疵疽右膝漫肿而热，疡科重症。姑拟利湿化凝，保其不溃乃吉。
归须 赤芍 川牛膝 没药 川黄柏 防己 桃仁 白芷 甘草 装半夏 泽兰 茯苓 桑枝 藕节
附骨疽破溃成漏。
大生地 山萸肉 当归 远志 泽泻 甘草 鹿角胶 淮牛膝 白芍 茯苓 白术 红枣 桑枝
串臂漏久，肌肉僵硬，体质亏弱，不易速愈。煎剂培养气血，兼清湿热，晚进丸药，退管化坚，缓缓调之。
生首乌 苡仁 当归 槐角 丹皮 皂角刺 金银花 大贝 生甘草 茯苓 红枣
肛漏一年，阴气耗泄于下，阳伤于上，冬
春咳嗽恶寒，肝气拂郁，肚腹作痛。入夏以来呛咳益加，咽痛妨食，痰多作恶，腹痛频频，大
便时溏，脉来尺寸弱而急，肺肾并亏，肝木侮土，势入损门，殊属重候。拟养荣柔肝，兼补肺
滋肾。
东洋参 白芍 当归 炙甘草 冬虫草 淮山药 莲子 沙苑子 甜杏仁 大生地
（蛤粉炒） 橘红 大麦冬
肛有漏卮，阴气先亏于下，子病及母，致生喘咳，宜金水并调。
北沙参 女贞子 全归 马料豆 沙苑子 淮山药 淮牛膝 大麦冬 茯苓 杏仁 莲子
肝痈背肋肿痛，一月迩来咳嗽气急，痰腥肢冷，汗多，或作蜕热，脉虚细，症势极重，碍
方以望转机。
首乌 半夏 茯苓 北沙参 杏仁 蒌仁 粉蛤 麦冬 川贝 橘红 梨
肝气夹痰，凝结于络，左肋结硬漫肿，势成肋痈，发热，胸痞不舒，宜疏肝化痰解郁。
生首乌 香附 赤芍 半夏 僵蚕 新绛 枳壳 泽兰 茯苓 青皮 郁金 葱管
肋痈硬痛发热，胸脘阻隔，半月未得更衣。宜疏肝和胃，兼以通幽。
广郁金 蒌仁 枳壳 赤芍 旋覆花 山栀 藕根 桃仁 通草 青皮 半夏曲 佛手 荸荠
肋痈即肝痈也，乃痰气血滞于肝络，肝胀成痈，外溃两月，肉腐外紫，胸背骨胀，内热咳
嗽，短气，脉数，肝肺两伤，荣阴大损，势入损门。姑拟清养。
北沙参 杏仁 丹皮 淮药 大贝 川石斛 麦冬 蒌仁 茯苓 藕 枇杷叶
肋痈溃久，肋骨伤损，不易完功，宜内托。
生地 当归 白芍 淮药 粉甘草 茯苓 玉竹 料豆 陈皮 象牙屑 红枣
【背景信息】
书名：马培之医案 作者：马培之 朝代：清 章节：疵疽 / ... / 肝痈（共5节） 类别：医论
【原文翻译】
疵疽右膝弥漫性肿胀且发热，这是外科的重症。暂拟采用利湿化凝的方法，若能保全其不溃烂则是吉兆。
当归尾、赤芍药、川牛膝、没药、川黄柏、防己、桃仁、白芷、甘草、制半夏、泽兰、茯苓、桑枝、藕节
附骨疽破溃后形成瘘管。
大生地、山茱萸肉、当归、远志、泽泻、甘草、鹿角胶、淮牛膝、白芍药、茯苓、白术、红枣、桑枝
串臂漏日久，肌肉僵硬，体质虚弱亏耗，不容易迅速痊愈。煎剂用于培养气血，兼清湿热；晚上服用丸药，以退除瘘管、软化坚结，缓缓调治。
生何首乌、薏苡仁、当归、槐角、丹皮、皂角刺、金银花、大贝母、生甘草、茯苓、红枣
肛漏一年，阴气在下部耗泄，阳气在上部受损，冬春季节咳嗽、恶寒，肝气拂郁，肚腹作痛。入夏以来呛咳更加严重，咽痛妨碍进食，痰多引起恶心，腹痛频繁，大便时而稀溏，脉象寸尺部弱而急迫，肺肾两脏俱亏，肝木侮土，病势进入损门，确实属于重症。拟采用养荣柔肝的方法，兼补肺滋肾。
东洋参、白芍药、当归、炙甘草、冬虫夏草、淮山药、莲子、沙苑子、甜杏仁、大生地（蛤粉炒）、橘红、大麦冬
肛门有瘘管漏孔，阴气先在下部亏损，子病及母，导致产生喘咳，宜金水并调。
北沙参、女贞子、全当归、马料豆、沙苑子、淮山药、淮牛膝、大麦冬、茯苓、杏仁、莲子
肝痈背部胁肋肿痛，近一个月来咳嗽气急，痰液腥臭，四肢发冷，汗多，有时出现蜕热（类似疟疾的寒热往来），脉象虚细，症势极重，难以用方药期望转机。
何首乌、半夏、茯苓、北沙参、杏仁、瓜蒌仁、粉蛤壳、麦冬、川贝母、橘红、梨
肝气夹带痰浊，凝结于络脉，左侧胁肋结硬弥漫性肿胀，势成肋痈，发热，胸中痞闷不舒，宜疏肝化痰解郁。
生何首乌、香附、赤芍药、半夏、僵蚕、新绛、枳壳、泽兰、茯苓、青皮、郁金、葱管
肋痈坚硬疼痛发热，胸脘阻隔不通，半个月未更换衣物（形容痛苦不堪）。宜疏肝和胃，兼以通幽。
广郁金、瓜蒌仁、枳壳、赤芍药、旋覆花、山栀、藕根、桃仁、通草、青皮、半夏曲、佛手、荸荠
肋痈即是肝痈，乃痰、气、血滞于肝络，肝胀而成痈，外部溃烂两个月，肌肉腐烂外部呈紫色，胸背骨骼胀满，内热咳嗽，短气，脉数，肝肺两伤，营阴大损，病势进入损门。暂拟清养之法。
北沙参、杏仁、丹皮、淮山药、大贝母、川石斛、麦冬、瓜蒌仁、茯苓、藕、枇杷叶
肋痈溃烂日久，肋骨损伤，不易完全愈合，宜内托法。
生地、当归、白芍药、淮山药、粉甘草、茯苓、玉竹、料豆、陈皮、象牙屑、红枣
[Background Information]
Book: Ma Peizhi's Medical Cases; Author: Ma Peizhi; Dynasty: Qing; Chapter: Ci Ju / ... / Liver Abscess (Total 5 sections); Category: Medical Treatise
[English Translation]
Ci Ju (Ulcerative Carbuncle) with diffuse swelling and heat in the right knee is a severe condition in surgery. Tentatively prescribe dampness-promoting and coagulation-resolving methods; preserving it from ulceration would be auspicious.
Dangguiwei (Radix Angelicae Sinensis Caudex), Chishao (Radix Paeoniae Rubra), Chuanniuxi (Radix Cyathulae Officinalis), Moyao (Resina Olibani), Chuanhuangbo (Cortex Phellodendri Chinensis), Fangji (Radix Stephaniae Tetrandrae), Taoren (Semen Persicae), Baizhi (Radix Angelicae Dahuricae), Gancao (Radix Glycyrrhizae uralensis), Banxia (Rhizoma Pinelliae Ternatae, prepared), Zelan (Herba Lysimachiae), Fuling (Poria), Sangzhi (Ramulus Mori), Ouie (Stem Nymphaeae Albae).
Fuguju (Bone-attached Carbuncle) has ulcerated and formed a fistula.
Shengdihuang (Radix Rehmanniae Preparata), Shanyurou (Fructus Corni Officinalis), Danggui (Radix Angelicae Sinensis), Yuanzhi (Radix Polygalae Tenuifoliae), Zexie (Rhizoma Alismatis Orientals), Gancao (Radix Glycyrrhizae uralensis), Lu jiaojiao (Colla Cornus Cervi), Huainiuxi (Radix Cyathulae Officinalis), Baishao (Radix Paeoniae Radix Alba), Fuling (Poria), Baizhu (Rhizoma Atractylodis Macrocephalae), Hongzao (Fructus Jujubae), Sangzhi (Ramulus Mori).
Chuanbilo (Arm-fistula) has persisted for a long time, muscles are stiff, constitution is weak and depleted, making rapid recovery difficult. Decoction to nourish qi and blood, simultaneously clearing damp-heat; evening administration of pills to resolve the fistula tract and soften hardness, regulating slowly.
Shengshouwu (Radix Polygoni Multiflori Preparata), Yiren (Semen Coicis), Danggui (Radix Angelicae Sinensis), Huaijiao (Fructus Staphyleae), Danpi (Cortex Moutan), Zaojiaoci (Spina Gleditsiae Sinensis), Jinyinhua (Flos Lonicerae Japonicae), Dabeimu (Bulbus Fritillariae Thunbergii), Shenggancao (Radix Glycyrrhizae uralensis), Fuling (Poria), Hongzao (Fructus Jujubae).
Ganglou (Anal Fistula) for one year, yin qi exhausted below, yang injured above. Cough and aversion to cold in winter and spring, liver qi stagnation, abdominal pain. Since entering summer, choking cough worsened, sore throat hindering food intake, excessive phlegm causing nausea, frequent abdominal pain, loose stools intermittently, pulse weak and rapid at cun and chi positions, lung and kidney both deficient, liver wood insulting earth, condition entering the damage gate, indeed a severe presentation. Prescribe nourishing glory and softening liver, simultaneously tonifying lung and nourishing kidney.
Dongyangshen (Radix Panacis Japonensis), Baishao (Radix Paeoniae Radix Alba), Danggui (Radix Angelicae Sinensis), Zhigancao (Radix Glycyrrhizae uralensis, honey-fried), Dongchongxiacao (Cordyceps), Huaishanyao (Rhizoma Dioscoreae Oppositae), Lianzi (Semen Nelumbinis), Shayuanzi (Semen Astragali Complanati), Tianxingren (Semen Armeniacae Amarum), Shengdihuang (Radix Rehmanniae Preparata, stir-fried with Arini Pulvis), Juhong (Pericarpium Citri Reticulatae), Damaidong (Tuber Ophiopogonis Japonici).
Anal fistula leak, yin qi first deficient below, child disease affecting mother, leading to wheezing and cough, suitable for metal and water simultaneous regulation.
Beishashen (Radix Glehniae), Nüzhenzi (Fructus Ligustri Lucidi), Quanguidang (Radix Angelicae Sinensis whole), Maliaodou (Semen Sojae Preparatum), Shayuanzi (Semen Astragali Complanati), Huaishanyao (Rhizoma Dioscoreae Oppositae), Huainiuxi (Radix Cyathulae Officinalis), Damaidong (Tuber Ophiopogonis Japonici), Fuling (Poria), Xingren (Semen Armeniacae Amarum), Lianzi (Semen Nelumbinis).
Liver Abscess (Gan Yong) with back and rib swelling and pain, recent month cough and shortness of breath, fishy-smelling sputum, cold limbs, excessive sweating, occasional alternating chills and fever, pulse deficient and fine, condition extremely severe, difficult to expect turning point with prescription.
Shouwu (Radix Polygoni Multiflori), Banxia (Rhizoma Pinelliae Ternatae), Fuling (Poria), Beishashen (Radix Glehniae), Xingren (Semen Armeniacae Amarum), Louren (Semen Trichosanthis), Fenha (Concha Meretrixis), Maidong (Tuber Ophiopogonis Japonici), Chuanbeimu (Bulbus Fritillariae Cirrhosae), Juhong (Pericarpium Citri Reticulatae), Li (Fructus Pyri).
Liver qi with phlegm, condensing in collaterals, left rib hard diffuse swelling, threatening to become Rib Abscess, fever, chest stuffiness and discomfort, suitable for soothing liver, resolving phlegm, and relieving depression.
Shengshouwu (Radix Polygoni Multiflori Preparata), Xiangfu (Rhizoma Cyperi Rotundi), Chishao (Radix Paeoniae Rubra), Banxia (Rhizoma Pinelliae Ternatae), Jiangcan (Bombyx Batryticatus), Xinjiang (Sangxue - Blood of Mulberry Tree), Zhike (Fructus Aurantii), Zelan (Herba Lysimachiae), Fuling (Poring), Qingpi (Pericarpium Citri Reticulatae Viride), Yujin (Rhizoma Curcumae Longae), Congguan (Caulis Allii Fistulosi).
Rib Abscess hard painful fever, chest and epigastrium obstruction, half month without changing clothes (indicating severe distress). Suitable for soothing liver and harmonizing stomach, simultaneously opening the obscure.
Guangyujin (Rhizoma Curcumae Longae), Louren (Semen Trichosanthis), Zhike (Fructus Aurantii), Chishao (Radix Paeoniae Rubra), Xuanfuhua (Capitulum Inulae Japonicae), Shanzhi (Fructus Gardeniae Jasminoidis), Ougen (Radix Nelumbinis), Taoren (Semen Persicae), Tongcao (Medulla Tetrapanacis Agrestis), Qingpi (Pericarpium Citri Reticulatae Viride), Banxiaqu (Rhizoma Pinelliae Ternatae, fermented), Foshou (Fructus Citri Sarcodactylis), Biqi (Tuber Dioscoreae Hypoglaucae).
Rib Abscess is Liver Abscess, caused by phlegm, qi, and blood stasis in liver collaterals, liver distension forming abscess, external ulceration for two months, flesh rotting purple externally, chest and back bone distension, internal heat cough, shortness of breath, rapid pulse, liver and lung both injured, nutritive yin greatly damaged, condition entering damage gate. Tentatively prescribe clearing and nourishing.
Beishashen (Radix Glehniae), Xingren (Semen Armeniacae Amarum), Danpi (Cortex Moutan), Huaishanyao (Rhizoma Dioscoreae Oppositae), Dabeimu (Bulbus Fritillariae Thunbergii), Chuan shihu (Caulis Dendrobii), Maidong (Tuber Ophiopogonis Japonici), Louren (Semen Trichosanthis), Fuling (Poria), Ou (Rhizoma Nelumbinis), Pipaye (Folium Eriobotryae).
Rib Abscess ulcerated for long time, ribs damaged, difficult to complete healing, suitable for internal support.
Shengdi (Radix Rehmanniae Preparata), Danggui (Radix Angelicae Sinensis), Baishao (Radix Paeoniae Radix Alba), Huaishanyao (Rhizoma Dioscoreae Oppositae), Fengancao (Radix Glycyrrhizae uralensis), Fuling (Poria), Yuzhu (Rhizoma Polygonati Odorati), Liaodou (Semen Sojae Preparatum), Chenpi (Pericarpium Citri Reticulatae), Xiangyashe (Dens Elephantis).