痈疽喘急，恍惚嗜卧，此心火刑肺金，宜用人参平肺散。
人参平肺散
桑白皮（炒） 知母（七分，炒） 杏仁（去皮尖，炒） 地骨皮 紫苏 橘红 半夏（姜制）
茯苓 青皮 人参（各一钱） 五味子（二十粒，炒杵） 甘草（炙，五分）
作一剂。水二盅，姜三片，煎八分，食远服。
〔薛〕 按∶此方理气清肺化痰之剂，若肺脉洪数无力者宜用。若兼发热作渴，脉洪
数有力者，宜用如金解毒散，此证火克金为恶候，面赤者，亦不治。
托里消毒散加减法 忿怒胸痞，肝气滞也，去三味加桔梗、山栀。如不应，暂用补
中益气汤，加桔梗、枳壳。倦怠胸痞，中气虚也，去三味加参术、茯苓，如不应，暂用
八珍汤加柴胡。
痈疽目斜视上，黑睛紧小，白睛青赤，肝挟火邪，宜用泻青丸。
泻青丸方
当归（酒拌） 川芎 山栀仁（炒） 羌活 草龙胆（酒拌，炒） 防风 大黄（酒拌，炒，各等分）
上为细末，炼蜜丸，鸡头实大。每服一丸，煎淡竹叶汤化下，日进二三服。如泻去
大黄，加荆芥，或用黄连泻心汤一二剂，亦可。
〔薛〕 按∶前症七恶中之三恶也。若肝脉弦紧洪数者，最当。亦有目视不正，睛不了了
，脉微或浮者，乃真气虚也，宜用大补之剂。夫泻青者，泻肝经之火邪也，肝属木其
色青故耳。
痈疽（皮肤及皮下组织的化脓性感染）出现喘促气急、神志恍惚、嗜睡等症状，这是心火克制肺金所致，适宜使用人参平肺散。
人参平肺散
桑白皮（炒制） 知母（七分，炒制） 杏仁（去皮尖，炒制） 地骨皮 紫苏 橘红 半夏（姜汁炮制）
茯苓 青皮 人参（各一钱） 五味子（二十粒，炒后捣碎） 甘草（炙烤，五分）
以上为一剂药量。加水两盅，生姜三片，煎煮至剩余八分水量，在饭后较远时间服用。
〔薛己〕按语：此方是理气清肺化痰的药剂，如果肺脉表现为洪大而数且无力者适宜使用。如果兼有发热口渴，脉象洪大数而有力者，适宜使用如金解毒散。这种证候属于火克金的恶候，若见面部发红，也是难以治愈的征象。
托里消毒散的加减法：因愤怒导致胸中痞塞胀满，是肝气郁滞所致，去掉原方中的三味药，加入桔梗、山栀。如果无效，暂时使用补中益气汤，加入桔梗、枳壳。倦怠乏力伴胸中痞塞，是中气虚弱所致，去掉原方中的三味药，加入人参、白术、茯苓，如果无效，暂时使用八珍汤加入柴胡。
痈疽患者出现眼球斜视、向上凝视，黑睛（角膜）紧缩变小，白睛（巩膜）呈现青红色，这是肝经挟带火邪所致，适宜使用泻青丸。
泻青丸方
当归（酒拌） 川芎 山栀仁（炒制） 羌活 草龙胆（酒拌，炒制） 防风 大黄（酒拌，炒制，各等分）
以上药物研为细末，用炼蜜制成丸药，大小如鸡头实。每次服用一丸，用淡竹叶汤煎服送下，每日服用二三次。如果出现腹泻则去掉大黄，加入荆芥，或者使用黄连泻心汤服用一二剂，也可以。
〔薛己〕按语：前述症状属于“七恶”中的三种恶候。如果肝脉表现为弦紧洪数，最为对症。也有眼睛视物不正，目光模糊不清，脉象微弱或浮的，这是真气虚弱所致，适宜使用大补气血的药剂。所谓“泻青”，是指泻除肝经的火邪，因为肝属木，其色为青，所以得名。
Carbuncles and sores (suppurative infections of the skin and subcutaneous tissues) presenting with panting and急促 breathing, mental confusion, and excessive sleepiness indicate that Heart Fire is insulting Lung Metal. Ren Shen Ping Fei San (Ginseng Decoction to Calm the Lungs) should be used.
Ren Shen Ping Fei San (Ginseng Decoction to Calm the Lungs)
Sang Bai Pi (Cortex Mori Radicis, stir-fried), Zhi Mu (Rhizoma Anemarrhenae, 0.7 qian, stir-fried), Xing Ren (Semen Armeniacae Amarum, peeled and tip removed, stir-fried), Di Gu Pi (Cortex Lycii Radicis), Zi Su (Folium Perillae), Ju Hong (Pericarpium Citri Reticulatae), Ban Xia (Rhizoma Pinelliae, processed with ginger juice), Fu Ling (Poria, Qing Pi (Pericarpium Citri Reticulatae Viride), Ren Shen (Radix Ginseng, each 1 qian), Wu Wei Zi (Fructus Schisandrae, 20 grains, stir-fried and crushed), Gan Cao (Radix Glycyrrhizae, honey-roasted, 0.5 qian).
This constitutes one dose. Add two zhong of water and three slices of fresh ginger, decoct until eight fen of liquid remains. Take well after meals.
[Xue Ji] Commentary: This formula is an agent for regulating qi, clearing the lungs, and resolving phlegm. It is suitable for cases where the Lung pulse is surging, rapid, and deficient in force. If accompanied by fever and thirst, with a surging, rapid, and full pulse, Ru Jin Jie Du San (Decoction Like Gold to Detoxify) should be used. This condition represents the evil pattern of Fire overcoming Metal; if the face is red, it is also considered incurable.
Modifications of Tuo Li Xiao Du San (Decoction to Support the Interior and Eliminate Toxins): Chest stuffiness due to anger indicates stagnation of Liver Qi. Remove three ingredients and add Jie Geng (Radix Platycodi) and Shan Zhi (Fructus Gardeniae). If ineffective, temporarily use Bu Zhong Yi Qi Tang (Decoction to Supplement the Middle and Augment the Qi) with added Jie Geng and Zhi Qiao (Pericarpium Aurantii Immaturum). Fatigue with chest stuffiness indicates deficiency of Middle Qi. Remove three ingredients and add Ren Shen, Bai Zhu (Rhizoma Atractylodis Macrocephalae), and Fu Ling. If ineffective, temporarily use Ba Zhen Tang (Eight Treasures Decoction) with added Chai Hu (Radix Bupleuri).
In carbuncles and sores, oblique gaze of the eyes and upward staring, with tightness and constriction of the black pupil (cornea) and cyanotic-red sclera (white part of the eye), indicate Liver harboring Fire pathogenic factors. Xie Qing Wan (Pill to Drain Blue/Green) should be used.
Xie Qing Wan (Pill to Drain Blue/Green)
Dang Gui (Radix Angelicae Sinensis, mixed with wine), Chuan Xiong (Rhizoma Chuanxiong), Shan Zhi Ren (Semen Gardeniae, stir-fried), Qiang Huo (Rhizoma Notopterygii), Cao Long Dan (Radix Gentianae, mixed with wine, stir-fried), Fang Feng (Radix Saposhnikoviae), Da Huang (Radix et Rhizoma Rhei, mixed with wine, stir-fried, equal parts).
Grind into fine powder, make pills with refined honey, size comparable to a chestnut. Take one pill per dose, dissolve and take with light bamboo leaf decoction. Take two or three times daily. If diarrhea occurs, remove Da Huang and add Jing Jie (Herba Schizonepetae), or use Huang Lian Xie Xin Tang (Decoction of Coptis to Drain the Heart) for one or two doses, which is also acceptable.
[Xue Ji] Commentary: The aforementioned symptoms belong to three of the "Seven Evils." If the Liver pulse is wiry, tight, surging, and rapid, this formula is most appropriate. In cases where vision is abnormal and unclear, with a faint or floating pulse, it indicates deficiency of True Qi. Large tonifying agents should be used. "Xie Qing" refers to draining the Fire pathogenic factor from the Liver channel; since the Liver belongs to Wood and its color is blue/green, hence the name.