\r敦疽\p04-a55a60.bmp\r
是手三阴三阳之经。亦有血气多少不同。生于手之十指。名疽疮。生此四五日即溃。有脓可刺者
生也。如不溃无脓。黑色过节者死。不可治也。
\r伏鼠疽\p04-a55a61.bmp\r
是手足指上丫间。在背外历历三五疽如球。在于皮中。痛相应者。名伏鼠疽。若不早治。恐毒瓦斯
攻心即死。如肿硬急服内托散治之。外用敷点药则安。
\r勇疽\p04-a55a62.bmp\r
是足太阴脾经。多气少血。生于冲门穴。赤肿作硬。八日得溃可刺。如脓黄白色者可治。其疮孔
如鸡子大者。俗称鱼口是也。有单有双口者。年久而不收口。是沾阴也。宜蒸之补托之。
\r托疽\p04-a55a63.bmp\r
是足少阳胆经。多气少血。生于阳关阳陵泉二穴。肿 作痛。半月有脓。黄白色者可治。不痛或
出鲜血者死。出脓青黑及长出头渐多者。或无定处者不治。
\r筋疽\p04-a55a64.bmp\r
是足太阳膀胱经。多血少气。生于两足外后跟昆仑二穴。初起三五日。皮如虫蚀。过一年有虫为
痿。脂肿骨粗。脓多时节落虫似筋头。黄赤色内食其骨。经年不瘥。名曰痿漏。一名曲疽。流脓水不
止。名冷疽。多死。
敦疽
属于手三阴经和手三阳经。这些经脉的气血盛衰各不相同。生于手指十个指尖部位,称为疽疮。发生此症后四五天即溃破,若有脓液且可刺破排脓的,是生机尚存的表现。如果长时间不溃破、无脓液,且黑色蔓延超过关节部位的,预后不良,难以治愈。
伏鼠疽
生于手足指缝之间。在背部外侧清晰可见,有三五个如球状的疽疮,位于皮肉之中,疼痛感相互呼应,称为伏鼠疽。如果不尽早治疗,恐怕毒气攻心导致死亡。如果局部肿胀坚硬,应紧急服用内托散进行治疗。外用敷点药物则能安定病情。
勇疽
属于足太阴脾经。该经多气少血。生于冲门穴处,表现为红肿且质地坚硬,八天左右可以溃破并可刺破排脓。如果脓液呈黄白色,说明尚可治疗。其疮口大小如鸡蛋大者,俗称鱼口。有单发也有双发的情况。若多年久不愈合收口,则是沾染了阴邪之气。适宜采用熏蒸疗法并配合补益托毒之法治疗。
托疽
属于足少阳胆经。该经多气少血。生于阳关穴和阳陵泉穴两处。患处肿胀且疼痛,半个月左右形成脓液。若脓液呈黄白色,说明尚可治疗。若不疼痛或流出鲜血的,预后不良。若流出青黑色脓液,或者疮头逐渐增多,或者病灶位置不固定的,均难以治愈。
筋疽
属于足太阳膀胱经。该经多血少气。生于两脚外后方跟骨处的昆仑穴。初起时三五天内,皮肤表面如同被虫蛀蚀一般。过了一年可能发展为痿证,表现为脂肪肿胀、骨骼粗糙,脓液中时常掉落类似筋头的物质,颜色黄赤,内部侵蚀骨骼。经久不愈,称为痿漏,又名曲疽。若流脓水不止,称为冷疽,死亡率较高。
Dun Ju (Dun Carbuncle)
It involves the three Yin and three Yang meridians of the hand. The abundance and deficiency of Qi and Blood vary among these meridians. It arises on the ten fingertips of the hands and is named Ju Chuang (Carbuncle sore). Within four to five days of onset, it suppurates; if pus is present and can be lanced, it indicates a viable prognosis. If it fails to suppurate, lacks pus, and the black discoloration extends beyond the joints, it is fatal and incurable.
Fu Shu Ju (Hidden Rat Carbuncle)
It occurs in the web spaces between the fingers of the hands and feet. On the lateral aspect of the back, three or five distinct, ball-like carbuncles are visible within the subcutaneous tissue, with corresponding pain sensations, known as Fu Shu Ju. If not treated early, toxic vapors may attack the Heart, leading to death. If swelling and induration are acute, administer Nei Tuo San (Internal Support Powder) urgently. Application of external topical medications will stabilize the condition.
Yong Ju (Brave Carbuncle)
It belongs to the Foot Taiyin Spleen Meridian, which is characterized by abundant Qi and scarce Blood. It arises at the Chongmen (SP12) acupoint, presenting with redness, swelling, and induration. It may suppurate and be lanced after eight days. If the pus is yellowish-white, it is treatable. When the ulcer opening is as large as a chicken egg, it is commonly referred to as Yu Kou (Fish Mouth). It may occur singly or bilaterally. If the wound fails to heal over many years, it indicates contamination by Yin pathogens. Steam fumigation and tonifying methods to support expulsion of toxins are indicated.
Tuo Ju (Supporting Carbuncle)
It belongs to the Foot Shaoyang Gallbladder Meridian, which is characterized by abundant Qi and scarce Blood. It arises at the Yangguan and Yanglingquan (GB34) acupoints. The area becomes swollen and painful. Pus forms after half a month. If the pus is yellowish-white, it is treatable. Absence of pain or discharge of fresh blood indicates a poor prognosis. Discharge of bluish-black pus, gradual increase in the number of fistula tracts, or wandering lesions that lack a fixed location are considered untreatable.
Jin Ju (Sinew Carbuncle)
It belongs to the Foot Taiyang Bladder Meridian, which is characterized by abundant Blood and scarce Qi. It arises at the Kunlun (BL60) acupoints located at the posterior-lateral heels of both feet. In the initial three to five days, the skin appears eroded like insect bites. After one year, it may develop into Wei Syndrome (Atrophy Syndrome), manifesting as fatty swelling and coarse bones. During periods of suppuration, worm-like sinews may drop out; they are yellowish-red and internally consume the bone. Chronic non-healing is termed Wei Lou (Atrophic Fistula), also known as Qu Ju (Curved Carbuncle). Continuous discharge of purulent fluid is termed Leng Ju (Cold Carbuncle), which carries a high mortality rate.