《鬼遗方》曰∶内疚疽，发两腋及臂并两手掌中，振寒热而嗌干，饮多即呕，烦
心 ，脉盛，六、七、八日诊如此可汗，不汗死。
\r内疚疽\p04-a41a102.bmp\r
王肯堂曰∶缺盆疽，又名锁骨疽，生肩前陷中，寒热大作，饮食少进，肩背拘
急，小水不利，胸腹膨胀，属足阳明胃经、手少阳三焦经，宜隔蒜灸。若治之稍缓，必
致溃烂，是经少血多气，疮口不合，危笃
者多矣。（《准绳》）
《心法》曰∶此疽又名蠹疽，属胆胃二经积热而成。
\r缺盆疽\p04-a41a103.bmp\r
王肯堂曰∶ 痈，俗名病藕包， 臂表里俱肿赤色，惟肘节处差小，故名藕包，
以内外分阴阳。（《准绳》）
陈实功曰∶ 痈生于膊上，连肩通肿，长而坚硬者是也。（《正宗》）
薛氏曰∶ 痈在肩之下，肘之上，周匝漫肿色赤，里廉外廉，左右皆同，由风
温或风火凝结而成。初起状如粟米一撮，亦有起一粒僵疙瘩者，渐次 肿红热， 脓
痛甚。红肿之外，无晕者顺，有二晕者险，三四晕者逆。
又曰∶藕包毒，肿发 内，或 外结肿一枚，如桃、如鹅鸭卵者是也。 内属
手三阴经， 外属手三阳经，宜加引经药必效。
\r 痈\p04-a41a104.bmp\r
《鬼遗方》记载：内疚疽，发作于双侧腋下、手臂以及双手手掌中，表现为寒战高热且咽喉干燥，饮水多则呕吐，心烦意乱，脉象盛大。若在发病六、七、八天后诊察仍呈现上述症状，可采用发汗法治疗；若不能发汗，则会导致死亡。
王肯堂指出：缺盆疽，又名锁骨疽，生于肩前凹陷处，伴有剧烈的寒热交替，饮食摄入减少，肩背部拘挛紧急，小便不通利，胸腹部胀满膨隆。此病归属于足阳明胃经和手少阳三焦经，适宜采用隔蒜灸法治疗。如果治疗稍有迟缓，必然导致溃烂，因为该经脉气血特点是血少气多，疮口难以愈合，病情危重者众多。（出自《医学准绳六要》）
《医宗心法》记载：这种疽又名蠹疽，是由胆经和胃经积热蕴结而成的。
王肯堂指出：痈（此处特指臂痈），俗称“病藕包”，手臂表里两侧都出现肿胀赤色，只有肘关节部位稍微小一些，所以名叫藕包，根据病变在体表或体内来区分阴阳属性。（出自《医学准绳六要》）
陈实功指出：痈生于上膊部，连接肩部并整体肿胀，病程长且质地坚硬的就是这种病。（出自《外科正宗》）
薛氏指出：痈生于肩膀下方、肘部上方，周围弥漫性肿胀，颜色发红，内侧边缘与外侧边缘，左右两侧情况相同，由风温或风火凝结而成。初起时形状像一撮粟米，也有起始为一粒僵硬的疙瘩，逐渐变得红肿发热，化脓后疼痛剧烈。在红肿范围之外，如果没有红晕为顺证，有两条红晕为险证，有三四条红晕为逆证。
薛氏又说：藕包毒，肿胀发生在内侧，或者在外侧结成一个肿块，形状像桃子，或像鹅鸭蛋大小的就是这种病。内侧归属于手三阴经，外侧归属于手三阳经，适宜加入引经药，必定有效。
The *Gui Yi Fang* states: Nei Jiu Ju (Internal Guilt Carbuncle) erupts in both axillae, arms, and the palms of both hands. It presents with chills and high fever, dry throat, vomiting after excessive drinking, mental restlessness, and a surging pulse. If these signs persist on the sixth, seventh, or eighth day, diaphoresis (inducing sweating) may be employed; if diaphoresis fails, death ensues.
Wang Kentang states: Que Pen Ju (Clavicle Carbuncle), also known as Suo Gu Ju (Clavicular Carbuncle), arises in the depression anterior to the shoulder. It is characterized by severe alternating chills and fever, reduced appetite, stiffness and tension in the shoulder and back, difficult urination, and distension of the chest and abdomen. This condition belongs to the Foot Yangming Stomach Meridian and the Hand Shaoyang Sanjiao Meridian. It is suitable for treatment with Garlic-Separated Moxibustion. If treatment is delayed even slightly, ulceration will inevitably occur. Since this meridian is deficient in blood and abundant in Qi, the wound sore will fail to heal, leading to critical conditions in many cases. (*Yi Zong Zhun Sheng*)
The *Xin Fa* states: This carbuncle, also known as Du Ju (Carpophage Carbuncle), is formed by accumulated heat in the Gallbladder and Stomach meridians.
Wang Kentang states: Yong (Carbuncle), commonly known as Bing Ou Bao (Diseased Lotus Root Packet), involves swelling and redness on both the superficial and deep aspects of the arm, with the elbow joint being relatively less swollen, hence the name "Lotus Root Packet." Yin and Yang are distinguished based on whether the lesion is external or internal. (*Yi Zong Zhun Sheng*)
Chen Shigong states: Yong arising on the upper arm, extending from the shoulder with generalized swelling, long-standing and hard in texture, is this type of disease. (*Wai Ke Zheng Zong*)
Xue Shi states: Yong located below the shoulder and above the elbow presents with diffuse swelling all around, redness, and similar characteristics on both medial and lateral sides, on the left and right. It is caused by the conglomeration of Wind-Warmth or Wind-Fire. Initially, it resembles a pinch of millet seeds, or sometimes starts as a single stiff nodule. Gradually, it becomes swollen, red, and hot, with severe pain upon suppuration. In the area outside the redness and swelling, the absence of an areola indicates a favorable prognosis; two areolas indicate a dangerous prognosis; three or four areolas indicate an unfavorable prognosis.
He further states: You Bao Du (Lotus Root Packet Toxin) manifests as swelling internally, or as a single lump swelling externally, resembling a peach or a goose/duck egg. The internal aspect belongs to the Three Yin Meridians of the Hand, and the external aspect belongs to the Three Yang Meridians of the Hand. It is effective to add guiding herbs (Meridian-guiding drugs).