速消方
痈疽发背。已发未结。已结未溃。急以黄明牛皮胶。新水溶令稀稠得所。即摊在胶纸上。
贴之良久。以软布二条。于酽醋中煮热。互换漉出。罨在胶纸上蒸熨。直至消散。如疮痒。
须忍痒不可住熨。或破而脓出。将尽即止。未效。再如前将前胶纸于疮上。热醋布依旧熨令
脓尽。后即以贯众汤洗去胶纸。用退肿散、蠲毒散、沉水膏等类掺敷。或用拔毒散随意。急
服万金一醉膏。或内消散、乳粉托里散。破后以洗疮方荡洗。发散毒瓦斯。
治诸痈肿发背。及痈疖已溃烂疼痛方。
用蒸靡谷更递熨之。当即愈。一云蔷薇壳更灸熨之。
（附论）
痈者、六腑不和所生也。六腑主表。气行经络而浮。喜怒不测。饮食不节。阴阳不调。
则六腑不和。营卫虚者。腠理则开。寒客于经络。经络为寒所折。则营卫稽留于脉。营者血
也。卫者气也。营血得寒。涩而不行。卫气从之。与寒相搏。壅遏不通。气者阳也。阳气蕴
积。则生瘀热。寒热久不散。故积聚成痈。腑者阳气浮行主表。故痈浮浅皮薄以泽。久则热
胜于寒。热气蕴结。伤肉败肌。故血肉坏化为脓。其患在表。浮浅则骨髓不焦枯。腑脏不伤
败。故可治也。
五常政大论云。天倾西北。左寒右凉。地陷东南。右热左温。高者寒。下者热。故寒凉
者胀。温热者疮。下之则胀已。汗之则疮已。东南二方。在人则为丙小肠热。甲胆风。小肠
与胆。皆居其下。其性炎上。其疮外有六经之形证。内无便溺之阻隔。饮食如故。清便自调。
知不在里。非疽疮也。止痈疖也。小则为疖。大则为痈。其邪所受于下风湿之地。气自外而
来。侵加于身者也。经云。营气不从。逆于肉理。乃生痈肿。病机云。诸痛痒疮疡。皆属心
火。此疮自外而入。是丙小肠左迁入于胆。作痛而痒也。此二方皆主血。血为病必痛。此元
气不足。营气逆行。其初出未有传变。在于肌肉之上。皮毛之间。只于风热六经所行经络地
分出矣。宜泻其风湿热。医者只知阴复其阳则宜汗也。此宜发汗者。乃湿热郁其手足少阳。
致血脉凝逆。使营气周身元气消弱也。其风热郁滞于下。其面色赫赤。面肿微黯。东方青埋
没之色也。风木之性上冲。颜必忿色。其人多怒。而疮之色亦赤赫肿硬。微带黯色。其疮之
情势亦奋然高起。结硬而作痛也。其肺只在左手属表。左寸外洪缓。左关洪缓而弦。是客邪
在血脉之上。皮肤之间。宜急发其汗。而通其营卫。则邪去矣。以内托营卫汤发之。
疮荡者火之属。须分内外治其本。若其脉沉实。当先疏其内。以绝其源也。其脉浮大。
当先托里。恐邪气入内也。有内外之中者。邪气至盛。遏绝经络。故发痈肿。此因失托里、
及失疏通、又失和营卫也。治疮之法。大要须明托里、疏通、行营卫之三法。内之外者。其
脉沉实。发热燥烦。外无 赤。痛深于内。其邪气深矣。故先疏通脏腑。以绝其源。外之内
者。其脉浮数。 肿在外。形证外显。邪气恐急而内攻。故先托里也。内外之中者。外无
恶之气。内亦脏腑宣通。知其在经。当和营卫也。用此三法之后。虽未瘥。必无变证。亦可
使邪气峻减而易愈。脉数身无热。即内有痈。诸浮数脉当发热。而反淅淅恶寒。若有痛处。
当结为痈。脉微而迟。必发热。脉弱而数。此为振寒。当发痈肿。脉浮而数。身体无热。其
形默默。胃中微燥。不知痛处。其人当发痈肿。脉滑而数。滑则为实。数则为热。滑则为营。
数则为卫。营卫相逢。即结为痈。热之所过。即为痈脓。身体有痛处。时时苦有疮。
凡痈发肿高者 源浅。肿下者 源深。大者易疗。小热者难疗。初便大痛伤肌。晚乃大
痛伤骨。都坚者未有脓。半坚半软者有脓。发肿都软者血瘤也、非痈。发肿以渐知。长引日
月。亦不热。时时牵痛。瘤也、非痈。诸气结亦有肿。久久不消成痈。疗之宜散气。气已散。
若初肿处有浮气。年衰皆发痈。疗之宜及年盛。并折散热。可无此忧。
发痈坚如石走皮中。无根瘰 也。久不消因得他热之疾。时有发为痈也。
无虚劳腹中之疾。或发血瘤疮。疮状坟起。头正盘直。不当灸疗。疗之火熨便焦烂。剥
刮去焦痂。则血泄不可禁。必死。
凡痈无问大小。已觉、即取胶如手掌大。暖水浸令软纳纳然。称大小。当头上开一孔如
钱孔大。贴肿上令相当。须臾干急。若未有脓者。即定不长。已作脓者。当自出。若以锋针
当孔上刺至脓。大好。至瘥乃去其胶。凡痈高而光大者不大热。其肉正平无尖而紫者。不须
攻之。但以竹叶黄 汤申其气耳。肉正平为无脓也。痈卒痛。以八味黄 散敷之。大痈七日。
小痈五日。其自有坚强者宁生破。发乳若热。手不可得近者。先内服王不留行散。外摩发背
膏。若背生破无苦。在乳宜令极熟。候手按之。随手即起者疮熟也。须针之。针法要得着脓。
以意消息。胸背不过一寸斟量。不得脓。即与食肉膏散着兑头。内痈口中。如体身热歇。即
服木占斯散。五日后痈欲着痂者。即服排脓内塞散。
凡痈破之后。便绵 欲死。内寒外热。肿自有似痈而非者。当以手按肿上。无所连乃是
风毒。勿针之。宜服升麻汤。外摩膏。破痈口当令上留三分。近下一分针之。务令极热。热
便不痛。破后败坏不差者。作猪蹄汤洗之。日二。夏用二日。冬用六七日。用汤半剂亦可。
夫痈坏后有恶肉者。宜猪蹄洗去秽。次敷食肉膏散。恶肉尽后。敷生肉膏散。及摩四边。令
好肉速生。当断绝房室。忌风冷。勿自劳烦。待筋脉平复。乃可任意耳。缘新肉易伤。伤则
里溃。溃则重发。发则难救。慎之慎之。白痂最忌。治痈久。疮口不合。其肉白。而脓血少。
此为疮口冷滞。乃病患气血枯竭。不潮于疮，遂致如是。合用此艾叶一把。入瓦器内。浓煎
汤。避风处乘热用艾汤浇洗疮口。四围净肉以绢帛兜艾叶。乘热浇沃。一日一次。洗了须避
风。仍烧松香。以烟熏疮口良久。用神异膏贴之。其疮勿令厌秽之人见。若不能禁忌。疮口
难安。药亦无效。
方
五香丸（出千金方）治虚劳客热。数发痈肿疮疖。
熟地黄（四两） 黄 黄芩 大黄 黄连 泽泻 细辛（各三两） 甘草 桂心 芍
药
茯苓 干漆（各二两） 人参（一两） 天门冬（五两） 上为末。蜜和丸如梧桐子大。酒
服十丸。
日三夜一。加至二十丸。久服终身不发痈疽。凡方中用大黄薄切五升。米下蒸熟曝干用之。
热多倍大黄。一方无泽泻。
玄参散（出圣惠方）治痈肿始发。热毒瓦斯盛。寒热心烦。四肢痛疼。
玄参（半两） 甘草（半两生锉） 麦门冬（三分去心） 前胡（去芦头） 枳实（麸
炒微黄） 人参（去芦头） 赤芍药 生干地黄 黄 芎 赤茯苓 黄芩（各一两） 石
膏（二两）
上为散。每服四钱。水一中盏。入竹叶二七片。小麦一百粒。煎六分去滓。不计时候温服。
黄 散（出圣惠方）治痈肿热气太盛。寒热进退。
黄 （锉） 川升麻 川大黄（锉碎微炒） 黄芩 远志（去心） 赤茯苓 赤芍药（各
一两） 生干地黄（二两） 当归（半两） 麦门冬（一两半去心） 人参（半两去芦头） 甘
草（半两生
锉） 上为散。每服四钱。水一中盏。煎至六分去滓。不计时、温服之。
生地黄散（出圣惠方）治发痈肿热肿疼痛。心神烦闷。
生干地黄（二两） 玄参（二两） 甘草（生锉） 赤芍药 黄 （锉） 木通（锉） 黄
芩当
归（锉微炒） 地骨皮（各一两） 赤茯苓（一两半） 川升麻（一两） 川大黄（一两锉
碎微炒）
上为散。每服四钱。水一中盏。入竹叶二七片。煎至六分去滓。不计时候温服。
蛇衔膏（出肘后方）疗痈肿瘀血。产后血积。耳目暗等。牛领马鞍疮。
蛇衔 大黄 附子（去黑皮） 芍药 当归 细辛 黄芩 大戟 椒（去目） 莽草 独
活
（各一两） 薤白（十四茎） 上切。以苦酒淹一宿。以钵中盛。炼猪膏二升。龙衔藤一两。
合膏煎。名龙衔膏。今又有龙草。似蛇衔而叶大耳。亦有取其根合煎者。亦名龙衔膏。肘后
方云。于七星火上合熬。绞去滓。温酒服如弹丸一枚。日再。病在外摩敷之。耳病以绵裹塞
之。目病如黍米注 中。一方不用大戟。
连翘饮 治痈肿疮疖排脓。
连翘 防风（去芦各三两） 玄参 白芍药 荠 （各二两） 甘草（炙锉一两） 桔
梗（锉
炒） 白茯苓（去黑皮各一两） 黄 （锉四两） 黄芩（去黑心二两） 桑根白皮（锉炒
二两半）
前胡（去芦头） 人参（各一两） 上捣筛。每服五钱。水一盏半。煎取八分。去滓温服。
日二
次。
玄参散 治一切痈疽疮肿。
玄参 黄芩（去黑心） 羊蹄根 芍药 白芷 丁香 木香 硝石（碎） 半夏（汤泡
七次）
白蔹 木鳖子（去壳） 莽草 上为散。以醋调涂。日三。
犀角散（出圣惠方）治初见皮肤有疮。恐成痈。腑脏壅涩。或寒热噤痒。口干
心烦。
犀角屑 知母（各一两） 木通（二两锉） 赤芍药 川升麻 荠 葳蕤 黄芩 甘
草
（生锉各一两半） 麦门冬（去心） 马牙硝（各二两） 上为粗散。每服四钱。水一中盏。
煎
六分去滓。入竹沥一合。更煎一沸。不计时候温服。
内消散（出圣惠方）治痈肿结硬疼痛。
赤小豆（一合熬令熟） 人参（一两去芦头） 甘草（一两生锉） 瞿麦（一两） 白
蔹（一两）
当归（锉微炒） 黄芩 防风（去芦头） 黄 （锉） 沉香 川升麻（各一两） 上为细
末。不计
时候以温水调下二钱。
犀角丸（出圣惠方）治痈肿及发背乳痈。一切肿毒。悉能内消。肿化为水。
犀角屑 川升麻 防风（去芦头） 黄芩 当归（锉微炒） 栀子仁 吴蓝 甘草（生
锉）
川大黄（碎锉微炒） 巴豆（半两去皮心研纸裹压去油） 黄香（一两半锉） 上为细末。
炼蜜和
捣三五百杵。丸如梧桐子大。每服空腹以粥饮下三丸。得快利为度。即吃冷白粥止之。未
利加至五丸亦可。
松脂膏 疗痈肿脓溃内服药。外宜贴膏。
松脂（一斤炼煮） 脂（三合生） 椒叶（一两） 白蜡（三两） 蛇含 黄 芎
白芷
当归 细辛 芍药（各一两） 上切。以水先煎脂蜡烊尽。内诸药。三上三下。白芷色黄膏
成。
用剪故帛。量疮大小。涂膏贴之。日夜各一。
松脂贴方（出千金方）疗痈肿。
当归 黄 黄连 芍药 蜡 黄芩 芎 大黄（各一两细切） 松脂（一斤半）
脂
（一合半） 上切。以微火煎之。三上三下。绵布纹去滓。向火涂生笺纸上。随大小贴之。
日三。
葛根散（出圣惠方）治痈肿乳痈。脏腑壅滞。口干寒热头痛。呕哕不能下食。
葛根（锉） 麦门冬（去心） 红雪（各一两） 犀角屑（半两） 葳蕤 荠 赤芍
药甘草
（生锉各三分） 石膏（二两） 上为粗末散。每服四钱。水一中盏。煎六分去滓。入竹沥
一
合。复煎一沸。不计时候温服。一方无红雪。用黄芩一两。
解毒散（出圣惠方）治痈疮如觉。便宜服。
犀角屑 木通（锉） 川麻黄 赤芍药 川朴硝（各一两） 石膏（一两） 甘草（生
锉） 玄
参麦门冬（去心各半两） 上为粗散。每服四钱。水一中盏。煎至六分去滓。不计时候温
服
之。
疗痈肿坚核下不消白蔹贴方。
白蔹 大黄 赤石脂 芍药 莽草 黄芩 黄连 茱萸 上等分捣筛。以鸡子黄和如浊
泥。涂布上。随核大小贴之。燥复易。
黄 贴方 疗痈肿。
黄 当归（各一两半） 黄芩 芎 黄连 白芷 芍药（各一两） 上捣筛。以鸡
子白
和如膏。诸暴肿起。以布摊贴之。燥易。肿处不觉冷。便热势毒者。加白蔹一两。
王不留行散（出千金方）治痈肿不得溃。困苦无聊赖方。
王不留行子（三合） 龙骨 当归（各二两） 干姜 桂心（各一两） 野葛皮（半分）
栝蒌
根（六分） 上为末筛。食后温酒服方寸匕。日三。四肢习习为度。不知稍加之。令人安稳。
不觉脓自溃。即着疮痂平复。神良。此殷仲堪方。隋济 黎所名为神散。痈肿即消。千金翼
云。治痈疽及诸肿已溃者服之。
白蔹贴方 疗痈肿。
白蔹 当归 芍药 大黄 莽草 芎 上各等分捣筛。下鸡子黄和如泥涂布。随大小
贴之。燥易。
栀子汤（出千金方）治表里俱热。三焦不实。身体生疮。及发痈疖。大小便不
利。
栀子仁（二十七枚） 芒硝（二两） 黄芩 甘草 知母（各三两） 大黄（四两） 上
咀。
以水五升煮减半。下大黄取一升八合。去滓内芒硝。分作三服。
当归消毒散 治痈肿初发。
荆芥 牛蒡子 甘草 防风 当归 赤芍药（各等分） 上 咀。每服半两。水二盏。
煎
八分服。
Sudden Elimination Formula (Su Xiao Fang)
For carbuncles and sores on the back. Whether already erupted but not yet condensed, or already condensed but not yet ulcerated. Urgently use Huangming Niu Pi Jiao (Yellow-transparent Cowhide Glue), dissolve it in fresh water to a suitable consistency, then spread it onto glue paper.
Apply for a considerable time. Take two soft cloths, boil them in strong vinegar until hot, wring them out alternately, and place them over the glue paper for steaming and ironing. Continue until the swelling dissipates. If the sore itches, one must endure the itch and not stop ironing. Or if the sore breaks and pus flows out, stop ironing when the pus is exhausted. If there is no effect, repeat the previous method: apply the glue paper to the sore again and continue ironing with the hot vinegar cloth until the pus is exhausted. Afterwards, wash off the glue paper with Guan Zhong Tang (Cyatheae Spora Decoction), and apply powders such as Tui Zhong San (Swelling-Reducing Powder), Juan Du San (Toxin-Eliminating Powder), or Chen Shui Gao (Sunken-Water Ointment). Alternatively, use Ba Du San (Toxin-Pulling Powder) at will. Simultaneously, urgently take Wan Jin Yi Zui Gao (Ten-Thousand-Gold One-Drunkenness Ointment), or Nei Xiao San (Internal-Eliminating Powder), or Ru Fen Tuo Li San (Milk-Powder Supporting-Interior Powder). After rupture, wash the sore with Xi Chuang Fang (Sore-Washing Formula) to disperse toxic vapors.
Formula for treating various carbuncles, sores on the back, and carbuncles/furuncles that have already ulcerated and are painful.
Steam glutinous millet and alternate ironing on the affected area; recovery should be immediate. Another method says to use rose calyxes for moxibustion and ironing.
(Attached Discussion)
Carbuncles arise from disharmony of the Six Fu Organs. The Six Fu Organs govern the exterior; Qi moves through the meridians and floats outward. Unpredictable emotions and irregular diet lead to imbalance of Yin and Yang, causing disharmony of the Six Fu Organs. In individuals with deficient Ying (Nutrient) and Wei (Defensive) Qi, the interstices (Cou Li) open, allowing Cold pathogens to lodge in the meridians. When meridians are constrained by Cold, Ying and Wei Qi stagnate within the vessels. Ying refers to Blood, and Wei refers to Qi. When Ying Blood encounters Cold, it becomes stagnant and fails to flow; Wei Qi follows and contends with the Cold, leading to obstruction and blockage. Qi belongs to Yang; accumulation of Yang Qi generates stasis-heat. Prolonged retention of Cold and Heat leads to accumulation and formation of carbuncles. Since Fu Organs are where Yang Qi floats and governs the exterior, carbuncles are superficial, with thin, lustrous skin. Over time, Heat surpasses Cold, heat accumulates, damaging flesh and ruining muscle tissue, causing blood and flesh to rot and transform into pus. The pathology is located in the exterior; being superficial means the bone marrow remains unburnt and the Zang-Fu organs remain undamaged, thus it is treatable.
The *Treatise on the Great Normal Policies* states: Heaven tilts northwest, cold on the left, cool on the right; Earth sinks southeast, hot on the right, warm on the left. High places are cold, low places are hot. Thus, cold and cool causes distension, while warm and hot causes sores. Purging resolves distension; sweating resolves sores. In the Southeast regions, in humans, this corresponds to Bing Small Intestine Heat and Jia Gallbladder Wind. The Small Intestine and Gallbladder reside inferiorly, but their nature is inflammatory and ascending. Such sores present external manifestations of the Six Meridians but internal absence of urinary or fecal obstruction; diet remains normal, and excretions are regulated. Knowing the disease is not interior, it is not a deep abscess (Ju), but merely a carbuncle or furuncle. Small ones are called furuncles; large ones are called carbuncles. The pathogen originates from damp-wind areas below, entering from the exterior and invading the body. The Classics state: "When Ying Qi does not follow its course and reverses in the muscle tissue, carbuncles and swellings arise." The *Treatise on Pathogenesis* states: "All pain, itching, sores, and ulcers belong to Heart Fire." This type of sore enters from the exterior, moving from the Bing Small Intestine to the Jia Gallbladder, causing pain and itching. Both formulas primarily treat Blood disorders; blood diseases inevitably cause pain. This results from deficiency of Yuan Qi and reversal of Ying Qi. Initially, without transmission, it resides above the muscles and between the skin and hair, emerging only along the pathways of the Wind-Heat Six Meridians. It is appropriate to drain Wind-Damp-Heat. Physicians only know that when Yin restores Yang, sweating is indicated. Here, sweating is indicated because Damp-Heat stagnates in the Hand and Foot Shaoyang, causing blood vessel coagulation and reversal, weakening Ying Qi and whole-body Yuan Qi. Wind-Heat stagnates inferiorly; the face is red and swollen, slightly dark, showing the color of Wood stagnating in the East. The nature of Wind-Wood rushes upward, causing an angry expression; the person is prone to anger, and the sore is red, swollen, hard, and slightly dark. The sore's condition rises vigorously, forming hard knots that cause pain. The Lung is associated with the left hand governing the exterior; the Left Cun pulse is floating and rapid-slow, the Left Guan pulse is floating, rapid-slow, and wiry, indicating external pathogens above the blood vessels and between the skin. Emergency sweating is required to unblock Ying and Wei, thereby expelling the pathogen. Use Nei Tuo Ying Wei Tang (Internal-Supporting Ying-Wei Decoction) to disperse it.
Sores belong to Fire; one must distinguish internal and external treatments addressing the root. If the pulse is deep and solid, first unblock the interior to cut off the source. If the pulse is floating and large, first support the interior to prevent pathogen invasion. In cases involving both interior and exterior, the pathogen is extremely abundant, obstructing meridians, causing carbuncles and swellings. This results from failure to support the interior, failure to unblock, and failure to harmonize Ying and Wei. The general principle of treating sores requires understanding three methods: supporting the interior, unblocking, and promoting Ying-Wei circulation. For lesions originating internally and manifesting externally: the pulse is deep and solid, with fever, dryness, and irritability, but no external redness; pain is deep inside, indicating deep pathogens. Therefore, first unblock the Zang-Fu organs to cut off the source. For lesions originating externally and attacking internally: the pulse is floating and rapid, swelling is external, signs and symptoms are apparent externally, suggesting urgent internal attack; therefore, first support the interior. For lesions in the middle of both: externally no aversion to cold, internally Zang-Fu organs are unobstructed, knowing the disease is in the meridians, one should harmonize Ying and Wei. After using these three methods, even if not fully cured, complications will likely be avoided. Pathogens can be significantly reduced, facilitating recovery. A rapid pulse without body heat indicates internal carbuncle. Floating-rapid pulses usually indicate fever, but if accompanied by shivering and aversion to cold, and a painful spot, a carbuncle will form. A faint and slow pulse indicates fever. A weak and rapid pulse indicates chills, indicating impending carbuncle/swelling. A floating and rapid pulse with no body heat, quiet demeanor, slight stomach dryness, and unknown pain location indicates impending carbuncle/swelling. A slippery and rapid pulse: slippery indicates excess, rapid indicates heat; slippery indicates Ying, rapid indicates Wei. When Ying and Wei meet, they knot to form a carbuncle. Where heat passes, pus forms. Body pain and persistent sores occur.
Generally, high swelling indicates shallow origin; low swelling indicates deep origin. Large sores are easier to treat; small, hot sores are harder to treat. Severe pain early damages muscle; severe pain late damages bone. Uniform hardness indicates no pus; half-hard, half-soft indicates pus. Uniformly soft swelling is a blood tumor, not a carbuncle. Gradual swelling that persists without heat and causes dragging pain is a tumor, not a carbuncle. Qi stagnation can also cause swelling; prolonged non-resolution forms a carbuncle, treated by dispersing Qi. Once Qi is dispersed, if residual floating Qi remains, elderly people may develop carbuncles; treatment should occur during youth, and heat should be dissipated to avoid this worry.
Carbuncles hard as stone moving under the skin are rootless scrofula. Prolonged non-resolution due to other heat diseases may occasionally erupt as carbuncles.
Without internal consumption diseases or blood tumors, if a sore rises like a mound, straight and upright, moxibustion is contraindicated. Treatment with fire ironing causes burning and rotting; scraping off the eschar leads to uncontrollable bleeding and death.
For any carbuncle, regardless of size, upon detection, take glue palm-sized, soak in warm water until soft, measure size. Make a hole the size of a coin in the center, apply to the swelling. When dry and tight, if no pus has formed, growth stops. If pus has formed, it will discharge naturally. Puncturing the hole with a sharp needle to reach the pus is excellent. Remove the glue upon cure. For high, large carbuncles without significant heat, and flat, purple flesh without points, aggressive treatment is unnecessary; simply use Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction) to promote Qi. Flat flesh indicates no pus. Sudden carbuncle pain: apply Ba Wei Huang Qi San (Eight-Ingredient Astragalus Powder). Large carbuncles: seven days; small carbuncles: five days. Naturally hard ones may rupture spontaneously. For breast carbuncles that are hot and intolerable to touch, first take Wang Bu Liu Xing San (Vaccaria Seed Powder) internally, and apply Fa Bei Gao (Back-Carbuncle Ointment) externally. If back sores are broken but not painful, breast sores should be allowed to ripen completely; when pressing elicits immediate rebound, the sore is ripe. Needle it. Needling must reach the pus, judged by intuition. Chest and back depth should not exceed one cun. If no pus, apply Shi Rou Gao San (Flesh-Nourishing Ointment Powder) to the opening. For internal mouth carbuncles, once body heat subsides, take Mu Zhan Si San (Xanthoxylum Powder). Five days later, if the carbuncle begins to scab, take Pai Nong Nei Sai San (Pus-Draining Internal-Sealing Powder).
After carbuncle rupture, the body feels limp and weak, with internal cold and external heat. Some swellings resemble carbuncles but are not; pressing reveals no connection, indicating Wind-Toxin. Do not needle. Take Sheng Ma Tang (Cimicifuga Decoction) and apply ointment externally. For ruptured carbuncles, leave the upper third unopened, needle the lower one-third. Ensure extreme heat, which alleviates pain. For post-rupture decay failing to heal, wash with Zhu Ti Tang (Pig Trotter Decoction), twice daily. Summer: two days; Winter: six to seven days. Half a dose of decoction suffices.
For carbuncles with foul flesh after breakdown, wash with Zhu Ti Tang to remove filth, then apply Shi Rou Gao San (Flesh-Nourishing Ointment Powder). After foul flesh is gone, apply Sheng Rou Gao San (Fresh-Flesh Ointment Powder) and massage edges to accelerate healthy tissue growth. Abstain from sexual activity, avoid wind and cold, do not overexert. Wait for tendons and vessels to recover before resuming normal activities. New flesh is easily injured; injury leads to internal collapse, re-eruption, and difficult rescue. Be cautious. White scabs are taboo. Long-standing carbuncles with non-healing wounds, white flesh, and scant pus/blood indicate cold stagnation at the wound site due to exhaustion of patient's Qi and Blood, failing to nourish the sore. Use one bunch of Ai Ye (Mugwort Leaves), decoct strongly in a clay pot. In a wind-shaded place, pour hot Mugwort decoction over the wound. Wrap clean flesh around Mugwort leaves with silk cloth, pour hot liquid over it. Once daily, avoid wind after washing. Burn Song Xiang (Rosin) and smoke the wound for a long time, then apply Shen Yi Gao (Divine-Efficacy Ointment). Do not let repulsive/unclean people see the sore; otherwise, healing is hindered and medicine ineffective.
Formulas
Wu Xiang Wan (Five-Aromatic Pills) [from Qian Jin Fang] treats consumptive internal heat, recurrent carbuncles, sores, and furuncles.
Shu Di Huang (Prepared Rehmannia Root, 4 liang), Huang Qi (Astragalus Root), Huang Qin (Scutellaria Root), Da Huang (Rhubarb Root), Huang Lian (Coptis Rhizome), Ze Xie (Alisma Rhizome), Xi Xin (Asarum Root), Gan Cao (Licorice Root), Gui Xin (Cinnamon Twig Center), Shao Yao (Peony Root), Fu Ling (Poria), Gan Qi (Dry Lacquer), Ren Shen (Ginseng Root), Tian Men Dong (Asparagus Tuber). Grind to powder, mix with honey, make pills like wu-tong seeds. Take 10 pills with wine, three times day and once night, increase to 20 pills. Long-term use prevents carbuncles lifelong. Da Huang should be thinly sliced, steamed with rice water, dried. Increase Da Huang if heat is excessive. One version excludes Ze Xie.
Xuan Shen San (Scrophularia Powder) [from Sheng Hui Fang] treats initial carbuncles/swellings, intense heat-toxin, alternating chills/fever, irritability, limb pain.
Xuan Shen (Scrophularia Root), Gan Cao (Licorice Root, raw), Mai Men Dong (Ophiopogon Tuber), Qian Hu (Peucedanum Root), Zhi Shi (Immature Bitter Orange, bran-fried), Ren Shen (Ginseng Root), Chi Shao Yao (Red Peony Root), Sheng Gan Di Huang (Raw Rehmannia Root), Huang Qi (Astragalus Root), Chuan Xiong (Ligusticum Rhizome), Chi Fu Ling (Red Poria), Huang Qin (Scutellaria Root), Shi Gao (Gypsum Fibrosum). Grind to powder. Take 4 qian, decoct with water, bamboo leaves, wheat. Strain, drink warm anytime.
Huang Qi San (Astragalus Powder) [from Sheng Hui Fang] treats excessive heat in carbuncles/swellings, alternating chills/fever.
Huang Qi (Astragalus Root), Chuan Sheng Ma (Cimicifuga Rhizome), Chuan Da Huang (Rhubarb Root), Huang Qin (Scutellaria Root), Yuan Zhi (Polygala Root), Chi Fu Ling (Red Poria), Chi Shao Yao (Red Peony Root), Sheng Gan Di Huang (Raw Rehmannia Root), Dang Gui (Angelica Sinensis Root), Mai Men Dong (Ophiopogon Tuber), Ren Shen (Ginseng Root), Gan Cao (Licorice Root). Grind to powder. Take 4 qian, decoct with water. Strain, drink warm anytime.
Sheng Di Huang San (Rehmannia Powder) [from Sheng Hui Fang] treats carbuncles/swellings with heat, swelling, pain, mental restlessness.
Sheng Gan Di Huang (Raw Rehmannia Root), Xuan Shen (Scrophularia Root), Gan Cao (Licorice Root), Chi Shao Yao (Red Peony Root), Huang Qi (Astragalus Root), Mu Tong (Akebia Stem), Huang Qin (Scutellaria Root), Dang Gui (Angelica Sinensis Root), Di Gu Pi (Lycium Bark), Chi Fu Ling (Red Poria), Chuan Sheng Ma (Cimicifuga Rhizome), Chuan Da Huang (Rhubarb Root). Grind to powder. Take 4 qian, decoct with water, bamboo leaves. Strain, drink warm anytime.
She Xian Gao (Ophiopogon/Centipede Ointment) [from Zhou Hou Fang] treats carbuncles/swellings with blood stasis, postpartum blood accumulation, dim eyes/ears, neck saddle sores.
She Xian (Centipede/Dryopteris), Da Huang (Rhubarb Root), Fu Zi (Aconite Root), Shao Yao (Peony Root), Dang Gui (Angelica Sinensis Root), Xi Xin (Asarum Root), Huang Qin (Scutellaria Root), Da Ji (Euphorbia Root), Jiao (Sichuan Pepper), Mang Cao (Artemisia Argyi), Du Huo (Angelica Pubescens Root), Xie Bai (Garlic Bulb). Soak in vinegar overnight, simmer in lard with Long Xian Teng. Name: Long Xian Gao. Take with warm wine or apply externally.
Lian Qiao Yin (Forsythia Drink) treats carbuncles/swellings/furuncles, draining pus.
Lian Qiao (Forsythia Fruit), Fang Feng (Saposhnikovia Root), Xuan Shen (Scrophularia Root), Bai Shao Yao (White Peony Root), Qi Ni (Nemophila Root), Gan Cao (Licorice Root), Jie Geng (Platycodon Root), Bai Fu Ling (White Poria), Huang Qi (Astragalus Root), Huang Qin (Scutellaria Root), Sang Bai Pi (Mulberry Root Bark), Qian Hu (Peucedanum Root), Ren Shen (Ginseng Root). Grind to powder. Take 5 qian, decoct with water. Strain, drink warm twice daily.
Xuan Shen San (Scrophularia Powder) treats all carbuncles/sores/swellings.
Xuan Shen (Scrophularia Root), Huang Qin (Scutellaria Root), Yang Ti Gen (Rumex Root), Shao Yao (Peony Root), Bai Zhi (Angelica Dahurica Root), Ding Xiang (Clove), Mu Xiang (Aucklandia Root), Xiao Shi (Niter), Ban Xia (Pinellia Tuber), Bai Lian (Ampelopsis Rhizome), Mu Bie Zi (Momordica Seed), Mang Cao (Artemisia Argyi). Grind to powder, mix with vinegar, apply topically three times daily.
Xi Jiao San (Rhinoceros Horn Powder) [from Sheng Hui Fang] treats early skin sores fearing carbuncle formation, organ congestion, chills/fever, itching, dry mouth, irritability.
Xi Jiao (Rhinoceros Horn - substitute with Buffalo Horn), Zhi Mu (Anemarrhena Rhizome), Mu Tong (Akebia Stem), Chi Shao Yao (Red Peony Root), Chuan Sheng Ma (Cimicifuga Rhizome), Qi Ni (Nemophila Root), Wei Rui (Polygonatum Rhizome), Huang Qin (Scutellaria Root), Gan Cao (Licorice Root), Mai Men Dong (Ophiopogon Tuber), Ma Ya Xiao (Saltpeter). Grind to coarse powder. Take 4 qian, decoct with water, add Bamboo Sap, boil once. Drink warm anytime.
Nei Xiao San (Internal-Eliminating Powder) [from Sheng Hui Fang] treats hard, painful carbuncles/swellings.
Chi Xiao Dou (Adzuki Bean), Ren Shen (Ginseng Root), Gan Cao (Licorice Root), Qu Mai (Dianthus Herb), Bai Lian (Ampelopsis Rhizome), Dang Gui (Angelica Sinensis Root), Huang Qin (Scutellaria Root), Fang Feng (Saposhnikovia Root), Huang Qi (Astragalus Root), Chen Xiang (Agarwood), Chuan Sheng Ma (Cimicifuga Rhizome). Grind to fine powder. Mix with warm water, take 2 qian anytime.
Xi Jiao Wan (Rhinoceros Horn Pill) [from Sheng Hui Fang] treats carbuncles, back/carbuncles, all swellings/toxins, eliminating internally, turning swelling to water.
Xi Jiao (Rhinoceros Horn - substitute with Buffalo Horn), Chuan Sheng Ma (Cimicifuga Rhizome), Fang Feng (Saposhnikovia Root), Huang Qin (Scutellaria Root), Dang Gui (Angelica Sinensis Root), Zhi Zi (Gardenia Fruit), Wu Lan (Isatis Root), Gan Cao (Licorice Root), Chuan Da Huang (Rhubarb Root), Ba Dou (Croton Seed), Huang Xiang (Beeswax). Grind to fine powder, mix with honey, make pills. Take 3 pills fasting with gruel broth, induce mild purgation, stop with cold white gruel. Increase to 5 pills if needed.
Song Zhi Gao (Pine Resin Ointment) treats carbuncles with pus drainage; internal medicine plus external application.
Song Zhi (Pine Resin), Zhi (Animal Fat), Jiao Ye (Pepper Leaf), Bai La (White Beeswax), She Han (Centipede/Dryopteris), Huang Qi (Astragalus Root), Chuan Xiong (Ligusticum Rhizome), Bai Zhi (Angelica Dahurica Root), Dang Gui (Angelica Sinensis Root), Xi Xin (Asarum Root), Shao Yao (Peony Root). Decoct fats/waxes, add herbs, process, apply to cloth.
Song Zhi Tie Fang (Pine Resin Patch Formula) [from Qian Jin Fang] treats carbuncles/swellings.
Dang Gui (Angelica Sinensis Root), Huang Qi (Astragalus Root), Huang Lian (Coptis Rhizome), Shao Yao (Peony Root), La (Beeswax), Huang Qin (Scutellaria Root), Chuan Xiong (Ligusticum Rhizome), Da Huang (Rhubarb Root), Song Zhi (Pine Resin), Zhi (Animal Fat). Fry gently, strain, apply to paper.
Ge Gen San (Kudzu Root Powder) [from Sheng Hui Fang] treats carbuncles/breast carbuncles, organ congestion, dry mouth, chills/fever, headache, vomiting, inability to eat.
Ge Gen (Kudzu Root), Mai Men Dong (Ophiopogon Tuber), Hong Xue (Red Snow - mineral salt), Xi Jiao (Rhinoceros Horn - substitute with Buffalo Horn), Wei Rui (Polygonatum Rhizome), Qi Ni (Nemophila Root), Chi Shao Yao (Red Peony Root), Gan Cao (Licorice Root), Shi Gao (Gypsum Fibrosum). Grind to coarse powder. Take 4 qian, decoct with water, add Bamboo Sap, boil once. Drink warm anytime.
Jie Du San (Detoxifying Powder) [from Sheng Hui Fang] treats early carbuncles/sores.
Xi Jiao (Rhinoceros Horn - substitute with Buffalo Horn), Mu Tong (Akebia Stem), Chuan Ma Huang (Ephedra Herb), Chi Shao Yao (Red Peony Root), Chuan Po Xiao (Mirabilite), Shi Gao (Gypsum Fibrosum), Gan Cao (Licorice Root), Xuan Shen (Scrophularia Root), Mai Men Dong (Ophiopogon Tuber). Grind to coarse powder. Take 4 qian, decoct with water. Strain, drink warm anytime.
Bai Lian Tie Fang (Ampelopsis Patch Formula) for stubborn carbuncle nodules.
Bai Lian (Ampelopsis Rhizome), Da Huang (Rhubarb Root), Chi Shi Zhi (Halloysitum Rubrum), Shao Yao (Peony Root), Mang Cao (Artemisia Argyi), Huang Qin (Scutellaria Root), Huang Lian (Coptis Rhizome), Zhu Yu (Zanthoxylum Fruit). Mix with egg yolk, apply to cloth, patch on nodule. Change when dry.
Huang Qi Tie Fang (Astragalus Patch Formula) treats carbuncles/swellings.
Huang Qi (Astragalus Root), Dang Gui (Angelica Sinensis Root), Huang Qin (Scutellaria Root), Chuan Xiong (Ligusticum Rhizome), Huang Lian (Coptis Rhizome), Bai Zhi (Angelica Dahurica Root), Shao Yao (Peony Root). Mix with egg white, apply to cloth. Add Bai Lian if heat/toxicity is severe.
Wang Bu Liu Xing San (Vaccaria Seed Powder) [from Qian Jin Fang] treats carbuncles unable to suppurate.
Wang Bu Liu Xing Zi (Vaccaria Seed), Long Gu (Fossilized Bones), Dang Gui (Angelica Sinensis Root), Gan Jiang (Dried Ginger), Gui Xin (Cinnamon Twig Center), Ye Ge Pi (Wild Kudzu Bark), Gua Lou Gen (Trichosanthes Root). Grind to powder. Take with warm wine after meals. Induces mild sweating/stimulation. Promotes spontaneous pus discharge and healing.
Bai Lian Tie Fang (Ampelopsis Patch Formula) treats carbuncles/swellings.
Bai Lian (Ampelopsis Rhizome), Dang Gui (Angelica Sinensis Root), Shao Yao (Peony Root), Da Huang (Rhubarb Root), Mang Cao (Artemisia Argyi), Chuan Xiong (Ligusticum Rhizome). Mix with egg yolk, apply to cloth.
Zhi Zi Tang (Gardenia Decoction) [from Qian Jin Fang] treats exterior-interior heat, Sanjiao deficiency, body sores, carbuncles/furuncles, urinary/fecal difficulty.
Zhi Zi Ren (Gardenia Seed), Mang Xiao (Mirabilite), Huang Qin (Scutellaria Root), Gan Cao (Licorice Root), Zhi Mu (Anemarrhena Rhizome), Da Huang (Rhubarb Root). Decoct, add Da Huang last, then Mang Xiao. Divide into three doses.
Dang Gui Xiao Du San (Angelica Detoxifying Powder) treats initial carbuncles/swellings.
Jing Jie (Schizonepeta Spike), Niu Bang Zi (Arctium Fruit), Gan Cao (Licorice Root), Fang Feng (Saposhnikovia Root), Dang Gui (Angelica Sinensis Root), Chi Shao Yao (Red Peony Root). Decoct with water, drink.