夏子益《奇疾方》云∶有人患渊疽，发于肋下，久则一窍，有声如婴儿啼。灸阳泉二七壮，声止而愈。
〔源按〕古去疮久不愈，则内生虫，此患渊疽，有声如婴儿啼者，因内生虫也。然不用别治，而独用艾灸。盖人血
气冷，则疮不消不溃。故假艾力以温其内，使气血得行，其疽自灭。况艾更能杀虫，故但灸而愈。
又云∶有人因艾火灸疮，痂退落，疮内鲜肉片子如蝶状，腾空飞云，痛不可言，血肉俱坏，此火毒生怪病也。用
朴硝、大黄为末，水调下，微利即愈。
又云∶有人病眼赤，鼻张大喘，浑身如斑，毛发如铜铁，乃胃中热毒瓦斯结于下焦。用白矾、滑石各一两，为末，
作一服，水三碗煎减半，不住服，服尽即安。
又云∶有人患生虫，如蟹走于皮下，作声如小儿啼，为筋肉所化。雄黄、雷丸各一两，为末，糁猪肉上炙熟，吃尽
自安。
又云∶有人患身及头面生毒浮肿，如蛇状。用雨湿砖上青苔一钱，水调涂之立应。
又云∶有一妇产后，食茶粥二十余碗，一月后，身之上下发水冷数块，人以手指按其冷处，即冷从指下上应至心。
如是者，诸治不效，以八物汤去地黄，加橘红，入姜汁、竹沥一酒钟，十服乃痊。
又云∶有人遍身忽然肉出如锥，痒而且痛，不能饮食，名曰血壅。不速治，必溃脓血，以赤皮葱烧灰淋洗，饮淡豆
豉汤数盏自安。
〔源按〕经云∶营气不从，逆于肉里，此症为热毒内攻，营气逆于肉里，而生奇毒也，痒乃津液枯涩，痛因气血
不行，故痒痛并作。葱有疏表通气之功，以洗于外，豉能清热解毒，以饮于内，内外兼治，其病故痊。
又云∶有人毛窍节次出血不止，忽皮胀如鼓，须臾耳目口鼻被气胀合欲绝，此名脉溢。急用生姜自然汁和水合半
盏，服即安。
〔源按〕在毛窍节次血出，而忽皮胀如鼓，及口鼻等处被气胀合欲绝者，此必疫邪内攻，迫血于脉络节次而出，名
曰脉溢，盖邪壅于中，卫气散解，因卫不营行而不能卫护其血，故血外流。血流于外，邪当自解而不解者，盖卫失其
度，因失血而更虚其卫。其邪益甚，故忽皮胀如鼓，而顷刻气满欲绝也。经云∶失之则内闭九窍，外壅肌肉，卫气散
解。此时若不急治其标，势将立毙。故用生姜辛散逆气之味，以捣自然汁，与水和饮，取其性须疾速，通格下关，使
邪退而病可即安。
又云∶有人忽遍身皮底混混如波浪声，痒不可忍，抓之血出不能解，谓之气奔，以苦仗、人参、青盐、细辛共一
两，作一服，水煎饮尽便愈。
〔源按〕此症由肺气热而贼风袭之，故客于皮底之间，与气相搏，因发声若波浪之声，而谓之气奔也。盖肺属金，
其音商，商音清而劲，故声作如是。若无热则声不鸣，无风则气不奔，即《内经》所谓诸病有声皆属于热。又云∶风善
行而数变，故所患若是耳。盖风盛则燥，燥则血涩，津液不行，故遍身搔痒，致血出不能解。苦杖、青盐、细辛，清热
散风，而兼平气逆；人参以补正气。所谓邪之所凑，其气必虚是也。
又云∶有人患身面生疮，如猫儿眼样，有光采，脓血，但痛痒不常，饮食减少，名曰寒疮。多吃葱韭、鸡鱼自愈。
〔源按〕一凡疡疮，若内毒盛者，则必现奇形奇色。此症生疮如猫儿眼样，有光采，乃毒盛故也（犹虫物等有毒，
其色必鲜艳有光）。毒盛而兼寒内闭，至气血欲行不行，似攻非攻，故不得作脓，而但痛痒不常也。此毒深寒闭，非攻
不可，故多食葱韭、鸡鱼之物自愈。
《奇病方》云∶有人皮肤手足之间，如蚯蚓唱歌者，此乃水湿生虫也。方用蚯蚓粪，以水调涂敷患处，约寸浓，鸣
即止。再用白术五钱，苡仁、芡实各一两，甘草、附子、黄芩各三钱，防风五分，水煎服即愈。盖治湿则虫无以养，而
更有甘草解毒杀虫，防风去风逐瘀，附子斩关而捣邪，所以奏功如神也。
〔源按〕此症生虫，如蚯蚓歌然。然亦有被蚯蚓咬毒，形如大风，眉发皆落，患处常闻蚯蚓唱歌者，用浓煎盐汤浸
身数遍自愈。昔浙西将军张韶患此，每夕蚯蚓鸣体，一僧用此方而安，蚓畏盐故也。
又云∶有人腰间忽长肉痕一条，如带围至脐间，不痛不痒，久之饮食少进，气血枯槁。此乃肾经与带脉不和，又过
于纵欲，乃得此疾。久则带脉气衰，血亦渐耗，颜色黑黯，虽无大痛，而病实笃也。法当峻补肾水，而兼补带，自然身
壮而痕消。灭痕丹每日早晚各服一两，十日后，觉腰轻，再服十日，其肉糁淡，更服全消。然必须绝欲三月，否则
无效。
又云∶有人遍身发痒，以锥刺之，少已复痒；以刀割之快甚，少顷又痒甚，以刀割之觉疼，必流血不已。以锻石止
之，则血止而痒作又以刀割之，又流血，又以锻石止之，止之又痒，势必割至体无完肤而后止。方用人参一两，倘值
病者无力买参，则用黄 二两代之，服三剂，必痒止痛平。此本孽病，若愈后须痛改前恶，庶几不再发，否则发不能再
救矣。
《类编》云∶景陈弟子拱年七岁时，胁间忽生肿毒，隐隐见皮里一物，颇肖鳖形，微觉动转，其掣痛不堪。德兴古
城村外有老医见之，使买鲜虾为羹以食，疑以为疮毒所忌之味，医竟令食之，下腹未久，痛即止。喜曰∶此真鳖瘕也，
吾求其所好，以尝试之耳。乃制一药，如疗脾胃者，而碾附子末二钱，投之数服而消。明年病复作，但如前补治，遂
绝根。
《名医录》云∶汾州王氏得病在胁，有声如虾蟆，常欲手按之，不则有声声相接，群医莫能辨。闻留阳山人赵峦
善诊，赵曰∶此因惊气入于脏腑，不治而成疾，故常作声。王氏曰∶因水边行次，有大虾蟆跃高数尺，蓦作一声，忽惊
叫，便觉右胁牵痛，自后作声尚似虾蟆也。赵诊其脉，右关脉伏结，此积病也，当作积病治。用六神丸泄下青涎，类虾
蟆之衣，遂瘥。
《杨氏直指方》云∶有人患癌疮，上高下深，颗颗累垂，裂如瞽眼，其中带青，头上各露一舌。因毒深穿孔，男
则多发于腹，女则多发于乳，或项或背，令人昏迷。急宜用地胆为君，佐以白牵牛、滑石、木通利小便，以宣其毒，更
服童便灌涤余邪，乃可得安也。
《五湖漫闻》云∶无锡一人，遍身肤肉有红虫如线，长二三寸，时或游动，了了可见，痒不可当，医莫能治。一日
偶思食水蛙，蛙至虫遂不见，乃市蛙为脯，旦晚食之，月余其虫渐消。
又云∶吴城一人腰间生一疖，脓中流出蛔虫四条，医亦甚骇，耳目所未经者，疖后自愈，不致伤生。枫桥疡医龚
生，目睹人，小腹生疖，流出蛔虫两条，俱长六七寸，后亦
《端效方》云∶有人患白口恶疮，其疮如木耳，因肝木湿热所生，不拘大人小儿，俱用五倍子、青黛等分为末，以
筒吹之自愈。
《危氏方》云∶有人患身体生泡如甘棠梨状，每个出水内有石一片，如指甲大，其泡复生抽尽肌肉即不可治。用荆
三棱、蓬莪术各五两为末，分三服，酒调连进愈。
〔源按〕此症因邪客于皮肤之内，分肉之间，而卫气逆，逆则利用之肺金变而为顽金矣。不但不能主气，反将顽
劣之性以干脾土，土即随金施化，而金质坚刚，因此肌肉化为石片。即《内经》所谓其性刚，其化坚敛是也。至石片从
水而出，盖因人身全赖金气荣养，气能管束津液，化精微而荣养于内，乃肺为邪毒所干，致顽劣其性，不但不能束津液
而化精微，反化肉为石，致津液并随所化之处发为水泡，故石片从水中出耳。治用三棱、莪术破其血气，兼散其毒，毒
散气和则金气复利。肉里得顺，其病自瘳。本草云∶二物能治疮硬，性能治块消癖故也。是症非此不能治坚刚石片，故
用之相宜。
或问∶人有足底发泡，如泡平之后，以指破之，间有硬片如皮生内，亦是肌肉所化否？予曰∶非也。此泡初即刺
破，则但有水而无硬片也。此水感金气所生，故泡平之后，而有此片，并非如肌肉化石，由水中出也。
李楼《怪症方》云∶一人灸火至五壮，血出如尿不止，手冷欲绝，以酒炒黄芩二钱为末，酒服即止。
《外台秘要》云∶有人患身疽如石状，如痤疖而皮浓，名曰石疽。以谷子捣敷即愈。
〔源按〕本草云∶谷子即楮实，山野中处处有之，其树汁粘如胶漆，即俗呼谷树脂是也。
《衍义》云∶有人遍身患热毒痛而不痒，手足尤甚，至项而止，粘着衣被，晓夕不得寐，痛不可忍。有人教以石菖
蒲三斗锉，日干之，春箩为末，布席上，使患者恣卧其间，仍以衣被覆之，既不粘着。又复得睡五日七日间，其疮如失，
后有患此者，治之应手取效。其石菖蒲根络石生者节密入药须此等。
《圣济录》云∶人有患胁漏出水不止，用乌牛耳垢敷之即瘥。
刘禹锡《传信方》云∶贞元十年，崔员外言有人为蜘蛛咬腹，大如妊，遍身生丝，其家弃之乞食，有僧教啖羊乳，
未几即平也。又张荐员外住剑南，张延赏判官忽被蜘蛛咬头上。一宿咬处有二道赤色，细如箸绕顶上，从胸前下至心。
经两宿，头面肿疼大如数升，腹渐肿，几至不救。张公出钱五百千，并荐家财又数百千，募能疗者，忽一人应召云∶可
治。张公不信，欲验其方，答云∶不谙方，但疗人性命耳。遂取蓝汁一碗，以蜘蛛投之，至汁而死。又取蓝汁加麝香、
雄黄更以一蛛投入，随化为水。张公因甚异之，遂令点以咬处，两日悉平，作小疮而愈。
《千金方》云∶有人患肉中忽生点，大者如豆，细者如黍粟，甚者如梅李有根，痛伤应心，久则四面肿泡，逐脉入
脏者死，名曰瘭疽，乃热毒也。以温醋米泔洗净，用胡燕巢土和百日，男儿尿敷之。又一种善着十指，状如代指，根深
至肌，能坏筋骨，毒瓦斯入脏杀人。宜烧铁烙之，或灸百壮，日饮犀角汁即瘥。
《救急方》云∶一儿初生如鱼泡，又如水晶，碎则流水。用蜜佗僧箩极细，掺之而愈。
又云∶一儿初生无皮，俱是赤肉，乃因母自怀胎十月，楼居不得地气故也。取儿安泥地卧一宿，皮即长。又方用米
粉干扑之，候生皮乃止。
《小儿秘诀》云∶有小儿惊风，遍身乌都者，名乌纱惊风。急推向下，将黄土一碗捣末，入陈醋一钟，炒熟绢包定
熨之，引下至手足刺破为妙。
《南史》云∶将军房伯玉，服五石散十许剂，更患冷痰，夏日常复衣。徐嗣伯诊之曰∶乃伏热也，须以水发之，
非冬不可。十一月冰雪大盛时，令伯玉解衣坐石上，取新汲冷水从头浇之，尽二十斛，口噤气绝。家人啼哭请止，嗣伯
执谏者，又尽水百斛，伯玉始能动，背上彭彭有气，俄而起坐云∶热不可忍，乞冷冻饮料，嗣伯以水一升饮之，疾遂愈。
自后常热，冬月犹单衫，体更肥壮。
〔源按〕经云∶火郁则发之。嗣伯所治前症，以十一月至后，阳气在内之时，用平旦以水激之，盖平旦阳气初升时
也。将郁久之热，激发而汗解。即《素问》所谓正者正治，反者反治，逆而从之，从而逆之是也。春月则阳气已泄，夏
秋则阴气在内，故必于冬月至后，行之乃可。
或问，经云阳气者，一日而主外，平旦人气生，日中而阳气隆，日西而阳气已虚，气门乃闭。是则人之气随天地之
气为生闭也。平旦人气生，因天地之阳气生外，何故天地反寒于平旦乎？日西阳气已虚何故反不寒乎？予曰∶日西阳气
虽虚，尚余太阳之暖气，故不寒。至深夜暖气渐消，故渐寒。而至平旦，清晨太阳虽升，天地未暖，故尚寒耳。日中
而阳气隆，故日中则暖也。
又问∶何故至平旦而每有露乎？予曰∶阳气升而地气上也。地气即地中之水气，乃升而为露耳。然其气升上，本昼
夜不息，日中有太阳故不见。夜则见之，然所见亦微，非比平旦阳气所升之时也。
又问∶平旦无露，此何以故？予曰∶因地气不和，不和则气升为云，故无露。若久旱地燥，其气虽升，因上土燥而
敛其气，亦无露耳。
又问∶雾因何至？予曰∶地中之气，随阳升为露，若气稍不和，则不能为露，亦不能为雨，故但下瞒如云若露而名
雾也。
又问∶雨从云降何故？常有云不雨乎？予曰∶云亦地之水气因天地之气不和，而和之则水气升上为云而为雨也，即
所谓阴阳和而雨泽降耳。然不和有甚不甚之别，不和不甚，则水气腾空而散，虽有云不雨（犹煮水，水气升外，每腾空
而散也）。甚则水气盛，不能腾空而散，故即降而为雨也。盖云每出于山，即卦传所谓山泽通气是也。
又问∶风从何来？予曰∶风乃大块噫气（噫气犹嗳气，其气从下散上也），因天地之气不和而发，然天地有自然之
风，有噫气之风。盖天地之气升而降，降而升，犹人之呼吸然。若气和则升降顺而有自然之风焉，不和则不顺，不顺则
逆，逆则发噫气而为风耳。如气或不和于东，则噫气发东风，即从东而至。不和于西，则噫气发西风，即从西而来，南
北皆然，四隅亦如是。若有风而有雨者，因不和之水气，从风而上故也。又问∶气或不和于东，而西或又有不和，若噫
夏子益在《奇疾方》中记载：有人患渊疽，生于肋下，日久形成一个孔窍，发出如婴儿啼哭般的声音。艾灸阳泉穴十四壮后，声音停止而痊愈。
〔沈源按〕古代认为疮疡久不愈合，体内会内生虫类。此例渊疽发出如婴儿啼哭之声，是因为体内生虫所致。然而并未采用其他特殊疗法，仅用艾灸治疗。大概是因为人体气血寒冷，导致疮疡不消散、不溃破。所以借助艾火的温热之力以温煦内部，使气血得以运行，疽毒自然消除。况且艾草更能杀虫，因此只需艾灸即可痊愈。
又记载：有人因艾火灸治疮口，结痂脱落后，疮内长出鲜红色的肉片，形状如蝴蝶，仿佛腾空飞舞，疼痛难忍，血肉俱坏，这是火毒引发的怪病。使用朴硝、大黄研成细末，用水调服，轻微腹泻后即可痊愈。
又记载：有人患眼红，鼻翼扇动且呼吸急促，全身出现斑纹，毛发变得像铜铁一样坚硬，这是由于胃中热毒之气结聚于下焦所致。使用白矾、滑石各一两，研成细末，作为一次服用量，加水三碗煎至减半，不间断服用，服完即安。
又记载：有人患体内生虫，虫子如螃蟹般在皮下爬行，发出如小儿啼哭的声音，这是由筋肉化生而成。使用雄黄、雷丸各一两，研成细末，撒在猪肉上烤熟吃尽，身体自然安宁。
又记载：有人患身体及头面部生毒肿，形状如蛇。使用雨天后砖头上生长的青苔一钱，用水调匀涂抹患处，立即见效。
又记载：有一位产妇，产后喝了二十多碗茶粥，一个月后，身体上下出现几块发冷的区域，人用手指按压这些冷处，寒气便顺着手指向上传导至心脏。如此这般，各种治疗方法均无效，改用八物汤去掉地黄，加入橘红，再兑入姜汁、竹沥一杯（酒钟），服用十剂后痊愈。
又记载：有人遍身突然长出如锥状突起，既痒又痛，无法进食，名为血壅。若不迅速治疗，必定溃烂流脓血。用赤皮葱烧成灰，用水淋洗患处，饮用淡豆豉汤数杯，身体自然安宁。
〔沈源按〕《内经》说：营气不能正常运行，逆乱于肌肉纹理之中。此症属于热毒内攻，营气逆乱于肌肉纹理，从而产生奇毒。瘙痒是因为津液枯涩，疼痛是因为气血不通，所以痒痛同时发作。葱具有疏解表邪、通畅气机的功效，外用清洗；豆豉能清热解毒，内服饮用。内外兼治，疾病因此痊愈。
又记载：有人毛孔依次出血不止，忽然皮肤肿胀如鼓，片刻间耳目口鼻被气体胀闭，几乎断气，这名叫脉溢。紧急使用生姜自然汁，加水混合半盏，服下即安。
〔沈源按〕毛孔依次出血，忽然皮肤肿胀如鼓，以及口鼻等处被气胀闭几乎断气的情况，这一定是疫邪内攻，逼迫血液从脉络节次溢出，名叫脉溢。因为邪气壅滞于中焦，卫气散乱解体，由于卫气不能正常营运而不能护卫血液，所以血液外流。血液外流，邪气本应随之解除却未解除，这是因为卫气失去了常度，因失血而导致卫气更加虚弱。邪气更加猖獗，所以忽然皮肤肿胀如鼓，顷刻间气满欲绝。《内经》说：失守则内闭九窍，外壅肌肉，卫气散乱解体。此时若不紧急治标，势必立即死亡。所以使用生姜辛散以平抑逆气，捣取自然汁，与水混合饮用，取其药性疾速，通达格拒与下关，使邪气退去而病情即刻安宁。
又记载：有人忽然遍身皮下发出混混如波浪的声音，瘙痒难忍，抓破流血也不能缓解，这叫气奔。使用苦杖、人参、青盐、细辛共一两，作为一次服用量，水煎饮尽即愈。
〔沈源按〕此症由肺气热而受贼风侵袭，所以客居于皮下之间，与气相搏，因而发出如波浪的声音，称为气奔。肺属金，其音为商，商音清劲，所以声音如此。若无热则声不鸣，无风则气不奔，正如《内经》所说“诸病有声皆属于热”。又说：“风善行而数变”，所以患病如此。风气盛则燥，燥则血涩，津液不行，所以遍身搔痒，致血流不止。苦杖、青盐、细辛能清热散风，兼平气逆；人参补益正气。所谓“邪之所凑，其气必虚”即是此理。
又记载：有人患身体面部生疮，形状如猫儿眼，有光泽，伴有脓血，但痛痒无常，饮食减少，名叫寒疮。多吃葱韭、鸡鱼可自行痊愈。
〔沈源按〕大凡疮疡，若内毒炽盛，则必然呈现奇特的形状和颜色。此症生疮如猫儿眼样，有光泽，是因为毒盛所致（如同虫物等有毒生物，其颜色必然鲜艳有光）。毒盛而兼有寒邪内闭，致使气血欲行而不能行，似攻非攻，所以不能化脓，只是痛痒无常。此毒深寒闭，非攻不可，所以多吃葱韭、鸡鱼之物可自行痊愈。
《奇病方》记载：有人皮肤手足之间，发出如蚯蚓唱歌般的声音，这是水湿生虫所致。方用蚯蚓粪，用水调匀涂敷患处，厚度约一寸，鸣声即止。再用白术五钱，苡仁、芡实各一两，甘草、附子、黄芩各三钱，防风五分，水煎服即愈。大概是因为治湿则虫无以生存，再加上甘草解毒杀虫，防风祛风逐瘀，附子斩关直捣邪气，所以奏效如神。
〔沈源按〕此症生虫，如蚯蚓歌唱一般。但也有被蚯蚓咬伤中毒的，形态如大风病，眉发脱落，患处常听到蚯蚓唱歌的声音，用浓煎盐汤浸身数遍即可自愈。昔日浙西将军张韶患此病，每晚蚯蚓在体表鸣叫，一位僧人用此方使其安宁，因为蚯蚓畏惧盐的缘故。
又记载：有人腰间忽然长出一条肉痕，如带子围至脐间，不痛不痒，日久饮食减少，气血枯槁。这是肾经与带脉不和，加之过度纵欲，才得此疾。日久则带脉气衰，血亦渐耗，面色黑黯，虽无大痛，但病情实则严重。法当峻补肾水，兼补带脉，自然身体强壮而肉痕消退。灭痕丹每日早晚各服一两，十日后，感觉腰部轻松，再服十日，其肉变淡，继续服用可完全消除。然而必须禁欲三个月，否则无效。
又记载：有人遍身发痒，用锥子刺它，稍停又痒；用刀割它感觉很痛快，片刻后又痒得更厉害，用刀割它觉得疼，必定流血不止。用锻石止血，则血止而痒作；再用刀割，又流血；再用锻石止血，止了又痒，势必割到身上没有完好的皮肤才会停止。方用人参一两，倘若病人无力购买人参，则用黄芪二两代替，服用三剂，必定痒止痛平。这原本是孽障之病，若痊愈后须痛改前非，庶几不再复发，否则复发便不能再救了。
《类编》记载：景陈的弟子拱，七岁时，胁间忽然生肿毒，隐隐可见皮下一物，颇像鳖的形状，微微感到转动，掣痛难忍。德兴古城村外有一位老医见到后，让他买鲜虾做成羹食用。怀疑这是疮毒所忌的食物，医生竟令其食用。吃下不久，腹痛即止。高兴地说：“这真是鳖瘕啊，我是探求它所喜欢的食物来尝试治疗的。”于是配制一种药，类似治疗脾胃病的药方，但碾入附子末二钱，投喂几次后肿块消散。第二年病复发，只按前法补治，遂断根。
《名医录》记载：汾州王氏患病部位在胁部，发出如虾蟆（青蛙）的声音，常想用手按压，不然就有声音接连不断，众医不能辨认。听说留阳山人赵峦善于诊病，赵峦说：“这是因为惊气进入脏腑，不治而成疾，所以常发出声音。”王氏说：“在水边行走时，有一只大虾蟆跃起数尺高，突然发出一声巨响，我忽惊叫，随即觉得右胁牵拉疼痛，此后发出的声音还像虾蟆一样。”赵峦诊察他的脉象，右关脉伏结，这是积病，应当当作积病治疗。使用六神丸泄下青色涎沫，状如虾蟆的衣膜，于是病愈。
《杨氏直指方》记载：有人患癌疮，上高下深，颗粒累累下垂，裂开如盲眼，其中带有青色，头上各露出一个舌状物。因为毒深穿孔，男性多发于腹部，女性多发于乳房，或颈部或背部，令人昏迷。急宜用地胆为主药，佐以白牵牛、滑石、木通利小便，以宣发毒邪，再服用童便灌涤余邪，方可安宁。
《五湖漫闻》记载：无锡有一人，遍身肤肉中有红线般的红虫，长二三寸，时而游动，清晰可见，瘙痒难当，医生不能治愈。一天偶然想吃水蛙，蛙一到虫便不见，于是买蛙做成干脯，早晚食用，月余其虫逐渐消失。
又记载：吴城有一人腰间生一疖，脓中流出蛔虫四条，医生也很惊骇，是耳目未曾经历过的，疖子后来自行痊愈，未致伤命。枫桥疡医龚生，亲眼目睹一人小腹生疖，流出蛔虫两条，都长六七寸，后来也……
《端效方》记载：有人患白口恶疮，其疮如木耳，因肝木湿热所生，不拘大人小孩，都用五倍子、青黛等分为末，用筒吹入患处即可自愈。
《危氏方》记载：有人患身体生泡如甘棠梨状，每个出水，内有一片石头，如指甲大小，其泡抽干后肌肉即不可治。使用荆三棱、蓬莪术各五两研成细末，分三次服用，用酒调服连续进餐即愈。
〔沈源按〕此症因邪气客居皮肤之内，分肉之间，导致卫气逆乱，逆乱则肺金之气变为顽劣之金。不但不能主气，反而将顽劣之性干扰脾土，土随金施化，而金质坚刚，因此肌肉化为石片。即《内经》所说“其性刚，其化坚敛”是也。至于石片从水中出，大概因为人身全赖金气荣养，气能管束津液，化精微而荣养于内，乃肺为邪毒所干，致使性质顽劣，不但不能束津液化精微，反而化肉为石，致使津液并随所化之处发为水泡，所以石片从水中出耳。治疗使用三棱、莪术破其血气，兼散其毒，毒散气和则金气复利。肉里得顺，其病自瘳。本草说：二物能治疮硬，性能治块消癖故也。此症非此不能治坚刚石片，故用之相宜。
有人问：人有足底发泡，泡平之后，用手指破之，间有硬片如皮生在内部，这也是肌肉所化吗？我说：不是。此泡初起即刺破，则只有水而无硬片。此水感金气所生，所以泡平之后，而有此片，并非如肌肉化石，由水中出也。
李楼《怪症方》记载：一人灸火至五壮，出血如尿不止，手冷欲绝，用酒炒黄芩二钱研末，酒送服即止。
《外台秘要》记载：有人患身疽如石状，如痤疖而皮厚脓少，名叫石疽。用谷子捣碎敷贴即愈。
〔沈源按〕本草说：谷子即楮实，山野中处处有之，其树汁粘如胶漆，即俗呼谷树脂是也。
《衍义》记载：有人遍身患热毒痛而不痒，手足尤甚，至项而止，粘着衣被，早晚不得睡眠，痛不可忍。有人教以石菖蒲三斗切碎，晒干，春筛为末，铺在席子上，让患者恣意卧在其中，仍以衣被覆盖之，既不粘着，又能入睡，五日七日间，其疮如失，后有患此者，治之应手取效。其石菖蒲根络石生者节密入药须此等。
《圣济录》记载：人有患胁漏出水不止，用乌牛耳垢敷之即瘥。
刘禹锡《传信方》记载：贞元十年，崔员外说有人被蜘蛛咬腹，大如怀孕，遍身生丝，其家人抛弃他乞食，有僧人教啖羊乳，未几即平也。又张荐员外住剑南，张延赏判官忽被蜘蛛咬头上。一宿咬处有二道赤色，细如筷子绕顶上，从胸前下至心。经两宿，头面肿疼大如数升，腹渐肿，几至不救。张公出钱五百千，并荐家财又数百千，募能疗者，忽一人应召云：可治。张公不信，欲验其方，答云：不谙方，但疗人性命耳。遂取蓝汁一碗，以蜘蛛投之，至汁而死。又取蓝汁加麝香、雄黄更以一蛛投入，随化为水。张公因甚异之，遂令点以咬处，两日悉平，作小疮而愈。
《千金方》记载：有人患肉中忽生点，大者如豆，细者如黍粟，甚者如梅李有根，痛伤应心，久则四面肿泡，逐脉入脏者死，名叫瘭疽，乃热毒也。以温醋米泔洗净，用胡燕巢土和百日，男儿尿敷之。又一种善着十指，状如代指，根深至肌，能坏筋骨，毒瓦斯入脏杀人。宜烧铁烙之，或灸百壮，日饮犀角汁即瘥。
《救急方》记载：一儿初生如鱼泡，又如水晶，碎则流水。用蜜佗僧箩极细，掺之而愈。
又记载：一儿初生无皮，俱是赤肉，乃因母自怀胎十月，楼居不得地气故也。取儿安泥地卧一宿，皮即长。又方用米粉干扑之，候生皮乃止。
《小儿秘诀》记载：有小儿惊风，遍身乌都者，名乌纱惊风。急推向下，将黄土一碗捣末，入陈醋一钟，炒熟绢包定熨之，引下至手足刺破为妙。
《南史》记载：将军房伯玉，服五石散十许剂，更患冷痰，夏日常复衣。徐嗣伯诊之曰：乃伏热也，须以水发之，非冬不可。十一月冰雪大盛时，令伯玉解衣坐石上，取新汲冷水从头浇之，尽二十斛，口噤气绝。家人啼哭请止，嗣伯执谏者，又尽水百斛，伯玉始能动，背上彭彭有气，俄而起坐云：热不可忍，乞冷冻饮料，嗣伯以水一升饮之，疾遂愈。自后常热，冬月犹单衫，体更肥壮。
〔沈源按〕《内经》说：火郁则发之。嗣伯所治前症，以十一月至后，阳气在内之时，用平旦以水激之，盖平旦阳气初升时也。将郁久之热，激发而汗解。即《素问》所谓正者正治，反者反治，逆而从之，从而逆之是也。春月则阳气已泄，夏秋则阴气在内，故必于冬月至后，行之乃可。
有人问，《内经》说阳气者，一日而主外，平旦人气生，日中而阳气隆，日西而阳气已虚，气门乃闭。是则人之气随天地之气为生闭也。平旦人气生，因天地之阳气生外，何故天地反寒于平旦乎？日西阳气已虚何故反不寒乎？我说：日西阳气虽虚，尚余太阳之暖气，故不寒。至深夜暖气渐消，故渐寒。而至平旦，清晨太阳虽升，天地未暖，故尚寒耳。日中而阳气隆，故日中则暖也。
又问：何故至平旦而每有露乎？我说：阳气升而地气上也。地气即地中之水气，乃升而为露耳。然其气升上，本昼夜不息，日中有太阳故不见。夜则见之，然所见亦微，非比平旦阳气所升之时也。
又问：平旦无露，此何以故？我说：因地气不和，不和则气升为云，故无露。若久旱地燥，其气虽升，因上土燥而敛其气，亦无露耳。
又问：雾因何至？我说：地中之气，随阳升为露，若气稍不和，则不能为露，亦不能为雨，故但下瞒如云若露而名雾也。
又问：雨从云降何故？常有云不雨乎？我说：云亦地之水气因天地之气不和，而和之则水气升上为云而为雨也，即所谓阴阳和而雨泽降耳。然不和有甚不甚之别，不和不甚，则水气腾空而散，虽有云不雨（犹煮水，水气升外，每腾空而散也）。甚则水气盛，不能腾空而散，故即降而为雨也。盖云每出于山，即卦传所谓山泽通气是也。
又问：风从何来？我说：风乃大块噫气（噫气犹嗳气，其气从下散上也），因天地之气不和而发，然天地有自然之风，有噫气之风。盖天地之气升而降，降而升，犹人之呼吸然。若气和则升降顺而有自然之风焉，不和则不顺，不顺则逆，逆则发噫气而为风耳。如气或不和于东，则噫气发东风，即从东而至。不和于西，则噫气发西风，即从西而来，南北皆然，四隅亦如是。若有风而有雨者，因不和之水气，从风而上故也。又问：气或不和于东，而西或又有不和，若噫
Xia Ziyi recorded in *Qi Ji Fang* (Prescriptions for Strange Diseases): A person suffered from Yuan Ju (a deep, chronic abscess), which appeared under the ribs. After a long time, it formed a single orifice that emitted sounds resembling a baby crying. Moxibustion was applied to Yangquan point (BL58) fourteen times (two sets of seven), after which the sound ceased and the patient recovered.
[Shen Yuan's Commentary] In ancient texts, it is stated that if sores do not heal for a long time, insects may generate internally. The case of Yuan Ju emitting sounds like a baby crying is due to internal insect generation. However, no other special treatments were used; only moxibustion was employed. This is likely because cold qi in the blood and qi prevents the sore from dissipating or suppurating. Therefore, the warming power of mugwort was utilized to warm the interior, allowing the blood and qi to circulate, causing the abscess to subside naturally. Moreover, mugwort has the ability to kill parasites, so healing was achieved through moxibustion alone.
It is also recorded: A person had a sore treated with moxibustion. After the scab fell off, fresh red flesh pieces resembling butterflies emerged from the wound, appearing to fly in the air. The pain was unbearable, and both flesh and blood were damaged. This was a strange disease caused by fire toxicity. Powder made from Natrii Sulfas (Puxiao, 朴硝) and Rheum Palmatum (Dahuang, 大黄) was mixed with water and ingested. Mild diarrhea ensued, leading to recovery.
It is also recorded: A person suffered from red eyes, flaring nostrils with rapid breathing, spots all over the body, and hair as hard as copper or iron. This was caused by heat toxicity in the stomach binding in the Lower Jiao (Lower Burner). One dose consisting of Alum (Baifan, 白矾) and Talcum (Huashi, 滑石), each one liang, ground into powder, was taken. It was decocted in three bowls of water until reduced by half. Continuous administration led to relief upon completion.
It is also recorded: A person suffered from internal parasite generation. The parasites moved under the skin like crabs and emitted sounds like a crying child, transformed from muscle and tendon. One liang each of Realgar (Xionghuang, 雄黄) and Omphalia Lapidea (Leiwuan, 雷丸) were ground into powder, sprinkled on pork, roasted until cooked, and consumed entirely, resulting in natural peace.
It is also recorded: A person suffered from toxic swelling on the body and face, shaped like a snake. One qian of green moss growing on bricks after rain was mixed with water and applied topically, yielding immediate results.
It is also recorded: A postpartum woman drank more than twenty bowls of tea porridge. One month later, several cold patches appeared on her body. When pressed with a finger, the cold sensation traveled up from the finger to the heart. Various treatments failed. Ba Wu Tang (Eight Substance Decoction) without Rehmanniae Radix (Dihuang, 地黄), plus Exocarpium Citri Reticulatae (Juhong, 橘红), Ginger Juice (Jiangzhi, 姜汁), and Bamboo Sap (Zhuli, 竹沥) one cup, was administered ten doses, leading to recovery.
It is also recorded: A person suddenly developed cone-like protrusions all over the body, accompanied by itching and pain, making eating impossible. This condition is named Blood Stagnation (Xue Yong, 血壅). If not treated promptly, it would inevitably ulcerate and discharge pus and blood. Red-skinned Scallion (Chipi Cong, 赤皮葱) was burned to ash, washed with water onto the affected area, and light Fermented Soybean (Danshi, 淡豆豉) soup was drunk several cups, resulting in comfort.
[Shen Yuan's Commentary] The Classic states: "When Ying Qi (Nutritive Qi) does not flow smoothly and reverses into the muscle tissue." This symptom is caused by internal attack of heat toxicity, reversing Ying Qi into the muscle tissue, generating strange toxins. Itching is due to dryness and astringency of body fluids; pain is due to stagnation of blood and qi, hence both occur simultaneously. Scallion has the function of dispersing the exterior and unblocking qi; washing externally aids this. Fermented soybean clears heat and detoxifies; drinking internally aids this. Treating both interior and exterior leads to recovery.
It is also recorded: A person experienced continuous bleeding from hair follicles sequentially. Suddenly, the skin swelled like a drum, and within moments, the eyes, ears, nose, and mouth were swollen shut by gas, nearly causing death. This is called Mai Yi (Vessel Overflow). Emergency treatment involved mixing half a cup of Fresh Ginger Juice (Shengjiang Ziran Zhi, 生姜自然汁) with water and administering it orally, resulting in immediate relief.
[Shen Yuan's Commentary] Sequential bleeding from follicles, sudden skin swelling like a drum, and near-asphyxiation due to gas swelling the orifices indicate an internal attack by epidemic pathogens forcing blood out of the vessels sequentially, termed Mai Yi. Pathogenic factors obstruct the middle, causing Wei Qi (Defensive Qi) to scatter and disintegrate. Since Wei Qi cannot circulate properly to protect the blood, blood flows outward. Although outward blood flow should theoretically expel pathogens, they persist because Wei Qi has lost its regulation and become deficient due to blood loss. The pathogen becomes stronger, causing sudden drum-like swelling and imminent suffocation. The Classic states: "Loss of control leads to closure of the nine orifices internally and obstruction of muscles externally, with Wei Qi scattering." Immediate symptomatic treatment is required to prevent instant death. Fresh ginger, pungent and dispersing, counteracts rebellious qi. Its juice mixed with water is drunk for its rapid action, opening blockages and lower gates, retreating pathogens and ensuring quick relief.
It is also recorded: A person suddenly heard gurgling, wave-like sounds under the skin all over the body, with unbearable itching. Scratching caused bleeding but provided no relief. This is called Qi Ben (Qi Rushing). One dose comprising Rhizoma Bupleuri (Kuzhang, 苦杖 - note: likely a variant or specific local name, often associated with Bupleurum or similar heat-clearing herbs in context, here kept as Kuzhang), Ginseng Radix et Rhizoma (Renshen, 人参), Halloysit Rubra (Qingyan, 青盐), and Asari Radix et Rhizoma (Xixin, 细辛), totaling one liang, was decocted in water and drunk completely, leading to cure.
[Shen Yuan's Commentary] This condition arises from heat in the Lung Qi combined with invasion by thief-wind, lodging between the skin and subcutaneous tissue, battling with qi, thus producing wave-like sounds, termed Qi Ben. The Lung belongs to Metal, its tone is Shang (Musical Note Shang), which is clear and forceful, hence such sounds. Without heat, there is no sound; without wind, there is no rushing qi. As the Neijing states, "All diseases with sounds belong to heat." Also, "Wind moves swiftly and changes frequently," explaining this presentation. Excessive wind causes dryness; dryness makes blood astringent and body fluids stagnant, causing generalized itching and uncontrollable bleeding. Kuzhang, Qingyan, and Xixin clear heat and disperse wind while calming rebellious qi; Ginseng tonifies healthy qi. This illustrates the principle: "Where pathogenic factors gather, healthy qi must be deficient."
It is also recorded: A person developed sores on the body and face resembling cat eyes, shiny, with pus and blood, but with irregular pain and itching, and reduced appetite. This is called Han Chuang (Cold Sore). Eating plenty of scallions, leeks, chicken, and fish leads to self-healing.
[Shen Yuan's Commentary] Generally, if internal toxicity is severe in sores, strange shapes and colors appear. This sore resembles a cat eye and is shiny due to severe toxicity (similar to how poisonous creatures have bright, shiny colors). Severe toxicity combined with internal cold closure prevents qi and blood from moving freely, resembling an attack but failing to produce pus, resulting in irregular pain and itching. Deep-seated toxicity with cold closure requires aggressive treatment; thus, consuming scallions, leeks, chicken, and fish promotes self-healing.
*Qi Bing Fang* records: Between the skin and extremities of hands and feet, sounds like earthworms singing are heard. This is caused by water-dampness generating parasites. Earthworm feces mixed with water are applied thickly (about one cun) to the affected area; the sound stops immediately. Then, Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) five qian, Coicis Semen (Yiren, 薏苡仁) and Euryales Semen (Qianshi, 芡实) one liang each, Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Aconiti Lateralis Radix Praeparata (Fuzi, 附子), and Scutellariae Radix (Huangqin, 黄芩) three qian each, and Saposhnikoviae Radix (Fangfeng, 防风) five fen are decocted in water and taken, leading to cure. Dampness eliminates the habitat for parasites; Gancao detoxifies and kills parasites; Fangfeng dispels wind and removes stasis; Fuzi attacks the pathogen directly, achieving miraculous results.
[Shen Yuan's Commentary] This condition involves parasites sounding like earthworms. However, some cases result from earthworm bites causing toxicity, manifesting like severe wind-disease with loss of eyebrows and hair, and hearing earthworm sounds at the site. Soaking in strong salt water broth several times heals this. General Zhang Shao of Western Zhejiang suffered this, hearing earthworms every night. A monk cured him using this method because earthworms fear salt.
It is also recorded: A person suddenly developed a strip of flesh growth around the waist, reaching the navel like a belt, painless and itchless. Over time, food intake decreased, and qi and blood became depleted. This is disharmony between the Kidney Meridian and the Dai Mai (Conception Vessel/Belt Vessel), exacerbated by excessive sexual indulgence. Long-term deficiency of Dai Mai qi and gradual blood consumption lead to dark complexion. Though not severely painful, the disease is serious. Treatment should vigorously tonify Kidney Water and supplement the Dai Mai, naturally strengthening the body and eliminating the growth. Mie Hen Dan (Scar Eliminating Pill) taken morning and evening, one liang daily, reduces waist heaviness after ten days. Continued use for another ten days fades the flesh; further use eliminates it completely. Abstinence from sex for three months is mandatory, otherwise ineffective.
It is also recorded: A person experiences generalized itching. Pricking with an awl provides temporary relief before itching returns. Cutting with a knife feels good initially, but itching intensifies shortly after. Cutting causes pain and continuous bleeding. Using Ferruginis Sulphas (Duanshi, 锻石) stops bleeding but triggers itching again. Cutting resumes bleeding; Duanshi stops it again, only for itching to return. This cycle continues until the skin is completely destroyed. The prescription uses one liang of Ginseng Radix et Rhizoma (Renshen, 人参). If the patient cannot afford Ginseng, two liang of Astragali Radix (Huangqi, 黄芪) can substitute. Three doses stop itching and pain. This is essentially a karmic illness. Post-recovery, one must repent past evils to prevent recurrence; otherwise, recurrence will be incurable.
*Lei Bian* records: Jing Chen's disciple, Gong, aged seven, suddenly developed a swollen toxin between the ribs, visibly moving under the skin like a turtle, causing unbearable pulling pain. An old doctor outside Gucheng Village, Dexing, advised eating fresh shrimp soup. Despite concerns about contraindications for sores, the doctor insisted. Pain stopped shortly after ingestion. The doctor rejoiced, saying, "This is truly a Turtle Mass (Bie Xia, 鳖瘕). I sought what it likes to test the treatment." He formulated a medicine similar to spleen/stomach treatments but added two qian of Aconiti Lateralis Radix Praeparata (Fuzi, 附子) powder. Several doses eliminated the mass. The disease recurred the next year but was cured permanently with the same tonic treatment.
*Ming Yi Lu* records: Wang family member from Fenzhou suffered a condition in the hypochondrium emitting frog-like sounds, relieved by pressing. Constant sound succession baffled doctors. Zhao Luan, a skilled diagnostician from Liuyang Mountain, was consulted. Zhao said, "This is caused by shock qi entering the zang-fu organs, becoming pathological, hence the sounds." Wang explained, "While walking by water, a large frog jumped high and croaked loudly. I screamed in fright, then felt right hypochondriac pulling pain. Since then, the sound resembled a frog." Zhao palpated the pulse: Right Guan position was hidden and knotted, indicating an accumulation disease. Six Shen Wan (Six Spirit Pills) were used to purge green phlegm resembling frog skin, curing the patient.
*Yang Shi Zhi Zhi Fang* records: A person suffered from Cancer Sore (Ai Chuang, 癌疮), high above and deep below, hanging in clusters, cracking like blind eyes, green inside, with tongue-like projections on top. Deep toxicity perforates; males usually develop it on the abdomen, females on breasts, neck, or back, causing coma. Urgently use Ground Beetle (Didang, 地胆) as the chief herb, assisted by White Morning Glory Seed (Bai Qianniu, 白牵牛), Talcum (Huashi, 滑石), and Tetrapanacis Medulla (Mutong, 木通) to promote urination and vent toxicity. Drinking urine from a healthy child flushes residual pathogens, ensuring safety.
*Wu Hu Man Wen* records: A person in Wuxi had thread-like red worms, two to three cun long, visible and moving in the skin and flesh, causing unbearable itching. Doctors failed. One day, craving river frogs, he ate them, and the worms disappeared. Buying dried frog meat for morning and evening meals gradually eliminated the worms over a month.
It is also recorded: A person in Wucheng developed a boil on the waist, discharging four roundworms in the pus. Doctors were shocked, having never seen such a case. The boil healed spontaneously without fatal consequences. Gong Sheng, a surgeon from Fengqiao, witnessed a person with a small abdominal boil discharging two roundworms, six to seven cun long, which also healed later...
*Duan Xiao Fang* records: A person suffered from White Mouth Evil Sore, resembling wood ear fungus, caused by Liver Wood damp-heat. Applicable to adults and children alike. Equal parts of Galae Chinensis (Wubeizi, 五倍子) and Indigo Naturalis (Qingdai, 青黛) are ground into powder and blown into the lesion via a tube, leading to self-healing.
*Wei Shi Fang* records: A person developed blisters on the body resembling sand pears, each containing a stone fragment the size of a fingernail in the fluid. Once the blister dries, the muscle becomes untreatable. Five liang each of Sparganii Rhizoma (Sanleng, 三棱) and Curcumae Rhizoma (Ezhu, 莪术) are ground into powder, divided into three doses, taken with wine, leading to cure.
[Shen Yuan's Commentary] This condition occurs when pathogens lodge between the skin and muscle layers, causing Wei Qi to reverse. Reversal transforms Lung Metal into stubborn Metal. Instead of governing qi, it harasses Spleen Earth. Earth follows Metal's transformation, and since Metal is hard and rigid, muscle transforms into stone fragments. This aligns with the Neijing: "Its nature is rigid, its transformation is hardening." Stone fragments emerge from water because the body relies on Metal qi for nourishment; qi controls body fluids, transforming them into essence for internal nourishment. When Lung is harassed by pathogens, its nature becomes stubborn. Instead of controlling fluids and creating essence, it turns muscle to stone. Body fluids follow this transformation, forming blisters, hence stones emerge from water. Treatment uses Sanleng and Ezhu to break blood and qi and disperse toxicity. Once toxicity disperses and qi harmonizes, Metal qi regains its beneficial nature. Muscle tissue smooths out, and the disease heals. Materia Medica states these herbs treat hard sores and masses. They are suitable here for treating rigid stones.
Question: When blisters form on the sole of the foot and burst, leaving hard skin-like flakes inside, is this also muscle transformation? Answer: No. If pricked immediately, only water appears, no hard flakes. These flakes arise because the water is influenced by Metal qi. After the blister flattens, the flakes remain. This is not muscle turning to stone emerging from water.
Li Lou's *Guai Zheng Fang* records: A person received five moxa cones, causing continuous bleeding like urine, with cold hands nearing death. Two qian of Scutellariae Radix (Huangqin, 黄芩) stir-fried with wine, ground into powder, and taken with wine stopped the bleeding.
*Waitai Miyao* records: A person suffered from body abscesses like stones, resembling acne/boils with thick skin and little pus, named Shi Ju (Stone Abscess). Applying pounded Millet Seeds (Guzi, 谷子) cures it.
[Shen Yuan's Commentary] Materia Medica states: Guzhi is Broussonetia Papyrifera Fruit (Chushi, 楮实), common in mountains and fields. Its sap is sticky like glue, commonly called Gu Zhi Shu (Mulberry Tree Resin).
*Yan Yi* records: A person suffered from generalized heat toxicity pain without itching, worse on hands and feet, stopping at the neck. Clothes stuck to the sores, preventing sleep day and night, pain unbearable. Advice given: Chop three dou of Acori Tatarinowii Rhizoma (Shichangpu, 石菖蒲), dry it, grind into powder, spread on a mat, let the patient lie freely covered with blankets. This prevents sticking and allows sleep. Within five to seven days, the sores disappear. Subsequent cases responded similarly. For medicinal use, roots growing attached to rocks with dense nodes are preferred.
*Shengji Lu* records: A person suffered from persistent weeping from a hypochondriac fistula. Applying earwax from a black ox cured it.
Liu Yuxi's *Chuan Xin Fang* records: In the tenth year of Zhenyuan, Cui Yuanwai reported someone bitten by a spider on the abdomen, swelling like pregnancy, with silk growing all over. Family abandoned him to beg. A monk advised drinking sheep milk, leading to recovery. Another case: Zhang Jian Yuanwai lived in Jiannan. Official Zhang Yanshang was bitten on the head by a spider. Overnight, two red lines, thin as chopsticks, encircled the head, extending from the chest to the heart. After two nights, head and face swelled painfully to the size of several sheng, abdomen swelled, nearly fatal. Zhang offered 500,000 coins plus family wealth for a cure. A man volunteered, claiming he didn't know formulas but saved lives. He took a bowl of Indigo Tinctoria Juice (Lanzhi, 蓝汁), threw a spider in, which died instantly. Adding Musk (Shexiang, 麝香) and Realgar (Xionghuang, 雄黄) to the juice and throwing in another spider dissolved it instantly. Astonished, Zhang ordered application to the bite site. Healing occurred in two days with minor scarring.
*Qianjin Fang* records: A person suddenly developed nodules in the flesh, bean-sized to millet-sized, or plum-sized with roots. Pain radiated to the heart. Later, surrounding blisters formed. If toxins enter organs via meridians, death ensues. Named Bao Ju (Blistering Abscess), caused by heat toxicity. Wash with warm vinegar and rice water. Apply soil from swallow nests aged 100 days, mixed with urine from a boy. Another type affects ten fingers, resembling Dai Zhi (Subungual Hyponychium Infection), deep-rooted to muscle, destroying bones/tendons, killing via organ entry. Cauterize with hot iron or apply hundred moxa cones. Daily drinking of Rhinoceros Horn (Xijiao, 犀角) juice cures it.
*Jiuji Fang* records: A newborn appeared like a fish bubble or crystal, leaking water if broken. Finely sifted Zinc Oxide (Mituo Seng, 蜜陀僧) dusted on the infant cured it.
It is also recorded: A newborn lacked skin, showing only red flesh, due to the mother living upstairs during pregnancy, deprived of earth qi. Placing the baby on mud overnight grew skin. Another method: Dusting with dry rice flour until skin forms.
*Xiao'er Mijue* records: Infantile convulsion with whole-body black discoloration is named Wu Sha Jing Feng (Black Gauze Convulsion). Push downward urgently. Grind one bowl of yellow earth into powder, mix with one cup of aged vinegar, heat, wrap in silk, and apply as a compress. Guide the pathogen down to extremities and prick to release.
*Nan Shi* records: General Fang Boyu took five doses of Wushi San (Five Minerals Powder) repeatedly, developing cold phlegm, wearing extra clothes in summer. Xu Sibai diagnosed latent heat requiring sweating with water, possible only in winter. In late November during heavy snow, he had Boyu undress, sit on stone, and pour fresh cold water from head, consuming twenty hu. Boyu went into spasm and stopped breathing. Family cried and begged to stop, but Sibai persisted, pouring another hundred hu. Boyu finally moved, gasping from his back, sat up saying, "Heat is unbearable, request cold drink." Sibai gave one sheng of water, curing the disease. Thereafter, Boyu ran hot, wore single shirts in winter, and gained strength.
[Shen Yuan's Commentary] The Classic states: "For constrained fire, vent it." Sibai treated this case in late November when yang qi is internal. Using water stimulation at dawn (when yang qi begins to rise) excited the constrained heat, resolving it through sweat. This aligns with Suwen: "Correct treatment for correct conditions, contrary treatment for contrary conditions; follow and oppose accordingly." In spring, yang qi leaks; in summer/autumn, yin qi is internal. Thus, late winter execution is necessary.
Question: The Classic says yang qi governs the exterior daily: rising at dawn, peaking at noon, declining at dusk, closing pores. Human qi opens/closes with heaven/earth. Dawn sees rising yang qi externally, yet why is it cold then? Dusk sees declining yang qi, yet why not cold? Answer: At dusk, though declining, residual solar warmth remains, so not cold. Late night warmth fades, becoming cold. At dawn, although sun rises, heaven/earth haven't warmed, so still cold. Noon peaks in yang qi, hence warmth.
Question: Why dew at dawn? Answer: Rising yang qi lifts earth qi. Earth qi is underground water vapor rising as dew. This process is constant day and night. Sun hides it by day; night reveals it slightly, but less than dawn.
Question: Why no dew at dawn sometimes? Answer: Disharmony of earth qi causes vapor to rise as clouds, no dew. In drought, dry soil restricts rising qi, no dew.
Question: Origin of fog? Answer: Underground qi rises with yang as dew. Slight disharmony prevents dew/rain, creating fog (cloud-like/dew-like mist).
Question: Rain from clouds? Why clouds without rain? Answer: Clouds are earth water vapor. Harmony of heaven/earth qi lifts vapor to clouds and rain ("Yin-Yang harmony brings rain"). Lack of harmony varies. Mild lack: vapor scatters in air, clouds but no rain (like boiling water vapor escaping). Severe lack: abundant vapor cannot scatter, falls as rain. Clouds often originate from mountains ("Mountain and Lake communicate"), per I Ching.
Question: Origin of wind? Answer: Wind is the "breath of the Great Void" (like belching, rising from below). Caused by heaven/earth disharmony. Nature has natural wind; disharmony creates "belching" wind. Heaven/earth qi rises/falls like breathing. Harmonious qi moves smoothly (natural wind); disharmony causes rebellion, creating wind. Disharmony in East generates East wind; West generates West wind, etc. Wind with rain occurs because discordant water vapor rises with wind. Question: If East is discordant and West is also discordant, if belch...