论曰∶缓疽者，以寒气客于经络，营卫凝涩，其寒气盛，则肿痛深伏，其状无头尾，大
如拳，小如桃李，与皮肉相附着。其肿与肉色相似，亦不甚赤，积日不溃，久乃变紫黯色，
皮
治缓疽。木占斯散方
木占斯 干姜（炮裂） 桂（去粗皮） 细辛（去苗叶） 败酱 防风（去叉） 桔梗
（炒）
栝蒌（去皮各半两） 甘草（炙一分） 人参（一两） 浓朴（去粗皮姜汁炙锉三分）
上十一味，捣罗为散，每服二钱匕，空心温酒调下，日晚再服。
治缓疽。芍药汤方
芍药 当归（各一两） 黄 （锉） 生干地黄（焙） 赤茯苓（去黑皮各一两半） 人
参甘
草（炙各三分）
上七味，粗捣筛，每服五钱匕，水一盏半，入生姜半分拍碎，枣二枚劈破，同煎至八分
，去滓空心温服，晚再服。
治缓疽，及诸痈肿，脓血结聚，皮肉坚浓，日久不溃疼痛。黄 汤方
黄 沉香 薰陆香 连翘（各三分） 羚羊角屑（一两） 鸡舌香 漏芦（去芦头） 黄
芩
（去黑心） 栀子仁 甘草（生锉） 防风（去叉） 栝蒌根（各半两）
上十二味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓不计时候温服。
治缓疽，日久穿溃，出脓水不尽。排脓散方
贝齿（一两） 黄 （锉） 当归（锉微炒） 赤芍药 生干地黄（焙） 黄连（去须）
升麻
桂（去粗皮） 白蔹 犀角屑（各三分） 甘草（半两生锉） 麝香（一分细研）
上十二味，捣研为散，拌匀再罗，每服温酒调下二钱匕，不计时候。
治缓疽初结，微肿疼痛。涂贴莽草散方
莽草 鹿角屑 白蔹 白芨 半夏 天南星 附子（生去皮脐各一两） 蛇蜕皮（一条
炙）
皂荚（两梃去黑皮及子）
上九味，捣罗为散，用醋面薄糊调为膏，涂贴肿处，干即再上，以肿散为度。
治缓疽。蛇床散方
蛇床子（末） 杏仁（汤浸去皮尖双仁研细入） 黄连（去须捣末） 乳香（细研各半
两） 盐
（一分研） 蔓荆根（三两切烂研）
上六味，以蔓荆根和药末，细研令匀，涂敷肿上，干即易之。
治缓疽恶疮，蚀恶肉。飞黄散方
丹砂 雌黄 磁石 曾青 白石英 石 石膏 石钟乳 雄黄（各二两） 云母粉（三
两）
上十味，各细研为散，用瓦盆一口，丹砂安南，雌黄安中，磁石向北，曾青在东，白石
英在
西， 石当上，石膏次，更下钟乳，雄黄云母复盖，更用一盆复盖定，以泥封。浓一寸，于
灶底，以陈苇烧一日取出，看取飞上者研细，敷疮上，日二度，即瘥。
治缓疽，以飞黄散蚀恶肉尽用。雄黄散熏方
雄黄 干鸡屎白 藜芦（去芦头） 丹砂（细研） 干鳗鲡鱼（炙焦各一两）
上五味，捣罗为散，以青布裹之，安小土灶内，烧熏患处，如是熏三日即止，后用黄
散常法敷之。
治缓疽。黄 散方
黄 （二两）
上一味细锉，捣罗为散，敷疮上，日一度。
又方
漆头 茹（二两）
上一味，捣罗为散，敷疮上，日二度。
Discourse states: Huan Ju (Slow Carbuncle) is caused by cold pathogenic qi invading the meridians, leading to stagnation and obstruction of Ying Qi (Nutritive Qi) and Wei Qi (Defensive Qi). When the cold pathogen is vigorous, the swelling and pain lie deep within. The manifestation has no distinct head or tail, ranging in size from that of a fist to a peach or plum, adhering closely to the skin and flesh. The color of the swelling resembles that of the muscle and is not very red. After many days without ulceration, it eventually turns purplish-dark, and the skin... [text truncated]
Formula for Muzhansi San to treat Huan Ju:
Muzhansi, Ganjiang (Paeoniae Radix Alba processed until cracked), Guizhi (Cinnamon Twig with coarse bark removed), Xixin (Asari Root with seedlings and leaves removed), Baijiangcao (Patriniae Herba), Fangfeng (Saposhnikoviae Radix with forked roots removed), Jiegeng (Platycodonis Radix stir-fried), Gualou (Trichosanthis Fructus peeled), each half liang; Gancao (Licorice Root honey-fried), one fen; Renshen (Ginseng Radix et Rhizoma), one liang; Houpo (Magnoliae Officinalis Cortex with coarse bark removed, stir-fried with ginger juice and chopped), three qian.
The above eleven ingredients are crushed, sifted into powder. Each dose consists of two qian bi, taken orally with warm wine on an empty stomach, and repeated in the evening.
Formula for Shaoyao Tang to treat Huan Ju:
Shaoyao (Paeoniae Radix), Danggui (Angelicae Sinensis Radix), each one liang; Huangqi (Astragali Radix chopped), Shenggan Dihuang (Rehmanniae Radix prepared dry, baked), Chifuling (Poria with black skin removed), each one and a half liang; Renshen (Ginseng Radix et Rhizoma), Gancao (Licorice Root honey-fried), each three qian.
The above seven ingredients are coarsely crushed and sieved. Each dose consists of five qian bi, decocted with one and a half cups of water, plus half a fen of smashed fresh ginger and two cracked jujubes. Decoct until eight-tenths remain, strain, and take warm on an empty stomach, repeated in the evening.
Formula for Huangqi Tang to treat Huan Ju, as well as various carbuncles and swellings where pus and blood accumulate, with hard and thick skin and flesh, persisting for a long time without ulceration and causing pain:
Huangqi (Astragali Radix), Chenxiang (Aquilariae Lignum Resinatum), Xunluxiang (Boswelliae Resina), Lianqiao (Forsythiae Fructus), each three qian; Lingyangjiaoxie (Saigae Tataricae Cornu shaved), one liang; Jishe xiang (Caryophylli Flos), Loulu (Euphorbiae Humifusae Radix with rhizome removed), Huangqin (Scutellariae Radix with black heart removed), Zhizi Ren (Gardeniae Semen), Gancao (Licorice Root raw and chopped), Fangfeng (Saposhnikoviae Radix with forked roots removed), Gualougen (Trichosanthis Radix), each half liang.
The above twelve ingredients are coarsely crushed and sieved. Each dose consists of five qian bi, decocted with one and a half cups of water until eight-tenths remain. Strain and take warm at any time.
Formula for Paimo San to treat Huan Ju that has ulcerated after a long time, discharging pus and fluid incompletely:
Beichi (Concha Meretricis et Cyprinae), one liang; Huangqi (Astragali Radix chopped), Danggui (Angelicae Sinensis Radix chopped and slightly stir-fried), Chishaoyao (Red Paeoniae Radix), Shenggan Dihuang (Rehmanniae Radix prepared dry, baked), Huanglian (Coptidis Rhizoma with whiskers removed), Shengma (Bupleuri Radix), Guizhi (Cinnamon Twig with coarse bark removed), Bailian (Ampelopsis Radix), Xijiaoxie (Rhinocerotis Cornu shaved), each three qian; Gancao (Licorice Root raw and chopped), half liang; Shexiang (Moschus), one fen, finely ground.
The above twelve ingredients are crushed, ground into powder, mixed evenly, and sieved again. Each dose consists of two qian bi, taken orally with warm wine at any time.
Formula for Mangcao San for external application to treat early-stage Huan Ju with slight swelling and pain:
Mangcao (Daphnes Genkwa Flower), Lujiuxie (Cervi Cornu Degloriatum pulverized), Bailian (Ampelopsis Radix), Baiji (Bletillae Rhizoma), Banxia (Pinelliae Rhizoma), Tiannanxing (Arisaematis Rhizoma), Fuzi (Aconiti Lateralis Radix Preparata, raw, peel and navel removed), each one liang; Shetui (Ophichthidis Cutis Sicca, one strip, stir-fried); Zaojiao (Gleditsiae Fructus, two pods, remove black skin and seeds).
The above nine ingredients are crushed and sieved into powder. Mix with vinegar and thin flour paste to form a paste. Apply to the swollen area. Reapply when dry, until the swelling dissipates.
Formula for Shechuang San to treat Huan Ju:
Shechuangzi (Cnidii Fructus, powdered), Xingren (Armeniacae Semen Amarum, soaked in hot water, peel and tip removed, double-kernel, finely ground and added), Huanglian (Coptidis Rhizoma with whiskers removed, ground to powder), Rushi (Styrax Resina, finely ground), each half liang; Yan (Sal), one fen, ground; Manjinggen (Viticis Trifoliate Radix), three liang, chopped and ground to pulp.
The above six ingredients are mixed with Manjinggen pulp and finely ground until uniform. Apply to the swelling. Change when dry.
Formula for Feihuang San to treat Huan Ju and malignant sores, corroding necrotic tissue:
Dansha (Cinnabaris), Cihuang (Realgar), Cishi (Magnetitum), Zengqing (Chalcitis), Baishiying (Leucophaeites), Shiliuhuang (Sulfur), Shigao (Gypsum Fibrosum), Shizhongru (Gossypii Fibra treated with mineral salts), Xionghuang (Realgar), each two liang; Yunmufen (Micaceous Hematite powder), three liang.
The above ten ingredients are each finely ground into powder. Take one earthenware pot. Place Dansha facing South, Cihuang in the center, Cishi facing North, Zengqing facing East, Baishiying facing West, Shiliuhuang at the top, followed by Shigao, then Shizhongru underneath, covered with Xionghuang and Yunmufen. Cover with another pot and seal with mud, one cun thick. Place at the bottom of the stove and burn with old reed for one day. Remove and collect the sublimed powder, grind finely, and apply to the sore twice daily until healed.
Formula for Xionghuang San fumigation to be used after Feihuang San has completely corroded necrotic tissue in Huan Ju:
Xionghuang (Realgar), Gan Jisibai (Dry Gallus Domesticus Excrement), Lilu (Veratri Radix with rhizome removed), Dansha (Cinnabaris, finely ground), Gan Manliyu (Dry Moray Eel, roasted until charred), each one liang.
The above five ingredients are crushed and sieved into powder. Wrap in green cloth, place in a small clay stove, burn, and fumigate the affected area. Stop fumigation after three days, then apply Huangqi San according to standard methods.
Formula for Huangqi San to treat Huan Ju:
Huangqi (Astragali Radix), two liang.
The above single ingredient is finely chopped, crushed, and sieved into powder. Apply to the sore once daily.
Another Formula:
Qitou (Lithospermum Erythrorhizon? Note: Context suggests Qiantou/Lithospermum or similar herb often paired with Rucao, but text says "Qi Tou" likely referring to Lithospermum or similar root, and "Ru" likely Rucao/Perilla leaf or similar. Given ambiguity, literal translation): Qitou, Rucao (two liang).
The above single ingredient is crushed and sieved into powder. Apply to the sore twice daily.