Abscess and Deep Sores

癰疽

Yōng jū

The last chapter of the Ling Shu, and a treatise on suppuration.It begins with the physiology of blood: the upper burner warms, the middle burner moistens like dew, fluids are transformed to red, and the vessels fill in order from grandson to network to channel. Cut off that movement and cold lodges, blood roughens, guarding qi returns and cannot turn back — and an abscess forms. Cold turns to heat, heat rots flesh, flesh makes pus, and if the pus is not drained the rot runs inward through sinew, bone and marrow to the viscera, where it kills.The body of the chapter is a register of nineteen named sores, each with its site, its appearance and its term of death — half a day for the throat, seven days for the chest, thirty for the rump, sixty for the inner thigh, a hundred for the yang and thirty for the yin. It ends with the distinction that organises the whole: an abscess does not sink in and spares the viscera; a deep sore sinks, exhausts and kills.

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黃帝曰:余聞腸胃受穀,上焦出氣,以温分肉,而養骨節,通腠理。 黄帝曰:余闻肠胃受谷,上焦出气,以温分肉,而养骨节,通腠理。
Huáng Dì yuē: yú wén cháng wèi shòu gǔ, shàng jiāo chū qì, yǐ wēn fēn ròu, ér yǎng gǔ jié, tōng còu lǐ.
黄帝说:我听说肠胃受谷,上焦出气,以温分肉、养骨节、通腠理。
The Emperor said: I have heard that when stomach and intestines receive grain, the upper burner issues qi to warm the flesh, nourish the joints and open the interstices.
中焦出氣如露,上注谿谷,而滲孫脉,津液和調,變化而赤爲血。血和則孫脉先滿溢,乃注於絡脉,皆盈乃注於經脉。陰陽已張,因息乃行,行有經紀,周有道理,與天合同,不得休止。切而調之,從虚去實,爲則不足,疾則氣減,留則先後,後虚去虚,補則有餘,血氣已調,形氣乃持。 中焦出气如露,上注谿谷,而渗孙脉,津液和调,变化而赤为血。血和则孙脉先满溢,乃注于络脉,皆盈乃注于经脉。阴阳已张,因息乃行,行有经纪,周有道理,与天合同,不得休止。切而调之,从虚去实,为则不足,疾则气减,留则先后,后虚去虚,补则有余,血气已调,形气乃持。
zhōng jiāo chū qì rú lù, shàng zhù xī gǔ, ér shèn sūn mài, jīn yè hé tiáo, biàn huà ér chì wéi xuè. xuè hé zé sūn mài xiān mǎn yì, nǎi zhù yú luò mài, jiē yíng nǎi zhù yú jīng mài. yīn yáng yǐ zhāng, yīn xī nǎi xíng, xíng yǒu jīng jì, zhōu yǒu dào lǐ, yǔ tiān hé tóng, bù dé xiū zhǐ. qiè ér tiáo zhī, cóng xū qù shí, wéi zé bù zú, jí zé qì jiǎn, liú zé xiān hòu, hòu xū qù xū, bǔ zé yǒu yú, xuè qì yǐ tiáo, xíng qì nǎi chí.
中焦出气如露,上注溪谷而渗孙脉,津液和调,变化而赤为血。血和则孙脉先满溢,再注于络脉,络脉皆盈再注于经脉。阴阳已张,随呼吸而行,行有经纪,周有道理,与天合同,不得休止。切而调之,从虚去实,泻则不足,疾则气减,留则先后;后虚去虚,补则有余;血气已调,形气乃持。
The middle burner issues qi like dew; it pours up into the valleys and seeps into the grandson vessels; fluids are harmonised and transformed, turning red to become blood. When the blood is harmonious the grandson vessels first fill and overflow, then pour into the network vessels; when all are full they pour into the channels. Yin and yang being thus stretched, it moves with the breath, its movement has order, its circuit has a way, joining with heaven and unable to rest. Cut and tune it: from emptiness remove solidity; draining makes insufficiency; haste diminishes qi; retaining makes before and after; afterwards, from emptiness remove emptiness, and tonifying leaves excess. When blood and qi are tuned, form and qi hold.
余已知血氣之平與不平,未知癰疽之所從生,成敗之時,死生之期有遠近,何以度之?可得聞乎? 余已知血气之平与不平,未知痈疽之所从生,成败之时,死生之期有远近,何以度之?可得闻乎?
yú yǐ zhī xuè qì zhī píng yǔ bù píng, wèi zhī yōng jū zhī suǒ cóng shēng, chéng bài zhī shí, sǐ shēng zhī qī yǒu yuǎn jìn, hé yǐ dù zhī? kě dé wén hū?
我已知道血气的平与不平,但不知道痈疽从何而生,成败之时、死生之期有远有近,怎样测度?可以听听吗?
I already know whether blood and qi are level or not, but I do not know whence abscess and deep sore arise, nor how to measure the time of their completion or failure, the near or far date of death or life. May I hear it?
歧伯曰:經脉留行不止,與天同度,與地合紀。故天宿失度,日月薄蝕,地經失紀,水道流溢,草萓不成,五穀不殖,徑路不通,民不徃來,巷聚邑居,則别離異處。血氣猶然,請言其故。 歧伯曰:经脉留行不止,与天同度,与地合纪。故天宿失度,日月薄蚀,地经失纪,水道流溢,草萓不成,五谷不殖,径路不通,民不往来,巷聚邑居,则别离异处。血气犹然,请言其故。
Qí Bó yuē: jīng mài liú xíng bù zhǐ, yǔ tiān tóng dù, yǔ dì hé jì. gù tiān sù shī dù, rì yuè bó shí, dì jīng shī jì, shuǐ dào liú yì, cǎo yí bù chéng, wǔ gǔ bù zhí, jìng lù bù tōng, mín bù wǎng lái, xiàng jù yì jū, zé bié lí yì chù. xuè qì yóu rán, qǐng yán qí gù.
歧伯说:经脉留行不止,与天同度,与地合纪。所以天宿失度,日月薄蚀,地经失纪,水道流溢,草萓不成,五谷不殖,径路不通,民不往来,巷聚邑居,就分离异处。血气也是这样,请说其故。
Qi Bo said: The channels run on without cease, sharing the measure of heaven and the order of earth. Hence when the heavenly lodges lose their measure, sun and moon are eclipsed; when the earth’s order fails, watercourses overflow, grass does not come to fruit, the five grains do not grow, paths are blocked and people do not come and go, and villages and towns are left apart. Blood and qi are likewise — pray let me speak the reason.
夫血脉營衛,周流不休,上應星宿,下應經數,寒邪客於經絡之中則血泣,血泣則不通,不通則衛氣歸之,不得復反,故癰腫。寒氣化爲𤍠,𤍠勝則腐肉,肉腐則爲膿,膿不寫則爛筋,筋爛則傷骨,骨傷則髓消,不當骨空,不得泄寫,血枯空虚,則筋骨肌肉不相榮,經脉敗漏,薰於五藏,藏傷故死矣。 夫血脉营卫,周流不休,上应星宿,下应经数,寒邪客于经络之中则血泣,血泣则不通,不通则卫气归之,不得复反,故痈肿。寒气化为𤍠,𤍠胜则腐肉,肉腐则为脓,脓不写则烂筋,筋烂则伤骨,骨伤则髓消,不当骨空,不得泄写,血枯空虚,则筋骨肌肉不相荣,经脉败漏,薰于五藏,藏伤故死矣。
fū xuè mài yíng wèi, zhōu liú bù xiū, shàng yīng xīng sù, xià yīng jīng shù, hán xié kè yú jīng luò zhī zhōng zé xuè sè, xuè sè zé bù tōng, bù tōng zé wèi qì guī zhī, bù dé fù fǎn, gù yōng zhǒng. hán qì huà wéi rè, rè shèng zé fǔ ròu, ròu fǔ zé wéi nóng, nóng bù xiè zé làn jīn, jīn làn zé shāng gǔ, gǔ shāng zé suǐ xiāo, bù dāng gǔ kōng, bù dé xiè xiè, xuè kū kōng xū, zé jīn gǔ jī ròu bù xiāng róng, jīng mài bài lòu, xūn yú wǔ zàng, zàng shāng gù sǐ yǐ.
血脉营卫周流不休,上应星宿,下应经数。寒邪客于经络之中则血涩,血涩则不通,不通则卫气归之,不得复返,所以成痈肿。寒气化为热,热胜则腐肉,肉腐则为脓;脓不泻则烂筋,筋烂则伤骨,骨伤则髓消;不当骨空,不得泄泻,血枯空虚,则筋骨肌肉不相荣,经脉败漏,熏于五藏,藏伤所以死。
Blood vessels, guarding and nutritive flow on without rest, above answering to the stars, below to the number of the channels. When cold evil lodges in channels and network vessels the blood is rough; rough, it does not pass; not passing, guarding qi returns to it and cannot turn back, and so abscess and swelling form. Cold qi transforms into heat; heat winning rots the flesh; flesh rotted makes pus; pus not drained rots the sinew; sinew rotted injures the bone; bone injured, the marrow dissolves. Not at a bone hollow, it cannot be drained; blood dries and empties, sinew, bone and flesh no longer nourish each other, the channels decay and leak, and it smokes the five viscera; the viscera injured, death follows.
黃帝曰:願盡聞癰疽之形,與忌曰名。歧伯曰:癰發於嗌中,名曰猛疽。猛疽不治,化爲膿,膿不寫,塞咽,半日死。其化爲膿者,寫則合豕膏,冷食三日而已。 黄帝曰:愿尽闻痈疽之形,与忌曰名。歧伯曰:痈发于嗌中,名曰猛疽。猛疽不治,化为脓,脓不写,塞咽,半日死。其化为脓者,写则合豕膏,冷食三日而已。
Huáng Dì yuē: yuàn jìn wén yōng jū zhī xíng, yǔ jì yuē míng. Qí Bó yuē: yōng fā yú yì zhōng, míng yuē měng jū. měng jū bù zhì, huà wéi nóng, nóng bù xiè, sāi yān, bàn rì sǐ. qí huà wéi nóng zhě, xiè zé hé shǐ gāo, lěng shí sān rì ér yǐ.
黄帝说:愿尽听痈疽的形态与忌日、名称。歧伯说:痈发于嗌中的,叫猛疽。猛疽不治,化为脓,脓不泻,塞住咽喉,半日就死。已化为脓的,泻后涂豕膏,冷食三日就好。
The Emperor said: I wish to hear fully the forms of abscess and deep sore, with their taboo days and names. Qi Bo said: An abscess arising in the throat is called the fierce sore. Untreated it turns to pus; if the pus is not drained it blocks the throat and death comes in half a day. If it has turned to pus, drain it and apply pig fat, and eat cold for three days and it is done.
發於頸,名曰天疽。其癰大以赤黑,不急治,則𤍠氣下入淵腋,前傷任脉,内薰肝肺,薰肝肺十餘日而死矣。 发于颈,名曰天疽。其痈大以赤黑,不急治,则𤍠气下入渊腋,前伤任脉,内薰肝肺,薰肝肺十余日而死矣。
fā yú jǐng, míng yuē tiān jū. qí yōng dà yǐ chì hēi, bù jí zhì, zé rè qì xià rù yuān yè, qián shāng rèn mài, nèi xūn gān fèi, xūn gān fèi shí yú rì ér sǐ yǐ.
发于颈的,叫天疽。其痈大而赤黑,不急治,则热气下入渊腋,前伤任脉,内熏肝肺,熏肝肺十余日就死。
One arising at the neck is called the heaven sore. Its abscess is large, red and black; if not treated quickly the heat qi descends into the deep armpit, injures the conception vessel in front and smokes the liver and lung within; smoking liver and lung, death comes in some ten days.
陽留大發,消腦留項,名曰腦爍。其色不樂,項痛而如刺以鍼,煩心者死,不可治。 阳留大发,消脑留项,名曰脑烁。其色不乐,项痛而如刺以针,烦心者死,不可治。
yáng liú dà fā, xiāo nǎo liú xiàng, míng yuē nǎo shuò. qí sè bù lè, xiàng tòng ér rú cì yǐ zhēn, fán xīn zhě sǐ, bù kě zhì.
阳留大发,消脑留项,叫脑烁。其色不乐,项痛如针刺,烦心的死,不可治。
When yang stays and greatly issues, consuming the brain and staying at the nape, it is called brain consumption. Its colour is joyless, the nape hurts as if pricked with a needle; if the heart is vexed, death, and it cannot be treated.
發於肩及臑,名曰疵癰。其狀赤黑,急治之,此令人汗出至足,不害五藏。癰發四五日,逞爇之。 发于肩及臑,名曰疵痈。其状赤黑,急治之,此令人汗出至足,不害五藏。痈发四五日,逞𦶟之。
fā yú jiān jí nào, míng yuē cī yōng. qí zhuàng chì hēi, jí zhì zhī, cǐ lìng rén hàn chū zhì zú, bù hài wǔ zàng. yōng fā sì wǔ rì, chěng ruò zhī.
发于肩及臑的,叫疵痈。其状赤黑,急治之,此令人汗出至足,不害五藏。痈发四五日,迎其势而灸之。
One arising at the shoulder and upper arm is called the flaw abscess. Its form is red and black; treat it quickly. It makes a man sweat down to the feet but does not harm the five viscera. When the abscess has arisen four or five days, meet it with moxa.
發於腋下赤堅者,名曰米疽。治之以砭石,欲細而長,疏砭之,塗己豕膏,六日已,勿裹之。其癰堅而不潰者,爲馬刁挾癭,急治之。 发于腋下赤坚者,名曰米疽。治之以砭石,欲细而长,疏砭之,涂己豕膏,六日已,勿裹之。其痈坚而不溃者,为马刁挟瘿,急治之。
fā yú yè xià chì jiān zhě, míng yuē mǐ jū. zhì zhī yǐ biān shí, yù xì ér cháng, shū biān zhī, tú jǐ shǐ gāo, liù rì yǐ, wù guǒ zhī. qí yōng jiān ér bù kuì zhě, wéi mǎ diāo xié yǐng, jí zhì zhī.
发于腋下而赤坚的,叫米疽。用砭石治,要细而长,稀疏砭之,砭完涂豕膏,六日就好,不要包裹。其痈坚而不溃的,是马刀挟瘿,急治之。
A red, hard swelling under the armpit is called the rice sore. Treat it with the stone needle: let it be fine and long, and strike it sparsely; after striking apply pig fat; it heals in six days and is not to be wrapped. If the abscess is hard and does not break, it is the horse-knife holding a goitre; treat it quickly.
發於胸,名曰井疽。其狀如大豆,三四日起,不早治,下入腹,不治,七日死矣。 发于胸,名曰井疽。其状如大豆,三四日起,不早治,下入腹,不治,七日死矣。
fā yú xiōng, míng yuē jǐng jū. qí zhuàng rú dà dòu, sān sì rì qǐ, bù zǎo zhì, xià rù fù, bù zhì, qī rì sǐ yǐ.
发于胸的,叫井疽。其状如大豆,三四日发起,不早治,下入腹,不治,七日死。
One arising at the chest is called the well sore. Its form is like a large bean; it rises in three or four days; if not treated early it descends into the belly, and untreated death comes in seven days.
發於膺,名曰甘疽。色青,其狀如穀實𦸈𧁾,常苦寒𤍠,急治之,去其寒𤍠,十歲死,死後出膿。 发于膺,名曰甘疽。色青,其状如谷实𦸈𧁾,常苦寒𤍠,急治之,去其寒𤍠,十岁死,死后出脓。
fā yú yīng, míng yuē gān jū. sè qīng, qí zhuàng rú gǔ shí guā lóu, cháng kǔ hán rè, jí zhì zhī, qù qí hán rè, shí suì sǐ, sǐ hòu chū nóng.
发于膺的,叫甘疽。色青,其状如谷实、栝楼,常苦寒热,急治之,去其寒热;不治十年死,死后出脓。
One arising at the chest wall is called the sweet sore. Its colour is blue-green, its form like grain or a gourd; there is constant bitter cold and heat. Treat it quickly and remove the cold and heat; untreated, death in ten years, and pus comes out after death.
發於脅,名曰敗疵。敗疵者,女子之病也,灸之,其病大癰膿,治之,其中乃有生肉,大如赤小豆,剉菱𧄍草根各一升,以水一斗六升煮之竭,爲取三升,則强飲厚衣,坐於釡上,令汗出至足己。 发于胁,名曰败疵。败疵者,女子之病也,灸之,其病大痈脓,治之,其中乃有生肉,大如赤小豆,锉菱𧄍草根各一升,以水一斗六升煮之竭,为取三升,则强饮厚衣,坐于釡上,令汗出至足己。
fā yú xié, míng yuē bài cī. bài cī zhě, nǚ zǐ zhī bìng yě, jiǔ zhī, qí bìng dà yōng nóng, zhì zhī, qí zhōng nǎi yǒu shēng ròu, dà rú chì xiǎo dòu, cuò líng qiáo cǎo gēn gè yī shēng, yǐ shuǐ yī dǒu liù shēng zhǔ zhī jié, wéi qǔ sān shēng, zé qiáng yǐn hòu yī, zuò yú fǔ shàng, lìng hàn chū zhì zú jǐ.
发于胁的,叫败疵。败疵是女子之病,灸之;其病大痈脓,治之,其中有生肉,大如赤小豆。剉菱、连翘草根各一升,以水一斗六升煮竭,取三升,强饮厚衣,坐在釜上,令汗出至足就好。
One arising at the flank is called the ruined flaw. This is a woman’s disease; moxa it. The disease is a great abscess with pus; when treated, there is new flesh within, large as a red bean. Cut equal sheng of water chestnut and forsythia root, boil in one dou six sheng of water down to three sheng, drink it strongly and wear thick clothes, sit over a cauldron and sweat down to the feet, and it is done.
發於股脛,名曰股脛疽。其狀不甚變,而癰膿摶骨,不急治,三十日死矣。 发于股胫,名曰股胫疽。其状不甚变,而痈脓抟骨,不急治,三十日死矣。
fā yú gǔ jìng, míng yuē gǔ jìng jū. qí zhuàng bù shèn biàn, ér yōng nóng tuán gǔ, bù jí zhì, sān shí rì sǐ yǐ.
发于股胫的,叫股胫疽。其状不甚变态,而痈脓搏骨,不急治,三十日死。
One arising at thigh and shin is called the thigh-shin sore. Its form changes little, but the abscess pus strikes the bone; if not treated quickly, death in thirty days.
發於尻,名曰鋭疽。其狀赤堅大,急治之,不治,三十日死矣。 发于尻,名曰锐疽。其状赤坚大,急治之,不治,三十日死矣。
fā yú kāo, míng yuē ruì jū. qí zhuàng chì jiān dà, jí zhì zhī, bù zhì, sān shí rì sǐ yǐ.
发于尻的,叫锐疽。其状赤坚大,急治之;不治,三十日死。
One arising at the rump is called the sharp sore. Its form is red, hard and large; treat it quickly; untreated, death in thirty days.
發於股陰,名曰赤施。不急治,六十日死。在兩股之内,不治,十日而當死。 发于股阴,名曰赤施。不急治,六十日死。在两股之内,不治,十日而当死。
fā yú gǔ yīn, míng yuē chì shī. bù jí zhì, liù shí rì sǐ. zài liǎng gǔ zhī nèi, bù zhì, shí rì ér dāng sǐ.
发于股阴的,叫赤施。不急治,六十日死。在两股之内的,不治,十日当死。
One arising at the inner thigh is called red bestowal. If not treated quickly, death in sixty days. If between the two thighs and untreated, death within ten days.
發於膝,名曰疵癰。其狀大癰,色不變,寒𤍠如堅石,勿石,石之者死;須其柔,乃石之者生。諸癰疽之發於節而相應者,不可治也。發於陽者,百日死;發於陰者,三十日死。 发于膝,名曰疵痈。其状大痈,色不变,寒𤍠如坚石,勿石,石之者死;须其柔,乃石之者生。诸痈疽之发于节而相应者,不可治也。发于阳者,百日死;发于阴者,三十日死。
fā yú xī, míng yuē cī yōng. qí zhuàng dà yōng, sè bù biàn, hán rè rú jiān shí, wù shí, shí zhī zhě sǐ; xū qí róu, nǎi shí zhī zhě shēng. zhū yōng jū zhī fā yú jié ér xiāng yīng zhě, bù kě zhì yě. fā yú yáng zhě, bǎi rì sǐ; fā yú yīn zhě, sān shí rì sǐ.
发于膝的,叫疵痈。其状大痈,色不变,寒热如坚石,不要砭石,砭的就死;等它柔软,再砭的就生。诸痈疽发于关节而相应的,不可治。发于阳的百日死,发于阴的三十日死。
One arising at the knee is called the flaw abscess. Its form is a great abscess, colour unchanged, cold and heat like hard stone; do not use the stone — using it kills. Wait until it is soft, then using the stone gives life. Abscesses and sores arising at the joints and answering each other cannot be treated. Those arising in the yang die in a hundred days; in the yin, in thirty days.
發於脛,名曰兔齧。其狀赤至骨,急治之,不治害人也。 发于胫,名曰兔啮。其状赤至骨,急治之,不治害人也。
fā yú jìng, míng yuē tù niè. qí zhuàng chì zhì gǔ, jí zhì zhī, bù zhì hài rén yě.
发于胫的,叫兔啮。其状赤至骨,急治之;不治害人。
One arising at the shin is called the rabbit bite. Its form is red to the bone; treat it quickly; untreated it harms a man.
發於内踝,名曰走緩。其狀癰也,色不變,數石其輸,而止其寒𤍠,不死。 发于内踝,名曰走缓。其状痈也,色不变,数石其输,而止其寒𤍠,不死。
fā yú nèi huái, míng yuē zǒu huǎn. qí zhuàng yōng yě, sè bù biàn, shuò shí qí shù, ér zhǐ qí hán rè, bù sǐ.
发于内踝的,叫走缓。其状如痈,色不变,多次砭其输穴,止其寒热,就不死。
One arising at the inner ankle is called slow walking. Its form is an abscess, colour unchanged; strike its transport several times with the stone and stop the cold and heat, and he does not die.
發於足上下,名曰四淫。其狀大癰,急治之,百日死。 发于足上下,名曰四淫。其状大痈,急治之,百日死。
fā yú zú shàng xià, míng yuē sì yín. qí zhuàng dà yōng, jí zhì zhī, bǎi rì sǐ.
发于足上下的,叫四淫。其状大痈,急治之,百日死。
One arising above and below the foot is called the four overflowings. Its form is a great abscess; treat it quickly; death in a hundred days.
發於足傍,名曰厲癰。其狀不大,初如小指,發急治之,去其黑者,不消輒益,不治,百日死。 发于足傍,名曰厉痈。其状不大,初如小指,发急治之,去其黑者,不消辄益,不治,百日死。
fā yú zú bàng, míng yuē lì yōng. qí zhuàng bù dà, chū rú xiǎo zhǐ, fā jí zhì zhī, qù qí hēi zhě, bù xiāo zhé yì, bù zhì, bǎi rì sǐ.
发于足旁的,叫厉痈。其状不大,初起如小指,发则急治之,去其黑者;不消就日益加重,不治,百日死。
One arising beside the foot is called the harsh abscess. Its form is not large, at first like a little finger; when it arises treat it quickly and remove its black part; if it does not disperse it daily increases; untreated, death in a hundred days.
發於足指,名脱癰。其狀赤黑,死不治;不赤黑,不死不衰,急斬之,不則死矣。 发于足指,名脱痈。其状赤黑,死不治;不赤黑,不死不衰,急斩之,不则死矣。
fā yú zú zhǐ, míng tuō yōng. qí zhuàng chì hēi, sǐ bù zhì; bù chì hēi, bù sǐ bù shuāi, jí zhǎn zhī, bù zé sǐ yǐ.
发于足指的,叫脱痈。其状赤黑,死不治;不赤黑,不死不衰;急斩去之,不这样就会死。
One arising at the toes is called the shed abscess. Its form is red and black: death, not to be treated. If not red and black, he does not die but does not decline; cut it away quickly, otherwise he dies.
黃帝曰:夫子言癰疽,何以别之? 黄帝曰:夫子言痈疽,何以别之?
Huáng Dì yuē: fū zǐ yán yōng jū, hé yǐ bié zhī?
黄帝说:先生说痈疽,怎样分别?
The Emperor said: The Master speaks of abscess and deep sore — how are they distinguished?
歧伯曰:營衛稽留於經脉之中,則血泣而不行,不行則衛氣從之而不通,壅遏而不得行,故𤍠。大𤍠不止,𤍠勝則肉腐,肉腐則爲膿,然不能陷,骨髓不爲燋枯,五藏不爲傷,故命曰癰。 歧伯曰:营卫稽留于经脉之中,则血泣而不行,不行则卫气从之而不通,壅遏而不得行,故𤍠。大𤍠不止,𤍠胜则肉腐,肉腐则为脓,然不能陷,骨髓不为燋枯,五藏不为伤,故命曰痈。
Qí Bó yuē: yíng wèi jī liú yú jīng mài zhī zhōng, zé xuè sè ér bù xíng, bù xíng zé wèi qì cóng zhī ér bù tōng, yōng è ér bù dé xíng, gù rè. dà rè bù zhǐ, rè shèng zé ròu fǔ, ròu fǔ zé wéi nóng, rán bù néng xiàn, gǔ suǐ bù wéi jiāo kū, wǔ zàng bù wéi shāng, gù mìng yuē yōng.
歧伯说:营卫稽留于经脉之中,则血涩而不行;不行则卫气从之而不通,壅遏不得行,所以发热。大热不止,热胜则肉腐,肉腐则为脓;但不能深陷,骨髓不为焦枯,五藏不为所伤,所以叫痈。
Qi Bo said: When guarding and nutritive are held up in the channels, the blood is rough and does not move; not moving, guarding qi follows it and does not pass, is dammed and cannot move, and so there is heat. When great heat does not stop, heat winning rots the flesh, and rotted flesh makes pus; but it cannot sink in, the marrow is not scorched, the five viscera are not injured, and so it is called an abscess.
黃帝曰:何謂疽? 黄帝曰:何谓疽?
Huáng Dì yuē: hé wèi jū?
黄帝说:什么叫疽?
The Emperor said: What is called a deep sore?
歧伯曰:𤍠氣淳盛,下陷肌膚,筋髓枯,内連五藏,血氣竭,當其癰下,筋骨良肉皆無餘,故命曰疽。疽者,上之皮夭以堅,上如牛領之皮。癰者,其皮上薄以澤,此其𠉀也。 歧伯曰:𤍠气淳盛,下陷肌肤,筋髓枯,内连五藏,血气竭,当其痈下,筋骨良肉皆无余,故命曰疽。疽者,上之皮夭以坚,上如牛领之皮。痈者,其皮上薄以泽,此其𠉀也。
Qí Bó yuē: rè qì chún shèng, xià xiàn jī fū, jīn suǐ kū, nèi lián wǔ zàng, xuè qì jié, dāng qí yōng xià, jīn gǔ liáng ròu jiē wú yú, gù mìng yuē jū. jū zhě, shàng zhī pí yāo yǐ jiān, shàng rú niú lǐng zhī pí. yōng zhě, qí pí shàng bó yǐ zé, cǐ qí hòu yě.
歧伯说:热气淳盛,下陷肌肤,筋髓枯,内连五藏,血气竭,当其痈下,筋骨良肉都无余,所以叫疽。疽的皮薄而坚,像牛领之皮;痈的皮薄而泽,这就是分别。
Qi Bo said: When heat qi is thick and full, sinking into skin and flesh, sinew and marrow wither, it joins the five viscera within and blood and qi are exhausted; below the abscess, bone, sinew and good flesh are all gone, and so it is called a deep sore. In a deep sore the skin above is thin and hard, like the skin of an ox’s neck; in an abscess the skin above is thin and glossy. This is the distinction.

Textual notes

Readings follow the base edition; significant variants are recorded here.

  1. 與忌曰名與忌日名

    曰當作「日」,形近之訛。忌日謂禁忌之日,名謂癰疽之名;此句總起下文歷舉諸名與死生之期。

  2. 草萓不成草宜不成

    萓字罕見,舊注以為「宜」之訛,謂草宜生而不成;下與「五穀不殖」並列,皆地經失紀之候。

  3. 則血泣則血澀

    泣讀 sè,與「澀」通,謂血行澀滯。本篇「血泣」三見,皆非哭泣之泣,須隨文別之。

  4. 薰於五藏熏於五藏

    薰與「熏」通,謂邪熱上熏。癰疽膿毒內攻,熏及五藏則藏傷,藏傷故死,此其死候。

  5. 名曰腦爍名曰腦爍

    爍讀 shuò,消鑠也。腦爍謂熱毒消鑠腦髓,故其色不樂、項痛如刺;煩心則毒入心,故死。

  6. 逞爇之迎而爇之

    逞當作「迎」,爇讀 ruò,謂以火艾燒灼。癰發四五日,迎其勢而灸之,使毒外散,不致內陷。

  7. 塗己豕膏塗已豕膏

    己當作「已」,謂砭畢而以豕膏塗之。豕膏,豬脂也,可潤瘡止痛,古治癰常用;《千金》諸膏方多本此。

  8. 剉菱𧄍草根剉連翹草根

    菱𧄍即「連翹」之異寫,讀 lián qiáo。剉,切碎也。連翹清熱解毒,故治敗疵之癰膿。

  9. 坐於釡上坐於釜上

    釡即「釜」之異寫。坐於釜上,借蒸氣以取汗,令汗出至足乃已,乃古之汗法,非坐釜而煎。

  10. 上之皮夭以堅上之皮夭以堅

    夭,少也、薄也,謂疽上皮薄而堅,如牛領之皮;與下文癰「皮上薄以澤」對舉,一堅一澤為別。

  11. 不消輒益不消輒益

    輒讀 zhé,謂即、就。言厲癰去其黑者而仍不消,則日漸加大;此戒治之不可失時也。

Cite this page

APA

Huangdi Neijing · Lingshu 黃帝內經靈樞 (Compiled over the same span as the Suwen; the present text was put in order in the Tang.). Yōng jū 癰疽 [Abscess and Deep Sores], Chapter 81. In Classica Sinica Medica. Base text: 《黃帝素問靈樞經》十二卷八十一篇,宋·史崧校定并音釋。據上海涵芬樓《四部叢刊》子部影印明趙府居敬堂刊本錄入,卷首牌記題「上海涵芬樓景明趙府居敬堂刊本」,並記原書版匡高營造尺六寸三分、寬四寸四分。目錄末行作「元二十四卷今併爲十二卷計八十一篇」。底本與影印本均屬公有領域。 Retrieved 28 October 2026, from https://classicstcm.com/classics/huangdi-neijing-lingshu/abscess-and-deep-sores/

MLA

"Yōng jū 癰疽 [Abscess and Deep Sores]." Huangdi Neijing · Lingshu 黃帝內經靈樞, chapter 81, Classica Sinica Medica, 2026, https://classicstcm.com/classics/huangdi-neijing-lingshu/abscess-and-deep-sores/. Accessed 28 Oct. 2026. Base text: 《黃帝素問靈樞經》十二卷八十一篇,宋·史崧校定并音釋。據上海涵芬樓《四部叢刊》子部影印明趙府居敬堂刊本錄入,卷首牌記題「上海涵芬樓景明趙府居敬堂刊本」,並記原書版匡高營造尺六寸三分、寬四寸四分。目錄末行作「元二十四卷今併爲十二卷計八十一篇」。底本與影印本均屬公有領域。

Chinese scholarly

《黃帝內經靈樞·癰疽》(Huángdì Nèijīng Língshū)。《黃帝素問靈樞經》十二卷八十一篇,宋·史崧校定并音釋。據上海涵芬樓《四部叢刊》子部影印明趙府居敬堂刊本錄入,卷首牌記題「上海涵芬樓景明趙府居敬堂刊本」,並記原書版匡高營造尺六寸三分、寬四寸四分。目錄末行作「元二十四卷今併爲十二卷計八十一篇」。底本與影印本均屬公有領域。Classica Sinica Medica,2026 年 10 月 28 日 存取,https://classicstcm.com/classics/huangdi-neijing-lingshu/abscess-and-deep-sores/。

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