Library

Splei Fa Ju (Abscess of the Splei) arises on both sides below the heart pit. It is caused by fire-toxin resulting from excessive consumption of roasted/fried foods, rich flavors, and medicinal wine. Initially, it appears like a millet grain accompanied by chills and fever. Gradually, swelling and pain increase, leading to suppuration.

[Note] This condition occurs on both sides below the heart pit, belonging to the Shisong (ST16) acupoint of the Spleen Meridian of Foot-Taiyin. It can occur on either side. It is caused by excessive intake of roasted/fried foods, strong-flavored foods, and medicinal wine, leading to accumulated heat and toxin in the Spleen Meridian. Initially, it resembles a millet grain with alternating chills and fever, gradually increasing in swelling and pain. If the apex is elevated, the base is confined, the color is red and lustrous, and thick pus discharges as expected, it is a favorable prognosis (Shun). If the apex is flat, the base is diffuse, the color is purple and hard, it does not ulcerate when due, and after ulceration the pus resembles crab foam, it is an unfavorable prognosis (Ni). Initially, administer Jingfang Baidu San (Atractylodes and Saposhnikovia Decoction) to induce sweating. If symptoms include dry cracked lips, intense thirst, and irritability, Taiyi Zijin Ding (Taiyi Purple Gold Pill) should be taken, followed by Neishu Huanglian Tang (Internal Draining Coptis Decoction) to clear heat. For other internal and external treatments, refer to the sections on Ulcerative Sores and Ulcers.

Taiyi Zijin Ding (also known as Zijin Dan or Yushu Dan)
Realgar (Xionghuang, select bright red large pieces, grind into powder, 3 qian) Cinnabar (Zhusha, select those with spiritual vitality, grind into powder, 3 qian) Musk (Shexiang, pick clean without hair/skin impurities, grind into powder, 3 qian)
Chuan Wubeizi (Chinese Gallnut, also known as Wen Ge, crush, grind into powder, 2 liang) Hongya Daji (Red-bud Euphorbia; Euphorbia kansui var. purpurea from Hangzhou is superior; Euphorbia pekinensis from Jiangnan is secondary; Euphorbia fischeriana from the north is white and has a fierce/pungent nature. Weak constitutions taking it may cause hematemesis; use with caution and avoid. Select superior grade, remove rhizome roots, wash clean, bake dry, grind into powder, 1.5 liang) Shancigu (Fritillaria cirrhosa bulb, wash off hairs/skin, bake dry, grind into powder, 2 liang) Qianjinzi (Seminarum Ricini, also known as Xuisui Zi. Use white kernels, remove oil, 1 liang)
Select premium quality for all above herbs. Prepare in a clean room. Wait for auspicious days such as Dragon Boat Festival, Double Seventh Festival, Double Ninth Festival, or days marked by Tianyue De, Tianyi, or Yellow Path stars. Those entering the room to compound the medicine must fast and bathe for three days prior, change into new clean clothes and hats. On the day, enter the room only after washing hands and burning incense. Pre-set a tablet for the Medicine King. The master leads the group in burning incense and praying. Afterward, each person weighs the seven aforementioned herbs accurately, places them in a large mortar, and grinds them hundreds of times. Then transfer to a fine stone pestle, gradually adding thick rice paste, adjusting to moderate hardness. Pound with a pestle over a thousand times until extremely smooth and glossy. Each pill weighs 1 qian. Take one pill per dose. For severe conditions, take two consecutive pills to promote unblocking/drainage, then replenish with warm congee. During preparation, others are forbidden to watch except those involved in clean compounding. This medicine is effective only through sincerity and cleanliness.

[Formula Verse] Taiyi Zijin Ding treats various sores and toxins; Ding swellings, carbuncles, and ulcers can all be eliminated. Ingredients: Realgar, Cinnabar, Chinese Gallnut, Musk, Seminarum Ricini, Red-bud Euphorbia, Fritillaria cirrhosa.

1. For all types of food/drug poisoning, Gu poison, miasma/bad bacteria, pufferfish poisoning, and meat from dead cattle, horses, pigs, sheep, etc., if mistakenly ingested causing confusion, sudden collapse, or abnormal symptoms: Grind the pill with water and administer orally. Induce vomiting or diarrhea; the patient will likely recover consciousness.
2. For southern mountain miasma, smoke, and epidemic plagues which harm people most severely: Upon initial infection feeling mental discomfort, aversion to cold/heat, nausea without vomiting: Immediately grind one pill and take it. Recovery follows vomiting and diarrhea.
3. For carbuncles/back abscesses, neck carbuncles, Tian She unnamed swelling/toxins, worm-joint red thread Ding, Yangmei sore (syphilis), various wind urticaria, new/old hemorrhoids: Grind with non-grain alcohol (Wuhui Danjiu) for oral administration. Externally, apply ground paste to the sore multiple times day and night. Relief comes with itching and resolution.
4. For Yin-Yang Two Toxins, Typhoid with chest oppression, delirious speech, chest/diaphragm stagnation, unexpelled pathogenic toxins, plague with irritability/madness, throat closure/throat wind: Grind with Mint Decoction (Bohe Tang), let cool, then administer.
5. For dysentery (red/white), abdominal diarrhea with acute pain, cholera-like intestinal cramping, and various phlegm-wheezing: Grind with Ginger Decoction (Jiang Tang) and administer.
6. For men/women with acute epilepsy/spirit possession, shouting/rushing, ghost intercourse/ghost fetus, ghost qi/oppression, loss of mind/madness, epilepsy (sheep/pig type): Grind with Stone Acorus Decoction (Shichangpu Jian Tang) and administer.
7. For stroke/Qi obstruction, facial paralysis, locked jaw, slurred speech, tendon contraction, joint wind-swelling, body-wide pain, difficulty walking, various wind/seizure disorders: Grind with wine, heat gently, and administer.
8. For hanging, drowning, fright-death, crushing death, spirit bewitchment, provided the heart remains slightly warm: Grind with Fresh Ginger and Dipsacus Wine Decoction and administer.
9. For bites/injuries from venomous snakes, mad dogs, scorpions, stream insects/Gu poisons causing immediate swelling spreading over the body, or severe cases where toxin enters interior causing coma/shouting with life at stake: Grind with wine and force-feed. Drink a bowl of Scallion Soup, cover to sweat, and recovery is immediate.
10. For new/old malaria at onset: Grind with Peach and Willow Branch Decoction brewed in east-flowing water and administer.
11. For pediatric acute/chronic convulsions, five malnourishments/five dysenteries, spleen disease with yellow swelling, urticaria/tumors, locked jaw: Grind with Mint-infused water to concentrate, add honey, and administer. Apply remaining paste to swollen areas. For young children, divide one pill into several doses.
12. For toothache: Grind with wine, apply to painful area, hold a small amount in mouth, swallow after some time.
13. For infants with parental residual toxin, presenting within 100 days with skin erosion/ulcers, anal/orbital damage: Grind with clean water and apply externally.
14. For trauma/blunt injuries: Grind Pine Node (Songjie) with non-grain alcohol and administer.
15. For long-standing head distension/pain, extreme Taiyang headache, hemimigraine, or post-impetigo toxin invasion causing forehead distension: Grind one pill with Scallion and wine, administer. Also grind and apply to Taiyang acupoints.
16. For women with amenorrhea: Administer with Safflower Decoction (Honghua Tang).
17. For epidemic diseases spreading street to alley: Grind with Peach Root Decoction, drip into nostrils, then take a small amount orally. One can enter infected homes without transmission.
18. For Tuberculosis (Chuan Shi Lao Zhai) unresponsive to other medicines: A practitioner advised taking one pill ground daily in the morning. After three doses, foul matter and corpse-worms/abnormal creatures were expelled, leading to relief. Countless lives saved through this tradition.
19. A woman suffering long-term tuberculosis eaten by corpse-worms took one pill ground, expelling over ten small worms shortly after. Subsequent administration of Suhexiang Wan (Styrax Pills) cured the disease completely. After one month of conditioning, she recovered. Truly a precious medicine for saving the world and preserving health.

Jingfang Baidu San (See Neck Carbuncle section)
Neishu Huanglian Tang (See Ulcerative Sores section)