申斗垣曰∶夫疮疡已溃，愈加保护，若不谨慎，恐致败坏，倘七情内乱，怒则伤
肝，肝为将军之官，肝主怒，怒气盛则刑脾，脾主肉，脾伤则疮口内胀出，名曰
肉， 肉长满，不能自消，若不去之，虽疮愈后，肉高硬积，久亦痒痛，倘生面目
之端，形容丑怪，乃不知去此之过也。宜为乌梅烧灰，少加轻粉，一上即平，愈后
亦无疮疤也矣。（《启玄》）
周文采曰∶一曰着水，二曰着风，三曰着怒，四乃庸俗医生以手挤脓核时，用
力太重，五乃妄用凉药，凉了疮皮，故生 肉也。（《集验》）
澄曰∶疮口 肉，患者误食生姜、香
蕈、菌子及违犯房帏，均易将良肉 出。更有肩脊生 者，乃挑轻负重挣出，肘腕手
指生 者，必是拿甚重物所致，足跟、足指生 者，必是奔走跳动而 。凡视疮毒
出脓后，肩脊上膏外加以浓纸或铅片压住，肘、腕、手、足、跟、指等处，膏外须用
浓纸或茧壳衬护，薄绢系好，则可免良肉 出，且易收功。
张景岳曰∶凡背疽大溃，欲验穿透内膜者，不可用皂角散嚏法，但以纸封患处，
令病者用意呼吸，如纸不动者，未穿膜也。倘用取嚏法鼓动内膜，则反致穿透，慎之，
慎之。（《全书》）
澄曰∶背疽溃烂，但以草纸捻蘸麻油，以火点着，向疮照之，如灯光向外鼓动者，里膜已破矣。
申斗垣说：疮疡溃破后，更加需要保护，如果不谨慎，恐怕会导致病情败坏。如果七情（喜、怒、忧、思、悲、恐、惊）内部紊乱，发怒会损伤肝脏，肝被称为“将军之官”，肝主司愤怒，怒气旺盛则会克制脾土，脾主肌肉，脾受伤则疮口内部肿胀突起，称为“肉”（此处指疮口内生的赘肉或息肉）。如果这些赘肉长满疮口，不能自行消退，若不去除它们，即使疮疡愈合后，赘肉也会高突坚硬积聚，时间久了也会感到瘙痒疼痛。倘若生长在面部等显眼部位，容貌会变得丑陋怪异，这都是因为不知道去除这些赘肉的过错所致。适宜使用乌梅烧成灰，少量加入轻粉，涂抹一次即可平整，愈合后也不会留下疮疤。（出自《启玄》）
周文采说：一是沾水，二是受风，三是动怒，四是庸俗的医生在用手挤压脓核时用力过重，五是妄用寒凉药物，使疮皮变冷，因此生出赘肉。（出自《集验》）
顾世澄说：疮口长出赘肉，患者误食生姜、香蕈、菌子以及违反房事禁忌，都容易导致好肉增生突出。更有肩部、脊背长出赘肉的，是因为挑轻担却背负重物用力挣出所致；肘部、腕部、手指长出赘肉的，必定是拿取重物所致；足跟、脚趾长出赘肉的，必定是奔走跳跃而致。凡是诊治疮毒排脓之后，在肩脊部位的膏药外加上厚纸或铅片压住，肘、腕、手、足、跟、指等处，膏药外用厚纸或茧壳衬垫护住，用薄绢系好，就可以避免好肉增生突出，且容易收口痊愈。
张景岳说：凡是背疽大面积溃破，想要检验是否穿透内膜，不可使用皂角散吹鼻取嚏的方法，只需用纸封住患处，让病人用心意控制呼吸，如果纸不动，说明膜未穿破。倘若使用取嚏法鼓动内膜，反而会导致穿透，务必谨慎，务必谨慎。（出自《全书》）
Shen Douyuan stated: After a sore and ulcer has ulcerated, it requires even greater protection. If one is not cautious, it may lead to deterioration. If the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright) are internally disturbed, anger injures the Liver. The Liver is referred to as the "General," and it governs anger. Excessive anger overacts upon the Spleen. The Spleen governs flesh; when the Spleen is injured, the interior of the sore swells and protrudes, a condition termed "flesh" (referring to hyperplastic granulation tissue or polyps within the wound). If these fleshy growths fill the wound and cannot resolve spontaneously, if they are not removed, even after the sore heals, the flesh will remain high, hard, and accumulated, eventually causing itching and pain over time. If such growths occur on the face or other prominent areas, the appearance becomes disfigured and ugly, which is due to the failure to remove them. It is advisable to burn *Wumei* (Mume Fruit, *Prunus mume*) to ash, mix with a small amount of *Qingfen* (Calomel, *Hydrargyri Chloridum*), and apply once to flatten the growth; this prevents scarring upon healing. (From *Qixuan*)
Zhou Wencai stated: There are five causes: first, exposure to water; second, exposure to wind; third, emotional anger; fourth, unskilled physicians applying excessive force when squeezing pus nodules by hand; fifth, the reckless use of cold-natured medicines that chill the skin of the sore, thereby generating hyperplastic flesh. (From *Jiyan*)
Gu Shicheng stated: When hyperplastic flesh grows at the sore opening, patients who mistakenly consume ginger, fragrant mushrooms, fungi, or violate sexual abstinence taboos are prone to having healthy tissue proliferate and protrude. Furthermore, hyperplastic flesh on the shoulders and back often results from bearing heavy loads while carrying light ones, straining excessively; those on the elbows, wrists, hands, and fingers result from lifting heavy objects; those on the heels and toes result from running and jumping. In cases where sores have discharged pus, thick paper or lead sheets should be placed over the plaster on the shoulders and back to press down; for elbows, wrists, hands, feet, heels, and fingers, thick paper or silkworm cocoons should be used as padding under the plaster, secured with thin silk. This prevents the proliferation of healthy tissue and facilitates healing.
Zhang Jingyue stated: In cases of large-scale ulceration of a carbuncle on the back, to test whether the inner membrane has been penetrated, one must not use the method of insufflating *Zaojiao San* (Gleditsia Sinensis Powder) into the nose to induce sneezing. Instead, cover the affected area with paper and instruct the patient to control their breathing intentionally. If the paper does not move, the membrane is intact. If the sneeze-inducing method is used to agitate the inner membrane, it may inadvertently cause perforation. Exercise extreme caution. (From *Quan Shu*)
Gu Shicheng stated: For ulcerated carbuncles on the back, roll grass paper into a wick, dip it in sesame oil, ignite it, and hold the flame near the sore. If the flame flickers outwardly, indicating air movement, the inner membrane has already ruptured.