痈疽之原委顺逆治法。已详首卷。今之分部位者。为别经络。认穴次。定名色耳。其症治不外乎首卷之
提纲。然间有稍异于总治者。有专治本症之方。而即以此方各附于本症条下。则开卷了然。庶无遗漏
紊乱矣。
经络 中行直鼻上巅。属督脉经。又属足太阳膀胱经。傍开一寸五分为第二行。是足太阳经。再开一
寸五分为第三行。是足少阳经。头角直耳上中。亦足少阳经。
百会疽 生百会穴。在巅之上。初起如粟。次大如钱。形似葡萄。坚硬色赤。寒热痛楚。元气浓者由热
毒上攻。宜黄连消毒饮、蟾酥丸、贵金丸之类。元气弱者由虚阳浮泛。宜八味地黄丸引火归源。更
以附子饼置涌泉穴。灸五壮以泄其毒。若肿连耳项。七日不穴。神昏痰起者不治。
玉顶发 一名佛顶疽。生上星穴。在百会疽之前。由足太阳经风热所致。初起神授卫生散、绀珠丹实
者贵金丸。虚者十全大补汤加羌活。溃而黑陷。脉大神昏。二便闭者不治。
透脑疽 生囟门之际。在玉顶疽之前。形如鸡子。坚而硬。头痛如斫。灸缺盆穴二七壮。
侵脑疽 生透脑疽之傍。头疼引目。灸支正穴七壮。二症初宜绀珠丹汗之。次宜托里散托之。
额疽 生当额。或两额角。一名赤疽。肿如桃李。由阳明胃经积热所致。实者贵金丸下之。次以内托散
托之。溃者补之。十日不穴。溃而无脓出血者。不治。
太阳疽 生太阳穴。一名勇疽。状如伏鼠。肿连面目。寒热交加。七日不溃。毒即攻眼。急宜贴破。破慎风
水。犯则损睛。属阳明胃经。治同透脑疽。十一日刺。得黄白脓者顺。清稀黑血者逆。
鬓疽 生于鬓。属手少阳三焦。此经多气少血。最忌见脓。多由肝胆怒火。或因风热血虚所致。初宜神
授卫生散、柴胡清肝汤清之。次以托里消毒散托之。以速其脓。脓成而至收敛时。肾虚者六味地黄
丸。气虚者补中益气汤。此症虚脉虚之治也。若烦躁饮冷身热。脉大神昏者。脏腑实也。宜贵金丸。所
为疮疡实热。不利者下之是也。宜灸伏兔穴二七壮。
此症虽属少阳。然脉症俱实者。随其壮弱。泻以重轻。若守经禁而纯投补剂。非确论也。
有未见疮时先作渴症。一年半载始发鬓疽。色紫疮黑。平陷坚硬。无脓。毒流耳项。气秽容枯。神昏不
食者。不治。
夭疽（生左耳后） 锐毒（生右耳后。俱一寸三分） 夭者妖变之物也。属肝木。锐者锋利之器也。属肺金。
二症起于谋虑不决。火郁而成。生于隐微。发于不测。及觉之时。毒已入内矣。红活高肿。易腐易脓
者顺。坚硬伏陷。未溃先黑。未脓先腐。臭秽易生。元气易败。此毒瓦斯内攻也。为逆。微者加味逍遥散、越鞠丸、
托里消毒散。随时增损。甚者十全大补汤。非倍用参附。不能以回其阳。
耳后疽 生耳后折间。属三焦经。高肿有头者顺。无脓软陷者逆。甚则嗌肿颊痛。肩肘俱疼。初起者绀
珠丹汗之。热甚者凉膈散清之。已溃者如溃疡门。托之补之。
耳根毒 生于耳根。状如痰核。不动而微痛。属胆与三焦二经风热所致。宜卫生散。或加升麻、柴胡。或
贵金丸下之。弱者神效栝蒌散托之。因怒而耳下肿者。或肋痛脉弦紧者。小柴胡汤加青皮、红花、
桃仁、牛蒡子。再寒热。加荆芥、防风。盖肝者内主藏血。外主荣筋。怒则气逆。故筋蓄结肿。若不自加调
摄。肝迭受伤。迁延结核。再犯追蚀之药。因而不敛不治者多。
耳发 生于耳叶。初起如胡椒。渐大如蜂房。紫赤肿痛。由三焦经风热所致。宜卫生散。或加升麻、桔梗。
壮者贵金丸汗之下之。出黄脓者顺。出鲜血不食神昏狂躁者逆。
玉枕疽（生于玉枕） 脑后发（生玉枕稍下。在风池穴。）形如硬疖。坚而难溃。痛引项肩。气粗鼻塞。此足
太阳膀胱经伏阳结滞而成。少壮者红肿出白脓易愈。老弱者紫陷流黄水难瘥。实者内疏黄连汤。加羌活、金银花之
类。或卫生散、贵金丸。虚者托里消毒散。加升麻、葛根、酒沙黄芩、栀子之类。兼服蜡矾丸。有头者刺之。
涂拔疔散。无头者以离宫锭子涂之。或灸风门穴三七壮。艾如绿豆大。
脑铄 生于项后。初起如横木。久之上至巅顶。下至大椎。未脓而皮先损。或冷而木痛。时流清水。或热
如火燎。痛如针刺。黑如烟灶。形如犬咬。四畔坚若牛唇。灵枢经云。阳气大发。消脑溜项。名曰脑铄。烦
心者死。
此由阴精消固所致。急用神妙拔根法。（见针门）以通其窍。内用十全大补汤加大附子。及八味地黄丸。
以回其阳。宜与项部偏脑疽法及脑疽医案参酌之。若攻补得法。亦有得生者。不可因其恶而弃之。
关于痈疽的起源、发展过程、顺逆转归及治疗方法，已在首卷中详细阐述。如今按部位分类，是为了辨别经络归属、确认穴位次序、确定名称和色泽特征。其症状治疗不外乎遵循首卷的大纲原则。然而，偶尔会有与总治法稍有不同的情况，存在专门针对本症的治疗方剂，因此将这些方剂分别附在各自病症条目之下，使得开卷即能一目了然，从而避免遗漏和混乱。
经络：头部正中线直连鼻尖至头顶，属于督脉经，同时也属于足太阳膀胱经。从正中线旁开一寸五分处为第二行，这是足太阳膀胱经的循行路线。再向外旁开一寸五分处为第三行，这是足少阳胆经的循行路线。头角部直连耳上中部，也属于足少阳胆经。
百会疽：生于百会穴，位于头顶最高处。初起时如粟米大小，随后增大如铜钱，形状似葡萄，质地坚硬且颜色发红，伴有恶寒发热和疼痛痛苦。元气充足者，多因热毒上攻所致，适宜使用黄连消毒饮、蟾酥丸、贵金丸等方剂。元气虚弱者，多因虚阳浮泛所致，适宜使用八味地黄丸以引火归源，并在涌泉穴放置附子饼，施灸五壮以泄出毒邪。若肿胀蔓延至耳部和颈部，七日仍未溃破，出现神志昏迷、痰涎涌起者，属不治之症。
玉顶发：又名佛顶疽，生于上星穴，位于百会疽的前方。由足太阳膀胱经受风热侵袭所致。初起时可用神授卫生散或绀珠丹；体质实者用贵金丸，体质虚者用十全大补汤加羌活。若溃烂后疮面黑陷，脉象洪大，神志昏迷，二便闭塞者，属不治之症。
透脑疽：生于囟门之间，位于玉顶疽的前方。形状如鸡蛋，坚硬且硬，头痛剧烈如被斧劈。可灸缺盆穴十四壮（二七壮）。
侵脑疽：生于透脑疽的旁边。头痛牵连眼部。可灸支正穴七壮。这两种病症初期适宜用绀珠丹发汗，随后宜用托里散托毒外出。
额疽：生于额头正中或两侧额角，又名赤疽。肿胀如桃李大小，由阳明胃经积热所致。体质实者用贵金丸泻下，随后以内托散托毒。溃烂后用补益法。若十日仍未溃破，溃后无脓而出血者，属不治之症。
太阳疽：生于太阳穴，又名勇疽。形状如潜伏的老鼠，肿胀连及面部和眼部，恶寒发热交替出现。七日未溃破，毒邪即会攻入眼睛，急需贴敷药物使其破溃。破溃后需严防风吹和水湿，否则损伤眼睛。此症属阳明胃经，治疗方法同透脑疽。十一日刺破排脓，流出黄白色脓液者为顺证，流出清稀黑血者为逆证。
鬓疽：生于鬓角处，属手少阳三焦经。此经多气少血，最忌讳见脓。多由肝胆怒火引起，或因风热血虚所致。初期适宜用神授卫生散或柴胡清肝汤清热，随后用托里消毒散托毒，以加速成脓。脓成进入收敛阶段时，肾虚者用六味地黄丸，气虚者用补中益气汤。此症是针对虚脉虚证的治法。若出现烦躁、喜冷饮、身热、脉象洪大、神志昏迷者，属脏腑实证，适宜用贵金丸。这就是所谓疮疡实热证，不宜通下的情况下用泻下法。适宜灸伏兔穴十四壮（二七壮）。
此症虽属少阳经，但若脉症均属实证，应根据患者体质的强弱，轻重适度地泻实。如果死守经络禁忌而纯用补剂，并非确论。
有些患者在未见疮疡之前先出现口渴症状，一年半载后才发作鬓疽，疮色紫暗、疮面黑陷、平坦凹陷且坚硬、无脓、毒邪流注耳项、气息秽臭、面容枯槁、神志昏迷、不能进食者，属不治之症。
夭疽（生于左耳后） 锐毒（生于右耳后，均长一寸三分）。“夭”指妖变之物，属肝木；“锐”指锋利之器，属肺金。这两种病症起因于谋虑不决，导致火郁结而成。生于隐蔽细微之处，发作出乎意料。等到察觉时，毒邪已深入体内。若疮色红活、高肿，易腐烂化脓者，为顺证。若疮形坚硬、伏陷，未溃先黑，未化脓先腐，气味臭秽易生，元气易败，此为毒瓦斯内攻，属逆证。轻症用加味逍遥散、越鞠丸、托里消毒散，随证加减。重症用十全大补汤，若非加倍使用人参、附子，不能挽回阳气。
耳后疽：生于耳后折痕间，属三焦经。高肿且有脓头者为顺证，无脓且软陷者为逆证。严重时咽喉肿胀、脸颊疼痛、肩肘俱痛。初期用绀珠丹发汗，热甚者用凉膈散清热。已溃破者参照溃疡门的治法，进行托毒和补益。
耳根毒：生于耳根，形状如痰核，推之不动且微痛，属胆经与三焦经风热所致。适宜用卫生散，或加升麻、柴胡，或用贵金丸泻下。体质弱者用神效栝蒌散托毒。因愤怒导致耳下肿胀，或胁痛、脉弦紧者，用小柴胡汤加青皮、红花、桃仁、牛蒡子。若再次出现寒热，加荆芥、防风。盖因肝脏内主藏血，外主荣养筋脉，愤怒则气机逆乱，故筋脉蓄结肿胀。若不自我调养摄护，肝脏反复受伤，迁延形成结核，再误用追蚀类药物，因而无法愈合而不治的情况很多。
耳发：生于耳叶，初起如胡椒粒，逐渐增大如蜂房，紫红色肿痛，由三焦经风热所致。适宜用卫生散，或加升麻、桔梗。体质壮实者用贵金丸发汗或泻下。流出黄脓者为顺证，流出鲜血、不食、神志昏迷、狂躁者，为逆证。
玉枕疽（生于玉枕骨处） 脑后发（生于玉枕骨稍下方，在风池穴处），形状如硬疖，坚硬难溃，疼痛牵引项部和肩部，呼吸粗重、鼻塞，此乃足太阳膀胱经伏阳结滞而成。年轻力壮者红肿出白脓易愈，年老体弱者紫陷流黄水难愈。实证用内疏黄连汤，加羌活、金银花之类，或用卫生散、贵金丸。虚证用托里消毒散，加升麻、葛根、酒炒黄芩、栀子之类，兼服蜡矾丸。有脓头者刺破，涂拔疔散；无脓头者涂离宫锭子，或灸风门穴二十一壮（三七壮），艾炷如绿豆大。
脑铄：生于项后，初起如横木，久之向上至头顶，向下至大椎穴。未化脓而皮肤先破损，或感觉寒冷且麻木疼痛，时常流出清水，或感觉热如火燎，痛如针刺，肤色黑如烟灶，形状如犬咬伤，四周坚硬如牛唇。《灵枢经》云：“阳气大发，消脑溜项，名曰脑铄。”伴有心烦者死。
此症由阴精消耗固损所致，急用神妙拔根法（见针灸门）以通其窍道。内服十全大补汤加大剂量附子，以及八味地黄丸，以回阳救逆。宜参考项部偏脑疽的治法及脑疽医案斟酌处理。若攻补得法，也有获救生存的可能，不可因其病情恶劣而放弃治疗。
The origin, development, favorable/unfavorable progression, and treatment methods of carbuncles and sores (Yongju) have been detailed in the first volume. The current classification by body part is to distinguish meridian affiliations, identify acupoint sequences, and determine names and colors. Their symptom management does not exceed the general principles outlined in the first volume. However, there are occasional cases slightly different from general treatments, with specific formulas dedicated to these conditions. These formulas are attached to their respective condition entries for clarity upon opening the book, thereby preventing omissions and confusion.
Meridians: The midline of the head runs straight from the nose tip to the vertex, belonging to the Du Meridian (Governing Vessel), and also to the Foot-Taiyang Bladder Meridian. One inch and five fen lateral to the midline constitutes the second row, which is the course of the Foot-Taiyang Bladder Meridian. Another one inch and five fen lateral to that is the third row, which is the Foot-Shaoyang Gallbladder Meridian. The temporal angle running straight up to the middle of the ear also belongs to the Foot-Shaoyang Gallbladder Meridian.
Baihui Carbuncle (Baihui Ju): Arises at the Baihui acupoint, located at the highest point of the vertex. Initially resembling a millet grain, it subsequently enlarges to the size of a coin, shaped like a grape, hard and red in color, accompanied by aversion to cold, fever, pain, and distress. In patients with robust Yuan Qi (Primordial Qi), this is due to heat-toxin attacking upwards; suitable formulas include Huanglian Xiaodu Yin (Coptis Decoction for Detoxification), Chansu Wan (Toad Venom Pill), or Guijin Wan (Precious Gold Pill). In patients with deficient Yuan Qi, this is due to floating deficient Yang; suitable treatment involves Bayi Dihuang Wan (Eight-Ingredient Rehmannia Pill) to guide fire back to its source, combined with applying an Aconite Cake (Fuzi Bing) to the Yongquan acupoint (KI1) and moxibustion of five cones to drain the toxin. If swelling extends to the ears and neck, fails to suppurate after seven days, and is accompanied by coma and phlegm-rising, it is incurable.
Yuding Fa (Jade Top Eruption): Also known as Foteng Ju (Buddha Crown Carbuncle), arising at the Shangxing acupoint, anterior to the Baihui Carbuncle. Caused by wind-heat affecting the Foot-Taiyang Bladder Meridian. At onset, Shenshou Weisheng San (Divine Grant Hygiene Powder) or Zhenzhu Dan (Azure Pearl Pill) may be used; for excess constitutions, Guijin Wan is used, while for deficiency constitutions, Shiquan Dabu Tang (Complete Great Tonifying Decoction) plus Qianghuo is indicated. If ulceration results in black sinking, with a surging pulse, coma, and closure of bowel and bladder movements, it is incurable.
Tounao Ju (Penetrating Brain Carbuncle): Arises between the fontanelles, anterior to the Yuding Carbuncle. Resembling an egg, it is hard and firm, with severe headache as if hacked by an axe. Moxibustion on the Quepen acupoint (LI15) for fourteen cones (two sets of seven) is indicated.
Qinnao Ju (Invading Brain Carbuncle): Arises beside the Tounao Carbuncle. Headache radiating to the eyes. Moxibustion on the Zhengzheng acupoint (SI7) for seven cones is indicated. For both conditions, initial treatment should involve Zhenzhu Dan to induce sweating, followed by Tuoli San (Support Interior Powder) to support the interior and expel toxins.
E Ju (Forehead Carbuncle): Arises on the forehead or at the two temporal angles, also known as Chi Ju (Red Carbuncle). Swelling resembles plum or peach fruits, caused by accumulated heat in the Yangming Stomach Meridian. For excess constitutions, Guijin Wan is used to purge downwards, followed by Neituo San (Interior Supporting Powder). After ulceration, tonification is applied. If ten days pass without ulceration, or if ulceration occurs without pus but with bleeding, it is incurable.
Taiyang Ju (Taiyang Carbuncle): Arises at the Taiyang acupoint, also known as Yong Ju (Brave Carbuncle). Resembling a crouching rat, swelling connects to the face and eyes, with alternating chills and fever. If un-ulcerated after seven days, the toxin attacks the eyes; urgent application of medication to promote rupture is required. After rupture, strict avoidance of wind and water exposure is necessary to prevent eye damage. This condition belongs to the Yangming Stomach Meridian; treatment is the same as for Tounao Carbuncle. Puncture at eleven days; discharge of yellow-white pus indicates a favorable prognosis, while clear thin black blood indicates an unfavorable prognosis.
Bin Ju (Temple Carbuncle): Arises in the temple region, belonging to the Hand-Shaoyang Sanjiao (Triple Burner) Meridian. This meridian has abundant Qi and scarce Blood, making suppuration highly undesirable. It is mostly caused by liver-gallbladder fire anger, or by wind-heat with blood deficiency. Initial treatment should use Shenshou Weisheng San or Chaihu Qinggan Tang (Bupleurum Liver-Clearing Decoction) to clear heat, followed by Tuoli Xiaodu San (Support Interior and Detoxify Powder) to accelerate suppuration. When pus forms and enters the convergence stage, Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) is used for Kidney deficiency, and Buzhong Yiqi Tang (Middle-Warmer Boosting Qi-Decreasing Decoction) for Qi deficiency. This represents treatment for deficiency pulses and deficiency syndromes. If irritability, desire for cold drinks, fever, surging pulse, and coma occur, it indicates organ excess; Guijin Wan is indicated. This refers to excess-heat in sores where purgation is contraindicated unless necessary. Moxibustion on the Futu acupoint (ST32) for fourteen cones is indicated.
Although this condition belongs to the Shaoyang, if pulses and symptoms are all excess, purgation should be graded lightly or heavily according to the patient's strength. Adhering strictly to meridian taboos and using only tonics is not an accurate theory.
Some patients experience thirst before the sore appears, developing Bin Ju after one and a half to two years. If the color is purple, the sore is black, flat, sunken, hard, without pus, with toxin flowing to ears and neck, foul breath, withered complexion, coma, and inability to eat, it is incurable.
Yao Du (Born behind left ear) Rui Du (Born behind right ear, both one inch three fen long). "Yao" refers to demonic/abnormal changes, belonging to Liver Wood; "Rui" refers to sharp instruments, belonging to Lung Metal. Both conditions arise from indecisive planning leading to stagnant fire. They arise in hidden/subtle areas and manifest unpredictably. By the time they are noticed, the toxin has already entered the interior. Red, vibrant, high swelling that easily rots and suppurates indicates a favorable prognosis. Hardness, sinking, blackening before ulceration, rotting before suppuration, foul odor, easy collapse of Yuan Qi indicate internal attack of toxic vapors, which is unfavorable. Mild cases use Jiawei Xiaoyao San (Modified Rambling Powder), Yueju Wan (Regulating Qi Pill), or Tuoli Xiaodu San, adjusted as needed. Severe cases use Shiquan Dabu Tang; without doubling the dosage of Ginseng and Aconite, Yang cannot be restored.
Er Hou Ju (Carbuncle Behind Ear): Arises in the fold behind the ear, belonging to the Sanjiao Meridian. High swelling with a head indicates favorable prognosis; no pus and soft sinking indicate unfavorable prognosis. Severe cases present with throat swelling, cheek pain, and shoulder/elbow pain. Initial treatment uses Zhenzhu Dan to sweat; for severe heat, Liangge San (Cool Chest Powder) clears heat. After ulceration, refer to the Ulcer Section for supporting and tonifying methods.
Er Gen Du (Toxin at Ear Root): Arises at the ear root, resembling a phlegm-nodule, immobile and slightly painful, caused by wind-heat in the Gallbladder and Sanjiao meridians. Wei Sheng San (Hygiene Powder) is indicated, possibly adding Shengma and Chaihu, or using Guijin Wan to purge. Weak constitutions use Shenxiao Gualou San (Miraculous Trichosanthes Powder) to support. Swelling below the ear due to anger, or rib pain with wiry-tight pulse, indicates Xiao Chaihu Tang (Minor Bupleurum Decoction) plus Qingpi, Honghua, Taoren, and Niubangzi. If chills and fever recur, add Jingjie and Fangfeng. The Liver stores blood internally and nourishes sinews externally; anger causes Qi rebellion, leading to sinus accumulation and swelling. Without self-regulation, repeated Liver injury leads to persistent nodules; misuse of corrosive drugs often results in non-healing and incurability.
Er Fa (Ear Hair/Sore): Arises on the earlobe, initially like a peppercorn, gradually enlarging like a honeycomb, purple-red and swollen/painful, caused by wind-heat in the Sanjiao Meridian. Wei Sheng San is indicated, possibly adding Shengma and Jiegeng. Strong constitutions use Guijin Wan to sweat or purge. Discharge of yellow pus is favorable; discharge of fresh blood, anorexia, coma, and mania are unfavorable.
Yuzhen Ju (Jade Pillow Carbuncle - Born at Yuzhen bone) Naohou Fa (Hair Sore at Back of Head - Born slightly below Yuzhen, at Fengchi acupoint). Resembling a hard boil, hard and difficult to ulcerate, pain radiating to neck and shoulders, coarse breathing, nasal congestion. This is formed by latent Yang stagnation in the Foot-Taiyang Bladder Meridian. Young and strong patients with red swelling and white pus heal easily; old and weak patients with purple sinking and yellow fluid drainage are difficult to cure. Excess patterns use Neishu Huanglian Tang (Internal Purging Coptis Decoction) plus Qianghuo and Jinyinhua, or Wei Sheng San, Guijin Wan. Deficiency patterns use Tuoli Xiaodu San plus Shengma, Gegen, wine-fried Huangqin, and Zhizi, taken concurrently with Lafan Wan. Those with heads are punctured and treated with Babing San (Boil-Pulling Powder); those without heads are treated with Ligong Dingzi (Palace-Lixing Paste) or moxibustion on Fengmen acupoint (BL12) for twenty-one cones, with moxa cones the size of mung beans.
Nao Shuo (Brain Melting): Arises at the back of the neck, initially like a horizontal log, eventually extending up to the vertex and down to the Dazhui acupoint. Skin breaks before pus forms, feeling cold and numb-painful, occasionally flowing clear fluid, or feeling hot as if burning, painful as if needle-pricked, black as if soot-stained, shape like dog bites, surrounding tissue hard as ox lips. The Ling Shu states: "Excessive Yang qi expansion, melting brain and neck, named Nao Shuo." Accompanied by vexation, death ensues.
This condition is caused by consumption and fixation of Yin Essence. Urgently apply Shenmiao Bagen Method (see Acupuncture Section) to open the orifices. Internally, use Shiquan Dabu Tang with large doses of Fuzi, and Bayi Dihuang Wan, to restore Yang. Refer to the treatment methods for lateral neck carbuncles and clinical cases of head carbuncles for reference. If attack and tonification are applied correctly, survival is possible; do not abandon treatment due to the severity of the condition.