痈疽初发小点一二日间,急以大蒜头,横切如钱,贴其中心,顿小艾炷灸之,五壮而
止。若形状稍大,以黄秆纸蘸酒全贴,认先干处为筋脚,于先干处灸之,或两处先干皆
灸,但五七状止。又法,屈指从四围寻按,遇痛处是根,就此重按深入,自觉轻快,即此
灸之,更于别处灸。若或大肿,即捣蒜为饼焙干,蘸法醋炙热,更换频罨,或以熨斗火
于蒜饼上熨之,更换热饼频熨,如觉患处走散,即以绵帛覆盖,勿令气泄,俟少间敷药。
凡痈疽展大如龟之形,且看头向上下,先灸其前两脚,次灸其尾,或红筋走紧而长,从
尽处灸之,须留头,并后两脚勿灸。若尽灸之,不惟火气壅聚,彼毒无所走散,又攻入
里也,或辨认不明,以
白芷(三分) 汉椒 桑白皮(各一分) 连须 葱白(十片)
上取新水煎汤,入酸醋半盏,淋洗,少顷,其筋自现,可以辨验头尾。
神仙隔蒜灸法 治一切痈疽肿毒,前论言之详矣。凡大痛或不痛,或麻木痛者,灸
至不痛,不痛灸至痛,其毒随火而散,此拔引郁毒从治之法也,信有回生之功。其法用
大蒜头切三分浓,安疮头上,用艾炷于蒜上灸之,五炷换蒜再灸,未成即消,已成杀其
大势,疮患大以蒜杵烂,摊患处,将艾铺蒜上灸之,蒜败再换,疮色紫,或白而不起发,
不作脓,不大痛,不间日期,最宜多灸。
神效葱熨法 治流注结核,骨痈鹤膝等症肿硬,或先已隔蒜灸而余肿未消,最宜用
熨,以助气血而行壅滞,其功甚大,又为跌扑伤损,止痛、散血、消肿之良法。用葱白
头捣烂,炒热,频熨患处,冷再换。
神效桑枝灸 治发背不起,或瘀肉不溃,此阳气虚弱,用桑枝燃火着,吹熄焰用,火
灸患处片时,日三五次以助肿溃,若腐肉已去,新肉生迟,宜灸四畔,其阴疮、瘰 ,流
注、 疮、恶疮,久不愈者,亦宜用之。大抵此法,未溃则解热毒,止疼痛,消瘀肿;已
溃则补阳气,散余毒,生肌骨,其阳症肿痛,甚或重如负石,初起用此法出毒水,即内消。
日久者用之虽溃亦浅,且无苦楚。惜患者不知有此,治者亦不肯用此也。
痈疽(一种严重的化脓性感染)初起时,若只有小点一二个,在一两天内,立即取大蒜头,横向切成如铜钱厚的片,贴在病灶中心,放置小艾炷进行艾灸,灸五壮后停止。如果形状稍大,用黄秆纸蘸酒完全覆盖贴敷,辨认最先变干的地方作为“筋脚”(毒邪聚集的根部),在最先变干处施灸,或者两处先干的地方都灸,但总共只灸五到七壮。另一种方法,用手指从四周寻找按压,遇到疼痛的地方就是毒根,在此处重按深入,患者自觉轻松舒适,就在这里施灸,同时在别处也进行施灸。如果肿胀很大,就将蒜捣成饼焙干,蘸法醋加热,频繁更换热敷,或者用熨斗在蒜饼上熨烫,频繁更换热饼熨烫。如果觉得患处毒气走散,就用绵帛覆盖,不要让热气泄出,等一会儿再敷药。凡是痈疽扩散扩大像龟的形状,要看龟头朝向上下,先灸它前面的两只脚,其次灸它的尾巴;如果有红筋紧绷且长,从尽头处开始灸,必须保留龟头,以及后面的两只脚不要灸。如果全部灸完,不仅火气壅聚,毒邪无处走散,反而会攻入体内。如果辨认不清,可用白芷(三分)、汉椒、桑白皮(各一分)、连须葱白(十片),以上药材取新水煎汤,加入半盏酸醋,淋洗患处,过一会儿,筋脉自然显现,可以辨别头尾。
神仙隔蒜灸法:治疗各种痈疽肿毒,前文论述已经很详细了。凡是剧烈疼痛或不痛、或麻木疼痛的,灸到不痛为止,不痛的灸到有痛感为止,毒邪随着火势而消散,这是引导郁结毒邪从治的方法,确实有起死回生的功效。此法用大蒜头切三分厚,放在疮头上,用艾炷在蒜上施灸,灸五炷后换蒜再灸,未形成的脓肿即可消除,已形成的可削弱其大势。疮患较大的,将蒜捣烂,摊敷在患处,将艾铺在蒜上施灸,蒜坏了再换。疮色紫暗,或白色而不隆起、不化脓、不太疼痛的,不分日期,最适合多灸。
神效葱熨法:治疗流注(深部脓肿)、结核、骨痈、鹤膝风等病症引起的肿胀坚硬,或者已经隔蒜灸过但余肿未消,最适合使用熨法,以助气血运行,疏通壅滞,功效很大。这也是治疗跌打损伤,止痛、散血、消肿的好方法。用葱白头捣烂,炒热,频繁熨烫患处,冷了再换。
神效桑枝灸:治疗发背(背部痈疽)不起发,或瘀肉不溃烂,这是因为阳气虚弱。用桑枝点燃,吹熄明火后用余火熏灸患处片刻,每天三到五次,以帮助肿胀溃破。如果腐肉已去,新肉生长缓慢,宜灸疮口四周。阴疮、瘰疬、流注、恶疮,久不愈合的,也适宜使用。大体上,此法在未溃烂时可解热毒、止疼痛、消瘀肿;已溃烂时可补阳气、散余毒、生肌长骨。阳症肿痛,甚至沉重如负石者,初起时用此法引出毒水,即可内消。病程久的用此法,即使溃烂也较浅,且没有痛苦。可惜患者不知道有此法,医者也不肯用此法。
When a carbuncle or furuncle (a severe purulent infection) first appears as one or two small spots within one or two days, immediately take a head of garlic, slice it horizontally to the thickness of a coin, and apply it to the center of the lesion. Place small moxa cones on top for moxibustion, stopping after five *zhuang* (units of moxa burning). If the lesion is slightly larger, soak yellow stalk paper in wine and apply it completely over the area. Identify the place that dries first as the "jin jiao" (the root where pathogenic toxins gather), and perform moxibustion there; if two places dry first, moxicate both, but limit the total to five to seven *zhuang*. Another method involves using fingers to palpate from the periphery inward; the point that elicits pain indicates the root of the toxin. Press deeply at this point until the patient feels relief, then perform moxibustion here, and also moxicate other areas. If swelling is extensive, crush garlic into a cake, bake it dry, dip it in vinegar, heat it, and apply frequently with replacement. Alternatively, use an ironing pot to warm the garlic cake on the skin, replacing with hot cakes frequently. If it feels like the pathogenic qi is dispersing from the affected area, cover it with silk gauze to prevent heat loss, and apply medicinal paste after a short while. Whenever a carbuncle spreads and enlarges resembling the shape of a turtle, observe the direction of the "head." First moxicate the two front "legs," then the "tail." If red meridians are tight and long, start moxication from the distal end, but must preserve the "head" and the two rear "legs" without moxication. If all parts are moxicated, fire qi will become stagnant, toxins will have no outlet to disperse, and may instead penetrate inward. If identification is unclear, decoct Baizhi (3 fen), Hanjiao, Sangbaipi (1 fen each), and Lianxu Congbai (10 slices) in fresh water, add half a cup of sour vinegar, and wash the area. After a moment, the meridians will naturally appear, allowing differentiation of the head and tail.
Shenxian Ge Suan Jiu Fa (Immortal's Garlic-Partitioned Moxibustion Method): Treats various carbuncles, sores, swellings, and toxic masses, as discussed in detail previously. For conditions involving severe pain, no pain, or numbness with pain, continue moxication until pain ceases, or until no pain becomes painful. The toxin dissipates with the fire; this is a treatment method that guides stagnant toxins outward, truly possessing the merit of restoring life. The method uses garlic slices 3 fen thick placed on the sore. Moxa cones are applied on the garlic; after five cones, replace the garlic and continue. For unformed abscesses, this can resolve them; for formed ones, it reduces their severity. For large lesions, crush garlic and spread it on the affected area, place moxa on top, and moxicate. Replace the garlic when it spoils. For lesions with purple coloration, or white coloration without elevation, suppuration, or significant pain, frequent moxication regardless of days is most suitable.
Shenxiao Cong Yi Fa (Miraculous Scallion-Ironing Method): Treats deep-seated abscesses (Liuzhu), tubercles, bone carbuncles, and knee-joint deformities (Hexi Feng) characterized by swelling and hardness. It is particularly suitable when residual swelling persists after garlic-partitioned moxibustion. Ironing helps promote Qi and Blood circulation and resolves stagnation, yielding great efficacy. It is also an excellent method for treating traumatic injuries, relieving pain, dispelling blood stasis, and reducing swelling. Crush scallion whites, stir-fry until hot, and frequently iron the affected area, replacing when cool.
Shenxiao Sang Zhi Jiu (Miraculous Mulberry Branch Moxibustion): Treats back carbuncles (Fabei) that fail to suppurate or necrotic tissue that does not ulcerate, caused by deficiency of Yang Qi. Ignite mulberry branches, extinguish the open flame, and use the smoldering branch to fumigate/moxicate the affected area for a short period, three to five times daily, to assist in swelling resolution and suppuration. If necrotic tissue has been removed but new flesh grows slowly, moxicate the periphery of the wound. This method is also suitable for yin sores, scrofula (Luoli), Liuzhu, and chronic malignant sores that do not heal for a long time. Generally, for unulcerated lesions, this method resolves heat toxins, stops pain, and reduces stasis and swelling; for ulcerated lesions, it tonifies Yang Qi, disperses residual toxins, and promotes flesh and bone regeneration. For Yang-pattern swelling and pain, even those heavy as carrying a stone, using this method at the onset to draw out toxic fluid leads to internal resolution. For chronic cases, even if ulcerated, the depth is shallow and suffering is minimal. Regrettably, patients are unaware of this method, and practitioners are reluctant to use it.