流注多因郁结，或暴怒，或脾虚，湿气逆于肉理，或腠理不密，寒邪客于经络，或闪扑，
或产后瘀血流注关节，或伤寒余邪未尽为患，皆因其气不足，邪得乘之。常治∶郁者开之，怒
者平之，闪扑及产后瘀血者散之，脾虚及腠理不密者，徐而补之，伤寒余邪，调而解之。大要以
固元气为主，佐以见证之药。如久而疮口寒者，更用豆豉饼或附子饼灸之，有脓管或瘀血者，
用针头散腐及锭子尤效。若不补血气，及不慎饮食起居七情，俱不治。
抑郁所致而不痛者，宜调经脉，补血气。肿硬作痛者，行气和血。
溃而不敛者，益气血为主。
伤寒余邪未尽者，和而解之。
暴怒所致胸膈不利者，调气为主。
脾虚湿热，凝滞肉理而然，健脾除湿为主。
闪肭瘀血凝滞为患者，活气血，调经铬。
寒邪所乘，筋挛骨痛，或遍身痛，宜温经络，养血气。
一人因怒，胁下作痛，以小柴胡对四物，加青皮、桔梗、枳壳而愈。
一人因怒，胁下肿痛，胸膈不利，脉沉迟，以方脉流气饮，数剂而少愈，更以小柴胡，
二十剂而痊。
一妇因闪肭肩患肿，遍身作痛，以黑丸子，二服而痛止，又以方脉流气饮，二剂而肿消，
更以二陈汤对四物，加香附、枳壳、桔梗，愈。
一妇腿患筋挛骨痛，诸药不应，脉迟紧，用大防风汤，二剂即退，又二剂而安。
一人腿患流注，溃而不敛，用人参养荣汤，及附子饼灸，更以补剂煎膏贴之，两月而愈。
一人脾气素弱，臂肿一块，不痛，肉色不变，饮食少思，半载不溃。先以六君子加芎归
芍药，二十余剂，饮食渐进，更以豆豉饼日灸数壮，于前药再加黄 、肉桂，三十剂，脓熟，
针去，以十全大补汤，及附子饼灸之，月余而敛。
一人肿腿，肉色不变，不痛，脉浮而滑，以补中益气汤加半夏、茯苓、枳壳、木香煎，以
附子饼灸之。彼云∶气无补法，乃服方脉流气饮，愈虚，始用六君子汤加芎归数剂，饮食少进，
再服补剂，月余消。
一人臂肿，筋挛骨痛，年余方溃，不敛，诊脉，更虚，以内塞散，一料少愈，以十全
大补汤，及附子饼灸，愈。
一人形劳气弱，背臂微肿，以益气养荣汤，间服黑丸子，及木香、生地作饼，覆患处熨之
，月余脓成，针
之，仍服药而愈。
一人臂患年余尚硬，饮食少思，朝寒暮热，八珍汤加柴胡、地骨、牡丹皮，月余，寒
热少止，再用益气养荣汤，附子饼灸，两月余，脓成，针之，更服人参养荣汤，半载而愈。
一人臂注，出腐骨三块，尚不敛，发热作渴，脉浮大而涩，气血俱损，多服生气血之剂，
庶可保全。彼谓火尚未尽，乃用凉药内服外敷，几危，求治。其形甚悴，脉愈虚，先以六君子
加芎归，月余，饮食渐进，以八珍汤加肉桂，三十余剂，疮色乃赤；更以十全大补汤，外以附
子饼，年余瘥。
一老伤寒表邪未尽，股患流注，发热，以人参败毒散，二剂热止矣；香附饼，叉小柴
胡加二陈、羌活、川芎、归、术、枳壳，数剂而消。
一妇经不调，两月或三月一至，四肢肿，饮食少，日晡发热。予曰∶此脾土气血虚也，用
养脾滋气血药，饮食进，则浮肿自消，气血充，则经水自调。彼以为缓，用峻剂先通月经，
果腹痛滞不止，遍身浮肿，饮食减，没于木旺之月。
流注病多因情绪郁结，或突然暴怒，或脾气虚弱导致湿气逆乱于肌肉纹理之间，或因腠理（皮肤毛孔及皮下组织间隙）不紧密，寒邪侵袭经络，或因闪挫扑跌损伤，或产后瘀血流入关节，或伤寒病后余留的邪气未尽引发疾病，这些都是因为人体正气不足，邪气得以乘虚而入。常规治疗原则是：对于郁结者宜疏解开导，对于暴怒者宜平抑调和，对于闪挫及产后瘀血者宜消散瘀滞，对于脾虚及腠理不密者宜缓慢温补，对于伤寒余邪者宜调和并解除余邪。大抵以固护元气为主要原则，辅以针对具体证候的药物。如果病程长久且疮口发凉，可改用豆豉饼或附子饼进行艾灸；如果有脓管形成或有瘀血残留，使用针头散腐生肌及锭子类药物尤为有效。如果不补充气血，以及不慎饮食起居和七情（喜、怒、忧、思、悲、恐、惊），均难以治愈。
由抑郁引起且不疼痛的，适宜调理经脉，补充气血。肿胀坚硬且作痛的，宜行气活血。
溃破后不能愈合的，以益补气血为主。
伤寒余邪未尽的，宜调和并解除余邪。
由暴怒引起胸膈部不适的，以调气为主。
脾虚湿热，凝结阻滞于肌肉纹理所致者，以健脾除湿为主。
闪挫导致瘀血凝滞为患者，宜活络气血，调理经络。
寒邪侵袭，导致筋脉拘挛骨痛，或全身疼痛，宜温通经络，养血益气。
有一人因愤怒，胁下作痛，用小柴胡汤配合四物汤，加入青皮、桔梗、枳壳而痊愈。
有一人因愤怒，胁下肿痛，胸膈不利，脉象沉迟，服用方脉流气饮，数剂后稍有好转，再服用小柴胡汤，二十剂后痊愈。
有一妇人因闪挫肩部患肿，全身疼痛，服用黑丸子，两服后疼痛停止，又服用方脉流气饮，两剂后肿胀消退，再用二陈汤配合四物汤，加入香附、枳壳、桔梗，痊愈。
有一妇人腿部患筋挛骨痛，各种药物无效，脉象迟紧，使用大防风汤，两剂即见效，又两剂后安稳。
有一人腿部患流注，溃破后不能愈合，用人参养荣汤，并用附子饼艾灸，再用补益药煎膏外贴，两个月后痊愈。
有一人脾气素来虚弱，手臂肿起一块，不痛，肤色不变，饮食减少思虑，半年未溃破。先用六君子汤加川芎、当归、芍药，二十余剂，饮食逐渐增进，再用豆豉饼每日灸数壮，在前药基础上再加黄芪、肉桂，三十剂后脓液成熟，针刺排脓，用十全大补汤，并用附子饼艾灸，一个多月后愈合。
有一人腿部肿胀，肤色不变，不痛，脉象浮滑，用补中益气汤加半夏、茯苓、枳壳、木香煎服，并用附子饼艾灸。患者认为“气病无补法”，于是服用方脉流气饮，导致更加虚弱，后来才用六君子汤加川芎、当归数剂，饮食稍进，再服用补益药，一个多月后消肿。
有一人手臂肿胀，筋挛骨痛，一年多才溃破，不能愈合，诊脉更见虚弱，用内塞散，一料后稍有好转，用十全大补汤，并用附子饼艾灸，痊愈。
有一人体力劳累，气弱，背臂微肿，用益气养荣汤，间服黑丸子，并用木香、生地做成饼状，覆盖患处熨烫，一个多月后脓成，针刺引流，继续服药而愈。
有一人手臂患病一年多仍硬，饮食少思，早晨怕冷晚上发热，用八珍汤加柴胡、地骨皮、牡丹皮，一个多月后寒热稍止，再用益气养荣汤，附子饼艾灸，两个多月后脓成，针刺引流，再服人参养荣汤，半年后痊愈。
有一人手臂患流注，排出腐骨三块，尚不能愈合，发热口渴，脉象浮大而涩，气血俱损，需多服生养气血的药物，方可保全性命。患者认为火毒未尽，于是用凉药内服外敷，几乎危及生命，前来求治。其形体非常憔悴，脉象更虚，先用六君子汤加川芎、当归，一个多月，饮食逐渐增进，用八珍汤加肉桂，三十余剂，疮色变红；再用十全大补汤，外用附子饼，一年后才康复。
有一位老人伤寒表邪未尽，大腿患流注，发热，用人参败毒散，两剂后热止；用香附饼，和小柴胡汤加二陈汤、羌活、川芎、当归、白术、枳壳，数剂后肿胀消退。
有一位妇女月经不调，两月或三月一至，四肢肿胀，饮食减少，傍晚发热。我说：这是脾土气血虚弱所致，用养脾滋气血的药，饮食进步，则浮肿自然消除，气血充盈，则月经自然调顺。她认为药效太慢，用峻猛药物先通月经，果然腹痛不止，遍身浮肿，饮食减少，死于木旺之月（春季）。
Liu Zhu (Flowing Abscess) is mostly caused by emotional depression, sudden rage, or spleen deficiency leading to dampness counterflowing into the muscle tissue. It may also result from loose cou li (skin pores and interstitial spaces), allowing cold pathogenic factors to lodge in the meridians; from sprains or falls; from postpartum blood stasis flowing into joints; or from residual pathogens of Shang Han (Cold Damage Disease) not yet fully resolved. All these occur because of insufficient healthy Qi, allowing pathogenic factors to take advantage of the deficiency. The general treatment principles are: for depression, use opening methods; for rage, use calming methods; for sprains and postpartum blood stasis, use dispersing methods; for spleen deficiency and loose cou li, use gradual tonification; for residual Shang Han pathogens, use harmonizing and resolving methods. The main strategy is to consolidate Yuan Qi (Original Qi), assisted by herbs addressing specific manifestations. If the sore remains cold after a long duration, moxibustion with fermented soybean cake or Aconite cake should be applied. If there are sinus tracts or residual blood stasis, using needle heads to remove necrotic tissue and applying锭zi (medicated plasters/pills) is particularly effective. If Blood and Qi are not supplemented, and if diet, daily routine, and Seven Emotions (Joy, Anger, Worry, Overthinking, Sorrow, Fear, Fright) are not managed carefully, the condition will not heal.
For cases caused by depression without pain, regulating the meridians and tonifying Blood and Qi is appropriate. For swelling, hardness, and pain, promoting Qi movement and invigorating Blood is indicated.
For ulcers that fail to heal, tonifying and benefiting Qi and Blood is primary.
For residual Shang Han pathogens, harmonizing and resolving is indicated.
For chest and diaphragm discomfort caused by sudden rage, regulating Qi is primary.
For spleen deficiency with damp-heat condensing in the muscle tissue, strengthening the spleen and removing dampness is primary.
For patients with blood stasis condensation due to sprains, activating Blood and Qi and regulating the meridians is indicated.
For invasion by cold pathogenic factors causing tendon spasms, bone pain, or generalized body pain, warming the meridians and nourishing Blood and Qi is indicated.
One patient suffered hypochondriac pain due to anger and was cured using Xiao Chai Hu Tang (Minor Bupleurum Decoction) combined with Si Wu Tang (Four Substances Decoction), augmented with Qing Pi (Aurantii Fructus Immaturus), Jie Geng (Platycodonis Radix), and Zhi Ke (Aurantii Fructus).
Another patient suffered hypochondriac swelling and pain with chest/diaphragm discomfort and a deep, slow pulse. After taking Fang Mai Liu Qi Yin (Pulse-Based Qi-Flowing Drink) for several doses with slight improvement, they took Xiao Chai Hu Tang for twenty doses and recovered.
A female patient had shoulder swelling and generalized body pain due to a sprain. Pain ceased after two doses of Hei Wan Zi (Black Pills). Swelling subsided after two doses of Fang Mai Liu Qi Yin. She was finally cured using Er Chen Tang (Two-Cured Decoction) combined with Si Wu Tang, augmented with Xiang Fu (Cyperus Rhizome), Zhi Ke, and Jie Geng.
A female patient suffered tendon spasms and bone pain in the leg, unresponsive to other medicines, with a slow and tight pulse. Da Fang Feng Tang (Major Saposhnikovia Decoction) worked after two doses, bringing stability after another two doses.
One patient had Liu Zhu in the leg that ulcerated but failed to heal. Ren Shen Yang Rong Tang (Ginseng Nourishing荣 Decoction) was used, along with moxibustion using Aconite cake. A tonic paste was applied externally. Recovery occurred after two months.
One patient with inherent weak spleen Qi had a non-painful arm swelling with unchanged skin color and reduced appetite, persisting for half a year without suppuration. Liu Jun Zi Tang (Six Gentlemen Decoction) plus Xiong Gui (Ligusticum and Angelica) and Shao Yao (Peony) was administered for over twenty doses, improving appetite. Moxibustion with Fermented Soybean Cake was applied daily. Huang Qi (Astragali Radix) and Rou Gui (Cinnamon Bark) were added to the herbal formula for thirty doses until pus matured. After needle drainage, Shi Quan Da Bu Tang (Ten Great Tonics Decoction) and Aconite cake moxibustion led to healing within a month.
One patient had leg swelling, unchanged skin color, no pain, and a floating, slippery pulse. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) plus Ban Xia (Pinelliae Rhizoma), Fu Ling (Poria), Zhi Ke, and Mu Xiang (Aucklandiae Radix) was decocted and taken, accompanied by Aconite cake moxibustion. The patient believed "Qi disorders cannot be treated with tonification" and instead took Fang Mai Liu Qi Yin, becoming more deficient. Later, Liu Jun Zi Tang plus Xiong Gui was used for several doses, slightly improving appetite. Continued tonic therapy led to resolution after over a month.
One patient had arm swelling, tendon spasms, and bone pain, ulcerating only after over a year and failing to heal. The pulse was even more deficient. Nei Sai San (Internal Obstruction Powder) improved the condition slightly after one dose. Shi Quan Da Bu Tang and Aconite cake moxibustion led to recovery.
One patient with physical exhaustion and weak Qi had slight back/arm swelling. Yi Qi Yang Rong Tang (Benefit Qi and Nourish荣 Decoction) was taken intermittently with Hei Wan Zi. A cake made of Mu Xiang and Sheng Di Huang (Rehmanniae Radix) was applied topically with heat. Pus formed after a month, was drained by needle, and the patient recovered with continued medication.
One patient had an arm lesion hard for over a year, with poor appetite, morning chills, and evening fevers. Ba Zhen Tang (Eight Treasures Decoction) plus Chai Hu (Bupleuri Radix), Di Gu Pi (Lycii Cortex), and Mu Dan Pi (Moutan Cortex) stopped the fever/chills after a month. Yi Qi Yang Rong Tang and Aconite cake moxibustion followed. Pus formed after two months, was drained, and Ren Shen Yang Rong Tang was taken for half a year until recovery.
One patient with arm Liu Zhu expelled three pieces of necrotic bone but failed to heal, suffering fever, thirst, and a large, floating, choppy pulse indicating dual deficiency of Qi and Blood. Prolonged administration of Qi and Blood generating agents was necessary for preservation. The patient, believing fire toxins remained, used cooling herbs internally and externally, nearly dying from critical condition before seeking treatment. The patient appeared emaciated with a very deficient pulse. Liu Jun Zi Tang plus Xiong Gui was given for a month, improving appetite. Ba Zhen Tang plus Rou Gui was taken for over thirty doses, turning the sore red. Shi Quan Da Bu Tang and external Aconite cake moxibustion led to recovery after over a year.
An elderly patient with unresolved exterior pathogens from Shang Han developed Liu Zhu in the thigh with fever. Ren Shen Bai Du San (Ginseng Detoxifying Powder) stopped the fever after two doses. Xiang Fu cake and Xiao Chai Hu Tang combined with Er Chen Tang, Qiang Huo (Notopterygii Rhizoma et Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), and Zhi Ke reduced the swelling after several doses.
A female patient with irregular menstruation (once every two or three months), limb swelling, poor appetite, and afternoon fever was diagnosed with Spleen Earth Qi and Blood deficiency. Tonifying the spleen and nourishing Qi and Blood was prescribed. Improved diet would resolve edema, and充盈 Qi and Blood would regulate menstruation. Dismissing this as too slow, she used harsh purgatives to force menstruation, resulting in abdominal pain, continuous diarrhea, generalized edema, reduced appetite, and death during the Wood-dominant month (Spring).