病 每在手背生,情势如 赤肿疼,内宜消毒外汤洗,手三阳经热毒成。
【注】此证生于手背,属手三阳经积热毒盛而成。情势如 ,高埂赤肿疼痛。初宜服
黄连消毒饮,外用食盐、酒糟、香油同炒令香,淬以滚汤,淋洗患处即消。如高埂不消,
再用蟾酥饼贴之,外用巴膏盖之,以腐尽埂子,次敷生肌散,仍用膏盖收敛。
\r病 图\p04-34a159.bmp\r
黄连消毒饮(见头部百会疽)
蟾酥饼(即蟾酥丸作饼。见疔疮门)
巴膏 生肌散(俱见溃疡门)
手丫发生手指岐,湿火凝结本于脾,初粟渐豆 热痛,内外治法按疔医。
【注】此证生于手丫岐骨缝间,除大指合谷穴,其余指丫生患,即名手丫发。本于脾
经湿火凝结而成。初起如粟色红,渐大如豆, 热疼痛。溃后疼痛不止者,俟脓塞脱出,其
痛方止。内外治法俱按疔证门。
\r手丫发图\p04-34a160.bmp\r
调疽大指肺热生,如粟如李青紫疼,六日刺出脓血吉,黑腐延蔓断指凶。
【注】此证生于手大指,由肺经积热而成。
初如粟豆,渐肿如李,青紫麻木,痒痛彻心。六日刺破,出稠脓鲜血者吉,出黑血者险。初
服麦灵丹汗之,次服仙方活命饮,外敷白锭子。其余内外治法,俱同痈疽肿疡、溃疡门。
若黑腐延蔓不痛者,名断指,属逆。治法与足部脱疽同。
\r调疽图\p04-34a161.bmp\r
麦灵丹 仙方活命饮 白锭子(俱见肿疡门)
病证:这种病证通常长在手背上,症状表现为局部红肿疼痛。内服药物宜用清热解毒法,外用汤剂清洗患处,此病多由手三阳经的热毒积聚而成。
【注释】此证候生于手背,属于手三阳经积热毒盛所致。病情表现如同疔疮,局部隆起高埂,红肿疼痛。初期适宜服用黄连消毒饮,外用食盐、酒糟、香油一同炒香,用滚开水冲泡淬取药液,淋洗患处即可消退。如果隆起的高埂不消退,再用蟾酥饼贴敷,外用巴膏覆盖,以促使腐肉排尽高埂,随后敷上生肌散,仍用膏药覆盖以收敛伤口。
[图片:病证图]
黄连消毒饮(参见头部百会疽章节)
蟾酥饼(即把蟾酥丸做成饼状。参见疔疮门章节)
巴膏 生肌散(均参见溃疡门章节)
手丫发:此病生于手指分叉处,病因源于脾经的湿火凝结。初起如粟米大小,逐渐增大如豆粒,伴有灼热疼痛感,内外治法参照疔疮医案处理。
【注释】此证候生于手指缝隙间,除了大拇指合谷穴部位外,其余手指缝隙发生的患部,即称为手丫发。本于脾经湿火凝结而成。初起时颜色红如粟米,逐渐增大如豆粒,有灼热疼痛感。溃破后若疼痛不止,需等待脓液排出后,疼痛才会停止。内外治法均参照疔证门处理。
[图片:手丫发图]
调疽:此病生于大拇指,由肺经积热所致。初起如粟米或李子大小,呈青紫色并伴有疼痛。若在第六天刺破流出脓血为吉兆,若黑腐蔓延则预示断指之凶险。
【注释】此证候生于大拇指,由肺经积热而成。初起如粟豆,逐渐肿胀如李子,呈青紫色且麻木,痒痛彻心。第六天刺破,若流出稠脓和鲜血为吉兆,流出黑血则情况危险。初期服用麦灵丹使其发汗,随后服用仙方活命饮,外敷白锭子。其余内外治法,均同痈疽肿疡、溃疡门。若黑腐蔓延且不痛者,名为断指,属于逆证。治法与足部脱疽相同。
[图片:调疽图]
Disease: This condition typically arises on the back of the hand, presenting with local redness, swelling, and pain. Internally, it is appropriate to use heat-clearing and detoxifying methods; externally, decoctions should be used to wash the affected area. This disease is often caused by the accumulation of heat-toxin in the Hand-Taiyang, Hand-Yangming, and Hand-Shaoyin meridians (Hand Three Yang Meridians).
[Annotation] This syndrome occurs on the back of the hand and is caused by the accumulation of excessive heat-toxin in the Hand Three Yang Meridians. The clinical presentation resembles a Ding sore (hard, raised nodule), with a high ridge, redness, swelling, and pain. In the initial stage, it is suitable to take Huanglian Xiaodu Yin (Coptis Decoction for Disinfecting Toxins). Externally, mix salt, wine lees, and sesame oil, stir-fry until fragrant, steep in boiling water, and pour the liquid over the affected area to wash it, which will cause the swelling to subside. If the high ridge does not subside, apply Chansu Bing (Toad Venom Cake) and cover it externally with Ba Gao (Ba Ointment) to promote the discharge of necrotic tissue from the ridge. Subsequently, apply Shengji San (Flesh-Regenerating Powder) and continue covering with ointment to facilitate wound contraction.
[Image: Disease Diagram]
Huanglian Xiaodu Yin (See section on Baihui Ju of the Head)
Chansu Bing (Refers to Toad Venom Pills made into cakes. See section on Ding Chuang)
Ba Gao, Shengji San (Both see section on Kui Yang)
Shouya Fa: This condition arises at the web spaces between fingers. Its etiology stems from the condensation of damp-heat fire in the Spleen meridian. Initially, it appears as small as a millet seed, gradually enlarging to the size of a bean, accompanied by burning heat and pain. Internal and external treatment methods follow those for Ding sores.
[Annotation] This syndrome occurs in the interdigital spaces. Except for the Hegu acupoint on the thumb, any lesion arising in the other finger webs is named Shouya Fa. It originates from the condensation of damp-heat fire in the Spleen meridian. In the early stage, it is red like a millet seed and gradually enlarges to the size of a bean, causing burning heat and pain. If pain persists after ulceration, wait for the pus to drain completely before the pain ceases. Both internal and external treatments follow the protocols in the Ding Zheng (Ding Syndrome) section.
[Image: Shouya Fa Diagram]
Tiao Ju: This condition arises on the thumb, caused by accumulated heat in the Lung meridian. It initially resembles a millet seed or a plum, appearing bluish-purple and painful. Puncturing it on the sixth day to release pus and blood is auspicious; blackening and spreading necrosis indicates a ominous prognosis of finger amputation.
[Annotation] This syndrome occurs on the thumb and is caused by accumulated heat in the Lung meridian. Initially resembling a millet seed or bean, it gradually swells to the size of a plum, becoming bluish-purple, numb, and experiencing itching and pain that penetrates the heart. Puncture on the sixth day; discharging thick pus and fresh blood is auspicious, while discharging black blood is dangerous. Initially, administer Mailing Dan to induce sweating, followed by Xianfang Huoming Yin. Apply Baidingzi externally. All other internal and external treatments are consistent with those in the Yong Ju Zhong Yang (Carbuncle, Ulcer, and Swelling) and Kui Yang sections. If black necrosis spreads without pain, it is named Duan Zhi (Severed Finger), which is considered a adverse sign (Ni). The treatment method is the same as that for Tuo Ju (Gangrene) of the foot.
[Image: Tiao Ju Diagram]
Mailing Dan, Xianfang Huoming Yin, Baidingzi (All see section on Zhong Yang)