此二毒乃肾督二脉分合行布，骤被外邪所搏而成。龙泉疽发在人中之间，虎须毒生于地角之上。初起疙瘩，
次生肿痛，渐发寒热，甚者恶心干呕，腮项俱肿。此穴忌灸，初起宜线针挑破患顶，以蟾酥饼放上膏盖，使毒
有门而泄；四边 肿，上如意金黄散敷之。内有表症者，荆防败毒散加芩、连、牛子，里症内疏黄连汤。已成
欲其作脓，芎归内托散；脓成胀痛者，针之即愈。溃脓后只宜膏药换贴，其口易完。此症多生于元气
壮实者，故多不必服药自愈。
芎归内托散
芎归内托散陈皮 桔梗花粉茯苓随
黄 甘草银花等 虎毒龙泉服最宜
川芎 当归 陈皮 茯苓 天花粉 桔梗 银花 黄 （各一钱） 甘草（五分）
水二钟，煎八分，食后服。
如意金黄散 内疏黄连汤 荆防败毒散（见时毒门）
石榴疽者，乃少阳相火与外湿煎搏而成，其患生在肘尖上一寸是也。初起一点黄粟小泡，根便开大，色红
坚硬，肿如复碗，皮破泛出，叠如榴子，令人寒战，犹如重疟。初起即灸九壮，内服蟾酥丸发汗以解蕴毒；灸
顶上，蟾酥饼贴之膏盖； 痛处金黄散敷之。内服菊花清燥汤、琥珀蜡矾丸；烦躁热甚者，护心散、金液戊土
丹。九日后，患上作脓稠黄，疼苦稍减，表里症退，饮食微进者，可保无虞，反此为逆。溃后元气虚弱，杂症
相兼者，照痈疽调理法治之。
菊花清燥汤
菊花清燥汤生地 知母川归熟地皮
柴芩甘草升麻等 犀角门冬白芍宜
甘菊（二钱） 川芎 当归 知母 贝母 白芍 生地 麦门冬 地骨皮（各一钱） 升麻 犀角
甘草 柴胡 黄芩（各五分）
水二钟，淡竹叶、灯心各二十件，煎八分，食后服。
蟾酥丸（见疔疮门）
琥珀蜡矾丸 护心散 如意金黄散（俱见肿疡门）
金液戊土丹（见脱疽门）
这两种毒证是由于肾脉与督脉的气血分布运行，突然受到外邪侵袭搏结而形成的。龙泉疽发作在人中沟部位，虎须毒生于下巴（地角）上方。初起时出现疙瘩，随后产生肿痛，逐渐伴有寒热症状，严重的会出现恶心干呕，腮部和颈部都肿胀。此穴位禁忌艾灸，初起宜用线针挑破患处顶部，放上蟾酥饼并用膏药覆盖，使毒邪有出口得以泄出；四周肿胀处，敷上如意金黄散。兼有表证的，服用荆防败毒散加黄芩、黄连、牛蒡子；兼有里证的，服用内疏黄连汤。脓已成但未溃破，旨在促使化脓的，服用芎归内托散；脓成后感到胀痛，针刺排脓即可痊愈。溃破流脓后，只宜更换贴敷膏药，疮口容易愈合。此症多生于元气壮实的人身上，所以大多不必服药也能自愈。
芎归内托散
芎归内托散由陈皮、桔梗、天花粉、茯苓、黄芪、甘草、金银花等组成，治疗虎须毒和龙泉疽最为适宜。
药材：川芎、当归、陈皮、茯苓、天花粉、桔梗、金银花、黄芪（各一钱），甘草（五分）。
用法：水两钟，煎至八分，饭后服用。
石榴疽，是由于少阳相火与外湿相互煎熬搏结而成，病变发生在肘尖上一寸处。初起时为一个黄色粟米大小的水泡，根部随即扩大，颜色红且坚硬，肿胀像倒扣的碗，皮肤破裂后渗出液体，层层叠叠如同石榴籽，令人寒战，症状犹如严重的疟疾。初起即施灸九壮，内服蟾酥丸发汗以解除蕴积之毒；在患处顶部施灸，贴上蟾酥饼并用膏药覆盖；疼痛处敷上金黄散。内服菊花清燥汤、琥珀蜡矾丸；若烦躁热势严重，服用护心散、金液戊土丹。九日后，患处化脓稠黄，疼痛稍减，表里症状消退，饮食略有进益者，可保无虞，反之则为逆证。溃破后若元气虚弱，夹杂其他病症者，按照痈疽调理法治之。
菊花清燥汤
菊花清燥汤由生地、知母、当归、熟地、地骨皮、柴胡、黄芩、甘草、升麻、犀角、麦门冬、白芍等组成。
药材：甘菊（二钱），川芎、当归、知母、贝母、白芍、生地、麦门冬、地骨皮（各一钱），升麻、犀角、甘草、柴胡、黄芩（各五分）。
用法：水两钟，加入淡竹叶、灯心草各二十件，煎至八分，饭后服用。
These two types of toxic swellings arise from the sudden invasion and binding of external pathogenic factors to the Qi and blood distribution of the Kidney Meridian (Shen Mai) and the Du Meridian (Governing Vessel). Longquan Abscess (Longquan Ju) manifests in the philtrum area, while Huxu Toxic Swelling (Huxu Du) occurs above the chin. Initially, nodules appear, followed by swelling and pain, gradually accompanied by chills and fever. In severe cases, nausea and dry retching occur, with both cheeks and neck becoming swollen. Moxibustion is contraindicated at this acupoint. At the onset, it is advisable to puncture the apex of the lesion with a thread needle, apply a Chan Su Cake (Toad Venom Cake), and cover it with a plaster to provide an outlet for the toxin to drain; apply Ruyi Jinhuang San (Ruyi Golden Yellow Powder) to the surrounding swollen areas. For patients with exterior syndrome symptoms, Jingfang Baidu San (Schizonepeta and Saposhnikovia Decoction to Relieve Toxins) added with Huang Qin (Scutellaria Root), Lian Zi (Coptis Rhizome - *Note: Text says 'Lian', usually Coptis or Lotus seed, context implies Coptis/Huanglian for heat*), and Niu Bang Zi (Arctium Fruit) should be used; for interior syndrome symptoms, Neishu Huanglian Tang (Internal Draining Coptis Decoction) is indicated. When the abscess has formed but not yet ruptured, aiming to promote suppuration, Xionggui Nituo San (Ligusticum and Angelica Decoction to Support the Interior) is prescribed; if there is distending pain after pus formation, needle drainage will lead to recovery. After rupture and pus discharge, only plaster changes are needed, allowing the wound to heal easily. This condition often occurs in individuals with robust Yuan Qi (Original Qi), so medication is often unnecessary as it tends to resolve spontaneously.
Xionggui Nituo San (Ligusticum and Angelica Decoction to Support the Interior)
Xionggui Nituo San consists of Chenpi (Tangerine Peel), Jiegeng (Platycodon Root), Tianhuafen (Trichosanthes Root), Fuling (Poria), Huangqi (Astragalus Root), Gancao (Licorice Root), and Yinhua (Honeysuckle Flower). It is most suitable for treating Huxu Toxic Swelling and Longquan Abscess.
Ingredients: Chuanxiong (Ligusticum Rhizome), Danggui (Angelica Sinensis Root), Chenpi (Tangerine Peel), Fuling (Poria), Tianhuafen (Trichosanthes Root), Jiegeng (Platycodon Root), Yinhua (Honeysuckle Flower), Huangqi (Astragalus Root) (each 1 qian), Gancao (Licorice Root) (0.5 qian).
Administration: Decoct in two zhong of water until reduced to eight fen, take after meals.
Ruyi Jinhuang San (Ruyi Golden Yellow Powder)
Neishu Huanglian Tang (Internal Draining Coptis Decoction)
Jingfang Baidu San (Schizonepeta and Saposhnikovia Decoction to Relieve Toxins) (See Chapter on Time-Specific Toxins)
Shiliu Ju (Pomegranate Abscess) arises from the boiling and binding of Shaoyang Ministerial Fire (Shaoyang Xiang Huo) with external dampness. The lesion appears one cun above the tip of the elbow. Initially, a single yellow millet-sized blister appears, which rapidly expands at the base, becoming red, hard, and swollen like an inverted bowl. Upon skin rupture, exudate emerges in layers resembling pomegranate seeds, causing chills similar to severe malaria. At the onset, nine moxa cones should be applied. Internally, Chan Su Wan (Toad Venom Pill) should be taken to induce sweating and resolve accumulated toxins. Apply Chan Su Paste to the top of the lesion covered by a plaster; apply Jinhuang San (Golden Yellow Powder) to painful areas. Internally administer Juhua Qingzao Tang (Chrysanthemum Dryness-Clearing Decoction) and Hupo Lafan Wan (Amber and Alum Pill); for severe restlessness and heat, use Huxin San (Heart-Protecting Powder) and Jin Ye Wutu Dan (Golden Liquid Earth Earth Pill). After nine days, if the lesion suppurates with thick yellow pus, pain slightly decreases, exterior and interior symptoms recede, and appetite slightly returns, recovery can be assured; otherwise, it indicates a adverse prognosis. If post-rupture weakness of Yuan Qi (Original Qi) exists with complicated symptoms, manage according to the treatment principles for carbuncles and ulcers.
Juhua Qingzao Tang (Chrysanthemum Dryness-Clearing Decoction)
Juhua Qingzao Tang consists of Shengdi (Rehmannia Root), Zhimu (Anemarrhena Rhizome), Danggui (Angelica Sinensis Root), Shudi (Prepared Rehmannia Root), Digupi (Phellodendron Bark), Chaihu (Bupleurum Root), Huangqin (Scutellaria Root), Gancao (Licorice Root), Shengma (Cimicifuga Rhizome), Xijiao (Rhinoceros Horn - *Note: Modern substitute typically Buffalo Horn/Niujiaohuang*), Maidong (Ophiopogon Tuber), and Baishao (White Peony Root).
Ingredients: Ganju (Chrysanthemum Flower) (2 qian), Chuanxiong (Ligusticum Rhizome), Danggui (Angelica Sinensis Root), Zhimu (Anemarrhena Rhizome), Beimu (Fritillaria Bulb), Baishao (White Peony Root), Shengdi (Rehmannia Root), Maidong (Ophiopogon Tuber), Digupi (Phellodendron Bark) (each 1 qian), Shengma (Cimicifuga Rhizome), Xijiao (Rhinoceros Horn), Gancao (Licorice Root), Chaihu (Bupleurum Root), Huangqin (Scutellaria Root) (each 0.5 qian).
Administration: Decoct in two zhong of water with twenty pieces each of Danzhuye (Bamboo Leaf) and Dengxincao (Juncus Effusus Pith) until reduced to eight fen, take after meals.
Chan Su Wan (Toad Venom Pill) (See Chapter on Ding Chuang/Carbuncles)
Hupo Lafan Wan (Amber and Alum Pill)
Huxin San (Heart-Protecting Powder)
Ruyi Jinhuang San (Ruyi Golden Yellow Powder) (All see Chapter on Swollen Ulcers)
Jin Ye Wutu Dan (Golden Liquid Earth Earth Pill) (See Chapter on Tuoju/Gangrene)