夫痈内虚者。由体虚受寒。寒客于经络。血脉不涩。热气蕴积。结聚。或痈结热不散。
热气内迫于心。故心虚热。则惊不定也。
治痈内虚不定。脓水不绝。四肢乏弱。不能饮食。久不瘥。必为内漏。宜服黄 散
方。
黄 （一两锉） 山茱萸（半两） 五味子（半两） 白茯苓（三分） 当归（半两锉
碎微炒）
附子（一两炮裂去皮脐） 石斛（三分去皮） 地脉（半两） 远志〔二（一）两去心〕 巴
戟（一
两） 肉苁蓉（一两酒浸一宿锉去皱皮炙令干） 人参（三分去芦头） 菟丝子（半两酒浸
三日曝
干别捣为末） 麦门冬（一两去心） 石斛（半两去心） 白芍药（三分） 芎 （半两） 熟
干地
黄（一两） 甘草（三分炙微赤锉
上件药。捣细罗为散。每服。以荆芥汤调下二钱。日三四服。
治痈疽内虚不足。人参散方。
人参（一两去芦头） 黄 （二两锉） 甘草（半两炙微赤锉） 当归（半两锉碎微炒）
白芍
药（半两） 熟干地黄（二两） 白茯苓（一两） 桂心（半两） 枸杞子（一两） 白术
（一两）
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。枣三枚。
煎至六分。去滓。不计时候温服。
治痈疽发背发乳。大去脓血后。内虚少气。熟地黄散方。
熟干地黄（一两） 黄 （一两锉） 人参（一两去芦头） 当归（半两锉碎微炒） 芎
（二
两）
（一两去
心）
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
温服。日三四服。
治痈疽溃散。脓出太多。内虚少力。不食。宜服内补散方。
黄 （一两锉） 麦门冬（一两去心） 芎 （一两） 白茯苓（一两） 桂心（半两）
远志（
半
两）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。枣三枚。
煎至六分。去滓。不计时候温服。
治大疮热已退。脓血不止。疮中肉虚疼痛。防风散方。
防风（一两去芦头） 白茯苓（一两） 白芷（一两） 桔梗（一两去芦头） 远志（半
两去心）
甘草（半两炙微赤锉） 人参（一两去芦头） 芎 （一两） 当归（一两锉微炒） 黄
（一两
锉）
涂生姜汁
炙令
上件药。捣细罗为散。每服。以黄 汤调下二钱。日三四服。
治痈发背。脓血不止。内虚。宜服排脓生肌散方。
当归（半两锉微炒） 黄 （半两锉） 人参（一两去芦头） 芎 （半两） 浓朴（一
两去粗
皮涂生姜汁炙令香熟） 防风（半两去芦头） 白芷（半两） 桔梗（半两去芦头） 甘草
（半两炙
微赤
上件药。捣细罗为散。每服。以木香汤调下二钱。日三四服。
治痈。脓血至甚。不生肌肉。内补五香丸方。
沉香（一两） 薰陆香（一两） 木香（一两） 藿香（一两） 丁香（一两） 续断
（一两） 熟
干地黄（二两） 白芍
两半去粗
皮涂生姜汁炙令香熟）
两）
虎胫骨（二两涂酥炙令
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以黄 汤下三十丸。
治痈经年不瘥。脓血出过多不止。宜服补虚。肉苁蓉散方。
肉苁蓉〔一（二）两酒浸一宿刮去皱皮炙令干〕 干姜（半两炮裂锉） 地脉（三分） 菟
丝
子（三分酒浸三日曝干则别捣为末） 巴戟（一两） 远志（一两去心） 人参（一两去芦
头） 甘
草（一两炙微赤锉） 麦门冬（一两去心） 石苇（一两去心） 白芍药（一两） 桂心（一
两） 芎
（一两） 熟干地黄〔二（一）两〕 山茱萸（一两） 五味子（一两） 当归（一两锉
微炒） 附
子（半两炮裂去皮脐） 白
上件药。捣细罗为散。每于食前。以荆芥汤调下二钱。
For carbuncles with internal deficiency, the etiology lies in a constitutionally weak body contracting cold pathogens. The cold lodges in the meridians and collaterals, causing blood vessels to become stagnant (原文“不涩”在此语境下指气血凝滞). Heat qi accumulates and knots together. Alternatively, if the heat toxin of the carbuncle does not dissipate, the heat qi forces inward upon the Heart, resulting in Heart Qi deficiency with heat, manifesting as palpitations and restlessness.
To treat carbuncles with internal deficiency, restlessness, continuous discharge of pus and water, weakness of the four limbs, inability to eat, chronic non-healing which inevitably progresses to internal fistula (internal leakage), Huang San Powder is indicated.
Huangqi (Astragali Radix, 1 liang, crushed), Shanzhuyu (Corni Fructus, 0.5 liang), Wuweizi (Schisandrae Fructus, 0.5 liang), Baifuling (Poria, 3 qian), Danggui (Angelicae Sinensis Radix, 0.5 liang, crushed and lightly stir-fried), Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, processed until cracked, peel and umbilicus removed), Shihu (Dendrobii Caulis, 3 qian, peel removed), Digupi (Cortex Lycii Radicis, 0.5 liang; note: text says "Dimai", likely referring to Cortex Lycii Radicis or similar based on context), Yuanzhi (Polygalae Radix, 2 liang, heart removed), Bajitian (Morindae Officinalis Radix, 1 liang), Rongcroung (Cynomorii Herba, 1 liang, soaked in wine overnight, crushed, wrinkled skin removed, dried by roasting), Renshen (Ginseng Radix, 3 qian, rhizome removed), Tusizi (Cuscutae Semen, 0.5 liang, soaked in wine for three days, sun-dried, separately pounded into powder), Maimendong (Ophiopogonis Tuber, 1 liang, heart removed), Shihu (Dendrobii Caulis, 0.5 liang, heart removed), Baishaoyao (Paeoniae Radix Alba, 3 qian), Xiongnu (Ligustici Chuanxiong Rhizoma, 0.5 liang), Shudihuang (Rehmanniae Radix Praeparata, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 3 qian, roasted until slightly reddish, crushed).
The above herbs are finely pounded and sieved to make a powder. Each dose consists of 2 qian, taken with Jingjie Decoction (Schizonepetae Herba Decoction) for mixing, three to four times daily.
Ren Shen San Formula for treating carbuncles and sores with internal deficiency and insufficiency.
Renshen (Ginseng Radix, 1 liang, rhizome removed), Huangqi (Astragali Radix, 2 liang, crushed), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, roasted until slightly reddish, crushed), Danggui (Angelicae Sinensis Radix, 0.5 liang, crushed and lightly stir-fried), Baishaoyao (Paeoniae Radix Alba, 0.5 liang), Shudihuang (Rehmanniae Radix Praeparata, 2 liang), Baifuling (Poria, 1 liang), Guixin (Cinnamomi Ramulus, 0.5 liang), Gouqizi (Lycii Fructus, 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang).
The above herbs are pounded and sieved to make a powder. Each dose consists of 4 qian. Add one zhong of water, half a fen of fresh ginger, and three dates. Decoct until reduced to six parts, remove the dregs, and take warm at any time.
Shu Dihuang San Formula for treating back carbuncles (Fa Bei) and breast carbuncles (Fa Ru) after significant discharge of pus and blood, presenting with internal deficiency and shortness of breath.
Shudihuang (Rehmanniae Radix Praeparata, 1 liang), Huangqi (Astragali Radix, 1 liang, crushed), Renshen (Ginseng Radix, 1 liang, rhizome removed), Danggui (Angelicae Sinensis Radix, 0.5 liang, crushed and lightly stir-fried), Xiongnu (Ligustici Chuanxiong Rhizoma, 2 liang), Yuanzhi (Polygalae Radix, 1 liang, heart removed).
The above herbs are pounded and sieved to make a powder. Each dose consists of 4 qian. Add one zhong of water, half a fen of fresh ginger, and three dates. Decoct until reduced to six parts, remove the dregs, take warm, three to four times daily.
Nei Bu San Formula for treating ulcerated and spreading carbuncles and sores with excessive pus discharge, leading to internal deficiency, lack of strength, and anorexia.
Huangqi (Astragali Radix, 1 liang, crushed), Maimendong (Ophiopogonis Tuber, 1 liang, heart removed), Xiongnu (Ligustici Chuanxiong Rhizoma, 1 liang), Baifuling (Poria, 1 liang), Guixin (Cinnamomi Ramulus, 0.5 liang), Yuanzhi (Polygalae Radix, 0.5 liang).
The above herbs are coarsely pounded and sieved to make a powder. Each dose consists of 4 qian. Add one zhong of water, half a fen of fresh ginger, and three dates. Decoct until reduced to six parts, remove the dregs, and take warm at any time.
Fang Feng San Formula for treating large sores where heat has subsided but pus and blood continue to flow, with deficient and painful flesh in the wound.
Fangfeng (Saposhnikoviae Radix, 1 liang, rhizome removed), Baifuling (Poria, 1 liang), Baizhi (Angelicae Dahuricae Radix, 1 liang), Jiegeng (Platycodonis Radix, 1 liang, rhizome removed), Yuanzhi (Polygalae Radix, 0.5 liang, heart removed), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, roasted until slightly reddish, crushed), Renshen (Ginseng Radix, 1 liang, rhizome removed), Xiongnu (Ligustici Chuanxiong Rhizoma, 1 liang), Danggui (Angelicae Sinensis Radix, 1 liang, crushed and lightly stir-fried), Huangqi (Astragali Radix, 1 liang, crushed, coated with fresh ginger juice and roasted until fragrant).
The above herbs are finely pounded and sieved to make a powder. Each dose consists of 2 qian, taken with Huangqi Decoction for mixing, three to four times daily.
Pai Nong Sheng Ji San Formula for treating back carbuncles with continuous pus and blood discharge and internal deficiency.
Danggui (Angelicae Sinensis Radix, 0.5 liang, crushed and lightly stir-fried), Huangqi (Astragali Radix, 0.5 liang, crushed), Renshen (Ginseng Radix, 1 liang, rhizome removed), Xiongnu (Ligustici Chuanxiong Rhizoma, 0.5 liang), Houpo (Magnoliae Officinalis Cortex, 1 liang, coarse bark removed, coated with fresh ginger juice and roasted until fragrant), Fangfeng (Saposhnikoviae Radix, 0.5 liang, rhizome removed), Baizhi (Angelicae Dahuricae Radix, 0.5 liang), Jiegeng (Platycodonis Radix, 0.5 liang, rhizome removed), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, roasted until slightly reddish).
The above herbs are finely pounded and sieved to make a powder. Each dose consists of 2 qian, taken with Muxiang Decoction (Aucklandiae Radix Decoction) for mixing, three to four times daily.
Nei Bu Wu Xiang Wan Formula for treating carbuncles with severe pus and blood loss, failure of muscle regeneration, and internal deficiency.
Chenxiang (Aquilariae Lignum Resinatum, 1 liang), Xunluxiang (Olibanum, 1 liang), Muxiang (Aucklandiae Radix, 1 liang), Huoxiang (Pogostemonis Herba, 1 liang), Dingxiang (Caryophylli Flos, 1 liang), Xuduan (Dipsaci Radix, 1 liang), Shudihuang (Rehmanniae Radix Praeparata, 2 liang), Baishaoyao (Paeoniae Radix Alba, 1.5 liang, coarse bark removed, coated with fresh ginger juice and roasted until fragrant), Hu Jinggu (Tigris Ossis [Note: Modern usage substitutes this due to conservation laws]), 2 liang, coated with butter and roasted until yellow).
The above herbs are pounded into powder, mixed with refined honey, and pounded 300-200 times. Form pills the size of paulownia seeds. Take 30 pills before meals with Huangqi Decoction.
Rongcroung San Formula for treating carbuncles that have not healed for years, with excessive and continuous pus and blood discharge, indicating a need to tonify deficiency.
Rongcroung (Cynomorii Herba, 2 liang, soaked in wine overnight, wrinkled skin scraped off, dried by roasting), Ganjiang (Zingiberis Rhizoma, 0.5 liang, processed until cracked, crushed), Digupi (Cortex Lycii Radicis, 3 qian), Tusizi (Cuscutae Semen, 3 qian, soaked in wine for three days, sun-dried, separately pounded into powder), Bajitian (Morindae Officinalis Radix, 1 liang), Yuanzhi (Polygalae Radix, 1 liang, heart removed), Renshen (Ginseng Radix, 1 liang, rhizome removed), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, roasted until slightly reddish, crushed), Maimendong (Ophiopogonis Tuber, 1 liang, heart removed), Shiwei (Pyri Folium, 1 liang, heart removed), Baishaoyao (Paeoniae Radix Alba, 1 liang), Guixin (Cinnamomi Ramulus, 1 liang), Xiongnu (Ligustici Chuanxiong Rhizoma, 1 liang), Shudihuang (Rehmanniae Radix Praeparata, 1 liang), Shanzhuyu (Corni Fructus, 1 liang), Wuweizi (Schisandrae Fructus, 1 liang), Danggui (Angelicae Sinensis Radix, 1 liang, crushed and lightly stir-fried), Fuzi (Aconiti Lateralis Radix Praeparata, 0.5 liang, processed until cracked, peel and umbilicus removed), Baifuling (Poria, 1 liang).
The above herbs are finely pounded and sieved to make a powder. Each dose consists of 2 qian, taken before meals with Jingjie Decoction (Schizonepetae Herba Decoction) for mixing.