内消表散有奇功，脉证俱实用最灵，脉证俱虚宜兼补，发渴便秘贵疏通。清热解毒
活气血，更看部位属何经，主治随加引经药，毒消肌肉自然平。
【注】经云∶发表不远热。又云∶汗之则疮已。故曰内消表散有奇功也。惟脉证俱实
者，斯可用之。若脉证俱虚，便宜兼补，发渴便秘，须急疏行，不可概施表散之剂也。痈
疽皆因气血凝结，火毒太盛所致。故以清热解毒，活气活血为主。更宜详看部位，属何
经络，即用引经之药以治之，则肿痛自消，肌肉自平矣。
已成不起更无脓，坚硬不赤或不疼，脓少清稀口不敛，大补气血调卫荣，佐以祛毒
行滞品，寒加温热御寒风，肿消脓出腐肉脱，新生口敛内托功。
【注】凡疮肿已成，不能突起，亦难溃脓，或坚肿不赤而疼，或不疼，脓少清稀，疮口
不合，皆气血虚也。宜以大补气血，调和荣卫为君，祛毒为佐，加以辛香，行其郁滞，加
以温热，御其风寒，候脓出肿消，腐肉尽去，气血充足，新肉自然生矣。
痈疽未脓灸最良，药服托里自安康，发热恶寒身拘紧，无汗表散功最长。肿硬口干
二便秘，下利毒热自然凉， 痛热盛烦躁渴，便和清热自吉昌。内脓不出瘀肉塞，用刀开
割法相当，软漫无脓不腐溃，宜服温补助生阳。溃后新肉如冻色，倍加温热自吉祥，大
汗亡阳桂枝附，自汗肢厥四逆汤。脾虚溃后肌消瘦，脓水清稀面白黄，不眠发热疮口懈，
食少作渴大便溏，宜服清补助脾剂，投方应证保无妨。
【注】凡治痈疽，不问阴阳表里，日数远近，但未见脓时，俱宜灸之。 肿发热脉浮
者，宜用托里之药。若脉紧，发热恶寒，遍身拘紧无汗者，宜用表散之药。肿硬口干，二
便秘涩者，宜用下利之药，以泄其毒。热 痛势深，烦躁饮冷，口燥舌干便和者，宜用
清热之药。内脓不出，瘀肉堵塞疮口者，用刀开割之。软漫无脓，不腐溃者，阳虚也，助
以温补之剂以生其阳。溃后新肉生迟，如冻色者，肉冷肌寒也，宜倍加温热之药。如大
汗不止者，亡阳也，宜用桂枝、附子等药。自汗肢厥者，宜用四逆汤。若溃后肌肉消瘦，脓
水清稀，面色黄白者，脾虚也；不寐发热者，虚火上炎也；疮口懈大者，气陷不固也；食
少作渴，大便溏者，脾虚热也，俱宜服清补助脾之药。
内消法通过解表散邪具有奇效，当脉象和症状都表现为实证时应用最为灵验；若脉象和症状都表现为虚证，则应当兼用补益法；出现口渴、便秘的情况，贵在及时疏通。清热解毒并调和气血，更要根据病变部位所属的经络，在主治方药基础上加入引经药，毒邪消除后肌肉自然平复。
【注】古籍记载：“发表（解表）不宜远离热性药物。”又说：“发汗则疮疡可愈。”所以说内消解表散邪有奇效。只有脉象和症状都属实证者，才可以使用此法。如果脉象和症状都属虚证，就应当兼用补法；出现口渴、便秘，必须紧急疏通行滞，不可一概使用解表散邪的药剂。痈疽都是因为气血凝结、火毒太盛所致。所以以清热解毒、行气活血为主。更应详细查看病变部位属于哪条经络，即使用引经药来治疗，那么肿痛自然消退，肌肉自然平复。
疮疡已经成形但不起发，也没有脓液，患处坚硬不红或者不疼痛，脓液少且清稀，疮口不收敛，这是气血虚弱，宜大补气血以调和营卫，辅以祛毒行滞的药物，寒证加温热药以抵御风寒，待肿消脓出腐肉脱落，新肉生长疮口愈合，这就是内托法的功效。
【注】凡是疮肿已经成形，不能突起，也难以溃破排脓，或者坚肿不红而痛，或者不痛，脓液少且清稀，疮口不合拢，这都是气血虚弱的表现。应当以大补气血、调和营卫为君药，祛毒为佐药，加入辛香之品以行其郁滞，加入温热之品以御其风寒，等到脓出肿消，腐肉尽去，气血充足，新肉自然生长。
痈疽在未成脓时，艾灸效果最好，服用托里透脓的药物自能安康；若伴有发热恶寒、身体拘紧无汗的症状，解表散邪的功效最长；若患处肿硬、口干、二便不通，使用通下利导的药物可使毒热自然清凉；若疼痛剧烈、热盛烦躁口渴，大便正常，使用清热药物自能吉祥；若内部脓液不出，瘀肉堵塞，用刀切开割除法相当适宜；若患处软漫无脓且不腐溃，宜服用温补助阳的药物。溃破后新肉生长迟缓，颜色如冻伤般苍白，加倍使用温热药物自能吉祥；大汗淋漓导致亡阳的，用桂枝加附子汤；自汗且四肢厥冷的，用四逆汤。脾虚者在溃破后肌肉消瘦，脓水清稀，面色黄白，失眠发热，疮口松弛，食少口渴，大便溏薄，宜服用清补助脾的药剂，处方对症即可保证无妨。
【注】凡是治疗痈疽，不论阴阳表里，也不论病程长短，只要未见脓液时，都适宜艾灸。肿胀发热、脉浮的，宜用托里透脓的药物。若脉紧，发热恶寒，全身拘紧无汗的，宜用解表散邪的药物。肿硬口干，二便涩滞不通的，宜用通下利导的药物，以泄解毒邪。热痛势深，烦躁喜冷饮，口燥舌干但大便正常的，宜用清热药物。内部脓液不出，瘀肉堵塞疮口的，用刀切开割除。患处软漫无脓，不腐溃的，是阳虚，辅助使用温补药物以生阳气。溃破后新肉生长迟缓，颜色如冻伤的，是肉冷肌寒，宜加倍使用温热药物。如大汗不止的，是亡阳，宜用桂枝、附子等药物。自汗且四肢厥冷的，宜用四逆汤。若溃破后肌肉消瘦，脓水清稀，面色黄白的，是脾虚；不寐发热的，是虚火上炎；疮口松弛扩大的，是气陷不固；食少口渴，大便溏薄的，是脾虚热，都宜服用清补助脾的药物。
Internal resolution through exterior-releasing dispersion possesses miraculous efficacy; it is most effective when both the pulse and symptoms indicate excess patterns. When both pulse and symptoms indicate deficiency patterns, tonification should be combined. In cases of thirst and constipation, prompt unblocking and purging are essential. Clear heat and detoxify, invigorate qi and blood, and further determine which meridian the affected area belongs to. Add channel-guiding herbs to the primary treatment formula; once the toxin is eliminated, the flesh will naturally heal.
[Note] Ancient texts state: "Exterior-releasing methods do not distance themselves from hot-natured substances." It also states: "Sweating leads to the healing of sores." Hence, it is said that internal resolution via exterior-releasing dispersion has miraculous effects. This method is applicable only when both pulse and symptoms indicate excess patterns. If pulse and symptoms indicate deficiency patterns, tonification should be employed concurrently. In cases of thirst and constipation, urgent unblocking and moving stagnation are required; one must not indiscriminately apply exterior-releasing formulas. Carbuncles and sores are caused by the coagulation of qi and blood and excessive fire-toxin. Therefore, the main treatment focuses on clearing heat, detoxifying, promoting qi circulation, and activating blood. One must carefully examine the location to determine the involved meridians and use channel-guiding herbs for treatment, so that swelling and pain will subside naturally, and the flesh will heal.
When a sore has formed but fails to protrude and produces no pus, appearing hard, non-red, or painless, with scanty thin pus and an unhealed wound, this indicates qi and blood deficiency. One should greatly tonify qi and blood to harmonize Ying (Nutritive) and Wei (Defensive) Qi, assisted by herbs that dispel toxins and move stagnation. For cold patterns, add warm-hot herbs to ward off wind-cold. Once swelling subsides, pus drains, and necrotic tissue falls away, new flesh grows and the wound closes, demonstrating the efficacy of internal support (Nei Tuo).
[Note] Whenever a swelling has formed but cannot protrude or suppurate, or appears hard and swollen without redness and pain, or presents with scanty thin pus and an unhealed wound, these are signs of qi and blood deficiency. The treatment should prioritize greatly tonifying qi and blood and harmonizing Ying and Defensive Qi as the sovereign herbs, with toxin-dispelling herbs as assistants. Add acrid-aromatic herbs to resolve stagnation and warm-hot herbs to resist wind-cold. Once pus drains, swelling subsides, and necrotic tissue is completely removed, and qi and blood are sufficient, new flesh will naturally grow.
For carbuncles and sores before suppuration, moxibustion is most beneficial, and taking internal support formulas ensures safety. If accompanied by fever, aversion to cold, and body stiffness without sweat, exterior-releasing methods yield the best results. If the area is swollen and hard, with dry mouth and constipation/urinary retention, purgative and draining herbs cool the toxic heat naturally. If pain and heat are severe with irritability, thirst, but normal bowel movements, clearing-heat herbs bring auspicious outcomes. If internal pus does not emerge and necrotic tissue blocks the wound, surgical incision is appropriate. If the area is soft and flat without pus or necrosis, it indicates yang deficiency, and warming-tonifying herbs should be used to generate yang. After ulceration, if new flesh grows slowly and appears pale like frostbite, increase the dosage of warm-hot herbs for good fortune. For profuse sweating leading to collapse of yang, use Guizhi Fuzi Tang (Cinnamon Twig and Aconite Decoction); for spontaneous sweating and cold limbs, use Sini Tang (Four Reversal Decoction). For spleen deficiency after ulceration, characterized by emaciation, thin pus, sallow complexion, insomnia, fever, loose wounds, poor appetite, thirst, and loose stools, take clear-tonifying and spleen-supplementing formulas; matching the prescription to the syndrome guarantees safety.
[Note] In treating carbuncles and sores, regardless of yin/yang or exterior/interior differentiation, and regardless of duration, moxibustion is suitable as long as pus has not formed. For swelling with fever and floating pulse, internal support herbs are indicated. For tight pulse, fever, aversion to cold, and generalized stiffness without sweat, exterior-releasing herbs are indicated. For hardness, dry mouth, and obstructed urination and defecation, purgative herbs are used to drain toxicity. For deep-seated painful heat, irritability, preference for cold drinks, dry mouth and tongue, but normal stool, clearing-heat herbs are indicated. For internal pus retention blocked by necrotic tissue, surgical incision is required. For soft, flat areas without pus or necrosis, indicating yang deficiency, warming-tonifying herbs are used to generate yang. For slow new flesh growth after ulceration with a frost-like appearance, indicating cold flesh and muscle, warm-hot herbs should be doubled. For incessant sweating indicating collapse of yang, herbs such as Guizhi (Cinnamon Twig) and Fuzi (Prepared Aconite Root) are used. For spontaneous sweating and cold extremities, Sini Tang (Four Reversal Decoction) is used. For post-ulceration muscle wasting, thin pus, sallow complexion, indicating spleen deficiency; insomnia and fever, indicating deficient fire flaming upward; loose and dilated wounds, indicating sinking qi and insecurity; poor appetite, thirst, and loose stools, indicating spleen deficiency with heat—all these require clear-tonifying and spleen-supplementing herbs.