疮疡之作，皆由膏粱浓味，醇酒炙爆，房劳过度，七情郁火，阴虚阳 ，精虚气节，命
门火衰，不能生土；荣卫虚弱，外邪所袭，气血受伤而为患。当审其经络受证，标本缓急以治之
。若病急而元气实者，先治其标；病缓而元气虚者，先治其本；或病急而元气又虚者，必先
于治本，而兼以治标。大要肿高 痛，脓水稠粘者，元气未损也，治之则易。漫肿微痛，脓
水清稀者，元气虚弱也，治之则难。不肿不痛，或漫肿黯黑不溃者，元气虚甚，治之尤难者
也。主治之法，若肿高 痛者，先用仙方活命饮解之，后用托里消毒散。漫肿微痛者，用托
里散；如不应，加姜、桂。若脓出而反痛，气血虚也，八珍汤。不作脓，不腐溃，阳气虚也，
四君加归、 、肉桂。不生肌，不收敛，脾气虚也，四君加芍药、木香。恶寒憎寒，阳气虚
也，十全大补加姜、桂。晡热内热，阴血虚也，四物加参、术。欲呕作呕，胃气虚也，六君加
炮姜。自汗盗汗，五脏虚也，六味丸料加五味子。食少体倦，脾气虚也，补中益气加茯苓、
半夏。喘促咳嗽，脾肺虚也，前汤加麦门、五味。欲呕少食，脾胃虚也，人参理中汤。腹痛
泄泻，脾胃虚寒也，附子理中汤。小腹痞，足胫肿，脾肾虚也，十全大补汤，加山茱萸、山
药、肉桂。泄泻足冷，脾肾虚寒也，前药加桂、附。热渴淋秘，肾虚阴火也，加减八味丸。
喘嗽淋秘，肺肾虚火也，补中益气汤，加减八味丸。大凡怯弱之人，不必分其肿溃，惟当先
补胃气，或疑参 满中，间有用者，又加发散败毒，所补不偿所损。又有泥于气质素实，或
有痰，不服补剂者，多致有误。殊不知疮疡之作，缘阴阳亏损，其脓既泄，气血愈虚，岂有
不宜补者哉！故丹溪先生云∶但见肿痛，参之脉症虚弱，便与滋补，气血无亏，可保终吉。
疮疡的发生，都是因为过食肥甘厚味、醇酒及炙烤爆炒的食物，房事过度，七情郁结化火，阴虚阳亢，精亏气耗，命门火衰，不能温煦脾土；以及营卫虚弱，外邪侵袭，导致气血受损而引发疾病。应当审察经络受病的证候，根据标本缓急的原则来治疗。如果病情急迫而元气充实的，先治其标；病情缓和而元气虚弱的，先治其本；或者病情急迫而元气又虚弱的，必须先治其本，同时兼治其标。大抵而言，肿势高突且疼痛，脓液稠粘的，说明元气未损，治疗起来容易。漫肿无头且微痛，脓水清稀的，说明元气虚弱，治疗起来困难。不肿不痛，或者漫肿色黯黑而不溃破的，说明元气极度虚弱，是最难治疗的。主治的方法：如果是肿势高突且疼痛的，先用仙方活命饮（Xianfang Huoming Yin, Immortal Life Elixir）解毒消散，后用托里消毒散（Tuoli Xiaodu San, Support-Interior and Detoxify Powder）。漫肿微痛的，用托里散（Tuoli San, Support-Interior Powder）；如果无效，加生姜、肉桂。如果脓出后反而疼痛，是气血虚弱，用八珍汤（Bazhen Tang, Eight-Treasure Decoction）。如果不化脓，不腐溃，是阳气虚弱，用四君子汤（Sijunzi Tang, Four Gentlemen Decoction）加当归、黄芪、肉桂。如果不生肌，不收敛，是脾气虚弱，用四君子汤加白芍、木香。怕冷憎寒，是阳气虚弱，用十全大补汤（Shiquan Dabu Tang, Ten Complete Tonifying Decoction）加生姜、肉桂。午后发热或内热，是阴血虚弱，用四物汤（Siwu Tang, Four Substances Decoction）加人参、白术。想呕吐或已呕吐，是胃气虚弱，用六君子汤（Liujunzi Tang, Six Gentlemen Decoction）加炮姜。自汗盗汗，是五脏虚弱，用六味地黄丸料（Liuwei Dihuang Wan Formula）加五味子。饮食减少身体疲倦，是脾气虚弱，用补中益气汤（Buzhong Yiqi Tang, Tonify the Middle and Augment Qi Decoction）加茯苓、半夏。气喘急促咳嗽，是脾肺虚弱，用前药方加麦冬、五味子。想呕吐且进食少，是脾胃虚弱，用人参理中汤（Renshen Lizhong Tang, Ginseng Regulate the Middle Decoction）。腹痛泄泻，是脾胃虚寒，用附子理中汤（Fuzi Lizhong Tang, Aconite Regulate the Middle Decoction）。小腹胀满，足胫浮肿，是脾肾虚弱，用十全大补汤加山茱萸、山药、肉桂。泄泻且足冷，是脾肾虚寒，用前药方加肉桂、附子。热渴淋沥秘涩，是肾虚阴火，用加减八味丸（Jiajian Bawei Wan, Modified Eight-Ingredient Pill）。喘嗽淋秘，是肺肾虚火，用补中益气汤、加减八味丸。大凡怯弱之人，不必区分是否肿胀溃破，只应当先补益胃气。有人怀疑人参会壅滞中焦，间或有使用的人，却又加入发散败毒的药物，这样所补的不如所损的多。又有拘泥于体质素来壮实，或者有痰，不服用补剂的人，多会导致误治。殊不知疮疡的发生，源于阴阳亏损，脓液既已排出，气血更加虚弱，哪里有不适宜补益的呢！所以丹溪先生说道：只要见到肿痛，参合脉象症状若见虚弱，就给予滋补，使气血不亏损，就可以保证最终吉祥。
The occurrence of sores and ulcers is due to excessive consumption of rich and greasy foods, strong wine, and roasted or fried items; excessive sexual activity; emotional stagnation transforming into fire; yin deficiency with yang hyperactivity; essence deficiency and qi depletion; decline of the Fire of the Gate of Vitality (Mingmen) failing to warm Spleen Earth; and weak Ying and Wei (Defensive and Nutritive) qi allowing external pathogens to invade, resulting in damage to Qi and Blood. One must examine the meridians affected by the syndrome and treat according to the principles of addressing the root and branch, prioritizing urgency and slackness. If the disease is acute but the Yuan Qi (Original Qi) is substantial, treat the branch first; if the disease is chronic but the Yuan Qi is deficient, treat the root first; or if the disease is acute yet the Yuan Qi is also deficient, one must first treat the root while simultaneously addressing the branch. Generally speaking, if the swelling is high and painful, and the pus is thick and sticky, the Yuan Qi remains undamaged, making treatment easy. If the swelling is diffuse without a head and slightly painful, and the pus is clear and thin, the Yuan Qi is deficient, making treatment difficult. If there is no swelling or pain, or if the swelling is diffuse, dark, and does not ulcerate, the Yuan Qi is extremely deficient, which is the most difficult to treat. The main therapeutic methods are as follows: For high swelling and pain, first use Xianfang Huoming Yin (Immortal Life Elixir) to resolve toxicity, followed by Tuoli Xiaodu San (Support-Interior and Detoxify Powder). For diffuse swelling with slight pain, use Tuoli San (Support-Interior Powder); if ineffective, add Shengjiang (Zingiberis Rhizoma Recens, Fresh Ginger) and Rougui (Cinnamomi Cortex, Cinnamon Bark). If pain persists after pus discharge, it indicates Qi and Blood deficiency; use Bazhen Tang (Eight-Treasure Decoction). If pus does not form and tissue does not slough, it indicates Yang Qi deficiency; use Sijunzi Tang (Four Gentlemen Decoction) plus Danggui (Angelicae Sinensis Radix, Dong Quai), Huangqi (Astragali Radix, Astragalus), and Rougui (Cinnamomi Cortex, Cinnamon Bark). If new flesh does not grow and wounds do not close, it indicates Spleen Qi deficiency; use Sijunzi Tang plus Shaoyao (Paeoniae Radix Alba, White Peony Root) and Muxiang (Aucklandiae Radix, Aucklandia). If aversion to cold and shivering occur, it indicates Yang Qi deficiency; use Shiquan Dabu Tang (Ten Complete Tonifying Decoction) plus Shengjiang (Zingiberis Rhizoma Recens, Fresh Ginger) and Rougui (Cinnamomi Cortex, Cinnamon Bark). If afternoon fever or internal heat occurs, it indicates Yin Blood deficiency; use Siwu Tang (Four Substances Decoction) plus Renshen (Ginseng Radix, Ginseng) and Baizhu (Atractylodis Macrocephalae Rhizoma, Atractylodes). If nausea or vomiting occurs, it indicates Stomach Qi deficiency; use Liujunzi Tang (Six Gentlemen Decoction) plus Paojiang (Zingiberis Rhizoma Preparatum, Prepared Ginger). If spontaneous sweating or night sweats occur, it indicates deficiency of the Five Zang Organs; use Liuwei Dihuang Wan Formula plus Wuweizi (Schisandrae Chinensis Fructus, Schisandra). If food intake is poor and the body feels tired, it indicates Spleen Qi deficiency; use Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction) plus Fuling (Poria, Poria cocos) and Banxia (Pinelliae Rhizoma, Pinellia). If panting, rapid breathing, and coughing occur, it indicates Spleen and Lung deficiency; use the aforementioned formula plus Maidong (Ophiopogonis Radix, Ophiopogon) and Wuweizi (Schisandrae Chinensis Fructus, Schisandra). If nausea and poor appetite coexist, it indicates Spleen and Stomach deficiency; use Renshen Lizhong Tang (Ginseng Regulate the Middle Decoction). If abdominal pain and diarrhea occur, it indicates Spleen and Stomach deficiency-cold; use Fuzi Lizhong Tang (Aconite Regulate the Middle Decoction). If lower abdominal fullness and edema of the lower legs occur, it indicates Spleen and Kidney deficiency; use Shiquan Dabu Tang plus Shanzhuyu (Corni Fructus, Cornus), Shanyao (Dioscoreae Rhizoma, Yam), and Rougui (Cinnamomi Cortex, Cinnamon Bark). If diarrhea and cold feet occur, it indicates Spleen and Kidney deficiency-cold; use the aforementioned formula plus Rougui (Cinnamomi Cortex, Cinnamon Bark) and Fuzi (Aconiti Lateralis Radix Praeparata, Prepared Aconite Root). If heat, thirst, dysuria, and urinary retention occur, it indicates Kidney deficiency with Yin fire; use Jiajian Bawei Wan (Modified Eight-Ingredient Pill). If panting, coughing, dysuria, and urinary retention occur, it indicates Lung and Kidney deficiency with false fire; use Buzhong Yiqi Tang and Jiajian Bawei Wan. In general, for frail individuals, regardless of whether swelling or ulceration is present, one should first tonify Stomach Qi. Some suspect that Renshen (Ginseng Radix, Ginseng) causes stagnation in the middle jiao; occasionally, practitioners use it but also add dispersing and detoxifying herbs, such that the benefit does not compensate for the harm. Others, adhering rigidly to the notion that their constitution is inherently robust or that they have phlegm, refuse tonifying agents, often leading to misdiagnosis and mistreatment. It is unknown that sores and ulcers arise from the depletion of Yin and Yang; once pus has drained, Qi and Blood become even more deficient. How can tonification be inappropriate? Thus, Master Danxi stated: Whenever swelling and pain are observed, if pulse and symptoms indicate deficiency, provide tonification immediately. As long as Qi and Blood are not depleted, auspicious outcomes can be ensured until the end.