蜂窝发似蜂房形，每在肩后脊旁生，此证最忌头向上，急清心火免内攻。
【注】此证多生肩后及脊旁，形似蜂房。由脾经积热，更兼心火凝结成毒。初起高肿
如龟形，胖胀半背者轻；疮势横斜漫大者重。宜服内疏黄连汤。若头尖向上，属心火热极，
防毒火内攻脏腑。亦有疮形长若尺许，根横满背，名为竟体疽，属毒甚险。初觉宜急服
黄连消毒饮，清心解毒，庶免内攻。其余内
外治法，俱按痈疽肿疡、溃疡门。
\r蜂窝发图\p04-34a78.bmp\r
内疏黄莲汤（见肿疡门）
黄连消毒饮（见头部百会疽）
阴阳二气疽脊旁，肿消软硬变不常，七情内乖逆荣卫，如期脓溃自无妨。
【注】此证生于脊背之旁，乍肿乍消，时软时硬。由七情内乖，荣卫不和而生也。初
发令人寒热往来，若大渴神清，高肿脉洪，二七脓成，溃破者顺；若不渴神昏，漫肿脉细，
应期无脓，饮食不思者逆。初服夺命丹以退寒热，次服仙方活命饮。其余内外治法，俱
按痈疽肿疡、溃疡门。
\r阴阳二气疽图\p04-34a79.bmp\r
夺命丹
轻粉 麝香 白砒（面裹，火煨，各五分） 白矾（ ） 辰砂（为衣） 血竭（各一钱） 雄黄
（二钱） 蟾酥（干者，酒化入药，二钱） 乳香 没药 寒水石（ ） 铜绿（各二钱） 蜗牛（连壳，
二十一个）
上为细末，先将蜗牛研烂如泥，匀合前药。丸如不成，加好黄酒少许，打三五百下
为丸，如绿豆大。每服二三丸，每用葱白一寸，令病者嚼烂，自吐于手心内，男用左手，
女用右手，将药丸裹入葱泥内，用无灰酒一大盅，温热送下，被盖汗出为度。重者不过三服，不可多用。
【方歌】夺命丹中粉麝香，砒矾砂竭共雄黄，蟾酥乳没兼寒水，铜绿蜗牛用最良。
仙方活命饮（见肿疡门）
Carbunculus Apiformis resembles the structure of a honeycomb and typically arises on the posterior aspect of the shoulder or beside the spine. This condition strictly contraindicates the upward direction of the abscess head; urgent clearing of Heart Fire is required to prevent the internal invasion of pathogenic toxins.
[Note] This lesion commonly occurs behind the shoulders and alongside the spinal column, resembling a honeycomb. It is caused by accumulated heat in the Spleen Meridian compounded by the coagulation of Heart Fire into toxicity. Initially, it presents as high swelling resembling a turtle shape; if the swelling occupies only half of the back, the prognosis is mild. If the lesion spreads horizontally and covers a large area, the condition is severe. The appropriate prescription is Neishu Huanglian Tang (Internal Draining Coptis Decoction). If the abscess head is pointed and directed upward, it indicates extreme excess of Heart Fire, necessitating prevention against the internal attack of toxic fire on the Zang-Fu organs. There is also a type where the lesion extends up to one chi in length with roots spreading across the entire back, named Jingti Ju (Whole-Body Carbuncle), which belongs to highly dangerous toxicity. Upon initial sensation, one should immediately take Huanglian Xiaodu Yin (Coptis Detoxification Decoction) to clear the Heart and detoxify, thereby avoiding internal invasion. All other internal and external treatment methods follow the chapters on Carbuncles and Ulcers (Swelling/Ulceration phases).
Image of Carbunculus Apiformis \p04-34a78.bmp\r
Neishu Huanglian Tang (See Chapter on Swelling Phase)
Huanglian Xiaodu Yin (See Section on Baihui Ju of the Head)
Yinyang Erqi Ju (Yin-Yang Qi Carbuncle) arises beside the spinal column; the swelling fluctuates, and the texture alternates between soft and hard. This is generated by internal disharmony of the Seven Emotions, leading to disordered Ying and Wei (Nutritive and Defensive) Qi. Initial onset causes alternating chills and fever. If accompanied by intense thirst, clear consciousness, high swelling, and a surging pulse, pus forms after fourteen days, and rupture indicates a favorable course (Shun). If there is no thirst, coma, diffuse swelling without a head, a fine pulse, absence of pus at the expected time, and loss of appetite, it indicates an unfavorable course (Ni). Initially, administer Duoming Dan (Life-Restoring Pill) to resolve chills and fever, followed by Xianfang Huoming Yin (Immortal Formula for Preserving Life Decoction). All other internal and external treatments follow the chapters on Carbuncles and Ulcers.
Image of Yinyang Erqi Ju \p04-34a79.bmp\r
Duoming Dan
Qingfen (Calomelas), Shexiang (Moschus), Baipi (Arsenicum Album wrapped in flour and roasted, each 5 fen), Baijian (Alumen), Chensha (Cinnabar used as coating), Xuexie (Draco Sanguis, each 1 qian), Xionghuang (Realgar, 2 qian), Chansu (Bufo Toxin, dried, dissolved in wine for use, 2 qian), Ruxiang (Olibanum), Moyao (Myrrha), Hanshuishi (Aqua Calcitae), Tonglv (Chalcanthite, each 2 qian), Woniu (Helix Aspersa, with shell, 21 pieces).
Grind all ingredients into fine powder. First, mash the snails into a paste and mix uniformly with the aforementioned medicines. If difficult to form pills, add a small amount of good yellow wine and beat three to five hundred times to form pills, sized like mung beans. Take two or three pills per dose. Take one cun (approx. 3.3 cm) of scallion white, have the patient chew it thoroughly, spit it into their palm (men use left hand, women use right hand), wrap the pill in the scallion paste, and swallow with a large cup of warm, unadulterated rice wine. Cover with blankets until sweating occurs. For severe cases, do not exceed three doses; do not overuse.
[Formula Song] Duoming Dan contains Calomelas and Moschus, combined with Arsenic, Alumen, Cinnabar, Draco Sanguis, and Realgar; Bufo Toxin, Olibanum, Myrrha, and Aqua Calcitae are added, while Chalcanthite and Helix Aspersa are most efficacious.
Xianfang Huoming Yin (See Chapter on Swelling Phase)