（丞相兄刊是方于徽州，予屡以施人，皆效。）治一切痈疽疮疖，未成者速散，已成者
速
溃，败脓自出，无用手挤，恶肉自去，不犯刀杖；服药后，疼痛顿减，此其尝试之效也。歙
丞胡权初得方于都下异人，时有苦背疡者七十余头，诸药遍试不效，因出是方示之。众医环
立，相目而笑曰∶是岂痈疽所用药耶。固谓之曰∶古人处方自有意义，观其所用药性平和，
纵未能已疾，必不至坏病，服之何害。乃治药与服，以热酒半升许，下药五六钱。少顷，痛
减七分，数服之后，疮大溃，脓血流迸，若有物自内托之。服之经月，疮口遂合，若未尝有
所苦者。又有苦腹疾者，其痛异常，医者莫晓时意。此药颇能止痛，试以饵之，当日下脓
二三碗许，痛亦随止，乃肠痈也。又一老人，忽胸间发肿，根脚甚大，毒瓦斯上攻，如一瓠然，
斜插项右，不能转动。服药，明日毒肿既散，余一小瘤，如栗许大。又明日，帖然如故。又
一人发脑，疑此方不服，既殒于庸医之手。明年，其子复苦此，与父之状不异，因惩父之失，
纵酒饮药，遂至大醉，竟日衮卧地上，酒醒病已去矣。又一妇人发乳， 肿疼痛，不可堪忍，
自谓无复生理。又二妇人，股间发肿，大如杯碗，服此皆脱然如失。蒙济者不可悉数，姑叙
大略，以示未知此方者。大抵痈疽之作，皆气血凝滞，风毒壅结所致，治之不早，则外坏肌
肉，内攻脏腑，去生远矣。详味此方其所用者，皆发散风毒，流行气血，排脓止痛，生肌长
肉等药。五毒不试，而坐收疡医十全之功，其可尚已。今按本草，于逐味下聊疏药性温凉，
与所治疗，虽处方妙指不可遽晓，庶仓猝之际，可以见其用药大意，而服之不疑。
人参（微温，无毒。主补五脏，除邪气，通血脉，破坚积，疗心腹鼓痛，胸胁逆满。今
以新罗者为上，择团结重实滋润者，洗净去芦，薄切，焙干） 当归（大温，无毒。主温中
止
痛，除客血内塞，客气虚冷，补五脏，生肌肉，治一切风，一切劳，破恶血，养新血。又《外
台》、《金匮》等方，皆谓大补不足，决取立效之药。凡气血昏乱者，服之即定，谓能使气血
归所。当归制名之义，宜出于此。今取川中来者，择大片如马尾状，滋润甜辣芬香者，温水
洗，薄切，焙干） 黄 （微温，无毒。主痈疽久败疮，排脓止痛，逐五脏间恶血，补丈夫
虚
损五劳，羸瘦，烦闷热毒，活血。以绵上来者为胜，状如箭竿，长二三尺，头不叉者。洗净，
寸截，槌破悬壁，以盐汤润透，用盏盛，盖汤瓶上一炊久，焙燥，随众药入碾，即成细末）
芎（温，无毒。主中风入脑，头痛寒痹，筋挛拘急。除脑中冷痛，面上游风，治一切风，
一切气，一切血，一切劳损，诸寒，心腹坚痛，中恶，卒急肿痛，腰脚软弱，半身不遂。壮
筋骨，调众脉，破症结，治痈疽发背，排脓消瘀，养血长肉。以川中来者为上，今多用抚芎
。大块者净洗，切焙） 防风（温，无毒。治心腹痛，四肢拘急，经脉虚羸。主骨节风，男
子
一切劳劣；补中益神，通利五脏关脉，五劳七伤，羸损盗汗，心烦体重。能安神定志，匀气
脉。择新香者，净洗，切焙） 浓朴（大温，无毒。主中风寒热，血痹死肌，温中下气。去
留
热，止烦满，浓肠胃，去结水，破宿血，消化水谷，止五脏一切气痛。宜用梓州来者，肉浓
而色紫，掐之油出；去粗皮，切，姜汁窨一宿， 熟，焙燥，切。勿用杜、朴） 桔梗（微
温，
有小毒；主胸胁痛如刀刺，腹满肠鸣，利五脏，补血气，除寒热，破血消积，止心腹胀痛。
补五劳，养气除邪，又养血排脓，补内漏，疗胸中寒。肺脉数，咽噪不渴，时时出浊唾腥臭，
吐脓如粳米粥，是肺痈。治之用桔梗甘草各二两，水三升，煮取一升，分再服，朝暮吐脓血
即瘥。今所在有之，以有心、味苦者为真。无心、味甘者荠 也，主解药毒，恐于众药不
利，切勿误用。洗净去头尾，薄切焙燥），白芷（温，无毒。破宿血，长新血。治乳痈瘰 ，
肠风痔 ，排脓止痛生肌） 桂（大热，有小毒，一曰∶温，无毒。为诸药先聘，主温中，
利
肝肺气。去心腹寒热，补五劳七伤，通九窍，利关节，破 癖症瘕，消瘀血，续筋骨，生肌
肉。筒浓者，宜入治脏及下部药；轻薄者，宜入治头目发散药。今宜用卷薄者。古法带皮桂，
每两止取二钱半，合用一两者，当买四两。候众药罢，别碾方入） 甘草（平，无毒。主脏
腑
寒热邪气，坚筋骨，长肌肉，解毒，温中下气，倍力。生用）
上十味，选药贵精，皆取净，晒焙极燥方秤。人参、当归、黄 各二两，余各一两。除
桂外，一处为细末，入桂，令匀。每服自三钱，加至五六钱，热酒调下，日夜各数服，以多
为妙。服至疮口合，更服为佳。所以补前损，杜后患也。不饮酒人，浓煎木香汤下，然不若
酒力之胜也。或饮酒不多，能勉强间用酒调，并以木香汤解酒，功效当不减于酒也。
（丞相的兄长将此方在徽州刊印，我多次用它施治于人，都取得了疗效。）治疗各种痈疽疮疖，未成脓的迅速消散，已成脓的迅速溃破，败脓自然排出，不用手去挤压，腐肉自然脱落，不遭受刀杖之苦；服药后，疼痛立刻减轻，这是经过尝试验证的效果。歙县丞胡权最初在京城从异人处得到此方，当时有七十多个背部生疮的人，各种药物遍试无效，于是拿出此方给他们看。众医生围站在一旁，互相看着笑着说：这难道是治疗痈疽所用的药吗？（胡权）坚持对他们说：古人开处方自有深意，观察他所用药性平和，纵然不能治愈疾病，也一定不会使病情恶化，服用它有什么害处呢？于是配制药材并让患者服用，用半升左右的热酒，送下药末五六钱。不久，疼痛减轻了七分，服用几次之后，疮口大溃，脓血迸出，好像有东西从内部托举一样。服用一个月后，疮口愈合，好像从未受过痛苦一样。又有患腹部疾病的人，疼痛异常，医生们不明白其中的意思。此药颇能止痛，试着让他服用，当天排下脓液二三碗左右，疼痛也随之停止，原来是肠痈。又有一位老人，忽然胸部发肿，根基很大，毒气上攻，像一个瓠瓜那样，斜插在颈部右侧，不能转动。服药后，第二天毒肿消散，剩下一个小瘤，像栗子大小。又过了一天，安然如旧。又有一个人头部发病，怀疑此方不服用，最终死在庸医手中。第二年，他的儿子又苦于同样的病，与父亲的症状无异，于是吸取父亲的教训，纵情饮酒服药，直到大醉，整天翻滚卧在地上，酒醒后病已去除。又有一位妇人乳房发病，肿痛难忍，自认为没有活路了。还有两位妇人，大腿间发肿，大如杯碗，服用此药后都彻底痊愈，如同失掉了病痛一般。蒙受救济者不可尽数，姑且叙述大概，以展示给不知道此方的人。大抵痈疽的发生，都是气血凝滞，风毒壅结所致，治疗不及时，就会外坏肌肉，内攻脏腑，离死亡就远了。仔细品味此方所用药物，都是发散风毒，流通气血，排脓止痛，生肌长肉等药。五种毒药都不使用，而坐收疡医十全十美的功效，这难道不值得推崇吗？现在依据本草，对每一味药下面简要疏理药性的温凉，以及所治疗的病症，虽然处方的精妙旨意不能立刻明白，但在仓促之际，可以看到用药的大致意图，从而服用时不疑惑。
人参（微温，无毒。主要补益五脏，祛除邪气，通利血脉，破除坚积，治疗心腹鼓胀疼痛，胸胁逆满。现在以新罗产的人参为上品，选择团结重实、滋润的，洗净去掉芦头，薄切，焙干） 当归（大温，无毒。主要温中止痛，祛除客血内塞，客气虚冷，补益五脏，生肌肉，治疗各种风证，各种劳损，破除恶血，滋养新血。另外《外台》、《金匮》等方书，都说它是大补不足、决取立效的药物。凡是气血昏乱的人，服用后即安定，能使气血回归本位。当归命名的意义，大概出于此。现在取四川产的，选择大片如马尾状、滋润甜辣芬香的，温水洗，薄切，焙干） 黄芪（微温，无毒。主要治疗痈疽久败疮，排脓止痛，驱逐五脏间的恶血，补益男子虚损五劳，消瘦，烦闷热毒，活血。以绵上来者为胜，形状像箭竿，长二三尺，头不分叉的。洗净，寸截，槌破悬挂在壁上，用盐汤润透，用盏盛放，盖在汤瓶上一顿饭的时间，焙燥，随众药一起碾，即成细末） 川芎（温，无毒。主要治疗中风入脑，头痛寒痹，筋挛拘急。祛除脑中冷痛，面上游风，治疗各种风证，各种气证，各种血证，各种劳损，诸寒证，心腹坚痛，中恶，突然急迫肿痛，腰脚软弱，半身不遂。强壮筋骨，调和脉象，破除症结，治疗痈疽发背，排脓消瘀，养血长肉。以四川产的为上，现在多用抚州产的。大块者净洗，切焙） 防风（温，无毒。治疗心腹痛，四肢拘急，经脉虚羸。主要治疗骨节风，男子各种劳劣；补中益神，通利五脏关脉，五劳七伤，羸损盗汗，心烦体重。能安神定志，匀气脉。选择新香者，净洗，切焙） 厚朴（大温，无毒。主要治疗中风寒热，血痹死肌，温中下气。去除留热，止烦满，浓肠胃，去除结水，破除宿血，消化水谷，止五脏一切气痛。宜用梓州产的，肉厚而色紫，掐之出油；去掉粗皮，切，姜汁窨一夜，熟，焙燥，切。不要用杜仲、朴树） 桔梗（微温，有小毒；主要治疗胸胁痛如刀刺，腹满肠鸣，利五脏，补血气，除寒热，破血消积，止心腹胀痛。补五劳，养气除邪，又养血排脓，补内漏，治疗胸中寒。肺脉数，咽噪不渴，时时出浊唾腥臭，吐脓如粳米粥，这是肺痈。治疗时用桔梗甘草各二两，水三升，煮取一升，分两次服，早晚吐脓血即愈。现在各地都有，以有心、味苦的为真。无心、味甘的是荠苨，主要解药毒，恐怕对众药不利，切勿误用。洗净去掉头尾，薄切焙燥），白芷（温，无毒。破除宿血，长新血。治疗乳痈瘰疬，肠风痔漏，排脓止痛生肌） 桂枝（大热，有小毒，一说：温，无毒。作为诸药的先导，主要温中，利肝肺气。去除心腹寒热，补五劳七伤，通九窍，利关节，破除癖症瘕，消瘀血，续筋骨，生肌肉。筒厚的，适宜入治脏及下部药；轻薄的，适宜入治头目发散药。现在宜用卷薄的。古法带皮桂，每两只取二钱半，合用一两的，当买四两。候众药处理完后，单独碾碎再放入） 甘草（平，无毒。主要治疗脏腑寒热邪气，坚筋骨，长肌肉，解毒，温中下气，倍力。生用）
以上十味药，选药贵在精，都选取干净的，晒焙极干燥后才称量。人参、当归、黄芪各二两，其余各一两。除了桂枝外，一处研为细末，加入桂枝，令均匀。每次服用从三钱开始，加至五六钱，热酒调下，日夜各数次，以多为妙。服用到疮口愈合，继续服用为佳。所以补前损，杜后患。不喝酒的人，浓煎木香汤送下，然而不如酒力之强。或者饮酒不多，能勉强间用酒调，并以木香汤解酒，功效应当不减于酒。
(Chengxiang's elder brother published this prescription in Huizhou, and I have frequently used it to treat others, all with efficacy.) It treats all kinds of carbuncles, sores, ulcers, and boils. Those not yet suppurated are rapidly dispersed; those already suppurated are rapidly ulcerated. The foul pus discharges naturally without manual squeezing, the foul flesh falls off naturally, avoiding injury from knives or sticks. After taking the medicine, pain is instantly reduced. This is the verified effect through trial. Hu Quan, Vice Magistrate of She, first obtained this prescription from an extraordinary person in the capital. At that time, there were over seventy people suffering from back ulcers who had tried various medicines without success. He then showed them this prescription. The surrounding physicians looked at each other and laughed, saying, "Is this really the medicine for treating carbuncles and ulcers?" He insistedently told them, "Ancient prescriptions have their own profound meaning. Observing the medicinal properties he used are mild and peaceful. Even if it cannot cure the disease immediately, it certainly will not worsen the condition. What harm is there in taking it?" So he prepared the medicine and administered it, using about half a sheng of hot wine to wash down five or six qian of the powder. Shortly after, the pain decreased by seven parts. After several doses, the sore greatly ulcerated, with pus and blood gushing out, as if something was pushing from within. After taking it for a month, the wound closed, as if no suffering had ever occurred. There was another patient suffering from abdominal disease with abnormal pain, which the physicians did not understand. This medicine is quite effective in stopping pain. Trying it on him, he discharged two or three bowls of pus on the same day, and the pain stopped accordingly. It turned out to be an intestinal abscess. Another elderly person suddenly developed swelling in the chest, with a large base. The toxic qi attacked upwards, resembling a gourd, slanting into the right side of the neck, making rotation impossible. After taking the medicine, the toxic swelling dissipated the next day, leaving only a small nodule, the size of a chestnut. The day after that, he was calm and as before. Another person developed a head lesion. Suspecting the prescription, he refused to take it, and eventually died in the hands of a mediocre physician. The following year, his son suffered from the same illness, identical to his father's condition. Learning from his father's mistake, he drank alcohol freely along with the medicine until he was heavily intoxicated, rolling on the ground all day. Upon waking from the drunkenness, the illness had vanished. Another woman developed a breast lesion, with unbearable swelling and pain, believing she had no hope of survival. Two other women developed swelling between their thighs, as large as cups or bowls. Taking this medicine, they recovered completely, as if the illness had been lost. Those saved by this remedy cannot be counted individually. I briefly narrate the general outline to show those unfamiliar with this prescription. Generally speaking, the occurrence of carbuncles and ulcers is caused by the stagnation of Qi and Blood, and the accumulation and knotting of Wind-Toxin. If treatment is not prompt, it will externally damage muscles and internally attack the Zang-Fu organs, moving far away from life. Carefully tasting this prescription, the ingredients used are all herbs that disperse Wind-Toxin, circulate Qi and Blood, discharge pus and stop pain, and generate flesh and promote tissue growth. Without employing the Five Poisons, one can sit back and reap the perfect success of a surgeon. Is this not worthy of admiration? Now, according to the Materia Medica, I briefly outline the warm and cool properties of each herb and their treated conditions below. Although the subtle purport of the prescription may not be immediately understood, in urgent situations, one can grasp the general idea of medication and take it without doubt.
Ren Shen (Ginseng Radix et Rhizoma) (Slightly warm, non-toxic. Primarily tonifies the Five Zang organs, eliminates pathogenic factors, unblocks the vessels and collaterals, breaks firm accumulations, treats drum-like pain in the heart and abdomen, and fullness and rebellion in the chest and hypochondrium. Currently, those from Silla are considered superior. Select those that are compact, heavy, solid, and moist. Wash clean, remove the rhizome, slice thinly, and dry by baking.) Dang Gui (Angelicae Sinensis Radix) (Greatly warm, non-toxic. Primarily warms the middle and stops pain, eliminates stagnant blood and internal obstruction, treats cold deficiency of pathogenic Qi, tonifies the Five Zang organs, generates flesh, treats all types of Wind syndromes, all types of consumptive diseases, breaks evil blood, and nourishes new blood. Additionally, texts such as *Waitai Miyao* and *Jingui Yaolue* state it is a great tonic for deficiencies and a medicine that guarantees immediate effect. For those with chaotic Qi and Blood, taking it brings stability, causing Qi and Blood to return to their proper locations. The naming of Dang Gui likely stems from this. Currently, those from Sichuan are selected. Choose large slices resembling horse tails, which are moist, sweet, pungent, and fragrant. Wash with warm water, slice thinly, and dry by baking.) Huang Qi (Astragali Radix) (Slightly warm, non-toxic. Primarily treats chronic carbuncles, sores, and ulcers, discharges pus and stops pain, drives out evil blood among the Five Zang organs, tonifies deficiency and exhaustion in men, emaciation, vexation, heat, and toxic heat, and invigorates Blood. Those from Mianshang are superior, resembling arrow shafts, two or three chi long, with unbranched heads. Wash clean, cut into cun lengths, hammer open, hang on walls, moisten thoroughly with salt water, place in a cup, cover with a teapot lid for the duration of one meal, dry by baking, and grind together with other herbs into fine powder.) Xiong (Ligusticum Chuanxiong Rhizoma) (Warm, non-toxic. Primarily treats Wind-stroke invading the brain, headache, cold bi syndrome, muscle spasms, and stiffness. Eliminates cold pain in the brain, wandering Wind on the face, treats all types of Wind, Qi, Blood, and consumptive diseases, all cold syndromes, firm pain in the heart and abdomen, Zhong-E, sudden acute swelling and pain, weakness of waist and legs, hemiplegia. Strengthens sinews and bones, regulates various pulses, breaks masses, treats carbuncles and back lesions, discharges pus and eliminates stasis, nourishes Blood and generates flesh. Those from Sichuan are superior; currently, Fuxiong is widely used. Clean large pieces, wash, slice, and bake.) Fang Feng (Saposhnikoviae Radix) (Warm, non-toxic. Treats heart and abdominal pain, limb stiffness and spasm, and deficiency and emaciation of meridians. Primarily treats joint Wind, all types of deficiency and inferiority in men; tonifies the center and benefits Spirit, unblocks the Guan-Mai of the Five Zang organs, treats Wu-Lao and Qi-Shang, emaciation with night sweats, vexation, and heaviness of body. Calms Spirit and stabilizes Will, harmonizes Qi and pulses. Select fresh and fragrant ones, wash clean, slice, and bake.) Hou Po (Magnoliae Officinalis Cortex) (Greatly warm, non-toxic. Primarily treats Wind-Cold-Heat from Wind-stroke, Blood-Bi and dead muscle, warms the middle and directs Qi downward. Removes lingering heat, stops vexation and fullness, thickens intestines and stomach, removes accumulated water, breaks old blood, digests food and grain, stops all types of Qi pain in the Five Zang organs. Use those from Sizhou. The bark should be thick and purple, exuding oil when pinched. Remove coarse bark, slice, marinate in ginger juice overnight, cook, dry by baking, and slice. Do not use Du Zhong or Pu Mu.) Jie Geng (Platycodonis Radix) (Slightly warm, slightly toxic. Primarily treats stabbing pain in chest and hypochondrium, abdominal fullness and borborygmus, benefits the Five Zang organs, tonifies Qi and Blood, eliminates Cold-Heat, breaks Blood stasis and dissipates accumulations, stops heart and abdominal distension pain. Tonifies Wu-Lao, nourishes Qi and eliminates pathogens, also nourishes Blood, discharges pus, treats internal leakage, and chills in the chest. If Lung pulse is rapid, throat is hoarse without thirst, turbid saliva with foul odor is occasionally expectorated, and pus like rice gruel is vomited, this is Lung Abscess. Treatment uses Jie Geng and Gan Cao, two liang each, boiled in three sheng of water to yield one sheng, divided into two doses. Vomiting pus and blood in the morning and evening leads to recovery. Available everywhere now. Authentic ones have a heart and bitter taste. Those without a heart and sweet taste are Ji Ni, primarily used to resolve drug toxicity. It may be unfavorable with other herbs; do not use mistakenly. Wash clean, remove head and tail, slice thinly, and dry by baking.) Bai Zhi (Angelicae Dahuricae Radix) (Warm, non-toxic. Breaks old blood, generates new blood. Treats breast abscess, scrofula, intestinal wind, hemorrhoids, discharges pus, stops pain, and generates flesh.) Gui (Cinnamomi Ramulus / Cortex Cinnamomi) (Greatly warm, slightly toxic; alternatively: Warm, non-toxic. Acts as a pioneer among herbs, primarily warms the middle, benefits Liver and Lung Qi. Eliminates Cold-Heat in heart and abdomen, tonifies Wu-Lao and Qi-Shang, opens nine orifices, benefits joints, breaks masses and tumors, eliminates blood stasis, connects sinews and bones, generates flesh. Thick tube-like pieces are suitable for treating Zang organs and lower body formulas; thin and light pieces are suitable for treating head and eyes and dispersing formulas. Currently, thin curled pieces are preferred. Ancient method: for bark cinnamon, take only two qian half per liang. For one liang required, buy four liang. After processing other herbs, grind separately and add.) Gan Cao (Glycyrrhizae Radix et Rhizoma) (Neutral, non-toxic. Primarily treats Cold-Heat and pathogenic factors of Zang-Fu organs, strengthens sinews and bones, generates flesh, resolves toxicity, warms the middle and directs Qi downward, increases strength. Used raw.)
The above ten herbs: selection emphasizes quality, all must be clean, sun-dried and baked extremely dry before weighing. Ren Shen, Dang Gui, and Huang Qi are each two liang; the rest are each one liang. Except for Gui, process all into fine powder together, add Gui, and mix evenly. Each dose starts at three qian, increasing to five or six qian, taken with hot wine, several times day and night. More is better. Continue taking until the wound closes; further intake is excellent. This supplements previous damage and prevents future complications. For those who do not drink alcohol, administer with strong decoction of Mu Xiang. However, it is not as effective as alcohol. For those who drink little but can tolerate occasional alcohol, mix with alcohol and resolve intoxication with Mu Xiang decoction; efficacy should not be less than with alcohol alone.