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[Prescription Verse] Shili Ju (Pomegranate Carbuncle) arises above the elbow tip. Initially presenting as millet-like blisters with spreading roots, it is hard, swollen, and painful. Upon rupture, it everts like a pomegranate, accompanied by severe chills and fever.
[Annotation] This condition occurs about one cun above the elbow tip, belonging to the Tianjing (TE10) acupoint of the Sanjiao Meridian of Hand-Shaoyang. At onset, yellow millet-like small blisters appear; the base feels expanded, the color is red and inflamed, the texture is hard and painful, and the swelling resembles an inverted cup. After rupture, it everts like a pomegranate, with chills and fever resembling malaria. It is caused by the interaction of Ministerial Fire (Xianghuo) of the Sanjiao and external dampness. In the early stage, Chan Su Wan (Toad Venom Pill) should be taken to induce sweating. Externally, apply nine moxa cones, paste Chan Su Bing (Toad Venom Cake), and cover with Wan Ying Gao (Ten Thousand Response Plaster). Apply Chonghe Gao (Harmonizing Ointment) on the inflamed area, and internally administer Juhua Qingzao Tang (Chrysanthemum Clearing Dryness Decoction); if irritability and high heat are severe, take Huxin San (Heart-Protecting Powder). After nine days, if thick pus forms, pain decreases, appetite returns, and both exterior and interior signs recede, it is a favorable prognosis (Shun); otherwise, it is unfavorable (Ni). After rupture, wash the area with decoction of Chrysanthemum stamens. Then, burn Chrysanthemum flowers to ash while retaining their medicinal property, mix with a small amount of Calomel (Qingfen), and apply externally for excellent effect. During the stages of draining pus, eliminating necrotic tissue, and generating flesh, internal and external treatments follow the protocols in the "Carbuncles and Ulcers" section.
Formula: Juhua Qingzao Tang (Chrysanthemum Clearing Dryness Decoction)
Composition: Gan Juhua (Chrysanthemi Flos, 2 qian), Danggui (Angelicae Sinensis Radix), Shengdi (Rehmanniae Radix), Baishao (Paeoniae Radix Alba, stir-fried with wine), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhimu (Anemarrhenae Rhizoma), Beimu (Fritillariae Thunbergii Bulbus, heart removed, ground), Digupi (Lycii Cortex), Maidong (Ophiopogonis Radix, heart removed, each 1 qian), Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Shengma (Cimicifugae Rhizoma), Xijiao (Rhinocerotis Cornu, sliced), Gancao (Glycyrrhizae Radix et Rhizoma, raw, each 5 fen), Zhu Ye (Phyllostachys Folium, 20 leaves), Dengxincao (Junci Medulla, 20 cun). Add two zhong of water, decoct to obtain eight fen, and take warm after meals.
[Prescription Verse] Juhua Qingzao Tang treats Shili Ju; swelling, hardness, inflammation, redness, and pain are treatable. The formula contains Siwu Tang plus Chaihu, Huangqin, Zhimu, Beimu, and Gancao, along with Shengma, Digupi, Maidong, and Xijiao.
Alternative Formulas: Chan Su Wan (Toad Venom Pill), Chan Su Bing (Toad Venom Cake - made from the ingredients of Chan Su Wan molded into cakes. See Ding Chuang Section). Wan Ying Gao (Ten Thousand Response Plaster. See You Yang Section). Chonghe Gao (Harmonizing Ointment), Huxin San (Heart-Protecting Powder. See Zhong Yang Section).

[Prescription Verse] Zhou Yong (Elbow Abscess) develops around the elbow. It presents with high swelling, inflammation, heat, redness, and pain. It is caused by wind and fire pathogens lingering in the Heart and Lung. When mild, it is called Bo (Boil); when severe, it is called Yong (Abscess).
[Annotation] This condition occurs around the elbow, characterized by sudden high swelling, inflammation, heat, redness, and pain. It is formed by the lingering and stagnation of wind-fire pathogens in the Heart and Lung. When the condition is minor, it is termed Jie Du (Boil Poison); when major, it is termed Yong (Abscess). Initially, take Jing Fang Bai Du San (Aristolochia and Saposhnikovia Decoction for Overcoming Toxicity) to induce sweating. Subsequently, take Baizhi Shengma Tang (Angelicae Dahuricae and Cimicifugae Decoction) to clear heat and support expulsion of toxins. Externally apply Erwei Baidu San (Two-Ingredient Toxin-Expelling Powder). Treatments for the impending ulceration stage follow the protocols in the "Carbuncles and Ulcers" sections.
Formula: Baizhi Shengma Tang (Angelicae Dahuricae and Cimicifugae Decoction)
Composition: Huangqin (Scutellariae Radix, half raw, half stir-fried with wine), Lianqiao (Forsythiae Fructus, heart removed, 2 qian), Huangqi (Astragali Radix, 3 qian), Baizhi (Angelicae Dahuricae Radix, 8 fen), Shengma (Cimicifugae Rhizoma), Jiegeng (Platycodonis Radix, each 5 fen), Honghua (Carthami Flos, washed with wine), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 3 fen). Add one zhong of wine and one zhong of water, decoct to obtain eight fen, and take hot far from meals.
[Prescription Verse] Baizhi Shengma Tang treats swelling and pain, clears heat, relieves irritability, and supports treatment of Zhou Yong. The formula contains Huangqin, Lianqiao, Jiegeng, Honghua, Gancao, and Huangqi, decocted with one zhong of water and one zhong of wine.
Alternative Formulas: Jing Fang Bai Du San (Aristolochia and Saposhnikovia Decoction for Overcoming Toxicity. See Neck and Occipital Nongju Section). Erwei Baidu San (Two-Ingredient Toxin-Expelling Powder. See Zhong Yang Section).