胁痛。（《秘方》）
小茴（一两炒） 枳壳（五钱麸炒）
研末每服二钱盐汤调服。
胁痛红及半身甚发水泡者。（《医旨余绪》）
大栝蒌（一个，重一二两，连皮捣烂） 粉甘草（二钱） 红花（五分） 一剂而愈，真神方也。
\r胁疽\p04-a41a143.bmp\r
《灵枢》云∶发于胁，名曰败 。败 者，女子之病也。灸之，其状大痈脓，其
中乃有生肉，大如赤小豆，治之锉 翘草根各一升，（《甲乙经》锉 草、赤松根各一升。）以水
一斗六升煮之，竭为取三升，即强饮浓衣，坐于釜上，令汗至足已。
王肯堂曰∶胁疽属手厥阴、心包络、足厥阴肝火热毒，怒气相并而作，宜速治，不
然溃烂不敛，多致危殆。（《准绳》）
陈实功曰∶胁痈多从郁怒肝火而发。虚怯人多有之，肥胖内实者无此证。初起宜
栀子清肝汤，解郁泻火；已成四妙汤加香附、青皮；脓成者即针之，勿伤内膜；溃
后八珍汤加山萸肉、牡丹皮、泽泻，兼滋肾水。若虚劳而得者，破流臭败稀脓，补托不应者，俱死。（《正宗》）
汪省之曰∶胁痈即穿胁痈，左为痈，右为疽，乃风湿入于骨间，日久不散，渐觉
皮麻骨痛，发于腰胁。气虚胃弱之人，切不可过与补阳之药，恐内受热剂则虚热愈盛，盛则透伤内膜，切宜慎之。（《理
例》）
又曰∶昔一人胁下生痈，后成漏疮，状如牛眼，脓血不止。治法以盐少许纳牛耳
中，然后取牛耳中垢敷漏上，数次即瘥。如不用盐，牛耳不痒，垢亦难取，故取垢必须盐也。
胡公弼曰∶人之两胁，乃足厥阴肝经
气分出入之道路，一有阻滞，不得疏通，郁而为痛，故血亦因之而凝聚矣。是以胁之上下发毒，皆属肝经。（《青囊》）
王肯堂曰∶蜂窝两胁双发疽，或发于左胁，或发于右胁，或两胁双发，乃足厥
阴肝经期门及章门穴，是经多血少气，如上至渊液、辄筋二穴，属足少阳胆经，多
气少血，因气虚而得，不可用热剂，恐伤骨膜。（《准绳》）
冯鲁瞻曰∶胁痈者，乃足厥阴、少阳之经，相火之司也。苟或肝胆之气不平，则
风火内搏，荣逆血热而郁聚为脓矣。（《锦囊》）。
《心法》曰∶胁疽生于软肋，肋有硬骨者为肋，肋下软肉处为季胁，乃肝胆怒火
凝结而成。多生体虚之人，初如梅李，渐长如碗如盆。
胁痛。（出自《秘方》）
小茴香（一两，炒制），枳壳（五钱，麸炒）。
研成粉末，每次服用二钱，用盐汤调服。
胁部疼痛且发红，甚至波及半身并出现水泡者。（出自《医旨余绪》）
大瓜蒌（一个，重一至二两，连皮捣烂），粉甘草（二钱），红花（五分）。服用一剂即可痊愈，真是神奇的方子。
胁疽
《灵枢》说：发于胁部的，名叫“败痎”。这是女子的疾病。用艾灸治疗，其症状表现为大的痈脓，其中会有像赤小豆大小的生肉。治疗方法是锉碎翘草根各一升（《甲乙经》记载为锉碎翘草、赤松根各一升），用水一斗六升煎煮，煮干后取三升药液，立即让患者强饮，盖上厚衣服，坐在锅上熏蒸，令汗出至脚底为止。
王肯堂说：胁疽属于手厥阴心包络和足厥阴肝的火热毒邪，因怒气相兼而发作，应当迅速治疗，否则溃烂不愈合，多导致危重。（出自《准绳》）
陈实功说：胁痈多从郁怒导致的肝火而发。体虚怯弱的人多有此病，肥胖内实的人没有这种证候。初起宜用栀子清肝汤，以解郁泻火；已成脓者用四妙汤加香附、青皮；脓成者即行针刺，不要损伤内膜；溃后用八珍汤加山萸肉、牡丹皮、泽泻，兼以滋补肾水。若是虚劳所致，破溃流出臭败稀脓，补托无效者，均会死亡。（出自《正宗》）
汪省之说：胁痈即穿胁痈，左侧为痈，右侧为疽，乃风湿侵入骨间，日久不散，逐渐感觉皮肤麻木、骨骼疼痛，发于腰胁部位。气虚胃弱之人，切不可过度给予补阳药物，恐怕内受热剂则虚热更盛，盛则透伤内膜，务必谨慎。（出自《理例》）
又说：从前有一人胁下生痈，后来形成漏疮，形状像牛眼，脓血不止。治疗方法是将少许盐放入牛耳中，然后取出牛耳中的垢腻敷在漏疮上，数次即可痊愈。如果不用盐，牛耳不会痒，垢腻也难以取出，所以取垢必须用盐。
胡公弼说：人的两胁，是足厥阴肝经气分出入的道路，一旦有阻滞，不得疏通，郁结而为痛，因此血液也因而凝聚。所以胁部上下发出的毒疮，都属于肝经。（出自《青囊》）
王肯堂说：蜂窝状的双侧胁部疽，或发于左胁，或发于右胁，或两胁同时发生，涉及足厥阴肝经的期门穴和章门穴，这两穴所在经脉多血少气；若向上至渊液、辄筋二穴，属足少阳胆经，多气少血，因气虚而得病，不可使用热性药剂，恐怕损伤骨膜。（出自《准绳》）
冯鲁瞻说：胁痈，属于足厥阴、少阳之经，由相火所主。如果肝胆之气不平，则风火在内搏结，营气逆乱、血热郁聚而成脓。（出自《锦囊》）
《心法》说：胁疽生于软肋处，肋骨有硬骨的部分称为肋，肋下软肉处称为季胁，乃由肝胆怒火凝结而成。多发生于体质虚弱的人，初起如梅李大小，逐渐长大如碗如盆。
Pain in the Hypochondrium. (From *Secret Formula*)
Xiao Hui Xiang (Fennel Fructus, 1 liang, stir-fried), Zhi Ke (Aurantii Fructus, 5 qian, stir-fried with bran).
Grind into powder, take 2 qian per dose, mixed with salt water for administration.
For pain in the hypochondrium with redness, extending to half of the body, accompanied by blisters. (From *Yi Zhi Yu Xu*)
Da Gua Lou (Trichosanthis Fructus, one fruit weighing 1-2 liang, crushed with peel), Fen Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 2 qian), Hong Hua (Carthami Flos, 5 fen). One dose results in cure; truly a miraculous formula.
Abscess in the Hypochondrium
The *Ling Shu* states: An abscess occurring in the hypochondrium is named "Bai Jie". This is a disease affecting women. It should be treated with moxibustion. The manifestation is a large abscess with pus, containing fleshy growths inside resembling red adzuki beans. The treatment involves chopping 1 sheng each of Qiao Cao Gen (Radix Glehniae) [Note: *Jia Yi Jing* records Qiao Cao and Chi Song Gen]. Boil these in 1 dou 6 sheng of water until reduced to 3 sheng. Have the patient drink this forcefully, cover with thick clothing, and sit over a pot to steam, inducing sweating down to the feet.
Wang Kentang states: Abscesses in the hypochondrium belong to the Heat-Fire-Toxin of the Hand-Jueyin Pericardium Meridian and Foot-Jueyin Liver Meridian, arising from the combination of anger. They require prompt treatment; otherwise, ulceration will fail to heal, often leading to critical danger. (From *Zhun Sheng*)
Chen Shigong states: Carbuncles in the hypochondrium often arise from Liver Fire due to depression and anger. They are common in individuals with deficiency and timidity, but absent in those who are obese and internally robust. In the initial stage, use Zhizi Qing Gan Tang (Gardenia Decoction to Clear the Liver) to resolve depression and purge fire; if suppurating, use Si Miao Tang (Four Marvels Decoction) with added Xiang Fu (Cyperus Rhizome) and Qing Pi (Tangerine Peel); once pus forms, puncture it immediately without damaging the inner membrane; after ulceration, use Ba Zhen Tang (Eight Treasures Decoction) with added Shan Yu Rou (Corni Fructus), Mu Dan Pi (Moutan Cortex), and Ze Xie (Alisma Rhizome) to nourish Kidney Water. If caused by consumptive disease, resulting in foul, thin pus that does not respond to tonification and support, death ensues. (From *Zheng Zong*)
Wang Shengzhi states: Carbuncle piercing the hypochondrium is termed carbuncle on the left and abscess on the right. It results from Wind-Dampness entering between the bones, lingering for a long time without dispersing, gradually causing numbness of the skin and bone pain, appearing in the waist and hypochondrium. In patients with Qi deficiency and weak Stomach, one must strictly avoid excessive Yang-tonifying herbs, as internal heat agents may exacerbate deficient heat, potentially penetrating and damaging the inner membrane; caution is essential. (From *Li Li*)
He also stated: Previously, a man developed a carbuncle under his hypochondrium, which later formed a fistula resembling an ox's eye with continuous discharge of pus and blood. The treatment method was to place a small amount of salt into an ox's ear, then apply the dirt/discharge from the ox's ear onto the fistula several times until healed. Without salt, the ox's ear would not itch, making the discharge difficult to obtain; thus, salt is necessary to extract it.
Hu Gongbi states: The two hypochondria of humans are the pathways for the entry and exit of Qi in the Foot-Jueyin Liver Meridian. Any obstruction prevents smooth flow, leading to stagnation and pain, causing Blood to coagulate accordingly. Therefore, toxic sores developing above or below the hypochondrium all belong to the Liver Meridian. (From *Qing Nang*)
Wang Kentang states: Honeycomb-shaped double-sided abscesses in the hypochondrium may occur on the left side, right side, or both simultaneously. These involve the Qimen (LR14) and Zhangmen (LR13) acupoints of the Foot-Jueyin Liver Meridian, which are characterized by abundant Blood and scarce Qi. If extending upwards to Yuan Ye and Zhe Jin acupoints, they belong to the Foot-Shaoyang Gallbladder Meridian, characterized by abundant Qi and scarce Blood. Caused by Qi deficiency, hot-natured medicines should not be used, lest they damage the periosteum. (From *Zhun Sheng*)
Feng Luzhan states: Carbuncles in the hypondrium relate to the Foot-Jueyin and Foot-Shaoyang meridians, governed by Ministerial Fire. If the Qi of the Liver and Gallbladder is unbalanced, Wind and Fire struggle internally, causing counterflow of Ying Qi, Blood Heat, and stagnation leading to pus formation. (From *Jin Nang*)
The *Xin Fa* states: Abscesses in the hypochondrium arise in the soft ribs. The area with hard bone is called the rib, while the soft flesh below the ribs is called the costal margin (Ji Xie). They are formed by the condensation of Fire Anger from the Liver and Gallbladder. They mostly occur in individuals with weak constitutions, initially resembling plums or dates, gradually enlarging to the size of bowls or basins.