论曰内经谓因于气为肿，四维相代，则肿毒之作，盖有因于气者，以诸气属于肺，肺主
皮毛
不变
治毒瓦斯在肌肉之中，肿痛寒热，急者数日杀人，若心腹闷，当急服。大五香汤方
鸡舌香 沉香 藿香（各五两） 薰陆香 麝香（研一钱） 甘草（炙） 吴茱萸（汤
洗焙炒
各三分） 细辛（去苗叶） 桂（去粗皮各半两） 升麻（一两一分）
上一十味，除麝香外，粗捣筛，入麝拌匀，每服五钱匕，水一盏半，煎至一盏，去滓温
服、日三。
治气肿走注疼痛不可忍者。虎骨丸方
虎胫骨（去筋肉刷洗净涂酥炙黄） 黄 （锉） 杜仲（去粗皮） 附子（炮裂去皮脐
各二两）
麝香（别研） 乳香（别研各半两）
上六味，将四味捣罗为细末，入麝香乳香再研令匀，酒煮面糊，丸如梧桐子大，每服二
十丸，空心温酒下，加至三十丸。
治气肿不消。犀角汤方
犀角（镑） 独活（去芦头） 生麦门冬（去心焙） 大黄（锉炒各二两） 枳壳（去
瓤麸炒）
木香 沉香 白蔹（各三两） 丁香（一两半） 玄参（九两） 连翘（六两） 漏芦（半
两） 木通
（锉）
上一十五味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓温服，以利为度。
治气肿行走无定，或起如蚌，或大如瓯，或着腹背，或着臂脚。海藻浸酒方
海藻（洗去咸） 赤茯苓（去黑皮） 防风（去叉） 独活（去芦头） 附子（炮裂去
皮脐） 白
术（各三两） 鬼箭（去茎用羽） 当归（切焙各二两） 大黄（锉醋炒四两）
上九味，锉如麻豆，生绢囊贮，以酒二斗浸之，春夏五日，秋冬七日，初服三合，空心
午时临卧各一服，若频利即减，未利加至四五合，以瘥为度。
治气毒肿疼痛，变走诸处，或牵引小腹、及腰脐痛，桃仁酒方
桃仁（一升汤浸去双仁皮尖炒） 酒（三升）
上二味，先乘热捣桃仁如膏，渐入酒，研绞去滓，每服五合，空心夜卧温服。
治毒瓦斯肿，当头上如刺痛。甘草酒方
甘草（炙） 升麻 沉香（锉） 麝香（别研各半两） 豉（一两半）
上五味，除麝香外，粗捣筛，入麝香拌匀，每服五钱匕，酒一盏半，煎至八分去滓，早
晚食
煎
治一切毒肿，或痒或痛。槟榔散方
槟榔（锉） 凝水石（ 过各一两） 乌头（大者一枚去脐皮生用） 吴茱萸（一钱半
生用）
硫黄（半两研）
上五味，为细末，用生油调敷之。
治气肿其状如痈，虚肿色不变，皮上急痛。蒺藜涂敷方
蒺藜子（炒去角） 赤小豆（各一两）
上二味，捣罗为散，用鸡子白调如糊，涂敷肿上，干即易之。
治气攻肿痛，坐卧不得。独头蒜涂方
独头蒜
上一味，去壳，入油少许，同研如泥，涂敷肿上，日三次。
治一切肿。马齿苋涂方
生马齿苋
上一味，不以多少，入水捣熟，于铜器中，用新汲水沉令冷，敷肿上，热即易，如无以
慎火草代之。
治气肿痛，状如瘤无头，但虚肿色不变，皮急痛，白薇散方
白薇 防风（去叉） 射干 术（各一两） 当归（切焙） 防己 木香 天门冬（去
心焙）
乌头（炮裂去皮脐） 枳壳（去瓤麸炒） 独活（去芦头） 山茱萸 葳蕤（各一两） 麻
黄（去
根节
上一十九味，捣罗为散，浆水服方寸匕、日三，加至二寸匕，仍以五香汤泻之，次以蒺
藜散敷之。（本方并在前）
论述说：《内经》提到“因于气为肿”，四维之气相互更替，就会发生肿毒。这其中有因气机失调导致的，因为各种气都属于肺，肺主皮毛，（若）不能改变（病机），治疗毒瓦斯在肌肉之中引起的肿痛、寒热症状，急重的数日内可致人死亡，如果出现心腹闷胀，应当紧急服用大五香汤方。
鸡舌香、沉香、藿香（各五两）、薰陆香、麝香（研细一钱）、甘草（炙）、吴茱萸（用水洗净后焙炒，各三分）、细辛（去苗叶）、桂（去粗皮，各半两）、升麻（一两一分）。以上十味药，除麝香外，粗捣筛碎，加入麝香拌匀，每次服用五钱匕，加水一盏半，煎至一盏，去渣温服，每日三次。此方主治气肿走注疼痛不可忍受。虎骨丸方。
虎胫骨（去筋肉刷洗净，涂酥炙黄）、黄芪（锉碎）、杜仲（去粗皮）、附子（炮裂去皮脐，各二两）、麝香（另研）、乳香（另研，各半两）。以上六味药，将前四味捣罗成细末，加入麝香、乳香再研匀，用酒煮面糊，制成如梧桐子大小的丸药，每次服用二十丸，空腹时温酒送下，可加至三十丸。此方主治气肿不消。犀角汤方。
犀角（镑片）、独活（去芦头）、生麦门冬（去心焙干）、大黄（锉碎炒，各二两）、枳壳（去瓤麸炒）、木香、沉香、白蔹（各三两）、丁香（一两半）、玄参（九两）、连翘（六两）、漏芦（半两）、木通（锉碎）。以上十五味药，粗捣筛碎，每次服用五钱匕，加水一盏半，煎至八分，去渣温服，以大便通畅为度。此方主治气肿行走无定处，或起如蚌状，或大如盆状，或附着于腹背，或附着于臂脚。海藻浸酒方。
海藻（洗去咸味）、赤茯苓（去黑皮）、防风（去叉）、独活（去芦头）、附子（炮裂去皮脐）、白术（各三两）、鬼箭羽（去茎用羽）、当归（切焙，各二两）、大黄（锉碎醋炒四两）。以上九味药，锉如麻豆大小，装入生绢袋中，用酒二斗浸泡，春夏五日，秋冬七日。初服三合，空腹、午时、临卧各服一次，如果频繁腹泻则减量，未通便则加至四五合，以痊愈为度。此方主治气毒肿疼痛，变走各处，或牵引小腹及腰脐痛。桃仁酒方。
桃仁（一升，用水浸泡去双仁皮尖炒制）、酒（三升）。以上两味药，先趁热捣桃仁如膏状，逐渐加入酒，研磨绞汁去渣，每次服用五合，空腹和夜间卧床时温服。此方主治毒瓦斯肿，当头部感觉如刺痛。甘草酒方。
甘草（炙）、升麻、沉香（锉碎）、麝香（另研，各半两）、豉（一两半）。以上五味药，除麝香外，粗捣筛碎，加入麝香拌匀，每次服用五钱匕，加酒一盏半，煎至八分去渣，早晚饭后服用。此方主治一切毒肿，或痒或痛。槟榔散方。
槟榔（锉碎）、凝水石（煅过，各一两）、乌头（大者一枚，去脐皮生用）、吴茱萸（一钱半，生用）、硫黄（半两，研细）。以上五味药，研成细末，用生油调敷患处。此方主治气肿其状如痈，虚肿颜色不变，皮肤紧绷疼痛。蒺藜涂敷方。
蒺藜子（炒去角）、赤小豆（各一两）。以上两味药，捣罗成散剂，用鸡蛋清调如糊状，涂敷在肿处，干了就更换。此方主治气攻肿痛，坐卧不得。独头蒜涂方。
独头蒜。以上一味药，去壳，加入少许油，同研如泥状，涂敷在肿处，每日三次。此方主治一切肿。马齿苋涂方。
生马齿苋。以上一味药，不限多少，加水捣熟，在铜器中，用新汲水沉冷，敷在肿处，热了就更换，如果没有可用慎火草代替。此方主治气肿痛，状如瘤无头，只是虚肿颜色不变，皮肤紧绷疼痛。白薇散方。
白薇、防风（去叉）、射干、白术（各一两）、当归（切焙）、防己、木香、天门冬（去心焙）、乌头（炮裂去皮脐）、枳壳（去瓤麸炒）、独活（去芦头）、山茱萸、葳蕤（各一两）、麻黄（去根节）。以上十九味药，捣罗成散剂，用浆水服用方寸匕，每日三次，可加至二寸匕，仍需用五香汤泻下，其次再用蒺藜散敷之。（本方并见在前文）
Commentary states: The *Neijing* (Inner Canon) mentions "swelling due to Qi," and when the four dimensions of Qi alternate, toxic swellings arise. Among these, some are caused by Qi dysfunction; since all Qi belongs to the Lung, and the Lung governs the skin and hair, if the pathological mechanism is not altered, treating toxic factors in the muscles causing swelling, pain, cold, and heat—where severe cases may lead to death within days—if accompanied by chest and abdominal fullness, one should urgently administer Da Wuxiang Tang (Great Five Fragrance Decoction).
Jitixiang (Clove), Chenxiang (Agarwood), Huoxiang (Patchouli Herb), Xunluxiang (Frankincense), Shexiang (Musk) [1 qian, ground], Gancao (Licorice Root) [roasted], Wuzhuyu (Evodia Fruit) [washed with water, dried, and stir-fried] [each 3 fen], Xixin (Asarum) [remove seedlings and leaves], Gui (Cinnamon Twig) [remove coarse bark] [each 0.5 liang], Shengma (Cimicifugae Rhizoma) [1.1 liang]. These ten herbs, except for Musk, are coarsely crushed and sifted, mixed with ground Musk. Each dose consists of 5 qianbi, decocted in 1.5 sheng of water until reduced to 1 sheng. Strain and take warm, three times daily. This formula treats Qi-type edema with migrating pain that is unbearable. Hugu Wan (Tiger Bone Pill).
Hujinggu (Tibet Tiger Tibia) [remove muscle and tendon, brush clean, apply su (animal fat) and roast until yellow], Huangqi (Astragali Radix) [crushed], Duzhong (Eucommiae Cortex) [remove coarse bark], Fuzi (Aconiti Lateralis Radix Praeparata) [processed until cracked, remove skin and navel] [each 2 liang], Shexiang (Musk) [separately ground], Ruxiang (Boswelliae Resina) [separately ground] [each 0.5 liang]. These six herbs: crush the first four into fine powder, mix with ground Musk and Frankincense until uniform. Use wine-boiled wheat paste to form pills the size of paulownia seeds. Take 20 pills per dose with warm wine on an empty stomach; increase to 30 pills if necessary. This formula treats persistent Qi-type edema. Xijiao Tang (Rhinoceros Horn Decoction).
Xijiao (Rhinoceros Horn) [shaved], Duhuo (Angelicae Pubescentis Radix) [remove root head], Sheng Maidong (Ophiopogonis Tuber) [raw, remove heart, dry], Dahuang (Rhei Radix et Rhizoma) [crushed and stir-fried] [each 2 liang], Zhiqiao (Aurantii Fructus) [remove pulp, stir-fried with bran], Muxiang (Aucklandiae Radix), Chenxiang (Agarwood), Bailian (Puerariae Radix) [each 3 liang], Dingxiang (Caryophylli Flos) [1.5 liang], Xuanshen (Scrophulariae Radix) [9 liang], Lianqiao (Forsythiae Fructus) [6 liang], Loulu (Euphorbiae Humifusae Radix) [0.5 liang], Mutong (Akebiae Caulis) [crushed]. These fifteen herbs are coarsely crushed and sifted. Each dose is 5 qianbi, decocted in 1.5 sheng of water until reduced to 0.8 sheng. Strain and take warm. Stop when bowel movement becomes loose. This formula treats Qi-type edema moving不定ly, appearing like a clam or large as a bowl, attaching to abdomen/back or arms/legs. Haizao Jinjiu (Seaweed Infused Wine).
Haizao (Sargassum) [wash to remove salt], Chifuling (Polyporus) [remove black skin], Fangfeng (Saposhnikoviae Radix) [remove forked ends], Duhuo (Angelicae Pubescentis Radix) [remove root head], Fuzi (Aconiti Lateralis Radix Praeparata) [processed until cracked, remove skin and navel], Baizhu (Atractylodis Macrocephalae Rhizoma) [each 3 liang], Guijianyu (Cornus Swinhoei Branch) [remove stem, use feather-like parts], Danggui (Angelicae Sinensis Radix) [cut and dry] [each 2 liang], Dahuang (Rhei Radix et Rhizoma) [crushed and stir-fried with vinegar, 4 liang]. These nine herbs are crushed like hemp seeds, stored in a raw silk bag, and soaked in 2 dou of wine. Soak for 5 days in spring/summer, 7 days in autumn/winter. Initial dose is 3 he; take on empty stomach, at noon, and before bed. If frequent diarrhea occurs, reduce dose; if no bowel movement, increase to 4-5 he. Stop when cured. This formula treats Qi-toxin swelling and pain migrating to various places, or pulling pain in lower abdomen and waist/navel area. Taoren Jiu (Peach Kernel Wine).
Taoren (Persicae Semen) [1 sheng, soak in water, remove double kernels, peel, and tip, then stir-fry], Jiu (Wine) [3 sheng]. These two ingredients: crush Taoren while hot into a paste, gradually add wine, grind and squeeze to extract juice, strain. Take 5 he per dose, warm, on empty stomach and before sleep. This formula treats toxic swelling where the head feels like stinging pain. Gancao Jiu (Licorice Wine).
Gancao (Licorice Root) [roasted], Shengma (Cimicifugae Rhizoma), Chenxiang (Agarwood) [crushed], Shexiang (Musk) [separately ground] [each 0.5 liang], Chi (Fermented Soybean) [1.5 liang]. These five herbs, except Musk, are coarsely crushed and sifted, mixed with ground Musk. Each dose is 5 qianbi, decocted in 1.5 sheng of wine until reduced to 0.8 sheng. Strain. Take after morning and evening meals. This formula treats all toxic swellings, whether itchy or painful. Binglang San (Betel Nut Powder).
Binglang (Arecae Semen), Ningshuishi (Natrii Sulfas) [calcined] [each 1 liang], Wutou (Aconiti Radix) [one large, remove navel and skin, use raw], Wuzhuyu (Evodia Fruit) [1.5 qian, use raw], Liuhuang (Sulfur) [0.5 liang, ground]. These five herbs are ground into fine powder. Mix with raw oil and apply externally. This formula treats Qi-type edema resembling carbuncles, with non-discoloring puffiness and tight, painful skin. Jili Tufu Fang (Tribulus Topical Application Formula).
Jili (Tribuli Fructus) [stir-fry and remove spines], Chixiaodou (Vigna Angularis Semen) [each 1 liang]. These two herbs are ground into powder. Mix with egg white to form a paste. Apply to the swollen area; replace when dry. This formula treats Qi-attack swelling and pain preventing sitting or lying down. Dutousuan Tu Fang (Single-Clove Garlic Topical Application Formula).
Dutousuan (Allium Sativum Bulbus, single-clove). One herb: peel, add a little oil, grind into mud. Apply to swollen area, three times daily. This formula treats all swellings. Machixian Tu Fang (Portulaca Oleracea Topical Application Formula).
Sheng Machixian (Portulacae Herba) [fresh]. One herb: quantity unspecified. Mash with water until cooked. Place in a copper vessel, cool with fresh drawn water. Apply to swollen area; replace when hot. If unavailable, substitute with Shenhuo Cao (Chenopodium album). This formula treats Qi-type swelling and pain resembling a headless tumor, with non-discoloring puffiness and tight, painful skin. Baiwei San (Cynanchi Atrati Radix Powder).
Baiwei (Cynanchi Atrati Radix), Fangfeng (Saposhnikoviae Radix) [remove forked ends], Shegan (Belamcandae Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma) [each 1 liang], Danggui (Angelicae Sinensis Radix) [cut and dry], Fangji (Stephaniae Tetrandrae Radix), Muxiang (Aucklandiae Radix), Tianmendong (Asparagi Radix) [remove heart, dry], Wutou (Aconiti Radix) [processed until cracked, remove skin and navel], Zhiqiao (Aurantii Fructus) [remove pulp, stir-fried with bran], Duhuo (Angelicae Pubescentis Radix) [remove root head], Shanzhuyu (Corni Fructus), Weirui (Polygonati Odorati Rhizoma) [each 1 liang], Mahuang (Ephedrae Herba) [remove root and joints]. These nineteen herbs are ground into powder. Take 1 cunbi with Jiangshui (fermented grain water), three times daily. Increase to 2 cunbi if needed. Follow with Wuxiang Tang (Five Fragrance Decoction) to purge, then apply Jili San (Tribulus Powder). (This formula appears earlier in the text.)