论曰∶痈内虚者，营卫腐为脓血，经络不足，则五脏之气虚乏也。其证多生虚热，而心
神为之惊悸，以痈热不散，乘虚而入，又心独恶热，故惊悸不定也。
治痈溃脓太多，里虚热。茯苓汤方
白茯苓（去黑皮三分） 黄 （锉一两半） 芎
冬（去心
上六味，粗捣筛，每服五钱匕，水一盏半，入生姜半分拍碎，干枣二枚劈破，同煎至八
分去滓，空心温服，晚再服。
治痈溃漏，血脉空竭。内塞黄 散方
黄 （锉） 芍药 细辛（去苗叶） 瞿麦穗 白芷 薏苡仁 人参 附子（炮裂去皮
脐）
熟干地黄（焙各一两） 赤小豆（醋浸炒干三两）
上十味，捣罗为散，每服二钱匕，空心温酒服下，晚再服，痛甚加芍药，口干渴加薏苡
仁，脓多加黄 。
治痈内虚不足，脓水不绝，四肢乏弱，不能饮食，久不瘥，必为内漏。黄 散方
黄 （锉一两） 山茱萸 五味子（各半两） 白茯苓（去黑皮三分） 当归（切焙半
两） 附
子（炮裂去皮脐一两） 石斛（去根三分） 远志（去心焙） 巴戟天（去心） 肉苁蓉（酒
浸切焙
各一
苇（去毛
半两
上十八味，捣罗为散，每服二钱匕，荆芥汤调下，日三四服。
治痈脓血至甚，不生肌肉，内补五香丸方
沉香 乳香 木香 藿香叶 丁香 续断（各一两） 熟干地黄（焙二两） 白芍药 侧
子
（炮
（去黑
皮各
上十六味，捣罗为末，炼蜜和捣三百杵，丸梧子大，每服三十丸食前，以黄 汤下。
治痈经年不瘥，脓血过多。补虚肉苁蓉散方
肉苁蓉（酒浸切焙二两） 干姜（炮半两） 菟丝子（酒浸别捣三分） 巴戟天（去心）
远志
（去
芍药 桂
（去粗
两）
附子
上十八味，捣罗为散，每服二钱匕，荆芥汤调下，空心食前服。
治痈内虚。蜀椒散方
蜀椒（去目并闭口炒出汗半两） 熟干地黄（焙） 白蔹 防风（去叉） 黄芩（去黑
心） 人
参
上十一味，捣罗为散，每服二钱匕，温酒调下，早晚食前服，以瘥为度。
治痈疽内虚。黄 汤方
黄 （锉） 人参 甘草（炙锉） 芍药 当归（切焙各一两） 熟干地黄（焙） 白
茯苓（去
黑皮） 桂（去粗皮各三分） 白术 远志（去心各半两）
上十味，粗捣筛，每服五钱匕，水一盏半，入生姜半分拍碎，干枣二枚劈破，同煎至八
分，去滓空心温服，日晚再服。
治痈内虚热。生地黄汤方
生干地黄（切焙二两） 人参 甘草（炙锉） 芍药 白茯苓（去黑皮） 芎
（锉）
黄芩（去黑心各一两） 木通（锉） 当归（切焙各三分）
上十味，粗捣筛，每服五钱匕，水一盏半，竹叶七片，干枣二枚劈破，同煎至八分，去
滓空心温服，日晚再服。
Commentary states: In cases where carbuncles (sores) lead to internal deficiency, the Ying (Nutrient) and Wei (Defensive) Qi decompose into pus and blood. The meridians and collaterals become insufficient, resulting in a deficiency of Qi in the five Zang organs. The symptoms often manifest as deficient heat, causing the Heart Spirit to be startled and palpitate. This is because the heat from the carbuncle does not dissipate and invades when the body's resistance is weak; furthermore, the Heart alone dislikes heat, leading to unsettled palpitations.
Fuling Tang (Poria Decoction) for treating carbuncles that have ulcerated with excessive pus discharge, resulting in internal deficiency and heat:
Bai Fuling (Poria with black skin removed, 3 fen), Huangqi (Astragalus Root, sliced, 1 liang 5 qian), Xiong (Chuanxiong Rhizome), Dong (Maidong/Ophiopogon Radix, heart removed)... [Text incomplete].
The above six herbs are coarsely crushed and sifted. Take 5 qian bi per dose, add 1.5 sheng of water, half a fen of crushed fresh ginger, and two split dried jujubes. Decoct until reduced to 0.8 sheng, strain, and take warm on an empty stomach. Repeat in the evening.
Neisai Huangqi San (Internal Occlusion Astragalus Powder) for treating carbuncles that have ulcerated and leaked, resulting in emptiness and exhaustion of blood vessels:
Huangqi (Astragalus Root, sliced), Shaoyao (Peony Root), Xixin (Asarum, herb and leaves removed), Qumai (Dianthus Herba), Baizhi (Angelicae Dahuricae Radix), Yiyiren (Coix Seed), Renshen (Ginseng Radix), Fuzi (Aconiti Lateralis Radix Praeparata, cracked and peeled), Shu Gan Dihuang (Prepared Rehmanniae Radix, baked, each 1 liang), Chixiaodou (Adzuki Bean, soaked in vinegar and stir-fried dry, 3 liang).
The above ten herbs are pounded into a powder. Take 2 qian bi per dose, swallow with warm wine on an empty stomach. Repeat in the evening. Increase Shaoyao if pain is severe; increase Yiyiren if mouth is dry and thirsty; increase Huangqi if pus is abundant.
Huangqi San (Astragalus Powder) for treating internal deficiency of carbuncles, incessant pus and water, weakness of the four limbs, inability to eat, chronic non-healing which must develop into internal leakage:
Huangqi (Astragalus Root, sliced, 1 liang), Shanzhuyu (Cornus Officinalis Fruit), Wuweizi (Schisandrae Chinensis Fructus, each 0.5 liang), Bai Fuling (Poria with black skin removed, 3 fen), Danggui (Angelicae Sinensis Radix, cut and baked, 0.5 liang), Fuzi (Aconiti Lateralis Radix Praeparata, cracked, peeled, and navel removed, 1 liang), Shihu (Dendrobii Caulis, roots removed, 3 fen), Yuanzhi (Polygalae Radix, heart removed and baked), Bajitian (Morinda Officinalis Root, heart removed), Roucongrong (Cistanche Deserticola Stem), ... [Text incomplete], Wei ... (hair removed, 0.5 liang).
The above eighteen herbs are pounded into a powder. Take 2 qian bi per dose, mix with Jingjie (Schizonepetae Spica) decoction. Take 3-4 times daily.
Wuxiang Wan (Five Fragrances Pill) for treating carbuncles with extreme pus and blood, failure to generate muscle tissue, providing internal supplementation:
Chenxiang (Aquilariae Lignum Resinatum), Rushiang (Boswelliae Carthartici Resina), Muxiang (Aucklandiae Radix), Huoxiangye (Agastaches Folium), Dingxiang (Eugeniae Flos), Xuduan (Dipsaci Radix, each 1 liang), Shu Gan Dihuang (Prepared Rehmanniae Radix, baked, 2 liang), Baishaoyao (White Peony Root), Cezuo (Aconiti Radix lateralis preparata) ... [Text incomplete].
The above sixteen herbs are pounded into fine powder, mixed with refined honey, and pounded three hundred times. Form pills the size of wutong seeds. Take 30 pills before meals, washed down with Huangqi (Astragalus Root) decoction.
Roucongrong San (Cistanche Powder) for treating carbuncles that do not heal for years with excessive pus and blood, for tonifying deficiency and generating flesh:
Roucongrong (Cistanche Deserticola Stem, soaked in wine, cut, and baked, 2 liang), Ganjiang (Zingiberis Rhizoma, prepared, 0.5 liang), Tiansizi (Cuscutae Semen, soaked in wine and separately pounded, 3 fen), Bajitian (Morinda Officinalis Root, heart removed), Yuanzhi (Polygalae Radix, heart removed) ... [Text incomplete], Shaoyao (Peony Root), Gui ... (bark removed, 2 liang), Fuzi (Aconiti Lateralis Radix Praeparata) ...
The above eighteen herbs are pounded into a powder. Take 2 qian bi per dose, mix with Jingjie (Schizonepetae Spica) decoction. Take on an empty stomach before meals.
Shujiao San (Sichuan Pepper Powder) for treating internal deficiency of carbuncles:
Shujiao (Sichuan Pepper, eyes and closed-mouth ones removed, stir-fried until oil appears, 0.5 liang), Shu Gan Dihuang (Prepared Rehmanniae Radix, baked), Bailian (Trollii Radix), Fangfeng (Saposhnikoviae Radix, forked parts removed), Huangqin (Scutellariae Radix, black center removed), Renshen (Ginseng Radix) ...
The above eleven herbs are pounded into a powder. Take 2 qian bi per dose, mix with warm wine. Take morning and evening before meals. Continue until healed.
Huangqi Tang (Astragalus Decoction) for treating internal deficiency of carbuncles and ulcers:
Huangqi (Astragalus Root, sliced), Renshen (Ginseng Radix), Gancao (Licorice Root, roasted and sliced), Shaoyao (Peony Root), Danggui (Angelicae Sinensis Radix, cut and baked, each 1 liang), Shu Gan Dihuang (Prepared Rehmanniae Radix, baked), Bai Fuling (Poria with black skin removed), Guizhi (Cinnamon Twig, bark removed, each 3 fen), Baizhu (Atractylodis Macrocephalae Rhizoma), Yuanzhi (Polygalae Radix, heart removed, each 0.5 liang).
The above ten herbs are coarsely crushed and sifted. Take 5 qian bi per dose, add 1.5 sheng of water, half a fen of crushed fresh ginger, and two split dried jujubes. Decoct until reduced to 0.8 sheng, strain, and take warm on an empty stomach. Repeat in the evening.
Shengdihuang Tang (Rehmannia Decoction) for treating internal deficient heat of carbuncles:
Sheng Gan Dihuang (Dried Rehmanniae Radix, cut and baked, 2 liang), Renshen (Ginseng Radix), Gancao (Licorice Root, roasted and sliced), Shaoyao (Peony Root), Bai Fuling (Poria with black skin removed), Xiong (Chuanxiong Rhizome, sliced), Huangqin (Scutellariae Radix, black center removed, each 1 liang), Mutong (Akebiae Caulis, sliced), Danggui (Angelicae Sinensis Radix, cut and baked, each 3 fen).
The above ten herbs are coarsely crushed and sifted. Take 5 qian bi per dose, add 1.5 sheng of water, seven bamboo leaves, and two split dried jujubes. Decoct until reduced to 0.8 sheng, strain, and take warm on an empty stomach. Repeat in the evening.