脉诀云诸脉浮数者当发热若无热而反恶寒身有痛处者必发痈也
又云脉滑而数数则为热滑则为实滑主营而数主卫营卫相逢结而为痈又云数脉时见则生恶
疮
丹溪云痈疽之症而作痛者有寒热虚实皆能为痛因寒结而痛者宜用温热之剂以散之因热结
痛
导其湿燥而痛者润之塞而痛者通之怫郁而痛者开之恶肉而痛者去之阴阳不和者调之切勿概用
凉药以凝其血况血脉喜温恶寒若冷气内郁则疾难治
一疮疡初发 肿赤痛发热便秘脉沉实者宜下之用 黄连内疏汤 当归连翘饮 清凉饮
神仙救苦丹
一疮疡初发微肿身体拘倦恶寒者宜用 十宣散 托里散
一痈疽初起见头粟或痒或麻木者邪气盛也可用隔蒜灸法
一疮疡肿高作痛脉浮者宜托之用内托千金散 仙方活命饮
一项背之间或肿痛无头者宜用 内托流气饮
一痈疽肿高色赤而作痛者属阳易治宜用清凉解毒之剂
一痈疽平陷色白但拘倦而不大痛者属阴难治宜用滋补内托之药 托里温中汤
一疮疡未破毒攻脏腑热药不可多用宜清湿内托解毒为主
一疮疡初起可用箍药围住庶不肿开溃大宜用 乌龙膏 箍药
一疮疡发热烦躁作渴者宜用 黄 竹叶汤
一疮疡久不溃而脓不出者宜内托大补其脓自溃宜用 蜡矾丸
一溃疡发热作呕吐者宜用 解毒护心散
一疮疡初起红肿身倦作热者宜微微表汗以疏毒瓦斯用 防风通圣散 或荆防败毒散
一痈疽脓热宜速用针破之更宜托补不然恐脓侵 难治
《脉诀》中说：各种脉象浮而数的，应当出现发热症状；如果没有发热反而怕冷，身体有疼痛部位的，必定会发为痈疽。
又说：脉象滑而数，数脉主热，滑脉主实。滑脉主营气，数脉主卫气，营卫之气相逢结聚就会形成痈疽。又说：数脉时常出现则生恶疮。
朱丹溪说：痈疽这类病症，凡是发作疼痛的，寒、热、虚、实都能导致疼痛。因寒邪凝结而痛的，宜用温热性质的药剂来消散它；因热邪结聚而痛的，宜清解其热；因湿邪阻滞而痛的，宜燥湿利湿；因气机闭塞而痛的，宜通利疏导；因气机怫郁（郁结不畅）而痛的，宜开郁散结；因腐肉败坏而痛的，宜去除腐肉；因阴阳不和而痛的，宜调和阴阳。千万不要一概使用凉药来凝滞血液。况且血脉喜欢温暖而厌恶寒冷，如果冷气在内郁结，那么疾病就难以治愈。
第一，疮疡初发，肿胀发红疼痛，伴有发热、便秘，脉象沉实的，宜用攻下法。方剂选用黄连内疏汤、当归连翘饮、清凉饮、神仙救苦丹。
第二，疮疡初发，轻微肿胀，身体拘急疲倦，怕冷的，宜用十宣散、托里散。
第三，痈疽初起，见头部如粟米状突起，或瘙痒、麻木的，这是邪气旺盛的表现，可用隔蒜灸法。
第四，疮疡肿势高突，疼痛，脉象浮的，宜用托毒外出法。方剂选用内托千金散、仙方活命饮。
第六，痈疽肿势高突，颜色红赤且疼痛的，属于阳证，容易治疗，宜用清凉解毒的药剂。
第七，痈疽平陷，颜色苍白，只是拘急疲倦而疼痛不剧烈的，属于阴证，难治，宜用滋补并托毒外出的药物，如托里温中汤。
第八，疮疡未破溃，毒气攻犯脏腑，热性药物不可多用，应以清利湿热、内托解毒为主。
第九，疮疡初起，可用箍围药将其围住，防止肿胀扩散；溃破后宜用乌龙膏及箍围药。
第十，疮疡发热、烦躁、口渴的，宜用黄芩竹叶汤。（注：原文“黄”字后缺字，据方名惯例补为黄芩，翻译时保留原意或依常见方名处理，此处依上下文译为黄芩竹叶汤以通顺，若严格对应原文则为“黄[某]竹叶汤”，鉴于中医常识，此处指代含黄芩之方，故译作黄芩竹叶汤）。
第十一，疮疡久不溃破，脓液排不出来的，宜内托并大补气血，脓液自然溃破排出，宜用蜡矾丸。
The *Mai Jue* (Pulse Classic) states: When various pulse qualities are floating and rapid, fever should occur; if there is no fever but instead aversion to cold, with painful areas on the body, an abscess (Yong Ju) will certainly develop.
It further states: A slippery and rapid pulse indicates heat for the rapid quality and excess for the slippery quality. The slippery pulse governs Ying (Nutrient) Qi, and the rapid pulse governs Wei (Defensive) Qi. When Ying and Wei Qi meet and knot together, an abscess forms. It also states: If a rapid pulse appears intermittently, malignant sores will arise.
Zhu Danxi stated: Regarding symptoms of abscesses and carbuncles that involve pain, both cold and heat, deficiency and excess can cause pain. For pain caused by cold knotting, warm and hot agents should be used to dissipate it; for pain caused by heat knotting, clear the heat; for pain caused by dampness obstruction, dry the dampness; for pain caused by blockage, unblock and dredge; for pain caused by Qi stagnation (Fu Yu), open and disperse the depression; for pain caused by foul flesh, remove the necrotic tissue; for pain caused by disharmony between Yin and Yang, harmonize them. Do not indiscriminately use cooling medicines to congeal the blood. Moreover, blood vessels prefer warmth and dislike cold; if cold qi is depressed internally, the disease will be difficult to treat.
First, when a sore or ulcer initially develops, presenting with swelling, redness, pain, fever, constipation, and a deep and solid pulse, purgation is indicated. Formulas include Huanglian Neishu Tang (Coptis Internal Purging Decoction), Danggui Lianqiao Yin (Angelica and Forsythia Drink), Qingliang Yin (Cooling and Refreshing Drink), and Shenxian Jiuku Dan (Immortal's Pain-Relieving Pill).
Second, when a sore or ulcer initially develops with slight swelling, bodily stiffness and fatigue, and aversion to cold, Shixuan San (Ten Acupoints Powder) and Tuoli San (Supporting the Interior Powder) are indicated.
Third, when an abscess or carbuncle first appears, showing millet-like papules on the head, itching, or numbness, this indicates abundant pathogenic factors. Moxibustion with garlic partition (Ge Suan Jiu) may be used.
Fourth, when a sore or ulcer is swollen, elevated, painful, and the pulse is floating, supporting the interior to expel toxins is indicated. Formulas include Neituo Qianjin San (Inner Support Thousand Gold Powder) and Xianfang Huoming Yin (Immortal Formula Life-Saving Decoction).
Fifth, for swelling and pain in the neck and back without a visible head, Neituo Liqi Yin (Inner Support Moving Qi Decoction) is indicated.
Sixth, when an abscess or carbuncle is swollen, elevated, red, and painful, it belongs to the Yang pattern and is easy to treat. Cooling and detoxifying agents are indicated.
Seventh, when an abscess or carbuncle is flat and depressed, white in color, with stiffness and fatigue but little pain, it belongs to the Yin pattern and is difficult to treat. Tonifying and supporting the interior to expel toxins is indicated, such as Tuoli Wenzhong Tang (Supporting the Interior and Warming the Middle Decoction).
Eighth, when a sore or ulcer has not yet ruptured and toxic heat attacks the Zang-Fu organs, hot-natured medicines should not be used excessively. The treatment should focus on clearing damp-heat, supporting the interior, and detoxifying.
Ninth, at the initial stage of a sore or ulcer, encircling drugs (Gu Yao) should be applied to contain the swelling. After rupture, Wulong Gao (Black Dragon Ointment) and encircling drugs are indicated.
Tenth, when a sore or ulcer presents with fever, restlessness, and thirst, Huang [Qin] Zhuye Tang (Scutellaria and Bamboo Leaf Decoction) is indicated. *(Note: Original text "Huang" implies Scutellaria based on standard formula names).*
Eleventh, when a sore or ulcer persists without rupturing and pus does not emerge, internal support and strong tonification are indicated to promote spontaneous rupture of the pus. Lafan Wan (Beeswax and Alum Pill) is indicated.
Twelfth, when an ulcer presents with fever and vomiting, Jiedu Huxin San (Detoxifying Heart-Protecting Powder) is indicated.
Thirteenth, when a sore or ulcer initially develops with redness, swelling, bodily fatigue, and fever, mild diaphoresis should be induced to vent the toxic qi. Fangfeng Tongsheng San (Saposhnikovia Unblocking the Exterior Powder) or Jingfang Baidu San (Schizonepeta and Saposhnikovia Resolving Toxin Powder) are indicated.
Fourteenth, when pus is formed and hot in an abscess or carbuncle, it should be punctured quickly with a needle. Furthermore, supportive and tonifying therapy is essential; otherwise, the pus may invade deeply, making the condition difficult to treat.