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[Formula Song] Pi Fa Ju (Spleen Carbuncle) arises on both sides below the heart pit, caused by fire and toxin from excessive consumption of roasted foods, rich flavors, and medicinal wine. Initially resembling a millet grain, it presents with alternating chills and fever, gradually increasing in swelling and pain until suppuration occurs.

[Annotation] This condition manifests on both sides below the heart pit, belonging to the Shidong (SP15) acupoint of the Spleen Meridian. Whether occurring on the left or right, it is caused by excessive intake of roasted foods, rich flavors, and medicinal wine, leading to accumulated fire in the Spleen Meridian, forming toxins that erupt. Initially, the lesion resembles a millet grain, accompanied by alternating chills and fever, followed by progressive swelling and pain. If the apex is elevated, the base is constricted, the color is red and vibrant, and thick pus discharges as expected, it is a favorable prognosis (Shun); if the apex is flat, the base is diffuse, the color is purple and hard, it fails to suppurate when due, or discharges pus resembling crab foam after rupture, it is an unfavorable prognosis (Ni). Initially, treat with Jingfang Baidu San (Atractylodes and Saposhnikovia Powder to Overcome Toxins) to induce sweating. If symptoms include cracked lips, extreme thirst, and restlessness, Taiyi Zijin Ding (Taiyi Purple Gold Pellet) should be taken first, followed by Neishu Huanglian Tang (Internal Draining Coptis Decoction) to clear heat. All other internal and external treatments follow the protocols for Yangsores (Carbuncles and Ulcers) sections.

Formula: Taiyi Zijin Ding (Taiyi Purple Gold Pellet)
Composition: Xionghuang (Realgar, *Realgar*, 3 qian, selected for bright red large chunks, ground into powder)
Zhusha (Cinnabar, *Cinnabaris*, 3 qian, selected for those with spiritual energy, ground into powder)
Shexiang (Musk, *Moschus*, 3 qian, cleaned of fur and skin impurities)
Chuan Wubeizi (Chinese Gallnut, *Galla Chinensis*, 2 liang, crushed and ground into powder; also known as Wen Ge)
Hongya Daji (Red-bud Euphorbia Root, *Euphorbiae Humifusae Radix*, 1.5 qian; Hangzhou Purple Daji is superior, Jiangnan Earth Daji is secondary. Northern Earth Daji that is white has fierce and harsh properties; weak individuals taking it may suffer hematemesis, so avoid these. Remove rhizomes, wash clean, dry by baking, and grind into powder)
Shancigu (Hemsleya Tuber, *Sinomillettiae Rhizoma*, 2 liang, washed to remove hairs and skin, dried by baking, and ground into powder)
Qianjinzi (Croton Seed, *Crotonis Fructus*, 1 qian; also known as Xu Suizi, use the white kernel, remove oil)
Select premium quality for all above herbs. Process in a clean room. Wait for auspicious days such as Dragon Boat Festival, Qixi Festival, Double Ninth Festival, or days marked by Tianyue De, Tianyi, or Yellow Path. Those entering the room to compound the medicine must fast and bathe for three days prior, change into new and clean clothes and hats. On the day, enter the room only after washing hands and burning incense, silently reciting the tablet of the Medicine King. The master leads the group in burning incense and praying. Afterward, weigh the seven herbs accurately and place them in a large mortar, grind hundreds of turns, then transfer to a fine stone mortar. Gradually add thick rice gruel, adjusting to moderate consistency. Pound with a pestle over a thousand times until extremely smooth and glossy. Each pellet weighs 1 qian. Take one pellet per dose; for severe cases, take two pellets to induce purgation, followed by warm rice porridge to nourish the body. During compounding, only clean personnel involved in making the medicine are allowed; others are forbidden from watching. This medicine is effective only when prepared with sincerity and cleanliness.

[Formula Song] Taiyi Zijin treats various sores and toxins; Ding sores, carbuncles, and ulcers can all be removed. Ingredients include Realgar, Cinnabar, Chinese Gallnut, Musk, Croton Seed, Red-bud Euphorbia Root, and Hemsleya Tuber.

Indications:
1. For all types of food and drug poisoning, Gu poison, miasma bacteria, pufferfish poisoning, and accidental ingestion of meat from self-dead cattle, horses, pigs, sheep, etc., which cause sudden collapse, confusion, or abnormal manifestations. Grind the pellet with water and administer orally. Vomiting or diarrhea will occur, and the patient will recover consciousness.
2. For mountain miasma and epidemic smoke in southern regions, which harm humans most severely. Upon initial infection, feeling uneasy, aversion to cold and heat, and nausea without vomiting, grind one pellet and take it. Recovery follows vomiting and diarrhea.
3. For carbuncles on the back, duikou ding sores, Tian She unnamed swelling/toxicity, Zhu Jie red thread ding sores, yaws, various wind urticaria, old and new hemorrhoids. Take with light wine free of ash. Apply externally using water-ground paste on the sore multiple times daily until itching subsides and healing occurs.
4. For Yin-Yang dual toxicity, typhoid causing chest oppression, delirious speech, chest diaphragm stagnation, unexpelled pathogenic toxins, plague causing agitation and madness, throat closure, and throat wind. Take with mint decoction cooled down.
5. For dysentery (red and white), acute abdominal diarrhea pain, cholera-like intestinal cramping, and various phlegm-wheezing conditions. Take with ginger decoction.
6. For men and women suffering from acute manic psychosis, shouting and running, spirit intercourse, spirit pregnancy, spirit qi possession, loss of mind and madness, epilepsy ("sheep" and "pig" convulsions). Take with decoction of Acorus Tatarinowii Rhizome (*Acori Tatarinowii Rhizoma*).
7. For stroke and Qi blockage, facial paralysis, locked jaw, slurred speech, tendon contraction, joint wind swelling, generalized body pain, difficulty walking, various wind diseases, and epilepsy. Take with wine-ground pellet, warmed.
8. For hanging, drowning, fright death, crushing death, or spirit bewitchment, provided the heart remains slightly warm. Take with decoction of Fresh Ginger (*Zingiberis Recens Rhizoma*) and Teasel Root (*Dipsaci Radix*) in wine.
9. For bites from venomous snakes, mad dogs, scorpions, and toxic Gu insects from streams, causing immediate swelling spreading over the body. In severe cases where toxin enters the interior causing coma and screaming, life is at stake. Administer wine-ground pellet immediately, then drink a bowl of green onion soup, cover with blankets to induce sweating for immediate recovery.
10. For new or chronic malaria at the onset of attacks. Grind the pellet in decoction of Peach Twig (*Persicae Ramulus*) and Willow Twig (*Salicis Ramulus*) boiled in east-flowing water.
11. For pediatric acute/chronic convulsions, five malnourishment syndromes, five dysenteries, spleen disease with yellow swelling, urticaria, tumors, and locked jaw. Grind pellet in mint-infused water to make thick, mix with honey, and take. Also apply topically. For young children, divide one pellet into several doses.
12. For toothache, grind pellet with wine, apply to the painful area, hold a small amount in the mouth, and swallow after some time.
13. For infants born with residual toxins from parents, presenting with sunken rotting skin patches within 100 days, or damaged/rotten anus and eye sockets. Grind with clean water and apply topically.
14. For contusions and injuries, grind with pine node wine free of ash and take.
15. For long-standing head distension/pain, extreme Taiyang headache, hemicrania, and post-herpetic neuralgia/toxin attack causing forehead distension. Grind one pellet with green onion wine, take orally, and apply remaining paste to the Taiyang acupoint.
16. For amenorrhea in women, take with Red Flower (*Carthami Flos*) decoction.
17. For epidemic diseases spreading through streets and alleys, highly contagious. Grind peach root (*Peach Root Bark* or *Radix Persicae*) in water to make thick liquid, drip into nostrils, then take a small amount orally. One can enter sick households without contracting the disease.
18. Also treats consumptive tuberculosis (*Lao Fei*), where other medicines fail. A practitioner instructed taking one pellet ground each morning. After three doses, foul matter and corpse worms (heterogeneous strange classes) were expelled, leading to recovery. Countless lives have been saved this way.
19. For women suffering long-term tuberculosis eaten by corpse worms, taking one pellet resulted in expelling small worms shortly after. Subsequent administration of Suhexiang Wan (Styrax Pill) cured the disease completely, with full recovery after one month of conditioning. Truly a precious medicine for saving the world and preserving health.

Alternative Formulas:
Jingfang Baidu San (See Neck Carbuncle section)
Neishu Huanglian Tang (See Yangsores section)