灸掌后横纹后五指，男左女右，七壮即瘥。已用得效。疔肿灸法虽多，然此一法甚验，
（脉七首 论一首 方八十七首
脉数身无热即有内痈。
诸浮数脉，当发热，而反洗洗恶寒，若有痛处，当结为痈。
脉浮而数，身体无热，其形默默，胃中微燥，不知痛处，其人当发痈肿。
脉微而迟必发热，脉弱而数，此为振寒，当发痈肿。
凡脉滑而数，滑则为实，数则为热。滑即为营，数即为卫。营卫相逢，即结为痈。热之
所过，即为痈脓。身有痛处，时时苦有疮。
问曰∶寸口脉微而涩，法当亡血若汗出。设不汗，当云何？答曰∶若身有疮，被刀器所
伤，亡血之故也。
趺阳脉滑而数，法当下重少阴。脉滑而数，妇人阴中生疮。
论曰∶夫痈疽初发至微，人皆不以为急，此实奇患，惟宜速治。稍迟缓即病成。以此致
祸者不一。但发背，外皮薄为痈。外皮浓者，为疽，宜急治之。
凡痈疽始发，或似小疖，或复大痛，或复小痛，或发如米粒大白脓子，此皆微候，宜善
察之，见有小异，即须大惊忙，急为攻治及断口味，速服诸汤，下去热毒。若无医药处，即
灸当头百壮。其大重者，灸四面及中央二三百壮，数灸不必多也。复敷以冷药种种救疗，必
速瘥也。
凡用药贴，法皆当疮头处开孔，令泻热气。亦当头以火针针入四分即瘥。
凡痈疽、瘤、石痈、结筋、瘰 ，皆不可就针角。针角者，少用不致祸也。
凡痈，无问大小，已觉即取胶如手掌大，暖水浸令软，看大小当头上开一孔如钱眼大，
贴肿上令相当，须臾干急。若未有脓者，即定不长。已作脓者，当自出。若以锋针当孔上刺
出脓，大好，至瘥乃洗去胶。
凡肿，根广一寸以下名疖，一寸以上名小痈，如豆粒大者名 子，皆始作。急服五香连
翘汤下之，数剂取瘥乃止。
凡痈，高而光大者不大热，其肉正平无尖而紫者，不须攻之。但以竹叶黄 汤申其气耳
。肉正平为无脓也，痈卒痛，以八味黄 散敷之。大痈七日，小痈五日。其自有坚强者，宁
生破，发乳。若热手不可近者，先内服王不留行散，外摩发背膏。若背生破无苦，在乳宜令
极熟候手按之，随手即起者，疮熟也，宜针之，针法要得着脓，以意消息，胸背不过一寸。
斟量不得脓，即与食肉膏散着锐头，纳痈口中，如体气热歇，即服木占斯散。五日后痈欲着
痂者，即服排脓风塞散。
凡痈，破之后便绵 欲死，内寒外热（缺文），肿有似痈而非者，当以手按肿上无所连，
乃是风毒耳，勿针之。但服升麻汤，外摩膏。破痈口当令上留三分，近下一分针之。务令极
热，热便不痛。破后败坏不瘥者，作猪蹄汤洗之，日二度。夏用二日，冬用六七日。用汤半
剂亦可。凡痈坏后有恶肉者，宜猪蹄汤洗去秽，次敷食肉膏散，恶肉净后，敷生肉膏散，及
摩四边，令好肉速生。当断绝房室，忌风冷，勿自劳烦，俟筋脉平复，乃可任意耳。缘新肉
易伤，伤则里溃，溃则重发，发则难救，慎之慎之，白痂最忌。
凡诸暴肿，一一不同，无有近远，皆服五香连翘汤。刺去血，以小豆末敷之。其间数数
以针刺去血。若失疗已溃烂者，犹服五香汤及漏芦汤下之。随热多少根据方用之，外以升麻汤
拓洗熨之，摩升麻膏。（二方俱见后丹毒篇）。若生息肉者，以白 茹散敷之，青黑肉去净
即停止，好肉生敷升麻膏。如肌不生敷一物黄 散。若敷白 茹，青黑恶肉不尽者，可用
漆头 茹散半钱和白 茹散三钱，稍稍敷之。其散各取当色单捣下筛，成散用之。此
数法（《集验》用治缓疽）。
或身中忽有痛处，如遭打扑之状，各曰气痛。痛不可忍，游走不住，发作有时，痛则小
热，痛定则寒，此皆由冬时受温气，至春暴寒，风来折之，不成温病，乃作气痛。宜先服五
香连翘汤，摩丹参膏。又以白酒煎杨柳皮及暖熨之。有赤气点点者，即刺出血也。其五香连
翘汤及小竹沥汤可服数剂。勿以一剂未瘥便止，以谓药无效，即祸至矣。中间将白薇散佳。
又有气肿痛，其状如痈肿，无头虚肿色不变，但皮急痛，不得手近，亦须服此五香汤，次白
针泻之，次与蒺藜散敷之。
胸中痛短气者，当入暗室中，以手中指捺左眼，视若见光者，胸中有结痈。若不见光者，
是
经云∶气宿于经络中，血气俱涩不行，壅结为痈疽也。又言∶热之所作，其后为痈，又
阳气溱集，寒化为热，热盛则肉腐为脓也。由人体有热，被寒冷搏之而脉凝结不行，热气壅
结成痈疽。方有灸法，亦有温治法。以其中冷未成热之时，其用冷药贴敷之。治热已成，以
消热令不成脓也。赤色肿有尖头者，藜芦膏敷之。一云醋和蚌蛤灰涂，干则易之。
余平生数病痈疽，得效者即记之。考其病源，多是药气所作，或有上世服石，遂令子孙
多有此疾。食中尤不宜食面，及酒蒜，及慎温床浓被。能慎之者，可得终身无他，此皆躬自
验之，故特论之也。
灸手掌后方横纹后五寸处，男性取左手，女性取右手，施灸七壮即可痊愈。此法已经使用并证实有效。治疗疔肿的灸法虽然很多，但这一方法非常灵验。
（脉象七条 论述一篇 方剂八十七首）
脉象数而身体不发热，说明体内有痈脓。
凡是浮数脉，应当发热，反而出现恶寒症状，如果身体某处疼痛，就会凝结成痈。
脉象浮而数，身体不发热，神情沉默，胃中微燥，不知道具体疼痛部位，此人将会发生痈肿。
脉象微而迟必然发热，脉弱而数，这是战栗恶寒，将要发生痈肿。
凡是脉滑而数，滑脉代表实证，数脉代表热证。滑脉对应营气，数脉对应卫气。营卫之气相遇，就会凝结成痈。热邪所经过的地方，就会化生为痈脓。身体有疼痛之处，时常痛苦地出现疮疡。
问：寸口脉微而涩，按常理应当是失血或汗出过多。如果不汗出，会怎样？答：如果身上有疮疡，被刀器等外伤导致失血所致。
趺阳脉滑而数，按常理应当是下利重滞或少阴病。脉滑而数，妇女阴部生疮。
论述说：痈疽初发时极其微小，人们都不以为急迫，这其实是奇异的祸患，只宜迅速治疗。稍微迟缓病情就会形成。因此招致灾祸的情况不少。仅就发背而言，外皮薄的是痈，外皮厚的是疽，应当紧急治疗。
凡是痈疽刚开始发作，有的像小疖子，有的剧烈疼痛，有的轻微疼痛，有的像米粒大的白脓包，这些都是微小的征兆，应当仔细察辨，见到稍有异常，就要大惊警惕，急忙攻治并忌口，速服各种汤药，以清除热毒。如果没有医药的地方，就在患处正中施灸一百壮。病情严重的，在四周及中央施灸二三百壮，多次施灸不必太多。再敷用各种冷性药物进行救治，必定能迅速痊愈。
凡是用药贴敷，都应当在疮头处开孔，以便排出热气。也应当在患处用火针针刺入四分深即可痊愈。
凡是痈疽、瘤、石痈、结筋、瘰疬，都不可以直接用针角刺破。用针角刺破，用量少不会招致祸患。
凡是痈，无论大小，刚发觉时就取如手掌大小的胶，用温水浸软，根据大小在中间开一个如铜钱眼大的孔，贴在肿胀上使其相当，片刻后变干收紧。如果还没有化脓，就能确定不再生长。已经化脓的，脓液自然会流出。如果用锋针在孔上刺破排脓，非常好，直到痊愈才洗去胶。
凡是肿胀，根部宽一寸以下的叫疖，一寸以上的叫小痈，如豆粒大的叫痱子，都是刚开始发作。急忙服用五香连翘汤泻下，多剂服用直至痊愈为止。
凡是痈，高而光大者不太热，其肌肉平整无尖头且呈紫色者，不需要攻治。只需服用竹叶黄芪汤宣通气机。肌肉平整说明没有脓。痈突然疼痛，用八味黄芪散外敷。大痈七天，小痈五天。如果有自行坚硬破溃的，宁可让它破溃，如果是乳房痈。如果手摸上去热得不能靠近，先内服王不留行散，外涂发背膏。如果背部生疮已破溃且无痛苦，若是乳房疮则应等待完全成熟，用手按压随手即起者为疮熟，应当针刺，针刺要点在于接触到脓液，凭意度掌握深浅，胸背不超过一寸。如果斟酌后判断没有脓，就给食肉膏散涂抹在锐头，插入痈口中，如果体气热势减退，就服用木占斯散。五日后痈欲结痂时，就服用排脓风塞散。
凡是痈，破溃后便绵软无力想死，内寒外热（缺文），肿胀类似痈但不是痈的，用手按压肿胀处感觉无所牵连，这是风毒，不要针刺。只服用升麻汤，外涂膏药。破溃的痈口应当让上方留三分，下方近一分处针刺。务必使其极热，热了就不痛。破溃后败坏不愈的，用猪蹄汤清洗，每天两次。夏天用两天，冬天用六七天。用半剂汤也可以。凡是痈坏后有腐肉者，宜用猪蹄汤洗去污秽，接着敷食肉膏散，腐肉净后，敷生肉膏散，并按摩四周，使好肉快速生长。应当断绝房事，忌风冷，不要自我劳烦，等到筋脉平复，才可以随意活动。因为新肉容易受伤，受伤则内部溃烂，溃烂则再次发作，发作则难以救治，谨慎谨慎，白色痂皮最忌讳。
凡是各种暴发性肿胀，情况各不相同，无论远近，都服用五香连翘汤。刺去瘀血，用小豆末外敷。期间多次用针刺去瘀血。如果延误治疗已经溃烂的，仍然服用五香汤及漏芦汤泻下。根据热毒多少依方使用，外用升麻汤拓洗熨之，按摩升麻膏。（这两个方子都在后面的丹毒篇中）。如果生息肉的，用白蔹茹散外敷，青黑色腐肉去净就停止，好肉生长敷升麻膏。如果肌肉不生，敷一味黄芪散。如果敷白蔹茹，青黑腐肉不尽的，可用漆头白蔹散半钱和白蔹散三钱，慢慢外敷。这些散剂各取相应颜色单独捣碎过筛，制成散剂使用。这几法（《集验》用于治疗缓疽）。
或者身体中忽然有疼痛处，像遭受打击扑打的样子，大家都说是气痛。疼痛不可忍受，游走不停，发作有时，痛时微热，痛定则寒，这都是因为冬天感受温气，到春天遭遇暴寒，风吹折之，不成温病，而是成为气痛。应当先服用五香连翘汤，按摩丹参膏。又用白酒煎煮杨柳皮及暖熨之。有赤色点点的，就刺出血。那五香连翘汤及小竹沥汤可以服用几剂。不要因为一剂未愈就停止，认为药无效，灾祸就到了。中间将白薇散较好。
又有气肿痛，其状像痈肿，无头虚肿颜色不变，只是皮肤紧绷疼痛，手不能靠近，也必须服用这个五香汤，其次用白针泻之，其次给蒺藜散外敷。
胸中痛短气的，应当进入暗室中，用手中指按压左眼，如果看见光，说明胸中有结痈。如果看不见光，是……
经文说：气停留于经络中，气血都涩滞不行，壅结成为痈疽。又说：热邪所作，其后成为痈，又阳气聚集，寒化为热，热盛则肉腐为脓。由于人体有热，被寒冷搏击而脉凝结不行，热气壅结成为痈疽。方中有灸法，也有温治法。以其中冷未成热之时，用冷药贴敷之。治热已成，以消热令不成脓。赤色肿有尖头的，用藜芦膏外敷。一说醋和蚌蛤灰涂，干了就换。
我平生多次患痈疽，有效的就记录下来。考察其病源，多是药气所作，或有上古服用石药，遂使子孙多有此疾。饮食中尤其不宜吃面食，以及酒蒜，以及慎温床浓被。能谨慎的人，可得终身无他，这都是亲自验证的，所以特别论述它。
Moxibustion at five cun posterior to the transverse crease of the palm, left hand for males and right hand for females; seven moxa cones (Zhuang) will result in recovery. This method has been used with efficacy. Although there are many moxibustion methods for treating Ding swelling (Furuncle/Carbuncle), this one is very effective.
(Seven Pulse Chapters, One Treatise, Eighty-Seven Formulas)
A rapid pulse without body heat indicates internal carbuncle (Nei Yong).
Floating and rapid pulses usually indicate fever; if instead there is shivering aversion to cold and a painful area, it will coagulate into a carbuncle.
A floating and rapid pulse with no body heat, silent demeanor, slight dryness in the stomach, and unknown pain location indicates that the person will develop a carbuncle or swelling.
A faint and slow pulse must be accompanied by fever; a weak and rapid pulse indicates chills and impending carbuncle or swelling.
Whenever the pulse is slippery and rapid: slippery indicates excess, rapid indicates heat. Slippery corresponds to Ying (Nutritive Qi), rapid corresponds to Wei (Defensive Qi). When Ying and Wei meet, they coagulate into a carbuncle. Wherever heat passes, it becomes pus from a carbuncle. There is pain in the body, suffering from sores from time to time.
Question: A Cun Kou (Radial Artery) pulse that is faint and slippery typically indicates blood loss or sweating. If there is no sweating, what happens? Answer: If there are sores on the body caused by knife or instrument injuries, it is due to blood loss.
A Fu Yang (Dorsalis Pedis Artery) pulse that is slippery and rapid typically indicates tenesmus or Shaoyin disease. A slippery and rapid pulse in women indicates sores in the vagina.
Treatise says: Carbuncles and Jiu (Deep-seated abscesses) start extremely small, and people do not consider them urgent, but this is actually a strange disaster, requiring swift treatment. Slight delay leads to disease formation. Many disasters arise from this. Regarding Back Carbuncles specifically: thin skin indicates Yong (Superficial Abscess); thick skin indicates Ju (Deep Abscess); urgent treatment is required.
When a carbuncle or abscess first appears, it may resemble a small boil, cause severe pain, mild pain, or appear like a rice-grain-sized white pustule. These are minor signs that require careful observation. Upon seeing any slight abnormality, one must be alarmed, immediately attack the condition, restrict diet, and quickly take various decoctions to drain heat toxins. If medicine is unavailable, moxa-burn the center of the lesion one hundred times. For severe cases, moxa-burn the four sides and center two to three hundred times; frequent moxibustion need not be excessive. Apply various cooling medicines for rescue; recovery will surely be swift.
When applying medicinal plasters, a hole should be made at the head of the sore to allow heat qi to escape. Alternatively, use a fire needle to puncture the center four fen deep for recovery.
For carbuncles, abscesses, tumors, stone carbuncles, knotted sinews, and scrofula, direct puncture with needles or horn-tips is contraindicated. Puncturing with horns causes harm only if used excessively.
For any carbuncle, regardless of size, upon detection, take gum resin the size of a palm, soften it in warm water, make a hole the size of a coin eye in the center, and apply it to the swelling so it fits perfectly. It will dry and tighten shortly. If no pus has formed, growth will stop. If pus has formed, it will discharge naturally. If a sharp needle is used to pierce the pus through the hole, it is excellent; remove the gum only after full recovery.
Any swelling with a root less than one cun wide is called a Jie (Boil); over one cun is a Xiao Yong (Small Carbuncle); bean-sized is a Feizi (Pustule). All are in early stages. Immediately administer Wuxiang Lianqiao Tang (Five-Spice Forsythia Decoction) to purge; continue until recovered.
For carbuncles that are high, large, and not very hot, or those with flat flesh, no point, and purple color, attack therapy is unnecessary. Simply use Zhuye Huangqi Tang (Leafy Honeysuckle and Astragalus Decoction) to circulate qi. Flat flesh indicates no pus. For sudden carbuncle pain, apply Bawei Huangqi San (Eight-Ingredient Astragalus Powder). Large carbuncles last seven days, small ones five days. If hard ones break spontaneously, let them break. For breast carbuncles, if too hot to touch, first ingest Wangbuliuxing San (Vaccaria Seed Powder), then rub Fa Bei Gao (Back Carbuncle Ointment). For broken back sores without pain, or breast sores, wait until fully mature (rising instantly upon pressure indicates maturity), then needle. Needling must reach the pus; gauge depth carefully, not exceeding one cun for chest and back. If no pus is found, apply Shirou Gao San (Flesh-Eating Ointment Powder) to the sharp tip and insert into the carbuncle mouth. If body heat subsides, take Muzhansi San (Cassia Seed Powder). After five days, when the carbuncle begins to scab, take Painong Fengsai San (Drain-Pus Wind-Seal Powder).
After a carbuncle breaks, if the patient feels limp and dying, with internal cold and external heat (text missing), and swelling resembles a carbuncle but is not one, pressing the swelling reveals no connection; this is Wind-Toxin, do not needle. Take Shengma Tang (Cimicifuga Decoction) and apply ointment externally. For broken carbuncle openings, leave the upper third un-punctured and needle the lower one-third. Ensure extreme heat to relieve pain. For broken, ruined sores not healing, wash with Zhu Ti Tang (Pig Trotter Decoction) twice daily. Two days in summer, six to seven days in winter. Half a dose of soup suffices. For bad flesh remaining after carbuncle breakdown, wash with Zhu Ti Tang to remove filth, then apply Shirou Gao San. Once bad flesh is clean, apply Shengrou Gao San (Flesh-Regenerating Ointment Powder) and massage the edges to promote rapid healthy tissue growth. Abstain from sexual activity, avoid wind and cold, do not overexert. Wait for meridians and sinews to recover before resuming normal activities. New flesh is easily injured; injury leads to internal collapse, recurrence, and difficult rescue. Be cautious. White scabs are most taboo.
For all sudden swellings, varying in nature, regardless of distance, take Wuxiang Lianqiao Tang. Prick to release blood, apply Vigna Angularis (Adzuki Bean) powder. Frequently prick with needles to release blood during this period. If treatment was delayed and ulceration occurred, still take Wuxiang Tang and Loulu Tang to purge. Use according to the degree of heat. Externally, wash and compress with Shengma Tang, massage with Shengma Gao. (Both formulas see Dan Du chapter later). If polyps grow, apply Bai Luan Ru San (Bai Luan Root Powder). Stop when black/green flesh is gone; apply Shengma Gao for healthy flesh. If muscle does not grow, apply Yi Wu Huangqi San (Single-Ingredient Astragalus Powder). If using Bai Luan Ru and black/green bad flesh remains, mix half a qian of Qitou Bai Luan San (Lac-head Bai Luan Powder) with three qian of Bai Luan San, and apply gradually. Each powder should be ground separately according to its color, sifted, and used as prepared. These methods (Ji Yan uses them for slow Jiu).
If sudden pain occurs in the body, feeling like being beaten, everyone calls it Qi Pain. Unbearable pain, wandering without rest, occurring at specific times, slightly hot during pain, cold after pain stops. This is caused by contracting Warm Qi in winter, followed by violent Cold in spring, where wind attacks, failing to become Warm Disease, but becoming Qi Pain. First take Wuxiang Lianqiao Tang, massage Danshen Gao (Salvia Miltiorrhiza Ointment). Also decoct Liuyang Pi (Willow Bark) in white wine and apply warm compresses. If red spots appear, prick to bleed. Wuxiang Lianqiao Tang and Xiaozhuli Tang (Small Bamboo Sap Decoction) can be taken for several doses. Do not stop because one dose failed, thinking the medicine is ineffective, or disaster will follow. Using Baiwei San (Cynanchum Atratum Powder) in between is good.
There is also Qi Swelling and Pain, resembling a carbuncle, with no head, hollow swelling, unchanged color, tight skin pain, untouchable. Must also take this Wuxiang Tang, then needle with white needles to drain, then apply Jili San (Tribulus Terrestris Powder).
For chest pain and shortness of breath, enter a dark room, press the left eye with the middle finger. If light is seen, there is a knotting carbuncle in the chest. If no light is seen...
The Classic states: Qi lodges in the meridians, Qi and Blood become stagnant and do not flow, obstructing and knotting into carbuncles and abscesses. It also says: Heat acts, subsequently becoming carbuncles; Yang Qi gathers, Cold transforms into Heat, Heat excess rots flesh into pus. Because the body has Heat, struck by Cold, causing pulse coagulation and stagnation, Heat Qi obstructs and knots into carbuncles and abscesses. Formulas include moxibustion and warming treatments. When internal cold has not yet turned to heat, apply cooling medicines. When heat has formed, clear heat to prevent pus formation. For red swelling with a pointed head, apply Licorice Ointment (Lilu Gao). Another method: mix vinegar with Clam Ash, apply, change when dry.
I have suffered from carbuncles and abscesses multiple times in my life, recording those that were effective. Investigating their source, they are mostly caused by medicinal fumes, or taking Stone Medicines in past generations, leading descendants to often suffer this disease. In diet, one should especially avoid noodles, alcohol, garlic, and warm beds/thick quilts. Those who are cautious can remain free of other ailments throughout life. These are personally verified, hence specially discussed.