经曰∶汗之则疮已，所谓疏泄荣卫之邪，此大法也。故初感脉浮数， 肿赤痛，加减败毒散
发散之。脉沉实，烦热躁渴，肿硬痛深，大便秘，邪在里，宜下之，黄连汤之类疏通之，仙方活
命饮。外无 肿，内无便秘，邪在经络也，宜调和荣卫，托里养荣汤、白芷升麻汤。肿高 痛，
脉浮，宜托里药治，内托复煎散。大痛或不痛， 肿不作脓者，邪气凝结也，宜解散之，内服仙
方活命饮。烦躁饮冷， 痛脉数者，邪在上也，宜清利之，清凉饮、金银花散。恶疮久而不溃，
气实兼寒邪也，宜宣而补之，十宣散也。如发热汗多，大渴、便闭、谵语者，结阳证也，宜下之
，黄连内疏汤、破棺丹是也。不作脓而不溃者，虚也，大补之，补中益气或十全大补汤。肿痛饮
冷，发热睡语者，火也，宜清降之，清心汤（即防风通圣散加黄连。）不作脓，或不溃及不敛，
阳气虚也，托补之，托里消毒散。微肿微痛不作脓，及漫肿不痛，脓成不溃，俱宜大补；色黯加
助阳药，亦宜补之。有阴证而又误凉药，急宜大热药回阳，姜附汤、三建汤之类。首先宜服乳香
、绿豆粉、救心护膜。初病作呕，毒攻心胞络，救其心神安宁。虽有重病不死，世有轻病反死者
，因透膜而元气泄也，故救心护膜为第一义。如按之上下不热不软，都牵强者，尚未有脓，急消
之；凡按之软，实有脓而不溃，宜急破之，不然则内溃日久，难于收敛。若未有脓，切不可针破
。
《黄帝内经》说：“用发汗的方法，疮疡就能痊愈。”这就是所说的疏泄营卫之邪的方法，这是治疗的大法。所以初感病邪时，脉象浮数，患处红肿疼痛，可用加减败毒散发散邪气。若脉象沉实，伴有烦热、躁动、口渴，患处肿胀坚硬且疼痛深重，大便秘结，说明邪气在里，应当用泻下法，可用黄连汤之类疏通，或选用仙方活命饮。如果体表没有明显肿胀，体内没有大便秘结，说明邪气在经络，应当调和营卫，可用托里养荣汤、白芷升麻汤。如果患处高肿疼痛，脉象浮，应当用托里药治疗，如内托复煎散。如果疼痛剧烈或不痛，肿块不化脓的，是邪气凝结所致，应当解散邪气，内服仙方活命饮。如果烦躁、想喝冷饮，患处疼痛且脉数，说明邪气在上部，应当清利，可用清凉饮、金银花散。如果恶疮日久不溃破，是正气充实兼有寒邪，应当宣通并补益，可用十宣散。如果出现发热、汗多、大渴、大便闭结、胡言乱语的症状，这是结阳证，应当用泻下法，如黄连内疏汤、破棺丹。如果不化脓且不溃破，属于虚证，应当大补，可用补中益气汤或十全大补汤。如果肿痛且想喝冷饮，发热且睡中说梦话，这是火证，应当清热降火，可用清心汤（即防风通圣散加黄连）。如果不化脓，或不溃破以及伤口不收敛，是阳气虚弱，应当托毒补虚，可用托里消毒散。如果微肿微痛不化脓，或者漫肿不痛，脓已成但不溃破，都应当大补；如果颜色暗紫，应加助阳药，也应当补益。如果有阴证又误用了凉药，应当急用大热药回阳救逆，如姜附汤、三建汤之类。首先应当服用乳香、绿豆粉，以救心护膜。初病时出现呕吐，是毒邪攻冲心包络，需要救治使心神安宁。虽然病情严重但不会死亡，世间却有轻病反而死亡的，是因为透膜导致元气外泄，所以救心护膜是第一要义。如果按压上下部位既不热也不软，而是僵硬强直的，说明还没有成脓，应当急消之；凡是按压感觉柔软，确实有脓但不溃破的，应当急破排脓，否则就会内溃日久，难以收敛。如果还没有成脓，切不可针刺破溃。
The *Yellow Emperor's Inner Classic* states: "Apply sweating therapy, and the sores will heal." This refers to the method of dispersing pathogens from the Ying (Nutritive) and Wei (Defensive) levels, which is a fundamental principle. Therefore, in the initial stage of infection, if the pulse is floating and rapid, with swelling, redness, and pain, Jiajian Baidu San (Modified Decoction to Overcome Toxins) should be used to disperse the pathogen. If the pulse is deep and solid, accompanied by irritability, heat, restlessness, thirst, hard swelling with deep-seated pain, and constipation, indicating the pathogen is in the interior, purgative therapy should be applied; Huanglian Tang (Coptis Decoction) or similar formulas can be used to unblock, or Xianfang Huoming Yin (Immortal Formula for Preserving Life Decoction). If there is no external swelling and no internal constipation, the pathogen is in the meridians; Ying and Wei should be harmonized using Tuoli Yangrong Tang (Support Interior and Nourish Nutritive Qi Decoction) or Baizhi Shengma Tang (Angelica Dahurica and Cimicifuga Decoction). If the swelling is high and painful with a floating pulse, interior-supporting herbs should be used, such as Neituo Fujian San (Interior-Supporting Double-Boiled Powder). If there is severe pain or no pain, and the swelling does not suppurate, this indicates congealment of pathogenic factors; dispersing therapy is indicated, with oral administration of Xianfang Huoming Yin. If there is irritability, desire for cold drinks, painful swelling, and a rapid pulse, the pathogen is in the upper jiao; clearing and draining therapy is indicated, using Qingliang Yin (Cooling Drink) or Jinyinhua San (Honeysuckle Powder). If a malignant sore persists without ulceration for a long time, it indicates excess qi combined with cold pathogens; dissemination and tonification are indicated, using Shixuan San (Ten-Ventilation Powder). If fever, profuse sweating, extreme thirst, constipation, and delirium occur, this is a Jieyang Syndrome (Yang Knotting Syndrome); purgative therapy is indicated, such as Huanglian Neishu Tang (Coptis Interior-Purging Decoction) or Po Guan Dan (Sarcophagus-Breaking Pill). If suppuration does not occur and ulceration fails to happen, it is due to deficiency; strong tonification is required, using Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) or Shiquan Dabu Tang (Perfect Ten Great Tonifying Decoction). If there is painful swelling, desire for cold drinks, fever, and somniloquy (sleep-talking), this is a Fire syndrome; clearing and descending fire is indicated, using Qingxin Tang (Clear Heart Decoction) [which is Fangfeng Tongsheng San plus Huanglian]. If there is no suppuration, failure to ulcerate, or failure of the wound to close, it is due to deficiency of Yang Qi; supporting interior and tonifying is indicated, using Tuoli Xiaodu San (Support Interior and Eliminate Toxins Powder). If there is slight swelling and slight pain without suppuration, or diffuse swelling without pain, or formed pus that does not ulcerate, strong tonification is appropriate for all; if the color is dark, Yang-augmenting herbs should be added, and tonification is also indicated. If a Yin syndrome occurs and cold medicines have been mistakenly administered, urgent use of hot medicines to restore Yang is required, such as Jiangfu Tang (Ginger and Aconite Decoction) or Sanjian Tang (Three Jian Decoction). First, Ruxiang (Frankincense) and Ludou Fen (Mung Bean Powder) should be taken to save the heart and protect the membranes. Vomiting at the onset of disease indicates toxic pathogens attacking the Pericardium collateral; the mind spirit must be rescued to achieve tranquility. Although severe illness may not be fatal, mild illness may sometimes prove fatal because the membranes are penetrated and Yuan Qi (Original Qi) leaks out; therefore, saving the heart and protecting the membranes is the primary principle. If pressing the area reveals hardness without heat or softness, indicating no pus has formed yet, urgent resolution is required; if pressing reveals softness, confirming pus formation but lack of ulceration, urgent incision is needed, otherwise internal ulceration will persist for a long time, making healing difficult. If pus has not yet formed, needle puncture must strictly be avoided.