或问∶肩膊后骨上生疽何如？曰∶此名上鼠疽，即上搭也。怒气积郁所致，属太阳
兼少阳经。初觉宜隔蒜灸，活命饮加羌活、桔梗、柴胡。胜金丹、紫金丹、夺命丹选用。既溃
十全大补汤、黄 木香散、人参养荣汤。
或问∶肩后夹春，两边肿硬疼痛何如？曰∶此名筋疽，亦名过肩疽。初得寒热似疟，但
肿硬无头，急隔蒜灸，服活命饮加羌活。胜金丹、夺命丹汗之。壮实者，一粒金丹、万
病解毒丹。选用。
或问∶项腋、两乳旁结核，或两胯软肉处，生肿块何如？曰∶是名 痈，属手少
阳三焦经，其发缓慢，是冷证非热证也。宜用回阳玉龙膏热药敷贴，服内补十宣散、何
首乌散、胜金丹选用。
《灵枢》云∶发于腋下赤坚者，名曰米疽。治之以砭石，欲细而长，疏砭之，涂以豕膏，
六日已，勿裹之。其痈坚而不溃者，为马刀、挟瘿，急治之。 《鬼遗》云∶内疚疽，发
两腋下及臂，并两手掌中，振寒热而嗌干，饮多即呕，烦心 ，脉盛，六七八日诊，如
此可汗，不汗死。
或问∶肩膊下隙内，生疽何如？曰∶是名夹肢痈。属手少阴心经、手厥阴心包络，风
热所致。宜服内托黄 柴胡汤。壮实者，八阵散、一粒金丹下之，及紫金丹、胜金丹选
用。老弱者，黄 木香散、人参养荣汤、十全大补汤主之。
有人问：肩胛骨后方骨骼上生疽，情况如何？回答说：这叫做上鼠疽，也就是上搭疽。多由怒气积郁所致，归属于太阳经兼少阳经。初起时适宜隔蒜灸，服用活命饮加羌活、桔梗、柴胡。可选用胜金丹、紫金丹、夺命丹。已经溃破后，使用十全大补汤、黄芪木香散、人参养荣汤。
有人问：肩后夹肢处（腋下），两边肿胀坚硬疼痛，情况如何？回答说：这叫做筋疽，也叫做过肩疽。刚发病时有寒热往来像疟疾一样，但只有肿胀坚硬而无脓头，急需隔蒜灸，服用活命饮加羌活。可用胜金丹、夺命丹发汗。体质壮实者，选用一粒金丹、万病解毒丹。
有人问：颈项腋部、两乳旁出现结核，或者两胯部软肉处生肿块，情况如何？回答说：这叫做瘰疬痈，归属于手少阳三焦经，其发病缓慢，属于冷证而非热证。适宜使用回阳玉龙膏热敷贴敷，服用内补十宣散、何首乌散、胜金丹中选用。
《灵枢》说：发生在腋下且红肿坚硬的，叫做米疽。用砭石治疗，砭石要细而长，稀疏地刺破患处，涂上猪油膏，六天痊愈，不要包扎。如果痈肿坚硬而不溃破的，称为马刀、挟瘿，必须紧急治疗。《鬼遗科》说：内疚疽，发生在两腋下及手臂，以及两手掌心中，表现为恶寒发热且咽喉干燥，喝水多就呕吐，心烦意乱，脉象盛大，在第六七八天诊察，如果可以发汗则生，不能发汗则死。
有人问：肩膊下方的缝隙内生疽，情况如何？回答说：这叫做夹肢痈。归属于手少阴心经、手厥阴心包络，由风热所致。适宜服用内托黄芪柴胡汤。体质壮实者，用八阵散、一粒金丹攻下，并选用紫金丹、胜金丹。年老体弱者，以黄芪木香散、人参养荣汤、十全大补汤为主治。
A question is asked: What is the condition of a carbuncle (ju, 疽) arising on the bone behind the shoulder? The answer is: This is named Shangshu Ju (Upper Rat Carbuncle), also known as Shangda Ju. It is caused by accumulated anger and depression, belonging to the Taiyang (Greater Yang) channel combined with the Shaoyang (Lesser Yang) channel. In the initial stage, moxibustion through garlic slices is appropriate, along with administering Huoming Yin (Life-Saving Decoction) augmented with Qianghuo (Notopterygii Rhizoma et Radix), Jiegeng (Platycodonis Radix), and Chaihu (Bupleuri Radix). Shengjin Dan (Victory Gold Pill), Zijin Dan (Purple Gold Pill), and Duoming Dan (Life-Extending Pill) may be selected. After ulceration, Shiquan Dabu Tang (Decoction for Ten Thousand Perfections and Great Tonification), Huangqi Muxiang San (Astragalus and Costus Powder), and Renshen Yangrong Tang (Ginseng Nourishing Nutritive Qi Decoction) are used.
A question is asked: What is the condition of swelling, hardness, and pain on both sides at the posterior shoulder axillary region (Jiazhi)? The answer is: This is named Jin Ju (Sinew Carbuncle), also known as Guoshan Ju. Upon onset, there are chills and fever resembling malaria, but with swelling and hardness without a head. Urgent moxibustion through garlic slices is required, and Huoming Yin augmented with Qianghuo should be taken. Shengjin Dan and Duoming Dan can be used to induce sweating. For those with robust constitutions, Yili Jin Dan (One-Pill Golden Pill) and Wanbing Jiedu Dan (Ten-Thousand-Disease Detoxifying Pill) may be selected.
A question is asked: What is the condition of nodules appearing in the neck, axilla, beside the breasts, or masses arising in the soft flesh of the groin? The answer is: This is named Luoli Yong (Scrofula Abscess), belonging to the Hand-Shaoyang Sanjiao (Triple Burner) channel. Its onset is slow, representing a cold syndrome rather than a heat syndrome. It is appropriate to apply Huiyang Yulong Gao (Return-Yang Jade Dragon Ointment) with hot compresses, and to administer Neibu Shixuan San (Internal-Nourishing Ten-Auspiciousness Powder), Heshouwu San (Polygoni Multiflori Radix Powder), or Shengjin Dan, selecting among them.
The Ling Shu states: When a lesion arises in the axilla that is red and hard, it is called Mi Ju (Rice Carbuncle). It is treated with bian stones (stone lancets), which should be fine and long, pricking sparsely, and smeared with shi gao (pig fat). It heals in six days; do not bind it. If the abscess is hard and does not ulcerate, it is called Madao (Horse Knife) or Jiaying (Accompanying Goiter), and must be treated urgently. The Gui Yi Ke states: Neijiu Ju arises in both axillae and arms, as well as in the centers of both palms. Symptoms include shaking chills and fever, dry throat, vomiting after drinking much water, vexation, and a full pulse. Diagnosis on the sixth, seventh, or eighth day indicates that if sweating can be induced, the patient lives; if not, the patient dies.
A question is asked: What is the condition of a carbuncle arising in the gap beneath the shoulder? The answer is: This is named Jiazhi Yong (Axillary Abscess). It belongs to the Hand-Shaoyin Heart channel and the Hand-Jueyin Pericardium channel, caused by wind-heat. It is appropriate to take Neituo Huangqi Chaihu Tang (Internal-Supporting Astragalus and Bupleurum Decoction). For those with robust constitutions, Bazhen San (Eight-Trigrams Powder) and Yili Jin Dan can be used to purge, and Zijin Dan or Shengjin Dan may be selected. For the elderly and weak, Huangqi Muxiang San, Renshen Yangrong Tang, and Shiquan Dabu Tang are the primary treatments.