如疔疮初出,以不变色及不知疼痛,按摇不动,嵌顶,身发寒热,便是此疮。气疔、水
火疔
、蛇眼、石疔、雄雌疔、烂疔、血疔、刀斧疔、红丝、鱼睛、紫砚、麻子诸般疔,急用圈黄
药,用腊月间雄猪胆一个,入雄黄、京墨、姜汁末,入为于胆内,用此药涂在疮上圈之,便
不走黄。元疔发之上,便打一针,直到痛处便住,血出无妨,便入仙蟾拔毒,取黄药入于疮
口内,即用水沉膏贴之,神应膏亦可。取黄回时,以疮红肿为度。四围肿,可以放针出血毒
黄水。如是走黄,看血筋到何处,以用火针刺断其血筋立住,便不走黄。看先黄走入何处,
结
成一块,便是黄者,可以黄上便放三五十针,等出血及毒瓦斯,即用敷黄药敷出毒矣。如是黄
走者,左过右、右过左者,难治之,必死也。疮上黄上放针无血出,如血紫黑者,难治,亦
死也。用针取黄不用铁针,只用金、银、铜针者,初发急服追疔夺命汤,即能内消立效,以
服飞龙夺命丹亦可,后服化毒消毒托里散。以服诸药,皆要大汗出为度。
上将活虾蟆眉棱上,用手裹捻油纸上,或者黄桑叶上便有蟾酥,用竹篾青刮离纸叶上,
便于原刮竹篾上,插在背阴处,经宿酥自然干,收用之。
取黄去疔头,追脓毒立效。
蟾酥(一钱,干用老酒化) 蜈蚣(酒浸,炙干黄) 砂(一钱) 白丁香(一钱,无此味
加巴
豆) 巴豆(七粒,去壳不去油) 雄黄(二钱) 轻粉(一钱) 朱砂(二钱,为衣。如无,黄丹
亦可)
总为细末,面调水为丸。如丸不就,用酒打面糊为丸如麦大,两头尖,入于针破口内,
用水
沉膏贴之,后用膏药及生肌药迫出脓血毒物。又如有黑陷漏疮者,四围死败肉不去,不生肌
者,不可治也,亦用此药追毒,去死肌败肉,生新肉愈矣。小者用一粒,大者加用之。病轻
者不必用针,只以手指甲爬动于疮顶上,安此药水沉膏贴之,其疮实时红肿为度,去其败肉
为妙,用之神效立验。
如果疔疮刚刚发出,颜色没有改变且不知道疼痛,按压摇晃时不动,顶端嵌入皮肤,身体出现寒热症状,这就是这种疮。气疔、水火疔、蛇眼疔、石疔、雄雌疔、烂疔、血疔、刀斧疔、红丝疔、鱼睛疔、紫砚疔、麻子疔等各种类型的疔疮,急需使用圈黄药。取腊月间雄猪的一个胆,放入雄黄、京墨、姜汁末,混合后装入胆内,用此药涂抹在疮上围绕一圈,这样毒邪就不会走散(走黄)。对于初发的疔疮,就在顶部刺一针,直到痛处就停止,出血没有关系,然后放入仙蟾拔毒丹,将黄药放入疮口内,立即用水沉膏贴敷,神应膏也可以。当毒黄排出时,以疮部红肿为度。四周肿胀,可以用针放出毒血和毒黄水。如果是走黄,观察血筋走到哪里,用火针刺断该处的血筋,立即可止住,这样毒邪就不会走散。观察先前的毒黄走入何处,结成一块,那就是毒黄所在,可以在毒黄上放三五十针,等待出血及毒瓦斯排出,立即用敷黄药敷出毒素。如果是毒黄游走不定,左过右、右过左的,属于难治之症,必死无疑。疮上或毒黄上放针若无血流出,如血液呈紫黑色的,也难治,也是死症。用针取出毒黄不用铁针,只用金、银、铜针。初发时急服追疔夺命汤,就能内部消散并立即见效,服用飞龙夺命丹也可以,之后服用化毒消毒托里散。服用这些药物,都要以大汗出为限度。
以上述方法处理活蟾蜍眉棱处,用手裹在油纸上,或者黄桑叶上就会有蟾酥,用竹篾青皮刮离纸或叶面,随即插在原来刮取的竹篾上,插在背阴处,经过一夜酥自然干燥,收藏备用。
取黄去除疔头,追脓排毒立即见效。
蟾酥(一钱,干用老酒化开) 蜈蚣(酒浸,炙干至黄色) 砂(一钱) 白丁香(一钱,无此味加巴豆) 巴豆(七粒,去壳不去油) 雄黄(二钱) 轻粉(一钱) 朱砂(二钱,作为衣。如无,黄丹也可以)
总研为细末,用面粉调水制成丸剂。如果丸不成形,用酒打面糊制成如麦粒大小的丸剂,两头尖,放入针破的口内,用水沉膏贴敷,后用膏药及生肌药迫使脓血毒物排出。另外如有黑陷漏疮者,四周死败肉不去,不生新肉的,不可治愈,也使用此药追毒,去除死肌败肉,生出新肉则痊愈。小的用一粒,大的增加用量。病情轻的不必用针,只以手指甲在疮顶爬动,安放此药水沉膏贴敷,其疮实时红肿为度,去除其败肉为妙,使用之神效立即验证。
If a Ding sore (a type of acute, toxic skin infection) has just appeared, with no color change and insensitivity to pain, immovable upon pressing or shaking, embedded at the apex, accompanied by chills and fever, it is this type of sore. For various types of Ding sores such as Qi Ding, Water-Fire Ding, Snake-Eye Ding, Stone Ding, Male-Female Ding, Rotting Ding, Blood Ding, Axe Ding, Red Thread Ding, Fish-Eye Ding, Purple Inkstone Ding, and Hemp-Seed Ding, urgently apply the "Quan Huang" medicine. Take one gallbladder from a male pig in the twelfth lunar month, add Realgar (Xionghuang), Jingmo (Beijing ink), and powdered ginger juice, mix them inside the gallbladder, and use this medicine to paint around the sore. This will prevent the toxin from spreading systemically (Zouhuang). For newly erupted Ding sores, prick once at the top, stopping when reaching the painful area; bleeding is not harmful. Then insert Xianchan Baidu Dan (Immortal Toad Antidote Pill) into the sore opening, immediately cover with Shuichen Gao (Water-Sinking Ointment); Shenyin Gao (Divine Response Ointment) is also acceptable. When the yellow toxin discharges, stop when the sore becomes red and swollen. If there is swelling around the perimeter, use a needle to drain toxic blood and yellow fluid. In cases of Zouhuang (systemic spread of toxin), observe where the blood vessel extends, and sever that blood vessel with a fire-needle to immediately halt the spread. Observe where the initial yellow toxin has migrated and formed a lump; this is the location of the toxin. Prick the area of the yellow toxin 30 to 50 times, wait for blood and toxic vapors to emerge, then immediately apply Fuhuang medicine to draw out the toxins. If the yellow toxin wanders erratically, moving from left to right or right to left, it is difficult to treat and likely fatal. If no blood flows when pricking the sore or the yellow toxin, or if the blood is purple-black, it is also difficult to treat and likely fatal. Do not use iron needles to extract the yellow toxin; use only gold, silver, or copper needles. At the initial onset, urgently administer Zhuiting Duoming Tang (Pursue Ding Life-Seizing Decoction) to resolve it internally with immediate effect; Feilong Duoming Dan (Flying Dragon Life-Seizing Pill) is also acceptable, followed by Huadu Xiaodu Tuoli San (Resolve Toxin, Eliminate Poison, Support Interior Powder). Administration of these medicines should be continued until profuse sweating occurs.
To process fresh toads, wrap their supraorbital ridges in oil paper or yellow mulberry leaves by hand; Chan Su (Toad Venom) will appear. Scrape it off the paper or leaf using the green part of a bamboo splinter, then insert the splinter into a shaded place. After one night, the venom will naturally dry; collect and store it for use.
Extracting the yellow toxin removes the head of the Ding sore, with immediate effect in pursuing pus and toxins.
Chan Su (Toad Venom) (1 qian, dried and dissolved in aged wine) Wugong (Centipede) (soaked in wine, roasted until yellow) Sha (Cinnabar? *Note: Text says 'Sha', likely refers to Zhu Sha/Cinnabar or similar mineral, but listed separately from Zhusha later. Context suggests a mineral ingredient*) (1 qian) Baixiangding (White Stinkhorn Dung) (1 qian; if unavailable, substitute with Badou) Badou (Croton Seed) (7 grains, shelled but oil retained) Xionghuang (Realgar) (2 qian) Qingfen (Calomel) (1 qian) Zhusha (Cinnabar) (2 qian, used as coating; if unavailable, Huangdan [Lead Tetroxide] is acceptable)
Grind all into fine powder, mix with wheat flour paste and water to form pills. If they do not hold shape, use wine-dissolved flour paste to form pills the size of wheat grains, pointed at both ends. Insert into the punctured wound, cover with Shuichen Gao, and subsequently use plaster and flesh-regenerating medicines to force out pus, blood, and toxic matter. Additionally, for black, sunken, leaking sores where surrounding necrotic tissue remains and new flesh does not grow, it is incurable; however, this medicine can still be used to pursue toxins, remove dead muscle and necrotic tissue, and promote new flesh growth for healing. Use one pill for small sores, increase dosage for larger ones. For mild conditions, acupuncture is unnecessary; simply scratch the top of the sore with fingernails, apply this medicine with Shuichen Gao, and continue until the sore becomes red and swollen. Removing necrotic tissue is ideal; its efficacy is divine and immediate.