百会疽在巅顶结，经属督脉百会穴，初如粟米渐如钱，甚似葡萄坚似铁。高肿热实
清毒火，平塌阳虚温补怯，肿连耳项动痰声，七日不溃命必绝。
【注】此百会疽又名玉顶发，生在巅顶正中，属督脉经百会穴。由膏粱太过，火毒凝
结而成。初起形如粟米，渐肿根大如钱，甚则形似葡萄，坚硬如铁，高尖红肿， 热疼
痛，疮根收束，憎寒壮热，大渴随饮随干，口苦唇焦，便秘烦躁，脉见洪数者，此属气实。
宜服黄连消毒饮，以清毒火，外敷冲和膏。若漫肿平塌，紫暗坚硬， 痛根散，恶寒便泻，
脉见细数者，此属阳虚，宜服十全大补汤，以温补之，外敷回阳玉龙膏。若面赤过烦，口
干不渴，唇润者，此属阳虚浮泛，宜服桂附地黄丸，引火归源，更用生附子饼，置两足
心涌泉穴，各灸五壮，以泄其毒。初起贴琥珀膏，已溃糁黄灵药、太乙膏盖贴；腐尽，再
易生肌之药治之。若肿连耳项，痰如拽锯，七日无脓不溃，神昏者命必绝矣！
\r百会疽图\p04-34a24.bmp\r
黄连消毒饮
苏木（二分） 甘草（三分） 陈皮（二分） 桔梗（五分） 黄芩（五分） 黄柏（五
分） 人参（三分） 本（五分） 防己（五分） 防风（四分） 知母（四分） 羌活（一分）
独活（四分） 连翘（四分） 黄连（一钱） 生地黄（四分） 黄 （二钱） 泽泻（二分） 当归尾（四分）
水煎，食远温服
【方歌】黄连消毒清毒火，诸般火证服最良，苏木甘草陈皮桔，芩柏人参 二防，知
母羌活独活等，连翘黄连生地黄，黄 泽泻当归尾，服后最忌饮寒凉。
冲和膏 四阳玉龙膏（俱见肿疡门）
生肌散 十全大补汤 黄灵药 太乙膏（俱见溃疡门）
桂附地黄丸 附子饼（见前灸法）
琥珀膏（见后发际疮）
百会疽发生在头顶部位，归属于督脉的百会穴。初起时像粟米大小，逐渐扩大如铜钱，严重时形状似葡萄，质地坚硬如铁。若表现为高肿、热感明显且实证，应清解毒火；若表现为平塌、阳虚证，则需温补并慎用攻伐之药。若肿胀蔓延至耳部和颈部，伴有喉间痰鸣声，七日内不化脓溃破，则性命难保。
【注】此病名为百会疽，又名玉顶发，生于头顶正中，属于督脉经百会穴。因过食肥甘厚味，导致火毒凝结而成。初起形态如粟米，逐渐肿胀，根部宽大如铜钱，严重时形似葡萄，坚硬如铁，疮面高尖红肿，灼热疼痛，疮根收束，伴有恶寒壮热，极度口渴饮水即干，口苦唇焦，便秘烦躁，脉象洪数，这属于气实之证。适宜服用黄连消毒饮（Huanglian Xiaodu Yin, Coptis Decoction for Disinfecting Toxins）以清解毒火，外敷冲和膏（Chonghe Gao, Harmonizing Ointment）。若表现为漫肿平塌，颜色紫暗坚硬，痛处根部散漫，伴有恶寒便泻，脉象细数，这属于阳虚之证，适宜服用十全大补汤（Shiquan Dabu Tang, Ten-Ingredient Great Tonifying Decoction）以温补身体，外敷回阳玉龙膏（Huiyang Yulong Gao, Restore Yang Jade Dragon Ointment）。若面色赤红过度烦躁，口干但不渴，嘴唇湿润，这属于阳虚浮泛之证，适宜服用桂附地黄丸（Guifu Dihuang Wan, Cinnamon and Aconite Rehmannia Pill）以引火归源，并用生附子饼（Raw Aconite Cake）置于两足心涌泉穴（Yongquan, KI1），各灸五壮，以泄其毒。初起时贴敷琥珀膏（Hupo Gao, Amber Ointment），溃破后撒黄灵药（Huang Ling Yao, Yellow Spirit Medicine）、太乙膏（Taiyi Gao, Supreme Unity Ointment）盖贴；腐肉尽去后，再更换生肌药物进行治疗。若肿胀连及耳项，痰声如拉锯，七日无脓不溃，神志昏迷者，必死无疑！
黄连消毒饮（Huanglian Xiaodu Yin, Coptis Decoction for Disinfecting Toxins）
苏木（Suanmu, 2 fen） 甘草（Gancao, 3 fen） 陈皮（Chenpi, 2 fen） 桔梗（Jiegeng, 5 fen） 黄芩（Huangqin, 5 fen） 黄柏（Huangbai, 5 fen） 人参（Renshen, 3 fen） 本（Benshen, 5 fen） 防己（Fangji, 5 fen） 防风（Fangfeng, 4 fen） 知母（Zhimu, 4 fen） 羌活（Qianghuo, 1 fen） 独活（Duhuo, 4 fen） 连翘（Lianqiao, 4 fen） 黄连（Huanglian, 1 qian） 生地黄（Shengdihuang, 4 fen） 黄芪（Huangqi, 2 qian） 泽泻（Zexie, 2 fen） 当归尾（Dangguiwei, 4 fen）
水煎，饭后稍远时温服。
【方歌】黄连消毒清毒火，诸般火证服最良，苏木甘草陈皮桔，芩柏人参二防，知母羌活独活等，连翘黄连生地黄，黄芪泽泻当归尾，服后最忌饮寒凉。
冲和膏（Chonghe Gao, Harmonizing Ointment） 四阳玉龙膏（Siyang Yulong Gao, Four-Yang Jade Dragon Ointment）（均见肿疡门）
生肌散（Shengji San, Muscle-Regenerating Powder） 十全大补汤（Shiquan Dabu Tang, Ten-Ingredient Great Tonifying Decoction） 黄灵药（Huang Ling Yao, Yellow Spirit Medicine） 太乙膏（Taiyi Gao, Supreme Unity Ointment）（均见溃疡门）
桂附地黄丸（Guifu Dihuang Wan, Cinnamon and Aconite Rehmannia Pill） 附子饼（Fuzi Bing, Aconite Cake）（见前灸法）
琥珀膏（Hupo Gao, Amber Ointment）（见后发际疮）
Baihui Ju (Baihui Carbuncle) occurs at the vertex of the head, belonging to the Du Meridian (Governor Vessel) at the Baihui acupoint. Initially, it resembles a millet grain, gradually enlarging to the size of a coin; in severe cases, it resembles a grape cluster and is as hard as iron. If presenting with high swelling, heat, and excess syndrome, clear the toxic fire; if presenting with flat collapse and Yang deficiency, apply warming tonification and avoid harsh purgatives. If the swelling extends to the ears and neck, accompanied by rattling phlegm sounds, and fails to suppurate and ulcerate within seven days, the patient's life will be lost.
[Note] This condition, known as Baihui Ju or Yuding Fa (Jade Top Eruption), arises at the center of the vertex, belonging to the Du Meridian at the Baihui acupoint. It is caused by excessive consumption of rich and greasy foods, leading to the coagulation of fire-toxin. Initially, the shape resembles a millet grain; it gradually swells with a broad base like a coin. In severe cases, it resembles a grape cluster, hard as iron, with high, pointed redness and swelling, burning pain, a gathered root, aversion to cold with high fever, extreme thirst where drinking provides immediate relief but dryness returns quickly, bitter taste in the mouth, scorched lips, constipation, irritability, and a surging and rapid pulse. This belongs to Qi Excess syndrome. It is appropriate to take Huanglian Xiaodu Yin (Coptis Decoction for Disinfecting Toxins) to clear toxic fire, and externally apply Chonghe Gao (Harmonizing Ointment). If presenting with diffuse swelling and flat collapse, purple-dark hardness, scattered root of pain, aversion to cold, and diarrhea, with a fine and rapid pulse, this belongs to Yang Deficiency syndrome. It is appropriate to take Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction) to warm and tonify, and externally apply Huiyang Yulong Gao (Restore Yang Jade Dragon Ointment). If presenting with excessive facial redness, extreme irritability, dry mouth without thirst, and moist lips, this belongs to floating and superficial Yang Deficiency. It is appropriate to take Guifu Dihuang Wan (Cinnamon and Aconite Rehmannia Pill) to guide fire back to its source, and place raw Fuzi Bing (Aconite Cake) on the Yongquan acupoints (KI1) of both soles, moxibustion five cones each, to drain the toxin. At the initial stage, apply Hupo Gao (Amber Ointment); after ulceration, sprinkle Huang Ling Yao (Yellow Spirit Medicine) and cover with Taiyi Gao (Supreme Unity Ointment); after all necrotic tissue is removed, change to muscle-regenerating medications for treatment. If the swelling connects to the ears and neck, with phlegm sounds like sawing wood, no pus formation or ulceration after seven days, and coma, death is inevitable!
Huanglian Xiaodu Yin (Coptis Decoction for Disinfecting Toxins)
Taeniatherum Caput-medusae Root (Taichencao, 2 fen) Licorice Root (Gancao, 3 fen) Tangerine Peel (Chenpi, 2 fen) Platycodon Root (Jiegeng, 5 fen) Scutellaria Root (Huangqin, 5 fen) Phellodendron Bark (Huangbai, 5 fen) Ginseng Root (Renshen, 3 fen) Angelica Dahurica Root (Baizh, 5 fen) Stephania Tetrandra Root (Fangji, 5 fen) Saposhnikovia Root (Fangfeng, 4 fen) Anemarrhena Rhizome (Zhimu, 4 fen) Notopterygium Rhizome (Qianghuo, 1 fen) Angelica Pubescens Root (Duhuo, 4 fen) Forsythia Fruit (Lianqiao, 4 fen) Coptis Rhizome (Huanglian, 1 qian) Rehmannia Root (Shengdihuang, 4 fen) Astragalus Root (Huangqi, 2 qian) Alisma Rhizome (Zexie, 2 fen) Salvia Miltiorrhiza Root Tip (Dangguiwei, 4 fen)
Decoct in water, take warm shortly after meals.
[Prescription Song] Huanglian Xiaodu clears toxic fire, best for various fire syndromes; Taichencao, Gancao, Chenpi, Jiegeng, Huangqin, Huangbai, Renshen, Fangji, Fangfeng; Zhimu, Qianghuo, Duhuo, Lianqiao, Huanglian, Shengdihuang, Huangqi, Zexie, Dangguiwei; most taboo is drinking cold beverages after taking it.
Chonghe Gao (Harmonizing Ointment) Siyang Yulong Gao (Four-Yang Jade Dragon Ointment) (See Chapter on Swelling Ulcers)
Shengji San (Muscle-Regenerating Powder) Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction) Huang Ling Yao (Yellow Spirit Medicine) Taiyi Gao (Supreme Unity Ointment) (See Chapter on Ulcerated Ulcers)
Guifu Dihuang Wan (Cinnamon and Aconite Rehmannia Pill) Fuzi Bing (Aconite Cake) (See Moxibustion Methods above)
Hupo Gao (Amber Ointment) (See Hairline Carbuncle below)