【方歌】三里发肿牛眼形，膝眼之下冷痛凝，劳力伤筋兼胃热，
肿色青黑紫血脓。
【注】此证生膝眼下三寸，外侧前廉两筋间。初肿形如牛眼，
拘急冷疼，由劳力伤筋，胃热凝结而成。渐增肿痛，其
色青黑，溃出紫血，次出稀脓。内外治法，俱按痈疽肿
疡、溃疡门。
歌诀；腓〔月专〕发在小腿肚，憎寒烦躁积热成，焮肿痛溃脓
血吉，漫肿平塌清水凶。
【注】此证发于腓〔月专〕，即小腿肚也。由肾水不足膀胱积
热，凝结而成，古方云不治。若焮赤高肿疼痛，溃出正
脓而兼血者吉，为顺；或漫肿平塌，紫暗〔兴〕痛，溃
出清水者凶，为逆。初服仙方活命饮，溃服八珍汤。气
血虚者，服十全大补汤；下虚者，以桂附地黄丸补之。
外治法同痈疽溃疡门。
方剂：仙方活命饮（见肿疡门）
八珍汤、十全大补汤（见溃疡门）
桂附地黄丸（见面部疮疡）
【方歌】黄鳅痈生腿肚旁，疼痛硬肿若鳅长，肝脾湿热微红色，
顺出稠脓逆败浆。
【注】此证生在小腿肚里侧，疼痛硬肿，长有数寸，形如泥鳅
，其色微红，由肝、脾二经湿热凝结而成。应期溃破出
稠脓者为顺；若出污水败浆者属逆。初服五香流气饮，
其次内外治法，俱按痈疽肿疡、溃疡门。
方剂：五香流气散
组成：金银花（二两） 小茴香
僵蚕（炒） 羌活
独活 连翘（去心）
栝蒌仁（各一两五钱） 藿香（五钱）
丁香 木香
沈香 甘草（各一钱）
分为十剂，水煎，随病上下服。
【方歌】五香流气治黄鳅，流注结核也能瘳，丁木茴沈僵藿草，
银花羌独翘栝蒌。
[Prescription Verse] Sanli Fa (Sanli Abscess) presents with swelling resembling a cow's eye, located below the knee eye, characterized by coldness and congealed pain. It is caused by strain injuring the tendons combined with Stomach Heat. The swelling appears blue-black, and upon ulceration, purple blood and pus are discharged.
[Annotation] This condition arises three cun below the knee eye, between the two tendons on the anterior-lateral aspect. Initially, the swelling resembles a cow's eye, with stiffness, urgency, coldness, and pain, resulting from strain injuring the tendons and congealing of Stomach Heat. As it progresses, swelling and pain increase, turning blue-black; upon ulceration, purple blood is discharged first, followed by thin pus. Both internal and external treatments follow the protocols in the "Abscesses, Ulcers, and Sores" and "Ulcerated Lesions" sections.
Verse: Fei Zhuan Fa (Calf Abscess) occurs in the calf muscle belly, arising from aversion to cold, irritability, and accumulated heat. Redness, swelling, high elevation, pain, and discharge of pus and blood indicate a favorable prognosis; diffuse swelling, flat collapse, and discharge of clear fluid indicate an unfavorable prognosis.
[Annotation] This condition occurs in the Fei Zhuan (calf muscle belly). It results from insufficient Kidney Water and accumulated Heat in the Bladder, leading to congealment. Ancient texts consider it incurable. If there is intense redness, high swelling, severe pain, and discharge of proper pus mixed with blood, it is auspicious and represents a smooth course (Shun). If there is diffuse swelling, flat collapse, purple-dark discoloration, pain, and discharge of clear fluid, it is ominous and represents a reversed course (Ni). In the initial stage, administer Xianfang Huoming Yin (Immortal Life Elixir); after ulceration, administer Bazhen Tang (Eight-Treasure Decoction). For those with Qi and Blood deficiency, administer Shiquan Dabu Tang (Ten Significant Tonifying Decoction); for deficiency in the lower Jiao, tonify with Guifu Dihuang Wan (Cinnamon Twig and Aconite Rehmannia Pill). External treatments are the same as those for abscesses and ulcerated lesions.
Prescriptions: Xianfang Huoming Yin (see Abscesses, Ulcers, and Sores section); Bazhen Tang, Shiquan Dabu Tang (see Ulcerated Lesions section); Guifu Dihuang Wan (see Facial Sores section).
[Prescription Verse] Huangqiu Yong (Yellow Loach Carbuncle) arises on the side of the calf muscle belly. It presents with painful, hard swelling, elongated like a loach. It is caused by Damp-Heat congealing in the Liver and Spleen meridians, appearing slightly red. Discharge of thick pus indicates a favorable course; discharge of foul slough indicates an adverse course.
[Annotation] This condition arises on the medial side of the calf muscle belly. It presents with painful, hard swelling, several inches long, shaped like a loach, with a slightly red color. It results from Damp-Heat congealing in the Liver and Spleen meridians. Ulceration occurring at the appropriate time with discharge of thick pus indicates a favorable course (Shun); discharge of foul water and slough indicates an adverse course (Ni). In the initial stage, administer Wuxiang Liuqi Yin (Five-Aroma Qi-Circulating Decoction). Subsequently, both internal and external treatments follow the protocols in the "Abscesses, Ulcers, and Sores" and "Ulcerated Lesions" sections.
Prescription: Wuxiang Liuqi San (Five-Aroma Qi-Circulating Powder)
Composition: Jin Yin Hua (Honeysuckle Flower, 2 liang), Xiao Hui Xiang (Fennel Fruit), Jiang Can (Bombyx Batryticatus, stir-fried), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Lian Qiao (Forsythiae Fructus, heart removed), Gua Lou Ren (Trichosanthis Semen, each 1.5 liang), Huo Xiang (Pogostemonis Herba, 5 qian), Ding Xiang (Caryophylli Flos), Mu Xiang (Aucklandiae Radix), Chen Xiang (Aquilariae Lignum Resinatum), Gan Cao (Licorice Root, each 1 qian).
Divide into ten doses, decoct in water, and administer according to the location of the lesion (upper or lower).
[Prescription Verse] Wuxiang Liuqi treats Huangqiu Yong; it can also cure Liuzhu (flowing deposits) and Hejie (scrofula). The formula contains Ding, Mu, Hui, Chen, Jiang, Huo, Cao, Yin Hua, Qiang, Du, Qiao, and Gua Lou.