【方歌】透脑疽生百会前，形如鸡子痛而坚，软漫脓稀虚塌陷，
红硬脓稠实肿尖。
【注】此证生于百会穴之前，囟门之际，亦由督脉经火毒而成
。初如粟米，渐如鸡子，坚硬疼痛。疮顶塌陷，根脚漫
肿，色暗者属虚；若色红肿硬、顶尖脓稠者属实。速溃
者顺，迟溃透脑髓者逆。其肿溃内外治法，俱按百会疽
。
【方歌】侵脑疽生透脑旁，湿火攻发属太阳，穴名五处知其位，
红顺紫逆要审详。
【注】此疽生于透脑疽侧下，由太阳膀胱经湿火而成，穴名五
处。红肿高起，焮热疼痛，脓色如苍蜡者，属气血俱实
，顺而易治；若紫陷无脓，根脚散大者，属气血两虚，
逆而难治。初起宜服荆防败毒散汗之，次服内疏黄连汤
下之，将溃服托里透脓汤，已溃服托里排脓汤外贴琥珀
膏，围敷冲和膏，其余内外治法，俱按痈疽溃疡门。
方剂：托里透脓汤
组成：人参 白术（土炒）
穿山甲（炒研） 白芷（各一钱）
升麻 甘草节（各五分）
当归（二钱） 生黄耆（三钱）
皂角刺（一钱五分） 青皮（炒，五分）
水三钟，煎一钟，病在上部，先饮煮酒一钟，后热
服此药；病在下部，先服药后饮酒；疮在中部，药内兑
酒半钟，热服。
【方歌】托里透脓治痈疽，已成未溃服之宜，参术甲芷升麻草，
当归黄耆刺青皮。
又方：荆防败毒散（见项部脑疽）
内疏黄连汤、冲和膏（俱见肿疡门）
托里排脓汤（见项部鱼尾毒）
琥珀膏（见发际疮内）
【方歌】透脑疽生于百会穴之前，形状像鸡蛋，疼痛且质地坚硬；若疮面软漫、脓液稀薄、虚陷塌陷的属虚证；若红肿坚硬、脓液稠厚、疮顶尖锐的属实证。
【注】此病证生于百会穴之前，囟门附近，也是由督脉经火毒蕴结而成。初起时如粟米大小，逐渐增大如鸡蛋，坚硬且疼痛。若疮顶塌陷，根脚漫肿，颜色暗滞的属于虚证；若颜色红赤、肿胀坚硬、疮顶高耸、脓液稠厚的属于实证。迅速溃破的为顺证，迟滞不溃或穿透脑髓的为逆证。其肿胀和溃破后的内治与外治方法，均参照“百会疽”篇处理。
【方歌】侵脑疽生在透脑疽的侧下方，由湿火攻发所致，归属于太阳膀胱经，穴位名为五处，由此可知其位置；治疗时需仔细审察，色红为顺，色紫为逆。
【注】此疽生于透脑疽的侧下方，由太阳膀胱经的湿火邪气引起，所在穴位名为五处。若局部红肿高起，灼热疼痛，脓色如苍蜡（黄白而浑浊）的，属于气血俱实，为顺证，容易治疗；若疮色紫暗、下陷无脓，根脚散大的，属于气血两虚，为逆证，难以治疗。初起时适宜服用荆防败毒散以发汗解表，随后服用内疏黄连汤以通腑泄热，即将溃破时服用托里透脓汤，已经溃破后服用托里排脓汤，外部贴敷琥珀膏，周围围敷冲和膏。其余内外治疗方法，均参照“痈疽溃疡门”处理。
方剂：托里透脓汤
组成：人参、白术（土炒）、穿山甲（炒后研碎）、白芷（各一钱）、升麻、甘草节（各五分）、当归（二钱）、生黄芪（三钱）、皂角刺（一钱五分）、青皮（炒，五分）。
用法：用水三钟，煎至一钟。若病位在上部，先饮用煮酒一钟，再热服此药；若病位在下部，先服药后饮酒；若疮在中部，将半钟酒兑入药中，热服。
【方歌】托里透脓汤用于治疗痈疽，在已成脓但未溃破时服用为宜，方中含有人参、白术、穿山甲、白芷、升麻、甘草、当归、黄芪、皂角刺、青皮。
又方：荆防败毒散（见项部脑疽章节）
内疏黄连汤、冲和膏（均见肿疡门章节）
托里排脓汤（见项部鱼尾毒章节）
琥珀膏（见发际疮内章节）
[Prescription Verse] Tou Nao Ju (Brain-Penetrating Carbuncle) arises anterior to the Baihui point, resembling an egg in shape, with pain and firmness. If soft, diffuse, with thin pus and a sunken appearance, it indicates deficiency; if red, swollen, hard, with thick pus and a pointed apex, it indicates excess.
[Note] This condition arises anterior to the Baihui point, near the fontanelle, resulting from fire-toxin accumulating in the Du Meridian. Initially like a millet grain, it gradually enlarges to the size of an egg, becoming hard and painful. If the ulcer apex is sunken, the base is diffuse, and the color is dark, it belongs to deficiency; if the color is red, swelling is hard, the apex is high, and the pus is thick, it belongs to excess. Rapid ulceration is a favorable sign (Shun), while delayed ulceration or penetration into the brain marrow is an unfavorable sign (Ni). The internal and external treatments for swelling and ulceration follow the guidelines for Baihui Ju.
[Prescription Verse] Qin Nao Ju (Brain-Infiltrating Carbuncle) arises beside the Tou Nao Ju, caused by damp-fire attacking, belonging to the Taiyang Bladder Meridian. The acupoint name Wuchu indicates its location. Redness indicates a favorable prognosis, purple discoloration indicates an unfavorable one; careful examination is required.
[Note] This carbuncle arises lateral and inferior to the Tou Nao Ju, caused by damp-fire of the Taiyang Bladder Meridian, located at the Wuchu acupoint. If red, swollen, elevated, burning hot, and painful, with pus resembling "gray wax" (yellowish-white and turbid), it indicates excess of both Qi and Blood, which is favorable and easy to treat. If purple, sunken, without pus, and with a diffuse base, it indicates deficiency of both Qi and Blood, which is unfavorable and difficult to treat. In the initial stage, Jing Fang Bai Du San should be taken to induce sweating. Subsequently, Nei Shu Huang Lian Tang should be taken to purge heat. As it approaches ulceration, Tuo Li Tou Nong Tang should be taken. After ulceration, Tuo Li Pai Nong Tang should be taken. Externally, Hu Po Gao should be applied to the ulcer, and Chong He Gao should be applied around the periphery. Other internal and external treatments follow the guidelines in the "Carbuncle and Ulceration Section."
Formula: Tuo Li Tou Nong Tang (Supporting Interior and Penetrating Pus Decoction)
Ingredients: Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Rhizoma, stir-fried with soil), Chuan Shan Jia (Pangolin Scales, stir-fried and ground), Bai Zhi (Angelicae Dahuricae Radix) [each 1 qian]; Sheng Ma (Cimicifugae Rhizoma), Gan Cao Jie (Licorice Root Node) [each 0.5 qian]; Dang Gui (Angelicae Sinensis Radix) [2 qian]; Sheng Huang Qi (Astragali Radix) [3 qian]; Zao Jiao Ci (Gleditsiae Sinensis Spina) [1.5 qian]; Qing Pi (Citri Reticulatae Pericarpium Viride, stir-fried) [0.5 qian].
Administration: Add three zhong of water, decoct to obtain one zhong. For lesions in the upper body, drink one zhong of boiled wine first, then take this medicine hot. For lesions in the lower body, take the medicine first, then drink wine. For lesions in the middle body, mix half a zhong of wine into the decoction and take hot.
[Prescription Verse] Tuo Li Tou Nong Tang treats carbuncles and sores; it is suitable for use when pus has formed but not yet ulcerated. It contains Ren Shen, Bai Zhu, Chuan Shan Jia, Bai Zhi, Sheng Ma, Gan Cao, Dang Gui, Huang Qi, Zao Jiao Ci, and Qing Pi.
Alternative Formula: Jing Fang Bai Du San (See Neck/Brain Carbuncle section)
Nei Shu Huang Lian Tang, Chong He Gao (See Swelling/Ulceration Section)
Tuo Li Pai Nong Tang (See Fish-Tail Toxin of the Neck section)
Hu Po Gao (See Hairline Sores section)