胃脘痈当候胃脉。人迎者。胃脉也。其脉沉细。气逆则甚。甚则热聚胃口而为痈。若脉
。脓已成。迟紧。虽脓未就。已有瘀血。宜急治之。否则邪毒内攻。腐烂肠胃。不可救也。宜
射干汤 射干（去毛） 栀子 赤茯苓 升麻（各一两） 赤芍（两半） 白术（半两）
上锉。水煎。入地黄汁一合。蜜半合。温服。芍药甘草汤。升麻汤随选用之。
一儿头患白疮。皮光且急。诸药不应。名曰脑疳疮。乃胎毒挟风热而成。服龙胆丸 及
荟末于鼻内。兼搽解毒散而愈。若重者。发结如穗。脑热如火。遍身汗出。囟肿胞高。尤当
一儿咳嗽。喘逆。壮热恶寒。皮肤如粟。鼻痒流涕。咽喉不利。颐烂吐红。气胀毛焦。
作利。名曰肺疳。以地黄清肺饮及化 丸治之而愈。
一儿眉HT 多啼。呕吐清沫。腹痛肚胀。筋青。唇口紫黑。肛门作痒。名曰蛔疳。服大芦
荟丸而愈。
有虫蚀脊膂。食热黄瘦。烦温下痢。拍背如鼓鸣。脊骨如锯齿。十指生疮。常啮。此脊
疳也。亦宜大芦荟丸治之。
一儿十岁患疮疥。久不愈。肌瘦。寒热时作。脑热足冷。滑泻肚痛。龈烂口臭。干揭。爪
黑面黧。此肾疳也。服六味地黄丸。更搽解毒散而愈。
一妇患 。寒热 痛。服人参败毒散。翌日遍身作痛。不能转侧。彼云素有此疾。每发
月余自止。服药不应。妇人体虚。因受风邪之气。随血而行。淫溢皮肤。卒然掣痛。游走无
常。名曰历节风。治以四生丸而愈。（此凭脉也。）
一宜人先两膝。后至遍身骨节皆痛。脉迟缓。用羌活胜湿汤。及荆防败毒散。（七）加渗
湿药不应。次以附子八物汤（七四）一剂悉退。再服而愈。（此凭脉也。）
若脉洪数而痛者。宜人参败毒散。（六四）有毒自手足起至遍身作痛。或颈项结核如贯珠
。此风湿流气之症。宜加减小续命。及独活寄生汤。（七六）
一人年逾五十。筋骨痿软。卧床五年。遍身瘙痒。午后尤甚。治以生血药。痒渐愈。痿
少可。更以加味四斤丸治之。调理谨守。年余而痊。（此凭症也。）
或曰。热淫于内。药用温补。何也。盖因血衰弱不能养筋。筋缓不能自持。阳躁热淫于
内。宜养阳滋阴。阳实则水升火降矣。
治疗胃脘痈应当观察胃脉。人迎穴处的脉象反映胃脉的情况。如果脉象沉细，气机上逆则病情加重；气逆严重时，热邪聚集在胃口处从而形成痈肿。若脉象滑数，说明脓液已经形成；若脉象迟紧，虽然脓液尚未成熟，但体内已有瘀血，应当紧急治疗，否则邪毒内攻，导致肠胃腐烂，就无法救治了。宜用射干汤：射干（去毛）、栀子、赤茯苓、升麻（各一两）、赤芍（一两半）、白术（半两）。将药材切碎，用水煎煮，加入地黄汁一合、蜂蜜半合，温服。也可根据情况选用芍药甘草汤或升麻汤。
有一个婴儿头部患白疮，皮肤光亮且紧绷，各种药物无效，名为脑疳疮，这是胎毒夹杂风热所致。服用龙胆丸及芦荟末纳入鼻中，同时外涂解毒散而痊愈。如果病情严重，头发结成穗状，头脑发热如火，全身出汗，囟门肿胀眼睑高突，尤其应当注意。
有一个婴儿咳嗽，气喘上逆，高热恶寒，皮肤起粟粒状鸡皮疙瘩，鼻痒流涕，咽喉不利，面颊溃烂吐血，腹部胀气毛发枯焦，大便泄泻，名为肺疳，用地黄清肺饮及化虫丸治疗而痊愈。
有一个婴儿眉毛稀疏多啼哭，呕吐清稀泡沫，腹痛腹胀，筋脉显露青色，嘴唇口角紫黑，肛门瘙痒，名为蛔疳，服用大芦荟丸而痊愈。
有虫体侵蚀脊柱和胸背，进食后身体发热发黄消瘦，烦躁温热并伴有下痢，拍打背部声音如鼓鸣，脊骨突出如锯齿，十个手指生疮，经常咬指甲，这是脊疳，也适宜用大芦荟丸治疗。
有一个十岁儿童患疮疥，久治不愈，肌肉消瘦，寒热交替发作，头脑发热脚部发冷，滑泄腹泻腹痛，牙龈溃烂口臭，口干揭皮，指甲变黑面色黧黑，这是肾疳，服用六味地黄丸，再外涂解毒散而痊愈。
一个人被鬼击（形容突然遭受剧烈疼痛），身上有青痕作痛，用金银花煎汤饮用即痊愈。
一位妇女患有历节风，出现寒热关节疼痛，服用人参败毒散后，第二天全身疼痛，不能翻身转动。她说素来有此病，每次发作月余自行停止，服药无效。该妇人体质虚弱，因受风邪之气，随血液运行，淫溢于皮肤，突然发生掣痛，游走无常，名为历节风，用四生丸治疗而痊愈。（这是通过诊脉判断的。）
另一位宜人先感到两膝疼痛，后来发展到全身骨节都痛，脉象迟缓，使用羌活胜湿汤及荆防败毒散（七）加渗湿药无效，随后用附子八物汤（七四）一剂后症状全部消退，再服用而痊愈。（这是通过诊脉判断的。）
如果脉象洪数且疼痛，宜用人参败毒散。（六四）若有毒邪从手足开始蔓延至全身疼痛，或者颈项部淋巴结肿大如串珠状，这是风湿流气之症，宜用加减小续命汤及独活寄生汤。（七六）
一个人年过五十，筋骨痿软，卧床五年，全身瘙痒，午后尤其严重，用生血药治疗，瘙痒逐渐减轻，痿证稍有好转，再用加味四斤丸治疗，调理谨守，一年多后痊愈。（这是通过症状判断的。）
有人问：热邪炽盛于内，为什么用药采用温补？这是因为血虚衰弱不能滋养筋脉，筋脉松弛无法自主支撑，阳气躁动热邪蕴结于内，应当养阳滋阴，阳气充实则水火既济，水升火降了。
When treating a carbuncle of the stomach (Wei Wan Yong), one should observe the Stomach pulse. The Renying point's pulse reflects the Stomach meridian. If the pulse is deep and fine, Qi rebellion exacerbates the condition; when severe, heat accumulates at the gastric opening, forming a carbuncle. If the pulse is slippery and rapid, pus has already formed; if the pulse is slow and tight, although pus has not yet matured, blood stasis is already present, requiring urgent treatment. Otherwise, pathogenic toxins will attack internally, causing rotting of the intestines and stomach, which would be incurable. Use Shegan Tang (Belamcanda Decoction): Belamcandae Rhizoma (Shegan, 射干) [removed hairs], Gardeniae Fructus (Zhizi, 栀子), Poria Cocos (Chifuling, 赤茯苓), Cimicifugae Rhizoma (Shengma, 升麻) (each 1 liang), Paeoniae Radix Rubra (Chishao, 赤芍) (1.5 liang), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (0.5 liang). Cut the herbs, decoct in water, add Rehmanniae Radix Preparata juice (Dihuang Zhi, 地黄汁) 1 he, and honey 0.5 he, take warm. Shaoyao Gancao Tang (Peony and Licorice Decoction) or Shengma Tang may also be selected as appropriate.
An infant suffered from white sores on the head, with shiny and tight skin, unresponsive to various medicines. This is called Brain Gangrene Sore (Nao Gan Chuang), caused by fetal toxin combined with wind-heat. It was cured by administering Longdan Wan (Gentian Pill) and Aloe Vera powder into the nose, along with external application of Jiedu San (Detoxification Powder). In severe cases, hair matts into tufts, the head feels hot like fire, the whole body sweats, the fontanelle swells and eyelids bulge high, which requires particular attention.
An infant presented with cough, wheezing and upward reversal of Qi, high fever with aversion to cold, skin resembling millet seeds, itchy nose with runny discharge, throat discomfort, cheek ulceration with hematemesis, abdominal distension, dry and brittle hair, and diarrhea. This is called Lung Gangrene (Fei Gan), treated and cured with Dihuang Qingfei Yin (Rehmannia Lung-Clearing Decoction) and Huachong Wan (Worm-Transforming Pill).
An infant cried frequently with sparse eyebrows, vomited clear foam, had abdominal pain and distension, visible blue veins, purple-black lips and mouth, and anal itching. This is called Roundworm Gangrene (Hui Gan), cured by taking Dalmaluoya Wan (Large Aloe Pill).
Parasites erode the spine and back, causing postprandial heat, yellow complexion, emaciation, irritability, warmth, and dysentery. Patting the back produces a drum-like sound, the spinal bones protrude like saw teeth, and ulcers appear on the ten fingers with frequent nail-biting. This is Spinal Gangrene (Ji Gan), also suitable for treatment with Dalmaluoya Wan (Large Aloe Pill).
A ten-year-old child suffered from scabies that did not heal for a long time, with emaciation, alternating chills and fever, hot head and cold feet, loose stools, abdominal pain, gum ulceration, foul breath, dry peeling skin, black nails, and sallow complexion. This is Kidney Gangrene (Shen Gan), cured by taking Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) and external application of Jiedu San (Detoxification Powder).
A person suffered from "Ghost Strike" (sudden severe pain with bruise-like marks), experiencing pain with green marks on the body. Drinking decoction of Honeysuckle Flower (Jinyinhua, 金银花) resulted in immediate cure.
A woman suffered from Lijie Feng (Joint-Wandering Wind), presenting with chills, fever, and joint pain. After taking Renshen Baidu San (Ginseng Detoxification Powder), she experienced generalized body pain the next day, unable to turn over. She stated she had this chronic condition before, which subsided spontaneously after more than a month, and medication was ineffective. Due to her deficient constitution, wind-pathogen qi entered, traveled with the blood, overflowed into the skin, and suddenly caused pulling pain that moved unpredictably. This is named Lijie Feng (Joint-Wandering Wind), cured by treatment with Sisheng Wan (Four Freshnesses Pill). (This diagnosis was based on pulse.)
Another noble lady first felt pain in both knees, which later spread to all bone joints throughout the body. Her pulse was slow and moderate. Qianghuo Shengshi Tang (Notopterygium Decoction for Overcoming Dampness) and Jingfang Baidu San (Cyclamen and Saposhnikovia Detoxification Powder) plus damp-draining herbs were ineffective. Subsequently, Fuzi Bawu Tang (Aconite Eight-Ingredient Decoction) administered in one dose resolved all symptoms, and continued use led to recovery. (This diagnosis was based on pulse.)
If the pulse is surging and rapid with pain, Renshen Baidu San (Ginseng Detoxification Powder) is indicated. If toxic pathogens cause pain starting from hands and feet spreading to the whole body, or cervical lymph nodes swell like beads, this is a syndrome of Wind-Dampness Flowing Qi. Jiawei Xiao Xuming Tang (Modified Small Xu Ming Decoction) and Duhuo Jisheng Tang (Angelica Pubescens and Taxillus Decoction) are indicated.
A person over fifty years old suffered from flaccidity of sinews and bones, bedridden for five years, with generalized pruritus worse in the afternoon. Treatment with blood-nourishing herbs gradually relieved the itching and slightly improved the flaccidity. Further treatment with Jiawei Sijin Wan (Modified Four Jin Pill) and careful regulation led to recovery after more than a year. (This diagnosis was based on symptoms.)
Someone asked: Why use warm tonification when heat is rampant internally? The reason is that blood deficiency fails to nourish the sinews, leading to laxity and inability to support the body. Yang hyperactivity and internal heat require nourishing Yang and Yin. When Yang becomes substantial, Water ascends and Fire descends, achieving balance.