【方歌】缓疽脾经气积凝，少腹旁生坚又疼，数月不溃生寒热，
食少削瘦效难成。
【注】此证由太阴脾经，气滞寒积而成。生于少腹之旁，坚硬
如石，不红不热，痛引腰腿，数月不溃；若兼食少削瘦
者属败证，但不可弃而不治。初宜服山甲内消散，不应
不可强消，徒损胃气，以十全大补汤加乌药、附子、胡
卢巴温补之，外用木香并熨之，兼用独头蒜捣烂，铺于
患上艾壮灸之，以知热为止，次日再灸，以或消或溃为
效。若溃后，即按痈疽溃疡门治法。
方剂：山甲内消散（见中脘疽）
十全大补汤（见溃疡门）
木香饼（见乳部乳中结核）
【方歌】腋痈暴肿生腋间，肿硬焮赤痛热寒，肝脾血热兼忿怒，
初宜清解溃补痊。
【注】此证一名夹肢痈，发于腋际，即俗名胳肢窝也，属肝脾
血热兼忿怒而成。初起暴肿焮硬，色赤疼痛，身发寒热
，难消必欲作脓。初宜服柴胡清肝汤，外敷冲和膏；疼
痛日增，宜服透脓散加金银花、甘草节、桔梗；脓胀痛
者针之。已溃，内外治法俱按痈疽溃疡门。此证首尾忌
用寒凉。中年易愈，老弱之人难痊。
方剂：柴胡清肝汤（见头部鬓疽）
冲和膏、透脓散（见肿疡门）
【方歌】腋疽初起若核形，肝恚脾忧气血凝，漫肿坚硬宜蒜灸，
日久红热溃先疼。
【注】此证一名米疽，又名疚疽。发于胳肢窝正中，初起之时
，其形如核。由肝、脾二经忧思恚怒，气结血滞而成。
漫肿坚硬，皮色如常，日久将溃，色红微热疼痛也。初
宜艾壮隔蒜片灸法，内服柴胡清肝汤加乌药消之；虚弱
之人，宜服香贝养荣汤，外用乌龙膏敷之。早治或有全
消者，迟则脓成，宜服托里透脓汤；脓胀痛者，针之；
脓出痛减，随患者虚实补之。其余内外治法，俱按痈疽
溃疡门。此证初终，内外治法，禁用寒凉。中年易愈，
衰老难痊。
方剂：隔蒜灸法（见首卷灸法）
柴胡清肝汤（见头部鬓疽）
香贝养荣汤（见项部上石疽）
乌龙膏（见肿疡门）
托里透脓汤（见头部侵脑疽）
【方歌】缓疽是脾经气机郁结凝聚所致，生于少腹旁边，坚硬且疼痛，数月不溃破并伴有寒热症状，饮食减少、身体消瘦者疗效难以奏效。
【注】此证由太阴脾经气滞寒凝而成。生于少腹之旁，坚硬如石，不红不热，疼痛牵引腰腿，数月不溃破；若兼有饮食减少、身体消瘦者属于败证，但不可放弃治疗。初期适宜服用山甲内消散，若无效不可强行消散，以免徒然损伤胃气，应使用十全大补汤加乌药、附子、胡卢巴进行温补治疗，外用木香饼熨敷患处，同时用独头蒜捣烂，铺在患处以艾壮灸之，以感到热度为度，次日再灸，以疮疡消散或溃破为有效。若已溃破，即按照痈疽溃疡门的治法处理。
方剂：山甲内消散（见中脘疽）
十全大补汤（见溃疡门）
木香饼（见乳部乳中结核）
【方歌】腋痈突然肿胀生于腋间，肿硬发红发热疼痛伴恶寒，由肝脾血热兼愤怒情绪引起，初期适宜清解，后期溃后补益以痊愈。
【注】此证一名夹肢痈，发于腋际，即俗名胳肢窝，属肝脾血热兼愤怒情绪而成。初起突然肿胀坚硬，色赤疼痛，身体发寒热，难以消散，必然化脓。初期适宜服用柴胡清肝汤，外敷冲和膏；疼痛日益加重，适宜服用透脓散加金银花、甘草节、桔梗；脓液胀痛者针刺排脓。已经溃破，内外治法均按照痈疽溃疡门处理。此证从头到尾忌用寒凉药物。中年人容易治愈，年老体弱者难愈。
方剂：柴胡清肝汤（见头部鬓疽）
冲和膏、透脓散（见肿疡门）
【方歌】腋疽初起形状如核，因肝气恚怒、脾土忧思导致气血凝滞，漫肿坚硬适宜用蒜灸，日久变红发热，溃破前先疼痛。
【注】此证一名米疽，又名疚疽。发于胳肢窝正中，初起之时，其形如核。由肝、脾二经忧思恚怒，气结血滞而成。漫肿坚硬，皮色如常，日久将溃时，颜色变红微热疼痛。初期适宜艾壮隔蒜片灸法，内服柴胡清肝汤加乌药消散；虚弱之人，适宜服用香贝养荣汤，外用乌龙膏敷之。早治或许能完全消散，迟则脓成，适宜服用托里透脓汤；脓液胀痛者，针刺排脓；脓出后疼痛减轻，根据患者虚实进行补益治疗。其余内外治法，均按照痈疽溃疡门处理。此证初终，内外治法，禁用寒凉药物。中年人容易治愈，衰老难愈。
方剂：隔蒜灸法（见首卷灸法）
柴胡清肝汤（见头部鬓疽）
香贝养荣汤（见项部上石疽）
乌龙膏（见肿疡门）
托里透脓汤（见头部侵脑疽）
[Prescription Verse] Huanju (Slow Abscess) results from the accumulation and coagulation of Qi in the Spleen Meridian. It arises beside the lower abdomen, presenting as hard and painful. If it does not ulcerate for months and is accompanied by aversion to cold and fever, with reduced appetite and emaciation, the therapeutic effect is difficult to achieve.
[Annotation] This condition is caused by Qi stagnation and cold accumulation in the Taiyin Spleen Meridian. It appears beside the lower abdomen, hard as stone, without redness or heat, with pain radiating to the waist and legs, failing to ulcerate for months; if accompanied by reduced appetite and emaciation, it belongs to a "defeat syndrome" (Bai Zheng), but treatment should not be abandoned. In the early stage, it is appropriate to take Shan Jia Nei Xiao San (Pangolin Internal Dissipation Powder). If ineffective, one must not force dissolution, as this would merely damage Stomach Qi. Instead, use Shiquan Dabu Tang (Perfect Ten Tonifying Decoction) added with Wuyao (Lindera Root), Fuzi (Prepared Aconite Root), and Huluba (Trigonella Foenum-graecum Seed) for warming and tonification. Externally, apply Muxiang Bing (Costus Cake) for moxibustion/fomentation. Additionally, crush single-clove garlic and spread it on the lesion, applying moxa cones over it until warmth is felt. Repeat the next day. The desired effect is either resolution or ulceration. If ulcerated, follow the treatment methods for Ulcerated Sores and Carbuncles.
Prescriptions: Shan Jia Nei Xiao San (see Zhongwan Ju); Shiquan Dabu Tang (see Ulcerated Sores Section); Muxiang Bing (see Breast Nodule Section).
[Prescription Verse] Yi Yong (Armpit Carbuncle) presents with sudden swelling in the axilla, characterized by hardness, erythema, heat, pain, and aversion to cold. It is caused by Blood-Heat in the Liver and Spleen combined with anger. Early stage requires clearing and resolving; later stage after ulceration requires tonification for recovery.
[Annotation] This condition is also known as Jiazhi Yong. It occurs in the axilla, commonly called the armpit. It is caused by Blood-Heat in the Liver and Spleen combined with emotional anger. Initially, there is sudden swelling and hardness, redness, pain, systemic aversion to cold and fever. It is difficult to resolve and inevitably suppurates. Early treatment involves taking Chaihu Qinggan Tang (Bupleurum Liver-Clearing Decoction) and externally applying Chonghe Gao (Harmonizing Ointment). If pain increases daily, take Tou Nong San (Suppuration-Penetrating Powder) added with Yinhua (Honeysuckle Flower), Gancao Jie (Licorice Joint), and Jiegeng (Platycodon Root). If there is distending pain due to pus, puncture with a needle. Once ulcerated, internal and external treatments follow the protocols for Ulcerated Sores and Carbuncles. Throughout the course of this disease, cold and cooling herbs are contraindicated. It heals easily in middle-aged individuals but is difficult to cure in the elderly and weak.
Prescriptions: Chaihu Qinggan Tang (see Headside Ju); Chonghe Gao, Tou Nong San (see Swollen Ulcer Section).
[Prescription Verse] Ye Ju (Armpit Abscess) initially presents like a nodule. It is caused by Liver resentment and Spleen worry leading to Qi and Blood coagulation. It presents as diffuse swelling and hardness, suitable for garlic-moxibustion. As time passes, it becomes red and hot, with pain preceding ulceration.
[Annotation] This condition is also known as Mi Ju or Jiu Ju. It occurs in the center of the armpit. Initially, it resembles a kernel/nodule. It is caused by excessive worry, anger, and resentment affecting the Liver and Spleen meridians, resulting in Qi knotting and Blood stasis. It presents as diffuse swelling and hardness with normal skin color. As it approaches ulceration, it becomes red, slightly hot, and painful. Early treatment involves moxibustion with garlic slices (Ge Suan Jiu Fa) internally, and taking Chaihu Qinggan Tang added with Wuyao to dissipate it. For those with deficiency, Xiangbei Yangrong Tang (Aucklandia and Angelica Nourishing Harmony Decoction) is appropriate, with external application of Wulong Gao (Black Dragon Ointment). Early treatment may lead to complete resolution; delayed treatment leads to suppuration, requiring Tuoli Tou Nong Tang (Supporting Interior and Penetrating Suppuration Decoction). If there is distending pain from pus, puncture with a needle. After pus discharge, pain decreases, and treatment follows the patient's deficiency or excess. Other internal and external treatments follow the protocols for Ulcerated Sores and Carbuncles. Cold and cooling herbs are contraindicated throughout the course of this disease. It heals easily in middle-aged individuals but is difficult to cure in the elderly.
Prescriptions: Ge Suan Jiu Fa (Garlic-Slice Moxibustion Method, see First Volume Moxibustion); Chaihu Qinggan Tang (see Headside Ju); Xiangbei Yangrong Tang (see Neck Upper Stone Ju); Wulong Gao (see Swollen Ulcer Section); Tuoli Tou Nong Tang (see Head Qinao Ju).