肝痈愤郁气逆成，期门穴肿更兼疼，卧惊 满尿不利，清肝滋肾即成功。
【注】此证始发期门穴，必隐痛微肿，令人两 胀满胁痛，侧卧则惊，便尿艰难，由愤
郁气逆而成。初服复元通气散，次服柴胡清肝汤；痛胀已止，宜服六味地黄丸；脾虚食
少，则佐以八珍汤，滋肾补脾，治之取效。禁用温补、针灸。
期门穴又名肝募，在乳旁一寸半，再直下一寸半。
\r五脏六腑诸募穴图（二）\p04-34a138.bmp\r
复元通气散（见肿疡门）
柴胡清肝汤（见头部鬓疽）
六味地黄丸（见面部雀斑）
八珍汤（见溃疡门）
心痈巨阙肿隐疼，酷饮嗜热火毒成，面赤口渴身作痛，治法阳热总宜清。
【注】此证始发巨阙穴，必隐痛微肿，令人寒热，身痛，头面色赤，口渴，随饮随干，由心火
炽盛，更兼酷饮嗜热而成，宜服凉血饮。酒毒为病者，宜服升麻葛根汤治之。此证甚属罕有，但治法不可不备。
巨阙穴又名心募，在脐上六寸五分。
\r五脏六腑诸募穴图（一）\p04-34a137.bmp\r
凉血饮
木通 瞿麦 荆芥 薄荷 白芷 花粉
甘草 赤芍 麦冬（去心） 生地 山栀子 车前子 连翘（去心，各等分）
引用灯心，若潮热加淡竹叶，水煎温服。
【方歌】凉血饮善治心痈，瞿荆荷芷草翘通，赤芍山栀干生地，车前花粉麦门冬。
升麻葛根汤
山栀 升麻 葛根 白芍 柴胡 黄芩（各一钱） 黄连 木通 甘草（各五分）
水二盅，煎八分，不拘时服。
【方歌】升麻葛根汤山栀，酒毒心痈黄连宜，柴芍通芩升葛草，水煎温服不拘时。
肝痈由愤懑郁结、气机逆乱所致，表现为期门穴处肿胀且伴有疼痛，患者睡眠中易受惊扰，腹部胀满，小便不利，采用清泻肝火、滋养肾阴的方法即可取得疗效。
【注释】此病证始于期门穴，必然出现隐痛和轻微肿胀，导致两胁胀满疼痛，侧卧时易惊醒，大小便排泄困难，这是由于愤懑郁结、气机逆乱所造成。初期服用复元通气散，随后服用柴胡清肝汤；若疼痛和胀满已经停止，适宜服用六味地黄丸；若脾气虚弱、饮食减少，则辅以八珍汤，通过滋补肾阴、补益脾土来治疗以获取疗效。禁止使用温补疗法和针灸。
期门穴又名肝之募穴，位于乳头旁一寸半处，再垂直向下寸半处。
\r五脏六腑诸募穴图（二）\p04-34a138.bmp\r
复元通气散（见肿疡门章节）
柴胡清肝汤（见头部鬓疽章节）
六味地黄丸（见面部雀斑章节）
八珍汤（见溃疡门章节）
心痈表现为巨阙穴处肿胀且隐痛，多因过度饮酒、嗜食热性食物导致火热毒邪蕴结而成，症状包括面色红赤、口渴、身体疼痛，治疗方法对于阳热性质的病证总宜采用清热法。
【注释】此病证始于巨阙穴，必然出现隐痛和轻微肿胀，导致患者出现寒热往来、身体疼痛、头面部颜色红赤、口渴，喝水后随即感到干燥，这是由于心火炽盛，再加上过度饮酒、嗜食热性食物所造成，适宜服用凉血饮。若因酒毒致病者，适宜服用升麻葛根汤进行治疗。此病证非常罕见，但治疗方法不可不准备齐全。
巨阙穴又名心之募穴，位于脐上六寸五分处。
\r五脏六腑诸募穴图（一）\p04-34a137.bmp\r
凉血饮
木通 瞿麦 荆芥 薄荷 白芷 天花粉
甘草 赤芍 麦冬（去心） 生地 山栀子 车前子 连翘（去心，各等分）
引用灯心草为药引，若有潮热症状加淡竹叶，水煎煮后温服。
【方歌】凉血饮善治心痈，瞿荆荷芷草翘通，赤芍山栀干生地，车前花粉麦门冬。
升麻葛根汤
山栀 升麻 葛根 白芍 柴胡 黄芩（各一钱） 黄连 木通 甘草（各五分）
用水二盅，煎至八分，不拘时间服用。
【方歌】升麻葛根汤山栀，酒毒心痈黄连宜，柴芍通芩升葛草，水煎温服不拘时。
Liver abscess (Gan Yong) arises from resentment, stagnation, and rebellious Qi. It presents with swelling and pain at the Qimen acupoint (LR-14), sleep disturbances with startles, abdominal fullness, and difficult urination. Clearing Liver heat and nourishing Kidney Yin will achieve success.
[Note] This condition originates at the Qimen acupoint (LR-14), characterized by dull pain and slight swelling, causing distension and pain in the hypochondrium, waking easily when lying on the side, and difficulty in defecation and urination. It is caused by resentment, stagnation, and rebellious Qi. Initially, administer Fuyuan Tongqi San; subsequently, administer Chaihu Qinggan Tang. Once pain and distension cease, Liuwei Dihuang Wan is appropriate. If there is Spleen deficiency with poor appetite, supplement with Bazhen Tang to nourish the Kidney and tonify the Spleen for therapeutic efficacy. Warm tonification and acupuncture are contraindicated.
The Qimen acupoint (LR-14), also known as the Front-Mu point of the Liver, is located one and a half cun lateral to the nipple, and another one and a half cun directly downward.
\rDiagram of Front-Mu Points of the Five Zang and Six Fu Organs (II)\p04-34a138.bmp\r
Fuyuan Tongqi San (see section on Swollen Ulcers)
Chaihu Qinggan Tang (see section on Temporal Furuncle)
Liuwei Dihuang Wan (see section on Facial Freckles)
Bazhen Tang (see section on Ulcerated Lesions)
Heart abscess (Xin Yong) presents with swelling and dull pain at the Jueque acupoint (CV-14). It is caused by excessive drinking and a preference for hot foods, leading to the accumulation of fire-toxin. Symptoms include a red face, thirst, and body pain. The treatment principle for such Yang-heat conditions is always to clear heat.
[Note] This condition originates at the Jueque acupoint (CV-14), characterized by dull pain and slight swelling, causing aversion to cold and fever, body pain, facial redness, and thirst that persists despite drinking. It is caused by blazing Heart fire combined with excessive alcohol consumption and a preference for hot foods. Lixue Yin is appropriate. For cases caused by alcohol toxicity, Shengma Gegen Tang should be administered. This condition is very rare, but treatment methods must be fully prepared.
The Jueque acupoint (CV-14), also known as the Front-Mu point of the Heart, is located six cun and five fen above the umbilicus.
\rDiagram of Front-Mu Points of the Five Zang and Six Fu Organs (I)\p04-34a137.bmp\r
Lixue Yin
Tongcao (Akebiae Caulis), Dianthus Herba (Qumai), Schizonepeta Spica (Jingjie), Mentha Haplocalyx (Bohe), Angelica Dahurica Radix (Baizhi), Trichosanthes Radix (Huafen), Glycyrrhiza Uralensis Radix (Gancao), Paeonia Rubra Radix (Chishao), Ophiopogon Japonicus Tuber (Maidong, de-heart), Rehmannia Glutinosa Radix Preparata (Shengdi), Gardeniae Fructus (Shanzhizi), Plantago Seed (Cheqianzi), Forsythia Suspensa Fructus (Lianqiao, de-heart), all in equal parts.
Use Juncus effusus (Dengxincao) as an adjuvant. If tidal fever is present, add Lophatherum Herb (Dan Zhuye). Decoct in water and take warm.
[Poem] Lixue Yin effectively treats heart abscess, Dianthus, Schizonepeta, Mint, Angelica, Licorice, Forsythia, and Akebia pass; Red Peony, Gardenia, Dried Rehmannia, Plantago, Trichosanthes, and Ophiopogon follow.
Shengma Gegen Tang
Gardeniae Fructus (Shanzhi), Cimicifuga Rhizoma (Shengma), Pueraria Lobata Root (Gegen), Paeonia lactiflora Radix Alba (Baishao), Bupleurum Radix (Chaihu), Scutellaria Baicalensis Radix (Huangqin) (each 1 qian), Coptis Chinensis Rhizoma (Huanglian), Akebiae Caulis (Mutong), Glycyrrhiza Uralensis Radix (Gancao) (each 0.5 qian).
Decoct two cups of water until reduced to eight-tenths. Take at any time.
[Poem] Shengma Gegen Tang with Gardenia, Coptis is suitable for alcohol-toxin heart abscess; Bupleurum, White Peony, Akebia, Scutellaria, Cimicifuga, Pueraria, and Licorice, decoct in water and take warm at any time.