妇人流注，或因忧思郁怒，亏损肝脾；或因产后劳役，复伤气血，以致营气不从，逆于肉理
；或因腠理不密，外邪客之；或湿痰流注；或跌扑血滞；或产后恶露；盖气流而注，血注而
凝。或生于四肢关节；或流于胸腹腰臀；或结块，或漫肿，皆属虚损。急用葱熨及益气养荣
汤，则未成自消，已成自溃。若久而肿起作痛，肢体倦怠，病气有余，形气不足，尚可治。
若漫肿微痛，属形气病气俱不足，最难治。不作脓，或脓成不溃，气血虚也，用八珍汤。憎
寒畏寒，阳气虚也，十全大补汤。晡热内热，阴血虚也，四物加参、术。作呕欲呕，胃气虚
也，六君加炮姜。食少体倦，脾气虚也，补中益气加茯苓、半夏。四肢逆冷，小便频数，命
门火衰也，八味丸。小便频数，痰盛作渴，肾水亏损也，六味丸。月经过期，多日不止，肝
脾虚也，八珍汤加柴胡、丹皮。凡溃而气血虚弱不敛者，更用十全大补汤，煎膏外补之。久
溃而寒邪凝滞不敛者，用豆豉饼祛散之。其溃而内有脓管不敛者，用针头散腐化之，自愈。
若不补气血，不节饮食，不慎起居，不戒七情，或用寒凉克伐，俱不治。
治验
一妇人左臂患之，年许不溃，坚硬不痛，肉色不变，脉弱少食，月经过期，日晡发热，劳役
则痛，遂与参、 、归、术、川芎、芍药、熟地、贝母、远志、香附、桔梗、丹皮、甘草，百余贴而消。
一妇人暴怒，腰肿一块，胸膈不利，时或气走作痛，与方脉流气饮，数剂而止，更以小柴胡
对四物，加香附、贝母，月余而愈。
一妇人因怒，胁下肿痛，胸膈不利，脉沉滞，以方脉流气饮，数剂少愈，以小柴胡对二陈，
加青皮、桔梗、贝母，数剂顿退，更以小柴胡汤对四物，二十余剂而痊。
一妇人因闪胸肩患肿，遍身痛，遂以黑丸子二服而痛止，以方脉流气饮二剂而肿消，更以二
陈对四物，加香附、枳壳、桔梗而痊愈。
一妇人腿患筋挛骨痛，诸药不应，脉迟紧，用大防风汤，二剂顿退，又二剂而安。又一妇患
之亦然，先用前汤二剂，更服黑丸子而痊。此二患若失治，溃成败证。
一妇人溃后发热，予以为虚，彼不信，乃服败毒药，果发大热，竟至不救。夫溃疡虽有表证
，发热宜以托里为主，佐以表散之剂，何况瘰 流注乎?若气血充实，经络通畅，决无患者
。此证之因，皆由气血素亏，或七情所伤，经络郁结，或腠理不密，六淫外侵，隧道壅塞。
若不审其所因，辨其虚实，鲜不误人。
妇人流注病，有的因为忧思郁怒，损伤肝脾；有的因为产后劳累过度，再次损伤气血，导致营气运行不畅，逆乱于肌肉纹理之间；有的因为腠理（皮肤毛孔及皮下组织间隙）不紧密，外邪侵入；有的因为湿痰流注；有的因为跌打损伤导致血行停滞；有的因为产后恶露不尽。大概气行则注，血注则凝。有的发生在四肢关节；有的流窜于胸腹腰臀；有的结成肿块，有的漫肿无头，都属于虚损之证。急用葱熨法以及益气养荣汤治疗，则未成脓的自行消散，已成脓的自行溃破。如果日久肿胀疼痛，肢体倦怠，病气有余而形气不足，还可以治疗。如果漫肿微痛，属于形气和病气都不足，最难治疗。如果不化脓，或者脓成但不溃破，是气血虚弱所致，使用八珍汤。怕冷畏寒，是阳气虚弱，使用十全大补汤。午后潮热、内热，是阴血虚弱，使用四物汤加人参、白术。想呕吐或呕吐，是胃气虚弱，使用六君子汤加炮姜。饮食减少、身体疲倦，是脾气虚弱，使用补中益气汤加茯苓、半夏。四肢逆冷、小便频数，是命门火衰，使用八味丸。小便频数、痰多口渴，是肾水亏损，使用六味丸。月经过期，多日不止，是肝脾虚弱，使用八珍汤加柴胡、丹皮。凡是溃破后气血虚弱不能收敛伤口，再用十全大补汤，煎膏外用补益。久溃不愈且寒邪凝滞不能收敛的，用豆豉饼祛除散结。其溃破后内有脓管不能收敛的，用针头散腐蚀化腐，自愈。如果不补气血，不节制饮食，不注意起居，不戒除七情（喜怒忧思悲恐惊），或者使用寒凉药物克伐正气，都不治。
治验案例：
一位妇人左臂患此病，一年多不溃破，坚硬不痛，肉色不变，脉弱食少，月经过期，下午发热，劳累则痛，于是给予人参、[缺失字]、当归、白术、川芎、芍药、熟地、贝母、远志、香附、桔梗、丹皮、甘草，百余帖后消散。
一位妇人暴怒后，腰部肿起一块，胸膈不利，有时气走窜作痛，给予方脉流气饮，几剂后停止，再用小柴胡汤合四物汤，加香附、贝母，月余痊愈。
一位妇人因愤怒，胁下肿痛，胸膈不利，脉沉滞，用方脉流气饮，几剂后稍好，用小柴胡汤合二陈汤，加青皮、桔梗、贝母，几剂后迅速消退，再用小柴胡汤合四物汤，二十余剂痊愈。
一位妇人因闪挫胸肩患肿，遍身痛，于是服用黑丸子两服后痛止，服用方脉流气饮两剂后肿消，再用二陈汤合四物汤，加香附、枳壳、桔梗而痊愈。
一位妇人腿部患筋挛骨痛，诸药无效，脉迟紧，用大防风汤，两剂后迅速消退，又两剂后安适。另一位妇人患此病亦然，先用前汤两剂，再服用黑丸子而痊愈。这两个病例若失治，会溃破成为败证。
一位妇人溃后发热，我认为是虚证，她不信，反而服用败毒药，果然发大热，最终不治身亡。溃疡虽有表证，发热宜以托里为主，佐以表散之剂，何况瘰疬流注呢？如果气血充实，经络通畅，决无患病者。此病的成因，皆由气血素亏，或七情所伤，经络郁结，或腠理不密，六淫外侵，隧道壅塞。如果不审察病因，辨别虚实，很少不误人的。
In women, Liu Zhu (flowing abscesses) may arise from worry, thinking, depression, and anger, damaging the Liver and Spleen; or from postpartum overexertion, further injuring Qi and Blood, causing Ying Qi (nutritive energy) to fail to follow its proper course and reverse within the muscle tissue; or due to loose Cou Li (skin pores and interstitial spaces), allowing external pathogens to invade; or from damp-phlegm flowing and depositing; or from traumatic injury leading to blood stasis; or from postpartum lochia retention. Generally, when Qi flows, it deposits; when Blood deposits, it coagulates. These may occur in the joints of the four limbs; flow into the chest, abdomen, waist, and buttocks; form nodules, or present as diffuse swelling without a head, all belonging to deficiency and damage conditions. Urgently apply Cong Xi (scallion moxibustion/fomentation) and Yi Qi Yang Rong Tang (Qi-Nourishing Decoction); thus, those not yet suppurated will resolve spontaneously, and those already suppurated will ulcerate spontaneously. If swelling persists for a long time with pain, limb fatigue, excess pathogenic Qi but deficient constitutional Qi, it is still treatable. If there is diffuse swelling with slight pain, indicating both constitutional Qi and pathogenic Qi are deficient, it is most difficult to treat. Failure to suppurate, or suppuration without ulceration, indicates Qi and Blood deficiency; use Ba Zhen Tang (Eight-Treasure Decoction). Aversion to cold and fear of cold indicate Yang Qi deficiency; use Shi Quan Da Bu Tang (Great Tonifying Decoction for Ten Powers). Afternoon tidal fever and internal heat indicate Yin Blood deficiency; use Si Wu Tang (Four-Substance Decoction) plus Ginseng and Atractylodes Macrocephala Rhizome. Nausea or vomiting indicates Stomach Qi deficiency; use Liu Jun Zi Tang (Six-Gentleman Decoction) plus roasted Ginger. Poor appetite and body fatigue indicate Spleen Qi deficiency; use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) plus Poria and Pinellia Tuber. Cold extremities and frequent urination indicate decline of Ming Men Fire (Gate of Life Fire); use Ba Wei Wan (Eight-Ingredient Pill). Frequent urination, profuse phlegm, and thirst indicate Kidney Water deficiency; use Liu Wei Wan (Six-Ingredient Pill with Rehmannia). Delayed menstruation lasting many days indicates Liver and Spleen deficiency; use Ba Zhen Tang plus Bupleurum Root and Moutan Bark. For any ulcer that fails to heal due to Qi and Blood weakness, further use Shi Quan Da Bu Tang, decocted into a paste for external application. For chronic ulcers where cold pathogens stagnate and prevent healing, use Fermented Soybean Cake to disperse and eliminate. For ulcers with internal sinus tracts failing to heal, use Zhen Tou San (Needle-Head Powder) to cauterize and dissolve necrotic tissue, leading to spontaneous healing. If Qi and Blood are not tonified, diet is not regulated, daily routine is not careful, Seven Emotions are not guarded against, or cold-cooling attacking drugs are used, these cases are untreatable.
Case Records:
A woman suffered from this condition on her left arm for over a year without ulceration; it was hard, painless, with unchanged skin color, weak pulse, poor appetite, delayed menstruation, afternoon fever, and pain upon exertion. She was prescribed Ginseng, [missing character], Angelica Sinensis Root, Atractylodes Macrocephala Rhizome, Ligusticum Chuanxiong Rhizome, Peony Root, Prepared Rehmannia Root, Trichosanthes Root, Polygala Root, Cyperus Rhizome, Platycodon Root, Moutan Bark, and Licorice Root. After more than one hundred doses, it resolved.
A woman experienced sudden anger, resulting in a swollen lump on her waist, chest and diaphragm discomfort, and occasional wandering pain. She was given Fang Mai Liu Qi Yin (Formula-Pulse Flowing-Qi Decoction); after several doses, it stopped. Subsequently, Xiao Chai Hu Tang (Minor Bupleurum Decoction) was combined with Si Wu Tang, adding Cyperus Rhizome and Trichosanthes Root, curing her after more than a month.
A woman suffered from swelling and pain under the ribs due to anger, with chest and diaphragm discomfort and a deep, sluggish pulse. She was treated with Fang Mai Liu Qi Yin; after several doses, she improved slightly. Then, Xiao Chai Hu Tang was combined with Er Chen Tang (Two-Aged Decoction), adding Green Tangerine Peel, Platycodon Root, and Trichosanthes Root. After several doses, symptoms receded rapidly. Finally, Xiao Chai Hu Tang was combined with Si Wu Tang, curing her after more than twenty doses.
A woman developed swelling after a sprain of the chest and shoulder, with generalized body pain. She took two doses of Hei Wan Zi (Black Pills), stopping the pain. Two doses of Fang Mai Liu Qi Yin reduced the swelling. Subsequently, Er Chen Tang was combined with Si Wu Tang, adding Cyperus Rhizome, Aurantium Fruit, and Platycodon Root, leading to full recovery.
A woman suffered from tendon spasms and bone pain in her leg, unresponsive to various medicines, with a slow and tight pulse. She was given Da Fang Feng Tang (Major Saposhnikovia Decoction); symptoms receded rapidly after two doses, and she stabilized after another two doses. Another woman had a similar condition; she first took two doses of the aforementioned decoction, then took Hei Wan Zi, and recovered. If these two cases were mismanaged, they would ulcerate into fatal conditions.
A woman had fever after ulceration. I considered it a deficiency pattern, but she did not believe me. Instead, she took detoxifying/destroying drugs, resulting in severe fever, and ultimately died. Although ulcers may have exterior signs, fever should primarily be treated by supporting the interior, assisted by exterior-releasing agents. How much more so for Luoli (scrofula) and Liu Zhu? If Qi and Blood are sufficient and meridians are unobstructed, disease will certainly not occur. The causes of this condition are all due to inherent Qi and Blood deficiency, or injury from the Seven Emotions causing meridian stagnation, or loose Cou Li allowing invasion of the Six Exogenous Pathogens, blocking the tunnels. If the cause is not examined and deficiency/excess not differentiated, few will avoid harming patients.