缓疽脾经气积凝，少腹旁生坚又疼，数月不溃生寒热，食少削瘦效难成。
【注】此证由太阴脾经气滞寒积而成。生于少腹之旁，坚硬如石，不红不热，痛引腰
腿，数月不溃；若兼食少削瘦者，终属败证，不可弃而不治。初宜服山甲内消散，不应不
可强消，徒损胃气，以十全大补汤加乌药、附子、胡芦巴温补之，外用木香饼熨之，兼用
独头蒜捣烂，铺于患上艾壮灸之，以知热为止，次日再灸，以或消或溃为效。若溃后，即
按痈疽溃疡门治法。
\r缓疽图\p04-34a129.bmp\r
山甲内消散（见中脘疽）
十全大补汤（见溃疡门）
木香饼（见乳部乳中结核）
腋痈暴肿生腋间，肿硬 赤痛热寒，肝脾血热兼忿怒，初宜清解溃补痊。
【注】此证一名夹肢痈，发于腋际，即俗名 肢窝也，属肝脾血热兼忿怒而成。初起
暴肿 硬，色赤疼痛，身发寒热，难消必欲作脓。初宜服柴胡清肝汤，外敷冲和膏；疼
痛日增，宜服透脓散加金银花、甘草节、桔梗；脓胀痛者，针之。已溃，内外治法俱按
痈疽溃疡门。此证首尾忌用寒凉。中年易愈，老弱之人难痊。
\r腋痈图\p04-34a130.bmp\r
柴胡清肝汤（见头部鬓疽）
冲和膏 透脓散（俱见肿疡门）
缓疽是脾经气机郁结凝聚所致，生于少腹旁边，肿块坚硬且疼痛，数月不溃破并伴有寒热症状，若患者饮食减少、身体消瘦，则疗效难以达成。
【注】此证由太阴脾经气滞和寒邪积结而成。生于少腹之旁，坚硬如石，不红不热，疼痛牵引至腰腿，数月不溃破；如果兼有饮食减少、身体消瘦的情况，最终属于败证（预后不良），不可放弃治疗。初期适宜服用山甲内消散，若无效也不可不强求消散，以免徒然损伤胃气，应改用十全大补汤加乌药、附子、胡芦巴进行温补治疗，外用木香饼熨烫患处，同时用独头蒜捣烂，敷于患处并用艾炷灸之，以感到热度为度，次日再灸，以肿块消散或溃破为有效。若已溃破，即按照痈疽溃疡门的治法处理。
腋痈突然肿胀生于腋间，肿块坚硬、色赤、疼痛，伴有发热恶寒，由肝脾血热兼愤怒情绪引起，初期适宜清热解表，后期需托毒排脓并补益以痊愈。
【注】此证一名夹肢痈，发于腋际，即俗名腋窝也，属肝脾血热兼愤怒情绪而成。初起突然肿胀坚硬，颜色赤红疼痛，身体发热恶寒，难以消散，必然化脓。初期适宜服用柴胡清肝汤，外敷冲和膏；疼痛日益加重，适宜服用透脓散加金银花、甘草节、桔梗；脓液胀痛者，针刺排脓。已经溃破后，内外治法均按照痈疽溃疡门处理。此证从头到尾忌用寒凉药物。中年人容易治愈，年老体弱者难愈。
Huan Ju (Slow Abscess) is caused by the accumulation and coagulation of Qi in the Spleen Meridian. It arises on the side of the lower abdomen, presenting as a hard and painful mass. If it does not suppurate for several months and is accompanied by chills and fever, and if the patient suffers from poor appetite and emaciation, the therapeutic effect will be difficult to achieve.
[Note] This condition results from Qi stagnation and cold accumulation in the Taiyin Spleen Meridian. It occurs on the side of the lower abdomen, hard as stone, without redness or heat, with pain radiating to the waist and legs, failing to suppurate for months; if accompanied by poor appetite and emaciation, it ultimately belongs to a "defeated syndrome" (poor prognosis), but treatment should not be abandoned. Initially, Shan Jia Nei Xiao San (Pangolin Powder for Internal Resolution) is suitable. If ineffective, one must not force resolution, as this would merely damage Stomach Qi; instead, Shiquan Dabu Tang (Decoction for Tenfold Great Tonification) with Wuyao (Linderae Radix), Fuzi (Aconiti Lateralis Radix Preparata), and Huluba (Trigonellae Semen) should be used for warming and tonifying. Externally, Muxiang Bing (Costus Root Cake) should be applied for moxibustion-like warming, combined with pounding single-head garlic into a paste, applying it to the lesion, and performing moxibustion with moxa cones until warmth is felt; repeat the next day, aiming for resolution or suppuration as efficacy. If it has already suppurated, follow the treatment methods for ulcerative sores in the "Yong Ju Ulcer Section".
Ye Yong (Axillary Abscess) presents with sudden swelling in the axilla, characterized by hardness, redness, pain, and accompanying chills and fever. It is caused by Blood-Heat in the Liver and Spleen combined with anger. Initially, clearing heat and resolving toxicity is appropriate, followed by supporting pus discharge and tonification for recovery.
[Note] This condition is also known as Jiazhi Yong (Armpit Abscess), occurring at the axilla, commonly called the armpit pit. It arises from Blood-Heat in the Liver and Spleen combined with anger. Initial presentation involves sudden swelling and hardness, redness, pain, systemic chills and fever; it is difficult to resolve and inevitably leads to suppuration. Initially, Chaihu Qinggan Tang (Bupleurum Decoction for Clearing the Liver) is suitable, with Chonghe Gao (Harmonizing Ointment) applied externally; if pain increases daily, Tou Nong San (Pus-Releasing Powder) with Jinyinhua (Lonicerae Japonicae Flos), Gancao Jie (Glycyrrhizae Radix et Rhizoma Joint), and Jiegeng (Platycodonis Radix) should be taken; if there is distending pain due to pus, puncture with a needle. After suppuration, internal and external treatments follow the "Yong Ju Ulcer Section". This condition strictly contraindicates the use of cold-natured herbs throughout its course. It heals easily in middle-aged individuals but is difficult to cure in the elderly or weak.