（妇人症见《妇人良方》、《女科撮要》，小儿症见《保婴粹要》）
流注，或因饮食劳倦，脾胃伤损；或因房劳阴虚，阳气凑袭；或因营气不从，逆于肉理
；或
；皆因气虚血注而凝也。或生于四肢关节，或生于胸腹腰臀，或结块，或漫肿，或作痛，皆
由
久而不敛，佐以豆豉饼、琥珀膏，祛散寒邪，补接阳气。若内有脓管而不敛者，用针头散
腐化之。经云∶形伤痛，气伤肿。又曰∶真气夺则虚，邪气胜则实。若不补气血，节饮食，
慎起居，戒七情，而专用寒凉克伐，其不死者幸矣。
治验
侍御朱东溪，左胁下近腹肝胆经部分结一块，四寸许，漫肿不赤，按之则痛。余曰∶此
当补
炒芍药、姜、桂，胃气复而恶症退，乃去干姜加黄 数剂，微赤微痛。又三十余剂， 肿大
痛，此脓内溃也，遂针之。用补中益气、加减八味丸而愈。
一男子元气素弱，臀肿硬而色不变，饮食少思，如此年余矣。此气血虚而不能溃也，先
用六君子汤，加川芎、当归、芍药，元气渐复，饮食渐进，患处渐溃；更加黄 、肉桂，并用葱
熨之法月余，俟脓熟而针之；又以十全大补汤，及附子饼熨之而愈。
一男子腿患肿，肉色不变，亦不作痛，此真气虚也。以补中益气加茯苓、半夏，少佐以
枳壳
剂，饮食少进；再用补剂，月余而消。
一男子胁肿一块，日久不溃，按之微痛，脉微而涩，此形症俱虚也，当补不当泻。乃用
人参养荣汤，及热艾熨患处。脓成，以火针刺之，用豆豉饼、十全大补汤，百剂而愈。
一男子腹患此，肿硬不溃，脉弱时呕，欲用败毒等药。余谓肿硬不溃，乃阳气虚弱，呕
吐少食
曰∶热而脉反静，脱血脉反实，汗后脉反躁者，皆为逆也。辞不治，后果殁。
余北仕时，有留都贾学士子年十六，患此二载矣。公升北宗伯，邀余治，脉洪大而数，
脓清
以四君子，加芎、归、炙草，午后以四君子加五味、麦门、参、 ，两月诸症遂可一二，又
有用渗利之剂，保其必生者。三月后，形体骨立，复求余治，余时被命南下，后竟不救。
（妇女的相关病症记载于《妇人良方》和《女科撮要》，小儿的病症记载于《保婴粹要》）
流注病，有的因为饮食不节和过度劳累，导致脾胃受损；有的因为房事过度导致阴虚，阳气乘虚侵袭；有的因为营气运行不畅，逆乱于肌肉纹理之间；这些都是由于气虚导致血液凝滞所致。肿块可能生长在四肢关节，也可能生长在胸腹腰臀部位，表现为结块，或者漫肿无头，或者疼痛，这都是因为久治不愈，需要佐以豆豉饼、琥珀膏，来祛散寒邪，补接阳气。如果内部已经形成脓腔但伤口不愈合，使用针头散来腐蚀化脓组织。医经说：形体受伤则痛，气机受伤则肿。又说：真气耗夺则表现为虚证，邪气亢盛则表现为实证。如果不补益气血，节制饮食，谨慎起居，戒除七情刺激，而专门使用寒凉药物攻伐，能够不死已经是幸运的了。
治疗案例
侍御朱东溪，左胁下靠近腹部肝胆经络部位结成一个约四寸大的肿块，漫肿但不发红，按压时疼痛。我说：这应当补益……（此处原文有缺漏，推测为补益气血或温阳之药），配合炒芍药、生姜、肉桂，胃气恢复后恶症消退，于是去掉干姜加入黄芪数剂，症状轻微发红微痛。又服用三十多剂，肿块肿大疼痛，这是脓液在内溃破的表现，于是用针穿刺。使用补中益气汤、加减八味丸而痊愈。
有一个男子元气素来虚弱，臀部肿胀坚硬且颜色不变，饮食减少思虑不足，这种情况持续了一年多。这是气血虚弱不能溃破排脓，先用六君子汤，加入川芎、当归、芍药，元气逐渐恢复，饮食逐渐增加，患处逐渐溃破；再加入黄芪、肉桂，并用葱熨法，一个月左右，等到脓液成熟后用针刺破；又用十全大补汤，以及附子饼熨敷患处而痊愈。
有一个男子腿部患病肿胀，肌肉颜色不变，也不疼痛，这是真气虚弱。用补中益气汤加入茯苓、半夏，少量佐以枳壳，服药几剂后，饮食稍微进用；再用补益药剂，一个多月后消散。
有一个男子胁部肿胀一块，日久不溃破，按压时微痛，脉象微而涩，这是形质和症状都虚弱，应当补益而不应当泻实。于是用人参养荣汤，以及热艾熨敷患处。脓液形成后，用火针刺破，使用豆豉饼、十全大补汤，服用一百剂后痊愈。
有一个男子腹部患此病，肿胀坚硬不溃破，脉弱时常呕吐，想要使用败毒等药物。我认为肿胀坚硬不溃破，是阳气虚弱，呕吐少食……（此处原文有缺漏，推测为正气不足之象）。医经说：发热而脉象反而平静，脱血而脉象反而实大，发汗后脉象反而躁动的，都是逆证。我拒绝治疗，后来果然死亡。
我在北方任职时，有一位留都（南京）贾学士的儿子十六岁，患此病两年了。贾公升任北宗伯，邀请我治疗，脉象洪大而数，脓液清稀……（此处原文有缺漏，推测为气血两虚之象）。我用四君子汤，加入川芎、当归、炙甘草，午后用四君子汤加入五味子、麦门冬、人参、黄芪，两个月后各种症状才减轻一二，又有人建议使用渗利之剂，保证他一定能生还。三个月后，患者形体消瘦如骨立，再次请求我治疗，我当时奉命南下，后来终究没能救活。
(For women's conditions, see *Furen Liangfang* [Good Advice for Women] and *Nuke Cuoyao* [Essentials of Gynecology]; for children's conditions, see *Baoying Cuiyao* [Precious Essentials for Infant Care].)
Liuzhu (Flowing Abscesses) may arise from improper diet and overwork, damaging the Spleen and Stomach; or from excessive sexual activity leading to Yin deficiency, allowing Yang pathogenic factors to invade; or from Ying Qi (Nutritive Qi) failing to flow smoothly, reversing into the muscle tissue. All these are due to Qi deficiency causing Blood stasis and coagulation. The swelling may occur in the joints of the limbs, or in the chest, abdomen, waist, and buttocks, presenting as a distinct mass, or diffuse swelling without a head, or pain. These result from chronic non-healing lesions. Adjuvant treatment with Fermented Soybean Cake (Douchi Bing) and Amber Ointment (Hupo Gao) is used to dispel cold pathogens and replenish Yang Qi. If an internal abscess cavity has formed but fails to heal, Zhentou San (Needle Head Powder) is applied to cauterize and dissolve necrotic tissue. The Classics state: "Injury to form causes pain; injury to Qi causes swelling." It also says: "Depletion of True Qi results in Deficiency; excess of Pathogenic Qi results in Excess." If one does not tonify Qi and Blood, regulate diet, maintain careful daily routines, and guard against the Seven Emotions, but instead exclusively uses cold and purgative drugs to attack the disease, survival would be merely fortunate.
Clinical Cases
Zhu Dongxi, a Court Gentleman, had a mass approximately four cun in size结 (formed) near the abdomen on the left hypochondrium, within the Liver and Gallbladder meridian region. The swelling was diffuse and redness-less, tender upon pressure. I stated: "This requires tonification..." [Text missing], combined with stir-fried Shaoyao (White Peony Root), Shengjiang (Fresh Ginger), and Rougui (Cinnamon Bark). After the Stomach Qi recovered and malignant symptoms subsided, Ganjiang (Dried Ginger) was removed, and Huangqi (Astragalus Root) was added for several doses, resulting in slight redness and pain. After another thirty-plus doses, the swelling increased with pain, indicating internal rupture of pus. A needle was then used. The patient recovered using Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Jiaban Bawei Wan (Modified Eight-Ingredient Pill).
A man with inherently weak Yuan Qi presented with hard, swollen buttocks with unchanged skin color and poor appetite, lasting for over a year. This was Qi and Blood deficiency preventing suppuration. Initially, Liujunzi Tang (Six Gentlemen Decoction) was administered with Chuanxiong (Szechwan Lovage Rhizome), Danggui (Angelica Sinensis), and Shaoyao (Peony Root). As Yuan Qi gradually recovered and appetite improved, the affected area began to suppurate. Huangqi (Astragalus Root) and Rougui (Cinnamon Bark) were added, along with Cong Xi (Scallion Moxibustion/Fomentation). After about a month, once the pus matured, it was lanced. The patient healed using Shiquan Dabu Tang (Complete Great Tonifying Decoction) and Fuzi Bing (Aconite Cake) fomentation.
A man presented with leg swelling, unchanged muscle color, and no pain, indicating True Qi deficiency. Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was given with Fuling (Poria) and Banxia (Pinellia Tuber), with minor additions of Zhiqiao (Immature Bitter Orange). After a few doses, food intake slightly increased. Subsequent use of tonic formulas led to resolution after more than a month.
A man had a long-standing swelling on the hypochondrium that did not suppurate, with mild tenderness upon pressure and a faint, choppy pulse. Both form and symptoms indicated deficiency; thus, tonification was indicated rather than purgation. Renshen Yangrong Tang (Ginseng Nourishing the Spirit Decoction) was used, along with hot mugwort fomentation on the lesion. Upon pus formation, fire-needle puncture was performed. The patient recovered after taking Douchi Bing (Fermented Soybean Cake) and Shiquan Dabu Tang (Complete Great Tonifying Decoction) for one hundred doses.
A man suffered from abdominal Liuzhu, presenting with hard, non-suppurating swelling, a weak pulse, and frequent vomiting with poor intake. One might wish to use Baidu (Detoxifying) herbs. I reasoned that hard, non-suppurating swelling indicates weak Yang Qi, and vomiting/poor intake indicates... [Text missing]. The Classics state: "Heat with a calm pulse, blood loss with a full pulse, and agitation after sweating are all adverse signs." I declined treatment, and the patient subsequently died.
While serving in the North, I treated the sixteen-year-old son of Academician Jia of Liudu (Nanjing), who had suffered from this condition for two years. When Mr. Jia was promoted to Minister of Rites in the North, he invited me to treat him. The pulse was large and rapid, and the pus was thin... [Text missing]. I prescribed Sijunzi Tang (Four Gentlemen Decoction) with Chuanxiong (Szechwan Lovage Rhizome), Danggui (Angelica Sinensis), and Zhigancao (Prepared Licorice Root). In the afternoon, I prescribed Sijunzi Tang with Wuweizi (Schisandra Berry), Maidong (Ophiopogon Tuber), Renshen (Ginseng Root), and Huangqi (Astragalus Root). After two months, symptoms alleviated slightly. Others suggested using diuretic/damp-draining agents to ensure survival. Three months later, the patient’s body became emaciated to the point of being skeletal. He sought my help again, but I was then ordered southward, and ultimately, he could not be saved.