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Wang Shengzhi stated: In the disease of Nine Abscesses (Jiu Ju), nine lesions appear on the body at once. One must examine the patient's deficiency or excess constitution, the depth of the toxin, the thickness or thinness of the pus, and the delay or speed of the lingering condition to determine life or death prognosis. If there are only two or three lesions, the condition is mild. (From *Li Li*)

The deformity known as "Turtle Back" (Gui Bei) is mostly caused by forcing an infant under one year old to sit too early without proper protection of the spinal column, allowing external wind pathogens to invade and penetrate into the marrow. If cold is contracted, the body becomes flaccid and weak, thus forming this condition. Another theory states that all five Zang organs are connected to the back; any of the five types of Gan malnutrition syndromes resulting from pathogenic invasion of the Zang organs, if prolonged, will cause worms to erode the spinal cord, making the dorsal bones appear fractured and protruding high like a turtle shell. Medical texts state: "Gan syndrome with swollen cheeks remains severe; a high spine indicates declining strength. With no vital energy in the Kidney and bones lacking firm growth, it becomes a malignant condition."

Sun Simiao, in *Qian Jin Fang*, recorded: Grind Hong Yao (Red Herb) and He Shou Wu (Polygonum multiflorum Root) into powder, mix with Turtle Urine, and apply to the spinal bone. It will gradually flatten naturally.

Grand Master Qi stated: If a person has a split in their spinal column from which over a thousand lice emerge, this is due to wind in the Kidneys being blown by Yang Qi, causing unnoticed rupture and emergence of lice. Treat with Huo Shui Zhi Feng Dan (Living Water Wind-Stop Pill). The lice in the crack will die completely. (From *Mi Lu*)

Huo Shui Zhi Feng Dan (Grand Master Qi Formula):
Shu Di Huang (Prepared Rehmannia Root), Shan Yu Rou (Cornus Fruit) (each 3 liang), Du Zhong (Eucommia Bark) (1 liang), Bai Zhu (Atractylodes Macrocephala Rhizome) (5 qian), Fang Ji (Stephania Root) (1 qian), Bi Xie (Dioscorea Hypoglauca Rhizome) (3 qian). Decoct in water and drink.
For Lice in Spinal Fissure (Zhang Zhongjing Formula): Take 3 seeds of Bi Ma Zi (Ricinus Communis Seed), grind into a paste, mash together with 3 Red Dates (Jujube Fruit) to form pills the size of a bullet. Burn them and smoke the clothes; the lice will die and the fissure will close. This is because Bi Ma Zi can kill lice and dispel wind; when wind is expelled and lice leave, the spine naturally closes.

[Image: Rou Gui Chuang]

Wang Shengzhi stated: Rou Gui Chuang (Flesh-Turtle Sore) is a manifestation of pathogenic invasion in the Heart and Kidney meridians. It arises between the chest, back, and lateral hypochondrium, possessing a head, a tail, and four feet. The skin color is not red, and it protrudes about two cun. Some have the head pointing upward, with toxin attacking the heart region; others have the tail pointing downward, with pain feeling like a knife cut. Whether on the left or right, the pain is unbearable. Immediately use Shen Zhen (Divine Needle) therapy: needle the head, tail, and four feet. Apply moxibustion of twenty-eight moxa cones above the area; the Flesh-Turtle Sore will die. Do not remove the needles yet. Internally administer Jing Fang Bai Du San (Schizonepeta and Saposhnikovia Powder to Overcome Toxin) added with Tian Hua Fen (Trichosanthes Root), Ru Xiang (Frankincense), and Mo Yao (Myrrh). Then, withdraw the needles. (From *Li Li*)