\r双鬓发\p04-a55a6.bmp\r
两鬓俱生名曰双发。其毒重于单发。若其毒势小于单。无恶症者生。如重者不治。
\r对口发\p04-a55a7.bmp\r
此疮生于脑后下。正对于前面口。是督脉经中。毒瓦斯结之。风府哑门二穴之次。其症最凶。如八
九日中有脓可治。如毒势太凶。必有通喉落首之厄。若不早治。死不远矣。
\r两边发际发\p04-a55a8.bmp\r
天柱二穴是足太阳膀胱经。多血少气。或左或右。双发者更重。初发时宜急救之。如迟恐毒入脑。
邪热上攻。四畔赤肿硬。连于耳后。发寒热作脓。急宜托里。不然。流走于腰背间。再发恐难救也。
\r耳发\p04-a55a9.bmp\r
是足少阳胆经。其经多气少血。其疮发于悬厘主客二穴上下。五六日渐长蜂窝。皮紫 热。如火
烧痛十日内刺之有脓者生。无脓出血。食不知味。精神不佳。二十四日必死不可救也。其左右亦同。
\r太阴发\p04-a55a10.bmp\r
此疮发于瞳子 左右二穴相同。俱系足少阳胆经。多气少血。赤肿有脓知痛者生。宜托表。如大
渴闷乱血出不止者。及青黑色不痛。作蛀孔。血尽出而无脓则死矣。
\r脸发\p04-a55a11.bmp\r
是足阳明胃经。多气少血。其疮发于四白巨 二穴。左右相同。似葡萄色。形渐大或生子母疮者
八日死。分五善七恶多寡治之。在左者内托药中加当归二倍。在右者加三倍。妙在斯矣。
双鬓发
两侧鬓角同时发生称为“双发”。其毒势比单侧发生的更重。如果毒势比单侧轻,且没有恶症,则预后良好(可生);如果病情严重,则难以治愈。
对口发
此疮生于脑后下方,正对着前面的口部,位于督脉经中,是毒瓦斯凝结所致,处于风府穴和哑门穴之间。其症状最为凶险。如果在第八九天内出现脓液,尚有治愈希望;如果毒势过于凶猛,必然会导致咽喉贯通、头颅脱落的厄运。如果不尽早治疗,死亡为期不远了。
两边发际发
天柱穴属于足太阳膀胱经,该经多血少气。无论左侧或右侧发生,双侧同时发生者更为严重。初发时应当紧急救治,如果延误,恐怕毒邪侵入脑部,邪热向上攻冲,导致四周红肿坚硬,并牵连至耳后,出现寒战发热并化脓。此时急宜使用托里法(扶正祛邪),否则毒邪流窜于腰背之间,再次发作恐怕就难以挽救了。
耳发
属于足少阳胆经,该经多气少血。此疮发生于悬厘穴及主客二穴上下区域。五六日后逐渐长成蜂窝状,皮肤呈紫色且发热,如火烧般疼痛。若在十日内刺破有脓液排出则预后良好;若无脓而出血,且食欲减退不知滋味,精神萎靡,则二十四日内必死,不可救治。左右两侧情况相同。
太阴发
此疮发生于瞳子髎穴左右两侧,与上述穴位相同,均属于足少阳胆经,该经多气少血。若患处红肿且有脓液,患者能感知疼痛,则预后良好,适宜使用托表法(透托法)。如果出现大渴、烦闷神乱、出血不止,或者患处呈青黑色且不痛,形成蛀孔样改变,血液排尽而无脓液,则预后不良(死亡)。
脸发
属于足阳明胃经,该经多气少血。此疮发生于四白穴和巨髎穴,左右两侧情况相同。疮色似葡萄色,形态逐渐增大,或者产生子母疮(指原发疮周围又生出小疮,如母子相连)的,八日内死亡。需根据五善七恶(判断预后的善恶标准)的多寡进行治疗。病变在左侧者,在内托药物中加入两倍的当归;病变在右侧者,加入三倍的当归。妙处就在于此。
Shuangbin Fa (Double Temporal Carbuncle)
Simultaneous occurrence on both temples is named "Shuang Fa" (Double Temporal Carbuncle). Its toxicity is heavier than that of a single-sided onset. If the toxic force is lighter than the single-sided type and no malignant symptoms are present, the prognosis is favorable; if severe, it is untreatable.
Duikou Fa (Opposite Mouth Carbuncle)
This sore arises at the lower back of the head, directly opposite the mouth in front. It is located within the Du Meridian (Governing Vessel), where toxic vapors condense, situated between the Fengfu (GV16) and Yamen (GV15) acupoints. The symptoms are most ferocious. If pus forms within eight or nine days, it is treatable; if the toxic force is too fierce, it inevitably leads to the calamity of throat penetration and skull detachment. If not treated early, death is imminent.
Bian Li Fa (Hairline Margins Carbuncle)
Tianzhu (BL10) belongs to the Foot-Taiyang Bladder Meridian, which has abundant blood but scarce qi. Whether occurring on the left or right, bilateral occurrence is more severe. At the initial stage, urgent rescue is required; delay may allow the toxin to enter the brain, with pathogenic heat attacking upward, causing redness, swelling, hardness around the periphery, extending to behind the ears, accompanied by chills, fever, and suppuration. Urgent application of Tuo Li method (Supporting Interior/Boosting Qi to expel toxin) is necessary; otherwise, the toxin may wander between the waist and back, and recurrence may be incurable.
Er Fa (Ear Carbuncle)
It belongs to the Foot-Shaoyang Gallbladder Meridian, which has abundant qi but scarce blood. The sore develops above and below the Xuanli (GB7) and Zhuoke auxiliary points. After five or six days, it gradually grows into a honeycomb shape, with purple skin, heat, and burning pain like fire. If punctured within ten days and pus appears, survival is possible; if there is no pus but bleeding occurs, along with loss of taste and poor spirit, death will occur within twenty-four days, irretrievable. The situation is the same on both sides.
Taiyin Fa (Taiyin Carbuncle)
This sore develops at the Tongziliao (GB1) acupoint on both left and right sides, identical to the previous description, belonging to the Foot-Shaoyang Gallbladder Meridian, which has abundant qi but scarce blood. If there is redness, swelling, pus, and pain perception, the prognosis is good, and Tuo Biao method (Surface-Supporting/Pushing out toxin via surface) is suitable. If extreme thirst, mental confusion, uncontrolled bleeding, or blackish-green color without pain, forming worm-eaten holes, with blood exhausting but no pus appearing, then death ensues.
Lian Fa (Face Carbuncle)
It belongs to the Foot-Yangming Stomach Meridian, which has abundant qi but scarce blood. The sore develops at the Sibai (ST2) and Juliao (ST3) acupoints, identical on both sides. The color resembles grapes, the shape gradually enlarges, or mother-and-son sores (primary sore with satellite lesions) appear. Death occurs within eight days. Treatment should be based on the severity indicated by Wu Shan Qi E (Five Good Signs and Seven Evil Signs). For lesions on the left, double the dosage of Danggui (Angelica sinensis) in internal support formulas; for lesions on the right, triple the dosage. This is the subtlety of the treatment.