王肯堂曰∶ 痈生项腋两乳旁，结核或两胯软肉处肿块，属手少阳三焦经。其
发缓慢，是冷证非热证也。宜回阳玉龙膏敷贴。（《准绳》）
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澄曰∶此证生于项胁，形类结核，发长缓慢，渐增 肿，色红，乃心包络寒痰，
脾气郁结而成。治宜温和，舒郁化坚。
申斗垣曰∶蠹疽即发历疮，乃足阳明胃经多气多血，生于缺盆二穴之分，在肩
下乳上，如再生四五头，子母大小者，又名历疮。十日可刺。如无脓者，名曰石疽。（《启玄》）
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陈实功曰∶钮扣风，乃风湿凝聚生疮，久则搔痒如癣。不治则沿漫项背，治以冰硫散搽。（《正宗》）
冰硫散（《正宗》）
樟冰 明矾 川椒（各二两） 硫黄（三两）
上为细末，先用萝卜一个，挖其内，将药填满腹，将原皮盖之，湿纸包三四层，灰
火内煨半时，待冷取开，用药同熟猪油调搽患上，自愈。
自腋臂 肘，手指手背，痈疽疔毒，俱汇于此部中，以便检阅参治。
王肯堂曰∶腋痈即夹肢痈，生肩膊下隙内，属手少阴心经，手厥阴心包络经风
热所致。宜服内托黄 柴胡汤。（《准绳》）
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《灵枢》曰∶发于腋下赤坚者，名曰米疽。治之以砭石，欲细而长，疏砭之，涂
以豕膏，六日已，勿裹之。
陈实功曰∶腋痈又名夹痈，此起腋下，皮色不变，漫肿无头，日久方痛，乃生寒
热。此乃肝经血滞，脾经气凝，共结为肿，此患难消，终必作脓。未破者，柴胡清肝
汤；已破，十全大补汤去肉桂，加香附、陈皮；急者开之。首尾温补，切忌寒凉。（《正宗》）
冯鲁瞻曰∶腋痈者，乃足少阳、手少阴、手厥阴三经也。此多得之于先天，或
肝火炽甚耳。（《锦囊》）
《心法》曰∶腋疽一名米疽，又名内疚疽，发于胳肢窝正中。初起之时，其形如
核，由脾肝二经忧思恚怒，气凝血滞而成。腋痈又名夹肢痈，发于腋际，属肝脾血热兼忿怒而成。
王肯堂说：痈生于项部、腋部及两乳旁，或胯部软肉处的肿块，归属于手少阳三焦经。其发病缓慢，属于寒证而非热证。适宜使用回阳玉龙膏敷贴。（出自《医学准绳六要》）
顾世澄说：此证生于颈部和胁肋部，形状类似结核，发作生长缓慢，逐渐增加肿胀，颜色发红，这是由心包络的寒痰与脾气的郁结所形成。治疗宜温和，以舒展郁结、化解坚块为主。
申斗垣说：蠹疽即发历疮，是由于足阳明胃经多气多血之故，生于缺盆穴附近区域，位于肩下乳上，如果再生出四五个头，有子母大小之分，又名为历疮。十日后可进行刺破排脓。如果没有脓液形成的，称为石疽。（出自《外科启玄》）
陈实功说：钮扣风，是由风湿凝聚生疮所致，日久则瘙痒如癣。若不治疗则会蔓延至项背，治疗可用冰硫散搽涂。（出自《外科正宗》）
冰硫散（出自《外科正宗》）
樟脑、明矾、川椒（各二两），硫黄（三两）。
以上药物研为细末，先用一个萝卜，挖空内部，将药填满萝卜腹中，盖上原皮，用湿纸包裹三四层，在灰火中煨烤半个时辰，待冷却后取出，用药粉与熟猪油调和搽涂患处，自然痊愈。
从腋下到臂肘，手指手背的痈疽疔毒，都汇集在此部分中，以便查阅参考治疗。
王肯堂说：腋痈即夹肢痈，生于肩膊下的缝隙内，归属于手少阴心经和手厥阴心包络经的风热所致。适宜服用内托黄芪柴胡汤。（出自《医学准绳六要》）
《灵枢》说：发生在腋下且红肿坚硬的，名叫米疽。用砭石治疗，砭石要细而长，稀疏地刺破，涂上猪脂膏，六天可愈，不要包扎。
陈实功说：腋痈又名夹痈，此起于腋下，皮色不变，漫肿无头，日久才疼痛，并伴有寒热症状。这是由于肝经血滞、脾经气凝，共同结聚成肿，此患难以消除，最终必定化脓。未破溃者，用柴胡清肝汤；已破溃者，用十全大补汤去掉肉桂，加入香附、陈皮；病情急迫者需切开引流。从头到尾都要温补，切忌使用寒凉药物。（出自《外科正宗》）
冯鲁瞻说：腋痈，涉及足少阳胆经、手少阴心经、手厥阴心包络经这三条经脉。此病多得之于先天禀赋，或者是肝火炽盛所致。（出自《外科锦囊》）
《医宗金鉴·外科心法要诀》说：腋疽一名米疽，又名内疚疽，发于胳肢窝正中。初起时，形状像核，由脾肝二经忧思恚怒，导致气凝血滞而成。腋痈又名夹肢痈，发于腋际，属肝脾血热兼忿怒而成。
Wang Kentang stated: Carbuncles arising in the neck, axilla, and beside both breasts, or masses in the soft flesh of the groin, belong to the Hand-Shaoyang Sanjiao Meridian. Their onset is slow, indicating a cold syndrome rather than a heat syndrome. It is appropriate to apply Huayang Yulong Gao (Return Yang Jade Dragon Ointment) for external application. (From *Yixue Zhunsheng*)
Gu Shicheng stated: This condition arises in the neck and hypochondrium, resembling tubercles, with a slow onset and gradual increase in swelling and redness. It is caused by cold phlegm in the Pericardium Collateral and Qi stagnation in the Spleen. Treatment should be mild and warm, aiming to soothe stagnation and resolve hardness.
Shen Douyuan stated: Duju (Carp-eating Carbuncle), also known as Fali Chuang (Sequential Ulcer), occurs due to the abundance of Qi and Blood in the Foot-Yangming Stomach Meridian. It arises near the Quepen (ST12) acupoint, below the shoulder and above the breast. If multiple heads arise, varying in size like mother and child, it is also called Lichuang. It can be punctured after ten days. If no pus forms, it is named Shiju (Stone Carbuncle). (From *Waike Qixuan*)
Chen Shigong stated: Niukou Feng (Button Wind) is a sore caused by the accumulation of wind-dampness, which becomes itchy like tinea over time. If untreated, it spreads to the neck and back. It should be treated with Bingliu San (Ice and Sulfur Powder) applied externally. (From *Waike Zhengzong*)
Bingliu San (From *Waike Zhengzong*):
Camphor (Zhangbing), Alum (Mingfan), Sichuan Pepper (Chuanjiao) (each 2 liang), Sulfur (Liuhuang) (3 liang).
Grind the above into a fine powder. Take one radish, hollow out its interior, fill it with the medicine, cover with the original skin, wrap in wet paper three or four layers, and roast in ash fire for half an hour. After cooling, take it out, mix the powder with rendered pork fat, and apply to the affected area until it heals spontaneously.
Carbuncles, sores, carbuncles, and toxic sores from the axilla to the arm, elbow, fingers, and dorsum of the hand are all collected in this section for easy reference and treatment.
Wang Kentang stated: Ye Yong (Axillary Carbuncle), also known as Zhizhi Yong, arises in the gap under the shoulder blade. It is caused by wind-heat affecting the Hand-Shaoyin Heart Meridian and Hand-Jueyin Pericardium Meridian. It is appropriate to administer Neituo Huangqi Chaihu Tang (Internal Supportive Astragalus and Bupleurum Decoction). (From *Yixue Zhunsheng*)
*Ling Shu* (Spiritual Pivot) states: Red and hard eruptions in the axilla are named Miju (Rice Carbuncle). Treat them with bian stones (stone lancets), which should be thin and long. Prick sparsely, apply pig fat (Shigao), and it will heal in six days; do not bandage it.
Chen Shigong stated: Ye Yong, also known as Jia Yong, originates in the axilla. The skin color remains unchanged, with diffuse swelling without a head, causing pain only after a long time, accompanied by chills and fever. This is due to blood stasis in the Liver Meridian and Qi condensation in the Spleen Meridian, jointly forming a swelling. This condition is difficult to eliminate and will eventually suppurate. For those unruptured, use Chaihu Qinggan Tang (Bupleurum Liver-Clearing Decoction); for ruptured ones, use Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction) minus Cinnamon Twig (Rougui), plus Cyperus Rhizome (Xiangfu) and Tangerine Peel (Chenpi). In urgent cases, incision is required. Warm tonification should be used throughout the course; cold and cooling agents are strictly contraindicated. (From *Waike Zhengzong*)
Feng Luzhan stated: Ye Yong involves the Foot-Shaoyang Gallbladder Meridian, Hand-Shaoyin Heart Meridian, and Hand-Jueyin Pericardium Meridian. This disease often results from congenital factors or excessive Liver Fire. (From *Waike Jinang*)
*Xinfa* states: Ye Ju (Axillary Abscess), also known as Miju or Neijiu Ju, arises in the center of the axilla. Initially, it resembles a kernel, formed by Qi coagulation and blood stasis due to worry, anger, and resentment affecting the Spleen and Liver meridians. Ye Yong, also known as Zhizhi Yong, arises at the axillary margin, resulting from Liver-Spleen blood-heat combined with anger.