〔薛〕 流注之证，或因饮食劳倦脾胃伤损，或因房劳阴虚阳气凑袭，或因营气不从
逆于肉理，或因腠理不密外邪客之，或暴怒伤肝，或郁结伤脾，或湿痰流注，或跌扑血
滞，或产后恶露，皆因气血凝滞而成也。或生于四肢关节，或生于胸腹腰臀，或结块，或
漫肿，或作痛，皆元气亏损所致。悉宜葱熨及用益气养荣汤固其元气，则未成者自消，已
成者自溃。若久而不敛，佐以豆豉饼、琥珀膏祛散寒邪，补接阳气。若内有脓管而不敛
者，用针头散腐化之。经云∶形伤痛。气伤肿。又曰∶真气夺则虚，邪气盛则实。若不
补气血，节饮食，慎起居，戒七情而专用寒凉克伐，其不死者幸耳。 黄 不串流者俗
日马 。串流者名曰走散流注，俗曰爪藤马 。外形微肿，骨节内疼甚，名曰嗍骨马 。
若遍身骨节内疼痛，不能起坐，无堆作热不退者，亦曰嗍骨马 。若脊骨及髀骨上起堆，
或一二个、或三五个名曰过脊马 。若尾 骨上起堆作热者，名曰杀着马 。若髁骨下
痛甚，无堆但肿者，名曰锁脚马 。若骨相交接之处，疼痛无堆微肿，名曰接骨马 。此
证因风热走散四肢，治当疏风散热，初起不可用火针烙之，肿热盛者，只宜刺以棱针；久
熟者，可火针烙之。流注入股者死。伤寒余邪未尽者，和解之，以人参败毒散；次以小
柴胡合二陈汤加羌活、川芎、枳壳、当归、白术。暴怒所致胸膈不利者，调气为主，宜方
脉流气饮。抑郁所致而不痛者，宜调经脉补气血，益气养荣汤。肿硬作痛者行气和血，宜
疮科流气饮。溃而不敛者益气血，宜人参养荣汤、十全大补汤。脾气虚，湿热凝滞肉理
而致者，但肿一块不痛，肉色不变，饮食少思，宜健脾除湿，六君子汤加芎、归、黄 、
白芍、肉桂。闷肭瘀血凝滞为患者，和气血调经络，宜方脉流气饮；次以二陈合四物加
香附、乌药、桔梗。寒邪所袭筋挛骨痛，或遍身痛，宜温经络养气血，宜大防风汤、及
五积散、合败毒散，加川牛膝、杜仲，或独活寄生汤；次以四物汤加黄 、羌活、杜仲。
病尚有潮热者，里有寒邪未尽散，宜荣卫返魂汤加干葛、升麻、紫苏、川芎、独活，姜
水煎服。如无潮热，用荣卫返魂汤，加独活，酒水各半煎服。接骨马 ，用穿山蜈蚣、白
田柯、石楠藤、山良姜、九节香、紫金皮，含笑叶，煎水，时时热淋洗之。却服续骨散、九
金六马散。起堆核数枚，但小些，名马疔；又名马铃。用紫金钟、紫金皮、紫河车、天南
星，磨醋暖涂，又用紫金皮、紫金藤、红内消、马蹄香、马蹄藤，煎酒服。锁脚马 ，用
野芋子根、马蓝草、梨芦子、紫河车、山枇杷根皮、山布瓜根、紫金皮，捣烂、盐糟炒
缚，又以煎水热淋洗之。却服轻脚散、九金六马散。嗍骨马 ，用穿山蜈蚣、紫金皮、石
楠藤、白田柯、溪枫根、九节香、对节金惊，煎水淋洗。却服嗍骨散、九金六马散、四味
浸酒方。过脊马 ，用山枇杷根皮、藜芦子、小樟子根皮、天门冬、天南星、仙人掌根、山
布瓜根、赤牛膝、半夏、凌霄根皮、佛桑花、马蓝草、野芋子根，天铜柯、普营子根皮、赤
毛桃根皮、赤芎根皮，捣烂，半泔半醋调暖刷，渣封。瓜藤马 并效，却服蠲脊散、九
金六马散。瓜藤马 ，用山布瓜根、多赤葛子根皮、樟柳根、紫金皮、紫金钟、落鸦枪
根。七叶杨香、天花粉、真珠帘根、白芙蓉叶、凌霄根皮、溪枫根皮、赤毛桃根皮，捣
烂，盐糟炒缚之。又方，山布瓜根、葛合根、紫河车、藜芦子、马鞭秽、紫金皮、山枇杷
根皮、凌霄根皮、佛桑花、落鸦枪根、白田柯，捣烂，盐糟炒缚之。又方，山布瓜根、紫
金皮、溪枫根皮，捣烂，酒炒缚之，此方马 并大效。却服九金六马散、四味浸酒方，又
用洗肿方热淋之。杀着马 ，用紫河车、山枇杷根皮、藜芦子、山布瓜根、凌霄根皮、佛
桑花、葛合根、石萍，捣烂，醋调刷，渣封。用洗肿方淋洗。却以九金六马散、蠲 散服
之。诸马 有热者，用去热散，有表者用荆防败毒散，有里者用内疏黄连汤，有表复有
里者用追疔夺命汤；却用水金凤，捣烂缚核堆上，即效。马 有热未成，服药即能退之，
若已成者但要出脓，其热即退。若生堆核四五个，只一二个未成脓，余者皆已出脓，其
热亦不能退，要五个尽出脓，热方退也。若溃烂者即系溃疡，宜查本门治之。
〔治验〕
一人因怒，胁下作痛，以小柴胡对四物加青皮、桔梗、枳壳而愈。 一人臀肿一块，
微痛，脉弦紧，以疮科流气饮四剂而消。一人因怒，胁下肿痛，胸膈不利，脉沉迟，以
方脉流气饮数剂少愈，以小柴胡对二陈加青皮、桔梗、贝母，数剂顿退。更以小柴胡二
十余剂而痊。 一妇因闪肭，肩患肿，遍身作痛，以黑丸子二服而痛止，以方脉流气饮
二剂而肿消，更以二陈对四物加香附、枳壳、桔梗而愈。 一妇腿患筋挛骨痛，诸药不应，
脉迟紧，用大防风汤一剂顿退，又二剂而安。又一妇患之亦然，先用前汤二剂，更服黑丸
子而痊。此二患若失治，溃作败症。 一妇禀弱性躁，胁臂肿痛，胸膈痞满。服流气、败
毒，反发热少食；用四七汤数剂胸宽气利，以小柴胡对四物加香附、陈皮，肿痛亦退。
一人腿患溃而不敛，用人参养荣汤及附子饼灸，更以补剂煎膏贴之，两月余愈。 一人
脾气素弱，臂肿一块不痛，肉色不变，饮食少思，半载不溃。先以六君子加芎、归、芍
药二十余剂，饮食渐进；更以豆豉饼日灸数壮，于前药再加黄 、肉桂三十余剂，脓熟
针去，以十全大补汤及附子饼灸之，月余而愈。 一人腿肿，肉色不变不痛，脉浮而滑，
以补中益气汤加半夏、茯苓、枳壳、木香饮之，以香附饼熨之。彼谓气无补法，乃服方
脉流气饮愈虚。始用六君子汤加芎归数剂，饮食少进，再用补剂月余而消。夫气无补法，世
俗论也，以其为病，痞满壅塞，似难为补。殊不知正气虚不能营运，则邪气滞而为病，不
用补法，气何由行乎。 一人臂肿筋挛骨痛，年余方溃不敛，诊脉更虚。以内塞散一料少
愈，以十全大补汤及附子饼灸而愈。《精要》云∶留积经久，极阴生阳，寒化为热。以此
溃多成 ，宜早服内塞散排之。 一人腿肿一块，经年不消，且不作脓，饮食少思，强
食则胀或作泻，日渐消瘦。诊脉微细，此乃命门火衰不能生土，以致脾虚而然也。遂以
八味丸，饮食渐进，肿患亦消。 一人背髀患之，微肿，形劳气弱。以益气养荣汤，间
服黑丸子，及木香、生地黄作饼覆患处熨之，月余脓成针之，仍服前药而愈。 一人腿患，
久而不敛，饮大补药及附子饼，以针头散 之而愈。 一人臂患年余尚硬，饮食少思∶朝
寒暮热，八珍汤加柴胡、地骨皮、牡丹皮，月余寒热少止，再用益气养荣汤、附子饼灸，两
月余脓成针之，更服人参养荣汤半载而愈。一妇脓溃清稀，脉弱恶寒，久而不愈，服内
塞散，灸附子饼而瘳。 一人臂患，出腐骨三块，尚不敛，发热作渴，脉浮大而涩，乃
气血俱损，须多服生气血之剂，庶可保全。彼
谓火尚未尽，乃用凉药内服外敷，几危求治。其形甚悴，脉愈虚，先以六君子加芎归月余，
饮食渐进，以八珍汤加肉桂三十余剂，疮色乃赤，更以十全大补汤，外以附子饼，仅年
而瘥。 一老，伤寒表邪未尽，股内患肿发热，以人参败毒散，二剂热止，灸香附饼，又
小柴胡加二陈、羌活、川芎、归、术、枳壳，数剂而消。 侍御朱东溪，左胁下近腹，肝
胆经部分结一块四寸许。漫肿不赤，按之则痛。余曰∶此当补脾胃。彼谓肿疡宜表散，乃
服流气饮，后胃气顿虚，始信余言。遂用四君子加芎、归、酒炒芍药、姜、桂，胃气复
而恶症退，乃去干姜加黄 数剂，微赤微痛，又三十余剂， 肿大痛，此脓内溃也，遂针
之，用补中益气汤加减八味丸而愈。 一男子，胁肿一块，日久不溃，按之微痛，脉微
而涩，此形证俱虚，当补不当泻。乃用人参养荣汤及热艾熨患处，脓成以火针刺之，用
豆豉饼、十全大补汤百剂而愈。 一妇腰间患一小块，肉色如常，不溃发热，予欲治以
益气养荣解郁之剂。彼却别服流气饮，后针破出水，年余而殁。 又一妇，久不敛，忽
发寒热，予诀其气血俱虚，彼反服表散之剂，果发大热亦殁。 一人元气素弱患此，胸膈
不利，饮食少思，予欲健脾解郁养气血。彼反服辛香流气之剂致腹胀，又服三棱、蓬术、
浓朴之类，饮食少，四肢微肿，兼腰肿一块，不溃而殁。 一妇经不调，两月或三月一至，
四肢肿，饮食少，日晡发热。予曰∶此脾土气血虚也。用养脾滋气血药。饮食进则浮肿
自消，血气充则经水自调，彼以为缓。用峻剂先通经，果腹疼泄不止，遍身浮肿，饮食
少，殁于木旺之月。 一人年逾三十，小腹肿硬，逾年成疮，头破时出血水，此七情所
伤，营气逆于肉理也，名曰流注。诊之肝脉涩，盖肝病脉不宜涩，小腹正属肝经，须涩
属金，脉退乃可。予欲以甘温之药补其气血，令自消溃，彼不信，乃服攻伐之药，气血愈
虚，果殁于金旺之月。 一男子，腹患此，肿硬不溃，脉弱时呕，欲用败毒等药。余谓肿
硬不溃，乃阳气虚弱，呕吐少食，乃胃气虚寒，法当温补脾胃。彼不信，仍用攻伐而呕
愈甚，复请治，脉微弱而发热。余曰∶热而脉反静，脱血脉反实，汗后脉反躁者，皆为
逆也。辞不治，后果殁。
疮科流气饮 治阴发流注，恚怒气结，堆核肿硬作痛，或胸膈痞闷，或风寒湿毒搏于
经络，或血不和结成肿块，肉色不变，或漫肿木闷无头，或阴发岩乳等证，未成速散，已
成速溃，败脓自出，恶肉自去，非常之验。
桔梗 人参 当归 肉桂 甘草 黄 （盐水炒） 浓朴（姜制） 紫苏 白芍药 乌药
防风 枳壳 槟榔 南木香 川芎 白芷
上生姜煎服。疼痛加乳香、没药。水不干加知母、贝母。疮不干加炒皂角刺。流注
加羌活、独活。气滞加香附。胃虚加陈皮。此乃行气散血之剂，若服之过度，则气血虚耗，
何以为脓，学人知之。
败毒流气饮 治流注初发，堆核硬痛不可忍者，宜用此药疏邪流气。
羌活 独活 青木香 赤芍药 当归 紫苏 陈皮 香附 白芷 三棱 蓬莪术
枳壳 川芎 桔梗 柴胡 半夏（姜制） 赤茯苓 甘草
上生姜、生地黄煎服。热加大黄、黄芩。虚加人参、黄 。
方脉流气饮 治阴发流注、瘰 及郁结肿聚结块。或走注疼痛，或心胸痞闷，胁腹
胀满，呕吐不食，上气喘急，咳嗽痰盛，或面目四肢浮肿，大小便秘者。
紫苏 青皮 白芍药、当归、白茯苓 乌药、桔梗（炒） 半夏（姜制） 黄 （炒） 川芎
枳实（炒） 陈皮 防风 南木香 大腹皮 甘草 槟榔 枳壳
上生姜煎服。流注加羌活、独活、白芷梢。小便不通加木通、栀子。浮肿加猪苓、泽
泻。气滞加香附。血滞加肉桂。呕吐加藿香。瘰 加夏枯草。
此行气耗血之剂，不过二三剂止之，不可多服。
去热散 治马 发热者，此药退热，肿疡亦效。
吉面消 山乌豆 鸡屎子 鸡KT 根 水圹子 过山龙 金凉伞（大叶） 白根子 紫金
藤九牛天竹 臭木待（根） 连叉大青 落鸦 爪藤
上水煎服。
九金六马散 治马 流注，马KT 、马面、马腿、马挪，痈疽肿疡，乳痈、胁痈、便毒，
头风、风核等发者。
铁马鞭、白马骨 地马梢 紫金藤 马蹄藤 金星草 金惊根 金银花 山红花（根）
马蹄金 紫金皮 金凉伞（根） 金脑香 山乌豆 鸡屎子 毛里金钗 水滚子（根） 穿山
蜈蚣
上水煎，入酒和服。
散血消核汤 治马 。
紫金皮 大蓟根 山苏木 溪枫根 山乌豆 鸡屎子 赤牛膝 马蹄金 马蹄藤
铁马鞭 白马骨 马蹄香 穿山蜈蚣
上水煎，入酒和服。
二马散 治马 。
马蹄金 铁马鞭 拨雪根
上水煎，入少酒和服。
立效散 治马 。
水滚子根（又名溪枫根，又名水杨柳，多） 淡茶栎根（中） 晚祥西根（少）
上水煎，入酒和服，或合六马散亦效。
浸酒方 治马 创人，此药退创。
老公须（根） 毛里金钗（根） 狗骨子（根） 大叶毛吹曲
上浸酒暖服，不可煎。
续骨散 治接骨马 。
天灯心 紫背草 赤牛膝 山苏木 钓钩藤 马蹄香 马蹄金 紫金皮 天花粉
白马骨 铁马鞭 臭木待（根） 酒坛子（根）
上酒水各半煎服。
轻脚散 治锁脚马 。
天灯心 紫背草 赤牛膝 钓藤（根） 山苏木 酒坛根 白马骨 马蹄金 铁马鞭
穿山蜈蚣
上酒水各半煎服。
嗍骨散 治嗍骨马 。
马蹄金 马蹄藤 白马骨 紫金皮 钓钩藤 铁马鞭 酒坛根 马蹄香 天灯心
山苏木 赤牛膝 地茄根 紫金藤 李子根 臭木待（根） 乌苞子（根） 穿山蜈蚣
上水酒各半煎服。
【薛己】流注这一病证，有的因为饮食不节、过度劳累导致脾胃受损；有的因为房事过度导致阴虚，阳气乘虚侵袭；有的因为营气运行不畅，逆乱于肌肉纹理之间；有的因为腠理（皮肤毛孔及皮下组织间隙）不紧密，外邪侵入体内；有的因为暴怒伤肝；有的因为忧思郁结伤脾；有的因为湿痰流注体内；有的因为跌打损伤导致血行瘀滞；有的因为产后恶露不尽。这些都是因为气血凝滞而形成的。病变可以发生在四肢关节，也可以发生在胸腹腰臀部位；表现为结成肿块，或者弥漫性肿胀；或者产生疼痛。这些都是元气亏损所致。全部适宜用葱熨法（将葱白炒热后敷贴患处）以及服用益气养荣汤来巩固元气，那么未成脓的病灶自然会消散，已成脓的病灶自然会溃破。如果久溃不愈合，辅助使用豆豉饼灸和琥珀膏来驱散寒邪，补接阳气。如果内部有脓管但伤口不愈合，用针头散去除腐肉化脓。《内经》说：形伤痛，气伤肿。又说：真气耗夺则表现为虚证，邪气亢盛则表现为实证。如果不补益气血，节制饮食，谨慎起居，戒除七情过激，而专门使用寒凉药物攻伐，不死也是万幸了。
黄水不串流的，俗称为马疔。串流的称为走散流注，俗称爪藤马。外形轻微肿胀，骨节内部疼痛剧烈，称为嗍骨马。如果遍身骨节内部疼痛，不能起身坐立，没有肿块堆积且发热不退的，也称为嗍骨马。如果脊骨和大腿骨上出现肿块堆积，或一两个，或三五个，称为过脊马。如果尾骨上出现肿块堆积并伴有发热的，称为杀着马。如果脚踝骨下方疼痛剧烈，没有肿块堆积只是肿胀的，称为锁脚马。如果骨骼交接之处，疼痛无肿块堆积且轻微肿胀的，称为接骨马。这种病症是因为风热走散至四肢，治疗应当疏风散热，初起时不可用火针烙烫，肿胀热势盛的，只适宜用棱针刺破放血；久病熟透的，可以用火针烙烫。流注病发生在股部的预后不良（致死）。伤寒余邪未尽的，采用和解法，用人参败毒散；其次用小柴胡汤合二陈汤，加羌活、川芎、枳壳、当归、白术。因暴怒导致胸膈气机不利的，以调理气机为主，适宜方脉流气饮。因抑郁导致但不痛的，适宜调经脉补气血，用益气养荣汤。肿胀坚硬作痛的，行气和血，适宜疮科流气饮。溃破后不愈合的，益气血，适宜人参养荣汤、十全大补汤。脾气虚弱，湿热凝滞于肌肉纹理而导致发病的，仅有一块肿胀且不痛，肤色不变，饮食减少思虑不足，适宜健脾除湿，用六君子汤加川芎、当归、黄芪、白芍、肉桂。因闪挫瘀血凝滞为患者，调和气血疏通经络，适宜方脉流气饮；其次用二陈汤合四物汤加香附、乌药、桔梗。寒邪侵袭导致筋挛骨痛，或遍身疼痛的，适宜温通经络养气血，适宜大防风汤、五积散合败毒散，加川牛膝、杜仲，或者独活寄生汤；其次用四物汤加黄芪、羌活、杜仲。病情尚有潮热的，说明里有寒邪未尽散，适宜荣卫返魂汤加干葛、升麻、紫苏、川芎、独活，姜水煎服。如果没有潮热，用荣卫返魂汤，加独活，酒水各半煎服。接骨马，用穿山蜈蚣、白田柯、石楠藤、山良姜、九节香、紫金皮、含笑叶，煎水，时时热淋洗患处。然后服用续骨散、九金六马散。出现几个小肿块核的，稍微小一些，称为马疔；又名马铃。用紫金钟、紫金皮、紫河车、天南星，磨醋加热涂抹，又用紫金皮、紫金藤、红内消、马蹄香、马蹄藤，煎酒服用。锁脚马，用野芋子根、马蓝草、梨芦子、紫河车、山枇杷根皮、山布瓜根、紫金皮，捣烂，用盐糟炒热缚扎患处，又以煎水热淋洗患处。然后服用轻脚散、九金六马散。嗍骨马，用穿山蜈蚣、紫金皮、石楠藤、白田柯、溪枫根、九节香、对节金惊，煎水淋洗。然后服用嗍骨散、九金六马散、四味浸酒方。过脊马，用山枇杷根皮、藜芦子、小樟子根皮、天门冬、天南星、仙人掌根、山布瓜根、赤牛膝、半夏、凌霄根皮、佛桑花、马蓝草、野芋子根、天铜柯、普营子根皮、赤毛桃根皮、赤芎根皮，捣烂，一半米泔水一半醋调匀加热刷涂，药渣封包。瓜藤马也有效，然后服用蠲脊散、九金六马散。瓜藤马，用山布瓜根、多赤葛子根皮、樟柳根、紫金皮、紫金钟、落鸦枪根、七叶杨香、天花粉、真珠帘根、白芙蓉叶、凌霄根皮、溪枫根皮、赤毛桃根皮，捣烂，用盐糟炒热缚扎。另一方，用山布瓜根、葛合根、紫河车、藜芦子、马鞭秽、紫金皮、山枇杷根皮、凌霄根皮、佛桑花、落鸦枪根、白田柯，捣烂，用盐糟炒热缚扎。又一方法，用山布瓜根、紫金皮、溪枫根皮，捣烂，用酒炒热缚扎，此方对马疔等也大有功效。然后服用九金六马散、四味浸酒方，又用洗肿方热淋洗。杀着马，用紫河车、山枇杷根皮、藜芦子、山布瓜根、凌霄根皮、佛桑花、葛合根、石萍，捣烂，醋调刷涂，药渣封包。用洗肿方淋洗。然后用九金六马散、蠲脊散服用。各种“马”类病症如果有热的，用去热散；有表证的用荆防败毒散；有里证的用内疏黄连汤；既有表证又有里证的用追疔夺命汤；然后用水金凤，捣烂缚在肿块堆上，即见效。“马”类病症如果有热但未成脓，服药就能退热；如果已成脓，只要出脓，热就会退。如果生出四五个肿块核，只有一个两个未成脓，其余都已出脓，其热也不能退，要五个都出脓，热才会退。如果溃烂的即属于溃疡，适宜查考本门（溃疡门）的方法治疗。
【治验案例】
一人因愤怒，胁下作痛，用小柴胡汤对四物汤加青皮、桔梗、枳壳而痊愈。
一人臀部肿胀一块，微痛，脉弦紧，用疮科流气饮四剂而消散。
一人因愤怒，胁下肿痛，胸膈不利，脉沉迟，用方脉流气饮数剂稍好，再用小柴胡汤对二陈汤加青皮、桔梗、贝母，数剂顿退。更用小柴胡汤二十余剂而痊愈。
一妇人因闪挫，肩部患肿，遍身疼痛，用黑丸子两服而痛止，用方脉流气饮两剂而肿消，再用二陈汤对四物汤加香附、枳壳、桔梗而痊愈。
一妇人腿部患病，筋挛骨痛，诸药无效，脉迟紧，用大防风汤一剂顿退，又两剂而安。又一妇人患病亦然，先用前汤两剂，再服黑丸子而痊愈。这两例若失治，溃烂成为败症。
一妇人禀赋弱性格急躁，胁臂肿痛，胸膈痞满。服用流气饮、败毒散，反而发热少食；用四七汤数剂胸宽气利，用小柴胡汤对四物汤加香附、陈皮，肿痛亦退。
一人腿部患溃而不愈，用人参养荣汤及附子饼灸，更以补剂煎膏贴之，两月余痊愈。
一人脾气素来虚弱，手臂肿胀一块不痛，肤色不变，饮食减少思虑不足，半年不溃。先以六君子汤加川芎、当归、芍药二十余剂，饮食渐进；再用豆豉饼每日灸数壮，在前药中再加黄芪、肉桂三十余剂，脓熟针去，用十全大补汤及附子饼灸之，月余而愈。
一人腿部肿胀，肤色不变不痛，脉浮而滑，用补中益气汤加半夏、茯苓、枳壳、木香饮用，用香附饼熨之。那人认为气无补法，于是服用方脉流气饮导致更虚。始用六君子汤加川芎当归数剂，饮食稍进，再用补剂月余而消。所谓气无补法，是世俗的论调，因为该病表现为痞满壅塞，似乎难以补益。殊不知正气虚不能营运，则邪气滞而为病，不用补法，气何由行乎。
一人手臂肿胀筋挛骨痛，年余才溃且不愈，诊脉更虚。以内塞散一料稍好，用十全大补汤及附子饼灸而愈。《精要》说：留积经久，极阴生阳，寒化为热。以此溃多成漏，宜早服内塞散排之。
一人腿部肿胀一块，经年不消，且不作脓，饮食减少思虑不足，强食则胀或作泻，日渐消瘦。诊脉微细，这是命门火衰不能生土，以致脾虚而然也。遂以八味丸，饮食渐进，肿患亦消。
一人背部大腿患病，微肿，形体劳倦气弱。用益气养荣汤，间服黑丸子，及木香、生地黄作饼覆患处熨之，月余脓成针之，仍服前药而愈。
一人腿部患病，久而不愈，饮大补药及附子饼，用针头散处理而愈。
一人手臂患病年余尚硬，饮食减少思虑不足：朝寒暮热，用八珍汤加柴胡、地骨皮、牡丹皮，月余寒热稍止，再用益气养荣汤、附子饼灸，两月余脓成针之，更服人参养荣汤半载而愈。
一妇脓溃清稀，脉弱恶寒，久而不愈，服内塞散，灸附子饼而瘳。
一人手臂患病，排出腐骨三块，尚不愈合，发热作渴，脉浮大而涩，乃气血俱损，须多服生气血之剂，庶可保全。那人认为火尚未尽，乃用凉药内服外敷，几乎危殆求治。其形甚悴，脉愈虚，先以六君子汤加川芎当归月余，饮食渐进，以八珍汤加肉桂三十余剂，疮色乃赤，更以十全大补汤，外以附子饼，仅年而瘥。
一老人，伤寒表邪未尽，股内患肿发热，用人参败毒散，两剂热止，灸香附饼，又小柴胡汤加二陈、羌活、川芎、归、术、枳壳，数剂而消。
侍御朱东溪，左胁下近腹，肝胆经部分结一块四寸许。漫肿不赤，按之则痛。我说：这应当补脾胃。那人认为肿疡宜表散，乃服用流气饮，后胃气顿虚，始信我言。遂用四君子汤加川芎、当归、酒炒芍药、姜、桂，胃气复而恶症退，乃去干姜加黄芪数剂，微赤微痛，又三十余剂，肿大痛，此脓内溃也，遂针之，用补中益气汤加减八味丸而愈。
一男子，胁肿一块，日久不溃，按之微痛，脉微而涩，此形证俱虚，当补不当泻。乃用人参养荣汤及热艾熨患处，脓成以火针刺之，用豆豉饼、十全大补汤百剂而愈。
一妇人腰间患一小块，肉色如常，不溃发热，我想用益气养荣解郁之剂治疗。她却别服流气饮，后针破出水，年余而殁。
又一妇人，久不愈合，忽发寒热，我判断其气血俱虚，她反服表散之剂，果发大热亦殁。
一人元气素弱患此，胸膈不利，饮食减少思虑不足，我想健脾解郁养气血。她反服辛香流气之剂致腹胀，又服三棱、蓬术、浓朴之类，饮食少，四肢微肿，兼腰肿一块，不溃而殁。
一妇人月经不调，两月或三月一至，四肢肿，饮食少，日晡发热。我说：这是脾土气血虚也。用养脾滋气血药。饮食进则浮肿自消，血气充则经水自调，她以为缓。用峻剂先通经，果腹疼泄不止，遍身浮肿，饮食少，殁于木旺之月。
一人年逾三十，小腹肿硬，逾年成疮，头破时出血水，这是七情所伤，营气逆于肉理也，名曰流注。诊之肝脉涩，盖肝病脉不宜涩，小腹正属肝经，须涩属金，脉退乃可。我想以甘温之药补其气血，令自消溃，他不信，乃服攻伐之药，气血愈虚，果殁于金旺之月。
一男子，腹部患此，肿硬不溃，脉弱时呕，想用败毒等药。我说肿硬不溃，乃阳气虚弱，呕吐少食，乃胃气虚寒，法当温补脾胃。他不信，仍用攻伐而呕愈甚，复请治，脉微弱而发热。我说：热而脉反静，脱血脉反实，汗后脉反躁者，皆为逆也。辞不治，后果殁。
疮科流气饮 治疗阴发流注，恚怒气结，堆核肿硬作痛，或胸膈痞闷，或风寒湿毒搏于经络，或血不和结成肿块，肉色不变，或漫肿木闷无头，或阴发岩乳等证，未成速散，已成速溃，败脓自出，恶肉自去，非常之验。
桔梗、人参、当归、肉桂、甘草、黄芪（盐水炒）、浓朴（姜制）、紫苏、白芍药、乌药、防风、枳壳、槟榔、南木香、川芎、白芷。
上药生姜煎服。疼痛加乳香、没药。水不干加知母、贝母。疮不干加炒皂角刺。流注加羌活、独活。气滞加香附。胃虚加陈皮。此乃行气散血之剂，若服之过度，则气血虚耗，何以为脓，学人知之。
败毒流气饮 治疗流注初发，堆核硬痛不可忍者，宜用此药疏邪流气。
羌活、独活、青木香、赤芍药、当归、紫苏、陈皮、香附、白芷、三棱、蓬莪术、枳壳、川芎、桔梗、柴胡、半夏（姜制）、赤茯苓、甘草。
上药生姜、生地黄煎服。热加大黄、黄芩。虚加人参、黄芪。
方脉流气饮 治疗阴发流注、瘰疬及郁结肿聚结块。或走注疼痛，或心胸痞闷，胁腹胀满，呕吐不食，上气喘急，咳嗽痰盛，或面目四肢浮肿，大小便秘者。
紫苏、青皮、白芍药、当归、白茯苓、乌药、桔梗（炒）、半夏（姜制）、黄芪（炒）、川芎、枳实（炒）、陈皮、防风、南木香、大腹皮、甘草、槟榔、枳壳。
上药生姜煎服。流注加羌活、独活、白芷梢。小便不通加木通、栀子。浮肿加猪苓、泽泻。气滞加香附。血滞加肉桂。呕吐加藿香。瘰疬加夏枯草。
此行气耗血之剂，不过二三剂止之，不可多服。
去热散 治疗马疔发热者，此药退热，肿疡亦效。
吉面消、山乌豆、鸡屎子、鸡KT根、水圹子、过山龙、金凉伞（大叶）、白根子、紫金藤、九牛天竹、臭木待（根）、连叉大青、落鸦、爪藤。
上药水煎服。
九金六马散 治疗马疔流注，马KT、马面、马腿、马挪，痈疽肿疡，乳痈、胁痈、便毒，头风、风核等发者。
铁马鞭、白马骨、地马梢、紫金藤、马蹄藤、金星草、金惊根、金银花、山红花（根）、马蹄金、紫金皮、金凉伞（根）、金脑香、山乌豆、鸡屎子、毛里金钗、水滚子（根）、穿山蜈蚣。
上药水煎，入酒和服。
散血消核汤 治疗马疔。
紫金皮、大蓟根、山苏木、溪枫根、山乌豆、鸡屎子、赤牛膝、马蹄金、马蹄藤、铁马鞭、白马骨、马蹄香、穿山蜈蚣。
上药水煎，入酒和服。
二马散 治疗马疔。
马蹄金、铁马鞭、拨雪根。
上药水煎，入少酒和服。
立效散 治疗马疔。
水滚子根（又名溪枫根，又名水杨柳，多）、淡茶栎根（中）、晚祥西根（少）。
上药水煎，入酒和服，或合六马散亦效。
浸酒方 治疗马疔创人，此药退创。
老公须（根）、毛里金钗（根）、狗骨子（根）、大叶毛吹曲。
上药浸酒暖服，不可煎。
续骨散 治疗接骨马。
天灯心、紫背草、赤牛膝、山苏木、钓钩藤、马蹄香、马蹄金、紫金皮、天花粉、白马骨、铁马鞭、臭木待（根）、酒坛子（根）。
上药酒水各半煎服。
轻脚散 治疗锁脚马。
天灯心、紫背草、赤牛膝、钓藤（根）、山苏木、酒坛根、白马骨、马蹄金、铁马鞭、穿山蜈蚣。
上药酒水各半煎服。
嗍骨散 治疗嗍骨马。
马蹄金、马蹄藤、白马骨、紫金皮、钓钩藤、铁马鞭、酒坛根、马蹄香、天灯心、山苏木、赤牛膝、地茄根、紫金藤、李子根、臭木待（根）、乌苞子（根）、穿山蜈蚣。
上药水酒各半煎服。
[Xue Ji] The syndrome of Liuzhu (Flowing Abscess) may arise from: damage to the Spleen and Stomach due to improper diet and overexertion; invasion of Yang pathogenic factors due to Yin deficiency caused by excessive sexual activity; reversal of Ying Qi (Nutritive Qi) within the muscle tissue due to its failure to flow smoothly; invasion of external pathogens due to loose Cou Li (skin pores and interstitial spaces); liver injury due to sudden anger; spleen injury due to emotional depression; accumulation of damp-phlegm; blood stasis due to falls or trauma; or retention of lochia after childbirth. All these conditions result from the stagnation of Qi and Blood. Lesions may occur in the joints of the limbs, or in the chest, abdomen, waist, and buttocks; they may present as nodular masses or diffuse swelling, and may be painful. These are all caused by the depletion of Yuan Qi (Original Qi). All cases should be treated with Cong Yi (Green Onion Moxibustion/Fomentation) and Yiqi Yangrong Tang (Qi-Nourishing Decoction) to consolidate the Original Qi. In this way, abscesses that have not yet suppurated will resolve spontaneously, and those that have already suppurated will ulcerate spontaneously. If the ulcer fails to heal for a long time, auxiliary treatment with Dou Chi Bing (Fermented Soybean Cake Moxibustion) and Hupo Gao (Amber Plaster) is used to dispel cold pathogens and replenish Yang Qi. If there is an internal sinus tract but the wound does not heal, Zhentou San (Needle-Head Powder) is used to remove necrotic tissue and promote pus discharge. As stated in the Classics: "Injury to form causes pain; injury to Qi causes swelling." It also says: "Depletion of True Qi leads to Deficiency; excess of Pathogenic Qi leads to Excess." If one does not tonify Qi and Blood, regulate diet, maintain regular daily routines, and restrain the Seven Emotions, but instead exclusively uses cold-natured drugs to attack and drain, survival would be merely fortunate.
If the yellow fluid does not spread along the meridians, it is commonly called Mating (Horse Carbuncle). If it spreads along the meridians, it is called Zousan Liuzhu (Scattering Flowing Abscess), commonly called Zhuateng Ma (Claw-Vine Horse). If the exterior shows slight swelling but severe pain inside the bone joints, it is called Suogu Ma (Sucking-Bone Horse). If there is severe pain inside the bone joints throughout the body, inability to rise or sit, no mass accumulation, and unremitting fever, it is also called Suogu Ma. If masses accumulate on the spine and femur, whether one or two, or three to five, it is called Guoji Ma (Cross-Spine Horse). If a mass accumulates on the coccyx accompanied by heat, it is called Shazhe Ma (Killing-Stick Horse). If severe pain occurs below the malleolus without mass accumulation but with swelling, it is called Suojiao Ma (Lock-Foot Horse). If pain occurs at the junction of bones without mass accumulation but with slight swelling, it is called Jiegu Ma (Connecting-Bone Horse). This condition arises because Wind-Heat scatters to the four limbs; treatment should focus on dispersing Wind and clearing Heat. In the early stage, fire needle cauterization is contraindicated. If swelling and heat are severe, only pricking with a triangular needle (Leng Zhen) for bleeding is appropriate. For chronic, mature lesions, fire needle cauterization may be used. Liuzhu occurring in the thigh indicates a fatal prognosis. For residual pathogens from Cold Damage (Shanghan) not yet fully resolved, use Harmonizing methods with Renshen Baidu San (Ginseng Detoxification Powder); subsequently, Xiao Chai Hu Tang (Minor Bupleurum Decoction) combined with Er Chen Tang (Two-Cured Decoction) plus Qianghuo, Chuanxiong, Zhike, Danggui, and Baizhu. For chest and diaphragm obstruction caused by sudden anger, prioritize regulating Qi with Fangmai Liuqi Yin (Pulse-Regulating Qi-Flowing Drink). For depression causing symptoms without pain, prioritize regulating meridians and tonifying Qi and Blood with Yiqi Yangrong Tang. For hard, swollen, and painful lesions, promote Qi circulation and harmonize Blood with Chuangke Liuqi Yin (Surgical Qi-Flowing Drink). For ulcers that fail to heal, tonify Qi and Blood with Renshen Yangrong Tang or Shiquan Dabu Tang. For cases caused by Spleen Qi deficiency with damp-heat stagnating in muscle tissue, presenting as a single non-painful swelling with normal skin color and poor appetite, prioritize invigorating the Spleen and draining dampness with Liujunzi Tang (Six-Gentlemen Decoction) plus Chuanxiong, Danggui, Huangqi, Baishao, and Rougui. For cases caused by blood stasis from sprains or contusions, harmonize Qi and Blood and regulate meridians with Fangmai Liuqi Yin; subsequently, Er Chen Tang combined with Siwu Tang plus Xiangfu, Wuyao, and Jiegeng. For tendon spasms and bone pain caused by Cold pathogen invasion, or generalized body pain, warm the meridians and nourish Qi and Blood with Dafangfeng Tang, Wuji San (Five Accumulations Powder) combined with Baidu San, plus Chuan Niuxi and Duzhong, or Duhuo Jisheng Tang; subsequently, Siwu Tang plus Huangqi, Qianghuo, and Duzhong. For cases with tidal fever, indicating incomplete dispersion of interior Cold, use Yingwei Fanhun Tang plus Gegen, Shengma, Zisu, Chuanxiong, and Duhuo, decocted with ginger water. If there is no tidal fever, use Yingwei Fanhun Tang plus Duhuo, decocted with half wine and half water.
For Jiegu Ma, use Chuanshan Wugong, Bai Tianke, Shinan Teng, Shan Liangjiang, Jiujiexiang, Zijinpi, and Hanxiaoye, decocted for hot washing/fomentation. Subsequently administer Xugu San, Jiujin Lima San. For small nodular masses, slightly smaller than typical, called Mating or Malin, use Zijinzhong, Zijinpi, Ziheche, and Tiannanxing, ground with vinegar and applied warm. Alternatively, use Zijinpi, Zijinteng, Hongneixiao, Matixiang, and Matiteng, decocted in wine for oral administration. For Suojiao Ma, use Ye Yu Gen, Malancao, Lulu Zi, Ziheche, Shan Pipa Genpi, Shanbugua Gen, and Zijinpi, pounded into a paste, stir-fried with salt and fermented rice lees, bound to the affected area, and washed with the decoction. Subsequently administer Qingjiao San, Jiujin Lima San. For Suogu Ma, use Chuanshan Wugong, Zijinpi, Shinan Teng, Bai Tianke, Xifeng Gen, Jiujiexiang, and Duiejie Jinjing, decocted for washing. Subsequently administer Suogu San, Jiujin Lima San, and Siwei Jinjiu Fang. For Guoji Ma, use Shan Pipa Genpi, Lilizi, Xiaozhang Genpi, Tiantongdong, Tiannanxing, Zhangxian Gen, Shanbugua Gen, Chi Niuxi, Banxia, Lingxiao Genpi, Fosanghua, Malancao, Ye Yu Gen, Tiangkou Ke, Puyingzi Genpi, Chi Mao Tao Genpi, and Chixiong Genpi, pounded into a paste, mixed with half rice water and half vinegar, heated and brushed on, with dregs applied as a poultice. This is also effective for Guateng Ma; subsequently administer Juanji San, Jiujin Lima San. For Guateng Ma, use Shanbugua Gen, Duochige Genpi, Zhangliugen, Zijinpi, Zijinzhong, Luoyaqiang Gen, Qiye Yangxiang, Tianhuafen, Zhenzhulian Gen, Bai Furong Ye, Lingxiao Genpi, Xifeng Genpi, and Chi Mao Tao Genpi, pounded into a paste, stir-fried with salt and fermented rice lees, and bound. Another formula: Shanbugua Gen, Gehegen, Ziheche, Lilizi, Mabianhui, Zijinpi, Shan Pipa Genpi, Lingxiao Genpi, Fosanghua, Luoyaqiang Gen, and Bai Tianke, pounded into a paste, stir-fried with salt and fermented rice lees, and bound. Another method: Shanbugua Gen, Zijinpi, and Xifeng Genpi, pounded into a paste, stir-fried with wine, and bound; this formula is highly effective for various "Ma" syndromes. Subsequently administer Jiujin Lima San, Siwei Jinjiu Fang, and wash with Xizhong Fang. For Shazhe Ma, use Ziheche, Shan Pipa Genpi, Lilizi, Shanbugua Gen, Lingxiao Genpi, Fosanghua, Gehegen, and Shiping, pounded into a paste, mixed with vinegar, brushed on, with dregs applied as a poultice. Wash with Xizhong Fang. Subsequently administer Jiujin Lima San and Juanji San. For "Ma" syndromes with heat, use Qure San; for exterior patterns, use Jingfang Baidu San; for interior patterns, use Neishu Huanglian Tang; for simultaneous exterior and interior patterns, use Zhuoding Duoming Tang. Then apply Shuijinfeng, pounded and bound to the nodule, which is effective. For "Ma" syndromes with heat but no suppuration, medication can reduce the heat; if suppuration has occurred, heat subsides once pus drains. If four or five nodules appear, but only one or two have not suppurated while others have drained, the heat will not subside until all five have drained. If ulcerated, treat according to the Ulcer section.
[Case Records]
One patient suffered hypochondriac pain due to anger, cured with Xiao Chai Hu Tang combined with Siwu Tang plus Qingpi, Jiegeng, and Zhike.
One patient had a single swollen area on the buttock with slight pain and a wiry-tight pulse, resolved with four doses of Chuangke Liuqi Yin.
One patient suffered hypochondriac swelling and pain with chest/diaphragm obstruction and a deep-slow pulse after anger; improved slightly with several doses of Fangmai Liuqi Yin, then rapidly improved with Xiao Chai Hu Tang combined with Er Chen Tang plus Qingpi, Jiegeng, and Beimu. Cured after more than twenty doses of Xiao Chai Hu Tang.
A woman suffered shoulder swelling and generalized body pain after a sprain; pain stopped after two doses of Hei Wanzi, swelling resolved after two doses of Fangmai Liuqi Yin, and she was cured with Er Chen Tang combined with Siwu Tang plus Xiangfu, Zhike, and Jiegeng.
A woman suffered tendon spasms and bone pain in the leg, unresponsive to other medicines, with a slow-tight pulse; symptoms resolved instantly after one dose of Dafangfeng Tang and settled after two more doses. Another woman with similar symptoms was cured after two doses of the previous decoction followed by Hei Wanzi. If untreated, these cases would ulcerate into fatal conditions.
A woman with weak constitution and irritable temperament suffered hypochondriac/arm swelling and pain with chest fullness. After taking Liuqi Yin and Baidu San, she developed fever and poor appetite. Chest comfort and free Qi flow were achieved after several doses of Siqi Tang; swelling and pain subsided after Xiao Chai Hu Tang combined with Siwu Tang plus Xiangfu and Chenpi.
One patient had a leg ulcer failing to heal; cured after two months with Renshen Yangrong Tang, moxibustion with Aizi Bing (Moxa Cake), and application of tonic paste.
One patient with inherent Spleen Qi weakness had a non-painful arm swelling with normal skin color and poor appetite for six months without suppuration. Appetite improved after more than twenty doses of Liujunzi Tang plus Chuanxiong, Danggui, and Shaoyao. After daily moxibustion with Dou Chi Bing and adding Huangqi and Rougui to the prescription for thirty-plus doses, pus formed and was drained with a needle. Cured after one month with Shiquan Dabu Tang and Aizi Bing moxibustion.
One patient had leg swelling, normal skin color, no pain, and a floating-slippery pulse. Treated with Buzhong Yiqi Tang plus Banxia, Fuling, Zhike, and Muxiang, and fomentation with Xiangfu Bing. The patient believed "Qi cannot be tonified" and took Fangmai Liuqi Yin, worsening deficiency. Cured after several doses of Liujunzi Tang plus Chuanxiong and Danggui improving appetite, and further tonic treatment for a month resolving swelling. The notion that "Qi cannot be tonified" is a secular fallacy; although symptoms like fullness suggest difficulty in tonification, true Qi deficiency fails to circulate, allowing pathogenic Qi to stagnate. Without tonification, how can Qi move?
One patient had arm swelling, tendon spasms, and bone pain, ulcerating after a year without healing, with a deficient pulse. Improved slightly with one dose of Neisai San; cured with Shiquan Dabu Tang and Aizi Bing moxibustion. *Jingyao* states: "Long-standing accumulation generates Yang from extreme Yin, transforming Cold into Heat." Such ulcers often become fistulas; early administration of Neisai San promotes drainage.
One patient had a leg swelling persisting for a year without suppuration, poor appetite, bloating or diarrhea upon forced eating, and gradual emaciation. Pulse was fine and minute, indicating Mingmen Fire decline failing to generate Earth (Spleen), leading to Spleen deficiency. Cured with Bawei Wan, with gradual improvement in appetite and resolution of swelling.
One patient with back/thigh swelling, physical fatigue, and Qi weakness was treated with Yiqi Yangrong Tang, intermittently taking Hei Wanzi, and applying a cake of Muxiang and Shengdihuang to the site for fomentation. Pus formed after a month, was drained, and cured with continued medication.
One patient with a chronic leg ulcer was cured after drinking large-tonic medicines, using Aizi Bing, and treating with Zhentou San.
One patient had a hard arm lesion for over a year with poor appetite, morning chills and evening fevers. Chills and fever subsided slightly after a month of Bazhen Tang plus Chaihu, Digupi, and Mudanpi. Pus formed after two months of Yiqi Yangrong Tang and Aizi Bing moxibustion; cured after half a year of Renshen Yangrong Tang.
A woman with thin pus, weak pulse, aversion to cold, and chronic non-healing was cured with Neisai San and Aizi Bing moxibustion.
One patient expelled three pieces of necrotic bone from an arm ulcer, still unhealed, with fever, thirst, and a large-slippery pulse, indicating dual Qi and Blood deficiency. Multiple doses of Qi-and-Blood-generating agents were necessary for preservation. The patient believed the "fire" was not extinguished and used cooling herbs internally and externally, nearly dying. With emaciation and increasingly deficient pulse, appetite improved after a month of Liujunzi Tang plus Chuanxiong and Danggui. Wound color reddened after thirty-plus doses of Bazhen Tang plus Rougui. Cured after nearly a year with Shiquan Dapu Tang and external Aizi Bing moxibustion.
An elderly patient with unresolved exterior Cold pathogens had thigh swelling and fever. Fever stopped after two doses of Renshen Baidu San and Xiangfu Bing moxibustion; swelling resolved after several doses of Xiao Chai Hu Tang combined with Er Chen Tang, Qianghuo, Chuanxiong, Danggui, Baizhu, and Zhike.
Zhu Dongxi, a Court Gentleman, had a four-cun mass near the left hypochondrium/abdomen in the Liver/Gallbladder meridian region. Diffuse swelling without redness, tender on pressure. I advised tonifying Spleen and Stomach. He believed exterior-dispersing methods were needed for swellings and took Liuqi Yin, causing sudden Stomach Qi deficiency, after which he accepted my advice. Cured with Sijunzi Tang plus Chuanxiong, Danggui, wine-fried Baishao, Jiang, and Gui. After Stomach Qi recovered and evil signs receded, Ganjiang was removed and Huangqi added for several doses. Mild redness and pain appeared; after thirty-plus doses, swelling became painful indicating internal suppuration, which was drained. Cured with modified Buzhong Yiqi Tang and Bawei Wan.
One man had a hypochondriac swelling, un-ulcerated for a long time, slightly tender on pressure, with a faint-slippery pulse, indicating both form and syndrome deficiency requiring tonification rather than purgation. Cured after hundred doses of Renshen Yangrong Tang, hot mugwort fomentation, fire-needle drainage upon suppuration, Dou Chi Bing, and Shiquan Dabu Tang.
A woman had a small waist swelling with normal skin color, fever, and no ulceration. I intended to treat with Yiqi Yangrong Tang for depression resolution. She took Liuqi Yin instead; after puncturing and draining fluid, she died after a year.
Another woman with chronic non-healing suddenly developed chills and fever. I diagnosed dual Qi and Blood deficiency, but she took exterior-dispersing agents, developed high fever, and died.
One man with inherent weak Qi suffered chest/diaphragm obstruction and poor appetite. I intended to invigorate Spleen, resolve depression, and nourish Qi/Blood. He took pungent-aromatic Qi-flowing agents causing abdominal distension, then took Sanleng, Pengze, and Houpo, leading to poor appetite, mild limb swelling, and a waist swelling. He died without ulceration.
A woman with irregular menstruation (every 2-3 months), limb swelling, poor appetite, and afternoon fever was diagnosed with Spleen Earth Qi/Blood deficiency. I prescribed Spleen-nourishing and Qi/Blood-tonifying herbs. She considered this too slow, used harsh purgatives to regulate menstruation first, resulting in abdominal pain, intractable diarrhea, generalized edema, poor appetite, and death during the Wood-prosperous month.
A man over thirty had lower abdominal hardness swelling, becoming an ulcer after a year, discharging blood and fluid upon rupture. Diagnosed as Liuzhu caused by Seven Emotions injuring Ying Qi reversal in muscle tissue. Liver pulse was choppy; Liver disease pulses should not be choppy (Metal nature). Since the lower abdomen belongs to the Liver meridian, the choppy Metal pulse must retreat for recovery. I intended to use sweet-warm herbs to tonify Qi/Blood for spontaneous resolution. He did not believe me, took attacking/draining herbs, worsened Qi/Blood deficiency, and died during the Metal-prosperous month.
One man had abdominal swelling/hardness without ulceration, weak pulse with occasional vomiting. I intended to use Baidu etc. I stated that swelling/hardness without ulceration indicates Yang Qi weakness; vomiting/poor appetite indicates Stomach Qi deficiency and Cold. Treatment should warm/tonify Spleen/Stomach. He did not believe me, continued attacking/draining, worsening vomiting. Upon return, pulse was faint with fever. I stated: "Fever with quiet pulse, collapse with strong pulse, agitation after sweating—all are adverse signs." Refused treatment; he subsequently died.
Chuangke Liuqi Yin treats Yin-type Liuzhu, anger-induced stagnation, nodular hard/swollen painful masses, chest/diaphragm fullness, Wind-Cold-Damp-Toxin binding meridians, Blood disharmony forming masses with normal skin color, diffuse numb swelling without head, or Yin-type Rock/Breast cancers. Promotes rapid resolution before suppuration and rapid ulceration after suppuration, expelling foul pus and necrotic tissue naturally. Highly effective.
Ingredients: Jiegeng, Renshen, Danggui, Rougui, Gancao, Huangqi (salt-water fried), Nongpu (ginger-processed), Zisu, Baishao, Wuyao, Fangfeng, Zhike, Binglang, Nanmuxiang, Chuanxiong, Baizhu.
Decoct with fresh ginger. Add Rushen, Moyao for pain. Add Zhimu, Beimu if exudate is excessive. Add Chao Zaojiaoci if wound is dry. Add Qianghuo, Duhuo for Liuzhu. Add Xiangfu for Qi stagnation. Add Chenpi for Stomach deficiency. This is a Qi-moving and Blood-scattering formula; excessive use depletes Qi/Blood, hindering pus formation. Students should note this.
Baidu Liuqi Yin treats early-stage Liuzhu with hard, painful nodules intolerable to touch. Disperses pathogens and moves Qi.
Ingredients: Qianghuo, Duhuo, Qingmuxiang, Chishaoyao, Danggui, Zisu, Chenpi, Xiangfu, Baizhi, Sanleng, Peng'e Zhu, Zhike, Chuanxiong, Jiegeng, Chaihu, Banxia (ginger-processed), Chifuling, Gancao.
Decoct with fresh ginger and Shengdihuang. Add Dahuang, Huangqin for heat. Add Renshen, Huangqi for deficiency.
Fangmai Liuqi Yin treats Yin-type Liuzhu, Luoli (scrofula), and depression-induced clustered masses. Addresses wandering pain, chest/heart oppression, hypochondriac/abdominal fullness, vomiting/anorexia, upper asthma/wheezing, cough with profuse phlegm, facial/extremity edema, constipation.
Ingredients: Zisu, Qingpi, Baishao, Danggui, Baifuling, Wuyao, Jiegeng (fried), Banxia (ginger-processed), Huangqi (fried), Chuanxiong, Zhishi (fried), Chenpi, Fangfeng, Nanmuxiang, Dafupi, Gancao, Binglang, Zhike.
Decoct with fresh ginger. Add Qianghuo, Duhuo, Baizhishao for Liuzhu. Add Mutong, Zhizi for urinary obstruction. Add Zhuling, Zexie for edema. Add Xiangfu for Qi stagnation. Add Rougui for Blood stagnation. Add Huoxiang for vomiting. Add Xiakucao for Luoli.
This is a Qi-moving and Blood-consuming formula; stop after 2-3 doses; do not overuse.
Qure San treats Mating with fever. Clears heat; also effective for inflammatory swellings.
Ingredients: Jimianxiao, Shanwudou, Jishizi, JikT Gen, Shuitangzi, Guoshanlong, Jinliangsan (large leaf), Baigenzi, Zijinteng, Jiuniu Tianzhu, Choumu Dai (root), Liancha Daqing, Luoya, Zhuateng.
Decoct in water.
Jiujin Lima San treats Mating Liuzhu, MatKT, Mamian, Mata, Manuo, carbuncles/swellings, mastitis, hypochondriac abscesses, perianal abscesses, head wind, wind nodules.
Ingredients: Tiemabian, Baimagu, Dimashao, Zijinteng, Matiteng, Jinxingcao, Jinjing Gen, Jinyinhua, Shanhonghua (root), Matijin, Zijinpi, Jinliangsan (root), Jinnaoxiang, Shanwudou, Jishizi, Maolijinchai, Shuigunzi (root), Chuanshan Wugong.
Decoct in water, mix with wine for oral administration.
Sanxue Xiaohé Tang treats Mating.
Ingredients: Zijinpi, Daji Gen, Shansumu, Xifeng Gen, Shanwudou, Jishizi, Chi Niuxi, Matijin, Matiteng, Tienabian, Baimagu, Matixiang, Chuanshan Wugong.
Decoct in water, mix with wine for oral administration.
Er Ma San treats Mating.
Ingredients: Matijin, Tienabian, Boxue Gen.
Decoct in water, mix with a little wine for oral administration.
Lixiao San treats Mating.
Ingredients: Shuigunzi Gen (aka Xifeng Gen, aka Shuiyangliu, large amount), Dan Cha Li Gen (medium amount), Wanxiangxi Gen (small amount).
Decoct in water, mix with wine for oral administration. Also effective combined with Liu Ma San.
Jinjǐu Fang treats Mating wounds. Reduces trauma.
Ingredients: Laogongxu (root), Maolijinchai (root), Gouguzi (root), Daye Maochuqu.
Soak in wine, drink warm. Do not decoct.
Xugu San treats Jiegu Ma.
Ingredients: Tiandengxin, Zibeicao, Chi Niuxi, Shansumu, Diaogouteng, Matixiang, Matijin, Zijinpi, Tianhuafen, Baimagu, Tienabian, Choumu Dai (root), Jiutanzi (root).
Decoct with half water, half wine.
Qingjiao San treats Suojiao Ma.
Ingredients: Tiandengxin, Zibeicao, Chi Niuxi, Diaoteng (root), Shansumu, Jiutan Gen, Baimagu, Matijin, Tienabian, Chuanshan Wugong.
Decoct with half water, half wine.
Suogu San treats Suogu Ma.
Ingredients: Matijin, Matiteng, Baimagu, Zijinpi, Diaogouteng, Tienabian, Jiutan Gen, Matixiang, Tiandengxin, Shansumu, Chi Niuxi, Diqie Gen, Zijinteng, Lizigen, Choumu Dai (root), Wubaozi (root), Chuanshan Wugong.
Decoct with half water, half wine.