论曰。疮疡者。火之属。须分内外以治其本。内经曰。膏粱之变。足生大丁。其原在里。发于表也。受持
如虚。言内结而发诸外。未知从何道而出。皆是从虚而出也。假令太阳经虚从背而出。少阳经虚从鬓出。阳明
经虚从髭而出。督脉经虚从脑而出。又经曰。地之湿气。感则害人皮肤筋脉。其在外盛则内行。若其脉沉实。
当先疏其内。以绝其原也。其脉浮大。当先托里。恐气伤于内也。有内外之中者。邪气至甚。遏绝经络。故发
痈肿。经曰。荣气不从。逆于肉理。乃生痈疽。此因失托里。及失疏通。又失和荣卫也。治疮之大要。须明
托里疏通行荣卫三法。托里者。治其外之内。疏通者。治其内之外。行荣卫者。治其中也。内之外者。其脉沉
实。发热烦躁。外无 赤痛。其邪气深于内也。故先疏通。以绝其原。外之内者。其脉浮数。 肿在外。形证
外显。恐邪气极而内行。故先托里。内外之中者。外无 恶之气。内亦脏腑宣通。知其在经。当和荣卫也。用
此三法之后。虽未瘥。必无变证。亦可使邪气峻减。而易痊愈。故经曰。诸痛痒疮疡。皆属心火。又曰。知其
要者。一言而终。不知其要。流散无穷。
针灸法曰。凡疮疡可灸刺者。须分经络部分。血气多少。俞穴远近。若从背而出。当从太阳五穴。随证选
用。或刺或灸。泄其邪气。
凡太阳多血少气。
至阴 通谷 束骨 昆仑 委中
从鬓而出者。当从少阳五穴选用。
少阳少血多气。
窍阴 侠溪 临泣 阳辅 阳陵泉
从髭而出者。当从阳明五穴选用。
阳明多血多气。
厉兑 内庭 陷谷 冲阳 解溪
从脑而出者。初觉脑痛不可忍。且欲生疮也。脑者髓之海。当灸刺绝骨。以泄邪气。髓者舍也。故脉浮者。
从太阳经。根据前选用。脉长者。从阳明经。根据前选用。脉弦者。从少阳经。根据前选用。论曰。诸经各有井荥俞
经合。井主心下满及疮色青。荥主身热及疮赤色。俞主体重节痛疮黄色。经主咳嗽寒热疮白色。合主气逆而泄
疮黑色。随经病而有此证者。或宜灸宜针。以泄邪气。经曰。邪气内蓄则肿热。宜砭射之也。内经曰。夫癖气
之息者。宜以针开除之。气胜血聚者。宜石而泄之。王注曰。石砭也。可以破大痈出脓。今以排针代之。凡疮
疡已觉微漫肿硬。皮血不变色。脉沉不痛者。当外灸之。引邪气出而方止。如已有脓水者不可灸。当刺之。浅
者亦不灸。经曰。陷者灸之。如外微觉木硬而不痛者。当急灸之。是邪气深陷也。浅者不可灸。慎之。
诸病疮疡如呕者。是湿气浸于胃也。药中宜倍加白术服之。
内疏黄连汤 治呕哕心逆。发热而烦。脉沉而实。肿硬木闷而皮肉不变色。根深大。病在内。脏腑秘涩。
当急疏利之。
黄连 芍药 当归 槟榔 木香 黄芩 山栀子 薄荷 桔梗 甘草（以上各一两） 连翘（二两）
上除槟榔木香二味为细末外。并 。每服一两。水一盏半。煎至一盏。先吃一二服。次每服加大黄一钱。再
服加二钱。以利为度。如有热证。止服黄连汤。大便秘涩加大黄。觉无热证。少煎没药内托复煎散。时时服之。
如实无热。及大小便通。止服复煎散。稍有热证。却服黄连汤。秘则加大黄。如此内外皆通。荣卫和调。则经
络自不遏绝矣。
治肿 于外。根 不深。形证在表。其脉多浮。痛在皮肉。邪气盛则必侵于内。急须内托以救其里也。
服内托复煎散。
地骨皮 黄 芍药 黄芩 白术 茯苓 人参 柳桂（味淡者） 甘草 防己 当归（以上各一两） 防风（二
两）
上 咀。先煎苍术一斤。用水五升。煎至三升。去术滓。入前药十二味。再煎至三四盏。绞取清汁。作三
四服。终日服之。又煎苍术滓为汤。去滓再根据前煎服十二味滓。此除湿散郁热。使胃气和平。如或未已。再作
半料服之。若大便秘。及烦热。少服黄连汤。如微利及烦热已过。却服复煎散半料。如此使荣卫俱行。邪气
不能内侵也。
治诸疮疡。脏腑已行。如痛不可忍者。可服当归黄 汤。并加减在后。
当归 黄 地黄 地骨皮 川芎 芍药（等分）
上 咀。每服一两。水一碗。煎至五分。去滓温服。如发热者。加黄芩。烦热不能卧者。加栀子。如呕是
湿气侵胃也。倍加白术。
膏药方
好芝麻油（半斤） 当归（半两） 杏仁（四十九个去皮） 桃柳枝（各四十九条长四指）
上用桃柳二大枝。新绵一叶包药。系于一枝上。内油中。外一枝搅于铁器内。煎成入黄丹三两。一处熬。
水中滴成不散如珠子为度。
冶金丝疮。一云红丝瘤。其状如线或如绳。巨细不等。经所谓丹毒是也。但比 毒不甚广阔。人患此疾。
头手有之。下行至心则死。下有之上行亦然。法当于疮头截经而剌之。以出血后。嚼萍草根涂之。立愈。
治从高坠下。涎潮昏冒。此惊恐得也。苦杖散。
苦杖（不以多少）
上细末。热酒调下。如产后瘀血不散。或聚血。皆治之。
治疔疮。夺命散。
乌头尖 附子底 蝎梢 雄黄（各一钱） 蜈蚣（一对） 砂 粉霜 轻粉 麝香 乳香（各半钱）
信（二钱半） 脑子（少许）
上为细末。先破疮出恶血毕。以草杖头用纸带入于内。以深为妙。
治疮难消。不能作脓。痛不止。木香散。
地骨皮（一两去土皮） 木香（半两） 穿山甲（二钱半炙黄） 麝香（一字）
上为细末。酒调下三钱。及小儿斑后生痈。米饮调下。效如神。
治疔疮毒瓦斯入腹。昏闷不食。
紫花地丁 蝉壳 管仲（各半两） 丁香 乳香（各一钱）
上细末。每服二钱。温酒调下。
治恶疮有死肉者。及追脓。
白丁香 轻粉 粉霜 雄黄 麝香（各一钱） 巴豆（三个去油）
上同研细。新饭和作锭子用之。
治诸疮大疼痛。不辨肉色。漫肿光色。名曰附骨痈如神。三生散。
露蜂房 蛇退皮 头发（洗净等分）
三味烧灰存性研细。酒调三钱。
治膀胱移热于小肠。上为口糜。好饮酒人多有此疾。当用导赤散五苓散各半两煎服。
治少阴口疮。半夏散。若声绝不出者。是风寒遏绝阳气不伸也。
半夏（一两制） 桂（一字） 草乌头（一字）
上同煎一盏水。分作二服。其效如神。
治太阴口疮。甘矾散
生甘草（一寸） 白矾（一栗子大）
上含化咽津。
治赤口疮。乳香散。
乳香 没药（各一钱） 白矾（飞半钱） 铜绿（少许）
为细末。掺用。
诸疮疡痛色变紫黑者。回疮金银花汤。
金银花（连枝二两） 黄 （四两） 甘草（一两）
上三味 细。酒一升。入瓶内闭口。重汤内煮三二时。取出去滓。放温服之。
诸疮肿已破。未破 肿甚。当归散主之。
当归 黄 栝蒌 木香 黄连（各等）
上为粗末。煎一两。如痛而大便秘。加大黄三钱。
乳香散 治疮口痛大者。
寒水石（烧一两） 滑石（一两） 乳香 没药（各五分） 脑子（少许）
上各研细同和匀。少掺疮口上。
雄黄散 治诸疮有恶肉。不能去者。
雄黄（一钱研） 巴豆（一个去皮研）
上二味同研如泥。入乳香没药少许。再研细。少上。恶肉自去也。
木香散 治疮口久不敛。
木香 槟榔（各一钱） 黄连（二钱）
上为细末。掺上。如痛加当归一钱贴之。自收敛。
又方
蜀椒（去目炒黑色一钱另研） 定粉（一两） 风化灰（五钱） 白矾（二钱半飞过） 乳香 没药（各一钱）
上为细末。掺疮口上。
针头岁 治疮疡 肿木硬。
蟾酥 麝香（各一钱）
各同研极细。以儿乳冲调和泥。入磁合内盛。干不妨。每用以唾津调拨少许于肿处。更以膏药敷之。毒瓦斯
自出。不能为疮。虽有疮亦轻。
治白口疮。没药散。
没药 乳香 雄黄（各一钱） 轻粉（半钱） 巴豆霜（少许）
上细末。干掺。
论述说：疮疡属于火的范畴，必须区分内因和外因来治疗其根本。《内经》说：“饮食肥甘厚味产生的病变，足以导致身上长出大的疔疮。”其根源在于体内，而表现在体表。这种说法如同虚弱之象，意指内部结滞而发于外部，但不知道是从哪条路径出来的，其实都是从虚损之处发出的。假如太阳经虚弱，就从背部发出；少阳经虚弱，就从鬓角发出；阳明经虚弱，就从胡须处发出；督脉经虚弱，就从头部发出。又引经文说：“大地的湿气，受到侵害就会损伤人的皮肤和筋脉。”如果在外感邪气旺盛，则会向内传行。如果脉象沉实，应当先疏通内部，以断绝病源。如果脉象浮大，应当先托补里气，恐怕正气在内受损。有内外同时受邪的情况，邪气非常严重，阻滞经络，所以发生痈肿。经文说：“营气运行不畅，逆乱于肌肉纹理之间，于是产生痈疽。”这是因为失于托里，以及失于疏通，又失于调和营卫所致。治疗疮疡的大要，必须明白托里、疏通、行营卫这三法。托里，是治疗由外向内的病证；疏通，是治疗由内向外的病证；行营卫，是治疗处于中间状态的病证。所谓“由内之外”，其脉象沉实，发热烦躁，外部没有明显的红肿疼痛，说明邪气深伏在内部，所以先疏通，以断绝病源。所谓“由外之内”，其脉象浮数，肿胀在外部，形态症状显露于外，担心邪气极盛而向内传行，所以先托里。所谓“内外之中”，外部没有恶寒发热等表证，内部脏腑宣通，知道病邪在经络，应当调和营卫。运用这三种方法之后，即使病情未愈，也必然不会发生变证，也能使邪气大幅减少，从而容易痊愈。所以经文说：“各种疼痛、瘙痒、疮疡，都属于心火。”又说：“懂得要领的人，一句话就能终结（道理）；不懂得要领的人，则流散无穷。”
针灸法说：凡是疮疡可以施灸或针刺的，必须区分所属的经络部位、气血多少、腧穴远近。如果从背部发出，应当选取太阳经的五穴，随证选用，或刺或灸，以泄除邪气。
凡太阳经多血少气。
至阴穴、通谷穴、束骨穴、昆仑穴、委中穴。
从鬓角发出的，应当从少阳经的五穴选用。
少阳经少血多气。
窍阴穴、侠溪穴、临泣穴、阳辅穴、阳陵泉穴。
从胡须处发出的，应当从阳明经的五穴选用。
阳明经多血多气。
厉兑穴、内庭穴、陷谷穴、冲阳穴、解溪穴。
从头部发出的，刚开始觉得头痛难忍，即将生疮。脑为髓海，应当灸刺绝骨穴，以泄除邪气。髓是藏舍之所，所以脉浮的，从太阳经根据前文选用穴位；脉长的，从阳明经根据前文选用穴位；脉弦的，从少阳经根据前文选用穴位。论述说：各经都有井、荥、俞、经、合五输穴。井穴主治心下满闷及疮色青；荥穴主治身热及疮色赤；俞穴主治身体沉重关节疼痛及疮色黄；经穴主治咳嗽寒热及疮色白；合穴主治气逆腹泻及疮色黑。随着经络病变出现这些症状的，或者宜灸或者宜针，以泄除邪气。经文说：“邪气内蓄积则肿胀发热，适宜用砭石放血。”《内经》说：“对于癖气停滞的，适宜用针疏导开泄；对于气胜血聚的，适宜用砭石泄之。”王冰注解说：“石即砭石，可以破大痈排脓。”现在用排针代替。凡是疮疡已经觉得微微漫肿坚硬，皮色血色不变，脉沉不痛的，应当外灸，引导邪气外出才停止。如已有脓水的不可灸，应当刺之。浅表的也不灸。经文说：“凹陷的用灸法。”如果外部微微觉得麻木坚硬而不痛，应当急灸，这是邪气深陷，浅表的不可灸，务必谨慎。
各种疮疡伴有呕吐的，是湿气浸渍于胃的缘故，药物中应当加倍加入白术服用。
内疏黄连汤：治疗呕吐呃逆、心气上逆、发热烦躁、脉沉实、肿胀坚硬麻木闷胀而皮肉不变色、根基深大、病位在内部、脏腑秘涩不通。应当紧急疏通利下。
黄连、芍药、当归、槟榔、木香、黄芩、山栀子、薄荷、桔梗、甘草（以上各一两）、连翘（二两）。
将除槟榔、木香两味研为细末外，其余药材切碎。每服一两，用水一盏半，煎至一盏，先吃一二服。随后每服加大黄一钱，再服加大黄二钱，以大便通畅为度。如果有热证，只服黄连汤。大便秘涩加大黄。觉得没有热证，少煎没药内托复煎散，时时服用。如果实在没有热证，且大小便通畅，只服复煎散。稍有热证，却服黄连汤。秘结则加大黄。这样内外皆通，营卫调和，则经络自然不再阻滞。
治疗肿胀在外部，根基不深，形态症状在表，脉象多浮，疼痛在皮肉，邪气盛则必侵入内部，急需内托以救里。
服用内托复煎散。
地骨皮、黄芪、芍药、黄芩、白术、茯苓、人参、柳桂（味道淡的）、甘草、防己、当归（以上各一两）、防风（二两）。
将药材切碎。先煎苍术一斤，用水五升，煎至三升，去掉苍术渣，加入前面十二味药，再煎至三四盏，过滤取清汁，分三四次服用，全天服完。另外煎苍术渣为汤，去渣后再按前法煎服十二味药的药渣。此方能除湿散郁热，使胃气平和。如果病未止，再做半料服用。如果大便秘结及烦热，少服黄连汤。如果轻微腹泻及烦热已过，却服复煎散半料。如此使营卫俱行，邪气不能内侵。
治疗各种疮疡，脏腑已通调，如果疼痛难忍，可服用当归黄芪汤，加减法在后面。
当归、黄芪、地黄、地骨皮、川芎、芍药（等分）。
将药材切碎。每服一两，用水一碗，煎至五分，去渣温服。如果发热，加黄芩。烦热不能卧者，加栀子。如果呕吐是湿气侵胃，加倍加白术。
膏药方：
好芝麻油（半斤）、当归（半两）、杏仁（四十九个去皮）、桃枝和柳枝（各四十九条，长四指）。
用桃柳两大枝，新棉一叶包药，系在一枝上，放入油中，另一枝在铁器内搅拌。煎成后加入黄丹三两，一起熬制。滴入水中不散，如珠子状为度。
冶金丝疮，一说红丝瘤，形状像线或像绳子，粗细不等，经文所说的丹毒就是这类。只是比丹毒范围不甚广阔。人患此疾，头手有之，下行至心脏则死，向下发展的向上发展亦然。治法应当在疮头截断经络并刺之，出血后，嚼萍草根涂抹，立即痊愈。
治疗从高坠落，涎潮昏冒，这是惊恐所致。苦杖散。
苦杖（不限多少）。
研为细末，热酒调服。如果是产后瘀血不散，或聚血，都治疗它。
治疗疔疮，夺命散。
乌头尖、附子底、蝎梢、雄黄（各一钱）、蜈蚣（一对）、砂粉霜、轻粉、麝香、乳香（各半钱）、信石（二钱半）、脑子（少许）。
研为细末。先破疮放出恶血完毕，用草杖头用纸带引入疮内，以深为妙。
治疗疮难消，不能化脓，疼痛不止，木香散。
地骨皮（一两去土皮）、木香（半两）、穿山甲（二钱半炙黄）、麝香（一字）。
研为细末，酒调服三钱。以及小儿斑疹后生痈，米饮调服，效如神。
治疗疔疮毒瓦斯入腹，昏闷不食。
紫花地丁、蝉壳、管仲（各半两）、丁香、乳香（各一钱）。
研为细末，每服二钱，温酒调服。
治疗恶疮有死肉者，以及追脓。
白丁香、轻粉、粉霜、雄黄、麝香（各一钱）、巴豆（三个去油）。
一同研细，新饭和作锭子使用。
治疗各种疮大疼痛，不辨肉色，漫肿光色，名叫附骨痈如神方，三生散。
露蜂房、蛇退皮、头发（洗净等分）。
三味烧灰存性研细，酒调服三钱。
治疗膀胱移热于小肠，上行导致口糜，好饮酒人多有此疾，当用导赤散、五苓散各半两煎服。
治疗少阴口疮，半夏散。如果声音断绝不出，是风寒遏绝阳气不能伸展。
半夏（一两制）、桂（一字）、草乌头（一字）。
同煎一盏水，分作二服，其效如神。
治疗太阴口疮，甘矾散。
生甘草（一寸）、白矾（一栗子大）。
含化咽津。
治疗赤口疮，乳香散。
乳香、没药（各一钱）、白矾（飞半钱）、铜绿（少许）。
研为细末，掺用。
各种疮疡痛色变紫黑的，回疮金银花汤。
金银花（连枝二两）、黄芪（四两）、甘草（一两）。
以上三味切碎，酒一升，入瓶内闭口，隔水煮二三小时，取出去渣，放温服之。
各种疮肿已破，未破的肿胀甚，当归散主之。
当归、黄芪、栝蒌、木香、黄连（各等分）。
研为粗末，煎一两。如果痛且大便秘，加大黄三钱。
乳香散：治疗疮口痛大的。
寒水石（烧一两）、滑石（一两）、乳香、没药（各五分）、脑子（少许）。
各研细同和匀，少许掺在疮口上。
雄黄散：治疗诸疮有恶肉，不能去除的。
雄黄（一钱研）、巴豆（一个去皮研）。
以上二味同研如泥，入乳香没药少许，再研细，少许上药，恶肉自去。
木香散：治疗疮口久不收敛。
木香、槟榔（各一钱）、黄连（二钱）。
研为细末，掺上。如果痛加当归一钱贴之，自收敛。
又方：
蜀椒（去目炒黑色一钱另研）、定粉（一两）、风化灰（五钱）、白矾（二钱半飞过）、乳香、没药（各一钱）。
研为细末，掺疮口上。
针头岁：治疗疮疡肿硬麻木。
蟾酥、麝香（各一钱）。
各同研极细，以儿乳冲调和泥，入磁盒内盛，干不妨。每次用唾津调拨少许于肿处，更以膏药敷之，毒瓦斯自出，不能为疮，虽有疮亦轻。
Commentary states: Sores and ulcers belong to the category of Fire. One must distinguish between internal and external causes to treat their root. The *Neijing* (Inner Canon) says: "Changes resulting from rich and sweet foods are sufficient to produce large ding sores on the body." Their origin is internal, manifesting externally. This description resembles a deficiency pattern, indicating that internal stagnation manifests outwardly, though it is unclear through which pathway it emerges; in fact, all emerge from areas of deficiency. If the Taiyang channel is deficient, it emerges from the back; if the Shaoyang channel is deficient, it emerges from the temples; if the Yangming channel is deficient, it emerges from the beard area; if the Du vessel is deficient, it emerges from the head. Furthermore, the classic states: "The dampness of the earth, when encountered, harms the skin and sinews of humans." If external pathogenic factors are abundant, they may travel inward. If the pulse is deep and solid, one should first unblock the interior to cut off the source. If the pulse is floating and large, one should first support the interior, fearing injury to the vital qi within. There are cases where both interior and exterior are affected by pathogens; the pathogenic factor is severe, obstructing the meridians, thus causing carbuncles and swellings. The classic states: "When Ying (Nutritive) Qi does not flow smoothly and reverses into the muscle tissue, abscesses and gangrene arise." This occurs due to failure in supporting the interior, failure in unblocking, and failure in harmonizing Ying and Wei (Defensive) Qi. The general principle for treating sores requires understanding three methods: supporting the interior, unblocking, and promoting Ying-Wei circulation. Supporting the interior treats diseases moving from outside to inside; unblocking treats diseases moving from inside to outside; promoting Ying-Wei circulation treats diseases in the middle state. For "inside-to-outside" patterns, the pulse is deep and solid, with fever and irritability, but no obvious redness or pain externally, indicating the pathogen is deep within; thus, one first unblocks to cut off the source. For "outside-to-inside" patterns, the pulse is floating and rapid, swelling is external, and signs/symptoms are apparent externally, suggesting fear that the pathogen is extreme and moving inward; thus, one first supports the interior. For "middle of inside and outside" patterns, there are no exterior aversion-to-cold or fever symptoms, and the internal zang-fu organs are unobstructed; knowing the pathogen is in the meridians, one should harmonize Ying and Wei Qi. After applying these three methods, even if not fully recovered, complications will certainly be avoided, and the pathogen will be significantly reduced, facilitating recovery. Thus, the classic states: "All pain, itching, and sores belong to Heart Fire." It also says: "Those who understand the essence can conclude with one word; those who do not understand the essence wander endlessly."
Acupuncture and Moxibustion Method states: For sores and ulcers suitable for moxibustion or acupuncture, one must distinguish the meridian involved, the abundance or scarcity of blood and qi, and the proximity of acupoints. If emerging from the back, select five points from the Taiyang channel, choosing according to symptoms, either needling or moxibusting to drain the pathogen.
Generally, the Taiyang channel has abundant blood and scarce qi.
Zhiyin (BL66), Tonggu (BL65), Shugu (BL64), Kunlun (BL60), Weizhong (BL40).
If emerging from the temples, select from five points of the Shaoyang channel.
The Shaoyang channel has scarce blood and abundant qi.
Qiaoyin (GB45), Xiaxi (GB43), Linqi (GB41), Yangfu (GB38), Yanglingquan (GB34).
If emerging from the beard area, select from five points of the Yangming channel.
The Yangming channel has abundant blood and abundant qi.
Lidui (ST45), Neiting (ST44), Xangu (ST43), Chongyang (ST42), Jiexi (ST41).
If emerging from the head, initially there is unbearable headache, indicating impending sore formation. The brain is the sea of marrow; one should moxa or needle Juegu (GB39) to drain the pathogen. Marrow is the residence; therefore, if the pulse is floating, select points from the Taiyang channel as previously described; if the pulse is long, select from the Yangming channel as previously described; if the pulse is wiry, select from the Shaoyang channel as previously described. Commentary states: Each meridian has Jing-Well, Ying-Spring, Shu-Stream, Jing-River, and He-Sea points. Jing-Well points govern epigastric fullness and green-colored sores; Ying-Spring points govern body heat and red-colored sores; Shu-Stream points govern heavy body and joint pain, and yellow-colored sores; Jing-River points govern cough and chills/fever, and white-colored sores; He-Sea points govern rebellious qi and diarrhea, and black-colored sores. Depending on the meridian pathology presenting these signs, one may use moxibustion or acupuncture to drain the pathogen. The classic states: "Accumulation of pathogenic factors internally leads to swelling and heat; bi-shi (stone lancets) should be used." The *Neijing* states: "For stagnant pi-qi, needles should be used to open and discharge it; for conditions where qi overcomes and blood gathers, stone lancets should be used to drain it." Wang Bing's commentary notes: "Stone refers to bi-shi, which can rupture large abscesses and drain pus." Today, drainage needles are used instead. Whenever a sore feels slightly swollen, hard, with unchanged skin color and blood hue, and a deep pulse without pain, external moxibustion should be applied to guide the pathogen out until cessation. If pus is already present, moxibustion is contraindicated; needling is required. Superficial lesions should not be moxa-ed. The classic states: "Depressed lesions are treated with moxibustion." If the exterior feels slightly numb and hard without pain, urgent moxibustion is indicated, signifying deep pathogen penetration; superficial lesions must not be moxa-ed, exercise caution.
For various sores accompanied by vomiting, this indicates dampness invading the Stomach; increase the dosage of Baizhu (Atractylodis Rhizoma) in the prescription.
Neishu Huanglian Tang (Internal Draining Coptis Decoction): Treats vomiting, hiccups, rebellious heart qi, fever, irritability, deep and solid pulse, swollen and hard numb distension with unchanged skin/flesh color, deep-rooted and large, internal pathology, and constipation. Urgent purgation and draining are required.
Huanglian (Coptidis Rhizoma), Shaoyao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix), Binglang (Arecae Semen), Muxiang (Aucklandiae Radix), Huangqin (Scutellariae Radix), Shanzhizi (Gardeniae Fructus), Bohe (Menthae Haplocalycis Herba), Jiegeng (Platycodonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (each 1 liang), Lianqiao (Forsythiae Fructus) (2 liang).
Except for Binglang and Muxiang which are ground into fine powder, the remaining herbs are chopped. Take 1 liang per dose, add 1.5 cups of water, decoct to 1 cup. Take 1-2 doses initially. Subsequently, add 1 qian of Dahuang (Rhei Radix et Rhizoma) per dose, and 2 qian upon further administration, stopping when bowels move freely. If heat signs exist, continue only with Huanglian Tang. For dry stool, add Dahuang. If no heat signs are felt, decoct less Mo Yao (Boswelliae Resina) within the Neituo Fujian San (Support Interior Re-decoction Powder), taking it frequently. If truly no heat and bowel/bladder functions are normal, take only Fujian San. If slight heat appears, resume Huanglian Tang. For constipation, add Dahuang. This ensures both interior and exterior are unblocked, Ying and Wei Qi are harmonized, and meridians are no longer obstructed.
Treating swelling on the exterior with shallow roots and superficial signs, typically with a floating pulse and pain in skin/flesh. When pathogens are strong, they invade internally; urgent internal support is needed to save the interior.
Take Neituo Fujian San (Support Interior Re-decoction Powder).
Digupi (Lycii Cortex), Huangqi (Astragali Radix), Shaoyao (Paeoniae Radix Alba), Huangqin (Scutellariae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Renshen (Ginseng Radix), Liugui (Salicis Ramulus, mild flavor), Gancao (Glycyrrhizae Radix et Rhizoma), Fangji (Stephaniae Tetrandrae Radix), Danggui (Angelicae Sinensis Radix) (each 1 liang), Fangfeng (Saposhnikoviae Radix) (2 liang).
Chop the herbs. First decoct Cangzhu (Atractylodis Rhizoma) 1 jin in 5 sheng of water until reduced to 3 sheng, remove dregs, add the previous 12 herbs, decoct again to 3-4 cups, strain clear liquid, divide into 3-4 doses, consume throughout the day. Additionally, decoct the Cangzhu dregs in water, remove dregs, and decoct the 12 herb dregs again as before. This dispels dampness and dissipates郁热 (stagnant heat), harmonizing Stomach Qi. If unresolved, prepare half a dose. If constipation and irritability occur, take less Huanglian Tang. If mild diarrhea and irritability have passed, resume half a dose of Fujian San. This promotes circulation of Ying and Wei Qi, preventing internal invasion by pathogens.
For various sores where zang-fu functions are restored but pain is unbearable, take Danggui Huangqi Tang (Angelica and Astragalus Decoction), with modifications below.
Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix), Dihuang (Rehmanniae Radix), Digupi (Lycii Cortex), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix Alba) (equal parts).
Chop the herbs. Take 1 liang per dose, add 1 bowl of water, decoct to 1/5 volume, remove dregs, take warm. If feverish, add Huangqin (Scutellariae Radix). If irritable heat prevents lying down, add Zhizi (Gardeniae Fructus). If vomiting occurs due to dampness invading the Stomach, double the Baizhu (Atractylodis Rhizoma).
Ointment Formula:
Good Sesame Oil (ban jin / half jin), Danggui (Angelicae Sinensis Radix) (ban liang / half liang), Xingren (Pruni Armeniaci Semen) (49 kernels, peeled), Tao Zhi (Persicae Ramulus) and Liu Zhi (Salicis Ramulus) (each 49 strips, 4 fingers long).
Wrap the herbs in a new cotton cloth, tie to one branch, immerse in oil. Stir with the other branch in an iron vessel. Once decocted, add Huandan (Minii Oxidum Rubrum) 3 liang, boil together. Test by dropping into water; it should form beads that do not disperse.
Jin Yinsi Chuang (Metal Thread Sore), also known as Hongsi Liu (Red Thread Tumor), resembles a thread or rope of varying thickness, corresponding to the Dan Du (Erysipelas) mentioned in classics. It is less extensive than typical Dan Du. It may appear on the head or hands; if it descends to the Heart, death ensues; ascending from below follows similar logic. Treatment involves lancing the sore head along the meridian to bleed, then chewing Ping Cao Gen (Potamogeton Root) and applying it topically for immediate cure.
Treating fainting and salivary flooding after falling from height, caused by fright and terror. Ku Zhang San (Quercus Inflorescence Powder).
Ku Zhang (Quercus Inflorescence) (any amount).
Grind into fine powder, mix with hot wine and take. Also treats postpartum retained blood or blood stasis.
Treating Ding Sore (Hard Carbuncle), Deming San (Life-Seizing Powder).
Wutou Jian (Aconiti Radix Lateralis Preparata apex), Fuzi Di (Aconiti Radix Preparata base), Xie Shao (Bombyx Batryticatus tip), Xionghuang (Realgar), Wugong (Scolopendra) (one pair), Shafen (Antimonii Sulfuretum Praeparatum), Fen Shuang (Calomelas), Qingfen (Calomelas), Shexiang (Moschus), Ruxiang (Boswelliae Resina) (each 1 qian), Xinshi (Arsenici Trioxidum) (2.5 qian), Naozi (Borneolum Syntheticum) (small amount).
Grind into fine powder. First lance the sore to drain foul blood. Insert a grass stem wrapped in paper into the sore, aiming for depth.
Treoring difficult-to-resolve sores that fail to suppurate and cause persistent pain. Muxiang San (Aucklandia Powder).
Digupi (Lycii Cortex) (1 liang, cleaned), Muxiang (Aucklandiae Radix) (ban liang / half liang), Chuanshanjia (Manis Squama) (2.5 qian, roasted yellow), Shexiang (Moschus) (1 zi).
Grind into fine powder, take 3 qian mixed with wine. Also effective for infantile pox-related abscesses, taken with rice water.
Treating Ding Sore poison entering the abdomen, causing stupor and anorexia. Zihua Diding (Viola Yedoensis), Chanqiao (Cicada Slough), Guanzhong (Polyporus) (each ban liang / half liang), Dingxiang (Caryophylli Flos), Ruxiang (Boswelliae Resina) (each 1 qian).
Grind into fine powder, take 2 qian mixed with warm wine.
Treating malignant sores with necrotic flesh and promoting pus discharge. Baidingxiang (Turdus Merula Excrement processed), Qingfen (Calomelas), Fen Shuang (Calomelas), Xionghuang (Realgar), Shexiang (Moschus) (each 1 qian), Badou (Crotonis Fructus) (3 seeds, oil removed).
Grind together finely, mix with fresh rice paste to form pellets.
Treating severe pain in various sores with discoloration to purple/black, diffuse swelling, named "Bone-Attacking Abscess Miracle," Sansheng San (Three-Life Powder).
Lufengfang (Vespa Nest), Shetui Pi (Ophichthus Skin), Toufa (Human Hair) (washed, equal parts).
Char the three ingredients until carbonized but retaining properties, grind fine, take 3 qian mixed with wine.
Treating Heat transferring from Bladder to Small Intestine, ascending to cause oral ulceration (Kou Mi), common in heavy drinkers. Use Daochi San (Guide Out Red Powder) and Wuling San (Five-Ling Powder), each ban liang (half liang), decocted and taken.
Treating Shaoyin Oral Ulcers, Banxia San (Pinellia Powder). If voice is lost, it indicates Wind-Cold obstructing Yang Qi.
Banxia (Pinelliae Rhizoma Preparata) (1 liang), Gui (Cinnamomi Ramulus) (1 zi), Caowutou (Aconiti Radix) (1 zi).
Decoct together in 1 cup of water, divide into two doses. Highly effective.
Treating Taiyin Oral Ulcers, Ganfan San (Licorice-Alum Powder).
Sheng Gancao (Glycyrrhizae Radix et Rhizoma) (1 cun), Baifan (Alumen) (size of a chestnut).
Hold in mouth to dissolve and swallow saliva.
Treating Red Oral Ulcers, Ruxiang San (Frankincense Powder).
Ruxiang (Boswelliae Resina), Moyao (Myrrhae Resina) (each 1 qian), Baifan (Alumen, purified) (ban qian / half qian), Tonglv (Chalcanthite) (small amount).
Grind into fine powder, apply topically.
For sores turning purple/black with pain, Huichang Jinyinhua Tang (Return Carbuncle Honeysuckle Decoction).
Jinyinhua (Lonicerae Japonicae Flos, with stems) (2 liang), Huangqi (Astragali Radix) (4 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (1 liang).
Chop the three herbs, place in a bottle with 1 sheng of wine, seal tightly, boil in a water bath for 2-3 hours, remove dregs, cool, and take warm.
For sores that have ruptured or are severely swollen but unruptured, Danggui San (Angelica Powder) is primary.
Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix), Gualou (Trichosanthis Fructus), Muxiang (Aucklandiae Radix), Huanglian (Coptidis Rhizoma) (equal parts).
Grind into coarse powder, decoct 1 liang. If painful with constipation, add Dahuang (Rhei Radix et Rhizoma) 3 qian.
Ruxiang San (Frankincense Powder): Treating large, painful sore openings.
Hanshuishi (Calcites) (burned, 1 liang), Huashi (Talcum) (1 liang), Ruxiang (Boswelliae Resina), Moyao (Myrrhae Resina) (each 5 fen), Naozi (Borneolum Syntheticum) (small amount).
Grind each separately, mix uniformly, sprinkle sparingly on the sore opening.
Xionghuang San (Realgar Powder): Treating sores with malignant flesh that cannot be removed.
Xionghuang (Realgar) (1 qian, ground), Badou (Crotonis Fructus) (1 seed, peeled and ground).
Grind these two together into a paste, add small amounts of Ruxiang (Boswelliae Resina) and Moyao (Myrrhae Resina), grind fine again, apply sparingly; malignant flesh will naturally detach.
Muxiang San (Aucklandia Powder): Treating sores that fail to close for a long time.
Muxiang (Aucklandiae Radix), Binglang (Arecae Semen) (each 1 qian), Huanglian (Coptidis Rhizoma) (2 qian).
Grind into fine powder, apply topically. If painful, add Danggui (Angelicae Sinensis Radix) 1 qian and apply; it will self-converge.
Another Formula:
Shujiao (Zanthoxyli Pericarpium, de-stemmed, stir-fried until black, 1 qian, ground separately), Dingfen (Cerussa), Fenghua Hui (Weathered Ash) (5 qian), Baifan (Alumen, purified) (2.5 qian), Ruxiang (Boswelliae Resina), Moyao (Myrrhae Resina) (each 1 qian).
Grind into fine powder, apply to sore opening.
Zhentousui (Needle Head Year): Treating sores with hard, numb swelling.
Chansu (Toad Venom), Shexiang (Moschus) (each 1 qian).
Grind extremely fine, mix with infant milk to form a paste, store in a porcelain container (dry storage is acceptable). Apply a small amount mixed with saliva to the swollen area, cover with ointment; toxins will exit, preventing severe sores, or making existing ones mild.
Treating White Oral Ulcers, Moyao San (Myrrh Powder).
Moyao (Myrrhae Resina), Ruxiang (Boswelliae Resina), Xionghuang (Realgar) (each 1 qian), Qingfen (Calomelas) (ban qian / half qian), Badoushuang (Crotonis Fructus Pulvis) (small amount).
Grind into fine powder, apply dry.