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Mutilated Bone Abscess (Duogu Ju) originates from Kidney deficiency. After a sore has been ulcerated for a long time, it is re-exposed to cold pathogens. Infants suffering from this condition at birth have it due to the conglomeration of essence and blood in the fetal origin. It is named "Bone Distension" (Gu Zhang), and its treatment is generally the same as that described above.

[Note] This condition is also known as Remaining Bone (Sheng Gu) or Rotten Bone (Xiu Gu). It can occur in people of any age, mostly appearing on the cheeks, gums, eyelids, chin, hands, feet, arms, and legs. In some cases, individuals with Kidney deficiency suffer from sores that ulcerate for a long time; the swelling remains hard without subsiding, and the wound fails to close. External cold pathogens invade and condense with pus and toxins, utilizing the body's Qi and Blood to transform into extra bones. In other cases, newborns feel brittle bone-like structures upon palpation within their flesh, caused by the intermingling of essence and blood during fetal development. When these individuals grow up, sudden swelling and abscess formation will inevitably occur at the site of the brittle bone. After rupture, the extra bones are expelled, and only then does the wound heal. If extra bones continue to be discharged indefinitely, it is called Bone Distension (Gu Zhang), which is difficult to cure. For both causes mentioned above, the treatment method is identical: moxibustion with Aconite Cake (Fuzi Bing) is suitable to disperse cold stagnation and facilitate the rapid expulsion of the bones. Since bones belong to the Kidney and coagulate when exposed to cold, heat-based treatments are employed. If rotten bone is retained internally, or if foul-smelling pus or salivary blisters are discharged, apply Huang Ling Yao (Yellow Spirit Medicine) and cover with Tuoseng Gao (Lead Monoxide Ointment) to ensure complete expulsion of the rotten bone, after which the wound will easily contract. For those with slight Kidney deficiency and cold, Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) should be taken; for severe deficiency with cold, Guifu Dihuang Wan (Cinnamon Twig and Aconite Rehmannia Pill) taken regularly can lead to recovery. For cases formed by fetal origin conglomeration, where constitution is weak, forcibly removing the extra bones is contraindicated; one should wait for natural rupture before removal.

Tubercles (Jiehe) resemble fruit pits, forming through condensation between the skin and fascia. They may result from Wind-Fire and Qi stagnation, or from Liver Fire and Damp-Phlegm accumulation.

[Note] This condition arises between the skin and fascia, forming nodules like fruit pits that are hard but painless. It is generated by the aggregation of Wind-Fire and Qi stagnation. Initially, it causes alternating chills and fever with exterior syndrome signs; Jingfang Baidu San (Aucklandia and Saposhnikovia Decoction) is used to resolve the exterior. Once the exterior is resolved, Liaoqiao Xiaodu Yin (Forsythia Detoxification Decoction) is administered. If caused by Damp-Phlegm and Qi stagnation condensation, methods to move Qi and transform Phlegm should be used, treating with Wuxiang Liqi Yin (Five-Aroma Qi-Flowing Decoction) or Qianjin Zhimi Wan (Thousand Gold Pill to Guide the Lost) from the *Qianjin Fang*, which are acrid-cool formulas, causing the nodules to dissipate spontaneously. If bitter-cold agents are mistakenly prescribed, ulceration will inevitably occur, or symptoms may worsen; if the momentum indicates impending ulceration, forced resolution is contraindicated as it depletes Qi; instead, Tou Nong San (Pus-Penetrating Powder) should be used. If ulceration fails to heal, it indicates Qi deficiency, and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) should be used for mild tonification. External treatment follows the protocols for Sores, Ulcers, Swelling, and Open Wounds sections.

Qianjin Zhimi Wan (Thousand Gold Pill to Guide the Lost)
Prepared Pinellia Rhizome (Banxia, 4 liang), White Poria (Baifuling), Fried Aurantium Fruit (Zhike, bran-fried, each 3 liang), Weathered Nitre (Fenghua Xiao, 3 qian).
Grind all into powder, make pills using rice paste boiled in river water, sized like paulownia seeds. Take 2 qian per dose, washed down with plain boiling water.

[Prescription Verse] Qianjin Zhimi Wan contains Banxia, Fuling, Zhike, and Xiao ground together; boiled in river water to form pills, they dissolve hardness, remove nodules, and transform phlegm.