\r骨羡疮\p04-a41a146.bmp\r
申斗垣曰∶骨羡疮，乃足太阳膀胱经多血少气，生于神堂二穴，乃隔关、膈俞
穴。初发作痒不可忍，如燎浆水 ，抓破内见骨，过十日遍身作痒，不可治也。（《启玄》）。
申斗垣曰∶黄瓜痈，生胁前，长尺余，
高起二寸。上头小者谓之逆毒难治，下头小者谓之顺毒可治（《启玄》）
\r黄瓜痈\p04-a41a147.bmp\r
\r腰带痈\p04-a41a148.bmp\r
汪省之曰∶腰带痈生于胁下近腹束带之处。乃风热留滞膀胱，不能渗利，壅于肌表而成也。（《理例》）
窦汉卿曰∶火腰带毒，乃心肝二经热毒，流滞于膀胱不行，壅于皮肤，此风毒也。宜清肝为主，忌外敷药。（《全书》）
薛立斋曰∶火腰带生系带之处，初起如桃，渐渐红肿，宜用断毒截腰法敷之。否
则渐生五六小毒，沿腰如索缠绕，先赤肿，后溃烂，寒热交作，疼痛难忍，其色紫恶。
断毒截腰法
白芨 雄黄（各一两）
研细末。鸡蛋清调敷四围六七重，干则易之。敷五六日不再流则妙。
《心法》曰∶幽痈生脐上七寸，初起如粟，渐增漫肿疼痛，形如鹅卵，甚则坚硬，
痛牵胸肋，由过食膏粱浓味，忧思气结，肠胃不通，火郁成毒，自内而外发也。
Bone Exostosis Ulcer (Gu Xian Chuang)
Shen Douyuan stated: Bone exostosis ulcer is a disease occurring in the Foot-Taiyang Bladder Meridian (a meridian characterized by abundant blood and deficient qi). It arises near the Shentang (BL-44) acupoint, located between the Guanyuanshu (BL-23) and Geshushu (BL-17) acupoints. In the initial stage, it presents with unbearable itching, resembling blistering water sores; if scratched open, bone may be visible underneath. If, after ten days, the entire body becomes itchy, the condition is incurable. (From *Qixuan*)
Cucumber Carbuncle (Huang Gua Yong)
Shen Douyuan stated: Cucumber carbuncle arises on the anterior aspect of the hypochondrium, measuring more than one chi in length and protruding two cun in height. If the upper end is small and the lower end large, it is termed "Reverse Toxin" (Ni Du), which is difficult to treat; if the lower end is small and the upper end large, it is termed "Smooth Toxin" (Shun Du), which is treatable. (From *Qixuan*)
Belt Carbuncle (Yao Dai Yong)
Wang Shengzhi stated: Belt carbuncle arises at the hypochondriac region near the waist where the belt is tied. It is caused by wind-heat pathogenic factors stagnating in the Bladder Meridian, failing to seep and drain properly, and accumulating in the muscular surface. (From *Lili*)
Dou Hanqing stated: Fire Belt Toxin results from heat-toxin in the Heart and Liver meridians flowing into and stagnating in the Bladder Meridian without moving, accumulating in the skin. This constitutes wind-toxin. Treatment should primarily focus on clearing the Liver. External applications are contraindicated. (From *Quan Shu*)
Xue Lizhai stated: Fire Belt arises at the location corresponding to the belt tie. Initially, it resembles a peach, gradually becoming red and swollen. The "Du Jie Yao Fa" (Method to Cut Off Toxin and Intercept the Waist) should be applied externally. Otherwise, five or six smaller toxic nodules will gradually develop, winding around the waist like a rope. They first present as red and swollen, then ulcerate, accompanied by alternating chills and fever, unbearable pain, and a purple, foul discoloration.
Method to Cut Off Toxin and Intercept the Waist (Duan Du Jie Yao Fa)
Bletilla Rhizome (Bai Ji) and Realgar (Xiong Huang) (one liang each)
Grind into fine powder. Mix with egg white and apply to the periphery of the lesion for six to seven layers thick. Replace when dry. If discharge ceases after five to six days of application, the outcome is excellent.
*Xin Fa* stated: You Yong (Deep Carbuncle) arises seven cun above the umbilicus. Initially, it resembles a millet grain, gradually increasing in size with diffuse swelling and pain, taking the shape of a goose egg. In severe cases, it becomes hard, and the pain radiates to the chest and hypochondrium. This condition arises from excessive consumption of rich and greasy foods, combined with worry and anxiety causing Qi stagnation and intestinal obstruction. Heat becomes郁 (stagnant/oppressed) and transforms into toxin, erupting from the interior to the exterior.