骨蝼疽生臂外廉，经属阳明忧怒缠，疮疼根束多善顺，紫晕腐串七恶难。
【注】此证生于臂外侧前廉，大骨之后，属手阳明大肠，由忧郁暴怒凝结而成。初如
粟豆，旬日大如桃李，肿硬疼痛，疮根收束，多见五善之证者顺；若紫晕开大，腐烂斑点，
串通肌肉，抽搐拘急，多见七恶之证者逆。始终内外治法，俱按痈疽肿疡、溃疡门。
\r骨蝼疽图\p04-34a154.bmp\r
蝼蛄串生臂内中，思伤脾气包络凝，筋骨如中流矢痛，由溃串孔似漏形。
【注】此证生于臂内中廉，属包络经。由思虑伤脾，脾伤则运化迟，故生浊液，流于
肌肉，脾气滞郁不舒，凝结而成。此患初起，筋骨如中流矢，疼痛渐增，漫肿坚硬，不红
不热，连肿数块，臂膊不能转动，日久其肿块渐次溃破，孔孔时流白浆，内溃串通诸孔，
外势肿硬不消，脓水淋沥如漏，虚证悉添，如面黄、食少、削瘦，甚则午后寒热交作，而
成败证也。初起宜服逍遥散，外敷太乙紫金锭；次服人参养荣汤，调和气血，扶助脾胄，
十中可保二三。溃，按痈疽溃疡治法，若投药不效者，属逆。
\r蝼蛄串图\p04-34a155.bmp\r
逍遥散（见背部上搭手）
太乙紫金锭（见胸博脾发疽）
人参养荣汤（见溃疡门）
骨蝼疽生于手臂外侧，归属于阳明经，多由忧思恼怒所致。疮疡疼痛，若根脚收束则多为顺证；若出现紫色晕圈、腐烂串连并伴有七恶之象则难治。
【注】此病证生于手臂外侧前缘，大骨之后，归属于手阳明大肠经，由忧郁和暴怒导致气机凝结而成。初起时如粟米或豆粒大小，十日后增大如桃李，肿胀坚硬且疼痛，若疮根收束，多见五善之证者为顺证；若紫色晕圈扩大，腐烂斑点，串通肌肉，出现抽搐拘急，多见七恶之证者为逆证。治疗上始终遵循痈疽肿疡和溃疡的治疗法则。
蝼蛄串生于手臂内侧中部，多因思虑伤脾，导致心包络气机凝结。筋骨疼痛如同被流箭射中，溃破后孔洞相连似漏管状。
【注】此病证生于手臂内侧中间边缘，归属于心包络经。由思虑过度损伤脾气，脾伤则运化功能迟缓，产生浊液，流注于肌肉之中，脾气滞涩郁结不舒，凝结而成。此患初起时，筋骨疼痛如同被流箭射中，疼痛逐渐加重，漫肿坚硬，不红不热，连成数块肿块，手臂不能转动，日久肿块逐渐溃破，孔孔流出白色浆液，内部溃烂串通各孔，外部肿胀坚硬不消，脓水淋漓如漏管，伴随虚证症状全部出现，如面色发黄、食欲减退、身体消瘦，甚至午后寒热交替发作，从而形成败证。初起宜服用逍遥散，外敷太乙紫金锭；随后服用人参养荣汤，调和气血，扶助脾胃，十例中可保全二三。溃破后，按痈疽溃疡的治法处理，若用药无效者，属逆证。
Gu Lou Ju (Bone Ant Abscess) arises on the lateral aspect of the arm, belonging to the Yangming channel, often entangled by worry and anger. The sore is painful; if the root is constricted, it is generally a favorable prognosis; if purple halos appear, tissue rots and spreads, accompanied by the Seven Evil signs, it is difficult to treat.
[Note] This condition arises on the anterior-lateral aspect of the arm, behind the large bone, belonging to the Hand-Yangming Large Intestine channel. It is formed by the coagulation of Qi due to depression and sudden anger. Initially, it resembles millet or beans; after ten days, it enlarges to the size of peaches or plums, becoming swollen, hard, and painful. If the sore's root is constricted and the Five Favorable signs are mostly present, it is a favorable course; if the purple halo expands, rotting spots appear, spreading through muscles, with convulsions and stiffness, and the Seven Evil signs are mostly present, it is an unfavorable course. Throughout, internal and external treatments follow the protocols for abscess swelling/ulceration and ulceration sections.
Lou Fu Chuan (Mole Cricket Chain) arises in the middle of the inner arm, caused by excessive thinking injuring the Spleen and coagulating the Pericardium. The bones and sinews hurt as if pierced by a stray arrow; upon ulceration, the holes connect like a fistula.
[Note] This condition arises on the medial edge of the inner arm, belonging to the Pericardium channel. It is caused by excessive thinking injuring the Spleen; when the Spleen is injured, its transportation and transformation slow down, producing turbid fluids that flow into the muscles. The Spleen Qi becomes stagnant and depressed, leading to coagulation. Initially, the pain in the bones and sinews increases gradually, resembling a sting from a stray arrow. There is diffuse swelling and hardness, without redness or heat, forming several connected lumps, rendering the arm immobile. After a long time, the lumps gradually ulcerate, each hole draining white serum. Internally, the ulcers connect through all holes; externally, the swelling remains hard and does not subside, with pus dripping like a fistula. Deficiency symptoms fully emerge, such as yellowish complexion, poor appetite, and emaciation. In severe cases, alternating chills and fever occur in the afternoon, resulting in a failure syndrome. At the onset, Xiaoyao San (Free Wanderer Powder) should be taken internally, and Taiyi Zijin Ding (Taiyi Purple Gold Pill) applied externally. Subsequently, Renshen Yangrong Tang (Ginseng Nourishing Nutritive Decoction) should be taken to harmonize Qi and Blood and support the Spleen and Stomach; two or three out of ten cases may be saved. Upon ulceration, treat according to the protocols for abscess/ulceration. If medication is ineffective, it indicates an unfavorable course.