井疽心火发中庭，初如豆粒渐肿疼，心躁肌热唇焦渴，红活易治黑陷凶。
【注】此证生于心窝，属任脉中庭穴，由心经火毒而成。初如豆粒，肿痛渐增，心躁
如焚，肌热如火，自汗唇焦，大渴饮冷，急服内疏黄连汤或麦灵丹。若烦闷作呕，发热
无汗者，夺命丹汗之；如红活高肿者顺，黑陷平塌者逆。其余内外治法，俱按痈疽肿疡、
溃疡门。若溃后经年不愈者，必成穿心冷 ，难治。
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内疏黄连汤 麦灵丹（俱见肿疡门）
夺命丹 （见背部阴阳二气疽）
蜂窝疽形似蜂窝，胸侧乳上疮孔多，漫肿紫痛心火毒，黑陷者逆顺红活。
【注】此证生于胸侧乳上，亦有遍身而发者，由心火毒盛而成。色紫漫肿疼痛，身发
寒热，初起六七孔，渐渐延开有三五寸，亦有六七寸者，形似蜂房，即有数十窍，每窍
出黄白脓，宣肿疮面全腐。腐脱有新肉，色红鲜润者顺；若出黑水，气秽平塌者逆。始
终内、外治法，俱按痈疽肿疡、溃疡门。遇气寒之人，至八九日不溃，以神灯照每日照
之，应期即溃。
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神灯照法（见首卷）
蠹疽生于缺盆中，初豆渐李坚紫疼，寒热尿涩宜蒜灸，证由胆胃积热生。
【注】此证一名缺盆疽，又名锁骨疽，生在胸上项下，锁子骨内软陷中缺盆穴，属胆、
胃二经积热而发。初发寒热往来，筋骨拘急，饮食不思，胸腹膨胀，小水短涩；初发如豆，
渐大如李，色紫、坚硬疼痛。初宜艾壮隔独头蒜片灸之，内服夺命丹汗之，次服六一散，
通利小水。脓势将成，宜服内托黄 散。气血虚甚者，宜服十全大补汤托补之。其余内
外治法，俱按痈疽肿疡、溃疡门，此证宜急托治，若失治腐烂内陷，疮口难敛，必成败
证。
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六一散
滑石（六两） 甘草（生，一两）
共为末，每服三钱，灯心煎汤调服。
【方歌】六一散医小水癃，能除燥湿热有功，滑石甘草研成末，灯心汤调服立通。
夺命丹（见背部阴阳二气疽）
内托黄 散（见背部中搭手）
十全大补汤（见溃疡门）
井疽由心火发于中庭穴，初起时如豆粒大小，逐渐肿胀疼痛，伴有心烦急躁、肌肤发热、嘴唇焦枯、口渴欲饮等症状；若疮色红活则易治，若疮色黑陷则预后凶险。
【注】此证生于心窝部位，归属于任脉的中庭穴，由心经火毒蕴结而成。初起时如豆粒大小，肿痛逐渐加重，心中烦躁如火焚烧，肌肤灼热如火，自汗出，嘴唇焦裂，极度口渴且喜饮冷水，应紧急服用内疏黄连汤或麦灵丹。如果出现烦闷作呕、发热但无汗的症状，需用夺命丹使其发汗；若疮色红活、高肿者为顺证，若疮色黑陷、平塌者为逆证。其余内外治疗方法，均按照痈疽肿疡门和溃疡门的规定执行。如果溃破后经过一年仍不愈合，必然形成穿心冷漏，难以治愈。
蜂窝疽形状像蜂窝，生于胸侧乳房上方，疮孔较多，漫肿紫暗，疼痛剧烈，属于心火毒盛所致；若疮色黑陷为逆证，若疮色红活为顺证。
【注】此证生于胸侧乳房上方，也有遍身发作的情况，由心火毒盛所致。疮色紫暗，漫肿疼痛，身体出现寒热症状，初起时有六七个小孔，逐渐扩大至三五寸，也有达到六七寸的，形状像蜂房，甚至有数十个窍孔，每个窍孔流出黄白色的脓液，宣散肿胀，疮面完全腐烂。腐肉脱落后有新肉生长，颜色红鲜润泽者为顺证；若流出黑色液体，气味秽臭且疮面平塌者为逆证。始终的内、外治疗方法，均按照痈疽肿疡门和溃疡门的规定执行。遇到体质气寒的人，到了第八九天仍未溃破，可用神灯照法每日照射，到预期时间即可溃破。
蠹疽生于缺盆穴中，初起时如豆粒，逐渐增大如李子般坚硬紫暗疼痛，伴有寒热往来、小便涩滞等症状，此证由胆经和胃经积热所生。
【注】此证又名缺盆疽，又名锁骨疽，生于胸部上方、颈部下方，锁骨内侧柔软的凹陷处即缺盆穴，归属于胆经和胃经积热而发作。初发时寒热往来，筋骨拘急僵硬，不想饮食，胸腹部膨胀，小便短少涩滞；初起时如豆粒，逐渐长大如李子，颜色紫暗、坚硬且疼痛。初起宜用艾壮隔着独头蒜片进行灸治，内服夺命丹使其发汗，随后服用六一散，通利小便。脓势即将形成时，宜服用内托黄芪散。气血虚损严重者，宜服用十全大补汤以托毒补益。其余内外治疗方法，均按照痈疽肿疡门和溃疡门的规定执行，此证宜紧急托里治疗，如果延误治疗导致腐烂内陷，疮口难以收敛，必然成为败证。
Jing Ju (Well Carbuncle) arises from Heart Fire manifesting at the Zhongting (CV17) acupoint. Initially, it resembles a mung bean in size and gradually becomes swollen and painful. It is accompanied by mental restlessness, hot skin, dry lips, and thirst; if the lesion is red and vibrant, it is easy to treat, but if it turns black and sinks inward, the prognosis is ominous.
[Note] This condition occurs in the epigastric region, belonging to the Ren Mai (Conception Vessel) at the Zhongting (CV17) acupoint, caused by the accumulation of Fire-Toxin in the Heart Meridian. Initially resembling a mung bean, the swelling and pain gradually increase. The patient feels mental restlessness as if burning, skin heat like fire, spontaneous sweating, cracked lips, and extreme thirst with a desire to drink cold water. One should urgently administer Neishu Huanglian Tang (Internal Draining Coptis Decoction) or Mailing Dan. If symptoms include irritability, nausea, fever without sweating, Duoming Dan should be used to induce sweating. If the lesion is red, vibrant, and highly swollen, it is a favorable sign (Shun); if it is black, sunken, and flat, it is an unfavorable sign (Ni). All other internal and external treatment methods follow the regulations in the "Carbuncles and Ulcers - Swelling Stage" and "Ulcer Stage" sections. If the ulcer fails to heal after one year, it will inevitably develop into a penetrating cold fistula, which is difficult to treat.
Fengwo Ju (Honeycomb Carbuncle) resembles a honeycomb, occurring on the lateral chest above the breast with multiple sores. It presents with diffuse swelling, purple discoloration, and severe pain due to excessive Heart Fire-Toxin; black sinking indicates an unfavorable sign (Ni), while red vibrancy indicates a favorable sign (Shun).
[Note] This condition occurs on the lateral chest above the breast, and may also occur all over the body, caused by excessive Heart Fire-Toxin. The lesion is purple, diffusely swollen, and painful, accompanied by chills and fever. Initially, there are six or seven pores, which gradually expand to three or five cun, or even six or seven cun. The shape resembles a honeycomb, with dozens of openings, each discharging yellow-white pus. The swelling spreads, and the entire wound surface becomes necrotic. When the necrotic tissue falls off and new flesh grows, appearing red, fresh, and moist, it is a favorable sign (Shun); if black fluid is discharged, the odor is foul, and the lesion is flat, it is an unfavorable sign (Ni). Throughout the course, internal and external treatments follow the regulations in the "Carbuncles and Ulcers - Swelling Stage" and "Ulcer Stage" sections. For patients with Qi-Cold constitution, if the lesion does not suppurate by the eighth or ninth day, Shen Deng Zhao Fa (Divine Lamp Moxibustion) should be applied daily until it suppurates at the expected time.
Du Ju (Maggot Carbuncle) occurs in the Quepen (ST12) acupoint. Initially resembling a mung bean, it gradually enlarges to the size of a plum, becoming hard, purple, and painful. It is accompanied by alternating chills and fever and dysuria. This condition is generated by accumulated Heat in the Gallbladder and Stomach meridians.
[Note] Also known as Quepen Ju or Clavicular Carbuncle, this condition occurs above the chest and below the neck, in the soft depression inside the clavicle at the Quepen (ST12) acupoint. It manifests due to accumulated Heat in the Gallbladder and Stomach meridians. Initial symptoms include alternating chills and fever, stiffness and tension of sinews and bones, loss of appetite, abdominal distension, and scanty, dysuric urine. Initially resembling a mung bean, it gradually enlarges to the size of a plum, becoming purple, hard, and painful. Initially, moxibustion with moxa cones placed on slices of single-head garlic should be performed. Internally, Duoming Dan should be administered to induce sweating, followed by Liuyi San to promote urination. As suppuration approaches, Neituo Huangqi San should be taken. In cases of severe Qi and Blood deficiency, Shiquan Dabu Tang should be used to support the healthy Qi and expel toxins. All other internal and external treatments follow the regulations in the "Carbuncles and Ulcers - Swelling Stage" and "Ulcer Stage" sections. This condition requires urgent supportive treatment; if neglected, leading to internal sinking of rot, the wound will fail to close, inevitably resulting in a fatal stage (Bai Zheng).