透脑疽生百会前，形如鸡子痛而坚，软漫脓稀虚塌陷，红硬脓稠实肿尖。
【注】此证生于百会穴之前，囟门之际，亦由督脉经火毒而成。初如粟米，渐如鸡子，
坚硬疼痛。疮顶塌陷，根脚漫肿，色暗者属虚；若色红肿硬、顶尖脓稠者属实。速溃者
顺，迟溃透脑髓者逆。其肿溃内外治法，俱按百会疽。
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侵脑疽生透脑旁，湿火攻发属太阳，穴名五处知其位，红顺紫逆要审详。
【注】此疽生于透脑疽侧下，由太阳膀胱经湿火而成，穴名五处。红肿高起， 热疼
痛，脓色如苍蜡者，属气血俱实，顺而易治；若紫陷无脓，根脚散大者，气血两虚，逆而
难治。初起宜服荆防败毒散汗之，次服内疏黄连汤下之，将溃服托里透脓汤，已溃服托
里排脓汤，外贴琥珀膏，围敷冲和膏。其余内外治法，俱按痈疽溃疡门。
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托里透脓汤
人参 白术（土炒） 穿山甲（炒研） 白芷（各一钱） 升麻 甘草节（各五分） 当归（二钱） 生黄
（三钱） 皂角刺（一钱五分） 青皮（炒，五分）
水三盅，煎一盅。病在上部，先饮煮酒一盅，后热服此药；病在下部，先服药后饮
酒；疮在中部，药内兑酒半盅，热服。
【方歌】托里透脓治痈疽，已成未溃服之宜，参术甲芷升麻草，当归黄 刺青皮。
荆防败毒散（见项部脑疽）
内疏黄连汤 冲和膏（俱见肿疡门）
托里排脓汤（见项部鱼尾毒）
琥珀膏（见发际疮内）
透脑疽生于百会穴前方，形状像鸡蛋，疼痛且质地坚硬；若疮面软漫、脓液稀薄、虚陷塌陷，则属虚证；若红肿坚硬、脓液稠厚、疮顶高突，则属实证。
【注】此病证生于百会穴之前，囟门之处，也是由督脉经火毒所致。初起如粟米大小，逐渐增大如鸡蛋，坚硬疼痛。若疮顶塌陷，根脚漫肿，颜色暗滞者，属于虚证；若颜色红赤肿胀坚硬、疮顶高耸、脓液稠厚者，属于实证。迅速溃破者为顺证，迟滞溃破且穿透脑髓者为逆证。其肿胀和溃破后的内治与外治方法，均按照百会疽的处理原则进行。
侵脑疽生于透脑疽的旁边，由湿火攻发而成，归属于太阳经，穴位名为五处，可知其位置所在，需仔细审察红色为顺证、紫色为逆证。
【注】此疽生于透脑疽侧下方，由太阳膀胱经湿火所致，穴位名为五处。若红肿高起，伴有热痛，脓色如苍蜡者，属于气血俱实，为顺证且容易治疗；若颜色紫暗凹陷、无脓，根脚散大者，属于气血两虚，为逆证且难以治疗。初起时宜服用荆防败毒散以发汗解表，随后服用内疏黄连汤以通腑泄热，将溃破时服用托里透脓汤，已溃破后服用托里排脓汤，外用贴敷琥珀膏，周围围敷冲和膏。其余内外治法，均按照痈疽溃疡门的规范进行。
托里透脓汤
人参 白术（土炒） 穿山甲（炒研） 白芷（各一钱） 升麻 甘草节（各五分） 当归（二钱） 生黄芪（三钱） 皂角刺（一钱五分） 青皮（炒，五分）
用水三盅，煎至一盅。病在上部，先饮用煮酒一盅，然后热服此药；病在下部，先服药后饮酒；疮在中部，药液中兑入半盅酒，热服。
【方歌】托里透脓汤治疗痈疽，已成未溃时服用适宜，方中含有人参、白术、穿山甲、白芷、升麻、甘草，以及当归、黄芪、皂角刺、青皮。
荆防败毒散（见项部脑疽章节）
内疏黄连汤 冲和膏（均见肿疡门章节）
托里排脓汤（见项部鱼尾毒章节）
琥珀膏（见发际疮内章节）
Tou Nao Ju (Brain-Penetrating Carbuncle) arises anterior to the Baihui point, resembling an egg in shape, with pain and firmness. If the lesion is soft, diffuse, with thin pus and a sunken appearance, it indicates deficiency; if red, hard, with thick pus and a pointed apex, it indicates excess.
[Note] This condition arises anterior to the Baihui point, at the fontanelle region, also caused by fire-toxin affecting the Du Meridian. Initially like a millet grain, it gradually enlarges to the size of an egg, becoming hard and painful. If the sore apex is sunken and the base is diffuse with dark coloration, it belongs to deficiency; if the color is red, swollen, hard, with a high apex and thick pus, it belongs to excess. Rapid ulceration is a favorable sign (Shun), while delayed ulceration penetrating the brain marrow is an unfavorable sign (Ni). The internal and external treatments for swelling and ulceration follow the protocols for Baihui Ju.
Qin Nao Ju (Brain-Infiltrating Carbuncle) arises beside Tou Nao Ju, caused by damp-fire attacking, belonging to the Taiyang Meridian. Its location is known by the acupoint name Wuchu. Redness indicates a favorable prognosis, while purple discoloration indicates an unfavorable one, requiring careful examination.
[Note] This carbuncle arises below and lateral to Tou Nao Ju, formed by damp-fire of the Taiyang Bladder Meridian, located at the Wuchu acupoint. If red, swollen, elevated, with heat and pain, and pus resembling pale wax, it indicates excess of both Qi and Blood, which is favorable and easy to treat. If purple, sunken, without pus, and with a diffuse base, it indicates deficiency of both Qi and Blood, which is unfavorable and difficult to treat. In the initial stage, Jing Fang Bai Du San should be taken to induce sweating. Subsequently, Nei Shu Huang Lian Tang should be taken to purge. As it approaches ulceration, Tuo Li Tou Nong Tang should be taken. After ulceration, Tuo Li Pai Nong Tang should be taken. Externally, Hu Po Gao should be applied, and Chong He Gao used for surrounding application. Other internal and external treatments follow the regulations in the Carbuncle and Ulceration section.
Tuo Li Tou Nong Decoction (Supporting the Interior and Penetrating Pus Decoction)
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Rhizoma, stir-fried with earth), Chuan Shan Jia (Pangolin Scales, stir-fried and ground), Bai Zhi (Angelicae Dahuricae Radix) (each 1 qian); Sheng Ma (Cimicifugae Rhizoma), Gan Cao Jie (Licorice Root Nodes) (each 0.5 qian); Dang Gui (Angelicae Sinensis Radix) (2 qian); Sheng Huang Qi (Astragali Radix) (3 qian); Zao Jiao Ci (Gleditsiae Sinensis Spina) (1.5 qian); Qing Pi (Citri Reticulatae Pericarpium Viride, stir-fried) (0.5 qian).
Add three zhong of water, decoct to obtain one zhong. For diseases in the upper part, drink one zhong of boiled wine first, then take this medicine hot; for diseases in the lower part, take the medicine first, then drink wine; for sores in the middle part, mix half a zhong of wine into the decoction and take hot.
[Prescription Song] Tuo Li Tou Nong treats carbuncles and sores, suitable for use when formed but not yet ulcerated; it contains Ren Shen, Bai Zhu, Chuan Shan Jia, Bai Zhi, Sheng Ma, Gan Cao, Dang Gui, Huang Qi, Zao Jiao Ci, and Qing Pi.
Jing Fang Bai Du San (See Neck Carbuncle section)
Nei Shu Huang Lian Tang (Internal Purging Coptis Decoction) and Chong He Gao (Harmonizing Paste) (Both see Swelling and Ulceration section)
Tuo Li Pai Nong Tang (Supporting the Interior and Discharging Pus Decoction) (See Neck Fish-Tail Toxicity section)
Hu Po Gao (Amber Plaster) (See Hairline Sores section)