五脏皆可发疔疮，现于形体细考详，若论阴阳分上下，欲知经脏辨何方。
疔名火焰发心经，往往生于唇指中，心作烦时神恍惚，痛兼麻痒 黄红。
毒发肝经名紫燕，此患多于筋骨见，破流血水烂串筋，指青舌强神昏乱。
黄鼓由于脾发毒，多生口角与颧骨， 黄光润红色缠，麻痒硬僵兼呕吐。
毒发肺经名白刃，白 顶硬根突峻，易腐易陷多损腮，咳吐痰涎气急甚。
从来黑靥发肾经，黑斑紫 硬如钉，为毒极甚疼牵骨，惊悸沉昏目露睛。
以上五疔应五脏，又有红丝疔一样，初如小疮渐发红，最忌红丝攻心上。
凡治疔证贵乎早，三阴三阳更宜晓，在下宜灸上宜针，速医即愈缓难保。
【注】此数证俱名曰疔。盖疔者，如丁钉之状，其形小，其根深，随处可生。由恣
食浓味，或中蛇蛊之毒，或中疫死牛、马、猪、羊之毒，或受四时不正疫气，致生是证。
夫疔疮者，乃火证也，迅速之病，有朝发夕死，随发随死，三五日不死，一月半月亦必
死，此系脏腑之乖逆，性情之激变，节候之寒温肃杀，且毒中有浅深也，若一时失治，
立判存亡，有名为火焰疔者，多生于唇、口及手掌指节间，初生一点红黄小 ，痛痒麻
木；甚则寒热交作，烦躁舌强，言语疏忽，此属心经毒火而成也。有名为紫燕疔者，多
生于手、足、腰、肋、筋骨之间，初生便作
紫，次日破流血水，三日后串筋烂骨，甚则目红甲青，邪视神昏、睡语惊惕，此属肝
经毒火而成也。有名为黄鼓疔者，初生黄 ，光亮明润，四畔红色缠绕，多生口角、腮、
颧、眼胞上下及太阳正面之处，发时便作麻痒，重则恶心呕吐，肢体木痛，寒热交作，
烦渴干哕，此属脾经毒火而成也。有名为白刃疔者，初生白 ，顶硬根突，破流脂水，
痒痛兼作，多生鼻孔、两手，易腐易陷，重则腮损咽焦，咳吐痰涎，鼻掀气急，此属肺
经毒火而成也。有名为黑靥疔者，多生耳窍、牙缝、胸腹，腰肾偏僻之处，初生黑斑紫 ，
毒串皮肤，渐攻肌肉，顽硬如疔，痛彻骨髓，重则手足青紫，惊悸沉困，软陷孔深，目睛
透露，此属肾经毒火而成也。以上五疔，本于五脏而生。
又有红丝疔，发于手掌及骨节间，初起形似小疮，渐发红丝，上攻手膊，令人寒热
往来，甚则恶心呕吐，治迟者，红丝攻心，常能坏人。又有暗疔，末发而腋下先坚肿无
头，次肿阴囊睾丸，突兀如筋头，令人寒热拘急， 热疼痛。又有内疔，先发寒热腹痛，
数日间，忽然肿起一块如积者是也。又有羊毛疔，身发寒热，状类伤寒，但前心，后心
有红点，又如疹形，视其斑点，色紫黑者为老，色淡红者为嫩。以上诸证，初起俱宜服
蟾酥丸汗之毒势不尽，憎寒壮热仍作者，宜服五味消毒饮汗之。如发热，口渴，便闭，
脉沉实者，邪在里也，宜服黄连解毒汤加生大黄一钱五分，葱头五个清之。凡证轻者，
宜服化疔内消散；若疔毒将欲走黄，急服疔毒复生汤；已走黄者，令人心烦昏愦，急用
七星剑汤以救之。若手足冷，六脉暴绝者，系毒瓦斯闭塞，元气不能宣通，先宜蟾酥丸，
随服木香流气饮行气，其脉自见。若疔毒误灸，烦躁谵语者，乃逼毒内攻也，宜服解毒
大青汤。若溃后余毒未尽，五心烦热者，宜服人参清神汤，针后出脓之时，气虚惊悸者，
宜服内托安神散。若攻利太过，以致发渴六脉虚大者，宜服补中益气汤，若发汗之后，
汗不止，热不退，疮不疼，便不利者，此属里虚，宜服八珍汤加黄 、麦冬治之。凡疔
溃后不宜补早，虽见真虚，只可平补，忌用温补之药。
\r疔疮图\p04-34a230.bmp\r
外治用药、针灸亦当循其次第。书云∶疔疮先刺血，内毒宜汗泻，禁灸不禁针，怕
绵不怕铁，初觉贵乎早治，十证十全；稍迟者，十全五六；失治者，十坏八九。初发项
以上者，三阳受毒，必用铍针刺入疮心四、五分，挑断疔根，令出恶血；随用立马回疔
丹，或蟾酥条插入孔内，外以巴膏盖之。如项以下生者，三阴受毒，即当艾灸以杀其势，
灸之不痛，亦须针刺出血，插蟾酥条，旁肿以离宫锭涂之。如旁肿顽硬，推之不动，用
针乱刺顽硬之处，令多出恶血，否则必致走黄。挑法，先用针干将毒顶焦皮刮开，针入
疔根，坚硬如针者为顺；若针刺入绵软如瓜穣，而不知痛者为逆，百无一生。凡挑疔根，
先出紫黑血，再挑刺至鲜血出，以知痛为止；随填拔疔散令满，以万应膏盖之，过三、四
时，拨去旧药，易以新药；若药干无水不痛者，此挑法未断疔根也，再深挑之，必以上
药知痛，药入水流为率；三四日后，疮顶干燥，以琥珀膏贴之，令疔根托出，换九一丹
撒之，黄连膏抹之，外盖白膏药生肌敛口。若初起失治，或房劳、梦遗损气，以致毒瓦斯
内攻，走黄不住者，其疮必塌陷，急当随走黄处，按经找寻，有一芒刺直竖，即是疔苗，
急当用铁针刺出恶血，即在刺处用艾壮灸三壮，以宣余毒。若身面漫肿，神昏闷乱，干
呕心烦作渴，遍身起 抽搐者，俱为逆证。惟红丝疔于初起时，急用瓷针于红丝尽处，
砭断出血；寻至初起疮上挑破，即用蟾酥条插入，万应膏盖之，随服黄连解毒汤。
再暗、内二疔，不用挑法，先以蟾酥丸含化令尽，以冷水漱去毒涎，再用三丸嚼葱
白三寸，裹药黄酒送下，盖卧出汗；少时无汗，再饮热酒催之；仍无汗，系毒热滞结，
急用霹雳火法令汗出，毒热随之而解。次用双解贵金丸下之自效。若暗、内二疔初起，
牙关紧急者，用蟾酥丸三、五粒，葱头煎汤研化灌之；俟稍苏，治法如前。
至羊毛疔，先将紫黑斑点，用衣针挑出如羊毛状，前后心共挑数处，用黑豆、荞麦
研粉涂之，实时汗出而愈。一法∶用明雄黄末二钱，青布包扎，蘸热烧酒于前心擦之，
自外圈入内，其毛即奔至后心，再于后心擦之，其羊毛俱拔出于布上，埋之，忌茶水一
日。
再诸疔部位、形色，亦有急缓，生于头项、胸背者最急，生于手、足骨节之间者稍
缓。一疔之外别生一小疮，名曰应候；四围赤肿而不散漫者，名曰护场；四旁多生小疮
者，名曰满天星；有此者缓，无此者急。疔证初起，至四、五日间，由白色而至青紫色，
疔头溃脓，形似蜂窝，内无七恶等证者为顺；若初起似疔非疔，灰色顶陷，如鱼脐，如蚕
斑，青紫黑 ，软陷无脓，内见七恶等证者逆。凡疔毒俱由火毒而生，忌服辛热之药，
恐反助其邪也；忌敷寒凉之药，恐逼毒攻里也。再膏药不宜早贴，惟在将溃已溃时贴之，
呼脓长肉，以避风寒。初溃时，忌用生肌药，恐毒未除，反增溃烂。生项以上者，属三阳
经，不宜灸。若火日生疔，亦禁灸，犯之或为倒陷，或至走黄。俱忌椒、酒、鸡、鱼、
海味、鹅肉、猪首、辛辣、生冷等物，气怒、房劳、诸香并孝服、经妇、僧道、鸡犬等项，
犯之必致反复，慎之。
蟾酥丸
蟾酥（酒化，二钱） 轻粉 铜绿 枯矾 寒水石（ ） 胆矾 乳香 没药 麝香（各一钱）
朱砂（三钱） 雄黄（二钱） 蜗牛（二十一个）
以上各为末，称准，于端午日午时，在净室中先将蜗牛研烂，同蟾酥和研稠粘，方
入各药共捣极匀，丸如绿豆大。每服三丸，用葱白五寸，令患者嚼烂，吐于手心内，男
用左手，女用右手，将药丸裹入葱泥内，用无灰热酒一茶盅送下∶被盖约人行五六里
路，病者出汗为度；甚者再用一服。如外用之法，搓条作饼，随证用之。修合时，忌妇
人、鸡犬等见之。
【方歌】蟾酥丸治诸疔毒，初起恶疮皆可逐，外用化腐又消坚，内服驱毒发汗速。
朱砂轻粉麝雄黄，铜绿枯矾寒水入，胆矾乳没共蜗牛，丸如绿豆葱酒服。
五味消毒饮
金银花（三钱） 野菊花 蒲公英 紫花地丁 紫背天葵子（各一钱二分）
水二盅，煎八分，加无灰酒半盅，再滚二、三沸时，热服。渣如法再煎服，被盖出汗为度。
【方歌】五味消毒疗诸疔，银花野菊蒲公英，紫花地丁天葵子，煎加酒服发汗灵。
化疔内消散
知母 贝母（去心，研） 穿山甲（炙，研） 蚤休 白芨 乳香 天花粉 皂刺 金银花
当归 赤芍 甘草（生，各一钱）
酒、水各一盅，煎一盅，去渣，量病上、
下服之。
【方歌】化疔内消知贝甲，蚤休及乳草天花，皂刺银花归芍酒，疔证毒轻服更嘉。
疔毒复生汤
金银花 栀子（生，研） 地骨皮 牛蒡子（炒，研） 连翘（去心） 木通 牡蛎（ ） 生军 皂
刺天花粉 没药 乳香（各八分）
酒、水各一盅，煎一盅，食远服。不能饮者，只用水煎，临服入酒一杯，和服亦效。
脉实便秘者，加朴硝。
【方歌】疔毒复生欲走黄，头面肿浮毒内伤，银栀骨蒡翘通蛎，军刺天花没乳香。
七星剑
苍耳头 野菊花 草 地丁香 半枝莲（各三钱） 蚤休（二钱） 麻黄（一钱）
用好酒一斤，煎至一碗，澄去渣热服，被盖出汗为度。
【方歌】七星剑呕热兼寒，疔毒走黄昏愦添，麻黄苍耳菊 ，地丁香蚤半枝莲。
木香流气饮
当归 白芍（酒炒） 川芎 紫苏 桔梗 枳实（麸炒） 乌药 陈皮 半夏（制） 白茯苓
黄 防风 青皮（各一钱） 大腹皮 槟榔 枳壳（麸炒） 泽泻 甘草节 木香（末，各五分）
生姜三片，红枣肉二枚，水煎服，下部加牛膝。
【方歌】木香流气宣气滞，归芍芎苏桔枳实，乌药二陈 大腹，风榔青枳泻煎之。
解毒大青汤
大青叶 木通 麦门冬（去心） 人中黄 栀子（生，研） 桔梗 元参 知母 升麻 淡
竹叶 石膏（ ，各一钱）
水二盅，灯心二十根，煎八分，食远服。大便秘加大黄，闷乱加烧人粪。
【方歌】解毒大青通麦门，中黄栀子桔元参，知升竹叶石膏 ，疔疮误灸毒内侵。
人参清神汤
人参 陈皮 白茯苓 地骨皮 麦门冬（去心） 当归 白术（土炒） 黄 远志（去心，
各一钱） 柴胡 黄连 甘草（炙，各五分）
水二盅，粳米一撮，煎八分，食远服。
【方歌】人参清神疔毒溃，陈苓地骨麦冬归，术 柴远黄连草，益气除烦热可推。
内托安神散
人参 麦门冬（去心） 茯神 黄 白术（土炒） 元参 陈皮（各一钱） 石菖蒲 甘草（炙）
酸枣仁（炒，研） 远志（去心） 五味子（研，各五分）
水二盅，煎八分，临服入朱砂末三分和匀，食远服。
【方歌】内托安神多惊悸，疔疮针后元气虚，参麦茯菖 术草，元参枣远味陈皮。
立马回疔丹
轻粉 蟾酥（酒化） 白丁香 砂（各一钱） 乳香（六分） 雄黄 朱砂 麝香（各三分） 蜈
蚣（炙一条） 金顶砒（注末卷，五分）
共为细末，面糊搓如麦子大。凡遇疔疮，以针挑破，用一粒插入孔内，外以膏盖，追
出脓血疔根为效。
【方歌】立马回疔轻蟾酥，白丁香乳麝雄朱， 蜈金顶砒研末，疔疮用此根自除。
九一丹
石膏（ ，九钱） 黄灵药（一钱）
共研极细，撒于患处。
【方歌】九一丹医疔破后，根除用此把脓搜， 石膏对黄灵药，清热生肌患自瘳。
霹雳火
鹅卵石烧红，安铁杓内，杓安桶内，以醋淬石，令患者将患处覆桶上，浓衣密盖，
勿令泄气，热气微再添红石，加醋淬之，疮头及肿处，使热气熏蒸至汗出，其毒减半。
黄连解毒汤（见耳部黑疔）
补中益气汤 八珍汤 巴膏 万应膏 白膏药 黄灵药（俱见溃疡门）
离宫锭 双解贵金丸（俱见肿疡门）
拔疔散（见牙齿部牙疔）
琥珀膏（见头部发际疮）
黄连膏（见鼻部鼻疮）
五脏均可发生疔疮，需根据形体表现仔细考察。若论阴阳之分上下，想要知道经络脏腑归属何方，需加以辨别。
心经疔名为火焰发，往往生于嘴唇和手指中间。心中烦乱时神志恍惚，疼痛兼有麻木瘙痒，颜色黄红。
毒发肝经名为紫燕疔，此患多见于筋骨部位。破溃后流血水，烂及串筋，手指青紫，舌体僵硬，神志昏乱。
黄鼓疔由于脾经发毒，多生于口角与颧骨处。黄色光亮润泽，红色缠绕周围，伴有麻木瘙痒、僵硬以及呕吐。
毒发肺经名为白刃疔，白色顶端坚硬，根部突起峻急，容易腐烂下陷，多损伤腮部，咳嗽吐痰涎，气急严重。
历来黑靥疔发于肾经，黑色斑点紫色坚硬如钉，毒性极甚，疼痛牵连骨骼，惊悸沉昏，眼球外露。
以上五种疔对应五脏，又有红丝疔一种，初起像小疮逐渐发红，最忌讳红丝攻心。
凡是治疗疔证贵在早治，三阴三阳经络更应知晓，下部适宜艾灸上部适宜针刺，速医即愈，缓治难保。
【注】这些病症都称为疔。所谓疔，形状像钉子，形体小，根深，随处可生。因恣意食用浓味食物，或中蛇蛊之毒，或中疫死牛、马、猪、羊之毒，或受四时不正疫气，导致产生此证。
夫疔疮属于火证，是迅速的病，有朝发夕死，随发随死，三五日不死，一月半月也必死，这是脏腑乖逆，性情激变，节候寒温肃杀，且毒中有浅深之分。若一时失治，立判存亡。
有名为火焰疔者，多生于唇、口及手掌指节间，初生一点红黄小点，痛痒麻木；甚则寒热交作，烦躁舌强，言语疏忽，这属于心经毒火而成。
有名为紫燕疔者，多生于手、足、腰、肋、筋骨之间，初生便作紫色，次日破流血水，三日后串筋烂骨，甚则目红甲青，邪视神昏、睡语惊惕，这属于肝经毒火而成。
有名为黄鼓疔者，初生黄色，光亮明润，四畔红色缠绕，多生口角、腮、颧、眼胞上下及太阳正面之处，发时便作麻痒，重则恶心呕吐，肢体木痛，寒热交作，烦渴干哕，这属于脾经毒火而成。
有名为白刃疔者，初生白色，顶硬根突，破流脂水，痒痛兼作，多生鼻孔、两手，易腐易陷，重则腮损咽焦，咳吐痰涎，鼻掀气急，这属于肺经毒火而成。
有名为黑靥疔者，多生耳窍、牙缝、胸腹，腰肾偏僻之处，初生黑斑紫色，毒串皮肤，渐攻肌肉，顽硬如疔，痛彻骨髓，重则手足青紫，惊悸沉困，软陷孔深，目睛透露，这属于肾经毒火而成。以上五疔，本于五脏而生。
又有红丝疔，发于手掌及骨节间，初起形似小疮，渐发红丝，上攻手膊，令人寒热往来，甚则恶心呕吐，治迟者，红丝攻心，常能坏人。
又有暗疔，未发而腋下先坚肿无头，次肿阴囊睾丸，突兀如筋头，令人寒热拘急，发热疼痛。
又有羊毛疔，身发寒热，状类伤寒，但前心、后心有红点，又如疹形，视其斑点，色紫黑者为老，色淡红者为嫩。
以上诸证，初起俱宜服蟾酥丸汗之，毒势不尽，憎寒壮热仍作者，宜服五味消毒饮汗之。如发热，口渴，便闭，脉沉实者，邪在里也，宜服黄连解毒汤加生大黄一钱五分，葱头五个清之。凡证轻者，宜服化疔内消散；若疔毒将欲走黄，急服疔毒复生汤；已走黄者，令人心烦昏愦，急用七星剑汤以救之。若手足冷，六脉暴绝者，系毒瓦斯闭塞，元气不能宣通，先宜蟾酥丸，随服木香流气饮行气，其脉自见。若疔毒误灸，烦躁谵语者，乃逼毒内攻也，宜服解毒大青汤。若溃后余毒未尽，五心烦热者，宜服人参清神汤，针后出脓之时，气虚惊悸者，宜服内托安神散。若攻利太过，以致发渴六脉虚大者，宜服补中益气汤，若发汗之后，汗不止，热不退，疮不疼，便不利者，此属里虚，宜服八珍汤加黄芪、麦冬治之。凡疔溃后不宜补早，虽见真虚，只可平补，忌用温补之药。
外治用药、针灸亦当循其次第。书云：疔疮先刺血，内毒宜汗泻，禁灸不禁针，怕绵不怕铁，初觉贵乎早治，十证十全；稍迟者，十全五六；失治者，十坏八九。
初发项以上者，三阳受毒，必用铍针刺入疮心四、五分，挑断疔根，令出恶血；随用立马回疔丹，或蟾酥条插入孔内，外以巴膏盖之。
如项以下生者，三阴受毒，即当艾灸以杀其势，灸之不痛，亦须针刺出血，插蟾酥条，旁肿以离宫锭涂之。
如旁肿顽硬，推之不动，用针乱刺顽硬之处，令多出恶血，否则必致走黄。
挑法，先用针干将毒顶焦皮刮开，针入疔根，坚硬如针者为顺；若针刺入绵软如瓜瓤，而不知痛者为逆，百无一生。
凡挑疔根，先出紫黑血，再挑刺至鲜血出，以知痛为止；随填拔疔散令满，以万应膏盖之，过三、四时，拨去旧药，易以新药；若药干无水不痛者，此挑法未断疔根也，再深挑之，必以上药知痛，药入水流为率；三四日后，疮顶干燥，以琥珀膏贴之，令疔根托出，换九一丹撒之，黄连膏抹之，外盖白膏药生肌敛口。
若初起失治，或房劳、梦遗损气，以致毒瓦斯内攻，走黄不住者，其疮必塌陷，急当随走黄处，按经找寻，有一芒刺直竖，即是疔苗，急当用铁针刺出恶血，即在刺处用艾壮灸三壮，以宣余毒。
若身面漫肿，神昏闷乱，干呕心烦作渴，遍身起抽搐者，俱为逆证。
惟红丝疔于初起时，急用瓷针于红丝尽处，砭断出血；寻至初起疮上挑破，即用蟾酥条插入，万应膏盖之，随服黄连解毒汤。
再暗、内二疔，不用挑法，先以蟾酥丸含化令尽，以冷水漱去毒涎，再用三丸嚼葱白三寸，裹药黄酒送下，盖卧出汗；少时无汗，再饮热酒催之；仍无汗，系毒热滞结，急用霹雳火法令汗出，毒热随之而解。次用双解贵金丸下之自效。
若暗、内二疔初起，牙关紧急者，用蟾酥丸三、五粒，葱头煎汤研化灌之；俟稍苏，治法如前。
至羊毛疔，先将紫黑斑点，用衣针挑出如羊毛状，前后心共挑数处，用黑豆、荞麦研粉涂之，实时汗出而愈。
一法：用明雄黄末二钱，青布包扎，蘸热烧酒于前心擦之，自外圈入内，其毛即奔至后心，再于后心擦之，其羊毛俱拔出于布上，埋之，忌茶水一日。
再诸疔部位、形色，亦有急缓，生于头项、胸背者最急，生于手、足骨节之间者稍缓。
一疔之外别生一小疮，名曰应候；四围赤肿而不散漫者，名曰护场；四旁多生小疮者，名曰满天星；有此者缓，无此者急。
疔证初起，至四、五日间，由白色而至青紫色，疔头溃脓，形似蜂窝，内无七恶等证者为顺；若初起似疔非疔，灰色顶陷，如鱼脐，如蚕斑，青紫黑斑，软陷无脓，内见七恶等证者逆。
凡疔毒俱由火毒而生，忌服辛热之药，恐反助其邪也；忌敷寒凉之药，恐逼毒攻里也。
再膏药不宜早贴，惟在将溃已溃时贴之，呼脓长肉，以避风寒。
初溃时，忌用生肌药，恐毒未除，反增溃烂。
生项以上者，属三阳经，不宜灸。若火日生疔，亦禁灸，犯之或为倒陷，或至走黄。
俱忌椒、酒、鸡、鱼、海味、鹅肉、猪首、辛辣、生冷等物，气怒、房劳、诸香并孝服、经妇、僧道、鸡犬等项，犯之必致反复，慎之。
The Five Zang organs can all develop Ding sores (Ding ulcers), which manifest on the body and require careful examination. Regarding the division of Yin and Yang into upper and lower, to know the meridian and organ involvement, one must distinguish the location.
Heart Meridian Ding is named Flame Ding (Flame Ding), often occurring in the lips and fingers. When the heart feels vexed, the spirit becomes confused; pain is accompanied by numbness, itching, and yellow-red discoloration.
Toxin affecting the Liver Meridian is named Purple Swallow Ding (Purple Swallow Ding). This condition mostly appears on tendons and bones. Upon rupture, it bleeds fluid and rots the tendons; the fingers turn cyan, the tongue becomes stiff, and the spirit is chaotic.
Yellow Drum Ding (Yellow Drum Ding) arises from Spleen toxin. It mostly occurs at the corners of the mouth and zygomatic bones. The color is yellow and glossy, surrounded by red, accompanied by numbness, itching, stiffness, and vomiting.
Toxin affecting the Lung Meridian is named White Blade Ding (White Blade Ding). The white top is hard, and the root protrudes sharply. It easily rots and sinks, often damaging the cheeks, with coughing up of phlegm and severe shortness of breath.
Historically, Black Crust Ding (Black Crust Ding) originates from the Kidney Meridian. It presents as black spots, purple and hard like a nail. The toxicity is extreme, causing pain radiating to the bones, palpitations, deep coma, and exposed eyeballs.
The above five Dings correspond to the Five Zang organs. There is also Red Thread Ding (Red Thread Ding), which initially resembles a small sore that gradually turns red. It is most dangerous if the red thread attacks the heart.
In treating Ding conditions, early intervention is crucial. One must understand the Three Yin and Three Yang meridians. Moxibustion is suitable for the lower part, while acupuncture is suitable for the upper part. Prompt treatment leads to recovery; delayed treatment makes preservation difficult.
[Note] These conditions are collectively called Ding. "Ding" refers to the shape of a nail: small in form but deep in root, capable of arising anywhere. It results from indulging in rich flavors, poisoning from snakes or gu, poisoning from epidemic-dead cattle, horses, pigs, or sheep, or contracting abnormal epidemic qi from the four seasons.
Ding sores belong to Fire syndromes and are rapid diseases. Some die within the same day or night; some die immediately upon onset. If not dead within three to five days, death is inevitable within a month or half a month. This is due to disharmony of the Zang-Fu organs, sudden changes in temperament, seasonal cold/heat/severity, and varying depths of toxicity. If treated late at the initial stage, life and death are decided instantly.
Flame Ding (Flame Ding) mostly occurs in the lips, mouth, and between finger joints of the palms. Initially, a small red-yellow spot appears with pain, itching, numbness, and anesthesia. Severely, alternating chills and fever occur, with restlessness, stiff tongue, and slurred speech. This is caused by Fire-toxin of the Heart Meridian.
Purple Swallow Ding (Purple Swallow Ding) mostly occurs between the hands, feet, waist, ribs, and tendons/bones. It turns purple upon onset, bleeding fluid the next day, and rotting tendons and bones after three days. Severely, eyes turn red, nails cyan, vision is distorted, spirit is comatose, sleep-talking and fright occur. This is caused by Fire-toxin of the Liver Meridian.
Yellow Drum Ding (Yellow Drum Ding) initially presents as yellow, bright and moist, surrounded by red. It mostly occurs at the mouth corners, cheeks, zygomatic bones, upper and lower eyelids, and temples. Onset brings numbness and itching. Severely, nausea and vomiting occur, limbs feel wooden and painful, alternating chills and fever, thirst, dry retching. This is caused by Fire-toxin of the Spleen Meridian.
White Blade Ding (White Blade Ding) initially presents as white, with a hard top and protruding root, leaking fatty fluid upon rupture, with both itching and pain. It mostly occurs in the nostrils and hands. It easily rots and sinks. Severely, cheeks are damaged, throat scorched, coughing up phlegm, nasal flaring, and shortness of breath. This is caused by Fire-toxin of the Lung Meridian.
Black Crust Ding (Black Crust Ding) mostly occurs in ear canals, tooth gaps, chest, abdomen, and remote areas of the waist and kidneys. It initially presents as black spots, purple and toxic, spreading through skin to muscles, hard like a Ding, with pain penetrating the bone marrow. Severely, hands and feet turn cyan, palpitations and deep fatigue occur, soft sinking with deep holes, and eyeballs protrude. This is caused by Fire-toxin of the Kidney Meridian. The above five Dings originate from the Five Zang organs.
There is also Red Thread Ding (Red Thread Ding), appearing on palms and joints. Initially resembling a small sore, it gradually develops red threads attacking the arm, causing alternating chills and fever, and severely nausea/vomiting. Delayed treatment allows the red thread to attack the heart, often causing harm.
There is Dark Ding (Dark Ding). Before manifestation, the axilla becomes firm and swollen without a head, followed by swelling of the scrotum and testicles, protruding like a tendon knot, causing alternating chills, fever, stiffness, heat, and pain.
There is Internal Ding (Internal Ding). It initially presents with alternating chills, fever, and abdominal pain. After a few days, a lump suddenly swells up, resembling an accumulation.
There is Wool Ding (Wool Ding). The body develops alternating chills and fever, resembling Taiyang syndrome. However, there are red spots on the anterior and posterior chest, resembling rashes. Viewing the spots, purple-black indicates old severity, while pale red indicates mild severity.
For these conditions, initially服用 Chan Su Wan (Toad Venom Pill) to induce sweating. If toxicity remains and aversion to cold with high fever persists,服用 Wu Wei Xiao Du Yin (Five-Ingredient Decoction for Eliminating Toxin) to induce sweating. If fever, thirst, constipation, and deep-solid pulse exist, the pathogen is in the interior;服用 Huang Lian Jie Du Tang (Coptis Decoction for Resolving Toxicity) plus 1.5 qian of raw Da Huang (Rhubarb Rhizome) and five green onion heads to clear heat. For mild cases,服用 Hua Ding Nei Xiao San (Ding-Resolving Internal Dissipation Powder). If Ding-toxin is about to spread internally (Zouhuang), urgently服用 Ding Du Fu Sheng Tang (Ding-Toxin Revival Decoction). If Zouhuang has occurred, causing mental confusion, urgently use Qi Xing Jian Tang (Seven-Star Sword Decoction) to rescue. If extremities are cold and six pulses vanish suddenly, this is due to toxin blocking Yuanqi circulation; first服用 Chan Su Wan, then follow with Mu Xiang Liu Qi Yin (Aucklandia Flowing-Qi Decoction) to move Qi, and the pulses will reappear. If Ding-toxin is mistakenly moxibusted, causing restlessness and delirium, this is forced toxin attacking inward;服用 Jie Du Da Qing Tang (Detoxifying Daqing Decoction). If after ulceration residual toxin remains causing five-palm heat,服用 Ren Shen Qing Shen Tang (Ginseng Calming-Spirit Decoction). If Qi deficiency causes palpitations during pus discharge post-acupuncture,服用 Nei Tuo An Shen San (Internal Support Spirit-Calming Powder). If purgation was excessive causing thirst and large-deficient pulses,服用 Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction). If after sweating, sweat does not stop, fever does not recede, sore is painless, and bowels are unsmooth, this is interior deficiency;服用 Ba Zhen Tang (Eight-Treasure Decoction) plus Huang Qi (Astragalus Root) and Mai Dong (Ophiopogon Tuber). Generally, tonification should not be used early after Ding ulceration; even if true deficiency is seen, only mild tonification is allowed, avoiding warm-tonifying herbs.
External treatment with medicines, acupuncture, and moxibustion must follow the sequence. Books state: Ding sores first require bloodletting, internal toxins should be released via sweating and purging, moxibustion is forbidden but acupuncture is allowed, fear cotton but not iron. Early treatment yields ten cures out of ten; slightly delayed yields five or six; missed treatment results in eight or nine failures.
For Ding starting above the neck, the Three Yang meridians receive the toxin. Use a Pi needle (scalpel-like needle) to pierce the center of the sore 4-5 fen deep,挑断 (cut off) the Ding root to release foul blood. Immediately insert Li Ma Hui Ding Dan (Horse-Returning Ding Pill) or a Chan Su strip into the hole, covered externally with Ba Gao (Ba Ointment).
For Ding starting below the neck, the Three Yin meridians receive the toxin. Apply moxibustion to suppress its momentum. If moxibustion causes no pain, still puncture to bleed, insert Chan Su strip, and apply Li Gong Ding (Li Palace Paste) to surrounding swelling.
If surrounding swelling is stubborn and immobile, stab the hard area randomly with a needle to release much foul blood, otherwise Zouhuang (internal spread) will inevitably occur.
Picking method: First use a dry needle to scrape away the scorched skin at the toxin peak. Insert needle into the Ding root. Hardness like a needle indicates favorable prognosis; softness like melon pulp with no pain indicates unfavorable prognosis (almost fatal).
When picking the Ding root, purple-black blood comes out first. Continue picking until fresh blood appears and pain is felt; stop here. Fill with Ba Ding San (Ding-Pulling Powder) and cover with Wan Ying Gao (Ten-Thousand-Response Ointment). After 3-4 hours, remove old medicine and apply new. If medicine dries without water and causes no pain, the root was not cut; pick deeper until pain is felt and liquid flows. After 3-4 days, when the sore top is dry, apply Hu Po Gao (Amber Ointment) to push out the root, sprinkle Jiu Yi Dan (Nine-One Powder), smear Huang Lian Gao (Coptis Ointment), and cover with Bai Gao Yao (White Plaster) to generate flesh and close the wound.
If initial treatment was missed, or sexual exhaustion/emission damaged Qi, causing toxin to attack inward and Zouhuang to persist, the sore will collapse. Urgently locate the Zouhuang area along the meridian. Find a single erect thorn-like projection, which is the Ding seed. Urgently prick with an iron needle to release foul blood, then apply three moxa cones at the pricked site to vent residual toxin.
If body and face are diffusely swollen, spirit is confused and irritable, dry retching, thirst, and whole-body convulsions occur, these are all unfavorable signs.
Only for Red Thread Ding, at onset, urgently use a porcelain needle to cut the end of the red thread to bleed. Find the original sore, pick it open, insert Chan Su strip, cover with Wan Ying Gao, and orally administer Huang Lian Jie Du Tang.
For Dark Ding and Internal Ding, do not use picking. First dissolve Chan Su Wan in the mouth completely, rinse with cold water to remove toxic saliva. Then chew three pills with 3 cun of green onion white, wrap medicine, swallow with yellow wine, cover and lie down to sweat. If no sweat shortly, drink hot wine to induce it. If still no sweat, it is toxin-heat stagnation; urgently use Pi Li Huo (Thunderfire) method to induce sweating, resolving toxin-heat. Follow with Shuang Jie Gui Jin Wan (Double-Resolving Noble Gold Pill) to purge.
If Dark/Internal Ding starts with locked jaw, use 3-5 Chan Su Wan, grind with green onion head decoction, and force-feed. Wait for slight recovery, then treat as before.
For Wool Ding, first prick purple-black spots with a clothing needle to extract wool-like strands. Prick several spots on front and back chest. Apply powder of black beans and buckwheat. Sweat immediately ensues and cure follows.
Another method: Use 2 qian of refined Realgar powder wrapped in blue cloth, dip in hot liquor, rub on anterior chest from outside inwards. The "wool" moves to the posterior chest. Rub again to extract all wool onto the cloth. Bury the cloth. Avoid tea and water for one day.
Regarding locations and appearances of Dings, urgency varies. Those on head/neck/chest/back are most urgent; those on hand/foot joints are slightly less urgent. A small sore appearing besides one Ding is called Ying Hou (Responding Sentinel); red swelling around without spreading is called Hu Chang (Protecting Field); many small sores around are called Man Tian Xing (Sky-Filling Stars). Presence of these indicates slower progression; absence indicates urgency.
From onset to 4-5 days, if color changes from white to cyan-purple, Ding head suppurates resembling a honeycomb, and internal Seven Evils signs are absent, it is favorable. If initially resembling but not Ding, gray sunken top like fish navel or silkworm spots, cyan-purple-black, soft/sunken without pus, and internal Seven Evils appear, it is unfavorable.
All Ding toxins arise from Fire-toxin. Avoid acrid-hot herbs fearing they aid evil; avoid cold-cooling topical applications fearing they force toxin inward. Plasters should not be applied early; only apply when about to ulcerate or after ulceration to drain pus, generate flesh, and avoid wind-cold. At initial ulceration, avoid flesh-generating drugs fearing toxin remains and increases ulceration.
Dings above the neck belong to Three Yang meridians and are unsuitable for moxibustion. Dings born on Fire days are also forbidden for moxibustion; violation may cause inversion or Zouhuang.
Avoid pepper, alcohol, chicken, fish, seafood, goose meat, pig head, spicy/cold foods. Avoid anger, sexual activity, fragrant substances, mourning clothes, menstruating women, monks/nuns, chickens/dogs. Violation causes recurrence; be cautious.
Chan Su Wan (Toad Venom Pill)
Ingredients: Chan Su (dissolved in wine, 2 qian), Qing Fen (Calomel), Tong Lv (Malachite), Ku Fan (Alum), Han Shui Shi (Calcitrite - calcined), Dan Fan (Chalcanthite), Ru Xiang (Frankincense), Mo Yao (Myrrh), She Xiang (Musk) (each 1 qian), Zhu Sha (Cinnabar, 3 qian), Xiong Huang (Realgar, 2 qian), Wo Niu (Snail, 21 pieces).
Preparation: Grind all to powder. Weigh accurately. On Dragon Boat Festival noon, in a clean room, first crush snails, mix with Chan Su to a thick paste, then add other powders and pound thoroughly. Form pills like mung beans. Dosage: 3 pills. Chew 5 cun green onion white, spit into palm, wrap pill in onion paste (men use left hand, women right), swallow with non-grain hot wine. Cover and walk 5-6 li until patient sweats. Severe cases repeat dose. Externally, roll into strips/patties as needed. During preparation, avoid women, chickens, and dogs seeing it.
Formula Song: Chan Su Wan treats various Ding toxins, expels initial malignant sores. Externally resolves decay and hardness, internally drives out toxin and induces sweat fast. Cinnabar, Calomel, Musk, Realgar, Malachite, Alum, Calcitrite, Chalcanthite, Frankincense, Myrrh, Snail. Pills like mung beans, taken with green onion and wine.
Wu Wei Xiao Du Yin (Five-Ingredient Decoction for Eliminating Toxin)
Ingredients: Jin Yin Hua (Honeysuckle Flower, 3 qian), Ye Ju Hua (Wild Chrysanthemum Flower), Pu Gong Ying (Dandelion), Zi Hua Di Ding (Viola Yedoensis), Zi Bei Tian Kui Zi (Basella Rubra Seed) (each 1.2 qian).
Preparation: Boil 2 cups water to 0.8 cup. Add half cup non-grain wine, boil 2-3 times more. Take hot. Dregs boiled again similarly. Cover to sweat.
Formula Song: Wu Wei Xiao Du Yin treats various Dings, Honeysuckle, Wild Chrysanthemum, Dandelion, Viola, Basella. Boil with wine, sweat effectively.
Hua Ding Nei Xiao San (Ding-Resolving Internal Dissipation Powder)
Ingredients: Zhi Mu (Anemarrhena Rhizome), Bei Mu (Fritillaria Bulb - dehearted, ground), Chuan Shan Jia (Pangolin Scale - roasted, ground), Zao Xiu (Paris Polyphylla), Bai Ji (Bletilla Rhizome), Ru Xiang (Frankincense), Tian Hua Fen (Trichosanthes Root), Zao Ci (Gleditsia Spine), Jin Yin Hua (Honeysuckle), Dang Gui (Angelica Sinensis), Chi Shao (Red Peony Root), Gan Cao (Licorice Root - raw) (each 1 qian).
Preparation: Boil 1 cup wine and 1 cup water to 1 cup. Strain. Take according to upper/lower body location.
Formula Song: Hua Ding Nei Xiao uses Anemarrhena, Fritillaria, Pangolin, Paris, Frankincense, Licorice, Trichosanthes, Gleditsia, Honeysuckle, Angelica, Peony in wine. Better for mild Ding toxicity.
Ding Du Fu Sheng Tang (Ding-Toxin Revival Decoction)
Ingredients: Jin Yin Hua (Honeysuckle), Zhi Zi (Gardenia Fruit - raw, ground), Di Gu Pi (Lycium Bark), Niu Bang Zi (Arctium Seed - roasted, ground), Lian Qiao (Forsythia Fruit - dehearted), Mu Tong (Akebia Stem), Mu Li (Oyster Shell - calcined), Sheng Jun (Raw Rhubarb), Zao Ci (Gleditsia Spine), Tian Hua Fen (Trichosanthes Root), Mo Yao (Myrrh), Ru Xiang (Frankincense) (each 0.8 qian).
Preparation: Boil 1 cup wine and 1 cup water to 1 cup. Take far from meals. If cannot drink wine, boil only in water, add 1 cup wine before taking. Effective. Add Po Xiao (Mirabilite) if pulse solid and constipated.
Formula Song: Ding Du Fu Sheng for impending Zouhuang, facial swelling, internal toxin injury. Honeysuckle, Gardenia, Lycium, Arctium, Forsythia, Akebia, Oyster, Rhubarb, Gleditsia, Trichosanthes, Myrrh, Frankincense.
Qi Xing Jian (Seven-Star Sword Decoction)
Ingredients: Cang Er Tou (Xanthium Head), Ye Ju Hua (Wild Chrysanthemum), Cao Ben (Ligusticum Chuanxiong? Note: Text says Cao Ben but likely implies specific herb, context suggests aromatic/resolving), Di Ding (Sarcandra Glabra), Ban Zhi Lian (Scutellaria Barbata) (each 3 qian), Zao Xiu (Paris Polyphylla, 2 qian), Ma Huang (Ephedra Herb, 1 qian).
Preparation: Boil 1 jin good wine to 1 bowl. Strain, take hot. Cover to sweat.
Formula Song: Qi Xing Jian treats vomiting, heat, chills, Ding toxin Zouhuang confusion. Ephedra, Xanthium, Chrysanthemum, [Herb], Sarcandra, Paris, Scutellaria.
Mu Xiang Liu Qi Yin (Aucklandia Flowing-Qi Decoction)
Ingredients: Dang Gui (Angelica Sinensis), Bai Shao (White Peony Root - wine-fried), Chuan Xiong (Ligusticum Chuanxiong), Zi Su (Perilla Leaf), Jie Geng (Platycodon Root), Zhi Shi (Immature Bitter Orange - bran-fried), Wu Yao (Lindera Root), Chen Pi (Tangerine Peel), Ban Xia (Pinellia Tuber - processed), Bai Fu Ling (Poria), Huang Qi (Astragalus Root), Fang Feng (Saposhnikovia Root), Qing Pi (Green Tangerine Peel) (each 1 qian), Da Fu Pi (Areca Peel), Bing Lang (Betel Nut), Zhi Ke (Bitter Orange - bran-fried), Ze Xie (Alisma Rhizome), Gan Cao Jie (Licorice Node), Mu Xiang (Aucklandia Root - powder, each 0.5 qian).
Preparation: 3 slices ginger, 2 dates flesh. Boil in water. Add Xu Duan/Niu Xi for lower body.
Formula Song: Mu Xiang Liu Qi promotes Qi stagnation. Angelica, Peony, Ligusticum, Perilla, Platycodon, Bitter Orange, Lindera, Chen Pi, Areca, Saposhnikovia, Betel, Bitter Orange, Alisma.
Jie Du Da Qing Tang (Detoxifying Daqing Decoction)
Ingredients: Da Qing Ye (Isatis Leaf), Mu Tong (Akebia Stem), Mai Men Dong (Ophiopogon Tuber - dehearted), Ren Zhong Huang (Human Waste Precipitate), Zhi Zi (Gardenia Fruit - raw, ground), Jie Geng (Platycodon Root), Yuan Shen (Scrophularia Root), Zhi Mu (Anemarrhena Rhizome), Sheng Ma (Cimicifuga Rhizome), Dan Zhu Ye (Lophatherum Leaf), Shi Gao (Gypsum Fibrosum - calcined) (each 1 qian).
Preparation: 2 cups water, 20 roots Deng Xin Cao (Juncus Effusus). Boil to 0.8 cup. Take far from meals. Add Da Huang for constipation, Shao Ren Fen (Burnt Human Feces) for confusion.
Formula Song: Jie Du Da Qing clears Ophiopogon, Human Waste, Gardenia, Platycodon, Scrophularia, Anemarrhena, Cimicifuga, Lophatherum, Gypsum. Treats Ding sores mistook for moxibustion, toxin invading inward.
Ren Shen Qing Shen Tang (Ginseng Calming-Spirit Decoction)
Ingredients: Ren Shen (Ginseng Root), Chen Pi (Tangerine Peel), Bai Fu Ling (Poria), Di Gu Pi (Lycium Bark), Mai Men Dong (Ophiopogon Tuber - dehearted), Dang Gui (Angelica Sinensis), Bai Zhu (Atractylodes Macrocephala Rhizome - earth-fried), Huang Qi (Astragalus Root), Yuan Zhi (Polygala Root - dehearted) (each 1 qian), Chai Hu (Bupleurum Root), Huang Lian (Coptis Rhizome), Gan Cao (Licorice Root - roasted) (each 0.5 qian).
Preparation: 2 cups water, a pinch of Jing Mi (Rice). Boil to 0.8 cup. Take far from meals.
Formula Song: Ren Shen Qing Shen treats post-ulceration Ding toxin. Tangerine Peel, Poria, Lycium, Ophiopogon, Angelica, Atractylodes, Astragalus, Bupleurum, Polygala, Coptis, Licorice. Tonifies Qi, removes vexation/heat.
Nei Tuo An Shen San (Internal Support Spirit-Calming Powder)
Ingredients: Ren Shen (Ginseng Root), Mai Men Dong (Ophiopogon Tuber - dehearted), Fu Shen (Poria with Hostwood), Huang Qi (Astragalus Root), Bai Zhu (Atractylodes Macrocephala Rhizome - earth-fried), Yuan Shen (Scrophularia Root), Chen Pi (Tangerine Peel) (each 1 qian), Shi Chang Pu (Acorus Rhizome), Gan Cao (Licorice Root - roasted), Suan Zao Ren (Ziziphus Seed - roasted, ground), Yuan Zhi (Polygala Root - dehearted), Wu Wei Zi (Schisandra Berry - ground) (each 0.5 qian).
Preparation: 2 cups water, boil to 0.8 cup. Add 0.3 qian Zhu Sha (Cinnabar) powder before taking. Take far from meals.
Formula Song: Nei Tuo An Shen treats palpitations, post-acupuncture Ding Qi deficiency. Ginseng, Ophiopogon, Poria, Acorus, Atractylodes, Licorice, Scrophularia, Ziziphus, Polygala, Schisandra, Tangerine Peel.
Li Ma Hui Ding Dan (Horse-Returning Ding Pill)
Ingredients: Qing Fen (Calomel), Chan Su (Toad Venom - dissolved in wine), Bai Ding Xiang (White Civet Cat Feces), Sha (Realgar?) Note: Text says "Sha", likely Xiong Huang or similar, but listed separately later. Context implies mineral. Let's assume Xiong Huang based on common formulas, but text lists Xiong Huang separately. Actually text says "Sha (各一钱)" then later "Xiong Huang...". Wait, looking closely: "Bai Ding Xiang Sha (each 1 qian)". Likely "Sha" refers to a specific mineral or typo for Xiong Huang. Given standard formula, it might be Xiong Huang. But I will translate literally as "Sha". Ru Xiang (Frankincense, 0.6 qian), Xiong Huang (Realgar), Zhu Sha (Cinnabar), She Xiang (Musk) (each 0.3 qian), Wu Gong (Centipede - roasted, 1 piece), Jin Ding Pi (Golden Top Arsenic, note: see end volume, 0.5 qian).
Preparation: Fine powder, dough paste, roll like wheat grains. For Ding sores, prick open, insert one pill, cover with plaster. Draws out pus, blood, and Ding root.
Formula Song: Li Ma Hui Ding uses Calomel, Toad Venom, Civet, Frankincense, Musk, Realgar, Cinnabar, Centipede, Golden Top Arsenic powder. Removes Ding root.
Jiu Yi Dan (Nine-One Powder)
Ingredients: Shi Gao (Gypsum Fibrosum - calcined, 9 qian), Huang Ling Yao (Yellow Calominate, 1 qian).
Preparation: Pound extremely fine. Sprinkle on affected area.
Formula Song: Jiu Yi Dan treats post-ulceration Ding, removes root, searches pus. Gypsum and Yellow Calominate clear heat, generate flesh, heal naturally.
Pi Li Huo (Thunderfire Method)
Method: Heat goose egg stone red-hot, place in iron spoon inside a bucket. Quench stone with vinegar. Patient covers affected area over bucket. Cover tightly with thick clothes to prevent gas escape. Heat steams sore and swelling until sweating, reducing toxin by half. Add red stone and vinegar if heat decreases.
Other Formulas Mentioned:
Huang Lian Jie Du Tang (See Ear Section Black Ding)
Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction)
Ba Zhen Tang (Eight-Treasure Decoction)
Ba Gao (Ba Ointment)
Wan Ying Gao (Ten-Thousand-Response Ointment)
Bai Gao Yao (White Plaster)
Huang Ling Yao (Yellow Calominate) (All see Ulcer Section)
Li Gong Ding (Li Palace Paste)
Shuang Jie Gui Jin Wan (Double-Resolving Noble Gold Pill) (Both see Swollen Ulcer Section)
Ba Ding San (Ding-Pulling Powder) (See Tooth Section Gingivitis)
Hu Po Gao (Amber Ointment) (See Head Section Hairline Sore)
Huang Lian Gao (Coptis Ointment) (See Nose Section Nasal Sore)