初起作痒因风热，溃后脓沤或冒风，将敛作痒生新肉，痒若虫行气血充。
【注】痒属风，亦各有因。凡肿疡初起，皮肤作痒者，为风热相搏。溃后作痒者，轻由脓沤，甚由疮口冒风，故突
起疙瘩，形如小米。抓破之后，津水者，是脾湿；津血者，是脾燥。若将敛作痒者，缘初肿时肌肉结滞，气血罕来，及
至将敛，气血渐充，助养新肉，故痒也。然必痒若虫行，方称美疾。他如疥癣作痒皆属风淫，勿视为一类也。
真晕应知非肿痕，疮旁形状若红筋，脏腑蕴受锐毒发，三晕可愈五伤身。
【注】俗以肿痕为晕，非真晕也。真晕生于疮口之旁，状若红筋，皆由脏腑蕴受锐毒而成，二三晕可治，五晕难医。
痈疽疮疡初如粟，麻痒 痛即大毒。不论阴阳灸最宜，灸后汤洗膏固护，内用疏解与宣通，外宜敷药四围束。轻证
神灯照三枝，平塌须急补不足，高肿不可过于攻，内热毒盛须消毒。二便秘结宜通利，脏腑宣通方为福，十日以后疮尚
坚，铍针点破最宜先，半月之后脓若少，药筒拔提脓要粘。疮已溃烂腐不脱，当腐剪破开其窍，能令脓管得通流，自然
疮头无闭塞。频将汤洗忌风吹，去腐须当上灵药，生肌散用将敛时，保养须勤毋怠惰。切忌脓出投寒凉，冬宜温室夏明
窗，肌肉长平将疮敛，谨慎调理更加详，新肉如珠皮不敛，若失保养命多亡。
【注】痈疽疮疡初起如粟，若麻痒 痛者，即毒甚也。七日以前，情势未成，不论阴阳，
俱先当灸之。轻者使毒瓦斯随火而散，重者拔引郁毒，通彻内外，实良法也。灸完即用汤
洗之法，洗完用太乙膏贴于疮顶上，预防风袭；内服疏解宣通之剂，如神授卫生汤、内
疏黄连汤、蟾酥丸之类；外围敷药，如冲和膏、玉龙膏之类，四围束之。轻证以神灯照
照之，每用三枝。如情势已成，当因证施治。
平塌者宜投补剂，以益其不足，使毒外出；高肿者不可过于攻伐，以伤元气，致难溃敛；内
热盛者，须佐消毒之剂，以防毒炽；二便秘结者，急用通利之方，使脏腑宣通，方为佳
兆。如十日之后，疮尚坚硬，必须用铍针，当头点破；半月之后，脓尚少者，急用药筒拔
法拔之，脓血胶粘者为顺，紫血稀水者为逆；过二十一日，纵有稀脓，亦难治矣。若已溃
之后，腐仍不脱，堵塞疮口者，用刀剪当头剪开寸余，使脓管通流，自然疮不闭塞。拔
脓剪腐已完，用方盘一个，疮下放定，将猪蹄汤以软帛淋洗疮上，并入孔内，轻手擦净
内脓，庶败腐宿脓，随汤而出，以净为度。再以软帛叠成七八重，勿令太干，带汤乘热，覆
于疮上，两手轻按片时，帛温再换。如此洗按四五次，血气疏通，患者自然爽快。每日
如是洗之，谨避风寒。腐肉处以黄灵药掺之，候腐肉脱尽，已见红肉时，洗后随用抿脚挑
玉红膏于手心上，捺化搽涂疮口内，外用太乙膏盖之。不数日新肉顿生，疮势将敛，以
生肌散或珍珠散撒之。保养谨慎，不可怠缓。脓出后切忌投以寒凉之药，患者冬宜温室，防
其寒也。夏宜明窗，避风暑也。肌肉长平，疮敛时尤加小心，谨慎调理。即使新肉如珠，皮
口将敛，若调理疏忽，失于保养，恐致虚脱暴变，命必危亡矣。
初起时出现瘙痒，是因为风热邪气侵袭；溃破后流脓起泡或感受风寒，也会引起瘙痒；疮口即将愈合、新生肌肉生长时产生的瘙痒，表明气血已经充盈。如果感觉瘙痒像虫子在皮肤下爬行，这是气血充盛的表现。
【注】瘙痒属于风邪致病，但原因各不相同。凡是溃疡初期，皮肤发痒的，是风热邪气相互搏结所致。溃破后发痒的，轻微的是因为脓液浸渍皮肤，严重的是因为疮口受风，所以突然起疙瘩，形状像小米粒。抓破之后，流出津液的，是脾虚湿盛；流出血液的，是脾阴干燥。如果是疮口即将愈合时发痒，是因为起初肿胀时肌肉结滞，气血很少到达，等到将要愈合时，气血逐渐充盈，滋养新肉，所以产生瘙痒。然而，只有瘙痒感像虫子爬行一样，才算是美好的痊愈征兆。其他的如疥癣引起的瘙痒都属于风邪淫溢，不要将其视为同一类疾病。
真正的晕圈应当知道不是肿痕，疮口旁边的形状像红色的筋络，这是由于脏腑蕴积了锐利的毒邪而发作，出现两三个晕圈还可以治愈，出现五个晕圈则难以医治且会损伤身体。
【注】民间把肿痕当作晕圈，这不是真正的晕圈。真正的晕圈生长在疮口旁边，形状像红色的筋络，都是由脏腑蕴积锐利毒邪而成的，两三个晕圈可以治疗，五个晕圈很难医治。
痈疽疮疡初起时像粟米大小，伴有麻木、瘙痒和疼痛，说明毒性很大。不论阴阳属性，艾灸是最适宜的治疗方法，灸后用汤水清洗并敷药膏保护，内服疏解宣通的药物，外用敷药并在四周束紧。轻证用神灯照三枝，平塌不起的要急于补益不足，高肿不可过于攻伐，内热毒盛必须消毒。二便（大小便）秘结宜通利，脏腑宣通畅达才是福气。十日以后疮口仍然坚硬，最适宜先用铍针点破；半月之后如果脓液少，用药筒拔法提脓，脓液粘稠为顺症，紫血稀水为逆症。疮已溃烂腐肉不脱落，应当剪破开窍，能使脓管通畅流动，自然疮头不会闭塞。频繁用汤水洗疮忌风吹，去腐肉须当使用灵药，生肌散要在将愈合时使用，保养必须勤奋不可懈怠。切忌脓出后投用寒凉药物，冬天宜在温室，夏天宜在明窗，肌肉长平即将收口时，谨慎调理更加详细，新肉如珠但皮不收敛，如果失去保养性命多会死亡。
【注】痈疽疮疡初起如粟米，若伴有麻木、瘙痒和疼痛，就是毒性很重的表现。七日以前，病情形势尚未形成，不论阴阳属性，都应当先进行艾灸。轻症使毒气随火而散，重症拔引郁积的毒邪，通达内外，确实是良法。灸完后即用汤洗的方法，洗完用太乙膏贴在疮顶上，预防风邪侵袭；内服疏解宣通的药剂，如神授卫生汤、内疏黄连汤、蟾酥丸之类；外围敷药，如冲和膏、玉龙膏之类，在四周束紧。轻证用神灯照射，每用三枝。如果病情形势已形成，应当根据症状施治。
平塌不起的用补剂，以弥补其不足，使毒邪外出；高肿者不可过于攻伐，以免损伤元气，导致难以溃破和愈合；内热盛者，须辅助消毒药剂，以防毒势炽盛；二便秘结者，急用通利方剂，使脏腑宣通畅达，才是佳兆。如十日之后，疮口仍然坚硬，必须用铍针，当头点破；半月之后，脓尚少者，急用药筒拔法拔之，脓血胶粘者为顺症，紫血稀水者为逆症；超过二十一日，即使有稀脓，也难以治疗了。若已溃破之后，腐肉仍不脱落，堵塞疮口的，用刀剪当头剪开寸余，使脓管通畅流动，自然疮口不闭塞。拔脓剪腐完成后，用一个方盘放在疮下，将猪蹄汤用软帛淋洗疮上，并渗入孔内，轻手擦净内部脓液，这样败腐宿脓随汤而出，以干净为度。再用软帛叠成七八层，不要太干，带着汤乘热覆盖在疮上，两手轻按片刻，帛温后再换。如此洗按四五次，血气疏通，患者自然爽快。每日如是清洗，谨避风寒。腐肉处以黄灵药掺之，候腐肉脱尽，已见红肉时，洗后随用抿脚挑玉红膏于手心上，捺化搽涂疮口内，外用太乙膏盖之。不数日新肉顿生，疮势将敛，以生肌散或珍珠散撒之。保养谨慎，不可怠缓。脓出后切忌投以寒凉之药，患者冬宜温室，防其寒也。夏宜明窗，避风暑也。肌肉长平，疮敛时尤加小心，谨慎调理。即使新肉如珠，皮口将敛，若调理疏忽，失于保养，恐致虚脱暴变，命必危亡矣。
Itching at the initial stage is caused by wind-heat; after ulceration, pus accumulation or exposure to wind may also cause itching; itching during the healing phase when new flesh is growing indicates that Qi and Blood are abundant. If the itching feels like insects crawling under the skin, it signifies sufficient Qi and Blood.
[Note] Itching belongs to Wind pathogenic factors, but causes vary. For early-stage ulcers (sores), skin itching is due to the struggle between Wind and Heat. Itching after ulceration is mildly caused by pus macerating the skin, or severely by the sore opening being exposed to Wind, causing sudden bumps resembling millet grains. After scratching, discharge of serum indicates Spleen Dampness; discharge of blood indicates Spleen Dryness. Itching during the impending healing phase occurs because initially, muscle stagnation prevented Qi and Blood from reaching the area; as healing approaches, Qi and Blood gradually fill up to nourish new flesh, causing itching. However, only itching that feels like insects crawling constitutes a favorable sign of recovery. Other itches caused by scabies or tinea belong to excessive Wind and should not be classified similarly.
True halos (redness surrounding a sore) should be distinguished from swelling marks. The shape beside the sore resembles red veins. This results from sharp toxins accumulated in the Zang-Fu organs. Two or three halos can be cured; five halos are difficult to treat and damage the body.
[Note] Commonly, swelling marks are mistaken for halos, which is incorrect. True halos appear beside the sore, resembling red veins, formed by sharp toxins accumulated in the Zang-Fu organs. Two or three halos are treatable; five halos are hard to cure.
Carbuncles, sores, and ulcers initially resemble millet grains; accompanied by numbness, itching, and pain, indicating severe toxicity. Regardless of Yin or Yang nature, moxibustion is most suitable. After moxibustion, wash with decoction and apply ointment for protection. Internally use dispersing and unblocking agents; externally apply compresses and bind around the perimeter. For mild cases, use Shen Deng (Divine Lamp) illumination with three branches. For flat lesions, urgently tonify deficiency; for high swelling, avoid excessive purgation; for internal heat and severe toxicity, must clear heat and detoxify. Constipation of both bowels requires purgation; unobstructed Zang-Fu function is auspicious. If the sore remains hard after ten days, piercing with a Pi Needle (Bī Zhēn) is best first. If pus is scant after half a month, use the Medicine Jar Extraction method to draw out pus; viscous pus and blood indicate a favorable prognosis, while thin purple blood and watery discharge indicate unfavorable prognosis. If the ulcerated sore has necrotic tissue that does not shed, cut open to create an opening to allow pus drainage, naturally preventing blockage. Frequently wash with decoction, avoiding wind. To remove necrotic tissue, use Ling Yao (Spiritual Medicine). Apply Sheng Ji San (Flesh-Generating Powder) when nearing closure. Maintenance must be diligent, not negligent. Avoid cold-natured herbs after pus discharge. In winter, stay in warm rooms; in summer, near bright windows. When muscles level out and the sore closes, pay detailed attention to care. If new flesh resembles pearls but skin does not close, loss of maintenance may lead to death.
[Note] Carbuncles and sores initially resemble millet grains; if accompanied by numbness, itching, and pain, toxicity is severe. Before the seventh day, when the condition is not yet fully formed, regardless of Yin or Yang, moxibustion should be performed first. Mild cases disperse toxins via fire; severe cases draw out stagnant toxins, penetrating inside and out, which is indeed a good method. After moxibustion, wash with decoction, then apply Tai Yi Gao (Great One Ointment) on top of the sore to prevent wind invasion; internally take dispersing and unblocking agents such as Shen Shou Wei Sheng Tang (Divine Bestowal Health Protection Decoction), Nei Shu Huang Lian Tang (Internal Purging Coptis Decoction), Chan Su Wan (Toad Venom Pill); externally apply compresses such as Chong He Gao (Harmony Ointment), Yu Long Gao (Jade Dragon Ointment), binding around the perimeter. For mild cases, illuminate with Shen Deng (Divine Lamp), using three branches. If the condition is fully formed, treat according to symptoms.
For flat lesions, administer tonics to supplement deficiency and expel toxins outward; for high swelling, do not over-purgate to avoid damaging Yuan Qi (Original Qi), leading to difficulty in ulceration and healing; for severe internal heat, assist with detoxifying agents to prevent toxin flare-up; for constipation, urgently use purgative formulas to unblock Zang-Fu, which is a good sign. If the sore remains hard after ten days, must use Pi Needle (Bī Zhēn) to pierce the head; if pus is scant after half a month, urgently use Medicine Jar Extraction (Yào Tǒng Bá) method; viscous pus and blood are favorable, thin purple blood and watery discharge are unfavorable; after twenty-one days, even with thin pus, it is difficult to treat. If after ulceration, necrotic tissue still does not shed and blocks the sore, cut open about one cun with knife and scissors to allow pus duct flow, naturally preventing blockage. After extracting pus and removing necrotic tissue, place a square basin under the sore, pour pig trotter decoction over soft cloth to wash the sore and enter pores, gently wipe clean internal pus, so that rotten old pus exits with the soup, stopping when clean. Then fold soft cloth seven or eight layers, not too dry, carry hot soup to cover the sore, press lightly with hands for a moment, replace when cloth cools. Wash and press four or five times, unblocking Qi and Blood, patient naturally feels refreshed. Wash daily thus, carefully avoid wind and cold. Sprinkle Huang Ling Yao (Yellow Spirit Medicine) on necrotic areas; when necrotic tissue sheds completely and red flesh appears, after washing, melt Yu Hong Gao (Jade Red Ointment) on palm, apply to sore interior, cover externally with Tai Yi Gao (Great One Ointment). Within a few days, new flesh grows suddenly, sore tends to close, sprinkle Sheng Ji San (Flesh-Generating Powder) or Zhen Zhu San (Pearl Powder). Maintain caution, do not slacken. After pus discharge, strictly avoid cold-natured drugs. Patients in winter should stay in warm rooms to prevent cold; in summer, near bright windows to avoid wind and summer heat. When muscles level out and sore closes, exercise extra caution in regulation. Even if new flesh resembles pearls and skin nearly closes, if regulation is negligent and maintenance lost, fear collapse and sudden changes, life will be endangered.