千金论曰,夫禀形之类,须存摄养,将息失度,百病萌生,故四时代谢,阴阳递兴,比
之二气,更相击怒,当其时也,必有暴气,夫暴气者,每月必有,猝然大风大雾大寒大热,
若不
阳之
求
又一曰麻子疔,其状肉上起头,大如黍米,色少乌,四边微赤,多痒,忌食麻子,及
衣麻布,并入麻田中行,二曰石疔,其状皮肉相连,色乌黑如乌豆,甚硬,刺之不入,肉内
阴阴微疼,忌瓦砾砖石之属,三曰雄疔,其状 头乌 ,四畔仰疮 浆起,色黄,大如钱孔
许,忌房室,四曰雌疔,其状疮头少黄向里 ,亦似灸疮,四畔 浆起,色赤,大如钱孔,
忌房室,五曰火疔,其状如火疮,头乌 ,四畔有 浆,浆如赤粟米,忌火炙炸食炙爆等
物,六曰烂疔,其状色少黑,有白斑,疮中有脓水,形大小如匙面,忌热食烂臭物,七曰三
十六疔,其状头乌浮起,形如乌豆,四畔起火赤,今日生一,明日生二,后日生三,乃至
十,若满三十六,药所不疗,如未满者可疗,俗名黑 。忌嗔喜愁恨,八曰蛇眼疔,其状疮
头黑皮皮浮生,形如小豆,状似蛇眼,体大硬,忌恶眼人见之,及嫉妒人看之,九曰盐肤疔
,其状如匙面,遍疮皆赤,有黑粟起,忌咸食,十曰水洗疔,其状大如钱形,或如钱孔大,
疮头白里黑,靥汁出,中硬,忌饮浆水洗渡河,十一曰刀镰疔,其状疮阔狭如韭叶,长一寸,
侧内黑,忌烧烁刺及刀镰切割,十二曰浮沤疔,其状如浮沤,疮体曲圆少许,不合长,阔狭
如
薤叶大,内黄外黑,曲黑曲处刺不痛,里黄处刺痛,十三曰牛拘疔,其状肉 起掏不破。
上十三种疔疮,初起必先痒后痛,先寒后热,热定多四肢沉重,头痛心惊眼花,若大重
者则呕逆,呕逆者难疗,其麻子疔一种,始末唯痒,所录之忌,不得犯触,犯触者难疗,其
浮沤牛拘两种,无禁忌,纵不治亦不杀人,其状寒热与诸疔同,皆以此方疗之,万不失一,
欲知犯触,但脊强疮痛极甚,忍不可得,则是犯之状,疗之方用枸杞,春名天精,夏名枸杞
,秋名却老,冬名地骨,春三月上建日采叶,夏三月上建日采枝,秋三月上建日采子,冬三
月上建日采根四味并曝干若得五月五日午时合和,大良,如不得依法采者,但得一种亦得,
绯缯一片以裹药为限,乱发一鸡子大,牛黄如梧子大,反勾棘刺针二七枚末,赤小豆七枚末
,先于绯缯上敷布乱发,以牛黄末等布发上,即卷绯缯作团,乱发作索,十字系之,熨斗中
急火熬
筛二匕
又凡是疔肿用之,齐州荣姥方。
白姜石(一斤软黄者) 枸杞根皮(二两) 牡蛎(九两烂者) 钟乳(下者研一两) 白
石英
(一两研) 桔梗(一两)
上六味各捣筛,乃秤之合和,搅令相得,先取伏龙肝九升末之,以清酒一斗二升,搅令
浑
一
一
深至疮根,并刺四畔令血出,以刀刮取药如大豆许,纳疮上,若病重困,日夜三四度,轻者
一二度着,重者二日根烂始出,轻者半日一日烂出,当看疮浮起,是根出之候,若根出已烂
者,勿停药,仍着之,药甚安稳,令生肌易,其病在口咽及胸腹中者,必外有肿异相也,寒
热不快,疑是此病,即以饮或清水和药如二杏仁许服之,日夜三四服,自然消烂,或以物剔
吐根出即瘥,若根不出亦瘥,当看精神自觉醒悟,合药以五月五日为上,七月七日次之,九
月九日腊月腊日皆可,若急须药,他日亦得,要之不及良日也,修合须清净烧香,不得触秽
,毋令孝子不全之人及产妇六畜鸡犬等见之,凡有此病,忌房室猪牛鸡鱼生韭葱蒜芸薹胡荽
醋面等,若犯诸忌而发动者,取枸杞根汤和药服并如后方,前二家方,本是一家智者平论,
以为后方最是真本,其病通忌酒肉五辛芸薹胡荽油面生冷酢滑耳。
后方如下(崔氏同)
白姜石(二十五两) 牡蛎(十两) 枸杞根白皮(四两) 茯苓(三两)
上四味细筛合和,先取新枸杞根切六升,水一斗半煮取五升,去滓,纳狗屎二升,搅令
调匀,澄取清,和前药熟捣,捻作饼子,阴干,取两刃针当头直刺疮痛彻,拔出,刮取药末
塞孔中,拔针出即纳药,勿令歇气,并遍封疮上,头即胀起,针挑根出,重者半日以上即出
,或已消烂,挑根不出自瘥,勿忧之,其病在内者,外当有肿相应,并皆恶寒发热,疑有疮
者,以水半盏,刮取药如梧子五枚,和服之,日夜三四服,外自消也,若须根出,服药后一
日以上,以鸡羽剔吐出根,纵不出根亦自消烂,在外者,亦日夜三四遍敷药根出后常敷勿休,
生肉易瘥,若犯者,取枸杞根切三升以水五升,煮取三升,去滓,研药一钱匕,和枸杞汁一
盏
又以枸杞汁,绞狗屎取汁服之,最良,合讫即用不必待干,所言白狗屎,是狗食骨,其
屎色
有人
是此
又方
以针刺四边及中心涂雄黄,立愈。(一云涂黄土)
又方
马齿菜(二分) 锻石(三分)
上二味和捣,以鸡子白和涂之。(文仲备急等同出第二十三卷中)
又疗一切疔肿方。
取苍耳根茎子等烧作灰,以酢泔淀和如泥涂上,干即易,不过十余度,即拔根出。
又论曰,臣以正观四年,忽口右角患疔肿,造甘子振,其子振每为贴药,十日不瘥,臣
以此疗之,一如方说,自是常作此方以救诸人,未说有不愈者,故特论之,以传后世,疔肿
方殆有千首,皆不及齐州荣姥方,亦不胜此物,造次易得也。
又方
饮铁浆一碗,即瘥。
又方
蒺藜子一升作灰,以酽醋和封涂疮上,一宿瘥。
又方
皂荚子中仁末敷之数贴,五日愈。
又论曰,凡疗疔肿,皆刺中心至痛,又刺四边十余下,令血出,去血后敷药,药气入针
孔中佳,若不达疮里,则不得力也。
又论曰,其肿好着口边颊中舌上,赤黑如珠子,疼痛应心,是寒毒久结,变作此疾,不
即疗
,日
日不
备急疗疔肿,姚方云,疔毒为疮,肉中突起如鱼眼状,赤黑碜痛,是寒毒之结,变作
此疾,始作服汤,及如疗丹法便瘥,又支太医云,有一十三种疔疮,其状在大方中,初起皆
患寒热,又三十六疔亦是十三种数内,或今日生一,明日生二,或生三,或生十,满三十
六疔,皆疗之方。
蛇皮炙末,和鼠矢,以针刺破疮,纳中即拔出,瘥止。(文仲同)
又方
取人粪干者末之,挑肿破,敷疮大良,若犯疮未死者开口灌厕清一大升,须臾立瘥。
又方
取白马牙齿烧作灰,先以针刺疮令破,以灰封之,用面周匝围之,候肿软,用好酢洗却
灰,其根即出,当便瘥。
又内令消神验方。
反勾棘针(三十二枚一年以上陈者) 生大豆黄(四十枚全者) 绯头 (三条条阔一
寸)
乱发(三鸡子许)
上四味作三分,先将绯一片裹棘针豆黄各三十枚,用发一块缠绯,令周匝牢固,又取两
段绯各如法裹之讫,各于炭火上烧令烟尽,且以两段于瓷器中熟研之,和酒半盏,空腹服之
,半日疮四边软,内舒适,即瘥,半日不觉,可更服一段,必瘥,若后犯之,有三五豆赤黑
脓出,不经犯者,十八日即瘥,此方甚效,勿犯之。
《千金方》论述说,人既然有了形体,就必须注意调养摄生。如果起居作息失去节制,各种疾病就会萌生。因此四季更替,阴阳交替盛衰,就像这两种气相互激荡冲突一样,在特定时候,必然会有暴戾之气产生。所谓暴戾之气,每个月都会有,表现为突然的大风、大雾、极寒或极热。如果不……(原文此处有缺漏)
另一种说法:一是麻子疔,其形态是皮肤上突起一个头,大小像黍米,颜色略带黑色,四周微微发红,大多发痒。忌食芝麻,以及穿麻布衣服,也禁止进入麻田中行走。二是石疔,其形态是皮肉相连,颜色乌黑像黑豆,非常坚硬,针刺不进去,肌肉内部隐隐作痛。忌接触瓦砾砖石之类的东西。三是雄疔,其形态疮头乌黑,四周仰起的疮口有浆液渗出,颜色发黄,大小像铜钱孔那么大。忌房事。四是雌疔,其形态疮头略带黄色且向内凹陷,也像灸过的疮,四周有浆液渗出,颜色发红,大小像铜钱孔。忌房事。五是火疔,其形态像火毒疮,疮头乌黑,四周有浆液,浆液像红色的粟米粒。忌吃用火烤炸的食物如炙爆等物。六是烂疔,其形态颜色略带黑,有白斑,疮中有脓水,形状大小像匙面那么大。忌吃热的腐烂臭秽食物。七是三十六疔,其形态疮头乌黑浮起,形状像黑豆,四周起火红色。今天长一个,明天长两个,后天长三个,甚至长到十个。如果满三十六个,药物无法治疗;如果未满的还可以治疗。俗名叫黑疔。忌动怒、欢喜、忧愁、怨恨。八是蛇眼疔,其形态疮头黑皮浮起,形状像小豆,样子像蛇眼,身体大而硬。忌被恶眼人看见,以及嫉妒的人观看。九是盐肤疔,其形态像匙面,遍疮皆红,有黑色粟粒突起。忌咸食。十是水洗疔,其形态大如铜钱形,或者像铜钱孔大,疮头白里透黑,有汁液流出,中间硬。忌喝生水、洗澡水或渡河时沾染水。十一是刀镰疔,其形态疮口宽窄像韭菜叶,长一寸,侧面内黑。忌烧灼刺割及刀镰切割。十二是浮沤疔,其形态像水泡,疮体微曲圆,不长,宽窄像薤叶大,里面黄外面黑,弯曲发黑的地方刺了不痛,里面黄的地方刺痛。十三是牛拘疔,其形态肉突起掏不破。
以上十三种疔疮,初起时必定先痒后痛,先怕冷后发热,热定之后多四肢沉重,头痛心惊眼花。如果病情严重则会出现呕吐逆气,出现呕吐逆气的难治。其中麻子疔这一种,从头到尾只痒不痛。所记录的禁忌,不得触犯,触犯了就难治。其中浮沤疔和牛拘疔两种,没有禁忌,即使不治也不会死人。其症状的寒热与其他疔疮相同,都用这个方子治疗,万无一失。如果想判断是否触犯了禁忌,只要感到脊背僵硬、疮痛极其剧烈,忍耐不住,就是触犯了的征象。
治疗此方的药材用枸杞:春天叫天精,夏天叫枸杞,秋天叫却老,冬天叫地骨。春三月建寅日采集叶子,夏三月建巳日采集枝条,秋三月建申日采集果实,冬三月建亥日采集根部。这四味药都晒干,如果在五月五日午时配合使用,效果最好。如果不能按法定日期采集,只要得到其中一种也可以。用一片红丝绸包裹药物作为限度,取鸡蛋大一团乱发,梧桐子大小的牛黄,反向生长的棘刺针十四枚研成末,赤小豆七枚研成末。先在红丝绸上铺撒乱发,将牛黄末等药铺在头发上,然后卷起红丝绸做成团状,把乱发搓成绳子,十字交叉系好。在熨斗中急火熬……筛两匕……
凡是疔肿都可以用此方,这是齐州荣姥的方子。
白姜石(一斤,选质地软黄的) 枸杞根皮(二两) 牡蛎(九两,选质地烂软的) 钟乳石(下品,研细一两) 白石英(一两,研细) 桔梗(一两)
以上六味药各捣碎过筛,然后称量混合,搅拌使其均匀。先取伏龙肝九升研成末,用清酒一斗二升,搅拌使浑浊……深入至疮根,并在四周刺破令出血,用刀刮取药末如大豆许大,敷在疮上。如果病重困顿,日夜敷三四次;轻者敷一两次。重的两天后疮根腐烂脱落,轻者半天一天就腐烂脱落。应当观察疮口浮起,这是疮根排出的征兆。如果疮根排出后已经腐烂,不要停药,继续敷用。药性很安稳,能促进生肌愈合。如果病位在口咽及胸腹内部,外部一定会有异常的肿胀表现。如果有寒热不适,怀疑是这个病,就用饮水或清水调和药末如杏仁大小服用,日夜服三四次,自然消烂。或者用物体剔除吐出疮根即痊愈。如果疮根不出也会痊愈。应当观察精神自觉清醒醒悟。配制药物以五月五日为上选,七月七日次之,九月九日和腊月腊日都可以。如果急需用药,其他日子也可以,总之不如良辰吉日好。调制必须清净烧香,不得触碰污秽,不要让孝子、身体不全之人以及产妇、六畜、鸡犬等看见。凡是有这种病,忌房事、猪肉、牛肉、鸡肉、鱼类、生韭菜、葱、蒜、芸薹、胡荽、醋、面食等。如果触犯了各种禁忌而引发病情,取枸杞根汤调和药服用,如同后面的方子。前两家方子,原本是一家,智者平素评论,认为后方最真是原本的方子。此病普遍禁忌酒、肉、五辛、芸薹、胡荽、油、面、生冷、酸滑之物。
后方如下(崔氏方相同)
白姜石(二十五两) 牡蛎(十两) 枸杞根白皮(四两) 茯苓(三两)
以上四味药细筛混合。先取新切的枸杞根六升,加水一斗半煮取五升,去渣,放入狗屎二升,搅拌调匀,澄清取清液,与前药一起熟捣,捏成饼子,阴干。取双刃针直刺疮痛深处,拔出,刮取药末塞入孔中,拔出针后立即纳药,不要间断气息,并全面封盖疮口,头部就会胀起。用针挑出疮根,重的半天以上即排出,或者已经消烂,挑不出根来自己也会痊愈,不必担忧。病在内部的,外部当有相应的肿胀,都伴有恶寒发热,怀疑有疮的,用水半盏,刮取药末如梧桐子五枚大小,调和服用,日夜服三四次,外部自然会消退。如果需要排出疮根,服药一天以后,用鸡毛剔出吐出疮根,即使不出根也会自己消烂。在体表的,也日夜敷药三四遍,根排出后常敷不停,促进生肌容易痊愈。如果触犯了禁忌,取切碎的枸杞根三升,加水五升,煮取三升,去渣,研药一钱匕,和枸杞汁一盏。
又用枸杞汁,绞取狗屎汁服用,效果最好。合好后立即使用,不必等待干燥。所说的白狗屎,是狗吃了骨头后的粪便,其屎色……有人……是此……
又一方
用针刺疮的四边及中心,涂抹雄黄,立刻痊愈。(一说涂抹黄土)
又一方
马齿苋(二分) 锻石(三分)
以上两味药混合捣碎,用鸡蛋清调和涂抹。(文仲《备急方》等同出第二十三卷中)
又治疗一切疔肿的方子。
取苍耳的根、茎、子等烧成灰,用醋泔水沉淀调和如泥状涂上,干了就换,不超过十余次,就能拔出疮根。
又论述说:我在贞观四年,忽然右嘴角患疔肿,找甘子振诊治,他每次贴药,十天不好。我用这个方子治疗,完全按照方子所说,从此经常制作此方救治他人,没有说不愈的,所以特别论述它,以传给后世。疔肿方大概有一千首,都不如齐州荣姥方,也不胜过此物,因为容易得到。
又一方
饮一碗铁浆,即痊愈。
又一方
蒺藜子一升烧成灰,用浓醋调和封涂在疮上,一夜痊愈。
又一方
皂荚子中的仁研末敷贴数次,五天痊愈。
又论述说:凡是治疗疔肿,都要针刺中心直到疼痛,再刺四周十余下,令出血,去血后敷药,药气进入针孔中最好。如果不通达疮里,就没有效力。
又论述说:这种肿喜欢长在口边、脸颊中、舌上,赤黑像珠子,疼痛应心,这是寒毒久结,变作此疾,不立即治疗……日……日不……
《备急方》疗疔肿,姚方说,疔毒为疮,肉中突起像鱼眼状,赤黑涩痛,这是寒毒之结,变作此疾。刚开始发作时服汤药,以及像治疗丹毒的方法便痊愈。又支太医说,有一十三种疔疮,其形态在大方中记载,初起都患寒热。另外三十六疔也是十三种数内的,或者今天长一个,明天长两个,或长三个,或长十个,满三十六疔,都是治疗的方子。
蛇皮烧成末,和鼠矢,用针刺破疮,纳入其中即拔出,痊愈停止。(文仲方相同)
又一方
取干的人粪研末,挑破肿处,敷在疮上很好。如果触犯了疮未死的情况,开口灌入厕所清汁一大升,片刻立即痊愈。
又一方
取白马牙齿烧成灰,先用针刺破疮,用灰封住,用面粉在周围围起来,等到肿变软,用好醋洗掉灰,其根即出,当时就痊愈。
又内服消神验方。
反勾棘针(三十二枚,一年以上陈旧的) 生大豆黄(四十枚完整的) 绯头绸(三条,每条宽一寸) 乱发(三鸡蛋大小)
以上四味药分成三份。先将一片绯绸包裹棘针和大豆黄各三十枚,用一块头发缠绕绯绸,令周围牢固。又取两段绯绸各按上述方法包裹完毕,分别在炭火上烧令烟尽。暂且将两段在瓷器中熟研,和酒半盏,空腹服用。半天后疮四边变软,内部舒适,即痊愈。半天没感觉,可以再服一段,必痊愈。如果后来触犯禁忌,有三五个豆大的赤黑脓出来,不触犯者的,十八日即痊愈。此方很有效,不要触犯禁忌。
The *Qianjin Fang* (Prescriptions Worth a Thousand Gold) discusses that since humans possess physical forms, they must attend to nourishment and preservation. If daily routines and rest are not regulated properly, myriad diseases will arise. Therefore, as the four seasons change and yin and yang alternate in prosperity and decline, it is like these two qi (vital energies) striking and angering each other; at such times, there must be violent qi (sudden pathogenic factors). This violent qi occurs every month, manifesting as sudden strong winds, heavy fog, extreme cold, or extreme heat. If one does not... (the original text has omissions here)
Another account states: First is Maziling (Hemp Seed Carbuncle), its appearance is a head raised on the skin, the size of a millet seed, slightly black in color, with slightly red surroundings, often accompanied by itching. One should avoid eating hemp seeds, wearing hemp cloth, and walking into hemp fields. Second is Shiling (Stone Carbuncle), its appearance is connected to the skin and flesh, black like a soybean, very hard, unpenetrable by needles, with dull pain inside the muscle. One should avoid contact with tiles, gravel, bricks, etc. Third is Xionging (Male Carbuncle), its appearance has a black head, with surrounding raised sores exuding fluid, yellow in color, the size of a copper coin hole. Sexual abstinence is required. Fourth is Ciling (Female Carbuncle), its appearance has a slightly yellow head depressed inward, resembling a moxibustion scar, with surrounding fluid exudation, red in color, the size of a copper coin hole. Sexual abstinence is required. Fifth is Huoding (Fire Carbuncle), its appearance resembles a fire-toxic sore, with a black head and surrounding fluid exudation like red millet grains. One should avoid roasted, fried, or baked foods. Sixth is Lanting (Rotting Carbuncle), its appearance is slightly black with white spots, containing pus and water within the sore, the shape and size like a spoon face. One should avoid hot, rotten, or foul-smelling foods. Seventh is Sanliuling (Thirty-Six Carbuncles), its appearance has a floating black head, shaped like a black bean, with fiery red surroundings. It grows one today, two tomorrow, three the day after, up to ten. If it reaches thirty-six, it cannot be treated by medicine; if less than thirty-six, it can be treated. Commonly known as Heiding (Black Carbuncle). One should avoid anger, excessive joy, sorrow, and resentment. Eighth is Sheyanling (Snake Eye Carbuncle), its appearance has a black, floating skin head, shaped like a small bean, resembling a snake's eye, large and hard. One should avoid being seen by people with "evil eyes" or those who are jealous. Ninth is Yankufing (Salt Skin Carbuncle), its appearance is like a spoon face, entirely red with black millet-like bumps. Salty food is prohibited. Tenth is Shuixiling (Water Wash Carbuncle), its appearance is the size of a coin or coin hole, with a white-black head, exuding juice, hard in the center. One should avoid drinking raw water, bathwater, or getting wet while crossing rivers. Eleventh is Daolianing (Sickle Carbuncle), its appearance is as wide as a leek leaf, one inch long, black on the side. Avoid burning, piercing, cutting, or slicing. Twelfth is Fouaoling (Floating Bubble Carbuncle), its appearance resembles a bubble, slightly curved and round, not elongated, width like a scallion leaf, yellow inside and black outside. Puncturing the curved black part causes no pain, but puncturing the yellow inside causes sharp pain. Thirteenth is Niujuling (Cow Contraction Carbuncle), its appearance is raised flesh that cannot be broken by picking.
For the above thirteen types of ding sores, initially there is itching followed by pain, chills followed by fever. After the fever settles, limbs often feel heavy, accompanied by headache, palpitations, and blurred vision. If severe, vomiting and regurgitation occur, which are difficult to treat. Among them, Maziling only itches from start to finish without pain. The recorded taboos must not be violated; violation makes treatment difficult. Fouaoling and Niujuling have no taboos; even without treatment, they are not fatal. Their chills and fever are similar to other ding sores, and all can be treated with this prescription, with absolute certainty. To determine if a taboo was violated, if one feels extreme stiffness in the spine and unbearable soreness, unable to endure, it indicates a violation.
The medicinal herb for treating this condition is Gouqi (Lycium Bark/Root): called Tianjing (Heavenly Essence) in spring, Gouqi in summer,quelao (Age-Defier) in autumn, and Digutong (Earth Bone Root) in winter. Collect leaves on the Jiazi days of the first month in spring, branches on the Jiazi days of the fourth month in summer, fruits on the Jiazi days of the seventh month in autumn, and roots on the Jiazi days of the tenth month in winter. Dry these four parts. Mixing them on the fifth day of the fifth lunar month at noon is best. If collection dates cannot be strictly observed, obtaining any one part is acceptable. Wrap the medicine in a piece of crimson silk. Take a mass of tangled hair the size of a chicken egg, Niu Huang (Calculus Bovis, Calculus Bos taurus) the size of a wuizi (phitseed), and fourteen pieces of fan gou ji ci zhen (reverse-hook thorn needles), powdered. Also powder seven Chi Xiao Dou (Adzuki Beans, Vigna angularis). Spread the tangled hair on the crimson silk, sprinkle the Niu Huang powder and other medicines over the hair, then roll the silk into a ball. Twist the hair into a rope and tie it in a cross shape. Boil rapidly in an iron heating shovel... sift two spoons...
This prescription can be used for any carbuncle or swelling. It is the formula of Rong Mu from Qizhou.
Bai Jiang Shi (Halloysite, Halloysitum; 1 jin, select soft yellow ones) Gou Qi Gen Pi (Cortex Lycii, Cortex Lycii Chinensis; 2 liang) Mu Li (Concha Ostreae, Concha Ostreae; 9 liang, select soft/rotten ones) Zhong Ru (Concha Margaritifera Interior, Concha Margaritifera Interior; inferior grade, powdered 1 liang) Bai Shi Ying (Quartzum Album, Quartzum Album; 1 liang, powdered) Jie Geng (Radix Platycodonis, Radix Platycodonis Grandiflori; 1 liang)
Pulverize and sieve each of the above six herbs separately, then weigh and mix them thoroughly. First, take 9 sheng of Fu Long Gan (Caulis Longan? No, Fulongs Gan - Fornax Argilla, Fornacis Argilla), pulverize it, and mix with 1 dou 2 sheng of clear wine until turbid... Insert deeply to the root of the sore, prick the surroundings to induce bleeding. Scrape off medicine the size of a soybean and apply to the sore. For severe cases, apply 3-4 times day and night; for mild cases, 1-2 times. Severe cases may rot and discharge the root in two days; mild cases in half a day to one day. Observe for the sore rising, which indicates the root is discharging. If the root has discharged and rotted, do not stop medication; continue application. The medicine is safe and promotes easy tissue regeneration. If the disease is located in the mouth, throat, chest, or abdomen, there will likely be external abnormal swelling. If experiencing chills, fever, and discomfort, suspect this disease. Mix the medicine with water or clear liquid to the size of two apricot kernels and ingest. Take 3-4 times day and night; it will naturally rot and dissolve. Alternatively, use an object to extract and spit out the root, leading to recovery. Even if the root does not discharge, recovery occurs. One should observe for mental clarity and awakening. Prepare the medicine on May 5th (best), July 7th (second best), September 9th, or the last day of the twelfth lunar month. If urgent, other days are acceptable, though not as auspicious. Preparation requires purity and incense burning; avoid contamination. Do not let mourners, disabled persons, postpartum women, livestock, chickens, or dogs see it. Taboos include sexual activity, pork, beef, chicken, fish, raw garlic, scallions, cilantro, vinegar, and wheat flour. If symptoms flare due to taboo violations, mix the medicine with Gou Qi Gen Tang (Decoction of Lycium Root Bark) as per the following formula. The previous two formulas originate from the same source; wise commentators consider the latter formula the most authentic. General taboos include alcohol, meat, five pungent spices, cilantro, oil, flour, raw/cold foods, and sour/slippery foods.
The following formula is provided (identical to Cui Shi's formula):
Bai Jiang Shi (Halloysite, Halloysitum; 25 liang) Mu Li (Concha Ostreae, Concha Ostreae; 10 liang) Gou Qi Gen Bai Pi (Cortex Lycii Radicis, Cortex Lycii Chinensis Radicis; 4 liang) Fu Ling (Poria, Poria cocos; 3 liang)
Sieve the four herbs finely and mix. Cut 6 sheng of fresh Gou Qi Gen (Root of Lycium chinense, Radix Lycii Chinensis) and boil in 1 dou 5 sheng of water to obtain 5 sheng. Strain, add 2 sheng of dog feces, stir well, clarify, and take the clear liquid. Mix with the powdered herbs, cook-pulverize, and form into cakes. Dry in the shade. Use a double-edged needle to pierce the center of the painful sore deeply, withdraw, scrape medicine powder into the hole, and immediately cover the entire sore. The head will swell. Pick out the root with a needle. Severe cases discharge in half a day or more; mild cases may dissolve spontaneously. Do not worry. Internal diseases present with corresponding external swelling, chills, and fever. For suspected internal sores, mix 5 walnut-sized doses of medicine in half a cup of water. Take 3-4 times day and night; external swelling will subside. To discharge the root, wait one day after taking medicine, then use a chicken feather to extract/spit out the root. Even if not extracted, it dissolves. For external sores, apply medicine 3-4 times day and night; continue after root discharge to promote healing. If taboos were violated, take 3 sheng of chopped Gou Qi Gen boiled in 5 sheng of water to yield 3 sheng. Strain. Mix 1 qian bi of medicine with one cup of Gou Qi juice.
Also, squeeze juice from dog feces using Gou Qi juice and ingest; this is best. Use immediately after preparation; drying is not necessary. The "white dog feces" refers to feces from dogs that have eaten bones...
Another formula:
Prick the four sides and center of the sore with a needle, apply Xiong Huang (Realgar, Realgar), and it heals immediately. (Alternatively, apply Huang Tu, Terra Rubra).
Another formula:
Ma Chi Cai (Portulaca Oleracea, Herba Portulae Oleraceae; 2 fen) Duan Shi (Colcothar Vitrioli, Colcothar Vitrioli; 3 fen)
Pulverize and mix, apply mixed with egg white. (Wen Zhong's Bei Ji Fang, Vol 23).
Another formula for all carbuncles and swellings:
Burn Cang Er Gen Jing Zi (Root, Stem, and Fruit of Xanthium sibiricum, Fructus Xanthii) to ash. Mix with vinegar rice wash sediment to form mud. Apply; change when dry. Within ten applications, the root will discharge.
Commentary: In the 4th year of Zhenguan, I suddenly developed a carbuncle on the right corner of my mouth. Gan Zizhen treated me with pastes for ten days without success. I treated myself with this formula exactly as described. Since then, I have frequently prepared this formula to save others, never failing. Thus, I discuss it specifically to pass it to future generations. There are nearly a thousand formulas for carbuncles, none surpassing Rong Mu’s Qizhou formula, nor this substance, which is easily obtained.
Another formula:
Drink one bowl of Tie Jiang (Iron Slag Water), and recover.
Another formula:
Ji Li Zi (Fructus Tribuli, Fructus Tribuli Terestris; 1 sheng) burn to ash, mix with strong vinegar, apply overnight. Recover.
Another formula:
Powdered Ren of Zao Jia Zi (Semen Gleditsiae Sinensis, Semen Gleditsiae Sinensis) applied several times cures in five days.
Commentary: When treating carbuncles, prick the center until painful, then prick the surroundings ten-plus times to induce bleeding. Apply medicine afterward; it is best if the medicinal qi enters the needle pores. If it does not reach the interior of the sore, it is ineffective.
Commentary: These swellings often appear on the corners of the mouth, cheeks, or tongue, red-black like beads, painful to the heart. This is chronic cold toxin accumulation transforming into this disease. If not treated immediately...
Bei Ji Yao Fang (Essential Prescriptions for Emergencies) states regarding carbuncles: Yao Fang says carbuncle toxins present as protrusions in the flesh like fish eyes, red-black and painful, caused by cold toxin accumulation. Treat initially with decoctions and methods used for Dan disease (erysipelas). Yi Taiyi states there are thirteen types of carbuncles, detailed elsewhere. Initial symptoms include chills and fever. The Thirty-Six Carbuncles are among these thirteen types, growing incrementally. Formulas exist for treating up to thirty-six carbuncles.
She Pi (Snake Skin) burned to powder, mixed with Shu Shi (Mouse Feces), inserted into the pierced sore and withdrawn; cure stops. (Wen Zhong).
Another formula:
Powder dry human feces, pierce the swelling, apply generously. If taboo-violated and non-lethal, open the wound and pour one sheng of toilet water; immediate cure.
Another formula:
Burn Bai Ma Ya Chi (Teeth of White Horse) to ash. Prick the sore, apply ash, surround with flour paste. When swelling softens, wash off ash with good vinegar; the root discharges, and cure follows.
Another internal miraculous formula:
Fan Gou Ji Ci Zhen (Reverse-hook thorn needles; 32 pieces, >1 year old) Sheng Da Dou Huang (Yellow Soybeans, Semen Sojae Preparatum; 40 whole pieces) Fei Tou Si (Crimson Silk; 3 strips, 1 cun wide) Luan Fa (Tangled Hair; size of 3 chicken eggs)
Divide the four ingredients into three portions. Wrap 30 needles and 30 soybeans in one strip of silk, bind with hair tightly. Wrap remaining items similarly in two more silk strips. Burn each strip over charcoal until smoke ceases. Pulverize in a porcelain vessel. Mix with half a cup of wine and ingest on an empty stomach. After half a day, sore edges soften, internal comfort ensues, and cure occurs. If no effect after half a day, ingest another portion; cure is certain. If violated later, 3-5 bean-sized red-black pus discharges. Non-violators cure in 18 days. This formula is highly effective; avoid violations.