千金坚如石核复大，色不变，或作石痈，疗之，炼石散方。
鹿角（八两一作白灰） 白蔹（三两） 粗理黄石（一斤酢五升先烧石令赤内酢中复烧
内之
酢尽半止）
上三味捣筛作细末，以余醋拌和如泥，浓涂之，干即涂，取消止，尽更合，诸漏瘰 药
悉皆主之，并须火针疮上涂膏。
又方
单磨鹿角半夏涂，不如上方佳也。（集验文仲短剧古今录验同）
又疗石痈，坚如石不作脓方。
以生商陆根烂捣敷之，燥则易，又治脑漏及诸痈疖。（古今录验同）
又方
以蜀桑根白皮阴干捣末，消胶，以酒和敷上，即救出。（并出第二十三卷中）
备急疗若发肿至坚而有根者，名曰石痈也方。
灸肿三百壮，当石子破碎出，如不出，益壮，乃出，其痈疽石痈结筋瘰 。皆不可针角
，针角杀人。（集验文仲千金同出第四卷中）
刘涓子疗痈疖诸肿有热方。
地黄（三斤洗细切）
上一味，以水一斗，煮取三升，去滓煎汤，令小浓，以涂纸当疮中央贴之，日再三易，
数用大良，并疗牛颔上肿。（出第十卷中）
集验疗痈及疖如结实赤热者方。
以水磨半夏涂之，燥复更涂，得流便消也，出草中，可自掘生半夏乃佳，此疗神验，勿
不信也。（出第八卷中）
千金疗凡疖无头者方。
吞葵子一枚即出，勿多服，头多也
又方
烧葛蔓灰封上自消。
又方
牛粪封之佳。
又方
以鼠粘叶贴之。
又方
用水和雀粪敷之。
又方
狗头骨 芸苔子
上二味等分为末，和酢封之。
又疗痈疖溃后脓不断，及诸物刺伤不瘥方。
取石硫黄三两粉之，一味筋一片 头令碎，少湿之，纳石硫黄中，刺疮孔，以疮瘥为度
（通按筋字可疑）
又干地黄丸，主虚热消疮疖方。
干地黄（四两） 大黄（六两） 桂心（二两） 芍药（三两） 茯苓（三两） 王不
留行（二两）
（二两） 甘草（二两炙） 枳实（二两炙）
上十三味捣筛，蜜和丸如梧子大，酒服十丸，日三，加至二十丸，长服令人肥健。（翼
同）
又地黄煎方，补虚除热，可将和服取利也，散石痈疽疖痔，热悉宜服，百日痈疽永不发
也。
取生地黄随多少，三捣三押，取汁令尽，一味以新布重绞其汁，澄清置铜器中，汤上煮
之减
弹丸
又栀子汤，主表里俱热，三焦不实，身体生疮，或发痈疖，大小便不利方。
芒硝（二两） 大黄（四两） 栀子（二七枚擘） 黄芩（二两） 知母（二两） 甘
草（二两炙）
上六味切，以水五升煮减半，下大黄，煮取一升八合去滓，纳芒硝二两，分三服。忌
海藻菘菜。（并出第一十三卷中）
千金翼论曰∶一切痈疽，皆是疮痕根本，所患痈之后，脓汁不止，得冷即是鼠 ，是以
漏方次之，大须急救之。
马齿草（五升切） 槲白皮（一斤水五升煮取一升澄清） 麝香（半脐干之仍研作末） 杏
仁
（半升油煎令黑捣如膏）
上四味，以瓷器贮之，合和，以三四重绵密系口，病已成疮者，以泔清净洗拭干，剪作
贴子，涂药贴着疮上，日三易。若未作疮，如作瘰 子者，以艾一升，熏黄如枣大，干漆如
枣大，末之，釜月下土三味并末和，艾作炷灸三七壮。（本方疗鼠 出第二十三卷中）
又主疖肿方。
生椒末，曲末，釜月下土末之，以大酢和敷之。（并出第二十四卷中）
《千金方》中记载的坚如石核且体积较大的肿块，颜色无变化，有时被称为石痈。治疗此症用炼石散方。
鹿角（八两，一作白灰） 白蔹（三两） 粗理黄石（一斤，醋五升，先烧石头至红热，投入醋中，再烧，如此反复，直到醋耗尽一半时停止）
以上三味药捣碎过筛成细末，用剩余的醋拌和成泥状，厚涂患处，干了就再涂，直到痊愈为止，药用完后再重新配制。此方主治各种瘘管、瘰疬，并且必须在火针疮口上涂抹膏药。
又一方：
单磨鹿角粉，加半夏汁涂抹，效果不如上方好。（《集验》《文仲》《短剧》《古今录验》观点相同）
又治石痈，坚硬如石且不化脓的方子。
用生商陆根烂捣后敷在患处，干燥了就更换，又能治疗脑漏及各类痈疖。（与《古今录验》相同）
又一方：
用蜀桑根的白皮阴干后捣成粉末，加入阿胶，用酒调和敷在患处，即可拔出毒气。（均出自第二十三卷）
备急疗法治若发生肿胀坚硬且有根基的，名叫石痈的方子。
灸肿处三百壮，应当有石子破碎排出，如果排不出，增加灸量，直到排出为止。其痈疽、石痈、结筋、瘰疬等，都不可用针刺角部，针刺角部会致死。（《集验》《文仲》《千金》相同，出自第四卷）
刘涓子治疗痈疖等各类肿胀发热的方子。
地黄（三斤，洗净细切）
以上一味药，用水一斗，煮取三升，去渣煎汤，使其稍微浓稠，涂在纸上，贴在疮口中央，每天更换多次，多次使用效果很好，并治疗牛下巴上的肿胀。（出自第十卷）
《集验》治疗痈及疖如结实、发红发热的方子。
用水磨半夏涂抹，干燥了再涂，得到液体就会消退，半夏采自草中，可以自己挖掘生半夏更好，此疗法神效，不要不相信。（出自第八卷）
《千金方》治疗凡是疖子没有脓头的方子。
吞服一枚葵子即可出脓，不要多服，头多的话……
又一方：
烧葛蔓灰封贴患处，自行消散。
又一方：
用牛粪封贴效果好。
又一方：
用鼠粘叶贴敷。
又一方：
用水调和雀粪敷贴。
又一方：
狗头骨 芸苔子
以上两味药等分为末，用醋调和封贴。
又治痈疖溃破后脓液不断，以及被各种物体刺伤不愈合的方子。
取石硫黄三两研粉撒布，取一片筋（按语：筋字可疑），弄碎，稍微湿润，放入石硫黄中，刺入疮孔，以疮愈为度。
又有干地黄丸，主治虚热消疮疖的方子。
干地黄（四两） 大黄（六两） 桂心（二两） 芍药（三两） 茯苓（三两） 王不留行（二两）
（二两） 甘草（二两，炙） 枳实（二两，炙）
以上十三味药捣碎过筛，蜂蜜和丸如梧桐子大，酒送服十丸，每日三次，加量至二十丸，长期服用使人肥健。（《翼》同）
又有地黄煎方，补虚除热，可以调和服用以通利大便，消散石痈、疽、疖、痔，所有热症都适宜服用，百日之内痈疽永不复发。
取生地黄随取多少，捣三次压三次，取尽汁液，仅用新布多层绞取其汁，澄清后置于铜器中，在热水上煮至减少弹丸大小。
又有栀子汤，主治表里俱热，三焦不实，身体生疮，或发痈疖，大小便不利的方子。
芒硝（二两） 大黄（四两） 栀子（十四枚，掰开） 黄芩（二两） 知母（二两） 甘草（二两，炙）
以上六味药切碎，用水五升煮至减半，下大黄，煮取一升八合，去渣，纳入芒硝二两，分三次服用。忌食海藻、菘菜。（均出自第十三卷）
《千金翼》论述说：一切痈疽，都是疮痕的根本，患痈之后，脓汁不止，受冷即成为鼠瘘，所以漏方排在其次，必须紧急救治。
马齿苋（五升，切碎） 槲树皮白皮（一斤，水五升，煮取一升，澄清） 麝香（半脐，晒干仍研作末） 杏仁
（半升，油煎令黑，捣如膏）
以上四味药，用瓷器贮存，混合均匀，用三四层绵严密系口，病已成疮者，用淘米水洗净拭干，剪成贴片，涂药贴在疮上，每天更换三次。若未成疮，如长瘰疬子者，用艾一升，黄丹如枣大，干漆如枣大，研末，釜底土三味并末和，艾做炷灸三七壮。（本方治鼠瘘，出自第二十三卷）
又主治疖肿方。
生椒末，曲末，釜底土末，用大醋调和敷之。（均出自第二十四卷）
The *Qianjin Fang* records a hard, stone-like nodule that is large in size and unchanged in color, sometimes referred to as *Shiyong* (Stone Carbuncle). The treatment for this condition uses the Lianshi San (Refined Stone Powder) formula.
Deer Antler (8 liang, alternatively white ash) Bai Lian (Bai Lian, White Peony Root; 3 liang) Coarse-textured Yellow Stone (1 jin, with 5 sheng of vinegar: first heat the stone until red hot, immerse it in vinegar, then reheat, repeating this process until half of the vinegar is consumed, then stop.)
Crush and sieve the above three ingredients into a fine powder. Mix with the remaining vinegar to form a paste. Apply thickly to the affected area. Reapply when dry. Continue until healed. Prepare more medicine as needed. This formula treats all types of fistulas and scrofula (*Luoli*). It must be applied over the wound created by fire-needle therapy.
Another prescription:
Grind Deer Antler alone into powder and mix with Ban Xia (Pinellia Tuber) juice for application. This is not as effective as the above formula. (Consistent with *Jiyan*, *Wenzhong*, *Duanju*, and *Gujin Luyuan*.)
Another prescription for treating *Shiyong* (Stone Carbuncle), which is hard as stone and does not suppurate:
Mash fresh Shang Lu Gen (Phytolaccae Radix, Pokeweed Root) thoroughly and apply as a compress. Replace when dry. This also treats nasal discharge (*Naolou*) and various carbuncles and furuncles. (Consistent with *Gujin Luyuan*.)
Another prescription:
Dry the inner bark of Shu Sang Gen (Mori Cortex, Mulberry Root Bark) in the shade, grind into powder, add E Jiao (Donkey-hide Gelatin), and mix with wine for topical application. This will extract the pathogenic factor. (All from Volume 23.)
Beiji Liaofa (Emergency Treatment Method) for treating swelling that is hard and has a root, named *Shiyong* (Stone Carbuncle):
Moxibustion on the swollen area for 300 moxa cones. Stone-like fragments should be expelled. If not expelled, increase the number of cones until expulsion occurs. For carbuncles, ulcers, *Shiyong*, tendon knots, and scrofula, acupuncture at the corners is contraindicated; acupuncture at the corners can cause death. (Consistent with *Jiyan*, *Wenzhong*, and *Qianjin*; from Volume 4.)
Liu Juanzi's prescription for treating carbuncles, furuncles, and various swellings with heat:
Di Huang (Rehmanniae Radix, Rehmannia Root; 3 jin, washed and finely sliced.)
Take the single ingredient, boil in 1 dou of water to obtain 3 sheng. Remove the dregs and simmer the decoction until slightly concentrated. Apply to paper and stick it to the center of the sore. Change multiple times a day. Frequent use is highly effective. It also treats swelling on the jaw of cattle. (From Volume 10.)
*Jiyan*'s prescription for treating carbuncles and furuncles that are firm, red, and hot:
Grind Ban Xia (Pinellia Tuber) with water and apply. Reapply when dry. Liquid secretion indicates resolution. Fresh Ban Xia dug from the field is best. This treatment is miraculous; do not doubt it. (From Volume 8.)
*Qianjin Fang*'s prescription for treating furuncles without heads:
Swallow one Kui Zi (Abutilon Seed, Indian Mallow Seed). Do not take excessively if there are many heads.
Another prescription:
Apply ash from burned Ge Man (Kudzu Vine) to seal the area for spontaneous resolution.
Another prescription:
Applying cow dung is beneficial.
Another prescription:
Apply Niu Zhan Ye (Arctii Folium, Burdock Leaf).
Another prescription:
Mix Que Fen (Sparrow Excrement) with water for application.
Another prescription:
Gou Tou Gu (Dog Skull Bone) Yun Tai Zi (Brassicae Napus Semen, Rapeseed Seed).
Grind the above two ingredients into equal parts powder. Mix with vinegar for sealing application.
Another prescription for continuous pus discharge after carbuncles and furuncles ulcerate, or wounds from puncture injuries that do not heal:
Take Shi Liu Huang (Realgar, specifically native sulfur here often refers to native sulfur or realgar depending on context, but literally "Stone Sulfur"; 3 liang) and powder it. Take one piece of Jin (Tendon/Fascia - note: character questionable), crush it, moisten slightly, place it in the Shi Liu Huang, and insert it into the wound hole. Stop when the wound heals.
There is also Gan Di Huang Wan (Dried Rehmannia Pill), which treats deficiency-heat causing carbuncles and furuncles.
Gan Di Huang (Dried Rehmannia Root; 4 liang) Da Huang (Rhei Radix et Rhizoma, Rhubarb; 6 liang) Gui Xin (Cinnamomi Ramulus, Cinnamon Twig Heart; 2 liang) Shao Yao (Paeoniae Radix, Peony Root; 3 liang) Fu Ling (Poria; 3 liang) Wang Bu Liu Xing (Vaccariae Semen, Vaccaria Seed; 2 liang)
(2 liang) Gan Cao (Licorice Root, roasted; 2 liang) Zhi Shi (Aurantii Fructus Immaturus, Bitter Orange; 2 liang, roasted).
Grind and sieve the above thirteen ingredients. Form pills with honey, sized like wu zi (wuze tree seeds). Take ten pills with wine, three times daily. Increase to twenty pills. Long-term use promotes robustness and health. (Consistent with *Yi*.)
There is also Di Huang Jian (Rehmannia Decoction Paste), which tonifies deficiency and clears heat. It can be taken mixed with other substances to promote bowel movement. It dissipates *Shiyong*, ulcers, furuncles, and hemorrhoids. It is suitable for all heat conditions. Carbuncles and ulcers will never recur within one hundred days.
Take fresh Di Huang (Fresh Rehmannia Root) in any amount. Pound and press three times to extract all the juice. Strain the juice through new cloth multiple times. Clarify the juice and place it in a copper vessel. Boil over a water bath until reduced to the size of a bullet.
There is also Zhi Zi Tang (Gardenia Decoction), which treats simultaneous exterior and interior heat, emptiness in the Sanjiao (Triple Burner), sores on the body, or outbreaks of carbuncles and furuncles, accompanied by difficulty in urination and defecation.
Mang Xiao (Natrii Sulfas, Mirabilite; 2 liang) Da Huang (Rhei Radix et Rhizoma, Rhubarb; 4 liang) Zhi Zi (Gardeniae Fructus, Gardenia Fruit; 14 pieces, split) Huang Qin (Scutellariae Radix, Scutellaria Root; 2 liang) Zhi Mu (Anemarrhenae Rhizoma, Anemarrhena Rhizome; 2 liang) Gan Cao (Licorice Root, roasted; 2 liang).
Cut the above six ingredients. Boil in 5 sheng of water until reduced by half. Add Da Huang. Boil to obtain 1 sheng 8 he. Remove dregs. Add Mang Xiao. Divide into three doses. Avoid Hai Zao (Sargassum) and Song Cai (Chinese Cabbage). (All from Volume 13.)
*Qianjin Yi* states: All carbuncles and ulcers originate from the root of sores. After suffering from a carbuncle, if pus discharge does not stop and cold sets in, it becomes *Shu Lou* (Mouse Fistula/Sinus). Therefore, prescriptions for fistulas follow next, and urgent rescue is necessary.
Ma Chi Cao (Portulacae Herba, Purslane; 5 sheng, cut) Hu Bai Pi (Quercus variabilis Bark White Layer; 1 jin, boiled in 5 sheng water to obtain 1 sheng, clarified) She Xiang (Moschus, Musk; half an umbilical cord portion, dried and ground into powder) Xing Ren (Pruni Semen, Apricot Seed; 0.5 sheng, fried in oil until black, pounded into paste).
Store the above four ingredients in a porcelain vessel. Mix well. Seal the mouth tightly with three to four layers of cotton. For established sores, wash and dry with rice water. Cut into patches, apply the medicine to the patch, and stick it to the sore. Change three times a day. If no sore has formed, but scrofula nodes appear, use 1 sheng of Ai Ye (Artemisiae Argyi Folium, Mugwort Leaf), Huang Dan (Lead Oxide, size of a jujube), and Gan Qi (Dried Lacquer, size of a jujube). Grind these three into powder. Make moxa cones from mugwort and moxibustion for 21–30 cones. (This original formula treats Mouse Fistula; from Volume 23.)
Another prescription for treating furuncular swelling:
Powdered raw Jiao (Zanthoxyli Pericarpium, Sichuan Pepper), Qu (Medicated Leaven), and Fu Yue Xia Tu (Earth from under the cauldron). Mix with strong vinegar for application. (All from Volume 24.)