或问∶胁下至腰胯间，肿痛赤色如霞何？如曰∶此名内发丹毒，治之稍缓，毒攻于内，
呕哕昏迷，胸腹 胀者死。二便不通，遍身青紫者死。急砭出恶血，服防风通圣散去白
术、甘草，紫金丹、胜金丹汗之。服汗剂得汗则生，无汗则死，呕吐不食，谵语者死。
或问∶脐上寸许，发疽何如？曰∶此名冲疽，又名中发疽，一名雍肾疮。由心火炽
盛，流入肾经所致。肿高脓稠，色赤可治，宜流气饮、活命饮、胜金丹、夺命丹选用。若
平塌黑色，膨胀恶心，脓水清稀，内肾疼痛，渴甚泻利无度，谵语直视者死。溃久不敛者
死。 按∶后所言危证，只是虚耳，如能大补，不死也。
或问∶当脐生痈何如？曰∶此即脐痈也，由心经积热流于大小肠二经所致。宜何首乌
散、活命饮加升麻，及紫金丹、三生散选用，壮实者，一粒金丹下之。 按∶脐为神阙穴，
禁针之所。早消散之，免使见脓为上。
《鬼遗》云∶冲疽，发小腹疼痛而振寒热，四日 ，五日变色可刺。不刺及导引，出
脓毒不治。五十余日死。 或问∶脐下发疽何如？曰∶此即小腹痈，脐下一寸五分为气
海，二寸为丹田，三寸为关元，皆属任脉，由七情不和所致。急服活命饮、紫金丹、夺命
丹。壮实者，一粒金丹、八阵散下之；老弱者，黄 木香散、内补十宣散、十全大补汤
选用。若溃而低陷，脓水清稀，或溃烂久不敛者死。 或问∶一人年十九，患疽于小腹
之左，数月坚块如石，寒热间作，饮食减少，渐至羸 何如？曰∶是名缓疽，属足太阴经
积热所致。由医不得法，邪正相持耳，投以
紫金丹、活命饮，间服十全大补汤，半月而愈。
有人问：胁下至腰胯之间，出现肿痛且皮肤红赤如霞，这是什么原因？回答说：这叫做内发丹毒。如果治疗稍慢，毒邪攻入体内，出现呕吐呃逆、昏迷，胸腹胀满的，会死亡。大小便不通，全身青紫的，会死亡。必须紧急用砭石刺破放出恶血，服用防风通圣散（去掉白术、甘草），配合紫金丹、胜金丹来发汗。服用发汗药后若能出汗则生，不出汗则死；若出现呕吐不能进食、胡言乱语的，会死亡。
有人问：肚脐上方一寸左右的地方长疽，怎么样？回答说：这叫做冲疽，又叫做中发疽，一名雍肾疮。这是由于心火炽盛，流入肾经所导致。肿块高突、脓液稠厚、颜色红赤的可以治疗，宜选用流气饮、活命饮、胜金丹、夺命丹。如果肿势平塌、颜色黑、腹部膨胀恶心、脓水清稀、肾脏内部疼痛、极度口渴且腹泻无度、胡言乱语且两眼直视的，会死亡。溃烂后长久不愈合的，会死亡。按语：后面所说的危重证候，只是虚证罢了，如果能大补元气，就不会死亡。
有人问：肚脐处长痈，怎么样？回答说：这就是脐痈，是由于心经积热流注于大小肠二经所致。宜选用何首乌散、活命饮加升麻，以及紫金丹、三生散。身体壮实的人，服一粒金丹泻下。按语：肚脐是神阙穴，禁止针刺的地方。早期消散它，以免化脓为上策。
《鬼遗科》说：冲疽，发作时小腹疼痛并伴有寒战发热，四到五天变色后可以刺破排脓。如果不刺破也不进行导引，脓毒无法排出则无法治愈，五十多天后死亡。有人问：肚脐下方长疽，怎么样？回答说：这就是小腹痈。肚脐下一寸五分是气海穴，二寸是丹田，三寸是关元穴，都属于任脉，由七情不和所致。紧急服用活命饮、紫金丹、夺命丹。身体壮实的人，服一粒金丹、八阵散泻下；年老体弱的人，选用黄木香散、内补十宣散、十全大补汤。如果溃烂后低陷，脓水清稀，或者溃烂长久不愈合的，会死亡。有人问：一个人十九岁，在小腹左侧患疽，几个月后硬块像石头一样坚硬，寒热交替发作，饮食减少，逐渐消瘦，怎么样？回答说：这叫做缓疽，属于足太阴脾经积热所致。由于医生治疗方法不当，邪气与正气相持不下，投以紫金丹、活命饮，间服十全大补汤，半个月痊愈。
A question was asked: "Why is there swelling, pain, and redness like rosy clouds in the area from the hypochondrium to the waist and hip?" The answer was: "This is called Internal-emanating Erysipelas (Nei Fa Dan Du). If treatment is slightly delayed, the toxin attacks internally, leading to vomiting, hiccups, coma, and chest/abdominal distension; this is fatal. If urination and defecation are blocked, and the whole body turns blue-purple; this is fatal. Urgently use Bian stone (Bian Shi) to pierce and release evil blood. Administer Fangfeng Tongsheng San (Windproof Unblocking Supreme Powder) [remove Atractylodis Rhizoma and Glycyrrhizae Radix], combined with Zijin Dan (Purple Gold Pill) and Shengjin Dan (Victory-Gold Pill) to induce sweating. If sweating occurs after taking the diaphoretic agent, life can be saved; if no sweat, death ensues. Vomiting with inability to eat, and delirium; this is fatal."
A question was asked: "What about a carbuncle appearing about one cun above the umbilicus?" The answer was: "This is called Chong Ju (Chong Carbuncle), also known as Zhong Fa Ju (Middle-Emanating Carbuncle), or Yong Shen Chuang (Yong Kidney Sore). It is caused by excessive Heart Fire flowing into the Kidney Meridian. If the swelling is high, pus is thick, and the color is red, it is treatable. Selectively use Liqi Yin (Flowing-Qi Decoction), Muling Yin (Life-Saving Decoction), Shengjin Dan, and Duoming Dan (Life-Seizing Pill). If the swelling is flat and black, abdomen is distended with nausea, pus/water is clear and thin, internal Kidney pain occurs, extreme thirst with uncontrolled diarrhea, delirium, and fixed gaze; this is fatal. Long-term non-healing after ulceration; this is fatal. Note: The critical conditions mentioned later are merely due to deficiency. If substantial tonification is applied, death will not occur."
A question was asked: "What about an abscess arising at the umbilicus?" The answer was: "This is Umbilical Abscess (Qi Yong), caused by accumulated heat in the Heart Meridian flowing into the Large Intestine and Small Intestine meridians. Selectively use Heshouwu San (Polygoni Multiflori Powder), Muling Yin added with Cimicifugae Rhizoma, Zijin Dan, and Sansheng San (Three-Lives Powder). For robust individuals, Yili Jindan (One-Pill Golden Pill) should be administered to purge. Note: The umbilicus is the Shenque acupoint, a forbidden site for acupuncture. Disperse it early to avoid suppuration, which is the superior approach."
The *Gui Yi* text states: "For Chong Ju, abdominal pain occurs with chills and fever upon onset. After four to five days, when the color changes, it may be pierced. If not pierced and Dao Yin (guiding and pulling exercises) is not performed, pus and toxin cannot be discharged, making it untreatable; death occurs after fifty-plus days." A question was asked: "What about a carbuncle below the umbilicus?" The answer was: "This is Lower-abdomen Abscess (Xiao Fu Yong). One point-five cun below the umbilicus is Qihai (Sea of Qi); two cun is Dantian (Elixir Field); three cun is Guanyuan (Passport of Origin). All belong to the Ren Mai (Conception Vessel), caused by disharmony of the Seven Emotions. Urgently administer Muling Yin, Zijin Dan, and Duoming Dan. For robust individuals, Yili Jindan and Bazhen San (Eight-Array Powder) should be used to purge; for the elderly and weak, Huangmuxiang San (Yellow Musk Powder), Neibu Shixuan San (Internal-Nourishing Ten-Aperture Powder), and Shiquan Dabu Tang (Ten-Thousand Tonifying Decoction) should be selected. If ulcerated with sinking appearance, clear/thin pus, or long-term non-healing; this is fatal." A question was asked: "A person aged nineteen has a carbuncle on the left side of the lower abdomen. After several months, a hard mass like stone forms, with alternating chills and fever, reduced appetite, and gradual emaciation. What is this?" The answer was: "This is called Huan Ju (Slow Carbuncle), caused by accumulated heat in the Foot-Taiyin Spleen Meridian. Due to improper medical treatment, pathogenic factors and healthy qi are in stalemate. Administer Zijin Dan and Muling Yin, with intermittent use of Shiquan Dabu Tang. Recovery occurs within half a month."