论阳症痈疽 论阴症痈疽
天师曰∶人有背生痈疽，或生于胸腹之间，或生于头面之上，或生于手足之际，皆是五日之内，犹
当内散∶五日之外，必须动刀。内散方∶金银花四两，蒲公英二两，生甘草二两，当归二
两，天花粉五钱，水煎服。一剂即消，二剂全
愈，不必三剂。金银花专能内消疮毒，然非多用则力轻难以成功；生甘草一味已足够毒，况又用之于金
银花内，盖足以散邪而卫正∶蒲公英阳明经药也，且能散结逐邪；天花粉消痰圣药；当归活血，是其专
功。血不活所以生痈，今血活而痈自愈。此方之所以奇而肆也。（〔批〕消毒神圣丹。）倘若不曾服过
败毒之散。以致成脓奔溃，外口必小，而内宅自大。譬如贼居深山，关隘必窄，而其中巢穴，自必修广。
若不直捣其坚。则延蔓无已，势必民化为盗。故须用金刃，去其口边之腐肉，使内毒之气不藏。刀用三
寸长，阔止三分，两边俱利，其锋浓半分，少尖一边。手执定，眼看定，心注定，一刀横画，一刀直画。
人必少厥，不必惊惶，少顷自定。后以末药敷于膏药之上贴之，大约一个膏药，敷末药二钱，粘贴
即止痛，败脓尽出。一连三日，即消尽矣。内用煎方∶当归一两，黄 五钱，人参一钱，荆
芥一钱。金银花二两，生甘草三钱，水煎服，二剂可已，不须多服。（〔批〕败毒圣神丹。）此
治阳症疮疡之法也。阳症疮痈，必然突起寸余，其色红肿发光，疼痛呼号者是。若阴症痈疽，内消之法，
与阳症同治，至于破溃之治法，绝不相同。大约阴症痈疽，其色必黑暗，痛亦不甚，但觉沉沉身重，其疮口
必不突起，或现无数小疮口，以欺世人。急用附子三钱，人参三两，生黄 三两，当归一
两，金银花三两，白芥子二钱治之。麦冬可加三钱，元参不可用也。（〔批〕散寒救阴至圣丹）
总阴症宜用温热散之，不可用寒凉解之也。外用膏药，加生肌末药五钱贴之，一日两换始可。盖阴症痈
疽，多生于富贵膏粱之客，功名失志之人。心肾不交，阴阳俱耗，又加忧愁抑郁，拂怒呼号，其气不散，
乃结成大
毒。无论在背在头，在腹在胁，在手在足，俱是危症。若服吾药，又用吾膏药，无不生全。盖阳症可以
凉解，而阴症必须温散也。膏药方开后∶金银花一斤，生地八两，当归三两，川芎二两，
牛膝一两，丹皮一两，麦冬三两，生甘草一两，荆芥一两，防风五钱，黄 三
两，茜草根五钱，人参五钱，元参五两，用麻油五斤，煎数沸，将药渣滤出，再熬，
将成珠；入后药∶广木香一两，黄丹二斤，炒飞过去砂，没药一两，乳香一两，血竭
一两，象皮为末五钱，麝香一钱，各为细末，入油中，少煎好，藏瓷罐内用之。每一个用一两，
大约发背疮必须用一两，其余疮口，量大小用之。（〔批〕阴阳至圣丹。雷公曰∶何论之妙而方之奇也。）
末药方∶人参一两，冰片一钱，乳香去油三钱，透明血竭五钱，三七末一两，
儿茶一两，水飞过去砂，川倍子一两，藤黄三钱，贝母二钱，轻粉一钱，各为绝细
末，以无声为度。此膏药与末药，神奇无比。发背外，其余疮口，不消二个，阴症不消三个。秘之。（〔批〕
阴阳至圣丹。孙公曰∶真奇方也。）
张公曰∶疮疡吾方已传之矣，可附于末。
痈疽最难治，外尚未现真形，内已先溃大穴。古人云∶外大如豆，内大如拳，外大如拳，内大如盘，
信不爽也。
凡人一见背有疮口外现者，不可小视之，急用蒜切片一分浓，贴在疮口上，用艾火烧之。痛者烧
之不痛，不痛者烧之知痛而止，切不可不痛即止，而痛者亦止也。此法最妙，世人不识，而我特表而出
之，以治发背之初起者。盖一经灸之，则毒随火化，以火攻火，又何疑焉，愿世医留意。
华君曰∶传子法尤奇，传予之方不然也。痈疽方∶用金银花三两，生甘草三钱，蒲公英三
钱，当归一两，天花粉五
钱，水煎服。予之方少异天师传子之方。然天师见今日气体，更薄于三国之时，所以药味改轻为
重，止天花粉一味，分两相同，想因痰不可大攻故也。然予方亦奇甚，不可轻视。或见疮势少轻，酌用
吾方治之何如，亦无不附应他，膏药与末药方相同。
岐天师曰∶华君言是。（〔批〕天师曰∶妙。）
雷公曰∶我亦有方。治痈疽方∶用生甘草五钱，金银花三两，当归一两，元参五
钱，天花粉三钱，白矾一钱，附子一片，水煎服，初起者，一剂即消；肿起者，二剂即
消，神方也。（〔批〕更妙之甚。）
孙真君曰∶我亦有奇方传子。凡痈初起，用白矾一两，金银花三两，水煎服。一剂即消，发
背亦然。
天师说：人的背部生痈疽，或者生在胸腹之间，或者生在头面之上，或者生在手足之际，这些情况如果在发病五日之内，还应当采用内服药物消散的方法；如果超过五日，就必须动刀手术。内服消散的方剂是：金银花四两，蒲公英二两，生甘草二两，当归二两，天花粉五钱，用水煎服。服用一剂就能消退，两剂即可痊愈，不需要服用第三剂。金银花专门能够内消疮毒，但是如果不大量使用则药力轻微，难以成功；单用生甘草一味已经足以解毒，何况又配合金银花使用，这足以疏散邪气而护卫正气；蒲公英是阳明经的药物，并且能够散结驱逐邪气；天花粉是消除痰浊的圣药；当归能活血，这是它的专长。血液不流通所以产生痈肿，现在血液流通了，痈肿自然痊愈。这个方子之所以奇妙且气势宏大，原因就在这里。（批注：消毒神圣丹。）倘若之前没有服用过败毒消散的药物，导致脓液形成并溃破，外部的疮口必然很小，而内部的病灶却很大。这就好比贼寇居住在深山中，关隘必然狭窄，而其中的巢穴，自然必须修筑宽广。如果不直接攻打其坚固之处，那么病情就会蔓延不止，势必使百姓沦为盗贼（比喻毒邪扩散）。所以必须用刀剪，去除疮口边缘的腐肉，使内部的毒气无法藏匿。刀具要长三寸，宽仅三分，两边都锋利，锋刃厚半分，一边稍尖。手持定住，眼看定住，心念专注，一刀横划，一刀直划。人必定会感到短暂昏厥，不必惊慌，片刻后自然会安定。之后将药末敷在膏药上贴敷，大约一张膏药，敷药末二钱，粘贴后立即止痛，败脓全部排出。连续三天，就能完全消退。内服煎剂：当归一两，黄芪五钱，人参一钱，荆芥一钱，金银花二两，生甘草三钱，用水煎服，两剂可以治愈，不需要多服。（批注：败毒圣神丹。）这是治疗阳证疮疡的方法。阳证疮痈，必然突起一寸多高，颜色红肿发光，疼痛呼号的是。如果是阴证痈疽，内服消散的治疗方法，与阳证相同，至于破溃后的治疗方法，截然不同。大概阴证痈疽，颜色必然黑暗，疼痛也不剧烈，只觉得身体沉重，疮口必然不突起，或者出现无数小疮口来欺骗世人。急用附子三钱，人参三两，生黄芪三两，当归一两，金银花三两，白芥子二钱来治疗。麦冬可以加三钱，玄参不可用。（批注：散寒救阴至圣丹）总之阴证宜用温热药发散，不可用寒凉药解表。外用膏药，加入生肌药末五钱贴敷，一天更换两次才可以。因为阴证痈疽，多生于富贵人家饮食肥甘的人，以及功名失意的人。心肾不交，阴阳俱耗，再加上忧愁抑郁，愤怒呼号，气机郁结不散，于是结成巨大的毒邪。无论是在背、在头、在腹、在胁、在手、在足，都是危重病症。如果服用我的药，又用我的膏药，没有不能保全生命的。因为阳证可以用凉药解除，而阴证必须用温药发散。膏药方如下：金银花一斤，生地八两，当归三两，川芎二两，牛膝一两，丹皮一两，麦冬三两，生甘草一两，荆芥一两，防风五钱，黄芪三两，茜草根五钱，人参五钱，玄参五两，用麻油五斤，煎煮数沸，将药渣滤出，再熬，直到滴水成珠；加入以下药物：广木香一两，黄丹二斤，炒制飞去砂，没药一两，乳香一两，血竭一两，象皮研为末五钱，麝香一钱，各研为细末，放入油中，稍微煎好，藏在瓷罐内使用。每一个疮口用一两，大概发背疮必须用一两，其余疮口，根据大小用量。（批注：阴阳至圣丹。雷公说：为什么论述如此精妙而方剂如此奇特呢？）药末方：人参一两，冰片一钱，乳香去油三钱，透明血竭五钱，三七末一两，儿茶一两，水飞去砂，川倍子一两，藤黄三钱，贝母二钱，轻粉一钱，各研为极细末，以无声响为标准。这个膏药和药末，神奇无比。除了发背疮，其余疮口，不超过两个疗程；阴证不超过三个疗程。保密。（批注：阴阳至圣丹。孙公说：真是奇特的方子啊！）
痈疽最难治疗，外部还没有显现真正的形态，内部的大穴位已经先溃烂。古人说：外部大如豆，内部大如拳；外部大如拳，内部大如盘，确实不虚假。
凡人一见背部有疮口外露的，不可轻视，急用蒜切片一分厚，贴在疮口上，用艾火烧灼。痛的烧到不痛为止，不痛的烧到知痛为止，切不可不痛就停止，而痛的一定要烧到痛才停止。这个方法最妙，世人不认识，而我特别提出出来，用来治疗发背初起的情况。因为一经灸治，则毒随火化，以火攻火，又有什么怀疑的呢？希望世间医生留意。
华君说：传授给您的方法尤其奇特，传授给我的方子却不这样。痈疽方：用金银花三两，生甘草三钱，蒲公英三钱，当归一两，天花粉五钱，用水煎服。我的方子与天师传授给您的方子略有不同。然而天师看到当今人的体质，比三国时期更薄弱，所以药味改轻为重，只有天花粉这一味，分量相同，想是因为痰浊不可大攻的缘故吧。然而我的方子也非常奇特，不可轻视。如果见到疮势稍微减轻，酌情使用我的方子治疗如何，也没有不灵验的。膏药与药末方相同。
雷公说：我也有方子。治疗痈疽方：用生甘草五钱，金银花三两，当归一两，玄参五钱，天花粉三钱，白矾一钱，附子一片，用水煎服，初起的，一剂即消；肿起的，二剂即消，是神方。（批注：更加奇妙得很。）
On Yang Syndrome Carbuncles and Ulcers, and Yin Syndrome Carbuncles and Ulcers
The Heavenly Master said: When a person develops carbuncles or ulcers on the back, or between the chest and abdomen, or on the head and face, or at the extremities of the hands and feet, if within five days of onset, internal medication should still be used to dissipate them; if beyond five days, surgical incision is necessary. The internal dissipation formula consists of: 4 liang (approx. 150g) of *Jinyinhua* (Lonicerae Japonicae Flos), 2 liang (approx. 75g) of *Pugongying* (Taraxaci Herba), 2 liang (approx. 75g) of *Sheng Gancao* (Glycyrrhizae Radix et Rhizoma Recens), 2 liang (approx. 75g) of *Danggui* (Angelicae Sinensis Radix), and 5 qian (approx. 18.75g) of *Tianhuafen* (Trichosanthis Radix). Decoct in water and take orally. One dose will cause resolution, two doses will lead to complete cure, and a third dose is unnecessary. *Jinyinhua* (Lonicerae Japonicae Flos) specializes in internally dissipating toxin from sores, but without high dosage, its efficacy is weak and success difficult; alone, *Sheng Gancao* (Glycyrrhizae Radix et Rhizoma Recens) is sufficient to detoxify, especially when combined with *Jinyinhua*, it effectively disperses pathogenic factors while protecting healthy Qi. *Pugongying* (Taraxaci Herba) is a herb for the Yangming channel, capable of resolving nodules and expelling pathogens; *Tianhuafen* (Trichosanthis Radix) is a supreme medicine for eliminating phlegm; *Danggui* (Angelicae Sinensis Radix) invigorates blood, which is its specific function. Stasis of blood leads to the formation of carbuncles; now that blood circulation is restored, the carbuncle heals itself. This is why this formula is considered both miraculous and potent. (Commentary: Disinfecting Divine Holy Pill.) If toxic-resolving dissipating medicines were not taken earlier, leading to suppuration and rupture, the external opening will likely be small while the internal cavity is large. This is like bandits dwelling deep in mountains: the passes are narrow, but their nests must be spacious. If one does not directly attack the stronghold, the condition will spread endlessly, potentially turning the populace into "bandits" (metaphor for spreading toxicity). Therefore, sharp instruments must be used to remove necrotic tissue around the wound edge, preventing internal toxins from hiding. The knife should be three cun long, three fen wide, sharp on both edges, with a blade thickness of half a fen, slightly pointed on one side. Hold firmly, gaze steadily, focus the mind, make one horizontal cut and one vertical cut. The patient may experience brief syncope; do not panic, as they will recover shortly. Afterwards, apply powdered medicine onto a plaster patch. Approximately two qian (approx. 7.5g) of powder per plaster. Application provides immediate pain relief, and purulent matter drains completely. After three consecutive days, the lesion should resolve entirely. Internal decoction: 1 liang (approx. 37.5g) of *Danggui* (Angelicae Sinensis Radix), 5 qian (approx. 18.75g) of *Huangqi* (Astragali Radix), 1 qian (approx. 3.75g) of *Renshen* (Ginseng Radix), 1 qian (approx. 3.75g) of *Jingjie* (Schizonepetae Spica), 2 liang (approx. 75g) of *Jinyinhua* (Lonicerae Japonicae Flos), and 3 qian (approx. 11.25g) of *Sheng Gancao* (Glycyrrhizae Radix et Rhizoma Recens). Decoct in water and take orally. Two doses are sufficient; excessive use is unnecessary. (Commentary: Toxin-Resolving Divine Holy Pill.) This is the method for treating Yang syndrome sores and ulcers. Yang syndrome carbuncles typically protrude more than one cun, appear red and swollen with a shiny surface, and are painful with crying out. For Yin syndrome carbuncles and ulcers, the internal dissipation treatment is the same as for Yang syndrome, but the treatment after rupture is completely different. Generally, Yin syndrome carbuncles appear dark in color, with mild pain, accompanied by a sensation of heaviness in the body. The wound does not protrude or presents numerous small openings to deceive observers. Urgently treat with: 3 qian (approx. 11.25g) of *Fuzi* (Aconiti Lateralis Radix Praeparata), 3 liang (approx. 112.5g) of *Renshen* (Ginseng Radix), 3 liang (approx. 112.5g) of *Sheng Huangqi* (Astragali Radix Recens), 1 liang (approx. 37.5g) of *Danggui* (Angelicae Sinensis Radix), 3 liang (approx. 112.5g) of *Jinyinhua* (Lonicerae Japonicae Flos), and 2 qian (approx. 7.5g) of *Baijiezhi* (Sinapis Semen). *Maidong* (Ophiopogonis Radix) can be added at 3 qian (approx. 11.25g); *Xuanshen* (Scrophulariae Radix) must not be used. (Commentary: Cold-Dispersing Yin-Saving Supreme Holy Pill.) In summary, Yin syndrome should be treated with warm-dispersing methods, never cold-clearing methods. For external application, add 5 qian (approx. 18.75g) of flesh-generating powder to the plaster, changing twice daily. Yin syndrome carbuncles often occur in wealthy individuals accustomed to rich diets, or those frustrated in their career ambitions. Disharmony between Heart and Kidney, depletion of both Yin and Yang, compounded by sorrow, depression, anger, and shouting, causes Qi stagnation, forming severe toxicity. Whether located on the back, head, abdomen, flanks, hands, or feet, these are critical conditions. With my internal medicine and external plasters, survival is assured. Yang syndrome can be resolved with cooling agents, whereas Yin syndrome requires warming dispersal. Plaster Formula: 1 jin (approx. 500g) of *Jinyinhua* (Lonicerae Japonicae Flos), 8 liang (approx. 400g) of *Shengdi* (Rehmanniae Radix Recens), 3 liang (approx. 150g) of *Danggui* (Angelicae Sinensis Radix), 2 liang (approx. 100g) of *Chuanxiong* (Chuanxiong Rhizoma), 1 liang (approx. 50g) of *Niuxi* (Achyranthis Bidentatae Radix), 1 liang (approx. 50g) of *Danpi* (Moutan Cortex), 3 liang (approx. 150g) of *Maidong* (Ophiopogonis Radix), 1 liang (approx. 50g) of *Sheng Gancao* (Glycyrrhizae Radix et Rhizoma Recens), 1 liang (approx. 50g) of *Jingjie* (Schizonepetae Spica), 5 qian (approx. 18.75g) of *Fangfeng* (Saposhnikoviae Radix), 3 liang (approx. 150g) of *Huangqi* (Astragali Radix), 5 qian (approx. 18.75g) of *Qiancaogen* (Rubiae Radix et Rhizoma), 5 qian (approx. 18.75g) of *Renshen* (Ginseng Radix), and 5 liang (approx. 250g) of *Xuanshen* (Scrophulariae Radix). Boil in 5 jin (approx. 2500g) of sesame oil until boiling several times, strain out the dregs, then continue simmering until the oil forms beads ("water-drop test"). Add the following finely powdered herbs: 1 liang (approx. 50g) of *Guangmuxiang* (Aquilariae Lignum Resinatum), 2 jin (approx. 1000g) of *Huandan* (Minii Oxidum Rubrum) [calcined and washed free of sand], 1 liang (approx. 50g) of *Myrrh* (Myrrha), 1 liang (approx. 50g) of *Ruxiang* (Olibanum), 1 liang (approx. 50g) of *Xuejie* (Draco Sanguis), 5 qian (approx. 18.75g) of *Xiangpi* (Elephantis Corium), and 1 qian (approx. 3.75g) of *Shexiang* (Moschus). Mix into the oil, simmer briefly, store in a porcelain jar. Use 1 liang (approx. 50g) per application; for back carbuncles (*Fabei*), 1 liang is mandatory; for other wounds, adjust according to size. (Commentary: Yin-Yang Supreme Holy Pill. Lei Gong said: Why is the discussion so profound and the formula so unique?) Powder Formula: 1 liang (approx. 50g) of *Renshen* (Ginseng Radix), 1 qian (approx. 3.75g) of *Bingpian* (Borneolum Syntheticum), 3 qian (approx. 11.25g) of *Ruxiang* (Olibanum) [de-oiled], 5 qian (approx. 18.75g) of transparent *Xuejie* (Draco Sanguis), 1 liang (approx. 50g) of *Sanqi* (Notoginseng Radix et Rhizoma) powder, 1 liang (approx. 50g) of *Ercha* (Catechu), 1 liang (approx. 50g) of *Chuanbeizi* (Fritillariae Thunbergii Bulbus) [water-washed free of sand], 3 qian (approx. 11.25g) of *Tenghuang* (Gambogi Resina), 2 qian (approx. 7.5g) of *Beimu* (Fritillariae Cirrhosae Bulbus), and 1 qian (approx. 3.75g) of *Qingfen* (Calomelas). Grind all into extremely fine powder, ensuring no sound is produced. These plasters and powders are incredibly miraculous. Except for back carbuncles, other wounds heal within two applications; Yin syndrome heals within three. Keep secret. (Commentary: Yin-Yang Supreme Holy Pill. Sun Gong said: Truly a miraculous formula!)
Master Zhang said: I have already transmitted the formulas for sores and ulcers; they can be appended here.
Carbuncles and ulcers are the most difficult to treat. Before the true form appears externally, the major acupoints internally have already ulcerated. As the ancients said: "Externally the size of a bean, internally the size of a fist; externally the size of a fist, internally the size of a plate." This is indeed accurate.
When one sees a sore opening on the back, do not underestimate it. Immediately apply a slice of garlic, one fen thick, to the wound, and moxa-burn it. If it hurts, burn until the pain stops; if it does not hurt, burn until sensation returns. Do not stop immediately if there is no pain, nor stop if it becomes painful before the desired effect is achieved. This method is excellent, unrecognized by the world, but I highlight it specifically for early-stage back carbuncles. Once moxa-burned, the toxin transforms with the fire; attacking fire with fire, what doubt remains? Physicians of the world should pay attention.
Master Hua said: The method transmitted to you is particularly unique; the formula transmitted to me is different. Carbuncle Formula: 3 liang (approx. 150g) of *Jinyinhua* (Lonicerae Japonicae Flos), 3 qian (approx. 11.25g) of *Sheng Gancao* (Glycyrrhizae Radix et Rhizoma Recens), 3 qian (approx. 11.25g) of *Pugongying* (Taraxaci Herba), 1 liang (approx. 50g) of *Danggui* (Angelicae Sinensis Radix), and 5 qian (approx. 18.75g) of *Tianhuafen* (Trichosanthis Radix). Decoct in water and take orally. My formula differs slightly from the Heavenly Master's transmission to you. However, observing the constitution of people today compared to the Three Kingdoms period, which is thinner/weakier, the Heavenly Master changed light dosages to heavy ones. Only *Tianhuafen* (Trichosanthis Radix) retains the same dosage, likely because phlegm cannot be aggressively attacked. Nevertheless, my formula is also very unique and should not be轻视 (underestimated). If the sore condition is slightly milder, consider using my formula; it will surely respond. The plaster and powder formulas are the same.
Qi Tian Shi said: Master Hua speaks correctly. (Commentary: Heavenly Master said: Wonderful.)
Lei Gong said: I also have a formula. Carbuncle/Ulcer Formula: 5 qian (approx. 18.75g) of *Sheng Gancao* (Glycyrrhizae Radix et Rhizoma Recens), 3 liang (approx. 150g) of *Jinyinhua* (Lonicerae Japonicae Flos), 1 liang (approx. 50g) of *Danggui* (Angelicae Sinensis Radix), 5 qian (approx. 18.75g) of *Xuanshen* (Scrophulariae Radix), 3 qian (approx. 11.25g) of *Tianhuafen* (Trichosanthis Radix), 1 qian (approx. 3.75g) of *Baifan* (Alumen), and one slice of *Fuzi* (Aconiti Lateralis Radix Praeparata). Decoct in water and take orally. For early stages, one dose resolves it; for swelling, two doses resolve it. A divine formula. (Commentary: Even more wonderful.)
Sun Zhen Jun said: I also have a miraculous formula to transmit. For any initial carbuncle, use 1 liang (approx. 50g) of *Baifan* (Alumen) and 3 liang (approx. 150g) of *Jinyinhua* (Lonicerae Japonicae Flos). Decoct in water and take orally. One dose resolves it; this applies to back carbuncles as well.