患在小腹之内，按之如掌，坚硬而热，微痛，小便频数，汗出憎寒，腹色如故，或现微
肿，以犀黄丸愈之。
马曰∶此症以散瘀利湿为主，当服煎剂，不得已以犀黄丸括之。
\r小肠疽图\p04-a33a1.bmp\r
初起膝盖骨内作痛，如风气一样，久则日肿日粗，而大腿日细者是也。因形似鹤，故名
。专
治之法，取新鲜白芷，用酒煎至成膏，收贮瓷瓶，每日取膏二钱，陈酒送服。再取二三钱涂
患，至消乃止。否则，用阳和汤日服，外以白芥子为粉，白酒酿调涂亦消。
马曰∶鹤膝乃三阴不足，有外受风寒、脾湿下注而成者，有肝肾阴亏，湿热下注而成者
，阳和汤不宜，即白芷、白芥子等品，有热者亦不可用。
生于小腹两旁，大腿界中，形如腰子，皮色不异，硬如结核，按之微痛者是也。日取角
刺粥
时饮，三四日全消。或以子龙丸，每服三分，淡姜汤日送三次，痊愈乃止。大忌开刀，开则
刀口无脓，惟出白腻浆，三百日内必死。自溃者亦然。
马曰∶横 之症，乃败精湿痰凝结而成，角刺及子龙丸似非宜用。
初起乳中生一小块，不痛不痒，症与瘰 恶核相若，是阴寒结痰，此因哀哭忧愁，患难
惊恐
所致。其初起以犀黄丸，每服三钱，酒送，十服痊愈。或以阳和汤加土贝五钱煎服，数日可
消。倘误以膏贴药敷，定主日渐肿大，内作一抽之痛，已觉迟治，若皮色变异，难以挽回。
勉以阳和汤日服，或以犀黄丸日服，或二药每日早晚轮服，服至自溃，用大蟾六只，每日早
晚取蟾破腹连杂，以蟾身刺孔，贴于患口，连贴三日，内服千金托里散，三日后接服犀黄丸
。十人之中，可救三四。溃后不痛而痒极者，断难挽回。大忌开刀，开则翻花最惨，万无一
活。男女皆有此症。
马曰∶乳岩乃心肝二经，气火郁结，七情内伤之病，非阴寒结痰，阳和汤断不可服，服
之是
速其溃也，溃则百无一生。惟逍遥散最为稳妥，且犀黄丸内有乳香、没药、麝香，辛苦温燥
，更当忌投。
患于小腹内部，按压时感觉像手掌大小，质地坚硬且发热，伴有轻微疼痛，小便次数增多，出汗且怕冷，腹部肤色正常，或者出现轻微肿胀，使用犀黄丸可以治愈。
马元仪说：此病症以消散瘀血、利湿为主，应当服用煎剂，不得已时才用犀黄丸来概括治疗。
初起时膝盖骨内部疼痛，感觉像受风气侵袭一样，时间久了则每日肿胀变粗，而大腿日渐变细的就是这种病。因为形状像鹤膝，所以得名。专门的治疗方法，取新鲜白芷，用酒煎煮至成膏状，储存在瓷瓶中，每天取两钱膏药，用陈年黄酒送服。再取两三钱涂抹患处，直到肿块消退才停止。否则，每天服用阳和汤，外用白芥子研粉，用白酒酿调匀后涂抹，也能消退。
马元仪说：鹤膝风是由于三阴经不足，外受风寒、脾湿下注而成的；也有因肝肾阴亏，湿热下注而成的。这种情况不宜用阳和汤，即使对于白芷、白芥子等药物，如果有热象也不可使用。
生于小腹两侧，大腿交界处，形状像腰子，皮肤颜色没有变化，硬如结节，按压时有轻微疼痛的就是这种病。每天饮用角刺粥，三四天即可完全消退。或者服用子龙丸，每次三分，用淡姜汤每天送服三次，痊愈为止。绝对禁止开刀，如果开刀，刀口不出脓，只流出白色腻浆，三百天内必死无疑。自行溃破的情况也是如此。
马元仪说：横痃的病症，是由败精和湿痰凝结而成，角刺及子龙丸似乎并不适宜使用。
初起时乳房中生出一小块，不痛不痒，症状与瘰疬、恶核相似，这是阴寒结痰所致，多因哀哭忧愁、患难惊恐引起。初期服用犀黄丸，每次三钱，用酒送服，十次可痊愈。或者用阳和汤加五钱土贝母煎服，数日可消退。倘若错误地使用膏药贴敷，必然导致日渐肿大，内部产生抽掣样疼痛，此时觉得治疗已晚，如果皮肤颜色发生变化，就难以挽回了。勉强建议每天服用阳和汤，或者每天服用犀黄丸，或者两种药早晚轮流服用，直到自行溃破，再用六只大蟾蜍，每天早晚剖开蟾蜍腹部连同内脏一起，用蟾身刺孔，贴在溃破的伤口上，连续贴三天，内服千金托里散，三天后再接续服用犀黄丸。十个人中，可以救活三四个。溃破后如果不痛而极度瘙痒的，断难挽回。绝对禁止开刀，如果开刀，形成翻花疮最为惨烈，万无一活。男女都有此病。
马元仪说：乳岩是心肝二经气火郁结，七情内伤导致的疾病，并非阴寒结痰，绝对不可服用阳和汤，服用它会加速溃烂，一旦溃烂，百无一生。只有逍遥散最为稳妥，而且犀黄丸内有乳香、没药、麝香，性味辛苦温燥，更应当忌用。
Located inside the lower abdomen, palpation reveals a mass the size of a palm, hard and hot to the touch, with slight pain, frequent urination, sweating accompanied by aversion to cold, normal abdominal skin color, or slight swelling; it can be cured using Xihuang Wan (Calculus Bovis Pill).
Ma Yuanyi stated: The treatment of this condition should primarily focus on resolving blood stasis and promoting diuresis. Decoctions should be taken; only when necessary should Xihuang Wan be used as a general remedy.
At the onset, pain occurs inside the patella, resembling wind-cold invasion. Over time, the knee swells and thickens daily while the thigh atrophies. This is known as Crane’s Knee due to its shape resembling that of a crane. The specific treatment involves taking fresh Angelicae Dahuricae Radix (Baizhi), decocting it in wine until it forms a paste, storing it in a porcelain bottle, and taking two qian of the paste daily with aged yellow wine. Additionally, apply two or three qian topically to the affected area until the swelling subsides. Alternatively, take Yanghe Tang (Warming Harmony Decoction) daily, and externally apply powder made from Sinapis Semen (Baijiezi) mixed with fermented rice wine to resolve the swelling.
Ma Yuanyi stated: Crane’s Knee is caused by deficiency of the Three Yin meridians, resulting from external wind-cold and dampness sinking from the Spleen, or by Liver-Kidney Yin deficiency with damp-heat sinking downward. Yanghe Tang is not suitable; even herbs like Baizhi and Baijiezi should not be used if heat signs are present.
Occurring on both sides of the lower abdomen, in the junction with the thigh, shaped like a kidney bean, with unchanged skin color, hard like a nodule, and slightly painful upon pressure. Drinking Jiaoci Zhou (Zanthoxylum Porridge) daily can completely resolve it within three to four days. Alternatively, take Zilong Wan (Child Dragon Pill), 3 fen per dose, delivered with light ginger soup three times daily, until recovery. Incision is strictly contraindicated; if incised, no pus will emerge, only white greasy fluid, leading to death within 300 days. Spontaneous ulceration yields similar fatal outcomes.
Ma Yuanyi stated: Hengxuan (Transverse Abscess) is formed by the coagulation of degenerate semen and damp-phlegm; thus, Jiaoci and Zilong Wan seem inappropriate for use.
Initially, a small lump appears in the breast, painless and non-itchy, resembling Luoli (Scrofula) or Ehe (Malignant Nodule). This is phlegm coagulated by Yin-cold, often caused by grief, sorrow, hardship, or fright. Initially, take Xihuang Wan, 3 qian per dose, with wine; ten doses can lead to recovery. Alternatively, take Yanghe Tang added with 5 qian of Tu Beimu (Fritillaria Thunbergii Bulb) decocted in water; resolution may occur within a few days. If mistakenly treated with plaster applications, the mass will inevitably enlarge daily, causing internal pulling pain. Treatment becomes difficult once the skin color changes. It is recommended to take Yanghe Tang daily, or Xihuang Wan daily, or alternate the two medicines morning and evening, until spontaneous ulceration occurs. Then, use six large Toad skins (Chanhu); dissect them open including viscera, puncture holes in the toad body, and apply to the ulcerated wound for three consecutive days. Internally, take Qianjin Tuoli San (Thousand-Guarding Support Powder), and after three days, resume Xihuang Wan. Among ten patients, three or four may be saved. If post-ulceration brings intense itching instead of pain, recovery is impossible. Incision is strictly contraindicated; if incised, "flower-turning" ulcers form, which are most tragic, with zero survival rate. Both men and women can suffer from this disease.
Ma Yuanyi stated: Ruyan (Breast Cancer) is a disease caused by Qi and Fire stagnation in the Heart and Liver meridians, and emotional injury. It is not phlegm coagulated by Yin-cold. Yanghe Tang must absolutely not be taken, as it accelerates ulceration, leading to certain death. Xiaoyao San (Free and Easy Wanderer Powder) is the safest option. Furthermore, Xihuang Wan contains Ruxiang (Frankincense), Moyao (Myrrh), and Shexiang (Musk), which are pungent, bitter, warm, and drying, and should definitely be avoided.