集验论有缓疽者，初结肿形似痈，回回无头尾，其色不异，但痛深有根核，又与皮肉相
亲着
俱烂
小豆
时不
薄升
升麻
茹取
欲生
散。
范汪飞黄散，疗缓疽恶疮，食恶肉方。
取丹砂着瓦盆，南雌黄，着中央磁石，北曾青，东白石英，西 石，上石膏，次钟乳，
下雄黄，覆云母，薄布下，各二两，先捣筛瓦盆中，以一盆覆上羊毛泥令浓，作三隅灶，烧
之以
又疗缓疽，以飞黄散食恶肉令尽，作土灶熏之方。
雄黄（一两） 鸡白屎（一两） 藜芦（一两） 丹砂（一两） 干鳗鲡鱼（一两）
上五味捣下筛，青布裹之，熏经三日乃止，止毕，要以蛇衔膏摩之良。（简范汪方无蛇
衔膏崔氏方附于后并出第三十一卷中）
崔氏蛇衔膏，疗痈肿瘀血，产后血积，耳目暗等，牛领马鞍疮方。
蛇衔（一两） 大黄 附子（去黑皮） 芍药 当归 细辛 黄芩 大戟 椒（去目） 莽
草
上十二味并切之，以苦酒淹之一宿，以不中水成炼猪膏二升，龙衔藤一两，合膏，煎名
龙衔膏，今又有龙草，似蛇衔而叶大耳，亦有取其根合煎者，亦名龙衔膏。（出第二卷中）
短剧疗缓疽，初作即以小豆薄涂之，亦消也。（出第十卷中）
（其乳石发背自有正方在第三十八卷中具述）
千金论曰∶凡发背皆由服饵五石，寒食更生散所致，亦有单服钟乳而发者，又有生平不
服诸石而自发背者。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，其临困时，方圆径三四寸，
高一寸，疮有数十孔，以手按之，诸孔之脓皆反出，寻即失音不言。所以养生者，小觉背上
痛痒有异，即取净土冷水和泥捻作饼子，径一寸半，浓二分以粗艾大作炷灸泥上，贴着疮上
灸之，一炷一易饼子。若粟米大时，可灸七饼即瘥，若榆荚大，灸二七炷即瘥，至钱许大，
日夜灸不住乃瘥，并服五香连翘汤，及铁浆诸药攻之，乃愈，又常以冷水射之，渍冷石熨之
，日夜勿止，待瘥，住手，此病忌面酒肉五辛等，亦有当两肾上发者。
又论曰凡服石人皆须大劳役，四体无得自安，如其不尔，多有发动，亦不得遂便恣意取
暖，称适已情，必须违欲以取寒冻，虽当时不宁，于后在身多有所益，终无发动之虑。
又发背方。
凡肿起于背胛中，头白如黍粟，四面相连，肿赤黑，令人闷乱者，名发背也。即禁房，
慎蒜面，不速灸治，即入内杀人，灸当疮上七八百壮，有人不识，多作杂肿疗之皆死。
又方
取乱发灰酒服方寸匕。
又方
以三年酢滓，微火煎，令调和牛脂封上，日一易。
又方
取狗牙灰酢和敷之。
又方
取猪羊脂封之，亦疗发乳。
又方
以蛇头灰水和敷之。
又方
饮铁浆三升，下利为佳。
又方
以鹿角灰酢和涂之。古今录验同
又方
烧古 末之如粉，鸡子白和敷上，日三，即瘥止。
又发背及痈疽溃漏，并未溃毒肿方。
栝蒌 榆皮 胡燕窠 鼢鼠土
女人月水布洗取汁
上五味并须等分，以月水汁和如泥，封肿上，干即易之。溃者四面封，已觉即封，从一
日至五日，令瘥。（翼同）
又疗痈疽溃漏发背，及小小瘰 ，李根散方。
李根 半夏（洗） 栝蒌（各一升） 甘草（二两炙） 葛根（三两） 桂心（四两） 当
归（二
两） 通草（一两） 芎 （一两半） 白蔹（一两） 桔梗（二两） 浓朴（炙） 黄芩
（各一两）
芍药（四两） 附子（一两炮）
上十五味为散，酒服方寸匕，日三，疮大困者，夜再服，有患发背骨出，身有三十余痈
疖，服此瘥。忌羊肉、饧、海藻、菘菜、猪肉、冷水、生葱。（范汪同）
又治诸虚不足，发背痈疽经年，瘥后复发，或由大风聚结毒瓦斯，在内闭塞，夏月已来，
出攻于背，久不疗，积聚作脓血。为疮内漏大内塞排脓散方。
山茱萸 五味子 茯苓 干姜（各六分） 当归（四分） 附子（二分炮） 肉苁蓉（八
分）
石斛（五分） 菟丝子（三分酒渍） 巴戟天（八分） 瞿麦（三分一云地麦地肤地肤子也）
远志（八分去心） 人参（五分） 甘草（五分炙） 麦门冬（八分去心） 石苇（四
分） 芎
（四分） 芍药（五分） 干地黄（八分） 桂心（五分）
上二十味为散，酒服方寸匕，日三夜一，稍加至两匕，长服终身不发痈疖。忌同前。
又内补散，疗痈疮发背方。
蜀升麻 黄芩 人参（各二分） 干姜 白蔹 桂心 甘草（炙） 附子（炮） 防风
（各一
两） 芎 （一两） 赤小豆
上十一味为散，酒服方寸匕，日三夜再。（一云蜀椒非）
又内补散，主痈疽发背，已溃排脓生肉方。
当归 桂心 人参（各二两） 芎 浓朴（炙） 桔梗 甘草（炙） 防风 白芷（各
一两）
上九味为散，酒服方寸匕，日三夜再，疮未合，服勿停。忌。（范汪同）
又瞿麦散，主排脓止痛利小便方。
瞿麦（二两） 芍药（二两） 桂心（半两） 赤小豆（半合） 芎 （半两） 白蔹
（半两） 黄
（一两） 当归（二两） 麦门冬（二两去心）
上九味为散，先食温酒服方寸匕，日三。忌生葱。翼深师同
又薏苡仁散，主令痈自溃长肌肉方。
薏苡仁 桂心 干姜 白蔹 当归 肉苁蓉（各一两）
上六味为散，先食温酒服方寸匕，日三夜再。（翼同）
又黄 竹叶汤，主胸背游热痈疽方。
生地黄（八两） 黄 甘草（炙） 芍药 黄芩（各三两） 人参 石膏（碎） 芎
当归
（各二两） 生姜（五两） 大枣（三十枚擘） 半夏（四两洗） 淡竹叶（切一升） 麦
门冬（去心
三两）
上十四味，以水一斗二升，煮竹叶取九升，去滓，纳药煮取三升，分四服，相去如人行
五六里，再服。日三夜一。忌海藻菘菜羊肉饧。（古今录验同）
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） 桂心（二分） 附子（炮二枚） 浓朴（二两） 赤小豆（五合熬）
上十四味捣散，酒服方寸匕，日三夜一。忌同前。
又麝香膏，主诸恶疮及痈疽发背上恶肉方。
麝香（研） 雄黄（研） 真珠（研各一两） 矾石（一两熬）
上四味细筛，以猪膏搅令如泥，涂恶肉尽止，更敷生肉膏佳。
又疗痈疽败坏生肉膏方。
生地黄（一斤） 辛夷 独活 当归 黄 大黄 芎 （各一两） 薤白（五两） 白
芷
芍药 黄芩 续断（各一两）
上十味切，以腊月猪脂四升煎，敷之佳。
又方
大黄 附子（炮） 芎 雄黄 真珠（各一两） 白蔹 矾石（烧） 黄芩 茹（各
二两） 雌黄（一两） 莽草（一两）
上十一味，先以猪膏一升半，煎六沸，去滓，纳 茹矾石末搅之，涂疮上，恶肉尽止。
（刘涓子同）
又方
茹（漆头者） 矾石（各二分熬） 雄黄（二分研） 硫黄（二分）
上四味为散，纳疮口中，恶肉尽止，勿使过好肉也。
又发背上初欲作肿即服此方。
栀子仁（一百枚） 大黄 升麻 黄芩 甘草（炙各三两）
上五味切，以水九升，煮取三升半，分三服，使利便止，不下更进一服。忌海藻菘菜，
从瞿麦散以下九方。并疗发背部中已次之。（文仲备急同并出第二十三卷中）
范汪疗痈肿发背虎牙散方。
虎牙（炙） 干姜 附子（炮） 当归 甘草（炙） 防风 桂心 王不留行 茯苓（各
一两）
上九味捣下筛，服方寸匕，日三。忌同前。（出第三十一卷中）
又疗痈发背，排脓内补，铁屑散方。
当归 人参 细辛 甘草（炙） 苁蓉 黄 桂心 防风 黄苓 铁屑 芎 芍药
上十二味，各等分合捣为散，服方寸匕。忌同前。
又疗痈肿牢核，发背成脓。莽草膏方。
莽草 芎 当归 细辛 附子（炮） 黄芩 乌头（炮） 牛膝 踯躅 野葛 茯苓 防
风杜蘅（各一两） 猪脂（二斤）
上十四味切，用猪肪合煎，去滓，敷疮上，日再。忌同前。
又卓氏白膏，疗痈疽发背，金疮已坏，及未败火疮。诸 疥患疗之方。
当归 附子（炮） 细辛 芎 续断 牛膝 通草 甘草（炙） 白芷（各二两） 蜀
椒（
三合） 芍药 黄 （各一两）
上十二味 咀，以猪膏二升，煎之微火上，以白芷色黄，药成，绞去滓，以敷疮上。日
三，忌同前。
又疗发背发乳房及诸恶疮膏方。
黄连 当归 马齿 芎 薯蓣（各一两） 珍珠（十四枚） 矾石（半两烧） 黄柏
（半两） 石苇（三分去毛） 生竹皮（三合） 猪肪（一斤）
上十一味 咀，细切肪，美酒一升合煎，石苇焦，膏成去滓，有病稍稍敷上，亦可酒服
枣核大一枚。忌同前。（并出第四十一卷中）
救急疗发背，百无不瘥方。
取猪羊脂切作片，冷水浸取粘贴，暖彻易之，五六十片即瘥。若初贴少许即寒，寒定好
眠甚妙。
又疗发背，若初觉赤肿，肿上作小疮，疼不可近方。
急用针刺上七八针，取冷水用筒击射肿上，日夜不止，疼歇肿消。（出第五卷中）
又疗发背方。
取白面搜，围肿四畔，令童子七人尿渍之。
又方
以马粪封之，干易，妇人发乳亦瘥。
又方
取蔚臭草捣取汁，服一鸡子，滓封上，热即易之。
又方
捣地菘汁一升，日再服，以瘥止。
又方
大黄 锻石（熬） 小豆
上三味等分末，白酒和涂，立效。忌羊肉、热面、大酢。（并出第六卷中）
近效凡发背皆发出自肠胃，流入五脏，仕流多香港脚为主，或有先服乳石并热肉面，并失
饥房
者，
时
凡发背初亦一点白，四边赤色，渐渐长大，或杯盏并碗许大，四边生饭浆小小疮如粟米许大
，亦时时抽掣痛，此两状。皆是死病。一日内堪医，十日以外不济，就中冬月得此病，即延
得三五日，其发背初觉，即须当头灸二十一壮，如杯许大，即五花灸之，各二十一壮，即服
牛蒡子栝蒌葛粉，第二服犀角汤泻之，不然服犀角丸。亦得大效也。忌梨、鲤鱼、面、酒、
肉浆水粥。（真胪肪贾显录）
凡发背候，憎寒壮热，身如拘束，或口干不用食，疮初出如青紫色者毒重，赤者轻，脓
如稀泔者极重，脓稠白赤者轻。（张道士升玄房陵口录留）
又疗恶寒啬啬，似欲发背，或已生疮肿瘾疹起方。
硝石（三两）
上一味，以暖水一斗和令消，待冷。取故青布叠三重，可似欲赤处方圆湿布 根，热即
换之，频易瘥。
又疗发背及一切毒肿方。
生麻油（六合） 黄丹（二两半） 地胆（两钱捣碎筛） 生栗子（四十九枚取大小中
者熬焦
去皮碎绢筛）
上四味，和于铜器中盛，用炭火重汤煎候沫溢出，与器口欲平，取小麦一合，分二人嚼
取筋，急纳药中搅，使与相和，膏擎下，安铜器冷水中，成膏讫，以故绵涂膏贴所苦处，晨
夕换膏。
又疗前疮定讫，令生肌方。黄四员外云极效
麝香（两钱） 枣皮灰（半两） 生麻油（六合）
上三味，依法和，用火重汤上煎十余沸，稀稠前药相似，取故绵涂膏贴疮上，膏渐取瘳
减。唯得吃白羊头肉，但是豆并不得吃，余如药法。
又疗痈肿犀角丸，主肠痈乳痈发背，一切毒肿，服之化为水神验方。
犀角（十二分） 蜀升麻 黄芩（各四分） 大黄（五分） 防风（四分） 巴豆（二
十二枚去
心皮熬令黄） 人参（四分） 当归（四分） 黄 （四分） 干蓼蓝 黄连 甘草（炙） 栀
子仁（
各四分）
上十三味捣为末，别捣巴豆，成膏纳末和，以杵研捣令相得，炼蜜和搜，更捣二三百杵
，暖
减丸
一切
上并
The *Jiyan Lun* (Collected Proven Experiences) records "Huan Ju" (Slow Carbuncle), which initially presents as a swelling resembling a carbuncle, without distinct head or tail, and the color is unchanged. However, the pain is deep with a rooted hard nodule, adhering closely to the skin and flesh, leading to simultaneous ulceration.
Fan Wang's Feihuang San (Flying Yellow Powder) treats Huan Ju and malignant sores, eliminating necrotic tissue.
Take Cinnabar (Dan Sha) in a clay pot, Southern Realgar (Nan Cihuang), Magnetite (Ci Shi) in the center, Azurite (Zeng Qing) in the north, White Quartz (Bai Yingshi) in the east, [Missing Character] Stone in the west, Gypsum (Shi Gao) on top, followed by Stalactite (Zhong Ru), and Orpiment (Xiong Huang) below, covered by Mica (Yun Mu), with thin cloth underneath. Each ingredient should be two liang. First, pound and sieve them in the clay pot. Cover one pot with another, seal thickly with wool mud, construct a three-cornered stove, and burn it to...
Also for treating Huan Ju, use Feihuang San to eliminate necrotic tissue completely, then fumigate using an earthen stove.
Orpiment (Xiong Huang, 1 liang), Chicken White Excrement (Ji Baishi, 1 liang), Veratrum (Lilu, 1 liang), Cinnabar (Dan Sha, 1 liang), Dried Eel (Gan Manli Yu, 1 liang).
Pound these five ingredients into powder, wrap in green cloth, fumigate for three days then stop. After stopping, massage with She Xian Gao (Snake Tongue Ointment) for best results. (The simplified Fan Wang formula lacks She Xian Gao; Cui Shi's formula is attached later, both from Volume 31).
Cui Shi's She Xian Gao treats abscesses, blood stasis, postpartum blood accumulation, dim vision, and "Cow Neck Saddle Sores".
She Xian (Ophiopogon japonicus root / Snake Tongue, 1 liang), Rhubarb (Dahuang), Aconite (Fuzi, peeled of black skin), Peony (Shaoyao), Angelica Sinensis (Danggui), Asarum (Xixin), Scutellaria (Huangqin), Euphorbia (Daji), Sichuan Pepper (Jiao, remove seeds), Polygonum aviculare / Marsdenia (Mangcao).
Chop these twelve ingredients, soak in vinegar overnight. Add two sheng of refined lard (without water) and one liang of Longxian Teng. Simmer to make Longxian Gao (Dragon Tongue Ointment). Currently, there is also a plant called Long Cao, similar to She Xian but with larger leaves; some use its roots. It is also called Longxian Gao. (From Volume 2).
*Duanju* treats Huan Ju: apply small red beans thinly at onset to resolve it. (From Volume 10).
(For back carbuncles caused by mineral pills, see specific formulas in Volume 38).
*Qianjin Lun* states: All back carbuncles result from taking Five Minerals Pills or Hansheng Gengsheng San, or solely from Stalactite. Some develop spontaneously without prior mineral pill intake. This stems from ancient practices. Symptoms usually appear between the shoulder blades. Initially like millet grains, painful or itchy, reddish. Often ignored initially, growing rapidly. Within ten days, it becomes incurable. At critical stage, it spans 3-4 cun in diameter, 1 cun high, with dozens of pores. Pressing causes pus to reverse-flow, followed by aphasia. For health preservation: upon slight pain/itch on the back, mix clean earth with cold water into cakes (1.5 cun diameter, 0.2 cun thick). Apply coarse moxa cones on the cake over the sore, changing the cake per cone. If millet-sized, 7 cakes suffice. If elm-seed sized, 14 cones suffice. If coin-sized, continuous day-and-night moxibustion is needed. Also take Wuxiang Liaoqiao Tang and Tiejiang (Iron Slurry) medicines. Spray cold water and apply cold stone compresses continuously until healed. Avoid wheat products, alcohol, meat, and Five Pungent Spices. Some occur near the kidneys.
Furthermore, those taking mineral pills must engage in heavy labor; limbs must not remain idle. Otherwise, symptoms may flare. Do not seek warmth comfortably; one must endure cold to prevent future flares, despite initial discomfort.
Another formula for Back Carbuncle:
If swelling arises in the shoulder blade region, white-headed like millet, connected around, red-black, causing confusion, it is named Back Carbuncle. Abstinence from sex is required; avoid garlic and wheat. Delayed moxibustion leads to death. Moxa 700-800 cones directly on the sore. Misdiagnosis as common swellings often proves fatal.
Another formula:
Ingest powdered human hair ash with wine (1 cubic inch dose).
Another formula:
Simmer 3-year-old vinegar dregs, mix with beef tallow, apply topically, change daily.
Another formula:
Apply dog tooth ash mixed with vinegar.
Another formula:
Apply pig/lard fat. Also treats breast carbuncles.
Another formula:
Apply snake head ash mixed with water.
Another formula:
Drink 3 sheng of Iron Slurry; purging is desirable.
Another formula:
Apply deer horn ash mixed with vinegar. Same as *Gu Jin Lu Yan*.
Another formula:
Burn ancient [missing character], powder it, mix with egg white, apply 3 times daily until healed.
Formula for Back Carbuncle, Abscess/Ulcer with leakage, or un-ulcerated toxic swelling:
Trichosanthes Root (Gualou), Elm Bark (Yupi), Wild Swallow Nest (Hu Yan Ke), Mole Soil (Fen Shu Tu), Menstrual Blood Cloth Wash Water (Nvren Yueshui Bu Xi Qu Zhi).
Equal parts of these five, mix with menstrual blood juice into paste, apply to swelling. Change when dry. For ulcers, apply around four sides. Apply immediately upon sensation. Continue 1-5 days until healed. (Same as *Yi*).
Li Gen San for Abscess/Ulcer leakage, Back Carbuncle, and small scrofula:
Plum Root (Ligen), Pinellia (Banxia, washed), Trichosanthes Root (Gualou, 1 sheng each), Licorice (Gancao, roasted, 2 liang), Kudzu Root (Gegen, 3 liang), Cinnamon Heart (Guixin, 4 liang), Angelica Sinensis (Danggui, 2 liang), Tetsu (Tongcao, 1 liang), Ligusticum (Xiongqiong, 1.5 liang), Ampelopsis (Bailian), Platycodon (Jiegeng, 2 liang), Magnolia Bark (Nongpo, roasted), Scutellaria (Huangqin, 1 liang each), Peony (Shaoyao, 4 liang), Aconite (Fuzi, fried, 1 liang).
Pound 15 ingredients into powder. Take 1 cubic inch with wine, 3 times daily. For severe cases, take again at night. Cured cases included bone exposure and 30+ boils. Avoid mutton, malt sugar, kelp, cabbage, pork, cold water, raw green onion. (Same as Fan Wang).
Formula for deficiency, chronic Back Carbuncle/Abscess recurring after healing, or toxin blocked internally due to wind, attacking back in summer with pus/blood accumulation: Paonai San (Drain Pus and Unblock Interior Powder):
Cornus (Shanzhuyu), Schisandra (Wuweizi), Poria (Fuling), Dried Ginger (Ganjiang, 6 fen each), Angelica Sinensis (Danggui, 4 fen), Aconite (Fuzi, fried, 2 fen), Cistanche (Roucongrong, 8 fen), Dendrobium (Shihu, 5 fen), Dodder Seed (Tusizi, soaked in wine, 3 fen), Morinda (Bajitian, 8 fen), Dumetia (Qumai, 3 fen, also known as Dimai/Difuzi), Polygala (Yuanzhi, heart removed, 8 fen), Ginseng (Renshen, 5 fen), Licorice (Gancao, roasted, 5 fen), Ophiopogon (Mendong, heart removed, 8 fen), Periploca (Shiwei, 4 fen), Ligusticum (Xiongqiong, 4 fen), Peony (Shaoyao, 5 fen), Rehmannia (Di Huang, 8 fen), Cinnamon Heart (Guixin, 5 fen).
Pound 20 ingredients into powder. Take 1 cubic inch with wine, 3 times daily + 1 at night. Gradually increase to 2 doses. Long-term use prevents boils. Avoidances same as above.
Neibu San (Internal Tonifying Powder) for Abscess/Back Carbuncle:
Shu Shengma (Sichuan Cimicifuga), Scutellaria (Huangqin), Ginseng (Renshen, 2 fen each), Dried Ginger (Ganjiang), Ampelopsis (Bailian), Cinnamon Heart (Guixin), Licorice (Gancao, roasted), Aconite (Fuzi, fried), Saposhnikovia (Fangfeng, 1 liang each), Ligusticum (Xiongqiong, 1 liang), Adzuki Bean (Chixiaodou).
Pound 11 ingredients into powder. Take 1 cubic inch with wine, 3 times daily + 2 at night. (Note: Some say Sichuan Pepper instead of Shengma).
Neibu San for Ulcerated Back Carbuncle to drain pus and generate flesh:
Angelica Sinensis (Danggui), Cinnamon Heart (Guixin), Ginseng (Renshen, 2 liang each), Ligusticum (Xiongqiong), Magnolia Bark (Nongpo, roasted), Platycodon (Jiegeng), Licorice (Gancao, roasted), Saposhnikovia (Fangfeng), Angelica Dahurica (Baizhi, 1 liang each).
Pound 9 ingredients into powder. Take 1 cubic inch with wine, 3 times daily + 2 at night. Continue until wound closes. Avoidances same as Fan Wang.
Qumai San for draining pus, relieving pain, promoting urination:
Dumetia (Qumai, 2 liang), Peony (Shaoyao, 2 liang), Cinnamon Heart (Guixin, 0.5 liang), Adzuki Bean (Chixiaodou, 0.5 he), Ligusticum (Xiongqiong, 0.5 liang), Ampelopsis (Bailian, 0.5 liang), Astragalus (Huangqi, 1 liang), Angelica Sinensis (Danggui, 2 liang), Ophiopogon (Mendong, heart removed, 2 liang).
Pound 9 ingredients into powder. Take 1 cubic inch with warm wine before meals, 3 times daily. Avoid raw green onion. Same as Yi Shenshi.
Yiyiren San for spontaneous ulceration and flesh regeneration:
Coix Seed (Yiyiren), Cinnamon Heart (Guixin), Dried Ginger (Ganjiang), Ampelopsis (Bailian), Angelica Sinensis (Danggui), Cistanche (Roucongrong, 1 liang each).
Pound 6 ingredients into powder. Take 1 cubic inch with warm wine before meals, 3 times daily + 2 at night. (Same as Yi).
Huangqi Zhuye Tang for migratory heat abscesses in chest/back:
Rehmannia (Sheng Dihuang, 8 liang), Astragalus (Huangqi), Licorice (Gancao, roasted), Peony (Shaoyao), Scutellaria (Huangqin, 3 liang each), Ginseng (Renshen), Gypsum (Shigao, crushed), Ligusticum (Xiongqiong), Angelica Sinensis (Danggui, 2 liang each), Ginger (Shengjiang, 5 liang), Jujube (Dazao, 30 pieces), Pinellia (Banxia, washed, 4 liang), Bamboo Leaf (Danzhuye, cut, 1 sheng), Ophiopogon (Mendong, heart removed, 3 liang).
Boil 14 ingredients in 12 sheng water. Boil bamboo leaf to 9 sheng, strain. Add remaining herbs, boil to 3 sheng. Divide into 4 doses. Space doses by walking distance (approx. 5-6 li). Take 3 times daily + 1 at night. Avoid kelp, cabbage, mutton, malt sugar. Same as *Gu Jin Lu Yan*.
Painong Neisai San for large sores where heat subsides but pus/blood continues, with hollow painful flesh:
Saposhnikovia (Fangfeng), Poria (Fuling), Angelica Dahurica (Baizhi), Platycodon (Jiegeng), Polygala (Yuanzhi, heart removed), Licorice (Gancao, roasted), Ginseng (Renshen), Ligusticum (Xiongqiong), Angelica Sinensis (Danggui), Astragalus (Huangqi, 1 liang each), Cinnamon Heart (Guixin, 2 fen), Aconite (Fuzi, fried, 2 pieces), Magnolia Bark (Nongpo, 2 liang), Adzuki Bean (Chixiaodou, roasted, 5 he).
Pound 14 ingredients into powder. Take 1 cubic inch with wine, 3 times daily + 1 at night. Avoidances same as above.
Shexiang Gao for malignant sores and necrotic tissue on Back Carbuncle/Abscess:
Musk (Shexiang, ground), Orpiment (Xiong Huang, ground), Pearl (Zhenzhu, ground, 1 liang each), Alum (Fanshi, roasted, 1 liang).
Sieve finely, mix with lard into paste. Apply until necrotic tissue is gone. Follow with Shengrou Gao (Flesh Generating Ointment) for better results.
Shengrou Gao for ulcerated/necrotic tissue regeneration:
Rehmannia (Sheng Dihuang, 1 jin), Magnolia Flower (Xinyi), Angelica Pubescens (Duhuo), Angelica Sinensis (Danggui), Astragalus (Huangqi), Rhubarb (Dahuang), Ligusticum (Xiongqiong, 1 liang each), Chinese Leek Root (Xiebai, 5 liang), Angelica Dahurica (Baizhi), Peony (Shaoyao), Scutellaria (Huangqin), Teasel Root (Xuduan, 1 liang each).
Chop 10 ingredients, simmer in 4 sheng of December lard. Apply.
Another formula:
Rhubarb (Dahuang), Aconite (Fuzi, fried), Ligusticum (Xiongqiong), Orpiment (Xiong Huang), Pearl (Zhenzhu, 1 liang each), Ampelopsis (Bailian), Alum (Fanshi, burned), Scutellaria (Huangqin), Radish Root (Ru, 2 liang each), Realgar (Cihuang, 1 liang), Polygonum Aviculare/Marsdenia (Mangcao, 1 liang).
Simmer first 11 ingredients in 1.5 sheng lard for 6 boils. Strain. Add Ru and Fanshi powder. Stir and apply. Stop when necrotic tissue is gone. (Same as Liu Juanzi).
Another formula:
Radish Root (Ru, from lacquer tree head), Alum (Fanshi, roasted, 2 fen each), Orpiment (Xiong Huang, ground, 2 fen), Sulfur (Liu Huang, 2 fen).
Powder these 4 ingredients. Insert into sore. Stop when necrotic tissue is gone. Avoid healthy flesh.
Formula for early-stage Back Carbuncle swelling:
Gardenia Seed (Zhizi Ren, 100 pieces), Rhubarb (Dahuang), Cimicifuga (Shengma), Scutellaria (Huangqin), Licorice (Gancao, roasted, 3 liang each).
Chop 5 ingredients, boil in 9 sheng water to 3.5 sheng. Divide into 3 doses. Stop if diarrhea occurs; otherwise take next dose. Avoid kelp, cabbage. The following 9 formulas from Qumai San treat Back Carbuncle stages. (Same as Wen Zhong Beiji).
Fan Wang's Huya San for Abscess/Back Carbuncle:
Tiger Tooth (Huya, roasted), Dried Ginger (Ganjiang), Aconite (Fuzi, fried), Angelica Sinensis (Danggui), Licorice (Gancao, roasted), Saposhnikovia (Fangfeng), Cinnamon Heart (Guixin), Galium (Wangbuliuxing), Poria (Fuling, 1 liang each).
Pound/sieve 9 ingredients. Take 1 cubic inch with wine, 3 times daily. Avoidances same as above. (From Vol 31).
Tiexie San for Back Carbuncle, draining pus and internal tonification:
Angelica Sinensis (Danggui), Ginseng (Renshen), Asarum (Xixin), Licorice (Gancao, roasted), Cistanche (Rongrong), Astragalus (Huangqi), Cinnamon Heart (Guixin), Saposhnikovia (Fangfeng), Scutellaria (Huangqin), Iron Filings (Tiexie), Ligusticum (Xiongqiong), Peony (Shaoyao).
Equal parts of 12 ingredients, pound into powder. Take 1 cubic inch. Avoidances same as above.
Mangcao Gao for hard nodules and suppurating Back Carbuncle:
Polygonum Aviculare/Marsdenia (Mangcao), Ligusticum (Xiongqiong), Angelica Sinensis (Danggui), Asarum (Xixin), Aconite (Fuzi, fried), Scutellaria (Huangqin), Aconite (Wutou, fried), Achyranthes (Niuxi), Rhododendron (Zhizhu), Aristolochia (Yege), Poria (Fuling), Saposhnikovia (Fangfeng), Aristolochia (Duoheng, 1 liang each), Lard (Zhizhi, 2 jin).
Chop 14 ingredients, simmer in lard. Strain, apply twice daily. Avoidances same as above.
Zhuoshi Baigao for Abscess/Back Carbuncle, traumatic wounds, and non-suppurating fire sores/scratches:
Angelica Sinensis (Danggui), Aconite (Fuzi, fried), Asarum (Xixin), Ligusticum (Xiongqiong), Teasel Root (Xuduan), Achyranthes (Niuxi), Tetsu (Tongcao), Licorice (Gancao, roasted), Angelica Dahurica (Baizhi, 2 liang each), Sichuan Pepper (Shujiao, 3 he), Peony (Shaoyao), Astragalus (Huangqi, 1 liang each).
Chop 12 ingredients, simmer in 2 sheng lard over low heat until Baizhi turns yellow. Strain, apply 3 times daily. Avoidances same as above.
Gao for Back/Breast Carbuncle and malignant sores:
Coptis (Huanglian), Angelica Sinensis (Danggui), Purslane (Machi), Ligusticum (Xiongqiong), Yam (Shuyu, 1 liang each), Pearl (Zhenzhu, 14 pieces), Alum (Fanshi, burned, 0.5 liang), Phellodendron (Huangbai, 0.5 liang), Periploca (Shiwei, de-haired, 3 fen), Fresh Bamboo Skin (Sheng Zhupi, 3 he), Lard (Zhufang, 1 jin).
Chop 11 ingredients, simmer in 1 sheng fine wine until Shiwei is scorched. Strain. Apply to sores or take 1 date-pit size with wine. Avoidances same as above. (From Vol 41).
Emergency Formula for Back Carbuncle (100% effective):
Slice pig/lard fat, soak in cold water, apply. Change when warm. 50-60 slices cure. Initial application may cause chills; sleep well after chills subside.
Formula for early Red/Swollen Back Carbuncle with small sores and extreme pain:
Prick 7-8 times with needle. Shoot cold water onto swelling with tube day and night until pain/swelling subsides. (From Vol 5).
Another formula:
Knead white flour, surround swelling. Have 7 boys urinate on it.
Another formula:
Seal with horse manure, change when dry. Also cures female breast carbuncles.
Another formula:
Juice Chenopodium/Fermented Grass, drink one egg's worth, apply residue. Change when hot.
Another formula:
Juice wild cabbage, drink 1 sheng twice daily until cured.
Another formula:
Rhubarb (Dahuang), Calcined Stone (Duanshi), Small Beans (Xiaodou). Equal parts powder, mix with white wine, apply. Immediate effect. Avoid mutton, hot wheat, strong vinegar. (From Vol 6).
Recent efficacy: Back carbuncles originate from intestines/stomach, flow to five zang organs, often accompanied by gout-like symptoms. Preceded by mineral pills, hot meats/wheat, or sexual excess.
Initial Back Carbuncle: One white spot, red borders, growing to cup/bowl size. Borders have millet-like pustules with fluid, pulling pain. Both signs indicate fatal disease. Treatable within one day; hopeless after ten. Winter onset extends life 3-5 days. Upon sensation, moxa 21 cones directly on head. If cup-sized, use "Five-Flower Moxibustion," 21 cones each. Then take Niu Bang Zi Gualou Ge Fen. Second dose: Xijiao Tang to purge, or Xijiao Wan. Effective. Avoid pear, carp, wheat, alcohol, meat, sour gruel. (Recorded by Zhen Lufang/Jia Xian).
Prognosis: Chills and high fever, body stiffness, dry mouth/anorexia. Dark purple/red indicates heavy toxicity; bright red is lighter. Thin watery pus is extremely severe; thick white-red pus is lighter. (Recorded by Daoist Zhang Shengxuan).
Formula for chills resembling impending Back Carbuncle or existing sores/rash:
Niter (Xiaoshi, 3 liang). Dissolve in 10 sheng warm water, cool. Fold blue cloth 3 times, wet to desired size/shape. Apply, replace when hot. Frequent changes lead to cure.
Formula for Back Carbuncle and all toxic swellings:
Raw Sesame Oil (Sheng Mayou, 6 he), Lead Monoxide (Huangdan, 2.5 liang), Ground Beetle (Dichang, 2 qian, crushed/sieved), Raw Chestnut (Sheng Lizi, 49 pieces, roasted/pounded/sifted).
Mix in copper vessel. Double-boil over charcoal until foam reaches rim. Take 1 he wheat, chew by two people to extract saliva/juice, add to medicine, stir. Pour into cold water to form ointment. Apply with old cotton, change morning/evening.
Formula for muscle regeneration after sore stabilizes (Highly effective per Official Huang Si):
Musk (Shexiang, 2 qian), Dogwood Ash (Zaopi Hui, 0.5 liang), Raw Sesame Oil (Sheng Mayou, 6 he).
Mix according to method, double-boil ~10 boils to similar consistency. Apply with old cotton. Diet: Only white sheep head meat allowed; no beans. Rest follow medication rules.
Xijiao Wan for boils, intestinal/breast carbuncles, back carbuncles, all toxic swellings (Turns toxins to water, miraculous):
Rhinoceros Horn (Xijiao, 12 fen), Sichuan Cimicifuga (Shu Shengma), Scutellaria (Huangqin, 4 fen each), Rhubarb (Dahuang, 5 fen), Saposhnikovia (Fangfeng, 4 fen), Croton Seed (Badou, 22 pieces, peeled/fried yellow), Ginseng (Renshen, 4 fen), Angelica Sinensis (Danggui, 4 fen), Astragalus (Huangqi, 4 fen), Dry Knotweed (Gan Liaolan), Coptis (Huanglian), Licorice (Gancao, roasted), Gardenia Seed (Zhizi Ren, 4 fen each).
Pound 13 ingredients to powder. Separate pound Badou into paste, mix with powder. Grind thoroughly. Mix with refined honey, knead/pound 200-300 times. Form pills...
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