夫痈者。由六腑不和所生也。六腑主表。气行经络而浮。若喜怒不测。饮食不节。阴阳
不调
脉。
阳也
皮薄
骨髓
治初见皮肤有疮。恐成痈。腑脏壅涩。或寒热噤痹。口干心烦。犀角散方。
犀角屑（一两） 知母（一两） 木通（二两锉） 赤芍药（一两半） 川升麻 荠 葳
蕤
黄芩 甘草（生锉各一两半） 麦门冬（去心） 马牙硝（各二两）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。入竹沥一合。更煎一
沸。不计时候温服。
治痈肿乳痈。脏腑壅滞。口干。寒热头痛。呕哕不能饮食。葛根散方。
葛根（锉） 麦门冬（去心） 红雪（各一两） 犀角屑（半两） 葳蕤（二分） 荠
赤
芍药 甘
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。入竹沥一合。更煎一
沸。不计时候温服。
治痈疮始觉。便宜服解毒散方。
犀角屑 木通（锉） 川升麻 赤芍药 川朴硝（五味各一两） 石膏（二两） 甘草
（生
锉）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治痈肿始发。热毒瓦斯盛。寒热心烦。四肢疼痛。玄参散方。
玄参（半两） 甘草（半两生锉） 麦门冬（三分去心） 前胡（去芦头） 枳实（麸
炒微黄）
人参（去芦头） 赤芍药 生干地黄 黄 芎 赤茯苓 黄芩（九味各一两） 石膏（二
两）
上件药。捣筛为散。每服四钱。以水一中盏。入竹叶二七片。小麦一百粒。煎至六分。
去滓。不计时候温服。
治痈肿。热气大盛。寒热进退。黄 散方。
黄 （锉） 川升麻 川大黄（锉碎微炒） 黄芩 远志（去心） 赤茯苓 赤芍药（七
味各
一两）
草（半
两生锉）
上件药。捣筛为散。每服四两（钱）。以水一中盏。煎至六分。去滓。不计时候温服。
治发痈肿。热毒疼痛。心神烦闷。生地黄散方。
生干地黄（二两） 玄参（一两） 甘草（一两生锉） 赤芍药（一两） 黄 （一两
锉） 木通
（一两锉） 黄芩（一两） 当归（一两锉微炒） 地骨皮（一两） 赤茯苓（一两半） 川
升麻（一
两） 川大黄（一两锉碎微炒）
上件药。捣筛为散。每服四钱。以水一中盏。入竹叶二十片。煎至六分。去滓。不计时
候温服。
治痈肿。结硬疼痛。宜服内消散方。
赤小豆（一合熬令熟） 人参（一两去芦头） 甘草（一两生锉） 蘧麦（一两） 白
蔹（一两）
两） 川升
麻
上件药。捣细罗为散。不计时候。以温水调下二钱。
治痈肿不能溃。野葛散方。
野葛皮（一分） 龙骨（二两） 干姜（半两炮裂锉） 桂心（一两） 栝蒌〔一（二）
两干者〕
王不留行（一两）
上件药。捣细罗为散。不计时候。以温酒调下二钱。
治痈肿及发背。乳痈。一切毒肿。悉能内消。脓化为水。犀角丸方。
犀角屑（一两） 川升麻（一两） 黄 （一两半锉） 防风（一两去芦头） 黄芩（一
两） 当
归（一
碎微炒）
巴豆
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每服。空腹。以粥饮下三丸。
当快利为度。即吃冷白粥
Carbuncle (Yong, a type of deep-seated suppurative infection) arises from the disharmony of the Fu-organs. The Fu-organs govern the exterior; Qi circulates through the meridians and floats outward. If emotions are unpredictable or diet is irregular, Yin and Yang become disharmonized, pulse conditions become abnormal, Yang becomes excessive, skin thins, and bone marrow is damaged. In the initial stage, if a sore is seen on the skin and there is fear it may develop into carbuncle, accompanied by stagnation and obstruction in the Zang-Fu organs, alternating chills and fever, trismus (lockjaw), numbness and bi-syndrome, dry mouth, and vexation, use Xijiao San Formula.
Rhinoceros Horn Chips (Xijiao Jie, 1 liang) Anemarrhena Rhizome (Zhimu, 1 liang) Akebia Caulis (Mutong, 2 liang, sliced) Red Peony Root (Chishaoyao, 1.5 liang) Bupleurum Root (Chuan Shengma) Glehnia Root (Qini) Polygonatum Rhizome (Weirui) Scutellaria Root (Huangqin) Licorice Root (Gancao, raw and sliced, each 1.5 liang) Ophiopogon Tuber (Mendong, heart removed) Natrii Sulfas (Mayaxiao, each 2 liang)
The above ingredients are coarsely ground and sieved to make a powder. Take 4 qian per dose, decoct with one zhuan of water until reduced to 6 fen, strain the dregs, add 1 he of Bamboo Juice (Zhuli), boil once more, and take warm at any time.
For treating carbuncles and mastitis due to Zang-Fu stagnation, presenting with dry mouth, chills and fever, headache, vomiting, hiccups, and inability to eat, use Gegen San Formula.
Pueraria Root (Gegen, sliced) Ophiopogon Tuber (Mendong, heart removed) Red Snow (Hongxue, each 1 liang) Rhinoceros Horn Chips (Xijiao Jie, 0.5 liang) Polygonatum Rhizome (Weirui, 2 fen) Glehnia Root (Qini) Red Peony Root (Chishaoyao) Licorice Root (Gancao)
The above ingredients are coarsely ground and sieved to make a powder. Take 4 qian per dose, decoct with one zhuan of water until reduced to 6 fen, strain the dregs, add 1 he of Bamboo Juice (Zhuli), boil once more, and take warm at any time.
When carbuncles are first perceived, it is advisable to take Jiedu San Formula.
Rhinoceros Horn Chips (Xijiao Jie) Akebia Caulis (Mutong, sliced) Bupleurum Root (Chuan Shengma) Red Peony Root (Chishaoyao) Mirabilite (Chuan Puxiao, five herbs each 1 liang) Gypsum (Shigao, 2 liang) Licorice Root (Gancao, raw and sliced)
The above ingredients are coarsely ground and sieved to make a powder. Take 4 qian per dose, decoct with one zhuan of water until reduced to 6 fen, strain the dregs, and take warm at any time.
For early-stage carbuncles with intense heat-toxin Qi, presenting with chills and fever, vexation, and pain in the four limbs, use Xuanshen San Formula.
Scrophularia Root (Xuanshen, 0.5 liang) Licorice Root (Gancao, 0.5 liang, raw and sliced) Ophiopogon Tuber (Mendong, 3 fen, heart removed) Peucedanum Root (Qianhu, radix removed) Immature Bitter Orange (Zhishi, bran-fried until slightly yellow) Ginseng Root (Renshen, radix removed) Red Peony Root (Chishaoyao) Raw Dried Rehmannia Root (Sheng Gan Dihuang) Astragalus Root (Huangqi) Ligusticum Rhizome (Chuanxiong) Red Poria (Chifuling) Scutellaria Root (Huangqin) [Nine herbs each 1 liang] Gypsum (Shigao, 2 liang)
The above ingredients are finely ground and sieved to make a powder. Take 4 qian per dose, decoct with one zhuan of water, add fourteen leaves of Bamboo Leaf (Zhuye) and one hundred grains of Wheat (Xiaomai), reduce to 6 fen, strain the dregs, and take warm at any time.
For carbuncles with extreme heat accumulation and alternating chills and fever, use Huangqi San Formula.
Astragalus Root (Huangqi, sliced) Bupleurum Root (Chuan Shengma) Rheum Radix et Rhizoma (Chuan Dahuang, sliced and slightly fried) Scutellaria Root (Huangqin) Polygala Root (Yuanzhi, heart removed) Red Poria (Chifuling) Red Peony Root (Chishaoyao) [Seven herbs each 1 liang] Licorice Root (Gancao, 0.5 liang, raw and sliced)
The above ingredients are finely ground and sieved to make a powder. Take 4 qian per dose (text erroneously says liang, corrected to qian based on context), decoct with one zhuan of water until reduced to 6 fen, strain the dregs, and take warm at any time.
For erupting carbuncles with heat-toxin pain and mental vexation, use Shengdihuang San Formula.
Raw Dried Rehmannia Root (Sheng Gan Dihuang, 2 liang) Scrophularia Root (Xuanshen, 1 liang) Licorice Root (Gancao, 1 liang, raw and sliced) Red Peony Root (Chishaoyao, 1 liang) Astragalus Root (Huangqi, 1 liang, sliced) Akebia Caulis (Mutong, 1 liang, sliced) Scutellaria Root (Huangqin, 1 liang) Angelica Sinensis Root (Danggui, 1 liang, sliced and slightly fried) Cortex Lycii (Digupi, 1 liang) Red Poria (Chifuling, 1.5 liang) Bupleurum Root (Chuan Shengma, 1 liang) Rheum Radix et Rhizoma (Chuan Dahuang, 1 liang, sliced and slightly fried)
The above ingredients are finely ground and sieved to make a powder. Take 4 qian per dose, decoct with one zhuan of water, add twenty leaves of Bamboo Leaf (Zhuye), reduce to 6 fen, strain the dregs, and take warm at any time.
For hard, painful carbuncles, Neixiao San Formula is suitable.
Adzuki Bean (Chixiaodou, 1 he, roasted until cooked) Ginseng Root (Renshen, 1 liang, radix removed) Licorice Root (Gancao, 1 liang, raw and sliced) Buckwheat Fruit (Qumai, 1 liang) White Peony Root (Bailian, 1 liang) Bupleurum Root (Chuan Shengma)
The above ingredients are finely ground and sieved to make a powder. Take 2 qian mixed with warm water at any time.
For carbuncles that cannot ulcerate, Yege San Formula is used.
Caulis Kadsurae (Yegepi, 1 fen) Dragon Bone (Longgu, 2 liang) Dried Ginger (Ganjiang, 0.5 liang, processed and sliced) Cinnamon Twig (Guixin, 1 liang) Trichosanthes Fruit (Gualou, 2 liang, dried) Galium Seed (Wangbuliuxing, 1 liang)
The above ingredients are finely ground and sieved to make a powder. Take 2 qian mixed with warm wine at any time.
For carbuncles, back abscesses (Fabei), mastitis, and all toxic swellings, causing them to resolve internally and pus to turn into water, use Xijiao Wan Formula.
Rhinoceros Horn Chips (Xijiao Jie, 1 liang) Bupleurum Root (Chuan Shengma, 1 liang) Astragalus Root (Huangqi, 1.5 liang, sliced) Saposhnikovia Root (Fangfeng, 1 liang, radix removed) Scutellaria Root (Huangqin, 1 liang) Angelica Sinensis Root (Danggui, 1 liang, sliced and slightly fried) Croton Seed (Badou)
The above ingredients are ground into powder, mixed with refined honey, and pounded three to five hundred times. Form pills the size of Sophora seeds. Take three pills on an empty stomach with gruel. Continue until loose stools occur, then consume cold white rice porridge.