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The origin, development, favorable/unfavorable progression, and treatment methods of carbuncles and sores (Yongju) have been detailed in the first volume. The current classification by body part is to distinguish meridian affiliations, identify acupoint sequences, and determine names and colors. Their symptom management does not exceed the general principles outlined in the first volume. However, there are occasional cases slightly different from general treatments, with specific formulas dedicated to these conditions. These formulas are attached to their respective condition entries for clarity upon opening the book, thereby preventing omissions and confusion.

Meridians: The midline of the head runs straight from the nose tip to the vertex, belonging to the Du Meridian (Governing Vessel), and also to the Foot-Taiyang Bladder Meridian. One inch and five fen lateral to the midline constitutes the second row, which is the course of the Foot-Taiyang Bladder Meridian. Another one inch and five fen lateral to that is the third row, which is the Foot-Shaoyang Gallbladder Meridian. The temporal angle running straight up to the middle of the ear also belongs to the Foot-Shaoyang Gallbladder Meridian.

Baihui Carbuncle (Baihui Ju): Arises at the Baihui acupoint, located at the highest point of the vertex. Initially resembling a millet grain, it subsequently enlarges to the size of a coin, shaped like a grape, hard and red in color, accompanied by aversion to cold, fever, pain, and distress. In patients with robust Yuan Qi (Primordial Qi), this is due to heat-toxin attacking upwards; suitable formulas include Huanglian Xiaodu Yin (Coptis Decoction for Detoxification), Chansu Wan (Toad Venom Pill), or Guijin Wan (Precious Gold Pill). In patients with deficient Yuan Qi, this is due to floating deficient Yang; suitable treatment involves Bayi Dihuang Wan (Eight-Ingredient Rehmannia Pill) to guide fire back to its source, combined with applying an Aconite Cake (Fuzi Bing) to the Yongquan acupoint (KI1) and moxibustion of five cones to drain the toxin. If swelling extends to the ears and neck, fails to suppurate after seven days, and is accompanied by coma and phlegm-rising, it is incurable.

Yuding Fa (Jade Top Eruption): Also known as Foteng Ju (Buddha Crown Carbuncle), arising at the Shangxing acupoint, anterior to the Baihui Carbuncle. Caused by wind-heat affecting the Foot-Taiyang Bladder Meridian. At onset, Shenshou Weisheng San (Divine Grant Hygiene Powder) or Zhenzhu Dan (Azure Pearl Pill) may be used; for excess constitutions, Guijin Wan is used, while for deficiency constitutions, Shiquan Dabu Tang (Complete Great Tonifying Decoction) plus Qianghuo is indicated. If ulceration results in black sinking, with a surging pulse, coma, and closure of bowel and bladder movements, it is incurable.

Tounao Ju (Penetrating Brain Carbuncle): Arises between the fontanelles, anterior to the Yuding Carbuncle. Resembling an egg, it is hard and firm, with severe headache as if hacked by an axe. Moxibustion on the Quepen acupoint (LI15) for fourteen cones (two sets of seven) is indicated.

Qinnao Ju (Invading Brain Carbuncle): Arises beside the Tounao Carbuncle. Headache radiating to the eyes. Moxibustion on the Zhengzheng acupoint (SI7) for seven cones is indicated. For both conditions, initial treatment should involve Zhenzhu Dan to induce sweating, followed by Tuoli San (Support Interior Powder) to support the interior and expel toxins.

E Ju (Forehead Carbuncle): Arises on the forehead or at the two temporal angles, also known as Chi Ju (Red Carbuncle). Swelling resembles plum or peach fruits, caused by accumulated heat in the Yangming Stomach Meridian. For excess constitutions, Guijin Wan is used to purge downwards, followed by Neituo San (Interior Supporting Powder). After ulceration, tonification is applied. If ten days pass without ulceration, or if ulceration occurs without pus but with bleeding, it is incurable.

Taiyang Ju (Taiyang Carbuncle): Arises at the Taiyang acupoint, also known as Yong Ju (Brave Carbuncle). Resembling a crouching rat, swelling connects to the face and eyes, with alternating chills and fever. If un-ulcerated after seven days, the toxin attacks the eyes; urgent application of medication to promote rupture is required. After rupture, strict avoidance of wind and water exposure is necessary to prevent eye damage. This condition belongs to the Yangming Stomach Meridian; treatment is the same as for Tounao Carbuncle. Puncture at eleven days; discharge of yellow-white pus indicates a favorable prognosis, while clear thin black blood indicates an unfavorable prognosis.

Bin Ju (Temple Carbuncle): Arises in the temple region, belonging to the Hand-Shaoyang Sanjiao (Triple Burner) Meridian. This meridian has abundant Qi and scarce Blood, making suppuration highly undesirable. It is mostly caused by liver-gallbladder fire anger, or by wind-heat with blood deficiency. Initial treatment should use Shenshou Weisheng San or Chaihu Qinggan Tang (Bupleurum Liver-Clearing Decoction) to clear heat, followed by Tuoli Xiaodu San (Support Interior and Detoxify Powder) to accelerate suppuration. When pus forms and enters the convergence stage, Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) is used for Kidney deficiency, and Buzhong Yiqi Tang (Middle-Warmer Boosting Qi-Decreasing Decoction) for Qi deficiency. This represents treatment for deficiency pulses and deficiency syndromes. If irritability, desire for cold drinks, fever, surging pulse, and coma occur, it indicates organ excess; Guijin Wan is indicated. This refers to excess-heat in sores where purgation is contraindicated unless necessary. Moxibustion on the Futu acupoint (ST32) for fourteen cones is indicated.

Although this condition belongs to the Shaoyang, if pulses and symptoms are all excess, purgation should be graded lightly or heavily according to the patient's strength. Adhering strictly to meridian taboos and using only tonics is not an accurate theory.

Some patients experience thirst before the sore appears, developing Bin Ju after one and a half to two years. If the color is purple, the sore is black, flat, sunken, hard, without pus, with toxin flowing to ears and neck, foul breath, withered complexion, coma, and inability to eat, it is incurable.

Yao Du (Born behind left ear) Rui Du (Born behind right ear, both one inch three fen long). "Yao" refers to demonic/abnormal changes, belonging to Liver Wood; "Rui" refers to sharp instruments, belonging to Lung Metal. Both conditions arise from indecisive planning leading to stagnant fire. They arise in hidden/subtle areas and manifest unpredictably. By the time they are noticed, the toxin has already entered the interior. Red, vibrant, high swelling that easily rots and suppurates indicates a favorable prognosis. Hardness, sinking, blackening before ulceration, rotting before suppuration, foul odor, easy collapse of Yuan Qi indicate internal attack of toxic vapors, which is unfavorable. Mild cases use Jiawei Xiaoyao San (Modified Rambling Powder), Yueju Wan (Regulating Qi Pill), or Tuoli Xiaodu San, adjusted as needed. Severe cases use Shiquan Dabu Tang; without doubling the dosage of Ginseng and Aconite, Yang cannot be restored.

Er Hou Ju (Carbuncle Behind Ear): Arises in the fold behind the ear, belonging to the Sanjiao Meridian. High swelling with a head indicates favorable prognosis; no pus and soft sinking indicate unfavorable prognosis. Severe cases present with throat swelling, cheek pain, and shoulder/elbow pain. Initial treatment uses Zhenzhu Dan to sweat; for severe heat, Liangge San (Cool Chest Powder) clears heat. After ulceration, refer to the Ulcer Section for supporting and tonifying methods.

Er Gen Du (Toxin at Ear Root): Arises at the ear root, resembling a phlegm-nodule, immobile and slightly painful, caused by wind-heat in the Gallbladder and Sanjiao meridians. Wei Sheng San (Hygiene Powder) is indicated, possibly adding Shengma and Chaihu, or using Guijin Wan to purge. Weak constitutions use Shenxiao Gualou San (Miraculous Trichosanthes Powder) to support. Swelling below the ear due to anger, or rib pain with wiry-tight pulse, indicates Xiao Chaihu Tang (Minor Bupleurum Decoction) plus Qingpi, Honghua, Taoren, and Niubangzi. If chills and fever recur, add Jingjie and Fangfeng. The Liver stores blood internally and nourishes sinews externally; anger causes Qi rebellion, leading to sinus accumulation and swelling. Without self-regulation, repeated Liver injury leads to persistent nodules; misuse of corrosive drugs often results in non-healing and incurability.

Er Fa (Ear Hair/Sore): Arises on the earlobe, initially like a peppercorn, gradually enlarging like a honeycomb, purple-red and swollen/painful, caused by wind-heat in the Sanjiao Meridian. Wei Sheng San is indicated, possibly adding Shengma and Jiegeng. Strong constitutions use Guijin Wan to sweat or purge. Discharge of yellow pus is favorable; discharge of fresh blood, anorexia, coma, and mania are unfavorable.

Yuzhen Ju (Jade Pillow Carbuncle - Born at Yuzhen bone) Naohou Fa (Hair Sore at Back of Head - Born slightly below Yuzhen, at Fengchi acupoint). Resembling a hard boil, hard and difficult to ulcerate, pain radiating to neck and shoulders, coarse breathing, nasal congestion. This is formed by latent Yang stagnation in the Foot-Taiyang Bladder Meridian. Young and strong patients with red swelling and white pus heal easily; old and weak patients with purple sinking and yellow fluid drainage are difficult to cure. Excess patterns use Neishu Huanglian Tang (Internal Purging Coptis Decoction) plus Qianghuo and Jinyinhua, or Wei Sheng San, Guijin Wan. Deficiency patterns use Tuoli Xiaodu San plus Shengma, Gegen, wine-fried Huangqin, and Zhizi, taken concurrently with Lafan Wan. Those with heads are punctured and treated with Babing San (Boil-Pulling Powder); those without heads are treated with Ligong Dingzi (Palace-Lixing Paste) or moxibustion on Fengmen acupoint (BL12) for twenty-one cones, with moxa cones the size of mung beans.

Nao Shuo (Brain Melting): Arises at the back of the neck, initially like a horizontal log, eventually extending up to the vertex and down to the Dazhui acupoint. Skin breaks before pus forms, feeling cold and numb-painful, occasionally flowing clear fluid, or feeling hot as if burning, painful as if needle-pricked, black as if soot-stained, shape like dog bites, surrounding tissue hard as ox lips. The Ling Shu states: "Excessive Yang qi expansion, melting brain and neck, named Nao Shuo." Accompanied by vexation, death ensues.

This condition is caused by consumption and fixation of Yin Essence. Urgently apply Shenmiao Bagen Method (see Acupuncture Section) to open the orifices. Internally, use Shiquan Dabu Tang with large doses of Fuzi, and Bayi Dihuang Wan, to restore Yang. Refer to the treatment methods for lateral neck carbuncles and clinical cases of head carbuncles for reference. If attack and tonification are applied correctly, survival is possible; do not abandon treatment due to the severity of the condition.