冲疽脐上二寸生，心火毒炽入肾红，高肿 痛速溃吉，若见七恶定然凶。
【注】此证生于任脉，脐上二寸下脘穴。一名中发疽，又名壅肾疮。由心火炽盛，流
入肾经而成。色赤高肿，应在二十一日溃破，脓稠受补者顺。初宜疮科流气饮，或仙方活
命饮消之。脓将成时，内外治法，俱按痈疽肿疡、溃疡门。其证若平塌紫黑，脓水清稀，
七恶证见者逆。
\r冲疽图\p04-34a125.bmp\r
疮科流气饮（见背部痰注发）
仙方活命饮（见肿疡门）
（附∶脐中出水）
脐痈毒发在脐中，肿大如瓜突若铃，无红无热宜蒜灸，稠脓为吉污水凶。
【注】此证由心经火毒，流入大肠、小肠所致。生于脐中，属任脉经神阙穴，此穴禁
针。肿大如瓜，高突若铃，无红无热，最宜隔蒜灸之。初宜服仙方活命饮加升麻消之；便
结实者，内疏黄连汤通利之；将欲成脓，内外治法，俱按痈疽肿疡、溃疡门。溃后得稠
脓者顺，时出污水臭秽者逆。亦有脐中不痛、不肿、甚痒，时津黄水，此属肠胃湿热积久，
宜服黄连平胃散，外用三妙散干撒渗湿即愈。当忌酒、面、生冷、果菜，不致再发。若水
出不止者，亦属逆。
\r脐痈图\p04-34a126.bmp\r
黄连平胃散
黄连（五钱） 陈皮 浓朴（姜炒，各三钱） 甘草（生，二钱） 苍术（炒，一两）
共研细末，每服三钱，白滚水调服。
【方歌】黄连平胃散陈甘，浓朴苍术共细研，专除湿热兼消积，能令脐水立时干。
三妙散
槟榔 苍术（生） 黄柏（生，各等分）
共研细末，干撒肚脐，出水津淫成片，止痒渗湿；又治湿癣，以苏合油调搽甚效。
【方歌】三妙散用槟榔苍，黄柏同研渗湿疮，苏合油调治湿癣，收干止痒效称强。
隔蒜灸法（见首卷灸法）
仙方活命饮 内疏黄连汤（俱见肿疡门）
冲疽生于脐上二寸处，由心火毒邪炽盛并传入肾经所致，患处颜色发红。若肿块高起肿胀、疼痛剧烈且迅速溃破，为吉兆；若出现“七恶”证候，则必然凶险。
【注】此证发生在任脉，具体位置在脐上二寸的下脘穴。又名中发疽，又称壅肾疮。病因是心火炽盛，流注于肾经而成。表现为色赤、高肿，应在二十一日左右溃破，若脓液稠厚且患者能耐受补益疗法，属顺证。初期宜用疮科流气饮，或仙方活命饮以消散之。脓液即将形成时，内治与外治方法，均参照痈疽肿疡、溃疡章节进行。若患处平塌、色呈紫黑，脓水清稀，并出现七恶证候者，属逆证。
（附：脐中出水）
脐痈毒发于脐中，肿胀大如瓜，突起状若铃铛，无红肿发热现象，适宜采用隔蒜灸法治疗；若出稠脓为吉，出污水则为凶。
【注】此证由心经火毒流入大肠、小肠所致。生于脐中，属于任脉经的神阙穴，此穴位禁止针刺。患处肿大如瓜，高突若铃，无红无热，最适宜采用隔蒜灸法。初期宜服用仙方活命饮加升麻以消散之；若大便干结坚硬者，服用内疏黄连汤以通利之；脓液将成时，内外治法均参照痈疽肿疡、溃疡章节。溃破后若得到稠脓者为顺证，若时常流出污水且气味臭秽者为逆证。也有脐中不痛、不肿、极度瘙痒，时常渗出黄水的情况，这属于肠胃湿热积久所致，宜服用黄连平胃散，外用三妙散干粉撒敷以渗湿，即可痊愈。应当忌食酒、面食、生冷食物及瓜果蔬菜，以免复发。若脐中水流不止者，亦属逆证。
Chong Ju (Puncture Abscess) arises two cun above the umbilicus, caused by blazing Heart Fire toxin invading the Kidney meridian, resulting in redness. If the swelling is high and prominent, pain is severe, and it suppurates rapidly, it is auspicious; if the "Seven Evils" syndromes appear, it is definitely ominous.
[Note] This condition occurs on the Ren Mai (Conception Vessel), specifically at the Xiawan (CV10) acupoint, two cun above the umbilicus. It is also known as Zhongfa Ju (Middle Eruption Abscess) or Yong Shen Chuang (Congested Kidney Sore). It results from excessive Heart Fire flowing into the Kidney meridian. The presentation features redness and high swelling; it should suppurate around the twenty-first day. If the pus is thick and the patient can tolerate tonifying treatments, it is a favorable course. Initially, use Chuang Ke Liu Qi Yin (Wound Department Flowing Qi Decoction) or Xian Fang Huo Ming Yin (Immortal Life-Protecting Decoction) to dissipate it. When pus is about to form, internal and external treatment methods follow those outlined in the chapters on Sores and Ulcers of Carbuncles and Boils. If the lesion is flat, purple-black, with thin pus, and accompanied by the Seven Evils syndromes, it is an unfavorable course.
(Attachment: Oozing from the Umbilicus)
Qi Yong (Umbilical Carbuncle) develops in the center of the umbilicus, swelling large like a melon and protruding like a bell, without redness or heat. It is suitable for Garlic-Separated Moxibustion; thick pus indicates a good prognosis, while watery pus indicates a poor prognosis.
[Note] This condition is caused by Heart meridian fire-toxin flowing into the Large Intestine and Small Intestine. It arises in the umbilicus, belonging to the Shenque (CV8) acupoint of the Ren Mai (Conception Vessel); this acupoint is contraindicated for needle insertion. The swelling is large like a melon, protruding high like a bell, without redness or heat. It is most suitable for Garlic-Separated Moxibustion. Initially, take Xian Fang Huo Ming Yin (Immortal Life-Protecting Decoction) added with Sheng Ma (Cimicifugae Rhizoma) to dissipate it; if stool is dry and hard, take Nei Shu Huang Lian Tang (Internal Draining Coptis Decoction) to promote unblocking. When pus is about to form, internal and external treatments follow the chapters on Sores and Ulcers of Carbuncles and Boils. After ulceration, the emergence of thick pus is favorable, while frequent discharge of foul-smelling watery pus is unfavorable. There are cases where the umbilicus is neither painful nor swollen but extremely itchy, with yellow fluid oozing intermittently; this belongs to long-standing damp-heat accumulation in the Stomach and Intestines. One should take Huang Lian Ping Wei San (Coptis Harmonize the Stomach Powder) and apply San Miao San (Three Marvels Powder) externally as a dry dusting to drain dampness, which will lead to recovery. Alcohol, wheat products, raw/cold foods, and fruits/vegetables must be avoided to prevent recurrence. If water flows out incessantly, it is also considered unfavorable.