大凡妇人有孕，忽生疮疽疔毒，始发当已溃未溃之时，须知双身而用药，岂比
常人，如砒、 、巴、麝之类，有犯于胎禁，及硝黄大下之药，焉可混用。止宜调
气养血，安胎托里之剂，可保无虞。此乃攸关生死之大要，不可不知也。
澄曰∶凡看妇人疮疡，须先问明月信，如已怀孕，不得妄用皂针、山甲、桃仁、红
花、冰麝、大黄、巴霜等味，冀其消散，设经水适至，亦不得大发其汗。
大凡妇人生产之后，气血大亏之际，而感受七情六淫，致令营卫不行，逆于肉里，
乃生痈肿。况元气不足，岂可轻投巴 悍之剂，只宜大补气血，托里八珍汤丸内
少加温暖药，使营卫通行，毒瓦斯消散，无不安矣。不然反致虚损，疮亦败坏，溃而
不敛，多致不救。
新产半月左右，忽发痈肿于四肢胸腹
者，是败血不尽，流滞经络，或气血虚弱，营气不从，逆于肉里也。如败血瘀滞者，则
肿赤痛，而脉弦洪有力，当补血行血之中，佐以导瘀疏气为主。如气血虚弱，营
涩卫逆者，则平塌散漫，而脉虚微无力，当大补气血为主；如十全八珍之属，以固本
元，扶胃气，气壮血和，其毒自解。若以毒治，而用清凉解毒，势必不脓不溃，变成坏证矣。
此辈虽云牝体，岂异于妻外家乎？虽无房室，常有忧思之苦，欲心蒙而不遂，有
失交欢，气血欠和，阴阳乖戾，凡有疮疡治法亦异。虽内托补中，必须调经舒郁安
神之药，随证治之为当。
澄曰∶此等人所患痈疽、瘰 、失营、乳痞、阴 等证，生于厥阴、少阳部位者
居多，皆缘抑郁不舒，所求不遂，群火沸腾，真阴销烁，施治之法，专主养血舒郁
宁神，兼用托里排脓之品，庶可保无变证。更有愆期处女，郁结于中而成疮疡者，又
当劝其父兄，早为完配，俾天地和而雨泽降，夫妇和而家道成，毕姻之后，未溃者
每多消散，久不敛者，亦易于收功矣。
大凡妇女怀孕时，突然发生疮疽疔毒，在刚开始发作、尚未溃破或已经溃破的时候，必须知道这是怀着身孕而用药，怎能比得上常人？像砒霜、轻粉、巴豆、麝香这类药物，有触犯胎禁的危险，以及硝石、大黄等峻下攻逐的药物，怎么可以混用？只适宜使用调气养血、安胎托里的方剂，才可以保证平安无事。这乃是关乎生死的关键要点，不可不知道啊。
顾世澄说：凡是诊治妇女的疮疡，必须先询问月经来潮的情况，如果已经怀孕，不得随意使用皂角刺、穿山甲、桃仁、红花、冰片、麝香、大黄、巴豆霜等药味，指望它们能消散痈肿；假如月经恰好来潮，也不得大发其汗。
大凡妇女生产之后，处于气血严重亏损的阶段，又感受七情（喜、怒、忧、思、悲、恐、惊）和六淫（风、寒、暑、湿、燥、火）邪气，导致营卫之气运行不畅，逆乱于肌肉纹理之间，从而产生痈肿。况且元气不足，怎么可以轻易投用巴豆等猛烈之剂？只应当大补气血，在托里八珍汤丸中稍微加入温热的药物，使营卫之气通行，毒瓦斯消散，就没有不安稳的了。否则反而会导致虚损，疮疡也会败坏，溃烂后不能收敛，大多导致无法救治。
新产半个月左右，忽然在四肢、胸腹部位发生痈肿的，这是因为恶露不尽，流滞于经络之中，或者是气血虚弱，营气不从顺，逆乱于肌肉纹理所致。如果是败血瘀滞，则表现为肿胀发红疼痛，脉象弦洪有力，应当在补血行血之中，以引导瘀血、疏理气机为主。如果是气血虚弱，营涩卫逆，则表现为疮形平塌散漫，脉象虚微无力，应当以大补气血为主；如使用十全大补汤、八珍汤之类的方剂，以巩固根本元气，扶持胃气，气壮血和，毒邪自然解除。如果用治毒的方法，使用清凉解毒的药物，势必导致不化脓、不溃破，变成坏证了。
这些女子虽然说是女性身体，难道与已婚妇女不同吗？虽然没有房事生活，但常有忧愁思虑的痛苦，欲望被蒙蔽而不能实现，失去了正常的夫妻欢爱，导致气血不和，阴阳乖戾。因此，她们的疮疡治法也与其他人不同。虽然内托补中，必须配合调经、舒郁、安神的药物，根据症状进行治疗才恰当。
顾世澄说：这类人所患的痈疽、瘰疬、失营、乳痞、阴疽等病症，多生于厥阴经、少阳经部位，都是因为抑郁不舒畅，所求愿望不能实现，群火沸腾，真阴消耗枯竭。施治的方法，专门以养血、舒郁、宁神为主，兼用托里排脓的药物，才可以保证不发生变证。更有那些错过婚龄的处女，因郁结于中而成疮疡的，又应当劝告她们的父兄，早日为她们完婚配偶，使得天地和谐而雨泽降临，夫妇和睦而家道成就。结婚之后，未溃破的疮疡大多会自行消散，久不收敛的，也容易收功痊愈了。
Generally speaking, when a pregnant woman suddenly develops sores, carbuncles, or malignant boils, whether at the initial stage before or after ulceration, one must realize that medication is being administered to a woman carrying a fetus. This situation cannot be treated as in ordinary people. Substances such as realgar (Shi Niao), mercury sulfide (Qing Fen), croton seed (Ba Dou), and musk (She Xiang) are contraindicated during pregnancy as they may harm the fetus. Similarly, purgatives like mirabilite (Mang Xiao) and rhubarb (Da Huang) should not be used indiscriminately. It is advisable to use only formulas that regulate qi, nourish blood, secure the fetus, and support the interior to ensure safety. This is a critical matter concerning life and death, which must not be ignored.
Gu Shicheng stated: When treating sores and ulcers in women, one must first inquire about the menstrual cycle. If the woman is pregnant, one must not recklessly use ingredients such as gleditsia spine (Zao Jiao Ci), pangolin scales (Chuan Shan Jia), peach kernel (Tao Ren), safflower (Hong Hua), borneol (Bing Pian), musk (She Xiang), rhubarb (Da Huang), or croton oil (Ba Jiang), hoping for resolution of the swelling. If menstruation happens to occur, one must not induce profuse sweating.
After childbirth, when a woman’s qi and blood are severely depleted, she may contract pathogens from the seven emotions (joy, anger, worry, thought, sadness, fear, fright) and six excesses (wind, cold, summer heat, dampness, dryness, fire). This causes the defensive (Wei) and nutritive (Ying) qi to fail to circulate properly, becoming reversed within the muscle tissue, thereby generating abscesses and swellings. Given the insufficiency of primordial qi, how can one lightly administer harsh agents like croton? One should primarily tonify qi and blood significantly. By adding mild warming herbs to *Ba Zhen Tang* (Eight Treasures Decoction) or its pill form to promote the circulation of Ying and Wei qi, the pathogenic toxins will dissipate, ensuring stability. Otherwise, it may lead to deficiency damage, worsening the sore, resulting in non-healing ulcers, and often proving fatal.
If an abscess or swelling suddenly appears on the limbs, chest, or abdomen about half a month after delivery, it is due to incomplete expulsion of lochia (stagnant blood) flowing into the meridians, or because of qi and blood deficiency causing Ying qi to deviate and reverse within the muscle tissue. If caused by stagnant blood, symptoms include red, swollen, painful areas with a wiry, surging, and forceful pulse. Treatment should focus on nourishing and moving blood, assisted by methods to guide out stasis and soothe qi stagnation. If caused by qi and blood deficiency with sluggish Ying and reversed Wei qi, the lesion will appear flat and diffuse with a faint, weak, and powerless pulse. Treatment should prioritize massive tonification of qi and blood, using formulas such as *Shi Quan Da Bu Tang* (Ten Significant Tonifying Decoction) or *Ba Zhen Tang*. These consolidate the root qi, support stomach qi, harmonize qi and blood, allowing the toxin to resolve naturally. If treated with cooling and detoxifying herbs intended for toxic heat, pus formation and ulceration will likely fail to occur, leading to a deteriorated condition.
Although these women possess female physiology, are they not different from married women? Although they do not engage in sexual intercourse, they often suffer from anxiety and excessive thinking. Their desires are suppressed and unfulfilled, lacking marital harmony, leading to disharmony of qi and blood and deviation of yin and yang. Therefore, the treatment of their sores and ulcers differs from others. While employing internal support and middle-jiao tonification, it is essential to combine herbs that regulate menstruation, relieve depression, and calm the spirit, treating according to specific symptoms.
Gu Shicheng stated: The conditions suffered by such individuals, including carbuncles, scrofula (*Luo Li*), loss of firmness (*Shi Ying*), breast lumps (*Ru Pi*), and yin abscesses, mostly occur in the regions of the Jueyin and Shaoyang meridians. This is due to prolonged depression and unfulfilled desires, causing internal fire to flare up and consume true yin. The treatment method should primarily focus on nourishing blood, relieving depression, and calming the spirit, combined with herbs that support the interior and drain pus, to prevent complications. Furthermore, for virgins who have missed marriageable age and developed sores due to internal stagnation, their fathers and brothers should be advised to arrange marriages early. Just as heaven and earth harmonize to bring rain, husband and wife harmony establishes family order. After marriage, unulcerated sores often dissipate spontaneously, and those that have persisted for a long time become easier to heal.