（附薛立斋治疡通方）
治一切疮疡，未成脓者内消，已成脓者即溃。又止痛、消毒之圣药也。
穿山甲 白芷 防风 皂角刺 乳香 没药 当归尾 赤芍 花粉 贝母 陈皮 甘草
金银花
上十三味，用酒一碗，煎数沸服。
罗东逸曰∶此疡门开手攻毒之第一方也。经云∶营气不从，逆于肉理。故痈疽之发，未
有不
佐之以
而疏其
母、花粉、金银花、甘草，一以豁痰解郁，一以散毒和血，其为溃坚止痛
卫尚强，中气不亏者设，若脾胃素弱，营卫不调，则有托里消毒散之法，
之立斋先生所论，此千古不易之治也。因谨附先生治疡用方之法于后，使
薛立斋曰∶治疡之法，若肿高 痛者，先用仙方活命饮解之，后用托里消毒散；漫肿微
痛者
阳
寒
虚
益
理
怯
岂有不宜补者哉？或疑参、 满中，间有用者，又加发散败毒，所补不偿所损，又或以有疾
不服补剂，因而致误，伤哉！
人参 黄 白术 茯苓 当归 川芎 芍药 金银花 白芷 甘草 连翘
水煎服。
参、 、术、苓、草以益气分；归、芎、芍以滋血分；银花、白芷、连翘以解毒。
托里散，即前方加熟地，去芎、甘、银花、白芷、连翘。
治湿家自烦疼。
麻黄（三两） 桂枝（二两） 甘草（二两，炙） 杏仁（七十个） 白术（四两，炒）
上五味，以水九升，煮麻黄减二升，去沫，纳诸药，煮取二升半，去滓，温服八合，复
取微
程扶生曰∶此汤为湿家表散法也。身疼为湿，身烦为热，加白术于麻黄汤中，一以助其
去湿
（附薛立斋治疗疮疡的通用方）
治疗各种疮疡，脓液未形成时通过内服消散，脓液已形成时立即使其溃破。这又是止痛、解毒的圣药。
穿山甲、白芷、防风、皂角刺、乳香、没药、当归尾、赤芍、天花粉、贝母、陈皮、甘草、金银花。
以上十三味药，用一碗酒，煎煮数沸后服用。
罗东逸说：这是外科治疗攻毒的第一方。《内经》说：营气运行不畅，逆乱于肌肉纹理之间。所以痈疽的发生，没有不是由于这个原因。因此需要配合药物来疏通其郁滞。其中，贝母、天花粉、金银花、甘草，一方面豁痰解郁，一方面散毒和血，它们起到溃坚止痛的作用。此方适用于卫气尚强、中气不亏损的患者。如果脾胃素来虚弱，营卫不调，就有托里消毒散的方法。这是立斋先生所论述的，是千古不变的治法。因此恭敬地附上先生治疗疮疡使用方剂的方法在后面，使……
薛立斋说：治疗疮疡的方法，如果肿胀高突且疼痛的，先用仙方活命饮解除它，后用托里消毒散；如果是漫肿微痛者……阳气虚寒怯弱，难道有不适合补益的吗？有人怀疑人参、黄芪充满中焦，间或有使用的，又加上发散败毒的药物，所补的不抵所损，或者因为已有疾病不服用补剂，因而导致误诊，真令人悲伤啊！
人参、黄芪、白术、茯苓、当归、川芎、芍药、金银花、白芷、甘草、连翘。
水煎服。
人参、黄芪、白术、茯苓、甘草用来益气分；当归、川芎、芍药用来滋血分；金银花、白芷、连翘用来解毒。
托里散，即前方加入熟地黄，去掉川芎、甘草、金银花、白芷、连翘。
治疗湿病患者自感烦疼。
麻黄（三两）、桂枝（二两）、甘草（二两，炙）、杏仁（七十个）、白术（四两，炒）。
以上五味药，用九升水，先煮麻黄减少二升，撇去浮沫，加入其他药物，煎取二升半，去渣，温服八合，以微微出汗为度。
程扶生说：此汤是治疗湿病的表散法。身疼是因为湿，身烦是因为热，在麻黄汤中加入白术，一方面帮助其祛湿……
(Attached: Xue Lizhai's General Formula for Treating Ulcers)
It treats all kinds of sores and ulcers; if the pus has not yet formed, it dissipates them internally; if the pus has already formed, it promotes immediate ulceration. It is also a holy medicine for relieving pain and detoxifying.
Schinus molle (Chuan Shan Jia), Angelica dahurica (Bai Zhi), Saposhnikovia divaricata (Fang Feng), Gleditsia sinensis thorn (Zao Jiao Ci), Frankincense (Ru Xiang), Myrrh (Mo Yao), Cauda of Angelica sinensis (Dang Gui Wei), Red Peony Root (Chi Shao), Trichosanthes root (Hua Fen), Fritillaria (Bei Mu), Tangerine Peel (Chen Pi), Licorice Root (Gan Cao), Honeysuckle Flower (Jin Yin Hua).
The above thirteen ingredients are decocted in one bowl of wine until boiling several times, then taken orally.
Luo Dongyi said: This is the first formula for attacking toxins in the department of surgery. The Classics state: When Ying Qi (Nutritive Qi) does not flow smoothly and reverses into the muscle tissue, carbuncles and sores arise from this cause. Therefore, it is necessary to assist with herbs to dredge the stagnation. Among them, Fritillaria, Trichanthes root, Honeysuckle flower, and Licorice root serve to resolve phlegm and relieve depression, and to scatter toxins and harmonize blood, thereby achieving the effect of softening hardness and relieving pain. This formula is designed for patients whose Wei Qi (Defensive Qi) is still strong and whose Middle Qi (Spleen/Stomach Qi) is not deficient. If the Spleen and Stomach have been weak since childhood, and Ying and Wei Qi are disharmonious, there is the method of Tuo Li Xiao Du San (Support Interior and Detoxify Powder). This discussion by Mr. Lizhai is an unchanging treatment principle for millennia. Therefore, I respectfully attach the methods of using formulas for treating ulcers as discussed by Mr. Lizhai below, so that...
Xue Lizhai said: In the treatment of ulcers, if the swelling is high and painful, first use Xian Fang Huo Ming Yin (Immortal Life Elixir) to resolve it, followed by Tuo Li Xiao Du San (Support Interior and Detoxify Powder); if the swelling is diffuse and slightly painful... due to deficiency of Yang Qi, coldness, and timidity, how could supplementation be inappropriate? Some suspect that Ren Shen (Ginseng) and Huang Qi (Astragalus) fill the middle jiao, and when used intermittently, dispersing and detoxifying herbs are added, such that the benefit does not compensate for the damage; or because of existing illness, they refuse to take tonics, leading to misdiagnosis. How tragic!
Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shao Yao (Paeoniae Radix), Jin Yin Hua (Lonicerae Japonicae Flos), Bai Zhi (Angelicae Dahuricae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Lian Qiao (Forsythiae Fructus).
Decoct in water and take orally.
Ren Shen, Huang Qi, Bai Zhu, Fu Ling, and Gan Cao are used to tonify Qi; Dang Gui, Chuan Xiong, and Shao Yao are used to nourish Blood; Jin Yin Hua, Bai Zhi, and Lian Qiao are used to detoxify.
Tuo Li San (Support Interior Powder) is the previous formula plus Shu Di Huang (Rehmanniae Radix Preparata), removing Chuan Xiong, Gan Cao, Jin Yin Hua, Bai Zhi, and Lian Qiao.
Treats patients with dampness who feel restless and painful.
Ma Huang (Ephedrae Herba, 3 liang), Gui Zhi (Cinnamomi Ramulus, 2 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata, 2 liang), Xing Ren (Armeniacae Semen Amarum, 70 seeds), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 4 liang, stir-fried).
The above five ingredients are boiled in nine sheng of water. First boil Ma Huang until reduced by two sheng, skim off the foam, add the remaining herbs, and boil to obtain two and a half sheng. Strain and take eight ge warm, aiming for a slight sweating.
Cheng Fusheng said: This decoction is a surface-dispersing method for treating dampness. Body ache is due to dampness, restlessness is due to heat. Adding Bai Zhu to Ma Huang Tang (Ephedra Decoction) helps to dispel dampness...