论曰∶《素问》云∶形不足者，温之以气；精不足者，补之以味。大凡疮疽，当调脾胃。
盖脾为仓廪之官，胃为水谷之海，主养四旁，须进饮食，以生气血。宜用茯苓开胃散、人参
内补散、内补十宣散。
人参顺气散 治滞气，健脾胃，进饮食。
乌药（一两五钱） 白茯苓 真苏子（微炒） 人参（各一两） 青皮 粉草（炙各五钱）
白术（麸炒） 白芷（各一两）
上为末，每服三钱，姜枣水煎服。
愚按∶前方因脾肺肾气盛壅遏，宜用此以 泄之。若气虚壅滞，必用益气养荣汤以调
补之。今之患者，多因气血受伤，当随症而施之。
茯苓开胃散 治胃气不开，饮食不进。
白茯苓（一两） 粉草（炙五钱） 枳壳（麸炒黄三钱）
上为末，每服一钱，盐汤调下。
愚按∶前症若胃气郁滞，宜用前方。若胃气虚弱，用四君子汤。若胃气下陷，用补中益
气汤。若脾气虚弱，用六君子汤。若脾气郁结，用归脾汤。
李氏曰∶胃气弱，不进饮食，合服嘉禾散，每五两加人参、丁香、沉香、白豆蔻各二
钱。有一贵人，苦疽，用药失序，脾虚不食。余欲用嘉禾散。或云，内有丁、沉香，乃别服
药。不效。仍用前散，饮食顿进。
愚按∶前症详见附录用药关键。
经云∶陷脉为漏，留连肉腠。盖脉得寒则下陷，凝滞肌肉，故曰留连肉腠。是为冷漏，
须用陷脉散、桂附丸温补之。
愚按∶疮疡为漏，皆因元气不足，营气不从，逆于肉里，或寒气相搏，稽留血脉，腐溃
既久，阳气虚寒，外邪乘虚下陷，即成是患。若治其初患，当内用参、 、归、术温补脾
胃，外用桑枝、葱、熨接阳气，使自消散。若久而不能成脓，亦用前二法补助以速之。若脓
既成而不溃，用艾于当头灸数炷以出之，却服十全大补汤。患者又当慎起居，节饮食，庶几
收敛。若用冷针开刺，久而内出青脓，外色黑黯，或误用生肌散速其收敛，反助其邪，必成败症。
陷脉散 治漏疮，治远年瘿瘤，惊惕卧寝不安，肢体掣痛。
干姜（炮） 琥珀（另研） 附子（炮去皮脐） 大黄（煨各一两） 丹参（三两） 石硫黄
（另研） 白石英（另研） 钟乳粉（另研） 乌贼鱼骨（各研半两）
上为末，用猪脂和敷死肉不消者，加朴硝二两。
神效桂附丸 治阳气虚冷漏诸疮。
桂心 附子（炮米醋浸碎三五次去脐火干） 浓朴（姜制） 粉草（炙） 白术（炒各一两）
木香（一钱） 乳香（另研二钱）
上为末，炼蜜丸桐子大，每服二三十丸，空心米汤下。
神效栝蒌散 治乳痈瘰 ，与立效散间服。
黄栝蒌（子多者一个杵） 当归尾（五钱） 甘草节（半两） 没药（一钱另研）
上用酒三碗煎一碗，分三次服，未成即消，已成即溃。
愚按∶前方乃总治疮疡之良剂。若治乳痈，当审其因。盖乳房属阳明胃经，乳头属厥阴
肝经。若怒动肝火，阳明血热，宜 肝清热。 痛寒热，宜发表散邪。肿 痛甚，宜清肝消
毒，并隔蒜灸。不作脓或脓不溃，托里为主。不收敛或脓清稀，补脾胃为主。脓出反痛或发
热作痛，补气血为主。肿 作痛，或晡热内热，补血为主。饮食少思，或作呕吐，补胃为
主。饮食难化，或作泄泻，补脾为主。劳碌肿痛，补气血为主。怒气肿痛，养肝血为主。若
为儿口所吹，而发肿 痛，须吮通探散，否则成痈矣，亦治以前法。若妇人经一二载溃者、
名曰乳岩，不治（详见《校注妇人良方》、《外科枢要》）。
立效散 治痈疽瘰 。
皂角刺（半斤细锉炒赤） 粉草（二两） 乳香（另研） 没药（另研各一两） 栝蒌（五个
连皮细研）
上为末，每服一两，好酒煎服。
愚按∶前方治痈疽瘰 、解毒止痛通用之良剂也。若瘰 寒热 痛肿赤，乃肝经气病，
当清肝火以养肝血。若寒热既止而核不消，乃肝经之血亦病也，当养肝血以清肝火。若初如
豆粒着于筋肉，色不变，内热口干，精神倦怠，久不消溃，乃肝脾亏损，当健脾土，培肝
木。《外台秘要》云∶肝肾虚热，则生 矣。《病机》云∶瘰 不系膏粱丹毒，因虚劳气郁所
致，补形气，调经脉，其疮自消。若误下之，必先犯病禁经禁矣（详见《校注妇人良方》、《外
科枢要》）。
生肌散 治疮口气滞郁热，肌肉不生，而不收敛者。
木香 槟榔 黄连（各等分）
上为末，敷患处。
愚按∶前症若余毒滞于疮口，而不生肌收敛者，宜用乌金膏以腐化之；若寒邪蕴于疮
口，而不生肌收敛者，宜用豆豉饼以温散之；若因气虚血弱不能运于疮口，而不生肌收敛
者，宜用补中益气汤以培养之。
独圣散 凡疮疡皆因气滞血凝，宜服香剂。盖香能行气通血也。如疮初作，便以此药入
茶饮之。
香附子（姜汁淹一宿焙干研碎）
上无时以白汤调服二钱，溃后以局方小乌沉汤加甘草少许，仍服，尤妙。
愚按∶前方气味辛散，宜施于形体充实，气郁血凝者。若血虚气弱，阴虚发热者，又当
随症制宜，不可以例施也。
梅花饮子 初服防毒内攻。
忍冬藤（四两） 栝蒌根 甘葛根 川芎 乌梅 绵黄 （炒） 甘草 苏木（各一两）
上作四剂，水酒煎服。
愚按∶前方乃解消热毒之剂，若邪气盛而真气虚者，又当补托其内。
替针丸 治脓成不溃出者。
白丁香 砂（另研） 真没药（另研） 乳香 糯米（四十粒，先用矿灰拳大一块，置瓷碗内，
量入井水，待热气将息，以米排入灰中，良久，候米如水晶状，取出用之，用之如米未就，再用灰制。
上另为末，各一匙入糯米和匀收贮，用时饭丸麦粒大，每用一粒，水湿粘疮头，其脓自出。
愚按∶疮伤之症，若气血壮实，脓成不溃者，宜用此方以泄其毒，则肌肉易生，疮口易
敛。若气血亏损，须用甘温之剂以培根本，否则不惟脓不溃出，且难收敛。若附骨疽及紧要
之地，当及时针砭为善。
绿云散 治五毒发疮于背脑或手足。
凤尾草（形如凤尾叶背有金星炙干一两） 粉甘草（一钱）
上用酒一碗煎三五沸，入冷酒一碗饮之，以醉为度，立效。
愚按∶前方治金石发疽，果有神效。设当 通发散，宜分表里。若饮排脓生肌，必须补托。
宣毒散 消疮毒，收赤晕。
露蜂房（三两炒焦） 小米（一合） 赤小豆 南星 草乌（各一两） 白矾（五钱）
上为末，用淡醋调敷四畔，干则频用醋润之。
愚按∶前方解毒行经，济毒散血，治外之法也。
托里散 未成则易消，已成则易溃，既溃则生肌。
黄栝蒌（一个） 忍冬草 乳香（各一两） 苏木（五钱） 没药（三钱） 甘草（二钱）
上每服用酒三碗煎二碗，空心日午临睡分三服。 为细末，酒糊丸弹子大，朱砂为衣，
细嚼当归酒下。治打扑伤损尤妙。
愚按∶前方若无汗下二症，宜调和荣卫者，殊有良验。若血气虚弱，不能腐溃生肌者，
还当补托其内。
清凉膏 治一切疮疡，脓去后用之。
当归（二两） 白芷 白芨 木鳖子（去壳） 黄柏 白蔹（去皮） 乳香 白胶（各五钱）
黄丹（五两净） 麻油（十二两）
上入油煎黑去 ，入黄丹，以槐、柳枝不住顺搅，再煎成膏，下乳香等药。
碧油膏 止痛排脓，灸后用此。
桃枝 柳枝 桑枝 槐枝 乳香（另研） 血竭（各五钱研） 黄丹（净四两）
上用麻油十两，煎焦去 ，入丹再煎成膏，入乳香、血竭。
愚按∶前二方药味平易，可用之。
神效酒煎散 治一切疮疡，其效如神。
人参 没药（另研） 当归尾（各一两） 甘草 栝蒌（一个半生半炒）
上以酒三碗煎二碗，作四服。 焙干，加当归末一两，酒糊丸桐子大，每服五十丸，用
浸药酒下，善消毒活血。
愚按∶前症若脓既去而不生肌者，当审其因而补之。治痈疽未成，用吴茱萸炒为末，鸡子清调搽，神效。
愚按∶前症若气滞壅肿，用此方 通隧道以散之。若气虚壅肿，当托里补接以消之。
论述说：《素问》中提到：形体虚弱的人，用气来温补；精气不足的人，用味道来滋补。大凡疮疡痈疽，应当调理脾胃。
因为脾是掌管仓储的器官，胃是水谷汇聚的海，主要滋养身体四周，必须进食饮食，以化生气血。适宜使用茯苓开胃散、人参内补散、内补十宣散。
人参顺气散 治疗气机阻滞，健运脾胃，增进饮食。
乌药（一两五钱） 白茯苓 真苏子（微炒） 人参（各一两） 青皮 粉草（炙甘草，各五钱）
白术（麸炒） 白芷（各一两）
以上药物研为细末，每次服用三钱，用生姜和大枣煎水送服。
我按语：前方是因为脾肺肾之气盛实壅遏，适宜用此方来疏泄。如果是气虚导致的壅滞，必须使用益气养荣汤来调补。现在的患者，多因气血受伤，应当根据症状施治。
茯苓开胃散 治疗胃气不开，饮食不进。
白茯苓（一两） 粉草（炙甘草，五钱） 枳壳（麸炒黄，三钱）
以上药物研为细末，每次服用一钱，用盐汤调服。
我按语：前述病症如果胃气郁滞，适宜用前方。如果胃气虚弱，使用四君子汤。如果胃气下陷，使用补中益气汤。如果脾气虚弱，使用六君子汤。如果脾气郁结，使用归脾汤。
李氏说：胃气弱，不能进食，应当服用嘉禾散，每五两加人参、丁香、沉香、白豆蔻各二钱。有一位贵人，苦于疽病，用药失序，导致脾虚不食。我想用嘉禾散。有人说，里面含有丁香、沉香，于是改服其他药物。没有效果。仍然使用前一种散剂，饮食立刻增进。
我按语：前述病症详见附录中的用药关键。
经文说：脉陷为漏，留连于肌肉腠理之间。因为脉得到寒气则下陷，凝滞在肌肉中，所以叫作留连肉腠。这是冷性漏疮，必须使用陷脉散、桂附丸来温补。
我按语：疮疡形成漏管，都是因为元气不足，营气不顺，逆乱于肌肉之中，或者寒气相搏，稽留在血脉中，腐烂溃破时间长久，阳气虚寒，外邪乘虚下陷，就形成这种病患。如果在初期治疗，应当内服参、[此处原文缺字，推测为芪或地等补气养血药]、归、术温补脾胃，外用桑枝、葱熨法接引阳气，使其自然消散。如果时间久了不能成脓，也用前两种方法补助以加速成脓。如果脓已成而不溃破，用艾绒在患处灸几壮以促其溃破，然后服用十全大补汤。患者又应当谨慎起居，节制饮食，这样才有望收敛。如果使用冷针穿刺，时间久了内部流出青色脓液，外部颜色黑黯，或者误用生肌散加速收敛，反而助长邪气，必定导致败症。
陷脉散 治疗漏疮，治疗多年的瘿瘤，惊悸惕动，卧寝不安，肢体抽搐疼痛。
干姜（炮制） 琥珀（另研） 附子（炮制去皮脐） 大黄（煨，各一两） 丹参（三两） 石硫黄（另研） 白石英（另研） 钟乳粉（另研） 乌贼鱼骨（各研半两）
以上研为细末，用猪脂调和敷在死肉不消的地方，加入朴硝二两。
神效桂附丸 治疗阳气虚冷引起的各种漏疮。
桂心 附子（用米醋浸泡捣碎三五次，去脐火，晒干） 浓朴（姜制） 粉草（炙） 白术（炒，各一两）
木香（一钱） 乳香（另研，二钱）
以上研为细末，炼蜜制成梧桐子大小的丸药，每次服用二三十丸，空腹时米汤送服。
神效栝蒌散 治疗乳痈、瘰疬，与立效散交替服用。
黄栝蒌（子多的一个捣碎） 当归尾（五钱） 甘草节（半两） 没药（一钱，另研）
以上用酒三碗煎至一碗，分三次服用，未成脓即消散，已成脓即溃破。
我按语：前方是总治疮疡的良好药剂。如果治疗乳痈，应当审察病因。乳房属于阳明胃经，乳头属于厥阴肝经。如果愤怒触动肝火，阳明血热，应当清肝清热。出现寒热往来疼痛，应当发表散邪。肿胀疼痛严重，应当清肝解毒，并配合隔蒜灸。如果不化脓或脓不溃破，以托里为主。如果不收敛或脓液清稀，以补脾胃为主。脓出后反而疼痛或发热作痛，以补气血为主。肿胀作痛，或午后潮热内热，以补血为主。饮食减少思食，或发生呕吐，以补胃为主。饮食难消化，或发生泄泻，以补脾为主。劳累后肿痛，以补气血为主。怒气引起肿痛，以养肝血为主。如果是被婴儿口气吹袭，而引发肿胀疼痛，必须使用吮通探散，否则就会成为痈疽，也以前面所述的方法治疗。如果妇人患疮溃烂一两年不愈的，名叫乳岩，无法治愈（详见《校注妇人良方》、《外科枢要》）。
立效散 治疗痈疽、瘰疬。
皂角刺（半斤细锉炒红） 粉草（二两） 乳香（另研） 没药（另研，各一两） 栝蒌（五个连皮细研）
以上研为细末，每次服用一两，用好酒煎服。
我按语：前方是治疗痈疽瘰疬、解毒止痛通用的良好药剂。如果瘰疬伴有寒热往来、疼痛红肿，这是肝经气病，应当清肝火以养肝血。如果寒热停止后肿块不消，这是肝经的血也病了，应当养肝血以清肝火。如果初起如豆粒附着在筋肉上，颜色不变，内热口干，精神倦怠，久不消散溃破，这是肝脾亏损，应当健脾土，培肝木。《外台秘要》说：肝肾虚热，则生瘰疬。《病机》说：瘰疬不关乎膏粱丹毒，是由于虚劳气郁所致，补益形气，调理经脉，疮疡自然消除。如果误用攻下法，必定先触犯病禁和经禁（详见《校注妇人良方》、《外科枢要》）。
生肌散 治疗疮口气滞郁热，肌肉不生，而不收敛的情况。
木香 槟榔 黄连（各等分）
以上研为细末，敷在患处。
我按语：前述病症如果余毒滞留在疮口，而不生肌收敛，适宜使用乌金膏以腐蚀化解；如果寒邪蕴积在疮口，而不生肌收敛，适宜使用豆豉饼以温散；如果因气虚血弱不能运达疮口，而不生肌收敛，适宜使用补中益气汤以培养。
独圣散 凡是疮疡都是因为气滞血凝，适宜服用香剂。因为香能行气通血。如疮初起，便以此药入茶饮服。
香附子（姜汁浸泡一夜焙干研碎）
以上随时用白开水调服二钱，溃后用局方小乌沉汤加少许甘草，继续服用，尤其妙。
我按语：前方气味辛散，适宜施用于形体充实，气郁血凝的人。如果血虚气弱，阴虚发热的人，又应当根据症状制宜，不可以一概而论。
梅花饮子 初服以防毒邪内攻。
忍冬藤（四两） 栝蒌根 甘葛根 川芎 乌梅 绵黄 [此处缺字，推测为芪] （炒） 甘草 苏木（各一两）
以上制成四剂，用水和酒煎服。
我按语：前方是解除热毒的药剂，如果邪气盛而真气虚，又应当补托其内。
替针丸 治疗脓已成但不溃破流出的情况。
白丁香 砂（另研） 真没药（另研） 乳香 糯米（四十粒，先用矿灰拳头大一块，放在瓷碗内，适量加入井水，待热气将尽时，将米排入灰中，很久后，等到米变成水晶状，取出使用，如果米未熟透，再用灰处理。）
以上分别研为细末，各取一匙与糯米混合均匀收贮，用时饭丸麦粒大小，每次用一粒，用水湿润粘在疮头，脓液自然流出。
我按语：疮伤之症，如果气血壮实，脓成不溃的，适宜用此方以泄其毒，则肌肉容易生长，疮口容易收敛。如果气血亏损，必须使用甘温的药剂以培补根本，否则不仅脓不溃出，而且难以收敛。如果是附骨疽及紧要部位，应当及时针刺砭石治疗为好。
绿云散 治疗五毒发疮于背脑或手足。
凤尾草（形状像凤尾叶，背面有金星，炙干，一两） 粉甘草（一钱）
以上用酒一碗煎煮三五沸，加入冷酒一碗饮用，以喝醉为限度，立即见效。
我按语：前方治疗金石发疽，果然有神效。如果应当通过通发散邪，宜分辨表里。如果饮用以排脓生肌，必须补托。
宣毒散 消除疮毒，收赤晕。
露蜂房（三两炒焦） 小米（一合） 赤小豆 南星 草乌（各一两） 白矾（五钱）
以上研为细末，用淡醋调敷四周，干了则频繁用醋润湿。
我按语：前方解毒行经，济毒散血，是治疗外部的法则。
托里散 未成脓则容易消散，已成脓则容易溃破，已溃破则生肌。
黄栝蒌（一个） 忍冬草 乳香（各一两） 苏木（五钱） 没药（三钱） 甘草（二钱）
以上每次服用用酒三碗煎至二碗，空腹、日中、临睡分三次服用。研为细末，酒糊制成弹子大小的丸药，朱砂为衣，细嚼后用当归酒送下。治疗打扑伤损尤其妙。
我按语：前方如果没有汗下两个症状，适宜调和营卫者，确有良验。如果血气虚弱，不能腐溃生肌的，还应当补托其内。
清凉膏 治疗一切疮疡，脓去后使用。
当归（二两） 白芷 白芨 木鳖子（去壳） 黄柏 白蔹（去皮） 乳香 白胶（各五钱）
黄丹（五两净） 麻油（十二两）
以上放入油中煎至黑色去掉渣滓，加入黄丹，用槐枝、柳枝不断顺向搅拌，再煎成膏，加入乳香等药。
碧油膏 止痛排脓，灸后使用此药。
桃枝 柳枝 桑枝 槐枝 乳香（另研） 血竭（各五钱研） 黄丹（净四两）
以上用麻油十两，煎焦去掉渣滓，加入丹再煎成膏，加入乳香、血竭。
我按语：前两个方子药味平易，可以使用。
神效酒煎散 治疗一切疮疡，其效如神。
人参 没药（另研） 当归尾（各一两） 甘草 栝蒌（一个半生半炒）
以上用酒三碗煎至二碗，分四次服用。焙干，加当归末一两，酒糊制成梧桐子大小的丸药，每次服用五十丸，用浸药酒送服，善于消毒活血。
我按语：前述病症如果脓已去而不生肌的，应当审察原因而补益。治疗痈疽未成，用吴茱萸炒为末，鸡蛋清调搽，神效。
我按语：前述病症如果气滞壅肿，用此方疏通隧道以消散。如果气虚壅肿，应当托里补接以消除。
It is stated: The *Suwen* (Basic Questions) says: For those with deficiency of form, warm them with Qi; for those with deficiency of essence, tonify them with flavor. Generally speaking, for sores and carbuncles, the Spleen and Stomach should be regulated.
The Spleen is the official in charge of granaries, and the Stomach is the sea of water and grain; they primarily nourish the four peripheries. One must consume food and drink to generate Qi and Blood. It is advisable to use Fuling Kaishi San (Poria Appetite-Opening Powder), Renshen Neibu San (Ginseng Internal-Nourishing Powder), or Neibu Shixuan San (Internal-Nourishing Ten-Acupoint Powder).
Renshen Shunqi San (Ginseng Qi-Regulating Powder) treats stagnant Qi, strengthens the Spleen and Stomach, and promotes appetite.
Wuyao (Linderae Radix, 1 liang 5 qian) Baifuling (Poria, 1 liang) Zhen Suzi (Perillae Fructus, lightly stir-fried, 1 liang) Renshen (Ginseng Radix et Rhizoma, 1 liang) Qingpi (Citri Reticulatae Pericarpium Viride, 5 qian) Fencǎo (Glycyrrhizae Radix et Rhizoma, honey-fried, 5 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, bran-fried, 1 liang) Baizhi (Angelicae Dahuricae Radix, 1 liang)
Grind all into powder. Take 3 qian each time, decocted with fresh ginger and jujube in water.
My commentary: The above formula is suitable when Qi of the Spleen, Lung, and Kidney is excessive and obstructed; it should be used to drain this excess. If obstruction is caused by Qi deficiency, Yiqi Yangrong Tang (Qi-Nourishing and Blood-Nourishing Decoction) must be used for regulation and tonification. Current patients often suffer from injury to Qi and Blood, so treatment should be administered according to specific symptoms.
Fuling Kaishi San (Poria Appetite-Opening Powder) treats closed Stomach Qi and loss of appetite.
Baifuling (Poria, 1 liang) Fencǎo (Glycyrrhizae Radix et Rhizoma, honey-fried, 5 qian) Zhiqiao (Aurantii Fructus, bran-fried until yellow, 3 qian)
Grind all into powder. Take 1 qian each time, mixed with salt water.
My commentary: If the aforementioned condition involves stagnant Stomach Qi, the above formula is appropriate. If Stomach Qi is weak, Sijunzi Tang (Four Gentlemen Decoction) should be used. If Stomach Qi sinks, Buzhong Yiqi Tang (Middle-Boosting and Qi-Enriching Decoction) is indicated. If Spleen Qi is weak, Liujunzi Tang (Six Gentlemen Decoction) should be used. If Spleen Qi is constrained, Guipi Tang (Spleen-Restoring Decoction) is appropriate.
Li Shi said: When Stomach Qi is weak and appetite is poor, Jiahe San (Harvest Powder) should be taken. For every 5 liang of Jiahe San, add 2 qian each of Renshen (Ginseng Radix et Rhizoma), Dingxiang (Caryophylli Flos), Chenxiang (Aquilariae Lignum Resinatum), and Baidoukou (Amomi Fructus Rotundus). A noble person suffered from a carbuncle and took medications in disorder, resulting in Spleen deficiency and anorexia. I intended to use Jiahe San. Someone said it contained Dingxiang and Chenxiang, so he took other medicines instead. It was ineffective. He then resumed the previous powder, and his appetite immediately improved.
My commentary: The aforementioned condition is detailed in the Appendix on Key Principles of Medication Use.
The Classics state: When meridians sink, fistulas form, lingering in the muscle layers. This is because meridians sink when exposed to cold, stagnating in the muscles, hence termed "lingering in the muscle layers." This constitutes a cold fistula, which requires Xianmai San (Sunken-Meridian Powder) and Guifu Wan (Cinnamon and Aconite Pills) for warming and tonification.
My commentary: Fistulas arising from sores and carbuncles are all due to insufficiency of Yuan Qi (Original Qi), failure of Ying Qi (Nutritive Qi) to flow smoothly, rebellion within the flesh, or conflict with cold pathogens lingering in the blood vessels. After prolonged ulceration, Yang Qi becomes deficient and cold, allowing external pathogens to sink inward due to deficiency, thus forming this affliction. In the early stage, one should internally administer Ginseng, [missing character, likely Astragalus or Rehmannia], Danggui (Angelicae Sinensis Radix), and Baizhu to warm and tonify the Spleen and Stomach, and externally apply Sangzhi (Mori Ramulus) and scallions with heat therapy to guide Yang Qi, allowing natural resolution. If pus fails to form after a long time, these two methods should still be used to assist and accelerate formation. Once pus forms but does not rupture, moxibustion with several cones applied directly over the head of the lesion will promote drainage, followed by administration of Shiquan Dabu Tang (Complete Great Tonifying Decoction). Patients must also regulate their daily routine and diet to facilitate healing. If cold needles are used for puncture, green pus may emerge internally after a long time, and the exterior color may become dark black. Alternatively, if Shengji San (Muscle-Generating Powder) is mistakenly used to hasten closure, it may exacerbate the pathogen, inevitably leading to a fatal outcome.
Xianmai San (Sunken-Meridian Powder) treats fistulas, old goiters, palpitations, insomnia, and limb twitching pain.
Ganjiang (Zingiberis Rhizoma, processed) Hupo (Succinum, ground separately) Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed) Dahuang (Rhei Radix et Rhizoma, baked, 1 liang each) Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 3 liang) Shiliuhuang (Sulfur, ground separately) Bai Shiy ing (Quartzum Album, ground separately) Zhongru Fen (Stalactitum, ground separately) Wuzuiyu Gu (Sepiae Endoconcha, ground separately, 0.5 liang each)
Grind all into powder. Mix with lard and apply to necrotic tissue that does not resolve. Add Puxiao (Natrii Sulfas, 2 liang) if necessary.
Shenxiao Guifu Wan (Miraculous Cinnamon and Aconite Pills) treat various fistulas caused by deficiency-cold of Yang Qi.
Guixin (Cinnamomi Cortex, inner bark) Fuzi (Aconiti Lateralis Radix Praeparata, soaked in rice vinegar, crushed 3-5 times, dried) Houpo (Magnoliae Officinalis Cortex, ginger-processed) Fencǎo (Glycyrrhizae Radix et Rhizoma, honey-fried) Baizhu (Atractylodis Macrocephalae Rhizoma, fried, 1 liang each) Muxiang (Aucklandiae Radix, 1 qian) Ruxiang (Olibanum, ground separately, 2 qian)
Grind all into powder. Make pills with refined honey the size of paulownia seeds. Take 20-30 pills each time on an empty stomach with rice water.
Shenxiao Gualou San (Miraculous Trichosanthes Powder) treats breast abscesses and scrofula; alternate with Lifxiao San.
Huang Gualou (Trichosanthis Fructus, preferably with many seeds, crushed) Dangguiwei (Angelicae Sinensis Radix, tail portion, 5 qian) Gancao jie (Glycyrrhizae Radix et Rhizoma, joint section, 0.5 liang) Moyao (Myrrha, 1 qian, ground separately)
Decoct in 3 bowls of wine until reduced to 1 bowl. Divide into three doses. If not yet formed, it dissipates; if formed, it ruptures.
My commentary: The above formula is a general excellent agent for treating sores and carbuncles. When treating breast abscesses, the cause must be assessed. The breast belongs to the Yangming Stomach Meridian, and the nipple belongs to the Jueyin Liver Meridian. If anger stirs Liver Fire causing Yangming Blood heat, clear the Liver and Heat. If accompanied by alternating chills and fever with pain, release the exterior and scatter pathogens. If swelling and pain are severe, clear the Liver, detoxify, and apply garlic-separated moxibustion. If pus does not form or fail to rupture, focus on interior support. If it does not heal or pus is thin, focus on tonifying the Spleen and Stomach. If pain or fever occurs after pus discharge, tonify Qi and Blood. If swelling and pain occur, or there is afternoon tidal fever/internal heat, tonify Blood. If appetite is poor or vomiting occurs, tonify the Stomach. If digestion is difficult or diarrhea occurs, tonify the Spleen. If fatigue causes swelling and pain, tonify Qi and Blood. If anger causes swelling and pain, nourish Liver Blood. If caused by infant breath leading to swelling and pain, use Sun Tong Tan San (Suction and Exploration Powder); otherwise, it will become a carbuncle, treated by the aforementioned methods. If a woman suffers from an ulcerated sore lasting one or two years, it is called Ru Yan (Breast Rock/Cancer) and is incurable (see *Jiaozhu Furen Liangfang* and *Waike Shuyao*).
Lixiao San (Effectively Effective Powder) treats carbuncles and scrofula.
Zaojiaoci (Gleditsiae Sinensis Spina, half jin, finely cut and stir-fried red) Fencǎo (Glycyrrhizae Radix et Rhizoma, 2 liang) Ruxiang (Olibanum, ground separately) Moyao (Myrrha, ground separately, 1 liang each) Gualou (Trichosanthis Fructus, five whole fruits with skin, finely ground)
Grind all into powder. Take 1 liang each time, decocted in good wine.
My commentary: The above formula is a general excellent agent for treating carbuncles and scrofula, detoxifying and relieving pain. If scrofula presents with alternating chills and fever, painful red swelling, it is a Qi disorder of the Liver Meridian; clear Liver Fire to nourish Liver Blood. If chills and fever cease but nodules remain, it is a Blood disorder of the Liver Meridian; nourish Liver Blood to clear Liver Fire. If initially like a bean lodged in muscle/flesh, unchanged in color, with internal heat, dry mouth, and mental fatigue, failing to resolve or ulcerate over time, it indicates Liver and Spleen deficiency; strengthen Spleen Earth and nurture Liver Wood. *Waitai Miyao* states: Deficient-heat in Liver and Kidney generates scrofula. *Bingji* states: Scrofula is not related to rich food or toxic heat, but results from deficiency consumption and Qi stagnation; tonify form and Qi, regulate meridians, and the sore will naturally disappear. Mistaken use of purgatives will violate disease and meridian contraindications (see *Jiaozhu Furen Liangfang* and *Waike Shuyao*).
Shengji San (Muscle-Generating Powder) treats stagnant Qi and郁热 (depressed heat) at the sore opening, preventing muscle growth and healing.
Muxiang (Aucklandiae Radix) Binglang (Arecae Semen) Huanglian (Coptidis Rhizoma, equal parts)
Grind all into powder and apply to the affected area.
My commentary: If residual toxins linger at the sore opening preventing muscle generation and healing, use Wu Jin Gao (Black Gold Ointment) to dissolve necrotic tissue. If cold pathogens accumulate at the sore opening preventing healing, use Douchi Bing (Fermented Soybean Cake) to warm and disperse. If Qi deficiency and Blood weakness prevent transport to the sore opening, use Buzhong Yiqi Tang (Middle-Boosting and Qi-Enriching Decoction) to cultivate.
Dusheng San (Single Sage Powder) Since all sores and carbuncles result from Qi stagnation and Blood coagulation, fragrant agents should be taken because fragrance moves Qi and unblocks Blood. At the onset of a sore, take this medicine as tea.
Xiangfuzi (Cyperi Rhizoma, soaked in ginger juice overnight, dried, and ground)
Take 2 qian mixed with plain water at any time. After rupture, continue taking Ju Fang Xiao Wuchen Tang (Formula Bureau Small Black Sink-Decoction) with a little Gancao (Licorice), which is especially effective.
My commentary: The above formula has pungent and dispersing properties, suitable for individuals with robust physique and Qi stagnation/Blood coagulation. For those with Blood deficiency, Qi weakness, or Yin deficiency with fever, treatment must be tailored to symptoms and cannot be applied uniformly.
Meihua Yinzi (Plum Blossom Drink) Initially taken to prevent toxin invasion inward.
Jindingteng (Lonicerae Japonicae Caulis, 4 liang) Gualougen (Trichosanthis Radix) Gange Gen (Puerariae Radix) Chuanxiong (Ligustici Chuanxiong Rhizoma) Wumei (Mume Fructus) Mian Huangqi (Astragali Radix, fried) Gancao (Glycyrrhizae Radix et Rhizoma) Sumu (Sappan Lignum, 1 liang each)
Divide into four doses. Decoct in water and wine.
My commentary: The above formula resolves heat toxins. If pathogens are strong and True Qi is weak, internal tonification and support are required.
Tizhen Wan (Needle-Replacement Pill) Treats cases where pus has formed but does not rupture.
Baidingxiang (Strix Fel, i.e., Cat's Gallbladder) Sha (Realgar, ground separately) Zhen Moyao (Myrrha, ground separately) Ruxiang (Olibanum) Nuomi (Glutinous Rice, 40 grains: first take a fist-sized piece of mineral ash, place in a porcelain bowl, add well water until hot water subsides, put rice into ash, wait until rice turns crystal clear, then remove. If not ready, process again with ash.)
Grind each ingredient separately into powder. Take one spoonful of each and mix evenly with glutinous rice for storage. When using, form pills the size of wheat grains. Apply one pill moistened with water to the head of the sore; pus will naturally drain.
My commentary: For traumatic sores, if Qi and Blood are robust and pus forms but does not rupture, this formula drains toxicity, facilitating muscle growth and wound closure. If Qi and Blood are depleted, sweet-warm agents must be used to root the foundation; otherwise, pus will not drain and healing will be difficult. For deep bone abscesses or critical areas, timely acupuncture and cupping/lancing are preferable.
Lvyun San (Green Cloud Powder) Treats five toxins manifesting as sores on the back, neck, head, hands, or feet.
Fengweicao (Pteridii Multifidi Herba, shaped like phoenix tail leaves with golden spots on back, dried, 1 liang) Fengancao (Glycyrrhizae Radix et Rhizoma, 1 qian)
Decoct in one bowl of wine for three to five boils. Add one bowl of cold wine and drink until intoxicated. Immediate effect.
My commentary: The above formula is miraculous for mineral-induced carbuncles. If dispersion through sweating is indicated, differentiate between exterior and interior. If drinking is intended to drain pus and generate muscle, tonification and support are essential.
Xuandu San (Toxin-Releasing Powder) Eliminates sore toxins and reduces red halos.
Lufengfang (Vespa Nidus, 3 liang, stir-fried until charred) Xiaomi (Setaria italica, 1 he) Chixiaodou (Phaseoli Semen Rubrum) Nanxing (Arisaematis Rhizoma) Caowu (Aconiti Kusnezoffii Radix, 1 liang each) Baifan (Alumen, 5 qian)
Grind all into powder. Mix with light vinegar and apply to the periphery. Reapply vinegar frequently if it dries.
My commentary: The above formula detoxifies, regulates meridians, relieves toxicity, and disperses blood; it is an external treatment method.
Tuoli San (Interior-Supporting Powder) Prevents formation/eases resolution if not yet formed; eases rupture if formed; generates muscle if already ruptured.
Huang Gualou (Trichosanthis Fructus, one) Rendongcao (Lonicerae Japonicae Caulis) Ruxiang (Olibanum, 1 liang each) Sumu (Sappan Lignum, 5 qian) Moyao (Myrrha, 3 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian)
Decoct each dose in 3 bowls of wine until reduced to 2 bowls. Take divided into three doses on an empty stomach, at noon, and before sleep. Grind into fine powder, make pills with wine paste the size of quail eggs, coat with Cinnabar. Chew thoroughly and swallow with Danggui wine. Especially effective for trauma injuries.
My commentary: If there are no sweating or purging symptoms, and regulation of Ying and Wei is indicated, this formula is highly effective. If Qi and Blood are weak and unable to liquefy pus or generate muscle, internal tonification and support are still required.
Qingliang Gao (Cooling Ointment) Treats all sores and carbuncles, used after pus removal.
Danggui (Angelicae Sinensis Radix, 2 liang) Baizhi (Angelicae Dahuricae Radix) Baiji (Bletillae Rhizoma) Mubiezi (Strychni Semen, shell removed) Huangbai (Phellodendri Cortex) Bailian (Pseudostellariae Radix, skin removed) Ruxiang (Olibanum) Baijiao (Colla Corii Asini, 5 qian each)
Huandan (Minii Oxidum Purificatum, 5 liang pure) Mayou (Sesami Oleum, 12 liang)
Add oil and boil until black, remove dregs. Add Huandan. Stir continuously with locust and willow branches until ointment forms. Add Ruxiang and other herbs.
Biyou Gao (Green Oil Ointment) Relieves pain and drains pus; used after moxibustion.
Taozhi (Pruni Persicae Ramulus) Liuzhi (Salix Ramulus) Sangzhi (Mori Ramulus) Huaizhi (Styeli Ramulus) Ruxiang (Olibanum, ground separately) Xuexie (Draco Sanguis, ground separately, 5 qian each) Huandan (Minii Oxidum Purificatum, 4 liang pure)
Use 10 liang Sesami Oleum. Boil until charred, remove dregs. Add Huandan and boil until ointment forms. Add Ruxiang and Xuexie.
My commentary: The previous two formulas use mild ingredients and are usable.
Shenxiao Jiu Jian San (Miraculous Wine-Decoction Powder) Treats all sores and carbuncles with miraculous efficacy.
Renshen (Ginseng Radix et Rhizoma) Moyao (Myrrha, ground separately) Dangguiwei (Angelicae Sinensis Radix, tail portion, 1 liang each) Gancao (Glycyrrhizae Radix et Rhizoma) Gualou (Trichosanthis Fructus, one, half raw half fried)
Decoct in 3 bowls of wine until reduced to 2 bowls. Divide into four doses. Dry, add 1 liang Danggui powder, make pills with wine paste the size of paulownia seeds. Take 50 pills each time with wine infused with medicinal herbs. Excellent for detoxifying and invigorating Blood.
My commentary: If pus is gone but muscle does not grow, investigate the cause and tonify accordingly. For unformed carbuncles/sores, stir-fry Wuzhuyu (Evodiae Fructus) into powder, mix with egg white, and apply externally for miraculous effect.
My commentary: If Qi stagnation causes swelling, use this formula to unblock channels and disperse. If Qi deficiency causes swelling, use interior-supporting and connecting methods to eliminate.