此由恐惧、愁忧、思虑，哭泣不止，余毒变化所生。内动于脏，外发颈项。其根在心。
又方，根在膀胱。初生之时无头尾，肿如枣核，或移动皮中，使人寒热心满；状似蜂 而深
坎，蜂 则高而圆。蛴螬 ，方五寸，更疼痛，日
夜令人呻号。三年生孔道，乃有十数；中生蛴螬，乃有百数。不治，五年杀人。
雕鸟鹤 者，初肿如覆手，疼痛，一年生孔道数十处，黄水出；二年化生鹤、水钱道而
人皆有五尸，在人腹内发动，令心腹胀，气息喘急，冲击心胸，攻刺胁肋，因而寒热。
颈掖之下结瘰 ，脓溃成 ，时还冲击，腹内则胀痛，腰脊挛急是也。
此由风邪经脉，经脉结聚所成；或诸疮得风，不即瘥，变作其疮。得风者，是由疮遇
冷，脓汁不尽乃成也。其风在经脉者，初生之时，其状如肿，有似覆手，搔之则皮脱，赤汁
出。乍肿乍减，渐渐生根结实，且附骨间，不知首尾，即溃成 。若至五十日不消不溃，变
成石肿，名为石痈。久久不治，令寒热，恶气入腹，绝闷刺心，及咽项悉皆肿。经一年不治
肿痛初生痈，如大桃状，亦如瘤。脓溃为疮，不治成石 ，化生鞠，作窍傍行，世呼为
此由饮食居处有蜣螂毒瓦斯，入于脏腑，流于经脉所生也。初生之时，其状如鼠窍直下，
肿如覆手而痒，搔痹疼痹。至百日，有十八窍，深三寸，中生蜣螂，乃有一百数。蜣螂成尾
，自覆刺人，大如盂升。至三年，杀人。
这是由于恐惧、忧愁、思虑过度，以及持续哭泣不止，体内残留的毒邪变化所生成的。病邪在内扰动五脏，在外发于颈部和项部。其病根在于心。
另一种说法认为，病根在膀胱。这种病症初生时没有头尾，肿胀如枣核大小，或者可以在皮肤下移动，使人出现寒热交替、心胸满闷的症状；其形状像蜂窠（fēng kē，指类似蜂窝状的深洞）但更深陷，而蜂窠则是高起且圆润的。蛴螬疬（qí cáo lì，一种颈部慢性化脓性疾病，因形似蛴螬而得名），长约五寸，更加疼痛，日夜让人呻吟呼号。三年后形成孔道，可能有十几个；如果生在中间部位，可能有上百个。如果不治疗，五年后会致死。
雕鸟鹤瘰（diāo niǎo hè luǒ，一种颈部淋巴结结核或脓肿，形态特殊）：初起时肿胀如倒扣的手掌，伴有疼痛，一年后生出数十处孔道，流出黄水；两年后化生为鹤、水钱等形状的孔道，而人身上通常有五种“尸疰”（shī zhù，泛指具有传染性或消耗性的慢性病证）。人在腹内发动尸疰，会导致心腹胀满，气息喘急，气冲击心胸，攻刺胁肋，进而引起寒热症状。颈部腋下结聚成瘰疬（luǒ lì，颈部淋巴结结核），脓液溃破形成溃疡，时常再次冲击发作，腹部则胀痛，腰脊拘挛紧急。
这是由风邪侵入经脉，导致经脉气血结聚而成的；或者是各种疮疡遇到风邪，不能立即痊愈，从而变作这种疮疡。遇到风邪所致者，是由于疮疡遇冷，脓汁排不尽而形成的。风邪在经脉中的表现，初生时，形状像肿胀，好似倒扣的手掌，搔抓则皮肤脱落，流出赤色汁液。时而肿胀时而减退，渐渐生根结实，并且附着在骨骼之间，不知头尾，最终溃破形成溃疡。如果到五十天不消退也不溃破，就会变成石痈（shí yōng，质地坚硬的痈肿），称为石痈。长期不治疗，会引起寒热，恶气进入腹部，导致昏厥刺痛心脏，以及咽喉和颈部全部肿胀。经过一年不治疗……
肿痛初生的痈，像大桃子形状，也像肿瘤。脓液溃破成为疮疡，不治疗会变成石瘿（shí yǐng，颈部坚硬肿块），化生虫类，形成旁行的孔窍，世人称之为……
这是由于饮食居住环境中存在蜣螂（qiān láng，屎壳郎）的毒瓦斯，进入脏腑，流注于经脉所生成的。初生时，形状像老鼠打洞直向下，肿胀如倒扣的手掌且瘙痒，搔抓后感到麻木疼痛。到了百日，会有十八个孔道，深三寸，中间生有蜣螂，数量可达一百只。蜣螂长成尾巴，自身覆盖并刺人，大小如盂升容器。到了三年，会致死。
This condition arises from fear, sorrow, excessive worry, and incessant weeping, resulting from the transformation of residual toxic pathogens within the body. The pathogen agitates internally affecting the Zang organs (viscera) and manifests externally on the neck and nape. Its root lies in the Heart.
Another theory posits that the root is in the Bladder. Initially, it has no head or tail, swelling like a jujube pit, or it may move within the subcutaneous tissue, causing alternating chills and fever with chest fullness; its appearance resembles a honeycomb (fēng kē, a deep cavity resembling a bee hive) but is deeper, whereas a honeycomb is elevated and round. Qicao Li (Qí Cáo Lì, a chronic suppurative disease of the neck named for its resemblance to the larva of a beetle), measuring about five cun, causes severe pain, making the patient groan and cry out day and night. After three years, fistulas form, numbering perhaps a dozen; if occurring centrally, there may be hundreds. If untreated, it will cause death within five years.
Diao Niao He Luo (Diāo Niǎo Hè Luǒ, a specific type of cervical lymphadenitis or abscess): Initially, it swells like an inverted hand, accompanied by pain. After one year, dozens of fistulous tracts appear, discharging yellow fluid; after two years, they transform into tracts resembling cranes or water coins. Humans generally have five types of Shi Zhu (Shī Zhù, a category of consumptive or infectious diseases). When Shi Zhu activates within the abdomen, it causes abdominal distension and fullness, rapid breathing, qi rushing against the heart and chest, stabbing pain in the hypochondrium, leading to chills and fever. Scrofula (Luǒ Lì, cervical tuberculous lymphadenitis) forms knots below the neck and armpits; when pus breaks through, ulcers form, which may recur and aggravate, causing abdominal distension and pain, and stiffness and tension in the waist and spine.
This condition is caused by Wind pathogenic factors invading the meridians, leading to the accumulation and knotting of meridian Qi and Blood; or it arises when various sores are exposed to Wind and fail to heal promptly, transforming into this type of sore. Those caused by Wind result from sores being exposed to cold, preventing the complete discharge of pus. When Wind resides in the meridians, initially, the lesion appears swollen, resembling an inverted hand; scratching causes skin peeling and the discharge of red fluid. It fluctuates between swelling and subsiding, gradually taking root and hardening, attaching to the bone, with indistinct boundaries, eventually ulcerating. If it does not resolve or ulcerate after fifty days, it transforms into a Stone Carbuncle (Shí Yōng, a hard, stone-like carbuncle), known as Stone Carbuncle. Long-term non-treatment leads to chills and fever, malignant qi entering the abdomen, causing syncope and stabbing pain in the heart, and swelling of the throat and neck. After one year of non-treatment...
A painful and swollen carbuncle at its onset resembles a large peach or a tumor. Upon suppuration and ulceration, if untreated, it becomes a Stone Goiter (Shí Yǐng, a hard neck mass), generating worms and forming lateral fistulous tracts, commonly referred to in the world as...
This condition arises from the toxic miasma of Dung Beetles (Qiān Láng, Scarabaeus) present in diet and living environments, entering the Zang and Fu organs (viscera and bowels) and flowing into the meridians. Initially, it resembles a mouse hole extending straight downward, swelling like an inverted hand with itching, leading to numbness and pain upon scratching. By one hundred days, eighteen fistulous tracts appear, three cun deep, containing Dung Beetles, numbering up to one hundred. As the beetles mature tails, they cover themselves and pierce the human body, reaching the size of a Yu Sheng vessel. By three years, it causes death.