黄 当归 首乌 苡仁 花粉 丹皮 绿豆
肾俞发，漫肿不能转侧，呼吸作痛，湿气化痰。
乌药 五灵脂 半夏 延胡 赤芍 当归 桂枝 独活 秦艽 桑枝 好黄酒
少腹痈症有气血凝滞者，有湿热流注小肠者，有寒湿郁结而成者。恙起去夏，少腹梗
硬，攻冲作痛。少腹乃广肠部位，肝脉游行之所，肝气拂郁，寒邪乘之，肠胃之气火失利，血
随气阻，日久正虚邪凝愈甚。自冬及春，愈形高肿，色红而软，内脓已成，定须外溃。然肠膜
受伤，恐粪秽并出，且饮食少进，溲出便闭，内热舌干，脉数，阴伤热郁，倘大脓后胃气不苏，
元气不续，深为可虑。若论疡科治法，当补托毒之剂，然虚不受补，清则碍脾，治当舍外而
从内。议调胃育阴，阴充便自通，胃和而食自进矣！
生首乌 淮药 柏子仁 茯苓 谷芽 北沙参 广皮 当归 玉竹 毛燕
肠痈外溃，已得微脓，且秽从孔出，浊气外泄，大非所宜，脉象难和，食难渐进，惟虑正
气与浊气并出，有上下交脱之虑。急当原方加白芍、参须、熟地。
腑气已通，原方加党参、石斛，去柏子仁、生首乌。
肠痈溃后，脓少气多，肿平一半，脉静身凉，一夜神安熟寐，是属佳兆。黎明之际，外患
复增，肿痛，卯时气虚滞于大肠，邪正交攻肠膜，损伤恐难完固。当阴阳并补，兼以护膜，保无更变乃佳。
潞党参 怀山药 炙甘草 象牙屑 茯苓 广皮 当归 玉竹 大熟地 白芍 参须 黄丝绢
肠痈一月，少腹内硬，拘挛作痛，小溲混浊如脓。宜化瘀利湿。
萆 茯苓 淮膝 赤芍 泽泻 车前 黄柏 延胡 归尾 杏仁 蒌仁 藕节
气血凝滞，少腹硬痛，小溲不爽，寒热，势成肠痈，急为流气化痰。
归尾 桃仁 延胡索 青皮 山楂肉 枳壳 乌药 五灵脂
肠痈一年，内膜已伤，形衰脉弱，难治之证。
十全大补丸，又服琥珀蜡矾丸。
肠痈外溃，秽从孔出，肠膜穿破，极难收口。宜十全大补加味主之。加木香、萸肉、黄丝绢。
肠痈内硬较松，脓亦较清，尚宜前法加减。
当归 鹿角胶 淮牛膝 泽泻 萆 甘草 蒲公英 肉桂 苡仁 赤苓
黄（Huang, 黄芪）
当归（Danggui, Angelica Sinensis Root）、首乌（Shouwu, Polygonum Multiflorum Root）、苡仁（Yiren, Coix Seed）、花粉（Huafen, Trichosanthes Root）、丹皮（Danpi, Moutan Cortex）、绿豆（Lüdou, Mung Bean）
肾俞发（Kidney Shu Abscess），漫肿（diffuse swelling）不能转侧（unable to turn the body），呼吸作痛（pain upon breathing），湿气化痰（dampness transforming into phlegm）。
乌药（Wuyao, Lindera Root）、五灵脂（Wulingzhi, Trogopterus Dung）、半夏（Banxia, Pinellia Rhizome）、延胡（Yanhu, Corydalis Rhizome）、赤芍（Chishao, Red Peony Root）、当归（Danggui, Angelica Sinensis Root）、桂枝（Guizhi, Cinnamon Twig）、独活（Duhuo, Angelica Pubescens Root）、秦艽（Qinjiao, Gentiana Macrophylla Root）、桑枝（Sangzhi, Mulberry Twig）、好黄酒（Good Yellow Rice Wine）
少腹痈症（Lower Abdominal Carbuncle Syndrome）有气血凝滞者（caused by Qi and Blood stagnation），有湿热流注小肠者（caused by Damp-Heat flowing into the Small Intestine），有寒湿郁结而成者（caused by Cold-Dampness constraint）。恙起去夏（The illness began last summer），少腹梗硬（lower abdomen is stiff and hard），攻冲作痛（attacking and rushing pain）。少腹乃广肠部位（The lower abdomen is the location of the Large Intestine），肝脉游行之所（where the Liver Meridian circulates），肝气拂郁（Liver Qi depression），寒邪乘之（Cold Evil takes advantage），肠胃之气火失利（Qi and Fire of the Stomach and Intestines lose their proper function），血随气阻（Blood obstructed following Qi），日久正虚邪凝愈甚（Over time, deficiency of Zheng Qi and condensation of Evil become more severe）。自冬及春（From winter to spring），愈形高肿（swelling becomes higher and more pronounced），色红而软（red in color and soft），内脓已成（internal pus has formed），定须外溃（must inevitably rupture externally）。然肠膜受伤（However, the intestinal membrane is injured），恐粪秽并出（fear that fecal matter will discharge together），且饮食少进（and food intake is reduced），溲出便闭（urination occurs but defecation is blocked），内热舌干（internal heat with dry tongue），脉数（rapid pulse），阴伤热郁（Yin injury with Heat constraint），倘大脓后胃气不苏（if after draining large amounts of pus, Stomach Qi does not recover），元气不续（Yuan Qi fails to continue），深为可虑（this is deeply concerning）。若论疡科治法（Regarding surgical treatment methods），当补托毒之剂（one should use tonifying and expelling-toxin formulas），然虚不受补（however, deficiency cannot tolerate tonification），清则碍脾（clearing Heat hinders the Spleen），治当舍外而从内（treatment should abandon external approaches and follow internal regulation）。议调胃育阴（Propose regulating the Stomach and nourishing Yin），阴充便自通（when Yin is sufficient, bowel movements will naturally unblock），胃和而食自进矣！（when the Stomach harmonizes, appetite will naturally return!）
生首乌（Raw Shouwu, Raw Polygonum Multiflorum Root）、淮药（Huaiyao, Huai Shan Yao / Dioscorea Opposita Rhizome）、柏子仁（Baiziren, Biota Seed）、茯苓（Fuling, Poria）、谷芽（Guya, Rice Sprout）、北沙参（Beishashen, Glehnia Root）、广皮（Guangpi, Tangerine Peel）、当归（Danggui, Angelica Sinensis Root）、玉竹（Yuzhu, Polygonatum Odoratum Rhizome）、毛燕（Mao Yan, Edible Bird's Nest）
肠痈外溃（Intestinal Carbuncle ruptured externally），已得微脓（already obtained slight pus），且秽从孔出（and foul matter discharges from the orifice），浊气外泄（Turbid Qi escapes externally），大非所宜（this is highly inappropriate），脉象难和（pulse condition is difficult to harmonize），食难渐进（food intake is difficult to gradually increase），惟虑正气与浊气并出（only worry about Zheng Qi and Turbid Qi discharging together），有上下交脱之虑（risk of upper and lower separation/collapse）。急当原方加白芍、参须、熟地（Urgently add White Peony Root, Ginseng Tendril, and Prepared Rehmannia Root to the original formula）。
腑气已通（Fu Qi has already unblocked），原方加党参、石斛，去柏子仁、生首乌（Add Codonopsis Root and Dendrobium Stem to the original formula, remove Biota Seed and Raw Polygonum Multiflorum Root）。
肠痈溃后（After intestinal carbuncle rupture），脓少气多（pus is scanty, Qi is abundant/exhausted），肿平一半（swelling reduced by half），脉静身凉（pulse is calm, body temperature is cool），一夜神安熟寐（peaceful spirit and deep sleep for a night），是属佳兆（this is a good omen）。黎明之际（At dawn），外患复增（external affliction increases again），肿痛（swelling and pain），卯时气虚滞于大肠（at Mao hour [5-7 AM], Qi deficiency stagnates in the Large Intestine），邪正交攻肠膜（Evil and Zheng Qi attack each other at the intestinal membrane），损伤恐难完固（injury may be difficult to fully heal）。当阴阳并补（Should tonify both Yin and Yang），兼以护膜（simultaneously protect the membrane），保无更变乃佳（ensure no further changes occur, which would be ideal）。
潞党参（Lu Dangshen, Codonopsis Pilosula Root）、怀山药（Huai Shanyao, Dioscorea Opposita Rhizome）、炙甘草（Zhi Gancao, Honey-fried Licorice Root）、象牙屑（Xiangya Xie, Ivory Shavings）、茯苓（Fuling, Poria）、广皮（Guangpi, Tangerine Peel）、当归（Danggui, Angelica Sinensis Root）、玉竹（Yuzhu, Polygonatum Odoratum Rhizome）、大熟地（Da Shudi, Prepared Rehmannia Root）、白芍（Baishao, White Peony Root）、参须（Renshen Xu, Ginseng Tendril）、黄丝绢（Huang Sijuan, Yellow Silk Fiber）
肠痈一月（One month of intestinal carbuncle），少腹内硬（lower abdomen internally hard），拘挛作痛（cramping pain），小溲混浊如脓（urine turbid like pus）。宜化瘀利湿（Suitable to resolve stasis and promote diuresis/dampness removal）。
萆薢（Bixie, Dioscorea Hypoglauca Rhizome）、茯苓（Fuling, Poria）、淮膝（Huai Xi, Achyranthes Bidentata Root）、赤芍（Chishao, Red Peony Root）、泽泻（Zexie, Alisma Rhizome）、车前（Cheqian, Plantago Seed）、黄柏（Huangbai, Phellodendron Bark）、延胡（Yanhu, Corydalis Rhizome）、归尾（Guiwei, Angelica Sinensis Root Tail）、杏仁（Xingren, Apricot Seed）、蒌仁（Louren, Trichosanthes Seed）、藕节（Oujie, Lotus Rhizome Node）
气血凝滞（Qi and Blood stagnation），少腹硬痛（lower abdomen hard and painful），小溲不爽（urination difficult/unsmooth），寒热（chills and fever），势成肠痈（trend towards forming intestinal carbuncle），急为流气化痰（Urgently flow Qi and transform phlegm）。
归尾（Guiwei, Angelica Sinensis Root Tail）、桃仁（Taoren, Peach Seed）、延胡索（Yanhusuo, Corydalis Rhizome）、青皮（Qingpi, Unripe Tangerine Peel）、山楂肉（Shanzha Rou, Hawthorn Flesh）、枳壳（Zhiqiao, Aurantium Fruit）、乌药（Wuyao, Lindera Root）、五灵脂（Wulingzhi, Trogopterus Dung）
肠痈一年（One year of intestinal carbuncle），内膜已伤（inner membrane already injured），形衰脉弱（body emaciated, pulse weak），难治之证（difficult-to-treat syndrome）。
十全大补丸（Shiquan Dabu Pill, Ten Complete Tonifying Pills），又服琥珀蜡矾丸（Also take Hupo Lafan Pill, Amber and Alum Pill）。
肠痈外溃（Intestinal carbuncle ruptured externally），秽从孔出（foul matter discharges from the orifice），肠膜穿破（intestinal membrane perforated），极难收口（extremely difficult to close the wound）。宜十全大补加味主之（Suitable to use modified Shiquan Dabu as main treatment）。加木香、萸肉、黄丝绢（Add Aucklandia Root, Cornus Fruit, and Yellow Silk Fiber）。
肠痈内硬较松（Internal hardness of intestinal carbuncle is relatively loose），脓亦较清（pus is also clearer），尚宜前法加减（Still suitable to modify previous methods）。
当归（Danggui, Angelica Sinensis Root）、鹿角胶（Lujiao Jiao, Deer Antler Glue）、淮牛膝（Huai Niuxi, Achyranthes Bidentata Root）、泽泻（Zexie, Alisma Rhizome）、萆薢（Bixie, Dioscorea Hypoglauca Rhizome）、甘草（Gancao, Licorice Root）、蒲公英（Gongying, Dandelion）、肉桂（Rougui, Cinnamon Bark）、苡仁（Yiren, Coix Seed）、赤苓（Chiling, Red Poria）
Huang (Astragali Radix)
Danggui (Angelicae Sinensis Radix), Shouwu (Polygoni Multiflori Radix), Yiren (Coicis Semen), Huafen (Trichosanthis Radix), Danpi (Moutan Cortex), Lüdou (Phaseoli Radiatus Semen)
Kidney Shu Abscess (Ren Shu Fa), presenting with diffuse swelling (man zhong) preventing turning of the body, pain upon respiration, caused by dampness transforming into phlegm.
Wuyao (Linderae Radix), Wulingzhi (Trogopterori Faeces), Banxia (Pinelliae Rhizoma), Yanhu (Corydalisis Rhizoma), Chishao (Paeoniae Radix Rubra), Danggui (Angelicae Sinensis Radix), Guizhi (Cinnamomi Ramulus), Duhuo (Angelicae Pubescentis Radix), Qinjiao (Gentianae Macrophyllae Radix), Sangzhi (Mori Ramulus), Good Yellow Rice Wine.
Lower abdominal carbuncle (Shaofu Yong) syndromes include those caused by Qi and Blood stagnation (Qi xue ning zhi), those where Damp-Heat flows into the Small Intestine (Shi re liu zhu Xiao chang), and those formed by Cold-Dampness constraint (Han shi yu jie). The illness began last summer; the lower abdomen was stiff and hard, with attacking and rushing pain. The lower abdomen is the region of the Large Intestine (Guang chang) and the pathway of the Liver Meridian circulation. Liver Qi depression combined with Cold Evil invasion causes the Qi and Fire of the Stomach and Intestines to malfunction. Blood obstruction follows Qi stagnation; over time, deficiency of Healthy Qi (Zheng Qi) and condensation of Pathogenic factors worsen. From winter to spring, the swelling became higher and more pronounced, red in color and soft, indicating internal pus formation, necessitating external rupture. However, since the intestinal membrane is injured, there is fear of fecal matter discharging alongside pus. Furthermore, poor dietary intake, urination without defecation, internal heat with a dry tongue, and a rapid pulse indicate Yin injury with Heat constraint. If, after draining large amounts of pus, Stomach Qi fails to recover and Yuan Qi (Original Qi) cannot sustain itself, this is deeply concerning. Regarding surgical treatment principles, one should typically use tonifying and expelling-toxin formulas. However, in cases of extreme deficiency, tonification is poorly tolerated, and clearing Heat may hinder the Spleen. Therefore, treatment should abandon external approaches and focus on internal regulation. The proposal is to regulate the Stomach and nourish Yin; once Yin is sufficient, bowel movements will naturally unblock, and when the Stomach harmonizes, appetite will return.
Raw Shouwu (Polygoni Multiflori Radix), Huaiyao (Dioscoreae Oppositae Rhizoma), Baiziren (Biotae Semen), Fuling (Poria), Guya (Oriza Sativa Germ), Beishashen (Glehniae Radix), Guangpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), Yuzhu (Polygonati Odorati Rhizoma), Mao Yan (Nidus Collocaliae Edibilis).
The intestinal carbuncle has ruptured externally, yielding slight pus, and foul matter is discharging from the orifice, allowing Turbid Qi to escape externally. This is highly inappropriate. The pulse is difficult to harmonize, and food intake is difficult to gradually increase. The primary concern is the simultaneous discharge of Healthy Qi and Turbid Qi, risking a collapse of the upper and lower Jiao. Urgently, add Baishao (Paeoniae Radix Alba), Renshen Xu (Ginseng Radix et Rhizoma Filum), and Shudi (Rehmanniae Radix Preparata) to the original formula.
Fu Qi (Intestinal Qi) has now unblocked. Add Dangshen (Codonopsis Radix) and Shihu (Dendrobii Caulis) to the original formula, and remove Baiziren and Raw Shouwu.
After the intestinal carbuncle rupture, pus is scanty while Qi is exhausted. Swelling has reduced by half, the pulse is calm, the body is cool, and the patient slept peacefully through the night; this is a favorable sign. At dawn, however, external symptoms worsened with swelling and pain. At Mao hour (5–7 AM), Qi deficiency leads to stagnation in the Large Intestine. Pathogenic factors and Healthy Qi clash at the intestinal membrane, making complete healing difficult. Treatment should tonify both Yin and Yang and simultaneously protect the membrane to prevent further deterioration.
Lu Dangshen (Codonopsis Radix), Huai Shanyao (Dioscoreae Oppositae Rhizoma), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle), Xiangya Xie (Elephantis Dentis Fragmentum), Fuling (Poria), Guangpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), Yuzhu (Polygonati Odorati Rhizoma), Da Shudi (Rehmanniae Radix Preparata), Baishao (Paeoniae Radix Alba), Renshen Xu (Ginseng Radix et Rhizoma Filum), Huang Sijuan (Serici Flavus Fibra).
One month into the intestinal carbuncle, the lower abdomen remains internally hard with cramping pain, and urine is turbid like pus. The approach should be to resolve stasis and promote dampness removal.
Bixie (Dioscoreae Hypoglaucae Rhizoma), Fuling (Poria), Huai Xi (Achyranthis Bidentatae Radix), Chishao (Paeoniae Radix Rubra), Zexie (Alismatis Rhizoma), Cheqian (Plantaginis Semen), Huangbai (Phellodendri Cortex), Yanhu (Corydalisis Rhizoma), Guiwei (Angelicae Sinensis Radix Cauda), Xingren (Armeniacae Semen Amarum), Louren (Trichosanthis Semen), Oujie (Nelumbinis Rhizomatis Nodus).
Qi and Blood stagnation causes lower abdominal hardness and pain, difficult urination, chills, and fever, trending toward an intestinal carbuncle. Urgent treatment should move Qi and transform phlegm.
Guiwei (Angelicae Sinensis Radix Cauda), Taoren (Persicae Semen), Yanhusuo (Corydalisis Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Shanzha Rou (Crataegi Fructus Pulpa), Zhiqiao (Aurantii Fructus), Wuyao (Linderae Radix), Wulingzhi (Trogopterori Faeces).
One year of intestinal carbuncle: the inner membrane is injured, the constitution is emaciated, and the pulse is weak; this is a difficult-to-treat syndrome.
Administer Shiquan Dabu Wan (Decem Totorum Tonifying Pills), and also administer Hupo Lafan Wan (Ambari et Vitrioli Pilula).
The intestinal carbuncle has ruptured externally, foul matter discharges from the orifice, and the intestinal membrane is perforated; wound closure is extremely difficult. Use modified Shiquan Dabu as the main treatment. Add Muxiang (Aucklandiae Radix), Yurou (Corni Fructus), and Huang Sijuan (Serici Flavus Fibra).
The internal hardness of the intestinal carbuncle has loosened, and the pus is clearer. Continue modifying the previous method.
Danggui (Angelicae Sinensis Radix), Lujiao Jiao (Colla Cornus Cervi), Huai Niuxi (Achyranthis Bidentatae Radix), Zexie (Alismatis Rhizoma), Bixie (Dioscoreae Hypoglaucae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Gongying (Taraxaci Herba), Rougui (Cinnamomi Cortex), Yiren (Coicis Semen), Chiling (Poria cum Ligno Rubro).