夫疮疽证候，善恶逆从，不可不辨。从来医疮，概举五善七恶，殊不知此特谓肠胃之内
腑疮疽所论之证也。发背、脑疽，别有善恶之证，载之于后。盖七恶者，烦躁时嗽，腹痛渴
甚，或泄痢无度，或小便如淋者，一恶也；脓血既泄，肿 尤甚，脓色败臭，痛不可近，二
恶也；目视不正，黑睛紧小，白睛青赤，瞳子上看，三恶也；喘粗短气，恍惚嗜卧，四恶也
；肩背不便，四肢沉重，五恶也；不能下食，服药而呕，食不知味，六恶也；声嘶色败，唇
鼻青赤，面目四肢浮肿者，七恶也。动息自宁，饮食知味，一善也；便利调匀，二善也；脓
溃肿消，水鲜不臭，三善也；神彩精明，语声清亮，四善也；体气平和，五善也。病有证合
七恶，皮急紧而如善者，病有证合五善，而皮缓虚如恶者。夫如是者，岂浅识之所知哉！只
知五善并至，则善无以加矣；七恶并至，见恶之极矣。愚意裁之，凡患疮疽之时，五善之中
，乍见一二善证，疮亦回也；七恶之内，忽见一二恶证，宜深惧之。大抵证候，疮疽之发，
虚证见恶证者
洪滑粗散者，难疗；微涩迟缓者，易痊。此善恶之证，于诊候之中，亦可知也。发背、脑疽
及
者，是为五逆。其余热渴痢呕，盖毒瓦斯入里，脏腑之伤也，当随证以治之。
疮疽的证候，有善证与恶证、顺证与逆证的区别，不可不加以辨别。以往医生治疗疮疡，一概列举五善七恶，却不知道这仅仅是针对肠胃内部腑脏疮疽所论述的证候。至于发背、脑疽，则有另外不同的善恶证候，记载如下。
所谓七恶：烦躁且时时咳嗽，腹痛且极度口渴，或者泄泻痢疾无度，或者小便像淋证一样涩痛难忍的，是第一恶；脓血已经排出，但肿胀反而更加严重，脓液颜色败坏且有臭味，疼痛剧烈无法触碰的，是第二恶；目光不正，黑眼球紧缩变小，眼白部分呈现青红色，瞳孔向上翻视的，是第三恶；呼吸急促气短，神志恍惚嗜睡懒动的，是第四恶；肩背活动不便，四肢沉重乏力的，是第五恶；不能进食，服药后呕吐，饮食不知味道的，是第六恶；声音嘶哑，面色败坏，嘴唇和鼻子呈现青赤色，面目及四肢浮肿的，是第七恶。
所谓五善：呼吸平稳安宁，饮食知道味道的，是第一善；大小便调和均匀，是第二善；脓液溃破后肿胀消退，脓水新鲜且不臭，是第三善；神采精明，说话声音清亮，是第四善；身体气息平和，是第五善。
疾病中有的证候符合七恶的表现，但皮肤紧绷如善证般正常；有的证候符合五善的表现，但皮肤松弛虚弱如恶证般异常。像这样的情况，难道是浅薄见识的人所能知晓的吗！只知道五善全部出现，就是善到了极点；七恶全部出现，就是恶到了极点。依我个人的判断裁量，凡是患有疮疽的时候，在五善之中，如果突然见到一两个善证，说明疮毒也有回转的希望；在七恶之内，如果忽然见到一两个恶证，应当深深警惕。大体上观察脉象，如果脉象洪大滑数或粗散无力，则难以治疗；如果脉象微细涩滞或迟缓，则容易痊愈。这些善恶的证候，在诊察脉象的过程中，也可以知晓。
发背、脑疽以及[此处原文可能有缺字，通常指特定重症]，称为五逆。其余的热渴、痢疾、呕吐等症状，大概是毒瓦斯侵入体内，损伤了脏腑，应当根据具体证候来治疗。
The manifestations of sores and carbuncles involve distinctions between favorable (Shan) and unfavorable (E) signs, as well as smooth (Cong) and adverse (Ni) courses, which must not fail to be differentiated. Historically, physicians treating sores have generally cited the Five Favorable and Seven Unfavorable signs, yet they did not realize that these specifically refer to the syndromes discussed for sores and carbuncles located within the internal organs of the intestines and stomach. For back carbuncles (Fabei) and neck carbuncles (Naoju), there are distinct favorable and unfavorable signs, which are recorded below.
The so-called Seven Unfavorable Signs: Restlessness accompanied by frequent coughing, abdominal pain with extreme thirst, or uncontrolled diarrhea and dysentery, or urination resembling strangury (Lin syndrome), is the First Unfavorable Sign; after pus and blood have been discharged, swelling becomes even more severe, the pus has a败坏 (decayed) color and foul odor, and the pain is unbearable to touch, is the Second Unfavorable Sign; gaze is abnormal, the black pupil is tight and small, the white sclera is greenish-red, and the pupil looks upward, is the Third Unfavorable Sign; panting, rough breathing, shortness of breath, mental confusion, and drowsiness, is the Fourth Unfavorable Sign; inability to move shoulders and back, heaviness in the four limbs, is the Fifth Unfavorable Sign; inability to take food, vomiting after taking medicine, and loss of taste for food, is the Sixth Unfavorable Sign; hoarseness, deterioration of complexion, cyanotic and red lips and nose, and edema of the face, eyes, and four limbs, is the Seventh Unfavorable Sign.
The so-called Five Favorable Signs: calm breathing and movement, knowing the taste of food, is the First Favorable Sign; regular and balanced bowel movements and urination, is the Second Favorable Sign; after pus ulcerates and swelling subsides, the discharge is fresh and odorless, is the Third Favorable Sign; bright spirit and clear voice, is the Fourth Favorable Sign; peaceful body qi, is the Fifth Favorable Sign.
In disease, some cases present symptoms consistent with the Seven Unfavorable Signs, yet the skin is tight and appears normal like a favorable case; some cases present symptoms consistent with the Five Favorable Signs, yet the skin is loose and weak like an unfavorable case. Such situations, can they be understood by those with shallow knowledge? It is commonly believed that if all Five Favorable signs appear, favorability cannot be exceeded; if all Seven Unfavorable signs appear, unfavorability reaches its extreme. In my opinion, when suffering from sores and carbuncles, if one or two favorable signs suddenly appear among the Five Favorable, it indicates that the sore may turn around; if one or two unfavorable signs suddenly appear among the Seven Unfavorable, deep caution is required. Generally speaking, regarding pulse diagnosis, pulses that are surging, slippery, coarse, or scattered are difficult to treat; pulses that are fine, choppy, slow, or delayed are easy to cure. These favorable and unfavorable signs can also be known through pulse diagnosis. Back carbuncles (Fabei), neck carbuncles (Naoju), and [missing text] are referred to as the Five Adverse conditions. The remaining symptoms such as heat, thirst, dysentery, and vomiting are likely due to toxic vapors entering the interior and damaging the zang-fu organs; treatment should follow the specific syndrome.