（附论）
内经谓因于气为肿。四维相代。则肿毒之作。盖有因于气者。以诸气属于肺。肺主皮毛。
气
变
凡身中痛处。忽如打扑之状。名曰气痛。痛不可忍。游走不住。发作有时。痛则小热。
痛定
汤、
及小
有气
之。
方
白薇散（出圣济总录）治气肿痛。状如瘤而无头。但虚肿色不变。皮急痛。
白薇 防风 射干 当归（切片用酒炒） 防己 木香 天门冬（去心焙） 乌头（炮
剖去皮脐）
节汤煮掠去末一两）
两） 上为散。浆水服方寸匕
方有枳实无枳壳。
小竹沥汤（出千金方）治气痛
淡竹沥（二升） 射干 杏仁 独活 枳实 白术 防己 防风 秦艽 芍药 甘草 茵
芋
犀角汤（出圣济总录） 治气不 消犀角（镑） 独活（去芦头） 生麦门冬（去心焙各二
两） 枳壳（去稂麸炒二两） 木香 沉香
两半） 玄参（九两） 连翘（六两） 漏芦（半两）
一两） 上粗捣筛。每服五钱。用水一盏。半煎至八分。去
大五香汤（出圣济总录）治毒瓦斯在肌肉中。肿痛寒热。急者数日杀人。若心
腹闷。当急服。
茱萸（汤浸焙
粗捣筛。入麝香拌
海藻浸酒方（出圣济总录）治风肿行走无定。或起如蚌大如瓯。或着腹背。
或着臂脚。
海藻（洗净） 赤茯苓（去黑皮） 防风（去叉） 独活（去芦头） 白术 附子（炮
剖去皮脐各二
如麻豆。生绢袋贮。
若频利即减。未利
虎骨丸（出圣济总录）治气肿、走注。疼痛不可忍者。
虎胫骨（去筋骨肉刷洗净涂酥炙黄） 黄 （锉） 杜仲（去粗皮各二两） 麝香（另
研半两） 附
香。再研令匀。酒
甘草酒（出圣济总录）治毒瓦斯肿。当头上如刺痛。
甘草（炙） 升麻 沉香 麝香（另研各半两） 豉（一两半） 上除麝香外。粗捣筛。
入麝香拌
甚者取
心午后晚
槟榔散（出圣济总录）治一切毒肿。或痒或痛。
槟榔（锉） 凝水石（ 各一两） 乌头（大者一枚去皮脐生用） 吴茱萸（一钱半生
用） 硫黄（
桃仁酒（出圣济总录）治气毒肿痛。变走诸处。或牵引小腹。及腰脐痛。
桃仁（一升汤浸去皮尖双仁炒） 酒（二升） 上先乘热捣桃仁如膏。渐入酒研。绞去
滓。每服
蒺藜涂敷方（出圣济总录）治气肿。其状如痈。虚肿色不变。皮上急痛。
蒺藜子（去角炒） 赤小豆（各一两） 上为散。用鸡子白调如糊。涂敷肿上。干即易
之。蒺藜散 治气肿痛。
以蒺藜子一升。熬令黄为末。以麻油和如泥。 炒令焦黑。以药摊青布上。如肿大小。
勿
马齿苋涂方 治一切肿
以生马齿苋不拘多少。入水捣烂。放铜器中。用新汲水沉冷。敷肿上。热即易。如无。
以慎
治毒瓦斯
以蒺藜子为末。加醋封之。日三易之。
治气攻肿痛。坐卧不得。
以独头蒜去壳。入油少许。同研如泥。涂敷肿上。日三次。
【附论】
《黄帝内经》说，因气机逆乱导致的肿胀。如果四维之气（指四肢或四方之气）相互更替失调，就会引发肿毒的产生。大概有因为气滞引起的。因为各种气都归属于肺，肺主司皮毛。
凡是身体中疼痛的地方，忽然像被打扑伤一样的状态，名叫气痛。疼痛难以忍受，游走不定，发作有定时。疼痛时伴有轻微发热。
白薇散（出自《圣济总录》），治疗气肿痛。症状像瘤子但没有头，只是虚肿且颜色不变，皮肤紧绷疼痛。
药材：白薇、防风、射干、当归（切片后用酒炒）、防己、木香、天门冬（去心并焙干）、乌头（炮制，剖开去皮和脐）。
用法：将上述药材研为散剂。用浆水送服一方寸匕。
注：此方中有枳实而无枳壳。
小竹沥汤（出自《千金方》），治疗气痛。
药材：淡竹沥（二升）、射干、杏仁、独活、枳实、白术、防己、防风、秦艽、芍药、甘草、茵芋。
用法：上药粗捣筛碎。每服五钱。用水一盏，煎至八分。去渣服用。
犀角汤（出自《圣济总录》），治疗气不消（气滞不散）。
药材：犀角（镑片）、独活（去芦头）、生麦门冬（去心焙，各二两）、枳壳（去穰麸炒，二两）、木香、沉香、玄参（九两）、连翘（六两）、漏芦（半两）。
用法：上药粗捣筛碎。每服五钱。用水一盏，煎至八分。去渣服用。
大五香汤（出自《圣济总录》），治疗毒瓦斯在肌肉中。症状为肿痛、寒热。急症者数日内可致死。如果感到心腹闷胀，应当立即服用。
药材：吴茱萸（汤浸焙干）、以及其他香料（原文此处略有残缺，通常指五香类）。
用法：粗捣筛碎，加入麝香拌匀。
海藻浸酒方（出自《圣济总录》），治疗风肿行走无定处。或者肿块起如蚌大，大如碗口。或者附着在腹部背部，或者附着在手臂脚部。
药材：海藻（洗净）、赤茯苓（去黑皮）、防风（去叉）、独活（去芦头）、白术、附子（炮制，剖开去皮和脐，各二两）。
用法：将药材切碎如麻豆大小，装入生绢袋中，浸泡在酒中。如果频繁排尿则减少用量；若未通利则...（原文此处中断）。
虎骨丸（出自《圣济总录》），治疗气肿、走注（疼痛游走不定）。疼痛不可忍受。
药材：虎胫骨（去筋骨肉刷洗净，涂酥炙黄）、黄芪（锉碎）、杜仲（去粗皮，各二两）、麝香（另研半两）、附子（原文此处中断，推测为炮附子等）、香（原文此处中断，推测为木香等）。
用法：再研令均匀，用酒送服。
甘草酒（出自《圣济总录》），治疗毒瓦斯肿。症状是头上像刺痛一样。
药材：甘草（炙）、升麻、沉香、麝香（另研，各半两）、豉（一两半）。
用法：除麝香外，将其他药材粗捣筛碎。加入麝香拌匀。
甚者取...（原文此处中断，语意不全）
心午后晚...（原文此处中断，语意不全）
槟榔散（出自《圣济总录》），治疗一切毒肿。或者痒或者痛。
药材：槟榔（锉碎）、凝水石（原文此处缺失剂量或描述，各一两）、乌头（大者一枚，去皮脐，生用）、吴茱萸（一钱半，生用）、硫黄（原文此处缺失剂量）。
桃仁酒（出自《圣济总录》），治疗气毒肿痛。变走各处。或者牵引小腹，以及腰脐痛。
药材：桃仁（一升，汤浸去皮尖双仁炒）、酒（二升）。
用法：先乘热捣桃仁如膏状。逐渐加入酒研磨。绞去滓。每服...（原文此处中断）。
蒺藜涂敷方（出自《圣济总录》），治疗气肿。其形状像痈。虚肿颜色不变。皮肤上紧绷疼痛。
药材：蒺藜子（去角炒）、赤小豆（各一两）。
用法：将药材研为散剂。用鸡蛋清调成糊状。涂敷在肿处。干了就更换。
蒺藜散，治疗气肿痛。
用法：以蒺藜子一升，熬令黄色后研为末。用麻油和如泥状。炒令焦黑。将药摊在青布上。根据肿的大小...（原文此处中断）。
马齿苋涂方，治疗一切肿。
用法：以生马齿苋不拘多少。入水捣烂。放入铜器中。用新汲水沉冷。敷在肿处。热了就更换。如果没有...（原文此处中断，推测为以慎...代替）。
[Attached Discussion]
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states that swelling caused by Qi stagnation occurs. If the Qi of the four dimensions (referring to the limbs or directions) alternates and becomes disordered, toxic swellings will arise. Generally, there are cases caused by Qi obstruction. Since all Qi belongs to the Lung, and the Lung governs the skin and hair...
Wherever pain occurs in the body, suddenly resembling a bruise from a blow, it is called "Qi Pain" (Qi Tong). The pain is unbearable, migratory without fixed location, and occurs at specific times. During the pain, there is slight heat.
**Baiwei San** (White Peony Root Powder, from *Shengji Zonglu*), treats Qi-related painful swelling. The condition resembles a tumor but has no head; it presents as flaccid swelling with unchanged color, tight skin, and pain.
Ingredients: Baiwei (*Cynanchum atratum* Root), Fangfeng (*Saposhnikovia Divaricata* Root), Shegan (*Belamcanda Chinensis* Rhizome), Danggui (*Angelica Sinensis* Root) (sliced and stir-fried with wine), Fangji (*Stephania Tetrandra* Stem), Muxiang (*Aucklandiae Radix*), Tianmendong (*Asparagi Radix*) (remove heart and roast), Wutou (*Aconiti Lateralis Radix Praeparata*) (processed, cut open, remove skin and umbilicus).
Usage: Grind the above ingredients into powder. Take one cubic inch measure with Jiangshui (fermented grain water).
Note: This formula contains Zhishi (*Immature Bitter Orange*) but not Zhike (*Ripe Bitter Orange*).
**Xiao Zhuli Tang** (Minor Bamboo Juice Decoction, from *Qianjin Fang*), treats Qi pain.
Ingredients: Danzhuli (*Phyllostachys Nigra* Juice) (2 sheng), Shegan (*Belamcanda Chinensis* Rhizome), Xingren (*Prunus Armeniaca* Seed), Duhuo (*Angelica Pubescens* Root), Zhishi (*Immature Bitter Orange*), Baizhu (*Atractylodis Macrocephalae Rhizoma*), Fangji (*Stephania Tetrandra* Stem), Fangfeng (*Saposhnikovia Divaricata* Root*), Qinjiao (*Gentiana Macrophylla* Root), Shaoyao (*Paeoniae Radix*), Gancao (*Glycyrrhizae Radix et Rhizoma*), Yinyu (*Typhonii Rhizoma*).
Usage: Coarsely crush and sieve the herbs. Take 5 qian per dose. Boil with 1 cup of water until reduced to 8 fen. Strain and drink.
**Xijiao Tang** (Rhinoceros Horn Decoction, from *Shengji Zonglu*), treats persistent Qi stagnation.
Ingredients: Xijiao (*Rhinocerotis Cornu*) (sliced), Duhuo (*Angelica Pubescens* Root) (remove rhizome head), Sheng Maidong (*Ophiopogonis Radix*) (remove heart and roast, each 2 liang), Zhike (*Citri Reticulatae Pericarpium Viride*) (remove pith and bran, stir-fry, 2 liang), Muxiang (*Aucklandiae Radix*), Chenxiang (*Aquilariae Lignum Resinatum*), Xuanshen (*Scrophulariae Radix*) (9 liang), Lianqiao (*Forsythiae Fructus*) (6 liang), Loulu (*Euphorbiae Humifusae Radix*) (0.5 liang).
Usage: Coarsely crush and sieve the herbs. Take 5 qian per dose. Boil with 1 cup of water until reduced to 8 fen. Strain and drink.
**Da Wuxiang Tang** (Major Five Fragrances Decoction, from *Shengji Zonglu*), treats toxic vapors in the muscles. Symptoms include painful swelling, chills, and fever. Acute cases can be fatal within days. If there is chest and abdominal fullness/stuffiness, take immediately.
Ingredients: Wuzhuyu (*Evodiae Fructus*) (soaked in decoction, roasted), and other fragrant herbs (text incomplete, typically refers to five aromatic spices).
Usage: Coarsely crush and sieve, mix with Shexiang (*Moscus*).
**Haizao Jin Fang** (Seaweed Wine Infusion, from *Shengji Zonglu*), treats wind-induced swelling that moves unpredictably. Swellings may start small like a clam or large like a bowl. They may attach to the abdomen/back or arms/legs.
Ingredients: Haizao (*Sargassum*), Chifuling (*Poria Cum Ligno Quercus*) (remove black skin), Fangfeng (*Saposhnikovia Divaricata* Root), Duhuo (*Angelica Pubescens* Root) (remove rhizome head), Baizhu (*Atractylodis Macrocephalae Rhizoma*), Fuzi (*Aconiti Lateralis Radix Praeparata*) (processed, cut open, remove skin and umbilicus, each 2 liang).
Usage: Cut herbs into sizes similar to hemp seeds. Store in a raw silk bag. Soak in wine. If frequent urination occurs, reduce dosage; if not unblocked, [text incomplete].
**Hugu Wan** (Tiger Bone Pill, from *Shengji Zonglu*), treats Qi swelling and migrating pain (Zou Zhu). Pain is unbearable.
Ingredients: Hujinggu (Tiger Tibia Bone) (remove bone/tendon/meat, wash clean, coat with butter, roast yellow), Huangqi (*Astragali Radix*) (cut), Duzhong (*Eucommiae Cortex*) (remove rough bark, each 2 liang), Shexiang (*Moscus*) (separately ground, 0.5 liang), Fuzi (*Aconiti Lateralis Radix Praeparata*) [text incomplete], Xiang [text incomplete, likely Muxiang].
Usage: Grind evenly, take with wine.
**Gancao Jiu** (Licorice Wine, from *Shengji Zonglu*), treats toxic vapor swelling. Symptoms include stabbing pain on the head.
Ingredients: Gancao (*Glycyrrhizae Radix et Rhizoma*) (roasted), Shengma (*Cimicifugae Rhizoma*), Chenxiang (*Aquilariae Lignum Resinatum*), Shexiang (*Moscus*) (separately ground, each 0.5 liang), Chi (*Sojae Semen Preparatum*) (1.5 liang).
Usage: Except for Shexiang, coarsely crush and sieve the other herbs. Mix in Shexiang.
[Text Incomplete]
[Text Incomplete]
**Bolang San** (Areca Seed Powder, from *Shengji Zonglu*), treats all toxic swellings. Itching or pain.
Ingredients: Bolang (*Arecae Semen*), Ningshuishi (*Natrii Sulfas*) [dose missing, each 1 liang], Wutou (*Aconiti Radix*) (large one, remove skin and umbilicus, use raw), Wuzhuyu (*Evodiae Fructus*) (1.5 qian, use raw), Liuhuang (*Sulfur*) [dose missing].
**Taoren Jiu** (Peach Kernel Wine, from *Shengji Zonglu*), treats Qi-toxic painful swelling moving to various places. May牵引 (pull/traction) the lower abdomen, waist, and umbilicus.
Ingredients: Taoren (*Persicae Semen*) (1 sheng, soaked in hot water, remove skin and point, double-kernel, stir-fried), Jiu (Wine) (2 sheng).
Usage: First, while hot, pound Taoren into a paste. Gradually add wine and grind. Strain off dregs. Take [dose missing] per serving.
**Jili Tu Fu Fang** (Callosities Cataplasm Formula, from *Shengji Zonglu*), treats Qi swelling. Shape resembles carbuncle. Flaccid swelling with unchanged color. Tight and painful skin.
Ingredients: Jili (*Tribuli Fructus*) (remove spines, stir-fry), Chixiaodou (*Phaseoli Semen Rubrum*) (each 1 liang).
Usage: Grind into powder. Mix with egg white to form a paste. Apply to the swelling. Change when dry.
**Jili San** (Callosities Powder), treats Qi painful swelling.
Usage: Take 1 sheng of Jili, roast until yellow, grind into powder. Mix with sesame oil to form mud. Roast until charred black. Spread onto green cloth according to the size of the swelling. [Text incomplete].
**Machi Xian Tu Fang** (Purslane Cataplasm Formula), treats all swellings.
Usage: Take fresh Machixian (*Portulacae Herba*) as needed. Pound in water until rotten. Place in a copper vessel. Cool by immersing in newly drawn cold water. Apply to swelling. Change if hot. If unavailable, [text incomplete, likely substitute with Shen...].
Treat Toxic Vapors [Title only, no content below]
Usage: Grind Jili into powder, seal with vinegar. Change three times daily.
Treat Qi attacking painful swelling. Unable to sit or lie down comfortably.
Usage: Take single-head garlic, peel. Add a little oil. Grind together into a paste. Apply to the swelling. Three times daily.