夫缓疽者。由寒气客于经络。致营卫凝涩。气血壅结所成。其寒气盛者。则肿结痛深。
圆圆无头尾。大者如拳。小者如桃李之状。与皮肉相亲着。热气少。其肿与肉相似。不甚赤。
积
以其结肿积久。而肉腐坏迟。故名缓疽。亦名肉色疽也。缓疽急者。一年杀人。缓者。数年
乃死者也。
治缓疽。及诸痈肿。脓血结聚。皮肉坚浓。日久不溃。疼痛。黄 散方。
黄 （三分锉） 沉香（三分） 薰陆香（三分） 鸡舌香（半两） 羚羊角屑（一两）
漏芦（
半两） 黄
分） 防
风（半两去
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。
治缓疽。风热毒瓦斯。结聚肿痛。寒热不止。犀角散方。
犀角屑（一两） 漏芦（一两） 川大黄（一两半锉碎微炒） 川升麻（半两） 栀子
仁（一两）
甘
母（一
两）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。入地黄汁半合。更煎
三两沸。不计时候温服。
治缓疽。及痈肿。风毒留积于筋骨。久始出脓水。疼痛不止。或脓出不快。疮不生
肌。
木香（一两半） 鸡舌香（一两） 沉香（一两） 薰陆香（一两） 麝香（一分细研）
射干（
一两） 连翘
桑寄
生（一两） 甘
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候温服。
治缓疽。风热侵肿不住。肉欲成脓。四肢烦热。生干地黄散方。
生干地黄（二两） 川大黄（一两锉碎微炒） 人参（一两去芦头） 黄芩（一两） 当
归（半
两） 远
（一两
锉） 赤
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候温服。
治缓疽。日久穿溃。出脓水不尽。排脓散方。
贝齿（一两） 黄 （三分锉） 当归（三分锉微炒） 赤芍药（三分） 生干地黄（三
分） 黄
连（三
（半两生锉）
麝
上件药。捣细罗为散。不计时候。以温酒调下二钱。
治缓疽。初结。微肿痛。涂贴莽草散方。
莽草（一两） 皂荚（两挺去黑皮及子） 鹿角屑（一两） 白芨（一两） 白蔹（一
两） 半夏
（一两） 天南星（一两） 附子（一两生用去皮脐） 蛇蜕皮（一条）
上件药。捣细罗为散。用醋面糊调为膏。涂贴于肿处。干即再上。以肿散为度。
治风毒瓦斯留滞。营卫不通。欲结为缓疽。 之。令内消。宜贴木香散方。
木香（一两半） 桂心（一两） 白蔹（一两半生用） 赤小豆（一合） 莽草（一两
半） 附子
（一两去皮脐） 半夏（一两半） 羊桃根（二两锉）
上件药。捣细罗为散。以酽浆水。旋调稀稠得所。涂故软布及生薄绢上。贴之。干即易
之。以肿消为度。
治缓疽肿痛。肉坚浓如牛领皮。下针烙干。即用干姜 之。缘疽气沉涩。干姜味
辛。辛
为度。蚀去疮中
茹（三分） 藜芦（半两去芦头） 真珠末（半两） 硫黄（半两细锉研） 雄黄（半
两细研）
白矾（半两烧令汁尽） 干姜（半两生用） 麝香（一分细研）
上件药。捣细罗为散。都研令匀。疮上如恶肉较深。可以绵裹纳疮中。候恶肉出尽。即
贴生肌膏。取瘥为度。
治缓疽。黄柏膏方。
黄柏（一两半锉） 桐叶（一两半切） 龙骨（一两） 黄连（一两半去须） 败龟（三
两烧灰
细研） 白矾（半两烧令汁尽细研） 天灵盖（三两烧灰细研） 乱发（拳许大烧灰细研） 麝
香
（一分
上件药。以猪脂二斤。煎前四味十余沸。布滤去滓。拭铛令净。却入铛中。再煎入后五
味。搅令匀。收于不津器中。每用。故帛上匀摊贴之。
治缓疽恶疮。蚀恶肉。飞黄散方。
丹砂 磁石 曾青 白石英 云母 雄黄 雌黄 钟乳 石膏 矾石（以上各一两）
上件药。并各捣罗为末。先用一瓦盆。可阔一尺以下者。以丹砂着在盆内南方。磁石在
上后。别
在盆上者
治缓疽。以飞黄散蚀恶肉尽。作熏之法。
雄黄（一两细研） 鸡屎白（一两） 藜芦（一两） 丹砂（一两细研） 鳗鲡鱼（一
两）
上件药。捣细罗为散。每日。以青布裹烧熏之。经三日乃止。
治缓疽。宜服此方。
黄 （一两锉）
上捣细罗为散。不计时候以温水调下二钱。
又方。
漆头 茹（一两）
上捣细罗为散。不计时候。以温水调下二钱。
治缓疽。令内消方。
上以小豆捣罗为末。用鸡子清调涂之。干即再涂。以瘥为度。
Huanju (Slow Carbuncle) is caused by cold pathogenic qi invading the meridians, leading to stagnation and obstruction of Ying (Nutritive) and Wei (Defensive) qi, resulting in the accumulation and knotting of Qi and Blood. If the cold pathogen is severe, swelling and knotting occur with deep pain. The mass is round without a head or tail; large ones are like fists, small ones resemble plums or peaches. It adheres closely to the skin and flesh, with little heat sensation. The swelling resembles normal muscle tissue and is not very red. Because the accumulated swelling persists for a long time and the rotting of flesh is slow, it is named Huanju (Slow Carbuncle), also known as Rou Se Ju (Flesh-Color Carbuncle). Acute cases of Huanju can be fatal within one year, while chronic cases may take several years to prove fatal.
To treat Huanju (Slow Carbuncle) and various carbuncles and swellings characterized by the accumulation of pus and blood, hard and thick skin and flesh, failure to ulcerate after a long period, and pain, use Huangbai San (Phellodendron Powder).
Ingredients: Huangbai (Phellodendri Cortex, 3 fen, crushed), Chenxiang (Aquilariae Lignum Resinatum, 3 fen), Xunlu Xiang (Boswelliae Fructus, 3 fen), Jiti Xiang (Caryophylli Flos, 0.5 liang), Lingyangjiao Xie (Saigae Tataricae Cornu, 1 liang), Loulu (Euphorbiae Humifusae Radix, 0.5 liang), Huangqin (Scutellariae Radix, 3 fen), Fangfeng (Saposhnikoviae Radix, 0.5 liang, radix removed).
Process the above ingredients by crushing and sieving to make a powder. Take 4 qian per dose. Decoct with one zhong of water until reduced to 0.6 zhong. Strain and take warm at any time.
To treat Huanju (Slow Carbuncle) characterized by swelling and pain due to the accumulation of wind-heat toxic qi, and persistent alternating chills and fever, use Xijiao San (Rhinoceros Horn Powder).
Ingredients: Xijiao Xie (Rhinocerotis Cornu, 1 liang), Loulu (Euphorbiae Humifusae Radix, 1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 1.5 liang, crushed and lightly stir-fried), Chuan Shengma ( Cimicifugae Rhizoma, 0.5 liang), Zhizi Ren (Gardeniae Fructus, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang), Mucao (Viola Yedoensis, 1 liang).
Process the above ingredients by coarse sieving to make a powder. Take 4 qian per dose. Decoct with one zhong of water until reduced to 0.6 zhong. Strain, add 0.5 he of Shengdihuang juice (Rehmanniae Radix Juice), boil three times, and take warm at any time.
To treat Huanju (Slow Carbuncle) and carbuncles where wind-toxin remains stagnant in the sinews and bones, taking a long time to discharge pus, accompanied by unceasing pain, slow pus discharge, or failure of the sore to generate new flesh, use Muxiang San (Aucklandiae Radix Powder).
Ingredients: Muxiang (Aucklandiae Radix, 1.5 liang), Jiti Xiang (Caryophylli Flos, 1 liang), Chenxiang (Aquilariae Lignum Resinatum, 1 liang), Xunlu Xiang (Boswelliae Fructus, 1 liang), Shexiang (Moschus, 1 fen, finely ground), Shegan (Belamcandae Rhizoma, 1 liang), Lianqiao (Forsythiae Fructus, 1 liang), Sangjisheng (Taxilli Herba, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang).
Process the above ingredients by coarse sieving to make a powder. Take 3 qian per dose. Decoct with one zhong of water until reduced to 0.6 zhong. Strain and take warm at any time.
To treat Huanju (Slow Carbuncle) where wind-heat invasion causes persistent swelling, impending suppuration of the flesh, and vexatious heat in the four limbs, use Sheng Gansheng Dihuang San (Dried Rehmannia Powder).
Ingredients: Sheng Gansheng Dihuang (Dried Rehmanniae Radix, 2 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, crushed and lightly stir-fried), Renshen (Ginseng Radix, 1 liang, radix removed), Huangqin (Scutellariae Radix, 1 liang), Danggui (Angelicae Sinensis Radix, 0.5 liang), Yuanzhi (Polygalae Radix, 1 liang, crushed), Chi Shaoyao (Paeoniae Radix Rubra, 1 liang).
Process the above ingredients by coarse sieving to make a powder. Take 4 qian per dose. Decoct with one zhong of water and 0.5 fen of Shengjiang (Zingiberis Rhizoma Recens) until reduced to 0.6 zhong. Strain and take warm at any time.
To treat Huanju (Slow Carbuncle) that has ulcerated after a long time but fails to completely discharge pus, use Paimo San (Pus-Discharging Powder).
Ingredients: Beichi (Ostreae Concha, 1 liang), Huangbai (Phellodendri Cortex, 3 fen, crushed), Danggui (Angelicae Sinensis Radix, 3 fen, crushed and lightly stir-fried), Chi Shaoyao (Paeoniae Radix Rubra, 3 fen), Sheng Gansheng Dihuang (Dried Rehmanniae Radix, 3 fen), Huanglian (Coptidis Rhizoma, 3 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, raw and crushed), Shexiang (Moschus, 1 fen, finely ground).
Process the above ingredients by fine sieving to make a powder. Take 2 qian mixed with warm wine at any time.
For early-stage Huanju (Slow Carbuncle) presenting with slight swelling and pain, apply Mangcao San (Daphne Genkwa Powder) externally.
Ingredients: Mangcao (Daphnes Genkwa Cortex, 1 liang), Zaojia (Gleditsiae Fructus, 2 tings, black skin and seeds removed), Lu Jiaoxie (Cervi Cornu Degelatinatum, 1 liang), Baiji (Bletillae Rhizoma, 1 liang), Bailian (Pseudostellariae Radix, 1 liang), Banxia (Pinelliae Rhizoma, 1 liang), Tiannanxing (Arisaematis Rhizoma, 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, raw, skin and navel removed), Shetui (Bombyx Batryticatus, 1 strip).
Process the above ingredients by fine sieving to make a powder. Mix with vinegar and flour paste to form a paste. Apply to the swollen area. Reapply when dry. Continue until the swelling dissipates.
To treat wind-toxin stagnation causing obstruction of Ying (Nutritive) and Wei (Defensive) qi, leading to the formation of Huanju (Slow Carbuncle), aiming for internal resolution, apply Muxiang San (Aucklandiae Radix Paste).
Ingredients: Muxiang (Aucklandiae Radix, 1.5 liang), Guixin (Cinnamomi Ramulus, 1 liang), Bailian (Pseudostellariae Radix, 1.5 liang, raw), Chixiaodou (Phaseoli Semen, 1 he), Mangcao (Daphne Genkwa Cortex, 1.5 liang), Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, skin and navel removed), Banxia (Pinelliae Rhizoma, 1.5 liang), Yangtao Gen (Actinidiae Polystachyae Radix, 2 liang, crushed).
Process the above ingredients by fine sieving to make a powder. Mix with strong fermented bean curd juice to a suitable consistency. Spread on old soft cloth or thin silk and apply to the site. Change when dry. Continue until the swelling subsides.
To treat Huanju (Slow Carbuncle) with swelling and pain, where the flesh is hard and thick like ox neck skin, after needling and cauterizing to dryness, use Ganjiang (Zingiberis Rhizoma) preparations to escharose the foul flesh in the sore.
Ingredients: Ganjiang (Zingiberis Rhizoma, 3 fen), Lilü (Veratri Radix, 0.5 liang, radix removed), Zhenzhu Mo (Margarita, 0.5 liang), Liuhuang (Sulfur, 0.5 liang, finely crushed and ground), Xionghuang (Realgar, 0.5 liang, finely ground), Baifan (Alumen, 0.5 liang, calcined until liquid is gone), Ganjiang (Zingiberis Rhizoma, 0.5 liang, raw), Shexiang (Moschus, 1 fen, finely ground).
Process the above ingredients by fine sieving and mix thoroughly. If the foul flesh in the sore is deep, wrap in cotton and insert into the sore. Wait for the foul flesh to be completely discharged, then apply Shengji Gao (Flesh-Generating Ointment). Continue until healed.
To treat Huanju (Slow Carbuncle), use Huangbai Gao (Phellodendron Ointment).
Ingredients: Huangbai (Phellodendri Cortex, 1.5 liang, crushed), Tongye (Toona Leaf, 1.5 liang, cut), Longgu (Fossilia Ossis Mastodi, 1 liang), Huanglian (Coptidis Rhizoma, 1.5 liang, mustache removed), Baigui (Testudinis Carapax et Plastrum, 3 liang, burned to ash and finely ground), Baifan (Alumen, 0.5 liang, calcined until liquid is gone and finely ground), Tianlinggai (Cranii Humanum, 3 liang, burned to ash and finely ground), Luanfa (Capillus Humanus, fist-sized, burned to ash and finely ground), Shexiang (Moschus, 1 fen).
Process the first four ingredients by decocting in 2 jin of Pig Fat (Zhi) for more than ten boils. Filter through cloth and remove dregs. Clean the pot. Add the remaining five ingredients and boil until uniform. Store in an airtight container. When using, spread evenly on old cloth and apply.
To treat Huanju (Slow Carbuncle) and foul sores, escharosing foul flesh, use Feihuang San (Flying Yellow Powder).
Ingredients: Dansha (Cinnabaris, 1 liang), Cishi (Magnetitum, 1 liang), Zengqing (Chalcanthum, 1 liang), Bai Shiy ing (Quartzum Album, 1 liang), Yunmu (Muscovite, 1 liang), Xionghuang (Realgar, 1 liang), Cihuang (Orpiment, 1 liang), Zhongru (Stalactitum, 1 liang), Shigao (Gypsum Fibrosum, 1 liang), Fanshi (Alumen, 1 liang).
Process each ingredient separately by crushing and sieving into powder. Use a clay pot less than one chi wide. Place Dansha in the south position inside the pot and Cishi in the north position. Mix the other powders and place them above the pot.
After treating Huanju (Slow Carbuncle) with Feihuang San to completely escharose the foul flesh, use fumigation.
Ingredients: Xionghuang (Realgar, 1 liang, finely ground), Jishibai (Galli Stercus, 1 liang), Lilü (Veratri Radix, 1 liang), Dansha (Cinnabaris, 1 liang, finely ground), Manli Yu (Monopterus Albus, 1 liang).
Process the above ingredients by fine sieving to make a powder. Wrap in green cloth and burn for fumigation daily. Stop after three days.
To treat Huanju (Slow Carbuncle), this formula is suitable for oral administration.
Ingredients: Huangbai (Phellodendri Cortex, 1 liang, crushed).
Process the above ingredients by fine sieving to make a powder. Take 2 qian mixed with warm water at any time.
Another formula.
Ingredients: Qitou (Sophorae Tonkinensis Radix, 1 liang), Ru (Smilacis Glabrae Rhizoma, 1 liang).
Process the above ingredients by fine sieving to make a powder. Take 2 qian mixed with warm water at any time.
To treat Huanju (Slow Carbuncle) and promote internal resolution.
Process Xiaodou (Phaseoli Semen) into powder. Mix with egg white and apply. Reapply when dry. Continue until healed.