【方歌】内消表散有奇功，脉证俱实用最灵，脉证俱虚宜兼补，
发渴便秘贵疏通。清热解毒活气血，更看部位属何经，
主治随加引经药，毒消肌肉自然平。
【注】经云：发表不远热。又云：汗之则疮已。故曰内消表散
有奇功也。惟脉证俱实者，斯可用之。若脉证俱虚，便
宜兼补，发渴便秘，须急疏行，不可概施表散之剂也。
痈疽皆因气血凝结，火毒太盛所致。故以清热解毒，活
气活血为主。更宜详看部位，属何经络，即用引经之药
以治之，则肿痛自消，肌肉自平矣。
【方歌】已成不起更无脓，坚硬不赤或不疼，脓少清稀口不敛，
大补气血调卫荣。佐以袪毒行滞品，寒加温热御寒风，
肿消肿出腐肉脱，新生口敛内托功。
【注】凡疮肿已成，不能突起，亦难消脓或坚肿不赤而疼，或
不疼，脓少清稀，疮口不合，皆气血虚也。宜以大补气
血，调和荣卫为君，袪毒为佐，加以辛香，行其郁滞，
加以温热，御其风寒，候脓出肿消，腐肉尽去，气血充
足，新肉自然生矣。
【方歌】痈疽未脓炙最良，药服托里自安康，发热恶寒身拘紧，
无汗表散功最长。肿硬口干二便秘，下利毒热自然凉，
焮痛热盛烦躁渴，便和清热自吉昌。内脓不出瘀肉塞，
用刀开割法相当，软漫无脓不腐溃，宜服温补助生阳。
溃后新肉如冻色，倍加温热自吉祥，大汗亡阳桂枝附，
自汗肢厥四逆汤。脾虚溃后肌消瘦，脓水清稀面白黄，
不眠发热疮口懈，食少作渴大便溏，宜服清补助脾剂，
投方应证保无妨。
【注】凡治痈疽，不问阴阳表里，日数远近但未见脓时，俱宜
灸之。焮肿发热脉浮者，宜用托里之药。若脉紧，发热
恶寒，遍身拘紧无汗者，宜用表散之药。肿硬口干，二
便秽涩者，宜用下利之药，以泄其毒。热焮痛势深，烦
躁饮冷，口燥舌干便和者，宜用清热之药。内脓不出，
瘀肉堵塞疮口者，用刀开割之，软漫无脓，不腐溃者，
阳虚也。助以温补之剂以生其阳。溃后新肉生迟，如冻
色者，肉冷肌寒也，宜倍加温热之药。如大汗不止者，
亡阳也。宜用桂枝附子等药。自汗肢厥者，宜用四逆汤
。若溃后肌肉消瘦，脓水清稀，面色黄白者，脾虚也；
不寐发热者，虚火上炎也；疮口懈大者，气陷不固也；
食少作渴，大便溏者，脾虚热也，俱宜服清补助脾之药
。
【方歌】内消法具有表散的神奇功效，当脉象和证候都表现为实证时应用最为灵验；若脉象和证候都表现为虚证，则应当兼用补益法；出现口渴、便秘的情况，贵在及时疏通。以清热解毒、调和气血为主，更要根据病变部位所属的经络，主治时随症加入引经药，毒邪消除后肌肉自然平复。
【注】经文说：发表（解表）不宜远离热性药物。又说：发汗则疮疡可愈。所以说内消表散有奇效。只有脉象和证候都属实证时，才可以使用这种方法。如果脉象和证候都属虚证，就应当兼用补法；出现口渴、便秘，必须紧急疏通行气，不可一概使用表散的药物。痈疽都是因为气血凝结、火毒太盛所致。所以以清热解毒、活血行气为主要治法。更应详细查看病变部位属于哪条经络，即使用引经药来治疗，那么肿痛自然消退，肌肉自然平复。
【方歌】疮疡已成但不起发且无脓液，坚硬不红或不疼痛，脓液少而清稀、疮口不合拢，需用大补气血、调和营卫的方法。辅以祛毒行滞的药物，寒证加温热药以抵御风寒，待肿消脓出腐肉脱落，新肉生长、疮口愈合，这是内托法的功效。
【注】凡是疮肿已经形成，不能突起，也难以消散排脓，或者坚肿不红而疼痛，或者不疼痛，脓液少而清稀，疮口不能闭合，这都是气血虚弱的表现。应当以大补气血、调和营卫为君药，祛毒为佐药，加上辛香药物以行其郁滞，加上温热药物以御其风寒，等到脓液排出、肿胀消退、腐肉尽去，气血充足，新肉自然生长。
【方歌】痈疽尚未化脓时，艾灸最为良策，服药托里自能安康。若见发热恶寒、身体拘紧，无汗者，用表散法功效最长。若见肿硬、口干、二便不通，用下利法使毒热自然清凉。若见红肿剧痛、热盛烦躁口渴，大便正常者，用清热法自能吉祥。若内部脓液不出、瘀肉堵塞，用刀切开割除法相当适宜。若软漫无脓、不腐溃，宜服用温补助生阳气。溃后新肉颜色如冻伤般苍白，加倍使用温热药自能吉祥。大汗导致亡阳者，用桂枝附子汤；自汗、四肢厥冷者，用四逆汤。脾虚溃后肌肉消瘦，脓水清稀、面色黄白，失眠发热、疮口松弛，食少作渴、大便溏薄，宜服用清补助脾剂，投方对症保无妨碍。
【注】凡是治疗痈疽，不问是阴证还是阳证、表证还是里证、病程长短，只要未见脓液时，都适宜施灸。红肿发热、脉浮者，宜用托里透脓的药物。若脉紧，发热恶寒，全身拘紧无汗者，宜用表散的药物。肿硬口干，大小便秽涩者，宜用通下利导的药物，以泄出毒邪。热势炽盛、疼痛深重、烦躁喜冷饮、口燥舌干但大便正常者，宜用清热的药物。内部脓液不出，瘀肉堵塞疮口者，用刀切开割除；若软漫无脓、不腐溃，属于阳虚，用温补药剂以助生阳气。溃后新肉生长迟缓，颜色如冻伤者，是肉冷肌寒，宜加倍使用温热药物。如大汗不止者，是亡阳，宜用桂枝附子等药。自汗、四肢厥冷者，宜用四逆汤。若溃后肌肉消瘦，脓水清稀，面色黄白者，是脾虚；失眠发热者，是虚火上炎；疮口松弛扩大者，是气陷不固；食少作渴、大便溏薄者，是脾虚有热，都适宜服用清补助脾的药物。
[Verse] The method of internal resolution possesses the miraculous efficacy of releasing the exterior. It is most effective when both the pulse and symptoms indicate excess patterns. When both pulse and symptoms indicate deficiency patterns, tonification should be combined. For cases involving thirst and constipation, prompt unblocking and purging are essential. The primary approach involves clearing heat and detoxifying while invigorating qi and blood. One must further observe which meridian the lesion belongs to, adding guiding herbs (Yin Jing Yao) according to the main treatment. Once the toxin is eliminated, the flesh will naturally heal.
[Annotation] The classics state: "Releasing the exterior does not distance itself from hot [natured] substances." It also states: "Sweating will cure the sores." Therefore, it is said that internal resolution with exterior release has miraculous effects. This method can only be used when both the pulse and symptoms indicate excess patterns. If both pulse and symptoms indicate deficiency patterns, tonification should be combined. In cases of thirst and constipation, urgent unblocking and promoting movement are required; one must not indiscriminately apply exterior-releasing formulas. Carbuncles and ulcers are caused by the coagulation of qi and blood and excessive fire-toxin. Therefore, the main treatment is clearing heat, detoxifying, and invigorating qi and blood. One should carefully examine which meridian the location belongs to and use guiding herbs for treatment, so that swelling and pain will naturally subside, and the flesh will naturally level out.
[Verse] When a sore has formed but fails to protrude and produces no pus, or is hard, non-red, or painless, or when there is little thin pus and the wound fails to close, one must greatly tonify qi and blood and harmonize Ying and Wei (Nutritive and Defensive levels). Assist with agents that dispel toxins and move stagnation. For cold conditions, add warm and hot agents to ward off wind-cold. When swelling subsides, pus emerges, and necrotic tissue falls off, with new flesh growing and the wound closing, this demonstrates the merit of internal support (Nei Tuo).
[Annotation] Whenever a swelling has formed but cannot protrude, nor easily dissipate pus, or is hard and swollen without redness yet painful, or painless, with little thin pus and an unclosed wound, these are all signs of qi and blood deficiency. One should take great tonification of qi and blood and harmonization of Ying and Wei as the sovereign (Jun) strategy, with toxin-dispelling as the assistant (Zuo) strategy. Add acrid and aromatic substances to move depression and stagnation, and add warm and hot substances to resist wind and cold. Wait until pus is discharged, swelling subsides, and necrotic tissue is completely removed; once qi and blood are sufficient, new flesh will naturally grow.
[Verse] For carbuncles and ulcers before suppuration, moxibustion is best; taking internal support formulas ensures peace and health. If fever, aversion to cold, and body stiffness occur, and there is no sweating, the exterior-releasing method yields the longest-lasting benefit. If there is hardness, dry mouth, and obstruction of urination and defecation, purgative methods naturally cool the toxic heat. If there is intense redness and pain, high heat, irritability, and thirst, but normal bowel movements, clearing-heat methods bring auspicious results. If internal pus does not emerge and necrotic tissue blocks the opening, surgical incision is appropriate. If soft and flat without pus or necrosis, administer warm-tonifying agents to generate yang. After ulceration, if new flesh appears pale like frostbite, double the warm and hot agents for auspicious outcomes. For massive sweating leading to collapse of yang, use Guizhi Fuzi Tang (Cinnamon Twig and Aconite Decoction); for spontaneous sweating and cold limbs, use Sini Tang (Frigid Extremities Decoction). For spleen deficiency after ulceration with muscle wasting, thin pus, and sallow-white complexion; for insomnia, fever, loose wounds, poor appetite, thirst, and loose stools, administer clear-and-tonify spleen formulas. Matching the prescription to the syndrome ensures safety.
[Annotation] In treating carbuncles and ulcers, regardless of yin or yang, exterior or interior, or duration, moxibustion is suitable whenever pus has not yet formed. For redness, swelling, fever, and floating pulse, use internal-supporting medications. If the pulse is tight, with fever, aversion to cold, and generalized stiffness without sweat, use exterior-releasing medications. For hardness, dry mouth, and turbid/obstructed urination and defecation, use purgative/laxative medications to drain the toxin. For intense heat, deep pain, irritability, desire for cold drinks, dry mouth and tongue, but normal bowels, use clearing-heat medications. If internal pus does not emerge and necrotic tissue blocks the wound, perform surgical incision. If soft and flat without pus or necrosis, this indicates yang deficiency; use warm-tonifying agents to generate yang. If new flesh grows slowly after ulceration and appears pale like frostbite, this indicates cold flesh and muscles; double the warm and hot agents. For incessant massive sweating, indicating collapse of yang, use Guizhi Fuzi (Cinnamon Twig and Aconite) etc. For spontaneous sweating and cold limbs, use Sini Tang (Frigid Extremities Decoction). If after ulceration there is muscle wasting, thin pus, and sallow-white complexion, this is spleen deficiency; insomnia and fever indicate deficient fire flaming upward; loose and enlarged wounds indicate sinking qi failing to secure; poor appetite, thirst, and loose stools indicate spleen deficiency with heat. All these cases are suitable for administering clear-and-tonify spleen medications.