典藏书目

A question was asked: Regarding carbuncles and sores (deep-seated suppurative infections), what are referred to as the "Five Auspicious Signs" (Wu Shan) and the "Seven Inauspicious Signs" (Qi E)? The answer is: The "Five Auspicious Signs" are: 1. Ability to taste food; 2. Regularity of urination and defecation; 3. After pus discharge, swelling subsides, and the pus water is not foul-smelling; 4. Clear spirit, with natural calmness in movement and respiration; 5. Pulse has vitality and conforms to the seasonal patterns. The "Seven Inauspicious Signs" are: 1. Extreme thirst, fever, diarrhea, stranguria, or urinary retention; 2. Swelling worsens after pus discharge, and the pus is thin and foul-smelling; 3. Eyes lack spiritual luster, and the voice is hoarse or unclear; 4. Poor appetite with indigestion, and vomiting after taking medicine; 5. Mental confusion, drowsiness, shortness of breath, fatigue, and heaviness in the waist and back; 6. Cyanotic lips, black nose tip, and edema of the face and eyes; 7. Pulse lacks vitality, or is restless and irregular. An ancient saying states: "If three of the Five Auspicious Signs are present, the prognosis is auspicious; if four of the Seven Inauspicious Signs are present, the prognosis is inauspicious." I hold that regarding the inauspicious nature of the Seven Inauspicious Signs, danger exists even before four signs appear. However, emergency rescue methods must indeed be discussed. Generally speaking, symptoms such as heat-thirst, stranguria/retention, rapid breathing, and internal heat indicate injury to True Yin (Zhen Yin). It is appropriate to use Liuwei Dihuang Tang (Six-Ingredient Rehmannia Decoction) with added Maidong (Ophiopogon Radix) and Wuweizi (Schisandrae Fructus). If there is no response, use Bazhen Tang (Eight-Treasure Decoction) with added Maidong and Wuweizi. If still ineffective, use Shiquan Dabu Tang (Ten-Agent Great Tonifying Decoction), while concurrently administering Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). This follows the principle of tonifying Yin to generate Yang. If symptoms include shortness of breath, lassitude, mental clouding, fatigue, and food stagnation, these are indications of Yang Deficiency. It is appropriate to use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If sleep is restless, Guipi Tang (Restore the Spleen Decoction) is appropriate. If food intake decreases accompanied by facial and ocular edema, Xiangsha Liujunzi Tang (Aucklandia and Amomum Six-Gentlemen Decoction) is appropriate. If accompanied by Spleen-Stomach Deficiency-Cold, Lizhong Tang (Regulate the Middle Decoction) should be used. For Kidney Qi Deficiency-Cold, Guifu Bawei Wan (Cinnamon and Aconite Eight-Ingredient Pill) is required, along with Shiquan Dabu Tang (Ten-Agent Great Tonifying Decoction) supplemented with Fuzi (Aconiti Lateralis Radix Praeparata). This constitutes the method of warming and tonifying to restore Yang. If, after the ulceration of carbuncles and sores, excessive loss of pus and blood leads to opisthotonos (body arched backward like a bow horn), convulsions of the hands and feet, and trembling of the limbs, resulting in Jing disease (spasm), one should use herbs such as Renshen (Ginseng Radix), [text missing, likely Qihuangqi], Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), and Fuzi (Aconiti Lateralis Radix Praeparata) for rescue. If there is no response, Shiquan Dabu Tang (Ten-Agent Great Tonifying Decoction) may be used, with occasional chances of survival. At this critical juncture, life hangs by a thread; physicians should give repeated instructions, think deeply, and handle the situation prudently.