[Carbuncles, Ulcers, and Scrofula] Divided into eleven categories.

*Zhubing Yuanhou Lun* (Source of All Diseases) on the syndrome of pediatric carbuncles and sores: When the functions of the six fu-organs are disharmonious, cold pathogenic factors invade the skin. Cold condenses with blood, causing stagnation and obstruction, lingering between the meridians and collaterals, knotting and swelling to form a carbuncle. Its presentation involves local swelling, with thin, shiny epidermis. If heat pathogenic factors take advantage of this, and heat exceeds cold, muscle and blood rot and transform into pus. After the pus ruptures, if the sore does not heal, it is called "carbuncle and sore."

*Yangsheng Biyong* (Essentials for Health Preservation) discusses prescriptions for treating carbuncles and ulcers: Whenever a carbuncle or ulcer first appears, one must use herbs such as *Rhei Radix et Rhizoma* (Dahuang) to strongly promote bowel movement. After bowel movement is achieved, the patient will naturally feel comfortable; do not worry about physical weakness or distress. One might say, "Rather than suffering abdominal and back ulceration, scorching of the internal organs, profuse flow of pus and blood, perforation of holes, and death from various malignant conditions, it is better to die through purgation, let alone have a chance of survival." The ancient sages established laws, generally using formulas such as *Wuxiang Lianqiao Decoction* and *Loulu Decoction*. For those in remote areas or living in poverty who cannot afford these drugs, one may decoct only *Rhei Radix et Rhizoma* (Dahuang) and *Glycyrrhizae Radix et Rhizoma* (Gancao) to promote purgation. This must be done daily without interruption until the pus ruptures and vitality gradually returns, at which point herbs like *Astragali Radix* (Huangqi) should be taken to expel pus and relieve pain. These are well documented in *Qianjin Fang* (Prescriptions Worth a Thousand Gold) and *Waitai Miyao* (Secret Essentials of the Outer Chamber). Modern physicians who do not study classics are blinded by subjective opinions and fail to address the root cause. They claim, "Sores manifest on the exterior; how can one use purgatives?" resulting in frequent deaths, which is truly lamentable. Sun Simiao said, "In emergencies, decocting a single herb of *Rhei Radix et Rhizoma* (Dahuang) to achieve rapid purgation is a crucial method."

Zhang Huan cautiously notes: Pediatric carbuncles, ulcers, toxic swellings, furuncles, scrofula, tubercles, goiter, various fistulas, and gan-sores are no different from those in adults. The classics state: "When the five zang-organs are disharmonious, the nine orifices become obstructed; when the six fu-organs are disharmonious, qi and blood flow and knot to form carbuncles." All are caused by the binding and struggling of cold and heat pathogens. Superficial involvement constitutes a carbuncle; severe involvement constitutes an ulcer. Toxic swelling involves concurrent wind pathogens; swelling extending up to one cun is called a furuncle. Evil heat rushing upward to the head and face causes sores; knotting between the skin forms scrofula. Qi knotting below the neck forms goiter; prolonged illness that fails to heal forms fistulas; severely, it forms gan-sores. The root cause is identical.

*Qianjin Fang* (Prescriptions Worth a Thousand Gold) Loulu Decoction: A prescription for treating pediatric red-and-white carbuncles and ulcers caused by heat-toxin, as well as various erysipelas, sores, and furuncles.
Herbs: *Euphorbiae Humifusae Herba* (Loulu), *Forsythiae Fructus* (Lianqiao - *Zhouhou* uses *Cynanchi Atrati Radix* [Baiwei]), *Ampelopsis Radix* (Bailian), *Natrii Sulfas* (Mangxiao - *Zhouhou* uses *Paeoniae Radix Alba* [Baishao]), *Glycyrrhizae Radix et Rhizoma* (Gancao, honey-fried. Each 6 zhu), *Scutellariae Radix* (Huangqin), *Cimicifugae Rhizoma* (Shengma), *Immaturae Fructus Citri Reticulatae* (Zhishi, bran-fried), *Ephedrae Herba* (Mahuang, remove roots and joints. Each 9 zhu), *Rhei Radix et Rhizoma* (Dahuang, 1 liang).
The above ten herbs are cut into pieces, decocted in 1.5 sheng of water to yield 5 he of liquid. For infants aged 1 to 7 days, administer 1 he divided into three doses. For 8 to 15 days, 1.5 he divided into three doses. For 16 to 20 days, 2 he divided into three doses. For 20 to 30 days, 3 he divided into three doses. For 30 to 40 days, 5 he divided into three doses. (*Zhouhou* treats adults using *Euphorbiae Humifusae Herba* (Loulu), *Ampelopsis Radix* (Bailian), *Scutellariae Radix* (Huangqin), *Cynanchi Atrati Radix* (Baiwei), *Immaturae Fructus Citri Reticulatae* (Zhishi), honey-fried *Glycyrrhizae Radix et Rhizoma* (Gancao), *Cimicifugae Rhizoma* (Shengma), honey-fried *Glycyrrhizae Radix et Rhizoma* (Gancao), *Paeoniae Radix Alba* (Baishao), *Ephedrae Herba* (Mahuang) without joints, each 2 liang, and *Rhei Radix et Rhizoma* (Dahuang) 3 liang. Ten herbs decocted in 1 dou of water to yield 3 sheng. If other herbs are unavailable, using *Rhei Radix et Rhizoma* (Dahuang) for purgation is excellent. Erysipelas requires needle-lancing to release blood. *Jingxin Lu* lacks *Forsythiae Fructus* (Lianqiao) but includes *Anemarrhenae Rhizoma* (Zhimu), *Paeoniae Radix Alba* (Baishao), and *Rhinocerotis Cornu* (Xijiao) in equal parts.)

*Qianjin Fang* Wuxiang Lianqiao Decoction: A prescription for pediatric wind-heat toxic swelling with white discoloration, or presence of malignant nodules, scrofula, deep-seated abscesses, immobility of joints, spreading white erysipelas, and persistent itching of white rashes.
Herbs: *Aquilariae Lignum Resinatum* (Qingmuxiang), *Boswelliae Resina* (Xunluxiang/Ru Xiang), *Myrti Flos* (Jishe Xiang/Dingxiang), *Aquilariae Lignum* (Chenxiang), *Ephedrae Herba* (Mahuang, remove roots and joints), *Scutellariae Radix* (Huangqin) (Each 6 zhu), *Cimicifugae Rhizoma* (Shengma), *Immaturae Fructus Citri Reticulatae* (Zhishi, bran-fried), *Forsythiae Fructus* (Lianqiao), *Sargassum* (Haizao), *Belamcandae Rhizoma* (Shegan) (Each half liang), *Moschus* (Shexiang, 3 zhu), *Rhei Radix et Rhizoma* (Dahuang, 2 liang), *Bambusae Caulis Succus* (Zhuli, 3 he).
The above fourteen herbs are cut into pieces, decocted in 4 sheng of water. When the volume is reduced by half, add *Bambusae Caulis Succus* (Zhuli), and continue decocting to yield 1.2 sheng. For infants aged 100 to 200 days, administer 3 he per dose. From 200 days to one year, administer 5 he per dose. Another version excludes *Ephedrae Herba* (Mahuang).

*Qianjin Fang* Prescription for treating adult and pediatric carbuncles and swellings.
Apply fresh pig brain spread on paper to the affected area. Replace when dry, three to four times daily.

*Qianjin Fang* Another Prescription
Mix mustard seed powder with warm water, spread on paper, and apply to the affected area. (*Qianjin Yifu* uses pig bile for mixing and application.)

*Qianjin Fang* Another Prescription
Mix *Baijiangshi* (White Jiangshi) powder with garlic, pound thoroughly, and apply to the affected area for cure.

*Qianjin Fang* Another Prescription
Pound *Verbenae Herba* (Mabiancao) thoroughly and apply; the head of the abscess will emerge immediately.

*Qianjin Yifu* Incantation for Suppressing Carbuncles.
Incantation: "Carbuncle is not carbuncle, furuncle is not furuncle, earth clod and feces, carbuncle shall vanish." Recite thirty-seven times. Take one earth clod and rub it over the swelling, then pass it to the patient, left side for males, right side for females.

*Taiping Shenghui Fang* Xijiao San for treating pediatric carbuncles and swellings turning into sores with organ stagnation.
Herbs: *Rhinocerotis Cornu* (Xijiao, shaved), *Hongxue* (Red Snow), *Scrophulariae Radix* (Yuanshen), *Paeoniae Radix Rubra* (Chishaoyao), *Jini* (Qie Ni), *Polygonati Odorati Rhizoma* (Weirui), *Cimicifugae Rhizoma* (Shengma) (Each half liang), *Glycyrrhizae Radix et Rhizoma* (Gancao, 1 fen), *Ophiopogonis Tuber* (Mendong, 3 fen, degerminated and roasted).
Pound the above herbs, sieve coarsely to make a powder. Take 1 qian per dose, decoct in a small cup of water until reduced to 0.5 cup, strain, add 0.5 he of *Bambusae Caulis Succus* (Zhuli), boil briefly again. Adjust dosage according to the child's size, administer at any time, divided into reduced doses.

*Taiping Shenghui Fang* Wulan Ye San for treating pediatric heart and lung heat-toxin attacking various sites, causing carbuncles and sores, tubercles under the neck and armpits, irritability, fever, pain, and insomnia.
Herbs: *Isatidis Folium* (Wulan Ye), *Rhinocerotis Cornu* (Xijiao, shaved), *Scrophulariae Radix* (Yuanshen), *Cimicifugae Rhizoma* (Chuan Shengma), *Gardeniae Fructus* (Zhizi Ren), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Astragali Radix* (Huangqi, sliced), *Forsythiae Fructus* (Lianqiao Zi) (Each half liang), *Isatidis Radix* (Daqing), *Scutellariae Radix* (Huangqin) (Each 1 fen), *Rhei Radix et Rhizoma* (Chuan Dahuang, 3 fen, sliced and lightly stir-fried).
Pound the above herbs, sieve coarsely to make a powder. Take 1 qian per dose, decoct in a small cup of water until reduced to 0.5 cup, strain. Adjust dosage according to the child's size, administer warm at any time, divided into doses.

*Taiping Shenghui Fang* Loulu San for treating pediatric carbuncles, erysipelas, sores, and furuncles.
Herbs: *Euphorbiae Humifusae Herba* (Loulu), *Ephedrae Herba* (Mahuang, remove roots and joints), *Forsythiae Fructus* (Lianqiao), *Cimicifugae Rhizoma* (Chuan Shengma), *Scutellariae Radix* (Huangqin), *Natrii Sulfas* (Chuan Mangxiao), *Glycyrrhizae Radix et Rhizoma* (Gancao) (Each 1 fen), *Ampelopsis Radix* (Bailian, 3 fen), *Rhei Radix et Rhizoma* (Dahuang, 1 liang, sliced and lightly stir-fried).
Pound the above herbs, sieve coarsely to make a powder. Take 1 qian per dose, decoct in a small cup of water until reduced to 0.5 cup, strain. Adjust dosage according to the child's size, administer warm at any time, divided into reduced doses.

*Taiping Shenghui Fang* Huangqi San for treating pediatric carbuncles where pus has ruptured and continues for several days, leading to physical weakness, irritability, fever, headache, and dizziness.
Herbs: *Astragali Radix* (Huangqi, sliced), *Saposhnikoviae Radix* (Fangfeng, remove radicle), *Cimicifugae Rhizoma* (Chuan Shengma), *Saigae Tataricae Cornu* (Lingyangjiao, shaved), *Poria* (Baifuling), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Lycii Cortex* (Digupi), *Ginseng Radix* (Renshen, remove radicle) (Each half liang), *Ligustici Chuanxiong Rhizoma* (Chuanxiong, 1 fen), *Gypsum Fibrosum* (Shigao, 1 liang).
Pound the above herbs, sieve coarsely to make a powder. Take 1 qian per dose, decoct in a small cup of water until reduced to 0.5 cup, strain. Adjust dosage according to the child's size, administer warm at any time, divided into reduced doses.

*Taiping Shenghui Fang* Mendong San for treating pediatric carbuncles where pus drainage is incomplete, causing persistent mental restlessness.
Herbs: *Ophiopogonis Tuber* (Mendong, 3 fen, degerminated and roasted), *Puerariae Radix* (Zige, sliced), *Astragali Radix* (Huangqi, sliced), *Cimicifugae Rhizoma* (Chuan Shengma), *Rhinocerotis Cornu* (Xijiao, shaved), *Glycyrrhizae Radix et Rhizoma* (Gancao, honey-fried slightly reddened and sliced), *Akebiae Caulis* (Mutong) (Each half liang).
Pound the above herbs, sieve coarsely to make a powder. Take 1 qian per dose, decoct in a small cup of water until reduced to 0.5 cup, strain. Adjust dosage according to the child's size, administer warm at any time, divided into reduced doses.

*Taiping Shenghui Fang* Dahuang San for treating pediatric carbuncles with excessive internal heat stagnation, mental restlessness, and obstruction of urination and defecation.
Herbs: *Rhei Radix et Rhizoma* (Chuan Dahuang, sliced and lightly stir-fried), *Cimicifugae Rhizoma* (Chuan Shengma), *Abutili Semen* (Kuizi), *Natrii Sulfas* (Chuan Puxiao) (Each half liang), *Gardeniae Fructus* (Zhizi Ren, 1 fen).
Pound the above herbs, sieve coarsely to make a powder. Take 1 qian per dose, decoct in a small cup of water until reduced to 0.5 cup, strain and administer warm. Stop when bowel movement is achieved, adjusting dosage according to the child's size.

*Taiping Shenghui Fang* Dama Ren Wan for treating pediatric carbuncles with sluggish internal organs.
Herbs: *Cannabis Semen* (Dama Ren, 2 liang), *Immaturae Fructus Citri Reticulatae* (Zhishi, bran-fried, lightly stir-fried yellow, pith removed), *Glycyrrhizae Radix et Rhizoma* (Gancao, honey-fried slightly reddened and sliced), *Aquilariae Lignum* (Muxiang) (Each half liang), *Rhei Radix et Rhizoma* (Chuan Dahuang, sliced and lightly stir-fried), *Arctii Fructus* (Niubangzi, lightly stir-fried. Each 1 liang).
Pound the above herbs, sieve to make powder, mix with refined honey to form pills the size of mung beans. Administer ten pills with cooked water per dose, stopping when bowel movement is achieved, adjusting dosage according to the child's size.

*Taiping Shenghui Fang* Xiaozhong San for treating pediatric carbuncles, toxic swellings, hot red rashes, and pain.
Herbs: *Rhei Radix et Rhizoma* (Chuan Dahuang, raw sliced), *Pruni Armeniaci Semen Amarum* (Xingren, soaked in water, peeled, separately ground), *Sal Flor* (Yanhua) (Each 3 fen).
Pound the above herbs, sieve finely to make powder. Add Xingren, mix with fresh water to appropriate consistency. Apply to swollen sores as needed; replace when dry, until effective.

*Taiping Shenghui Fang* Prescription for pediatric carbuncle swelling.
Use *Leonuri Herba* (Yimucao) in unlimited quantity, slice finely, pound to extract juice. Administer 0.5 he per dose, adjusting according to the child's size. Applying the residue to the carbuncle is also beneficial.

*Taiping Shenghui Fang* Another Prescription
Burn seven chicken feathers to ash, grind finely, mix with water and administer to induce suppuration.

*Taiping Shenghui Fang* Another Prescription
Mix *Longgu* (Fulonggan) powder with good vinegar to form a paste, apply to old cloth, and patch onto the affected area.

*Taiping Shenghui Fang* Another Prescription
Pound *Disporum cantoniense* (Disong) thoroughly and apply; replace when dry.

*Taiping Shenghui Fang* Another Prescription
Pound *Portulacae Herba* (Machixian) thoroughly and apply.

*Taiping Shenghui Fang* Another Prescription
Mix *Phaseoli Semen Rubrum* (Chixiaodou) powder with egg white and apply.

*Taiping Shenghui Fang* Another Prescription
Mix earthworm excrement (*Di Long Fen*) with fresh water and apply.

*Taiping Shenghui Fang* Another Prescription
Pound *Solanum nigrum* (Longkui Cai) thoroughly and apply.

*Taiping Shenghui Fang* Another Prescription
Pound *Commelina communis* (Jichang Cao) thoroughly and apply.

*Taiping Shenghui Fang* Another Prescription
Pound *Brassica rapa* var. *nipposinica* (Yuntai Ye) thoroughly and apply.

*Taiping Shenghui Fang* Another Prescription
Pound *Sedum aizoon* (Jingtian Ye) thoroughly and apply.

Mr. Mao's Prescription for Pediatric Carbuncles and Toxins on the Body.
Herbs: *Minii Preparatum* (Huandan), *Aconiti Kusnezoffii Radix* (Caowu), *Pinelliae Tuber* (Tiannanxing, powder), *Bletillae Rhizoma* (Baiji) (Equal parts).
Grind into powder, mix with cold water to mud consistency. Apply on paper to red swollen areas; it will rupture spontaneously soon.

*Yingru Fang* Loulu Decoction: A prescription for pediatric heat-toxin carbuncles, ulcers, red-and-white erysipelas, sores, and furuncles.
Herbs: *Euphorbiae Humifusae Herba* (Loulu), *Forsythiae Fructus* (Lianqiao), *Ampelopsis Radix* (Bailian), *Natrii Sulfas* (Mangxiao), *Glycyrrhizae Radix et Rhizoma* (Gancao, honey-fried. Each 1 fen), *Asari Radix et Rhizoma* (Xixin), *Cimicifugae Rhizoma* (Shengma), *Immaturae Fructus Citri Reticulatae* (Zhishi, honey-fried), *Ephedrae Herba* (Mahuang, remove joints), *Scutellariae Radix* (Huangqin) (Each 3 fen), *Rhei Radix et Rhizoma* (Dahuang, 4 fen).
Decoct in 1 sheng of water to yield 5 he. For infants aged 1 to 7 days, divide 1 he into three doses. For 8 to 15 days, divide 1.5 he into three doses. For 16 to 20 days, divide 2 he into three doses. For 20 to 30 days, divide 3 he into three doses. For 30 to 40 days, divide 5 he into three doses. For 100 to 200 days, administer 3 he per dose. For 200 days to one year, administer 5 he per dose. This formula differs from *Qianjin Fang* by adding *Asari Radix et Rhizoma* (Xixin) and having different dosages.

Zhang Huan's Lianqiao San: For treating carbuncles and furuncles.
Herbs: *Forsythiae Fructus* (Lianqiao, 1 liang), *Aquilariae Lignum* (Chenxiang), *Astragali Radix* (Huangqi) (Each half liang), *Ampelopsis Radix* (Bailian), *Natrii Sulfas* (Chuan Puxiao), *Rhei Radix et Rhizoma* (Chuan Dahuang, processed), *Glycyrrhizae Radix et Rhizoma* (Gancao).
Pound and sieve coarsely. Take 1 qian per dose, 1 cup of water, add 1 qian of *Moschus* (Shexiang), decoct to 0.5 cup, strain, cool, and administer after meals.

Zhang Huan's Yimu San: Suitable for all carbuncles and furuncles.
Herbs: *Leonuri Herba* (Yimucao, burnt to ash, 2 liang), *Sal Flor* (Yanhua, stir-fried dry, 1 liang), *Longgu* (Fulonggan, half liang).
Grind into fine powder. Take 1 qian per dose, mix with fresh water to appropriate consistency, and apply to the wound as needed.

*Huiyan Guanzheng* Bailu San: For applying to ruptured carbuncles and toxins.
Herbs: *Streptopeliae Faeces* (Baidingxiang, half liang), *Boswelliae Resina* (Ruxiang), *Minii Preparatum* (Huandan), *Bletillae Rhizoma* (Baiji) (Each 1 fen).
Grind into powder, mix with water, apply on cloth, and patch.

*Huiyan Guanzheng* Bailian San: For closing carbuncle wounds.
Herbs: *Phellodendri Cortex* (Huangbai), *Coptidis Rhizoma* (Huanglian), *Ampelopsis Radix* (Bailian), *Bletillae Rhizoma* (Baiji).
Grind into equal parts powder. Take 2 qian per dose, mix with water to thick consistency, and apply. For burns and scalds, mix with egg white and apply; both conditions will heal.

Zheng Yu, a physician from Changsha, transmitted Yujin San for treating carbuncles and ulcers with alternating hot/cold diarrhea.
Herbs: *Curcumae Radix* (Yujin), *Citri Reticulatae Pericarpium* (Qingpi) (Each 2 qian), *Amomi Fructus Rotundus* (Baidoukou, one, wrapped in flour and roasted).
Grind into powder. Take a small amount, sprinkle into milk, and feed.

*Qianjin Fang* Moxibustion Method: For adult and pediatric carbuncles and swellings, moxa two points located centrally on the odd toes of both feet. Treat according to the left or right side of the lesion.