【方歌】石榴疽起肘尖上，粟疱根开坚肿疼，破翻如榴寒热甚，
三焦相火与湿凝。
【注】此证生于肘尖上寸余，属三焦经天井穴。初起黄粟小疱
，根脚使觉开大，色红焮肿，坚硬疼痛，肿如覆盅，破
翻如榴，寒热如疟。由三焦相火，与外湿相搏而成。初
起宜蟾酥丸汗之，外以艾炙九壮，贴蟾酥饼，用万应膏
盖之。焮肿处敷冲和膏，服菊花清燥汤；烦躁热甚者，
服护心散。九日后作稠脓，痛减喜食，表里证俱退者顺
，反此者逆。破后用菊花蕊煎汤洗之，次以菊花烧灰存
性，加轻粉少许兑匀，敷之神效。至透脓、脱腐、生肌
时，内外治法，俱按痈疽溃疡门。
方剂：菊花清燥汤
组成：甘菊花（二钱） 当归
生地 白芍（酒炒）
川芎 知母
贝母（去心，研） 地骨皮
麦冬（去心，各一钱） 柴胡
黄芩 升麻
犀角（镑） 甘草（生，各五分）
竹叶二十片，灯心二十寸，水二钟，煎八分，食后
温服。
【方歌】菊花清燥石榴疽，肿硬焮红痛可医，四物柴芩知贝草，
升麻地骨麦冬犀。
又方：蟾酥丸、蟾酥饼（即蟾酥丸料捏成饼。见疔疮门）
万应膏（见溃疡门）
冲和膏、护心散（见肿疡门）
【方歌】肘痈发于肘围绕，高肿焮热赤红疼，心肺稽留风邪火，
势小为疖大为痈。
【注】此证生于肘之围绕，暴风高肿，焮热，色红，疼痛，由
心肺风火之邪，稽留凝滞而成。形势小者为疖毒，形势
大者为痈。初服荆防败毒散汗之，次服白芷升麻汤清托
之，外敷二味拔毒散。将溃治法，俱按痈疽肿疡、溃疡
门。
方剂：白芷升麻汤
组成：黄芩（半生、半酒炒） 连翘（去心，二钱）
黄耆（三钱） 白芷（八分）
升麻 桔梗（各五分）
红花（酒洗） 甘草（炙，各三分）
酒、水各一钟，煎八分，食远热服。
【方歌】白芷升麻医肿痛，解热除烦托肘痈，芩翘桔梗红花草，
黄耆酒水各一钟。
又方：荆防败毒散（见项部脑疽）
二味拔毒散（见肿疡门）
【方歌】石榴疽生于肘尖上方，初起如粟米状小疱，根部散开，坚硬肿胀疼痛，破溃后翻卷如同石榴籽，伴有严重的寒热症状。
【注】此证发生在肘尖上一寸多处的位置，归属于三焦经的天井穴。初起时出现黄色的粟米状小疱，根脚感觉张开变大，颜色红赤、红肿，质地坚硬且疼痛，肿胀形状像倒扣的杯子，破溃后翻卷如石榴，伴有类似疟疾的寒热交替症状。这是由于三焦相火与外感湿邪相互搏结而形成的。初起阶段适宜服用蟾酥丸以发汗解表，外用艾炷灸九壮，并贴敷蟾酥饼，再用万应膏覆盖。在红肿炽盛处敷上冲和膏，内服菊花清燥汤；若烦躁且热势严重，则服用护心散。九日后若形成稠厚脓液，疼痛减轻且食欲恢复，表证和里证都消退的，属于顺证；反之则为逆证。破溃后用菊花蕊煎汤清洗患处，随后将菊花烧成灰但保留药性，加入少量轻粉混合均匀，敷于患处，效果极佳。到了透脓、排腐、生肌的阶段，内外治疗方法，均按照痈疽溃疡门的规范进行。
方剂：菊花清燥汤
组成：甘菊花（二钱） 当归 生地 白芍（酒炒） 川芎 知母 贝母（去心，研碎） 地骨皮 麦冬（去心，各一钱） 柴胡 黄芩 升麻 犀角（镑片） 甘草（生用，各五分） 竹叶二十片，灯心草二十寸，水两钟，煎至八分，饭后温服。
【方歌】菊花清燥汤治疗石榴疽，肿胀坚硬红赤疼痛可医治，方中含四物汤加柴胡、黄芩、知母、贝母、甘草，以及升麻、地骨皮、麦冬、犀角。
又方：蟾酥丸、蟾酥饼（即由蟾酥丸的药料捏成饼状。详见疔疮门）
万应膏（详见溃疡门）
冲和膏、护心散（详见肿疡门）
【方歌】肘痈发作于肘部周围，高高肿胀、红热、色红且疼痛，因心肺滞留的风邪与火邪所致，病情轻微者为疖，病情严重者为痈。
【注】此证发生在肘部周围，表现为突然高肿，红热，颜色红，疼痛，这是由于心肺的风火之邪滞留凝滞而形成的。形势较小的称为疖毒，形势较大的称为痈。初起时先服用荆防败毒散以发汗解表，接着服用白芷升麻汤以清热托毒，外敷二味拔毒散。即将溃破时的治法，均按照痈疽肿疡、溃疡门的规范进行。
方剂：白芷升麻汤
组成：黄芩（一半生用、一半酒炒） 连翘（去心，二钱） 黄耆（三钱） 白芷（八分） 升麻 桔梗（各五分） 红花（酒洗） 甘草（炙用，各三分） 酒、水各一钟，煎至八分，饭后再热服。
【方歌】白芷升麻汤治疗肿痛，解热除烦并托毒治疗肘痈，方中含黄芩、连翘、桔梗、红花、甘草、黄耆，用水和酒各一钟煎煮。
又方：荆防败毒散（详见项部脑疽）
二味拔毒散（详见肿疡门）
[Prescription Verse] Shili Ju (Pomegranate Carbuncle) arises above the elbow tip. Initially presenting as millet-like blisters with spreading roots, it is hard, swollen, and painful. Upon rupture, it everts like a pomegranate, accompanied by severe chills and fever.
[Annotation] This condition occurs about one cun above the elbow tip, belonging to the Tianjing (TE10) acupoint of the Sanjiao Meridian of Hand-Shaoyang. At onset, yellow millet-like small blisters appear; the base feels expanded, the color is red and inflamed, the texture is hard and painful, and the swelling resembles an inverted cup. After rupture, it everts like a pomegranate, with chills and fever resembling malaria. It is caused by the interaction of Ministerial Fire (Xianghuo) of the Sanjiao and external dampness. In the early stage, Chan Su Wan (Toad Venom Pill) should be taken to induce sweating. Externally, apply nine moxa cones, paste Chan Su Bing (Toad Venom Cake), and cover with Wan Ying Gao (Ten Thousand Response Plaster). Apply Chonghe Gao (Harmonizing Ointment) on the inflamed area, and internally administer Juhua Qingzao Tang (Chrysanthemum Clearing Dryness Decoction); if irritability and high heat are severe, take Huxin San (Heart-Protecting Powder). After nine days, if thick pus forms, pain decreases, appetite returns, and both exterior and interior signs recede, it is a favorable prognosis (Shun); otherwise, it is unfavorable (Ni). After rupture, wash the area with decoction of Chrysanthemum stamens. Then, burn Chrysanthemum flowers to ash while retaining their medicinal property, mix with a small amount of Calomel (Qingfen), and apply externally for excellent effect. During the stages of draining pus, eliminating necrotic tissue, and generating flesh, internal and external treatments follow the protocols in the "Carbuncles and Ulcers" section.
Formula: Juhua Qingzao Tang (Chrysanthemum Clearing Dryness Decoction)
Composition: Gan Juhua (Chrysanthemi Flos, 2 qian), Danggui (Angelicae Sinensis Radix), Shengdi (Rehmanniae Radix), Baishao (Paeoniae Radix Alba, stir-fried with wine), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhimu (Anemarrhenae Rhizoma), Beimu (Fritillariae Thunbergii Bulbus, heart removed, ground), Digupi (Lycii Cortex), Maidong (Ophiopogonis Radix, heart removed, each 1 qian), Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Shengma (Cimicifugae Rhizoma), Xijiao (Rhinocerotis Cornu, sliced), Gancao (Glycyrrhizae Radix et Rhizoma, raw, each 5 fen), Zhu Ye (Phyllostachys Folium, 20 leaves), Dengxincao (Junci Medulla, 20 cun). Add two zhong of water, decoct to obtain eight fen, and take warm after meals.
[Prescription Verse] Juhua Qingzao Tang treats Shili Ju; swelling, hardness, inflammation, redness, and pain are treatable. The formula contains Siwu Tang plus Chaihu, Huangqin, Zhimu, Beimu, and Gancao, along with Shengma, Digupi, Maidong, and Xijiao.
Alternative Formulas: Chan Su Wan (Toad Venom Pill), Chan Su Bing (Toad Venom Cake - made from the ingredients of Chan Su Wan molded into cakes. See Ding Chuang Section). Wan Ying Gao (Ten Thousand Response Plaster. See You Yang Section). Chonghe Gao (Harmonizing Ointment), Huxin San (Heart-Protecting Powder. See Zhong Yang Section).
[Prescription Verse] Zhou Yong (Elbow Abscess) develops around the elbow. It presents with high swelling, inflammation, heat, redness, and pain. It is caused by wind and fire pathogens lingering in the Heart and Lung. When mild, it is called Bo (Boil); when severe, it is called Yong (Abscess).
[Annotation] This condition occurs around the elbow, characterized by sudden high swelling, inflammation, heat, redness, and pain. It is formed by the lingering and stagnation of wind-fire pathogens in the Heart and Lung. When the condition is minor, it is termed Jie Du (Boil Poison); when major, it is termed Yong (Abscess). Initially, take Jing Fang Bai Du San (Aristolochia and Saposhnikovia Decoction for Overcoming Toxicity) to induce sweating. Subsequently, take Baizhi Shengma Tang (Angelicae Dahuricae and Cimicifugae Decoction) to clear heat and support expulsion of toxins. Externally apply Erwei Baidu San (Two-Ingredient Toxin-Expelling Powder). Treatments for the impending ulceration stage follow the protocols in the "Carbuncles and Ulcers" sections.
Formula: Baizhi Shengma Tang (Angelicae Dahuricae and Cimicifugae Decoction)
Composition: Huangqin (Scutellariae Radix, half raw, half stir-fried with wine), Lianqiao (Forsythiae Fructus, heart removed, 2 qian), Huangqi (Astragali Radix, 3 qian), Baizhi (Angelicae Dahuricae Radix, 8 fen), Shengma (Cimicifugae Rhizoma), Jiegeng (Platycodonis Radix, each 5 fen), Honghua (Carthami Flos, washed with wine), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 3 fen). Add one zhong of wine and one zhong of water, decoct to obtain eight fen, and take hot far from meals.
[Prescription Verse] Baizhi Shengma Tang treats swelling and pain, clears heat, relieves irritability, and supports treatment of Zhou Yong. The formula contains Huangqin, Lianqiao, Jiegeng, Honghua, Gancao, and Huangqi, decocted with one zhong of water and one zhong of wine.
Alternative Formulas: Jing Fang Bai Du San (Aristolochia and Saposhnikovia Decoction for Overcoming Toxicity. See Neck and Occipital Nongju Section). Erwei Baidu San (Two-Ingredient Toxin-Expelling Powder. See Zhong Yang Section).