神授卫生散 绀珠丹 托里消毒散 内疏黄连汤 十全大补汤 贵金丸（俱见首卷） 蟾酥丸
拔疔散（俱见疔门） 冰硼散（见咽喉门） 漏芦汤（见肿毒门） 灸法（见首卷灸门） 黄连救
苦汤（见项部）
经络 项之中属督脉经。项之旁大筋中属足太阳经。大筋之旁耳之后属手少阳经。耳之下属足少
阳经。颊下属手太阳经。颊前一寸属手阳明经。挟喉两旁动脉属太阳阳明二经。
项疽 生于项之中。一名项中疽。俗云对口。为与口相对也。属督脉经盛阳之火。 赤肿痛者易治。
根大坚硬者难疗。平塌神昏者死。初起。脉洪数有力者。绀珠丹、卫生散、贵金丸、梅花五气丹、黄连
救苦汤。俱可选用。并隔蒜灸之。或灸天宗穴七壮。艾如绿豆大。已成者。解毒天浆散、托里消毒散。
已溃者。大小保安汤以补元气。加减地黄丸引火归源。外兼敷治。或灸神阙穴二七壮。此症有头
尾。头向上。尾向下。形如蜂窠者。防毒瓦斯攻心蚀脑。又忌见风。风入发搐者难疗。若痰壅毒流两肩者。
鲜血暴涌者。腹胀谵语者。俱不治。
卧蚕疽 生对口之下。天柱骨之上。治同脑疽。
天柱疽 生天柱骨之间。形陷色黑多痒。由三焦经郁愤所致。初宜卫生散。壮者贵金丸。弱者神效栝
蒌散。已成者八珍汤加柴胡、香附、及远志酒。甚者肩背拘急。呕逆恶心。宜隔蒜灸之。以痒止为度。
或明灸之。灸而有泡者顺。无泡者逆。服汗剂得汗可治。无汗难医。灵枢经云。失治则热气下入渊腋。
前伤任脉。内熏肝肺。十余日死。所以神昏呕哕血不止者。不治。
偏脑疽 生对口之傍。属足太阳膀胱经蕴热所致。盖太阳经所司寒水。起于巅顶。贯项两傍而顺下。
多冷多沉。故多平塌。坚硬难溃。又易流注。初起未成。七日以前者。用铍针当头点入。知痛楚方止。
出其恶血。通其疮窍。插蟾酥条。直至疮底。每日二条。外用膏贴。三日后加添插药。内服绀珠丹。或蟾
酥丸发汗解毒。次服托里大补之药。以回阳气。直至顶根高突肿痛。外用神灯照法助阴为阳。至七
日。其疮四围裂缝有脓。方住插药。轻者九日后。脱出或腐化。重者至十三日。其根自脱。如期根深蒂
固不能脱者。铍针取之。外贴玉红膏。内服大补之药托之。诚转重就轻移深居浅之良法也。如不肿
不疼。灸亦不痛者。尤宜此法治之。若前脑疽阳症。则不用此法。
鱼尾毒 生于后鬓发际间。在偏口之上。脑后发之傍。治同偏口。出血气喘痰发者。难治。
百脉疽 肿绕颈项。疼痛身热。不食上气咳嗽。其发引耳不可以肿。十五日可刺。儿脓者顺。见血者逆。
锁喉毒 颈项忽然肿痛。如失枕之状。久则红绕肩背。坚硬难消。由肥人善饮。风热外侵所致。治
宜清暑疏风。
结喉痈 生于嗌外正中。一名猛疽。属任脉及手太阳少阴三经。由忧愤所致。宜黄连消毒饮、卫生散。
灵枢经云。脓不泻则塞咽半日死。故宜针之出毒。服补托之剂。虽溃通。流出汤水者亦愈。一灸少
海穴七壮。
气痈 生于结喉痈之上下。
夹喉痈 生于结喉痈之两傍。
二症治同结喉痈。一灸灵道穴七壮。
神授卫生散、绀珠丹、托里消毒散、内疏黄连汤、十全大补汤、贵金丸（均见于首卷）、蟾酥丸、拔疔散（均见于疔疮门）、冰硼散（见于咽喉门）、漏芦汤（见于肿毒门）、灸法（见于首卷灸法门）、黄连救苦汤（见于项部）。
经络：项部正中属于督脉经。项部两侧大筋中属于足太阳膀胱经。大筋旁侧耳后属于手少阳三焦经。耳下属于足少阳胆经。面颊下方属于手太阳小肠经。面颊前一寸处属于手阳明大肠经。挟持喉部两侧的动脉处属于太阳经和阳明经。
项疽：生于项部正中。又名项中疽。俗称对口疽，因为与口相对。此症属督脉经盛阳之火所致。红肿疼痛者易治。根盘大而坚硬者难疗。平塌不起、神志昏迷者预后不良。初起时，若脉象洪数有力，可选用绀珠丹、卫生散、贵金丸、梅花五气丹、黄连救苦汤。并配合隔蒜灸法。或灸天宗穴七壮，艾炷如绿豆大小。已成脓者，用解毒天浆散、托里消毒散。已溃破者，用大小保安汤以补益元气，用加减地黄丸引火归源。外治兼用敷药。或灸神阙穴十四壮。此症有头尾之分，头向上，尾向下，形状像蜂窠的，要防毒瓦斯攻心蚀脑。又忌见风，风邪侵入导致抽搐者难疗。若痰壅毒流至两肩，鲜血暴涌，腹胀谵语者，均属不治之症。
天柱疽：生于天柱骨之间。形态凹陷，颜色黑且多痒，由三焦经郁愤所致。初起宜用卫生散，体质强者用贵金丸，体质弱者用神效栝蒌散。已成脓者，用八珍汤加柴胡、香附、远志酒。严重者出现肩背拘急、呕吐恶心，宜隔蒜灸之，以瘙痒停止为度。或直接艾灸。灸后起泡者为顺证，无泡者为逆证。服用发汗剂得汗者可治，无汗者难医。《灵枢经》说：失治则热气下入渊腋，前伤任脉，内熏肝肺，十余日死亡。所以神昏、呕吐哕逆、血不止者，属不治之症。
偏脑疽：生在对口疽之旁。属足太阳膀胱经蕴热所致。盖因太阳经所司寒水，起于巅顶，贯项两傍而顺下，多冷多沉，故多平塌、坚硬难溃，又易流注。初起未成脓，七日以前者，用铍针当头点入，知痛楚方止，放出恶血，通其疮窍，插入蟾酥条，直至疮底，每日两条，外用膏药贴敷。三日后加添插药。内服绀珠丹，或蟾酥丸发汗解毒。其次服用托里大补之药，以回阳气。直至顶部根部高突肿痛，外用神灯照法助阴为阳。至七日，疮四周围裂缝出脓，才停止插药。轻者九日后，腐肉脱落或化脓排出；重者至十三日，根自脱落。如期根深蒂固不能脱落的，用铍针取之，外贴玉红膏，内服大补之药托毒外出。这确实是转重就轻、移深居浅的好方法。如不肿不疼，灸亦不痛者，尤其适宜此法治之。若前脑疽为阳证，则不用此法。
鱼尾毒：生于后鬓发际间，在偏口之上，脑后发之旁。治疗同偏口疽。出血、气喘、痰发者，难治。
百脉疽：肿胀环绕颈项，疼痛身热，不食、上气咳嗽。其发作牵引耳部，不可肿胀。十五日可刺破排脓。出脓者为顺证，见血者为逆证。
锁喉毒：颈项忽然肿痛，如同落枕之状。久则红晕绕肩背，坚硬难消。由肥胖之人善于饮酒，风热外侵所致。治疗宜清暑疏风。
结喉痈：生于嗌外正中。一名猛疽。属任脉及手太阳、手少阴三经。由忧愤所致。宜用黄连消毒饮、卫生散。《灵枢经》说：脓不泻则塞咽半日死。故宜针刺出毒，服用补托之剂。虽然溃破通畅，流出汤水者也能痊愈。一灸少海穴七壮。
Shenshou Weisheng San (Divine Grant Health-Preserving Powder), Gan Zhu Dan (Cinnabar Pearl Pill), Tuoli Xiaodu San (Supporting Interior and Detoxifying Powder), Neishu Huanglian Tang (Internal Draining Coptis Decoction), Shiquan Dabu Tang (Ten Substance Great Tonifying Decoction), Guijin Wan (Precious Metal Pill) (all see Volume 1), Chansu Wan (Toad Venom Pill), Bading San (Extracting Ding Poison Powder) (all see Ding Disease Section), Bingpeng San (Ice Borax Powder) (see Throat Section), Loulu Tang (Radix Euphorbiae Humifusae Decoction) (see Swelling and Toxicity Section), Moxibustion Method (see Volume 1 Moxibustion Section), Huanglian Jiuku Tang (Coptis Saving from Bitterness Decoction) (see Neck Section).
Meridians: The center of the neck belongs to the Du Meridian (Governing Vessel). The large tendons on both sides of the neck belong to the Foot-Taiyang Bladder Meridian. Beside the large tendons, behind the ears, belongs to the Hand-Shaoyang Sanjiao Meridian. Below the ears belongs to the Foot-Shaoyang Gallbladder Meridian. Below the cheeks belongs to the Hand-Taiyang Small Intestine Meridian. One cun in front of the cheeks belongs to the Hand-Yangming Large Intestine Meridian. The pulsating arteries on both sides of the throat belong to the Taiyang and Yangming meridians.
Neck Carbuncle (Xiang Ju): Occurs in the center of the neck. Also known as Xiangzhong Ju. Commonly called "Duikou" (Opposite Mouth), because it is opposite the mouth. This condition belongs to the excessive Yang fire of the Du Meridian. Those with redness, swelling, and pain are easy to treat. Those with a large and hard root are difficult to heal. Those that are flat and sunken with coma are fatal. At the initial stage, if the pulse is surging, rapid, and forceful, Gan Zhu Dan, Weisheng San, Guijin Wan, Meihua Wuqi Dan (Plum Blossom Five Qi Powder), or Huanglian Jiuku Tang can be selected. Combined with garlic-separated moxibustion. Or moxa-convulsion at Tianzong (SI 11) acupoint seven times, with moxa cones the size of green beans. For those already formed, Jiedu Tianjiang San (Detoxifying Heavenly Pulp Powder) and Tuoli Xiaodu San can be used. For those already ulcerated, Da Xiao Bao'an Tang (Great and Small Security Decoction) is used to tonify Yuan Qi (Original Qi), and Jiadi Dihuang Wan (Modified Rehmannia Pill) guides fire back to its source. External treatment includes applying medicaments. Or moxa-convulsion at Shenque (CV 8) acupoint fourteen times. This disease has a head and tail; the head points upward, the tail downward, shaped like a honeycomb. Prevent toxic vapors from attacking the heart and eroding the brain. Avoid exposure to wind; convulsions caused by wind invasion are difficult to treat. If phlegm stagnation and toxin flow to both shoulders, sudden profuse bleeding, abdominal distension, and delirium occur, these are untreatable.
Silkworm Carbuncle (Wocan Ju): Occurs below Duikou Ju and above Tianzhu Bone. Treatment is the same as Brain Carbuncle.
Tianzhu Carbuncle (Tianzhu Ju): Occurs between Tianzhu bones. The shape is sunken, color is black, and there is much itching. Caused by depression and anger in the Sanjiao Meridian. Initially, use Weisheng San. For strong constitutions, use Guijin Wan. For weak constitutions, use Shenxiao Gualou San (Miraculous Trichosanthes Powder). For those already formed, use Bazhen Tang (Eight Treasure Decoction) added with Chai Hu (Bupleurum Root), Xiang Fu (Cyperus Rhizome), and Yuanzhi wine. Severe cases present with stiffness and tension in the shoulder and back, vomiting, and nausea. Use garlic-separated moxibustion, stopping when itching ceases. Or direct moxibustion. Blisters after moxibustion indicate a favorable prognosis; no blisters indicate an unfavorable one. Taking diaphoretic agents to induce sweating is treatable; no sweat is difficult to cure. The *Ling Shu* states: Failure to treat allows heat qi to descend into Yuanye, damaging the Ren Meridian anteriorly, and internally steaming the Liver and Lungs, leading to death within ten days. Therefore, coma, retching, and uncontrolled bleeding are untreatable.
Lateral Brain Carbuncle (Pian Nao Ju): Occurs beside Duikou. Caused by accumulated heat in the Foot-Taiyang Bladder Meridian. Since the Taiyang Meridian governs cold water, originating from the vertex, passing through both sides of the neck and descending smoothly, it is often cold and sinking, hence often flat, hard, difficult to suppurate, and prone to metastasis. In the initial stage, before suppuration and within seven days, use a Bi Needle (Surgical Knife) to puncture directly at the head. Stop when pain is felt. Drain the bad blood, open the sore aperture, insert Chansu strips (Toad Venom Strips) down to the bottom of the sore, two strips daily. Apply external plaster. After three days, add insertion medicines. Internally take Gan Zhu Dan, or Chansu Wan to induce sweating and detoxify. Subsequently take interior-supporting and great-tonifying medicines to restore Yang Qi. Continue until the top and root are high, protruding, swollen, and painful. Use Divine Lamp Illumination method externally to assist Yin transforming into Yang. By the seventh day, cracks appear around the sore with pus, then stop inserting medicines. Mild cases shed necrotic tissue or suppurate after nine days. Severe cases shed roots spontaneously by the thirteenth day. If the root remains firmly attached beyond the expected time, remove it with a Bi Needle. Apply Yuhong Gao (Jade Red Ointment) externally and take great-tonifying medicines internally to support expulsion. This is indeed an excellent method for turning heavy conditions light and moving deep conditions shallow. If there is no swelling or pain, and even moxibustion causes no pain, this method is especially suitable. However, if the anterior brain carbuncle presents as a Yang syndrome, this method is not used.
Fish Tail Toxin (Yuwéi Du): Occurs between the posterior hairline, above Piankou, and beside the posterior head hair. Treatment is the same as Piankou. Hemorrhage, asthma, and phlegm emergence make it difficult to treat.
Hundred Vessels Carbuncle (Baimai Ju): Swelling surrounds the neck and nape, with pain, fever, anorexia, rebellious Qi, and cough. The onset pulls towards the ear, causing swelling. It can be pricked after fifteen days. Pus discharge indicates a favorable prognosis; blood indicates an unfavorable one.
Lock-Throat Toxin (Suohou Du): Sudden swelling and pain of the neck and nape, resembling stiff neck. Later, redness spreads around the shoulders and back, becoming hard and difficult to resolve. Caused by obese individuals who drink excessively, combined with external invasion of Wind-Heat. Treatment should clear summerheat and disperse Wind.
Throat Knot Carbuncle (Jie Hou Yong): Occurs in the exact center outside the throat. Also named Meng Ju (Fierce Carbuncle). Belongs to the Ren Meridian (Conception Vessel) and the Hand-Taiyang and Hand-Shaoyin meridians. Caused by sorrow and indignation. Use Huanglian Xiaodu Yin (Coptis Detoxifying Decoction) and Weisheng San. The *Ling Shu* states: If pus is not drained, the throat will be blocked and death will occur in half a day. Therefore, needle drainage of toxin is necessary, followed by taking tonic and supporting agents. Even if ulcerated and patent, flowing out serous fluid leads to recovery. Moxa-convulsion at Shaohai (HT 3) acupoint seven times.
Qi Abscess (Qi Yong): Occurs above and below Jie Hou Yong.
Clamping Throat Abscess (Jia Hou Yong): Occurs on both sides of Jie Hou Yong.
The treatment for these two conditions is the same as for Jie Hou Yong. Moxa-convulsion at Lingdao (HT 4) acupoint seven times.