此候与前毒肿不殊,但言肿热渐盛,入腹故也。毒入腹之候,先令人敕啬恶寒,心烦闷
而呕逆,气急而腹满,如此者杀人。
恶核者,肉里忽有核,累累如梅李,小如豆粒,皮肉燥痛,左右走身中,卒然而起,此
风邪挟毒所成。其亦似射工毒。初得无常处,多恻恻痛,不即治,毒入腹,烦闷恶寒即杀人
。久不瘥,则变作 。
凡肿,挟风冷则不消,而结成核也。
气肿者,其状如痈,无头虚肿,色不变,皮上急痛,手才着,便即痛,此风邪搏于气所
人身忽然有一处痛,如打不可堪耐;亦乍走身间,发作有时。痛发则小热,痛静便如冰
霜所加,故云气痛。亦由体虚受风邪所侵,遇寒气而折之,邪气不出故也。
恶脉者,身里忽赤络,脉起 KT ,聚如死蚯蚓状;看乍中似有水在脉中,长
短皆逐其络脉所生是也。由春冬受恶风入络脉中,其血瘀结所生。久不瘥,缘脉结而成 。
恶肉者,身里忽有肉如小豆突出,细细长,乃如牛马乳,亦如鸡冠之状,不痒不痛。久不
治,长不已。由春疼被恶风所伤,风入肌肉,结瘀血积而生也。
肿,壮热结盛,则血化为脓。若不早出脓,脓食筋烂骨,则不可治也。
凡痈肿既溃讫,脓汁须及时而尽,若汁不尽,还复结肿,如初肿之候无异,即稍难治。
毒肿的证候,与风肿没有显著区别,时常使人出现高热。如果邪毒严重,侵入腹部,会导致死亡。
这一证候与前文所述的毒肿相似,只是说明肿胀和发热逐渐加重,是因为邪毒侵入腹部的缘故。邪毒侵入腹部的证候,首先使人感到畏寒战栗,心烦意乱且伴有呕吐逆气,呼吸急促且腹部胀满,出现这种情况的会致死。
恶核,是指肌肉纹理间突然出现的结节,累累相连如同梅子或李子,小的如豆粒大小,皮肤肌肉干燥疼痛,在身体左右游走,突然发作,这是由风邪挟带毒邪所形成。它也与射工毒(一种古代认为由水中虫类引起的疾病)相似。初起时位置不固定,多有刺痛感,如果不立即治疗,毒邪侵入腹部,出现烦闷、恶寒等症状便会致死。若久治不愈,则会转变为瘘管或溃疡等病变。
凡是肿胀,如果挟带风寒冷邪,则不会消散,而是结成结节。
气肿,其形态像痈,但没有脓头,表现为虚性肿胀,肤色不变,皮肤表面紧绷疼痛,手刚接触就会感到疼痛,这是由风邪与气机搏结所致。
人体忽然有一处疼痛,剧烈得难以忍受;或者疼痛在身体间游走不定,发作有定时。疼痛发作时会有轻微发热,疼痛静止时感觉像被冰霜覆盖一样寒冷,所以称为气痛。这也是因为体质虚弱受到风邪侵袭,遇到寒气而使其凝滞,邪气无法排出所致。
恶脉,是指体内突然出现红色的络脉,脉络突起,聚集在一起像死蚯蚓的形状;看起来似乎脉络中有水液流动,长短都随着络脉生成的路径分布。这是由于春冬季节感受恶风,邪气进入络脉,导致血液瘀结而生成的。若久治不愈,因脉络结聚而可能演变为其他顽固病变。
恶肉,是指体内突然长出像小豆大小的赘生物突出于外,细细长长,形状像牛马的乳汁,也像鸡冠的样子,不痒也不痛。如果长期不治疗,它会不断生长。这是因为春季遭受恶风伤害,风邪侵入肌肉,导致瘀血积聚而生成的。
肿胀如果高热结实严重,血液就会化为脓液。如果不能及时排脓,脓液会侵蚀肌腱、腐烂骨骼,那就不可治愈了。
凡是痈肿溃破之后,脓汁必须及时排尽。如果脓汁排不干净,又会重新结成肿胀,与最初的肿胀证候无异,这就比较难治疗了。
The manifestation of toxic swelling is indistinguishable from wind-induced swelling, often causing high fever (Zhuang Re). If the pathogenic toxin is severe and invades the abdomen, it can be fatal.
This condition is similar to the previously described toxic swelling, merely indicating that the swelling and heat gradually intensify due to the invasion of toxins into the abdomen. The manifestation of toxin invading the abdomen first causes chills (Chi Se) and aversion to cold, mental restlessness, vomiting and regurgitation, rapid breathing, and abdominal fullness; such cases are fatal.
Ehe (Malignant Nodules) refers to sudden nodules appearing within the muscle layers, linked together like plums or peaches, small as bean grains, with dry and painful skin and flesh, wandering left and right within the body, arising abruptly. This is formed by wind pathogens carrying toxins. It also resembles the toxicity of "She Gong" (a disease caused by water-dwelling insects). Initially, the location is irregular, accompanied by sharp pain. If not treated promptly, the toxin invades the abdomen, causing restlessness and aversion to cold, leading to death. If not cured for a long time, it may transform into fistulas or ulcers.
Generally, if swelling is complicated by wind-cold, it will not resolve but instead form nodules.
Qi swelling presents similarly to an abscess but lacks a head, showing hollow swelling without color change. The skin is tense and painful upon slight touch. This is caused by the struggle between wind pathogens and Qi.
Sudden pain in one part of the body, unbearable as if beaten; or pain wandering through the body at specific times. During pain attacks, there is mild fever; when pain subsides, the area feels cold as if covered by ice and frost, hence called Qi pain. This is also due to deficiency of the body allowing wind pathogens to invade, which are then constrained by cold qi, preventing the expulsion of pathogens.
E Mai (Malignant Veins) refers to the sudden appearance of red collateral vessels within the body, protruding and clustered like dead earthworms; they appear to contain fluid, varying in length according to the course of the collaterals. This arises from contracting evil wind during spring and winter, entering the collaterals and causing blood stasis. If untreated for a long time, the collateral constriction may lead to further complications.
E Rou (Malignant Flesh) refers to sudden protrusions of flesh resembling small beans, thin and long, shaped like cow or horse milk, or chicken combs, without itching or pain. If not treated for a long time, they continue to grow. This is caused by evil wind injuring the body in spring, entering the muscles, and accumulating blood stasis.
When swelling is accompanied by intense heat and consolidation, blood transforms into pus. If pus is not drained early, it will erode tendons and rot bones, making the condition incurable.
Once an abscess has ulcerated, pus must be completely drained in a timely manner. If pus remains, it will re-consolidate into swelling, identical to the initial state, making it more difficult to treat.