附骨疽一证，近俗呼为贴骨痈。凡疽毒最深，而结聚于骨际者，皆可谓之附骨疽。然尤
惟两股间，肉浓处，乃多此证。盖此证之因，有劳伤筋骨而残损其脉者，有恃酒力房而困烁
其阴者，有忧思郁怒而留结其气者，有风邪寒湿而凑滞其经者。凡人于环跳穴处，无故酸痛
，久而不愈者，便是此证之兆，速当因证调治，不可迟也。盖其初起，不过少阳经一点逆滞
，逆而不散，则以渐而壅，壅则肿，肿则溃，至其延漫，则三阴三阳，无不连及，而全腿俱
溃。然此证，无非元气大亏，不能营运，故致留滞不散，而后至决裂，诚危证也。若溃后脉
和，虽见困弱之甚，只以大补气血为主，皆可保全。若溃后脉反洪芤，而烦躁不宁，发热口
渴，则必不可治。
至若治此之法，凡以劳伤筋骨而致者，宜大营煎，兼大防风汤治之。若酒色伤阴者，宜
八味丸、六味丸，或右归饮，兼大防风汤主之。若忧思郁怒结气者，宜疮科流气饮，或五香
连翘汤。兼大防风汤主之。若风寒外袭者，宜五积散，兼大防风汤主之。大抵此证初起，即宜
用大营煎，温补气血，或兼仙方活命饮，通行毒瓦斯。有火者，宜速用连翘归尾煎，以解散其
毒。仍宜速用隔蒜灸，或豆豉饼寻头灸之。以速散其毒，最为捷法。其有湿热痰饮等证，当
并求后法以治之，庶免大害也。若环跳久痛不已，或见臀股微肿，度其已成，势不能散，只
宜速用托补，专固根本，使其速起速溃，则根本既实，虽凶亦无大害，必且易溃易敛而易愈
也。若脉见滑数，按之软，熟脓已成也。速宜针之，无使久留，以防深蚀之患。其有不明利
害，苟图目前，或用克伐消散，再伤元气。或用寒凉敷药，以遏其毒瓦斯，必致日延日甚，而
元气日败，则一溃不可收拾矣。考诸方书，俱未详及此证，故悉其所因，并附治按于后。
立斋曰∶附骨疽，有因露卧，风寒深袭于骨者。有因形气损伤，不能起发者。有因克
伐之剂，亏损元气，不能发出者。有因外敷寒药，血气凝结于内者。凡此皆宜灸熨患处，解
散毒瓦斯，补接元气，温补脾胃为主。若饮食如常，先用仙方活命饮，解毒散郁，随用六君子
汤，补托营气。若体倦食少，但用前汤，培养诸脏，使邪不得伤正。若脓已成，即针之
，使毒瓦斯不得内侵，带生用针亦无妨。如用火针，亦不痛，且使易敛。其隔蒜灸，能解毒行
气，葱熨法能助阳气，行壅滞。此虽不见于方书，予常用之大效，其功不能尽述，惟气血虚
脱者，不应。又曰∶大抵此证，虽云肿有浅深，感有轻重，其所受皆因真气虚弱，邪气得以深袭。若真气
壮实，邪气焉能为患也。故附骨痈疽，及鹤膝风证，惟肾虚者多患之。前人用附子者，以温补
肾气，而又能行药势，散寒邪也。亦有体虚之人，秋夏露卧，为冷气所袭，寒邪伏结，多成
此证，不能转动，乍寒乍热而无汗，按之痛应骨者是也。若经久不消，极阴生阳，寒化为热
而溃也。若被贼风所伤，患处不甚热，而洒淅恶寒，不时汗出，熨之痛止，少者须大防风
汤，及火龙膏治之，若失治则为弯曲、偏枯。有坚硬如石者，谓之石疽。若热缓，积日不溃
，肉色赤紫，皮肉俱烂，名缓疽。其始末皆宜服前汤，欲其驱散寒邪，以补虚托里也。
又曰∶此证亦有产后恶血未尽，脐腹刺痛，或流于四肢，或注于股内，疼痛如锥，或两
股肿痛。此由冷热不调，或思虑动作，气所壅遏，血蓄经络而然，宜没药丸治之。亦有经血
不行，流注四肢；或股内疼痛如锥，或因水湿所触，经水不行而肿痛者，宜当归丸治之。
凡恶血停滞，为患匪轻，治之稍缓，则流注为骨疽，多致不救。
一妇人膝肿痛，遇寒痛益甚，月余不愈，诸药不应，脉弦紧，此寒邪深伏于内也，用大
防风汤，及火龙膏治之而消。
一男子，腿根近环跳穴，患痛彻骨，外皮如故，脉数而滞滑，此附骨疽，脓将成也。用
托里药六剂，肿起作痛，脉滑数，其脓已成。针之出碗许，更加补剂，月余而瘳。
一男子患附骨疽，肿硬发热，骨痛筋挛，脉数而沉，用当归拈痛汤而愈。
一男子腿内患痈，漫肿作痛，四肢厥逆，咽喉闭塞，发寒热，诸治不效，乃邪郁经络而
然也。用五香连翘汤一剂，诸证少退。又服之，大便行二次，诸证悉退而愈。
一男子，先腿痛，后四肢皆痛，游走不定，至夜益甚，服除湿败毒之剂不应，其脉滑而
涩，此湿痰浊血为患。以二陈汤加苍术、羌活、桃仁、红花、牛膝、草乌，治之而愈。凡湿
痰湿热，或死血流注关节，非辛温之剂，开发腠理，流通隧道，使气行血和，焉能得愈。
王时亨室，产后腰间肿痛，两腿尤甚，此由瘀血滞于经络而然也。不早治，必作骨疽。
遂与桃仁汤二剂稍愈，更以没药丸数服而痊。（薛按）
一魏生者，年三十余，素多劳碌。忽患环跳酸痛，数月后，大股渐肿。延予视之曰∶此
附骨疽也，速当治之。与以活命饮二剂，未及奏效，而肿益甚。因慌张乱投，或清火，或解毒
，遂致呕恶发热，饮食不进，其势甚危，然后恳求相救。遂以参 内托散大加炮姜，数剂而
呕止食进。其肿软熟，知其脓成，速令针之，针处出脓不多。复以九味异功煎与之，遂得大
溃，且瓣瓣出脓，溃者五六处，而腿肉尽去，止剩皮骨矣。溃后复呕恶，发热不食，遂以十
全大补汤，及九味异功煎，相间与之。然后热渐退，食渐近，稍有生色。然足筋短缩，但可
竖膝仰卧，左右挨紧，毫不能动，动则痛极，自分已成废物。此后，凡用十全大补汤八十余
剂，人参三斤，而腿肉渐生，筋舒如故，复成一精壮男子，此全得救本之功也。
一男子陈姓者，年近三旬，素不节欲，忽见环跳酸痛，月余不愈。予曰∶此最可畏，恐
生痈毒之患。彼不信，又谋之一庸医，反被其诟曰∶此等胡说真可笑也。筋骨之痛，亦常
事耳，不过风热使然，何言痈毒。遂用散风清火等药，至半年后，果见微肿，复来求治。予
曰∶速用托补，以救根本，尚不迟也。彼又不信，而谋之疡医曰∶岂可肿疡未溃，而遽可温
补耶。复用清火清毒之剂。及其大溃而危，再延余视，则脉证俱败，方信予言。而痛悔前失，已无及矣。
一膏粱子茅姓者，年未三旬，素以酒色为事，亦患此证。早令服药，执拗不从。及其肿
而脓成，令速针之，亦畏痛不从。而偏听庸流，敷以苦寒解毒之药。不知脓既已成，尤不可
解，但有愈久愈深，直待自溃，而元气尽去，不可收拾矣。（薛按）
附骨疽这一病证，民间俗称贴骨痈。凡是毒邪最深，结聚在骨骼边缘的，都可以称为附骨疽。然而尤其多见于大腿部位，因为那里肌肉丰厚，所以容易患此病。这个病的成因，有因劳累损伤筋骨而残损经脉的，有因纵欲酗酒而耗伤阴精的，有因忧思郁怒导致气机留结的，有因风邪寒湿侵袭导致经络滞涩的。凡是人在环跳穴处，无故出现酸痛，日久不愈的，就是此病的征兆，应当迅速根据证候进行调治，不可拖延。大概此病初起时，不过是少阳经有一点气逆阻滞，若逆而不散，就会逐渐壅塞，壅塞则肿胀，肿胀则溃烂，等到蔓延开来，三阴三阳各经无不牵连，整条腿都会溃烂。然而此病，无非是元气大亏，不能营运气血，致使邪气留滞不散，最终导致决裂，确实是危重的证候。如果溃破后脉象平和，虽然身体困弱得很，只要以大补气血为主，都可以保全性命。如果溃破后脉象反而洪大或芤（浮大中空），且烦躁不安，发热口渴，那就必不可治了。
至于治疗此病的方法，凡是因为劳伤筋骨导致的，适宜用大营煎，兼用大防风汤治疗。如果是酒色伤阴导致的，适宜用八味丸、六味丸，或者右归饮，兼用大防风汤主治。如果是忧思郁怒导致气机结滞的，适宜用疮科流气饮，或者五香连翘汤，兼用大防风汤主治。如果是风寒外袭导致的，适宜用五积散，兼用大防风汤主治。大抵此病初起，就适宜用大营煎，温补气血，或者兼用仙方活命饮，通行毒瓦斯。如果有火邪的，适宜速用连翘归尾煎，以解散其毒。仍然适宜速用隔蒜灸，或者豆豉饼寻头灸之，以迅速消散毒邪，这是最快捷的方法。那些有湿热痰饮等证候的，应当一并参考后面的方法来治疗，以免酿成大祸。如果环跳穴处久痛不止，或者臀部和大腿轻微肿胀，推测已经成脓，势难消散，只适宜速用托里补益法，专固根本，使其迅速起发并溃破，那么根本既实，即使是凶险之证也没有大害，必定容易溃破、容易收敛、容易痊愈。如果脉象滑数，按之柔软，说明脓已成熟。应当速用针具刺破排脓，不要让脓液久留，以防深蚀骨骼的祸患。那些不明白利害，只顾眼前利益的人，或者使用克伐消散的药物，再次损伤元气；或者使用寒凉敷药，来遏制毒瓦斯，必然导致病情日益加重，元气日渐败坏，一旦溃破就无法收拾了。考察各方书，都未详细论述此证，因此列出其病因，并附上治疗案在后面。
薛立斋说：附骨疽，有因露天睡觉，风寒深深侵袭骨骼的。有因形体正气受损，不能起发毒邪的。有因使用克伐药物，亏损元气，不能发出毒邪的。有因外敷寒凉药物，导致血气凝结于体内的。凡这些情况都适宜灸熨患处，解散毒瓦斯，补接元气，以温补脾胃为主。如果饮食正常，先用仙方活命饮，解毒散郁，随后用六君子汤，补托营气。如果体倦食少，只用前一种汤剂，培养五脏，使邪气不得伤害正气。如果脓已成，就针刺它，使毒瓦斯不得内侵，带生用针也无妨。如果用火针，也不痛，而且使伤口容易收敛。那隔蒜灸，能解毒行气，葱熨法能助阳气，行通壅滞。这些虽然不见于方书，但我常用且效果显著，其功效无法尽述，只有气血虚脱者不适用。他又说：大抵此病，虽然说肿胀有浅深，感受有轻重，但所受的病邪都是因为真气虚弱，邪气得以深深侵袭。如果真气壮实，邪气怎么能成为祸患呢？所以附骨痈疽，以及鹤膝风证，只有肾虚的人多患此病。前人使用附子，是为了温补肾气，而又能推行药势，散除寒邪。也有体质虚弱的人，在秋冬露宿，被冷气侵袭，寒邪伏结，多形成此病，不能转动，忽冷忽热而无汗，按压时疼痛应及骨骼的就是这种情况。如果经久不消，极阴生阳，寒化为热而溃破。如果被贼风所伤，患处不甚热，而洒淅恶寒，不时出汗，熨烫后疼痛停止，轻者须用大防风汤，以及火龙膏治疗，如果失治则会导致肢体弯曲、偏枯。有坚硬如石的，称为石疽。如果热势缓和，多日不溃破，肉色赤紫，皮肉俱烂，名为缓疽。其始末都适宜服用前文提到的汤剂，想要驱散寒邪，以补虚托里。
他又说：此病也有产后恶血未尽，脐腹刺痛，或者流注于四肢，或者注入大腿内部，疼痛如锥刺，或者两股肿痛。这是由于冷热不调，或者思虑动作，气机壅遏，血液蓄积在经络所致，适宜用没药丸治疗。也有经血不行，流注四肢；或者大腿内部疼痛如锥刺，或者因水湿触动，经水不行而肿痛的，适宜用当归丸治疗。凡是恶血停滞，为害不小，治疗稍慢，就会流注成为骨疽，多致不治。
一个妇人膝盖肿痛，遇寒痛更厉害，月余不愈，各种药物无效，脉弦紧，这是寒邪深伏于内，用大防风汤，以及火龙膏治疗而消除。
一个男子，腿根靠近环跳穴，患痛彻骨，外皮如故，脉数而滞滑，这是附骨疽，脓将要形成了。用托里药六剂，肿起作痛，脉滑数，脓已成熟。针刺出脓约一碗许，再加补剂，月余而痊愈。
一个男子患附骨疽，肿硬发热，骨痛筋挛，脉数而沉，用当归拈痛汤而痊愈。
一个男子腿部患痈，漫肿作痛，四肢厥逆，咽喉闭塞，发寒热，各种治疗无效，这是邪气郁结在经络所致。用五香连翘汤一剂，诸证稍退。又服之，大便行两次，诸证悉退而痊愈。
一个男子，先腿痛，后四肢皆痛，游走不定，至夜更甚，服用除湿败毒之剂无效，其脉滑而涩，这是湿痰浊血为患。以二陈汤加苍术、羌活、桃仁、红花、牛膝、草乌，治疗而痊愈。凡是湿痰湿热，或者死血流注关节，非辛温之剂，开发腠理，流通隧道，使气行血和，怎么能痊愈呢？
王时亨的妻子，产后腰间肿痛，两腿尤其严重，这是由于瘀血滞于经络所致。不早治，必作骨疽。遂给桃仁汤二剂稍愈，再服没药丸数次而痊愈。（薛立斋按）
一个姓魏的生员，三十多岁，平时多劳碌。忽然患环跳酸痛，数月后，大腿逐渐肿胀。请我去看，说：这是附骨疽，应当速治。给他活命饮二剂，未及见效，而肿更甚。因慌张乱投药，有的清火，有的解毒，遂致呕恶发热，饮食不进，其势很危险，然后恳求相救。遂用参 内托散大加炮姜，数剂而呕止食进。其肿软熟，知脓已成，速令针刺，针处出脓不多。复用九味异功煎与之，遂得大溃，且瓣瓣出脓，溃者五六处，而腿肉尽去，只剩皮骨了。溃后复呕恶，发热不食，遂用十全大补汤，及九味异功煎，相间与之。然后热渐退，食渐近，稍有生气。然而足筋短缩，只能竖膝仰卧，左右挨紧，毫不能动，动则痛极，自认为已成废物。此后，凡用十全大补汤八十余剂，人参三斤，而腿肉渐生，筋舒如故，复成一精壮男子，这全得救本之功也。
一个姓陈的男子，年近三十，平时不节制欲望，忽然见环跳酸痛，月余不愈。我说：这最可怕，恐怕生痈毒之患。他不信，又咨询庸医，反被其嘲笑说：这种胡说真可笑。筋骨之痛，也是常事，不过是风热所致，何言痈毒。遂用散风清火等药，至半年后，果然见微肿，又来求治。我说：速用托补，以救根本，尚不迟也。他又不信，而咨询疡医说：岂可肿疡未溃，而遽可温补耶。复用清火清毒之剂。及其大溃而危，再延我视，则脉证俱败，方信我言。而痛悔前失，已无及矣。
一个富贵子弟姓茅的，年不到三十，素以酒色为事，也患此病。早令服药，执拗不从。及其肿而脓成，令速针之，亦畏痛不从。而偏听庸流，敷以苦寒解毒之药。不知脓既已成，尤不可解，但有愈久愈深，直待自溃，而元气尽去，不可收拾矣。（薛立斋按）
Fu Gu Ju (Abscess Attached to Bone), a condition commonly known in popular terms as Tie Gu Yong (Bone-Adherent Carbuncle). Any case where toxic pathogens are deepest and accumulate at the bone interface can be termed Fu Gu Ju. However, this condition is particularly prevalent in the thighs, where muscles are thick. The etiology of this disease includes: injury to tendons and bones from overwork damaging the meridians; consumption of yin essence due to excessive alcohol and sexual indulgence; stagnation of qi due to worry, thought, depression, and anger; and obstruction of meridians by wind-cold-dampness. Whenever there is unexplained soreness and pain at the Huantiao (GB30) acupoint that persists for a long time without healing, it is a sign of this condition. One must promptly treat according to the syndrome; delay is inadvisable. Initially, the condition merely involves a slight reversal and stagnation in the Shaoyang Meridian. If this reversal does not dissipate, it gradually becomes obstructed. Obstruction leads to swelling, swelling leads to ulceration, and once it spreads, all three Yin and three Yang meridians may be involved, leading to ulceration of the entire leg. Fundamentally, this condition arises from a severe deficiency of Yuan Qi (Original Qi), which fails to circulate and transport, causing pathogens to stagnate and eventually rupture. It is indeed a critical condition. If the pulse is harmonious after ulceration, despite extreme weakness, life can be preserved primarily by strongly tonifying Qi and Blood. However, if the pulse becomes surging or hollow (Kou) after ulceration, accompanied by restlessness, fever, and thirst, the condition is incurable.
Regarding treatment methods: For cases caused by tendon and bone injury, Daying Decoction (Great Camp Decoction) combined with Dafeng Tang (Major Wind-Dispersing Decoction) is appropriate. For cases caused by alcohol and sexual excess damaging Yin, Bawei Wan (Eight-Ingredient Pill), Liuwei Wan (Six-Ingredient Pill), or Yougui Yin (Right-Restoring Infusion), combined with Dafeng Tang, should be used. For cases caused by emotional stagnation, Chu Ke Liuqi Yin (Wound Department Qi-Circulating Infusion) or Wuxiang Lianqiao Tang (Five-Aromatic Forsythia Decoction), combined with Dafeng Tang, are suitable. For cases caused by external wind-cold invasion, Wuji San (Five Accumulations Powder) combined with Dafeng Tang is indicated. Generally, at the onset, Daying Decoction should be used to warm and tonify Qi and Blood, or combined with Xianfang Huoming Yin (Immortal Formula for Preserving Life) to promote the circulation of toxic pathogens. If heat signs are present, Lianqiao Guiwei Jian (Forsythia and Angelica Tail Decoction) should be used urgently to resolve toxicity. Urgent application of Garlic-Separated Moxibustion (Ge Suan Jiu) or Fermented Soybean Cake Moxibustion on the head of the lesion is also recommended to rapidly disperse toxicity, which is the most expedient method. For cases involving damp-heat or phlegm-fluids, refer to subsequent methods to avoid severe consequences. If pain at Huantiao persists or mild swelling appears in the buttocks/thighs suggesting pus formation that cannot dissipate, urgent use of Tuoli Bu (Supporting Interior Tonification) is required to secure the root. This allows rapid development and drainage; once the root is solidified, even severe cases will heal easily. If the pulse is slippery and rapid, and soft upon pressure, indicating mature pus, immediate needle drainage is necessary to prevent deep erosion of the bone. Those who ignore these principles and use draining/dispersing drugs further damage Yuan Qi, or apply cold compresses to suppress toxicity, will see the condition worsen daily until the Qi collapses and ulceration becomes uncontrollable. Since classical texts do not detail this condition, its causes and treatment notes are provided below.
Xue Lizhai stated: Fu Gu Ju can result from sleeping outdoors with deep wind-cold invasion into the bones; from physical depletion failing to expel pathogens; from using draining medicines that deplete Yuan Qi preventing expulsion; or from applying cold topical agents causing blood and qi coagulation internally. In all such cases, moxibustion and warming plasters should be applied to the affected area to disperse toxicity and tonify Yuan Qi, focusing on warming and tonifying the Spleen and Stomach. If appetite is normal, start with Xianfang Huoming Yin to resolve toxicity and disperse stagnation, followed by Liujunzi Tang (Six-Gentlemen Decoction) to tonify Ying Qi. If fatigue and poor appetite exist, use only the former decoction to nourish the Zang organs, preventing pathogens from harming healthy Qi. Once pus forms, needle it to prevent internal invasion; using a raw needle is acceptable. Fire needles cause no pain and facilitate healing. Garlic-separated moxibustion resolves toxicity and moves Qi; Scallion-warming therapy assists Yang Qi and clears stagnation. Though not in standard formularies, I find them highly effective, except in cases of Qi and Blood collapse. He further stated: Although swelling depth and pathogen severity vary, the underlying cause is always weak True Qi allowing deep pathogen invasion. If True Qi is strong, pathogens cannot cause harm. Thus, Fu Gu Ju and Crane Knee Wind are common in Kidney Deficiency. Ancients used Fuzi (Aconite Root) to warm Kidney Qi, promote drug action, and dispel cold. Also, weak individuals sleeping outdoors in autumn/summer may contract cold qi, leading to latent cold accumulation, immobility, alternating chills/fever without sweat, and deep bone pain on pressure. If unresolved, extreme Yin generates Yang, transforming cold into heat and ulcerating. If injured by "thief wind" (sudden cold), with mild local heat but systemic chills and sweating, stopping pain with warming, mild cases require Dafeng Tang and Huolong Gao (Fire Dragon Ointment); untreated, this leads to deformity or hemiplegia. Hard, stone-like lumps are called Shi Ju (Stone Abscess). Slow-healing, red-purple, rotting flesh ulcers are called Huan Ju (Slow Abscess). Throughout, the aforementioned decoctions are used to dispel cold and tonify deficiency to support the interior.
He also noted: Postpartum cases may involve residual lochia causing sharp abdominal pain, flowing to limbs or thighs, causing cone-like pain or thigh swelling. This results from cold-heat imbalance or mental/physical strain causing Qi stagnation and blood stasis in meridians; Moyao Wan (Myrrh Pill) is indicated. Cases of amenorrhea with limb flow or thigh pain due to water-dampness affecting menstruation require Danggui Wan (Angelica Pill). Stagnant lochia is dangerous; delayed treatment leads to bone abscesses and death.
Case 1: A woman with knee swelling/pain worsening with cold, lasting over a month, unresponsive to drugs, with wiry-tight pulse. Diagnosis: Deeply latent cold. Treated with Dafeng Tang and Huolong Gao, resolved.
Case 2: A man with pain penetrating bone near Huantiao, normal skin, rapid-sluggish-slippery pulse. Diagnosis: Fu Gu Ju, pus forming. Treated with interior-supporting herbs for six doses; swelling/pain increased, pulse became slippery-rapid, confirming pus. Needle drained about one bowl of pus. Added tonics; healed in over a month.
Case 3: A man with Fu Gu Ju, hard swelling, fever, bone pain, tendon spasm, rapid-deep pulse. Cured with Danggui Niantong Tang (Angelica Pain-Relieving Decoction).
Case 4: A man with leg carbuncle, diffuse swelling/pain, cold extremities, throat blockage, chills/fever, unresponsive to other treatments. Diagnosis: Pathogen stagnation in meridians. Treated with Wuxiang Lianqiao Tang; symptoms improved after one dose. After two bowel movements following continued use, fully recovered.
Case 5: A man with initial leg pain spreading to limbs, migratory, worse at night, unresponsive to damp-clearing/toxin-resolving drugs. Pulse slippery-choppy. Diagnosis: Damp-phlegm and turbid blood. Treated with Erchen Tang plus Cangzhu, Qianghuo, Taoren, Honghua, Niuxi, Caowu; cured. Damp-phlegm or dead blood in joints requires acrid-warm formulas to open pores, unblock channels, and harmonize Qi/blood.
Case 6: Wife of Wang Shiheng had postpartum waist/leg swelling due to blood stasis in meridians. Untreated, would become bone abscess. Treated with Tao Ren Tang (Peach Kernel Decoction) for two doses, then Moyao Wan several times; recovered. (Xue's Note)
Case 7: Mr. Wei, 30+, overworked. Developed Huantiao soreness, later thigh swelling. Diagnosed as Fu Gu Ju. Given Huoming Yin for two doses without effect; swelling worsened. Panic led to random clearing/cooling drugs, causing vomiting, fever, anorexia, critical state. Saved by Shenqi Neituo San (Ginseng Interior-Supporting Powder) with large amounts of Paojiang (Prepared Ginger); vomiting stopped, appetite returned. Swelling softened, pus formed. Needled, little pus drained. Given Jiwei Yigong Jian (Nine-Ingredient Extraordinary Efficacy Decoction); massive ulceration occurred (5-6 sites), flesh lost, leaving skin and bone. Post-ulcer vomiting/fever/anorexia treated alternately with Shiquan Dabu Tang (Ten Complete Tonifying Decoction) and Jiwei Yigong Jian. Heat subsided, appetite returned, complexion improved. Leg tendons shortened; patient could only lie supine with knees upright, immobile due to pain, believing himself disabled. Treated with over 80 doses of Shiquan Dabu Tang and 3 jin of Ginseng; leg flesh regenerated, tendons relaxed, restored to robust health. Entirely due to saving the root.
Case 8: Mr. Chen, nearly 30, unrestrained in desires. Developed Huantiao soreness for a month. Warned of abscess risk; he ignored me, consulted a quack who dismissed it as wind-heat. Treated with wind-dispersing/heat-clearing drugs. Six months later, mild swelling appeared. I advised urgent interior support; he refused, consulting a surgeon who forbade tonification before ulceration. Continued cooling/clearing drugs. When massive ulceration occurred, he sought me again. Pulse/symptoms were depleted; he believed my words too late. Regret was futile.
Case 9: Young nobleman surnamed Mao, under 30, indulgent in wine/women. Developed this condition. Refused early medication. When swollen and pus formed, refused needling due to fear of pain. Listened to quacks, applied bitter-cold detoxifying topicals. Unaware that once pus forms, detoxification is contraindicated; condition worsened, waiting for spontaneous rupture, exhausting Yuan Qi beyond repair. (Xue's Note)