解毒消痈,清热活血止痛,初起相宜。
白芷 连翘 花粉(各八分) 荆芥 甘草节 蒡子(各一钱) 防风 乳香 没药(各五
分) 银花(二钱) 贝母 归尾(各一钱五分)
水煎服。若大便闭结,热势极盛者,加酒炒大黄二三钱。
凡痈毒内已成脓,不穿破者服即破。
黄 (四钱) 皂刺 白芷 川芎 牛蒡子 穿山甲(炒研各一钱) 金银花 当归(各五
分)
酒水各半煎服。
丹溪云∶痈疽未溃,以疏托解毒为主。痈疽既溃,以托补元气为主。二
语可为外科枢要。
人参(一钱,虚甚者倍用) 黄 (三钱,酒炒) 当归(二钱) 川芎(酒炒,五分) 炙草
(一钱五分) 陈皮(五分) 金银花(五钱) 丹皮(一钱) 远志(去心,甘草水泡,炒一钱五
分) 大枣(五枚)
水煎服。
温补中气,挽回元阳。
人参(二钱) 黑姜(一钱五分) 甘草(炙二钱) 白术(三钱,陈土炒) 附子(姜汁甘草
水制一钱) 大枣
水煎服。
健脾养胃。
人参(一两) 茯苓(二两蒸) 山药(炒) 苡仁(炒) 扁豆(炒) 莲肉(去心炒,各二钱)
砂仁(一两) 神曲(炒黑) 甘草(炒,各五分) 白术(四两,陈土炒) 陈皮(一两,微炒)
共为细末,每用三钱开水下。
To resolve toxicity and dissipate abscesses, clear heat, invigorate blood, and relieve pain; suitable for the initial stage.
Bai Zhi (Angelicae Dahuricae Radix), Lian Qiao (Forsythiae Fructus), Fen Hua (Trichosanthis Radix) (each 8 fen), Jing Jie (Schizonepetae Herba), Gan Cao Jie (Glycyrrhizae Radix et Rhizoma - tip section), Bang Zi (Arctii Fructus) (each 1 qian), Fang Feng (Saposhnikoviae Radix), Ru Xiang (Olibanum), Mo Yao (Myrrha) (each 5 fen), Yin Hua (Lonicerae Japonicae Flos) (2 qian), Bei Mu (Fritillariae Bulbus), Gui Wei (Angelicae Sinensis Radix - tail end) (each 1.5 qian).
Decoct in water and take orally. If there is constipation and extreme excess heat, add Da Huang (Rhei Radix et Rhizoma) stir-fried with wine, 2-3 qian.
For any carbuncle or toxin where pus has formed internally but not yet ruptured, taking this will cause it to rupture.
Huang Qi (Astragali Radix) (4 qian), Zao Ci (Gleditsiae Spina), Bai Zhi (Angelicae Dahuricae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Niu Bang Zi (Arctii Fructus), Chuan Shan Jia (Manis Squama) (stir-fried and ground, each 1 qian), Jin Yin Hua (Lonicerae Japonicae Flos), Dang Gui (Angelicae Sinensis Radix) (each 5 fen).
Decoct in a mixture of half wine and half water and take orally.
Danxi said: For sores and carbuncles that have not yet ulcerated, the main treatment is to vent and support while resolving toxicity. For sores and carbuncles that have already ulcerated, the main treatment is to support and tonify original qi. These two statements can be considered the pivotal principle of surgery.
Ren Shen (Ginseng Radix) (1 qian, double dose if deficiency is severe), Huang Qi (Astragali Radix) (3 qian, stir-fried with wine), Dang Gui (Angelicae Sinensis Radix) (2 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (stir-fried with wine, 5 fen), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (1.5 qian), Chen Pi (Citri Reticulatae Pericarpium) (5 fen), Jin Yin Hua (Lonicerae Japonicae Flos) (5 qian), Dan Pi (Moutan Cortex) (1 qian), Yuan Zhi (Polygalae Radix) (remove heart, soak in Licorice water, stir-fry, 1.5 qian), Da Zao (Jujubae Fructus) (5 pieces).
Decoct in water and take orally.
To warm and tonify middle qi, and restore original yang.
Ren Shen (Ginseng Radix) (2 qian), Hei Jiang (Zingiberis Rhizoma Carbonisatum) (1.5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (prepared, 2 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (3 qian, stir-fried with aged earth), Fu Zi (Aconiti Lateralis Radix Praeparata) (processed with ginger juice and licorice water, 1 qian), Da Zao (Jujubae Fructus).
Decoct in water and take orally.
To strengthen the spleen and nourish the stomach.
Ren Shen (Ginseng Radix) (1 liang), Fu Ling (Poria) (steamed, 2 liang), Shan Yao (Dioscoreae Rhizoma) (stir-fried), Yi Ren (Coicis Semen) (stir-fried), Bian Dou (Phaseoli Semen) (stir-fried), Lian Rou (Nelumbinis Plumula) (remove heart, stir-fry, each 2 qian), Sha Ren (Amomi Fructus Rotundus) (1 liang), Shen Qu (Massa Medicata Fermentata) (stir-fried until black), Gan Cao (Glycyrrhizae Radix et Rhizoma) (stir-fried, each 5 fen), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (4 liang, stir-fried with aged earth), Chen Pi (Citri Reticulatae Pericarpium) (1 liang, lightly stir-fried).
Grind together into fine powder. Take 3 qian each time, washed down with boiling water.