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Wang Shengzhi stated: Flesh is governed by the Spleen. The speed of wound contraction after ulceration depends on the abundance or deficiency of Qi and Blood. People generally believe that using Dragon's Blood (Xuejie) and Catechu (Elaeocarpus) promotes flesh growth, while using Frankincense (Ruxiang) and Myrrh (Moyao) relieves pain. I disagree. The method for promoting flesh growth should first regulate the Spleen and Stomach and assist Qi and Blood as the primary approach; then flesh will grow naturally. Why rely on substances like Dragon's Blood and Catechu? If pus has not been fully discharged and astringent/flesh-promoting agents are applied prematurely, it may instead cause further ulceration. For those with strong constitutions or mild conditions, it may merely result in re-ulceration or delayed healing; for those with weak constitutions or severe conditions, it inevitably leads to internal invasion of pathogens, resulting in many cases of non-healing ulcers. Regarding pain relief, heat patterns require clearing heat, cold patterns require warming interior, excess patterns require purging, and deficiency patterns require tonifying. If pus is stagnated and cannot exit, it should be drained; if necrotic tissue is eroding, it should be removed. In this manner, pain will cease naturally. Does pain relief depend solely on Frankincense and Myrrh? (From *Li Li*)

Xue Lizhai stated: Skin and muscle are governed by the Spleen and Stomach, and wound contraction is driven by Qi and Blood. One should purely tonify the Spleen and Stomach and avoid indiscriminately applying topical flesh-promoting agents. If an ulcer fails to generate new tissue and presents with severe redness and swelling, it indicates Blood Heat; treat with Si Wu Tang (Four Substances Decoction) added with Gardenia (Zhizi) and Forsythia (Lianqiao). If the color is pale and lacks luster, it indicates Qi Deficiency; treat with Si Jun Zi Tang (Four Gentlemen Decoction) added with Angelica Sinensis (Danggui). Afternoon fever indicates Yin-Blood Deficiency; treat with Si Wu Tang added with Ginseng (Renshen) and Atractylodes (Baizhu). Thin pus indicates Qi and Blood Deficiency; treat with Shi Quan Da Bu Tang (Great Tonification Decoction). Poor appetite and fatigue indicate Spleen Qi Deficiency; treat with Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction). Irritability, fever, and thirst with normal appetite indicate Stomach Fire; treat with Zhu Ye Huang Qin Tang (Bamboo Leaf and Scutellaria Decoction), or if ineffective, Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction). Fever, thirst, and frequent urination indicate Kidney Water Deficiency; treat with Jia Jian Ba Wei Wan (Modified Eight-Ingredient Pill). Once necrotic blood is cleared and new flesh appears slightly red with a white membrane around the edges, this signifies the vital Qi of the Stomach. Use Si Jun Zi Tang (Four Gentlemen Decoction) to nourish and tonify it, and healing will occur within days. If one recklessly uses flesh-promoting drugs while residual toxins remain, the condition will worsen. It is unknown that the occurrence of sores and ulcers stems from disharmony of Stomach Qi; their ulceration results from the rotting action of Stomach Qi; and their healing results from the nourishing action of Stomach Qi. Li Dongyuan said: The Stomach is the source of generation and the root of the human body. Zhu Danxi also stated: When treating sores and ulcers, one must support the Stomach and strengthen Qi to solidify the root. This is indeed true; can one not be cautious? (From *Jing Yan Quan Shu*)

Feng Luzhan stated: For wounds where muscles are injured and the sore does not heal, use Liu Jun Zi Tang (Six Gentlemen Decoction) primarily to tonify the Spleen and Stomach. If Qi Deficiency causes aversion to cold and non-healing, use Bu Zhong Yi Qi Tang to tonify the Spleen and Lung. If Blood Deficiency causes fever and non-healing, use Si Wu Tang (Four Substances Decoction) added with Ginseng to nourish the Liver and Spleen. If there is excessive pus and non-healing, use Ba Zhen Tang (Eight Treasures Decoction) or Shi Quan Da Bu Tang to nourish Blood and Qi. The Classics state: The Spleen governs the flesh. If previous treatments fail, simply use Si Jun Zi Tang, Dang Gui, and Huang Qi to tonify the Spleen and Stomach. If there is still no response, it indicates Yang Deficiency in the Lower Yuan; urgently use Ba Wei Wan (Eight-Ingredient Pill) to strengthen Fire to generate Earth. If the pulse is rapid and there is thirst, it is difficult to treat, indicating True Qi Deficiency and Pathogenic Excess. (From *Jin Nang*)

He also stated: After necrotic tissue is removed, if new flesh is slightly red with a white membrane around the edges, this represents the vital Qi of the Stomach. Simply use Si Jun Zi Tang (Four Gentlemen Decoction) to nourish and tonify it, and healing will occur quickly. The occurrence of sores and ulcers is due to disharmony of Stomach Qi; their ulceration is due to the rotting action of Stomach Qi; and their healing is due to the nourishing action of Stomach Qi.