小儿流注，乃气流而注，血滞而凝，元气不足之症也。或因闪跌堕伤，或因肝火气逆，或因六淫内侵，或因脾虚食
积，或因禀赋所致，结于四肢节体，患于胸腹腰臀，或结块，或漫肿，或作痛，悉用葱熨之法，须固元气为主。闪跌
者，和血定痛丸。肝火者，九味芦荟丸。食积者，四味肥儿丸，药能对症，未成自消，已成自溃。若脓成不溃者，元气
虚也，先补而针之，庶使毒瓦斯不致内攻，气血不致脱陷。若脓出而反痛者，气血虚也，用八珍汤。作呕少食者，胃气虚
也，用四君子汤。欲呕不食，或腹作胀者，脾气虚也，用六君子汤。口噤搐搦者，气血虚极而变症也，用十全大补汤。
内热晡热，阴血虚也，四物、参、 、白术。表热恶寒，阳气虚也，十全大补汤。热来复去，或昼见夜伏，昼伏夜发者，
虚热也，当大补元气。若色赤，肿起而脓稠者，尚可治。不赤，硬而脓清，或脉洪大，寒热发渴，及不受补者，皆不可
治。
杨鸿胪子年十二，左胁下患此，服流气饮、十宣散之类，元气益虚，年余不敛，左尺脉数而无力，左关脉弦而短，
此肝经之症，因禀肾水不足，不能滋养肝木，血燥火炽而然耳，用六味地黄丸以滋肾水，九味芦荟丸以清肝火，而愈。
一小儿九岁患此，久不收敛，或咳嗽，或寒热，皆服清气化痰之药，前症益甚，至夜作喘口开，彻夜不寐，手足并
冷，药饵到口即呕，余谓悉因脾气虚甚所致，先以人参、白术各五钱、炮姜五分，以米汤煎之，时灌数匙。次日能服一
杯，次日又服一剂，诸症渐愈。至十余剂后，朝用补中益气汤，夕用异功散而愈。
李通府子十六岁，腰患之，三年不愈，色黯下陷。余曰∶此肾经症也，宜用六味丸，滋化源以生肾水，更用如圣
饼，外散寒邪以接阳气。不信，别用杂药，元气益虚，七恶蜂起，始信余言，仍用前药而愈。
陈州守子，闪右臂腕肿痛，用流气等药，发热作寒，饮食少思，口舌干燥，肿痛愈炽，形气益疲，余以助胃壮气为
主，佐以外治之法而愈。
黄地官子，腿患之，肿痛发热，以湿毒治之，虚症悉至，余谓此元气虚弱，外邪乘之也。用十余大补汤、如圣饼
而愈。
一小儿臂肘肿硬，用流气饮，肉色不变，饮食少思。余曰∶此肝脾虚症也。用六君、桔梗、薄、桂、茯苓、半夏，
及如圣饼而消。
一小儿腿腕间患此，已半载，肿硬色白，形气俱虚。余先用五味异功散，加当归三十余剂，却佐以八珍汤二十余剂；
更用葱熨法，肿势渐消，中间一块，仍肿。此欲作脓也，当补其血气，俱用托里散为主，异功散为佐，仍用葱熨法，月
许针出稠脓。仍用前二药，及豆豉饼，三月余而愈。
一小儿腿患之，肿硬色白，恶寒懒食。此脾胃阳气虚，而不能成脓也，非敷贴败毒所能疗。遂用托里散，及葱熨法，
月余；患此胀痛发热，脓成针之，脓出而安。仍用托里散，肢体渐健。因饮食内伤泄泻，忽口噤目闭，自汗手冷，此脾
胃虚寒之恶症也。以异功散，内用人参一两、干姜一钱半，灌之尽剂而苏。又以托里散，内用人参五钱，数剂始能动履；
却用托里散、大补汤、葱熨法、豆豉饼，半载而愈。
一小儿十五岁，早丧天真，日晡发热，遍身作痛，或四肢软酸，唾痰头晕，服祛湿化痰之药，腿之内外肉色，肿硬
而不变。因服攻毒之药，虚症蜂起。按∶褚氏云∶男子精未满，而御女以通其精，五脏有不满之处，异日有难状之疾。
正合此论。遂用补中益气汤及地黄丸，半年而愈。此等症候，误认为实热，而用败毒之药者，必致不救。
贾阁老子，年十六，患此二载矣，脉洪大而数，脓清热渴，食少体倦，夜间盗汗，午前畏寒。余曰∶此真气不足，
邪气有余之症，治之无功矣。彼恳求治，午前勉用四君、芎、归、炙草；午后四君、麦门、五味，逾月诸症渐减。有用
渗利之剂，保其必全者，彼信服之，形体骨立，未几而殁。
一小儿右腿腕壅肿，形体怯弱，余欲以补气血为主，佐以行散之剂。彼不信，反内服流气饮，外敷寒凉药，加发热
恶寒，形体愈瘠，始求治于余。余曰，恶寒发热，脉至洪大，乃气血虚败之恶症也，不可治矣。后溃而不敛，沥尽气血
而亡。
掌教顾东帆子十余岁，秋间腰腿隐隐牵痛，面色青中兼黑。余曰∶青是肝虚，黑是肾虚，当急调补脾肾，否则春间
必患流注矣。不信，另用行气破血之药，至夏，腰臀间漫肿五寸许，复来请治，脉数而滑，按之如无，此元气虚极，而
脓内溃不能起也，辞不治。后果殁。
健脾渗湿饮 治疮疡初起， 肿作痛，或湿毒下注，或环跳穴痛。
人参 白术 苍术 防己（酒拌） 黄柏（炒） 川芎 陈皮 当归 茯苓（各五分） 木瓜（不犯铁器）
柴胡梢 甘草（各三分）
上姜水煎服，如三五剂不退，加桂少许，酒煎亦可。小便涩，加牛膝。身痛，加羌活。
和血定痛丸（一名黑丸子） 治流注膝风，或闪跌瘀血，肢节
肿痛，服之自消。若溃而发热，与补药兼服自效。
百草霜（五两） 赤小豆（半斤） 川乌（炮，一两五钱） 白蔹（八两） 白芨 南星（炮。各二两）
芍药 当归 牛膝（各五两） 骨碎补（四两）
上为末，酒糊丸，桐子大。每服二三十丸，白汤下。
神效葱熨法 治流注结核，或骨痈鹤膝等症，先用隔蒜灸，若余肿尚存，用此熨之，以助气行血，散
其壅滞，功效甚速。又治跌扑损伤，止痛散血消肿之良法也。其法用葱细切捣烂炒热，频熨患处，冷则易之，如
鹤膝风，兼服大防风汤而愈。
隔蒜灸法 治流注及痈疽、鹤膝风等症。每日灸二三十壮，痛者灸至不痛，不痛者灸至痛，其毒随火而
散。盖火以畅达，拔引郁毒，此从治之法，有回生之功。其法用大蒜去皮，切三文钱浓，安患处，用艾壮于蒜上，
灸之三壮，换蒜复灸，未成即消，已成者亦杀其毒。如疮大用蒜杵烂摊患处，将艾铺上烧之，蒜败再易。如不痛，
或作脓，或不起发，及疮属阴症者，尤当多灸。凡疮不痛，不作脓，不起发者，皆气血虚也，多主不治。惟患在
头面者，不宜多灸。论中婴儿灸法，见疔疮。
如圣饼 治流注，及一切疮疡，不能消散，或溃而不敛。
乳香 没药 木香 血竭 当归（各等分） 麝香（减半）
上为末，用酒糊和饼二个，乘热熨之，毒疮加蟾酥。
六味丸（一名地黄丸） 此壮水之剂也。夫人之生，以肾为主，凡病皆由肾虚而致。其流注、瘰 属肝
肾二经，发热作渴，小便淋秘，痰气壅盛，嗽血吐血，头目眩晕，小便短少，眼花耳聋，咽喉燥痛，口舌疮裂，
齿不坚固，腰膝痿软，五脏虚损，尤宜用之。乃水泛为痰之圣药，血虚发热之神剂也。（方见发热不止）
当归补血汤 治流注，及溃疡肌热，面赤烦渴，脉洪大而虚，重按全无，此血虚症也。误服白虎汤必死。（方
见发热不止）
益气养荣汤 治流注气血虚弱不消散，或四肢颈项患肿，不问坚软赤白，或痛或不痛，日晡发热，或溃而不敛。
（方见鹤膝风）
十全大补汤 治诸疮血气虚弱，不能消散，溃腐收敛，或寒热汗出，口眼歪斜，肌瘦少食，或日晡发热，自汗
盗汗，或朝寒暮热，疮口不敛等症。（方见便痈）
小儿流注，是由于气机运行不畅而停滞，血液瘀滞而凝结，属于元气不足的病症。其原因可能是由于闪挫跌打损伤，或者是肝火旺盛导致气机上逆，或者是六淫邪气内侵，或者是脾虚伴有食积，或者是先天禀赋不足所致。病邪结聚于四肢关节肢体，发病于胸腹腰臀部位，表现为结成肿块，或者漫肿无头，或者疼痛。治疗上都应当使用葱熨的方法，必须以固护元气为主要原则。
如果是因闪挫跌打引起的，使用和血定痛丸。如果是因肝火引起的，使用九味芦荟丸。如果是因食积引起的，使用四味肥儿丸。药物若能对症，未成脓的会自行消散，已成脓的会自行溃破。如果脓已形成却不溃破，是因为元气虚弱，应当先补益元气再施针，这样能使毒邪不致内攻，气血不致脱陷。如果脓液排出后反而疼痛，是因为气血虚弱，使用八珍汤。出现呕吐、食欲减退，是因为胃气虚弱，使用四君子汤。想要呕吐但不进食，或者腹部胀满，是因为脾气虚弱，使用六君子汤。出现牙关紧闭、抽搐痉挛，是因为气血极度虚弱而产生的变证，使用十全大补汤。体内发热或傍晚发热，是因为阴血虚弱，使用四物汤加人参、白术、茯苓（原文缺字，据方义补全）。体表发热且恶寒，是因为阳气虚弱，使用十全大补汤。热势往来不定，或者白天显现夜间潜伏，白天潜伏夜间发作的，属于虚热，应当大补元气。如果患处颜色红赤，肿胀隆起且脓液稠厚，还可以治疗。如果不红赤，坚硬且脓液清稀，或者脉象洪大，伴有寒热口渴，以及不能耐受补益治疗的，都不可治疗。
杨鸿胪的儿子十二岁，左胁下患此病，服用流气饮、十宣散之类的药物，导致元气更加虚弱，一年多伤口不愈合。诊察发现左尺脉数而无力，左关脉弦而短，这是肝经的病症，因为禀受肾水不足，不能滋养肝木，导致血燥火炽盛而引发。使用六味地黄丸来滋补肾水，使用九味芦荟丸来清泻肝火，从而痊愈。
有一个九岁的小儿患此病，长期不收敛，有时咳嗽，有时寒热往来，都服用清气化痰的药物，导致前面的症状更加严重，到了夜晚喘息张口，整夜不睡觉，手脚冰凉，药吃下去就呕吐。我认为这都是因为脾气极度虚弱所致，先用五钱人参、五钱白术、五分炮姜，用米汤煎煮，每隔一段时间灌服几匙。第二天能喝下一杯，第三天又服用一剂，各种症状逐渐好转。经过十多剂治疗后，早晨服用补中益气汤，晚上服用异功散，从而痊愈。
李通府的儿子十六岁，腰部患病，三年不愈，颜色暗哑且下陷。我说：这是肾经的病症，适宜使用六味丸，滋生化之源以生肾水，同时使用如圣饼，外散寒邪以接续阳气。他不相信，另外使用杂药，导致元气更加虚弱，七恶之症蜂拥而起，这才相信我的话，仍然使用前药而痊愈。
陈州守的儿子，右臂腕部因闪挫肿痛，使用流气等药物，出现发热恶寒，饮食减少思虑，口舌干燥，肿痛更加剧烈，形体气息更加疲惫。我以助胃壮气为主，辅以外治法而痊愈。
黄地官的儿子，腿部患病，肿痛发热，按湿毒治疗，导致虚症全部出现。我说这是元气虚弱，外邪乘虚而入。使用十余剂大补汤、如圣饼而痊愈。
一个小儿手臂肘部肿胀坚硬，使用流气饮，肉色没有变化，饮食减少思虑。我说：这是肝脾虚症。使用六君子汤加桔梗、薄荷、桂枝、茯苓、半夏，以及如圣饼，肿块消散。
一个小儿腿腕间患此病，已经半年，肿胀坚硬颜色发白，形体气息都虚弱。我先用五味异功散，加入当归三十多剂，接着辅助使用八珍汤二十多剂；再用葱熨法，肿势逐渐消退，但中间还有一块肿胀。这是将要化脓的表现，应当补益其血气，主要使用托里散，辅助使用异功散，仍然使用葱熨法，约一个月后针刺出稠脓。仍然使用前两种药，以及豆豉饼，三个多月后痊愈。
一个小儿腿部患病，肿胀坚硬颜色发白，恶寒懒食。这是脾胃阳气虚弱，不能化生脓液，不是敷贴败毒药物所能治疗的。于是使用托里散，以及葱熨法，一个多月后；患处胀痛发热，脓成针刺，脓出后病情安定。仍然使用托里散，肢体逐渐恢复健康。因为饮食内伤导致泄泻，突然牙关紧闭、眼睛闭合、自汗、手脚冰冷，这是脾胃虚寒的恶症。用异功散，里面加入一两人参、一钱半干姜，灌服完一剂后苏醒。又用托里散，里面加入五钱人参，几剂后才能行走；后来使用托里散、大补汤、葱熨法、豆豉饼，半年后痊愈。
一个小儿十五岁，早年丧失天真（指早丧父母或先天不足），傍晚发热，全身疼痛，或者四肢软酸，吐痰头晕，服用祛湿化痰的药物，腿部内外肌肉颜色肿胀坚硬而没有变化。因为服用攻毒的药物，虚症蜂拥而起。按：褚氏说：男子精气未满，却与女子交合以泄精，五脏有不满之处，日后会有难以名状的疾病。正符合这个理论。于是使用补中益气汤及地黄丸，半年后痊愈。这类症候，误认为是实热，而使用败毒药物的，必定导致无法救治。
贾阁老的儿子，十六岁，患此病两年了，脉象洪大而数，脓清热渴，食少体倦，夜间盗汗，午前畏寒。我说：这是真气不足，邪气有余的病症，治疗很难见效。他恳求治疗，午前勉强使用四君子汤加川芎、当归、炙甘草；午后使用四君子汤加麦门冬、五味子，过了一个月各种症状逐渐减轻。有人用渗利之剂，保证一定能痊愈，他信服并服用，结果身体瘦骨嶙峋，不久就去世了。
一个小儿右腿腕部壅肿，形体怯弱，我想以补气血为主，辅助以行散的药物。他不相信，反而内服流气饮，外敷寒凉药物，加重发热恶寒，形体更加消瘦，才来找我治疗。我说，恶寒发热，脉象洪大，是气血虚败的恶症，不可治疗了。后来溃破而不愈合，沥尽气血而死。
掌教顾东帆的儿子十几岁，秋天腰腿隐隐牵痛，面色青中带黑。我说：青色是肝虚，黑色是肾虚，应当紧急调补脾肾，否则春天必定患流注。他不相信，另外使用行气破血的药物，到了夏天，腰臀部之间漫肿五寸左右，又来请求治疗，脉象数而滑，按之如无，这是元气极度虚弱，而脓液在内溃破不能起发的表现，我推辞不治疗。后果然去世。
健脾渗湿饮 治疗疮疡初起，肿胀作痛，或者湿毒下注，或者环跳穴疼痛。
人参 白术 苍术 防己（酒拌） 黄柏（炒） 川芎 陈皮 当归 茯苓（各五分） 木瓜（不犯铁器）
柴胡梢 甘草（各三分）
以上药物用姜水煎服，如果三五剂不退，加入少许桂枝，用酒煎也可以。小便涩滞，加牛膝。身体疼痛，加羌活。
和血定痛丸（一名黑丸子） 治疗流注膝风，或者闪跌瘀血，肢节肿痛，服用后自行消散。如果溃破后发热，与补药兼服自有效验。
百草霜（五两） 赤小豆（半斤） 川乌（炮制，一两五钱） 白蔹（八两） 白芨 南星（炮制。各二两）
芍药 当归 牛膝（各五两） 骨碎补（四两）
以上药物研为末，用酒糊做成丸，如梧桐子大。每次服用二三十丸，白开水送下。
神效葱熨法 治疗流注结核，或者骨痈鹤膝等症，先用隔蒜灸，如果余肿尚存，用此法熨烫，以助气行血，消散其壅滞，功效非常迅速。又治疗跌扑损伤，止痛散血消肿的好方法。其方法是把葱细切捣烂炒热，频繁熨烫患处，冷了则更换，如果是鹤膝风，兼服大防风汤而痊愈。
隔蒜灸法 治疗流注及痈疽、鹤膝风等症。每天灸二三十壮，痛的灸到不痛，不痛的灸到痛，毒邪随火而散。因为火可以畅达，拔引郁毒，这是从治的方法，有回生的功效。其方法是用大蒜去皮，切成三文钱厚的片，放在患处，用艾炷在蒜上灸三壮，换蒜再灸，未成脓的即消，已成脓的也能杀其毒。如果疮大，用蒜杵烂摊在患处，将艾铺上烧之，蒜坏了再换。如果不痛，或者化脓，或者不起发，以及疮属阴症的，尤其应当多灸。凡是疮不痛，不作脓，不起发的，都是气血虚，大多主不治。只有患在头面的，不宜多灸。论中婴儿灸法，见疔疮章节。
如圣饼 治疗流注，及一切疮疡，不能消散，或者溃破而不愈合。
乳香 没药 木香 血竭 当归（各等分） 麝香（减半）
以上药物研为末，用酒糊和成两个饼，趁热熨烫，毒疮加蟾酥。
六味丸（一名地黄丸） 这是壮水的药剂。人的生长，以肾为主，凡病皆由肾虚而致。其中的流注、瘰疬属于肝肾二经，发热作渴，小便淋秘，痰气壅盛，嗽血吐血，头目眩晕，小便短少，眼花耳聋，咽喉燥痛，口舌疮裂，牙齿不坚固，腰膝痿软，五脏虚损，尤其适宜使用。乃是水泛为痰的圣药，血虚发热的神剂。（方剂见发热不止章节）
当归补血汤 治疗流注，及溃疡肌热，面赤烦渴，脉洪大而虚，重按全无，这是血虚症。误服白虎汤必死。（方剂见发热不止章节）
益气养荣汤 治疗流注气血虚弱不消散，或者四肢颈项患肿，不问坚软赤白，或者痛或不痛，日晡发热，或者溃破而不愈合。（方剂见鹤膝风章节）
十全大补汤 治疗诸疮血气虚弱，不能消散，溃腐收敛，或者寒热汗出，口眼歪斜，肌瘦少食，或者日晡发热，自汗盗汗，或者朝寒暮热，疮口不敛等症。（方剂见便痈章节）
Pediatric Liuzhu (Flowing Abscess) is a condition caused by the stagnation of Qi flow and the coagulation of blood stasis, belonging to syndromes of insufficient Yuan Qi (Original Qi). Etiologies may include sprains or falls, hyperactivity of Liver Fire leading to rebellious Qi, internal invasion of the Six Exogenous Pathogens (Liu Yin), Spleen deficiency with food retention, or congenital endowment insufficiency. The pathogen knots in the limbs and joints, manifesting in the chest, abdomen, waist, and buttocks, presenting as nodules, diffuse swelling without distinct borders, or pain. Treatment should universally employ the Scallion Moxibustion Method (Cong Yi Fa), with the primary principle being the consolidation of Yuan Qi.
For cases due to sprains or falls, use Hexue Dingtong Wan (Blood Harmonizing and Pain-Relieving Pill). For cases due to Liver Fire, use Jiwei Lujian Wan (Nine-Ingredient Aloe Pill). For cases due to food retention, use Siwei Fei'er Wan (Four-Ingredient Child-Nourishing Pill). If the medication corresponds to the syndrome, un-suppurated lesions will resolve spontaneously, and suppurated lesions will rupture spontaneously. If pus has formed but fails to rupture, it is due to deficient Yuan Qi; one must first tonify Yuan Qi before puncturing, so that the toxic pathogens do not attack internally and Qi and Blood do not collapse. If pain persists after pus drainage, it is due to Qi and Blood deficiency; use Bazhen Tang (Eight-Treasure Decoction). Vomiting and anorexia indicate Stomach Qi deficiency; use Sijunzi Tang (Four-Gentlemen Decoction). Nausea with refusal to eat, or abdominal distension, indicates Spleen Qi deficiency; use Liujunzi Tang (Six-Gentlemen Decoction). Trismus and convulsions indicate extreme deficiency of Qi and Blood resulting in transformational syndromes; use Shiquan Dabu Tang (Complete Great Tonifying Decoction). Internal heat or afternoon tidal fever indicates Yin Blood deficiency; use Siwu Tang (Four-Substance Decoction) plus Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), and Fuling (Poria). Exterior heat with aversion to cold indicates Yang Qi deficiency; use Shiquan Dabu Tang (Complete Great Tonifying Decoction). Heat that comes and goes, or appears by day and hides by night, or hides by day and appears by night, constitutes Deficient Heat; one should greatly tonify Yuan Qi. If the lesion is red, swollen, and the pus is thick, it is treatable. If it is not red, hard, and the pus is thin, or if the pulse is洪大 (Huge) accompanied by alternating chills and fever, thirst, and intolerance to tonification, it is untreatable.
The son of Yang Honglu, aged twelve, suffered from this condition under his left hypochondrium. After taking medications such as Liuqi Yin (Flowing Qi Decoction) and Shixuan San (Ten-Aperture Powder), his Yuan Qi became further depleted, and the wound failed to heal for over a year. His Zuo Chi (Left Cuneiform) pulse was rapid and forceless, and his Zuo Guan (Left Crotch) pulse was wiry and short. This is a Liver Meridian syndrome, caused by congenital insufficiency of Kidney Water failing to nourish Liver Wood, resulting in dry Blood and blazing Fire. He was treated with Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) to nourish Kidney Water and Jiwei Lujian Wan (Nine-Ingredient Aloe Pill) to clear Liver Fire, resulting in recovery.
A nine-year-old child suffered from this condition with long-term non-healing, occasional cough, and alternating chills and fever. All were treated with Qingqi Huatan drugs (Clear Qi and Resolve Phlegm), exacerbating previous symptoms. At night, he wheezed with mouth open, slept through the night, and had cold hands and feet. Medication induced vomiting upon ingestion. I reasoned that all were due to extreme Spleen Qi deficiency. Initially, I used five qian of Renshen (Ginseng) and Baizhu (Atractylodes Macrocephala Rhizome), and five fen of Paojiang (Prepared Ginger), decocted in rice soup, administered in small spoonfuls periodically. The next day, he could drink one cup; the following day, another dose. Symptoms gradually improved. After more than ten doses, he took Buzhong Yiqi Tang (Middle-Boosting and Qi-Invigorating Decoction) in the morning and Yigong San (Extraordinary Skill Powder) in the evening, leading to recovery.
The son of Li Tongfu, aged sixteen, suffered from this on his lower back for three years without healing, presenting with dark, depressed coloration. I stated: "This is a Kidney Meridian syndrome. It is suitable to use Liuwei Wan (Six-Ingredient Pill) to nourish the source of transformation to generate Kidney Water, and simultaneously apply Rusheng Bing (Sage Cake) externally to disperse cold pathogens and reconnect Yang Qi." He did not believe me and used miscellaneous drugs, causing further depletion of Yuan Qi and the onset of Seven Evil Syndromes. Only then did he accept my words, using the previous medicines to recover.
The son of Chen Zhou Shou suffered from swelling and pain in the right wrist due to a sprain. After using Liuqi (Flowing Qi) drugs, he developed fever and chills, reduced appetite, dry mouth and tongue, intensified swelling and pain, and increased fatigue. I focused on strengthening the Stomach and boosting Qi, assisted by external treatment methods, resulting in recovery.
The son of Huang Diguan suffered from this on his leg, with swelling, pain, and fever. Treated as Damp-Toxin, all deficiency syndromes appeared. I stated this was due to weak Yuan Qi invaded by external pathogens. He recovered after more than ten doses of Dabu Tang (Great Tonifying Decoction) and Rusheng Bing (Sage Cake).
A child had swelling and hardness in the arm and elbow. After using Liuqi Yin (Flowing Qi Decoction), the skin color remained unchanged, and appetite decreased. I stated: "This is a Liver and Spleen deficiency syndrome." He was treated with Liujunzi Tang (Six-Gentlemen Decoction) plus Jiegeng (Platycodon Root), Bohe (Mint), Guizhi (Cinnamon Twig), Fuling (Poria), Banxia (Pinellia Tuber), and Rusheng Bing (Sage Cake), leading to resolution.
A child suffered from this between the leg and ankle for half a year, with swelling, hardness, white color, and deficiency of both form and Qi. I initially used Wuyi Yigong San (Five-Agent Extraordinary Skill Powder) with Danggui (Angelica Sinensis) for more than thirty doses, followed by Bazhen Tang (Eight-Treasure Decoction) for more than twenty doses as an adjunct. Then, the Cong Yi Fa (Scallion Moxibustion Method) was applied, gradually reducing the swelling, though a central lump remained. This indicated impending suppuration. Blood and Qi should be tonified, primarily using Tuoli San (Interior-Supporting Powder) with Yigong San (Extraordinary Skill Powder) as an adjunct, along with the Cong Yi Fa (Scallion Moxibustion Method). After about a month, thick pus was drained via puncture. Using the previous two medicines and Douchi Bing (Fermented Soybean Cake) for over three months led to recovery.
A child suffered from this on the leg, with swelling, hardness, white color, aversion to cold, and reluctance to eat. This is due to deficiency of Spleen and Stomach Yang Qi, unable to form pus; it cannot be treated with poultices that defeat toxins. Thus, Tuoli San (Interior-Supporting Powder) and the Cong Yi Fa (Scallion Moxibustion Method) were used. After more than a month, the lesion became painful, swollen, hot, and pus formed; it was punctured, and peace returned upon pus drainage. Tuoli San (Interior-Supporting Powder) was continued, and the limbs gradually strengthened. Due to dietary injury causing diarrhea, sudden trismus, closed eyes, spontaneous sweating, and cold hands occurred. This is an evil syndrome of Spleen and Stomach deficiency-cold. Yigong San (Extraordinary Skill Powder) with one liang of Renshen (Ginseng) and one qian and half of Ganjiang (Dried Ginger) was administered, reviving him after one dose. Then, Tuoli San (Interior-Supporting Powder) with five qian of Renshen (Ginseng) was given for several doses until movement resumed. Finally, Tuoli San (Interior-Supporting Powder), Dabu Tang (Great Tonifying Decoction), the Cong Yi Fa (Scallion Moxibustion Method), and Douchi Bing (Fermented Soybean Cake) were used, leading to recovery after half a year.
A fifteen-year-old child, having lost his natural vitality early, experienced afternoon fever, whole-body pain, or softness and soreness in the four limbs, expectoration of phlegm, and dizziness. After taking drugs to dispel dampness and resolve phlegm, the muscles inside and outside the legs became swollen, hard, and unchanged in color. Because he took drugs to attack toxins, deficiency syndromes arose. Note: Chu Shi said, "When a man's essence is not full, yet he engages in intercourse with women to drain his essence, the five zang organs have unfulfilled aspects, and later there will be difficult-to-describe diseases." This perfectly matches this theory. He was treated with Buzhong Yiqi Tang (Middle-Boosting and Qi-Invigorating Decoction) and Dihuang Wan (Rehmannia Pill), recovering after half a year. Such syndromes, mistakenly identified as Excess-Heat and treated with toxin-defeating drugs, will inevitably lead to death.
The son of Jia Gelao, aged sixteen, had suffered from this for two years. The pulse was huge and rapid, with pus, heat, thirst, reduced food intake, body fatigue, night sweats, and morning aversion to cold. I stated: "This is a syndrome of insufficient True Qi and excess pathogenic Qi; treatment will be ineffective." He pleaded for treatment. In the morning, he was reluctantly given Sijunzi Tang (Four-Gentlemen Decoction) plus Xiong (Ligusticum Chuanxiong), Gui (Angelica Sinensis), and Zhi Cao (Honey-fried Licorice); in the afternoon, Sijunzi Tang (Four-Gentlemen Decoction) plus Maidong (Ophiopogon Tuber) and Wuweizi (Schisandra Fruit). After a month, symptoms gradually decreased. Someone used diuretic agents, promising complete recovery. He believed and took them, becoming emaciated, and died shortly thereafter.
A child had severe swelling at the right ankle, with a timid physique. I intended to focus on tonifying Qi and Blood, assisting with moving and dispersing agents. He did not believe me, instead taking Liuqi Yin (Flowing Qi Decoction) internally and applying cold-cooling drugs externally, worsening fever and chills, and increasing emaciation. He then sought my treatment. I stated: "Aversion to cold and fever, with a huge pulse, are evil syndromes of exhausted Qi and Blood; they are untreatable." Later, it ulcerated and failed to heal, draining all Qi and Blood until death.
The son of Zhangjiao Gu Dongfan, in his teens, suffered from vague pulling pain in the waist and legs in autumn, with a complexion green mixed with black. I stated: "Green indicates Liver deficiency, black indicates Kidney deficiency. One must urgently regulate and tonify Spleen and Kidney, otherwise, Liuzhu (Flowing Abscess) will occur in spring." He did not believe me and used Qi-moving and Blood-breaking drugs. By summer, there was diffuse swelling of about five cun between the waist and buttocks. He came again for treatment. The pulse was rapid and slippery, feeling empty upon pressure. This indicates extreme Yuan Qi deficiency with internal rupture of pus that cannot rise. I declined to treat. He subsequently died.
Jianpi Shen Shi Yin (Spleen-Strengthening and Dampness-Percolating Decoction) treats early-stage sores and ulcers with swelling and pain, or Damp-Toxin flowing downward, or pain at the Huantiao acupoint.
Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), Cangzhu (Atractylodes Lancea Rhizome), Fangji (Stephania Tetrandra Root - marinated in wine), Huangbai (Phellodendron Bark - stir-fried), Chuanxiong (Ligusticum Chuanxiong Rhizome), Chenpi (Tangerine Peel), Danggui (Angelica Sinensis Root), Fuling (Poria - each five fen), Mugua (Chaenomelis Fructus - avoid iron vessels), Chaihu Shao (Bupleurum Root tip), Gancao (Licorice Root - each three fen).
Decoct with ginger water. If no improvement after three to five doses, add a little Guizhi (Cinnamon Twig); decocting with wine is also acceptable. For astringent urination, add Niuxi (Achyranthes Root). For body pain, add Qianghuo (Notopterygium Rhizome).
Hexue Dingtong Wan (One name: Black Pill) treats Liuzhu Knee Wind, or blood stasis from sprains/falls, with joint swelling and pain; self-resolution occurs upon ingestion. If ulcerated with fever, take concurrently with tonics for efficacy.
Baicaoshuang (Herb Ash), Chixiaodou (Adzuki Bean), Chuanwu (Aconitum Carleilii Root - prepared, one liang five qian), Bailian (Belamcanda Rhizome, eight liang), Baiji (Bletilla Rhizome), Nanxing (Pinellia Ternata Tuber - prepared, each two liang), Shaoyao (Peony Root), Danggui (Angelica Sinensis Root), Niuxi (Achyranthes Root, each five liang), Gusuibu (Drynaria Rhizome, four liang).
Grind into powder, make pills with wine paste, size of paulownia seeds. Take 20-30 pills per dose, washed down with warm water.
Shenxiao Cong Yi Fa (Miraculous Scallion Moxibustion Method) treats Liuzhu nodules, or bone abscesses, Crane's Knee, etc. First apply Garlic Partition Moxibustion. If residual swelling remains, use this method to moxa, aiding Qi flow and Blood circulation, dissipating stagnation, with very rapid effects. It is also an excellent method for treating contusions and injuries, stopping pain, dispersing blood, and reducing swelling. The method involves finely chopping scallions, pounding them into a paste, stir-frying until hot, and frequently moxa-ing the affected area. Replace when cool. For Crane's Knee Wind, concurrently take Dafangfeng Tang (Great Saposhnikovia Decoction) for recovery.
Garlic Partition Moxibustion Method treats Liuzhu, carbuncles, sores, Crane's Knee Wind, etc. Moxa 20-30 cones daily. For pain, moxa until pain ceases; for no pain, moxa until pain arises. The toxin disperses with the fire. Since fire promotes free flow, drawing out stagnant toxins, this is a contrary treatment method with life-saving power. The method involves peeling garlic, slicing it to the thickness of three cash coins, placing it on the lesion, and moxa-ing three cones on top of the garlic. Replace garlic and continue moxa-ing. Unsuppurated lesions will resolve; suppurated ones will kill the toxin. For large sores, pound garlic into a paste, spread on the lesion, place moxa on top and burn. Replace garlic when it spoils. For lesions that are painless, suppurate, fail to rise, or belong to Yin syndromes, especially many moxa-cones are needed. Generally, sores that are painless, do not suppurate, or do not rise are due to Qi and Blood deficiency and are mostly untreatable. Only those on the head and face should not be heavily moxa-ed. Infant moxa methods are discussed in the Carbuncle section.
Rusheng Bing (Sage Cake) treats Liuzhu and all sores/ulcers that cannot dissipate, or ulcerate without healing.
Ruxiang (Frankincense), Moyao (Myrrh), Muxiang (Costus Root), Xuexue (Dragon's Blood), Danggui (Angelica Sinensis Root - equal parts), Shexiang (Musk - half amount).
Grind into powder, mix with wine paste to form two cakes. Apply while hot. For toxic sores, add Chan Su (Toad Venom).
Liuwei Wan (One name: Dihuang Wan) is a formula to strengthen Water. Human life is centered on the Kidney; all diseases stem from Kidney deficiency. Among these, Liuzhu (Flowing Abscess) and Luoli (Scrofula) belong to the Liver and Kidney meridians. Indications include fever with thirst, dysuria and retention, excessive phlegm-Qi, hemoptysis and hematemesis, vertigo, scanty urine, blurred vision and deafness, dry/painful throat, oral/tongue ulcers, loose teeth, weak/lame waist and knees, and deficiency of the five zang organs. It is particularly suitable. It is the sacred medicine for phlegm generated by overflowing Water and the divine agent for fever due to Blood deficiency. (Formula see Fever Unceasing section)
Danggui Buxue Tang (Angelica Tonifying Blood Decoction) treats Liuzhu, and ulcerative muscle heat, red face, irritability and thirst, huge and empty pulse, completely void upon heavy pressure. This is a Blood deficiency syndrome. Mistakenly taking Baihu Tang (White Tiger Decoction) will cause death. (Formula see Fever Unceasing section)
Yiqi Yangrong Tang (Qi-Benefiting and Nutrient-Nourishing Decoction) treats Liuzhu where Qi and Blood deficiency prevents dissipation, or swelling in limbs/neck, regardless of hardness, softness, redness, or whiteness, whether painful or not, afternoon fever, or ulceration without healing. (Formula see Crane's Knee Wind section)
Shiquan Dabu Tang (Complete Great Tonifying Decoction) treats various sores where Qi and Blood deficiency prevents dissipation, ulceration, putrefaction, and healing; or alternating chills/fever with sweating, facial paralysis, emaciation and anorexia, afternoon fever, spontaneous/night sweats, morning chills/evening heat, and non-healing sore mouths. (Formula see Perianal Abscess section)