Library

Foding Ju (Abscess at the Crown) belongs to Shangxing (GV23) of the Du Meridian. It is formed by toxic heat resulting from disharmony of Yin and Yang. Regardless of deficiency or excess, it is a critical condition; if ulceration occurs with blackening and sinking, it is inevitably ominous.
[Note] This condition is also named Dingmen Ju (Abscess at the Vertex). It arises anterior to the fontanelle on the vertex and belongs to Shangxing (GV23) of the Du Meridian. It is caused by disharmony of Yin and Yang in the Zang-Fu organs, leading to the upward congestion of heat-toxin. If the color is purple, hard, swollen, painful, and the pulse is surging and rapid, it indicates Excess; if the pulse is fine, minute, and rapid, it indicates Deficiency. Both are critical conditions. If ulceration presents with blackening and sinking, the six pulses are scattered and enlarged, there is coma with delirious speech, and both urine and stool are obstructed, it indicates a Reverse pattern. The internal and external treatment methods from onset to resolution follow those for Baihui Ju (Abscess at Baihui GV20).

E Ju (Abscess at the Forehead) is formed by fire-toxin arising at the forehead. It involves the Bladder Meridian on the sides and the Du Meridian in the center. A sunken, scorched, purple lesion without pus indicates severe disease; a high, red, swollen lesion with a gathered base indicates mild disease.
[Note] If this condition arises in the center of the forehead, it belongs to the Du Meridian; if it arises at the left or right frontal angles, it belongs to the Bladder Meridian. It is generally caused by fire-toxin. In the initial stage, if the sore top is sunken, dry, scorched, purple, and does not produce abundant pus, the pathogenic force is severe and the prognosis is critical. If it is red, swollen, high, and the base is gathered, the pathogenic force is mild and the prognosis is favorable. Initially, administer Jingfang Baidu San (Atractylodes and Saposhnikovia Decoction to Overcome Toxins) to induce sweating. Subsequently, administer Xianfang Huoming Yin (Immortal Life-Saving Decoction) to resolve swelling. As it approaches ulceration, if Qi is deficient, Tuoli Tou Nong Tang (Decoction to Support Interior and Penetrate Pus) should be taken; if Qi is sufficient, Tou Nong San (Pus-Penetrating Powder) should be taken, with Chonghe Gao (Harmonizing Plaster) applied externally. After ulceration, take Tuoli Pai Nong Tang (Decoction to Support Interior and Expel Pus), with Hupo Gao (Amber Plaster) applied externally. Other internal and external treatments follow the sections on Carbuncles and Ulcers.
Jingfang Baidu San (see Neck Brain Carbuncle section)
Xianfang Huoming Yin (see Swollen Sore section)
Tuoli Tou Nong Tang (see preceding Brain-invading Carbuncle section)
Tou Nong San, Chonghe Gao (both see Swollen Sore section)
Tuoli Pai Nong Tang (see Neck Fish-tail Toxicity section)
Hupo Gao (see Inner Hairline Sore section)

Yong Ju (Brave Abscess) arises posterior to the Taiyang acupoint, belonging to the Gallbladder Meridian where fire-toxin lies latent. Its shape resembles a crouching mouse. If it does not ulcerate within seven days, the toxin attacks the eyes. Yellow pus is auspicious; black blood is ominous.
[Note] This condition is also named Yong Ju or Naofa Ju (Hair-root Abscess of the Brain). It belongs to the Foot-Shaoyang Gallbladder Meridian and is caused by latent fire-toxin from anger. It arises five fen posterior to the outer canthus. Lesions at the Taiyang acupoint may occur on either side. Initially, it resembles millet grains, gradually becoming swollen and painful, resembling a crouching mouse, with facial edema. If pus should form after seven days but fails to ulcerate, fire-toxin attacks the eyes, causing rotting and damage. If yellow pus is discharged upon needling on the eleventh day, the toxin resolves with the pus, indicating a Favorable pattern that is easy to treat. If purple-black blood is discharged, it indicates Qi deficiency failing to transform the toxin, representing a Reverse pattern that is difficult to treat. Initially, administer Xianfang Huoming Yin (Immortal Life-Saving Decoction) to clear and resolve toxicity. If toxicity is severe, administer Neishu Huanglian Tang (Internal-Draining Coptis Decoction), with Erwei Baidu San (Two-Ingredient Toxin-Extracting Powder) applied externally. Treatment for the pre-ulcerative and post-ulcerative stages follows the sections on Swollen Sores and Ulcers of Carbuncles. After ulceration, avoid wind and water.
Xianfang Huoming Yin, Neishu Huanglian Tang, Erwei Baidu San (all see Swollen Sore section)