白睛青,黑眼小,服药则呕,腹痛渴甚,肩项中不便,声嘶色脱,是为五逆。其热渴
利呕,盖毒瓦斯入里,脏腑之伤,故不治。
一伏兔,二腓 ,三背,四五脏俞,五项,六脑,七髭,八 ,九颐。
第一、入发际为玉枕,亦为舌本。第二、颈项节。第三、椎为崇骨。第四、大椎为玉
脏。第五、脊骨两边肺俞穴。第六、夹脊两边脾俞及肝俞穴。第七、夹脊两边肾俞二穴。第
八、后心对鸠尾。第九、鸠尾骨穴。
第一、喉骨为垂膺。第二、胸为神舍。第三、心鸠尾。第四、当两乳穴。第五、当脐
中为神阙。第六、脐
下二寸为肠屈间。
耳下近耳后牙车尖央陷中,为喉脉一穴。当脐下一穴,为肩骨。承山上三寸
一穴, 肠。
脑上诸阳所会,穴则髓出。颈项近咽喉,一有所碍,药食莫进。肾俞与肾相抵,
命之所关,穴则透空。此三处有疽,并难治。
发背透膜者不治。(此言肝俞以上。)未溃,肉陷、面青唇黑、便瘀者,死。(此
言脏坏便血。)右颐后一寸三分毒锐者,不治。溃喉者,不治。阴入腹者不治,入囊者,
死。鬓深及寸余者,不治。疮疡,腰背强急、螈 ,皆不治。
疽发背上,以两手上搭着者,谓之左右搭,头多如蜂窠者,易治。
以两手下搭着者,谓之腰疽,亦易治。以两手上下俱搭不着者,谓之发背,此证最
重。(以上所言地分,皆脉络所会,内系脏腑,患者得而早言,医者审证,按法治之,皆
为不死。设不早治,治不对证,虽发于不死地分,恐亦误死也。)
白睛呈现青色,黑眼珠缩小,服药后发生呕吐,腹部疼痛且极度口渴,肩部和颈部活动不便,声音嘶哑、面色枯槁无华,这被称为“五逆”。如果患者发热、口渴、下利、呕吐,这是毒邪瓦斯侵入体内,导致脏腑受损,因此属于难治之症。
第一处是伏兔穴,第二处是腓肠肌部位,第三处是背部,第四处是五脏的背俞穴,第五处是项部,第六处是脑部,第七处是髭须部位,第八处是[原文缺字,推测为某特定部位],第九处是颐部。
第一处:进入发际线处为玉枕穴,也是舌根所在。第二处:颈项部的椎节。第三处:脊椎骨称为崇骨。第四处:大椎穴称为玉脏。第五处:脊骨两侧的肺俞穴。第六处:夹脊两侧脾俞及肝俞穴。第七处:夹脊两侧肾俞两穴。第八处:后心对应鸠尾穴。第九处:鸠尾骨穴。
第一处:喉骨称为垂膺。第二处:胸部称为神舍。第三处:心区对应鸠尾。第四处:位于两乳之间的穴位。第五处:肚脐正中为神阙穴。第六处:脐下二寸为肠屈间。
耳下靠近耳后牙车(下颌角)尖端的凹陷处,有一穴名为喉脉。肚脐下一穴,名为肩骨。承山穴上三寸有一穴,关联肠道。
头部是诸阳经汇聚之处,若此处穴位破损则脑髓流出。颈项部靠近咽喉,若有阻碍,药物和食物无法进食。肾俞穴与肾脏相对,关乎生命根本,若针刺过深则穿透空虚。这三处若发生疽证,都难以治疗。
发于背部的疽证,若溃破透入膜内者不治。(这里指肝俞穴以上的部位。)未溃破时,若肌肉下陷、面色青、嘴唇黑、大便有瘀血者,主死。(这里指脏腑败坏便血的情况。)右颐后一寸三分处,若毒势锐利者,不治。溃破至咽喉者,不治。阴疽深入腹内者不治,进入阴囊者死。鬓角深处超过一寸余者,不治。疮疡病中,出现腰背强直拘急、抽搐者,皆不治。
疽发于背部,双手能搭到患处上方的,称为左右搭,头部脓头多如蜂窠状的,容易治疗。
双手能搭到患处下方的,称为腰疽,也容易治疗。双手上下都搭不着患处的,称为发背,此证最为严重。(以上所说的部位,都是脉络汇聚之地,内部联系脏腑,患者若能及早告知,医者仔细审证,按法治疗,都不会死亡。如果不早点治疗,或者治疗不对证,即使发在不致死的位置,恐怕也会因误治而死。)
The sclera appears cyanotic, the pupil is constricted, vomiting occurs after taking medicine, abdominal pain with extreme thirst, stiffness and inconvenience in the shoulders and neck, hoarseness of voice, and sallow complexion constitute the "Five Reversals" (Wu Ni). If there is fever, thirst, diarrhea, and vomiting, it indicates that toxic pathogens have entered the interior, damaging the Zang-Fu organs; thus, it is incurable.
The first location is the Futu point (ST32), the second is the calf region, the third is the back, the fourth is the Back-Shu points of the Five Zang organs, the fifth is the nape, the sixth is the brain, the seventh is the chin hair area, the eighth is [text missing], and the ninth is the jaw/cheek area.
First: Entering the hairline is the Yuzhen point (GB9), which is also the root of the tongue. Second: The cervical vertebrae. Third: The spinal column is called Chonggu. Fourth: The Dazhui point (GV14) is called Yuzang. Fifth: The Feishu points (BL13) on both sides of the spine. Sixth: the Pishu (BL20) and Ganshu (BL18) points on both sides of the spine. Seventh: the Shenshu points (BL23) on both sides of the spine. Eighth: The posterior heart corresponds to the Jiutui point (CV15). Ninth: The Jiutui bone point.
First: The laryngeal bone is called Chuiping. Second: The chest is called Shenshe. Third: The heart area corresponds to Jiutui. Fourth: The point between the two breasts. Fifth: The center of the umbilicus is Shenque (CV8). Sixth: Two cun below the umbilicus is Changqujian.
Below the ear, near the depression at the tip of the mandible (Yache), there is a point named Houmai. One point below the umbilicus is named Jianggu. Three cun above Chengshan (BL57), there is one point related to the intestines.
The head is the convergence of all Yang meridians; if the acupoints here are damaged, marrow may leak out. The neck is close to the throat; any obstruction there prevents the intake of medicine and food. Shenshu (BL23) opposes the Kidney and is critical for life; needling too deeply may penetrate through. If carbuncles occur in these three locations, they are difficult to treat.
Carbuncles on the back that perforate into the membrane are incurable. (This refers to areas above the Ganshu point.) If not yet ulcerated, but with sunken flesh, cyanotic face, black lips, and bloody stools indicating organ failure, death ensues. Toxic sores sharp and acute one inch and three fen behind the right jaw are incurable. Ulceration penetrating the throat is incurable. Yin-type sores entering the abdomen are incurable; those entering the scrotum result in death. Sores deep in the temples exceeding one cun are incurable. In sores and ulcers, rigidity of the waist and back accompanied by spasms are all incurable.
When a carbuncle erupts on the back, if both hands can reach the upper part of the lesion, it is called "Left and Right Da," and if the head has many pus heads like a honeycomb, it is easy to treat.
If both hands can reach the lower part, it is called "Waist Carbuncle," which is also easy to treat. If neither hand can reach the upper nor lower parts, it is called "Fa Bei" (Erupting Back), which is the most severe condition. (The locations mentioned above are where meridians converge and internally connect to the Zang-Fu organs. If patients report symptoms early and physicians examine carefully and treat according to the syndrome, death can be avoided. However, if treatment is delayed or mismatched with the syndrome, even lesions in non-lethal locations may lead to death due to mismanagement.)