王肯堂曰∶痈疽发背，皆营气不从，逆于肉里之所生。即成之后， 肿疼甚，五
七日内，或一头从上开发，或两头开阔，上下侵展不住。帝曰∶何气使然？岐伯曰∶不
善于调养，乃七情之扰，房劳之变，秽气所撞，恶气所袭，皆令开而不住。当以内
托大补之剂内，加白蔹、白芨等药服之，外以收敛之药敷贴淋 ，则聚而不开矣。（《准绳》）
陈实功曰∶夫痈疽对口大疮，内外腐肉已尽，惟结痂时，内肉不粘连者，用软
绵帛七八层放患上，以绢系紧，将患处压实数次，内外之肉自然粘连一片，长如生
成之肉矣。倘患口仍有未完处，再搽玉红膏，其肉自平矣。（《正宗》）
陈实功曰∶夫发背对口大疮等疾，已溃流脓时，冬夏宜绢帛四五层放所贴膏药
外，再用棉布见方八寸，四角用蛇皮细带钉之，安盖绢上，以带系在前胸，绷实疮
上，庶使疮中暖气不泄，易于腐溃，洗疮时，预备二绷更换，务要患内暖气烘者，此
法最善。（《正宗》）
澄曰∶凡发背溃后，口小内大，大脓已泄，内肉不合，宜用铅片如镜，中凿一
眼如钱状，四边锥眼，以针穿缝绵布铺上，夏月则用两层布铺， 上六面钉阔绢带六
条，先将膏药盖好，加以新棉，将铅片铺合疮上，先将左右二带系紧胸前，再将左
上角带与右下角带，由左肩向右胁下斜系，右上角带与左下角带，由右肩向左胁下斜
系，则两层新肉合成一块矣，倘左半边虚处多，右半边实处多，可将膏外衬棉，左
半边垫浓些，右半边衬薄些，如右半边虚处多，亦照此法，总在看疮取脓揩洗时，留
心察其虚实自明。
王肯堂说：痈疽发背，都是营气运行不畅，逆乱于肌肉纹理之间所生成的。在已经形成之后，肿胀疼痛非常剧烈，在五到七天内，或者有一个疮头从上方开始溃破扩散，或者有两个疮头向四周开阔蔓延，上下侵染扩展不停止。黄帝问：是什么气导致这样的呢？岐伯说：不善于调养身体，乃是七情（喜、怒、忧、思、悲、恐、惊）的干扰，房事劳损的变化，秽浊之气所撞击，恶邪之气所侵袭，都会导致疮口溃开而愈合不住。应当在内托大补的药剂中，加入白蔹、白芨等药物服用，外用收敛的药物敷贴淋洗患处，那么疮肉就会聚合而不再溃散。（出自《医学准绳六要》）
陈实功说：对于对口痈疽这种大疮，如果内外的腐肉已经全部清除干净，只是在结痂的时候，内部的新肉不能粘连在一起，可以用七八层柔软的绵帛放在患处的疮口上，用绢带系紧，将患处压实数次，内外之肉自然会粘连成一片，生长得像天生长出的肉一样。如果疮口仍有未愈合的地方，再涂抹玉红膏，其肉质自然就会平整了。（出自《外科正宗》）
陈实功说：对于发背、对口等大疮等疾病，在已经溃破流脓的时候，冬夏两季适宜用四五层绢帛放在所贴膏药的外面，再用见方八寸的棉布，四角用蛇皮细带钉好，覆盖在绢帛上，用带子系在前胸，绷实疮处，使得疮中的暖气不致泄露，易于腐烂化脓。清洗疮口时，预备两个绷带进行更换，务必保持患处内部有暖气烘热感，这种方法最好。（出自《外科正宗》）
顾世澄说：凡是发背溃破后，疮口小内部大，大量脓液已经排出，内部新肉不合拢的情况，宜使用像镜子一样的铅片，中间凿一个像铜钱大小的眼，四边钻有小孔，用针穿过缝好的绵布铺在上面，夏季则用两层布铺垫，上面六面钉上六条宽绢带。先将膏药盖好，加上新的棉花，将铅片铺合在疮口上，先将左右两条带子在胸前系紧，再将左上角的带子与右下角的带子，从左肩向右胁下斜着系住，右上角的带子与左下角的带子，从右肩向左胁下斜着系住，那么两层新肉就会合成一块了。如果左半边虚陷的地方多，右半边坚实的地方多，可以在膏药外衬垫棉花，左半边垫厚些，右半边衬薄些；如果右半边虚陷的地方多，也照此法处理。总之，在看视疮口、取脓、揩洗时，留心观察其虚实情况，自然明了。
Wang Kentang stated: Carbuncle and furuncle on the back (Yong Ju Fa Bei) are all generated by the failure of Ying Qi (Nutritive Qi) to flow smoothly, reversing within the muscle tissue. After formation, swelling and pain are severe. Within five to seven days, either one head opens from above, or two heads expand outward, with invasion and expansion continuing up and down without cessation. The Yellow Emperor asked: What qi causes this? Qibo replied: Inability to maintain proper regimen, disturbance by the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright), changes due to sexual exhaustion, collision by foul qi, and attack by malignant qi, all cause the wound to open and fail to heal. One should add herbs such as Bai Lian (Bletilla Rhizome) and Bai Ji (Bletilla Striata Tuber) to internal large-tonifying and supporting formulas, and apply external astringent medicines for dressing and washing; thus, the flesh will gather and not continue to ulcerate. (From *Zhun Sheng*)
Chen Shigong stated: For large sores like the "Duikou" carbuncle, when internal and external necrotic flesh has been completely removed, but during the scabbing phase, the internal new flesh fails to adhere, place seven or eight layers of soft silk gauze over the affected area, tie it tightly with silk strips, and press the affected area firmly several times. The internal and external flesh will naturally adhere into one piece, growing like normally formed skin. If there are still incomplete areas at the wound opening, apply Yuhong Gao (Jade Red Ointment); the flesh will naturally level out. (From *Zheng Zong*)
Chen Shigong stated: For diseases such as back carbuncles and Duikou sores, when they have ulcerated and are discharging pus, in both winter and summer, it is suitable to place four or five layers of silk gauze outside the applied plaster. Then, use a square cotton cloth measuring eight inches on each side, secure the four corners with fine snake-skin straps, cover the gauze, and tie the straps across the anterior chest to bind the wound firmly. This prevents the loss of warm qi within the wound, facilitating putrefaction and suppuration. When washing the wound, prepare two sets of bandages for replacement, ensuring that the interior of the affected area remains warm. This method is most excellent. (From *Zheng Zong*)
Gu Shicheng stated: Whenever a back carbuncle ulcerates, resulting in a small opening but a large internal cavity, after the discharge of abundant pus, if the internal new flesh does not unite, one should use a lead sheet as smooth as a mirror, drill an eye-sized hole in the center, and pierce holes around the edges. Thread needle through sewn cotton cloth and lay it over the area; in summer, use two layers of cloth. Attach six wide silk straps to the six sides. First, cover with plaster, add fresh cotton, and place the lead sheet over the wound. Tie the left and right straps tightly across the chest. Then, tie the top-left strap diagonally from the left shoulder to the right hypochondrium, and the bottom-right strap similarly; tie the top-right strap diagonally from the right shoulder to the left hypochondrium, and the bottom-left strap similarly. Thus, the two layers of new flesh will merge into one block. If the left side has more concave (deficient) areas and the right side has more convex (solid) areas, pad the cotton outside the plaster: make the padding thicker on the left and thinner on the right. If the right side has more concave areas, follow the same principle. Ultimately, while inspecting the wound, draining pus, and cleaning, careful observation of the deficiency and excess conditions will clarify the situation.