（附论）
痈疽诸疮。气血虚微。肌肉寒冷。脓汁清稀。毒瓦斯不出。疮久不合。或聚肿不赤。结硬
无脓。外证不见者。并宜托里。邪气外散。脓汁早成。毒有所泄。而不内攻也。
方
木香散 治发背痈疽。一切疮肿。托里排脓。
木香 黄 （细锉） 白蔹 木占斯 芎 当归（切焙） 细辛（去苗叶） 桔梗（炒）
赤
芍药 槟榔（生锉） 败酱 甘草（炙） 桂（去粗皮） 羌活（去芦头） 白芷（各一两）
上为细
散。每服二钱匕。甘草煎酒调下。空心、午时日晚各一服。以瘥为度。
内塞散 治痈疽日渐 长。
续断 人参 芍药 熟地黄（焙） 附子（泡裂去皮脐） 枳壳（去瓤麸炒） 甘草（炙
锉）
芎 细辛（去苗叶） 桂（去粗皮各一两） 槟榔（锉一两半） 黄 （锉） 当归（切
焙各二两）
肉苁蓉（切焙酒浸三分） 蜀椒（去目并合口者炒出汗半两） 上为散。每服三钱匕。空心。
温酒调下。日再服。
补虚助气饮 治诸痈疽。疏转后宜。
黄 （锉一两） 人参 白茯苓（去黑皮） 甘草（炙锉） 五味子 芎 独活（去
芦头）
桂（去粗皮） 青橘皮（汤浸去白焙各一两） 麦门冬（去心焙） 当归（切焙） 杏仁（去
皮尖双
仁炒黄） 熟干地黄（焙各重一两半） 上捣筛。每服五钱匕。水一盏半。生姜三片。枣二
枚
去核。煎至八分。去滓。不拘时温服。
托里茯苓汤
防风 桔梗 芍药 五味子 川芎 甘草 熟地黄 麦门冬（去心） 桂（去粗皮各一
两）
当归 黄 茯苓（各一两半） 上为末。每服五钱。水一盏半。煎至一盏。去滓温服。
内托营卫汤 风木之性上冲。颜必忿色。其人多怒。其疮之色。亦赫赤肿硬。微带
黯色。其疮之情势。亦奋然高起结硬。而作痛也。其脉止在左手。左手主表。左寸外洪
缓。左关洪缓而弦。是客邪在于血脉之上。皮肤之间。宜急发其汗。而通其营卫。则邪
气去矣。
黄 （半两） 防风（二钱） 连翘（二钱） 羌活（一钱） 甘草（炙一钱） 黄芩
（一钱） 人
参（一钱） 当归身（一钱半） 苍术（三钱） 红花（三钱） 桂枝（五分） 柴胡（二
钱） 上
咀。只作一服。水酒各一大盏。同煎至一盏。温服。
内托千金散 治脑背痈疽。乳便等恶疮。
人参 当归 黄 芍药 川芎 防风 甘草 栝蒌 白芷 官桂 桔梗（以上各三
钱）
金银花（二钱） 上 咀。每服须秤药七八钱重。水二大盏。煎至七分。入酒半盏。去滓温
服。
如痛甚者。倍加当归、芍药。或加乳香二钱。日进三服。一服之后。疮口内有黑血出者。或
遍身汗出。皆药之功效也。如病势猛恶。须称药一两。水一大碗煎服。未成脓者自散。已成
者不用针砭自透。此药累经功效。
内托散
当归 芎 黄 浓朴（去皮） 桔梗 防风 甘草（炒） 官桂（去皮） 人参 白
芷
芍药（各一两） 上为细末。每服三钱。温酒调下。或木香汤亦得。此药专治痈疽溃后内虚
者。
或气弱人初觉生疮疡。亦可服内消。宜详细用之。一方无芍药。加大黄焙。除桂末另研。将
各药慢火烘干为末。摊纸上出火毒。然后将桂末拌和前药调服。
御用托里散
当归 赤芍药 牡蛎 大黄（ 初觉者倍加火煨） 山栀子 黄芩 栝蒌 皂角针 金
银
花朴硝 连翘（以各等分） 上为 咀末。每服三钱。水一大盏。同煎至七分。去粗渣服。
不拘时候。
治一切恶疮、发背、疔、痈疽等疮初出者。只一服便消去。毒肿甚欲作脓者。吃二
服能消肿收脓。散血毒止痛。甚妙如神。
用黄 、甘草各五钱。水煎服。
托里黄 汤 治痈疽诸疮。溃后脓出多内虚。亦治发背。
黄 （细锉） 白茯苓（去黑皮） 桂（去粗皮） 麦门冬（去心焙） 当归（切焙） 人
参远
志（去心各一两） 甘草（炙钱半） 五味子（一两半） 上捣筛。每服四钱匕。水一盏半。
煎取
一盏。去滓温服。不计时候。日二。
玉蕊托里散
黄 （四钱） 人参 白芍药 当归 乳香 熟地黄 莲花叶 没药 甘草（各三两） 上
粗末。每服七钱。酒水各一盏。同煎至七分。去滓温服。渣再煎。不拘时。如有热。加连翘
三钱。
托里当归汤
当归 黄 人参 熟地黄 川芎 芍药 柴胡 甘草（炙各一两） 上粗末。每服五
钱。水一盏。煎至六分。去滓食前温服。
托里散 治痈疽欲发未溃。及已溃。服之内托。不使透膜。
栝蒌子（去瓤称） 鬼系腰皮 皂角刺 射干（即仙人掌根开红花者是） 天罗瓜 茴
香
汉椒（各一两） 木鳖（五个去壳） 上焙干为末。面糊调作饼。炙干为末。每服二三钱。
酒调
下。不饮酒以木香汤调下。
托里散
川乌头（炮） 茯苓（各三两） 干姜（炮） 麻黄（去节） 甘草（各一两半炙） 杏
仁（炒去
皮尖） 五味子 桂心（各一两） 上为粗末。每服五六钱。水一盏半。煎至一盏。去滓食
前
温服。
托里六倍散 治痈疽。
黄 （细锉一两如或脓多倍之） 赤小豆（三分口干倍之） 芎 （半两若肉未生倍之）
栝
蒌（去皮三分小便不利倍之） 白蔹（三分疮口不合倍之） 当归（切焙一两若痛倍之） 上
为细
散。温酒服三钱。日三夜二。凡痈疽大坚者。未有脓。半坚半有脓。当上皮薄即有脓。便可
破之。所破之法。宜下逆上破之。令脓易出。脓深难见。上肉浓。宜火针之。若外不别有脓。
可当上按之。内便隐痛。中央坚者未有脓。按之更痛于前者已熟也。
内追毒丹清心解毒散
大朱砂 雄黄（各五钱） 生麝香（一钱） 生犀角 琥珀（以上并别研细） 黑角 沉
香
（各五钱） 上为末。炼蜜丸梧桐子大。每服二十丸。灯心、薄荷汤下。
黄 茯苓汤 治诸疮溃后。托里除虚热。
黄 白茯苓 官桂（去皮） 麦门冬 五味子 川芎（各一两） 上为粗末。每服五
钱。
姜三片。枣三枚。水一盏半。煎一盏。去滓温服。食前日三服。
五香散 治痈疽内攻五脏。烦闷不安。排脓托里。或似痈疖而非。使人头痛。恶
心寒热。诸热毒肿痛。结核。
沉香（锉） 乳香（研） 丁香 木香 藿香（各一两） 上为细散。入乳香和匀。先
以清酒
五升。黄 五两寸截。瓶内封闭。浸一宿。旋取一盏。微温调下一钱匕。日三夜二。不可犯
铁器。一方水煎服。无黄 。服候疮出脓。加当归半两。
保安汤 治疮托里。或已成者速溃。
栝蒌（新者一个去皮火焙） 金银花（半两） 没药（通明者一钱研） 甘草 生姜（各
半两）
上为细末。用好无灰酒三升。于银石器内煎至一升。分作三盏。三次饮尽。病微者只一服。
如托里药不能发散。必作疮者用此。
黄 托里散 托里内虚止痛
黄 白茯苓（各一两） 甘草（生二钱半） 乳香（别研一钱半） 上末。每服二钱。
酒小
盏。慢火煎如膏。再添酒调服。内虚加当归。
托里玄参散 治托里止渴。解热烦渴。
玄参 人参 甘草（炙） 甘菊花（各等分） 上为细末。每服二钱。绿豆汤调下。亦
名内
托散。
托里散
栝蒌（一个去皮） 生甘草（一寸） 上锉细。酒一盏。煎至七分。食后温服。
生犀散 托里排脓。
以皂角针不计多少。粗大紫色者藏瓶中。盐泥固济。炭火烧通存性。放冷出碾为细末。
每服一钱。薄酒微温调下。暑月陈米饮下。
神仙截法 治痈疽发背。一切恶疮等。预服此毒瓦斯不内攻。可保无虞。
以真麻油一斤。银器内煎熬数十沸。倾出候冷。用无灰酒两碗浸油内。约至五大盏许。
重汤温。稍热通口急服。一日尽之为妙。感疾数日者。亦宜急服之。闻猎者云。凡误中药箭。
急饮麻油。则药毒不行。后果于西山。亲睹人被虎箭穿股者。号叫不忍闻。急以麻油灌之。
良久遂定。此法传授之于吴安世云。吾家三世用之无不验。向又闻郑学谕德甫云。见渠尊人
曾用之有验。故备录之。
粉乳托里散 痈疽初发便服。或毒瓦斯入里冲心。烦闷、吃呕、嗽喘。以至泄泻。急
用此频服。托里出毒瓦斯自内发起于外。此药又能内消。已发未发皆可服。神效。（方
见
内托散）
内补防风散 治诸疮热退。脓不止托里。（方见内补散）
托里散 消诸疮毒。疽、疹、发背、肿毒等。
甘草（一两） 黄 （半两） 桔梗（半两） 青橘皮（半两） 上为细末。每服一钱。
水一盏。
煎三沸。去滓温服。食后临卧。
托里连翘散
柏叶（半两干者） 黄 （一两炙） 萱草根（半两） 乳香（一分研） 甘草（半两）
连翘
（半两） 上为末。温酒或米饮下一钱。服不拘时。
（附论）
痈疽等各类疮疡，若气血虚弱微小，肌肉寒冷，脓汁清稀，毒邪之气不能排出，疮口经久不愈合，或者局部肿胀但不发红，结块坚硬而无脓液，外部症状不明显者，都适宜采用托里法。使邪气向外消散，脓液早日形成，毒邪得以排泄，而不向内攻陷脏腑。
方剂
木香散：治疗发背痈疽及一切疮肿，具有托里排脓的功效。
药材：木香、黄耆（细切）、白蔹、木占斯、川芎、当归（切片焙干）、细辛（去苗叶）、桔梗（炒制）、赤芍药、槟榔（生切）、败酱草、甘草（炙制）、桂枝（去粗皮）、羌活（去芦头）、白芷（各一两）。
用法：将上述药材研为细散。每次服用二钱匕，用甘草煎煮的酒调服。空腹、午时、晚间各服一次，以痊愈为度。
内塞散：治疗痈疽日渐生长。
药材：续断、人参、芍药、熟地黄（焙干）、附子（炮裂去皮脐）、枳壳（去瓤麸炒）、甘草（炙制切）、川芎、细辛（去苗叶）、桂枝（去粗皮，各一两）、槟榔（切，一两半）、黄耆（切）、当归（切片焙干，各二两）、肉苁蓉（切片焙干，酒浸三分）、蜀椒（去目及合口者，炒出汗，半两）。
用法：研为散剂。每次服用三钱匕，空腹时温酒调服，每日两次。
补虚助气饮：治疗各种痈疽，在疏通转利之后适宜服用。
药材：黄耆（切，一两）、人参、白茯苓（去黑皮）、甘草（炙制切）、五味子、川芎、独活（去芦头）、桂枝（去粗皮）、青橘皮（汤浸去白焙干，各一两）、麦门冬（去心焙干）、当归（切片焙干）、杏仁（去皮尖双仁，炒黄）、熟干地黄（焙干，各重一两半）。
用法：捣碎过筛。每次服用五钱匕，加水一盏半，生姜三片，大枣二枚去核，煎至八分，去渣，不拘时候温服。
托里茯苓汤
药材：防风、桔梗、芍药、五味子、川芎、甘草、熟地黄、麦门冬（去心）、桂枝（去粗皮，各一两）、当归、黄耆、茯苓（各一两半）。
用法：研为末。每次服用五钱，加水一盏半，煎至一盏，去渣温服。
内托营卫汤：风木之性向上冲逆，面色必显愤怒之态，其人易怒，疮色赫赤肿胀坚硬，微带暗色，疮势奋然高起结硬且疼痛。脉象仅在左手显现，左手主表，左寸脉外洪缓，左关脉洪缓而弦，这是客邪在于血脉之上、皮肤之间，应当紧急发汗，以通其营卫，则邪气自去。
药材：黄耆（半两）、防风（二钱）、连翘（二钱）、羌活（一钱）、甘草（炙，一钱）、黄芩（一钱）、人参（一钱）、当归身（一钱半）、苍术（三钱）、红花（三钱）、桂枝（五分）、柴胡（二钱）。
用法：切碎，只作一服，用水和酒各一大盏，同煎至一盏，温服。
内托千金散：治疗脑背痈疽、乳痈等恶疮。
药材：人参、当归、黄耆、芍药、川芎、防风、甘草、栝蒌、白芷、官桂、桔梗（以上各三钱）、金银花（二钱）。
用法：切碎。每次称取药物七八钱重，加水两大盏，煎至七分，加入酒半盏，去渣温服。
如果疼痛剧烈，加倍使用当归、芍药，或加乳香二钱，每日进服三次。服药后，疮口内有黑血排出，或遍身汗出，都是药物的功效。如果病势猛烈凶险，须称取药物一两，加水一大碗煎服。未成脓的自行消散，已成脓的不需针砭自行透破。此药屡经验证有效。
内托散
药材：当归、川芎、黄耆、浓朴（去皮）、桔梗、防风、甘草（炒制）、官桂（去皮）、人参、白芷、芍药（各一两）。
用法：研为细末。每次服用三钱，温酒调下，或用木香汤调下亦可。此药专门治疗痈疽溃烂后内部虚弱者。
或者气弱之人初觉生疮疡，也可服用内消方，宜详细使用。一方无芍药，加大黄焙干。除桂末另研，将各药慢火烘干为末，摊纸上除去火毒，然后将桂末拌和前药调服。
御用托里散
药材：当归、赤芍药、牡蛎、大黄（初觉者加倍，用火煨）、山栀子、黄芩、栝蒌、皂角针、金银花、朴硝、连翘（各等分）。
用法：切碎为末。每次服用三钱，加水一大盏，同煎至七分，去粗渣服用，不拘时候。
治疗一切恶疮、发背、疔疮、痈疽等疮初起者，只服一次即可消除。毒肿甚欲作脓者，吃两次能消肿收脓，散血毒止痛，效果神妙。
另有单方：用黄耆、甘草各五钱，水煎服。
托里黄耆汤：治疗痈疽各类疮疡，溃后脓出多导致内部虚弱，也治疗发背。
药材：黄耆（细切）、白茯苓（去黑皮）、桂枝（去粗皮）、麦门冬（去心焙干）、当归（切片焙干）、人参、远志（去心，各一两）、甘草（炙，钱半）、五味子（一两半）。
用法：捣碎过筛。每次服用四钱匕，加水一盏半，煎取一盏，去渣温服，不计时候，每日两次。
玉蕊托里散
药材：黄耆（四钱）、人参、白芍药、当归、乳香、熟地黄、莲花叶、没药、甘草（各三两）。
用法：粗末。每次服用七钱，酒水各一盏，同煎至七分，去渣温服，药渣再煎，不拘时候。如果有热，加连翘三钱。
托里当归汤
药材：当归、黄耆、人参、熟地黄、川芎、芍药、柴胡、甘草（炙，各一两）。
用法：粗末。每次服用五钱，加水一盏，煎至六分，去渣食前温服。
托里散：治疗痈疽欲发未溃，及已溃，服用之内托，防止透膜。
药材：栝蒌子（去瓤称重）、鬼系腰皮、皂角刺、射干（即仙人掌根开红花者是）、天罗瓜、茴香、汉椒（各一两）、木鳖（五个去壳）。
用法：焙干为末，面糊调作饼，炙干为末。每次服用二三钱，酒调下，不饮酒者以木香汤调下。
托里散
药材：川乌头（炮制）、茯苓（各三两）、干姜（炮制）、麻黄（去节）、甘草（各一两半炙制）、杏仁（炒去皮尖）、五味子、桂心（各一两）。
用法：粗末。每次服用五六钱，加水一盏半，煎至一盏，去渣食前温服。
托里六倍散：治疗痈疽。
药材：黄耆（细切一两，如脓多则加倍）、赤小豆（三分，口干则加倍）、川芎（半两，若肉未生则加倍）、栝蒌（去皮三分，小便不利则加倍）、白蔹（三分，疮口不合则加倍）、当归（切焙一两，若痛则加倍）。
用法：研为细散，温酒服三钱，日三夜二。凡痈疽大坚者，未有脓；半坚半有脓，当上皮薄即有脓，便可破之。所破之法，宜下逆上破之，令脓易出。脓深难见，上肉浓，宜火针之。若外不别有脓，可当上按之，内便隐痛，中央坚者未有脓，按之更痛于前者已熟也。
内追毒丹清心解毒散
药材：大朱砂、雄黄（各五钱）、生麝香（一钱）、生犀角、琥珀（以上并别研细）、黑角、沉香（各五钱）。
用法：研为末，炼蜜丸梧桐子大。每次服用二十丸，灯心、薄荷汤下。
黄耆茯苓汤：治疗各类疮疡溃后，托里除虚热。
药材：黄耆、白茯苓、官桂（去皮）、麦门冬、五味子、川芎（各一两）。
用法：粗末。每次服用五钱，姜三片，枣三枚，加水一盏半，煎一盏，去渣温服，食前日三服。
五香散：治疗痈疽内攻五脏，烦闷不安，排脓托里。或似痈疖而非，使人头痛，恶心寒热，诸热毒肿痛，结核。
药材：沉香（锉）、乳香（研）、丁香、木香、藿香（各一两）。
用法：研为细散，入乳香和匀。先以清酒五升，黄耆五两寸截，瓶内封闭，浸一宿，旋取一盏，微温调下一钱匕，日三夜二。不可犯铁器。一方水煎服，无黄耆。服候疮出脓，加当归半两。
保安汤：治疗疮托里，或已成者速溃。
药材：栝蒌（新者一个去皮火焙）、金银花（半两）、没药（通明者一钱研）、甘草、生姜（各半两）。
用法：研为细末，用好无灰酒三升，于银石器内煎至一升，分作三盏，三次饮尽。病微者只一服。如托里药不能发散，必作疮者用此。
黄耆托里散：托里内虚止痛
药材：黄耆、白茯苓（各一两）、甘草（生，二钱半）、乳香（别研，一钱半）。
用法：末。每次服用二钱，酒小盏，慢火煎如膏，再添酒调服。内虚加当归。
托里玄参散：治疗托里止渴，解热烦渴。
药材：玄参、人参、甘草（炙）、甘菊花（各等分）。
用法：研为细末，每次服用二钱，绿豆汤调下，亦名内托散。
托里散
药材：栝蒌（一个去皮）、生甘草（一寸）。
用法：锉细，酒一盏，煎至七分，食后温服。
生犀散：托里排脓。
以皂角针不计多少，粗大紫色者藏瓶中，盐泥固济，炭火烧通存性，放冷出碾为细末。每次服用一钱，薄酒微温调下，暑月陈米饮下。
神仙截法：治疗痈疽发背，一切恶疮等，预服此毒瓦斯不内攻，可保无虞。
以真麻油一斤，银器内煎熬数十沸，倾出候冷，用无灰酒两碗浸油内，约至五大盏许，重汤温，稍热通口急服，一日尽之为妙。感疾数日者，亦宜急服之。闻猎者云，凡误中药箭，急饮麻油，则药毒不行。后果于西山，亲睹人被虎箭穿股者，号叫不忍闻，急以麻油灌之，良久遂定。此法传授之于吴安世云，吾家三世用之无不验。向又闻郑学谕德甫云，见渠尊人曾用之有验，故备录之。
粉乳托里散：痈疽初发便服，或毒瓦斯入里冲心，烦闷、吃呕、嗽喘，以至泄泻，急用此频服，托里出毒瓦斯自内发起于外，此药又能内消，已发未发皆可服，神效。（方见内托散）
托里散：消诸疮毒，疽、疹、发背、肿毒等。
药材：甘草（一两）、黄耆（半两）、桔梗（半两）、青橘皮（半两）。
用法：研为细末，每次服用一钱，水一盏，煎三沸，去渣温服，食后临卧。
托里连翘散
药材：柏叶（半两干者）、黄耆（一两炙）、萱草根（半两）、乳香（一分研）、甘草（半两）、连翘（半两）。
用法：研为末，温酒或米饮下一钱，服不拘时。
(Attached Discussion)
For various sores and carbuncles (Yong Ju), if Qi and Blood are deficient and weak, muscles are cold, pus is clear and thin, toxic pathogens cannot be expelled, the sore fails to heal for a long time, or there is localized swelling without redness, induration without pus formation, and external symptoms are not obvious, the method of supporting the interior (Tuo Li) should be adopted. This disperses pathogenic factors outward, promotes early pus formation, allows toxins to be discharged, and prevents internal invasion of organs.
Formulas
Muxiang San (Costus Powder): Treats back carbuncles (Fa Bei) and all types of sore swellings; supports the interior and expels pus.
Ingredients: Muxiang (Costi Radix), Huangqi (Astragali Radix, finely cut), Bailian (Paeoniae Rubra Rhizoma), Muzhansi (Sarcandrae Herba), Xiong (Chuanxiong Rhizome), Danggui (Angelicae Sinensis Radix, sliced and dried), Xixin (Asari Radix et Rhizoma, removed seedlings and leaves), Jiegeng (Platycodonis Radix, stir-fried), Chishao (Paeoniae Radix Rubra), Binglang (Arecae Semen, raw cut), Baijiangcao (Patriniae Herba), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Gui (Cinnamomi Ramulus, bark removed), Qianghuo (Notopterygii Rhizoma et Radix, rhizome head removed), Baizhi (Angelicae Dahuricae Radix, each 1 liang).
Usage: Grind into a fine powder. Take 2 qianbi per dose, mixed with wine decocted from Gancao. Take on an empty stomach, at noon, and in the evening. Continue until healed.
Neisai San (Internal Plugging Powder): Treats progressive growth of carbuncles and sores.
Ingredients: Xuduan (Dioscoreae Nipponicae Rhizoma), Renshen (Ginseng Radix), Shaoyao (Paeoniae Radix), Shudihuang (Rehmanniae Radix Praeparata, dried), Fuzi (Aconiti Lateralis Radix Praeparata, cracked, skin and navel removed), Zhike (Aurantii Fructus, pith and bran removed, stir-fried with wheat bran), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut), Xiong (Chuanxiong Rhizome), Xixin (Asari Radix et Rhizoma, removed seedlings and leaves), Gui (Cinnamomi Ramulus, bark removed, each 1 liang), Binglang (Arecae Semen, cut, 1.5 liang), Huangqi (Astragali Radix, cut), Danggui (Angelicae Sinensis Radix, sliced and dried, each 2 liang), Roucongrong (Cynomorii Herba, sliced, dried, soaked in wine, 3 fen), Shujiao (Zanthoxyli Pericarpium, remove eyes and closed ones, stir-fried until moisture evaporates, 0.5 liang).
Usage: Grind into powder. Take 3 qianbi per dose, mixed with warm wine on an empty stomach. Take twice daily.
Buxu Zhuqi Yin (Deficiency-Supplementing and Qi-Assisting Drink): Suitable for various carbuncles after purgation or drainage.
Ingredients: Huangqi (Astragali Radix, cut, 1 liang), Renshen (Ginseng Radix), Baifuling (Poria, black skin removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut), Wuweizi (Schisandrae Fructus), Xiong (Chuanxiong Rhizome), Duhuo (Angelicae Pubescentis Radix, rhizome head removed), Gui (Cinnamomi Ramulus, bark removed), Qingju pi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried, each 1 liang), Maimendong (Ophiopogonis Tuber, core removed, dried), Danggui (Angelicae Sinensis Radix, sliced and dried), Xingren (Armeniacae Semen Amarum, skin and tip removed, twin kernels, stir-fried yellow), Shugan Dihuang (Rehmanniae Radix Praeparata, dried, each weighing 1.5 liang).
Usage: Crush and sieve. Take 5 qianbi per dose, add 1.5 cups of water, 3 slices of Shengjiang (Zingiberis Rhizoma Recens), 2 Zao (Jujubae Fructus, pitted). Decoct to 0.8 portion, remove dregs, take warm at any time.
Tuoli Fuling Tang (Interior-Supporting Poria Decoction)
Ingredients: Fangfeng (Saposhnikoviae Radix), Jiegeng (Platycodonis Radix), Shaoyao (Paeoniae Radix), Wuweizi (Schisandrae Fructus), Chuanxiong (Chuanxiong Rhizome), Gancao (Glycyrrhizae Radix et Rhizoma), Shudihuang (Rehmanniae Radix Praeparata), Maimendong (Ophiopogonis Tuber, core removed), Gui (Cinnamomi Ramulus, bark removed, each 1 liang), Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix), Fuling (Poria, each 1.5 liang).
Usage: Grind into powder. Take 5 qian per dose, add 1.5 cups of water, decoct to 1 cup, remove dregs, take warm.
Neituo Yingwei Tang (Internal Support for Ying and Wei Decoction): The nature of Wind-Wood rises upward, causing an angry facial expression; such individuals are prone to anger. The sore appears bright red, swollen, hard, slightly dark. The sore rises high, forms hardness, and causes pain. The pulse is only felt on the left hand; the left hand governs the exterior. The Cun position is floating and rapid but relaxed; the Guan position is floating, rapid, relaxed, and wiry. This indicates external pathogens located above the blood vessels and between the skin. Urgent sweating should be induced to unblock Ying and Wei, thereby eliminating pathogens.
Ingredients: Huangqi (Astragali Radix, 0.5 liang), Fangfeng (Saposhnikoviae Radix, 2 qian), Lianqiao (Forsythiae Fructus, 2 qian), Qianghuo (Notopterygii Rhizoma et Radix, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 qian), Huangqin (Scutellariae Radix, 1 qian), Renshen (Ginseng Radix, 1 qian), Danggui shen (Angelicae Sinensis Radix body, 1.5 qian), Cangzhu (Atractylodis Rhizoma, 3 qian), Honghua (Carthami Flos, 3 qian), Guizhi (Cinnamomi Ramulus, 0.5 fen), Chaihu (Bupleuri Radix, 2 qian).
Usage: Cut into pieces. Prepare as one dose. Add 1 large cup of water and 1 large cup of wine. Decoct to 1 cup, take warm.
Neituo Qianjin San (Internal Support Thousand Gold Powder): Treats carbuncles on the brain and back, breast abscesses, and other malignant sores.
Ingredients: Renshen (Ginseng Radix), Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix), Shaoyao (Paeoniae Radix), Chuanxiong (Chuanxiong Rhizome), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Gualou (Trichosanthis Fructus), Baizhi (Angelicae Dahuricae Radix), Guangui (Cinnamomi Cortex, each 3 qian), Jiegeng (Platycodonis Radix, 2 qian), Jinyinhua (Lonicerae Japonicae Flos, 2 qian).
Usage: Cut into pieces. Weigh 7-8 qian of herbs per dose. Add 2 large cups of water, decoct to 0.7 portion. Add 0.5 cup of wine, remove dregs, take warm.
If pain is severe, double Danggui and Shaoyao, or add Rushxiang (Olibanum Resina, 2 qian). Take three doses daily. After taking the medicine, if black blood exits the sore or sweat covers the body, these are effects of the drug. If the disease is fierce, weigh 1 liang of herbs, add 1 large bowl of water, decoct and take. Unformed pus will dissipate spontaneously; formed pus will penetrate without need for needle or stone. This formula has proven effective repeatedly.
Neituo San (Internal Support Powder)
Ingredients: Danggui (Angelicae Sinensis Radix), Xiong (Chuanxiong Rhizome), Huangqi (Astragali Radix), Nongpo (Magnoliae Officinalis Cortex, bark removed), Jiegeng (Platycodonis Radix), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried), Guangui (Cinnamomi Cortex, bark removed), Renshen (Ginseng Radix), Baizhi (Angelicae Dahuricae Radix), Shaoyao (Paeoniae Radix, each 1 liang).
Usage: Grind into fine powder. Take 3 qian per dose, mixed with warm wine or Muxiang Tang (Costus Decoction). This formula specifically treats internal deficiency after carbuncle ulceration.
Alternatively, for those with weak Qi who initially feel a sore forming, Neixiao (Internal Dissolution) can be taken; use with detail. One prescription excludes Shaoyao and adds Da Huang (Rhei Radix et Rhizoma, baked). Remove Guimoi (Cinnamon Powder) and grind separately. Dry all other herbs slowly over low fire, grind into powder, spread on paper to remove fire toxicity, then mix with Guimoi and take.
Yuyong Tuoli San (Imperial Use Interior-Supporting Powder)
Ingredients: Danggui (Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Muli (Concha Ostreae), Da Huang (Rhei Radix et Rhizoma, double for initial stage, fire-baked), Shanzhizi (Gardeniae Fructus), Huangqin (Scutellariae Radix), Gualou (Trichosanthis Fructus), Zaojiaozhen (Gleditsiae Spina), Jinyinhua (Lonicerae Japonicae Flos), Xiaoming (Natrii Sulfas), Lianqiao (Forsythiae Fructus, equal parts).
Usage: Cut into pieces and grind. Take 3 qian per dose, add 1 large cup of water, decoct to 0.7 portion, remove coarse residue, take at any time.
Treats initial stages of all malignant sores, back carbuncles, Ding sores, and carbuncles. One dose eliminates them. For severe toxic swelling about to form pus, two doses reduce swelling, consolidate pus, disperse blood toxins, and relieve pain. Extremely effective.
Another simple prescription: Huangqi (Astragali Radix) and Gancao (Glycyrrhizae Radix et Rhizoma), 5 qian each, decoct in water and take.
Tuoli Huangqi Tang (Interior-Supporting Astragalus Decoction): Treats carbuncles and sores where excessive pus discharge after ulceration causes internal deficiency; also treats back carbuncles.
Ingredients: Huangqi (Astragali Radix, finely cut), Baifuling (Poria, black skin removed), Gui (Cinnamomi Ramulus, bark removed), Maimendong (Ophiopogonis Tuber, core removed and dried), Danggui (Angelicae Sinensis Radix, sliced and dried), Renshen (Ginseng Radix), Yuanzhi (Polygalae Radix, core removed, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.5 qian), Wuweizi (Schisandrae Fructus, 1.5 liang).
Usage: Crush and sieve. Take 4 qianbi per dose, add 1.5 cups of water, decoct to 1 cup, remove dregs, take warm at any time, twice daily.
Yurui Tuoli San (Jade Stamen Interior-Supporting Powder)
Ingredients: Huangqi (Astragali Radix, 4 qian), Renshen (Ginseng Radix), Baishaoyao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix), Rushxiang (Olibanum Resina), Shudihuang (Rehmanniae Radix Praeparata), Lianhua ye (Nelumbinis Folium), Moyao (Myrrha Resina), Gancao (Glycyrrhizae Radix et Rhizoma, each 3 liang).
Usage: Coarse powder. Take 7 qian per dose, add 1 cup of water and 1 cup of wine, decoct to 0.7 portion, remove dregs, take warm. Re-decoct residue. Take at any time. If heat is present, add Lianqiao (Forsythiae Fructus, 3 qian).
Tuoli Danggui Tang (Interior-Supporting Angelica Decoction)
Ingredients: Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix), Renshen (Ginseng Radix), Shudihuang (Rehmanniae Radix Praeparata), Chuanxiong (Chuanxiong Rhizome), Shaoyao (Paeoniae Radix), Chaihu (Bupleuri Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1 liang).
Usage: Coarse powder. Take 5 qian per dose, add 1 cup of water, decoct to 0.6 portion, remove dregs, take warm before meals.
Tuoli San (Interior-Supporting Powder): Treats carbuncles before eruption and after ulceration; taken internally to support the interior and prevent penetration through membranes.
Ingredients: Gualouzi (Trichosanthis Semen, pith removed and weighed), Guixiyao pi (Skin of Solanum lyratum stem), Zaojiaoci (Gleditsiae Spina), Shegan (Belamcandae Rhizoma, i.e., root of Opuntia dillenii with red flowers), Tianluogua (Luffae Fructus Retinervus), Huixiang (Foeniculi Fructus), Hanjiao (Zanthoxyli Pericarpium, each 1 liang), Mubie (Momordicae Semen, 5 seeds, shell removed).
Usage: Bake dry and grind into powder. Mix with flour paste to make cakes, bake dry, then grind into powder. Take 2-3 qian per dose, mixed with wine. Non-drinkers may use Muxiang Tang.
Tuoli San (Interior-Supporting Powder)
Ingredients: Chuannuwu (Aconiti Radix, processed), Fuling (Poria, each 3 liang), Jiangtang (Zingiberis Rhizoma, processed), Mahuang (Ephedrae Herba, nodes removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1.5 liang), Xingren (Armeniacae Semen Amarum, stir-fried, skin and tip removed), Wuweizi (Schisandrae Fructus), Guixin (Cinnamomi Cortex, each 1 liang).
Usage: Coarse powder. Take 5-6 qian per dose, add 1.5 cups of water, decoct to 1 cup, remove dregs, take warm before meals.
Tuoli Liubei San (Interior-Supporting Sixfold Powder): Treats carbuncles.
Ingredients: Huangqi (Astragali Radix, finely cut 1 liang, double if pus is excessive), Chixiaodou (Phaseoli Semen Rubrum, 3 fen, double if mouth is dry), Xiong (Chuanxiong Rhizome, 0.5 liang, double if flesh has not grown), Gualou (Trichosanthis Fructus, peeled, 3 fen, double if urination is difficult), Bailian (Paeoniae Rubra Rhizoma, 3 fen, double if sore does not close), Danggui (Angelicae Sinensis Radix, cut and dried 1 liang, double if painful).
Usage: Grind into fine powder. Take 3 qian with warm wine, three times day and two times night. For large, hard carbuncles without pus; half-hard with some pus; when skin is thin, pus is ready and can be lanced. Lancing method: lance from bottom upwards to facilitate pus exit. If pus is deep and hard to see, and upper flesh is thick, use fire needle. If no external pus, press on top; hidden pain indicates pus. Central hardness means no pus; increased pain upon pressing indicates ripeness.
Neizhui Du Dan Qingxin Jiedu San (Internal Pursuit of Toxin Pill, Heart-Clearing and Toxin-Resolving Powder)
Ingredients: Dashazhu (Cinnabaris, 5 qian each), Xionghuang (Realgar, 5 qian), Shengmoxiang (Fresh Moschus, 1 qian), Shengxijiao (Rhino Horn, processed separately and ground fine), Hupo (Electrum, processed separately and ground fine), Heijiao (Black Horn), Chenxiang (Aquilariae Lignum Resinatum, each 5 qian).
Usage: Grind into powder. Make pills with refined honey, size of Sophora japonica seeds. Take 20 pills per dose, washed down with Dengxin (Junci Medulla) and Bohe (Menthae Haplocalycis Herba) decoction.
Huangqi Fuling Tang (Astragalus and Poria Decoction): Treats post-ulceration of sores, supports interior and clears deficiency heat.
Ingredients: Huangqi (Astragali Radix), Baifuling (Poria), Guangui (Cinnamomi Cortex, bark removed), Maimendong (Ophiopogonis Tuber), Wuweizi (Schisandrae Fructus), Chuanxiong (Chuanxiong Rhizome, each 1 liang).
Usage: Coarse powder. Take 5 qian per dose, add 3 slices of Shengjiang (Zingiberis Rhizoma Recens), 3 Zao (Jujubae Fructus), 1.5 cups of water, decoct to 1 cup, remove dregs, take warm before meals, three times daily.
Wuxiang San (Five Fragrances Powder): Treats carbuncles attacking the five zang organs, causing restlessness and discomfort, expelling pus and supporting interior. Or resembles boils but is not, causing headache, nausea, chills and fever, various heat-toxic swellings, nodules.
Ingredients: Chenxiang (Aquilariae Lignum Resinatum, cut), Rushxiang (Olibanum Resina, ground), Dingxiang (Caryophylli Flos), Muxiang (Costi Radix), Huoxiang (Agastaches Herba, each 1 liang).
Usage: Grind into fine powder, mix with Rushxiang. First, seal 5 sheng of clear wine and 5 liang of Huangqi (Astragali Radix, cut into inches) in a bottle, soak overnight. Take 1 cup, warm slightly, mix with 1 qianbi, take three times day and two times night. Do not touch iron vessels. Another method: decoct in water, without Huangqi. When pus appears, add Danggui (Angelicae Sinensis Radix, 0.5 liang).
Bao'an Tang (Security Decoction): Treats sores by supporting interior, or accelerating rupture if formed.
Ingredients: Gualou (Trichosanthis Fructus, fresh one, peeled and fire-baked), Jinyinhua (Lonicerae Japonicae Flos, 0.5 liang), Moyao (Myrrha Resina, transparent, 1 qian, ground), Gancao (Glycyrrhizae Radix et Rhizoma), Shengjiang (Zingiberis Rhizoma Recens, each 0.5 liang).
Usage: Grind into fine powder. Use 3 sheng of good non-fermented wine, decoct in silver or earthenware vessel to 1 sheng. Divide into three cups, drink completely three times. Mild cases require only one dose. Use this if interior-supporting drugs fail to disperse and sores must form.
Huangqi Tuoli San (Astragalus Interior-Supporting Powder): Supports interior, treats internal deficiency and pain.
Ingredients: Huangqi (Astragali Radix), Baifuling (Poria, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, raw, 2.5 qian), Rushxiang (Olibanum Resina, ground separately, 1.5 qian).
Usage: Powder. Take 2 qian per dose, small cup of wine, slow fire decoct to paste, add more wine to mix and take. Add Danggui (Angelicae Sinensis Radix) for internal deficiency.
Tuoli Xuanshen San (Interior-Supporting Scrophularia Powder): Treats interior support, relieves thirst, resolves heat and irritability-thirst.
Ingredients: Xuanshen (Scrophulariae Radix), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Ganjuhua (Chrysanthemi Flos, equal parts).
Usage: Grind into fine powder. Take 2 qian per dose, mixed with Moutun Tang (Mung Bean Decoction). Also named Neituo San.
Tuoli San (Interior-Supporting Powder)
Ingredients: Gualou (Trichosanthis Fructus, one, peeled), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 1 cun).
Usage: Cut finely. Add 1 cup of wine, decoct to 0.7 portion, take warm after meals.
Shengxi San (Fresh Rhino Horn Powder): Supports interior and expels pus.
Use Zaojiaoci (Gleditsiae Spina), any amount, preferably thick and purple. Store in bottle, seal with salt mud, burn in charcoal until carbonized but retaining nature. Cool and grind into fine powder. Take 1 qian per dose, mixed with thin warm wine. In summer months, use aged rice water.
Shenxian Jie Fa (Immortal Interception Method): Treats carbuncles, back carbuncles, and all malignant sores. Taking this beforehand prevents toxin invasion, ensuring safety.
Take 1 jin of true sesame oil, boil in silver vessel for dozens of boils. Pour out and cool. Soak oil in 2 bowls of non-fermented wine, reduce to about 5 large cups. Warm in double boiler, drink quickly while slightly hot. Finish in one day for best results. Even if ill for several days, take urgently. Hunters say that if accidentally hit by poisoned arrow, drinking sesame oil immediately stops poison spread. Later witnessed in Western Mountains someone shot by tiger arrow in thigh, screaming in agony. Quickly fed sesame oil, calmed after a while. This method was passed to Wu Anshi, claiming three generations of family use were all effective. Also heard from Zheng Xueyu Defu that his father used it successfully. Recorded here fully.
Fenru Tuoli San (Powder-Milk Interior-Supporting Powder): Take at initial onset of carbuncles, or if toxin invades interior and attacks heart, causing restlessness, vomiting, coughing/asthma, even diarrhea. Take frequently urgently. Supports interior, expels toxin outward from inside. This drug also dissolves internally. Can be taken whether erupted or not, extremely effective. (Formula see Neituo San)
Neibu Fangfeng San (Internal Supplement Saposhnikovia Powder): Treats sores where heat subsides but pus continues; supports interior. (Formula see Neibu San)
Tuoli San (Interior-Supporting Powder): Eliminates toxins of all sores, including carbuncles, rashes, back carbuncles, and swelling/toxins.
Ingredients: Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang), Huangqi (Astragali Radix, 0.5 liang), Jiegeng (Platycodonis Radix, 0.5 liang), Qingju pi (Citri Reticulatae Pericarpium, 0.5 liang).
Usage: Grind into fine powder. Take 1 qian per dose, add 1 cup of water, boil three times, remove dregs, take warm after meals and before sleep.
Tuoli Lianqiao San (Interior-Supporting Forsythia Powder)
Ingredients: Baye (Platycladi Cacumen, 0.5 liang dried), Huangqi (Astragali Radix, 1 liang honey-fried), Xuancgen (Daylily Root, 0.5 liang), Rushxiang (Olibanum Resina, 1 fen ground), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang), Lianqiao (Forsythiae Fructus, 0.5 liang).
Usage: Grind into powder. Take 1 qian with warm wine or rice water, take at any time.