〔薛〕便痈因肝火、肝疳，或禀肝经热毒。若初起肿硬作痛者，先用龙胆泻肝汤一
二剂。肿痛不减，用仙方活命饮二剂。五七日不减，肿尚硬，亦用前二药各一剂。
如不消，或更痛，欲成脓也，用活命饮一剂，却用托里消毒散加柴胡、山栀，一二
剂。若脓已成而不溃者，血气虚也，用托里消毒散一二剂。脓已溃而痛不止者，
毒瓦斯不解也，用活命饮一剂。若脓已出而反痛者，血气虚也，用内补黄 汤。脓已
溃而发热烦躁者，气虚血脱也，用当归补血汤。脓已溃而恶寒发热者，血气俱虚也，
用十全大补汤。脓已溃而恶寒者，元气虚也，用补中益气汤。脓已溃而不生肌者，
脾气虚也，用六君子汤。若禀赋怯弱，或因饮食劳倦而为患者，恒用补中益气汤加
射干自消。设使不分经络，不别虚实，概行攻伐，亏损气血，则轻者难治，重者必
变瘵证，甚至不起。
龙胆泻肝汤（疝） 仙方活命饮（见前） 托里消毒散（见前）
内补黄 汤（薛制） 治溃疡脓水出多，或过服败毒之剂，致气虚血弱，发热无寐，或
兼盗汗内热，或不生肌。
黄 （炒，二钱） 人参 白术（炒） 茯苓 陈皮 当归（各一钱半） 酸枣仁（炒，一钱） 五味子（杵）
甘草（炒。各五分）
上，水煎，徐徐服。
当归补血汤（虚热） 清心莲子饮（淋） 补中益气汤（虚热） 十全大补汤（汗）
[Xue Ji's Commentary] Bianyong (abscess occurring in the perineal region) is caused by Liver Fire, Liver Gan accumulation, or innate heat-toxin in the Liver meridian. If swelling, hardness, and pain are present at the initial stage, administer Longdan Xiegan Tang (Gentian Decoction to Drain the Liver) for one to two doses. If swelling and pain do not subside, administer Xianfang Huoming Yin (Immortal Life Elixir) for two doses. If after five to seven days there is no improvement and the swelling remains hard, use each of the aforementioned two prescriptions for one dose. If the swelling does not resolve or pain increases, indicating suppuration is impending, administer Xianfang Huoming Yin for one dose, followed by Tuoli Xiaodu San (Decoction to Support the Interior and Eliminate Toxins) with added Chaihu (Bupleuri Radix) and Shanzhi (Gardeniae Fructus) for one to two doses. If pus has formed but has not ulcerated, this indicates deficiency of Blood and Qi; administer Tuoli Xiaodu San for one to two doses. If pus has ulcerated but pain persists, it signifies that the pathogenic toxin has not been resolved; administer Xianfang Huoming Yin for one dose. If pain worsens after pus discharge, this indicates deficiency of Blood and Qi; administer Neibu Huangqi Tang (Internal Supplementing Decoction with Astragalus). If fever and irritability occur after ulceration, this indicates Qi deficiency and Blood exhaustion; administer Danggui Buxue Tang (Angelica Sinensis Decoction to Tonify Blood). If chills and fever occur after ulceration, this indicates simultaneous deficiency of Blood and Qi; administer Shiquan Dabu Tang (Great Ten Tonifying Decoction). If only chills occur after ulceration, this indicates deficiency of Yuan Qi (Original Qi); administer Buzhong Yiqi Tang (Decoction to Augment the Middle and Benefit Qi). If granulation tissue fails to grow after ulceration, this indicates Spleen Qi deficiency; administer Liujunzi Tang (Six Gentlemen Decoction). For individuals with innate frailty or those who fall ill due to improper diet and overexertion, Buzhong Yiqi Tang with added Shegan (Belamcandae Rhizoma) can often cause the disease to resolve spontaneously. If one fails to differentiate the meridians involved and does not distinguish between excess and deficiency, indiscriminately employing purgative methods will damage Qi and Blood. Consequently, mild cases will become difficult to treat, severe cases will transform into Zhai syndrome (chronic wasting disease), and death may even ensue.
Longdan Xiegan Tang (for Hernia) Xianfang Huoming Yin (see previous text) Tuoli Xiaodu San (see previous text)
Neibu Huangqi Tang (formulated by Xue Ji) Treats excessive discharge of pus from ulcers, or Qi and Blood weakness resulting from overuse of detoxifying agents, manifesting as fever, insomnia, or accompanied by night sweats, internal heat, or failure of granulation.
Huangqi (Astragali Radix, stir-fried, 2 qian) Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried) Fuling (Poria) Chenpi (Citri Reticulatae Pericarpium) Danggui (Angelicae Sinensis Radix) (each 1.5 qian) Suanzaoren (Ziziphi Spinosae Semen, stir-fried, 1 qian) Wuweizi (Schisandrae Chinensis Fructus, crushed) Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried) (each 0.5 qian)
Boil the above ingredients in water and take slowly.
Danggui Buxue Tang (for Deficiency Heat) Qingxin Lianzi Yin (for Lin Syndrome) Buzhong Yiqi Tang (for Deficiency Heat) Shiquan Dabu Tang (for Sweating)