夫附骨疽者。以其毒瓦斯深附于骨间。疼痛不已。亦有三种之分。一曰缓疽。二曰石疽。三曰附骨
疽。皆因气体衰弱。感受贼风。而有经久不治。延缓而成也。经曰。百病乘虚而入是也。初感之贼风
痛。皮肤不甚热。而脉沉缓。微恶风。自汗。喜热熨。痛则少减是也。宜服引越婢汤治之剂。然附骨
疽但痛无休。或寒热而无汗。经久不治。阴极生阳。寒化为热。方能腐溃是也。盖缓疽其热缓慢。数
月半载不溃。延挨日久。色变紫黑。皮肉俱烂。故名曰缓疽。石疽者。亦寒热相袭。深伏骨髓。但肿
痛坚硬如石。故名曰石疽。其治法皆宜补托之剂。加附子等药。以其性温热而消骨内寒痛。临症相得。
妙在斯矣。
凡疮疡有脓之际。乃肉腐而为脓。是毒瓦斯侵蚀而溃也。若不速去之。恐毒瓦斯蓄而侵溃好肉。如肘
膝枢纽关节之所。筋骨坏。废疾成矣。有等畏针之徒。多致不救。或密针之不就。余今有一赛针散。
即透出脓急妙。载方于后。以备录用。秘之秘之。
凡痈疽仗毒。及杨梅结毒。KT 疮便毒。疔疮等。内多有死肉停蚀好肉。苦痛难禁。若不早去。
愈加腐烂。正谓之恶如野狼虎。毒似蛇蝎。有伤性命。恐致不救。当视其缓急。死肉大小。或以针刀割
去。缓以腐肉锭子或末药或膏药贴之。以平为期。后上生肌长肉等药。上之内服大补汤丸等剂而愈。
世等庸俗。只知敷贴长肉生肌等药为神。殊不知有死肉为害。反加腐烂是也。如去不净。亦不能得愈。
宜熟玩之。
附骨疽这种病，是因为毒气深重，附着在骨骼之间，导致疼痛不止。它又分为三种类型：一是缓疽，二是石疽，三是附骨疽（狭义）。这些病症都是因为人体正气虚弱，感受了贼风邪气，加上久治不愈、拖延日久而形成的。医经上说：“各种疾病都是趁着人体正气虚弱时侵入的。”初感贼风邪气时，疼痛发作，皮肤并不很热，脉象沉缓，微微怕风，自汗出，喜欢用热敷，热敷后疼痛会稍微减轻。这时适宜服用引越婢汤来治疗。然而，典型的附骨疽则是疼痛无休止，或者伴有寒热但无汗，如果久治不愈，发展到阴寒极盛而生阳气，寒邪转化为热邪，才能腐溃化脓。
所谓缓疽，其发热过程缓慢，经过数月甚至半年都不溃破，拖延日久，患处颜色变为紫黑，皮肉全部腐烂，所以叫作缓疽。石疽也是寒热邪气交攻，深伏于骨髓之中，只是肿胀疼痛坚硬如石头，所以叫作石疽。这两种病的治疗方法都适宜使用补托的方剂，并加入附子等药物，因为附子性温热，能消除骨内的寒痛，临证时运用得当，疗效奇妙。
凡是疮疡出现脓液的时候，是肌肉腐败化为脓液，这是毒气侵蚀导致溃破。如果不迅速去除脓液，恐怕毒气蓄积而侵蚀周围健康的肌肉。特别是在肘、膝等关节枢纽部位，会导致筋骨破坏，形成废疾。有些人害怕针刺，往往导致病情无法救治。或者虽然针刺但排脓不畅。我现在有一个“赛针散”，透出脓液非常急效，将方剂记载在后面，以备录用。秘藏此方，务必保密。
凡是痈疽依靠毒气，以及杨梅结毒、下疳疮、便毒、疔疮等内部，多有死肉停留腐蚀健康肌肉，痛苦难以忍受。如果不早点去除，会更加腐烂，正可谓恶毒如同野狼猛虎，毒性似蛇蝎，有伤性命，恐怕导致无法救治。应当视病情的缓急和死肉的大小，有的用针刀割除，有的用腐肉锭子或末药或膏药贴敷，以平复为度。之后使用生肌长肉等药物，内服大补汤丸等剂型即可痊愈。世俗庸医只知道敷贴生肌长肉等药物为神效，却不知道有死肉为害，反而加重腐烂。如果去之不干净，也不能痊愈。应当仔细研读体会。
Fugu Ju (Periosteal Abscess) is a condition where toxic heat deeply adheres to the interstices of the bone, causing unceasing pain. It is further divided into three types: one is Huan Ju (Slow Abscess), two is Shi Ju (Stone Abscess), and three is Fugu Ju (in the narrow sense). All these conditions arise because the body's healthy Qi is deficient, allowing pathogenic "Zei Wind" (thieving wind) to invade, compounded by prolonged treatment failure and delay. The Classics state: "All diseases enter when there is deficiency." In the initial stage of Zei Wind invasion, there is pain, but the skin is not significantly hot; the pulse is deep and slow; there is slight aversion to wind, spontaneous sweating, a preference for warm compresses, and pain is slightly relieved by warmth. At this stage, it is appropriate to administer Yin Yue Pi Shui Tang (Yin-Yue Ma Huang Decoction) for treatment. However, typical Fugu Ju presents with ceaseless pain, or chills and fever without sweating. If left untreated for a long time, extreme Yin generates Yang, transforming cold into heat, which eventually leads to suppuration and ulceration.
Huan Ju (Slow Abscess) features a slow onset of heat, failing to ulcerate for months or even half a year. After prolonged delay, the color turns purple-black, and both skin and flesh rot, hence the name. Shi Ju (Stone Abscess) also involves alternating chills and fever, with pathogens lying deep in the bone marrow; it presents with swelling and pain that are hard as stone, hence the name. The treatment for both should prioritize tonifying and expelling toxins using formulas supplemented with Aconite Radix Preparata (Fuzi, 附子). Since Aconite is warm and hot in nature, it can dissipate cold-induced pain within the bones. When applied correctly in clinical practice, its efficacy is miraculous.
When a Chuang Yang (Sore and Ulcer) has formed pus, it indicates that flesh has rotted into pus due to toxic erosion and ulceration. If the pus is not drained promptly, the accumulated toxin may invade and destroy healthy tissue. Especially in joint areas such as the elbow and knee, this can lead to destruction of tendons and bones, resulting in disability. Some patients fear acupuncture/needle drainage, often leading to untreatable conditions. Or, if punctured, the pus does not drain freely. I now present Sai Zhen San (Needle-Competing Powder), which is highly effective for rapid pus drainage. The formula is recorded below for reference. Keep this secret.
In cases of Yong Ju (Carbuncle and Malignant Tumor) relying on toxicity, as well as Yangmei Jiedu (Chancre/Syphilitic Gumma), Xiahang Chuang (Chancroid), Biandu (Inguinal Bubo), and Ding Chuang (Malignant Furuncle), there is often necrotic tissue (Si Rou, 死肉) remaining that corrodes healthy flesh, causing unbearable pain. If not removed early, the decay worsens. This is described as being as vicious as wild wolves and tigers, and as toxic as snakes and scorpions, threatening life and potentially becoming incurable. One must assess the urgency and size of the necrotic tissue. Large necrotic pieces may be excised with needles or knives; smaller amounts can be treated with Furou Dingzi (Necrotic Flesh Pellets), powdered medicines, or plasters, aiming for a flat, level surface. Subsequently, apply medicines to promote granulation and tissue regeneration. Internally, administer Da Bu Tang Wan (Great Tonification Decoction/Pills) until recovery. Vulgar practitioners of the world only know superficial applications of granulation-promoting drugs as miraculous, unaware that retained necrotic tissue causes harm and exacerbates decay. If necrotic tissue is not completely removed, healing cannot occur. Study this carefully.