蜂窝发似蜂房形，每在肩后脊旁生，此证最忌头向上，急清心火免内攻。
【注】此证多生肩后及脊旁，形似蜂房。由脾经积热，更兼心火凝结成毒。初起高肿
如龟形，胖胀半背者轻；疮势横斜漫大者重。宜服内疏黄连汤。若头尖向上，属心火热极，
防毒火内攻脏腑。亦有疮形长若尺许，根横满背，名为竟体疽，属毒甚险。初觉宜急服
黄连消毒饮，清心解毒，庶免内攻。其余内
外治法，俱按痈疽肿疡、溃疡门。
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内疏黄莲汤（见肿疡门）
黄连消毒饮（见头部百会疽）
阴阳二气疽脊旁，肿消软硬变不常，七情内乖逆荣卫，如期脓溃自无妨。
【注】此证生于脊背之旁，乍肿乍消，时软时硬。由七情内乖，荣卫不和而生也。初
发令人寒热往来，若大渴神清，高肿脉洪，二七脓成，溃破者顺；若不渴神昏，漫肿脉细，
应期无脓，饮食不思者逆。初服夺命丹以退寒热，次服仙方活命饮。其余内外治法，俱
按痈疽肿疡、溃疡门。
\r阴阳二气疽图\p04-34a79.bmp\r
夺命丹
轻粉 麝香 白砒（面裹，火煨，各五分） 白矾（ ） 辰砂（为衣） 血竭（各一钱） 雄黄
（二钱） 蟾酥（干者，酒化入药，二钱） 乳香 没药 寒水石（ ） 铜绿（各二钱） 蜗牛（连壳，
二十一个）
上为细末，先将蜗牛研烂如泥，匀合前药。丸如不成，加好黄酒少许，打三五百下
为丸，如绿豆大。每服二三丸，每用葱白一寸，令病者嚼烂，自吐于手心内，男用左手，
女用右手，将药丸裹入葱泥内，用无灰酒一大盅，温热送下，被盖汗出为度。重者不过三服，不可多用。
【方歌】夺命丹中粉麝香，砒矾砂竭共雄黄，蟾酥乳没兼寒水，铜绿蜗牛用最良。
仙方活命饮（见肿疡门）
蜂窝发形状像蜂房，通常生长在肩后和脊柱旁边。这个病症最忌讳疮头向上生长，必须紧急清泻心火以避免毒邪内攻入脏腑。
【注释】此证多发生在肩后及脊柱旁侧，形态类似蜂房。由脾经积热，再加上心火凝结成毒所致。初起时高肿如龟形，肿胀仅占背部一半的病情较轻；若疮势横向蔓延、范围宽大则病情较重。适宜服用内疏黄连汤。如果疮头尖且向上，属于心火极盛，需防止毒火内攻脏腑。也有疮形长达一尺左右，根部横满整个背部的，称为“竟体疽”，属于毒性非常危险的类型。初觉不适时应立即服用黄连消毒饮，以清心解毒，从而避免毒邪内攻。其余内外治疗方法，均参照痈疽肿疡、溃疡章节执行。
蜂窝发图\p04-34a78.bmp\r
阴阳二气疽生于脊柱旁侧，肿块时而消退，质地软硬变化无常。这是由于七情内伤导致气血运行逆乱、营卫不和所致。初发时令人寒热往来，如果出现大渴、神志清醒、高肿、脉象洪大，经过十四天左右脓液形成，溃破后为顺证；如果不口渴、神志昏迷、漫肿无头、脉象细弱，到了预期时间没有脓液，且不思饮食则为逆证。初期服用夺命丹以退去寒热，随后服用仙方活命饮。其余内外治疗方法，均参照痈疽肿疡、溃疡章节执行。
阴阳二气疽图\p04-34a79.bmp\r
夺命丹
轻粉 麝香 白砒（用面粉包裹，火煨，各五分） 白矾（ ） 辰砂（作为衣料） 血竭（各一钱） 雄黄（二钱） 蟾酥（干燥者，用酒化开入药，二钱） 乳香 没药 寒水石（ ） 铜绿（各二钱） 蜗牛（带壳，二十一个）
以上药物研成细末，先将蜗牛研烂如泥，均匀混合上述药物。如果难以丸成，加入少许优质黄酒，捣打三五百下制成丸药，大小如绿豆。每次服用二三丸，取葱白一寸长，让患者嚼烂，吐在手心内，男性用左手，女性用右手，将药丸包裹在葱泥中，用一大盅无灰酒温热送服，盖被出汗为止。重症不超过三次服药，不可多用。
【方歌】夺命丹中含有轻粉和麝香，砒霜、白矾、朱砂、血竭共同配合雄黄，加上蟾酥、乳香、没药以及寒水石，铜绿和蜗牛使用最为良效。
仙方活命饮（见肿疡门）
Carbunculus Apiformis resembles the structure of a honeycomb and typically arises on the posterior aspect of the shoulder or beside the spine. This condition strictly contraindicates the upward direction of the abscess head; urgent clearing of Heart Fire is required to prevent the internal invasion of pathogenic toxins.
[Note] This lesion commonly occurs behind the shoulders and alongside the spinal column, resembling a honeycomb. It is caused by accumulated heat in the Spleen Meridian compounded by the coagulation of Heart Fire into toxicity. Initially, it presents as high swelling resembling a turtle shape; if the swelling occupies only half of the back, the prognosis is mild. If the lesion spreads horizontally and covers a large area, the condition is severe. The appropriate prescription is Neishu Huanglian Tang (Internal Draining Coptis Decoction). If the abscess head is pointed and directed upward, it indicates extreme excess of Heart Fire, necessitating prevention against the internal attack of toxic fire on the Zang-Fu organs. There is also a type where the lesion extends up to one chi in length with roots spreading across the entire back, named Jingti Ju (Whole-Body Carbuncle), which belongs to highly dangerous toxicity. Upon initial sensation, one should immediately take Huanglian Xiaodu Yin (Coptis Detoxification Decoction) to clear the Heart and detoxify, thereby avoiding internal invasion. All other internal and external treatment methods follow the chapters on Carbuncles and Ulcers (Swelling/Ulceration phases).
Image of Carbunculus Apiformis \p04-34a78.bmp\r
Neishu Huanglian Tang (See Chapter on Swelling Phase)
Huanglian Xiaodu Yin (See Section on Baihui Ju of the Head)
Yinyang Erqi Ju (Yin-Yang Qi Carbuncle) arises beside the spinal column; the swelling fluctuates, and the texture alternates between soft and hard. This is generated by internal disharmony of the Seven Emotions, leading to disordered Ying and Wei (Nutritive and Defensive) Qi. Initial onset causes alternating chills and fever. If accompanied by intense thirst, clear consciousness, high swelling, and a surging pulse, pus forms after fourteen days, and rupture indicates a favorable course (Shun). If there is no thirst, coma, diffuse swelling without a head, a fine pulse, absence of pus at the expected time, and loss of appetite, it indicates an unfavorable course (Ni). Initially, administer Duoming Dan (Life-Restoring Pill) to resolve chills and fever, followed by Xianfang Huoming Yin (Immortal Formula for Preserving Life Decoction). All other internal and external treatments follow the chapters on Carbuncles and Ulcers.
Image of Yinyang Erqi Ju \p04-34a79.bmp\r
Duoming Dan
Qingfen (Calomelas), Shexiang (Moschus), Baipi (Arsenicum Album wrapped in flour and roasted, each 5 fen), Baijian (Alumen), Chensha (Cinnabar used as coating), Xuexie (Draco Sanguis, each 1 qian), Xionghuang (Realgar, 2 qian), Chansu (Bufo Toxin, dried, dissolved in wine for use, 2 qian), Ruxiang (Olibanum), Moyao (Myrrha), Hanshuishi (Aqua Calcitae), Tonglv (Chalcanthite, each 2 qian), Woniu (Helix Aspersa, with shell, 21 pieces).
Grind all ingredients into fine powder. First, mash the snails into a paste and mix uniformly with the aforementioned medicines. If difficult to form pills, add a small amount of good yellow wine and beat three to five hundred times to form pills, sized like mung beans. Take two or three pills per dose. Take one cun (approx. 3.3 cm) of scallion white, have the patient chew it thoroughly, spit it into their palm (men use left hand, women use right hand), wrap the pill in the scallion paste, and swallow with a large cup of warm, unadulterated rice wine. Cover with blankets until sweating occurs. For severe cases, do not exceed three doses; do not overuse.
[Formula Song] Duoming Dan contains Calomelas and Moschus, combined with Arsenic, Alumen, Cinnabar, Draco Sanguis, and Realgar; Bufo Toxin, Olibanum, Myrrha, and Aqua Calcitae are added, while Chalcanthite and Helix Aspersa are most efficacious.
Xianfang Huoming Yin (See Chapter on Swelling Phase)