黄帝问曰∶病之生时，有喜怒不测，饮食不节，阴气不足，阳气有余，营气不行，乃发
为痈疽，阴阳气不通，而热相搏，乃化为脓，小针能取之乎？岐伯对曰∶夫致使身被痈疽之
疾，脓血之聚者，不亦离道远乎。痈疽之生，脓血之成也，积聚之所生。故圣人自治于未形也
，愚者遭其已成也。曰∶其已有形，脓已成，为之奈何？曰∶脓已成十死一生。曰∶其已
成有脓血，可以小针治乎？曰∶以小治小者其功小；以大治大者其功大；以小治大者多
害大，故其已成脓血者，其惟砭石 锋之所取也。曰∶多害者，其不可全乎？曰∶在逆
顺焉耳。曰∶愿闻顺逆曰∶已为伤者，其白晴青黑，眼小，是一逆也；内药而呕，是二逆
也；腹痛渴甚，是三逆也；肩项中不便，是四逆也；音嘶色脱，是五逆也。除此五者为顺矣
。
邪之入于身也深，其寒与热相搏，久留而内着，寒胜其热则骨疼肉枯，热胜其寒则
烂肉腐肌为脓，内伤骨为骨蚀。有所疾前，筋屈不得伸，气居其间而不反，发为筋瘤也。有
所结，气归之，卫气留之，不得复反，津液久留，合而为肠（一本作疡）疽，留久者数岁乃
成。以手按之柔。有所结，气归之，津液留之，邪气中之，凝结日以易甚，连以聚居为昔瘤
，以手按之坚。有所结，气深中骨，气因于骨，骨与气并息，日以益大，则为骨疽。有所结
，气中于肉，宗气归之，邪留而不去，有热则化为脓，无热则为肉疽。凡此数气者，其发无
常处而有常名。曰∶病痈肿，颈痛胸满腹胀，此为何病？曰∶病名曰厥逆，灸之则喑，石
之则狂，须其气并，乃可治也，阳气重上（一本作止），有余于上，灸之，阳气入阴，入则喑；
石之，阳气虚，虚则狂；须其气并而治之，使愈。曰∶病颈痈者，或石治之，或以针灸治之，
而皆已，其治何在？曰∶此同名而异等者也。夫痈气之息者，宜以针开除去之；夫气盛血聚者
，宜石而泻之。此所谓同病而异治者也。曰∶诸痈肿，筋挛骨痛，此皆安在？曰∶此皆寒气
之肿也，八风之变也。曰∶治之奈何？曰∶此四时之病也，以其胜治其俞。暴痈筋濡（一本作
软），随分而痛，魄汗不尽，胞气不足，治在其经俞。腋痈大热，刺足少阳五，刺而热不止
，刺手心主三，刺手太阴经络者，大骨之会各三。痈疽不得顷回。痈不知所，按之不应手，
乍来乍已，刺手太阴傍三，与缨脉各二。治痈肿者刺痈上，视痈大小深浅刺之，刺大者
多而深之，必端内针为故止也（《素问》云∶刺大者多血，小者深之，必端内针为故止）。
项肿不可俯仰，颊肿引耳，完骨主之。咽肿难言，天柱主之。 肿唇痈，颧 主之。
颊肿痛，天窗主之。头项痈肿不能言，天容主之。身肿，关门主之。胸下满痛，膺肿，乳
根主之。马刀肿 ，渊腋、章门、支沟主之。面肿目痈肿，刺陷谷出血立已。犊鼻肿，可刺
其上，坚勿攻，攻之者死。痈疽，窍阴主之。
厉风者，索刺其肿上，已刺以吮其处，按出其恶血，肿尽乃止，常食方食，无食他食
。脉风成为厉。
管疽发厉，窍阴主之。头大浸淫，间使
黄帝问曰∶愿尽闻痈疽之形与忌日名？岐伯对曰∶痈发于嗌中，名曰猛疽。不急治化为
脓，脓不泻塞咽，半日死；其化为脓者，脓泻已，则合豕膏，冷食三日已。发于颈者，名曰
夭疽。其状大而赤黑，不急治则热气下入渊腋，前伤任脉，内熏肝肺，
熏则十余日死矣。阳气大发，消脑瘤项，名曰脑烁。其色不乐，脑项痛如刺以针，烦心者，
死不治。发于肩及 ，名曰疵疽。其状赤黑，急治之。此令人汗出至足，不害五脏，痈发四
五日，逆 之。发于腋下，赤坚者，名曰米疽。治之以砭石，欲细而长，疏砭之，涂以豕膏
，六日已，勿裹之。其痈坚而不溃者，为马刀挟瘿，以急治之。发于胸，名曰井疽。其状如
大豆，三四日起，不早治，下入腹，不治，七日死。发于膺，名曰甘疽。色青，其状如谷实
栝蒌，常苦寒热。急治之，去其寒热；不急治。十岁死，死后出脓。痈发于胁，名曰败疵。
此言女子之病也，灸之。其状大痈脓，其中乃有生肉大如赤小豆，治之以陵翘草根
及赤松子根各一升，以水一斗六升，煮之令竭得三升，即强饮，浓衣坐于釜上，令汗至
足已。发于股胫（一作 ），名曰股胫疽。其状不甚变色，痈脓内薄于骨，急治之，不急
治，四十日死。发于尻，名曰锐疽。其状赤坚大，急治之，不治，三十日死。发于股阴，名
曰赤弛。不治，六十日死；在两股之内，不治，十日死。发于膝，名曰疵疽，其状大痈，色不
变，寒
，发于阳者，百日死，发于阴者四十日死。发于胫，名曰兔啮，其状如赤豆，至骨，急治之
，不急治，杀人。发于内踝，名曰走缓。其状痈，色不变，数石其俞而止其寒热，不死。
发于
小指发，急除去之，其状黑者不可消，辄益不治，百日死。发于足指，名曰脱疽。其状赤
黑者，死不治；不赤黑者不死。治之不衰，急斩去之，不去则死矣。
黄帝问曰∶何为痈？岐伯对曰∶营气积留于经络之中，则血泣而不行，不行则卫气归之
，归而不通，壅遏而不得行，故曰热。大热不止，热胜则肉腐，肉腐则为脓。然不能陷肌肤
于骨髓，骨髓不为焦枯，五脏不为伤，故名曰痈。曰∶何谓疽？曰∶热气纯盛，下陷肌肤筋
髓骨肉，内连五脏，血气竭绝，当其痈下筋骨，良肉皆无余，故名曰疽。疽者，曰其上皮夭
瘀
兔一， （《灵枢》作腓）二，背三，五脏之俞四，项五。此五部有疽死也。曰∶身形应
九野奈何？曰∶请言身形之应九野也。左手（一作足）应立春，其日戊寅己丑；左胸（一作胁）
应春分，其日乙卯；左足应立夏，其日戊辰己巳；膺喉头首应夏至，其日丙午；右手应立秋
，其日戊申己未；右胸（一作胁）应秋分，其日辛酉；右足应立冬，其日戊戌己亥；腰尻下窍
应冬至，其日壬子；六腑及鬲下五脏应中州，其日大禁，太乙所在之日，及诸戊己。凡此九
者，善候八正所在之处，主左右上下体体有痈肿者，欲治之，无以其所直之日溃治之，是谓
天忌日也。
五子夜半 五丑鸡鸣 五寅平旦
五卯日出 五辰食时 五巳KT 中
五午日中 五未日 五申晡时
五酉日入 五戌黄昏 五亥人定
以上此时得疾者皆不起。
黄帝问道：疾病发生的时候，往往是因为喜怒无常、饮食不节制，导致阴气不足、阳气偏盛，营气运行不畅，从而发为痈疽。阴阳之气不通畅，热邪相互搏结，于是化生为脓，小针能治疗这种病吗？岐伯回答说：致使身体遭受痈疽之疾，积聚脓血的情况，距离正道不是太远了吗（意指病因多由内伤积渐而成，非一日之寒）。痈疽的产生，脓血的形成，都是气血积聚的结果。所以圣人能在病症未显现时就加以调理，而愚者则要等到病症已成时才遭殃。黄帝问：如果病症已经成形，脓液已经形成，该怎么办呢？岐伯说：脓液已经形成，十个人中死九个，活一个。黄帝问：既然已经形成了脓血，可以用小针来治疗吗？岐伯说：用小针治疗大病，功效很小；用大针治疗大病，功效很大；用小针治疗大病，大多会造成危害。所以对于已经形成脓血的情况，只有使用砭石或锋针才能取效。黄帝问：造成危害的话，难道就不能完全治愈吗？岐伯说：这取决于病情是顺证还是逆证。黄帝说：我想听听什么是顺证和逆证。岐伯说：如果已经出现以下五种情况，就是逆证：一是白眼球变青黑，眼睛变小，这是一逆；二是服药后呕吐，这是二逆；三是腹痛且极度口渴，这是三逆；四是肩项部僵硬不便，这是四逆；五是声音嘶哑、面色枯槁脱色，这是五逆。除了这五种情况外，其余都属于顺证。
邪气侵入人体很深，寒邪与热邪相互搏结，长久停留并深入体内。如果寒邪胜过热邪，就会骨头疼痛、肌肉枯萎；如果热邪胜过寒邪，就会烂肉腐肌化为脓液，向内损伤骨骼导致骨蚀。如果有旧疾在前，筋脉屈曲不能伸展，气机阻滞在其中无法恢复，就会发为筋瘤。如果有气结聚，卫气留滞其中不能返回，津液长久停留，结合而成肠疽，停留时间久的要几年才形成，用手按压感觉柔软。如果有气结聚，气归向那里，津液停留，邪气乘虚而入，凝结程度日益加重，连缀聚集形成昔瘤，用手按压感觉坚硬。如果有气结聚深入骨骼，气依附于骨，骨与气共同停滞，日渐增大，就形成骨疽。如果有气结聚在肌肉中，宗气归向那里，邪气停留不去，有热就会化为脓，无热则形成肉疽。这些气引发的病变，发作没有固定的位置，但有固定的名称。黄帝问：患痈肿，颈部疼痛，胸部胀满，腹部胀大，这是什么病？岐伯说：这种病名叫厥逆。如果用灸法治疗会导致失音，用石针（砭石）治疗会导致发狂，必须等待气血平和之后，才可以治疗。因为阳气重聚于上部，有余于上，如果此时灸治，阳气入阴，入阴则导致失音；如果用石针刺泄，会使阳气更虚，虚则导致发狂；必须等待气血调和后再进行治疗，才能使病愈。黄帝问：患颈痈的人，有的用石针治疗好了，有的用针灸治疗好了，他们的治疗原理在哪里？岐伯说：这是同名但病情轻重不同的病。如果是痈气散漫的，适宜用针开刀排脓去除；如果是气盛血聚的，适宜用砭石刺破泻邪。这就是所谓的同病异治。黄帝问：各种痈肿、筋挛、骨痛，这些病都在哪里发生的？岐伯说：这些都是寒气引起的肿胀，是八风变化所致。黄帝问：怎么治疗呢？岐伯说：这是因四季气候变化而得的病，要用克制其邪气的穴位来治疗。突发痈肿、筋脉弛缓、随部位疼痛、魄汗不止、胞气不足的，治疗在其经络腧穴。腋下痈肿大热，刺足少阳经五穴，如果刺后热不退，再刺手厥阴心包经三穴，刺手太阴肺经络穴，以及大骨之会穴各三处。治疗痈疽不能片刻延误。如果痈肿位置不明，按压不痛，时来时去，刺手太阴肺经旁侧三穴，以及缨脉各二穴。治疗痈肿要刺在痈肿上方，根据痈肿的大小深浅进行针刺，刺大的要多进针且深刺，必须端正地进入针具为止（《素问》说：刺大的多出血，刺小的深刺，必须端正进针为止）。颈部肿胀不能俯仰，颊部肿胀牵引耳部，完骨穴主治。咽喉肿胀难以言语，天柱穴主治。嘴唇肿胀生痈，颧髎穴主治。脸颊肿痛，天窗穴主治。头项部痈肿不能说话，天容穴主治。身体肿胀，关门穴主治。胸下胀满疼痛，胸部肿胀，乳根穴主治。马刀肿瘘，渊腋、章门、支沟穴主治。面部肿胀、眼睛生痈肿，刺陷谷穴出血可立即痊愈。犊鼻穴处肿胀，可以刺其上方，但如果局部坚硬不可攻伐，攻伐会导致死亡。痈疽，窍阴穴主治。
厉风病，索刺其肿胀上方，刺后用口吮吸患处，挤出恶血，直到肿胀消退才停止，平时只吃常规食物，不要吃其他食物。脉象显示风邪盛行就会形成厉风。
黄帝问道：我希望详尽了解痈疽的形状及其禁忌日期。岐伯回答说：痈发于咽喉中间，名叫猛疽。如果不紧急治疗，会化为脓，脓液不排出堵塞咽喉，半天就会死亡；如果已经化为脓，排出脓液后，服用猪脂膏，冷服三天即可痊愈。痈发于颈部，名叫夭疽。其形状大而颜色赤黑，如果不紧急治疗，热气向下流入渊腋穴，向前损伤任脉，向内熏蒸肝肺，熏蒸后十多天就会死亡。阳气大发，消烁脑髓和项部，名叫脑烁。患者神色不乐，脑项痛如被针刺，心烦意乱，这是死症，无法治疗。痈发于肩部及腋下之间，名叫疵疽。其形状赤黑，必须紧急治疗。这会导致出汗直至脚部，但不伤害五脏，如果痈发四五天，出现逆证就会死亡。痈发于腋下，颜色赤硬，名叫米疽。用砭石治疗，砭石要细而长，稀疏地刺破，涂上猪脂膏，六天痊愈，不要包扎。如果痈肿坚硬而不溃破，就是马刀挟瘿，必须紧急治疗。痈发于胸部，名叫井疽。其形状像大豆，三四天起病，如果不早治疗，会向下传入腹部，不治疗七天就会死亡。痈发于膺部（胸前），名叫甘疽。颜色青，形状像谷实栝楼，经常感到寒热。必须紧急治疗，去除寒热；如果不紧急治疗，十年后死亡，死后流出脓液。痈发于胁部，名叫败疵。这是女子的病，可以用灸法治疗。其形状是大痈脓，里面甚至有像赤小豆大小的生肉，用陵翘草根和赤松子根各一升，用水一斗六升，煮至水干剩下三升，立刻强力饮下，穿厚衣服坐在锅上熏蒸，让汗出至脚部即愈。痈发于大腿和小腿，名叫股胫疽。其形状颜色变化不明显，痈脓向内逼近骨骼，必须紧急治疗，不紧急治疗四十天死亡。痈发于尾骶部，名叫锐疽。其形状赤黑坚硬，必须紧急治疗，不治疗三十天死亡。痈发于大腿内侧，名叫赤弛。不治疗六十天死亡；如果在两腿内侧，不治疗十天死亡。痈发于膝盖，名叫疵疽，其形状是大痈，颜色不变，怕冷，发于阳经的百日死亡，发于阴经的四十天死亡。痈发于小腿，名叫兔啮，其形状像赤豆，深达骨骼，必须紧急治疗，不紧急治疗会致死。痈发于内踝，名叫走缓。其形状像痈，颜色不变，多次针刺其腧穴以止住寒热，不会死亡。痈发于……（原文此处缺字，推测为大趾或小趾）发，必须紧急切除，如果形状发黑无法消散，继续发展不治疗，百日死亡。痈发于足指，名叫脱疽。如果形状赤黑，是死症无法治疗；如果不赤黑，就不会死。如果治疗无效，必须紧急截肢，不截肢就会死亡。
黄帝问道：什么叫痈？岐伯回答说：营气积聚停留在经络之中，血液凝涩不行，卫气归向这里，但因为不通畅而壅遏不得运行，所以产生热。大热不止，热胜则肌肉腐败，肌肉腐败就化为脓。但是不能深陷到肌肤骨髓，骨髓不被焦枯，五脏不受损伤，所以名叫痈。黄帝问：什么叫疽？岐伯回答说：热气纯盛，向下陷入肌肤、筋髓、骨肉，向内连接五脏，血气枯竭，当痈疽下方筋骨和良肉都耗尽时，所以名叫疽。疽发生在五个部位会致死：一是额头（《灵枢》作腓），二是背，三是五脏之俞穴，四是项部，五是……（原文此处似有缺漏或指特定部位，结合上下文通常指头面或特定高危区，此处依原文保留“曰其上皮夭瘀”后的列举，虽原文排版混乱，但提取实体时需对应）。身形如何对应九野呢？岐伯说：请允许我说明身形对应九野的情况。左手（一作左足）对应立春，日子是戊寅、己丑；左胸（一作左胁）对应春分，日子是乙卯；左足对应立夏，日子是戊辰、己巳；胸膺喉头首对应夏至，日子是丙午；右手对应立秋，日子是戊申、己未；右胸（一作右胁）对应秋分，日子是辛酉；右足对应立冬，日子是戊戌、己亥；腰尻下窍对应冬至，日子是壬子；六腑及膈下五脏对应中州，日子是大禁日，即太乙所在之日，以及所有的戊己日。以上这九个方位，善于观察八正节气所在的方位，如果身体左右上下某处有痈肿想要治疗，不要在与其方位对应的日子进行溃破治疗，这叫做天忌日。
五子夜半，五丑鸡鸣，五寅平旦，五卯日出，五辰食时，五巳日中（原文KT疑为衍文或误植，结合时辰应为日中前后），五午日中，五未日昳，五申晡时，五酉日入，五戌黄昏，五亥人定。在这些时辰得病的人都难以存活。
Yellow Emperor asked: When diseases arise, it is often due to unpredictable emotions (anger and joy), irregular diet, insufficiency of Yin Qi, excess of Yang Qi, and stagnation of Ying Qi (Nutritive Qi), leading to the development of carbuncles and sores (Yong Ju). When the Qi of Yin and Yang fails to circulate freely, heat pathogens clash and condense, transforming into pus. Can small needles treat this condition? Qibo replied: The causes that lead to carbuncles and sores, with the accumulation of pus and blood, are indeed far removed from the correct path (implying they result from gradual internal damage). The generation of carbuncles and sores, and the formation of pus and blood, stem from the accumulation of Qi and Blood. Therefore, sages regulate their health before symptoms manifest, while fools suffer only after the disease has taken shape. Yellow Emperor asked: If the disease has already taken shape and pus has formed, what should be done? Qibo said: Once pus has formed, nine out of ten patients will die; only one in ten survives. Yellow Emperor asked: Since pus and blood have already formed, can small needles be used for treatment? Qibo said: Using small needles to treat a large lesion yields little effect; using large needles to treat a large lesion yields great effect; using small needles to treat a large lesion often causes harm. Therefore, for cases where pus and blood have already formed, only bi stone (Bianshi) or sharp needles should be used. Yellow Emperor asked: If it causes harm, can it not be completely cured? Qibo said: It depends on whether the condition follows a favorable (Shun) or unfavorable (Ni) course. Yellow Emperor said: I wish to hear about favorable and unfavorable courses. Qibo said: If any of the following five conditions exist, it is an unfavorable course: First, the whites of the eyes turn blue-black and the eyes become small; Second, vomiting occurs after taking medicine; Third, abdominal pain accompanied by extreme thirst; Fourth, stiffness and inconvenience in the shoulder and neck; Fifth, hoarseness and loss of facial luster. Apart from these five, all others are considered favorable courses.
The pathogen enters the body deeply. Cold and heat pathogens clash and remain lodged internally for a long time. If cold exceeds heat, bone pain and muscle wasting occur; if heat exceeds cold, flesh rots and muscles decay into pus, damaging bones internally leading to bone erosion. If there is a prior illness causing tendons to contract and fail to extend, with Qi stagnating and unable to return, a tendon tumor (Jin Liu) develops. If Qi knots and Wei Qi (Defensive Qi) remains trapped without returning, fluids stay for a long time, combining to form intestinal carbuncle (Chang Ju); if lingering for years, it forms a soft mass upon palpation. If Qi knots and fluids accumulate, invaded by pathogenic factors, the condensation worsens daily, clustering to form Xi Liu, which feels hard upon palpation. If Qi knots deeply into bones, adhering to them, causing bone and Qi to stagnate and enlarge daily, it becomes bone carbuncle (Gu Ju). If Qi knots in flesh, with Zong Qi (Pectoral Qi) gathering there, and pathogenic factors remaining without heat turning to pus, or without heat forming flesh carbuncle (Rou Ju). These various Qi disorders manifest in no fixed location but have fixed names. Yellow Emperor asked: Regarding carbuncles and swelling, neck pain, chest fullness, and abdominal distension, what disease is this? Qibo said: This disease is called Jue Ni (Rebellious Counterflow). Moxibustion will cause aphonia, and stone therapy (bi-shi) will cause mania. One must wait until the Qi harmonizes before treating. Because Yang Qi is heavy and rises, accumulating above, moxibustion drives Yang into Yin, causing aphonia; stone therapy depletes Yang, causing mania. Treatment should only proceed when Qi is balanced to ensure recovery. Yellow Emperor asked: For neck carbuncles, some are cured by stone therapy, others by acupuncture. What is the rationale? Qibo said: These are diseases with the same name but different severities. For diffuse carbuncle Qi, needle incision and drainage are suitable; for cases with abundant Qi and blood stasis, stone therapy for draining is suitable. This is known as treating the same disease differently. Yellow Emperor asked: Where do various carbuncles, spasms, and bone pains originate? Qibo said: These are swellings caused by Cold Qi and changes in the Eight Winds. Yellow Emperor asked: How to treat them? Qibo said: These are seasonal diseases; treat them by selecting acupoints that overcome the pathogen. For sudden carbuncles, flaccid tendons, pain varying by location, unceasing sweat, and insufficiency of Bao Qi, treat the meridian acupoints. For hot axillary carbuncles, puncture five points of Foot Shaoyang; if heat persists, puncture three points of Hand Jueyin (Pericardium), three points of Hand Taiyin (Lung) collateral, and three points of Da Gu Zhi Hui. Do not delay treating carbuncles. If the location of a carbuncle is unknown, non-tender to pressure, and intermittent, puncture three points lateral to Hand Taiyin and two points of Ying Mai. To treat carbuncles, puncture above the lesion according to its size and depth. For large lesions, use multiple deep insertions, ensuring the needle is inserted straight (as stated in Su Wen: for large lesions drain much blood, for small ones insert deeply, ensuring straight insertion). For neck swelling preventing flexion/extension and cheek swelling radiating to the ear, Wanggu treats. For throat swelling impairing speech, Tianzhu treats. For lip swelling/carbuncle, Quanliao treats. For cheek swelling/pain, Tianchuang treats. For head/neck carbuncles preventing speech, Tianrong treats. For body swelling, Guanmen treats. For lower chest fullness/pain, chest swelling, and breast swelling, Rugen treats. For Mach Dao (scrofula) swelling, Yuanye, Zhangmen, and Zhigou treat. For facial swelling and eye carbuncles, bleeding Xangu stops it immediately. For Dubi swelling, one may puncture above it; however, if hard, do not attack, as attacking leads to death. For carbuncles/sore, Xiaoyin treats.
For Li Feng (Leprosy/Wind Disease), puncture above the swelling, suck the area after puncturing, press out evil blood until swelling subsides. Maintain a regular diet, avoiding other foods. Pulse wind manifestation leads to Li Feng.
Guan Ju inducing Li Feng is treated by Xiaoyin. Head swelling with extensive erosion is treated by Jianshi.
Yellow Emperor asked: I wish to hear fully about the shapes of carbuncles and sores and their taboo days. Qibo said: Carbuncle arising in the throat is called Meng Ju. If not treated urgently, it turns to pus. If pus blocks the throat without being drained, death occurs within half a day. If turned to pus, drain it, then administer Pig Fat (Shi Gao), consumed cold for three days for cure. Carbuncle arising in the neck is called Yao Ju. It appears large, red, and black. If not treated urgently, heat travels down to Yuanye, damages Ren Mai anteriorly, and steams Liver and Lung internally, causing death within ten days. Excessive Yang Qi expansion consuming brain marrow and neck is called Nao Shuo. With unhappy demeanor, piercing pain in brain/neck, and vexation, it is incurable death. Carbuncle arising in shoulder and armpit is called Ci Ju. Red and black, requires urgent treatment. Causes sweating to feet; if not harmful to Five Zang, but if carbuncle persists 4-5 days with adverse signs, death ensues. Carbuncle in armpit, red and hard, is called Mi Ju. Treat with bi-stone (fine and long), sparse puncture, apply Pig Fat, cure in six days, do not bandage. Hard carbuncle without ulceration is Ma Dao Jia Ying, treat urgently. Carbuncle in chest is called Jing Ju. Like a soybean, appearing in 3-4 days. If not treated early, descends to abdomen; untreated, death in seven days. Carbuncle in Ying (chest) is called Gan Ju. Green color, like melon seed, suffering from alternating cold and heat. Treat urgently to remove cold/heat; if not, death in ten years, pus discharges post-mortem. Carbuncle in hypochondrium is called Bai Ci. This is a female disease, treat with moxibustion. Large abscess with raw meat like red bean inside. Use Ling Qiao Gen and Chi Song Zi Gen, each one sheng, boiled in one dou six sheng water until reduced to three sheng. Drink strongly, sit on pot wrapped in thick clothes to induce sweating to feet for cure. Carbuncle in thigh/shin is called Gu Ting Ju. Color change minimal, pus presses against bone. Urgent treatment required; otherwise death in forty days. Carbuncle in sacrum is called Rui Ju. Red, hard, large. Urgent treatment required; otherwise death in thirty days. Carbuncle in inner thigh is called Chi Chi. Untreated, death in sixty days; if bilateral, death in ten days. Carbuncle in knee is called Ci Ju. Large abscess, color unchanged, aversion to cold. If on Yang aspect, death in hundred days; if on Yin aspect, death in forty days. Carbuncle in shin is called Tu Nie. Like red bean, reaching bone. Urgent treatment required; otherwise fatal. Carbuncle in medial malleolus is called Zou Huan. Abscess-like, color unchanged. Repeated puncture of acupoints to stop cold/heat; not fatal. Carbuncle in toe... (text missing) urgent removal required. Black color cannot dissipate; if neglected, death in hundred days. Carbuncle in toe is called Tuo Ju. Red/black indicates fatal incurable case; non-red/black is curable. If treatment fails, amputation is urgent; otherwise death.
Yellow Emperor asked: What is Yong (Carbuncle)? Qibo said: Ying Qi accumulates in meridians, blood congeals and stagnates. Wei Qi returns to this area but cannot pass, causing obstruction and heat. Unchecked heat rots flesh into pus. However, it does not sink to bone marrow, marrow does not dry, Five Zang are not damaged, hence named Yong. Yellow Emperor asked: What is Ju (Sore)? Qibo said: Pure excessive heat sinks into skin, sinews, marrow, bone, and flesh, connecting internally to Five Zang, exhausting Qi and Blood. When bone, sinew, and healthy flesh beneath the lesion are destroyed, it is named Ju. Ju at five locations leads to death: Forehead (Fei in Ling Shu), Back, Five Zang Shu points, Neck, and [Missing/Implied Location]. How does the body correspond to the Nine Regions? Qibo said: Left hand (or foot) corresponds to Start of Spring (Wuyin/Jichou days); Left chest (or side) corresponds to Spring Equinox (Yimao day); Left foot corresponds to Start of Summer (Wuchen/Jisi days); Chest, throat, head correspond to Summer Solstice (Bingwu day); Right hand corresponds to Start of Autumn (Wushen/Jiwei days); Right chest (or side) corresponds to Autumn Equinox (Xinyou day); Right foot corresponds to Start of Winter (Wuxu/Jihai days); Waist, sacrum, lower orifices correspond to Winter Solstice (Renzi day); Six Fu organs and Five Zang below diaphragm correspond to Central Region (Great Taboo days, Taiyi days, and all Wujie days). Observe the Eight Regular Seasons' positions. If treating swelling on left/right/upper/lower body, do not perform incision/drainage on the corresponding day. This is called Heavenly Taboo Day.
Wuzi (11pm-1am): Ye Ban; Wuchou (1am-3am): Ji Ming; Wuyin (3am-5am): Ping Dan; Wumao (5am-7am): Ri Chu; Wuchen (7am-9am): Shi Shi; Wusi (9am-11am): Ri Zhong (approx); Wuwu (11am-1pm): Ri Zhong; Wushi (1pm-3pm): Ri Die; Wushen (3pm-5pm): Bu Shi; Wuyou (5pm-7pm): Ri Ru; Wuxu (7pm-9pm): Huang Hun; Wuhai (9pm-11pm): Ren Ding. Diseases occurring during these hours generally do not survive.