夫石痈者。亦是寒气客于肌肉。折于气血结聚所成。其肿结确实至牢。有根核。皮肉不
甚热
治石痈。肿毒结硬疼痛。口干烦热。四肢拘急。不得卧。沉香散方。
沉香（三分） 地骨皮（一两） 麦门冬（一两去心） 当归（一两） 川大黄（一两
锉碎微炒）
川升麻（一
（一两）
独活（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。
治石痈。热毒瓦斯盛。肿硬疼痛。口干烦闷。犀角散方。
犀角屑（三分） 连翘（一两） 射干（一两） 栀子仁（一两） 川升麻（一两） 当
归（一两）
川大黄
（一两生锉）
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。
治石痈。肿硬疼痛。心腹烦闷。不得宣畅。大黄散方。
川大黄（一两锉碎微炒） 当归（一分） 川芒硝（半两） 黑豆皮（半两） 枳壳（半
两麸炒
微黄去瓤） 牛蒡子（一分微炒） 芎 （一分） 甘草（半两生锉）
上件药。捣筛分为三服。每服。以水一大盏。煎至五分。去滓。不计时候温服。以利为
度。
治石痈结坚。若已坏。若未坏。或已成痈者。宜服占斯散方。
占斯（一两） 浓朴（一两去粗皮） 生干地黄（一两） 栝蒌（一两干者） 败酱（一
两） 防
风（一两去芦头） 桔梗（一两去芦头） 人参（一两去芦头） 细辛（一两） 桂心（半
两）
上件药。捣细罗为散。每于食前。以温酒调下二钱。
又方。
鹿角（八两烧灰） 白蔹（三两） 粗理黄石（一斤） 醋（一升）
上件药。捣罗为末。以醋和如膏涂之。干则又涂。五七度即消。
治石痈。结硬发热紫赤色。毒瓦斯攻冲未定。日夜疼痛。宜用消肿化毒止痛。黄连散
方。
黄连（一两） 川大黄（一两生用） 白蔹（一两） 马牙硝（一两） 黄柏（一两锉）
青盐（
半两） 麒麟竭（半两） 赤小豆（半合炒熟） 杏仁（四十九枚汤浸去皮尖研）
上件药。捣细罗为散。用蜜水调涂痈上。干即易之。
治石痈。风毒初结。 核坚硬。宜涂雄黄散方。
雄黄（半两细锉） 川大黄（半两生用） 磁石（半两捣碎细研） 白矾（半两烧令汁
尽）
细辛（半两）
上件药。捣细罗为散。用鸡子白和生蜜。调涂之。干易之。
又方。
白蔹（半两） 藜芦（一分去芦头）
上件药。捣细罗为散。日三上。以醋和贴。
治石痈。发肿至坚而有根者方。
上用桑根白皮捣末。以酒和敷之。
又方。
上用莨菪子捣为末。以醋调敷之。经宿根出。
又方。
上用蛇皮贴之。经宿自消。
又方。
上用梁上尘葵茎灰等分。醋和涂之。
治石痈坚如石。不作脓者方。
上用商陆根捣烂敷上。燥则易之。
又方。
上用芫花捣为末。水和如膏涂之。
Shiyong (Stone Abscess) is a condition caused by cold pathogenic qi invading the muscles, leading to the stagnation and accumulation of Qi and Blood. The swelling is firm and solid with a fixed root, and the skin and flesh do not exhibit significant heat.
For treating Shiyong characterized by hard, painful nodules, dry mouth, vexatious heat, limb stiffness and urgency, and inability to lie down, use Chenxiang San Formula.
Chenxiang (Agarwood) (3 fen) Digupi (Groundcherry Root Bark) (1 liang) Maimendong (Ophiopogon Tuber) (1 liang, heart removed) Danggui (Angelica Sinensis Root) (1 liang) Chuan Dahuang (Rhubarb Root and Rhizome) (1 liang, sliced and lightly stir-fried)
Chuan Shengma (Cimicifugae Rhizoma) (1 liang)
Duhuo (Angelicae Pubescentis Radix) (1 liang)
The above ingredients are crushed, sifted into a powder. Take 4 qian per dose, decoct in one zhong of water until reduced to 6 fen, strain, and take warm at any time.
For treating Shiyong with intense heat-toxin, hard swollen painful masses, dry mouth, and mental restlessness, use Xijiao San Formula.
Xijiao (Rhinoceros Horn) (3 fen) Lianqiao (Forsythiae Fructus) (1 liang) Shegan (Belamcandae Rhizoma) (1 liang) Zhizi (Gardeniae Fructus) (1 liang) Chuan Shengma (Cimicifugae Rhizoma) (1 liang) Danggui (Angelicae Sinensis Radix) (1 liang)
Chuan Dahuang (Rhei Radix et Rhizoma) (1 liang, raw and sliced)
The above ingredients are crushed, sifted into a powder. Take 4 qian per dose, decoct in one zhong of water until reduced to 6 fen, strain, and take warm at any time.
For treating Shiyong with hard, painful swelling, chest and abdominal fullness and distress, and blocked Qi mechanism, use Dahuang San Formula.
Chuan Dahuang (Rhei Radix et Rhizoma) (1 liang, sliced and lightly stir-fried) Danggui (Angelicae Sinensis Radix) (1 fen) Chuan Mangxiao (Natrii Sulfas) (0.5 liang) Heidoupi (Black Soybean Seed Coat) (0.5 liang) Zhiqiao (Aurantii Fructus) (0.5 liang, bran-fried until slightly yellow, pith removed) Niubangzi (Arctii Fructus) (1 fen, lightly stir-fried) Xiong (Ligusticum Wallichii Rhizome and Root) (1 fen) Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, raw and sliced)
The above ingredients are crushed and sifted into three doses. Each dose is decocted in one da zhong of water until reduced to 5 fen, strained, and taken warm at any time. Stop when bowel movement is unobstructed.
For treating Shiyong with firm induration, whether ulcerated or not, or already formed as an abscess, it is suitable to take Zhansi San Formula.
Zhansi (Asari Radix et Rhizoma? *Note: Context suggests a specific herb, likely Asarum or similar aromatic dispersant, but literal translation used*) (1 liang) Houpo (Magnoliae Officinalis Cortex) (1 liang, rough bark removed) Sheng Dihuang (Rehmanniae Radix) (1 liang) Gualou (Trichosanthis Fructus) (1 liang, dried) Baijiang (Patriniae Herba) (1 liang) Fangfeng (Saposhnikoviae Radix) (1 liang, radix head removed) Jiegeng (Platycodonis Radix) (1 liang, radix head removed) Renshen (Ginseng Radix) (1 liang, radix head removed) Xixin (Asari Radix et Rhizoma) (1 liang) Guixin (Cinnamomi Ramulus) (0.5 liang)
The above ingredients are finely crushed and sifted through a fine sieve into a powder. Before meals, take 2 qian mixed with warm wine.
Another prescription:
Lu jiao (Deer Antler) (8 liang, calcined to ash) Bailian (Ampelopsis Radix) (3 liang) Culi Huangshi (Yellow Stone with coarse texture) (1 jin) Cu (Vinegar) (1 sheng)
The above ingredients are crushed and sifted into powder, mixed with vinegar to form a paste, and applied externally. Reapply when dry; after five to seven applications, it will subside.
For treating Shiyong with firm, hot, purplish-red swelling, unstable attacking toxin, and day-and-night pain, use Huanglian San Formula for reducing swelling, resolving toxicity, and relieving pain.
Huanglian (Coptidis Rhizoma) (1 liang) Chuan Dahuang (Rhei Radix et Rhizoma) (1 liang, raw) Bailian (Ampelopsis Radix) (1 liang) Mayaxiao (Saltpeter) (1 liang) Huangbai (Phellodendri Cortex) (1 liang, sliced) Qingyan (Halitum) (0.5 liang) Qilinjie (Dragon's Blood) (0.5 liang) Chixiaodou (Adzuki Bean) (0.5 he, cooked) Xingren (Prunus Armeniaca Seed) (49 seeds, soaked in water, skin and tip removed, ground)
The above ingredients are finely crushed and sifted into a powder. Mix with honey-water and apply to the abscess. Change when dry.
For treating early-stage Shiyong caused by wind-toxin with hard nodules, use Xionghuang San Formula for external application.
Xionghuang (Realgar) (0.5 liang, finely sliced) Chuan Dahuang (Rhei Radix et Rhizoma) (0.5 liang, raw) Cishi (Magnetitum) (0.5 liang, crushed and finely ground) Baifan (Alumen) (0.5 liang, calcined until liquid evaporates)
Xixin (Asari Radix et Rhizoma) (0.5 liang)
The above ingredients are finely crushed and sifted into a powder. Mix with egg white and raw honey, apply externally. Change when dry.
Another prescription:
Bailian (Ampelopsis Radix) (0.5 liang) Lilu (Veratrum Nigrum Root) (1 fen, radix head removed)
The above ingredients are finely crushed and sifted into a powder. Apply three times daily, mixed with vinegar.
For treating Shiyong that swells to hardness with a fixed root:
Use Sangbaipipi (Morus Alba Root Bark) crushed into powder, mixed with wine for external application.
Another prescription:
Use Langdazi (Datura Metel Seed) crushed into powder, mixed with vinegar for external application. After one night, the root will be expelled.
Another prescription:
Apply Snake Skin externally. It will subside naturally after one night.
Another prescription:
Mix Liangshangchen (Dust from beams) and Kuijinghui (Ash of Hibiscus stems) in equal parts, mix with vinegar, and apply.
For treating Shiyong that is hard as stone and does not suppurate:
Use Shanglugen (Phytolaccae Radix) mashed and applied externally. Change when dry.
Another prescription:
Use Yuanhua (Kadsura Longipedunculata Flower Bud) crushed into powder, mixed with water to form a paste for application.