百会疽在巅顶结，经属督脉百会穴，初如粟米渐如钱，甚似葡萄坚似铁。高肿热实
清毒火，平塌阳虚温补怯，肿连耳项动痰声，七日不溃命必绝。
【注】此百会疽又名玉顶发，生在巅顶正中，属督脉经百会穴。由膏粱太过，火毒凝
结而成。初起形如粟米，渐肿根大如钱，甚则形似葡萄，坚硬如铁，高尖红肿， 热疼
痛，疮根收束，憎寒壮热，大渴随饮随干，口苦唇焦，便秘烦躁，脉见洪数者，此属气实。
宜服黄连消毒饮，以清毒火，外敷冲和膏。若漫肿平塌，紫暗坚硬， 痛根散，恶寒便泻，
脉见细数者，此属阳虚，宜服十全大补汤，以温补之，外敷回阳玉龙膏。若面赤过烦，口
干不渴，唇润者，此属阳虚浮泛，宜服桂附地黄丸，引火归源，更用生附子饼，置两足
心涌泉穴，各灸五壮，以泄其毒。初起贴琥珀膏，已溃糁黄灵药、太乙膏盖贴；腐尽，再
易生肌之药治之。若肿连耳项，痰如拽锯，七日无脓不溃，神昏者命必绝矣！
\r百会疽图\p04-34a24.bmp\r
黄连消毒饮
苏木（二分） 甘草（三分） 陈皮（二分） 桔梗（五分） 黄芩（五分） 黄柏（五
分） 人参（三分） 本（五分） 防己（五分） 防风（四分） 知母（四分） 羌活（一分）
独活（四分） 连翘（四分） 黄连（一钱） 生地黄（四分） 黄 （二钱） 泽泻（二分） 当归尾（四分）
水煎，食远温服
【方歌】黄连消毒清毒火，诸般火证服最良，苏木甘草陈皮桔，芩柏人参 二防，知
母羌活独活等，连翘黄连生地黄，黄 泽泻当归尾，服后最忌饮寒凉。
冲和膏 四阳玉龙膏（俱见肿疡门）
生肌散 十全大补汤 黄灵药 太乙膏（俱见溃疡门）
桂附地黄丸 附子饼（见前灸法）
琥珀膏（见后发际疮）
Baihui Ju (Baihui Carbuncle) occurs at the vertex of the head, belonging to the Du Meridian (Governor Vessel) at the Baihui acupoint. Initially, it resembles a millet grain, gradually enlarging to the size of a coin; in severe cases, it resembles a grape cluster and is as hard as iron. If presenting with high swelling, heat, and excess syndrome, clear the toxic fire; if presenting with flat collapse and Yang deficiency, apply warming tonification and avoid harsh purgatives. If the swelling extends to the ears and neck, accompanied by rattling phlegm sounds, and fails to suppurate and ulcerate within seven days, the patient's life will be lost.
[Note] This condition, known as Baihui Ju or Yuding Fa (Jade Top Eruption), arises at the center of the vertex, belonging to the Du Meridian at the Baihui acupoint. It is caused by excessive consumption of rich and greasy foods, leading to the coagulation of fire-toxin. Initially, the shape resembles a millet grain; it gradually swells with a broad base like a coin. In severe cases, it resembles a grape cluster, hard as iron, with high, pointed redness and swelling, burning pain, a gathered root, aversion to cold with high fever, extreme thirst where drinking provides immediate relief but dryness returns quickly, bitter taste in the mouth, scorched lips, constipation, irritability, and a surging and rapid pulse. This belongs to Qi Excess syndrome. It is appropriate to take Huanglian Xiaodu Yin (Coptis Decoction for Disinfecting Toxins) to clear toxic fire, and externally apply Chonghe Gao (Harmonizing Ointment). If presenting with diffuse swelling and flat collapse, purple-dark hardness, scattered root of pain, aversion to cold, and diarrhea, with a fine and rapid pulse, this belongs to Yang Deficiency syndrome. It is appropriate to take Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction) to warm and tonify, and externally apply Huiyang Yulong Gao (Restore Yang Jade Dragon Ointment). If presenting with excessive facial redness, extreme irritability, dry mouth without thirst, and moist lips, this belongs to floating and superficial Yang Deficiency. It is appropriate to take Guifu Dihuang Wan (Cinnamon and Aconite Rehmannia Pill) to guide fire back to its source, and place raw Fuzi Bing (Aconite Cake) on the Yongquan acupoints (KI1) of both soles, moxibustion five cones each, to drain the toxin. At the initial stage, apply Hupo Gao (Amber Ointment); after ulceration, sprinkle Huang Ling Yao (Yellow Spirit Medicine) and cover with Taiyi Gao (Supreme Unity Ointment); after all necrotic tissue is removed, change to muscle-regenerating medications for treatment. If the swelling connects to the ears and neck, with phlegm sounds like sawing wood, no pus formation or ulceration after seven days, and coma, death is inevitable!
Huanglian Xiaodu Yin (Coptis Decoction for Disinfecting Toxins)
Taeniatherum Caput-medusae Root (Taichencao, 2 fen) Licorice Root (Gancao, 3 fen) Tangerine Peel (Chenpi, 2 fen) Platycodon Root (Jiegeng, 5 fen) Scutellaria Root (Huangqin, 5 fen) Phellodendron Bark (Huangbai, 5 fen) Ginseng Root (Renshen, 3 fen) Angelica Dahurica Root (Baizh, 5 fen) Stephania Tetrandra Root (Fangji, 5 fen) Saposhnikovia Root (Fangfeng, 4 fen) Anemarrhena Rhizome (Zhimu, 4 fen) Notopterygium Rhizome (Qianghuo, 1 fen) Angelica Pubescens Root (Duhuo, 4 fen) Forsythia Fruit (Lianqiao, 4 fen) Coptis Rhizome (Huanglian, 1 qian) Rehmannia Root (Shengdihuang, 4 fen) Astragalus Root (Huangqi, 2 qian) Alisma Rhizome (Zexie, 2 fen) Salvia Miltiorrhiza Root Tip (Dangguiwei, 4 fen)
Decoct in water, take warm shortly after meals.
[Prescription Song] Huanglian Xiaodu clears toxic fire, best for various fire syndromes; Taichencao, Gancao, Chenpi, Jiegeng, Huangqin, Huangbai, Renshen, Fangji, Fangfeng; Zhimu, Qianghuo, Duhuo, Lianqiao, Huanglian, Shengdihuang, Huangqi, Zexie, Dangguiwei; most taboo is drinking cold beverages after taking it.
Chonghe Gao (Harmonizing Ointment) Siyang Yulong Gao (Four-Yang Jade Dragon Ointment) (See Chapter on Swelling Ulcers)
Shengji San (Muscle-Regenerating Powder) Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction) Huang Ling Yao (Yellow Spirit Medicine) Taiyi Gao (Supreme Unity Ointment) (See Chapter on Ulcerated Ulcers)
Guifu Dihuang Wan (Cinnamon and Aconite Rehmannia Pill) Fuzi Bing (Aconite Cake) (See Moxibustion Methods above)
Hupo Gao (Amber Ointment) (See Hairline Carbuncle below)