疽者,五脏不调所生也。五脏主里,气行经络而沉。若喜怒不测,饮食不节,阴阳不和
,则五脏不调。荣卫虚者,腠理则开,寒客经络之间,经络为寒所折,则荣卫稽留于脉。荣
者,血也;卫者,气也。荣血得寒,则涩而不行,卫气从之,与寒相搏,亦壅遏不通。气者
,阳也,阳气蕴积,则生于热,寒热不散,故积聚成疽。脏气沉行,主里,故疽肿深浓,其
上皮强如牛领之皮。久则热胜于寒,热气淳盛,蕴结伤肉也。血肉腐坏,化而为脓,乃至伤
骨烂筋,不可治而死也。
又,少苦消渴,年至四十以上,多发痈疽。所以然者,体虚热而荣际痞涩故也。又有膈
痰而渴者,年盛必作黄胆。此由脾胃虚热故也,年衰亦发痈疽,腑脏虚热,血气痞涩故也。
又,肿一寸至二寸,疖也;二寸至五寸,痈也;五寸至一尺,痈疽也;一尺至三尺者,
名曰竞体痈,痈成九窍皆出。诸气愤郁,不遂志欲者,血气蓄积,多发此疾。
诊其脉,弦洪相薄,外急内热,欲发痈疽。脉来细而沉,时直者,身有痈肿。若腹中有
伏梁,脉肺肝俱到,即发痈疽;四肢沉重,肺脉多即死。凡痈疽脉,洪粗难治,脉微涩者易
愈。诸浮数之脉,应当发热,而反洗淅恶寒,若有痛处,当有痈也。此或附骨有脓也。
身有五部∶伏菟一,腓二,背三,五脏之俞四,项五。五部有疽者死。
又,疽发于嗌中,名曰猛疽。猛疽不治,化为脓,脓不泻,寒咽,半日死。其化作脓,
泻之则已。
发于颈,名曰夭疽,其肿大以赤黑。不急治,则热气下入渊掖,前伤任脉,内熏肝肺。
熏肝肺,十余日而死矣。
阳气大发,消脑留项,名曰脑铄,其色不乐,项痛而刺以针。烦心者,死不可治。
发于膊及 ,名曰疵疽,其状赤黑,急治之。此令人汗出至足,不害五脏。痈发四
五日, KT 之也。
发于掖下,赤坚者,名曰米疽也。坚而不溃者,为马刀也。
发于胸,名曰井疽也。其状如大豆,三四日起,不早治,下入腹中不治,十日死。
发于膺,名曰甘疽。其状如谷实、瓠瓜,常苦寒热。急治之,去其寒热。不治,十岁死
,死后出脓。
发于股阳,名曰兑疽。其状不甚变,而脓附骨,不急治,四十日死。
发于胁,名曰改訾。改訾者,女子之病也。又云∶痈发女子阴旁,名曰改訾疽。久不治
,其中生 肉,如赤小豆麻黍也。
发于尻,名曰兑疽。其状赤坚大,急治之;不治,四十日死。若发尻尾,名曰兑疽。若
不急治,便通洞一身,十日死。
发于股阴,名曰赤弛。不急治之,六日死。在两股内者,不治,六十日当死。
发于膝,名曰疵疽。其状大,痈色不变,寒热而坚,勿石,石之则死。须其色黑柔,乃
石之,生也。
发于胫,名曰兔啮疽。其状赤至骨,急治之;不治,害人也。
发于踝,名曰走缓。色不变。数灸而止其寒热,不死。
发于足上下,名曰四淫。不急治之,百日死。
发于足傍,名曰疠疽。其状不大,初从小指发,急治之。其状黑者,不可消,百日死也
发于足趾,名曰脱疽。其状赤黑,死;不赤黑,不死。治之不衰,急斩去之,活也;不
赤疽发额,不泻,十余日死。其五日可刺也。其脓赤多血,死;未有脓,可治。人年二
十五、三十一、六十、九十五,百神皆在额,不可见血,见血者死。
赤疽发,身肿,牢核而身热,不可以坐,不可以行,不可以屈伸。成脓,刺之即已。
赤疽发胸,可治。
赤疽发髀枢,六月内可治;不治,出岁死。
赤疽发阴股,牢者死,濡者可治。
赤疽发掌中,可治。
赤疽发胫,死不可治。
白疽发膊若肘后,痒,目痛伤精,及身热多汗,五六处死。
黑疽发肿,居背大骨上,八日可刺也。过时不刺为骨疽。骨疽脓出不可止者,出碎骨,
黑疽发渊掖,死。
黑疽发耳中,如米,此名文疽,死。
黑疽发膊,死。
黑疽发缺盆中,名曰伏痈,死。
黑疽发肘上下,不死可治。
黑疽发腓肠,死。
黑疽发膝膑,牢者死,濡者可治。
黑疽发趺上,牢者死。
仓疽发身,先痒后痛。此故伤寒,寒气入脏笃,发为仓疽。九日可治,九十日死。
钉疽发两膊,此起有所逐,恶血结留内外,荣卫不通,发为钉疽。三日身肿,痛甚
,口噤如痉状。十一日可刺。不治,二十日死。疽起于肉上,如丁盖,下有脚至骨,名钉疽
锋疽发背,起心俞若膊 。二十日不泻,死。其八日可刺也。其色赤黑,脓见青者,
死不治。人年六岁、十八、二十四、四十、五十六、六十七、七十二、九十八,神皆在膊
,不可见血,见血必死。
阴疽发髀若阴股,始发,腰强,内不能自止,数饮不能多,五日牢痛。如此不治,三岁
刺疽发,起肺俞若肝俞,不泻,一十日死。其八日可刺也。发而赤,其上肉如椒子者,
死不可治。人年十九、二十五、三十三、四十九、五十七、六十、七十三、八十一、九十七
,神皆在背,不可见血,见血者死。
脉疽发环项,始病,身随而热,不欲动, ,或不能食。此有所大畏,恐
怖而不精,上气嗽。其发引耳,不可以动。二十日可刺。如不刺,八十日死。
龙疽发背,起胃俞若肾俞,二十日不泻,死。九日可刺。其上赤下黑,若青黑者,死;
发血脓者,不死。
首疽发背,发热八十二日,大热汗头,引身尽。如嗽,身热同同如沸者,皮泽颇肿处浅刺
之;不刺,入腹中,二十日死。
侠荣疽发胁,若起两肘头,二十五日不泻,死。其九日可刺。发赤白间,其脓多白而无
赤,可治也。人年一十六、二十六、三十二、四十八、五十八、六十四、八十、九十六,神
皆在胁,不可见血,见血者死。
勇疽发股,起太阴若伏兔,二十五日不泻,死。其十日可刺。勇疽发,清脓赤黑,死;
白者,尚可治。人年十一、十五、二十、三十一、三十二、四十六、五十九、六十三、七十
五、九十一,神皆在尻尾,不可见血,见血者死。
标叔疽发背,热同同,耳聋,后六十肿如裹水状,如此可刺之。但出水,后乃有血,
血出即除也。人年五十七、六十五、七十三、八十一、九十七,神皆在背,不可见血,见血者死。
痨疽发足趺若足下,三十日不泻,死。其十二日可刺。痨疽发赤白脓而不大
多,其上痒,赤黑,死不可治。人年十三、二十九、三十五、六十一、七十三、九十三,神
皆在足,不可见血,见血者死。
冲疽发在小腹,痛而战寒热冒,五日 ,六日而变。可刺之。不刺之,五
敦疽发两手五指头,若足五指头,十八日不泻,死。其四日可刺。其发而黑,痈不甚,
疥疽发掖下若两臂、两掌中,振寒,热而嗌干者,饮多即呕,烦心 ,
或卒胗者,如此可汗,不汗者死。
筋疽发背,侠脊两边大筋,其色苍,八日可刺也。
陈干疽发臂,三四日痛不可动,五十日身热而赤,六十日可刺之。如刺之无血,三四
蚤疽发手足五指头,起节色不变,十日之内可刺也。过时不刺,后为食。痈在掖,三岁
死。其汤熨针石,别有正方,补养宣导,今附于后。
《养生方》云∶铜器盖食,汗入食,食之令人发恶疮内疽。
又云∶鲫鱼脍合猪肝肺,食之发疽。
又云∶乌鸡肉合鲤鱼肉食,发疽。
又云∶鱼腹内有白如膏,合乌鸡肉食之,亦发疽也。
又云∶鱼金鳃,食发疽也。
又云∶已醉,强饱食,不幸发疽。
《养生方·导引法》云∶正倚壁,不息行气,从头至足止,愈疽。行气者,鼻内息,五
入方一吐,为一通。满十二通愈。
又云∶正坐倚壁,不息行气,从口趣令气至头而止。治疽痹,气不足。
疽,是由于五脏功能失调而产生的疾病。五脏主管体内脏腑,其气行于经络且深沉。如果喜怒无常,饮食不节制,导致阴阳不和,就会造成五脏失调。当营卫之气虚弱时,腠理(皮肤纹理及汗孔)就会开泄,寒邪侵袭经络之间,经络被寒气所伤,导致营卫之气在脉中停滞不前。营,指的是血;卫,指的是气。营血遇到寒气,就会凝涩而运行不畅,卫气随之受到影响,与寒气相互搏结,也出现壅塞不通的情况。气属阳,阳气蕴积郁滞,就会产生热象,寒热之邪不散,因此积聚形成疽。脏气深沉运行,主司体内,所以疽的肿胀部位较深,脓液浓稠,其表面的皮肤坚硬厚实,如同牛颈部的皮一样。时间久了,热势胜过寒邪,热气淳厚旺盛,蕴结在一起损伤肌肉。血肉腐败坏死,化为脓液,甚至伤及骨骼、烂损筋腱,这就无法治愈而导致死亡。
另外,年少时患消渴病(糖尿病类症状),到了四十岁以上,容易多发痈疽。之所以这样,是因为身体虚热,营气运行痞塞涩滞的缘故。又有膈间有痰饮且口渴的人,正值壮年必定会患黄疸病。这是由于脾胃虚热的缘故,年老体衰时也会发生痈疽,这是因为腑脏虚热,气血痞塞涩滞的缘故。
又,肿大一寸到二寸的,称为疖;二寸到五寸的,称为痈;五寸到一尺的,称为痈疽;一尺到三尺的,名叫竞体痈,痈疽成熟后九窍都会流出脓液。各种气机愤郁,志意不得舒展的人,气血蓄积,容易多发此类疾病。
诊察患者的脉象,如果弦脉与洪脉相搏,表现为外紧内热,这是将要发痈疽的征兆。脉象来势细弱而沉,但偶尔直挺有力,说明身上有痈肿。如果腹中有伏梁病(腹部积块),肺脉和肝脉都出现,就会发作痈疽;如果四肢沉重,肺脉异常多现,则预后不良致死。大凡痈疽的脉象,洪大粗大的难以治疗,脉象微涩的容易痊愈。凡是浮数之脉,本应当发热,反而出现洒淅恶寒的症状,如果有疼痛的部位,就应当是有痈疽了。这或许是脓液附着在骨骼附近。
身体有五个部位:伏兔穴所在处为一,小腿肚(腓肠肌)为二,背部为三,五脏背俞穴为四,颈部为五。这五个部位发生疽的,预后不良致死。
另外,疽发于咽喉中间,名叫猛疽。猛疽如果不及时治疗,化为脓液,脓液不能排出,堵塞咽喉,半天内就会死亡。如果已经化为脓液,排出脓液即可痊愈。
疽发于颈部,名叫夭疽,肿块肿大且呈赤黑色。如果不紧急治疗,热气就会向下进入渊腋穴区域,向前损伤任脉,向内熏蒸肝肺。熏蒸肝肺,十多天后就会死亡。
阳气大发,消耗脑髓并留滞于项部,名叫脑铄,患者神色不乐,项部疼痛,如果用针刺治疗。如果心中烦乱,则是死证,不可治愈。
疽发于手臂及腋下,名叫疵疽,其症状是皮肤赤黑,必须紧急治疗。这会导致人出汗直到脚部,但不伤害五脏。痈疽发出四五天后,可以用砭石刺破排脓。
疽发于腋下,红肿坚硬的,名叫米疽。坚硬而不溃破的,叫做马刀。
疽发于胸部,名叫井疽。其形状像大豆,三四天起病,如果不早治疗,毒气下行进入腹中就无法治愈,十天后死亡。
疽发于胸膺部,名叫甘疽。其形状像谷粒或瓠瓜,常常苦于寒热交替。必须紧急治疗,去除寒热症状。如果不治疗,十年后死亡,死后会流出脓液。
疽发于大腿前侧(股阳),名叫兑疽。其症状变化不明显,但脓液附着在骨上,如果不紧急治疗,四十天后死亡。
疽发于胁肋部,名叫改訾。改訾,是女子的疾病。又说:痈发于女子阴部旁边,名叫改訾疽。长久不治疗,其中会长出息肉,像赤小豆、麻籽黍米一样大小。
疽发于尾骶部,名叫兑疽。其症状赤色坚硬肿大,必须紧急治疗;不治疗,四十天后死亡。如果发于尻尾,也叫兑疽。如果不紧急治疗,便通洞全身,十天后死亡。
疽发于大腿内侧,名叫赤弛。不紧急治疗,六天后死亡。如果在两腿内侧,不治疗,六十天后应当死亡。
疽发于膝盖,名叫疵疽。其症状肿块大,痈的颜色不变,伴有寒热且坚硬,不要针刺,针刺就会死亡。等到颜色变黑且柔软时,才可以针刺,这样可以存活。
疽发于小腿,名叫兔啮疽。其症状红色直达骨头,必须紧急治疗;不治疗,会危害人的生命。
疽发于脚踝,名叫走缓。颜色不变。多次艾灸以制止寒热,不会死亡。
疽发于足旁侧,名叫疠疽。其症状不大,起初从小脚趾发起,必须紧急治疗。如果症状呈黑色,无法消除,一百天后死亡。
疽发于足趾,名叫脱疽。其症状赤黑色的,死亡;不赤黑色的,不死。治疗无效,迅速切除患处,可以活命;如果不切除,疽发于额头,不排脓,十多天后死亡。这种疽在第五天可以刺破。如果脓液赤红且多血,死亡;如果没有脓液,还可以治疗。人在二十五岁、三十一岁、六十岁、九十五岁时,百神都在额头,不可见血,见血者死。
赤疽发作,身体肿胀,核块坚硬且身体发热,不可以坐,不可以行走,不可以屈伸。成脓后,刺破即可痊愈。
赤疽发于胸部,可以治疗。
赤疽发于髀枢(髋关节),六月内可以治疗;不治疗,跨年死亡。
赤疽发于大腿内侧,坚硬的死亡,柔软的可以治疗。
赤疽发于手掌中,可以治疗。
赤疽发于小腿,死亡,不可治疗。
白疽发于手臂或肘后,瘙痒,眼睛疼痛伤精,以及身体发热多汗,五六处发病则死亡。
黑疽发于肿胀处,位于背部大骨之上,八天可以刺破。过时不刺则成为骨疽。骨疽脓液流出无法止住,排出碎骨,黑疽发于渊腋穴,死亡。
黑疽发于手臂,死亡。
黑疽发于肘部上下,不死,可以治疗。
黑疽发于小腿肚,死亡。
黑疽发于膝盖骨,坚硬的死亡,柔软的可以治疗。
黑疽发于足背上,坚硬的死亡。
仓疽发于全身,先痒后痛。这原本是伤寒,寒气入脏严重,发为仓疽。九天可以治疗,九十天后死亡。
钉疽发于两臂,此起因有所追逐,恶血结留内外,营卫不通,发为钉疽。三天身体肿胀,疼痛剧烈,口噤如痉症状。十一日可以刺破。不治疗,二十天后死亡。疽起于肉上,像丁盖,下有根脚直达骨头,名叫钉疽。
锋疽发于背部,起于心俞穴或手臂。二十天不排脓,死亡。第八天可以刺破。如果颜色赤黑,脓液中见青色,死亡,不可治疗。人在六岁、十八岁、二十四岁、四十岁、五十六岁、六十七岁、七十二岁、九十八岁时,神皆在手臂,不可见血,见血必死。
阴疽发于大腿或阴股,刚开始发作时,腰部僵硬,内部不能自止,多次饮水但不能多喝,五天出现牢固的疼痛。如此不治疗,三年后...(原文此处似有脱漏或语意未完,依文意推测为预后极差)。
刺疽发于背部,起于肺俞穴或肝俞穴,不排脓,十天后死亡。第八天可以刺破。发出后呈赤色,其上肌肉如椒子状,死亡,不可治疗。人在十九岁、二十五岁、三十三岁、四十九岁、五十七岁、六十岁、七十三岁、八十一岁、九十七岁时,神皆在背部,不可见血,见血者死。
脉疽发于环颈部,刚开始生病时,身体随之发热,不想活动,或者不能进食。这是因为有大恐惧,惊恐而不专注,导致上气咳嗽。其发作牵引耳朵,不可以动。二十天可以刺破。如果不刺,八十天后死亡。
龙疽发于背部,起于胃俞穴或肾俞穴,二十天不排脓,死亡。第九天可以刺破。其上赤下黑,或青黑色,死亡;发出血性脓液的,不死。
首疽发于背部,发热八十二天,大汗从头引出,牵连全身。如果咳嗽,身体热得像沸腾一样,皮肤润泽且肿胀处浅表,可以浅刺;不刺,毒气入腹中,二十天后死亡。
侠荣疽发于胁肋,或起于两肘头,二十五天不排脓,死亡。第九天可以刺破。发出赤白相间,脓液多白而无赤,可以治疗。人在十六岁、二十六岁、三十二岁、四十八岁、五十八岁、六十四岁、八十岁、九十六岁时,神皆在胁肋,不可见血,见血者死。
勇疽发于大腿,起于太阴经或伏兔穴,二十五天不排脓,死亡。第十天可以刺破。勇疽发作,清脓赤黑,死亡;白色的,还可以治疗。人在十一岁、十五岁、二十岁、三十一岁、三十二岁、四十六岁、五十九岁、六十三岁、七十五岁、九十一岁时,神皆在尻尾,不可见血,见血者死。
标叔疽发于背部,热势炽盛,耳聋,后来六十天肿胀如裹水状,如此可以刺破。只出水,后来才有血,血出即除愈。人在五十七岁、六十五岁、七十三岁、八十一岁、九十七岁时,神皆在背部,不可见血,见血者死。
痨疽发于足背或足下,三十天不排脓,死亡。第十二天可以刺破。痨疽发出赤白脓液而不多,其上瘙痒,赤黑色,死亡,不可治疗。人在十三岁、二十九岁、三十五岁、六十一岁、七十三岁、九十三岁时,神皆在足部,不可见血,见血者死。
冲疽发在小腹,疼痛而战栗寒热冒闷,五天...(原文此处似有脱漏),六天而变化。可以刺破。不刺,五日...(原文此处似有脱漏)。
敦疽发于两手五指头,或足五指头,十八天不排脓,死亡。第四天可以刺破。其发作而发黑,痈不甚...(原文此处似有脱漏)。
疥疽发于腋下或两臂、两掌中,振寒,发热且咽喉干燥,饮水多即呕吐,心烦...(原文此处似有脱漏),或突然出疹子,如此可以发汗,不发汗者死。
筋疽发于背部,夹脊两边的大筋处,其色苍青,八天可以刺破。
陈干疽发于手臂,三四天疼痛不可活动,五十天身体发热且发红,六十天可以刺破。如果刺之无血,三四...(原文此处似有脱漏)。
蚤疽发于手足五指头,起于节段颜色不变,十日之内可以刺破。过时不刺,后来成为食...(原文此处似有脱漏)。痈在腋下,三岁死亡。其汤熨针石的治疗方法,另有正方,补养宣导的方法,现在附在后面。
《养生方》说:用铜器盖食物,汗水滴入食物中,吃了它让人发恶疮内疽。
又说:乌鸡肉合鲤鱼肉一起吃,发疽。
又说:鱼腹内有白如膏的东西,合乌鸡肉吃,也会发疽。
又说:吃鱼金鳃,会发疽。
又说:已经醉酒,强行饱食,不幸发疽。
《养生方·导引法》说:正身倚靠墙壁,屏息行气,从头至足停止,治愈疽。行气的方法是,鼻吸入气息,吸五次才呼出一口气,称为一通。满十二通则痊愈。
Ju (Deep Abscess) is a disease generated by the dysfunction of the Five Zang Organs. The Five Zang Organs govern the interior, and their Qi circulates through the meridians and is deep-seated. If emotions such as joy and anger are unpredictable, or diet is irregular, leading to disharmony between Yin and Yang, then the Five Zang Organs will be dysfunctional. When Ying (Nutritive) and Wei (Defensive) Qi are deficient, the Couli (skin texture and pores) open, allowing Cold pathogenic factors to invade between the meridians. The meridians are constrained by Cold, causing Ying and Wei Qi to stagnate in the vessels. Ying refers to Blood; Wei refers to Qi. When Ying Blood encounters Cold, it becomes sluggish and fails to circulate. Wei Qi follows this condition, combats with Cold, and also becomes obstructed and blocked. Qi belongs to Yang; when Yang Qi accumulates and stagnates, Heat is generated. Since Cold and Heat do not dissipate, accumulation occurs, forming Ju. The Qi of the Zang Organs moves deeply and governs the interior; therefore, Ju swelling is deep and purulent, with the overlying skin being hard and thick, resembling the skin on a cow's neck. Over time, Heat surpasses Cold, and intense, pure Heat gathers and damages the flesh. Flesh and blood rot and transform into pus, eventually damaging bones and destroying tendons, becoming incurable and leading to death.
Furthermore, those who suffer from Xiao Ke (Wasting-Thirst syndrome, similar to diabetes) in their youth are prone to developing Yong (Carbuncle) and Ju when they reach forty years of age or older. This is because their bodies are deficient with internal Heat, and Ying Qi circulation is obstructed and sluggish. Those with Phlegm in the Diaphragm accompanied by thirst will inevitably develop Huang Dan (Jaundice) if they are in their prime. This is due to deficiency-Heat in the Spleen and Stomach. In old age, they may also develop Yong and Ju due to deficiency-Heat in the Fu and Zang organs, resulting in obstructed and sluggish Qi and Blood.
Additionally, swelling one to two cun in diameter is called Jie (Furuncle); two to five cun is called Yong; five cun to one chi is called Yong-Ju; one chi to three chi is called Jing Ti Yong (Whole-Body Carbuncle), where upon maturation, pus discharges from all nine orifices. People whose Qi mechanisms are frustrated and desires unfulfilled accumulate Qi and Blood, making them prone to these diseases.
Diagnosing the pulse: if Xian (Wiry) and Hong (Surging) pulses interact, indicating exterior tension and interior Heat, Yong-Ju is impending. If the pulse comes fine and deep but occasionally straight and forceful, there is an abscess on the body. If there is Fu Liang (a fixed mass in the abdomen) and both Lung and Liver pulses are present, Yong-Ju will erupt; if limbs are heavy and Lung pulses are excessively prominent, death ensues. Generally, for Yong-Ju, Hong-Cu (Surging and Coarse) pulses indicate difficult treatment, while Wei-Se (Fine and Choppy) pulses indicate easy recovery. For all Fu-Shu (Floating and Rapid) pulses, fever should be expected; however, if there is instead a sensation of shivering and aversion to cold, and there is a painful area, an abscess is present. This may indicate pus adhering to the bone.
There are five critical areas on the body: 1. Futu (area of the ST31 acupoint); 2. Fei (calf); 3. Back; 4. Shu points of the Five Zang Organs; 5. Neck. Ju occurring in these five areas results in death.
Ju arising in the middle of the throat is called Meng Ju (Fierce Ju). If Meng Ju is not treated promptly, it transforms into pus. If the pus is not drained, blocking the throat, death occurs within half a day. If pus has formed, draining it leads to recovery.
Ju arising in the neck is called Yao Ju (Premature Death Ju), characterized by large swelling with red-black discoloration. If not treated urgently, Heat Qi descends into Yuan Ye (GB12), damaging the Ren Mai (Conception Vessel) anteriorly and steaming the Liver and Lungs internally. Steaming the Liver and Lungs leads to death in ten-plus days.
Excessive expansion of Yang Qi, consuming brain marrow and lingering in the nape, is called Nao Shuo (Brain Melting). The patient appears unhappy, has neck pain, and requires needle therapy. If accompanied by mental restlessness, it is an incurable fatal condition.
Ju arising in the arms and axilla is called Ci Ju. It presents with red-black skin and requires urgent treatment. It causes sweating down to the feet but does not harm the Five Zang Organs. After four to five days of emergence, it can be punctured with Bian Shi (stone needles).
Ju arising in the axilla, red and hard, is called Mi Ju (Rice Ju). If hard and un-ulcerated, it is called Ma Dao (Horse Knife/Scrofula).
Ju arising in the chest is called Jing Ju (Well Ju). It resembles a soybean. Within three to four days, if not treated early, toxins descend into the abdomen, becoming incurable, leading to death in ten days.
Ju arising in the precordium is called Gan Ju (Sweet Ju). It resembles grain kernels or bottle gourds, often accompanied by alternating chills and fever. Urgent treatment is required to resolve the chills and fever. Without treatment, death occurs in ten years, with pus discharge after death.
Ju arising in the anterior thigh (Gu Yang) is called Dui Ju. Symptoms show little change, but pus adheres to the bone. Without urgent treatment, death occurs in forty days.
Ju arising in the hypochondrium is called Gai Zi. Gai Zi is a disease specific to women. Alternatively, Yong arising beside the female genitalia is called Gai Zi Ju. If untreated for a long time, polyps grow inside, resembling red adzuki beans or hemp seeds.
Ju arising in the sacrum is called Dui Ju. It is red, hard, and large; urgent treatment is needed. Without treatment, death occurs in forty days. If arising in the coccyx, also called Dui Ju, failure to treat urgently leads to systemic perforation and death in ten days.
Ju arising in the inner thigh is called Chi Chi (Red Flaccidity). Without urgent treatment, death occurs in six days. If bilateral, untreated, death occurs in sixty days.
Ju arising in the knee is called Ci Ju. It is large, colorless, hard, and accompanied by chills and fever. Do not needle; needling causes death. Wait until the color turns black and soft before needling to ensure survival.
Ju arising in the lower leg is called Tu Nie Ju (Rabbit Bite Ju). Redness extends to the bone; urgent treatment is required. Untreated, it is fatal.
Ju arising in the ankle is called Zou Huan. Color remains unchanged. Repeated moxibustion to stop chills and fever prevents death.
Ju arising above and below the foot is called Si Yin. Without urgent treatment, death occurs in one hundred days.
Ju arising on the side of the foot is called Li Ju. It is not large, starting from the small toe; urgent treatment is needed. If black, it cannot be resolved, and death occurs in one hundred days.
Ju arising in the toes is called Tuo Ju (Sloughing Ju). Red-black indicates death; non-red-black indicates survival. If treatment fails, amputation saves life. If not amputated, Ju arising on the forehead without pus discharge leads to death in ten days. Puncture is possible on the fifth day. Pus that is red and bloody indicates death; absence of pus allows for treatment. At ages 25, 31, 60, and 95, the Hundred Deities reside in the forehead; bleeding here is fatal.
Chi Ju (Red Ju) presenting with body swelling, firm nodules, and fever, preventing sitting, walking, or bending, resolves upon puncturing once pus forms. Chi Ju in the chest is treatable. Chi Ju at the hip joint (Bi Shu) is treatable within six months; otherwise, death occurs crossing the year. Chi Ju in the inner thigh: firm indicates death, soft indicates treatability. Chi Ju in the palm is treatable. Chi Ju in the lower leg is fatal and untreatable.
Bai Ju (White Ju) arising in the arm or behind the elbow, with itching, eye pain damaging essence, fever, and excessive sweating, is fatal if five or six sites are involved.
Hei Ju (Black Ju) swelling on the upper back bones can be punctured on the eighth day. Delay leads to Gu Ju (Bone Ju). If Bone Ju pus flows uncontrollably and expels bone fragments, or if Hei Ju arises in Yuan Ye, death ensues. Hei Ju in the ear, rice-sized, is called Wen Ju, which is fatal. Hei Ju in the arm is fatal. Hei Ju in the Que Pen (supraclavicular fossa) is called Fu Yong, which is fatal. Hei Ju around the elbow is treatable and non-fatal. Hei Ju in the calf is fatal. Hei Ju on the kneecap: firm indicates death, soft indicates treatability. Hei Ju on the dorsum of the foot: firm indicates death.
Cang Ju (Granary Ju) arises systemically, starting with itching then pain. Originally Tai Yang Shang Han (Cold Damage), Cold Qi enters the Zang severely, causing Cang Ju. Treatable within nine days; fatal after ninety days.
Ding Ju (Nail Ju) arises in both arms due to chasing/pursuit, causing evil blood to knot internally and externally, blocking Ying and Wei Qi. Three days later, the body swells, pain is severe, and the jaw is locked like spasm. Puncture on the eleventh day. Untreated, death occurs in twenty days. Ding Ju rises from the flesh like a nail head, with roots reaching the bone.
Feng Ju arises on the back, originating from Xin Shu (BL12) or the arm. If not drained in twenty days, death ensues. Puncture on the eighth day. Red-black color with greenish pus indicates fatal, untreatable condition. At ages 6, 18, 24, 40, 56, 67, 72, and 98, spirits reside in the arms; bleeding is fatal.
Yin Ju arises in the thigh or inner thigh. Initially, the waist is stiff, internal symptoms are uncontrollable, drinking is limited, and firm pain lasts five days. Untreated... [text fragment].
Ci Ju arises on the back, from Fei Shu (BL13) or Gan Shu (BL18). If not drained in ten days, death ensues. Puncture on the eighth day. Red eruption with meat resembling pepper grains is fatal and untreatable. At ages 19, 25, 33, 49, 57, 60, 73, 81, and 97, spirits reside in the back; bleeding is fatal.
Mai Ju arises around the neck. Initial symptoms include fever, reluctance to move, or inability to eat. Caused by great fear and lack of concentration, leading to rebellious Qi and cough. Eruption pulls the ears, limiting movement. Puncture on the twentieth day. Without puncture, death occurs in eighty days.
Long Ju arises on the back, from Wei Shu (BL21) or Shen Shu (BL23). If not drained in twenty days, death ensues. Puncture on the ninth day. Red top/black bottom or blue-black indicates death; bloody pus indicates survival.
Shou Ju arises on the back. Fever persists for eighty-two days, with profuse sweating from the head radiating through the body. If coughing and body heat feel like boiling, shallow puncture is applied to shiny, swollen areas. Without puncture, toxins enter the abdomen, causing death in twenty days.
Xia Rong Ju arises in the hypochondrium or elbows. If not drained in twenty-five days, death ensues. Puncture on the ninth day. Red-white discharge with mostly white, non-red pus is treatable. At ages 16, 26, 32, 48, 58, 64, 80, and 96, spirits reside in the hypochondrium; bleeding is fatal.
Yong Ju arises in the thigh, from Tai Yin meridian or Futu. If not drained in twenty-five days, death ensues. Puncture on the tenth day. Clear pus with red-black color is fatal; white pus is treatable. At ages 11, 15, 20, 31, 32, 46, 59, 63, 75, and 91, spirits reside in the sacrum; bleeding is fatal.
Biao Shu Ju arises on the back, with intense heat, deafness, and swelling resembling water wrapping after sixty days. Puncture is applicable. Only water drains initially, followed by blood, which clears the condition. At ages 57, 65, 73, 81, and 97, spirits reside in the back; bleeding is fatal.
Lao Ju arises on the dorsum or sole of the foot. If not drained in thirty days, death ensues. Puncture on the twelfth day. Red-white pus that is not abundant, with itching, red-black color, is fatal and untreatable. At ages 13, 29, 35, 61, 73, and 93, spirits reside in the feet; bleeding is fatal.
Chong Ju arises in the lower abdomen, with pain, trembling chills/fever, and dizziness. Changes occur on the sixth day. Puncture is applicable. Without puncture... [text fragment].
Dun Ju arises in the fingertips of hands and feet. If not drained in eighteen days, death ensues. Puncture on the fourth day. Black eruption with mild carbuncle... [text fragment].
Jie Ju arises in the axilla, arms, or palms, with chills, fever, dry throat, vomiting after drinking, mental restlessness, or sudden rash. Sweating therapy is indicated; failure to sweat is fatal.
Jin Ju arises on the back along the major tendons flanking the spine, with cyan color. Puncture on the eighth day.
Chen Gan Ju arises in the arm. Pain and immobility for three to four days; fever and redness on the fiftieth day. Puncture on the sixtieth day. No blood upon puncture... [text fragment].
Zao Ju arises in the fingertips. Joint color unchanged; puncture within ten days. Delay leads to... [text fragment]. Carbuncle in the axilla leads to death in three years. Decoction, warming, acupuncture, and stone needle therapies have separate formulas; nourishing and guiding exercises follow.
*Yang Sheng Fang* states: Covering food with copper vessels allows sweat to enter the food; eating it causes malignant sores and internal Ju.
It also states: Eating raw carp with pig liver and lungs induces Ju.
Eating crow meat with carp meat induces Ju.
Eating the white paste-like substance in fish bellies with crow meat induces Ju.
Eating fish gills induces Ju.
Forcing a full meal while drunk may unfortunately induce Ju.
*Yang Sheng Fang · Dao Yin Fa* states: Stand upright against a wall, hold breath and circulate Qi from head to foot to cure Ju. Circulating Qi involves inhaling through the nose five times before exhaling once, constituting one cycle. Twelve cycles lead to recovery.
It also states: Sit upright against a wall, hold breath and circulate Qi from the mouth directing Qi to the head to stop. This treats Ju-Bi (Ju with numbness) and Qi deficiency.