凡疮初起，惟除项之以上，余皆并用艾火，随疮势之大小，灸艾壮之多少，用蒜切成薄片，安于疮顶上，
着艾炷蒜上，点火三壮，一换蒜片，初灸觉痛，以不痛似痒为止；初灸不痛，以知痛痒为住。如初灸，全然不
觉痛痒，宜去蒜，当明灸之。又阴疮日数多者，艾炷不及其事，以蒜捣烂铺于疮上，以艾亦铺蒜上，点火灸之
，必知痛甚为效。此为火气方得入里，知痛深处方是好肉。盖艾火拔引郁毒，透通疮窍，使内毒有路而外发，
诚为疮科首节第一法也。贵在乎早灸为佳。又有禁灸数症，亦以参详。头乃诸阳之首，纯阳无阴之处，凡生疮
肿俱有亢阳热极所致，如再加艾火使毒瓦斯炽甚，随后反加大肿，最能引动内痰，发之必死，面生疔毒亦然。又
有肾俞一穴，在于两腰脊
傍，系内肾命根所系之处，此穴发疮，多因房劳素亏，肾水枯竭而成。若再加艾灸，火烁其源，必致内外干涸，
多成黑陷，昏闷而死。又有患者元气素虚，发疮多不高肿，其人体必倦怠，精神必短而昏，脉必浮散空虚数而
不鼓，此内无真气抵挡火气，如灸之，其人必致昏愦而死。常谓艾火不亏人，此言误之多矣，医者亦宜详察之。
初生如粟，里可容谷，外面如麻，里面如瓜；外面如钱，里可容拳。起势大，终无害，未老先白头，无脓
软陷休。疮从疙瘩起，有脓生方许，肿溃气昂昂，不治自安康。根高顶又高，八十寿还饶， 痛易腐烂，任大
终无恙。疮高热 疼，虽苦必然生，疮软无神气，应补方为益。肉肿疮不肿，必竟生疑恐，脓秽不进食，泄泻
黄泉客。疮色猪肝紫，无脓必定死，绵溃不腐烂，内怕葡萄嵌。仰卧不知疼，阴症命难生，腐尽有败气，笑里
终生戾。根散疮平塌，神仙无治法，久病目露神，必竟命难存。面忽似涂脂，十日后分离，败中有红肉，虽重
生门路。新肉如板片，不食终须变，手足皮枯槁，血败生难保。唇白眼无神，腹胀泻将倾，腌气不 气，虽重
多生意。眼匡黑气浓，痈疽怕此逢，房中香馥馥，是病终为福。疮热身微热，轻病何须说，生死此中求，片言
一可决。
凡是疮疡初起，除了头项以上的部位外，其余部位都使用艾火灸治。根据疮势的大小，决定艾灸壮数的多少。将大蒜切成薄片，放置在疮顶之上，把艾炷放在蒜片上，点燃施灸三壮，然后更换一片新蒜片；初次施灸时感到疼痛，以感觉不痛且似有痒感为停止标准；如果初次施灸时不觉疼痛，以感觉到疼痛和痒感为停止标准。如果初次施灸时完全感觉不到疼痛或痒感，应当去掉蒜片，直接进行明灸（直接灸）。另外，对于病程较长的阴疮，单用艾炷难以达到疗效，可将大蒜捣烂铺在疮面上，再将艾绒铺在蒜泥上，点火施灸，必须感到剧烈疼痛才算有效。这是因为火气才能深入体内，只有感到深处疼痛，才是好肉生长的表现。因为艾火能拔引郁结的毒邪，透通疮窍，使体内的毒邪有出路而向外发散，这确实是外科治疗的第一要法。贵在尽早施灸为佳。
又有几种禁止施灸的情况，也需要详细参考。头部是诸阳经汇聚之首，是纯阳无阴的部位，凡是生疮肿大多是由于亢盛的阳热极盛所致，如果再施加艾火，会使毒气更加炽盛，随后反而导致肿胀加剧，最能引动体内的痰浊，一旦发作必然致死，面部生疔毒也是同样的道理。还有肾俞穴，位于两腰脊旁，是肾脏和生命根本所系之处，此穴发生疮疡，多因房事过度、素体亏虚，导致肾水枯竭而成。如果再施加艾灸，火热会灼烧其本源，必然导致内外干涸，多形成黑陷证，患者昏迷闷绝而死。还有患者元气素来虚弱，发疮时疮形多不高肿，其人身体必定倦怠，精神必定短少而昏沉，脉象必定浮散空虚数急而不鼓指，这是体内没有真气抵挡火气，如果施灸，此人必然导致昏迷死亡。常说艾火不伤人，这种说法错误太多了，医生也应当仔细考察。
初生时如粟米大小，内部可容纳谷粒；外面如麻子大，内部如瓜大；外面如铜钱大，内部可容纳拳头。起势宏大，最终无害；未老先白头（指疮顶先发白），若无脓液且软陷则不可救。疮从疙瘩处发起，有脓生成方可允许（预后良好）；肿溃时气势昂扬，不治也能自愈安康。根基高、顶部又高，八十岁还能长寿；疼痛容易腐烂，任其发展最终也无恙。疮色高热且疼痛，虽然痛苦但必然能生还；疮形软而无神气，应当补益才有益处。肌肉肿胀而疮不肿，必定产生疑虑恐惧；脓液秽浊且不进食，腹泻则是黄泉客（死兆）。疮色如猪肝紫，无脓必定死亡；绵溃不腐烂，内怕葡萄嵌（指深部脓肿）。仰卧不知疼痛，阴症命难生；腐尽后有败气，笑里终生戾（指坏疽恶变）。根基散漫、疮平塌，神仙无治法；久病目露神光，必定命难存。面色忽然像涂了脂粉，十日后分离（指脱证）；败疮中有红肉，虽重也有生路。新肉如板片状，不进食最终必变坏；手足皮肤枯槁，血败生难保。唇白眼无神，腹胀泻将倾；腌气不闻气味，虽重多生意。眼眶黑气浓重，痈疽害怕遇到这种情况；房中香馥馥，是病终为福（指香气扑鼻，非恶臭，为吉兆）。疮身热而微热，轻病何须说，生死在此中求，片言一语可决断。
Whenever a sore or carbuncle first appears, except for those on the head and neck, moxibustion with mugwort (Ai Ye) should be applied to all other areas. The number of moxa cones (Ai Zhu) used depends on the size and progression of the lesion. Slice garlic into thin pieces, place one on top of the sore, position the moxa cone on the garlic slice, ignite it, and apply three moxa doses (Zhuang). Replace the garlic slice each time. If pain is felt during the initial application, stop when the sensation changes from pain to a mild itching; if no pain is felt initially, stop when pain and itching are perceived. If there is absolutely no sensation of pain or itching during the initial application, remove the garlic and perform direct moxibustion (Ming Jiu). Furthermore, for yin sores that have persisted for many days, moxa cones alone may be insufficient. In such cases, mash garlic and spread it over the sore, then cover the garlic paste with moxa wool, ignite, and moxibustate until severe pain is felt, which indicates efficacy. This is because the fire energy penetrates deeply; only when deep pain is felt does healthy tissue begin to grow. Moxibustion draws out stagnant toxins, opens the pores of the sore, and provides an exit for internal toxins to discharge outwardly. It is indeed the primary method in surgery. Early application is highly recommended.
However, there are several contraindications for moxibustion that must be carefully considered. The head is the gathering point of all yang meridians, a region of pure yang without yin. Sores and swellings here are caused by extreme hyperactive yang heat. Applying moxibustion here would intensify the toxic qi, leading to increased swelling and potentially stirring up internal phlegm, which can lead to death upon onset. Facial ding sores follow the same principle. Additionally, the Shenshu (BL-23) acupoint, located beside the lumbar spine, is connected to the kidneys and the root of life. Sores arising at this point are often due to sexual exhaustion and chronic deficiency, resulting in the depletion of kidney water. Applying moxibustation here would burn the source with fire, causing internal and external dryness, often leading to black depression (Hei Xian), coma, and death. Patients with constitutionally deficient primordial qi often present with sores that do not swell significantly. Such patients exhibit physical fatigue, mental shortness and lethargy, and a pulse that is floating, scattered, empty, rapid, and non-resilient. This indicates a lack of true qi within to resist the fire energy. Moxibustion on such patients will likely cause coma and death. The saying that "moxibustion does not harm people" is largely erroneous; physicians must examine these conditions carefully.
A sore starting like a millet seed, with an interior capable of holding grain; exterior like hemp seeds, interior like a melon; exterior like a coin, interior capable of holding a fist. A large onset but harmless conclusion; premature whitening of the tip with no pus and soft depression indicates doom. A sore rising from a nodule is permissible only if pus forms; swelling and ulceration with vigorous qi indicate recovery even without treatment. High root and high tip suggest longevity up to eighty years; pain with easy suppuration and rotting allows the sore to remain safe regardless of size. High heat and pain in the sore, though bitter, guarantee survival; soft sore lacking spirit requires tonification to benefit. Swollen flesh but non-swollen sore causes doubt and fear; foul pus, loss of appetite, and diarrhea signal death. Sore color like purple pig liver with no pus guarantees death; diffuse ulceration without rotting fears internal grape-like embedding. Supine position with no pain suggests yin syndrome with difficult survival; complete decay with foul odor and grimacing indicates malignant transformation. Scattered root and flat sore leave even gods helpless; prolonged illness with protruding eyes signals inevitable death. Face suddenly appearing as if coated with powder predicts separation (death) after ten days; red meat within decay offers a path to life even in severe cases. New flesh like wooden plates, refusing food leads to deterioration; withered skin on hands and feet with blood failure makes survival hard. White eyes with no spirit, abdominal distension, and impending diarrhea; inability to smell foul odors suggests vitality even in severe cases. Thick black qi around the eye sockets is feared in carbuncles; fragrant scent in the room indicates a favorable outcome for the disease. Sore body hot but slightly warm, light illness needs no comment; life and death are determined here, decided by a few words.