\r附阴疽\p04-a41a192.bmp\r
陈实功曰∶附阴疽生在内踝上三寸，初生小泡，渐生赤肿，破流血水，痛亦彻骨，不能步履者是。（《正宗》）
《心法》曰∶附阴疽生内踝上三寸，初如红粟，疼痛日增，坚硬赤肿，渐如鸡卵，
系三阴交会，湿热积聚而成，治同痈疽。但三阴交系纯阴之穴，收敛迟缓，调理不可不慎。（《金鉴》）
王肯堂曰∶瓜藤缠生于足股，生核数
枚肿痛，久之溃烂不已，属足太阳经，由脏腑之湿热流注下部所致。（《准绳》）
《心法》曰∶若湿热下注，绕胫而发结核数枚，日久肿痛，腐烂不已，名曰瓜藤缠。（《金鉴》）
《鬼遗方》云∶两脚接骨近上膀肚下一处起丹疽，如胡桃大，硬如物打磕之状，不
苦痛，但肿急胀，虑其损筋，亦须早出脓毒，可保平安。
《心法》曰∶接骨发生于腿肚之下，胫骨与足后跟骨相接处，故名之。此属膀胱
湿热凝结而成。初如核桃，其硬如物打磕碰之状，急胀微疼，色红漫肿，脓宜速溃，
迟则脓毒损筋，筋脉既伤，腿缺踵行，踵行者不能全足踏地，惟恃足指着力而行也。治同痈疽门法。（《金鉴》）
《心法》曰∶黄鳅痈生于小腿肚里侧，疼痛硬肿，长有数寸，形如泥鳅，其色微
红，由肝脾二经湿热凝结而成。破出稠脓者吉，溃出污水者危，治同痈疽门法。
【附阴疽】
陈实功说：附阴疽生长在内踝上方三寸处，初起时像小水泡，逐渐变成赤色肿胀，破溃后流出血水，疼痛深入骨髓，导致无法行走。（出自《外科正宗》）
《医宗金鉴·心法要诀》说：附阴疽生长在内踝上方三寸处，初起时像红色的粟米，疼痛日益加重，局部坚硬、赤色肿胀，逐渐变得像鸡蛋大小。此病位于足三阴经（肝、脾、肾经）交会之处，由湿热积聚而成，治疗原则与痈疽相同。但三阴交穴属于纯阴之穴，气血收敛和恢复较为迟缓，调理时不可不谨慎。（出自《医宗金鉴》）
王肯堂说：瓜藤缠生长在腿部，出现数个肿块，肿痛，日久不愈而溃烂，归属于足太阳膀胱经，是由脏腑的湿热流注到下部所致。（出自《证治准绳》）
《医宗金鉴·心法要诀》说：如果湿热下注，沿着小腿胫骨周围发生数个结核，日子久了肿痛，腐烂不止，名叫瓜藤缠。（出自《医宗金鉴》）
《鬼遗方》说：两脚连接小腿肚上方的接骨处生发丹疽，大小如胡桃，质地坚硬如同被物体撞击磕碰后的样子，不感到剧烈痛苦，只是肿胀急迫胀满，担心损伤筋脉，也必须尽早排出脓毒，才能保平安。
《医宗金鉴·心法要诀》说：接骨疽发生于腿肚下方，胫骨与足跟骨相接的地方，因此得名。此病属于膀胱湿热凝结而成。初起时像核桃，坚硬如同被物体撞击磕碰的样子，急胀微痛，颜色红且漫肿，脓液应当迅速溃破，拖延则脓毒会损伤筋脉，一旦筋脉受伤，患者走路时脚跟缺失般不能着地，只能依靠脚趾着力行走。治疗方法同痈疽门的方法。（出自《医宗金鉴》）
《医宗金鉴·心法要诀》说：黄鳅痈生长在小腿肚的内侧，疼痛、坚硬、肿胀，长度有几寸，形状像泥鳅，颜色微红，由肝、脾二经湿热凝结而成。破溃后流出稠厚脓液为吉兆，溃破后流出污水则为危象，治疗方法同痈疽门的方法。
[Attachment: Yin Abscess]
Chen Shigong stated: The "Fu Yin Ju" (Attached Yin Abscess) arises three cun above the medial malleolus. Initially presenting as small blisters, it gradually becomes red and swollen. Upon rupture, it discharges bloody fluid; the pain penetrates to the bone, rendering walking impossible. (From *Zhengzong*)
The *Xinfa* (Essentials of Medical Methods) states: The "Fu Yin Ju" arises three cun above the medial malleolus. Initially resembling a red millet grain, the pain increases daily, with hardness and redness swelling until it resembles a chicken egg. It is located at the intersection of the Three Yin meridians (Liver, Spleen, Kidney), formed by the accumulation of damp-heat. Its treatment follows that of carbuncles and sores. However, since the Sanyinjiao acupoint (Three Yin Intersection) belongs to pure Yin, its convergence and recovery are slow; therefore, regulation must be handled with extreme caution. (From *Jian*)
Wang Kentang stated: "Gua Teng Chan" (Melon Vine Entanglement) arises in the thighs, presenting with several nodules that are painful and swollen. Over time, they ulcerate without healing. This condition belongs to the Foot Taiyang Bladder Meridian and is caused by damp-heat from the Zang-Fu organs flowing downward to the lower body. (From *Zhunsheng*)
The *Xinfa* states: If damp-heat flows downward, multiple nodules may form around the tibia. After many days, they become painful, swollen, and ulcerate incessantly. This is named "Gua Teng Chan". (From *Jian*)
The *Gui Yi Fang* states: On both legs, at the junction near the upper calf (the Achilles tendon area), a Dan Ju (Red Abscess) arises, sized like a walnut. It is hard, resembling the state after being struck or knocked by an object. It does not cause severe pain but presents with urgent swelling and distension. One should fear damage to the tendons; thus, pus and toxins must be discharged early to ensure safety.
The *Xinfa* states: "Jie Gu" (Bone Connection) occurs below the calf, at the junction between the tibia and the calcaneus (heel bone), hence the name. This condition is formed by the coagulation of damp-heat in the Bladder. Initially resembling a walnut, it is hard as if struck by an object, presenting with urgent distension, slight pain, redness, and diffuse swelling. Pus should rupture quickly; delay allows pus toxins to damage the tendons. Once the tendons are injured, the heel cannot touch the ground when walking, forcing the patient to rely solely on the toes for support. Treatment follows the methods of the Carbuncle and Sore section. (From *Jian*)
The *Xinfa* states: "Huang Qiu Yong" (Yellow Loach Carbuncle) arises on the medial side of the calf. It is painful, hard, and swollen, measuring several inches in length, shaped like a loach, with a slightly red color. It is formed by the coagulation of damp-heat in the Liver and Spleen meridians. Rupture yielding thick pus is auspicious; rupture yielding turbid water indicates critical danger. Treatment follows the methods of the Carbuncle and Sore section.