凡人无病时。不善调理而致生百病。况既病之后。若不加调摄而病岂能得愈乎。其调治有法。初起病。
以先看病者元气虚实。次看疮之阴阳险否。然后用药调治。当攻即攻。可补便补。不可因循耽误。以致
变态不虞也。且患者又当安定心神。相忘诸念。毋使怆慌。乃保神气不得变乱也。再顺天时。假如夏热。
坐卧不可当风。忌置水于榻前床下。冬寒须避。起居常要温和。非柴火不可开疮。看视常有寒侵。致生
多变。又未溃之先。毒瓦斯内作。倘有口干渴症者。凉物须当少少与之。以滋蕴热。至溃脓之后。生冷硬物。
一概禁之。不然。伤脾损胃。脓必难成。致疮软陷。又难收敛。饮食须当。香燥甘甜。粥饭随其喜恶。毋餐过
饱。宜少宜热宜浓。方无停滞。又得易化故也。如大疮溃后。气血两虚。脾胃并弱。必制八仙糕早晚随食
数饼。以接补真元。培助根本。再熬参术膏。如患者脾胃俱虚。饮食减少。胸膈不宽。饮食无味者。用白术
膏三匙。人参膏二匙。清米汤空心化服。喜饮者酒化亦可。若精神短少。昏沉多睡。自汗劳倦。懒于动作
者。用人参膏三匙。白术膏二匙。亦酒化服。如肌肤粗涩。面苍不泽。或大便血少虚秘。以及皮干发槁者。
同地黄膏各二匙和服。或饮阳春酒更妙。其功强健精神。顿生气血。开胃助脾。润肌荣骨。此二药功甚
非小。大疮不可缺之。实非草药之比。病者当信用之乃无更变。虚视者又多反复不常。故有易愈难愈
之态。实在乎得此失此之规也。
凡人在没有患病的时候,如果不善于调理身体而导致生出各种疾病。何况已经生病之后,如果不再加调养摄护,病情又怎么能痊愈呢?其调治是有方法的。在疾病初起时,首先要观察患者的元气是虚还是实,其次要看疮疡属于阴证还是阳证、是否危险。然后才用药进行调治。应当攻邪时就攻邪,可以补益时就补益,不可因循拖延耽误,以致产生意想不到的变证。
而且患者自身也应当安定心神,忘却杂念,不要使内心惊慌失措,这样才能保全神气不致紊乱。再顺应天时变化,例如夏天炎热,坐卧时不可直吹风口,忌讳在床前床下放置冷水;冬天寒冷必须避寒,起居生活常要保持温和。如果不是用柴火加热(保持温暖),就难以促使疮口溃破;若看护时常受寒气侵袭,会导致病情发生多变。
又在疮疡未溃破之前,毒瓦斯在体内发作,如果有口干口渴症状的,凉性食物应当少量给予,以滋润体内的蕴热。到了溃破流脓之后,生冷坚硬的食物一概禁止。否则,会损伤脾胃,导致脓液难以生成,致使疮面软陷,又难以收敛愈合。饮食应当选择香燥甘甜之物,粥饭随患者的喜好而定,但不要吃得过饱。宜少食、宜热食、宜浓稠,这样才不会造成停滞,也因为容易消化。
如果是大的疮疡溃破后,气血两虚,脾胃并弱,必须制作八仙糕,早晚各吃几块,以接续补益真元,培助根本。再熬制参术膏。如果患者脾胃俱虚,饮食减少,胸膈不宽畅,饮食无味道的,用白术膏三匙,人参膏二匙,空腹时用清米汤化开服用。喜欢喝酒的人也可以用酒化开服用。如果精神短少,昏沉嗜睡,自汗且感到劳倦,懒得动作的,用人参膏三匙,白术膏二匙,也用酒化开服用。如果肌肤粗糙干涩,面色苍老无光泽,或者大便血少导致虚性便秘,以及皮肤干燥头发枯槁的,同地黄膏各取二匙混合服用,或者饮用阳春酒效果更好。这两味药的功效在于强健精神,顿生气血,开胃助脾,润泽肌肤荣养骨骼。这两味药的功效非常大,并非普通草药可比拟。大疮疡患者不可缺少的,确实不是普通草药能比的。病人应当信任并使用它们,才不会再有变故。那些视病情为虚妄或轻视治疗的人,又多反复无常,所以有容易治愈和难以治愈的不同状态,关键在于是否遵循了正确的调护法则。
When a person is free from disease, if they do not manage their health well, various illnesses may arise. How much more so after illness has set in; if no care and regulation are applied, how can the disease be cured? There are methods for such regulation and treatment. At the onset of the disease, one must first assess whether the patient's Yuan Qi (Original Qi) is deficient or excess, then determine whether the sore/ulcer is Yin or Yang type and whether it is dangerous. Only then should medication be administered for regulation and treatment. When attack (purging/draining) is indicated, attack it; when tonification is suitable, tonify it. One must not delay or procrastinate, leading to unexpected complications.
Furthermore, the patient should calm their mind and spirit, forget distracting thoughts, and avoid panic, thereby preserving the Shen (Spirit) and Qi from disorder. One must also adapt to seasonal changes. For instance, in summer heat, one should not sit or lie in drafts, and placing cold water near the bed or under the bed should be avoided. In winter cold, one must avoid chill, and daily life should remain warm. Without the warmth of firewood, it is difficult to promote the opening and draining of sores; if caregivers are frequently exposed to cold, it may lead to varied complications.
Before the sore ulcerates, if toxic factors act internally and symptoms such as dry mouth and thirst appear, cool substances should be given in small amounts to nourish and clear internal accumulated heat. After the sore ulcerates and pus drains, all raw, cold, and hard foods are strictly prohibited. Otherwise, the Spleen and Stomach will be damaged, making it difficult for pus to form, causing the sore to become soft and sunken, and hindering healing and contraction. Diet should consist of aromatic, dry, sweet, and pungent foods. Porridge and rice should follow the patient's preferences, but overeating must be avoided. Food should be taken in small quantities, kept hot, and be thick/concentrated to prevent stagnation, as these are easier to digest.
After a large sore ulcerates, when both Qi and Blood are deficient and the Spleen and Stomach are weak, "Baxian Gao" (Eight Immortals Cake) should be prepared and consumed morning and evening, several pieces at a time, to replenish and tonify the True Yuan (True Original Qi) and strengthen the root. Additionally, "Shenzhu Gao" (Ginseng and Atractylodes Paste) should be decocted. If the patient has dual deficiency of the Spleen and Stomach, reduced appetite, chest and diaphragm fullness/stiffness, and lack of taste for food, take three spoons of Baizhu Gao (Atractylodes Macrocephala Paste) and two spoons of Renshen Gao (Ginseng Paste), dissolved in clear rice soup on an empty stomach. Those who prefer alcohol may dissolve them in wine instead. If there is mental fatigue, drowsiness, spontaneous sweating, lassitude, and reluctance to move, use three spoons of Renshen Gao (Ginseng Paste) and two spoons of Baizhu Gao (Atractylodes Macrocephala Paste), also dissolved in wine. If the skin is rough and dry, the complexion is dull and lusterless, or there is constipation due to blood deficiency with scanty stools, and the skin is dry with brittle hair, mix two spoons each of Dihuang Gao (Rehmannia Paste) and take together, or drink Yangchun Jiu (Spring Wine) for better effect. The efficacy of these two pastes lies in strengthening the spirit, rapidly generating Qi and Blood, opening the appetite, assisting the Spleen, moistening the skin, and nourishing the bones. Their power is significant and cannot be compared to ordinary herbal medicines. They are indispensable for large sores. Patients should trust and use them to avoid further complications. Those who neglect proper care often experience relapses and instability, resulting in varying degrees of curability, which ultimately depends on adhering to or neglecting these regulatory principles.