初起如恶核，渐大如拳，急以阳和汤、犀黄丸，每日轮服，可消。如迟至大如升斗，仍
如石
硬不痛，又曰，久患现红筋则不治。再久患生斑片，自溃在即之证也。溃即放血，三日内毙
。如现青筋者可治，内服阳和汤，外以活商陆根捣烂，加食盐少许敷涂，数日作痒，半月皱
皮，日敷日软而有脓袋下，以银针穿之，当服千金托里散，加熟地同生 各一两，代水煎药
。服十剂后以阳和解凝膏满贴患上，空出穿针之眼，使其血活，若皮膜中似成脓巷，用布绑
紧，使皮膜相连。内服大补、保元等汤，参 忌炙，服至收功。如其毒瓦斯未尽，忌投补剂。
马曰∶现青筋者亦不可治。商陆根虽能溃坚，用之皮腐，入盐更痛，徒伤其肌，徒增其
痛，未必能消，只有服补养气血之剂，以解阴凝，庶可保延岁月。
孩子头发内，患白色肿块，初起伊芳母认为跌肿，至高硕作疼，方始延医。医以头为首阳
，惟
用寒凉解毒，是以溃者内脓复 ，增出者不一。殊未知此患色白，其脓不红，乃阴寒虚弱之
症，用小金丹治之。初起三服而消，溃后七丸而愈，外贴阳和解凝膏。大人患之，名曰发疽
，以阳和愈之。
马曰∶此症初起，当服疏风清痰热之剂，阳和汤似不宜用。
又曰∶善 头系风、热、痰交结而生，大人亦有之，阳和汤不可用也。
At the initial stage, the swelling resembles a small hard nodule (Ehe), gradually enlarging to the size of a fist. Immediately administer Yanghe Decoction and Xihuang Pills daily in rotation, which can resolve it. If treatment is delayed until the swelling becomes as large as a sheng or dou (ancient volume units), remaining hard like stone and painless, it is said that if red veins appear after prolonged illness, it is incurable. Further delay results in the appearance of macules on the affected area, indicating imminent spontaneous ulceration. Once ulcerated, massive bleeding occurs, leading to death within three days. If blue veins appear, it is treatable. Internally administer Yanghe Decoction; externally apply fresh Phytolaccae Radix (Shanglu) mashed into a paste with a little salt. After several days, itching occurs; after half a month, the skin wrinkles. Daily application softens the skin and forms an abscess sac. Puncture with a silver needle. Subsequently, administer Qianjin Tuoli San, adding Rehmanniae Radix Preparata (Shudi) and Rehmanniae Radix (Shengdi), one tael each, decocted in water instead of plain water. After ten doses, apply Yanghe Jieying Plaster fully over the affected area, leaving the puncture site exposed to promote blood circulation. If a pus cavity seems to form within the subcutaneous membrane, bind tightly with cloth to keep the membranes connected. Internally administer Dabu Decoction, Baoyuan Decoction, etc. Ginseng should not be honey-fried. Continue administration until recovery. If pathogenic factors are not completely eliminated, avoid tonifying agents.
Ma stated: Cases presenting with blue veins are also incurable. Although Phytolaccae Radix can dissipate hardness, its use causes skin necrosis; adding salt increases pain, merely damaging muscle tissue and exacerbating pain without necessarily resolving the swelling. Only by administering formulas that tonify Qi and Blood to resolve Yin stagnation can life expectancy potentially be extended.
In children, white masses occur within the hair. Initially, the mother mistook them for contusion-induced swelling. Medical attention was sought only when severe pain developed. Physicians, considering the head as the meeting place of all Yang meridians, used only cold-natured detoxifying herbs. Consequently, in ulcerated cases, pus re-accumulated internally, and new lesions emerged frequently. It was overlooked that the white color of the lesion and non-red pus indicate a syndrome of Yin-cold deficiency and weakness. This condition is treated with Xiaojin Dan. Three doses at the initial stage resolve it; seven pills after ulceration lead to healing. Externally apply Yanghe Jieying Plaster. In adults, this condition is called Fa Ju (Hair Abscess), cured by Yanghe Decoction.
Ma stated: At the initial stage of this syndrome, formulas that disperse Wind and clear Phlegm-Heat should be administered; Yanghe Decoction seems inappropriate.
Furthermore, Shan Tou is caused by the knotting of Wind, Heat, and Phlegm. Adults may also suffer from it, and Yanghe Decoction should not be used.