肺痈主 满。肺藏气而外主息。其脉支别者。从肺系横出腋下。故喘而两 满。此言
肺痈所见症。
肝痈主小便。肝主惊。肝脉循股入毛中。环阴器抵少腹。直上贯肝膈。布胁肋。故两
满。两 满。卧则惊。不得小便。
此言肝痈所见证。
肾痈主少腹满。此言肾痈所见证。
五脏菀熟。痈发六腑。
菀、积也。熟、热也。五脏积热。六腑受之。阳热相薄。热之所过。则为痈也。
此言五脏积热。六腑受之而生。
六腑不和。留结为痈。
六腑属阳而主气。肌肉上为阳脉。邪气游于六腑。则肌肉上之脉不和。邪气停留肌肤。
结聚为痈肿矣。此言六腑受邪而生。
中府隐隐痛者。肺疽。 其上肉微起者。肺痈。
巨阙隐隐痛者。心疽。 其上肉微起者。心痈。
期门隐隐痛者。肝疽。 其上肉微起者。肝痈。
章门隐隐痛者。脾疽。 其上肉微起者。脾痈。
京门隐隐痛者。肾疽。 其上肉微起者。肾痈。
中脘隐隐痛者。胃疽。 其上肉微起者。胃痈。
天枢隐隐痛。大肠疽。 其上肉微起。大肠痈。
丹田隐隐痛。三焦疽。 其上肉微起。三焦痈。
关元隐隐痛。小肠疽。 其上肉微起。小肠痈。
今富贵之人。饮食肥脓。日久太过。其气味俱浓之物。乃阳中之阳。不能走空窍。先行
。反行阴道。逆于肉理。则湿气大胜。子（土）能令母（火）实。火乃大旺。湿热既盛。必来克
肾。若杂以不顺。必损其真水。肾既受邪。积久水乏。水乏则从湿热之化而上行。其疮多出
背出脑。此为大丁之最重也。若毒瓦斯行于肺或脾胃之部分。毒之次也。若出于他经。又其次
也。湿热之毒所止处。无不溃烂。故经言膏粱之变。足生大丁。受如持虚。如持虚器以授物
。物无不受。故治大丁之法。必当泻其营气。以标本言之。先受病为本。非苦寒之剂为主为
君。不能除其苦楚疼痛也。
The main symptom of Lung Abscess (Fei Yong) is chest fullness. The Lung stores Qi and externally governs respiration. Its meridian branch emerges horizontally from the Lung system to the axilla. Therefore, there is panting and fullness in both hypochondriac regions. This describes the symptoms seen in Lung Abscess.
The main symptom of Liver Abscess (Gan Yong) is difficulty in urination. The Liver governs fright. The Liver meridian follows the thigh, enters the pubic region, circles the external genitalia, reaches the lower abdomen, passes vertically through the diaphragm, and spreads over the hypochondrium. Thus, there is fullness in both hypochondriac regions, fullness in both costal margins, fright when lying down, and inability to urinate. This describes the manifestations of Liver Abscess.
The main symptom of Kidney Abscess (Shen Yong) is fullness in the lower abdomen. This describes the manifestations of Kidney Abscess.
When Five Zang organs accumulate heat, carbuncles arise in the Six Fu organs. "Wen" means accumulation; "Shu" means heat. Heat accumulated in the Five Zang organs transmits to the Six Fu organs. Yang-heat contends with each other; where heat passes, a carbuncle forms. This explains that carbuncles arise from heat accumulated in the Five Zang organs affecting the Six Fu organs.
When the Six Fu organs are disharmonious, stagnation and knotting form carbuncles. The Six Fu organs belong to Yang and govern Qi. The muscles are covered by Yang meridians. When pathogenic factors wander in the Six Fu organs, the meridians on the muscles become disharmonious. Pathogenic factors stay in the skin and flesh, gathering to form carbuncles. This explains that carbuncles arise from pathogenic factors affecting the Six Fu organs.
If there is dull pain at Zhongfu (LU1), it is Lung Ju. If the flesh above slightly rises, it is Lung Yong.
If there is dull pain at Jueque (CV14), it is Heart Ju. If the flesh above slightly rises, it is Heart Yong.
If there is dull pain at Qimen (LR14), it is Liver Ju. If the flesh above slightly rises, it is Liver Yong.
If there is dull pain at Zhangmen (LR13), it is Spleen Ju. If the flesh above slightly rises, it is Spleen Yong.
If there is dull pain at Jingmen (GB25), it is Kidney Ju. If the flesh above slightly rises, it is Kidney Yong.
If there is dull pain at Zhongwan (CV12), it is Stomach Ju. If the flesh above slightly rises, it is Stomach Yong.
If there is dull pain at Tianshu (ST25), it is Large Intestine Ju. If the flesh above slightly rises, it is Large Intestine Yong.
If there is dull pain at Dantian (CV12 or CV4 depending on context, here likely CV12 area or general lower abdomen reference, but text says Dantian), it is Sanjiao Ju. If the flesh above slightly rises, it is Sanjiao Yong.
If there is dull pain at Guanyuan (CV4), it is Small Intestine Ju. If the flesh above slightly rises, it is Small Intestine Yong.
Nowadays, wealthy people consume rich and greasy foods for long periods without restraint. These substances with strong flavors and properties are "Yang within Yang." They cannot travel through the orifices but instead move contrary to the Yin pathways, reversing into the muscle texture. This causes dampness to prevail greatly. According to the Five Elements theory, Earth (Spleen) can make its mother Fire (Heart) excessive, causing Fire to blaze. Once damp-heat is abundant, it inevitably attacks the Kidneys. If combined with emotional disharmony, it will damage the True Water of the Kidneys. Once the Kidneys are affected by pathogens, prolonged deficiency leads to a lack of Kidney Water. With insufficient Water, the condition transforms following damp-heat and ascends. Such sores often appear on the back and head. This is the most severe type of Da Ding (Major Ding/Carbuncle). If the toxic qi travels to the Lung or Spleen/Stomach areas, the toxicity is secondary. If it appears in other meridians, it is even less severe. Wherever damp-heat toxic qi stops, ulceration occurs. Hence, the classics state: "Changes from rich food and fat produce major Ding." Receiving this disease is like holding an empty vessel to receive objects; nothing is not received. Therefore, the treatment method for Da Ding must involve draining Ying-Qi heat. From the perspective of root and branch, the initial pathology is the root. Without using bitter-cold agents as the sovereign drug, one cannot eliminate the suffering and pain.