《心法》曰∶中脘痈,一名胃疽,发于心胸之下,脐上四寸,属任脉经。(中脘穴。)隐
痛日久,向外生疽,坚硬漫肿,皮色无红无热,由过食炙 ,以致胃腑火毒而成。人
迎脉盛是毒瓦斯攻里,作呕不食,咳吐脓痰者逆。
《心法》曰∶赫痈,由七情郁火凝结而成,生脓上三寸,属任脉经。(建里穴。)初如
粟米,疮痈相兼,其肿迅速,寒热往来,甚则呕哕牵引脐痛,初肿微红,顶尖根束,渐
透赤色,时痛时止,十四朝得脓为吉。
冯鲁瞻曰∶夫脐为根本,风湿防护须严,一有所失,则脐肿不干,久而作搐,入
于经络,即成风痫。并撮口脐风,皆为恶候。(《锦囊》)
又曰∶若脐中不干,常出青黄水者,此必初生有伤六腑耳,宜药掺之。但此时仅
如血块,不可用冰麝之膏贴之。并忌大寒大热之剂,盖肌肉未坚,脏腑柔脆,难以抵当耳。
验方(《雷公》)。车前子炒焦为末,敷之即干。
又方《锦囊》)。大红羊绒烧灰为末,单敷。
又方《启玄》)。草纸灰加枯矾研细掺之,用纸包裹,勿令尿湿。
又方(《千金》)。乱发烧灰敷之。
又方 黄柏末敷之。
又方(《千金》)
枯矾(五钱) 龙骨 黄丹(各一钱) 麝香(少许) 研细敷之。
脐内溃烂出水不止垂危者(张 如屡验方)。赤石脂研末,敷上立愈。
又方
白矾( ) 白龙骨( 各等分) 研细掺上。
又方 棉花子 灰敷之。
又方 明矾、枯矾各等分研敷。
秘方 海螵蛸研细末干掺。
《医宗心法》说:中脘痈,又名胃疽,发病部位在心胸之下、脐上四寸处,归属于任脉经。(此处为中脘穴。)表现为隐痛日久,向外生出疽疮,肿块坚硬且漫肿无边,皮肤颜色不红、触感不热,这是由于过食烤炙食物,导致胃腑火毒积聚而成。若人迎脉搏动盛大,说明毒瓦斯攻入体内;出现呕吐、不能进食、咳嗽吐脓痰等症状的,属于逆证(预后不良)。
《医宗心法》说:赫痈,是由七情郁结化火凝结而成,发病位置在上腹部正中线上,距中脘穴三寸处,归属于任脉经。(此处为建里穴。)初起时像粟米大小,疮疡与痈肿兼见,肿胀发展迅速,伴有寒热往来,严重时会出现干呕呃逆并牵引脐部疼痛,初起时微红,疮顶尖锐而根基收敛,逐渐透出赤色,时痛时止,十四天左右出脓为吉兆。
冯鲁瞻说:肚脐是身体的根本,风湿防护必须严格,一旦有所疏忽,就会导致脐部肿胀且不干燥,时间久了会引发抽搐,病邪深入经络,就会形成风痫。以及撮口、脐风等症,都属于恶候。(出自《锦囊》)
又说:如果脐部一直不干,经常流出青黄色的水,这必定是因为出生时有损伤六腑的缘故,适宜用药粉掺敷。但此时患处仅如血块状,不可使用含有冰片、麝香的膏药贴敷。同时忌用大寒大热的药剂,因为婴儿肌肉尚未坚固,脏腑柔嫩脆弱,难以承受猛烈药性的冲击。
验方(出自《雷公》):将车前子炒焦后研成粉末,敷在患处即可使伤口干燥。
又一方(出自《锦囊》):将大红羊绒烧成灰后研成粉末,单独敷用。
又一方(出自《启玄》):将草纸灰加入枯矾研细后掺敷,用纸包裹患处,不要让尿液弄湿。
又一方(出自《千金方》):将乱发烧成灰后敷用。
又一方:用黄柏末敷用。
又一方(出自《千金方》):枯矾(五钱)、龙骨、黄丹(各一钱)、麝香(少许),研细后敷用。
针对脐内溃烂、出水不止、病情垂危者(张氏屡试有效的方子):将赤石脂研成粉末,敷在患处立即痊愈。
又一方:白矾、白龙骨(各等分),研细后掺敷。
又一方:棉花子灰敷用。
又一方:明矾、枯矾各等分,研碎后敷用。
秘方:海螵蛸研成细末,干掺于患处。
According to *Yizong Xinfa* (Medical Master's Heart Methods): Zhongwan abscess (Abscess at the Zhongwan point), also known as Wei ju (Stomach carbuncle), originates below the heart and chest, four cun above the umbilicus, belonging to the Ren Mai meridian (Conception Vessel). (This location corresponds to the Zhongwan acupoint CV12.) It presents as chronic dull pain, externally developing into a carbuncle; the swelling is hard and diffuse, with skin color not red and no heat sensation. This condition arises from excessive consumption of roasted or grilled foods, leading to the accumulation of fire-toxin in the stomach fu-organ. If the Renying pulse (Human Welcome pulse, located on the carotid artery) is vigorous, it indicates that toxin qi is attacking the interior; symptoms such as vomiting, inability to eat, and coughing up purulent sputum are considered adverse prognoses (ni zheng).
According to *Yizong Xinfa*: He abscess (He carbuncle) is formed by the coagulation of fire resulting from emotional stagnation. It develops three cun above the previous point, belonging to the Ren Mai meridian. (This location corresponds to the Jianli acupoint CV11.) Initially resembling a millet seed, it involves both sores and carbuncles, with rapid swelling. It is accompanied by alternating chills and fever. In severe cases, it causes hiccups and dry heaving that radiate pain to the umbilicus. Initially slightly red, the lesion has a sharp apex and a constricted base, gradually turning crimson. The pain comes and goes. Pus formation around the fourteenth day is auspicious.
Feng Luzhan stated: The umbilicus is the root of the body; protection against wind-dampness must be strict. Any negligence leads to umbilical swelling and failure to dry. Over time, this may induce convulsions, allowing pathogens to enter the meridians, resulting in wind epilepsy (Feng xian). Conditions such as mouth-closing syndrome (Cuo kou) and umbilical wind (Qi feng) are all malignant conditions (E hou). (From *Jinnang*)
He further stated: If the umbilicus remains wet and continuously discharges greenish-yellow fluid, it is certain that there was injury to the six fu-organs at birth. It is appropriate to apply medicinal powder. However, at this stage, the lesion resembles only a blood clot; one must not use plasters containing Borneol (Bingpian) or Musk (Shexiang). One must also avoid formulas that are excessively cold or hot, because the infant's muscles are not yet firm, and the zang-fu organs are tender and fragile, making them unable to withstand harsh medicinal properties.
Empirical Formula (from *Leigong*): Stir-fry Plantago seeds (Cheqianzi) until charred, grind into powder, and apply to the area to promote drying.
Another formula (from *Jinnang*): Burn red wool (Dahong yangrong) to ash, grind into powder, and apply alone.
Another formula (from *Qixuan*): Mix ash from straw paper with calcined alum (Kufan), grind finely, and sprinkle on the wound. Wrap with paper to prevent urine from wetting it.
Another formula (from *Qianjin Fang*): Burn tangled hair (Luanshi) to ash and apply.
Another formula: Apply Phellodendron bark powder (Huangbai mo).
Another formula (from *Qianjin Fang*): Calcined alum (Wu qian), Dragon bone (Longgu), Lead oxide (Huandan) (each 1 qian), and Musk (Shexiang) (a small amount). Grind finely and apply.
For cases where the umbilicus is ulcerated internally, discharging fluid incessantly, indicating critical danger (Zhang's repeatedly verified formula): Grind Red halloysite (Chishizhi) into powder and apply to the site for immediate cure.
Another formula: White alum (Baifan) and White dragon bone (Bailonggu) (equal parts). Grind finely and sprinkle.
Another formula: Apply ash from cotton seeds (Mianhuazi).
Another formula: Equal parts of refined alum (Mingfan) and calcined alum (Kufan), ground and applied.
Secret recipe: Grind Cuttlebone (Haipiaoxiao) into fine powder and apply dry.