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I fear that although washing (lín xǐ) provides momentary relief, the patient may soon feel physically exhausted and develop a sense of intolerance. Is this not indicative of deficiency? How can one fail to consider beforehand the use of tonification and replenishment methods? ("Tonification and replenishment" refers to herbs such as Renshen [Ginseng Radix et Rhizoma], Baizhu [Atractylodis Macrocephalae Rhizoma], Danggui [Angelicae Sinensis Radix], and Baizhu [Atractylodis Macrocephalae Rhizoma].)

[Su] Charred human hair (Fà), honeycomb (Fēngfáng), and snake skin (Shé tuì pí), each processed by burning to retain their properties, taken in doses of one qian bi (a small spoonful) mixed with wine, treats chronic non-healing sores with miraculous efficacy.

(Danxi stated: Hair has a very rapid effect in nourishing Yin.)

[Dan] To converge the sore opening, there is only one method: decocting willow bark (Liupi) and Bai Lian [Akebiae Caulis or Puerariae Radix depending on context, here likely Akebiae Caulis/Bai Lian] for drinking.

[Lingshu] If the whites of the eyes appear greenish and the black part of the eye is small, this is the first reverse syndrome (nì zhèng). Vomiting after administering medication is the second reverse syndrome. Abdominal pain with extreme thirst is the third reverse syndrome. Inconvenience in movement of the shoulders and neck is the fourth reverse syndrome. Hoarseness of voice and depletion of complexion is the fifth reverse syndrome. Excluding these five conditions, the rest are considered favorable (shùn). (From "Yu Ban Pian")

[Jing Yao] After the ulceration of carbuncles and sores, the clinical manifestations can be either reverse (nì) or favorable (shùn).
1. The whites of the eyes appear greenish-black, tight, and small; this is the first evil sign (è zhèng).
2. Inability to eat, vomiting after taking medicine, and loss of taste for food; this is the second evil sign.
3. Abdominal pain with extreme thirst; this is the third evil sign.
4. Inconvenience in the shoulders and back, heaviness in the four limbs; this is the fourth evil sign.
5. Hoarseness, depletion of complexion, cyanosis of lips and nose, and edema of the face, eyes, and four limbs; this is the fifth evil sign.
6. Restlessness, frequent coughing, abdominal pain with extreme thirst, uncontrolled diarrhea, and dysuria resembling strangury; this is the sixth evil sign.
7. Massive discharge of pus and blood, intensified pain, foul-smelling and discolored pus, and an odor that repels others; this is the seventh evil sign.
8. Rapid and coarse breathing, shortness of breath, mental confusion, and excessive drowsiness; this is the eighth evil sign.
9. Prior to ulceration, local tissue turns black and sinks deeply, accompanied by a greenish face, dark lips, and fecal impurity; this is the ninth evil sign.
Additionally, belching with chest fullness, coughing, cold body, spontaneous sweating at any time, staring eyes with deafness, mental confusion with palpitations, and erratic speech are all evil signs.
Conversely:
1. Natural calmness in movement and rest, and appetite for food; this is the first good sign (shàn zhèng).
2. Regular and balanced bowel movements and urination; this is the second good sign.
3. Bright spirit and clear mind, clear and resonant voice; this is the third good sign.
4. Clear pus, subsided swelling, fresh color without odor; this is the fourth good sign.
5. Harmonious constitution and peaceful qi; this is the fifth good sign.
If three of the five good signs appear, the prognosis is auspicious. If four of the various evil signs appear, the condition is critical.