（附论）
夫人之气血。得热则润泽。得寒则凝结。石痈者寒气凝结致热。一气不得散。故其肿结
确实有核。皮肉不甚热。微痛。热时自歇。此寒多热少。坚硬如石之状。而谓之石痈。久久
热气乘之。乃有脓也。治宜温调营卫。散其寒邪。使气得阳而外发。则肿硬自消。而脓血出
矣。
方
沉香汤 治石痈肿毒。结硬疼痛。口干烦热。四肢拘急不得卧。
犀角汤（出圣惠方）治石痈热毒瓦斯盛。肿硬疼痛。口干烦闷。
犀角汤（镑三分） 连翘 射干 栀子仁 升麻 当归（切焙各一两） 大黄（锉炒二
两）
木香（三分） 枳壳（麸炒） 赤芍药 上粗捣筛。每服三钱。水一盏。煎六分。去滓。不
计时
候温服。
占斯散 治石痈结实。已坏未坏。
升麻汤（出圣济总录）治石痈皮色紫赤。恶寒壮热。一二日未成脓者下之。亦
治石疽坚硬。
升麻 连翘 大青（各一两） 生地黄（焙二两） 败酱 络石 白蔹（各半两） 人
参（一
两） 大黄（锉炒二两） 上粗捣筛。每服五钱。水一盏半。煎八分。更入芒硝末半分。去
滓。
空心温服。微利为度。
黄连散（出圣惠方）治石痈结硬发热。紫赤色。毒瓦斯攻冲未定。日夜疼痛。宜
用此消肿化毒止痛。
黄连 川大黄（生用） 白蔹 马牙 黄柏（锉各一两） 青盐 麒麟竭（各半两） 赤
小豆
（半两炒熟） 杏仁（四十九枚汤浸去皮尖研用） 上为细散。用蜜水调涂痈上。干则易之。
凝水石散（出圣济总录）治痈疽结硬。未成脓贴之。
凝水石 黄柏 黄 （锉） 黄连（去须） 大黄 石膏 栀子仁 白蔹（各一两） 上
捣罗
极细。以浆水调如糊。摊故帛上。贴患处。
大黄散（出圣惠方）治石痈肿硬疼痛。心腹烦闷。不得宣畅。
川大黄（一两锉碎微炒） 当归（一分） 川芒硝 黑豆皮 枳壳（麸炒微黄各半两） 牛
蒡
子（一分微炒） 芎 （一分） 甘草（半两生锉） 上为散。分为三服。每服水一大盏。
煎至五
分。去滓。不计时候温服。以利为度。
木香散（出圣济总录）治石痈已服前升麻汤后。用此贴涂。
木香 大黄（锉炒） 升麻 白蔹（各半两） 芒硝 赤小豆（各半两） 上为散。以
榆白皮
汁入水少许。调和如糊。涂故帛上贴之。日二。
雄黄散（出圣惠方）治石痈风毒初结。 核坚硬。
雄黄（细研） 川大黄（生用） 磁石（捣碎细研） 白矾（烧令汁尽） 细辛（各半
两） 上为
细散。用鸡子白和生蜜调涂之。干则易也。
练石散（出千金方）治痈有坚硬如石核者。复大色不变。或作石疽。
粗理黄石（一斤） 鹿角（一两烧） 白蔹（三两） 上用醋五升。先烧石令赤。内醋
中。不
限数。醋减半止。总捣末。以余醋和如泥。浓敷之。干则易。取消止。尽更合。诸漏及瘰
。其药悉皆用之。仍火针针破头敷药。又单磨鹿角、半夏末和敷之。
黄 当归散（出圣济总录）治石痈久不瘥。
黄 （锉十两） 当归（切炒八两） 上为散。每服三钱。温酒调下。不计时候。
蜀漆方（出圣济总录）治石痈疽。
蜀漆（干者半两） 桑根白皮（二两） 上为末。量多少而用以熔牛皮胶并酒调和。敷
肿处。
日三五次。
又方（出圣惠方）治石痈坚如石。不作脓者。
梁上尘 葵根茎叶（各等分） 上醋和。敷之即瘥。并治石疽。
又涂半夏方（出圣济总录）治痈疽结硬未成脓。
用半夏一两为末。以新水和如糊。涂患处。日三五次。
又涂莨菪子方（出千金方）
用莨菪子二两为末。以醋调如糊。涂患处。干即易。一方治痈始觉肿令消。用莨菪末三
指撮。水和服之。
治石痈坚如石。不作脓者方。（出千金方）
用生商陆根不拘多少。热捣敷之。干则易。取软为度。及治湿漏诸痈疖。
蛇蜕散（出千金方）
用蛇蜕皮贴之。经宿便瘥。一方烧灰细研。以醋调。涂肿上。
又方（出千金方）
用栎子一枚。以醋于青石上磨之。以涂肿上。干易。不过十度愈。
赤小豆方 治发痈至坚而有根者。名为石痈。治疗之法。当服非酒即药。势不宜。
但当稍饮。取令相得。和散便止。凡痈肿有肥人用贴。宜栝蒌根。和平体气。
用赤小豆五合。内苦酒中熬之毕。捣为散。以苦酒和。涂擦纸上。贴肿从发肿两头。
治石痈发肿至坚。而有根者方。（出千金方）
用桑根白皮捣末。酒敷之。一方阴干捣末。烊胶和酒附肿。根即拔。
治石痈坚如石。不作脓者方。（出圣惠方）
用芫花为末。水和如膏。涂之。
(Attached Discussion)
Human Qi and Blood, when encountering heat, become moist and unobstructed; when encountering cold, they coagulate and stagnate. Shi Yong (Stone Carbuncle) is caused by the coagulation of cold pathogen leading to郁 heat (stagnant heat), where Qi fails to disperse. Consequently, the swelling is solid with a nodular feel, the skin and flesh are not very hot, pain is slight, and fever comes and goes intermittently. This condition features more cold than heat, resulting in hardness like stone, hence named Shi Yong (Stone Carbuncle). After a long time, accumulated heat transforms into pus. Treatment should focus on warming and regulating Ying (Nutritive) and Wei (Defensive) Qi, dispersing the cold pathogen, allowing Qi to be promoted by Yang and move outward. Then, the swelling and hardness will naturally subside, and pus and blood will discharge.
Formulas
Chenxiang Tang (Agarwood Decoction): Treats Shi Yong (Stone Carbuncle) with swelling, toxicity, hard nodules, pain, dry mouth, irritability, heat sensation, and limb spasms preventing lying down.
Xijiao Tang (Rhinoceros Horn Decoction) (from *Shenghui Fang*): Treats Shi Yong (Stone Carbuncle) with intense heat-toxicity, hard swollen painful nodules, dry mouth, and irritability.
Ingredients: Xijiao (Rhinoceros Cornu, sliced, 3 fen), Lianqiao (Forsythiae Fructum), Shegan (Belamcandae Rhizoma), Zhizi Ren (Gardeniae Semen), Shengma (Cimicifugae Rhizoma), Danggui (Angelicae Sinensis Radix, cut and dried, each 1 liang), Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried, 2 liang), Muxiang (Aucklandiae Radix, 3 fen), Zhike (Aurantii Fructus, bran-stir-fried), Chishao Yao (Paeoniae Radix Rubra).
Usage: Coarsely grind and sieve the above herbs. Take 3 qian per dose, add 1 zhan of water, decoct to 6 fen, remove dregs. Take warm at any time.
Zansi San (Zan Si Powder): Treats Shi Yong (Stone Carbuncle) with firm consolidation, whether ulcerated or not.
Shengma Tang (Cimicifuga Decoction) (from *Shengji Zonglu*): Treats Shi Yong (Stone Carbuncle) with purplish-red skin color, aversion to cold, and high fever. For cases within one to two days where pus has not formed, use this formula to purge. Also treats Shi Ju (Stone Abscess) with hardness.
Ingredients: Shengma (Cimicifugae Rhizoma), Lianqiao (Forsythiae Fructum), Daqing (Isatidis Folium, each 1 liang), Sheng Dihuang (Rehmanniae Radix Praeparata, dried, 2 liang), Baijiang Cao (Patriniae Herba), Luoshi Teng (Trachelospermi Caulis), Bailian (Ampelopsis Radix, each half liang), Renshen (Ginseng Radix, 1 liang), Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried, 2 liang).
Usage: Coarsely grind and sieve the above herbs. Take 5 qian per dose, add 1.5 zhan of water, decoct to 8 fen, then add Mangxiao (Natrii Sulfas) powder, half fen. Remove dregs. Take warm on an empty stomach, stopping when there is mild laxation.
Huanglian San (Coptis Powder) (from *Shenghui Fang*): Treats Shi Yong (Stone Carbuncle) with hard nodules, fever, purplish-red color, unstable attacking toxic qi, and day-and-night pain. Use this formula to reduce swelling, resolve toxicity, and stop pain.
Ingredients: Huanglian (Coptidis Rhizoma), Chuan Dahuang (Rhei Radix et Rhizoma, raw), Bailian (Ampelopsis Radix), Yaya Xiao (Natrii Chloridum Crystallizatum), Huangbai (Phellodendri Cortex, crushed, each 1 liang), Qingyan (Lithii Carbonas), Qilinjie (Dragon's Blood), Chixiaodou (Phaseoli Semen, half liang, stir-fried until cooked), Xingren (Armeniacae Semen Amarum, 49 seeds, soaked in water, peeled, core removed, and ground).
Usage: Grind the above herbs into fine powder. Mix with honey water and apply to the carbuncle. Change when dry.
Ningshuishi San (Halloysitum Powder) (from *Shengji Zonglu*): Treats carbuncles and sores with hard nodules before pus formation for external application.
Ingredients: Ningshuishi (Halloysitum), Huangbai (Phellodendri Cortex), Huangqin (Scutellariae Radix, crushed), Huanglian (Coptidis Rhizoma, de-veined), Dahuang (Rhei Radix et Rhizoma), Shigao (Gypsum Fibrosum), Zhizi Ren (Gardeniae Semen), Bailian (Ampelopsis Radix, each 1 liang).
Usage: Grind and sift the above herbs to extreme fineness. Mix with Jiangshui (fermented rice water) to form a paste. Spread on old cloth and apply to the affected area.
Dahuang San (Rhubarb Powder) (from *Shenghui Fang*): Treats Shi Yong (Stone Carbuncle) with hard swelling and pain, abdominal fullness and oppression, and lack of free flow.
Ingredients: Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, crushed and slightly stir-fried), Danggui (Angelicae Sinensis Radix, 1 fen), Chuan Mangxiao (Natrii Sulfas), Heidoupi (Phaseoli Pericarpium), Zhike (Aurantii Fructus, bran-stir-fried until slightly yellow, each half liang), Niubangzi (Arctii Fructus, 1 fen, slightly stir-fried), Xiong (Ligustici Chuanxiong Rhizoma, 1 fen), Gancao (Glycyrrhizae Radix et Rhizoma, half liang, raw and crushed).
Usage: Grind the above herbs into powder. Divide into three doses. For each dose, add 1 large zhan of water, decoct to 5 fen, remove dregs. Take warm at any time, stopping when there is laxation.
Muxiang San (Aucklandia Powder) (from *Shengji Zonglu*): Treats Shi Yong (Stone Carbuncle) after taking the aforementioned Shengma Tang, used for external application.
Ingredients: Muxiang (Aucklandiae Radix), Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried), Shengma (Cimicifugae Rhizoma), Bailian (Ampelopsis Radix, each half liang), Mangxiao (Natrii Sulfas), Chixiaodou (Phaseoli Semen, each half liang).
Usage: Grind the above herbs into powder. Mix with juice from Yu Baipi (Ulmus Macrocarpa Cortex) and a little water to form a paste. Apply to old cloth and stick to the affected area. Twice daily.
Xionghuang San (Realgar Powder) (from *Shenghui Fang*): Treats early-stage Shi Yong (Stone Carbuncle) due to wind-toxin initial consolidation, with hard nodules.
Ingredients: Xionghuang (Realgar, finely ground), Chuan Dahuang (Rhei Radix et Rhizoma, raw), Cishi (Magnetitum, crushed and finely ground), Baifan (Alumen, roasted until liquid evaporates), Xixin (Asari Radix et Rhizoma, each half liang).
Usage: Grind the above herbs into fine powder. Mix with egg white and raw honey for application. Change when dry.
Lianshi San (Refined Stone Powder) (from *Qianjin Fang*): Treats carbuncles that are hard as stone nodules, increasing in size without color change, or forming Shi Ju (Stone Abscess).
Ingredients: Culi Huangshi (Yellow Stone with coarse texture, 1 jin), Lujiao (Cervi Cornu Degelatinatum, 1 liang, calcined), Bailian (Ampelopsis Radix, 3 liang).
Usage: Use 5 sheng of vinegar. First, heat the stone until red-hot, then immerse it in the vinegar. Repeat indefinitely until the vinegar reduces by half. Grind all materials into powder. Mix with the remaining vinegar to form a mud-like paste. Apply thickly to the affected area. Change when dry. Continue until softness is achieved. If healed, prepare again. This is also applicable to various fistulas and Luoli (scrofula). Still, use fire needle to puncture the head before applying medicine. Alternatively, grind Cervi Cornu Degelatinatum and Banxia (Pinelliae Rhizoma) powder separately and mix for application.
Huangqi Danggui San (Astragalus and Angelica Powder) (from *Shengji Zonglu*): Treats Shi Yong (Stone Carbuncle) that persists for a long time without healing.
Ingredients: Huangqi (Astragali Radix, crushed, 10 liang), Danggui (Angelicae Sinensis Radix, cut and stir-fried, 8 liang).
Usage: Grind the above herbs into powder. Take 3 qian per dose, mixed with warm wine. Take at any time.
Shuqi Fang (Vernonia Formula) (from *Shengji Zonglu*): Treats Shi Yong (Stone Carbuncle) and abscesses.
Ingredients: Shuqi (Vernoniae Herba, dried, half liang), Sanggen Baipi (Mori Cortex, 2 liang).
Usage: Grind the above herbs into powder. Based on the amount needed, melt Niupi Jiao (Bovis Colla) and mix with wine. Apply to the swollen area. Three to five times daily.
Another Formula (from *Shenghui Fang*): Treats Shi Yong (Stone Carbuncle) hard as stone without pus formation.
Ingredients: Liangshang Chen (Dust from ceiling beams), Kuigen Jingye (Malvae Root, Stem, and Leaf, equal parts).
Usage: Mix with vinegar and apply. It heals immediately. Also treats Shi Ju (Stone Abscess).
Another Banxia Application Formula (from *Shengji Zonglu*): Treats carbuncles and sores with hard nodules before pus formation.
Usage: Take 1 liang of Banxia (Pinelliae Rhizoma), grind into powder. Mix with fresh water to form a paste. Apply to the affected area. Three to five times daily.
Another Liguzi Application Formula (from *Qianjin Fang*)
Usage: Take 2 liang of Liguzi (Datura Seed), grind into powder. Mix with vinegar to form a paste. Apply to the affected area. Change when dry. Another method: To treat early-stage carbuncle swelling intending to dissipate it, take three finger-pinches of Liguzi powder, mix with water, and ingest.
Formula for Treating Shi Yong (Stone Carbuncle) Hard as Stone Without Pus Formation (from *Qianjin Fang*)
Usage: Take raw Shanglu Gen (Phytolaccae Radix) in any quantity. Heat and pound it, then apply. Change when dry. Stop when it becomes soft. Also treats wet fistulas and various carbuncles/furuncles.
She Tui San (Snake Slough Powder) (from *Qianjin Fang*)
Usage: Apply snake slough directly. It heals after one night. Another method: Calcine the slough to ash, grind finely, mix with vinegar, and apply to the swelling.
Another Formula (from *Qianjin Fang*)
Usage: Take one acorn. Grind it with vinegar on a bluestone. Apply to the swelling. Change when dry. It heals within ten applications.
Chixiaodou Formula: Treats carbuncles that develop to be extremely hard with a root, named Shi Yong (Stone Carbuncle). The treatment method involves taking medicine or wine, but the intensity should not be excessive. One should drink slightly to achieve harmony, combined with the powder, then stop. For carbuncles in obese individuals, using Gualou Gen (Trichosanthis Radix) for application is suitable. For those with balanced constitution, use 5 he of Chixiaodou (Phaseoli Semen), roast it in Kujiu (vinegar) until dry, grind into powder. Mix with vinegar, spread on paper, and apply to the swelling starting from both ends of the inflamed area.
Formula for Treating Shi Yong (Stone Carbuncle) Swelling Extremely Hard with a Root (from *Qianjin Fang*)
Usage: Grind Sanggen Baipi (Mori Cortex) into powder. Apply with wine. Another method: Dry Mori Cortex in shade, grind into powder, melt gelatin, mix with wine, and attach to the swelling. The root will be extracted.
Formula for Treating Shi Yong (Stone Carbuncle) Hard as Stone Without Pus Formation (from *Shenghui Fang*)
Usage: Grind Yuanhua (Kadupul Flower Bud) into powder. Mix with water to form a paste. Apply.