上搭手生肺俞穴，左右名同经有别，右属肺兮左属肝，总由气郁痰热结。
【注】此证生于足太阳膀胱经肺俞穴，在两肩骨之动处。无论左搭手、右搭手，其名
虽同，而偏在左者属肝，偏在右者属肺，故曰∶经有别也。总由气郁痰热凝结而成，初宜
神授卫生汤双解之，次以逍遥散清之，兼以六郁汤调之。其余内外治法，俱按痈疽肿疡、溃疡门。
\r上搭手图\p04-34a74.bmp\r
逍遥散
当归（酒洗） 白芍（酒洗） 白茯苓 白术（土炒） 香附（酒炒，各一钱） 柴胡（八分）
黄芩（五分） 陈皮（一钱） 薄荷（五分） 甘草（生，六分）
水二盅，煎八分，食远服。
【方歌】逍遥散能和气血，开郁行滞又消结，归芍苓术香柴芩，陈薄甘草清毒热。
六郁汤
香附（酒炒） 茯苓 陈皮 半夏（制） 川芎 山栀（各一钱） 苍术（炒） 缩砂仁 甘草（生，
各五分）
姜三片，水二盅，煎八分服。
【方歌】六郁汤能开六郁，取其消痰又行气，芎缩二陈苍山栀，香附生姜兼化滞。
神授卫生汤（见肿疡门）
中搭手生近膏盲，经属膀胱脊骨旁，七情不和愤怒火，虚实寒热细参详。
【注】此证生在脊骨两旁，属足太阳膀胱经膏盲穴，一名龙疽。由七情不和，愤怒火
凝而生。遇气寒而实，便燥不渴者，宜一粒金丹温下之；若气热而实，便燥大渴者，宜
内疏黄连汤寒下之；若气血虚，疮不能发长者，宜内托黄 散托补之。其余内外治法，俱
按痈疽肿疡、溃疡门。
\r中搭手图\p04-34a75.bmp\r
一粒金丹
木香 乳香（各五分） 巴豆霜（一钱五分） 沉香（五分）
各为细末和匀，用肥胶枣个半，去皮核捣烂，和药末为丸，如芡实大。每服一丸，细
嚼用白滚水，一口将药送下。少顷，再饮白滚水一口，即泻一次；若饮滚水二口，即泻
二次．遇胃气壮实，兼毒滞盛者，服药后连饮滚水三四口，即泻三四次，不可太过。毒
滞泻尽，即以米饮补之。
【方歌】一粒金丹疗恶疮，寒实不渴便燥良，木乳沉香巴豆肉，枣肉为丸服即康。
内托黄 散
当归 白芍（炒） 川芎 白术（土炒） 陈皮 穿山甲（炒、研） 皂刺 黄 （各一钱） 槟榔
（三分） 紫肉桂（五分）
水二盅，煎八分，食前服。
【方歌】内托黄 治疡虚，托里诸疮用最宜，归芍芎术陈皮桂，山甲槟榔皂刺 。
内疏黄连汤（见肿疡门）
上搭手生于肺俞穴，左右名称相同但所属经络不同，右侧归属于肺经，左侧归属于肝经，总归是由气机郁滞、痰热凝结所致。
【注】此证发生在足太阳膀胱经的肺俞穴处，位于两肩胛骨的活动部位。无论是左搭手还是右搭手，虽然名称相同，但偏于左侧的归属于肝，偏于右侧的归属于肺，所以说“经络有所不同”。这总归是由于气机郁滞、痰热凝结而形成的。初期适宜用神授卫生汤进行表里双解，随后用逍遥散（调和肝脾、疏肝解郁的方剂）进行清解，同时配合六郁汤（行气解郁的方剂）进行调理。其余内服外治的方法，均参照痈疽肿疡、溃疡章节执行。
逍遥散
当归（酒洗） 白芍（酒洗） 白茯苓 白术（土炒） 香附（酒炒，各一钱） 柴胡（八分）
黄芩（五分） 陈皮（一钱） 薄荷（五分） 甘草（生，六分）
用水二盅，煎至八分，饭后服用。
【方歌】逍遥散能调和气血，开郁行滞又能消散结块，包含当归、白芍、茯苓、白术、香附、柴胡、黄芩，以及陈皮、薄荷、甘草以清除毒热。
六郁汤
香附（酒炒） 茯苓 陈皮 半夏（制） 川芎 山栀（各一钱） 苍术（炒） 缩砂仁 甘草（生，各五分）
生姜三片，水二盅，煎至八分服用。
【方歌】六郁汤能够开通六种郁结，取其消除痰湿又行气的作用，包含川芎、缩砂仁、二陈汤成分（陈皮、半夏）、苍术、山栀，以及香附、生姜兼以化解积滞。
神授卫生汤（见肿疡门）
中搭手生于近膏肓穴处，经络属于膀胱经在脊骨旁侧，多由七情不和、愤怒导致火邪凝聚而生，需仔细辨别虚实寒热。
【注】此证生在脊骨两旁，属于足太阳膀胱经的膏肓穴，又名龙疽。由七情不调，愤怒之火凝聚而产生。如果遇到寒气盛且体质实，大便干燥且不口渴的情况，适宜用一粒金丹温通攻下；如果遇到热气盛且体质实，大便干燥且极度口渴的情况，适宜用内疏黄连汤寒凉攻下；如果气血虚弱，疮疡不能透发生长的情况，适宜用内托黄芪散（此处原文缺“芪”字，依方义补全）进行托毒补虚。其余内服外治的方法，均参照痈疽肿疡、溃疡章节执行。
一粒金丹
木香 乳香（各五分） 巴豆霜（一钱五分） 沉香（五分）
各研为细末混合均匀，用半个肥厚胶枣，去皮核捣烂，与药末混合制成丸药，大小如芡实。每次服用一丸，细细咀嚼后用白开水一口送下。片刻之后，再喝一口白开水，就会排泄一次；如果喝两口白开水，就会排泄两次。遇到胃气壮实，兼有毒邪积滞旺盛的人，服药后连喝三四口白开水，就会排泄三四次，不可过度。毒邪积滞泻尽后，立即用米汤来补益胃气。
【方歌】一粒金丹治疗恶疮，适用于寒实不渴、大便干燥之症，包含木香、乳香、沉香、巴豆肉，以枣肉为丸服用即可康复。
内托黄芪散
当归 白芍（炒） 川芎 白术（土炒） 陈皮 穿山甲（炒、研） 皂刺 黄芪（各一钱） 槟榔
（三分） 紫肉桂（五分）
用水二盅，煎至八分，饭前服用。
【方歌】内托黄芪治疗疮疡虚证，托里疗法治疗各种疮疡最为适宜，包含当归、白芍、川芎、白术、陈皮、肉桂，以及穿山甲、槟榔、皂刺。
内疏黄连汤（见肿疡门）
Upper Dasha (Upper Back Carbuncle) arises at the Feishu (BL13) acupoint. Although the names for left and right are the same, their meridians differ: the right belongs to the Lung Meridian, while the left belongs to the Liver Meridian. This condition is generally caused by Qi stagnation and phlegm-heat accumulation.
[Note] This lesion occurs at the Feishu (BL13) acupoint of the Foot-Taiyang Bladder Meridian, located in the movable area between the two scapulae. Whether it is Left Dasha or Right Dasha, although the name is identical, lesions on the left belong to the Liver, and those on the right belong to the Lung; hence it is said that "the meridians differ." It is invariably formed by the coagulation of Qi stagnation and phlegm-heat. Initially, Shenshou Weisheng Tang should be used for simultaneous release of exterior and interior pathogens. Subsequently, Xiaoyao San (Free and Easy Wanderer Powder) should be used for clearing, accompanied by Liuyu Tang (Six Stagnations Decoction) for regulation. All other internal and external treatment methods follow the chapters on Carbuncles and Ulcers (Swelling/Ulceration).
Xiaoyao San (Free and Easy Wanderer Powder)
Danggui (Radix Angelicae Sinensis, wine-washed), Baishao (Radix Paeoniae Alba, wine-washed), Baifuling (Poria, dried), Baizhu (Rhizoma Atractylodis Macrocephalae, earth-fried), Xiangfu (Rhizoma Cyperi Rotundi, wine-fried, each 1 qian), Chaihu (Radix Bupleuri, 8 fen), Huangqin (Scutellariae Radix, 5 fen), Chenpi (Pericarpium Citri Reticulatae, 1 qian), Bohe (Menthae Haplocalycis Herba, 5 fen), Gancao (Glycyrrhizae Radix et Rhizoma, raw, 6 fen).
Add two cups of water, decoct until eight-tenths remain, and take after meals.
[Formula Song] Xiaoyao San harmonizes Qi and Blood, opens depression, moves stagnation, and dissipates nodules. It contains Danggui, Baishao, Fuling, Baizhu, Xiangfu, Chaihu, Huangqin, Chenpi, Bohe, and Gancao to clear toxic heat.
Liuyu Tang (Six Stagnations Decoction)
Xiangfu (Rhizoma Cyperi Rotundi, wine-fried), Fuling (Poria, dried), Chenpi (Pericarpium Citri Reticulatae), Banxia (Rhizoma Pinelliae Ternatae, processed), Chuanxiong (Rhizoma Chuanxiong), Shanzhi (Gardeniae Fructus, each 1 qian), Cangzhu (Rhizoma Atractylodis Lanceae, fried), Suasharen (Fructus Amomi Rotundus, raw), Gancao (Glycyrrhizae Radix et Rhizoma, raw, each 5 fen).
Add three slices of Shengjiang (Zingiberis Rhizoma Recens) and two cups of water, decoct until eight-tenths remain, and take.
[Formula Song] Liuyu Tang opens the six types of stagnation, eliminating phlegm and moving Qi. It contains Chuanxiong, Suasharen, Erchen components (Chenpi, Banxia), Cangzhu, Shanzhi, Xiangfu, and Shengjiang to resolve stagnation.
Shenshou Weisheng Tang (See Chapter on Swelling/Ulceration)
Middle Dasha (Middle Back Carbuncle) arises near the Gaohuang (BL43) acupoint. The meridian involved is the Bladder Meridian along the side of the spine. It is caused by disharmony of the Seven Emotions, where anger leads to fire accumulation. One must carefully differentiate between deficiency/excess and cold/heat patterns.
[Note] This lesion occurs on both sides of the spinal column, belonging to the Gaohuang (BL43) acupoint of the Foot-Taiyang Bladder Meridian, also known as Long Ju (Dragon Carbuncle). It arises from disharmony of the Seven Emotions, specifically the coagulation of fire due to anger. If the pattern involves excess cold with dry stool and no thirst, Yili Jindan (One Pill Golden Elixir) should be used for warm purgation. If the pattern involves excess heat with dry stool and extreme thirst, Neishu Huanglian Tang (Internal Draining Coptis Decoction) should be used for cold purgation. If there is Qi and Blood deficiency causing the ulcer to fail to erupt or grow, Neituo Huangqi San (Internal Supportive Astragalus Powder) should be used for supportive tonification and toxin expulsion. All other internal and external treatment methods follow the chapters on Carbuncles and Ulcers (Swelling/Ulceration).
Yili Jindan (One Pill Golden Elixir)
Muxiang (Aucklandiae Radix), Rushxiang (Olibanum, each 5 fen), Badoushuang (Seminar Crotonis Tiglii, prepared frost, 1.5 qian), Chenxiang (Aquilariae Lignum Resinatum, 5 fen).
Grind all into fine powder and mix evenly. Take half a large, fleshy Jujube (Ziziphi Spinosae Fructus), remove skin and pit, mash it, and mix with the powder to form pills the size of an Euryale Seed (Qianshi). Take one pill per dose, chew thoroughly, and swallow with one mouthful of plain boiled water. Shortly after, drink another mouthful of plain boiled water to induce one bowel movement. If two mouthfuls are drunk, two bowel movements occur. For patients with strong Stomach Qi and severe toxin stagnation, drinking three to four mouthfuls of boiled water after medication may induce three to four bowel movements; do not overdo this. Once toxin stagnation is fully expelled, immediately replenish with Rice Water (Mi Yin) to support the Stomach Qi.
[Formula Song] Yili Jindan treats malignant sores, suitable for cold-excess patterns without thirst and dry stool. It contains Muxiang, Rushxiang, Chenxiang, and Badou meat, formed into pills with Jujube paste for recovery.
Neituo Huangqi San (Internal Supportive Astragalus Powder)
Danggui (Radix Angelicae Sinensis), Baishao (Radix Paeoniae Alba, fried), Chuanxiong (Rhizoma Chuanxiong), Baizhu (Rhizoma Atractylodis Macrocephalae, earth-fried), Chenpi (Pericarpium Citri Reticulatae), Chuanshanjia (Squama Manis, fried and ground), Zaocispina (Spina Gleditsiae Sinensis), Huangqi (Radix Astragali Membranacei, each 1 qian), Binglang (Arecae Semen, 3 fen), Rougui (Cinnamomi Cortex, purple, 5 fen).
Add two cups of water, decoct until eight-tenths remain, and take before meals.
[Formula Song] Neituo Huangqi San treats ulcer deficiencies; it is most suitable for internal support therapies for various ulcers. It contains Danggui, Baishao, Chuanxiong, Baizhu, Chenpi, Rougui, Chuanshanjia, Binglang, and Zaocispina.
Neishu Huanglian Tang (Internal Draining Coptis Decoction) (See Chapter on Swelling/Ulceration)