凡指甲边，生一赤肉突出，时常发者，甲疽也。用四妙膏以封患口，日易三度，毒消口
敛。
疽生心口，又名慢心锐毒。初起心口内有块，渐大发高，毒陷即死。此医皆缩手之症，
诸书
亦无治法，惟余家秘集载，以本人两手十指，以线量其长短，共积于线，在喉管正中处，双
环至背脊之中，看两线头尽处为中穴。又以本人中指之中一节，用柴心量准若干，于中穴之
左右两旁，各远若干，各以墨记，分立三穴，如HT 。每穴用艾三大壮，一齐火灸，灸毕痊愈
马曰∶井疽乃心火妄动，而生慢心毒，即胃脘痈。方书俱有治法。
又曰∶井泉初起，亦非死症，不过易于成漏，后难收口耳。
患生项间，初起一小块，不觉疼痒，在皮里膜外，渐大如桃核，旁增不一，皮色不异。
以子
龙丸每服三分，淡姜汤送服，每日三次，至消乃止。倘小孩不善服丸，每取小金丹一丸，陈
酒冲服，盖暖取汗，服至消而止。数年内忌食香橙，食则复患。
凡瘰 ，有溃烂，间有成脓未溃者，亦有未成脓者，须服犀黄丸，止其已溃之痛，松其
成脓
未溃之胀，消其未成脓之核。已成脓者，用咬头膏穿之。日服温补祛痰，通腠活血壮气之剂
，外贴阳和解凝膏而愈。
凡瘰 ，烂延肩胸胁下，极不堪者，用荆芥根煎汤洗患处，以雄脑散麻油调搽，内服洞
天救
苦丹三服，犀黄丸六服。服完九日后，皮色变白，孔内红活，接服大枣丸。肌肉渐长，用生
肌散日敷收功。
凡瘰 ，烂至咽喉，如饮热汤，外觉热痛者，乃危险至极，迟则烂穿咽喉不救。急取柴
心一
根，量本人中指，量其三节，共若干长短，男左女右，再就其手下腕骨正中骨顶之处，即以
所量中指之柴心定准，一直量上尽头，乃肘 穴也。以墨记定，取艾团连灸三壮，膏掩，可
保咽喉不穿，凡瘰 ，大忌开刀。
收功之法，前已列明，敷药有诀陈下。未成脓者，灸则可消，烂溃者可敛，赤贫人用之
有诀
∶瘰 烂溃不堪言，烂至胸腰连耳肩，荆芥根煎温复洗，疮中紫块莫针穿，犀黄大枣丸神效
，日服日洗日敷痊，樟脑腰黄等细粉，麻油调扫肉新鲜。
马曰∶瘰 皆不足之症，有阴虚肝火凝结者，有脾虚痰气凝结者，有风痰风湿相结者，
子龙
凡是指甲边缘，长出一块红色的肉并突出于皮肤表面，时常发作的，称为甲疽。使用四妙膏覆盖封贴患处伤口，每天更换三次，待毒气消除、伤口愈合即可。
疽疮生在胸口正中位置，又叫做慢心锐毒。初起时胸口内部有肿块，逐渐增大且隆起，如果毒邪内陷就会导致死亡。这类病症医生往往不敢轻易施治，各种医书中也没有记载治疗方法，只有我家秘传的集子里记载了方法：取病人双手十个手指，用线量出其长短，将十根线的长度累加起来，在喉管正中间处，双环绕至背部脊柱正中，看两根线头尽头的位置定为中穴。再用病人中指中间的一节，用柴木心量出具体长度，在中穴的左右两旁，各向外延伸相应的距离，分别用墨汁做记号，确立三个穴位，如同手厥阴心包经（HT）的分布。每个穴位用艾绒灸三壮，同时点火施灸，灸完后痊愈。
马曰：井疽是由于心火妄动，而生出的慢心毒，也就是胃脘痈。方书里都有治疗方法。
又说：井泉疽初起时，也不是死症，只是容易形成瘘管，后期难以收口罢了。
患处在颈部两侧，初起时有一小块，不觉得疼痛或瘙痒，位于皮下筋膜之间，逐渐长大像桃核一样，旁边增生不止，但皮肤颜色没有变化。每次服用子龙丸三分，用淡姜汤送服，每天三次，直到肿块消散为止。如果是小孩不善于服用丸药，每次取小金丹一丸，用陈年酒冲服，盖好被子发汗，服到肿块消散为止。几年内忌食香橙，吃了就会复发。
凡是瘰疬，有的已经溃烂，有的成脓但未溃破，也有尚未成脓的，都需要服用犀黄丸，以停止已溃烂处的疼痛，缓解成脓未溃处的胀满，消除未成脓处的硬结。已经成脓的，用咬头膏刺破排脓。每天服用温补祛痰、疏通腠理活血强气的药剂，外部贴敷阳和解凝膏即可痊愈。
凡是瘰疬，溃烂蔓延至肩部和胸胁下方，极其严重的，用荆芥根煎汤清洗患处，用雄脑散调麻油涂抹搽擦，内服洞天救苦丹三服，犀黄丸六服。服完九日后，皮肤颜色变白，孔内呈现红活血色，接着服用大枣丸。肌肉逐渐生长，用生肌散每日敷贴以收功。
凡是瘰疬，溃烂延伸至咽喉，感觉像喝热汤一样，外部感到灼热疼痛的，这是极度危险的，拖延下去会烂穿咽喉无法救治。急忙取一根柴木心，量取病人中指，量其第三节，共有多长，男性取左手，女性取右手，再在其手下腕骨正中的骨顶处，用刚才量中指的那根柴木心定准，一直量到尽头，那就是肘部穴位。用墨汁标记确定，取艾团连续灸三壮，用膏药覆盖，可以保全咽喉不被烂穿。凡是瘰疬，绝对禁止开刀。
收功的方法前面已经列明，敷药的秘诀陈述如下：瘰疬溃烂不堪言状，烂至胸腰连接耳肩，用荆芥根煎汤温热反复清洗，疮中的紫黑色肿块不要针刺穿透，犀黄丸和大枣丸神效，每天服用、清洗、敷贴即可痊愈，樟脑、腰黄等细粉，用麻油调和扫涂使肉质新鲜。
Whenever red flesh protrudes from the edge of a fingernail and recurs frequently, it is termed *Jia Ju* (Nail Fungus/Onychia). Apply *Simiao Gao* (Four Marvels Ointment) to seal the wound, changing it three times daily until the toxin dissipates and the wound closes.
When a *Ju* (carbuncle/sore) arises in the center of the chest, it is also called *Man Xin Rui Du* (Slow Heart Sharp Toxin). Initially, there is a lump inside the chest that gradually enlarges and rises; if the toxin sinks inward, death ensues. Physicians often shrink back from treating this condition, and medical texts generally lack treatment methods. Only my family's secret collection records a method: measure the length of all ten fingers of the patient with a thread, accumulate these lengths, and place them at the midpoint of the trachea, looping around to the center of the spine. The ends of the threads mark the central acupoint. Then, using the middle segment of the patient's middle finger as a measure made from a twig core, determine the distance to the left and right of the central point, marking them with ink to establish three acupoints, analogous to the distribution of the Pericardium Meridian of Hand-Jueyin (HT). For each acupoint, moxa is burned for three moxibustion units (*Zhuang*) simultaneously. After moxibustion, recovery occurs.
Ma states: *Jing Ju* (Well Carbuncle) arises from reckless movement of Heart Fire, generating slow heart toxin, which is essentially an abscess of the stomach region (epigastric carbuncle). Medical formularies contain treatment methods for this.
It is also said: *Jing Quan* (Well Spring) in its initial stage is not necessarily fatal, but it tends to form fistulas and is difficult to close in the later stages.
A lesion appears between the neck sides, initially as a small lump without pain or itching, located within the subcutaneous fascia. It gradually enlarges to the size of a peach pit, with irregular lateral growths, while the skin color remains unchanged. Administer *Zilong Wan* (Dragon Egg Pill), 3 fen per dose, taken with light ginger decoction, three times daily, until the lump resolves. If children cannot take pills easily, administer one pill of *Xiaojin Dan* (Little Gold Pill) dissolved in aged wine, cover warmly to induce sweating, and continue until resolution. Avoid eating sweet oranges for several years, as consumption may cause recurrence.
For *Luo Li* (Scrofula/Lymphadenitis), whether ulcerated, suppurating but un-ulcerated, or non-suppurating, *Xihuang Wan* (Rhinoceros Horn Pill) should be administered to relieve pain in ulcerated areas, reduce distension in suppurating areas, and dissipate nodules in non-suppurating areas. For those already suppurating, use *Yaotou Gao* (Head-Biting Ointment) to pierce the head. Daily administration of formulas that warm and tonify, resolve phlegm, open interstices, invigorate blood, and strengthen qi, combined with external application of *Yanghe Jiening Gao* (Warm Resolving and Coagulation Ointment), leads to cure.
In severe cases where *Luo Li* ulceration spreads to the shoulders, chest, and hypochondrium, wash the affected area with decoction of *Jingjie Gen* (Schizonepeta Root). Apply *Xionao San* (Borneol Powder) mixed with sesame oil externally. Internally, administer three doses of *Dongtian Jiuku Dan* (Cave Heaven Bitter Rescue Pill) and six doses of *Xihuang Wan*. After nine days of medication, when the skin turns white and the wound bed becomes red and vibrant, follow up with *Dazao Wan* (Jujube Pill). As muscle regenerates, apply *Shengji San* (Flesh-Generating Powder) daily to complete healing.
If *Luo Li* ulceration extends to the throat, causing sensations akin to drinking hot water and external burning pain, the condition is extremely critical. Delay may result in perforation of the throat, which is incurable. Immediately take a twig core, measure the patient's middle finger (specifically the third segment), noting the length. For males, use the left hand; for females, the right hand. Locate the midpoint of the wrist bone's prominence. Using the measured twig core, measure upwards from this point to the end, identifying the elbow acupoint. Mark with ink and perform moxibustion with three moxa cones. Cover with ointment to prevent throat perforation. Surgery is strictly contraindicated for *Luo Li*.
The method for concluding treatment has been listed previously. The rhyme for applying medicaments is as follows: When scrofula ulceration is unbearable, spreading to the chest, waist, ears, and shoulders, wash repeatedly with warm Schizonepeta root decoction. Do not puncture purple-black masses in the wound. Xihuang Pill and Dazao Pill are miraculous; daily服用 (administration), washing, and dressing lead to recovery. Fine powders of borneol and lumachilla yellow are mixed with sesame oil and applied to keep the flesh fresh.
Ma states: *Luo Li* is always a deficiency syndrome. It may be caused by yin deficiency with liver fire coagulation, spleen deficiency with phlegm-qi coagulation, or wind-phlegm and wind-dampness binding together. Zilong...