夫痈疽者。由阴阳不和。气血否涩。积蓄热毒。在于脏腑。不得宣通。攻于肌肉皮肤。
而成
夫水
治痈疽发背。初觉似有。即速服药取通利。兼用木通汤淋射方。
木通〔二（一）斤〕 白杨皮（一斤） 川升麻（半斤） 露蜂房（四两） 赤芍药（半
斤） 甘
草（半斤）
上件药。都锉。以水三斗。煮取一斗。滤去滓。适大热。用注觜瓶两三枚。更互盛汤
。高抬手注射肿处。忽令间断。可一食久。次用暖水注射一食久。即解散热气。
治痈疽发背。先穿破。出脓水不住。伤外风。毒 肿疼痛。淋洗。当归汤方。
当归（一两） 甘草（一两） 赤芍药（一两） 葛根（一两） 细辛 黄柏（一两） 麻
黄（一
两去根节） 苦辛（一两） 白芷（一两） 肉桂（一两） 汉椒（一两） 防风（一两去
芦头）
上件药。用水洗。细锉焙干。分为四度。每度。以水五升。煎取三升。温暖洗疮。汤冷
即住。以热巾拭。宜用别膏贴之。
治痈肿及一切疮。或烦疼浸淫。宜用猪蹄汤浇淋方。
猪蹄（一对去毛净洗） 芎 （一两） 赤芍药（一两） 川升麻（一两） 甘草（一
两） 蛇床
子（一两） 川大黄（一两） 蒴 （一两） 槐白皮（一两）
上件药。都锉。先以水二斗。煮猪蹄取一斗。漉去猪蹄。下诸药。煎取六升。去滓。适
寒温。浇淋疮。以汤冷为度。拭干。别用敷药。
治发背痈疽。穿穴时久。坏烂。恶气不可近。出骨露筋。余毒未解。攻刺疼痛不可
忍。
黄连（一两） 地骨皮（一两） 羌活（一两） 防风（一两去芦头） 木通（一两） 甘
草（一
两） 白芷（一两）
本（一两）
黄（一两锉）
矾（一两）
葱白（一两） 麻黄
上件药。细锉。分为七贴。每贴。用水三升。煎取二升。去滓。温暖淋洗疮上。后以热
巾拭干。以生肌膏贴之。
治痈疮烂坏。淋洗苦参汤方。
苦参〔一（二）两〕 防风（二两） 露蜂窝（二两） 甘草（二两）
上件药。细锉。用水二斗。煎至六分。去滓。热洗。汤冷即住。
治一切败烂疮。猪蹄汤洗方。\x
猪蹄（一对） 败酱（一两） 槐柳枝（各一握） 黄 （二两锉）
上件药。细锉。先以水一斗。下猪蹄煮烂。去猪蹄。下诸药。更煎取四升。以布绞去
滓。洗疮。汤冷为度。以绵拭干。便以生肌膏贴之。
Carbuncles and sores (Yong Ju) arise from the disharmony of Yin and Yang, and the stagnation and obstruction of Qi and Blood. Heat toxins accumulate within the Zang-Fu organs and fail to diffuse and circulate freely, attacking the muscles and skin, thereby forming carbuncles and sores.
For treating back carbuncles (Fa Bei), at the initial stage when symptoms are merely suspected, administer internal medicine promptly to promote unblocking and purgation. Additionally, employ the Mutong Decoction for washing and spraying.
Mutong (2 jin), Baiyangpi (1 jin), Chuan Shengma (0.5 jin), Lufengfang (4 liang), Chi Shaoyao (0.5 jin), Gancao (0.5 jin).
All ingredients are coarsely crushed. Boil in 3 dou of water until reduced to 1 dou. Filter out the dregs. While the liquid is still quite hot, use two or three spouted bottles alternately to hold the decoction. Hold the arm high and inject/spray onto the swollen area. Pause intermittently. Continue this for approximately the duration of one meal. Subsequently, use warm water for injection for a similar duration to dissipate heat and release pathogenic factors.
For treating back carbuncles that have already ulcerated with continuous discharge of pus and fluid, exposed to external wind pathogens, causing swelling and pain, employ Danggui Decoction for washing.
Danggui (1 liang), Gancao (1 liang), Chi Shaoyao (1 liang), Gegen (1 liang), Xixin, Huangbai (1 liang), Mahuang (1 liang, remove root and nodes), Kuxin (1 liang), Baizhi (1 liang), Rougui (1 liang), Hanjiao (1 liang), Fangfeng (1 liang, remove rhizome head).
Wash the ingredients with water, crush finely, and bake dry. Divide into four doses. For each dose, boil in 5 sheng of water until reduced to 3 sheng. Wash the sore while warm. Stop when the liquid cools. Wipe with a hot towel. It is advisable to apply a separate ointment plaster afterwards.
For treating carbuncles, swellings, and all types of sores presenting with vexing pain and spreading exudation, employ Zhuti Decoction for pouring and washing.
Zhuti (one pair, hair removed and cleaned), Xiongqiong (1 liang), Chi Shaoyao (1 liang), Chuan Shengma (1 liang), Gancao (1 liang), Shechuangzi (1 liang), Chuan Dahuang (1 liang), Shuodie (1 liang), Huaibai pi (1 liang).
All ingredients are coarsely crushed. First, boil the pig trotters in 2 dou of water until reduced to 1 dou. Remove the trotters. Add the remaining herbs and boil until reduced to 6 sheng. Filter out the dregs. Pour and wash the sore at a temperature suitable for skin contact. Stop when cool. Dry thoroughly and apply a separate topical medication.
For treating back carbuncles that have ulcerated for a long time, resulting in necrosis and rotting, emitting foul odors, with exposed bone and tendons, unresolved residual toxins, and unbearable stabbing pain:
Huanglian (1 liang), Digupi (1 liang), Qianghuo (1 liang), Fangfeng (1 liang, remove rhizome head), Mutong (1 liang), Gancao (1 liang), Baizhi (1 liang), Bencao (1 liang), Huangqi (1 liang, crushed), Fan (1 liang), Congbai (1 liang), Mahuang.
Crush the ingredients finely and divide into seven packets. For each packet, boil in 3 sheng of water until reduced to 2 sheng. Filter out the dregs. Wash the sore warmly. Afterward, wipe dry with a hot towel and apply a flesh-regenerating ointment.
For treating ulcerated and necrotic sores, employ Kushen Decoction for washing.
Kushen (1 liang), Fangfeng (2 liang), Lufengwo (2 liang), Gancao (2 liang).
Crush the ingredients finely. Boil in 2 dou of water until reduced to six-tenths of the original volume. Filter out the dregs. Wash while hot. Stop when the liquid cools.
For treating all types of necrotic and ulcerated sores, employ Zhuti Decoction for washing.
Zhuti (one pair), Baijiang (1 liang), Huailiuzhi (one handful each), Huangqi (2 liang, crushed).
Crush the ingredients. First, boil the pig trotters in 1 dou of water until tender. Remove the trotters. Add the remaining herbs and boil until reduced to 4 sheng. Strain through cloth to remove dregs. Wash the sore. Stop when cool. Dry with cotton wool and immediately apply a flesh-regenerating ointment.