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Once a sore or ulcer has ulcerated, it requires even greater protection. If one is not cautious, there is a risk of the condition deteriorating. If the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright) become disordered internally, anger will damage the Liver. The Liver is referred to as the "General," and it governs anger. When anger is excessive, it overacts upon the Spleen. The Spleen governs flesh; if the Spleen is injured, the flesh at the wound site will swell and protrude, a condition named "Rou" (fleshy polyp/hyperplasia). If this swelling does not resolve spontaneously and is not removed, even after the wound heals, the hyperplastic tissue will remain raised and obstructive, eventually causing itching and pain over time. If this occurs on the face or other prominent areas, the appearance becomes deformed and ugly, which is due to the failure to remove such tissue. It is advisable to burn *Wumei* (Mume Fructus, 乌梅) to ash, mix with a small amount of *Qingfen* (Calomel, 轻粉), apply once to flatten the tissue, and subsequent healing will occur without scarring.

The term "Qian" refers to heavenly punishment and condemnation. This arises from a person's habitual jealousy and malice, harming others for personal gain, thereby violating the Fourteen Heavenly Laws. Violating any one of these laws inevitably results in karmic retribution manifesting as malignant sores such as back carbuncles or sores resembling human faces on the body. For minor violations, there may still be some hope for rescue; for severe violations, judgment is rendered by heavenly law. Even powerful figures like Qin Hui or notorious villains like Chao Ang cannot escape this. The first condemnation is: luring surrendered soldiers and killing them. The second is: judicial officials secretly taking lives. The third is: ministers deceiving the ruler. The fourth is: descendants acting against filial piety. The fifth is: usurping power and authority arbitrarily. The sixth is: slandering and harming the virtuous. The seventh is: kin turning against each other. The eighth is: dividing inheritance improperly, violating ritual propriety. The ninth is: excessive indulgence in pleasures. The tenth is: cruelty and inhumanity. The eleventh is: insidious venom and jealousy. The twelfth is: cheating and defrauding others of wealth through deceit. The thirteenth is: wanton waste of natural resources. The fourteenth is: karmic debts from past lives. Such individuals are filled with evil deeds, leading to shortened lifespan, as clearly recorded in the *Ganying Pian* (Treatise on Response and Retribution).

"Gao Liang" refers to wealthy families who wear silk brocade and consume exquisite delicacies. Due to excessive indulgence, or the use of mineral-based medicines (*Jinshi*), or excessive sexual activity, Kidney Water is depleted, leading to Yin deficiency with hyperactive Fire. Body fluids become thick and sticky, and meridians become congested and stagnant, making one prone to malignant sores. The *Neijing* states: "Changes from rich food and fat meat give rise to large Ding sores." This reflects suffering due to deficiency. Initially, Ding sores have no fixed location; they may appear on the head, face, hands, feet, waist, hips, legs, or knees. Within one or two days, fever, headache, and body ache typically occur; severe cases may involve vomiting and nausea. The sore is painful and itchy, and pressing it causes pain that resonates deeply in the heart. Additionally, observing red-black bead-like spots on the inner cheeks or tongue indicates a Ding sore. If not treated urgently, the toxin may spread to the Heart channel, becoming incurable. If unchanged after five to six days, visual hallucinations (seeing firelight), mental confusion, dry mouth, and irritability may occur, leading to death by the seventh day. Hua Yuantuo historically documented the Five-Colored Ding, and the *Qianjin Fang* discusses thirteen types of Ding sores. However, Ding sores vary in name and morphology, and treatment methods differ. Although I am not particularly gifted, through investigating their origins and observing their forms, I have categorized thirty-four types of Ding sores. Their symptoms and contraindications differ. Failure to treat them urgently after violating contraindications risks life. As the saying goes, "Ding sores advance like a galloping horse," indicating their rapid progression. Thus, Ding sores and carbuncles/ulcers are characterized by urgency. Pulse diagnosis is essential: a floating and rapid pulse indicates exterior involvement, requiring dispersing methods; a deep and solid pulse indicates interior involvement, requiring purgative methods; conditions between exterior and interior require harmonizing methods that release the exterior and purge the interior. For numbness, pain, or itching, moxibustion is appropriate. Concurrently, administer detoxifying pills and powders, and apply medicated plasters. The treatment methods are detailed below.