治发背方∶
生地黄（八两） 黄 黄芩 茯苓（各三两） 大枣（二十枚，擘） 芎 （一两） 淡
竹叶
（二升，切） 芍药 人参 当归 通草 甘草（炙，各二两）
上一十二味， 咀，以水三斗，先煮竹叶，取一斗五升，去滓，纳诸药，煮取四升，去
滓，分五服。
治发背痈已，服生地黄汤，取利后服此方∶
黄 芍药 干地黄 栝蒌（各三两） 小麦（一升） 黄芩 柴胡 麦门冬（去心） 远
志
（去心） 升麻（各二两） 当归（一两） 淡竹叶（切，四升） 大枣（十四枚，擘）
上一十三味， 咀，以水一斗八升，先煮竹叶、小麦，取一斗，去滓，纳诸药，煮取三
升，去滓，分三服，日三。
治痈疖近肺俞，此多虚，故不宜用大黄，若欲得下，但其间数服此方∶
黄芩 前胡 栝蒌 芍药 麦门冬（去心） 知母（各三两） 干地黄（四两） 淡竹
叶（三
升） 黄 升麻 甘草（炙，各二两）
上一十二味， 咀，以水一斗八升，先煮竹叶、小麦，取一斗，去滓，纳诸药，煮取四
升，去滓，分为四服，日三夜一。
治背脊痈疖，举身壮热，已行薄贴，此方数用有验，连翘汤方∶
连翘 漏芦 射干 白蔹 升麻 栀子（擘） 芍药 羚羊角（屑） 黄芩（各三两） 生
地
黄（八两） 寒水石（五两，碎） 甘草（二两，炙）
上一十二味， 咀，以水一斗，煮取四升，去滓，分四服。
治大虚客热发背上苦牵痛，微有肿，肿气来去，黄 汤方∶
黄 干姜 当归 桂心（各二两） 大枣（二十枚，擘） 麦门冬（去心） 芍药（各
三两）
上一十二味， 咀，以水一斗二升，煮取四升，去滓，分五服，日三夜二。
治痈发背及在诸处竹叶黄 汤方∶
竹叶（切，四升） 黄 芍药（各三两） 当归（一两） 大黄（一两半） 升麻 黄
芩前
胡知母 麦门冬（去心） 甘草（炙，各二两）
上一十一味， 咀，以水一斗七升，煮竹叶，取九升，去滓，下诸药，煮取二升八合，
分三服，利两三行，佳也。
治痈发背内补芍药汤方∶
芍药 干地黄 桂心（各二两） 当归（三两） 生姜（四两，切） 黄 （五两） 茯
苓（三
两） 人参 麦门冬（去心） 甘草（炙，各一两）
上一十味， 咀，以水一斗，煮取三升，分三服。
治发背肿即验前胡建中汤方∶
前胡（三两） 生姜（切） 茯苓 黄芩（各五两） 桂心（一两） 人参（一两半） 当
归芍
药半夏（汤洗三十遍） 甘草（炙，各二两）
上一十一味， 咀，以水一斗，煮取四升，分四服。
治痈发背漏芦汤方∶
漏芦 白蔹 黄芩 芍药 枳实（炙） 白薇 甘草（炙，各二两） 大黄（别浸） 麻
黄（
去节） 升麻（各三两）
上一十味， 咀，以水一斗，先煮麻黄，去上沫，然后下诸药，煮取三升，分三服。
治男子背上岁肿，时觉牵痛内补黄 汤方∶
黄 当归（各二两） 干地黄 麦门冬（各三两） 生姜（五两，切） 大枣（十四
枚，擘）
上一十味， 咀，以水一斗，煮取三升五合，分服七合，日三。
治发背黄 汤方∶
黄 干地黄 茯苓（各四两） 大枣（十五枚，擘） 芍药（三两） 生姜（二两，
切） 当
归（二两半） 人参 甘草（炙，各一两半）
上九味， 咀，以水一斗二升，煮取四升，分四服，日三夜一。加黄芩二两，佳。
治痈疮发背芍药甘草汤方∶
芍药 干地黄 黄 （各三两） 甘草（炙，一两半） 人参（一两） 茯苓 麦门冬
（去心）
上八味， 咀，以水八升，煮取二升五合，分三服。
治毒肿发背黄 汤方∶
黄 白蔹 玄参 黄芩 大黄 甘草（炙，各三两） 竹叶（切，一升）
上七味， 咀，以水九升，煮取三升，分三取，一日令尽。忌猪肉。
治痈肿始觉即令消，其肿五色，并为发背痛欲死，肿上加炙不瘥，腹内虚闷，麦门冬汤
方∶
麦门冬（去心，二两） 升麻 葛根（各三两） 丁香（一两半） 零陵香 藿香（各
一两）
上六味， 咀，以水七升，煮取二升五合，分三服。
治发背，初欲作肿及痈，便服此方∶
大黄（别浸） 黄芩 甘草（炙，各三两） 升麻（二两） 栀子（一百枚，取仁）
上五味， 咀，以水九升，煮取三升五合，去滓，分三服，得快下数行利便止，不下，
更作。
治发背肿如杏核，鸡子青木香汤方∶
青木香 麻黄（去节，各二两） 升麻（三两）
上三味， 咀，以水六升，煮取二升，去滓，分三服，一日令尽。暖卧取微汗，避风，
以粉粉身。
治痈发背升麻汤方∶
升麻（三两）
上一味， 咀，以水三升，煮取一升，分三服，昔何道静母在建安，夜得发背，至晓半
臂黑，上热如火，嘘吸烦闷，时无三两升麻，唯一两，以水三升，煮得一升，如上法，一服
觉如小宽，再服热瘥，乃得眠。至暮服尽转佳。明日视背色还复，遂愈也。
Treatment for Back Carbuncle (Back Abscess):
Shengdihuang (Rehmanniae Radix, eight liang), Huangqi (Astragali Radix), Huangqin (Scutellariae Radix), Fuling (Poria), each three liang; Dazao (Jujubae Fructus, twenty pieces, split); Xiong (Chuanxiong Rhizome, one liang); Danzhuye (Lophatheri Folium, two sheng, cut); Shaoyao (Paeoniae Radix), Renshen (Ginseng Radix), Danggui (Angelicae Sinensis Radix), Tongcao (Tetrapanacis Medulla), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), each two liang.
The above twelve ingredients are crushed. Boil in three dou of water, first decocting the Danzhuye to obtain one and a half dou of liquid. Strain out the dregs, add the remaining herbs, and decoct to obtain four sheng. Strain out the dregs and divide into five doses.
For back carbuncle that has already ulcerated, after taking Shengdihuang Tang and achieving bowel movement, take this prescription:
Huangqi (Astragali Radix), Shaoyao (Paeoniae Radix), Ganshengdihuang (Prepared Rehmanniae Radix), Gualou (Trichosanthis Fructus), each three liang; Xiaomai (Tritici Fructus, one sheng); Huangqin (Scutellariae Radix), Chaihu (Bupleuri Radix), Maimendong (Ophiopogonis Radix, heart removed), Yuanzhi (Polygalae Radix, heart removed), Shengma (Cimicifugae Rhizoma), each two liang; Danggui (Angelicae Sinensis Radix, one liang); Danzhuye (Lophatheri Folium, cut, four sheng); Dazao (Jujubae Fructus, fourteen pieces, split).
The above thirteen ingredients are crushed. Boil in one dan eight sheng of water, first decocting the Danzhuye and Xiaomai to obtain one dou of liquid. Strain out the dregs, add the remaining herbs, and decoct to obtain three sheng. Strain out the dregs and divide into three doses, taken three times daily.
For abscesses or boils near the Feishu acupoint, which often involve deficiency, thus Da Huang (Rhei Radix et Rhizoma) is not suitable. If purgation is desired, this formula may be taken intermittently:
Huangqin (Scutellariae Radix), Qianhu (Peucedani Radix), Gualou (Trichosanthis Fructus), Shaoyao (Paeoniae Radix), Maimendong (Ophiopogonis Radix, heart removed), Zhimu (Anemarrhenae Rhizoma), each three liang; Ganshengdihuang (Prepared Rehmanniae Radix, four liang); Danzhuye (Lophatheri Folium, three sheng); Huangqi (Astragali Radix), Shengma (Cimicifugae Rhizoma), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), each two liang.
*(Note: The text mentions boiling "Danzhuye and Xiaomai" first, but Xiaomai is not listed in the ingredient count of twelve. This translation follows the textual instruction literally.)*
The above twelve ingredients are crushed. Boil in one dan eight sheng of water, first decocting the Danzhuye and Xiaomai to obtain one dou of liquid. Strain out the dregs, add the remaining herbs, and decoct to obtain four sheng. Strain out the dregs and divide into four doses, taken three times during the day and once at night.
For back spine abscesses or boils with high fever throughout the body, where thin plasters have been applied, this formula has proven effective upon repeated use: Lianqiao Tang (Forsythia Decoction):
Lianqiao (Forsythiae Fructus), Loulu (Euphorbiae Humifusae Herba), Shegan (Belamcandae Rhizoma), Bailian (Ampelopsis Radix), Shengma (Cimicifugae Rhizoma), Zhizi (Gardeniae Fructus, split), Shaoyao (Paeoniae Radix), Lingyangjiao (Saigae Tataricae Cornu, powdered), Huangqin (Scutellariae Radix), each three liang; Shengdihuang (Rehmanniae Radix, eight liang); Hanshuishi (Halloysitum Rubrum, five liang, crushed); Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, two liang).
The above twelve ingredients are crushed. Boil in one dou of water to obtain four sheng. Strain out the dregs and divide into four doses.
For severe deficiency with external heat causing painful pulling sensations on the back, slight swelling that comes and goes: Huangqi Tang (Astragalus Decoction):
Huangqi (Astragali Radix), Ganjiang (Zingiberis Rhizoma), Danggui (Angelicae Sinensis Radix), Guixin (Cinnamomi Ramulus), each two liang; Dazao (Jujubae Fructus, twenty pieces, split); Maimendong (Ophiopogonis Radix, heart removed); Shaoyao (Paeoniae Radix), each three liang.
The above twelve ingredients are crushed. Boil in one dan two sheng of water to obtain four sheng. Strain out the dregs and divide into five doses, taken three times during the day and twice at night.
For carbuncles on the back and other areas: Zhuye Huangqi Tang (Lophatherum and Astragalus Decoction):
Zhuye (Lophatheri Folium, cut, four sheng); Huangqi (Astragali Radix), Shaoyao (Paeoniae Radix), each three liang; Danggui (Angelicae Sinensis Radix, one liang); Da Huang (Rhei Radix et Rhizoma, one and a half liang); Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix), Qianhu (Peucedani Radix), Zhimu (Anemarrhenae Rhizoma), Maimendong (Ophiopogonis Radix, heart removed), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), each two liang.
The above eleven ingredients are crushed. Boil the Zhuye in one dan seven sheng of water to obtain nine sheng. Strain out the dregs, add the remaining herbs, and decoct to obtain two sheng eight he. Divide into three doses. It is ideal if there are two or three bowel movements.
Internal Shaoyao Tang for back carbuncle:
Shaoyao (Paeoniae Radix), Ganshengdihuang (Prepared Rehmanniae Radix), Guixin (Cinnamomi Ramulus), each two liang; Danggui (Angelicae Sinensis Radix, three liang); Shengjiang (Zingiberis Rhizoma Recens, four liang, cut); Huangqi (Astragali Radix, five liang); Fuling (Poria, three liang); Renshen (Ginseng Radix), Maimendong (Ophiopogonis Radix, heart removed), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), each one liang.
The above ten ingredients are crushed. Boil in one dou of water to obtain three sheng. Divide into three doses.
Qianhu Jianzhong Tang for verifying back swelling:
Qianhu (Peucedani Radix, three liang); Shengjiang (Zingiberis Rhizoma Recens, cut); Fuling (Poria), Huangqin (Scutellariae Radix), each five liang; Guixin (Cinnamomi Ramulus, one liang); Renshen (Ginseng Radix, one and a half liang); Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Banxia (Pinelliae Rhizoma, washed thirty times in hot water), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), each two liang.
The above eleven ingredients are crushed. Boil in one dou of water to obtain four sheng. Divide into four doses.
Loulu Tang for back carbuncle:
Loulu (Euphorbiae Humifusae Herba), Bailian (Ampelopsis Radix), Huangqin (Scutellariae Radix), Shaoyao (Paeoniae Radix), Zhishi (Aurantii Fructus Immaturus, prepared), Baiwei (Cynanchi Atrati Radix), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), each two liang; Da Huang (Rhei Radix et Rhizoma, soaked separately); Mahuang (Ephedrae Herba, nodes removed); Shengma (Cimicifugae Rhizoma), each three liang.
The above ten ingredients are crushed. Boil in one dou of water, first decocting the Mahuang and removing the foam on top. Then add the remaining herbs and decoct to obtain three sheng. Divide into three doses.
Internal Huangqi Tang for men with chronic swelling on the back and occasional pulling pain:
Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), each two liang; Ganshengdihuang (Prepared Rehmanniae Radix), Maimendong (Ophiopogonis Radix), each three liang; Shengjiang (Zingiberis Rhizoma Recens, five liang, cut); Dazao (Jujubae Fructus, fourteen pieces, split).
The above ten ingredients are crushed. Boil in one dou of water to obtain three sheng five he. Take seven he per dose, three times daily.
Huangqi Tang for back carbuncle:
Huangqi (Astragali Radix), Ganshengdihuang (Prepared Rehmanniae Radix), Fuling (Poria), each four liang; Dazao (Jujubae Fructus, fifteen pieces, split); Shaoyao (Paeoniae Radix, three liang); Shengjiang (Zingiberis Rhizoma Recens, two liang, cut); Danggui (Angelicae Sinensis Radix, two and a half liang); Renshen (Ginseng Radix), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), each one and a half liang.
The above nine ingredients are crushed. Boil in one dan two sheng of water to obtain four sheng. Divide into four doses, taken three times during the day and once at night. Adding two liang of Huangqin is beneficial.
Shaoyao Gancao Tang for carbuncles on the back:
Shaoyao (Paeoniae Radix), Ganshengdihuang (Prepared Rehmanniae Radix), Huangqi (Astragali Radix), each three liang; Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, one and a half liang); Renshen (Ginseng Radix, one liang); Fuling (Poria), Maimendong (Ophiopogonis Radix, heart removed).
The above eight ingredients are crushed. Boil in eight sheng of water to obtain two sheng five he. Divide into three doses.
Huangqi Tang for toxic swelling on the back:
Huangqi (Astragali Radix), Bailian (Ampelopsis Radix), Xuanshen (Scrophulariae Radix), Huangqin (Scutellariae Radix), Da Huang (Rhei Radix et Rhizoma), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), each three liang; Zhuye (Lophatheri Folium, cut, one sheng).
The above seven ingredients are crushed. Boil in nine sheng of water to obtain three sheng. Divide into three doses, consumed within one day. Avoid pork.
Maimendong Tang for early-stage swelling that dissipates, presenting five colors, causing excruciating back pain, unresponsive to moxibustion on the swelling, and accompanied by abdominal emptiness and fullness:
Maimendong (Ophiopogonis Radix, heart removed, two liang); Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix), each three liang; Dingxiang (Caryophylli Flos, one and a half liang); Linglingxiang (Lingering Fragrance Herb), Huoxiang (Agastaches Rhizoma et Herba), each one liang.
The above six ingredients are crushed. Boil in seven sheng of water to obtain two sheng five he. Divide into three doses.
For back carbuncle, take this formula as soon as swelling and abscess formation begin:
Da Huang (Rhei Radix et Rhizoma, soaked separately), Huangqin (Scutellariae Radix), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), each three liang; Shengma (Cimicifugae Rhizoma, two liang); Zhizi (Gardeniae Fructus, one hundred pieces, seeds taken).
The above five ingredients are crushed. Boil in nine sheng of water to obtain three sheng five he. Strain out the dregs and divide into three doses. Stop when several loose stools are passed freely. If no stool occurs, prepare another dose.
Qingmuxiang Tang for back carbuncle swelling like an apricot kernel or chicken egg:
Qingmuxiang (Aucklandiae Radix), Mahuang (Ephedrae Herba, nodes removed), each two liang; Shengma (Cimicifugae Rhizoma, three liang).
The above three ingredients are crushed. Boil in six sheng of water to obtain two sheng. Strain out the dregs and divide into three doses, consumed within one day. Keep warm in bed to induce slight sweating, avoid wind, and apply powder to the body.
Shengma Tang for back carbuncle:
Shengma (Cimicifugae Rhizoma, three liang).
The above single ingredient is crushed. Boil in three sheng of water to obtain one sheng. Divide into three doses. Formerly, Mother of He Daojing suffered from back carbuncle in Jian'an. By dawn, half her arm had turned black, with intense heat on the upper body like fire, and she felt suffocated and restless. At that time, only one liang of Shengma was available instead of three liang. Using three sheng of water, it was decocted to obtain one sheng. Following the method above, after the first dose, she felt slightly relieved; after the second dose, the heat subsided, and she could sleep. By evening, having finished the dose, she improved significantly. The next day, her back color returned to normal, and she recovered.