【歌】疽发恶深其状小，浅而大者是为痈。要看部位分虚实，薄处尤当大补荣。
【论】《原病式》云∶痈者，浅而大者也。疽者，深而恶者也。热盛血则为痈疽。丹溪云∶痈疽须看六阳
经、六阴经，有多气少血者，有多血少气者，有血气俱多者，不可以一概论。若夫要害处，近虚怯处，如少阴、
厥阴经生痈，以其气多血少，恐肌肉难长，疮口未合，必成大害。所以戒用驱毒利药以伐其阴分之血，当大补
气血，方可收功。又如中年人生痈疽，才有痛处，参之脉症，但见虚弱，便与滋补血气，可保终吉。河间云∶
肿掀于外，根盘不深，形证在表，其脉多浮，病在皮肉。非气盛必侵于内，急须内托以救里，宜复煎散除湿散
郁，使胃气和平，或未已，再煎半料与之。如大便秘，烦者，少少与黄连汤。如微利而烦，热少退，却复与复
煎散半料，如此使荣卫俱行，邪气不能内伤。世俗多用排脓内补十宣散，若用于些少疮及冬月则可，若溃疡于
夏月用之，其桂、附辛热温散，佐以防风、白芷，吾恐虽有参、 ，难为倚仗，不若复煎散之愈也。学人临用
斟酌，斯无弊也。
托裹复煎散
防风（三两，去芦） 地骨皮（二两） 白茯苓（二两） 黄芩（二两） 白芍药（二两） 人参（二两，去
芦） 白术（二两，炒） 黄 （二两，蜜炙） 肉桂（二两） 甘草（二两） 防己（二两） 当归（二两）
先以苍术一斤，水五升，煎至三升，去术，入前药煎至四盏，分四次饮之，术渣还可再煎。
背发发脾肚，在肩下脊上，因饮食而感其毒，广一尺，深一寸，溃虽在骨，不穿膜不死，急治脾肚之毒。
内当托里护心，外当拔毒散肿，内外夹攻之。若发于右脾中，恐其毒奔心，大要服药截住，不令攻心。如通脊
背肿者，不可救也。
蜂窠发者，正当脊心，头在上，最不宜，乃为反证，全要托里生肌定痛，恐毒攻心难治，心火未发故也。
散走流注发，此毒瓦斯乘风热而走，急用疏风定热，则气自息。治之者流注于手、足、腿、膝者，必死无疑。
背发，两头小，四边散攻，乃因饮食所致而气食相关，合阴虚而成之。气虚而散者，所以开口而阔，急
服内消药，亦宜补阳也。
肺痈发于左膊间，初可用灯火点破，追疔汤汗之而散。
右搭肩发，骨上生者，以动之处，可治。若串于左肩，难治。左搭肩发，骨上以动处，可治。串于右肩，
难治。二证并用雄黄散，及絮，焙干为末，香油调，搽患处。
对心发，因心火盛而热气会，生于此，其毒壮盛走之，急用疏导心火药解之。
肾俞发，因受湿并怒气饮热酒而得之，伤于内肾之间，流毒在肾俞，宜解内肾之毒，若阴发伤肾膜者，
不治。肾俞双发，阳发于外，可治。阴发伤肾膜，及脓稀者死。
疮久不痊，肾水虚惫，下流故也，可服苦参丸，外用隔纸膏贴之，红玉散敷之。
红丝疮，人多不识，无治法，害人甚速。其疮生于手、足间，有黄泡，其中忽紫黑色，即有一条红丝迤延
血上而生，若致心腹则使人昏乱不救。或有生两、三条红者，以针横截
红丝，所到之处刺之，使血出，以膏药贴之愈。此证得之喜怒不节，血气逆而生也。
内疳疮，生上 ，初发如莲花痔，根蒂小而下垂，及大，治法以勾刀决其根，烧铁烙之以止其血。次以雄
黄、轻粉、粉霜、白芷、白蔹末之敷其上，以槐杖作枕支其牙颊间，毋使口合，一、两时疮瘢定合，口自便。
次日出脓，以生肌散敷之，仍以乳香膏护之。不支其牙则津液冲动，不能敷药，此劳气虚惫故也。
便痈，血疝也，俗呼为便毒，以其不便处生故也。乃足厥阴肝之经络及冲、任、督脉，亦属肝之旁络，是
血气流行之道路也，今壅而为痈，当以玉烛散或桃仁承气汤下之。
乳痈，由忿怒所逆，郁闷所遏，浓味所酿。盖乳房，阳明所经；乳头，厥阴所属。厥阴之气不通而汁不出；
阳明之热沸腾，故热甚而化脓。亦因乳子膈有痰滞，口气 热，含乳而睡，热气所吹，遂生结核。初起须忍痛，
揉令稍软，吮令汁透，自可消散，失此必成痈。故用青皮疏厥阴之滞；石膏清阳明之热；当归、川芎、甘草节
行污浊之血；栝蒌、没药、橘叶、皂角刺、金银花消肿导毒；少佐以酒，行药力也，更以艾灸两、三壮尤捷。
若有不得于夫，不得于舅姑者，忧怒郁闷，朝夕累积，遂成隐核如棋子，不痛不痒，数十年后为陷空，名曰乳
癌，其疮形凹嵌如岩穴，难治。
蜂窠发于胸乳间，乃心热盛，急用疏导心火药，迟则不救。
颈后蜂窠发，宜急救，若初起 赤肿痛，可疗。痰发及流两肩者，难治。
两胁下痈疽，切不可用补阳药。盖虚中得，绝不可受热剂，虚甚，易于伤骨膜。
两边发际发，在颈后两边发际，如核发起，急宜取去病
根。如脑心发，看热气上攻于脑四畔边， 赤肿硬，连于耳项，寒热疼痛，不急治，毒入于血肉，多腐为脓水，不治。
脑后发，名夭疽，其状大而紫黑色，若不急治，则毒入渊腋，前伤任脉，内熏肝肺，十余日死，急用化痰
消肿托里散，及内托千金散。
耳后发，耳后一寸三分发之必死，名锐毒，不治。
胸发，名井疽，状如豆，三、四日起，不早治，入于腹，十日死，急服内固清心散。外发可治，内发必死无疑。
九发肺疽在募中。肝疽在期门；肾疽在中脘；脾疽在章门；胃疽在贲门；大肠疽在天枢；三焦疽在丹田；
小肠疽在关元。其气穿溃在外可治，若发于内，伤膜者，流脓大肠出，不治。
外肾阴发，名肾痈，又名悬痈，阴囊上肿痛，乃膀胱与肾经及足厥阴肝经感寒湿邪，偏肾于阴之经络，致
血气凝滞，寒湿气不散，而为此病。即服托里散加车前子、木通、淡竹叶、牵牛、何首乌，复用内消散及生肌
定痛散敷之。此证外溃去子亦无害也。
下 HT ，秘传一味千金散立效，外以葱白炒热熨之，如冷再热，熨三、五次后，敷消毒消肿药加大黄、
木鳖子、南星、草乌敷之。破用生肌散敷之。
人面疮，此证是冤业所致，可以善事解之，然后服流气饮。久不已，苦参丸，或用贝母研末敷之。
托里护心散
大黄（三钱） 牡蛎（三钱， ） 天花粉（三钱） 皂角刺（三钱） 朴硝（三钱） 连翘（三钱） 当归
（一两五钱） 金银花（一两） 芍药（二钱，炒） 黄芩（二钱，炒）
每半两，水、酒煎。
托里十补散
黄 （二钱，蜜炙） 人参（二钱，去芦） 当归（二钱五分） 浓朴（一钱，炒） 桔梗（一钱，去芦）
川芎（一钱二分） 防风（一钱，去芦） 桂心（一钱） 甘草（一钱，炙） 白芷（一钱五分）
锉一剂，水煎服。
内托千金散
白芷（一钱二分） 人参（二钱，去芦） 当归（二钱） 黄 （炙，二钱半） 川芎（一钱二分） 防风
（一钱二分） 甘草（炙，一钱五分） 芍药（炒，二钱半） 花粉（一钱五分） 官桂（一钱二分） 桔梗（去
芦，一钱二分） 金银花（三钱）
水煎，入酒半盏，再煎沸，温服。
内固清心散
辰砂（一钱） 白茯苓（一钱） 人参（一钱二分，去芦） 白豆蔻（一钱） 雄黄（一钱） 绿豆（一撮）
朴硝（一钱） 甘草（一钱，炙） 片脑（一钱） 麝香（一钱） 皂角刺（八分）
末之，每服一钱，蜜汤调下。
一味千金散
用黑蜘蛛一个，过街者为妙，入杵钵中研烂，热酒搅匀，通口服。
雄黄散
雄黄（一钱） 巴豆（一粒）
同研如泥，入乳香、没药各少许，再研匀、细，少上，恶肉自去。
拔毒散
陈皮（一两） 甘遂（一两） 当归尾（一两五钱） 川芎（一两） 红花（酒洗，一两） 桃仁（去皮、
尖，一百个）
水、酒煎服。
玉烛散
即大承气对四物汤。（二方一见伤食，一见血证。）
生肌散
枯白矾（一两） 槟榔（一两） 密陀僧（钱半） 黄丹（一钱） 血竭（一钱） 轻粉（五分）
末之，敷疮上。
乳香散
赤石脂（五钱） 白胶香（五钱） 枯白矾（五钱） 黄丹（二钱） 乳香（二钱） 没药（二钱） 轻粉（二钱）
俱末之，敷疮上。
流气饮（方见耳证条下。）
苦参丸
苦参不拘多少，炼蜜丸如梧桐子大，每服五、六十丸，薄荷煎汤送下。
红玉锭子
干胭脂（三钱） 枯白矾（三钱） 轻粉（三钱） 砒霜（一钱） 黄丹（三钱） 片脑（五分） 麝香（五分）
末之，糊为锭子，临用井花水磨，涂患处。
隔纸膏
龙骨（ ，一两） 铅粉（一两） 铅丹（一两）
末之，香油或桐油调，油纸夹隔贴之，次日又翻过贴，须先以葱、椒煎汤洗净，然后粘贴。
乌龙膏
小粉（四两） 半夏（一两） 木鳖子（去壳，一两） 草乌（半两）
铁锅内炒焦，研细，出火毒，水调敷，日一换。
【歌诀】疽病发作，病情凶险且位置深在，初起症状轻微；痈病发作，位置浅表且范围较大。需要结合发病部位来辨别虚实，在气血薄弱之处尤其应当大补营血。
【论述】《原病式》中说：痈，是位置浅表且范围较大的病症；疽，是位置深在且性质凶险的病症。热邪炽盛导致血液凝滞，就会形成痈或疽。丹溪说：治疗痈疽必须观察六阳经和六阴经的情况，有的经脉多气少血，有的多血少气，有的气血都充足，不能一概而论。如果是发生在要害部位、靠近虚弱怯弱之处的痈疽，例如在少阴经、厥阴经发生的痈，因为这些经脉多气少血，恐怕肌肉难以生长，疮口难以愈合，必然造成严重危害。所以告诫不要使用驱毒利药来攻伐阴分之血，应当大补气血，才能取得疗效。又比如中年人发生痈疽，刚感到疼痛时，参合脉象和症状，只要见到虚弱的表现，就给予滋补气血的药物，可以保全最终吉祥的结果。河间说：如果肿胀掀发于体表，根盘不深，形证在表，脉象多浮，说明病位在皮肉之间。如果不是气盛侵扰内部，急需内托法以救里，宜用复煎散除湿散郁，使胃气平和。如果病势未止，再服用半料。如果大便秘结、烦躁，少量给予黄连汤。如果轻微腹泻而烦躁减轻，热势稍退，再给予复煎散半料，这样使营卫之气通行，邪气不能内伤。世俗人多用排脓内补十宣散，如果用于小疮或在冬季使用还可以，如果在夏季溃疡时使用，其中的桂枝、附子辛热温散，配合防风、白芷，我担心即使有人参、黄芪，也难以依靠其效力，不如复煎散效果好。学习的人在临证使用时斟酌，就没有弊病了。
托裹复煎散
防风（三两，去芦头） 地骨皮（二两） 白茯苓（二两） 黄芩（二两） 白芍药（二两） 人参（二两，去芦头） 白术（二两，炒） 黄芪（二两，蜜炙） 肉桂（二两） 甘草（二两） 防己（二两） 当归（二两）
先用苍术一斤，水五升，煎至三升，去掉苍术渣，加入前面的药物煎至四盏，分四次饮用，苍术渣还可以再煎。
背部的痈疽发于脾肚部位，在肩下脊背上，因饮食感受毒邪所致，广度一尺，深度一寸，溃破虽然涉及骨骼，但不穿透膜层就不会死亡，急需治疗脾肚部位的毒邪。
内部应当托里护心，外部应当拔毒散肿，内外夹攻。如果发于右侧脾中，恐怕毒邪奔注心脏，主要要服药截断毒势，不让它攻心。如果通脊背肿胀者，不可救治。
蜂窠发，正当脊背中心，头部在上，最为不宜，属于反常证候，全要靠托里生肌定痛，恐怕毒邪攻心难治，这是因为心火尚未发作的缘故。
散走流注发，这种毒瓦斯乘风热而走窜，急用疏风定热的药物，气机自然平息。治疗流注于手、足、腿、膝部的，必定死亡无疑。
背部的痈疽，两头小，四边散开攻击，是因为饮食所致且气食相关，合并阴虚而成。气虚而散开的，所以开口宽阔，急需服用内消药，也适宜补阳。
肺痈发于左臂膊之间，初期可用灯火灸破，用追疔汤发汗使其消散。
右搭肩发，生在骨头上的，因为处于活动部位，可以治疗。如果串连到左肩，难治。左搭肩发，生在骨头上的活动部位，可以治疗。串连到右肩，难治。这两种证候都用雄黄散，以及絮状物，焙干研末，香油调匀，搽涂患处。
对心发，因为心火旺盛热气汇聚而生于此，其毒壮盛走窜，急用疏导心火的药物解除。
肾俞发，因为受湿并伴有怒气饮热酒而得病，损伤于内肾之间，流毒在肾俞，宜解内肾之毒，如果是阴发伤及肾膜者，不治。肾俞双发，阳发于外，可治。阴发伤肾膜，以及脓液稀薄者死。
疮疡久不痊愈，是肾水虚惫，向下流注的缘故，可服用苦参丸，外用隔纸膏贴敷，红玉散敷贴。
红丝疮，人们大多不认识，没有治疗方法，害人非常迅速。这种疮生于手、足之间，有黄色水泡，其中突然变成紫黑色，随即有一条红丝蜿蜒向上生长，如果到达心腹则使人昏乱无法救治。或者生两三条红丝的，用针横截红丝，在所到的地方刺之，使血流出，用膏药贴敷即可痊愈。此证得之于喜怒不节，血气逆乱而生。
内疳疮，生在上颚，初发如莲花痔，根蒂小而下垂，等到变大时，治疗方法是用勾刀决断其根部，烧铁烙之以止血。其次用雄黄、轻粉、粉霜、白芷、白蔹研末敷在上面，用槐杖作枕支在牙颊之间，不要让口闭合，一两个时辰后疮瘢固定愈合，口自然能张开。第二天出脓，用生肌散敷贴，仍以乳香膏保护。如果不支住牙齿则津液冲动，不能敷药，这是劳气虚惫的缘故。
便痈，即血疝，俗称为便毒，因为生长在不便之处而得名。这是足厥阴肝之经络及冲、任、督脉，也属于肝之旁络，是血气流行的道路，现在壅塞而成痈，应当用玉烛散或桃仁承气汤攻下。
乳痈，由忿怒所逆，郁闷所遏，浓味所酿成。乳房是阳明经所经过；乳头，属厥阴经所属。厥阴之气不通而乳汁不出；阳明之热沸腾，所以热甚而化脓。也因为在哺乳期间膈上有痰滞，口气热，含乳而睡，热气所吹，遂生结核。初起须忍痛，揉令稍软，吮令汁透，自可消散，错过此时必成痈。所以用青皮疏泄厥阴之滞；石膏清阳明之热；当归、川芎、甘草节行污浊之血；栝蒌、没药、橘叶、皂角刺、金银花消肿导毒；少佐以酒，行药力也，更以艾灸两三壮尤其快捷。如果有不得志于丈夫、不得志于公婆者，忧怒郁闷，朝夕累积，遂成隐核如棋子，不痛不痒，数十年后变为陷空，名为乳癌，其疮形凹嵌如岩穴，难治。
颈后蜂窠发，宜急救，如果初起红肿痛，可疗。痰发及流注两肩者，难治。
两胁下痈疽，切不可用补阳药。因为虚中得病，绝不可受热剂，虚甚，易于伤骨膜。
两边发际发，在颈后两边发际，如核发起，急宜取去病根。如脑心发，看热气上攻于脑四畔边，红肿硬，连于耳项，寒热疼痛，不急治，毒入于血肉，多腐为脓水，不治。
脑后发，名夭疽，其状大而紫黑色，若不急治，则毒入渊腋，前伤任脉，内熏肝肺，十余日死，急用化痰消肿托里散，及内托千金散。
耳后发，耳后一寸三分发之必死，名锐毒，不治。
胸发，名井疽，状如豆，三、四日起，不早治，入于腹，十日死，急服内固清心散。外发可治，内发必死无疑。
九发肺疽在募中。肝疽在期门；肾疽在中脘；脾疽在章门；胃疽在贲门；大肠疽在天枢；三焦疽在丹田；小肠疽在关元。其气穿溃在外可治，若发于内，伤膜者，流脓大肠出，不治。
外肾阴发，名肾痈，又名悬痈，阴囊上肿痛，乃膀胱与肾经及足厥阴肝经感寒湿邪，偏肾于阴之经络，致血气凝滞，寒湿气不散，而为此病。即服托里散加车前子、木通、淡竹叶、牵牛、何首乌，复用内消散及生肌定痛散敷之。此证外溃去子亦无害也。
下疳，秘传一味千金散立效，外以葱白炒热熨之，如冷再热，熨三、五次后，敷消毒消肿药加大黄、木鳖子、南星、草乌敷之。破用生肌散敷之。
人面疮，此证是冤业所致，可以善事解之，然后服流气饮。久不已，苦参丸，或用贝母研末敷之。
托里护心散
大黄（三钱） 牡蛎（三钱，煅） 天花粉（三钱） 皂角刺（三钱） 朴硝（三钱） 连翘（三钱） 当归（一两五钱） 金银花（一两） 芍药（二钱，炒） 黄芩（二钱，炒）
每半两，水、酒煎。
托里十补散
黄芪（二钱，蜜炙） 人参（二钱，去芦头） 当归（二钱五分） 浓朴（一钱，炒） 桔梗（一钱，去芦头） 川芎（一钱二分） 防风（一钱，去芦头） 桂心（一钱） 甘草（一钱，炙） 白芷（一钱五分）
锉一剂，水煎服。
内托千金散
白芷（一钱二分） 人参（二钱，去芦头） 当归（二钱） 黄芪（炙，二钱半） 川芎（一钱二分） 防风（一钱二分） 甘草（炙，一钱五分） 芍药（炒，二钱半） 花粉（一钱五分） 官桂（一钱二分） 桔梗（去芦头，一钱二分） 金银花（三钱）
水煎，入酒半盏，再煎沸，温服。
内固清心散
辰砂（一钱） 白茯苓（一钱） 人参（一钱二分，去芦头） 白豆蔻（一钱） 雄黄（一钱） 绿豆（一撮） 朴硝（一钱） 甘草（一钱，炙） 片脑（一钱） 麝香（一钱） 皂角刺（八分）
研末，每服一钱，蜜汤调下。
一味千金散
用黑蜘蛛一个，过街者为妙，入杵钵中研烂，热酒搅匀，通口服。
雄黄散
雄黄（一钱） 巴豆（一粒）
同研如泥，入乳香、没药各少许，再研匀、细，少上，恶肉自去。
拔毒散
陈皮（一两） 甘遂（一两） 当归尾（一两五钱） 川芎（一两） 红花（酒洗，一两） 桃仁（去皮、尖，一百个）
水、酒煎服。
生肌散
枯白矾（一两） 槟榔（一两） 密陀僧（钱半） 黄丹（一钱） 血竭（一钱） 轻粉（五分）
研末，敷疮上。
乳香散
赤石脂（五钱） 白胶香（五钱） 枯白矾（五钱） 黄丹（二钱） 乳香（二钱） 没药（二钱） 轻粉（二钱）
俱研末，敷疮上。
流气饮（方见耳证条下。）
苦参丸
苦参不拘多少，炼蜜丸如梧桐子大，每服五、六十丸，薄荷煎汤送下。
红玉锭子
干胭脂（三钱） 枯白矾（三钱） 轻粉（三钱） 砒霜（一钱） 黄丹（三钱） 片脑（五分） 麝香（五分）
研末，糊为锭子，临用井花水磨，涂患处。
隔纸膏
龙骨（煅，一两） 铅粉（一两） 铅丹（一两）
研末，香油或桐油调，油纸夹隔贴之，次日又翻过贴，须先以葱、椒煎汤洗净，然后粘贴。
[Verse] Carbuncle (Ju, deep-seated sore) presents with severe pathology and a small initial appearance; Boil (Yong, superficial abscess) is shallow but extensive. One must distinguish deficiency and excess based on the location; in areas of thin flesh and blood, it is crucial to greatly tonify Ying-blood (nutritive blood).
[Discussion] The *Yuan Bing Shi* states: "Yong" refers to lesions that are superficial and large; "Ju" refers to those that are deep and malignant. Excessive heat causing blood stasis leads to Yong or Ju. Danxi stated: When treating Yong and Ju, one must observe the Six Yang meridians and Six Yin meridians. Some meridians have abundant Qi but scarce Blood, some have abundant Blood but scarce Qi, and some have both abundant Qi and Blood; they cannot be generalized. If occurring in critical areas or near weak/vulnerable regions, such as on the Shaoyin or Jueyin meridians, because these meridians have abundant Qi but scarce Blood, muscle growth may be difficult, and wound closure delayed, leading to severe harm. Therefore, one should avoid using detoxifying and purgative drugs to attack the Blood of the Yin aspect; instead, one should greatly tonify Qi and Blood to achieve success. For example, when middle-aged individuals develop Yong or Ju, upon feeling pain, if pulse and symptoms indicate weakness, one should immediately administer blood and Qi tonics to ensure a favorable outcome. Hejian stated: If swelling protrudes externally, the base is not deep, signs are superficial, and the pulse is floating, the disease is in the skin and flesh. Unless excessive Qi invades internally, urgent internal support (Tuo Li) is needed to save the interior. Use Fujian San to drain dampness and disperse stagnation, harmonizing Stomach Qi. If the condition persists, administer another half dose. If there is constipation and irritability, give a small amount of Huanglian Tang. If there is mild diarrhea, reduced irritability, and slightly subsided heat, resume administering half a dose of Fujian San. This allows Ying and Wei (defensive) Qi to circulate, preventing pathogenic factors from damaging the interior. Laypeople often use Paion Neibu Shixuan San; this is acceptable for minor sores or in winter, but if used for ulcerated wounds in summer, the acrid-hot warming properties of Guizhi (Cinnamon Twig) and Fuzi (Aconite Root), aided by Fangfeng (Siler Root) and Baizhi (Angelica Dahurica), make me fear that even with Renshen (Ginseng) and Huangqi (Astragalus), reliance on them is precarious. It is better to use Fujian San. Scholars should exercise judgment when applying these, avoiding errors.
**Tuoli Fujian San (Supporting Interior and Releasing Exterior Decoction)**
Fangfeng (3 liang, remove rhizome), Digupi (2 liang), Baifuling (2 liang), Huangqin (2 liang), Baishao Yao (2 liang), Renshen (2 liang, remove rhizome), Baizhu (2 liang, stir-fried), Huangqi (2 liang, honey-fried), Rougui (2 liang), Gancao (2 liang), Fangji (2 liang), Danggui (2 liang).
First, decoct 1 jin of Cangzhu (Atractylodes Rhizome) in 5 sheng of water until reduced to 3 sheng. Remove the Cangzhu residue, add the aforementioned herbs, and decoct until 4 zhan remain. Divide into four doses. The Cangzhu residue can be decocted again.
Back sores developing at the "Pi Du" area, below the shoulders and above the spine, caused by dietary toxins, spanning one chi wide and one cun deep. Even if ulceration reaches the bone, death does not occur unless the membrane is penetrated. Urgently treat the toxin in the Pi Du area. Internally, support the interior and protect the Heart; externally, draw out toxin and dissipate swelling, attacking from both sides. If it develops in the right Pi, fear the toxin rushing to the Heart; medication must intercept the toxin to prevent cardiac invasion. Generalized back swelling is incurable.
Honeycomb Fa (Beehive Sore) occurs exactly at the center of the spine, with the head upward. This is highly unfavorable and represents a reverse syndrome. Treatment relies entirely on supporting the interior, generating flesh, and stabilizing pain, fearing toxin invasion of the Heart which would be difficult to treat, as the Heart Fire has not yet erupted.
Scattering Flowing Injection Fa: This toxin travels with wind-heat. Urgently use wind-dispersing and heat-clearing agents to calm the Qi. Cases flowing to the hands, feet, legs, and knees are invariably fatal.
Back sores with small ends and scattered sides are caused by diet affecting Qi and Food, combined with Yin deficiency. Qi deficiency causes scattering, resulting in wide openings. Urgently take internal resolution medicines; Yang tonification is also appropriate.
Lung Yong develops between the left arm and shoulder. Initially, apply fire moxibustion to break it, then use Zhuding Tang to induce sweating and disperse it.
Right Shoulder-Draping Sore: If arising on the bone at movable joints, it is treatable. If spreading to the left shoulder, it is difficult to treat. Left Shoulder-Draping Sore: If arising on the bone at movable joints, it is treatable. If spreading to the right shoulder, it is difficult to treat. Both conditions use Xionghuang San (Realgar Powder) mixed with cotton wool, baked dry, powdered, and applied with sesame oil.
Heart-Facing Sore: Caused by excessive Heart Fire and heat convergence. The toxin is vigorous and spreading; urgently use Heart Fire-draining and guiding medications.
Shenshu Fa: Caused by dampness, anger, and hot wine consumption, injuring the inner Kidney, with toxin flowing to Shenshu. Resolve the inner Kidney toxin. If Yin-type Fa injures the Kidney membrane, it is incurable. Bilateral Shenshu Fa: Yang-type external presentation is treatable. Yin-type injuring the Kidney membrane or with thin pus indicates death.
Chronic non-healing ulcers result from deficient and exhausted Kidney Water sinking downward. Take Kushen Wan (Sophora Pill); externally apply Gezhi Gao (Paper-Separated Plaster) and Hongyu San (Red Jade Powder).
Red Thread Sore: Often unrecognized and lacking treatment methods, it kills rapidly. It arises between hands and feet, presenting with yellow blisters that suddenly turn purple-black, followed by a red thread extending upwards along the vessels. If it reaches the heart or abdomen, it causes delirium and death. If two or three red threads appear, pierce the red thread horizontally with a needle, prick along its path to release blood, and cover with a plaster to heal. This condition arises from unregulated emotions causing Qi and Blood rebellion.
Internal Gan Sore: Arises in the upper palate. Initially resembles a lotus hemorrhoid, small-rooted and hanging. When enlarged, cut the root with a hook knife and cauterize with hot iron to stop bleeding. Apply powder of Xionghuang (Realgar), Qingfen (Calomel), Fenshuang (White Lead Carbonate), Baizhi (Angelica Dahurica), and Bailian (Lily Bulb). Support the jaw with a locust wood pillow to keep the mouth open. After one to two hours, the scar fixes and the mouth opens naturally. Pus appears the next day; apply Shengji San (Generate Flesh Powder) and protect with Ruxiang Gao (Frankincense Plaster). Without jaw support, saliva interferes with medication application due to Qi exhaustion.
Bian Yong (Genital Abscess): Also known as Blood Hernia or colloquially as Bian Du (Genital Swelling), named for its inconvenient location. It involves the Foot Jueyin Liver meridian and Chong, Ren, and Du vessels, which are lateral branches of the Liver and pathways for Qi and Blood circulation. Obstruction causes abscess; purge with Yuzhu San or Taoren Chengqi Tang.
Ru Yong (Breast Abscess): Caused by anger obstruction, depression blockage, and rich food fermentation. The breast is traversed by the Yangming Meridian; the nipple belongs to the Jueyin Meridian. Jueyin Qi stagnation prevents milk flow; Yangming Heat boils, causing suppuration. It can also result from phlegm retention during lactation, warm breath from the infant blowing into the nipple, forming nodules. Initially, endure pain, massage until soft, and suckle to clear ducts for spontaneous resolution; otherwise, it becomes an abscess. Use Qingpi (Green Tangerine Peel) to disperse Jueyin stagnation; Shigao (Gypsum) to clear Yangming heat; Danggui (Angelica Sinensis), Chuanxiong (Sichuan Lovage Rhizome), and Gancao Jie (Licorice Knot) to move turbid blood; Gualou (Trichosanthes Fruit), Moyao (Myrrh), Jiuye (Tangerine Leaf), Zaojiaoci (Gleditsia Spine), and Jinyinhua (Honeysuckle) to reduce swelling and guide out toxin; add a little wine to promote drug action; moxibustion on two or three points is particularly effective. Women suffering marital or familial discord accumulate sorrow and anger, forming hidden nodules like chess pieces, painless and itchless, which after decades become excavated cavities known as Ru Ai (Breast Cancer), shaped like rocky caves, difficult to treat.
Honeycomb Fa on chest/breast: Due to excessive Heart Heat. Urgently drain Heart Fire; delay is fatal.
Nape Honeycomb Fa: Requires urgent rescue. Treatable if initially red, swollen, and painful. Phlegm-type Fa or those flowing to both shoulders are difficult to treat.
Abscesses under both hypochondria: Absolutely do not use Yang-tonifying drugs. Deficiency patients cannot tolerate heat-inducing agents; extreme deficiency easily damages periosteum.
Hairline Fa on both sides: Occurs at the posterior hairline on both sides of the neck, rising like nodules. Urgently remove the pathological root. Brain-Heart Fa: Heat attacks the brain periphery, causing red, swollen, hard tissue connected to ears and neck, with chills, fever, and pain. If not treated urgently, toxin enters flesh and blood, rotting into pus, which is incurable.
Posterior Head Fa: Named Tian Ju (Early Death Carbuncle). Large, purple-black. If not treated urgently, toxin enters Yuanye (deep axillary region), damages Ren Mai anteriorly, and steams Liver and Lung internally; death occurs within ten days. Urgently use Huatan Xiaozhong Tuoli San (Phlegm-Resolving, Swelling-Reducing, Interior-Supporting Powder) and Neituo Qianjin San (Interior-Supporting Thousand Gold Powder).
Behind-Ear Fa: Eruption one inch three fen behind the ear is fatal, named Rui Du (Sharp Toxin), incurable.
Chest Fa: Named Jing Ju (Well Carbuncle). Bean-sized. Within three to four days, if not treated early, toxin enters abdomen; death in ten days. Urgently take Neigu Qingxin San (Interior-Stabilizing, Heart-Clearing Powder). External eruption is treatable; internal eruption is invariably fatal.
Nine Ju types: Lung Ju in Muzhong; Liver Ju at Qimen; Kidney Ju at Zhongwan; Spleen Ju at Zhangmen; Stomach Ju at Benmen; Large Intestine Ju at Tianshu; Sanjiao Ju at Dantian; Small Intestine Ju at Guanyuan. If Qi perforates outward, it is treatable. If erupting inward, damaging membranes, with pus draining through the Large Intestine, it is incurable.
External Genital Yin Fa: Named Shen Yong or Xuanyong. Swelling and pain on the scrotum. Caused by Cold-Damp pathogens invading Bladder, Kidney, and Foot Jueyin Liver meridians, stagnating Qi and Blood in Yin meridians. Take Tuoli San (Supporting Interior Powder) plus Cheqianzi (Plantago Seed), Mutong (Akebia Stem), Danzhuye (Bamboo Leaf), Qianniu (Morning Glory Seed), and Heshouwu (Polygonum Multiflorum). Externally apply Neixiao San (Internal Resolution Powder) and Shengji Dingtong San (Generate Flesh, Stop Pain Powder). Even if the testicle is lost via external ulceration, it is harmless.
Lower Chancre: Secret One-Ingredient Thousand Gold Powder is instantly effective. Externally, stir-fry scallion white until hot and compress; reheat if cool, compress 3-5 times, then apply disinfecting and swelling-reducing medicine including Dahuang (Rhubarb), Muguaizi (Momordica Seed), Nanxing (Arisaema), and Caowu (Aconite Root). Upon ulceration, apply Shengji San.
Human-Face Sore: Caused by karmic retribution; resolve through good deeds, then take Liuqi Yin (Flowing Qi Drink). If persistent, take Kushen Wan or apply Fumu (Fritillaria) powder.
**Tuoli Huxin San (Supporting Interior, Protecting Heart Powder)**
Dahuang (3 qian), Muli (3 qian, calcined), Tianhuafen (3 qian), Zaojiaoci (3 qian), Poxiao (3 qian), Lianqiao (3 qian), Danggui (1.5 liang), Jinyinhua (1 liang), Shaoyao (2 qian, fried), Huangqin (2 qian, fried).
Decoct half liang in water and wine.
**Tuoli Shibu San (Supporting Interior, Tenfold Tonifying Powder)**
Huangqi (2 qian, honey-fried), Renshen (2 qian, remove rhizome), Danggui (2.5 qian), Houpo (1 qian, fried), Jiegeng (1 qian, remove rhizome), Chuanxiong (1.2 qian), Fangfeng (1 qian, remove rhizome), Guixin (1 qian), Gancao (1 qian, roasted), Baizhi (1.5 qian).
Decoct one dose in water.
**Neituo Qianjin San (Interior-Supporting Thousand Gold Powder)**
Baizhi (1.2 qian), Renshen (2 qian, remove rhizome), Danggui (2 qian), Huangqi (roasted, 2.5 qian), Chuanxiong (1.2 qian), Fangfeng (1.2 qian), Gancao (roasted, 1.5 qian), Shaoyao (fried, 2.5 qian), Huafen (1.5 qian), Guanzi Gui (1.2 qian), Jiegeng (remove rhizome, 1.2 qian), Jinyinhua (3 qian).
Decoct in water, add half cup of wine, boil again, and take warm.
**Neigu Qingxin San (Interior-Stabilizing, Heart-Clearing Powder)**
Chensha (Cinnabar, 1 qian), Baifuling (1 qian), Renshen (1.2 qian, remove rhizome), Baidoukou (1 qian), Xionghuang (1 qian), Lvdou (Mung Bean, a pinch), Poxiao (1 qian), Gancao (1 qian, roasted), Piannao (Borneol, 1 qian), Shexiang (Musk, 1 qian), Zaojiaoci (0.8 qian).
Powder. Take 1 qian per dose, mixed with honey water.
**Yiwei Qianjin San (One-Ingredient Thousand Gold Powder)**
Use one black spider (preferably one crossing the street). Grind in a mortar until paste-like, mix with hot wine, and drink thoroughly.
**Xionghuang San (Realgar Powder)**
Xionghuang (1 qian), Badou (Croton Seed, 1 grain).
Grind together into paste. Add small amounts of Ruxiang (Frankincense) and Moyao (Myrrh), grind uniformly and finely. Apply sparingly; necrotic tissue will fall off naturally.
**Badu San (Toxin-Draining Powder)**
Chenpi (Tangerine Peel, 1 liang), Gansui (Kansui Root, 1 liang), Dangguiwei (Angelica Tail, 1.5 liang), Chuanxiong (1 liang), Honghua (Safflower, wine-washed, 1 liang), Taoren (Peach Kernel, peeled and halved, 100 kernels).
Decoct in water and wine.
**Yuzhu San (Jade Candle Powder)**
Equivalent to Dachengqi Tang combined with Siwu Tang. (One formula addresses food stagnation, the other blood disorders.)
**Shengji San (Generate Flesh Powder)**
Kubai Fan (Calcined White Alum, 1 liang), Binglang (Betel Nut, 1 liang), Mituoseng (Lead Monoxide, 1.5 qian), Huangdan (Lead Tetroxide, 1 qian), Xuexie (Dragon's Blood, 1 qian), Qingfen (Calomel, 0.5 qian).
Powder. Apply to the sore.
**Ruxiang San (Frankincense Powder)**
Chishizhi (Red Halloysite, 5 qian), Baijiaoxiang (White Frankincense Resin, 5 qian), Kubai Fan (Calcined White Alum, 5 qian), Huangdan (Lead Tetroxide, 2 qian), Ruxiang (Frankincense, 2 qian), Moyao (Myrrh, 2 qian), Qingfen (Calomel, 2 qian).
All powdered. Apply to the sore.
**Liuqi Yin (Flowing Qi Drink)**
(See Ear Syndrome section for formula.)
**Kushen Wan (Sophora Pill)**
Kushen (Sophora Root) in any quantity. Form pills with refined honey the size of Sophora seeds. Take 50-60 pills per dose, washed down with Mint decoction.
**Hongyu Dingzi (Red Jade锭)**
Gan Yanzhi (Dry Rouge, 3 qian), Kubai Fan (Calcined White Alum, 3 qian), Qingfen (Calomel, 3 qian), Pishuang (Arsenic Trioxide, 1 qian), Huangdan (Lead Tetroxide, 3 qian), Piannao (Borneol, 0.5 qian), Shexiang (Musk, 0.5 qian).
Powder. Mix with paste to form锭 (lozenges/pastes). Before use, grind with well water and apply to the affected area.
**Gezhi Gao (Paper-Separated Plaster)**
Longgu (Dragon Bone, calcined, 1 liang), Qianfen (Lead Powder, 1 liang), Qiandan (Lead Tetroxide, 1 liang).
Powder. Mix with sesame oil or tung oil. Sandwich between oiled paper and apply. Flip the plaster the next day. Wash the area with Scallion and Pepper decoction before application.
**Wulong Gao (Black Dragon Ointment)**
Xiaofen (Starch, 4 liang), Banxia (Pinellia, 1 liang), Muguaizi (Momordica Seed, shelled, 1 liang), Caowu (Aconite Root, 0.5 liang).
Stir-fry in an iron pot until charred. Grind fine. Remove fire toxicity. Mix with water and apply. Change once daily.