夫疔疮之苦。形症多端。详辨得宜。取效如手拾芥。不得法如下海屠龙。盖谓不得其详也。如分其形。
识其名。知其秘。得其宜。故不敢隐而传之后世。人得其生。非其心哉。仁哉。故剖之。名一一具载。
古之卢扁。汉之华佗。止言五疔是五脏之疔也。辨五色。分五脏。青黄赤白黑名之。一曰心疔。其形
生于心脏之俞募经井之端。或手之小指。其色赤。发热烦心。睡眠不安口干。其痛应心。小便赤。面
赤。舌上有珠子。治宜泻心汤。内加托里解毒之剂。二曰肝疔。其色青。其形生于肝脏部位。足之大
指之端。胁肋之次。其症寒热头项痛。眼中火光。口苦胁痛。小便难。面青。宜小柴胡汤内加托里解
毒之剂。三曰脾疔。又名曰黄疔。其形多生脾脏之部位。其症不食。多呕吐。其色黄。治宜泻黄散加
解毒等剂。四曰肺疔。又名白疔。其形多生肺之部位经络。手之大指。其色白。其症发热咳嗽。治宜
泻白散内加解
毒之剂。
五曰肾疔。又名曰黑疔。其形多生于肾经络部位。足之小指涌泉等穴。其症寒热面色 。治宜解
毒托里加引肾经药治之。
六曰麻子疔。其状肉起。头如黍米。色稍黑。四边微赤多痒。忌食麻子油衣。
七曰石疔。其状皮肉相坚。色如黑豆。甚硬。刺之不入肉微痛。忌砭之。
八曰雄疔。其状 黑。四畔仰。 浆起有水出。色黄。大如钱孔。形顶凸者是。忌房室。
九曰雌疔。其状稍黄向里靥。亦似灸疮。四面 浆起。心凹。色赤。如钱孔形者忌房室。
十曰火疔。其形如汤火烧烫。疮头黑靥。四边有烟浆。又如赤粟米状。忌灸烙。
十一曰烂疔。其形色稍黑。有白斑。疮溃流脓。有大小如匙面。忌食沸热食物。
十二曰三十六疔。其形黑。浮起如黑豆。四畔起赤色。今日生一颗。明日生二颗。一日增一疮。若增
至三十六。虽灵丹莫救。如未满者可治。忌嗔怒愁恨。又名满天星。
十三曰蛇头疔。又名蛇眼疔。其形头如蛇头。有二目。似蛇眼大。苦痛甚。多生手足指头上。宜
取去其眼。系上药。
十四曰盐肤疔。其状大如匙面。四边皆赤。有黑粟粒。忌食盐。
十五曰水洗疔。其状大如钱形有孔。疮头白里黑靥。汁出。中间硬。忌饮水及水洗。
十六曰刀镰疔。其状阔狭如薤叶大。长一寸。左侧肉黑如烧烙。忌针刺刀割。宜药治之。
十七曰浮沤疔。其状曲圆少许不合。长而狭如薤叶大。内黑外黄。黑处刺之不痛。黄处则痛。无
禁忌。
十八曰牛拘疔。其状肉色 起 不破。无忌。纵不治。亦不杀人。
十九曰猪疔。其形圆而小。疮口内有油。忌食猪肉。
二十曰牛疔。其形圆小。疮口内无油。 起 之不破。有寒热。忌食牛肉。
二十一曰狗疔。其形长而带尖。色赤。有寒热。忌食犬肉。
二十二曰羊疔。其形长而色白。有寒热。忌羊肉。
二十三曰驴马疔。其形三角。顶上有黑点。根脚赤色。凸顶。有寒热。忌食驴马肉。
二十四曰瓜藤疔。不计其数。其形圆长如瓜形。因食瓜毒而生。忌食瓜。
二十五曰豆腐疔。其状白。 三日内顶陷。因食豆腐内有人汗所生。面 亦然。
二十六曰气疔。其形或大或小。 白如有气。于内因感怒恚之气而生。忌气怒。
二十七曰鬼疔。其形亦大小不一。色青。因中邪毒之气而生。异于诸疔。比气疔。夜甚。令人言。
如见鬼状。
二十八曰红丝疔。其形赤缕缕如丝线。周身缠扰。如手足上则入心即死。宜松针刺去血。忌热物。
二十九曰内疔者。言其疔生于内。脏腑上。腔里面。喉内。口内。与外疔更不同。甚利害。宜托
毒追疔
取黄上。
三十曰蒲桃疔。其形黑兼紫。如水晶。故名之。 内黑血毒水宜去之。入追毒丹。服夺命丹。托
毒药治之。
三十一曰杨梅疔。其形黑紫如熏梅状。如遍一有梅疮。内有一二个疔疮。则令遍身疮不发。须针
刺其毒。入追毒丹。服土茯苓加托毒等药。随症治之方安。
三十二曰鱼脐疔。其形如鱼之肚脐状。多生胳膊肚小腿肚上。乃手足太阳经分毒瓦斯。治宜察之加
引经。
三十三曰痘疔。有大小人出痘之时。忽生此疔。则令遍身痘疮俱不发。须急去之。内服托里追疔
药。外有本条。
三十四曰蜈蚣疔。其形长如蜈蚣。亦有头足。发寒热。因食物被蜈蚣所游之毒而生。宜雄黄定子
涂之。
疔疮的痛苦，症状表现多种多样。若能详细辨别得当，治疗见效就像从手里捡起一根草那样容易；若不得法，则如同下海屠龙般艰难。这是因为没有掌握其详情的缘故。因此，要分辨它的形态，识别它的名称，了解其中的奥秘，掌握治疗的适宜方法，所以不敢隐瞒而传授给后世。让人得以生存，这难道不是仁心吗？真是仁爱啊！所以将其剖析出来，名称一一详细记载。
古代的卢医（扁鹊）、汉代的华佗，只提到五种疔疮，那是五脏的疔疮。通过辨别五色，区分五脏，以青、黄、赤、白、黑来命名。
第一种叫心疔。其形态生于心脏的俞穴、募穴及经络井穴的末端，或者在手的小指端。颜色呈红色，伴有发热、心烦、睡眠不安、口干等症状。疼痛感应到心脏，小便色赤，面色红赤，舌面上有珠状物。治疗宜用泻心汤，内部加入托里解毒的药物。
第二种叫肝疔。颜色呈青色，形态生于肝脏部位，足的大趾端，胁肋旁边。症状表现为寒热往来、头项痛、眼中感觉有火光、口苦、胁痛、小便困难、面色青。宜用小柴胡汤，内部加入托里解毒的药物。
第三种叫脾疔，又名黄疔。形态多生于脾脏的部位。症状表现为不想进食、经常呕吐，颜色呈黄色。治疗宜用泻黄散，加入解毒等药物。
第四种叫肺疔，又名白疔。形态多生于肺部的部位和经络，手的大趾端。颜色呈白色，症状表现为发热、咳嗽。治疗宜用泻白散，内部加入解毒的药物。
第五种叫肾疔，又名黑疔。形态多生于肾脏经络的部位，足的小趾涌泉等穴位处。症状表现为寒热、面色晦暗。治疗宜用解毒托里药，并加入引经至肾经的药物进行治疗。
第六种叫麻子疔。其状肌肉突起，头部像黍米大小，颜色稍黑，四周微微发红且多痒。忌食麻子油衣。
第七种叫石疔。其状皮肉坚硬，颜色像黑豆，非常硬，刺之不入，肉微痛。忌用砭石刺破。
第八种叫雄疔。其状黑色，四边向上翻起，浆液升起有水流出，颜色黄，大如钱孔，形状顶部凸起的是。忌房事。
第九种叫雌疔。其状稍黄并向内凹陷，也类似灸疮，四面浆液升起，中心凹陷，颜色赤，如钱孔形状的，忌房事。
第十种叫火疔。其形像被热水烫伤一样，疮头黑痂，四周有烟熏样的浆液，又像赤粟米状。忌艾灸烙烫。
第十一种叫烂疔。其形色稍黑，有白斑，疮溃后流脓，大小如匙面。忌食沸热的食物。
第十二种叫三十六疔。其形黑，浮起像黑豆，四周起赤色。今天生一颗，明天生两颗，一天增加一个疮，如果增加到三十六个，即使是灵丹妙药也无法救治。如果未满三十六个则可以治疗。忌发怒愁恨。又名满天星。
第十三种叫蛇头疔，又名蛇眼疔。其形头部像蛇头，有两只眼睛，似蛇眼大小，痛苦甚烈，多生在手足指头上。宜取去其“眼”，系上药物。
第十四种叫盐肤疔。其状大如匙面，四周皆红，有黑粟粒。忌食盐。
第十五种叫水洗疔。其状大如钱形且有孔，疮头白里黑痂，汁液流出，中间硬。忌饮水及用水洗患处。
第十六种叫刀镰疔。其状阔狭如薤叶大小，长一寸，左侧肉黑如烧烙状。忌针刺刀割，宜用药治。
第十七种叫浮沤疔。其状曲圆少许不合，长而狭如薤叶大小，内黑外黄，黑处刺之不痛，黄处则痛。无禁忌。
第十八种叫牛拘疔。其状肉色突起但不破，无忌。即使不治疗，也不会致死。
第二十种叫牛疔。其形圆小，疮口内无油，突起但不破，伴有寒热。忌食牛肉。
第二十三种叫驴马疔。其形三角，顶上有黑点，根脚赤色，顶部凸起，伴有寒热。忌食驴马肉。
第二十四种叫瓜藤疔。不计其数，其形圆长如瓜形，因食用瓜毒而生。忌食瓜。
第二十五种叫豆腐疔。其状白，三日内顶部凹陷，因食用豆腐内有人汗所生。面部亦然。
第二十六种叫气疔。其形或大或小，色白如有气，于内因感怒恚之气而生。忌气怒。
第二十七种叫鬼疔。其形亦大小不一，色青，因中邪毒之气而生，异于诸疔，比气疔夜间更重，令人言语错乱，如见鬼状。
第二十八种叫红丝疔。其形赤缕缕如丝线，周身缠扰，如在手足上则入心即死。宜用松针刺去血，忌热物。
第二十九种叫内疔。言其疔生于内，脏腑上，腔里面，喉内，口内，与外疔更不同，非常厉害。宜托毒追疔，取黄上。
第三十种叫蒲桃疔。其形黑兼紫，如水晶，故名之。内黑血毒水宜去之，入追毒丹，服夺命丹，托毒药治之。
第三十一种叫杨梅疔。其形黑紫如熏梅状，如遍身有一梅疮，内有一二个疔疮，则令遍身疮不发。须针刺其毒，入追毒丹，服土茯苓加托毒等药，随症治之方安。
第三十二种叫鱼脐疔。其形如鱼之肚脐状，多生胳膊肚小腿肚上，乃手足太阳经分毒瓦斯。治宜察之加引经。
第三十三种叫痘疔。有大人小孩出痘之时，忽生此疔，则令遍身痘疮俱不发。须急去之，内服托里追疔药，外有本条。
The suffering of Ding sores (Ding abscesses) presents with a wide variety of symptoms. If accurately differentiated and treated appropriately, efficacy is achieved as easily as picking up a mustard seed from one's hand; if the method is incorrect, it is as difficult as slaughtering dragons in the sea. This is due to a lack of detailed understanding. Therefore, one must distinguish its morphology, recognize its name, understand its secrets, and obtain the appropriate treatment. Thus, I dare not conceal this knowledge but pass it down to future generations. To allow people to survive—is this not benevolence? Truly benevolent! Hence, I dissect and analyze them, recording each name in detail.
In ancient times, Lu Bian (Bian Que) and Hua Tuo of the Han Dynasty only mentioned five types of Ding sores, which correspond to the Ding sores of the Five Zang organs. By differentiating the five colors and dividing the Five Zang organs, they were named according to Green, Yellow, Red, White, and Black.
1. Heart Ding (Heart Abscess): Its morphology arises at the end of the Shu-Mu points and Jing-Well points of the Heart meridian, or at the tip of the little finger of the hand. The color is red, accompanied by fever, vexation, restlessness during sleep, and dry mouth. The pain corresponds to the Heart, urine is red, the face is red, and there are pearl-like spots on the tongue. Treatment should utilize Xie Xin Tang (Drain the Heart Decoction), supplemented with formulas that support the interior and detoxify.
2. Liver Ding (Liver Abscess): The color is green, and the morphology arises in the region of the Liver, at the tip of the big toe of the foot, or beside the hypochondrium. Symptoms include alternating chills and fever, headache and neck pain, sensation of firelight in the eyes, bitter taste in the mouth, hypochondriac pain, difficult urination, and a greenish complexion. Treatment should utilize Xiao Chai Hu Tang (Minor Bupleurum Decoction), supplemented with formulas that support the interior and detoxify.
3. Spleen Ding (Spleen Abscess), also known as Huang Ding (Yellow Abscess): The morphology mostly arises in the region of the Spleen. Symptoms include loss of appetite and frequent vomiting. The color is yellow. Treatment should utilize Xie Huang San (Drain the Yellow Powder), supplemented with detoxifying agents.
4. Lung Ding (Lung Abscess), also known as Bai Ding (White Abscess): The morphology mostly arises in the regions and meridians of the Lung, or at the tip of the big finger of the hand. The color is white. Symptoms include fever and cough. Treatment should utilize Xie Bai San (Drain the White Powder), supplemented with detoxifying agents.
5. Kidney Ding (Kidney Abscess), also known as Hei Ding (Black Abscess): The morphology mostly arises in the regions and meridians of the Kidney, such as the Yongquan acupoint at the tip of the little toe of the foot. Symptoms include alternating chills and fever and a darkened complexion. Treatment should utilize detoxifying and interior-supporting herbs, combined with drugs that guide the action to the Kidney meridian.
6. Hemp Seed Ding: The flesh protrudes, the head is like a millet grain, the color is slightly black, the four sides are slightly red and very itchy. Avoid consuming hemp seed oil and clothing made from hemp.
7. Stone Ding: The skin and flesh are hard, the color is like a black bean, extremely hard to penetrate with a needle, causing slight pain in the flesh. Avoid using bian stones (stone needles) for pricking.
8. Male Ding: The condition is black, with edges turning upward, pus rising with fluid discharge, the color is yellow, size like a coin hole, with a convex top. Avoid sexual intercourse.
9. Female Ding: The condition is slightly yellow and concave inward, resembling a moxibustion sore. Pus rises on all four sides, the center is concave, the color is red, and the shape is like a coin hole. Avoid sexual intercourse.
10. Fire Ding: The morphology resembles a scald from boiling water, with a black eschar on the sore head and smoky pus around the edges, resembling red millet grains. Avoid moxibustion and cauterization.
11. Rotting Ding: The color and shape are slightly black with white patches. After ulceration, it flows with pus, sized like the surface of a spoon. Avoid consuming boiling hot food.
12. Thirty-Six Ding: The morphology is black, floating up like a black bean, with redness around the edges. One appears today, two tomorrow, increasing by one sore per day. If it increases to thirty-six, even miraculous pills cannot save the patient. If less than thirty-six, it is treatable. Avoid anger and sorrow. Also known as "Stars in the Sky."
13. Snake Head Ding, also known as Snake Eye Ding: The head resembles a snake's head with two eyes, similar in size to a snake's eye. It causes severe pain and mostly occurs on the fingers of hands and feet. It is advisable to remove the "eyes" and apply medicine.
14. Salt Skin Ding: The size is like a spoon surface, all four sides are red, with black millet-like grains. Avoid salt.
15. Water Wash Ding: The size is like a coin with a hole, the sore head is white with a black eschar inside, fluid discharges, and the center is hard. Avoid drinking water and washing the affected area with water.
16. Knife and Sickle Ding: The width and narrowness are like the leaves of wild leeks, about one cun long. The flesh on the left side is black as if cauterized. Avoid needle pricking and knife cutting; use herbal treatment instead.
17. Floating Bubble Ding: The shape is curved and round with a slight gap, long and narrow like wild leek leaves, black inside and yellow outside. Pricking the black part causes no pain, while pricking the yellow part causes pain. No contraindications.
18. Cow Contraction Ding: The flesh color protrudes but does not break. No contraindications. Even if untreated, it will not be fatal.
19. Pig Ding: The shape is round and small, with oil inside the sore opening. Avoid pork.
20. Cow Ding: The shape is round and small, without oil in the sore opening. It protrudes but does not break, accompanied by chills and fever. Avoid beef.
21. Dog Ding: The shape is long and pointed, red in color, accompanied by chills and fever. Avoid dog meat.
22. Sheep Ding: The shape is long and white in color, accompanied by chills and fever. Avoid mutton.
23. Donkey and Horse Ding: The shape is triangular, with a black spot on the top and redness at the base. The top is convex, accompanied by chills and fever. Avoid donkey and horse meat.
24. Melon Vine Ding: Numerous in number, the shape is round and long like a melon, caused by ingesting melon toxicity. Avoid melons.
25. Tofu Ding: The appearance is white, with depression at the top within three days. It arises from human sweat contaminating tofu consumed. The face may also present similarly.
26. Qi Ding: The size varies, appearing white as if filled with qi. It arises internally due to emotional agitation and anger. Avoid anger and emotional disturbance.
27. Ghost Ding: The size varies, the color is green. It arises from inhaling evil toxic qi. It differs from other Ding sores and is worse at night than Qi Ding. It causes delirious speech, as if seeing ghosts.
28. Red Thread Ding: The morphology appears as red threads like silk lines, winding around the body. If it enters the heart from the hands or feet, death ensues. Use pine needles to prick and bleed. Avoid hot substances.
29. Internal Ding: Refers to Ding sores arising internally, on the Zang-Fu organs, in the cavities, throat, or mouth. It is much more severe than external Ding sores. Treatment should focus on expelling toxins and drawing out the Ding, taking yellow substances.
30. Grape Ding: The morphology is black mixed with purple, resembling crystal, hence the name. Remove the black blood and toxic fluid inside. Apply Zhui Du Dan (Toxin-Drawing Pill), take Duo Ming Dan (Life-Seizing Pill), and treat with interior-supporting and detoxifying medicines.
31. Yangmei Ding: The morphology is black and purple like smoked plums. If the whole body has plum sores, and one or two Ding sores appear internally, it prevents the general eruption of sores. One must prick the toxin, apply Zhui Du Dan, take Tu Fu Ling (Smilax Glabra Rhizome) with interior-supporting and detoxifying herbs, and treat according to symptoms to achieve stability.
32. Fish Umbilicus Ding: The shape resembles the belly button of a fish, mostly occurring on the abdomen and calves. It stems from toxic vapors distributed along the Foot Taiyang and Hand Taiyang meridians. Treatment requires observation and adding guiding herbs.
33. Smallpox Ding: During the eruption of smallpox in adults or children, if this Ding suddenly appears, it prevents the eruption of smallpox sores over the entire body. It must be removed urgently. Internally take interior-supporting and Ding-drawing medicines; externally refer to the specific section.
34. Centipede Ding: The shape is long like a centipede, with a head and legs. It causes chills and fever. It arises from food contaminated by the venom of a crawling centipede. Apply Xiong Huang Zi Ding (Realgar and Zinc Paste) externally.