如附骨疽、气毒流注及其经久不消,内溃不痛,宜火针开之。铁箸一焙,极为快意,烙后脓
水流通,名曰熟疮(此法必用于日久顽木不痛者。)如用尖针,恐口再合。必如箸大头圆,长六
、七寸一样两枚。捻时蘸香油于炭火上烧红,于疮头近下烙,宜斜入向软处,一烙不透再烙,必
得脓水流出。不假按抑,须用真绵纸作捻,折转如索样,随深浅入疮口,余纸分开,疮外贴膏药
,焙直入恐透膜,宜斜入之。
诸毒初感,用苦竹长一、二寸,用头节妙,削去青皮,似纸薄为佳,其大小随疮斟酌。当毒
疮初发时,用白蒺藜、苍术、浓朴、乌 皮各五钱锉片,用水一碗,药与竹筒同煮,以药将干为
度。乘竹筒热,以手按之于患处,须待其筒自粘在疮上,不必手按。须臾用前药分两再煮,候
前竹筒冷,以手拔去,再将热者如前法,其脓自吸入筒中而疮愈矣。
治疮疡、肿毒、痈疽及流注、结核、鹤膝风、附骨疽等,及妇人乳痈。若先已用灼艾等法,
而余肿犹未消,或轻者未经艾灼,皆宜用此法。以葱连白头根须捣烂炒热,勿畏痛楚,须布包着
实熨之,必用二包轮转炒熨。痛者熨至不痛,硬者熨揉至软为度。大抵此法必用于微觉之时,且
熨且揉,必至于散而后已,最有大功。若跌扑伤损,瘀血凝滞,亦用此法。更以南星、草乌为末
,拌入烂葱内热熨,尤为神效。葱与生姜捣、炒、布包熨。伤寒结胸及男、妇、老、幼,一切食
积气滞,胸膈满胀痞闷,大有功力,顷刻见效。
对于附骨疽、气毒流注以及那些经久不消、内部溃烂但不疼痛的病症,适宜用火针(一种将针烧红后刺入病灶以排脓或破坚的疗法)来开通引流。将铁筷在火上焙热,患者会感到极为舒适痛快;烙烫之后脓水流通顺畅,这种方法被称为“熟疮”(此法专门用于病程长久、患处顽固麻木且无痛感的患者)。如果使用尖针,恐怕创口愈合过快导致脓液无法排出。因此,必须使用像筷子大头那样圆润的两枚器具,长度约为六七寸。操作时,手持棉捻蘸取香油,在炭火上烧红,在疮头靠近下方的位置进行烙烫,宜斜向软处进针,若一次未穿透则再次烙烫,务必使脓水流出来。不需要用手按压,需用真绵纸搓成捻子,折叠扭转如绳索状,根据深浅插入疮口,多余的纸张分开,疮口外部贴上膏药。如果垂直焙入恐怕会穿透膜层,所以宜斜向进入。
各种毒邪初感时,选用长一至二寸的苦竹,最好使用带有节疤的部分,削去青皮,切成像纸一样薄为佳,其大小根据疮疡情况斟酌决定。当毒疮刚刚发作时,取白蒺藜、苍术、厚朴、乌药各五钱,锉成片,用水一碗,将药材与竹筒一同煮,直到药液即将干涸为止。趁竹筒还热的时候,用手按在患处,必须等到竹筒自然粘附在疮上,就不必再用手按住了。片刻之后,用之前配比的药物分量再次煮制,等候前一个竹筒冷却后,用手拔去,再将加热好的竹筒按前述方法操作,脓液自然会吸入筒中,疮疡也就痊愈了。
治疗疮疡、肿毒、痈疽以及流注、结核、鹤膝风、附骨疽等病症,以及妇女乳痈。如果先前已经使用过灼艾等方法,但余下的肿胀仍未消退,或者病情较轻未曾经过艾灼的,都适宜使用此法。将连白头根须在内的葱捣烂炒热,不要畏惧疼痛,必须用布包裹严实熨烫,一定要准备两包轮流炒热熨烫。疼痛的要熨到不痛为止,坚硬的要熨揉变软为度。大抵此法必须在微觉不适之时使用,边熨边揉,必须等到肿块消散才停止,功效显著。如果是跌打损伤,瘀血凝滞,也使用此法。另外,将天南星、草乌研末,拌入烂葱内热熨,尤为神效。葱与生姜捣碎、炒热、布包熨烫。对于伤寒结胸症以及男女老幼一切食积气滞导致的胸膈满胀痞闷,具有极大功效,顷刻间即可见效。
For conditions such as *fuguju* (bone-abscess), *qidu liuzhu* (flowing toxin accumulation), and those that persist for a long time without resolving, presenting with internal ulceration but no pain, it is appropriate to use Huozhen (Fire Needle Therapy) to open the drainage. Iron chopsticks are heated on fire, providing great relief; after cauterization, pus and fluid flow smoothly, a method known as "Shuchuang" (Ripe Sore). This method must be used for chronic, stubborn, numb, and painless lesions. If a sharp needle is used, there is a risk that the opening may close prematurely. Therefore, two round-ended tools resembling the thick end of chopsticks, approximately six or seven cun in length, should be used. Hold a cotton wick dipped in sesame oil and heat it red over charcoal. Cauterize near the lower part of the sore head, inserting obliquely towards the softer tissue. If one penetration is insufficient, repeat until pus flows out. Do not press manually. Use real silk paper twisted into a rope-like wick, insert it into the sore according to depth, separate the excess paper outside, and apply a plaster over the sore. Vertical insertion risks penetrating the membrane, so oblique insertion is preferred.
When various toxins first manifest, select bitter bamboo shoots one to two cun long, preferably using the section with nodes. Scrape off the green skin until thin like paper, sizing it according to the sore. When the toxic sore initially erupts, take 5 qian each of Baijili (Tribulus Fruit), Cangzhu (Atractylodes Rhizome), Houpo (Magnolia Bark), and Wuyu (Cinnamon Twig/Cortex), slice them, and boil them with one bowl of water together with the bamboo tube until the liquid nearly dries up. While the bamboo tube is hot, press it onto the affected area by hand until it adheres naturally, then remove your hand. After a moment, boil another batch of the same medicinal dosage. Once the previous tube cools, pull it off by hand, and reapply the heated tube as before. The pus will naturally be sucked into the tube, leading to healing.
This method treats sores, swelling, toxins, carbuncles, abscesses, flowing accumulations, tubercles, crural gout (cruciate knee deformity), bone-abscesses, etc., as well as breast abscesses in women. If moxibustion has already been applied but residual swelling remains, or if the condition is mild and untreated by moxa, this method is suitable. Mash scallions including the white head and root hairs, stir-fry until hot. Do not fear pain; wrap firmly in cloth and iron (hot compress). Use two packages rotating between heating and applying. For painful areas, iron until pain ceases; for hard areas, iron and massage until soft. Generally, this method is most effective when symptoms are just beginning; iron and massage continuously until resolution, yielding significant results. It is also used for traumatic injuries with stagnant blood. Furthermore, mixing powder of Nanxing (Arisaema Rhizome) and Caowu (Aconite Root) into the mashed hot scallions for ironing is particularly miraculous. Mashed and stir-fried ginger and scallions wrapped in cloth for hot compression are also effective. For cold damage chest binding (*shanghan jiexiong*) and food stagnation with qi stagnation causing chest fullness and oppression in men, women, old, and young, this method has great efficacy, showing immediate results.