佛顶疽属督上星，阴阳不调毒热成，不论虚实皆险证，溃烂黑陷必然凶。
【注】此证一名顶门疽。生于头顶囟门之前，属督脉经上星穴。由脏腑阴阳不调，热
毒上壅而成。色紫，坚硬肿痛，脉洪大而数者为实；脉微细而数者为虚，皆属险证。若
溃烂黑陷，六脉散大，神昏谵语，二便闭结者为逆。首尾内外治法，俱按百会疽。
\r佛顶疽图\p04-34a26.bmp\r
额疽生额火毒成，左右膀胱正督经，顶陷焦紫无脓重，高耸根收红肿轻。
\r额疽图\p04-34a27.bmp\r
【注】此证生前额正中者，属督脉经，或
生左右额角者，属膀胱经。总由火毒而成。初起疮顶塌陷，干焦色紫，不生大脓者，其势
重而属险也；若红肿高耸，疮根收束者，其势轻而属顺也。初服荆防败毒散汗之，次服
仙方活命饮消之。将溃气虚者，宜服托里透脓汤；气实者，宜服透脓散，外敷冲和膏。已
溃宜服托里排脓汤，外贴琥珀膏。其余内外治法，俱按痈疽溃疡门。
荆防败毒散（见项部脑疽）
仙方活命饮（见肿疡门）
托里透脓汤（见前侵脑疽）
透脓散 冲和膏（俱见肿疡门）
托里排脓汤（见项部鱼尾毒）
琥珀膏（见发际疮内）
勇疽 后太阳穴，胆经怒火伏鼠形，七日不溃毒攻眼，黄脓为吉黑血凶。
\r勇疽图\p04-34a28.bmp\r
【注】此证一名勇疽，又名脑发疽。属足少阳胆经怒火而成，生于目小 之后五分。生
在太阳穴者，无论左右皆可以生。初起如粟，渐肿疼痛，形如伏鼠，面目浮肿，七日信脓
不溃，火毒攻睛，腐烂损目。若十一日针出黄脓，毒从脓解为顺易治；若出紫黑血者，系
气虚不能化毒为逆难治。初服仙方活命饮清解之，毒甚宜服内疏黄连汤，外敷二味拔毒
散。其将溃已溃，内外治法，俱按痈疽肿疡、
溃疡门。溃后避风忌水。
仙方活命饮 内疏黄连汤 二味拔毒散（俱见肿疡门）
佛顶疽归属于督脉的上星穴，是由于阴阳失调、毒热蕴结而成。无论虚实，皆属险证；若出现溃烂且疮面黑陷，则必然凶险。
【注】此证又名顶门疽。生于头顶囟门之前，归属于督脉经的上星穴。由脏腑阴阳不调，热毒上壅所致。若疮色紫暗，坚硬肿痛，脉象洪大而数，属于实证；若脉象微细而数，属于虚证，均属于险证。若出现溃烂黑陷，六脉散大无根，神志昏迷胡言乱语，大小便闭结不通，属于逆证。其初起至痊愈的内外治法，均参照百会疽的处理方法。
额疽生于额头，由火毒蕴结而成。病变部位涉及足太阳膀胱经和督脉正中。若疮顶塌陷、焦紫无脓者病情重；若红肿高耸、疮根收束者病情轻。
【注】此证若生在额头正中的，归属于督脉经；若生在左右额角的，归属于膀胱经。总归是由火毒引起。初起时疮顶塌陷，干燥焦紫，不生大量脓液，说明病势重且属险证；若红肿高耸，疮根收敛束聚，说明病势轻且属顺证。初期服用荆防败毒散发汗解表，随后服用仙方活命饮消散肿毒。即将溃破时，气虚者宜服用托里透脓汤；气实者宜服用透脓散，外用冲和膏敷贴。已经溃破后宜服用托里排脓汤，外贴琥珀膏。其余内外治法，均参照痈疽溃疡门的记载。
荆防败毒散（见项部脑疽章节）
仙方活命饮（见肿疡门章节）
托里透脓汤（见前侵脑疽章节）
透脓散 冲和膏（均见肿疡门章节）
托里排脓汤（见项部鱼尾毒章节）
琥珀膏（见发际疮内章节）
勇疽生于后太阳穴，属胆经怒火潜伏，形态如伏鼠。若七日不溃破，毒邪攻犯眼睛，流出黄脓为吉兆，流出黑血为凶兆。
【注】此证又名勇疽，又称脑发疽。归属于足少阳胆经，由怒火蕴结而成，生于目外眦后方五分处。生于太阳穴部位的，无论左右均可发生。初起如粟米大小，逐渐肿胀疼痛，形状像伏着的老鼠，面目浮肿。若七日应化脓而未溃破，火毒攻入眼睛，导致腐烂损目。若在十一日针刺后流出黄脓，毒邪随脓液排出，属于顺证，容易治疗；若流出紫黑色血液，系气虚不能化解毒邪，属于逆证，难以治疗。初期服用仙方活命饮清热解毒，毒邪严重者可服用内疏黄连汤，外用二味拔毒散敷贴。其将溃破及已溃破阶段的内外治法，均参照痈疽肿疡、溃疡门的记载。溃破后需避风忌水。
仙方活命饮 内疏黄连汤 二味拔毒散（均见肿疡门章节）
Foding Ju (Abscess at the Crown) belongs to Shangxing (GV23) of the Du Meridian. It is formed by toxic heat resulting from disharmony of Yin and Yang. Regardless of deficiency or excess, it is a critical condition; if ulceration occurs with blackening and sinking, it is inevitably ominous.
[Note] This condition is also named Dingmen Ju (Abscess at the Vertex). It arises anterior to the fontanelle on the vertex and belongs to Shangxing (GV23) of the Du Meridian. It is caused by disharmony of Yin and Yang in the Zang-Fu organs, leading to the upward congestion of heat-toxin. If the color is purple, hard, swollen, painful, and the pulse is surging and rapid, it indicates Excess; if the pulse is fine, minute, and rapid, it indicates Deficiency. Both are critical conditions. If ulceration presents with blackening and sinking, the six pulses are scattered and enlarged, there is coma with delirious speech, and both urine and stool are obstructed, it indicates a Reverse pattern. The internal and external treatment methods from onset to resolution follow those for Baihui Ju (Abscess at Baihui GV20).
E Ju (Abscess at the Forehead) is formed by fire-toxin arising at the forehead. It involves the Bladder Meridian on the sides and the Du Meridian in the center. A sunken, scorched, purple lesion without pus indicates severe disease; a high, red, swollen lesion with a gathered base indicates mild disease.
[Note] If this condition arises in the center of the forehead, it belongs to the Du Meridian; if it arises at the left or right frontal angles, it belongs to the Bladder Meridian. It is generally caused by fire-toxin. In the initial stage, if the sore top is sunken, dry, scorched, purple, and does not produce abundant pus, the pathogenic force is severe and the prognosis is critical. If it is red, swollen, high, and the base is gathered, the pathogenic force is mild and the prognosis is favorable. Initially, administer Jingfang Baidu San (Atractylodes and Saposhnikovia Decoction to Overcome Toxins) to induce sweating. Subsequently, administer Xianfang Huoming Yin (Immortal Life-Saving Decoction) to resolve swelling. As it approaches ulceration, if Qi is deficient, Tuoli Tou Nong Tang (Decoction to Support Interior and Penetrate Pus) should be taken; if Qi is sufficient, Tou Nong San (Pus-Penetrating Powder) should be taken, with Chonghe Gao (Harmonizing Plaster) applied externally. After ulceration, take Tuoli Pai Nong Tang (Decoction to Support Interior and Expel Pus), with Hupo Gao (Amber Plaster) applied externally. Other internal and external treatments follow the sections on Carbuncles and Ulcers.
Jingfang Baidu San (see Neck Brain Carbuncle section)
Xianfang Huoming Yin (see Swollen Sore section)
Tuoli Tou Nong Tang (see preceding Brain-invading Carbuncle section)
Tou Nong San, Chonghe Gao (both see Swollen Sore section)
Tuoli Pai Nong Tang (see Neck Fish-tail Toxicity section)
Hupo Gao (see Inner Hairline Sore section)
Yong Ju (Brave Abscess) arises posterior to the Taiyang acupoint, belonging to the Gallbladder Meridian where fire-toxin lies latent. Its shape resembles a crouching mouse. If it does not ulcerate within seven days, the toxin attacks the eyes. Yellow pus is auspicious; black blood is ominous.
[Note] This condition is also named Yong Ju or Naofa Ju (Hair-root Abscess of the Brain). It belongs to the Foot-Shaoyang Gallbladder Meridian and is caused by latent fire-toxin from anger. It arises five fen posterior to the outer canthus. Lesions at the Taiyang acupoint may occur on either side. Initially, it resembles millet grains, gradually becoming swollen and painful, resembling a crouching mouse, with facial edema. If pus should form after seven days but fails to ulcerate, fire-toxin attacks the eyes, causing rotting and damage. If yellow pus is discharged upon needling on the eleventh day, the toxin resolves with the pus, indicating a Favorable pattern that is easy to treat. If purple-black blood is discharged, it indicates Qi deficiency failing to transform the toxin, representing a Reverse pattern that is difficult to treat. Initially, administer Xianfang Huoming Yin (Immortal Life-Saving Decoction) to clear and resolve toxicity. If toxicity is severe, administer Neishu Huanglian Tang (Internal-Draining Coptis Decoction), with Erwei Baidu San (Two-Ingredient Toxin-Extracting Powder) applied externally. Treatment for the pre-ulcerative and post-ulcerative stages follows the sections on Swollen Sores and Ulcers of Carbuncles. After ulceration, avoid wind and water.
Xianfang Huoming Yin, Neishu Huanglian Tang, Erwei Baidu San (all see Swollen Sore section)