（附论）
夫痈者。由寒气客于肌肉。血气结聚。乃成痈也。痈溃之后有逆顺。其眼白睛青黑而眼
小者一逆也。服药而呕者二逆也。伤痛渴甚者三逆也。有肩背不便者四逆也。音嘶色脱者五
逆也。除此五者并为顺也。肠胃受冷而变下利。利则肠胃俱虚。而冷搏于胃气。则变呕逆。
气若不通。遇冷折之。则变哕也。
方
黄 散（出圣惠方）治痈溃后。补虚去客热。
黄 （二两锉） 知母（二两） 石膏（二两） 白芍药 麦门冬（去心各一两） 甘
草（半两
炙微赤锉） 白茯苓 桂心 川升麻 熟干地黄 人参（去芦头各一两） 上为粗散。每服
四
钱。水一中盏。煎至六分。去滓温服。日三四服。
栀子散（出圣惠方）治痈已溃后。散肿气。
栀子仁 川大黄 黄连（去须） 白芨 牡蛎 白蔹 木通（锉） 川升麻 黄芩（各
一两） 上为细散。每用以鸡子白调。涂故帛上贴肿处。燥复易之。
内塞散 疗痈疽溃漏。血脉空竭。
黄 细辛 芍药 薏苡仁 白芷 瞿麦（各二两） 赤小豆（半两） 干地黄 人参 防
风上为以新成白苦酒置新器中。内赤小豆。须臾出。铜器中熬令燥。复须内苦酒中更熬。
下五丸及止。合捣为散。酒服方寸匕。日夜六七过。腹痛甚倍芍药。口未闭倍薏苡仁。脓多
倍黄 。忌生菜葱芜等物。
洗药猪蹄汤
本（去苗） 川当归（去芦） 杜独活（去芦） 蔺草（一方作茴香） 黄连（去须）
蔷薇根
野狼牙草 甘草 大黄 芍药（各二两） 上为粗末。先用 猪前蹄一只。煮取浓汁。澄去滓
肉。
与上面油花。每用药化末半两。蹄汁一碗。葱白一根。汉椒二十余粒。同煎三五沸。去滓。
热通手。遂洗之。
黄 茯苓汤（出千金方）治痈疽溃后。脓大多虚热。
黄 麦门冬（各三两） 五味子（四合） 芎 （二两） 生姜（四两） 茯苓（一
两） 桂心
（二两） 大枣（二十枚） 上为粗 咀。以水一斗半。煮取四升。分六服。千金翼有远志、
当归、人参。各二两。甘草六两。
猪蹄汤（出经验方）治一切痈疽肿毒。消毒瓦斯。去恶肉。凡疮有口。便用此洗
。
香白芷（不见火切） 生甘草 老羌活 露蜂房（取有儿者） 黄芩（去心） 赤芍药
（去皮）
川当归（去芦洗焙各等分） 上为粗末。看疽大小用药。如疽大加料用。先将猪前蹄两只一
斤。
只用白水二升煮软。将汁分为两次。澄去面上油花。并下面滓肉。每次用药一两。投于汁中。
再用文武火煎十数沸。去滓。以故帛蘸药汤。温温徐薄揩疮上。死肉恶血随洗而下。净洗讫。
以故帛挹干。仍避风。忌人口气吹之。有狐臭人。并月经现行妇人。犹不许入病患房。洗疮
切勿以手触。看洗疽之方。所传甚多。惟此方极神效。其用露蜂房极有理。盖以毒去毒也。
一方无羌活。澹寮方无黄芩。
猪蹄洗汤 疗痈疽等毒溃烂。
猪蹄（一具治如食法） 蔷薇根（一斤） 甘草（五两炙） 芍药 白芷（各五两） 上
以水二
斗。煮猪蹄取八升。去滓。下诸药味取四升。稍稍洗疮上。
洗肌散 治脓水未干者。以药夹黄葱洗之。
青木香 白蔹 槟榔 贯众 荆芥 上同煎。洗之甚妙。
白芷摩膏 疗疽已溃。
白芷 甘草（各二分） 乌头（三分） 薤白（十五挺） 青竹茹（鸡子大一枚） 上
以猪膏一
升合。煎白芷黄、膏成。绞去滓。涂疮四边。勿着疮中。
白蔹汤（出圣惠方） 治痈肿已溃后。结强宜拓方。
白蔹 黄芩 赤芍药 丹参（各一两） 上药细锉。以水三升。煮至一升半。以帛浸拓
肿
上。频频换之为妙。
白芷散（出圣惠方）治痈疮已溃。
白芷 黄连（去须） 地榆（锉各一两） 上为细散。以鸡子白调。涂布上贴。日三四
度换
之。
去水膏（出直指方）治痈疽破穴后。误入皂角水。及诸毒水。以致疼痛。
甘草（一分生为末） 沙糖 糯米粉（各三分） 上为膏。摊在绢上贴之。毒水自出。
驴马
汗及尿粪一切毒水。皆治之。
治痈疮溃后烂方（出圣惠方）
取陈久酱汁和面搽疮上。日三易之。
治痈后流脓不尽。或更移结肿。松脂封方。（出圣惠方）
以松脂蜡等分。同溶成汁。密封之。
[Attached Discussion]
Yong (carbuncle) is formed when cold pathogen invades the muscles, causing blood and qi to condense and accumulate. After a carbuncle ulcerates, there are favorable (Shun) and unfavorable (Ni) prognoses. The first unfavorable sign is when the sclera appears blue-black and the eyes become small; the second is vomiting after taking medicine; the third is severe pain accompanied by extreme thirst; the fourth is inability to move the shoulders and back; the fifth is hoarseness of voice and loss of facial luster. Apart from these five signs, all others are considered favorable. If the intestines and stomach are affected by cold, leading to diarrhea, the deficiency of the intestines and stomach allows cold to clash with stomach qi, resulting in vomiting and hiccups. If qi circulation is obstructed and further compromised by cold, it transforms into hiccups (Yue).
Formulas
Huang San (Astragalus Powder) [from *Sheng Hui Fang*]: Treats post-ulceration of carbuncles, tonifying deficiency and clearing exogenous heat.
Huangqi (Radix Astragali, 2 liang, crushed) Zhimu (Rhizoma Anemarrhenae, 2 liang) Shigao (Gypsum Fibrosum, 2 liang) Baishao (Radix Paeoniae Alba) Maimendong (Radix Ophiopogonis, decentered, each 1 liang) Gancao (Radix Glycyrrhizae, half liang, honey-fried until slightly red, crushed) Bai Fuling (Poria, 1 liang) Guixin (Cortex Cinnamomi, 1 liang) Chuan Shengma (Rhizoma Cimicifugae, 1 liang) Shu Gadihuang (Radix Rehmanniae Preparata, 1 liang) Renshen (Radix Ginseng, de-stalked, each 1 liang). Grind the above ingredients into a coarse powder. Take 4 qian per dose, decoct with one zhong of water until reduced to six parts, filter the dregs, and take warm. Administer three to four times daily.
Zhizi San (Gardenia Powder) [from *Sheng Hui Fang*]: Treats post-ulceration of carbuncles, dissipating swelling and qi stagnation.
Zhiziren (Semen Gardeniae) Chuan Dahuang (Radix et Rhizoma Rhei) Huanglian (Rhizoma Coptidis, de-stalked) Baiji (Bulbus Allii Macrostemonis) Muli (Concha Ostreae) Bailing (Rhizoma Akebiae) Mutong (Caulis Akebiae, crushed) Chuan Shengma (Rhizoma Cimicifugae) Huangqin (Radix Scutellariae, each 1 liang). Grind the above ingredients into a fine powder. Mix with egg white for application, spread on old cloth, and apply to the swollen area. Replace when dry.
Nei Sai San (Internal Plugging Powder): Treats ulcerated and leaking carbuncles and sores, where blood vessels are empty and depleted.
Huangqi (Radix Astragali) Xixin (Herba Asari) Shaoyao (Radix Paeoniae) Yiyiren (Semen Coicis) Baizhi (Radix Angelicae Dahuricae) Qumai (Herba Dianthi, each 2 liang) Chixiaodou (Semen Phaseoli Angularis, half liang) Gan Dihuang (Radix Rehmanniae Recens) Renshen (Radix Ginseng) Fangfeng (Radix Saposhnikoviae). Place new white vinegar in a new vessel, add Chixiaodou, let sit briefly, then remove. Fry in a copper vessel until dry, then return to vinegar and fry again. Repeat this process five times. Grind into a powder. Take one fangcun bi (measure) with wine, six or seven times day and night. Increase Shaoyao if abdominal pain is severe; increase Yiyiren if the mouth remains open; increase Huangqi if pus is abundant. Avoid raw vegetables, green onions, and Wuwu.
Xi Yao Zhu Ti Tang (Washing Medicine Pig Trotter Decoction)
Bencao (de-seeded) Chuan Danggui (Radix Angelicae Sinensis, de-stalked) Du Huoxiong (Radix et Rhizoma Angelicae Pubescentis, de-stalked) Lincao (Foeniculum Vulgare in another version) Huanglian (Rhizoma Coptidis, de-stalked) Qiangweigen (Radix Rosae Rugosae) Yelangyacao (Herba Agrimoniae) Gancao (Radix Glycyrrhizae) Dahuang (Radix et Rhizoma Rhei) Shaoyao (Radix Paeoniae, each 2 liang). Grind into coarse pieces. Boil one pig trotter to obtain thick broth, clarify and remove meat residues. Remove oil from the surface. For each use, mix half liang of herb powder, one bowl of trotter juice, one scallion white, and over twenty grains of Han pepper. Boil for three to five boils, filter, and wash the area while warm.
Huangqi Fuling Tang (Astragalus and Poria Decoction) [from *Qian Jin Fang*]: Treats post-ulceration of carbuncles and sores with abundant pus and significant deficient heat.
Huangqi (Radix Astragali) Maimendong (Radix Ophiopogonis, each 3 liang) Wuweizi (Fructus Schisandrae, 4 he) Chuanxiong (Rhizoma Chuanxiong, 2 liang) Shengjiang (Rhizoma Zingiberis Recens, 4 liang) Fuling (Poria, 1 liang) Guixin (Cortex Cinnamomi, 2 liang) Dazao (Fructus Jujubae, 20 pieces). Cut into coarse pieces. Decoct with 1.5 dou of water until 4 sheng remain. Divide into six doses. *Qian Jin Yi Fang* includes Yuanzhi (Radix Polygalae), Danggui (Radix Angelicae Sinensis), and Renshen (Radix Ginseng), each 2 liang, and Gancao (Radix Glycyrrhizae) 6 liang.
Zhu Ti Tang (Pig Trotter Decoction) [from *Jing Yan Fang*]: Treats all carbuncles, sores, swellings, and toxins; disinfects and removes necrotic tissue. Use for washing any ulcerated sore.
Xiang Baizhi (Radix Angelicae Dahuricae, not roasted) Sheng Gancao (Radix Glycyrrhizae) Lao Qianghuo (Rhizoma et Radix Notopterygii) Lu Fengfang (Nidus Vespae, select those with larvae) Huangqin (Radix Scutellariae, de-centered) Chi Shaoyao (Radix Paeoniae Rubra, peeled) Chuan Danggui (Radix Angelicae Sinensis, de-stalked, washed, dried, equal parts). Grind into coarse pieces. Adjust dosage based on the size of the sore; increase ingredients for larger sores. Boil two pig trotters (one jin) in two sheng of plain water until soft. Divide the juice into two portions. Clarify to remove oil and sediment. Add one liang of herbs to the juice, boil over medium-high heat for ten-plus boils, filter. Soak old cloth in the warm decoction and gently wipe the wound. Necrotic tissue and foul blood will wash away. Dry with an old cloth, avoid wind, and prevent breath from blowing on the wound. Individuals with body odor or menstruating women should not enter the patient's room. Do not touch the wound with hands during washing. Among many流传 formulas for washing sores, this one is extremely effective. The use of Lu Fengfang exemplifies "treating toxicity with toxicity." Another version lacks Qianghuo; *Dan Liao Fang* lacks Huangqin.
Zhu Ti Xi Tang (Pig Trotter Washing Decoction): Treats ulcerated carbuncles and sores caused by toxins.
Zhu Ti (one set, prepared for cooking) Qiangweigen (Radix Rosae Rugosae, one jin) Gancao (Radix Glycyrrhizae, five liang, fried) Shaoyao (Radix Paeoniae) Baizhi (Radix Angelicae Dahuricae, each five liang). Decoct pig trotters in two dou of water until eight sheng remain. Filter, add herbs, and decoct until four sheng remain. Wash the wound gently.
Xi Ji San (Muscle-Washing Powder): Treats wounds with un-dried pus. Wash with herbs wrapped around yellow scallions; very effective.
Qingmuxiang (Radix Aucklandiae) Bailing (Rhizoma Akebiae) Binglang (Semen Arecae) Guanzhong (Rhizoma Cyrtomii) Jingjie (Herba Schizonepetae). Decoct together and wash.
Baizhi Mo Gao (Angelica Dahurica Massage Ointment): Treats ulcerated gangrenous sores.
Baizhi (Radix Angelicae Dahuricae) Gancao (Radix Glycyrrhizae, each two fen) Wutou (Radix Aconiti Lateralis Preparata, three fen) Xiebai (Bulbus Allii Tuberosi, fifteen stems) Qing Zhuru (Bamboo Shavings, size of one egg). Simmer in one sheng of pig fat until Baizhi turns yellow and the ointment forms. Strain and apply to the four sides of the wound, avoiding the center.
Bailing Tang (Akebia Decoction) [from *Sheng Hui Fang*]: Treats post-ulceration induration of carbuncles and swellings; suitable for compress therapy.
Bailing (Rhizoma Akebiae) Huangqin (Radix Scutellariae) Chi Shaoyao (Radix Paeoniae Rubra) Danshen (Radix Salviae Miltiorrhizae, each one liang). Finely crush herbs, decoct in three sheng of water until one and a half sheng remain. Soak cloth in the decoction and apply as a compress to the swollen area. Change frequently for best results.
Baizhi San (Angelica Dahurica Powder) [from *Sheng Hui Fang*]: Treats ulcerated carbuncles and sores.
Baizhi (Radix Angelicae Dahuricae) Huanglian (Rhizoma Coptidis, de-stalked) Diyu (Radix Sanguisorbae, crushed, each one liang). Grind into fine powder. Mix with egg white, apply to cloth, and patch. Change three to four times daily.
Qu Shui Gao (Water-Removing Ointment) [from *Zhi Zhi Fang*]: Treats pain caused by accidental exposure to soapberry water or other toxic waters after ulceration of carbuncles and sores.
Gancao (Radix Glycyrrhizae, one fen, raw, ground) Shatang (Saccharum Officinale) Nuomicifen (Glutinous Rice Flour, each three fen). Make into an ointment, spread on silk, and apply. Toxic water will drain out. Also treats sweat, urine, and feces from donkeys and horses.
Formula for Ulcerated Carbuncles [from *Sheng Hui Fang*]:
Apply aged soy sauce mixed with flour to the wound. Change three times daily.
Formula for Incomplete Pus Drainage or Migrating Swelling after Carbuncle (Songzhi Seal Formula) [from *Sheng Hui Fang*]:
Melt equal parts of Songzhi (Resina Pini) and wax. Apply and seal tightly.