石疽生于颈项旁，坚硬如石色照常，肝郁凝结于经络，溃后法根据瘰 疮。
【注】此疽生于颈项两旁，形如桃李，皮色如常，坚硬如石， 痛不热。由肝经郁结，
以致气血凝滞经络而成。此证初小渐大，难消难溃，既溃难敛，疲顽之证也。初起气实
者，宜服舒肝溃坚汤；气虚者，宜服香贝养荣汤，外用葱白、蜂蜜，捣泥敷贴。日久不
消者，以阳燧锭每日灸之，以或消、或软、或将溃为度，既溃法同瘰 。
\r上石疽图\p04-34a70.bmp\r
香贝养荣汤
白术（土炒，二钱） 人参 茯苓 陈皮 熟地黄 川芎 当归 贝母（去心） 香附（酒炒）
白芍（酒炒，各一钱） 桔梗 甘草（各五分）
姜三片，枣二枚，水二盅，煎八分，食远服。
胸膈痞闷，加枳壳、木香。饮食不甘，加浓朴、苍术。寒热往来，加柴胡、地骨皮。脓
溃作渴，倍人参、当归、白术，加黄 。脓多或清，倍当归、川芎。胁下痛或痞，加青
皮、木香。肌肉生迟，加白蔹、肉桂。痰多，加半夏、橘红。口干，加麦冬、五味子。发
热，加柴胡、黄芩。渴不止，加知母、赤小豆。溃后反痛，加熟附子、沉香。脓不止，倍
人参、当归，加黄 。虚烦不眠，倍人参、熟地，加远志、枣仁。
【方歌】香贝养荣用四君，四物贝桔香附陈，气血两虚宜多服，筋瘰石疽效如神。
阳燧锭（见首卷烙法）
舒肝溃坚汤（见瘰 门）
石疽生于颈项两侧，肿块坚硬如石头，皮肤颜色正常。此病由肝气郁结，导致气血凝结于经络所致；溃破后的治疗法则参照瘰疬（颈部淋巴结结核）疮疡的处理方法。
【注】这种疽生于颈项两旁，形状像桃子和李子，皮色如常，质地坚硬如石，疼痛但不发热。这是由于肝经气机郁结，致使气血在经络中凝滞而成。此证初期较小，逐渐增大，难以消散，难以溃破，即使溃破也难以愈合，属于顽固难治的病症。初起时体质壮实者，适宜服用舒肝溃坚汤；体质虚弱者，适宜服用香贝养荣汤，外用葱白和蜂蜜捣成泥状敷贴。若日久不消退，可用阳燧锭每日进行艾灸，以肿块或消、或软、或将溃为度，一旦溃破，治疗方法同瘰疬。
香贝养荣汤
白术（土炒，二钱），人参，茯苓，陈皮，熟地黄，川芎，当归，贝母（去心），香附（酒炒），白芍（酒炒），各一钱；桔梗，甘草（各五分）。
生姜三片，大枣二枚，水两盅，煎至八分，饭后服用。
若胸膈痞闷，加枳壳、木香。饮食无味，加厚朴、苍术。寒热往来，加柴胡、地骨皮。脓溃后口渴，加倍人参、当归、白术用量，加黄芪。脓液多或清稀，加倍当归、川芎用量。胁下疼痛或有痞块，加青皮、木香。肌肉生长迟缓，加白蔹、肉桂。痰多，加半夏、橘红。口干，加麦冬、五味子。发热，加柴胡、黄芩。口渴不止，加知母、赤小豆。溃后反而疼痛，加熟附子、沉香。脓液不止，加倍人参、当归用量，加黄芪。虚烦失眠，加倍人参、熟地黄用量，加远志、酸枣仁。
Shiju (Stone Abscess) arises on both sides of the neck and nape. The mass is hard as stone, while the skin color remains normal. This condition results from Liver Qi stagnation causing Qi and Blood to coagulate in the collaterals; after ulceration, the treatment principles follow those for Luoli (Scrofula).
[Note] This abscess occurs on both sides of the neck, resembling a plum or peach in shape, with normal skin color, hard as stone, painful but not hot. It is caused by stagnation in the Liver Meridian, leading to the stasis of Qi and Blood within the collaterals. Initially small, it gradually enlarges, is difficult to dissipate, difficult to suppurate, and even after ulceration, difficult to heal; it is a stubborn and chronic condition. In the early stage, if the patient's constitution is robust, Shugan Kuijian Tang (Liver-Soothing Hardness-Dispersing Decoction) is indicated; if the constitution is deficient, Xiangbei Yangrong Tang (Fragrant Fritillaria Nourishing Nutrient Decoction) is indicated. Externally, apply a paste made from scallion white and honey. If the mass does not resolve after a long time, moxa-burn daily using Yangsui Ding (Yang-Sun Plaster), continuing until the mass dissolves, softens, or is about to suppurate. Once ulcerated, the treatment follows that of Luoli.
Xiangbei Yangrong Tang (Fragrant Fritillaria Nourishing Nutrient Decoction)
Bai Zhu (Stir-fried with soil, 2 qian), Ren Shen, Fu Ling, Chen Pi, Shu Di Huang, Chuan Xiong, Dang Gui, Bei Mu (heart removed), Xiang Fu (stir-fried with wine), Bai Shao (stir-fried with wine), each 1 qian; Jie Geng, Gan Cao, each 0.5 qian.
Add three slices of fresh ginger and two dates. Decoct in two sheng of water until reduced to eight fen. Take after meals.
If there is chest and diaphragm fullness and oppression, add Zhi Qiao and Mu Xiang. If appetite is poor, add Hou Po and Cang Zhu. If there are alternating chills and fever, add Chai Hu and Di Gu Pi. If thirst occurs after suppuration, double the dosage of Ren Shen, Dang Gui, and Bai Zhu, and add Huang Qi. If pus is excessive or thin, double the dosage of Dang Gui and Chuan Xiong. If there is pain or fullness in the hypochondrium, add Qing Pi and Mu Xiang. If muscle regeneration is slow, add Bai Lian and Rou Gui. If there is excessive phlegm, add Ban Xia and Ju Hong. If there is dry mouth, add Mai Dong and Wu Wei Zi. If there is fever, add Chai Hu and Huang Qin. If thirst persists, add Zhi Mu and Chi Xiao Dou. If pain returns after ulceration, add Shu Fu Zi and Chen Xiang. If pus discharge continues, double the dosage of Ren Shen and Dang Gui, and add Huang Qi. If there is deficiency-related irritability and insomnia, double the dosage of Ren Shen and Shu Di Huang, and add Yuan Zhi and Suan Zao Ren.
[Formula Song] Xiangbei Yangrong uses Si Jun [Tang], combined with Si Wu, Bei Mu, Jie Geng, Xiang Fu, and Chen Pi; suitable for prolonged use in cases of dual Qi and Blood deficiency, effective as magic for Jinluoli and Shiju.
Yangsui Ding (See Chapter on Cauterization in Volume One)
Shugan Kuijian Tang (See Section on Luoli)