此证皆因荣卫不调，或瘀血停滞所致。若小腹软痛，脉洪数者，脓已成也，宜托之；若
小腹硬痛，脉迟紧者，瘀血也，宜下之。若患甚者，腹胀大，转侧作水声，或脓从脐出，或
从大便出，宜蜡矾丸、太乙膏，及托里之药。
排脓托里散 治腹胀，脉数滑，或后重下脓。
薏苡仁汤 治肠痈，小便不利而腹痛。（二方见上卷。）
四物玄胡汤 治瘀血肠痈。
当归（一钱） 川芎 芍药 生地黄（各一分） 玄胡索（一钱） 桃仁 红花 牛膝（各七分）
上咀，作一服煎，空心服。大便秘结者，加大黄。
（凡痈坚硬如石，久不作脓是也。）
商陆根烂捣敷上，干则易鲜者，数易而愈。
因染漆毒而生者，只用香油调铁锈涂之。胃气盛者，内服黄连解毒汤。胃气弱或作呕，
饮食少，由中气虚
而漆毒侵犯也，可用六君子汤加砂仁、藿香、酒炒芍药煎服。
神效膏 先看疮大小，用绵纸裁成四框十二张，四角用小纸捻钉住听用。再以好香油二两，
铜杓文武火熬，下花椒四十九粒，煎黑取起。次下槐枝一寸长者四十九节，煎焦黑取起。
次下黄蜡一两、轻粉二分、枯矾一分溶清，却下前纸浸油内令透，不可使焦，取起听用。
贴时，先将槐枝、葱、椒煎汤洗疮令透，拭干，将膏纸粘贴，外面再以油单纸掩护，以绵帛
缚定。一日取下，揭去近疮一张，复将煎汤洗净粘贴，尽十二张，无不愈者。
又方 治 疮至简而效速。
陈小粉 芝麻（炒研） 细茶（研细末）
三味以香油调，纸粘贴，外用油纸掩缚，一日一换药。多以瓷罐封贮，勿令泄气。
隔纸膏 治 疮神效。
黄 末（半两） 轻粉 乳香 没药（各一钱） 血竭（五分） 银朱（一钱） 铜绿（二分）
上为细末，真香油调成膏，摊油纸上，再用油单纸一层，以布针刺孔数个，掩膏药上贴之，
一日一易。
This syndrome is caused by the disharmony of Ying and Wei (Nutritive and Defensive Qi) or the stagnation of blood stasis. If there is soft pain in the lower abdomen with a surging and rapid pulse, it indicates that pus has formed; one should employ the method of expelling toxins and supporting the healthy qi. If there is hard pain in the lower abdomen with a slow and tight pulse, it indicates blood stasis; one should employ the method of purging downwards. In severe cases, where the abdomen is distended and large, producing a splashing sound when turning over, or when pus discharges from the umbilicus or through the stool, La Wan Pill (Wax and Alum Pill), Tai Yi Gao (Great One Ointment), and medicines for supporting the interior are appropriate.
Painong Tuoli San (Draining Pus and Supporting Interior Powder): Treats abdominal distension, a rapid and slippery pulse, or tenesmus with pus discharge.
Yiyi Ren Tang (Coix Seed Decoction): Treats intestinal abscess accompanied by difficult urination and abdominal pain. (These two formulas are seen in the previous volume.)
Si Wu Xuan Hu Tang (Four Substances and Corydalis Decoction): Treats intestinal abscess due to blood stasis.
Dang Gui (One Qian), Chuan Xiong, Shao Yao, Sheng Di Huang (Each One Fen), Yan Hu Suo (One Qian), Tao Ren, Hong Hua, Niu Xi (Each Seven Fen).
The above herbs are chopped, prepared as one dose, decocted, and taken on an empty stomach. For constipation, add Da Huang (Rhubarb Root and Rhizome).
(This refers to carbuncles that are hard as stone and fail to suppurate for a long time.)
Apply mashed root of Phytolacca acinosa (Shang Lu Gen) to the affected area; replace with fresh paste when dry. Repeat frequently until healed.
For sores caused by lacquer poisoning, apply iron rust mixed with sesame oil directly to the lesion. For those with strong Stomach Qi, take internally Huang Lian Jie Du Tang (Coptis Decoction for Resolving Toxicity). For those with weak Stomach Qi, vomiting, or poor appetite, caused by deficiency of Middle Qi allowing lacquer toxin to invade, use Liu Jun Zi Tang (Six Gentlemen Decoction) added with Sha Ren (Amomum Fruit), Huo Xiang (Patchouli Herb), and wine-fried Shao Yao (Peony Root).
Shen Xiao Gao (Miraculously Effective Ointment): First, observe the size of the sore. Cut mulberry paper into four frames totaling twelve sheets, securing the corners with small paper twists for later use. Then, boil two taels of high-quality sesame oil in a copper spoon using alternating gentle and strong heat. Add forty-nine grains of Zanthoxylum bungeanum (Hua Jiao) and fry until black, then remove the peppercorns. Next, add forty-nine segments of Sophora japonica (Huai Zhi) branches, each one cun long, and fry until charred black, then remove the branches. Then, add one tael of beeswax, two fen of Calomelas (Qing Fen), and one fen of Calcined Alum (Ku Fan), melting them until clear. Immerse the prepared papers in the oil until fully saturated, ensuring they do not burn. Remove and set aside. Before application, wash the sore thoroughly with a decoction of Sophora japonica branches, scallion, and pepper, then dry it. Apply the ointment paper, cover with oil-coated paper externally, and bind securely with cotton cloth. Remove once daily, peel off the sheet closest to the sore, clean again with the decoction, and reapply. Using all twelve sheets guarantees healing.
Another prescription: Extremely simple and fast-acting for treating sores.
Chen Xiao Fen (Fine White Lead Powder), Sesame seeds (stir-fried and ground), Fine tea (ground into fine powder).
Mix these three ingredients with sesame oil, apply via paper patch, cover externally with oil paper, and change the dressing once daily. Store in a porcelain jar sealed tightly to prevent air leakage.
Ge Zhi Gao (Paper-Separating Ointment): Miraculously effective for treating sores.
Huang Bai end (Half Liang), Qing Fen (Calomelas), Ru Xiang (Frankincense), Mo Yao (Myrrh) (Each One Qian), Xue Jie (Dragon's Blood), Yin Zhu (Vermilion), Tong Lv (Malachite) (Two Fen).
Grind all ingredients into a fine powder. Mix with authentic sesame oil to form a paste. Spread onto oil paper, cover with another layer of oil-coated paper punctured with several holes using a cloth needle, and apply over the ointment. Change once daily.