胎生腋气先用快刀剃去腋毛净。乃用好定粉水调搽腋下六七日后。看有一点黑者必有孔
如针大或如簪尖即气窍也。用艾炷如米大者。灸三四壮愈。
(有补遗)
凡疮疡可灸刺者。须分经络部分血气多少。俞穴远近。或刺或灸泄其邪气。若从背出
者当从
太阳经(至阴通谷束骨昆仑委中)五穴选用。从鬓出者当从少阳经(窍阴侠溪临泣阳辅阳陵泉)
五穴选用从髭出者。当从阳明经(厉兑内庭陷谷冲阳解 )五穴选用。从脑而出者。初觉脑痛
不可忍且欲生疮也。当灸刺绝骨脉浮者。从太阳经根据前选用。脉长者。从阳明经根据前选用。
脉弦者。从少阳经根据前选用 井主心下满。疮青色。荣主身热。疮赤色。俞主体重节痛。疮
黄色。经主咳嗽寒热疮白色。合主气逆而泄疮黑色。随经病而有此症者。或宜灸宜刺以泄邪
气。
凡疮疡已觉微漫肿硬。皮色不变。脉沉不痛者。当外灸之。引邪气出而方止。如已有脓
水者。不可灸。当浅刺之。浅者亦不灸。
隔蒜灸法 用大蒜头去皮。切三分浓片安疮上以艾炷于隔蒜灸之。每五壮换一蒜片。或
三五
十壮。或一二百壮。如痛者灸至不痛不痛者灸至痛(痛者为良肉不痛者为毒瓦斯初灸知痛而后
反不痛者毒瓦斯深重多灸为妙先不痛而后觉痛毒瓦斯轻泄)如疮大用蒜捣烂摊患处。将艾铺上烧
之蒜。败再换。治痈疽初起。或痛或不痛。或麻木等症。或阴毒紫白色不起发。不痛不作脓
者
。尤宜多灸。仍服托里之剂。如灸后仍不痛。或不作脓。不起发者不治。此气血虚也背疽漫
肿无头者。用湿纸贴肿处。一点先干处。乃是疮头。以前法灸之。凡用蒜取其辛而散。用艾
炷取其火力能透。灸后疮溃。以膏贴之自愈。
附子饼灸法 溃疡气血俱虚不能收敛。或因风寒袭之。血气不能营运生肌。用炮附子去
皮脐
研末。以唾津和为饼置疮口上将艾炷于饼上灸之。每日灸数壮。但令微热。勿令痛如饼干再
用唾津调和。视疮口活润为度。或用炮附子去皮脐。切三分浓片如前灸法。兼服大补气血之
药至肉平为度。若疮久成漏内有脓管者。灸数日后仍用针头散蚀腐之。(方见景岳全书)骑竹
马灸穴法 以男左女右手臂竖起。用薄篾一条。自臂腕中横纹起。贴肉量至中指。齐肉尽处
截断为则。次另用篾量中。指取定同身寸二寸。然后用木凳两条。摆开约四五尺。将大竹杠
一条。两头搁在凳上。令病患脱衣。正身骑在竹杠中。足不着地。使人扶定勿令伛偻(古令
病患骑竹杠。使两人扛起。不若用凳搁稳也)将前量臂之篾一头定着竹杠。从尾 骨贴脊直
上至篾尽处点记然后取同身寸篾。折中横安点处。两头尽处是穴灸七壮。或五七壮。此二穴
乃心脉所过之处。凡痈疽恶疮。皆心火留滞之毒。灸则心火流通。而毒自散矣。
发背
肩井 骑竹马穴
项上偏枕
风门(灸二七壮)
疔疮 初如粟米次如赤豆。顶凹坚硬或痛痒麻木。或寒热头痛。
(面口)合谷 (手上)曲池 (背上)肩井 委中 三里
凡疔用隔蒜灸法。甚则以蒜膏遍涂四围。只露毒顶。用艾着肉灸之。以爆为度。如不爆
者难愈。更宜多灸至百壮无不愈者。
疔疮初发。必用铍针刺入疮心四五分。挑断疔根。令出恶血。针入疔根坚硬如铁者为顺
。绵
软而不知痛者为逆。生项以上者属三阳经。不宜灸。火日生疔亦禁灸。若初起失治。或房劳
遗精。及食椒酒鸡鱼猪首等发物。以致毒瓦斯内攻。走黄不住。疮必塌陷按经寻之。有一芒刺
直竖。乃是疔苗。急用针刺出恶血。即在刺处用艾灸三壮。以宣余毒。
乳痈 乳房红肿热痛。十四日成脓 乳疽初起寒热往来。乳房坚硬木痛。月余成脓。
(乳房属足阳明胃经。乳头属足厥阴肝经。男子房劳恚怒伤于肝肾。妇人胎产忧郁损于
肝脾。皆能致之○ 热痛甚者。并宜隔蒜灸。)
乳岩 郁闷则脾气阻。肝气逆。遂成隐核。不痛不痒。一二载始溃。或五六年后方见外
肿紫黑。内渐溃烂。亦有数载方溃而陷下者皆曰乳岩。最难治疗。
肩 灵道(各灸二七壮) 温溜(大人二七壮。小人七壮) 足三里 条口(治痈) 下巨
墟(各灸二七壮) 足临泣。
胃痈 生于左者曰胃口疽生于右者曰胃口痈。
曲池(灸三七壮) 内关(七壮)
肾痈 自肾俞穴起。
会阳(灸二七壮)
肠痈 小腹重强按之痛。小便如淋。汗出恶寒。身皮甲错。腹皮急如肿状。脉洪数者脓
已成
。若大便脓血为直肠痈。易治。或绕脐生疮。或脐间出脓为盘肠痈。难治(一方用生菜油日
几服。有效。以其利肠解毒也。)
大肠俞 陷谷 太白
千金方屈两肘正肘头锐骨。灸百壮。下脓血而安(大阳脉合曲池。小肠脉合小海。故灸
此。)
流注 生于四肢关节。或胸腹腰臀。初发漫肿不红 用葱头细切杵烂。炒热敷患处。冷
则用热物熨之多熨为妙。或铺艾灸之亦效。若热痛渐至透红一点。即宜用针开破出脓。
蜣螂蛀(一名僵螂蛀) 手指骨节坚肿形如蝉肚不红不肿。屈伸艰难日久方知木痛。此体
虚人
由湿痰寒气凝滞而成。初宜服六君子汤。外以阳燧锭于坚处灸之自消若失治而坚肿渐烂脓如
清水。溃久则不能收功。
阳燧锭
蟾酥(末) 朱砂(末) 川乌(末) 草乌(各五分末) 直僵蚕(一条末)
用硫黄(一两五钱)置杓内微火烊化次入前药末搅匀再入麝香(二分)冰片(一分)搅匀即
倾入湿瓷
盆内速荡转成片俟冷收瓷罐内用时取甜瓜子大一块红枣肉粘于灸处用灯草蘸油点火淬药锭上
灸五壮或七壮。九壮候起小 用线针串破出黄水须贴万应膏其毒即消 如风气痛用箸子于骨
缝中按之酸痛处以墨点记灸之。
【腋气】
先天性的腋臭,先用快刀将腋毛剃干净。然后用优质的定粉(一种外用收敛止汗药)用水调匀涂抹腋下,连续使用六七天后观察,如果看到有一点发黑,其大小如针孔或簪尖,那就是气窍。用米粒大小的艾炷,灸三四壮即可痊愈。
(补遗部分)
凡是疮疡适合用灸法或刺法治疗的,必须根据经络部位、气血的多少、腧穴的远近来选择。或者用针刺,或者用艾灸,以泄除邪气。如果疮疡从背部发出,应当从足太阳膀胱经的五个穴位(至阴、通谷、束骨、昆仑、委中)中选用;从鬓角发出,应当从足少阳胆经的五个穴位(窍阴、侠溪、临泣、阳辅、阳陵泉)中选用;从胡须部位发出,应当从足阳明胃经的五个穴位(厉兑、内庭、陷谷、冲阳、解溪)中选用。如果从脑后发出,初起时觉得头痛剧烈难以忍受,且即将生疮,应当灸刺绝骨穴。脉象浮的,从足太阳经按前述方法选用;脉象长的,从足阳明经按前述方法选用;脉象弦的,从足少阳经按前述方法选用。井穴主治心下满闷,疮色青;荣穴主治身体发热,疮色赤;俞穴主治身体沉重关节疼痛,疮色黄;经穴主治咳嗽寒热,疮色白;合穴主治气逆腹泻,疮色黑。随着经络病变出现这些症状的,或者宜灸或者宜刺,以泄除邪气。
凡是疮疡已经感觉微微漫肿坚硬,皮色不变,脉沉且不痛的,应当外用灸法,引邪气外出才停止。如果已经有脓水了,不可灸,应当浅刺。浅表的疮也不宜灸。
隔蒜灸法:用大蒜头去皮,切成三分厚的片,放在疮上,在蒜片上放艾炷进行灸治。每灸五壮换一片蒜。或者灸三五壮、十壮,甚至一二百壮。如果痛的就灸到不痛为止,如果不痛的就灸到有痛感为止(有痛感是良兆,说明是正常肌肉;不痛的是毒瓦斯,初灸知痛而后反不痛,说明毒瓦斯深重,多灸为好;先不痛而后觉痛,说明毒瓦斯轻,容易泄出)。如果疮大,将蒜捣烂敷在患处,将艾铺在上面烧,蒜坏了再换。治疗痈疽初起,无论痛或不痛,或麻木等症状,或者是阴毒呈紫白色不起发、不痛不作脓的,尤其适宜多灸。同时服用托里透脓的药物。如果灸后仍然不痛,或不作脓,不起发的,属于不治之症,这是气血虚弱的缘故。背疽漫肿无头的,用湿纸贴在肿处,最先变干的一点,就是疮头,用前面的方法灸它。凡是用蒜,取其辛散的作用;用艾炷,取其火力能穿透的作用。灸后疮溃破,贴上膏药自愈。
附子饼灸法:溃疡气血俱虚不能收敛,或者因为风寒侵袭,血气不能营运生肌。用炮附子去皮和脐,研成末,用唾液调和做成饼,放在疮口上,在饼上放艾炷灸治。每天灸几壮,只要感到微热,不要感到痛。如果饼干了,再用唾液调和。视疮口变得红润为度。或者用炮附子去皮和脐,切成三分厚的片,像前面那样灸,兼服大补气血的药,直到肉长平为止。如果疮久变成漏管,里面有脓管的,灸几天后仍用针头散腐蚀腐肉。(方剂见《景岳全书》)
骑竹马灸穴法:让男子左手或女子右手臂竖起,用一条薄篾,从手臂腕部横纹开始,贴着肉量到中指尖,齐着肉尽头处截断作为标准。另外再用一条篾量中指,取定同身寸二寸。然后用两条木凳摆开约四五尺远,将一根大竹杠两头搁在凳上,让病人脱衣,正身骑在竹杠中间,脚不着地,让人扶住不要弯曲(古代让病人骑竹杠,由两人扛起,不如用凳子搁得稳)。将前面量的那条臂长的篾一头固定在竹杠上,从尾骨贴着脊柱直上,到篾尽头处做记号。然后取同身寸的篾,折半横安在记号处,两头尽头处就是穴位,灸七壮,或者五七壮。这两个穴位是心脉经过的地方,凡是痈疽恶疮,都是心火留滞的毒,灸则心火流通,毒自然消散。
疔疮:初起像粟米,后来像赤豆,顶端凹陷坚硬,或者痛痒麻木,或者伴有寒热头痛。
(面部和口部)合谷穴 (手上)曲池穴 (背上)肩井穴、委中穴、足三里穴。
凡是疔疮都用隔蒜灸法,严重的用蒜膏遍涂四周,只露出毒顶,用艾直接灸肉,以爆裂为度。如果不爆裂的难愈,更应多灸到一百壮,没有不愈的。
疔疮初发,必须用铍针刺入疮心四五分,挑断疔根,放出恶血。针入疔根坚硬如铁的为顺证,绵软而不知痛的为逆证。生在颈部以上的属三阳经,不宜灸。火日生的疔也禁灸。如果初起失治,或者房劳遗精,以及吃辣椒、酒、鸡、鱼、猪头等发物,导致毒瓦斯内攻,走黄不住,疮必塌陷。按经络寻找,有一根芒刺直竖,乃是疔苗,急用针刺出恶血,就在刺处用艾灸三壮,以宣散余毒。
乳痈:乳房红肿热痛,十四天成脓。
乳疽:初起寒热往来,乳房坚硬木痛,一个多月成脓。
(乳房属足阳明胃经,乳头属足厥阴肝经。男子因房劳恚怒伤于肝肾,妇人因胎产忧郁损于肝脾,都能导致此病。热痛甚重的,并宜用隔蒜灸。)
乳岩:郁闷则脾气阻滞,肝气逆乱,遂形成隐核,不痛不痒,一两年后才溃破,或者五六年后才见外肿紫黑,内部逐渐溃烂。也有几年才溃破而陷下的,都叫乳岩,最难治疗。
肩:灵道穴(各灸十四壮)、温溜穴(成人十四壮,儿童七壮)、足三里穴、条口穴(治痈)、下巨虚穴(各灸十四壮)、足临泣穴。
胃痈:生在左边的叫胃口疽,生在右边的叫胃口痈。
曲池穴(灸二十一壮)、内关穴(七壮)。
肠痈:小腹沉重僵硬,按压痛,小便像淋病一样,出汗恶寒,皮肤甲错,腹皮紧急像肿胀状。脉洪数的,脓已成。如果大便脓血为直肠痈,易治。或者绕脐生疮,或者脐间出脓为盘肠痈,难治(一方用生菜油每天服几次,有效,因为它利肠解毒)。
大肠俞穴、陷谷穴、太白穴。
《千金方》说屈两肘正对肘头锐骨,灸一百壮,下脓血而安(太阳脉合曲池,小肠脉合小海,所以灸这里)。
流注:生于四肢关节,或胸腹腰臀。初发漫肿不红。用葱头细切捣烂,炒热敷患处,冷则用热物熨烫,多熨为好。或者铺艾灸也有效。如果热痛渐至透红一点,即应用针开破出脓。
蜣螂蛀(一名僵螂蛀):手指骨节坚肿,形状像蝉肚,不红不肿,屈伸艰难,日久才知道木痛。这是体虚之人由湿痰寒气凝滞而成。初起宜服六君子汤,外用阳燧锭在坚硬处灸之自消。如果失治而坚肿逐渐腐烂,脓像清水,溃久则不能收功。
阳燧锭配方:蟾酥(末)、朱砂(末)、川乌(末)、草乌(各五分末)、直僵蚕(一条末)。
用硫黄(一两五钱)放在勺内微火熔化,其次加入前药末搅匀,再加入麝香(二分)、冰片(一分)搅匀,立即倒入湿瓷盆内快速荡转成片,等冷了收在瓷罐内。用时取甜瓜子大的一块,用红枣肉粘在灸处,用灯草蘸油点火淬药锭上,灸五壮或七壮、九壮,等起小水泡,用线针串破出黄水,须贴万应膏,其毒即消。如风气痛,用筷子在骨缝中按之酸痛处以墨点记,灸之。
[Underarm Odor]
For congenital underarm odor, first shave the axillary hair clean with a sharp knife. Then apply high-quality Dingfen (a topical astringent and antiperspirant powder) mixed with water to the armpits for six or seven days. Observe if any spot turns black; if it is as small as a needle hole or a hairpin tip, this is the "Qi aperture." Use moxa cones the size of a rice grain to moxibustion three or four treatments until cured.
(Addendum)
For sores and ulcers suitable for moxibustion or acupuncture, one must distinguish by meridian regions, the abundance or scarcity of blood and Qi, and the distance of acupoints. Either puncture with needles or apply moxibustion to drain pathogenic factors. If the sore emerges from the back, select from five points of the Foot-Taiyang Bladder Meridian: Zhiyin (BL67), Tonggu (BL65), Shugu (BL65), Kunlun (BL60), Weizhong (BL40). If it emerges from the temples, select from five points of the Foot-Shaoyang Gallbladder Meridian: Qiaoyin (GB44), Xiaxi (GB43), Linqi (GB41), Yangfu (GB38), Yanglingquan (GB34). If it emerges from the beard area, select from five points of the Foot-Yangming Stomach Meridian: Lidui (ST45), Neiting (ST44), Xangu (ST43), Chongyang (ST42), Jiexi (ST41). If it emerges from the back of the head, initially feeling unbearable headache and impending sore formation, moxibustion or acupuncture should be applied to Juegu (GB39). If the pulse is floating, select according to the aforementioned methods from the Foot-Taiyang Meridian; if the pulse is long, from the Foot-Yangming Meridian; if the pulse is wiry, from the Foot-Shaoyang Meridian. Jing-Well points govern subcostal fullness, with bluish sores; Ying-Spring points govern body heat, with reddish sores; Shu-Stream points govern heaviness and joint pain, with yellowish sores; Jing-River points govern cough and chills/fever, with whitish sores; He-Sea points govern rebellious Qi and diarrhea, with blackish sores. Depending on the meridian pathology presenting these symptoms, either moxibustion or acupuncture should be used to drain pathogenic factors.
When a sore feels slightly diffuse, swollen, and hard, with unchanged skin color, deep pulse, and no pain, external moxibustion should be applied to draw out pathogenic factors until cessation. If pus and fluid are already present, moxibustion is contraindicated; shallow puncture should be used instead. Superficial lesions should not be moxibusted.
Garlic-Separated Moxibustion Method: Peel a garlic bulb and cut it into slices approximately 3 fen thick. Place the slice on the sore and apply moxa cones on top of the garlic. Replace the garlic slice every five treatments. One may perform three to five, ten, or even one to two hundred treatments. If painful, moxibustion continues until pain ceases; if painless, continue until pain is felt (pain indicates healthy tissue; initial pain followed by loss of sensation indicates deep-seated toxin, requiring more moxibustion; initial painlessness followed by pain indicates lighter toxin, easier to drain). For large sores, crush garlic and spread it on the affected area, placing moxa on top to burn. Replace garlic when it spoils. This treats early-stage carbuncles and sores, whether painful, painless, or numb. It is especially suitable for Yin toxins presenting as purple-white, non-elevating, painless, and non-suppurative lesions. Concurrently administer formulas to support the interior and promote suppuration. If there is still no pain, suppuration, or elevation after moxibustion, it is incurable due to deficiency of Qi and Blood. For back carbuncles that are diffuse without a head, apply wet paper to the swelling; the first spot to dry marks the head of the sore, which should then be treated with the aforementioned method. Garlic is used for its pungent dispersing properties; moxa is used for its penetrating heat. After moxibustion causes ulceration, apply ointment for self-healing.
Mugwort-Cake Moxibustion Method: For ulcers where both Qi and Blood are deficient and cannot consolidate, or where Wind-Cold invasion prevents Qi and Blood from nourishing muscle growth, use processed Fuzi (Aconiti Lateralis Radix Praeparata), peeled and de-navelled, ground into powder. Mix with saliva to form cakes. Place the cake on the ulcer and apply moxa cones on top. Perform several treatments daily, ensuring only mild warmth without pain. If the cake dries, re-moisten with saliva. Continue until the ulcer appears moist and vibrant. Alternatively, slice processed Fuzi into 3-fen thick pieces and moxibustion as described above, concurrently administering major tonifying formulas for Qi and Blood until flesh levels out. If an old ulcer becomes a fistula with internal pus tubes, after several days of moxibustion, use Zhitousan (Needle Head Powder) to cauterize necrotic tissue. (Formula found in *Jingyue Quanshu*).
Bamboo-Horse Acupoint Moxibustion Method: Raise the left arm of males or the right arm of females. Take a thin bamboo strip, measure from the transverse crease of the wrist along the flesh to the tip of the middle finger, and cut at the end of the flesh as the standard. Measure another strip to determine two Cun (Chinese inches) of the middle finger. Set up two wooden stools about four to five Chi apart. Place a large bamboo pole across the stools. Have the patient undress and sit astride the pole, feet off the ground, supported by assistants to prevent bending (ancient methods carried the pole by two people, but stool support is more stable). Fix one end of the measured arm-strip to the pole, aligning it from the coccyx straight up the spine to the mark made by the strip's end. Take the two-Cun strip, fold it in half, and place it horizontally across the mark; the ends indicate the acupoints. Moxibustion seven treatments, or five times seven. These two points lie on the pathway of the Heart Meridian. All carbuncles and malignant sores are toxins stagnated by Heart Fire; moxibustion unblocks Heart Fire, causing toxins to dissipate.
Back Carbuncle: Jianjing (GB21), Bamboo-Horse Points, Pianzhen (Neck), Fengmen (BL12) [Moxibustion fourteen treatments].
Ding Sores (Hard Chancre): Initially like millet grains, later like red beans, with a concave, hard apex, possibly painful, itchy, or numb, accompanied by chills, fever, or headache.
(Face/Mouth): Hegu (LI4); (Hand): Quchi (LI11); (Back): Jianjing (GB21), Weizhong (BL40), Zusanli (ST36).
Apply Garlic-Separated Moxibustion to all Ding sores. For severe cases, smear garlic paste around the periphery, exposing only the toxic apex. Apply moxa directly to the flesh until it pops. Non-popping cases are difficult to cure; increase to one hundred treatments for guaranteed recovery.
Initial treatment of Ding sores requires piercing the center with a Bi needle (four to five fen deep) to sever the root and release foul blood. Hardness like iron upon insertion indicates a favorable prognosis; softness and insensitivity indicate unfavorable prognosis. Lesions above the neck belong to the Three Yang meridians and are contraindicated for moxibustion. Ding sores arising on Fire days are also contraindicated for moxibustion. If untreated initially, or due to sexual excess, seminal emission, or consumption of stimulating foods (peppers, alcohol, chicken, fish, pork heads) leading to internal toxin attack and "Zouhuang" (spreading poison), the sore will collapse. Search along the meridian for a single thorn-like projection, the "Ding seed." Immediately pierce to release foul blood, then apply three treatments of moxibustion at the site to disperse residual toxins.
Breast Abscess (Ru Yong): Redness, swelling, heat, and pain in the breast, suppurating within fourteen days.
Breast Gangrene (Ru Ju): Initial chills and fever, hardness and numbness/pain in the breast, suppurating after over a month.
(The breast belongs to the Foot-Yangming Stomach Meridian; the nipple belongs to the Foot-Jueyin Liver Meridian. In men, sexual excess and anger injure the Liver and Kidney; in women, childbirth and depression injure the Liver and Spleen, both causing this condition. For severe heat and pain, Garlic-Separated Moxibustion is indicated.)
Breast Cancer (Ru Yan): Depression obstructs Spleen Qi and causes Liver Qi rebellion, forming hidden nodules that are painless and itchless. They ulcerate after one to two years, or show external purple-black swelling and internal rot after five to six years. Some ulcerate years later with sinking. All are called Ru Yan and are extremely difficult to treat.
Shoulder: Lingdao (HT4) [14 treatments each], Wenliu (LI7) [Adults 14, Children 7], Zusanli (ST36), Tiaokou (ST38) [Treats sores], Xiaju Xu (ST39) [14 treatments each], Zulinqi (GB41).
Stomach Abscess: Left-sided is called Weikou Ju; Right-sided is called Weikou Yong.
Quchi (LI11) [21 treatments], Neiguan (PC6) [7 treatments].
Kidney Abscess: Originates from Shenshu (BL23).
Huiyang (BL35) [14 treatments].
Intestinal Abscess: Heavy stiffness in the lower abdomen, painful on pressure, urination resembling strangury, sweating with aversion to cold, skin resembling armor scales, abdominal wall tense as if swollen. A surging and rapid pulse indicates pus formation. Pus and blood in stool indicates Rectal Abscess, which is easy to treat. Sores around the umbilicus or pus from the umbilicus indicate Disc Intestinal Abscess, which is difficult to treat. (One formula uses raw vegetable oil taken several times daily, effective for promoting bowel movement and detoxification.)
Dachangshu (BL25), Xangu (ST43), Taibai (SP3).
*Qianjin Fang*: Flex elbows to align with the sharp bone of the elbow tip, moxibustion one hundred treatments to discharge pus and blood and bring relief (Taiyang meridian connects to Quchi, Small Intestine meridian connects to Xiaohai, hence this point).
Flowing Injection (Liuzhu): Occurs in limbs/joints or chest/abdomen/waist/buttocks. Initially diffuse swelling without redness. Finely chop green onion heads, pound into paste, fry, and apply hot compress to the site. If cold, use hot objects to iron/warm the area; repeated warming is ideal. Alternatively, apply moxibustion. If heat and pain progress to a red spot, puncture with a needle to drain pus.
Beetle Bore (Yi Lang Zhu / Jiang Lang Zhu): Hard swelling of finger joints, shaped like a cicada belly, without redness or swelling, difficult flexion/extension, becoming numb after a long time. Caused by damp-phlegm and cold-Qi stagnation in deficient constitutions. Initially administer Liujunzi Tang. Externally apply Yangsui Ding (Fire-Gathering Cone) to the hard area via moxibustion to resolve it. If neglected, hard swelling rots, producing clear watery pus, and fails to heal after prolonged ulceration.
Yangsui Ding Formula: Chan Su (Toad Venom, powder), Zhusha (Cinnabar, powder), Chuan Wu (Sichuan Aconite Root, powder), Cao Wu (Kusnezoff Monkshood Root, powder) [each 5 fen], Zhi Jiang Can (Silkworm, 1 piece, powder).
Place Liu Huang (Sulfur, 1 liang 5 qian) in a spoon and melt over low fire. Add the previous powders and stir evenly. Add She Xiang (Musk, 2 fen) and Bing Pian (Borneol, 1 fen) and stir. Pour immediately into a wet porcelain basin and swirl rapidly to form sheets. Cool and store in a porcelain jar. To use, take a piece the size of a sweet melon seed, attach with jujube meat to the moxibustion site. Ignite a rush light dipped in oil to quench the cone on the site. Moxibustion 5, 7, or 9 treatments. When small blisters appear, pierce with a thread needle to drain yellow fluid. Apply Wanying Gao (All-Effective Plaster) to eliminate toxicity. For Wind-Damp pain, press between bones with a chopstick to find tender spots, mark with ink, and moxibustion.