证发臂上如鸭蛋状，皆由荣卫不调所致。急宜消散，否则上下筋骨交连，举动不便，垂手坠
痛，痛极彻骨，或致筋伤拳缩。若发臂内，名曰鱼肚，宜活命饮加羌、独活、桂枝、桔梗，水、
酒各半，煎服。或夺命丹、紫金锭兼用，壮者可下。若漫肿无头，服败毒药不散者，十全大补加
桂枝、桔梗托之。若肘之内生痈，属三阴经，乃心胞络郁火，引经用黄连、升、柴。肘之外生痈
，属三阳经，乃手大、小肠
积毒，引经用 本、升、柴。并用黄连消毒散、活命饮之类；后用托里大补之药。又有 臂表里
俱赤，惟肘节处差小，俗名藕包，以内外分阴阳，俱同上治。
主方 赤芍 羌活 防风 金银花 独活 桔梗 桂枝 水、酒煎服。接服白芷升麻汤（
方见总门。）
油泥膏 治藕包。
桐油（三两） 盐泥信（盐泥裹信， ，一两和匀，）鹅毛频扫。
证困膏粱之变，七情久郁，脾虚气滞而成。发于肚腹，皮里膜外，腹肿痛甚，易至溃腐。先
宜隔蒜灸法，内服活命饮，次用托里药。若红肿无脓，托里消毒散速其溃；如不溃，代针丸或针
刺破。如漫肿坚硬，色不红肿，用托里十宣散，次服主方。戒克伐凉药。如溃后，必用十全大补
汤，倍人参、黄 ，加干姜、附子补托。
主方 人参 白术 茯苓 白芷 枳壳 当归 川芎 黄 （各等分） 甘草（炙，减半）
上水煎服。
症状表现为手臂上出现像鸭蛋大小的肿块，这都是由于营卫不调所导致的。应当紧急进行消散治疗，否则上下筋骨相互牵连，导致肢体活动不便，手臂下垂时坠胀疼痛，疼痛剧烈直达骨骼，或者导致筋脉受损、手指蜷缩成拳。如果发生在手臂内侧，称为“鱼肚”，宜使用活命饮加入羌活、独活、桂枝、桔梗，用水和酒各半煎服。也可以同时服用夺命丹或紫金锭，体质壮实者可以使用泻下法。如果漫肿无头，服用败毒药物后仍不消散的，用十全大补汤加入桂枝、桔梗以托毒外出。如果在肘关节内侧生痈，属于三阴经病变，是心包络郁火所致，引经药选用黄连、升麻、柴胡。在肘关节外侧生痈，属于三阳经病变，是大肠、小肠积毒所致，引经药选用本（此处指藁本）、升麻、柴胡。均配合使用黄连消毒散、活命饮之类的方剂；后期使用托里大补的药物。又有手臂表里都发红，只有肘关节处稍微小一些，俗称“藕包”，根据内外分属阴阳，治疗方法同上。
主方：赤芍、羌活、防风、金银花、独活、桔梗、桂枝，用水、酒煎服。接着服用白芷升麻汤（方剂见总论门）。
油泥膏：治疗藕包。
桐油（三两）、盐泥信（用盐泥包裹信石，一两，混合均匀），用鹅毛频繁涂抹扫擦。
病症因长期食用肥甘厚味及情志久郁，导致脾虚气滞而形成。发于肚腹部位，位于皮里膜外，腹部肿痛严重，容易溃烂腐败。先宜采用隔蒜灸法，内服活命饮，随后使用托里药物。如果红肿但无脓，使用托里消毒散加速其溃破；如果不溃破，可用代针丸或针刺破。如果漫肿坚硬，颜色不红不肿，使用托里十宣散，随后服用主方。忌用攻伐凉性药物。如已溃破，必须使用十全大补汤，加倍人参、黄芪用量，加入干姜、附子以补益托毒。
The manifestation presents as a lump on the arm resembling the size of a duck egg, all caused by disharmony between Ying (Nutrient) and Wei (Defensive) Qi. Immediate resolution is required; otherwise, the upper and lower tendons and bones will interconnect, leading to inconvenience in movement, heaviness and pain when the hand hangs down, extreme pain penetrating to the bone, or potentially causing tendon damage and fist clenching. If it occurs on the inner aspect of the arm, it is named "Fish Belly" (Yudu). It is appropriate to use Huoming Yin (Life-Saving Decoction) added with Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Guizhi (Cinnamomi Ramulus), and Jiegeng (Platycodonis Radix), decocted with half water and half wine. Alternatively, Dueming Dan (Life-Rescuing Pill) or Zijin Ding (Purple Gold Pellet) can be used concurrently; for robust constitutions, purgative methods may be applied. If there is diffuse swelling without a head, and poison-resolving medicines fail to dissipate it, Shiquan Dabu Tang (Complete Great Tonifying Decoction) added with Guizhi and Jiegeng should be used to expel toxins outward. If an abscess arises inside the elbow, it belongs to the Three Yin Meridians, resulting from stagnant fire in the Pericardium Collateral; the guiding herbs are Huanglian (Coptidis Rhizoma), Shengma (Cimicifugae Rhizoma), and Chaihu (Bupleuri Radix). If an abscess arises outside the elbow, it belongs to the Three Yang Meridians, resulting from accumulated toxicity in the Large Intestine and Small Intestine; the guiding herbs are Ben (Ligustici Rhizoma, here referring to Gaoben), Shengma, and Chaihu. Both conditions should be treated with formulas such as Huanglian Xiaodu San (Coptis Poison-Resolving Powder) and Huoming Yin; subsequently, tonifying and supporting medicines should be used. Another presentation involves both the interior and exterior of the arm being red, with only the elbow joint slightly smaller, commonly known as "Lotus Root Package." Differentiated by interior/exterior corresponding to Yin/Yang, the treatment is the same as above.
Main Formula: Chishao (Paeoniae Radix Rubra), Qianghuo, Fangfeng (Saposhnikoviae Radix), Jinyinhua (Lonicerae Japonicae Flos), Duhuo, Jiegeng, Guizhi. Decoct with water and wine. Follow with Baizhi Shengma Tang (Angelica Dahurica and Cimicifuga Decoction) (Formula seen in General Section).
Youni Gao (Oil Mud Ointment): Treats Lotus Root Package.
Tongyou (Verniciae Oleum), Yanni Xin (Salt-mud wrapped Realgar, 1 liang, mixed evenly). Apply frequently with goose feathers.
The condition arises from long-term consumption of rich and greasy foods and prolonged emotional depression, leading to Spleen deficiency and Qi stagnation. It manifests in the abdomen, located between the skin and fascia, with severe abdominal swelling and pain, prone to ulceration and putrefaction. Initially, Garlic-separated Moxibustion is suitable, along with internal administration of Huoming Yin, followed by supporting medicines. If there is redness and swelling without pus, Tuoli Xiaodu San (Supporting and Poison-Resolving Powder) should be used to accelerate ulceration; if it does not ulcerate, Daizhen Wan (Needle-Replacing Pill) or acupuncture/lancing should be used. If there is diffuse swelling that is hard, without redness, Tuoli Shixuan San (Supporting Ten-Accumulations Powder) should be used, followed by the main formula. Avoid harsh purgatives and cooling medicines. After ulceration, Shiquan Dabu Tang (Complete Great Tonifying Decoction) must be used, doubling the dosage of Renshen (Ginseng Radix et Rhizoma) and Huangqi (Astragali Radix), adding Ganjiang (Zingiberis Rhizoma) and Fuzi (Aconiti Lateralis Radix Praeparata) to tonify and support.
Main Formula: Renshen, Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Baizhi, Zhike (Aurantii Fructus), Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Huangqi (each equal parts); Gancao (Licorice Root, roasted, half dose).
Decoct with water and take orally.