阳症初起 赤痛，根束盘清肿如弓，七日或疼或时止，二七疮内渐生脓，毒随脓出精神爽，腐脱新生气血充，嫩肉
如珠颜色美，更兼鲜润若榴红，自然七恶全无犯，应当五善喜相逢，须知此属纯阳症，医药调和自有功。
凡痈疽初起， 热赤痛，根束者，晕不散也；盘清者，不漫肿也；如弓者，高肿也，易溃易敛，此为顺症。详察细
审，自易见功。
阴症初起如粟大，不红不肿疙瘩僵，木硬不痛不 肿，疮根平大黯无光，三七之后不溃腐，软陷无脓结空仓，疮上
生衣如脱甲，孔中结子似菡房，紫黑脓稀多臭秽，如见七恶定必亡，须知此属纯阴症，纵有岐黄命不长。
凡痈疽初起，不红不肿，不 热，状似粟米疙瘩，木硬不痛，七朝之后，不溃不敛，疮上生衣，如脱壳样，口如花
结子，此属逆症。倘见七恶，必定死亡；如现五善一、二者，尚可勉强救治，否则徒劳。
阴阳相半属险症，阳吉阴凶生死昭，似阳微痛微 肿，如阴半硬半肿高，肿而不溃因脾弱，溃而不敛为脓硗，五善
之症虽兼有，如现七恶岂全逃，饮食若能知味美，二便调和尚可疗，按法医治应手效，阳长阴消自可调。
半阴半阳，皆属险症，似阳不甚烧热，似阴不甚木硬，多现顺症宜可救，如现逆症则难疗。如阴升阳泄者，纵然多
险，尚有一线生机。
阳证初起时，局部发红、疼痛，疮根收束清晰，肿胀隆起如弓形。发病七日后，或持续疼痛，或间歇性停止；十四日左右，疮内逐渐化脓。毒邪随脓液排出后，精神清爽，腐肉脱落，新肉生长，气血充盈。新生嫩肉如珠粒般饱满，色泽美观，更加鲜润如同石榴籽的红艳。自然不会出现“七恶”之危象，应当出现“五善”之吉兆。须知此属纯阳证，只要医药调理得当，自有功效。
凡是痈疽初起，若表现为热、红、痛，且疮根收束不散，肿势局限不漫延，隆起高突如弓，这属于易溃破、易收敛的顺证。详细观察审视，自能容易见效。
阴证初起时，疮形如粟米大小，不红不肿，呈疙瘩状僵硬；木质坚硬而不痛，疮基平坦宽大，颜色暗滞无光泽。发病二十一日之后仍不溃烂腐坏，疮面软陷无脓，结成空腔。疮面上生长的肉芽如同脱落的指甲，疮口中结出的硬结似荷花房（莲蓬）。若见紫黑色脓液稀薄且多臭秽，一旦出现“七恶”征象，必定死亡。须知此属纯阴证，即使有扁鹊、黄帝般的医术高明，寿命也难以延长。
凡是痈疽初起，若不红不肿，不发热，形状像粟米疙瘩，木质坚硬且不痛，七日之后，既不溃破也不收敛，疮上长出的肉芽如脱壳样，疮口如花蕾结子，这属于逆证。倘若出现“七恶”，必定导致死亡；如果仅出现“五善”中的一、二项，尚可勉强救治，否则徒劳无功。
阴阳相半（半阴半阳）属于险证，阳证主吉，阴证主凶，生死界限分明。症状类似阳证但微痛微肿，类似阴证则半硬半肿高突。肿胀但不溃破是因为脾气虚弱；溃破但不收敛是因为脓液质稠难出。“五善”之症虽然兼有，但若出现“七恶”，怎能完全逃脱厄运？若饮食尚知美味，大小便调和，尚可治疗。按照法则医治，应手而效，阳气增长、阴气消退，自然可以调愈。
半阴半阳，皆属于险证。症状类似阳证但不甚烧热，类似阴证但不甚木硬。多出现顺证则有望救治，若出现逆证则难以治疗。如果是阴寒内盛而阳气外泄者，纵然危险重重，尚存一线生机。
In the initial stage of a Yang syndrome, there is redness and pain; the base of the lesion is well-defined, and the swelling is elevated like a bow. After seven days, pain may persist or cease intermittently; by fourteen days, pus gradually forms within the lesion. As the pathogenic toxin is expelled with the pus, the spirit becomes refreshed, necrotic tissue sloughs off, new flesh grows, and Qi and Blood become abundant. The tender new flesh resembles pearls in fullness, with a beautiful color, fresh and moist like the red of pomegranate seeds. Naturally, the "Seven Evils" (ominous signs) will not occur, and the "Five Goods" (auspicious signs) should appear. It must be known that this belongs to a Pure Yang syndrome; with appropriate medical regulation, efficacy will naturally be achieved.
Generally, for carbuncles and sores in their initial stage, if there is heat, redness, and pain, with a gathered base that does not disperse, and swelling that is localized without spreading, but elevated high like a bow, this indicates a favorable course (Shun Zheng) where ulceration and healing are easy. Detailed observation and examination will naturally lead to visible results.
In the initial stage of a Yin syndrome, the lesion is small like millet grains, without redness or swelling, presenting as stiff nodules; it is woody and hard without pain, with a flat, broad base, dark in color and lacking luster. After twenty-one days, it fails to ulcerate and slough; the surface is soft and sunken without pus, forming an empty cavity. The granulation tissue on the sore resembles shed nails, and the induration in the pore looks like a lotus pod. If purple-black pus is thin and foul-smelling, and the "Seven Evils" are observed, death is certain. It must be known that this belongs to a Pure Yin syndrome; even with the medical skills of Qibo or Huangdi, life expectancy cannot be prolonged.
Generally, for carbuncles and sores in their initial stage, if there is no redness, swelling, or heat, resembling millet grain nodules, woody and hard without pain, and after seven days neither ulcerating nor healing, with granulation tissue on the sore resembling shed shells, and the opening resembling a flower bud knotting, this belongs to an unfavorable course (Ni Zheng). If the "Seven Evils" appear, death is inevitable; if only one or two of the "Five Goods" are present, rescue is barely possible; otherwise, efforts are futile.
A condition involving half-Yin and half-Yang belongs to dangerous syndromes. Yang characteristics indicate auspiciousness, while Yin characteristics indicate ominous outcomes, clearly distinguishing life and death. Symptoms resemble Yang syndrome with slight pain and swelling, yet resemble Yin syndrome with partial hardness and elevation. Swelling without ulceration is due to Spleen deficiency; ulceration without healing is due to thick, difficult-to-expel pus. Although the "Five Goods" may coexist, how can one escape disaster if the "Seven Evils" appear? If appetite remains good and urination and defecation are regulated, treatment is feasible. Following proper methods yields immediate effectiveness; as Yang increases and Yin decreases, recovery will naturally follow.
Half-Yin and half-Yang conditions all belong to dangerous syndromes. They resemble Yang syndrome but lack intense heat, and resemble Yin syndrome but lack extreme stiffness. Favorable courses often allow for rescue, whereas unfavorable courses are difficult to treat. In cases of Yin rising and Yang leaking, although many dangers exist, there remains a glimmer of hope for survival.