灵枢经·寒热 Cold and Heat
黄帝问于歧伯曰:寒热瘰癧在于颈腋者,皆何气使生?歧伯曰:此皆鼠瘻寒热之毒气也,留于脉而不去者也。
黄帝曰:去之奈何?歧伯曰:鼠瘻之本,皆在于藏,其末上出于颈腋之间,其浮于脉中,而未内著于肌肉,而外为脓血者,易去也。
黄帝曰:去之奈何?歧伯曰:请从其本引其末,可使衰去,而绝其寒热。审按其道以予之,徐往徐来以去之,其小如麦者,一刺知,三刺而已。
黄帝曰:决其生死奈何?歧伯曰:反其目视之,其中有赤脉,上下贯瞳子,见一脉,一岁死;见一脉半,一岁半死;见二脉,二岁死;见二脉半,二岁半死;见三脉,三岁而死。见赤脉不下贯瞳子,可治也。
Huangdi asked Qibo: 'Cold-heat scrofula that appears at the neck and armpit — by what qi does it in every case arise?' Qibo said: 'These are all due to the toxic qi of mouse-fistula cold-heat disorder, which lodges in the vessels and fails to depart.'
Huangdi said: 'How is it removed?' Qibo said: 'The root of mouse-fistula always lies in the viscera, while its branch emerges above, between the neck and the armpit. When it floats within the vessels and has not yet lodged internally within the flesh, but externally forms pus and blood, it is easily removed.'
Huangdi said: 'How is it removed?' Qibo said: 'One should proceed from the root and draw out the branch, so that it may be made to wane and depart, and its cold and heat cut off. Carefully press along its pathway before administering the needle; move slowly in and slowly out to remove it. When it is as small as a grain of wheat, a single puncture brings a response, and three punctures complete the cure.'
Huangdi said: 'How does one determine life or death in this condition?' Qibo said: 'Turn back the patient's eyelids and examine the eyes. If there are red vessels within that run up and down through the pupil: if one such vessel is seen, the patient will die within one year; if one and a half vessels are seen, within a year and a half; if two vessels are seen, within two years; if two and a half vessels are seen, within two and a half years; if three vessels are seen, the patient will die within three years. If a red vessel is seen but does not run down through the pupil, the condition can be treated.'