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Hemorrhage from sores and ulcers is caused by the deficiency of Qi in the five Zang organs, where deficient fire disturbs the vessels, causing blood to flow recklessly. Treatment should seek the affected meridian, examine the etiology, and then treat accordingly. If liver heat causes reckless bleeding, use Siwu Tang (Four Substances Decoction) with stir-fried Gardenia Fruit (Shanzhi), Moutan Cortex (Danpi), Poria (Lingzhu), and Atractylodis Rhizoma (Baizhu). If liver deficiency fails to store blood, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). If heart deficiency fails to govern blood, use Siwu Tang (Four Substances Decoction) with stir-fried Coptis Rhizome (Lian), Moutan Cortex (Danpi), Poria (Lingzhu), and Atractylodis Rhizoma (Baizhu). If spleen deficiency with heat fails to control blood, use Sijunzi Tang (Four Gentlemen Decoction) with stir-fried Gardenia Fruit (Shanzhi) and Moutan Cortex (Danpi). If there is stagnation in the spleen meridian, use Guipi Tang (Restore the Spleen Decoction) added with Schisandra Berry (Wuweizi). If spleen and lung Qi are deficient, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Schisandra Berry (Wuweizi). If both Qi and blood are deficient, use Shiquan Dabu Tang (Ten Ingredients Great Tonifying Decoction). If yin fire moves recklessly, use Liuwei Wan (Six-Ingredient Pill) added with Schisandra Berry (Wuweizi). Generally, when excessive blood loss presents with symptoms such as irritability, heat, and thirst, regardless of the pulse, immediately use Danshen Tang (Single Ginseng Decoction) to tonify Qi. The Classics state: "Blood is generated by Qi." Unless one uses sweet-warm agents such as Ginseng Radix (Renshen), Angelicae Sinensis Radix (Danggui), Atractylodis Macrocephalae Rhizoma (Baizhu), and Glycyrrhizae Radix et Rhizoma (Gancao) to generate the blood of the heart and liver, recovery is impossible. If fever is accompanied by a large pulse, it is incurable. For all hemorrhagic diseases, Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) should be used as the primary formula. (Qinzhou Shi stated: In hemorrhagic diseases with blood stasis, cold-cooling herbs should be used with caution.)

To treat back sores where flesh grows slowly and skin is insufficient to cover the wound, becoming stiff upon exposure to wind, calcined and finely powdered Metasideritum (Han Shui Shi) should be applied to the sore, followed by a layer of finely powdered Verdigris (Tong Lü); this prevents the flesh from becoming stiff. (Mei)

Ancient formulas for treating malignant sores and carbuncles, or pain and urgent spasms extending from the perineum to the thighs, pulling into the lower abdomen unbearably, which can cause death within one night, involve using Fennel Herba (Huixiang miao ye). Crush and extract one sheng of juice to drink, three to four times daily. Apply the dregs to the swelling. The root may also be used in winter. This is a foreign formula, used since the Yongjia era, producing miraculous effects in reviving the dying. (Tu Jing Ben Cao)

When the body feels hot but the patient desires to wear clothes, the heat is in the skin and hair, while the cold is in the bone marrow; treat with warming methods. When the body does not feel hot but the patient desires to remove clothes, the cold is in the skin and hair, while the heat is in the bone marrow; treat with cooling methods.

During the swelling stage, lack of appetite is due to pain damaging stomach Qi. After ulceration, when pain ceases, appetite returns naturally. Luo Tianyi stated: Consuming meat during sores and ulcers actually tonifies stomach Qi; refusing it is self-sabotage. This prohibition applies to changes caused by rich foods and mineral drugs, not as a general rule for those eating coarse grains or who are physically weak. For those with weak spleen and stomach, even if there are taboos, small amounts should be given. Withholding food violates stomach Qi and further suppresses appetite. The key to dietary taboos is avoiding raw and cold items that damage the spleen, hard-to-digest solids, and greasy foods that cause loose stools; one should exercise discretion. Additionally, after taking medicine, drinking cold water is taboo; violating this delays efficacy and causes pus to reappear.