申斗垣曰∶一老人年将六十，妻少而不自悟，得漏脐疮年半，臭不可近，百治
不效，自分必死，其老母哭拜求余，且曰君能存吾子以继香烟，则母子没齿不忘大
德，余以补剂治之，外以艾灸脐上，次日则不臭矣。余更以膏药贴之，后用生肌散
填满脐口，又以补中益气汤半月而安。又有一老翁年七十有五，因气恼忽患脐漏三
月余，自分必死，余照前治之，不半月而愈，后至八十三岁而卒。噫，神哉方乎！（《启玄》）
汪省之曰∶肚痈乃手阳明大肠、手太阳小肠二经受证，热结之毒发出于表，壅聚成痈也。（《理例》）
窦汉卿曰∶肚痈乃脾经之毒，因食煎 油腻，酒醉太过入房，以致毒不流通，聚
成此痈。或生于内，或生于外，若不速治，溃透脾膜则死。（《全书》）
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《心法》曰∶腹皮痈生于腹，皮里膜外，无论左右，隐痛日久，后发痈肿于皮外，右
关脉见沉数而腹痛甚者是其候也。由膏粱火郁而成，不可过服克伐之药。若希图消
散，过伤胃气，则肿不能溃，溃不能敛，立见危亡矣。
肚痈神效方 石楠树嫩红叶捣汁一茶盅，冲酒缓缓服之，渣敷痈上缚之，五服全愈。
\r小腹痈\p04-a41a152.bmp\r
王肯堂曰∶小腹痈，脐下一寸五分为散火祛风之药，乃补气温火之味耳。盖阴
成阴毒，乃寒虚之故，寒因虚而不行，毒因寒而凝结，用热药以祛寒，自能解寒散
毒也。辟寒救腹丹∶白术三两，茯苓三钱，肉桂三钱，金银花三两，附子二钱，当归
二两，蛇床子五钱。水煎一服内消矣。已溃者三剂脓尽肉生，四剂全愈。此以白术
气海，二寸为丹田，三寸为关元，皆属任脉。由七情不和所致，若溃而低陷，脓水
清稀，或溃烂久不敛者死。（《准绳》）
《鬼遗方》曰∶小腹疽，又名冲疽发，小腹疼痛而振寒热，四日 ，五日变色，
可刺。不刺及导引出脓毒不治，五十余日死。
陈远公曰∶有生痈小腹间者，必无阳证，以地属阴部位也。阴生阴毒，似乎至
重，然纯阴无阳，一用阳药，立可成功，无奈世人一见肚腹生痈，多用阴药消毒，反
成不救，为可悯也。然余所谓阳药者，非为君者，以其专利腰脐之气也，腰脐利则
下部尽利矣。后以蛇床、银花祛毒瓦斯易消，又恐寒极不能直入，故加附桂斩关而入，惟
是一派干燥之味，邪虽去除，未免耗血，故用当归阳中之阴，少制其横，则阴寒渐散，
又无阳旺之患，所以奏功也。（《冰鉴》）
（陈实功曰∶小腹痈生小腹，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。此乃七情火郁，以致脾虚气滞而成也。（《正宗》）
又曰∶初起七日以内者，艾灸七壮膏盖，首尾内服壮脾胃，养气血，行经补托
之剂，可保无虞。如误用克伐攻利凉药，败证必出，急用十全大补汤加参、 、姜、附
救之；如补托不应者，终久纵愈成漏。
冯鲁瞻曰∶腹痈者，患于脐下，或旁二寸许，是属脾经；若近胁者是属胆经。是
证多因脾家阴虚，气凝血滞伤脾所致。（《锦囊》）
胡公弼曰∶小腹痈又名丹毒痈。乃饮食不调，寒热伏结于肠胃成毒，多生于小腹之侧。（《青囊》）
《百效全书》云∶腹痈生于皮里膜外，乃七情火郁，以致脾虚气滞而成，小儿乃
惊积亏损而致。但此证不问初起已溃未溃，宜壮胃气而佐以行经活血之剂，若误用克
伐及下利寒凉，则肿不能溃，溃不能敛矣。倘服下利降火破气消瘀等药，急用大剂参、
、姜、附或十全大补汤救之。如疮势漫肿坚硬，肉色不变，未有脓也，四君子汤
加川芎、当归、白芷、枳壳。如 肿痛甚，隔蒜灸五七壮以杀其毒，内用托里之剂。如
肿起而软，色不赤者，脓已成也。脓成外不溃者，卧针刺之，以泄其毒。不可直针，
以伤其膜，内服托药，搽玉红膏生肌收功。
《心法》曰∶小腹痈由七情火郁而生，每发于气海穴、（在脐下一寸五分。）丹田穴、（在脐
下二寸。）关元穴，（在脐下三寸。）皆属任脉经。此三穴或一穴发肿，即为小腹痈。高肿红活，
疼痛牵背，易溃脓稠者易治；若漫肿坚硬，绵溃腐烂，脓稀如水者，为疽难治。
申斗垣说：有一位老人将近六十岁，因为妻子年轻而不知节制，导致脐漏疮患病半年多，气味臭秽令人难以靠近，各种治疗方法都无效，他自己断定必死无疑。他的老母亲哭着跪拜请求我救治，并且说：“如果您能救活我的儿子以延续香火，那么母子二人至死都不会忘记您的大恩大德。”我用补益剂内服治疗，外用艾灸脐部上方，第二天臭味就消失了。我又用膏药贴敷，后来用生肌散填满脐口，再服用补中益气汤半个月后痊愈。又有一位七十多岁的老翁，因为生气恼怒突然患上脐漏三个多月，自己也断定必死无疑，我按照之前的方法治疗，不到半个月就好了，他后来活到八十三岁才去世。唉，这方子真神奇啊！（出自《启玄》）
肚皮突然变成青黑色，如果不紧急治疗，片刻之间就会死亡。用胡粉（铅粉）调酒外敷患处。
汪省之说：肚痈是手阳明大肠经和手太阳小肠经的病变，热结之毒发于体表，壅聚而成痈。（出自《理例》）
窦汉卿说：肚痈是脾经的毒邪，因为食用煎炸油腻食物、醉酒过度或房事不节，导致毒邪不能流通，聚集形成此痈。痈可能生于体内，也可能生于体外，如果不迅速治疗，溃破穿透脾膜就会死亡。（出自《全书》）
《心法》说：腹皮痈生于腹部，在皮肤与膜之间，无论左右，长期隐痛，随后在皮肤外发出痈肿，右关脉呈现沉数且腹痛剧烈是其征候。这是由于过食肥甘厚味导致火气郁结而成，不可过量服用攻伐药物。如果一味追求消散，过度损伤胃气，就会导致肿胀无法溃破，溃破后无法愈合，立即出现危亡。
肚痈神效方：取石楠树嫩红叶捣汁一杯，冲入酒中缓缓服用，药渣敷在痈上并包扎，服用五剂即可全愈。
王肯堂说：小腹痈，位于脐下一寸五分处，使用散火祛风的药物，其实是补气温阳的药物。这是因为阴寒凝结成阴毒，是由于寒虚的缘故，寒气因虚而不能运行，毒邪因寒而凝结，使用热药来祛除寒邪，自然能解寒散毒。辟寒救腹丹：白术三两，茯苓三钱，肉桂三钱，金银花三两，附子二钱，当归二两，蛇床子五钱。水煎服一次即可内消。已经溃破的用三剂使脓尽肉生，四剂全愈。这里提到的白术补气海，脐下二寸为丹田，三寸为关元，都属于任脉。这些病症由七情不和所致，如果溃破后低陷，脓水清稀，或者溃烂长久不愈合的会死亡。（出自《准绳》）
《鬼遗方》说：小腹疽，又名冲疽发，小腹疼痛且伴有寒战发热，第四天、第五天变色，可以针刺。如果不针刺及引导排出脓毒则无法治愈，五十多天后死亡。
陈远公说：在小腹间生痈的，一定没有阳证，因为该部位属阴。阴生阴毒，看似非常严重，然而纯阴无阳，一旦使用阳药，立刻可以成功。无奈世人一见肚腹生痈，多用阴药消毒，反而造成无法挽救的局面，实在可怜。然而我所指的阳药，并非作为君药，而是专门利用其通利腰脐之气的作用，腰脐通畅则下部全部通畅。后用蛇床子、金银花祛除毒邪，又担心极寒之邪不能直入，所以加入附子、肉桂斩关而入，只是一派干燥性质的药物，虽然邪气去除，未免耗伤血液，所以用当归这个阳中之阴的药，稍微制约其燥性，则阴寒逐渐消散，又没有阳气过旺的隐患，所以能奏效。（出自《冰鉴》）
陈实功说：小腹痈生在小腹，漫肿坚硬，肉色不变，如果有热渐红者，属于阳证，容易治疗；如果没有热不红者，属于阴证，难治。这是由七情火郁，导致脾虚气滞而成的。（出自《正宗》）
又说：初起七日以内的，艾灸七壮并用膏药覆盖，从头到尾内服壮脾胃、养气血、行经络、补托的药剂，可以保证无忧。如果误用攻伐、利尿、凉药，败证必然出现，急用十全大补汤加人参、黄芪、干姜、附子抢救；如果补托无效，最终即使痊愈也会形成漏症。
冯鲁瞻说：腹痈发生在脐下，或者旁边约两寸处，属于脾经；如果靠近胁部则属于胆经。这种病症多因脾家阴虚，气凝血滞损伤脾脏所致。（出自《锦囊》）
胡公弼说：小腹痈又名丹毒痈。是因为饮食不调，寒热伏结于肠胃成毒，多生于小腹侧面。（出自《青囊》）
《百效全书》说：腹痈生于皮里膜外，是由七情火郁，导致脾虚气滞而成，小儿则是由于惊积亏损所致。但这种病症不问初起还是已溃未溃，都应该壮胃气并辅以行经活血的药剂，如果误用攻伐及下利寒凉药，就会导致肿胀无法溃破，溃破后无法愈合。如果服用下利降火破气消瘀等药，急用大剂量人参、黄芪、干姜、附子或十全大补汤抢救。如果疮势漫肿坚硬，肉色不变，还没有脓，用四君子汤加川芎、当归、白芷、枳壳。如果肿痛厉害，隔蒜灸五到七壮以杀其毒，内用托里药剂。如果肿起变软，颜色不红的，说明脓已成。脓成但外部未溃的，卧针刺破以泄出毒邪。不可直针，以免伤及其膜，内服托毒药，搽玉红膏生肌收功。
《心法》说：小腹痈由七情火郁而生，每发于气海穴（在脐下一寸五分）、丹田穴（在脐下二寸）、关元穴（在脐下三寸），都属于任脉经。这三个穴位中任何一个穴位发生肿胀，就是小腹痈。高肿红活，疼痛牵连背部，容易溃破且脓液稠厚的容易治疗；如果漫肿坚硬，绵软溃烂腐烂，脓液稀如水样的，属于疽，难治。
Shen Douyuan said: An elderly man, nearly sixty years old, suffered from umbilical fistula (Umbilical Fistula) for over half a year due to lack of moderation with his young wife. The odor was so foul that it was unbearable, and various treatments failed. He believed he would certainly die. His mother wept and knelt before me, begging for treatment, saying, "If you can save my son to continue the family line, mother and son will never forget your great virtue." I treated him internally with tonifying formulas and externally with moxibustion above the navel. By the next day, the odor had disappeared. I then applied plasters and filled the umbilical opening with Shengji San (Flesh-Regulating Powder). After taking Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) for half a month, he recovered. Another elderly man, seventy-five years old, suddenly developed umbilical fistula for over three months due to anger and frustration. He also believed he would die. I treated him according to the previous method, and he recovered in less than half a month. He lived until eighty-three years old before passing away. Alas, how miraculous this prescription is! (From *Qixuan*)
The skin of the abdomen suddenly turns blue-black. If not treated urgently, death will occur within moments. Apply Hu Fen (Lead Carbonate) mixed with wine topically.
Wang Shengzhi said: Abdominal carbuncle (Abdominal Carbuncle) is a manifestation of the Hand-Yangming Large Intestine Meridian and Hand-Taiyang Small Intestine Meridian. Toxic heat accumulation erupts on the surface, congesting and gathering to form a carbuncle. (From *Lili*)
Dou Hanqing said: Abdominal carbuncle is toxicity of the Spleen Meridian. It arises from consuming fried and greasy foods, excessive alcohol intake, or sexual excess, causing toxicity to stagnate and gather into a carbuncle. It may arise internally or externally. If not treated promptly, perforation through the spleen membrane leads to death. (From *Quan Shu*)
*Xin Fa* states: Abdominal wall carbuncle arises in the abdomen, between the skin and the fascia. Regardless of left or right side, there is chronic dull pain, followed by swelling on the skin surface. A deep and rapid pulse at the Right Guan position accompanied by severe abdominal pain are its signs. It is caused by fire depression from rich and sweet foods. One must not overdose on purgative drugs. Seeking resolution through excessive draining damages Stomach Qi, leading to inability to suppurate or heal, resulting in immediate danger.
Miraculous Formula for Abdominal Carbuncle: Crush fresh red leaves of *Rhododendron anthopogonoides* (Shinan Tree) to extract juice (one teacup), mix with wine, and drink slowly. Apply the dregs to the carbuncle and bind. Five doses result in complete recovery.
Wang Kentang said: Lower abdominal carbuncle occurs 1.5 cun below the umbilicus. Using wind-dispersing and fire-clearing herbs is actually using Qi-tonifying and Yang-warming herbs. This is because Yin cold condenses into Yin toxicity due to deficiency and cold. Cold stagnates due to deficiency; toxicity coagulates due to cold. Using hot herbs to dispel cold naturally resolves the cold and disperses the toxicity. Bihan Jiufu Dan (Cold-Dispelling Abdomen-Saving Pill): Bai Zhu (Atractylodis Rhizoma) 3 liang, Fu Ling (Poria) 3 qian, Rou Gui (Cinnamomi Cortex) 3 qian, Jin Yin Hua (Lonicerae Japonicae Flos) 3 liang, Fu Zi (Aconiti Lateralis Radix Praeparata) 2 qian, Dang Gui (Angelicae Sinensis Radix) 2 liang, She Chuang Zi (Cnidii Fructus) 5 qian. Decoct in water; one dose eliminates it internally. For already ulcerated cases, three doses exhaust pus and regenerate flesh; four doses cure completely. Here, Bai Zhu tonifies Qi in the Qihai area. Two cun below the umbilicus is Dantian, and three cun is Guanyuan, both belonging to the Ren Mai (Conception Vessel). These conditions are caused by disharmony of the Seven Emotions. If ulcerated with sinking appearance, thin pus, or long-term non-healing, death ensues. (From *Zhunsheng*)
*Gui Yi Fang* states: Lower abdominal tubercle (Lower Abdominal Tubercle), also known as Chong Ju Fa, presents with lower abdominal pain and chills/fever. On the fourth or fifth day, discoloration appears; acupuncture may be used. Without acupuncture and drainage of pus/toxicity, it is incurable, leading to death after fifty-plus days.
Chen Yuan Gong said: Carbuncles arising in the lower abdomen generally lack Yang signs because the location is Yin. Yin generates Yin toxicity, which seems severe. However, in pure Yin without Yang, applying Yang herbs yields immediate success. Unfortunately, people often use Yin-cooling herbs to detoxify, worsening the condition. The Yang herbs I refer to do not serve as the Sovereign herb but specifically promote circulation in the waist and umbilicus. When these areas are clear, the lower body benefits. Subsequently, She Chuang Zi and Yin Hua remove toxic vapors. To penetrate extreme cold, Fu Zi and Rou Gui are added. These dry herbs remove pathogens but may consume blood; thus, Dang Gui (a Yin-within-Yang herb) is used to moderate their harshness, gradually dispersing Yin-cold without causing Yang hyperactivity, achieving efficacy. (From *Bing Jian*)
Chen Shigong said: Lower abdominal carbuncle manifests as diffuse swelling and hardness with unchanged skin color. If heat and redness develop, it is a Yang pattern, easy to treat. If no heat or redness, it is a Yin pattern, difficult to treat. This results from Fire depression of the Seven Emotions causing Spleen deficiency and Qi stagnation. (From *Zhengzong*)
He further stated: For early-stage cases (within seven days), apply seven moxa cones with a plaster cover. Internally administer formulas to strengthen Spleen/Stomach, nourish Qi/Blood, and support expulsion. Avoid purgatives, diuretics, and cooling herbs, which cause collapse. If collapse occurs, urgently use Shiquan Dabu Tang (Ten Complete Tonifying Decoction) plus Ren Shen (Ginseng), Huang Qi (Astragalus), Gan Jiang (Zingiberis Rhizoma), and Fu Zi to rescue. If tonification fails, even if healed, it may become a fistula.
Feng Luzhan said: Abdominal carbuncle occurring below the umbilicus or about two cun to the side belongs to the Spleen Meridian; near the flanks belongs to the Gallbladder Meridian. This is often caused by Spleen Yin deficiency, Qi stagnation, and Blood stasis damaging the Spleen. (From *Jinnang*)
Hu Gongbi said: Lower abdominal carbuncle, also known as Dan Du Yong, arises from dietary irregularity where cold and heat lodge in the intestines/stomach forming toxicity, often appearing on the sides of the lower abdomen. (From *Qingnang*)
*Bai Xiao Quan Shu* states: Abdominal carbuncle arises between skin and fascia, caused by Seven Emotions Fire depression leading to Spleen deficiency and Qi stagnation; in children, it is due to fright and food retention causing depletion. Regardless of stage (early or ulcerated), strengthen Stomach Qi and assist with Blood-invigorating formulas. Mistaken use of purgatives/cold herbs prevents suppuration/healing. If cooling/purgative herbs were taken, urgently rescue with large doses of Ren Shen, Huang Qi, Gan Jiang, Fu Zi, or Shiquan Dabu Tang. For diffuse hard swelling without pus, use Sijunzi Tang (Four Gentlemen Decoction) plus Chuan Xiong (Ligustici Rhizoma), Dang Gui, Bai Zhi (Angelicae Dahuricae Radix), and Zhi Ke (Aurantii Fructus). For severe swelling/pain, apply garlic-separated moxibustion (5-7 cones) to reduce toxicity, internally using interior-supporting formulas. For soft, non-red swelling indicating mature pus, lance horizontally to drain toxin (avoid vertical puncture to protect fascia). Internally take supporting herbs and apply Yuhong Gao (Jade Red Ointment) for healing.
*Xin Fa* states: Lower abdominal carbuncle arises from Seven Emotions Fire depression, typically affecting Qihai (1.5 cun below umbilicus), Dantian (2 cun below), and Guanyuan (3 cun below), all on the Ren Mai. Swelling in any of these points constitutes lower abdominal carbuncle. High, red, vibrant swelling with radiating pain and thick pus indicates an easy-to-treat case. Diffuse hard swelling, soft rotting, and watery pus indicate Ju (Tubercle), which is difficult to treat.