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Ju (Deep Abscess) is a disease generated by the dysfunction of the Five Zang Organs. The Five Zang Organs govern the interior, and their Qi circulates through the meridians and is deep-seated. If emotions such as joy and anger are unpredictable, or diet is irregular, leading to disharmony between Yin and Yang, then the Five Zang Organs will be dysfunctional. When Ying (Nutritive) and Wei (Defensive) Qi are deficient, the Couli (skin texture and pores) open, allowing Cold pathogenic factors to invade between the meridians. The meridians are constrained by Cold, causing Ying and Wei Qi to stagnate in the vessels. Ying refers to Blood; Wei refers to Qi. When Ying Blood encounters Cold, it becomes sluggish and fails to circulate. Wei Qi follows this condition, combats with Cold, and also becomes obstructed and blocked. Qi belongs to Yang; when Yang Qi accumulates and stagnates, Heat is generated. Since Cold and Heat do not dissipate, accumulation occurs, forming Ju. The Qi of the Zang Organs moves deeply and governs the interior; therefore, Ju swelling is deep and purulent, with the overlying skin being hard and thick, resembling the skin on a cow's neck. Over time, Heat surpasses Cold, and intense, pure Heat gathers and damages the flesh. Flesh and blood rot and transform into pus, eventually damaging bones and destroying tendons, becoming incurable and leading to death.

Furthermore, those who suffer from Xiao Ke (Wasting-Thirst syndrome, similar to diabetes) in their youth are prone to developing Yong (Carbuncle) and Ju when they reach forty years of age or older. This is because their bodies are deficient with internal Heat, and Ying Qi circulation is obstructed and sluggish. Those with Phlegm in the Diaphragm accompanied by thirst will inevitably develop Huang Dan (Jaundice) if they are in their prime. This is due to deficiency-Heat in the Spleen and Stomach. In old age, they may also develop Yong and Ju due to deficiency-Heat in the Fu and Zang organs, resulting in obstructed and sluggish Qi and Blood.

Additionally, swelling one to two cun in diameter is called Jie (Furuncle); two to five cun is called Yong; five cun to one chi is called Yong-Ju; one chi to three chi is called Jing Ti Yong (Whole-Body Carbuncle), where upon maturation, pus discharges from all nine orifices. People whose Qi mechanisms are frustrated and desires unfulfilled accumulate Qi and Blood, making them prone to these diseases.

Diagnosing the pulse: if Xian (Wiry) and Hong (Surging) pulses interact, indicating exterior tension and interior Heat, Yong-Ju is impending. If the pulse comes fine and deep but occasionally straight and forceful, there is an abscess on the body. If there is Fu Liang (a fixed mass in the abdomen) and both Lung and Liver pulses are present, Yong-Ju will erupt; if limbs are heavy and Lung pulses are excessively prominent, death ensues. Generally, for Yong-Ju, Hong-Cu (Surging and Coarse) pulses indicate difficult treatment, while Wei-Se (Fine and Choppy) pulses indicate easy recovery. For all Fu-Shu (Floating and Rapid) pulses, fever should be expected; however, if there is instead a sensation of shivering and aversion to cold, and there is a painful area, an abscess is present. This may indicate pus adhering to the bone.

There are five critical areas on the body: 1. Futu (area of the ST31 acupoint); 2. Fei (calf); 3. Back; 4. Shu points of the Five Zang Organs; 5. Neck. Ju occurring in these five areas results in death.

Ju arising in the middle of the throat is called Meng Ju (Fierce Ju). If Meng Ju is not treated promptly, it transforms into pus. If the pus is not drained, blocking the throat, death occurs within half a day. If pus has formed, draining it leads to recovery.

Ju arising in the neck is called Yao Ju (Premature Death Ju), characterized by large swelling with red-black discoloration. If not treated urgently, Heat Qi descends into Yuan Ye (GB12), damaging the Ren Mai (Conception Vessel) anteriorly and steaming the Liver and Lungs internally. Steaming the Liver and Lungs leads to death in ten-plus days.

Excessive expansion of Yang Qi, consuming brain marrow and lingering in the nape, is called Nao Shuo (Brain Melting). The patient appears unhappy, has neck pain, and requires needle therapy. If accompanied by mental restlessness, it is an incurable fatal condition.

Ju arising in the arms and axilla is called Ci Ju. It presents with red-black skin and requires urgent treatment. It causes sweating down to the feet but does not harm the Five Zang Organs. After four to five days of emergence, it can be punctured with Bian Shi (stone needles).

Ju arising in the axilla, red and hard, is called Mi Ju (Rice Ju). If hard and un-ulcerated, it is called Ma Dao (Horse Knife/Scrofula).

Ju arising in the chest is called Jing Ju (Well Ju). It resembles a soybean. Within three to four days, if not treated early, toxins descend into the abdomen, becoming incurable, leading to death in ten days.

Ju arising in the precordium is called Gan Ju (Sweet Ju). It resembles grain kernels or bottle gourds, often accompanied by alternating chills and fever. Urgent treatment is required to resolve the chills and fever. Without treatment, death occurs in ten years, with pus discharge after death.

Ju arising in the anterior thigh (Gu Yang) is called Dui Ju. Symptoms show little change, but pus adheres to the bone. Without urgent treatment, death occurs in forty days.

Ju arising in the hypochondrium is called Gai Zi. Gai Zi is a disease specific to women. Alternatively, Yong arising beside the female genitalia is called Gai Zi Ju. If untreated for a long time, polyps grow inside, resembling red adzuki beans or hemp seeds.

Ju arising in the sacrum is called Dui Ju. It is red, hard, and large; urgent treatment is needed. Without treatment, death occurs in forty days. If arising in the coccyx, also called Dui Ju, failure to treat urgently leads to systemic perforation and death in ten days.

Ju arising in the inner thigh is called Chi Chi (Red Flaccidity). Without urgent treatment, death occurs in six days. If bilateral, untreated, death occurs in sixty days.

Ju arising in the knee is called Ci Ju. It is large, colorless, hard, and accompanied by chills and fever. Do not needle; needling causes death. Wait until the color turns black and soft before needling to ensure survival.

Ju arising in the lower leg is called Tu Nie Ju (Rabbit Bite Ju). Redness extends to the bone; urgent treatment is required. Untreated, it is fatal.

Ju arising in the ankle is called Zou Huan. Color remains unchanged. Repeated moxibustion to stop chills and fever prevents death.

Ju arising above and below the foot is called Si Yin. Without urgent treatment, death occurs in one hundred days.

Ju arising on the side of the foot is called Li Ju. It is not large, starting from the small toe; urgent treatment is needed. If black, it cannot be resolved, and death occurs in one hundred days.

Ju arising in the toes is called Tuo Ju (Sloughing Ju). Red-black indicates death; non-red-black indicates survival. If treatment fails, amputation saves life. If not amputated, Ju arising on the forehead without pus discharge leads to death in ten days. Puncture is possible on the fifth day. Pus that is red and bloody indicates death; absence of pus allows for treatment. At ages 25, 31, 60, and 95, the Hundred Deities reside in the forehead; bleeding here is fatal.

Chi Ju (Red Ju) presenting with body swelling, firm nodules, and fever, preventing sitting, walking, or bending, resolves upon puncturing once pus forms. Chi Ju in the chest is treatable. Chi Ju at the hip joint (Bi Shu) is treatable within six months; otherwise, death occurs crossing the year. Chi Ju in the inner thigh: firm indicates death, soft indicates treatability. Chi Ju in the palm is treatable. Chi Ju in the lower leg is fatal and untreatable.

Bai Ju (White Ju) arising in the arm or behind the elbow, with itching, eye pain damaging essence, fever, and excessive sweating, is fatal if five or six sites are involved.

Hei Ju (Black Ju) swelling on the upper back bones can be punctured on the eighth day. Delay leads to Gu Ju (Bone Ju). If Bone Ju pus flows uncontrollably and expels bone fragments, or if Hei Ju arises in Yuan Ye, death ensues. Hei Ju in the ear, rice-sized, is called Wen Ju, which is fatal. Hei Ju in the arm is fatal. Hei Ju in the Que Pen (supraclavicular fossa) is called Fu Yong, which is fatal. Hei Ju around the elbow is treatable and non-fatal. Hei Ju in the calf is fatal. Hei Ju on the kneecap: firm indicates death, soft indicates treatability. Hei Ju on the dorsum of the foot: firm indicates death.

Cang Ju (Granary Ju) arises systemically, starting with itching then pain. Originally Tai Yang Shang Han (Cold Damage), Cold Qi enters the Zang severely, causing Cang Ju. Treatable within nine days; fatal after ninety days.

Ding Ju (Nail Ju) arises in both arms due to chasing/pursuit, causing evil blood to knot internally and externally, blocking Ying and Wei Qi. Three days later, the body swells, pain is severe, and the jaw is locked like spasm. Puncture on the eleventh day. Untreated, death occurs in twenty days. Ding Ju rises from the flesh like a nail head, with roots reaching the bone.

Feng Ju arises on the back, originating from Xin Shu (BL12) or the arm. If not drained in twenty days, death ensues. Puncture on the eighth day. Red-black color with greenish pus indicates fatal, untreatable condition. At ages 6, 18, 24, 40, 56, 67, 72, and 98, spirits reside in the arms; bleeding is fatal.

Yin Ju arises in the thigh or inner thigh. Initially, the waist is stiff, internal symptoms are uncontrollable, drinking is limited, and firm pain lasts five days. Untreated... [text fragment].

Ci Ju arises on the back, from Fei Shu (BL13) or Gan Shu (BL18). If not drained in ten days, death ensues. Puncture on the eighth day. Red eruption with meat resembling pepper grains is fatal and untreatable. At ages 19, 25, 33, 49, 57, 60, 73, 81, and 97, spirits reside in the back; bleeding is fatal.

Mai Ju arises around the neck. Initial symptoms include fever, reluctance to move, or inability to eat. Caused by great fear and lack of concentration, leading to rebellious Qi and cough. Eruption pulls the ears, limiting movement. Puncture on the twentieth day. Without puncture, death occurs in eighty days.

Long Ju arises on the back, from Wei Shu (BL21) or Shen Shu (BL23). If not drained in twenty days, death ensues. Puncture on the ninth day. Red top/black bottom or blue-black indicates death; bloody pus indicates survival.

Shou Ju arises on the back. Fever persists for eighty-two days, with profuse sweating from the head radiating through the body. If coughing and body heat feel like boiling, shallow puncture is applied to shiny, swollen areas. Without puncture, toxins enter the abdomen, causing death in twenty days.

Xia Rong Ju arises in the hypochondrium or elbows. If not drained in twenty-five days, death ensues. Puncture on the ninth day. Red-white discharge with mostly white, non-red pus is treatable. At ages 16, 26, 32, 48, 58, 64, 80, and 96, spirits reside in the hypochondrium; bleeding is fatal.

Yong Ju arises in the thigh, from Tai Yin meridian or Futu. If not drained in twenty-five days, death ensues. Puncture on the tenth day. Clear pus with red-black color is fatal; white pus is treatable. At ages 11, 15, 20, 31, 32, 46, 59, 63, 75, and 91, spirits reside in the sacrum; bleeding is fatal.

Biao Shu Ju arises on the back, with intense heat, deafness, and swelling resembling water wrapping after sixty days. Puncture is applicable. Only water drains initially, followed by blood, which clears the condition. At ages 57, 65, 73, 81, and 97, spirits reside in the back; bleeding is fatal.

Lao Ju arises on the dorsum or sole of the foot. If not drained in thirty days, death ensues. Puncture on the twelfth day. Red-white pus that is not abundant, with itching, red-black color, is fatal and untreatable. At ages 13, 29, 35, 61, 73, and 93, spirits reside in the feet; bleeding is fatal.

Chong Ju arises in the lower abdomen, with pain, trembling chills/fever, and dizziness. Changes occur on the sixth day. Puncture is applicable. Without puncture... [text fragment].

Dun Ju arises in the fingertips of hands and feet. If not drained in eighteen days, death ensues. Puncture on the fourth day. Black eruption with mild carbuncle... [text fragment].

Jie Ju arises in the axilla, arms, or palms, with chills, fever, dry throat, vomiting after drinking, mental restlessness, or sudden rash. Sweating therapy is indicated; failure to sweat is fatal.

Jin Ju arises on the back along the major tendons flanking the spine, with cyan color. Puncture on the eighth day.

Chen Gan Ju arises in the arm. Pain and immobility for three to four days; fever and redness on the fiftieth day. Puncture on the sixtieth day. No blood upon puncture... [text fragment].

Zao Ju arises in the fingertips. Joint color unchanged; puncture within ten days. Delay leads to... [text fragment]. Carbuncle in the axilla leads to death in three years. Decoction, warming, acupuncture, and stone needle therapies have separate formulas; nourishing and guiding exercises follow.

*Yang Sheng Fang* states: Covering food with copper vessels allows sweat to enter the food; eating it causes malignant sores and internal Ju.

It also states: Eating raw carp with pig liver and lungs induces Ju.

Eating crow meat with carp meat induces Ju.

Eating the white paste-like substance in fish bellies with crow meat induces Ju.

Eating fish gills induces Ju.

Forcing a full meal while drunk may unfortunately induce Ju.

*Yang Sheng Fang · Dao Yin Fa* states: Stand upright against a wall, hold breath and circulate Qi from head to foot to cure Ju. Circulating Qi involves inhaling through the nose five times before exhaling once, constituting one cycle. Twelve cycles lead to recovery.

It also states: Sit upright against a wall, hold breath and circulate Qi from the mouth directing Qi to the head to stop. This treats Ju-Bi (Ju with numbness) and Qi deficiency.