石疽生于颈项旁，坚硬如石色照常，肝郁凝结于经络，溃后法根据瘰 疮。
【注】此疽生于颈项两旁，形如桃李，皮色如常，坚硬如石， 痛不热。由肝经郁结，
以致气血凝滞经络而成。此证初小渐大，难消难溃，既溃难敛，疲顽之证也。初起气实
者，宜服舒肝溃坚汤；气虚者，宜服香贝养荣汤，外用葱白、蜂蜜，捣泥敷贴。日久不
消者，以阳燧锭每日灸之，以或消、或软、或将溃为度，既溃法同瘰 。
\r上石疽图\p04-34a70.bmp\r
香贝养荣汤
白术（土炒，二钱） 人参 茯苓 陈皮 熟地黄 川芎 当归 贝母（去心） 香附（酒炒）
白芍（酒炒，各一钱） 桔梗 甘草（各五分）
姜三片，枣二枚，水二盅，煎八分，食远服。
胸膈痞闷，加枳壳、木香。饮食不甘，加浓朴、苍术。寒热往来，加柴胡、地骨皮。脓
溃作渴，倍人参、当归、白术，加黄 。脓多或清，倍当归、川芎。胁下痛或痞，加青
皮、木香。肌肉生迟，加白蔹、肉桂。痰多，加半夏、橘红。口干，加麦冬、五味子。发
热，加柴胡、黄芩。渴不止，加知母、赤小豆。溃后反痛，加熟附子、沉香。脓不止，倍
人参、当归，加黄 。虚烦不眠，倍人参、熟地，加远志、枣仁。
【方歌】香贝养荣用四君，四物贝桔香附陈，气血两虚宜多服，筋瘰石疽效如神。
阳燧锭（见首卷烙法）
舒肝溃坚汤（见瘰 门）
Shiju (Stone Abscess) arises on both sides of the neck and nape. The mass is hard as stone, while the skin color remains normal. This condition results from Liver Qi stagnation causing Qi and Blood to coagulate in the collaterals; after ulceration, the treatment principles follow those for Luoli (Scrofula).
[Note] This abscess occurs on both sides of the neck, resembling a plum or peach in shape, with normal skin color, hard as stone, painful but not hot. It is caused by stagnation in the Liver Meridian, leading to the stasis of Qi and Blood within the collaterals. Initially small, it gradually enlarges, is difficult to dissipate, difficult to suppurate, and even after ulceration, difficult to heal; it is a stubborn and chronic condition. In the early stage, if the patient's constitution is robust, Shugan Kuijian Tang (Liver-Soothing Hardness-Dispersing Decoction) is indicated; if the constitution is deficient, Xiangbei Yangrong Tang (Fragrant Fritillaria Nourishing Nutrient Decoction) is indicated. Externally, apply a paste made from scallion white and honey. If the mass does not resolve after a long time, moxa-burn daily using Yangsui Ding (Yang-Sun Plaster), continuing until the mass dissolves, softens, or is about to suppurate. Once ulcerated, the treatment follows that of Luoli.
Xiangbei Yangrong Tang (Fragrant Fritillaria Nourishing Nutrient Decoction)
Bai Zhu (Stir-fried with soil, 2 qian), Ren Shen, Fu Ling, Chen Pi, Shu Di Huang, Chuan Xiong, Dang Gui, Bei Mu (heart removed), Xiang Fu (stir-fried with wine), Bai Shao (stir-fried with wine), each 1 qian; Jie Geng, Gan Cao, each 0.5 qian.
Add three slices of fresh ginger and two dates. Decoct in two sheng of water until reduced to eight fen. Take after meals.
If there is chest and diaphragm fullness and oppression, add Zhi Qiao and Mu Xiang. If appetite is poor, add Hou Po and Cang Zhu. If there are alternating chills and fever, add Chai Hu and Di Gu Pi. If thirst occurs after suppuration, double the dosage of Ren Shen, Dang Gui, and Bai Zhu, and add Huang Qi. If pus is excessive or thin, double the dosage of Dang Gui and Chuan Xiong. If there is pain or fullness in the hypochondrium, add Qing Pi and Mu Xiang. If muscle regeneration is slow, add Bai Lian and Rou Gui. If there is excessive phlegm, add Ban Xia and Ju Hong. If there is dry mouth, add Mai Dong and Wu Wei Zi. If there is fever, add Chai Hu and Huang Qin. If thirst persists, add Zhi Mu and Chi Xiao Dou. If pain returns after ulceration, add Shu Fu Zi and Chen Xiang. If pus discharge continues, double the dosage of Ren Shen and Dang Gui, and add Huang Qi. If there is deficiency-related irritability and insomnia, double the dosage of Ren Shen and Shu Di Huang, and add Yuan Zhi and Suan Zao Ren.
[Formula Song] Xiangbei Yangrong uses Si Jun [Tang], combined with Si Wu, Bei Mu, Jie Geng, Xiang Fu, and Chen Pi; suitable for prolonged use in cases of dual Qi and Blood deficiency, effective as magic for Jinluoli and Shiju.
Yangsui Ding (See Chapter on Cauterization in Volume One)
Shugan Kuijian Tang (See Section on Luoli)