【方歌】黯疔藏于腋下生，肝脾火毒痒而疼，寒热拘急色紫黑，
急按疔门治即宁。
【注】此证生于腋下，由肝、脾二经火毒而成。坚硬势若钉头
，痒而且痛，寒热往来，四肢拘急，其色紫黑，烦躁作
呕，痛引半身，宜服麦灵丹。其次内外急按疔门治之即
愈。
方剂：麦灵丹（见肿疡门）
【方歌】肋疽始发属肝经，火毒郁怒结肿形，紫痛梅李甚如碗，
急宜针砭免内攻。
【注】此证一名夹荧疽，生于肋条骨间，由肝经火毒郁怒结聚
而成。初如梅李，渐大如盅，色紫焮痛，连及肩肘。患
在左，痛牵右肋，患在右，痛牵左肋。二十一日之内，
脓溃稠粘者顺；届期不溃，既溃出清水者逆。初肿急宜
磁针砭出紫血，庶免毒气攻里；砭后赤肿痛甚，烦躁脉
实作呕，为有余之证，宜服双解贵金丸下之；肿硬不溃
，宜服透脓散；脉弱作呕此胃虚也，宜服香砂六君子汤
补之。亦有痛伤胃气而作呕者，即同胃虚治之；若感受
寒邪，及偶触秽气而作呕者，虽肿时尤宜壮胃助气为主
。盖肿时作呕，因毒气内侵者十有一二，停饮内伤者十
有八九，惟医人临证详辨之。脓熟用卧针开之，余按痈
疽溃疡门治法。
方剂：双解贵金丸、透脓散（俱见肿疡门）
香砂六君子汤（溃疡门）
【方歌】黯疔生长于腋下，由肝脾火毒所致，伴有瘙痒疼痛、恶寒发热、肢体拘挛抽搐，患处颜色紫黑。
紧急按压“疔门”穴位进行治疗，病情即可平息。
【注】此证生于腋下，是由肝经和脾经的火毒蕴结而成。患处坚硬，形状如同钉头，既痒又痛，出现寒热往来（忽冷忽热）、四肢拘挛抽搐，颜色呈紫黑色，伴有烦躁不安、恶心呕吐，疼痛牵引至半个身体。适宜服用麦灵丹。其次，应紧急内外结合按压“疔门”穴位治疗，即可痊愈。
方剂：麦灵丹（参见肿疡门）
【方歌】肋疽初起归属于肝经，因火毒与郁怒之气凝结形成肿块，颜色紫红疼痛，大小如梅子、李子甚至像碗一样大。
紧急应当使用针砭疗法放血，以免毒气内攻脏腑。
【注】此证又名夹荧疽，生长在肋骨之间，由肝经火毒与郁怒之气凝结聚积而成。初期像梅子或李子大小，逐渐增大如盅杯，颜色紫红灼热疼痛，牵连至肩部和肘部。患处在左侧，疼痛牵引右侧肋部；患处在右侧，疼痛牵引左侧肋部。在二十一天之内，如果脓液溃破且质地稠厚粘稠，为顺证（预后良好）；如果到期未溃破，或者溃破后流出清水，为逆证（预后不良）。初期肿胀时，紧急应当用磁针砭刺放出紫黑色的瘀血，从而避免毒气攻入体内；砭刺之后，如果红肿疼痛加剧，伴有烦躁、脉象实大有力、恶心呕吐，属于实证（邪气盛），适宜服用双解贵金丸进行泻下治疗；如果肿块坚硬不溃破，适宜服用透脓散；如果脉象虚弱并伴有恶心呕吐，这是胃气虚弱的表现，适宜服用香砂六君子汤进行补益治疗。也有因疼痛损伤胃气而导致呕吐的，治疗方法同胃虚证；如果是感受寒邪，以及偶然接触秽浊之气而导致呕吐的，即使在肿胀时期，也应当以壮胃助气为主要治疗原则。大概肿胀时期出现呕吐，因毒气内侵导致的占十分之一二，因水饮停聚内伤导致的占十分之八九，只有医生在临证时要详细辨别。脓液成熟时使用卧针切开排脓，其余按照痈疽溃疡门的治法处理。
方剂：双解贵金丸、透脓散（均见于肿疡门）
香砂六君子汤（见于溃疡门）
[Prescription Song] An Ding (Dark Carbuncle) arises in the axilla, caused by Fire-Toxin of the Liver and Spleen channels, presenting with itching, pain, aversion to cold, fever, and limb stiffness. The color is purple-black; urgently pressing the Dingmen acupoint will bring relief.
[Annotation] This condition arises in the axilla, resulting from the accumulation of Fire-Toxin in the Liver and Spleen channels. It is hard and shaped like a nail head, accompanied by itching and pain, alternating chills and fever, stiffness of the four limbs, and a purple-black color. Patients may experience restlessness, nausea, vomiting, and pain radiating to half of the body. It is appropriate to take Mailing Dan (Wheat Spirit Pill). Secondly, urgently pressing the Dingmen acupoint internally and externally will lead to recovery.
Formula: Mailing Dan (See Swelling Ulcer Section)
[Prescription Song] Rib Abscess initially belongs to the Liver channel, formed by the knotting of Fire-Toxin and suppressed anger into a swelling. It is purple, painful, and can grow as large as a plum, apricot, or even a bowl. Urgent need for needle-lancing (Bian) to prevent internal attack.
[Annotation] This condition is also known as Jia Ying Ju (Clamp-Ying Abscess), arising between the ribs, caused by the aggregation of Fire-Toxin in the Liver channel and suppressed anger. Initially small like a plum or apricot, it gradually enlarges to the size of a cup, appearing purple, red, hot, and painful, extending to the shoulder and elbow. If on the left side, pain radiates to the right rib; if on the right, pain radiates to the left rib. Within twenty-one days, if pus breaks out thick and sticky, it is a favorable prognosis (Shun); if it does not break out by the due date, or if clear water flows after breaking out, it is an unfavorable prognosis (Ni). In the initial swelling stage, urgent lancing with a magnetic needle should be performed to release purple blood, thereby preventing toxin qi from attacking the interior; after lancing, if redness, swelling, and pain intensify, accompanied by restlessness, a full pulse, and vomiting, it indicates an Excess syndrome, and Shuangjie Guijin Wan (Double-Resolving Precious Gold Pill) should be taken to purge; if the swelling is hard and does not suppurate, Tou Nong San (Penetrating Pus Powder) should be taken; if the pulse is weak and vomiting occurs, this indicates Stomach Deficiency, and Xiangsha Liujunzi Tang (Aucklandia and Amomum Six Gentlemen Decoction) should be taken to tonify. There are also cases where pain damages Stomach Qi leading to vomiting, which is treated similarly to Stomach Deficiency; if vomiting is caused by contracting Cold-Evil or accidentally inhaling foul odors, even during the swelling phase, the primary treatment should be strengthening the Stomach and assisting Qi. Generally, vomiting during the swelling phase is due to internal invasion of toxin qi in one or two out of ten cases, and due to internal injury from retained fluids in eight or nine out of ten cases; only physicians should carefully differentiate these clinically when treating patients. When pus is ripe, use a horizontal needle to open and drain it; for other aspects, follow the treatment methods in the Ulcerative Ulcer Section.
Formulas: Shuangjie Guijin Wan, Tou Nong San (Both seen in Swelling Ulcer Section); Xiangsha Liujunzi Tang (Seen in Ulcerative Ulcer Section)