《病源论》云∶附骨疽者，由体热当风入骨解，风与热相搏，复遇凉湿；或秋夏露卧，
为冷湿所折，风热伏结，壅遏附骨成疽。喜着大节解间，丈夫及产妇、女人，喜着鼠膝、髂
头、髀膝间，婴孩、嫩儿亦着膊肘、背也。其大老子着急者，则先觉痛，不得转动，按之应
骨痛，经日便觉皮肉微急，洪洪如肥状，则是也。其小儿不知字名，抱之才近其身便啼唤，
则是肢节有痛处，便是其候也。大老子着缓者，则先觉如肥洪洪耳，经日便觉痹痛不随也。
其小儿则觉四肢偏有不动摇者，如不随状，看肢节解中，则有肥洪洪处，其若不知是附骨疽，
乃至称身成脓，不溃至死，皆举体变青黯也，其大老子，亦有不别是附骨疽，呼急者为贼风
，其缓者谓为风肿而已。皆不悟是疽，乃至于死。
《短剧方》云∶附骨疽一名 （许及反）疽，其无头附骨成脓故也。又名痈疽。以其广
大，竟体有脓故也。附骨急疽与贼风实相似也，其附骨疽者，由人体盛有热，久当风冷，入
骨解中，风与热相搏。其始候为欲眠沉重、惚惚（音忽，恍恍也）耳，急者热多风少，缓者
风多热少也；贼风者其人体平，无热，中暴风冷则骨解深痛。附骨疽久者则肿见结脓。贼风
久则枯消，或结瘰 。以此为异也。是附骨疽而作贼风治，则益其病深，脓多也；是贼风而
作附骨疽治，则加其冷风，增遂成瘰 偏枯挛曲之疾也。
附骨急疽者，其痛处壮热，体中乍寒乍热，痿痿恶寒，不用热，小便或赤，大便或难，
无汗也，即得治下去热，便得消也。纵不消尽，亦得浮浅近，外易得坏溃，其不复附骨也。
贼风之证，但痛应骨，不可按仰痛处，不壮热，体不仁，乍寒乍热，但觉体KT 以冷，砍
得热，热熨痛处即小宽，时有汗也，即得针、灸、熨，服治风温药便效也。初得附骨疽即服
漏芦汤下之，敷小豆薄得消也；下利利已虚，而肿处未消者，可除大黄，用生地黄及干地黄
也；热渐退，余风未歇者，可服五香连翘汤，除在黄也；余热未消可敷升麻膏佳；若失时不
消成脓者，用火针膏散如治痈法也。（今按∶漏芦汤、升麻膏在第十七卷治丹之方；五香翘
汤在第十六卷治恶核肿方，皆出《短剧方》。）
《千金方》云∶候附骨与贼风为异者，附骨之始未肿但痛而已，其贼风亦痛不热，附骨
则其上壮热。
凡初得附骨疽即须急服漏芦汤下之。敷小豆散得消，可服五香连翘汤。
治骨疽方∶
又方∶末芜菁子敷，帛裹，一日一易。
《葛氏方》治久疽附骨以积年，一合一发汁出不瘥方∶
火烊饴以灌疮中，日三。
又方∶以白杨叶屑敷之。
《诸病源候论》中说：附骨疽，是由于身体发热时受风邪侵袭骨骼缝隙，风与热相互搏结，又遇到凉湿之气；或者在秋夏季节露宿野外，被冷湿之气所伤，导致风热潜伏郁结，壅滞附着于骨骼形成疽。这种病喜欢发生在大的关节之间，男子、产妇及妇女，容易发生在鼠蹊部（腹股沟）、髂骨头部、大腿膝盖之间，婴儿和幼童也容易发生在上臂肘部、背部。如果是老年人患急性的，则先感到疼痛，不能转动，按压时感觉痛连及骨骼，过几天就会觉得皮肤肌肉微微紧绷，肿胀隆起像肥胖的样子，这就是附骨疽的症状。小孩子还不会说话表达，一抱近身体就啼哭，这说明肢体关节有疼痛之处，就是它的征候。老年人患慢性的，则先觉得肿胀隆起，过几天就会觉得麻木疼痛、活动不灵活。小孩子则表现为四肢偏侧不动，好像不灵活的样子，查看关节处，则有肿胀隆起的地方。如果不知道这是附骨疽，甚至会导致全身化脓，不溃破而死，全身变为青黑色。老年人中，也有人不识别这是附骨疽，把急性的称为贼风，慢性的称为风肿而已。都不明白这是疽，以至于死亡。
《短剧方》说：附骨疽又名“胻疽”（许及反），是因为没有头目，附着于骨骼化脓的缘故。又名痈疽。因为它范围广大，整个身体都有脓的缘故。附骨急疽与贼风确实很相似。其附骨疽，是由于人体原本内热盛，长久吹受风冷，风邪进入骨骼缝隙中，风与热相互搏结。其初始症状是想睡觉且身体沉重、恍惚不清（音忽，即恍恍惚惚的样子）。急性的热多风少，慢性的风多热少。贼风则是人体平时平和无热，突然遭受暴风冷袭击，导致骨骼深处剧烈疼痛。附骨疽日久则会肿胀并结成脓液。贼风日久则肌肉枯瘦消损，或结成瘰疬。以此作为区别。如果是附骨疽却按贼风治疗，会使病情加深，脓液增多；如果是贼风却按附骨疽治疗，则会增加冷风之害，最终导致瘰疬、半身不遂、拘挛弯曲等疾病。
附骨急疽，疼痛部位壮热，身体时而发冷时而发热，畏寒战栗，不耐受热，小便有时发红，大便有时困难，无汗，此时应当及时清热泻下，就能消退。即使不能完全消退，也会变得浮浅靠近体表，容易溃破，不再附着于骨骼。贼风的证候，只是疼痛应骨，不可按压仰视疼痛处，不壮热，身体麻木不仁，时而发冷时而发热，只觉得身体寒冷，砍得热感（此处原文可能有误，意指热敷或保暖后），热敷疼痛处则稍感宽舒，有时出汗，此时可以采用针刺、艾灸、熨法，服用治风温的药物就会见效。初得附骨疽立即服用漏芦汤泻下，敷小豆散可以消退；如果泻下后身体虚弱，而肿胀处未消者，可以去掉大黄，改用生地黄及干地黄；热势逐渐减退，余风未停者，可服用五香连翘汤，去掉大黄；余热未消可敷升麻膏较好；如果错过时机未能消退而成脓者，用火针膏散，按照治疗痈的方法处理。（今按：漏芦汤、升麻膏在第十七卷治丹毒的方剂中；五香连翘汤在第十六卷治恶核肿的方剂中，都出自《短剧方》。）
《千金方》说：辨别附骨疽与贼风的不同，附骨疽开始时尚未肿胀，只有疼痛而已，贼风也是疼痛但不发热，附骨疽则其上部壮热。
凡是初得附骨疽必须紧急服用漏芦汤泻下。敷小豆散可以消退，可服用五香连翘汤。
治疗骨疽的方子：
另一个方子：将芜菁子研末外敷，用丝绸包裹，一天更换一次。
《葛氏方》治疗久年附骨疽，一年发作一次，汁液流出不愈合的方子：
将饴糖加热熔化灌入疮口中，每天三次。
另一个方子：用白杨树叶屑外敷。
According to *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases): Fugu Ju (Bone-attaching Carbuncle) occurs when wind pathogens invade the bone joints while the body is hot. Wind and heat contend with each other, and are further compounded by cool dampness; or it results from sleeping outdoors in autumn and summer, being constrained by cold dampness, causing wind-heat to lie latent and knot together, obstructing and attaching to the bones to form a Ju (deep-seated abscess). This condition favors the large joints. In men, postpartum women, and women generally, it often affects the Shuxi region (inguinal area), the head of the ilium, and between the thigh and knee. Infants and young children may also develop it on the upper arm, elbow, or back. In elderly patients with acute cases, pain is felt first, accompanied by immobility; pressure elicits pain radiating to the bone. After a few days, the skin and muscles feel slightly tight, swelling up like obesity; this is characteristic. For infants who cannot speak, crying upon being held close indicates joint pain, which is a sign. In elderly patients with chronic cases, one initially feels swelling and fullness; after a few days, numbness and pain with limited mobility appear. Infants may show asymmetry in limb movement, appearing stiff; examining the joints reveals swelling. If unrecognized as Fugu Ju, it may lead to generalized suppuration, death without ulceration, and the whole body turning cyanotic and dark. Some elderly patients do not recognize Fugu Ju, misidentifying acute cases as Zeifeng (Thief Wind) and chronic cases as Fengzhong (Wind Swelling). Failing to realize it is a Ju leads to death.
*Duangju Fang* (Short Drama Prescriptions) states: Fugu Ju is also called Ting Ju (Shin Bone Abscess), because it lacks a head and attaches to the bone forming pus. It is also called Yong Ju (Carbuncle and Ulcer) due to its extensive nature, involving pus throughout the body. Acute Fugu Ju resembles Zeifeng closely. Fugu Ju arises from excessive internal heat combined with long-term exposure to wind-cold, allowing wind to enter the bone joints where it contends with heat. Initial symptoms include drowsiness, heaviness, and confusion (Hu hu, meaning trance-like state). Acute cases have more heat and less wind; chronic cases have more wind and less heat. Zeifeng occurs in people with normal constitution and no heat, struck suddenly by violent wind-cold, causing deep bone pain. Long-standing Fugu Ju presents with swelling and suppuration. Long-standing Zeifeng leads to wasting and emaciation, or formation of Luoli (scrofula). This distinguishes them. Treating Fugu Ju as Zeifeng deepens the disease and increases pus; treating Zeifeng as Fugu Ju exacerbates cold-wind, potentially leading to Luoli, hemiplegia, and contractures.
Acute Fugu Ju features intense heat at the painful site, alternating chills and fever, shivering aversion to cold, intolerance to heat, reddish urine, difficult defecation, and anhidrosis. Immediate treatment involves clearing heat and purging, which resolves the condition. Even if not fully resolved, it becomes superficial and easier to ulcerate, ceasing to attach to the bone. Zeifeng manifests as bone pain that worsens with pressure or looking up, without intense heat, with body numbness, alternating chills and fever, feeling cold internally. Applying heat provides slight relief, sometimes with sweating. Treatment includes acupuncture, moxibustion, warming therapy, and administering warm wind-dispelling herbs for efficacy. Upon initial onset of Fugu Ju, administer Loulu Tang (Rhapontic Rhizome Decoction) to purge, and apply Xiaodou San (Adzuki Bean Powder) to resolve swelling. If purging causes deficiency but swelling persists, remove Dahuang (Rhubarb Root) and use Sheng Dihuang (Fresh Rehmannia Root) and Gan Dihuang (Prepared Rehmannia Root). As heat subsides but residual wind remains, take Wuxiang Lianqiao Tang (Five-Aromatic Forsythia Decoction), removing Huanglian (Coptis Rhizome). If residual heat remains, apply Shengma Gao (Cimicifuga Ointment). If time is lost and suppuration forms, use Huozhen Gao San (Fire-needle Ointment/Powder) following carbuncle treatment protocols. (Note: Loulu Tang and Shengma Gao are in Volume 17 for treating Dan toxicity; Wuxiang Qiao Tang is in Volume 16 for treating Ehexiong swelling; all from *Duangju Fang*.)
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) states: To distinguish Fugu Ju from Zeifeng, Fugu Ju begins with pain only, before swelling appears; Zeifeng also causes pain without heat, whereas Fugu Ju presents with intense heat above the affected area.
Upon initial onset of Fugu Ju, urgently administer Loulu Tang to purge. Apply Xiaodou San to resolve swelling; Wuxiang Lianqiao Tang may be taken.
Prescription for treating Gu Ju (Bone Abscess):
Another prescription: Grind Wu Jingzi (Brassica Juncea Seed) into powder, apply externally, wrap with silk, change once daily.
*Ge Shi Fang* (Ge's Prescriptions) for chronic Fugu Ju persisting for years, recurring annually with draining exudate that fails to heal:
Melt Yi (Maltose) by fire and pour into the wound, three times daily.
Another prescription: Apply Baiyang Ye Xie (Populus Alba Leaf fragments) externally.