Library

Discussions state: The disease of toxic swelling (Du Zhong) involves wind-toxin (Feng Du) condensing within the skin and muscles. In some cases, it originates from areas of deficiency and softness in the body. If the pathogenic qi cannot be expelled and invades the abdomen, it may lead to death.

For the initial stage of toxic swelling where pus and blood have not yet ulcerated, accompanied by fever and pain, Wuxiang Lianqiao Tang (Five-Aromatic Fragrant and Forsythia Decoction) is suitable for initial administration.
Ingredients include: Lianqiao (Forsythiae Fructus), Shegan (Belamcandae Rhizoma), Shengma (Cimicifugae Rhizoma), Duhuo (Angelicae Pubescentis Radix, with rhizome removed), Sangjisheng (Taxilli Herba), Mutong (Akebiae Caulis), Chenxiang (Aquilariae Lignum Resinatum), Muxiang (Aucklandiae Radix), Xunluxiang (Olibanum), Shexiang (Moschus, ground, each 2 liang), Dingxiang (Caryophylli Flos, 1 liang), Dahuang (Rhei Radix et Rhizoma, stir-fried, 3 liang).
Of the twelve ingredients above, ten are cut into sizes resembling hemp seeds or beans, and the two ground ingredients are mixed evenly. Each dose consists of 5 qianbi (a traditional measuring spoon), boiled in 1.5 zhan of water until reduced to 1 zhan. Add 3 fen of Zhuli (Bambusa Textilis Var. Multiplex Sap), boil once more, strain, and take warm. The treatment should cease when mild laxation occurs.

For treating all types of toxic swelling, causing the swelling to dissolve into fluid, Xijiao Wan (Rhinoceros Horn Pill) is used.
Ingredients include: Xijiao (Rhinocerotis Cornu, shaved, 3 liang), Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix, with black heart removed), Fangfeng (Saposhnikoviae Radix, with forked parts removed), Renshen (Ginseng Radix, sliced), Danggui (Angelicae Sinensis Radix, sliced and dried), Huangqi (Astragali Radix, sliced), Ganjiang (Zingiberis Rhizoma, processed, 1 fen), Badou (Crotonis Fructus, 20 kernels, peeled, de-oiled, roasted, and ground into paste).
Of the fourteen ingredients above, Badou is ground extremely fine. The remaining herbs are pounded and sieved into fine powder. Mix with the Badou paste, bind with refined honey, and form pills the size of Sophora seeds. Take an appropriate amount with warm water.

For treating toxic vapors attacking the muscles, presenting with swelling, pain, alternating chills and fever, and mental restlessness, Da Wuxiang Tang (Great Five-Aromatic Fragrant Decoction) is used.
Ingredients include: Muxiang (Aucklandiae Radix), Jitexiang (Litseae Folium), Chenxiang (Aquilariae Lignum Resinatum, sliced), Huoxiang (Pogostemonis Herba, leaves), Xijiao (Rhinocerotis Cornu), Xunluxiang (Olibanum, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Shengma (Cimicifugae Rhizoma), Xixin (Asari Radix et Rhizoma, each 1 liang).
Of the twelve ingredients above, coarsely crush and sieve. Each dose consists of 4 qianbi, boiled in 1.5 zhan of water until reduced to 1 zhan. Strain and take warm, at any time.

For treating toxic swelling, Muxiang Tuo Fang (Wood-Aromatic External Application Method) is used.
Ingredients include: Muxiang (Aucklandiae Radix), Jitexiang (Litseae Folium), Biejia (Trionycis Carapax, with skirt removed, vinegar-processed), Shengma (Cimicifugae Rhizoma), Xunluxiang (Olibanum, ground), Wuli Gen (Smilacis Glabrae Rhizoma), Xionghuang (Realgar, ground), Wuzhuyu (Evodiae Fructus, washed in hot water to remove saliva, stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 0.5 liang).
Of the nine ingredients above, grind seven into sizes resembling hemp seeds, mix with the ground powders. Boil in 3 sheng of water until reduced to 2 sheng. Strain. Soak 3-5 layers of old cloth in the decoction. Apply alternately to the swollen area without limit. Reheat when cool. Remove Wuzhuyu in summer.

To resolve severe toxic wind swelling, Tanxiang Yin (Sandalwood Drink) is used.
Ingredients include: Baixiang (Santal Albae Lignum, one piece weighing 1 fen), Chenxiang (Aquilariae Lignum Resinatum, one piece weighing 1 fen), Binglang (Arecae Semen, one kernel).
Of the three ingredients above, grind finely in a mortar with 3 zhan of water. Filter the residue. Boil in a silver vessel. When warm, divide into three doses.

For treating wind-toxin heat condensation, causing day-and-night pain, mental restlessness, and oppression, Dahuang Wan (Rhubarb Pill) is used.
Ingredients include: Dahuang (Rhei Radix et Rhizoma, cut into small pieces, sprinkled with vinegar and lightly stir-fried, 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 3 liang), Xingren (Pruni Armeniaci Semen, peeled, de-seeded, and ground into paste, 4 liang), Helile (Terminaliae Fructus, roasted, peel taken, 3 liang), Mangxiao (Natri Sulfas, ground, 5 liang).
Of the five ingredients above, first pound and sieve the first three into powder. Then add Mangxiao powder and Xingren paste. Mix well, bind with refined honey, and form pills the size of Sophora seeds. Take 15 pills with warm water. If no bowel movement occurs initially, increase to 20 pills. For excess conditions in the fu-organs, take 30 pills. Adjust dosage based on deficiency or excess, stopping when effective.

For treating swelling and toxicity, Zaojia Ruxiang Jiu (Soap Pod and Frankincense Wine) is used.
Take one large Zaojia Ci (Gleditsiae Sinensis Spina), cut into over ten slices. Use a piece of Ruxiang (Olibanum) the size of a chestnut seed. Stir-fry in a silver or ceramic vessel until smoke rises. Add Zaojia Ci and fry together. Pus will discharge.

For treating all toxic swellings with pain, massaging to dispel wind and relieve pain, Yulong Gao (Jade Dragon Ointment) is used.
Ingredients include: Gualou (Trichosanthis Fructus, one large fruit, pulp and seeds finely cut), Linglingxiang (Linglingxiang Herb), Shaoyao (Paeoniae Radix), Huoxiang Ye (Pogostemonis Herba, leaves), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Huangqi (Astragali Radix), Xingren (Pruni Armeniaci Semen, soaked in water, peeled, de-seeded, double-kernel, each 1 fen), Xiang Baizhi (Angelicae Dahuricae Radix, 0.5 liang), Qingyou (Clear Sesame Oil, 10 liang), Huangla (Beeswax, 1.5 liang), Shexiang (Moschus, ground, 1 fen), Danggui (Angelicae Sinensis Radix).
Of the fourteen ingredients above, excluding Huangla and Shexiang, cut finely to the size of hemp seeds. Soak in oil in a silver/ceramic vessel. Nourish on low heat for one day. Increase heat the next day, simmer until yellow. Filter through cotton. Add Huangla and stir until uniform. When slightly cooling but not solidified, add Shexiang. Pour into a porcelain jar. Cool to solidify.

For treating severe toxic wind swelling and all swelling/toxicity, Dahuang San Tuo Fang (Rhubarb Powder External Application Method) is used.
Ingredients include: Dahuang (Rhei Radix et Rhizoma, raw and cut, 5 liang), Bailian (Pentaphragmataulis Radix, raw and cut, 3 liang), Hanshuishi (Calcitum, raw and ground), Zige (Polygoni Cuspidati Rhizoma et Radix, raw use), Muxiang (Aucklandiae Radix, each 1 liang), Xiaoshi (Natri Nitras, ground), Huangqin (Scutellariae Radix, with black heart removed), Daqing (Isatidis Folium), Kushen (Sophorae Flavescentis Radix, cut, each 2 liang).
Of the nine ingredients above, pound and sieve seven into fine powder. Add the ground minerals. Mix with cow's milk to form a paste. Apply to old cloth and press onto the swollen area. It dissipates upon application. Replace when dry.

For treating severe toxic wind swelling with heat and pain, Cong Yi Fang (Green Onion Compress Method) is used.
Ingredients include: Yan Cu (Strong Vinegar, 5 sheng, preferably aged 3 years), Congbai (Allii Fistulosi Bulbus, cut, 3 sheng).
Mix the two ingredients and boil. Remove the green onions. Wrap in cooked cloth. Compress the swollen area while hot. Re-boil when cool. Continue compressing until cured.

For treating severe toxic wind swelling with heat and pain, Shuiyin Tuo Fang (Mercury External Application Method) is used.
Ingredients include: Shuiyin (Hydrargyrum, 50 liang).
Divide the mercury into two packets using paper. Seal tightly. Wrap again in cooked silk. Ensure no leakage. Press and compress the swollen area alternately. Change when warm. Place the mercury packet on wet, cold ground. Continuously press and compress the hot toxic swollen area until finished.

For treating sudden onset of severe toxic wind swelling that does not dissipate but forms hard nodules, Mangcao San Tie Fang (Genkwa Leaf Powder Plaster Method) is used.
Ingredients include: Mangcao (Daphnes Genkwa Flos, cut), Fuzi (Aconiti Lateralis Radix Praeparata, raw and cut, peeled and de-navel), Muxiang (Aucklandiae Radix), Bailian (Pentaphragmataulis Radix), Gui (Cinnamomi Cortex, bark removed, each 1 liang).
Of the five ingredients above, pound and sieve into fine powder. Separately, chop and pound Yu Gen (Ulmus Radix Cortex) to extract juice. Mix the juice with the powder. Apply to old cooked cloth as a plaster. Make a small hole to allow toxin discharge. Replace when dry.

For treating severe toxic wind swelling, applying to cause dissolution, Dahuang San Fang (Rhubarb Powder Method) is used.
Ingredients include: Dahuang (Rhei Radix et Rhizoma, raw and cut), Mutong (Akebiae Caulis, cut), Tinglizi (Descurainiae Semen Lepidii et Descurainiae, each 2 liang).
Of the three ingredients above, pound and sieve into fine powder. Mix with water to apply to the swollen area. Replace when dry.

For treating various swellings and toxicity, Baojiu Gao Fang (Rescue Ointment Method) is used.
Ingredients include: Qiu Ye (Catalpae Folium, 5 jin), Machixian (Portulacae Herba, with roots, 3 jin, cleaned, cut, and dried).
Boil the two ingredients in 5 dou of water on low heat. Stir occasionally with a willow stick. Reduce to about 1 dou. Stop heating and let cool. Filter the residue. Re-boil the liquid until thick. Store in a new porcelain jar. Apply with a chicken feather. For painful/swollen sores, cover with soft cloth.

To chase wind-toxin and reduce swelling, XiaoZhong San Fang (Swelling-Reducing Powder Method) is used.
Ingredients include: Fuzi (Aconiti Lateralis Radix Praeparata, raw, peeled, de-navel, cut), Shi Liuhuang (Realgar, ground), Tiannanxing (Arisaematis Rhizoma, raw, each 0.5 liang).
Of the three ingredients above, pound and sieve into fine powder. Mix with vinegar to apply to the swollen area. Replace when dry.

To resolve severe toxic wind swelling, which may affect the yin organs, occur unilaterally, cause painful spasms, pull on the lower abdomen, and create unbearable mental distress, Xiangcao Yin Fang (Fragrant Grass Drink Method) is used.
Ingredients include: Sheng Xiangcao (Fresh Fragrant Grass, any amount).
Pound and grind the single ingredient to extract juice. Take 1 he of juice, mixed with 3 he of warm wine. Boil together. Take warm on an empty stomach before evening meal.

For treating all toxic swellings, regardless of hardness or softness, Qiu Ye Tie Fang (Catalpa Leaf Plaster Method) is used.
Ingredients include: Qiu Ye (Catalpae Folium, freshly picked).
Apply ten layers of leaves to the swollen area. Wrap with old cloth. Change three times daily. In winter, if leaves are dry, soak in salt water for a long time before use. Alternatively, use root bark, chopped and pounded, applied topically.

Another prescription.
Ingredients include: Hucong (Allium fistulosum var. bulbiferum).
Mash thoroughly. Mix with raw sesame oil and apply. Cure follows.

For treating toxic swelling, Fanliu San Fang (Fanliu Powder Method) is used.
Ingredients include: Fanliu (Herba Siegesbeckiae, dried, burned to ash, 2 liang), Bailian (Pentaphragmataulis Radix, 1 liang), Chixiaodou (Phaseoli Semen Rubrum, 1 he), Dahuang (Rhei Radix et Rhizoma, cut, 1 liang).
Of the four ingredients above, pound and sieve into fine powder. Mix with fresh well-water to form a paste. Apply to the swollen area. Replace when dry. Continue until cured.

For treating toxic swelling, Zaotu Tu Fang (Stove Earth Paste Method) is used.
Take yellow earth from the bottom of the stove. Mix with vinegar. Grind and apply to the swollen area. Apply 3-5 times daily.

For treating various toxic swellings, Gao Fang (Ointment Method) is used.
Ingredients include: Shengma (Cimicifugae Rhizoma), Bailian (Pentaphragmataulis Radix), Loulu (Euphorbiae Humifusae Herba, with rhizome removed), Lianqiao (Forsythiae Fructus), Mangxiao (Natri Sulfas, each 2 liang), Huangqin (Scutellariae Radix, with black heart removed), Sheyan Cao (Patriniae Herba, each 3 liang), Suo Gen (Polygoni Multiflori Caulis, 4 liang), Shanzhizi (Gardeniae Fructus, 20 fruits).
Of the nine ingredients above, crush. Soak in wine for half a month. Boil with 2 sheng of lard. Wait until the aroma dissipates and the ointment is formed. Filter the residue. Store in porcelain. Apply to the swollen area.

For treating all heat-toxin swellings and breast abscesses, Fang is used.
Ingredients include: Muxiang (Aucklandiae Radix), Zige (Polygoni Cuspidati Rhizoma et Radix), Tanxiang (Santal Albae Lignum, cut), Puxiao (Natri Sulfas, each 2 liang), Chixiaodou (Phaseoli Semen Rubrum, 2 he), Shengma (Cimicifugae Rhizoma, cut), Bailian (Pentaphragmataulis Radix), Baifan (Alumen, ground, each 1 liang).
Of the eight ingredients above, pound and grind into powder. Mix with water to form a thin batter. Juice from Ulmus bark is also good. Apply according to the size of the swelling. Replace when dry.

For treating heat-toxin swelling, Fang is used.
Ingredients include: Manjing Gen (Vitalbae Radix), Yuncai Miaoyegen (Brassicae Napus Herba, stems, leaves, and roots, each 3 liang).
Of the two ingredients above, pound and sieve into powder. Mix with egg white to apply. Replace when dry.

For treating toxic swelling with uncertain location, or accompanied by chills/shivering, aversion to cold, or stabbing pain in the heart/abdomen, Shegan Yin Fang (Belamcanda Drink Method) is used.
Ingredients include: Shegan (Belamcandae Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata, processed, peeled, de-navel, each 3 liang), Shanglu Gen (Phytolaccae Radix, thinly sliced, 2 liang), Chixiaodou (Phaseoli Semen Rubrum, stir-fried, 3 he), Maziren (Cannabis Fructus, 1.5 sheng).
Of the five ingredients above, cut. Boil in 5 sheng of water. First boil Maziren to obtain 3 sheng of liquid. Strain. Pound Maziren until broken. Use the Maziren juice to boil the other herbs until the beans are cooked. Strain to obtain 2 sheng. Divide into four warm doses. Take on an empty stomach. Finish within day and night. When urination becomes smooth, the toxic swelling will dissipate.

For treating early-stage swelling/pain to cause resolution, Dahuang Fu Fang (Rhubarb Poultice Method) is used.
Ingredients include: Dahuang (Rhei Radix et Rhizoma, cut and stir-fried, 1 liang), Mutong (Akebiae Caulis, cut), Tingli (Descurainiae Semen Lepidii et Descurainiae, stir-fried on paper), Mangcao (Daphnes Genkwa Flos, each 0.5 liang).
Of the four ingredients above, pound and sieve into powder. Mix with water to apply. Replace when dry.

For treating all wind-heat toxic swellings suddenly appearing on the neck, nape, chest, or back, seal immediately upon onset to prevent suppuration. Fang is used.
Ingredients include: Sheng Dihuang (Rehmanniae Radix Recens, cut, 4 liang), Chi (Fermented Soybean, 3 liang), Mangxiao (Natri Sulfas, 5 liang).
Of the three ingredients above, pound until soft and mushy. Apply to the swollen area, thickness of 2 fen. Apply 5-6 times daily. Stop when fully resolved.

For treating swelling/toxicity, Jili San Tie Fang (Tribulus Powder Plaster Method) is used.
Ingredients include: Jili Zi (Tribuli Fructus, 1 sheng, roasted yellow, spines removed).
Of the single ingredient above, pound and sieve into powder. Mix with sesame oil to form mud. Roast until charred black. Apply to old cloth. Size according to the swelling. Do not make holes. If Jili Zi is unavailable, mix Vigna angularis powder with egg white to apply.