十全大补汤 补中益气汤 四物汤 八珍汤(俱见溃疡门)
金蟾脱甲酒(见杨梅疮门)
天麻饼子(见头痛门)
雷火神针(见附骨疽门)
史国公酒药(见风湿门)
二陈汤(见瘰 门)
黄连解毒汤(见疔疮门)
银粉散(见下疳门)
多骨疽者,由疮溃久不收口,乃气血不能营运至此,骨无荣养所致。细骨由毒瓦斯结聚化成,大骨由受胎时
精血交错而结,日后必成此疽也。但肾主骨,宜服肾气丸、十全大补汤先补脾肾;次用艾附饼灸之令温暖,腐
毒朽骨自然脱尽,生肌敛口而愈。
一男子上 肿痛月余,以散风清热药俱已不效;又两月,破流血水,百日外方出细骨,大小三十余块,以
十全大补汤并吹生肌散,两月余而敛。中存一小孔簪脚大,通鼻透气,致难全敛,为愈而不愈也。
一男子左手上膊结肿,年余方出烂斑,破流稀脓;延至半年,方出多骨一条,如鹅膊骨,一同长约四寸。
内服养血健脾药,外搽玉红膏膏盖,又月余而敛。
一男子小腿正面 骨肿痛二年,诸药不应,此多骨疮也。后破出骨一块,肌肉腐烂,元气虚弱,以十全大
补汤加山茱萸、牛膝、木瓜,服至两月余不敛;每日以神灯照法将火气助之,又出朽骨一块,上有蛀眼数十孔,
以二骨炭火 红为末,入生肌药中用之收敛。问曰∶用骨者何?此骨原廪气血结成,故用之复还元气也。后人
闻之,知理合天然之数矣。
一女人左口上牙根突肿如栗,坚硬如石不痛,此多骨疽也。药亦不效,后三年始痛,破流臭脓,后出多骨,
形如小鳖;肿仍不退,此骨未尽,稍入又出小骨二块,枯色棱 ,其肿方退。以四君子汤加升麻、陈皮,外以
甘草煎汤漱口,生肌散日搽三次而收敛。
Shiquan Dabu Decoction (Decoction for Perfect Tonification), Buzhong Yiqi Tang (Decoction for Tonifying the Middle and Augmenting Qi), Siwu Tang (Four Substances Decoction), Bazhen Tang (Eight Treasures Decoction) (all see Ulceration Section)
Jinchan Tuo Jia Wine (Golden Toad Shedding Shell Wine) (see Yangmei Chuang Section)
Tianma Bingzi (Gastrodia Pills) (see Headache Section)
Leihuo Shenzhen (Thunderfire Divine Needle) (see Fugu Ju Section)
Shigongjun Jiuyao (Minister Shi's Medicinal Wine) (see Wind-Dampness Section)
Erchen Tang (Two Aged Ingredients Decoction) (see Luoli Section)
Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity) (see Dingchuang Section)
Yinfen San (Silver Powder Powder) (see Xiagan Section)
Duogu Ju (Bone-Forming Abscess) arises from chronic non-healing of ulcerated sores, where Qi and Blood fail to circulate and nourish the area, resulting in bones lacking prosperity and nourishment. Fine bones are formed by the aggregation and transformation of toxic vapors; large bones result from the intermingling and knotting of essence and blood at conception, which inevitably leads to this type of abscess later in life. Since the Kidney governs the bones, it is appropriate to first tonify the Spleen and Kidneys by administering Shenqi Wan (Kidney Qi Pill) and Shiquan Dabu Decoction. Subsequently, apply Ai Fu Bing moxibustion (Moxibustion with Mugwort and Ligusticum cakes) to induce warmth, causing the rotting toxins and necrotic bones to naturally fall off completely, allowing granulation tissue to grow and the wound to contract for healing.
A male patient experienced swelling and pain in the upper body for over a month; dispersing wind and clearing heat medications proved ineffective. Two months later, the area broke open, discharging blood and serous fluid. After more than one hundred days, fine bones were expelled, totaling more than thirty pieces of varying sizes. Treatment with Shiquan Dabu Decoction combined with the topical application of Shengji San (Flesh-Generating Powder) resulted in wound contraction after more than two months. However, a small hole remained, the size of a hairpin tip, communicating with the nasal cavity and allowing air passage, making complete closure difficult. This represents a state of incomplete healing.
A male patient presented with a nodular swelling on his left upper arm that persisted for over a year before developing an ulcerative lesion, discharging thin pus upon rupture. Half a year later, a single elongated bone was expelled, resembling a goose wing bone, with a total length of approximately four cun. Internal administration of blood-nourishing and spleen-strengthening herbs, along with external application of Yugong Gao (Jade Red Ointment) covered with a plaster, led to wound contraction after another month or so.
A male patient suffered from swelling and pain of the tibia on the anterior aspect of the lower leg for two years, unresponsive to various medications; this was identified as Duochuang (Bone-Forming Wound). Eventually, a piece of bone was expelled through rupture, accompanied by muscle decay and deficiency of Yuan Qi (Primal Qi). Treatment involved Shiquan Dabu Decoction supplemented with Cornus Officinalis Fruit (Shanzhuyu), Achyranthes Root (Niuxi), and Chinese Peachstone (Mugua). After more than two months of ingestion, the wound had not yet contracted. Daily application of Shen Deng Zhao Fa (Divine Lamp Illumination Method) was used to assist with fire energy. Another piece of necrotic bone was subsequently expelled, featuring dozens of worm-eaten holes. These two bones were calcined until red-hot, ground into powder, and mixed with flesh-generating medicines to promote contraction. When asked why bones were used, the explanation was that these bones originally formed from the consolidation of acquired Qi and Blood; thus, using them helps restore primal Qi. Those who heard this understood that the principle aligns with the numbers of nature.
A female patient presented with a protruding swelling at the root of her left upper teeth, resembling a chestnut, hard as stone, and painless; this was diagnosed as Duogu Ju. Medications were ineffective. Pain developed only after three years, followed by rupture and discharge of foul-smelling pus. Subsequently, multiple bones were expelled, shaped like small turtles. The swelling persisted because the bones were not fully expelled. Upon further intervention, two additional small bones were expelled, appearing withered and angular, after which the swelling finally subsided. Treatment consisted of Sizijunzi Tang (Four Gentlemen Decoction) augmented with Cimicifuga Rhizome (Shengma) and Tangerine Peel (Chenpi). Externally, rinsing the mouth with decocted Licorice Root (Gancao) water and applying Shengji San three times daily facilitated wound contraction.