夫痈者。由寒气客于肌肉。血气结聚。乃成痈也。痈溃之后。有逆顺。其眼白睛青黑。
而眼
音嘶
引饮
通。
治痈溃后。补虚去客热。黄 散方。
黄 （二两锉） 知母（一两） 石膏（二两） 白芍药（一两） 麦门冬（一两去心）
甘草（
半两炙微赤锉） 白茯苓（一两） 桂心（一两） 川升麻（一两） 熟干地黄（一两） 人
参（一两
去芦
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。温服，日三四服。
治痈肿已溃后。结强。宜拓白蔹汤方。
白蔹（一两） 黄芩（一两） 赤芍药（一两） 丹参（一两）
上件药。细锉。以水三升。煮至一升半。以帛浸拓肿上。频频换之。
治痈已溃后。散肿气。栀子散方。
栀子仁（一两） 川大黄（一两） 黄连（一两去须） 白芨（一两） 牡蛎（一两） 白
蔹（一
两） 木通（一两锉） 川升麻（一两） 黄芩（一两）
上件药。捣细罗为散。每用。以鸡子白调。涂故帛上贴肿处。燥复易之。
治痈已溃。黄连散方。
黄连（一两去须） 黄柏（一两锉） 地榆（一两锉） 白芷（一两）
上件药。捣细罗为散。每用。以鸡子白调。涂故细布上贴之。
治痈疮已溃。白芷散方。
白芷（一两） 黄连（一两去须） 地榆（一两锉）
上件药。捣细罗为散。每用。以鸡子白调。涂布上贴疮。日三四度换之。
治诸痈溃后。生楸叶贴方。
上取生楸叶十重贴之。以布缓裹。勿令急也。日三易。止痛消肿。蚀脓血良。
治痈肿溃后。脓不断。及诸物刺伤。疮不瘥方。
硫黄（半两细研）
上以筋一只。锤令头碎。温之。点硫黄刺疮孔中。日三用之。以疮瘥为止。
治痈疮。溃后烂方。
上取陈久酱汁和面。拓疮上。日三易之。
治痈肿溃后。脓流不尽。或更移结肿。松脂封方。
上以松脂蜡等分。同溶成汁。蜜封之良。
Carbuncle (Yong) arises from cold pathogenic qi invading the muscles, causing blood and qi to stagnate and accumulate, thereby forming a carbuncle. After a carbuncle ulcerates, the prognosis can be favorable or unfavorable. If the whites of the eyes appear blue-black, the voice is hoarse, there is incessant drinking, and the pulse is obstructed, these are signs of an unfavorable prognosis.
**Huangqi San Powder** for treating post-ulceration carbuncles, to tonify deficiency and clear exogenous heat:
* Huangqi (Radix Astragali) [2 liang, cut into pieces]
* Zhi Mu (Rhizoma Anemarrhenae) [1 liang]
* Shigao (Gypsum Fibrosum) [2 liang]
* Baishao Radix Paeoniae Alba) [1 liang]
* Maimendong (Radix Ophiopogonis) [1 liang, heart removed]
* Gancao (Radix Glycyrrhizae) [0.5 liang, honey-fried until slightly reddish, cut into pieces]
* Bai Fuling (Poria) [1 liang]
* Guixin (Cortex Cinnamomi) [1 liang]
* Chuan Shengma (Rhizoma Cimicifugae) [1 liang]
* Shu Dihuang (Prepared Radix Rehmanniae) [1 liang]
* Renshen (Radix Ginseng) [1 liang, rhizome removed]
Crush the above ingredients coarsely and sieve them to make a powder. Take 4 qian per dose. Add one zhong of water, decoct until reduced to 6 fen, strain, and take warm. Administer three to four times daily.
**Bailian Tang Decoction** for treating stiffness after the ulceration of carbuncles/swellings:
* Bailian (Radix Ampelopsis) [1 liang]
* Huangqin (Radix Scutellariae) [1 liang]
* Chi Shaoyao (Radix Paeoniae Rubra) [1 liang]
* Danshen (Radix Salviae Miltiorrhizae) [1 liang]
Cut the above ingredients finely. Add three sheng of water, boil until reduced to one and a half sheng. Soak a silk cloth in the liquid and apply it as a compress to the swollen area, changing frequently.
**Zhizi San Powder** for dissipating swelling qi after a carbuncle has ulcerated:
* Zhiren (Semen Gossypii Herbacei - specifically the kernel inside the seed pod, often interpreted as Gardenia Fruit here given context of clearing heat, but literal translation is Gardenia Seed/Kernel if referring to Zhizi Ren. Note: In Song dynasty texts, Zhiren usually refers to the seed of Gardenia jasminoides. Let's use Gardenia Fruit/Seed appropriately. WHO term for Zhizi is Fructus Gardeniae. Zhiren is the seed.) -> *Correction*: Zhiren (Semen Gardeniae) [1 liang]
* Chuan Dahuang (Radix et Rhizoma Rhei) [1 liang]
* Huanglian (Rhizoma Coptidis) [1 liang, fibers removed]
* Baiji (Tuber Bletillae) [1 liang]
* Muli (Concha Ostreae) [1 liang]
* Bailian (Radix Ampelopsis) [1 liang]
* Mutong (Caulis Akebiae) [1 liang, cut into pieces]
* Chuan Shengma (Rhizoma Cimicifugae) [1 liang]
* Huangqin (Radix Scutellariae) [1 liang]
Crush the above ingredients finely and sieve them to make a powder. For each application, mix with egg white, apply to an old cloth, and paste onto the swollen area. Change when dry.
**Huanglian San Powder** for treating ulcerated carbuncles:
* Huanglian (Rhizoma Coptidis) [1 liang, fibers removed]
* Huangbai (Cortex Phellodendri) [1 liang, cut into pieces]
* Diyü (Radix Sanguisorbae) [1 liang, cut into pieces]
* Baizhi (Radix Angelicae Dahuricae) [1 liang]
Crush the above ingredients finely and sieve them to make a powder. For each application, mix with egg white, apply to old fine cloth, and paste onto the wound.
**Baizhi San Powder** for treating ulcerated carbuncles sores:
* Baizhi (Radix Angelicae Dahuricae) [1 liang]
* Huanglian (Rhizoma Coptidis) [1 liang, fibers removed]
* Diyü (Radix Sanguisorbae) [1 liang, cut into pieces]
Crush the above ingredients finely and sieve them to make a powder. For each application, mix with egg white, apply to cloth, and paste onto the sore. Change three to four times daily.
**Fresh Qiuye Paste** for various ulcerated carbuncles:
Take ten layers of fresh leaves from the Paulownia tree (Qiye), apply to the affected area, and wrap loosely with cloth. Do not bind tightly. Change three times daily. This alleviates pain, reduces swelling, and effectively removes pus and blood.
**Formula for continuous pus discharge after ulceration, injury by foreign objects, and non-healing wounds:**
* Liuhuang (Sulfur) [0.5 liang, finely ground]
Take one tendon, hammer its head until fragmented, warm it, and dip it into the sulfur powder to apply into the wound hole. Use three times daily. Continue until the wound heals.
**Formula for rotting after ulceration of carbuncles sores:**
Mix aged soy sauce with flour, apply as a compress to the sore, and change three times daily.
**Songzhi Seal** for incomplete drainage of pus after ulceration or recurrent localized swelling:
Melt equal parts of Pine Resin (Songzhi) and Beeswax together into a liquid. Seal the wound with honey; this is effective.