〔《精》〕独胜散治痈疽皆缘血滞气凝而致者。
香附子（去毛令净，以生姜汁淹一宿，焙干，研极细）
上无时，以白汤调二钱服之。又云∶疽疾多因怒气得之。若有此疾，必多怒，但服香附，进
食宽气自有效。
〔丹〕独胜散治气郁血滞，而诸疮愈后，常服半年尤妙，此皆施于体实气郁之人。予见吴兄浓
味气郁，而形实性重，年近六十，患背疽。医与他药皆不行，惟香附末饮之甚快，始终只此一味，
肿溃恃此以安，然此等体实而又病实乃瘥，千百而一见者也。每思香附，经不言有补，惟不老汤一
方，乃言于老人有益。用片子姜黄、香附子、甘草三味，而以不老为名，且引 瓮先生与刘君为
证，夫岂无其故哉，盖于行气中有补之之理耳。天之所以为天者，健而有常也，因其不息，所以生
生无穷。正如茺蔚子活血行气，有补阴之妙，故名益母，胎前产后所恃者气血耳，胎前无滞，产
后无虚，以其行中有补也。夏枯草治瘰 ，亦然。
〔《补遗》〕谓妇人男子，痈疽治法无异，惟月闭、血虚、气结三证有异耳。愚谓妇人海满则
行，月闭一证固异，然妇人性情执着，比之男子十倍，虽有虚证宜补，亦当以执着为虑。向见楼
氏妇早寡，善饮啖，形肥伟，性沉毒，年六十六，七月间，生背疽，近正脊。医遂横直裂开取血，
杂以五香、十宣散，与酒饮之。月余未尝议其寡居之郁，酒肉之毒，执着之滞，时令之热，卒
至于平陷，淹延两三月而不救。
六脉不和，则留为痈。（全文见五脏。此则膏粱所变之痈也。）
诸痛痒疮疡，皆属于心。（全文见诊。河间云∶人近火气，微热则痒，热甚则痛∶附近则灼
而为疮，皆心火之用也。或痒痛如针轻刺者，犹飞迸火星灼之然也。）
上心火实，则为热痈，心火虚，则为寒痈。
〔《脉》〕肺乘肝，即为痈。肾移寒于肝，痈肿少气。（全文见诊病传变，下同。肝藏血，
肝病则血从之，而荣气逆于肉理，生痈肿是也。）
脾移寒于肝，痈肿筋挛。
〔《本》〕 治发背方。草决明生用一升捣碎，生甘草一两亦碎，水三升，煮取一升，温分二
服。大抵血滞则生疮，肝为血之脏，而决明和肝气，不损元气也。（本草云。决明除肝热。）
三阳为病，发寒热，下为痈肿。（三阳，小肠膀胱也，下为痈肿独指膀胱为病。又脑疽、背
痈、臀痈之类是也。）
运气痈疽有四∶
一曰火热助心为疮疡。经云∶少阳所至为疮疹。又云∶少阴司天，热气下临，肺气上从，
甚则疮疡。又云∶少阴司天之政，初之气，寒乃始，阳气郁，炎暑将起，中外疮疡。又云∶少阳
所至，为疮疡。又云∶少阳司天之政。风热参布，太阴横流，寒乃时至，民病寒中，外发疮疡。
初之气，候乃大温，其病肤腠中疮。二之气，火反郁，其病热郁于上，疮发于中。三之气，炎暑
至，民病脓疮。又云∶太阳司天之政，初之气，气乃大温，肌腠疮疡，此皆常化病之浅也。又云∶少
阴司天，热淫所胜，甚则疮疡。又云∶少阴司天，客胜甚则疮疡。又云∶少阴之复，病痱疹疮疡，
痈疽痤痔。又云∶火太过曰赫羲，其病疮疡血流。又云∶火郁之发，民病疮疡痈肿。此是邪变病
之甚也。
二曰寒邪伤心为疮疡。经云∶太阳司天之政，三之气，寒气行，民病寒，反热中，痈疽注下。
又云∶太阳司天，寒淫所胜，血变于中，发为痈疡，病本于心。又云∶阳明司天之政，四之气，
寒雨降，民病痈肿疮疡是也。
三曰燥邪伤肝为疮疡。经云∶木不及曰委和，上商与正商同，其病支发痈肿疮疡，邪伤肝也。
又云∶阳明司天，燥淫所胜，民病疡疮痤痈，病本于肝是也。
四曰湿邪疮疡。经云∶太阴司天，湿气变物，甚则身后痈。又云∶太阴之胜，火气内郁，
疮疡于中，流散于外是也。
〔丹〕《精要》第一论曰∶凡有此病，未要辨问是痈是疽，是虚是实，是冷是热，首先便服内
托散、五香连翘汤，宜泄毒瓦斯。又云∶内托散、五香连翘汤、沉麝汤等诸方，不冷不热，不问老
幼少壮，阴阳虚实，多服为妙。夫痈疽疮疖，脏腑阴阳，有浅深虚实冷热，用药有补泻温凉，老幼少
壮，其禀受浓薄，形志苦乐，随年岁而增损，奈何欲以不冷不热四五方而通治之，又多服为妙，
此不能无疑者也。学人当审经络，察病机而处治，岂可仗此为通治之法。
〔丹〕东阳李兄，年逾三十，形瘦肤浓，连得忧患，又因作劳，且过于色，忽左腿外廉侧上发一
红肿，其大如栗。一医闻其大腑坚实，与承气汤二帖下之，不效。又一医，教与大黄、朱砂、
生粉草、麒麟竭，又二三帖，半月后召予视之。曰∶事去矣。
又一李兄，四十余，面稍白，神甚劳，忽胁下生一红肿如桃，一人教用补剂，众笑且排，
于是以流气饮、十宣散杂进之，旬余后，召予视之。予曰∶非惟不与补剂，抑且多得解利，
气血俱惫难矣。已而果然。
此二者，皆由不预防本经少阳少血，遽猛浪用大黄攻里而死之者也。
一男子，年近六十，形素肥，初夏于左膊外廉侧生一核，方圆二寸余，不甚痛。召予治，诊
其脉息，缓大而弱。予曰∶此因忧闷而生，当气升散之时，须急与人参膏五六斤，又看作何应。
病家召他外科，以十宣散五六帖而疮甚。予曰∶此大虚也，勿以轻小视之。病家不信，一外科
仍以十宣散进之，又五六帖，疮平陷，出清水而死。此可为因虚而生痈疽者之例。
胡经历女及笄，性急而形实，未许嫁，浓味积毒已深，髀骨中痛者年余，医以气药杂治之，愈而
复发。至秋冬令，忽大痛发热，医者方悟髀枢穴上生附骨疽，在外廉侧少阳之分，其浓味性急自
若，自首至尾，悉是五香汤、十宣散，服至疮溃，犹与五香汤者月余，忽一日恶寒发热膈满，医
者不悟升散太多，阴血已绝，孤阳狂越于上，犹恨服五香饮欠多，致膈间有滞，大服以进，
一夕喘汗而死。
此二者，由不预防本经少阳血少，遽猛浪用十宣、五香表散而死之者也，可不戒哉。
〔《灵》〕帝曰∶病之生时，有喜怒不测，饮食不节，阴气不足，阳气有余，荣气不行，乃发
为痈疽。阴阳不通，两热相搏，乃化为脓，小针能取之乎？岐伯曰∶圣人不能使化者为之，邪不
可留也。故两军相当，旗帜相望，白刃陈于中野者，此非一日之谋也。能使其民令行禁止，士
卒无白刃之难者，非一日之教也，须臾之得也。夫至使身被痈疽之病，脓血之聚者，不亦离道
远乎？夫痈疽之生，脓血之成也，不从天下，不从地出，积微之所生也。故圣人自治于未有形也，
愚者遭其已成也。黄帝曰∶其已形，不予遭，脓已成，不予见，为之奈何？岐伯曰∶脓已成，十
死一生。故圣人弗使已成，而明为良方，着之竹帛，使能者踵而传之后世，无有终时者，为其不
予遭也。黄帝曰∶其已有脓血而后遭乎？不导之以小针治乎？岐伯曰∶以小治小者功小，以大治
大者多害，故其已成脓血者，其惟砭石铍锋之所取也。黄帝曰∶多害者其不可全乎？岐伯曰∶
其在逆顺焉尔。（玉版篇 逆顺法见溃疡疹条。）
〔无〕治初生痈疽发背，神效灸法，累试有验。江陵府紫极观，因掘得石碑，载之。凡人初觉
发背，欲结未结，赤热肿痛，先以湿纸复其上，立视候之，其纸先干处，则是结痈头也。取大
蒜切成片，如当三钱浓，安头上，用大艾炷灸之，三壮即换一蒜片，痛者灸至不痛时住，不痛者
灸至痛时方住，最要早觉早灸为上。（如有头似麻豆大者不用湿纸覆法，只消头上灸之。）若有十
数头作一处生者，即用大蒜研成膏，作薄饼铺头上，聚艾于饼上烧之。（一二日十灸十活，三四日
六七活，五六日三四活。）
〔海〕灸而不痛，痛而后止其灸。灸而不痛者，先及其溃，所以不痛，而后及良肉，所以痛也。
灸而痛，不痛而后止其灸。灸而痛者，先及其未溃，所以痛，而次及将溃，所以不痛也。
〔《精》〕 痒者灸至不痒，痛者灸至不痛，大概以百壮为准。又云∶譬如诸盗入主人之家，
必开门逐之使出，万一门不开，无从而出，必伤主后已。
〔《本》〕王蘧发背方序云∶元 三年夏四月，官京师，疽发于背，召国医治之，逾月，势益
甚。得徐州萧县人张生，以艾火加疮上，自旦及暮，凡一百五十壮，知痛乃已。明日镊去黑痂，
脓尽溃，肉理皆红，亦不
复痛，始别以膏药贴之，日一易焉，易时旋剪去黑烂。月许，疮乃平。是岁秋夏间，京师士大夫
病疽者七人，余独生此。虽司命自然，固有料理，不知其方，遂至不幸者，以人意论之，可为
慨然。于是撰次前后所得方，模板以施，庶几古人济众之意。（此即当头隔蒜灸法，但不用蒜耳。）
〔《精》〕史源母氏，背髀间微痒，视之有赤半寸许，方有白粒如粟黍，乃急着艾灸，其赤
随消，二七壮而止。信宿复觉微痛，视之有赤下流长二寸，阔如韭叶，举家皆以前灸为悔。或云∶
等慈寺尼智全者，前病疮甚大，得灸而愈。奔问之，全云∶剧时昏不知，但小师辈言范八奉议守
定灸八百余壮方苏，约艾一筛尔。亟归白之，见从始以艾作炷，如银杏大，灸其上十数，殊不觉
痛，乃截四旁赤引其炷减四之三，皆觉痛，七壮后，觉痒，每一壮烬，则赤随缩入，灸至二十
余壮，赤晕收退。病者不惮，遂以艾作团大，灸其上，渐加至鸡黄大，约四十团，方觉痛。视火
焦处已寸余，盖灸之迟，而初发处肉已坏，坏肉成隔，直至好肉方痛。四旁知痛，肉未坏也。病
者六夜不寐，至是食粥安寝，至晚视之，疮如覆一甑，突高三四寸，上有百数小窍，色正黑。
突然高者，毒瓦斯出外而聚也。百数小窍者，毒未聚而浮攻肌肤也。色正黑者，皮与肉俱坏也。
非灸火出其毒于坏肉之里，则五脏逼矣。
桑君当痈疽头针而泻之气，避筋骨。
〔垣〕地之湿气，自外而入者，疮疡，当先服药，而后用针，针时先用温衣覆盖，不令凝泣壅滞，
使血脉得温小行，则血出立已。若不如此，血脉凝滞便针，邪毒不泻，反伤良肉，益其疮势也。
婴儿疮亦然。
〔《精》〕骑竹马灸法。先令病患以肘凭几，竖臂腕要直。用篾一条，自臂腕中曲处横纹，
男左女右，贴肉量起，直至中指尖尽处截断为则，不量指甲。却用竹扛一条，令病患脱衣骑定，
令身正直，前后用两人扛起，令脚不着地，又令二人扶定，勿令僵仆，却将前所量臂腕篾，
从竹扛坐处，尾 骨尽处，直向上贴脊背量至篾尽处为则，用墨点定，此只是取中，非灸穴也。
却用薄篾作则子，量病患中指节，相去两横纹为则，男左女右，截为一则，就前所点处两边，
各量一则，尽处即是灸穴。两穴各灸五壮，或七壮止，不可多灸。不问痈疽生何
处，并用此法灸之，无不愈者。盖此二穴，心脉所通处，此痈疽皆心火留滞而生，灸则心火流通，即
见安愈，可以起死救危，有非常之效，累试累验。
详臂腕中曲处横纹，即曲泽穴间横纹，非掌后腕之横纹也。
〔丹〕凡痈疽之发，或因内有积热，或因外寒郁内热，若于生发之际，艾灸以散其毒，治之
于早，可以移深为浅，改重为轻。诸项灸法皆好，惟骑竹马灸法尤为切要，此消患于未形之策。
〔《保》〕凡疮可灸刺者，须分经络部位，血分多少， 穴远近。若从背而出者，当从太
阳五穴，随证选用，或刺或灸，泄其邪气。
凡太阳多血少气∶至阴 通谷 束骨 昆仑 委中
从鬓而出者，多从少阳五穴选用。少阳少血多气∶窍阴 侠溪 临泣 阳辅 阳陵泉
从髭而出者，多从阳明五穴选用。阳明多血少气∶厉兑 内庭 陷谷 冲阳 解溪
从脑而出，初觉脑痛难忍，欲生疮也。脑者髓之海，当灸刺绝骨以泄邪气。髓者舍也，故脉
浮者从太阳经根据前选用，脉长者从阳明经根据前选用，脉弦者从少阳经根据前选用。论曰∶诸经各有
井荥输经合，井主心下满及疮色青，荥主身热及疮色赤，俞主体重节痛及疮色黄，经主咳嗽寒热及
疮色白，合主气逆而泄及疮色黑，各随经病而见此证者，或宜灸，或宜针，以泄邪气。经云∶邪
气内搐则壅热，宜砭射之也。
上《保命集》分经灸刺，乃大纲耳。今更取《灵枢》经脉篇及《铜人》等书毫分缕析，
出各经分野，在针门十二经条列为之图，目之曰经络分野图，使人视之，心目燎然，目无全牛矣。
夫痈疽初发，必先当头灸之以开其户，次看所发分野属何经脉。经脉既定，却内用所属经脉之
药引经以发其表，外用所属经脉之俞穴针灸以泄其邪，内外交治，邪无容也。针灸痈疽者，更
于针灸门十二经脉分野图求之。
〔《甲》〕痈疽，窍阴主之。头项痈肿不能言，天窗主之。
〔垣〕邪气不伤于肠胃，大便如常，慎不可下，切禁之。
〔丹〕《精要》云∶大黄治痈疽之要药，以其宣热拔毒。又云∶疮始作，皆须以大黄等汤，极
【《精要》】独胜散治疗痈疽，这些病症都是由于血行滞涩、气机凝滞所导致的。
香附子（去除毛须使其洁净，用生姜汁浸泡一夜，焙干，研磨成极细的粉末）
以上药物不拘时间，用白开水调服二钱。又说：疽病多因怒气引发。如果有此病，必定伴有易怒的症状，只要服用香附，进食并宽畅气机，自然有效。
【丹溪】独胜散治疗气郁血滞，在各类疮疡痊愈后，常服半年尤为奇妙，这都适用于体质壮实且气机郁结的人。我见过吴兄，饮食肥甘厚味，气机郁结，形体壮实而性情沉稳，年近六十，患背疽。医生给他用的其他药都不见效，只有服用香附末感觉很快好转，始终只用了这一味药，肿胀溃破都依靠它才得以平安，然而这种体质壮实而又病情属实证的才能痊愈，是千百人中才有一见的情况。我常常思考香附，医经中不曾说它有补益作用，只有“不老汤”一方，说是对于老人有益。使用片子姜黄、香附子、甘草三味药，却以“不老”命名，并且引用瓮先生与刘君作为证据，这难道没有原因吗？大概是在行气之中蕴含着补益的道理罢了。天之所以成为天，是因为刚健而有常规，因为不停息，所以生生无穷。正如茺蔚子活血行气，有补阴的妙处，所以名叫益母草，胎前产后所依赖的就是气血罢了，胎前无滞塞，产后无虚损，是因为它在行散中有补益的作用。夏枯草治疗瘰疬，也是同样的道理。
【《补遗》】认为妇女和男子，痈疽的治疗方法没有不同，只有月经闭止、血虚、气结这三种证候有所不同。我认为妇女海满则月经来潮，月经闭止一证固然不同，然而妇女性格执着，比男子强十倍，虽然有虚证应当补益，也应当顾虑到她们的执着情绪。先前见到楼姓妇人早年守寡，喜欢饮酒饮食，形体肥胖伟岸，性情深沉狠毒，六十六岁时，七月间，背上生疽，靠近脊柱正中。医生于是横直切开取血，混杂五香散、十宣散，用酒送服。一个多月未曾议论她寡居的抑郁、酒肉的毒性、执着的滞碍、时令的热邪，最终导致疮面平陷，拖延两三个月而不救。
六脉不和，就会留滞成为痈。（全文见五脏篇。这是由膏粱厚味变化而成的痈。）
各种痛痒疮疡，都归属于心。（全文见诊法篇。河间说：人接近火气，微热则痒，热甚则痛；靠近则灼烧而成疮，这都是心火的作用。或者痒痛如针轻刺，就像飞迸的火星灼烧一样。）
【《脉经》】肺金乘克肝木，就会发生痈。肾将寒气转移给肝，会出现痈肿少气。（全文见诊病传变篇，下同。肝藏血，肝病则血随之，营气逆乱于肌肉纹理之间，产生痈肿，就是这种情况。）
【《本草》】治疗发背的方子。草决明生用一升捣碎，生甘草一两也捣碎，水三升，煮取一升，分两次温服。大抵血滞就会产生疮疡，肝是藏血的脏器，而决明能调和肝气，不损伤元气。（本草记载：决明能清除肝热。）
三阳经发病，出现恶寒发热，下部发生痈肿。（三阳，指小肠和膀胱，下部发生痈肿特指膀胱发病。又脑疽、背痈、臀痈之类就是这种情况。）
运气学说中的痈疽有四种：
一是火热助长心火导致疮疡。经书说：少阳之气到来表现为疮疹。又说：少阴司天，热气下临，肺气上从，严重时发生疮疡。又说：少阴司天之政，初之气，寒气开始，阳气郁结，炎暑即将兴起，内外发生疮疡。又说：少阳之气到来，表现为疮疡。又说：少阳司天之政，风热参杂分布，太阴湿气横流，寒气按时而至，百姓患寒中症，外部发生疮疡。初之气，气候大温，其病为皮肤腠理中的疮。二之气，火气反而郁结，其病为热郁于上，疮发于中。三之气，炎暑到来，百姓患脓疮。又说：太阳司天之政，初之气，气候大温，肌肤腠理发生疮疡，这些都是正常气化病变的浅层表现。又说：少阴司天，热邪淫盛，严重时发生疮疡。又说：少阴司天，客邪胜则严重时发生疮疡。又说：少阴之复，病发痱疹疮疡，痈疽痤痔。又说：火太过称为赫羲，其病为疮疡血流。又说：火郁发作，百姓患疮疡痈肿。这是邪气变化导致的严重疾病。
二是寒邪伤心导致疮疡。经书说：太阳司天之政，三之气，寒气流行，百姓患寒症，反而热在中焦，发生痈疽泄泻。又说：太阳司天，寒邪淫盛，血液在体内发生变化，发生痈疡，病本在心。又说：阳明司天之政，四之气，寒雨降下，百姓患痈肿疮疡，就是这样。
三是燥邪伤肝导致疮疡。经书说：木气不及称为委和，上商与正商相同，其病为四肢发生痈肿疮疡，是邪气伤害肝脏。又说：阳明司天，燥邪淫盛，百姓患疡疮痤痈，病本在肝脏，就是这样。
四是湿邪导致疮疡。经书说：太阴司天，湿气改变万物，严重时身后发生痈。又说：太阴胜复，火气内郁，疮疡发于内部，流散于外部，就是这样。
【丹溪】《精要》第一篇论述说：凡是患有此病，不要急于分辨是痈是疽，是虚是实，是冷是热，首先就服用内托散、五香连翘汤，适宜宣泄毒瓦斯。又说：内托散、五香连翘汤、沉麝汤等各方，不冷不热，不问老少壮弱，阴阳虚实，多服为好。然而痈疽疮疖，脏腑阴阳，有浅深虚实冷热之分，用药有补泻温凉之别，老少壮弱，他们的禀受浓薄，形志苦乐，随年龄增长而增减，怎么能想用不冷不热的四五张方子来通治，又说多服为好，这不能不让人怀疑。学医之人应当审察经络，考察病机而进行治疗，怎么能倚仗这些作为通治的方法。
【丹溪】东阳李兄，年过三十，形体瘦削皮肤细腻，接连遭遇忧患，又因劳累，且房事过度，忽然左腿外侧上方发出一红肿，大小如栗子。一位医生听说他大便坚实，给予承气汤两帖攻下，无效。另一位医生，教用大黄、朱砂、生粉草、麒麟竭，又服二三帖，半月后请我去看。我说：事情已无法挽回了。
又一位李兄，四十多岁，面色稍白，精神非常劳倦，忽然胁下生一红肿如桃子大，一人教用补剂，众人嘲笑并排斥，于是用流气饮、十宣散混杂进服，十多天后，请我去看。我说：不仅不给补剂，而且多得了解利（泻下），气血都疲惫不堪了。后来果然如此。
这两者，都是因为不预防本经少阳血少的特点，仓促猛烈地使用大黄攻里而致死的案例。
一名男子，年近六十，形体向来肥胖，初夏在左臂外侧上方生一核，方圆二寸多，不太痛。请我去治，诊其脉象，缓大而弱。我说：这是因为忧闷而生，应当在气机升散之时，急需给人参膏五六斤，再看有什么反应。病人家属召来其他外科医生，用十宣散五六帖，结果疮势更重。我说：这是大虚证，不要轻视。病人家属不信，一位外科医生仍以十宣散进服，又服五六帖，疮面平陷，流出清水而死。这可以作为因虚而生痈疽的案例。
胡经历的女儿及笄之年，性情急躁而形体壮实，未许嫁，肥甘厚味积毒已深，髀骨中疼痛一年多，医生用气药混杂治疗，好了又复发。到了秋冬令，忽然剧烈疼痛发热，医生才明白在髀枢穴上生了附骨疽，在外侧少阳经脉之分，其肥甘厚味和急躁性情依旧，从头到尾，全是五香汤、十宣散，服至疮溃，还继续服用五香汤月余，忽然有一天恶寒发热胸膈胀满，医生不明白升散太多，阴血已绝，孤阳狂越于上，还怨恨服用五香饮不够多，导致胸膈间有滞碍，大量服用进补，一夕喘汗而死。
这两者，都是因为不预防本经少阳血少的特点，仓促猛烈地使用十宣、五香表散而致死的案例，可不警惕吗？
【《灵枢》】黄帝说：疾病产生时，有喜怒无常，饮食不节，阴气不足，阳气有余，营气运行不畅，于是发为痈疽。阴阳不通，两热相搏，于是化为脓，小针能取效吗？岐伯说：圣人不能让化脓的病灶自行消散，邪气不可留滞。所以两军对垒，旗帜相望，白刃陈列在原野，这不是一天的谋划。能使百姓令行禁止，士兵免受白刃之难，不是一天的教化，也不是片刻就能得到的。至于使身体遭受痈疽之病，脓血积聚，不是离道很远了吗？痈疽的产生，脓血的形成，不从天下，不从地出，是积累微小而产生的。所以圣人在未有形迹时就自我调理，愚者等到已成时才遭遇。黄帝说：如果已经成形，我不曾遭遇，脓已成，我不曾看见，该怎么办？岐伯说：脓已成，十死一生。所以圣人不让它已成，并明确制定良方，写在竹帛上，让有能力的人继承并传给后世，没有终结的时候，是为了防止我不曾遭遇的情况。黄帝说：如果已有脓血而后才遭遇呢？不用小针治疗吗？岐伯说：用小针治大病功效小，用大针治大祸害多，所以已成脓血的，只能用砭石铍锋来取效。黄帝说：多害的话就不能完全治愈吗？岐伯说：这在于逆顺罢了。（玉版篇 逆顺法见溃疡疹条。）
【无】治疗初生痈疽发背，神效灸法，多次尝试都有验。江陵府紫极观，因挖掘得到石碑，记载于此。凡人初觉发背，欲结未结，赤热肿痛，先用湿纸覆盖在上面，立即观察等待，纸先干的地方，就是痈头所在。取大蒜切成片，如当三钱厚，放在头上，用大艾炷灸之，三壮就换一片蒜片，痛的灸到不痛时停止，不痛的灸到痛时方才停止，最重要的是早发觉早灸为上策。（如果有头似麻豆大的，不用湿纸覆盖法，只需在头上灸即可。）如果有十几个头长在一处的，就用大蒜研成膏，做成薄饼铺在头上，聚艾于饼上烧之。（一二日灸十次活十个，三四日活六七，五六日活三四。）
【海藏】灸而不痛，痛了才停止灸。灸而不痛的，先及其溃烂处，所以不痛，然后及好肉，所以痛。灸而痛，不痛了才停止灸。灸而痛的，先及其未溃烂处，所以痛，然后及将溃烂处，所以不痛。
【《精要》】痒的灸到不痒，痛的灸到不痛，大概以百壮为标准。又说：譬如众盗进入主人家，必须开门赶他们出去，万一门不开，无处可出，一定会伤害主人之后才罢休。
【《本草》】王蘧发背方序云：元朝三年夏四月，我在京师做官，背上生疽，召国医治疗，过了一个月，势头更厉害。得到徐州萧县人张生，用艾火加在疮上，从早晨到晚上，共一百五十壮，知道痛了才停止。第二天镊去黑痂，脓尽溃破，肌肉纹理皆红，也不再痛，另外用膏药贴敷，每天更换一次，更换时随即剪去黑烂部分。一个月左右，疮才平复。这一年秋夏间，京师士大夫患疽的有七人，唯独我幸存。虽然说是命运自然，固有料理，不知道方法，以至于不幸的，凭人意论之，可为感慨。于是撰集前后所得方子，刻印施舍，希望符合古人济众的心意。（这就是当头隔蒜灸法，只是不用蒜而已。）
【《精要》】史源的母亲，背髀间微痒，看有一赤色半寸许，才有白粒如粟黍，急忙艾灸，赤色随即消退，灸二七壮停止。两天后又觉微痛，看有赤色向下流长二寸，阔如韭叶，全家都后悔之前的灸法。有人说：等慈寺尼智全，之前病疮很大，得灸而愈。跑去问，智全说：剧痛时昏迷不知，只是小师辈说范八奉议坚守灸八百余壮才苏醒，大约一筛艾绒。急忙回去告知，见从开始用艾作炷，如银杏大，灸其上十数，完全不觉得痛，于是截取四周赤色引其炷减去四分之三，都觉得痛，七壮后，觉得痒，每一壮烧完，赤色随即缩入，灸至二十余壮，赤晕收退。病人不害怕，遂用艾作团大，灸其上，逐渐加至鸡黄大，约四十团，方才觉得痛。看火焦处已一寸多，大概是灸得迟，而初发处肉已坏，坏肉形成阻隔，直到好肉才痛。四周知痛，肉未坏。病人六夜不寐，至此吃粥安寝，到晚看，疮如倒扣的一口锅，突高三四寸，上有百数小窍，色正黑。突然高的，是毒瓦斯向外聚集。百数小窍，是毒未聚而浮攻肌肤。色正黑的，是皮与肉俱坏。如果不靠灸火将毒排出在坏肉之内，则五脏被逼迫了。
【垣】地之湿气，从外而入的疮疡，应当先服药，然后用针，针时先用温衣覆盖，不让血脉凝泣壅滞，使血脉得温小行，则血出立止。如果不这样，血脉凝滞便针，邪毒不泻，反而伤害好肉，增加疮势。婴儿疮也是这样。
【《精要》】骑竹马灸法。先让病患以肘支撑几案，竖臂腕要直。用篾一条，自臂腕中曲处横纹，男左女右，贴肉量起，直至中指尖尽处截断为标准，不量指甲。却用竹扛一条，让病患脱衣骑定，令身正直，前后用两人扛起，令脚不着地，又令二人扶定，勿令僵仆，却将前所量臂腕篾，从竹扛坐处，尾骶骨尽处，直向上贴脊背量至篾尽处为标准，用墨点定，这只是取中点，不是灸穴。却用薄篾作准则，量病患中指节，相去两横纹为标准，男左女右，截为一准则，就在前所点处两边，各量一准则，尽处即是灸穴。两穴各灸五壮，或七壮止，不可多灸。不问痈疽生何处，都用此法灸之，无不愈者。盖此二穴，是心脉所通之处，此痈疽皆心火留滞而生，灸则心火流通，即见安愈，可以起死救危，有非常之效，多次尝试多次验证。
详细说臂腕中曲处横纹，即曲泽穴间横纹，不是掌后腕之横纹。
【丹溪】凡痈疽之发，或因内有积热，或因外寒郁内热，若在生发之际，艾灸以散其毒，治之于早，可以移深为浅，改重为轻。诸项灸法都好，惟骑竹马灸法尤为切要，这是消患于未形的策略。
【《保命集》】凡疮可灸刺者，须分经络部位，血分多少，穴位远近。若从背而出者，当从太阳五穴，随证选用，或刺或灸，泄其邪气。
从鬓而出者，多从少阳五穴选用。少阳经少血多气：窍阴、侠溪、临泣、阳辅、阳陵泉。
从髭而出者，多从阳明五穴选用。阳明经多血少气：厉兑、内庭、陷谷、冲阳、解溪。
从脑而出，初觉脑痛难忍，欲生疮也。脑者是髓之海，当灸刺绝骨以泄邪气。髓者是舍也，故脉浮者从太阳经根据前选用，脉长者从阳明经根据前选用，脉弦者从少阳经根据前选用。论曰：诸经各有井荥输经合，井主心下满及疮色青，荥主身热及疮色赤，俞主体重节痛及疮色黄，经主咳嗽寒热及疮色白，合主气逆而泄及疮色黑，各随经病而见此证者，或宜灸，或宜针，以泄邪气。经云：邪气内搐则壅热，宜砭射之也。
以上《保命集》分经灸刺，乃大纲耳。现在更取《灵枢》经脉篇及《铜人》等书毫分缕析，出各经分野，在针门十二经条列为之图，目之曰经络分野图，使人视之，心目燎然，目无全牛矣。
夫痈疽初发，必先当头灸之以开其户，次看所发分野属何经脉。经脉既定，却内用所属经脉之药引经以发其表，外用所属经脉之俞穴针灸以泄其邪，内外交治，邪无容也。针灸痈疽者，更于针灸门十二经脉分野图求之。
[From "Jing Yao"] Dusheng San (Single Victory Powder) treats carbuncles and sores, which are all caused by blood stasis and qi stagnation.
Xiangfu Zi (Cyperi Rhizoma, remove hairs to make clean, soak in fresh ginger juice for one night, dry by baking, grind into extremely fine powder).
Take the above medicine at any time, mix two qian with warm water and take orally. It is also said: Sores often arise from anger. If one has this disease, there must be frequent anger; just taking Cyperi Rhizoma, eating food, and relaxing the qi will naturally be effective.
[Danxi] Dusheng San treats qi depression and blood stasis. After various sores heal, taking it regularly for half a year is especially wonderful. This applies to people with strong constitutions and qi stagnation. I have seen Brother Wu, who consumed rich foods and had qi stagnation, with a robust physique and steady temperament. Near sixty years old, he suffered from a back sore. Other medicines prescribed by doctors were ineffective, but taking Cyperi Rhizoma powder brought rapid relief. He relied solely on this single herb throughout, and the swelling and ulceration were stabilized by it. However, only those with both a robust constitution and an excess condition can recover; such cases occur once in thousands. I often ponder Cyperi Rhizoma; the classics do not mention its tonifying properties. Only in the formula "Bu Lao Tang" (Elixir of Longevity) is it stated to benefit the elderly. Using Pianzi Jianghuang (Curcumae Radix), Xiangfu Zi (Cyperi Rhizoma), and Gancao (Glycyrrhizae Radix et Rhizoma), yet named "Bu Lao" (Longevity), and citing Mr. Weng and Lord Liu as evidence, there must be a reason. It seems that within the action of moving qi, there lies the principle of tonification. Heaven is heaven because it is vigorous and constant; because it does not cease, life generates endlessly. Just as Chongwei Zi (Leonuri Fructus) invigorates blood and moves qi, possessing the subtle effect of tonifying yin, hence named Yimu Cao (Motherwort Herb); before and after childbirth, reliance is placed on qi and blood. Before childbirth, there is no stagnation; after childbirth, there is no deficiency, because within its dispersing action lies tonification. Xiakucao (Prunellae Spica) treating scrofula follows the same principle.
[From "Bu Yi"] It is said that the treatment methods for carbuncles and sores in women and men are no different, except for three conditions: amenorrhea, blood deficiency, and qi knot. I believe that when a woman's sea is full, menstruation flows; amenorrhea is indeed different. However, women's temperaments are ten times more stubborn than men's. Even if there are deficiency syndromes requiring tonification, one must consider their stubbornness. I once saw a Lady Lou who was widowed early, loved drinking and eating, had a fat and imposing figure, and a deep, venomous temperament. At sixty-six, in July, she developed a back sore near the spine. The doctor cut horizontally and vertically to drain blood, mixed with Wuxiang San (Five Fragrances Powder) and Shixuan San (Ten Acupoints Powder), and administered it with wine. For over a month, no one discussed her widowhood-induced depression, the toxicity of alcohol and meat, the stagnation of stubbornness, or the heat of the season. Ultimately, the sore flattened and sank, lingering for two or three months without rescue.
When the six pulses are discordant, stagnation remains and becomes a carbuncle. (The full text is in the Five Viscera section. This is a carbuncle transformed from rich food.)
All pain, itching, sores, and ulcers belong to the Heart. (The full text is in the Diagnosis section. Hejian said: When people approach fire, slight heat causes itching, intense heat causes pain; proximity causes burning and sores, all due to the use of Heart Fire. Or itching and pain like light needle pricks, similar to flying sparks burning.)
Excess Heart Fire above leads to heat carbuncles; deficient Heart Fire leads to cold carbuncles.
[From "Mai Jing"] Lung metal overcoming Liver wood results in carbuncles. Kidney transferring cold to the Liver results in carbuncles/swelling and shortness of breath. (The full text is in the Disease Transmission section, same below. The Liver stores blood; liver disease causes blood to follow, and Ying Qi rebels in the muscle texture, generating carbuncles/swelling.)
Spleen transferring cold to the Liver results in carbuncles/swelling and tendon spasms.
[From "Ben Cao"] Prescription for Fa Bei (Back Carbuncle). Caojueming (Cassiae Semen) used raw, one sheng, crushed; Sheng Gancao (Raw Licorice Root), one liang, also crushed. Three sheng of water, boil to obtain one sheng, divide into two doses and take warm. Generally, blood stagnation produces sores. The Liver is the organ of blood, and Jieming harmonizes Liver Qi without damaging Yuan Qi. (Ben Cao states: Jieming clears Liver Heat.)
Diseases of the Three Yang channels present with chills and fever; lower body presents with carbuncles/swelling. (Three Yang refers to Small Intestine and Bladder. Lower body carbuncles/swelling specifically refers to Bladder disease. Such as brain sores, back carbuncles, buttock carbuncles, etc.)
There are four types of carbuncles and sores according to Climate Theory:
First, Fire-Heat assisting Heart Fire causing sores. The Classics say: Arrival of Shaoyang manifests as sores/rashes. Also: When Shaoyin governs the sky, Heat descends, Lung Qi ascends accordingly; severely, sores occur. Also: In the administration of Shaoyin governing the sky, during the first climate, Cold begins, Yang Qi is depressed, hot summer heat is about to rise, causing internal and external sores. Also: Arrival of Shaoyang manifests as sores. Also: Administration of Shaoyang governing the sky. Wind and Heat distribute together, Taiyin dampness flows horizontally, Cold arrives on time, people suffer from cold in the middle, externally manifesting sores. First climate, weather is greatly warm, disease is sores in skin and pores. Second climate, Fire reversely depresses, disease is heat depressed above, sores erupt in the middle. Third climate, hot summer arrives, people suffer from pustular sores. Also: Administration of Taiyang governing the sky, first climate, weather is greatly warm, muscle pores have sores. These are all shallow diseases of normal transformation. Also: Shaoyin governing the sky, excessive Heat wins, severely sores occur. Also: Shaoyin governing the sky, guest excess severely causes sores. Also: Revolt of Shaoyin, disease is fei rash sores, carbuncles/sores/acne/hemorrhoids. Also: Excessive Fire is called He Xi, disease is sores and blood flow. Also: Depression of Fire erupts, people suffer from sores and carbuncles/swelling. This is severe disease from evil transformation.
Second, Cold Evil injuring Heart causing sores. The Classics say: Administration of Taiyang governing the sky, third climate, Cold Qi moves, people suffer from cold, reverse heat in the middle, carbuncles/sores and diarrhea. Also: Taiyang governing the sky, excessive Cold wins, blood changes in the middle, erupting as sores, disease root in the Heart. Also: Administration of Yangming governing the sky, fourth climate, cold rain descends, people suffer from carbuncles/swelling and sores.
Third, Dryness Evil injuring Liver causing sores. The Classics say: Wood deficiency is called Wei He, upper Shang is same as Zheng Shang, disease is limb sores/carbuncles/swelling, evil injures the Liver. Also: Yangming governing the sky, excessive Dryness wins, people suffer from ulcers/rashes/acne/carbuncles, disease root in the Liver.
Fourth, Dampness Evil causing sores. The Classics say: Taiyin governing the sky, Dampness transforms things, severely posterior body carbuncles. Also: Victory of Taiyin, Fire Qi internally depressed, sores erupt inside, flowing and scattering outside.
[Danxi] Chapter One of "Jing Yao" states: Whenever this disease occurs, do not hastily distinguish whether it is carbuncle or sore, deficiency or excess, cold or heat. First, take Neituo San (Internal Support Powder) and Wuxiang Liaoqiao Tang (Five Fragments and Forsythia Decoction) to vent toxic vapors. Also: Neituo San, Wuxiang Liaoqiao Tang, Chen She Tang, etc., are neither cold nor hot. Regardless of age or constitution, yin or yang, deficiency or excess, taking them in large amounts is excellent. However, carbuncles, sores, boils, and folliculitis involve viscera and yin/yang with depths, deficiencies, excesses, colds, and heats. Medicines have tonifying, purging, warming, and cooling properties. Old, young, weak, and strong have varying endowments, physical/mental hardships and joys, increasing or decreasing with age. How can one use four or five formulas that are neither cold nor hot to treat all generally, and claim taking more is excellent? This raises doubts. Students should examine meridians, observe pathogenesis, and prescribe treatment. How can they rely on this as a general method?
[Danxi] Brother Li from Dongyang, over thirty years old, thin with delicate skin, suffering continuous worries, plus overwork and excessive sexual activity, suddenly developed a red swelling on the outer side of the left thigh, size like a chestnut. One doctor, hearing his bowels were solid, gave Chengqi Tang (Purgative Decoction) for two doses to purge, but it was ineffective. Another doctor advised using Dahuang (Rhei Radix et Rhizoma), Zhusha (Cinnabaris), Sheng Fugcao (Raw Licorice Root), and Qilinjie (Dragon's Blood), taken for another two or three doses. Half a month later, he summoned me to examine. I said: "It is beyond recovery."
Another Brother Li, over forty, slightly pale face, very exhausted spirit, suddenly developed a red swelling like a peach under the ribs. One person advised using tonics, others laughed and opposed it. Thus, Liuqi Yin (Flowing Qi Decoction) and Shixuan San were mixed and taken. Over ten days later, he summoned me. I said: "Not only were tonics not given, but purgatives were excessively used. Qi and Blood are now exhausted." Later, it proved true.
Both these cases died because they did not anticipate the blood-deficient nature of the Shaoyang channel, and rashly used Dahuang to attack the interior.
A man, nearly sixty, usually fat, developed a lump on the outer side of the left arm in early summer, square and round, over two cun, not very painful. Summoned me to treat. Pulse was slow, large, and weak. I said: "This arose from worry and depression. During the time when Qi rises and disperses, urgently administer Ren Shen Gao (Ginseng Paste) five or six jin, then see what response occurs." The family summoned another surgeon, who gave Shixuan San for five or six doses, making the sore worse. I said: "This is severe deficiency, do not look down upon it lightly." The family did not believe him. A surgeon still administered Shixuan San, five or six more doses. The sore flattened and sank, clear water flowed out, and he died. This serves as an example of carbuncles/sores arising from deficiency.
Hu Jingli's daughter, of marriageable age, impatient temperament and robust body, unmarried, accumulated deep toxicity from rich foods. Pain in the femur bone for over a year. Doctors treated with Qi-moving medicines mixed, cured but relapsed. In autumn/winter, sudden severe pain and fever. Doctors realized a Gujisu (Bone-Adhering Sore) had formed above the Bitshu acupoint, in the Shaoyang division on the lateral side. His rich diet and impatience remained unchanged. From start to finish, only Wuxiang Tang and Shixuan San were used. Even after the sore ulcerated, Wuxiang Tang continued for over a month. Suddenly, one day, chills, fever, and chest fullness occurred. The doctor did not realize that ascending and dispersing had been excessive, Yin Blood was exhausted, and solitary Yang wildly surged upward. Still regretting insufficient intake of Wuxiang Yin, causing stagnation in the chest, he massively administered more. One night, he died of panting and sweating.
These two cases died because they did not anticipate the blood-deficient nature of the Shaoyang channel, and rashly used Shixuan and Wuxiang to disperse via the exterior. Can one not beware?
[Lingshu] The Emperor said: When diseases arise, there are unpredictable joy and anger, irregular diet, insufficiency of Yin Qi, excess of Yang Qi, and failure of Ying Qi to circulate, thus developing carbuncles and sores. Yin and Yang do not communicate, two heats clash, thus transforming into pus. Can small needles cure it? Qibo said: Sages cannot make already transformed [pus] resolve; evil cannot remain. Thus, two armies facing each other, flags visible, white blades arrayed in the field, this is not a plan of one day. To make people obey orders and prohibit actions, soldiers avoiding blade dangers, is not one day of teaching, nor obtained in a moment. To cause the body to suffer carbuncles and sores, accumulation of pus and blood, is it not far from the Dao? The birth of carbuncles and sores, formation of pus and blood, does not come from the sky, nor emerge from the earth, but is generated from accumulation of the minute. Thus, sages regulate themselves before form appears; fools encounter it after it forms. The Yellow Emperor said: If it has already formed, I have not encountered it; if pus has formed, I have not seen it, what to do? Qibo said: Once pus has formed, ten die, one lives. Thus, sages prevent it from forming, clearly establish good prescriptions, write them on bamboo and silk, so capable successors transmit them to future generations without end, for the sake of preventing non-encounter. The Yellow Emperor said: If pus and blood have already formed and then encountered, can they not be treated with small needles? Qibo said: Treating large with small yields little merit; treating large with large causes much harm. Thus, for those with formed pus and blood, only bian stones and pi feng (scalpels) can be used. The Yellow Emperor said: If there is much harm, can it not be fully cured? Qibo said: It depends on reversal and smoothness. (Yu Ban Chapter, Reversal and Smoothness method see Ulceration Rash section.)
[Wu] Treatment for initial carbuncles and back carbuncles, miraculous moxibustion method, tested repeatedly with success. Jiangling Prefecture Zijiguan, while digging, found a stone tablet recording this. When anyone initially feels back carbuncle, wanting to form but not yet formed, red, hot, swollen, and painful, first cover with wet paper, immediately watch and wait. The place where the paper dries first is the head of the carbuncle. Take garlic, slice it, thickness equivalent to three qian, place on the head, use large moxa cone to moxa. Three zhuang, then replace one garlic slice. If painful, moxa until pain stops; if not painful, moxa until pain starts. Most important is early detection and early moxa as best. (If there is a head like hemp seed size, no need for wet paper covering method, just moxa the head.) If ten or more heads grow together, crush garlic into paste, make thin cake, spread on head, gather moxa on cake and burn. (One or two days, ten moxa ten live; three or four days, six or seven live; five or six days, three or four live.)
[Hai Zang] Moxa until not painful, stop moxa after pain. Moxa not painful: first reaches ulceration, so not painful; then reaches healthy flesh, so painful. Moxa painful, stop moxa after not painful: Moxa painful: first reaches un-ulcerated, so painful; then reaches about-to-ulcerate, so not painful.
[Jing Yao] Itchy moxa until not itchy, painful moxa until not painful, generally based on one hundred zhuang. Also said: Like thieves entering the master's house, must open door to drive them out. If door does not open, nowhere to exit, must harm master after.
[Ben Cao] Wang Qu's Preface for Back Carbuncle Prescription says: In the third year of Yuan dynasty, fourth month of summer, serving in the capital, sore erupted on back. Summoned Imperial Doctor to treat. Over a month, condition worsened. Obtained Zhang Sheng from Xiao County, Xuzhou. Added moxa fire to sore, from morning to evening, total one hundred fifty zhuang, stopped when pain was felt. Next day, removed black scab with tweezers, pus completely drained, muscle texture all red, no longer painful. Then separately applied plaster, changed daily, cutting off black rot when changing. About one month, sore flattened. That autumn and summer, seven officials in the capital suffered from sores, I alone survived. Although fate is natural, there is inherent management. Not knowing the method led to misfortune. Discussing by human intent, one can sigh. Thus, compiled previous and subsequent prescriptions, printed and distributed, hoping to match the ancients' intention to save the multitude. (This is the Garlic-Separate Head Moxibustion method, just without garlic.)
[Jing Yao] Shi Yuan's mother, between back and thigh, slight itch. Viewed, had half-cun red area, with white grains like millet. Urgently applied moxa. Redness disappeared. Stopped at fourteen zhuang. Two nights later, felt slight pain. Viewed, redness flowed down two cun long, width like leek leaf. Whole family regretted previous moxa. Someone said: Nun Zhiquan from Dengci Temple, previously had very large sore, cured by moxa. Ran to ask. Zhiquan said: During severe stage, unconscious. Only junior monks said Fan Bayi Fengyi persisted in moxing over eight hundred zhuang before waking, approximately one sieve of moxa. Hasted home to report. Saw starting with moxa cone like ginkgo nut, moxa top ten or so, totally not feeling pain. Then cut surrounding redness, reducing cone by three-quarters, all felt pain. After seven zhuang, felt itch. Each zhuang burnt out, redness shrunk inward. Moxa to twenty-plus zhuang, red halo receded. Patient not afraid, made moxa ball large, moxa top, gradually added to chicken yolk size, about forty balls, only then felt pain. Viewed fire scorched area already over one cun. Probably moxa late, initial eruption flesh already bad. Bad flesh formed barrier, until good flesh then painful. Surroundings felt pain, flesh not bad. Patient slept six nights without sleep. Until then ate porridge, slept peacefully. Evening view, sore like inverted pot, protruding three or four cun high, with hundreds of small holes, color truly black. Protruding suddenly, toxic vapor gathering outward. Hundreds of small holes, toxin not gathered, floating attacking skin. Color truly black, skin and flesh both bad. If not moxa fire expelling toxin from inside bad flesh, then five viscera would be forced.
Jun Sang punctured carbuncle head to drain Qi, avoiding sinews and bones.
[Yuan] Dampness of earth enters from outside, sores/ulcers. Should first take medicine, then use needle. During needling, first cover with warm clothes, not allowing coagulation and stagnation, making blood vessels get warmth and move slightly, then blood comes out and stops immediately. If not so, blood vessels stagnant then needle, evil toxin not discharged,反而 harming healthy flesh, increasing sore condition. Infant sores are the same.
[Jing Yao] Riding Bamboo Horse Moxibustion Method. First let patient lean elbow on table, raise arm wrist straight. Use one bamboo strip, from crease at bend of arm wrist, male left female right, measure against skin, until tip of middle finger end, cut off as standard, do not measure nail. Then use one bamboo pole, let patient undress and ride firmly, keep body upright, two people lift front and back, feet not touching ground, two people support, prevent falling. Take previously measured arm wrist bamboo strip, from sitting place on bamboo pole, end of tailbone, straight up along spine to end of strip as standard, mark with ink. This only takes center, not moxa point. Then use thin bamboo as ruler, measure patient's middle finger joint, distance between two transverse creases as standard, male left female right, cut as one ruler. On both sides of previously marked spot, measure one ruler each, ends are moxa points. Both points moxa five zhuang, or seven zhuang stop, cannot moxa too much. Regardless of where carbuncle/sores appear, use this method, none not cured. Because these two points are where Heart pulse connects. Carbuncles/sores all arise from Heart Fire stagnation. Moxa makes Heart Fire circulate, immediately sees peace and cure. Can revive dead and save critical, has extraordinary effect, tested repeatedly.
Detailed: Crease at bend of arm wrist is crease between Quze (PC3) acupoint, not transverse crease behind palm.
[Danxi] All carbuncles/sores eruptions, either due to internal accumulated heat, or external cold depressing internal heat. If at generation stage, moxa to disperse toxin, treat early, can move deep to shallow, change heavy to light. All moxa methods are good, but Riding Bamboo Horse Moxibustion is especially crucial. This is strategy to eliminate disaster before form.
[Bao Ming Ji] All sores suitable for moxa/needle, must distinguish meridian location, blood amount, acupoint distance. If emerging from back, should choose from Five Taiyang points, select according to syndrome, needle or moxa, discharge evil qi.
Taiyang channel: Much Blood, Little Qi: Zhiyin (BL67), Tonggu (BL65), Shugu (BL64), Kunlun (BL60), Weizhong (BL40).
Emerging from temples, mostly choose from Five Shaoyang points. Shaoyang channel: Little Blood, Much Qi: Qiaoyin (GB44), Xiaxi (GB43), Linqi (GB41), Yangfu (GB38), Yanglingquan (GB34).
Emerging from whiskers, mostly choose from Five Yangming points. Yangming channel: Much Blood, Little Qi: Lidui (ST45), Neiting (ST44), Xangu (ST43), Chongyang (ST42), Jiexi (ST41).
Emerging from head, initially feel unbearable head pain, wanting to generate sore. Head is sea of marrow, should moxa/needle Juegu (GB39) to discharge evil qi. Marrow is residence. Thus, floating pulse choose from Taiyang channel as before; long pulse choose from Yangming channel as before; string pulse choose from Shaoyang channel as before. Discourse says: Each meridian has Jing-River-Shu-Jing-He points. Jing governs fullness below heart and green sore color; River governs body heat and red sore color; Shu governs heavy body/joint pain and yellow sore color; Jing governs cough/chills-fever and white sore color; He governs rebellious Qi/diarrhea and black sore color. Each follow meridian disease seeing these symptoms, some suitable for moxa, some for needle, to discharge evil qi. Classics say: Evil Qi internal contraction causes obstructed heat, suitable for biance (bleeding).
Above "Bao Ming Ji" meridian-based moxa/needle is the main outline. Now further take "Lingshu" Meridian Chapter and "Tongren" etc. books, analyze minutely, output each meridian's territory, list in Needle Gate Twelve Meridians section as chart, name it Meridian Territory Chart, making people viewing it, mind and eye bright, seeing no whole ox.
When carbuncles/sores initially erupt, must first moxa head to open door, then see which meridian territory eruption belongs to. Meridian fixed, internally use belonging meridian medicine to guide meridian and release exterior, externally use belonging meridian Shu acupoints needle/moxa to discharge evil. Internal and external combined treatment, evil has no place. Those needle/moxa carbuncles/sores, seek in Needle Gate Twelve Meridian Territory Chart.
[Jia Yi Jing] Carbuncles/sores, Qiaoyin (GB44) governs. Head/neck carbuncles/swelling unable to speak, Tianchuang (SI16) governs.
[Yuan] Evil Qi does not injure stomach/intestines, stool normal, carefully do not purge, strictly forbid.
[Danxi] "Jing Yao" says: Dahuang (Rhei Radix et Rhizoma) is key medicine for carbuncles/sores, because it vents heat and draws out toxin. Also says: When sore first acts, all must use Dahuang etc. decoctions, extreme