人有两臂之间，忽然生疮而变成痈疽者，亦阴痈也。虽较头面对口肩背上稍轻，然治之不得其法，亦能杀
人，必须辨其阴阳治之。大约阳症必红肿而疼痛则易治，阴症必漫肿麻痒则难疗。阳症宜用三星汤，一、二剂
则消；阴症则不可用，必须大补气血，而佐以消痰化毒之剂，始能奏功，岂可谓手足非心腹之疾，不必补虚乎？
夫阴主静，而手足乃至动者也。动而生阴疽，则动变为静，亦非常之道也，可不畏哉！况动变为静，又趋阴之道
也。阳趋于阴，则生近于死矣。欲阳返阴易，欲阴返阳难，谁谓手足之痈，而可小视之哉？方用消痈还阳丹∶
白术（一两） 黄 （一两） 人参（三钱） 天花粉（三钱） 当归（五钱） 金银花（二两）
肉桂（一钱） 乳香（一钱） 甘草（三钱）
水煎服，一剂阴返阳而痒变痛，二剂而痛如失，三剂全消，不必四剂也。此方与神效汤（《辨证奇闻》、
《辨证录》作七圣汤）相似，而意各异。神效汤内无乳香、天粉，能治溃烂，长肉生肌。此方治未溃者，而能内消也，
加乳香、天粉二味以攻中，有拥卫之力耳。
秘诀∶
还阳神丹治臂痈，白术黄 一两同，
参粉三钱归五钱，银花二两桂钱从，
乳香一钱三钱草，阳症方可服三星。
此症用转攻汤亦治之∶
黄 （二两） 甘草（三钱） 贝母（三钱） 当归（一两） 白术（一两） 肉桂（一钱） 远志（五钱）
紫花地丁（五钱）
水煎服。
秘诀∶
转攻汤中二两 ，甘贝三钱去心宜，
归术一两桂一钱，五钱远志地丁随。
人的两臂之间，忽然生出疮疡并演变为痈疽的，也属于阴痈。虽然比头面、口部、肩背部的病症稍轻，但如果治疗不得法，也能致人死亡，必须辨别其阴阳属性来治疗。一般来说，阳证必然红肿且疼痛，容易治疗；阴证必然漫肿、麻木且瘙痒，难以治愈。阳证适宜使用三星汤，服用一、二剂即可消散；阴证则不可使用，必须大补气血，并辅以消痰化毒的药物，才能见效，怎么能说手足不是心腹部位的疾病，就不需要补虚呢？
阴主静，而手足是极其活动的部位。在活动之处产生阴疽，意味着“动”转变为“静”，这不符合常理，怎能不令人敬畏呢？况且由动转静，又是趋向于阴的表现。阳气趋向于阴，就接近死亡了。想要阳气返回阴分很容易，想要阴气返回阳气却很难，谁说手足的痈疽可以轻视呢？方剂用消痈还阳丹：白术（一两）、黄芪（一两）、人参（三钱）、天花粉（三钱）、当归（五钱）、金银花（二两）、肉桂（一钱）、乳香（一钱）、甘草（三钱）。水煎服，一剂后阴证转为阳证，由痒变痛；二剂后疼痛消失；三剂后完全消散，不需要用到第四剂。此方与神效汤（《辨证奇闻》、《辨证录》中称为七圣汤）相似，但用意不同。神效汤中没有乳香、天花粉，能治疗溃烂，促进肌肉生长。此方治疗未溃破者，能使之内消，加入乳香、天花粉两味药以增强攻坚之力，具有护卫正气的作用。
秘诀歌诀：
还阳神丹治臂痈，白术黄芪各一两同，
参粉三钱归五钱，银花二两桂钱从，
乳香一钱三钱草，阳症方可服三星。（注：此处原文口诀有误，前文所述为阴症用消痈还阳丹，口诀中“阳症方可服三星”似指代不明或笔误，依前文逻辑，此方主治阴症转阳，若指三星汤则与前文矛盾，此处直译原文文字）
此症也可用转攻汤治疗：黄芪（二两）、甘草（三钱）、贝母（三钱）、当归（一两）、白术（一两）、肉桂（一钱）、远志（五钱）、紫花地丁（五钱）。水煎服。
When sores suddenly appear between a person's two arms and develop into carbuncles (deep-seated suppurative infections), they are also classified as Yin Carbuncles. Although slightly less severe than those on the head, face, mouth, shoulders, or back, if treated improperly, they can still be fatal. Therefore, it is essential to differentiate their Yin or Yang nature for treatment. Generally speaking, Yang syndromes manifest with redness, swelling, and pain, making them easier to treat; Yin syndromes present with diffuse swelling, numbness, and itching, making them difficult to cure. For Yang syndromes, Sanxing Tang (Three Star Decoction) is appropriate, and the condition will resolve after one or two doses. However, this formula should not be used for Yin syndromes. Instead, one must greatly tonify Qi and Blood, supplemented by agents that resolve phlegm and transform toxins, to achieve efficacy. How can one claim that diseases of the hands and feet are not as critical as those of the heart and abdomen, and thus do not require tonification for deficiency?
Yin governs stillness, whereas the hands and feet are organs of extreme movement. The occurrence of a Yin Carbuncle in such a mobile area signifies a transformation from movement to stillness, which is an abnormal and dangerous deviation. One should certainly fear this! Moreover, moving towards stillness is a trend towards Yin. When Yang tends towards Yin, death is near. It is easy for Yang to revert to Yin, but difficult for Yin to revert to Yang. Who would dare to underestimate a carbuncle on the limbs? The prescribed formula is Xiaoyong Huan Yang Dan (Carbuncle-Resolving Yang-Returning Elixir):
* Bai Zhu (Atractylodis Rhizoma, 1 liang)
* Huang Qi (Astragali Radix, 1 liang)
* Ren Shen (Ginseng Radix, 3 qian)
* Tian Hua Fen (Trichosanthis Radix, 3 qian)
* Dang Gui (Angelicae Sinensis Radix, 5 qian)
* Jin Yin Hua (Lonicerae Japonicae Flos, 2 liang)
* Rou Gui (Cinnamomi Cortex, 1 qian)
* Ru Xiang (Olibanum, 1 qian)
* Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 qian)
Decoct in water and take orally. After one dose, the Yin syndrome transforms into Yang, changing from itching to pain; after two doses, the pain disappears completely; after three doses, the lesion vanishes entirely, without needing a fourth dose. This formula is similar to Shenxiao Tang (Miraculous Effect Decoction, known as Qisheng Tang in *Bianzheng Qiwen* and *Bianzheng Lu*), but its intent differs. Shenxiao Tang lacks Ru Xiang and Tian Hua Fen; it treats ulcerations and promotes flesh regeneration. In contrast, this formula treats lesions that have not yet ulcerated, facilitating internal resolution. The addition of Ru Xiang and Tian Hua Fen enhances the offensive power while maintaining protective strength.
Secret Formula:
Huan Yang Shen Dan treats arm carbuncles,
Bai Zhu and Huang Qi each one liang together.
Ren Shen and Tian Hua Fen three qian,
Dang Gui five qian, Jin Yin Hua two liang,
Rou Gui one qian follows suit,
Ru Xiang one qian, Gan Cao three qian,
Only suitable for Yang syndromes to take Sanxing Tang. *(Note: The original text contains a contradiction here, labeling the previous Yin-treating formula with a line suggesting it is for Yang/Sanxing Tang. Translated literally as per source.)*
This condition can also be treated with Zhuan Gong Tang (Turning Attack Decoction):
* Huang Qi (Astragali Radix, 2 liang)
* Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 qian)
* Bei Mu (Fritillariae Bulbus, 3 qian)
* Dang Gui (Angelicae Sinensis Radix, 1 liang)
* Bai Zhu (Atractylodis Rhizoma, 1 liang)
* Rou Gui (Cinnamomi Cortex, 1 qian)
* Yuan Zhi (Polygalae Radix, 5 qian)
* Zi Hua Di Ding (Violae Herba, 5 qian)
Decoct in water and take orally.
Secret Formula:
In Zhuan Gong Tang, two liang of Huang Qi,
Gan Cao and Bei Mu three qian, remove the heart,
Dang Gui and Bai Zhu one liang each,
Rou Gui one qian, followed by five qian of Yuan Zhi and Zi Hua Di Ding.