初起恶寒体倦，喜复衣被，脉浮紧而在表者，微散之。已成内热口干，好饮冷物，小水涩而大便秘者通之。
顶高色赤， 痛发热，疼痛有时者，宜托里更兼解毒。肿已高而作疼，脓已熟而不破，胀痛难忍，宜即针之。
溃后坚硬不消，脓水不止，饮食无味者，宜补虚健脾。
一男子患此，四、五日始生疼痛，至晚作寒，六脉浮而带数。以人参败毒散二剂，寒热顿退，疼痛稍止；
彼值公务相关欲出，乃用针点入患顶五、六分，流出紫血，用蟾酥条插入膏盖，以活血散瘀汤二服，次日流出
紫血，随便可行，更服托里药五、六服而安。
一男子患此六、七日， 痛发热，口干便燥。以托里消毒散加花粉、大黄，二服便通渴止；仍用前汤加角
针、山甲，数服而脓溃；又以十全大补汤，半月而敛。
一男子患此，坚硬不溃，此先寒凉之过也。以十全大补汤加角针、苍术、丹皮四剂，坚硬渐软；又以透脓
散二服，脓熟针之，以前汤倍参、 、归、术，月余而敛。
一男子暑月患此，自为内毒。外用老鸦藤捣烂敷之，每日续饮凉水十余碗，如此三日，疮毒内陷，患上平
塌冰冷，口噤不言，六脉虚细如丝，辞不可治，至夜而死。又一人冬月患此，外用四黄散凉水调敷，内服败毒
凉药，毒亦内陷，烦躁口干，鼻 气急，患上平塌，原头存一空孔，无水无脓。予曰∶疮毒已陷，定不可治。
复请别医，俱曰无事，予曰∶臀居小腹之后，肌肉顽浓，毒既到此，必须内托为脓，溃后最易收敛；今已内外
寒凉毒既内入，岂能再出。众医强投内消解毒、定燥除烦之药，终至不应，半月而死。
初起时恶寒、身体疲倦，喜欢多穿衣服盖被子，脉象浮紧且病位在表者，宜用微发汗的方法疏散邪气。
脓已成时内热、口干，喜欢喝冷饮，小便涩滞且大便秘结者，宜用通下法治疗。
疮顶高突、颜色红赤，疼痛伴发热，疼痛有定时者，宜用托里法并兼用解毒法。
肿胀已经高起且疼痛，脓已成熟但未破溃，胀痛难以忍受者，宜立即针刺排脓。
溃破后疮口坚硬不消退，脓水淋漓不止，饮食无味者，宜用补虚健脾法。
有一个男子患此病，四、五天之后才开始疼痛，到了晚上出现寒战，六部脉象浮而带数。用人参败毒散服用两剂，寒热症状顿时退去，疼痛稍止；
此时他正值公务繁忙想要外出，于是用针点刺患处顶部五、六分深，流出紫黑色血液，用蟾酥条插入膏药盖上，再服用活血散瘀汤两剂，次日又流出紫黑色血液，随后可以随意行走，又服用托里药五、六剂而痊愈。
另一个男子患此病六、七天，疼痛伴发热，口干大便干燥。用托里消毒散加天花粉、大黄，服用两剂后大便通畅、口渴停止；仍用前方加皂角刺、穿山甲，服用数剂后脓液溃破；后又用十全大补汤，半个月后疮口愈合。
第三个男子患此病，疮口坚硬不溃破，这是先前误用寒凉药物造成的过错。用十全大补汤加皂角刺、苍术、牡丹皮，服用四剂后，坚硬之处逐渐变软；又用透脓散服用两剂，脓熟后针刺排脓，再用前方加倍人参、白芍、当归、白术，一个多月后疮口愈合。
第四个男子在暑月患此病，自认为是内毒。外用老鸦藤捣烂敷贴，每天连续饮用凉水十余碗，如此三天，导致疮毒内陷，患处平塌冰冷，牙关紧闭不能言语，六部脉象虚细如丝，拒绝治疗，当夜死亡。
还有一个人冬天患此病，外用四黄散用凉水调匀敷贴，内服败毒凉药，毒也内陷，烦躁口干，鼻翼扇动呼吸急促，患处平塌，原发病处存留一个空孔，无脓无水。我说：疮毒已经内陷，必定无法治愈。
再次请其他医生诊治，都说没事，我说：臀部位于小腹之后，肌肉厚实致密，毒邪既然到达这里，必须用内托法使其化为脓液，溃破后最容易收敛；如今内外都用寒凉药，毒邪已经内入，怎么可能再排出。众医生强行投用内消解毒、定燥除烦的药物，最终无效，半个月后死亡。
In the initial stage, with aversion to cold, physical fatigue, a preference for wearing extra clothes and covering with quilts, and a floating, tight pulse indicating the pathogen is in the exterior, mild diaphoresis (inducing sweating) should be used to disperse the pathogen.
When the abscess has formed, presenting with internal heat, dry mouth, a desire for cold drinks, scanty and difficult urination, and constipation, purgation (draining downward) should be employed.
If the abscess apex is high, red, painful, accompanied by fever, and pain occurs at specific times, Ying-Supporting (Tuo-Li) methods combined with detoxification should be used.
If swelling is already high and painful, pus is mature but not yet ruptured, and distending pain is unbearable, immediate needle drainage is indicated.
After rupture, if induration persists, pus continues to drain profusely, and appetite is lost, deficiency supplementation and spleen strengthening are appropriate.
A male patient developed this condition; pain began after four or five days, followed by chills in the evening. The six pulses were floating and rapid. Two doses of Renshen Baidu San (Ginseng Detoxification Decoction) caused the chills and fever to subside abruptly, and the pain subsided slightly.
At that time, he was busy with official duties and wished to go out. Therefore, the affected apex was punctured with a needle to a depth of five or six fen, releasing purple blood. A Chan Su strip (Toad Venom Strip) was inserted under a plaster cover. After two doses of Huoxue Sanyu Tang (Blood-Invigorating and Stasis-Dispelling Decoction), purple blood was discharged the next day, allowing him to walk freely. He then took five or six doses of Ying-Supporting medicines and recovered.
Another male patient suffered from this for six or seven days, experiencing pain with fever, dry mouth, and dry stools. Tuo Li Xiao Du San (Support Interior and Disinfect Decoction) was administered with Tian Hua Fen (Trichosanthes Root) and Da Huang (Rhubarb). After two doses, bowel movements normalized and thirst ceased. The previous formula was continued with Jiao Zhen (Gleditsia Sinensis Spine) and Shan Jia (Pangolin Scale); after several doses, pus erupted. Subsequently, Shiquan Dabu Tang (Comprehensive Great Tonifying Decoction) was used, leading to healing within half a month.
A third male patient had an abscess that remained hard and unruptured, due to prior misuse of cold-natured medicines. Shiquan Dabu Tang (Comprehensive Great Tonifying Decoction) was modified with Jiao Zhen (Gleditsia Sinensis Spine), Cang Zhu (Atractylodes Rhizome), and Mu Dan Pi (Moutan Cortex). After four doses, the hardness gradually softened. Tou Nong San (Pus-Revealing Powder) was given for two doses; once the pus matured, it was drained by needle. The previous formula was used with doubled amounts of Ren Shen (Ginseng), Bai Shao (White Peony Root), Dang Gui (Angelica Sinensis), and Bai Zhu (Atractylodes Macrocephala Rhizome), resulting in healing after more than a month.
A fourth male patient contracted this during the summer months, mistakenly believing it to be internal toxin. He applied crushed Lao Ya Teng (Uncaria rhynchophylla or similar vine) externally and drank over ten bowls of cold water daily for three days. This caused the sore toxin to sink inward; the lesion became flat and ice-cold, his jaw locked preventing speech, and the six pulses were deficient and fine as a thread. Refusing treatment, he died that night.
Another patient contracted this in winter. He applied Si Huang San (Four Yellows Powder) mixed with cold water externally and took internal detoxifying and cooling medicines. The toxin also sank inward, causing restlessness, dry mouth, nasal flaring, and rapid breathing. The lesion was flat, leaving only an empty hole at the original site with no pus or fluid. I stated: "The sore toxin has sunk inward; it is certainly incurable."
Other physicians were consulted and claimed there was no issue. I explained: "The buttocks are located behind the lower abdomen, where muscles are thick and dense. Once the toxin reaches this area, it must be supported internally to form pus; after rupture, healing is easiest. Now, with both external and internal use of cold-natured medicines, the toxin has entered inwardly; how can it possibly exit?" The other doctors insisted on administering internal resolving, detoxifying, and calming irritability medicines. Ultimately, these were ineffective, and he died after half a month.