大人小孩，龟头有皮裹包，只留细孔，小便难沥。以骨针插孔内，逐渐撑大。若皮口
稍大，用剪刀，将马口旁皮，用钳子钳起，量意剪开，速止其血。或用细针穿药线在马口
旁皮上穿过约阔数分，后将药线打一活抽结，遂渐收紧，七日皮自豁，则马口可大矣。
痈疽初肿即硬如石，或渐大，或不大。误用刀针，便血流不止，或淌清水，患口翻凸
难治，投平肝补脾法，犹可延年。
治溃痈，日久难敛。倘孔内老脓成多骨，须降丹条提去方收口。有脓血去多，气血虚
不敛者，有甫收口，皮肉尚嫩，遂劳苦太早，复肿溃流清脓，或臭污水，皆脾土伤败，须
培补节劳欲可瘥。有溃久穿通，骨笔成漏无治者。
痈疽浮肿如棉，皮色如常，大如杯，或发盘，痛无休止，治疗不应，此气虚血竭，所
以络脉阻滞作疼，忌刺刀针。若溃流青黄水，或淌黑血，肿痛仍在，或患口翻凸，或肿消
不收口者，延久食少形削，皆无法施。
病发时，及病后，脾胃甚虚，不戒食物，则中焦多停滞，极难消化，遏伏化热，生湿
生痰。脾胃为仓廪之官，痰聚湿蒸，犹乎 酱曲然，无能外泄溢于肌肤，使面目肢体皆
黄，宜化滞渗湿法。
曩时所患诸病，虽皆暂退，每遇交节前一二日，旧病照常复发，或加沉重。盖天地
换节气，万物为之变色，人身脏腑，亦因气候，而触其旧病伤处而生病，治更较于初起
难愈者，或卧病不救者。
无论是成人还是儿童，若龟头被皮肤包裹覆盖，仅留细小孔道，导致小便排出困难。可用骨针插入孔内，逐渐将其撑大。如果皮口稍大，可用剪刀，用钳子夹起马口（尿道口）旁的皮肤，根据需要剪开，并迅速止血。或者用细针穿引药线在马口旁的皮肤上穿过约数分宽，随后将药线打一个活抽结，逐渐收紧，七日后皮肤自然裂开，则马口即可扩大。
痈疽初起肿胀时即坚硬如石，或逐渐增大，或大小不变。误用刀针切割，会导致血流不止，或流出清水，患处疮口外翻凸起，难以治疗。此时投以平肝补脾法，尚可延长寿命。
治疗溃烂的痈疽，若日久难以愈合。如果疮孔内老脓多且形成死骨，必须使用降丹条提脓去腐，才能收口。若有脓血流失过多，气血虚弱无法收敛者；有刚收口，皮肉尚嫩，便过早劳累，再次肿胀溃烂流出清稀脓液，或臭秽污水，这都是脾土受损败坏所致，需要培补脾胃、节制劳欲方可痊愈。有溃烂日久穿透，形成漏管无治之症者。
痈疽浮肿如棉絮，皮色正常，大如杯状，或呈盘状，疼痛无休止，治疗无效，这是气虚血竭，导致络脉阻滞而作痛，忌用刺刀针。如果溃破后流出青黄色水液，或流出黑血，肿痛仍在，或疮口外翻凸起，或肿消但伤口不收敛，拖延日久导致饮食减少、形体消瘦，都属无法施治的情况。
疾病发作时及病后，脾胃非常虚弱，若不节制饮食，则中焦多有停滞，极难消化，郁遏伏热，生湿生痰。脾胃是仓廪之官，痰聚湿蒸，就像发酵的酱曲一样，无法正常排泄溢于肌肤，致使面目肢体皆发黄，宜用化滞渗湿法。
以往所患的各种疾病，虽然暂时消退，但每逢交节前一两天，旧病照常复发，或加重病情。因为天地更换节气，万物随之变色，人身脏腑也因气候变迁，触动旧病伤处而生病，治疗比初起时更难痊愈，甚至有卧床不起无法救治的情况。
Adults and children, if the glans penis is covered by skin, leaving only a small aperture, making urination difficult to dribble out. Insert a bone needle into the aperture and gradually expand it. If the skin opening is slightly larger, use scissors; lift the skin beside the Mako (urethral meatus) with forceps, cut it open as needed, and stop the bleeding quickly. Alternatively, pass a medicinal thread through the skin beside the Mako using a fine needle for a width of several fen, then tie a slipknot on the medicinal thread and gradually tighten it. After seven days, the skin will naturally split, thereby enlarging the Mako.
When an abscess or carbuncle first swells, it becomes hard as stone, or gradually enlarges, or remains unchanged in size. Mistakenly using knives or needles causes unceasing blood flow or leakage of clear fluid, with the affected wound everted and protruding, making it difficult to treat. Administering the method of soothing the Liver and tonifying the Spleen may still prolong life.
Treating ulcerated abscesses that fail to heal after a long time. If there is much old pus inside the hole and dead bones have formed, one must use Jiang Dan Tiao (Red Sublimate Paste Strips) to extract the pus and remove necrotic tissue before the wound can close. In cases where excessive pus and blood loss lead to Qi and Blood deficiency preventing healing, or when the wound has just closed but the skin and flesh are still tender, premature labor causes recurrence of swelling and ulceration with discharge of clear pus or foul-smelling turbid water. These are all due to damage and failure of the Spleen Earth, requiring tonification of the Spleen and moderation of labor and desire for recovery. There are cases of long-standing ulcers penetrating through, forming fistulas, which are incurable.
Abscesses and carbuncles swollen like cotton, with normal skin color, large as a cup or plate-like, with ceaseless pain and ineffective treatment, indicate Qi deficiency and exhaustion of Blood, causing obstruction in the collaterals and pain. Puncture with knives or needles is contraindicated. If upon ulceration, green-yellow fluid flows or black blood is discharged, with persistent swelling and pain, or the wound is everted, or swelling subsides but the wound fails to close, prolonged duration leads to reduced appetite and emaciation; these are beyond treatment.
During the onset of disease and after recovery, the Spleen and Stomach are extremely deficient. If food intake is not regulated, stagnation occurs in the Middle Jiao, making digestion extremely difficult. This suppresses latent heat, generating dampness and phlegm. The Spleen and Stomach are the officials of the granaries; when phlegm accumulates and dampness steams, it resembles fermenting yeast, unable to excrete outward onto the skin and muscles, causing yellowing of the face, eyes, and limbs. The method of resolving stagnation and leaching out dampness should be applied.
Previous illnesses, although temporarily receded, often recur as usual or worsen one or two days before solar term changes. This is because heaven and earth change solar terms, causing all things to alter their appearance. The internal organs of the human body also react to climatic changes, triggering old injuries and diseases. Treatment is more difficult to cure than at the initial stage, and there are cases of bedridden patients who cannot be saved.