拾遗者,因条款分门遗失,未及细详,但本病立门以正病为主,而从病故有失焉。今查补注,以便观治之。
鼻疔生于鼻内,痛引脑门,不能运气,胀塞鼻窍,甚者唇腮
俱肿。牙疔生于牙缝之中,顶高突起,痛连腮项,破则流血。黑疔生于耳窍之内,黑硬腐烂,破流血水,疼及
腮颧。以上之症,俱先针刺,次行发汗,仍照疔类调治。
喉痈生于咽外正中,肿痛妨碍饮食,红肿发热,必欲溃脓,软而胀痛者针之;内服补托之药,玉红膏搽贴,
长肌完口。又有腐溃内通,汤水随孔出者,曾治数人,俱亦无妨。
疽生在膊上,连肩通肿,长坚而硬。兑疽生在当手动脉之处,肿痛寒热,痛彻手膊,举动不便。凤眉疽
发在两目之间,形长皮赤,痛引脑户,二目合缝,光肿发热。透脑疽发在额上发际之间,多发寒热,头疼如斫,
不可忍耐,先用万灵丹发汗、解散风邪,次宜清托。附阴疽生在内踝上三寸,初生小泡,渐生赤肿,破流血水,
痛亦彻骨,不能步履。咬骨疽发在大腿内股,不肿不红,痛彻骨髓,初宜雷火针针之,内服万灵丹酒调服
效。阴疽生于右腿夹缝之下三寸,痛连阴子,小腹亦痛。玄疽生于左腿夹缝之下三寸,漫肿连阴,疼及大腿。
渊疽发在胁下,初起不红坚硬,久则破溃,有声如婴儿啼状,膏盖,无声去膏,仍有异哉难治,哂不能也。玉
枕疽生在脑后枕骨中,坚而难溃,痛引肩项,鼻塞气粗,此太阳膀胱湿热凝滞而成。大抵以上之症,有名而生
者鲜矣。初起有表症者便宜解表,有里症者即与通利,溃后宜补托,久则宜收敛,此为一定治法。不可混乱妄
投药饵,致其危亡也。
拾遗,是指因条款分类分门时有所遗漏,未能详尽详述,但本书以确立病证门类来端正疾病的主旨,而有些病症因此被遗漏。如今查缺补漏并加注,以便观察和治疗。
鼻疔生于鼻腔内部,疼痛牵引至脑门,导致气息不畅,鼻塞胀塞,严重时嘴唇和面颊都会肿胀。牙疔生于牙缝之间,顶部高起突起,疼痛牵连腮部和颈部,破溃后流出血液。黑疔生于耳窍内部,颜色发黑、质地坚硬且腐烂,破溃后流出血水,疼痛波及腮部和颧骨。以上这些症状,都先用针刺治疗,随后进行发汗,仍然按照疔疮类的方法调理治疗。
喉痈生于咽喉外部正中位置,肿痛妨碍饮食,红肿发热,必然要化脓,如果变软且胀痛则用针刺;内服补益托毒的药物,外用玉红膏涂抹贴敷,促进肌肉生长,使伤口愈合。又有腐溃向内贯通,汤水从孔洞中流出的情况,曾治疗过几个人,也都无妨。
疽生在胳膊上,连接肩膀通体肿胀,长得坚实而硬。兑疽生在手部动脉所在之处,肿痛伴有寒热,疼痛彻达手臂,举动不便。凤眉疽发在两目之间,形状细长皮肤发红,疼痛牵引至后脑勺,双眼紧闭,眼球突出肿胀发热。透脑疽发在额头发际线之间,多伴有寒热,头痛如砍劈般,难以忍受,先用万灵丹发汗、解散风邪,其次宜用清托之法。附阴疽生在内踝上方三寸处,初起为小水泡,逐渐变为赤色肿胀,破溃后流出血水,疼痛也彻骨,无法行走。咬骨疽发生在大腿内侧股部,不肿不红,疼痛深入骨髓,初期宜用雷火针针刺,内服万灵丹用酒调服有效。阴疽生在右腿夹缝下方三寸处,疼痛牵连阴部,小腹也痛。玄疽生在左腿夹缝下方三寸处,漫肿连及阴部,疼痛波及大腿。渊疽发在胁下,初起不红坚硬,久则破溃,发出声音如同婴儿啼哭状,用膏药覆盖则无声,去掉膏药仍有异响,这种确实难以治疗,令人苦笑不能治。玉枕疽生在脑后枕骨中间,坚硬难溃,疼痛牵引肩颈,鼻塞气粗,这是由太阳膀胱经湿热凝滞而成。大抵以上这些病症,有名有实记载的很少了。初起有表证的便适宜解表,有里证的即给予通利,溃破后宜补益托毒,日久则宜收敛,这是固定的治疗方法。不可混乱妄投药物,导致危亡。
"Shi Yi" (Supplementary Notes) refers to items that were omitted during the classification of clauses and categories, failing to be detailed sufficiently. However, this book establishes disease categories to rectify the main focus on diseases, resulting in some conditions being lost. Now, these omissions are checked, supplemented, and annotated for easier observation and treatment.
Bi Ding (Nasal Carbuncle) arises inside the nose, with pain radiating to the forehead, causing difficulty in breathing and nasal congestion; in severe cases, the lips and cheeks swell. Ya Ding (Dental Carbuncle) occurs between the teeth, presenting as a high, protruding peak, with pain extending to the cheeks and neck; upon rupture, it bleeds. Hei Ding (Black Carbuncle) develops within the ear canal, appearing black, hard, and rotting; upon rupture, it discharges bloody fluid, with pain affecting the cheeks and zygomatic bones. For the above symptoms, acupuncture should be performed first, followed by inducing sweating, and then treated according to the protocols for Ding-type lesions.
Hou Yong (Throat Abscess) forms at the center of the external throat, causing swelling and pain that hinder eating. It presents with redness, swelling, and fever, and must suppurate. If it becomes soft and distending-painful, it should be punctured with a needle. Internally, administer tonifying and expelling-toxin medicines; externally apply Yuhong Gao (Jade Red Ointment) to promote tissue regeneration and wound closure. In cases where ulceration penetrates internally, allowing liquids to exit through the perforation, several such patients have been treated without adverse outcomes.
Ju (Deep-seated Abscess) appears on the upper arm, spreading to the shoulder with generalized swelling, becoming long, firm, and hard. Dui Ju arises at the location of the radial artery in the hand, accompanied by swelling, pain, chills, and fever, with pain radiating through the arm, making movement difficult. Feng Mei Ju (Phoenix Eyebrow Abscess) erupts between the two eyes, characterized by a long shape and reddish skin, with pain radiating to the occiput, causing the eyes to close tightly, bulging, swollen, and hot. Tou Nao Ju (Brain-Penetrating Abscess) develops between the hairline on the forehead, often accompanied by chills and fever, and severe headache as if chopped, which is unbearable. Initially, use Wanling Dan (Ten Thousand Spirit Pill) to induce sweating and dissipate wind pathogens, followed by clearing and supporting methods. Fu Yin Ju (Attached Yin Abscess) forms three cun above the medial malleolus, starting as small blisters that gradually become red and swollen, rupturing to discharge bloody fluid, with bone-piercing pain preventing walking. Yao Gu Ju (Bone-Biting Abscess) occurs in the inner thigh, without swelling or redness, but with pain penetrating the bone marrow. Initially, treat with Leihuo Zhen (Thunder Fire Needle); internally, administer Wanling Dan mixed with wine for efficacy. Yin Ju (Yin Abscess) appears three cun below the crease of the right leg, with pain radiating to the genitals and lower abdomen. Xuan Ju (Mysterious Abscess) forms three cun below the crease of the left leg, presenting with diffuse swelling extending to the genitals and pain reaching the thigh. Yuan Ju (Abyss Abscess) erupts under the hypochondrium, initially non-red and hard, eventually rupturing with sounds resembling an infant's cry when covered with plaster; if the sound persists after removing the plaster, it is indeed difficult to treat, eliciting a helpless smile. Yu Zhen Ju (Jade Pillow Abscess) arises in the occipital bone at the back of the head, hard and difficult to suppurate, with pain radiating to the shoulders and neck, nasal congestion, and coarse breathing. This is caused by the stagnation of damp-heat in the Taiyang Bladder meridian. Generally, among the aforementioned conditions, those with both name and distinct clinical presentation are rare. If exterior symptoms are present at onset, release the exterior; if interior symptoms exist, promote unblocking and purgation; after suppuration, use tonification and expulsion of toxins; for chronic cases, employ astringents. These are fixed treatment principles. Do not indiscriminately administer medications, leading to critical danger or death.