凡背疽 痛或不痛及麻木者，邪气盛也，隔蒜灸之。痛者灸至不痛，不痛者灸至痛，
毒随火而散。若不痛者，须明灸之，或用黄连解毒散之类。
头痛拘急乃表证，用人参败毒散一二剂服之。如 痛，用金银花散，或槐花酒、神效托
里散。
痛肿硬脉实者，以清凉饮、仙方活命饮、苦参丸。
肿硬木闷，疼痛发热，烦躁饮冷便秘，脉沉实者，内疏黄连汤，或清凉饮子。大便以利，
欲得作脓，用仙方活命饮、托里散、蜡矾丸，外用神异膏。
饮食少思，用六君子汤加藿香，连进三五剂，更用雄黄解毒散洗患处，每日用乌金膏涂疮
口处。候有疮口，即用纸作捻，蘸乌金膏， 入疮内。苦有脓，为脂膜间隔不出而作胀痛者，
宜用针引之；腐肉堵塞者，去之；若瘀肉腐动，用猪蹄汤洗；如脓稠或痛，饮食如常，瘀肉
自腐，用消毒与托里药相兼服之，仍用前二膏涂贴；若腐肉已离好肉，宜速去之，亦用托里
药，若瘀肉不腐，或脓清稀，不 痛者，急服大补之剂，亦用桑柴灸之，以补接阳气，解
散郁毒。
大抵气血壮实或毒轻少者，可假药力，或自腐溃；怯弱之人，热毒中膈，内外不通，不
行针灸，药无全功。然此证若脓已成，宜急开之。否则，重者溃通脏腑，腐烂筋骨，轻者延溃
良肉，难于收功，因而不敛者多矣。
一人患此痛甚，服消毒药愈炽，以隔蒜灸而止，与仙方活命饮二剂顿退，以托里药溃
而愈。
一人年五十，患背疽四五日， 肿大痛，赤晕尺余，重如负石。势炽当峻攻，察其脉又不
宜。遂先砭赤处，出黑血碗许，肿痛背重皆去，更敷神效散，及仙方活命饮二剂，疮口及砭处出
黑水而消。
一人 肿作痛，脉浮数，与内托复煎散，二剂少退，与仙方活命饮，四剂痛止而溃，
再用托里药，愈。
一人毒势炽甚，痛不可忍，诸药不应。以仙方活命饮，二剂诸证悉退，又二剂而溃，
以金银花散六剂而愈。
一人浓味气郁，形实性重，年近六十，患背疽。医与托药皆不行，惟饮香附末甚快，自
肿至溃，始终只此一味而安。（此体实而病又实，盖千百而一见也。每思香附，经不言补，
惟不老汤乃言有益于老人，用片子姜黄、甘草、香附三味，以不老为名，且引铁瓮先生与
刘君为证，夫岂无其故哉！盖于行中有补之理耳。天之所以为天，健而有常，因其不息，所以生生无
穷，正如茺蔚活血行气，有补阴之妙，故名益母。胎产所恃者，气血也，胎前无滞，产后无虚，
以其行中有补也，夏枯草治瘰 亦然，此因情性而治也。）
通府患发背十余日，势危脉大，先饮槐花酒二服，其势退，再饮败毒散二剂，更饮托里药
数剂，渐溃。又用桑柴燃灸患处，每日灸良久，仍贴膏药，灸至数次，脓溃腐脱，以托里散
加白术、陈皮，月余而愈。
一侍御髀胛患毒痛甚，服消毒药不减，饮槐花酒一服，势随退，再用托里消毒药，愈。
一人患发背甚危，取金银藤五六两捣烂，入热酒一钟，绞取汁，温服，渣罨患处，四五服
而平。彼用此药治疮，足以养身成家。盖金银花疮科圣药，不论已成未成，并有回生之功。
一老人年七十，背疽尺余，杂服五香汤、十宣散数十贴，脓血腥秽，呕逆不食旬余。病
人自言∶十宣散服之膈中不安，且素有淋病三十年，今苦淋痛呕逆及不得睡而已。急煎参 当
归膏，以牛膝汤入竹沥调化与之，三日尽药斤半，淋止思食，七日尽药四斤，脓自涌出，得
睡，兼旬而安。时六七月也。
一叟六十余，好酒肉，背疽见脓，呕逆发热，用十宣散已多。医以呕逆投嘉禾散，加
丁香，时七月大热，脉洪数有力。予曰∶脉证在溃疡尤忌，然形气尚可为。只与独参汤加竹
沥，药尽十五六斤、竹百竿而安。予曰∶此幸耳，不薄味，恐再发。后因夏月醉坐池中，
左胁旁生软块如饼，二年后溃为疽，自见脉证如前，仍服参、 、竹沥而安。
一妇发背，用托里消毒药二十余剂而溃，因怒，顿吐血五六碗，气弱脉细。此气血虚极
也。令服独参膏斤许，少缓；更以参、 、归、术、陈皮、炙甘草三十剂，疮口渐合。若投
犀角地寒凉之药，其误也鲜矣。
一人背疮如碗大，溃见五脏，仅隔膜耳，自谓必死。《精要》∶取大鲫鱼一枚去肠脏，
以羯羊粪填实，煨令焦黑极燥，为末，干糁之，疮口遂合，累用有效。须脓少欲生肌时用之。
一人年四十，发背，心脉洪数，势危剧，经曰∶痛痒疮疡，皆属心火。脉洪数乃心火
炽甚，心主血，心气滞则血不流，故生痈也。其竹马灸其穴是心脉所游之地，急用隔蒜灸，
以泻心火，拔其毒，再用托里消毒，愈。
一人发背，疮头甚多，肿硬色紫，不甚痛，不腐溃，以艾铺患处灸之，更用大补药，
数日，死肉脱去而愈。
一人忽恶心，大椎骨甚痒，须臾臂不能举，神思甚倦。此谓天疽，危病也。隔蒜灸，
痒愈甚，乃明炙（着肉灸也。）五十壮痒止，旬日愈。《精要》云∶灸有回生之功，信矣。
一人背毒， 痛发热，饮冷多汗，便秘谵语，以破棺丹二丸而宁。再以金银花四剂而
脓成，开之，更用托里散，愈。
一太监发背，肿痛色紫，脉息沉数。良甫曰∶脉数发热而痛者，发于阳也。且疮疡赤甚
则紫，火极似水也。询知常服透骨丹半载，乃积温成热所致，遂以内疏黄连汤，再服稍半，
更用排脓消毒药，及猪蹄汤、太乙膏而愈。
凡是背部发生疽病，疼痛或不痛甚至出现麻木感的，说明邪气旺盛，应当采用隔蒜灸法治疗。如果感到疼痛的，灸治直到不痛为止；如果不痛的，灸治直到产生痛感，这样毒邪就能随着火疗而消散。对于不痛的情况，必须彻底施灸，或者使用黄连解毒散之类的方剂。
头痛且身体拘紧急迫，这是表证的表现，服用一二剂人参败毒散即可。如果有疼痛症状，使用金银花散，或者槐花酒、神效托里散。
肿胀坚硬、感觉木闷，伴有疼痛发热、烦躁、想喝冷饮、便秘、脉象沉实的，使用内疏黄连汤，或者清凉饮子。待大便通畅后，若希望脓液形成，使用仙方活命饮、托里散、蜡矾丸，外用神异膏涂抹。
饮食减少、食欲不振的，使用六君子汤加藿香，连续服用三到五剂，再用雄黄解毒散清洗患处，每天用乌金膏涂抹疮口。等到有了疮口，就用纸捻蘸取乌金膏，插入疮内。如果有脓液，但因脂膜间隔而无法排出导致胀痛，适宜用针引流；如果是腐肉堵塞，则去除腐肉；如果瘀肉开始腐烂松动，用猪蹄汤清洗；如果脓液稠厚或疼痛，但饮食正常，瘀肉会自行腐烂，将消毒药与托里药配合服用，仍使用前文提到的两种膏药涂抹贴敷；如果腐肉已经与健康肌肉分离，应迅速去除，也使用托里药；如果瘀肉不腐烂，或者脓液清稀，且不疼痛，应立即服用大补剂，并用桑柴火灸，以补充接引阳气，解散郁结之毒。
大致而言，气血壮实或毒邪较轻少的患者，可以借助药力，或者自行腐烂溃破；体质虚弱的人，热毒阻滞中焦，内外不通，如果不进行针灸治疗，单靠药物难以取得完全疗效。然而此病证如果脓液已经形成，应当紧急切开排脓。否则，病情重的会溃烂通达脏腑，腐蚀筋骨；病情轻的也会侵蚀健康肌肉，难以收功，因此不能愈合的情况很多。
有一人患此病疼痛剧烈，服用消毒药后病情反而加重，通过隔蒜灸得以制止，再服用两剂仙方活命饮，症状迅速消退，最后用托里药使疮口溃破而痊愈。
有一人五十岁，患背疽四五天，局部肿大疼痛，周围红晕有一尺多宽，背部沉重如背负石头。病势猛烈应当峻猛攻伐，但观察其脉象又不宜峻攻。于是先在红肿处用砭石刺络，放出约一碗黑血，肿痛和背部沉重感随即消除，再敷上神效散，并服用两剂仙方活命饮，疮口及砭刺处流出黑水后痊愈。
有一人背部肿胀作痛，脉象浮数，给予内托复煎散，两剂后症状稍减，再给仙方活命饮，四剂后疼痛停止并开始溃破，再用托里药，最终痊愈。
有一人毒势炽盛，疼痛难忍，各种药物无效。给予仙方活命饮，两剂后所有症状全部消退，又服两剂后溃破，再服用六剂金银花散而痊愈。
有一人体质肥胖，喜食肥甘厚味且气机郁滞，形体壮实性格沉稳，年近六十，患背疽。医生给予托里药均无效，唯独饮用香附末感觉非常舒适，从肿胀到溃破，始终只用了这一味药便安愈。（这种体质壮实而病邪也壮实的情况，千百人中才见一例。常思香附，经典书籍未言其有补益作用，只有《不老汤》中提到对老人有益，由片子姜黄、甘草、香附三味药组成，取名“不老”，并引用铁瓮先生和刘君作为佐证，这难道没有道理吗？大概是因为在行气中有补益的道理吧。天之所以为天，在于刚健而有常度，因为运行不息，所以生生无穷，正如茺蔚（益母草）能活血行气，有补阴的妙处，所以名叫益母。胎产所依赖的是气血，产前无停滞，产后无虚损，正是因为它在行气中有补益的作用。夏枯草治疗瘰疬也是如此，这是顺应药性来治疗的方法。）
通府某人患发背十余日，病势危急脉象宏大，先饮用两服槐花酒，病势减退，再服用两剂败毒散，接着服用几剂托里药，逐渐溃破。又用桑柴火点燃灸患处，每天灸很长时间，仍贴膏药，灸了数次后，脓液溃出腐肉脱落，用托里散加白术、陈皮，月余后痊愈。
一位侍御官髀部肩胛处患毒疼痛剧烈，服用消毒药不见减轻，饮用一服槐花酒，病势随即减退，再用托里消毒药，痊愈。
有一人患发背非常危险，取金银藤五六两捣烂，加入一杯热酒，绞取汁液温服，药渣敷于患处，四五服后平复。他用此药治疗疮疡，足以养生成家。因为金银花是疮科圣药，不论脓成与否，都有起死回生的功效。
一位七十岁的老人，背疽范围有一尺多，杂服五香汤、十宣散几十帖，脓血腥秽，呕吐逆气无法进食十多天。病人自己说：服用十宣散后胸膈不安，且素有淋病三十年，如今痛苦于淋痛、呕逆及失眠。急忙煎煮人参当归膏，用牛膝汤加竹沥调化给他服用，三天服完一斤半药，淋症停止且想吃东西，七天服完四斤药，脓液自然涌出，能够入睡，二十天后安定。当时是六七月间。
一位六十多岁的老者，好饮酒肉，背疽见脓，呕吐逆气发热，已服用很多十宣散。医生因呕吐逆气给予嘉禾散，加丁香，当时正值七月大热，脉象洪数有力。我说：脉证在溃疡期尤为忌讳，但形体气息尚可挽救。只给予独参汤加竹沥，药尽十五六斤、竹沥百竿后安定。我说：这是侥幸，如果不清淡饮食，恐怕会复发。后来他在夏天醉酒坐在池中，左胁旁生出软块如饼状，两年后溃烂为疽，再次出现之前的脉证，仍服用人参、黄芪、竹沥而安定。
一位妇女患发背，用托里消毒药二十多剂后溃破，因发怒，突然吐血五六碗，气弱脉细。这是气血极度虚弱。令其服用独参膏约一斤，症状稍缓；再用参、芪、归、术、陈皮、炙甘草三十剂，疮口逐渐愈合。如果投用犀角等地寒凉的药物，错误就大了。
一人背疮如碗大，溃破后露出五脏，仅剩隔膜而已，自认为必死无疑。《精要》记载：取大鲫鱼一条去肠脏，用羯羊粪填实，煨至焦黑极燥，研为粉末，干撒在疮口上，疮口遂合，多次使用有效。须在脓少欲生肌时使用。
一人四十岁，患发背，心脉洪数，病势危重剧烈。经书说：痛痒疮疡，皆属于心火。脉洪数乃是心火炽盛，心主血，心气滞则血不流，所以生成痈疽。其竹马灸所在的穴位是心脉流经之地，紧急使用隔蒜灸，以泻心火，拔除毒邪，再用托里消毒药，痊愈。
一人患发背，疮头很多，肿胀坚硬颜色紫暗，不太疼痛，不腐烂溃破，用艾绒铺在患处施灸，再服用大补药，几天后，死肉脱落而痊愈。
一人忽然恶心，大椎骨处非常瘙痒，片刻后手臂不能举起，精神非常疲倦。这称为天疽，是危重病。隔蒜灸后，瘙痒更加严重，于是直接着肉灸（明灸）五十壮，瘙痒停止，十天痊愈。《精要》说：灸法有起死回生的功效，确实如此。
一人背部有毒，疼痛发热，想喝冷饮，多汗，便秘谵语，服用两丸破棺丹后安宁。再服用四剂金银花散后脓成，切开排脓，再用托里散，痊愈。
一位太监患发背，肿痛色紫，脉象沉数。良甫说：脉数发热而疼痛的，是发于阳经。而且疮疡红色甚则变紫，是火极似水的表现。询问得知他常服用透骨丹半年，这是积温成热所致，于是用内疏黄连汤，再服用少许，更用排脓消毒药，以及猪蹄汤、太乙膏而痊愈。
Whenever a carbuncle (back abscess) occurs on the back, whether it is painful or painless, or even numb, it indicates an abundance of pathogenic factors. Moxibustion with garlic slices should be applied. If there is pain, moxibustion should continue until the pain ceases; if there is no pain, moxibustion should continue until pain arises, so that the toxin dissipates with the fire. For cases without pain, thorough moxibustion is required, or formulas such as Huanglian Jiedu San (Coptis Decoction for Resolving Toxicity) may be used.
Headache accompanied by stiffness and tension indicates a exterior syndrome. One to two doses of Renshen Baidu San (Ginseng Decoction for Overcoming Toxins) should be administered. If pain is present, Jinyinhua San (Honeysuckle Powder), Huaihua Jiu (Sophora Flower Wine), or Shenxiao Tuoli San (Miraculous Interior-Supporting Decoction) may be used.
For swelling and hardness with a full pulse, Qingliang Yin (Cooling Drink), Xianfang Huoming Yin (Immortal Life-Preserving Decoction), or Kushen Wan (Sophora Pill) are indicated.
In cases of swelling and hardness with a sensation of numbness and oppression, accompanied by pain, fever, irritability, desire for cold drinks, constipation, and a deep, full pulse, Neishu Huanglian Tang (Internal-Draining Coptis Decoction) or Qingliang Yinzi (Cooling Drink) should be used. Once bowel movements become unobstructed, if suppuration is desired, Xianfang Huoming Yin (Immortal Life-Preserving Decoction), Tuoli San (Interior-Supporting Powder), or Lafan Wan (Beeswax and Arsenic Pill) may be used, along with external application of Shenyi Gao (Miraculous Ointment).
For decreased appetite and food intake, Liujunzi Tang (Six Gentlemen Decoction) with Huoxiang (Patchouli) should be taken continuously for three to five doses. Subsequently, Xionghuang Jiedu San (Realgar Detoxifying Powder) can be used to wash the affected area, and Wujin Gao (Black Gold Ointment) should be applied to the wound daily. Once a wound opening exists, paper twists dipped in Wujin Gao should be inserted into the cavity. If pus is present but trapped by fatty membranes causing distending pain, needle drainage is appropriate. If blocked by necrotic tissue, remove it. If sloughing tissue begins to loosen, wash with Zhu Ti Tang (Pig Trotter Decoction). If pus is thick or painful, yet diet remains normal, the slough will naturally decay; combine detoxifying and interior-supporting herbs, continuing to apply the aforementioned ointments. If necrotic tissue has separated from healthy flesh, remove it promptly and use interior-supporting herbs. If slough does not decay, or pus is thin and painless, urgently administer strong tonics and apply Sangchai Jiu (Mulberry Twig Moxibustion) to supplement Yang Qi and resolve stagnant toxins.
Generally, patients with robust Qi and Blood or mild toxicity may rely on medicinal power or undergo spontaneous suppuration. However, frail individuals with heat-toxin blocking the middle jiao and internal-external obstruction require acupuncture and moxibustion; medication alone yields incomplete results. If pus has formed, urgent incision and drainage are necessary. Otherwise, severe cases may ulcerate through organs and corrode bones and sinews, while mild cases may erode healthy flesh, making healing difficult, leading to many non-healing outcomes.
One patient suffered severe pain; detoxifying herbs exacerbated the condition, but moxibustion with garlic slices stopped the pain. Two doses of Xianfang Huoming Yin (Immortal Life-Preserving Decoction) rapidly reduced symptoms, followed by interior-supporting herbs to achieve suppuration and cure.
A fifty-year-old patient had a back carbuncle for four to five days, with significant swelling, pain, a red halo over one chi wide, and heaviness on the back like carrying a stone. The vigorous pathogen suggested aggressive treatment, but the pulse was unsuitable. First, bloodletting with a bi stone was performed on the red area, releasing about one bowl of dark blood, eliminating pain, swelling, and back heaviness. Shenxiao San (Miraculous Powder) was applied, followed by two doses of Xianfang Huoming Yin (Immortal Life-Preserving Decoction). Dark fluid discharged from the wound and puncture sites, leading to resolution.
Another patient presented with back swelling and pain, with a floating and rapid pulse. Neituo Fujian San (Internal-Supporting Double-Boiled Decoction) was given for two doses, slightly reducing symptoms. Then, Xianfang Huoming Yin (Immortal Life-Preserving Decoction) was administered for four doses, stopping pain and inducing suppuration. Interior-supporting herbs were subsequently used for recovery.
A patient with intense toxic heat suffered unbearable pain unresponsive to various medicines. Two doses of Xianfang Huoming Yin (Immortal Life-Preserving Decoction) resolved all symptoms; two more doses induced suppuration. Six doses of Jinyinhua San (Honeysuckle Powder) completed the cure.
A patient with a robust constitution, dietary excess, and qi stagnation, aged nearly sixty, developed a back carbuncle. Interior-supporting herbs failed. Only Xiangfu powder (Cyperus Rhizome) provided relief. From swelling to suppuration, this single herb ensured safety. (This case of robust constitution and robust disease is rare, occurring once in thousands. Xiangfu is not traditionally described as tonic, except in Bu Lao Tang (Anti-Aging Decoction) which benefits the elderly using Pianzi Jianghuang, Licorice, and Cyperus. This implies a principle of tonification within movement. Just as Chongwei (Motherwort) invigorates blood and moves qi, possessing yin-tonifying properties, hence its name "Beneficial Mother." Pregnancy and childbirth rely on Qi and Blood; pre-natal absence of stagnation and post-natal absence of deficiency result from tonification within movement. Xia Ku Cao (Prunella Spike) treats scrofula similarly, treating based on its nature.)
Tong Fu suffered from a back carbuncle for over ten days with critical condition and large pulse. Two doses of Huaihua Jiu (Sophora Flower Wine) reduced the pathogen. Two doses of Baidu San (Toxin-Overcoming Powder) followed, then several doses of interior-supporting herbs led to gradual suppuration. Mulberry twig moxibustion was applied to the site for long periods daily, alongside plaster application. After several sessions, pus drained and necrotic tissue shed. Tuoli San (Interior-Supporting Powder) with Baizhu (Atractylodes Macrocephala Rhizome) and Chenpi (Citrus Peel) cured him in over a month.
An attendant general suffered severe pain in the thigh and shoulder blade from toxicity. Detoxifying herbs failed. One dose of Huaihua Jiu (Sophora Flower Wine) reduced the pathogen. Interior-supporting detoxifying herbs completed the cure.
A patient with a critical back carbuncle took five to six liang of Jinyin Teng (Honeysuckle Stem), mashed it, mixed with a cup of hot wine, strained the juice for warm consumption, and applied the dregs externally. Four to five doses brought peace. Jinyinhua (Honeysuckle Flower) is a sacred herb for skin diseases, capable of restoring life whether suppuration has occurred or not.
A seventy-year-old man had a back carbuncle over one chi wide. He had taken dozens of doses of Wuxiang Tang (Five Fragrances Decoction) and Shixuan San (Ten Acupoints Powder). Pus was bloody and foul, with vomiting, inability to eat for over ten days. The patient reported discomfort in the chest after Shixuan San and a thirty-year history of strangury, now suffering from strangury pain, vomiting, and insomnia. Ginseng and Danggui (Angelica Sinensis) paste was decocted, mixed with Niuxi (Achyranthes Root) soup and Zhuli (Bamboo Sap) for administration. In three days, 1.5 jin of medicine was consumed, strangury ceased, and appetite returned. In seven days, 4 jin were consumed, pus spontaneously drained, sleep resumed, and stability was achieved in twenty days. It was mid-summer.
An elder over sixty, fond of alcohol and meat, had a back carbuncle with pus, vomiting, and fever. Many doses of Shixuan San (Ten Acupoints Powder) had been taken. Due to vomiting, Jiahe San (Harvesting Grain Powder) with Dingxiang (Clove) was prescribed. In the intense heat of July, the pulse was surging, rapid, and forceful. I stated: Pulse and symptoms in ulcerative stages are particularly contraindicated, but the physical constitution allows for rescue. Only Dushen Tang (Single Ginseng Decoction) with Zhuli (Bamboo Sap) was given. Consumption of 15-16 jin of medicine and 100 stalks of bamboo sap restored health. I noted this was fortunate; without a bland diet, recurrence was likely. Later, he sat drunk in a pool in summer, developing a soft lump like a cake on the left hypochondrium. Two years later, it ulcerated into a carbuncle with similar pulse and symptoms. Treatment with Ginseng, Huangqi (Astragalus Root), and Zhuli (Bamboo Sap) restored health.
A woman with a back carbuncle underwent suppuration after over twenty doses of interior-supporting detoxifying herbs. Anger caused sudden hematemesis of five to six bowls, weak Qi, and fine pulse, indicating extreme Qi and Blood deficiency. One jin of Dushen Gao (Single Ginseng Paste) was prescribed, providing slight relief. Thirty doses of Ginseng, Huangqi (Astragalus Root), Danggui (Angelica Sinensis), Baizhu (Atractylodes Macrocephala Rhizome), Chenpi (Citrus Peel), and Zhi Gancao (Prepared Licorice) gradually closed the wound. Using cooling herbs like Xijiao (Rhinoceros Horn) would have been a grave error.
A patient had a back sore the size of a bowl, ulcerating to expose viscera, held only by the diaphragm. He believed death was certain. *Jingyao* records: Take a large crucian carp, remove entrails, fill with sheep dung, bake until charred and dry, grind to powder, and apply dry to the wound. The wound closes. This method is effective repeatedly. Use when pus is scant and granulation tissue is desired.
A forty-year-old patient with a back carbuncle had a surging and rapid heart pulse, indicating critical severity. The Classics state: Pain, itching, sores, and ulcers belong to Heart Fire. A surging and rapid pulse indicates excessive Heart Fire. The Heart governs Blood; stagnation of Heart Qi prevents Blood flow, generating abscesses. The Zhuma Jiu (Donkey-Horse Moxibustion) acupoint lies on the pathway of the Heart pulse. Urgent garlic-slice moxibustion was applied to drain Heart Fire and extract toxins, followed by interior-supporting detoxifying herbs for cure.
A patient with a back carbuncle had numerous sore heads, swollen, hard, purple, with little pain and no suppuration. Moxibustion with mugwort applied to the site, combined with strong tonics, resulted in necrotic tissue shedding and recovery after several days.
A patient suddenly felt nausea, intense itching at the Dazhui point, followed by inability to raise the arm and mental fatigue. This is called Tian Ju (Heaven Carbuncle), a critical illness. Garlic-slice moxibustion intensified itching. Direct moxibustion (Ming Jiu) for fifty moxa cones stopped the itch, curing him in ten days. *Jingyao* states: Moxibustion has life-restoring powers, truly so.
A patient with back toxicity had pain, fever, desire for cold drinks, profuse sweating, constipation, and delirium. Two pills of Po Guan Dan (Coffin-Breaking Pill) calmed him. Four doses of Jinyinhua (Honeysuckle) promoted suppuration. Incision and drainage followed, then Tuoli San (Interior-Supporting Powder) for cure.
An eunuch with a back carbuncle had swelling, pain, purple color, and a deep, rapid pulse. Liangfu said: Rapid pulse, fever, and pain indicate Yang onset. Extreme redness turning purple suggests Fire resembling Water. Inquiry revealed half a year of continuous Tou Gu Dan (Bone-Penetrating Pill), causing accumulated warmth turning to heat. Neishu Huanglian Tang (Internal-Draining Coptis Decoction) was given, followed by slightly more, then pus-draining detoxifying herbs, Zhu Ti Tang (Pig Trotter Decoction), and Taiyi Gao (Great One Ointment) for cure.