并红丝疔羊毛疔喑疔各症。
五疔者,心、肝、脾、肺、肾五脏之毒火而成也。
火焰疔,多生于唇口及手掌指节间。初生一点红黄小泡,痒痛麻木,甚则寒热交作、头
晕眼花,心烦发躁,言语昏愦,此属心经之毒火而成也。
紫燕疔,多生于手足骨节及腰胁筋骨之间,初生便作紫泡,次日破流血水,串筋烂骨,
疼痛苦楚,重则眼红目昧,指甲纯青,舌强神昏,睡语惊惕,此属肝经之毒火而成也。
黄鼓疔,多生口角、腮颊、眼胞上下及太阳正面之处。初生黄泡,光亮明润,四围红色
缠绕,发时便作麻痒,绷急硬强,重则恶心呕吐,肢体木痛,寒热烦渴,此属脾经之毒火而
成也。
白刃疔,多生鼻孔及两手臂膊之处。初生白泡,顶硬根突,麻痒兼痛,破流脂水,易腐
易陷,重则腮损咽焦,咳吐痰涎,鼻掀气急等症,此属肺经之毒火面成也(治法同鼻疔)。
黑 疔,多生耳窍、牙缝及胸腹腰肾偏僻软肉之处,初生黑斑紫泡,毒窜皮肤,渐攻
肌肉,顽硬如钉,痛彻骨髓,重则手足青紫、惊悸沉困,软陷孔深,目睛透露,此属肾经之
毒火而成也(治法详耳疔)。
红丝疔,多生手掌及诸骨节间。初起形如小疮,渐发红丝,上攻手膊,寒热交作,甚则
恶心呕吐,迟治必攻心腹不救。急寻至红丝尽处,用针挑断出血,再将初起疮上亦挑破,即
用蟾酥丸擦入,以万应膏盖之,如轻者只搽擦拔疔散亦可,内服黄连解毒汤,加生大黄一钱
五分,葱头五个,煎服。急寻看头发中有红头发一根,当即拔去。
羊毛疔,初起恶寒发热,状类伤寒,当先验其前心后心起有紫黑斑点,或如疹子者,急
用针挑破刮出如羊毛方是疔苗。前心后心共挑数处,用黑豆、荞麦研末涂之,内服五味消毒
饮取汗,次服化疔内消散。轻者用拔疔法,重者按前内治要雇各方服药。
又,羊毛疔急救方∶初起一黑点,其迹颇微,内有长毛数根,即发寒热,心中极不好过
,其毒最易攻心,每每一晕而死。其症似伤寒,若误投发散药,即无救矣,慎之慎之!治法
∶用铜镜放胸口扑打三四下,即有长毛二三根、随镜光而出即愈。如一时不得铜镜,即用酒
坛上泥头,或黄泥亦可,用水和湿,干润相宜,成团如饭之粘滞,用手将泥在胸口上滚擦,
其毛随泥滚带而出。再用紫花地丁草一两,水煎服,渣敷患处即愈。
暗疔,未发之先,腋下忽然坚肿,散漫无头,次肿阴囊睾丸突兀,状如筋头,身发寒热
,筋脉拘急,肿处 痛。治法∶忌用针灸,先以蟾酥丸含化,令尽以冷水漱去毒涎,再用三
丸,嚼葱白三寸裹药,黄酒送下。盖被取汗。汗若不出,饮热酒催之。仍无汗,系毒热滞结
,急用霹雳火法∶烧红大石子放瓦钵内,安桶中及醋淬石,将患处覆桶上,浓衣密盖,勿令
泄气。热气微,再添红石,加醋淬之,务使热气熏蒸至汗,其毒减半,再用大黄一两,白芷
三钱,共研细末为丸。每服三四钱,葱头三个,酒煎作汤送下。盖被取汗,大便行时即效。
内疔,先发寒热,渐次腹痛,数日间,忽然肿起一块如积聚是也。治法同暗疔。
凡暗、内二疔,人所易忽,本属难辨,慎勿误作伤寒杂病。若初起即牙关紧急者,急用
蟾酥丸三五粒,葱头煎汤,研化灌之。凡人暴死者,多是疔毒,急取灯遍照其身,若有小疮
,即是其毒,宜急灸之,急以夺命丹或蟾酥丸研化水调灌之,亦有复苏,再照前法治之。
所谓“五疔”,是指由心、肝、脾、肺、肾五脏的毒火所形成的病症。
火焰疔,多生长在嘴唇、口腔以及手掌和手指关节之间。初起时出现一点红黄色的小水泡,伴有瘙痒、疼痛和麻木感,严重时会出现忽冷忽热、头晕眼花、心烦意乱、急躁不安、言语昏沉混乱等症状,这是属于心经毒火所致。
紫燕疔,多生长在手足骨节以及腰胁部的筋骨之间,初起即形成紫色水泡,第二天破裂流出血水,毒素沿筋脉蔓延导致骨骼腐烂,疼痛剧烈痛苦不堪,重症者出现眼睛发红、视力模糊、指甲纯青、舌体僵硬、神志昏迷、睡中呓语且易受惊惕,这是属于肝经毒火所致。
黄鼓疔,多生长在嘴角、面颊、眼睑上下以及面部正中等处。初起为黄色水泡,光亮润泽,四周被红色环绕,发作时感到麻木瘙痒,患处紧绷急迫、坚硬强直,重症者出现恶心呕吐、肢体麻木疼痛、忽冷忽热、烦躁口渴,这是属于脾经毒火所致。
白刃疔,多生长在鼻孔及双臂手臂部位。初起为白色水泡,顶端坚硬、根部突起,既有麻木瘙痒又有疼痛,破裂后流出脂状液体,容易溃烂腐坏且毒邪内陷,重症者出现腮部受损、咽喉焦枯、咳嗽吐痰涎、鼻翼扇动、呼吸急促等症状,这是属于肺经毒火所致(治疗方法同鼻疔)。
黑疔,多生长在耳窍、牙缝以及胸腹腰部肾脏周围偏僻柔软的肌肉处,初起为黑色斑点或紫色水泡,毒邪窜入皮肤,逐渐侵蚀肌肉,质地顽固坚硬如钉子,疼痛直达骨髓,重症者出现手足青紫、惊恐心悸、身体沉重困倦,患处软陷孔深,眼球突出,这是属于肾经毒火所致(治疗方法详见耳疔)。
红丝疔,多生长在手掌及各骨节之间。初起形状像小疮,逐渐显现出红色丝线,向上蔓延至手臂,伴有忽冷忽热,严重时出现恶心呕吐,若治疗迟缓必会攻犯心腹导致无法救治。应立即寻找红丝线的尽头,用针挑断出血,再将初起的小疮挑破,随即使用蟾酥丸擦拭渗入,并用万应膏覆盖。如果病情较轻,仅涂抹拔疔散即可,同时内服黄连解毒汤,加入生大黄一钱五分、葱头五个,煎汤服用。紧急寻找看头发中是否有一根红发,如有应立即拔掉。
羊毛疔,初起时恶寒发热,症状类似伤寒,应当先检查前心和后背是否有紫黑色的斑点,或者像疹子一样的东西,立即用针挑破并刮出像羊毛一样的物质,这才是疔的苗头。在前心和后背共挑数处,用黑豆、荞麦研成粉末涂抹,内服五味消毒饮以取汗,随后服用化疔内消散。轻症者使用拔疔法,重症者按照前述内治要方各方服药。
另外,羊毛疔急救方:初起时有一个黑点,痕迹很轻微,里面有几根长毛,随即引发寒热,心中极度不适,其毒邪最容易攻心,常常使人晕厥而死。其症状类似伤寒,如果误投发散药物,就无法救治了,务必谨慎!治疗方法:用铜镜在胸口拍打三四下,就会有二三根长毛随着镜面光泽而出,病即痊愈。如果一时找不到铜镜,可以用酒坛上的泥头,或者黄泥也可以,用水调和至干湿适宜,揉成团如饭粒般粘滞,用手拿着泥团在胸口上滚动擦拭,毛发会随着泥团滚带而出。然后再用紫花地丁草一两,水煎服用,药渣敷在患处即可痊愈。
暗疔,在发作之前,腋下突然坚硬肿胀,漫无边际没有脓头,接着阴囊睾丸突兀肿胀,形状像筋结,身体出现寒热,筋脉拘挛紧急,肿胀处疼痛。治疗方法:禁止使用针灸,先用蟾酥丸含服化尽,用冷水漱口去除毒涎,再吞服三丸,嚼碎三寸长的葱白包裹药丸,用黄酒送服。盖被子取汗。如果不出汗,喝热酒催促出汗。仍然无汗,说明毒热滞留凝结,急需使用霹雳火法:烧红大石头放入瓦钵内,安置在桶中并用醋淬石,将患处覆盖在桶上,用厚衣服严密遮盖,不要漏气。热气减弱时,再添置红石,加醋淬之,务必使热气熏蒸直至出汗,这样毒邪减半,再用大黄一两、白芷三钱,共同研成细末制成丸药。每次服用三四钱,配合葱头三个,用酒煎汤送服。盖被子取汗,大便通畅时即见效。
内疔,先发寒热,逐渐出现腹痛,几天后,突然肿起一块,如同积聚症一样。治疗方法同暗疔。
凡是暗疔、内疔这两种疔,人们容易忽视,本来难以辨别,千万不要误当作伤寒杂病。如果初起时就出现牙关紧闭,急忙用蟾酥丸三五粒,用葱头煎汤,研磨化开后灌服。凡是突然死亡的人,大多是疔毒所致,急忙拿灯遍照全身,如果有小疮,就是疔毒,应当急忙施灸,急忙用夺命丹或蟾酥丸研化用水调匀灌服,也有复苏的,再按照前面的方法治疗。
Furthermore, there are various conditions such as Red Thread Ding (Hong Si Ding), Wool Ding (Yang Mao Ding), and Dark Ding (An Ding).
The so-called "Five Dings" refer to conditions formed by the toxic fire of the Heart, Liver, Spleen, Lung, and Kidney Zang organs.
Flame Ding (Huo Yan Ding) mostly arises on the lips, mouth, and between the joints of the palms and fingers. Initially, a small red-yellow blister appears, accompanied by itching, pain, and numbness. In severe cases, alternating chills and fever, dizziness, blurred vision, mental restlessness, irritability, and confused speech occur; this is caused by the toxic fire of the Heart Meridian.
Purple Swallow Ding (Zi Yan Ding) mostly arises in the bone joints of the hands and feet, and between the tendons and bones of the waist and flanks. It forms purple blisters initially, which rupture the next day bleeding serosanguineous fluid. The toxin spreads along the tendons causing bone rot, resulting in severe pain. In heavy cases, red eyes, obscured vision, cyanotic nails, stiff tongue, coma, somniloquy, and startlefulness occur; this is caused by the toxic fire of the Liver Meridian.
Yellow Drum Ding (Huang Gu Ding) mostly arises at the corners of the mouth, cheeks, upper and lower eyelids, and the center of the face. It begins as a yellow blister, bright and moist, surrounded by red erythema. Upon onset, it feels numb and itchy, with the area feeling tight, urgent, hard, and rigid. In severe cases, nausea, vomiting, limb numbness and pain, alternating chills and fever, and vexation with thirst occur; this is caused by the toxic fire of the Spleen Meridian.
White Blade Ding (Bai Ren Ding) mostly arises in the nostrils and both arms. It begins as a white blister with a hard apex and protruding root, presenting with numbness, itching, and pain. Upon rupture, it exudes fatty fluid, prone to putrefaction and sinking of the toxin. In severe cases, cheek damage, scorched throat, coughing up phlegm, nasal flaring, and rapid breathing occur; this is caused by the toxic fire of the Lung Meridian (treatment is the same as Nasal Ding).
Black Ding (Hei Ding) mostly arises in the ear canals, tooth gaps, and soft flesh in remote areas of the chest, abdomen, waist, and kidneys. It begins as black spots or purple blisters. The toxin invades the skin and gradually attacks the muscles, becoming stubbornly hard like a nail, with pain penetrating to the bone marrow. In severe cases, cyanosis of hands and feet, fright palpitations, heaviness and lethargy, deep soft depressions, and protruding eyeballs occur; this is caused by the toxic fire of the Kidney Meridian (see Ear Ding for detailed treatment).
Red Thread Ding (Hong Si Ding) mostly arises on the palms and between various bone joints. Initially resembling a small sore, red threads gradually appear and ascend to the arm, accompanied by alternating chills and fever. Severe cases involve nausea and vomiting. If treatment is delayed, the toxin will attack the heart and abdomen, leading to untreatable conditions. Immediately locate the end of the red thread, puncture it with a needle to bleed, then puncture the initial sore. Apply Chan Su Pill (Toad Venom Pill) by rubbing it into the wound, and cover with Wan Ying Gao (Ten Thousand Responses Plaster). For mild cases, applying Ba Ding San (Ding-Extracting Powder) suffices. Internally administer Huang Lian Jie Du Tang (Coptis Decoction for Resolving Toxicity), adding 1.5 qian of Sheng Da Huang (Raw Rhizoma Rhei Preparata) and five Cong Tou (Scallion Heads), decocted and taken orally. Urgently check if there is a single red hair among the scalp hairs; if found, pluck it out immediately.
Wool Ding (Yang Mao Ding) initially presents with aversion to cold and fever, resembling Shang Han (Cold Damage). One must first examine the anterior and posterior chest for purple-black spots or rash-like lesions. Immediately puncture with a needle and scrape out material resembling wool, which indicates the Ding seed. Puncture several points on the anterior and posterior chest, apply powder made from ground Hei Dou (Black Soybean) and Qiao Mai (Buckwheat), and internally administer Wu Wei Xiao Du Yin (Five-Ingredient Decoction for Clearing Toxicity) to induce sweating, followed by Hua Ding Nei Xiao San (Ding-Dissolving Internal Resolution Powder). Mild cases use the Ding-extraction method; severe cases follow the aforementioned internal treatment protocols.
Additionally, an emergency formula for Wool Ding: Initially, a single black dot appears with subtle traces containing several long hairs, triggering chills and fever and extreme discomfort. The toxin easily attacks the heart, often causing syncope and death. The symptoms resemble Shang Han; misprescribing dispersing agents renders it incurable. Exercise utmost caution! Treatment: Strike the chest three to four times with a copper mirror. Several long hairs should emerge following the mirror's light, curing the condition. If a copper mirror is unavailable, use mud from a wine jar lid or yellow clay. Mix with water to a suitable consistency, forming a sticky ball like rice dough. Roll this mud ball over the chest to extract the hairs. Then, decoct 1 liang of Zi Hua Di Ding Cao (Viola Yedoensis Herb) in water for oral administration, and apply the dregs to the affected area for cure.
Dark Ding (An Ding): Before onset, sudden indurated swelling occurs in the axilla, diffuse without a head. Subsequently, the scrotum and testicles swell prominently, resembling tendon knots. The body exhibits chills and fever, tendon and vessel spasms, and pain in the swollen area. Treatment: Acupuncture and moxibustion are contraindicated. First, dissolve Chan Su Pill (Toad Venom Pill) in the mouth, rinse with cold water to remove toxic saliva, then swallow three pills wrapped in chewed 3-cun Bai Cong (White Scallion Stalk), taken with Huang Jiu (Yellow Wine). Cover with blankets to induce sweating. If sweating does not occur, drink hot wine to promote it. If still no sweat, it indicates stagnation of toxic heat. Urgently employ Pi Li Huo Fa (Thunder Fire Method): Place heated large stones in a ceramic bowl set within a bucket, quench the stones with vinegar. Cover the affected area over the bucket, wrap tightly with thick clothing to prevent steam leakage. As heat diminishes, add more red-hot stones and quench with vinegar, ensuring steam penetrates until sweating occurs, reducing the toxin by half. Then, prepare pills from 1 liang of Da Huang (Radix et Rhizoma Rhei) and 3 qian of Bai Zhi (Radix Angelicae Dahuricae) finely powdered. Take 3-4 qian per dose, delivered with decoction of three Cong Tou (Scallion Heads) in wine. Cover with blankets to induce sweating; efficacy is seen upon bowel movement.
Internal Ding (Nei Ding): Initially presents with chills and fever, gradually progressing to abdominal pain. Within a few days, a lump suddenly swells up, resembling a Ju Ji (accumulation-mass) pattern. Treatment is the same as Dark Ding.
Both Dark Ding and Internal Ding are easily overlooked by people and are difficult to distinguish; do not mistakenly treat them as Shang Han or miscellaneous diseases. If jaw stiffness occurs at onset, urgently grind 3-5 Chan Su Pills (Toad Venom Pills) in Cong Tou (Scallion Head) decoction and force-feed. Sudden death is often due to Ding toxicity. Urgently illuminate the entire body with a lamp; if small sores are found, they indicate Ding toxin. Perform urgent moxibustion, and urgently administer Duo Ming Dan (Life-Snatching Pill) or Chan Su Pill (Toad Venom Pill) dissolved in water for force-feeding. Recovery is possible, followed by the aforementioned treatments.