一人年逾三十，腹患痈肿，脉数喜冷。齐氏曰∶疮疡肿起坚硬者，实也。河间曰∶肿硬瞀
闷，烦躁饮冷，邪在内也。用清凉饮倍加大黄，三帖稍缓；次以四物汤加芩连、栀子、木通，
四剂而溃；更以十宣散，去参、 、桂，加金银花、天花粉。彼欲速效，自服温补药，肚腹遂肿，
小便不利。仍用清凉饮，脓溃数碗，以托里药治之而愈。
一人腹痈 痛，烦躁作呕，脉实。河间曰∶疮疡火属，须分内外以治其本。又云∶呕哕心
烦，肿硬瞀闷，或皮肉不变，脉沉而实，毒在内也。当疏其内以绝其源。用内疏黄连汤，利二
三行，诸证悉去，更以连翘消毒散而愈。
一人腹痈，脓熟开迟脉微细，脓出后，疮口微脓如蟹吐沫，此内溃透膜也。疮疡透膜十无
一生，虽用大补亦不能救，此可为待脓自出之戒也。
一人腹内一块，不时作痛，痛则不知人事，良久方苏，诸药不应，其脉沉细，非疮也。
河间云∶失笑散治疝气，及妇人血气痛欲死，并效。与一服，痛去六七，再服而平。此药治
产后心腹绞痛及儿枕痛，尤妙。
一人素嗜酒色，小腹患肿毒，脉弱，微痛，欲求内消。予谓∶当助胃壮气，兼行经活血
佐之，可消。彼欲速效，自用败毒等药，势果盛，疮不溃脓，饮食少思。两月余，复请诊，
脉愈弱，盗汗不止，聚肿不溃，肌寒肉冷，自汗色脱。此气血俱虚，故不能发肿成脓，以十
全大补汤三十余服，脓成针之，反加烦躁脉大，此亡阳也，以圣愈汤三服，仍以葱汤百服而愈。
有一位三十多岁的患者，腹部患有痈肿，脉象数急且喜欢冷饮。齐氏说：疮疡肿胀突起且质地坚硬，属于实证。河间（刘完素）说：肿胀坚硬、神志昏蒙烦闷、烦躁并想喝冷水，说明邪气在体内。使用清凉饮并加倍大黄用量，服用三帖后症状稍缓解；接着用四物汤加入黄芩、黄连、栀子、木通，服用四剂后脓溃排出；随后改用十宣散，去掉人参、白术、桂枝，加入金银花、天花粉。该患者想要快速见效，自行服用温补药物，导致肚腹更加肿胀，小便不通畅。仍然使用清凉饮，排出脓液数碗，再用托里药治疗而痊愈。
另一位患者腹部患痈痛，烦躁并伴有呕吐，脉象实大。河间说：疮疡多属火邪，必须区分内因外因而治其根本。又说：呕吐呃逆、心烦、肿胀坚硬、神志昏蒙烦闷，或者皮肤肌肉颜色无变化，脉象沉而实，说明毒气在体内。应当疏通内部以断绝病源。使用内疏黄连汤，排便两三次后，所有症状全部消除，再用连翘消毒散治疗而痊愈。
还有一位患者腹部患痈，脓液已熟但破溃迟缓，脉象微细。脓液流出后，疮口渗出的脓液像螃蟹吐沫一样稀薄，这是内部溃烂穿透腹膜的表现。疮疡穿透腹膜的，十人中没有一人能存活，即使使用大补药物也不能挽救，这可以作为等待脓液自然排出的警戒案例。
又有一位患者腹部有一块肿块，不时发作疼痛，疼痛剧烈时会导致昏迷不省人事，很久才能苏醒，各种药物都无效，其脉象沉细，这不是疮疡。河间说：失笑散治疗疝气，以及妇女血气疼痛欲死的情况，都非常有效。给予一服药，疼痛减轻六七成，再服用后疼痛平息。此药治疗产后心腹绞痛及儿枕痛（产后瘀血腹痛），尤为奇妙。
还有一位患者平素嗜好酒色，小腹患肿毒，脉象虚弱，轻微疼痛，希望内消（不通过溃破而消散）。我说：应当扶助胃气、壮大元气，兼用行经活血的药物辅助，可以消散。该患者想要快速见效，自行服用败毒等药物，病情果然加重，疮疡不溃脓，饮食减少思虑。两个多月后，再次请诊，脉象更加虚弱，盗汗不止，肿块聚集而不溃破，肌肤寒冷肌肉发冷，自汗且面色苍白脱失。这是气血俱虚，所以不能使肿胀化脓，于是用十全大补汤服用三十余帖，脓成后用针穿刺，反而出现烦躁、脉象洪大，这是亡阳的表现，再用圣愈汤服用三帖，仍以葱汤服用百余次而痊愈。
A patient over thirty years of age suffered from an abdominal carbuncle (flesh tumor), with a rapid pulse and a preference for cold drinks. Qi stated: When sores and ulcers swell and rise with hardness, it is an Excess condition. He Jian (Liu Wansu) stated: Swelling and hardness accompanied by mental confusion, oppression, irritability, and a desire to drink cold indicates that the pathogenic factor is inside. Qingliang Yin (Cooling Drink) was used with doubled Dahuang (Rhubarb Rhizome), and after three doses, symptoms slightly alleviated; subsequently, Siwu Tang (Four Substances Decoction) added Huangqin (Scutellaria Root), Huanglian (Coptis Rhizome), Zhizi (Gardenia Fruit), and Mutong (Akebia Stem) was administered for four doses until suppuration occurred; further, Shixuan San (Ten Acupoints Powder) was used, removing Renshen (Ginseng Root), Baizhu (Atractylodes Rhizome), and Guizhi (Cinnamon Twig), and adding Jinyinhua (Honeysuckle Flower) and Tianhuafen (Trichosanthes Root). The patient, desiring rapid efficacy, self-administered warming and tonifying medicines, causing the abdomen to swell further and urination to become difficult. Qingliang Yin was used again, resulting in the discharge of several bowls of pus, and the patient recovered after treatment with Tuoli Yao (Supporting Interior Medicines).
Another patient suffered from abdominal carbuncle pain, irritability, vomiting, and a full pulse. He Jian stated: Sores and ulcers belong to Fire, and one must distinguish between interior and exterior to treat the root cause. He also said: Vomiting, hiccups, heart vexation, swelling and hardness with mental confusion, or unchanged skin and flesh with a deep and full pulse indicate that toxicity is inside. One should unblock the interior to cut off the source. Neishu Huanglian Tang (Interior-Draining Coptis Decoction) was used; after two or three bowel movements, all symptoms disappeared, and the patient recovered after treatment with Lianqiao Xiaodu San (Forsythia Detoxification Powder).
Yet another patient had an abdominal carbuncle where the pus was ripe but rupture was delayed, with a faint and fine pulse. After the pus drained, the exudate from the wound resembled crab bubbles, indicating internal ulceration penetrating the peritoneum. Cases of sores and ulcers penetrating the peritoneum rarely survive; even with strong tonification, rescue is impossible. This serves as a warning against waiting for pus to emerge naturally.
Another patient had a lump inside the abdomen that caused intermittent pain; during severe pain episodes, the patient would lose consciousness and only regain awareness after a long time. Various medicines were ineffective, and the pulse was deep and fine, indicating this was not a sore/ulcer. He Jian stated: Shixiao San (Forget Sorrow Powder) is effective for treating hernia qi and women's blood-q stagnation pain that feels like death. One dose was given, reducing pain by sixty to seventy percent, and subsequent doses brought relief. This medicine is particularly excellent for treating postpartum colic and Eryuzhen Tong (Child Pillow Pain / Postpartum Lochi Stasis Pain).
Another patient, who habitually indulged in alcohol and sexual activity, developed a swelling toxin in the lower abdomen. The pulse was weak, with slight pain, and the patient desired internal resolution (dissolution without suppuration). I advised: One should strengthen the stomach and boost Qi, assisted by herbs that promote circulation and invigorate blood, which could lead to resolution. The patient, seeking rapid results, self-administered detoxifying medicines such as Baidu drugs, causing the condition to worsen significantly. The sore did not suppurate, and appetite decreased. More than two months later, upon re-examination, the pulse became weaker, night sweats persisted, the swelling remained aggregated without rupturing, the muscles felt cold, spontaneous sweating occurred, and the complexion was pale and depleted. This indicated deficiency of both Qi and Blood, preventing the formation of pus. Tenquan Dabu Tang (Complete Great Tonifying Decoction) was administered for over thirty doses; once pus formed, it was lanced. However, irritability and a large pulse appeared, indicating Yang collapse. Shengyu Tang (Sage Preservation Decoction) was given for three doses, and the patient recovered after taking Congtang (Green Onion Decoction) more than a hundred times.