外科有神灯照法∶用朱砂雄黄俱研水飞、血竭、没药箬烘去汗,各二钱、麝香四分、为
极细
末,每用三分。以红棉纸紧卷捻条,约长七寸,麻油润透,以火燃着,须令患者坐无风处,
将药条离疮半寸,自外至内,周遭徐徐照入,火头向上,药气乃入,毒即随火解散,自不内
侵脏腑,不可太过,恐伤好肉。其疮微微觉热,心神即爽,每日只熏一次,初用三条,每日
加一条,加至四五条,势即渐减,然后每日减去一条,直熏至红肿消尽为度。熏后用后药;
草新鲜采得者,捣烂,入陈年小粉等分,初起者;再加白盐研细少许,打成稠糊,敷半
寸浓,留头,必须敷过疮晕三分,方能箍定毒根。疮口之上,用大葱叶滚水泡热,扯开贴之
。或膏盖亦可,避风为妙,自能拔出脓毒。如无鲜草,以如意黄金散代之。集要云∶神灯照
法勿用太早,如疮四五日间,形未成,毒未聚,骤用之,毒必内郁,反难外出。须用在八九
日后,疮势已定,毒瓦斯已聚,未成脓腐之时,用此照之。未成者自消,已成者自高,不起发
者即发,不腐溃者即溃。若毒已溃,脓已泄者;不宜用。每日以猪蹄汤淋洗,或葱头煎汤洗
亦佳。忌发物。
治一切肿毒,痈疽发背,能解毒活血,消肿散瘀。
火罐∶江右及闽中皆有之。系窑户烧售,小如人大指,腹大,两头微狭。使促口以受火
气,
凡患一切风寒,皆用此罐。以小纸烧见焰,投入罐中,即将罐合于患处。或头痛则合在太阳
脑户或巅顶,腹痛合在脐上,罐得火气合于肉,即牢不可脱,须待其自落。患者但觉有一股
暖气从毛孔透入,少顷火力尽则自落,肉上起红晕,罐中有气水出。风寒尽出,不必服药。
治风寒头痛,及眩晕风痹腹痛等症。
外科有一种名为“神灯照”的治疗方法:使用朱砂、雄黄,均研磨后用水飞法处理;血竭、没药用箬叶烘焙以去除油汗,各取二钱;麝香四分,共同研成极细的粉末。每次使用时取三分药末。将红棉纸紧密卷捻成条状,长约七寸,用麻油浸透,点燃后,必须让患者坐在无风的地方,将药条距离疮口半寸,从外向内,环绕着徐徐熏照,火头向上,药气才能进入,毒邪随即随着火势解散,自然就不会向内侵犯脏腑。注意不可熏照过度,恐怕损伤好肉。疮口微微感觉发热,心神就会清爽。每天只熏一次,初次使用时用三条药条,每天增加一条,增加到四五条时,病情就会逐渐减轻,然后每天减少一条,一直熏到红肿完全消退为止。熏照后使用以下药物:新鲜采摘的草(注:原文此处似缺字,通常指某种草药如蒲公英或地丁等,依原文直译),捣烂,加入陈年的小粉(淀粉类)等量,如果是初起阶段,再加少许研细的白盐,打成稠糊状,敷在半寸厚,留出疮头,必须敷过疮晕三分,才能固定住毒根。在疮口上,用大葱叶滚水泡热,撕开贴在上面。或者用膏药覆盖也可以,最好避风,自然能拔出脓毒。如果没有新鲜的草,可以用如意黄金散代替。《集要》说:神灯照法不要过早使用,如果疮疡在四五天之间,形态未形成,毒邪未聚集,突然使用它,毒邪必然在内郁结,反而难以向外发散。必须在八九日后,疮势已经稳定,毒气已经聚集,尚未化脓溃烂的时候,使用这种照法。未形成的自然会消散,已形成的自然会高突,不起发的就会发起,不溃烂的就会溃烂。如果毒邪已经溃破,脓液已经排出的,就不宜使用。每天用猪蹄汤淋洗,或者用葱头煎汤清洗也很好。忌食发物。
此法治疗一切肿毒、痈疽发背,能够解毒活血,消肿散瘀。
火罐:江西及福建地区都有。由窑户烧制出售,大小像人的大拇指,腹部大,两头略微狭窄。使促口(罐口)接受火气,凡是患有一切风寒病症,都用这个罐子。用小纸片燃烧见火焰,投入罐中,立即将罐扣在患处。如果是头痛,就扣在太阳穴、脑户或头顶;如果是腹痛,就扣在肚脐上。罐子得到火气吸附在皮肤上,就非常牢固无法脱落,必须等待它自行落下。患者只感觉到有一股暖气从毛孔透入,过了一会儿火力耗尽就会自动落下,皮肤上会起红晕,罐中有水汽流出。风寒之气全部排出,不必再服药。用于治疗风寒引起的头痛,以及眩晕、风痹、腹痛等症状。
There is a surgical treatment method called "Shen Deng Zhao" (Divine Lamp Illumination): Use Cinnabar (Zhusha) and Realgar (Xionghuang), both ground and processed by water flotation; Dragon's Blood (Xuexie) and Myrrh (Moyao) are baked with bamboo leaves to remove their oily sweat, each taking two qian; Musk (Shexiang) four fen. These are all ground into an extremely fine powder. Each use requires three fen of the powder. Roll red cotton paper tightly into strips, about seven cun long, soak them thoroughly in sesame oil, ignite them. The patient must be seated in a windless place. Hold the medicinal strip half a cun away from the sore, illuminating slowly and evenly around the area from outside to inside, with the flame pointing upwards, so that the medicinal qi can enter. The pathogenic toxins will disperse with the fire and naturally will not invade the internal organs. Do not overdo it, lest you damage healthy flesh. When the sore feels slightly warm, the mind and spirit will feel refreshed. Perform this fumigation once daily. Initially use three strips, adding one strip per day until reaching four or five strips, at which point the condition will gradually subside. Then reduce by one strip daily, continuing until the redness and swelling completely disappear. After fumigation, apply the following remedy: Freshly picked herbs (the specific herb name is missing in the original text, likely referring to a local herb like Dandelion or Houttuynia), mashed into a paste, mixed with an equal amount of aged starch (Xiaofen). If in the early stage, add a small amount of finely ground white salt. Form a thick paste, apply it half a cun thick, leaving the center of the sore exposed. The application must extend three fen beyond the halo of the sore to effectively contain the root of the toxin. On top of the sore opening, apply hot water-soaked green onion leaves, torn open and placed on the skin. Alternatively, a plaster may be used, preferably avoiding wind, which will naturally help draw out pus and toxins. If fresh herbs are unavailable, Ruyi Huangjin San (Ruyi Golden Powder) can be used as a substitute. *Jiyao* states: Do not use Shen Deng Zhao too early. If the sore is only four or five days old, with no formed shape and unaggregated toxin, sudden use will cause the toxin to stagnate internally, making it difficult to expel externally. It should be used after eight or nine days, when the sore's condition has stabilized and the toxic qi has aggregated, but before suppuration and ulceration occur. With this illumination, unformed sores will dissipate, formed ones will rise, non-elevated ones will elevate, and non-ulcerated ones will ulcerate. If the toxin has already ulcerated and pus has drained, this method is not suitable. Wash the area daily with pig trotter broth, or washing with scallion head decoction is also good. Avoid triggering foods (fa wu).
This method treats all types of swelling and toxicity, carbuncles, and back infections, capable of resolving toxins, invigorating blood, reducing swelling, and dispersing stasis.
Fire Cups: Available in Jiangxi and Fujian regions. They are fired and sold by kiln owners, sized like a human thumb, with a large belly and slightly narrow ends. The mouth is narrowed to receive the heat of fire. For any condition caused by Wind-Cold, this cup is used. A small piece of paper is burned until it flames, dropped into the cup, and immediately the cup is placed over the affected area. For headache, place it on Taiyang (BL67), Naohu (DU18), or the vertex; for abdominal pain, place it above the umbilicus. Once the cup absorbs the heat and adheres to the skin, it becomes firmly attached and cannot be removed manually; it must wait to fall off naturally. The patient feels a wave of warmth penetrating through the pores. After a short while, when the heat dissipates, the cup falls off automatically. Red halos appear on the skin, and moisture condenses inside the cup. The Wind-Cold pathogens are fully expelled, and no further medication is necessary. It is used to treat headaches caused by Wind-Cold, as well as dizziness, wind-bi syndrome, and abdominal pain.