The patient presented with delirium due to heat, accompanied by frequent episodes of mental confusion. The pulse in all six positions was floating and surging (Hóng). Wu Jin San (Golden Metal Powder) was administered to induce sweating. Subsequently, acupuncture was employed: the center of the carbuncle was pricked first, where no pain was felt; then, more than ten additional pricks were made around the periphery until dark purple-black blood emerged, at which point pain was perceived. Cuijin Dingzi (Inch-Gold锭, a medicated plaster/pellet) was inserted into the wound, while Tiding Dingzi (Lifting-Nail锭) was placed on top of the lesion, covered with a medicinal plaster for protection. After sweating the following day, the patient’s spirit slightly recovered. Po Guan Dan (Coffin-Breaking Pill) was then administered via purgation, stabilizing the condition. Once the ding sore (malignant nodule) ulcerated and became active, Shou Xiao San (Effect-Keeping Powder) was applied topically, and Hongyu Dingzi (Red-Jade锭) was used [to treat], resulting in the spontaneous expulsion of the nodule after eight days. This illustrates the principle of carefully assessing pulse and symptoms to determine the appropriate sequence of diaphoresis and purgation. Such methodical treatment stands in stark contrast to those who fail to examine pulse and symptoms, merely observing fever and delirium, and indiscriminately administering cooling or purgative herbs, or those combined with aromatic-penetrating substances, thereby causing harm. Xue Ji treated a female patient, left hand...