18. Sores, Abscesses, Intestinal Abscesses and Spreading Sores · Pulses, Signs and Treatment · Jingui Yaolue · Essentials from the Golden Cabinet · Source texts
Jingui Yaolue · Essentials from the Golden Cabinet
18. Sores, Abscesses, Intestinal Abscesses and Spreading Sores · Pulses, Signs and Treatment
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Floating, rapid pulses should give fever. Shivering aversion to cold instead, with a painful place, means an abscess should emerge there.
The Master says: To distinguish pus in swellings, cover the swelling with the hand. Heat means pus, no heat no pus.
Intestinal abscess gives armor-scaled skin, tense abdominal skin soft under pressure as if swollen, no abdominal accumulation, no bodily heat and rapid pulse. This means abscess pus within the intestines. Yiyi Fuzi Baijiang San governs.
Yiyi Fuzi Baijiang San Formula
Yiyiren 10 fen; Fuzi 2 fen; Baijiang 5 fen.
Pound the three to powder. Take a fangcunbi, boil in 2 sheng water until halved, and take at once. Urine should descend.
Intestinal abscess gives swollen focal blockage in lower abdomen, pressure painful like lin, urine regulating itself, intermittent fever, spontaneous sweat and further aversion to cold. Slow, tight pulse means pus not yet formed; purging is allowed and blood should appear. Surging, rapid pulse means pus formed and purging prohibited. Dahuang Mudan Tang governs.
Dahuang Mudan Tang Formula
Dahuang 4 liang; Mudan 1 liang; Taoren 50 kernels; Guazi half a sheng; Mangxiao 3 he.
Boil the five in 6 sheng water to obtain 1 sheng. Strain, add Mangxiao, bring again to a boil and take at once. Pus, if present, should pass; without pus blood should pass.
Question: Floating, faint, rough cunkou should mean blood loss if sweat occurs. What if no sweat?
Answer: There may be a wound from knife or axe; blood has been lost.
Metal-blade wounds are governed by Wangbuliuxing San.
Wangbuliuxing San Formula
Wangbuliuxing 10 fen, collected eighth day of eighth month; fine Shuodiao leaves 10 fen, seventh day of seventh month; white mulberry root bark from east-southeast 10 fen, third day of third month; Gancao 18 fen; Chuanjiao 3 fen, eyes and closed fruits removed, moisture driven off; Huangqin, Ganjiang, Shaoyao and Houpo 2 fen each.
Of the nine ingredients, burn the first three through mulberry root bark to ash while preserving their character, not overburning. Pound and sieve separately, then combine as powder. Take a fangcunbi. Small wounds are dusted with it; for large wounds only take it internally. It may also be taken postpartum. In wind-cold, do not include the east-side mulberry root. Shade-dry the first three materials for a hundred days.
Painong San Formula
Zhishi 16 fruits; Shaoyao 6 fen; Jiegeng 2 fen.
Pound the three to powder. Take one egg yolk and an equal amount of powder; knead together, mix with a drink and take once daily.
Spreading weeping sores flowing from mouth to limbs are treatable; from limbs into mouth not treatable.
Spreading weeping sores are governed by Huanglian powder. The formula has not been found, says the note.
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