(《局方》。即《外科精要》十宣散)
治痈疮初发或已发,邪高痛下,疮盛形羸,脉无力者(若痈疽不因膏粱、丹毒、火热、
胃
黄 人参 当归(二钱) 川芎 桂心 白芷 防风 浓朴 桔梗 甘草(一钱。)
每服
发背疔疮。
此手足太阴、足厥阴、阳明药也。参 补气,芎归活血,甘草解毒,桂心、白芷、桔梗
排脓,浓朴泻实满,防风散风邪,为表里气血之药,共成助阳内托之功也朱(丹溪曰∶若冬
月肿疡用之,可转重就轻;若溃疡夏月用之,以桂朴之温散,佐以防风、白芷,吾恐虽有参
,难为倚仗,世人不分冬夏,无论经络,不能无误也。《机要》曰∶治疮须用托里、疏通
脏腑、调和营卫三法。内之外者,其脉沉实,发热烦躁,外无 赤,痛深于内,其邪深矣,
当疏通脏腑,以绝其源;外之内者,其脉浮数, 肿在外,形证外显,恐邪气极而内行,当
先托里;内外之中者,外无 恶之气,内亦脏腑宣通,知其在经,当和营卫;用此三者,虽
未即瘥,必无变证)。
(《总录》)
治诸疮溃后,脓多内虚(溃后脓血出多,阴阳两竭,宜大补气血)。
黄 人参 当归 桂心 茯苓 远志 麦冬 五味子(炒),等分。每服五钱,食远
服。
此手足太阴、足阳明药也。人参、黄 补气固卫,当归、桂心活血生肌,茯苓渗湿健脾
,麦
丹溪
也。
(From *Taiping Huimin Heji Jufang*, which is also known as *Shixuan San* in *Waike Jingyao*)
Treats carbuncles and sores that have just begun to develop or are already developed, where the pathogenic factor is located high but the pain is low, the sore is severe while the body is emaciated and weak, and the pulse is forceless (if the carbuncle or furuncle is not caused by excessive consumption of rich food, erysipelas, fire-heat pathogen, or stomach yellow).
Ingredients: Huangqi (Astragali Radix), Renshen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix) [2 qian], Chuanxiong (Ligustici Chuanxiong Rhizoma), Guixin (Cinnamomi Cortex), Baizhi (Angelicae Dahuricae Radix), Fangfeng (Saposhnikoviae Radix), Nongpo (Magnoliae Officinalis Cortex), Jiegeng (Platycodonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma) [1 qian].
Take this amount per dose to treat back carbuncles and ding sores.
This prescription consists of herbs belonging to the Hand Taiyin, Foot Jueyin, and Yangming meridians. Renshen tonifies Qi, Chuanxiong and Danggui invigorate blood, Gancao detoxifies, Guixin, Baizhi, and Jiegeng expel pus, Nongpo drains excess fullness, and Fangfeng disperses wind pathogens. These are herbs that regulate the exterior and interior, Qi and Blood, collectively achieving the effect of assisting Yang and internal expulsion (Tuoli). Zhu Zhenheng (Danxi) stated: If used for swelling ulcers (unbroken sores) in winter, it can turn a severe condition into a mild one; if used for broken ulcers (ulcerated sores) in summer, due to the warming and dispersing nature of Guixin and Nongpo, assisted by Fangfeng and Baizhi, I fear that despite the presence of Ginseng, it may be difficult to rely on its efficacy. People who do not distinguish between winter and summer, nor consider meridian differences, will inevitably make mistakes. *Jiyao* states: Treating sores requires three methods: Tuoli (internal support/expulsion), unblocking the Zang-Fu organs, and harmonizing Ying and Wei. For pathogenic factors moving from exterior to interior, the pulse is deep and solid, accompanied by fever and irritability, without obvious redness on the surface, and pain is deep inside, indicating the pathogen has penetrated deeply; one should unblock the Zang-Fu organs to cut off the source. For pathogenic factors moving from interior to exterior, the pulse is floating and rapid, swelling is on the surface, and symptoms are externally manifest, fearing that extreme pathogenic energy may move inward; one should first use Tuoli. For conditions between interior and exterior, with no aversion to cold on the surface and smooth functioning of internal Zang-Fu organs, knowing the pathogen is in the meridians, one should harmonize Ying and Wei; employing these three methods, even if immediate cure is not achieved, there will surely be no transformation of the disease.
(From *Zonglu*)
Treats various sores after ulceration, characterized by abundant pus and internal deficiency (after ulceration, excessive loss of pus and blood leads to exhaustion of both Yin and Yang, requiring major tonification of Qi and Blood).
Ingredients: Huangqi (Astragali Radix), Renshen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Guixin (Cinnamomi Cortex), Fuling (Poria), Yuanzhi (Polygalae Radix), Maidong (Ophiopogonis Tuber), Wuweizi (Schisandrae Fructus) [stir-fried], all in equal proportions. Take 5 qian per dose, administered well after meals.
This prescription consists of herbs belonging to the Hand Taiyin and Foot Yangming meridians. Renshen and Huangqi tonify Qi and consolidate the Defensive Qi (Wei Qi), Danggui and Guixin invigorate blood and generate flesh, Fuling promotes diuresis to drain dampness and strengthens the Spleen, Maidong... (The original text appears truncated here. Based on the instruction to only extract explicitly mentioned entities, the translation reflects the visible content). Danxi believed... (Original text truncated).