枣(十四枚) 五味子(三两) 生姜(三两) 干地黄(一两) 麦门冬(三两去心) 知
母(一两)
上十七味切,以水一斗二升煮竹叶小麦,取九升,去滓内药煮,取三升,温分四服。
又商陆贴诸肿方。
商陆(二两) 黄芩 黄连 白芷 白蔹 大黄 莽草(各二两) 白芨(二两)
上八味捣筛,消胶汁和如泥,涂纸贴肿,干即易之。
又有患痈破下脓讫,着兑药塞疮孔,乃疮痛,烦闷困极,有人为去兑药,以楸叶十重,以布
帛裹,缓急得所。日再三易之,痛闷即止,此法大良无比,胜于众法,贴此主痈疽溃后,及
冻疮有刺不出甚良。冬无楸叶,当早收之,临时以盐汤沃,令润用之亦佳,薄削楸白皮用之
亦得。又栀子汤,主表里俱热,三焦壅实,身体生疮,或发痈疖,大小便不利方。
芒硝(汤成下) 甘草(炙各二两) 黄芩 知母(各三两) 大黄(四两别渍) 栀
子仁(七枚)
上六味切,以水五升煮四味,减半,下大黄煮,取一升八合,去滓内芒硝,分三服。
又疗痈疽发背后小瘰 ,李根散方。
李根(切一升) 甘草(炙) 桔梗 黄芩(各二两) 葛根 当归(各三两) 桂心 芍
药(
各四两) 芎 (六分) 通草 白蔹 浓朴(炙) 附子(炮各一两) 栝蒌子(一升) 半
夏(一
升洗)
上十五味捣筛为散,酒服一方寸匕,日三,疮大困者,夜再,有人发背骨出十余节,服
此即瘥。
又主痈疮发背方。
蜀椒(汗) 黄芩 人参(各二两) 干姜 附子(炮) 白蔹 防风 桂心 甘草(炙
各一
两) 芎 (二两) 赤小豆(一合半)
上十一味为散,酒服一方寸匕,日三夜再服之。
又内补散,疗痈疽发背,已溃未溃,排脓生肉方。
当归 人参(各二两) 桂心 芎 浓朴(炙) 防风 白芷 桔梗 甘草(炙各一
两)
上九味为散,以酒服一方寸匕,日三夜再,疮未合,服勿停。
又瞿麦散,主诸痈未溃,疮中疼痛,脓血不绝法。
瞿麦 白芷 黄 当归 细辛 芍药 芎 薏苡仁 赤小豆(末各一两)
上九味,先以清酒一升渍小豆,出铜器中熬之,干复渍,渍复熬,五遍止,然后捣诸药
下筛,酒服一方寸匕,日三夜二,服三五日后,痛者痒,肌肉生,一法以春酒渍小豆。多痛
倍瞿麦,痛未开倍白芷,多脓倍黄 薏苡仁芍药,甚妙。
又黄 散,主痈疽撮脓方。
黄 (五分多脓倍) 赤小豆(一分热口干倍) 芎 (二分肉不生倍) 芍药(三分
痛不止
倍) 白蔹(三分) 栝蒌(三分小便多倍之)
上六味捣散,酒服方寸匕,日三服之。(一方有甘草三分)
又疗发背及痈肿热 ,已熟者即脓出,未熟者自然消除,神验方。
牛蒡根(嫩者洗去土勿令见风细切一大升)
上一味,以水三大升煮令烂,绞去滓,更盛于瓷器中,重汤煎之,使如稀糊,以涂烂帛
贴肿上热则易之验。
枣(十四枚) 五味子(三两) 生姜(三两) 干地黄(一两) 麦门冬(三两,去心) 知母(一两)
以上十七味药材切碎,用一斗二升水先煮竹叶和小麦,取九升药液,滤去药渣后加入其他药物继续煎煮,最终取得三升药液,分四次温服。
另一种商陆贴敷治疗各种肿块的方剂。
商陆(二两) 黄芩 黄连 白芷 白蔹 大黄 莽草(各二两) 白芨(二两)
以上八味药材捣碎过筛,用胶汁调和成泥状,涂在纸上贴敷于肿块处,干燥后即更换。
又有患痈疽破溃排脓完毕后,使用兑药塞入疮孔,导致疮口疼痛、烦闷困倦至极的情况。有人去除兑药,改用十层厚的楸叶,用布帛包裹,松紧适度。每天更换多次,疼痛和烦闷随即停止,此法极好,胜过众多方法。此法主要用于痈疽溃烂后,以及冻疮有刺不出者,效果极佳。冬季若无楸叶,应提前采收,临时用盐汤浸泡使其湿润使用也很好,薄削楸树的白色树皮使用也可以。
又有栀子汤,主治表里俱热,三焦壅实,身体生疮,或发痈疖,大小便不利之证。
芒硝(汤成时下) 甘草(炙,各二两) 黄芩 知母(各三两) 大黄(四两,别渍) 栀子仁(七枚)
以上六味药材切碎,用五升水先煮其中四味,水量减半后,加入大黄继续煎煮,取得一升八合药液,滤去药渣后加入芒硝,分三次服用。
又治疗痈疽发背后出现小瘰疬的李根散方。
李根(切一升) 甘草(炙) 桔梗 黄芩(各二两) 葛根 当归(各三两) 桂心 芍药(各四两) 川芎(六分) 通草 白蔹 厚朴(炙) 附子(炮,各一两) 栝蒌子(一升) 半夏(一升,洗)
以上十五味药材捣碎过筛制成散剂,用酒送服一方寸匕,每日三次,若疮势严重,夜间加服两次。有人患发背疽,骨头露出十余节,服用此药即痊愈。
又主治痈疮发背的方剂。
蜀椒(汗出处理) 黄芩 人参(各二两) 干姜 附子(炮) 白蔹 防风 桂心 甘草(炙,各一两) 川芎(二两) 赤小豆(一合半)
以上十一味药材制成散剂,用酒送服一方寸匕,每日三次,夜间加服两次。
又有内补散,治疗痈疽发背,无论已溃或未溃,具有排脓生肌功效的方剂。
当归 人参(各二两) 桂心 川芎 厚朴(炙) 防风 白芷 桔梗 甘草(炙,各一两)
以上九味药材制成散剂,用酒送服一方寸匕,每日三次,夜间加服两次,疮口未愈合,服药不要停止。
又有瞿麦散,主治各种痈疽未溃破,疮中疼痛,脓血不绝的方法。
瞿麦 白芷 黄芪 当归 细辛 芍药 川芎 薏苡仁 赤小豆(末,各一两)
以上九味药材,先用清酒一升浸泡赤小豆,取出铜器外炒制,干了再浸泡,泡了再炒,重复五次为止,然后将其他药材捣碎过筛,用酒送服一方寸匕,每日三次,夜间两次。服用三到五日后,疼痛转为瘙痒,肌肉生长。另一种方法是用春酒浸泡赤小豆。若疼痛多,加倍使用瞿麦;若疼痛未开,加倍使用白芷;若脓多,加倍使用黄芪、薏苡仁、芍药,效果甚妙。
又有黄芪散,主治痈疽聚脓的方剂。
黄芪(五分,脓多则加倍) 赤小豆(一分,热盛口干则加倍) 川芎(二分,肉不生则加倍) 芍药(三分,痛不止则加倍) 白蔹(三分) 栝蒌(三分,小便多则加倍)
以上六味药材捣碎制成散剂,用酒送服方寸匕,每日三次服用。(另一版本含有甘草三分)
又治疗发背及痈肿热毒,已成熟者即排脓,未成熟者自然消除的神验方。
牛蒡根(嫩者洗净去土,勿令见风,细切一大升)
以上一味药材,用三大升水煮至软烂,绞去药渣,再装入瓷器中,隔水重煎,使成为稀糊状,涂在烂布上贴敷于肿块处,变热即更换,效果显著。
Jujube (14 pieces), Schisandrae Fructus (3 liang), Zingiberis Rhizoma Recens (3 liang), Rehmanniae Radix Preparata (1 liang), Ophiopogonis Tuber (3 liang, heart removed), Anemarrhenae Rhizoma (1 liang).
The above seventeen ingredients are sliced. Boil Phyllostachys Viridis Folium and Triticum Semen in 1 dou 2 sheng of water until reduced to 9 sheng. Strain the decoction, add the remaining herbs, and boil until 3 sheng remains. Take warm, divided into four doses.
Another formula for applying Phytolaccae Radix to various swellings:
Phytolaccae Radix (2 liang), Scutellariae Radix, Coptidis Rhizoma, Angelicae Dahuricae Radix, Ampelopsis Radix, Rheomi Radix et Rhizoma, Polygoni Aristentii Herba (each 2 liang), Bletillae Rhizoma (2 liang).
Pulverize the above eight ingredients, mix with gelatin juice to form a paste. Apply on paper and patch onto the swelling. Replace when dry.
For cases where carbuncles or ulcers have ruptured and pus has drained, if inserting "Dui Yao" into the wound causes severe pain, restlessness, and exhaustion, removing the Dui Yao and applying ten layers of Ulmus Sieboldii leaves wrapped in cloth, with appropriate tightness, is effective. Change multiple times daily; pain and restlessness cease. This method is excellent, surpassing others. It is mainly used after carbuncles and ulcers ulcerate, and for frostbite with embedded spines. In winter, collect Ulmus leaves early; soak in salt water to moisten before use. Thin slices of Ulmus alburnum can also be used.
Zhi Zi Tang (Gardenia Decoction) treats heat in both exterior and interior, stagnation and fullness in the San Jiao (Triple Burner), sores on the body, carbuncles and furuncles, and difficulty in urination and defecation.
Natrii Sulfas (add when decoction is ready), Glycyrrhizae Radix et Rhizoma Preparata (each 2 liang), Scutellariae Radix, Anemarrhenae Rhizoma (each 3 liang), Rheomi Radix et Rhizoma (4 liang, soaked separately), Gossypii Semen (7 pieces).
Slice the above six ingredients. Boil four of them in 5 sheng of water until reduced by half. Add Rheomi Radix et Rhizoma and boil until 1 sheng 8 he remains. Strain, add Natrii Sulfas, and divide into three doses.
Li Gen San (Prunus Root Powder) for treating small scrofula after carbuncle or back abscess:
Pruni Radiatae Cortex (sliced, 1 sheng), Glycyrrhizae Radix et Rhizoma Preparata, Platycodonis Radix, Scutellariae Radix (each 2 liang), Puerariae Radix, Angelicae Sinensis Radix (each 3 liang), Cinnamomi Ramulus, Paeoniae Radix Alba (each 4 liang), Chuanxiong Rhizoma (6 fen), Trogopterori Faeces, Ampelopsis Radix, Magnoliae Officinalis Cortex Preparata, Aconiti Lateralis Radix Preparata (each 1 liang), Trichosanthis Fructus (1 sheng), Pinelliae Tuber (1 sheng, washed).
Pulverize the above fifteen ingredients. Take one fang cun bi with wine, three times daily. If the condition is severe, take twice at night. One case of back abscess with exposed bone segments recovered after taking this.
Another formula for carbuncles and back abscesses:
Szechwan Pepper (sweated), Scutellariae Radix, Ginseng Radix (each 2 liang), Zingiberis Rhizoma, Aconiti Lateralis Radix Preparata, Ampelopsis Radix, Saposhnikoviae Radix, Cinnamomi Ramulus, Glycyrrhizae Radix et Rhizoma Preparata (each 1 liang), Chuanxiong Rhizoma (2 liang), Phaseoli Semen Rubrum (1.5 he).
Pulverize the above eleven ingredients. Take one fang cun bi with wine, three times daily and twice at night.
Nei Bu San (Internal Tonifying Powder) for carbuncles and back abscesses, whether ulcerated or not, to drain pus and generate flesh:
Angelicae Sinensis Radix, Ginseng Radix (each 2 liang), Cinnamomi Ramulus, Chuanxiong Rhizoma, Magnoliae Officinalis Cortex Preparata, Saposhnikoviae Radix, Angelicae Dahuricae Radix, Platycodonis Radix, Glycyrrhizae Radix et Rhizoma Preparata (each 1 liang).
Pulverize the above nine ingredients. Take one fang cun bi with wine, three times daily and twice at night. Continue taking until the wound heals.
Qu Mai San (Kudzu Flower Powder) for un-ulcerated carbuncles, pain in the sore, and continuous discharge of pus and blood:
Dianthi Herba, Angelicae Dahuricae Radix, Astragali Membranacei Radix, Angelicae Sinensis Radix, Asari Radix et Rhizoma, Paeoniae Radix Alba, Chuanxiong Rhizoma, Coicis Semen, Phaseoli Semen Rubrum (powdered, each 1 liang).
Soak Phaseoli Semen Rubrum in 1 sheng of clear wine, remove from copper vessel, stir-fry. Repeat soaking and frying five times. Pulverize other ingredients. Take one fang cun bi with wine, three times daily and twice at night. After 3-5 days, pain turns to itching, and flesh grows. Alternatively, soak beans in spring wine. Increase Dianthi Herba for more pain, increase Angelicae Dahuricae Radix if pain is not opening, increase Astragali Membranacei Radix, Coicis Semen, and Paeoniae Radix Alba for more pus.
Huang Qi San (Astragalus Powder) for gathering pus in carbuncles and ulcers:
Astragali Membranacei Radix (5 fen, double if pus is excessive), Phaseoli Semen Rubrum (1 fen, double if heat and dry mouth are present), Chuanxiong Rhizoma (2 fen, double if flesh does not grow), Paeoniae Radix Alba (3 fen, double if pain persists), Ampelopsis Radix (3 fen), Trichosanthis Fructus (3 fen, double if frequent urination occurs).
Pulverize the above six ingredients. Take one fang cun bi with wine, three times daily. (Another version includes Glycyrrhizae Radix et Rhizoma 3 fen).
Shen Yan Fang (Divine Efficacy Formula) for back abscesses and swollen carbuncles with heat toxicity: mature ones will drain pus, immature ones will resolve naturally.
Arctii Radix (young ones, wash off soil, avoid wind exposure, finely slice 1 sheng).
Boil Arctii Radix in 3 da sheng of water until soft. Strain, return filtrate to porcelain vessel, and simmer over boiling water until it becomes a thin paste. Apply on damaged cloth and patch onto the swelling. Replace when hot. Effective.