妇人被儿鼻风吹入乳孔，以致闭结，内生一块，红肿作痛，大谓痈，小谓疖。又，未产
谓内
吹，已产谓外吹。以紫河车草、浙贝各三钱，为末，黄糖拌陈酒服，醉盖取汁。或用白芷散
五钱，酒送，一服全消。如溃，以醒消丸酒送一服，以止其痛，外贴洞天膏自愈。倘内吹，
忌服醒消。如患色白者，应以流注法治。倘溃烂不堪，以洞天救苦丹服，七日后接以大枣丸
，服至收功。
马曰∶乳痈系肝胃气火郁结，与乳汁壅滞而生。其红肿者，用草河车、浙贝，尚属合宜
。至
色白者，以流注治法治之则大谬矣。盖流注由痰滞所致，与乳痈全然各别，不得以治流注之
治移治乳痈也。
患生腿肚，此乃肉紧筋横，在一身用力之处，最痛难忍。外以扎药扎上，内以五通、醒
消二
丸，每日早晚轮服，初起立消。以药咬穿，庶不伤筋，而无缩脚之损。色白者应以疽治，扎
药忌用，孕妇亦然。
马曰∶此乃湿热及瘀血凝结而成。即色白者，亦不可以治疽之法治之。
色白者，因出痘服多凉药，血寒气滞，乘虚发毒，往往医家误为痘后火毒未尽治之，致
流走
患生不一，久则生管成漏，漏久内生多骨，害人不少。凡遇此症，应以流注法治，以小金丹
消之。有贫家痘后，不服清火之剂，结成痘毒，其色红亮者，当以痈法治之。
马曰∶痘乃先天火毒，浆不足者，痘后必发毒。每生于关节移动之处，最为险恶，溃亦
难敛
，必生多骨。即骨出收口，筋节俱强，不能自如。初起均宜消散为是。皮白者，当和血化毒
，用川芎、当归、二陈、僵蚕、忍冬藤、贝母等治之，外用生黄豆嚼烂涂之，可消。
妇人若被婴儿的鼻息风吹入乳孔，导致乳窍闭塞郁结，体内生成肿块，表现为红肿疼痛，大的称为痈，小的称为疖。另外，未分娩时发生的称为“内吹”，已分娩后发生的称为“外吹”。治疗可用紫河车草、浙贝母各三钱，研为细末，用黄糖拌陈酒送服，服药后醉卧盖被以取汗出。或者使用白芷散五钱，用酒送服，一剂即可全消。如果已经溃破，用醒消丸酒送一服，以止痛，外用洞天膏贴敷可自愈。如果是“内吹”证，忌服醒消丸。如果患处颜色发白的，应当用治疗流注的方法处理。如果溃烂严重不堪，服用洞天救苦丹，七日后接着服用大枣丸，直到痊愈收功。
马曰：乳痈是由于肝胃之气火郁结，加上乳汁壅滞而形成的。对于红肿的乳痈，使用草河车、浙贝母，尚属适宜。至于颜色发白的，如果用治疗流注的方法来治那就大错特错了。因为流注是由痰湿阻滞所致，与乳痈完全不同，不能把治疗流注的方法移用来治疗乳痈。
患者腿部肚腩（小腿肚）生疮，这是因为肌肉紧绷、筋脉横逆，位于全身用力之处，疼痛最难忍受。外用扎药包扎，内服五通丸、醒消丸两种药丸，早晚轮流服用，初起时可立即消除。让药物咬穿病灶，这样才不会损伤筋脉，避免造成脚部收缩弯曲的残疾。如果颜色发白的，应当按疽来治疗，禁用扎药，孕妇也是如此。
马曰：这是湿热及瘀血凝结而成的。即使是颜色发白的，也不可以用治疗疽的方法来治。
颜色发白的，是因为出痘时服用了过多寒凉药物，导致血寒气滞，乘虚毒邪发作，往往医生误认为是痘后火毒未尽而进行治疗，导致毒邪流走，患生于不同部位，日久则形成窦道成漏，漏症日久体内生出多块死骨，害人不少。凡遇到这种病症，应当用治疗流注的方法，用小金丹消散它。有贫困家庭在出痘后，不服用清火药剂，结成痘毒，其颜色红亮的，应当用治疗痈的方法来处理。
马曰：痘毒是先天火毒，浆液不足的，痘后必然发毒。每发生于关节活动之处，最为险恶，即使溃破也难以收敛，必定生出多块死骨。即使骨头排出伤口愈合，筋节也会僵硬，不能自如活动。初起都宜采用消散的方法。皮肤色白的，应当调和血液化解毒邪，使用川芎、当归、二陈汤、僵蚕、忍冬藤、贝母等药物治疗，外用生黄豆嚼烂涂敷，可以消除。
If a woman is exposed to the breath of an infant blowing into her nipple pore, causing blockage and stagnation, a lump will form internally, presenting with redness, swelling, and pain. Large lesions are termed *Yong* (Carbuncle), while small ones are termed *Jie* (Boil). Furthermore, if it occurs before childbirth, it is called "Internal Blowing" (*Nei Chui*); if after childbirth, it is called "External Blowing" (*Wai Chui*). Treatment involves using three qian each of Ziheche Cao (Placenta Herb) and Zhe Bei Mu (Fritillaria Bulb), ground into powder, mixed with brown sugar and aged wine for oral administration, followed by covering up to induce sweating. Alternatively, five qian of Baizhi San (Angelica Dahurica Powder) can be taken with wine, resulting in complete resolution after one dose. If ulcerated, administer Xingxiao Wan (Revive and Eliminate Pill) with wine to stop pain, and apply Dongtian Gao (Cave Heaven Plaster) externally for self-healing. For "Internal Blowing," Xingxiao Wan is contraindicated. If the lesion appears white, it should be treated according to the method for *Liuzhu* (Flowing Abscess). If the ulceration is severe, administer Dongtian Jiuku Dan (Cave Heaven Saving Bitter Pill); after seven days, follow with Dazao Wan (Jujube Pill) until recovery.
Ma stated: Breast abscess (*Ruyong*) arises from the stagnation of liver and stomach qi and fire, combined with milk stasis. For red and swollen cases, the use of Caoheche (Sargentodoxa Rhizome) and Zhe Bei Mu is appropriate. However, treating white-colored lesions as *Liuzhu* is a major error. *Liuzhu* is caused by phlegm obstruction and is entirely distinct from breast abscess; therefore, the treatment for *Liuzhu* cannot be applied to breast abscess.
Lesions on the calf arise due to tight muscles and transverse tendons at areas of significant physical exertion, causing unbearable pain. Externally, apply binding medicine; internally, alternate between Wutong Wan (Five Deities Pill) and Xingxiao Wan morning and evening, which can resolve early-stage lesions immediately. Allowing the medicine to penetrate the lesion prevents tendon damage and avoids deformity such as foot retraction. White-colored lesions should be treated as *Ju* (Deep Abscess); binding medicine is contraindicated, including for pregnant women.
Ma stated: This condition results from the coagulation of damp-heat and blood stasis. Even white-colored lesions should not be treated with methods used for *Ju*.
White-colored lesions occur because excessive cooling medicines were taken during smallpox, leading to cold blood and qi stagnation, allowing toxic pathogens to attack deficiency. Physicians often mistakenly treat this as residual fire-toxin after smallpox, causing the toxin to wander and manifest in various locations. Over time, sinuses and fistulas form, and long-standing fistulas may generate multiple sequestra (dead bone fragments), harming many patients. Whenever encountering this syndrome, it should be treated as *Liuzhu* using Xiaojin Dan (Little Gold Pill) to dissipate it. In poor families where smallpox toxins formed without the use of heat-clearing agents, if the color is bright red, it should be treated as a *Yong* (Carbuncle).
Ma stated: Smallpox toxin is congenital fire-toxin. If the pustules lack sufficient fluid, toxicity will erupt after smallpox. It typically occurs at mobile joints, posing a grave danger. Even if ulcerated, healing is difficult, and multiple sequestra will likely form. Even after bone expulsion and wound closure, joints remain stiff and movement is impaired. Early stages should always be managed with dissipation methods. For pale skin lesions, harmonize blood and resolve toxin using Chuanxiong (Ligusticum Rhizome), Danggui (Angelica Sinensis), Erchen Tang (Two Aged Substances Decoction), Jiangcan (Bombyx Batryticatus), Rendongteng (Honeysuckle Stem), and Beimu (Fritillaria Bulb). Externally, chew raw soybeans until paste-like and apply; this can resolve the lesion.