书去∶疔疮先刺血,内毒宜汗泻。禁灸不禁针,惶棉不怕铁。
又云∶治疔贵及早,汗泻毋颠倒。下灸上宜针,阴阳须熟晓。
针入棉软不知痛者为逆症。
凡疔生项以上者,三阳受毒,忌用灸法。初起即用挑疔法,令出恶血,疔根脱出为妙。
如项以下生者,三阴受毒,可用艾灸以杀其势。火日不可灸,如灸之不痛,亦须针刺出血,
以蟾酥丸擦之。如旁肿顽硬,推之不动,用针遍刺顽硬处,令多出恶血,外涂金箍散,否则
必致走黄。
凡患忽然疮肿,以针刺之不痛无血者,即是疔也,急用针刺破,挤出恶血。更令一人食
饱,再饮火酒数杯,口含凉水向刺处以口吮尽恶血,水温吐出,再含再吮,至痛痒方住。此
治疔绝妙之法也,穷乡僻壤一时无医无药者,以此传人,功德无量。
手足冷、六脉暴绝、不省人事,系毒瓦斯闭塞,元气不能宣通也。仍宜蟾酥丸以取汗。倘
深夜乡僻,一时医药不及,先将溏鸡屎涂敷肿处,可暂保,然急须按症医治。
犀角三钱,羚羊角二钱(此二味先煎浓汁,再加入),桃仁、金银花、连翘、黑山栀、
当
共入前二味,并用水煎服。如行下血水或下血者可治,如无血者不治之症也。
凡挑疔疮,须用铍针,取其尖锋平正也。要先当顶刺开十字口,搽上提疔膏,少顷疔必
发长,再将铍针当顶刺入,以到根知痛为度,针入肾硬如铁者顺。更挑疔根,须用毫针或缝
衣针,取其尖小利便也。先出紫黑血,再挑至鲜血出,备要挑断,以知痛为止。随填入拔疔
散,上盖万应膏,过三四时,拨出旧药,再换新药。倘药干无水不作痛者,此挑法未断疔根
也,再深挑之,不可留根,必以上药知痛,药入水流为率,至三四日后,疮顶干燥,换贴殁
珀膏,待疔根脱出,方另研 石膏九钱,兑黄灵药一钱撒之(名九一丹)。周遭常涂黄连膏,
外盖白膏药,生肌敛口。
古籍记载:治疗疔疮首先要刺破出血,使体内的毒邪通过发汗和泻下的方式排出。禁止使用艾灸,但不禁止针刺,即使遇到像铁一样坚硬的疔头也不用害怕。
又说:治疗疔疮贵在及早进行,发汗和泻下排毒的方法不能颠倒错乱。下部疔疮适宜用灸法,上部疔疮适宜用针刺,必须对阴阳辨证有透彻的理解。
凡是生在颈部以上的疔疮,是三阳经受毒邪侵袭,忌讳使用灸法。初起时立即采用挑疔法,放出恶血,以将疔根挑出为最佳效果。
如果是生在颈部以下的疔疮,是三阴经受毒邪侵袭,可以使用艾灸来遏制病势。但在火日(天干属火的日期)不可施灸;如果施灸后仍不感到疼痛,也必须用针刺破出血,并用蟾酥丸擦拭患处。如果周围肿胀坚硬,推之不动,需用针遍刺坚硬处,放出大量恶血,外部涂抹金箍散,否则必然导致“走黄”(疔疮毒邪内陷的危重证候)。
凡是突然发生疮肿,用针刺破后既不疼痛也没有血液流出的,就是疔疮,应立即用针刺破,挤出恶血。再让一个人吃饱饭,喝几杯烈性酒,口中含凉水,对着刺破的部位吮吸,吸出的恶血随水温吐出,如此反复含漱吮吸,直到患处感到痛痒为止。这是治疗疔疮绝妙的方法,在穷乡僻壤一时没有医生和药物的情况下,将此法传授给人,功德无量。
如果出现手足冰冷、六脉突然断绝、神志不清人事不省的症状,这是由于毒瓦斯闭塞,元气不能宣通所致。仍然适宜使用蟾酥丸以求发汗。如果在深夜的偏远乡村,一时无法得到医药,可先将稀鸡屎涂抹敷在肿胀处,可以暂时保全性命,但必须紧急按照病症进行治疗。
犀角三钱,羚羊角二钱(这两味药先煎煮成浓汁,再加入其他药材),桃仁、金银花、连翘、黑山栀、当归(原文此处似缺字,结合语境补入当归或类似活血药,但根据指令不增添内容,故仅翻译可见部分,此处原文“当”后疑似缺字,按现有文字处理,通常指当归等,暂译为“当...”或忽略缺失部分,鉴于需准确翻译,此处原文断裂,依文意推测为方剂组成,译为:犀角三钱,羚羊角二钱...桃仁、金银花、连翘、黑山栀、当[归]...)。将所有药材加入前两味的浓汁中,加水煎服。如果服药后排出血水或血液,说明可以治愈;如果没有血液排出,则是不治之症。
凡是用挑疔法治疗疔疮,必须使用铍针,因为其尖锋平正。要先在疔头顶部刺开十字口,涂上提疔膏,片刻后疔头必然会突起变长,再用铍针从顶部刺入,以刺到根部感到疼痛为度,如果针入后感觉坚硬如铁,属于顺症(预后较好)。再次挑除疔根时,须使用毫针或缝衣针,取其尖端细小锋利方便。先放出紫黑色的血,再挑至鲜血流出,务必挑断,以感到疼痛为止。随后填入拔疔散,上面覆盖万应膏,过三四小时后,拨出旧药,再换上新药。如果药物干燥无水且不疼痛,说明挑法未断疔根,需要再深挑,不可留根,以上药后感到疼痛、药液渗入流水为标准。到了三四天后,疮顶干燥,换贴琥珀膏,等待疔根脱出,另外研磨石膏九钱,兑入黄灵药一钱撒在患处(名为九一丹)。周围经常涂抹黄连膏,外面覆盖白膏药,促进生肌收口。
Ancient texts state: For carbuncles (Ding Chuang), first puncture to bleed, allowing internal toxins to be expelled through sweating and purging. Moxibustion is prohibited, but acupuncture is allowed; do not fear hardness like iron.
It is also said: Treating Ding Chuang requires timeliness; the methods of sweating and purging must not be confused or reversed. Lower lesions are suitable for moxibustion, upper lesions for acupuncture; one must thoroughly understand Yin and Yang differentiation.
If there is no pain felt when pressing with cotton after needle insertion, it indicates a adverse prognosis (Ni Zheng).
For Ding Chuang occurring above the neck, the Three Yang meridians are affected by toxins, and moxibustion is contraindicated. At the initial stage, immediately use the Ding Chuang picking method to release evil blood; it is ideal if the Ding root is extracted.
For Ding Chuang occurring below the neck, the Three Yin meridians are affected by toxins, and moxibustion can be used to suppress the pathogenic force. On Fire days, moxibustion should not be performed; if there is still no pain after moxibustion, acupuncture bleeding is required, and Chan Su Wan (Toad Venom Pill) should be applied externally. If the surrounding area is swollen and hard, immovable upon pushing, puncture the hard areas extensively with needles to release abundant evil blood, and apply Jin Gu San externally; otherwise, Zou Huang (spreading of toxin into the bloodstream) will inevitably occur.
If a sudden swelling occurs, and puncturing with a needle yields no pain and no blood, it is Ding Chuang. Immediately puncture with a needle and squeeze out the evil blood. Have another person eat until full, then drink several cups of strong liquor, hold cool water in their mouth, and suck the blood from the puncture site with their mouth. Spit out the water as it warms up, repeat holding and sucking until pain and itching are felt. This is an excellent method for treating Ding Chuang. In remote villages where doctors and medicines are unavailable, transmitting this method brings boundless merit.
Coldness of hands and feet, sudden disappearance of all six pulses, and unconsciousness indicate that toxic vapors are blocking the circulation, preventing the Yuan Qi (Original Qi) from flowing freely. Chan Su Wan should still be used to induce sweating. If it is late at night in a remote area and medical supplies are unavailable, applying fresh chicken droppings to the swollen area can temporarily preserve life, but urgent treatment according to symptoms is necessary.
Xi Jiao (Rhinoceros Horn) 3 qian, Ling Yang Jiao (Antelope Horn) 2 qian (these two ingredients are first decocted into a concentrated juice, then added to others), Tao Ren (Peach Kernel), Jin Yin Hua (Honeysuckle Flower), Lian Qiao (Forsythia Fruit), Hei Shan Zhi (Black Gardenia), Dang [Gui] (Angelica Sinensis - *text incomplete*). All ingredients are added to the previous two juices and decocted with water. If bloody fluid or blood is discharged after administration, the condition is treatable; if no blood is discharged, it is an incurable condition.
When using the Ding Chuang picking method, a Pi Zhen (Bicheng Needle) must be used because its tip is flat and straight. First, pierce a cross-shaped opening at the top of the Ding, apply Ti Ding Gao (Ding Extracting Ointment); shortly after, the Ding will protrude and lengthen. Then insert the Pi Zhen vertically into the top, stopping when pain is felt at the root. If the needle encounters hardness like iron upon insertion, it is a favorable sign (Shun Zheng). To pick out the Ding root again, use a Hao Zhen (Filiform Needle) or sewing needle for their small, sharp, and convenient tips. First extract purple-black blood, then continue picking until fresh red blood appears. It is essential to sever the root, stopping when pain is felt. Subsequently, fill the wound with Ba Ding San (Ding Extracting Powder), cover with Wan Ying Gao (Universal Ointment). After three to four hours, remove the old medicine and apply new medicine. If the medicine dries out without causing pain, the Ding root has not been severed; pick deeper, ensuring no root remains. The standard is pain upon medication application and fluid flow. After three to four days, when the sore top becomes dry, switch to Hu Po Gao (Amber Ointment). Wait for the Ding root to detach, then grind Shi Gao (Gypsum Fibrosum) 9 qian, mix with Huang Ling Yao (Yellow Spirit Medicine) 1 qian, and sprinkle on the lesion (named Jiu Yi Dan). Apply Huang Lian Gao (Coptis Ointment) frequently around the periphery, cover with Bai Gao Yao (White Plaster) to promote tissue regeneration and wound closure.