（附论）
夫治病必先求其本。而后治其标。痈疽诸疮。虽发于外。而本乎中热之所出。始觉经络
壅滞。气血闷郁。有疮疡之证。则热气初作。营卫未碍。肌肉未肿。肿而未腐之时。特可疏
涤风热。
先后迟速
方
黄连独活散 治背疽一切恶疮。初发肿甚者。服三四服即消散。
羌活（一钱半） 独活（五分） 防风（五分） 本（一钱半） 苦黄芩（一钱半） 黄
连（五
分） 当归身（三钱） 知母（一钱酒浸洗） 生地黄（一钱酒浸洗） 连翘（三钱） 黄
（一钱
半） 防风梢（半钱酒浸洗） 人参（五分） 陈皮（五分） 苏木（五分） 甘草身（一
钱一分半用
根足炙） 黄柏（一钱半） 当归梢（五分） 桔梗（一钱） 泽泻（七分） 甘草梢（半
钱） 汉防
己（五分） 上 咀。只作一服。水一碗。煎至五分。入好酒半盏。临卧服。滓再煎。节续
服
即瘥。
寒水石膏 治一切痈疽发背。热毒猛异。攻肌肉赤色。肿痛不可忍。欲成脓及已成
脓。并风毒热在关节。欲结成痈。便令内消。
寒水石（二两） 羊蹄根（一两锉） 硝石（一两） 丁香（三两） 川大黄（一两） 白
蔹（三
分） 木香（三分） 附子（三分去皮脐） 黄连（一两去须） 榆白皮（三分锉） 莽草
（三分）
赤小豆（一合） 汉防己（一两） 半夏（三分） 玄参（一两） 甘草（一两生锉） 上
为细散。每
用时以生蜜一合。地黄汁一合。旋调以成膏。摊于生绢上贴。干即易。肿消为度。
小犀角丸 治肠痈、乳痈、发背。一切毒肿。服之化为水。
巴豆（二十二枚去皮膜必炒出油细研之） 大黄（蒸焙一两一分） 当归（去芦一两） 犀
角
（三两） 栀子（去皮） 干蓼蓝 黄 （去苗） 升麻 黄芩 防风（去芦） 人参 甘
草（炙各
吃冷粥止之。不利加至四五丸。初服取快利后。渐减丸数。取微溏泄为度。老少以意加减。
肿消及和润乃止。利下黄水。觉肿处微皱色变即是。消后一切肿皆内消。神验不可论。忌热
面、蒜、猪肉、芦笋、鱼、海藻、菘菜、生冷、粘食。
排脓内消散 治痈疽发背。活血排脓消毒。红肿内消。
何首乌（一两） 当归 川芎 生地黄 川续断（各洗焙） 芍药 白芷 半夏曲 藿
香叶 紫草茸 甘草（炙各三钱半） 茯苓（半两） 上粗末。每服三钱。新水二分。酒一
分。姜枣
煎服。有热者加灯心。只用水煎服之。
内消散 凡是痈疽。皆宜服之。
人参 甘草 瞿麦（各二两） 赤小豆（醋一升浸熬） 当归 猪苓 黄芩（各二两） 白
蔹
薏苡仁 黄 （各三两） 防风（一两） 升麻（四两） 上下筛。以酒服方寸匕。日三夜
二。常
服取瘥。
花蕊石散 治痈疽始发未变脓。令内消。
花蕊石（火 ） 黄蜀葵花 龙骨（去土涂酥炙研） 郁金（锉） 胡粉 乌贼鱼骨（去
甲）
草龙胆（去土） 栀子仁 大黄（锉各一两） 上为散。量多少以津唾调成稀膏。敷之。频
以唾润。日一易。
瞿麦散 排脓止痛。利小便。从小便出毒瓦斯。
瞿麦穗 赤小豆 当归 川芎 白芷 黄 赤茯苓（各半两） 辣桂 甘草（各二钱
半）
上末。每二钱半。酒调下。
乳香散 治诸痈肿初发。及火灼乳痈。令内消。
乳香（半两） 水银粉（一分） 黄柏（二两半） 白芨（一分） 白蔹 铅丹 大黄
（各一两）
上为细散。水调贴之。有脓时干掺。
消毒散 内消痈疽恶毒。
当归 白芷 甘草（生） 赤小豆 紫草茸（各半两） 贝母（三两） 上为散。每服
三钱。
空心温酒调下。日再服。
内消托里散 治诸痈疖。
红内消 山蜈蚣 天名精 山慈菇 甘草节（各等分） 上为散。每服三钱。酒二盏。
煎
取一盏服。
牵牛子散 治一切痈疽疮疖。 肿未穴。先疏通脏腑。
牵牛子（二两一半生一半炒） 木香 青橘皮（汤浸去白焙） 陈曲（炒各半两） 上
为末。
每服三钱匕。五更初。以生姜茶调下。至天明。通转三两行。自止后。以薤白粥补之。
郑殿选方 治痈疽发背。七日前肿痛未溃者宜服。则化脓血恶水自小腑中出。其毒
自消。
栝蒌（一枚） 甘草（三寸） 乳香（大研） 皂角刺（半两去骨取皮） 上细末。好
酒三升。
银石器内熬至二盏。微温两次服。
大全内消散（一名羚羊角散）内消痈疽恶毒。才觉便服。亦治发背。
穿山甲（截片以谷芒糠炒脆三两） 当归（半两） 甘草（二钱半生） 上为末。每三
钱温酒
调下。一方甘草根浸酒调下。
内消散 治疮肿久不愈。
皂角刺皮（一两为末） 乳香（研二钱） 上为末和匀。每服二钱匕。酒一盏。煎至七
分温
服。其毒内消。或微利是效。
内消散（一名小车螯散）治发背痈疽肿毒。痛苦不可忍者。
车螯（一枚背上紫色光浓者是用黄泥裹定火 通赤放冷去泥捣为末） 上一味。以栝蒌
一
枚打碎。用酒一碗。于银石锅内。慢火熬及一盏。滤去滓。入腻粉一钱匕。同以酒调。饭后
服之。取下如鱼涎为验。
内消散（一名穿山甲散）痈疽恶疮。方萌才觉便服。及治血气凝滞。手足赤肿
。
用穿山甲插入谷芒热灰中。候焦黄为末。入麝随意。每服二钱半。温酒调下。或栝蒌煎
酒调下尤妙。日进两服。
治些小痈疖。方结未成。不可用膏药贴。宜以药涂。使自内消方。
取生鹿角尖。于砂盆内同老米醋浓磨。时以鹅翎涂拂于痈疖四围。当中留一口。遇干再
涂。一二日即内消。
治痈疖方
每觉有些小痈疖。疼痛发热时。便用生粉草节。不炙不焙。只日晒干。若无日。于焙笼
盖上。微火烘干。碾为细末。以热酒调三二钱服。连进数服。疼痛与热俱止。
蛎粉散 治一切痈肿未成脓者。拔毒。
以牡蛎白者为细末。水调涂。干更涂。或干贴效。一方治软疖用油调。
治一切痈肿未破。疼痛。令内消。
用生地黄杵如泥。随肿大小摊于布上。掺木香末于中。再摊地黄一重。贴于肿上。不过
三五度。
漏芦煮散 治疮疖痈肿内消。（方见千金漏芦汤）
蜡矾丸 治痈疽发背。瘰 、漏疮、恶疮。卫护内膜。驱解诸毒。自然内消。神效
。（方见神仙黄矾丸）
木占斯散 治痈疽已成。脓水内消。（方见桔梗散）
内消丸 治疮肿初生。及瘰 结核。热毒郁滞。服之内消。
薄荷叶 皂角（不蛀者各半斤水煮软） 牵牛（半斤取头末） 青皮 陈皮（各一两） 沉
香
（半两） 广术（泡三钱） 京三棱（泡三钱） 上为细末。并匀头末用煎膏。和丸如豆大。
每
服三十丸。煎连翘汤送下。食后。
(Attached Discussion)
In treating diseases, one must first seek the root cause, and then treat the symptoms. Carbuncles, sores, and various ulcers, although manifesting on the exterior, originate from internal heat. Initially, there is a sensation of obstruction in the meridians and stagnation of Qi and Blood, leading to signs of sores and ulcers. At this stage, when heat pathogens are just beginning to arise, Ying (Nutritive) and Wei (Defensive) Qi have not yet been severely impeded, and muscles have not yet swollen. During the period when swelling has occurred but has not yet ulcerated or putrefied, it is particularly suitable to employ methods that disperse wind-heat.
Formulas
Huanglian Duhuo San (Coptis and Angelica Decoction): Treats back carbuncles and all kinds of malignant sores. When initially developed with severe swelling, taking three or four doses will lead to resolution.
Qianghuo (Notopterygii Rhizoma et Radix, 1.5 qian), Duhuo (Angelicae Pubescentis Radix, 0.5 qian), Fangfeng (Saposhnikoviae Radix, 0.5 qian), Bencao (Ligustici Chuanxiong Rhizoma, 1.5 qian), Ku Huangqin (Scutellariae Radix, 1.5 qian), Huanglian (Coptidis Rhizoma, 0.5 qian), Dangguishen (Angelicae Sinensis Radix body, 3 qian), Zhimu (Anemarrhenae Rhizoma, 1 qian, soaked and washed in wine), Sheng Dihuang (Rehmanniae Radix Recens, 1 qian, soaked and washed in wine), Lianqiao (Forsythiae Fructum, 3 qian), Huangbai (Phellodendri Cortex, 1.5 qian), Fangfengshao (Saposhnikoviae Radix tip, 0.5 qian, soaked and washed in wine), Renshen (Ginseng Radix, 0.5 qian), Chenpi (Citri Reticulatae Pericarpium, 0.5 qian), Sumu (Sappan Lignum, 0.5 qian), Gancaoshen (Glycyrrhizae Radix et Rhizoma body, 1.15 qian, use sufficient root portion, roasted), Huangbai (Phellodendri Cortex, 1.5 qian), Dangguishao (Angelicae Sinensis Radix tip, 0.5 qian), Jiegeng (Platycodonis Radix, 1 qian), Zexie (Alismatis Rhizoma, 0.7 qian), Gancaoshao (Glycyrrhizae Radix et Rhizoma tip, 0.5 qian), Hanfangji (Stephaniae Tetrandrae Radix, 0.5 qian). The above herbs are coarsely chopped. Prepare as a single dose. Add one bowl of water, decoct until five-fifths remains. Add half a cup of good wine. Take before retiring. Re-decoct the dregs and take in divided doses until recovery.
Han Shui Shi Gao (Halloysitum and Gypsum Powder): Treats all carbuncles, back carbuncles, and malignant sores where heat toxins are fierce and abnormal, attacking muscles causing redness, unbearable pain and swelling, whether suppuration is impending or established, and for wind-toxin heat in joints threatening to form abscesses. This formula causes internal resolution.
Han Shui Shi (Halloysitum, 2 liang), Yangti Gen (Rumicis Tatarici Radix, 1 liang, chopped), Xiaoshi (Natrii Sulfas, 1 liang), Dingxiang (Caryophylli Flos, 3 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang), Bailian (Paeoniae Albae Radix, 0.3 qian), Muxiang (Aucklandiae Radix, 0.3 qian), Fuzi (Aconiti Lateralis Radix Praeparata, 0.3 qian, skin and umbilicus removed), Huanglian (Coptidis Rhizoma, 1 liang, whiskers removed), Yubai Pi (Ulmus Alba Cortex, 0.3 qian, chopped), Mangcao (Polygoni Multiflori Caulis, 0.3 qian), Chi Xiaodou (Phaseoli Semen Rubrum, 1 he), Hanfangji (Stephaniae Tetrandrae Radix, 1 liang), Banxia (Pinelliae Rhizoma, 0.3 qian), Xuanshen (Scrophulariae Radix, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, raw and chopped). The above are ground into a fine powder. For each use, mix with one he of raw honey and one he of Rehmannia juice to form a paste. Spread on raw silk and apply. Change when dry. Continue until swelling subsides.
Xiao Xijiao Wan (Small Rhinoceros Horn Pill): Treats intestinal abscess, breast abscess, back carbuncle, and all toxic swellings. Administration leads to liquefaction and discharge.
Badou (Crotonis Fructus, 22 seeds, skin and membrane removed, fried until oil exudes, finely ground), Dahuang (Rhei Radix et Rhizoma, steamed and baked, 1.1 qian), Danggui (Angelicae Sinensis Radix, de-gorged, 1 liang), Xijiao (Rhinocerotis Cornu, 3 liang), Zhizi (Gardeniae Fructum, skin removed), Gan Liaolan (Polygoni Tinctorii Folium), Huangqi (Astragali Radix, tips removed), Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix), Fangfeng (Saposhnikoviae Radix, de-gorged), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, equal parts). Grind into fine powder, make pills with honey the size of wutong seeds. Take 5 pills with warm water. If no purgative effect, increase to 4-5 pills. After initial effective purgation, gradually reduce dosage until slight loose stool is achieved. Adjust according to age and condition. Stop when swelling subsides and body harmony is restored. Discharge of yellow fluid and wrinkling/discoloration of the swollen area indicate efficacy. All swellings resolve internally after reduction. Effect is miraculous. Avoid hot noodles, garlic, pork, arrowhead shoots, fish, seaweed, Chinese cabbage, cold/raw foods, and sticky foods.
Painong Neixiao San (Suppuration-Expelling Internal-Resolution Powder): Treats carbuncles and back carbuncles. Invigorates blood, expels pus, detoxifies, and resolves redness and swelling internally.
Heshouwu (Polygoni Multiflori Radix, 1 liang), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shengdihuang (Rehmanniae Radix Recens), Chuanduan (Dipsaci Radix) (all washed and baked), Shaoyao (Paeoniae Radix), Baizhi (Angelicae Dahuricae Radix), Banxiaqu (Pinelliae Rhizoma Preparatum), Huoxiangye (Agastachis Folium), Zicaorong (Arnebiae Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 3.5 qian each), Fuling (Poria, 0.5 liang). Coarsely chop. Take 3 qian per dose. Add two parts new water and one part wine. Decoct with ginger and jujube. For heat conditions, add Dengxincao (Junci Medullia) and decoct only with water.
Neixiao San (Internal-Resolution Powder): Suitable for all carbuncles and sores.
Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Qumai (Dianthi Herba) (2 liang each), Chi Xiaodou (Phaseoli Semen Rubrum) (soaked and boiled in one sheng of vinegar), Danggui (Angelicae Sinensis Radix), Zhuling (Polyporus, Huangqin (Scutellariae Radix) (2 liang each), Bailian (Paeoniae Albae Radix), Yiyiren (Coicis Semen), Huangqi (Astragali Radix) (3 liang each), Fangfeng (Saposhnikoviae Radix, 1 liang), Shengma (Cimicifugae Rhizoma, 4 liang). Sieve. Take one fangcun bi with wine. Three times daily, twice at night. Continuous use leads to cure.
Huarius Shi San (Flower Porphyry Stone Powder): Treats early-stage carbuncles and sores before suppuration, causing internal resolution.
Huarius Shi (Pyritum, calcined), Huang Shukui Hua (Abutilonis Indicae Flos), Longgu (Fossilia Os Mastodi et Dentis, earth removed, coated with butter, roasted, ground), Yujin (Curcumae Radix, chopped), Hufen (Cerussa), Wouyu Gu (Sepiae Endoconcha, cuticle removed), Caolongdan (Gentianae Radix, earth removed), Zhiziren (Gardeniae Semen), Dahuang (Rhei Radix et Rhizoma, chopped, 1 liang each). Grind into powder. Mix with saliva to form a thin paste based on quantity. Apply externally. Keep moist with frequent salivation. Change once daily.
Qumai San (Dianthus Powder): Expels pus, relieves pain, promotes urination, and eliminates toxin gases via urine.
Qumai Sui (Dianthi Herba), Chi Xiaodou (Phaseoli Semen Rubrum), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Huangqin (Scutellariae Radix), Chi Fuling (Poria with red wood, 0.5 liang each), Lagui (Cinnamomi Ramulus), Gancao (Glycyrrhizae Radix et Rhizoma, 2.5 qian each). Grind into powder. Take 2.5 qian mixed with wine.
Ruxiang San (Frankincense Powder): Treats initial onset of various swellings and carbuncles caused by fire burns, causing internal resolution.
Ruxiang (Boswelliae Resina, 0.5 liang), Shuiyinfen (Hydrargyrum, 0.1 qian), Huangbai (Phellodendri Cortex, 2.5 liang), Baiji (Bletillae Rhizoma, 0.1 qian), Bailian (Paeoniae Albae Radix), Qiandan (Minii Oxidum Rubrum), Dahuang (Rhei Radix et Rhizoma, 1 liang each). Grind into fine powder. Mix with water for application. If pus is present, apply dry powder.
Xiaodu San (Detoxification Powder): Internally resolves malignant toxins of carbuncles and sores.
Danggui (Angelicae Sinensis Radix), Baizhi (Angelicae Dahuricae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, raw), Chi Xiaodou (Phaseoli Semen Rubrum), Zicaorong (Arnebiae Radix et Rhizoma) (0.5 liang each), Beimu (Fritillariae Cirrhosae Bulbus, 3 liang). Grind into powder. Take 3 qian per dose. Mix with warm wine on an empty stomach. Take twice daily.
Neixiao Tuoli San (Internal-Resolution Supporting-Interior Powder): Treats various boils and furuncles.
Hong Neixiao (unknown herb, likely a specific preparation), Shanwugong (unknown herb), Tianmingjing (Commelinae Herba), Shancigu (Fritillariae Thunbergii Bulbus), Gancao Jie (Glycyrrhizae Radix et Rhizoma node) (equal parts). Grind into powder. Take 3 qian per dose. With two zhan of wine, decoct to one zhan and take.
Qianni Zi San (Pharbitidis Semen Powder): Treats all carbuncles, sores, boils, and furuncles. Before swelling breaks, first unblock the fu-organs.
Qianni Zi (Pharbitidis Semen, 2.5 liang, half raw half fried), Muxiang (Aucklandiae Radix), Qing Ju Pi (Citri Reticulatae Pericarpium Viride) (steeped in water, white pith removed, dried), Chen Qu (Fermented Medicamentum, fried, 0.5 liang each). Grind into powder. Take 3 qian bi per dose. At dawn, mix with ginger tea. By morning, bowel movements will occur 2-3 times, then stop naturally. Afterwards, replenish with scallion porridge.
Zheng Dianxuan Formula: Treats carbuncles and back carbuncles. Suitable for cases within seven days where swelling and pain have not ulcerated. Pus, blood, and foul fluids will discharge from the lower orifices, and toxins will dissipate.
Gualou (Trichosanthis Fructus, 1 fruit), Gancao (Glycyrrhizae Radix et Rhizoma, 3 cun), Ruxiang (Boswelliae Resina, coarsely ground), Zaojiao Ci (Gleditsiae Sinensis Spina, 0.5 liang, bone removed, bark taken). Grind into fine powder. With 3 sheng of good wine, boil in silver/ceramic vessel to 2 zhan. Take lukewarm in two doses.
Daquan Neixiao San (Great Collection Internal-Resolution Powder, also known as Lingyangjiao San): Internally resolves malignant toxins of carbuncles and sores. Take immediately upon sensation. Also treats back carbuncles.
Chuanshanjia (Manis Squama, sliced, fried crisp with bran, 3 liang), Danggui (Angelicae Sinensis Radix, 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, raw, 2.5 qian). Grind into powder. Take 3 qian mixed with warm wine. Another method uses Gancao root steeped in wine.
Neixiao San (Internal-Resolution Powder): Treats chronic non-healing sores and swellings.
Zaojiao Ci Pi (Gleditsiae Sinensis Spina cortex, 1 liang, powdered), Ruxiang (Boswelliae Resina, ground, 2 qian). Mix powders evenly. Take 2 qian bi per dose. With one zhan of wine, decoct to seven-tenths, take warm. Toxins resolve internally. Slight diarrhea indicates efficacy.
Neixiao San (Internal-Resolution Powder, also known as Xiao Che'ao San): Treats back carbuncles and sores with unbearable pain.
Che'ao (unknown crustacean/herb, specifically purple-backed variety, wrapped in yellow clay, fired red-hot, cooled, clay removed, ground). One unit. Crush one Gualou fruit. With one bowl of wine, slow-boil in silver/ceramic pot to one zhan. Filter dregs. Add Nifen (Calomelas, 1 qian bi). Mix with wine. Take after meals. Discharge resembling fish mucus indicates efficacy.
Neixiao San (Internal-Resolution Powder, also known as Chuanshanjia San): Treats malignant sores and ulcers. Take immediately upon early sensation. Also treats Qi and Blood stagnation causing redness and swelling of hands and feet.
Insert Chuanshanjia (Manis Squama) into hot ashes with rice husks until scorched yellow, then grind. Add Shexiang (Moschus) as desired. Take 2.5 qian mixed with warm wine. Or mix with Gualou decocted wine for better effect. Take twice daily.
Formula for Minor Boils and Furuncles Not Yet Formed: Do not use plaster. Apply medicine to allow internal resolution.
Take tips of fresh deer horn. Grind thickly in a mortar with aged rice vinegar. Apply around the perimeter of the boil/furuncle using a goose feather brush, leaving the center open. Reapply when dry. Internal resolution occurs in one to two days.
Formula for Treating Boils and Furuncles
Upon sensing minor boils or furuncles with pain and fever, use raw Fencao Jie (Glycyrrhizae Radix et Rhizoma node). Do not roast or bake; sun-dry only. If no sun, dry over mild heat on a baking cage lid. Grind to fine powder. Take 2-3 qian mixed with hot wine. Continue for several doses. Pain and fever cease.
Lifen San (Oyster Shell Powder): Treats all swellings not yet suppurated, drawing out toxins.
Grind white Oyster Shell (Ostreae Concha) into fine powder. Mix with water for topical application. Reapply when dry. Alternatively, apply dry. For soft boils, mix with oil.
Formula for Treating All Unbroken Swellings with Pain, Causing Internal Resolution
Mash fresh Shengdihuang (Rehmanniae Radix Recens) into mud. Spread on cloth according to swelling size. Sprinkle Muxiang (Aucklandiae Radix) powder in the middle. Cover with another layer of Rehmannia mud. Apply to the swelling. Repeat 3-5 times.
Loulu Zhu San (Imperatae Decoction Powder): Treats internal resolution of sores, boils, and swellings. (See Qianjin Loulu Tang)
La Fan Wan (Beeswax and Alum Pill): Treats carbuncles, back carbuncles, scrofula, fistulas, and malignant sores. Protects inner membranes, disperses toxins, causing natural internal resolution. Miraculous effect. (See Shenxian Huangfan Wan)
Mizhasi San (Unknown Herb Powder): Treats established carbuncles, causing internal resolution of pus and fluids. (See Jiegeng San)
Neixiao Wan (Internal-Resolution Pill): Treats newly formed swellings, scrofula, and tubercles. Heat toxins stagnate; administration causes internal resolution.
Bohe Ye (Menthae Haplocalycis Herba), Zaojiao (Gleditsiae Sinensis Fructus, non-worm-eaten, 0.5 jin each, boiled soft), Qianniu (Pharbitidis Semen, 0.5 jin, take head powder), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium, 1 liang each), Chenxiang (Aquilariae Lignum Resinatum, 0.5 liang), Guangzhu (Curcumae Longae Rhizoma, soaked, 3 qian), Jingsanleng (Sparganii Rhizoma, soaked, 3 qian). Grind into fine powder. Mix evenly with head powder. Use decoction paste to form pills the size of beans. Take 30 pills per dose, delivered with Lianqiao (Forsythiae Fructum) decoction, after meals.