王 寒痰凝阻，颊车不利，高而肿硬，色白不红。此属阴寒骨槽，与色红身热者不同。
大熟地 麻黄 桂枝 秦艽 防风 制僵蚕 当归 白芥子
赵 脾虚湿热入络，两手指节手腕皆木肿。此乃鼓槌流痰，不易速愈。
黄 白术 防风 秦艽 川贝母 当归 茯苓
冯 脐风由乎脾肾湿热而成。今腹痛便泄，先运其中。
白术 赤芍 茯苓 陈皮 木香 当归 六神曲 龙齿 砂仁
某 营行脉中，卫行脉外。体肥湿胜之人，卫恒虚冷，营多
盛热。故肥人当暑，往往肌肤常冷，而易生外疡也。疡发背脊三候，内脓已结，外腐未透。营中之火极炽，
卫弱失于敷布，不能引血化腐，载毒外出，渐显内陷之机，颇为可虑。非温不能助卫
阳以鼓舞，非清不能解营热以化毒。经曰∶血实宜决之，气虚宜掣引之。此法是矣。
黄 （附子煎汁，炒） 鲜生地 穿山甲 地丁草 连翘 皂角刺 制僵蚕 金银花
另以三角风熏。
渊按∶三角风未详是否三角胡麻。
赵 咽喉肿及上 ，的属喉痈。汤水难咽，痰多便闭。症交
四日，邪火炽张。秀翁主以清化涤痰，极是。鄙意竟用凉膈散通彻表里，尤为简净。仍候裁正。
凉膈散加牛蒡子、桔梗、芦根。
仁渊曰∶欲为疡科名家，须多读内科方书。盖外科之难治，在内伤阴证。然亦不外表里阴阳虚实寒热
八字。能明此八字，生死难易，胸中自然了了。夫人身营卫，环周不息，一有壅逆，即
肿硬作痛，而生外疡。外科书分五善七恶，以定吉凶，无非在阴阳两字推求。谓五善不宜少四，七恶不宜
有三。阳多即吉，阴盛即凶。若善恶兼见，可死可生，是在善治者得治则生，失治则死。
即奇怪之证，方书师传所未及，苟学问精深，定其六经部位，审
其阴阳虚实，生死吉凶，胸中自有把握。而膏丹敷掺之药，宜不
吝金钱，诚心虔制，自可应手取效。盖有形迹可求，较内科有捉摸耳。若手法刀法须有师传，否
恐动手便错，及至回头，其人已吃亏不小矣。
王姓患者：寒痰凝滞阻塞，导致颊车穴部位活动不利，局部高起且肿胀坚硬，颜色发白而不红。这属于阴寒性质的骨槽风，与那些颜色发红、伴有身体发热者不同。
大熟地黄 麻黄 桂枝 秦艽 防风 制僵蚕 当归 白芥子
赵姓患者：脾虚导致湿热侵入络脉，双手手指关节及手腕均出现麻木肿胀。这是鼓槌流痰（一种慢性化脓性炎症），不容易迅速痊愈。
黄芩 白术 防风 秦艽 川贝母 当归 茯苓
黄姓患者：脐风是由脾肾湿热蕴结而成的。目前出现腹痛、腹泻，应先调理中焦脾胃。
白术 赤芍 茯苓 陈皮 木香 当归 六神曲 龙齿 砂仁
某患者：营气运行于脉管之中，卫气运行于脉管之外。体型肥胖、湿气偏盛的人，卫气往往虚弱寒冷，而营气多处于盛热状态。因此，肥胖的人在暑天，往往肌肤感觉寒冷，却容易生发外部疮疡。此例疮疡发于背脊，经过三个疗程后，内部脓液已经形成，但外部腐肉尚未溃破透达。营分中的火热极盛，卫气虚弱失去敷布功能，不能引导血液化腐，也不能载毒邪排出体外，逐渐显现出毒邪内陷的征兆，颇为令人担忧。不用温法就不能助长卫阳以鼓舞正气，不清热就不能解除营热以化解毒邪。《内经》说：“血实宜决之，气虚宜掣引之。”这个治法是恰当的。
黄芩（用附子煎汁炒制） 鲜生地 穿山甲 地丁草 连翘 皂角刺 制僵蚕 金银花
另外使用三角风进行熏疗。
渊按：三角风不详是否指三角胡麻。
赵姓患者：咽喉肿胀波及上部颃颡（鼻咽部），确实属于喉痈。汤水难以吞咽，痰多且大便闭塞。病症已交四天，邪火炽盛张扬。秀翁主张以清化涤痰为主，非常正确。我的意见是直接用凉膈散通彻表里，更为简洁干净。仍等候裁正。
凉膈散加牛蒡子、桔梗、芦根。
仁渊曰：想要成为外科名家，必须多读内科方书。大概外科难治之处，在于内伤阴证。然而也不超出表里、阴阳、虚实、寒热这八个字。能明白这八个字，生死难易，心中自然清楚。人的身体营卫之气，循环不息，一旦有壅滞逆乱，就会肿胀坚硬作痛，而生发外部疮疡。外科书籍分为五善七恶，用来判定吉凶，无非是在阴阳两个字上推求。说五善不宜缺少四项，七恶不宜出现三项。阳气多即为吉，阴气盛即为凶。如果善恶兼见，可死可生，关键在于善于治疗者，得治则生，失治则死。即使是奇怪的证候，方书师传所未曾涉及的，只要学问精深，确定其六经部位，审察其阴阳虚实，生死吉凶，心中自有把握。而膏丹敷掺的药物，应当不吝惜金钱，诚心虔诚地制作，自然可以应手取效。因为这类病证有形迹可求，比内科更有捉摸之处。至于手法刀法必须有师传，否则恐怕动手便出错，等到回头补救时，病人已经吃了不小的亏。
Patient Wang: Cold phlegm stagnates and obstructs, causing dysfunction of the Jiache (St6) acupoint area, which presents as elevated, swollen, and hard, with a white but not red color. This belongs to Yin-cold bone groove wind (Gu Cao Feng), differing from cases presenting with redness and body heat.
Shu Di Huang (Prepared Rehmannia Root) Ma Huang (Ephedrae Herba) Gui Zhi (Cinnamomi Ramulus) Qin Jiao (Gentianae Macrophyllae Radix) Fang Feng (Saposhnikoviae Radix) Zhi Jiang Can (Bombyx Batryticatus Prepared) Dang Gui (Angelicae Sinensis Radix) Bai Jie Zi (Sinapis Semen)
Patient Zhao: Spleen deficiency allows damp-heat to enter the collaterals, resulting in numbness and swelling of both hands' finger joints and wrists. This is Drumstick Liutan (a chronic suppurative inflammation), which is not easy to heal quickly.
Huang Qin (Scutellariae Radix) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Fang Feng (Saposhnikoviae Radix) Qin Jiao (Gentianae Macrophyllae Radix) Chuan Bei Mu (Fritillariae Cirrhosae Bulbus) Dang Gui (Angelicae Sinensis Radix) Fu Ling (Poria)
Patient Huang: Umbilical wind (Qi Feng) arises from damp-heat accumulation in the Spleen and Kidney. Currently, there is abdominal pain and diarrhea; one should first regulate the Middle Jiao.
Bai Zhu (Atractylodis Macrocephalae Rhizoma) Chi Shao (Paeoniae Radix Rubra) Fu Ling (Poria) Chen Pi (Citri Reticulatae Pericarpium) Mu Xiang (Aucklandiae Radix) Dang Gui (Angelicae Sinensis Radix) Liu Shen Qu (Medicated Leaven) Long Gu (Fossilia Ossis Mastodi et Scapulae) Sha Ren (Amomi Fructus)
Certain Patient: Ying Qi (Nutrient Qi) circulates within the vessels, while Wei Qi (Defensive Qi) circulates outside the vessels. In individuals who are obese and have excessive dampness, Wei Qi is often deficient and cold, while Ying Qi is frequently in a state of excess heat. Therefore, obese people during summer often have cold skin yet are prone to developing external sores. In this case, the sore erupted on the back and spine. After three treatment phases, internal pus has formed, but external necrotic tissue has not yet penetrated. The fire in the Ying level is extremely intense. Due to weak Wei Qi failing to distribute properly, it cannot guide blood to transform necrosis nor carry toxins outwards, gradually showing signs of toxin sinking inward, which is quite concerning. Without warming methods, Wei Yang cannot be assisted to encourage vitality; without clearing heat, Ying heat cannot be resolved to transform toxins. The Classic states: "When blood is excess, it should be drained; when Qi is deficient, it should be drawn up." This method is appropriate.
Huang Qin (Scutellariae Radix, stir-fried with decoction of Fu Zi) Xian Sheng Di (Rehmanniae Radix Fresh) Chuan Shan Jia (Manis Squama) Di Ding Cao (Violaris Herba) Lian Qiao (Forsythiae Fructus) Zao Jiao Ci (Gleditsiae Spina) Zhi Jiang Can (Bombyx Batryticatus Prepared) Jin Yin Hua (Lonicerae Japonicae Flos)
Additionally, use San Jiao Feng for fumigation.
Yuan notes: It is unclear if San Jiao Feng refers to San Jiao Hu Ma.
Patient Zhao: Swelling of the throat extends to the upper Hang Sang (nasopharynx), indeed constituting Hou Yong (Throat Abscess). Soup and water are difficult to swallow, with excessive phlegm and constipation. The disease has persisted for four days, with fierce evil fire blazing. Xiuweng's main approach of clearing transformation and washing away phlegm is very correct. My opinion is to directly use Liang Ge San to penetrate both exterior and interior, which is even more concise. Still awaiting correction.
Liang Ge San added with Niu Bang Zi (Arctii Fructus), Jie Geng (Platycodonis Radix), Lu Gen (Phragmitis Rhizoma).
Ren Yuan said: To become a master of surgery (Wai Ke), one must read many internal medicine formula books. Generally, the difficulty in treating surgical cases lies in internal injury Yin syndromes. However, it does not go beyond the eight characters: Exterior/Interior, Yin/Yang, Excess/Deficiency, Cold/Heat. If these eight characters are understood, life and death, ease and difficulty, will naturally be clear in the mind. The human body's Ying and Wei Qi circulate endlessly; once there is stagnation and reversal, swelling, hardness, and pain occur, generating external sores. Surgical books divide conditions into Five Good Signs and Seven Bad Signs to determine auspiciousness or inauspiciousness, which essentially boils down to seeking answers in Yin and Yang. It is said that among the Five Good Signs, at least four should be present; among the Seven Bad Signs, no more than three should appear. More Yang indicates auspiciousness; more Yin indicates inauspiciousness. If good and bad signs coexist, death or survival is possible; it depends on whether the skilled practitioner treats correctly (survival) or incorrectly (death). Even for strange syndromes not covered by standard texts or lineage teachings, as long as one's learning is profound, determining the Six Channels locations and examining Yin-Yang and Excess-Deficiency, one will naturally have confidence regarding life, death, auspiciousness, and inauspiciousness. As for ointments, pills, powders, and applications, one should not hesitate to spend money, sincerely and devoutly preparing them, and they will naturally yield immediate effects. Because such diseases have tangible traces to seek, they are more graspable than internal medicine. However, manual techniques and knife techniques must have lineage transmission; otherwise, mistakes may be made upon initiation, and by the time one realizes the error, the patient has already suffered significantly.