【方歌】耳根毒初痰核形，肿如伏鼠焮赤疼，三焦风火胆怒气，
暴肿溃速非疽痈。
【注】此证生于耳后，初起形如痰核，渐增肿势，状如伏鼠，
焮赤疼痛。由三焦风火，胆经怒气上冲，凝结而成。但
此证暴肿溃速，根浅易愈，非若痈疽之势大毒甚也。初
起寒热往来，宜服荆防败毒散汗之；发热痛甚者，仙方
活命饮消之；脓成者服透脓散，虚者服托里透脓汤；溃
后外撒红灵药，贴太乙膏；脓尽换搽生肌玉红膏，生肌
敛口。若遇虚者，脓水清稀，或疮口敛迟，即服香贝养
荣汤补之，自敛。
方剂：仙方活命饮（见肿疡门）
荆防败毒散（见项部脑疽）
透脓散（见肿疡门）
托里透脓汤（见前侵脑疽）
红灵药、生肌玉红膏、太乙膏（俱见溃疡门）
香贝养荣汤（见头部石疽）
【方歌】玉枕疽属督脉经，证由积热风邪乘，枕骨微上脑户穴，
高肿为顺紫陷凶。
【注】此证由督脉经积热，外受风邪凝结而成。生在玉枕骨尖
微上脑户穴。初起如粟，麻痒相兼，寒热往来，口渴便
秘，渐增坚硬，大者如茄，小如鹅卵，红活高肿。溃出
稠脓者，属吉而顺也；若紫暗塌陷，溃出血水者，属凶
险也。初则俱服神授卫生汤消解之，虚者宜服托里消毒
散，外敷冲和膏。其余内外治法，俱按痈疽肿溃疡门。
方剂：神授卫生汤、托里消毒散、冲和膏（见肿疡门）
【方歌】耳根毒初起时呈痰核形态，肿胀如伏鼠状，红肿灼热且疼痛，此病由三焦风火与胆经怒气上冲所致，发病急骤、溃破迅速，并非疽或痈。
【注】此证生于耳后，初起形状如同痰核，逐渐增加肿势，形状像伏着的老鼠，红肿灼热且疼痛。由于三焦风火炽盛，加上胆经怒气上冲，凝结而成。但是此证肿胀暴起、溃破迅速，病位浅表容易痊愈，不像痈疽那样势头大、毒性深重。初起时有寒热往来症状，适宜服用荆防败毒散通过发汗来治疗；发热疼痛严重的，用仙方活命饮消散；脓液形成的，服用透脓散；体质虚弱的，服用托里透脓汤；溃破后外撒红灵药，贴敷太乙膏；脓液排尽后更换为涂抹生肌玉红膏，以促进肌肉生长和伤口愈合。如果遇到体质虚弱者，脓水清稀，或者疮口收敛迟缓，即服用香贝养荣汤进行补益，自然收敛。
方剂：仙方活命饮（见肿疡门）
荆防败毒散（见项部脑疽）
透脓散（见肿疡门）
托里透脓汤（见前侵脑疽）
红灵药、生肌玉红膏、太乙膏（均见溃疡门）
香贝养荣汤（见头部石疽）
【方歌】玉枕疽属于督脉经，病因是积热内蕴兼受风邪侵袭，病位在枕骨微上方的脑户穴，高肿为顺症，紫暗下陷为凶兆。
【注】此证由督脉经积热，外受风邪凝结而成。生在玉枕骨尖微上方的脑户穴。初起如粟米大小，伴有麻木和瘙痒感，出现寒热往来、口渴、便秘等症状，逐渐变得坚硬，大的像茄子，小的像鹅卵，颜色红活、高肿。溃破流出稠厚脓液的，属于吉利且顺症的；如果颜色紫暗塌陷，溃破出血水的，属于凶险的。初期都服用神授卫生汤以消散和解；体质虚弱的宜服用托里消毒散，外敷冲和膏。其余内外治疗方法，均按照痈疽肿疡、溃疡门的法则处理。
方剂：神授卫生汤、托里消毒散、冲和膏（见肿疡门）
[Prescription Verse] Ear-root carbuncle (Eergen Du) initially presents as a phlegm nodule, swelling like a crouching rat with burning redness and pain. It is caused by wind-fire in the Sanjiao (Triple Burner) and anger qi rushing up from the Gallbladder channel. The swelling appears suddenly and ulcerates quickly; it is not a deep abscess or carbuncle.
[Annotation] This condition arises behind the ear. Initially, it resembles a phlegm nodule, gradually increasing in swelling to resemble a crouching rat, with burning redness and pain. It is formed by the accumulation of wind-fire in the Sanjiao (Triple Burner) and the upward rush of anger qi from the Gallbladder channel, leading to coagulation. However, this condition swells suddenly and ulcerates rapidly, has a shallow root, and heals easily, unlike carbuncles or deep abscesses which have severe momentum and toxicity. In the early stage, with alternating chills and fever, Jingfang Baidu San (Schizonepeta and Saposhnikovia Decoction) should be taken to induce sweating; if fever and pain are severe, Xianfang Huoming Yin (Immortal Life-Protecting Powder) should be used to dissipate the swelling; once pus forms, Tou Nong San (Pus-Penetrating Powder) should be taken; for those with deficiency, Tuoli Tou Nong Tang (Supporting Interior and Penetrating Pus Decoction) is indicated. After ulceration, Hongling Yao (Red Spirit Medicine) should be sprinkled externally, followed by application of Taiyi Gao (Taiyi Plaster). Once the pus is exhausted, switch to applying Shengji Yuhong Gao (Muscle-Regenerating Jade Red Ointment) to promote tissue regeneration and wound closure. If the patient is deficient, with thin and clear pus or delayed wound contraction, Xiangbei Yangrong Tang (Aucklandia and Angelica Nourishing Nutritive Decoction) should be taken to tonify, leading to natural contraction.
Prescriptions: Xianfang Huoming Yin (see Swollen Ulcer Section); Jingfang Baidu San (see Neck Brain Carbuncle); Tou Nong San (see Swollen Ulcer Section); Tuoli Tou Nong Tang (see Anterior Brain Carbuncle); Hongling Yao, Shengji Yuhong Gao, Taiyi Gao (all see Ulcer Section); Xiangbei Yangrong Tang (see Head Stone Abscess).
[Prescription Verse] Yuzhen Ju (Jade Pillow Abscess) belongs to the Du Mai (Governing Vessel) channel. The etiology involves accumulated heat and wind pathogen invasion. The location is slightly above the Yu Zhen bone at the Naohu acupoint. High swelling indicates a favorable prognosis, while purple depression indicates an ominous one.
[Annotation] This condition is caused by accumulated heat in the Du Mai (Governing Vessel) channel combined with external wind pathogen coagulation. It occurs at the Naohu acupoint, slightly above the tip of the Yu Zhen bone. Initially, it is millet-sized, accompanied by numbness and itching, with alternating chills and fever, thirst, and constipation. It gradually becomes hard, large ones resembling eggplants, small ones resembling goose eggs, appearing red, vibrant, and highly swollen. Ulceration discharging thick pus indicates a favorable and smooth course; purple-dark depression with bloody discharge indicates a dangerous course. Initially, all cases should take Shenshou Weisheng Tang (Divine Grant Health Preservation Decoction) to dissipate and resolve; for deficiency cases, Tuoli Xiaodu San (Supporting Interior and Detoxifying Powder) is appropriate, with Chonghe Gao (Harmony Plaster) applied externally. All other internal and external treatment methods follow the protocols for carbuncles, abscesses, swollen ulcers, and open ulcers.
Prescriptions: Shenshou Weisheng Tang, Tuoli Xiaodu San, Chonghe Gao (see Swollen Ulcer Section).