王肯堂治一人，患附骨疽，脓熟不能泄，溃而入腹，精神昏愦，粥药不入，医无所措。诊之，脉
细如蛛丝，气息奄奄，曰∶无伤也。用针刺其腹，脓大泄，然皆清稀若蟹吐沫。在法为透膜不治，用
参、 、附子，加厥阴行经之药，大剂饮之，又服八味丸，食大进，米升余，肉数脔，旬日而平。所
可治者，溃疡之脉，决实者死，细微者生，病脉相合，故可治也。刺腹者，脓不泄，必内攻，按之知
其疮深，即刺无害，所以不透膜。八味补肾，肾气旺而上升，胃口开而纳食。凡泄脓既多，刀圭之药，
其何能济？迁延迟久，且有他患，故进开胃之药，多食肉以补之，肌乃速生，此治溃疡之大法。
一男子腿根环跳穴患痛彻骨，外皮如故，脉数而滞滑，此附骨疽，脓将成也。用托里药六剂，肿
起作痛，脉滑数，其脓已成，针之出碗许，更加补剂，月余而瘳。
一男子患附骨疽，肿硬发热，骨痛筋挛，脉数而沉，用当归拈痛汤而愈。
张景岳治一人，年三十余，素多劳，忽患环跳酸痛，数月后大股渐肿。曰∶此附骨也，当速治。
与活命饮二帖，未效，而肿益甚。因混投清火解毒，遂致呕恶发热，饮食不进，势甚危。复求治，与
参内托散，大加
炮姜，数剂而呕止食进，其肿软熟。知其脓成，针之脓不多，复与九味异功煎，遂大溃，且瓣瓣出脓，
溃者五六处，腿肉尽去，止存皮骨矣。溃后复呕，发热不食，以十全大补汤、九味异功散，相间与之，
热渐退，食渐进。然足筋短缩，但可竖膝仰卧，左右挨紧，毫不能动，动则痛极，自分已成废人。凡
用十全大补三十余剂，人参三斤，乃肉生筋舒如故。
一人年近三旬，素不节欲，忽环跳穴酸痛月余。张曰∶此最可畏，恐生痈毒。不信，或谓筋骨痛
常事耳，不过风热使然，与散风清火药。至半年后，果微肿，复求治。曰∶速用托补，以救根本，尚
不迟也。又不信，谋之疡医曰∶岂有肿疡未溃，遽可温补耶？复用清火消毒之剂，及大溃而危。再延
视，则脉症俱败，悔无及矣。
一膏粱子年三旬，素耽酒色，亦患前症，令早服药，执拗不从。及肿而脓成，令速针之。不肯，
偏信庸流，敷以苦寒解毒之药，不知脓已成，犹何毒之可解？但有愈久愈深，直待自溃，元气尽去，
不可收拾耳。
立斋治地官孟乡环跳穴患疽，内服外敷，皆败毒寒剂。因痛极刺之，脓瘀大泻，疮口开张，其色
紫黯，右关脉浮大，此胃气复伤，不能荣于患处也。以豆豉饼，六君子加藿香、砂仁、炮姜，数剂，
由是胃气醒，而饮食进，患处暖而肌肉渐生。再以十全大补汤而愈。
大君都承庆患附骨疽，内痛如锥，外色不变，势不可消。喜其未用寒削，止因痛伤胃气，而不思
饮食，用六君子汤治之，饮食少进。更以十全大补，二十余剂而脓成。针去，仍以大补汤，倍用参、
、归、术，加麦冬、五味、远志、贝母，数服脓渐止，而疮亦愈。
一儒者左腿微肿，肉色如故，饮食少思，此真气虚而温邪内袭也。盖诸气皆秉于胃，法当助胃壮
气，遂用六君子加藿香、木香、当归，数剂饮食渐进。更以十全大补，元气复而愈。
一儒者两腿肿痛，肉色不变，恶寒发热，饮食少思，肢体倦怠，脾气不足，湿痰下注也。以补中
益气加半夏、茯苓、白芍，二剂寒热退而肿痛消。又十余剂，脾胃壮而形体健。
一男子因负重，饮食失节，胸间作痛，误认为疮毒，服大黄等药，右腿股肿，肉色如故，头痛恶
寒，喘渴
发热，脉洪大而无力。此劳伤元气，药损胃气而然耳。用补中益气汤四剂，又用十全大补汤数剂，喜
其年少而愈。
薛立斋治一妇人，患附骨疽，久而不敛，致腿细软，脉来迟缓，即以十全大补汤加牛膝、杜仲，
及附子饼灸之，两月余而愈。凡脓溃之后，脉滞迟缓者，易愈，以其有胃气故也。脉来细而沉，时直
者，里虚欲变症也，若烦痛尚未痊也。洪实粗散者，难疗，以其正气虚而邪气实也。
一妇人环跳穴作痛，肉色不变，脉紧数，此附骨疽也。脓未成，用内托黄 酒煎汤，加青皮、龙
胆草、山栀，数剂而消。
一妇人患附骨疽，久不愈，脓水不绝，皮肤瘙痒，四肢痿软。以为虚，欲补之。彼惑为风疾，遂
服祛风药，竟致不起。陈无择云∶人身有皮毛、血脉、筋膜、肌肉、骨髓，以成其形，内则有心、肝、
脾、肺、肾以主之。若随情妄用，喜怒劳逸，致五内精血虚耗，使皮血筋骨肉痿弱，无力以运动，故
致痿 ，状与柔风香港脚相类。柔风香港脚，皆外所因，痿则五内不足所致也。
山西曹主簿，年逾四十，夏间患附骨疽，服托里药而愈。至秋饮食少思，痰气壅盛，口舌生疮，
用八味丸治之而愈。
一老人腿患附骨疽，肿硬，大按方痛，口干脉弱，肿聚不溃，饮食少思。谓肿下而坚者，发于筋
骨；皮色不变者，发于骨髓。遂以参、 等药托之，三十余剂，脓虽熟不穿。谓药力虽达，必须针刺。
不听，至旬日方刺之，涌出清脓五六碗许。然衰老之人，气血不足，养毒又久，竟不治。大抵疮疽日
不退，宜托之，有脓刺之，有腐肉取之，虚则补之，此十全之功也。
王上舍患附骨疽，畏针不开，臂膝通溃，脉数发渴，烦躁时嗽，饮食少思。齐氏曰∶疮疡烦躁，
时嗽，腹痛渴甚，或泻利无度，此恶症也。脓出之后，若脉洪数难治，微涩迟缓易治。遂刺之，脓出
四五碗许，即服大剂参、 、归、术。翌日脉稍敛，更以八珍汤加五味、麦冬、肉桂、白蔹，三十余
剂，脉缓脓稠，三月而愈。
王洪绪治附骨疽方∶用白芥子捣粉，酒 调涂。或以大戟、甘遂二末，白蜜调敷，内服阳和汤，
每日一剂，四五日可消。消后或服子龙丸，或服小金丹，以杜后患。大忌开刀，开则成缩脚损疾。
王肯堂治疗一名患者，患有附骨疽（深部脓肿），脓液成熟却无法排出，溃破后脓毒侵入腹腔，导致精神昏沉混乱，连粥药都无法进食，医生们束手无策。诊察发现，患者脉象细如蛛丝，气息微弱，王肯堂说：“没有大碍。”用针刺其腹部，大量脓液流出，但脓液清稀如同螃蟹吐出的泡沫。按照医法，这种穿透腹膜的情况属于不治之症，但仍使用人参、[缺失药材]、附子，并加入入厥阴经以行气的药物，大剂量服用，同时服用八味丸，患者食欲大增，每天能吃一斤多米和几块肉，十天后病情平复。之所以可治，是因为溃疡病的脉象，实大者死，细微者生，病证与脉象相符，所以可以治愈。刺腹部是因为脓液若不排出，必然内攻脏腑；按压可知疮口很深，因此针刺不会穿透腹膜。八味丸补肾，肾气旺盛则上升，胃口打开从而能进食。凡是排脓过多，仅靠少量药物，怎能奏效？拖延日久，还会产生其他病患，所以进开胃的药物，多吃肉类来补益身体，肌肉才能快速生长，这是治疗溃疡的大法。
一男子腿根环跳穴处疼痛彻骨，外皮正常，脉象数而滞滑，这是附骨疽，脓液即将形成。使用托里药六剂，肿胀起来并感到疼痛，脉象滑数，脓液已形成，针刺放出约一碗脓液，再加用补益药剂，一个多月后痊愈。
一男子患附骨疽，局部红肿坚硬发热，骨头疼痛筋脉拘挛，脉象数而沉，服用当归拈痛汤后痊愈。
张景岳治疗一名三十多岁的男子，平时劳累过度，突然患环跳穴酸痛，几个月后大腿逐渐肿胀。张景岳说：“这是附骨疽，应当迅速治疗。”给予活命饮两帖，无效，且肿胀更加严重。因胡乱投用清热泻火解毒药，导致呕吐恶心、发热，饮食不进，形势非常危急。再次求治，给予参内托散，大量加入炮姜，数剂后呕吐停止，饮食恢复，肿胀变软成熟。知道脓液已成，针刺后脓不多，又给予九味异功煎，于是大量溃破，脓液呈瓣状排出，溃烂处有五六处，腿部肌肉几乎全部脱落，只剩下皮和骨头。溃烂后再次呕吐、发热、不进食，交替使用十全大补汤和九味异功散，热势渐退，饮食逐渐恢复。然而足部筋脉短缩，只能竖膝仰卧，左右紧贴，丝毫不能移动，一动就剧痛，自认为已成废人。凡是用十全大补汤三十多剂，用人参三斤，才使肌肉生长、筋脉舒展如初。
另一人年近三十，平时不知节制房事，突然环跳穴酸痛一个多月。张景岳说：“这最可怕，恐怕会生痈毒。”患者不信，有人说筋骨痛是常事，不过是风热所致，给予散风清火药。到半年后，果然轻微肿胀，再次求治。张景岳说：“迅速使用托补之法，以救根本，还不算迟。”患者又不信，咨询外科医生说：“哪有肿疡未溃破，就立即温补的道理？”再次使用清热泻火消毒的药剂，直到溃破后才出现危象。再请诊治时，脉象症状都已败坏，后悔也来不及了。
一位富贵子弟年三十，平时沉迷酒色，也患前症，让他早点服药，他执拗不从。等到肿胀且脓液形成，让他尽快针刺，他不肯，偏信庸医，敷用苦寒解毒的药，不知道脓已形成，还有什么毒可解？只是越拖越深，直待自行溃破，元气耗尽，就无法收拾了。
薛立斋治疗地官孟乡，环跳穴患疽，内服外敷都是败毒寒凉药剂。因疼痛剧烈针刺，脓血大量泻出，疮口开张，颜色紫暗，右关脉浮大，这是胃气再次受伤，不能滋养患处。用豆豉饼灸，配合六君子汤加藿香、砂仁、炮姜，数剂后，胃气苏醒，饮食增加，患处温暖，肌肉逐渐生长。再用十全大补汤而痊愈。
大君都承庆患附骨疽，内部疼痛如锥刺，外部颜色不变，势态无法消散。庆幸的是未用寒凉削弱正气的药，只因疼痛损伤胃气，不思饮食，用六君子汤治疗，饮食稍进。再用十全大补汤，二十多剂后脓液形成。针刺排脓后，仍用大补汤，加倍使用人参、[缺失药材]、当归、白术，加麦冬、五味子、远志、贝母，数服后脓渐止，疮亦愈。
一儒者左腿微肿，肌肉颜色正常，饮食少思，这是真气虚弱而温邪内袭。因为诸气皆禀受于胃，法当助胃壮气，遂用六君子汤加藿香、木香、当归，数剂后饮食渐进。再用十全大补汤，元气恢复而痊愈。
一儒者双腿肿痛，肌肉颜色不变，恶寒发热，饮食少思，肢体倦怠，这是脾气不足，湿痰下注所致。用补中益气汤加半夏、茯苓、白芍，二剂后寒热退而肿痛消。又十余剂，脾胃强壮而形体健康。
一男子因负重，饮食失节，胸间作痛，误认为是疮毒，服用大黄等药，导致右腿股部肿胀，肌肉颜色正常，头痛恶寒，喘渴发热，脉洪大而无力。这是劳伤元气，药物损伤胃气所致。用补中益气汤四剂，又用十全大补汤数剂，庆幸其年少而痊愈。
薛立斋治疗一名妇人，患附骨疽，久不收敛，导致腿细软，脉来迟缓，即用十全大补汤加牛膝、杜仲，及附子饼灸之，两个多月后痊愈。凡是脓溃之后，脉滞迟缓者，易愈，因为有胃气的原因。脉来细而沉，时直者，是里虚欲变症，如果烦痛尚未痊愈。脉洪实粗散者，难疗，因为正气虚而邪气实。
一妇人环跳穴作痛，肌肉颜色不变，脉紧数，这是附骨疽。脓未成，用内托黄芪酒煎汤，加青皮、龙胆草、山栀，数剂后消散。
一妇人患附骨疽，久不愈，脓水不绝，皮肤瘙痒，四肢痿软。以为是虚证，想要补益。患者疑惑为风疾，遂服用祛风药，竟致死亡。陈无择说：人身有皮毛、血脉、筋膜、肌肉、骨髓，以构成形体，内则有肝、心、脾、肺、肾以主宰它们。若随情妄用，喜怒劳逸，导致五脏精血虚耗，使皮、血、筋、骨、肉痿弱，无力运动，故致痿躄，形状与柔风香港脚相似。柔风香港脚，都是外因所致，痿则是五脏不足所致。
山西曹主簿，年过四十，夏天患附骨疽，服用托里药而愈。到了秋天饮食少思，痰气壅盛，口舌生疮，用八味丸治疗而愈。
一老人腿患附骨疽，肿胀坚硬，大力按压才痛，口干脉弱，肿聚不溃，饮食少思。说肿胀下而坚硬者，发于筋骨；皮色不变者，发于骨髓。遂以人参、[缺失药材]等药托之，三十多剂，脓虽熟但不穿破。说药力虽达，必须针刺。不听，至十天方针刺，涌出清脓五六碗左右。然而衰老之人，气血不足，养毒又久，最终不治。大抵疮疽日不退，宜托之，有脓刺之，有腐肉取之，虚则补之，这是十全之功。
王上舍患附骨疽，害怕针刺不开，臂膝通溃，脉数发渴，烦躁时嗽，饮食少思。齐氏说：疮疡烦躁，时嗽，腹痛渴甚，或泻利无度，这是恶症。脓出之后，若脉洪数难治，微涩迟缓易治。遂刺之，脓出四五碗左右，即服大剂人参、[缺失药材]、当归、白术。翌日脉稍敛，更以八珍汤加五味子、麦冬、肉桂、白蔹，三十多剂，脉缓脓稠，三个月而愈。
王洪绪治疗附骨疽方：用白芥子捣粉，酒调涂。或以大戟、甘遂二末，白蜜调敷，内服阳和汤，每日一剂，四五日可消。消后或服子龙丸，或服小金丹，以杜后患。大忌开刀，开则成缩脚损疾。
Wang Kentang treated a patient suffering from *fuguju* (deep-seated abscess). The pus had matured but could not be drained; upon ulceration, the pus entered the abdominal cavity. The patient was mentally confused and unable to take even gruel or medicine, leaving the physicians at a loss. Upon examination, the pulse was fine as a spider's thread, and the breath was faint. Wang said, "There is no danger." He used a needle to puncture the abdomen, draining a large amount of pus, which was clear and thin like crab foam. According to medical principles, penetration of the membrane is considered incurable. However, he prescribed a large dose of *Renshen* (Ginseng Root), [missing herb], *Fuzi* (Aconite Lateralis Radix Praeparata), along with herbs entering the Jueyin channel to promote circulation. The patient also took *Bawei Wan* (Eight-Ingredient Pill with Rehmannia). Appetite significantly improved, consuming over one *sheng* of rice and several pieces of meat per day, and the condition resolved within ten days. The reason for curability lies in the pulse of an ulcer: a solid/large pulse indicates death, while a fine/subtle pulse indicates life. Since the disease presentation matched the pulse, it was treatable. Puncturing the abdomen was necessary because undrained pus would inevitably attack internal organs; palpation confirmed the depth of the wound, ensuring the needle did not penetrate the membrane. *Bawei Wan* tonifies the Kidney; when Kidney Qi rises vigorously, the stomach opening opens, allowing food intake. When pus drainage is excessive, small doses of medicine are insufficient. Procrastination leads to other complications. Therefore, promoting stomach appetite and consuming meat to tonify the body allows muscles to regenerate quickly. This is the general method for treating ulcers.
A man suffered from bone-penetrating pain at the *Huantiao* (GB30) acupoint at the root of the thigh, with normal skin appearance. The pulse was rapid, stagnant, and slippery. This was identified as *fuguju*, with pus about to form. After six doses of *Tuoli* (supporting interior) medicine, swelling appeared with pain, and the pulse became slippery and rapid, indicating pus formation. Needling released about one bowl of pus. With additional tonic prescriptions, he recovered after more than a month.
Another man suffered from *fuguju*, characterized by local redness, swelling, hardness, heat, bone pain, and tendon spasms. The pulse was rapid and deep. He was cured using *Danggui Niangong Tang* (Angelica Ligustici Decoction for Pain Relief).
Zhang Jingyue treated a man in his thirties who was prone to overwork. He suddenly experienced soreness and pain at the *Huantiao* acupoint. Months later, the upper thigh gradually swelled. Zhang stated, "This is *fuguju*; it must be treated promptly." He prescribed two doses of *Huoming Yin* (Decoction for Saving Life), but there was no effect, and the swelling worsened. Due to the indiscriminate use of cooling fire and detoxifying herbs, the patient developed vomiting, nausea, fever, and loss of appetite, leading to a critical condition. Upon seeking further treatment, Zhang prescribed *Shen Nei Tuo San* (Powder for Supporting Interior with Ginseng) with a large addition of *Paojiang* (Prepared Ginger Rhizome). After several doses, vomiting stopped, appetite returned, and the swelling softened, indicating pus maturity. Needling released little pus. He then prescribed *Jiuwei Yigong Jian* (Nine-Ingredient Extraordinary Efficacy Decoction), resulting in massive ulceration with瓣状 (lobed) pus discharge. There were five or six ulcerations, and most of the leg muscle was lost, leaving only skin and bone. Post-ulceration, vomiting, fever, and anorexia recurred. Alternating between *Shiquan Dabu Tang* (Decoction for Complete Great Tonification) and *Jiuwei Yigong San*, the fever gradually subsided, and appetite slowly returned. However, the leg tendons were shortened; he could only lie supine with knees upright, legs pressed tightly together, unable to move without extreme pain. He believed he would become disabled. Using *Shiquan Dabu Tang* for over thirty doses and three *jin* of *Renshen* (Ginseng Root), muscle growth and tendon relaxation eventually returned to normal.
Another man, nearing thirty, neglected sexual restraint and suffered from *Huantiao* soreness and pain for over a month. Zhang said, "This is most alarming; fear of carbuncle/toxin development." The patient did not believe this. Others suggested that bone/joint pain is common, caused merely by wind-heat, and prescribed wind-dispersing and fire-clearing herbs. Half a year later, slight swelling occurred. Seeking treatment again, Zhang advised, "Promptly use supporting and tonifying methods to save the root; it is not too late." The patient refused, consulting a surgeon who asked, "How can one use warming and tonifying herbs before an abscess has ulcerated?" He again used cooling fire and detoxifying agents, leading to a critical state only after ulceration. Upon re-examination, the pulse and symptoms were depleted, and regret was futile.
A wealthy youth in his thirties, addicted to alcohol and sex, suffered from the same condition. He was advised to take medicine early but stubbornly refused. When swelling and pus formation occurred, he was advised to undergo needling immediately but refused, trusting quacks who applied bitter-cold detoxifying plasters. Ignoring that formed pus cannot be "detoxified," the condition worsened over time until spontaneous ulceration exhausted the vital energy, making recovery impossible.
Xue Lizhai treated Official Meng Xiang, who had a carbuncle at the *Huantiao* acupoint. Both internal and external treatments were cooling and detoxifying. Due to extreme pain, needling released a large amount of pus and blood. The wound opened, appearing purple and dark. The right Guan pulse was floating and large, indicating renewed damage to Stomach Qi, failing to nourish the affected area. He used moxibustion with a fermented soybean cake (*Douchi Bing*) combined with *Liujunzi Tang* (Six-Gentlemen Decoction) plus *Huoxiang* (Patchouli Herb), *Sharen* (Amomum Fruit), and *Paojiang*. After several doses, Stomach Qi revived, appetite increased, the affected area warmed, and muscles gradually regenerated. He was cured with *Shiquan Dabu Tang*.
Da Jun Ducheng Qing suffered from *fuguju*, with internal pain like a awl piercing and unchanged external color. The condition could not dissipate. Fortunately, cold-depleting herbs were not used. The pain had damaged Stomach Qi, causing anorexia. *Liujunzi Tang* was used, slightly improving diet. Then, *Shiquan Dabu Tang* was administered for over twenty doses until pus formed. After needling drainage, the major tonic decoction continued with doubled *Renshen* (Ginseng Root), [missing herb], *Danggui* (Angelica Sinensis), and *Baizhu* (Atractylodes Macrocephala Rhizome), plus *Maidong* (Ophiopogon Tuber), *Wuweizi* (Schisandra Fruit), *Yuanzhi* (Polygala Root), and *Beimu* (Fritillaria Bulb). After several doses, pus secretion ceased, and the wound healed.
A scholar had slight swelling in the left leg with normal muscle color and reduced appetite. This indicated deficiency of True Qi and invasion of warm pathogens. Since all Qi derives from the Stomach, the method was to assist the Stomach and strengthen Qi. *Liujunzi Tang* plus *Huoxiang* (Patchouli Herb), *Muxiang* (Saussurea Root), and *Danggui* (Angelica Sinensis) was given for several doses, gradually improving diet. *Shiquan Dabu Tang* restored original Qi and cured the condition.
Another scholar had painful swelling in both legs with unchanged skin color, aversion to cold, fever, reduced appetite, and limb fatigue. This was due to Spleen Qi deficiency and downward pouring of damp-phlegm. *Buzhong Yiqi Tang* (Decoction for Supplementing the Middle and Augmenting Qi) plus *Banxia* (Pinellia Tuber), *Fuling* (Poria), and *Baishao* (White Peony Root) was administered for two doses, resolving chills/fever and swelling/pain. After another ten-plus doses, the Spleen and Stomach strengthened, and the physique became robust.
A man suffered chest pain due to heavy lifting and irregular diet. Mistaking it for toxin-related sores, he took *Dahuang* (Rhubarb Root) and other purgatives. This led to right thigh swelling with normal skin color, headache, aversion to cold, panting/thirst, fever, and a flooding, forceless pulse. This resulted from labor injuring Original Qi and medicines damaging Stomach Qi. *Buzhong Yiqi Tang* for four doses, followed by *Shiquan Dabu Tang* for several doses, cured him, aided by his youth.
Xue Lizhai treated a woman with *fuguju* that failed to heal for a long time, resulting in thin, weak legs. The pulse was slow and delayed. He prescribed *Shiquan Dabu Tang* plus *Niuxi* (Achyranthes Root) and *Duzhong* (Eucommia Bark), along with moxibustion using *Fuzi* (Aconite Lateralis Radix Praeparata) cakes. She recovered after over two months. Generally, post-ulceration with a stagnant, slow/delayed pulse indicates easy recovery due to existing Stomach Qi. A fine, deep, straight pulse indicates interior deficiency and potential transformation of symptoms; if accompanied by irritability and pain, it is not yet cured. A flooding, solid, coarse, or scattered pulse is difficult to treat due to deficiency of Righteous Qi and excess of Pathogenic Qi.
A woman had pain at the *Huantiao* acupoint with normal skin color and a tight, rapid pulse, identified as *fuguju*. Before pus formation, she drank *Neituo Huangqi* (Supporting Interior Astragalus) decoction made with wine, plus *Qingpi* (Green Tangerina Peel), *Longdancao* (Gentiana Root), and *Zhizi* (Gardenia Fruit). After several doses, it dissipated.
A woman suffered from chronic *fuguju* with continuous pus discharge, skin itching, and flaccid limbs. Suspecting deficiency, she wanted tonification. Confused by others as a wind disease, she took wind-expelling herbs, leading to her death. Chen Wuzhe stated: The human body consists of skin/hair, blood vessels, fascia, muscles, and bone marrow, forming the shape, governed internally by the Heart, Liver, Spleen, Lungs, and Kidneys. Indulgence in emotions, anger, joy, work, and rest depletes the essence and blood of the Five Zang Organs, causing weakness in skin, blood, tendons, bones, and muscles, leading to inability to move. This results in *weibi* (flaccidity/paralysis), resembling *roufeng* (soft wind) and *xiangjiaojiao* (Hong Kong foot/gout). *Roufeng* and *xiangjiaojiao* are caused by external factors, whereas *weibi* is caused by insufficiency of the Five Zang Organs.
Cao Zhulu from Shanxi, over forty, suffered from *fuguju* in summer and recovered with *Tuoli* (supporting interior) medicine. In autumn, he had reduced appetite, phlegm-Qi congestion, and mouth/tongue ulcers. He was cured with *Bawei Wan* (Eight-Ingredient Pill with Rehmannia).
An elderly man had *fuguju* on the leg, swollen and hard, painful only upon deep pressure, dry mouth, weak pulse, localized swelling without ulceration, and reduced appetite. It was noted that hardness below swelling originates from sinews/bones; unchanged skin color originates from bone marrow. He was treated with *Renshen* (Ginseng Root) and [missing herb] to support the interior. After thirty-plus doses, pus matured but did not burst. Although medicinal power reached the site, needling was required. He refused, waiting ten days before needling, which discharged five to six bowls of clear pus. However, due to old age, insufficient Qi and Blood, and prolonged retention of toxicity, he ultimately died. Generally, if a sore does not resolve daily, support the interior; if pus exists, needle it; if necrotic flesh exists, remove it; if deficient, tonify. This achieves complete efficacy.
Wang Shangshe suffered from *fuguju*, fearing needling, leading to widespread ulceration of arms and knees. Pulse was rapid with thirst, irritability, occasional cough, and reduced appetite. Qi Shi stated: Irritability, occasional cough, severe abdominal pain/thirst, or uncontrolled diarrhea in sores are malignant signs. Post-pus drainage, a flooding/rapid pulse is difficult to treat; a slightly choppy/slow-delayed pulse is easy to treat. He was needled, releasing four to five bowls of pus. Immediately, a large dose of *Renshen* (Ginseng Root), [missing herb], *Danggui* (Angelica Sinensis), and *Baizhu* (Atractylodes Macrocephala Rhizome) was taken. The next day, the pulse stabilized. *Bazhen Tang* (Eight-Treasure Decoction) plus *Wuweizi* (Schisandra Fruit), *Maidong* (Ophiopogon Tuber), *Rougui* (Cinnamon Bark), and *Bailian* (Belamcanda Rhizome) was administered for thirty-plus doses. The pulse slowed, pus thickened, and he recovered in three months.
Wang Hongxu's formula for *fuguju*: Crush *Baijiezi* (White Mustard Seed) into powder, mix with wine for topical application. Alternatively, mix powders of *Daji* (Euphorbia Root) and *Gansui* (Kansui Root) with white honey for application. Internally, take *Yanghe Tang* (Yang-Nourishing Decoction), one dose daily. It may dissipate in four to five days. After dissipation, take *Zilong Wan* (Child Dragon Pill) or *Xiaojin Dan* (Little Gold Pellet) to prevent recurrence. Incision is strictly contraindicated; cutting leads to permanent leg shortening/disability.