皮肤 肿似痈,按之不坚,或发如痘,皮烂水淌,作疼发寒热。倘贴膏药及误敷药,立
串烂流水,名烂皮毒痈。不可水洗,以生石膏、黄豆炭、川柏末、乌梅炭,研细,川蜜、
米醋和敷。
周身皮肤,作痛不止,串走不定,并不浮肿,此气滞血燥,经络闭塞不通,不治之
症。
胁肋初来隐痛,乍轻乍重,随后高肿,溃流血水,久不收口,恐医无效。
小儿生外症已溃脓口,稍逆其意,则啼哭,扰动肝火,牵引血脉,使血自患口涌出,
不须以药止塞,安慰其不哭,则血自止。
郁闷伤肝,肝主筋,位部于左,每有肚脐左边,相离寸许,梗起一条,粗筋如箸,隐
于皮内,日夜跳跃,上下串痛,或作或止。刺以艾针数次可止痛,内投葱白丸(方见后)。倘
皮肉僵硬,针不能入,只延留月日而已。
劳苦之流,先受湿热之毒,复与不洁妇交,致玉茎先肿痛,后生黑芒刺,外皮包住。
其形似毛栗之壳。内进泻肝汤,外敷清疳散。(二方见后。)
左右乳上坚肿,皮色如常,由气闷而成者多,或由血瘀者,或由肺气不降者,消之
不去,溃脓极迟。若脓向口鼻出者,无妨。惟绿色臭脓者无救。
皮肤肿胀类似痈肿,但按压时感觉不坚硬,或者症状像痘疹一样,皮肤溃烂流水,伴有疼痛和寒热症状。如果贴上膏药或错误地敷用药粉,会立刻导致溃烂流脓水,这种病症称为“烂皮毒痈”。不可用水清洗患处,可用生石膏、黄豆炭、川柏末(黄柏粉末)、乌梅炭,研磨成细粉,用蜂蜜和米醋调和后外敷。
全身皮肤持续疼痛,痛处游走不定,并没有浮肿现象,这是气机阻滞、血液干枯,经络闭塞不通所致,属于难以治愈的病症。
胁肋部起初出现隐隐作痛,时轻时重,随后局部高高肿起,溃破后流出血水,长期不能愈合,恐怕医生也无能为力。
小儿患有外部疮疡且已经溃破化脓,如果稍微违背其心意使其啼哭,就会扰动肝火,牵引血脉,导致血液从患口涌出。此时不需要用药来止血堵塞,只要安抚使其停止哭泣,血液自然就会停止。
情绪郁闷损伤肝脏,肝主司筋脉,其部位在左侧,通常在肚脐左边约一寸处,皮下隐现一条粗如筷子的硬筋,日夜跳动,上下窜痛,有时发作有时停止。用艾针针刺数次可以止痛,内服葱白丸(方剂见后文)。如果皮肉僵硬,针无法刺入,则只能拖延时日而已。
从事体力劳动的人群,先感受湿热之毒,又与不洁女性发生性行为,导致阴茎先出现肿痛,随后生出黑色芒刺状物,外皮包裹住。形状类似毛栗的外壳。内服泻肝汤,外敷清疳散。(这两个方剂见后文。)
左右乳房上部坚硬肿胀,皮肤颜色正常,多由气机郁闷引起,也有由血瘀或肺气不降引起的,消散困难,化脓极慢。如果脓液向口鼻方向排出,尚无大碍。只有流出绿色且有臭味的脓液时,才无药可救。
痈疽酝酿脓液,日久未排泄,先穿透内膜,然后才向外溃破,虽然不疼痛,也不见凶险征象。但如果溃口形状像螃蟹吐沫,则百无一活。
妇女乳心部位坚硬肿胀,先小后大,寒热不退,疼痛不止,皮肤不发红,拖延日久后才溃破流出脓水。因此症发展成虚劳病的例子是有的。
The skin swells resembling a carbuncle, but feels soft upon pressure; or the eruption resembles smallpox/variolous lesions, with skin ulceration and weeping fluid, accompanied by pain, chills, and fever. If plasters are applied or incorrect medicaments are inadvertently spread on the area, it will immediately develop into spreading ulcers with weeping pus, named "Rotting Skin Toxic Carbuncle" (Lan Pi Du Yong). The affected area must not be washed with water. Apply a paste made of raw gypsum (Shi Gao), carbonized soybean (Huangdou Tan), powder of Phellodendron bark (Chuanbai), and carbonized plum (Wumei Tan), finely ground and mixed with honey and rice vinegar for external application.
Pain in the skin over the entire body persists without ceasing, moving around unpredictably, without any edema. This is caused by Qi stagnation and Blood dryness, with blockage and obstruction of the collaterals and meridians; it is an incurable condition.
Initially, there is dull pain in the hypochondriac region, fluctuating in intensity from light to heavy. Subsequently, the area becomes significantly swollen. Upon ulceration, bloody fluid is discharged, and the wound fails to heal for a long time; medical treatment may prove ineffective.
In infants and children suffering from external sores that have already ulcerated and suppurated, if their wishes are slightly thwarted causing them to cry, it agitates Liver Fire and draws upon the blood vessels, causing blood to gush from the lesion. There is no need to use medicine to stop or plug the bleeding; comforting the child to stop crying will cause the bleeding to cease spontaneously.
Depression and emotional constraint injure the Liver. The Liver governs the sinews and its location is on the left. Often, about one cun to the left of the umbilicus, a thick cord-like tendon, as thick as a chopstick, protrudes under the skin. It jumps up and down day and night, causing wandering pain, which comes and goes. Pricking with moxa needles several times can relieve the pain, and internally administering Congbai Wan (Scallion Pill) [formula see later]. If the skin and flesh become stiff such that needles cannot penetrate, the condition will merely drag on for months.
Those engaged in hard labor first contract damp-heat toxicity, and subsequently engage in sexual intercourse with unclean women. This results in initial swelling and pain of the penis, followed by the emergence of black, thorn-like projections covered by the outer skin. The shape resembles the shell of a chestnut. Internally administer Xiegan Tang (Draining Liver Decoction); externally apply Qinggan San (Clearing Chan Powder) [both formulas see later].
Hard swelling above the breasts on either side, with normal skin color, is mostly caused by Qi depression, though it may also result from Blood stasis or failure of Lung Qi to descend. It is difficult to dissipate, and suppuration occurs very slowly. If the pus discharges towards the mouth or nose, it is not dangerous. However, if green, foul-smelling pus appears, there is no hope of recovery.
When a carbuncle or furuncle forms pus and remains unvented for a long time, it may first perforate the inner membrane before ulcerating externally. Although painless and lacking ominous signs, if the ulcer opening resembles crab foam, survival is unlikely (one in a hundred survives).
Women presenting with hard swelling at the center of the breast, starting small and growing larger, with persistent chills and fever, continuous pain, and non-redness, may only ulcerate and discharge pus after a prolonged period. Such cases may progress into consumptive disease (Lao).