纯阴初起不知疮。粟米之形疙瘩僵。不红不肿不知痛。少热少 少提防。七朝之后身体倦。疮根平大
喜浇汤。顶不高兮根不活。色不光兮腐不瓤。陷软无脓空结聚。脉浮散大细飞扬。饮食不餐身战战。尝
汤止许意忙忙。疮上生衣如脱甲。孔中结子似含芳。脓多臭秽身难便。举动怆惶韵不长。疮形成紫黑。
面色变青黄。精神昏愦多鼾睡。言语无人自发扬。口干多舌强。痰喘定身亡。此属纯阴俱不治。百人百
可到泉乡。
阴阳之症两相交。生死同兼事可招。微热微寒微赤肿。半昏半爽半平高。脉来虽数多无力。饮食虽餐
便不消。肿而不溃因脾弱。溃而不肿为脓饶。大便多沸小便数。上身有汗下体焦。五善虽兼有。七恶未
全逃。口渴喜茶肠腹痛。面浮餍饮足心高。心烦不稳睡。神乱怕音焦。投方应病方为妙。阴转为阳渐可
调。心真造化。尔命坚牢。逢之任是神仙手。半死余生定莫逃。
心善精神爽。言清舌润鲜。疮疼兼不渴。睡醒得安然。肝善身轻便。因烦自不烦。指头红活色。坐起觉
平康。脾善唇滋润。衾帏兰麝香。凡餐俱有味。脓浓更肥黄。肺善声音响。无痰韵更长。肌肤多滑润。
大便自寻常。肾善诚为要。水深火自降。口和兼不渴。小水得稀长。
一恶神昏愦。心烦舌上干。疮形多紫黑。言语自呢喃。二恶腰身强。目睛邪视人。疮头流血水。惊悸是
肝。三恶形消瘦。脓清臭秽生。疮形多软陷。脾败不知疼。四恶皮肤槁。声嘶韵不长。痰多兼喘急。
鼻动肺将亡。五恶成消渴。随饮即随干。形容多惨黑。囊缩肾家端。六恶身浮重。肠鸣呕呃频。大肠
多滑泄。脏腑并将倾。七恶疮倒陷。形如剥鳝同。四肢多冷逆。污水自流通。
善属腑症。病微邪浅。更能慎起居。节饮食。则勿药亦愈。恶属脏症。多因元气虚弱。或汗下失宜。胃气
受伤。或寒凉克伐。以致邪气愈实也。法当纯补胃气。多有可生者。宜于溃疡主治诸方内对症施治。
此外更有溃后发热恶寒作渴。或怔忡惊悸。寤寐不宁。牙关紧急。或头目赤痛。自汗盗汗。寒战切牙。
手撒身热。脉洪大按之如无。或身热恶衣。欲投水中。其脉浮大。按之微细。衣浓仍寒。此气虚极。传变
之恶症也。手足逆冷。肚腹疼痛。泄泻肠鸣。饮食不入。吃逆呕吐。此阳气虚。寒气所乘之恶症也。有汗
而不恶寒。或无汗而恶寒。口噤足冷。腰背反张。颈项劲强。此气血虚极。变痉之恶症也。俱急用参、 、
归、术、附子以救之。间有得生者。不可因其症恶。遂弃而不治。
纯阴证（指阴寒性质的疮疡）在初起时，患者往往察觉不到疮口的存在。疮形如粟米大小，呈疙瘩状且僵硬。患处不红不肿，也不感到疼痛，仅有轻微的发热和少量的汗出，需要格外提防。发病七日后，身体感到疲倦，疮根平坦宽大，喜欢喝热汤。疮顶不高，根基不稳固；色泽晦暗无光，腐烂后没有脓液生成。疮面下陷柔软，没有脓液，只是空虚的结聚。脉象浮散、大而细弱，或如飞扬般无力。饮食不进，身体颤抖。即使尝试喝汤止渴，内心也充满惊慌忙乱。疮面上生出类似脱落的甲胄般的死皮，孔中结出的硬块好似含苞待放的花蕾。脓液多且气味臭秽，导致身体排便困难。举动仓皇失措，声音短促不畅。若疮形变为紫黑色，面色转为青黄，精神昏沉迷糊，多鼾睡，言语无人应答而自言自语，口干舌强，痰喘发作则注定身亡。这些都属于纯阴证，大多属于不治之症，百人之中可能有百人都能到达泉乡（指死亡）。
阴阳两种病症相互交错，生死同在，事情是可以招致的。症状表现为微热微寒，微微赤肿，半昏迷半清醒，疮势半平半高。脉象虽然快但大多无力。饮食虽然能吃，但大便不消化。肿胀但不溃破是因为脾虚；溃破后却不肿胀是因为脓液过多。大便多溏泄，小便频数。上身有汗，下肢焦枯。五善证虽兼见，但七恶证也未完全逃脱。口渴喜欢喝茶，肠腹疼痛，面部浮肿，厌食饮水，足心高突。心烦意乱无法安稳睡眠，神志错乱怕听声音，焦虑不安。投药对症才能起到妙效，阴证转为阳证才逐渐可调理。这是真正的造化，使你的生命坚固牢靠。遇到这种情况，即使是神仙之手，也难以让半死余生的人完全逃脱（意指预后极差，难以治愈）。
心善的表现：精神爽朗，言语清晰，舌头湿润鲜艳。疮痛且不口渴，睡醒后感到安然舒适。肝善的表现：身体轻便，因烦恼消除而不再烦躁。手指头颜色红润鲜活，坐起觉得平安健康。脾善的表现：嘴唇滋润，被褥衣服带有兰麝香气。凡吃的食物都有味道，脓液浓稠且色肥黄。肺善的表现：声音响亮，呼吸韵律长，肌肤多滑润，大便自然正常。肾善的表现：确实重要，如同水深火自降（水火既济）。口中和顺且不渴，小便得到稀释且长度正常。
一恶：神志昏沉迷糊，心烦，舌上干燥。疮形多为紫黑色，言语喃喃自语。二恶：腰身僵硬，眼睛斜视旁人。疮头流血水，惊悸是肝脏受损的表现。三恶：形体消瘦，脓液清稀且产生臭秽之气。疮形多软陷，脾脏败坏所以不知道疼痛。四恶：皮肤干枯，声音嘶哑，呼吸韵律短促。痰多兼有气喘急促，鼻翼扇动预示肺将亡。五恶：形成消渴病，随饮随干。形容多惨黑，囊缩是肾脏病变的端绪。六恶：身体浮肿沉重，肠鸣，呕吐呃逆频繁。大肠多滑泄，脏腑都将倾覆。七恶：疮口倒陷，形状如同剥皮的鳝鱼。四肢多冷逆，污水自行流通。
善证属于腑症，病情轻微，邪气浅表。如果能谨慎起居，节制饮食，那么不用药物也能痊愈。恶证属于脏症，多因为元气虚弱，或者发汗、攻下治疗不当，导致胃气受伤，或者因寒凉药物克伐，致使邪气更加实盛。治法应当纯补胃气，大多可以生还。应当在溃疡主治的各种方剂内，对症施治。此外还有溃后出现发热、恶寒、作渴，或者怔忡惊悸，睡觉醒来不能安宁，牙关紧急，或者头目赤痛，自汗盗汗，寒战切牙，手撒身热，脉象洪大但按之如无，或者身热厌恶衣物，想要投入水中，其脉浮大，按之微细，穿厚衣仍然寒冷。这是气虚至极，传变而成的恶症。手足逆冷，肚腹疼痛，泄泻肠鸣，饮食不入，呃逆呕吐。这是阳气虚，寒气所乘袭的恶症。有汗而不恶寒，或者无汗而恶寒，口噤足冷，腰背反张，颈项劲强。这是气血虚极，变生痉证的恶症。都应急用人参、[缺字，通常为黄芪或白术]、当归、白术、附子来救治。间或有得救存活的，不可因为其症状恶劣，就放弃不治疗。
Pure Yin syndrome (referring to sores of a yin-cold nature) at the initial stage is often unnoticed by the patient. The sore appears like millet grains, forming hard and stiff nodules. There is no redness or swelling, and no pain is felt; there is only slight heat and minimal sweating, requiring vigilant caution. After seven days, the body feels fatigued, the base of the sore is flat and wide, and there is a preference for drinking hot soups. The apex is not elevated, and the root is unstable; the color is dull and lacks luster, and upon putrefaction, no pus is generated. The lesion is sunken and soft, with no pus, merely an empty accumulation. The pulse is floating, scattered, large yet thin, or weak and flying. There is no appetite, and the body trembles. Even when attempting to drink soup to quench thirst, the mind is filled with panic and haste. Dead skin resembling shed armor forms on the sore, and hard knots within the pores resemble budding flowers. Abundant pus with a foul odor makes defecation difficult. Movements are frantic, and the voice is short and unsteady. If the sore turns purple-black, the complexion changes to greenish-yellow, spirit becomes confused and drowsy with snoring, speech is incoherent without response, mouth is dry, tongue is stiff, and the onset of phlegm and panting leads to death. These all belong to Pure Yin syndrome, mostly untreatable cases; among a hundred people, all may reach the realm of the dead.
Yin and Yang syndromes intersect, with life and death coexisting, and outcomes can be anticipated. Symptoms include slight heat and cold, slight redness and swelling, half-comatose and half-conscious states, and sores that are half-flat and half-elevated. The pulse is rapid but mostly powerless. Although food is consumed, digestion is poor. Swelling without ulceration indicates Spleen deficiency; ulceration without swelling indicates excessive pus. Frequent loose stools and frequent urination occur. Sweat on the upper body while the lower limbs appear scorched. Although Five Good signs are present, Seven Bad signs have not fully escaped. Thirst with a desire for tea, abdominal pain, facial edema, aversion to drinking, and high sole of the foot. Restlessness preventing sleep, mental confusion, fear of sound, and anxiety. Prescribing medicine that matches the disease is essential; conversion from Yin to Yang allows gradual regulation. This is true creation, making your life firm and secure. Encountering this condition, even with the hands of immortals, it is difficult to prevent escape from half-death and remaining life (indicating a very poor prognosis).
Heart Good: Spirit is bright and clear, speech is distinct, tongue is moist and fresh. Sore pain exists without thirst, and one sleeps peacefully and wakes up comfortable. Liver Good: Body is light and agile, irritability naturally disappears. Fingertips are red and vibrant, sitting and rising feel healthy. Spleen Good: Lips are moist, bedding and clothes smell of orchid and musk. All food tastes good, pus is thick and yellowish-white. Lung Good: Voice is resonant, breathing rhythm is long, skin is smooth and moist, bowel movements are normal. Kidney Good: Indeed crucial, like deep water where fire descends naturally. Mouth is harmonious and not thirsty, urine is diluted and prolonged.
First Bad: Confusion and dizziness, restlessness, dry tongue. Sores are mostly purple-black, muttering speech. Second Bad: Stiff waist and body, eyes looking askance at others. Sores bleed fluid, palpitations indicate Liver damage. Third Bad: Emaciation, clear and foul-smelling pus. Sores are soft and sunken, Spleen failure causes lack of pain sensation. Fourth Bad: Dry skin, hoarse voice, short breath. Excessive phlegm with urgent panting, nasal flapping indicates impending Lung death. Fifth Bad: Development of Xiao Ke (wasting-thirst), drinking followed immediately by dryness. Appearance is grim and black, retraction of the scrotum indicates Kidney pathology. Sixth Bad: Body edematous and heavy, borborygmus, frequent vomiting and hiccups. Intestinal sliding diarrhea, indicating collapse of Zang-Fu organs. Seventh Bad: Inverted and sunken sores, shape resembling skinned eels. Cold and reversed extremities, continuous discharge of turbid fluid.
Good signs belong to Fu organ diseases, with mild illness and shallow pathogenic factors. With careful daily routine and dietary restraint, recovery can occur without medication. Bad signs belong to Zang organ diseases, mostly due to Qi-Yuan deficiency, or improper sweating/purging treatments injuring Stomach Qi, or overuse of cold/cooling drugs causing pathogenic factors to become more solid. The treatment method should focus purely on tonifying Stomach Qi, with many chances for survival. Treatment should be applied according to symptoms within various formulas for treating ulcers. Additionally, after ulceration, fever, chills, thirst, palpitations, insomnia, locked jaw, red and painful head and eyes, spontaneous or night sweats, severe chills with teeth grinding, limp hands with body heat, pulse large and forceful but empty on pressure, or body heat with aversion to clothing, desire to throw oneself into water, pulse floating and large but thin on pressure, feeling cold despite thick clothing—this is extreme Qi deficiency transforming into bad syndromes. Cold extremities, abdominal pain, diarrhea with borborygmus, inability to eat, hiccups and vomiting—this is Yang Qi deficiency with invasion by Cold pathogens. Sweating without chills, or no sweating with chills, locked jaw with cold feet, opisthotonos, stiff neck—this is extreme Qi and Blood deficiency transforming into spasms. All require urgent use of Renshen (Ginseng Radix), [missing character, likely Huangqi or Baizhu], Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), and Fuzi (Aconiti Lateralis Radix Praeparata) to rescue. Occasionally, some may survive; do not abandon treatment simply because the symptoms are severe.