幽痈脐上七寸生，初小渐大肿硬疼，忧思浓味火毒发，切牙寒战毒陷攻。
【注】此证生脐上七寸，初起如粟，渐增漫肿疼痛，形如鹅卵，甚则坚硬，痛牵胸肋。
由过食膏粱浓味，忧思气结，肠胃不通，火郁成毒，自内而外发也。初起肿痛，皮色未
红，时若心烦呕哕，脉沉实者，当疏火毒，以绝其源，宜内疏黄连汤服之。 肿痛甚，邪
气实也，宜服托里散，外用艾壮隔蒜片灸之。脉见沉迟，其脓未成，用补中益气汤托之；脉
见洪数，其脓已成，用托里透脓汤。脓熟胀痛不溃，系气血虚也，急用十全大补汤温补
之，外兼用卧针开，卧针者，斜入斜出，防伤内膜也。或误行汗下，或误敷寒凉，以致
肿而不溃，溃而不敛者，急用十全大补汤，加干姜、附子以救之。已溃朝寒暮热者，气血
虚也；食少作泻，脾胃虚也；胸痞痰涌，脾肺虚也，俱服六君子汤，服后诸证悉退，换
十全大补汤调理即愈。外治之法，按痈疽肿疡、溃疡门。无论已溃未溃，忽切牙寒战，系
气虚不能胜毒，毒陷攻里之兆；或溃后脓水忽多忽少，疮口如蟹吐沫者，系内膜已透，俱
为逆证。
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托里散
皂刺 金银花 黄芩 牡蛎（ ） 当归 赤芍 朴硝 大黄 花粉 连翘（去心，各等分）
共研粗末，每用五钱，酒、水各一盅，煎八分，去渣服。
【方歌】托里散医诸疮毒，肿甚 疼煎服消，皂刺银花芩牡蛎，归芍硝黄花粉翘。
内疏黄连汤（见肿疡门）
隔蒜灸法（见首卷灸法）
托里透脓汤（见头部侵脑疽）
补中益气汤 十全大补汤 六君子汤（即香砂六君子汤减去藿香、砂仁。俱见溃疡门）
幽痈生于肚脐上方七寸处，初起时肿块较小，逐渐增大并出现肿胀、坚硬和疼痛。若因忧思过度或食用肥甘厚味导致火毒发作，会出现咬牙、寒战等毒邪内陷攻里的症状。
【注】此证发生在肚脐上七寸处，初起如粟米大小，逐渐发展为漫肿疼痛，形状像鹅卵，严重时变得坚硬，疼痛牵连胸肋。由于过食油腻精细食物及浓味，加上忧思导致气机郁结，肠胃不通畅，火气郁积而成毒，从体内向外发出来。初起时肿痛，皮肤颜色未变红，如果伴有心中烦闷、呕吐呃逆，脉象沉实的，应当疏泄火毒，以断绝病源，适宜服用内疏黄连汤。如果肿痛剧烈，说明邪气盛实，适宜服用托里散，外用艾炷隔着蒜片灸治。脉象见沉迟，说明脓液尚未形成，用补中益气汤来托毒外出；脉象见洪数，说明脓液已经形成，用托里透脓汤。脓液成熟后胀痛不溃破，属于气血虚弱，急需使用十全大补汤进行温补，外治兼用卧针切开（卧针即斜进斜出，以防损伤内膜）。或者误用发汗、泻下法，或误敷寒凉药物，导致肿胀但不溃破，或溃破后不收敛的，急需使用十全大补汤，加入干姜、附子来救治。溃破后早晨怕冷晚上发热的，是气血虚弱；饮食减少且腹泻的，是脾胃虚弱；胸闷痞塞且痰多涌出的，是脾肺虚弱，都服用六君子汤，服药后各种症状消退，再换用十全大补汤调理即可痊愈。外治方法，参照痈疽肿疡、溃疡章节。无论是否溃破，突然咬牙寒战的，是气虚不能抵御毒邪，为毒邪内陷攻里的征兆；或者溃破后脓水忽多忽少，疮口像螃蟹吐沫一样的，是内膜已穿透，都属于逆证。
托里散
皂角刺、金银花、黄芩、牡蛎、当归、赤芍、朴硝、大黄、天花粉、连翘（去心，各等分）
共研成粗末，每次取五钱，用酒和水各一盅，煎至八分，去渣服用。
【方歌】托里散治疗各种疮毒，肿痛严重时煎服可消除，包含皂角刺、银花、芩、牡蛎、当归、芍药、硝石、大黄、花粉、连翘。
内疏黄连汤（见肿疡门）
隔蒜灸法（见首卷灸法）
托里透脓汤（见头部侵脑疽）
补中益气汤、十全大补汤、六君子汤（即香砂六君子汤减去藿香、砂仁。均见溃疡门）
You Yong (Deep Abscess) arises seven cun above the umbilicus. Initially, the swelling is small but gradually increases in size, becoming swollen, hard, and painful. If caused by excessive worry or consumption of rich and greasy foods leading to the eruption of fire-toxin, symptoms such as teeth grinding and chills may occur, indicating toxin penetration and internal attack.
[Note] This condition occurs seven cun above the umbilicus. At onset, it resembles a millet grain, gradually developing into a diffuse swelling with pain, shaped like a goose egg. In severe cases, it becomes hard, and the pain radiates to the chest and ribs. It results from overconsumption of rich, fatty, and flavorful foods, combined with emotional stress causing Qi stagnation and intestinal blockage. Fire accumulates and transforms into toxin, erupting from the interior to the exterior. Initially, there is swelling and pain, but the skin color remains unchanged. If accompanied by mental restlessness, vomiting, and belching, with a deep and solid pulse, one should dissipate fire-toxin to eliminate the source. The appropriate prescription is Neishu Huanglian Tang (Internal Draining Coptis Decoction). If swelling and pain are severe, indicating excess pathogenic factors, Tuoli San (Support the Interior Powder) should be taken, and moxibustion with moxa cones separated by garlic slices should be applied externally. If the pulse is deep and slow, indicating that pus has not yet formed, Buyi Yiqi Tang (Tonify Middle and Augment Qi Decoction) should be used to support the body and expel toxins. If the pulse is surging and rapid, indicating that pus has formed, Tuoli Tou Nong Tang (Support the Interior and Penetrate Pus Decoction) should be used. If the mature pus causes distending pain without rupturing, it indicates deficiency of Qi and Blood. Urgently use Shiquan Dabu Tang (Ten Great Tonifying Decoction) for warming and tonification. Externally, employ horizontal needle incision (horizontal needle refers to oblique insertion and withdrawal to prevent damage to the inner membrane). Alternatively, if sweating or purgative methods were mistakenly used, or cold-natured herbs were mistakenly applied topically, resulting in swelling without rupture or rupture without healing, urgently use Shiquan Dabu Tang supplemented with Ganjiang (Dried Ginger) and Fuzi (Prepared Aconite Root) to rescue the condition. After rupture, morning chills and evening fever indicate Qi and Blood deficiency; reduced appetite and diarrhea indicate Spleen and Stomach deficiency; chest stuffiness and profuse phlegm indicate Spleen and Lung deficiency. All these conditions should be treated with Liujunzi Tang (Six Gentlemen Decoction). After symptoms subside, switch to Shiquan Dabu Tang for conditioning and recovery. For external treatment, refer to the sections on abscesses and ulcers. Regardless of whether the lesion is ruptured or not, sudden teeth grinding and chills indicate Qi deficiency failing to overcome the toxin, signaling toxin penetration and internal attack. If after rupture the pus flow fluctuates significantly, or the wound opening resembles crab bubbles, it indicates penetration of the inner membrane. Both are adverse signs.
Tuoli San (Support the Interior Powder)
Cistanche Stem (Zaocis), Honeysuckle Flower (Jinyinhua), Scutellaria Root (Huangqin), Oyster Shell (Muli), Angelica Sinensis Root (Danggui), Red Peony Root (Chishao), Mirabilite (Puxiao), Rhubarb (Dahuang), Trichosanthes Root (Huafen), Forsythia Fruit (Lianqiao) (heart removed, equal parts).
Grind into coarse powder. Take 5 qian per dose, decoct with one cup of wine and one cup of water until reduced to 0.8 cups. Strain and take orally.
[Prescription Song] Tuoli San treats various sores and toxins; decoct and take when swelling and pain are severe to eliminate them. Contains Zaocis, Jinyinhua, Huangqin, Muli, Danggui, Chishao, Puxiao, Dahuang, Huafen, Lianqiao.
Neishu Huanglian Tang (See Section on Swollen Ulcers)
Garlic-Separated Moxibustion Method (See First Volume on Moxibustion)
Tuoli Tou Nong Tang (See Head Region Brain-Invading Carbuncle)
Buyi Yiqi Tang, Shiquan Dabu Tang, Liujunzi Tang (which is Xiangsha Liujunzi Tang minus Huoxiang and Sharen. All see Section on Ulcers)