渊疽肝胆忧恚成，生于肋下硬肿疼，溃破有声内膜透，未溃当服护膜灵。
【注】此证因忧恚太过，以致肝胆两伤而成。生于肋下，初起坚硬，肿而不红，日久
方溃，得稠白脓者顺，如豆浆水者险。疮口有声，似乎儿啼，此属内膜透也。即于阳陵
泉穴，灸二七壮，其声即止，穴在膝膑骨外 下一寸陷中，蹲坐取之即得。内外治法，皆
同肋疽。凡肋、胸、胁、腰、腹空软之处发痈疽者，当在将溃未溃之际，多服护膜散，可
免透膜之患。
\r渊疽图\p04-34a134.bmp\r
护膜散
白蜡 白芨（各等分）
共研细末，轻剂一钱，中剂二钱，大剂三钱，黄酒调服，米汤亦可。
【方歌】护膜散内二味药，白蜡白芨为细
末，或酒或以米汤调，将脓预服不透膜。
丹毒肝脾热极生，肋上腰胯赤霞形，急宜砭出紫黑血，呕哕昏胀毒内攻。
【注】此证由肝、脾二经，热极生风所致，生于肋骨，延及腰胯，色赤如霞，游走如云，
痛如火燎。急向赤肿周遭，砭出紫黑血，以瘦牛肉片贴之（羊肉片亦可），其毒即可减半。
初服双解贵金丸汗之，次服化斑解毒汤，投方应病者顺；若呕哕昏愦，胸腹 胀，遍身青
紫者，则为毒瓦斯内攻属逆。
\r内发丹毒图\p04-34a135.bmp\r
化斑解毒汤
升麻 石膏 连翘（去心） 牛蒡子（炒，研） 人中黄 黄连 知母 黑参（各一钱）
竹叶二十片，水二盅，煎八分服。
【方歌】化斑解毒热生风，致发丹毒云片红，升膏翘蒡中黄等，黄连知母黑参同。
双解贵金丸（见肿疡门）
渊疽由肝胆的忧愁和愤怒引起，生长在肋下，表现为坚硬、肿胀和疼痛。溃破时发出声音且内膜穿透，未溃破时应服用护膜灵。
【注】此证因过度忧愤，导致肝胆两伤而成。生于肋下，初起坚硬，肿而不红，日久方溃，得稠白脓者为顺，如豆浆水者险。疮口有声，似乎儿啼，此属内膜透也。即于阳陵泉穴，灸二七壮，其声即止，穴在膝膑骨外下一寸陷中，蹲坐取之即得。内外治法，皆同肋疽。凡肋、胸、胁、腰、腹空软之处发痈疽者，当在将溃未溃之际，多服护膜散，可免透膜之患。
护膜散
白蜡 白芨（各等分）
共研细末，轻剂一钱，中剂二钱，大剂三钱，黄酒调服，米汤亦可。
【方歌】护膜散内二味药，白蜡白芨为细末，或酒或以米汤调，将脓预服不透膜。
丹毒肝脾热极生，肋上腰胯赤霞形，急宜砭出紫黑血，呕哕昏胀毒内攻。
【注】此证由肝、脾二经，热极生风所致，生于肋骨，延及腰胯，色赤如霞，游走如云，痛如火燎。急向赤肿周遭，砭出紫黑血，以瘦牛肉片贴之（羊肉片亦可），其毒即可减半。初服双解贵金丸汗之，次服化斑解毒汤，投方应病者顺；若呕哕昏愦，胸腹胀，遍身青紫者，则为毒瓦斯内攻属逆。
Yuan Ju (Abyssal Abscess) arises from sorrow and indignation affecting the Liver and Gallbladder. It manifests as hardness, swelling, and pain under the ribs. Upon rupture, it produces sound and penetrates the inner membrane; before rupture, Huma Ling should be administered.
[Note] This condition results from excessive sorrow and indignation, causing injury to both the Liver and Gallbladder. It appears under the ribs, initially hard, swollen but not red. After a long time, it ruptures. The emergence of thick, white pus indicates a favorable prognosis, while pus resembling bean curd water indicates danger. The sound from the wound resembles a child's cry, indicating penetration of the inner membrane. Apply moxibustion with seven moxa cones (two sets of seven) at Yanglingquan (GB34), which stops the sound. This acupoint is located one cun below the outer edge of the patella in the depression, accessible by squatting or sitting. Internal and external treatments are the same as for Rib Abscess. For any abscesses or carbuncles arising in hollow or soft areas such as the ribs, chest, hypochondrium, waist, and abdomen, frequent administration of Humu San during the pre-rupture stage can prevent membrane penetration.
Humu San
Beeswax (Baila) and Bletilla Rhizome (Baiji) in equal parts.
Grind into fine powder. Take one qian for mild cases, two qian for moderate cases, three qian for severe cases, mixed with yellow wine or rice soup.
[Prescription Verse] Humu San contains two ingredients: Beeswax and Bletilla ground into fine powder. Mixed with wine or rice soup, taken beforehand to prevent membrane penetration when pus forms.
Dan Du (Erysipelas) arises from extreme heat in the Liver and Spleen. It presents as red patches like rosy clouds on the upper ribs, waist, and hips. Immediate phlebotomy to release dark purple blood is required; otherwise, vomiting, retching, coma, and distension indicate internal attack by toxins.
[Note] This condition is caused by extreme heat generating wind in the Liver and Spleen meridians. It originates on the ribs and extends to the waist and hips, appearing red like rosy clouds, wandering like clouds, and burning like fire. Immediately perform phlebotomy around the red and swollen area to release dark purple blood, then apply slices of lean beef (or mutton) to reduce toxicity by half. Initially administer Shuangjie Guijin Wan to induce sweating, followed by Huaban Jiedu Tang. If the prescription matches the disease, the prognosis is favorable. However, if vomiting, retching, confusion, chest and abdominal distension, and widespread cyanosis occur, it indicates an adverse prognosis due to internal attack by toxic vapors.
Huaban Jiedu Tang
Cimicifugae Rhizoma (Shengma), Gypsum Fibrosum (Shigao), Forsythiae Fructum (Lianqiao, heart removed), Arctii Fructus (Niubangzi, fried and ground), Humanis Excrementis Decoctio (Renzhonghuang), Coptidis Rhizoma (Huanglian), Anemarrhenae Rhizoma (Zhimu), and Panacis Quinquefolii Radix Heishen) each one qian.
Add twenty leaves of Bambusa Leaves (Zhuye) and two bowls of water. Decoct until eight-tenths remain, then take orally.
[Prescription Verse] Huaban Jiedu Tang clears heat and generates wind, causing erysipelas with cloud-like red patches. Cimicifuga, Gypsum, Forsythia, Arctium, Renzhonghuang, Coptis, Anemarrhena, and Panax quinquefolius are combined.
Shuangjie Guijin Wan (see Swelling Ulcer Section)