（附∶疽）
胁痈 红高肿疼，疽坚塌漫冷不红，皆属肝胆怒火结，迟溃败浆冷虚凶。
【注】此证生于软肋，有硬骨者为肋，肋下软肉处为季胁。痈疽二证，皆由肝、胆怒
火凝结而成。多生于体虚之人，初如梅李，渐长如碗如盆，色红， 痛，高肿，二七溃破，
脓稠为痈。若坚硬平塌，漫肿木痛，不红不热，月余溃破稀脓为疽。若失治，届期不溃，
攻击成脓，肿如鼓胀，破出败浆，腥臭脓者逆。痈疽二证，初肿时俱宜急服柴胡清肝汤
解郁泻火；如已成者，服托里透脓汤；脓熟胀痛，俱用卧针开之；已溃，以排余脓、补
气血为要。余按痈疽溃疡门治法，投补不应者，难治。
\r胁痈图\p04-34a136.bmp\r
柴胡清肝汤（见头部鬓疽）
托里透脓汤（见头部侵脑疽）
肺痈肺热复伤风，肺脏生痈隐痛胸，状若伤寒燥咳甚，稠浊痰涎腥臭脓。未溃射干
麻黄汗，壅不得卧葶苈攻，溃后脓稠能食吉，脓清兼血不食凶。
【注】此证系肺脏蓄热，复伤风邪，郁久成痈，以致胸内中府穴隐隐疼痛，振寒脉数，
状类伤寒，咽燥不渴，咳而喘满，唾稠粘黄痰，兼臭秽脓血也。治之者，于未溃时乘脓
未成，风郁于表者，法宜疏散，用射干麻黄汤以汗之。如气壅喘满，身不得卧者，急服
葶苈大枣汤以泻之；如咳有微热，烦满胸中甲错，脓欲成者，宜《千金》苇茎汤以吐之；
若吐脓腥臭，形如米粥者，宜桔梗汤以排余脓；若吐脓腥臭，咳而胸满者，宜《外台》桔
梗白散，以开瘀塞；若咯吐脓血，兼午后身
热烦躁，宜金鲤汤主之，兼饮童便；若溃后胸膈胁肋隐痛不止，口燥咽干，烦闷多渴，自
汗盗汗，眠卧不得，咳吐稠痰腥臭，此系痈脓不尽，而兼里虚，宜宁肺桔梗汤主之；若
痈脓已溃，喘满腥臭，浊痰俱退，惟咳嗽咽干，咯吐痰血，胁肋微痛，不能久卧者，此
属肺痈溃处未敛，宜紫菀茸汤清补之，渴甚去半夏加石膏服之；若痈脓溃后，咳嗽无休，
脓痰不尽，形气虚羸者，宜清金宁肺丸主之。凡治此证，惟以身温脉细，脓血交粘，痰色
鲜明，饮食甘美，脓血渐止，便润者为吉；若手掌皮粗，溃后六脉洪数，气急颧红，污脓
白血，懒食及大便结燥者为凶。
中府穴又名肺募，在乳上第三根肋骨间。
\r五脏六腑诸募穴图（一）\p04-34a137.bmp\r
射干麻黄汤
射干（十三枚或三两） 麻黄 生姜（各四两） 细辛 紫菀 款冬花（各三两） 大枣（七枚）
五味子 半夏（洗，各半升）
水煎温服。
【方歌】射干麻黄咳上气，肺痈喉中水鸡声，射麻生姜辛菀食，五味大枣并款冬。
葶苈大枣汤
苦葶苈（轻者五钱，重者一两） 大枣（去核，轻者五枚，重者十枚）
以水三盅，煎至一盅，服之。
【方歌】葶苈大枣治肺痈，咳不得卧有痈脓，葶苈苦寒泻实热，佐枣之甘和胃经。
《千金》苇茎汤
苇茎（二升） 薏苡仁（炒） 瓜瓣（即冬瓜仁，各半升） 桃仁（去皮尖，炒、研，五十粒）
水煎服。
【方歌】《千金》苇茎肺痈咳，微热烦满吐败浊，皮肤甲错宜苇茎，薏苡桃仁瓜瓣合。
桔梗汤
苦桔梗（一两） 甘草（生，二两）
水煎服。
【方歌】桔梗汤用排余脓，肺痈吐脓米粥形，清热解毒须甘草，开提肺气桔梗功。
《外台》桔梗白散
苦桔梗 贝母（各三分） 巴豆（去皮熬，研如脂，一分）
上三味为散。强人饮服半钱匕，羸者减之。病在膈上者吐脓，在膈下者泻出。若下
多不止，饮冷水一杯则定。
【方歌】《外台》桔梗白散方，肺痈便秘服之良，桔梗贝母与巴豆，药微力大功速强。
金鲤汤
金色活鲤鱼（约四两重，一尾） 贝母（二钱）
先将鲤鱼连鳞剖去肚肠，勿经水气，用贝母细末掺在鱼肚内，线扎之，用上白童子
便半大碗，将鱼浸童便内，重汤炖煮，鱼眼突出为度；少顷取出，去鳞骨，取净肉，浸
入童便内，炖熟。肉与童便用二三次，一日食尽一枚，其功效甚捷。
【方歌】金鲤汤中效罕稀，法同贝母活鲤鱼，童便浸鱼重汤炖，肺痈烦热善能医。
宁肺桔梗汤
苦桔梗 贝母（去心） 当归 栝蒌仁（研） 生黄 枳壳（麸炒） 甘草节 桑白皮（炒） 防
己百合（去心） 薏苡（炒，各八分） 五味子 地骨皮 知母（生） 杏仁（炒，研） 苦葶苈
（各五分）
水二盅，姜三片，煎八分，不拘时服。
咳甚，倍加百合。身热，加柴胡、黄芩。大便不利，加蜜炙大黄一钱。小水涩滞，加
灯心、木通。烦躁痰血，加白茅根。胸痛，加人参、白芷。
【方歌】宁肺桔梗肺痈 ，归蒌贝壳甘桑皮，防己百合葶五味，杏知苡仁地骨宜。
紫菀茸汤
紫菀茸 犀角（末） 甘草（炒） 人参（五分） 桑叶（用经霜者） 款冬花 百合（去心）
杏仁（炒，研） 阿胶（便润炒用，便燥生用） 贝母（去心） 半夏（制） 蒲黄（生，各七分）
引姜三片，水二盅，煎八分，将犀角末调入，食后服。
【方歌】紫菀茸汤参犀角，款冬桑叶杏百合，阿胶甘夏贝蒲黄，专医肺痈不久卧。
清金宁肺丸
陈皮 白茯苓 苦桔梗 贝母（去心） 人参 黄芩（各五钱） 麦冬（去心） 地骨皮 银柴胡
川芎 白芍（炒） 胡黄连（各六钱） 五味子 天冬（去心） 生地（酒浸，捣膏） 熟地（捣膏）
归身 白术（炒，各一两）甘草（炙，三钱）
上为细末，炼蜜为丸，如梧桐子大，每服七十丸，食远白滚汤送下。
【方歌】清金宁肺丸肺痈，陈苓桔贝参二冬，柴芩归芍黄连草，术味生熟地骨芎。
（附注：疽）
胁痈 表现为红肿高起、疼痛；疽则坚硬塌陷、漫肿、发冷且不红，这两种病证都属于肝胆怒火郁结所致。如果溃破迟缓，流出败浊稀脓，且伴有虚寒症状，则预后凶险。
【注】此证生于软肋部位，有硬骨的地方称为“肋”，肋骨下柔软肌肉处称为“季胁”。痈和疽两种病证，都是由肝、胆之火气凝结而成。多见于体质虚弱的人，初期像梅子或李子大小，逐渐增大如碗或盆，颜色发红，疼痛，高肿，经过十四天左右溃破，脓液稠厚的是痈。如果坚硬平塌，漫肿且麻木疼痛，不红不热，一个月左右溃破，流出稀薄脓液的是疽。如果治疗失误，到期不溃破，强行攻伐促使成脓，肿胀如鼓胀状，破溃后流出败浊浆液，腥臭的脓液，属于逆证（难治）。痈和疽在初肿时，都应当立即服用柴胡清肝汤来解郁泻火；如果已经成形，服用托里透脓汤；脓液成熟且胀痛时，都用卧针切开排脓；已经溃破后，以排出剩余脓液、补益气血为关键。我按语：在痈疽溃疡门的治疗法则中，如果使用补法无效，则难以治疗。
肺痈 肺热又感受风邪，肺脏生痈导致胸部隐痛，症状类似伤寒但燥咳严重，痰涎稠浊，呈腥臭脓性。未溃破时，用射干麻黄汤发汗；气壅不得平卧时，用葶苈大枣汤攻逐；溃破后脓液稠厚且能进食为吉兆，脓液清稀兼带血液且不能进食为凶兆。
【注】此证是肺脏蓄积热邪，又感受风邪，郁久形成痈，导致胸内中府穴隐隐作痛，恶寒脉数，症状类似伤寒，咽干口不渴，咳嗽气喘胸闷，吐出稠粘的黄痰，兼有臭秽的脓血。治疗时，在未溃破阶段，趁脓液未完全形成，风邪郁于体表，治法宜疏散，使用射干麻黄汤发汗。如果气壅喘满，身体无法平卧，急服葶苈大枣汤泻下；如果咳嗽伴有轻微发热，心烦胸闷，皮肤粗糙如鳞甲交错，脓液即将形成，宜用《千金方》苇茎汤催吐；如果吐出腥臭脓液，形状如米粥，宜用桔梗汤排出余脓；如果吐出腥臭脓液，咳嗽且胸闷，宜用《外台秘要》桔梗白散，以开通瘀塞；如果咯吐脓血，兼有午后身热烦躁，宜用金鲤汤主治，并饮用童便；如果溃破后胸膈胁肋隐痛不止，口燥咽干，烦闷多渴，自汗盗汗，睡眠不安，咳嗽吐出稠痰腥臭，这是痈脓未尽，兼有里虚，宜用宁肺桔梗汤主治；如果痈脓已溃破，喘满腥臭，浊痰全部消退，只是咳嗽咽干，咯吐痰血，胁肋微痛，不能久卧，这属于肺痈溃破处未愈合，宜用紫菀茸汤清补，口渴严重时去掉半夏加石膏服用；如果痈脓溃破后，咳嗽不停，脓痰不尽，形体气息虚弱消瘦，宜用清金宁肺丸主治。凡是治疗此证，只要身体温暖、脉象细弱、脓血交粘、痰色鲜明、饮食香甜、脓血逐渐停止、大便润泽的为吉兆；如果手掌皮肤粗糙，溃破后六脉洪数，气急颧红，脓液污秽夹杂白血，懒食及大便干结的为凶兆。
中府穴又名肺募，位于乳头上第三根肋骨间。
肺痈
肺热复伤风，肺脏生痈隐痛胸，状若伤寒燥咳甚，稠浊痰涎腥臭脓。未溃射干麻黄汗，壅不得卧葶苈攻，溃后脓稠能食吉，脓清兼血不食凶。
【注】此证系肺脏蓄热，复伤风邪，郁久成痈，以致胸内中府穴隐隐疼痛，振寒脉数，状类伤寒，咽燥不渴，咳而喘满，唾稠粘黄痰，兼臭秽脓血也。治之者，于未溃时乘脓未成，风郁于表者，法宜疏散，用射干麻黄汤以汗之。如气壅喘满，身不得卧者，急服葶苈大枣汤以泻之；如咳有微热，烦满胸中甲错，脓欲成者，宜《千金》苇茎汤以吐之；若吐脓腥臭，形如米粥者，宜桔梗汤以排余脓；若吐脓腥臭，咳而胸满者，宜《外台》桔梗白散，以开瘀塞；若咯吐脓血，兼午后身热烦躁，宜金鲤汤主之，兼饮童便；若溃后胸膈胁肋隐痛不止，口燥咽干，烦闷多渴，自汗盗汗，眠卧不得，咳吐稠痰腥臭，此系痈脓不尽，而兼里虚，宜宁肺桔梗汤主之；若痈脓已溃，喘满腥臭，浊痰俱退，惟咳嗽咽干，咯吐痰血，胁肋微痛，不能久卧者，此属肺痈溃处未敛，宜紫菀茸汤清补之，渴甚去半夏加石膏服之；若痈脓溃后，咳嗽无休，脓痰不尽，形气虚羸者，宜清金宁肺丸主之。凡治此证，惟以身温脉细，脓血交粘，痰色鲜明，饮食甘美，脓血渐止，便润者为吉；若手掌皮粗，溃后六脉洪数，气急颧红，污脓白血，懒食及大便结燥者为凶。
中府穴又名肺募，在乳上第三根肋骨间。
射干麻黄汤
射干（十三枚或三两） 麻黄 生姜（各四两） 细辛 紫菀 款冬花（各三两） 大枣（七枚） 五味子 半夏（洗，各半升）
水煎温服。
【方歌】射干麻黄咳上气，肺痈喉中水鸡声，射麻生姜辛菀食，五味大枣并款冬。
葶苈大枣汤
苦葶苈（轻者五钱，重者一两） 大枣（去核，轻者五枚，重者十枚）
以水三盅，煎至一盅，服之。
【方歌】葶苈大枣治肺痈，咳不得卧有痈脓，葶苈苦寒泻实热，佐枣之甘和胃经。
《千金》苇茎汤
苇茎（二升） 薏苡仁（炒） 瓜瓣（即冬瓜仁，各半升） 桃仁（去皮尖，炒、研，五十粒）
水煎服。
【方歌】《千金》苇茎肺痈咳，微热烦满吐败浊，皮肤甲错宜苇茎，薏苡桃仁瓜瓣合。
桔梗汤
苦桔梗（一两） 甘草（生，二两）
水煎服。
【方歌】桔梗汤用排余脓，肺痈吐脓米粥形，清热解毒须甘草，开提肺气桔梗功。
《外台》桔梗白散
苦桔梗 贝母（各三分） 巴豆（去皮熬，研如脂，一分）
上三味为散。强人饮服半钱匕，羸者减之。病在膈上者吐脓，在膈下者泻出。若下多不止，饮冷水一杯则定。
【方歌】《外台》桔梗白散方，肺痈便秘服之良，桔梗贝母与巴豆，药微力大功速强。
金鲤汤
金色活鲤鱼（约四两重，一尾） 贝母（二钱）
先将鲤鱼连鳞剖去肚肠，勿经水气，用贝母细末掺在鱼肚内，线扎之，用上白童子便半大碗，将鱼浸童便内，重汤炖煮，鱼眼突出为度；少顷取出，去鳞骨，取净肉，浸入童便内，炖熟。肉与童便用二三次，一日食尽一枚，其功效甚捷。
【方歌】金鲤汤中效罕稀，法同贝母活鲤鱼，童便浸鱼重汤炖，肺痈烦热善能医。
宁肺桔梗汤
苦桔梗 贝母（去心） 当归 栝蒌仁（研） 生黄芪 枳壳（麸炒） 甘草节 桑白皮（炒） 防己 百合（去心） 薏苡（炒，各八分） 五味子 地骨皮 知母（生） 杏仁（炒，研） 苦葶苈（各五分）
水二盅，姜三片，煎八分，不拘时服。
咳甚，倍加百合。身热，加柴胡、黄芩。大便不利，加蜜炙大黄一钱。小水涩滞，加灯心、木通。烦躁痰血，加白茅根。胸痛，加人参、白芷。
【方歌】宁肺桔梗肺痈 ，归蒌贝壳甘桑皮，防己百合葶五味，杏知苡仁地骨宜。
紫菀茸汤
紫菀茸 犀角（末） 甘草（炒） 人参（五分） 桑叶（用经霜者） 款冬花 百合（去心） 杏仁（炒，研） 阿胶（便润炒用，便燥生用） 贝母（去心） 半夏（制） 蒲黄（生，各七分）
引姜三片，水二盅，煎八分，将犀角末调入，食后服。
【方歌】紫菀茸汤参犀角，款冬桑叶杏百合，阿胶甘夏贝蒲黄，专医肺痈不久卧。
清金宁肺丸
陈皮 白茯苓 苦桔梗 贝母（去心） 人参 黄芩（各五钱） 麦冬（去心） 地骨皮 银柴胡 川芎 白芍（炒） 胡黄连（各六钱） 五味子 天冬（去心） 生地（酒浸，捣膏） 熟地（捣膏） 归身 白术（炒，各一两） 甘草（炙，三钱）
上为细末，炼蜜为丸，如梧桐子大，每服七十丸，食远白滚汤送下。
【方歌】清金宁肺丸肺痈，陈苓桔贝参二冬，柴芩归芍黄连草，术味生熟地骨芎。
(Attachment: Ju)
Xiong Yong (Hypochondriac Carbuncle) presents with redness, high swelling, and pain. Ju (Deep-seated Abscess) is characterized by hardness, sinking, diffuse swelling, coldness, and lack of redness. Both conditions belong to the constraint of Liver and Gallbladder fire. Delayed ulceration with discharge of foul, thin pus and signs of cold deficiency indicates a ominous prognosis.
[Note] This condition arises in the soft rib area; the part with hard bone is called "Li" (Rib), and the soft flesh below the ribs is called "Ji Xie" (Hypochondrium). Both Yong and Ju are caused by the condensation of Liver and Gallbladder fire. They often occur in individuals with weak constitution. Initially, it resembles a plum or prune, gradually growing to the size of a bowl or basin, with red color, pain, and high swelling. After fourteen days, if it ulcerates with thick pus, it is classified as Yong. If it is hard, flat, diffusely swollen, numb and painful, without redness or heat, and ulcerates after more than a month with thin pus, it is classified as Ju. If treatment fails, and it does not ulcerate on time, forced attack to induce suppuration results in swelling like a drum. Ulceration discharging foul fluid and foul-smelling pus is considered a reverse syndrome (intractable). At the initial swelling stage, both Yong and Ju should immediately take Chaihu Qinggan Tang (Bupleurum Liver-Clearing Decoction) to resolve depression and drain fire. If already formed, take Tuoli Tou Nong Tang (Interior-Supporting Pus-Permeating Decoction). When pus is mature and causing distending pain, use a recumbent needle to open it. After ulceration, the key is to drain remaining pus and tonify Qi and Blood. My commentary: In the treatment methods for Yong and Ju ulcerations, if supplementation yields no response, it is difficult to treat.
Fei Yong (Lung Carbuncle) occurs when Lung Heat is compounded by Wind injury. The Lung develops a carbuncle causing hidden chest pain. Symptoms resemble Shanghan (Cold Damage) but with severe dry cough. Sputum is thick, turbid, and smells foul like pus. Before ulceration, use Shegan Mahuang Tang (Belamcanda and Ephedra Decoction) to induce sweating. For Qi obstruction preventing lying down, use Tingli Dazao Tang (Descurainia Seed and Jujube Decoction) to purge. After ulceration, thick pus with ability to eat is auspicious; clear pus mixed with blood and inability to eat is ominous.
[Note] This condition results from heat accumulation in the Lung, compounded by Wind pathogen, leading to long-term stagnation and formation of a carbuncle. This causes hidden pain in the Zhongfu acupoint within the chest, chills, rapid pulse, symptoms resembling Shanghan, dry throat without thirst, cough with wheezing and chest fullness, expectoration of thick sticky yellow sputum mixed with foul-smelling pus and blood. During treatment, before ulceration, while pus is not yet fully formed and Wind is constrained at the exterior, the method should be dispersing. Use Shegan Mahuang Tang to induce sweating. If there is Qi obstruction, wheezing, and inability to lie down, urgently take Tingli Dazao Tang to purge. If cough is accompanied by slight fever, irritability, chest fullness, and skin roughness (lichenification), indicating impending pus formation, use Qianjin Weijing Tang (Thousand Gold Reed Shoot Decoction) to induce vomiting. If foul-smelling pus resembling rice porridge is vomited, use Jiegeng Tang (Platycodon Decoction) to drain remaining pus. If foul-smelling pus is vomited with cough and chest fullness, use Waitai Jiegeng Bai San (External Standards Platycodon White Powder) to open blockages. If hemoptysis with pus and blood occurs with afternoon fever and irritability, use Jin Li Tang (Golden Carp Decoction) as the main treatment, along with drinking child's urine. If after ulceration, hidden pain persists in the chest, diaphragm, and hypochondrium, with dry mouth and throat, irritability, excessive thirst, spontaneous and night sweats, insomnia, and coughing up thick foul sputum, this indicates incomplete pus drainage combined with interior deficiency. Use Ningfei Jiegeng Tang (Lung-Calming Platycodon Decoction) as the main treatment. If the carbuncle has ulcerated, with wheezing, foul smell, resolution of turbid sputum, but only cough, dry throat, hemoptysis, slight hypochondriac pain, and inability to lie for long periods, this belongs to unhealed ulceration of Fei Yong. Use Ziwan Rong Tang (Aster Root Decoction) for clearing and tonifying. If thirst is severe, remove Banxia (Pinellia) and add Shigao (Gypsum). If after ulceration, cough is incessant, pus sputum is not cleared, and the body and Qi are emaciated, use Qingjin Ningfei Wan (Clear Metal Lung-Calming Pill) as the main treatment. Generally, for treating this condition, auspicious signs include warm body, fine pulse, sticky pus and blood, bright sputum color, good appetite, gradual cessation of pus and blood, and moist stool. Ominous signs include rough palm skin, surging and rapid pulses after ulceration, shortness of breath, malar flush, foul pus mixed with white blood, anorexia, and constipation.
Zhongfu acupoint is also known as the Front-Mu point of the Lung, located between the third rib above the nipple.
Shegan Mahuang Tang (See Head Region Bian Ju section)
Tuoli Tou Nong Tang (See Head Region Qin Nao Ju section)
Fei Yong (Lung Carbuncle)
Lung heat compounded by wind injury, lung carbuncle causes hidden chest pain, symptoms resemble cold damage with severe dry cough, thick turbid sputum smells foul like pus. Before ulceration, Shegan Mahuang induces sweat; Qi obstruction prevents lying, Tingli purges. After ulceration, thick pus with eating is auspicious; clear pus with blood and no eating is ominous.
[Note] This condition is due to heat accumulation in the Lung, compounded by Wind pathogen, stagnating for a long time to form a carbuncle, causing hidden pain in the Zhongfu acupoint in the chest, chills, rapid pulse, resembling Shanghan, dry throat without thirst, cough with wheezing and chest fullness, expectorating thick sticky yellow sputum mixed with foul-smelling pus and blood. In treatment, before ulceration, taking advantage of the fact that pus is not yet formed and Wind is constrained at the exterior, the method should be dispersing. Use Shegan Mahuang Tang to induce sweating. If Qi is obstructed with wheezing and fullness, unable to lie down, urgently take Tingli Dazao Tang to purge. If cough has slight fever, irritability and fullness in the chest, skin roughness like scales, and pus is about to form, use Qianjin Weijing Tang to induce vomiting. If vomiting foul-smelling pus resembling rice porridge, use Jiegeng Tang to drain remaining pus. If vomiting foul-smelling pus with cough and chest fullness, use Waitai Jiegeng Bai San to open stasis and blockage. If coughing up pus and blood with afternoon fever and irritability, use Jin Li Tang as the main treatment, and drink child's urine. If after ulceration, hidden pain in the chest, diaphragm, and hypochondrium persists, dry mouth and throat, irritability and excessive thirst, spontaneous and night sweats, inability to sleep, coughing up thick foul sputum, this is because pus is not exhausted and interior deficiency exists. Use Ningfei Jiegeng Tang as the main treatment. If the carbuncle pus has ulcerated, with wheezing, fullness, foul smell, and resolution of turbid sputum, but only cough, dry throat, hemoptysis, slight hypochondriac pain, and inability to lie for long, this belongs to the unhealed ulcer site of Lung Carbuncle. Use Ziwan Rong Tang to clear and tonify. If thirst is severe, remove Banxia and add Shigao. If after pus ulceration, cough is ceaseless, pus sputum is not exhausted, and body and Qi are emaciated, use Qingjin Ningfei Wan as the main treatment. In treating this condition, only those with warm body, fine pulse, sticky pus and blood, bright sputum color, delicious food intake, gradual cessation of pus and blood, and moist stool are auspicious. Those with rough palm skin, surging and rapid pulses in all six positions after ulceration, shortness of breath, malar flush, foul pus mixed with white blood, anorexia, and dry constipation are ominous.
The Zhongfu acupoint is also named the Lung Mu point, located in the intercostal space of the third rib above the nipple.
Shegan Mahuang Tang
Shegan (13 pieces or 3 liang), Mahuang, Shengjiang (each 4 liang), Xixin, Ziwan, Kuandonghua (each 3 liang), Dazao (7 pieces), Wuweizi, Banxia (washed, each half sheng).
Decoct in water and take warm.
[Formula Song] Shegan Mahuang treats cough with rebellious Qi, Lung carbuncle with sound of water fowl in throat, Shegan, Mahuang, Shengjiang, Xixin, Ziwan, Wuweizi, Dazao, and Kuandonghua.
Tingli Dazao Tang
Ku Tingli (5 qian for mild cases, 1 liang for severe cases), Dazao (pitted, 5 pieces for mild, 10 pieces for severe).
Decoct in 3 cups of water until 1 cup remains, then take.
[Formula Song] Tingli Dazao treats Lung carbuncle, cough preventing lying down with carbuncle pus, Tingli is bitter and cold draining excess heat, assisted by Dazao's sweetness harmonizing the Stomach meridian.
Qianjin Weijing Tang (Thousand Gold Reed Shoot Decoction)
Weijing (2 sheng), Yiyiren (stir-fried), Guaban (i.e., Dongguaren, each half sheng), Taoren (skin and tip removed, stir-fried and crushed, 50 grains).
Decoct in water and take.
[Formula Song] Qianjin Weijing treats Lung carbuncle cough, slight fever, irritability, vomiting foul turbidity, skin lichenification suits Weijing, combined with Yiyi, Taoren, and Guaban.
Jiegeng Tang (Platycodon Decoction)
Ku Jiegeng (1 liang), Gancao (raw, 2 liang).
Decoct in water and take.
[Formula Song] Jiegeng Tang drains remaining pus, Lung carbuncle vomiting pus resembling rice porridge, clearing heat and detoxifying requires Gancao, lifting Lung Qi relies on Jiegeng's merit.
Waitai Jiegeng Bai San (External Standards Platycodon White Powder)
Ku Jiegeng, Beimu (each 3 fen), Badou (skin removed, roasted, crushed to fat consistency, 1 fen).
Grind the three ingredients into powder. Strong adults take half a coin-sized scoop with water, reduce dose for frail patients. If the disease is above the diaphragm, it induces vomiting of pus; if below the diaphragm, it induces diarrhea. If diarrhea is excessive and does not stop, drink one cup of cold water to settle it.
[Formula Song] Waitai Jiegeng Bai San formula, excellent for Lung carbuncle with constipation, Jiegeng, Beimu, and Badou, subtle medicine with great power and fast strong effect.
Jin Li Tang (Golden Carp Decoction)
Golden live carp (approx. 4 liang, one fish), Beimu (2 qian).
First, scale and gut the carp without letting it touch water. Mix Beimu fine powder inside the fish belly, tie with thread. Take half a large bowl of pure child's urine, immerse the fish in the urine, and stew over double boiler until fish eyes protrude. Remove shortly, discard scales and bones, take clean meat, immerse in child's urine again, and stew until cooked. Use meat and urine two to three times, consume one fish completely in one day, its efficacy is very swift.
[Formula Song] Efficacy of Jin Li Tang is rare, method same as Beimu live carp, child's urine soaked fish stewed over double boiler, effectively treats Lung carbuncle with irritability and heat.
Ningfei Jiegeng Tang (Lung-Calming Platycodon Decoction)
Ku Jiegeng, Beimu (remove heart), Danggui, Gualouren (crushed), Sheng Huangqi, Zhike (bran-fried), Gancao Jie, Sangbaipi (fried), Fangji, Baihe (remove heart), Yiyi (fried, each 8 fen), Wuweizi, Digupi, Zhimu (raw), Xingren (fried, crushed), Ku Tingli (each 5 fen).
Decoct 2 cups of water with 3 slices of Ginger until 0.8 cup remains, take at any time.
For severe cough, double Baihe. For body heat, add Chaihu, Huangqin. For difficult defecation, add 1 qian honey-fried Dahuang. For scanty/difficult urination, add Dengxin, Mutong. For irritability and bloody sputum, add Baimaogen. For chest pain, add Renshen, Baizhi.
[Formula Song] Ningfei Jiegeng for Lung carbuncle, Danggui, Gualou, Beimu, Jiegeng, Gancao, Sangpi, Fangji, Baihe, Tingli, Wuwei, Xingren, Zhi, Yiren, Digupi suitable.
Ziwan Rong Tang (Aster Root Decoction)
Ziwanrong, Xijiao (powder), Gancao (fried), Renshen (5 fen), Sangye (use frost-exposed leaves), Kuandonghua, Baihe (remove heart), Xingren (fried, crushed), Ejiao (stir-fry if stool moist, raw if dry), Beimu (remove heart), Banxia (processed), Puhuang (raw, each 7 fen).
Use 3 slices of Ginger as guide, decact 2 cups of water until 0.8 cup remains, mix in Xijiao powder, take after meals.
[Formula Song] Ziwanrong Tang with Renshen and Xijiao, Kuandonghua, Sangye, Xingren, Baihe, Ejiao, Gancao, Banxia, Beimu, Puhuang, specifically treats Lung carbuncle preventing long lying.
Qingjin Ningfei Wan (Clear Metal Lung-Calming Pill)
Chenpi, Bai Fuling, Ku Jiegeng, Beimu (remove heart), Renshen, Huangqin (each 5 qian), Maidong (remove heart), Digupi, Yin Chaihu, Chuanxiong, Baishao (fried), Hu Huanglian (each 6 qian), Wuweizi, Tiantong (remove heart), Shengdi (wine-soaked, mashed into paste), Shudi (mashed into paste), Guishen, Baizhu (fried, each 1 liang), Gancao (roasted, 3 qian).
Grind into fine powder, make pills with refined honey, size of Sophora japonica seeds. Take 70 pills each time, washed down with boiling water far from meals.
[Formula Song] Qingjin Ningfei Wan for Lung carbuncle, Chenpi, Fuling, Jiegeng, Beimu, Renshen, Er Dong, Chai, Huangqin, Guishen, Baishao, Huanglian, Gancao, Baizhu, Wuwei, Shengdi, Shudi, Digupi, Chuanxiong.