一监生右颧下生疔，三日形如鱼目。询问起居，但今麻痒不常，此即肺经受毒之症也。用针刺入四、五分，
其硬如骨有声，随用蟾酥条，插至三日，犹不腐化，此坚顽结聚之病也。此药力不及其事，换用三品一条枪，
插至七日外用糊纸封盖，至十一日脱出疔根一块，约有指许，以长肉玉红膏渐搽渐长，先服托里消毒散加金银
花二钱、白芷五分，脱后用八珍汤加天花粉、麦门冬、黄 、陈皮各一钱，调理月余，候疮生肉已平，用珍
珠散掺上结皮而愈。
一监生中年妻丧，继娶幼室，乃娇态人也。自服补肾助阳之药，以致肾水受伤，不能上制心火，左颧发生
一泡，先紫后黑，麻木不知痛痒。凡黑者肾经之毒也，其毒岂浅？且喜疮之四边尚未走散，此犹可取。随用针
刺疔上，量别药不济其事，用冰蛳散浓糊作条插入患孔，用糊纸密封，勿令泄气。朝服加减八味丸以滋肾水，
午服盖气养荣汤接补真气以滋不足，晚用琥珀蜡矾丸护心解毒。候至十一日外，疔根与药结成一块，根据期脱落，
次用生肌敛口、补助调理脾胃之剂，二十日而愈。后因此公不慎调理，失于保节，几及三年，复成虚损劳瘵而
殁。
一妇人年近四旬，夫主不利，愁郁种种，抱怀不散。时值季夏，岁荒之极，腮发一疔，六日后方延予视，
其时疔毒已经走散，头、目、唇、项俱肿，形色紫赤，予曰∶肉肿疮不肿，乃疔毒走黄不治之症。彼妇流涕叹
曰∶一家皆绝也。予问曰，何其如
此？妇又曰∶吾夫乃不肖之人，妇有一女二子，俱未适配，设若妇死寄托于夫，子女日后必为流荡辈也。故妇
在一家生，妇逝一家死。自然之理。予时闻之，沉吟不已。如此何以得生，不忍弃治，况此疮势大，又非药力
可回。……用火酒数杯，随用针刺肿上十余处，令……吸恶血数碗，将温汤洗净，用蟾酥锭磨浓涂之，四围敷
金黄散早、晚二次，内以护心散、蜡矾丸清心护里，兼服降火化痰、开郁安神之药调治，庶保不变。吸血之
后，余肿稍退。又至六日，夫又对言何其不死？彼妇相闻甚苦，暴怒之极，仍又复肿，比前尤甚也。复用针刺
肿甚上约十余处，出血三、四碗，针孔上小膏盖贴，余肿仍敷。其人出血多而其内必虚，以人参养荣汤加香附、
贝母服数日后，针口渐脓，余肿渐消，原疮处复得高肿，仍用蟾酥条插化，亦渐腐溃；外用生肌敛口，内服开
郁和中、养血健脾等剂调理百日外方愈。此病设若相论疮势形色者百无一生之理，此功出于强勉行之，亦得其
生者。此妇愈后，二子一女俱以婚配，其夫亦守其终，见今已六旬半矣。
一妇人二十二岁，右耳垂向前一寸生疔二日，请予视之。形有豆大，顶陷灰色，此肺经感毒发为白刃疔也。
又验其根脚绵软，毒不结聚，为陷伏阴症也。未及针刺，伊芳舅曰∶何恙也？予直告曰∶疔疮症。彼听冷笑不信
是言也。予因辞不用药，随其信否。彼复请客医治之。视曰∶风热疙瘩，乃小恙也。彼家告以某医曾曰是疔疮，
医者点头而笑曰∶此真胡说。患家喜悦，天下事大相悬绝。医用消风散，药二服，毒瓦斯全收，随发昏
愦、喘急而即死。后里中人询问何速之甚？彼初时因不信予言，自误其死，真可惜也！
一年少妇颧下生疔，疙瘩作痒，予欲针之，彼家不信，辞后自灸。次日，四边渐肿，疮渐软陷；又三日，
头面大肿，复请治
之。予观原疮灸上已结黑靥，干陷无脓，此毒瓦斯内陷，外肉已死；又面目浮肿光亮，发热形状不堪，此正气衰
而邪气实也。虽治亦不效，后必终死。彼家方悔自误之说，后延半月，果然归寝。
一位监生右颧骨下方长了疔疮，三天后形状像鱼眼睛一样。询问他的生活起居情况，只是感到麻木和瘙痒无常，这是肺经受毒的病症。用针刺入四、五分深，感觉坚硬如骨头且有声响，随即使用蟾酥条，插入至第三天，仍然没有腐烂化脓，这是坚顽固结聚积的疾病。这种药力不足以应对病情，换用三品一条枪，插入至第七天外用糊纸封盖，到第十一天脱出一块疔根，大约有手指粗细，用长肉玉红膏逐渐涂抹促进生长，先服用托里消毒散加金银花二钱、白芷五分，脱落后用八珍汤加天花粉、麦门冬、黄芩、陈皮各一钱，调理一个多月，等到疮口生肉已平复，用珍珠散撒在上面结痂而痊愈。
另一位监生的妻子中年丧夫，继娶了一位年轻女子，是个娇气的人。她自行服用补肾助阳的药物，导致肾水受伤，不能上制心火，左颧骨处发生一个水泡，先呈紫色后变黑，麻木不知痛痒。凡是黑色的都是肾经的毒邪，其毒性难道不重吗？且庆幸的是疮的四边尚未扩散走散，这还可以治疗。随即用针刺疔疮顶部，考虑到其他药物不起作用，用冰蛳散浓糊做成条状插入患孔，用糊纸密封，不让气体泄漏。早晨服用加减八味丸以滋补肾水，中午服用盖气养荣汤接补真气以滋养不足，晚上服用琥珀蜡矾丸护心解毒。等到第十一天以后，疔根与药物结成一块，如期脱落，接着使用生肌敛口、补助调理脾胃的药剂，二十天后痊愈。后来因为这位先生不慎于调理，失于节制，将近三年，又形成虚损劳瘵而死。
一位接近四十岁的妇人，丈夫不顺心，愁郁种种，怀抱不散。正值夏季末季，年成极荒，腮部发一个疔疮，六日后才延请我诊治，那时疔毒已经走散，头、目、唇、项全部肿胀，形色紫赤，我说：肌肉肿胀而疮口不肿，是疔毒走黄的不治之症。那位妇人流泪叹息说：一家都要断绝了。我问：为什么如此？妇又说：我的丈夫是不肖之人，我有一女二子，都未出嫁，如果妇人死了寄托给丈夫，子女日后必定成为流荡之辈。所以妇人在家一家生，妇人去世一家死。自然之理。我当时听了，沉吟不已。这样怎么能得生，不忍放弃治疗，况且此疮势大，又不是药力可以挽回的。……用火酒数杯，随即用针刺肿胀处十余处，令……吸出恶血数碗，将温汤洗净，用蟾酥锭磨浓涂之，四周敷金黄散早晚二次，内服护心散、蜡矾丸清心护里，兼服降火化痰、开郁安神的药物调治，庶保不变。吸血之后，余肿稍退。又过了六天，丈夫又对她说为何不死？那妇人听闻非常痛苦，暴怒至极，仍然再次肿胀，比之前更严重。再次用针刺肿胀严重处约十余处，出血三、四碗，针孔上小膏盖贴，余肿仍敷。其人出血多而其内必虚，用人参养荣汤加香附、贝母服数日后，针口渐脓，余肿渐消，原疮处复得高肿，仍用蟾酥条插化，亦渐腐溃；外用生肌敛口，内服开郁和中、养血健脾等剂调理百日外方愈。此病若按常规讨论疮势形色者百无一生之理，此功出于强勉行之，亦得其生者。此妇愈后，二子一女俱以婚配，其夫亦守其终，见今已六旬半矣。
一位二十二岁的妇人，右耳垂向前一寸处长疔两天，请我诊治。形状有豆子大小，顶端凹陷灰色，这是肺经感毒发为白刃疔也。又验其根脚绵软，毒不结聚，为陷伏阴症也。未及针刺，她的舅舅问：什么病？我直接告诉他是：疔疮症。他听冷笑不信是言也。我因此辞谢不用药，随其信否。他又请客医治之。视曰：风热疙瘩，乃小恙也。他家告以某医曾曰是疔疮，医者点头而笑曰：此真胡说。患家喜悦，天下事大相悬绝。医用消风散，药二服，毒瓦斯全收，随发昏愦、喘急而即死。后里中人询问何速之甚？彼初时因不信予言，自误其死，真可惜也！
一年轻少妇颧下生疔，疙瘩作痒，我想给她针刺，她家人不信，辞别后自己艾灸。第二天，四边渐肿，疮渐软陷；又三天，头面大肿，再请治。我看原疮灸上已结黑靥，干陷无脓，这是毒瓦斯内陷，外肉已死；又面目浮肿光亮，发热形状不堪，这是正气衰而邪气实也。虽治亦不效，后必终死。她家方才后悔自误之说，后延半月，果然归寝。
A Jiansheng (student at the Imperial Academy) developed a Ding sore (a type of acute, toxic skin lesion) below his right zygomatic bone. After three days, it resembled a fish eye. Upon inquiring about his daily life and habits, he reported only intermittent numbness and itching. This is a syndrome of toxin affecting the Lung Meridian (Lung Channel). A needle was inserted to a depth of four or five fen. The hardness felt like bone with a cracking sound. Chan Su Strip (Toad Venom Strip) was then inserted for three days, yet no putrefaction occurred, indicating a stubborn, consolidated accumulation of disease. As this medication's potency was insufficient, Sanpin Yitiao Qiang (Three-Grade Single-Spear) was substituted. It was inserted for seven days, covered externally with paste-sealed paper. On the eleventh day, a piece of Ding root, approximately finger-sized, detached. Changrou Yuhong Gao (Jade Red Ointment for Flesh Regeneration) was applied gradually to promote tissue growth. Initially, Tuoli Xiaodu San (Supporting Interior and Detoxifying Powder) was administered with added Jin Yin Hua (Honeysuckle Flower, *Lonicerae Japonicae Flos*, 2 qian) and Bai Zhi (Angelica Root, *Angelicae Dahuricae Radix*, 5 fen). After detachment, Bazhen Tang (Eight-Treasure Decoction) was used with added Tian Hua Fen (Trichosanthes Root, *Trichosanthis Radix*), Mai Men Dong (Ophiopogon Tuber, *Ophiopogonis Tuber*), Huang Qin (Scutellaria Root, *Scutellariae Radix*), and Chen Pi (Tangerine Peel, *Citri Reticulatae Pericarpium*, each 1 qian). After over a month of regulation, when the wound had regenerated flesh and flattened, Zhenzhu San (Pearl Powder) was sprinkled on top to form a scab, leading to recovery.
Another Jiansheng’s wife, widowed in middle age, remarried a young woman who was delicate and pampered. She self-administered herbs to tonify Kidney Yang, injuring Kidney Water (Yin fluids), which failed to ascend to control Heart Fire. Consequently, a blister appeared on her left zygomatic bone, turning purple then black, accompanied by numbness and loss of pain/itch sensation. Black coloration indicates toxin in the Kidney Meridian; such toxicity is severe. Fortunately, the spread around the sore had not yet disseminated, suggesting treatability. A needle was used to puncture the Ding sore. Recognizing other medicines were ineffective, Bing Si San (Ice Snail Powder) mixed into a thick paste was formed into strips and inserted into the lesion, sealed tightly with paste-covered paper to prevent gas leakage. In the morning, Jiaban Bawei Wan (Modified Eight-Ingredient Pill) was taken to nourish Kidney Water. At noon, Gaqi Yangrong Tang (Qi-Covering and Nutritive Nourishing Decoction) was administered to support True Qi and address deficiency. In the evening, Hupo Lafan Wan (Amber and Alum Pill) was used to protect the Heart and detoxify. By the eleventh day, the Ding root had consolidated with the medication and detached as scheduled. Subsequently, formulas for generating flesh, closing wounds, and supporting/regulating the Spleen and Stomach were used. Recovery occurred in twenty days. However, due to poor post-recovery care and lack of moderation, nearly three years later, she succumbed to consumption (Lao Zhai) and died.
A woman nearing forty, distressed by her husband's dissatisfaction, harbored deep sorrow and depression. During late summer, amidst a year of extreme famine, a Ding sore erupted on her cheek. Six days later, I was consulted. At that time, the Ding toxin had already disseminated. Her head, eyes, lips, and neck were swollen, with a purplish-red hue. I stated: "Muscular swelling without corresponding ulceration indicates 'Zouhuang' (Ding Toxin Spreading Yellow/Septicemia), an untreatable condition." The woman wept and sighed, saying, "My family will be extinguished." I asked why. She replied, "My husband is unworthy. I have one daughter and two sons, all unmarried. If I die and am entrusted to him, my children will surely become vagrants. Thus, while I live, the family lives; when I die, the family dies. This is natural law." Hearing this, I pondered deeply. How could she survive? Reluctant to abandon treatment, yet recognizing the severity exceeded medicinal capability... Several cups of fire wine were given. Needles punctured the swollen area more than ten times to drain several bowls of foul blood. The area was washed with warm water, coated with concentrated Chan Su锭 (Toad Venom Tablet), and surrounded with Huangjin San (Golden Yellow Powder) applied twice daily. Internally, Huxin San (Heart-Protecting Powder) and Lafan Wan were used to clear the Heart and protect the interior, combined with herbs to descend fire, resolve phlegm, relieve depression, and calm the spirit, hoping to prevent deterioration. After bloodletting, residual swelling subsided slightly. Six days later, the husband taunted her again, asking why she hadn't died. Hearing this caused her extreme distress and rage, causing the swelling to return worse than before. Needles punctured the severely swollen area over ten times, draining three to four bowls of blood. Small plasters covered the needle holes; remaining areas were still dressed. Due to significant blood loss, internal deficiency was certain. Ren Shen Yangrong Tang (Ginseng Nutritive Nourishing Decoction) with Xiang Fu (Cyperus Rhizome, *Cyperi Rhizoma*) and Bei Mu (Fritillaria Bulb, *Fritillariae Thunbergii Bulbus*) was administered. After several days, pus began forming at the needle sites, residual swelling decreased, and the original sore site became raised again. Chan Su strips were re-inserted to facilitate liquefaction and gradual necrosis. Externally, flesh-generating and wound-closing agents were used; internally, formulas to relieve depression, harmonize the middle, nourish blood, and strengthen the Spleen were used. Recovery took over a hundred days. Typically, based on the sore's appearance and progression, survival would be less than one in a hundred cases. Through persistent effort, she survived. After her recovery, her children married, her husband remained faithful until his death, and they are now over sixty years old.
A twenty-two-year-old woman presented with a Ding sore located one cun anterior to the right earlobe, present for two days. It was bean-sized, with a depressed, gray apex, identified as Bairen Ding (White Blade Ding) caused by toxin affecting the Lung Meridian. The base was soft, and the toxin did not consolidate, indicating a sinking Yin syndrome. Before acupuncture could be performed, her uncle asked, "What ailment is this?" I directly answered, "Ding Sore Syndrome." He sneered and disbelieved. I declined to prescribe, leaving it to their belief. They sought another physician, who diagnosed it as a minor wind-heat nodule. When informed that I had diagnosed it as a Ding sore, the doctor nodded and laughed, calling it nonsense. The patient's family was delighted, highlighting the vast discrepancy in medical opinion. The doctor prescribed Xiaofeng San (Wind-Expelling Powder). After two doses, the toxin was suppressed inwardly, leading to sudden coma, panting, and immediate death. Villagers later asked why death came so quickly. Initially, due to disbelief in my words, she brought about her own demise through error; truly pitiable!
A young woman developed a Ding sore below her zygomatic bone, characterized by nodular itching. I proposed acupuncture, but her family disbelieved. After I departed, they applied moxibustion themselves. The next day, swelling spread to the surrounding areas, and the sore softened and sank. Three days later, her face and head swelled significantly, prompting a second consultation. I observed that the moxa-applied area had formed a black eschar, dry and sunken without pus, indicating toxin sinking inward and external tissue death. Facial edema was bright and shiny, accompanied by fever and severe appearance, signifying decline of Righteous Qi (Zheng Qi) and excess of Pathogenic Qi. Even if treated, it would be ineffective; death was inevitable. The family regretted their self-inflicted error. Half a month later, she indeed passed away.