《内经》针灸腋肿有二法∶其一，取胆。经云∶胆足少阳之脉，所生病者，
缺盆中肿痛，腋下肿是也。其二，取心。经云∶心主手厥阴脉，是动则痛，手心热，腋肿。皆视虚、
实、寒、热、陷下，施补、泻、疾、留、灸也。
亦曰狐臭，有窍，诸药鲜能除根，止堪塞窍耳。用铜青好者，不拘多少，米醋调成膏，用皂角
煎汤，洗净腋下，以轻粉掺过，却使上件涂之，立效。
凡蛊毒有数种，曰蛇毒、蜥蜴毒、虾蟆毒、蜣 、草毒等，皆是变乱元气，人有故造作之者，即
谓之蛊也。多因饮食内行之，与人祸患，祸患于他则蛊主吉利，所以人畜事之，中其毒者，心腹绞痛，
如有物啮，或吐下血皆如烂肉，或好卧暗室不欲光明，或心性反常乍嗔乍喜，或四肢沉重百节酸疼，
或乍寒乍热，身体习习而痹，胸中满闷，或头目痛，或吐逆不定，或目面青黄，甚者十指俱黑，诊其
脉缓大而散，皆其候也。然其毒有缓有急，急者仓卒或数日便死，缓者延引岁月，游走肠内，蚀五脏
尽则死。凡入蛊乡，见人家门限屋梁绝无尘埃洁净者，其家必畜蛊，当
用心防之，如不得已吃其饮食，即潜地于初下箸时，收脏一片在手，尽吃不妨，少顷却将手脏之物，
埋于人行十字路下，则蛊反于本家作闹，蛊主必反来求。或食时让主人先动箸，或明问主人云，莫有
蛊么，以箸筑卓而后食，如是则蛊皆不能为害。南方有蛊毒之乡，于他家饮食，即以犀角搅之，白沫
起即为有毒，无沫者即无毒也。欲知蛊主姓名者，以败鼓皮烧作末，令病患饮服方寸匕，须臾自呼蛊
家姓名，可语之令呼唤将去则愈，治之亦有方。验蛊法，令病患唾于水内，沉者是蛊，浮者即非。或
令含黑豆验之，若豆胀皮脱者是蛊，豆不胀皮不脱即非。又初虞世方云∶嚼黑豆不腥，嚼白矾味甜，
皆中毒之候也。凡国中蛊在膈上者，用归魂散吐之。以下膈者，雄朱丸下之。吐利后，犹觉前后心刺
痛拘急，咽中如茅刺者，此是取利后气之候也，更不须再服吐利药，但服桔梗散，自然平复。《西溪
丛话》云∶泉州一僧能治金蚕蛊毒，如中毒者，先以白矾末令尝不涩，次食黑豆不腥，乃中毒也。即
浓煎石榴皮汁饮之，即吐出有虫皆活，无不愈者。李晦之云，凡中毒以白矾、茶芽捣为末，冷水服。
广南挑生杀人，以鱼肉延客，对之行厌胜法，鱼肉能反生于人腹中，而人以死，相传谓人死阴役于其
家。昔雷州推官符昌言于干道五年，亲勘一公事，买肉置
之盘中，俾囚作法以验其术，有顷肉果生毛，何物淫鬼乃能尔也。然解之亦甚易，但觉有物在胸膈，
则急服升麻以吐之；觉在腹中，急服郁金以下之。雷州镂板印行者，盖得之于囚也。《夷坚志》云∶
陈可大知肇庆腑肋下忽肿起如痈状，顷之大如碗。识者云，此中挑生毒也。俟五更以绿豆嚼试，若香
甘则是，已而果然。使捣川升麻，取冷熟水调二大盏服之，遂洞下泻出生葱数茎，根茎皆具，肿即消，
续煎平胃散调补，且食白粥，经旬复常。雷州康财妻，为蛮巫用鸡挑生，值商人杨一者，善医，与药
服之，食顷，吐积肉一块，剖开筋膜中有生肉，鸡形已具。康诉于州，捕巫置狱，而呼杨令具疾证，
及所用药，略云∶凡吃肉瓜果汤茶皆可挑，国中毒觉胸腹稍痛，明日渐加搅刺，满十日则内物能动，
腾上则胸痛，沉下则腹痛，积而瘦悴其候也。在上鬲则取之，法用热茶一瓯，投胆矾半钱于中，候矾
化尽，通口呷服，良久，以鸡翎探喉中，即吐出毒物。在下鬲则泻之，以米饮下郁金末三钱，毒即泻
下。乃以人参、白术各半两为末，同无灰酒半升纳瓶内，慢火熬半日许，度酒熟，取出温服之，日一
杯，五日乃止。佛说解蛊毒神 ，凡在旅中饮食，先默念七
遍，其毒不行。 曰∶姑苏琢，磨耶琢，吾知蛊毒生四角，父是穹隆穷，母是耶舍女，眷属百千万，
吾今悉知汝，摩诃萨摩诃。凡见饮食上有蛛丝，便莫吃。又法，每遇所到处，念药王万福七遍，亦验。
灸蛊毒法，当足小指尖灸三炷，即有物出，酒上得者、酒出，肉果上得者、肉果上出， 上得者、
出，余如方。
【诊】《脉诀》云∶凡脉尺寸紧数形，又似钗直吐转增，此患蛊毒急须救，脉逢数软病延生。经
云∶脉浮涩而疾者生，微细者死，洪大而速者生。
《黄帝内经》中记载治疗腋下肿胀的针灸方法有两种：第一种，选取胆经穴位。经文说：“足少阳胆经所发生的疾病中，包括缺盆（锁骨上窝）部位肿痛，以及腋下肿胀。”第二种，选取心包经穴位。经文说：“手厥阴心包经发生病变时，会出现疼痛、手心发热、腋下肿胀。”这些情况都要根据虚证、实证、寒证、热证或经脉下陷等不同表现，分别采用补法、泻法、疾刺、留针或艾灸等治疗方法。
这也称为狐臭，腋下有关窍，各种药物很难彻底根除，只能起到堵塞孔窍的作用。使用优质的铜青，用量不限，用米醋调成膏状。先用皂角煎煮的汤水洗净腋下，撒上轻粉，然后再涂上上述药膏，立即见效。
大凡蛊毒有好几种，如蛇毒、蜥蜴毒、蛤蟆毒、屎壳郎毒、草毒等，这些都是扰乱人体元气造成的。有些人故意制造蛊毒害人，这就叫做“蛊”。多因饮食进入体内而发作，用来给人带来灾祸，如果对他人的灾祸感到吉利，所以有人畜养它。中毒的人，心腹剧烈绞痛，好像有东西在啃咬，或者呕吐、排泄物像烂肉一样；或者喜欢睡在黑暗的房间，不喜欢光亮；或者性情反常，时而愤怒时而喜悦；或者四肢沉重，全身关节酸痛；或者忽冷忽热，身体麻木不仁，胸中满闷；或者头痛目痛；或者呕吐逆乱不定；或者面目呈现青黄色；严重的十指全部变黑。诊察其脉象缓大而散，都是蛊毒的症状。然而蛊毒有急性和慢性之分，急性的可能在短时间内或几天内死亡；慢性的则拖延岁月，蛊虫在肠道内游走，腐蚀五脏直到死亡。凡是进入有蛊毒的地区，看到别人家门限和屋梁绝对没有灰尘且非常洁净的，这家人一定饲养蛊毒，应当用心防备。如果不得已吃了他们的食物，就在刚放下筷子时，偷偷将一片脏东西拿在手里，吃完后不久，再将手中的脏东西埋在十字路口的地下，那么蛊毒就会反过来在原主人家作乱，蛊主必定会反过来请求帮助。或者吃饭时让主人先动筷子，或者明问主人：“有没有蛊？”然后用筷子敲击桌子再进食，这样蛊毒就不能造成危害。南方有蛊毒流行的地区，在别人家吃饭时，用犀角搅拌食物，如果出现白色泡沫就是有毒，没有泡沫就是无毒。想要知道蛊主姓名的人，将破旧的鼓皮烧成粉末，让病人服用一方寸匕的量，一会儿病人就会自己说出蛊主人的姓名，可以告诉病人去呼唤蛊主带走蛊毒，病就能痊愈，治疗也有相应的方法。检验蛊毒的方法，让病人吐唾沫在水中，沉下去的是蛊毒，浮起来的就不是。或者让病人含黑豆来检验，如果豆子膨胀、皮脱落的就是蛊毒，豆子不膨胀、皮不脱落就不是。另外初虞世方说：嚼黑豆没有腥味，嚼白矾味道甜，都是中毒的迹象。凡是国家中的蛊毒位于膈肌以上的，用归魂散催吐。位于膈肌以下的，用雄朱丸导泻。吐泻之后，仍然感觉前后心刺痛拘急，咽喉里像有茅草刺扎一样，这是吐利之后气机紊乱的表现，不需要再服用吐利药物，只要服用桔梗散，自然就会平复。《西溪丛话》记载：泉州有一位僧人能治疗金蚕蛊毒，如果中毒者，先吃白矾末觉得不涩，再吃黑豆觉得没有腥味，那就是中毒了。于是浓煎石榴皮汁饮用，就会吐出活着的虫子，没有不治愈的。李晦之说，凡是中毒，用白矾和茶芽捣成粉末，用冷水送服。广南地区有人通过“挑生”杀人，用鱼肉招待客人，对着食物施行厌胜法术，鱼肉能在人腹中重新生长，导致人死亡，相传说是人死后灵魂被役使到那户人家。以前雷州推官符昌言在干道五年，亲自勘验一桩公事，买肉放在盘中，让囚犯作法以验证其法术，过了一会儿肉果然长出了毛，是什么淫邪鬼怪能这样做呢？然而解除它也很容易，只要觉得胸膈有异物，就急忙服用升麻催吐；觉得在腹中，就急忙服用郁金导泻。雷州刻印流传的解蛊方法，大概是从囚犯那里得来的。《夷坚志》记载：陈可大任肇庆知府时，肋骨下突然肿起像痈疽一样，一会儿大得像碗。懂行的人说，这是中了“挑生”毒。等到五更天用绿豆咀嚼测试，如果味道香甘就是中了毒，后来果然如此。让人捣碎川升麻，取冷熟水调服两大盏，随即腹泻出几根生葱，根茎俱全，肿胀随即消退，接着煎服平胃散调理，并喝白粥，经过十天恢复常态。雷州康财的妻子，被蛮族巫师用鸡进行“挑生”，恰逢商人杨一擅长医术，给他服药，过了一顿饭工夫，吐出一块积肉，剖开筋膜中有生肉，鸡的形状已经具备。康财向州衙控告，抓捕巫师关进监狱，并叫来杨一询问病情及所用药物，大致说：凡是吃肉、瓜果、汤、茶都可以“挑生”，国内中毒者感觉胸腹稍痛，第二天逐渐加重刺痛，满十天体内之物就会活动，向上移动则胸痛，向下移动则腹痛，积累下来导致消瘦憔悴，这就是症状。在膈肌以上的用催吐法，方法是用一杯热茶，投入半钱胆矾，等待矾完全溶解，一口气喝下，很久以后，用鸡毛探喉催吐，即可吐出毒物。在膈肌以下的用导泻法，用米饮送服三钱郁金末，毒物即随粪便排出。然后用半两人参、半两白术研成粉末，同半升无灰酒放入瓶内，用慢火熬制半天左右，待酒熟，取出温服，每天一杯，五天停止。佛经说解蛊毒的神咒，凡是旅行中饮食，先默念七遍，毒就不会发作。咒语说：“姑苏琢，磨耶琢，吾知蛊毒生四角，父是穹隆穷，母是耶舍女，眷属百千万，吾今悉知汝，摩诃萨摩诃。”凡是看见饮食上有蜘蛛丝，就不要吃。又一种方法，每到一处，念药王万福七遍，也有效。灸治蛊毒的方法，在小脚趾尖灸三壮，就会有物体出来，如果是酒蛊出来的就是酒，肉蛊出来的就是肉果，其他依此类推。
【诊】《脉诀》说：凡是脉象尺寸部紧数，形状又像钗股般直挺，呕吐加剧，这是患蛊毒急需救治；如果脉象逢数而软，病情就会拖延延长。经文说：脉象浮涩而疾速的预后良好，脉象微细的预后不良，脉象洪大而快速的预后良好。
According to the *Huangdi Neijing* (Yellow Emperor's Inner Canon), there are two acupuncture methods for treating axillary swelling: The first involves selecting Gallbladder Meridian points. The classic states, "The diseases generated by the Foot-Shaoyang Gallbladder Meridian include swelling and pain in the Quepen area (supraclavicular fossa) and axillary swelling." The second involves selecting Pericardium Meridian points. The classic states, "When the Hand-Jueyin Pericardium Meridian is disturbed, it causes pain, heat in the palm, and axillary swelling." In all these cases, treatment should be administered based on deficiency or excess, cold or heat, or sinking of the vessels, employing tonification, purgation, rapid insertion, retention of needles, or moxibustion accordingly.
This condition is also known as Fox Odor. There are orifices involved, and various medicines rarely eradicate the root cause; they merely serve to block the orifices. Use high-quality Malachite (Tongqing), an appropriate amount, mixed with rice vinegar into a paste. First, wash the axilla thoroughly with a decoction of Gleditsia Sinensis (Zaojiao). Then sprinkle Calomel (Qingfen) over the area, followed by applying the aforementioned paste. It takes effect immediately.
Generally speaking, Gu Poison (Gu Toxin) comes in several types, such as Snake Poison, Lizard Poison, Toad Poison, Dung Beetle Poison, and Grass Poison. These all disrupt the Yuan Qi (Original Qi). Some people intentionally create Gu to harm others, which is referred to as "Gu." It often enters the body through diet, causing misfortune to others while bringing luck to the creator, hence some keep and raise them. Those poisoned experience severe colicky pain in the heart and abdomen, as if being bitten by something, or vomit and excrete material resembling rotting flesh. They may prefer sleeping in dark rooms and dislike light. Their temperament may become abnormal, alternating between anger and joy. They may suffer from heavy limbs, soreness and pain in all joints, alternating chills and fever, numbness throughout the body, chest fullness, headache, and eye pain. Vomiting may be irregular. The face and eyes may appear greenish-yellow. In severe cases, all ten fingers turn black. The pulse is typically slow, large, and scattered, which are all signs of Gu poison. However, the toxin can be acute or chronic. Acute cases may lead to death within a few days. Chronic cases drag on for years, with the Gu worm wandering in the intestines, eroding the five Zang organs until death occurs. When entering regions where Gu is prevalent, if one sees that the door thresholds and roof beams of a household are absolutely free of dust and exceptionally clean, that family likely keeps Gu. One must guard against it carefully. If one inevitably consumes their food, secretly hold a piece of dirt in hand when first putting down chopsticks. After eating, bury this dirty object at a crossroads shortly thereafter. The Gu will then wreak havoc in its original owner's home, and the master will likely come seeking help. Alternatively, let the host eat first, or openly ask, "Do you have Gu?" and strike the table with chopsticks before eating. This prevents the Gu from causing harm. In southern regions where Gu is common, stir food with Rhinoceros Horn (Xijiao) when dining elsewhere. White foam indicates toxicity; no foam means it is safe. To discover the name of the Gu master, burn old drum skin to powder and administer one cun-bi (a square-inch measure) to the patient. Soon, the patient will spontaneously call out the Gu master's name. Inform the patient to summon the master to take the Gu away, and the illness will cure. There are specific treatments for this. To test for Gu, have the patient spit into water. If it sinks, it is Gu; if it floats, it is not. Alternatively, have the patient hold a black soybean in the mouth. If the bean swells and the skin peels off, it is Gu; otherwise, it is not. Chu Yushifang stated: Chewing black soybeans without a fishy smell, or chewing alum tasting sweet, are both signs of poisoning. For Gu located above the diaphragm, use Guihun San (Return Soul Powder) to induce vomiting. For Gu below the diaphragm, use Xiong Zhu Wan (Cinnabar Pill) to induce purgation. After vomiting and purging, if there is still stabbing pain and tightness in the anterior and posterior heart areas, and a sensation like grass blades piercing the throat, this indicates post-treatment Qi disturbance. Do not re-administer emetics or purgatives. Simply administer Jiegeng San (Platycodon Powder), and recovery will occur naturally. *Xixi Conghua* records: A monk in Quanzhou could treat Golden Silkworm Gu. If a patient had eaten alum and found it not astringent, and chewed black soybeans without a fishy taste, it confirmed poisoning. Boiling Pomegranate Peel juice and drinking it would cause the patient to vomit live worms, ensuring recovery. Li Huizhi said: For any poisoning, grind Alum and Tea Buds into powder and take with cold water. In Guangnan, some kill via "Tiao Sheng" (picking life), serving fish or meat to guests while performing sorcery. The meat regenerates in the victim's stomach, killing them, with the belief that the victim's soul serves the perpetrator after death. Former Prefect Fu Changyan of Leizhou personally investigated a case in the 5th year of Gandao. He bought meat, placed it in a dish, and had a prisoner perform rituals to verify the technique. Soon, hair grew on the meat. What evil spirit could do this? Yet, resolving it is easy. If one feels an object in the chest/diaphragm, urgently take Ephedrae Herba (Mahuang) to induce vomiting. If felt in the abdomen, urgently take Curcuma Aromatica Root (Yujin) to induce purgation. The printed editions in Leizhou were likely derived from prisoners. *Yijian Zhi* records: Chen Keda, Prefect of Zhaoqing, suddenly developed a swelling under his ribs resembling an abscess, growing as large as a bowl. Experts identified it as "Tiao Sheng" poison. At dawn, he tested it by chewing mung beans. If sweet and fragrant, it was poison, which proved true. Someone crushed Chinese Ephedra (Chuan Shengma), mixed it with cool boiled water, and administered two large cups. The patient suffered profuse diarrhea, expelling several raw scallions with roots and stems intact. The swelling subsided. Subsequently, Pingwei San (Regulate the Stomach Powder) was decocted for regulation, along with white rice porridge. Normalcy returned after ten days. Kang Cai's wife in Leizhou was subjected to chicken-based "Tiao Sheng" by a barbarian shaman. Merchant Yang Yi, skilled in medicine, gave her medicine. After a meal's time, she vomited a mass of accumulated flesh. Dissecting the fascia revealed raw flesh shaped like a chicken. Kang sued in court, arresting the shaman. He asked Yang to diagnose the condition and prescribe medication. Yang explained: Any meat, fruit, soup, or tea can be used for "Tiao Sheng." In domestic poisoning, slight abdominal pain is felt initially, worsening with stabbing pain the next day. By the tenth day, internal objects move. Moving upward causes chest pain; moving downward causes abdominal pain. Accumulation leads to emaciation. For Gu above the diaphragm, use emesis: drink a cup of hot tea containing half a qian of Vitriol (Danfan). Once dissolved, drink it all. After a while, stimulate the throat with a chicken feather to vomit the toxin. For Gu below the diaphragm, use purgation: take three qian of Yujin powder with rice gruel. The toxin is expelled. Then, mix half liang each of Ginseng Radix et Rhizoma (Renshen) and Atractylodis Macrocephalae Rhizoma (Baizhu) into powder. Add to half a sheng of unrefined wine in a bottle. Simmer slowly for half a day. Take warm when ready, one cup daily, stopping after five days. Buddhist scriptures mention a divine mantra for dissolving Gu poison. Recite it silently seven times before eating during travel to prevent toxicity. The mantra goes: "Gusu Zhuo, Moye Zhuo, I know Gu poison grows four corners. Father is Qionglong Qiong, Mother is Ye She Nu. Relatives number in millions. I now know you all. Maha Saha." Avoid eating food with spider webs. Another method: Recite "Medicine King Myriad Blessings" seven times wherever you go; it is effective. Moxibustion for Gu poison: Apply three moxa cones to the tip of the little toe. Whatever type of Gu it is, it will exit corresponding to the substance (wine exits for wine Gu, fruit for fruit Gu, etc.).
[Diagnosis] *Mai Jue* (Pulse Classic) states: If the pulse at the Cun and Chi positions is tight and rapid, resembling a straight hairpin, with increased vomiting, this indicates acute Gu poison requiring urgent rescue. If the pulse is rapid but soft, the disease will prolong. The classic states: A floating, choppy, and rapid pulse indicates survival; a minute and fine pulse indicates death; a surging, large, and rapid pulse indicates survival.