（附论）
凡发背始发。或似小疖。或复大痛。或复小痛。初发头如麻子大。此皆微候。宜速察之。
若有少异。即须大怖。便急治之。仍忌口。连服诸药下去热毒。若在僻远无医药者。即当头
灸百壮。若已大肿。灸四面及头二三百壮。不厌多也。复薄贴冷药。种种救疗。必得瘥也其
用贴 药。皆须当中开孔。令泄毒瓦斯也。发背者。由六腑不和。经络痞涩。血壅不通。热毒
蕴积。结成痈也。其肿起于背胛中。白如黍米。四畔相连肿。赤热而疼痛。或已溃。或未溃。
拓也。
方
大黄散 治发背初发如麻子粒大。渐以结硬疼痛。
川大黄 木香 玄参 黄芩 赤芍药 白蔹 紫葛 赤小豆（各一两） 上为细散。用
鸡
子白调如面糊。于绢上涂贴。干再贴。以愈为度。
雄黄散 治发背肿毒。 赤疼痛。
雄黄（一两细研） 黄连（一两去头） 黄柏（半两锉） 赤小豆（三分） 川朴硝（一
两） 黄
芩（半两） 白芨（三分） 上为细散。用猪胆调如面糊。日三四涂敷肿上。
柳木耳饼 治乳石气发背。疮赤黑色。宜贴。
老柳树上木耳（二两） 黄连（一两去须） 龙葵根（一握净洗去土切） 乳香（一两）
人粪
灰（半两） 杏仁（一两汤浸去皮尖） 上件药相和。捣三五百杵。捏作饼子。浓五钱以来。
一
根据疮大小贴之。恐药不住。以单帛勒之。病者觉痒及冷应心。则不得以手搔之。如人行二十
里一换。须臾痒不可忍。四畔便皱。脓即以出。急去其药。以甘草汤温洗之。用膏药贴之。
每日一换。皆须甘草汤洗之。以瘥为度。痒即易瘥。或赤色不痒即难瘥。
拔毒散 治发背涂疮方。
阳起石 寒水石 矾石 白石腊 石膏 麦饭石（各二两） 上为末。重研如面。用新
汲
水调。涂疮上。
解毒生肌散方
锻石（一分多年故船上者佳以净器中烧令赤） 黄丹（一分炒令紫色） 龙骨（一分） 麝
香
（一分） 椹子（一分） 密陀僧（一分） 上为细散。每用敷之。
治发背。磨刀石 肿方。
磨刀赤石（一片阔三寸长三寸浓一寸者） 白蔹（二两） 川大黄（二两） 醋（一升）
鹿
角（八两烧为灰） 上取磨刀石烧令赤。即内醋中。复出烧赤。又内醋中。候醋减半。即取
诸
药一处捣为细散。以醋调如膏。软帛上贴。干则易之。
栝蒌根散 治发背及诸毒肿。宜涂方。
栝蒌根（三两） 榆白皮（三两锉） 胡燕窠土（五两） 鼠 土（五两） 上为细散。
取芭蕉
根汁和作稀膏。用涂肿上。干即更涂。如溃脓有头者。即四面涂之。一方用女人月经衣。水
洗取汁和如泥敷。
锻石散 治一切肿。及发背乳痈等。
风化锻石（一合） 小麦面（三合） 皂角灰（一合） 白蔹（一合） 上为细散。以
酽浆水和
如面糊涂贴。日三四换之。
又方 治发背。初得毒肿。
没石子（一枚） 墙上朽骨（一分） 胭脂（一分） 上相和。研令匀细。每用敷之。
如未结
脓作头。只用浮萍草敷之。自消。
抵圣熊胆丸 治发背疮。 热疼痛。
熊胆 麝香 上等分。同研为丸。如黍米大。凡用药先以温水洗疮令净。安一丸于疮口
内。上掺解毒生肌散。后用醋面糊。摊于故帛上盖之。手按不可忍者。立效。
清凉膏 治发背 热疼痛。消肿毒。
糯米（二升） 龙脑（一分） 上糯米水淘令净。入龙脑相和。研成膏。摊于疏布上贴。
干
即易之。
又方
大麦面（三升） 黄牛乳（二斤） 上相和作饼子。以敷肿处。热即易之。以瘥为度。
治发背疮肿。疼痛不可忍。
露蜂窠（一两半） 甘草（二两生用） 上锉。以水三升。煎至二升。去滓。以绵浸汤
中。
洗疮四面。辟除毒瓦斯。令疮早瘥。
治发背热毒肿。痛不可忍。
蘩蒌（烧灰一升） 大麦面（三合） 上药以水和如膏。涂于肿上。干即易之。以瘥为
度。
治发背初有。经日肿热 。毒瓦斯猛盛。日夜头痛。
鸡子清（三枚） 新狗粪（一掬） 上药相和。令硬软得所。捏作饼。子可浓一二钱。
当头
开一孔子。贴肿上。以帛子抹。却日三贴之。取瘥为度。
治觉似发背。但是热肿即用之。令内消方。
皂荚（一梃去黑皮及子） 栗子（一十枚去壳曝干） 上为细散。以新汲水和如面糊。
摊于
布上。以敷肿处。干即易之。
葛根汤 治发背痈疽。一切疮肿乳痈。口干脚冷。发作寒热。头痛呕哕。不下食。
（方见麦门冬汤）
治发背及疽。一切毒肿内消方。
用剪刀草不限多少。净洗切捣。绞取汁一小盏。温暖频服之。并以剪刀草烂研。阔铺于
肿处。如有干者。捣末蜜调涂之。
又方
用理石五两。以水煮一日。捣研令细。冷水调涂。又以青布三重。可赤处方圆。湿布拓
之。热即频换。
又方
用生地黄不拘多少。捣如泥。以故布一条。阔狭如肿大小。薄摊地黄于布上。摊讫。糁
木香末于地黄上令遍。即于木香末上。又摊地黄泥一重。令夹木香末讫。拓于肿上。干即易
之。不过三五度效。
取黄牛粪在芒田中经雨多者。此粪带白色良。收取去泥土。曝干。一半以炭火烧令烟绝。
一半烧令黑糟。相和研令极细。以生麻油调如面脂。日三四涂之。
治发背。及痈疽未溃方。
以莨菪叶、似觉有疮。即取前件叶不限多少。旋炙令热。便熨疮上。冷即易之。以痛止
为度。各月无叶。即取根劈作片子。炙热熨之。
治发背兼肿毒方
捣地松绞取汁一小盏。用乳香末一钱。以水研涂之。干即更涂。如未有头者。于四面涂
之。一方无乳香。
又方
用马齿苋有黄花时。捣绞取汁。日煎成膏。如患发背者。研入硝石少许。日四五上。涂
疮立效。
治发背痈肿方。
用犊子耳中塞糁于疮上。立瘥。不问黄牛水牛并良。
黄连汤 治发背痈疽。穿穴时久。坏烂恶寒不可近。出骨露筋。余毒未解。攻刺疼
痛不可忍。淋洗方。
黄连 地骨皮 羌活 防风（去芦头） 木通 甘草 白芷 川大黄 野狼牙 川升麻 莽
草 本 黄 （锉） 赤芍药 细辛 桑根白皮 黄芩 白矾 葱白 麻黄（去根节各一
两）
上药细锉。分为七贴。用水三升。煎取二升。去滓。温暖淋洗疮上。后以热衣拭干。以生肌
膏贴之。
地黄汤 治发背始作。便成疮烂坏。宜拓之方。
生地黄汁（一升） 川生麻 白蔹 栀子仁 黄连 黄柏 当归 赤芍药 射干 川大
黄
甘草（生用各二两） 上药细锉。水一斗。煮至六升。去滓。下地黄汁搅令微温。以故帛内
汤
中。蘸拓于肿上。
淋拓枳壳汤 治发背及恶毒疮肿宜用。抽风毒。
枳壳 苦参 莽草 甘草 水荭 细辛 本 白芷 黄 （各二两） 白矾（一两） 上
药细锉。拌令匀。分作三贴。每贴以水五升。入葱白五茎。煎至三升。滤去滓。于避风处用
软帛替换。乘热 药水淋拓患处。以水冷为度。
洗熨方 治发背。及一切疮肿穿穴后。止疼痛。抽风毒。化疮根。
莽草 露蜂窠 白芷 桑根白皮 甘草 防风 本 细辛（各半两） 垂柳枝 葱白
（各一握） 上药细锉。以水一斗。煎至五升。去滓。及热于避风处。用软帛替换蘸药水。
承
热熨患处。以水冷为度。
竹沥汤 治发背肿痛。宜拓方。
竹沥（二升） 川大黄 黄连 苦参 黄芩 栀子仁 锻石 木兰皮 黄柏（各一两） 上
药细锉。以水五升。入竹沥煮药至三升。去滓。以绵 汤拓疮上。日至十余度。
猪蹄汤 治痈肿及一切疮。或烦疼浸淫。宜用浇淋方。
猪蹄（一对去毛净洗） 芎 赤芍药 川升麻 甘草 蛇床子 川大黄 蒴 槐白
皮
（各一两） 上药锉。先以水二斗。煮猪蹄取一斗。漉去猪蹄。下诸药。煎取六升。去滓。
适寒温浇淋疮。以汤冷为度。拭干。别用敷药。
黄连汤 治背疮毒肿。 烂疼痛宜拓方。
黄连 麻黄根 甘草 野狼牙 羌活 桑枝 白矾（各一两） 上药捣细。每用二两。入
葱
白五茎。以水五升。煎至二升。去滓。用软帛承热 药水。更番淋拓患处。水冷即止。
黄芩汤 治发背不消。宜拓方。
黄芩 白芷 栝蒌根 甘草 当归（各一两） 川大黄（三两） 上药细锉。以水七升。
煮
至三升。去滓。以故帛 汤。更番拓患处。
木通汤 治痈疽发背。初觉似有。即速服药取通。兼用此汤淋射。
木通（一斤） 白杨皮（一斤） 川升麻（半斤） 露蜂房（四两） 赤芍药（半斤） 甘
草（半
斤） 上锉。以水三斗。煮取一斗。滤去滓。适大热用注瓷瓶两三枚。更互盛汤。高抬手注
射肿处。勿令间断。可一食久。次用暖水注射一食久。即解散热气。
苦参汤 治痈疮烂坏。淋洗方。
苦参 防风 露蜂窠 甘草（各二两） 上药细锉。用水一斗。煎至六升。去滓。热汤
洗。
冷即住。
猪蹄汤 治一切败烂疮。洗方。
猪蹄（一对） 败酱（一两） 槐柳枝（各一握） 黄 （二两锉） 上药细锉。先以
水一斗。
下猪蹄煮令烂。去猪蹄。下诸药。更煎取四升。以布绞去滓洗疮。汤冷为度。以绵拭干。便
以生肌膏贴之。
黄连饼 治发背、发鬓、乳痈、诸毒肿。宜贴。
黄连（去须） 蛇床子 乳香（各一两） 杏仁（半两） 蔓荆根（一握） 盐（一分）
人粪灰
（十分） 柳树上木耳（一两） 上为细散。入酥和捏作饼子。浓如五钱。以贴患上。用粗
布
紧扎之。每日三四度易之。夜亦如日。然每易时。先以甘草汤洗之。如未作头。贴药便撮作
头。如已穴有脓水。亦贴之即生肌肉。如出脓水已尽。即贴乌膏。若有 肉。即取柳树白木
耳细研。微微糁于膏上。贴之。
拓肿方。
大黄 黄芩 白蔹 芒硝（各三分） 上 咀。以水六升。煮取三升。故帛四重蘸汁中。
以拓肿处。干即易之。无度数。昼夜为之。
治发背及痈肿。已溃未溃。
香豉三升。少与水和。熟捣成强泥。根据肿作饼子。浓三分以上。有孔勿覆孔上。布豉饼
以艾列其上灸之。使温温而热。勿令破肉。如热痛。即急易之。患当减。快得安稳。一日二
度灸之。如先有疮孔。孔中得汁出即瘥。
升麻汤 治发背及诸肿毒。宜拓方。
川升麻（一两） 黄芩（二两） 栀子 漏芦（各一两） 蒴 根（三两） 川芒硝（二
两） 上
件药锉碎。以水一斗。煮取五升。去滓候冷。用帛 药拓肿处。常令湿润即消也。
活调敷散 治疽发背。先用箍药。
乳香 没药 白芷 白蔹 南星 赤小豆 天花粉 芙蓉叶 黄连 贝母 寒水石 地
榆黄蜀葵叶（或花或子） 白芨 百合 上为末调。敷疮留口。如疮肿硬而浓。按之方痛。
加草乌尖、野狼毒、蜜、醋调敷。又方明硫黄、荞麦粉等分。井水调作饼子。日干。用时为末。
水调敷之。宜涤汤用新桑白皮、白芷、葱白、苏叶、苦参、露蜂房为粗末。水煎。时温淋洗
之。又糁末。用经霜叶兼干为末。糁疮口。又宜红玉散。用飞虢丹、寒水石等分。为细末掺
之。能生肉。疮已溃欲结口者。方可用生末。
外台秘要疗啬啬恶寒。似欲发背。或已生疮肿瘾疹起方。
以硝石三两。暖水一升。和令消待冷。取故青布沓三重。以赤处方圆湿布拓之。热即频
易。立瘥。
麝香散 治发背、痈疽、肿毒、疳、漏等疮。
麝香（别研） 轻粉 定粉（以上三味各半钱） 粉霜（一字半） 巴豆（三枚大者去
皮） 白
丁香（四十二枚拣直者） 上件先研巴豆细。却入诸药。同研极细为度。如疳疮有眼者。用
水
和药作锭子。 在疮口内。后用万金膏贴。每日一上。如脓多两上。如恶疮发背。鱼眼疔疮。
有紫恶肉。只做散子干糁在恶肉上。后用万金膏贴。每日一上。或再上。但少掺药。如不痛。
更加药少许。
治痈疽发背三法
第一法 如上药后。觉冷如水。万不失一。或不觉冷。则难治。
莲花蕊（黄须者用三钱） 雄黄（半两生） 天南星（半两生） 川当归（二两去芦） 蜈
蚣
（赤脚者一条生） 飞罗面（二钱生） 苣霜（二钱生） 上七味。不见火曝干为细末。酽
米醋调
成。用纸花大于患处红晕上半寸许。敷药于纸花上贴于患处。用篦子重叠压纸令着实。纸花
留眼子在疮口上。放近下令出脓水。一日一换。临换药时。用煎熟温汤。以软绵蘸汤。洗去
旧药。候干。再上新药。其药不可久留。久留则无力。旋合不可过三日。如疮大用药多。则
以料剂添合之。如发渴、一面服第二药。或不渴亦多服之。候脓水尽。始用第三药。敛疮口
忌一切毒食。患者不可令闻秽气。其药功效。不可尽述。
第二法 治疮正发时作渴。虽不渴。亦多服之。
[Attached Discussion]
When a "Fa Bei" (Back Carbuncle) first begins, the symptoms may resemble a small boil, or it may present with severe pain, or mild pain. Initially, the head of the lesion is as large as a hemp seed; these are minor signs that should be observed promptly.
If there is any slight change in condition, one must be highly vigilant and treat it immediately. Dietary restrictions should be observed, and various medications should be taken continuously to clear heat and toxins from the body. If medical treatment is unavailable in remote areas, direct moxibustion of 100 "zhuang" (moxa cones) should be applied to the affected area. If significant swelling has already occurred, apply 200-300 "zhuang" around the periphery and on top; the more, the better. Additionally, apply cold medicinal plasters and employ various rescue treatments to ensure recovery.
When using topical plasters, a hole must be cut in the center to allow the discharge of toxic vapors. "Fa Bei" arises from the disharmony of the six fu organs, obstruction and stagnation of the meridians and collaterals, blood congestion and blockage, and the accumulation of heat toxins, which condense to form an abscess. The swelling appears in the middle of the back between the shoulder blades, initially white like a millet grain, spreading and connecting around the periphery, becoming red, hot, and painful. It may be ulcerated or non-ulcerated; this refers to the "Tuo" (pressing/washing) method.
Formulas:
Dahuang San (Rhubarb Powder): Treats early-stage Fa Bei resembling a hemp seed, gradually hardening and becoming painful.
Ingredients: Chuan Dahuang (Radix et Rhizoma Rhei), Muxiang (Radix Aucklandiae), Xuanshen (Radix Scrophulariae), Huangqin (Radix Scutellariae), Chi Shaoyao (Radix Paeoniae Rubra), Bailian (Rhizoma Belamcandae), Zige (Cortex Cinnamomi Cassiae var. Cognatae? Note: Text says Zige, likely specific bark), Chixiaodou (Semen Phaseoli Angularis) (each 1 liang).
Preparation and Administration: Grind the above ingredients into a fine powder. Mix with egg white (Jizi Bai) to form a paste resembling batter. Apply onto silk fabric and plaster over the lesion. Reapply when dry until healed.
Xionghuang San (Realgar Powder): Treats Fa Bei swelling and toxicity, redness and pain.
Ingredients: Xionghuang (Realgar) (1 liang, finely ground), Huanglian (Rhizoma Coptidis) (1 liang, remove root heads), Huangbai (Cortex Phellodendri) (0.5 liang, sliced), Chixiaodou (Semen Phaseoli Angularis) (3 fen), Chuan Pu Xiao (Natrii Sulfas) (1 liang), Huangqin (Radix Scutellariae) (0.5 liang), Baiji (Bulbus Bletillae) (3 fen).
Preparation and Administration: Grind into a fine powder. Mix with pig gallbladder bile (Zhudan) to form a paste. Apply to the swollen area 3-4 times daily.
Liu Mu'er Bing (Willow Wood Ear Cake): Treats Fa Bei caused by mineral stone drugs, where the sore is red and black, suitable for plasting.
Ingredients: Mu'er growing on old willow trees (2 liang), Huanglian (Rhizoma Coptidis) (1 liang, remove threads), Longgui Gen (Radix Solani Lycopersici) (one handful, washed clean, soil removed, sliced), Ruxiang (Resina Draconis) (1 liang), Ren Fen Hui (Ash of Human Feces) (0.5 liang), Xingren (Semen Armeniacae Amarum) (1 liang, soaked in hot water, skin and tips removed).
Preparation and Administration: Mix ingredients and pound 300-500 times. Shape into cakes, thickness at least 5 qian. Apply according to the size of the sore. Secure with a single silk band to prevent slipping. When the patient feels itching and cold penetrating the heart, do not scratch. Replace every distance equivalent to walking 20 li. Soon, unbearable itching will occur, and the surrounding skin will wrinkle, allowing pus to drain. Immediately remove the cake, wash gently with Licorice Decoction, and apply a healing ointment. Change once daily, always washing with Licorice Decoction until healed. Itching indicates easier recovery; lack of redness and itching indicates difficult recovery.
Badu San (Toxin-Pulling Powder): Formula for applying to Fa Bei sores.
Ingredients: Yangqishi (Mineral Pyrite), Hanshui Shi (Mineral Calcitum), Fanshi (Alumen), Baishi Zhi (Mineral Halloysitum), Shigao (Mineral Gypsum Fibrosum), Maifan Shi (Mineral Calcariae) (each 2 liang).
Preparation and Administration: Grind into powder and sieve until fine as flour. Mix with fresh well water and apply to the sore.
Jiedu Shengji San (Detoxification and Muscle-Regeneration Powder):
Ingredients: Duanshi (Calx Ferrum) (1 fen, preferably from old ship planks, burned red in a clean vessel), Huangdan (Mineral Plumbi Subcarbonas) (1 fen, fried until purple), Longgu (Os Costae Mastodi) (1 fen), Shexiang (Moschus) (1 fen), Shenzi (Fructus Mori) (1 fen), Mituoseng (Mineral Lithargyri) (1 fen).
Preparation and Administration: Grind into a fine powder. Apply appropriate amount each time.
Modaoshi Xiaozhong Fang (Whetstone Swelling-Reduction Formula):
Ingredients: Modaoshi Chishi (Red Stone from Whetstone) (one piece, 3 cun wide, 3 cun long, 1 cun thick), Bailian (Rhizoma Belamcandae) (2 liang), Chuan Dahuang (Radix et Rhizoma Rhei) (2 liang), Cu (Vinegar) (1 sheng), Lu Jiao (Cornu Cervi Pantotrichum) (8 liang, burned to ash).
Preparation and Administration: Heat the whetstone until red, quench in vinegar, reheat, and quench again. When vinegar reduces by half, combine all herbs, pound into fine powder, and mix with vinegar to form a paste. Apply on soft silk. Replace when dry.
Gualou Gen San (Trichosanthes Root Powder): Treats Fa Bei and various toxic swellings, suitable for topical application.
Ingredients: Gualou Gen (Radix Trichosanthis) (3 liang), Yu Baipi (Cortex Ulmi) (3 liang, sliced), Hu Yan Ke Tu (Soil from Wild Swallow's Nest) (5 liang), Shu Tu (Soil from Rat Hole) (5 liang).
Preparation and Administration: Grind into fine powder. Mix with juice extracted from Banana Root (Bajiao Gen) to form a thin paste. Apply to swelling; reapply when dry. If ulcerated with a head, apply around the periphery. Alternative method: Use menstrual cloth of a woman, wash in water, take the juice, mix into mud-like consistency, and apply.
Duanshi San (Burnt Iron Powder): Treats all swellings, including Fa Bei and breast abscesses.
Ingredients: Fenghua Duanshi (Weathered Burnt Iron) (1 he), Xiaomai Mian (Wheat Flour) (3 he), Zaogao Hui (Ash of Gleditsia Sinensis) (1 he), Bailian (Rhizoma Belamcandae) (1 he).
Preparation and Administration: Grind into fine powder. Mix with strong fermented bean curd juice (Yan Jiangshui) to form a batter-like paste. Apply and change 3-4 times daily.
Another Formula: Treats early Fa Bei toxic swelling.
Ingredients: Meishizi (Galla Chinensis) (one piece), Qiangshang Xiugu (Decayed Bone on Wall) (1 fen), Yanzhi (Vermilion/Cochineal) (1 fen).
Preparation and Administration: Mix and grind uniformly. Apply appropriately. If no pus head has formed, use only Floating Duckweed (Fuping Cao) to apply, which will resolve spontaneously.
Disi Xiongdan Wan (Bear Gallbladder Pill): Treats Fa Bei sores, redness, swelling, heat, and pain.
Ingredients: Xiongdan (Bile Ursi), Shexiang (Moschus) (equal parts).
Preparation and Administration: Grind together and form pills the size of millet grains. Before application, wash the sore with warm water. Place one pill inside the sore, sprinkle Jiedu Shengji San on top, cover with vinegar-batter spread on old cloth, and press firmly. Immediate relief if pressure causes unbearable pain.
Qingliang Gao (Cooling Ointment): Treats Fa Bei redness, swelling, heat, pain, and detoxifies swelling.
Ingredients: Nuomi (Oryza Sativa Glutinosa) (2 sheng), Longnao (Camphora) (1 fen).
Preparation and Administration: Wash glutinous rice thoroughly, mix with camphor, grind into ointment, spread on sparse cloth, and apply. Replace when dry.
Another Formula:
Ingredients: Damai Mian (Hordeum Vulgare Flour) (3 sheng), Huangniu Ru (Bovis Lac) (2 jin).
Preparation and Administration: Mix and shape into cakes. Apply to swollen area. Replace when hot. Continue until healed.
Treats Fa Bei sore swelling, unbearable pain.
Ingredients: Lufengke (Nidus Vespae) (1.5 liang), Gancao (Radix Glycyrrhizae) (2 liang, raw).
Preparation and Administration: Slice, decoct in 3 sheng water until reduced to 2 sheng. Strain. Soak cotton in the decoction and wash the four sides of the sore to dispel toxic vapors and promote healing.
Treats Fa Bei heat-toxic swelling, unbearable pain.
Ingredients: Fanlou (likely referring to a plant, possibly related to Trichosanthes or similar, Ash 1 sheng), Damai Mian (Hordeum Vulgare Flour) (3 he).
Preparation and Administration: Mix with water to form a paste. Apply to swelling. Replace when dry. Continue until healed.
Treats early Fa Bei, after several days of swelling and heat, with fierce toxic qi causing day-and-night headache.
Ingredients: Jizi Qing (Egg White) (3 eggs), Xin Gou Fen (Fresh Dog Feces) (one handful).
Preparation and Administration: Mix to desired consistency, shape into cakes, thickness 1-2 qian. Cut a small hole in the center, apply to swelling, secure with cloth. Apply three times daily until healed.
Treats sensation resembling Fa Bei; applicable to any heat-swelling to resolve internally.
Ingredients: Zaojia (Fructus Gleditsiae Sinensis) (one stick, remove black skin and seeds), Lizi (Fructus Castaneae) (10 pieces, peeled and dried).
Preparation and Administration: Grind into fine powder. Mix with fresh well water to form batter. Spread on cloth and apply to swelling. Replace when dry.
Gegen Tang (Kudzu Decoction): Treats Fa Bei carbuncles, all sores/swellings, breast abscesses, dry mouth, cold feet, alternating chills and fever, headache, vomiting, inability to eat. (See formula under Maidong Tang).
Internal Resolution Formula for Fa Bei, Ju, and all toxic swellings:
Use Jiandaocao (Herba Siegesbeckiae Orientalis) in any quantity. Wash clean, slice, pound, and squeeze out one small cup of juice. Drink warm frequently. Also, pound Jiandaocao into a pulp, spread widely over the swollen area. If dry, grind into powder and mix with honey for topical application.
Another Formula:
Use Lishi (Mineral Leptostylitum) 5 liang. Boil in water for one day, pound and grind finely. Mix with cold water and apply. Alternatively, use three layers of blue cloth cut to fit the swollen area. Apply wet cloth; replace frequently when hot.
Another Formula:
Use raw Dihuang (Radix Rehmanniae) in any quantity, pound into mud. Take an old cloth strip width-matched to the swelling. Spread a thin layer of Dihuang mud on the cloth. Sprinkle Muxiang (Radix Aucklandiae) powder evenly over it. Spread another layer of Dihuang mud on top to sandwich the powder. Apply to swelling. Replace when dry. Effective within 3-5 applications.
Take cow dung from fields during rainy season, preferably white-tinted. Remove soil, dry in sun. Half burn with charcoal until smoke ceases, half burn until black and crumbly. Mix and grind extremely fine. Mix with raw Sesame Oil (Sheng Mayou) to form a face cream consistency. Apply 3-4 times daily.
Formula for Fa Bei and non-ulcerated carbuncles:
Use Langdang Ye (Folium Daturae Metelis). As soon as a sore is suspected, take leaves in any quantity, heat them, and apply to the sore. Replace when cool. Stop when pain ceases. If leaves are unavailable in a given month, use roots sliced and heated for application.
Formula for Fa Bei with toxic swelling:
Pound Disong (likely a local herb name, possibly Pinus massoniana related) and squeeze out one small cup of juice. Mix with 1 qian of Ruxiang (Resina Draconis) powder, dilute with water, and apply. Reapply when dry. If no head has formed, apply around the periphery. Another version omits Ruxiang.
Another Formula:
Use Machixian (Herba Portulacae Oleraceae) when yellow flowers are present. Pound and squeeze juice. Daily boil down to a paste. For Fa Bei, mix in a small amount of Xiaosha (Natrii Nitras). Apply 4-5 times daily. Immediate effect.
Formula for Fa Bei carbuncle swelling:
Apply feces found in the ear of a calf to the sore. Immediate cure. Works for both yellow cattle and water buffalo.
Huanglian Tang (Coptis Decoction): Treats Fa Bei carbuncles with long-standing perforations, rotting, foul odor, exposed bone/tendons, unresolved residual toxins, stabbing pain. Washing formula.
Ingredients: Huanglian (Rhizoma Coptidis), Digupi (Cortex Lycii), Qianghuo (Rhizoma Notopterygii), Fangfeng (Radix Saposhnikoviae, remove rhizome), Mutong (Caulis Akebiae), Gancao (Radix Glycyrrhizae), Baizhi (Radix Angelicae Dahuricae), Chuan Dahuang (Radix et Rhizoma Rhei), Yelangya (Radix Astragali Complanati?), Chuan Shengma (Rhizoma Cimicifugae), Mangcao (Herba Siegesbeckiae), Bencao (Radix Ligustici Chuanxiong), Huangqin (Radix Scutellariae, sliced), Chi Shaoyao (Radix Paeoniae Rubra), Xixin (Herba Asari), Sanggen Baipi (Cortex Morus Radicis), Baifan (Alumen), Congbai (Scallion White), Mahuang (Herba Ephedrae, remove roots/joints) (each 1 liang).
Preparation and Administration: Slice finely, divide into 7 doses. Decoct in 3 sheng water to yield 2 sheng. Strain. Warm and wash/irrigate the sore. Dry with hot cloth, then apply Shengji Gao (Muscle-Regenerating Ointment).
Dihuang Tang (Rehmannia Decoction): Treats early Fa Bei turning into rotten sores, suitable for pressing/washing.
Ingredients: Sheng Dihuang Zhi (Juice of Raw Rehmannia) (1 sheng), Chuan Sheng Mahuang (Herba Ephedrae), Bailian (Rhizoma Belamcandae), Zhizi Ren (Semen Gardeniae), Huanglian (Rhizoma Coptidis), Huangbai (Cortex Phellodendri), Danggui (Radix Angelicae Sinensis), Chi Shaoyao (Radix Paeoniae Rubra), Shegan (Rhizoma Belamcandae? No, Belamcanda is Bailian. Shegan is Belamcanda Rhizome. Wait, text says Shegan. Belamcanda chinensis rhizome is Shegan. Bailian is Belamcanda bulb. Distinct.), Chuan Dahuang (Radix et Rhizoma Rhei), Gancao (Radix Glycyrrhizae, raw) (each 2 liang).
Preparation and Administration: Slice finely, decoct in 1 dou water until reduced to 6 sheng. Strain. Add Dihuang juice, stir until slightly warm. Soak old cloth in the decoction and press/wash the swollen area.
Lin Tuo Zhiqiao Tang (Immersion and Pressing Immature Orange Peel Decoction): Treats Fa Bei and malignant toxic swellings, draws out wind-toxin.
Ingredients: Zhiqiao (Fructus Aurantii Immaturus), Kushen (Radix Sophorae Flavescentis), Mangcao (Herba Siegesbeckiae), Gancao (Radix Glycyrrhizae), Shuihong (Herba Polygoni Ayacuminis), Xixin (Herba Asari), Bencao (Radix Ligustici Chuanxiong), Baizhi (Radix Angelicae Dahuricae), Huangqin (Radix Scutellariae) (each 2 liang), Baifan (Alumen) (1 liang).
Preparation and Administration: Slice finely, mix well, divide into 3 doses. Each dose decocted in 5 sheng water with 5 stalks of Congbai until reduced to 3 sheng. Strain. In a wind-free place, use soft cloth to replace, and while hot, irrigate and press the affected area until the liquid cools.
Xi Wen Fang (Washing and Moxibustion Formula): Treats Fa Bei and all sores post-perforation, stops pain, draws out wind-toxin, dissolves sore root.
Ingredients: Mangcao (Herba Siegesbeckiae), Lufengke (Nidus Vespae), Baizhi (Radix Angelicae Dahuricae), Sanggen Baipi (Cortex Morus Radicis), Gancao (Radix Glycyrrhizae), Fangfeng (Radix Saposhnikoviae), Bencao (Radix Ligustici Chuanxiong), Xixin (Herba Asari) (each 0.5 liang), Chuiliu Zhi (Ramulus Salix Purpureae), Congbai (Scallion White) (each one handful).
Preparation and Administration: Slice finely, decoct in 1 dou water until reduced to 5 sheng. Strain. While hot, in a wind-free place, use soft cloth dipped in the decoction to press/moxibust the affected area until cool.
Zhuli Tang (Bamboo Juice Decoction): Treats Fa Bei swelling/pain, suitable for pressing.
Ingredients: Zhuli (Succus Bambusae) (2 sheng), Chuan Dahuang (Radix et Rhizoma Rhei), Huanglian (Rhizoma Coptidis), Kushen (Radix Sophorae Flavescentis), Huangqin (Radix Scutellariae), Zhizi Ren (Semen Gardeniae), Duanshi (Calx Ferrum), Mulan Pi (Cortex Magnoliae Officinalis), Huangbai (Cortex Phellodendri) (each 1 liang).
Preparation and Administration: Slice finely, decoct in 5 sheng water with Zhuli until reduced to 3 sheng. Strain. Soak cotton in the decoction and press/wash the sore. Do this 10+ times daily.
Zhu Ti Tang (Pig Trotter Decoction): Treats carbuncles/swellings and all sores, or烦疼 (distressing pain) spreading, suitable for pouring/washing.
Ingredients: Zhu Ti (Pes Sus Domestici) (1 pair, cleaned), Xiong (Rhizoma Chuanxiong), Chi Shaoyao (Radix Paeoniae Rubra), Chuan Shengma (Rhizoma Cimicifugae), Gancao (Radix Glycyrrhizae), Shechuangzi (Fructus Cnidii), Chuan Dahuang (Radix et Rhizoma Rhei), Shuobi (Radix Polygoni Multiflori? Or similar), Huai Baipi (Cortex Stemonae/Huai?) (each 1 liang). *Note: Text says 'Shuobi' and 'Huai Baipi'.*
Preparation and Administration: Slice. First decoct pig trotters in 2 dou water to yield 1 dou. Remove trotters. Add herbs, decoct to 6 sheng. Strain. Pour/wash at suitable temperature until cool. Dry, then apply other powders.
Huanglian Tang (Coptis Decoction): Treats back sores with toxic swelling, rotting pain, suitable for pressing.
Ingredients: Huanglian (Rhizoma Coptidis), Mahuang Gen (Radix Ephedrae), Gancao (Radix Glycyrrhizae), Yelangya (Radix Astragali Complanati?), Qianghuo (Rhizoma Notopterygii), Sang Zhi (Ramulus Mori), Baifan (Alumen) (each 1 liang).
Preparation and Administration: Pound finely. Use 2 liang per dose with 5 stalks of Congbai. Decoct in 5 sheng water to yield 2 sheng. Strain. Use soft cloth to hold hot decoction, alternately wash and press the affected area. Stop when cool.
Huangqin Tang (Scutellaria Decoction): Treats persistent Fa Bei, suitable for pressing.
Ingredients: Huangqin (Radix Scutellariae), Baizhi (Radix Angelicae Dahuricae), Gualou Gen (Radix Trichosanthis), Gancao (Radix Glycyrrhizae), Danggui (Radix Angelicae Sinensis) (each 1 liang), Chuan Dahuang (Radix et Rhizoma Rhei) (3 liang).
Preparation and Administration: Slice finely, decoct in 7 sheng water to yield 3 sheng. Strain. Soak old cloth in decoction, alternately press the affected area.
Mutong Tang (Akebia Decoction): Treats carbuncles/Fa Bei. At first sign, take medicine to promote flow, and additionally use this decoction for irrigation/injection.
Ingredients: Mutong (Caulis Akebiae) (1 jin), Baiyang Pi (Cortex Populi Simonii) (1 jin), Chuan Shengma (Rhizoma Cimicifugae) (0.5 jin), Lufengfang (Nidus Vespae) (4 liang), Chi Shaoyao (Radix Paeoniae Rubra) (0.5 jin), Gancao (Radix Glycyrrhizae) (0.5 jin).
Preparation and Administration: Slice, decoct in 3 dou water to yield 1 dou. Strain. While very hot, use 2-3 porcelain bottles to alternate holding the decoction. Hold hands high and inject/spray onto the swollen area without interruption for about one meal duration. Then use warm water injection for one meal duration to dissipate heat/qi.
Kushen Tang (Sophora Decoction): Treats ulcerated carbuncles, washing formula.
Ingredients: Kushen (Radix Sophorae Flavescentis), Fangfeng (Radix Saposhnikoviae), Lufengke (Nidus Vespae), Gancao (Radix Glycyrrhizae) (each 2 liang).
Preparation and Administration: Slice finely, decoct in 1 dou water to yield 6 sheng. Strain. Wash with hot decoction. Stop when cool.
Zhu Ti Tang (Pig Trotter Decoction): Treats all decaying ulcers, washing formula.
Ingredients: Zhu Ti (Pes Sus Domestici) (1 pair), Baijiang Cao (Herba Patriniae) (1 liang), Huai Liu Zhi (Ramulus Pruni/Salix) (each one handful), Huangqin (Radix Scutellariae) (2 liang, sliced).
Preparation and Administration: Slice. Decoct pig trotters in 1 dou water until tender. Remove trotters. Add herbs, decoct to 4 sheng. Strain through cloth, wash sore. Stop when cool. Dry with cotton, then apply Shengji Gao.
Huanglian Bing (Coptis Cake): Treats Fa Bei, temporal abscesses, breast abscesses, various toxic swellings, suitable for plasting.
Ingredients: Huanglian (Rhizoma Coptidis, remove threads), Shechuangzi (Fructus Cnidii), Ruxiang (Resina Draconis) (each 1 liang), Xingren (Semen Armeniacae Amarum) (0.5 liang), Manjing Gen (Radix Viticis Negundo), Yan (Salt) (1 fen), Ren Fen Hui (Ash of Human Feces) (10 fen), Liu Shu Mu'er (Wood Ear on Willow Tree) (1 liang).
Preparation and Administration: Grind into fine powder. Mix with Su (Butter/Ghee) and shape into cakes, thickness 5 qian. Apply to affected area, bind tightly with coarse cloth. Change 3-4 times daily, including night. Always wash with Licorice Decoction before changing. If no head has formed, application will induce head formation. If pus drains, it promotes muscle growth. If pus is exhausted, apply Wu Gao (Black Ointment). If necrotic flesh exists, grind Willow White Wood-Ear finely and sprinkle lightly on the ointment before applying.
Tuo Zhong Fang (Pressing Swelling Formula):
Ingredients: Dahuang (Radix et Rhizoma Rhei), Huangqin (Radix Scutellariae), Bailian (Rhizoma Belamcandae), Mangxiao (Natrii Sulfas) (each 3 fen).
Preparation and Administration: Slice, decoct in 6 sheng water to yield 3 sheng. Soak 4 layers of old cloth in the liquid and press the swollen area. Replace when dry. No limit on frequency, day and night.
Treats Fa Bei and carbuncles, ulcerated or not:
Xiangchi (Fermented Soybean Paste) 3 sheng. Add small amount of water, pound thoroughly into a firm mud. Shape into cakes matching the swelling, thickness >3 cun. Do not cover existing holes. Cover the cake with cloth, arrange moxa on top, and moxibustate until warm/hot but not burning skin. If hot/painful, replace immediately. Condition improves, bringing comfort. Moxibustate twice daily. If pre-existing holes exude fluid, it heals.
Shengma Tang (Cimicifuga Decoction): Treats Fa Bei and various toxic swellings, suitable for pressing.
Ingredients: Chuan Shengma (Rhizoma Cimicifugae) (1 liang), Huangqin (Radix Scutellariae) (2 liang), Zhizi (Fructus Gardeniae), Loulu (Radix Euphorbiae Humifusae) (each 1 liang), Shuobi Gen (Radix Polygoni Multiflori), Chuan Mangxiao (Natrii Sulfas) (2 liang).
Preparation and Administration: Slice, decoct in 1 dou water to yield 5 sheng. Strain and cool. Use cloth to soak and press the swollen area. Keep moist to resolve swelling.
Huotiao Fu San (Active Mixing Application Powder): Treats Ju Fa Bei. First use binding agents.
Ingredients: Ruxiang (Resina Draconis), Moyao (Resina Myrrhae), Baizhi (Radix Angelicae Dahuricae), Bailian (Rhizoma Belamcandae), Nanxing (Rhizoma Arisaematis Cum Bile), Chixiaodou (Semen Phaseoli Angularis), Tianhuafen (Radix Trichosanthis), Furong Ye (Folius Hibisci Sabdariffae), Huanglian (Rhizoma Coptidis), Beimu (Bulbus Fritillariae Cirrhosae), Hanshui Shi (Mineral Calcitum), Diyu (Radix Sanguisorbae), Huang Shukui Ye (Folius Althaeae Roseae - or flower/seed), Baiji (Bulbus Bletillae), Baihe (Bulbus Lilii).
Preparation and Administration: Grind to powder, mix, apply to sore leaving opening. If hard/swollen/pus-filled and painful on pressure, add Caowu Jian (Aconite Tip), Yelangdu (Radix Stellerae Chamaejasme), Honey, Vinegar. Another formula: Ming Liuhuang (Sulfur), Qiaomai Fen (Buckwheat Flour) equal parts, well water paste, dry, grind, mix with water to apply. Suitable washing decoction: Xin Sang Baipi (Cortex Morus Radicis), Baizhi, Congbai, Ziye (Perilla Leaf), Kushen, Lufengfang (coarse), decoct in water, wash warm. Sprinkle powder. Use frost-dried leaf powder on sore mouth. Also Hongyu San (Flying Gu Dan, Hanshui Shi equal parts, fine powder) to promote flesh growth. Only use raw powder if ulcerated and closing.
Waitai Mi Yao treats chills resembling Fa Bei onset, or existing sore/rash.
Ingredients: Xiaoshi (Natrii Nitras) 3 liang, warm water 1 sheng. Dissolve, cool. Take old blue cloth triple-layered, cut square/circle, wet, and press. Replace frequently when hot. Immediate cure.
Shexiang San (Moschus Powder): Treats Fa Bei, carbuncles, swellings, gan sores, fistulas.
Ingredients: Shexiang (Moschus, separate grind), Qingfen (Calomelas), Dingfen (Mineral Cerussitae) (each 0.5 qian), Fenshuang (Sublimated Mercury Chloride) (1.5 zi), Badou (Semen Crotonis Tiglii) (3 large, peeled), Baixiangding (Flos Syringae) (42 straight ones).
Preparation and Administration: Grind Badou finely, add others, grind extremely fine. For gan sores with eyes, mix with water to form sticks, insert into sore, cover with Wanjing Gao, once daily. If much pus, twice daily. For malignant Fa Bei, fish-eye ding sores with purple necrotic flesh, apply powder directly to necrotic tissue, cover with Wanjing Gao, once or twice daily. Adjust dosage based on pain tolerance.
Three Methods for Treating Carbuncles/Fa Bei:
Method 1: After application, if cold sensation like water is felt, success is certain. If no cold sensation, difficult to treat.
Ingredients: Lianhua Rui (Stamen Nelumbinis, yellow stamens 3 qian), Xionghuang (Realgar, raw 0.5 liang), Tian Nanxing (Rhizoma Arisaematis, raw 0.5 liang), Chuan Danggui (Radix Angelicae Sinensis, de-rhizome 2 liang), Wugong (Scolopendra, red-legged raw 1), Feiluo Mian (Fine Wheat Flour, raw 2 qian), Qushuang (Arsenic Trioxide?, raw 2 qian).
Preparation and Administration: Dry seven ingredients without fire, grind fine. Mix with strong rice vinegar. Make paper flower larger than red halo by 0.5 cun. Apply medicine on paper flower, place on lesion, press firmly with comb. Leave eye in paper flower over sore mouth to drain pus. Change daily. Before changing, wash old medicine with warm decoction using soft cotton, dry, apply new. Do not leave medicine too long (loses efficacy). Prepare fresh every 3 days max. Adjust quantity for large sores. If thirsty, take Second Medicine simultaneously. Once pus exhausted, use Third Medicine to close sore. Avoid toxic foods. Avoid foul odors. Efficacy cannot be fully described.
Method 2: Treats thirst during active sore onset. Even if not thirsty, take generously.