痈疽只是热胜血。六阳经，六阴经，有多气少血者，有少气多血者，有多气多血
者，不可一概论也。若夫要害处近虚怯薄处，前哲已曾论及。惟分经之言未闻，诸经惟少阳
厥阴经生痈疽，理宜预防，以其多气少血，肌肉难长，疮久未合，必成死症。遽用驱毒利
药，以伐其阴分之血，祸不旋踵。阳滞于阴，脉浮洪弦数；阴滞于阳，脉沉细弱涩。阳滞以
寒治之，阴滞以热治之。人中年以后，不可生痈，才有痛肿，参之脉证，但见虚弱，便与滋
补气血，可保终吉。若用寻常驱热拔毒纾气之药，虚虚之祸，如指诸掌。内托之法，河间治
肿于外，根盘不深，形证在表，其脉多浮，病在皮肉，非气盛则必侵于内，急须内托以救
其里，宜复煎散，除温散郁，使胃气和平。如或未已，再煎半料饮之。如大便秘及烦热，少
服黄连汤。如微利及烦热已退却，与复煎散半两。如此，使荣卫俱行，邪气不能内伤也。然
世俗多用排脓内补十宣散，若用之于此小疮与冬月时令即可。若溃疡于夏月用之，其桂朴之
温散，佐以防风、白芷，吾恐虽有参、 ，难为倚仗。一妇年七十，形实性急而好酒，脑生
疽，才五日，脉紧急且涩，急用大黄酒煨细切，酒拌炒为末。又洒拌人参炒，入姜煎，调一
钱重。又两时再与。得睡而上半身汗，睡觉病已失。此内托之意。又一男子，年五十，形实色
黑，背生红肿，及胛骨下痛，其脉浮数而洪紧，食亦呕。正冬月，与麻黄桂枝汤加酒黄柏、
生附、栝蒌子、甘草节、羌活、青皮、人参、黄芩、半夏、生姜，六帖而消。此正内托之法
，非《精要》内托散、乳香、绿豆等药。想此方专为服丹石而发疽者设，不因丹石而发，恐
非必用
宽
肠痈，大肠有痰积死血流注，桃仁承气汤加连翘、秦艽。近肛门破入风者难治，防风之
乳痈，乳房阳明所经，乳头厥阴所属。乳子之母，不知调养，怒忿所逆，郁闷所遏，浓味所
酿，以致厥阴之气不行，故窍不得通而汁不得出；阳明之血沸腾，故热甚而化脓。亦有所
之子，膈有滞痰，口气 热，合乳而睡，热气所吹，遂生结核。于初起时，便须忍痛，揉令
稍软，吮令汁透，自可消散。失此不治，必成痈疖。治法∶疏厥阴之滞，以青皮；清阳明之热
，细研石膏；行污浊之血，以生甘草之节；消肿导毒，
以栝蒌子，或加没药、青橘叶、皂角刺、金银花、当归。或汤或散，或加减，随意消息，
须以少酒佐之。若加以艾火两三壮于肿处，其效尤捷。不可辄用针刀，必至危困。若不得于
夫，不得于舅姑，忧怒郁闷，昕夕累积，脾气消阻，肝气横逆，遂成隐核，如大棋子，不痛
不痒。数十年后，方为疮陷，名曰奶岩，以其疮形嵌凹
似岩穴也。不可治矣。若于始生之际，便能消释病根，使心清神安，然后施之治法，亦有
可安之理。
乳痈方。
青皮 栝蒌 橘叶 连翘 桃仁 皂角刺 甘草节 （破多加参、 ）
上以水煎。入酒服。
乳痈奶劳 肿
石膏（ ） 桦皮（烧） 栝蒌子 甘草节 青皮
上以水煎服。
治乳有核
南星 贝母 甘草节 栝蒌（各一两） 连翘（半两）
上以水煎。入酒服。
又方
人参 黄 川芎 当归 青皮 连翘 栝蒌 白芍 甘草节
乳岩小破，加柴胡、川芎。上以水煎，入酒服。
乳硬痛
没药（一钱） 甘草（三钱） 当归（三钱）
上作一服，水煎，入酒少许，热饮。
吹奶。
金银花 大荞麦 紫葛藤（等分）
上以醋煎。洗患处立消。如无下二物，只金银花亦可。
乳栗破 少有破，必大补。
人参 黄 白术 当归 川芎 连翘 白芍 甘草节
上以水煎服。
附骨痈
热在血分之极细，初觉，先以青皮、甘草节。后破当养血。初腿肿，以人参、黄连、茯
苓各二钱，栝蒌子四十八粒，作二帖，入竹沥，热饮之。
治环跳穴痛不已，防生附骨疽。
以苍术佐黄柏之辛，行以青皮，冬月加桂枝，夏月加条子芩，体虚者加牛膝，以生甘草
为使，大料煎。入姜汁带辣，食前饮之。病深者恐术、柏、桂枝十数帖，发不动，加少麻黄，
二三帖又不动，恐痈将成矣。急掘地坑，以火 红，沃以小便，赤体坐其上，以被席围抱下
截，使热气重蒸，腠理开，气血畅而愈。
铁围散 治痈疽肿毒。
乳香 没药（半两） 大黄 黄柏 黄连 南星 半夏 防风 皂角刺 木鳖子 栝蒌 甘
草节 草乌 阿胶
上为末，醋调成膏。砂石器内火熬黑色，鹅翎敷之。
围药 诸般痈疽，敷上消散。
乳香 没药 大黄 连翘 黄芩 黄连 黄柏 南星 半夏 防风 羌活 栝蒌 阿胶
上研为细末，好醋煎黑色成膏。寒者热用，热者寒用。
围药铁井栏
贝母 南星（各七钱） 连翘 五倍子 经霜芙蓉叶（各一两）
上碾为细末。用水调敷四向肿处，止留中间一窍出毒瓦斯。
隔皮取脓法
驴蹄（细切，一两） 荞麦面（一两） 白盐（半两） 草乌（四钱,去皮）
上为末，水调作饼子，慢
火炙微黄色，出火毒，研末，醋调成膏。用白纸摊贴患处，水自毛孔而出，其肿自退。
骑马痈
用大粉草带节四两，长流水一碗，以甘草淬焙水尽为末，入皂角炭少许，作四服，汤调
顿服效。
又方
甘草节、白芷、黄连，破者龙骨、枯矾、赤石脂并用。
敷疽疖方
草乌 黄连 紫荆皮 白芷 大黄 芙蓉皮 朴硝 糯米（各等分）
上为末，蜜水调敷。如疮盛，以蜜调雄黄末，围定疮穴，大小前后敷前药末。
一人肛门生疖，久不收口，有针窍三孔，劳力则有脓。
黄 条芩 连翘 秦艽
上为末，神曲糊为丸。
取朽骨，久疽及痔漏者有之。
取乌骨鸡胫骨，以上等雌黄实之，盐泥固济，火 通红，取出地上，出火毒，去泥，用
骨研细，饭丸如粟大。以纸捻送入孔中窍内，更用膏药贴之。
便毒
山栀子 大黄 乳香 没药 当归（五分） 栝蒌仁（三钱） 代赭石（一钱）
上作一服煎。
又方
木鳖子 大黄 栝蒌 桃仁 草龙胆
上 咀。浓煎，露星月一宿，清早温服，立愈。
又方，白僵蚕、槐花为末，酒调服，一方加酒大黄。
附方
消毒饮 治便毒初发，三四日可消。
皂角刺 金银花 防风 当归 大黄 甘草节 栝蒌仁（等分）
上 咀。水酒各半煎，食前温服。仍频提掣顶中发
《机要》内托复煎散 痈疽托里健胃。
地骨皮 黄芩 茯苓 白芍 人参 黄 白术 桂 甘草 防己 当归（各一两） 防风
上 咀。先以苍术一斤，水五升，煎至三升，去术，
入前十二味，再煎，至三四盏，取清汁，分三四次，终日饮之。又煎苍术渣
渣，根据前又煎前十二味渣，分饮之。
内疏黄连汤 治疮皮色肿硬，发热而呕，大便闭，脉洪实者。
黄连 芍药 当归 槟榔 木香 黄芩 栀子 薄荷 桔梗 甘草（各一两） 连翘（二两）
大黄（二两半）
上 咀。每服一两，入姜煎。
痈疽（体表化脓性感染）仅仅是热邪胜过血分所致。六条阳经和六条阴经中，有的经脉多气少血，有的少气多血，有的多气多血，不能一概而论。至于那些位于要害部位、靠近虚弱薄弱之处的痈疽，前代医家已经论述过了。只是关于按经络分类的论述未曾听闻。各条经络中，只有少阳经和厥阴经发生痈疽时，按理应当预防，因为这两条经络多气少血，肌肉难以生长，疮口长久不愈合，必然导致死亡。如果仓促使用驱除毒邪、通利大便的药物，来攻伐阴分的血液，灾祸很快就会降临。阳气阻滞于阴分，脉象表现为浮、洪、弦、数；阴气阻滞于阳分，脉象表现为沉、细、弱、涩。阳气阻滞用寒凉药治疗，阴气阻滞用温热药治疗。人到了中年以后，不应当生痈疽，一旦出现痛肿，结合脉象和症状参看，只要见到虚弱的表现，就给予滋补气血的药物，可以保证最终吉利。如果使用寻常清热拔毒理气的药物，造成虚上加虚的祸患，就像指着手掌一样明显。内托法（通过补益正气使毒邪外透的方法），河间先生治疗外部肿胀，根盘不深，形证在表，脉象多浮，病位在皮肉之间，如果不是正气旺盛，毒邪必然会侵入内部，急需内托法来救助里部，适宜使用复煎散，以温散郁结之气，使胃气平和。如果病情仍未停止，再煎服半剂饮用。如果大便秘结且烦热，少量服用黄连汤。如果轻微腹泻且烦热已退，给予复煎散半两。这样，可以使营卫之气共同运行，邪气不能内伤身体。然而世俗之人多用排脓内补十宣散，如果用于这种小疮且在冬季时令是可以的。如果在夏季溃疡时使用，其中桂枝、厚朴的温散作用，配合防风、白芷，我担心虽然有参、芪等补气药，也难以依靠。一位七十岁的妇女，形体壮实性格急躁且好喝酒，头部生疽，才五天，脉象紧急且涩，急忙用大黄酒煨后细切，用酒拌炒成末。又洒上人参拌炒，加入生姜煎煮，调成一钱重的剂量服用。两个时辰后再给一次。患者睡着后上半身出汗，醒来后病就好了。这就是内托法的意旨。又有一位男子，五十岁，形体壮实肤色黑，背部生红肿，及肩胛骨下疼痛，脉象浮数而洪紧，进食也呕吐。正值冬季，给予麻黄桂枝汤加酒制黄柏、生附子、栝蒌子、甘草节、羌活、青皮、人参、黄芩、半夏、生姜，六帖药后消散。这正是内托法，不是《精要》中的内托散、乳香、绿豆等药。想这个方子是专门为服用丹石类药物后发疽的人设立的，如果不是因服用丹石而发的，恐怕不一定非要用。
肠痈（肠道化脓性疾病），大肠有痰积死血流注，用桃仁承气汤加连翘、秦艽。靠近肛门破溃并受风邪侵袭的难治。
乳痈（乳房急性化脓性感染），乳房是阳明经所经过的地方，乳头属于厥阴经管辖。哺乳期的母亲，不懂得调养，因愤怒情绪逆乱，郁闷气机受阻，浓味食物酿生湿热，导致厥阴经的气机不行，所以乳窍不通而乳汁不得流出；阳明经的血分沸腾，所以热盛而化脓。也有因为婴儿膈间有停滞的痰湿，口气热，含着乳头睡觉，热气吹入，于是产生结核。在初起时，就必须忍住疼痛，揉捏使其稍软，吮吸使乳汁通透，自然可以消散。错过此时不治疗，必然成为痈疖。治疗方法：疏泄厥阴经的郁滞，用青皮；清泻阳明经的热邪，细研石膏；行污浊之血，用生甘草节；消肿导毒，用栝蒌子，或者加没药、青橘叶、皂角刺、金银花、当归。或者汤剂或者散剂，或者加减，随意斟酌，必须用少量酒佐助。如果在肿处施灸两三壮，效果尤其快捷。不可轻易使用针刀，必然导致危险困顿。如果对丈夫不满，对公婆不顺，忧怒郁闷，早晚累积，脾气消阻，肝气横逆，于是形成隐核，像大棋子一样，不痛不痒。几十年后，才变成疮陷，名叫奶岩，因为疮形嵌凹似岩穴。不可治愈了。如果在刚生成之际，就能消除病根，使心境清明精神安宁，然后施加治疗方法，也有安愈的道理。
乳痈方。
青皮 栝蒌 橘叶 连翘 桃仁 皂角刺 甘草节 （破损多加参、芪）
以上用水煎煮。加入酒服用。
乳痈奶劳 肿
石膏 桦皮（烧焦） 栝蒌子 甘草节 青皮
以上用水煎服。
治乳有核
南星 贝母 甘草节 栝蒌（各一两） 连翘（半两）
以上用水煎煮。加入酒服用。
又方
人参 黄芪 川芎 当归 青皮 连翘 栝蒌 白芍 甘草节
乳岩（乳腺癌）小破，加柴胡、川芎。以上用水煎煮，加入酒服用。
乳硬痛
没药（一钱） 甘草（三钱） 当归（三钱）
以上作一服，水煎，加入少许酒，热饮。
吹奶（乳汁淤积）。
金银花 大荞麦 紫葛藤（等分）
以上用醋煎煮。洗患处立即消散。如果没有后两种药，只用金银花也可以。
乳栗破 稍有破溃，必须大补。
人参 黄芪 白术 当归 川芎 连翘 白芍 甘草节
以上用水煎服。
附骨痈（深部脓肿）
热邪在血分的极细微处，初觉时，先用青皮、甘草节。后来破溃应当养血。初起腿肿，用人参、黄连、茯苓各二钱，栝蒌子四十八粒，作两帖，加入竹沥，热饮。
治环跳穴痛不已，防止生附骨疽。
用苍术辅助黄柏的辛味，行气用青皮，冬季加桂枝，夏季加条芩，体虚者加牛膝，以生甘草为使药，大量煎煮。加入姜汁带辣味，饭前饮用。病深者恐怕苍术、黄柏、桂枝十几帖，发不出来，加少量麻黄，二三帖又不动，恐怕痈将要形成了。急忙挖地坑，用火烤红，浇上小便，赤身坐在上面，用被席围抱下半截，使热气重蒸，腠理开泄，气血通畅而痊愈。
铁围散 治疗痈疽肿毒。
乳香 没药（半两） 大黄 黄柏 黄连 南星 半夏 防风 皂角刺 木鳖子 栝蒌 甘草节 草乌 阿胶
以上研为末，醋调成膏。在砂石器内火熬至黑色，用鹅毛翎敷涂。
围药 各种痈疽，敷上消散。
乳香 没药 大黄 连翘 黄芩 黄连 黄柏 南星 半夏 防风 羌活 栝蒌 阿胶
以上研为细末，好醋煎至黑色成膏。寒证热用，热证寒用。
围药铁井栏
贝母 南星（各七钱） 连翘 五倍子 经霜芙蓉叶（各一两）
以上碾为细末。用水调敷四周肿处，只留中间一个孔排出毒瓦斯。
隔皮取脓法
驴蹄（细切，一两） 荞麦面（一两） 白盐（半两） 草乌（四钱,去皮）
以上研为末，水调作饼子，慢火炙微黄色，去火毒，研末，醋调成膏。用白纸摊贴患处，水从毛孔而出，其肿自退。
骑马痈（跨马痈，会阴部脓肿）
用大粉草带节四两，长流水一碗，用甘草淬焙水尽为末，入皂角炭少许，作四服，汤调顿服效。
敷疽疖方
草乌 黄连 紫荆皮 白芷 大黄 芙蓉皮 朴硝 糯米（各等分）
以上研为末，蜜水调敷。如疮势盛，用蜜调雄黄末，围定疮穴，大小前后敷前药末。
一人肛门生疖，久不收口，有针窍三孔，劳力则有脓。
黄芪 条芩 连翘 秦艽
以上研为末，神曲糊为丸。
取朽骨，久疽及痔漏者有之。
取乌骨鸡胫骨，以上等雌黄充实其中，盐泥固封，火烤通红，取出地上，去火毒，去泥，用骨研细，饭丸如粟米大。用纸捻送入孔中窍内，再用膏药贴之。
便毒（腹股沟淋巴结炎）
山栀子 大黄 乳香 没药 当归（五分） 栝蒌仁（三钱） 代赭石（一钱）
以上作一服煎煮。
又方
木鳖子 大黄 栝蒌 桃仁 草龙胆
以上切碎。浓煎，露星月一夜，清早温服，立愈。
附方
消毒饮 治疗便毒初发，三四日可消。
皂角刺 金银花 防风 当归 大黄 甘草节 栝蒌仁（等分）
以上切碎。水酒各半煎，食前温服。仍频繁提掣顶中头发
《机要》内托复煎散 痈疽托里健胃。
地骨皮 黄芩 茯苓 白芍 人参 黄芪 白术 桂枝 甘草 防己 当归（各一两） 防风
以上切碎。先以苍术一斤，水五升，煎至三升，去苍术，
入前十二味，再煎，至三四盏，取清汁，分三四次，终日饮之。又煎苍术渣，
根据前法又煎前十二味渣，分饮之。
内疏黄连汤 治疗疮皮色肿硬，发热而呕，大便闭，脉洪实者。
黄连 芍药 当归 槟榔 木香 黄芩 栀子 薄荷 桔梗 甘草（各一两） 连翘（二两）
大黄（二两半）
以上切碎。每服一两，入姜煎。
Carbuncles and sores (superficial purulent infections) are merely caused by heat pathogen overcoming the blood level. Among the six Yang meridians and six Yin meridians, some have abundant Qi and scarce Blood, some have scarce Qi and abundant Blood, and some have abundant Qi and abundant Blood; they cannot be generalized. As for carbuncles and sores occurring in vital areas near deficient or thin regions, this has been discussed by past sages. However, discussions on classification by meridian have not been heard of. Among all meridians, only when carbuncles and sores occur in the Shaoyang (Gallbladder/San Jiao) and Jueyin (Liver/Pericardium) meridians should prevention be considered, because these two meridians have abundant Qi and scarce Blood, making muscle growth difficult. If ulcers remain unhealed for a long time, they will inevitably become fatal conditions. Hasty use of drugs to expel toxins and promote bowel movements to attack the Blood of the Yin aspect will bring disaster swiftly. When Yang stagnates in Yin, the pulse is floating, surging, wiry, and rapid; when Yin stagnates in Yang, the pulse is deep, fine, weak, and choppy. Stagnation of Yang is treated with cold-natured drugs, and stagnation of Yin is treated with hot-natured drugs. After middle age, one should not develop carbuncles and sores. Once pain and swelling appear, referring to the pulse and symptoms, if weakness is observed, tonifying Qi and Blood can ensure a favorable outcome. Using common heat-clearing, toxin-extracting, and Qi-regulating drugs would cause the disaster of deficiency upon deficiency, which is as clear as pointing at one's palm. The internal support method (a technique using tonification to push toxins outward), Hejian treated external swelling where the root base was shallow and the signs were superficial, with pulses often floating, indicating the disease was in the skin and flesh. Unless Qi is abundant, the toxin will inevitably invade internally; urgent internal support is needed to rescue the interior. Fupian San (Decoction for Repeated Decoction) is suitable to warm and disperse stagnant Qi, harmonizing the Stomach Qi. If the condition persists, half a dose can be decocted and drunk again. If there is constipation and irritability, a small amount of Huanglian Tang (Coptis Decoction) can be taken. If there is mild diarrhea and the irritability has subsided, give half an ounce of Fupian San. This allows Ying (Nutritive) and Wei (Defensive) Qi to circulate together, preventing the pathogen from damaging the interior. However, laypeople often use Paiong Neibu Shixuan San (Ten-Vitality Powder for Draining Pus and Internal Tonification). Using this for such minor sores in winter is acceptable. But using it for ulcers in summer, the warming and dispersing properties of Guizhi (Cinnamon Twig) and Houpo (Magnolia Bark), assisted by Fangfeng (Saposhnikovia Root) and Baizhi (Angelica Dahurica), I fear that despite the presence of Renshen (Ginseng) and Huangqi (Astragalus), reliance on them may be futile. A seventy-year-old woman, physically robust, irritable, and fond of alcohol, developed a carbuncle on her head. After five days, her pulse was urgent and choppy. Urgently, Dahuang (Rhubarb) was wine-steamed, finely sliced, stir-fried with wine into powder. Then, Ren Shen (Ginseng) was sprinkled with wine and stir-fried, added with Shengjiang (Fresh Ginger), decocted, and one qian (approx. 3-5g) was mixed and administered. Two hours later, another dose was given. She slept, sweated on her upper body, and upon waking, the illness had vanished. This illustrates the intent of the internal support method. Another man, fifty years old, robust and dark-skinned, developed red swelling on his back and pain under his scapula. His pulse was floating, rapid, surging, and tight, and he vomited after eating. It was mid-winter. Mahuang Guizhi Tang (Ephedra and Cinnamon Twig Decoction) was prescribed with Jiuhuangbai (Wine-processed Phellodendron), Sheng Fuzi (Raw Aconite), Gualouzi (Trichosanthes Seed), Gancaojie (Licorice Joint), Qianghuo (Notopterygium Root), Qingpi (Green Tangerina Peel), Renshen (Ginseng), Huangqin (Scutellaria Root), Banxia (Pinellia Rhizome), and Shengjiang (Fresh Ginger). Six doses led to resolution. This is indeed the internal support method, not the Neituo San (Internal Support Powder) from Jingyao, nor drugs like Rushi (Frankincense) and Ludou (Mung Bean). Presumably, this formula was designed specifically for those who developed sores after taking Dan Shi (mineral pills). For those not caused by mineral pills, its necessity is doubtful.
Intestinal abscess (purulent disease of the intestine): Phlegm accumulation and dead blood flow into the Large Intestine. Taoren Chengqi Tang (Peach Kernel and Magnolia Bark Decoction) plus Lianqiao (Forsythia) and Qinjiao (Gentiana Macrophylla). Difficult to treat if it breaks near the anus and is exposed to wind.
Breast abscess (acute purulent infection of the breast): The breast is traversed by the Yangming (Stomach/Large Intestine) meridians, and the nipple belongs to the Jueyin (Liver/Pericardium) meridians. Nursing mothers who do not know how to regulate themselves may suffer from reversed emotions due to anger, blocked Qi due to depression, and damp-heat generated by rich foods. This causes the Qi of the Jueyin meridian to stagnate, so the ducts do not open and milk cannot exit; the Blood of the Yangming meridian boils, causing severe heat and pus formation. There are also cases where an infant has phlegm stagnation in the diaphragm and hot breath, sleeping with the nipple in their mouth, blowing hot air into the breast, leading to nodules. At the initial stage, one must endure pain, massage until slightly soft, and suck to ensure milk flows freely, allowing natural resolution. If neglected, it will become a boil or furuncle. Treatment: Disperse Jueyin stagnation with Qingpi (Green Tangerina Peel); clear Yangming heat with finely ground Shigao (Gypsum); move turbid blood with Gancao jie (Licorice Joint); reduce swelling and guide out toxins with Gualouzi (Trichosanthes Seed), optionally adding Moyao (Myrrh), Qing Juye (Green Orange Leaf), Zaojiaoci (Gleditsia Spine), Jinyinhua (Honeysuckle), and Danggui (Angelica Sinensis). Whether as decoction or powder, with modifications as needed, always assist with a small amount of wine. Applying moxibustion (two or three cones) on the swelling yields especially quick results. Needles and knives should not be used rashly, as this leads to critical danger. If one feels wronged by the husband or parents-in-law, accumulating sorrow and anger day and night, Spleen Qi becomes obstructed, Liver Qi rebels horizontally, forming hidden nodules like large chess pieces, painless and itchless. Decades later, it becomes a sunken sore named Naiyan (Breast Rock/Cancer), because the sore shape is concave like a rock cave. It is incurable. If at the very beginning, the root of the disease can be resolved, calming the mind and spirit, and then applying treatment, recovery is possible.
Formula for Breast Abscess.
Qingpi (Green Tangerina Peel), Gualou (Trichosanthes Fruit), Juye (Orange Leaf), Lianqiao (Forsythia), Taoren (Peach Kernel), Zaojiaoci (Gleditsia Spine), Gancao jie (Licorice Joint). (If ulcerated, add more Renshen [Ginseng] and Huangqi [Astragalus]).
Decoct with water. Take with wine.
Breast Abscess and Milk Stasis Swelling.
Shigao (Gypsum), Huapi (Birch Bark, burnt), Gualouzi (Trichosanthes Seed), Gancao jie (Licorice Joint), Qingpi (Green Tangerina Peel).
Decoct with water and take.
Treating Nodules in the Breast.
Nanxing (Arisaema Rhizome), Beimu (Fritillaria Bulb), Gancao jie (Licorice Joint), Gualou (Trichosanthes Fruit, each 1 liang), Lianqiao (Forsythia, 0.5 liang).
Decoct with water. Take with wine.
Another Formula.
Renshen (Ginseng), Huangqi (Astragalus), Chuanxiong (Ligusticum), Danggui (Angelica Sinensis), Qingpi (Green Tangerina Peel), Lianqiao (Forsythia), Gualou (Trichosanthes Fruit), Baishao (White Peony Root), Gancao jie (Licorice Joint).
For early-stage Breast Cancer (Naiyan) with slight ulceration, add Chaihu (Bupleurum) and Chuanxiong (Ligusticum). Decoct with water. Take with wine.
Hard and Painful Breast.
Moyao (Myrrh, 1 qian), Gancao (Licorice, 3 qian), Danggui (Angelica Sinensis, 3 qian).
Prepare as one dose, decoct with water, add a little wine, and drink hot.
Blowing Milk (Milk Stasis).
Jinyinhua (Honeysuckle), Da Qiaomai (Buckwheat Herb), Zi Gengteng (Polygonum Vine, equal parts).
Decoct with vinegar. Wash the affected area for immediate resolution. If the latter two are unavailable, only Jinyinhua (Honeysuckle) can be used.
Ulcerated Breast Nodule: Slight ulceration requires strong tonification.
Renshen (Ginseng), Huangqi (Astragalus), Baizhu (Atractylodes Macrocephala), Danggui (Angelica Sinensis), Chuanxiong (Ligusticum), Lianqiao (Forsythia), Baishao (White Peony Root), Gancao jie (Licorice Joint).
Decoct with water and take.
Parosteal Abscess (Deep Abscess).
Heat in the finest aspects of the Blood level. At the first sign, use Qingpi (Green Tangerina Peel) and Gancao jie (Licorice Joint). After ulceration, nourish the Blood. For initial leg swelling, use Renshen (Ginseng), Huanglian (Coptis), and Fuling (Poria, each 2 qian), plus 48 Gualouzi (Trichosanthes Seeds), prepared as two doses, added with Zhuli (Bamboo Sap), and drunk hot.
Treating Persistent Pain at the Huantiao Acupoint to Prevent Parosteal Carbuncle.
Use Cangzhu (Atractylodes Lancea) to assist the pungency of Huangbai (Phellodendron), move Qi with Qingpi (Green Tangerina Peel). Add Guizhi (Cinnamon Twig) in winter, Tiaohuangqin (Scutellaria) in summer, and Niuxi (Achyranthes Root) for the deficient. Use Gancao jie (Licorice Joint) as the guiding herb. Decoct in large quantities. Add Jiangzhi (Ginger Juice) for spiciness, drink before meals. If the disease is deep, ten or more doses of Cangzhu, Huangbai, and Guizhi may fail to induce sweating. Add a small amount of Mahuang (Ephedra). If still ineffective after two or three doses, the abscess may be forming. Dig a pit, heat it with fire until red, pour urine on it, sit naked on it, surround the lower body with blankets to create intense steam, opening the pores, promoting Qi and Blood circulation, leading to cure.
Tiewei San (Iron Encirclement Powder) for Treating Carbuncles, Sores, and Swelling.
Ruxiang (Frankincense), Moyao (Myrrh, 0.5 liang), Dahuang (Rhubarb), Huangbai (Phellodendron), Huanglian (Coptis), Nanxing (Arisaema Rhizome), Banxia (Pinellia Rhizome), Fangfeng (Saposhnikovia Root), Zaojiaoci (Gleditsia Spine), Mubiezi (Strychnos Seed), Gualou (Trichosanthes Fruit), Gancao jie (Licorice Joint), Caowu (Aconitum Kusnezoffii), Ejiao (Donkey-hide Gelatin).
Grind into powder, mix with vinegar to form a paste. Boil in a stone vessel until black. Apply with a goose feather.
Encircling Medicine for Various Carbuncles and Sores to Dissolve Swelling.
Ruxiang (Frankincense), Moyao (Myrrh), Dahuang (Rhubarb), Lianqiao (Forsythia), Huangqin (Scutellaria Root), Huanglian (Coptis), Huangbai (Phellodendron), Nanxing (Arisaema Rhizome), Banxia (Pinellia Rhizome), Fangfeng (Saposhnikovia Root), Qianghuo (Notopterygium Root), Gualou (Trichosanthes Fruit), Ejiao (Donkey-hide Gelatin).
Grind into fine powder, decoct with good vinegar until black and paste-like. Use hot for cold patterns, cold for heat patterns.
Encircling Medicine Tiejinglan.
Beimu (Fritillaria Bulb), Nanxing (Arisaema Rhizome, each 7 qian), Lianqiao (Forsythia), Wubeizi (Chinese Gall), Jingshuang Furongye (Hibiscus Leaves after frost, each 1 liang).
Grind into fine powder. Mix with water and apply around the swollen area, leaving only one hole in the center to drain toxic vapors.
Method to Extract Pus Through the Skin.
Lvti (Donkey Hoof, finely sliced, 1 liang), Qiaomaimian (Buckwheat Flour, 1 liang), Baixian (White Salt, 0.5 liang), Caowu (Aconitum Kusnezoffii, peeled, 4 qian).
Grind into powder, mix with water to make cakes. Slowly roast until slightly yellow, remove fire toxicity, grind into powder, mix with vinegar to form a paste. Spread on white paper and apply to the affected area. Water will exude from pores, and swelling will subside.
Qima Yong (Cross-Horse Abscess, Perineal Abscess).
Use 4 liang of thick Licorice with nodes. With one bowl of running water, process the Licorice by quenching and roasting until water is gone, grind into powder. Add a little Zaojiaotan (Gleditsia Charcoal). Divide into four doses. Take with decoction for effect.
Another Formula.
Gancaojie (Licorice Joint), Baizhi (Angelica Dahurica), Huanglian (Coptis). For ulcerated lesions, add Longgu (Fossil Bone), Kufan (Alum), and Chishizhi (Red Halloysite).
Paste for Carbuncles and Furuncles.
Caowu (Aconitum Kusnezoffii), Huanglian (Coptis), Zijingpi (Bauhinia Bark), Baizhi (Angelica Dahurica), Dahuang (Rhubarb), Furongpi (Hibiscus Bark), Poxiao (Mirabilite), Nuomi (Glutinous Rice, equal parts).
Grind into powder. Mix with honey water and apply. If the sore is severe, mix Xionghuang (Realgar) powder with honey to encircle the sore, then apply the previous powder around it.
Case: A person had a furuncle at the anus that did not heal for a long time, with three needle-sized openings, producing pus upon exertion.
Huangqi (Astragalus), Tiaohuangqin (Scutellaria Root), Lianqiao (Forsythia), Qinjiao (Gentiana Macrophylla).
Grind into powder. Make pills with Shenqu (Medicated Leaven) paste.
Extracting Necrotic Bone: Occurs in chronic carbuncles and fistulas.
Take the tibia of a black-bone hen, fill it with high-quality Yihuang (Realgar), seal with salt mud, roast over fire until red-hot. Remove from ground, eliminate fire toxicity, remove mud, grind the bone into fine powder. Make pills the size of millet grains using rice paste. Insert into the sinus tract using a paper wick, and apply a plaster.
Biandu (Inguinal Abscess).
Shanzhizi (Gardenia Fruit), Dahuang (Rhubarb), Ruxiang (Frankincense), Moyao (Myrrh), Danggui (Angelica Sinensis, 5 fen), Gualouren (Trichosanthes Seed, 3 qian), Daizheshi (Haematite, 1 qian).
Prepare as one dose and decoct.
Another Formula.
Mubiezi (Strychnos Seed), Dahuang (Rhubarb), Gualou (Trichosanthes Fruit), Taoren (Peach Kernel), Caolongdan (Gentiana Scabra).
Chop coarsely. Decoct strongly, leave exposed to stars and moon overnight, take warm in the early morning for immediate cure.
Another Formula: Baijiangcan (Silkworm) and Huaihua (Sophora Flower) ground into powder, taken with wine. One variation adds Jiudahuang (Wine-processed Rhubarb).
Appendix Formulas.
Xiaodu Yin (Detoxification Drink) for early-stage Biandu, effective within 3-4 days.
Zaojiaoci (Gleditsia Spine), Jinyinhua (Honeysuckle), Fangfeng (Saposhnikovia Root), Danggui (Angelica Sinensis), Dahuang (Rhubarb), Gancao jie (Licorice Joint), Gualouren (Trichosanthes Seed, equal parts).
Chop coarsely. Decoct with half water and half wine. Take warm before meals. Frequently pull the hair on the vertex.
Neituo Fupian San (Internal Support Repeated Decoction Powder) from "Jiyao" for strengthening the stomach and supporting the interior in carbuncles and sores.
Digupi (Groundcherry Root Bark), Huangqin (Scutellaria Root), Fuling (Poria), Baishao (White Peony Root), Renshen (Ginseng), Huangqi (Astragalus), Baizhu (Atractylodes Macrocephala), Guizhi (Cinnamon Twig), Gancao (Licorice), Fangji (Stephania Root), Danggui (Angelica Sinensis, each 1 liang), Fangfeng (Saposhnikovia Root).
Chop coarsely. First, decoct 1 jin of Cangzhu (Atractylodes Lancea) in 5 sheng of water until reduced to 3 sheng. Remove Cangzhu. Add the previous twelve herbs. Decoct again until 3-4 zhan (cups). Take the clear juice, divided into 3-4 doses, drinking throughout the day. Also decoct the Cangzhu dregs, and according to the previous method, decoct the dregs of the twelve herbs, dividing them for drinking.
Neishu Huanglian Tang (Internal Draining Coptis Decoction) for sores with hard, swollen skin, fever, vomiting, constipation, and surging-full pulse.
Huanglian (Coptis), Shaoyao (Peony Root), Danggui (Angelica Sinensis), Binglang (Betel Nut), Muxiang (Aucklandia Root), Huangqin (Scutellaria Root), Zhizi (Gardenia Fruit), Bohe (Mint), Jiegeng (Platycodon Root), Gancao (Licorice, each 1 liang), Lianqiao (Forsythia, 2 liang), Dahuang (Rhubarb, 2.5 liang).
Chop coarsely. Each dose 1 liang, decoct with ginger.