论曰∶人之气血，得热则淖泽，得寒则凝结，石痈者，寒气凝结，致热气不得散，故其
肿毒
而肿
治石痈久不瘥。黄 当归散方
黄 （锉十两） 当归（切焙八两）
上二味为散，每服三钱匕，温酒调下，不计时候。
治石痈结聚，肿硬热痛，脏腑秘涩。木香丸方
木香（一两） 槟榔（锉三分） 芎
子（炮
裂去
（汤浸去
白焙
上十味，捣罗为末，炼蜜为丸，如梧子大，贮以瓷合，每服三十丸，空心粥饮下，通利
为度，如未利，加至四十丸。
治石痈，皮色紫赤，恶寒壮热，一二日未成脓者，下之。升麻汤方
升麻 连翘 大青（各一两） 生地黄（焙二两） 大黄（锉炒一两） 败酱络石 白
蔹（各
半两） 玄参（一两）
上九味，粗捣筛，每服五钱匕，水一盏半，煎至八分，更入芒硝末半分，去滓空心温服
，微利为度。
治石痈，已服前升麻汤后用。木香散涂贴方
木香 大黄（锉炒） 升麻 白蔹 芒硝 赤小豆（各半两）
上六味，捣罗为散，以榆白皮汁，入水少许，调和如糊，涂故帛上贴，日二。
治石痈结实，已坏未坏。占斯散方
占斯 浓朴（去粗皮涂生姜汁炙熟） 生干地黄（焙） 栝蒌（干者去皮） 败酱 防
风（去
叉） 桔梗（锉炒） 人参 细辛（去苗叶各一两） 桂（去粗皮半两）
上十味，捣罗为散，每服食前，以温酒调下二钱匕。
治石痈肿毒，结硬疼痛，口干烦热，四肢拘急，不得卧。沉香汤方
沉香（三分） 地骨皮 麦门冬（去心焙） 当归（切焙各一两） 大黄（锉炒） 升
麻（一两）
木香（三分） 玄参 枳壳（去瓤麸炒） 羚羊角（镑） 独活（去芦头） 甘草（生锉）
赤芍药
（各
上十四味，粗捣筛，每服三钱匕，水一盏，煎至六分去滓，不计时候温服。
治石痈热毒瓦斯盛，肿硬疼痛，口干烦闷。犀角汤方
犀角（镑三分） 连翘 射干 栀子仁 升麻 当归（切焙各一两） 大黄（锉炒二两）
木
香（三分） 枳壳（去瓤麸炒） 赤芍药 甘草（生锉） 玄参（各一两）
上十二味，粗捣筛，每服三钱匕，水一盏，煎至六分去滓，不计时候温服。
治石痈。地黄煎方
生地黄（净洗三斤）
上一味，锉碎捣研，绞取汁，入铜器内盛，安汤上煮，柳篦搅匀如糖，以瓷合盛，每日
空心，取如一弹子大，温酒调服，日午晚间再服。
治痈疽坚如石核。鹿角散涂方
鹿角（烧过） 白蔹（各二两） 粗理黄石（五两烧令赤色投醋中再烧投醋凡七遍）
上三味，捣罗极细，以酽醋调和，涂敷肿上，干即易。
治痈疽结硬未成脓。凝水石散贴方
凝水石 黄柏 黄 （锉） 黄连（去须） 大黄 石膏 栀子仁（各半两） 白蔹（一
两）
上八味，捣罗极细，以浆水调如糊，摊故帛上，贴患处，干即易。
又涂鹿角泥方
鹿角
上于石上，用水磨令如泥，涂患处，日三五次。
又涂半夏方
半夏（一两）
上为末，以新水调如糊，涂患处，日三五次。
又涂莨菪子方
莨菪子（二两）
上为末，以醋调如糊，涂患处，干即易。
又涂葵茎灰方
葵茎灰 梁上尘（各一两）
上二味为末，以醋调如糊，涂肿上，日三两次。
又涂蛇蜕方
蛇蜕
上烧灰细研，以醋调，涂肿上，干即易，亦可只以蛇皮贴之，经宿即瘥。
又涂商陆根方
生商陆根（半片）
上烂捣，摊故帛上贴之，干即易，并治诸 疮疖。
又涂蜀漆方
蜀漆（干者半两） 桑根白皮（二两）
上二味为末，每用量多少，以熔牛皮胶，并酒调和，敷肿处，日三五次。
Commentary states: Human Qi and Blood, when exposed to heat, become moist and lubricated; when exposed to cold, they coagulate and stagnate. Shi Yong (Stone Carbuncle) is caused by the coagulation of cold pathogenic factors, which prevents the dispersion of heat, resulting in swelling, toxicity, and hardness resembling stone.
Formula for treating persistent Shi Yong that does not heal: Huangqi Danggui San Powder
Huangqi (Astragali Radix, chopped, 10 liang) Danggui (Angelicae Sinensis Radix, sliced and dried, 8 liang)
Grind the above two ingredients into a powder. Take 3 qianbi per dose, mixed with warm wine. Administer at any time.
Formula for treating Shi Yong with nodular accumulation, hard and hot painful swelling, accompanied by constipation and internal blockage: Muxiang Wan Pill
Muxiang (Costi Rhizoma, 1 liang) Binglang (Arecae Semen, chopped, 3 fen) Xiong [Text incomplete, likely Chuanxiong or similar] [Text incomplete] Bai [Text incomplete, likely Baishao or similar]
Grind the above ten ingredients into fine powder. Mix with refined honey to form pills the size of wutong seeds. Store in porcelain containers. Take 30 pills per dose with porridge water on an empty stomach. The goal is bowel movement; if unachieved, increase to 40 pills.
For Shi Yong presenting with purple-red skin color, aversion to cold with high fever, and no pus formation within one to two days, use purgation. Shengma Tang Decoction
Shengma (Cimicifugae Rhizoma, 1 liang) Lianqiao (Forsythiae Fructum, 1 liang) Daqing (Isatidis Folium, 1 liang) Shengdihuang (Rehmanniae Radix Recens, dried, 2 liang) Dahuang (Rhei Radix et Rhizoma, chopped and stir-fried, 1 liang) Baijiangcao (Patriniae Herba, half liang) Luoshiteng (Trachelospermi Caulis, half liang) Bailian (Trollii Radix, half liang) Xuanshen (Scrophulariae Radix, 1 liang)
Coarsely crush and sieve the above nine ingredients. Take 5 qianbi per dose with 1.5 cups of water. Decoct until reduced to 0.8 cup. Add Mangxiao (Natrii Sulfas) powder, half fen. Strain and take warm on an empty stomach. Mild diarrhea indicates efficacy.
Topical application formula used after taking the aforementioned Shengma Tang for Shi Yong: Muxiang San Powder for External Application
Muxiang (Costi Rhizoma) Dahuang (Rhei Radix et Rhizoma, chopped and stir-fried) Shengma (Cimicifugae Rhizoma) Bailian (Trollii Radix) Mangxiao (Natrii Sulfas) Chixiaodou (Phaseoli Semen Rubrum, half liang each)
Grind the above six ingredients into powder. Mix with juice from Ulmus macrocarpa bark (Yubai pi), adding a little water, to form a paste. Apply to old cloth and patch onto the affected area. Twice daily.
Formula for solidified Shi Yong, whether ulcerated or not: Zansi San Powder
Zansi [Note: Likely refers to Zaocys or similar, text preserved as is] Houpo (Magnoliae Officinalis Cortex, scraped, ginger-juice roasted) Shenggandihuang (Rehmanniae Radix Preparata, dried) Gualou (Trichosanthis Fructus, dried, peeled) Baijiangcao (Patriniae Herba) Fangfeng (Saposhnikoviae Radix, cleaned) Jiegeng (Platycodonis Radix, chopped and stir-fried) Renshen (Ginseng Radix) Xixin (Asari Radix et Rhizoma, cleaned, 1 liang each) Guizhi (Cinnamomi Ramulus, scraped, half liang)
Grind the above ten ingredients into powder. Take 2 qianbi before meals, mixed with warm wine.
Formula for Shi Yong with toxic swelling, hard painful knots, dry mouth, irritability, heat sensation, limb spasms, and inability to lie down: Chenxiang Tang Decoction
Chenxiang (Aquilariae Lignum Resinatum, 3 fen) Digupi (Lycii Cortex) Maidong (Ophiopogonis Tuber, dehearted and dried) Danggui (Angelicae Sinensis Radix, sliced and dried, 1 liang each) Dahuang (Rhei Radix et Rhizoma, chopped and stir-fried) Shengma (Cimicifugae Rhizoma, 1 liang)
Muxiang (Costi Rhizoma, 3 fen) Xuanshen (Scrophulariae Radix) Zhike (Aurantii Fructus, pith removed, bran-roasted) Lingyangjiao (Saigae Tataricae Cornu, shaved) Duhuo (Angelicae Pubescentis Radix, cleaned) Gancao (Glycyrrhizae Radix et Rhizoma, raw chopped) Chishaoyao (Paeoniae Radix Rubra, [quantity missing])
Coarsely crush and sieve the above fourteen ingredients. Take 3 qianbi per dose with 1 cup of water. Decoct until reduced to 0.6 cup. Strain and take warm at any time.
Formula for Shi Yong with intense heat-toxin, hard painful swelling, dry mouth, and irritability: Xijiao Tang Decoction
Xijiao (Rhino Ceruos, shaved, 3 fen) Lianqiao (Forsythiae Fructum) Shegan (Belamcandae Rhizoma) Zhizi (Gardeniae Fructus) Shengma (Cimicifugae Rhizoma) Danggui (Angelicae Sinensis Radix, sliced and dried, 1 liang each) Dahuang (Rhei Radix et Rhizoma, chopped and stir-fried, 2 liang)
Muxiang (Costi Rhizoma, 3 fen) Zhike (Aurantii Fructus, pith removed, bran-roasted) Chishaoyao (Paeoniae Radix Rubra) Gancao (Glycyrrhizae Radix et Rhizoma, raw chopped) Xuanshen (Scrophulariae Radix, 1 liang each)
Coarsely crush and sieve the above twelve ingredients. Take 3 qianbi per dose with 1 cup of water. Decoct until reduced to 0.6 cup. Strain and take warm at any time.
Formula for Shi Yong: Dihuang Jian Syrup
Shengdihuang (Rehmanniae Radix Recens, washed clean, 3 jin)
Chop, crush, and grind the above single ingredient. Squeeze out the juice. Boil in a copper vessel over a water bath, stirring evenly with a willow whisk until it resembles syrup. Store in porcelain containers. On an empty stomach daily, take a piece the size of a bullet, mixed with warm wine. Repeat at noon and evening.
External powder for carbuncles and sores hard as stone nuclei: Lujiao San Powder
Lujiao (Cervi Cornus Deossificatum, calcined) Bailian (Trollii Radix, 2 liang each) Culi Huangshi [Yellow Stone, coarse texture, 5 liang, heated red-hot and quenched in vinegar seven times]
Grind the above three ingredients to an extremely fine powder. Mix with strong vinegar to form a paste. Apply to the swollen area. Replace when dry.
External powder for hardened carbuncles and sores without pus formation: Ningshuishi San Powder
Ningshuishi (Borax) Huangbai (Phellodendri Cortex) Huangqi [Text implies Huangqi or similar, likely Huangbo/Huanglian context suggests Huangbo already listed, possibly Huangqi or another yellow herb, text says "Huang "] Huanglian (Coptidis Rhizoma, cleaned) Dahuang (Rhei Radix et Rhizoma) Shigypsum (Gypsum Fibrosum) Zhizi (Gardeniae Fructus, half liang each) Bailian (Trollii Radix, 1 liang)
Grind the above eight ingredients to an extremely fine powder. Mix with Jiangshui (fermented grain water) to form a paste. Spread on old cloth and apply to the lesion. Replace when dry.
Another method: Deer Horn Mud Application
Deer horn
Grind on stone with water until mud-like. Apply to the affected area. Three to five times daily.
Another method: Banxia (Pinellia) Application
Banxia (Pinelliae Tuber, 1 liang)
Grind into powder. Mix with fresh well-water to form a paste. Apply to the affected area. Three to five times daily.
Another method: Langdangzi (Datura Seed) Application
Langdangzi (Daturae Semen, 2 liang)
Grind into powder. Mix with vinegar to form a paste. Apply to the affected area. Replace when dry.
Another method: Kuajinghui (Okra Stem Ash) Application
Kuajinghui (Ash of Abelmoschus manihot stems) Liangshangchen (Dust from roof beams, 1 liang each)
Grind into powder. Mix with vinegar to form a paste. Apply to the swelling. Two to three times daily.
Another method: Shetui (Snake Slough) Application
Shetui (Boa Constrictor Skin)
Burn to ash and grind finely. Mix with vinegar. Apply to the swelling. Replace when dry. Alternatively, apply snake skin directly; healing may occur overnight.
Another method: Shanglu Gen (Phytolaccae Radix) Application
Sheng Shanglu Gen (Fresh Phytolaccae Radix, half slice)
Mash thoroughly. Spread on old cloth and apply. Replace when dry. Also treats various sores and boils.
Another method: Shuqi (Herba Descurainiae) Application
Shuqi (Herba Descurainiae, dried, half liang) Sangbaipipi (Mori Cortex, 2 liang)
Grind into powder. Use appropriate amount, mix with melted ox-hide glue and wine. Apply to the swollen area. Three to five times daily.