【方歌】上搭手生肺俞穴，左上名同经有别，右属肺兮左属肝，
总由气郁痰热结。
【注】此证生于足太阳膀胱经肺俞穴，在两肩骨之动处。无论
左搭手、右搭手，其名虽同，面偏在左者属肝，偏在上
者属肺，故曰：经有别也。总由气郁痰热凝结而成，初
宜神授卫生汤双解之，次以逍遥散清之，兼以六郁汤调
之。其余内外治法，俱按痈疽肿疡、溃疡门。
方剂：逍遥散
组成：当归（酒洗） 白芍（酒洗）
白茯苓 白术（土炒）
香附（酒炒，各一钱） 柴胡（八分）
黄芩（五分） 陈皮（一钱）
薄荷（五分） 甘草（生，六分）
水二钟，煎八分，食远服。
【方歌】逍遥散能和气血，开郁行滞又消结，归芍苓术香柴芩，
陈薄甘草清毒热。
又方：六郁汤
组成：香附（酒炒） 茯苓
陈皮 半夏（制）
川芎 山栀（各一钱）
苍术（炒） 缩砂仁
甘草（生，各五分）
姜三片，水二钟，煎八分服。
【方歌】六郁汤能开六郁，取其消痰又行气，芎缩二陈苍山栀，
香附生姜兼化滞。
又方：神授卫生汤（见肿疡门）
【方歌】中搭手生近膏肓，经属膀胱脊骨旁，七情不和愤怒火，
虚实寒热细参详。
【注】此证生在脊骨两旁，属足太阳膀胱经膏肓穴，一名龙疽
。由七情不和，愤怒火凝而生。遇气寒而实，便燥不渴
者，宜一粒金丹温下之；若气热而实，便燥大渴者，宜
内疏黄连汤寒下之；若气血虚，疮不能发长者，宜内托
黄耆散托补之。其余内外治法，俱按痈疽肿疡、溃疡门
。
方剂：一粒金丹
组成：木香 乳香（各五分）
巴豆霜（一钱五分） 沈香（五分）
各为细末和匀，用肥胶枣个半，去皮核，捣烂和药
末为丸，如芡实大。每服一丸，细嚼用白滚水，一口将
药送下。少顷，再饮白滚水一口，即泻一次；若饮滚水
二口，即泻二次。遇胃气壮实，兼毒滞盛者，服药后连
饮滚水三、四口，即泻三四次，不可太过。毒滞泻尽，
即以米饮补之。
【方歌】一粒金丹疗恶疮，寒实不渴便燥良，木乳沈香巴豆肉，
枣肉为丸服即康。
又方：内托黄耆散
组成：当归 白芍（炒）
川芎 白术（土炒）
陈皮 穿山甲（炒，研）
皂刺 黄耆（各一钱）
槟榔（三分） 紫肉桂（五分）
水二钟，煎八分，食前服。
【方歌】内托黄耆治疡虚，托里诸疮用最宜，归芍芎术陈皮桂，
山甲槟榔皂刺耆。
又方：内疏黄连汤（见肿疡门）
[Prescription Verse] Shangdashou (Upper Back-attached Hand) arises at the Feishu (BL13) acupoint. Although the left and right share the same name, their meridians differ; the right belongs to the Lung, while the left belongs to the Liver. It is generally caused by Qi stagnation and phlegm-heat knotting.
[Annotation] This condition occurs at the Feishu (BL13) acupoint of the Foot-Taiyang Bladder Meridian, located in the movable area between the two scapulae. Whether it is Left Shangdashou or Right Shangdashou, although the names are identical, those leaning to the left belong to the Liver, and those leaning superiorly belong to the Lung; hence it is said that "the meridians differ." It is generally formed by the condensation of Qi stagnation and phlegm-heat. Initially, Shenshou Weisheng Tang (Divine Grant Hygiene Decoction) should be used for simultaneous release of exterior and interior. Subsequently, Xiaoyao San (Free and Easy Wanderer Powder) should be used to clear heat, accompanied by Liuyu Tang (Six Stagnations Decoction) for regulation. All other internal and external treatments follow the records in the chapters on Carbuncles, Ulcers, Swellings, and Open Sores.
Formula: Xiaoyao San (Free and Easy Wanderer Powder)
Composition: Danggui (Angelica sinensis Radix, wine-washed), Baishao (Paeonia lactiflora Radix Alba, wine-washed), Baifuling (Poria cocos, white part), Baizhu (Atractylodis macrocephalae Rhizoma, soil-fried), Xiangfu (Cyperus rotundus Rhizoma, wine-fried, each 1 qian), Chaihu (Bupleuri Radix, 8 fen), Huangqin (Scutellariae Radix, 5 fen), Chenpi (Citri reticulatae Pericarpium, 1 qian), Bohe (Menthae Haplocalycis Herba, 5 fen), Gancao (Glycyrrhizae Radix et Rhizoma, raw, 6 fen).
Decoct with 2 zhong of water until 0.8 zhong remains; take after meals.
[Prescription Verse] Xiaoyao San can harmonize Qi and Blood, relieve depression, move stagnation, and dissipate knots. It consists of Danggui, Baishao, Fuling, Baizhu, Xiangfu, Chaihu, Huangqin, Chenpi, Bohe, and Gancao to clear toxic heat.
Another Formula: Liuyu Tang (Six Stagnations Decoction)
Composition: Xiangfu (Cyperus rotundus Rhizoma, wine-fried), Fuling (Poria cocos), Chenpi (Citri reticulatae Pericarpium), Banxia (Pinelliae Tuber, processed), Chuanxiong (Ligusticum chuanxiong Rhizoma), Zhizi (Gardeniae Fructus, each 1 qian), Cangzhu (Atractylodis lanceae Rhizoma, fried), Sharen (Amomi Fructus Rotundus, cardamom), Gancao (Glycyrrhizae Radix et Rhizoma, raw, each 5 fen).
Add 3 slices of Shengjiang (Zingiberis Rhizoma Recens), decoct with 2 zhong of water until 0.8 zhong remains; take orally.
[Prescription Verse] Liuyu Tang can open the six types of stagnation, taking advantage of its ability to eliminate phlegm and move Qi. It includes Chuanxiong, Sharen, the Erchen Tang components (Chenpi, Banxia), Cangzhu, Zhizi, Xiangfu, and Shengjiang to transform stagnation.
Another Formula: Shenshou Weisheng Tang (Divine Grant Hygiene Decoction) (See Chapter on Swellings and Ulcers)
[Prescription Verse] Zhongdashou (Middle Back-attached Hand) arises near the Gaohuang (BL43) acupoint. The meridian belongs to the Bladder channel beside the spine. It is generated by disharmony of the Seven Emotions and the coagulation of anger-fire. One must carefully differentiate deficiency/excess and cold/heat.
[Annotation] This condition arises on both sides of the spinal column, belonging to the Gaohuang (BL43) acupoint of the Foot-Taiyang Bladder Meridian, also known as Longju (Dragon Carbuncle). It is caused by disharmony of the Seven Emotions and the coagulation of anger-fire. If the pattern involves Cold and Excess, with dry stool and no thirst, Yili Jinwan (One Pill Golden Elixir) should be used for warm purgation. If the pattern involves Heat and Excess, with dry stool and great thirst, Neishu Huanglian Tang (Internal Draining Coptis Decoction) should be used for cold purgation. If there is Qi and Blood deficiency, and the sore cannot erupt or grow, Neituo Huangqi San (Internal Support Astragalus Powder) should be used to support and tonify. All other internal and external treatments follow the records in the chapters on Carbuncles, Ulcers, Swellings, and Open Sores.
Formula: Yili Jinwan (One Pill Golden Elixir)
Composition: Muxiang (Aucklandiae Radix), Ruxiang (Olibanum, each 5 fen), Badoushuang (Crotonis Semen Pulveratum, croton seed paste, 1.5 qian), Chenxiang (Aquilariae Lignum Resinatum, agarwood, 5 fen).
Grind all into fine powder and mix evenly. Take half of a large, fleshy Jiaozao (Jujubae Fructus, prepared date), remove skin and pit, mash thoroughly, and mix with the powder to form pills the size of Euryale Seed (Qianshi). Take one pill per dose, chew finely, and swallow with a mouthful of plain boiled water. Shortly after, drink another mouthful of plain boiled water to induce one bowel movement; if two mouthfuls are drunk, two bowel movements will occur. For patients with robust Stomach Qi and severe toxic stagnation, drinking three to four mouthfuls of boiled water after medication may induce three to four bowel movements; do not overdo this. Once the toxic stagnation is fully purged, immediately replenish with Rice Drink (Mi Yin) to support the Spleen and Stomach.
[Prescription Verse] Yili Jinwan treats malignant sores, suitable for Cold-Excess patterns without thirst and with dry stool. It consists of Muxiang, Ruxiang, Chenxiang, and Badou Rou (Croton seed flesh), formed into pills with Zao Rou (Date flesh) for recovery upon ingestion.
Another Formula: Neituo Huangqi San (Internal Support Astragalus Powder)
Composition: Danggui (Angelica sinensis Radix), Baishao (Paeonia lactiflora Radix Alba, fried), Chuanxiong (Ligusticum chuanxiong Rhizoma), Baizhu (Atractylodis macrocephalae Rhizoma, soil-fried), Chenpi (Citri reticulatae Pericarpium), Chuanshanjia (Manis Squama, pangolin scale, fried and ground), Zaocili (Gleditsiae Sinensis Spina, honey locust thorn), Huangqi (Astragali Radix, each 1 qian), Binglang (Arecae Semen, betel nut, 3 fen), Rougui (Cinnamomi Cortex, purple cinnamon, 5 fen).
Decoct with 2 zhong of water until 0.8 zhong remains; take before meals.
[Prescription Verse] Neituo Huangqi treats deficiency-type ulcers, most suitable for supporting the interior in various sores. It consists of Danggui, Baishao, Chuanxiong, Baizhu, Chenpi, Rougui, Chuanshanjia, Binglang, Zaocili, and Huangqi.
Another Formula: Neishu Huanglian Tang (Internal Draining Coptis Decoction) (See Chapter on Swellings and Ulcers)