夫疮疡溃后无寐，发热烦躁，血虚也。圣愈汤。自汗不止，无寐，气虚也。四君
子加黄 、五味子。发热烦躁，肉 筋惕，血虚也，八珍汤。大渴面赤，脉洪大而浮，
阴虚发热也，当归补血汤。肢体微热，烦躁面赤，脉沉微，阴盛发躁也，四君子加姜附。
夫疮疡出血，因五脏之气亏损，虚火动而错经妄行也。当求其经，审其因而治
之。若肝热而血妄行者，四物加炒栀、丹皮、苓、术。肝虚而不能藏血者，六味地
黄丸。心虚而不能生血者，四物加炒连、丹皮、苓、术。脾虚热而不能统血者，四君
加炒栀、丹皮。若脾经郁结，用归脾汤加五味子。脾肺气虚，用补中益气加五味子。
气血俱虚，用十全大补。阴火动，用六味丸加五味子。大凡失血过多，见烦热发渴
等证，勿论其脉，急用独参汤以补气。经曰∶血生于气，苟非参、 、归、术甘温
等剂，以生心肝之血，决不能愈。若发热脉大者，不治。凡患血证，皆当以犀角地
黄汤为主。东垣曰∶形气有余，病气有余，当泻不当补；形气不足，病气不足，当补不当泻。
大凡痈疽溃后，筋糜肉烂，脓血大泄，阳随阴散，或筋脉拘急，恶寒惕搦，甚者
舌强口噤，项背反张，痰涎壅盛，便闭出汗，不时发热，此气血俱虚而传变。虽与
破伤风相类，而主治之法，当大补气血。若
果系风证，亦须以大补气血为本，而兼以治风之药。若不审是非，而妄药之，则误矣。
澄曰∶男妇小儿，但是额、颅、眉、囟、耳、项，无论是疮是疖，溃后俱要用膏封
贴，不可经风露。若不慎，头面必发肿，宜外用红升丹膏盖提之，内服荆、防、僵蚕、
天麻、白芷等味散之，自愈。
After the ulceration of sores and carbuncles, if there is insomnia accompanied by fever and irritability, this is due to Blood deficiency. Shengyu Tang (Cure for Deficiency Decoction) may be used. If spontaneous sweating persists with insomnia, this is due to Qi deficiency. Six Gentlemen Decoction (Sijunzi Tang) added with Astragali Radix (Huangqi) and Schisandrae Fructus (Wuweizi) may be used. If fever, irritability, muscle twitching, and tendon tremors occur, this is due to Blood deficiency; Bahuang Tang (Eight Treasures Decoction) may be used. If there is extreme thirst, flushed face, and a flooding and floating pulse, this is Yin deficiency generating internal heat; Danggui Buxue Tang (Donggui Tonifying Blood Decoction) may be used. If there is slight heat in the limbs, irritability, flushed face, and a deep and minute pulse, this is agitation caused by excess Yin; Six Gentlemen Decoction (Sijunzi Tang) added with Zingiberis Rhizoma Recens (Shengjiang) and Aconiti Lateralis Radix Praeparata (Fuzi) may be used.
Bleeding from sores and carbuncles occurs because the Qi of the Five Viscera is depleted, causing deficient fire to stir and blood to flow recklessly outside its vessels. One must identify the affected meridian, examine the cause, and treat accordingly. If liver heat causes reckless bleeding, Four Substances Decoction (Siwu Tang) added with Gardeniae Fructus Preparatus (Chao Zhizi), Moutan Cortex (Danpi), Poria (Fuling), and Atractylodis Macrocephalae Rhizoma (Baizhu) may be used. If liver deficiency fails to store blood, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) may be used. If heart deficiency fails to generate blood, Four Substances Decoction (Siwu Tang) added with Coptidis Rhizoma Preparatum (Chao Lian), Moutan Cortex (Danpi), Poria (Fuling), and Atractylodis Macrocephalae Rhizoma (Baizhu) may be used. If spleen deficiency with heat fails to control blood, Six Gentlemen Decoction (Sijunzi Tang) added with Gardeniae Fructus Preparatus (Chao Zhizi) and Moutan Cortex (Danpi) may be used. If there is stagnation in the Spleen Meridian, Guipi Tang (Restore the Spleen Decoction) added with Schisandrae Fructus (Wuweizi) may be used. If there is Qi deficiency of the Spleen and Lung, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Schisandrae Fructus (Wuweizi) may be used. If both Qi and Blood are deficient, Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction) may be used. If deficient fire stirs, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) added with Schisandrae Fructus (Wuweizi) may be used. Generally, when excessive blood loss presents with symptoms such as vexation, heat, and thirst, regardless of the pulse, one should urgently use Danshen Tang (Single Ginseng Decoction) to tonify Qi. The Classics state: "Blood is born from Qi." Unless sweet-warm formulas containing Ginseng Radix et Rhizoma (Renshen), Astragali Radix (Huangqi), Angelicae Sinensis Radix (Danggui), and Atractylodis Macrocephalae Rhizoma (Baizhu) are used to generate the blood of the Heart and Liver, recovery is impossible. If there is fever with a large pulse, the condition is incurable. For all blood disorders, Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) should be the primary formula. Li Dongyuan stated: "If both constitutional Qi and pathogenic Qi are sufficient, purgation is indicated rather than tonification; if both constitutional Qi and pathogenic Qi are insufficient, tonification is indicated rather than purgation."
Generally, after the ulceration of carbuncles, tendons and flesh rot, and pus and blood are massively discharged. Yang dissipates along with Yin. This may result in tendon constriction and urgency, aversion to cold, and tremors or convulsions. In severe cases, it presents with a stiff tongue, locked jaw, opisthotonos (arching of the back and neck), abundant phlegm and saliva, constipation with sweating, and intermittent fever. This is a transmission of disease due to dual deficiency of Qi and Blood. Although this resembles wind-stroke (tetanus), the primary treatment method should be massive tonification of Qi and Blood. Even if it is indeed a wind disorder, the foundation must still be massive tonification of Qi and Blood, supplemented by herbs that dispel wind. If one fails to distinguish the nature of the disease and prescribes indiscriminately, errors will occur. Gu Shicheng said: "For men, women, and children, whether the lesion is on the forehead, skull, eyebrows, fontanelle, ears, or neck, and whether it is a sore or a boil, after ulceration, ointments must be applied to seal the wound. Exposure to wind and cold must be avoided. If carelessness occurs and swelling develops on the head and face, Hongshengdan Gao (Red Ascendant Paste) should be applied externally to draw out toxins, while Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix), Jiangcan (Bombyx Batryticatus), Tianma (Gastrodiae Rhizoma), and Baizhi (Angelicae Dahuricae Radix) should be taken internally to disperse the pathogen, leading to natural recovery."