【方歌】心善精神爽,言清舌润鲜,不躁不烦渴,寤寐两安然。
肝善身轻便,不怒不惊烦,指甲红润色,溲和便不难。
脾善唇滋润,知味喜加餐,脓黄稠不秽,大便不稀干。
肺善声音响,不喘无嗽痰,皮肤光润泽,呼吸气息安。
肾善不午热,口和齿不干,小水清且白,夜卧静如山。
【注】寤寐者,醒与睡也。不怒不惊者,不自怒惊也。溲者,
小水也。便者,大便也。不午热者,不午后发热也。
【方歌】一恶神昏愦,心烦舌燥干,疮色多紫黑,言语自呢喃。
二恶身筋强,目睛正视难,疮头流血水,惊悸是伤肝。
三恶形消瘦,疮形陷又坚,脓清多臭秽,不食脾败难。
四恶皮肤槁,痰多韵不圆,喘生鼻扇动,肺绝必归泉。
五恶时引饮,咽喉若燎烟,肾亡容惨黑,囊缩死之原。
六恶身浮肿,肠鸣呕呃繁,大肠多滑泄,脏腑败之端。
七恶疮倒陷,如剥鳝一般,时时流污水,四肢厥逆寒。
【注】呢喃,言语不清也。惊悸,心惊跳也。消瘦,肌肉消瘦
也。皮肤槁,干槁也。韵不圆,不响亮也。鼻扇动,鼻
孔扇动也。咽喉若燎烟,干热呛痛也。容惨,不乐也。
囊缩,外肾缩也。呕呃,呕而作格逆也。如剥鳝,疮面
无皮,似剥皮鳝鱼之状也。
【方歌】顺证初起小渐大,憎寒壮热渐焮疼,气盛顶尖高肿起,
血盛根脚收束红。阳证二七脓熟溃,阴证廿一脓始成,
已溃腌气无滃气,腐脱新生饮食增。疮形虽大终无害,
老少壮弱俱成功。
【注】痈疽初起,从小而大,渐渐憎寒壮热,渐渐疼痛焮赤。
气盛者,顶尖高肿而起;血盛者,则根脚收束而红,此
顺证也。阳证则十四日,而脓即熟者,阳性速也;阴证
必待廿一日,而脓始成者,阴性迟也。已溃脓有腌气,
而无滃气者,则腐肉易脱,新肉易生。饮食自增,疮形
虽大,终无害也。腌气即俗呼"哈拉"气也。
【方歌】心善:精神清爽,言语清晰,舌体湿润且色泽鲜艳,不烦躁也不口渴,醒着和睡着都安宁。
肝善:身体轻便,不发怒也不受惊扰,指甲红润有光泽,小便调和,大便通畅不困难。
脾善:嘴唇滋润,知道食物的味道并喜欢增加饮食,脓液黄稠且不腥臭,大便不干也不稀。
肺善:声音洪亮,不气喘也没有咳嗽痰液,皮肤光滑润泽,呼吸气息平稳。
肾善:不在午后发热,口中和缓牙齿不干燥,小便清澈且颜色白,夜间睡眠安静如山。
【注】“寤寐”指的是醒着和睡觉。“不怒不惊”指的是自己不愤怒、不惊恐。“溲”指的是小便。“便”指的是大便。“不午热”指的是不在午后发热。
【方歌】一恶(心恶):神志昏乱糊涂,心烦意乱,舌头干燥,疮色多为紫黑色,自言自语含糊不清。
二恶(肝恶):身体筋脉强直,眼睛难以正视前方,疮头流出血水,这是惊悸伤及肝脏的表现。
三恶(脾恶):形体消瘦,疮形凹陷且坚硬,脓液清稀且多腥臭,不能进食是脾脏败坏难治的表现。
四恶(肺恶):皮肤干枯,痰多且声音不响亮,气喘发作且鼻孔扇动,这是肺气绝灭必死无疑的征兆。
五恶(肾恶):时时想要饮水,咽喉像被火烧烟熏一样,肾脏衰竭面容惨淡发黑,阴囊收缩是死亡的根源。
六恶(脏腑恶/大肠恶):身体浮肿,肠鸣音重,呕吐呃逆频繁,大肠多滑脱泄泻,这是脏腑败坏的开端。
七恶(气血恶/疮毒恶):疮口倒陷,像剥了皮的鳝鱼一样,时时流出污水,四肢厥冷逆寒。
【注】“呢喃”指言语不清。“惊悸”指心中惊慌跳动。“消瘦”指肌肉消瘦。“皮肤槁”指皮肤干瘪枯槁。“韵不圆”指声音不响亮。“鼻扇动”指鼻孔扇动。“咽喉若燎烟”指咽喉干热呛痛。“容惨”指神色不快乐。“囊缩”指外生殖器收缩。“呕呃”指呕吐并伴有气逆打嗝。“如剥鳝”指疮面没有皮肤,像剥了皮鳝鱼的形状。
【方歌】顺证:初起时疮疡由小渐大,憎寒壮热逐渐加剧并焮红肿痛,气盛则疮顶高肿突起,血盛则根脚收束且发红。阳证在十四天左右脓熟溃破,阴证需二十一天左右脓才形成,溃破后脓液气味正常无恶臭腐气,腐肉脱落新肉生长,食欲增加。虽然疮形很大但最终无害,无论老少强弱都能治愈成功。
【注】痈疽初起,从小变大,逐渐出现憎寒壮热,逐渐疼痛红肿。气盛的,表现为疮顶高肿突起;血盛的,则表现为根脚收束且发红,这是顺证。阳证则十四天,脓就成熟的,是因为阳性质性急速;阴证必须等到二十一天,脓才形成的,是因为阴性质性迟缓。溃破后脓液有正常的腌味(即俗称的“哈拉”味),而没有恶臭滃气的,则腐肉容易脱落,新肉容易生长。食欲自然增加,虽然疮形很大,最终也无害处。腌气即俗话说的“哈拉”气。
[Song of Heart Goodness] The spirit is refreshed, speech is clear, the tongue is moist and fresh in color; there is no restlessness, irritability, or thirst, and both waking and sleeping are peaceful.
[Song of Liver Goodness] The body is light and agile, free from anger and fright; the fingernails are ruddy and lustrous, urination is harmonious, and defecation is unobstructed.
[Song of Spleen Goodness] The lips are moist, taste is perceived and appetite increases; the pus is yellow and thick without foul odor, and stool is neither dry nor loose.
[Song of Lung Goodness] The voice is resonant, there is no panting or cough with sputum; the skin is smooth and lustrous, and breathing is calm and steady.
[Song of Kidney Goodness] There is no afternoon fever, the mouth is harmonious and teeth are not dry; urine is clear and white, and night sleep is as quiet as a mountain.
[Note] "Wu Mei" (寤寐) refers to waking and sleeping. "Bu Nu Bu Jing" (不怒不惊) refers to not being angry or frightened by oneself. "Sou" (溲) refers to urination. "Bian" (便) refers to defecation. "Bu Wu Re" (不午热) refers to no fever in the afternoon.
[Song of First Evil (Heart)] Mental confusion and dullness, heart vexation, dry tongue, sores are mostly purple-black, muttering incoherently.
[Song of Second Evil (Liver)] Stiffness of tendons and sinews, difficulty in keeping eyes open and looking straight, sores weep blood and water, palpitations indicate liver injury.
[Song of Third Evil (Spleen)] Emaciation of form, sores are sunken and hard, pus is thin and foul-smelling, inability to eat indicates spleen failure and difficulty in treatment.
[Song of Fourth Evil (Lung)** Dry and withered skin, excessive phlegm and hoarse voice, onset of panting with flaring nostrils, lung exhaustion inevitably leads to death.
[Song of Fifth Evil (Kidney)] Frequent desire to drink, throat feels like burning smoke, kidney loss presents with a grim and black complexion, retraction of the scrotum is the origin of death.
[Song of Sixth Evil (Zang-Fu/Large Intestine)] Generalized edema, borborygmus, frequent vomiting and hiccups, frequent slippery diarrhea of the large intestine, this is the beginning of zang-fu deterioration.
[Song of Seventh Evil (Qi/Blood/Sore)** Inverted and sunken sores, resembling skinned eels, constantly oozing turbid fluid, cold extremities with reversal cold.
[Note] "Ni Nan" (呢喃) means incoherent speech. "Jing Ji" (惊悸) means palpitations with fright. "Xiao Shou" (消瘦) means emaciation of muscles. "Pi Fu Gao" (皮肤槁) means dry and withered skin. "Yun Bu Yuan" (韵不圆) means voice is not resonant. "Bi Shan Dong" (鼻扇动) means flaring of nostrils. "Yan Hou Ruo Liao Yan" (咽喉若燎烟) means dry, hot, choking pain in the throat. "Rong Can" (容惨) means unhappy expression. "Nang Suo" (囊缩) means retraction of external genitalia. "Ou E" (呕呃) means vomiting accompanied by rebellious qi and hiccupping. "Ru Bo Shan" (如剥鳝) means the sore surface lacks skin, resembling the shape of a skinned eel.
[Song of Favorable Prognosis] At the initial stage, the swelling grows gradually from small to large, aversion to cold and high fever gradually intensify with burning pain. Abundant Qi causes the apex to swell high; abundant Blood causes the base to be confined and red. For Yang syndromes, pus matures and ulcerates after fourteen days; for Yin syndromes, pus forms only after twenty-one days. After ulceration, if there is normal odor but no foul stench, necrotic tissue falls off easily, new flesh grows easily, and appetite increases. Although the sore may be large, it ultimately causes no harm; success is achieved regardless of age or strength.
[Note] At the initial stage of carbuncles and ulcers, they grow from small to large, gradually presenting with aversion to cold, high fever, and burning redness/pain. "Abundant Qi" refers to the apex swelling high; "Abundant Blood" refers to the base being confined and red; this is a favorable prognosis. For Yang syndromes, pus matures in fourteen days because Yang nature is rapid; for Yin syndromes, pus forms only after twenty-one days because Yin nature is slow. After ulceration, if the pus has a normal odor (referred to colloquially as "Ha La" smell) and no foul stench, necrotic tissue will easily slough off and new flesh will easily regenerate. Appetite naturally increases; although the sore may be large, it ultimately causes no harm. "Yan Qi" (腌气) refers to the colloquial "Ha La" smell.