病者脉数，身无热，而反洒淅恶寒，若有痛处，背发其痈肿，欲知有脓无脓，以手掩肿
上，热者为有脓，不热为无脓，此亦大略说也。自有脉不数，不热而疼者。盖发于阴也，不
疼尤是恶证，不可不知。凡热盛脉数，即用漏芦，并单煮大黄等汤；不甚热，脉缓弱，只投
五香连翘汤。其它根据四节八事次序，及推三因以用药，未有不全济也。
治一切痈疽、发背、疖毒，恶候浸大，有死血阴毒在中，则不痛，敷之即痛；
有忧怒等气，积而内攻，则痛不可忍，敷之即不痛；或蕴热在内，热逼人，手不可近，敷之
即清凉；或气虚血冷，溃而不敛，敷之即敛。此本韩大夫宅用以救人极验，若七情内郁，不
问虚实寒热，治之必愈。
远志（不以多少，汤洗去，泥捶去心)
上一味，为末。酒一盏，调末三钱，迟顷澄清，饮之，以滓敷病处。
孙真人云∶缓急单煮大黄一味为汤，服即快利。此要法。
治服金石，及食炙爆、饮酒、房劳为痈疽，及诸恶疮疼痛。
甘草（半斤，生锉)
上一味，以水一斗，浸一宿，煎至五升以下，去滓，入银石器煎熬为膏，分二服，温酒
下，临卧一服，次日五更一服，当取下恶物为效。
治伤风寒暑湿，或泣或散，使气血滞凝，肉腐为脓，壅结成痈疽，随处发作。
大黄(蒸，一两） 木鳖(去壳切) 防风 枳壳 桔梗 甘草（各一分)
上为锉散。每服四大钱，水一盏，煎七分，去滓，入朴硝两钱重，煎熔，热服，得疏转
一两次，即服万金汤；若阴证，只服万金，不可用通圣双行也。
患者脉象数，身体没有发热，反而感到阵阵恶寒，如果有疼痛的部位，背部出现痈肿，想要知道是否有脓，用手按压肿胀处，感觉热的说明有脓，不热说明无脓，这也是一般性的说法。自然也有脉不数、不发热而疼痛的情况。这是因为病发于阴经，如果不疼更是恶证，不可不知道。凡是热盛脉数的，就使用漏芦，并单独煎煮大黄等汤剂；如果热势不甚，脉象缓弱，只投用五香连翘汤。其他情况根据前四节八事的次序，以及推究三因来用药，没有不能痊愈的。
治疗一切痈疽、发背、疖毒，症状严重恶化，体内有死血阴毒，则不痛，外敷药后就会痛；如果有忧怒等情志因素，积郁内攻，则疼痛难忍，外敷药后就不痛；或者蕴热在体内，热气逼人，手不能靠近，外敷药后即感清凉；或者气虚血冷，溃破后伤口不收敛，外敷药后即能收敛。这原本是韩大夫家中用来救人的极有效验的方法，如果是七情内郁，不论虚实寒热，治疗必定痊愈。
远志（用量不限，用汤水洗净，捣烂成泥后去掉心）
以上一味药，研为细末。用酒一盏，调取药末三钱，稍待片刻澄清，服用药液，将药渣敷在患处。
孙思邈说：急症时单煮大黄一味药为汤剂，服用后即能通畅大便。这是重要的方法。
治疗因服用金石类药物，以及食用炙烤爆炒食物、饮酒、房劳过度导致的痈疽，以及各种恶疮疼痛。
甘草（半斤，生切）
以上一味药，用水一斗，浸泡一夜，煎至五升以下，去渣，放入银器或石器中煎熬成膏，分两次服用，用温酒送下，临睡前服一次，第二天五更天服一次，应当排出恶物才算有效。
治疗因伤于风寒暑湿，或者哭泣或者散乱，导致气血滞凝，肌肉腐烂化为脓，壅结形成痈疽，随处发作。
大黄（蒸制，一两） 木鳖子（去壳切片） 防风 枳壳 桔梗 甘草（各一分）
以上药物锉碎成散剂。每次服用四大钱，用水一盏，煎至七分，去渣，加入朴硝两钱重，煎熔，热服，得到疏通转气一到两次后，就服用万金汤；如果是阴证，只服用万金汤，不可使用通圣双行汤。
The patient's pulse is rapid, the body has no fever, but instead feels chilly and aversion to cold. If there is a painful area, a carbuncle or ulcer appears on the back. To know whether pus is present or not, press the swollen area with your hand; if it feels hot, there is pus; if not hot, there is no pus. This is also a general statement. Naturally, there are cases where the pulse is not rapid, there is no fever, yet there is pain. This is because the disease originates from the Yin aspect. If there is no pain, it is even more of an ominous sign, which must not be ignored. Whenever heat is excessive and the pulse is rapid, use *Lulu* (Euphorbiae Humifusae Herba) and decoct *Dahuang* (Rhei Radix et Rhizoma) alone as a soup; if the heat is not severe and the pulse is slow and weak, administer only *Wuxiang Liaoqiao Tang* (Five-Aromatic Forsythia Decoction). Other situations should follow the sequence of the previous four sections and eight matters, and medications should be prescribed based on the deduction of the Three Causes (San Yin), without fail achieving full recovery.
Treat all carbuncles and ulcers (*Yong Ju*), back carbuncles (*Fa Bei*), and boils (*Jie Du*). When symptoms are severe and worsening, and there is dead blood and Yin toxin in the middle, there will be no pain; applying the plaster will cause pain. If there are internal attacks caused by accumulated emotions such as worry and anger, the pain will be unbearable; applying the plaster will relieve the pain. Or if heat is stored internally, pressing the area makes one's hand unable to bear the heat; applying the plaster brings immediate coolness. Or if Qi is deficient and Blood is cold, the ulcer does not heal after breaking open; applying the plaster promotes healing. This was originally used by Doctor Han's household to save people and is extremely effective. If the cause is internal depression of the Seven Emotions, regardless of deficiency/excess or cold/heat, treatment will surely result in recovery.
*Yuanzhi* (Polygalae Radix) (Amount unspecified, wash with decoction, remove residue, pound into paste, remove heart)
Take the above single herb, grind into powder. Mix three qian of powder with one cup of wine, let it settle for a while until clear, drink the liquid, and apply the dregs to the diseased area.
Sun Simiao said: In emergencies, decoct *Dahuang* (Rhei Radix et Rhizoma) alone as a soup; taking it leads to rapid bowel movement. This is an essential method.
Treat carbuncles and ulcers caused by taking mineral drugs, eating roasted/fried foods, drinking alcohol, or sexual exhaustion, as well as pain from various malignant sores.
*Gancao* (Licorice Root) (Half jin, raw and chopped)
Take the above single herb, soak in ten dou of water overnight, decoct until less than five sheng remain, remove dregs, boil down into a paste using silver or earthenware vessels. Divide into two doses, take with warm wine, one dose before bed, one dose at the fifth watch of the next day. The effect is achieved when foul matter is discharged.
Treat carbuncles and ulcers occurring anywhere due to injury from Wind, Cold, Summer-heat, and Dampness, or due to weeping or scattering, causing stagnation and coagulation of Qi and Blood, rotting of flesh into pus, and obstruction forming carbuncles and ulcers.
*Dahuang* (Rhei Radix et Rhizoma) (Steamed, one liang) *Mubiezi* (Semen Strychni) (Remove shell, slice) *Fangfeng* (Saposhnikoviae Radix) *Zhiqiao* (Aurantii Fructus Immaturus) *Jiegeng* (Platycodonis Radix) *Gancao* (Licorice Root) (Each one fen)
Grind the above into a coarse powder. For each dose, take four da qian, add one cup of water, decoct to seven-tenths, remove dregs, add two qian of *Puxiao* (Natrii Sulfas), melt, and take hot. After obtaining loose stools or gas passage one or two times, then take *Wanjintang* (Ten-Thousand-Gold Decoction); if it is a Yin syndrome, only take *Wanjintang*, do not use *Tongsheng Shuangxing Tang*.