痛发寒热或拘急者，发散表邪。
不作脓或脓成不溃者，并宜托里。
作脓 痛者，托里消毒。
脓已成作痛者，速针之。
溃而不敛或流清浆者，宜峻补。
一人患鬓疽， 痛作肿发热，以小柴胡汤加连翘、金银花、桔梗，四剂而愈。
一人因怒后鬓际肿痛发热，以小柴胡汤加连翘、金银花、天花粉，四剂，根盘俱消，
惟疮头作痛。以仙方活命饮，二剂，痛止脓熟，针之，更以托里消毒药愈。
一老人患此，肿痛发热，脓清作渴，脉濡而涩，此气血俱虚也，欲补之。彼见作渴发热，
乃服降火之剂，果作呕少食，复求治。以六君子汤，四剂呕止食进，仍用补药，月余愈。
一人脓成 痛，发呕少食，以仙方活命饮，一剂而止，以六君子加当归、桔梗、皂角刺，
溃而愈。
一人嗜酒与爆炙，年五十余，夏初，左丝竹空穴努出一角，长短大小如鸡距而稍坚。
予曰∶此少阳所过，气多血少，未易治也，须断肉味，先解其食毒，针灸以开泄其壅滞。彼不
听，以大黄、朴硝、片脑等冷药 之。一夕豁开如酱蚶，径三寸，二日后，蚶子溅血高数寸
而死。因冷外逼，气郁而得发，宜其发之暴也如此。
一人肿痛，寒热拘急，脉浮数，以荆防败毒散，二剂，表证悉退，更以托里消毒散溃
之而安。
一人 肿痛甚，发寒热，服十宣散愈炽，诊之脉数而实，此表里俱有邪也。以荆防败毒
散加芩、连、大黄，二剂少愈，更以荆防败毒散，四剂而消。
疼痛伴有恶寒发热或肢体拘急的，应当发散表邪。
不化脓或脓成后不能溃破的，都适宜使用托里法。
正在化脓且疼痛的，采用托里消毒法。
脓液已经形成并引起疼痛的，应立即用针穿刺排脓。
溃烂后伤口不愈合或流出清稀浆液的，应当进行峻补。
有一人患鬓疽，患处疼痛、肿胀、发热，用小柴胡汤加连翘、金银花、桔梗，服用四剂后痊愈。
有一人因发怒后鬓角处肿痛发热，用小柴胡汤加连翘、金银花、天花粉，服用四剂后，疮疡根部盘结消散，
只有疮头仍然疼痛。改用仙方活命饮，服用两剂后，疼痛停止，脓液成熟，针刺排脓，随后再用托里消毒药治愈。
一位老人患此病，肿痛发热，脓液清稀且口渴，脉象濡缓而涩，这是气血俱虚的表现，本应予以补益。但他见自己口渴发热，
便服用了降火的药物，果然导致呕吐、食欲减退，再次求治。医生给予六君子汤，服用四剂后呕吐停止、饮食增加，仍继续服用补益药，一个多月后痊愈。
有一人脓成且疼痛，出现呕吐、食欲减退，服用仙方活命饮，一剂后症状停止，随后用六君子汤加当归、桔梗、皂角刺，
促使溃破后痊愈。
有一人嗜好饮酒和油炸炙烤食物，年过五十，初夏时节，左侧丝竹空穴突出一个角状肿物，长短大小像鸡爪距一样且稍硬。
我说：这是少阳经经过的地方，该部位气多血少，不容易治疗，必须断绝肉类食物，先解除体内的食积毒热，并用针灸来开通宣泄壅滞的气血。他不听从，
自行服用大黄、朴硝、冰片等寒凉药物内服外敷。一夜之间，疮口豁然溃开如酱蚶（一种贝类），直径三寸，两天后，因血液飞溅高出数寸而死。这是因为寒凉药物从外部逼迫，导致气机郁结而发病，所以发作如此猛烈。
有一人肿痛，伴有恶寒发热和肢体拘急，脉象浮数，服用荆防败毒散，两剂后，表证全部消退，再用托里消毒散促使溃破排脓而安定。
有一人肿痛严重，伴有恶寒发热，服用十宣散后病情反而加剧，诊察其脉象数而有力，这是表里都有邪气。用荆防败毒散加黄芩、黄连、大黄，两剂后稍有好转，再用荆防败毒散，四剂后消散。
For pain accompanied by aversion to cold, fever, or muscle stiffness and spasms, disperse the pathogenic factors from the exterior.
For cases where pus does not form or where pus has formed but fails to ulcerate, employ the method of supporting the interior (strengthening the body's resistance).
For cases where pus is forming with pain, employ the method of supporting the interior and detoxifying.
When pus has fully formed and causes pain, puncture it promptly with a needle.
For ulcers that fail to heal or discharge clear serous fluid, employ vigorous tonification.
A patient suffered from temporal furuncle (furuncle on the temple), presenting with pain, swelling, and fever. He was treated with Xiaochaihu Tang (Minor Bupleurum Decoction) plus Chaiqiao (Forsythiae Fructus), Jinyinhua (Lonicerae Japonicae Flos), and Jiegeng (Platycodonis Radix). After four doses, he recovered.
Another patient developed pain, swelling, and fever at the temple after an episode of anger. He was treated with Xiaochaihu Tang (Minor Bupleurum Decoction) plus Chaiqiao (Forsythiae Fructus), Jinyinhua (Lonicerae Japonicae Flos), and Tianhuafen (Trichosanthis Radix). After four doses, the base of the lesion subsided, but pain remained at the head of the sore. He was then given Xianfang Huoming Yin (Immortal Life-Rescuing Decoction). After two doses, the pain ceased and the pus matured; it was punctured, and he subsequently recovered after taking formulas for supporting the interior and detoxifying.
An elderly man suffered from this condition, presenting with pain, swelling, fever, thin pus, thirst, and a soggy and choppy pulse. This indicated deficiency of both Qi and Blood, requiring tonification. However, seeing his thirst and fever, he took cooling-fire medications, which resulted in vomiting and poor appetite. Seeking further treatment, he was prescribed Liujunzi Tang (Six Gentlemen Decoction). After four doses, vomiting stopped and appetite improved. Continued use of tonifying herbs led to recovery after more than a month.
Another patient had mature pus with pain, accompanied by vomiting and poor appetite. One dose of Xianfang Huoming Yin (Immortal Life-Rescuing Decoction) stopped the symptoms. He then took Liujunzi Tang (Six Gentlemen Decoction) plus Danggui (Angelicae Sinensis Radix), Jiegeng (Platycodonis Radix), and Zaogao Ci (Gleditsiae Spina), leading to ulceration and subsequent recovery.
A person who indulged in alcohol and fried/roasted foods, aged over fifty, presented in early summer with a horn-shaped protrusion at the left Sizhukong (SJ23) acupoint, resembling a chicken spur in size and slightly hard. I stated: "This area is traversed by the Shaoyang (Lesser Yang) channel, characterized by abundant Qi and scarce Blood, making it difficult to treat. You must abstain from meat, first resolve the food toxicity, and use acupuncture and moxibustion to open and drain the stagnation." He did not listen and instead used cold-natured drugs such as Dahuang (Rhei Radix et Rhizoma), Puxiao (Natrii Sulfas), and Pian Nao (Borneolum Syntheticum). Overnight, the wound burst open like a sauce clam, three inches in diameter. Two days later, he died from profuse bleeding spraying several inches high. The cause was external cold forcing pathogenic factors inward, leading to Qi stagnation and eruption; thus, the violent onset was expected.
Another patient presented with severe pain and swelling, aversion to cold, fever, and muscle stiffness, with a floating and rapid pulse. He was treated with Jingfang Baidu San (Schizonepeta and Saposhnikovia Powder to Overcome Toxicity). After two doses, all exterior symptoms resolved. He was then given Tuoli Xiaodu San (Interior-Supporting and Toxin-Expelling Powder) to promote ulceration and drainage, resulting in stability.
Another patient had severe pain and swelling with aversion to cold and fever. After taking Shixuan San (Ten Acupoints Powder), the condition worsened. Pulse diagnosis revealed a rapid and forceful pulse, indicating pathogenic factors in both the exterior and interior. He was treated with Jingfang Baidu San (Schizonepeta and Saposhnikovia Powder to Overcome Toxicity) plus Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), and Dahuang (Rhei Radix et Rhizoma). After two doses, slight improvement occurred. Subsequent administration of Jingfang Baidu San (Schizonepeta and Saposhnikovia Powder to Overcome Toxicity) for four doses led to resolution.