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[Prescription Verse] Huanju (Slow Abscess) results from the accumulation and coagulation of Qi in the Spleen Meridian. It arises beside the lower abdomen, presenting as hard and painful. If it does not ulcerate for months and is accompanied by aversion to cold and fever, with reduced appetite and emaciation, the therapeutic effect is difficult to achieve.

[Annotation] This condition is caused by Qi stagnation and cold accumulation in the Taiyin Spleen Meridian. It appears beside the lower abdomen, hard as stone, without redness or heat, with pain radiating to the waist and legs, failing to ulcerate for months; if accompanied by reduced appetite and emaciation, it belongs to a "defeat syndrome" (Bai Zheng), but treatment should not be abandoned. In the early stage, it is appropriate to take Shan Jia Nei Xiao San (Pangolin Internal Dissipation Powder). If ineffective, one must not force dissolution, as this would merely damage Stomach Qi. Instead, use Shiquan Dabu Tang (Perfect Ten Tonifying Decoction) added with Wuyao (Lindera Root), Fuzi (Prepared Aconite Root), and Huluba (Trigonella Foenum-graecum Seed) for warming and tonification. Externally, apply Muxiang Bing (Costus Cake) for moxibustion/fomentation. Additionally, crush single-clove garlic and spread it on the lesion, applying moxa cones over it until warmth is felt. Repeat the next day. The desired effect is either resolution or ulceration. If ulcerated, follow the treatment methods for Ulcerated Sores and Carbuncles.
Prescriptions: Shan Jia Nei Xiao San (see Zhongwan Ju); Shiquan Dabu Tang (see Ulcerated Sores Section); Muxiang Bing (see Breast Nodule Section).

[Prescription Verse] Yi Yong (Armpit Carbuncle) presents with sudden swelling in the axilla, characterized by hardness, erythema, heat, pain, and aversion to cold. It is caused by Blood-Heat in the Liver and Spleen combined with anger. Early stage requires clearing and resolving; later stage after ulceration requires tonification for recovery.

[Annotation] This condition is also known as Jiazhi Yong. It occurs in the axilla, commonly called the armpit. It is caused by Blood-Heat in the Liver and Spleen combined with emotional anger. Initially, there is sudden swelling and hardness, redness, pain, systemic aversion to cold and fever. It is difficult to resolve and inevitably suppurates. Early treatment involves taking Chaihu Qinggan Tang (Bupleurum Liver-Clearing Decoction) and externally applying Chonghe Gao (Harmonizing Ointment). If pain increases daily, take Tou Nong San (Suppuration-Penetrating Powder) added with Yinhua (Honeysuckle Flower), Gancao Jie (Licorice Joint), and Jiegeng (Platycodon Root). If there is distending pain due to pus, puncture with a needle. Once ulcerated, internal and external treatments follow the protocols for Ulcerated Sores and Carbuncles. Throughout the course of this disease, cold and cooling herbs are contraindicated. It heals easily in middle-aged individuals but is difficult to cure in the elderly and weak.
Prescriptions: Chaihu Qinggan Tang (see Headside Ju); Chonghe Gao, Tou Nong San (see Swollen Ulcer Section).

[Prescription Verse] Ye Ju (Armpit Abscess) initially presents like a nodule. It is caused by Liver resentment and Spleen worry leading to Qi and Blood coagulation. It presents as diffuse swelling and hardness, suitable for garlic-moxibustion. As time passes, it becomes red and hot, with pain preceding ulceration.

[Annotation] This condition is also known as Mi Ju or Jiu Ju. It occurs in the center of the armpit. Initially, it resembles a kernel/nodule. It is caused by excessive worry, anger, and resentment affecting the Liver and Spleen meridians, resulting in Qi knotting and Blood stasis. It presents as diffuse swelling and hardness with normal skin color. As it approaches ulceration, it becomes red, slightly hot, and painful. Early treatment involves moxibustion with garlic slices (Ge Suan Jiu Fa) internally, and taking Chaihu Qinggan Tang added with Wuyao to dissipate it. For those with deficiency, Xiangbei Yangrong Tang (Aucklandia and Angelica Nourishing Harmony Decoction) is appropriate, with external application of Wulong Gao (Black Dragon Ointment). Early treatment may lead to complete resolution; delayed treatment leads to suppuration, requiring Tuoli Tou Nong Tang (Supporting Interior and Penetrating Suppuration Decoction). If there is distending pain from pus, puncture with a needle. After pus discharge, pain decreases, and treatment follows the patient's deficiency or excess. Other internal and external treatments follow the protocols for Ulcerated Sores and Carbuncles. Cold and cooling herbs are contraindicated throughout the course of this disease. It heals easily in middle-aged individuals but is difficult to cure in the elderly.
Prescriptions: Ge Suan Jiu Fa (Garlic-Slice Moxibustion Method, see First Volume Moxibustion); Chaihu Qinggan Tang (see Headside Ju); Xiangbei Yangrong Tang (see Neck Upper Stone Ju); Wulong Gao (see Swollen Ulcer Section); Tuoli Tou Nong Tang (see Head Qinao Ju).