\r瘿瘤发\p04-a41a166.bmp\r
申斗垣曰∶瘿瘤发，发于脊之正中，近于大椎、（穴在第一椎上陷中，三阳督脉所发。）陶道、
（穴在项大椎节下间，督脉足太阳经之会，俯而取之自得。）身柱（穴在第三椎节下间，俯而取之。三穴之端，）俱督
脉所络之处，甚利害，急早托之。此是阳维之海，督领百脉，若生痈疽，乃督脉不能统督之意，故凶。（《启玄》）
\r体疽发\p04-a41a167.bmp\r
申斗垣曰∶体疽发上至肺俞，（穴在第三椎
下，各侠脊相去一寸五分。）下至肝俞，（穴在第九椎下，两旁各一寸五分。出《出眺附经》）左右相同，在
高骨之旁，乃足太阳膀胱经多血少气，八日可刺。如不溃二十日死，或初发时肿上如椒子者死。（《启玄》）
王肯堂曰∶竟体发，一名椒眼发。背上生疽，肉色不变，麻木微痒，顽如牛领
之皮，二三尺，由盛暑时空腹感触秽气及愤怒积郁所致。七日内未成脓，宜隔蒜灸，
灸而起发，神清脉和者，可治；灸而不起，腹胀神昏，脉微或促或代者死。服汗剂得
汗者生；无汗者死。服补剂红润起发知痛者生；膨胀不食，干枯黑陷者死。（《准绳》）
王肯堂曰∶阴阳疽，背上麻木不常，时肿时塌，忽软忽硬，乍寒乍热，由七情内
乖，阴阳不和也。此证必大渴，神清脉定者可治；昏迷躁乱饮食不进者死。十日得
黄白脓者可治；数日无脓者死。（《准绳》）
【瘿瘤发】
申斗垣说：瘿瘤发，生于脊柱的正中部位，靠近大椎穴（该穴位位于第一椎骨上方的凹陷处，是手足三阳经与督脉交会之处）、陶道穴（该穴位在项部大椎节下方的间隙中，为督脉与足太阳膀胱经的交会点，俯身取穴即可得）、身柱穴（该穴位在第三椎骨节下方的间隙中，俯身取穴。这三个穴位所在之处，都是督脉络属的部位），病情非常严重危险，必须尽早使用托毒法治疗。这里是阳维脉的海会之处，督脉统领全身经脉，如果此处发生痈疽，说明督脉失去了统摄全身经脉的功能，所以预后凶险。（出自《启玄》）
【体疽发】
申斗垣说：体疽发范围上至肺俞穴（该穴位在第三椎骨下方，左右各距离脊柱一寸五分），下至肝俞穴（该穴位在第九椎骨下方，左右两旁各距离脊柱一寸五分，出自《出眺附经》），左右两侧相同，位于高骨的旁边。这是足太阳膀胱经多血少气的部位，发病八天可以施针。如果二十天后还不溃破，患者就会死亡；或者初发时肿胀处像辣椒籽一样的，也会死亡。（出自《启玄》）
王肯堂说：竟体发，又名椒眼发。背上生疽，皮肤颜色没有改变，感觉麻木且微痒，皮肤坚硬粗糙如同牛颈部的皮，面积可达二三尺。这是由于盛夏时节空腹接触秽浊之气以及愤怒、积郁所致。七天内未能化脓的，适宜采用隔蒜灸疗法。艾灸后疮疡起发，患者神志清醒、脉象平和的，可以治愈；艾灸后疮疡不起发，出现腹胀、神志昏迷，脉象微弱或急促或代脉的，死亡。服用发汗剂后能出汗的存活；不出汗的死亡。服用补益剂后疮疡红润起发、知觉疼痛的存活；若疮疡膨胀不进食、干枯黑陷的死亡。（出自《准绳》）
王肯堂说：阴阳疽，背部麻木无常，时而肿胀时而塌陷，忽软忽硬，忽冷忽热，这是由于七情内伤导致阴阳失调。此证必定伴有极度口渴，神志清醒、脉象稳定的可以治愈；昏迷躁动、无法进食的死亡。十天内出现黄白色脓液的可以治愈；几天后仍无脓液的死亡。（出自《准绳》）
[ Ying Liu Fa (Goiter-like Tumor Eruption) ]
Shen Douyuan stated: Ying Liu Fa occurs at the midline of the spine, near the Dazhui (Great Vertebra) acupoint (located in the depression above the first vertebra, where the three Yang meridians and the Du Meridian intersect), the Taodao (Pathway of Qi) acupoint (located in the gap below the segment of the great vertebra in the neck, an intersection of the Du Meridian and the Foot-Taiyang Bladder Meridian; obtain by bending forward), and the Shenzhu (Spirit Pillar) acupoint (located in the gap below the third vertebral segment; obtain by bending forward. The ends of these three acupoints are all areas connected by the Du Meridian). This condition is extremely severe and dangerous; one must employ the Tuo method (supporting the body's resistance to expel toxins) early. This area is the sea of the Yangwei Vessel (Yang Linking Vessel), and the Du Meridian leads all meridians. If a carbuncle or ulcer develops here, it indicates that the Du Meridian has failed to lead and control the meridians, hence the prognosis is ominous. (From *Qi Xuan*)
[ Ti Ju Fa (Body Carbuncle Eruption) ]
Shen Douyuan stated: The range of Ti Ju Fa extends upward to the Feishu (Lung-Shu) acupoint (located below the third vertebra, one and a half cun lateral to the spine on both sides) and downward to the Ganshu (Liver-Shu) acupoint (located below the ninth vertebra, one and a half cun lateral to the spine on both sides, from *Chu Tiao Fu Jing*). It is symmetrical on the left and right, located beside the prominent bones. This is the region of the Foot-Taiyang Bladder Meridian, which is characterized by abundant blood and scarce qi; acupuncture can be performed after eight days. If it does not suppurate within twenty days, death ensues. Alternatively, if the swelling at the initial onset resembles a pepper seed, death also ensues. (From *Qi Xuan*)
Wang Kentang stated: Jing Ti Fa (Whole-Body Eruption), also known as Jiao Yan Fa (Pepper-Eye Eruption), manifests as a carbuncle on the back. The skin color remains unchanged, with sensations of numbness and slight itching. The skin becomes hard and rough like the hide of an ox's neck, covering an area of two or three chi. It is caused by exposure to foul air while fasting during the height of summer, combined with anger and accumulated depression. If pus does not form within seven days, Garlic-Separated Moxibustion is appropriate. If the lesion rises after moxibustion, and the patient’s spirit is clear and pulse is harmonious, it is treatable. If the lesion does not rise after moxibustion, accompanied by abdominal distension, coma, and a faint, rapid, or intermittent pulse, death ensues. Survival occurs if sweating follows the administration of diaphoretic agents; death occurs if no sweat follows. Survival occurs if the lesion becomes ruddy and rises with pain sensation following the administration of tonic agents; death occurs if the lesion expands, the patient refuses food, and the tissue becomes dry, black, and sunken. (From *Zhun Sheng*)
Wang Kentang stated: Yin-Yang Ju (Yin-Yang Carbuncle) presents with variable numbness on the back, alternating between swelling and collapsing, softness and hardness, and chills and fever. It is caused by internal disharmony of the Seven Emotions leading to an imbalance of Yin and Yang. This condition must present with extreme thirst. If the spirit is clear and the pulse is stable, it is treatable. If the patient is comatose, restless, and unable to eat, death ensues. If yellow-white pus appears within ten days, it is treatable. If no pus appears after several days, death ensues. (From *Zhun Sheng*)