上细切，先以苍术，用水五升，煎至三升，去术，入前十二味，再煎至三四盏，取清汁，作三四次，终日饮之。又
煎苍术渣如前，再煎诸药渣服之。
白芷升麻汤 治手阳明经分臂上生痈，左右寸部脉皆短，得之俱弦，按之洪缓有力，此得之八风之变者。
白芷（一钱五分） 升麻 桔梗（各一钱） 甘草（炙半钱） 黄 （四钱） 酒黄芩（四钱） 生黄芩（三钱） 红
花（五分）
上细切，分二服，水酒各一盏，煎至一盏，温服。
托里散（疮疡集） 治一切恶疡、发背、疔肿、便毒始发，脉洪数弦实，肿甚将作脓者，三服消尽。
大黄 牡蛎 栝蒌根 皂角刺 朴硝 连翘（各六分） 金银花 当归（各二钱） 赤芍药 黄芩（各四钱）
上细切，作一服，水酒各一盏，煎至一盏，四分服。
又托里散（疮疡集）
黄 当归 金银花 甘草（各等分）
上细切，每服一两，酒水合煎，更详部位，各加引经药尤妙。
乌金散（疮疡集） 治痈疽、疔肿、时毒、附骨疽、诸恶疮等证。若疮黑陷如石坚，四肢冷，脉细，或时昏冒，
谵语循衣，烦渴危笃，服此汗之即疮起。
苍耳头（五月五日午时收采） 草乌头 火麻头（六月收采） 木贼（去节） 虾蟆头 桦皮节（酥炙） 麻黄（去
根节）
上晒干，各等分，同入瓷器内，盐泥固济，烈火 ，从早至申时，
如黑煤色为度，研为末，每服二钱，病重者三钱，热酒调下，未汗再
进一服。如汗已干，却服解毒疏利之药。如修合此药，必选天时清明好日，于静室中合。
黄 六一汤（东垣） 治痈疽发渴。
黄 （六两，蜜炙） 甘草（一两，炙）
上细切，水煎，不拘时服。
一方（精要） 治一切疮疖痈疽发背殊效，亦能下瘀血。
大黄（三钱） 甘草 辰砂 血竭（各一钱）
上为细末，酒调服。
内托护心散（精要）
乳香（一两） 真绿豆粉（四两，一方用二两）
上为细末，每服二三钱，煎甘草汤或新汲水调下。
小五香汤（疮疡集）
木香 沉香 乳香 藿香 连翘（各二钱） 麝香（另研少许）
上为细末，每服二钱，水一盏，煎七分，温服。
复元通气散（局方）
当归 穿山甲（煨脆，各五钱） 川芎 天花粉（炒） 青皮 陈皮（各一两） 大黄 甘草 黑丑（取头末，各
五钱）
上为细末，每服二钱，温酒调下。
金银白芷散（东垣）
黄 当归（各一钱） 槟榔 川芎（各五分） 甘草（一钱） 天花粉（五分）
乳香 没药（各三分） 皂角刺（去尖炒） 金银花（各一钱五分） 防风（三分） 白芷（一钱）
上为细末，分三服，每服水酒各半盏煎，连渣服。
正铁箍散（疮疡集）
贝母（去心，五两） 白芷 苍耳草灰（醋拌晒干，各二两）
或加龙骨二钱尤妙。
上为细末，水调或香油调，贴疮上。
大铁箍散（疮疡集）
芙蓉叶 猪卷皮 木鳖子（各四两） 白芷 黄柏 寒水石（各二两）
大黄 紫荆皮（各一两） 赤豆 白蔹（各二两） 白芨（一两） 防风（五钱）
贝母（二两） 真地青 羌活（各一两）
上为细末，凉水调，围痈四畔。如肉脆，去白芨、白蔹，加生地黄、地榆，用芭蕉油调敷。热甚者，用三消散。
三消散（疮疡集） 退极热证，赤肿 赤者。
朴硝 焰硝 大黄 栀子（炒黑色） 寒水石 南星（各等分）
上为末，生地黄汁调涂贴，芙蓉叶汁调亦可。
云母膏（疮疡集） 治一切痈疽、疮疖、折伤等证。
蜀椒（去目及闭口者，略炒） 白芷 没药 赤芍药 肉桂 当归 盐花 菖蒲 麒麟竭 黄 白芨 芎 木
香龙胆草 白蔹 防风 浓朴 麝香 桔梗 柴胡 松脂 人参 苍术 黄芩 乳香 附子 茯苓 良姜 合欢皮
（各
五钱） 硝石 甘草 云母（各四两） 柏叶 桑白皮 槐枝 柳枝 水银（以绢另包，待膏成，以手细弹铺在上，名
养膏母） 陈皮（各二两） 清油（四十两） 黄丹（二十两）
上除云母、硝石、麒麟竭、乳香、没药、麝香、黄丹、盐花八味另研外，余药并细切，入油浸七日，文火煎，以柳
枝不住手搅，候匝沸乃下火，沸定又上火，如此者三次，以药黑色为度，去渣再熬，后入丹与八味末，仍不住手以槐枝
搅，滴水中成珠不软不硬为度，瓷器收贮，候温将水银弹上。用时先刮去水银，或服或贴，随宜用之，其功甚大也。
太乙膏（疮疡集） 治一切痈疽疮疖，贴之神效，亦可内服，须详证经络，作汤使送下。
玄参 白芷 当归 肉桂 大黄 赤芍药 生地黄（各一两） 黄丹 真麻油（二斤）
上细切，入油浸，夏三日，冬十日，春秋七日，文火煎黑色，去渣入黄丹再熬，以槐柳枝不住手搅，滴水中成珠，
不软不硬，瓷器收贮。
神异膏 治诸般痈肿疖毒殊效。
露蜂房（有蜂儿多者佳，一两） 玄参（五钱） 黄 （七钱五分） 金蛇蜕（五钱，
用盐水洗净晒干） 杏仁（一两，去皮尖） 黄丹（五两，飞） 香油（十两） 乱发
（如鸡子大一块，无病少年男子者佳，皂角水洗净）
上先将香油入乱发于铫中，文火熬，候发焦烊尽，以杏仁投入，候杏仁黑色，用真绵滤出渣，再将油入铫内，然后
下黄 、玄参二味，文火熬一二时久住火，候片时火力稍息，渐入露蜂房、蛇蜕二味，以柳枝不住手搅，慢火熬至紫黑
色，又再用绵滤过去渣，入炉中，文武火熬，下丹急搅千余转，滴水中成珠子，膏即成矣。冬月略嫩些，夏月略硬些，
瓷器盛贮，随意摊贴。
（祖传方）
万捶青云膏（录验） 治诸般痈肿，未成脓者贴散，已成脓者拔毒追脓，腹中痞块，止疟疾，贴大椎及身柱，
其效如神。
白松香（一斤，去木屑） 萆麻子（三百粒，去壳） 杏仁（三百粒，去壳） 铜青（三两） 乳香（一两五钱） 没
药（一两五钱） 轻粉（二钱）
上共作一处，用铁捶木砧于日中捣成膏，如燥少加香油杵之，或用石臼木杵捣亦可，用瓷器盛，绯帛摊贴。（汤中做，
不见火。）
一方（录验） 治背痈、附骨疽、乳痈及一切痈肿未成脓者，发散极效。
槐花（一两，炒焦色） 胡桃（十个，新鲜不油者，连壳 火煨熟，去壳）
上二味，于沙盆内研烂如泥，热酒调，和渣温服。如能饮酒人，多饮愈效，一醉后而痈肿散矣。
散 治痈疽发背及一切疖毒等证，效如神。
草（其叶长如牛舌，其气如猪臭者） 小蓟根 五爪龙（即五叶藤） 生大蒜
上四味，各等分细研，用酒和匀，滤去渣，服一碗，得大汗通身而愈。
又方 治诸般痈肿神效。
新掘天门冬一味，约三五两，洗净，入沙盆内研细，以好酒荡起，滤去渣，顿服。未效，再服一二服必愈。
Cut the herbs finely. First, use *Cangzhu* (Atractylodis Rhizoma), add five sheng of water, decoct until three sheng remain, remove the *Cangzhu* dregs, and add the previous twelve herbs. Decoct again until there are three to four zhan. Take the clear juice, divide into three or four doses, and drink throughout the day. Then, decoct the *Cangzhu* dregs as before, and subsequently decoct the dregs of the other herbs for consumption.
**Baizhi Shengma Tang** (Angelica Dahurica and Cimicifuga Decoction): Treats carbuncles arising on the arms in the distribution of the Hand-Yangming Meridian. The pulse at both cun positions is short, accompanied by a wiry quality; upon pressure, it is surging, moderate, and forceful. This results from the transformation of the Eight Winds pathogenic factors.
*Baizhi* (1.5 qian) *Shengma* *Jiegeng* (each 1 qian) *Gancao* (honey-fried, 0.5 qian) *Huangqi* (4 qian) *Jiu Huangqin* (wine-processed Scutellariae Radix, 4 qian) *Sheng Huangqin* (raw Scutellariae Radix, 3 qian) *Honghua* (0.5 qian)
Cut the herbs finely, divide into two doses. Add one zhan of water and one zhan of wine, decoct until one zhan remains, and take warm.
**Tuoli San** (from *Chuangyang Ji*): Treats all kinds of malignant sores, back carbuncles, ding swellings, and inguinal abscesses in their initial stage. The pulse is surging, rapid, wiry, and full; swelling is severe and suppuration is imminent. Three doses will eliminate the condition completely.
*Dahuang* *Muli* *Gualugen* *Zaiaocici* *Puxiao* *Lianqiao* (each 6 fen) *Jinyinhua* *Danggui* (each 2 qian) *Chishao Yao* *Huangqin* (each 4 qian)
Cut the herbs finely, prepare as one dose. Add one zhan of water and one zhan of wine, decoct until one zhan remains, and divide into four parts for administration.
Another **Tuoli San** (from *Chuangyang Ji*):
*Huangqi* *Danggui* *Jinyinhua* *Gancao* (equal parts)
Cut the herbs finely. For each dose, use one liang, decoct with combined wine and water. It is especially effective to add meridian-guiding herbs according to the specific location of the lesion.
**Wujin San** (from *Chuangyang Ji*): Treats carbuncles and ulcers, ding swellings, epidemic toxins, deep-seated bone abscesses, and various malignant sores. If the sore is black, sunken, and hard as stone, with cold limbs, fine pulse, occasional fainting, delirious speech, picking at clothes, restlessness, thirst, and critical condition, administering this herb to induce sweating will cause the sore to rise.
*Canger Tou* (collected at noon on the fifth day of the fifth lunar month) *Caowutou* *Huomaz Tou* (collected in June) *Muzei* (nodes removed) *Xiamatou* *Huapi Jie* (fried with butter) *Mahuang* (roots and nodes removed)
Dry them thoroughly, mix equal parts, place together in a porcelain vessel, seal tightly with salt mud, and calcine over fierce fire from morning until Shen hour (3-5 PM). When the color resembles black coal, grind into powder. Each dose is two qian; for severe cases, three qian. Mix with hot wine and take orally. If sweating has not occurred, administer another dose. If sweat has dried, administer detoxifying and purgative herbs instead. When preparing this medicine, select a clear, bright day and compound it in a quiet room.
**Huangqi Liuyi Tang** (by Li Dongyuan): Treats thirst caused by carbuncles and ulcers.
*Huangqi* (6 liang, honey-fried) *Gancao* (1 liang, fried)
Cut the herbs finely, decoct in water, and take at any time.
One Prescription (from *Jingyao*): Highly effective for treating all kinds of boils, furuncles, carbuncles, ulcers, and back carbuncles; also promotes the expulsion of blood stasis.
*Dahuang* (3 qian) *Gancao* *Chensha* *Xuexie* (each 1 qian)
Grind into fine powder, mix with wine, and take orally.
**Neituo Huxin San** (from *Jingyao*):
*Ruxiang* (1 liang) *Zhen Lvdou Fen* (4 liang; one prescription uses 2 liang)
Grind into fine powder. Each dose is two to three qian, mixed with decocted *Gancao* soup or fresh well water, and taken orally.
**Xiao Wuxiang Tang** (from *Chuangyang Ji*):
*Muxiang* *Chenxiang* *Ruxiang* *Huoxiang* *Lianqiao* (each 2 qian) *Shexiang* (separately ground, a small amount)
Grind into fine powder. Each dose is two qian, decocted in one zhan of water until seven-tenths remain, and taken warm.
**Fuyuan Tongqi San** (from *Ju Fang*):
*Danggui* *Chuanshanjia* (roasted until crisp, each 5 qian) *Chuanxiong* *Tianhuafen* (stir-fried) *Qingpi* *Chenpi* (each 1 liang) *Dahuang* *Gancao* *Heiqiu* (head powder only, each 5 qian)
Grind into fine powder. Each dose is two qian, mixed with warm wine and taken orally.
**Jinyin Baizhi San** (by Li Dongyuan):
*Huangqi* *Danggui* (each 1 qian) *Binglang* *Chuanxiong* (each 5 fen) *Gancao* (1 qian) *Tianhuafen* (5 fen)
*Ruxiang* *Moyao* (each 3 fen) *Zaiaoci* (tips removed, stir-fried) *Jinyinhua* (each 1.5 qian) *Fangfeng* (3 fen) *Baizhi* (1 qian)
Grind into fine powder, divide into three doses. For each dose, decoct with half a zhan of water and half a zhan of wine, and consume including the dregs.
**Zheng Tiegu San** (from *Chuangyang Ji*):
*Beimu* (heart removed, 5 liang) *Baizhi* *Canger Cao Hui* (mixed with vinegar, dried, each 2 liang)
Adding 2 qian of *Longgu* is particularly excellent.
Grind into fine powder, mix with water or sesame oil, and apply externally to the sore.
**Da Tiegu San** (from *Chuangyang Ji*):
*Furong Ye* *Zhu Juan Pi* *Mubiezi* (each 4 liang) *Baizhi* *Huangbai* *Hanshui Shi* (each 2 liang)
*Dahuang* *Zijing Pi* (each 1 liang) *Chidou* *Bailian* (each 2 liang) *Baiji* (1 liang) *Fangfeng* (5 qian)
*Beimu* (2 liang) *Zhen Diqing* *Qianghuo* (each 1 liang)
Grind into fine powder, mix with cool water, and apply around the periphery of the carbuncle. If the flesh is fragile, remove *Baiji* and *Bailian*, and add *Sheng Dihuang* and *Diyu*, mixing with banana oil for application. For cases with extreme heat, use **Sanxiaosan**.
**Sanxiaosan** (from *Chuangyang Ji*): Treats extreme heat conditions characterized by redness, swelling, and pain.
*Puxiao* *Yanxiao* *Dahuang* *Zhizi* (stir-fried until black) *Hanshui Shi* *Nanxing* (equal parts)
Grind into powder, mix with juice of fresh *Sheng Dihuang* for topical application; juice of *Furong Ye* may also be used.
**Yunmu Gao** (from *Chuangyang Ji*): Treats all kinds of carbuncles, ulcers, furuncles, and fractures.
*Shujiao* (remove eyes and closed ones, lightly fried) *Baizhi* *Moyao* *Chishao Yao* *Rougui* *Danggui* *Yanhua* *Changpu* *Qilinjie* *Huangqi* *Baiji* *Xiong* *Muxiang* *Longdancao* *Bailian* *Fangfeng* *Nongpo* *Shexiang* *Jiegeng* *Chaihu* *Songzhi* *Renshen* *Cangzhu* *Huangqin* *Ruxiang* *Fuzi* *Fuling* *Liangjiang* *Hehuanpi* (each 5 qian) *Xiaoshi* *Gancao* *Yunmu* (each 4 liang) *Boye* *Sangbaipi* *Huai Zhi* *Liu Zhi* *Shuiyin* (wrapped separately in silk; after the ointment is formed,弹 [tap/spread] onto the surface by hand, named "Yang Gaomu") *Chenpi* (each 2 liang) *Qingyou* (40 liang) *Huandan* (20 liang)
Except for *Yunmu*, *Xiaoshi*, *Qilinjie*, *Ruxiang*, *Moyao*, *Shexiang*, *Huandan*, and *Yanhua* which are ground separately, cut the remaining herbs finely, soak in oil for seven days, and decoct over gentle fire. Stir continuously with a willow branch. When boiling occurs, remove from heat; once settled, return to heat. Repeat this process three times until the herbs turn black. Remove dregs and continue simmering. Then add *Huandan* and the eight powdered herbs, stirring continuously with a locust branch until drops form beads in water that are neither soft nor hard. Store in porcelain vessels. When warm, spread the mercury on top. Before use, scrape off the mercury. Administer orally or apply externally as appropriate; its efficacy is significant.
**Taiyi Gao** (from *Chuangyang Ji*): Treats all kinds of carbuncles, ulcers, and furuncles; highly effective when applied externally. It can also be taken internally, but one must carefully differentiate the syndrome and meridians, using a decoction to deliver the pill/powder.
*Xuanshen* *Baizhi* *Danggui* *Rougui* *Dahuang* *Chishao Yao* *Sheng Dihuang* (each 1 liang) *Huandan* *Zhen Mayou* (2 jin)
Cut finely, soak in oil. In summer, three days; in winter, ten days; in spring and autumn, seven days. Decoct over gentle fire until black, remove dregs, add *Huandan*, and simmer again. Stir continuously with locust and willow branches until drops form beads in water that are neither soft nor hard. Store in porcelain vessels.
**Shenyi Gao**: Highly effective for treating various carbuncles, swellings, and furuncle toxins.
*Lufengfang* (preferably those with many bee larvae, 1 liang) *Xuanshen* (5 qian) *Huangqi* (7.5 qian) *Jinshetui* (5 qian, washed clean with salt water and dried) *Xingren* (1 liang, skin and tips removed) *Huandan* (5 liang, refined) *Xiangyou* (10 liang) *Luafa* (a piece the size of a chicken egg, preferably from a healthy young man, washed clean with soap pod water)
First, put the *Xiangyou* and *Luafa* into a pot, simmer over gentle fire until the hair is charred and melted. Add *Xingren*; when the almonds turn black, filter out the dregs using real cotton. Return the oil to the pot, then add *Huangqi* and *Xuanshen*. Simmer over gentle fire for one to two hours, then stop heating. After a moment, when the heat subsides slightly, gradually add *Lufengfang* and *Shetui*. Stir continuously with a willow branch, simmer slowly over low heat until purple-black. Filter out dregs again using cotton. Place in a furnace, heat with alternating mild and strong fire, add *Huandan*, stir rapidly for over a thousand turns. When drops form beads in water, the ointment is ready. In winter, make it slightly softer; in summer, slightly harder. Store in porcelain vessels and apply as needed.
(Ancestral Prescription)
**Wanchui Qingyun Gao** (Recorded Verification): Treats various carbuncles and swellings. Applied externally to disperse un-suppurated masses; draws out toxin and pus from suppurated ones. Also treats abdominal masses and stops malaria. Applied to Dazhui and Shenzhu acupoints, its effect is miraculous.
*Bai Songxiang* (1 jin, remove wood chips) *Bimazi* (300 grains, shell removed) *Xingren* (300 grains, shell removed) *Tongqing* (3 liang) *Ruxiang* (1.5 liang) *Moyao* (1.5 liang) *Qingfen* (2 qian)
Combine all ingredients, pound into an ointment in sunlight using an iron hammer and wooden anvil. If too dry, add a little sesame oil and pound further, or use a stone mortar and wooden pestle. Store in porcelain vessels, spread on crimson silk for application. (Prepared in water bath, avoiding direct fire.)
One Prescription (Recorded Verification): Highly effective for dispersing back carbuncles, deep-seated bone abscesses, breast carbuncles, and all un-suppurated carbuncles and swellings.
*Huaihua* (1 liang, stir-fried until scorched) *Hutao* (10 fresh, non-oily nuts, roasted in shell with fire, shells removed)
Grind these two ingredients in a sand mortar until paste-like. Mix with hot wine, including dregs, and take warm. Those who can drink alcohol should consume more for better effect; after one bout of drunkenness, the carbuncle and swelling will dissipate.
**Cao San**: Treats carbuncles, ulcers, back carbuncles, and all kinds of furuncle toxins; efficacy is miraculous.
*Cao* (leaves long like ox tongues, odor like pig) *Xiaoji Gen* *Wuzhao Long* (i.e., *Wuye Teng*) *Sheng Dasuan*
Grind these four ingredients equally into fine powder, mix evenly with wine, filter out dregs, and drink one bowl. Recovery occurs with profuse whole-body sweating.
Another Prescription: Highly effective for treating various carbuncles and swellings.
Take fresh-dug *Tianmendong*, approximately three to five liang, wash clean, grind finely in a sand mortar. Rinse with good wine, filter out dregs, and take in one dose. If ineffective, take one or two more doses; recovery is certain.