（附论）
夫痈者因寒搏于血。血涩不通。而热归之。壅结所成。热气不得宣泄。内熏五脏。故烦
躁而渴也。凡痈肿热渴者。则引饮。冷气入于肠胃。即变下利。亦变呕哕。所以然者。本由
虚热气逆。故呕哕逆冷乘之。故下利也。
方
连翘散（出圣惠方）治痈肿 痛。口干烦渴。不欲饮食。
连翘（一两半） 葛根（锉） 川升麻 枳壳（麸炒微黄） 黄芩 蓝叶 赤芍药 玄
参白
蔹羚羊角屑 木通（锉） 黄 （锉） 川大黄（锉碎微炒） 甘草（锉各一两） 上为
粗散。每
服四钱。水一中盏。煎至六分。去滓。不计时候。温服之。
黄 散（出圣惠方）治痈肿体热烦渴。肢节拘急。肩背疼痛。
黄 （一两半） 生干地黄（一两） 赤芍药（半两） 川大黄（一两半锉碎微炒） 赤
茯苓
知母 柴胡（去苗） 川升麻（各一两） 当归（半两） 木通（一两锉） 甘草（半两生
锉） 羚羊
角屑（一两） 上为粗散。每服四钱。水一中盏。入小麦一百粒。煎至六分。去滓。不拘时
温
服。
犀角散（出圣惠方）治痈肿初发。热盛口干烦渴。四肢拘急。骨节疼痛。
犀角屑 知母（各半两） 木通（三分锉） 赤芍药 川升麻（各半两） 川大黄（一
两锉碎
微炒） 葳蕤 黄芩（各半两） 麦门冬（三分去心） 甘草（半两生锉） 马牙硝（一两
半） 上
为粗散。每服四钱。水一中盏。煎至六分。去滓。不计时候温服。下三二行为度。
玄参散（出圣惠方）治痈肿成脓水。不能下食。心热口干。烦渴饮水。四肢羸
瘦。
玄参（一两） 川升麻（三分） 白藓皮（一两） 黄连（一两去须） 木瓜根（一两）
麦门冬
（一两去心） 赤芍药（一两） 川大黄（一两半锉微炒） 大麻仁（一两半） 川硝（一
两半）
上为散。每服三钱。水一中盏。入生地黄一分。细切。煎至六分。去滓。不拘时温服。
葛根散（出圣惠方）治痈肿热甚。口干烦渴。或时干呕。
葛根（一两锉） 甘草（半两生锉） 黄 （一两锉） 川升麻 栝蒌根 麦门冬（去
心） 赤
芍药 生地黄 栀子仁（各一两） 黄芩（三分） 上为粗散。每服四钱。水一中盏。煎至
六分。
去滓。不拘时温服之。
（附论）
痈这种病，是因为寒邪与血液搏结。血液运行涩滞不通，热邪随之聚集，在局部壅塞凝结而成。热气无法向外宣泄，向内熏蒸五脏，所以出现烦躁和口渴的症状。凡是患有痈肿且伴有热象和口渴的，就会引水自饮。如果此时饮用冷水，冷气进入肠胃，就会转变为腹泻；也会转变为呕吐或呃逆。之所以这样，根本原因在于体内本有虚热且气机逆乱，所以寒气乘虚而入导致呕吐、呃逆、四肢厥冷以及腹泻。
方剂
连翘散（出自《圣惠方》），治疗痈肿疼痛，口干烦躁口渴，不想进食。
连翘（一两半）、葛根（锉碎）、川升麻、枳壳（麸炒至微黄）、黄芩、蓝叶、赤芍药、玄参、白蔹、羚羊角屑、木通（锉碎）、黄芪（锉碎）、川大黄（锉碎后微炒）、甘草（锉碎，各一两）。以上药物捣成粗散。每次服用四钱，用水一中盏，煎煮至六分，滤去药渣。不限时候，温服。
黄芪散（出自《圣惠方》），治疗痈肿身体发热、烦躁口渴，肢体关节拘急不舒，肩背疼痛。
黄芪（一两半）、生干地黄（一两）、赤芍药（半两）、川大黄（一两半，锉碎后微炒）、赤茯苓、知母、柴胡（去苗）、川升麻（各一两）、当归（半两）、木通（一两，锉碎）、甘草（半两，生锉）、羚羊角屑（一两）。以上药物捣成粗散。每次服用四钱，用水一中盏，加入小麦一百粒，煎煮至六分，滤去药渣。不限时候，温服。
犀角散（出自《圣惠方》），治疗痈肿初发，热势旺盛，口干烦躁口渴，四肢拘急，骨节疼痛。
犀角屑、知母（各半两）、木通（三分，锉碎）、赤芍药、川升麻（各半两）、川大黄（一两，锉碎后微炒）、葳蕤、黄芩（各半两）、麦门冬（三分，去心）、甘草（半两，生锉）、马牙硝（一两半）。以上药物捣成粗散。每次服用四钱，用水一中盏，煎煮至六分，滤去药渣。不限时候温服。以下泻二三次为度。
玄参散（出自《圣惠方》），治疗痈肿已成脓液流出，不能进食，心中烦热，口干烦躁饮水，四肢消瘦。
玄参（一两）、川升麻（三分）、白鲜皮（一两）、黄连（一两，去须）、木瓜根（一两）、麦门冬（一两，去心）、赤芍药（一两）、川大黄（一两半，锉碎后微炒）、大麻仁（一两半）、川硝（一两半）。以上药物捣成散剂。每次服用三钱，用水一中盏，加入生地黄一分，细切，煎煮至六分，滤去药渣。不限时候温服。
葛根散（出自《圣惠方》），治疗痈肿热势极盛，口干烦躁口渴，有时干呕。
葛根（一两，锉碎）、甘草（半两，生锉）、黄芪（一两，锉碎）、川升麻、栝蒌根、麦门冬（去心）、赤芍药、生地黄、栀子仁（各一两）、黄芩（三分）。以上药物捣成粗散。每次服用四钱，用水一中盏，煎煮至六分，滤去药渣。不限时候温服。
(Attached Discussion)
Carbuncle (Yong, a type of suppurative skin disease) arises from cold pathogens clashing with blood. The blood becomes stagnant and obstructed, allowing heat to gather and accumulate at the site, forming a congestion. Because the heat qi cannot be vented outward, it internally steams the five zang organs, resulting in restlessness (Fan, mental agitation) and thirst (Ke). In cases of carbuncle swelling accompanied by heat and thirst, the patient will drink water excessively. If cold drinks enter the stomach and intestines, it may transform into diarrhea (Xiali); it may also transform into vomiting or hiccups (Yue). The reason for this is that the root cause lies in deficient heat and rebellious qi; thus, cold qi takes advantage of the deficiency, leading to vomiting, hiccups, cold extremities, and diarrhea.
Prescriptions
Lianqiao San (Quinoa Powder, from *Shenghui Fang*), treating carbuncle swelling and pain, dry mouth, restless thirst, and loss of appetite.
Qiaomiao (Herba Scopariae, 1 liang 5 qian), Gegen (Radix Puerariae, crushed), Chuan Shengma (Rhizoma Cimicifugae), Zhike (Fructus Aurantii, stir-baked with bran until slightly yellow), Huangqin (Radix Scutellariae), Lanye (Folium Isatidis), Chi Shaoyao (Radix Paeoniae Rubra), Xuanshen (Radix Scrophulariae), Bailian (Rhizoma Belamcandae), Lingyangjiaoxie (Cornu Saigae Tataricae, sliced), Mutong (Caulis Akebiae, crushed), Huangqi (Radix Astragali, crushed), Chuan Dahuang (Radix et Rhizoma Rhei, crushed and lightly stir-fried), Gancao (Radix Glycyrrhizae, crushed, 1 liang each). The above are processed into a coarse powder. Take 4 qian per dose, decoct with one zhàn (approx. 200ml) of water until reduced to 6 fen (approx. 120ml), strain, and take warm without restriction on time.
Huangqi San (Astragalus Powder, from *Shenghui Fang*), treating carbuncle swelling with body heat, restless thirst, stiffness and spasm of limbs and joints, and pain in the shoulders and back.
Huangqi (Radix Astragali, 1 liang 5 qian), Sheng Gan Dihuang (Radix Rehmanniae Preparata, 1 liang), Chi Shaoyao (Radix Paeoniae Rubra, 5 qian), Chuan Dahuang (Radix et Rhizoma Rhei, 1 liang 5 qian, crushed and lightly stir-fried), Chi Fuling (Poria cum Radix Pini, red part), Zhimu (Rhizoma Anemarrhenae), Chaihu (Radix Bupleuri, remove seedlings), Chuan Shengma (Rhizoma Cimicifugae, 1 liang each), Danggui (Radix Angelicae Sinensis, 5 qian), Mutong (Caulis Akebiae, 1 liang, crushed), Gancao (Radix Glycyrrhizae, 5 qian, raw and crushed), Lingyangjiaoxie (Cornu Saigae Tataricae, sliced, 1 liang). The above are processed into a coarse powder. Take 4 qian per dose, decoct with one zhàn of water, add 100 grains of wheat, reduce to 6 fen, strain, and take warm without restriction on time.
Xijiao San (Rhinoceros Horn Powder, from *Shenghui Fang*), treating early-stage carbuncle swelling with intense heat, dry mouth, restless thirst, stiffness of limbs, and bone/joint pain.
Xijiaoxie (Cornu Rinocerontis, sliced), Zhimu (Rhizoma Anemarrhenae, 5 qian each), Mutong (Caulis Akebiae, 3 fen, crushed), Chi Shaoyao (Radix Paeoniae Rubra), Chuan Shengma (Rhizoma Cimicifugae, 5 qian each), Chuan Dahuang (Radix et Rhizoma Rhei, 1 liang, crushed and lightly stir-fried), Weirui (Rhizoma Polygonati Odorati), Huangqin (Radix Scutellariae, 5 qian each), Maimendong (Radix Ophiopogonis, 3 fen, remove heart), Gancao (Radix Glycyrrhizae, 5 qian, raw and crushed), Mayaxiao (Natrii Sulfas, 1 liang 5 qian). The above are processed into a coarse powder. Take 4 qian per dose, decoct with one zhàn of water until reduced to 6 fen, strain, and take warm without restriction on time. The goal is to induce two or three bowel movements.
Xuanshen San (Scrophularia Powder, from *Shenghui Fang*), treating carbuncle swelling with pus discharge, inability to eat, heart heat, dry mouth, restless thirst requiring drinking, and emaciation of limbs.
Xuanshen (Radix Scrophulariae, 1 liang), Chuan Shengma (Rhizoma Cimicifugae, 3 fen), Baixianpi (Cortex Dictamni, 1 liang), Huanglian (Rhizoma Coptidis, 1 liang, remove roots), Mugua Gen (Radix Chaenomelis, 1 liang), Maimendong (Radix Ophiopogonis, 1 liang, remove heart), Chi Shaoyao (Radix Paeoniae Rubra, 1 liang), Chuan Dahuang (Radix et Rhizoma Rhei, 1 liang 5 qian, crushed and lightly stir-fried), Dama Ren (Semen Cannabis, 1 liang 5 qian), Chuan Xiao (Natrii Sulfas, 1 liang 5 qian). The above are processed into a powder. Take 3 qian per dose, decoct with one zhàn of water, add 1 fen of fresh Rehmannia root, finely cut, reduce to 6 fen, strain, and take warm without restriction on time.
Gegen San (Pueraria Powder, from *Shenghui Fang*), treating carbuncle swelling with extreme heat, dry mouth, restless thirst, and occasional dry heaving.
Gegen (Radix Puerariae, 1 liang, crushed), Gancao (Radix Glycyrrhizae, 5 qian, raw and crushed), Huangqi (Radix Astragali, 1 liang, crushed), Chuan Shengma (Rhizoma Cimicifugae), Gualou Gen (Radix Trichosanthis), Maimendong (Radix Ophiopogonis, remove heart), Chi Shaoyao (Radix Paeoniae Rubra), Sheng Dihuang (Radix Rehmanniae Recens), Zhizi Ren (Semen Gardeniae, 1 liang each), Huangqin (Radix Scutellariae, 3 fen). The above are processed into a coarse powder. Take 4 qian per dose, decoct with one zhàn of water until reduced to 6 fen, strain, and take warm without restriction on time.