耳根毒初痰核形，肿如伏鼠 赤疼，三焦风火胆怒气，暴肿溃速非疽痈。
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【注】此证生于耳后，初起形如痰核，渐增肿势，状如伏鼠， 赤疼痛。由三焦风火，
胆经怒气上冲，凝结而成。但此证暴肿溃速，根浅易愈，非若痈疽之势大毒甚也。初起寒
热往来，宜服荆防败毒散汗之；发热痛甚者，仙方活命饮消之；脓成者服透脓散，虚者服
托里透脓汤；溃后外撒红灵药，贴太乙膏；脓尽换搽生肌玉红膏，生肌敛口。若遇虚者，脓
水清稀，或疮口敛迟，即服香贝养荣汤补之，自敛。
仙方活命饮（见肿疡门）
荆防败毒散（见项部脑疽）
透脓散（见肿疡门）
托里透脓汤（见前侵脑疽）
红灵药 生肌玉红膏 太乙膏（俱见溃疡门）
香贝养荣汤（见项部石疽）
玉枕疽属督脉经，证由积热风邪乘，枕骨微上脑户穴，高肿为顺紫陷凶。
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【注】此证由督脉经积热，外受风邪凝结而成。生在玉枕骨尖微上脑户穴。初起如粟，
麻痒相兼，寒热往来，口渴便秘，渐增坚硬，大者如茄，小如鹅卵，红活高肿。溃出稠脓
者，属吉而顺也；若紫暗塌陷，溃出血水者，属凶险也。初则俱服神授卫生汤消解之，虚
者宜服托里消毒散，外敷冲和膏。其余内外治法，俱按痈疽肿溃疡门。
神授卫生汤 托里消毒散 冲和膏（俱见肿疡门）
耳根毒初起时呈痰核形状，肿胀如伏鼠状，色赤且疼痛，病因为三焦风火与胆经怒气上冲，发病急骤，溃破迅速，不属于痈疽。
【注】此证生于耳后，初起形状像痰核，逐渐增加肿胀程度，形状像伏鼠，发红疼痛。由三焦风火、胆经怒气上冲，凝结而成。但这种证候肿胀暴发，溃破迅速，根基浅表容易痊愈，不像痈疽那样势大毒深。初起时有寒热往来症状，宜服用荆防败毒散发汗治疗；发热疼痛严重的，用仙方活命饮消散；脓液形成的，服用透脓散；体虚者服用托里透脓汤；溃烂后外撒红灵药，贴敷太乙膏；脓液排尽后换用生肌玉红膏涂抹，促进肌肉生长收敛伤口。如果遇到体虚者，脓水清稀，或者疮口愈合迟缓，即服用香贝养荣汤补益，自然愈合。
仙方活命饮（见肿疡门）
荆防败毒散（见项部脑疽）
透脓散（见肿疡门）
托里透脓汤（见前侵脑疽）
红灵药 生肌玉红膏 太乙膏（均见溃疡门）
香贝养荣汤（见项部石疽）
玉枕疽属于督脉经，病因是积热和风邪侵袭，部位在枕骨稍上方的脑户穴，高肿为顺症，紫暗凹陷为凶症。
【注】此证由督脉经积热，外受风邪凝结而成。生在玉枕骨尖稍上方的脑户穴。初起如粟米大小，麻木瘙痒兼有，寒热往来，口渴便秘，逐渐变得坚硬，大的像茄子，小的像鹅卵，颜色红活高肿。溃破流出稠厚脓液的，属吉利而顺症；如果紫暗塌陷，溃破出血水的，属凶险症。初起都服用神授卫生汤消散化解，体虚者宜服用托里消毒散，外敷冲和膏。其余内外治疗方法，均按照痈疽肿溃疡门处理。
**Ear Root Toxicity (Er Gen Du)** initially presents as a phlegm-nodule shape, swelling like a crouching rat, with redness and pain. The etiology involves Wind-Fire of the San Jiao (Triple Burner) and Qi-Stagnation/Fire of the Gallbladder channel rushing upward. It swells violently and ulcerates rapidly; it is not a carbuncle or deep abscess.
[Note] This condition arises behind the ear. Initially, it resembles a phlegm nodule, gradually increasing in swelling to resemble a crouching rat, becoming red and painful. It is formed by the condensation of Wind-Fire from the San Jiao (Triple Burner: a functional system regulating water metabolism and qi movement) and the upward rush of Anger-Qi from the Gallbladder channel. However, this condition swells abruptly and ulcerates quickly, with a shallow root and ease of healing, unlike carbuncles or deep abscesses which are severe and toxic. If chills and fever alternate at the onset, Jing Fang Bai Du San (Schizonepeta and Saposhnikovia Decoction for Overcoming Toxins) should be taken to induce sweating; if fever and pain are severe, Xian Fang Huo Ming Yin (Immortal Formula for Saving Lives) should be used to dissipate the swelling; when pus forms, Tou Nong San (Pus-Permeating Powder) should be taken; for deficiency patterns, Tuo Li Tou Nong Tang (Supporting Interior and Permeating Pus Decoction) is indicated. After ulceration, Hong Ling Yao (Red Spirit Medicine) should be sprinkled externally, followed by application of Tai Yi Gao (Great One Plaster). Once the pus is exhausted, switch to applying Sheng Ji Yu Hong Gao (Muscle-Generating Jade Red Ointment) to generate flesh and close the wound. For patients with deficiency, where pus is clear and thin or wound closure is delayed, Xiang Bei Yang Rong Tang (Aucklandia and Angelica Nourishing Nutrient Decoction) should be taken to tonify, leading to natural healing.
Xian Fang Huo Ming Yin (see Swelling Ulcer Section)
Jing Fang Bai Du San (see Neck Brain Carbuncle)
Tou Nong San (see Swelling Ulcer Section)
Tuo Li Tou Nong Tang (see Preceding Brain-Penetrating Carbuncle)
Hong Ling Yao, Sheng Ji Yu Hong Gao, Tai Yi Gao (all see Ulcer Section)
Xiang Bei Yang Rong Tang (see Neck Stone Abscess)
**Yuzhen Carbuncle (Yu Zhen Ju)** belongs to the Du Meridian (Governing Vessel). The syndrome results from accumulated heat and wind pathogenic factors invading. The location is slightly above the Naohu acupoint on the occipital bone. High swelling indicates a favorable prognosis, while purple depression indicates an ominous one.
[Note] This condition is caused by accumulated heat in the Du Meridian (Governing Vessel: the sea of yang meridians) condensing with external wind pathogens. It occurs at the tip of the Yuzhen bone, slightly above the Naohu acupoint. Initially, it is millet-sized, accompanied by numbness and itching, chills and fever, thirst, and constipation. It gradually becomes hard, large ones resembling eggplants, small ones resembling goose eggs, appearing red, vibrant, and swollen. Ulceration discharging thick pus is auspicious and favorable; purple-dark depression with bleeding fluid upon ulceration is ominous and dangerous. Initially, Shen Shou Wei Sheng Tang (Divine Grant Health Preservation Decoction) should be taken to dissipate and resolve; for deficiency patterns, Tuo Li Xiao Du San (Supporting Interior and Eliminating Toxin Powder) is suitable, with Chong He Gao (Harmony Plaster) applied externally. All other internal and external treatment methods follow the protocols in the Carbuncle, Swelling, and Ulcer sections.
Shen Shou Wei Sheng Tang, Tuo Li Xiao Du San, Chong He Gao (all see Swelling Ulcer Section)