患者出现因热邪导致的胡言乱语,时常意识昏沉模糊,六部脉象均呈现浮而洪大的特征,使用乌金散通过发汗的方法进行治疗。随即用针刺治疗,先刺疔疮的中心部位,患者感觉不到疼痛,再在周围刺十余下,流出紫黑色的血液后,患者才感到疼痛,接着将寸金锭子放入疮口内,外用提丁锭子放置在疮面上,再用膏药贴敷保护。次日发汗之后,患者精神稍微清爽一些,此时改用破棺丹通过泻下的方法治疗,病情随即稳定。待疔疮溃破活动后,使用守效散贴涂患处,用红玉锭子[涂抹/处理],八天后疔疮自行脱落排出。这所谓的审察脉证,在汗法与下法之间把握分寸,治疗步骤如此有序,与那些不诊察脉证,仅仅见到发热胡言乱语,就投用凉药和泻下药,或者兼用香窜药物的做法相比,简直是天壤之别。薛己治疗一位妇女,左手……
The patient presented with delirium due to heat, accompanied by frequent episodes of mental confusion. The pulse in all six positions was floating and surging (Hóng). Wu Jin San (Golden Metal Powder) was administered to induce sweating. Subsequently, acupuncture was employed: the center of the carbuncle was pricked first, where no pain was felt; then, more than ten additional pricks were made around the periphery until dark purple-black blood emerged, at which point pain was perceived. Cuijin Dingzi (Inch-Gold锭, a medicated plaster/pellet) was inserted into the wound, while Tiding Dingzi (Lifting-Nail锭) was placed on top of the lesion, covered with a medicinal plaster for protection. After sweating the following day, the patient’s spirit slightly recovered. Po Guan Dan (Coffin-Breaking Pill) was then administered via purgation, stabilizing the condition. Once the ding sore (malignant nodule) ulcerated and became active, Shou Xiao San (Effect-Keeping Powder) was applied topically, and Hongyu Dingzi (Red-Jade锭) was used [to treat], resulting in the spontaneous expulsion of the nodule after eight days. This illustrates the principle of carefully assessing pulse and symptoms to determine the appropriate sequence of diaphoresis and purgation. Such methodical treatment stands in stark contrast to those who fail to examine pulse and symptoms, merely observing fever and delirium, and indiscriminately administering cooling or purgative herbs, or those combined with aromatic-penetrating substances, thereby causing harm. Xue Ji treated a female patient, left hand...