\r蜂窝发\p04-a55a17.bmp\r
此疮发于或中等穴。是足少阴肾经之穴。其经多气少血。如蜂窝发在胸乳间。或左或右。或双发
者。因心热甚急。用内疏心火之药治之。其症心悬若饥。饥不欲食。舌干咽肿。如不早治。毒皈于心。
不能生矣。
\r瘭疽发\p04-a55a18.bmp\r
此疮发于背后两旁。是足太阳经等穴。其经多血少气。脊中穴是督脉之经。初发如豆。小者如梅
李大。黑白色不定。疹痛应心。四畔如牛唇。四十岁以前可治。以后者恐衰弱难痊。其在左右亦相同
也。
\r体疽发\p04-a55a19.bmp\r
此疮发于足太阳经。多血少气。上至肺俞。下至肝俞等五穴。左右相同。八日可刺。如不溃。二
十日死。或初发时肿上如椒子者死。
\r蜂窝向上发\p04-a55a20.bmp\r
此疮发于背。是督脉兼太阳经。多血少气。最不宜头向上。名曰反症。最凶。若赤肿痛。无七恶
者可治。如无脓痰发者。及有串流于肩膊者。决不疗也。入膜者不治。凡头开不住。不论向上向下。
宜收毒散枯之。
\r蜂窝向下发\p04-a55a21.bmp\r
此疮头向下发者少顺。亦不宜侵展速快。须仔细用药托补。恐毒归心。穿膜无串有脓。知痛能食
者可治。如不食无脓脉弱者死。
蜂窝发
这种疮疡发生在或中穴。这是足少阴肾经的穴位。该经脉多气而少血。如果蜂窝发出现在胸乳之间,或在左侧,或在右侧,或者双侧同时发生,是因为心火炽盛急迫,应当使用内疏心火的药物进行治疗。其症状表现为心中空虚感如同饥饿,但想吃却不想进食,舌干咽肿。如果不及时治疗,毒邪会归于心,导致无法治愈。
瘭疽发
这种疮疡发生在背部两侧。这是足太阳经等穴位所在。该经脉多血而少气。脊中穴属于督脉。初起时像豆子一样小,小的如梅核大,大的如李子大,颜色黑白不定,疼痛放射至心脏,四周肿胀如牛唇状。四十岁以前发病可以治疗,四十岁以后发病恐怕因身体衰弱难以痊愈。无论发生在左侧还是右侧,情况都相同。
体疽发
这种疮疡发生在足太阳经,多血少气。上至肺俞穴,下至肝俞穴等五个穴位,左右两侧情况相同。第八天可以刺破排脓。如果不溃破,二十天后会死亡。或者初起时肿胀处像辣椒籽一样的也会死亡。
蜂窝向上发
这种疮疡发生在背部,是督脉兼足太阳经。多血少气。最忌讳疮头向上生长,这被称为“反症”,最为凶险。如果红肿疼痛,但没有出现“七恶”证候的可以治疗。如果没有脓液痰浊排出,以及有脓液串流到肩膊部位的,绝对无法治愈。侵入膜内的也不治。凡是疮口不能闭合的,不论方向向上还是向下,都应该使用收毒散使其枯死。
蜂窝向下发
这种疮疡疮头向下生长的较少见且较顺遂。也不宜发展迅速。必须仔细用药托补正气,担心毒邪归心。如果穿膜后没有串走但有脓液,知道疼痛且能进食的可以治疗。如果不能进食、无脓液且脉象微弱的则会死亡。
Honeycomb Carbuncle (Fengwo Fa)
This sore arises at the Huozhong acupoint. This is an acupoint of the Foot-Shaoyin Kidney Meridian. This meridian has abundant Qi but scarce Blood. If the honeycomb carbuncle appears between the chest and breasts, either on the left side, on the right side, or on both sides simultaneously, it is due to excessive and urgent Heart Fire. It should be treated with herbs that internally drain Heart Fire. The symptoms include a sensation of emptiness in the heart resembling hunger, yet a lack of desire to eat; dry tongue and swollen throat. If not treated early, the pathogenic toxin will return to the Heart, leading to incurability.
Biao Ju Carbuncle (Biaoju Fa)
This sore arises on both sides of the back. These are acupoints of the Foot-Taiyang Bladder Meridian and others. This meridian has abundant Blood but scarce Qi. the Jizhong acupoint belongs to the Du Mai (Governing Vessel). Initially, it appears like a bean, small ones the size of a plum seed, large ones the size of a plum fruit. The color is indeterminate, being black or white. The pain radiates to the heart. The surrounding swelling resembles the lips of an ox. If occurring before the age of forty, it is treatable; if occurring after forty, it is feared to be difficult to cure due to physical decline. The situation is the same whether it occurs on the left or right.
Ti Ju Carbuncle (Tiju Fa)
This sore arises on the Foot-Taiyang Bladder Meridian, which has abundant Blood but scarce Qi. It extends from Feishu (BL13) upwards to Ganshu (BL18) downwards, involving five acupoints. The condition is identical on both left and right sides. It can be punctured on the eighth day. If it does not suppurate, death will occur within twenty days. Alternatively, if upon initial onset the swelling resembles chili seeds, death will ensue.
Upward-Developing Honeycomb Carbuncle (Fengxiang Shangfa)
This sore arises on the back, involving the Du Mai (Governing Vessel) and the Foot-Taiyang Bladder Meridian. It has abundant Blood but scarce Qi. It is most inadvisable for the head of the sore to develop upward; this is termed "Reverse Syndrome" (Fan Zheng), which is extremely malignant. If there is redness, swelling, and pain without the manifestation of the "Seven Evil Signs" (Qi E), it is treatable. If there is no discharge of pus or phlegm, and if the infection spreads to the shoulders and arms, it is absolutely incurable. If it penetrates into the membranes, it is also incurable. For any sore where the opening fails to close, regardless of whether it develops upward or downward, one should use formulas to gather the toxin and cause it to wither and die.
Downward-Developing Honeycomb Carbuncle (Fengxiang Xiafa)
Sores with heads developing downward are less common and tend to follow a smoother course. However, rapid spread is still undesirable. One must carefully use herbs to support and tonify the healthy Qi, fearing that the toxin may return to the Heart. If the membrane is penetrated without spreading, but pus is present, and the patient feels pain and can eat, it is treatable. If the patient cannot eat, there is no pus, and the pulse is weak, death will occur.