治气漏、冷漏诸疮。
桂心 附子(炮裂,米醋中浸,再炮,淬三五次,去皮尖) 浓朴(姜制) 甘草(炙) 白
术(各一两) 木香(一分) 乳香(二钱,别研)
上为末,炼蜜丸,梧子大。空腹米饮下二三十丸。
夫痈则皮薄肿高,疽则皮浓肿坚。初发并宜灼艾,唯痈成则宜针,疽脓成则宜烙。若能
审其名证,早早施治,仍用药以攻利其根,补托其里,不必告医,自料亦瘥。但世人忽之耳
,医方所以冠痈疽于杂病之先者,知为大病也。世医失治疗之序,颠倒错乱,多致枉夭,良
可叹息。故备集得效灸法,以贻学人,庶不致妄投也。
治初生痈疽发背,神效灸法,累试有验。江宁府紫极观,因掘得石碑载之。
凡人初觉发背,欲结未结,赤热肿痛,先以湿纸覆其上,立视候之,其纸先干处,即是
结痈头也。取大蒜切成片,如当三钱浓薄,安其头上,用大艾炷灸之,三壮即换一蒜片,痛
者灸至不痛,不痛灸至痛时方住。最要早觉早灸为上,一日二日,十灸十活;三日四日,六
七活;五六日,三四活;过七日,则不可灸矣。若有十数头作一处生者,即用大蒜研成膏,
作薄饼铺头上,聚艾于蒜饼上烧之,亦能活也。若背上初发赤肿,一片中间,有一片黄粟米
头子,便用独头蒜切去两头,取中间半寸浓薄,正安于疮上,却用艾于蒜上灸十四壮,多至四十九壮。
桂心一两,附子(经炮制裂开,在米醋中浸泡,再次炮制,淬炼三到五次,去除皮和尖)一两,浓朴(用姜汁炮制)一两,甘草(炙烤)一两,白术一两,木香一分,乳香二钱(单独研磨)。
将上述药材研成细末,用炼蜜制成梧桐子大小的丸剂。空腹时,用米汤送服二十至三十丸。
痈的特点是皮肤薄而肿胀高突,疽的特点是皮肤厚而肿胀坚硬。初发阶段都适宜使用艾灸疗法,只有当痈化脓时才适宜针刺,疽化脓后才适宜烙法。如果能仔细辨别其名称和证候,尽早施治,同时用药攻逐病根、补益托毒,不必告知医生,自行调理也能痊愈。只是世人往往忽视它罢了。医书之所以将痈疽放在杂病之前论述,是因为知道这是大病。世俗医生失去了治疗的顺序,颠倒错乱,多导致患者枉死早夭,实在令人叹息。因此汇集这些有效的灸法,留给学习的人,希望不至于胡乱投药。
治疗初发的痈疽发背,有神效的灸法,多次尝试都有验证。江宁府紫极观,因为挖掘出石碑记载了这种方法。
大凡人刚开始觉得背部不适,肿块欲结未结,局部红热肿痛,先用湿纸覆盖在患处,立即观察等待,纸上先变干的地方,就是痈头所在。取大蒜切成片,厚度约如三钱重的大小,放置在痈头上,用大的艾炷进行艾灸,灸三壮后换一片蒜片,感到疼痛的就灸到不痛为止,不痛的灸到有痛感时停止。最重要的是早发现、早施灸为上策,发病一两天,十次施灸十次能活;三四天,六七次能活;五到六天,三四次能活;超过七天,就不能再施灸了。如果有十几个头聚在一起生长,就用大蒜研成膏,做成薄饼铺在头上,聚集艾绒在蒜饼上烧灼,也能救活。如果背上刚发红肿,一片中间有一个像黄粟米大小的头子,就取独头蒜切去两头,取中间半寸厚的部分,正放在疮口上,然后用艾绒在蒜上灸十四壮,最多可灸四十九壮。
Treating various sores such as Qi leakage and Cold leakage.
Guixin (Cinnamomi Cortex, 桂心) one tael, Fuzi (Aconiti Lateralis Radix Praeparata, 附子) [prepared by cracking, soaking in rice vinegar, re-frying, quenching three to five times, removing skin and tip] one tael, Houpo (Magnoliae Officinalis Cortex, 浓朴) [processed with ginger juice] one tael, Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 甘草) [roasted] one tael, Baizhu (Atractylodis Macrocephalae Rhizoma, 白术) one tael, Muxiang (Aucklandiae Radix, 木香) one fen, Ruxiang (Olibanum, 乳香) two qian [separately ground].
Grind the above ingredients into powder, mix with refined honey to make pills the size of a wutong seed. Take twenty to thirty pills on an empty stomach with rice water.
The characteristic of a carbuncle (Yong, 痈) is thin skin with high swelling; the characteristic of a gangrenous sore (Ju, 疽) is thick skin with hard swelling. In the initial stage, moxibustion is suitable for both. Only when a carbuncle suppurates should acupuncture be used, and only when a gangrenous sore suppurates should cauterization be applied. If one can carefully examine its name and syndrome, treat it early, and use herbs to attack the root and tonify/support the interior, there is no need to consult a physician; self-management will also lead to recovery. However, people often neglect it. Medical texts place carbuncles and gangrenous sores before miscellaneous diseases because they are known to be serious illnesses. Empirical physicians lose the order of treatment, causing confusion and disorder, often leading to premature death, which is truly lamentable. Therefore, these effective moxibustion methods have been collected to pass on to learners, so as to avoid blind medication.
For the initial onset of carbuncles, gangrenous sores, and back abscesses (Fabeii, 发背), there is a miraculous moxibustion method that has proven effective in repeated trials. This was recorded on a stone tablet unearthed at Ziji Guan in Jiangning Prefecture.
When a person first feels discomfort in the back, and a lump is forming but not yet consolidated, with redness, heat, swelling, and pain, first cover the area with wet paper. Observe immediately; the place where the paper dries first is the head of the carbuncle. Take garlic, slice it to a thickness equivalent to about three qian, place it on the head of the sore, and apply large moxa cones for moxibustion. After three zhuang (moxa burns), replace with a new garlic slice. If painful, moxibustate until the pain ceases; if painless, moxibustate until pain arises, then stop. The most important aspect is early detection and early moxibustion. On the first or second day, ten treatments yield ten recoveries; on the third or fourth day, six or seven recoveries; on the fifth or sixth day, three or four recoveries; after the seventh day, moxibustion is no longer applicable. If several heads grow together, grind garlic into a paste, form it into a thin cake, place it on the head, and burn moxa on top of the garlic cake; this can also save lives. If the back initially shows redness and swelling, with a single spot resembling a yellow millet grain in the middle, take a single-clove garlic, cut off both ends, take the middle half-inch thick portion, place it directly on the sore, and apply moxibustion on the garlic for fourteen zhuang, up to forty-nine zhuang.