【方歌】肝痈愤郁气逆成，期门穴肿更兼疼，卧惊胠满溺不利，
清肝滋肾即成功。
【注】此证始发期门穴，必隐痛微肿，令人两胠胀满胁痛，侧
卧则惊，便溺艰难，由愤郁气逆而成。初服复元通气散
，次服柴胡清肝汤；痛胀已止，宜服六味地黄丸；脾虚
食少，则佐以八珍汤，滋肾补脾，治之取效。禁用温补
、针灸。
期门穴又名肝募，在乳旁一寸半，再直上一寸半。
方剂：复元通气散（见肿疡门）
柴胡清肝汤（见头部鬓疽）
六味地黄丸（见面部雀斑）
八珍汤（见溃疡门）
【方歌】心痈巨阙肿隐疼，酷吹嗜热火毒成，面赤口渴身作痛，
治法阳热总宜清。
【注】此证始发巨阙穴，必隐痛微肿，令人寒热，身痛，头面
色赤，口渴，随饮随干，由心火炽盛，更兼酷饮嗜热而
成，宜服凉血饮。酒毒为病者，宜服升麻葛根汤治之，
此证甚属罕有，但治法不可不备。
巨阙穴又名心募，在脐上六寸五分。
方剂：凉血饮
组成：木通 瞿麦
荆芥 薄荷
白芷 花粉
甘草 赤芍
麦冬（去心） 生地
山栀子 车前子
连翘（去心，各等分）
引用灯心，若沛热加淡竹叶，水煎温服。
【方歌】凉血饮善治心痈，瞿荆荷芷草翘通，赤芍山栀干生地，
车前花粉麦门冬。
又方：升麻葛根汤
组成：山栀 升麻
葛根 白芍
柴胡 黄芩（各一钱）
黄连 木通
甘草（各五分）
水二钟，煎八分，不拘时服。
【方歌】升麻葛根汤山栀，酒毒心痈黄连宜，柴芍通芩升葛草，
水煎温服不拘时。
【方歌】肝痈由愤懑郁结、气机逆乱所致，期门穴处肿胀且伴有疼痛，睡眠中易受惊扰，胁肋部胀满，小便不通利，采用清泻肝火、滋养肾阴的方法即可取得疗效。
【注】此病证起始于期门穴，必然表现为隐隐作痛、轻微肿胀，使人感到两侧胁肋部胀满且胁痛，侧卧时容易惊醒，大小便排泄困难，这是由于愤懑郁结导致气机逆乱而形成的。初期服用复元通气散，随后服用柴胡清肝汤；待疼痛和胀满停止后，适宜服用六味地黄丸；若脾气虚弱、饮食减少，则辅助使用八珍汤，以滋补肾阴、补益脾气，治疗即可见效。禁用温补疗法及针灸。
期门穴又名肝之募穴，位于乳头旁一寸半处，再向上直开一寸半处。
方剂：复元通气散（参见肿疡门章节）
柴胡清肝汤（参见头部鬓疽章节）
六味地黄丸（参见面部雀斑章节）
八珍汤（参见溃疡门章节）
【方歌】心痈在巨阙穴处肿胀并伴有隐痛，因过度饮酒、嗜好热食导致火热毒邪蕴结而成，表现为面色红赤、口渴、全身疼痛，治疗原则对于阳热之证总宜采用清热法。
【注】此病证起始于巨阙穴，必然表现为隐隐作痛、轻微肿胀，使人出现寒热往来、身体疼痛、头面部颜色红赤、口渴，饮水后立即感到干燥，这是由于心火炽盛，再加上过度饮酒、嗜好热食而形成的，适宜服用凉血饮。若是酒毒致病者，适宜服用升麻葛根汤进行治疗，此病证非常罕见，但治疗方法不可不准备齐全。
巨阙穴又名心之募穴，位于脐上六寸五分处。
方剂：凉血饮
组成：木通、瞿麦、荆芥、薄荷、白芷、天花粉、甘草、赤芍、麦冬（去心）、生地黄、山栀子、车前子、连翘（去心），以上各药等分。
引用灯心草为引，若热势严重加淡竹叶，水煎煮后温服。
【方歌】凉血饮善于治疗心痈，包含瞿麦、荆芥、薄荷、白芷、甘草、连翘、木通，以及赤芍、山栀子、干生地、车前子、天花粉、麦门冬。
又一方：升麻葛根汤
组成：山栀子、升麻、葛根、白芍、柴胡、黄芩（各一钱），黄连、木通、甘草（各五分）。
用水两钟，煎至八分，不拘泥于固定时间服用。
【方歌】升麻葛根汤配山栀，酒毒所致心痈适宜用黄连，柴胡、白芍、木通、黄芩、升麻、葛根、甘草，水煎煮后温服，不拘泥于固定时间。
[Formula Song] Liver abscess is formed by indignation, depression, and rebellious Qi; swelling and pain occur at Qimen (LR14); sleep is disturbed with fright, hypochondriac fullness, and difficult urination; clearing the Liver and nourishing the Kidney achieves success.
[Note] This condition originates at Qimen (LR14), characterized by dull pain and slight swelling, causing distension and pain in both hypochondria, waking easily from fright when lying on the side, and difficulty in urination and defecation. It is caused by indignation and depression leading to rebellious Qi. Initially, Fuyuan Tongqi San (Restoring Vitality and Promoting Circulation Powder) is taken, followed by Chaihu Qinggan Tang (Bupleurum Decoction for Clearing the Liver); once pain and distension cease, Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) is appropriate; if Spleen deficiency leads to poor appetite, Bazhen Tang (Eight-Treasure Decoction) is added as an adjunct to nourish the Kidney and tonify the Spleen, achieving efficacy. Warm tonification and acupuncture are contraindicated.
Qimen (LR14), also known as the Front-Mu point of the Liver, is located 1.5 cun lateral to the nipple, and another 1.5 cun directly superior.
Formulas: Fuyuan Tongqi San (see Chapter on Swollen Ulcers); Chaihu Qinggan Tang (see Chapter on Boils of the Head and Temples); Liuwei Dihuang Wan (see Chapter on Facial Freckles); Bazhen Tang (see Chapter on Ulcerated Sores).
[Formula Song] Heart abscess presents with swelling and dull pain at Juque (CV14), formed by excessive alcohol consumption and a preference for hot foods leading to fire-toxin accumulation; symptoms include red face, thirst, and body pain; the treatment principle for Yang-heat conditions is always to clear heat.
[Note] This condition originates at Juque (CV14), characterized by dull pain and slight swelling, causing alternating chills and fever, body pain, redness of the head and face, and thirst that persists despite drinking. It is caused by blazing Heart fire combined with excessive alcohol intake and a preference for hot foods. Liangxue Yin (Blood-Cooling Decoction) is appropriate. For cases caused by alcohol toxicity, Shengma Gegen Tang (Kudzu and Cimicifuga Decoction) should be used. This condition is very rare, but treatment methods must be fully prepared.
Juque (CV14), also known as the Front-Mu point of the Heart, is located 6.5 cun above the umbilicus.
Formula: Liangxue Yin (Blood-Cooling Decoction)
Composition: Akebiae Caulis (Mutong), Dianthi Herba (Qumai), Schizonepetae Herba (Jingjie), Menthae Haplocalycis Herba (Bohe), Angelicae Dahuricae Radix (Baizhi), Trichosanthis Radix (Huafen), Glycyrrhizae Radix et Rhizoma (Gancao), Paeoniae Radix Rubra (Chishao), Ophiopogonis Radix (Maidong, heart removed), Rehmanniae Radix Recens (Shengdi), Gardeniae Fructus (Shanzhizi), Plantaginis Semen (Cheqianzi), Forsythiae Fructum (Lianqiao, heart removed), all in equal parts.
Use Juncus effusus (Dengxincao) as a guide herb; add Elsholtziae Herba (Dan Zhuye) if heat is severe; decoct in water and take warm.
[Formula Song] Liangxue Yin effectively treats heart abscess, containing Qumai, Jingjie, He, Baizhi, Gancao, Lianqiao, Mutong, Chishao, Shanzhizi, dried Shengdi, Cheqian, Huafen, and Maidong.
Another Formula: Shengma Gegen Tang (Kudzu and Cimicifuga Decoction)
Composition: Shanzhizi, Shengma, Gegen, Shaoyao, Chaihu, Huangqin (each 1 qian), Huanglian, Mutong, Gancao (each 0.5 qian).
Decoct in two zhong of water until one-eighth remains; take at any time.
[Formula Song] Shengma Gegen Tang with Shanzhizi; for alcohol-toxin heart abscess, Huanglian is suitable; Chai, Shaoyao, Mutong, Huangqin, Shengma, Gegen, and Gancao; decoct in water and take warm at any time.