on the waist is called "Shenshu Fa" (Kidney-Shu Sores). It is caused by Ministerial Fire-Toxin in the Kidney Meridian. If it arises on the shoulder ridge, it is called "Dajian" (Shoulder-Hanging). The right side corresponds to Lung Fire, and the left side to Liver Fire. A sore arising on the dorsum of the hand is called "Shoufa" (Hand Sores). A sore arising on the dorsum of the foot is called "Zufa" (Foot Sores). These are caused by Damp-Heat-Toxin in the Spleen Meridian. Some resemble lotus seeds with multiple protruding heads; others resemble honeycombs with multiple depressed pores. Externally forming snail-shell-like crusts, these two types require vigilance against toxin sinking inward. Generally, these conditions arise from rich and fatty diets, or from the invasion of Six Exogenous Pathogens externally and the stagnation of Seven Emotions internally. Accumulation fails to disperse, causing Ying-Qi (Nutritive Qi) to fail to flow smoothly and become reversed within the muscle tissue. Upon initial perception of swelling and pain, medication should be used to dissipate it. If dissipation fails, moxibustion and other methods to extract pus should be employed. Carbuncle and ulcer conditions begin as Heat syndromes in the interior and end as Cold syndromes in the interior; this distinction must not be overlooked.