或问∶颈后脑下发疽何如？曰∶此即对口疮也，属督脉。阳独盛，气有余，火炎上
而发疽也，急服乌金散、胜金丹汗之，壮实者，一粒金丹下之。稍迟溃出脓水，入风发
搐者，难治。有毒邪壅盛，鲜血暴涌而死，毒攻心腹，膨胀谵语者死。此证 赤肿痛可治，
若根大精神昏愦，即难治也。量表里虚实，而为汗下、内托、内消，外用大围药箍住，中
点六灰膏之类破泄其毒，不可走失根脚。若欲流两肩脊者，不可疗也。或云∶先服追疔
夺命汤二帖，后服活血化毒汤。
治对口疮效方 用新鲜茄蒂七个，秤若干重，又用鲜何首乌，秤同茄蒂重，用水一
盅半煎服。一服出脓，一服收口。如无鲜茄蒂、首乌，干者亦可，但不及鲜者有力。此
方轻剂不可以治重病，观者勿泥也。
或问∶天柱骨上，极痒入骨，恶心吐逆，肩背拘急何如？曰∶此名天柱疽，急隔蒜灸，
痒止为度，无蒜明灸可治。服活命饮加羌活、桔梗，乌金散、胜金丹选用。灸而有泡者吉，
无泡者凶。服汗剂得汗可治，无汗难治。若溃烂神昏，呕哕恶心，血不止者死。
或问∶颈上、两耳后生疽何如？曰∶此名杼疽。初不甚肿，但痛痒不时而出清水，渐
渐长大，如玳瑁斑点者是也，亦名化骨疮。急服八阵散、夺命丹、活命饮加桔梗、柴胡。若
过时，溃烂日久出骨者，大恶之证也。此证多生于积郁之人，七恶多见，犯禁者不治。
有人问：颈后脑下发疽是怎么回事？回答说：这就是对口疮，归属于督脉。阳气独盛，气机有余，火热炎上而发为疽证，应当紧急服用乌金散、胜金丹以发汗；体质壮实者，可服用一粒金丹以攻下。如果延误时机，导致溃破流脓水，又感受风邪引发抽搐的，难以治疗。若有毒邪壅盛，鲜血突然大量涌出而死亡的，或毒邪攻冲心腹，出现腹胀满、胡言乱语的，也会死亡。这种病症，如果红肿疼痛尚可治疗；如果根部宽大、精神昏沉困倦的，就难以治疗了。需辨别表里虚实，分别采用发汗、攻下、内托、内消等治法，外用大围药箍住病灶，中间点涂六灰膏之类药物以破除泄解毒邪，不可让毒邪扩散流失根基。如果毒邪欲流向两肩脊部的，则无法治愈。有人说：先服用追疔夺命汤两帖，再服用活血化毒汤。
治疗对口疮的有效方剂：用新鲜茄蒂七个，称其重量，再用鲜何首乌，称取与茄蒂同等重量，用水一盅半煎服。服一次能排出脓液，服两次能收敛伤口。如果没有新鲜的茄蒂和何首乌，干品也可以，但效力不如鲜品。此方属于轻剂，不能用于治疗重病，读者不要拘泥于此。
有人问：天柱骨上方，极度瘙痒深入骨髓，恶心呕吐，肩背部拘急僵硬是怎么回事？回答说：这名叫天柱疽，应当紧急隔蒜灸，以瘙痒停止为限度，没有大蒜也可以用直接灸来治疗。服用活命饮加羌活、桔梗，或者选用乌金散、胜金丹。施灸后起水泡的是吉兆，不起水泡的是凶兆。服用发汗药后能出汗的可治，不出汗的难治。如果溃烂神志昏迷，呕吐呃逆恶心，出血不止的，就会死亡。
有人问：颈部上方、两耳后方生疽是怎么回事？回答说：这名叫杼疽。起初肿胀不严重，只是不时疼痛瘙痒并流出清水，逐渐长大，像玳瑁斑点的样子，也叫做化骨疮。应当紧急服用八阵散、夺命丹、活命饮加桔梗、柴胡。如果延误时机，日久溃烂并露出骨头的，是极恶的证候。这种病症多生于长期情绪抑郁之人，常见七恶证候，违反禁忌（如房事、饮食禁忌）的无法治愈。
A question was asked: "What is the nature of a carbuncle developing at the back of the neck and below the head?" The answer was: "This is what is called 'Duikou Chuang' (Carbuncle facing the mouth), which belongs to the Du Meridian (Governing Vessel). When Yang Qi alone is excessive and Qi is surplus, Fire flares upward, causing a carbuncle. One should urgently administer Wujin San (Black Gold Powder) or Shengjin Dan (Victory Golden Pill) to induce sweating. For those with robust constitutions, Yili Jin Dan (One-Pill Golden Pill) may be used to purge. If treatment is delayed until it ulcerates and discharges pus, and wind pathogen triggers spasms, it is difficult to treat. If toxic pathogens are excessively congested, leading to sudden massive hemorrhage and death, or if toxins attack the heart and abdomen causing distension and delirium, death ensues. In this condition, if there is redness, swelling, and pain, it is treatable; however, if the base is broad and the spirit is confused and lethargic, it is difficult to treat. One must assess the exterior-interior and deficiency-excess patterns, employing methods such as diaphoresis, purgation, interior support, or interior resolution. Externally, apply a strong encircling plaster to confine the lesion, and puncture the center with Liu Hui Gao (Six-Gray Ointment) to break and drain the toxicity, ensuring the root does not scatter. If the toxin threatens to spread to both shoulders and the spine, it is incurable. Some suggest first taking Zhuiting Duoming Tang (Tiphoid-Expelling Life-Snatching Decoction) for two doses, followed by Huoxue Huadu Tang (Blood-Invigorating and Toxin-Transforming Decoction)."
An effective prescription for treating Duikou Chuang: Use seven fresh eggplant stems, weigh them, then use fresh He Shou Wu (Polygonum multiflorum Rhizome), weighing the same amount as the eggplant stems. Decoct in one and a half cups of water and drink. After one dose, pus will discharge; after another dose, the wound will close. If fresh eggplant stems or He Shou Wu are unavailable, dried ones may be used, though they are less potent than fresh ones. This is a mild formula and cannot treat severe diseases; readers should not adhere rigidly to it.
A question was asked: "What is the nature of extreme itching penetrating to the bone above the Tianzhu bone, accompanied by nausea, vomiting, and stiffness/tension in the shoulder and back?" The answer was: "This is named Tianzhu Ju (Tianzhu Carbuncle). Urgently apply moxibustion through garlic slices until the itching stops. If garlic is unavailable, direct moxibustion can also be used. Administer Miding Yin (Life-Saving Decoction) added with Qiang Huo (Notopterygium Rhizome) and Jie Geng (Platycodon Root), or select Wujin San or Shengjin Dan. The appearance of blisters after moxibustion is auspicious; their absence is ominous. Sweating after administering diaphoretic agents indicates treatability; lack of sweating indicates difficulty. If it ulcerates with coma, retching, nausea, and uncontrollable bleeding, death occurs."
A question was asked: "What is the nature of a carbuncle developing on the upper neck and behind both ears?" The answer was: "This is named Zhu Ju (Zhu Carbuncle). Initially, swelling is not severe, but pain and itching occur intermittently with clear fluid discharge. It gradually enlarges, resembling the spots of a hawksbill turtle; it is also called Huagu Chuang (Bone-Melting Sore). Urgently administer Bazhen San (Eight-Army Powder), Duoming Dan (Life-Snatching Pill), or Miding Yin added with Jie Geng and Chai Hu (Bupleurum Root). If treatment is delayed and it ulcerates for a long time, exposing bone, it is a highly malignant condition. This disease often arises in individuals with chronic emotional depression, frequently presenting the 'Seven Evils' syndromes. Those who violate dietary or behavioral taboos are incurable."