疽肩后腋外生，小肠肩贞风火凝，肩风毒生 端上，大肠肩 风湿成。
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【注】 疽，生于肩之后下，腋之后外微上，岐骨缝之间，经属小肠肩贞穴，由风火
凝结而成。初起如粟，坚硬肿痛，肩 拘急，不能举扬。初服荆防败毒散，便燥实者，服
双解贵金丸双解之。肩风毒生于肩梢 上骨尖处，经属大肠肩 穴，由邪风深袭骨缝，与
湿稽留，化热而成。初起宣肿色赤，大者如桃，小者如杏，痛连肩 ，更兼拘急。初服
蠲痛无忧散汗之即消，若肿痛日深，不能尽消者，脓势将成也，宜服托里透脓汤。二证
溃后，内外治法俱按痈疽溃疡门。
蠲痛无忧散
番木鳖（香油炸浮） 当归（酒洗） 甘草（生，各二两） 麻黄（三两） 穿山甲（陈土炒） 川乌（黑豆酒煮，
去皮、尖） 草乌（姜汁煮） 苍术（米泔水浸炒） 半夏（制、各二两） 威灵仙（一两）
各制为末，共和匀，每服五七分至一钱，无灰酒调服，再饮酒以醉为度，盖卧出汗避
风。此方加闹羊花四两，亦治头风痛。
【方歌】蠲痛无忧肩风毒，风袭骨缝与湿凝，番鳖归草麻黄甲，川芎乌苍半威灵。
荆防败毒散（见项部脑疽）
双解贵金丸（见肿疡门）
托里透脓汤（见头部侵脑疽）
疽生于肩后腋外侧，归属于小肠经的肩贞穴，由风火邪气凝结而成。
肩风毒生于肩部上方，归属于大肠经的肩髃穴，由风湿邪气形成。
【注】
疽，生于肩膀后方下方、腋窝后方外侧稍上方的位置，即岐骨（锁骨与肩胛骨连接处）缝隙之间，经络归属小肠经的肩贞穴，由风火邪气凝结而成。初起时像粟米一样，坚硬且肿痛，肩部拘挛紧急，不能抬举。初期服用荆防败毒散，若大便燥结实证者，服用双解贵金丸以表里双解。肩风毒生于肩端梢部的骨尖处，经络归属大肠经的肩髃穴，由邪风深入侵袭骨缝，与湿邪稽留不去，化热而成。初起时肿胀色红，大的如桃子，小的如杏子，疼痛牵连肩部，更兼有拘挛紧急感。初期服用蠲痛无忧散发汗即可消散，如果肿痛日益加深，不能完全消散的，说明脓势即将形成，适宜服用托里透脓汤。这两种证候溃破后，内治和外治的方法都按照痈疽溃疡门的法则处理。
蠲痛无忧散
番木鳖（用香油炸至浮起） 当归（用酒洗） 甘草（生用，各二两） 麻黄（三两） 穿山甲（用陈土炒） 川乌（用黑豆酒煮，去皮和尖端） 草乌（用姜汁煮） 苍术（用米泔水浸泡后炒） 半夏（制过，各二两） 威灵仙（一两）
将以上药材分别处理后研为细末，混合均匀，每次服用五七分至一钱，用无灰酒调服，再饮酒直到醉的程度，盖上被子躺卧出汗，注意避风。此方加入闹羊花四两，也可以治疗头风痛。
【方歌】
蠲痛无忧散治疗肩风毒，风邪侵袭骨缝并与湿邪凝结，方中含有番木鳖、当归、甘草、麻黄、穿山甲，以及川芎、川乌、苍术、半夏、威灵仙。
Jú (Carbuncle) arises at the posterior aspect of the shoulder and the lateral side of the axilla, belonging to the Jianzhen (SI9) acupoint of the Small Intestine Meridian, formed by the condensation of Wind-Fire pathogens.
Jianfengdu (Shoulder Wind Toxicity) arises at the upper part of the shoulder, belonging to the Jianyu (LI15) acupoint of the Large Intestine Meridian, formed by Wind-Dampness pathogens.
[Note]
Jú (Carbuncle) arises in the posterior-inferior part of the shoulder, slightly superior to the postero-lateral part of the axilla, specifically between the gaps of the clavicle and scapula. It belongs to the Jianzhen (SI9) acupoint of the Small Intestine Meridian, caused by the condensation of Wind-Fire pathogens. Initially, it resembles a millet seed, being hard, swollen, painful, and tender. The shoulder is stiff and tight, unable to lift or raise. In the early stage, Jingfang Baidu San (Atractylodes and Saposhnikovia Decoction) should be taken orally; if accompanied by dry stool and excess syndrome, Shuangjie Guijin Wan (Double-Resolving Golden Pill) should be taken for simultaneous release of exterior and interior pathogens. Jianfengdu (Shoulder Wind Toxicity) arises at the bony prominence at the distal end of the shoulder, belonging to the Jianyu (LI15) acupoint of the Large Intestine Meridian. It is caused by pathogenic Wind deeply invading the bone gaps, lingering with Dampness, and transforming into Heat. Initially, there is swelling and redness; large lesions are like peaches, small ones like apricots. Pain radiates to the shoulder, accompanied by stiffness and tightness. In the early stage, Juantong Wuyou San (Pain-Relieving Worry-Free Powder) should be taken to induce sweating, which will dissipate the condition. If swelling and pain deepen daily and cannot be completely resolved, it indicates that pus is about to form; Tuoli Tou Nong Tang (Interior-Supporting Pus-Penetrating Decoction) is appropriate. After ulceration of either condition, internal and external treatment methods follow the principles outlined in the "Ulcerated Carbuncles and Sores" section.
Juantong Wuyou San (Pain-Relieving Worry-Free Powder)
Strychnos nux-vomica (Fried in sesame oil until floating) Angelicae Sinensis Radix (Washed with wine) Glycyrrhizae Radix et Rhizoma (Raw, 2 liang each) Ephedrae Herba (3 liang) Manis Squama (Stir-fried with aged earth) Aconiti Lateralis Radix Praeparata (Boiled in black soybean wine, skin and tip removed) Aconiti Kusnezoffii Radix (Boiled in ginger juice) Atractylodis Rhizoma (Soaked in rice wash water and stir-fried) Pinelliae Tuber (Processed, 2 liang each) Salviae Miltiorrhizae Radix et Rhizoma (1 liang)
Process each herb separately, grind into fine powder, mix uniformly. Take 5 fen to 1 qian per dose, mixed with clear wine. Drink more alcohol until intoxicated, then cover with blankets, lie down to sweat, and avoid wind. Adding 4 liang of Yangtse River Buttercup Herb (Akebiae Caulis? Note: Text says Naoyanghua, likely Datura metel flower) to this formula also treats Head Wind Pain.
[Formula Song]
Juantong Wuyou treats Shoulder Wind Toxicity,
Wind invades bone gaps and condenses with Dampness.
Contains Strychnos, Angelica, Licorice, Ephedra, Pangolin Scale,
Plus Ligusticum, Aconite, Atractylodes, Pinellia, and Salvia.
Jingfang Baidu San (See Neck Carbuncle section)
Shuangjie Guijin Wan (See Swollen Ulcer Section)
Tuoli Tou Nong Tang (See Head Carbuncle Penetrating Brain section)