痛，尺脉紧而无力者，托之。肿硬痛甚者，隔蒜灸之，更以解毒。不作脓而痛者，解
毒为主。不作脓者，托里为主。不溃，或溃而不敛者，托里为主。
一男子臀痈，肿硬作痛，尺脉浮紧，按之无力。以内托羌活汤，一剂痛止。以金银花散
四剂，脓溃而愈。
一男子臀痈，肿硬痛甚，隔蒜灸之。更服仙方活命饮，二剂痛止。更以托里消毒散，脓
溃而瘥。
一男子臀痈，不作脓，饮食少思。先用六君子汤加芎、归、黄 ，饮食渐进。更以托里
消毒散，脓溃而愈。
一男子溃而脓清不敛，以豆豉饼灸之。更饮十全大补汤，两月余而痊。凡疮不作脓，或
不溃，或溃而不敛，皆气血之虚也。若脓清稀，尤其虚甚也（虚实详见溃疡作痛门。）
一男子臀痈，脓水不止，肌肉渐瘦，饮食少思，胃脉微弦。以六君子汤加藿香、当归数
剂，饮食遂进。饮以十全大补汤及豆豉饼灸之，两月余而敛。
一弱人臀痈，脓成不溃。以十全大补汤数剂，始托起，乃针之，又二十余剂而愈。夫
臀居僻位，气血罕到，老弱人患之，尤宜补其气血，庶可保痊。
一男子腿内侧患痈，未作脓而肿痛，以内托黄 柴胡汤二剂，少愈，又二剂而消。
一男子臀漫肿，色不变，脉滑数而无力，此臀痈也。脓将成，尚在内，余欲治以托里药
，待
疮毒瓦斯已结，不起者，但可补其气血，使脓速成而针去，不可论内消之法。脓成，又当辨其
生熟
；按之即复起者，有脓也；按之不复起者，无脓也。若肿高而软者，发于血脉；肿下而坚者
，发于筋骨；肉色不相变者，发于骨髓也。
一男子腿外侧患痈，漫肿大痛，以内托黄 酒煎汤，二剂少可。更以托里散数剂，溃之而愈
一妇人腿痈，久而不愈，疮口紫陷，脓水清稀，余以为虚。彼不信，乃服攻里之剂，虚
证蜂
气血虚极也，最宜大补，否则成败证。若更患他证，尤难治愈。
一男子腿痈内溃，针之，脓出四五碗许，恶寒畏食，脉诊如丝，此阳气微也。以四君子
汤，
补汤，及附子饼两月而愈。
一老人腿患痈，脓自溃，忽发 瞀，脉细而微，此气血虚极也，以大补之剂而苏。 一
弱人
子一钱，二剂少愈。更以大补药，月余而痊。大抵脓血大泄，当大补气血为先，虽有他证，
以末治之。凡痈大溃，发热恶食，皆属气血虚甚。若左手脉不足者，补血药当多于补气药；
右手脉不足者，补气药当多于补血药；切不可发表。
一妇人患腰痛脚弱，弛长不能动履。以人参败毒散加苍术、黄柏、泽泻而愈。
一妇人环跳穴作痛，肉色不变，脉紧数，此附骨疽也。脓未成，用内托黄 酒煎汤加青
皮、龙胆草、山栀，数剂而消。
一男子患腿痈，兼筋挛痛，脉弦紧。用五积散，加黄柏、柴胡、苍术，治之而愈。
一妇人患附骨疽，久不愈，脓水不绝，皮肤瘙痒，四肢痿软。余以为虚，欲补之。彼惑
为风
心肝脾肺肾以主之。若随情妄用，喜怒劳佚，致五内精血虚耗，使皮血筋骨肉痿弱无力以运
动，故致痿 ，状与柔风香港脚相类。柔风香港脚皆外所因，痿则五内不足之所致也。
一男子患附骨疽，肿硬发热，骨痛筋挛，脉数而沉，用当归拈痛汤而愈。
一男子腿根近环跳穴患痛彻骨，外皮如故，脉数而带滑，此附骨疽。脓将成，用托里药
六剂。肿起作痛，脉滑数，脓已成，针之，出碗许，更加补剂，月余而瘳。
一男子腿内患痈，漫肿作痛，四肢厥，咽喉塞，发寒热。诸治不应，乃邪郁经络而然也
。用五香连翘汤，一剂诸证少退。又服，大便行二次，诸证悉退而愈。
一妇人两腿作痛，不能伸展，脉弦紧，按之则涩。先以五积散，二剂痛少止，又一剂而
止。更以神应养真，而能伸屈。
一男子患腿痛，膝微肿，轻诊则浮，按之弦紧，此鹤膝风也。与大防风汤，二剂已退二
三。
微，灌溉脏腑，周身百脉，神将何依然，故气短而促，真气损也。怠惰嗜卧，脾气衰也。小
便不禁，膀胱不藏也。时有躁热，心下虚痞，胃气不能上荣也。恍惚健忘，神明乱也。不治
，后果然。此证多患于不足之人，故以加减小续命、大防风二汤有效，若用攻毒药必误。
一妇人患香港脚，或时腿筋挛，腹作痛，诸药不应，渐危笃。诸书云∶八味丸，治足少阴
，脚
肾乘心，水克火，死不旋踵，宜急服。
一男子腿痛，兼筋挛骨痛，脉弦紧。以大防风汤二剂，挛少愈，又二剂而肿消。但内一
处，
肿发起，脉滑数，乃脓已成矣，针之。用十全大补汤，月余而安。
一妇人膝肿痛，遇寒痛益甚，月余不愈，诸药不应，脉弦紧，此寒邪深伏于内也。用大
防风
气得以深袭，若真气壮实，邪气焉能为患邪！故附骨痈疽，及鹤膝风证，肾虚者多患之。前
人用附子者，以温补肾气，而又能行药势，散寒邪也。亦有体虚之人，秋夏露卧，为冷气所
袭，寒热伏结，多成此证，不能转动，乍寒乍热而无汗，按之痛应骨者是也。若经久不消，
极阴生阳，寒化为热而溃也。若被贼风所伤，患处不甚热，而洒淅恶寒，不时汗出，熨之痛
少止，须大防风汤及火龙膏治之。若夫治为弯曲偏枯，有坚硬如石，谓之石疽。若热缓，积
日不溃，肉色亦紫，皮肉俱烂，名缓疽。其始末皆宜服前汤，欲其驱散寒邪，以补虚托里也
。
一男子右腿赤肿 痛，脉沉数。用当归拈痛汤，四肢反痛，乃湿毒壅遏。又况下部，药
难达，非药不对症，遂砭患处，去毒血，仍用前药，一剂顿减，又四剂而消。
一男子先腿痛，后四肢皆痛，游走不定，至夜益甚。服除湿败毒之剂，不应。诊其脉滑
而涩
湿热，或死血流注关节，非辛温之剂，开发腠理，流通隧道，使气行血和，焉能得愈。
一男子腿痛，每痛则痰盛，或作嘈杂，脉滑而数。以二陈汤加升麻、二术、泽泻、羌活
、南星，治之而安。
一男子素有香港脚，胁下作痛，发热头晕，呕吐，腿痹不仁。服消毒护心等药，不应。左
关脉紧，右关脉弦，此亦香港脚也。以半夏左经汤，治之而愈。
一男子脚软肿痛，发热饮冷，大小便秘，右关脉数，乃足阳明经湿热流注也。以大黄左
经汤，治之而愈。
一男子 胫兼踝脚皆 痛，治以加味败毒而愈。
一男子两腿痛，脉滑而迟，此湿痰所致。以二陈汤加二术、黄柏、羌活、泽泻，治之而
消。
一男子两腿肿痛，脉滑而缓，此湿痰所致也。先以五苓散加苍术、黄柏，二剂少愈。更
以二
为主，若中气和，则痰自消，而湿亦无所容矣。
一妇人两腿痛，脉涩而数，此血虚兼湿热。先以苍术、黄柏、知母、龙胆草、茯苓、防
风、防己、羌活，数剂肿痛渐愈。又以四物汤加二术、黄柏、牛膝、木瓜，月余而愈。
一男子肢节肿痛，脉迟而数，此湿热之证。以荆防败毒散加麻黄，二剂痛减半。以槟榔
败毒散，四剂肿亦消。更以四物汤加二术、牛膝、木瓜，数剂而愈。
一妇人脚胫肿痛，发寒热，脉浮数。此三阳经湿热，下注为患，尚在表。用加味败毒散
治之，不应。乃瘀血凝结，药不能及也。于患处砭去瘀血，乃用前药，二剂顿退。以当归
拈痛汤，四剂而愈。杨大受云∶香港脚是为壅疾，治法宜宣通之，使气不能成壅也。壅既成而
甚者，砭去恶血，而去其重势。经云∶蓄则肿热，砭射之后，以药治之。
一妇人两腿痛，遇寒则筋挛，脉弦而紧，此寒邪之证。以五积散对四物汤，数剂痛止
。更以四物汤加木瓜、牛膝、枳壳，月余而愈。
一男子腿肿筋挛，不能动履。以交加散，二剂而愈。
一妇人患腿痛，不能伸屈，遇风寒，痛益甚，诸药不应，甚苦。先以活络丹，一丸顿退
，又服而瘳。次年复痛，仍服一丸，亦退大半。更以加味败毒散，四剂而愈。
一男子素有香港脚，又患附骨痈作痛，服活络丹一丸，二证并瘥。 上舍俞鲁用素有疝，
不能
，二丸而瘥。 留都金二官女，患惊风甚危，诸医皆勿救，自用一丸即愈，且不再作。夫病
深伏在内，非此药莫能通达。但近代始云∶此药引风入骨，如油面之说，故后人多不肯服。
大抵有是病，宜用是药，岂可泥于此言，以致难瘥。
一妇人两腿作痛，时或走痛，气短自汗，诸药不应。诊之尺脉弦缓，此寒湿流注于肾经
也。
，何足为虑。余中气不足以补中益气汤加附子，服之三年，何见其毒也。经云∶有是病，用
是药。
一妇人肢节肿痛，胫足尤甚，时或自汗，或头痛，此太阳经湿热所致。用麻黄左经汤，
二剂而愈。
一妇人患血痔，兼腿酸痛，似痹，此阴血虚不能养于筋而然也。宜先养血为主，遂以加
味四斤丸治之而愈。
一老人筋挛骨痛，两腿无力，不能步履。以局方换腿丸治之。 一妇人筋挛痹纵，两腿
无力
乃因血海虚而七情所感，遂成斯疾。今妇人病此亦众，则知妇人以血海虚而得之，与男子肾
虚类也。男女用药固无异，更当兼治七情无不效也。
一妇人患腿痛，兼足胫挛痛，服发散药愈甚，脉弦紧，此肾肝虚弱风湿内侵也。以独活
寄生汤，治之痛止。更以神应养真丹，而弗挛矣。
一男子素有腿痛，饮食过伤，痛益甚，倦怠脉弱。以六君子汤加山楂、神曲、苍术、当
归、升麻、柴胡而愈。
一老人素善饮，腿常肿痛，脉洪而缓。先以当归拈痛汤，候湿热少退，后用六君子汤加
苍术、黄柏、泽泻，治之而痊。
一男子每饮食少过，胸膈痞闷，或吞酸，两腿作痛。用导引丸，二服频愈。更以六君子
汤加
，脾气不能四布，故下流乘其肝肾之虚，以致足肿。加之房事不节，阳虚阴盛，遂成香港脚。
亦有内伤饮食，脾胃之气有亏，不能上升，则下注为香港脚者，宜用东垣开结导引丸，开导引
水，运化脾气，如脾气虚弱，壅遏不通，致面目发肿，或痛者，宜用导滞通经汤，以疏导。
（以上十九条乃香港脚证，虽非疮毒，因治有验，故录之。）
附方
内托羌活汤 治尻臀患痈，坚硬肿痛，两尺脉紧按之无力。
羌活 黄柏（各二钱） 防风 当归尾 本（各一钱） 肉桂（一钱） 连翘 甘草（炙）
苍术
，食前服。
膈蒜灸法
槐花酒
仙方活命饮（三方见发背）
金银花散（方见作呕门）
托里消毒散（方见肿疡门）
六君子汤（方见作呕门）
豆豉饼 治疮疡肿硬不溃，及溃而不敛，并一切顽疮恶疮。用江西豆豉为末，唾
津和作
，
毒顿减。前人俱称有奇功，不可忽之。
十全大补汤（方见溃疡发热门）
独参汤（方见杖疮门）
内托黄 柴胡汤 治湿热，腿内近膝股患痈，或附骨痈，初起肿痛，此太阴厥阴
之分位也。脉细而弦，按之洪缓有力。
黄 （盐水拌炒，二钱） 柴胡 土瓜根（各一钱） 羌活（五分） 连翘（一钱五分） 肉桂
生
内托黄 酒煎汤 治寒湿腿外侧少阳经分患痈，或附骨痈，坚硬漫肿作痛，或侵
足阳明经，亦治之。
黄 （盐水拌炒，二钱） 柴胡（一钱半） 连翘 肉桂（各一钱） 黄柏（五分） 大力子（
炒，
前服。
附子饼 治溃疡，气血虚不能收敛，或风邪袭之，以致气血不能，运于疮所，不
。用炮附子去皮脐，研末，以唾津和为饼，置疮口处，将艾壮于饼上，灸之。每日灸数次，
但令微热，勿令痛。如饼干，再用唾津和做，以疮口活润为度。
四君子汤 治脾胃不健，饮食少思，肌肉不生，肢体倦怠。
人参 茯苓 白术（炒，各二钱） 甘草（炙，五分） 作一剂，水二钟，姜三片，枣二
枚，煎八分，食远服。
人参败毒散（方见溃疡发热门）
五积散 治风寒湿毒，客于经络，致筋挛骨痛，或腰脚酸疼，或拘急，或身重痛
，并治之。
苍术（二钱半） 桔梗（炒，一钱二分） 陈皮（去白，六分） 白芷（三分） 甘草（炙） 当
归（
，四分） 枳壳（面炒，六分） 桂心（一钱） 浓朴（姜制，四分） 作一剂，水二钟，姜三片
，枣一枚，煎一钟服。
当归拈痛汤 治湿热下注，腿脚生疮，或脓水不绝，或赤肿，或痒痛，或四肢遍
羌活（五钱） 人参 苦参（酒制） 升麻 葛根 苍术（各二钱） 甘草（炙） 黄芩（酒拌）
茵
作四剂，水二钟，煎一钟，空心并临睡服之。
大防风汤 治三阴之气不足，风邪乘之，两膝作痛，久则膝大，腿愈细，因名曰
∶鹤膝风，乃败证也。非此方不能治，又治痢后脚痛缓弱，不能行步，或腿膝肿痛。
附子（炮，一钱） 白术（炒） 羌活 人参（各二钱） 川芎（一钱五分） 防风（二钱） 甘
草（
杜仲（姜制，三钱） 熟地黄（用生者酒拌半月，忌铁器，二钱） 作一剂，水二钟，姜三片，
煎八分，空心服。愈后尤宜谨调摄，更服还少丹，或加桂，以行地黄之滞。若脾胃虚寒之人
，宜服八味丸。
补中益气汤（方见溃疡发热门）
Pain, if the radial pulse is tight and powerless, employ the supporting method. If swelling is hard and pain is severe, apply garlic-separated moxibustion and combine with detoxifying herbs. If pus does not form but pain persists, prioritize detoxification. If pus does not form, prioritize tonifying qi and blood to support toxin expulsion. If it does not ulcerate, or ulcerates but fails to heal, prioritize tonifying qi and blood to support toxin expulsion.
A man suffered from a carbuncle on the buttock, with swelling, hardness, and pain; the radial pulse was floating and tight, powerless upon deep pressure. After one dose of Neituo Qianghuo Tang (Internal Supporting Notopterygium Decoction), the pain ceased. After four doses of Jinyinhua San (Honeysuckle Powder), pus drained and he recovered.
A man suffered from a carbuncle on the buttock, with severe swelling, hardness, and pain. He underwent garlic-separated moxibustion. Subsequently, he took Xianfang Huoming Yin (Immortal Recipe for Life-Preserving Infusion); after two doses, the pain stopped. Then, using Tuoli Xiaodu San (Supporting Interior Detoxifying Powder), pus drained and he healed.
A man suffered from a carbuncle on the buttock, without pus formation, decreased appetite, and poor desire for food. First, Liu Junzi Tang (Six Gentlemen Decoction) was administered with Chuanxiong, Danggui, and Huangqi; his diet gradually improved. Then, Tuoli Xiaodu San (Supporting Interior Detoxifying Powder) was given; pus drained and he recovered.
A man’s ulcer had opened, but the pus was clear and thin, failing to heal. He was treated with Fermented Soybean Cake Moxibustion. Subsequently, Shiquan Dabu Tang (Ten Complete Tonifying Decoction) was drunk; after more than two months, he recovered. Generally, when sores fail to form pus, fail to ulcerate, or ulcerate but fail to heal, it is due to deficiency of qi and blood. If the pus is clear and thin, it indicates especially severe deficiency (see the section on Ulcer Pain for details on excess and deficiency).
A man suffered from a carbuncle on the buttock, with continuous clear pus, gradual muscle wasting, decreased appetite, and a slightly wiry stomach pulse. After several doses of Liu Junzi Tang (Six Gentlemen Decoction) added with Huoxiang and Danggui, his diet improved. He drank Shiquan Dabu Tang (Ten Complete Tonifying Decoction) and received Fermented Soybean Cake Moxibustion; after more than two months, the wound closed.
A frail person suffered from a carbuncle on the buttock, where pus had formed but failed to open. After several doses of Shiquan Dabu Tang (Ten Complete Tonifying Decoction), the pathogen was supported outwardly, then punctured with a needle; after another twenty-plus doses, he recovered. The buttock is in a remote location where qi and blood rarely reach. For elderly and weak persons suffering from this, it is especially necessary to tonify qi and blood to ensure recovery.
A man suffered from a carbuncle on the medial thigh. Before pus formation, there was swelling and pain. After two doses of Neituo Huangqi Chaihu Tang (Internal Supporting Astragalus and Bupleurum Decoction), symptoms slightly improved; after two more doses, it resolved.
A man suffered from diffuse swelling on the buttock, with unchanged skin color, and a slippery, rapid, yet powerless pulse; this was a buttock carbuncle. Pus was about to form but remained internal. I intended to treat with interior-supporting medicines, waiting for the carbuncle toxin to consolidate. For those that do not rise, only tonifying qi and blood is needed to hasten pus formation before puncturing; internal resolution methods should not be discussed. Once pus has formed, one must distinguish between "raw" and "ripe": if pressing causes immediate rebound, there is pus; if pressing does not cause rebound, there is no pus. If swelling is high and soft, it originates in the blood vessels; if low and hard, it originates in the sinews and bones; if skin color remains unchanged, it originates in the bone marrow.
A man suffered from a carbuncle on the lateral thigh, with diffuse swelling and severe pain. After two doses of Neituo Huangqi Wine-Infused Decoction, symptoms slightly improved. Then, several doses of Tuoli San (Supporting Interior Powder) were given; it ulcerated and healed.
A woman suffered from a leg carbuncle that failed to heal for a long time. The sore opening was purple and sunken, with clear, thin pus. I considered this a deficiency. She did not believe me and instead took purgative medicines, causing deficiency syndromes to arise. This is extreme deficiency of qi and blood, requiring strong tonification; otherwise, it will become a failure syndrome. If other syndromes occur subsequently, healing will be particularly difficult.
A man suffered from an internal ulceration of a leg carbuncle. Puncture yielded approximately four to five bowls of pus. He experienced aversion to cold and food, and his pulse was thread-like; this indicated slight yang qi. He took Sijunzi Tang (Four Gentlemen Decoction), tonifying medicines, and received Fuzi Cake Moxibustion; after two months, he recovered.
An elderly person suffered from a leg carbuncle that spontaneously ulcerated. Suddenly, he experienced dizziness and blurred vision, with a fine and faint pulse; this indicated extreme deficiency of qi and blood. He revived after taking strong tonifying agents.
A frail person suffered from a leg carbuncle. Taking one qian of Renshen (Ginseng Root), symptoms slightly improved after two doses. Using strong tonifying agents, he recovered after more than a month. Generally, after massive loss of pus and blood, strong tonification of qi and blood must be prioritized. Even if other syndromes exist, they should be treated secondarily. Generally, after a carbuncle ulcerates severely, fever and aversion to food indicate extreme deficiency of qi and blood. If the left-hand pulse is insufficient, blood-tonifying herbs should outweigh qi-tonifying herbs; if the right-hand pulse is insufficient, qi-tonifying herbs should outweigh blood-tonifying herbs. One must absolutely avoid releasing the exterior.
A woman suffered from lower back pain and weak legs, flaccidity preventing movement. She recovered after taking Renshen Baidu San (Ginseng Detoxifying Powder) added with Cangzhu, Huangbai, and Zexie.
A woman suffered from pain at the Huantiao acupoint, with unchanged skin color and a tight, rapid pulse; this was deep-bone abscess (Guji). Before pus formation, Neituo Huangqi Wine-Infused Decoction was taken with Qingpi, Longdancao, and Zhizi; after several doses, it resolved.
A man suffered from a leg carbuncle accompanied by tendon spasms and pain, with a wiry-tight pulse. He was treated with Wuji San (Five Accumulations Powder) added with Huangbai, Chaihu, and Cangzhu, and recovered.
A woman suffered from deep-bone abscess (Guji) that failed to heal for a long time, with continuous pus, skin itching, and flaccid limbs. I considered this deficiency and proposed tonification. The patient doubted, thinking it was wind. Heart, Liver, Spleen, Lung, and Kidney govern bodily functions. If drugs are used recklessly according to emotions, or if anger, joy, labor, and rest are imbalanced, leading to depletion of essence and blood in the five zang organs, the skin, blood, sinews, bones, and flesh become flaccid and unable to move, resulting in Wei syndrome (flaccidity). Its appearance is similar to Roufeng Hongkong Foot (soft wind gout). Roufeng Hongkong Foot is caused by external factors, whereas Wei syndrome is caused by insufficiency of the five internal organs.
A man suffered from deep-bone abscess (Guji), with swelling, hardness, fever, bone pain, and tendon spasms, with a rapid and deep pulse. He recovered after taking Danggui Niantong Tang (Angelica Joint-Pain Relieving Decoction).
A man suffered from pain penetrating to the bone near the Huantiao acupoint at the root of the leg, with normal outer skin, and a rapid, slightly slippery pulse; this was deep-bone abscess (Guji). Pus was about to form. Six doses of interior-supporting medicine were given. Swelling rose and became painful, pulse became slippery and rapid, indicating pus had formed. It was punctured, yielding about one bowl of pus. Additional tonifying agents were given; he recovered after more than a month.
A man suffered from a leg carbuncle with diffuse swelling and pain, cold extremities, throat obstruction sensation, and alternating chills and fever. Various treatments failed; this was due to pathogenic factor stagnation in the meridians. Wuxiang Lianqiao Tang (Five Fragrant Forsythia Decoction) was taken; after one dose, symptoms slightly receded. Upon further intake, bowel movements occurred twice, all symptoms receded, and he recovered.
A woman suffered from pain in both legs, unable to extend them, with a wiry-tight pulse, rough upon deep pressure. First, Wuji San (Five Accumulations Powder) was taken; after two doses, pain slightly stopped, and after one more dose, it ceased. Shenying Yangzhen Dan (Divine Response Nourishing True Pill) was then taken, allowing extension and flexion.
A man suffered from leg pain, slight knee swelling, floating upon light palpation, and wiry-tight upon deep pressure; this was Crane Knee Wind (Xixifeng). Da Fangfeng Tang (Great Saposhnikovia Decoction) was given; after two doses, symptoms receded by two or three parts.
Shortness of breath and rapid breathing indicate damage to true qi. Lethargy and propensity to lie down indicate decline of spleen qi. Incontinence of urine indicates bladder inability to store. Occasional irritability and heat, empty fullness below the heart, indicate stomach qi failing to nourish upwards. Absent-mindedness and forgetfulness indicate disorder of spirit and mind. If untreated, the outcome was indeed as predicted. This syndrome often affects those with deficiency; thus, Jiajian Xiao Xuming Tang (Modified Minor Continuing Life Decoction) and Da Fangfeng Tang (Great Saposhnikovia Decoction) are effective. Using toxic purgatives would certainly be a mistake.
A woman suffered from Hong Kong Foot (gout/polio), with occasional leg tendon spasms and abdominal pain. Various medicines failed, and she gradually became critical. Medical texts state: Bawei Wan (Eight Ingredients Pill) treats Shaoyin... Kidney overacting on Heart, Water overcoming Fire, death imminent; urgent administration is required.
A man suffered from leg pain, accompanied by tendon spasms and bone pain, with a wiry-tight pulse. Da Fangfeng Tang (Great Saposhnikovia Decoction) was taken; after two doses, spasms slightly improved, and after two more doses, swelling subsided. However, swelling arose internally, pulse became slippery and rapid, indicating pus had formed. It was punctured. Shiquan Dabu Tang (Ten Complete Tonifying Decoction) was taken; he stabilized after more than a month.
A woman suffered from knee swelling and pain, worsening with cold, lasting over a month without improvement despite various medicines. Pulse was wiry-tight; this indicated deep-severe cold pathogen. Da Fangfeng Tang (Great Saposhnikovia Decoction) was used. Cold pathogen invades deeply; if true qi is robust, how can pathogen cause harm? Thus, deep-bone abscess (Guji) and Crane Knee Wind (Xixifeng) are often suffered by those with kidney deficiency. Ancients used Fuzi (Aconite Root) to warm and tonify kidney qi, promote drug action, and disperse cold. Also, frail persons sleeping exposed in autumn/summer may be attacked by cold air, leading to latent cold-heat knotting, forming this syndrome, unable to turn, alternating chills and fever without sweat, pain responding to bone upon pressure. If unresolved for a long time, extreme yin generates yang, cold transforms into heat, and it ulcerates. If injured by thief wind, the affected area is not very hot, but shivering with aversion to cold, intermittent sweating, pain relieved by warming requires Da Fangfeng Tang (Great Saposhnikovia Decoction) and Huolong Gao (Fire Dragon Ointment). If treated incorrectly leading to curvature and hemiplegia, with hardness like stone, it is called Stone Abscess (Shiju). If heat is mild, days pass without ulceration, flesh color becomes purple, skin and flesh rot, it is called Slow Abscess (Huanju). Throughout beginning and end, the aforementioned decoction should be taken to dispel cold pathogen and tonify deficiency while supporting interior.
A man suffered from red, swollen, painful right leg, with a deep, rapid pulse. Danggui Niantong Tang (Angelica Joint-Pain Relieving Decoction) was taken, but limb pain worsened, indicating damp-toxin stagnation. Moreover, in the lower body, drugs are hard to reach. It was not a mismatch of drug and syndrome. Pricking the affected area to release toxic blood was performed, followed by the previous medicine; after one dose, symptoms drastically reduced, and after four doses, it resolved.
A man first had leg pain, then pain in all four limbs, wandering and fixed nowhere, worsening at night. Damp-draining and detoxifying agents failed. Pulse was slippery and rough; damp-heat or dead blood flowing into joints. Without acrid-warm agents to open interstices, unblock tunnels, and harmonize qi and blood, how could he recover?
A man suffered from leg pain; each time it hurt, phlegm increased, or epigastric discomfort occurred. Pulse was slippery and rapid. Erchen Tang (Two Aged Agents Decoction) was taken with Shengma, Baizhu, Ze xie, Qianghuo, and Tianxing; he stabilized.
A man had chronic Hong Kong Foot (gout/polio), pain under ribs, fever, dizziness, vomiting, and leg numbness. Detoxifying and heart-protecting medicines failed. Left Guan pulse was tight, Right Guan pulse was wiry; this too was Hong Kong Foot (gout/polio). Banxia Zuojing Tang (Pinellia Left Meridian Decoction) was taken; he recovered.
A man suffered from soft, swollen, painful feet, fever, craving cold drinks, constipation of urine and stool, and a rapid Right Guan pulse; this was damp-heat flowing into the Foot Yangming Meridian. Dahuang Zuojing Tang (Rhubarb Left Meridian Decoction) was taken; he recovered.
A man suffered from pain in the shin and ankle. Treated with Jiawei Baidu San (Modified Detoxifying Powder); he recovered.
A man suffered from pain in both legs, with a slippery, slow pulse; this was caused by damp-phlegm. Erchen Tang (Two Aged Agents Decoction) was taken with Baizhu, Huangbai, Qianghuo, and Zexie; it resolved.
A man suffered from swelling and pain in both legs, with a slippery, moderate pulse; this was caused by damp-phlegm. First, Wuling San (Five Ling Powder) was taken with Cangzhu and Huangbai; after two doses, slightly improved. Then, Erchen Tang (Two Aged Agents Decoction)... primarily, if middle qi harmonizes, phlegm disappears naturally, and dampness has no place to reside.
A woman suffered from pain in both legs, with a rough, rapid pulse; this was blood deficiency combined with damp-heat. First, Cangzhu, Huangbai, Zhimu, Longdancao, Fuling, Fangfeng, Fangji, and Qianghuo were taken; after several doses, swelling and pain gradually improved. Then, Siwu Tang (Four Substance Decoction) was taken with Baizhu, Huangbai, Niuxi, and Mugua; she recovered after more than a month.
A man suffered from joint swelling and pain, with a slow, rapid pulse; this was a damp-heat syndrome. Jingfang Baidu San (Aster and Saposhnikovia Detoxifying Powder) added with Mahuang was taken; after two doses, pain halved. Binglang Baidu San (Betel Nut Detoxifying Powder) was taken; after four doses, swelling also subsided. Then, Siwu Tang (Four Substance Decoction) was taken with Baizhu, Niuxi, and Mugua; after several doses, he recovered.
A woman suffered from shin swelling and pain, with chills and fever, and a floating, rapid pulse. This was damp-heat in the Three Yang Meridians flowing downward, still in the exterior. Jiawei Baidu San (Modified Detoxifying Powder) was used; it failed. This was due to congealed stasis blood, inaccessible to drugs. Pricking the affected area to remove stasis blood was performed, then the previous medicine was used; after two doses, symptoms drastically receded. Danggui Niantong Tang (Angelica Joint-Pain Relieving Decoction) was taken; after four doses, she recovered. Yang Dashou said: Hong Kong Foot (gout/polio) is a congestive disease; treatment should promote circulation to prevent qi congestion. If congestion is severe, pricking removes bad blood to reduce heavy pathogen. The Classic says: Stagnation causes swelling and heat; after pricking, treat with medicine.
A woman suffered from pain in both legs, tendon spasms upon cold exposure, with a wiry-tight pulse; this was a cold pathogen syndrome. Wuji San (Five Accumulations Powder) combined with Siwu Tang (Four Substance Decoction) was taken; after several doses, pain stopped. Then, Siwu Tang (Four Substance Decoction) was taken with Mugua, Niuxi, and Zhike; she recovered after more than a month.
A man suffered from leg swelling and tendon spasms, unable to move or walk. Jiajiao San (Interlacing Dispersion) was taken; after two doses, he recovered.
A woman suffered from leg pain, unable to extend or flex, worsening with wind-cold, failing to respond to various medicines, causing great suffering. First, Huoluo Dan (Meridian-Unblocking Pill) was taken; one pill drastically reduced symptoms, and further intake healed her. Pain recurred next year; one pill again reduced it by half. Then, Jiawei Baidu San (Modified Detoxifying Powder) was taken; after four doses, she recovered.
A man with chronic Hong Kong Foot (gout/polio) also suffered from deep-bone abscess (Guji) pain. Taking one pill of Huoluo Dan (Meridian-Unblocking Pill) cured both conditions. Yu Luyong, a scholar, had chronic hernia, unable...; two pills cured him. The daughter of Jin Erguan in the capital suffered critically from convulsions; all physicians gave up, but self-administering one pill cured her, and it never recurred. When disease is deeply hidden internally, only this medicine can penetrate. However, modern times claim this medicine draws wind into bones like oil into dough, so later generations refuse to take it. Generally, if there is the disease, use the appropriate medicine; how can one cling to such words and make healing difficult?
A woman suffered from pain in both legs, sometimes wandering pain, shortness of breath, and spontaneous sweating. Various medicines failed. Pulse at Chi position was wiry-slow; this was cold-damp flowing into the Kidney Meridian. ... What is there to worry about? My middle qi was insufficient; Bu Zhong Yi Qi Tang (Tonify Middle and Augment Qi Decoction) added with Fuzi was taken for three years. Where is the toxicity seen? The Classic says: If there is the disease, use the medicine.
A woman suffered from joint swelling and pain, worse in shins and feet, occasional spontaneous sweating or headache; this was damp-heat in the Taiyang Meridian. Mahuang Zuojing Tang (Ephedra Left Meridian Decoction) was taken; after two doses, she recovered.
A woman suffered from hemorrhoids with blood, accompanied by sore and aching legs, resembling bi syndrome; this was due to yin blood deficiency failing to nourish sinews. Primarily nourishing blood was needed; Jiawei Sijin Wan (Modified Four Jin Pill) was taken; she recovered.
An elderly person suffered from tendon spasms, bone pain, and weakness in both legs, unable to walk. Ju Fang Huan Tui Wan (Bureau Formula Leg-Replacing Pill) was taken.
A woman suffered from tendon spasms and bi flaccidity, weakness in both legs... This was due to Blood Sea deficiency and emotional stimulation, leading to this disease. Now, many women suffer this, knowing it arises from Blood Sea deficiency, similar to kidney deficiency in men. Medication for men and women is essentially the same, but treating seven emotions concurrently ensures efficacy.
A woman suffered from leg pain, accompanied by calf tendon spasms. Taking exterior-releasing medicines worsened it. Pulse was wiry-tight; this was kidney-liver deficiency with internal invasion of wind-damp. Duhuo Jisheng Tang (Angelica Pubescens and Sangjisheng Decoction) was taken; pain stopped. Shenying Yangzhen Dan (Divine Response Nourishing True Pill) was then taken; spasms ceased.
A man with chronic leg pain suffered excessive eating, worsening pain, fatigue, and weak pulse. Liu Junzi Tang (Six Gentlemen Decoction) was taken with Shanzha, Shenqu, Cangzhu, Danggui, Shengma, and Chaihu; he recovered.
An elderly person who loved drinking often had swollen and painful legs, with a surging, slow pulse. First, Danggui Niantong Tang (Angelica Joint-Pain Relieving Decoction) was taken; after damp-heat slightly receded, Liu Junzi Tang (Six Gentlemen Decoction) was taken with Cangzhu, Huangbai, and Zexie; he recovered.
A man, after slight dietary excess, suffered chest oppression, acid regurgitation, and leg pain. Dao Yin Wan (Guiding and Leading Pill) was taken; frequent dosing led to frequent recovery. Then, Liu Junzi Tang (Six Gentlemen Decoction) added... Spleen qi cannot distribute in four directions, thus flowing downward to exploit liver-kidney deficiency, causing foot swelling. Plus, irregular sexual activity leads to yang deficiency and yin excess, forming Hong Kong Foot (gout/polio). Also, internal injury from diet causes spleen-stomach qi deficit, failing to ascend, thus flowing downward as Hong Kong Foot (gout/polio). Dong Yuan's Kaijie Dao Yin Wan (Unbinding Guiding and Leading Pill) should be used to guide water flow and transform spleen qi. If spleen qi is weak, stagnating and blocked, causing facial swelling or pain, Daozhi Tongjing Tang (Guide Stasis Unblocking Meridian Decoction) should be used for guidance. (The above nineteen items are Hong Kong Foot (gout/polio) syndromes; although not sores/toxins, because treatment proved effective, they are recorded.)
Attached Formulas:
Neituo Qianghuo Tang (Internal Supporting Notopterygium Decoction): Treats carbuncles on the sacrum/buttock, hard, swollen, painful, with tight radial pulses powerless upon pressure.
Qianghuo, Huangbai (2 qian each), Fangfeng, Dangguiwei, Bencao (1 qian each), Rougui (1 qian), Lianqiao, Zhi Gancao, Cangzhu... Take before meals.
Gars-Separated Moxibustion Method.
Huaihua Jiu (Sophora Flower Wine).
Xianfang Huoming Yin (Immortal Recipe for Life-Preserving Infusion) (See Back Carbuncle section).
Jinyinhua San (Honeysuckle Powder) (See Vomiting section).
Tuoli Xiaodu San (Supporting Interior Detoxifying Powder) (See Swollen Ulcer section).
Liu Junzi Tang (Six Gentlemen Decoction) (See Vomiting section).
Douchi Bing (Fermented Soybean Cake): Treats sores/carbuncles that are hard/swollen and fail to ulcerate, or ulcerate but fail to heal, and all stubborn/malignant sores. Use Jiangxi fermented soybeans ground to powder, mixed with saliva into cakes... Toxin drastically reduces. Ancients claimed miraculous effects; do not ignore.
Shiquan Dabu Tang (Ten Complete Tonifying Decoction) (See Ulcer Fever section).
Danshen Tang (Single Ginseng Decoction) (See Caning section).
Neituo Huangqi Chaihu Tang (Internal Supporting Astragalus and Bupleurum Decoction): Treats damp-heat, carbuncles near knee/thigh on medial leg, or deep-bone abscess (Guji), initial swelling/pain. This is Taiyin/Jueyin distribution. Pulse fine/wiry, surging/moderate/powerful upon pressure.
Huangqi (Salt-water stir-fried, 2 qian), Chaihu, Tugua Gen (1 qian each), Qianghuo (0.5 qian), Lianqiao (1.5 qian), Rougui... Take before meals.
Neituo Huangqi Wine-Infused Decoction: Treats cold-damp on lateral leg Shaoyang Meridian carbuncle, or deep-bone abscess (Guji), hard/diffuse swelling/pain, or invading Foot Yangming Meridian.
Huangqi (Salt-water stir-fried, 2 qian), Chaihu (1.5 qian), Lianqiao, Rougui (1 qian each), Huangbai (0.5 qian), Dalizi (Stir-fried)... Take before meals.
Fuzi Bing (Aconite Cake): Treats ulcers where qi/blood deficiency prevents closure, or wind pathogen attacks, preventing qi/blood transport to sore. Use processed Fuzi (Aconite Root), peel navel, grind to powder, mix with saliva into cakes, place on sore, moxa on cake. Moxa several times daily, keep slightly warm, not painful. If cake dries, re-mix with saliva until sore is moist.
Sijunzi Tang (Four Gentlemen Decoction): Treats spleen-stomach weakness, poor appetite, lack of muscle growth, limb fatigue.
Renshen, Fuling, Baizhu (Stir-fried, 2 qian each), Zhi Gancao (0.5 qian). One dose, water 2 zhong, 3 slices ginger, 2 dates, decoct to 0.8 zhong, take far from meals.
Renshen Baidu San (Ginseng Detoxifying Powder) (See Ulcer Fever section).
Wuji San (Five Accumulations Powder): Treats wind-cold-damp-toxin lodging in meridians, causing tendon spasms, bone pain, waist/leg soreness, cramping, or heavy body pain.
Cangzhu (2.5 qian), Jiegeng (Stir-fried, 1.2 qian), Chenpi (Peeled, 0.6 qian), Baizhi (0.3 qian), Zhi Gancao, Danggui... Zhike (Flour stir-fried, 0.6 qian), Guixin (1 qian), Houpo (Ginger processed, 0.4 qian). One dose, water 2 zhong, 3 slices ginger, 1 date, decoct to 1 zhong, take.
Danggui Niantong Tang (Angelica Joint-Pain Relieving Decoction): Treats damp-heat flowing downward, sores on legs/feet, continuous pus, red/swelling, itching/pain, or generalized limb pain.
Qianghuo (5 qian), Renshen, Kushen (Wine processed), Shengma, Gegen, Cangzhu (2 qian each), Zhi Gancao, Huangqin (Wine mixed), Yinar... Four doses, water 2 zhong, decoct to 1 zhong, take fasting and before sleep.
Da Fangfeng Tang (Great Saposhnikovia Decoction): Treats insufficiency of Three Yin qi, wind pathogen attacking, knee pain, eventually large knees, thin legs, named Crane Knee Wind (Xixifeng), a failure syndrome. Only this formula can treat it. Also treats post-dysentery leg pain/weakness, inability to walk, or leg/knee swelling/pain.
Fuzi (Processed, 1 qian), Baizhu (Stir-fried), Qianghuo, Renshen (2 qian each), Chuanxiong (1.5 qian), Fangfeng (2 qian), Gancao... Duzhong (Ginger processed, 3 qian), Shudihuang (Raw wine-mixed half month, avoid iron, 2 qian). One dose, water 2 zhong, 3 slices ginger, decoct to 0.8 zhong, take fasting. After recovery, careful regulation is needed; take Huanshao Dan or add Rougui to move Dihuangs stagnation. For spleen-stomach deficiency-cold, Bawei Wan (Eight Ingredients Pill) is suitable.
Bu Zhong Yi Qi Tang (Tonify Middle and Augment Qi Decoction) (See Ulcer Fever section).