论曰∶内经谓人病胃脘痈者，当候胃脉，其脉沉细者气逆，气逆者，人迎甚盛，甚盛则
热，人迎者，胃脉也。逆而盛，则热聚于胃口而不行，故胃脘为痈也。夫阴阳升降，则营卫
流
以
咳
治热聚胃脘，留结为痈。连翘升麻汤方
连翘 升麻 射干（去毛） 独活（去芦头） 桑寄生 木通（锉各二两半） 大黄（锉
微炒
二两以上捣为粗末） 木香 沉香（镑） 薰陆香 丁香 麝香（各等分以上捣研为细末）
上十二味，每抄前药五钱匕，水二盏，煎至一盏半，去滓入后五香末二钱匕，再煎至一
盏，温服日三服，以快利为度。
治胃腑实热，留结为痈，阳气不得下，胃脉沉细者。犀角汤方
犀角（镑） 栀子仁 赤芍药 赤茯苓（去黑皮） 黄芩（去黑心） 射干（去毛） 大
黄（锉
炒各一两）
上七味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓入蜜一匙搅匀，再煎一两沸，
食后温服。
治营卫不流，热聚胃口，血肉腐坏，胃脘成痈。射干汤方
射干（去毛） 栀子仁 赤茯苓（去黑皮） 升麻（各一两） 赤芍药 白术（各一两
半）
上六味， 咀如麻豆大，每服五钱匕，水一盏半，煎至八分，去滓入生地黄汁一合，蜜
半合，再煎三沸，温服不拘时候，日二服。
治热气留聚胃脘，内结成痈。麦门冬汤方
麦门冬（去心焙） 犀角（镑） 葳蕤 荠 赤芍药 石膏（各一两半） 甘草（炙
锉） 红
雪（各一两）
上八味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓入竹沥一合，再煎三两沸，
温服。
治胃脘蓄热，结聚成痈。芍药汤方
赤芍药 犀角（镑） 木通（锉） 石膏（碎） 升麻（各二两） 甘草（生锉） 朴
硝玄参
麦门冬（去心焙各一两）
上九味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓温服，不计时候。
It is stated in the discussion: The *Neijing* (Classic of Internal Medicine) mentions that when a person suffers from Stomach Epigastrium Carbuncle (a suppurative mass formed in the stomach), one should examine the Stomach pulse. If the pulse is deep and fine, it indicates rebellious Qi; if Qi is rebellious, the Renying point (ST9, located on the neck) presents with an extremely vigorous pulse; an extremely vigorous pulse signifies heat. The Renying pulse belongs to the Stomach meridian. When Qi is rebellious and the pulse is vigorous, heat gathers at the gastric opening and fails to dissipate, thus forming a Stomach Epigastrium Carbuncle.
For treating heat gathering in the epigastrium, lingering and knotting to form a carbuncle, and where Ying and Wei (Nutritive and Defensive Qi) fail to circulate smoothly, use Lianqiao Shengma Tang (Forsythia and Cimicifuga Decoction).
Ingredients: Lianqiao (Forsythiae Fructus), Shengma (Cimicifugae Rhizoma), Shegan (Belamcandae Rhizoma, remove hairs), Duhuo (Angelicae Pubescentis Radix, remove radicle), Sangjisheng (Taxilli Herba), Mutong (Akebiae Caulis, sliced, each 2.5 liang), Dahuang (Rhei Radix et Rhizoma, sliced, slightly stir-fried, over 2 liang, pounded into coarse powder), Muxiang (Aucklandiae Radix), Chenxiang (Aquilariae Lignum Resinatum, shaved), Xunluxiang (Boswelliae Resina), Dingxiang (Syzygii Flos), Shexiang (Moschus, equal parts, above pounded and ground into fine powder).
Preparation and Administration: Take the first five herbs mentioned above, five qianbi per dose, add two zhan of water, decoct until one and a half zhan remains, filter out the dregs, add two qianbi of the fine powder of the latter five aromatic herbs, decoct again until one zhan remains, take warm, three times daily, with free bowel movement as the endpoint.
For treating excess-heat in the Stomach fu organ, lingering and knotting to form a carbuncle, Yang Qi failing to descend, and the Stomach pulse being deep and fine, use Xijiao Tang (Rhino Horn Decoction).
Ingredients: Xijiao (Horni Rhinocerotis, shaved), Zhizi (Gardeniae Fructus), Chishaoyao (Paeoniae Radix Rubra), Chi Fuling (Poria cum Ligno, remove black skin), Huangqin (Scutellariae Radix, remove black heart), Shegan (Belamcandae Rhizoma, remove hairs), Dahuang (Rhei Radix et Rhizoma, sliced, stir-fried, each 1 liang).
Preparation and Administration: Pounded coarsely and sifted, take five qianbi per dose, add one and a half zhan of water, decoct until one zhan remains, filter out the dregs, add one spoonful of honey, stir evenly, boil for one or two more boils, take warm after meals.
For treating Ying and Wei failing to circulate, heat gathering at the gastric opening, flesh and blood rotting and decaying, and the stomach epigastrium forming a carbuncle, use Shegan Tang (Belamcanda Decoction).
Ingredients: Shegan (Belamcandae Rhizoma, remove hairs), Zhizi (Gardeniae Fructus), Chi Fuling (Poria cum Ligno, remove black skin), Shengma (Cimicifugae Rhizoma, each 1 liang), Chishaoyao (Paeoniae Radix Rubra), Baizhu (Atractylodis Macrocephalae Rhizoma, each 1.5 liang).
Preparation and Administration: Cut into pieces the size of hemp seeds, take five qianbi per dose, add one and a half zhan of water, decoct until eight-tenths remains, filter out the dregs, add one he of fresh Shengdihuang juice (Rehmanniae Radix Juice), half a he of honey, boil three more times, take warm at any time, twice daily.
For treating heat qi lingering and gathering in the stomach epigastrium, knotting internally to form a carbuncle, use Maidong Tang (Ophiopogon Decoction).
Ingredients: Maidong (Ophiopogonis Tuber, remove heart and roast), Xijiao (Horni Rhinocerotis, shaved), Weirui (Polygonati Odorati Rhizoma), Qi (Herba Siegesbeckiae? Note: Text says "Qi", likely a specific herb or typo, kept as is), Chishaoyao (Paeoniae Radix Rubra), Shigao (Gypsum Fibrosum, crushed, each 1.5 liang), Gancao (Licorice Root, roasted and sliced), Hongxue (Red Snow, each 1 liang).
Preparation and Administration: Coarsely pounded and sifted, take five qianbi per dose, add one and a half zhan of water, decoct until eight-tenths remains, filter out the dregs, add one he of Zhuli (Bamboo Sap), boil two or three more times, take warm.
For treating accumulated heat in the stomach epigastrium, knotting and gathering to form a carbuncle, use Shaoyao Tang (Peony Decoction).
Ingredients: Chishaoyao (Paeoniae Radix Rubra), Xijiao (Horni Rhinocerotis, shaved), Mutong (Akebiae Caulis, sliced), Shigao (Gypsum Fibrosum, crushed), Shengma (Cimicifugae Rhizoma, each 2 liang), Gancao (Licorice Root, raw and sliced), Poxiao (Natrii Sulfas), Xuanshen (Scrophulariae Radix), Maidong (Ophiopogonis Tuber, remove heart and roast, each 1 liang).
Preparation and Administration: Coarsely pounded and sifted, take five qianbi per dose, add one and a half zhan of water, decoct until eight-tenths remains, filter out the dregs, take warm, at any time.