治赤丹游走。
荆芥 防风 丹皮 天花粉 橘红 连翘 甘草 粘子（炒杵） 玄参 赤芍
羌活 金银花（等分） 水煎服。
绿豆（五钱） 大黄（二钱） 共为细末，生薄荷捣汁，入蜜涂。
又方
浮萍草汁敷，或芭蕉根汁敷，或鼠粘根汁敷。
《经》曰∶邪之所凑，其正必虚，着而不去，其病为实。又曰∶营气不从，逆于肉
里，乃生痈肿。（荣逆则血郁，血郁则热聚为肿，故为痈肿。）热之所过，则亦痈脓。（热胜则阳气内
郁，故浮肿暴作，荣气亦逆于肉里。聚为痈肿之肿矣。）又曰∶寒伤形，热伤气，气伤痛，
形伤肿。（热之伤气。则热结于肉分而故痛；寒之伤形，则寒薄于皮肤所以坚凝而肿斯作也。）
先痛而后肿者，气先受伤，而形亦受伤也。先肿而后痛者，形先受伤，而气亦受伤也。故
有形有痛者阳伤，无形有痛者阴伤。更有汗方发泄，寒水浴之，以致热郁皮里，湿邪凝结，甚
为痤疖，轻为痱疮。亦有阳气不固，邪气入于陷脉，陷脉者，谓寒邪陷缺其脉，积寒于中，
经血积凝，久瘀内攻，积于肉里，发为鼠 。《经》
又曰∶膏梁之变，足生大疔。又曰∶五脏不和，九窍不通，六腑不和，留结为痈。凡疮
肿高而软者，发于血脉；下而坚者，发于筋脉；肉色不变者，发于骨髓。故宜分气血虚
实，热毒深浅为要，切不可一见其肿，便谓热毒实热，辄投下剂，意谓毒从泻出，殊不
知阳者，红肿 起，阴者青白而陷，疽者附筋骨而生，皆赖血气为主，《经》所谓∶气
主煦之，血主濡之。倘元气受伤。而不能煦濡，则下陷不脓，能禁其不内攻乎。
人之疮肿，因内热外虚，为风湿之所乘，盖肺主皮毛，脾主肌肉，气虚则肤腠开
而风湿所乘，且脾气湿而内热，即生疮也。肿者，由寒热偏胜之毒瓦斯，客于经络，使血
涩而不通，壅结成肿。风邪内作者，无头无根。气血相搏者，有头有根。壅结盛而热胜
血，则为脓矣。其毒小者，气血自然能溃能收，不必忧治。大而重者，气血恐难任之，
必假药力佐助气血，以营运逐毒之本。
痈疽之疾，多生膏梁炙 嗜欲之人，虚邪热毒，煎熬气血而成。痈者，壅也，壅滞
于阳络也。大而高起属乎阳，其脉浮数，故多由于六腑。疽者，沮也，阻伏于阴经也。
平而内发，属乎阴，其脉沉数，故多由于五脏。疖者，如错疖之结着也。疮者，毒之总
名也。《经》曰∶诸痛痒疮，皆属心火。夫诸疮之中，惟背疽疔疮最为急症，次莫如脑
疽、肠痈、喉痈，亦具急者也。至若瘰 、悬痈、痔漏诸疮，皆可缓而治之。又有疥疮
疮风疳之类，虽俱属疮类，而轻重缓急，大有不同，治之之法，总宜察其虚实冷热，
或重或轻，对症用药，无失先后次序，虽些小疮疖，初起便宜速治，慎勿姑待，养成大
患。治法当分初、中、末异，初宜散热解毒，通经为主，以图消去；中宜排托为主，
以图散去余毒；末宜补宜托宜温，以图易于收功，此大法也。然有五善七恶者何？动息
自宁，饮食知味，一善也。便利调匀，二善也。脓溃肿消，色鲜不臭，三善也。神彩光
明，语声清亮。四善也。体气和平，五善也。如烦躁时嗽，腹痛渴甚，泻利无度，小
便如淋，一恶也。脓血大泄， 痛尤甚，臭恶难近，二恶也。喘粗短气，恍惚嗜卧，三
恶也。表溃先黑，久陷面青，唇黯便污，四恶也。肩项不便，四肢沉重，五恶也。不能
下食。服药而呕，食不知味，六恶也。声嘶色脱，唇鼻青黑，面目四肢浮肿，七恶也。
七恶之外，更有气噫痞塞，咳逆身冷，自汗无时，目瞪耳聋，恍惚惊悸，语言错乱，并
皆恶症，然五善见三则瘥，七恶见四必死。
痈疽皆由膏梁之家，湿热气逆所结，且多犯肥白之人，气居于表，中气必虚者，初
起急宜凉血，活血散结解毒，大剂连进，内外夹攻，务使消散，即势大毒盛，一时不能
散尽，亦必十消七八，以免后来，口舌生疮，内攻之患，纵使溃脓，保无大害。若失
于救治，则热毒内陷，其膜必坏，多致困危。然书云∶五发痈疽者，谓发背、发脑、
发鬓、发眉、发颐是也。但人之一身，血气稍有壅聚，莫不随所而至，岂特此五者而
已！发背者，乃五脏风热，六腑邪毒，贯于筋骨之间，发于筋络之内，外虽如钱，里可
着拳，慎勿忽略！若初起红肿高起者则易，阴塌平陷者则难。至如发脑、发眉、发鬓、
发须、发颐，地位不同，总因伏阳结滞，邪毒上壅，随其经络而发。气血旺者，受毒则
轻，气血衰者，每因致危，然云毒者，即气血不相偏胜，壅滞之谓也。治者必须凭脉，
以救阴阳气血之偏，则毒滞自故。而危者可安。若误认毒为有迹之物，寒凉攻削，则阴
滞之毒，势必愈致其危，即阳盛之毒，亦必难溃难长，盖由气血不和而致病，岂可更令
气血不调而增病乎！
痈疽之生，始于喜怒哀乐之不时，饮食居处之不节，或金石草药之发动。寒暑燥湿
之不调，阴阳不平而蕴结，荣卫凝涩而腐溃，轻者起于六腑，浮达而为痈，重者发于
五脏。沉涩而为疽，浅者为疖，实者为痈，
深则为疽矣。发于外者为背疽、脑疽、须眉等疽，发于内者为肝痈、肺痈、肠痈等痈。
外症易识，内症难明，太阳经虚，从背而出，少阳经虚，从鬓而出，阳明经虚，从髭
而出，督脉经虚，从脑而出。
凡发于喉舌者，心之毒；发于皮毛者，肺之毒，发于肌肉者，脾之毒；发于骨髓
者，肾之毒；发于下者，阴中之毒∶发于上者，阳中之毒；发于外者，六腑之毒；发于
内者，五脏之毒。内曰坏，外曰溃，上曰从，下曰逆。发于上者，得之速；发于下
者，得之缓。感于六腑则易治，感于五脏则难瘳。近骨者多冷，近肤者多热，近骨者久
不愈，则化成血虫，近肤者久不愈、则传气成漏，成虫则多痒少痛，或先痒后痛，成漏
则多痛少痒，或不痛不痒，内虚外实者，多痛少痒，血不止则多死，溃脓则多生，故难
长难溃难收者，皆为气血大虚，必兼温补以托，方可无虞。丹溪曰∶痈疽溃后补气血，
理脾胃，实为切要，否则数月半年之后，虚症仍见，转成他病也。
丹溪曰∶痈疽皆因阴阳相滞而生，盖气，阳也；血，阴也。血行脉中，气行脉
外，相并周流，寒与湿搏之，则凝滞行迟为不及，热与火搏之，则沸腾行远为太过，气
得邪而郁，津液稠粘为痰为饮，积久渗入脉中，血为之乱，此阴滞于阳也。血得邪而
郁，隧道阻滞，或溢或结，积久渗出脉外，气为之乱，此阳滞于阴也。百病皆由于此，
不止痈疽而已，故痈肿初起，便 痛肿大者可治，不痛热不肿大而陷者不治也。
背疽之发，其源有五，一天行，二瘦弱气滞，三怒气，四肾气虚，五饮冷酒食
炙，服丹药所致，先以本元为主，以托毒为标。若热以清凉解毒，反伤胃气。若轻用汗
下，表里益困，气血俱伤，热毒内攻，为害不小。至于老年体衰，及病后产后，并宜温
补，忌服内托，绿豆散之类。
一痈疽初作，便宜灼艾，及用药外涂四围，中留口出毒，疮小通敷之，既溃以膏贴
之，以手探肿上热者有脓，不热者无脓也。一痈疽已溃，日用猪蹄汤淋洗，将愈之际，
三日一次。一痈疽将敛，宜用膏贴。如毒未尽，不可遽用生肌等剂。一痈疽将安，宜补
气血，肌肉易生，若进清凉，便难长满。一背疽愈后，忽发渴而不救者，十有八九，或
先渴而患疽者，尤为难治，故宜多服八味丸。非特杜绝渴疾，抑亦大滋气血 生长肌
肉。一痈疽呕逆有二，一因初发，失于内托，伏热在心，一因脾气不正，伏热在脾在
心者，则心烦身热， 肿作痛，脾气不正者，则不烦热，但闻秽气便呕，故治痈疽多
用香药者，盖气血闻香则行，闻臭则逆。疮疡多因荣气不从，逆于肉理，郁结为脓，得
香则气血流行。凡疮本腥秽，又闻臭触，则愈甚。若毒入胃，则呕哕，古人用之，可谓
有理，即如敛食，亦须调令香美，以益脾土，养其真元，可保无虞矣。一凡肌肉伤而
疮口不敛者，用六君子汤以补脾胃为主。若气虚恶寒而疮口不敛者，用补中益气汤以补
脾肺。若血虚发热而疮口不敛者，用四物参 以滋肝脾。若脓多而疮口不敛者，用八珍
汤或十全大补汤以养血气。《经》曰∶脾主肌肉。如前药未应，但用四君归 ，以补脾
胃。若更不应，乃下元阳虚，急用八味丸以壮火生土。若脉数发渴者，难治，此真气虚
而邪气实也。
腮痈者，是足阳明胃经络也。脑疽，头项咽喉生疽，古法皆为不治。湿热上壅者，
十之二三，阴火上炎者十之八九，调治得当，庶可保全。臂痈者，前 属手阳明经，
后属手太阳经，外 属手少阴经，内 属手厥阴经，内之前 ，属手太阳经，内之后
，属手少阴经，总经络热郁，风邪外干，气血有乖而生也。当分经络。以用本经之药
为引，行其血气则愈。一凡颈项眉颊结核久碍，皆为气血大虚，切勿攻克。臀痈者，乃
膀胱之湿毒蒸热，或禀赋阴虚，此地最难高
耸溃脓，大宜托里为要。腋痈者，足少阳、手少阴、手厥阴三经也，此多得之于先天，
或肝火炽甚耳。耳下石痈者，不脓不疼是也，大宜养肝血，滋肾水，温补可化。如少
年脉实者，少佐以清肝，然不可轻用行气破血之药。胁痈者，足厥阴、少阳之经、相火
之司也。苟或肝胆之气不平，则风火内搏，荣逆血郁，而热聚为脓。凡一切 骨痈疽，
皆起于肾，肾主骨，治宜温补肾气，骨得阳和，肿硬自能冰解矣，故服八味丸者，永无
骨疽之患。腹痈者，患于脐下，或傍二寸许，是属脾经。若近胁者，是属胆经，是症
多因脾家阴虚气滞，血凝伤脾所致。腿痈者，发于内侧，属肝脾二经，发于外侧，属
胆胃二经，平陷坚硬者为气虚，当用内补黄 汤类，势 肿痛者为湿热，当用内托柴胡
汤类，外用蒜炙。附骨痈者，在于环跳穴间，是热在血分之极也。初起当用甘草节、
青皮、苍术、黄柏、条芩、牛膝之类，破时当大养气血。肺痈肺痿者，多因久咳，脾肺
气虚所致，或辛辣浓味遗热，或风寒外邪袭虚，或因过汗亡津，虚火咳脓臭秽，呼息不
利，胸中隐痛，四肢微肿。手足甲疽。即脱疽也。多因房劳，亏损肾水，郁怒有伤肝
脾，地位偏僻，气血罕到，药力难达，易致筋溃骨脱，故尤宜补托气血为主，以脉消
息。若黑色者不治。肠痈者，是膏梁积热所致，其候身皮甲错，腹皮急，按之濡，如肿
状绕脐生疮，小腹按之则痛，溲数似淋，腹胀恶寒，身热自汗。如脉沉紧而未有脓，须
急解毒。如脉洪数，已有脓须急下脓。若小腹疼而小便闭者，是脓壅滞也。然肠痈为
病，切不可惊，惊则肠断，故坐卧转侧，切须徐缓，并饮薄粥，及八珍汤，以固元气，
静养调理，庶可保也。囊痈者，书曰∶痈疽入囊得死，是属肝经湿热，初起肿痛，小便
赤涩，治宜清利解毒为主。若脓已成而小便不利者，是毒瓦斯未散也，当金泄之。若脓既
出而反痛者，是气血虚也，当补益之。倘血气未亏，而阴囊悉溃，睾丸悬露者，亦不为
害。若小儿患此，而由乳母多怒者，宜子母并服清肝之药。下疳者，玉茎生疮，甚至蚀
透而久不愈，宜内服燥湿解毒，外用熏掺可也。多系肝经湿热，故尤宜泻肝除湿。便毒
者，生于小腹下，两腿合缝之间，小儿是肝火肝疳，总属肝经热毒，治宜泻肝，再视血
分毒瓦斯，为之斟酌。若大人犯此者，多因欲火不能直遂其志，故败精搏血，留聚经隧，
乃结为毒，治宜开郁散气，清利热毒，使精血宣畅，则自然愈矣。间有因交合不洁，为
淫火冲动，是以受毒所致者，治宜先为发汗，次利小便可也。悬痈者，谷道前后生疮
是也。初发形如松子，渐如莲子，数十日后痛甚赤肿，如桃即破，破最难收，其治每用
粉草一两，无灰酒煎眼，以解毒，此症多属阴虚，故不足人患之。大禁寒凉克削，肝肾
虚极之症也，重为滋阴峻补，并为绝欲，急令收功，否则成漏痨瘵之根矣。胃痈者，胃
为水谷之海，多气多血多热者。若热内泊，则两热相合，故结为痈，而胃脉必沉细，人
迎必甚盛，盖胃脉见于右关，本宜洪盛，而反沉细者，足见胃气已逆也。人迎者胃经穴
名，在结喉两旁，亦有动脉，应于其间，见于左寸，今若人迎甚盛，而右关沉细，则愈
见热壅，聚于胃口而不行，故不能充于脉耳。人见人迎脉盛，误为伤寒，禁其饮食，
则必死。疔者，《经》曰∶膏梁之变。盖因膏梁之人，皮浓肉密，内多滞热故受为疔，
然古方计有一十三种，三十六疔之分，总由脏腑积受热毒，邪气搏于经络，以致血凝毒
滞，注于毛孔，手足头面，各随脏腑部位而发，其形如粟米，或疼或痒，渐致遍身麻
木，头眩寒热，时生呕逆，甚则四肢沉重，心惊眼花，《经》虽所载，疔色有五，以应
五脏，实紫黑及黄泡者居多，先痒后痛，先寒后热也，宜内服发散解毒攻托之剂，外敷
治疗赤丹游走。
荆芥、防风、丹皮、天花粉、橘红、连翘、甘草、粘子（炒后捣碎）、玄参、赤芍、羌活、金银花（各等分），水煎服。
绿豆（五钱）、大黄（二钱），共研为细末，用生薄荷捣汁，加入蜂蜜调匀涂抹。
又一方：
用浮萍草汁敷贴，或用芭蕉根汁敷贴，或用鼠粘子根汁敷贴。
《黄帝内经》说：邪气聚集的地方，正气必然虚弱；邪气停留不去，病势就会转为实证。又说：营气运行不畅，逆乱于肌肉纹理之间，就会发生痈肿。（营气逆乱则血液郁滞，血液郁滞则热邪聚集形成肿胀，所以称为痈肿。）热邪所经过的地方，也会化生痈脓。（热盛则阳气内郁，所以浮肿突然发作，营气也逆乱于肌肉纹理之间，聚集成痈肿的肿胀。）又说：寒邪损伤形体，热邪损伤气机，气受伤则疼痛，形受伤则肿胀。（热邪伤气，则热结在肌肉腠理之间而致痛；寒邪伤形，则寒气迫于皮肤，所以坚硬凝结而肿胀产生。）先疼痛而后肿胀的，是气先受伤，进而形体也受伤；先肿胀而后疼痛的，是形体先受伤，进而气也受伤。所以既有形态改变又有疼痛的是阳证受伤，无形态改变但有疼痛的是阴证受伤。更有因发汗时受风寒冷水沐浴，导致热邪郁闭在皮肤之内，湿邪凝结，严重的成为痤疖，轻的成为痱疮。也有因阳气不固，邪气陷入陷脉，所谓陷脉，是指寒邪陷入使经脉亏虚，积寒在中，经血积滞凝结，久瘀内攻，积聚在肌肉纹理之间，发为瘰疬。《黄帝内经》又说：饮食肥甘厚味的变化，足以使人足部生出大疔。又说：五脏不和，九窍不通；六腑不和，留滞结聚而成痈。凡是疮肿高起而柔软的，发于血脉；低平而坚硬的，发于筋脉；肉色不变的，发于骨髓。所以应当分辨气血虚实、热毒深浅作为关键，切不可一见肿胀，就认为是热毒实热，随即投用泻下剂，认为这样可以让毒邪从泻下排出，殊不知阳证表现为红肿突起，阴证表现为青白而凹陷，疽证附着于筋骨而生，都依赖血气为主，《黄帝内经》所说：气主温煦，血主濡润。如果元气受伤，不能温煦濡养，那么疮疡就会下陷而不化脓，怎能禁止它不内攻呢？
人的疮肿，因为内热外虚，被风湿之邪乘虚而入。肺主皮毛，脾主肌肉，气虚则皮肤腠理开泄而被风湿侵袭，且脾气湿盛兼有内热，就会生疮。肿胀，是由于寒热偏胜的毒气，客居于经络，使血液涩滞不通，壅结而成肿胀。风邪在内作祟的，无头无根；气血相搏的，有头有根。壅结严重而热盛血腐，就会化为脓液。毒邪小的，气血自然能溃破也能收敛，不必担忧治疗。毒邪大而重的，气血恐怕难以胜任，必须借助药力辅助气血，以营运驱逐毒邪的根本。
痈疽这类疾病，多生于喜好膏粱厚味、炙烤食物及纵欲的人身上，虚邪热毒煎熬气血而成。痈，就是壅滞的意思，壅滞于阳络。体积大且高起的属于阳证，其脉象浮数，所以多由于六腑引起。疽，就是阻滞的意思，阻伏于阴经。平坦而向内发展的属于阴证，其脉象沉数，所以多由于五脏引起。疖，就像错疖那样结着。疮，是毒邪的总称。《黄帝内经》说：各种疼痛、瘙痒、疮疡，都属于心火。在众多疮疡中，只有背疽和疔疮最为急症，其次没有比脑疽、肠痈、喉痈更紧急的了。至于如瘰疬、悬痈、痔漏等疮疡，都可以缓慢治疗。又有疥疮、疮风、疳疮之类，虽然都属于疮类，但轻重缓急大有不同，治疗方法，总宜观察其虚实冷热，或重治或轻治，对症用药，不错失先后次序，即使是小小的疮疖，初起时就应迅速治疗，千万不要姑息等待，养成大患。治疗方法应当分为初、中、末三期不同处理，初期宜散热解毒，以通经为主，以求消散；中期宜排脓托毒为主，以求散去余毒；末期宜补益、托毒、温补，以求容易收功，这是大法。然而什么是五善七恶呢？动静休息安宁，饮食知味，是一善。大小便调匀，是二善。脓溃肿消，颜色鲜艳不臭，是三善。神采光明，语声清亮，是四善。体质气息平和，是五善。如果出现烦躁咳嗽，腹痛口渴严重，腹泻无度，小便像淋证一样，是一恶。脓血大量排泄，疼痛尤其剧烈，气味恶臭难近，是二恶。气喘粗重短气，神志恍惚嗜睡，是三恶。表面溃烂先发黑，长久深陷面色青，嘴唇暗黑大便污秽，是四恶。肩项不便，四肢沉重，是五恶。不能进食，服药即呕吐，饮食不知味道，是六恶。声音嘶哑神色脱败，嘴唇鼻子青黑，面目四肢浮肿，是七恶。七恶之外，还有气噫痞塞，咳逆身冷，自汗不时，眼睛瞪大耳聋，神志恍惚惊悸，语言错乱，都是恶症，但是五善见到三个就能痊愈，七恶见到四个必定死亡。
痈疽都是由膏粱之家，湿热气逆所结聚，且多侵犯肥胖白皙之人，气居于体表，中气必然虚弱，初起时应急宜凉血、活血、散结、解毒，大剂量连续服用，内外夹攻，务必使其消散，即使势头大毒盛，一时不能完全消散，也必须消除七八成，以免后来出现口舌生疮、内攻的祸患，纵使溃脓，也能保全无大害。如果失于救治，则热毒内陷，膜原必坏，多导致困危。然而书上说：五种发疽，是指发背、发脑、发鬓、发眉、发颐。只是人的一身，血气稍有壅聚，无不随着所在之处而发病，难道只有这五种而已！发背，是五脏风热、六腑邪毒，贯穿于筋骨之间，发于筋络之内，外表虽如铜钱大小，内部却可容纳拳头之大，切勿忽略！如果初起红肿高起的则易治，阴塌平陷的则难治。至于发脑、发眉、发鬓、发须、发颐，部位不同，总因伏阳结滞，邪毒上壅，随着经络而发。气血旺盛者，受毒则轻；气血衰弱者，每每因此导致危险。所谓的毒，就是气血不相偏胜，壅滞的意思。治疗者必须凭脉诊，来纠正阴阳气血的偏颇，则毒滞自然解除，而危症可以安定。如果误认毒为有形的实物，滥用寒凉攻削，则阴滞之毒，势必更加危险，即使是阳盛之毒，也难以溃破生长，大概是因为气血不和而导致疾病，岂可再令气血不调而加重病情呢！
痈疽的产生，始于喜怒哀乐的不及时，饮食居处的不节制，或金石草药的发动。寒暑燥湿的不调和，阴阳不平而蕴结，营卫凝涩而腐溃，轻的发于六腑，浮达而为痈；重的发于五脏，沉涩而为疽。浅的为疖，实的为痈，深的则为疽。发于外部的有背疽、脑疽、须眉等疽，发于内部的有肝痈、肺痈、肠痈等痈。外症容易识别，内症难以明了。太阳经虚，从背部发出；少阳经虚，从鬓角发出；阳明经虚，从胡须发出；督脉经虚，从脑部发出。
凡是发于喉舌的，是心的毒；发于皮毛的，是肺的毒；发于肌肉的，是脾的毒；发于骨髓的，是肾的毒；发于下方的，是阴中之毒；发于上方的，是阳中之毒；发于外部的，是六腑之毒；发于内部的，是五脏之毒。内部叫坏，外部叫溃，向上叫顺，向下叫逆。发于上方的，发病迅速；发于下方的，发病缓慢。感于六腑则易治，感于五脏则难愈。靠近骨头的多冷，靠近皮肤的多热。靠近骨头的长久不愈，则化成血虫；靠近皮肤的长久不愈，则传气成漏。成虫的多痒少痛，或先痒后痛；成漏的多痛少痒，或不痛不痒。内虚外实的，多痛少痒。血不止则多死，溃脓则多生。所以难长、难溃、难收的，都是气血大虚，必须兼用温补以托毒，才可以无忧虑。朱丹溪说：痈疽溃后补气血，调理脾胃，实在是非常关键，否则数月半年之后，虚症仍然出现，转变成其他疾病。
朱丹溪说：痈疽都是因为阴阳相滞而生。气，属阳；血，属阴。血行于脉中，气行于脉外，相互并合周流全身。寒与湿搏结，则凝滞行迟为不及；热与火搏结，则沸腾行远为太过。气得邪而郁结，津液稠粘化为痰饮，积久渗入脉中，血为之紊乱，这是阴滞于阳。血得邪而郁结，隧道阻滞，或溢出或结聚，积久渗出脉外，气为之紊乱，这是阳滞于阴。百病都由此产生，不只是痈疽而已，所以痈肿初起，便疼痛肿大者可治，不痛、热不肿大而凹陷的不可治。
背疽的发生，其源有五：一是天行疫气，二是瘦弱气滞，三是怒气，四是肾气虚，五是饮用冷酒食炙烤食物、服用丹药所致。治疗应先以本元为主，以托毒为标。如果用清凉解毒，反而损伤胃气。如果轻用汗下法，表里更加困顿，气血俱伤，热毒内攻，危害不小。至于老年体衰，以及病后产后，都宜温补，忌服内托、绿豆散之类。
一、痈疽初作，适宜立即灼艾，及用药外涂四周，中间留出孔口让毒邪排出，疮小则全部敷药。已经溃破的用膏药贴敷。用手触摸肿处，热的有脓，不热的无脓。
一、痈疽已溃，每日用猪蹄汤淋洗，将愈之际，三日一次。
一、痈疽将收敛，宜用膏药贴敷。如果毒未尽，不可急于使用生肌等药剂。
一、痈疽将安定时，宜补气血，肌肉容易生长，如果进用清凉药，便难长满。
一、背疽痊愈后，忽然发生口渴而不救治的，十有八九会死。或者先口渴而后患疽的，尤为难治，所以宜多服八味丸。不仅杜绝渴疾，也是大滋气血，促进肌肉生长。
一、痈疽呕逆有两种情况：一种是因为初发时，失于内托，伏热在心；一种是因为脾气不正，伏热在脾。在心者，则心烦身热，肿痛发作；脾气不正者，则不烦热，但闻到秽气便呕吐。所以治疗痈疽多用香药，大概是因为气血闻香则运行，闻臭则逆乱。疮疡多因营气不从，逆乱于肌肉纹理，郁结为脓，得到香气则气血流行。凡疮本腥秽，又闻臭味刺激，则病情加重。如果毒入胃，则呕吐呃逆，古人使用香药，可谓有理。就像饮食，也必须调配得香美，以益脾土，养护真元，可以保证无忧。
一、凡是肌肉受伤而疮口不收敛的，用六君子汤以补脾胃为主。如果气虚恶寒而疮口不收敛的，用补中益气汤以补脾肺。如果血虚发热而疮口不收敛的，用四物参（人参）以滋肝脾。如果脓多而疮口不收敛的，用八珍汤或十全大补汤以养血气。《黄帝内经》说：脾主肌肉。如果上述药物无效，只用四君归（当归）以补脾胃。如果仍然无效，则是下元阳虚，急用八味丸以壮火生土。如果脉数且口渴的，难治，这是真气虚而邪气实。
腮痈，是足阳明胃经络的问题。脑疽，头项咽喉生疽，古法都认为是不治之症。湿热上壅的占二三成，阴火上炎的占八九成，调治得当，或许可以保全。臂痈，前侧属手阳明经，后侧属手太阳经，外侧属手少阴经，内侧属手厥阴经，内之前侧属手太阳经，内之后侧属手少阴经，总因经络热郁，风邪外干，气血乖违而生。应当分辨经络，以使用本经的药物为引，行其血气则愈。
一、凡是颈项眉颊结核长久阻碍的，都是气血大虚，切勿攻伐克削。臀痈，是膀胱的湿毒蒸热，或禀赋阴虚，此地最难高耸溃脓，大宜托里为要。腋痈，涉及足少阳、手少阴、手厥阴三经，这大多得之于先天，或肝火炽盛所致。耳下石痈，是不脓不疼的，大宜养肝血，滋肾水，温补可化。如果是少年脉实者，稍加清肝药，但不可轻用行气破血之药。胁痈，是足厥阴、少阳之经，相火所司。如果肝胆之气不平，则风火内搏，营逆血郁，而热聚为脓。凡一切附骨痈疽，都起于肾，肾主骨，治疗宜温补肾气，骨得阳和，肿硬自然冰解，所以服用八味丸的人，永远没有骨疽的祸患。腹痈，患于脐下或旁边两寸许，属于脾经。如果靠近胁部的，属于胆经，此症多因脾家阴虚气滞，血凝伤脾所致。腿痈，发于内侧，属肝脾二经；发于外侧，属胆胃二经。平陷坚硬者为气虚，当用内补黄芪汤类；势急肿痛者为湿热，当用内托柴胡汤类，外用蒜炙。附骨痈，在于环跳穴间，是热在血分之极也。初起当用甘草节、青皮、苍术、黄柏、条芩、牛膝之类，破溃时当大养气血。肺痈肺痿，多因久咳，脾肺气虚所致，或辛辣浓味遗热，或风寒外邪袭虚，或因过汗亡津，虚火咳脓臭秽，呼吸不利，胸中隐痛，四肢微肿。手足甲疽，即脱疽也。多因房劳，亏损肾水，郁怒有伤肝脾，地位偏僻，气血罕到，药力难达，易致筋溃骨脱，所以尤宜补托气血为主，以脉消息判断预后。如果黑色者不治。肠痈，是膏粱积热所致，其症状是身皮甲错，腹皮急，按之濡软，如肿状，绕脐生疮，小腹按之则痛，小便频数似淋，腹胀恶寒，身热自汗。如果脉沉紧而未有脓，须急解毒。如果脉洪数，已有脓须急下脓。如果小腹疼而小便闭者，是脓壅滞也。然而肠痈为病，切不可惊慌，惊慌则肠断，所以坐卧转侧，切须徐缓，并饮薄粥，及八珍汤，以固元气，静养调理，庶可保全。囊痈，书说：痈疽入囊得死，是属肝经湿热，初起肿痛，小便赤涩，治疗宜清利解毒为主。如果脓已成而小便不利者，是毒瓦斯未散也，当金泄之（指用金属针具泄脓或利尿）。如果脓既出而反痛者，是气血虚也，当补益之。如果血气未亏，而阴囊悉溃，睾丸悬露者，也不为害。如果小儿患此，而由乳母多怒者，宜子母并服清肝之药。下疳，是玉茎生疮，甚至蚀透而久不愈，宜内服燥湿解毒，外用熏掺可也。多系肝经湿热，所以尤宜泻肝除湿。便毒，生于小腹下，两腿合缝之间，小儿是肝火肝疳，总属肝经热毒，治疗宜泻肝，再视血分毒瓦斯，为之斟酌。如果大人犯此者，多因欲火不能直遂其志，故败精搏血，留聚经隧，乃结为毒，治疗宜开郁散气，清利热毒，使精血宣畅，则自然愈矣。间有因交合不洁，为淫火冲动，是以受毒所致者，治疗宜先为发汗，次利小便可也。悬痈，是谷道前后生疮。初发形如松子，渐如莲子，数十日后痛甚赤肿，如桃即破，破最难收，其治疗每用粉草一两，无灰酒煎眼（服），以解毒，此症多属阴虚，所以不足之人患之。大禁寒凉克削，肝肾虚极之症也，重在滋阴峻补，并为绝欲，急令收功，否则成漏痨瘵之根了。胃痈，胃为水谷之海，多气多血多热。如果热内泊，则两热相合，所以结为痈，而胃脉必沉细，人迎脉必甚盛。盖胃脉见于右关，本宜洪盛，而反沉细者，足见胃气已逆也。人迎是胃经穴名，在结喉两旁，也有动脉，应于其间，见于左寸，今若人迎甚盛，而右关沉细，则愈见热壅，聚于胃口而不行，所以不能充于脉耳。人见人迎脉盛，误为伤寒，禁其饮食，则必死。疔，《黄帝内经》说：膏梁之变。大概因为膏粱之人，皮浓肉密，内多滞热故受为疔，然古方计有一十三种，三十六疔之分，总由脏腑积受热毒，邪气搏于经络，以致血凝毒滞，注于毛孔，手足头面，各随脏腑部位而发，其形如粟米，或疼或痒，渐致遍身麻木，头眩寒热，时生呕逆，甚则四肢沉重，心惊眼花，《黄帝内经》虽所载，疔色有五，以应五脏，实紫黑及黄泡者居多，先痒后痛，先寒后热也，宜内服发散解毒攻托之剂，外敷
To treat wandering red carbuncle (Chi Dan).
Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Danpi (Moutan Cortex), Tianhuafen (Trichosanthis Radix), Juhong (Citri Reticulatae Pericarpium Rubrum), Lianqiao (Forsythiae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Niuzibang (Arctii Fructus, stir-fried and pounded), Xuanshen (Scrophulariae Radix), Chishao (Paeoniae Radix Rubra), Qianghuo (Notopterygii Rhizoma et Radix), Jinyinhua (Lonicerae Japonicae Flos) in equal parts. Decoct in water and take orally.
Lv dou (Vigna radiata Seed, 5 qian), Dahuang (Rhei Radix et Rhizoma, 2 qian), grind together into fine powder. Use fresh Bohe (Menthae Haplocalycis Herba) juice, mix with honey, and apply externally.
Another prescription:
Apply juice of Pingping Cao (Spirodela Polyrrhiza), or juice of Bajiao Gen (Musa Basjoo Root), or juice of Niu Bang Gen (Arctii Radix).
The *Classic* states: Where pathogenic factors gather, healthy qi must be deficient; if they remain and do not depart, the disease becomes excess. It also states: When Ying Qi (Nutritive Qi) does not flow smoothly and reverses within the muscle tissue, abscesses and swellings arise. (When Ying Qi reverses, blood stagnates; when blood stagnates, heat gathers to form swelling, hence called abscess and swelling.) Where heat passes, it generates pus. (When heat is excessive, Yang Qi is internally constrained, causing sudden edema; Ying Qi also reverses within the muscle tissue, gathering to form the swelling of an abscess.) It also states: Cold damages the form (body structure), Heat damages Qi (functional energy); damage to Qi causes pain, damage to form causes swelling. (Heat damaging Qi means heat binds in the muscle layers causing pain; Cold damaging form means cold presses on the skin causing hardness and coagulation, leading to swelling.) If pain precedes swelling, Qi was injured first, and then the form was injured. If swelling precedes pain, the form was injured first, and then Qi was injured. Therefore, conditions with both form changes and pain indicate Yang injury; conditions with pain but no obvious form change indicate Yin injury. Furthermore, sweating followed by bathing in cold water can cause heat to be constrained within the skin, dampness to coagulate, resulting in severe acne/furuncles or mild prickly heat. There are also cases where Yang Qi is not secure, allowing pathogenic factors to sink into the "Sunken Meridians" (meridians depleted by cold). This refers to cold pathogens sinking into deficient meridians, accumulating cold in the center, causing blood stasis and coagulation, which attacks internally over time, accumulates in the muscle tissue, and manifests as scrofula (Luo Li). The *Classic* further states: Changes from rich food and fat can cause large carbuncles on the feet. It also states: Disharmony of the Five Zang Organs leads to blockage of the Nine Orifices; disharmony of the Six Fu Organs leads to retention and knotting, forming abscesses. Generally, high and soft swellings originate in the Blood vessels; low and hard ones originate in the Sinew vessels; those with unchanged skin color originate in the Bone Marrow. Thus, it is essential to differentiate the deficiency and excess of Qi and Blood, and the depth of Heat-Toxin. One must not simply see a swelling and assume it is Excess Heat-Toxin, immediately administering purgatives under the mistaken belief that toxins are expelled through purging. In fact, Yang-type lesions present with redness and swelling protruding upwards; Yin-type lesions present with bluish-white color and depression; Ju (deep abscesses) attach to bones and sinews and rely primarily on Qi and Blood. As the *Classic* says: Qi provides warmth and nourishment; Blood provides moistening. If Yuan Qi (Primal Qi) is damaged and cannot warm and moisten, the lesion will sink and fail to suppurate; how can one prevent internal attack?
Human sores and swellings arise from internal heat and external deficiency, allowing Wind-Dampness to invade. The Lung governs the skin and hair; the Spleen governs the muscles. When Qi is deficient, the pores open, inviting Wind-Dampness. Moreover, Spleen Qi dampness combined with internal heat generates sores. Swelling occurs when toxic factors of biased cold and heat lodge in the meridians, causing blood to become sluggish and blocked, leading to congestion and swelling. When Wind Pathogen acts internally, there is no head or root. When Qi and Blood contend, there is a head and a root. When congestion is severe and heat corrupts blood, pus forms. Minor toxins can be resolved and healed naturally by Qi and Blood without worry. Major and severe toxins may overwhelm Qi and Blood, requiring medicinal assistance to support Qi and Blood in circulating and expelling the root of the toxin.
Diseases of Yong (superficial abscess) and Ju (deep abscess) often occur in people who consume rich foods, roasted items, and indulge in desires. Deficient pathogens and Heat-Toxin boil and damage Qi and Blood. "Yong" means obstruction, specifically obstruction in the Yang collaterals. Large and elevated lesions belong to Yang, with floating and rapid pulses, thus mostly arising from the Six Fu Organs. "Ju" means hindrance, specifically hindrance in the Yin meridians. Flat and inward-developing lesions belong to Yin, with deep and rapid pulses, thus mostly arising from the Five Zang Organs. "Jie" (boil) refers to small, knotted swellings like a pimple. "Chuang" (sore/ulcer) is the general term for toxin. The *Classic* states: All pain, itching, and sores belong to Heart Fire. Among all sores, Back Ju and Ding (carbuncle) are the most urgent. Next are Brain Ju, Intestinal Abscess, and Throat Abscess, which are also urgent. Conditions like Scrofula, Xuan Yong (perineal abscess), and Hemorrhoid Fistula can be treated slowly. Although conditions like Scabies, Feng Chuang (wind sore), and Gan Chuang (chancre) belong to the category of sores, their severity and urgency differ greatly. Treatment should always observe deficiency/excess and cold/heat, applying heavy or light treatments accordingly, matching symptoms to medicines, and maintaining correct sequence. Even minor boils should be treated quickly at onset; do not delay, lest they become major ailments. Treatment methods should be divided into early, middle, and late stages. Early stage: Clear heat, resolve toxin, unblock meridians to aim for resolution. Middle stage: Drain pus and promote expulsion to aim for clearing residual toxin. Late stage: Tonify, promote expulsion, and warm to aim for easy healing. This is the general principle. But what are the Five Goods and Seven Evils?
Five Goods: Rest and movement are calm, appetite is normal (Good 1). Bowel and bladder functions are regular (Good 2). Pus drains, swelling subsides, color is bright and odorless (Good 3). Spirit is bright, voice is clear (Good 4). Body and Qi are harmonious (Good 5).
Seven Evils: Irritability, cough, severe abdominal pain, extreme thirst, uncontrolled diarrhea, urine resembling strangury (Evil 1). Massive discharge of pus and blood, severe pain, foul odor (Evil 2). Rapid breathing, shortness of breath, mental confusion, lethargy (Evil 3). Surface ulceration turns black first, long-term depression, blue face, dark lips, dirty stool (Evil 4). Stiff shoulders and neck, heavy limbs (Evil 5). Inability to eat, vomiting after taking medicine, loss of taste (Evil 6). Hoarse voice, sallow complexion, blue-black lips and nose, edema of face, eyes, and limbs (Evil 7).
Beyond the Seven Evils, there are also bad signs: belching and chest fullness, coughing with cold body, spontaneous sweating at any time, staring eyes and deafness, mental confusion and palpitations, disordered speech. These are all evil signs. However, if three of the Five Goods appear, recovery is possible; if four of the Seven Evils appear, death is certain.
Yong and Ju are formed by damp-heat and rebellious Qi in those consuming rich foods, often affecting obese, fair-skinned individuals whose Qi resides on the surface while Middle Qi is necessarily deficient. At onset, urgently cool blood, invigorate blood, dissipate knots, and resolve toxin. Administer large doses continuously, attacking from inside and out, ensuring resolution. Even if the势头 is severe and toxin strong, preventing complete immediate resolution, eliminating 70-80% is necessary to avoid later complications like mouth ulcers and internal attack. Even if it suppurates, major harm can be prevented. If treatment is delayed, Heat-Toxin sinks internally, membranes are destroyed, leading to critical danger. Books state: The five types of Fa (emerging) Yong/Ju refer to Back Fa, Brain Fa, Temple Fa, Eyebrow Fa, and Cheek Fa. However, anywhere Qi and Blood stagnate slightly, disease can emerge there, not just these five locations. Back Fa involves Wind-Heat of the Five Zang and Evil-Toxin of the Six Fu penetrating between sinews and bones, emerging within collaterals. Though small on the surface, it can be fist-sized internally; do not neglect! High, red, swollen onset is easy to treat; flat, depressed, Yin-type is difficult. Brain, Eyebrow, Temple, Beard, and Cheek Fa differ in location but share the mechanism of latent Yang stagnation and upward congestion of evil toxin along meridians. Those with robust Qi and Blood suffer less toxicity; those with deficient Qi and Blood often face danger. "Toxin" here refers to the imbalance and stagnation of Qi and Blood. Practitioners must rely on pulse diagnosis to correct Yin/Yang and Qi/Blood imbalances, resolving stagnation and stabilizing critical cases. Mistaking toxin for a tangible object and using cold/purgative herbs will worsen Yin-stagnant toxins and make Yang-excess toxins hard to drain and heal, as the disease stems from Qi/Blood disharmony; adding more disharmony increases illness.
Yong and Ju begin with irregular emotions, improper diet and lifestyle, or reactions to minerals/herbs. Imbalance of Cold/Heat/Dryness/Dampness and Yin/Yang leads to accumulation. Stagnant Ying and Wei Qi rot and溃 (break down). Mild cases arise in Six Fu (Yang, superficial, Yong); severe cases arise in Five Zang (Yin, deep, Ju). Superficial are Jie (boils), solid are Yong, deep are Ju. External manifestations include Back Ju, Brain Ju, Beard/Eyebrow Ju. Internal manifestations include Liver Abscess, Lung Abscess, Intestinal Abscess. External signs are easy to identify; internal signs are hard to clarify. Taiyang Meridian deficiency emerges from the back; Shaoyang Meridian deficiency from the temples; Yangming Meridian deficiency from the beard; Du Mai deficiency from the brain.
Sores on throat/tongue are Heart Toxin; on skin/hair are Lung Toxin; on muscles are Spleen Toxin; on bone marrow are Kidney Toxin. Lower body sores are Yin Toxin; upper body sores are Yang Toxin. External are Six Fu Toxin; internal are Five Zang Toxin. Internal rupture is called "Huai"; external ulceration is called "Kui". Upward progression is "Cong" (favorable); downward progression is "Ni" (unfavorable). Upper sores develop fast; lower sores develop slow. Six Fu involvement is easier to treat; Five Zang involvement is harder to cure. Near-bone sores are often cold; near-skin sores are often hot. Near-bone sores lingering become "Blood Worms" (chronic infection); near-skin sores lingering become "Lou" (fistulas). Worms cause more itching than pain, or itch then pain. Fistulas cause more pain than itching, or neither. Internal deficiency with external excess causes more pain than itching. Unstoppable bleeding leads to death; suppuration leads to survival. Difficulties in growth, drainage, and healing indicate severe Qi/Blood deficiency, requiring warming and tonifying to promote expulsion. Zhu Danxi said: After Yong/Ju ulcerates, tonify Qi and Blood, regulate Spleen/Stomach—this is crucial. Otherwise, deficiency symptoms return months later, transforming into other diseases.
Zhu Danxi said: Yong/Ju arises from Yin-Yang stagnation. Qi is Yang; Blood is Yin. Blood flows in vessels; Qi flows outside. They circulate together. Cold/Damp binding causes stagnation and slowness (insufficiency); Heat/Fire binding causes boiling and rushing (excess). Qi constrained by pathogen makes fluids thick, forming Phlegm/Fluids, which seep into vessels over time, disturbing Blood (Yin stagnating in Yang). Blood constrained by pathogen blocks channels, overflowing or clotting, seeping out of vessels over time, disturbing Qi (Yang stagnating in Yin). All diseases stem from this, not just Yong/Ju. Thus, early Yong/Swelling with pain and swelling is treatable; non-painful, non-swollen, depressed lesions are untreatable.
Back Ju has five sources: 1. Epidemic influence, 2. Emaciation and Qi stagnation, 3. Anger, 4. Kidney Qi deficiency, 5. Drinking cold alcohol/eating roasted food/taking elixirs. Treat by supporting the Root (Ben Yuan) primarily, promoting expulsion secondarily. Cooling clears heat but damages Stomach Qi. Mild sweating/purging traps exterior/interior, damaging Qi/Blood and causing internal Heat-Toxin attack, which is harmful. Elderly, post-illness, and postpartum patients require warming and tonifying; avoid internal expulsion formulas like Lv Dou San.
First, upon onset of Yong/Ju, moxibustion should be applied immediately, with external medication around the wound, leaving the center open for toxin exit. Small sores are fully covered. Once ulcerated, apply plaster. Touch the swelling: heat indicates pus; no heat indicates no pus.
Second, once ulcerated, wash daily with Pig Trotter Soup; reduce frequency to once every three days near healing.
Third, near healing, use plasters. If toxin remains, do not rush to use flesh-generating agents.
Fourth, nearing safety, tonify Qi and Blood for easy muscle growth. Cooling agents hinder closure.
Fifth, after Back Ju heals, sudden thirst untreated leads to death in 80-90%. Pre-existing thirst with Ju is very hard to treat; therefore, take Bawei Wan (Eight-Ingredient Pill) frequently. It prevents thirst and greatly nourishes Qi/Blood for muscle growth.
Sixth, vomiting in Yong/Ju has two causes: 1. Failure to promote expulsion early, latent heat in Heart; 2. Spleen Qi abnormality, latent heat in Spleen/Heart. Heart heat causes irritability, fever, swelling/pain. Spleen abnormality causes no fever/irritability but vomiting at foul odors. Hence, aromatic herbs are used because Qi/Blood moves with fragrance and rebels against stench. Sores arise from Ying Qi reversal in muscle tissue,郁结 (knotting) into pus; fragrance promotes circulation. Sores are naturally fishy/foul; exposure to bad smells worsens them. If toxin enters Stomach, vomiting occurs. Ancients used aromatics rationally. Food should also be fragrant to benefit Spleen Earth and preserve True Yuan.
Seventh, for wounds not closing due to muscle injury, use Liu Jun Zi Tang (Six Gentlemen Decoction) to tonify Spleen/Stomach. For Qi deficiency with aversion to cold, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) to tonify Spleen/Lung. For Blood deficiency with fever, use Si Wu Tang plus Ren Shen (Angelica Decoction with Ginseng) to nourish Liver/Spleen. For excessive pus, use Ba Zhen Tang (Eight Treasures Decoction) or Shi Quan Da Bu Tang (Complete Great Tonifying Decoction) to nourish Qi/Blood. The *Classic* states: Spleen governs muscles. If previous remedies fail, use Si Jun Zi plus Dang Gui (Astragalus/Ginseng/Atractylodes/Poria/Codonopsis + Angelica) to tonify Spleen/Stomach. If still ineffective, Lower Yuan Yang is deficient; urgently use Bawei Wan to strengthen Fire to generate Earth. If pulse is rapid with thirst, it is difficult to treat (True Qi deficient, Evil Qi excess).
Sa Yong (Cheek Abscess) involves the Foot Yangming Stomach Collateral. Brain Ju (abscess on head/neck/throat) was historically considered incurable. 20-30% are due to Damp-Heat rising; 80-90% are Yin Fire rising. Proper regulation may save life. Bi Yong (Arm Abscess): Anterior arm is Hand Yangming; Posterior arm is Hand Taiyang; Lateral arm is Hand Shaoyin; Medial arm is Hand Jueyin. Total mechanism: Meridian Heat constraint, external Wind invasion, Qi/Blood disharmony. Differentiate meridians, use channel-specific herbs as guides to move Qi/Blood for cure.
Neck/cheek nodules lasting long indicate severe Qi/Blood deficiency; do not attack. Tun Yong (Buttock Abscess) is Bladder Damp-Heat steaming or congenital Yin deficiency. Hard to elevate/drain here; internal promotion is key. Ye Yong (Axillary Abscess) involves Foot Shaoyang, Hand Shaoyin, Hand Jueyin. Often congenital or Liver Fire blazing. Ear Stone Yong (hard, painless, non-suppurating) requires nourishing Liver Blood, Kidney Water, and warming tonification. In youth with solid pulse, add slight Liver-clearing herbs, but avoid Qi-moving/Blood-breaking drugs. Xie Yong (Flank Abscess) involves Foot Jueyin/Shaoyang and Ministerial Fire. Liver/Gallbladder Qi imbalance causes Wind-Fire internal conflict, Ying reversal, Blood stagnation, Heat gathering into pus. All Gu Yong/Ju (bone-abscesses) originate in Kidney (Kidney governs bone). Treat by warming/nourishing Kidney Qi; bone receives Yang harmony, swelling/hardness melts. Taking Bawei Wan prevents bone Ju. Fu Yong (Abdominal Abscess) below umbilicus or 2 cun lateral belongs to Spleen Channel. Near flank belongs to Gallbladder Channel. Caused by Spleen Yin deficiency, Qi stagnation, Blood congealing injuring Spleen. Tui Yong (Leg Abscess): Medial side is Liver/Spleen; Lateral side is Gallbladder/Stomach. Flat/hard is Qi deficiency (use Nei Bu Huang Qi Tang type). Acute/swollen/painful is Damp-Heat (use Nei Tuo Chai Hu Tang type), external garlic application. Fu Gu Yong (Bone-Clinging Abscess) at Huantiao point is extreme Heat in Blood level. Onset: Gan Cao Jie, Qing Pi, Cang Zhu, Huang Bai, Qin Pi, Niu Xi. Post-ulceration: Greatly nourish Qi/Blood. Fei Yong/Fei Wei (Lung Abscess/Withered Lung) from chronic cough, Spleen/Lung Qi deficiency, spicy/rich food heat, Wind-Cold invading deficiency, or excessive sweating losing fluids. Symptoms: Void-fire coughing foul pus, dyspnea, hidden chest pain, mild limb edema. Shou Zu Jia Ju (Toe/Finger Nail Carbuncle) is Tuo Jue (gangrene). From sexual exhaustion damaging Kidney Water, anger injuring Liver/Spleen. Remote location, scarce Qi/Blood, hard for medicine to reach. Easily leads to tendon decay/bone shedding. Prioritize tonifying/promoting Qi/Blood. Black color is untreatable. Chang Yong (Intestinal Abscess) from rich food heat. Symptoms: Skin like fish scales, tight abdomen, soft on pressure, periumbilical sores, lower abdominal pain on pressure, frequent urination like strangury, abdominal distension, aversion to cold, fever, spontaneous sweat. Pulse deep-tight without pus: Urgently resolve toxin. Pulse surging-rapid with pus: Urgently drain pus. Lower abdominal pain with urinary retention: Pus obstruction. Do not panic; panic breaks intestines. Move slowly, drink thin gruel, take Ba Zhen Tang to secure Yuan Qi, rest quietly.
Nang Yong (Scrotal Abscess): Book says "Yong entering scrotum leads to death." Liver Channel Damp-Heat. Onset: swelling/pain, red/scanty urine. Treat with clearing/diuresis/resolving toxin. Pus formed but urine difficult: Toxin not dispersed, use metal needle/diuretics. Pain after pus drains: Qi/Blood deficiency, tonify. If Qi/Blood intact but scrotum fully ulcerated/testes exposed: Not fatal. Children: Mother’s anger affects child; mother and child take Liver-clearing meds. Xia Gan (Chancre) on penis, eroding deeply, chronic. Internal drying-dampness/resolving toxin; external fumigation/powder. Mostly Liver Channel Damp-Heat, purge Liver/drain Dampness. Bian Du (Groin Swelling) between lower abdomen and inner thighs. Children: Liver Fire/Gan Gan. Adults: Frustrated desire, stale essence clashing with blood, lodging in channels. Treat by opening depression, dispersing Qi, clearing draining Heat-Toxin, promoting Essence/Blood flow. Unclean intercourse causing淫火 (libido fire) toxin: First induce sweating, then promote urination. Xuan Yong (Perineal Abscess) before/after anus. Starts like pine cone, grows like lotus seed, painful/red/swollen like peach after weeks, hard to heal. Treat with 1 liang Gan Cao (Licorice) decocted in wine to drink, resolving toxin. Mostly Yin deficiency, affecting weak people. Strictly avoid cold/purgative herbs. Severe Liver/Kidney deficiency; heavily nourish Yin/tonify strongly, abstain from sex, urge quick healing, else becomes chronic fistula/tuberculosis root. Wei Yong (Stomach Abscess): Stomach is sea of water/grain, abundant Qi/Blood/Heat. Internal heat combines, forming abscess. Stomach pulse deep-thin; Ren Ying pulse (on neck) very strong. Right Guan pulse should be surging but is deep-thin, indicating reversed Stomach Qi. Ren Ying point (larynx side) corresponds to Left Cun. Strong Ren Ying + weak Right Guan = Heat congested at stomach gate, unable to fill pulse. Misdiagnosing strong Ren Ying as Taiyang Cold Damage and fasting leads to death. Ding (Carbuncle): *Classic* says "Rich food changes." Rich food consumers have dense skin/flesh, internal stagnant heat, prone to Ding. Ancient texts list 13 types, 36 locations. Origin: Visceral accumulated Heat-Toxin, pathogen combats meridians, blood coagulates/toxin stagnates, pours into pores. Appears on hands/feet/head/face according to viscera locations. Shape like millet grain, painful/itchy, spreading numbness, dizziness/chills-fever, vomiting, heavy limbs, palpitations/vision blur. *Classic* mentions 5 colors corresponding to 5 Zang, but purple-black and yellow blisters are common. Itch then pain, chills then fever. Internal dispersing/resolving/expelling agents; external application...