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Commentary states: Patients suffering from carbuncles and sores (Yongju, 痈疽) experience obstruction and stagnation in their meridians and collaterals, with Qi and Blood condensing and accumulating. Consequently, Ying Qi (Nutritive Qi), Wei Qi (Defensive Qi), and Body Fluids become deficient and dry. Pathogenic Heat surges internally and flows into the Large Intestine and Small Intestine.

For treating all malignant sores of the back (Fabei, 发背) and breast abscesses (Ruyong, 乳痈) characterized by nodulation, swelling, hardness, heat, and pain, as well as closure and涩 (obstruction) due to residual toxins in the Zang-Fu organs, one may take formulas that promote purgation, regulate Qi, and detoxify. The Muxiang Wan (Wood Fragrance Pill) Formula:
Muxiang (Aucklandiae Radix, 1 liang), Binglang (Arecae Semen, processed raw, 3 fen), Chuanxiong (Ligustici Chuanxiong Rhizoma, de-radicated, each 0.5 liang), Qianghuo (Notopterygii Rhizoma et Radix, de-radicated, each 0.5 liang), Dahuang (Rhei Radix et Rhizoma, cut and stir-fried, 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, roasted until cracked, skin and umbilicus removed), Renshen (Ginseng Radix, each 0.5 liang), Zhike (Aurantii Fructus Immaturus, pulp removed, stir-baked with bran, 3 fen), Qianniu (Pharbitidis Semen, 1.5 liang, half stir-fried, half raw), Chenjupi (Citri Reticulatae Pericarpium, washed with water to remove white pith, dried, 0.5 liang).
The above ten ingredients are crushed, sifted into a fine powder, and mixed with refined honey to form pills the size of paulownia seeds. Store in porcelain containers. Take thirty pills daily on an empty stomach, administered with rice gruel liquid.

For treating various swellings of the back, toxicity from mineral drugs (Danshi Yaodu, 丹石药毒), headache, high fever, and difficulty in urination and defecation. The Xuanshen Wan (Scrophulariae Radix Pill) Formula:
Xuanshen (Scrophulariae Radix, 1 liang), Shengma (Cimicifugae Rhizoma), Zhizi Ren (Gardeniae Fructus, seed removed), Huangqin (Scutellariae Radix, black heart removed, each 0.5 liang), Huangqi (Astragali Radix, finely cut, 3 fen), Dahuang (Rhei Radix et Rhizoma, cut and stir-fried, 1.5 liang), Wulan (Isatidis Folium, 0.5 liang), Xijiao (Rhino Ceruos, shaved into flakes, 3 fen), Mutong (Akebiae Caulis, cut, 2 liang), Lianqiao (Forsythiae Fructus, 3 fen), Puxiao (Natrii Sulfas, ground, 1.5 liang).
The above eleven ingredients: first crush and sift the first ten into a fine powder, then grind uniformly with Puxiao. Mix with refined honey to form pills the size of paulownia seeds. Take fifteen pills daily on an empty stomach with rice drink. If defecation is not achieved, increase to twenty pills. The goal is rapid and smooth bowel movement, three to two times per day. When pus is discharged and transforms into yellow fluid, the disease will heal.

For patients under forty years old who have strong Qi and Blood but suffer from unpredictable carbuncles and sores and obstruction of urination and defecation. The Wuli Dahuang Tang (Five-Advantage Dahuang Decoction) Formula:
Dahuang (Rhei Radix et Rhizoma, cut and lightly stir-fried), Shengma (Cimicifugae Rhizoma, each 2 liang), Huangqin (Scutellariae Radix, black heart removed, 1 liang), Zhizi (Gardeniae Fructus, ten pieces, peeled).
The above four ingredients are coarsely crushed and sieved. Take five qianbi (approx. 5 grams) per dose, decoct with one and a half zhan (approx. 300 ml) of water until reduced to eight-tenths. Strain, add Mangxiao (Natrii Sulfas, 1 qianbi), and take warm on an empty stomach. The goal is rapid and smooth bowel movement, three to two times per day. If not effective, take again.

For treating carbuncles and sores erupting with constipation and difficult urination/defecation. The Puxiao Wan (Natrii Sulfas Pill) Formula:
Puxiao (Natrii Sulfas, ground), Dahuang (Rhei Radix et Rhizoma, cut and stir-fried), Xingren (Armeniacae Semen Amarum, soaked in water, peel and tip removed, double-kernel, stir-fried and ground), Tinglizi (Descurainiae Semen seu Lepidii Semen, lightly stir-fried, each 2 liang).
The above four ingredients: first crush and sift the first three into a fine powder, mix evenly with Puxiao. Form pills with refined honey, size of paulownia seeds. Take twenty pills after meals with Huanglian Tang (Coptidis Decoction). Continue until unobstructed; if not effective, take again.

For treating exterior and interior heat simultaneously, obstruction of the San Jiao (Triple Burner), back carbuncles and sores, as well as boils and furuncles, with difficulty in urination and defecation. The Shanzhizi Tang (Gardeniae Decoction) Formula:
Shanzhizi Ren (Gardeniae Fructus, seed removed, fifteen pieces), Dahuang (Rhei Radix et Rhizoma, cut and lightly stir-fried, 2 liang), Huangqin (Scutellariae Radix, black heart removed, 1.5 liang), Zhimu (Anemarrhenae Rhizoma, baked), Gancao (Licorice Root, stir-baked and cut, each 1 liang).
The above five ingredients are coarsely crushed and sieved. Take five qianbi per dose, decoct with one and a half zhan of water until reduced to one zhan. Strain, add Mangxiao (Natrii Sulfas, 1 qianbi), and take warm on an empty stomach. Twice daily.

For treating back carbuncles and sores and breast abscesses where toxic vapors attack the Zang-Fu organs, causing obstruction of urination and defecation. The Mutong Tang (Akebiae Caulis Decoction) Formula:
Mutong (Akebiae Caulis, cut), Huangqin (Scutellariae Radix, black heart removed, each 1 liang), Shanzhizi (Gardeniae Fructus, peeled), Loulu Gen (Euphorbiae Humifusae Radix), Wanggua Gen (Trichosanthis Cucumerinae Radix), Dahuang (Rhei Radix et Rhizoma, cut and stir-fried), Gancao (Licorice Root, stir-baked and cut, each 3 fen).
The above seven ingredients are coarsely crushed and sieved. Take five qianbi per dose, decoct with one and a half zhan of water until reduced to one zhan. Strain, add Puxiao (Natrii Sulfas, 1 qianbi), boil for three to two boils, and take warm on an empty stomach. If not effective, take again.

After purgation for carbuncles and sores, when heat slightly subsides but urination remains difficult. The Xiaomai Tang (Triticum Decoction) Formula:
Xiaomai (Tritici Fructus, 3 he), Renshen (Ginseng Radix), Gancao (Licorice Root, stir-baked and cut), Shaoyao (Paeoniae Radix), Shigao (Gypsum Fibrosum, crushed), Shenggan Dihuang (Rehmanniae Radix Preparata, dried), Huangqi (Astragali Radix, finely cut), Mutong (Akebiae Caulis, cut), Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix, black heart removed), Qianhu (Peucedani Radix, de-radicated, each 0.5 liang), Maimendong (Ophiopogonis Tuber, core removed, baked, 3 fen).
The above twelve ingredients are coarsely crushed and sieved. Take five qianbi per dose, decoct with one and a half zhan of water, adding seven leaves of Zhuye (Bambusae Folium) and two broken dates (Dazao, Zizyphi Fructus). Simmer until reduced to one zhan. Strain and take warm on an empty stomach, and again in the evening.

For treating back carbuncles and sores, expelling pus, relieving pain, and promoting urination. The Qumai San (Dianthus Powder) Formula:
Qumai Sui (Dianthi Herba, spike), Shaoyao (Paeoniae Radix), Gui (Cinnamomi Cortex, coarse bark removed), Chixiaodou (Phaseoli Semen Rubrum), Chuanxiong (Ligustici Chuanxiong Rhizoma), Bailian (Pseudostellariae Radix), Huangqi (Astragali Radix, finely cut), Danggui (Angelicae Sinensis Radix, sliced and baked, each 0.5 liang), Maimendong (Ophiopogonis Tuber, core removed, 1 fen).
The above nine ingredients are crushed and sifted into a fine powder. Take two qianbi per dose, mixed with warm wine. Take once on an empty stomach and once in the evening.