何事疡疮不罢，血气注留未谢，浊邪因此害清和，目病斯来也。道是酒肉淫，却似烟花惹，风流棒打始能痊，
甘受几多下。
此章言人生疮疡，流毒攻及于目。夫疮疡之作，皆由膏粱浓味，酒色劳郁，耗损真元，外邪袭入，朋党作奸，
致血气注留，内无从泄，发为肿痛。《经》曰∶形伤痛，气伤肿。又曰∶五脏不和九窍不通，六腑不和，留结为
痈。外似有余而内实不足，如再加肝虚毒胜，必循目络，侵拢清虚，法当澄清毒源，毒去目自愈。大要肿高 痛，
脓水稠粘者，元气未损也，仙方活血饮解之，次用托里消毒散。漫肿微痛，脓水清稀，元气衰弱也，用托里不应，
加姜、桂。脓出反痛，气血虚也，八珍汤加 桂。不生肌，不敛口，脾气虚也，四君子加芍药、木香。恶寒、增
寒，阳气虚也，十全大补加姜、枣。晡热、内热，阴血虚也，四物加参术。欲呕、惯呕，胃气虚也，六君子加泡
姜。自汗、盗汗，心肾虚也，补心丹或都气丸。食少体倦，脾气虚也，补中益气加半夏、茯苓。喘促咳嗽，脾肺
虚也，前汤加麦冬、五味。欲呕少食，脾胃虚也，椒梅理中汤。再腹痛泄泻，则虚寒矣，前汤乌梅易附子。小腹
痞、足胫肿，脾肾虚也，十全大补加枣皮、山药。更泄泻足冷，则虚寒矣，再加香附。热渴淋闭，此肾虚阴火，
加减八味丸。喘嗽淋秘，此肺肾虚火，前方及补中益气汤。大凡怯弱之人，不必分其肿、溃，惟当先补胃气，以
托里消毒散加减从事。或疑参 满中，间有用者，加
上许多凉散，所补不偿所损。又有泥于气质素实，及有痰不服补剂，专一败毒，草菅人命，医云乎哉。故东垣云∶
形气病气有余，当泻不当补。形气病气不足，当补不当泻。丹溪曰∶但见肿痛，参之脉症，虚弱便与滋补。气血
无亏，可保终吉。若好讼，因而受杖，棒疮痛攻及目，此怒气激伤肝肺，须援因他例议治，却与本症无涉。刑非
妄与也，惟犯法健讼者受之，是以君子怀刑，讼狱衰息，为国之瑞。今人倚恃护符，稍有争端，辄驾词诬控，虽
个中讨得便宜，而家力日告消乏，万一官清敌劲，褫杖端恐不免。夫以轩轩好汉，与隶卒同一匍伏，已自不堪，
乃囚首献臀受责于众人属目之地，耻孰甚焉。尔时，纵气硬口硬，痛苦自怜，而亏体辱亲，子弟且做人不去，不
孝又莫大于此。愿天下有为之士，完国课，守卧碑外，务以宽浓之情施诸乡党，断不能飞空冤陷，即不幸偶罹株
连，亦天理人心，昭雪有日，杖何如受。
为什么疮疡久治不愈，气血瘀滞未能消散，浊邪因此损害了清和之气，眼病便随之而来。说是因为饮酒吃肉过度，却像是被烟花（指代不良嗜好或外感风热）所招惹，只有经过杖责惩罚才能痊愈，甘愿承受多少下鞭打呢？
这一章讲述人生疮疡，流毒攻及于眼睛。大凡疮疡的发生，都是由饮食膏粱厚味、酒色劳倦情志郁结，耗损真元，外邪乘虚而入，内外合邪，导致气血瘀滞，内部无法宣泄，从而发为肿痛。《内经》说：形伤痛，气伤肿。又说：五脏不和则九窍不通，六腑不和则留结为痈。外表看似有余（实证），而内里其实不足（虚证）。如果再加上肝虚而毒盛，必然沿着目络，侵犯并扰乱清虚之窍，治疗法则应当澄清毒源，毒去则眼病自愈。
大致而言，若肿胀高突、疼痛剧烈，脓水稠粘，说明元气未受损，用仙方活血饮来化解它，其次用托里消毒散。若漫肿无头、微痛，脓水清稀，说明元气衰弱，用托里消毒散无效时，加干姜、肉桂。脓出后反而疼痛，是气血虚弱，用八珍汤加肉桂。肌肉不生、创口不敛，是脾气虚弱，用四君子汤加白芍、木香。恶寒、加重寒冷感，是阳气虚弱，用十全大补汤加生姜、大枣。午后发热、内热，是阴血虚弱，用四物汤加人参、白术。想呕吐、经常呕吐，是胃气虚弱，用六君子汤加炮姜。自汗、盗汗，是心肾虚弱，用补心丹或都气丸。食少体倦，是脾气虚弱，用补中益气汤加半夏、茯苓。喘促咳嗽，是脾肺虚弱，用前方加麦冬、五味子。想呕吐且食少，是脾胃虚弱，用椒梅理中汤。如果再出现腹痛泄泻，则是虚寒证，将前方中的乌梅改为附子。小腹痞满、足胫浮肿，是脾肾虚弱，用十全大补汤加山茱萸、山药。更出现泄泻且足冷，则是虚寒证，再加香附。热渴、淋证闭涩，这是肾虚阴火，用加减八味丸。喘嗽、淋证闭涩，这是肺肾虚火，用前方及补中益气汤。
大凡怯弱之人，不必区分是肿期还是溃后期，只应当先补益胃气，以托里消毒散加减进行治疗。有人怀疑人参黄芪充满药中，间或有使用，但加上许多凉散药物，所补的不抵所损。又有拘泥于体质素来壮实，以及有痰而不肯服用补剂，专门使用败毒之法，草菅人命，这能称为医生吗？所以李东垣说：形气病气有余，当泻不当补。形气病气不足，当补不当泻。朱丹溪说：只要见到肿痛，参合脉症，若虚弱便给予滋补。气血无亏损，可保最终吉利。
如果是因好讼而受杖责，棒疮疼痛攻及于目，这是怒气激伤肝肺，必须援引其他案例议论治疗，却与本症无关。刑罚不是随意施加的，只有犯法健讼者才承受它，因此君子心怀刑法，诉讼减少，这是国家的祥瑞。现在的人倚仗护身符，稍有争端，就捏词诬告，虽然其中可能讨得便宜，但家力日渐消乏，万一遇到清廉强劲的官员，脱衣受杖恐怕难免。身为堂堂好汉，与隶卒一同匍匐在地，已经难以忍受，何况囚首垢面、露臀受责于众人瞩目之地，耻辱莫过于此。那时节，纵然气硬嘴硬，痛苦自怜，但亏体辱亲，子弟做人都不像样，不孝没有比这更大的了。愿天下有志之士，完纳国课，遵守卧碑规定之外，务必以宽厚浓情施予乡党，断不能飞空冤陷，即使不幸偶尔遭受株连，也是天理人心昭雪有日，何至于受杖责。
Why do sores and ulcers fail to heal, with blood and qi stagnating and not dissipating? Turbid pathogens thereby damage the clear and harmonious state, leading to eye diseases. It is said to be caused by excessive consumption of alcohol and meat, yet it seems like being provoked by "fireworks" (metaphor for external wind-heat or bad habits). Only after receiving corporal punishment (caning) can one recover; how many blows are one willing to endure?
This chapter discusses how sores and ulcers in the body, if their toxic heat spreads, can affect the eyes. The formation of sores and ulcers generally results from a diet rich in fatty and sweet foods, excessive indulgence in alcohol and sex, fatigue, and emotional depression, which deplete the true yuan (original qi). External pathogens then invade, combining with internal factors to cause blood and qi stagnation. Since there is no outlet internally, swelling and pain develop. The *Classic* states: "Injury to form causes pain; injury to qi causes swelling." It also says: "When the five zang organs are disharmonious, the nine orifices become blocked; when the six fu organs are disharmonious, stagnation forms carbuncles." Although the exterior appears full (excess), the interior is actually deficient. If liver deficiency coincides with strong toxicity, the pathogen will follow the meridians of the eye, invading and disturbing the clear and empty orifice. The treatment principle should be to clarify the source of toxicity; once the toxicity is eliminated, the eye disease will heal itself.
Generally speaking, if the swelling is high and painful, with thick and sticky pus, it indicates that the yuan qi is not damaged. Use Xianfang Huoxue Yin (Immortal Formula for Invigorating Blood and Resolving Swelling) to resolve it, followed by Tuoli Xiaodu San (Support the Interior and Eliminate Toxin Powder). If the swelling is diffuse without a head, with slight pain and thin pus, it indicates weak yuan qi. If Tuoli Xiaodu San is ineffective, add Shengjiang (Dried Ginger, *Zingiberis Rhizoma*) and Rougui (Cinnamon Bark, *Cinnamomi Cortex*). If pain persists after pus discharge, it indicates deficiency of blood and qi; use Bazhen Tang (Eight Treasures Decoction) with added Rougui (Cinnamon Bark, *Cinnamomi Cortex*). If flesh does not grow and the wound does not close, it indicates spleen qi deficiency; use Sijunzi Tang (Four Gentlemen Decoction) with added Shaoyao (Peony Root, *Paeoniae Radix Alba*) and Muxiang (Aucklandia Root, *Aucklandiae Radix*). If aversion to cold worsens, it indicates yang qi deficiency; use Shiquan Dabu Tang (Perfect Golden Great Tonifying Decoction) with added Shengjiang (Dried Ginger, *Zingiberis Rhizoma*) and Dazao (Jujube Fruit, *Ziziphi Jujubae Fructus*). Afternoon fever and internal heat indicate yin blood deficiency; use Siwu Tang (Four Substances Decoction) with added Renshen (Ginseng Root, *Panacis Ginseng Radix*) and Baizhu (Atractylodes Macrocephala Rhizome, *Atractylodis Macrocephalae Rhizoma*). Nausea and frequent vomiting indicate stomach qi deficiency; use Liujunzi Tang (Six Gentlemen Decoction) with added Paoshengjiang (Processed Dried Ginger, *Zingiberis Rhizoma Preparatum*). Spontaneous sweating and night sweats indicate heart and kidney deficiency; use Buxin Dan (Heart-Nourishing Pill) or Duqi Wan (Duqi Pill). Poor appetite and physical fatigue indicate spleen qi deficiency; use Buzhong Yiqi Tang (Decoction for Supplementing the Middle and Augmenting Qi) with added Banxia (Pinellia Tuber, *Pinelliae Rhizoma*) and Fuling (Poria, *Polyporus*). Panting and coughing indicate spleen and lung deficiency; add Maidong (Ophiopogon Tuber, *Ophiopogonis Tuber*) and Wuweizi (Schisandra Berry, *Schisandrae Chinensis Fructus*) to the previous formula. Nausea and poor appetite indicate spleen and stomach deficiency; use Jiaomei Lizhong Tang (Pepper and Plum Decoction for Regulating the Middle). If abdominal pain and diarrhea occur subsequently, it indicates deficiency-cold; replace Wumei (Mume Fruit, *Pruni Mume Fructus*) in the previous formula with Fuzi (Prepared Aconite Lateral Root, *Aconiti Lateralis Radix Praeparata*). Fullness in the lower abdomen and edema of the calves indicate spleen and kidney deficiency; use Shiquan Dabu Tang (Perfect Golden Great Tonifying Decoction) with added Shanzhuyu (Cornus Fruit, *Corni Fructus*) and Shanyao (Dioscorea Rhizome, *Dioscoreae Rhizoma*). If diarrhea and cold feet worsen, indicating further deficiency-cold, add Xiangfu (Cyperus Rhizome, *Cyperi Rhizoma*). Heat, thirst, stranguria, and urinary retention indicate kidney deficiency with yin fire; use Jiajian Bawei Wan (Modified Eight-Ingredient Pill). Panting, coughing, stranguria, and constipation indicate lung and kidney deficiency with false fire; use the previous formulas along with Buzhong Yiqi Tang (Decoction for Supplementing the Middle and Augmenting Qi).
For generally weak individuals, regardless of whether the sore is in the swelling stage or ulcerated stage, one should first tonify stomach qi, using Tuoli Xiaodu San (Support the Interior and Eliminate Toxin Powder) with modifications. Some may doubt the heavy use of Renshen (Ginseng Root, *Panacis Ginseng Radix*) and Huangqi (Astragalus Root, *Astragali Radix*), noting that adding many cooling and dispersing herbs means the tonification does not offset the damage. Others, adhering rigidly to the notion that constitutions are naturally robust, refuse tonics due to phlegm, and exclusively use detoxifying methods, thereby disregarding human life. Can such practitioners be called doctors? Therefore, Li Dongyuan stated: "If form/qi and pathogenic qi are in excess, purgation is indicated, not tonification. If form/qi and pathogenic qi are deficient, tonification is indicated, not purgation." Zhu Danxi said: "Whenever swelling and pain are observed, consult the pulse and symptoms; if deficient, provide tonification. As long as blood and qi are not depleted, auspicious outcomes can be ensured."
Regarding cases where litigation leads to caning, and the pain from the cane wounds radiates to the eyes, this is caused by anger injuring the liver and lungs. One must refer to other case examples for treatment discussion, but this is unrelated to the primary pathology discussed here. Punishment is not arbitrary; only those who break the law and litigate vigorously receive it. Thus, gentlemen fear the law, litigation decreases, and this is a blessing for the state. Nowadays, people rely on protective talismans; at the slightest dispute, they fabricate accusations. Although they may gain temporary advantage, family resources dwindle daily. If faced with an upright and powerful official, undergoing caning may be unavoidable. For a dignified man to crawl alongside jailers is unbearable enough; to present one's head wrapped in prison rags and buttocks exposed for beating in public view is the ultimate humiliation. At that moment, despite acting tough and complaining of pain, one disgraces the body and humiliates parents. Such behavior makes one unfit to be considered a son; no unfilial act is greater than this. I wish all aspiring men of the world would fulfill their tax obligations, abide by the regulations, and treat fellow villagers with tolerance and kindness. They should avoid baseless accusations. Even if unfortunate enough to be implicated, justice will prevail eventually. Why undergo caning?