1．甘露消毒丹(叶香岩方)：又名普济解毒丹。王孟英谓此系治湿温时疫之主方，能治发热倦怠，胸闷腹胀，肢痠咽肿，癍疹身黄，颐肿口渴，溺赤便秘，吐泻疟痢，淋浊疮疡。凡暑湿时疫之邪在气分，舌苔淡白、或厚腻、或干黄者，均较有效。
方药组成及用法：飞滑石十五两绵茵陈十一两淡黄芩十两石菖蒲六两川贝母、木通各五两藿香、射干、连翘、薄荷、白豆蔻各四两各药晒燥，生研为末。每服三钱，开水冲服，一日二次。或以神曲糊丸，如弹子大，开水化服亦可。
王孟英曰：每年春分以后，天乃渐温；芒种以后，地乃渐湿。温湿蒸腾，更加烈日之暑，烁石流金，人在气交之中，口鼻吸受其气，留而不去，乃成湿温疫疠之病。初起尚在气分时，悉以此丹治之，立效。
2．三仁汤(《温病条辨》方)：治头痛恶寒，舌白不渴，脉弦细而濡，面色淡黄，胸闷不饥，午后高热，证若阴虚。
方药组成及用法：杏仁三钱飞滑石六钱白通草二钱白蔻仁二钱厚朴二钱生薏苡仁六钱半夏五钱竹叶二钱甘澜水八碗上药以甘澜水八碗，煎取三碗，每服一碗，一日三次。
此方为吴鞠通治疗湿温之首选方，以湿温不能过汗，故以轻清为治。病轻者，每可治愈；病重者，力有不及。吴锡璜《中西温热串解》谓此方与湿温初起不甚相合，虑其服之燥渴，此言亦非确论。若果知燥渴，则里湿已祛，而热独盛矣，再单洽其热可耳。此方名日三仁，而实以滑石为主药，使湿从小便而出，亦可稍得微汗，故诸家多用之。惟厚朴一味，究嫌欠妥，吴氏虑其燥渴，或在此点。余意若以治痞、理气、宽中、祛湿之目的，去厚朴而易以瓜萎皮，则得之矣。
3．湿温初起方(吴锡璜《中西温热串解》古欢室方)：治证同前。
方药组成及用法：淡豆豉三钱佩兰叶二钱飞滑石四钱苍术皮一钱茯苓皮三钱陈皮二钱藿香叶二钱连翘三钱银花三钱通草一钱甘草八分竹叶二钱(如恶寒无汗者，加杏仁)以上三方，皆轻清之剂。然立方以甘露消毒丹为第一，且研成末服，能容留肠中较久。三仁汤次之，此方更次之，存之备参考耳。
4．解温逐湿汤(余无言经验方)：治湿温初起之重者：生麻黄(先煎)二钱至三钱生石膏二两至三两粉葛根三钱至四钱净连翘三钱至四钱制半夏三钱至四钱生山栀、六一散各二钱至四钱薏苡仁、茯苓皮各四钱至五钱此方服后，必能取得“（执／水）（执／水）微似汗出”。在身体已有微汗约二三小时后，再连服二煎，务使微汗至四五小时以上，则表热必可随汗而解。若初起一二日间，恶寒甚者，仍可加入桂枝一二钱。无恶寒者则不加。
5．清温化湿汤(余无言经验方)：前方服后，表热已微，再服此方。
方药组成及用法：生石膏(先煎)一两至二两粉葛根三钱净连翘三钱生黄芩三钱上川连一钱锦纹军一钱至二钱六一散四钱生山栀三钱冬瓜皮子各三钱炒粳米一酒杯此方目的，在取得大便微利，小便大利。盖大黄与滑石同用，其泄热解毒之力，半走小便也。
前举数方，可见诸家于湿温之治，不能速速汗解，故力求轻清取巧。对该病之初起、病势较轻者，每可获效。若病势之较重者，胸闷特甚者，则前方不易见功，必当以经方为本，合时方以化裁之。遵仲景治风湿之方，取其微微汗出，续续下行，则汗利两解，湿温之邪，自分两路而去矣。
余之第一方，首用麻黄，或以为夏令不可用麻黄，虑其大汗以害事，且麻黄为辛温药，以之治湿温，宁非抱薪救火耶?不知麻黄一品，味性虽属辛温，若不与桂枝同用，则不能大汗。故麻杏石甘汤则别治肺炎，麻黄连翘赤小豆汤则别治黄疸，越婢汤则别治风水作肿。即以越婢汤言之，系麻黄与石膏并用，能治水肿，其妙在此。日本学者以麻黄热服则发汗，冷服则利尿，此即仲景方配合之妙义也。盖辛温之麻黄与辛凉之石膏同用，则开发皮毛之力少，通利三焦之力多，故用治风水之邪，十之三四；由皮肤缓缓而解，十之五六。由肾与膀胱续续下行，其风水肿有不消哉!且有体质特异、皮毛固密之人，感冒风寒而服麻黄，竟有皮肤无汗而小便大利，因以获愈者。哥知麻黄不但发汗，且同时有利水之力也。总之肾脏、膀胱，与皮肤汗腺，同属于排泄系统。而麻黄一品，亦能促进其排泄机能也。但麻黄必须用生者，水炙者则无效。故余之处方，以越婢汤为主干，而佐以葛根者，以其能清解胃肠及脑脊系统之热，可防治脑脊髓膜炎也。仲景于风寒之邪，一见有项背强几几之症候，即用葛根。有汗者，则葛根与桂枝并用；无汗者，则葛根与麻黄并用。在中医旧说，谓其能清督脉之热。督脉，即脑脊系统之谓。督脉之热既清，则脑脊病自不作矣。因湿温一病，热高之时，最易上冲于脑，而致脑脊炎症，故加之而预防，以免加重后更难治也。用连翘者，取其清心胸、凉膈膜也。用半夏者，取其泻心胸、利水湿也；有湿热内蕴而作呕者，尤宜。用六一散、生山栀者，取其凉膈清热、泄出于肾，膀胱也。诸家多用滑石，此六一散以滑石为主，故用之。用薏苡仁、茯苓皮者，取其渗湿下行，并可祛皮肤之湿也。且茯苓有益气之功效，故用之。如此配合，所谓原因疗法、对症疗法，兼而有之。而余之第二方，完全以清里为治。解毒祛热之品，随锦军以微利大肠，随栀子、滑石以直走小便，此分利法也。余用此法治之而愈者，已有多人，只要取得缓缓微汗，大便微利，小便畅行，则湿祛热除，病自可愈矣。但此为湿温初病之主症而设。若延久误治，变证百出，则又当随其变证而治之，不能用初起之法矣。至于每药分量，用至几钱则不予肯定。盖体有强弱，病有轻重。示人以变通活套，不可以算学之公式，刻舟求剑，以致偾事耳。
论“痈疔百效丸”痈疔百效丸，原名疔疮丸，或名巴豆二黄丸。余常用之，百发百中。推而用之于一切痈毒、疖肿，皆获奇效。余以其治疗之效既彰，而治痈之效，由余经验而得，乃改以今名——痈疔百效丸。
疔疮丸原为清代医家卢成琰氏方，陈修园医书中亦予附载。方用巴豆(去皮膜)三钱、明雄黄三钱、生大黄三钱。
各研细末，再共研极细末，加飞罗面，醋糊为丸如梧桐子大。轻者每服四五丸，重者每服七八丸。如极重或疔疮走黄者，可服十至十一二丸，用白开水送下。务使患者得三五次之大泻，症乃可愈。体虚，俟泻二三次后，与以冷开水或稀薄粥以饮之，泻可立止。每泻一次，则痛苦与肿势必减轻一次。即已走黄者，亦可救治，真为疔疮之特效方。兹列举以下四例，作为佐证。
1．塾师裴子良，患手发背(俗称“手搭”)，红肿灼痛，憎寒发热。先以药膏外敷，冀其肿消，不效。次日复求余治，余乃以痈疔百效丸六粒与之，服后大泻四五次；而最后一次，泻下如痰状。于是肿消痛止．消灭无形而愈。
2．刘某，年36岁，起一发背，已四五日矣。红晕如盘，灼痛如火。余急投以痈疔百效丸，大泻七八次，其肿顿消，其痛亦减，次日，消散殆尽。复与以清热解毒之剂，数服而愈。
3．王某，年二十余，患臀部湿疮，大如指头，红肿热痛，脓水甚多。已延医治之一月而无效。余期以一星期，先令服痈疔百效丸，大泻多次，其痛即减，红肿亦消。后复与以清血解毒利湿之剂，七日而痊。
4．家三姐于十余岁时，即常发喉痈证，最后一次，治愈不复发者已十余年。前年秋，又复发。咽喉肿塞，痛不可忍，饮食不进者六日，只能吮入茶水少许耳。余诊之断为热毒上攻，急与以痈疔百效丸八粒，研碎，用开水缓缓灌下。
服后觉心如火焚，愈觉不安。余告以大便泻后自当轻快。不数时，果泻出燥粪甚多。泻至六七次，其痛若失，而喉肿亦渐消，次晨即能啜粥一大碗。后用煎剂清理余毒，数日而痊。
蝉衣酒治破伤风之来历余于医学书籍，素喜旁搜杂览，合理者悉誌之以待试用。七八年前，余见《傅青主男女科>中有“破伤”方一则，殊不令人注意。其原文如次。
“蝉蜕去尽头足，为末五钱，用好酒一碗，煎滚入末，调匀，服之立生。”余审视者再，以为蝉退为散风清热之品，今“破伤”用之，殊属不当，且末云：“服之立生”。若谓破伤出血，迨至将死，服蝉退可以立生，尤为不合医理。反复思量，忽然悟曰：此必破伤风也。而印书者脱去一“风”字耳，故蒜之以待验证。
病例一：刘绍初，以拉黄包车为业，于民国廿年(1931年)十一月间，在哈同路被卡车撞伤头骨、鼻梁等处，出血颇多，骨质已略损，经巡捕车送白克路某医院救治。次日，刘父以医院声称伤重危险，乃抬回家中。捕房查知，仍令转送海格路某医院，在该院三星期，伤口收敛出院。当未出院时，精神即觉不适。到家后，即发热不安。次日更甚，渐发痉挛、强直等现象，牙关拘紧，角弓反张，腹部陷若舟状，硬固如板，按之作痛，气急微喘，破伤风症状悉具，伤处复又破开，乃改延余诊。余以蝉衣为末五钱，嘱令黄酒送服，促其出汗。服后，果腥臭之汗淋漓不已，约近二小时方止。
病者即觉舒适，痉挛不作。次日，余复以巴豆二黄丸下之，与服十二粒，攻下之粪，腥臭异常，如胶而黑污，于是更觉爽快。不意其父即不再延余续诊。余心疑之，再经旬日，则报载刘绍初死矣，其父与开卡车者涉讼矣。又旬日，刘之戚告余云：刘绍初虽为车夫，但有一小星，久与刘父通。刘父因有次子在江北原籍，故其心中甚盼绍初之死，一则寡媳可为己有，再则有人命银子可用，故前台端治之有效，反为刘父所不满。为之治疗，实掩人耳目也。其后牵延反复，而至于死。惹起诉讼，不料法官斥其诈财，反具结领尸自殓、人财两空云。余闻之，甚愤此疗法之未竟全功，姑再试之异日。
病例二：张姓妇，年六十余，住西门路西门里。于民国廿一年(1932年)四月间，由楼梯上跌下，头顶受伤，皮开肉绽，出血不少，经医生疗治，已将愈矣。一日，忽发破伤风症状，时轻时重，即送某大医院医治，数日无效，症且加剧，医院告以无法疗治，车接回家，复请中西医多人诊疗，皆称不治，已为之备衣冠矣。余戚韩某，与张子友好，介余往诊。余诊其伤处有脓，面部潮红浮肿，犹如丹毒之状，口舌不和，牙关紧急，项脊强直，痉挛时作，角弓反张，腹部如鼓，腹皮青黑，按之如板，呼吸喘促。余曰：“证危矣，姑一试之。乃以蝉蜕末五钱，使之用酒和服，牙关不开，慢慢灌下。服后即汗出如洗，腥臭异常，以手扪之。粘如胶水，约近二时而汗止。额面肿消，惟颐下及口围未消，腹肿如鼓，乃继以巴豆二黄丸十二粒与服，攻下粘黑粪甚多，有如球状，有如胶状，有如鱼冻鱼肠，下五六次，以冷稀粥一碗服下止之。腹部肿硬消去大半，喘亦不作。次日又服蝉蜕末三钱，出汗如昨，面部红肿消清。第三日，又与巴豆二黄丸九粒一服，续下胶粘腥黑之粪甚多，腹胀尽消，按之不痛矣。于是起坐均佳，后再服调理之剂而全愈。
其后又治疗数人，均获奇效。
百会疽之治《医宗金鉴·外科心法》载述：“百会疽，发于巅顶正中，自面侧观之，正对耳尖。初起形如粟米；渐肿，根大如钱，形如葡萄，坚硬如铁，高尖红肿，掀热疼痛，疮根收束，憎寒壮热，大渴，随饮随干，便秘、烦躁。脉见洪数者，属实；若漫肿平塌，紫暗坚硬，掀痛根散，恶寒便泻，脉见细数者，属虚。若肿连耳项，痰如拽锯，七日无脓者死。”胡公弼曰：“百会穴前后生毒，最易侵犯脑髓，脑髓一陷，最不易治。”作为外科重证，其治法宜予初起二三日内，尚未成脓时，将患处之发剪去并消毒，以抑阳散外敷，内服醒消丸，以热陈酒送服三钱。不善饮酒者，以水、酒各半送服，其痛即止，夜间得睡。次日患皮起皱，再一服全消。如过四五日，患处作脓，亦以醒消丸与服，消其四围肿硬，毒息痛散，虽出脓亦少，此以大变小之法，在壮实之人，以痈疔百效丸下之，亦可消散。方治及具体用法如下。
天花粉三两姜黄、香白芷、赤芍各一两上研极细末，鸡子清调敷，或醋调敷。
2．醒消丸(《外科证治全生集》方)：治一切痈疡疔疖，立能消肿止痛。
乳香、没药(均去油)各一两麝香一钱半雄精五钱，各研极细黄米饭一两。
上乳、没、雄三味，各研秤准，再和麝香共研为末；用黄米饭一两捣烂，人末再捣，为丸莱菔子大。晒干，每服三钱，热陈酒送服，醉盖取汗，酒醒肿消痛息。
3．痈疔百效丸(卢成琰氏方)：治一切痈疔，于体质壮实者用之。
巴豆(去皮膜)三钱明雄黄三钱生大黄三钱上各研细末，再共研极细，加飞罗面醋糊为丸如梧子大。轻者每服五六丸，重者每服七八丸，用白开水送下。俟泻三四次，再以冷粥汤一小碗服下止之。
1. 甘露消毒丹（叶天士方）：又名普济解毒丹。王孟英认为这是治疗湿温时疫的主要方剂，能治疗发热倦怠、胸闷腹胀、肢体酸痛咽喉肿痛、斑疹身黄、腮部肿胀口渴、小便赤涩大便秘结、呕吐腹泻疟疾痢疾、淋证浊症疮疡。凡是暑湿时疫之邪在气分，舌苔淡白、或厚腻、或干黄的，都较为有效。
方药组成及用法：飞滑石十五两、绵茵陈十一两、淡黄芩十两、石菖蒲六两、川贝母和木通各五两、藿香、射干、连翘、薄荷、白豆蔻各四两。将各药晒干燥，生研为粉末。每次服用三钱，用开水冲服，一日两次。或者用神曲糊制成丸剂，如弹子大小，用开水化服也可以。
王孟英说：每年春分以后，天气逐渐转暖；芒种以后，地气逐渐潮湿。温热湿气蒸腾，再加上烈日的暑热，酷热至极，人在天地气交之中，口鼻吸入这些邪气，停留不去，就形成了湿温疫疠的病证。初起时病邪尚在气分，全部可以用此丹治疗，立即见效。
2. 三仁汤（《温病条辨》方）：治疗头痛恶寒、舌苔白而不渴、脉象弦细而濡、面色淡黄、胸闷不想进食、午后高热，症状像阴虚一样。
方药组成及用法：杏仁三钱、飞滑石六钱、白通草二钱、白蔻仁二钱、厚朴二钱、生薏苡仁六钱、半夏五钱、竹叶二钱、甘澜水八碗。以上药物用甘澜水八碗，煎取三碗，每次服用一碗，一日三次。
此方是吴鞠通治疗湿温的首选方，因为湿温不能过度发汗，所以以轻清的方法治疗。病情轻的，通常可以治愈；病情重的，力量可能不够。吴锡璜在《中西温热串解》中说此方与湿温初起不太相合，担心服用后会导致燥渴，这种说法也不是确论。如果真的出现燥渴，说明里湿已经祛除，只有热邪独盛了，再单独清热就可以了。此方名叫“三仁”，但实际上以滑石为主药，使湿气从小便排出，也能稍微出一点微汗，所以各家多用此方。只是厚朴这一味药，终究觉得不妥，吴氏担心其导致燥渴，或许就是在这个点上。我的想法是，如果为了治疗痞满、理气、宽中、祛湿的目的，去掉厚朴而换成瓜蒌皮，那就更好了。
3. 湿温初起方（吴锡璜《中西温热串解》古欢室方）：治疗的证候同前文所述。
方药组成及用法：淡豆豉三钱、佩兰叶二钱、飞滑石四钱、苍术皮一钱、茯苓皮三钱、陈皮二钱、藿香叶二钱、连翘三钱、银花三钱、通草一钱、甘草八分、竹叶二钱。（如果有恶寒无汗的情况，加杏仁）。以上三方，都是轻清的药剂。然而立方的原则以甘露消毒丹为第一，且研成末服用，能在肠道中停留较久。三仁汤次之，此方更次之，保存下来供参考罢了。
4. 解温逐湿汤（余无言经验方）：治疗湿温初起较重的情况：生麻黄（先煎）二钱至三钱、生石膏二两至三两、粉葛根三钱至四钱、净连翘三钱至四钱、制半夏三钱至四钱、生山栀、六一散各二钱至四钱、薏苡仁、茯苓皮各四钱至五钱。此方服用后，必定能取得“微微似有汗出”的效果。在身体已有微汗约二三小时后，再连续服用第二煎，务必使微汗持续至四五小时以上，那么表热必定会随着汗液而解除。如果在初起的一两天内，恶寒严重的，仍然可以加入桂枝一二钱。没有恶寒的就不加。
5. 清温化湿汤（余无言经验方）：前方服用后，表热已轻微，再服用此方。
方药组成及用法：生石膏（先煎）一两至二两、粉葛根三钱、净连翘三钱、生黄芩三钱、上川连一钱、锦纹军一钱至二钱、六一散四钱、生山栀三钱、冬瓜皮子各三钱、炒粳米一酒杯。此方的目的，在于取得大便轻微通利，小便大量排出。因为大黄与滑石同用，其泄热解毒的力量，一半走小便。
前面列举的几个方剂，可以看出各家在治疗湿温时，不能迅速通过发汗解除，所以力求轻清取巧。对于该病初起、病势较轻者，往往可以获得疗效。如果病势较重者，特别是胸闷特别严重的，则前面的方剂不容易见效，必须以经方为基础，结合时方进行化裁。遵循张仲景治疗风湿的方义，取其微微汗出，缓缓下行，那么汗法与利法两解，湿温之邪，自然分两路而去。
我的第一个方子，首先使用麻黄，有人以为夏天不可用麻黄，担心它大汗淋漓会坏事，而且麻黄是辛温药，用它来治湿温，岂不是抱薪救火吗？不知道麻黄这一味药，味道性质虽然属于辛温，如果不与桂枝同用，就不能大汗。所以麻杏石甘汤则另外治疗肺炎，麻黄连翘赤小豆汤则另外治疗黄疸，越婢汤则另外治疗风水引起的浮肿。就以越婢汤来说，是麻黄与石膏并用，能治疗水肿，妙处就在这里。日本学者认为麻黄热服则发汗，冷服则利尿，这就是张仲景方剂配合的妙义所在。大概辛温的麻黄与辛凉的石膏同用，开发皮毛的力量少，通利三焦的力量多，所以用来治疗风水之邪，十分之三到四由皮肤缓缓而解，十分之五六由肾与膀胱续续下行，那样的风水肿有不消退的吗！而且有体质特异、皮毛固密的人，感冒风寒而服用麻黄，竟然有皮肤无汗而小便大量排出，因此痊愈的。哪知道麻黄不但发汗，同时也有利水的力量啊。总之肾脏、膀胱，与皮肤汗腺，同属于排泄系统。而麻黄这一味药，也能促进其排泄机能。但麻黄必须用生的，水炙过的则无效。所以我处方，以越婢汤为主干，而辅助以葛根的，是因为它能清解胃肠及脑脊系统的热，可以预防脑脊髓膜炎。张仲景对于风寒之邪，一见有项背强几几的症状，就用葛根。有汗的，则葛根与桂枝并用；无汗的，则葛根与麻黄并用。在中医旧说中，谓它能清督脉的热。督脉，就是指脑脊系统。督脉的热既然清了，那么脑脊病自然就不会发作了。因为湿温这个病，高热的时候，最容易上冲于脑，而导致脑脊炎症，所以加上它来预防，以免加重后更难治疗。用连翘，是取它清心胸、凉膈膜的作用。用半夏，是取它泻心胸、利水湿的作用；如果有湿热内蕴而作呕的，尤其适宜。用六一散、生山栀，是取它凉膈清热、泄出于肾、膀胱的作用。各家多用滑石，这个六一散以滑石为主，所以用它。用薏苡仁、茯苓皮，是取它渗湿下行，并可祛除皮肤之湿的作用。而且茯苓有益气功效，所以用它。如此配合，所谓病因疗法、对症疗法，兼而有之。而我的第二个方子，完全以清里热为治疗原则。解毒祛热的药物，随着大黄轻微通利大肠，随着栀子、滑石直接走小便，这是分利法。我使用这种方法治疗而痊愈的，已经有好多人，只要取得缓缓微汗，大便轻微通利，小便畅行，那么湿祛热除，病自然可以痊愈。但这只是针对湿温初病的主症而设。如果拖延日久误治，变证百出，那么就应当随着变证而治疗，不能用初起的方法了。至于每味药的剂量，用到几钱则不予肯定。因为体质有强弱，病情有轻重。示人以变通活套，不可以算学的公式，刻舟求剑，以致误事罢了。
论述“痈疔百效丸”痈疔百效丸，原名疔疮丸，或名巴豆二黄丸。我经常使用它，百发百中。推广用于一切痈毒、疖肿，都获得奇效。我因为它的治疗效果既显著，而且治痈的效果是由我的经验所得，于是改名为现在的名字——痈疔百效丸。
疔疮丸原为清代医家卢成琰的方子，陈修园医书中也予以附载。方用巴豆（去皮膜）三钱、明雄黄三钱、生大黄三钱。
各研细末，再共同研成极细末，加飞罗面，醋糊做成丸剂如梧桐子大。轻者每次服用四五丸，重者每次服用七八丸。如果极重或疔疮走黄的，可服用十至十一二丸，用白开水送下。务必使患者得到三五次的大泻，症状才可以痊愈。体质虚弱的，等到泻二三次后，给以冷开水或稀薄粥饮用，泻可以立即停止。每次泻一次，痛苦与肿势就会减轻一次。即使是已经走黄的，也可以救治，真是疔疮的特效方。兹列举以下四例，作为佐证。
1. 塾师裴子良，患手发背（俗称“手搭”），红肿灼痛，憎寒发热。先用膏药外敷，希望肿消，无效。第二天再来找我治疗，我便给他痈疔百效丸六粒，服用后大泻四五次；而最后一次，泻下物像痰状。于是肿消痛止，无形消灭而痊愈。
2. 刘某，年36岁，起一发背，已经四五天了。红晕如盘，灼痛如火。我急忙投以痈疔百效丸，大泻七八次，其肿顿时消除，其痛也减轻，第二天，消散殆尽。又给予清热解毒的药剂，服用几剂而痊愈。
3. 王某，年二十多岁，患臀部湿疮，大如指头，红肿热痛，脓水很多。已经请医生治疗一个月而无效。我预期一个星期，先令服用痈疔百效丸，大泻多次，其痛即减，红肿亦消。后来再给予清血解毒利湿的药剂，七日而痊愈。
4. 我家三姐在十几岁时，经常发喉痈证，最后一次，治愈后不复发已经有十多年了。前年秋天，又复发了。咽喉肿塞，痛不可忍，饮食不进达六天，只能吮入少许茶水。我诊断断定为热毒上攻，急忙给予痈疔百效丸八粒，研碎，用开水缓缓灌下。
服用后感觉心如火焚，越发不安。我告诉她大便泻后自当轻快。不一会儿，果然泻出很多燥粪。泻至六七次，其痛若失，而喉肿也逐渐消退，次日早晨就能喝一大碗粥。后用煎剂清理余毒，数日而痊愈。
蝉衣酒治疗破伤风的来历我在医学书籍方面，素喜旁搜杂览，合理的都记录下来等待试用。七八年前，我看见《傅青主女科》中有“破伤”方一则，很不引人注目。其原文如下。
“蝉蜕去尽头足，为末五钱，用好酒一碗，煎滚入末，调匀，服之立生。”我审视再三，以为蝉蜕为散风清热之品，现在“破伤”用它，殊属不当，况且文末说：“服之立生”。如果说破伤出血，等到将死之时，服用蝉蜕可以立生，更为不合医理。反复思量，忽然领悟道：这一定是破伤风啊。而印刷者脱去了一个“风”字罢了，所以我姑且记录下来等待验证。
病例一：刘绍初，以拉黄包车为业，在民国二十年（1931年）十一月间，在哈同路被卡车撞伤头骨、鼻梁等处，出血颇多，骨质已略损，经巡捕车送往白克路某医院救治。第二天，刘父因医院声称伤重危险，便抬回家中。捕房查知，仍令转送海格路某医院，在该院三星期，伤口收敛出院。当未出院时，精神即觉不适。到家后，即发热不安。次日更甚，渐发痉挛、强直等现象，牙关拘紧，角弓反张，腹部陷若舟状，硬固如板，按之作痛，气急微喘，破伤风症状悉具，伤处复又破开，于是改请我诊治。我以蝉衣为末五钱，嘱咐用黄酒送服，促其出汗。服用后，果然腥臭之汗淋漓不已，约近二小时才停止。
病人即觉舒适，痉挛不作。第二天，我又以巴豆二黄丸下之，给予服用十二粒，攻下之粪，腥臭异常，如胶而黑污，于是更觉爽快。不料其父即不再延请我续诊。我心中怀疑，再过旬日，则报载刘绍初死了，其父与开卡车者涉讼了。又过旬日，刘的亲戚告诉我：刘绍初虽为车夫，但有一个小妾，长久与刘父通奸。刘父因为有个次子在江北原籍，所以他心中很盼望绍初之死，一则寡媳可为己有，再则有人命银子可用，所以前期治疗有效，反而为刘父所不满。为之治疗，实掩人耳目也。其后牵延反复，而至于死。惹起诉讼，不料法官斥责其诈财，反而具结领尸自殓、人财两空云。我听说此事，非常愤慨此疗法之未竟全功，姑且再试之于异日。
病例二：张姓妇人，年六十多岁，住西门路西门里。在民国二十一年（1932年）四月间，由楼梯上跌下，头顶受伤，皮开肉绽，出血不少，经医生治疗，已经将愈矣。一天，忽发破伤风症状，时轻时重，即送某大医院医治，数日无效，症状且加剧，医院告知无法治疗，用车接回家，又请中西医多人诊疗，皆称不治，已经为她备好了衣冠。我的亲戚韩某，与张子友好，介引我去诊治。我诊察其伤处有脓，面部潮红浮肿，犹如丹毒之状，口舌不和，牙关紧急，项脊强直，痉挛时作，角弓反张，腹部如鼓，腹皮青黑，按之如板，呼吸喘促。我说：“证危矣，姑且一试之。”乃以蝉蜕末五钱，使之用酒和服，牙关不开，慢慢灌下。服用后即汗出如洗，腥臭异常，以手摸之，粘如胶水，约近二时而汗止。额面肿消，惟颐下及口围未消，腹肿如鼓，于是继以巴豆二黄丸十二粒给予服用，攻下粘黑粪甚多，有如球状，有如胶状，有如鱼冻鱼肠，下五六次，以冷稀粥一碗服用止之。腹部肿硬消去大半，喘也不作了。次日又服蝉蜕末三钱，出汗如昨，面部红肿消清。第三日，又给予巴豆二黄丸九粒一服，续下胶粘腥黑之粪甚多，腹胀尽消，按之不痛矣。于是起坐均佳，后再服调理之剂而全愈。
其后又治疗数人，均获奇效。
百会疽的治疗《医宗金鉴·外科心法》记载：“百会疽，发于巅顶正中，从面侧观看，正对耳尖。初起形状如粟米；逐渐肿胀，根部大如铜钱，形状如葡萄，坚硬如铁，高尖红肿，掀热疼痛，疮根收束，憎寒壮热，大渴，随饮随干，便秘、烦躁。脉见洪数的，属实；如果漫肿平塌，紫暗坚硬，掀痛根散，恶寒便泻，脉见细数的，属虚。如果肿连耳项，痰声如拽锯，七日无脓者死。”胡公弼说：“百会穴前后生毒，最易侵犯脑髓，脑髓一陷，最不易治。”作为外科重证，其治法宜予初起二三日内，尚未成脓时，将患处之头发剪去并消毒，以抑阳散外敷，内服醒消丸，以热陈酒送服三钱。不善饮酒者，以水、酒各半送服，其痛即止，夜间得睡。次日患皮起皱，再一服全消。如果过四五日，患处作脓，也以醒消丸给予服用，消其四围肿硬，毒息痛散，即使出脓也很少，这是以大变小之法，在壮实之人，以痈疔百效丸下之，亦可消散。方治及具体用法如下。
1. 抑阳散（《外科证治全书》方）：治疗痈毒红肿，焮热疼痛。
天花粉三两、姜黄、香白芷、赤芍各一两。以上研极细末，鸡子清调敷，或醋调敷。
2. 醒消丸（《外科证治全生集》方）：治疗一切痈疡疔疖，立能消肿止痛。
乳香、没药（均去油）各一两、麝香一钱半、雄精五钱。各研极细，黄米饭一两。
以上乳香、没药、雄精三味，各研秤准，再和麝香共同研为末；用黄米饭一两捣烂，入末再捣，做成丸剂如莱菔子大。晒干，每次服用三钱，热陈酒送服，醉盖取汗，酒醒肿消痛息。
3. 痈疔百效丸（卢成琰氏方）：治疗一切痈疔，于体质壮实者用之。
巴豆（去皮膜）三钱、明雄黄三钱、生大黄三钱。以上各研细末，再共同研极细，加飞罗面醋糊做成丸剂如梧子大。轻者每次服用五六丸，重者每次服用七八丸，用白开水送下。等到泻三四次，再以冷粥汤一小碗服用止之。
1. Ganlu Xiaodu Dan (Euphorbiae Seed and Scutellaria Decoction, formula by Ye Tianshi): Also known as Puji Jiedu Dan. Wang Mengying considered this the primary formula for treating damp-warmth seasonal epidemics. It can treat fever with fatigue, chest tightness and abdominal distension, limb soreness and throat swelling, macules and rashes with jaundice, parotid swelling with thirst, dark urine with constipation, vomiting, diarrhea, malaria, dysentery, stranguria, turbid urine, sores, and ulcers. For pathogenic factors of summer-dampness and seasonal epidemics located in the Qi level, presenting with a pale white, thick greasy, or dry yellow tongue coating, it is generally effective.
Formula composition and usage: Fei Huashi (Prepared Talcum, 15 liang), Mian Yinchen (Artemisiae Scopariae Herba, 11 liang), Dan Huangqin (Scutellariae Radix, 10 liang), Shichangpu (Acori Tatarinowii Rhizoma, 6 liang), Chuan Beimu (Fritillariae Cirrhosae Bulbus) and Mutong (Akebiae Caulis, 5 liang each), Huoxiang (Pogostemonis Herba), Shegan (Belamcandae Rhizoma), Lianqiao (Forsythiae Fructus), Bohe (Menthae Haplocalycis Herba), and Baidoukou (Amomi Fructus Rotundus, 4 liang each). Dry the herbs in the sun, grind them raw into powder. Take 3 qian per dose, mixed with boiling water, twice daily. Alternatively, make pills using Shenqu (Massa Medicata Fermentata) paste, size of a bullet, and dissolve in boiling water before taking.
Wang Mengying stated: After the Spring Equinox, the weather gradually warms; after the Grain in Ear solar term, the earth gradually becomes humid. Warmth and humidity steam upwards, compounded by the scorching heat of the sun, making stones melt and metal flow. Humans exist within the intersection of heaven and earth qi, inhaling these pathogens through the mouth and nose. If they remain and do not dissipate, they form diseases of damp-warmth and epidemic pestilence. In the initial stage when the pathogen is still at the Qi level, all can be treated with this pill, yielding immediate results.
2. Sanren Tang (Three Kernels Decoction, from *Wenbing Tiaobian*): Treats headache and aversion to cold, white tongue coating without thirst, wiry, fine, and soggy pulse, pale yellow complexion, chest tightness with lack of appetite, high fever in the afternoon, symptoms resembling Yin deficiency.
Formula composition and usage: Xingren (Prunus Armeniacae Semen, 3 qian), Fei Huashi (Prepared Talcum, 6 qian), Baotongcao (Caulis Tetrapanacis, 2 qian), Baokourén (Amomi Fructus Rotundus, 2 qian), Houpo (Magnoliae Officinalis Cortex, 2 qian), Sheng Yiyiren (Coicis Semen, 6 qian), Banxia (Pinelliae Rhizoma Praeparatum, 5 qian), Zhuye (Bambusae Folium, 2 qian), Ganlan Water (8 bowls). Decoct the above herbs in 8 bowls of Ganlan Water, reduce to 3 bowls. Take 1 bowl per dose, three times daily.
This formula is Wu Jutong’s first choice for treating damp-warmth. Since damp-warmth cannot be treated with excessive sweating, it employs light and clear methods. For mild cases, cure is often achieved; for severe cases, its strength may be insufficient. Wu Xihuang in *Zhongxi Wenre Chuanjie* stated that this formula does not fully match the initial stage of damp-warmth, fearing it might cause dryness and thirst. This view is not entirely accurate. If dryness and thirst truly occur, it indicates that internal dampness has been cleared, leaving only excess heat, which should then be treated solely by clearing heat. Although named "Three Kernels," the main herb is actually Huashi (Talcum), which directs dampness out via urination and induces slight sweating, hence its widespread use. However, Houpo (Magnoliae Officinalis Cortex) is somewhat questionable; Wu’s concern about causing dryness likely stems from this. My opinion is that if the goal is to treat fullness, regulate Qi, broaden the middle, and dispel dampness, removing Houpo and replacing it with Gualoupi (Benincasae Exocarpium) would be better.
3. Initial Stage Damp-Warmth Formula (Guhuan Shi formula from Wu Xihuang's *Zhongxi Wenre Chuanjie*): Treats the same syndromes as mentioned above.
Formula composition and usage: Danshidouchi (Sojae Semen Praeparatum, 3 qian), Peilan (Eupatorii Herba, 2 qian), Fei Huashi (Prepared Talcum, 4 qian), Cangzhu Pi (Atractylodis Rhizoma Cortex, 1 qian), Fuling Pi (Poria Cum Pinio Cortex, 3 qian), Chenpi (Citri Reticulatae Pericarpium, 2 qian), Huoxiang Ye (Pogostemonis Folium, 2 qian), Lianqiao (Forsythiae Fructus, 3 qian), Yinhua (Lonicerae Japonicae Flos, 3 qian), Tongcao (Tetrapanacis Medulla, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 8 fen), Zhuye (Bambusae Folium, 2 qian). (If there is aversion to cold and no sweat, add Xingren/Prunus Armeniacae Semen). These three formulas are all light and clear agents. However, in terms of formulation hierarchy, Ganlu Xiaodu Dan is first, as the powder form stays in the intestines longer. Sanren Tang is second, and this formula is third. It is preserved for reference only.
4. Jiwen Zushi Tang (Clear Warmth and Expel Dampness Decoction, Yu Wuyan’s empirical formula): Treats severe cases of initial damp-warmth. Sheng Mahuang (Ephedrae Herba, raw, decocted first) 2-3 qian, Sheng Shigao (Gypsum Fibrosum, raw) 2-3 liang, Fen Gegen (Puerariae Lobatae Radix, processed) 3-4 qian, Jing Lianqiao (Forsythiae Fructus, cleaned) 3-4 qian, Zhi Banxia (Pinelliae Rhizoma Praeparatum) 3-4 qian, Sheng Shanzhi (Gardeniae Fructus, raw) and Liuyisan (Six-to-One Powder) 2-4 qian each, Yiyiren (Coicis Semen) and Fuling Pi (Poria Cum Pinio Cortex) 4-5 qian each. After taking this formula, "slight continuous sweating" must be achieved. About two to three hours after slight sweating begins, take the second decoction continuously, ensuring slight sweating lasts over four to five hours. Then, exterior heat will resolve with the sweat. If severe aversion to cold occurs in the first one or two days, add Guizhi (Cinnamomi Ramulus) 1-2 qian. Do not add if there is no aversion to cold.
5. Qingwen Huashi Tang (Clear Warmth and Transform Dampness Decoction, Yu Wuyan’s empirical formula): Take this formula after the previous one, once exterior heat has subsided slightly.
Formula composition and usage: Sheng Shigao (Gypsum Fibrosum, raw, decocted first) 1-2 liang, Fen Gegen (Puerariae Lobatae Radix, processed) 3 qian, Jing Lianqiao (Forsythiae Fructus, cleaned) 3 qian, Sheng Huangqin (Scutellariae Radix, raw) 3 qian, Shang Chuanlian (Coptidis Rhizoma, upper grade) 1 qian, Jinwen Jun (Rhei Radix et Rhizoma, brocade pattern) 1-2 qian, Liuyisan (Six-to-One Powder) 4 qian, Sheng Shanzhi (Gardeniae Fructus, raw) 3 qian, Dongguapi (Benincasae Exocarpium) and Dongguazi (Benincasae Semen) 3 qian each, Chao Jiangmi (Zizaniopsis Aquatica Semen, stir-fried) one wine cup. The purpose of this formula is to achieve mild bowel movement and profuse urination. When Dahuang (Rhei Radix et Rhizoma) and Huashi (Talcum) are used together, their heat-clearing and detoxifying power acts partly through urination.
The aforementioned formulas show that various practitioners, unable to quickly resolve damp-warmth through sweating, strive for light and clear, clever approaches. This works well for mild cases at the initial stage. However, for severe cases, especially those with extreme chest tightness, previous formulas are less effective. One must base treatment on classical formulas (*Jingfang*) and modify them with contemporary formulas (*Shifang*). Following Zhang Zhongjing’s approach to wind-dampness, aiming for slight sweating and gradual downward drainage resolves both sweat and dampness, allowing damp-warmth pathogens to exit via two paths.
My first formula uses Mahuang (Ephedrae Herba) first. Some argue Mahuang should not be used in summer due to fear of excessive sweating harming the patient, and since it is acrid-warm, using it for damp-warmth seems like adding fuel to the fire. However, although Mahuang is acrid-warm, it does not cause excessive sweating unless combined with Guizhi (Cinnamomi Ramulus). Thus, MaXingShiGan Tang treats pneumonia, Mahuang Lianqiao Chixiaodou Tang treats jaundice, and Yebi Tang treats wind-water edema. Regarding Yebi Tang, the combination of Mahuang and Shigao (Gypsum Fibrosum) effectively treats edema. Japanese scholars note that Mahuang causes sweating when taken hot and diuresis when taken cold, illustrating the brilliance of Zhang Zhongjing’s combinations. Combining acrid-warm Mahuang with acrid-cool Shigao reduces its ability to open the skin but enhances its ability to unblock the Triple Burner. Thus, 30-40% of wind-water pathogens resolve slowly through the skin, while 50-60% drain downwards through the Kidney and Bladder. Even individuals with dense pores who catch wind-cold and take Mahuang may have no sweat but profuse urination, leading to recovery. Mahuang promotes excretion through both skin and bladder. Therefore, Mahuang must be used raw; water-processed Mahuang is ineffective. My prescription uses Yebi Tang as the backbone, assisted by Gegen (Puerariae Lobatae Radix), because Gegen clears heat in the stomach/intestines and cerebrospinal system, preventing meningitis. Zhang Zhongjing used Gegen for wind-cold presenting with stiff neck and back. With sweat, combine with Guizhi; without sweat, combine with Mahuang. Traditional theory says it clears heat from the Du Meridian, which corresponds to the cerebrospinal system. Clearing Du Meridian heat prevents cerebrospinal disease. Since damp-warmth high fever easily attacks the brain causing inflammation, Gegen is added for prevention. Lianqiao (Forsythiae Fructus) clears the heart/chest and cools the diaphragm. Banxia (Pinelliae Rhizoma) drains the heart/chest and promotes water-dampness metabolism, suitable for vomiting due to internal damp-heat. Liuyisan (Six-to-One Powder) and Shanzhi (Gardeniae Fructus) cool the diaphragm, clear heat, and drain via Kidney/Bladder. Huashi (Talcum) is widely used; Liuyisan contains Huashi as the main ingredient. Yiyiren (Coicis Semen) and Fuling Pi (Poria Cum Pinio Cortex) promote dampness drainage downwards and remove skin dampness. Fuling also tonifies Qi. This combination integrates etiological and symptomatic treatments. My second formula focuses entirely on clearing interior heat. Detoxifying and heat-clearing herbs act via mild bowel movement with Dahuang (Rhei Radix et Rhizoma) and direct urination with Shanzhi (Gardeniae Fructus) and Huashi (Talcum)—this is the method of separating and draining. I have cured many patients this way. Achieving slow slight sweating, mild bowel movement, and smooth urination removes dampness and heat, curing the disease. This applies only to the initial stage. If delayed and mistreated, complications arise, requiring different treatments. Dosages vary based on constitution and severity; rigid formulas lead to errors.
Discussion on "Yongding Bai Xiao Wan" (Carbuncle and Carbuncle Hundred-Efficacy Pill): Originally named Dingchuang Wan or Badou Erhuang Wan. I use it frequently with 100% success. Extending its use to all carbuncles, boils, and swellings yields miraculous effects. Given its efficacy and my experience, I renamed it Yongding Bai Xiao Wan.
Dingchuang Wan was originally a formula by Qing dynasty physician Lu Chengyan, also recorded in Chen Xiuyuan’s medical books. It uses Badou (Crotonis Fructus, peeled and membrane removed) 3 qian, Ming Xionghuang (Realgar, bright) 3 qian, Sheng Dahuang (Rhei Radix et Rhizoma, raw) 3 qian.
Grind each into fine powder, then mix thoroughly. Add refined flour and vinegar paste to form pills the size of Sophora seeds. Mild cases: 4-5 pills per dose. Severe cases: 7-8 pills per dose. Extremely severe cases or spreading carbuncles: 10-12 pills, taken with plain water. Ensure the patient experiences 3-5 large bowel movements for cure. For weak constitutions, after 2-3 bowel movements, give cold boiled water or thin porridge to stop diarrhea immediately. Each bowel movement reduces pain and swelling. Even spreading carbuncles can be saved. This is a specific effective formula for carbuncles. Four cases follow as evidence.
1. Teacher Pei Ziliang suffered from "Hand Back Carbuncle" (colloquially "Hand Da"), with red swelling, burning pain, aversion to cold, and fever. External plasters failed. On the second day, I gave him 6 pills of Yongding Bai Xiao Wan. He had 4-5 large bowel movements; the last resembled phlegm. Swelling and pain vanished, and he recovered.
2. Mr. Liu, age 36, developed a Back Carbuncle for 4-5 days. Red halo like a plate, burning pain like fire. I urgently administered Yongding Bai Xiao Wan. He had 7-8 large bowel movements. Swelling disappeared instantly, pain reduced. By the next day, it almost completely resolved. I then gave heat-clearing and detoxifying herbs. He recovered after several doses.
3. Mr. Wang, early 20s, had a wet sore on the buttock, finger-sized, red, swollen, hot, painful, with much pus. Treatment by other doctors for one month failed. I predicted a one-week course. First, he took Yongding Bai Xiao Wan, having multiple large bowel movements. Pain and swelling decreased. Then, blood-cooling, detoxifying, and dampness-draining herbs were given. He recovered in seven days.
4. My third sister frequently suffered from Throat Carbuncles since her teens. The last cure prevented recurrence for over ten years. Last autumn, it recurred. Throat swelling blocked, unbearable pain, inability to eat for six days, only sipping tea. I diagnosed Heat-Toxin attacking upwards and urgently gave 8 pills of Yongding Bai Xiao Wan, crushed and slowly poured down with boiling water.
She felt heart-burning and anxiety. I told her she would feel lighter after bowel movement. Soon, she passed much dry stool. After 6-7 bowel movements, pain ceased, throat swelling subsided. Next morning, she ate a large bowl of porridge. Subsequent decoctions cleared residual toxins. She recovered in a few days.
Origin of Chan Yi Jiu (Cicada Slough Wine) for Treating Tetanus: I enjoy collecting diverse medical texts. Seven or eight years ago, I saw a "Broken Injury" formula in *Fu Qingzhu Nüke*. It was unremarkable. The text read: "Remove feet/tips of Cicada Slough, grind to 5 qian powder. Mix with one bowl of good wine, boil, add powder, stir, and drink for immediate life." I scrutinized it. Cicada Slough disperses wind and clears heat; using it for "broken injury" seemed inappropriate. The claim "drink for immediate life" for fatal bleeding injuries contradicts medical logic. Reflecting deeply, I realized: This must be Tetanus. The printer omitted the character "Wind". I noted it for verification.
Case 1: Liu Shaochu, a rickshaw puller, was hit by a truck on Hatong Road in November 1931 (Republic Year 20), injuring his skull and nose bridge, with significant bleeding and bone damage. Taken to a hospital on Baik Road. The next day, his father brought him home due to the hospital’s warning of critical condition. Police ordered transfer to a hospital on Haige Road. After three weeks, wounds healed, and he was discharged. Before discharge, he felt mentally unwell. At home, he developed fever and restlessness. Symptoms worsened the next day: spasms, rigidity, lockjaw, opisthotonos,舟-shaped hard abdomen, shortness of breath. Tetanus symptoms were complete. The wound reopened. I was consulted. I prescribed 5 qian of Cicada Slough powder, taken with yellow wine to induce sweating. He sweated profusely with a foul odor for nearly two hours.
He felt comfortable, spasms stopped. The next day, I gave Badou Erhuang Wan (12 pills) to purge. He passed foul, black, glue-like stool, feeling refreshed. Unexpectedly, his father stopped consulting me. Ten days later, news reported Liu’s death and a lawsuit between his father and the truck driver. Another ten days later, Liu’s relative told me: Liu had a mistress long associated with his father. His father, having another son in his hometown, hoped for Liu’s death to inherit the widow and receive compensation money. Thus, he was dissatisfied with my effective treatment, using it merely as a cover. Delay and relapse led to death. The lawsuit resulted in the judge accusing fraud; the father claimed the body and lost everything. I was angry that my therapy was not completed and vowed to try again later.
Case 2: Mrs. Zhang, over 60, living on Ximen Road. In April 1932 (Republic Year 21), she fell down stairs, injuring her head, with deep cuts and bleeding. Doctors treated her, and she was healing. Suddenly, tetanus symptoms appeared, fluctuating in severity. Sent to a major hospital, ineffective, symptoms worsened. Hospital declared incurable. Brought home, consulted many Western and Chinese doctors, all deemed incurable. Coffin prepared. My relative Han, friends with Zhang’s son, introduced me. I examined pus in the wound, flushed/swollen face resembling erysipelas, locked jaw, stiff neck/back, spasms, opisthotonos, drum-like abdomen, dark blue-black abdominal skin, hard to touch, panting. I said: "Critical condition, let me try." Prescribed 5 qian Cicada Slough powder mixed with wine. Force-fed due to locked jaw. Sweated profusely, foul-smelling, sticky like glue for nearly two hours. Face swelling subsided, except chin/mouth. Abdomen still drum-like. Gave 12 Badou Erhuang Wan pills. Passed much sticky black stool, ball-like, glue-like, jelly-like. After 5-6 times, stopped with cold thin porridge. Abdominal hardness reduced significantly, breathing eased. Next day, 3 qian Cicada Slough powder induced similar sweating. Facial redness/swelling cleared. Third day, 9 Badou Erhuang Wan pills passed more sticky black stool. Abdominal distension gone, non-tender. Sat/stood well. Took conditioning herbs and fully recovered.
Subsequent patients treated also showed miraculous effects.
Note: Badou Erhuang Wan is the same as Yongding Bai Xiao Wan.
Treatment of Baihui Ju (Abscess at Baihui Point): *Yizong Jinjian · Waikexinfa* records: "Baihui Ju develops at the top center of the head, opposite the ear tip when viewed from the side. Initially millet-sized; gradually swells, root coin-sized, grape-shaped, iron-hard, high-pointed red/swollen, hot/painful, root condensed, aversion to cold/high fever, extreme thirst, constipation, irritability. Surging-rapid pulse indicates Excess; flat/dark/hard root dispersed, aversion to cold/diarrhea, fine-rapid pulse indicates Deficiency. If swelling connects to ears/neck, rattling phlegm sound, no pus after seven days leads to death." Hu Gongbi said: "Toxins around Baihui point easily invade the brain marrow. Once brain marrow collapses, it is hardest to treat." As a severe surgical case, treatment in the first 2-3 days before suppuration involves shaving hair, disinfecting, applying Yiyang San externally, and taking Xingxiao Wan internally with hot aged wine (3 qian). Non-drinkers use half water/half wine. Pain stops, sleep follows. Next day, skin wrinkles, one more dose resolves it. If suppuration occurs after 4-5 days, still use Xingxiao Wan to reduce surrounding hardness, stopping toxin/pain. Even with pus, output is minimal. This is "large turning to small" method. For robust patients, Badou Erhuang Wan can also resolve it. Formulas and usage below.
1. Yiyang San (Formula from *Waik Zhengzhi Quan Shu*): Treats carbuncle/toxin red swelling, burning heat and pain. Tianhuafen (Trichosanthis Radix) 3 liang, Jianghuang (Curcumae Longae Rhizoma), Xiang Baizhi (Angelicae Dahuricae Radix), Chishao (Paeoniae Radix Rubra) 1 liang each. Grind to fine powder. Apply with egg white or vinegar.
2. Xingxiao Wan (Formula from *Waik Zhengzhi Quansheng Ji*): Treats all carbuncles/sores/carbuncles/boils, instantly reducing swelling and pain. Rushi (Boswelliae Resina) and Moyao (Myrrhae Resina, oil removed) 1 liang each, Shexiang (Moschus) 1.5 qian, Xiongjing (Realgar, purified) 5 qian. Grind each to fine powder. Huangmi (Oryza Sativa Var. Glutinosa) 1 liang. Weigh Rushi, Moyao, Xiongjing accurately, mix with Shexiang powder. Mash Huangmi, mix with powder, knead into pills size of radish seeds. Sun-dry. Take 3 qian per dose with hot aged wine. Cover to sweat. When sober, swelling/pain cease.
3. Yongding Bai Xiao Wan (Lu Chengyan’s Formula): Treats all carbuncles/carbuncles, for robust constitutions. Badou (Crotonis Fructus, peeled) 3 qian, Ming Xionghuang (Realgar, bright) 3 qian, Sheng Dahuang (Rhei Radix et Rhizoma, raw) 3 qian. Grind each to fine powder, mix thoroughly. Add refined flour and vinegar paste to form pills size of Sophora seeds. Mild cases: 5-6 pills. Severe cases: 7-8 pills. Take with plain water. After 3-4 bowel movements, stop with a small bowl of cold porridge soup.