薛立斋治高举人，年逾三十，夏月热病后患颐毒，积日不消，气息奄奄，脉诊如无，饮食少思，
大便不禁。《脉经》云∶脉息如无似有，细而微者，阳气衰也。齐氏云∶饮食不入，大便滑利，肠胃
虚也。遂以六君子汤加炮姜、肉豆蔻、破故纸，数剂泻止，食稍进。更加以黄 、当归、肉桂，溃而
脓水清稀。就于前药，每服加熟附子一钱，数剂食进，脓亦渐稠。再以十全大补汤，用酒芍，加白蔹，
月余而痊。
薛立斋治二守施希禄，患项毒，脓已成，因畏针， 延至胸，色赤如霞。其脉滑数，饮食不进，
月余不寐，肢体甚倦，此气血虚而不能溃也。乃针之，脓出即睡，觉而思食。用托里药，两月而愈。
刘玺素虚，患此不针，溃透颔颊，气血愈虚，竟不救。
一妇人项患痈， 痛，发寒热，以荆防败毒散，二剂少愈。以小柴胡汤加连翘、牛蒡、桔梗，四
剂而消。
一男子项患毒，溃而作痛，以参、 、地黄、芎、归补之而止。更以八珍汤加黄 、桔梗，三十
余剂而愈。
马元仪治沈氏妇，颈项间患疡，痛甚，躁烦发热，昼夜不眠，多方不愈。诊之，两脉浮大沉小，
此阳明气血交亏之候也。阳明之气，一日一夜五十周于身，而血随之。气虚血涩，则病生焉。况所现
皆血虚气衰之症，较之热毒有余者殊矣。用黄 一两，当归五钱，人参三钱，炙草七分，红花五分，
调补气血，四剂而安。
张子和在西华，寄食于夏官人宅，忽项上病，一病状如白疮，疮肿根红硬，以其微小不虑也。忽
故人见邀，以羊羔酒饮，鸡、鱼、醢、蒜皆在焉。张以故人不能辞，又忘禁忌，是夜疮大痛不可忍，
项肿及头，开口发狂言，目见鬼神。夏君甚惧，欲报其家。张笑曰∶请无虑，来日当平。乃以酒调通
经散六七钱，下舟车丸百余粒，次以热面羹投之。上涌下泄，一时齐作，各去半盏。明日日中，疮肿
已平，一二日脓出而愈。
朱丹溪治王姑丈，七十余患项疽，脉实而稍大。此因忧闷而生，太阳经治之。归头二钱，黄柏一
钱五分，黄 、羌活、地黄、酒芩、桔梗各一钱，酒连、连翘、防风、生甘草、人参、陈皮、防己、
泽泻各五分，白水煎服。
柴屿青治夏同司镶黄旗觉罗讳玛德，患对口。人皆谓之落头疽，难治。柴以为无害，服药五十日
而愈。后某公亦患前症，亦服药五十日而安。
姚应凤诊一人，项生疮，求治，应凤曰∶是天蛇头疮，宿因也，三年头当自落而毙。竟如其言。
（《仁和县志》）
薛立斋治疗一位姓高的患者，年龄超过三十岁，在夏季患热病之后出现颐部毒疮，多日不消退，气息微弱，脉象细微几乎摸不到，饮食减少且没有食欲，大便失禁。《脉经》说：脉象似有似无，细而微弱的，是阳气衰败的表现。齐氏说：饮食无法进入，大便滑脱不禁，是肠胃虚弱的表现。于是使用六君子汤加入炮姜、肉豆蔻、补骨脂，服用数剂后腹泻停止，饮食稍微增加。随后加入黄芪、当归、肉桂，促使毒疮溃破，流出清稀的脓水。在前方基础上，每服药时加入一钱熟附子，服用数剂后饮食增加，脓液也逐渐变得浓稠。再使用十全大补汤，采用酒炒白芍，加入白蔹，一个月左右痊愈。
薛立斋治疗二守施希禄，患有颈部毒疮，脓液已经形成，因为害怕针刺，延误治疗导致毒势蔓延至胸部，颜色红赤如晚霞。其脉象滑数，饮食不进，一个多月不能入睡，肢体非常疲倦，这是气血虚弱导致毒邪不能溃破排出。于是为他针刺排脓，脓出后立即入睡，醒来后便想吃东西。使用托里透脓的药物，两个月后痊愈。刘玺素来体质虚弱，患此病未进行针刺，导致毒疮溃破穿透下颌脸颊，气血更加虚弱，最终未能救治。
一位妇女颈部患痈肿，疼痛，伴有寒热症状，使用荆防败毒散，服用两剂后症状稍减。再用小柴胡汤加入连翘、牛蒡子、桔梗，服用四剂后消散。
一位男子颈部患毒疮，溃破后疼痛，用人参、黄芪、地黄、川芎、当归进行补益治疗而止痛。再用八珍汤加入黄芪、桔梗，服用三十多剂后痊愈。
马元仪治疗沈氏妇人，颈项间患疡疮，疼痛剧烈，烦躁发热，昼夜无法入睡，多方治疗无效。诊察发现，两手脉象浮大但沉取细小，这是阳明经气血双重亏损的征候。阳明经的气，一天一夜在全身循环五十周，血液随之运行。气虚则血行涩滞，从而产生疾病。况且所呈现的都是血虚气衰的症状，与热毒有余的情况截然不同。使用黄芪一两，当归五钱，人参三钱，炙甘草七分，红花五分，调和补益气血，服用四剂后病情安定。
张子和在西华县时，寄居在夏官人家中，忽然颈部患病，一种病症像白疮，疮肿根部红硬，因为病灶微小而未加重视。忽然老朋友邀请，饮用羊羔酒，并食用鸡、鱼、肉酱、大蒜等食物。张子和因顾及故人之情无法推辞，又忘记了饮食禁忌，当晚疮痛剧烈难以忍受，颈部肿胀波及头部，张口说疯话，看见鬼神。夏先生非常恐惧，想要通知他的家人。张子和笑着说：“请不用担心，明天自然会平复。”于是用酒调服通经散六七钱，服用舟车丸一百多粒，随后喂以热面条羹。引起上吐下泻，同时发作，各排泄约半盏的量。第二天中午，疮肿已经平复，一二天后脓液排出而痊愈。
朱丹溪治疗王姑丈，七十多岁患颈部疽疮，脉象实而稍大。这是因为忧闷郁结而生，属于太阳经病变。使用归头二钱，黄柏一钱五分，黄芪、羌活、地黄、酒炒黄芩、桔梗各一钱，酒炒黄连、连翘、防风、生甘草、人参、陈皮、防己、泽泻各五分，白水煎服。
柴屿青治疗夏同司镶黄旗觉罗氏名叫玛德的病人，患对口疽。人们都称之为落头疽，认为难治。柴屿青认为无害，服药五十日后痊愈。后来某公也患前症，也是服药五十日后安然无恙。
姚应凤诊治一人，颈部生疮，求治，姚应凤说：“这是天蛇头疮，是宿世因果所致，三年后头颅应当自落而死。”结果果然像他所说的那样。（出自《仁和县志》）
Xue Lizhai treated a patient surnamed Gao, who was over thirty years old. After suffering from a febrile disease in summer, he developed a toxic sore on the chin (Yi). The lesion persisted for many days without subsiding. His breath was faint, his pulse was thready and minute, almost imperceptible, he had little appetite, and suffered from fecal incontinence. *Mai Jing* (Pulse Classic) states: "When the pulse seems present yet absent, thready and minute, it indicates the decline of Yang Qi." Qi Shi stated: "When food cannot be taken in and stool slips out uncontrollably, it indicates deficiency of the intestines and stomach." Consequently, Liu Jun Zi Tang (Six Gentlemen Decoction) was prescribed with added Pao Jiang (Roasted Ginger), Rou Dou Kou (Nutmeg), and Po Gu Zhi (Psoralea Fruit). After several doses, the diarrhea stopped, and dietary intake slightly increased. Subsequently, Huang Qi (Astragalus), Dang Gui (Angelica Sinensis), and Rou Gui (Cinnamon Bark) were added to promote suppuration. The sore ulcerated, discharging thin pus. To the previous prescription, one qian of Shu Fu Zi (Prepared Aconite Root) was added per dose. After several doses, food intake improved, and the pus gradually became thicker. Finally, Shi Quan Da Bu Tang (Comprehensive Great Tonic Decoction) was used, employing Jiu Shao Yao (Wine-processed White Peony Root) and adding Bai Lian (Bletilla Rhizome). He recovered after more than a month.
Xue Lizhai treated Shi Xilu, an official titled 'Er Shou', who suffered from a toxic sore on the neck. Pus had already formed, but due to fear of acupuncture, treatment was delayed until the infection spread to the chest, appearing red like rosy clouds. His pulse was slippery and rapid; he could not eat, had not slept for over a month, and his limbs were extremely fatigued. This indicated that Qi and Blood were deficient, preventing the sore from ulcerating and discharging. Acupuncture was performed, and upon discharge of the pus, he fell asleep immediately. Upon waking, he desired food. Medications to support the healthy Qi and expel toxins were administered, and he recovered after two months. Liu Xi, whose constitution was inherently weak, suffered from this condition but did not undergo acupuncture. The sore ulcerated through the jaw and cheek, leading to further depletion of Qi and Blood, and he ultimately died despite treatment.
A woman suffered from a carbuncle on the neck, experiencing pain accompanied by chills and fever. Jing Fang Bai Du San (Jing-Jie and Fang-Feng Decoction to Eliminate Toxicity) was prescribed. After two doses, symptoms slightly improved. Xiao Chai Hu Tang (Minor Bupleurum Decoction) was then modified with Lian Qiao (Forsythia), Niu Bang Zi (Arctium Seed), and Jie Geng (Platycodon Root). After four doses, the swelling resolved.
A man suffered from a toxic sore on the neck. After it ulcerated and caused pain, treatment with Ren Shen (Ginseng), Huang Qi (Astragalus), Di Huang (Rehmannia), Xiong Gui (Ligusticum and Angelica) was used to tonify, which alleviated the pain. Ba Zhen Tang (Eight Treasures Decoction) was then modified with Huang Qi (Astragalus) and Jie Geng (Platycodon Root). After more than thirty doses, he recovered.
Ma Yuanyi treated a woman of the Shen family who had a sore on the neck and nape. The pain was severe, accompanied by restlessness, fever, and insomnia day and night. Various treatments failed. Examination revealed floating and large pulses that became small upon deep pressure. This indicated a dual deficiency of Qi and Blood in the Yangming Meridian. The Qi of the Yangming Meridian circulates fifty times throughout the body in one day and night, followed by Blood. When Qi is deficient, Blood flow becomes stagnant, giving rise to disease. Moreover, the manifested symptoms were those of Blood deficiency and Qi decline, distinct from cases of excess Heat-Toxin. Huang Qi (Astragalus) 1 liang, Dang Gui (Angelica Sinensis) 5 qian, Ren Shen (Ginseng) 3 qian, Zhi Cao (Honey-fried Licorice) 7 fen, and Hong Hua (Safflower) 5 fen were used to harmonize and tonify Qi and Blood. After four doses, the condition stabilized.
Zhang Hezi, while residing in Xihua at the home of Official Xia, suddenly developed a neck lesion. One type resembled a white sore, with a red and hard base. Because it was small, it was initially disregarded. An old friend invited him to drink Sheep Lamb Wine and consume chicken, fish, meat paste, and garlic. Zhang Hezi, unable to refuse his friend and forgetting dietary taboos, experienced unbearable pain that night. The neck swelling extended to the head, he spoke deliriously, and claimed to see spirits. Mr. Xia was terrified and wished to notify Zhang's family. Zhang Hezi smiled and said, "Do not worry; it will be flat tomorrow." He mixed Tong Jing San (Meridian-Penetrating Powder) with wine (6-7 qian) and administered over 100 pills of Zhou Che Wan (Boat Cart Pill). Then, he fed him hot noodle soup. This induced simultaneous vomiting and purging, each amounting to about half a zhan. By noon the next day, the swelling had flattened. Within one or two days, pus discharged, and he recovered.
Zhu Danxi treated Wang Gu-zhang (Uncle-in-law Wang), who was over seventy years old and suffered from a neck carbuncle. His pulse was solid and slightly large. This arose from sorrow and depression, affecting the Taiyang Meridian. Gui Tou (Angelica Head) 2 qian, Huang Bo (Phellodendron Bark) 1.5 qian, Huang Qi (Astragalus), Qiang Huo (Notopterygium), Di Huang (Rehmannia), Jiu Qin (Wine-processed Scutellaria), and Jie Geng (Platycodon) each 1 qian; Jiu Lian (Wine-processed Coptis), Lian Qiao (Forsythia), Fang Feng (Saposhnikovia), Sheng Gan Cao (Raw Licorice), Ren Shen (Ginseng), Chen Pi (Citrus Peel), Fang Ji (Stephania), and Ze Xie (Alisma) each 0.5 qian. These were decocted in plain water and taken orally.
Chai Yuqing treated Jueluo Made, a banner officer of the Plain Yellow Banner under Xia Tongsi, who suffered from a duet carbuncle (Kou Dui Ju). Others called it Luo Tou Ju (Head-Dropping Carbuncle) and considered it difficult to treat. Chai Yuqing deemed it harmless. After fifty days of medication, the patient recovered. Later, another gentleman suffered from the same condition and also recovered after fifty days of medication.
Yao Yingfeng diagnosed a man with a sore on the neck seeking treatment. Yao Yingfeng said, "This is Tian She Tou Chuang (Heavenly Snake Head Sore), a result of past karma. In three years, the head will fall off naturally, leading to death." The outcome occurred exactly as predicted. (From *Renhe County Annals*)