仙方活命饮 此方治一切痈疽，不论阴阳疮毒，未成者即消，已成者即溃，化脓生
肌，散瘀消肿，乃疮痈之圣药，诚外科之首方也，故名之曰“仙方活命饮”。
穿山甲（炒，三大片） 皂刺（五分） 归尾（一钱五分） 甘草节（一钱） 金银花（二钱）
赤芍药（五分） 乳香（五分） 没药（五分） 花粉（一钱） 防风（七分） 贝母（一钱）
白芷（一钱） 陈皮（一钱五分）
上十三味，好酒煎服，恣饮尽醉。
【方歌】仙方活命饮平剂，疮毒痈疽俱可医，未成即消疼肿去，已成脓化立生肌。穿
山皂刺当归尾，草节金银赤芍宜，乳没天花防贝芷，陈皮好酒共煎之。
神授卫生汤 此方治痈疽发背，疔疮对口，一切丹瘤恶毒诸证。服之宣热散风，行
瘀活血，消肿解毒，疏通脏腑，乃表里两实之剂，功效甚速。
皂角刺（一钱） 防风（六分） 羌活（八分） 白芷（六分） 穿山甲（炒，六分）
连翘（六分） 归尾（一钱） 乳香（五分） 沉香（六分） 金银花（一钱） 石决明（六
分） 天花粉（一钱） 甘草节（一钱） 红花（六分） 大黄（酒拌，炒，二钱）
上十五味，水二碗，煎八分。病在上部，先饮酒一杯后服药；病在下部，先服药，后饮酒一杯，
以行药力。
如气虚便利者，不用大黄。
【方歌】神授卫生表里剂，痈疽诸疮恶毒良，行瘀活血兼消肿，表里疏通实剂方。皂
刺防风羌芷甲，连翘归尾乳沉香，金银石决天花粉，甘草红花共大黄。
清热消风散 此方治痈疽疮肿，已成未成之际，无表无里，故外不恶寒，内不便秘，
惟红肿 痛，高肿有头者，宜服此药以和解之也。
皂角刺（一钱） 防风（五分） 陈皮（一钱） 连翘（去心，一钱） 花粉（五分）
柴胡（一钱） 黄芩（五分） 川芎（五分） 白芍（五分） 甘草（五分） 当归（五分） 黄
（一钱） 金银花（五分） 苍术（炒，一钱） 红花（一钱）
上十五味，水二盅，煎八分，食远服。
【方歌】清热消风无表里，痈疽诸毒和解方，皂刺防风陈翘粉，柴芩芎芍草 当，银
花苍术红花入，妇女还加香附良。
若妇人加香附子，用童便炒。
乳香黄 散 此方治痈疽发背诸毒，疔疮疼痛不可忍者，乃气虚不胜毒之故也。服
之未成即消，已成即溃，不用刀砭，恶肉自脱。并治打扑损伤，筋骨疼痛之证。
当归（一钱） 白芍（炒，一钱） 人参（一钱） 生黄 （一钱） 川芎（一钱） 熟地（一钱）
乳香（五分） 没药（五分） 陈皮（一钱） 粟壳（去筋膜，蜜炙，一钱） 甘草节（一钱）
上水二盅，煎八分，量病上下，食前后服之。
【方歌】乳香黄 治气弱，痈疽诸毒痛难当，未成即消已成溃，归芍参 芎地黄，乳
没粟陈甘草节，更医打扑筋骨伤。
内疏黄连汤 此方治痈疽阳毒在里，火热发狂发热，二便秘涩，烦躁呕哕，舌干口
渴饮冷等证，六脉沉数有力者，急宜服之，以除里热。
山栀（一钱） 连翘（一钱） 薄荷（一钱） 甘草（五分） 黄芩（一钱） 黄连（一钱）
桔梗（一钱） 大黄（二钱） 当归（一钱） 白芍（炒，一钱） 木香（一钱） 槟榔（一钱）
上水二茶盅，煎八分，食前服，加蜜二匙亦可。
【方歌】内疏黄连泻里热，痈疮毒火阳盛狂，肿硬发热二便秘，烦躁干呕渴饮凉，栀
翘薄草芩连桔，大黄归芍木槟榔。
回阳三建汤 此方治痈疽发背初起，不疼不肿，不红不热，坚如顽石，硬若牛皮，体
倦身凉，脉息迟细，色似土朱，粟顶多孔，孔孔流血，根脚平散，软陷无脓，皮不作腐，头
温足凉者，并急服之。
人参（一钱） 附子（一钱） 当归（一钱） 川芎（一钱） 甘草（五分） 茯苓（一钱）
生黄 （一钱） 枸杞（一钱） 红花（五分） 紫草（五分） 独活（五分） 陈皮（一钱）
苍术（炒，五分） 浓朴（炒，五分） 木香（五分） 山萸肉（一钱）
上十六味，加煨姜三片，皂角树根上白皮二钱，水二碗，煎八分，入酒一杯，随病
上下，食前后服之。用棉帛覆盖疮上，常令温暖，不得大开疮孔，走泄元气为要。
【方歌】回阳三建治阴疽，体倦身凉脉细迟，不肿不疼不红热，坚如顽石硬如皮，根
平软陷无脓腐，参附归芎草茯 ，枸杞红花与紫草，独陈苍朴木山萸。
竹叶黄 汤 此方治痈疽发背，诸般疔毒，表里不实，热甚口中干大渴者，服之生津止渴。
人参（八分） 生黄 （八分） 石膏（ ，八分） 半夏（制，八分） 麦冬（八分）
生地（二钱） 白芍（八分） 甘草（八分） 川芎（八分） 当归（八分） 竹叶（十片） 黄芩（八分）
上十二味，水二盅，姜三片，灯心二十根，煎八分，食远温服。
【方歌】竹叶黄 口干渴，清热补正助生津，参 膏夏麦冬地，芍草芎归竹叶芩。
内消散 此方治痈疽发背，对口疔疮，乳痈，无名肿毒，一切恶疮。能令痈肿内消，使
毒内化，尿色赤污，从小便而出。势大者，虽不全消，亦可转重为轻，移深居浅。
知母（一钱） 贝母（一钱） 花粉（一钱） 乳香（一
钱） 半夏（制，一钱） 白芨（一钱） 穿山甲（一钱） 皂刺（一钱） 银花（一钱）
上九味，水、酒各一碗，煎八分，随病上下，食前后服之。留药渣捣烂，加秋芙蓉
叶一两，研为细末；再加白蜜五匙，用渣调敷疮上。一宿即消，重者再用一服。
【方歌】内消散用化诸毒，毒化从尿色变行，知贝天花乳夏及，穿山角刺共金银。药
渣捣和芙蓉叶，白蜜调敷毒即平。
以上诸方治痈疽，七日以前，疮势未成，形体壮实，而表里之证相和者宜服，病退即
止。如过七日以后，情势已成，则宜托里消毒等汤，使毒现于外，以速其脓。若仍用前
散下之药，恐伤元气，致生变证也。
内固清心散 此方治痈疽发背，对口疔疮，热甚 痛，烦躁饮冷。其人内弱服之，预
防毒瓦斯内攻于心也。
绿豆粉（二两） 人参（二钱） 冰片（一钱） 雄黄（二钱） 辰砂（二钱） 白豆蔻（二钱）
元明粉（二钱） 茯苓（二钱） 甘草（二钱） 乳香（二钱）
上十味为细末，每服一钱五分。蜜汤调下，不拘时服。
【方歌】内固清心防毒攻，内弱毒瓦斯入心中， 痛热甚兼饮冷，豆粉人参冰片雄，辰
砂白蔻元明粉，茯苓甘草乳香同。
琥珀蜡矾丸 此方治痈疽发背，疮形已成，而脓未成之际，其人即不虚弱，恐毒瓦斯
不能外出，内攻于里。预服此丸，护膜护心，亦且活血解毒。
黄蜡（一两） 白矾（一两二钱） 雄黄（一钱二分） 琥珀（另研极细，一钱）
朱砂（研细，一钱） 白蜜（二钱）
上四味，先研细末，另将蜡、蜜入铜杓内熔化，离火片时，候蜡四边稍凝，方将药
味入内，搅匀共成一块，将药火上微烘，急作小丸，如绿豆大，朱砂为衣，瓷罐收贮。每
服二三十丸，食后白汤送下。毒甚者，早晚服，其功最速。
【方歌】琥珀蜡矾治痈毒，未出脓时平剂佳，预服护膜能解毒，蜡矾雄珀蜜朱砂。
护心散 此方治疮毒内攻，口干烦躁，恶心呕吐者，服此药护心解毒也。
绿豆粉（一两） 乳香（净末，三钱） 朱砂（一钱） 甘草（一钱）
上四味研细末，每服二钱，白滚汤调服，早晚二次。
【方歌】护心散治毒内攻，烦躁口干呕逆冲，豆粉乳香朱共草，二钱调下有神功。
透脓散 此方治痈疽诸毒，内脓已成，不穿破者，服之即溃破毒出。
生黄 （四钱） 穿山甲（一钱） 川芎（三钱） 当归（二钱） 皂角刺（一钱五分）
上五味，水三盅，煎一盅。疮在上，先饮酒一杯，后服药；疮在下，先服药，后饮酒一杯。
【方歌】透脓散治脓已成，不能溃破剂之平，用此可代针泻毒，角刺归 山甲芎。
托里消毒散 此方治痈疽已成，内溃迟滞者，因血气不足，不能助其腐化也。宜服
此药托之，令其速溃，则腐肉易脱，而新肉自生矣。
皂角刺（五分） 银花（一钱） 甘草（五分） 桔梗（五分） 白芷（五分） 川芎（一钱）
生黄 （一钱） 当归（一钱） 白芍（一钱） 白术（一钱） 人参（一钱） 茯苓（一钱）
上十二味，水二盅，煎八分，食远服。
【方歌】托里消毒助气血，补正脱腐肌易生，皂角银花甘桔芷，芎 归芍术参苓。
神功内托散 此方治痈疽、脑顶诸发等疮，日久不肿不高，不能腐溃，脉细身凉。宜
服此温补托里之剂，以助气血也。
人参（一钱五分） 附子（制，一钱） 川芎（一钱） 归身（二钱） 黄 （一钱）
白术（土炒，一钱五分） 白芍（炒，一钱） 木香（研，五分） 穿山甲（炒，八分） 甘草
（炙，五分） 陈皮（一钱） 白茯苓（一钱）
上十二味，煨姜三片，大枣二枚，水二茶盅，煎八分，食远服。
【方歌】神功内托阴毒证，不肿不高不溃疼，参附芎归 术芍，木香山甲草陈苓。
复元通气散 此方治乳痈、腹痈、便毒、耳痛、耳聋等证。皆由毒瓦斯滞塞不通故耳，服
之则气通毒散。
青皮（四两） 陈皮（四两） 栝蒌仁（二两） 穿山甲（二两） 金银花（一两） 连翘（一两）
甘草（半生半炙，二两）
上七味研末，每服二钱，黄酒调下。
【方歌】复元通气乳腹痈，便毒兼治耳痛聋，青陈蒌甲银翘草，一服能教毒瓦斯通。
双解贵金丸 此方治背疽诸毒初起，木闷坚硬，便秘，脉沉实者，悉效，随证加药，服法列后。
生大黄（一斤） 白芷（十两）
上二味为末，水丸。每服三五钱，五更时用连须葱大者三根，黄酒一碗，煮葱烂，取酒送药。服毕
盖卧出汗，过三二时，俟大便行一二次立效。
【按】此宣通攻利之剂也。济之以葱、酒，力能发汗，故云双解。弱者随用中剂，行后
以四君子汤补之。老人虚人，每服一钱，用人参加生姜煎汤送下，过一时，再一服。得睡，上半身得汗则已。
【方歌】双解贵金治诸毒，肿疡初起木硬坚，大黄白芷为丸服，葱酒煎送汗下痊。
黍米寸金丹 此方乃异人所传，常有暴中急证，忽然卒倒者，撬开牙关，研灌三丸，其人即活。
又能治发背痈疽，遍身壅肿，附骨痈疽等证也。凡初起憎寒壮热，四肢倦怠，沉重者，不分表里、老幼、
轻重，并宜服之。
乳香 没药（各一钱） 狗胆（干者，一个） 鲤鱼胆（阴干，三个） 砂（二钱） 蟾酥（二钱）
狗宝（一钱） 麝香（五分） 白丁香（四十九个） 蜈蚣（酥炙，全者七条） 黄蜡（三钱）
乌金石（一钱） 头胎男乳（一合） 轻粉（一钱） 雄黄（一钱） 水银（炼粉霜白色者，三钱）
上十六味为细末，除黄蜡、乳汁二味，熬成膏子，同药和丸，如绿豆大。小儿用一丸，
大人三丸，重者五丸。冷病用葱汤，热病用新汲水送下。衣被密盖，勿令透风，汗出为度，诸病如失。
【方歌】黍米寸金奇效方，痈疽发背服之良。乳香没药狗鲤胆，蟾 宝麝白丁香，蜈
蚣黄蜡乌金石，男乳轻雄共粉霜。
麦灵丹 此丹能治痈疽恶毒，无名诸疡及疔疮回里，令人烦闷神昏。或妇人初发乳
证，小儿痘疹余毒，或腰腿暴痛等证。
鲜蟾酥（二钱） 活蜘蛛（黑色大者佳，二十一个） 定心草（即两头尖，鼠粪，一钱）
飞罗面（六两）
上四味共研一处，用菊花熬成稀膏，和好捻为麦子形，如麦子大。每服七丸，重大
者九丸，小儿轻证五丸。在上俱用滚白水服，在下用淡黄酒送服。每一料加麦子一合，收瓷罐内。
【方歌】麦灵丹治疔毒疽，鲜蟾酥与活蜘蛛，定心草共飞罗面，黄菊熬膏相合宜。
保安万灵丹 此方治痈疽疔毒，对口发颐，风寒湿痹，湿痰流注，附骨阴疽，鹤膝
风，及左瘫右痪，口眼歪斜，半身不遂，血气凝滞，遍身走痛，步履艰辛，偏坠疝气，偏
正头痛，破伤风牙关紧闭，截解风寒，无不应效。
茅山苍术（八两） 麻黄 羌活 荆芥 防风 细辛 川乌（汤泡，去皮） 草乌（汤泡，去皮）
川芎 石斛 全蝎 当归 甘草 天麻 何首乌（各一两） 雄黄（六钱）
上十六味为细末，炼蜜为丸，重三钱，朱砂为衣，瓷罐收贮。视年岁老壮，病势缓急，
斟酌用之。如恶疮初起二三日间，或痈疽已成至十日前后，未出脓者，状若伤寒，头痛
烦渴，拘急恶寒，肢体疼痛，恶心呕吐，四肢沉重，恍惚闷乱，皮肤壮热，及伤寒四时
感冒，传变疫证，恶寒身热，俱宜服之。用葱白九枝，煎汤调服一丸，盖被出汗为效。如
汗迟以葱汤催之，其汗必出，如淋如洗，令其自收，不可露风，患者自快，疮未成者即
消，已成者即高肿溃脓。如病无表里相兼，不必发散，只用热酒化服。
又按∶此方原载诸风瘫痪门中，今移录于此者，盖疮疡皆起于营卫不调，气血凝滞，
Xianfang Huoming Yin (Immortal Formula for Saving Life Decoction): This formula is used to treat all types of carbuncles and sores, regardless of whether they are Yin or Yang lesions. It can resolve abscesses before suppuration and promote drainage after suppuration, facilitating pus formation and tissue regeneration while dispersing blood stasis and reducing swelling. It is regarded as the sacred medicine for treating sores and ulcers, truly the premier formula in surgery, hence named "Xianfang Huoming Yin" (Immortal Formula for Saving Life Decoction).
Paniscus Scales (炒制, three large slices) Gleditsiae Spina (Five fen) Angelicae Sinensis Caudex (One qian five fen) Glycyrrhizae Radix et Rhizoma Node (One qian) Lonicerae Japonicae Flos (Two qian)
Paeoniae Radix Rubra (Five fen) Boswelliae Resina (Five fen) Myrrha (Five fen) Tetrastema Radix (One qian) Saposhnikoviae Radix (Seven fen) Fritillariae Bulbus (One qian)
Peucedani Radix (One qian) Citri Reticulatae Pericarpium (One qian five fen)
The above thirteen ingredients are decocted with good wine and taken orally; drink freely until intoxicated.
[Formula Song] Xianfang Huoming Yin is a mild formula, suitable for treating various sores, carbuncles, and ulcers. It resolves pain and swelling before suppuration and promotes pus formation and tissue regeneration immediately after suppuration. Paniscus Scales, Gleditsiae Spina, and Angelicae Sinensis Caudex are used; Glycyrrhizae Radix et Rhizoma Node, Lonicerae Japonicae Flos, and Paeoniae Radix Rubra are appropriate. Boswelliae Resina, Myrrha, Tetrastema Radix, Saposhnikoviae Radix, Fritillariae Bulbus, Peucedani Radix, combined with Citri Reticulatae Pericarpium and good wine, are decocted together.
Shenshou Weisheng Tang (Divine Bestowal Health Protection Decoction): This formula is used to treat carbuncles on the back, Ding sores at the mouth of the neck, and all conditions involving Dan tumors and malignant toxins. It dispels heat and wind, invigorates blood and removes stasis, reduces swelling and detoxifies, and unblocks the Zang-Fu organs. It is a formula that tonifies both exterior and interior, with rapid efficacy.
Gleditsiae Spina (One qian) Saposhnikoviae Radix (Six fen) Notopterygii Rhizoma et Radix (Eight fen) Peucedani Radix (Six fen) Paniscus Scales (fried, six fen)
Forsythiae Fructus (Six fen) Angelicae Sinensis Caudex (One qian) Boswelliae Resina (Five fen) Aquilariae Lignum Resinatum (Six fen) Lonicerae Japonicae Flos (One qian) Concha Heterodonis (Six fen)
Tetrastema Radix (One qian) Glycyrrhizae Radix et Rhizoma Node (One qian) Carthami Flos (Six fen) Rheum Palmatum Radix et Rhizoma (mixed with wine, fried, two qian)
The above fifteen ingredients are decocted with two bowls of water until reduced to eight-tenths. For lesions in the upper body, drink one cup of wine before taking the medicine; for lesions in the lower body, take the medicine first, then drink one cup of wine to promote the action of the drugs.
If the patient has Qi deficiency and normal bowel movements, do not use Rheum Palmatum Radix et Rhizoma.
[Formula Song] Shenshou Weisheng Tang is a formula tonifying both exterior and interior, effective for carbuncles, sores, and malignant toxins. It invigorates blood, removes stasis, and reduces swelling, serving as a solidifying formula to unblock exterior and interior. Gleditsiae Spina, Saposhnikoviae Radix, Notopterygii Rhizoma et Radix, Peucedani Radix, and Paniscus Scales; Forsythiae Fructus, Angelicae Sinensis Caudex, Boswelliae Resina, Aquilariae Lignum Resinatum; Lonicerae Japonicae Flos, Concha Heterodonis, Tetrastema Radix, combined with Glycyrrhizae Radix et Rhizoma Node, Carthami Flos, and Rheum Palmatum Radix et Rhizoma.
Qingre Xiaofeng San (Heat-Clearing Wind-Dispersing Powder): This formula is used for carbuncles and sores that are formed but not yet fully matured, presenting neither exterior nor interior symptoms. Thus, there is no aversion to cold externally, nor constipation internally, only redness, swelling, pain, and high swelling with a head. It is suitable to take this medicine to harmonize the condition.
Gleditsiae Spina (One qian) Saposhnikoviae Radix (Five fen) Citri Reticulatae Pericarpium (One qian) Forsythiae Fructus (heart removed, one qian) Tetrastema Radix (Five fen)
Bupleuri Radix (One qian) Scutellariae Radix (Five fen) Chuanxiong Rhizoma (Five fen) Paeoniae Radix Alba (Five fen) Glycyrrhizae Radix et Rhizoma (Five fen) Angelicae Sinensis Radix (Five fen) Astragali Membranacei Radix (One qian) Lonicerae Japonicae Flos (Five fen) Atractylodis Rhizoma (fried, one qian) Carthami Flos (One qian)
The above fifteen ingredients are decocted with two cups of water until reduced to eight-tenths, taken far from meals.
[Formula Song] Qingre Xiaofeng San addresses conditions without exterior or interior involvement, serving as a harmonizing formula for carbuncles and various toxins. It contains Gleditsiae Spina, Saposhnikoviae Radix, Chenpi (Citri Reticulatae Pericarpium), Forsythiae Fructus, and Tetrastema Radix; Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Chuanxiong (Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix); Yinhua (Lonicerae Japonicae Flos), Cangzhu (Atractylodis Rhizoma), Honghua (Carthami Flos) are added. For women, adding Xiangfu (Cyperi Rhizoma) is beneficial.
If taken by women, add Cyperi Rhizoma, stir-fried with child's urine.
Ruxiang Huangqi San (Frankincense and Astragalus Powder): This formula treats carbuncles, sores, and back carbuncles caused by various toxins, as well as Ding sores with unbearable pain, due to Qi deficiency failing to withstand the toxin. After taking it, unsuppurated lesions will resolve, and suppurated ones will drain without the need for knife or needle incisions; necrotic flesh will detach naturally. It also treats injuries from falls and blows, and bone-joint pain.
Angelicae Sinensis Radix (One qian) Paeoniae Radix Alba (fried, one qian) Ginseng Radix (One qian) Raw Astragali Membranacei Radix (One qian) Chuanxiong Rhizoma (One qian) Prepared Rehmanniae Radix (One qian)
Boswelliae Resina (Five fen) Myrrha (Five fen) Citri Reticulatae Pericarpium (One qian) Papaveris Pericarpium (membranes removed, honey-fried, one qian) Glycyrrhizae Radix et Rhizoma Node (One qian)
Decoct the above ingredients with two cups of water until reduced to eight-tenths. Take according to the location of the disease, before or after meals.
[Formula Song] Ruxiang Huangqi San treats weakness of Qi, where pain from carbuncles and various toxins is unbearable. It resolves unsuppurated lesions and drains suppurated ones. It contains Guishao (Paeoniae Radix), Shen (Ginseng Radix), Xiong (Astragali Membranacei Radix), Chuanxiong (Chuanxiong Rhizoma), Dihuang (Prepared Rehmanniae Radix); Ruxiang (Boswelliae Resina), Moyao (Myrrha), Susu (Papaveris Pericarpium), Chenpi (Citri Reticulatae Pericarpium), Gancao Jie (Glycyrrhizae Radix et Rhizoma Node), and also treats bone and joint injuries from falls.
Neishu Huanglian Tang (Internal Draining Coptis Decoction): This formula is used for Yang-toxin carbuncles located internally, characterized by fire-heat causing mania and fever, constipation and difficult urination, irritability, vomiting, hiccups, dry tongue, thirst, and desire for cold drinks. When the pulse is deep, rapid, and forceful, it should be taken urgently to clear internal heat.
Gardeniae Fructus (One qian) Forsythiae Fructus (One qian) Menthae Haplocalycis Herba (One qian) Glycyrrhizae Radix et Rhizoma (Five fen) Scutellariae Radix (One qian) Coptidis Rhizoma (One qian)
Platycodonis Radix (One qian) Rheum Palmatum Radix et Rhizoma (Two qian) Angelicae Sinensis Radix (One qian) Paeoniae Radix Alba (fried, one qian) Aucklandiae Radix (One qian) Arecae Semen (One qian)
Decoct the above ingredients with two tea-cups of water until reduced to eight-tenths, taken before meals. Adding two spoons of honey is also acceptable.
[Formula Song] Neishu Huanglian Tang drains internal heat, treating carbuncles and sores with excessive Yang-fire and mania. It addresses swelling, hardness, fever, constipation, irritability, dry vomiting, and thirst for cool drinks. It contains Zhizi (Gardeniae Fructus), Qiaoxin (Forsythiae Fructus), Bohe (Menthae Haplocalycis Herba), Gancao (Glycyrrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Jiegeng (Platycodonis Radix); Dahuang (Rheum Palmatum Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen).
Huiyang Sanjian Tang (Restoring Yang Three-Building Decoction): This formula is used for early-stage carbuncles and back carbuncles presenting with no pain, no swelling, no redness, no heat, hardness like stubborn stone or cowhide, fatigue, cold limbs, slow and fine pulse, complexion resembling earthy vermilion, multiple pores on the head bleeding from each pore, flat and spreading base, soft depression without pus, non-necrotic skin, warm head, and cold feet. It requires urgent administration.
Ginseng Radix (One qian) Aconiti Lateralis Radix Praeparata (One qian) Angelicae Sinensis Radix (One qian) Chuanxiong Rhizoma (One qian) Glycyrrhizae Radix et Rhizoma (Five fen) Poria (One qian)
Raw Astragali Membranacei Radix (One qian) Lycii Fructus (One qian) Carthami Flos (Five fen) Arnebiae Radix (Five fen) Angelicae Dahuricae Radix (Five fen) Citri Reticulatae Pericarpium (One qian)
Atractylodis Rhizoma (fried, five fen) Magnoliae Officinalis Cortex (fried, five fen) Aucklandiae Radix (Five fen) Corni Fructus (One qian)
Add three slices of baked ginger and two qian of white bark from the root of the Gleditsia tree to the above sixteen ingredients. Decoct with two bowls of water until reduced to eight-tenths, add one cup of wine, and take before or after meals depending on the lesion's location. Cover the sore with cotton cloth to keep it warm. Do not open the wound excessively to prevent leakage of Yuan Qi (Original Qi), which is crucial.
[Formula Song] Huiyang Sanjian Tang treats Yin-carbuncles, characterized by fatigue, cold limbs, and slow, fine pulse. There is no swelling, pain, redness, or heat; hardness is like stone or hide. The base is flat, soft, depressed, without pus or necrosis. It contains Renshen (Ginseng Radix), Fuzi (Aconiti Lateralis Radix Praeparata), Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Fuling (Poria); Gouqi (Lycii Fructus), Honghua (Carthami Flos), and Zicao (Arnebiae Radix); Duhuo (Angelicae Dahuricae Radix), Chenpi (Citri Reticulatae Pericarpium), Cangzhu (Atractylodis Rhizoma), Houpo (Magnoliae Officinalis Cortex), Muxiang (Aucklandiae Radix), Shanzhuyu (Corni Fructus).
Zhuye Huangqi Tang (Bamboo Leaf and Astragalus Decoction): This formula treats carbuncles, back carbuncles, and various Ding toxins where both exterior and interior are deficient, with severe heat causing extreme dry mouth and thirst. It generates fluids and quenches thirst.
Ginseng Radix (Eight fen) Raw Astragali Membranacei Radix (Eight fen) Gypsum Fibrosum (Eight fen) Pinelliae Rhizoma Praeparatum (Eight fen) Ophiopogonis Radix (Eight fen)
Rehmanniae Radix (Two qian) Paeoniae Radix Alba (Eight fen) Glycyrrhizae Radix et Rhizoma (Eight fen) Chuanxiong Rhizoma (Eight fen) Angelicae Sinensis Radix (Eight fen) Bambusae Folium (Ten leaves) Scutellariae Radix (Eight fen)
Decoct the above twelve ingredients with two cups of water, three slices of ginger, and twenty roots of Juncus effusus (lamp wick) until reduced to eight-tenths. Take warm far from meals.
[Formula Song] Zhuye Huangqi Tang treats dry mouth and thirst, clearing heat, tonifying righteousness, and assisting fluid generation. It contains Renshen (Ginseng Radix), Huangqi (Astragali Membranacei Radix), Shigao (Gypsum Fibrosum), Banxia (Pinelliae Rhizoma Praeparatum), Maidong (Ophiopogonis Radix), Shengdi (Rehmanniae Radix); Baishao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Zhuye (Bambusae Folium), Huangqin (Scutellariae Radix).
Neixiao San (Internal Resolution Powder): This formula treats carbuncles, back carbuncles, Ding sores at the mouth of the neck, mastitis, unnamed swellings, and all kinds of malignant sores. It causes internal resolution of swelling and internal transformation of toxins, resulting in dark, turbid urine discharged via the bladder. For severe cases, although complete resolution may not occur, heavy conditions can become light, and deep conditions shallow.
Anemarrhenae Rhizoma (One qian) Fritillariae Bulbus (One qian) Tetrastema Radix (One qian) Boswelliae Resina (One qian) Pinelliae Rhizoma Praeparatum (One qian) Bletillae Rhizoma (One qian) Paniscus Scales (One qian) Gleditsiae Spina (One qian) Lonicerae Japonicae Flos (One qian)
Decoct the above nine ingredients with one bowl of water and one bowl of wine until reduced to eight-tenths. Take before or after meals depending on the lesion's location. Reserve the dregs, pound them into a paste, add one liang of Hibiscus mutabilis leaf, grind into fine powder, add five spoons of white honey, mix with the dregs, and apply to the sore. It resolves overnight; for severe cases, administer another dose.
[Formula Song] Neixiao San uses its resolving power on various toxins; toxins transform and change color in urine. It contains Zhimu (Anemarrhenae Rhizoma), Beimu (Fritillariae Bulbus), Tianhuafen (Tetrastema Radix), Ruxiang (Boswelliae Resina), Banxia (Pinelliae Rhizoma Praeparatum); Chuanshanjia (Paniscus Scales), Zaocys Spina (Gleditsiae Spina), Gong Jinyinhua (combined Lonicerae Japonicae Flos). Pound the dregs and mix with Furongye (Hibiscus mutabilis leaf), apply with white honey to calm the toxin.
The above formulas are suitable for treating carbuncles within seven days of onset, when the lesion is not yet formed, the constitution is strong, and exterior and interior symptoms are harmonious. Stop taking them when the disease recedes. If more than seven days have passed and the condition has matured, use formulas like Tuoli Xiaodu Tang to bring toxins to the surface to accelerate suppuration. Continuing to use resolving medicines may damage Yuan Qi (Original Qi) and cause complications.
Neigu Qingxin San (Internal Stabilizing Heart-Clearing Powder): This formula treats carbuncles, back carbuncles, Ding sores at the mouth of the neck, with severe heat and pain, irritability, and desire for cold drinks. For patients with internal weakness, it prevents toxins from attacking the heart.
Vigna Radiata Semen Pulvis (Two liang) Ginseng Radix (Two qian) Borax (One qian) Realgar (Two qian) Cinnabar (Two qian) Amomi Fructus Rotundus (Two qian) Mirabilite (Two qian) Poria (Two qian) Glycyrrhizae Radix et Rhizoma (Two qian) Boswelliae Resina (Two qian)
Grind the above ten ingredients into fine powder. Take one qian five fen per dose. Mix with honey water and take at any time.
[Formula Song] Neigu Qingxin San prevents toxin attack, protecting against toxins entering the heart in cases of internal weakness. It addresses severe pain, heat, and desire for cold drinks. It contains Doufen (Vigna Radiata Semen Pulvis), Renshen (Ginseng Radix), Bingpian (Borneolum Syntheticum), Xionghuang (Realgar); Chensha (Cinnabar), Baikouren (Amomi Fructus Rotundus), Yuanmingfen (Mirabilite); Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), Ruxiang (Boswelliae Resina) together.
Hupo Lafan Wan (Amber and Alum Pill): This formula treats carbuncles and back carbuncles when the lesion is formed but pus has not yet developed. Even if the patient is not weak, it prevents toxins from failing to exit outward and attacking inward. Taken prophylactically, it protects the membrane and heart, and also invigorates blood and detoxifies.
Beeswax (One liang) Alum (One liang two qian) Realgar (One qian two fen) Amber (separately ground extremely fine, one qian)
Cinnabar (ground fine, one qian) White Honey (Two qian)
Grind the four ingredients into fine powder separately. Melt beeswax and honey in a copper spoon over fire. Remove from fire briefly, wait until the edges of the wax slightly solidify, then add the medicinal powders, stir evenly to form a mass. Warm slightly over fire, quickly roll into small pills the size of mung beans, coat with Cinnabar, and store in porcelain jars. Take 20-30 pills per dose with warm water after meals. For severe toxicity, take morning and evening for fastest effect.
[Formula Song] Hupo Lafan Wan treats toxic sores, an excellent mild formula before pus emerges. Prophylactic use protects membranes and detoxifies. Ingredients include Wax, Alum, Realgar, Amber, Honey, Cinnabar.
Huxin San (Heart-Protecting Powder): This formula treats toxins attacking inward, causing dry mouth, irritability, nausea, and vomiting. It protects the heart and detoxifies.
Vigna Radiata Semen Pulvis (One liang) Boswelliae Resina (pure powder, three qian) Cinnabar (One qian) Glycyrrhizae Radix et Rhizoma (One qian)
Grind the above four ingredients into fine powder. Take two qian per dose, mixed with boiling water, twice daily (morning and evening).
[Formula Song] Huxin San treats inward-attacking toxins, relieving irritability, dry mouth, and vomiting. Doufen (Vigna Radiata Semen Pulvis), Ruxiang (Boswelliae Resina), Zhusha (Cinnabar), and Gancao (Glycyrrhizae Radix et Rhizoma) combined, two qian mixed yields miraculous results.
Tounong San (Pus-Penetrating Powder): This formula treats carbuncles and various toxins where internal pus has formed but has not ruptured. Taking it promotes rupture and toxin discharge.
Raw Astragali Membranacei Radix (Four qian) Paniscus Scales (One qian) Chuanxiong Rhizoma (Three qian) Angelicae Sinensis Radix (Two qian) Gleditsiae Spina (One qian five fen)
Decoct the above five ingredients with three cups of water until reduced to one cup. For sores on the upper body, drink one cup of wine before taking the medicine; for sores on the lower body, take the medicine first, then drink one cup of wine.
[Formula Song] Tounong San treats formed pus that cannot rupture, a mild formula. It can replace needles to drain toxins. It contains Zaocys Spina (Gleditsiae Spina), Danggui (Angelicae Sinensis Radix), Chuanshanjia (Paniscus Scales), Chuanxiong (Chuanxiong Rhizoma).
Tuoli Xiaodu San (Interior-Supporting Toxin-Resolving Powder): This formula treats carbuncles that have formed but internal ulceration is delayed due to insufficient Qi and Blood failing to assist in putrefaction. Taking this formula supports the process, promoting rapid rupture, easy detachment of necrotic flesh, and natural growth of new tissue.
Gleditsiae Spina (Five fen) Lonicerae Japonicae Flos (One qian) Glycyrrhizae Radix et Rhizoma (Five fen) Platycodonis Radix (Five fen) Peucedani Radix (Five fen) Chuanxiong Rhizoma (One qian)
Raw Astragali Membranacei Radix (One qian) Angelicae Sinensis Radix (One qian) Paeoniae Radix Alba (One qian) Atractylodis Macrocephalae Rhizoma (One qian) Ginseng Radix (One qian) Poria (One qian)
Decoct the above twelve ingredients with two cups of water until reduced to eight-tenths, taken far from meals.
[Formula Song] Tuoli Xiaodu San assists Qi and Blood, tonifies righteousness, detaches necrotic flesh, and facilitates easy muscle growth. It contains Zaocys Spina (Gleditsiae Spina), Yinhua (Lonicerae Japonicae Flos), Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix), Baizhi (Peucedani Radix); Chuanxiong (Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix), Fuling (Poria).
Shengong Neituo San (Divine Merit Interior-Supporting Powder): This formula treats carbuncles, brain-top carbuncles, and other sores that have been present for a long time without swelling or elevation, unable to putrefy or rupture, with fine pulse and cold body. It is suitable to take this warming and tonifying interior-supporting formula to assist Qi and Blood.
Ginseng Radix (One qian five fen) Aconiti Lateralis Radix Praeparata (One qian) Chuanxiong Rhizoma (One qian) Angelicae Sinensis Radix (Body) (Two qian) Astragali Membranacei Radix (One qian)
Atractylodis Macrocephalae Rhizoma (soil-fried, one qian five fen) Paeoniae Radix Alba (fried, one qian) Aucklandiae Radix (ground, five fen) Paniscus Scales (fried, eight fen) Glycyrrhizae Radix et Rhizoma (roasted, five fen) Citri Reticulatae Pericarpium (One qian) White Poria (One qian)
Add three slices of baked ginger and two jujubes to the above twelve ingredients. Decoct with two tea-cups of water until reduced to eight-tenths, taken far from meals.
[Formula Song] Shengong Neituo San treats Yin-toxin syndromes: no swelling, no elevation, no rupture, no pain. It contains Renshen (Ginseng Radix), Fuzi (Aconiti Lateralis Radix Praeparata), Chuanxiong (Chuanxiong Rhizoma), Guishen (Angelicae Sinensis Radix Body), Baizhu (Atractylodis Macrocephalae Rhizoma), Baishao (Paeoniae Radix Alba); Muxiang (Aucklandiae Radix), Chuanshanjia (Paniscus Scales), Gancao (Glycyrrhizae Radix et Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria).
Fuyuan Tongqi San (Restoring Origin and Unblocking Qi Powder): This formula treats mastitis, abdominal carbuncles, groin abscesses, ear pain, and deafness. These are caused by stagnation and blockage of toxins. Taking it unblocks Qi and disperses toxins.
Citri Aurantii Fructus (Four liang) Citri Reticulatae Pericarpium (Four liang) Trichosanthis Semen (Two liang) Paniscus Scales (Two liang) Lonicerae Japonicae Flos (One liang) Forsythiae Fructus (One liang)
Glycyrrhizae Radix et Rhizoma (half raw, half roasted, two liang)
Grind the above seven ingredients into powder. Take two qian per dose, mixed with yellow wine.
[Formula Song] Fuyuan Tongqi San treats mastitis and abdominal carbuncles, also treating groin abscesses, ear pain, and deafness. Qingpi (Citri Aurantii Fructus), Chenpi (Citri Reticulatae Pericarpium), Loujia (Trichosanthis Semen), Jia (Paniscus Scales), Yinqiao (Lonicerae Japonicae Flos and Forsythiae Fructus), Cao (Glycyrrhizae Radix et Rhizoma); one dose can unblock toxins and Qi.
Shuangjie Guijin Wan (Double-Resolution Noble Gold Pill): This formula treats early-stage back carbuncles and various toxins presenting with numbness, fullness, hardness, constipation, and deep, solid pulse. It is effective for all such cases. Add herbs according to symptoms. Administration method follows.
Raw Rheum Palmatum Radix et Rhizoma (One jin) Peucedani Radix (Ten liang)
Grind the above two ingredients into powder and make water pills. Take three to five qian per dose. At the third watch (5-7 AM), use three large green onions with roots, boil in one bowl of yellow wine until soft, take the wine to send down the medicine. After taking, cover and lie down to sweat. After two to three hours, upon passing stool once or twice, immediate relief occurs.
[Note] This is a formula for unblocking and purging. Assisted by green onion and wine, it induces sweating, hence called "Double-Resolution." For weak patients, use a moderate dose; after evacuation, tonify with Sizijunzi Tang (Four Gentlemen Decoction). For elderly or deficient patients, take one qian per dose, sent down with Ginseng and Ginger decoction. After one hour, take another dose. If sleep occurs and sweating happens on the upper body, stop.
[Formula Song] Shuangjie Guijin Wan treats various toxins, numb and hard swelling in early stage. Made of Dahuang (Rheum Palmatum Radix et Rhizoma) and Baizhi (Peucedani Radix) pills, sent down with green onion and wine decoction, cured by sweating and purging.
Shumi Cunjin Dan (Millet-Inch-Gold Elixir): This formula was transmitted by an extraordinary person. It treats sudden acute conditions with sudden collapse. Pry open the jaw, grind and灌 (administer) three pills, and the person revives. It also treats back carbuncles, generalized edema, and osteomyelitis. For initial chills and high fever, limb fatigue, heaviness, regardless of exterior/interior, age, or severity, it is suitable.
Boswelliae Resina and Myrrha (one qian each) Dog Gallbladder (dried, one) Carp Gallbladder (shade-dried, three) Sand (Two qian) Toad Venom (Two qian)
Dog Gallstone (One qian) Moschus (Five fen) Bai Dingxiang (Forty-nine pieces) Centipede (fried in oil, whole, seven) Beeswax (Three qian)
Wujinshi (One qian) First-born Male Breast Milk (One he) Calomelas (One qian) Realgar (One qian) Mercury (refined to white powder frost, three qian)
Grind the above sixteen ingredients into fine powder. Except for Beeswax and Milk, boil into a paste, mix with powder, and roll into pills the size of mung beans. Children take one pill, adults three, severe cases five. For cold diseases, send down with green onion soup; for hot diseases, with fresh well water. Cover tightly with clothes and blankets to avoid wind, until sweating occurs; all diseases will vanish.
[Formula Song] Shumi Cunjin Dan is a miraculous formula, effective for carbuncles and back sores. Boswelliae Resina, Myrrha, Dog and Carp Gallbladders; Chan Su (Toad Venom), Goubao (Dog Gallstone), Shexiang (Moschus), Bai Dingxiang; Wugong (Centipede), Huangla (Beeswax), Wujinshi; Nanru (Male Milk), Qingfen (Calomelas), Xionghuang (Realgar), and Fen Shuang (Powder Frost).
Mailing Dan (Wheat Spirit Elixir): This elixir treats carbuncles, malignant toxins, unnamed sores, and retreating Ding sores causing irritability and coma. It also treats initial breast conditions in women, residual toxins from childhood pox, or sudden waist/leg pain.
Fresh Toad Venom (Two qian) Live Spider (large black ones preferred, twenty-one) Dingxincao (also known as Liangtoujian, rat feces, one qian) Fine Flour (Six liang)
Grind the above four ingredients together. Boil Chrysanthemi Flos into a thin paste, mix well, and shape into wheat-sized pills. Take seven pills per dose, nine for severe cases, five for children with mild conditions. For upper body lesions, take with boiling water; for lower body, with light yellow wine. Add one he of wheat to each batch, store in porcelain jars.
[Formula Song] Ma Ling Dan treats Ding toxins and carbuncles. Fresh Chan Su (Toad Venom) and live spiders; Dingxincao (Liángtóujiān) and Feiluo Mian (Fine Flour); combined suitably with Huangju (Chrysanthemi Flos) paste.
Bao'an Wanling Dan (Security Ten-Thousand Spirits Elixir): This formula treats carbuncles, Ding toxins, mouth-of-neck carbuncles, Wind-Cold-Damp Bi syndrome, Phlegm-Damp wandering nodules, osteomyelitis Yin-carbuncles, Crane-Knee Wind, left/right hemiplegia, facial paralysis, hemiplegia, Qi-Blood stagnation, wandering body pain, difficult walking, hernia, headache, tetanus with locked jaw. It intercepts and releases Wind-Cold, with universal efficacy.
Maoshan Atractylodis Rhizoma (Eight liang) Ephedrae Herba (Mahuang) Notopterygii Rhizoma et Radix Schizonepetae Spica Saposhnikoviae Radix Asari Radix et Rhizoma Sichuan Aconite Root (soaked in water, skin removed) Grass Aconite Root (soaked in water, skin removed)
Chuanxiong Rhizoma Dendrobii Caulis Scorpio Angelicae Sinensis Radix Glycyrrhizae Radix et Rhizoma Gastrodiae Rhizoma Polygoni Multiflori Caulis (each one liang) Realgar (Six qian)
Grind the above sixteen ingredients into fine powder, make pills with refined honey, weighing three qian each, coat with Cinnabar, and store in porcelain jars. Adjust dosage based on age and urgency of illness. For malignant sores in the first 2-3 days, or carbuncles formed up to 10 days prior without pus, presenting like typhoid with headache, irritability, thirst, stiffness, aversion to cold, limb pain, nausea, vomiting, heavy limbs, confusion, high skin fever, or seasonal colds, epidemic transformations, aversion to cold with fever, it is suitable. Use nine stalks of scallion white, decoct in water, mix one pill, cover blanket to sweat. If sweating is slow, use scallion water to induce it; sweat should be profuse like washing. Let it dry naturally, avoid wind. Patient feels comfortable; unsuppurated sores resolve, suppurated ones rise and drain. If no exterior-interior combination, no need to disperse; just dissolve in hot wine and take.
[Note]: This formula originally appeared in the chapter on Wind Paralysis. It is reproduced here because sores and ulcers arise from disharmony of Ying and Wei (Nutrient and Defensive Qi) and stagnation of Qi and Blood.