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Zhangju (Miasma Carbuncle) is caused by contracting the toxic miasma of mountainous regions. The pathogen lies latent for a long time, causing pain that penetrates deep into the sinews and bones. Initially, the skin turns black, then changes to cyanosis, resembling the bruising from a fist blow. It is urgent to use bian stone therapy (scarification with a stone knife) to expel evil blood, and only after the pus has matured should further treatment proceed.

[Note] This condition arises from contracting mountain miasma qi. The toxin hides between the sinews and bones over many years, causing pain that attaches deeply to the sinews and bones. When it first appears, the color is black, and the area becomes stiff and numb like wood or stone. The toxin adheres to the sinews and bones; slight pain is felt only upon heavy pressure. After five to seven days, the toxic force surges outward, causing swelling. It subsequently turns cyanotic, resembling the mark of a fist blow, accompanied by chills similar to malaria, head tremors, deviation of the mouth and eyes, coldness of the hands and feet, and tightening and shrinking of the black pupil. When the black color is first seen, immediately use bian stone therapy to let out the evil blood. Subsequently, administer Buhuanjin Zhengqi San (Golden Change Upright Qi Powder) added with Lingyangjiao (Antelope Horn) to drain the evil toxin. Thereafter, treat according to the methods for carbuncles and ulcers in their swollen/ulcerated stages. If yellow-white pus flows after rupture when mature, it is a favorable sign; if black fluid flows, it is dangerous.

Buhuanjin Zhengqi San (Golden Change Upright Qi Powder)
Cangzhu (Atractylodis Rhizoma, soaked in rice water, stir-fried) Nongpo (Magnoliae Officinalis Cortex, processed with ginger juice) Chenpi (Citri Reticulatae Pericarpium) Huoxiang (Agastaches Herba) Banxiaqu (Pinelliae Fermentatum, stir-fried, each 2 qian) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 qian)
Use two zhong of water, five slices of fresh ginger, and two red dates. Decoct until one zhong remains. Strain and drink while slightly warm. Avoid raw, cold, and greasy foods.
[Prescription Verse] Zhengqi San treats contraction of mountain miasma, Long latency generates carbuncles with body chills and cold, Pingwei San plus Pinelliae Fermentatum, With Agastaches Herba, fresh ginger, and red dates, peace is ensured.

Chanhou Yongju (Postpartum Carbuncle and Ulcer) is extremely perilous. It results from injury by the seven emotions or invasion by the six climatic pathogens. Stagnant blood accumulates to form carbuncles and ulcers. When the abscess is about to rupture, the method of supporting the interior and promoting pus discharge must not be delayed.

[Note] This condition occurs because postpartum qi, blood, meridians, and collaterals are all deficient. It may be caused by emotional injury, invasion by the six climatic pathogens, or interaction with stagnant blood. It is a most critical syndrome. The treatment principle should be major tonification to support the root, combined with activating blood to resolve stasis and generate new tissue. Exogenous pathogens are treated as secondary concerns. Initially, administer Shenghua Tang (Life-Restoring Decoction), modified according to symptoms to eliminate toxicity. If there are exterior pathogens, administer Qinghun San (Clear Soul Powder); if there is interior heat, administer Huisheng Dan (Life-Returning Pill). When pus is about to rupture, urgently apply methods to support the interior; delay risks the internalization of toxins. Medicinal flavors should be mild and pure. Harsh diaphoretic or purgative agents are strictly contraindicated. Other treatments for swelling and ulceration follow the regulations for carbuncles and ulcers in their swollen/ulcerated stages.

Shenghua Tang (Life-Restoring Decoction)
Danggui (Angelicae Sinensis Radix, 8 qian) Chuanxiong (Ligustici Chuanxiong Rhizoma, 4 qian) Jiangtan (Zingiberis Rhizoma Carbonisatum) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 4 fen) Taoren (Persicae Semen, peeled and pitted, pounded into paste, 10 grains)
Use one and a half zhong of water. Decoct until six fen remains. Add a small cup of unadulterated wine and take mixed.
[Prescription Verse] Shenghua Tang is suitable for postpartum carbuncles, Unblocking stagnation, harmonizing nutritive qi, and tonifying deficiency, Angelicae Sinensis Radix, Ligustici Chuanxiong Rhizoma, Zingiberis Rhizoma Carbonisatum, and honey-fried Glycyrrhizae Radix et Rhizoma, Persicae Semen taken with wine effectively resolves stasis.

Qinghun San (Clear Soul Powder)
Jingjie (Schizonepetae Spica, 1 qian) Chuanxiong (Ligustici Chuanxiong Rhizoma, 5 fen) Renshen (Ginseng Radix) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Zelan Ye (Lycii Cortex, each 3 fen)
Grind into fine powder. Take mixed with yellow wine.
[Prescription Verse] Qinghun San treats wind-pathogen invasion in postpartum, Schizonepetae Spica, Ligustici Chuanxiong Rhizoma, and Ginseng Radix, Honey-fried Glycyrrhizae Radix et Rhizoma and Lycii Cortex made into a preparation, Can relieve exterior syndromes with miraculous efficacy.

Huisheng Dan (Life-Returning Pill)
Heidou (Sojae Semen Nigrum, boiled and juiced, three bowls, beans removed, volume equivalent to three sheng) Honghua (Carthami Flos, stir-fried until yellow, placed in strong wine, boiled together in a large pot for three to five boils, flowers removed, juice used, 3 liang) Sheng Dahuang (Rhei Radix et Rhizoma, ground into powder, 1 jin) Sumu (Sappan Lignum, chopped, decocted in river water five bowls to yield three bowls of juice, dregs removed, 2 liang)
First, mix the powder of Sheng Dahuang with three to four bowls of good rice vinegar, stirring evenly. Simmer on gentle and strong fire to form a paste; repeat this process twice. Then add Honghua wine, Sumu decoction, and Heidou juice, boiling together into a paste. Remove from fire and add the following herbs:
Danggui (Angelicae Sinensis Radix) Shudi (Rehmanniae Radix Praeparata) Chuanxiong (Ligustici Chuanxiong Rhizoma) Baifuling (Poria, 2 liang each) Yanshusuo (Cyperi Rhizoma) Wuyao (Linderae Radix) Xiangfu (Cyperi Rhizoma) Puhuang (Typhae Pollen) Niuxi (Achyranthis Bidentatae Radix) Taoren (Persicae Semen, separately pounded) Cangzhu (Atractylodis Rhizoma, soaked in rice water, stir-fried, 2 liang each) Baishao (Paeoniae Radix Alba, wine-fried) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Qianghuo (Notopterygii Rhizoma et Radix) Shanyurou (Corni Fructus, wine-soaked) Sanleng (Sparganii Rhizoma) Chenpi (Citri Reticulatae Pericarpium) Diyu (Sanguisorbae Radix) Muxiang (Aucklandiae Radix) Wulingzhi (Trogopterori Faeces, each 5 qian) Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma, soil-fried) Qingpi (Citri Reticulatae Pericarpium Viride) Mugua (Chaenomelis Fructus, each 3 qian) Liangjiang (Alpiniae Officinarum Rhizoma, 4 qian) Ruxiang (Olibanum) Moyao (Myrrha, each 1 qian)
Grind all into fine powder. Use the Dahuwang paste as a binder to make pills the size of a bullet. Take one pill per dose, melt in yellow wine, and swallow orally.
[Prescription Verse] Huisheng Dan addresses lochia retention postpartum, Causing carbuncles and ulcers, taking it can expel them, Clearing heat, activating blood, harmonizing nutritive and defensive qi, Carthami Flos, Rhei Radix et Rhizoma, Sojae Semen Nigrum, Sappan Lignum, Eight-Tonics Formula, Notopterygii Rhizoma et Radix, Corni Fructus, Sparganii Rhizoma, Cyperi Rhizoma, Linderae Radix, Citri Reticulatae Pericarpium Viride, Sanguisorbae Radix, Aucklandiae Radix, Cyperi Rhizoma, Olibanum, Myrrha, Typhae Pollen, Alpiniae Officinarum Rhizoma, Achyranthis Bidentatae Radix, Chaenomelis Fructus, Aucklandiae Radix, Trogopterori Faeces, Persicae Semen, Atractylodis Rhizoma.