玉红膏 太乙膏(见肿疡门)
柴胡清肝汤 栀子清肝汤(见鬓疽门)
荆防败毒散(见时毒门)
十全大补汤(见溃疡门)
归脾汤(见痔疮门)。
夫鬓疽者,乃手少阳三焦相火妄动,又兼肾水不能生水,或外受风热所感。但此经多气少血,肌肉相搏,
凡有患最难腐溃。此皆起于情性急暴,房欲、血虚火动,肝气凝结而成。疽之初起,寒热交作,头眩痛彻太阳,
甚则耳目连鬓通肿。治法不可妄用针灸,必分阴阳、表里、邪正、虚实治之,庶不有误。且如初见疮时,多寒
少热,口干作渴,好饮热汤,六脉虚数无力;又兼患上坚硬,多不 痛,无溃无脓,疮根流散,此等之症,
乃真气虚而邪气实也。治以托里为主,消毒佐之,如清肝养血汤、托里消毒散之类是也。又如见症时热多寒少,
头眩作痛,口燥舌干,渴欲饮冷,二便秘涩,六脉沉实有力,疮亦 肿疼痛,身体发热,易腐易脓,根脚不开,
肿在外,此乃正气实而邪气虚也。治以消毒为主,托里佐之,如栀子清肝汤、鼠粘子汤之类是也。大抵正气
胜则实,邪气胜则虚,必然一胜则一负,邪正不并立,欲其虚而不待损而自虚矣。又有未见疮时,先作渴症,
或一年半载,日久日重,然后发为鬓疽;其形色多紫黑,疮多平陷,坚硬无脓,毒流耳项;又兼气味不正,形
容不泽,精神不明,饮食不进者,俱为不治。
玉红膏、太乙膏(见肿疡门)
柴胡清肝汤、栀子清肝汤(见鬓疽门)
荆防败毒散(见时毒门)
十全大补汤(见溃疡门)
归脾汤(见痔疮门)。
所谓鬓疽,是由于手少阳三焦经的相火妄动,加上肾水不足无法制约(即肾水不能上济以制火),或者外受风热邪气侵袭所致。因为该经脉多气而少血,气血与邪气在肌肉间搏结,所以一旦发病,最难溃破排脓。这大多起因于性情急躁暴戾,房事过度或血虚导致虚火内动,以及肝气郁结凝聚而成。鬓疽初起时,会出现寒热交替发作,头痛剧烈并放射至太阳穴,严重时甚至耳朵、眼睛连同鬓角部位都会肿胀。治疗方法不可随意使用针灸,必须分辨阴阳、表里、邪正、虚实来进行治疗,这样才能避免误治。例如初见疮疡时,如果表现为恶寒多发热少,口干口渴,喜欢喝热汤,六脉虚数且无力;同时患处坚硬,大多不痛,没有溃破也没有脓液,疮根扩散流散,这类病症属于真气虚弱而邪气实盛。治疗应以托里透脓为主,配合消毒之法,如使用清肝养血汤、托里消毒散等方剂。又如出现症状时,发热多恶寒少,头晕头痛,口燥舌干,想喝冷水,大小便干结涩滞,六脉沉实有力,疮疡红肿疼痛,身体发热,容易腐烂化脓,但疮根不散,肿胀局限在外,这属于正气实盛而邪气相对虚弱。治疗应以消毒为主,配合托里之法,如使用栀子清肝汤、鼠粘子汤等方剂。大抵而言,正气胜则表现为实证,邪气胜则表现为虚证,必然是一方胜另一方就衰,邪气与正气不能并存,想要病情转为虚证而不待损伤就会自然转为虚证。又有在未见疮疡之前,先出现口渴的症状,持续一年半载,日久加重,然后才发为鬓疽;其疮形色多呈紫黑色,疮面平坦下陷,坚硬无脓,毒邪流注耳部及颈部;再加上气味不正,面色无光泽,精神萎靡,饮食不进者,都属于难治之症(不治)。
Yuhong Ointment, Taiyi Ointment (see section on Ulcerated Sores)
Chaihu Qinggan Decoction, Zhizi Qinggan Decoction (see section on Temporal Carbuncle)
Jingfang Baidu San (see section on Seasonal Toxins)
Shiquan Dabu Decoction (see section on Ulcerated Wounds)
Guipi Decoction (see section on Hemorrhoids).
The so-called Temporal Carbuncle (Biju) arises from the reckless movement of Ministerial Fire (Xianghuo) in the Hand-Shaoyang Sanjiao (Triple Burner) meridian, compounded by Kidney Water failing to nourish and control it, or by external contraction of Wind-Heat pathogens. Since this meridian is abundant in Qi but deficient in Blood, when muscle tissue is involved, it is extremely difficult for the lesion to suppurate and drain. These conditions generally originate from an irritable and violent temperament, excessive sexual activity, blood deficiency leading to internal fire agitation, and stagnation of Liver Qi. At the onset of the carbuncle, there are alternating chills and fever, severe headache radiating to the Taiyang region, and in severe cases, swelling extending from the ears and eyes to the temples. The treatment must not involve arbitrary use of acupuncture or moxibustion; one must differentiate Yin and Yang, Exterior and Interior, Pathogenic factors and Healthy Qi, and Deficiency and Excess to avoid therapeutic errors. For instance, if at the initial stage of the sore, symptoms include more chills than fever, dry mouth with thirst, preference for hot drinks, and a pulse that is empty, rapid, and weak throughout all six positions; additionally, the affected area is hard, mostly painless, without ulceration or pus, and the base of the sore spreads diffusely, this condition indicates that True Qi is deficient while Pathogenic factors are excess. The treatment should focus on supporting the interior (Tuoli) to promote drainage, assisted by detoxification, such as using Qinggan Yangxue Decoction or Tuoli Xiaodu San. Conversely, if symptoms present with more fever than chills, dizziness and headache, dry mouth and tongue, desire for cold drinks, constipation and dysuria, and a pulse that is deep, solid, and forceful throughout all six positions; meanwhile, the sore is swollen and painful, the body is febrile, it easily suppurates, but the root remains firm and the swelling is localized externally, this indicates that Healthy Qi is excess while Pathogenic factors are relatively deficient. The treatment should focus on detoxification, assisted by supporting the interior, such as using Zhizi Qinggan Decoction or Shuniu Zi Decoction. Generally speaking, when Healthy Qi prevails, it manifests as an Excess pattern; when Pathogenic factors prevail, it manifests as a Deficiency pattern. There is an inverse relationship: as one prevails, the other declines. Pathogenic factors and Healthy Qi cannot coexist; if the pathogen is defeated, the condition will naturally transition to a state of deficiency without requiring further damage. Furthermore, in some cases, thirst appears before the sore becomes visible, persisting for one and a half to two years, worsening over time, before developing into a temporal carbuncle. In such instances, the sore often appears purple-black, flat and depressed, hard without pus, with toxicity spreading to the ears and neck. If accompanied by foul odor, lackluster complexion, mental fatigue, and loss of appetite, these are considered incurable cases.