石疽初起如恶核，坚硬不痛，渐大如拳。急以阳和汤、犀黄丸每日轮服，紫元丹间服可
消。
。现红筋者其内已通血海，不治；现斑黑者乃自溃之证，溃则流血，三日内死；现小块高低
如石岩者，主三百日后必发大痛，不溃而死。惟现青筋者其内已成黄浆尚可治，令日服阳和
汤，外用活商陆根捣烂，加食盐少许敷之，数日作痒，半月皱皮，日敷日软而有脓袋挂下，
以银针穿之，用千金内托散加熟地，倍生 ，各一两同阳和汤煎服，大剂补托。十剂后以阳
和解凝膏随其根盘贴满，独留患孔。再加绷缚法，使其皮膜相连，易于脓尽生肌。接用十全
大补、加味保元等汤（参 忌炙。）服至收功。
阳和汤（通用五。）
犀黄丸（通用四十八。）
紫元丹（通用五十一。）
千金内托散（通用三十八。）
十全大补汤（通用二十六。）
加味保元汤（通用二十九。）
阳和解凝膏（通用七十七。）
绷缚法（通用法。）
凡人之血气，昼夜流行，周而复始，自无停息。或因寒痰或因风湿，稽留于肌肉之中，
致令
痛，或兼身体发热。当未作脓时用加味二陈汤，入阳和丸同煎，数服全消。消后接服小金丹
七丸杜其续发。如皮色稍变，疼痛难忍者，须用阳和汤以止其痛，消其未成脓之余地，使已
成脓者不痛而溃，此乃大疽变小之法也。如患顶软已有脓，即为针之。脓多白色，贴阳和解
凝膏。但此证溃后，定增毒痰流走，患生不一，故初溃五日内，仍服小金丹十丸以杜后患，
接用犀黄丸，阳和汤，每日早晚轮服，使毒痰消尽收功。
孩子不能服煎剂者，初起用小金丹化服，至消乃止；既溃亦以小金丹日服，消其余硬之
地，至患不疼时针之，俟其毒尽用保元汤（ 、草生用。）加肉桂五分，日服收功。
孕妇患之，当问怀胎月数，如未满六个月，犀黄丸内有麝香不可服，只宜阳和汤愈之。
愈后再服三、四剂以代小金丹，杜其流走。
溃延日久，病患脾虚气滞者，先服六君子汤加芎、归数剂，（参、术生用。）待其饮食复
常，再按前治。
阳和丸（通用六。）
阳和汤（通用五。）
加味二陈汤（通用十八。）
犀黄丸（通用四十八。）
小金丹（通用五十二。）
六君子汤（通用二十一。）
保元汤（通用二十八。）
阳和解凝膏（通用七十七。）
石疽初起时像恶核，坚硬且不痛，逐渐增大如拳头大小。应立即每日轮流服用阳和汤、犀黄丸，间服紫元丹，可以消除。
若患处出现红筋，说明内部已通达血海，属于不治之症；若出现黑斑，则是自行溃烂的征兆，溃破后会流血，三日内死亡；若出现高低不平如石岩的小块，预示三百日后必发大痛，因不溃烂而死。只有出现青筋者，说明内部已成黄浆，尚可治疗。令其每日服用阳和汤，外用活商陆根捣烂，加少许食盐敷贴，数日后患处作痒，半月后皮肤皱缩，每日敷贴使患处变软并形成脓袋挂下，用银针穿破，使用千金内托散加熟地黄，倍量生黄芪（各一两）同阳和汤煎服，以大剂量补益托毒。十剂后以阳和解凝膏随其根盘贴满，独留患孔。再加绷缚法，使其皮膜相连，易于脓尽生肌。接着使用十全大补汤、加味保元汤等方剂（人参、白术忌炙。）服用至收功。
阳和汤（通用五。）
犀黄丸（通用四十八。）
紫元丹（通用五十一。）
千金内托散（通用三十八。）
十全大补汤（通用二十六。）
加味保元汤（通用二十九。）
阳和解凝膏（通用七十七。）
绷缚法（通用法。）
人的气血，昼夜流行，周而复始，没有停息的时候。或因寒痰或因风湿，稽留在肌肉之中，导致疼痛，或兼身体发热。当未成脓时用加味二陈汤，加入阳和丸同煎，数服后可完全消除。消除后接服小金丹七丸以防止复发。如果皮色稍变，疼痛难忍，须用阳和汤以止其痛，消除未成脓之余地，使已成脓者不痛而溃，这是将大疽变小之法。如果患部顶部变软已有脓，即为针刺排脓。脓液多呈白色，贴阳和解凝膏。但此证溃后，必定增加毒痰流走，患生不一，故初溃五日内，仍服小金丹十丸以杜绝后患，接着使用犀黄丸、阳和汤，每日早晚轮流服用，使毒痰消尽收功。
孩子不能服用煎剂者，初起用小金丹化服，至消除乃止；既溃亦以小金丹日服，消除其余硬之地，至患部不疼时针刺，待其毒尽用保元汤（人参、甘草生用。）加肉桂五分，日服收功。
孕妇患之，应当询问怀胎月数，如未满六个月，犀黄丸内有麝香不可服，只宜阳和汤治愈它。愈后再服三、四剂以代替小金丹，杜绝其流走。
溃延日久，病患脾虚气滞者，先服六君子汤加川芎、当归数剂，（人参、白术生用。）待其饮食复常，再按前治。
阳和丸（通用六。）
阳和汤（通用五。）
加味二陈汤（通用十八。）
犀黄丸（通用四十八。）
小金丹（通用五十二。）
六君子汤（通用二十一。）
保元汤（通用二十八。）
阳和解凝膏（通用七十七。）
At the initial stage of Shi Ju (Stone Scrofula), it resembles E He (Malignant Nodule), is hard and painless, and gradually enlarges to the size of a fist. Immediately administer Yang He Tang (Warming Yang Decoction) and Xi Huang Wan (Tiger's Gallbladder Pill) on alternate days, with intermittent use of Zi Yuan Dan (Purple Origin Pill), which can resolve the condition.
If red veins appear on the affected area, it indicates that the interior has connected with the Blood Sea (Xue Hai), which is incurable; if black spots appear, it signifies spontaneous ulceration, which will bleed upon rupture and lead to death within three days; if small, uneven lumps resembling rocky cliffs appear, it predicts severe pain after three hundred days, leading to death due to non-ulceration. Only when green veins appear, indicating the formation of yellow pus internally, is the condition treatable. Instruct the patient to take Yang He Tang daily. Externally, apply fresh Phytolaccae Radix (Shang Lu Gen) mashed into a paste with a little salt. After several days, itching occurs; after half a month, the skin wrinkles. Daily application softens the area and forms a hanging pus sac. Puncture it with a silver needle. Administer Qian Jin Nei Tuo San (Thousand Gold Internal Support Powder) combined with Shu Di Huang (Prepared Rehmannia Root), doubling the dose of Sheng Huang Qi (Raw Astragalus Root) (each one liang), decocted together with Yang He Tang, using a large dose for tonification and supporting expulsion. After ten doses, apply Yang He Jie Ning Gao (Warming Yang Resolving Hardness Plaster) covering the entire base, leaving only the lesion open. Apply bandaging methods to ensure continuity of the skin membrane, facilitating complete pus discharge and tissue regeneration. Subsequently, administer Shi Quan Da Bu Tang (Ten Great Tonifying Decoction) and Jia Wei Bao Yuan Tang (Modified Protecting Origin Decoction) (Ginseng and Atractylodes Macrocephala Rhizome should not be honey-fried.) until recovery.
Yang He Tang (General 5.)
Xi Huang Wan (General 48.)
Zi Yuan Dan (General 51.)
Qian Jin Nei Tuo San (General 38.)
Shi Quan Da Bu Tang (General 26.)
Jia Wei Bao Yuan Tang (General 29.)
Yang He Jie Ning Gao (General 77.)
Bandaging Method (General Method.)
Human Qi and Blood circulate day and night, completing cycles without cessation. Due to cold-phlegm or wind-dampness stagnating in the muscles, pain may occur, accompanied by fever. When pus has not yet formed, use Jia Wei Er Chen Tang (Modified Two-Chen Decoction) decocted with Yang He Wan (Warming Yang Pill); several doses can completely resolve it. After resolution, follow up with Xiao Jin Dan (Little Golden Pill), seven pills, to prevent recurrence. If the skin color changes slightly and pain is unbearable, use Yang He Tang to stop pain and eliminate residual pathology before pus formation, causing already formed pus to rupture without pain; this is the method of transforming a major abscess into a minor one. If the apex of the lesion becomes soft indicating pus presence, puncture it immediately. If the pus is mostly white, apply Yang He Jie Ning Gao. However, after ulceration in this condition, toxic phlegm tends to spread, leading to varied manifestations. Therefore, within five days of initial ulceration, continue administering Xiao Jin Dan, ten pills, to prevent future complications, followed by alternating Xi Huang Wan and Yang He Tang morning and evening, to dissipate toxic phlegm and achieve recovery.
For children unable to take decoctions, use Xiao Jin Dan dissolved at the onset until resolution; after ulceration, administer Xiao Jin Dan daily to eliminate remaining hardness. Puncture when pain ceases. Once toxins are exhausted, use Bao Yuan Tang (Protecting Origin Decoction) (Ginseng and Licorice Root used raw) with five fen of Cinnamon Bark, taken daily for recovery.
For pregnant women suffering from this, inquire about the gestational age. If less than six months, Xi Huang Wan containing Moschus (Musk) is contraindicated; only Yang He Tang should be used for cure. After recovery, take three to four additional doses to substitute for Xiao Jin Dan, preventing spread.
For chronic ulcerations where the patient suffers from Spleen deficiency and Qi stagnation, first administer Liu Jun Zi Tang (Six Gentlemen Decoction) plus Chuan Xiong (Szechwan Lovage Rhizome) and Dang Gui (Angelica Sinensis Root) for several doses, (Ginseng and Atractylodes Macrocephala Rhizome used raw.) Wait for appetite to normalize, then proceed with previous treatments.
Yang He Wan (General 6.)
Yang He Tang (General 5.)
Jia Wei Er Chen Tang (General 18.)
Xi Huang Wan (General 48.)
Xiao Jin Dan (General 52.)
Liu Jun Zi Tang (General 21.)
Bao Yuan Tang (General 28.)
Yang He Jie Ning Gao (General 77.)