暴怒所致，胸膈不利者，调气为主。抑郁所致而不痛者，宜调经脉，补气血。肿硬作痛
者，
而然，健脾除湿为主。闪 瘀血凝滞为患者，和血气，调经络。寒邪所袭，筋挛骨痛，或遍
身痛，宜温经络，养血气。
一妇人暴怒，腰肿一块，胸膈不利，时或气走作痛，与方脉流气饮，数剂而止。更以小
柴胡汤对四物，加香附、贝母，月余而愈。
一男子因怒胁下作痛，以小柴胡汤对四物，加青皮，桔梗、枳壳治之而愈。
一男子臀肿一块微痛，脉弦紧，以疮科流气饮，四剂而消。
一妇人因怒胁下肿痛，胸膈不利，脉沉迟，以方脉流气饮数剂，小愈；以小柴胡汤对二
陈，加青皮、桔梗、贝母，数剂顿退；更以小柴胡汤对四物，二十余剂而痊。
一男子腿患，溃而不敛，用人参养荣汤，及附子饼；更以补剂，煎膏药贴之，两月
余而愈。
一老人伤寒，表邪未尽，股内患肿发热，以人参败毒散二剂热止；灸以香附饼；又小柴
胡汤加二陈、羌活、川芎、归、术、枳壳，数剂而消。
一男子脾气素弱，臂肿一块不痛，肉色不变，饮食少思，半载不溃。先以六君子汤，加
芎、
，脓熟针去；以十全大补汤，及附子饼灸之，月余而敛。
一男子腿患肿，肉色不变不痛，脉浮而滑，以补中益气痛，加半夏、茯苓、枳壳、木香
饮之
剂，饮食少进，再用补剂，月余而消。夫气无补法，俗论也。以其为病痞，闷壅塞，似难于
补，殊不知正气虚而不能营运，则邪气滞而为病。经云∶壮者气行则愈，怯者弱者则着而为
病。苟不用补法，气何由而行乎！
一妇人因闪 肩患肿，遍身作痛，以黑丸子二服而痛止；以方脉流气饮，二剂而肿消；
更以二陈对四物，加香附、枳壳、桔梗而愈。
一妇人腿患筋挛骨痛，诸药不应，脉迟紧，用大防风汤二剂，顿退；又二剂而安。又一
妇患之亦然，先用前汤二剂，更服黑丸子而痊。此二患若失治，溃成败证。
一男子臂肿，筋挛骨痛，年余方溃，不敛。诊其脉更虚，以内塞散一料，少愈；以十全
大补
早服内塞散排之。
一妇人溃后发热，余以为虚。彼不信，乃服败毒药，果发大热，竟至不救。夫溃疡虽有
表证
者
若不审其所因，辨其虚实，鲜不误人！
一男子腿肿一块，经年不消，且不作脓，饮食少思，强食则胀，或作泻，日渐消瘦。诊
之，
。
一男子背HT 患之，微肿，形劳气弱，以益气养荣汤，间服黑丸子，及木香、生地黄作饼
，覆患处熨之。月余脓成，针之，仍服前药而愈。
一男子腿患久而不敛，饮大补药，及附子饼，更用针头散， 之而愈。
一男子臂患，年余尚硬，饮食少思，朝寒暮热，以八珍汤，加柴胡、地骨皮、牡丹皮，
月余
痊。
一妇人脓溃清稀，脉弱恶寒，久而不愈，服内塞散，灸以附子饼而瘳。
一妇人腰间患一小块，肉色如常，不溃，发热。余谓∶当以益气养荣解郁之药治之。彼
家不
反服表散之剂，果大热，亦死。大抵流注之证，多因郁结或暴怒，或脾气虚，湿气逆于肉理
；
不足，邪得以乘之。常治郁者开之，怒者平之，闪扑及产后瘀血者散之，脾虚及腠理不密者
，除而补之，伤寒余邪者，调而解之。大要以固元气为主，佐以见证之药。如久而疮口寒者
，更用豆豉饼或附子饼灸之；有脓管或瘀肉者，用针头散腐之自愈，锭子尤效。若不补血气
，及不慎饮食起居七情，俱不治。
一男子元气素弱，将欲患此，胸膈不利，饮食少思。余欲治以健脾胃，解郁结，养血气
。彼
腰肿一块，不溃而殁。盖此证本虚痞，今用克伐之剂，何以不死？况辛香燥热之剂，但能劫
滞气冲，快于一时，若不佐制，过服则益增郁火，煎熬气液而为痰，日久不散，愈成流注之
证。
一男子臂患，出腐骨三块，尚不敛，发热作渴，脉浮大而涩，乃气血俱损，须多服生血
气之剂
先以六君子汤，加芎、归，月余饮食渐进；以八珍汤，加肉桂三十余剂，疮色乃赤；更以十
全大补汤，外以附子饼灸之，仅年而瘥。《医林集要》云∶骨疽，乃流注之败证也，如用凉
药，则内伤其脾，外冰其血。脾主肌肉，脾气受伤，饮食必减，肌肉不生。血为脉络，血受
冰，则气血不旺而愈滞。宜用理脾，脾健则肉自生，而气自营运矣。又有白虎飞廉，留连周
期，或展转数岁，冷毒朽骨，出尽自愈。若附骨腐者可痊，正骨腐则为终身废疾矣。有毒自
足
减
风，宜用附子八物汤治之。又有结核在项腋，或两乳旁，或两胯软肉处，名曰 痈，属冷
证也。又有小儿宿痰失道，致结核于颈项臂膊胸背之处，亦冷证也，俱用热药敷贴。以上诸
证，皆缘于肾。肾主骨，肾虚则骨冷而为患也。所谓骨疽，皆起于肾，亦以其根于此也，故
用大附子以补肾气，肾实则骨有生气，而疽不附骨矣。
一妇人经水不调，两月一至，或三月一至，四肢微肿，饮食少思，日晡发热。余曰∶“
此脾
以
云∶月水不调，久则血结于内生块，变为血瘕，亦作血 ，血水相并，壅塞不通，脾胃虚弱
，变为水肿。所以然者，脾候身之肌肉，象于土，土主克于水，水血既并，脾气衰弱不能克
消，致水气流溢浸渍肌肉，故肿满也。观此，岂宜用克伐之剂。
一妇人禀弱性躁，胁臂肿痛，胸膈痞满，服流气败毒药，反发热不食，以四七汤数剂，
胸宽
情所伤，遂致遍身作痛，或肢节肿痛，及气填胸满；或如梅核塞喉，咽吐不出；或涎痰壅盛
，上气喘急；或呕逆恶心，甚者渴闷欲绝；产妇多有此证，宜服四七汤，先调滞气，更以养
血之药。若因思忧，致小便白浊者，用此药，吞青州白丸子屡效。
附方
方脉流气饮 治瘰 流注，及郁结聚结肿块，或走注疼痛，或心胸痞闷，咽塞不
利，胁腹膨胀，呕吐不食，上气喘急，咳嗽痰盛，面目或四肢浮肿，大小便秘。
紫苏 青皮（去白） 当归（酒拌） 芍药（炒） 乌药 茯苓 桔梗（炒） 半夏（姜制） 川
芎
壳（麸炒，各五分） 作一剂，水二钟，姜三片，枣一枚，煎八分，食远服。
疮科流气饮 治流注及一切恚怒气结肿作痛，或胸膈痞闷，或风寒湿毒，搏于经
络，致气血不和，结成肿块，肉色不变，或漫肿木闷无头。
桔梗（炒） 人参 当归（酒拌） 官桂 甘草 浓朴（姜制） 黄 （盐汤浸炒） 防风 紫
苏
，食远服。
益气养荣汤（方见瘰 门）
二陈汤（方见臀痈门）
黑丸子 治风寒袭于经络，肿痛或不痛，或打扑跌坠，筋骨疼痛，瘀血不散，遂
成肿毒；及风湿四肢疼痛，或手足缓弱，行步不前，并妇人血风劳损。
百草霜 芍药（各二两） 赤小豆（一两六钱） 白蔹（一两六钱） 白芨 当归（各四钱）
川乌
梧子大，每服三十丸，盐汤或酒下。风疾哽吃，煨葱一茎，温酒下。孕妇勿服。
人参败毒散（方见溃疡发热门）
豆豉饼
附子饼（二方见臀痈门）
小柴胡汤
四物汤（二方见瘰 门）
香附饼 治瘰 流注肿块或风寒袭于经络，结肿或痛，用香附为末，酒和，量疮
大
六君子汤（方见作呕门）
十全大补汤
补中益气汤（二方见溃疡发热门）
大防风汤（方见臀痈门）
内塞散 治阴虚阳气腠袭患肿，或溃而不敛，或风寒袭于患处，致气血不能运至
，久不愈，遂成漏证。
附子（用童便数碗浸三日，切作四块，再浸数日，炮童便一日一换，一两） 肉桂（去皮）
小豆 甘草（炙） 黄 （盐水浸炒） 当归（酒拌） 茯苓 白芷 桔梗（炒） 川芎 人参 远
志
盐汤下，亦可。或炼蜜为丸服亦可。
八味丸（方见臀痈门）
二神丸（方见作呕门）
针头散（方见瘰 门）
八珍汤
人参养荣汤（二方见溃疡发热门）
四七汤 治七情郁结，状如破絮，或如梅核，鲠在咽间；或中脘痞满，痰涎壅盛；或喘，或
恶心，少食。
紫苏叶（一钱） 浓朴（一钱半） 茯苓（一钱） 半夏（姜制，七分） 作一剂，水一钟半，
姜三片，枣二枚，煎六分，食远服。
因暴怒导致的，胸膈气机不畅的，以调理气机为主。因抑郁导致且不疼痛的，适宜调理经脉，补益气血。肿胀坚硬且作痛的，（多属湿邪），以健脾除湿为主。因闪挫导致瘀血凝滞为患的，调和气血，疏通经络。寒邪侵袭，筋脉拘挛骨痛，或全身疼痛的，适宜温通经络，养血益气。
有一位妇人因暴怒，腰部肿起一块，胸膈气机不畅，有时气窜作痛，给予方脉流气饮，服用数剂后症状停止。随后用小柴胡汤合四物汤，加入香附、贝母，月余而痊愈。
有一位男子因发怒胁下作痛，用小柴胡汤合四物汤，加入青皮、桔梗、枳壳治疗而痊愈。
有一位男子臀部肿起一块微痛，脉象弦紧，用疮科流气饮，四剂后肿块消散。
有一位妇人因发怒胁下肿痛，胸膈气机不畅，脉象沉迟，用方脉流气饮数剂，稍有好转；再用小柴胡汤合二陈汤，加入青皮、桔梗、贝母，数剂后症状迅速消退；最后用小柴胡汤合四物汤，二十余剂后痊愈。
有一位男子腿部患病，溃破后不愈合，用人参养荣汤，以及附子饼灸治；再用补益药剂，煎煮膏药外贴，两月余而痊愈。
有一位老人患伤寒，表邪未尽，大腿内侧患肿发热，用人参败毒散二剂热止；用香附饼灸治；又用小柴胡汤加二陈汤、羌活、川芎、当归、白术、枳壳，数剂后消散。
有一位男子脾气素来虚弱，手臂肿起一块不痛，肤色不变，饮食减少思虑，半年不溃破。先用六君子汤，加入川芎、当归，脓熟后针刺排脓；再用十全大补汤，以及附子饼灸治，月余后收敛。
有一位男子腿部患肿，肤色不变不痛，脉浮而滑，用补中益气汤，加入半夏、茯苓、枳壳、木香饮用，（若）饮食稍进，再用补剂，月余后消散。所谓气病没有补法，这是世俗的论调。因为气病表现为痞闷壅塞，似乎难以用补法，殊不知正气虚弱而不能运行，则邪气停滞而为病。经云：壮盛者气行则愈，怯弱者气滞则为病。如果不使用补法，气如何能运行呢！
有一位妇人因闪挫肩部患肿，全身作痛，服用黑丸子二服后疼痛停止；用方脉流气饮，二剂后肿胀消退；再用二陈汤合四物汤，加入香附、枳壳、桔梗而痊愈。
有一位腿部患病筋挛骨痛，诸药无效，脉迟紧，用大防风汤二剂，症状迅速消退；又服二剂后安宁。又一位妇人患此病亦然，先用前汤二剂，再服用黑丸子而痊愈。这两个病例如果失治，溃破后会变成坏证。
有一位男子手臂肿起，筋挛骨痛，一年多才溃破，不愈合。诊其脉更虚，用内塞散一料，稍有好转；（后续治疗原文缺失，推测为继续用药）。
有一位妇人溃后发热，我认为这是虚证。她不信，反而服用败毒药，果然引发大热，最终不治身亡。溃疡虽然有表证，（但需辨证），如果不审察病因，辨别虚实，很少有不误人的！
有一位男子腿部肿起一块，经年不消，且不化脓，饮食少思，强食则胀，有时腹泻，日渐消瘦。诊之，（原文此处有缺漏，推测为脾肾亏虚等症）。
有一位男子背部患此病，微肿，形体劳累气弱，用益气养荣汤，间服黑丸子，以及木香、生地黄做成饼，覆盖患处熨烫。月余脓成，针刺，仍服前药而痊愈。
有一位男子腿部患病久而不愈合，饮用大补药，以及附子饼，再用针头散腐蚀腐肉而痊愈。
有一位男子手臂患病，一年多还硬，饮食少思，早晨怕冷晚上发热，用八珍汤，加入柴胡、地骨皮、牡丹皮，月余痊愈。
有一位妇人脓液清稀，脉弱恶寒，久而不愈，服用内塞散，用附子饼灸治而痊愈。
有一位妇人腰间患一小块，肤色如常，不溃破，发热。我说：应当用益气养荣解郁的药物治之。那家人不听，反而服用表散之剂，果然大热，也死了。大抵流注之证，多因郁结或暴怒，或脾气虚，湿气逆于肌肉纹理；（元气）不足，邪气得以乘虚而入。常治郁者开导之，怒者平复之，闪挫及产后瘀血者消散之，脾虚及腠理不密者，祛除湿邪并补益之，伤寒余邪者，调和而解散之。大要以固护元气为主，佐以见证之药。如久而疮口寒的，再用豆豉饼或附子饼灸治；有脓管或瘀肉的，用针头散腐蚀自愈，锭子尤其有效。如果不补血气，以及不慎饮食起居七情，都不治。
有一位男子元气素来虚弱，将要患此病，胸膈气机不畅，饮食少思。我想用健脾胃，解郁结，养血气的药物治之。那家人不听，（用了克伐之剂），腰部肿起一块，不溃破而死。这种证候本是虚痞，现在用攻伐之剂，怎么能不死？况且辛香燥热之剂，只能暂时劫滞气冲，快于一时，如果不加以制约，过服则增加郁火，煎熬气液而成痰，日久不散，更加成为流注之证。
有一位男子手臂患病，排出腐骨三块，尚不愈合，发热作渴，脉浮大而涩，这是气血俱损，须多服生血气之剂。先用六君子汤，加入川芎、当归，月余饮食渐进；用八珍汤，加入肉桂三十余剂，疮色乃赤；再用十全大补汤，外用附子饼灸治，仅一年而痊愈。《医林集要》说：骨疽，是流注的坏证，如果用凉药，则内伤其脾，外冰其血。脾主肌肉，脾气受伤，饮食必减，肌肉不生。血为脉络，血受冰，则气血不旺而愈滞。宜用理脾之法，脾健则肉自生，而气自营运矣。又有白虎飞廉（一种病症名），留连周期，或辗转数年，冷毒朽骨，出尽自愈。若附骨腐者可痊，正骨腐则为终身废疾矣。有毒自足（原文可能有误，推测指某种特定部位或情况），减风，宜用附子八物汤治之。又有结核在项腋，或两乳旁，或两胯软肉处，名曰 痈（原文可能有缺字，推测为阴疽之类），属冷证也。又有小儿宿痰失道，致结核于颈项臂膊胸背之处，亦冷证也，俱用热药敷贴。以上诸证，皆缘于肾。肾主骨，肾虚则骨冷而为患也。所谓骨疽，皆起于肾，亦以其根于此也，故用大附子以补肾气，肾实则骨有生气，而疽不附骨矣。
有一位妇人月经不调，两个月一至，或三个月一至，四肢微肿，饮食少思，日晡发热。我说：“这是脾（虚所致）。经云：月水不调，久则血结于内生块，变为血瘕，亦作血 （原文可能有缺字，推测为血积之类），血水相并，壅塞不通，脾胃虚弱，变为水肿。所以然者，脾候身之肌肉，象于土，土主克于水，水血既并，脾气衰弱不能克消，致水气流溢浸渍肌肉，故肿满也。观此，岂宜用克伐之剂。”
有一位妇人禀赋弱性情躁，胁臂肿痛，胸膈痞满，服用流气败毒药，反发热不食，用四七汤数剂，胸宽（舒畅）。因情志所伤，遂致遍身作痛，或肢节肿痛，及气填胸满；或如梅核塞喉，咽吐不出；或涎痰壅盛，上气喘急；或呕逆恶心，甚者渴闷欲绝；产妇多有此证，宜服四七汤，先调滞气，更以养血之药。若因思忧，致小便白浊者，用此药，吞青州白丸子屡效。
附方
方脉流气饮 治疗瘰疬流注，及郁结聚结肿块，或走注疼痛，或心胸痞闷，咽塞不利，胁腹膨胀，呕吐不食，上气喘急，咳嗽痰盛，面目或四肢浮肿，大小便秘。
紫苏 青皮（去白） 当归（酒拌） 芍药（炒） 乌药 茯苓 桔梗（炒） 半夏（姜制） 川芎 枳壳（麸炒，各五分） 作一剂，水二钟，姜三片，枣一枚，煎八分，食远服。
疮科流气饮 治疗流注及一切恚怒气结肿作痛，或胸膈痞闷，或风寒湿毒，搏于经络，致气血不和，结成肿块，肉色不变，或漫肿木闷无头。
桔梗（炒） 人参 当归（酒拌） 官桂 甘草 浓朴（姜制） 黄芪（盐汤浸炒） 防风 紫苏 （原文此处药材剂量或名称可能有缺漏，依原文结构翻译），食远服。
益气养荣汤（方见瘰疬门）
二陈汤（方见臀痈门）
黑丸子 治疗风寒袭于经络，肿痛或不痛，或打扑跌坠，筋骨疼痛，瘀血不散，遂成肿毒；及风湿四肢疼痛，或手足缓弱，行步不前，并妇人血风劳损。
百草霜 芍药（各二两） 赤小豆（一两六钱） 白蔹（一两六钱） 白芨 当归（各四钱） 川乌 （原文此处可能有缺漏，推测为制川乌等），梧子大，每服三十丸，盐汤或酒下。风疾哽吃，煨葱一茎，温酒下。孕妇勿服。
人参败毒散（方见溃疡发热门）
豆豉饼
附子饼（二方见臀痈门）
小柴胡汤
四物汤（二方见瘰疬门）
香附饼 治疗瘰疬流注肿块或风寒袭于经络，结肿或痛，用香附为末，酒和，量疮大 （原文此处可能有缺漏，推测为小大做饼），
六君子汤（方见作呕门）
十全大补汤
补中益气汤（二方见溃疡发热门）
大防风汤（方见臀痈门）
内塞散 治疗阴虚阳气腠理受袭患肿，或溃而不敛，或风寒袭于患处，致气血不能运至，久不愈，遂成漏证。
附子（用童便数碗浸三日，切作四块，再浸数日，炮童便一日一换，一两） 肉桂（去皮） 小豆 甘草（炙） 黄芪（盐水浸炒） 当归（酒拌） 茯苓 白芷 桔梗（炒） 川芎 人参 远志 （原文此处可能有缺漏），盐汤下，亦可。或炼蜜为丸服亦可。
八味丸（方见臀痈门）
二神丸（方见作呕门）
针头散（方见瘰疬门）
八珍汤
人参养荣汤（二方见溃疡发热门）
四七汤 治疗七情郁结，状如破絮，或如梅核，鲠在咽间；或中脘痞满，痰涎壅盛；或喘，或恶心，少食。
紫苏叶（一钱） 浓朴（一钱半） 茯苓（一钱） 半夏（姜制，七分） 作一剂，水一钟半，姜三片，枣二枚，煎六分，食远服。
Caused by sudden anger, with discomfort in the chest and diaphragm, regulation of Qi is the primary approach. Caused by depression without pain, regulating the meridians and tonifying Qi and Blood is appropriate. For swelling, hardness, and pain (often due to dampness), strengthening the Spleen and draining dampness is the main method. For cases caused by sprains leading to blood stasis stagnation, harmonizing Qi and Blood and regulating the meridians is indicated. For invasion by cold pathogens causing tendon contraction and bone pain, or generalized body pain, warming the meridians and nourishing Qi and Blood is suitable.
A woman suffered from a swelling on her waist due to sudden anger, with discomfort in the chest and diaphragm, and occasional wandering pain. She was given *Fangmai Liqi Yin* (Pulse-Regulating Qi-Regulating Decoction) for several doses until the symptoms ceased. Subsequently, she was treated with *Xiao Chai Hu Tang* (Minor Bupleurum Decoction) combined with *Si Wu Tang* (Four Substance Decoction), plus *Xiang Fu* (Cyperus Rhizome) and *Bei Mu* (Fritillaria Bulb), and recovered after more than a month.
A man suffered from pain under his ribs due to anger. He was cured by treating him with *Xiao Chai Hu Tang* combined with *Si Wu Tang*, plus *Qing Pi* (Citrus Peel), *Jie Geng* (Platycodon Root), and *Zhi Ke* (Bitter Orange).
A man had a slightly painful swelling on his buttock with a wiry and tight pulse. The swelling subsided after four doses of *Chuangke Liqi Yin* (Surgical Qi-Regulating Decoction).
A woman suffered from painful swelling under her ribs and discomfort in the chest and diaphragm due to anger, with a deep and slow pulse. After several doses of *Fangmai Liqi Yin*, she improved slightly; then, using *Xiao Chai Hu Tang* combined with *Er Chen Tang* (Two-Cured Decoction), plus *Qing Pi*, *Jie Geng*, and *Bei Mu*, the symptoms receded rapidly after several doses. Finally, she recovered after more than twenty doses of *Xiao Chai Hu Tang* combined with *Si Wu Tang*.
A man had a leg ulcer that failed to heal. He was treated with *Renshen Yangrong Tang* (Ginseng Nourishing the Vigor Decoction) and moxibustion with *Fuzi Bing* (Aconite Cake); additionally, he applied a tonic paste externally. He healed after more than two months.
An elderly man suffering from *Shanghan* (Cold Damage) with residual exterior pathogens developed swelling and fever in the inner thigh. The fever stopped after two doses of *Renshen Baidu San* (Ginseng Resolving Toxins Powder). Moxibustion with *Xiang Fu Bing* (Cyperus Cake) was applied. Then, *Xiao Chai Hu Tang* was combined with *Er Chen Tang*, *Qiang Huo* (Notopterygium Rhizome), *Chuan Xiong* (Ligusticum Rhizome), *Dang Gui* (Angelica Sinensis), *Bai Zhu* (Atractylodes Rhizome), and *Zhi Ke*, and the swelling subsided after several doses.
A man with inherently weak Spleen Qi had a non-painful arm swelling with normal skin color, reduced appetite, and no suppuration for half a year. Initially, *Liujunzi Tang* (Six Gentlemen Decoction) plus *Xiong* (Chuan Xiong) and *Gui* (Dang Gui) was used. Once pus matured, it was punctured. Then, *Shiquan Dabu Tang* (Ten Complete Tonifying Decoction) and moxibustion with *Fuzi Bing* were used, leading to healing after more than a month.
A man had a leg swelling with normal skin color and no pain, with a floating and slippery pulse. He drank *Buzhong Yiqi Tang* (Middle-Boosting Qi-Enriching Decoction) added with *Ban Xia* (Pinellia Tuber), *Fu Ling* (Poria), *Zhi Ke*, and *Mu Xiang* (Aucklandia Root). If his diet improved slightly, further tonic treatment led to resolution after more than a month. The saying that "Qi disorders cannot be treated with tonification" is a vulgar view. Because Qi disorders manifest as fullness and obstruction, they seem difficult to treat with tonics. However, it is unknown that when righteous Qi is deficient and fails to circulate, pathogenic Qi stagnates and causes disease. The Classics state: "The strong recover as Qi moves; the weak suffer as Qi stagnates." If tonification is not used, how can Qi move?
A woman suffered from shoulder swelling and generalized body pain due to a sprain. Pain ceased after two doses of *Hei Wan Zi* (Black Pills). Swelling subsided after two doses of *Fangmai Liqi Yin*. She recovered after being treated with *Er Chen Tang* combined with *Si Wu Tang*, plus *Xiang Fu*, *Zhi Ke*, and *Jie Geng*.
A woman suffered from tendon contraction and bone pain in her leg, unresponsive to various medicines, with a slow and tight pulse. Symptoms receded rapidly after two doses of *Da Fang Feng Tang* (Great Saposhnikovia Decoction), and she stabilized after another two doses. Another woman had the same condition; she first took two doses of the aforementioned decoction, then *Hei Wan Zi*, and recovered. If these cases were mismanaged and suppurated, they would become incurable.
A man had an arm swelling with tendon contraction and bone pain, which only suppurated after more than a year and failed to heal. His pulse was even more deficient. He took one dose of *Neisai San* (Internal-Sealing Powder) and improved slightly; (subsequent treatment implied continuation of therapy).
A woman had fever after ulceration. I considered it a deficiency syndrome. She did not believe this and took detoxifying/cold medicines, resulting in severe fever and death. Although ulcers may have exterior signs, if the cause is not examined and deficiency/excess not distinguished, errors are inevitable!
A man had a leg swelling that persisted for years without resolving or suppurating. He had little desire for food, bloating upon forced eating, occasional diarrhea, and gradual emaciation. Examination revealed... [Text missing].
A man had a slight back swelling, with physical fatigue and weak Qi. He took *Yiqi Yangrong Tang* (Benefiting Qi and Nourishing Vigor Decoction), intermittently taking *Hei Wan Zi*, and applying cakes made of *Mu Xiang* and *Sheng Di Huang* (Rehmannia Root) over the lesion with heat. Pus formed after more than a month, was punctured, and he recovered continuing the previous medication.
A man had a leg ulcer that failed to heal for a long time. He drank large tonic decoctions and underwent moxibustion with *Fuzi Bing*, followed by application of *Zhentou San* (Needle-Head Powder) to remove necrotic tissue, leading to recovery.
A man had an arm swelling that remained hard for over a year, with reduced appetite, morning chills, and evening fevers. He recovered after more than a month of treatment with *Bazhen Tang* (Eight Treasures Decoction) added with *Chai Hu* (Bupleurum Root), *Digupi* (Phellodendron Bark), and *Mudanpi* (Tree Peony Bark).
A woman had thin, clear pus, a weak pulse, aversion to cold, and a chronic non-healing wound. She recovered after taking *Neisai San* and undergoing moxibustion with *Fuzi Bing*.
A woman had a small lump on her waist with normal skin color, no suppuration, and fever. I stated that it should be treated with herbs to benefit Qi, nourish vigor, and resolve depression. Her family ignored this and used exterior-releasing agents, resulting in severe fever and death. Generally, *Liuzhu* (Flowing Abscess) syndromes are often due to depression or sudden anger, or Spleen Qi deficiency with dampness reversing into muscle tissues; when Yuan Qi (Original Qi) is insufficient, pathogens take advantage. Typically, depression is resolved by opening, anger is calmed, sprains and postpartum blood stasis are dispersed, Spleen deficiency and loose interstices are treated by removing dampness and tonifying, and residual *Shanghan* pathogens are harmonized and released. The general principle is to consolidate Original Qi as the mainstay, assisted by herbs matching the symptoms. For chronic cold ulcers, moxibustion with *Dou Chi Bing* (Fermented Soybean Cake) or *Fuzi Bing* is used. For sinus tracts or necrotic flesh, *Zhentou San* is used to cauterize and promote self-healing; *Dingzi* (Tablet-shaped preparations) are particularly effective. If Qi and Blood are not nourished, and diet, daily routine, and Seven Emotions are not managed carefully, the condition is untreatable.
A man with inherently weak Original Qi was about to develop this condition, with chest/diaphragm discomfort and reduced appetite. I intended to treat him with herbs to strengthen the Spleen/Stomach, resolve depression, and nourish Qi/Blood. His family did not listen, used attacking/draining herbs, and he died with a waist swelling without suppuration. This condition is essentially deficiency and fullness; using attacking herbs leads to death. Moreover, acrid-aromatic dry-hot herbs only temporarily force stagnant Qi to move, providing short-term relief. Without proper restraint, excessive use increases depressive fire, scorching Qi and fluids into phlegm, which persists for years, worsening the *Liuzhu* condition.
A man had an arm lesion expelling three pieces of necrotic bone, still unhealed, with fever and thirst, and a floating, large, and choppy pulse, indicating damage to both Qi and Blood. He needed to take many doses of herbs generating Qi and Blood. Initially, *Liujunzi Tang* plus *Xiong* and *Gui* was taken for over a month, gradually improving appetite. *Bazhen Tang* with *Rou Gui* (Cinnamon Bark) was taken for thirty-plus doses, turning the lesion red. Finally, *Shiquan Dabu Tang* was used with external moxibustion using *Fuzi Bing*, leading to recovery in just one year. *Yilin Jiyao* states: Bone abscess (*Guju*) is a deteriorated stage of *Liuzhu*. Using cold medicines damages the Spleen internally and freezes Blood externally. The Spleen governs muscles; Spleen injury reduces appetite and prevents muscle growth. Blood governs vessels; freezing Blood stagnates Qi and Blood further. It is advisable to regulate the Spleen; when the Spleen is healthy, muscles grow naturally, and Qi circulates. There are also conditions like *Baihu Feilian* lingering for cycles or years, where cold toxic necrotic bones are expelled and healing occurs spontaneously. If attached bone rots, it may heal; if central bone rots, it becomes a lifelong disability. [Text fragment unclear], wind, should be treated with *Fuzi Babawu Tang* (Aconite Eight Ingredients Decoction). Also, tubercles in the neck/axilla, beside breasts, or soft groin areas are named ... [missing character] abscess, belonging to cold syndromes. Pediatric phlegm retention causing tubercles in neck/arms/chest/back are also cold syndromes, all treated with hot compresses. All above syndromes originate from the Kidney. The Kidney governs bones; Kidney deficiency causes cold bones and pathology. So-called bone abscesses arise from the Kidney, hence its root lies there. Thus, large *Fuzi* is used to tonify Kidney Qi; when the Kidney is solid, bones have vital energy, and abscesses do not attach to bones.
A woman had irregular menstruation, occurring every two or three months, mild limb swelling, reduced appetite, and afternoon fever. I said: "This is due to Spleen [deficiency]. The Classics say: Irregular menstruation for a long time leads to blood coagulation forming masses, becoming *Xuejia* (Blood Masses) or ... [missing character]; blood and water merge, obstructing flow. Spleen/Stomach weakness transforms into edema. Why? The Spleen corresponds to muscles and the Earth element. Earth controls Water. When water and blood merge, weak Spleen Qi fails to control/dissolve them, causing water qi to overflow and soak muscles, leading to swelling/fullness. Given this, how can attacking/draining herbs be appropriate?"
A woman with weak constitution and irritable temper had painful swelling in ribs/arms and chest fullness. After taking *Liqi* (Qi-regulating) and detoxifying herbs, she developed fever and anorexia. Several doses of *Siqi Tang* (Seven Emotions Decoction) relieved chest fullness. Due to emotional injury, she suffered generalized pain, joint swelling, chest oppression; sensation of a plum pit in the throat unable to be swallowed; profuse saliva/phlegm, wheezing; nausea/vomiting; extreme cases of thirst/choking. Postpartum women often have this syndrome; *Siqi Tang* is suitable to first regulate stagnant Qi, followed by blood-nourishing herbs. For urinary turbidity due to worry/thinking, taking this medicine with *Qingzhou Bai Wanzi* (Qingzhou White Pills) is frequently effective.
Attached Formulas
**Fangmai Liqi Yin** (Pulse-Regulating Qi-Regulating Decoction): Treats scrofula (*Luoli*), *Liuzhu*, and masses from depression/aggregation, or wandering pain, chest/heart fullness, throat obstruction, hypochondriac/abdominal distension, vomiting/anorexia, wheezing, cough with profuse phlegm, facial/limb edema, constipation.
Ingredients: Zi Su (Perilla Leaf), Qing Pi (Exocarpium Citri Reticulatae - peeled), Dang Gui (Radix Angelicae Sinensis - wine-soaked), Shao Yao (Radix Paeoniae Alba - stir-fried), Wu Yao (Lindera Root), Fu Ling (Poria), Jie Geng (Radix Platycodonis - stir-fried), Ban Xia (Rhizoma Pinelliae - ginger-processed), Chuan Xiong (Rhizoma Ligustici Wallichii), Zhi Ke (Fructus Aurantii - bran-stir-fried), each 5 fen. One dose, water 2 zhong, 3 slices of ginger, 1 jujube, decoct to 8 fen, take far from meals.
**Chuangke Liqi Yin** (Surgical Qi-Regulating Decoction): Treats *Liuzhu* and all swellings/pains from anger/depression, or chest fullness, or wind-cold-damp-toxin affecting meridians, causing Qi/Blood disharmony, mass formation with normal skin color, or diffuse numb swelling without head.
Ingredients: Jie Geng (stir-fried), Renshen (Ginseng Radix), Dang Gui (wine-soaked), Guan Gui (Cortex Cinnamomi), Gan Cao (Licorice Radix), Nong Po (Cortex Magnoliae Officinalis - ginger-processed), Huang Qi (Astragali Radix - salt-water soaked/stir-fried), Fang Feng (Saposhnikoviae Radix), Zi Su ... [text incomplete], take far from meals.
**Yiqi Yangrong Tang** (See Scrofula Section)
**Er Chen Tang** (See Buttock Abscess Section)
**Hei Wan Zi** (Black Pills): Treats wind-cold invading meridians causing swelling/pain or no pain, trauma/falls causing bone/tendon pain, unresolved blood stasis leading to toxic swelling; rheumatic limb pain, limb weakness, difficulty walking, and women's blood-wind consumptive damage.
Ingredients: Bai Cao Shuang (Carbonis Graminis), Shao Yao (each 2 liang), Chi Xiao Dou (Adzuki Bean, 1 liang 6 qian), Bai Lian (Belamcandae Rhizoma, 1 liang 6 qian), Bai Ji (Bletillae Rhizoma), Dang Gui (each 4 qian), Chuan Wu ... [text incomplete], size of wu zi (small pill), 30 pills per dose, taken with salt water or wine. For wind diseases causing choking, take with warm wine roasted with one green onion stalk. Pregnant women should not take.
**Renshen Baidu San** (See Ulcer Fever Section)
**Dou Chi Bing** (Fermented Soybean Cake)
**Fuzi Bing** (See Buttock Abscess Section)
**Xiao Chai Hu Tang** (Minor Bupleurum Decoction)
**Si Wu Tang** (See Scrofula Section)
**Xiang Fu Bing** (Cyperus Cake): Treats scrofula/*Liuzhu* masses or wind-cold invading meridians causing nodular swelling/pain. Grind *Xiang Fu* into powder, mix with wine, form cake according to lesion size ... [text incomplete].
**Liujunzi Tang** (See Vomiting Section)
**Shiquan Dabu Tang** (Ten Complete Tonifying Decoction)
**Buzhong Yiqi Tang** (See Ulcer Fever Section)
**Da Fang Feng Tang** (See Buttock Abscess Section)
**Neisai San** (Internal-Sealing Powder): Treats swelling from Yin deficiency with Yang pathogen invasion, or ulcers failing to heal, or wind-cold at lesion site preventing Qi/Blood transport, leading to chronic fistula.
Ingredients: Fuzi (Processed Aconitum Lateralis Radix Praeparata - soaked in child's urine for 3 days, cut into 4 pieces, soaked again for days, changing urine daily, 1 liang), Rou Gui (Cinnamon Bark - peeled), Xiao Dou (Adzuki Bean), Gan Cao (Honey-fried), Huang Qi (Salt-water soaked/stir-fried), Dang Gui (Wine-soaked), Fu Ling, Bai Zhi (Angelicae Dahuricae Radix), Jie Geng (Stir-fried), Chuan Xiong, Renshen, Yuan Zhi (Polygalae Radix) ... [text incomplete], taken with salt water, or honey pills.
**Bawei Wan** (See Buttock Abscess Section)
**Ershen Wan** (See Vomiting Section)
**Zhentou San** (See Scrofula Section)
**Bazhen Tang** (Eight Treasures Decoction)
**Renshen Yangrong Tang** (See Ulcer Fever Section)
**Siqi Tang** (Seven Emotions Decoction): Treats Seven Emotions depression, feeling like torn cotton or plum pit stuck in throat; epigastric fullness, profuse phlegm; wheezing, nausea, anorexia.
Ingredients: Zi Su Ye (Perilla Leaf, 1 qian), Nong Po (1.5 qian), Fu Ling (1 qian), Ban Xia (Ginger-processed, 0.7 qian). One dose, water 1.5 zhong, 3 ginger slices, 2 jujubes, decoct to 0.6 zhong, take far from meals.