论曰内经谓诸病 肿，皆属于火，故热胜则肿，流走无常，若火炙然，亦或谓之流肿
也，此
于一体
热气得
治热肿热毒。升麻犀角丸方
升麻 黄芩（去黑心） 防风（去叉） 人参 当归（切焙） 黄 （锉） 干蓝 甘
草（炙锉）
栀
膜心炒
焦研
上一十三味，捣罗为末，炼蜜丸如梧桐子大，每服三丸至五丸，温水下，以利为度，不
拘时候。
治脏腑久有积热，发为毒肿，向夜疼痛。漏芦汤方
漏芦（去芦头） 升麻 大黄（锉醋炒） 黄芩（去黑心各一两） 蓝叶 玄参（黑坚
者各半
两）
上六味，粗捣筛，每服十五钱匕，水六盏，竹叶二十一片，同煮至三盏，去滓下芒硝半
钱匕，分温三服，空心日午夜卧各一，利即减，未利即加服数。
治热肿。三黄丸方
黄连（去须） 大黄（锉炒） 黄芩（去黑心各二两）
上三味，捣罗为末，炼蜜丸如梧桐子大，每服十五丸，至二十丸，温熟水下，不拘时候
治热肿惧向暖处，周身毒热蒸人者。秦皮汤方
秦皮（锉一两半） 防风（去叉三两） 车前子（微炒二两） 黄连（去须三分）
上四味，粗捣筛，每服五钱匕，水一盏半，煎至七分，去滓温服，食后临卧各一。
治热毒肿。防己丸方
防己 大黄（锉醋炒各三两） 芍药 槟榔（煨各二两一分） 牛膝（去苗酒浸切焙） 薏
苡
仁（炒） 生干地黄（焙） 枳壳（去瓤麸炒各二两） 麦门冬（去心焙） 木香（各一两
半） 桂
（去粗
上十二味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，渐增至三十丸，食后良久，温
酒或生姜汤下，日三。
治热毒肿，或身生瘭浆。铅酒方
铅（五两） 酒（一斗无灰者）
上二味，将铅熔成汁，投入酒中，又取铅熔，再投酒中，如此十度，然后净滤澄清，时
饮三合至五合，不可过醉，醉甚则吐，损正气。
治热毒肿，或身生瘭浆。甘草汤方
甘草（炙锉二两）
上一味，粗捣筛，每服六钱匕，水二盏，煎至一盏去滓，食后良久，及夜卧时各一服。
治热毒肿。恶实丸方
恶实（炒二两） 山栀子（去皮五两）
上二味，捣罗为末，炼蜜丸如梧桐子大，每食后良久，熟水下十五丸，日再夜一。
治热毒瓦斯肿。楸叶膏方
楸叶（一秤立秋日采切） 马齿苋（新者半秤切）
上二味，净洗控干，沙盆内烂研，取自然汁，重绢滤过，慢火熬成膏，瓷器收之，凡有
热肿
治热毒肿。麝粉散方
麝香（研半钱匕） 腻粉（一钱匕） 马兜铃根（一分） 黄柏（半两）
上四味，捣研为散，用油调涂肿处立消。
治热肿。犀角膏方
犀角（镑屑） 升麻 山栀子（去皮生用） 黄芩（去黑心） 芍药 芒硝 连翘 大
黄（锉
生用）
用一两
半）
上一十六味，内十四味，锉如麻豆，与地黄汁相和、经宿，别煎猪脂，滤去筋膜停温，
入诸药，以微火煎半日，去滓膏成，用瓷合盛，以故帛涂膏贴肿处，及疮上。
治一切热肿欲结疮疖 疼痛。拔毒散方
草乌头（去皮脐生捣为细末一两） 蚌粉（半两）
上二味拌匀，每看多少，临时用新汲水，调摊纸上贴之。
治热肿赤痛。白龙散方
蛤粉 白矾（各二两） 青盐（一两）
上三味，同研为末，用生油调涂肿处。
治热毒肿。金花散方
黄柏（二两） 雄黑豆（一两紧小者是也） 大黄（半两）
上三味，捣罗为散，浸甘草水调如膏，量肿处大小摊贴，以纸盖之。
治诸热毒肿痛，欲成疮疖者。大黄散方
大黄 栝蒌根 黄芩（去黑心） 百合 当归（切焙各半两） 葛根（一两锉） 黄柏
根（锉）
芒硝 赤小豆（各一分） 粳米（一合）
上一十味锉焙，捣罗为散，量肿处大小，用新汲水化蜜调药如膏，摊于肿处，纸盖之，
一日一换。
治一切热肿毒。五倍子散方
五倍子 大黄 黄柏（各一两锉）
上三味，捣罗为散，新汲水调如糊，日三五度，涂敷患处。
治两腿或遍体生热毒疮，爬着清水出，肿烂痒痛不可忍。方
上取水杨枝叶，不限多少，水煎减一半，斛内终日浸洗。
又方
豉（炒烟尽） 黄连（去须各一两）
上二味，同捣为末，腊月猪脂和涂之，如湿疮即干敷。
论述说：《内经》提到各种肿胀病，都属于火邪，所以热邪亢盛就会引起肿胀，其游走不定没有常规规律，就像被火烤灼一样，有时也称之为流肿。这是治疗全身热气所致热肿、热毒的方剂。
升麻犀角丸方
药材包括：升麻、黄芩（去除黑色中心部分）、防风（去除叉状分枝）、人参、当归（切片并焙干）、黄芪（锉碎）、干蓝草、甘草（炙烤后锉碎）、栀子（取心炒至焦黑研碎）。
以上十三味药，捣碎过筛制成细末，用炼蜜制成如梧桐子大小的丸剂。每次服用三至五丸，用温水送服，以大便通畅为度，服药时间不拘泥于特定时刻。
漏芦汤方
药材包括：漏芦（去除芦头）、升麻、大黄（锉碎后用醋炒）、黄芩（去除黑色中心部分，各一两）、蓝叶、玄参（质地黑而坚硬的，各半两）。
以上六味药，粗捣筛过后，每次取十五钱匕的药量，加水六盏，竹叶二十一片，共同煎煮至剩余三盏药液，滤去药渣后加入芒硝半钱匕，分三次温服。空腹时、半夜及睡前各服一次，若出现腹泻则减少剂量，若未腹泻则增加剂量。
治疗热肿。
三黄丸方
药材包括：黄连（去除须根）、大黄（锉碎炒制）、黄芩（去除黑色中心部分，各二两）。
以上三味药，捣碎过筛制成细末，用炼蜜制成如梧桐子大小的丸剂。每次服用十五至二十丸，用温开水送服，服药时间不拘泥于特定时刻。
治疗热肿且害怕靠近温暖处，周身毒热蒸腾难耐的情况。
秦皮汤方
药材包括：秦皮（锉碎一两半）、防风（去除叉状分枝三两）、车前子（微炒二两）、黄连（去除须根三分）。
以上四味药，粗捣筛过后，每次取五钱匕的药量，加水一盏半，煎煮至剩余七分药液，滤去药渣温服。饭后及临睡前各服一次。
防己丸方
药材包括：防己、大黄（锉碎后用醋炒，各三两）、芍药、槟榔（煨制，各二两一分）、牛膝（去苗，酒浸后切片焙干）、薏苡仁（炒制）、生干地黄（焙干）、枳壳（去瓤麸炒，各二两）、麦门冬（去心焙干）、木香（各一两半）、桂枝（去除粗皮，半两）。
以上十二味药，捣碎过筛制成细末，用炼蜜制成如梧桐子大小的丸剂。每次服用二十丸，逐渐增加至三十丸，饭后较长时间，用温酒或生姜汤送服，每日三次。
铅酒方
药材包括：铅（五两）、酒（一斗，无灰酒）。
以上两味药，将铅熔化成汁，倒入酒中，再取铅熔化再次倒入酒中，如此反复十次，然后过滤澄清。时常饮用三合至五合，不可过量导致醉酒，醉得太厉害会引起呕吐，损伤正气。
甘草汤方
药材包括：甘草（炙烤锉碎二两）。
以上一味药，粗捣筛过后，每次取六钱匕的药量，加水二盏，煎煮至剩余一盏药液，滤去药渣。饭后较长时间及临睡前各服一次。
恶实丸方
药材包括：恶实（炒制二两）、山栀子（去皮五两）。
以上两味药，捣碎过筛制成细末，用炼蜜制成如梧桐子大小的丸剂。每次饭后较长时间，用熟水送服十五丸，每日两次，夜间一次。
楸叶膏方
药材包括：楸叶（一秤，立秋日采摘切碎）、马齿苋（新鲜的半秤切碎）。
以上两味药，洗净控干水分，在沙盆内捣烂研磨，提取自然汁液，用双层丝绸过滤，用慢火熬制成膏状，用瓷器储存。凡是有热肿的地方均可使用。
麝粉散方
药材包括：麝香（研碎半钱匕）、腻粉（一钱匕）、马兜铃根（一分）、黄柏（半两）。
以上四味药，捣碎研磨成散剂，用油调和涂抹于肿胀处，可立即消退。
治疗热肿。
犀角膏方
药材包括：犀角（镑成屑）、升麻、山栀子（去皮生用）、黄芩（去除黑色中心部分）、芍药、芒硝、连翘、大黄（锉碎生用，一两半）。
以上十六味药，选取其中十四味，锉碎如麻豆大小，与地黄汁混合，过夜后，另外煎煮猪脂，滤去筋膜待温度适宜，加入诸药，用微火煎煮半天，滤去药渣制成膏状，用瓷盒盛装。用旧布蘸取药膏贴敷于肿胀处及疮口上。
拔毒散方
药材包括：草乌头（去皮脐，生捣为细末一两）、蚌粉（半两）。
以上两味药拌匀，根据患处大小，临时用新汲取的冷水调匀摊在纸上贴敷。
白龙散方
药材包括：蛤粉、白矾（各二两）、青盐（一两）。
以上三味药，共同研磨成细末，用生油调和涂抹于肿胀处。
金花散方
药材包括：黄柏（二两）、雄黑豆（一两，紧小者为佳）、大黄（半两）。
以上三味药，捣碎过筛成散剂，浸泡在甘草水中调成膏状，根据肿胀处的大小摊开贴敷，用纸覆盖。
大黄散方
药材包括：大黄、栝蒌根、黄芩（去除黑色中心部分）、百合、当归（切片焙干，各半两）、葛根（一两锉碎）、黄柏根（锉碎）、芒硝、赤小豆（各一分）、粳米（一合）。
以上十味药锉碎焙干，捣碎过筛成散剂，根据肿胀处的大小，用新汲取的冷水化开蜂蜜调和药物成膏状，摊涂于肿胀处，用纸覆盖，每日一换。
治疗一切热肿毒。
五倍子散方
药材包括：五倍子、大黄、黄柏（各一两锉碎）。
以上三味药，捣碎过筛成散剂，用新汲取的冷水调成糊状，每日三至五次，涂敷于患处。
治疗双腿或遍体生出热毒疮，渗出清水，肿胀溃烂，瘙痒疼痛难以忍受的情况。方剂如下：
取杨柳枝叶，不限多少，用水煎煮至减半，在桶中整天浸泡清洗。
又一方：
药材包括：豉（炒至烟尽）、黄连（去除须根，各一两）。
以上两味药，共同捣碎成细末，腊月时的猪脂调和涂抹，如果是湿疮则干敷。
Discussion states: The *Neijing* (Inner Canon) mentions that various swelling diseases are all related to Fire pathogen. Therefore, when Heat pathogen is excessive, swelling occurs; it moves around without fixed patterns, resembling the sensation of being roasted by fire, and is sometimes referred to as "flowing swelling" (Liu Zhong). This section presents formulas for treating heat-induced swelling and heat-toxin conditions affecting the whole body.
Shengma Xijiao Wan (Cinnabar and Rhinoceros Horn Pill) Formula
Ingredients: Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix) [removed black heart], Fangfeng (Saposhnikoviae Radix) [removed forked branches], Renshen (Ginseng Radix), Danggui (Angelicae Sinensis Radix) [sliced and baked], Huangqi (Astragali Radix) [crushed], Ganlan (Isatidis Folium), Gancao (Glycyrrhizae Radix et Rhizoma) [roasted and crushed], Zhizi (Gardeniae Fructus) [heart extracted, stir-fried until scorched and ground].
The above thirteen ingredients are crushed, sieved into fine powder, and mixed with refined honey to form pills the size of paulownia seeds. Each dose consists of 3 to 5 pills, taken with warm water. The dosage should be adjusted until bowel movement becomes smooth. There are no restrictions on the time of administration.
This formula treats toxic swelling caused by long-term accumulation of heat in the zang-fu organs, characterized by increased pain at night.
Loulu Tang (Euphorbiae Humifusae Decoction) Formula
Ingredients: Loulu (Euphorbiae Humifusae Radix) [removed rhizome head], Shengma (Cimicifugae Rhizoma), Dahuang (Rhei Radix et Rhizoma) [crushed and stir-fried with vinegar], Huangqin (Scutellariae Radix) [removed black heart, each 1 liang], Lanye (Isatidis Folium), Xuanshen (Scrophulariae Radix) [black and hard texture, each 0.5 liang].
The above six ingredients are coarsely crushed and sifted. For each dose, take 15 qianbi of the herb mixture, add 6 zhan of water and 21 leaves of Zhuye (Bambusae Folium), and decoct until 3 zhan of liquid remains. Strain the dregs and add Mangxiao (Natrii Sulfas) 0.5 qianbi. Divide into three warm doses. Take one dose on an empty stomach, one at midnight, and one before sleep. Reduce the dose if diarrhea occurs; increase the dose if diarrhea does not occur.
Treating heat-induced swelling.
Sanhuang Wan (Three Yellows Pill) Formula
Ingredients: Huanglian (Coptidis Rhizoma) [removed mustache], Dahuang (Rhei Radix et Rhizoma) [crushed and stir-fried], Huangqin (Scutellariae Radix) [removed black heart, each 2 liang].
The above three ingredients are crushed, sieved into fine powder, and mixed with refined honey to form pills the size of paulownia seeds. Each dose consists of 15 to 20 pills, taken with warm boiled water. There are no restrictions on the time of administration.
Treating heat-induced swelling where the patient fears warmth, accompanied by a sensation of steaming heat-toxin throughout the body.
Qinpi Tang (Eucommiae Bark Decoction) Formula
Ingredients: Qinpi (Fraxini Cortex) [crushed 1.5 liang], Fangfeng (Saposhnikoviae Radix) [removed forked branches 3 liang], Cheqianzi (Plantaginis Semen) [lightly stir-fried 2 liang], Huanglian (Coptidis Rhizoma) [removed mustache 3 fen].
The above four ingredients are coarsely crushed and sifted. For each dose, take 5 qianbi of the herb mixture, add 1.5 zhan of water, and decoct until 0.7 zhan of liquid remains. Strain and take warm. Take one dose after meals and one dose before bedtime.
Treating heat-toxin swelling.
Fangji Wan (Stephania Tetrandra Pill) Formula
Ingredients: Fangji (Stephaniae Tetrandrae Radix), Dahuang (Rhei Radix et Rhizoma) [crushed and stir-fried with vinegar, each 3 liang], Shaoyao (Paeoniae Radix), Binglang (Arecae Semen) [baked, each 2.1 liang], Niuxi (Achyranthis Bidentatae Radix) [removed sprouts, wine-soaked, sliced, and baked], Yiyiren (Coicis Semen) [stir-fried], Shengdihuang (Rehmanniae Radix) [baked], Zhiqiao (Aurantii Fructus) [pulp removed, bran-roasted, each 2 liang], Maimendong (Ophiopogonis Radix) [heart removed, baked], Muxiang (Aucklandiae Radix) [each 1.5 liang], Guizhi (Cinnamomi Ramulus) [rough bark removed, 0.5 liang].
The above twelve ingredients are crushed, sieved into fine powder, and mixed with refined honey to form pills the size of paulownia seeds. Each dose starts at 20 pills and gradually increases to 30 pills. Take well after meals with warm wine or ginger soup, three times daily.
Treating heat-toxin swelling or the appearance of phlegmonous blisters (Biaojang) on the body.
Qian Jiu (Lead Wine) Formula
Ingredients: Qian (Plumbum, 5 liang), Jiu (Alcohol, 1 dou, non-ashy wine).
Melt the lead into liquid and pour it into the wine. Repeat this process ten times by melting lead and adding it to the wine again. Then filter clearly. Drink 3 to 5 he occasionally. Do not drink to excess, as severe intoxication may cause vomiting and damage healthy qi.
Treating heat-toxin swelling or the appearance of phlegmonous blisters (Biaojang) on the body.
Gancao Tang (Licorice Decoction) Formula
Ingredients: Gancao (Glycyrrhizae Radix et Rhizoma) [roasted and crushed, 2 liang].
The above single ingredient is coarsely crushed and sifted. For each dose, take 6 qianbi, add 2 zhan of water, and decoct until 1 zhan of liquid remains. Strain. Take one dose well after meals and one dose before bedtime.
Treating heat-toxin swelling.
Eshi Wan (Arctii Fructus Pill) Formula
Ingredients: Eshi (Arctii Fructus) [stir-fried 2 liang], Shanzhizi (Gardeniae Fructus) [peeled 5 liang].
The above two ingredients are crushed, sieved into fine powder, and mixed with refined honey to form pills the size of paulownia seeds. Take 15 pills with cooked water well after each meal, twice daily and once at night.
Treating heat-toxin qi-induced swelling.
Qiu Ye Gao (Paulownia Leaf Ointment) Formula
Ingredients: Qiu Ye (Paulowniae Folium) [1 sheng, harvested on Start of Autumn day and cut], Machixian (Portulacae Herba) [fresh, 0.5 sheng, cut].
Wash the above two ingredients cleanly and drain dry. Grind them thoroughly in a mortar to extract natural juice. Filter through double-layer silk. Simmer over low heat until it becomes an ointment. Store in porcelain containers. Apply to areas affected by heat-induced swelling.
Treating heat-toxin swelling.
She Fen San (Musk Powder) Formula
Ingredients: Shexiang (Moschus) [ground 0.5 qianbi], Nifen (Calomelas, 1 qianbi), Madouling Gen (Aristolochiae Radix) [1 fen], Huangbai (Phellodendri Cortex) [0.5 liang].
The above four ingredients are crushed and ground into powder. Mix with oil and apply topically to the swollen area for immediate resolution.
Treating heat-induced swelling.
Xijiao Gao (Rhinoceros Horn Ointment) Formula
Ingredients: Xijiao (Rhinocerotis Cornu) [shaved into flakes], Shengma (Cimicifugae Rhizoma), Shanzhizi (Gardeniae Fructus) [peeled, raw use], Huangqin (Scutellariae Radix) [removed black heart], Shaoyao (Paeoniae Radix), Mangxiao (Natrii Sulfas), Lianqiao (Forsythiae Fructus), Dahuang (Rhei Radix et Rhizoma) [crushed, raw use, 1.5 liang].
Of the sixteen ingredients, select fourteen, crush them like hemp seeds, and mix with Dihuang Zhi (Juice of Rehmanniae Radix). Let stand overnight. Separately boil Zhu Zhi (Porcine Fat), filter out membranes, and let cool slightly. Add the herbal mixture and simmer over low heat for half a day. Strain to form an ointment. Store in porcelain jars. Apply the ointment using old cloth to swollen areas and sores.
Treating all types of heat-induced swelling that are about to form carbuncles and furuncles, accompanied by pain.
Badu San (Detoxification Powder) Formula
Ingredients: Caowutou (Aconiti Kusnezoffii Radix) [skin and navel removed, raw ground into fine powder, 1 liang], Bangfen (Concha Margaritifera, 0.5 liang).
Mix the above two ingredients evenly. Depending on the size of the lesion, temporarily mix with fresh cold water, spread on paper, and apply as a patch.
Treating red and painful heat-induced swelling.
Bailong San (White Dragon Powder) Formula
Ingredients: Hafen (Concha Arcae), BaiFan (Alumen) [each 2 liang], Qingyan (Natrii Chloridum Rubrum) [1 liang].
Grind the above three ingredients together into powder. Mix with raw oil and apply topically to the swollen area.
Treating heat-toxin swelling.
Jinhua San (Golden Flower Powder) Formula
Ingredients: Huangbai (Phellodendri Cortex) [2 liang], Xiongheidou (Vigna Angularis Seed, male type, 1 liang, tight and small ones are preferred), Dahuang (Rhei Radix et Rhizoma) [0.5 liang].
Crush the above three ingredients into powder. Soak in Licorice water and mix into a paste. Spread according to the size of the swollen area and cover with paper.
Treating various heat-toxin swelling and pain, those about to form carbuncles and furuncles.
Dahuang San (Rhubarb Powder) Formula
Ingredients: Dahuang (Rhei Radix et Rhizoma), Gualougen (Trichosanthis Radix), Huangqin (Scutellariae Radix) [removed black heart], Baihe (Lilii Bulbus), Danggui (Angelicae Sinensis Radix) [sliced and baked, each 0.5 liang], Gegen (Puerariae Radix) [1 liang, crushed], Huangbai Gen (Phellodendri Cortex) [crushed], Mangxiao (Natrii Sulfas), Chixiaodou (Vigna Angularis Seed) [each 1 fen], Jingmi (Oryza Sativa, glutinous rice) [1 he].
Crush and bake the above ten ingredients, then grind into powder. According to the size of the swollen area, dissolve honey in fresh cold water to mix the medicine into a paste. Spread on the swollen area and cover with paper. Change once daily.
Treating all types of heat-toxin swelling.
Wubeizi San (Chinese Gall Powder) Formula
Ingredients: Wubeizi (Galla Chinensis), Dahuang (Rhei Radix et Rhizoma), Huangbai (Phellodendri Cortex) [each 1 liang, crushed].
Crush the above three ingredients into powder. Mix with fresh cold water to form a paste. Apply to the affected area 3 to 5 times daily.
Treating heat-toxin sores appearing on both legs or all over the body, oozing clear fluid, with unbearable swelling, ulceration, itching, and pain. Formula:
Take willow branches and leaves, any amount. Decoct in water until the volume is reduced by half. Immerse and wash the affected area in a tub throughout the day.
Another Formula:
Ingredients: Chi (Fermented Soybean) [stir-fried until smoke ceases], Huanglian (Coptidis Rhizoma) [removed mustache, each 1 liang].
Grind the above two ingredients into powder. Mix with pig fat from the twelfth lunar month and apply. If it is a wet sore, apply dry powder.