千金坚如石核复大，色不变，或作石痈，疗之，炼石散方。
鹿角（八两一作白灰） 白蔹（三两） 粗理黄石（一斤酢五升先烧石令赤内酢中复烧
内之
酢尽半止）
上三味捣筛作细末，以余醋拌和如泥，浓涂之，干即涂，取消止，尽更合，诸漏瘰 药
悉皆主之，并须火针疮上涂膏。
又方
单磨鹿角半夏涂，不如上方佳也。（集验文仲短剧古今录验同）
又疗石痈，坚如石不作脓方。
以生商陆根烂捣敷之，燥则易，又治脑漏及诸痈疖。（古今录验同）
又方
以蜀桑根白皮阴干捣末，消胶，以酒和敷上，即救出。（并出第二十三卷中）
备急疗若发肿至坚而有根者，名曰石痈也方。
灸肿三百壮，当石子破碎出，如不出，益壮，乃出，其痈疽石痈结筋瘰 。皆不可针角
，针角杀人。（集验文仲千金同出第四卷中）
刘涓子疗痈疖诸肿有热方。
地黄（三斤洗细切）
上一味，以水一斗，煮取三升，去滓煎汤，令小浓，以涂纸当疮中央贴之，日再三易，
数用大良，并疗牛颔上肿。（出第十卷中）
集验疗痈及疖如结实赤热者方。
以水磨半夏涂之，燥复更涂，得流便消也，出草中，可自掘生半夏乃佳，此疗神验，勿
不信也。（出第八卷中）
千金疗凡疖无头者方。
吞葵子一枚即出，勿多服，头多也
又方
烧葛蔓灰封上自消。
又方
牛粪封之佳。
又方
以鼠粘叶贴之。
又方
用水和雀粪敷之。
又方
狗头骨 芸苔子
上二味等分为末，和酢封之。
又疗痈疖溃后脓不断，及诸物刺伤不瘥方。
取石硫黄三两粉之，一味筋一片 头令碎，少湿之，纳石硫黄中，刺疮孔，以疮瘥为度
（通按筋字可疑）
又干地黄丸，主虚热消疮疖方。
干地黄（四两） 大黄（六两） 桂心（二两） 芍药（三两） 茯苓（三两） 王不
留行（二两）
（二两） 甘草（二两炙） 枳实（二两炙）
上十三味捣筛，蜜和丸如梧子大，酒服十丸，日三，加至二十丸，长服令人肥健。（翼
同）
又地黄煎方，补虚除热，可将和服取利也，散石痈疽疖痔，热悉宜服，百日痈疽永不发
也。
取生地黄随多少，三捣三押，取汁令尽，一味以新布重绞其汁，澄清置铜器中，汤上煮
之减
弹丸
又栀子汤，主表里俱热，三焦不实，身体生疮，或发痈疖，大小便不利方。
芒硝（二两） 大黄（四两） 栀子（二七枚擘） 黄芩（二两） 知母（二两） 甘
草（二两炙）
上六味切，以水五升煮减半，下大黄，煮取一升八合去滓，纳芒硝二两，分三服。忌
海藻菘菜。（并出第一十三卷中）
千金翼论曰∶一切痈疽，皆是疮痕根本，所患痈之后，脓汁不止，得冷即是鼠 ，是以
漏方次之，大须急救之。
马齿草（五升切） 槲白皮（一斤水五升煮取一升澄清） 麝香（半脐干之仍研作末） 杏
仁
（半升油煎令黑捣如膏）
上四味，以瓷器贮之，合和，以三四重绵密系口，病已成疮者，以泔清净洗拭干，剪作
贴子，涂药贴着疮上，日三易。若未作疮，如作瘰 子者，以艾一升，熏黄如枣大，干漆如
枣大，末之，釜月下土三味并末和，艾作炷灸三七壮。（本方疗鼠 出第二十三卷中）
又主疖肿方。
生椒末，曲末，釜月下土末之，以大酢和敷之。（并出第二十四卷中）
The *Qianjin Fang* records a hard, stone-like nodule that is large in size and unchanged in color, sometimes referred to as *Shiyong* (Stone Carbuncle). The treatment for this condition uses the Lianshi San (Refined Stone Powder) formula.
Deer Antler (8 liang, alternatively white ash) Bai Lian (Bai Lian, White Peony Root; 3 liang) Coarse-textured Yellow Stone (1 jin, with 5 sheng of vinegar: first heat the stone until red hot, immerse it in vinegar, then reheat, repeating this process until half of the vinegar is consumed, then stop.)
Crush and sieve the above three ingredients into a fine powder. Mix with the remaining vinegar to form a paste. Apply thickly to the affected area. Reapply when dry. Continue until healed. Prepare more medicine as needed. This formula treats all types of fistulas and scrofula (*Luoli*). It must be applied over the wound created by fire-needle therapy.
Another prescription:
Grind Deer Antler alone into powder and mix with Ban Xia (Pinellia Tuber) juice for application. This is not as effective as the above formula. (Consistent with *Jiyan*, *Wenzhong*, *Duanju*, and *Gujin Luyuan*.)
Another prescription for treating *Shiyong* (Stone Carbuncle), which is hard as stone and does not suppurate:
Mash fresh Shang Lu Gen (Phytolaccae Radix, Pokeweed Root) thoroughly and apply as a compress. Replace when dry. This also treats nasal discharge (*Naolou*) and various carbuncles and furuncles. (Consistent with *Gujin Luyuan*.)
Another prescription:
Dry the inner bark of Shu Sang Gen (Mori Cortex, Mulberry Root Bark) in the shade, grind into powder, add E Jiao (Donkey-hide Gelatin), and mix with wine for topical application. This will extract the pathogenic factor. (All from Volume 23.)
Beiji Liaofa (Emergency Treatment Method) for treating swelling that is hard and has a root, named *Shiyong* (Stone Carbuncle):
Moxibustion on the swollen area for 300 moxa cones. Stone-like fragments should be expelled. If not expelled, increase the number of cones until expulsion occurs. For carbuncles, ulcers, *Shiyong*, tendon knots, and scrofula, acupuncture at the corners is contraindicated; acupuncture at the corners can cause death. (Consistent with *Jiyan*, *Wenzhong*, and *Qianjin*; from Volume 4.)
Liu Juanzi's prescription for treating carbuncles, furuncles, and various swellings with heat:
Di Huang (Rehmanniae Radix, Rehmannia Root; 3 jin, washed and finely sliced.)
Take the single ingredient, boil in 1 dou of water to obtain 3 sheng. Remove the dregs and simmer the decoction until slightly concentrated. Apply to paper and stick it to the center of the sore. Change multiple times a day. Frequent use is highly effective. It also treats swelling on the jaw of cattle. (From Volume 10.)
*Jiyan*'s prescription for treating carbuncles and furuncles that are firm, red, and hot:
Grind Ban Xia (Pinellia Tuber) with water and apply. Reapply when dry. Liquid secretion indicates resolution. Fresh Ban Xia dug from the field is best. This treatment is miraculous; do not doubt it. (From Volume 8.)
*Qianjin Fang*'s prescription for treating furuncles without heads:
Swallow one Kui Zi (Abutilon Seed, Indian Mallow Seed). Do not take excessively if there are many heads.
Another prescription:
Apply ash from burned Ge Man (Kudzu Vine) to seal the area for spontaneous resolution.
Another prescription:
Applying cow dung is beneficial.
Another prescription:
Apply Niu Zhan Ye (Arctii Folium, Burdock Leaf).
Another prescription:
Mix Que Fen (Sparrow Excrement) with water for application.
Another prescription:
Gou Tou Gu (Dog Skull Bone) Yun Tai Zi (Brassicae Napus Semen, Rapeseed Seed).
Grind the above two ingredients into equal parts powder. Mix with vinegar for sealing application.
Another prescription for continuous pus discharge after carbuncles and furuncles ulcerate, or wounds from puncture injuries that do not heal:
Take Shi Liu Huang (Realgar, specifically native sulfur here often refers to native sulfur or realgar depending on context, but literally "Stone Sulfur"; 3 liang) and powder it. Take one piece of Jin (Tendon/Fascia - note: character questionable), crush it, moisten slightly, place it in the Shi Liu Huang, and insert it into the wound hole. Stop when the wound heals.
There is also Gan Di Huang Wan (Dried Rehmannia Pill), which treats deficiency-heat causing carbuncles and furuncles.
Gan Di Huang (Dried Rehmannia Root; 4 liang) Da Huang (Rhei Radix et Rhizoma, Rhubarb; 6 liang) Gui Xin (Cinnamomi Ramulus, Cinnamon Twig Heart; 2 liang) Shao Yao (Paeoniae Radix, Peony Root; 3 liang) Fu Ling (Poria; 3 liang) Wang Bu Liu Xing (Vaccariae Semen, Vaccaria Seed; 2 liang)
(2 liang) Gan Cao (Licorice Root, roasted; 2 liang) Zhi Shi (Aurantii Fructus Immaturus, Bitter Orange; 2 liang, roasted).
Grind and sieve the above thirteen ingredients. Form pills with honey, sized like wu zi (wuze tree seeds). Take ten pills with wine, three times daily. Increase to twenty pills. Long-term use promotes robustness and health. (Consistent with *Yi*.)
There is also Di Huang Jian (Rehmannia Decoction Paste), which tonifies deficiency and clears heat. It can be taken mixed with other substances to promote bowel movement. It dissipates *Shiyong*, ulcers, furuncles, and hemorrhoids. It is suitable for all heat conditions. Carbuncles and ulcers will never recur within one hundred days.
Take fresh Di Huang (Fresh Rehmannia Root) in any amount. Pound and press three times to extract all the juice. Strain the juice through new cloth multiple times. Clarify the juice and place it in a copper vessel. Boil over a water bath until reduced to the size of a bullet.
There is also Zhi Zi Tang (Gardenia Decoction), which treats simultaneous exterior and interior heat, emptiness in the Sanjiao (Triple Burner), sores on the body, or outbreaks of carbuncles and furuncles, accompanied by difficulty in urination and defecation.
Mang Xiao (Natrii Sulfas, Mirabilite; 2 liang) Da Huang (Rhei Radix et Rhizoma, Rhubarb; 4 liang) Zhi Zi (Gardeniae Fructus, Gardenia Fruit; 14 pieces, split) Huang Qin (Scutellariae Radix, Scutellaria Root; 2 liang) Zhi Mu (Anemarrhenae Rhizoma, Anemarrhena Rhizome; 2 liang) Gan Cao (Licorice Root, roasted; 2 liang).
Cut the above six ingredients. Boil in 5 sheng of water until reduced by half. Add Da Huang. Boil to obtain 1 sheng 8 he. Remove dregs. Add Mang Xiao. Divide into three doses. Avoid Hai Zao (Sargassum) and Song Cai (Chinese Cabbage). (All from Volume 13.)
*Qianjin Yi* states: All carbuncles and ulcers originate from the root of sores. After suffering from a carbuncle, if pus discharge does not stop and cold sets in, it becomes *Shu Lou* (Mouse Fistula/Sinus). Therefore, prescriptions for fistulas follow next, and urgent rescue is necessary.
Ma Chi Cao (Portulacae Herba, Purslane; 5 sheng, cut) Hu Bai Pi (Quercus variabilis Bark White Layer; 1 jin, boiled in 5 sheng water to obtain 1 sheng, clarified) She Xiang (Moschus, Musk; half an umbilical cord portion, dried and ground into powder) Xing Ren (Pruni Semen, Apricot Seed; 0.5 sheng, fried in oil until black, pounded into paste).
Store the above four ingredients in a porcelain vessel. Mix well. Seal the mouth tightly with three to four layers of cotton. For established sores, wash and dry with rice water. Cut into patches, apply the medicine to the patch, and stick it to the sore. Change three times a day. If no sore has formed, but scrofula nodes appear, use 1 sheng of Ai Ye (Artemisiae Argyi Folium, Mugwort Leaf), Huang Dan (Lead Oxide, size of a jujube), and Gan Qi (Dried Lacquer, size of a jujube). Grind these three into powder. Make moxa cones from mugwort and moxibustion for 21–30 cones. (This original formula treats Mouse Fistula; from Volume 23.)
Another prescription for treating furuncular swelling:
Powdered raw Jiao (Zanthoxyli Pericarpium, Sichuan Pepper), Qu (Medicated Leaven), and Fu Yue Xia Tu (Earth from under the cauldron). Mix with strong vinegar for application. (All from Volume 24.)