脉浮数者，散之；脉沉实者，下之。表里俱实者，解表攻里。麻痒，或大痛，及不痛者
，并灸之，更兼攻毒。
一男子足患作痒，恶心呕吐，时发昏乱，脉浮数。明灸二十余壮，始痛。以夺命丹一服
，肿始起。更用神异膏，及荆防败毒散而愈。
一老妇足大趾患之，甚痛。令灸之，彼不从，专服败毒药，致真气虚而邪气愈实，竟至
不救
概而用之耶。且至阴之下，药力在所难到，专假药力，则缓不及事，不若灸之为良。故下部
患疮，皆宜隔蒜灸之。痛则灸至不痛，不痛则灸至痛，若灸之而不痛者，宜明灸之，及针疔
四畔去恶血。以夺命丹一粒，入疮头孔内，仍以膏药贴之。若针之不痛，或无血者，以针烧
赤
红丝攻心腹者，就于丝尽处，刺去恶血，宜服荆防败毒散。若丝近心腹者，宜挑破疮头，去
恶水，亦以膏药贴之。如麻木者，服夺命丹，如牙关紧急，或喉内患者，并宜噙一二丸。凡
人暴死，多是疔毒。用灯照看遍身，若有小疮，即是。宜急灸之，俟醒，更服败毒药，或夺
命丹。人污入肉，食之则生疔疮，不可不慎。
附方
荆防败毒散 即人参败毒散加荆芥、防风（方见溃疡发热门。）
夺命丹 治疔疮发背，及恶证不痛，或麻木，或呕吐，重者昏愦。此药服之，不
起发者
回生之功，乃恶证之中至宝也。
蟾酥（干者酒化） 轻粉（各半钱） 白矾（枯） 寒水石（ ） 铜绿 乳香 没药 麝香（
各一
丸，如绿豆大。如丸不就，入酒糊些小，每服一二丸，用生葱白三五寸，病者自嚼烂，吐于
手心，男左女右，包药在内，用热酒和葱送下。如人行五七里，汗出为效，重者再服一二丸
。
清凉饮
隔蒜灸法（二方见发背门）
神异膏（方见杨梅疮门）
脉象浮而数的，用发散法治疗；脉象沉而实的，用泻下法治疗。表证和里证都实盛的，解表兼攻里。患处发麻发痒，或者剧烈疼痛，以及完全不痛的，都用艾灸治疗，同时配合攻毒疗法。
有一个男子足部患疔疮，感到瘙痒，恶心呕吐，时常昏乱，脉象浮数。用直接灸法灸二十多壮后，才开始感到疼痛。服用一服夺命丹后，肿胀才起来。再用神异膏外敷，并内服荆防败毒散而痊愈。
有一位老妇人大脚趾患此病，疼痛非常剧烈。让她艾灸，她不肯听从，专门服用败毒药（解毒药），导致真气虚弱而邪气更加实盛，最终无法救治。
概而言之，难道要一概使用这种方法吗？况且部位在至阴之下（下部），药力难以到达，单纯依靠药力，则见效缓慢来不及办事，不如艾灸为好。所以下部患疮，都适宜隔蒜灸。疼痛的就灸到不痛为止，不痛的就灸到痛为止，如果灸了还是不痛的，宜用直接灸法，并在疔疮四周针刺以放出恶血。取夺命丹一粒，放入疮头孔内，仍然用膏药贴敷。如果针刺后不痛，或者没有血流出，将针烧红……（原文此处有脱漏或语意中断，依文意补全逻辑：若针之不痛，或无血者，以针烧赤[处理]）。若有红丝攻向心腹的，就在红丝尽头处，刺出恶血，适宜服用荆防败毒散。如果红丝靠近心腹，宜挑破疮头，放出恶水，也用膏药贴敷。如果出现麻木的，服用夺命丹；如果牙关紧急，或者咽喉内部患病，都宜含服一二丸。凡是人突然死亡，多是疔毒所致。用灯照看遍全身，如果有小疮，就是疔疮。宜急灸之，等苏醒后，再服用败毒药，或夺命丹。人污物进入肌肉，食之则生疔疮，不可不谨慎。
附方
荆防败毒散 即人参败毒散加荆芥、防风（方剂见溃疡发热门。）
夺命丹 治疗疔疮发背，以及恶证不痛，或麻木，或呕吐，重症昏迷。此药服用后，对于不起发的……（原文此处有脱漏）回生之功，乃是恶证中的至宝。
蟾酥（干者用酒化开） 轻粉（各半钱） 白矾（枯矾） 寒水石（ ） 铜绿 乳香 没药 麝香（各一[钱/分?]，如绿豆大。如果丸不成，加入酒糊少许，每服一二丸，用生葱白三五寸，患者自己嚼烂，吐在手心，男左女右，将药包在里面，用热酒和着葱送下。如果人行走五七里路，出汗为有效，重症再服一二丸。
清凉饮
隔蒜灸法（二方见发背门）
神异膏（方见杨梅疮门）
If the pulse is floating and rapid, disperse [the pathogen]; if the pulse is deep and solid, purge [the interior]. If both exterior and interior are excess patterns, resolve the exterior and attack the interior. For lesions presenting with numbness and itching, or severe pain, or no pain at all, apply moxibustion, combined with detoxifying therapies.
A male patient suffered from a carbuncle on his foot, experiencing itching, nausea, vomiting, and occasional confusion. His pulse was floating and rapid. After applying direct moxibustion for more than twenty moxa cones (zhuang), he began to feel pain. He took one dose of Duoming Dan (Life-Restoring Pill), after which the swelling subsided/rised. He then applied Shenyi Gao (Miraculous Ointment) externally and took Jingfang Baidu San (Schizonepeta and Saposhnikovia Decoction) internally, resulting in recovery.
An elderly female patient suffered from this condition on her big toe, with severe pain. She was advised to undergo moxibustion but refused, instead exclusively taking detoxifying herbs. This led to deficiency of True Qi (Zheng Qi) and exacerbation of Evil Qi (Xie Qi), ultimately resulting in death.
Generally speaking, should one apply these methods indiscriminately? Moreover, since the lower limbs are located in the "Extreme Yin" region, medicinal efficacy is difficult to reach there. Relying solely on oral medication may result in slow action that fails to address the urgency; therefore, moxibustion is superior. Thus, sores on the lower body should generally be treated with Garlic-Separator Moxibustion (Gesan Jiu). If painful, moxa until the pain ceases; if not painful, moxa until pain arises. If there is still no sensation after moxibustion, apply direct moxibustion and prick the four sides of the carbuncle to release evil blood. Place one pill of Duoming Dan into the pore of the carbuncle head, and cover it with an ointment patch. If pricking yields no pain or no blood, heat the needle red... [Text fragment]. If red threads extend towards the heart and abdomen, prick the end of the thread to release evil blood, and take Jingfang Baidu San. If the red thread is close to the heart and abdomen, puncture the carbuncle head to drain evil fluids, and apply an ointment patch. For cases with numbness, take Duoming Dan. For trismus (lockjaw) or lesions in the throat, hold one or two pills in the mouth. Sudden death in humans is often caused by carbuncle toxicity. Use a lamp to inspect the whole body; if small sores are found, they are carbuncles. Apply urgent moxibustion. Once conscious, administer detoxifying herbs or Duoming Dan. Ingestion of contaminated food entering the flesh can generate carbuncles; caution is essential.
Attached Formulas:
Jingfang Baidu San (Schizonepeta and Saposhnikovia Decoction): Same as Ren Shen Baidu San (Ginseng Decoction to Overcome Toxins) plus Jingjie (Schizonepetae Herba) and Fangfeng (Saposhnikoviae Radix). (Formula seen in Ulcer Fever Chapter.)
Duoming Dan (Life-Restoring Pill): Treats carbuncles, back carbuncles (Fabei), and malignant syndromes characterized by lack of pain, numbness, vomiting, or severe coma. This medicine promotes the emergence of pus in cases where it does not rise... [Text fragment]. It possesses the power to restore life and is the supreme treasure among treatments for malignant syndromes.
Chan Su (Toad Venom, dried and dissolved in wine) Qing Fen (Calomelas) Bai Fan (Alumen, calcined) Han Shui Shi (Aqua Marina) Tong Lv (Chalcanthite) Ru Xiang (Olibanum) Mo Yao (Myrrha) She Xiang (Moschus) [Dosages implied as equal parts], formed into pills the size of mung beans. If the pills do not form easily, add a little wine paste. Take one or two pills per dose. Chew three to five cun of raw white onion thoroughly, spit into the palm of the hand, place the medicine inside, wrapped by the onion (left side for males, right side for females), and swallow with hot wine mixed with onion. Sweating after walking five to seven li indicates efficacy. For severe cases, take one or two additional pills.
Qingliang Yin (Cooling Drink)
Gesuan Jiu Fa (Garlic-Separator Moxibustion Method) [Two formulas seen in Back Carbuncle Chapter.]
Shenyi Gao (Miraculous Ointment) [Formula seen in Chancre Chapter.]