痼发乃天时不正之气感而发之，非毒内作也。此患多生于手足掌心或腰、腿、臀下伸缩之处，漫肿无头，
憎寒发热，四肢沉重，烦渴为甚。初起宜服万灵丹发汗解表；肿仍不消者，必欲作脓，托里消毒散兼蜡矾丸间
服，后法俱照痈疽溃疡法推治为当。
万灵丹 托里消毒散 蜡矾丸（俱见肿疡门）
瘭疽一名蛇瘴，川、广烟瘴地面有之。初出先作红点，次变黑色，腐烂筋骨，小者如粟如豆，大者如梅如
李，发无定处，初用蟾酥饼膏贴患上；寒热交作者，黍米寸金丹或飞龙夺命丹亦可。红肿游走不定者，真君妙
贴散加雄黄敷之，自然截住；破后脾胃虚弱、食少干呕者，补中益气汤加黄连、麦冬。补而不应，肿高疼甚，
惟出清水秽汁者，俱为不治之症。
飞龙夺命丹（即蟾酥丸加金头蜈蚣二条）
黍米寸金丹 真君妙贴散（见肿疡门）
补中益气汤（见溃疡门）
小腹痈乃七情火郁，以致脾虚气滞而成。其患小腹漫肿坚硬，肉色不变。有热渐红者，属阳易治；无热不
红者，属阴难治。初起七日以前，用艾当肿顶灸七壮，膏盖，首尾内服壮脾胃、养气血、行经补托之剂，可保
终吉。如误用克伐攻利凉药者，败症必出，十全大补汤倍加参、 、姜、附以救之。内腐深陷者，玉红膏长肌
收敛。又补托不应者，终久纵愈成漏。
十全大补汤 玉红膏（俱见溃疡门）
痼发是由于感受自然界不正之气而引发的疾病，并非体内毒邪内生所致。这种病症多发生在手足掌心或腰部、腿部、臀部等关节伸缩之处，表现为漫肿无头（肿胀弥漫且没有明显的脓头），伴有憎寒发热（怕冷且发烧）、四肢沉重、极度烦渴等症状。初起时适宜服用万灵丹以发汗解表；如果肿胀仍然不消退，说明必然要化脓，此时应兼服托里消毒散和蜡矾丸，后续治疗方法均参照痈疽溃疡篇的方法进行推演治疗为宜。
瘭疽又名蛇瘴，在四川、广东等烟瘴之地较为常见。发病初期先出现红点，随后变为黑色，导致筋骨腐烂。小的如粟米、豆子般大小，大的如梅子、李子般大小，发作部位不固定。初期可用蟾酥饼膏贴敷患处；若出现寒热交替发作的症状，也可服用黍米寸金丹或飞龙夺命丹。若红肿游走不定，可用真君妙贴散加入雄黄外敷，自然能截断病势；破溃后若出现脾胃虚弱、食欲不振、干呕等症状，宜用补中益气汤加入黄连、麦冬治疗。若采用补法无效，且肿胀高突、疼痛剧烈，仅流出清水和秽浊汁液者，均属于不治之症。
小腹痈是由于七情（喜、怒、忧、思、悲、恐、惊）导致火气郁结，进而引起脾虚气滞而形成的。其症状表现为小腹部漫肿坚硬，皮肤颜色不变。若有热感并逐渐变红的，属于阳证，容易治疗；若无热感且不红的，属于阴证，难以治疗。初起的七天内，应在肿块顶部用艾炷灸七壮，并用膏药覆盖，同时内服具有强壮脾胃、滋养气血、通行经络及补托作用的药剂，可以保证最终痊愈。如果误用攻伐、通利、寒凉的药物，会导致败症出现，此时需用十全大补汤加倍加入人参、白术、生姜、附子来救治。若内部腐肉深陷，使用玉红膏促进肌肉生长并收敛伤口。若再次采用补托法无效，即使最终愈合也会形成漏管（慢性窦道）。
Guofa (Chronic Abscess) is caused by the infection of abnormal atmospheric qi, rather than the internal generation of toxic pathogens. This condition mostly occurs on the palms of the hands and feet or in areas of flexion and extension such as the waist, legs, and buttocks. It presents with diffuse swelling without a distinct head (Manzhong wutou), aversion to cold accompanied by fever (Zenghan refa), heaviness in the four limbs, and severe irritability with thirst. In the initial stage, it is appropriate to administer Wanling Dan (Ten Thousand Spirits Pill) to induce sweating and release the exterior. If the swelling does not subside, indicating that suppuration is inevitable, Tuoli Xiaodu San (Decoction for Supporting the Interior and Dispersing Toxicity) should be taken concurrently with Lafan Wan (Beeswax and Alum Pill). Subsequent treatment methods should follow those outlined in the chapter on Ulcerative Sores and Carbuncles.
Biaoju (Acute Ulcerative Disease), also known as Shezhang (Snake Miasma), is found in regions like Sichuan and Guangdong where miasma is prevalent. Initially, red spots appear, which subsequently turn black, leading to the rotting of muscles and bones. The lesions vary in size from small grains of millet or beans to large plums or peaches, appearing at unpredictable locations. In the early stage, Chansu Bing Gao (Toad Venom Cake Paste) should be applied topically to the affected area. For cases with alternating chills and fever, Shumicun Jin Dan (Millet-Inch Golden Pill) or Feilong Duoming Dan (Flying Dragon Life-Extending Pill) may also be used. If the redness and swelling are migratory and unstable, Zhenjun Miaotie San (Miraculous Paste of the True Lord mixed with Realgar) should be applied externally to naturally arrest the progression. After ulceration, if symptoms of Spleen and Stomach deficiency arise, such as poor appetite and dry retching, Buzhong Yiqi Tang (Decoction for Reinforcing the Middle and Augmenting Qi) with added Huanglian (Coptis Rhizome) and Maidong (Ophiopogon Tuber) should be administered. If tonification yields no response, and the swelling is high with severe pain, discharging only clear water and foul fluid, these are considered incurable conditions.
Xiaofuyong (Abscess of the Lower Abdomen) results from the stagnation of fire due to emotional disturbances (Seven Emotions), leading to Spleen deficiency and Qi stagnation. The clinical manifestation involves diffuse swelling and hardness in the lower abdomen with unchanged skin color. Cases presenting with heat sensation and gradual reddening belong to the Yang pattern and are easier to treat; those without heat sensation and non-red belong to the Yin pattern and are difficult to treat. Within the first seven days of onset, moxibustion (Jiu) consisting of seven cone-moxas should be applied to the apex of the swelling, covered with a plaster. Internally, decoctions that strengthen the Spleen and Stomach, nourish Qi and Blood, promote meridian circulation, and support the expulsion of toxins should be administered to ensure a favorable outcome. If harsh purgatives, draining agents, or cooling medicines are mistakenly used, failure syndromes will emerge. In such cases, Shiquan Dabu Tang (Decoction for Complete Great Tonification) with doubled doses of Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Shengjiang (Fresh Ginger Rhizome), and Fuzi (Prepared Aconite Lateral Root) should be used to rescue the patient. For deep-seated internal putrefaction, Yugong Gao (Jade Red Ointment) is used to promote tissue regeneration and contraction. If supportive and tonifying treatments remain ineffective, even if healing eventually occurs, a fistula (Lou) will likely form.