【方歌】痼发皆由外感生，伸缩动处每成形，漫肿无头寒热作。
四肢沈重渴烦增。
【注】此证体虚之人，感受天地不正之厉气而生，非由内作也
。多生于手、足掌心，或腰、腿、臀下伸缩动处，疼如
痛风，而兼漫肿无头，其色淡红，憎寒发热，四肢沈重
，烦渴。初起宜服万灵丹发汗解表；肿仍不消，必欲作
脓者，宜托里消毒散，兼琥珀蜡矾丸间服；已溃者，按
痈疽溃疡门治法。
方剂：万灵丹、托里消毒散、琥珀蜡矾丸（俱见肿疡门）
【方歌】瘭疽本由烟瘴起，小如粟豆大梅李，初发红点次变黑，
腐烂筋骨疼无已。
【注】此证一名蛇瘴，川、广烟瘴地而有之。初起红点，次变
黑色，其形小者如粟豆，大者如梅李，随处可生，疼痛
应心不止，腐烂筋骨，溃破脓如豆汗，今日拭净，净日
脓汁复满，愈而复发。初起宜贴蟾酥饼，寒热交作，宜
服黍米寸金丹，或夺命丹亦可。红肿游走不定者，离宫
锭涂之，兼神灯照熏照之。破后脾虚，食少作呕者，补
中气益汤加黄连、麦冬；补而不应，或出稀水秽汁者逆
。
方剂：蟾酥饼（见疔疮）
黍米寸金丹、离宫锭（俱见肿疡门）
夺命丹（见背部阴阳二气疽）
补中益气汤（见溃疡门）
神灯照法（见首卷）
【方歌】痼发（一种生于手足掌心或腰腿伸缩处的急性化脓性疾病）皆由外感邪气引起，常发生在肢体伸缩活动的部位并容易形成肿块，表现为漫肿无头、伴有寒热症状。四肢沉重且烦渴加重。
【注】这种病症多见于体质虚弱之人，因感受天地间不正的厉气（强烈的致病邪气）而产生，并非由体内因素引发。多发生于手、足掌心，或腰部、腿部、臀部等伸缩活动的部位，疼痛如同痛风，兼有漫肿无头、颜色淡红、憎恶寒冷且发热、四肢沉重、心烦口渴等症状。初起时适宜服用万灵丹以发汗解表；若肿胀仍不消退，且必然要化脓者，适宜服用托里消毒散，同时间歇服用琥珀蜡矾丸；已经溃破者，按照痈疽溃疡门的治法处理。
方剂：万灵丹、托里消毒散、琥珀蜡矾丸（均见肿疡门）
【方歌】瘭疽（一种类似现代坏疽或严重感染的疾病）本由烟瘴之气引起，疮形小如粟豆，大如梅李，初起为红色斑点，随后变为黑色，导致筋骨腐烂，疼痛不止。
【注】这种病症又名蛇瘴，在四川、广东等烟瘴之地常见。初起时为红点，随后变为黑色，其形状小的如粟豆，大的如梅李，可在身体各处生长，疼痛剧烈直至心脏，导致筋骨腐烂，溃破后流出的脓液像豆汗一样，今天擦拭干净，明天脓汁又充满，愈合后又复发。初起时适宜贴敷蟾酥饼；若出现寒热交替发作的症状，适宜服用黍米寸金丹，或者夺命丹也可以。若红肿游走不定，使用离宫锭涂抹，并配合神灯照熏法照射。溃破后若脾气虚弱，饮食减少且作呕者，使用补中益气汤加黄连、麦冬；若补益无效，或流出稀薄臭秽汁液者，属逆证（预后不良）。
方剂：蟾酥饼（见疔疮）
黍米寸金丹、离宫锭（均见肿疡门）
夺命丹（见背部阴阳二气疽）
补中益气汤（见溃疡门）
神灯照法（见首卷）
[Prescription Verse] Guofa (an acute suppurative disease occurring on the palms of hands and feet or in flexion areas of waist and legs) arises from external pathogenic factors. It typically forms masses at sites of limb flexion and extension, presenting as diffuse swelling without a distinct head, accompanied by aversion to cold and fever. The limbs feel heavy, and irritability with thirst increases.
[Annotation] This condition occurs in individuals with weak constitutions due to exposure to abnormal and severe qi (pathogenic factors) from heaven and earth; it is not caused by internal factors. It commonly arises on the palms of the hands and feet, or in the flexion and extension areas of the waist, legs, and buttocks. The pain resembles that of gout, accompanied by diffuse swelling without a head, pale red color, aversion to cold with fever, heaviness of the limbs, irritability, and thirst. In the initial stage, Wanling Dan should be taken to induce sweating and release the exterior. If the swelling does not subside and suppuration is inevitable, Tuoli Xiaodu San should be taken, along with intermittent administration of Hupo Lafan Wan. For cases that have already ulcerated, treatment should follow the methods for ulcers in the Yang-Heat Sores chapter.
Formulas: Wanling Dan, Tuoli Xiaodu San, Hupo Lafan Wan (all see Chapter on Swollen Ulcers)
[Prescription Verse] Biaojü (a disease resembling modern gangrene or severe infection) originates from miasma and pestilential qi. The lesions are small like millet seeds or large as plums. Initially appearing as red spots, they turn black, causing rotting of muscles and bones with unceasing pain.
[Annotation] This condition is also known as Shezhang (Snake Miasma) and is prevalent in regions like Sichuan and Guangdong where miasma exists. It begins as red spots that subsequently turn black. The lesions vary in size from millet seeds to plums and can appear anywhere on the body. The pain is severe, radiating to the heart, leading to rotting of muscles and bones. Upon ulceration, the pus flows out like bean sweat; after wiping it clean today, the pus refills tomorrow. It heals only to recur. In the initial stage, Chansu Bing should be applied topically. If alternating chills and fever occur, Shumi Cunjindan should be taken, or Duoming Dan may also be used. For redness and swelling that wander and are unstable, Ligong Ding should be applied topically, combined with Shen Deng Zhao (Divine Lamp Illumination) moxibustion/fumigation. After ulceration, if there is Spleen Qi deficiency with poor appetite and vomiting, Buzhong Yiqi Tang should be modified with Huanglian and Maidong. If tonification fails, or if thin, foul-smelling discharge appears, it indicates a adverse prognosis (Ni syndrome).
Formulas: Chansu Bing (see Ding Chuang); Shumi Cunjindan, Ligong Ding (both see Chapter on Swollen Ulcers); Duoming Dan (see Back Yin-Yang Two-Qi Ju); Buzhong Yiqi Tang (see Chapter on Ulcers); Shen Deng Zhao Method (see Volume 1)