夫九漏形疹皆瘰 ,于项腋之间,发作寒热,其根在脏腑。《千金》所叙,虽名九漏
,《别录》方证,其名更多。野狼漏根于肝,得之忧怒;鼠漏根于胃,得之食鼠毒;蝼蛄漏根
于大肠,得之食果;蜂漏根于脾,得之饮流水有蜂毒;蚍蜉漏根于肾,得之食中有蚍蜉毒;
蛴螬漏根于心,得之喜怒哭泣;浮蛆漏根于胆,得之思虑;瘰 漏根于肾,得之新沐发;转
脉漏根在小肠,得之惊卧失枕。此等因证,文义不明,未知所始。若以理例较之,怒根在肝
,鼠毒在胃,食瓜果在大肠,蜂水在脾,姑且通俗易晓。如转脉因惊,根当在胆,却云在小
肠;浮蛆因思虑,根当在脾,却云在胆;瘰 因沐发,亦不当在肾,名义不通,似难考据。
又况哭泣得蛴螬之名,思虑则浮蛆之名,此尤不可晓也。其外更有风漏、冷漏、蝎漏、蚁漏
、蜣螂漏、蚯蚓漏、虾蟆漏等,名状不一,谅皆出于土俗随象命名耳,难以考据。治之法
,观其未着于肌肉,而外为脓血者,从本引末,可使衰去,针之灸之,敷之角之,从其所因
,宣通本脏,皆有成法。《千金》又有决死生,反其目,视其中,有赤脉从上下贯瞳子,
见一脉,一岁死;见一脉半,一岁半死;二脉,二岁死;三脉,三岁死,赤脉不下贯瞳子可
治。虽有是说,验之病者,少有是证,亦难考据。此往往是三阳传诸阴经方有之,若本脏发
,未必有是,学人知之。
九漏和形疹都是瘰疬的表现,发生在颈部和腋下之间,发作时伴有寒热症状,其病根在于脏腑。《千金方》中叙述的,虽然称为九漏,《别录》中的方证名称更多。野狼漏的病根在肝,由忧怒引起;鼠漏的病根在胃,由食用老鼠毒素引起;蝼蛄漏的病根在大肠,由食用水果引起;蜂漏的病根在脾,由饮用含有蜜蜂毒素的流水引起;蚍蜉漏的病根在肾,由食物中含有蚂蚁毒素引起;蛴螬漏的病根在心,由喜怒哭泣引起;浮蛆漏的病根在胆,由思虑过度引起;瘰疬漏的病根在肾,由刚洗完头引起;转脉漏的病根在小肠,由受惊卧倒时枕头不当引起。这些病因和证候,文义不明确,不知道起始来源。如果以常理比较,愤怒的病根在肝,老鼠毒素在胃,食用水果在大肠,蜂水在脾,暂且通俗易晓。如转脉因受惊,病根应当在胆,却说在小肠;浮蛆因思虑,病根应当在脾,却说在胆;瘰疬因洗头,也不应当在肾,名义不通,似乎难以考证。更何况哭泣导致蛴螬之名,思虑则导致浮蛆之名,这更加不可理解。此外还有风漏、冷漏、蝎漏、蚁漏、蜣螂漏、蚯蚓漏、虾蟆漏等,名称形状不一,估计都是出于民间习俗随形象命名罢了,难以考证。治疗的方法,观察那些尚未侵入肌肉,而外部表现为脓血的,从本源引导末梢,可以使病情衰退,用针刺艾灸,敷药角疗,根据病因宣通本脏,都有成熟的方法。《千金方》又有判断死生的方法,翻转眼睛,观察其中,有赤色脉络从上向下贯穿瞳孔,见一条脉络,一年死;见一条半脉络,一年半死;两条脉络,两年死;三条脉络,三年死,赤色脉络不向下贯穿瞳孔的可以治疗。虽然有这种说法,验证病人,很少有这种证候,也难以考证。这往往是三阳经传入诸阴经时才有的,如果是本脏发病,未必会有这种情况,学习的人要知道。
Jiu Lou (Nine Types of Scrofula) and Xing Zhen (Formative Rashes) are all manifestations of Luoli (Scrofula), occurring between the neck and axilla, with episodes of chills and fever; their root lies in the Zang-Fu organs. The *Qianjin Fang* describes them as "Jiu Lou," while the *Bielu* lists even more names. Yelang Lou (Wild Wolf Scrofula) roots in the Liver, caused by worry and anger; Shu Lou (Rat Scrofula) roots in the Stomach, caused by ingesting rat toxins; Loutu Lou (Mole Cricket Scrofula) roots in the Large Intestine, caused by eating fruit; Feng Lou (Bee Scrofula) roots in the Spleen, caused by drinking flowing water containing bee toxins; Pifu Lou (Ant Scrofula) roots in the Kidney, caused by food containing ant toxins; Qicao Lou (Mealworm Scrofula) roots in the Heart, caused by joy, anger, or weeping; Fuqu Lou (Floating Maggot Scrofula) roots in the Gallbladder, caused by excessive rumination; Luoli Lou (Scrofula Scrofula) roots in the Kidney, caused by washing hair when it is new; Zhuanmai Lou (Turning Pulse Scrofula) roots in the Small Intestine, caused by being startled while lying down with an improper pillow. These etiological syndromes have unclear textual meanings, and their origins are unknown. If compared by logical principles, anger roots in the Liver, rat toxins in the Stomach, eating fruits in the Large Intestine, and bee water in the Spleen, which are relatively easy to understand. However, Zhuanmai is due to being startled, so its root should be in the Gallbladder, yet it is stated to be in the Small Intestine; Fuqu is due to rumination, so its root should be in the Spleen, yet it is stated to be in the Gallbladder; Luoli is due to washing hair, which also should not root in the Kidney. The nomenclature is inconsistent and difficult to verify. Furthermore, weeping leading to the name Qicao, and rumination leading to the name Fuqu, is particularly incomprehensible. Additionally, there are Feng Lou (Wind Scrofula), Leng Lou (Cold Scrofula), Xie Lou (Scorpion Scrofula), Yi Lou (Ant Scrofula), Qiángláng Lou (Dung Beetle Scrofula), Qiūyǐn Lou (Earthworm Scrofula), and Xiāmā Lou (Toad Scrofula), with various names and shapes, likely named according to folk customs based on appearance, making verification difficult. The treatment method involves observing cases where the pathogen has not yet penetrated the muscles but manifests externally as pus and blood. By guiding from the root to the branch, the condition can be reduced. Acupuncture, moxibustion, topical applications, and horn therapy can be used to vent and unblock the affected Zang organ according to the cause, following established methods. The *Qianjin Fang* also provides a method for determining life and death: turning the eyes to observe the interior, if red vessels run vertically through the pupil, one vessel indicates death in one year; one and a half vessels indicate death in one and a half years; two vessels indicate death in two years; three vessels indicate death in three years. If red vessels do not penetrate the pupil, it is treatable. Although such theories exist, clinical verification shows few such cases, making them difficult to verify. This typically occurs when the Three Yang meridians transmit pathogens to the Yin meridians; if the disease originates in the primary Zang organ, such signs may not appear. Students should be aware of this.