论曰∶痈疽之人，经络壅阏，气血结聚，营卫津液，因以亏燥，邪热内鼓，流注于大小
肠，
治之
治发背一切恶疮，及乳痈结聚，肿硬热痛，脏腑余毒闭涩，可服通泄调气解毒。木香丸
方
木香（一两） 槟榔（生锉三分） 芎 羌活（去芦头各半两） 大黄（锉炒一两） 附
子（
炮裂去皮脐） 人参（各半两） 枳壳（去瓤麸炒三分） 牵牛（一两半炒半生） 陈橘皮
（汤去白
焙半
上十味，捣罗为细末，炼蜜为丸，如梧桐子大，以瓷合内盛之，每日空心，粥饮下三十
丸
治发背诸痈肿，丹石药毒，头痛壮热，大小便不利。玄参丸方
玄参（一两） 升麻 栀子仁 黄芩（去黑心各半两） 黄 （细锉三分） 大黄（锉
炒一两
半） 吴蓝（半两） 犀角（镑屑三分） 木通（锉二两） 连翘（三分） 朴硝（研一两
半）
上十一味，先以十味捣罗为细末，再同朴硝研匀，炼蜜和丸，梧桐子大，每日空心，米
饮下十五丸，如不利，加至二十丸，取快利三两行为度，泻下脓，化为黄水，即瘥。
治年未及四十，气血强壮，常苦痈疽无定，大小便不通。五利大黄汤方
大黄（锉微炒） 升麻（各二两） 黄芩（去黑心一两） 栀子（十枚去皮）
上四味，粗捣筛，每服五钱匕，用水一盏半，煎至八分，去滓下芒硝一钱匕，空心温服
，快利三两行为度，未利再服。
治痈疽疮发，大小便秘涩不通。朴硝丸方
朴硝（研） 大黄（锉炒） 杏仁（汤浸去皮尖双仁炒研） 葶苈子（微炒各二两）
上四味，先以三味捣罗为细末，入朴硝和匀，炼蜜为丸，如梧桐子大，每食后，煎黄
汤下二十丸，以通利为度，未利再服。
治表里俱热，三焦不通，发背疽疮，及痈疖，大小便不利。山栀子汤方
山栀子仁（十五枚） 大黄（锉微炒二两） 黄芩（去黑心一两半） 知母（焙） 甘
草（炙锉
各一两）
上五味，粗捣筛，每服五钱匕，用水一盏半，煎至一盏，去滓下芒硝一钱匕，空心温服
，日再。
治发背痈疽及乳痈，毒瓦斯攻脏腑，大小便不通。木通汤方
木通（锉） 黄芩（去黑心各一两） 山栀子（去皮） 漏芦根 王瓜根 大黄（锉炒）
甘草
（炙锉各三分）
上七味，粗捣筛，每服五钱匕，用水一盏半，煎至一盏，去滓下朴硝一钱匕，再煎三两
沸，空心温服，未利再服。
治痈疽取利下后，热微退，小便不利。小麦汤方
小麦（三合） 人参 甘草（炙锉） 芍药 石膏（碎） 生干地黄（焙） 黄 （细
锉） 木通
（锉） 升麻 黄芩（去黑心） 前胡（去芦头各半两） 麦门冬（去心焙三分）
上十二味，粗捣筛，每服五钱匕，用水一盏半，入竹叶七片，大枣二枚擘破，同煎至一
盏，去滓空心温服，日晚再服。
治发背痈疽，排脓止痛，利小便。瞿麦散方
瞿麦穗 芍药 桂（去粗皮） 赤小豆 芎 白蔹 黄 （细锉） 当归（切焙各半两）
麦门冬（去心一分）
上九味，捣罗为细散，每服二钱匕，温酒调下，空心日晚各一服。
论述说：患有痈疽的人，经络壅塞阻滞，气血凝结聚结，营气、卫气和津液因此亏损干燥，邪热在体内鼓动，流注于大肠和小肠。
治疗发背（背部大面积痈肿）各种恶疮，以及乳痈（乳房急性化脓性疾病）结聚，肿胀坚硬、发热疼痛，脏腑余毒闭涩不通，可以服用通泄调气解毒的方剂。木香丸方：
木香（一两）、槟榔（生锉三分）、川芎、羌活（去芦头各半两）、大黄（锉炒一两）、附子（炮裂去皮脐）、人参（各半两）、枳壳（去瓤麸炒三分）、牵牛子（一两半，一半炒一半生用）、陈橘皮（汤洗去白焙干半两）。
以上十味药，捣碎过筛成细末，用炼蜜制成梧桐子大小的丸剂，装在瓷盒里保存。每天空腹时，用米粥汁送服三十丸。
治疗发背各种痈肿，丹石药毒（服用丹药金石类药物引起的中毒），头痛壮热，大小便不利。玄参丸方：
玄参（一两）、升麻、栀子仁、黄芩（去黑心各半两）、黄芪（细锉三分）、大黄（锉炒一两半）、吴蓝（半两）、犀角（镑屑三分）、木通（锉二两）、连翘（三分）、朴硝（研细一两半）。
以上十一味药，先将前十味捣碎过筛成细末，再与朴硝一起研匀，用炼蜜和丸，制成梧桐子大小的丸剂。每天空腹时，用米饮送服十五丸，如果大便仍不通利，加至二十丸，以大便通畅快利、每日排便三两次为度，泻下脓液，化为黄水，病即痊愈。
治疗年龄不到四十岁，气血强壮，常苦于痈疽不定，大小便不通。五利大黄汤方：
大黄（锉微炒）、升麻（各二两）、黄芩（去黑心一两）、栀子（十枚，去皮）。
以上四味药，粗捣筛过，每次服用五钱匕，用水一盏半，煎至八分，去渣后加入芒硝一钱匕，空腹温服，以大便通畅快利、每日排便三两次为度，若未通利可再次服用。
治疗痈疽疮发，大小便秘涩不通。朴硝丸方：
朴硝（研细）、大黄（锉炒）、杏仁（汤浸去皮尖双仁炒研）、葶苈子（微炒各二两）。
以上四味药，先将前三味捣碎过筛成细末，加入朴硝和匀，用炼蜜制成梧桐子大小的丸剂。每餐饭后，煎黄连汤送服二十丸，以通利为度，若未通利可再次服用。
治疗表里俱热，三焦不通，发背疽疮，以及痈疖，大小便不利。山栀子汤方：
山栀子仁（十五枚）、大黄（锉微炒二两）、黄芩（去黑心一两半）、知母（焙干）、甘草（炙锉各一两）。
以上五味药，粗捣筛过，每次服用五钱匕，用水一盏半，煎至一盏，去渣后加入芒硝一钱匕，空腹温服，每日两次。
治疗发背痈疽及乳痈，毒瓦斯攻犯脏腑，大小便不通。木通汤方：
木通（锉）、黄芩（去黑心各一两）、山栀子（去皮）、漏芦根、王瓜根、大黄（锉炒）、甘草（炙锉各三分）。
以上七味药，粗捣筛过，每次服用五钱匕，用水一盏半，煎至一盏，去渣后加入朴硝一钱匕，再煎三五个沸，空腹温服，若未通利可再次服用。
治疗痈疽取利下后，热势轻微消退，小便不利。小麦汤方：
小麦（三合）、人参、甘草（炙锉）、芍药、石膏（碎）、生干地黄（焙干）、黄芪（细锉）、木通（锉）、升麻、黄芩（去黑心）、前胡（去芦头各半两）、麦门冬（去心焙干三分）。
以上十二味药，粗捣筛过，每次服用五钱匕，用水一盏半，放入竹叶七片、大枣二枚掰破，同煎至一盏，去渣空腹温服，晚间再服一次。
治疗发背痈疽，排脓止痛，利小便。瞿麦散方：
瞿麦穗、芍药、桂（去粗皮）、赤小豆、川芎、白蔹、黄芪（细锉）、当归（切焙各半两）、麦门冬（去心一分）。
以上九味药，捣碎过筛成细散，每次服用二钱匕，用温酒调下，空腹和晚间各服一次。
Commentary states: Patients suffering from carbuncles and sores (Yongju, 痈疽) experience obstruction and stagnation in their meridians and collaterals, with Qi and Blood condensing and accumulating. Consequently, Ying Qi (Nutritive Qi), Wei Qi (Defensive Qi), and Body Fluids become deficient and dry. Pathogenic Heat surges internally and flows into the Large Intestine and Small Intestine.
For treating all malignant sores of the back (Fabei, 发背) and breast abscesses (Ruyong, 乳痈) characterized by nodulation, swelling, hardness, heat, and pain, as well as closure and涩 (obstruction) due to residual toxins in the Zang-Fu organs, one may take formulas that promote purgation, regulate Qi, and detoxify. The Muxiang Wan (Wood Fragrance Pill) Formula:
Muxiang (Aucklandiae Radix, 1 liang), Binglang (Arecae Semen, processed raw, 3 fen), Chuanxiong (Ligustici Chuanxiong Rhizoma, de-radicated, each 0.5 liang), Qianghuo (Notopterygii Rhizoma et Radix, de-radicated, each 0.5 liang), Dahuang (Rhei Radix et Rhizoma, cut and stir-fried, 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, roasted until cracked, skin and umbilicus removed), Renshen (Ginseng Radix, each 0.5 liang), Zhike (Aurantii Fructus Immaturus, pulp removed, stir-baked with bran, 3 fen), Qianniu (Pharbitidis Semen, 1.5 liang, half stir-fried, half raw), Chenjupi (Citri Reticulatae Pericarpium, washed with water to remove white pith, dried, 0.5 liang).
The above ten ingredients are crushed, sifted into a fine powder, and mixed with refined honey to form pills the size of paulownia seeds. Store in porcelain containers. Take thirty pills daily on an empty stomach, administered with rice gruel liquid.
For treating various swellings of the back, toxicity from mineral drugs (Danshi Yaodu, 丹石药毒), headache, high fever, and difficulty in urination and defecation. The Xuanshen Wan (Scrophulariae Radix Pill) Formula:
Xuanshen (Scrophulariae Radix, 1 liang), Shengma (Cimicifugae Rhizoma), Zhizi Ren (Gardeniae Fructus, seed removed), Huangqin (Scutellariae Radix, black heart removed, each 0.5 liang), Huangqi (Astragali Radix, finely cut, 3 fen), Dahuang (Rhei Radix et Rhizoma, cut and stir-fried, 1.5 liang), Wulan (Isatidis Folium, 0.5 liang), Xijiao (Rhino Ceruos, shaved into flakes, 3 fen), Mutong (Akebiae Caulis, cut, 2 liang), Lianqiao (Forsythiae Fructus, 3 fen), Puxiao (Natrii Sulfas, ground, 1.5 liang).
The above eleven ingredients: first crush and sift the first ten into a fine powder, then grind uniformly with Puxiao. Mix with refined honey to form pills the size of paulownia seeds. Take fifteen pills daily on an empty stomach with rice drink. If defecation is not achieved, increase to twenty pills. The goal is rapid and smooth bowel movement, three to two times per day. When pus is discharged and transforms into yellow fluid, the disease will heal.
For patients under forty years old who have strong Qi and Blood but suffer from unpredictable carbuncles and sores and obstruction of urination and defecation. The Wuli Dahuang Tang (Five-Advantage Dahuang Decoction) Formula:
Dahuang (Rhei Radix et Rhizoma, cut and lightly stir-fried), Shengma (Cimicifugae Rhizoma, each 2 liang), Huangqin (Scutellariae Radix, black heart removed, 1 liang), Zhizi (Gardeniae Fructus, ten pieces, peeled).
The above four ingredients are coarsely crushed and sieved. Take five qianbi (approx. 5 grams) per dose, decoct with one and a half zhan (approx. 300 ml) of water until reduced to eight-tenths. Strain, add Mangxiao (Natrii Sulfas, 1 qianbi), and take warm on an empty stomach. The goal is rapid and smooth bowel movement, three to two times per day. If not effective, take again.
For treating carbuncles and sores erupting with constipation and difficult urination/defecation. The Puxiao Wan (Natrii Sulfas Pill) Formula:
Puxiao (Natrii Sulfas, ground), Dahuang (Rhei Radix et Rhizoma, cut and stir-fried), Xingren (Armeniacae Semen Amarum, soaked in water, peel and tip removed, double-kernel, stir-fried and ground), Tinglizi (Descurainiae Semen seu Lepidii Semen, lightly stir-fried, each 2 liang).
The above four ingredients: first crush and sift the first three into a fine powder, mix evenly with Puxiao. Form pills with refined honey, size of paulownia seeds. Take twenty pills after meals with Huanglian Tang (Coptidis Decoction). Continue until unobstructed; if not effective, take again.
For treating exterior and interior heat simultaneously, obstruction of the San Jiao (Triple Burner), back carbuncles and sores, as well as boils and furuncles, with difficulty in urination and defecation. The Shanzhizi Tang (Gardeniae Decoction) Formula:
Shanzhizi Ren (Gardeniae Fructus, seed removed, fifteen pieces), Dahuang (Rhei Radix et Rhizoma, cut and lightly stir-fried, 2 liang), Huangqin (Scutellariae Radix, black heart removed, 1.5 liang), Zhimu (Anemarrhenae Rhizoma, baked), Gancao (Licorice Root, stir-baked and cut, each 1 liang).
The above five ingredients are coarsely crushed and sieved. Take five qianbi per dose, decoct with one and a half zhan of water until reduced to one zhan. Strain, add Mangxiao (Natrii Sulfas, 1 qianbi), and take warm on an empty stomach. Twice daily.
For treating back carbuncles and sores and breast abscesses where toxic vapors attack the Zang-Fu organs, causing obstruction of urination and defecation. The Mutong Tang (Akebiae Caulis Decoction) Formula:
Mutong (Akebiae Caulis, cut), Huangqin (Scutellariae Radix, black heart removed, each 1 liang), Shanzhizi (Gardeniae Fructus, peeled), Loulu Gen (Euphorbiae Humifusae Radix), Wanggua Gen (Trichosanthis Cucumerinae Radix), Dahuang (Rhei Radix et Rhizoma, cut and stir-fried), Gancao (Licorice Root, stir-baked and cut, each 3 fen).
The above seven ingredients are coarsely crushed and sieved. Take five qianbi per dose, decoct with one and a half zhan of water until reduced to one zhan. Strain, add Puxiao (Natrii Sulfas, 1 qianbi), boil for three to two boils, and take warm on an empty stomach. If not effective, take again.
After purgation for carbuncles and sores, when heat slightly subsides but urination remains difficult. The Xiaomai Tang (Triticum Decoction) Formula:
Xiaomai (Tritici Fructus, 3 he), Renshen (Ginseng Radix), Gancao (Licorice Root, stir-baked and cut), Shaoyao (Paeoniae Radix), Shigao (Gypsum Fibrosum, crushed), Shenggan Dihuang (Rehmanniae Radix Preparata, dried), Huangqi (Astragali Radix, finely cut), Mutong (Akebiae Caulis, cut), Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix, black heart removed), Qianhu (Peucedani Radix, de-radicated, each 0.5 liang), Maimendong (Ophiopogonis Tuber, core removed, baked, 3 fen).
The above twelve ingredients are coarsely crushed and sieved. Take five qianbi per dose, decoct with one and a half zhan of water, adding seven leaves of Zhuye (Bambusae Folium) and two broken dates (Dazao, Zizyphi Fructus). Simmer until reduced to one zhan. Strain and take warm on an empty stomach, and again in the evening.
For treating back carbuncles and sores, expelling pus, relieving pain, and promoting urination. The Qumai San (Dianthus Powder) Formula:
Qumai Sui (Dianthi Herba, spike), Shaoyao (Paeoniae Radix), Gui (Cinnamomi Cortex, coarse bark removed), Chixiaodou (Phaseoli Semen Rubrum), Chuanxiong (Ligustici Chuanxiong Rhizoma), Bailian (Pseudostellariae Radix), Huangqi (Astragali Radix, finely cut), Danggui (Angelicae Sinensis Radix, sliced and baked, each 0.5 liang), Maimendong (Ophiopogonis Tuber, core removed, 1 fen).
The above nine ingredients are crushed and sifted into a fine powder. Take two qianbi per dose, mixed with warm wine. Take once on an empty stomach and once in the evening.