\r合阳疽\p04-a55a71.bmp\r
是足太阳膀胱经。湿热之毒所生。初宜托里除湿清热之药。内以羌活汤汗之则愈。如已成形。再
加排脓止痛则溃。外宜敷贴之则已。
\r脱疽\p04-a55a72.bmp\r
是足之大指次指。或足溃而脱。故名脱疽。是脾经积毒下注而然。赤色。先肿痛及不痛。俱以蒜
灸之。人参败毒托里之剂治之。若色紫黑者急斩去之。如黑上至踝骨不治。
\r疔疮\p04-a55a73.bmp\r
凡手指名蛀节疔圣则腐去本节轻则拳挛
凡疔疮始发。原无定处。皆因荣卫迟遏所生。又经云。膏粱之变。足生大疔。东垣分二十三疔。
余今分三十四种疔。俱在前论。初发时遍身拘急口噤如 症。宜针疮顶出血。 蟾酥定内服药。如黑
了眼必死。
\r骨羡疮\p04-a55a74.bmp\r
是足太阳膀胱经。多血少气。生于神堂二穴及膈关膈俞穴。初发作痒不可忍。如燎浆水 。抓破
内见骨。过十日如遍身俱痒不可治也。
\r骨痿疮\p04-a55a75.bmp\r
是足少阳胆经。多气少血。其疮生于两胯骨上。渐大筋骨俱痛。 开流水尽即死。如胯相对并有
疮肿者。十无一生。用大马屁勃垫睡。不令磨着。内服补中益气药治之。
合阳疽
这是足太阳膀胱经,由湿热之毒所引发。初期适宜使用托里除湿清热的药物。内服羌活汤发汗即可痊愈。如果已经成形,再加用排脓止痛的药物使其溃破。外敷贴药即可治愈。
脱疽
发生在足大趾或次趾(第二趾),或者足部溃烂脱落,因此称为脱疽。这是由于脾经积毒下注所致。患处呈赤色,先出现肿痛或不痛的症状,均用蒜进行灸治。用人参败毒散等托里剂治疗。如果颜色变为紫黑色,急需切除患处。如果黑色蔓延至踝骨以上,则无法治愈。
疔疮
凡是手指上的疔疮,名为蛀节疔,严重的需切除本节,轻的会导致手部拳挛。
凡是疔疮初起,没有固定的部位,都是因为营卫之气运行迟滞受阻而生。又经云:“膏粱之变,足生大疔。”东垣将疔分为二十三类,我现在将其分为三十四种疔,都在前面的论述中。初发时全身拘急、口噤如痉症一般。适宜针刺疮顶出血。服用蟾酥定作为内服药。如果出现黑眼珠必死无疑。
骨羡疮
这是足太阳膀胱经,该经多血少气。生于神堂二穴及膈关、膈俞穴。初发作痒难忍,像燎浆水疱一样,抓破后内见骨头。超过十日若全身都痒,则无法治愈。
骨痿疮
这是足少阳胆经,该经多气少血。其疮生于两胯骨上方,逐渐增大,筋骨俱痛。如果溃破流水不止即死。如果两侧胯部相对处都有疮肿,十人中没有一人能活。用大马屁勃垫着睡觉,不让患处摩擦。内服补中益气药治疗。
He Yang Ju (Abscess at He Yang)
This occurs in the Foot-Taiyang Bladder Meridian, caused by toxic damp-heat. Initially, herbs that support the interior, dispel dampness, and clear heat should be used. Internally administering Qianghuo Tang (Notopterygium Decoction) to induce sweating will lead to recovery. If the lesion has already formed, adding herbs that drain pus and relieve pain will cause it to ulcerate. External application of plasters will cure it.
Tuo Ju (Falling Off Gangrene)
It occurs on the big toe or the second toe of the foot, or involves ulceration and detachment of the foot, hence named Tuo Ju (Falling Off Gangrene). It results from accumulated toxins in the Spleen Meridian sinking downward. The area is red; whether painful and swollen or not, it should be treated with moxibustion using garlic. It is treated with formulas such as Renshen Baidu San (Ginseng Detoxification Powder) to support the interior and detoxify. If the color turns purple-black, urgent amputation is required. If the blackness extends above the ankle bone, it is incurable.
Ding Chuang (Carbuncle/Boil)
Any Ding Chuang (Carbuncle) on the fingers is called Zhu Jie Ding (Borer-Joint Carbuncle); severe cases require amputation of the affected segment, while mild cases result in hand contracture.
Any Ding Chuang initially arises without a fixed location, caused by sluggish obstruction of Ying (Nutrient) and Wei (Defensive) Qi. As the classics state: "Changes from rich food and drink can produce large Ding Chuang." Dong Yuan classified Ding Chuang into twenty-three types; I now classify them into thirty-four types, all discussed in previous sections. At the initial stage, there is general stiffness and spasms, with locked jaws resembling Jing Syndrome (Spasm Syndrome). Pricking the top of the carbuncle to bleed is appropriate. Chan Su Ding (Toad Venom Pill) should be taken internally. If the pupils turn black, death is inevitable.
Gu Xian Chuang (Bone Exostosis Ulcer)
This occurs in the Foot-Taiyang Bladder Meridian, which is characterized by abundant blood but deficient Qi. It arises at the Shentang (BL-44) acupoints and the Ge Guan (BL-48) and Ge Shu (BL-17) acupoints. Initially, it causes unbearable itching, resembling blistering water blisters; scratching breaks the skin, revealing the bone underneath. If, after ten days, the whole body becomes itchy, it is incurable.
Gu Wei Chuang (Bone Withering Ulcer)
This occurs in the Foot-Shaoyang Gallbladder Meridian, which is characterized by abundant Qi but deficient blood. The ulcer arises above the hip bones, gradually enlarging with pain in both sinews and bones. If it ulcerates and flows with fluid ceaselessly, death ensues. If ulcers and swelling appear on both sides of the hips facing each other, none out of ten will survive. Sleep on a cushion made of Da Ma Pi Bo (likely referring to a specific herbal preparation or material), preventing friction. Internally treat with Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction).