\r鼠攒疮\p04-a41a173.bmp\r
汪省之曰∶鼠攒疮，又名游走血脾痈，生于胁背之间。此乃自幼受其胎毒，或因
缺乳多食面果热毒之物，脏腑娇脆，不能克化，久作寒热，骨蒸内热，日夜不宁。因
此毒发生于皮膜之外，俨如流注一般，状似鼠形，大小不一。七八日有脓可治，无脓难于收敛。（《理例》）
王肯堂曰∶老鼠攒，一名游走血脾痈，生于背胁之间三两处发疽。由怒气积热所
致，多发于足少阳，足厥阴部位。七日不见脓及黑陷躁乱者死。（《准绳》）
《心法》曰∶串疽生于背胁之间，初发
一处，挨次发出二三处，形虽不同，而色仍同也。溃后多相串通，故又名老鼠攒，又名游走血脾痈。
\r渊疽\p04-a41a174.bmp\r
陈实功曰∶渊疽发于胁下。初起不红坚硬，久则破溃有声如婴儿啼状，膏盖无
声，去膏仍有。异哉难治，真不能也。（《正宗》）
《心法》∶渊疽生于胁下三寸，忧恚太过，以致肝胆两伤而成。初起坚硬肿而不
红，日久方溃，得稠白脓者顺。如豆浆者险，疮口有似乎儿啼，此属内膜透也，可
于阳陵穴（在膝膑骨外廉下一寸陷中，蹲。）灸二七壮，其声即止；将溃未溃，宜坐取之即得，多
服护膜散，可免透膜。
鼠攒疮
汪省之说：鼠攒疮，又名游走血脾痈，生长在胁部与背部之间。这是由于自幼受到胎毒的影响，或者因为乳汁不足而过多食用面食、水果以及性质燥热的食物，导致脏腑娇嫩脆弱，无法运化消化这些食物，久而久之形成寒热交替的症状，出现骨蒸内热（一种自觉骨骼深处发热的症状），日夜不得安宁。因此，这种毒邪发作于皮膜之外，形态如同流注（一种多发于肌肉深部的脓肿性疾病）一般，形状像老鼠，大小不一。如果在七八天内能出脓则容易治疗，若无脓则难以收敛愈合。（出自《理例》）
王肯堂说：老鼠攒，又称游走血脾痈，生长在背部和胁部之间的两三个位置并发疽病。这是由怒气积聚化热所致，多发生在足少阳胆经和足厥阴肝经循行的部位。如果七天后仍不见脓液，且疮色黑陷、患者烦躁混乱的，预后不良，会导致死亡。（出自《准绳》）
《医宗金鉴·心法要诀》说：串疽生长在背部和胁部之间，起初只在一个地方发作，随后依次在二三个地方发出，虽然形状不同，但颜色相同。溃破后往往相互贯通，所以又叫做老鼠攒，也叫做游走血脾痈。
渊疽
陈实功说：渊疽生长在胁下。初起时不红且质地坚硬，时间久了会破溃，发出的声音像婴儿啼哭一样，如果用膏药覆盖则没有声音，去掉膏药后声音依然存在。这种情况非常奇怪且难以治疗，确实很难治愈。（出自《外科正宗》）
《医宗金鉴·心法要诀》说：渊疽生长在胁下三寸处，是由于过度忧愁愤怒，导致肝胆两脏受损而形成。初起时坚硬肿胀但不发红，日久才会溃破，如果出现稠厚的白色脓液则为顺证（预后良好）。如果脓液像豆浆一样稀薄则为险证（预后较差）。疮口发出类似婴儿啼哭的声音，这是因为内膜被穿透了，可以在阳陵泉穴（位于膝膑骨外侧下方一寸处的凹陷中，需蹲坐取穴）艾灸十四壮，声音就会停止；在即将溃破或尚未溃破时，宜采用坐姿取穴以便操作，并多服用护膜散，可以避免穿透内膜。
Rat Cluster Sore (Shu Zan Chuang)
Wang Shengzhi stated: Rat Cluster Sore, also known as Wandering Blood Spleen Carbuncle (You Zou Xue Pi Yong), arises between the hypochondrium and the back. This condition results from congenital toxin acquired in infancy, or from insufficient breastfeeding coupled with excessive consumption of wheat-based foods, fruits, and other heat-producing substances. Due to the delicate and fragile nature of the internal organs, these substances cannot be properly transformed and transported. Over time, this leads to alternating chills and fever, bone-steaming interior heat (Gu Zheng Nei Re), and restlessness day and night. Consequently, the toxin manifests on the exterior of the skin and fascia, resembling Liu Zhu (Flowing Abscess), taking the shape of a rat with varying sizes. If pus forms within seven to eight days, it is treatable; if no pus forms, healing and contraction are difficult. (From *Li Li*)
Wang Kentang stated: Mouse Cluster, also called Wandering Blood Spleen Carbuncle, presents as carbuncles arising in two or three locations between the back and the hypochondrium. It is caused by the accumulation of anger transforming into heat. It frequently occurs in the regions of the Foot-Shaoyang Gallbladder Meridian and the Foot-Jueyin Liver Meridian. If after seven days there is no pus, and the lesion turns black and sunken while the patient becomes restless and chaotic, death ensues. (From *Zhun Sheng*)
*Fa Yi Xin Fa* states: Chuan Ju (Stringed Carbuncle) arises between the back and the hypochondrium. Initially, it appears in one location, then successively emerges in two or three others. Although the shapes differ, the color remains the same. After ulceration, they often communicate with each other, hence the names Mouse Cluster and Wandering Blood Spleen Carbuncle.
Abyss Carbuncle (Yuan Ju)
Chen Shigong stated: Abyss Carbuncle arises below the hypochondrium. In the early stage, it is not red but hard. After a long period, it ruptures, producing a sound like an infant crying. When covered with a plaster, the sound ceases; when removed, the sound persists again. This is strange and difficult to treat; truly, it is incurable. (From *Zheng Zong*)
*Fa Yi Xin Fa*: Abyss Carbuncle arises three cun below the hypochondrium, resulting from excessive worry and indignation damaging both the Liver and Gallbladder. Initially, it is hard, swollen, but not red. It only ulcerates after a long time. The emergence of thick white pus indicates a favorable course (Shun). Pus resembling soy milk indicates a dangerous course (Xian). If the sore mouth emits a sound similar to an infant crying, this belongs to the perforation of the inner membrane. One may moxa at Yanglingquan Acupoint (located in the depression one cun below the lateral edge of the patella, taken in a squatting position) for fourteen moxa cones (Zhuang); the sound will then stop. Before or during the impending ulceration, it is advisable to take the point in a sitting position for ease of access. Frequent administration of Hu Mo San (Membrane-Protecting Powder) can prevent membrane perforation.