（附论）
夫蜉疽 者。因恚结驰思往返变化之所致也。始发之时。先在于颈项。亦在腋下。如两
指无头尾。使人寒热。欲常呕吐。其根在胆也。
方
商陆散（出圣惠方）治浮疽 或生于颈。或发于腋。肿硬如指。久即穿溃有脓
。
商陆（一两） 曾青（三分细研） 黄芩（一两） 防风（一两去芦头） 白矾（一两
烧令汁尽）
人参（一两去芦头） 小蓟根（一两） 石胆（一分细研） 甘草（一两锉微炙赤） 雌黄
（一两细
研） 赤芍药（一两） 白芷（一两） 桂心（一两） 知母（一两） 桔梗（去芦头一两）
雄黄（一
两细研） 狸骨（一两炙令黄色） 艮星矾石（一两烧赤醋淬七次） 地胆（一分去头足翅
糯米拌
炒米黄去米不用） 斑蝥（十枚去头足翅糯米拌炒以黄为度） 上为细末。入研了药。更研
令
匀。每日空心及晚食后临卧时。以淡醋调下一匙。三十日知愈。七十日平复。甚者百日无复
所苦。凡服药初服时宁少。过度即令人淋沥。淋则当减服之。
地胆甘草散（出千金方）治浮疽 始发于颈如两指。使人寒热欲卧。此得之因
思虑忧满。其根在胆。地胆主之。甘草为之佐。
地胆（三分去头足翅糯米拌炒米黄去米不用） 雄黄 干姜 续断 石决明 根 龙
胆（各三分） 细辛（二分） 大黄（半分） 甘草（一分） 上治下筛。敷疮口上。日四
五度。古
今录验无雄黄有硫黄。外台秘要无甘草。有生菜。又一方无雄黄有石中黄子。
治浮疽 穿溃出脓水不止方。（出圣惠方）
雄黄（一分细研） 白矾（一分烧灰） 龙胆（三分去芦头） 细辛（半两） 川大黄
（半两）
地胆（半两去头足翅糯米拌炒以黄为度） 石决明（一分细研） 续断（一分细研）
根（一
分） 上为细末。敷疮口上。每日四五度用之。
犀角散（出圣惠方）治浮疽 发于颈腋间。大如两指。结硬疼痛。四肢寒热。
犀角屑（一两） 木通（一两半锉） 赤芍药（一两半） 柴胡（一两半去苗） 桔梗
（一两半
去芦头） 连翘（一两） 枳壳（一两半麸炒微黄去瓤） 恶实（一两炒令黄色） 甘草（三
分半锉
炙微赤） 上 咀。每服四钱。水一中盏。煎取六分。去滓。每于食前温服之。
犀角丸（出圣惠方）治浮疽 。
犀角屑（一分） 水蛭（一分微炒令黄） 甘草（一分锉炙微赤） 黑豆（半合炒熟去
皮） 上
为细末。炼蜜和丸如绿豆大。每日空心以温酒调下三丸。至三日。小便内当有恶物下。此是
病出。若出尽即自止。如尚未止。不得住药。出尽为度。无不神效。
(Attached Discussion)
The condition known as Furu Ju (Floating Carbuncle) is caused by anger and emotional stagnation, combined with excessive and repetitive mental exertion. At the onset, lesions initially appear on the neck and nape, or may also occur in the axilla. They resemble the width of two fingers, lacking distinct heads or tails, causing chills and fever, and a frequent desire to vomit. The root of this pathology lies in the Gallbladder channel.
Formulas
Shanglu San (Celandine Powder), sourced from *Shenghui Fang*, treats Floating Carbuncles. Symptoms include swelling and hardness resembling a finger, either on the neck or in the axilla, which eventually ulcerate and discharge pus after a prolonged period.
Ingredients: Radix Phytolaccae (Shanglu, 1 liang), Azurite (Zengqing, 3 fen, finely ground), Radix Scutellariae (Huangqin, 1 liang), Radix Saposhnikoviae (Fangfeng, 1 liang, remove rhizome), Alumen (Baijian, 1 liang, calcined until liquid evaporates), Radix Ginseng (Renshen, 1 liang, remove rhizome), Herba Cirsii Japonici (Xiaoji Gen, 1 liang), Melanterite (Shidan, 1 fen, finely ground), Radix Glycyrrhizae (Gancao, 1 liang, sliced and slightly roasted until reddish), Orpiment (Ci Huang, 1 liang, finely ground), Radix Paeoniae Rubra (Chishaoyao, 1 liang), Radix Angelicae Dahuricae (Baizhi, 1 liang), Cortex Cinnamomi (Guixin, 1 liang), Rhizoma Anemarrhenae (Zhimu, 1 liang), Radix Platycodonis (Jiegeng, remove rhizome, 1 liang), Realgar (Xionghuang, 1 liang, finely ground), Fox Bone (Li Gu, 1 liang, roasted until yellow), Gengxing Fanshi (1 liang, calcined red and quenched in vinegar seven times), Eupolyphaga Steleophaga (Dichan, 1 fen, remove head, feet, and wings, stir-fry with glutinous rice until rice turns yellow, discard rice), Mylabris (Banmao, 10 pieces, remove head, feet, and wings, stir-fry with glutinous rice until yellow). Process all ingredients into a fine powder, mix with the already ground substances, and grind uniformly. Take one spoonful mixed with light vinegar on an empty stomach daily and before bedtime after dinner. Recovery signs appear within thirty days; full recovery occurs within seventy days. Severe cases may require one hundred days to cease suffering. Initially, take a smaller dose; excessive dosage causes dysuria (profuse urination). If dysuria occurs, reduce the dosage.
Dichan Gancao San (Eupolyphaga and Licorice Powder), sourced from *Qianjin Fang*, treats Floating Carbuncles. Symptoms begin as lesions on the neck, size of two fingers, causing chills, fever, and lethargy. This condition arises from excessive worry and mental distress, with its root in the Gallbladder. Dichan serves as the principal herb, and Gancao acts as the assistant.
Ingredients: Eupolyphaga Steleophaga (Dichan, 3 fen, prepare as above), Realgar (Xionghuang), Rhizoma Zingiberis (Ganjiang), Radix Dipsaci (Xuduan), Concha Arcae (Shijueming), Radix Gentianae Longdancao (Gen), Radix Gentianae (Longdan) (each 3 fen), Radix Asari (Xixin, 2 fen), Radix et Rhizoma Rhei (Dahuang, 0.5 fen), Radix Glycyrrhizae (Gancao, 1 fen). Process and sieve the herbs, then apply topically to the wound four to five times daily. Historical records vary: some versions substitute Sulfur (Liuhuang) for Realgar; *Waitai Miyao* omits Gancao and includes raw vegetables; another version omits Realgar and includes Shizhong Huangzi.
Formula for treating Floating Carbuncles that have ulcerated and discharge pus continuously (sourced from *Shenghui Fang*).
Ingredients: Realgar (Xionghuang, 1 fen, finely ground), Alumen (Baijian, 1 fen, calcined to ash), Radix Gentianae (Longdan, 3 fen, remove rhizome), Radix Asari (Xixin, 0.5 liang), Radix et Rhizoma Rhei (Chuan Dahuang, 0.5 liang), Eupolyphaga Steleophaga (Dichan, 0.5 liang, prepare as above), Concha Arcae (Shijueming, 1 fen, finely ground), Radix Dipsaci (Xuduan, 1 fen, finely ground), Radix Gentianae (Longdan Gen, 1 fen). Process into a fine powder and apply topically to the wound four to five times daily.
Xijiao San (Rhinoceros Horn Powder), sourced from *Shenghui Fang*, treats Floating Carbuncles. Symptoms include lesions between the neck and axilla, size of two fingers, presenting as hard, painful nodules with alternating chills and fever in the limbs.
Ingredients: Cornu Rhinocerotis (Xijiao Xie, 1 liang), Caulis Akebiae (Mutong, 1.5 liang, sliced), Radix Paeoniae Rubra (Chishaoyao, 1.5 liang), Radix Bupleuri (Chaihu, 1.5 liang, remove sprouts), Radix Platycodonis (Jiegeng, 1.5 liang, remove rhizome), Fructus Forsythiae (Lianqiao, 1 liang), Pericarpium Citri Reticulatae (Zhike, 1.5 liang, bran-roasted until slightly yellow, remove pith), Fructus Arctii (Ensai, 1 liang, roasted until yellow), Radix Glycyrrhizae (Gancao, 0.5 fen, sliced and slightly roasted until reddish). Decoct the ingredients. For each dose, use 4 qian of herbs with one zhongzhan of water, boil down to 0.6 zhongzhan, strain, and take warm before meals.
Xijiao Wan (Rhinoceros Horn Pills), sourced from *Shenghui Fang*, treats Floating Carbuncles.
Ingredients: Cornu Rhinocerotis (Xijiao Xie, 1 fen), Hirudo (Shuizhi, 1 fen, lightly roasted until yellow), Radix Glycyrrhizae (Gancao, 1 fen, sliced and slightly roasted until reddish), Semen Sojae Preparatum (Heidou, 0.5 he, roasted熟 and peeled). Process into a fine powder, mix with refined honey, and form pills the size of mung beans. Take three pills with warm wine on an empty stomach daily. By the third day, foul matter should be discharged in the urine, indicating the expulsion of pathogenic factors. Discharge will cease naturally when complete. Do not stop medication if discharge continues; continue until complete expulsion. This method is highly effective.