（附论）
夫人之气血。得热则润泽。得寒则凝结。石痈者寒气凝结致热。一气不得散。故其肿结
确实有核。皮肉不甚热。微痛。热时自歇。此寒多热少。坚硬如石之状。而谓之石痈。久久
热气乘之。乃有脓也。治宜温调营卫。散其寒邪。使气得阳而外发。则肿硬自消。而脓血出
矣。
方
沉香汤 治石痈肿毒。结硬疼痛。口干烦热。四肢拘急不得卧。
犀角汤（出圣惠方）治石痈热毒瓦斯盛。肿硬疼痛。口干烦闷。
犀角汤（镑三分） 连翘 射干 栀子仁 升麻 当归（切焙各一两） 大黄（锉炒二
两）
木香（三分） 枳壳（麸炒） 赤芍药 上粗捣筛。每服三钱。水一盏。煎六分。去滓。不
计时
候温服。
占斯散 治石痈结实。已坏未坏。
升麻汤（出圣济总录）治石痈皮色紫赤。恶寒壮热。一二日未成脓者下之。亦
治石疽坚硬。
升麻 连翘 大青（各一两） 生地黄（焙二两） 败酱 络石 白蔹（各半两） 人
参（一
两） 大黄（锉炒二两） 上粗捣筛。每服五钱。水一盏半。煎八分。更入芒硝末半分。去
滓。
空心温服。微利为度。
黄连散（出圣惠方）治石痈结硬发热。紫赤色。毒瓦斯攻冲未定。日夜疼痛。宜
用此消肿化毒止痛。
黄连 川大黄（生用） 白蔹 马牙 黄柏（锉各一两） 青盐 麒麟竭（各半两） 赤
小豆
（半两炒熟） 杏仁（四十九枚汤浸去皮尖研用） 上为细散。用蜜水调涂痈上。干则易之。
凝水石散（出圣济总录）治痈疽结硬。未成脓贴之。
凝水石 黄柏 黄 （锉） 黄连（去须） 大黄 石膏 栀子仁 白蔹（各一两） 上
捣罗
极细。以浆水调如糊。摊故帛上。贴患处。
大黄散（出圣惠方）治石痈肿硬疼痛。心腹烦闷。不得宣畅。
川大黄（一两锉碎微炒） 当归（一分） 川芒硝 黑豆皮 枳壳（麸炒微黄各半两） 牛
蒡
子（一分微炒） 芎 （一分） 甘草（半两生锉） 上为散。分为三服。每服水一大盏。
煎至五
分。去滓。不计时候温服。以利为度。
木香散（出圣济总录）治石痈已服前升麻汤后。用此贴涂。
木香 大黄（锉炒） 升麻 白蔹（各半两） 芒硝 赤小豆（各半两） 上为散。以
榆白皮
汁入水少许。调和如糊。涂故帛上贴之。日二。
雄黄散（出圣惠方）治石痈风毒初结。 核坚硬。
雄黄（细研） 川大黄（生用） 磁石（捣碎细研） 白矾（烧令汁尽） 细辛（各半
两） 上为
细散。用鸡子白和生蜜调涂之。干则易也。
练石散（出千金方）治痈有坚硬如石核者。复大色不变。或作石疽。
粗理黄石（一斤） 鹿角（一两烧） 白蔹（三两） 上用醋五升。先烧石令赤。内醋
中。不
限数。醋减半止。总捣末。以余醋和如泥。浓敷之。干则易。取消止。尽更合。诸漏及瘰
。其药悉皆用之。仍火针针破头敷药。又单磨鹿角、半夏末和敷之。
黄 当归散（出圣济总录）治石痈久不瘥。
黄 （锉十两） 当归（切炒八两） 上为散。每服三钱。温酒调下。不计时候。
蜀漆方（出圣济总录）治石痈疽。
蜀漆（干者半两） 桑根白皮（二两） 上为末。量多少而用以熔牛皮胶并酒调和。敷
肿处。
日三五次。
又方（出圣惠方）治石痈坚如石。不作脓者。
梁上尘 葵根茎叶（各等分） 上醋和。敷之即瘥。并治石疽。
又涂半夏方（出圣济总录）治痈疽结硬未成脓。
用半夏一两为末。以新水和如糊。涂患处。日三五次。
又涂莨菪子方（出千金方）
用莨菪子二两为末。以醋调如糊。涂患处。干即易。一方治痈始觉肿令消。用莨菪末三
指撮。水和服之。
治石痈坚如石。不作脓者方。（出千金方）
用生商陆根不拘多少。热捣敷之。干则易。取软为度。及治湿漏诸痈疖。
蛇蜕散（出千金方）
用蛇蜕皮贴之。经宿便瘥。一方烧灰细研。以醋调。涂肿上。
又方（出千金方）
用栎子一枚。以醋于青石上磨之。以涂肿上。干易。不过十度愈。
赤小豆方 治发痈至坚而有根者。名为石痈。治疗之法。当服非酒即药。势不宜。
但当稍饮。取令相得。和散便止。凡痈肿有肥人用贴。宜栝蒌根。和平体气。
用赤小豆五合。内苦酒中熬之毕。捣为散。以苦酒和。涂擦纸上。贴肿从发肿两头。
治石痈发肿至坚。而有根者方。（出千金方）
用桑根白皮捣末。酒敷之。一方阴干捣末。烊胶和酒附肿。根即拔。
治石痈坚如石。不作脓者方。（出圣惠方）
用芫花为末。水和如膏。涂之。
（附论）
人的气血，遇到热邪则滋润通畅，遇到寒邪则凝滞结聚。石痈是由于寒气凝结导致郁而化热，气机无法宣散，所以肿块坚实、有核状感，皮肤和肌肉不太热，仅有轻微疼痛，发热时有时无。这是因为寒多热少，肿块坚硬如石头，所以称为石痈。时间久了，热气积聚，才会化脓。治疗应当温调营卫之气，驱散寒邪，使气机得到阳气推动而向外发散，那么肿胀和硬结自然消退，脓血也会排出。
方剂
沉香汤：治疗石痈肿毒，结块坚硬疼痛，口干烦热，四肢拘挛紧急不能平卧。
犀角汤（出自《圣惠方》）：治疗石痈热毒炽盛，肿块坚硬疼痛，口干烦闷。
组成：犀角（镑片，三分）、连翘、射干、栀子仁、升麻、当归（切后焙干，各一两）、大黄（锉碎炒制，二两）、木香（三分）、枳壳（麸炒）、赤芍药。
用法：将上述药材粗捣筛过。每次服用三钱，加水一盏，煎至六分，去渣滓。不拘时候，温服。
升麻汤（出自《圣济总录》）：治疗石痈皮色紫红，恶寒高热。发病一二天尚未成脓的，用此方攻下。也治疗石疽坚硬。
组成：升麻、连翘、大青（各一两）、生地黄（焙干，二两）、败酱草、络石藤、白蔹（各半两）、人参（一两）、大黄（锉碎炒制，二两）。
用法：将上述药材粗捣筛过。每次服用五钱，加水一盏半，煎至八分，再加入芒硝末半分，去渣滓。空腹温服，以微微通利为度。
黄连散（出自《圣惠方》）：治疗石痈结块坚硬发热，呈紫红色，毒气攻冲不定，日夜疼痛。宜用此方消肿解毒止痛。
组成：黄连、川大黄（生用）、白蔹、马牙硝、黄柏（锉碎，各一两）、青盐、麒麟竭（各半两）、赤小豆（半两，炒熟）、杏仁（四十九枚，汤浸去皮尖研碎）。
用法：将上述药材研为细散。用蜂蜜水调匀，涂抹于痈肿上，干了就更换。
凝水石散（出自《圣济总录》）：治疗痈疽结块坚硬，尚未成脓时贴敷。
组成：凝水石、黄柏、黄芩（锉碎）、黄连（去须）、大黄、石膏、栀子仁、白蔹（各一两）。
用法：将上述药材捣罗至极细。用浆水调成糊状，摊在旧布上，贴敷患处。
大黄散（出自《圣惠方》）：治疗石痈肿硬疼痛，心腹烦闷，气机不畅。
组成：川大黄（一两，锉碎微炒）、当归（一分）、川芒硝、黑豆皮、枳壳（麸炒微黄，各半两）、牛蒡子（一分，微炒）、川芎（一分）、甘草（半两，生锉）。
用法：将上述药材研为散剂，分为三次服用。每次用水一大盏，煎至五分，去渣滓。不拘时候，温服，以通利为度。
木香散（出自《圣济总录》）：治疗石痈在服用前述升麻汤之后，用此方外贴涂敷。
组成：木香、大黄（锉碎炒制）、升麻、白蔹（各半两）、芒硝、赤小豆（各半两）。
用法：将上述药材研为散剂。用榆白皮汁加入少许水，调和成糊状，涂在旧布上贴敷。每日两次。
雄黄散（出自《圣惠方》）：治疗石痈风毒初起结聚，肿块坚硬。
组成：雄黄（细研）、川大黄（生用）、磁石（捣碎细研）、白矾（烧至汁尽）、细辛（各半两）。
用法：将上述药材研为细散。用鸡蛋清和生蜜调匀涂抹，干了就更换。
练石散（出自《千金方》）：治疗痈肿坚硬如石核，体积增大但颜色不变，或者形成石疽。
组成：粗理黄石（一斤）、鹿角（一两，烧制）、白蔹（三两）。
用法：用醋五升，先将石头烧红，投入醋中，不限次数，直到醋减半为止。将所有材料捣成粉末，用剩余的醋调和成泥状，厚敷患处，干了就更换，直到变软为止。如果痊愈，再重新配制。各种瘘管及瘰疬也都适用此法。仍需用火针刺破头部后敷药。另外，单磨鹿角粉与半夏粉混合敷用也可。
黄芪当归散（出自《圣济总录》）：治疗石痈久治不愈。
组成：黄芪（锉碎，十两）、当归（切后炒制，八两）。
用法：将上述药材研为散剂。每次服用三钱，用温酒调服。不拘时候。
蜀漆方（出自《圣济总录》）：治疗石痈疽。
组成：蜀漆（干燥者，半两）、桑根白皮（二两）。
用法：将上述药材研为末。根据用量多少，熔化牛皮胶并用酒调和，敷于肿处。每日三到五次。
又一方（出自《圣惠方》）：治疗石痈坚硬如石，不化脓的。
组成：梁上尘、葵根茎叶（各等分）。
用法：用醋调和，敷之即愈。并治疗石疽。
又涂半夏方（出自《圣济总录》）：治疗痈疽结块坚硬，尚未成脓。
用法：取半夏一两研为末，用新水和成糊状，涂敷患处。每日三到五次。
又涂莨菪子方（出自《千金方》）
用法：取莨菪子二两研为末，用醋调成糊状，涂敷患处，干了就更换。另一方法治疗痈肿刚开始觉得肿胀欲消时，取莨菪末三指撮，用水送服。
治疗石痈坚如石，不化脓的方子。（出自《千金方》）
用法：取生商陆根不拘多少，热捣后敷之，干了就更换，直到变软为止。也治疗湿漏及各种痈疖。
蛇蜕散（出自《千金方》）
用法：用蛇蜕皮贴敷，经过一夜即可痊愈。另一方法是将蛇蜕烧灰细研，用醋调和，涂于肿处。
又一方（出自《千金方》）
用法：取橡子一枚，用醋在青石上磨碎，涂于肿处，干了就更换，不超过十次即可痊愈。
赤小豆方：治疗发痈至坚硬且有根基的，名为石痈。治疗方法，应当服药或饮酒，但势态不宜剧烈。只应稍许饮用，使其相互协调，配合散剂服用即可停止。凡是痈肿，对于肥胖之人使用贴敷，宜用瓜蒌根；对于平和体质的人，用赤小豆五合，放入苦酒（醋）中熬干，捣为散剂，用苦酒调和，涂擦在纸上，贴在肿处，从发肿的两头开始贴。
治疗石痈发肿至坚硬，且有根基的方子。（出自《千金方》）
用法：取桑根白皮捣为末，用酒敷之。另一方法是将桑根白皮阴干捣末，烊化胶并用酒调和附着于肿处，根基即可拔除。
(Attached Discussion)
Human Qi and Blood, when encountering heat, become moist and unobstructed; when encountering cold, they coagulate and stagnate. Shi Yong (Stone Carbuncle) is caused by the coagulation of cold pathogen leading to郁 heat (stagnant heat), where Qi fails to disperse. Consequently, the swelling is solid with a nodular feel, the skin and flesh are not very hot, pain is slight, and fever comes and goes intermittently. This condition features more cold than heat, resulting in hardness like stone, hence named Shi Yong (Stone Carbuncle). After a long time, accumulated heat transforms into pus. Treatment should focus on warming and regulating Ying (Nutritive) and Wei (Defensive) Qi, dispersing the cold pathogen, allowing Qi to be promoted by Yang and move outward. Then, the swelling and hardness will naturally subside, and pus and blood will discharge.
Formulas
Chenxiang Tang (Agarwood Decoction): Treats Shi Yong (Stone Carbuncle) with swelling, toxicity, hard nodules, pain, dry mouth, irritability, heat sensation, and limb spasms preventing lying down.
Xijiao Tang (Rhinoceros Horn Decoction) (from *Shenghui Fang*): Treats Shi Yong (Stone Carbuncle) with intense heat-toxicity, hard swollen painful nodules, dry mouth, and irritability.
Ingredients: Xijiao (Rhinoceros Cornu, sliced, 3 fen), Lianqiao (Forsythiae Fructum), Shegan (Belamcandae Rhizoma), Zhizi Ren (Gardeniae Semen), Shengma (Cimicifugae Rhizoma), Danggui (Angelicae Sinensis Radix, cut and dried, each 1 liang), Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried, 2 liang), Muxiang (Aucklandiae Radix, 3 fen), Zhike (Aurantii Fructus, bran-stir-fried), Chishao Yao (Paeoniae Radix Rubra).
Usage: Coarsely grind and sieve the above herbs. Take 3 qian per dose, add 1 zhan of water, decoct to 6 fen, remove dregs. Take warm at any time.
Zansi San (Zan Si Powder): Treats Shi Yong (Stone Carbuncle) with firm consolidation, whether ulcerated or not.
Shengma Tang (Cimicifuga Decoction) (from *Shengji Zonglu*): Treats Shi Yong (Stone Carbuncle) with purplish-red skin color, aversion to cold, and high fever. For cases within one to two days where pus has not formed, use this formula to purge. Also treats Shi Ju (Stone Abscess) with hardness.
Ingredients: Shengma (Cimicifugae Rhizoma), Lianqiao (Forsythiae Fructum), Daqing (Isatidis Folium, each 1 liang), Sheng Dihuang (Rehmanniae Radix Praeparata, dried, 2 liang), Baijiang Cao (Patriniae Herba), Luoshi Teng (Trachelospermi Caulis), Bailian (Ampelopsis Radix, each half liang), Renshen (Ginseng Radix, 1 liang), Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried, 2 liang).
Usage: Coarsely grind and sieve the above herbs. Take 5 qian per dose, add 1.5 zhan of water, decoct to 8 fen, then add Mangxiao (Natrii Sulfas) powder, half fen. Remove dregs. Take warm on an empty stomach, stopping when there is mild laxation.
Huanglian San (Coptis Powder) (from *Shenghui Fang*): Treats Shi Yong (Stone Carbuncle) with hard nodules, fever, purplish-red color, unstable attacking toxic qi, and day-and-night pain. Use this formula to reduce swelling, resolve toxicity, and stop pain.
Ingredients: Huanglian (Coptidis Rhizoma), Chuan Dahuang (Rhei Radix et Rhizoma, raw), Bailian (Ampelopsis Radix), Yaya Xiao (Natrii Chloridum Crystallizatum), Huangbai (Phellodendri Cortex, crushed, each 1 liang), Qingyan (Lithii Carbonas), Qilinjie (Dragon's Blood), Chixiaodou (Phaseoli Semen, half liang, stir-fried until cooked), Xingren (Armeniacae Semen Amarum, 49 seeds, soaked in water, peeled, core removed, and ground).
Usage: Grind the above herbs into fine powder. Mix with honey water and apply to the carbuncle. Change when dry.
Ningshuishi San (Halloysitum Powder) (from *Shengji Zonglu*): Treats carbuncles and sores with hard nodules before pus formation for external application.
Ingredients: Ningshuishi (Halloysitum), Huangbai (Phellodendri Cortex), Huangqin (Scutellariae Radix, crushed), Huanglian (Coptidis Rhizoma, de-veined), Dahuang (Rhei Radix et Rhizoma), Shigao (Gypsum Fibrosum), Zhizi Ren (Gardeniae Semen), Bailian (Ampelopsis Radix, each 1 liang).
Usage: Grind and sift the above herbs to extreme fineness. Mix with Jiangshui (fermented rice water) to form a paste. Spread on old cloth and apply to the affected area.
Dahuang San (Rhubarb Powder) (from *Shenghui Fang*): Treats Shi Yong (Stone Carbuncle) with hard swelling and pain, abdominal fullness and oppression, and lack of free flow.
Ingredients: Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, crushed and slightly stir-fried), Danggui (Angelicae Sinensis Radix, 1 fen), Chuan Mangxiao (Natrii Sulfas), Heidoupi (Phaseoli Pericarpium), Zhike (Aurantii Fructus, bran-stir-fried until slightly yellow, each half liang), Niubangzi (Arctii Fructus, 1 fen, slightly stir-fried), Xiong (Ligustici Chuanxiong Rhizoma, 1 fen), Gancao (Glycyrrhizae Radix et Rhizoma, half liang, raw and crushed).
Usage: Grind the above herbs into powder. Divide into three doses. For each dose, add 1 large zhan of water, decoct to 5 fen, remove dregs. Take warm at any time, stopping when there is laxation.
Muxiang San (Aucklandia Powder) (from *Shengji Zonglu*): Treats Shi Yong (Stone Carbuncle) after taking the aforementioned Shengma Tang, used for external application.
Ingredients: Muxiang (Aucklandiae Radix), Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried), Shengma (Cimicifugae Rhizoma), Bailian (Ampelopsis Radix, each half liang), Mangxiao (Natrii Sulfas), Chixiaodou (Phaseoli Semen, each half liang).
Usage: Grind the above herbs into powder. Mix with juice from Yu Baipi (Ulmus Macrocarpa Cortex) and a little water to form a paste. Apply to old cloth and stick to the affected area. Twice daily.
Xionghuang San (Realgar Powder) (from *Shenghui Fang*): Treats early-stage Shi Yong (Stone Carbuncle) due to wind-toxin initial consolidation, with hard nodules.
Ingredients: Xionghuang (Realgar, finely ground), Chuan Dahuang (Rhei Radix et Rhizoma, raw), Cishi (Magnetitum, crushed and finely ground), Baifan (Alumen, roasted until liquid evaporates), Xixin (Asari Radix et Rhizoma, each half liang).
Usage: Grind the above herbs into fine powder. Mix with egg white and raw honey for application. Change when dry.
Lianshi San (Refined Stone Powder) (from *Qianjin Fang*): Treats carbuncles that are hard as stone nodules, increasing in size without color change, or forming Shi Ju (Stone Abscess).
Ingredients: Culi Huangshi (Yellow Stone with coarse texture, 1 jin), Lujiao (Cervi Cornu Degelatinatum, 1 liang, calcined), Bailian (Ampelopsis Radix, 3 liang).
Usage: Use 5 sheng of vinegar. First, heat the stone until red-hot, then immerse it in the vinegar. Repeat indefinitely until the vinegar reduces by half. Grind all materials into powder. Mix with the remaining vinegar to form a mud-like paste. Apply thickly to the affected area. Change when dry. Continue until softness is achieved. If healed, prepare again. This is also applicable to various fistulas and Luoli (scrofula). Still, use fire needle to puncture the head before applying medicine. Alternatively, grind Cervi Cornu Degelatinatum and Banxia (Pinelliae Rhizoma) powder separately and mix for application.
Huangqi Danggui San (Astragalus and Angelica Powder) (from *Shengji Zonglu*): Treats Shi Yong (Stone Carbuncle) that persists for a long time without healing.
Ingredients: Huangqi (Astragali Radix, crushed, 10 liang), Danggui (Angelicae Sinensis Radix, cut and stir-fried, 8 liang).
Usage: Grind the above herbs into powder. Take 3 qian per dose, mixed with warm wine. Take at any time.
Shuqi Fang (Vernonia Formula) (from *Shengji Zonglu*): Treats Shi Yong (Stone Carbuncle) and abscesses.
Ingredients: Shuqi (Vernoniae Herba, dried, half liang), Sanggen Baipi (Mori Cortex, 2 liang).
Usage: Grind the above herbs into powder. Based on the amount needed, melt Niupi Jiao (Bovis Colla) and mix with wine. Apply to the swollen area. Three to five times daily.
Another Formula (from *Shenghui Fang*): Treats Shi Yong (Stone Carbuncle) hard as stone without pus formation.
Ingredients: Liangshang Chen (Dust from ceiling beams), Kuigen Jingye (Malvae Root, Stem, and Leaf, equal parts).
Usage: Mix with vinegar and apply. It heals immediately. Also treats Shi Ju (Stone Abscess).
Another Banxia Application Formula (from *Shengji Zonglu*): Treats carbuncles and sores with hard nodules before pus formation.
Usage: Take 1 liang of Banxia (Pinelliae Rhizoma), grind into powder. Mix with fresh water to form a paste. Apply to the affected area. Three to five times daily.
Another Liguzi Application Formula (from *Qianjin Fang*)
Usage: Take 2 liang of Liguzi (Datura Seed), grind into powder. Mix with vinegar to form a paste. Apply to the affected area. Change when dry. Another method: To treat early-stage carbuncle swelling intending to dissipate it, take three finger-pinches of Liguzi powder, mix with water, and ingest.
Formula for Treating Shi Yong (Stone Carbuncle) Hard as Stone Without Pus Formation (from *Qianjin Fang*)
Usage: Take raw Shanglu Gen (Phytolaccae Radix) in any quantity. Heat and pound it, then apply. Change when dry. Stop when it becomes soft. Also treats wet fistulas and various carbuncles/furuncles.
She Tui San (Snake Slough Powder) (from *Qianjin Fang*)
Usage: Apply snake slough directly. It heals after one night. Another method: Calcine the slough to ash, grind finely, mix with vinegar, and apply to the swelling.
Another Formula (from *Qianjin Fang*)
Usage: Take one acorn. Grind it with vinegar on a bluestone. Apply to the swelling. Change when dry. It heals within ten applications.
Chixiaodou Formula: Treats carbuncles that develop to be extremely hard with a root, named Shi Yong (Stone Carbuncle). The treatment method involves taking medicine or wine, but the intensity should not be excessive. One should drink slightly to achieve harmony, combined with the powder, then stop. For carbuncles in obese individuals, using Gualou Gen (Trichosanthis Radix) for application is suitable. For those with balanced constitution, use 5 he of Chixiaodou (Phaseoli Semen), roast it in Kujiu (vinegar) until dry, grind into powder. Mix with vinegar, spread on paper, and apply to the swelling starting from both ends of the inflamed area.
Formula for Treating Shi Yong (Stone Carbuncle) Swelling Extremely Hard with a Root (from *Qianjin Fang*)
Usage: Grind Sanggen Baipi (Mori Cortex) into powder. Apply with wine. Another method: Dry Mori Cortex in shade, grind into powder, melt gelatin, mix with wine, and attach to the swelling. The root will be extracted.
Formula for Treating Shi Yong (Stone Carbuncle) Hard as Stone Without Pus Formation (from *Shenghui Fang*)
Usage: Grind Yuanhua (Kadupul Flower Bud) into powder. Mix with water to form a paste. Apply.