痈疮之症至凶至恶者莫过发背然而别其阴阳治之无难不知阴阳各疮痈且皆不能奏效况易
治乎
故痈疮之症但当问其是阴是阳不当计其何轻何重也大约各痈疽疮症初发之时作痛作疼发寒发
热
多是阳症阳症初起必然红肿高突呼号叫喊自不能免若阴症则不然虽亦发寒发热而疼痛反觉
少
轻初发之时必现无数小疮头以欺世大势平陂而无高突之状面必色黯不若阳症之面红也治之
少瘥死生反掌可不慎乎阳症之疮乃火之有余不能发泄或饮凉水水浆拥遏而成阳毒阴症之疮必
生
于富贵之人或繁华而兼忧郁或气恼而带房劳内水既干内火自炽蕴毒实深一旦溃发岂可以细小
微剂望其生全乎与阳症治法大是悬殊然而阴阳虽有各别有毒瓦斯总无大异也吾今立一方统治阴
阳痈疽之各疮无不神效但阳症小其剂阴症多其味也方名阴阳通治丹如若阴症各药倍一半加附
子一钱可也余不可乱加此方之妙妙在金银花盖此味乃补阴之妙品又是散邪解毒之圣药然非
多加则力薄而效浅吾所以用至三两也阳症何以相宜盖补阴正所以助阳气之不足阳生于阴原
有妙用也若阴症尤其所宜加一倍则力大而气专加附子以达其经络无经不入引当归甘草之类
同群共济更易奏功也倘世人不听吾言因循失治必致阴症变成坏症而阳症亦变为阴症而不可救
者是则可怜也矣
阴阳通治丹
当归(一两) 甘草(三钱) 金银花(三两) 车前子(五钱)水煎服
痈疮中最为凶险恶毒的病症,没有比发背更严重的了。然而,若能辨别其阴阳属性,治疗便不难;若不知辨别阴阳,即使是普通的疮痈也无法取得疗效,更何况是容易治疗的病症呢?
因此,对于痈疮病症,只应当询问它是阴证还是阳证,不应当计较它病情轻重如何。大抵各种痈疽疮症在初发之时,出现疼痛、发冷、发热等症状,多数属于阳证。阳证初起必然红肿高突,患者因疼痛而呼号叫喊,这是不可避免的。若是阴证则不然,虽然也会发冷发热,但疼痛反而觉得较轻。初发之时必定呈现无数小疮头,用以迷惑世人,整体态势平坦而无高突之状,面色必定晦暗,不像阳证那样面红。治疗时稍有不慎,生死就在顷刻之间,怎能不谨慎呢?
阳证的疮,是由于火气有余不能发泄,或因饮用凉水、水浆导致气机拥遏而形成的阳毒。阴证的疮,必定生于富贵之人,或生活繁华且兼有忧郁,或生气恼怒且伴有房劳过度。体内阴液既已干枯,内火自然炽盛,蕴藏的毒邪实在深重,一旦溃发,岂能用细小的轻微药量期望其保全性命呢?这与阳证的治疗方法大不相同。然而,阴阳虽有区别,有毒瓦斯(致病因素)总归没有太大差异。
我现在确立一方,统管阴阳痈疽的各种疮症,无不神效。只是阳证减小剂量,阴证增加药味。方名“阴阳通治丹”。如果是阴证,各药加倍,再加附子一钱即可。其余不可乱加。此方的妙处在于金银花,因为这一味药既是补阴的妙品,又是散邪解毒的圣药。然而如果不大量使用,则药力薄弱而疗效浅显,所以我用到三两之多。
阳证为何适宜使用此方?因为补阴正是为了助益阳气之不足,阳生于阴,原本就有妙用。若是阴证,尤其适宜使用,加倍则药力大而气专,加入附子以通达经络,无经不入,引导当归、甘草等药物同群共济,更容易奏效。倘若世人不听我的劝告,因循守旧延误治疗,必然导致阴证变成坏症,而阳证也转变为阴证,从而不可救治,这就太可怜了。
Among the symptoms of carbuncles and sores, none is more fierce and malignant than "Fa Bei" (Back Carbuncle). However, if one distinguishes between Yin and Yang syndromes, treatment is not difficult; if one fails to distinguish Yin and Yang, even ordinary sores will fail to respond to treatment, let alone those that are easier to treat.
Therefore, regarding carbuncles and sores, one should only inquire whether it is a Yin syndrome or a Yang syndrome, rather than calculating its severity. Generally, when various carbuncles, ulcers, and sores first appear, accompanied by pain, chills, and fever, they are mostly Yang syndromes. At the onset of a Yang syndrome, there is inevitably redness, swelling, and protrusion, and the patient cannot avoid crying out in pain. In contrast, a Yin syndrome is different; although chills and fever may occur, the pain feels relatively lighter. At the initial stage, numerous small pustules must appear to deceive observers, with a generally flat surface lacking protrusion, and the facial complexion must be dark, unlike the red face seen in Yang syndromes. Treatment requires great caution, as life and death can turn on a dime.
A Yang syndrome sore arises from excess Fire that cannot be vented, or from the obstruction caused by drinking cold water or beverages, resulting in Yang Toxin. A Yin syndrome sore typically occurs in wealthy individuals who lead luxurious lives compounded by depression, or those who suffer from anger and excessive sexual activity. Since the internal Yin fluids are depleted, internal Fire blazes fiercely, and the accumulated toxin is profound. Once it erupts, how can one expect survival with minor doses? This differs significantly from the treatment of Yang syndromes. However, although Yin and Yang differ, the pathogenic factors (Toxic Qi) are not vastly different.
I now establish a formula to universally treat all types of carbuncles and sores regardless of Yin or Yang, which proves miraculous. The dosage for Yang syndromes should be reduced, while the number of ingredients for Yin syndromes should be increased. The formula is named "Yin Yang Tong Zhi Dan" (Yin-Yang Universal Treatment Pill). For Yin syndromes, double the amount of each herb and add one qian of Fuzi (Prepared Aconite Root). Do not arbitrarily add other herbs. The efficacy of this formula lies in Jinyinhua (Honeysuckle Flower), as this herb is a marvel for nourishing Yin and a holy medicine for dispersing pathogens and detoxifying. However, without large doses, the power is weak and the effect shallow; therefore, I use up to three liang.
Why is it suitable for Yang syndromes? Because nourishing Yin assists the insufficiency of Yang Qi. Yang is born from Yin, which holds profound utility. For Yin syndromes, it is especially appropriate; doubling the dose makes the power strong and the Qi focused. Adding Fuzi (Prepared Aconite Root) allows it to penetrate the meridians, entering every channel, and guiding herbs like Danggui (Angelica Sinensis Root) and Gancao (Licorice Root) to work together, making success easier to achieve. If people in the world do not heed my words and delay treatment due to inertia, Yin syndromes will inevitably become complicated/ruined syndromes, and Yang syndromes will transform into Yin syndromes, becoming incurable. This is truly pitiable.
Yin Yang Tong Zhi Dan (Yin-Yang Universal Treatment Pill)
Danggui (Angelicae Sinensis Radix) (1 liang)
Gancao (Glycyrrhizae Radix et Rhizoma) (3 qian)
Jinyinhua (Lonicerae Japonicae Flos) (3 liang)
Cheqianzi (Plantaginis Semen) (5 qian)
Decoct in water and take orally.