【方歌】渊疽肝胆忧恚成，生于肋下硬肿疼，溃破有声内膜透，
未溃当服护膜灵。
【注】此证因忧恚太过，以致肝胆两伤而成。生于肋下，初起
坚硬，肿而不红，日久方溃，得稠白脓者顺，如豆浆水
者险。疮口有声，似乎儿啼，此属内膜透也。即于阳陵
泉穴，灸二七壮，其声即止，穴在膝膑骨外〔月廉〕下
一寸陷中，蹲坐取之即得。内外治法，皆同肋疽。凡肋
、胸、胁、腰、腹空软之处发痈疽者，当在将溃未溃之
际，多服护膜散，可免透膜之患。
方剂：护膜散
组成：白蜡 白芨（各等分）
共研细末，轻剂一钱，中剂二钱，大剂三钱，黄酒
调服，米汤亦可。
【方歌】护膜散内二味药，白蜡白芨为细末，或酒或以米汤调，
将脓预服不透膜。
【方歌】丹毒肝脾热极生，肋上腰胯赤霞形，急宜砭出紫黑血，
呕哕昏胀毒内攻。
【注】此证由肝、脾二经，热极生风所致，生于肋骨，延及腰
胯，色赤如霞，游步如云，痛如火燎。急向赤肿周围，
砭出紫黑血，以瘦牛肉片贴之（羊肉片亦可），其毒即
可减半。初服双解贵金丸汗之，次服化斑解毒汤，投方
应病者顺；若呕哕昏溃，胸腹〔月真〕胀，遍身青紫者
，则为毒气内攻属逆。
方剂：化斑解毒汤
组成：升麻 石膏
连翘（去心） 牛蒡子（炒，研）
人中黄 黄连
知母 黑参（各一钱）
竹叶二十片，水一钟，煎八分服。
【方歌】化斑解毒热生风，致发丹毒云片红，升膏翘蒡中黄等，
黄连知母黑参同。
又方：双解贵金丸（见肿疡门）
【方歌】渊疽是由于肝胆受到忧思和愤怒的情绪影响而形成的，病灶生长在肋骨下方，表现为坚硬、肿胀和疼痛。如果溃破时发出声音且内膜穿透，在未溃破阶段应当服用护膜灵（即护膜散）。
【注】此病症是因为过度忧虑和愤怒，导致肝胆两经受损而形成。病灶生于肋下，初起时质地坚硬，肿胀但不发红，经过较长时间才会溃破。若流出稠厚的白色脓液为顺证；若流出像豆浆水一样的稀薄液体则为险证。疮口发出声音，类似婴儿啼哭，这属于内膜穿透的表现。此时可在阳陵泉穴艾灸十四壮（二七壮），声音即可停止。该穴位位于膝盖髌骨外侧下方一寸处的凹陷中，采取蹲坐姿势即可准确取穴。其内治和外治方法，均与肋疽相同。凡是发生在肋骨、胸部、胁部、腰部、腹部等空软部位发生的痈疽，应当在即将溃破但尚未溃破之际，多服用护膜散，可以避免穿透内脏内膜的祸患。
方剂：护膜散
组成：白蜡、白芨（各取等量）
将二者共同研磨成细末，轻症服用一钱，中等剂量服用二钱，重症服用三钱，用黄酒调服，米汤也可以作为送服介质。
【方歌】护膜散由两味药组成，白蜡和白芨研成细末，或用酒或用米汤调服，在脓液形成之前预先服用可防止穿透内膜。
【方歌】丹毒是由于肝脾热极而生风所致，病灶生在肋骨上方及腰胯部，皮肤呈现如晚霞般的红色，游走不定如云彩般变幻，疼痛如火烧燎原。急需在红肿周围进行砭刺，放出紫黑色的血液，然后用瘦牛肉片贴敷患处（羊肉片也可以），体内的毒素即可减少一半。初期服用双解贵金丸以发汗，随后服用化斑解毒汤，处方对症则病情顺遂；如果出现呕吐、呃逆、昏迷、溃烂，胸腹部胀满，全身青紫等症状，则属于毒气内攻，预后不良（属逆证）。
方剂：化斑解毒汤
组成：升麻、石膏、连翘（去心）、牛蒡子（炒后研磨）、人中黄、黄连、知母、黑参（以上各一钱），竹叶二十片，用水一钟，煎至八分，温服。
【方歌】化斑解毒汤用于治疗因热生风导致的丹毒，症状表现为云片状的红色皮疹，方中包含升麻、石膏、连翘、牛蒡子、人中黄、黄连、知母和黑参。
又一方：双解贵金丸（参见肿疡门章节）
[Formula Song] Yuan Ju (Deep Abscess) arises from worry and resentment affecting the Liver and Gallbladder. It manifests as hardness, swelling, and pain below the ribs. If it ulcerates with a sound indicating perforation of the inner membrane, Hu Mo San (Membrane-Protecting Powder) should be taken before ulceration.
[Annotation] This condition is caused by excessive worry and resentment, injuring both the Liver and Gallbladder channels. It occurs below the ribs; initially, it is hard, swollen but not red. After a long time, it ulcerates. The discharge of thick white pus indicates a favorable prognosis (Shun), whereas discharge resembling bean curd dregs indicates a dangerous prognosis (Xian). A sound emanating from the wound, resembling an infant's cry, indicates perforation of the inner membrane. At this point, moxibustion of fourteen burns (two sets of seven) at Yanglingquan (GB34) will stop the sound. The acupoint is located in the depression one cun below the lateral aspect of the patella, accessible by squatting or sitting. Both internal and external treatments are the same as those for Rib Abscess. For any carbuncle or abscess occurring in soft, hollow areas such as the ribs, chest, hypochondrium, waist, or abdomen, frequent administration of Hu Mo San during the pre-ulcerative stage can prevent the hazard of membrane perforation.
Formula: Hu Mo San (Membrane-Protecting Powder)
Composition: Beeswax (Cera Flava) and Bletilla Rhizome (Baiji) in equal parts.
Grind into a fine powder. Take 1 qian for mild cases, 2 qian for moderate cases, and 3 qian for severe cases. Mix with yellow wine for administration; rice soup may also be used.
[Formula Song] Hu Mo San contains two ingredients: Beeswax and Bletilla ground into fine powder. Mixed with wine or rice soup, taking it beforehand prevents membrane perforation.
[Formula Song] Dan Du (Erysipelas) arises from extreme heat generating wind in the Liver and Spleen. It appears above the ribs and on the hips/waist with a red hue like rosy clouds, wandering like mist, and burning pain. Urgent scarification should be performed around the red and swollen area to release purple-black blood, followed by applying slices of lean beef (or mutton) to reduce toxicity by half. Initially, administer Shuang Gui Jin Wan (Double-Resolving Precious Gold Pill) to induce sweating, followed by Hua Ban Jie Du Tang (Spot-Transforming Detoxifying Decoction). If the prescription matches the disease, the prognosis is favorable. However, if vomiting, hiccups, coma, or ulceration occur, accompanied by abdominal distension and generalized cyanosis, it indicates internal attack of toxic qi, which is unfavorable (Ni).
Formula: Hua Ban Jie Du Tang (Spot-Transforming Detoxifying Decoction)
Composition: Cimicifugae Rhizoma (Shengma), Gypsum Fibrosum (Shigao), Forsythiae Fructum (Lianqiao, heart removed), Arctii Fructus (Niubangzi, stir-fried and ground), Humanis Excrementis Depuratum (Renzhonghuang), Coptidis Rhizoma (Huanglian), Anemarrhenae Rhizoma (Zhimu), and Panacis Quinquefolii Radix Nigra (Heishen) — each 1 qian; twenty leaves of Bambusa Leaves (Zhuye). Decoct with one zhong of water until reduced to eight-tenths, then take warm.
[Formula Song] Hua Ban Jie Du Tang treats wind generated by heat causing Erysipelas, characterized by cloud-like red patches. It contains Shengma, Shigao, Lianqiao, Niubangzi, Renzhonghuang, Huanglian, Zhimu, and Heishen.
Another Formula: Shuang Gui Jin Wan (See Chapter on Ulcers and Sores)