脉 诀云∶数而无力为疮疡。集验云∶脉沉实。发热。烦躁。外无 肿赤痛。其邪深在里。
宜先疏通以绝其源。浮大而数。 肿在外。当先托里。恐邪气入内也。脉不浮不沉。内外
症无知。其在经当和荣卫。脉数身无热内有痈脓。脉数。应当发热。而反恶寒。若有痛处。
当发痈疽疮疡。脉沉迟而缓者生。急疾而数者死。
症 按外科论云∶夫外科以痈疽发背冠于篇首。为诸疮之先者何。盖此症变化在于须臾。
性命悬于毫发故也。然痈疽之名。虽有二十余症。其要则有二焉。阴阳是也。凡发于阳者。
为痈。为热。为实。发于阴者。为疽。为冷。为虚。夫阳发则
皮薄。色赤。肿高。多有椒眼数十。而痛。阴发则皮浓。色淡。肿坚硬。状如牛颈之皮。不痛
。又有阳中之阴。似热非热。虽肿而虚。赤而不燥。作痛而无脓。时浮时消。盛而内腐。阴
中之阳。似冷非冷。不肿而实。微赤而燥。有脓而痛。外虽不盛。而内烦闷。阳中之阴。其
人多肥。肉紧而内虚。阴中之阳。其人多瘦。肉缓而内实。又有阳变为阴。因草医凉剂之过
也。阴变为阳，因火艾热药之骤也。然阳变阴。多犹可返于阳。故多生。阴变阳。多不能复于
阳。故多死。间有生者。此医偶合于法。百中得一耳。所谓发者。积于中而发于外者也。人
之一身。所自本于五脏。五脏之气。皆禀于胃气。胃为五脏之根本。故胃受谷。脾化之以生
气血。脾主肌肉。胃气传五脏。以行血脉。经络。灌溉一身。而昼夜一周。虽痈疽有虚实
寒热。皆由气郁而成。其因有三。内因外因。不内外因。内因候于人迎。人迎者。左手关前一
分是也。外因候于气口。气口者。右手关前一分是也。人迎气口之脉。和平。则为不内外因
也。其原有五。一天行时气。二己情内郁。三体虚外感。四身热抟于风冷。五食烧炙。饮醇
酒。服丹石热毒等药。以五者为邪。气郁于胃中。胃气盛而体实。则邪气相抟。而流注于经
络。涩于所滞。血脉经络。壅结而成痈。胃气弱而体虚。则邪气盛而宿于经络。凝涩流积。
血脉不潮。内腐而成疽。故曰外形如粟。中可容毂。外貌若钱。中可安拳。恶毒脓管。寸长
深满。脓血相粘。用药可痊。臭秽无丝。血败气衰。阳绝阴盛。仙难救命。善用药者。当审
人虚实。察病冷热。推其所因。究其所原。而后治之。内外相应。不可一概而论。如病发于
阳。而极热必当顺其气。匀其血。气顺则宜通而不滞。血匀则流动而自散。气乃为阳。血乃
为阴。阴阳调和。其病自安。外则用凉药而触之。内热反盛。热盛则血得凉而易散。甚则热
已痿。而血凝于凉。以致血不散。此阳变为阴。渐成坏烂之根。急投温剂以治。解其外攻四
围之血路。出其中间已成之脓毒。然后根据法以收其功。如病发于阴而极冷。则内用平补之药
。以宣其气。滋其血。助其元阳。从其脾胃。待其饮食进。而后须顺气匀血。如常法。外用
热药以潮一身之气血。回死肌。拔毒瓦斯。后用温药以散之。其极冷者。或又为凉药所误。不
得已。于三建汤而回阳病。必旁出再作为佳。此阴变为阳之候。更生之兆也。若内不回。外症不见。是为独阴绝阳。
不可治矣。盖阳者气也。阴者血也。阳动则阴随。气运则血行。气耗则血死。血死则病死矣。冷症则用热药。不过
行其气
之主宰。膜为五脏之囊 。病之初起。毒上攻心之胞络。故先呕逆而后痈疽。或先痈疽而后
呕逆者。皆由毒攻于胞络。根于心也。心主受毒。神无所舍。元气昏瞑。毒之始萌。傍腐肌
肉。治若不早。毒瓦斯透膜。膜透则元气泄。脏腑失养。精神枯槁。脉自坏绝。病有至盛。内
见五脏。可得其生者。膜完故也。病有至微。肌肉未溃而死者。膜先透也。是以救心护膜。
当为治者之先务。亦外科之良法也。此乃论痈疽之要。其神圣功巧。不可具述。非寻常医流
。一草一木。一针一刀。所可以得其要者也。
方 加味托里散治发背痈疽。无分脑乳附骨等处。及诸疔瘰 。一应肿毒。肿未成即散。已
成即溃。败脓自出。腐肉自去。痛苦自减。大有神效。非常功也。
人参 黄 桔梗 防风（并去芦） 川芎 当归 官桂 浓朴 白芷（各一钱） 甘草（五分）
白芍药 木香 大腹子 乌药 枳壳 紫苏（各一钱）
上作一服。水一钟半。生姜二片。葱白一根。煎至七分。加酒一呷。病在上。食后服。病在
下。食前服。兼有他症。根据后加减。
病不退。加白术、白茯苓、熟地黄（各一钱）。
不进饮食。加砂仁（七分）、香附（一钱）
痛不住。加乳香、没药（另研煎熟放下各一钱）。
水不干。加知母、贝母（各一钱）
疮不穿。加皂角刺（一钱）。
咳嗽。加陈皮、半夏、杏仁（各一钱）。
大便秘。加大黄（三钱）、枳壳（一钱）
小便涩。加麦门冬、木通、车前子（各一钱）、灯草（二十根）。
香港脚。加木瓜、黄柏（各一钱）。
又方 仙方活命饮治外科一切病症。已成即溃。未成即散。二三服立效。轻者一服即效。予
用此方治乳痈瘰 。大有奇效。
滴乳（另研药熟化下） 防风 白芷 贝母 赤芍药 当归尾 明没药
（研） 皂角刺 天花粉 甘草节 穿山甲（炮以上各一钱） 陈皮 金银花（各三钱）
病在背俞。皂角刺为君（就本方加作三钱）。
在腹募。白芷为君（加作三钱）。
在胸次。加栝蒌仁（去壳二钱）。
在四肢。金银花为君（根据本方）。
疔疮。加紫河车、草根（三钱）。
瘰 。加夏枯草（三钱）。
乳痈。加夏枯草（三钱）、青皮（一钱）。
上作一服。无灰酒五茶钟。装入有嘴瓶内。以浓纸封口。勿令泄气。煎至三大钟去渣。作三
次服。接连不断。随疮上下。食前后服。能饮酒者。服药后。再饮三五杯。此药并无酒气。
不动脏腑。不伤气血。忌酸薄酒 器。服后侧卧。觉痛定回生也。神效不可具述。
真人偈云 真人活法世间稀 大恶痈疽总可医 消毒只如汤泼雪 化脓渐使肉生肌 阴功何
止万人活 神效何须刻日期 留下仙方诚信授 存仁修制上天知
按此方。不问阴阳虚实。善恶肿溃。或大痛。或不痛。先用此剂。大势已退。然后随症调治
。其功甚捷。诚仙方也。
又方 瘰 炙法不问远年近日。一切瘰 。但炙立愈。
男左女右手。以草心于中指第二节起。比至臂上挨掌第一横纹止。剪断。再将草心于百劳穴
骨尖上比起。至草心尽处是穴。以墨记之。于墨上炙。一岁一壮。立愈。
《脉诀》中说：脉搏数而无力，是疮疡的征象。《集验方》记载：脉搏沉实，伴有发热、烦躁，体表没有红肿疼痛，说明邪气深伏在体内。应当先疏通经络以断绝病源。如果脉搏浮大而数，肿胀在体表，应当先托毒扶正，防止邪气内陷。脉搏不浮不沉，内外症状不明显，病在经络，应当调和营卫。脉搏数，身体却没有发热，体内有痈脓；脉搏数，按理应当发热，反而恶寒，如果有疼痛部位，将会发生痈疽疮疡。脉搏沉迟而缓的预后良好，脉搏急疾而数的预后不良（主死）。
症候按语：外科论述说：外科疾病以“痈疽发背”列在篇首，作为各种疮疡之首的原因是什么？因为这种病症变化迅速，性命悬于毫发之间。然而痈疽的名称，虽然有二十多种病症，其要点主要有两个：阴和阳。凡是发于阳分的，称为痈，表现为热证、实证；发于阴分的，称为疽，表现为冷证、虚证。阳证发作时，皮肤薄，颜色红，肿胀高起，多有几十个像花椒眼一样的小孔，并且疼痛。阴证发作时，皮肤厚，颜色淡，肿胀坚硬，形状像牛的颈部皮肤，不疼痛。又有阳中之阴，似热非热，虽然肿胀但属虚证，色红但不干燥，作痛但没有脓液，时浮时消，外表看似兴盛内部却已腐烂。阴中之阳，似冷非冷，不肿但属实证，微红且干燥，有脓且疼痛，外表虽不严重，但内心烦闷。阳中之阴的患者，多形体肥胖，肌肉紧绷但内部虚弱。阴中之阳的患者，多形体消瘦，肌肉松弛但内部充实。又有阳证变为阴证，是因为草医误用凉药造成的；阴证变为阳证，是因为火灸或热药使用过猛造成的。然而阳变阴，大多还可以恢复为阳，所以多数能生还；阴变阳，大多不能恢复为阳，所以多数死亡。偶尔有存活的，这是医生偶然合乎法度，百中得一罢了。所谓“发”，是指积滞于体内而表现在外的病症。人的一身，根本在于五脏，五脏之气，都禀受于胃气。胃是五脏的根本，所以胃受纳谷物，脾运化它来生成气血。脾主肌肉，胃气传送给五脏，以运行血脉和经络，灌溉全身，昼夜循环一周。虽然痈疽有虚实寒热之分，都是由气机郁结而成。其原因有三类：内因、外因、不内外因。内因通过人迎脉诊察，人迎脉位于左手关前一分处。外因通过气口脉诊察，气口脉位于右手关前一分处。人迎和气口的脉搏平和，则属于不内外因。其根源有五种：一是天行时气（流行性疫病），二是情志内郁，三是体虚外感，四是身体发热与风冷搏结，五是食用烧烤炙烤食物，饮用浓酒，服用丹石等热毒药物。将这五种情况视为邪气，邪气郁结在胃中。如果胃气旺盛且体质强壮，则邪气相互搏结，流注于经络，涩滞于停留之处，血脉经络壅塞结聚而成痈。如果胃气虚弱且体质亏虚，则邪气盛而留宿于经络，凝涩积聚，血脉不通畅，内部腐烂而成疽。所以说外形如粟米大小，中间可容纳车毂；外貌像铜钱大小，中间可安放拳头。如果是恶毒脓管，一寸长且深满，脓血相粘，用药可以痊愈；如果脓液臭秽无丝，血败气衰，阳气绝灭阴气盛极，神仙也难以救命。善于用药的人，应当审察人的虚实，辨别病的冷热，推究病因，探究本源，然后进行治疗。内外相应，不可一概而论。比如病发于阳分，且极热，必须顺应其气机，均匀其血液。气顺则通畅而不滞涩，血匀则流动而自然消散。气属于阳，血属于阴，阴阳调和，病自然安宁。外部用凉药触碰，如果内热反而亢盛，热盛则血液遇凉容易散失，甚至热已消退而血液因凉而凝结，导致血液不散，这就是阳证变为阴证，逐渐形成溃烂坏死的根源。此时应紧急投用温剂治疗，解除外部攻冲四周的血路，排出中间已成形的脓毒，然后根据法则收功。如果病发于阴分且极冷，则内部使用平补的药物，以宣通气机，滋养血液，助益元阳，顺应脾胃，等待饮食进益之后，再按照常规方法顺气匀血。外部用热药使全身气血流通，回复死肌，拔除毒瓦斯，随后用温药消散它。对于极冷的病症，或者又被凉药误治，不得已时使用三建汤来回阳救逆，病情必定好转，再次发作也是佳兆，这是阴证变为阳证的征兆，是再生的迹象。如果内部不回阳，外部症状不见改善，这就是独阴绝阳，无法治愈了。大概阳就是气，阴就是血，阳动则阴随，气运则血行，气耗竭则血死，血死则人病死。冷症使用热药，不过是行使其作为气之主宰的作用。膜是五脏的外囊。疾病初起时，毒气上攻心包络，所以先出现呕吐逆乱而后发生痈疽；或者先发生痈疽而后出现呕吐逆乱的，都是由毒气攻于心包络，根源于心。心主受纳毒气，神无所依附，元气昏昧。毒气刚开始萌芽时，旁侧腐蚀肌肉，治疗如果不及时，毒气穿透膜，膜透则元气泄漏，脏腑失去滋养，精神枯槁，脉搏自然败绝。病情严重的，内部见到五脏受损，如果能得救，是因为膜完好无损。病情轻微的，肌肉未溃破却死亡的，是因为膜先破裂了。因此，救心护膜，应当是治疗者的首要任务，也是外科的良好法则。这是论述痈疽的要旨，其神圣功效，不可详尽叙述，不是寻常医者，仅靠一草一木、一针一刀所能掌握要领的。
方剂：加味托里散治疗发背痈疽，不分头部、乳房、附骨等处，以及各类疔疮瘰疬，一切肿毒。肿胀未成形的即消散，已成形的即溃破，败脓自行排出，腐肉自行脱落，痛苦自行减轻，大有神效，非常之功。
人参、黄芪、桔梗、防风（均去芦头）、川芎、当归、官桂、厚朴、白芷（各一钱）、甘草（五分）、白芍药、木香、大腹子、乌药、枳壳、紫苏（各一钱）。
以上为一服剂量，用水一钟半，生姜二片，葱白一根，煎至七分，加入酒一口。病位在上部的，饭后服用；病位在下部的，饭前服用。兼有其他症状的，根据以下加减法调整。
病情不退，加白术、白茯苓、熟地黄（各一钱）。
不进饮食，加砂仁（七分）、香附（一钱）。
疼痛不止，加乳香、没药（另研细末，煎熟后兑入，各一钱）。
伤口流水不干，加知母、贝母（各一钱）。
疮口不穿溃，加皂角刺（一钱）。
咳嗽，加陈皮、半夏、杏仁（各一钱）。
大便秘结，加大黄（三钱）、枳壳（一钱）。
小便涩痛，加麦门冬、木通、车前子（各一钱）、灯草（二十根）。
香港脚（足部肿痛），加木瓜、黄柏（各一钱）。
又一方：仙方活命饮治疗外科一切病症。已成形的即溃破，未成形的即消散，二三剂立见疗效，轻者一剂即效。我用此方治疗乳痈、瘰疬，大有奇效。
滴乳（另研细末，药煎熟后化入）、防风、白芷、贝母、赤芍药、当归尾、明没药（研细）、皂角刺、天花粉、甘草节、穿山甲（炮制，以上各一钱）、陈皮、金银花（各三钱）。
病位在背俞穴，以皂角刺为君药（在原方基础上加至三钱）。
病位在腹募穴，以白芷为君药（加至三钱）。
病位在胸膈，加栝蒌仁（去壳二钱）。
病位在四肢，以金银花为君药（依据原方）。
疔疮，加紫河车、草根（三钱）。
瘰疬，加夏枯草（三钱）。
乳痈，加夏枯草（三钱）、青皮（一钱）。
以上为一服剂量，用无灰酒五茶钟，装入有嘴瓶内，用厚纸封口，勿令漏气，煎至三大钟，去渣，分三次服用，接连不断。根据疮疡上下位置，饭前或饭后服用。能饮酒者，服药后再饮三五杯。此药并无酒气，不动脏腑，不伤气血。忌食酸味、淡薄酒类及器皿。服药后侧卧，感觉疼痛停止即可回生。神效不可详尽叙述。
真人偈云：真人活法世间稀，大恶痈疽总可医。消毒只如汤泼雪，化脓渐使肉生肌。阴功何止万人活，神效何须刻日期。留下仙方诚信授，存仁修制上天知。
按语：此方，不问阴阳虚实，善恶肿溃，或大痛或不痛，先用此剂，大势已退，然后随症调治。其功效甚为快捷，诚为仙方。
又一方：瘰疬灸法，不论远年近日，一切瘰疬，只要施灸立即痊愈。
男性取左手，女性取右手，用草茎从中指第二节开始量起，直到手臂上贴近手掌的第一横纹处为止，剪断草茎。再将草茎的一端对准百劳穴的骨尖处比对，草茎的另一端尽头处即为穴位，用墨汁标记。在墨记处施灸，年龄几岁就灸几壮，立即痊愈。
The *Mai Jue* (Pulse Classic) states: A pulse that is rapid but forceless indicates sores and ulcers (Chuang Yang). The *Ji Yan Fang* records: A deep and solid pulse, accompanied by fever, irritability, and no external redness, swelling, or pain, indicates that the pathogenic factor is deeply seated in the interior. One should first promote unblocking to cut off the source. If the pulse is floating, large, and rapid, with swelling on the exterior, one should first support the interior to prevent the pathogenic factor from entering inward. If the pulse is neither floating nor deep, and internal and external symptoms are indistinct, with the disease located in the meridians, one should harmonize Ying and Wei (Nutritive and Defensive Qi). A rapid pulse with no body heat suggests internal abscesses and pus; a rapid pulse usually indicates fever, but if chills are present instead, and there is a painful area, carbuncles, sores, and ulcers will develop. A deep, slow, and relaxed pulse indicates survival; a rapid and hurried pulse indicates death.
Symptom Analysis: Surgical texts state that "Carbuncle of the Back" (Yong Ju Fa Bei) is listed at the beginning of surgical chapters as the primary among all sores. Why? Because this condition changes rapidly, and life hangs by a hair. Although there are more than twenty names for carbuncles and sores, the essentials are two: Yin and Yang. Those arising from the Yang aspect are called "Yong" (Carbuncle), characterized by heat and excess. Those arising from the Yin aspect are called "Ju" (Deep Abscess), characterized by cold and deficiency. Yang lesions have thin skin, red color, high swelling, often with dozens of pores like pepper seeds, and are painful. Yin lesions have thick skin, pale color, hard and firm swelling resembling ox neck skin, and are not painful. There is also "Yin within Yang," which seems hot but is not truly hot; although swollen, it is deficient; red but not dry; painful but without pus; fluctuating between swelling and subsiding; appearing vigorous externally but rotting internally. There is "Yang within Yin," which seems cold but is not truly cold; not swollen but solid; slightly red and dry; has pus and pain; appears mild externally but causes internal vexation. Patients with "Yin within Yang" are often obese with tight flesh but internal deficiency. Patients with "Yang within Yin" are often emaciated with loose flesh but internal excess. Yang transforming into Yin is caused by the misuse of cooling herbs by folk doctors; Yin transforming into Yang is caused by the abrupt use of moxibustion or hot medicines. However, Yang transforming into Yin can often revert to Yang, so most survive. Yin transforming into Yang rarely reverts to Yang, so most die. Occasional survivals occur only when the doctor accidentally follows the correct method, one in a hundred. "Fa" (Eruption) refers to accumulation internally manifesting externally. The human body is rooted in the Five Zang Organs, whose Qi is derived from Stomach Qi. The Stomach is the root of the Five Zang; it receives grain, and the Spleen transforms it to generate Qi and Blood. The Spleen governs muscles; Stomach Qi transmits to the Five Zang to circulate blood vessels and meridians, irrigating the whole body in a daily cycle. Although carbuncles and sores vary in deficiency/excess and cold/heat, they all result from Qi stagnation. Causes fall into three categories: Internal, External, and Neither-Internal-Nor-External. Internal causes are diagnosed via the Renying pulse (one cun anterior to the Guan position on the left wrist). External causes are diagnosed via the Qikou pulse (one cun anterior to the Guan position on the right wrist). If both pulses are balanced, it belongs to neither-internal-nor-external causes. There are five origins: 1. Seasonal epidemic pathogens; 2. Internal emotional depression; 3. Exterior contraction due to deficiency; 4. Heat combing with wind-cold; 5. Consumption of roasted foods, strong wine, or hot toxic drugs like Danchi. These five act as pathogens stagnating in the Stomach. If Stomach Qi is strong and the constitution robust, pathogens contend and flow into meridians, obstructing circulation, leading to congestion and knotting of blood vessels and meridians, forming a Yong (Carbuncle). If Stomach Qi is weak and the constitution deficient, pathogens prevail and lodge in meridians, coagulating and accumulating, blocking blood flow, leading to internal rotting and forming a Ju (Abscess). Thus, it is said: externally small like millet, internally capable of holding an axle hub; externally like a coin, internally capable of holding a fist. If the malignant pus tube is one cun long and deep, filled with sticky pus and blood, medication can cure it. If the pus is foul and stringless, blood is ruined, Qi is exhausted, Yang is extinct, and Yin is excessive, even immortals cannot save the patient. Skilled physicians must examine deficiency/excess, distinguish cold/heat, deduce causes, and investigate origins before treating. Internal and external aspects correspond; treatment cannot be uniform. For Yang-origin diseases with extreme heat, one must follow Qi dynamics and regulate Blood. Smooth Qi ensures unobstructed flow; regulated Blood flows freely and disperses naturally. Qi is Yang, Blood is Yin; harmony of Yin and Yang brings health. Applying cooling herbs externally might cause internal heat to surge; excessive heat makes Blood disperse easily upon cooling, or even congeal due to cold, preventing dispersion—this is Yang transforming into Yin, gradually becoming the root of necrosis. Urgently administer warming agents to treat, clearing the peripheral blood pathways and expelling formed pus/toxins, then follow protocol to conclude treatment. For Yin-origin diseases with extreme cold, internally use mild tonifying herbs to vent Qi, nourish Blood, assist Yuan Yang, and support the Spleen and Stomach. Wait for appetite to return, then regulate Qi and Blood as usual. Externally apply hot herbs to circulate Qi and Blood throughout the body, revive dead tissue, and extract toxic vapors, followed by warm herbs to dissipate. For extreme cold cases mistakenly treated with cooling herbs, resort to San Jian Tang (Three Establishments Decoction) to restore Yang. Recovery may involve temporary exacerbation, which is a good sign of Yin transforming into Yang and regeneration. If internal Yang does not return and external symptoms do not improve, it is "Solitary Yin cutting off Yang," which is incurable. Yang is Qi, Yin is Blood; Yang moves so Yin follows; Qi circulates so Blood flows; Qi exhaustion leads to Blood death, and Blood death leads to patient death. Cold conditions use hot herbs to act as the master of Qi movement. The Membrane is the sac of the Five Zang Organs. At the onset, toxins attack the Pericardium Collateral, causing vomiting/regurgitation before carbuncles appear, or vice versa, both rooted in toxin attacking the Pericardium and originating from the Heart. The Heart receives toxins; when Spirit has no abode, Yuan Qi becomes dim. Initially, toxins corrode muscles laterally. If treatment is delayed, toxins penetrate the Membrane; once penetrated, Yuan Qi leaks, organs lose nourishment, spirit withers, and pulses fail. In severe cases, if internal damage to Five Zang is visible, survival is possible only if the Membrane remains intact. In mild cases, death occurs before muscle ulceration because the Membrane ruptured first. Therefore, saving the Heart and protecting the Membrane must be the physician's priority, a fine method in surgery. This discusses the essence of carbuncles and sores; their divine efficacy cannot be fully described. It is beyond the grasp of ordinary practitioners relying merely on herbs or needles/knives.
Formula: Jiawei Tuoli San (Modified Supporting Interior Powder) treats Carbuncle of the Back and other sores, regardless of location (head, breast, bone-attached areas), as well as Ding Chuang (Furuncles) and Luo Li (Scrofula), and all types of swelling/toxicity. It resolves swelling before formation and promotes suppuration after formation, expels foul pus, removes necrotic tissue, and reduces pain spontaneously. It is highly effective.
Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix), Jie Geng (Platycodonis Radix), Fang Feng (Saposhnikoviae Radix, remove radicle), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Guan Gui (Cinnamomi Cortex), Hou Po (Magnoliae Officinalis Cortex), Bai Zhi (Angelicae Dahuricae Radix) [all 1 qian], Gan Cao (Licorice Root, 0.5 qian), Bai Shao Yao (Paeoniae Radix Alba), Mu Xiang (Aucklandiae Radix), Da Fu Zi (Arecae Semen), Wu Yao (Linderae Radix), Zhi Ke (Aurantii Fructus), Zi Su (Perillae Folium) [all 1 qian].
Take one dose. Add 1.5 zhong of water, 2 slices of Sheng Jiang (Fresh Ginger), and 1 stalk of Cong Bai (Scallion White). Decoct to 0.7 zhong. Add a sip of Jiu (Alcohol). Take postprandially for upper body diseases, preprandially for lower body diseases. For concurrent symptoms, modify as follows:
If disease persists, add Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Fu Ling (Poria), Shu Di Huang (Rehmanniae Radix Preparata) [each 1 qian].
If appetite is poor, add Sha Ren (Amomi Fructus Rotundus, 0.7 qian), Xiang Fu (Cyperi Rhizoma, 1 qian).
If pain is unrelenting, add Ru Xiang (Olibanum), Mo Yao (Myrrha) [separately ground, added to decoction, each 1 qian].
If wound exudate is profuse, add Zhi Mu (Anemarrhenae Rhizoma), Bei Mu (Fritillariae Cirrhosae Bulbus) [each 1 qian].
If sore does not ulcerate, add Zao Jiao Ci (Gleditsiae Spina, 1 qian).
If coughing, add Chen Pi (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma Preparatum), Xing Ren (Armeniacae Semen Amarum) [each 1 qian].
If constipation, add Da Huang (Rhei Radix et Rhizoma, 3 qian), Zhi Ke (1 qian).
If dysuria, add Mai Men Dong (Ophiopogonis Radix), Mu Tong (Akebiae Caulis), Che Qian Zi (Plantaginis Semen) [each 1 qian], Deng Cao (Junci Medulla, 20 roots).
For Hong Kong Foot (Podagra/Tinea Pedis), add Mu Gua (Chaenomelis Fructus), Huang Bo (Phellodendri Cortex) [each 1 qian].
Another Formula: Xian Fang Huo Ming Yin (Immortal Life-Preserving Decoction) treats all surgical conditions. It promotes suppuration if formed and resolution if unformed. Effects are seen in 2-3 doses; mild cases respond in one dose. I used this for Breast Carbuncle (Ru Yong) and Scrofula (Luo Li) with remarkable results.
Di Ru (Boswellia Resin, separately ground and dissolved), Fang Feng, Bai Zhi, Bei Mu, Chi Shao Yao (Paeoniae Radix Rubra), Dang Gui Wei (Angelicae Sinensis Radix Caudex), Ming Mo Yao (Myrrha, ground), Zao Jiao Ci, Tian Hua Fen (Trichosanthis Radix), Gan Cao Jie (Licorice Node), Chuan Shan Jia (Manis Squama, prepared) [all 1 qian], Chen Pi, Jin Yin Hua (Lonicerae Japonicae Flos) [each 3 qian].
For back Shu points, make Zao Jiao Ci the Sovereign herb (increase to 3 qian).
For abdominal Mu points, make Bai Zhi the Sovereign herb (increase to 3 qian).
For chest region, add Gua Lou Ren (Trichosanthis Semen, dehusked, 2 qian).
For limbs, make Jin Yin Hua the Sovereign herb (keep original amount).
For Ding Chuang (Furuncle), add Zi He Che (Placenta Humana), Cao Gen (Herbal Root, 3 qian).
For Luo Li (Scrofula), add Xia Ku Cao (Prunellae Spica, 3 qian).
For Ru Yong (Breast Carbuncle), add Xia Ku Cao (3 qian), Qing Pi (Citri Reticulatae Pericarpium Viride, 1 qian).
Take one dose. Use 5 tea-cups of Wui Hui Jiu (Pure Alcohol). Place in a spouted bottle, seal tightly with thick paper to prevent leakage. Decoct to 3 large cups. Strain. Divide into three doses, taken continuously without interruption. Take according to lesion location (upper/lower) and meal timing. If able to drink alcohol, consume 3-5 additional cups after medication. This formula has no alcoholic odor, does not disturb Zang-Fu, and does not injure Qi and Blood. Avoid sour foods, weak wines, and contaminated vessels. Lie on side after taking medicine; pain cessation indicates recovery. Efficacy is miraculous.
True Person's Verse:
Rare is the living method of the True Person in the world;
Great evils of carbuncles and sores can all be cured.
Disinfecting is like pouring boiling water on snow;
Transforming pus gradually allows flesh to grow.
Hidden merits save more than ten thousand lives;
Divine efficacy needs no fixed date.
Leave this immortal prescription with sincere trust;
Preserving benevolence and refining preparation, Heaven knows.
Note: This formula applies regardless of Yin/Yang, deficiency/excess, severity, or ulceration status, whether painful or painless. Use this agent first until the major trend recedes, then adjust treatment based on symptoms. Its action is swift; truly an immortal formula.
Another Method: Moxibustion for Luo Li (Scrofula). Regardless of duration, all cases of Luo Li are cured immediately upon moxibustion.
For males, use the left hand; for females, the right hand. Measure from the second joint of the middle finger up to the first horizontal crease near the palm using a grass stem. Cut the stem. Align one end of the stem with the bony prominence of the Bailao (Ex-UE4) acupoint. The other end marks the target point. Mark with ink. Apply moxibustion on the mark. Number of moxa cones equals age in years. Immediate cure.