一妇人产后，乳上发痈，肿胀将半月，周身如针刺，饮食不进。余诊之，六脉沉紧有力，视左乳连
胸胁皆肿。予用麻黄、葛根、荆、防、杏子、甘草、石膏，令温服取汗。次日复视之，曰∶昨服药后，身有
大汗，而周身之痛尽解，乳上之肿胀亦疏，饮食亦进，服药不啻十有余剂，毫无效验，奚此剂有如是之功
也。予曰∶《金匮要略》云∶产后妇人喜中风。《生气通天论》曰∶开阖不得，寒气从之，荣气不从，逆
于肉理，乃生痈肿。此系风寒外壅，火热内闭，荣卫不调，以致肿痛。诸医止以凉药治热，而不知开阖故
也。今毛窍一开，气机旋转，荣卫流行，而肿痛解矣。《内经》云∶食气入胃，散精于肝。此肿属阳
明、厥阴二经，是以饮食不进，今经气疏通，自然能食矣。又一老妪，两颊浮肿，每边有核如梅子大。妪曰∶
予一侄女，因生鼠痿而死，又一甥女，亦患鼠 而殁，今心甚忧之。余诊其脉，两寸口皆浮大，其证则
头痛、发热。予曰∶不妨，汝证乃风寒陷于脉中而为
，用解肌苏散之剂则愈，与侄女、甥女之 不同。二女子之 ，其本在脏，其末在脉，原系恶疾，有灸刺
之法，载在《内经》骨空篇中，能根据法治之，亦不至于死，此缘失于救治者也。吁！治痈疡者，可不知《内
经》乎！
一位妇女在产后，乳房上长了痈肿，肿胀持续了将近半个月，全身感觉像被针刺一样疼痛，无法进食。我诊察她的脉象，六部脉沉紧且有力，观察她的左侧乳房连同胸胁部位都出现了肿胀。我给她用了麻黄、葛根、荆芥、防风、杏仁、甘草、石膏，嘱咐她温服以取汗。第二天再次诊视时，她说：“昨天服药后，身体出了大汗，全身的疼痛完全解除，乳房上的肿胀也消退了，饮食也能进补了。之前服用了十多种药剂毫无效果，为什么这一剂药能有如此的功效呢？”我说：“《金匮要略》中说：‘产后妇人容易感受风邪’。《生气通天论》说：‘开阖功能失常，寒气乘虚而入，营气运行不畅，逆乱于肌肉纹理之间，就会发生痈肿’。这属于风寒外束，火热内闭，营卫不调，从而导致肿痛。其他医生只用寒凉药物治疗热症，却不懂得恢复腠理开阖的道理。现在毛孔一开，气机旋转通畅，营卫运行恢复正常，肿痛也就解除了。《内经》说：‘食物进入胃中，其精微物质散布到肝脏’。这个肿胀涉及阳明经和厥阴经，所以导致饮食不进，现在经络之气疏通，自然就能进食了。”
又有一位老妇人，两颊浮肿，每边都有一个像梅子大小的肿块。老妇人说：“我的一个侄女，因为患鼠瘰（一种颈部淋巴结结核类疾病）而死；另一个外甥女，也患鼠瘰而去世，现在我心中非常担忧。”我诊察她的脉象，两手寸口脉都浮大，症状表现为头痛、发热。我说：“不要担心，你的证候是风寒陷入脉中导致的鼠瘰，用解肌散邪的方剂治疗就会痊愈，这与你的侄女、外甥女所患的鼠瘰不同。那两个女子的鼠瘰，病本在脏腑，病末在脉络，原本属于恶疾，有灸刺的治疗方法，记载在《内经·骨空篇》中，如果能根据古法治疗，也不会致死，这是因为她们当时没有得到及时救治的缘故。唉！治疗痈疡的人，怎么能不了解《内经》呢！”
A woman, after childbirth, developed a carbuncle on her breast. The swelling persisted for nearly half a month. She experienced generalized pain as if pricked by needles and was unable to eat. Upon examination, the pulse in all six positions was deep, tight, and forceful. Observation revealed that the left breast, extending to the chest and hypochondrium, was swollen. I prescribed Ephedrae Herba (Mahuang), Puerariae Radix (Gegen), Schizonepetae Spica (Jingjie), Saposhnikoviae Radix (Fangfeng), Armeniacae Semen Amarum (Xingren), Glycyrrhizae Radix et Rhizoma (Gancao), and Gypsum Fibrosum (Shigao), instructing her to take it warm to induce sweating. On the following day, upon re-examination, she said: "After taking the medicine yesterday, I sweated profusely. The generalized pain has completely resolved, the swelling on the breast has subsided, and my appetite has returned. Previous prescriptions of more than ten different formulas yielded no effect; why did this single formula produce such remarkable results?" I replied: "The *Jin Gui Yao Lue* states: 'Postpartum women are prone to wind-strike.' The *Sheng Qi Tong Tian Lun* chapter says: 'When the opening and closing mechanisms fail, cold pathogen enters, Ying Qi fails to circulate smoothly, becomes reversed within the muscle tissue, and thus generates carbuncles and swellings.' This case is due to external constriction by wind-cold and internal closure of heat, leading to disharmony of Ying and Wei Qi, resulting in pain and swelling. Other physicians merely used cooling herbs to treat the heat, failing to understand the principle of restoring the opening and closing of the pores. Now that the hair follicles have opened, the Qi mechanism rotates freely, Ying and Wei Qi circulate normally, and the pain and swelling resolve. The *Nei Jing* states: 'When food enters the stomach, its essence is dispersed to the Liver.' This swelling involves the Yangming and Jueyin meridians, which caused the loss of appetite. Now that the meridian Qi is unblocked, appetite naturally returns."
Another elderly woman presented with bilateral cheek edema, with a plum-sized nodule on each side. She stated: "My niece died from Shu Luo (scrofula/lymphatic tuberculosis); another niece also succumbed to Shu Luo. I am deeply worried about my condition." Upon palpation, the pulse at both Cun positions was floating and large. Her symptoms included headache and fever. I said: "Do not worry. Your condition is Shu Luo caused by wind-cold sinking into the vessels. It will be cured with a formula that releases the muscles and disperses pathogens. This differs from the Shu Luo suffered by your nieces. In those two young women, the root of the disease lay in the Zang organs, while the branch manifested in the vessels. Originally, it was a malignant disease with moxibustion and acupuncture treatments recorded in the *Gu Kong Pian* (Bone Empty Chapter) of the *Nei Jing*. If treated according to these ancient methods, death would not have occurred; their demise resulted from lack of timely intervention. Alas! Those who treat sores and ulcers must not neglect the *Nei Jing*!"