集验痈疽论。黄帝曰∶夫子言痈疽何以别之。岐伯答曰∶荣卫稽留于经脉之中，则血泣
而不
则为
岐伯
余。
善。
经言五脏不调致疽，六腑不和生痈。一曰 疽急者二三日杀人，缓者十余日杀人；二曰
痈疽。急者十余日杀人，缓者一月死；三曰缓疽。急者一年杀人，缓者数年。四曰水疽。所
发多
地，
一为脑尸，二为舌本，三为玄痈，四为喉节。
五为胡脉，六为五脏俞，七为五脏系。
八为两乳，九为心鸠尾，十为两手鱼。
十一为肠屈之间，十二为小道之后，十三为九孔。
十四为两 肠，十五为神主之舍。（一本云主客之舍）
凡十五处不可伤，而况于痈乎。若痈发此地，遇良医能不及大脓者可救，至大脓害及矣
。（范汪同）
候贼风证，但夜痛应骨，不可按抑，不得回转，痛处不壮热，体亦不乍寒乍热，但觉体
然冷欲得热，热熨痛处即小宽，时有汗，此是贼风证也，宜即得针灸，服疗风药温也。
（方在疗风候上大法宜知二候如此也）
又初得附骨疽，即服漏芦汤下之，敷小豆薄得消也。
又下利已肿处未消者，可除大黄，用生地黄及干地黄，随时也。热渐退余风未歇者，可
服五香连翘汤，除大黄，余热未消，可敷升麻膏佳。若失时不消成脓者，用火针膏散如疗痈
法，
踝，赤如编
凉湿所折，风结
其热歇，气不散
又疗之宜服漏芦汤令下，外以KT 针针去血气，针写上结脉处，敷小豆薄则消也。皆
可依
又亦用甘蕉根薄之瘥。
又痈发肿高者，病源浅，肿下者病源深，大热者易疗，小热者难疗，初便大痛伤肌，晚
乃大
痛伤骨，都坚者未有脓，半坚半软者有脓，发肿都软，血瘤也，非痈，发肿以渐知。长引日
月，亦不大热，时时牵痛，瘤也非痈。吴音曰∶谓诸气结亦有肿，久久不消成痈，疗之宜散
气，气已散。若初肿处有浮气，年衰皆发痈，疗之宜及年盛，并折散热，可无此忧。
于氏法。夫痈疽脉洪粗难疗，脉微涩者易疗，诸浮数之脉。应当发热而反恶寒者，痈也
，此或附骨以有脓也。
赵乃言，无虚劳腹中疾，或发血瘤疮，疮状坟起，头墨正尔置，不当灸疗，疗之火熨便
焦烂
，剥刮去焦痂，则血泄不可禁，必死，痈起于节解，遇顽医不能即消，令至大脓者，岂膏药
可得复生乎。
又发痈坚如石，走皮中无根，瘰 也，久不消，因得他热之疾时，有发为痈也。
又发痈至坚而有根者，名为石痈，疗之法，当服酒，非酒即药势不宣。但当稍饮，取令
相得和散便止。凡痈肿有肥人用贴宜栝蒌根，和平体宜赤小豆贴方。
以赤小豆五合，纳苦酒中熬之毕，捣为散，以苦酒和之，涂拭纸上贴肿，从发肿两头以
下。（范汪同）
又论少小有渴，年四十以外多发痈疽，有膈痰而渴者，年盛必作黄胆，年衰必发痈疽也
（范汪同）
又黄帝曰∶愿闻痈疽之形与其期日，岐伯曰，略说痈疽之极者十八种。
又痈疽发咽，名曰猛疽，猛疽不疗，则血化为脓，脓不泻，塞咽半日死，其化脓者泻已
，则含豕膏，无冷食。三日而已，一去无食。
又发于股 ，名曰股脱疽。其状不甚变，而痈肿脓搏骨。
不急疗，三十日死。（髀内曰股股外曰髀膝上股下骨称曰股 也）
又发于胁名曰改訾，改訾者女子之疾也，久之其状大痈脓，其中乃有生肉大如赤小豆疗
之方。
锉连翘草及根各一升，以水一斗六升，煮令竭，取三升，即强饮，浓衣坐釜上。令汗出
至足已。
又发于尻者，名曰锐疽。其状赤坚大，急疗之，不疗三十日死。
又发于胫者，名曰兔啮，其状赤至骨，急疗之。不疗害人，又发于足上下者，名曰四淫
其
足
上灸百壮，石子当碎出也，不出可益壮。（从痈发高下以后范汪并同）
又石痈者，始发皮核相亲着，不赤头，不甚坚，微痛热，热渐自歇，便坚如石。故谓之
石痈
非痈
寸至
一尺
痈
凡痈疽之疾，未见脓易疗之，当上灸三百壮，四边间子灸各二百壮，实者可下之，虚者
可补
脓
方
脓当破，无脓但气肿。若有血慎不可破针灸也。按之四边坚，中软，此为有脓沈也，一边软
亦有脓，都坚者此为菹核，或但有气也，都软者此为有血，血瘤也。当审坚软虚实为要。若
坚疽积久后，若更变熟，偏有软处，不可破者，疽当暖裹置耳。若灸刺破疗，必暴剧不可救
，及结筋KT 驰伪切肉鼠乳。皆不当疗也，又服内塞散，不与他疗相害，昼夜十余度，服
散
又发于腋下坚赤者，名曰米疽。疗之用砭石，欲细而长，疏启之，涂以豕膏，六日已，
勿裹，其痈坚而不溃者，为马刀挟缨，急疗之。（太素经曰颈前已缨）
又发于股阴者，名曰赤弛，不急疗，六日死，在两股之内，不可疗，一云六十日死。
又发于膝者，名曰疵疽。其状大痈色不变，寒热，如坚石，勿石，石之死，须其柔色异
乃石之者生。（冷石熨之柔乃破之准例之也）
又诸痈肿之发于节而相应者，不可疗。（太素经云膈八节门故不可疗也）
又发于阳者，百日死。
又发于阴者，三十日死。（丈夫阳器曰阳妇人阴器曰阴）
又发于踝者。名曰走缓，其状肉色不变，数石其输而止，其寒热不死。
又发于足傍者。名曰厉疽，其状不大，初从小指发，急疗之。去其黑者，不消辄益，不
疗百日死。（云足侧也）
又发于胸者，名曰背疽，状如大豆，三四日起不早疗，下入腹，入腹不疗，十日死。（太
素经云寒热不去十日早死）
又发于足指者，名曰脱疽，其状赤黑，死不疗，不赤黑可疗，疗不衰，急斩去之得活，
不去者死。
又发于肤者，名曰舌疽。其状如谷实瓜蒌，常苦寒热，急疗之，去其寒热，不疗，十岁
死，死后出脓。
又发于颈者，名曰夭疽。其状大而赤黑，不急疗，则热气下入渊腋，前伤任脉，内熏肝
肺，十余日死。（太素经曰项曰前曰颈）一云发头。以前（十八种并）
千金论曰∶夫痈疽初发，人皆不以为急，此实奇患，唯宜速疗。若疗不速，病成难救，
以此
洗去
冷劳
凡痈疽始发，或似小节，或复大痛，或复小痛，或发如米粒大白脓子。此皆微候，宜善
察之，见有少异，即须大惊忙，须急治之，及断口味，速服诸汤，下去热毒。若无医药，即
灸当
必瘥
又其用药贴法，皆须当疮中处开孔口，令泄疮热气出，亦当头以大针针入四分即瘥。
身中忽有痛处似打状，名曰气痛。痛不可忍，游走不住，发作有时，痛则小热，痛定则
寒，此皆由冬受温风，至春暴寒风来折之，不成温病。乃作气痛也，又宜先服五香连翘汤，
摩丹
沥汤
素问曰∶寒气客于经络，血凝渗涩不行，拥结为痈疽也，不言热之作也，其后成痈，又
阳气凑集，寒化为热，热盛则肉腐为脓也，又以酢和蜂蛤灰涂之，干即易，瘥即止。
凡肿根广一寸以下名疖，一寸以上名小痈。如豆粒大者，名 子，皆始作急服五香连翘
汤下之，数剂取瘥止。（并出第二十三卷中）
广济疗痈疽排脓散方。
黄 （十分脓多倍） 青小豆（一分热口干倍） 芎 （三分肉不生倍） 芍药（三分
痛不止
倍） 白蔹（三分有脓不合倍） 栝蒌（三分若渴小便利倍） 甘草（三分炙）
上七味为散，酒服方寸匕，日三服，不利。忌海藻、菘菜、热面鱼蒜等。（千金同一方
无
又疗发痈疽排脓散方。
人参（二两） 当归（二两） 桂心（二两） 芎 （一两） 浓朴（一两炙） 甘草
（一两炙）
防风（二两） 白芷（二两） 桔梗（一两）
上九味捣筛为散，以酒服方寸匕，日二服，不利。若疮未合，常服之。忌生冷、菘菜、
海藻、生葱蒜。（并出第五卷中）
刘涓子疗痈疽，先宜敷大黄食肉膏，方在发背部。千金方食恶肉散，后用大黄附子等十
物者乃是，次兑膏方。
当归 芎 白芷（各二两） 乌头（一两） 巴豆（二十枚去皮） 松脂（二两） 猪
肪（二
分）
上七味 咀，纳膏中，微火合煎三沸已，纳松脂，搅令相得，以绵布绞去滓，以膏着
絮兑
即止
又疗痈疽发坏出血，生肉黄 膏方。
黄 （一两） 芍药（一两） 当归（一两） 大黄 芎 独活 白芷 薤白 生地
黄（各
一两）
上九味切，猪膏二升半，煎三上三下膏成，绞去滓，敷兑疮中，摩左右，日三。文仲同
（并出第四卷中）
又疗痈疽疮，生肉黄 膏方。
黄 细辛 生地黄 蜀椒 当归 芍药 薤白 白芷 芎 丹参（各一两） 猪膏
（
一升半腊月者） 甘草 苁蓉 独活 黄芩（各一两）
上十五味，以苦酒一升二合，夏月渍一宿，冬月二宿，微火煎三沸，煮酒气尽成，敷之
又疗痈疽始作便坏，热毒发疮膏方。
羊髓（一两） 甘草（二两） 胡粉（五分一法五两） 大黄（一两） 猪膏（二升）
上五味切，合膏髓煎二味烊，纳甘草大黄，三上三下，绞去滓，内胡粉，绞令调和，敷
疮上，日五度。
又疗痈疽已溃白芷摩膏方。
白芷 甘草（各二分） 乌头（三分） 薤白（十五挺） 青竹茹（鸡子大一枚）
上五味切，以猪膏一升，合煎白芷黄，膏成绞去滓，涂疮四边。勿着疮中。（并出第五
卷中）
深师内塞散，疗痈疽溃漏，血脉空竭方。
黄 细辛 芍药 薏苡仁 白芷 瞿麦（各二两） 赤小豆（七两） 干地黄 人参 防
风（各二两）
上十味切，先以新成白苦酒置新器中，纳赤小豆，须臾出铜器中，熬令燥，复须纳苦酒
中更熬，凡五反止，合捣为散，酒服方寸匕，日夜六七过，腹痛甚，倍芍药，口未闭倍薏苡
仁，脓多倍黄 。（出第二十八卷中）
删繁疗痈疽等毒溃烂。猪蹄洗汤方。
猪蹄（一具治如食法） 蔷薇根（一斤） 甘草（五两炙） 芍药（五两） 白芷（五
两）
上五味切，以水二斗，煮猪蹄取八升，去滓，下诸药，煮取四升，稍稍洗疮。（出第九
卷中）
千金翼，黄帝问曰∶有疽死者奈何。岐伯曰∶身有五部，伏菟一， 二，（一云膊）背
三，
五脏之 四，项五，五部有疽，死也。（删繁同本出灵枢）
又王不留行散，主痈疽，及诸杂肿溃皆服之，亦疗痈肿不溃，苦困无赖方。
野葛皮（半分） 五色龙骨（五两） 王不留行子（二升千金方用三合翼云一升） 桂
心（一
两） 当归（二两） 干姜（一两） 栝蒌（末六合）
上七味为散，食讫温酒服方寸匕，日三，以四肢习习为度，不知渐渐加之。此浩仲堪方
，随日济 黎施行，实为神散。痈肿即消，此方妙。（千金同出第十四卷中）
黄帝问道：您说痈和疽，应当如何区分呢？
岐伯回答说：营气和卫气在经脉中滞留，血液运行涩滞不畅，导致正气留止不去，从而形成脓血。
黄帝说：讲得好。
经文说五脏功能失调会导致疽，六腑不和会产生痈。第一种叫急疽，发病急的两三天内可致人死亡，发病缓的十余天可致人死亡；第二种叫急痈疽，发病急的十余天可致人死亡，发病缓的一个月致死；第三种叫缓疽，发病急的一年内致死，发病缓的数年致死。第四种叫水疽。其发病部位多在……（原文此处有缺漏），一为脑尸，二为舌本，三为玄痈，四为喉节。五为胡脉，六为五脏俞穴，七为五脏系连之处。八为两乳，九为心鸠尾穴处，十为两手鱼际处。十一为肠道弯曲之间，十二为小道之后，十三为九窍。十四为两……（原文此处有缺漏）肠，十五为神主之舍。（另一版本称为主客之舍）。这十五个部位都不可受伤，更何况是发生痈肿呢。如果痈发生在这类部位，遇到良医能使其不化大脓的还可以救治，一旦化大脓就会造成危害。（范汪的观点与此相同）
观察贼风证的征象，只是夜间疼痛应及骨骼，不可按压抑制，身体不能转动，疼痛处没有明显的壮热，身体也没有忽冷忽热的表现，只觉得身体寒冷想要取暖，用热敷熨烫疼痛处则稍微缓解，有时出汗，这就是贼风证，应当立即进行针灸治疗，服用温性的疗风药物。（方剂在疗风候的大法中，应当知道这两种候诊方法如此）
另外，刚患上附骨疽时，立即服用漏芦汤攻下，外敷赤小豆薄贴可以消散。
另外，腹泻停止后，肿胀处仍未消退的，可以去掉大黄，使用生地黄及干地黄，根据病情随时调整。热势逐渐减退但余风未停的，可以服用五香连翘汤，去掉大黄；余热未消的，外敷升麻膏较好。如果错过时机未能消散而化成脓的，用火针、药膏、散剂，按照治疗痈的方法处理。……（原文此处有缺漏，似指踝部红肿如编席状，因凉湿所折，风邪凝结，热气暂歇，气机不散）。又治疗时应服用漏芦汤令其泻下，外用KT针针刺去出血气，针刺写上结脉之处，外敷赤小豆薄贴则可消散。都可以依照……（原文此处有缺漏）
另外也可以用甘蕉根薄贴，病愈。
另外，痈发且肿胀高突的，病源浅；肿胀低平的，病源深；大热的容易治疗，微热的难治。初起就剧烈疼痛伤及肌肉的，晚起才剧烈疼痛伤及骨骼的。全部坚硬的还没有脓，半坚半软的已经有脓。全身肿胀都柔软的，是血瘤，不是痈。发生肿胀要逐渐知晓。病程延长，也不大热，时时牵拉作痛，这是瘤不是痈。吴地语音说：各种气结也会有肿胀，久久不消而成痈，治疗应当疏散气机，气已散尽。如果初起肿胀处有浮气，年老体衰都会发痈，治疗应当趁年富力强时，并折散热毒，就可以没有这种忧虑。
于氏的法度：痈疽脉象洪大粗壮的难治，脉象微涩的易治。凡是浮数之脉，应当发热却反而恶寒的，是痈，这可能是附骨疽且有脓。
赵氏曾说，没有虚劳腹中疾病，或者发生血瘤疮，疮状隆起，头黑端正放置，不应当灸疗，若用火烧熨烫就会焦烂，剥刮去除焦痂，则血液泄漏不可控制，必死无疑。痈起于关节缝隙，遇到庸医不能立即消散，致使化大脓的，难道靠膏药就能使尸体复生吗？
另外，痈坚硬如石头，游走皮中没有根基的，是瘰疬，久久不消，因为得了其他热性疾病时，有时会发为痈。
另外，痈至坚硬且有根基的，名叫石痈，治疗方法，应当饮酒，如果不喝酒即药力不宣通。只应当稍许饮用，取令气血调和分散便停止。凡痈肿，肥胖之人用贴敷宜用栝蒌根，平和体质的人宜用赤小豆贴方。
用赤小豆五合，放入苦酒（醋）中熬煮完毕，捣成散剂，用苦酒调和，涂拭在纸上贴在肿胀处，从肿胀的两头向下贴。（范汪观点相同）
另外论述小儿多有口渴，四十岁以上多发痈疽，有膈间痰饮而口渴的，年富力强必患黄疸，年老体衰必发痈疽。（范汪观点相同）
另外黄帝说：希望听听痈疽的形态及其预后日期，岐伯说，简略说说痈疽极重的有十八种。
另外痈疽发于咽喉，名叫猛疽，猛疽不治疗，则血液化为脓，脓液不排出，堵塞咽喉半天致死，其化脓者排脓后，含服猪膏，不吃冷食。三天痊愈，一天不吃东西。
另外发于大腿内侧的，名叫股脱疽。其症状变化不明显，但痈肿脓液搏结于骨。不及时治疗，三十天致死。（大腿内侧叫股，外侧叫髀，膝上股下骨头称为股胻也）
另外发于胁部的，名叫改訾，改訾是女子的疾病，久了其症状变成大痈脓，其中甚至有像赤小豆大小的生肉，治疗方剂。
锉碎连翘草及根各一升，用水一斗六升，煮至水干，取汁三升，强行喝下，穿厚衣服坐在锅上熏蒸。令汗出到脚为止。
另外发于尻部的，名叫锐疽。其症状红硬大，急治之，不治疗三十天致死。
另外发于小腿的，名叫兔啮，其症状红至骨，急治之。不治疗害人。另外发于足上下方的，名叫四淫……（原文此处有缺漏）足上方灸百壮，石子应当碎裂排出，不排出可以增加壮数。（从痈发高低以后范汪均相同）
另外石痈，开始发作时皮核相亲附着，不红头，不太坚硬，微痛热，热势逐渐自行消退，便坚硬如石头。所以叫石痈……（原文此处有缺漏）寸至一尺……（原文此处有缺漏）痈。
凡痈疽之疾，未见脓液易治，应当上部灸三百壮，四周间隔子灸各二百壮，实证的可攻下，虚证的可补……（原文此处有缺漏）脓。方。脓当破，无脓只是气肿。如果有血谨慎不可破针灸。按之四边坚硬，中间软，这是有脓深陷，一边软也有脓，全部坚硬的是菹核，或者只有气。全部软的是有血，血瘤。应当审察坚软虚实为关键。如果坚疽积久后，如果再次变熟，偏有软处，不可破的，疽应当暖裹放置。如果灸刺破疗，必定暴剧不可救，以及结筋KT弛伪切肉鼠乳。都不应当治疗。又服用内塞散，不与其他疗法相害，昼夜十余次，服用散……（原文此处有缺漏）
另外发于腋下坚硬红色的，名叫米疽。治疗用砭石，欲细而长，疏开它，涂上猪膏，六日痊愈，不要包扎。其痈坚硬而不溃破的，为马刀挟缨，急治之。（太素经说颈前已缨）
另外发于大腿内侧阴面的，名叫赤弛，不急治，六天致死，在两股之内，不可治疗，一说六十天致死。
另外发于膝盖的，名叫疵疽。其症状大痈颜色不变，寒热，如坚石，勿用石针，用石针刺之死，须待其柔软变色异于常态乃可用石针刺之者生。（冷石熨之柔乃破之准例之也）
另外诸痈肿发于关节且相应的，不可治疗。（太素经云膈八节门故不可疗也）
另外发于阳部的，百日死。
另外发于阴部的，三十天死。（男子阳器曰阳，妇人阴器曰阴）
另外发于踝部的。名叫走缓，其症状肉色不变，多次石针其输穴而止，其寒热不死。
另外发于足旁的。名叫厉疽，其症状不大，初从小指发，急治之。去除黑色的，不消辄增，不治疗百日死。（云足侧也）
另外发于胸部的，名叫背疽，状如大豆，三四日起不早治疗，下入腹，入腹不治疗，十天致死。（太素经云寒热不去十日早死）
另外发于足趾的，名叫脱疽，其症状赤黑，死不治疗，不赤黑可治疗，治疗不衰退，急斩去之得活，不去者死。
另外发于肤表的，名叫舌疽。其症状如谷实瓜蒌，常苦寒热，急治之，去除其寒热，不治疗，十岁死，死后出脓。
另外发于颈部的，名叫夭疽。其症状大而赤黑，不急治疗，则热气下入渊腋，前伤任脉，内熏肝肺，十余天死。（太素经曰项曰前曰颈）一说发头。以前（十八种并）
《千金论》说：凡痈疽初发，人们都不以为急，这其实是奇患，只宜速治。如果治疗不迅速，病成难救，以此……（原文此处有缺漏）洗去冷劳。
凡痈疽始发，或似小节，或复大痛，或复小痛，或发如米粒大白脓子。这都是微候，善于察之，见有少异，即须大惊忙，须急治之，及断口味，速服诸汤，下去热毒。若无医药，即灸当……（原文此处有缺漏）必瘥。
另外其用药贴法，皆须当疮中处开孔口，令泄疮热气出，亦当头以大针针入四分即瘥。
身中忽然有痛处似打状，名叫气痛。痛不可忍，游走不住，发作有时，痛则小热，痛定则寒，这都是由冬天受温风，至春天暴寒风来折之，不成温病。乃作气痛也，又宜先服五香连翘汤，摩丹沥汤。
《素问》说：寒气客于经络，血凝渗涩不行，拥结为痈疽也，不言热之作也，其后成痈，又阳气凑集，寒化为热，热盛则肉腐为脓也，又以酢和蜂蛤灰涂之，干即易，瘥即止。
凡肿根广一寸以下名疖，一寸以上名小痈。如豆粒大者，名……（原文此处有缺漏）子，皆始作急服五香连翘汤下之，数剂取瘥止。（并出第二十三卷中）
《广济》疗痈疽排脓散方。
黄芪（十分脓多倍） 青小豆（一分热口干倍） 川芎（三分肉不生倍） 芍药（三分痛不止倍） 白蔹（三分有脓不合倍） 栝蒌（三分若渴小便利倍） 甘草（三分炙）
上七味为散，酒服方寸匕，日三服，不利。忌海藻、菘菜、热面鱼蒜等。（千金同一方无……）
又疗发痈疽排脓散方。
人参（二两） 当归（二两） 桂心（二两） 川芎（一两） 浓朴（一两炙） 甘草（一两炙）
防风（二两） 白芷（二两） 桔梗（一两）
上九味捣筛为散，以酒服方寸匕，日二服，不利。若疮未合，常服之。忌生冷、菘菜、海藻、生葱蒜。（并出第五卷中）
刘涓子疗痈疽，先宜敷大黄食肉膏，方在发背部。千金方食恶肉散，后用大黄附子等十物者乃是，次兑膏方。
当归 川芎 白芷（各二两） 乌头（一两） 巴豆（二十枚去皮） 松脂（二两） 猪肪（二分）
上七味咀，纳膏中，微火合煎三沸已，纳松脂，搅令相得，以绵布绞去滓，以膏着絮兑……（原文此处有缺漏）即止。
又疗痈疽发坏出血，生肉黄……（原文此处有缺漏）膏方。
黄芪（一两） 芍药（一两） 当归（一两） 大黄 川芎 独活 白芷 薤白 生地黄（各一两）
上九味切，猪膏二升半，煎三上三下膏成，绞去滓，敷兑疮中，摩左右，日三。文仲同（并出第四卷中）
又疗痈疽疮，生肉黄……（原文此处有缺漏）膏方。
黄芪 细辛 生地黄 蜀椒 当归 芍药 薤白 白芷 川芎 丹参（各一两） 猪膏（一升半腊月者） 甘草 苁蓉 独活 黄芩（各一两）
上十五味，以苦酒一升二合，夏月渍一宿，冬月二宿，微火煎三沸，煮酒气尽成，敷之。
又疗痈疽始作便坏，热毒发疮膏方。
羊髓（一两） 甘草（二两） 胡粉（五分一法五两） 大黄（一两） 猪膏（二升）
上五味切，合膏髓煎二味烊，纳甘草大黄，三上三下，绞去滓，内胡粉，绞令调和，敷疮上，日五度。
又疗痈疽已溃白芷摩膏方。
白芷 甘草（各二分） 乌头（三分） 薤白（十五挺） 青竹茹（鸡子大一枚）
上五味切，以猪膏一升，合煎白芷黄，膏成绞去滓，涂疮四边。勿着疮中。（并出第五卷中）
深师内塞散，疗痈疽溃漏，血脉空竭方。
黄芪 细辛 芍药 薏苡仁 白芷 瞿麦（各二两） 赤小豆（七两） 干地黄 人参 防风（各二两）
上十味切，先以新成白苦酒置新器中，纳赤小豆，须臾出铜器中，熬令燥，复须纳苦酒中更熬，凡五反止，合捣为散，酒服方寸匕，日夜六七过，腹痛甚，倍芍药，口未闭倍薏苡仁，脓多倍黄芪。（出第二十八卷中）
删繁疗痈疽等毒溃烂。猪蹄洗汤方。
猪蹄（一具治如食法） 蔷薇根（一斤） 甘草（五两炙） 芍药（五两） 白芷（五两）
上五味切，以水二斗，煮猪蹄取八升，去滓，下诸药，煮取四升，稍稍洗疮。（出第九卷中）
《千金翼》，黄帝问曰：有疽死者奈何。岐伯曰：身有五部，伏菟一，……（原文此处有缺漏）二，（一云膊）背三，五脏之……（原文此处有缺漏）四，项五，五部有疽，死也。（删繁同本出灵枢）
又王不留行散，主痈疽，及诸杂肿溃皆服之，亦疗痈肿不溃，苦困无赖方。
野葛皮（半分） 五色龙骨（五两） 王不留行子（二升千金方用三合翼云一升） 桂心（一两） 当归（二两） 干姜（一两） 栝蒌（末六合）
上七味为散，食讫温酒服方寸匕，日三，以四肢习习为度，不知渐渐加之。此浩仲堪方，随日济黎施行，实为神散。痈肿即消，此方妙。（千金同出第十四卷中）
"Collected Proven Experiences on Carbuncles and Ulcers"
The Yellow Emperor asked: You spoke of carbuncles (Yong) and ulcers (Ju), how should they be distinguished?
Qibo replied: When Ying Qi (Nutritive Qi) and Wei Qi (Defensive Qi) stagnate within the meridians, blood flow becomes sluggish and unsmooth. This causes righteous Qi to remain and accumulate, thereby forming pus and blood.
The Yellow Emperor said: Well said.
The classics state that dysfunction of the Five Zang Organs leads to ulcers (Ju), while disharmony of the Six Fu Organs generates carbuncles (Yong). The first type is called Acute Ju; if acute onset, death may occur within two or three days; if slow onset, within ten-plus days. The second type is called Acute Yong-Ju; if acute onset, death may occur within ten-plus days; if slow onset, within one month. The third type is called Chronic Ju; if acute onset, death may occur within a year; if slow onset, within several years. The fourth type is called Water Ju. Its onset often occurs in... [text missing], one is Brain Corpse, two is Tongue Root, three is Xuan Yong, four is Throat Joint. Five is Hu Mai, six is the Shu points of the Five Zang Organs, seven is the connections of the Five Zang Organs. Eight is both breasts, nine is the area of Xinjiuweil (CV15), ten is the Yuji areas of both hands. Eleven is between the curves of the intestines, twelve is behind the small pathways, thirteen is the Nine Orifices. Fourteen is both... [text missing] intestines, fifteen is the residence of the Spirit Master. (Another version calls it the residence of Host and Guest). These fifteen locations must not be injured, let alone develop carbuncles. If a carbuncle develops in these locations, encountering a good physician who can prevent large amounts of pus from forming allows for rescue; once large pus forms, harm ensues. (Fan Wang's view is the same.)
Observe the signs of Thief Wind Syndrome: pain at night extends to the bones, cannot be pressed or suppressed, the body cannot turn, the painful area is not hot, the body does not alternate between chills and fever, but feels cold and desires warmth. Applying heat compresses to the painful area brings slight relief, sometimes with sweating. This is Thief Wind Syndrome. One should immediately undergo acupuncture and moxibustion and take warming wind-dispelling medicines. (The formulas are in the general methods for treating Wind Syndromes; one should know these two diagnostic approaches as described.)
Furthermore, upon initially contracting Fugu Ju (Bone-Attached Ulcer), immediately administer Loulu Tang (Thistle Decoction) to purge, and apply a thin paste of Adzuki Beans externally to resolve it.
Furthermore, if diarrhea has ceased but swelling remains unresolved, remove Rhubarb, use fresh Rehmannia root and dried Rehmannia root, adjusting according to the condition. If heat gradually subsides but residual wind persists, Wuxiang Liaoqiao Tang (Five-Spice Forsythia Decoction) may be taken, removing Rhubarb. If residual heat remains, applying Shengma Gao (Cimicifuga Ointment) is excellent. If the timing is missed and it fails to resolve, turning into pus, treat with fire needles, ointments, and powders according to the methods for treating carbuncles. ... [text missing] ankle, red like woven mats, caused by cooling dampness obstructing wind condensation, heat temporarily ceasing, Qi not dispersing. Treatment should involve taking Loulu Tang to induce purging, externally using KT needles to puncture and drain blood and Qi, needling the Jie Mai (Knotting Vessels) at the upper writing location, and applying an Adzuki Bean thin paste to resolve it. All can follow ... [text missing].
Furthermore, one may also use a thin paste of Banana Root to cure.
Furthermore, if a carbuncle presents with high swelling, the disease source is shallow; if low swelling, the disease source is deep. Those with intense heat are easy to treat; those with mild heat are difficult. Initial severe pain damaging muscle indicates late-onset severe pain damaging bone. Uniform hardness indicates no pus yet; half-hard, half-soft indicates pus present. Uniform softness in swelling indicates a Blood Tumor, not a carbuncle. Swelling must be understood gradually. Prolonged duration without significant heat, with occasional pulling pain, indicates a tumor, not a carbuncle. In Wu dialect: various Qi knots can cause swelling; if unresolved for a long time, it becomes a carbuncle. Treatment should disperse Qi. Once Qi is dispersed... If initial swelling has floating Qi, the elderly will all develop carbuncles. Treatment should be undertaken when young and vigorous, dissipating heat and cold, avoiding this worry.
Yu's Method: For carbuncles and ulcers, a洪粗 (Surging and Coarse) pulse is difficult to treat; a微涩 (Fine and Choppy) pulse is easy to treat. For all Floating-Rapid pulses, if fever is expected but chills are present instead, it is a carbuncle, possibly Fugu Ju with pus.
Zhao stated: Without consumptive disease or abdominal disorders, or if developing a Blood Tumor Sore, where the sore protrudes like a mound, black-headed and upright, moxibustion should not be used. Burning/warming causes charring and rotting. Scraping off the scab causes uncontrollable bleeding, leading to certain death. Carbuncles arising at joints, treated by incompetent physicians who fail to resolve them quickly, leading to large pus formation—can plaster revive the dead?
Furthermore, a carbuncle hard as stone, wandering in the skin without roots, is Luoli (Scrofula). If unresolved for a long time, due to other heat diseases, it may develop into a carbuncle.
Furthermore, a carbuncle extremely hard with roots is named Stone Carbuncle. The treatment method involves drinking wine; without wine, the medicinal power does not disseminate. Drink slightly until Qi and Blood harmonize and disperse, then stop. For all carbuncles/swellings, obese individuals should use Trichosanthes Root plasters; those with balanced constitutions should use Adzuki Bean plasters.
Take five he of Adzuki Beans, cook in vinegar until done, grind into powder, mix with vinegar, apply on paper to the swelling, sticking from both ends downwards. (Fan Wang agrees.)
Furthermore, discussing children often having thirst; after age forty, carbuncles and ulcers are common. Those with phlegm in the diaphragm and thirst will likely develop jaundice in youth, and carbuncles/ulcers in old age. (Fan Wang agrees.)
Furthermore, the Yellow Emperor said: I wish to hear about the forms and prognosis of carbuncles and ulcers. Qibo said: Briefly, there are eighteen extreme types of carbuncles and ulcers.
Furthermore, a carbuncle/ulcer developing in the throat is called Meng Ju (Fierce Ulcer). If untreated, blood turns to pus. If pus is not drained, blocking the throat causes death in half a day. After draining pus, hold Pig Fat in the mouth; do not eat cold food. Recovery in three days; fast for one day.
Furthermore, development in the thigh is called Gu Tuo Ju. Symptoms show little change, but the carbuncle swelling binds to the bone. Untreated, death occurs in thirty days. (Inner thigh is Gu, outer is Bi, bone above knee below thigh is Gu Ting.)
Furthermore, development in the hypochondrium is called Gai Zi, a disease of women. Over time, it becomes a large carbuncle with pus, containing raw flesh the size of a red bean. Formula: Cleave Forsythia herb and root each one sheng, boil in sixteen dou of water until dry, take three sheng, drink strongly, sit on a pot wrapped in thick clothes. Induce sweating down to the feet.
Furthermore, development in the sacrum is called Rui Ju. Symptoms are red, hard, and large. Treat urgently; untreated, death in thirty days.
Furthermore, development in the shin is called Tu Nie. Symptoms are red to the bone. Treat urgently; untreated, harmful. Furthermore, development above and below the foot is called Si Yin... [text missing] Moxibustion on the upper foot with one hundred burns; stone fragments should exit. If not, increase burns. (Consistent with Fan Wang regarding height of onset.)
Furthermore, Stone Carbuncle begins with skin and nodules adhering, not red-headed, not very hard, slight pain and heat. Heat gradually subsides, becoming hard as stone. Hence called Stone Carbuncle... [text missing] Cun to Chi... [text missing] Carbuncle.
For all carbuncles and ulcers, before pus appears, they are easy to treat. Apply three hundred moxa burns on top, two hundred burns at intervals around the sides. Excess patterns can be purged; deficiency patterns can be tonified... [text missing] Pus. Formulas. Pus should be ruptured; without pus, it is only Qi swelling. If blood is present, carefully avoid rupture/acupuncture. Pressing four sides hard and center soft indicates deep pus. Softness on one side also indicates pus. Uniform hardness indicates Zu He (Pickled Vegetable Nodule) or only Qi. Uniform softness indicates blood, a Blood Tumor. Examining hardness/softness and excess/deficiency is key. If a hard ulcer accumulates over time and becomes "ripe," with localized softness, do not rupture; keep the ulcer warm and covered. If moxa/puncture rupture is attempted, it will become violent and incurable, leading to tendon knotting or rat-milk tumors. Do not treat. Also take Neisai San (Internal Blocking Powder); it does not conflict with other treatments. Take ten-plus times day and night... [text missing].
Furthermore, development in the armpit, hard and red, is called Mi Ju (Rice Carbuncle). Treat with Bian Shi (Stone Lancet), fine and long, open sparsely, apply Pig Fat. Recover in six days; do not bandage. If the carbuncle is hard and unruptured, it is Ma Dao Jia Ying (Horse Knife Bearing Tassel). Treat urgently. (Tai Su Jing says neck front bearing tassel.)
Furthermore, development in the inner thigh is called Chi Chi. Untreated, death in six days. Located inside both thighs, untreatable; some say death in sixty days.
Furthermore, development in the knee is called Ci Ju. Symptoms: large carbuncle, color unchanged, chills/fever, hard as stone. Do not lance with stone; lancing causes death. Wait for softness/color change before lancing ensures survival. (Cold stone compress softens, then rupture follows standard example.)
Furthermore, carbuncles/swellings developing at joints with corresponding symptoms are untreatable. (Tai Su Jing says Diaphragm Eight Joint Gates are thus untreatable.)
Furthermore, development in Yang regions causes death in one hundred days.
Furthermore, development in Yin regions causes death in thirty days. (Male genitalia is Yang, female genitalia is Yin.)
Furthermore, development in the ankle is called Zou Huan. Symptoms: flesh color unchanged. Frequent stone needling at Shu points stops it; chills/fever do not cause death.
Furthermore, development on the side of the foot is called Li Ju. Symptoms: not large, starts from little toe. Treat urgently. Remove black areas; if not resolved, it increases. Untreated, death in one hundred days. (Says side of foot.)
Furthermore, development in the chest is called Bei Ju. Shape like soybean. If not treated early after three-four days, it enters the abdomen. Entering abdomen untreated causes death in ten days. (Tai Su Jing says chills/fever persisting ten days leads to early death.)
Furthermore, development in the toe is called Tuo Ju. Symptoms: red-black. Untreated death; if not red-black, treatable. If treatment fails to reduce it, amputate urgently to survive; otherwise, death.
Furthermore, development in the skin is called She Ju. Shape like grain fruit or Trichosanthes. Suffers chills/fever. Treat urgently to remove chills/fever; untreated, death in ten years, pus excretes after death.
Furthermore, development in the neck is called Yao Ju. Shape large, red-black. Untreated, heat qi descends to Yuan Ye, damages Ren Mai anteriorly, steams Liver and Lung internally. Death in ten-plus days. (Tai Su Jing says Neck is Front is Jin.) Some say Fa Tou. Previous (Eighteen types together).
"Qianjin Lun" states: Initially, people do not consider carbuncles/ulcers urgent, but this is a strange disaster, requiring rapid treatment. If not treated rapidly, the disease becomes incurable. Thus... [text missing] wash away Cold Lao (Cold Consumption).
When carbuncles/ulcers first appear, they may seem minor, or cause great pain, slight pain, or appear like rice grains/big white pus seeds. These are subtle signs; observe well. Seeing any difference requires alarm and urgent treatment. Stop tasting flavors, quickly take various decoctions to descend heat toxins. If no medicine, moxa when... [text missing] must recover.
Regarding medication/plaster methods, one must open a hole in the center of the sore to vent heat Qi. Also, insert a large needle four cun deep at the head for recovery.
Sudden pain in the body resembling a blow is called Qi Pain. Unbearable pain, wandering without rest, occurring at times. During pain, slight heat; after pain, cold. This is caused by warm wind in winter, broken by sudden cold wind in spring, failing to become Warm Disease, instead becoming Qi Pain. Should first take Wuxiang Liaoqiao Tang, Mo Dan Li Tang.
"Sù Wèn" states: Cold Qi invading meridians causes blood coagulation, seepage, and obstruction, gathering into carbuncles/ulcers. It does not speak of heat production. Later, Yang Qi gathers, Cold transforms into Heat. Intense Heat rots flesh into pus. Apply Vinegar mixed with Bee Shell Ash; change when dry, stop when recovered.
Swelling root width less than one Cun is called Jie (Boil); more than one Cun is Xiao Yong (Small Carbuncle). Size of a bean is called ... [text missing] Zi. Upon onset, urgently take Wuxiang Liaoqiao Tang to purge. Several doses until recovery. (All from Volume 23).
"Guang Ji" Formula for Discharging Pus in Carbuncles/Ulcers:
Huangqi (Ten parts, double if much pus) Qing Xiaodou (One part, double if hot/dry mouth) Xiong (Three parts, double if flesh doesn't grow) Shaoyao (Three parts, double if pain continues) Bailian (Three parts, double if pus doesn't close) Gualou (Three parts, double if thirsty/urine clear) Gancao (Three parts, roasted).
Seven ingredients ground to powder. Take one Fang Cun Bi with wine, three times daily. Avoid Seaweed, Pak Choi, Hot Noodles, Fish, Garlic. (Qianjin has same formula without...)
Another Formula for Discharging Pus in Carbuncles/Ulcers:
Renshen (Two liang) Danggui (Two liang) Guixin (Two liang) Xiong (One liang) Houpo (One liang, roasted) Gancao (One liang, roasted).
Fangfeng (Two liang) Baizhi (Two liang) Jiegeng (One liang).
Nine ingredients pounded/sifted to powder. Take one Fang Cun Bi with wine, twice daily. Avoid Cold/Raw, Pak Choi, Seaweed, Raw Scallion/Garlic. (From Volume 5).
Liu Juanzi treats carbuncles/ulcers: First apply Dahuang Shirou Gao (Rhubarb Flesh-Eating Ointment), formula in Back Eruption. Qianjin Shi E Rou San, later Dahuang Fuzi etc. ten items, then Dui Gao Formula.
Danggui Xiong Baizhi (Each two liang) Wutou (One liang) Badou (Twenty peeled) Songzhi (Two liang) Zhufang (Two fen).
Seven ingredients chopped, added to ointment, simmered three boils. Add Songzhi, stir well. Strain through silk cloth. Apply ointment to cotton wick... [text missing] then stop.
Another Formula for Bleeding/Broken Carbuncles/Ulcers to Generate Flesh Huang... [text missing] Ointment:
Huangqi (One liang) Shaoyao (One liang) Danggui (One liang) Dahuang Xiong Duhuo Baizhi Xiebai Dihuang (Each one liang).
Nine ingredients cut. Two and a half sheng Pig Fat, fry three up-three down until ointment forms. Strain. Apply to wound, massage sides, three times daily. Wen Zhong agrees. (From Volume 4).
Another Formula for Generating Flesh in Carbuncle/Ulcer Sores Huang... [text missing] Ointment:
Huangqi Xixin Dihuang Shujiao Danggui Shaoyao Xiebai Baizhi Xiong Danshen (Each one liang) Zhugao (One and a half sheng, December pig fat) Gancao Rongdu Duhuo Huangqin (Each one liang).
Fifteen ingredients. Soak in one and two he of Ku Jiu (Vinegar) overnight in summer, two nights in winter. Simmer three boils until wine aroma vanishes. Apply.
Another Formula for Carbuncles/Ulcers Breaking Immediately with Heat Toxin:
Yangsui (One liang) Gancao (Two liang) Hufen (Five fen, another method five liang) Dahuang (One liang) Zhugao (Two sheng).
Five ingredients cut. Combine marrow/oil, melt two ingredients. Add Gancao/Dahuang, three up-three down. Strain. Add Hufen, mix well. Apply to sore, five times daily.
Another Formula for Rubbing Open Carbuncles/Ulcers after Ulceration Baizhi Mo Gao:
Baizhi Gancao (Each two fen) Wutou (Three fen) Xiebai (Fifteen stalks) Qingzhuru (Size of chicken egg).
Five ingredients cut. One sheng Pig Fat, fry Baizhi yellow. Strain. Apply to four sides of sore. Do not enter sore. (From Volume 5).
Shen Shi Neisai San, treating Carbuncles/Ulcers leaking, emptying blood vessels:
Huangqi Xixin Shaoyao Yiyiren Baizhi Qumai (Each two liang) Chixiaodou (Seven liang) Dihuang Renshen Fangfeng (Each two liang).
Ten ingredients cut. Place new white vinegar in new vessel, add Chixiaodou, remove to copper vessel, roast dry. Return to vinegar, roast again. Repeat five times. Grind to powder. Take one Fang Cun Bi with wine, six-seven times day/night. Severe abdominal pain: double Shaoyao. Mouth not closed: double Yiyiren. Much pus: double Huangqi. (From Volume 28).
Shanfan Formula for Washing Carbuncles/Ulcers etc. Toxic Ulcers:
Zhuti (One whole, prepared for eating) Qiangweigen (One jin) Gancao (Five liang, roasted) Shaoyao (Five liang) Baizhi (Five liang).
Five ingredients cut. Two dou water, boil Zhuti to eight sheng. Strain. Add herbs, boil to four sheng. Wash sores gradually. (From Volume 9).
"Qianjin Yi", Yellow Emperor asks: How does one die from Ju? Qibo says: Body has five parts: Futu one, ... [text missing] two, (Some say Bo) Back three, Five Zang ... [text missing] four, Neck five. Ju in five parts means death. (Shanfan same, originally from Ling Shu).
Also Wangbuliuxing San, main for Carbuncles/Ulcers and miscellaneous swollen ulcers, takes it. Also treats carbuncles/swellings not ulcerating, bitter distress helpless formula.
Yegepi (Half fen) Wuse Longgu (Five liang) Wangbuliuxingzi (Two sheng, Qianjin uses three he, Yi says one sheng) Guixin (One liang) Danggui (Two liang) Ganjiang (One liang) Gualou (Powder six he).
Seven ingredients powder. After meal, take one Fang Cun Bi with warm wine, three times. Until limbs feel tingling. If unknown, gradually increase. This is Hao Zhongkan's formula, implemented with Ri Ji Li, truly a divine powder. Carbuncles/swellings resolve. Excellent formula. (Qianjin same, from Volume 14).