立斋曰∶针灸之法，有太乙人神周身血忌。逐年尻神，逐日人神。而其穴有禁针禁
灸之论。犯者其病难瘳，理固然也。但疮疡气血已伤，肌肉已坏，急宜迎而夺之，顺而
取之，非乎人针灸之比，何忌之有？《外科精义》云∶疮疡之症，毒瓦斯无从而解，脓瘀无
从而泄，反攻于内，内既消败，欲望其生，岂可得乎？危恶之证，发于致命之处，祸在反
掌，腹痈囊痈，二便不通，胸腹胀闷，唇疔喉痹，咽喉肿塞，其祸尤速，患者审之。薛
氏治邻人手指患疔，麻痒寒热恶心，左半体皆麻，脉数，用夺命丹，不应，又用解毒之
剂，麻痒始去，乃作肿痛。欲针而值尻神，病家不从，愈肿，强针之，诸证顿退，又用解
毒之剂而愈。
一用天麻子仁数粒，铅粉钱许，研烂入桐油碗许，打匀，棉花蘸刷令遍，与不油纸
相间，铺之压之，须频揭换不粘。一以生桐油熟猪油平兑，如法油纸。
竹叶黄 汤（见《心法肿溃门》）
托里黄 汤
黄 （六钱炒） 甘草（炙） 栝蒌根（各一钱）
水二盅，煎八分，频服之，加人参一钱尤妙。
托里养荣汤
人参 黄 （炙） 当归（酒拌） 芍药（炒） 熟地黄 麦门冬（去心） 川芎 白术（各一钱）
五味子（研） 炙甘草（各五分）
水二盅，姜三片，枣二枚，煎八分，食远服。
黄 六一汤
绵黄 （六两用淡盐水润饭上蒸焙干） 甘草（一两一半生一半炙）
每锉一两，水二盅，煎八分，食远服。或为细末，每服二钱。早晨日午，白汤调服，或
加人参尤妙。
七味白术散
白术 茯苓（去皮） 人参（各七钱） 甘草（一两五钱炙） 木香（二钱五分） 藿香叶 葛根（半两）
上为细末，每服三五钱，白汤调下。
竹叶石膏汤
淡竹叶 石膏 桔梗 木通 薄荷 甘草（炙）
上姜水煎服。
元参散
元参 黄连（去须） 土瓜根 麦门冬（去心） 赤芍药 白藓皮（各一两） 升麻（七钱五分） 火
麻仁 川朴硝 川大黄（各一两锉炒）
上锉，每服三钱，水一盏，入生地黄一钱细切，同煎，至六分，不拘时服。
葛根散
葛根 黄 升麻 麦门冬 栝蒌根 赤芍药 栀子仁 生地黄（各一两） 黄芩（七钱半） 甘草（半两生）
上锉，每服四钱，水一盅盏，煎六分，去滓，无时温服。
干葛饮
黄芩 朴硝（各一两二钱半） 干葛（一两）
上锉散，每服三钱，用枇杷叶，去背上白毛，净洗，同煎，不拘时服。
五味子汤
黄 （三钱蜜炙） 人参（二两） 五味子 麦门冬（各一两去心） 粉甘草（五钱炙）
每服五钱，水煎，日夜服五七剂。
加减八味地黄丸
熟地黄（八两蒸） 干山药 山茱萸肉 五味子（各四两） 牡丹皮 白茯苓 泽泻（各三两酒
浸蒸焙） 肉桂（二两）
上各另为末，入地黄和匀，加炼蜜丸，如梧桐子大，每服七八十丸，空心食前白汤下。
橘半胃苓汤
橘红 半夏（各一钱姜制） 苍术（米泔浸炒） 白术（炒） 浓朴（姜制） 甘草（炙） 茯苓
人参 泽泻 茅根（各二钱） 姜汁（数匙）
水二盅，煎一盅，入姜汁，一二沸，作十余次饮之。
加减托里消毒散
胃气虚者，去白芷连翘金银花，加参术
藿香。
托里健中汤
人参 白术 茯苓（各二钱） 半夏 炮姜（各一钱） 炙甘草（五分） 黄 （一钱五分） 肉桂（三分）
上姜枣，水煎服。
托里益中汤
人参 白术 陈皮 半夏 茯苓 炮姜（各一钱） 木香 炙甘草（各五分）
上姜枣，水煎服。
托里抑青汤
人参 白术 茯苓 半夏（各一钱） 芍药 柴胡 甘草（各五分） 陈皮（一钱）
上姜枣，水煎服。
托里清中汤
人参 白术 陈皮 茯苓（各一钱） 半夏（八分） 桔梗（七分） 甘草（五分）
上姜枣，水煎服。
托里益黄汤
人参 白术 陈皮 茯苓 半夏（各一钱） 丁香 甘草（炙） 炮姜（各五分）
姜枣，水煎服。
托里越鞠汤
人参 白术（各二钱） 陈皮 半夏（各一钱） 山栀 川芎 香附米 苍术（各七分） 炙甘草（五分）
上姜枣，水煎服。
人参理中汤
白术 人参 干姜 甘草（各等分炙）
上姜枣，水煎服。
加味解毒汤
黄 （炒盐水拌） 黄连（炒） 黄芩（炒） 黄柏（炒） 连翘 当归（各七分酒拌） 甘草（炙）
白芍药 栀子仁（各一钱炒）
作一剂，水二盅，煎七分服之，药下痛即止。
内补黄 汤（见《心法肿溃门》）
当归和血散
当归（二钱） 乳香（半钱） 没药（一钱半） 白芍药（三钱）
上为细末，每服一钱，水一盏，煎七分，和滓温服。
回疮金银花散
金银花（连枝叶俱用锉研二两） 黄 （四两） 甘草（一两）
上 咀，用酒一升，同入壶瓶内，闭口，重汤煮三两时辰，取出去滓，顿服之。又一方，无黄 。
郭氏定痛托里散
栗壳（二两去蒂炒） 当归 白芍药 川芎（各五钱） 乳香 没药 桂（各三钱）
上 咀，每服五钱，水煎。
乳香止痛散
栗壳（六两制） 白芷（三两） 陈皮 甘草（炙各两半） 乳香 没药（各一两） 丁香（五钱）
上 咀，每服三钱，水一盏半煎。
乳香黄 散（见《心法肿溃门》）
人参内托散
人参 黄 当归 川芎 浓朴 防风 桔梗 白芷 官桂 紫草 木香 甘草
上入糯米一撮，水煎服。
乳香丸
乳香（另研） 没药（另研） 羌活 五灵脂（各三钱） 当归 真绿豆粉 交趾桂（各两半） 独活
（三钱） 川芎 川白芷 白胶香（各两半）
上为细末，炼蜜丸，如弹子大，每服一丸，细嚼，薄荷汤送下。手足损痛，不能起
者，加草乌，用木瓜盐汤送下。
乳香定痛散
乳香 没药（各五钱） 寒水石 滑石（各一两） 冰片（一钱）
上为细末，擦患处，痛即止。
豆豉饼（见《心法首卷》）
乳香膏
乳香（一两，另研） 食盐 松脂 杏仁（去皮尖研，各一两半） 生地（取汁，三合） 白羊肾 脂
（半斤） 黄蜡（三两）
上先熬脂令沸，下杏仁地黄汁蜡煎，候蜡熔尽，入香盐松枝煎，以柳 搅令匀，稀
稠得所，瓷盒盛。
又乳香膏
木鳖子（去壳细锉） 当归（各一两） 柳枝（二八寸，寸同以清油四两煎令黑色次用后药） 乳香 没药
（各两半） 白胶香（明净者四两同研细入油煎化用棉子滤之）
上炼药铁铫，令极净，再倾前药油蜡在内，候温入黄丹一两半，以两柳枝搅极得所，
再上火煎，不住手搅。候油沸起，住搅，注在水中，成珠不散为度。秋冬欲软，春夏欲
坚，倾在水中出火毒，搜成剂收之。
东垣圣愈汤
熟地 生地（各三钱） 归身（钱半） 川芎（二钱） 黄 （五分） 人参（三分）
上 咀，都作一服，水一盏半，煎至一盏，去滓稍热服，无时。
济生犀角地黄丸
犀角（镑末） 生地 赤芍 牡丹皮（各钱半） 升麻 黄芩（各一钱炒）
上水煎熟，入犀角末服。
独参汤（见《心法肿溃门》）
托里消毒散加减法
脓多带赤，血虚也，去金银花、连翘、白芷，加归、地、参、术。如不应，用八珍汤，加牡丹皮。
内消沃雪汤
治发背，并五脏内痈，尻臀诸肿，大小肠痈，肛门脏毒。初起但未出脓，坚硬疼痛，
不可忍者并服。
青皮 穿山甲 贝母 陈皮 连翘 白芍 乳香 没药 黄 甘草节 白芷 射干 天花粉 金银花
皂角刺（各八分） 木香（四分） 当归 大黄（各二钱）
水酒各一碗，煎八分，量病上下，食前后服之。
二蛟散
治生冷恼怒伤脾，致胸膈不宽，小水不利，面目四肢浮肿。诸药不效，用三年老黄
米炒焦黄色为末，提净芒硝三两，锅内熔化，炒干为末，每料一平杯和匀，再碾极细。大
人壮实者，每服三钱。小儿十岁上下者，一钱二分。俱赤砂糖三茶匙，和白滚水半茶盅，
空心调服。至午大便一次，至晚便一次，其疾先从眼胞消起。日久元气虚者，与加味胃
苓汤，间服。至重者不过五服愈。
解毒木通汤
治男妇房术，热药所伤，致玉茎阴户痒痛，小水涩痛，白浊滑精，至夜阳物兴举，不得眠者服之。
木通 黄连 龙胆草 瞿麦 滑石 山栀 黄柏 知母（各一钱） 芦荟 甘草（各五分）
水二盅，灯心二根，煎八分，食前服。
天浆散
治脑疽积毒日深，坚肿木痛，口燥舌干，恶心烦渴，六脉沉实有力，大便闭结不通者，并宜服之。
石决明（生研） 僵蚕 穿山甲（土炒） 防风 连翘 羌活 乳香 金银花 黄连 归尾（各一钱）
大黄（三钱） 天花粉（新鲜未晒者，四两，石臼内捣烂，投水一碗搅匀，绞去渣用。）
上花粉净汁一碗半，同药煎至八分，入酒一杯，空心热服。行过三次，方用饮食。忌食煎炒发物。
黄 汤
治湿热，腿内近膝股患痈，或附骨痈，初起肿痛，此太阳厥阴之分也。脉细而弦，按之洪缓有力。
黄 （盐水拌炒） 当归 柴胡 木瓜 连翘（各一钱） 羌活 肉桂 生地黄 黄柏（各五分）
水酒各一盅，煎一半，空心热服。
独参汤
治溃疡脓水出多，血气虚极，或恶寒，或自汗，冷汗，手足指甲青冷，或身凉脉细，并宜。
人参（二两切片）
作二剂，水二盅，枣十枚，煎一盅，徐徐服之。若煎至稠浓，即为膏矣。作三次，用好温酒化服亦可。
神应异功散
治溃疡阴盛阳虚，发热作渴，手足并冷，脉虚无力，大便自利。至饮沸汤而不知其热者，必服之。
木香 官桂 当归 人参 茯苓 陈皮 白术（各一钱） 半夏 丁香 肉豆蔻 附子 浓朴（各五分）
水二盅，姜五片，枣三枚，煎八分，不拘时服。此方痈疽阴症，凡杂症阳气脱陷，与寒气逼阳于外者，
发热烦燥，口干作渴，投以姜桂附子之类，津液顿生，烦热顿退，其应如响，人但不习而察之。
参术膏
治痈疽发背等症。大脓后气血大虚，急宜用此。
上好人参（半斤，切片用水五大碗，银锅内慢火熬至三碗，将渣再煎汁一碗，共享蜜绢滤清、复熬稠浓、
瓷碗内收贮听用） 云片白术（六两） 怀庆熟地（六两俱熬同上法）
以上三膏，各熬完毕，各用瓷碗盛之，顿入水中，待冷取起，盖勿泄气。如患者精神
短少，懒于言动，短气自汗者，以人参膏三匙，白术膏二匙，地黄膏二匙，俱用无灰好
酒一杯，顿热化服。如脾气虚弱，饮食减少，或饮食不化者，用白术膏三匙，人参膏二匙，
地黄膏一匙，好热酒化服。如患者腰膝酸软，腿脚无力，皮肤手足粗涩枯槁者，用地黄膏
三匙，人参白术膏各三匙，化服。如气血脾胃相等，无偏胜负者，三膏每各二匙，热酒
化服。此膏用于清晨，并临睡时，各进一次，自然强健，精神顿生，气血新肉易生，疮口
易合。若疮危险，势大脓多者，可保终无变症。夏天炎热，恐膏易变，分作二次熬用亦
好。愈后能服，须发变黑，返老还童。
清咽利膈汤
治积热，咽喉肿痛，痰涎壅盛，及乳蛾喉痹，喉痈重舌，或胸膈不利，烦躁饮冷，大便秘结等症。
连翘 黄芩 甘草 桔梗 荆芥 防风 党参（各一钱） 大黄 朴硝（各二钱）
水二盅，煎八分，食远服。
人参五味汤
治气血劳伤咳脓，或咯血，寒热往来，羸瘦困乏，一切虚损之症，并效。
人参 五味子 前胡 陈皮 白术 桔梗 当归 茯苓 熟地 甘草（各一钱） 黄 地骨皮 桑白皮
枳壳 柴胡（各五分）
水二盅，姜三片，煎八分，食后服。
人中白散
治小儿口疳走马疳，及牙龈腐烂黑臭者，极效。
人中白（溺壶者佳 红二两） 孩儿茶（一两） 黄柏 薄荷 青黛（各末六钱） 冰片（五分）
共研极细，先用温汤漱净，吹药疳上，日用六七次。药涎从外流为吉，内收涎毒入里为凶。
珍珠散
治下疳皮损腐烂，痛极难忍，及诸疮新肉已满，不能生皮。又汤泼火烧，皮损肉烂，疼痛不止者。
青缸花（五分，如无用头刀，靛花轻虚色翠者代之，终不及缸花为妙） 珍珠（一钱，不拘大小，以新白
为上，入豆腐内煮数滚，研为极细） 真轻粉（一两）
上三味，共研千转，细如飞面，方入罐收贮。凡下疳初起，皮损搽之即愈。腐烂疼
痛者，甘草汤洗净，猪脊髓调搽。如诸疮不生皮者，用此干掺，即可生皮。又妇人阴蚀
疮，或新嫁内伤痛甚者，亦用此搽极效。汤泼火烧痛甚者，用红膏调搽之。
普济消毒饮
治疫疠憎寒壮热，头面肿盛，目不能开，上喘咽喉不利，口干舌燥。俗云大头瘟病，诸
药不效，元泰和二年，东垣制以济人，活甚众，时人皆曰天方。
黄芩（酒炒） 黄连（酒炒各五钱） 人参（三钱） 橘红 元参 生甘草 桔梗 柴胡（各二钱） 薄
荷叶 连翘 牛蒡子 马屁勃（各一钱） 白僵蚕（炒） 升麻（各七分）
Xue Lizhai stated: In the method of acupuncture and moxibustion, there are taboos regarding Taiyi Renshen (Taiyi Human Spirit), Zhouxue Jinji (Whole-body Blood Taboo). There is a specific "Kaoshen" (Sacrum Spirit) for each year and a specific "Renshen" location for each day. Regarding certain acupoints, there are discussions on prohibitions against needling and moxibustion. Violating these taboos makes the disease difficult to cure, which is indeed the principle. However, in cases of sores and ulcers, Qi and Blood have already been damaged, and muscles have already necroted. It is urgent to adopt the methods of "Ying Er Duo Zhi" (meeting and seizing/reducing excess) and "Shun Er Qu Zhi" (following the trend to extract), which differs from ordinary acupuncture treatment. What is there to fear? *Waike Jingyi* (Essentials of Surgery) states: In sore and ulcer conditions, if toxins cannot be resolved through normal channels, and pus and blood stasis cannot be drained, they will attack inward. If the internal righteous Qi has already collapsed, how can one expect survival? This is a critical and malignant condition; when it occurs in vital locations, disaster strikes in the blink of an eye. Examples include abdominal abscesses and scrotal abscesses causing obstruction of urination and defecation, chest and abdominal distension and oppression; lip carbuncles and throat bi syndrome causing swelling and blockage of the throat and pharynx, where the disaster is particularly rapid. Patients must exercise caution.
Xue treated a neighbor whose finger suffered from a carbuncle. The patient presented with numbness, itching, aversion to cold, fever, nausea, and numbness throughout the left half of the body, with a rapid pulse. Xue used Duoming Dan (Life-Rescuing Pill), but it was ineffective. He then used detoxifying agents, after which the numbness and itching subsided, but swelling and pain ensued. He intended to needle, but it happened to be a Kaoshen day, and the patient's family refused. The swelling worsened. Xue forcibly performed needling, and all symptoms instantly receded. He then used detoxifying agents to achieve a cure.
Method One: Use several seeds of Tianma Zi (Gastrodia Seed), about one qian of Qianfen (Lead Powder), grind them into a paste, add about one bowl of Tongyou (Camellia Oil), and mix evenly. Dip cotton in the mixture and brush it thoroughly over the affected area, alternating with non-oiled paper. It is necessary to frequently peel off and replace the dressing to prevent sticking. Method Two: Mix raw Tongyou (Camellia Oil) and cooked Zhuyou (Pig Fat) in equal proportions, and make oiled paper according to the above method.
Zhuye Huangqi Tang (Bamboo Leaf and Astragalus Decoction) (See *Xinfa*, Chapter on Swelling and Ulceration):
Tuoli Huangqi Tang (Supporting Interior Astragalus Decoction)
Huangqi (Astragali Radix, 6 qian, stir-fried) Gancao (Licorice Root, prepared by honey-frying) Gualougen (Trichosanthis Radix, 1 qian each)
Add two zhong of water, decoct until eight parts remain, take frequently. Adding Renshen (Ginseng Radix, 1 qian) is even better.
Tuoli Yangrong Tang (Supporting Interior Nourishing Glory Decoction)
Renshen (Ginseng Radix) Huangqi (Astragali Radix, prepared by honey-frying) Danggui (Angelicae Sinensis Radix, mixed with wine) Shaoyao (Paeoniae Radix, stir-fried) Shudihuang (Rehmanniae Radix Preparata) Maimendong (Ophiopogonis Radix, heart removed) Chuanxiong (Ligustici Chuanxiong Rhizoma) Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian each) Wuweizi (Schisandrae Fructus, crushed) Zhigancao (Prepared Licorice Root, 0.5 qian each)
Add two zhong of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), two dates, decoct until eight parts remain, take after meals.
Huangqi Liuyi Tang (Astragalus Six-to-One Decoction)
Mianhuangqi (Milky Astragali Radix, 6 liang, moistened with light salt water, steamed on rice, and dried) Gancao (Licorice Root, 1.5 liang, half raw, half prepared by honey-frying)
For every cun of powder, add two zhong of water, decoct until eight parts remain, take after meals. Alternatively, make into fine powder, take 2 qian per dose. Take with warm water in the morning and at noon; adding Renshen is even better.
Qiwei Baizhu San (Seven-Ingredient Atractylodes Macrocephala Powder)
Baizhu (Atractylodis Macrocephalae Rhizoma) Fuling (Poria, peeled) Renshen (Ginseng Radix, 7 qian each) Gancao (Licorice Root, 1.5 liang, prepared by honey-frying) Muxiang (Vladimiriae Radix, 2.5 qian) Huoxiangye (Agastaches Herba) Gegen (Puerariae Lobatae Radix, 0.5 liang)
Grind the above into fine powder. Take 3-5 qian per dose, mixed with warm water.
Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction)
Danzhuye (Phyllostachys Viridis Leaf) Shigao (Gypsum Fibrosum) Jiegeng (Platycodonis Radix) Mutong (Akebiae Caulis) Bohe (Menthae Haplocalycis Herba) Zhigancao (Prepared Licorice Root)
Decoct with Jiangshui (Ginger Water) and take.
Yuanshen San (Scrophulariae Powder)
Yuanshen (Scrophulariae Radix) Huanglian (Coptidis Rhizoma, remove roots) Tuguagen (Melongenae Radix) Maimendong (Ophiopogonis Radix, heart removed) Chishaoyao (Red Paeoniae Radix) Baixianpi (Dictamni Cortex, 1 liang each) Shengma ( Cimicifugae Rhizoma, 7.5 qian) Huomaren (Cannabis Semen) Chuanpu-xiao (Natrii Sulfas) Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang each, cut and stir-fried)
Cut the above herbs. Take 3 qian per dose, add one zhan of water and 1 qian of finely cut Shengdihuang (Rehmanniae Radix), decoct together until six parts remain, take at any time.
Gegen San (Puerariae Powder)
Gegen (Puerariae Lobatae Radix) Huangqi (Astragali Radix) Shengma (Cimicifugae Rhizoma) Maimendong (Ophiopogonis Radix) Gualougen (Trichosanthis Radix) Chishaoyao (Red Paeoniae Radix) Zhiziren (Gardeniae Semen) Shengdihuang (Rehmanniae Radix, 1 liang each) Huangqin (Scutellariae Radix, 7.5 qian) Gancao (Licorice Root, 0.5 liang, raw)
Cut the above herbs. Take 4 qian per dose, add one zhong of water, decoct until six parts remain, strain, and take warm at any time.
Gan Ge Yin (Dried Pueraria Drink)
Huangqin (Scutellariae Radix) Pu-xiao (Natrii Sulfas, 1.25 liang each) Gan Ge (Dried Puerariae Lobatae Radix, 1 liang)
Cut into pieces. Take 3 qian per dose, decoct with Pipaye (Loquat Leaf, remove white hairs from back, wash clean), take at any time.
Wuweizi Tang (Schisandrae Decoction)
Huangqi (Astragali Radix, 3 qian, honey-fried) Renshen (Ginseng Radix, 2 liang) Wuweizi (Schisandrae Fructus) Maimendong (Ophiopogonis Radix, heart removed, 1 liang each) Fengancao (Powdered Licorice Root, 5 qian, prepared by honey-frying)
Take 5 qian per dose, decoct with water, take five to seven doses during the day and night.
Jiajian Bawei Dihuang Wan (Modified Eight-Ingredient Rehmannia Pills)
Shudihuang (Rehmanniae Radix Preparata, 8 liang, steamed) Ganyao (Dioscoreae Rhizoma) Shanzhuyu (Corni Fructus) Wuweizi (Schisandrae Fructus, 4 liang each) Mudanpi (Moutan Cortex) Bai Fuling (White Poria) Zexie (Alismatis Rhizoma, 3 liang each, soaked in wine, steamed, and dried) Rougui (Cinnamomi Cortex, 2 liang)
Grind each into powder separately, mix with Dihuáng, add refined honey to form pills the size of paulownia seeds. Take 70-80 pills per dose, with warm water before empty stomach or before meals.
Ju Ban Weiling Tang (Tangerina Peel and Pinellia Stomach-Ling Decoction)
Juhong (Exocarpium Citri Reticulatae) Banxia (Pinelliae Rhizoma, 1 qian each, processed with ginger) Cangzhu (Atractylodis Rhizoma, soaked in rice water and stir-fried) Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried) Nongpo (Magnoliae Officinalis Cortex, processed with ginger) Zhigancao (Prepared Licorice Root) Fuling (Poria) Renshen (Ginseng Radix) Zexie (Alismatis Rhizoma) Maogen (Imperatae Rhizoma, 2 qian each) Jiangzhi (Ginger Juice, several spoons)
Add two zhong of water, decoct until one zhong remains, add Ginger Juice, boil for one or two rolls, drink in ten-plus portions.
Jiajian Tuoli Xiaodu San (Modified Supporting Interior Detoxification Powder)
If Stomach Qi is deficient, remove Baizhi (Angelicae Dahuricae Radix), Lianqiao (Forsythiae Fructus), Jinyinhua (Lonicerae Japonicae Flos), and add Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Huoxiang (Agastaches Herba).
Tuoli Jianzhong Tang (Supporting Interior Strengthening Middle Decoction)
Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Fuling (Poria, 2 qian each) Banxia (Pinelliae Rhizoma) Paojiang (Prepared Ginger, 1 qian each) Zhigancao (Prepared Licorice Root, 0.5 qian) Huangqi (Astragali Radix, 1.5 qian) Rougui (Cinnamomi Cortex, 0.3 qian)
Decoct with Ginger and Dates in water.
Tuoli Yizhong Tang (Supporting Interior Benefiting Middle Decoction)
Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Chenpi (Citri Reticulatae Pericarpium) Banxia (Pinelliae Rhizoma) Fuling (Poria) Paojiang (Prepared Ginger, 1 qian each) Muxiang (Vladimiriae Radix) Zhigancao (Prepared Licorice Root, 0.5 qian each)
Decoct with Ginger and Dates in water.
Tuoli Yiqing Tang (Supporting Interior Suppressing Green Decoction)
Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Fuling (Poria) Banxia (Pinelliae Rhizoma, 1 qian each) Shaoyao (Paeoniae Radix) Chaihu (Bupleuri Radix) Gancao (Licorice Root, 0.5 qian each) Chenpi (Citri Reticulatae Pericarpium, 1 qian)
Decoct with Ginger and Dates in water.
Tuoli Qingzhong Tang (Supporting Interior Clearing Middle Decoction)
Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Chenpi (Citri Reticulatae Pericarpium) Fuling (Poria, 1 qian each) Banxia (Pinelliae Rhizoma, 0.8 qian) Jiegeng (Platycodonis Radix, 0.7 qian) Gancao (Licorice Root, 0.5 qian)
Decoct with Ginger and Dates in water.
Tuoli Yi Huang Tang (Supporting Interior Benefiting Yellow Decoction)
Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Chenpi (Citri Reticulatae Pericarpium) Fuling (Poria) Banxia (Pinelliae Rhizoma, 1 qian each) Dingxiang (Caryophylli Flos) Zhigancao (Prepared Licorice Root) Paojiang (Prepared Ginger, 0.5 qian each)
Decoct with Ginger and Dates in water.
Tuoli Yueju Tang (Supporting Interior Resolving Depression Decoction)
Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma, 2 qian each) Chenpi (Citri Reticulatae Pericarpium) Banxia (Pinelliae Rhizoma, 1 qian each) Shanzhi (Gardeniae Fructus) Chuanxiong (Ligustici Chuanxiong Rhizoma) Xiangfumi (Cyperi Rhizoma) Cangzhu (Atractylodis Rhizoma, 0.7 qian each) Zhigancao (Prepared Licorice Root, 0.5 qian)
Decoct with Ginger and Dates in water.
Renshen Lizhong Tang (Ginseng Regulate Middle Decoction)
Baizhu (Atractylodis Macrocephalae Rhizoma) Renshen (Ginseng Radix) Ganjiang (Zingiberis Rhizoma) Gancao (Licorice Root, equal parts, prepared by honey-frying)
Decoct with Ginger and Dates in water.
Jiawei Jiedu Tang (Added-Ingredient Detoxification Decoction)
Huangqi (Astragali Radix, stir-fried with salt water) Huanglian (Coptidis Rhizoma, stir-fried) Huangqin (Scutellariae Radix, stir-fried) Huangbai (Phellodendri Cortex, stir-fried) Lianqiao (Forsythiae Fructus) Danggui (Angelicae Sinensis Radix, 0.7 qian each, mixed with wine) Zhigancao (Prepared Licorice Root) Baishaoyao (White Paeoniae Radix) Zhiziren (Gardeniae Semen, 1 qian each, stir-fried)
As one dose, add two zhong of water, decoct until seven parts remain, take. Pain stops immediately after taking the medicine.
Neibu Huangqi Tang (Interior-Nourishing Astragalus Decoction) (See *Xinfa*, Chapter on Swelling and Ulceration)
Danggui Hexue San (Angelica Harmonizing Blood Powder)
Danggui (Angelicae Sinensis Radix, 2 qian) Ruxiang (Olibanum, 0.5 qian) Moyao (Myrrha, 1.5 qian) Baishaoyao (White Paeoniae Radix, 3 qian)
Grind into fine powder. Take 1 qian per dose, add one zhan of water, decoct until seven parts remain, take warm including dregs.
Huichuang Jinyinhua San (Returning Carbuncle Lonicera Powder)
Jinyinhua (Lonicerae Japonicae Flos, including branches and leaves, cut and ground, 2 liang) Huangqi (Astragali Radix, 4 liang) Gancao (Licorice Root, 1 liang)
Cut into pieces. Add one sheng of wine, put into a pot, seal tightly, boil in water for three shichen (6 hours). Remove, strain, and take in one dose. Another formula does not include Huangqi.
Guoshi Dongtong Tuoli San (Gu Family Pain-Stopping Supporting Interior Powder)
Liqiao (Pericarpium Pruni, 2 liang, remove stem and stir-fry) Danggui (Angelicae Sinensis Radix) Baishaoyao (White Paeoniae Radix) Chuanxiong (Ligustici Chuanxiong Rhizoma, 5 qian each) Ruxiang (Olibanum) Moyao (Myrrha) Gui (Cinnamon, 3 qian each)
Cut into pieces. Take 5 qian per dose, decoct with water.
Ruxiang Zhitong San (Olibanum Pain-Stopping Powder)
Liqiao (Pericarpium Pruni, 6 liang, processed) Baizhi (Angelicae Dahuricae Radix, 3 liang) Chenpi (Citri Reticulatae Pericarpium) Zhigancao (Prepared Licorice Root, 1.5 liang each) Ruxiang (Olibanum) Moyao (Myrrha, 1 liang each) Dingxiang (Caryophylli Flos, 5 qian)
Cut into pieces. Take 3 qian per dose, add one and a half zhan of water, decoct.
Ruxiang Huangqi San (Olibanum and Astragalus Powder) (See *Xinfa*, Chapter on Swelling and Ulceration)
Renshen Neituo San (Ginseng Interior-Penetrating Powder)
Renshen (Ginseng Radix) Huangqi (Astragali Radix) Danggui (Angelicae Sinensis Radix) Chuanxiong (Ligustici Chuanxiong Rhizoma) Nongpo (Magnoliae Officinalis Cortex) Fangfeng (Saposhnikoviae Radix) Jiegeng (Platycodonis Radix) Baizhi (Angelicae Dahuricae Radix) Guangui (Cassiae Ramulum) Zicao (Arnebiae Radix) Muxiang (Vladimiriae Radix) Gancao (Licorice Root)
Add a pinch of Nuomi (Glutinous Rice), decoct with water and take.
Ruxiang Wan (Olibanum Pill)
Ruxiang (Olibanum, grind separately) Moyao (Myrrha, grind separately) Qianghuo (Notopterygii Rhizoma et Radix) Wulingzhi (Trogopterori Faeces, 3 qian each) Danggui (Angelicae Sinensis Radix) Zhen Lüdou Fen (True Mung Bean Flour) Jiaozhi Gui (Cortex Cinnamomi Cassiae, 1.5 liang each) Duhuo (Angelicae Pubescentis Radix, 3 qian) Chuanxiong (Ligustici Chuanxiong Rhizoma) Chuan Baizhi (Angelicae Dahuricae Radix) Baijiaoxiang (Elemi Resin, 1.5 liang each)
Grind into fine powder, refine honey to form pills the size of marbles. Take one pill per dose, chew thoroughly, swallow with Mint Tea. For limb injuries and pain, unable to rise, add Caowu (Aconiti Radix Preparata), swallow with Papaya Salt Water.
Ruxiang Dingtong San (Olibanum Stabilizing Pain Powder)
Ruxiang (Olibanum) Moyao (Myrrha, 5 qian each) Hanshuishi (Calcites) Huashi (Talcum, 1 liang each) Bingpian (Borneolum Syntheticum, 1 qian)
Grind into fine powder, apply to the affected area. Pain stops immediately.
Douchi Bing (Fermented Soybean Cake) (See *Xinfa*, Volume 1)
Ruxiang Gao (Olibanum Ointment)
Ruxiang (Olibanum, 1 liang, grind separately) Yan (Salt) Songzhi (Pine Rosin) Xingren (Pruni Semen, remove skin and tip, grind, 1.5 liang each) Shengdi (Rehmanniae Radix, juice, 3 he) Baiyang Shen Zhi (White Goat Kidney Fat, 0.5 jin) Huangla (Yellow Beeswax, 3 liang)
First boil the fat until boiling, add Xingren, Shengdi juice, and wax, simmer until wax melts completely. Add Ruxiang, Yan, and Songzhi, simmer. Stir with Willow Branch until uniform, achieving proper consistency. Store in porcelain box.
Another Ruxiang Gao (Olibanum Ointment)
Mubiezi (Strychni Semen, remove shell and finely cut) Danggui (Angelicae Sinensis Radix, 1 liang each) Liu Zhi (Willow Branch, 2-8 cun long, fry each cun in 4 liang clear oil until black, then use following herbs) Ruxiang (Olibanum) Moyao (Myrrha, 1.5 liang each) Baijiaoxiang (Elemi Resin, clear quality, 4 liang, grind fine and add to oil to melt, filter with cotton seed)
Refine medicinal iron cauldron until extremely clean. Pour previous oil-wax mixture inside. When warm, add Huangdan (Lithargyrum, 1.5 liang). Stir vigorously with two willow branches until well mixed. Return to fire and simmer, stirring constantly. When oil boils and bubbles, stop stirring. Pour into water. Form pearls that do not disperse. In autumn/winter, desire softness; in spring/summer, desire hardness. Pour into water to remove fire toxicity, knead into a mass, and store.
Dongyuan Shengyu Tang (Dongyuan Holy Recovery Decoction)
Shudi (Rehmanniae Radix Preparata) Shengdi (Rehmanniae Radix, 3 qian each) Guishen (Angelicae Sinensis Radix Stem, 1.5 qian) Chuanxiong (Ligustici Chuanxiong Rhizoma, 2 qian) Huangqi (Astragali Radix, 0.5 qian) Renshen (Ginseng Radix, 0.3 qian)
Cut into pieces. As one dose, add one and a half zhan of water, decoct until one zhan remains, strain, take slightly warm, at any time.
Jisheng Xijiao Dihuang Wan (Jisheng Rhinohorn Rehmannia Pills)
Xijiao (Rhino Horn, shaved into powder) Shengdi (Rehmanniae Radix) Chi Shao (Red Paeoniae Radix) Mudanpi (Moutan Cortex, 1.5 qian each) Shengma (Cimicifugae Rhizoma) Huangqin (Scutellariae Radix, 1 qian each, stir-fried)
Decoct with water until cooked, add Xijiao powder and take.
Dushen Tang (Single Ginseng Decoction) (See *Xinfa*, Chapter on Swelling and Ulceration)
Tuoli Xiaodu San Modification Rules
If pus is abundant and bloody, it indicates Blood deficiency. Remove Jinyinhua (Lonicerae Japonicae Flos), Lianqiao (Forsythiae Fructus), Baizhi (Angelicae Dahuricae Radix), and add Danggui (Angelicae Sinensis Radix), Dihuang (Rehmanniae Radix), Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma). If ineffective, use Bazhen Tang (Eight-Treasure Decoction), add Mudanpi (Moutan Cortex).
Neixiao Waxue Tang (Interior-Dissolving Snow-Melting Decoction)
Treats Faback (Back Abscess), internal abscesses of the five Zang organs, swelling of the sacrum and buttocks, large and small intestine abscesses, anal toxic sores. At the initial stage, before pus formation, when hard and painful, intolerable, take this together.
Qingpi (Citri Reticulatae Pericarpium Viride) Chuanshanjia (Manis Squama) Beimu (Fritillariae Bulbus) Chenpi (Citri Reticulatae Pericarpium) Lianqiao (Forsythiae Fructus) Baishao (White Paeoniae Radix) Ruxiang (Olibanum) Moyao (Myrrha) Huangqi (Astragali Radix) Gancao Jie (Licorice Joint) Baizhi (Angelicae Dahuricae Radix) Shegan (Belamcandae Rhizoma) Tianhuafen (Trichosanthis Radix) Jinyinhua (Lonicerae Japonicae Flos) Zhaojiaoci (Gleditsiae Spina, 0.8 qian each) Muxiang (Vladimiriae Radix, 0.4 qian) Danggui (Angelicae Sinensis Radix) Dahuang (Rhei Radix et Rhizoma, 2 qian each)
Add one bowl of water and one bowl of wine, decoct until eight parts remain. Take according to the location of the disease, before or after meals.
Erjiao San (Two Dragons Powder)
Treats Spleen injury caused by cold/raw food or anger, leading to chest/diaphragm tightness, difficult urination, edema of face/eyes and limbs. When other medicines fail, use 3-year-old yellow rice, stir-fried until scorched yellow, made into powder. Purify Mangxiao (Natrii Sulfas), 3 liang, melt in pot, stir-fry dry, make into powder. Mix one level cup of each powder very finely. For robust adults, take 3 qian per dose. For children around 10 years old, take 1.2 qian. Mix with 3 teaspoons of Red Sugar and half a tea cup of boiling water, take on empty stomach. Bowel movement once at noon, once at night. Disease subsides starting from eyelids. For chronic cases with deficient Yuan Qi, alternate with Jiawei Weiling Tang (Modified Tangerina Peel and Pinellia Stomach-Ling Decoction). Severe cases heal within five doses.
Jiedu Mutong Tang (Detoxification Akebia Decoction)
Treats men and women injured by sexual excess or hot medicines, causing itching/pain of penis/vagina, astringent/painful urination, white turbidity/spermatorrhea, nocturnal erection preventing sleep.
Mutong (Akebiae Caulis) Huanglian (Coptidis Rhizoma) Longdancao (Gentianae Radix) Qumai (Dianthi Herba) Huashi (Talcum) Shanzhi (Gardeniae Fructus) Huangbai (Phellodendri Cortex) Zhimu (Anemarrhenae Rhizoma, 1 qian each) Lvhua (Aloe) Gancao (Licorice Root, 0.5 qian each)
Add two zhong of water, two roots of Dengxincao (Junci Medullae), decoct until eight parts remain, take before meals.
Tianjiang San (Heavenly Pulp Powder)
Treats Brain Carbuncle with deepening accumulated toxin, hard/swollen/numb/painful, dry mouth/tongue, nausea/thirst, deep/solid/forceful six pulses, constipation.
Shijueming (Haliotidis Concha, raw grind) Jiangcan (Bombyx Batryticatus) Chuanshanjia (Manis Squama, earth stir-fry) Fangfeng (Saposhnikoviae Radix) Lianqiao (Forsythiae Fructus) Qianghuo (Notopterygii Rhizoma et Radix) Ruxiang (Olibanum) Jinyinhua (Lonicerae Japonicae Flos) Huanglian (Coptidis Rhizoma) Guiwei (Angelicae Sinensis Radix Tail, 1 qian each) Dahuang (Rhei Radix et Rhizoma, 3 qian) Tianhuafen (Trichosanthis Radix, fresh un-dried, 4 liang, pound in stone mortar, add one bowl water, mix, squeeze out dregs).
Use 1.5 bowls of purified Tianhuafen juice, decoct with herbs until eight parts remain, add one cup of wine, take hot on empty stomach. After three bowel movements, then eat. Avoid fried/spicy stimulating foods.
Huangqi Tang (Astragalus Decoction)
Treats Damp-Heat, abscess near knee/thigh, or deep bone abscess, initial swelling/pain. This belongs to Taiyang/Jueyin meridians. Pulse is thin/string-like, forceful/slow upon pressure.
Huangqi (Astragali Radix, stir-fried with salt water) Danggui (Angelicae Sinensis Radix) Chaihu (Bupleuri Radix) Mugua (Chaenomelis Fructus) Lianqiao (Forsythiae Fructus, 1 qian each) Qianghuo (Notopterygii Rhizoma et Radix) Rougui (Cinnamomi Cortex) Shengdihuang (Rehmanniae Radix) Huangbai (Phellodendri Cortex, 0.5 qian each)
Add one zhong of water and one zhong of wine, decoct until half remains, take hot on empty stomach.
Dushen Tang (Single Ginseng Decoction)
Treats ulcers with excessive pus drainage, extreme Qi/Blood deficiency, aversion to cold, spontaneous sweating, cold sweat, cyanotic/cold fingernails/toes, cool body/thin pulse.
Renshen (Ginseng Radix, 2 liang sliced)
Make two doses. Add two zhong of water, ten dates, decoct until one zhong remains, take slowly. If decocted to thick paste, it becomes a膏 (Ointment/Paste). Divide into three doses, dissolve in good warm wine.
Shenyng Yigong San (Divine Response Extraordinary Merit Powder)
Treats ulcers with Yin excess/Yang deficiency, fever/thirst, cold hands/feet, weak/powerless pulse, spontaneous diarrhea. Even drinking boiling water without feeling heat requires this.
Muxiang (Vladimiriae Radix) Guangui (Cassiae Ramulum) Danggui (Angelicae Sinensis Radix) Renshen (Ginseng Radix) Fuling (Poria) Chenpi (Citri Reticulatae Pericarpium) Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian each) Banxia (Pinelliae Rhizoma) Dingxiang (Caryophylli Flos) Roudoukou (Myristicae Semen) Fuzi (Aconiti Lateralis Radix Preparata) Nongpo (Magnoliae Officinalis Cortex, 0.5 qian each)
Add two zhong of water, five slices of Ginger, three dates, decoct until eight parts remain, take at any time. This formula treats Yin-type carbuncles/ulcers, and miscellaneous diseases with Yang collapse or Cold forcing Yang outward, presenting with fever/restlessness/dry mouth/thirst. Using Ginger/Cinnamon/Aconite generates fluids instantly, relieves fever/restlessness instantly. People just don't practice observing this.
Shenzhu Gao (Atractylodes-Ginseng Paste)
Treats carbuncles/back abscesses. After large pus discharge, Qi/Blood is greatly deficient, urgently use this.
High-quality Renshen (Ginseng Radix, 0.5 jin, slice, add five big bowls water, slow fire in silver pot to three bowls, dregs re-decoct to one bowl, filter with honey-silk, re-boil to thick paste, store in porcelain bowl) Yunpian Baizhu (Cloud Slice Atractylodis Macrocephalae Rhizoma, 6 liang) Huaqing Shudi (Huaiqing Rehmanniae Radix Preparata, 6 liang, decoct same method).
After finishing the three pastes, store in porcelain bowls, suddenly place in water, cool, remove, cover tightly. If patient has short spirit, lazy speech/movement, short breath/spontaneous sweat: Ren Shen Gao 3 spoons, Baizhu Gao 2 spoons, Dihuang Gao 2 spoons, dissolve in one cup of good non-grain wine, heat and take. If Spleen Qi weak, poor appetite/indigestion: Baizhu Gao 3 spoons, Ren Shen Gao 2 spoons, Dihuang Gao 1 spoon, dissolve in good hot wine. If waist/knees sore, leg weakness, rough/dry skin/hands/feet: Dihuang Gao 3 spoons, Ren Shen Baizhu Gao 3 spoons each, dissolve. If Qi/Blood/Spleen/Stomach balanced, no bias: Three pastes 2 spoons each, dissolve in hot wine. Take in morning and before bed, naturally strengthens, spirit regenerates, Qi/Blood restores, new flesh grows, wounds close. If wound dangerous, large pus, ensures no complications. Summer heat may spoil paste, divide into two batches. Post-recovery use turns hair black, reverses aging.
Qingyan Lige Tang (Clear Throat Benefit Diaphragm Decoction)
Treats accumulated heat, throat swelling/pain, profuse phlegm, tonsillitis/pharyngitis, laryngeal abscess/tongue swelling, chest/diaphragm discomfort, restlessness/cold drinks, constipation.
Lianqiao (Forsythiae Fructus) Huangqin (Scutellariae Radix) Gancao (Licorice Root) Jiegeng (Platycodonis Radix) Jingjie (Schizonepetae Herba) Fangfeng (Saposhnikoviae Radix) Dangshen (Codonopsis Radix, 1 qian each) Dahuang (Rhei Radix et Rhizoma) Pu-xiao (Natrii Sulfas, 2 qian each)
Add two zhong of water, decoct until eight parts remain, take after meals.
Renshen Wuwei Tang (Ginseng Schisandra Decoction)
Treats Qi/Blood labor injury coughing pus/blood, alternating chills/fever, emaciation/fatigue, all deficiency syndromes.
Renshen (Ginseng Radix) Wuweizi (Schisandrae Fructus) Qianhu (Peucedani Radix) Chenpi (Citri Reticulatae Pericarpium) Baizhu (Atractylodis Macrocephalae Rhizoma) Jiegeng (Platycodonis Radix) Danggui (Angelicae Sinensis Radix) Fuling (Poria) Shudi (Rehmanniae Radix Preparata) Gancao (Licorice Root, 1 qian each) Huangqi (Astragali Radix) Digupi (Lycii Cortex) Sangbaipi (Mori Cortex) Zhike (Aurantii Fructus) Chaihu (Bupleuri Radix, 0.5 qian each)
Add two zhong of water, three slices of Ginger, decoct until eight parts remain, take after meals.
Renzhongbai San (Human Ash Powder)
Treats pediatric mouth canker/moving horse canker, gum rot/black odor, extremely effective.
Ren Zhong Bai (Human Ash, from urine pot, red, 2 liang) Haier Cha (Child's Tea, 1 liang) Huangbai (Phellodendri Cortex) Bohe (Menthae Haplocalycis Herba) Qingdai (Indigo Naturalis, powder 6 qian each) Bingpian (Borneolum Syntheticum, 0.5 qian)
Grind extremely fine. Rinse mouth with warm water first, blow powder onto canker. Use 6-7 times daily. Saliva flowing out is auspicious; saliva absorbing toxin inward is ominous.
Zhenzhu San (Pearl Powder)
Treats chancre skin erosion/rot, unbearable pain, sores with new flesh full but no skin growth. Also burns/scalds with skin erosion/meat rot, continuous pain.
Qing Gang Hua (Blue Vat Flower, 0.5 qian, substitute with Dianhua if unavailable, but inferior) Zhen Zhenzhu (Real Pearl, 1 qian, new/white best, boil in tofu, grind fine) Zhen Qingfen (Real Calomelas, 1 liang)
Grind three ingredients thousand times, fine as flour, store in jar. Chancre initial stage, apply to eroded skin heals immediately. Rot/pain: wash with Gancao Tang, apply mixed with Pig Spinal Cord. Sores not growing skin: sprinkle dry powder, skin grows. Women's vaginal erosion/new marriage internal trauma: apply, extremely effective. Burns/scalds severe pain: apply mixed with Red Ointment.
Puji Xiaodu Yin (Universal Benefit Detoxification Drink)
Treats epidemic chills/high fever, head/face swelling, eyes unable to open, upper panting/throat obstruction, dry mouth/tongue. Commonly called Big Head Plague, other medicines fail. Yuan Dynasty Taihe Year 2, Dongyuan formulated to save people, saved many, called Heavenly Formula.
Huangqin (Scutellariae Radix, wine stir-fry) Huanglian (Coptidis Rhizoma, wine stir-fry, 5 qian each) Renshen (Ginseng Radix, 3 qian) Juhong (Exocarpium Citri Reticulatae) Yuanshen (Scrophulariae Radix) Sheng Gancao (Raw Licorice Root) Jiegeng (Platycodonis Radix) Chaihu (Bupleuri Radix, 2 qian each) Bo Heye (Thin Lotus Leaf) Lianqiao (Forsythiae Fructus) Niubangzi (Arctii Fructus) Mapibo (Plantago Seed, 1 qian each) Bai Jiangcan (White Silkworm, stir-fried) Shengma (Cimicifugae Rhizoma, 0.7 qian each)