未溃，以化毒为先，痈疽已溃，以补正为急，纵有余毒未尽，不必败毒也，败毒之味，非寒凉即消耗，消耗即
损人真气，寒凉败伤人胃气，胃气伤则谷气全无，真气损则邪气反盛，何能生肌肉哉！此方专助真气以益胃气，
故能收全效。且此方不但治背痈已溃，凡疮疡已溃者，皆宜用之，惜世人未知也。）
申斗垣曰∶上搭、中搭、下搭，皆由酒色过度，怒气相干，寒热壅盛而成。脓
血稀少谓之里虚，难于医治。（《启玄》）
胡公弼曰∶按足太阳膀胱一经，始于
睛明、攒竹，终于通谷、至阴，凡六十三穴，去脊中寸半之间，贴脊而行，自大杼
而下，第三椎肺俞，五椎心俞，七椎肝俞，十椎胆俞，十一椎脾俞，十四椎肾
俞。生发背者上发则伤肺，中发则伤心与肝，名为对心发；下发则伤脾与肾，名曰
对脐发。家秘云∶发背一日生，二日大，三日烂，一七出水。一七不遇良医，烂开四
在疮疡未溃破时，以解毒化脓为首要任务；痈疽已经溃破后，则以补益正气为紧急之务。即使仍有残余毒邪未尽，也不必使用攻伐毒邪的药物。因为败毒类药物，不是寒凉性质就是消耗性质。消耗类药物会损伤人体的真气，寒凉类药物会伤害人的胃气。胃气受损则水谷精气全无，真气亏损则邪气反而强盛，这样怎么能生出肌肉呢！这个方子专门辅助真气以增益胃气，所以能取得完全的效果。而且此方不仅治疗背痈已溃的情况，凡是疮疡已经溃破的，都适宜使用，可惜世人不知道罢了。）
申斗垣说：上搭、中搭、下搭（发背的三种类型），都是由酒色过度、怒气干扰、寒热壅盛而形成的。脓血稀少称为里虚，难以医治。（《启玄》）
胡公弼说：按照足太阳膀胱经这一条经脉，起始于睛明穴、攒竹穴，终止于通谷穴、至阴穴，共有六十三穴，距离脊柱中线一寸半之间，紧贴脊柱而行。自大杼穴以下，第三椎对应肺俞穴，第五椎对应心俞穴，第七椎对应肝俞穴，第十椎对应胆俞穴，第十一椎对应脾俞穴，第十四椎对应肾俞穴。发生发背的人，上部发作则伤肺，中部发作则伤心与肝，名为对心发；下部发作则伤脾与肾，名为对脐发。家传秘法说：发背第一天生长，第二天变大，第三天腐烂，一周后出水。如果一周内遇不到良医，就会烂开四……
Before the abscess ulcerates, resolving toxicity is the priority; after the carbuncle or furuncle has ulcerated, tonifying healthy qi (Zheng Qi) is urgent. Even if residual toxins remain, there is no need to use herbs that attack and resolve toxicity. Herbs that attack toxicity are either cold-cooling in nature or consuming in effect. Consuming herbs damage the body's true qi (Zhen Qi), while cold-cooling herbs injure the stomach qi (Wei Qi). If stomach qi is injured, the essence from food and drink (Gu Qi) will be completely lost; if true qi is damaged, pathogenic factors will instead become vigorous. How can muscles then regenerate? This formula specifically assists true qi to benefit stomach qi, thus achieving complete efficacy. Moreover, this formula is not only suitable for treating ulcerated back carbuncles but also for any ulcerated sores or ulcers; it is a pity that people do not know this.)
Shen Douyuan stated: Upper Da, Middle Da, and Lower Da (types of back carbuncles) all result from excessive indulgence in alcohol and sexual activity, interference by anger, and accumulation of heat and cold. Scarcity of pus and blood indicates deficiency in the interior (Li Xu), making treatment difficult. (*Qi Xuan*)
Hu Gongbi stated: According to the Foot-Taiyang Bladder Meridian, it begins at Jingming (BL1) and Cuanzhu (BL2), ends at Tonggu (BL67) and Zhiyin (BL67), comprising sixty-three acupoints. These points lie between one-and-a-half cun lateral to the midline of the spine, running close to the spine. From Dazhu (BL11) downward, the third thoracic vertebra corresponds to Feishu (BL13), the fifth to Xinshu (BL15), the seventh to Ganshu (BL18), the tenth to Danshu (GB19), the eleventh to Pishu (BL20), and the fourteenth to Shenshu (BL23). In cases of back carbuncles, upper onset injures the Lung, middle onset injures the Heart and Liver, named "Heart-Opposing Carbuncle" (Dui Xin Fa); lower onset injures the Spleen and Kidney, named "Umbilicus-Opposing Carbuncle" (Dui Qi Fa). Family secret method states: On the first day of a back carbuncle, it appears; on the second day, it enlarges; on the third day, it ulcerates; within one week, it discharges fluid. If a skilled physician is not encountered within one week, it will spread open four...