此谓痈疽发于乳,脓溃之后,或虚 ,或疼痛,或渴也。凡发乳溃后,出脓血多,
则腑脏虚燥,则渴而引饮。饮入肠胃,肠胃虚,则变下痢也。
此谓肤腠理虚,有风湿之气乘虚客之,与血气相搏,而热加之,则生疮也。
肿而皮强,上如牛领之皮,谓之疽也。足阳明之脉,有从缺盆下于乳者,其脉虚则腠理
开,寒气客之,寒搏于血,则血涩不通,故结肿;而气又归之,热气淳盛,故成疽也。热久
不散,则肉败为脓也。
足阳明之经脉,有从缺盆下于乳者,其经虚,风冷乘之,冷折于血,则结肿。夫肿热则
变败血为脓,冷则核不消。又重疲劳,动气而生热,亦 烊。其汤熨针石,别有正方,补养
宣导,今附于后。
《养生方·导引法》云∶ 踞,以两手从曲脚内入,据地,曲脚加其上,举尻。其
可用行气。愈瘰 ,乳痛。交两脚,以两手从曲脚极 ,举十二通,愈瘰 、乳痛也
乳石痈之状,微强不甚大,不赤,微痛热,热自歇,是足阳明之脉,有下于乳者,其经
虚,为风寒气客之,则血涩结成痈肿。而寒多热少者,则无大热,但结核如石,谓之乳石痈
五脏不调则致疽,疽者,肿结皮强,如牛领之皮。六腑不和则致痈,痈者,肿结薄以泽
是也。腑与脏为表里,其经脉循行于身,俞皆在背;腑脏不调和,而腠理开,受于风寒,折
于血,则结聚成肿,深则为疽,浅乃为痈。随寒所客之处,血则痞涩不通,热又加之,故成
痈疽发背也。
这说的是痈疽发生在乳房部位,脓液溃破之后,出现脏腑虚弱干燥,或者疼痛,或者口渴的症状。凡是乳痈溃破后,流出大量的脓血,就会导致脏腑虚弱干燥,从而引起口渴并想要饮水。喝进去的水进入肠胃,如果肠胃虚弱,就会转变为下痢(腹泻)。
这说的是皮肤腠理虚弱,风湿之气趁虚侵入,与体内的血气相互搏结,再加上热邪的叠加,就会生成疮疡。
肿胀且皮肤僵硬,表面像牛颈部的皮肤一样厚硬,这种称为“疽”。足阳明胃经中,有经脉从缺盆穴向下经过乳房的,如果这条经脉虚弱,腠理就会开泄,寒气乘虚客居其中。寒邪与血液搏结,导致血液涩滞不通,所以形成结肿;同时气又汇聚于此,热气淳厚旺盛,最终形成疽。热邪久久不散,肌肉就会腐败化为脓液。
足阳明胃经中,有经脉从缺盆穴向下经过乳房的,如果这条经脉虚弱,风冷之邪就会乘虚侵袭。冷邪使血液凝滞,从而形成结肿。如果是肿而发热,就会将败坏的血液转化为脓液;如果是冷证,则肿块结节不会消散。再加上过度疲劳,气动生热,也会使脓液熔化。对于这类病症,汤药、熨法、针刺和砭石治疗都有专门的方剂,补益调养和导引宣通的方法,现在附在后面。
《养生方·导引法》说:蹲踞姿势,用双手从膝盖弯曲处伸入,支撑在地面上,弯曲双腿置于双手之上,抬起臀部。这种方法可用于行气,治愈瘰疬和乳痛。双脚交叉,双手从膝盖弯曲处极尽用力,向上举起十二次,可以治愈瘰疬和乳痛。
乳石痈的症状是:轻微僵硬但不特别肿大,颜色不红,仅有轻微的疼痛和发热,热势自行消退。这是因为足阳明胃经中有向下经过乳房的经脉,该经脉虚弱,被风寒邪气客居,导致血液涩滞结成痈肿。如果寒多热少,就不会有大热,只是结核如石头般坚硬,这就叫做“乳石痈”。
五脏不调和会导致疽,疽的特点是:肿胀结聚,皮肤僵硬,像牛颈部的皮肤一样。六腑不和会导致痈,痈的特点是:肿胀结聚,皮肤薄而有光泽。腑与脏互为表里,其经脉在身体内循行,腧穴都在背部;当腑脏不调和,腠理开泄,受到风寒侵袭,寒邪折损血液,导致气血结聚成肿。病位深的就成为疽,病位浅的就成为痈。随着寒邪客居的部位不同,血液就会痞塞涩滞不通,再加上热邪的叠加,所以就形成了痈疽发背。
This refers to carbuncles and sores occurring in the breast. After the pus has ulcerated, symptoms may include deficiency of the Zang-Fu organs (Viscera), dryness, pain, or thirst. Generally, after a breast abscess ulcerates and discharges excessive amounts of pus and blood, it leads to deficiency and dryness of the Zang-Fu organs, resulting in thirst and a desire to drink. When fluids enter the stomach and intestines, if these organs are deficient, it may transform into dysentery (diarrhea).
This describes a condition where the skin and interstices (Couli) are deficient, allowing wind-dampness pathogens to invade due to this weakness. These pathogens contend with the body's Qi and blood, and when combined with heat, they generate sores.
Swelling accompanied by stiff skin, resembling the thick skin on a cow's neck, is termed Ju (Deep Sores/Carbuncles). The Foot-Yangming Stomach Meridian has branches descending from the Quepen (ST 12) acupoint towards the breast. If this meridian is deficient, the Couli open, allowing cold pathogens to lodge. Cold contending with blood causes blood stasis and obstruction, leading to nodular swelling; Qi then converges here, creating intense heat, which ultimately forms a Ju. If the heat persists without dissipating, the flesh rots and transforms into pus.
The Foot-Yangming Stomach Meridian has branches descending from the Quepen (ST 12) acupoint towards the breast. If this meridian is deficient, wind-cold pathogens invade. Cold condenses the blood, causing nodular swelling. If the swelling is hot, it transforms stagnant blood into pus; if cold, the nodules do not resolve. Additionally, severe fatigue generates Qi movement and heat, which can also cause melting of the tissue. For such conditions, decoctions, moxibustion/warming therapies, acupuncture, and stone therapy have specific formulas. Methods for tonification, nourishment, and guided breathing exercises are attached below.
The *Yangsheng Fang* (Prescriptions for Nourishing Life) · *Dao Yin Fa* (Guiding and Pulling Methods) states: Squat, insert both hands from inside the bent knees to support the ground, bend the legs over the hands, and lift the hips. This method can be used to regulate Qi, curing scrofula and breast abscesses. Cross the legs, place both hands at the deepest point of the knee bends, and lift upwards twelve times. This cures scrofula and breast abscesses.
The presentation of Ru Shi Yong (Breast Stone Abscess) involves slight stiffness but not significant enlargement, no redness, mild pain and heat that subsides spontaneously. This occurs because the Foot-Yangming Stomach Meridian descends through the breast; if the meridian is deficient and invaded by wind-cold pathogens, blood becomes stagnant and forms an abscess. If there is more cold than heat, there is no high fever, only hard nodules like stones, which is called Ru Shi Yong.
Disharmony of the Five Zang Organs leads to Ju (Deep Sores); Ju is characterized by swollen, hardened skin resembling a cow's neck. Disharmony of the Six Fu Organs leads to Yong (Superficial Abscesses); Yong is characterized by swollen, thin, and glossy skin. The Fu and Zang organs are exterior-interior pairs, and their meridians circulate throughout the body, with Shu points located on the back. When Zang-Fu disharmony causes the Couli to open, wind-cold invasion damages the blood, leading to aggregation and swelling. Deep lesions become Ju, while superficial ones become Yong. Depending on where the cold pathogen lodges, blood becomes obstructed and stagnant; combined with heat, this results in Carbuncles and Back Sores (Yong Ju Fa Bei).