【方歌】蜂窝发似蜂房形，每在肩后脊旁生，此证最忌头向上，
急清心火免内攻。
【注】此证多生肩后及脊旁，形似蜂房。由脾经积热，更兼心
火凝结成毒。初起高肿如龟形，胖胀半背者轻；疮势横
斜漫大者重。宜服内疏黄连汤。若头尖向上，属心火热
极，防毒火内攻藏府。亦有疮形长若尺许，根横满背，
名为竟体疽，属毒甚险。初觉宜急服黄连消毒饮，清心
解毒，庶免内攻。其余内外治法，俱按痈疽肿疡、溃疡
门。
方剂：内疏黄连汤（见肿疡门）
黄连消毒饮（见头部百面会疽）
【方歌】阴阳二气疽脊旁，肿消软硬变不常，七情内乖逆荣卫，
如期脓溃自无妨。
【注】此证生于脊背之旁，乍脓乍消，时软时硬。由七情内乖
，荣卫不和而生也。初发令人寒热往来，若大渴神清，
高肿脉洪，二七脓成，溃破者顺；若不渴神昏，漫肿脉
细，应期无脓，饮食不思者逆。初服夺命丹以退寒热，
次服仙方活命饮。其余内外治法，俱按痈疽肿疡、溃疡
门。
方剂：夺命丹
组成：轻粉 白砒（面裹，火煨）
麝香（各五分） 白矾（〔火段〕）
辰砂（为衣） 血竭（各一钱）
雄黄（二钱）
蟾酥（干者，酒化入药，二钱）
乳香 没药
寒水石（〔火段〕） 铜绿（各二钱）
蜗牛（连壳，二十一个）
上为细末，先将蜗牛研烂如泥，匀合前药。丸如不
成，加好黄酒少许，打三、五百下为丸，如绿豆大。每
服二、三丸，先用葱白一寸，令病者嚼烂，自吐于手心
内，男用左手，女用上手，将药丸裹入葱泥内，用无灰
酒一大钟，温热送下，被盖汗出为度。重者不过三服，
不可多用。
【方歌】夺命丹中粉麝香，砒矾砂竭共雄黄，蟾酥乳没兼寒水，
铜缘蜗牛用最良。
又方：仙方活命饮（见肿疡门）
【方歌】蜂窝发（一种生于肩背部的痈疽）形状像蜂房，通常生长在肩膀后方和脊柱旁边。这个病症最忌讳疮头向上生长，必须紧急清泄心火以避免毒邪内陷攻里。
【注】这种病症多发生在肩膀后方及脊柱两侧，形状类似蜂房。这是由于脾经积聚热邪，再加上心火凝结成毒所致。初起时高肿如龟形，肿胀仅占背部一半的病情较轻；如果疮势横向蔓延、斜向扩散且范围宽大的则病情较重。适宜服用内疏黄连汤。如果疮头顶端尖锐向上，属于心火极盛之象，需防止毒火内陷攻入脏腑。也有疮形长度约一尺左右，根部横满整个背部的，称为“竟体疽”，属于毒性非常险恶的病症。刚感觉不适时应立即服用黄连消毒饮，以清心解毒，从而避免毒邪内陷。其余内外治疗方法，均参照痈疽肿疡、溃疡章节执行。
方剂：内疏黄连汤（见肿疡门）
黄连消毒饮（见头部百面会疽）
【方歌】阴阳二气疽生于脊背旁侧，肿块时而消退、时而出现，质地有时软、有时硬，变化无常。这是由七情（喜、怒、忧、思、悲、恐、惊）内伤导致气血逆乱，营卫不和而生成的。初发时让人寒热往来，如果出现大渴、神志清醒、高肿、脉象洪大，经过十四天左右脓液形成，破溃后为顺证；如果不口渴、神志昏迷、漫肿无头、脉象细弱，到了预期时间没有脓液生成，且不思饮食的为逆证。初期服用夺命丹以退去寒热，随后服用仙方活命饮。其余内外治疗方法，均参照痈疽肿疡、溃疡章节执行。
方剂：夺命丹
组成：轻粉、白砒（用面粉包裹，火煨）、麝香（各五分）、白矾（煅制）、辰砂（作为药衣）、血竭（各一钱）、雄黄（二钱）、蟾酥（干燥者，用酒化开入药，二钱）、乳香、没药、寒水石（煅制）、铜绿（各二钱）、蜗牛（带壳，二十一个）。
将上述药物研成细末，先将蜗牛研烂成泥状，均匀混合前面的药物。如果丸药不成形，加入少许优质黄酒，捣击三、五百下制成丸药，大小如绿豆。每次服用二、三丸，先用一寸长的葱白，让患者嚼烂，吐在手心里，男性用左手，女性用右手，将药丸包裹在葱泥中，用一大杯无灰酒（纯粮酿造的酒），温热送服，盖被出汗为止。重症不超过三次服药，不可多用。
【方歌】夺命丹中含有轻粉和麝香，还有砒霜、白矾、朱砂、血竭和雄黄，加上蟾酥、乳香、没药和寒水石，铜绿和蜗牛是最良效的药材。
又一方：仙方活命饮（见肿疡门）
[Prescription Verse] Fengwo Fa (Honeycomb Eruption, a type of carbuncle on the shoulder and back) resembles the shape of a honeycomb. It typically arises behind the shoulders and beside the spine. This condition strictly forbids the sore head pointing upward; one must urgently clear Heart Fire to prevent internal invasion by pathogenic toxins.
[Annotation] This condition often occurs behind the shoulders and alongside the vertebral column, resembling a honeycomb in shape. It is caused by accumulated heat in the Spleen Meridian combined with coagulated toxins from Heart Fire. Initially, it presents as high swelling like a turtle shell; if the swelling occupies only half of the back, the prognosis is mild. If the lesion spreads horizontally and obliquely with a large area, the condition is severe. It is appropriate to take Neishu Huanglian Tang (Internal Draining Coptis Decoction). If the sore head is sharp and points upward, it indicates extreme excess of Heart Fire, requiring prevention against toxic fire invading the Zang-Fu organs internally. There are also cases where the lesion is about one chi long, with the base spreading across the entire back, named Jingti Ju (Whole-Body Carbuncle), which belongs to highly dangerous toxicity. Upon initial sensation, one should immediately take Huanglian Xiaodu Yin (Coptis Detoxification Drink) to clear Heart Heat and resolve toxins, thereby avoiding internal invasion. For other internal and external treatment methods, refer to the sections on Carbuncles and Ulcers (Swelling/Ulceration stages).
Prescriptions: Neishu Huanglian Tang (see Section on Swelling/Ulceration); Huanglian Xiaodu Yin (see Head Hundred Face Huiju Carbuncle).
[Prescription Verse] Yinyang Erqi Ju (Yin-Yang Qi Carbuncle) arises beside the spine. The swelling fluctuates, appearing and disappearing, with hardness and softness changing unpredictably. This arises from internal disruption of the Seven Emotions, leading to disharmony of Ying (Nutrient) and Wei (Defensive) Qi. Initial onset causes alternating chills and fever. If accompanied by intense thirst, clear consciousness, high swelling, and a surging pulse, pus forms after fourteen days; rupture indicates a favorable course (Shun). If there is no thirst, coma, diffuse swelling without a head, a fine pulse, failure to form pus at the expected time, and loss of appetite, it indicates an unfavorable course (Ni). Initially, administer Duoming Dan (Life-Restoring Pill) to alleviate chills and fever, followed by Xianfang Huoming Yin (Immortal Formula for Preserving Life). For other internal and external treatment methods, refer to the sections on Carbuncles and Ulcers.
Prescription: Duoming Dan
Composition: Qinfen (Calomel), Baipi (White Arsenic, wrapped in flour and calcined), Shexiang (Musk) (each 5 fen); Baijian (Alum, calcined), Chensha (Cinnabar, used as coating), Xuexie (Dragon's Blood) (each 1 qian); Xionghuang (Realgar) (2 qian); Chansu (Toad Venom, dried, dissolved in wine for use) (2 qian); Ruxiang (Frankincense), Moyao (Myrrh); Hanshuishi (Calcite, calcined), Tonglü (Malachite) (each 2 qian); Woniu (Snail, with shell, 21 pieces).
Grind all ingredients into a fine powder. First, grind the snails into a paste, then uniformly mix with the aforementioned medicines. If the pills do not hold shape, add a small amount of good yellow wine and beat 300–500 times to form pills, sized like mung beans. Take 2–3 pills per dose. First, chew a 1-cun piece of scallion white until mashed, spit into the palm (males use left hand, females use right hand), wrap the pill in the scallion paste, and swallow with a large cup of warm, pure grain wine. Cover with blankets until sweating occurs. For severe cases, do not exceed three doses; do not overuse.
[Prescription Verse] Duoming Dan contains Calomel and Musk, along with Arsenic, Alum, Cinnabar, Dragon's Blood, and Realgar; Toad Venom, Frankincense, Myrrh, Calcite, Malachite, and Snails are the most effective ingredients.
Another Prescription: Xianfang Huoming Yin (see Section on Swelling/Ulceration).