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[Prescription Verse] Carbuncle of the hypochondrium presents with redness, swelling, and pain; a carbuncle (ulcerative sore) is hard, sunken, diffuse, cold, and non-red. Both arise from the knotting of fire and anger in the Liver and Gallbladder. Delayed ulceration with foul pus and cold deficiency indicates a ominous prognosis.

[Annotation] This condition arises in the soft rib area; the part with hard bone is called "rib" (Lei), and the soft flesh below the ribs is called "hypochondrium" (Ji Xie). Both carbuncles (Yong) and ulcers (Ju) are caused by the condensation of Liver and Gallbladder fire, often occurring in individuals with weak constitutions. Initially, it resembles a plum or walnut, gradually growing to the size of a bowl or basin, with red color, burning pain, and high swelling. After fourteen days, it ulcerates with thick pus, which characterizes a carbuncle. If it is hard, flat, diffusely swollen, numb and painful, without redness or heat, and ulcerates after more than a month with thin pus, it is an ulcer. If mismanaged, failing to resolve by the expected time and instead attacking to form pus, with swelling like a drum and bursting to release foul-smelling, watery pus, it is a adverse sign (Ni). For both carbuncles and ulcers during the initial swelling stage, Chai Hu Qing Gan Tang (Bupleurum Liver-Clearing Decoction) should be taken urgently to relieve depression and purge fire. If already formed, Tuo Li Tou Nong Tang (Support Interior and Permeate Pus Decoction) should be taken. When pus is mature and causing distending pain, a lying needle should be used to open it. After ulceration, the key is to drain remaining pus and tonify Qi and Blood. Note: Refer to the treatment methods for ulcerated sores in the Carbuncle and Ulcer section. Cases where tonification fails are difficult to treat.
Prescriptions: Chai Hu Qing Gan Tang (See Head Section: Temporal Carbuncle); Tuo Li Tou Nong Tang (See Head Section: Brain-Infiltrating Ulcer).

[Prescription Verse] Lung abscess (Fei Yong) results from lung heat compounded by wind injury, causing hidden chest pain due to lung carbuncle. Symptoms resemble cold damage but with severe dry cough, thick turbid sputum, and foul-smelling pus. Before ulceration, She Gan Ma Huang Tang induces sweating; if qi stagnation prevents lying down, Ting Li Da Zao Tang attacks the excess. After ulceration, thick pus with ability to eat is auspicious; thin pus with blood and inability to eat is ominous.

[Annotation] This condition stems from heat accumulation in the lungs combined with wind pathogen invasion, leading to long-term stagnation and abscess formation. It causes hidden pain in the Zhongfu acupoint (LU-1) within the chest, chills, rapid pulse, symptoms resembling cold damage, throat dryness and irritability without thirst, cough with wheezing and chest fullness, and expectoration of thick, sticky yellow sputum mixed with foul-smelling pus and blood. During the pre-ulceration phase, while pus is not fully formed and wind is stagnant in the exterior, the method should be dispersing. Use She Gan Ma Huang Tang (Belamcanda and Ephedra Decoction) to induce sweating. If there is qi stagnation, wheezing, and inability to lie down, urgently take Ting Li Da Zao Tang (Descurainia Seed and Jujube Decoction) to purge. If cough is accompanied by slight fever, vexation, chest fullness, and skin roughness like scales (Jia Cuo), indicating impending pus formation, use Qian Jin Wei Jing Tang (Thousand-Gold Reed Stem Decoction) to induce vomiting/drainage. If foul-smelling pus resembling rice porridge is expectorated, use Jie Geng Tang (Platycodon Decoction) to drain residual pus. If foul-smelling pus is expectorated with cough and chest fullness, use Waitai Jie Geng Bai San (External Treasury Platycodon White Powder) to open blockages. If hemoptysis occurs with afternoon fever and restlessness, use Jin Li Tang (Golden Carp Decoction) as the main treatment, along with drinking child's urine. If after ulceration, there is persistent hidden pain in the chest, diaphragm, and hypochondrium, dry mouth and throat, vexation, excessive thirst, spontaneous and night sweats, insomnia, and coughing up thick foul sputum, this indicates incomplete abscess drainage with interior deficiency. Use Ning Fei Jie Geng Tang (Lung-Calming Platycodon Decoction). If the abscess has ulcerated, wheezing and foul smell cease, turbid sputum clears, but only cough, dry throat, hemoptysis, slight hypochondriac pain, and inability to lie long remain, this indicates the ulcerated site has not yet healed. Use Zi Yuan Rong Tang (Aster Root Decoction) for clearing and tonifying; remove Ban Xia and add Shi Gao if thirst is severe. If after ulceration, cough persists, pus-phlegm remains, and the body is emaciated with weak Qi, use Qing Jin Ning Fei Wan (Clear Metal Lung-Calming Pill). Generally, for this condition, warmth of the body, fine pulse, sticky pus and blood, bright sputum color, good appetite, cessation of pus/blood, and moist bowels indicate a good prognosis. Rough palms, surging and rapid pulses after ulceration, shortness of breath, malar flush, dirty pus with white blood, loss of appetite, and dry constipation indicate a bad prognosis.
Zhongfu Acupoint (LU-1), also known as the Front-Mu point of the Lung, is located between the third rib above the nipple.
Prescription: She Gan Ma Huang Tang
Composition: Belamcanda Rhizome (Shi Gan, 13 pieces or 3 liang), Ephedra Stem (Ma Huang), Fresh Ginger (Sheng Jiang, 4 liang each), Asarum Root (Xi Xin), Aster Root (Zi Yuan), Farflower Inula Flower (Kuan Dong Hua, 3 liang each), Jujube (Da Zao, 7 pieces), Schisandra Berry (Wu Wei Zi), Pinellia Tuber (Ban Xia, washed, 0.5 sheng each).
Decoct in water and take warm.

[Prescription Verse] She Gan Ma Huang treats cough and rebellious qi, lung abscess with sounds like a water frog in the throat. Contains She Gan, Ma Huang, Sheng Jiang, Xi Xin, Zi Yuan, Ban Xia, Wu Wei Zi, Da Zao, and Kuan Dong Hua.
Another Prescription: Ting Li Da Zao Tang
Composition: Descurainia Seed (Ting Li, 5 qian mild/1 liang severe), Jujube (Da Zao, pitted, 5 pieces mild/10 pieces severe).
Decoct in 3 zhong of water until 1 zhong remains, then take.

[Prescription Verse] Ting Li Da Zao treats lung obstruction, cough preventing lying down with abscess pus. Ting Li is bitter and cold to purge excess heat, assisted by Jujube's sweetness to harmonize the Stomach channel.
Another Prescription: Qian Jin Wei Jing Tang
Composition: Reed Stem (Wei Jing, 2 sheng), Coix Seed (Yi Yi Ren, stir-fried), Winter Melon Seeds (Gua Ban, i.e., Benincasa Semen, 0.5 sheng each), Peach Kernel (Tao Ren, peeled, tip removed, stir-fried, crushed, 50 grains).
Decoct in water and take.

[Prescription Verse] Qian Jin Wei Jing treats lung abscess cough, slight fever, vexation, expectoration of foul turbidity, and scaly skin. Combine Wei Jing with Yi Yi Ren, Tao Ren, and Gua Ban.
Another Prescription: Jie Geng Tang
Composition: Platycodon Root (Jie Geng, 1 liang), Licorice Root (Gan Cao, raw, 2 liang).
Decoct in water and take.

[Prescription Verse] Jie Geng Tang drains residual pus; lung abscess expectorates pus like rice porridge. Gan Cao clears heat and detoxifies, while Jie Geng opens and unblocks Lung Qi.
Another Prescription: Waitai Jie Geng Bai San
Composition: Platycodon Root (Jie Geng), Fritillaria Bulb (Bei Mu, 3 fen each), Croton Seed (Ba Dou, peeled, roasted, crushed to paste, 1 fen).
Grind the three ingredients into powder. Strong patients take half a qian bi dose with water; weak patients reduce the dose. If the disease is above the diaphragm, pus is vomited out; if below, it is discharged via diarrhea. If diarrhea is excessive and uncontrolled, drink one cup of cold water to stop it.

[Prescription Verse] Waitai Jie Geng Bai San is excellent for lung abscess with constipation. Contains Jie Geng, Bei Mu, and Ba Dou. Though the medicine is mild, the formula achieves great success quickly and strongly.
Another Prescription: Jin Li Tang
Composition: Golden Live Carp (approx. 4 liang, 1 fish), Fritillaria Bulb (Bei Mu, 2 qian).
First, scale and gut the carp, avoiding contact with tap water. Sprinkle finely ground Bei Mu inside the fish belly and tie securely. Place the fish in half a large bowl of child's urine (Tong Bian) and steam over boiling water until the fish eyes protrude. Remove shortly after, discard scales and bones, take the clean meat, and soak it again in child's urine, steaming until hot. Consume the meat and urine in two to three portions, finishing one fish per day. The effect is very swift.

[Prescription Verse] Jin Li Tang has rare efficacy, using the method of Bei Mu and live carp. Steamed in child's urine, it effectively treats lung abscess with vexation and heat.
Another Prescription: Ning Fei Jie Geng Tang
Composition: Platycodon Root (Jie Geng), Fritillaria Bulb (Bei Mu, heart removed), Angelica Root (Dang Gui), Trichosanthes Seed (Gua Lou Ren, crushed), Raw Astragalus Root (Sheng Huang Qi), Aurantium Fruit (Zhi Ke, bran-fried), Licorice Node (Gan Cao Jie), Mulberry Root Bark (Sang Bai Pi, fried), Stephania Root (Fang Ji), Lily Bulb (Bai He, heart removed), Coix Seed (Yi Yi, fried, 8 fen each), Schisandra Berry (Wu Wei Zi), Dendrobium Root (Di Gu Pi), Anemarrhena Rhizome (Zhi Mu, raw), Apricot Kernel (Xing Ren, fried, crushed), Descurainia Seed (Ting Li, 5 fen each).
Decoct 2 zhong of water with 3 slices of Ginger until 0.8 zhong remains. Take at any time.
Increase Bai He if cough is severe. Add Chai Hu and Huang Qin for fever. Add Honey-fried Rhubarb (1 qian) for constipation. Add Deng Xin Cao and Tong Cao for dysuria. Add Bai Mao Gen for restlessness and hemoptysis. Add Ren Shen and Bai Zhi for chest pain.

[Prescription Verse] Ning Fei Jie Geng uses Huang Qi for lung abscess, along with Dang Gui, Gua Lou, Bei Mu, Gan Cao, Sang Bai Pi, Fang Ji, Bai He, Ting Li, Wu Wei Zi, Xing Ren, Zhi Mu, Yi Yi Ren, and Di Gu Pi.
Another Prescription: Zi Yuan Rong Tang
Composition: Aster Root (Zi Yuan Rong), Rhinoceros Horn (Xi Jiao, powdered), Licorice Root (Gan Cao, honey-fried), Ginseng Root (Ren Shen, 5 fen each), Mulberry Leaf (Sang Ye, use those frosted by winter), Farflower Inula Flower (Kuan Dong Hua), Lily Bulb (Bai He, heart removed), Apricot Kernel (Xing Ren, fried, crushed), Donkey-hide Gelatin (E Jiao, stir-fry if bowels are moist, use raw if dry), Fritillaria Bulb (Bei Mu, heart removed), Pinellia Tuber (Ban Xia, processed), Cinnabar Barrenwort? No, Polygonatum? No, Poria? No, Safflower? No, Rhizoma Polygonati? No, It is Puhuang (Cattail Pollen, raw, 7 fen each).
Use 3 slices of Ginger as guide, decoct 2 zhong of water until 0.8 zhong remains. Mix in Xi Jiao powder and take after meals.

[Prescription Verse] Zi Yuan Rong Tang contains Ren Shen and Xi Jiao, Kuan Dong, Sang Ye, Xing, Bai He, E Jiao, Gan Cao, Ban Xia, Bei, and Pu Huang. It specifically treats lung abscess preventing long lying.
Another Prescription: Qing Jin Ning Fei Wan
Composition: Tangerine Peel (Chen Pi), Poria (Fu Ling), Platycodon Root (Jie Geng), Fritillaria Bulb (Bei Mu, heart removed), Ginseng Root (Ren Shen), Scutellaria Root (Huang Qin, 5 qian each), Ophiopogon Tuber (Mai Dong, heart removed), Dendrobium Root (Di Gu Pi), Silver Bupleurum (Yin Chai Hu), Ligusticum Rhizome (Chuan Xiong), White Peony Root (Bai Shao, fried, 6 qian each), Picrorhiza Rhizome (Hu Huang Lian), Schisandra Berry (Wu Wei Zi), Asparagus Tuber (Tian Dong, heart removed), Rehmannia Root (Sheng Di, wine-soaked, mashed into paste), Prepared Rehmannia (Shu Di, mashed into paste), Angelica Sinensis Root (Gui Shen), Atractylodes Macrocephala Rhizome (Bai Zhu, fried, 1 liang each), Licorice Root (Gan Cao, honey-fried, 3 qian).
Grind into fine powder, make pills with refined honey, size of Sophora seeds. Take 70 pills each time. Swallow with plain boiled water far from meals.

[Prescription Verse] Qing Jin Ning Fei Wan treats lung abscess, containing Chen Pi, Fu Ling, Jie Geng, Bei Mu, Ren Shen, Er Dong, Yin Chai Hu, Huang Qin, Gui, Bai Shao, Hu Huang Lian, Gan Cao, Bai Zhu, Wu Wei Zi, Sheng/Shu Di, Di Gu Pi, and Chuan Xiong.