\r颐发\p04-a55a12.bmp\r
是足阳明胃经。多气少血。在颊车大迎二穴上下。左右相同。双发最凶。如肿痛不可忍者。八日
可刺。脓汁出四畔软者生。如反硬。牙关紧。不能食。似蜂窠涓涓流黄水。十无一生。女人患此。主
四五日死。
\r痼发\p04-a55a13.bmp\r
此疮发于手少阳三焦经。多气少血。在耳后下一寸三分。乃致命之所。如赤肿痛急。内托之。毒
脓出肿散则安。不然连耳聋浑浑沌沌。喉嗌内肿痛。汗出连目 。颊及肩肘大痛。若不早治必死矣。
\r瘿瘤发\p04-a55a14.bmp\r
此疮发于脊之正中。近于大椎陶道身柱三穴之端。俱督脉之所络处。甚利害。急早托之。是阳脉
之海。督领百脉。经云。营气不从。逆于肉理。乃生痈肿。督脉不能统督之意。可见之凶症也。
\r胸发\p04-a55a15.bmp\r
此疮发于玉堂等穴。皆任脉之所络也。名阴脉之海。谓之人身中子午也。急早内托。恐毒瓦斯归心
也。发于外者可治。如内发伤于膜者死。
\r额发\p04-a55a16.bmp\r
此疮发于额上曲差穴下。攒竹二穴。俱足太阳经。多血少气。初发头痛憎寒。项似拔。腰如折。
赤肿。急汗之。以托表为先。次看虚实。而为之区处。
【颐发】
这是足阳明胃经的病变。该经脉多气而少血。发病部位在颊车穴和大迎穴之间的上下区域。左右两侧对称相同。双侧同时发作最为凶险。如果出现肿痛剧烈、难以忍受的症状,可在第八天进行针刺排脓。如果脓液流出后,周围组织变软,则预后良好(可生);如果反而变硬,牙关紧闭,无法进食,且疮口像蜂巢一样涓涓流出黄水,则十人中没有一人能存活。女性患此病,通常在四五天内死亡。
【痼发】
这种疮疡发于手少阳三焦经。该经脉多气而少血。发病部位在耳后下一寸三分处,乃是致命的关键部位。如果局部红肿疼痛急迫,应采用内托法治疗。若毒脓排出,肿胀消散,则病情安定;否则会导致连串耳聋、头昏脑涨、咽喉内部肿痛、出汗牵连眼部、脸颊及肩肘剧烈疼痛。如果不尽早治疗,必然导致死亡。
【瘿瘤发】
这种疮疡发于脊柱的正中线上,靠近大椎、陶道、身柱三个穴位的一端。这些部位都是督脉络属之处。病情非常严重厉害,必须及早采用托法治疗。因为督脉是阳脉之海,统领全身百脉。医经说:“营气运行不畅,逆乱于肌肉纹理之间,就会发生痈肿。”这说明督脉失去了统摄之意,可见这是极为凶险的病症。
【胸发】
这种疮疡发于玉堂等穴位,这些都是任脉所络属的地方。任脉被称为阴脉之海,被称为人身中的子午线(正中)。必须及早采用内托法,防止毒瓦斯归于心脏。发于体表的可以治愈;如果是内发损伤了膜原,则会导致死亡。
【额发】
这种疮疡发于额头曲差穴下方、攒竹穴附近,均属于足太阳膀胱经。该经脉多血而少气。初起时出现头痛、憎恶寒冷、颈部感觉像被拔扯一样僵硬、腰部感觉像折断一样的疼痛、局部红肿。应当立即采用发汗法治疗,以透托表邪为优先。随后根据患者的虚实情况进行辨证处理。
[Yifa]
This is a pathology of the Foot-Yangming Stomach Meridian. This meridian is characterized by abundant Qi and scarce Blood. The lesion occurs above and below the Jiache (ST6) and Daying (ST5) acupoints, symmetric on both left and right sides. Bilateral occurrence is the most severe. If swelling and pain are intolerable, puncture may be performed on the eighth day. If pus drains out and the surrounding tissue becomes soft, the prognosis is favorable (survival likely); if it remains hard instead, accompanied by trismus (lockjaw), inability to eat, and the ulcer weeping yellow fluid like a honeycomb, mortality approaches 100%. Women suffering from this condition typically die within four to five days.
[Gufa]
This abscess arises in the Hand-Shaoyang Sanjiao (Triple Burner) Meridian. This meridian is characterized by abundant Qi and scarce Blood. The lesion occurs one cun and three fen below the ear, a critical and potentially fatal location. If there is acute redness, swelling, and pain, internal support therapy (Neituo) should be employed. If toxic pus is discharged and swelling subsides, the patient will stabilize; otherwise, it leads to deafness, confusion, internal swelling and pain in the throat, sweating extending to the eyes, and severe pain in the cheeks, shoulders, and elbows. Without early treatment, death is inevitable.
[Yingliufa]
This abscess arises at the midline of the spine, near the ends of the Dazhui (GV14), Taodao (GV13), and Shenzhu (GV12) acupoints. These locations are all connected with the Du Mai (Governing Vessel). The condition is extremely severe and requires early application of support therapy. The Du Mai is the Sea of Yang Meridians and commands all meridians. As stated in the medical classics: "When Ying (Nutrient) Qi does not flow smoothly and reverses into the muscle texture, carbuncles and swellings arise." This indicates that the Du Mai has lost its commanding function, revealing this as a highly ominous syndrome.
[Xiongfā]
This abscess arises at the Yutang (CV19) and other acupoints, which are all connected with the Ren Mai (Conception Vessel). The Ren Mai is known as the Sea of Yin Meridians and represents the vertical axis (Ziwu) of the human body. Early internal support therapy is urgent to prevent toxic vapors from returning to the Heart. Lesions manifesting externally are treatable; however, if the infection originates internally and damages the membrane source (Moyuan), it results in death.
[Efā]
This abscess arises below the Qucha (BL7) acupoint and near the Cuanzhu (BL2) acupoint on the forehead, belonging to the Foot-Taiyang Bladder Meridian. This meridian is characterized by abundant Blood and scarce Qi. Initial symptoms include headache, aversion to cold, stiffness in the neck as if being pulled, sensation of the waist as if broken, and local redness and swelling. Immediate diaphoresis (sweating method) should be applied, prioritizing the expulsion of pathogens from the exterior. Subsequently, treatment should be tailored based on the patient's deficiency or excess patterns.