夫痈有脓者。由寒气搏于肌肉。致血气结聚。乃成痈也。凡痈不瘥。不复可消者。若按
之都牢强者。未有脓也。按之半强半软者。有脓也。又手掩上不热者为无脓。若热甚者有脓
也。
治痈疽一切疮肿。托里排脓散方。
木香（一分） 黄 （三分锉） 白蔹（一分） 占斯（一分） 芎 （一分） 当归
（一分锉微
炒） 细
甘草（一
分炙微
上件药。捣细罗为散。每于食前。甘草酒下一钱。
治痈肿。消脓占斯散方。
占斯（半两） 桂心（半两） 人参（半两去芦头） 细辛（半两） 败酱（半两） 干
姜（半两
炮裂锉）
两去粗皮
涂生姜微
上件药。捣细罗为散。每于食前。以温酒调下二钱。
治诸痈肿。疮中疼痛。脓血不绝。蘧麦散方。
蘧麦（一两） 白芷（一两） 黄 （二两锉） 当归（一两锉微炒） 细辛（一两） 赤
芍药（
一两） 芎 （一两） 赤小豆（一两捣末以酒浸铜器中熬令干） 薏苡仁（一两）
上件药。捣细罗为散。不计时候。以温酒调下二钱。渐生肌肉。
治痈疽赤肿疼痛。未得脓溃。贴成脓雄黄散方。
雄黄（三分细研） 麝香（一两细研） 木香（半两） 川大黄（三分） 黄连（一两）
白芷（
三分
两） 麒麟
竭（三
上件药。捣细罗为散。用腊月猪脂调令匀。涂于绢上。贴肿处。候脓溃后。即用膏药搜
脓生肌。
治痈疽赤肿。未得脓溃。化脓止痛龙骨散方。
龙骨（一两） 川大黄（半两生用） 白蔹（半两） 黄 （半两锉） 黄芩（半两） 白
芨（半
两） 牡蛎（半两烧为粉） 雌黄（半两细研） 甘草（半两） 芎 （半两）
上件药。捣细罗为散。用猪胆调令如膏。摊于帛上涂贴。取穴为度。
治痈肿疽疮等。热毒炽盛不散。已成脓溃。疼痛不可忍。止痛搜脓当归散方。
当归（一两） 羊桃根（一两锉） 桂心（半两） 白蔹〔半（一）两〕 木香（半两）
丁香（半
两） 榆白皮（一两锉） 汉防己（一两）
上件药。捣细罗为散。用醋浆水调如膏。贴于肿上。干即易之。
治痈肿已作脓。宜服大黄散方。
川大黄（一两） 当归（一两） 细辛（半两） 木通（一两锉） 芎 （一两） 黄
连（一两）
赤芍药（一两） 黄 （一两锉） 白芨（一两）
上件药。捣细罗为散。每用鸡子白和。涂于故细布上。以贴肿处。燥复易之。
治痈肿恶疮。排脓黄 散方。
黄 （一两半锉） 白蔹（一两） 赤芍药（一两） 芎 （一两） 赤小豆（一两） 附
子（半
两） 羊桃根（半两锉） 茹（半两） 牡蒙（半两）
上件药。捣细罗为散。用鸡子白调贴之。干即易之。
治痈肿恶疮。生肌后。用力劳动。努伤。出血不止。麒麟竭散方。
麒麟竭（半两） 黄连（三分） 槟榔（半两） 黄柏（半两锉） 白芨（半两） 诃
黎勒皮（一
分）
上件药。捣细罗为散。用鸡子白调涂疮口上。以白薄纸贴定。药干落即换。勿用力。忌
着水。
治痈肿恶疮中脓水。及新疮口未干。宜用此散令干方。
黄丹（二两） 定粉（二两） 白矾（二两）
上件药。研入瓷瓶子内。纳盐泥固济。慢火 令干。后即用大火 通赤。候冷将出
。细研敷疮。
治痈肿穴后。恶疮脓水虽减。肌肉不生。宜用此方。
密陀僧（一两半） 黄连（一两去须） 槟榔（三分）
上件药。捣细罗为散。日三贴之。
治痈肿恶疮。内脓不止方。
上用 皮烧灰细研。纳疮孔中。
When a carbuncle (Yong) has formed pus, it is caused by cold pathogenic qi invading the muscles, leading to the stagnation and accumulation of Qi and blood, thereby forming the carbuncle. For any carbuncle that fails to heal and cannot be resolved through dispersal methods: if palpation reveals a firm and hard texture, no pus has formed; if palpation reveals a texture that is half-hard and half-soft, pus has formed. Additionally, if covering the lesion with the hand does not produce heat, there is no pus; if significant heat is felt, pus has formed.
Formula for Tuo Li Pai Nong San (Supporting Interior and Expelling Pus Powder) to treat all types of carbuncles, ulcers, sores, and swellings:
Mu Xiang (Costus Root), 1 fen; Huang Qi (Astragalus Root), 3 fen, sliced; Bai Lian (Belamcanda Rhizome), 1 fen; Dou Kou (Cardamom Fruit), 1 fen; Chuan Xiong (Ligusticum Rhizome), 1 fen; Dang Gui (Angelica Sinensis Root), 1 fen, sliced and lightly stir-fried; Xi Xin (Asarum Root); Gan Cao (Licorice Root), 1 fen, honey-fried and lightly stir-fried.
Grind the above ingredients into a fine powder. Take 1 qian before meals, administered with Gan Cao wine.
Formula for Xiao Nong Dou Kou San (Eliminating Pus Cardamom Powder) to treat carbuncle swelling:
Dou Kou (Cardamom Fruit), 0.5 liang; Gui Xin (Cinnamon Twig Heart), 0.5 liang; Ren Shen (Ginseng Root), 0.5 liang, rhizome removed; Xi Xin (Asarum Root), 0.5 liang; Bai Jiang Cao (Patrinia Root), 0.5 liang; Gan Jiang (Dried Ginger), 0.5 liang, processed until cracked and sliced.
Grind the above ingredients into a fine powder. Take 2 qian before meals, mixed with warm wine.
Formula for Qu Mai San (Polygonum Aviculare Powder) to treat various carbuncle swellings, pain within the sore, and continuous discharge of pus and blood:
Qu Mai (Polygonum Aviculare Herb), 1 liang; Bai Zhi (Angelica Dahurica Root), 1 liang; Huang Qi (Astragalus Root), 2 liang, sliced; Dang Gui (Angelica Sinensis Root), 1 liang, sliced and lightly stir-fried; Xi Xin (Asarum Root), 1 liang; Chi Shao Yao (Red Peony Root), 1 liang; Chuan Xiong (Ligusticum Rhizome), 1 liang; Chi Xiao Dou (Adzuki Bean), 1 liang, ground into powder, soaked in wine in a copper vessel, and roasted until dry; Yi Yi Ren (Coix Seed), 1 liang.
Grind the above ingredients into a fine powder. Take 2 qian at any time, mixed with warm wine. This promotes gradual muscle regeneration.
Formula for Xiong Huang San (Realgar Powder) applied externally to promote pus formation in red, swollen, painful carbuncles and ulcers that have not yet ruptured:
Xiong Huang (Realgar), 3 fen, finely ground; She Xiang (Musk), 1 liang, finely ground; Mu Xiang (Costus Root), 0.5 liang; Chuan Da Huang (Rhubarb Root), 3 fen; Huang Lian (Coptis Rhizome), 1 liang; Bai Zhi (Angelica Dahurica Root), 3 fen; [Text missing]; Qi Lin Jie (Dragon's Blood), [Text missing].
Grind the above ingredients into a fine powder. Mix with lard rendered in the twelfth lunar month until uniform. Apply onto silk fabric and paste over the swollen area. After pus ruptures, immediately apply ointment to extract pus and generate flesh.
Formula for Long Gu San (Dragon Bone Powder) to resolve pus and relieve pain in red, swollen carbuncles and ulcers that have not yet ruptured:
Long Gu (Fossilized Bones), 1 liang; Chuan Da Huang (Rhubarb Root), 0.5 liang, raw use; Bai Lian (Belamcanda Rhizome), 0.5 liang; Huang Qi (Astragalus Root), 0.5 liang, sliced; Huang Qin (Scutellaria Root), 0.5 liang; Bai Ji (Bletilla Rhizome), 0.5 liang; Mu Li (Oyster Shell), 0.5 liang, calcined into powder; Ci Huang (Orpiment), 0.5 liang, finely ground; Gan Cao (Licorice Root), 0.5 liang; Chuan Xiong (Ligusticum Rhizome), 0.5 liang.
Grind the above ingredients into a fine powder. Mix with pig bile to form a paste. Spread on cloth and apply topically. Determine dosage based on acupoint selection.
Formula for Dang Gui San (Angelica Sinensis Powder) to stop pain and extract pus in carbuncles, ulcers, and sores where heat-toxin is intense and undispersed, already ruptured with unbearable pain:
Dang Gui (Angelica Sinensis Root), 1 liang; Yang Tao Gen (Root of Prunus Persica or similar), 1 liang, sliced; Gui Xin (Cinnamon Twig Heart), 0.5 liang; Bai Lian (Belamcanda Rhizome), 1 liang; Mu Xiang (Costus Root), 0.5 liang; Ding Xiang (Clove), 0.5 liang; Yu Bai Pi (Inner Bark of Elm), 1 liang, sliced; Han Fang Ji (Stephania Tetrandra Root), 1 liang.
Grind the above ingredients into a fine powder. Mix with vinegar-water to form a paste. Apply to the swelling. Replace when dry.
Formula for Da Huang San (Rhubarb Powder) suitable for internal administration when carbuncle swelling has formed pus:
Chuan Da Huang (Rhubarb Root), 1 liang; Dang Gui (Angelica Sinensis Root), 1 liang; Xi Xin (Asarum Root), 0.5 liang; Mu Tong (Akebia Stem), 1 liang, sliced; Chuan Xiong (Ligusticum Rhizome), 1 liang; Huang Lian (Coptis Rhizome), 1 liang; Chi Shao Yao (Red Peony Root), 1 liang; Huang Qi (Astragalus Root), 1 liang, sliced; Bai Ji (Bletilla Rhizome), 1 liang.
Grind the above ingredients into a fine powder. Mix with egg white for topical application on old fine cloth, pasted over the swollen area. Replace when dry.
Formula for Huang Qi San (Astragalus Powder) to expel pus from carbuncles and malignant sores:
Huang Qi (Astragalus Root), 1.5 liang, sliced; Bai Lian (Belamcanda Rhizome), 1 liang; Chi Shao Yao (Red Peony Root), 1 liang; Chuan Xiong (Ligusticum Rhizome), 1 liang; Chi Xiao Dou (Adzuki Bean), 1 liang; Fu Zi (Prepared Aconite Root), 0.5 liang; Yang Tao Gen (Root of Prunus Persica or similar), 0.5 liang, sliced; Ru Cao (Resin/Herb), 0.5 liang; Mu Meng (Plant Name), 0.5 liang.
Grind the above ingredients into a fine powder. Mix with egg white for topical application. Replace when dry.
Formula for Qi Lin Jie San (Dragon's Blood Powder) for malignant sores after flesh generation, where strenuous labor causes injury and uncontrollable bleeding:
Qi Lin Jie (Dragon's Blood), 0.5 liang; Huang Lian (Coptis Rhizome), 3 fen; Bing Lang (Areca Seed), 0.5 liang; Huang Bo (Phellodendron Bark), 0.5 liang, sliced; Bai Ji (Bletilla Rhizome), 0.5 liang; He Li Le Pi (Pericarp of Terminalia Chebula), 1 fen.
Grind the above ingredients into a fine powder. Mix with egg white and apply to the wound. Cover with thin white paper. Replace when the medicine falls off. Avoid exertion and keep away from water.
Formula to dry exudate from carbuncles and malignant sores, and to dry new wounds:
Huang Dan (Lead Monoxide), 2 liang; Ding Fen (Basic Lead Carbonate), 2 liang; Bai Fan (Alum), 2 liang.
Grind the ingredients and place in a porcelain bottle. Seal tightly with salt mud. Dry slowly over low fire, then roast intensely over high fire until red-hot. Allow to cool, remove, grind finely, and apply to the sore.
Formula to promote muscle growth when pus has decreased but tissue fails to regenerate after ulceration:
Mi Tuo Seng (Litharge), 1.5 liang; Huang Lian (Coptis Rhizome), 1 liang, fibrous parts removed; Bing Lang (Areca Seed), 3 fen.
Grind the above ingredients into a fine powder. Apply three times daily.
Formula to stop internal pus discharge from carbuncles and malignant sores:
Take the bark of [Text missing], burn to ash, grind finely, and insert into the wound opening.