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Shenshou Weisheng San (Divine Grant Health-Preserving Powder), Shiquan Dabu Tang (Decoction for Tenfold Tonification), Tuoli Wenzhong Tang (Decoction for Supporting Interior and Warming the Middle), Jinhuang San (Golden Yellow Powder), Huxin San (Heart-Protecting Powder) (all see Volume 1); Juantong Wuyou San (Pain-Relieving Carefree Powder) (see Chapter on Various Pains); Rongwei Fhun Tang (Nutritive and Defensive Spirit-Returning Decoction) (see Chapter on Swelling and Toxins); Jiuzhuan Yuhua Dan (Nine-Turn Jade Flower Pill), Qianjin Zhimi Wan (Thousand-Gold Finger-Concealing Pill) (both see Rough Evaluation of Syndrome Treatment); Chansu Bing (Toad Venom Cake), Chansu Wan (Toad Venom Pill) (both see Chapter on Ding Sores).

The meridians are the same as those in the arm region.
Wrist Carbuncle (Yuan Yong): Occurs at the flexion area of the hand. Caused by wind-heat affecting the three yang meridians of the hand.
Dui Abscess (Dui Ju): Occurs between the arteries of the wrist, attached to the tendons. Pain radiates through the entire arm.
Bone-Penetrating Abscess (Chuangu Ju): Occurs three cun above the Dui Abscess, between two tendons.
Bone-Louse Abscess (Gulou Ju): Occurs in the territory of the Yangming meridians of the arm. Initially like millet or beans, within ten days it enlarges to the size of a walnut, becoming purple, withered, and extremely painful. Caused by accumulated depression and anger. The lesion tends to migrate, accompanied by convulsions and stiffness. Cases presenting with malignant signs are incurable. This is also due to extreme yin deficiency with solitary hyperactivity of fire, leading to sudden onset and rapid death.
Mole-Cricket String (Lougu Chuan): Occurs on both hands and around the Neiguan acupoint on the dorsum of the hand. Initially presents with hidden pain in bones and tendons, diffuse swelling that is hard, without redness or heat. Sometimes multiple lumps swell together. Over time, white serum flows out, connecting various orifices, while swelling and pain persist, accompanied by deficiency syndromes. Caused by excessive worry injuring spleen qi and leading to qi stagnation. It is common in individuals with thin blood and qi. Throughout the course, Yiqi Yangrong Tang (Qi-Nourishing and Blood-Enriching Decoction) and Jiawei Xiaoyao San (Modified Free Wanderer Powder) should be used to support primal qi; only two or three out of ten cases may survive. If supplementation yields no response, it is incurable.
Arm Carbuncle (Bi Yong): Occurs on the arm; see the section on "Region" above.

Meridian Affiliations: The thumb belongs to the Hand Taiyin Lung Meridian. The index finger belongs to the Hand Yangming Large Intestine Meridian. The middle finger belongs to the Hand Jueyin Pericardium Meridian. The ring finger belongs to the Hand Shaoyang Sanjiao Meridian. The little finger belongs to the Hand Shaoyin Heart Meridian.
Hand Back Carbuncle (Shou Fabei): Occurs on the dorsum of the hand. Initially feels like a water prick, with diffuse swelling and no head. Ulcerates deeply to the bone. Caused by wind-heat in the two yang meridians (Hand and Foot Yangming). Use Huoqiao San (Notopterygium Powder). Add Jianghuang (Curcuma Longa Rhizome) for heat, Guizhi (Cinnamon Twig) for cold. For exterior syndromes, use Gan Zhu Dan (Purple Pearl Pill) to induce sweating. For interior syndromes, use Neishu Huanglian Tang (Internal Draining Coptis Decoction) to purge. For deficiency of primal qi, use strong tonification.
Palm Toxicity (Shouxin Du): Occurs in the palm. Also known as Chuanship Du (Palm-Penetrating Toxicity). Caused by accumulated heat in the Pericardium Meridian.
Hand Carbuncle (Shou Yong): Occurs in the palm,偏向 the edge. Also known as Chuangeng Du (Palm-Dike Toxicity). Treatment is the same as Hand Back Carbuncle. Externally, soak and wash with decoction of lotus rhizome (Oujie), then apply mashed fresh water snail meat.
Disease Shrimp (Bing Xia): Occurs on the dorsum of the hand. Red and swollen like a shrimp. Use disinfecting herbs. Externally, stir-fry salted lees with oil until fragrant, quench in hot water, and rinse the affected area.
Hegu Ding (HeGu Ding): Occurs in the web of the thumb (tiger's mouth). Also known as Tiger Mouth Abscess, Yacha Du (Fork Poison), Baixie Du (Split Crab Poison). Initially appears as small blisters or nodules, itchy, hot, and painful, often with red threads extending up to the axilla. Caused by damp-heat attacking from the Hand and Foot Yangming meridians. Initially, puncture the top of the sore, apply Bading San (Ding-Extracting Powder), and cover with ointment. Apply Ligong Dingzi (Palace-Removing Paste) ground with liquid to the remaining swelling. Internally administer Chansu Wan (Toad Venom Pill). Or use Gan Zhu Dan to induce sweating. When pus forms causing distending pain, needle it, insert Chansu strips, and cover with ointment for self-healing.
Hand Fork Eruption (Shou Cha Fa): Swelling and pain at the junction of the five fingers. Treatment is the same as Tiger Mouth Abscess. Moxibustion on Neiguan and Jianshi acupoints, 37 moxa cones each.
Tiao Abscess (Tiao Ju): Occurs on the tip of the thumb. If occurring on other fingertips, it is also named [missing character] Ju or Dun Ju. Initially like millet or beans, gradually enlarging to peach or plum size, cyanotic-purple, numb, with itching and pain penetrating the heart. All caused by accumulated heat in the Lung Meridian. On the fourth day, it should be pricked. Survival if pus and blood are obtained; death if black blood appears. If black, without pus and painless, it is called Duan Zhi (Severed Finger). Treatment requires amputation. Treated similarly to Tuo Ju (see Foot Region).
Snake Head Ding (Shetou Ding): Occurs at the fingertip. Also known as Tian She Du (Heavenly Snake Poison). Swollen like a snake head, pain piercing the heart, alternating chills and fever. Caused by accumulated heat in the Heart and Pericardium meridians. Initially apply Daizhi Gao (Finger-Replacing Ointment) and smear with pig bile. If moxibustion with Yangsui Dingzi (Sun-Focusing Paste) is applied for five cones on the fingertip, it causes severe pain but heals quickly. Alternatively, internally administer Chansu Wan to induce sweating. If neglected, and swelling persists after rupture, insert Chansu strips and cover with black ointment. For rotting tissue, apply red and black ointments. For deficiency preventing healing, use tonification.
Snake Eye Ding (Shayan Ding): Occurs on both sides of the nail. Snake Back Ding (Shebei Ding): Occurs under the nail. Snake Belly Ding (Shefu Ding): Also known as Fish Belly Abscess (Yudu Ju). Occurs on the anterior aspect of the middle phalanx. Swollen like a fish belly. Snake Joint Ding (Shejie Ding): Also known as Worm-Joint Ding. Occurs in the middle joint, swelling on both front and back surfaces. Loach Abscess (NiQiu Ju): Swelling is more severe than Worm-Joint Ding, with pain radiating to the elbow and arm.
For any toxic sores on the hand where pus has formed causing distending pain, needling is indicated immediately. However, there is a method. For finger toxins, tie the base of the finger with a string or thin band first. For palm/dorsum toxins, tie the wrist first. After a short time, the hand becomes painfully tight. Then use a Bi needle (flat-bladed knife) to slice open, drain all pus and fluid completely. Wash with medicinal water, sprinkle Shengji Yao (Flesh-Generating Medicine) evenly, wrap with ointment, and bind with silk strips. Finally, remove the tying string, and the wound will close and heal.
Daizhi (Daizhi): Occurs at the side of the nail. Hot, red, swollen, and painful. In severe suppuration, the nail falls off. Symptoms resemble Finger Abscess, but without deep-seated toxicity, hence not dark/black. Caused by blood heat. Soaking in a single cold-natured herb is best.
Jianglang Zhu (Jianglang Burrow): Occurs in the middle joint of the finger. Diffuse swelling on the back, shaped like a cicada's abdomen. Similar to Loach Carbuncle. However, this condition initially presents without redness, heat, or pain. Pain develops later, followed by rotting, yet swelling persists. It does not erupt suddenly like Loach Carbuncle. Caused by phlegm-qii stagnation in the Hand Shaoyin meridian. For swelling, apply Ligong Dingzi. For rotting tissue, apply Chansu Bing. Internally administer tonic medicines to prevent transformation into consumptive disease. This condition lasts years and cannot be cured easily.
[C missing] Chuang (Chuang): Occurs on hands and feet. Shaped like cornel fruit, with opposite sides itchy and painful. Breaks and exudes yellow fluid, spreading, recurring intermittently. Caused by wind-dampness invading the skin and interstices. Focus on killing parasites. Apply Licai Gao (Veratrum Ointment).
Fox Thorns (Huli Ci): Caused by fingers rubbing against garden trees, unbearable pain. After ten days, the wound deepens daily. Apply the white juice of dandelion roots.
Goose Palm Wind (Ezhang Feng): Initially purple spots and white dots; over time, skin becomes dry, thick, and hardened, or constantly cracks. Caused by stomach heat and blood dryness, combined with external wind-cold invasion. Also sometimes due to residual toxins from birth sores not fully cleared, settling here. Wash with Erfan San (Two Alum Powder). Apply Sanyou Gao (Three Oil Ointment). Or apply Gan Zhu Gao (Purple Pearl Ointment) for a long time for cure. Refer to the Yangmei (Myrtle) chapter for reference.