经曰∶精气夺则虚，邪气盛则实。流注之证，因于怒气郁结；或湿痰流积，或饮食劳倦，脾
胃伤损；或房室阴虚，阳气凑袭；或腠理不密，外邪客之；或闪肭折挫，跌扑血滞；或脾虚气弱
，风湿相搏；或伤寒失汗，邪留经络；或荣气不从，逆于肉理；或产后败血，流入关节，皆能致
此。或发胸背腰臀，或生四肢臂膝，或结块、或漫肿、或作痛、或溃脓。若气凝滞者，散之攻之
；腠疏脾虚者，驱之补之。最宜先散外邪，次调气血，又次生肌收口。有风湿筋挛骨痛，宜温
经络。有脓管或瘀血者，用去恶肉方法治。如久而疮口寒不收者，更宜附子饼灸。慎起居，节饮
食，除七情，戒房事，可安。初起用葱熨法，随服主方，驱逐寒邪，接补阳气，更宜参酌加减。
未成者令散，已成者令溃。如抑郁所致而不痛者，宜散郁行经络；肿硬作痛者，通气和血为主；
溃而不敛者，益气养血为主；伤寒余邪未尽者，和解为主；暴怒所致，胸膈不宽者，调气为主；
脾虚湿热，凝滞肉理而然，健脾除湿为主；闪肭瘀血，活血调气为主；寒邪筋挛骨痛，宜温经络
、养气血为主。
主方 何首乌 乌药 羌活 白芷 防风 川芎 枳壳 当归 紫苏（各一钱） 槟榔（
七分）水煎服。漫肿、木闷，加官桂、木香。气郁加香附、陈皮、浓朴。湿加苍术、秦艽。痰加
二陈汤（方见痰门）。伤寒余邪，加减败毒散加小柴胡汤。寒加五积散（方见寒门）。气血虚，
加人参、黄 、白术、芍药。肿在下部加牛膝、杜仲。
一人因怒，胁下作痛，以小柴胡对四物汤加青皮、枳壳、桔梗，愈。
一人腿肿，肉色不变、不痛，以补中益气汤加生姜、茯苓、枳壳、木香，煎。以附子饼熨之。
后服流气饮，愈。虚，始用六君子汤加当归，愈。
《内经》说：精气亏损就会表现为虚证，邪气亢盛就会表现为实证。流注这种病证，是由于怒气郁结；或者是湿痰积聚流动；或者是饮食不节、过度劳累，导致脾胃受损；或者是房事过度导致阴虚，阳气乘虚侵袭；或者是腠理（皮肤毛孔）不致密，外邪客居体内；或者是闪挫跌打导致血行滞涩；或者是脾虚气弱，风湿二气相互搏结；或者是伤寒病发汗不及时，邪气留滞在经络中；或者是营气运行不畅，逆乱于肌肉纹理之间；或者是产后败血（恶露）流入关节，这些情况都能导致此病。病变可能出现在胸背腰臀，也可能生在四肢臂膝，表现为结成肿块、或者弥漫性肿胀、或者疼痛、或者溃破流脓。如果是气机凝滞的，就用消散攻逐的方法；如果是腠理疏松、脾气虚弱的，就用驱邪补益的方法。治疗时最适宜先疏散外邪，其次调理气血，再次促进肌肉生长、收敛疮口。如果有风湿引起的筋脉拘挛、骨骼疼痛，适宜温通经络。如果有脓管形成或瘀血存在，用去除腐肉的方法治疗。如果时间久了疮口寒冷不能愈合，更适宜用附子饼灸法。注意起居规律，节制饮食，排除七情干扰，戒除房事，就可以安宁。初起时用葱熨法，同时服用主方，以驱逐寒邪，接续补养阳气，更应斟酌病情进行加减。未成脓的使其消散，已成脓的使其溃破。如果是因抑郁所致且不痛的，宜疏解郁结、疏通经络；如果肿硬且疼痛的，以调气和血为主；如果溃破后不收敛的，以益气养血为主；如果是伤寒余邪未尽的，以和解为主；如果是暴怒所致、胸膈部感觉不宽畅的，以调气为主；如果是脾虚湿热，凝滞于肌肉纹理间而导致的，以健脾除湿为主；如果是闪挫导致的瘀血，以活血调气为主；如果是寒邪导致的筋脉拘挛、骨骼疼痛，宜温通经络、滋养气血为主。
主方：何首乌、乌药、羌活、白芷、防风、川芎、枳壳、当归、紫苏（各一钱），槟榔（七分），用水煎服。如果是漫肿、麻木闷胀，加官桂、木香。气郁加香附、陈皮、厚朴。湿重加苍术、秦艽。有痰加二陈汤（方剂见痰门章节）。伤寒余邪，用加减败毒散合小柴胡汤。寒重加五积散（方剂见寒门章节）。气血虚弱，加人参、黄芪、白术、芍药。肿胀在下部的加牛膝、杜仲。
有一人因为愤怒，胁下疼痛，用小柴胡汤合四物汤加青皮、枳壳、桔梗，治愈。
有一人腿部肿胀，肤色不变、不痛，用补中益气汤加生姜、茯苓、枳壳、木香，煎服。并用附子饼熨烫患处。后来服用流气饮，治愈。体质虚弱的，起初用六君子汤加当归，治愈。
The *Neijing* states: "When essence and qi are depleted, deficiency occurs; when pathogenic factors are exuberant, excess occurs." The condition of Liuzhu (Flowing Abscess) arises from anger and depression; or the accumulation and flow of damp-phlegm; or improper diet and overexertion damaging the Spleen and Stomach; or excessive sexual activity leading to Yin deficiency, allowing Yang pathogenic factors to invade; or loose interstices (skin pores), allowing external pathogens to lodge; or sprains and fractures causing blood stasis; or Spleen deficiency with weak Qi, where Wind-Dampness combats each other; or failure to induce sweating in Cold Damage, leaving pathogens lingering in the meridians; or Ying-Qi (Nutritive Qi) failing to follow its proper course, reversing into the muscle tissue; or postpartum foul blood flowing into the joints. All these can cause this condition. It may manifest on the chest, back, waist, or buttocks, or on the limbs, arms, and knees, presenting as nodules, diffuse swelling, pain, or ulceration with pus discharge. If Qi is stagnant, disperse and attack it; if the interstices are loose and Spleen Qi is deficient, expel pathogens and tonify. It is most appropriate to first disperse external pathogens, then regulate Qi and Blood, and finally promote tissue regeneration and wound closure. For Wind-Dampness causing tendon spasms and bone pain, warming the meridians is suitable. For cases with sinus tracts or blood stasis, use methods to remove necrotic tissue. If the wound remains cold and fails to heal after a long time, moxibustion with Aconite Cake is particularly suitable. Be cautious with daily routine, moderate diet, eliminate emotional disturbances, abstain from sexual activity, and one can achieve peace. At the onset, use the Scallion Moxibustion method, followed by the main prescription to expel Cold pathogens and support Yang Qi, adjusting according to the specific case. For unformed abscesses, aim for resolution; for formed abscesses, aim for suppuration. If caused by depression without pain, resolve depression and unblock meridians; if swollen, hard, and painful, focus on regulating Qi and nourishing Blood; if ulcerated but not healing, focus on tonifying Qi and nourishing Blood; if residual pathogens from Cold Damage remain, focus on harmonizing; if caused by sudden anger with chest fullness, focus on regulating Qi; if caused by Spleen deficiency with Damp-Heat stagnating in muscle tissue, focus on strengthening the Spleen and draining Dampness; if caused by sprain and blood stasis, focus on invigorating Blood and regulating Qi; if caused by Cold pathogens leading to tendon spasms and bone pain, warm the meridians and nourish Qi and Blood.
Main Prescription: He Shou Wu (Polygoni Multiflori Radix Praeparata), Wu Yao (Linderae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Bai Zhi (Angelicae Dahuricae Radix), Fang Feng (Saposhnikoviae Radix), Chuan Xiong (Chuanxiong Rhizoma), Zhi Ke (Aurantii Fructus Immaturus), Dang Gui (Angelicae Sinensis Radix), Zi Su (Perillae Folium) (each 1 qian), Bing Lang (Arecae Semen) (0.7 qian). Decoct in water and take orally. For diffuse swelling and numbness/stuffiness, add Guan Gui (Cinnamomi Cortex) and Mu Xiang (Aucklandiae Radix). For Qi depression, add Xiang Fu (Cyperi Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), and Hou Po (Magnoliae Officinalis Cortex). For Dampness, add Cang Zhu (Atractylodis Rhizoma) and Qin Jiao (Gentianae Macrophyllae Radix). For Phlegm, add Er Chen Tang (Two-Cured Decoction) (see Phlegm section). For residual pathogens from Cold Damage, use Modified Baidu San (Hundred-Toxin Powder) combined with Xiao Chai Hu Tang (Minor Bupleurum Decoction). For Cold, add Wu Ji San (Five Accumulations Powder) (see Cold section). For Qi and Blood deficiency, add Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), and Shao Yao (Paeoniae Radix Alba). For swelling in the lower body, add Niu Xi (Achyranthis Bidentatae Radix) and Du Zhong (Eucommiae Cortex).
One patient suffered hypochondriac pain due to anger and was cured using Xiao Chai Hu Tang (Minor Bupleurum Decoction) combined with Si Wu Tang (Four Substances Decoction) added with Qing Pi (Citri Reticulatae Pericarpium Viride), Zhi Ke (Aurantii Fructus Immaturus), and Jie Geng (Platycodonis Radix).
Another patient had leg swelling with unchanged skin color and no pain. He was treated with Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) added with Sheng Jiang (Zingiberis Rhizoma Recens), Fu Ling (Poria), Zhi Ke (Aurantii Fructus Immaturus), and Mu Xiang (Aucklandiae Radix), decocted and taken orally. The affected area was also moxa-warmed with Aconite Cake. Later, he took Liu Qi Yin (Flowing Qi Drink) and was cured. For those with deficiency, Liu Jun Zi Tang (Six-Gentlemen Decoction) added with Dang Gui (Angelicae Sinensis Radix) was used initially, resulting in a cure.