或问∶上 生疽，状如紫葡萄何如？曰∶是名悬痈，属手太阴、手厥阴心包络。令人
寒热大作，舌不能伸缩，口不能开阖，惟欲仰面而卧，鼻中时出红涕，属手足少阴经，及
三焦积热所致。宜黄连消毒饮加桔梗、玄参，急刺出恶血，犀角琥珀膏敷之，壮实者，一
粒金丹下之。过时不治，饮食不入，神昏脉乱者死。
〔世〕 唇疮，以甑上滴下汗敷之，累效如神。
〔罗〕多效散 治唇紧疮及疹。
诃子肉 五倍子（各等分）
上为细末，干粘贴效。
〔丹〕 唇黄泡肿，乌头炒灰研，香油调敷之，（胡氏方）。
唇上生疮，连年不瘥。以八月蓝叶一斤，捣取汁洗之，不过三日瘥，（《千金方》）。
唇上生疮，用白荷花瓣贴之，神效。如开裂出血者即止。
《鬼遗》云∶百脉疽，肿起环颈项疼痛，身体大热，不敢动止， 不能食，此有大
畏恐骇，上气咳嗽，其发引耳，不可以肿，十五日可刺导引，不刺导引见血，八十日必死。
《灵枢》云∶发于颈者，名曰夭疽。其痈大而赤黑，不急治，则热气下入渊腋、前伤
任脉，内熏肝肺，熏肝肺十余日而死矣。或问∶颈上生痈疽何如？曰∶是颈痈也，属
手少阳三焦经，郁火、积愤、惊惶所致。初觉即隔蒜灸，服活命饮加玄参、桔梗、升麻，
及胜金丹、夺命丹汗之。壮实者，一粒金丹下之老弱者，十全大补汤、人参养荣汤。若
溃而不敛，烦躁胀满，小便如淋，呕吐者死。
一妇颈痛不消，与神效栝蒌散六剂，少退，更以小柴胡加青皮、枳壳、贝母数剂，痛肿
减大半，再以四物对小柴胡数剂而平。 一人神劳多怒，颈肿一块，久而不消，诸药不
应。予以八珍汤加柴胡、香附，每日更隔蒜灸数壮，日饮远志酒二三盏渐消。一妇月
水不行，渐热咳嗽，肌体渐瘦，胸膈不利，颈肿一块，日久不消，令服逍遥散月余，更服
八珍汤加牡丹皮、香附，又月余，加黄 、白蔹两月余，热退肿消，经行而愈。一人年
逾三十，每劳心过度，颈肿发热，服败毒散愈盛，用补中益气汤数帖而消。 一人因暴
怒，项下肿痛，胸膈痞闷兼发热，用方脉流气二剂，胸膈利，以荆防败毒散二剂而热退，
肝脉尚弦涩，以小柴胡加芎、归、芍药四剂，脉证顿退，以散肿溃坚丸一料将平，唯一核
不消，服过神仙无比丸二两而瘳。 一儿甫周岁，项患胎毒。予俟有脓刺之，脓出碗许，
乳食如常，用托里药月余而愈，又一儿患此，待脓自出，几至不救。大抵疮浅宜砭，深
宜刺，使瘀血去于毒聚之始，则易消也。况小儿气血又弱，脓成不针不砭，鲜不毙矣。
一人项下患毒，脓已成因畏针， 延至胸，赤如霞，其脉滑数，饮食不进，月余不寐甚倦。
予密针之，脓出即睡觉而思食，用托里散两月余而愈。又一人患此，及时针刺，数日而
愈。一人素虚患此，不针，溃透颔颊，血气愈虚而死。一妇因怒颈肿，后月水不通，四
肢浮肿，小便如淋，此血分证也，先以椒仁丸数服，经行肿消，更以六君子汤加柴胡、枳
壳数剂，颈肿亦消矣。亦有先因小便不利，后身发肿，致经水不通，名曰水分，宜葶苈丸
治之。《良方》云∶妇人肿满，若先因经水断绝，后致四肢浮肿，小便不通，名曰血分，水
化为血，血不通则复化为水矣，宜服椒红丸。
有人问：上部出现疽，形状像紫葡萄，这是什么情况？回答说：这名叫悬痈，归属于手太阴肺经和手厥阴心包络。患者会出现严重的寒热交替，舌头不能伸缩，嘴巴不能开合，只想仰面躺着，鼻孔时常流出带血的鼻涕，这是由手足少阴经以及三焦积热所导致的。适宜使用黄连消毒饮加入桔梗、玄参，紧急刺破排出恶血，外用犀角琥珀膏敷贴，体质壮实的人，服用一粒金丹攻下。如果延误治疗不愈，导致饮食无法进入，神志昏迷、脉象紊乱的，就会死亡。
〔世〕 唇部生疮，用蒸笼上滴下的冷凝水（甑汗）涂抹，多次使用效果神奇。
〔罗〕 多效散 治疗嘴唇紧缩生疮及皮疹。
诃子肉 五倍子（各等分）
以上药物研成细末，干撒粘贴即可见效。
〔丹〕 嘴唇出现黄色水泡肿胀，将乌头炒成灰后研磨，用香油调和后敷贴，（胡氏方）。
嘴唇上生疮，连年不愈。取八月里的蓝叶一斤，捣碎取汁清洗患处，不超过三天即可痊愈，（《千金方》）。
嘴唇上生疮，用白荷花瓣贴敷，效果极佳。如果是开裂出血的情况，贴上即可止血。
《鬼遗科》说：百脉疽，颈部周围红肿疼痛，身体高热，不敢随意活动，不能进食，患者会有极大的恐惧惊骇感，气逆咳嗽，发作时牵引耳朵，不可以让肿势扩散，十五天内可以进行针刺和导引治疗，如果不进行针刺导引并见血排脓，八十天内必定死亡。
《灵枢》说：发于颈部的痈，名叫夭疽。这种痈肿块大且颜色赤黑，如果不及时治疗，热气就会向下流入渊腋穴，向前损伤任脉，向内熏灼肝肺，熏灼肝肺十余日后就会死亡。有人问：颈部上方生痈疽是怎么回事？回答说：这是颈痈，归属于手少阳三焦经，是由郁火、积愤、惊惶所致。初起感觉时立即隔蒜灸，服用活命饮加入玄参、桔梗、升麻，以及胜金丹、夺命丹以发汗。体质壮实的人，服用一粒金丹攻下；年老体弱的人，服用十全大补汤、人参养荣汤。如果溃烂后不能收敛，出现烦躁胀满、小便像淋证一样、呕吐症状的，就会死亡。
有一位妇女颈部肿痛不消，给予神效栝蒌散六剂，稍见减退，再改用加青皮、枳壳、贝母的小柴胡汤数剂，肿痛减少大半，再用四物汤合小柴胡汤数剂而平复。一个人因精神劳损且易怒，颈部肿起一块，久不消退，各种药物无效。我给予八珍汤加入柴胡、香附，每天再隔蒜灸几壮，每日饮用远志酒二三杯，逐渐消退。一位妇女月经不行，逐渐发热咳嗽，身体日渐消瘦，胸膈不畅，颈部肿起一块，日久不消，令其服用逍遥散月余，再服用加牡丹皮、香附的八珍汤，又过月余，加入黄芪、白蔹，两月余后，热退肿消，月经来潮而痊愈。一个人年过三十，每次因用心过度，颈部肿胀发热，服用败毒散反而加重，改用补中益气汤数帖而消退。一个人因暴怒，项下肿痛，胸膈痞闷兼有发热，服用方脉流气饮二剂，胸膈通畅，再用荆防败毒散二剂而热退，肝脉尚呈弦涩象，用小柴胡汤加入川芎、当归、芍药四剂，脉证顿时减退，再服用一料散肿溃坚丸即将平复，仅余一个硬结未消，服用神仙无比丸二两而治愈。一个刚周岁的婴儿，项部患胎毒。我等到有脓时刺破，脓液流出约一碗，乳食如常，用托里药月余而愈；另一个婴儿患此病，等待脓液自出，几乎致死。大抵疮疡浅表宜用砭石，深部宜用针刺，使瘀血在毒聚之初即被去除，则容易消散。何况小儿气血又弱，脓成而不针不砭，很少有不死亡的。
一个人项下患毒，脓已成但因害怕针刺，拖延至胸部，红如晚霞，脉象滑数，饮食不进，月余失眠非常疲倦。我秘密为他针刺，脓出后即清醒并想吃东西，用托里散月余而愈。另一个人患此病，及时针刺，数日而愈。一个人素体虚弱患此病，不针刺，溃烂穿透颔颊，血气更虚而死。一位妇女因愤怒导致颈部肿胀，后来月经不通，四肢浮肿，小便像淋证，这是血分证，先用椒仁丸数服，月经来潮肿消，再用加柴胡、枳壳的六君子汤数剂，颈部肿胀也消除了。也有先因小便不利，后身体浮肿，导致月经不通的，名叫水分，适宜用葶苈丸治疗。《良方》说：妇人肿满，如果先因月经断绝，后致四肢浮肿，小便不通，名叫血分，水化为血，血不通则复化为水，适宜服用椒红丸。
A question was asked: "What if a *ju* (deep-seated abscess) appears on the upper part of the body, resembling a purple grape?" The answer was: "This is named *Xuan Yong* (Hanging Carbuncle), belonging to the Hand-Taiyin Lung Meridian and the Hand-Jueyin Pericardium. It causes severe alternating chills and fever, inability to extend or retract the tongue, inability to open or close the mouth, a desire to lie supine, and frequent discharge of bloody nasal mucus. This is caused by accumulated heat in the Hand-Shaoyin and Foot-Shaoyin meridians, as well as the Sanjiao (Triple Burner). It is appropriate to use *Huanglian Xiaodu Yin* (Coptis Decoction for Eliminating Toxins) with added *Jiegeng* (Platycodon Root) and *Xuanshen* (Scrophularia Root). Urgently puncture to drain foul blood, and apply *Xijiao Hupo Gao* (Rhinoceros Horn and Amber Ointment). For those with robust constitutions, administer *Yili Jindan* (One-Grain Golden Pill) to purge. If treatment is delayed, leading to inability to ingest food, unconsciousness, and chaotic pulse, death will ensue.
[Shi] For sores on the lips, apply the condensation dripping from the top of a steamer (*Zeng Han*), which has repeatedly proven miraculous.
[Luo] *Duoxiao San* (Many-Efficacy Powder) treats lip tightening with sores and rashes.
*Hezi Rou* (Areca Seed Flesh) and *Wubeizi* (Galla Chinensis) (equal parts).
Grind the above into a fine powder; apply dry and paste for efficacy.
[Dan] For yellow blisters and swelling on the lips, stir-fry *Wutou* (Aconite Lateral Root) until charred, grind it, and mix with sesame oil for application (Hu's Prescription).
For sores on the lips that do not heal for years, take one jin of blue leaves from August, crush them to extract juice, and wash the affected area. It will heal within three days (*Qianjin Fang*).
For sores on the lips, apply white lotus petals; this is highly effective. If cracked and bleeding, it stops immediately.
*Gui Yi Ke* states: In *Baimai Ju* (Hundred-Vessels Abscess), there is swelling around the neck and pain, high body heat, inability to move freely, and inability to eat. The patient experiences great fear and fright, qi rebellion with coughing, and the onset draws towards the ears. One must prevent the swelling from spreading. Within fifteen days, acupuncture and Daoyin (guiding and pulling exercises) can be performed. If acupuncture and Daoyin are not used to induce bleeding/drainage, death will occur within eighty days.
*Ling Shu* states: An abscess occurring at the neck is named *Tian Ju*. Its abscess is large, red, and black. If not treated urgently, the heat qi will descend into the Yuanye acupoint, damage the Ren Mai (Conception Vessel) anteriorly, and internally熏 (mingle/steep) the Liver and Lungs. After mingling with the Liver and Lungs for more than ten days, death will occur. A question was asked: "What about an abscess or *ju* growing on the neck?" The answer was: "This is *Jing Yong* (Neck Carbuncle), belonging to the Hand-Shaoyang Sanjiao Meridian, caused by stagnant fire, accumulated resentment, and fright. Upon initial sensation, perform garlic-separated moxibustion immediately, take *Mingdang Yin* (Life-Saving Decoction) with added *Xuanshen*, *Jiegeng*, and *Shengma*, as well as *Shengjin Dan* and *Duoming Dan* to induce sweating. For robust individuals, purge with *Yili Jindan*; for the elderly and weak, use *Shiquan Dabu Tang* (Decoction for Complete Great Tonification) or *Renshen Yangrong Tang* (Ginseng Nourishing Nutritive Qi Decoction). If ulceration occurs but does not close, accompanied by irritability, distension, fullness, urinary symptoms like strangury, and vomiting, death will ensue.
A woman had persistent neck swelling and pain. I administered six doses of *Shenxiao Gualou San* (Miraculous Trichosanthes Powder), resulting in slight reduction. Then, I switched to *Xiaochaihu Tang* (Minor Bupleurum Decoction) with added *Qingpi* (Aurantii Fructus Immaturus), *Zhike* (Aurantii Fructus), and *Beimu* (Fritillariae Bulbus) for several doses, reducing the pain and swelling by more than half. Subsequently, I combined *Siwu Tang* (Four Substance Decoction) with *Xiaochaihu Tang* for several doses, leading to resolution.
A man suffered from mental fatigue and anger, presenting with a lump on the neck that persisted despite various medications. I prescribed *Bazhen Tang* (Eight Treasure Decoction) with added *Chaihu* (Bupleuri Radix) and *Xiangfu* (Cyperi Rhizoma), along with several moxa cones of garlic-separated moxibustion daily. He drank two to three cups of *Yuanzhi Jiu* (Polygala Wine) daily, and the condition gradually resolved.
A woman with amenorrhea developed gradual fever and cough, emaciation, chest oppression, and a persistent neck lump. She was instructed to take *Xiaoyao San* (Free and Easy Wanderer Powder) for over a month, followed by *Bazhen Tang* with added *Mudanpi* (Moutan Cortex) and *Xiangfu* for another month. Then, *Huangqi* (Astragali Radix) and *Bailian* (Lilii Bulbus) were added. After two months, the fever subsided, swelling disappeared, menstruation resumed, and she recovered.
A man over thirty experienced neck swelling and fever due to excessive mental exertion. His condition worsened after taking *Baidu San* (Defeat Toxin Powder), but resolved after several doses of *Buzhong Yiqi Tang* (Decoction for Supplementing the Middle and Augmenting Qi).
Another man, due to sudden rage, had painful swelling under the neck, chest oppression, and fever. Two doses of *Fangmai Liuqi Yin* (Pulse-Qi Flowing Decoction) relieved the chest oppression, and two doses of *Jingfang Baidu San* (Schizonepeta and Saposhnikovia Decoction to Defeat Toxins) cleared the fever. The Liver pulse remained wiry and choppy. Four doses of *Xiaochaihu Tang* with added *Xiong* (Chuanxiong Rhizoma), *Guizhi* (wait, text says Xiong Gui Shaoyao - likely Chuanxiong, Angelica, Peony), specifically *Xiong*, *Gui* (Danggui), and *Shaoyao* reduced the pulse and symptoms significantly. One dose of *Sanzhong Kuijian Wan* (Pill for Dissolving Swelling and Hardening) nearly resolved it, except for one remaining nodule, which healed after two taels of *Shenxian Wubi Wan* (Immortal Peerless Pill).
An infant just one year old suffered from congenital toxin on the neck. I waited until pus formed and then punctured it. About a bowl of pus drained out. Milk intake remained normal. Using interior-supporting medicines for over a month led to recovery. Another infant with this condition waited for spontaneous drainage and almost died. Generally, superficial sores should be treated with Bian stone (lancet), while deep ones require needle puncture to remove stasis at the onset of toxin accumulation, making them easier to resolve. Moreover, children have weak Qi and Blood; if pus forms without needle or Bian treatment, death is rare to avoid.
A man with a toxic swelling under the neck had pus formation but feared needles. The infection spread to the chest, appearing red like rosy clouds. The pulse was slippery and rapid. He could not eat, had insomnia for over a month, and was very fatigued. I secretly punctured him. Immediately after pus drainage, he woke up and desired food. Treatment with *Tuoli San* (Support Interior Powder) for over a month led to recovery. Another man with this condition was punctured promptly and recovered in a few days. A man with a constitutionally deficient state did not undergo puncture; the ulcer penetrated the jaw and cheek, leading to further depletion of Qi and Blood and death.
A woman had neck swelling due to anger, followed by amenorrhea, limb edema, and urinary strangury-like symptoms. This is a Blood Fen (Blood Division) syndrome. First, several doses of *Jiaoren Wan* (Pepper Kernel Pill) were given. Once menstruation started and swelling subsided, *Liujunzi Tang* (Six Gentlemen Decoction) with added *Chaihu* and *Zhike* was administered for several doses, resolving the neck swelling.
There are cases where urinary difficulty precedes general edema, leading to amenorrhea, named Water Fen (Water Division), treated appropriately with *Tingli Wan* (Descurainia Seed Pill). *Liang Fang* states: In women with edema and fullness, if menstrual cessation precedes limb edema and urinary obstruction, it is named Blood Fen. Water transforms into Blood; if Blood does not flow, it re-transforms into Water. *Jiaohong Wan* (Red Pepper Pill) should be taken.