夫发痈虚热者。由寒客于经络。使血气否涩。乃结肿成痈。热气壅结。则血化为脓。脓
溃痈瘥之后。余热未尽。而血气已虚。其人翕翕苦热。 虚乏。故谓之虚热也。
治痈发后。脓溃不止。肌体虚热。口干食少。熟地黄散方。
熟干地黄（一两） 黄 （一两锉） 麦门冬（一两去心） 黄芩（半两） 人参（一
两去芦头）
石膏〔一（二）两〕 芎 （半两） 当归（半两） 白茯苓（一两） 甘草（半两生用）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治痈脓溃。数日不止。致体虚烦热。头目昏闷。黄 散方。
黄 （一两锉） 防风（一两去芦头） 川升麻（一两） 羚羊角屑（一两） 芎 （三
分） 甘
草（半两生锉） 人参（一两去芦头） 地骨皮（半两） 白茯苓（一两） 石膏（一两）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治痈穴后。脓水过多。致内虚体热。人参散方。
人参（一两去芦头） 白术（三分） 麦门冬（一两去心） 地骨皮（半两） 熟干地
黄（一两）
黄（一两锉） 白茯苓（一两） 甘草（半两生锉）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治痈脓溃已绝。肌肉内虚。尚有余热。沉香散方。
沉香（一两锉） 黄芩（半两） 甘草（半两生锉） 熟干地黄（二两） 柴胡（一两
去苗） 栝
蒌根（半两） 白术（三分） 麦门冬（一两去心） 黄 （一两半）
上件药。捣粗罗为散。每服四钱。以水一中盏。入竹叶二七片。小麦五十粒。煎至六分。
去滓。不计时候温服。
Cases of carbuncles accompanied by deficiency-heat arise from cold pathogens invading the meridians, causing Qi and blood to become obstructed and stagnant, leading to condensation, swelling, and the formation of a carbuncle. When heat qi becomes congested and knotted, blood transforms into pus. After the pus has ruptured and the carbuncle has healed, residual heat remains uneliminated, while Qi and blood are already deficient. The patient experiences intermittent feverish sensations and physical weakness and fatigue; thus, this condition is termed "deficiency-heat."
For treating carbuncles after onset, where pus continues to drain without stopping, manifesting as deficiency-heat in the skin and flesh, dry mouth, and poor appetite: Shudihuang San (Prepared Rehmannia Powder).
Shu Dihuang (Prepared Rehmanniae Radix) (1 liang), Huangqi (Astragali Radix) (1 liang, crushed), Maimendong (Ophiopogonis Radix) (1 liang, heart removed), Huangqin (Scutellariae Radix) (0.5 liang), Renshen (Ginseng Radix et Rhizoma) (1 liang, radix removed), Shigao (Gypsum Fibrosum) (2 liang), Xiong (Chuanxiong Rhizoma) (0.5 liang), Danggui (Angelicae Sinensis Radix) (0.5 liang), Baifuling (Poria) (1 liang), Gancao (Licorice Radix et Rhizoma) (0.5 liang, raw).
Crush and sieve the above herbs into a powder. Take 4 qian per dose. Add one zhong of water, decoct until reduced to 6 fen volume, remove the dregs, and take warm at any time.
For treating carbuncles where pus has ruptured and continues for several days without stopping, resulting in body weakness, vexation, and heat: Huangqi San (Astragalus Powder).
Huangqi (Astragali Radix) (1 liang, crushed), Fangfeng (Saposhnikoviae Radix) (1 liang, radix removed), Chuan Shengma (Cimicifugae Rhizoma) (1 liang), Lingyangjiaoxie (Saiga Tataricae Cornu) (1 liang), Xiong (Chuanxiong Rhizoma) (3 fen), Gancao (Licorice Radix et Rhizoma) (0.5 liang, raw and crushed), Renshen (Ginseng Radix et Rhizoma) (1 liang, radix removed), Digupi (Lycii Cortex) (0.5 liang), Baifuling (Poria) (1 liang), Shigao (Gypsum Fibrosum) (1 liang).
Crush and sieve the above herbs into a powder. Take 4 qian per dose. Add one zhong of water, decoct until reduced to 6 fen volume, remove the dregs, and take warm at any time.
For treating carbuncles where excessive purulent discharge leads to internal deficiency and external heat: Renshen San (Ginseng Powder).
Renshen (Ginseng Radix et Rhizoma) (1 liang, radix removed), Baizhu (Atractylodis Macrocephalae Rhizoma) (3 fen), Maimendong (Ophiopogonis Radix) (1 liang, heart removed), Digupi (Lycii Cortex) (0.5 liang), Shu Dihuang (Prepared Rehmanniae Radix) (1 liang), Huangqi (Astragali Radix) (1 liang, crushed), Baifuling (Poria) (1 liang), Gancao (Licorice Radix et Rhizoma) (0.5 liang, raw and crushed).
Crush and sieve the above herbs into a powder. Take 4 qian per dose. Add one zhong of water, decoct until reduced to 6 fen volume, remove the dregs, and take warm at any time.
For treating carbuncles where pus drainage has ceased, muscle tissue is internally deficient, yet residual heat remains: Chenxiang San (Agarwood Powder).
Chenxiang (Aquilariae Lignum Resinatum) (1 liang, crushed), Huangqin (Scutellariae Radix) (0.5 liang), Gancao (Licorice Radix et Rhizoma) (0.5 liang, raw and crushed), Shu Dihuang (Prepared Rehmanniae Radix) (2 liang), Chaihu (Bupleuri Radix) (1 liang, radix removed), Gualougen (Trichosanthis Radix) (0.5 liang), Baizhu (Atractylodis Macrocephalae Rhizoma) (3 fen), Maimendong (Ophiopogonis Radix) (1 liang, heart removed), Huangqi (Astragali Radix) (1.5 liang).
Coarsely crush and sieve the above herbs into a powder. Take 4 qian per dose. Add one zhong of water, insert 14 leaves of Zhuye (Bambusae Folium) and 50 grains of Xiaomai (Tritici Fructus), decoct until reduced to 6 fen volume, remove the dregs, and take warm at any time.