流注原有证数般，湿痰瘀风汗后寒，发无定处连肿漫，溃近骨节治难痊，此证本由
脾胃弱，留结肌肉骨筋间。
【注】此证名虽无殊，其原各异，盖人之血气，每日周身流行，自无停息，或因湿
痰，或因瘀血，或因风湿，或因伤寒汗后余毒，或因欲后受寒，稽留于肌肉之中，致令
气血不行，故名流注。
诸家书云∶流者流行，注者住也，发无定处，随在可生，初发漫肿无头，皮色不变，
凝结日久，微热渐痛，透红一点，方是脓熟，即宜用针开破，若湿痰化成者，脓色粘白；
瘀血化成者，脓色金黄；粘水风湿化成者，脓色稀白如豆汁；汗后八邪化成者，脓色或
黄、或黑、稀脓臭秽；以上四证，发在肉浓处可愈，发在骨节及骨空处难痊，淫欲受寒
化成者，脓色稀白而腥，其水中有猪脂水油之状，此为败浆脓也，诸书虽有治法，终成
败证。初起湿痰所中者，木香流气饮导之；产后瘀血所中者，通经导滞汤通活之；跌扑
伤损瘀血所中者，宜散瘀葛根汤逐之；风湿所中者，万灵丹、五积散加附子温散之；汗
后余邪发肿者，人参败毒散散之；房欲后外寒侵袭者，初宜服五积散加附子，次服附子
余物汤温之；又有室女、孀妇郁怒伤肝，思虑伤脾而成者，宜服归脾汤加香附青皮散
之，此皆流注初起将成之法，一服至三四服皆可。外俱用乌龙膏或冲和膏敷贴，皮肉不
热者，雷火神针针之，轻者即消，重者其势必溃；将溃时俱宜服托里透脓汤，已溃俱服
人参养荣汤；久溃脓水清稀，饮食减少，不能生肌收敛者，俱宜服调中大成汤，久溃脓
水清稀，精神怯少，渐成漏证者，俱宜服先天大造丸。溃后其余治法，俱按痈疽溃疡门
参考。
\r流注图\p04-34a231.bmp\r
通经导滞汤
当归 熟地 赤芍 川芎 枳壳（麸炒） 紫苏 香附 陈皮 丹皮 红花 牛膝（各一
钱） 独活 甘草（节，各五分）
水二盅，煎八分，入酒一杯，食前服。
【方歌】通经导滞产后疾，败血流瘀肿痛积，四物枳苏香附陈，丹皮独草红花膝。
散瘀葛根汤
葛根 川芎 半夏（制） 桔梗 防风 羌活 升麻（各八分） 细辛 甘草（生） 香附
红花 苏叶 白芷（各六分）
水二盅，葱三根，姜三片，煎八分，不拘时服。
【方歌】散瘀葛根瘀血凝，皆因跌扑流注成，芎半桔风羌细草，香附红花苏芷升。
附子八物汤
附子（制） 人参 白术（土炒） 白茯苓 当归 熟地 川芎 白芍（酒炒，各一钱） 木香
肉桂 甘草（炙，各五分）
水二盅，姜三片，红枣肉一枚，煎八分，食远服。
【方歌】附子八物医流注，房欲伤阴外寒入，木香肉桂八珍汤，姜枣水煎食远服。
调中大成汤
人参（二钱） 白术（土炒） 白茯苓 黄 山药（炒） 丹皮 当归身 白芍（酒炒） 陈皮（各
一钱） 肉桂 附子（制，各八分） 远志（去心） 藿香 缩砂仁 甘草（炙，各五分）
水二盅，煨姜三片，红枣肉二枚，煎八
分，食远服。
【方歌】调中大成四君 ，山药丹皮归芍宜，远藿缩砂陈桂附，能医流注溃脓稀。
木香流气饮（见疔疮门）
万灵丹 乌龙膏 冲和膏（俱见肿疡门）
五积散（见内痈部肾痈）
人参败毒散（即荆防败毒散减去荆防，见项部脑疽）
归脾汤（见乳部乳中结核）
雷火神针（见股部附骨疽）
托里透脓汤（见头部侵脑疽）
人参养荣汤（见溃疡门）
先天大造丸（见臀部鹳口疽）
流注病原有多种证型，包括湿痰、瘀血、风湿以及伤寒汗后余毒等。其特点是发病部位不固定，肿胀弥漫连片，溃破后若靠近骨节则难以痊愈。此证的本质是由于脾胃虚弱，导致邪气留结在肌肉、骨骼和筋腱之间。
【注释】这种病症虽然名称相同，但病因各异。人的气血每天在周身循环流动，没有片刻停息。如果因为湿痰、瘀血、风湿，或者因为伤寒发汗后的余毒，又或者是房事之后感受寒邪，这些邪气稽留在肌肉之中，致使气血运行不畅，所以称为“流注”。
各家医书说：“流”指流行，“注”指停留。发病部位不固定，随处都可能发生。初起时表现为漫肿无头，皮色不变；凝结日久后，出现微热并逐渐疼痛，直到透出红点，才是脓液成熟，此时应当立即用针切开排脓。如果是湿痰化成的脓，颜色粘白；瘀血化成的脓，颜色金黄；湿、痰、风、湿（此处原文似有重复或笔误，结合语境应为湿痰风湿合邪）化成的脓，颜色稀白如豆汁；汗后八邪化成的脓，颜色或黄或黑，脓液稀薄且气味臭秽。以上四种证型，发生在肌肉丰厚处可以治愈，发生在骨节及骨空处则难愈。因淫欲过度受寒化成的脓，颜色稀白且有腥味，水中漂浮着像猪脂油一样的物质，这是败浆脓，虽然各书虽有治法，但最终多成为败证。
初起由湿痰引起的，用木香流气饮疏导；产后由瘀血引起的，用通经导滞汤疏通活血；跌打损伤瘀血引起的，用散瘀葛根汤驱逐瘀血；风湿引起的，用万灵丹、五积散加附子温散；汗后余邪引起肿胀的，用人参败毒散发散；房事后外寒侵袭的，初起宜服五积散加附子，随后服附子八物汤温补；又有处女、寡妇因郁怒伤肝、思虑伤脾而形成的，宜服归脾汤加香附、青皮疏散。这些都是流注初起将成时的治疗方法，服用一至四剂即可。外用均使用乌龙膏或冲和膏敷贴；皮肉不热的，用雷火神针灸治，轻者即消，重者必然溃破；将溃时均宜服托里透脓汤；已溃破后均服人参养荣汤；久溃后脓水清稀，饮食减少，不能生肌收敛的，均宜服调中大成汤；久溃后脓水清稀，精神怯弱，渐成漏证的，均宜服先天大造丸。溃后的其他治法，均参照痈疽溃疡门的内容。
通经导滞汤
当归、熟地黄、赤芍、川芎、枳壳（麸炒）、紫苏、香附、陈皮、牡丹皮、红花、牛膝（各一钱），独活、甘草（节，各五分）。
用水二盅，煎至八分，加入酒一杯，饭前服用。
【方歌】通经导滞治产后疾，败血流瘀致肿痛积聚，方含四物、枳壳、紫苏、香附、陈皮，再加丹皮、独活、甘草、红花、牛膝。
散瘀葛根汤
葛根、川芎、半夏（制）、桔梗、防风、羌活、升麻（各八分），细辛、甘草（生）、香附、红花、苏叶、白芷（各六分）。
用水二盅，葱三根，姜三片，煎至八分，不拘时候服用。
【方歌】散瘀葛根汤治瘀血凝，皆因跌打损伤致流注成，方含川芎、半夏、桔梗、防风、羌活、细辛、甘草，再加香附、红花、苏叶、白芷、升麻。
附子八物汤
附子（制）、人参、白术（土炒）、白茯苓、当归、熟地黄、川芎、白芍（酒炒，各一钱），木香、肉桂、甘草（炙，各五分）。
用水二盅，姜三片，红枣肉一枚，煎至八分，饭后较远时间服用。
【方歌】附子八物汤医治流注，因房劳伤阴兼外寒入侵，方含木香、肉桂及八珍汤底，加姜枣水煎饭后服。
调中大成汤
人参（二钱）、白术（土炒）、白茯苓、黄芪、山药（炒）、牡丹皮、当归身、白芍（酒炒）、陈皮（各一钱），肉桂、附子（制，各八分），远志（去心）、藿香、缩砂仁、甘草（炙，各五分）。
用水二盅，煨姜三片，红枣肉二枚，煎至八分，饭后较远时间服用。
【方歌】调中大成汤治流注溃后脓稀，方含四君子汤、山药、丹皮、当归、白芍为宜，再加远志、藿香、缩砂仁、陈皮、肉桂、附子，能医流注溃后脓液清稀之症。
木香流气饮（见疔疮门）
万灵丹、乌龙膏、冲和膏（俱见肿疡门）
五积散（见内痈部肾痈）
人参败毒散（即荆防败毒散减去荆芥、防风，见项部脑疽）
归脾汤（见乳部乳中结核）
雷火神针（见股部附骨疽）
托里透脓汤（见头部侵脑疽）
人参养荣汤（见溃疡门）
先天大造丸（见臀部鹳口疽）
Liu Zhu (Flowing Abscess) originally presents with several types of syndromes, including damp-phlegm (Damp-Phlegm), blood stasis (Blood Stasis), wind-dampness (Wind-Dampness), and residual toxins after sweating from cold damage (Cold Damage). Its characteristics are that the onset location is indefinite, swelling is diffuse and spreading, and if it ulcerates near bone joints, it is difficult to cure. The root of this syndrome lies in the weakness of the Spleen and Stomach, causing pathogens to accumulate between muscles, bones, and tendons.
[Note] Although this syndrome shares a name, its origins vary. Human Qi and Blood circulate throughout the body daily without pause. If due to damp-phlegm, blood stasis, wind-dampness, or residual toxins after sweating from Cold Damage, or if cold pathogens invade after sexual intercourse, these pathogens linger in the muscles, obstructing the flow of Qi and Blood, hence named "Liu Zhu" (Flowing Abscess).
Various medical texts state: "Liu" means flowing, "Zhu" means stopping. The onset location is indefinite, occurring anywhere. Initially, it presents as diffuse swelling without a head, with unchanged skin color. After long-term accumulation, slight heat and gradual pain appear; only when a red spot emerges is the pus considered mature, at which point it should be incised with a needle immediately. If formed by damp-phlegm, the pus is sticky and white; if formed by blood stasis, the pus is golden yellow; if formed by dampness, phlegm, wind, and dampness, the pus is thin and white like bean curd dregs; if formed by eight external pathogens after sweating, the pus is either yellow or black, thin and foul-smelling. Among the above four syndromes, those occurring in fleshy areas can be cured, while those occurring in bone joints and hollows are difficult to cure. Pus formed due to excessive sexual activity followed by cold invasion is thin, white, and fishy, containing substances resembling pork lard oil floating in water; this is called "Bai Jiang Nong" (Decayed Pus). Although various books have treatment methods, they ultimately become refractory cases.
For initial onset caused by damp-phlegm, use Muxiang Liqi Yin (Costus Flowing Qi Decoction) to guide it out; for postpartum onset caused by blood stasis, use Tongjing Daoshi Tang (Unblocking Meridians and Guiding Stagnation Decoction) to unblock and activate circulation; for onset caused by traumatic injury and blood stasis, use San Yu Gegen Tang (Dispersing Stasis and Pueraria Decoction) to expel stasis; for onset caused by wind-dampness, use Wanling Dan (Myriad Spirits Pill) and Wuji San (Five Accumulations Powder) with Fuzi (Prepared Aconite Root) to warm and disperse; for swelling caused by residual pathogens after sweating, use Renshen Baidu San (Ginseng Resolving Toxins Powder) to dissipate; for external cold invasion after sexual intercourse, initially take Wuji San (Five Accumulations Powder) with Fuzi (Prepared Aconite Root), followed by Fuzi Bayi Tang (Aconite Eight Substances Decoction) to warm; for virgins or widows forming this condition due to anger injuring the Liver and overthinking injuring the Spleen, take Guipi Tang (Restore the Spleen Decoction) with Xiangfu (Cyperus Rhizome) and Qingpi (Green Tangerina Peel) to disperse. These are all methods for treating Liu Zhu (Flowing Abscess) in its early stages before full formation, taking one to four doses is sufficient. Externally, apply Wulong Gao (Black Dragon Ointment) or Chonghe Gao (Harmonizing Ointment); for areas where skin and flesh are not hot, treat with Leihuo Shenzhen (Thunder-Fire Divine Needle) moxibustion; mild cases resolve immediately, severe cases will inevitably ulcerate. When about to ulcerate, take Tuoli Tou Nong Tang (Supporting Interior and Penetrating Pus Decoction); after ulceration, take Renshen Yangrong Tang (Ginseng Nourishing Vigor Decoction). For chronic ulcers with thin clear pus, reduced appetite, and inability to generate muscle tissue and close wounds, take Tiaozhong Dacheng Tang (Regulating Middle and Completing Formation Decoction); for chronic ulcers with thin clear pus, weak spirit, gradually developing into fistulas, take Xiantian Dazao Wan (Heavenly Origin Great Creation Pill). Other treatments after ulceration refer to the Ulcerated Sores section of the Carbuncle and Ulcer Gate.
Tongjing Daoshi Tang (Unblocking Meridians and Guiding Stagnation Decoction)
Danggui (Angelicae Sinensis Radix), Shudi (Rehmanniae Radix Preparata), Chi Shao (Paeoniae Radix Rubra), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhike (Aurantii Fructus Immaturus, bran-fried), Zisu (Perillae Folium), Xiangfu (Cyperi Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Danpi (Moutan Cortex), Honghua (Carthami Flos), Niuxi (Achyranthis Bidentatae Radix) (each 1 qian), Duhuo (Angelicae Pubescentis Radix), Gancao (Glycyrrhizae Radix et Rhizoma, knotted) (each 0.5 qian).
Boil in two bowls of water until reduced to 0.8 bowl, add one cup of wine, take before meals.
[Fang Ge]: Tongjing Daoshi treats postpartum diseases,敗血 (decayed blood) and blood stasis cause swelling and pain accumulation; the formula contains Siwu (Four Substances), Zhike, Zisu, Xiangfu, Chenpi, plus Danpi, Duhuo, Gancao, Honghua, and Niuxi.
Sanyu Gegen Tang (Dispersing Stasis and Pueraria Decoction)
Gegen (Puerariae Lobatae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Banxia (Pinelliae Rhizoma Preparatum), Jiegeng (Platycodonis Radix), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Shengma (Cimicifugae Rhizoma) (each 0.8 fen), Xixin (Asari Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, raw), Xiangfu (Cyperi Rhizoma), Honghua (Carthami Flos), Ziye (Perillae Folium), Baizhi (Angelicae Dahuricae Radix) (each 0.6 fen).
Boil in two bowls of water with three stalks of green onion and three slices of ginger until reduced to 0.8 bowl, take at any time.
[Fang Ge]: Sanyu Gegen disperses stasis and resolves blood coagulation, often caused by falls and trauma leading to Liu Zhu (Flowing Abscess); the formula contains Chuanxiong, Banxia, Jiegeng, Fangfeng, Qianghuo, Xixin, Gancao, plus Xiangfu, Honghua, Ziye, Baizhi, and Shengma.
Fuzi Bayi Tang (Aconite Eight Substances Decoction)
Fuzi (Aconiti Lateralis Radix Preparata), Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma, earth-fried), Baifuling (Poria), Danggui (Angelicae Sinensis Radix), Shudi (Rehmanniae Radix Preparata), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba, wine-fried) (each 1 qian), Muxiang (Aucklandiae Radix), Rougui (Cinnamomi Cortex), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (each 0.5 qian).
Boil in two bowls of water with three slices of ginger and one piece of jujube flesh until reduced to 0.8 bowl, take well after meals.
[Fang Ge]: Fuzi Bayi Tang treats Liu Zhu (Flowing Abscess), caused by sexual exhaustion injuring Yin and external cold invading; the formula contains Muxiang, Rougui, and Bazhen Tang (Eight Treasures Decoction), boiled with ginger and jujube, taken well after meals.
Tiaozhong Dacheng Tang (Regulating Middle and Completing Formation Decoction)
Renshen (Ginseng Radix) (2 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, earth-fried), Baifuling (Poria), Huangqi (Astragali Membranacei Radix), Shanyao (Dioscoreae Rhizoma, fried), Danpi (Moutan Cortex), Dangguishen (Angelicae Sinensis Radix, heart), Baishao (Paeoniae Radix Alba, wine-fried), Chenpi (Citri Reticulatae Pericarpium) (each 1 qian), Rougui (Cinnamomi Cortex), Fuzi (Aconiti Lateralis Radix Preparata) (each 0.8 fen), Yuanzhi (Polygalae Radix, heart removed), Huoxiang (Agastaches Herba), Suosharen (Amomi Fructus Rotundus), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (each 0.5 fen).
Boil in two bowls of water with three slices of baked ginger and two pieces of jujube flesh until reduced to 0.8 bowl, take well after meals.
[Fang Ge]: Tiaozhong Dacheng Tang treats Liu Zhu (Flowing Abscess) with thin pus after ulceration; the formula includes Sijunzi Tang (Four Gentlemen Decoction), Shanyao, Danpi, Danggui, and Baishao; adding Yuanzhi, Huoxiang, Suosharen, Chenpi, Rougui, and Fuzi can treat thin pus from ulcerated Liu Zhu (Flowing Abscess).
Muxiang Liqi Yin (Costus Flowing Qi Decoction) (See Ding Chuang Gate)
Wanling Dan (Myriad Spirits Pill), Wulong Gao (Black Dragon Ointment), Chonghe Gao (Harmonizing Ointment) (All see Zhongyang Gate)
Wuji San (Five Accumulations Powder) (See Internal Carbuncles, Kidney Carbuncle)
Renshen Baidu San (Ginseng Resolving Toxins Powder) (i.e., Jingfang Baidu San minus Jingjie and Fangfeng, see Neck, Brain Carbuncle)
Guipi Tang (Restore the Spleen Decoction) (See Breast, Intramammary Nodule)
Leihuo Shenzhen (Thunder-Fire Divine Needle) (See Thigh, Deep Bone Carbuncle)
Tuoli Tou Nong Tang (Supporting Interior and Penetrating Pus Decoction) (See Head, Brain-Penetrating Carbuncle)
Renshen Yangrong Tang (Ginseng Nourishing Vigor Decoction) (See Ulcerated Sores Gate)
Xiantian Dazao Wan (Heavenly Origin Great Creation Pill) (See Buttock, Stork-Mouth Carbuncle)