夫二仪含象，三才贯形，五体以类于五行，六腑乃同于六吕，人之肉也，则脾之所主，
人之皮肤，则肺之所管，肤肉受病，皆繇滋味而与衣服，衣服浓暖则表之呼寒，滋味失度。
则腑脏皆热，腑脏既拥，则血脉不流，血脉不流，则毒瓦斯偏注凑于俞穴，俞穴之所，阴阳会
津承虚伏守，必煮其血，血败即溃肉，肉腐而成脓，实则为痈，浮则为肿也。若兼肾肝虚热，
遂成疽成 矣，且疽则附骨， 则着筋，凡曰痈疽，脉皆有状，有浮有滑，有数有涩，有
弱有沉，浮为阳虚，滑为阳实，数为阳燥，涩为阴寒，弱为阴虚，沉为阴坚，三阳三阴之脉
也，若三部之中，脉有一阴一阳复结为失常经者，痈疽之候也，且脉法，心洪肺浮，肝弦肾
沉。若肺肝心俱至，即发痈疽，何以言之，为一阴一阳水火 焉，旧论寒热客于经络，血涩
不通，其理乖也，论热尽发于内而形于外，未有外热能入于内，而成其肿，皆繇表虚客寒所
搏，故衣浓暖呼其寒，是其义也，凡痈发生，皆繇自召，一呼吸失度，二喜怒不调，三饮食
愆时，四阴阳乖候，犯此四者，则六腑不和，营卫不利，营者血也，卫者气也，血伤寒则涩，
气伤热则益，气则为火，血则为水，水火相搏，遂形痈疽，故加虚则气撮心 ，四肢颤掉，
若有失而悸，此为脓不出尽之候，久即成漏，纵瘥终发，宜服排脓补养药，即无咎也，痈疽
之名，大体相似，发有深浅，疗有虚盈，然摄之于药物，殊途而同归也。
凡人强壮之年，少阳气省，皮肤疏薄，滋味惬情，肠胃壅塞，因壅发热，即受其寒，寒
气总至，受有深浅，随处为证，浅即内阳尚壮，中即少虚，深即虚竭，病在阳即易去，在阴
即难除，其有决生死之神功，辨形色之宗旨，明刘涓之术录尔。凡痈疽脓出后，不可疗者有
五，一眼白睛青黑而小，二咽药而呕，三伤痛渴甚，四膊项中不仁，五音嘶色夺，此为极也
又凡食诸生果，皆召其 ，养生法云，勿食不成核之果，勿食和污粒之食，皆为疮痈，
略为纲举，以晓将来耳。
千金论曰，凡发背，皆繇服五石寒食更生散所致，亦有单服钟乳而发者。又有生平不服
石，而自发背者，此是上代有服之者。其候率多于背两胛间起，初如粟米大，或痛或痒，仍
作赤色，人皆初不以为事。日渐长大，不过十日遂至不救，及其临困时，疮方圆径三四寸，
高一寸，兼有数十孔，以手按之，诸孔之中，脓皆反出，寻即失音不言，所以养生者，小觉
背上痛痒有异，即取净土水和作泥，捻作饼子，径一寸浓二分，贴着疮上，以粗艾大作炷灸
之。一炷一易饼子，肿若粟米大时，可灸七饼即瘥，若如榆荚大，灸七七炷即瘥。若至钱许
大，日
又五香连翘汤方。
青木香 沉香 独活 连翘 升麻（各二两） 麝香（半两） 薰陆香（攻头痛不着亦
得）
射干（二两一法一两） 大黄（三两别渍） 淡竹沥（二升） 鸡舌香（各二两） 桑寄生
（二两）
通草（二两）
上十三味切，以水九升煮药，待水减半后，内竹沥更煮，取二升，分温三服甚佳。（千
金本方有丁香无鸡舌香）
又五香丸，疗心腹鼓胀冷泻，鬼气疰忤方。（亦名沉香丸）
沉水香 青木香 丁香 朱砂（别研各一两） 麝香（别研） 犀角（错取屑） 薰陆
香栀
子仁 连翘 石膏（别研各二两） 芒硝（熬） 蜀升麻 大青 干蓝 栝蒌 干葛 茵陈 黄
芩肉桂 芎 茯苓（各三两） 巴豆（三两去心皮熬令变色别研如脂） 大黄（二两）
上二十三味捣筛，蜜和更捣一千杵，封以油腊纸，无在有患时温热疰病，鬼疟病，心腹
鼓胀，疸黄垂欲死者，可服四五丸，丸如梧子大，或至六七丸，但取三两行快利为度，利止
即瘥。
又疗发背肠痈，乳痈，一切毒肿，服之脓化为水，神验方。
犀角（屑十二分） 大黄（五分） 蜀升麻 栀子仁 黄芩 防风 蜀当归 甘草（炙）
干蓝 人参 黄连 黄 （各四两） 巴豆（二十颗去心皮熬别捣）
上十三味捣筛，蜜和为丸，初服十丸，取快利三两行，如不快利，更服三两丸，以快利
为度，若利多，以冷酢饭止之，以后服每减丸常取溏利，肿消乃止。（一方有蓼实）
又疗一切肿，初觉痛不可忍，神效方。
取面溲如十指许粗，绕肿令匝，满中布生椒，又以一片面可椒上盖之，当中以艾炷如酸
枣大灸之，盖面欲焦，即换着新面，痛停止。
又疗风毒及一切肿涂散方，天后赐会稽王岑十六，遂于岭南见郭讷驸马，患肿发背，会
稽与芦黄门等亲与药须臾平复，岑候因得此法。
大黄（五两） 白蔹（三大两） 寒水石 紫葛 青木香（各一大两） 硝石 黄芩（各
二大
两） 大青（三两） 苦参（一两）
上九味捣散，和牛乳涂故布上，拓肿上，随着即消，干复易之，若肿在骨节，即拓近骨
节好肉处，移取肿拓即消。
又方汝阴灵明府说传云甚验。
水银（二斤）
上一味，以纸分为两裹，蜜系头，更以帛重裹，勿令走失，递互将拓上，觉温即易，不
过十数度，热毒尽歇即消矣，神效。
又发背神验方。
狗白粪（半两）
上一味，觉欲作肿者以暖水一升绞取汁，分再服以滓敷上，每日再为之，瘥止。
又方
凡肿起于背胛中，头白如黍粟，四相连肿赤黑，令人闷乱者，名发背也，宜禁阳事酒蒜
面，若不灸疗，即入内杀人，可当疮灸七八百壮，有人不识，多作杂肿疗皆乃死。
又方
取三年酢滓微火煎，和牛脂封上，日一易之。
又方
取乱发灰，酒服一方寸匕，亦治瘭疽。
又方
狗牙灰，酢和封之瘥。
又方
饮铁浆三升，下利即瘥。
又方
猪羊脂封之，亦疗乳痈妙。
又方
鹿角灰，酢和涂之佳。
又疗石气在皮肤肿热膏方。
生麦门冬（去心） 葳蕤 鼠李皮 石膏（碎） 凝水石 沙参（各一两） 青葙子 露
蜂房
（各一分） 竹沥（一大合） 杏仁油（一大合） 牛酥（五大两） 生地黄汁（三合）
上十二味切，内酥油沥中，微火上煎令鱼眼沸，一炊久膏成，觉有热处即摩之，瘥止。
又疗发背及痈疽溃漏，并未溃肿毒方。
栝蒌 榆皮 胡燕窠 鼠坌土 女人潮信帛（水洗取汁）
上五味等分，潮信汁和如泥，涂肿上，干即易之，溃者四面封，亦觉即封之，三五日瘥
又排脓内塞散，主大疮热已退，脓血不止，疮中肉虚疼痛方。
防风 茯苓 白芷 桔梗 远志（去心） 甘草（炙） 人参 芎 当归 黄 （各
一两）
附子（二枚炮） 桂心（二分） 浓朴（炙二两） 赤小豆（五合熬）
上十四味捣散，酒服一方寸匕，日三服夜一服。
又排脓止痛，利小便散方。
瞿麦（二两） 芍药（三两） 赤小豆（微熬） 桂心 芎 麦门冬（去心） 白蔹
（各二分） 黄 当归（各二两）
上九味捣筛，先食温酒服一方寸匕，日三。
又疗痈肿令自溃长肉，薏苡仁散方。
薏苡仁 桂心 白蔹 当归 肉苁蓉 干姜（各二两）
上六味捣筛为散，先食温酒服一方寸匕，日三夜再之，又疗诸虚不足，发背，及痈疽瘥
后经年复发背，由太风聚结，毒瓦斯在内闭塞，得夏月出攻背，不治积聚作脓血，或为内漏，
内塞排脓散方。
山茱萸 五味子 茯苓 干姜（各六分） 当归 石苇（去毛） 芎 （各四分） 附
子（二
分炮） 肉苁蓉 巴戟天（去心） 远志（去心） 麦门冬（去心） 干地黄（各八分） 菟
丝子（酒
渍） 地麦（各三分取洗者） 石斛 人参 甘草（炙） 芍药 桂心（各五分）
上二十味捣散，服一方寸匕，日三夜一。稍加至二匕，长服终生不发痈疖。
又疗痈疽发背，妇人发乳，诸疖已溃未溃者便消，不消者速溃疾愈，内补散方。
木占斯 败酱 细辛 干姜 浓朴（炙） 桔梗 甘草（炙各一两） 人参（六分一法
二两） 栝蒌子（六分） 防风（六分）
上十味捣筛为散，酒服方寸匕，日三夜二，间食长服去败酱
又疗痈疽发背，猪蹄汤方。
猪蹄（一具） 黄 黄连 芍药 黄芩（各二两） 蔷薇根 野狼牙（各八两切）
上七味切，以水三斗煮猪蹄令熟，澄取三升，渍诸药煮，取一升洗疮，一食顷着帛拭干
，着生肌膏，日二，生痂止，疮痛者加当归甘草各二两。
又蚀恶肉散方。
马齿矾石（烧研） 茹 麝香（研） 丹砂（研） 雄黄（研） 雌黄（研） 白矾
（各三分烧汁
尽研） 硫黄（三分研）
上八味细作散敷之，先蚀恶肉令尽，即封生肌膏。
又痈疽蚀恶肉膏方。
大黄 附子（去皮） 莽草 芎 雄黄（研） 雌黄（研） 真珠（研各一两） 白
蔹矾
石（烧研） 黄芩 茹（各二两）
上十一味，先以猪膏一升半煎六种草，去滓内 茹矾石末，绞之涂疮中，恶肉尽即止。
又散方。
茹（膝头者） 矾石（烧研） 雄黄（研） 硫黄（研各二分）
上四味为散，内疮孔中，恶肉尽止，勿使过好肉也。
又疗痈疽发十指，或起膀胱，及发背，去恶肉方。
猪蹄（一具治如食法） 当归 大黄 芎 芍药 黄芩 独活 莽草（各一两）
上八味，以水三斗煮猪蹄，取八升汁，内药，煮取四升，去滓洗疮，两食顷拭令燥以后
，麝香膏封之。
又麝香膏，主诸恶疮及痈疽发背，去恶肉方。
麝香 矾石（烧） 雄黄 真珠（各一两研作末）
上四味，以猪脂搅令如泥，涂恶肉尽即止，更敷生肌膏。
又生肌膏，主痈疽发背已溃方。
甘草 当归 白芷 椒（去目） 干地黄 细辛 续断（各三两一法无续断） 乌啄（六
枚去
皮） 肉苁蓉（三两） 薤白（二十茎） 蛇衔（一两）
上十一味切，以好酢半升和渍一宿取猪膏三斤微火煎之，令鱼眼沸，三上三下，候白
芷黄膏成，用涂之佳。
又疗胸背游肿痈，黄 汤方。
黄 人参 麦门冬（去心） 石膏（碎） 芎 当归（各二两） 生地黄（八两） 甘
草
（炙） 芍药（各三两） 生姜（五两切） 大枣（三十枚擘） 半夏（四两洗去滑） 竹
叶（一握）
上十三味切，以水一斗煮竹叶，取九升，去滓内药煮，取三升，分四服，日三夜一。
又疗服石之人患疮肿等，单服牛蒡方，每吞三撮。
又方
每食讫，含生干地黄丸如胡桃大，除热补益也。
又疗年四十以上，强壮常热，发痈无定处，大小便不通，大黄汤方。
大黄 黄芩（各三两） 升麻（二两） 栀子（五枚） 芒硝（一两汤成下）
上五味切，以水五升，煮取二升四合，去滓下芒硝，搅令调，分三服，得利为度，不过
三剂即瘥。
又疗散发生疮肿赤 方。
取赤石臼一片，烧令赤，置酢中，捣作末敷之，如燥更易，以瘥为度，又取粪中蛴螬虫
捣如泥涂肿上，不过三度即合口，甚妙。
又主腹内痈方。
大黄（四两） 牡丹（三两） 芥子（半升） 硝石（三合） 桃仁（五十枚去尖皮碎
切）
上五味切，以水六升，煮取一升五合，分再服，脓即下，无脓者下血。
又若大热背肿身多生疮，下诸石方。
露蜂房（六两） 木绯帛（一尺） 乱发（二两） 升麻（三两）
上四味，先用绯帛裹蜂房等，以麻缠使遍，于炭火上烧，令烟尽，及热捣碎作黑灰，筛
之取末，候热时，空腹酒和服一方寸匕，日再，服此药五六日，即常以小便及大便下青黄赤
汁，及黑物极滑而腥臭者，此石下候，三五度下即休，若多恐令瘦损，若不大急困，但煮五
加木汁服，亦疗疔肿。
又疗背上初欲作肿方。
大黄 升麻 甘草（炙） 黄芩（各三两） 栀子仁（百枚）
上五味切，以水九升，煮取二升半，分服快利便止，不下便进。
又凡发背为痈疽肿已溃未溃方。
香豉（三升）
上一味少着水和，熟捣如强泥，作饼子浓三分，依肿大小贴之，以艾布其上，灸其豉饼
使温温热而已，勿令破肉也。若热痛急易之，或一日二日灸之，若先有疮孔，勿令豉饼盖却
，但四面着灸，孔中汁出，即瘥止。
又疗恶毒肿着阴卵，或偏着一边，疼急挛痛，牵入小肠，痛不可忍，一宿杀人方。
茴香草
上一味捣取汁，饮一升，日三四服，又取滓敷肿，此外国神法，从元嘉末来用之，神效
起死人。
又生鱼薄，主乳痈方。
生鲤鱼（长七寸） 大黄 莽草 灶中黄土（各六两）
上四味，别捣鱼如膏，三味下筛，更捣令调，以生地黄汁和敷肿上，日五六夜二三，即
愈。
又疗动散背肿已自利，虚热不除，宜服竹叶黄 汤方。（出古今录验）
竹叶（切三升） 黄 （四两） 小麦（一升） 芍药（三两） 甘草（二两炙） 石
膏（二两研） 人参（三两） 升麻（一两） 茯苓（二两一法七分） 桂心（六分一法二
分） 当归（三两） 干
Heaven and Earth encompass all phenomena, the Three Powers (Heaven, Earth, Human) penetrate the physical form. The Five Body Parts correspond to the Five Elements, and the Six Fu Organs correspond to the Six Pitch Pipes (Lü). Human flesh is governed by the Spleen; human skin is managed by the Lung. Diseases of the skin and flesh arise from improper dietary flavors and clothing warmth. If clothing is too thick and warm, it causes the exterior pores to open and invites Cold. If dietary intake is immoderate, it leads to Heat accumulation in the Zang-Fu organs. Once the Zang-Fu are congested, blood vessels fail to circulate properly. When blood circulation stagnates, toxic factors (Du Wa) accumulate and converge at the Shu points. At these Shu points, Yin and Yang energies intersect, and body fluids, due to deficiency, lie latent and guard. This inevitably boils the blood; when blood deteriorates, muscle tissue ulcerates. Rotting muscle forms pus. Solid formations are termed Carbuncle (Yong), while superficial swellings are termed Edema (Zhong). If accompanied by deficiency-Heat of the Liver and Kidney, it develops into a Gangrene (Ju) or Gan sore. Furthermore, Ju adheres to the bone, while Gan attaches to the tendons. Regarding all carbuncles and gangrenes, pulse diagnoses have specific characteristics: floating, slippery, rapid, choppy, weak, or deep. A floating pulse indicates Yang deficiency; a slippery pulse indicates Yang excess; a rapid pulse indicates Yang dryness/heat; a choppy pulse indicates Yin cold; a weak pulse indicates Yin deficiency; and a deep pulse indicates Yin solidity. These are the pulses of the Three Yang and Three Yin meridians. If among the three positions (Cun, Guan, Chi), the pulse shows a combination of one Yin and one Yang that knots together abnormally, this is a sign of carbuncle or gangrene. Moreover, according to pulse methods: the Heart pulse is洪 (Hong/Large), the Lung pulse is 浮 (Fu/Floating), the Liver pulse is 弦 (Xian/Wiry), and the Kidney pulse is 沉 (Chen/Deep). If the Lung, Liver, and Heart pulses appear simultaneously, a carbuncle or gangrene will erupt. Why is this so? Because one Yin and one Yang interact like Water and Fire. Old theories claimed that Cold and Heat lodge in the meridians, causing blood stasis and blockage; this reasoning is flawed. Treatises state that Heat originates internally and manifests externally; external Heat cannot enter internally to cause swelling. Rather, all such conditions arise because exterior deficiency allows Cold pathogens to contend with the body. Thus, wearing thick, warm clothes invites Cold, which is the underlying principle.
The occurrence of any carbuncle is self-inflicted due to four factors: first, irregular breathing; second, emotional imbalance (excessive joy or anger); third, irregular eating habits; fourth, disharmony of Yin and Yang. Violating these four leads to disharmony of the Six Fu organs and dysfunction of Ying (Nutritive) and Wei (Defensive) Qi. Ying is Blood; Wei is Qi. Cold injures Blood, causing stasis; Heat injures Qi, causing hyperactivity. Qi transforms into Fire; Blood transforms into Water. The contention between Water and Fire forms carbuncles and gangrenes. If deficiency is added, Qi rushes to the chest and heart, causing tremors and shaking of the four limbs, resembling syncope with palpitations. This is a sign that pus has not been fully discharged. Over time, this becomes a Fistula (Lou). Even if it heals, it will recur. One should take herbs for draining pus and nourishing the body to avoid disaster. Although carbuncles and gangrenes share similar names, their depth varies, and treatment depends on deficiency or excess. However, through medicinal regulation, different paths lead to the same destination.
In one's prime, the Shaoyang Qi is sparse, the skin is loose and thin, and indulgence in rich foods clogs the intestines and stomach. Congestion generates Heat, which then attracts Cold. The arrival of Cold varies in depth, presenting differently based on location. Superficial cases retain strong interior Yang; moderate cases show slight deficiency; severe cases involve exhaustion of Qi. Diseases in the Yang aspect are easy to resolve; those in the Yin aspect are difficult to eradicate. The divine power to determine life and death, and the principles to distinguish shapes and colors, are recorded in the medical texts of Liu Juanzi. After pus drains from a carbuncle or gangrene, five conditions indicate incurability: 1. The whites of the eyes turn blue-black and the pupils shrink; 2. Vomiting occurs immediately after taking medicine; 3. Severe pain accompanied by extreme thirst; 4. Numbness in the shoulders, neck, and back; 5. Hoarseness and sallow complexion. These represent the extremity of the disease. Additionally, consuming various raw fruits invites pathogens. Health preservation laws state: do not eat fruits without proper pits; do not eat food mixed with impurities. All such practices can cause sores and carbuncles. I briefly outline these principles to inform future generations.
The *Qianjin Fang* states that Back Carbuncles (Fa Bei) are caused by taking Five Minerals Powder (Wushi San), Han Shi Powder (Cold Food Powder), or Gengsheng Powder. Some develop them from taking only Zeolite (Zhongru). Others who never took mineral powders still develop Back Carbuncles due to ancestral consumption of such substances. Symptoms usually begin between the shoulder blades, initially the size of a millet seed, painful or itchy, and red. People often ignore them initially. They grow daily and become fatal within ten days. In critical stages, the sore is 3-4 cun in diameter and 1 cun high, with dozens of holes. Pressing causes pus to flow out from all holes, followed by loss of voice. Therefore, health preservers should, upon feeling slight pain or itching on the back, take clean earth soil, mix with water to make mud, shape into cakes 1 cun in diameter and 0.2 cun thick, apply to the sore, and moxibustion with coarse mugwort. Replace the cake with each moxa cone. If the swelling is millet-sized, seven cakes suffice for cure. If plum-pit sized, forty-nine cones suffice. If coin-sized...
**Wuxiang Liaoqiao Tang (Five-Aromatic Forsythia Decoction)**
Qingmuxiang (Aquilariae Lignum Resinatum), Chenxiang (Aucklandiae Radix), Duhuo (Angelicae Pubescentis Radix), Liaoqiao (Forsythiae Fructus), Shengma (Bupleuri Radix) (each 2 liang), Shexiang (Moschus), Xunluxiang (Olibanum - optional for headache), Shegan (Belamcandae Rhizoma) (2 liang, alternative 1 liang), Dahuang (Rhei Radix et Rhizoma) (3 liang, soaked separately), Danzhuli (Bambusae Caulis in Taeniae Succus) (2 sheng), Jitiexiang (Cardamomi Semen), Sangjisheng (Taxilli Caulis), Tongcao (Tetrapanacis Medulla) (each 2 liang).
Cut thirteen ingredients. Boil in 9 sheng of water until half remains. Add Bambusae Caulis in Taeniae Succus and boil further to obtain 2 sheng. Divide into three warm doses. Very effective. (*Note: Qianjin Fang original formula includes Dingxiang but lacks Jitiexiang*).
**Wuxiang Wan (Five-Aromatic Pill)**, treating abdominal distension, cold diarrhea, Gui Qi (Ghost Qi), and Zhu Wu (Sticking Evil). (Also known as Chenxiang Wan).
Chenshui Xiang (Aquilariae Lignum Resinatum), Qingmuxiang (Aquilariae Lignum Resinatum), Dingxiang (Caryophylli Flos), Zhusha (Cinnabaris, ground separately) (each 1 liang), Shexiang (Moschus, ground separately), Xijiao (Rhino Ceratoss, shaved), Xunluxiang (Olibanum), Zhizi Ren (Gardeniae Semen), Liaoqiao (Forsythiae Fructus), Shigao (Gypsum Fibrosum, ground separately) (each 2 liang), Mangxiao (Natrii Sulfas, roasted), Shu Shengma (Bupleuri Radix), Daqing (Isatidis Folium), Gan Lan (Isatidis Radix), Gualou (Trichosanthis Fructus), Gan Ge (Puerariae Radix), Yichen (Artemisiae Scopariae Herba), Huangqin (Scutellariae Radix), Rougui (Cinnamomi Cortex), Xiong (Chuanxiong Rhizoma), Fuling (Poria) (each 3 liang), Badou (Crotonis Fructus, 3 liang, remove heart/skin, roast until color changes, grind to paste), Dahuang (Rhei Radix et Rhizoma) (2 liang).
Grind twenty-three ingredients into powder. Mix with honey and pound 1,000 times. Seal with oil-waxed paper. For heat-toxin Zhu diseases, Ghost Malaria, abdominal distension, or impending jaundice death, take 4-5 pills (size of wu-tzu seeds) up to 6-7 pills. Aim for 2-3 loose stools per day. Stop when diarrhea ceases.
**Another Divine Formula for Back Carbuncle, Intestinal Abscess, Breast Abscess, and all toxic swellings**, turning pus into water.
Xijiao (Rhino Ceratoss, shaved) (12 fen), Dahuang (Rhei Radix et Rhizoma) (5 fen), Shu Shengma (Bupleuri Radix), Zhizi Ren (Gardeniae Semen), Huangqin (Scutellariae Radix), Fangfeng (Saposhnikoviae Radix), Shu Danggui (Angelicae Sinensis Radix), Gancao (Licorice Root, roasted), Gan Lan (Isatidis Radix), Renshen (Ginseng Radix), Huanglian (Coptidis Rhizoma), Huangqi (Astragali Radix) (each 4 liang), Badou (Crotonis Fructus) (20 kernels, remove heart/skin, roast, grind separately).
Grind thirteen ingredients. Mix with honey to form pills. Initial dose: 10 pills. Aim for 2-3 loose stools. If no effect, take 2-3 more pills. If excessive diarrhea, stop with cold vinegar rice. Subsequent doses reduce pill count, aiming for loose stools. Stop when swelling subsides. (Alternative formula includes Liaoshi).
**Another Divine Efficacy Formula for all swellings**, unbearable pain at onset.
Take flour dough rolled to the thickness of ten fingers. Wrap around the swelling. Fill the center with fresh Sichuan peppercorns. Cover with another layer of dough. Apply moxa cone the size of a sour jujube kernel to the center. Replace dough when burning. Stop when pain ceases.
**Another Powder for Wind-Toxin and all swellings**, gifted by Tianhou to Prince Cen of Kuaiji. Found in Lingnan by Guo Ne, son-in-law, who suffered from Back Carbuncle. Kuaiji and Lu Huangmen treated him successfully. Prince Cen obtained this method.
Dahuang (Rhei Radix et Rhizoma) (5 liang), Bailian (Pseudostellariae Radix) (3 da liang), Hanshuishi (Calcitum), Zi Ge (Bungea Root), Qingmuxiang (Aquilariae Lignum Resinatum) (each 1 da liang), Xiaoshi (Natrii Nitras), Huangqin (Scutellariae Radix) (each 2 da liang), Daqing (Isatidis Folium) (3 liang), Kushen (Sophorae Flavescentis Radix) (1 liang).
Grind nine ingredients into powder. Mix with cow milk, apply to old cloth, and compress onto swelling. Swelling subsides quickly. Reapply when dry. If swelling is near joints, apply to healthy flesh near the joint.
**Another Formula**, said to be very effective by Ru Yin Lingming Fu.
Shuiyin (Hydrargyrum) (2 jin).
Wrap one ingredient in two layers of paper, seal ends with honey, wrap again in silk to prevent leakage. Alternate compressing onto the area. Change when warm. Within ten times, heat-toxin dissipates and swelling vanishes. Divine efficacy.
**Another Divine Formula for Back Carbuncle**.
Gou Bai Fen (Dog White Excrement) (0.5 liang).
For suspected swelling, squeeze juice from 1 sheng of warm water mixed with the excrement. Drink half, apply residue topically. Twice daily. Cure stops.
**Another Formula**.
Swelling starting between shoulder blades, white head like millet, surrounded by red/black swelling, causing mental confusion, is called Back Carbuncle. Abstain from sexual activity, alcohol, garlic, and wheat noodles. Without moxibustion, it penetrates inward and kills. Moxabustion of 700-800 cones directly on the sore is required. Ignorance leads to misdiagnosis and death.
**Another Formula**.
Simmer three-year-old vinegar dregs over low fire. Mix with beef tallow and apply. Change once daily.
**Another Formula**.
Take ash from tangled hair. Take one fang-cun bi (spoonful) with wine. Also treats Biao Ju (fast-developing carbuncle).
**Another Formula**.
Ash of dog teeth mixed with vinegar applied topically cures.
**Another Formula**.
Drink 3 sheng of Iron Slurry (Tie Jiang). Diarrhea indicates cure.
**Another Formula**.
Apply pig or sheep tallow topically. Excellent for Breast Abscess.
**Another Formula**.
Ash of deer horn mixed with vinegar applied topically is good.
**Another Ointment for Stone-Qi causing skin swelling and heat**.
Sheng Maidong (Ophiopogonis Tuber, remove heart), Weirui (Polygonati Odorati Rhizoma), Shuli Pi (Pruni Rhamnoidis Cortex), Shigao (Gypsum Fibrosum, crushed), Ningshuishi (Calcitum), Shashen (Adenophorae Radix) (each 1 liang), Qingxiangzi (Lepidii Semen), Lubofang (Vespa Nidus) (each 1 fen), Zhuli (Bambusae Caulis in Taeniae Succus) (1 da he), Xingren You (Amygdalis Oleum) (1 da he), Niusu (Bovis Butter) (5 da liang), Sheng Dihuang Zhi (Rehmanniae Juice) (3 he).
Cut twelve ingredients. Add to butter/oil/juice mixture. Simmer gently until "fish-eye" bubbles appear. Cook for the duration of one meal. Rub onto hot areas. Stop when cured.
**Another Formula for Back Carbuncle, Gangrene Ulcers, and un-ulcerated Toxic Swellings**.
Gualou (Trichosanthis Fructus), Yu Pi (Ulmus Bark), Hu Yan Ke (H swallow Nest), Shu Ben Tu (Rat Burrow Soil), Nu Ren Chao Xin Bo (Menstrual Cloth, washed for juice).
Equal parts of five ingredients. Mix menstrual juice into mud-like consistency. Apply to swelling. Change when dry. For ulcers, seal all sides. Apply immediately upon sensation. Cured in 3-5 days.
**Another Pai Nong Nei Sai San (Draining Pus and Internal Plugging Powder)**, for large sores where heat has subsided but pus/blood continues, with hollow/painful granulation tissue.
Fangfeng (Saposhnikoviae Radix), Fuling (Poria), Baizhi (Angelicae Dahuricae Radix), Jiegeng (Platycodonis Radix), Yuanzhi (Polygalae Radix, remove heart), Gancao (Licorice Root, roasted), Renshen (Ginseng Radix), Xiong (Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix) (each 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata) (2 pieces, processed), Guixin (Cinnamomi Ramulus) (2 fen), Houpo (Magnoliae Officinalis Cortex, roasted) (2 liang), Chixiaodou (Phaseoli Semen Rubrum) (5 he, roasted).
Grind fourteen ingredients into powder. Take one fang-cun bi with wine. Three times daily, once at night.
**Another Pai Nong Zhi Tong Li Xiao Bian San (Draining Pus, Stopping Pain, Promoting Urination Powder)**.
Qumai (Dianthi Herba) (2 liang), Shaoyao (Paeoniae Radix Alba/Rubra) (3 liang), Chixiaodou (Phaseoli Semen Rubrum, lightly roasted), Guixin (Cinnamomi Ramulus), Xiong (Chuanxiong Rhizoma), Maidong (Ophiopogonis Tuber, remove heart), Bailian (Pseudostellariae Radix) (each 2 fen), Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix) (each 2 liang).
Grind nine ingredients. Take one fang-cun bi with warm wine before meals. Three times daily.
**Another Yiyiren San (Coix Seed Powder)** for carbuncles to ulcerate naturally and regenerate flesh.
Yiyiren (Coicis Semen), Guixin (Cinnamomi Ramulus), Bailian (Pseudostellariae Radix), Danggui (Angelicae Sinensis Radix), Roushangrong (Cynomorii Herba), Ganjiang (Zingiberis Rhizoma) (each 2 liang).
Grind six ingredients into powder. Take one fang-cun bi with warm wine before meals. Three times daily, twice at night. Also treats deficiency, Back Carbuncle, and recurrence of gangrene after healing due to wind accumulation and internal toxin blockage. Summer attacks the back. Untreated, it accumulates into pus/blood or internal fistulas. **Nei Sai Pai Nong San (Internal Plugging Draining Pus Powder)**:
Shanzhuyu (Corni Fructus), Wuweizi (Schisandrae Fructus), Fuling (Poria), Ganjiang (Zingiberis Rhizoma) (each 6 fen), Danggui (Angelicae Sinensis Radix), Shiwei (Pyri Folium, remove hairs), Xiong (Chuanxiong Rhizoma) (each 4 fen), Fuzi (Aconiti Lateralis Radix Praeparata) (2 fen, processed), Roushangrong (Cynomorii Herba), Bajitian (Morindae Officinalis Radix, remove heart), Yuanzhi (Polygalae Radix, remove heart), Maidong (Ophiopogonis Tuber, remove heart), Gan Dihuang (Rehmanniae Radix Preparata) (each 8 fen), Tusizi (Cuscutae Semen, soaked in wine), Dimai (each 3 fen, washed), Shihu (Dendrobii Caulis), Renshen (Ginseng Radix), Gancao (Licorice Root, roasted), Shaoyao (Paeoniae Radix), Guixin (Cinnamomi Ramulus) (each 5 fen).
Grind twenty ingredients into powder. Take one fang-cun bi, three times daily, once at night. Gradually increase to two spoons. Long-term use prevents carbuncles/furuncles for life.
**Another Neibu San (Internal Tonifying Powder)** for carbuncles, Back Carbuncle, women's breast abscess, and furuncles (ulcerated or not). Causes immediate resolution or rapid ulceration and healing.
Mozhansi (Alismatis Rhizoma), Baijiang (Patriniae Herba), Xixin (Asari Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma), Houpo (Magnoliae Officinalis Cortex, roasted), Jiegeng (Platycodonis Radix), Gancao (Licorice Root, roasted) (each 1 liang), Renshen (Ginseng Radix) (6 fen, alternative 2 liang), Gualou Zi (Trichosanthis Semen) (6 fen), Fangfeng (Saposhnikoviae Radix) (6 fen).
Grind ten ingredients into powder. Take one fang-cun bi with wine. Three times daily, twice at night. For long-term intermittent use, omit Baijiang.
**Another Zhuti Tang (Pig Trotter Decoction)** for carbuncles and Back Carbuncle.
Zhuti (Pig Trotter) (1 piece), Huangqi (Astragali Radix), Huanglian (Coptidis Rhizoma), Shaoyao (Paeoniae Radix), Huangqin (Scutellariae Radix) (each 2 liang), Qiangweigen (Rosae Rugosae Radix), Ye Langya (Potentillae Chinensis Herba) (each 8 liang, cut).
Cut seven ingredients. Boil pig trotter in 3 dou of water until cooked. Strain to get 3 sheng. Soak other herbs in this broth and boil to obtain 1 sheng. Wash the sore with this liquid. Wipe dry with cloth after one meal period. Apply Shengji Gao (Regenerating Flesh Ointment). Twice daily. Stop when scabs form. For pain, add Danggui and Gancao (2 liang each).
**Another Shi E Rou San (Erosion of Malignant Flesh Powder)**.
Machi Fanshi (Alumen), Ru (Commiphora Myrrha), Shexiang (Moschus), Dansha (Cinnabaris), Xionghuang (Realgar), Cihuang (Orpiment), Baifan (Alumen) (each 3 fen, roasted until liquid evaporates, ground), Liuhuang (Sulfur) (3 fen, ground).
Grind eight ingredients finely. Apply to erode malignant flesh completely. Then apply Shengji Gao.
**Another Yi E Rou Gao (Erosion of Malignant Flesh Ointment)** for carbuncles/gangrene.
Dahuang (Rhei Radix et Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata, peeled), Mangcao (Raddeanum Herb), Xiong (Chuanxiong Rhizoma), Xionghuang (Realgar, ground), Cihuang (Orpiment, ground), Zhenzhu (Margarita, ground) (each 1 liang), Bailian Fanshi (Pseudostellariae Radix and Alumen, roasted and ground), Huangqin (Scutellariae Radix), Ru (Commiphora Myrrha) (each 2 liang).
Eleven ingredients. First, decoct six herbs in 1.5 sheng of lard. Strain. Add Ru and Fanshi powder. Strain again. Apply to sore. Stop when malignant flesh is gone.
**Another Powder**.
Ru (Commiphora Myrrha, from knee joint), Fanshi (Alumen, roasted and ground), Xionghuang (Realgar, ground), Liuhuang (Sulfur, ground) (each 2 fen).
Grind four ingredients into powder. Insert into sore hole. Stop when malignant flesh is gone. Do not damage healthy flesh.
**Another Formula for Carbuncles/Gangrene on Ten Fingers, Bladder, or Back**, removing malignant flesh.
Zhuti (Pig Trotter, prepared for cooking) (1 piece), Danggui (Angelicae Sinensis Radix), Dahuang (Rhei Radix et Rhizoma), Xiong (Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix), Huangqin (Scutellariae Radix), Duhuo (Angelicae Pubescentis Radix), Mangcao (Raddeanum Herb) (each 1 liang).
Eight ingredients. Boil pig trotter in 3 dou water to obtain 8 sheng. Add herbs. Boil to obtain 4 sheng. Strain. Wash sore. Dry after two meal periods. Seal with Shexiang Gao.
**Another Shexiang Gao (Moschus Ointment)** for malignant sores, carbuncles, Back Carbuncle, removing malignant flesh.
Shexiang (Moschus), Fanshi (Alumen, roasted), Xionghuang (Realgar), Zhenzhu (Margarita) (each 1 liang, ground).
Four ingredients. Mix with pig fat to paste consistency. Apply until malignant flesh is gone. Then apply Shengji Gao.
**Another Shengji Gao (Regenerating Flesh Ointment)** for ulcerated Back Carbuncle.
Gancao (Licorice Root), Danggui (Angelicae Sinensis Radix), Baizhi (Angelicae Dahuricae Radix), Jiao (Zanthoxyli Pericarpium, remove eyes), Gan Dihuang (Rehmanniae Radix Preparata), Xixin (Asari Radix et Rhizoma), Xuduan (Dipsaci Radix) (each 3 liang, alternative no Xuduan), Wuzhuo (likely a typo for a specific herb or part, possibly related to bird/beak?), Roushangrong (Cynomorii Herba) (3 liang), Xiebai (Allii Macrostemonis Bulbus) (20 stems), Sheyan (Symphyti Radix) (1 liang).
Eleven ingredients. Cut. Soak in 0.5 sheng of good vinegar overnight. Add 3 jin of pig fat. Simmer gently until "fish-eye" bubbles. Perform "three ups and three downs" (boiling technique). When Baizhi turns yellow and ointment forms, apply. Best results.
**Another Huangqi Tang (Astragalus Decoction)** for wandering swelling/carbuncle on chest/back.
Huangqi (Astragali Radix), Renshen (Ginseng Radix), Maidong (Ophiopogonis Tuber, remove heart), Shigao (Gypsum Fibrosum, crushed), Xiong (Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix) (each 2 liang), Sheng Dihuang (Rehmanniae Radix) (8 liang), Gancao (Licorice Root, roasted), Shaoyao (Paeoniae Radix) (each 3 liang), Shengjiang (Zingiberis Rhizoma Recens) (5 liang, cut), Dazao (Jujubae Fructus) (30 pieces, split), Banxia (Pinelliae Rhizoma Praeparatum, washed to remove slipperiness) (4 liang), Zhuye (Phyllostachys Folium) (one handful).
Thirteen ingredients. Cut. Boil Zhuye in 1 dou water to obtain 9 sheng. Strain. Add other herbs. Boil to obtain 3 sheng. Divide into four doses. Three times daily, once at night.
**Another Formula for stone-taking patients suffering from sores/swellings**: Single use of Niubang (Arctii Fructus), 3 tuos per dose.
**Another Formula**.
After each meal, hold a pill of raw dried Rehmannia root the size of a walnut in the mouth. Clears heat and tonifies.
**Another Dahuang Tang (Rhubarb Decoction)** for men over 40, strong constitution, constant heat, unpredictable carbuncles, constipation.
Dahuang (Rhei Radix et Rhizoma), Huangqin (Scutellariae Radix) (each 3 liang), Shengma (Bupleuri Radix) (2 liang), Zhizi (Gardeniae Fructus) (5 pieces), Mangxiao (Natrii Sulfas) (1 liang, add when soup is ready).
Five ingredients. Cut. Boil in 5 sheng water to obtain 2.4 sheng. Strain. Add Mangxiao. Stir. Divide into three doses. Stop when bowel movement occurs. Cure within three doses.
**Another Formula for scattered red sores**.
Take a piece of red stone mortar. Roast until red-hot. Quench in vinegar. Grind to powder. Apply. Reapply when dry. Stop when cured. Also, grind cockchafer larvae found in manure into paste. Apply to swelling. Closes within three applications. Very effective.
**Another Formula for Internal Abdominal Abscess**.
Dahuang (Rhei Radix et Rhizoma) (4 liang), Mudan (Moutan Cortex) (3 liang), Jiezi (Sinapis Semen) (0.5 sheng), Xiaoshi (Natrii Nitras) (3 he), Tao Ren (Persicae Semen) (50 kernels, remove tips/skins, crush/cut).
Five ingredients. Cut. Boil in 6 sheng water to obtain 1.5 sheng. Divide into two doses. Pus will drain. If no pus, blood will drain.
**Another Formula for High Fever, Back Swelling, Multiple Body Sores**, expelling stones.
Lubofang (Vespa Nidus) (6 liang), Mu Fei Bo (Red Silk Cloth) (1 chi), Luannian (Tangled Hair) (2 liang), Shengma (Bupleuri Radix) (3 liang).
Four ingredients. Wrap Lubofang etc. in red silk. Bind with hemp. Burn on charcoal fire until smoke disappears. While hot, grind to black ash. Sieve to powder. Take 1 fang-cun bi with warm wine on empty stomach when hot. Twice daily. After 5-6 days, green/yellow/red juices and black, slippery, foul-smelling matter will pass via urine/stool. This indicates stone expulsion. Stop after 3-5 times. Too much may cause emaciation. If not urgent, boil Wuja Mu (Acanthopanacis Cortex) juice to drink. Also treats Ding Zhong (hard carbuncle).
**Another Formula for Early Back Swelling**.
Dahuang (Rhei Radix et Rhizoma), Shengma (Bupleuri Radix), Gancao (Licorice Root, roasted), Huangqin (Scutellariae Radix) (each 3 liang), Zhizi Ren (Gardeniae Semen) (100 pieces).
Five ingredients. Cut. Boil in 9 sheng water to obtain 2.5 sheng. Divide doses. Stop when loose stool occurs. Advance if no effect.
**Another Formula for Back Carbuncle/Gangrene, Ulcerated or Not**.
Xiangchi (Fermented Soybeans) (3 sheng).
One ingredient. Add little water. Cook and pound into thick mud. Shape into cakes 0.3 cun thick. Apply to swelling size. Place mugwort on top. Moxibustion to keep warm/hot but not break skin. Change if hot/painful. Moxibustion for 1-2 days. If holes exist, do not cover with cake; moxa only around edges. Stop when fluid drains.
**Another Formula for Malignant Swelling on Scrotum**, unilateral, severe cramping pain radiating to small intestine, unbearable, fatal overnight.
Huixiang Cao (Foeniculi Fructus/Herba).
One ingredient. Pound to juice. Drink 1 sheng. 3-4 times daily. Apply residue to swelling. Foreign divine method, used since Yuanjia era. Divine efficacy, revives the dead.
**Another Sheng Yu Bo (Raw Fish Paste)** for Breast Abscess.
Sheng Liyu (Live Carp, 7 cun long), Dahuang (Rhei Radix et Rhizoma), Mangcao (Raddeanum Herb), Zaozhong Huangtu (Kiln Yellow Earth) (each 6 liang).
Four ingredients. Pound fish into paste separately. Sieve other three ingredients. Pound together to mix. Mix with Sheng Dihuang Zhi (Rehmanniae Juice). Apply to swelling. Day 5-6 times, Night 2-3 times. Cures.
**Another Zhuye Huangqi Tang (Leaf Bamboo and Astragalus Decoction)** for Back Swelling with spontaneous diarrhea, lingering deficiency-heat. (From *Gujin Luyuan*).
Zhuye (Phyllostachys Folium, cut) (3 sheng), Huangqi (Astragali Radix) (4 liang), Xiaomai (Tritici Fructus) (1 sheng), Shaoyao (Paeoniae Radix) (3 liang), Gancao (Licorice Root, roasted) (2 liang), Shigao (Gypsum Fibrosum, ground) (2 liang), Renshen (Ginseng Radix) (3 liang), Shengma (Bupleuri Radix) (1 liang), Fuling (Poria) (2 liang, alternative 7 fen), Guixin (Cinnamomi Ramulus) (6 fen, alternative 2 fen), Danggui (Angelicae Sinensis Radix) (3 liang), Gan...