（附论）
凡疗暴热欲成痈肿者。所贴 药。初时热势猛盛。炎炽难当。肿处若有头。即当上贴温
热膏药。引出其热毒。此乃火就燥之义也。四畔赤 处。捣生寒药贴 之。折伏其热势。亦
如驱逐邪恶。扑火之义也。夫生寒药势。气力精全。性味雄壮。古来疗者。不本物理。皆通
用药草膏之类。已经油炼。气力殊微。欲使羸瘦之人。敌其勇夫。不亦难乎。沉痈者、壅也
。要在疏通。若初时便令以粘膏贴 。岂得散于郁结。欲不成脓得乎。其中若热气不甚。或
热已衰。即任贴膏药求瘥。凡贴 肿药。皮浓者以故软布或纸花子涂药敷贴之。待药干换。
肿皮薄者。即用疏纹KT 或薄纸涂药贴之。其药未干即当换。列诸 方于后。
方
芸苔散（出圣惠方）治痈疽一切风毒、热肿、发背、乳痈等疾。
芸苔（一两） 黄 （一两锉） 川大黄（一两生用） 羊桃根（三分锉） 硝石（三
分） 半夏
（三分） 白蔹 莽草（三分） 丁香（半两） 木香（半两） 没药（半两） 白芷（半
两） 赤芍药
（半两） 上为细末。看患处以醋旋调。稀稠得所。涂故布或疏绢上。日三贴之。以肿退为
度。
大黄散（出圣惠方）治痈疮不消。欲结成 。
川大黄（生用） 黄芩 龙骨 甘草 黄连（去须） 当归（锉微炒） 牡蛎 白蔹 白
芨
赤芍药 赤石脂（各一两） 上为细末。每用猪胆汁调。涂于细布上。看肿大小贴之。燥则
易。
寒水石散（出圣惠方）治痈疽热毒。疼痛攻 。肌肉赤色。虚肿。手不可近。
欲成脓。及有脓者四畔赤肿。
寒水石（二两） 羊桃根（一两锉） 硝石（一两） 木香（半两） 白蔹（半两） 丁
香（半两）
榆皮（半两锉） 赤小豆（一合） 汉防己（半两） 川大黄（一两生用） 上为细散。用
头醋旋调
和、稀稠得所。涂故软布上。贴疮头田畔赤 处。候干、即易之。其疮头别研波斯青黛少许。
水和。时以鸟翎敷之。勿令干燥。
紫葛散（出御药院方）治痈肿及发背。有赤肿热痛不可忍。
紫葛（三两锉） 川大黄（三两生用） 白蔹（二两） 玄参（二两） 黄芩（二两） 升
麻（二
两） 榆白皮（二两锉） 木通（一两） 赤小豆（五合） 黄连（三两） 上为细散。以
新汲水调
如面糊。涂于肿上。干即再涂。勿令燥。
玄参散（出圣惠方） 痈肿毒热疼痛。
玄参 紫葛（锉） 川大黄（生用） 木香 黄柏 川芒硝 黄药 紫檀香（各半两锉）
上
为细散。以鸡子白调和。稀稠得所。薄涂患处。有疮肿已破者去芒硝。
柳木耳饼（出圣惠方）治痈疽疮肿。热 疼痛。
柳木耳 龙葵根（锉各一两） 黄连（三分去须） 川芒硝（一两） 麦饭石（三分烧
醋碎三
次） 雄雀粪（一分） 乳香（一分） 杏仁（一两其疮有头作孔者汤浸去皮尖无孔和皮捣
用之）
上为细散。用浆水和捏作饼子。如五文钱浓。贴疮头。以单帛押之。日三易。
蛇蜕皮方 治痈疽发背。未结脓血。散肿气。
蛇蜕皮（二两烧灰） 鸡子白（三枚） 芸苔子（二两末） 赤小豆（三合末） 米醋
（三合）
蔓荆子（三合末） 生马齿苋（一握） 灶中黄土（二两末） 上都研令烂熟。用涂肿上。
干即易
之。
大黄汤（出圣惠方）治发痈肿皮剥烂。汁流出。如火烧。热甚不可耐。贴此
令消。
川大黄（一两生用） 赤小豆（一两） 牡蛎 黄连 白蔹 土瓜根 当归（锉微炒各
一两）
上为细散。每以鸡子白调。涂故布上。贴肿处。燥即易之。
野葛散（出圣惠方）治痈肿疼痛不止。
野葛（锉） 川大黄（生锉） 半夏 莽草 川芒硝 白蔹（各半两） 上为细散。以
猪胆和
如膏。摊于布上贴肿处。干则易之。
清水膏（出圣惠方）治痈疽及一切毒肿。坚硬疼痛、攻冲。四畔 肿。抽热毒
。散肿气。
羊蹄根（锉） 川大黄（生锉） 黄芩 黄柏 绿豆粉（各一两） 赤小豆（一合） 上
为细
散。用芸苔菜捣汁自然者。以蜜少许相和。调药令稀稠得所。看四畔肿赤处大小。剪生绢摊
贴之。浓一钱。干即易。
繁柳干散（出圣惠方）治痈未有头。赤肿疼痛贴之。
繁柳干（四两烧灰） 川大黄（一两生锉） 白蔹（一两） 白芨（一两） 赤小豆（二
合） 上
为细散。以新汲水调如膏。涂肿上。干则易之。
硝石散（出圣惠方）治痈初结。赤肿热 急痛。 毒散肿。
川硝石 雄黄（细研） 白芷 白矾 玄参（各三分） 上为细散。用生油和蜜调。涂
痛处。
干则易之。肿消为度。
水调膏（出圣惠方）治痈肿毒热。赤 疼痛。
川大黄（生用） 杏仁（去皮生研如膏） 盐花（各三分） 上为细末、入杏仁膏都研
令匀。
以新汲水和。令稀稠得所。旋取涂肿上。干即易之。
清凉膏（出圣惠方）治痈初结肿。振 散毒。
糯米（半升炒令焦黑于地上出火毒） 甘草（二两生用） 上为细散。看患大小。取雪
水调
涂肿上。燥易之。
贴 方（出圣惠方）治痈发背。
槐子（一合） 慎火草（一握） 上捣烂。以水和。调涂之。
又方（出圣惠方）治痈肿。
用天灵盖一枚。惟陈者佳。炙令微黑。为细末。以蜜调如面脂。涂肿上。亦令内消。
治已觉有脓。未作头方。（出圣惠方）
用木香以醋磨涂之。干即再涂。不经数遍。当便作头。
治痈初发。热毒肿痛方。（出圣惠方）
用蔓荆子一升为细末。以醋和如膏。封贴肿上。干再易。
治痈肿发背贴 方（出圣惠方）
用菖蒲不限多少湿者捣烂。捏作饼子。约疮大小贴之。干则易之。如冬月无湿者。即取
干者为末。用驴乳和捣为饼子。用之如不住疮上。以帛缚之。
又方（出圣惠方）
用捣百合根敷之。
治痈脓不出方（出圣惠方）
用柳根细切封之。以布掩。燥复易之。
治痈初结肿。及发背方。
用马齿苋一斤。捣令烂。置于铜锣中。安于新汲水上。候马齿冷。即敷肿上。热即易之。
当时其肿自消。
治痈未有头必穴方（出圣惠方）
用捣水芹敷之。
又方（出圣惠方）
用捣水红草敷之。
又方（出圣惠方）
用捣夏枯草敷之。
又方（出圣惠方）
用捣积雪草敷之。
又方（出圣惠方）
用捣酸浆叶敷之。
又方（出圣惠方）
用捣苍耳敷之。
又方（出圣惠方）
用捣蓼蓝敷之。
又方（出圣惠方）
用捣景天草。一名护火草敷之。
治痈肿发背贴 。\x
用捣苎麻根敷之。
(Attached Discussion)
When treating sudden onset of intense heat that is about to form an abscess (Yongzhong, a type of soft tissue infection), the topical medications applied initially must address the fierce and overwhelming heat intensity. If the swollen area has developed a head (indicating pus formation), warm-acting plasters should be applied to draw out the heat-toxin. This follows the principle of "fire tending towards dryness." For the surrounding erythematous areas, crushed cold-natured herbs should be applied to subdue and suppress the heat, analogous to extinguishing fire or driving away evil influences. Raw cold herbs possess potent and complete qi-force, with robust and pungent properties. Historically, practitioners often failed to consider the natural physical properties of herbs, instead using common herbal pastes that had been processed with oil. Such oil-refined preparations have significantly diminished efficacy. It is difficult for such weak forces to counteract aggressive pathogens. The term "Chen Yong" (deep-seated abscess) refers to obstruction and stagnation; the key treatment lies in unblocking. Applying sticky plasters at the initial stage would prevent the dispersion of stagnant Qi, making it impossible to resolve the condition without suppuration. However, if the heat is not severe or has already subsided, one may freely apply plasters to seek recovery. When applying topical treatments for swelling: for patients with thick skin, use old soft cloth or paper flowers coated with medicine; replace when dry. For patients with thin skin, use fine gauze or thin paper coated with medicine; replace before it dries. Various formulas follow.
Formula
Yuntai San (from *Shenghui Fang*), treating carbuncles, ulcers, various wind-toxins, heat-swelling, back carbuncles (Fabei), and breast abscesses (Ruyong).
Brassica rapa var. parachinensis (1 liang), Phellodendron bark (1 liang, sliced), Rhubarb from Sichuan (1 liang, raw), Akebia root (3 fen, sliced), Niter (3 fen), Pinellia tuber (3 fen), Peucedanum root, Ma Cao herb (3 fen), Clove (0.5 liang), Costus root (0.5 liang), Myrrh (0.5 liang), Angelica dahurica (0.5 liang), Red Peony Root (0.5 liang). Grind all into a fine powder. Mix with vinegar according to the lesion site to achieve appropriate consistency. Apply onto old cloth or fine gauze. Apply three times daily. Continue until swelling subsides.
Dahuang San (from *Shenghui Fang*), treating persistent carbuncles that are about to suppurate.
Rhubarb from Sichuan (raw), Scutellaria root, Dragon bone, Licorice root, Coptis chinensis rhizome (devoid of fibers), Angelica sinensis radix (sliced, lightly stir-fried), Oyster shell, Peucedanum root, Bletilla striata tuber, Red Peony Root, Red Halloysite (each 1 liang). Grind into a fine powder. Each time, mix with pig bile, apply onto fine cloth, and adhere to the swelling based on size. Replace when dry.
Hanshuishi San (from *Shenghui Fang*), treating heat-toxin of carbuncles and ulcers, pain radiating inward, red muscle tissue, edema, tenderness to touch, impending suppuration, or existing pus with surrounding redness and swelling.
Aragonite (2 liang), Akebia root (1 liang, sliced), Niter (1 liang), Costus root (0.5 liang), Peucedanum root (0.5 liang), Clove (0.5 liang), Elm bark (0.5 liang, sliced), Adzuki bean (1 he), Stephania tetrandra (0.5 liang), Rhubarb from Sichuan (1 liang, raw). Grind into a fine powder. Mix with aged vinegar to appropriate consistency. Apply onto old soft cloth, adhering to the abscess head and surrounding erythematous areas. Replace when dry. Additionally, grind a small amount of Persian Indigo Naturalis separately for the abscess head, mix with water, and apply frequently using a bird feather, keeping it moist.
Zige San (from *Yuyao Yuan Fang*), treating abscesses and back carbuncles characterized by unbearable redness, swelling, heat, and pain.
Polygonum multiflorum vine (3 liang, sliced), Rhubarb from Sichuan (3 liang, raw), Peucedanum root (2 liang), Scrophularia root (2 liang), Scutellaria root (2 liang), Cimicifuga rhizome (2 liang), Ulmus alba inner bark (2 liang, sliced), Akebia stem (1 liang), Adzuki bean (5 he), Coptis chinensis rhizome (3 liang). Grind into a fine powder. Mix with fresh cold water to a paste-like consistency. Apply to the swelling. Reapply when dry to prevent desiccation.
Xuanshen San (from *Shenghui Fang*), treating toxic heat and pain of abscesses.
Scrophularia root, Polygonum multiflorum vine (sliced), Rhubarb from Sichuan (raw), Costus root, Phellodendron bark, Mang Xiao from Sichuan, Yellow Herb, Pterocarpus santalinus wood (each 0.5 liang, sliced). Grind into a fine powder. Mix with egg white to appropriate consistency. Apply thinly to the affected area. Remove Mang Xiao if the abscess has ruptured.
Liuer Bing (from *Shenghui Fang*), treating carbuncles, ulcers, and swellings with heat and pain.
Willow fungus, Solanum lyratum root (sliced, each 1 liang), Coptis chinensis rhizome (3 fen, devoid of fibers), Mang Xiao from Sichuan (1 liang), Maifan stone (3 fen, calcined and crushed with vinegar three times), Male sparrow feces (1 fen), Frankincense (1 fen), Apricot kernel (1 liang; if the abscess has a head/pore, soak in hot water, peel, and remove tips; if no pore, crush with skin). Grind into a fine powder. Mix with grain wash water to form cakes, thickness equivalent to five cash coins. Apply to the abscess head, secure with single-layer silk. Replace three times daily.
She Tuipi Formula, treating carbuncles and back carbuncles before suppuration, dispersing swelling and Qi.
Snake slough (2 liang, burnt to ash), Egg white (3 units), Brassica rapa var. parachinensis seed (2 liang, powdered), Adzuki bean (3 he, powdered), Rice vinegar (3 he), Vitex fruit (3 he, powdered), Fresh Portulaca oleracea (one handful), Yellow earth from stove center (2 liang, powdered). Grind all until smooth and cooked. Apply to swelling. Replace when dry.
Dahuang Tang (from *Shenghui Fang*), treating acute abscesses with peeled, eroded skin, exuding fluid, feeling like burning, intolerable heat. Application promotes resolution.
Rhubarb from Sichuan (1 liang, raw), Adzuki bean (1 liang), Oyster shell, Coptis chinensis rhizome, Peucedanum root, Trichosanthes root, Angelica sinensis radix (sliced, lightly stir-fried, each 1 liang). Grind into a fine powder. Mix with egg white each time, apply onto old cloth, adhere to swelling. Replace when dry.
Yege San (from *Shenghui Fang*), treating continuous pain from abscesses.
Polygonum multiflorum vine (sliced), Rhubarb from Sichuan (raw, sliced), Pinellia tuber, Ma Cao herb, Mang Xiao from Sichuan, Peucedanum root (each 0.5 liang). Grind into a fine powder. Mix with pig bile to form a paste. Spread on cloth and apply to swelling. Replace when dry.
Qingshui Gao (from *Shenghui Fang*), treating carbuncles, ulcers, and all toxic swellings that are hard, painful, radiating, with surrounding swelling. Draws out heat-toxin, disperses swelling Qi.
Rumex root (sliced), Rhubarb from Sichuan (raw, sliced), Scutellaria root, Phellodendron bark, Mung bean powder (each 1 liang), Adzuki bean (1 he). Grind into a fine powder. Mix with freshly squeezed juice of Brassica rapa var. parachinensis and a little honey to appropriate consistency. Cut raw silk to fit the size of surrounding redness/swelling, spread medication, and apply. Thickness approx. 1 qian. Replace when dry.
Fanliugan San (from *Shenghui Fang*), treating abscesses without heads, characterized by redness, swelling, and pain.
Fanliugan (4 liang, burnt to ash), Rhubarb from Sichuan (1 liang, raw, sliced), Peucedanum root (1 liang), Bletilla striata tuber (1 liang), Adzuki bean (2 he). Grind into a fine powder. Mix with fresh cold water to paste consistency. Apply to swelling. Replace when dry.
Xiaoshi San (from *Shenghui Fang*), treating early-stage abscesses with redness, swelling, heat, and urgent pain. Resolves toxin, disperses swelling.
Sodium nitrate from Sichuan, Realgar (finely ground), Angelica dahurica, Alum, Scrophularia root (each 3 fen). Grind into a fine powder. Mix with raw sesame oil and honey. Apply to painful area. Replace when dry. Continue until swelling resolves.
Shuitiao Gao (from *Shenghui Fang*), treating toxic heat of abscesses, redness, swelling, and pain.
Rhubarb from Sichuan (raw), Apricot kernel (peeled, raw-ground to paste), Salt flower (each 3 fen). Grind into fine powder, mix thoroughly with apricot paste. Mix with fresh cold water to appropriate consistency. Apply to swelling as needed. Replace when dry.
Qingliang Gao (from *Shenghui Fang*), treating early abscess swelling, reducing swelling, resolving toxin.
Glutinous rice (0.5 sheng, fried until black, buried in ground to remove fire toxicity), Licorice root (2 liang, raw). Grind into fine powder. Based on lesion size, mix with snow water and apply to swelling. Replace when dry.
Topical Formula (from *Shenghui Fang*), treating back carbuncles.
Sophora fruit (1 he), Shenhcao herb (one handful). Crush well, mix with water, and apply.
Another Formula (from *Shenghui Fang*), treating abscesses.
Use one piece of Tianlinggai (human skull cap), preferably aged. Roast until slightly black, grind to fine powder. Mix with honey to cream consistency. Apply to swelling to promote internal resolution.
Formula for Abscess with Pus Sensation but No Head (from *Shenghui Fang*).
Grind Costus root with vinegar and apply. Reapply when dry. After several applications, a head will form.
Formula for Initial Carbuncle with Heat-Toxin Swelling and Pain (from *Shenghui Fang*).
Grind 1 sheng of Vitex fruit to fine powder. Mix with vinegar to paste. Seal and apply to swelling. Replace when dry.
Formula for Topical Application on Abscess/Back Carbuncle (from *Shenghui Fang*).
Use Acorus calamus, unlimited quantity. If wet, crush well, form into cakes matching wound size, and apply. Replace when dry. In winter without wet Acorus, use dried powder mixed with donkey milk to form cakes. Secure with bandage.
Another Formula (from *Shenghui Fang*).
Apply crushed Lilium bulb.
Formula for Retained Pus (from *Shenghui Fang*).
Finely chop Willow root, apply, cover with cloth. Replace when dry.
Formula for Early Abscess Swelling and Back Carbuncle.
Use 1 jin of Portulaca oleracea, crush well, place in copper pan, set over fresh cold water. Wait for Portulaca to cool, then apply to swelling. Replace if it warms up. Swelling should subside immediately.
Formula for Acupuncture Point Treatment for Abscess Without Head (from *Shenghui Fang*).
Apply crushed Water celery.
Another Formula (from *Shenghui Fang*).
Apply crushed Water red grass.
Another Formula (from *Shenghui Fang*).
Apply crushed Prunella vulgaris.
Another Formula (from *Shenghui Fang*).
Apply crushed Centella asiatica.
Another Formula (from *Shenghui Fang*).
Apply crushed Physalis pubescens leaves.
Another Formula (from *Shenghui Fang*).
Apply crushed Xanthium strumarium.
Another Formula (from *Shenghui Fang*).
Apply crushed Isatis tinctoria.
Another Formula (from *Shenghui Fang*).
Apply Sedum aizoon, also known as Huhuo grass.
Topical Application for Abscess/Back Carbuncle.
Apply crushed Boehmeria nivea root.