论曰∶人之肌肉皮肤，待气血以温养，痈久不瘥，热毒未尽，风冷乘之，客于疮孔，肌
不得温，故肿结不消，乍瘥乍发，名曰久痈，不治则变成 。
治一切痈疽，及乳痈，风毒留积，疼痛不止，或脓出不快，久不生肌。木香汤方
木香 乳香 鸡舌香（各半两） 沉香 射干 连翘 升麻 黄 （锉炒） 木通（锉）
独
活（去芦头） 桑寄生（锉） 甘草（炙锉） 大黄（锉炒各三分）
上十三味，粗捣筛，每服五钱匕，用水一盏半，煎至一盏，下芒硝半钱匕，麝香半字匕
，更煎一二沸，滤去滓，空心温服，不利再服。
治痈疽日月久远，脓水不尽，心中烦闷。白藓皮汤方
白藓皮 桑根白皮（锉） 玄参 漏芦（去芦头） 升麻（各一两） 犀角屑（半两） 败
酱（
三分）
上七味，粗捣筛，每服五钱匕，以水一盏半，煎至一盏，入芒硝半钱匕，滤去滓，空心
温服，晚再服，稍觉疮痛止，即去芒硝。
治痈疽恶疮久远，脓水不尽，变为 。黄 汤方
黄 （锉炒一两） 升麻 犀角（镑各半两） 紫葛 木通（锉各三分）
上五味，粗捣筛，每服五钱匕，以水一盏半，煎至一盏，下芒硝半钱匕，滤去滓，空心
温服，取利三两行为度，未利再服。
治发背痈疽，经年不瘥，热气结聚。山茱萸散方
山茱萸 五味子 白茯苓（去黑皮各三分） 当归（切焙） 附子（炮裂去皮脐） 芎
药石苇（去毛炙） 桂（去粗皮） 人参 地脉草 石斛（去根酒浸焙） 菟丝子（酒浸
炙） 甘
草（
皮炙） 生
干地黄（炒各一两） 干姜（炮一分）
上二十味，捣罗为散，每服二钱匕，温酒调下，加至三钱匕，醋浆水调下亦得，长服永
不发疮疖。
治一切痈疽诸 ，拔毒风，生肌肉，止脓血。 皮散方
皮（半枚烧灰） 杜仲（锉炒） 浓朴（去粗皮姜汁炙透各一两） 续断 附子（炮
裂去皮
脐） 地榆 本（去土） 当归（切焙） 桂（去粗皮各半两） 小露蜂房（半枚炙）
上十味，捣罗为散，每服二钱匕，温酒调下，晚再服。
治痈疽溃后，脓水不绝。麦门冬汤方
麦门冬（去心焙） 黄 （炙锉） 五味子（炒） 白茯苓（去黑皮各一两） 芎
（去粗
皮各半两） 当归（切焙） 人参 甘草（炙各三分） 远志（去心焙一两）
上十味，粗捣筛，每服五钱匕，水一盏半，入生姜半分拍碎，大枣二枚劈破，同煎至一
盏，滤去滓，空心温服，晚再服生肌膏，取瘥为度。
治一切痈疽，久不瘥。黄连散方
黄连（去须） 滑石（碎各一两）
上二味，捣罗为散，先浓煎甘草汤，温洗疮了拭干，烂嚼胡麻子敷之，后干贴此散子，
日三度易良。
治一切疮肿痈疽瘰 等疾，经月不瘥，将作冷 。蟾蜍膏方
蟾蜍（一枚去头用） 石硫黄（别研） 乳香（别研） 木香 桂（去粗皮各半两） 露
蜂房（
一枚烧灰用）
上六味，捣罗为末，用清油一两，调药末，入瓷碗盛，于铫子内重汤熬，不住手搅，令
成膏，绢上摊贴之，候清水出，更换新药，疮患甚者，浓摊药贴之。
治疮久不瘥，时常痛痒，皮缩肉消，黄汁脓血不断。如神散方
天南星（炮一枚） 草乌头（炒一两） 矾石（ 半两）
上三味，捣研为散，先用热汤洗，次将散子，生油调，涂纸上贴之。
治久痈涂敷方
白杨叶（干者一握）
上一味，捣罗为末，敷疮上，日二度。
又方
巴豆（五枚烧灰细研） 斑蝥（五枚烧灰细研）
上二味，研和为散，敷疮上，以绵贴之，日一次。
又方
巴豆（五枚去心皮研令细） 鱼脂（三两）
上二味，先熬脂令沸，入巴豆煎，搅令匀，以瓷合盛，涂敷疮上，日三度。
治久痈疽。秦艽涂敷方
秦艽（半两）
上一味，捣罗为末，涂敷疮上，以帛裹缚之，日二次。
又方
饴糖（一分）
上一味，火熔灌疮中，日三度即瘥。
又方
鹳骨（锉半两）
上一味，捣罗为末，以猪脂调如糊，涂敷疮上，以故帛裹之，须臾痒发，当有虫出即瘥
治诸痈肿热毒蕴积，或久出脓水，烦热疼痛，疮口不合，排败脓，去死肌。五香连翘丸
方
木香（一两半） 沉香（锉） 人参 鸡舌香 乳香 芍药 玄参 海藻（去咸汁） 桂
（去
粗皮
连翘（
上十六味，捣研为末，炼蜜和丸，如梧桐子大，每服二十丸，至三十丸，空心酒下，更
量虚实加减。
治痈疖溃后，脓不断，及诸物刺伤，疮不瘥。方
硫黄粉（二两） 牛筋（一片椎碎）
上二味，以筋纳硫黄中，以刺疮孔内，取瘥为度。
治久痈不瘥方
上以马齿菜，捣敷之，瘥。
治痈后疮不合方
上烧鼠一枚作灰，敷疮孔中。
又，嚼大豆敷之。
又，以牛屎敷之，干即易。
Commentary states: Human muscles and skin rely on Qi and Blood for warming and nourishment. When a carbuncle (Yong) persists without healing, it is because the heat-toxin has not been fully cleared. Wind-cold pathogens take advantage of this weakness to invade and lodge in the wound aperture. Consequently, the muscles fail to receive warmth, leading to swelling and induration that does not subside. The condition fluctuates, appearing to heal and then recurring, known as "Chronic Carbuncle" (Jiu Yong). If left untreated, it may transform into "E Rou" (fleshy growths or necrotic tissue/fistulas).
Formula for treating all types of carbuncles and sores (Yong Ju), including breast carbuncles, wind-toxin accumulation, unceasing pain, slow discharge of pus, and failure of tissue regeneration over time: Muxiang Tang (Wood Fragrance Decoction).
Herbs: Muxiang (Costi Radix), Ruxiang (Olibanum Resina), Jishexiang (Caryophylli Flos), Chenxiang (Aquilariae Lignum Resinatum), Shegan (Belamcandae Rhizoma), Lianqiao (Forsythiae Fructus), Shengma (Bupleuri Radix), Huangqin (Scutellariae Radix, crushed and stir-fried), Mutong (Akebiae Caulis, crushed), Duhuo (Angelicae Pubescentis Radix, removed rhizome), Sangjisheng (Taxilli Herba, crushed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed), Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried, each 3 fen).
The above thirteen herbs are coarsely pounded and sieved. For each dose, take 5 qianbi (approx. 1.5-2g depending on era measurement, here likely a specific scoop measure), add 1.5 zhan of water, decoct until 1 zhan remains. Add Mangxiao (Natrii Sulfas, 0.5 qianbi) and Shexiang (Moschus, 0.5 zi bi). Boil for one or two more boils, strain, and take warm on an empty stomach. If no purgation occurs, the dose may be repeated.
Formula for treating chronic carbuncles and sores where pus and fluid do not clear, causing mental restlessness: Baixianpi Tang (Dictamni Cortex Decoction).
Herbs: Baixianpi (Dictamni Cortex), Sanggenbaidi (Mori Cortex, crushed), Xuanshen (Scrophulariae Radix), Loulu (Euphorbiae Humifusae Radix, removed rhizome), Shengma (Bupleuri Radix, each 1 liang), Xijiaoxie (Rhinocerotis Cornu, shaved, 0.5 liang), Baijiangcao (Patriniae Herba, 3 fen).
The above seven herbs are coarsely pounded and sieved. For each dose, take 5 qianbi, add 1.5 zhan of water, decoct until 1 zhan remains. Add Mangxiao (Natrii Sulfas, 0.5 qianbi), strain, and take warm on an empty stomach. Take again in the evening. Once slight relief from wound pain is felt, remove Mangxiao.
Formula for treating chronic carbuncles and malignant sores where pus and fluid do not clear, transforming into "E Rou": Huangqi Tang (Astragali Decoction).
Herbs: Huangqi (Astragali Radix, crushed and stir-fried, 1 liang), Shengma (Bupleuri Radix), Xijiao (Rhinocerotis Cornu, sliced, each 0.5 liang), Zige (Puerariae Lobatae Radix), Mutong (Akebiae Caulis, crushed, each 3 fen).
The above five herbs are coarsely pounded and sieved. For each dose, take 5 qianbi, add 1.5 zhan of water, decoct until 1 zhan remains. Add Mangxiao (Natrii Sulfas, 0.5 qianbi), strain, and take warm on an empty stomach. The goal is to achieve loose stools three to times daily. If not achieved, repeat the dose.
Formula for treating back carbuncles (Fabai) persisting for a year with accumulated heat qi: Shanzhuyu San (Corni Fructus Powder).
Herbs: Shanzhuyu (Corni Fructus), Wuweizi (Schisandrae Fructus), Baifuling (Poria, removed black skin, each 3 fen), Danggui (Angelicae Sinensis Radix, sliced and baked), Fuzi (Aconiti Lateralis Radix Praeparata, processed, cracked, skin and umbilicus removed), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shiwei (Pyri Folium, de-haired and roasted), Guizhi (Cinnamomi Ramulus, removed coarse bark), Renshen (Ginseng Radix), Dimaicacao (likely a local herb, possibly *Dioscorea* or similar, kept as Dimaicacao), Shihu (Dendrobii Caulis, roots removed, wine-soaked and baked), Tusizi (Cuscutae Semen, wine-soaked and roasted), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Sheng Dihuang (Rehmanniae Radix Preparata, stir-fried, each 1 liang), Jiangtang (Zingiberis Rhizoma Praeparatum, processed, 1 fen).
The above twenty herbs are pounded and sifted into a powder. For each dose, take 2 qianbi, mix with warm wine. Can increase to 3 qianbi. Mixing with vinegar-water is also acceptable. Long-term use prevents recurrence of sores and boils.
Formula for treating various carbuncles and sores with "E Rou", extracting wind-toxin, promoting tissue regeneration, and stopping pus/blood discharge: [Missing Name] Pi San ([Skin] Powder).
Herbs: Pi (Skin, half a piece burned to ash), Duzhong (Eucommiae Cortex, crushed and stir-fried), Houpo (Magnoliae Officinalis Cortex, removed coarse bark, ginger-juice roasted through, each 1 liang), Xuduan (Dipsaci Radix), Fuzi (Aconiti Lateralis Radix Praeparata, processed, cracked, skin and umbilicus removed), Diyu (Sanguisorbae Radix), Bencao (Ligustici Wallichii Rhizoma, cleaned of soil), Danggui (Angelicae Sinensis Radix, sliced and baked), Guizhi (Cinnamomi Ramulus, removed coarse bark, each 0.5 liang), Xiaolufengfang (Vespae Nidus, half a piece roasted).
The above ten herbs are pounded and sifted into a powder. For each dose, take 2 qianbi, mix with warm wine. Take again in the evening.
Formula for treating persistent pus discharge after carbuncles and sores ulcerate: Maidong Tang (Ophiopogonis Decoction).
Herbs: Maidong (Ophiopogonis Tuber, heart removed and baked), Huangqi (Astragali Radix, honey-fried and crushed), Wuweizi (Schisandrae Fructus, stir-fried), Baifuling (Poria, removed black skin, each 1 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma, removed coarse bark, each 0.5 liang), Danggui (Angelicae Sinensis Radix, sliced and baked), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 3 fen), Yuanzhi (Polygalae Radix, heart removed and baked, 1 liang).
The above ten herbs are coarsely pounded and sieved. For each dose, take 5 qianbi, add 1.5 zhan of water, plus 0.5 fen of crushed fresh Ginger (Shengjiang) and two split Dates (Dazao). Decoct together until 1 zhan remains, strain, and take warm on an empty stomach. Take again in the evening along with Shengji Gao (Tissue Regeneration Paste). Continue until healed.
Formula for treating various carbuncles and sores that do not heal for a long time: Huanglian San (Coptidis Powder).
Herbs: Huanglian (Coptidis Rhizoma, removed threads), Huashi (Talcum, crushed, each 1 liang).
The above two herbs are pounded and sifted into a powder. First, decoct strong Licorice (Gancao) soup, wash the wound warmly, and dry it. Chew Sesame seeds (Humaizi) thoroughly and apply to the wound. Then apply this powder dry. Change three times daily for good results.
Formula for treating various swellings, carbuncles, sores, and scrofula (Luoli) that do not heal for months and are about to become cold-type lesions: Chantu Gao (Toad Ointment).
Herbs: Chantu (Bufo Bufo, one piece, head removed), Shiliuhuang (Realgar, separately ground), Ruxiang (Olibanum Resina, separately ground), Muxiang (Costi Radix), Guizhi (Cinnamomi Ramulus, removed coarse bark, each 0.5 liang), Lufengfang (Vespae Nidus, one piece burned to ash).
The above six herbs are pounded and sifted into powder. Mix with 1 liang of refined oil. Place in a porcelain bowl, set inside a pot with double-boiling water (re tang), and stir constantly until it becomes an ointment. Spread on silk cloth and apply. When clear fluid exudes, replace with new medicine. For severe cases, apply a thick layer.
Formula for treating chronic sores with frequent itching/pain, shrinking skin, wasting flesh, and continuous yellow pus/blood: Rushen San (Miraculous Powder).
Herbs: Tiannanxing (Arisomatis Rhizoma, processed, one piece), Caowutou (Aconiti Kusnezoffii Radix, stir-fried, 1 liang), Fanshi (Alumen, calcined, 0.5 liang).
The above three herbs are pounded and ground into powder. First wash with hot water. Then mix the powder with raw oil, spread on paper, and apply.
Formula for topical application for chronic carbuncles.
Herbs: Baiyangye (Populus Alba Leaf, dried, one handful).
The above single herb is pounded and sifted into powder. Apply to the wound twice daily.
Another formula.
Herbs: Badou (Crotonis Fructus, five pieces burned to ash and finely ground), Banmao (Mylabris, five pieces burned to ash and finely ground).
The above two herbs are mixed and ground into powder. Apply to the wound and cover with cotton. Once daily.
Another formula.
Herbs: Badou (Crotonis Fructus, five pieces, hearts and skins removed, finely ground), Yuzhi (Fish Fat, 3 liang).
The above two herbs: First boil the fat until bubbling, add Badou, simmer, stir until uniform. Store in a porcelain container. Apply to the wound three times daily.
Treatment for chronic carbuncles and sores: Qinjiao Topical Application.
Herbs: Qinjiao (Gentianae Macrophyllae Radix, 0.5 liang).
The above single herb is pounded and sifted into powder. Apply to the wound and bind with cloth. Twice daily.
Another formula.
Herbs: Yitang (Maltose, 1 fen).
The above single herb is melted by fire and poured into the wound cavity. Three times daily leads to cure.
Another formula.
Herbs: Guan Gu (Stork Bone, crushed, 0.5 liang).
The above single herb is pounded and sifted into powder. Mix with pig fat to form a paste. Apply to the wound and wrap with old cloth. Itching will arise shortly, and if worms emerge, it will heal.
Formula for treating various carbuncles and swellings with accumulated heat-toxin, prolonged pus discharge, irritability, heat, pain, non-healing wounds, expelling foul pus, and removing dead tissue: Wuxiang Lianqiao Wan (Five Fragrances and Forsythia Pills).
Herbs: Muxiang (Costi Radix, 1.5 liang), Chenxiang (Aquilariae Lignum Resinatum, crushed), Renshen (Ginseng Radix), Jishexiang (Caryophylli Flos), Ruxiang (Olibanum Resina), Shaoyao (Paeoniae Radix), Xuanshen (Scrophulariae Radix), Haizao (Sargassum, washed to remove salt), Guizhi (Cinnamomi Ramulus, removed coarse bark), Lianqiao (Forsythiae Fructus). (Note: Original text lists 16 ingredients but cuts off; listed items extracted).
The above sixteen herbs are pounded and ground into powder. Mix with refined honey to make pills the size of wutong seeds. Take 20-30 pills per dose with warm wine on an empty stomach. Adjust dosage based on deficiency or excess conditions.
Formula for treating post-ulceration of carbuncles/boils with continuous pus, and injuries from foreign objects with non-healing wounds.
Herbs: Liuhuang Fen (Sulfur Powder, 2 liang), Niujin (Bovis Tendinis, one piece smashed).
The above two herbs: Insert the tendinous material soaked in sulfur into the wound aperture. Continue until healed.
Formula for treating chronic carbuncles that do not heal.
Use Machicai (Portulaca Oleracea), pound and apply. Leads to cure.
Formula for treating non-healing wounds after carbuncles.
Burn one mouse to ash and apply to the wound aperture.
Alternatively, chew Soybeans (Dadou) and apply.
Alternatively, apply Cow Manure (Niushi). Replace when dry.