（附论）
夫人之肌肉皮肤。待血气以温养。痈久不瘥。热毒未尽。风冷乘之。客于疮孔。肌不得
温。故肿结不消。乍瘥乍发。名曰久痈。不治则变成 。
方
五香连翘丸（出圣济总录）治诸痈肿热毒蕴积。或久出脓水。烦热疼痛。疮口
不合。排脓去死血。
木香（一两半） 沉香（锉） 人参 鸡舌香 乳香 芍药 玄参 海藻（洗去咸汁各
一两）
当归（切焙） 连翘（各一两半） 麝香（研半两） 桂（去粗皮） 大黄（锉） 芒硝（研
各一两）
恶实（二两） 桃仁（去皮尖双仁炒黄一两半） 上为末。炼蜜和丸。如梧桐子大。每服二
十丸、
至三十丸。空心酒下。量虚实加减。
黄 散（出圣惠方）治痈久出脓水过多。四肢虚羸。
黄 （一两锉） 败酱（三分） 络石（一两） 防风（三分去芦头） 漏芦（一两） 白
蔹（三
分） 白薇（一两） 玄参（三分） 白茯苓（三分） 白芍药（一两） 沉香 藿香（各
三分） 熟
干地黄（一两） 甘草（半两炙微赤锉） 上为粗散。每服四钱。水一中盏。煎至六分。去
滓温
服。日三四服之。
占斯散（出圣惠方）治久痈及风毒。留积穿穴。久出脓水疼痛。补肌肉。
占斯 黄 （锉各半两） 细辛 木香 连翘 桔梗（去芦头） 芎 甘草（炙微赤
锉）
白芍药 续断 人参（去芦头） 独活（各一两） 熟干地黄（半两） 上为细散。每于食
前。以
粥饮调下二钱。
木香汤（出圣惠方）治一切痈疽。及乳痈风肿。留积疼痛不止。或脓水不快。
久不生肌。
木香 乳香 鸡舌香（各半两） 沉香 射干 连翘 升麻 黄 （锉炒） 独活（去
芦头）
木通 桑寄生（锉） 甘草（炙锉） 大黄（锉炒各三分） 上粗捣筛。每服五钱。水一盏
半。煎
至一盏。下芒硝五分。麝香半字。更煎一二沸。滤去滓。空心温服。不利再服。
皮散（出圣济总录）治一切痈疽诸 。拔毒瓦斯。生肌肉。止脓血。
皮 杜仲（锉炒） 浓朴（去粗皮姜汁炙透各一两） 续断 地榆 本（去土） 附
子
（炮去皮脐） 当归（切焙） 桂（去粗皮各半两） 小露蜂房（半枚炙） 上为散。每服
二钱。
温酒调服。再服。
麦门冬汤（一名内补散）
麦门冬（去心焙） 黄 （炙锉） 五味子（炒） 白茯苓（去黑皮各一两） 芎 桂
（去粗
皮各半两） 当归（切焙） 人参 甘草（炙各三分） 远志（去心焙一两） 上粗捣筛。
每服五
钱。水一盏半。入生姜半分拍碎。大枣二枚擘开。同煎至一盏。滤去滓。空心温服。晚再服
生肌膏取瘥。
杀虫散（出圣惠方）治痈疽发背久不瘥。
白芜荑 藜芦（去芦两） 雄黄（细研各一两） 麝香（一分细研） 青矾（半两） 雄
黄（半
两细研） 苦参（一两锉） 附子（半两炮制去皮脐） 上为细散。与麝香相和研匀。每用
时先
以吴蓝、甘草煎汤。洗疮口去痂。干、日二敷之。
麦门冬散（出圣惠方）治久痈脓水出不尽。心中烦闷不已。
麦门冬（一两去心） 紫葛（三分锉） 木通（一两锉） 黄 （一两锉） 川升麻（三
分） 犀
角屑（三分） 甘草（半两炙微赤锉） 上为粗散。每服四钱。水一中盏。煎至六分。去滓。
不
拘时温服之。
白藓皮汤（出圣济总录）治痈疽日月久远。脓水不尽。心中烦闷。
白藓皮 桑根白皮（锉） 玄参 漏芦（去芦头） 升麻（各一两） 犀角屑（半两） 败
酱
（三分） 上捣筛。每服五钱。以水一盏半。煎至一盏。入芒硝半钱。滤去滓。空心温服。
晚再服。稍觉疮痛止。去芒硝。
蟾蜍膏（出圣济总录）治一切疮肿、痈疽、瘰 等疾。经月不瘥。成冷 。
蟾蜍（一枚去头用） 石硫黄（别研） 乳香（别研） 木香 桂（去粗皮各半两） 露
蜂房
（一枚烧灰用） 上为末。用清油一两调药。入瓷碗盛。于铫子内重汤熬。不住手搅令成膏。
摊绢上贴之。候疮上清水出。更换新药。甚者浓摊贴之。
黄 汤（出圣济总录）治痈疽恶疮久远脓水不尽。变为 。
黄 （锉炒一两） 升麻（半两） 犀角（镑半两） 紫葛 木通（锉各三两） 上粗
捣筛。每
服五钱。水一中盏半。煎至一盏。下朴硝半钱。滤去滓。空心温服。取利三两行为度。未利
再服。
如神散（出圣济总录）治疮久不瘥。时常痛痒。皮缩肉消。黄汁脓血不断。
天南星（炮一枚） 草乌头（炒一两） 矾石（煨半两） 上为散。先入热汤洗。次用
散子调
生油。摊纸上。贴之。
黄连散（出圣济总录）治一切痈疽久不瘥。
黄连（去须） 滑石（碎各一两） 上为散。先浓煎甘草汤。温洗疮了。拭干。烂嚼胡
麻子
敷之后。干贴此散。日三易良。
又方（出圣济总录）治久痈。
巴豆（五枚去心皮令研细） 鱼脂（三两） 上先熬脂令沸。入巴豆煎搅令匀。以瓷盒
盛。
涂敷疮上。日三易。
又方（出圣济总录）
巴豆（五枚烧灰令研细） 斑蝥（五枚烧灰细研） 上为散。敷疮上。以绵贴之。日一。
治痈疖溃后脓不断。及诸物刺伤疮。（出圣惠方）
硫黄粉（二两） 牛筋（一片碓碎） 上以筋内硫黄中。以刺疮孔内。取瘥。
治痈疽疮久不瘥（出圣惠方）
松脂（三两） 薰陆香（三两） 上合捣内少许盐为饼。贴疮上。得汁出尽瘥。
治久痈涂敷方（出圣济总录）
用白杨叶干者一握为末。敷疮上。日二。
又方（出圣惠方）
用饴糖一分。取火溶灌疮中。日三。
又方（出圣济总录）
用鹤骨锉半两为末。以猪脂调如糊。涂敷疮上。故帛裹之。须臾痒发。当有虫出瘥。
治痈久不瘥
用马齿苋捣汁煎。以敷之。
(Attached Discussion)
Human muscles and skin rely on Qi and Blood for warming and nourishment. When a carbuncle (Yong, 痈) persists without healing, it is because the heat-toxin has not been fully cleared. Wind-cold pathogens take advantage of this weakness to invade and lodge in the wound aperture. The muscles fail to receive warmth, resulting in swelling and induration that do not dissipate. The condition fluctuates between remission and exacerbation, a syndrome termed "Chronic Carbuncle" (Jiu Yong, 久痈). If left untreated, it may transform into a fistula (Lou, 瘘).
Prescriptions:
Wuxiang Liaoqiao Wan (Five-Aromatic Forsythia Pill) [Source: *Shengji Zonglu*]
Indications: Various swellings and carbuncles caused by accumulation of heat-toxin; or chronic carbuncles with prolonged suppuration, accompanied by irritability, fever, pain, and non-healing wounds.
Actions: Drains pus, removes dead blood.
Ingredients: Muxiang (Ligusticum Chuanxiong Rhizome, 1.5 liang), Chenxiang (Aquilaria Wood, crushed), Renshen (Ginseng Root, 0.5 liang implied by context or standard dosage, text says "Renshen"), Jishe Xiang (Caryophylli Flos, 0.5 liang implied), Ruxiang (Olibanum Resin, 0.5 liang implied), Shaoyao (Paeoniae Radix Alba, 0.5 liang implied), Xuanshen (Scrophulariae Radix, 1 liang), Haizao (Sargassum Thallus, washed to remove salty juice, 1 liang), Danggui (Angelicae Sinensis Radix, sliced and dried, 1.5 liang), Liaoqiao (Forsythiae Fructum, 1.5 liang), Shexiang (Moschus, ground, 0.5 liang), Guizhi (Cinnamomi Ramulus, bark removed, 0.5 liang implied), Dahuang (Rhei Radix et Rhizoma, crushed, 1 liang), Mangxiao (Natrii Sulfas, ground, 1 liang), Eshi (Arctii Fructum, 2 liang), Taoren (Persicae Semen, peeled, kernels removed, double-kernel ones fried until yellow, 1.5 liang).
Preparation: Grind all ingredients into powder. Mix with refined honey to form pills the size of Sophora seeds.
Dosage: Take 20-30 pills per dose. Administer orally with wine on an empty stomach. Adjust dosage according to the patient's deficiency or excess condition.
Huangqi San (Astragalus Powder) [Source: *Taiping Shenghui Fang*]
Indications: Chronic carbuncles with excessive discharge of pus, leading to emaciation and weakness of the four limbs.
Ingredients: Huangqi (Astragali Radix, 1 liang, crushed), Baijiangcao (Patriniae Herba, 3 fen), Luoshiteng (Trichosanthes Caulis, 1 liang), Fangfeng (Saposhnikoviae Radix, 3 fen, radix removed), Loulu (Euphorbiae Pekinensis Radix, 1 liang), Bailian (Trollietii Bulbus, 3 fen), Baiwei (Clehemiae Radix, 1 liang), Xuanshen (Scrophulariae Radix, 3 fen), Baifuling (Poria, 3 fen), Baishaoyao (Paeoniae Radix Alba, 1 liang), Chenxiang (Aquilaria Wood, 3 fen), Huoxiang (Pogostemonis Herba, 3 fen), Shudihuang (Rehmanniae Radix Praeparata, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, half liang, honey-fried until slightly red and crushed).
Preparation: Grind into a coarse powder.
Dosage: Take 4 qian per dose. Add one zhong of water, decoct until six parts remain. Strain and take warm. Take 3-4 times daily.
Zansi San (Zansi Powder) [Source: *Taiping Shenghui Fang*]
Indications: Chronic carbuncles and wind-toxicity causing accumulation and perforation; long-term pus discharge with pain. Tonifies muscle tissue.
Ingredients: Zansi (Unknown herb, likely a specific local name or typo for another herb like "Zanshu" or similar, kept as Zansi), Huangqi (Astragali Radix, crushed, half liang each), Xixin (Asari Radix et Rhizoma), Muxiang (Aucklandiae Radix), Liaoqiao (Forsythiae Fructum), Jiegeng (Platycodonis Radix, radix removed), Xiongnu (Ligustici Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red and crushed), Baishaoyao (Paeoniae Radix Alba), Xuduan (Dipsaci Radix), Renshen (Ginseng Root, radix removed), Duohuo (Angelicae Pubescentis Radix, 1 liang each), Shudihuang (Rehmanniae Radix Praeparata, half liang).
Preparation: Grind into a fine powder.
Dosage: Take 2 qian before meals, mixed with rice broth.
Muxiang Tang (Aucklandia Decoction) [Source: *Taiping Shenghui Fang*]
Indications: All types of sores and carbuncles, including mastitis with wind-swelling; persistent pain from stagnation; slow drainage of pus; failure of granulation after a long period.
Ingredients: Muxiang (Aucklandiae Radix), Ruxiang (Olibanum Resin), Jishe Xiang (Caryophylli Flos, half liang each), Chenxiang (Aquilaria Wood), Shegan (Belamcandae Rhizoma), Liaoqiao (Forsythiae Fructum), Shengma (Bupleuri Radix or Cimicifugae Rhizoma - text implies Shengma generally, often Cimicifugae in this context but Bupleuri also used, WHO term Shengma), Huangqi (Astragali Radix, crushed and fried), Duohuo (Angelicae Pubescentis Radix, radix removed), Mutong (Akebiae Caulis), Sangjisheng (Taxilli Caulis, crushed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed), Dahuang (Rhei Radix et Rhizoma, crushed and fried, 3 fen each).
Preparation: Coarsely crush and sieve.
Dosage: Take 5 qian per dose. Add one and a half zhan of water, decoct until one zhan remains. Add Mangxiao (Natrii Sulfas, 5 fen) and Shexiang (Moschus, half zi). Boil for one or two more cycles. Strain and take warm on an empty stomach. If no purgative effect occurs, administer again.
Pidu San (Bark Powder) [Source: *Shengji Zonglu*]
Indications: All types of sores, carbuncles, and various fistulas. Draws out toxic vapors, promotes flesh regeneration, stops pus and bleeding.
Ingredients: Pi (Bark - source unspecified in text, likely Goubipi or Mudanpi based on formula, kept as Pi), Duzhong (Eucommiae Cortex, crushed and fried), Houpo (Magnoliae Officinalis Cortex, bark removed, ginger-juice fried through, 1 liang each), Xuduan (Dipsaci Radix), Diyu (Sanguisorbae Radix), Bencao (Ligustici Wallichii Rhizoma, cleaned of soil), Fuzi (Aconiti Lateralis Radix Praeparata, processed, peel and umbilicus removed), Danggui (Angelicae Sinensis Radix, sliced and dried), Guizhi (Cinnamomi Ramulus, bark removed, half liang each), Xiaolufengfang (Vespa Nest, half piece, fried).
Preparation: Grind into powder.
Dosage: Take 2 qian, mixed with warm wine. Repeat administration.
Maimendong Tang (Ophiopogon Decoction) [Also known as Neibu San]
Ingredients: Maimendong (Ophiopogonis Radix, heart removed, fried), Huangqi (Astragali Radix, honey-fried and crushed), Wuweizi (Schisandrae Fructum, fried), Baifuling (Poria, black skin removed, 1 liang each), Xiongnu (Ligustici Chuanxiong Rhizoma), Guizhi (Cinnamomi Ramulus, bark removed, half liang each), Danggui (Angelicae Sinensis Radix, sliced and dried), Renshen (Ginseng Root), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 3 fen each), Yuanzhi (Polygalae Radix, heart removed, fried, 1 liang).
Preparation: Coarsely crush and sieve.
Dosage: Take 5 qian per dose. Add one and a half zhan of water, half part of fresh Ginger (sliced), two Jujubes (split). Decoct until one zhan remains. Strain and take warm on an empty stomach. Take again in the evening.
Shengji Gao (Flesh-Generating Ointment) [For achieving cure]
Shachong San (Insect-Killing Powder) [Source: *Taiping Shenghui Fang*]
Indications: Carbuncles and back-sores persisting for a long time without healing.
Ingredients: Baiwuyi (Chloranthi Fructus), Lilu (Veratrum Nigrum, radix removed, 2 liang each), Xionghuang (Realgar, finely ground, 1 liang each), Shexiang (Moschus, 1 fen, finely ground), Qingfan (Vitriolum, half liang), Xionghuang (Realgar, half liang, finely ground), Kushen (Sophorae Flavescentis Radix, 1 liang, crushed), Fuzi (Aconiti Lateralis Radix Praeparata, half liang, processed, peel and umbilicus removed).
Preparation: Grind into a fine powder and mix evenly with Shexiang.
Usage: Before application, wash the wound with a decoction of Wulan and Gancao to remove scabs. Dry the area. Apply twice daily.
Maimendong San (Ophiopogon Powder) [Source: *Taiping Shenghui Fang*]
Indications: Chronic carbuncles with incomplete drainage of pus, causing persistent mental restlessness.
Ingredients: Maimendong (Ophiopogonis Radix, 1 liang, heart removed), Zige (Polygoni Cuspidati Rhizoma et Radix, 3 fen, crushed), Mutong (Akebiae Caulis, 1 liang, crushed), Huangqi (Astragali Radix, 1 liang, crushed), Chuanshengma (Cimicifugae Rhizoma, 3 fen), Xijiaoxie (Rhino Cerios Cornu, 3 fen), Gancao (Glycyrrhizae Radix et Rhizoma, half liang, honey-fried until slightly red and crushed).
Preparation: Grind into a coarse powder.
Dosage: Take 4 qian per dose. Add one zhong of water, decoct until six parts remain. Strain. Take warm at any time.
Baixianpi Tang (Dictamnus Decoction) [Source: *Shengji Zonglu*]
Indications: Sores and carbuncles lasting a long time with incomplete pus drainage, causing mental restlessness.
Ingredients: Baixianpi (Dictamni Cortex), Sanggenbaitupi (Mori Cortex, crushed), Xuanshen (Scrophulariae Radix), Loulu (Euphorbiae Pekinensis Radix, radix removed), Shengma (Cimicifugae Rhizoma, 1 liang each), Xijiaoxie (Rhino Cerios Cornu, half liang), Baijiangcao (Patriniae Herba, 3 fen).
Preparation: Pound and sieve.
Dosage: Take 5 qian per dose. Add one and a half zhan of water, decoct until one zhan remains. Add Mangxiao (Natrii Sulfas, half qian). Strain and take warm on an empty stomach. Take again in the evening. Once pain subsides, discontinue use of Mangxiao.
Chantu Gao (Toad Ointment) [Source: *Shengji Zonglu*]
Indications: All swellings, carbuncles, scrofula, etc., unhealed for months, forming cold fistulas.
Ingredients: Chantu (Bufo Viridis, one piece, head removed), Shiliuhuang (Sulfur, separately ground), Ruxiang (Olibanum Resin, separately ground), Muxiang (Aucklandiae Radix), Guizhi (Cinnamomi Ramulus, bark removed, half liang each), Lufengfang (Vespa Nest, one piece, burned to ash).
Preparation: Grind into powder. Mix with one liang of clear oil. Place in a porcelain bowl and simmer over hot water in a pot, stirring constantly until it becomes an ointment. Spread on silk and apply to the wound. Replace with fresh medicine when clear fluid appears. For severe cases, apply thickly.
Huangqi Tang (Astragalus Decoction) [Source: *Shengji Zonglu*]
Indications: Long-standing malignant sores and carbuncles with incomplete pus drainage, transforming into fistulas.
Ingredients: Huangqi (Astragali Radix, crushed and fried, 1 liang), Shengma (Cimicifugae Rhizoma, half liang), Xijiao (Rhino Cerios Cornu, shaved, half liang), Zige (Polygoni Cuspidati Rhizoma et Radix), Mutong (Akebiae Caulis, crushed, 3 liang each).
Preparation: Coarsely crush and sieve.
Dosage: Take 5 qian per dose. Add one and a half zhan of water, decoct until one zhan remains. Add Puxiao (Mirabilite, half qian). Strain and take warm on an empty stomach. The goal is to have three bowel movements. If no effect, administer again.
Rushen San (Miraculous Powder) [Source: *Shengji Zonglu*]
Indications: Sores unhealed for a long time, frequent itching and pain, skin retraction, muscle wasting, continuous discharge of yellow fluid, pus, and blood.
Ingredients: Tiannanxing (Arisaematis Rhizoma Praeparatum, processed, one piece), Caowutou (Aconiti Kusnezoffii Radix, fried, 1 liang), Fanshi (Alumen, roasted, half liang).
Preparation: Grind into powder. First wash with hot water. Then mix powder with raw oil, spread on paper, and apply to the lesion.
Huanglian San (Coptis Powder) [Source: *Shengji Zonglu*]
Indications: All sores and carbuncles unhealed for a long time.
Ingredients: Huanglian (Coptidis Rhizoma, whiskers removed), Huashi (Talcum, crushed, 1 liang each).
Preparation: Grind into powder. First decoct strong Gancao (Licorice) soup. Wash the wound warmly, dry it. Chew Sesame seeds thoroughly and apply. Then apply this powder when dry. Change three times daily for good results.
Another Prescription [Source: *Shengji Zonglu*]
Indications: Chronic carbuncles.
Ingredients: Badou (Crotonis Fructus, five pieces, hearts and skins removed, finely ground), Yuzhi (Fish Fat, 3 liang).
Preparation: Boil the fat until bubbling. Add Badou and stir until uniform. Store in a porcelain box. Apply to the wound. Change three times daily.
Another Prescription [Source: *Shengji Zonglu*]
Ingredients: Badou (Crotonis Fructus, five pieces, burned to ash and finely ground), Banmao (Mylabris, five pieces, burned to ash and finely ground).
Preparation: Grind into powder. Apply to the wound. Cover with cotton. Once daily.
Treatment for continuous pus discharge after ulceration of carbuncles/furuncles, and wounds pierced by foreign objects [Source: *Taiping Shenghui Fang*]
Ingredients: Liuhuang Fen (Sulfur Powder, 2 liang), Niujin (Bovis Tendo, one piece, pounded).
Usage: Insert the tendon containing sulfur into the pierced wound. Cure expected.
Treatment for long-standing sores and carbuncles [Source: *Taiping Shenghui Fang*]
Ingredients: Songzhi (Pinus Resin, 3 liang), Xunluxiang (Olibanum Resin, 3 liang).
Preparation: Pound together, add a little salt, form into cakes. Apply to the wound. Cure when exudate is exhausted.
Topical Formula for Chronic Carbuncles [Source: *Shengji Zonglu*]
Use one handful of dried White Poplar leaves (Baiyangye), grind into powder. Apply to the wound. Twice daily.
Another Prescription [Source: *Taiping Shenghui Fang*]
Use one part Yi-tang (Maltose). Melt with fire and pour into the wound. Three times daily.
Another Prescription [Source: *Shengji Zonglu*]
Use Crane Bone (He Gu), crushed to half liang powder. Mix with Pig Fat (Zhuzhi) to form a paste. Apply to the wound. Wrap with old cloth. Itching will occur shortly, and worms will emerge, indicating cure.
Treatment for Long-Standing Carbuncles Unhealed
Use Purslane (Machixian), pound to extract juice, decoct, and apply.