针刺法 蜡矾丸 蟾酥饼 蟾酥丸(见疔疮门)
神灯照法 太乙膏 真君妙贴散 内疏黄连汤 猪蹄汤 玉红膏 托里消毒散(见肿疡门)
十全大补汤 参术地黄膏 人参养荣汤 补中益气汤 加减八味丸(见溃疡门)
桑木灸法(见脑疽门)
人参败毒散(见时毒门)
花蕊石散(见金疮门)
夫瘰 者,有风毒、热毒、气毒之异,又有瘰 、筋 、痰 之殊。风毒者,外受风寒搏于经络,其患先
寒后热,结核浮肿;热毒者,天时亢热,暑中三阳,或内食膏粱浓味,酿结成患,色红微热,结核坚肿;气毒
者,四时杀厉之气感冒而成,其患耳、项、胸、腋骤成肿块,令人寒热头 ,项强作痛。瘰 者,累累如
贯珠,连接三五枚,此不足寒热其患,得于误食虫、蚁、鼠残不洁之物,又或汗液、宿茶陈水混入而餐,其患
先小后大,初不觉疼,久方知痛;筋 者,忧愁思虑,暴怒伤肝,盖肝主筋,故令筋缩结蓄成核,生于项侧,
筋间形如棋子,坚硬大小不一,或陷或突,久则虚羸,多生寒热,劳怒则甚∶痰 者,饮食冷热不调,饥
饱喜怒不常,多致脾气不能传运,遂成痰结,初起如梅如李,生
及遍身,久则微红,后必溃破,易于收敛。凡观此症,别其风毒者散其风、除其湿,如防风解毒汤之类是也。
热毒者,清其脾、泻其热,连翘消毒饮之类是也。气毒者,调其血、和其气,藿香正气散之类是也。瘰 者,
散其坚、和其血,散肿溃坚汤之类是也。筋 者,清其肝、解其郁,柴胡清肝汤之类是也。痰 者,豁其痰、
行其气,芩连二陈汤之类是也。又有寡妇、尼、僧、鳏夫、庶外家,志不得发,思不得遂,积想在心,过伤精力
,此劳中所得者,往往有之,最为难治。有此先养心血,次开郁结,益肾安神,疏肝快膈,如归脾汤、益气养
荣汤,俱加香附、青皮、山栀、贝母、木香之类是也。又男人不宜太阳青筋,潮热咳嗽,自汗盗汗;女人又忌
眼内红丝,经闭骨蒸,五心烦热。男妇有此,后必变为痨瘵难治之症。但此体实者,初起可服散肿溃坚攻利
之药,得效者十中三、四,有不察虚实,尽剂追伐,损伤元气,致成坏病者十有八、九,此非患者之命自出医
人之手,予常治初起成核,服前药未效者,用针刺核内深入三、四分,用冰蛳散拈成条子插入核内,糊纸封上;
待至二七后,核子自然落出,随用红、黑二膏搽贴;内服补剂,不久便愈。又常见斑蝥、牵牛、巴霜、大黄追
蚀等用,往往致其危亡者多矣。切宜戒之。
针刺法、蜡矾丸、蟾酥饼、蟾酥丸(见疔疮门)
神灯照法、太乙膏、真君妙贴散、内疏黄连汤、猪蹄汤、玉红膏、托里消毒散(见肿疡门)
十全大补汤、参术地黄膏、人参养荣汤、补中益气汤、加减八味丸(见溃疡门)
桑木灸法(见脑疽门)
人参败毒散(见时毒门)
花蕊石散(见金疮门)
所谓瘰疬,有风毒、热毒、气毒的不同,又有瘰疬、筋疬、痰疬的差别。风毒所致者,外受风寒邪气搏结于经络,病症先恶寒后发热,出现结核且浮肿;热毒所致者,因天气酷热,暑邪侵犯三阳经,或内食肥甘厚味,酿结成病,患处色红微热,结核坚硬肿胀;气毒所致者,因感受四时杀厉之气而感冒引起,病症在耳、项、胸、腋处骤然形成肿块,令人寒热交替、头痛、项强疼痛。瘰疬者,结节累累如串珠,连接三五枚,此症不伴有明显的寒热症状,是因误食虫、蚁、鼠类残骸等不洁之物,或汗液、隔夜茶、陈水混入食物中进食所致,病症先小后大,初起不觉疼痛,日久才知疼痛;筋疬者,因忧愁思虑、暴怒伤肝,盖因肝主筋,故使筋脉收缩结聚成核,生于颈侧,筋间形状如棋子,坚硬大小不一,或凹陷或突起,日久则身体虚弱消瘦,多伴有寒热,劳累发怒则加重;痰疬者,因饮食冷热不调,饥饱喜怒无常,多导致脾气不能传输运化,遂成痰结,初起如梅子李子般大小,生于颈部及遍身,日久微红,随后必然溃破,但易于收敛愈合。凡观察此类病症,辨别为风毒者,应疏散风邪、祛除湿气,如防风解毒汤之类;热毒者,应清脾泻热,如连翘消毒饮之类;气毒者,应调血和气,如藿香正气散之类;瘰疬者,应消散坚结、调和血液,如散肿溃坚汤之类;筋疬者,应清肝解郁,如柴胡清肝汤之类;痰疬者,应豁痰行气,如芩连二陈汤之类。又有寡妇、尼姑、僧人、鳏夫、庶出子女及外家亲属,志向不得抒发,思愿不得实现,积想在心,过度损伤精力,这是劳损内伤所得之症,往往有此情况,最为难治。对此类患者,应先滋养心血,其次开郁结,益肾安神,疏肝快膈,如归脾汤、益气养荣汤,均加香附、青皮、山栀、贝母、木香之类药物。另外,男子不宜出现太阳经青筋暴露、潮热咳嗽、自汗盗汗;女子又忌眼内红丝、经闭骨蒸、五心烦热。男女若出现这些症状,日后必变为痨瘵这一难治之症。但对于体质强壮者,初起可服用散肿溃坚攻利之药,见效的十人中只有三四;若不察虚实,用尽药剂强行攻伐,损伤元气,导致成为坏病的十人有八九。这并非患者的命运出自医生之手,但我常治疗初起成核,服用前述药物未见效的患者,采用针刺核内深入三至四分,用冰蛳散捻成条状插入核内,糊纸封上;待十四天后,核子自然脱落,随即用红膏、黑膏搽贴;内服补剂,不久即可痊愈。又常见使用斑蝥、牵牛、巴豆霜、大黄等追蚀之法,往往导致患者危亡的情况很多。务必戒慎警惕。
Acupuncture method, Lafan Wan (Beeswax and Alum Pill), Chansu Bing (Toad Venom Cake), Chansu Wan (Toad Venom Pill) (see Ding Chuang Men/Ling Sore Section)
Shendeng Zhao Fa (Divine Lamp Illumination Method), Taiyi Gao (Great One Ointment), Zhenjun Miaotie San (True Lord's Miraculous Pasting Powder), Neishu Huanglian Tang (Internal Draining Coptis Decoction), Zhu Ti Tang (Pig Trotter Decoction), Yuhong Gao (Jade Red Ointment), Tuoli Xiaodu San (Supporting Interior and Detoxifying Powder) (see Zhongyang Men/Swelling Ulcer Section)
Shiquan Dabu Tang (Complete Ten Tonifying Decoction), Shenzhu Dihuang Gao (Ginseng, Atractylodes, and Rehmannia Ointment), Renshen Yangrong Tang (Ginseng Nourishing Nutrient Decoction), Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction), Jiajian Bawei Wan (Modified Eight-Ingredient Pill) (see Youkang Men/Ulcerated Lesion Section)
Sangmu Jiu Fa (Mulberry Wood Moxibustion Method) (see Naoju Men/Cervical Carbuncle Section)
Renshen Baidu San (Ginseng Resisting Toxin Powder) (see Shidu Men/Seasonal Toxicity Section)
Huarui Shi San (Flower Coral Stone Powder) (see Jinchuang Men/Gold Weapon Wound Section)
Luoli (Scrofula) varies in terms of Wind-Toxicity, Heat-Toxicity, and Qi-Toxicity, and also differs as Luoli (Scrofula), Jinluoli (Tendon Scrofula), and Tanluoli (Phlegm Scrofula). In cases of Wind-Toxicity, external wind-cold pathogens struggle with the meridians; the manifestation begins with aversion to cold followed by fever, presenting as nodules with edema. In cases of Heat-Toxicity, due to extreme weather heat or summerheat invading the Three Yang channels, or internal accumulation from rich and greasy foods fermenting into pathology, the affected area is red and slightly hot, with hard and swollen nodules. In cases of Qi-Toxicity, caused by contracting epidemic killing qi during the four seasons, sudden masses form in the ears, neck, chest, and axillae, causing alternating chills and fever, headache, stiff neck, and pain. Luoli presents as beads strung together, connecting three to five nodules; this condition lacks significant chills or fever. It results from accidentally ingesting unclean residues of insects, ants, or rats, or consuming food mixed with sweat, leftover tea, or stale water. The lesions start small and grow large, initially painless but painful after a long duration. Jinluoli arises from worry, overthinking, and violent anger injuring the Liver; since the Liver governs tendons, the tendons contract and accumulate into nodules. These occur on the side of the neck, resembling chess pieces between tendons, varying in hardness and size, sometimes depressed or protruding. Over time, the body becomes emaciated, often accompanied by chills and fever, worsening with fatigue and anger. Tanluoli results from irregular diet temperature, erratic hunger and fullness, and inconsistent emotions, leading to Spleen Qi failing to transport and transform, forming phlegm knots. Initially like plums or peaches, they appear on the neck and throughout the body, becoming slightly red over time, eventually ulcerating but healing easily. When observing these conditions, if identified as Wind-Toxicity, disperse wind and remove dampness, such as using Fangfeng Jiedu Tang (Saposhnikovia Detoxifying Decoction). If Heat-Toxicity, clear the Spleen and drain heat, such as using Liaoqiao Xiaodu Yin (Forsythia Detoxifying Infusion). If Qi-Toxicity, regulate blood and harmonize Qi, such as using Huoxiang Zhengqi San (Patchouli Rectifying Qi Powder). For Luoli, dissipate hardness and harmonize blood, such as using Sanzhong Kuijian Tang (Dispersing Swelling and Hardening Decoction). For Jinluoli, clear the Liver and resolve depression, such as using Chaihu Qinggan Tang (Bupleurum Clearing Liver Decoction). For Tanluoli, resolve phlegm and move Qi, such as using Qinlian Erchen Tang (Coptis and Scutellaria Two-Aged Phlegm Decoction). Additionally, widows, nuns, monks, widowers, illegitimate children, and relatives may have unexpressed ambitions and unsatisfied desires, accumulating thoughts in the heart and excessively damaging vital energy; this is a deficiency consumption disease, often difficult to treat. For such patients, first nourish Heart Blood, then open depression, tonify Kidney and calm the spirit, soothe the Liver and benefit the diaphragm, using Guipi Tang (Restore the Spleen Decoction) or Yiqi Yangrong Tang (Augment Qi and Nourish Nutrient Decoction), adding Xiangfu (Cyperus Rhizome), Qingpi (Aurantii Fructus Immaturus Pericarpium), Shanzhi (Gardeniae Fructus), Beimu (Fritillariae Bulbus), and Muxiang (Aucklandiae Radix). Furthermore, men should not exhibit exposed blue veins in the Taiyang channel, tidal fever, cough, spontaneous sweating, or night sweats; women should not exhibit red threads in the eyes, amenorrhea, bone-steaming fever, or five-palm heat. If men or women present with these symptoms, they will likely develop into Laozhai (Consumption Disease), which is difficult to treat. However, for those with strong constitutions, early-stage treatment with Sanzhong Kuijian Tang and other purgative drugs may be effective in three or four out of ten cases. If one fails to examine deficiency and excess, using full doses of attacking drugs damages Yuan Qi, resulting in complicated diseases in eight or nine out of ten cases. This is not because fate lies in the doctor's hands, but I frequently treat initial nodules where previous medicines failed: using acupuncture to penetrate the nodule deeply by three to four fen, inserting strips made of Bingsi San (Ice Snail Powder) into the nodule, and sealing with paste paper; after fourteen days, the nodule naturally falls out, followed by applying Hong Gao (Red Ointment) and Hei Gao (Black Ointment); internally taking tonic herbs leads to quick recovery. I have also commonly seen the use of Banmao (Mylabris), Qianniu (Pharbitidis Semen), Bashuang (Crotonis Semen Preparatum), and Dahuang (Rhei Radix et Rhizoma) for cauterization and erosion, which often lead to critical danger and death. One must strictly guard against this.