夹喉两旁而生。属手少阴、足太阴、足厥阴，火热蕴毒上攻而发。宜加减败毒散及黄连消毒
散（见脑痈），活命饮加玄参、桔梗、黄连。溃内者危。
证由心肝二经火盛，虚中有热，而发于两胁下，名发胁，属手、足厥阴经。初宜神效栝蒌散
（方见乳痈）、
柴胡清肝汤（方见鬓疽）或活命饮加柴胡。渍后宜清热、托里、滋肾水；有热当归龙荟丸（方见
胁痛。）胁下至腰及遍身红紫，宜砭出恶血，内服防风通圣散（方见中风），紫金锭涂、服。
简便方 鸡粪捣入，盐少许，醋和，敷患处。肿消痛止，脓成有效。
两手背发痈，无头漫肿，乃三阳风热郁滞，宜活命饮加黄芩、栀子、桔梗、升麻。寒加桂枝
，热加姜黄，水、酒煎服。或紫金锭、夺命丹。老弱者大补之。
虎口内结毒 肿，又名合骨疽。属阳明大肠风热积毒，始宜隔蒜灸，内服真人活命饮加桂枝
、姜黄、桔梗、升麻，煎服。外以玉枢丹水磨涂之。
证发大指头，亦名指发。如粟渐大，青紫黄黑，麻木作痒，或大痛彻心，属手太阴经。外以
玉枢丹
浓敷，内服更用发汗、攻下诸方；次托里补益，悉如前法。此证切勿怠缓，若攻心呕吐不食，齿
缝出血者，不治。指变黑色，急宜截去，可生。若黑至臂，必死。别指犹可。
拔毒散 泥蜂窝（壁间） 乳香 上为末，米醋调，频涂痛止。
又方 蜈蚣（干者）烧烟熏。
又方 鸡子清浸指，痛止。
生于咽喉两侧。归属于手少阴心经、足太阴脾经、足厥阴肝经，因火热蕴结毒邪上攻而发病。适宜使用加减败毒散及黄连消毒散（见脑痈章节），或活命饮加玄参、桔梗、黄连。若溃烂入内则病情危重。
此证由心、肝二经火气旺盛，虚中夹热，发于两胁之下，名为“发胁”，归属于手、足厥阴经。初期适宜使用神效栝蒌散（方见乳痈章节）、柴胡清肝汤（方见鬓疽章节）或活命饮加柴胡。溃破后适宜清热、托里排毒、滋补肾水；若有热象可用当归龙荟丸（方见胁痛章节）。若胁下至腰部及全身出现红紫色斑纹，适宜用砭石刺出恶血，内服防风通圣散（方见中风章节），外用紫金锭涂抹并服用。简便方：将鸡粪捣碎，加入少许盐，用醋调和，敷于患处。肿胀消退、疼痛停止、脓液形成时有效。
两手手背发生痈肿，无脓头且漫肿，乃三阳经风热郁滞所致，适宜使用活命饮加黄芩、栀子、桔梗、升麻。若兼寒加桂枝，若兼热加姜黄，用水和酒煎服。或使用紫金锭、夺命丹。年老体弱者宜大补气血。
虎口内部结聚毒邪肿胀，又名合骨疽。归属于阳明大肠经风热积毒，起初适宜隔蒜灸，内服真人活命饮加桂枝、姜黄、桔梗、升麻，煎服。外用玉枢丹用水磨涂之。
此证发于大拇指头，也名为指发。如粟米般逐渐增大，呈青紫黄黑色，麻木作痒，或剧烈疼痛彻心，归属于手太阴肺经。外用玉枢丹浓敷，内服更需使用发汗、攻下等方剂；随后托里补益，全部依照前述方法。此证切勿怠慢迟缓，若出现攻心呕吐、不能进食、齿缝出血者，属不治之症。手指变黑，急宜截去，尚可存活。若黑色蔓延至手臂，必死无疑。其他手指尚可保留。拔毒散配方：泥蜂窝（墙壁间）与乳香，研为细末，用米醋调匀，频繁涂抹至疼痛停止。又一方：蜈蚣（干品）烧烟熏烤。又一方：鸡蛋清浸泡手指，至疼痛停止。
Arising on both sides of the throat. It belongs to the Hand-Shaoyin (Heart) Meridian, Foot-Taiyin (Spleen) Meridian, and Foot-Jueyin (Liver) Meridian, caused by heat-fire accumulating toxic pathogens attacking upward. It is suitable to use Jiajian Baidu San (Modified Decoction for Overcoming Toxins) and Huanglian Xiaodu San (Coptis Decoction for Eliminating Toxins) (see Brain Abscess), or Huoming Yin (Decoction for Saving Life) added with Xuanshen (Scrophulariae Radix), Jiegeng (Platycodonis Radix), and Huanglian (Coptidis Rhizoma). If it ulcerates inward, the condition is critical.
This syndrome arises from excessive fire in the Heart and Liver meridians, with heat amidst deficiency, manifesting under the two hypochondriac regions, named "Fa Xie" (Flank Carbuncle), belonging to the Hand and Foot Jueyin Meridians. In the initial stage, Shenshou Gualou San (Miraculous Trichosanthes Powder), Chaihu Qinggan Tang (Bupleurum Clearing Liver Decoction), or Huoming Yin added with Chaihu are suitable. After ulceration, clearing heat, supporting the interior, and nourishing Kidney Water are indicated; if there is heat, Danggui Longhui Wan (Angelica Dragon Gallbladder Pill) is used. If red-purple discoloration extends from the hypochondrium to the waist and the whole body, Bian stone therapy should be used to bleed out evil blood, internally taking Fangfeng Tongsheng San (Saposhnikovia Releasing the Exterior and Unblocking the Interior Powder), externally applying Zijin Ding (Purple Gold Linctus) topically and orally. Simple prescription: Mash chicken manure, add a little salt, mix with vinegar, and apply to the affected area. Effective when swelling subsides, pain stops, and pus forms.
(Attached: Hand Back Carbuncle, Fork Stabbing, Finger Carbuncle, Heavenly Snake Head, Palm-Piercing Carbuncle, Wrist Abscess, Paronychia)
Carbuncles erupting on the dorsum of both hands, without heads and presenting as diffuse swelling, are caused by wind-heat stagnation in the Three Yang meridians. Huoming Yin added with Huangqin (Scutellariae Radix), Zhizi (Gardeniae Fructus), Jiegeng, and Shengma (Cimicifugae Rhizoma) is suitable. Add Guizhi (Cinnamon Twig) if cold is present, add Jianghuang (Curcumae Longae Rhizoma) if heat is present; decoct with water and wine. Alternatively, use Zijin Ding or Duoming Dan (Life-Seizing Pill). For the elderly and weak, major tonification is required.
Toxic accumulation and swelling inside the web between the thumb and index finger, also known as Hegu Ju (Metacarpal Carbuncle). It belongs to wind-heat accumulated toxins in the Yangming Large Intestine Meridian. Initially, garlic-separated moxibustion is suitable, internally taking Zhenren Huoming Yin (True Man's Decoction for Saving Life) added with Guizhi, Jianghuang, Jiegeng, and Shengma, decocted and taken orally. Externally, Yushu Dan (Jade Pivot Pill) ground in water is applied.
This syndrome manifests at the tip of the great toe (Note: Text says "Da Zhi Tou", literally Great Finger/Toe head, context implies digit, usually thumb or big toe, here translated as digit tip based on 'Zhi Fa'), also named "Zhi Fa" (Digit Eruption). Starting like millet grains, gradually enlarging, turning blue-purple, yellow, or black, with numbness and itching, or severe pain piercing the heart, it belongs to the Hand-Taiyin (Lung) Meridian. Externally apply thick layers of Yushu Dan; internally, employ sweating and purgative formulas; subsequently, support the interior and tonify, following all previous methods. Do not neglect or delay this syndrome. If vomiting attacks the heart, inability to eat, and bleeding from gum fissures occur, it is incurable. If the digit turns black, amputation is urgently required for survival. If the blackness spreads to the arm, death is certain. Other digits may be preserved. Baodu San (Detoxifying Powder): Mud wasp nests (from walls) and Ruxiang (Frankincense), ground into powder, mixed with rice vinegar, applied frequently until pain stops. Another prescription: Burn dried Wugong (Scolopendra) to smoke the area. Another prescription: Soak the digit in egg white until pain stops.