（附论）
夫缓疽者。以寒气客于经络。荣卫凝涩。甚寒气盛则肿。病深伏。其状无头尾。大如常
人之拳。小如桃。与皮肉相附着。其肿与肉色相似。亦不甚赤。积日不溃。久乃变紫黯色。
肉俱烂如牛领疮。以其初势缓慢。故名缓疽。以其肿色与肉色相似。故又名肉色疽。
方
黄 散（出圣惠方）治缓疽及诸痈肿。脓血结聚。皮肉坚浓。日久不溃。疼痛
。
黄 沉香 薰陆香 连翘（各三分） 羚羊角屑（一两） 鸡舌香 漏芦（去芦头） 黄
芩
（去黑心） 栀子仁 甘草（生锉） 防风（去叉） 栝蒌根（各半两） 上粗捣筛。每服
五钱。
水一盏半。煎至八分。去滓。不拘时温服。一方有汉防己三分。
排脓散（出圣惠方）治缓疽日久穿溃。出脓水不尽。
贝齿（一两） 黄 （锉） 当归（锉微炒） 生地黄（焙） 赤芍药 黄连（去须） 升
麻桂
（去粗皮） 白蔹 犀角屑（各三分） 甘草（半两生锉） 麝香（一分细研） 上为散。
拌匀再
罗过。每服二钱。不拘时。温酒调下。
犀角散（出圣惠方）治缓疽风热毒瓦斯结聚。肿痛寒热不止。
犀角 漏芦（各一两） 川大黄（一两半锉碎微炒） 川升麻（半两） 栀子仁（一两）
甘草
（三分生锉） 木通 麦门冬（去心） 枳壳（麸炒微黄去瓤） 知母 玄参（各一两） 上
为粗
散。每服四钱。水一中盏。煎六分。去滓。入地黄汁半合。更煎三两沸。不拘时温服。
生地黄干散（出圣惠方）治缓疽风热。侵肿不住。肉欲成脓。四肢烦热。
生干地黄（一两） 川大黄（锉碎微炒） 人参（去芦头） 黄芩（各一两） 当归（半
两） 远
志（一两去心） 麦门冬（一两半去心） 川升麻（半两） 赤芍药（一两半） 黄 （一
两锉） 赤
茯苓（一两） 羚羊角屑（一两） 上为粗散。每服四钱。水一中盏。入生姜半分。煎至六
分。
不拘时。去滓温服。
飞黄散（出圣惠方）治缓疽恶疮。蚀恶肉。
丹砂 雄黄 磁石 曾青 白石英 棋石 石膏 钟乳粉 雌黄（各二两） 云母粉（三
两） 上各细研为散。用瓦盆一口。丹砂安南。雌黄安中。磁石向北。曾青在东。白石英在
西。棋石当上。石膏次。更下钟乳、雄黄。次云母覆盖。更用一盆覆盖定。以泥封。浓一寸。
于灶底以陈苇烧。一日取出。看取飞上者研细。敷疮上。日二遍。
莽草散（出圣惠方）治缓疽初结。微肿疼痛。
莽草 鹿角屑 白蔹 白芨 半夏 天南星 附子（去皮脐各一两） 蛇蜕皮（一条炙）
皂荚（一两捶黑皮及子） 上为散。用醋面薄为糊。调为膏。涂贴肿处。干即再上。肿散为
度。
黄柏膏（出圣惠方）治缓疽
黄柏（锉） 桐叶（切各一两半） 龙骨（一两） 黄连（一两半去须） 败龟（拳大
烧灰细研） 麝香（一两细研） 上药以猪脂二斤。煎前四味十余沸。布滤去滓。拭铛令净。
却入铛中。再煎入后五味。搅令匀。收于不津器中。每用以故帛上匀摊。贴之。
木香散（出圣惠方）治风毒瓦斯留滞。荣卫不通。欲结为缓疽。 之令内消贴。
木香（一两半） 桂心（二两） 白蔹（一两半） 赤小豆（一合） 莽草（一两半） 附
子（一
两去皮脐） 半夏（一两半） 羊桃根（二两） 上为细散。以酸浆水旋调。稀稠得所。涂
故软
布及生布绢上。贴之。干即易也。以肿消为度。
茹膏（出圣惠方）治缓疽肿痛。内坚浓如牛领皮。下针烙干。即用生姜。维
缘疸气沉涩。干姜味辛。辛能散气消痛。又善引脓化恶肉。可以绵裹姜末。深 疮中。
日三二遍换。以肿退为度。蚀出疮中恶肉。
茹（三分） 藜芦（半两去芦头） 真珠末（三分） 硫黄（细研一两） 上为细散。
都研令
匀。疮上如恶肉较深。可以绵裹入疮中。候恶肉化尽。贴生肌膏。取瘥为度。
芍药汤（出圣惠方）治缓疽
芍药 当归（各一两） 黄 （锉） 生干地黄（焙） 赤茯苓（去黑皮各半两） 人
参甘草
（炙各三分） 上粗捣筛。每服五钱。水一盏半。入生姜半分拍碎。枣二枚擘破。煎至八分。
去滓。空心温服。晚再如法服之。
蛇床散（出圣惠方）治缓疽。
蛇床子（一分研） 杏仁（汤泡去皮尖双仁细研入） 黄连（去须捣末） 乳香（细研
各半两）
盐（一分研） 蔓荆根（三两切烂捣） 上以蔓荆根和药末。细研令匀。涂敷肿上。干即易
之。
雄黄散（出圣惠方）治缓疽以飞黄散蚀恶肉尽。熏之。
雄黄 干鸡子白 藜芦（去芦头） 丹砂（细研） 干鳗鲡鱼（炙焦各一两） 上为散。
以青
布裹之。安小土灶内。烧熏患处。如是熏三日即止。后用黄 散常法敷之。一方用蛇含膏摩
之。
黄 散（出圣惠方）治缓疽
用黄 二两细锉。捣罗为散。敷疮上。一方不计时候。以温水调下二钱匕。
治缓疽方。（出圣惠方）
用 茹一两。捣为末。不计时候。温酒调下二钱。一方用二两为散敷之。
[Attached Discussion]
Huan Ju (Slow Carbuncle) is caused by cold pathogenic qi invading the meridians, leading to stagnation and obstruction of Ying Qi (Nutritive Qi) and Wei Qi (Defensive Qi). If the cold pathogen becomes excessive, swelling occurs; the disease lies deep within. Its appearance lacks distinct head or tail boundaries, being as large as a normal person's fist or as small as a peach. The lesion adheres closely to the skin and flesh. The color of the swelling resembles that of the surrounding muscle and is not very red. After many days without ulceration, it eventually turns purplish-dark. The flesh rots like a sore on an ox's neck. Because its initial progression is slow, it is named "Huan Ju" (Slow Carbuncle); because its swelling color resembles the muscle color, it is also called "Rou Se Ju" (Flesh-Color Carbuncle).
Prescriptions:
Huang San (Powder of Huang), from *Sheng Hui Fang*, treats Huan Ju and various carbuncles and swellings where pus and blood accumulate, with hard and thick skin and flesh, remaining un-ulcerated for a long time, accompanied by pain.
Ingredients: Huangqi (Astragali Radix), Chenxiang (Aquilariae Lignum Resinatum), Xunlu Xiang (Boswelliae Fructus), Lianqiao (Forsythiae Fructus) (each 3 fen), Lingyangjiao Xie (Saigae Tataricae Cornu Scraps) (1 liang), Jishe Xiang (Lignums Spicatum), Loulu (Radix Euphorbiae Humifusae) (remove root crown), Huangqin (Scutellariae Radix) (remove black heart), Zhizi Ren (Gardeniae Semen), Gancao (Glycyrrhizae Radix et Rhizoma) (raw, coarsely crushed), Fangfeng (Saposhnikoviae Radix) (remove forks), Gualou Gen (Trichosanthis Radix) (each 0.5 liang).
Usage: Coarsely crush and sieve the above ingredients. Take 5 qian per dose. Add 1.5 zhan of water, decoct until 0.8 zhan remains, filter dregs, and take warm at any time. Another version includes Han Fangji (Stephaniae Tetrandrae Radix) 3 fen.
Painong San (Discharge Pus Powder), from *Sheng Hui Fang*, treats Huan Ju that has ulcerated after a long duration with incomplete discharge of pus and fluid.
Ingredients: Beichi (Concha Meretricis et Cyclinae) (1 liang), Huangqi (Astragali Radix) (coarsely crushed), Danggui (Angelicae Sinensis Radix) (coarsely crushed, slightly stir-fried), Shengdihuang (Rehmanniae Radix) (baked), Chishaoyao (Paeoniae Radix Rubra), Huanglian (Coptidis Rhizoma) (remove stamens), Shengma (Cimicifugae Rhizoma), Guizhi (Cinnamomi Ramulus) (remove coarse bark), Bailian (Ampelopsis Radix), Xijiao Xie (Rhinocerotis Cornu Scraps) (each 3 fen), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, raw, coarsely crushed), Shexiang (Moschus) (1 fen, finely ground).
Usage: Grind the above ingredients into powder, mix well, and sieve again. Take 2 qian per dose, mixed with warm wine, at any time.
Xijiao San (Rhino Horn Powder), from *Sheng Hui Fang*, treats Huan Ju caused by the accumulation of wind-heat toxic qi, characterized by persistent swelling, pain, and alternating chills and fever.
Ingredients: Xijiao (Rhinocerotis Cornu), Loulu (Radix Euphorbiae Humifusae) (each 1 liang), Chuan Dahuang (Rhei Radix et Rhizoma) (1.5 liang, coarsely crushed, slightly stir-fried), Chuan Shengma (Cimicifugae Rhizoma) (0.5 liang), Zhizi Ren (Gardeniae Semen) (1 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (3 fen, raw, coarsely crushed), Mutong (Akebiae Caulis), Maimendong (Ophiopogonis Radix) (remove heart), Zhike (Aurantii Fructus) (bran-fried until slightly yellow, remove pith), Zhimu (Anemarrhenae Rhizoma), Xuanshen (Scrophulariae Radix) (each 1 liang).
Usage: Grind the above ingredients into a coarse powder. Take 4 qian per dose. Add 1 zhan of water, decoct until 0.6 zhan remains, filter dregs, add 0.5 he of Dihuang juice (Rehmanniae Radix juice), boil for two or three boils, and take warm at any time.
Shengdihuang Gan San (Dried Rehmannia Powder), from *Sheng Hui Fang*, treats Huan Ju due to wind-heat invasion causing continuous swelling, impending abscess formation in the flesh, and vexing heat in the four limbs.
Ingredients: Sheng Gan Dihuang (Dried Rehmanniae Radix) (1 liang), Chuan Dahuang (Rhei Radix et Rhizoma) (coarsely crushed, slightly stir-fried), Renshen (Ginseng Radix) (remove root crown), Huangqin (Scutellariae Radix) (each 1 liang), Danggui (Angelicae Sinensis Radix) (0.5 liang), Yuanzhi (Polygalae Radix) (1 liang, remove heart), Maimendong (Ophiopogonis Radix) (1.5 liang, remove heart), Chuan Shengma (Cimicifugae Rhizoma) (0.5 liang), Chishaoyao (Paeoniae Radix Rubra) (1.5 liang), Huangqi (Astragali Radix) (1 liang, coarsely crushed), Chi Fuling (Poria with Red Host) (1 liang), Lingyangjiao Xie (Saigae Tataricae Cornu Scraps) (1 liang).
Usage: Grind the above ingredients into a coarse powder. Take 4 qian per dose. Add 1 zhan of water and 0.5 fen of Shengjiang (Zingiberis Rhizoma Recens), decoct until 0.6 zhan remains. Filter dregs and take warm at any time.
Fei Huang San (Sublimed Yellow Powder), from *Sheng Hui Fang*, treats Huan Ju and malignant sores, corroding necrotic tissue.
Ingredients: Dansha (Cinnabaris), Xionghuang (Realgar), Cishi (Magnetitum), Zengqing (Chalcanthum), Bai Shiying (Quartzum Album), Qishi (Calaminaris Lapis), Shigao (Gypsum Fibrosum), Zhongru Fen (Stalactitum), Cihuang (Orpiment) (each 2 liang), Yunmu Fen (Muscovite) (3 liang).
Usage: Finely grind each ingredient separately into powder. Take one clay pot. Place Dansha in the South, Cihuang in the center, Cishi in the North, Zengqing in the East, Bai Shiying in the West, Qishi at the top, Shigao next, then add Zhongru and Xionghuang, and finally cover with Yunmu. Cover with another pot, seal with mud one cun thick, and burn with old reeds at the bottom of the stove for one day. Remove and collect the sublimed powder, grind it fine, and apply to the sore twice daily.
Mangcao San (Artemisia Anomala Powder), from *Sheng Hui Fang*, treats early-stage Huan Ju with slight swelling and pain.
Ingredients: Mangcao (Artemisiae Anomale Herba), Lujiaoxie (Cervi Cornu Degelatinatum Scraps), Bailian (Ampelopsis Radix), Baiji (Bletillae Rhizoma), Banxia (Pinelliae Rhizoma), Tiannanxing (Arisaematis Rhizoma), Fuzi (Aconiti Lateralis Radix Preparata) (remove skin and umbilicus, each 1 liang), Shetui (Serpentis Cutis) (one strip, roasted), Zaojia (Gleditsiae Fructus) (1 liang, beaten to darken skin and seeds).
Usage: Grind the above ingredients into powder. Make a thin paste with vinegar and flour, mix into a ointment, and apply to the swollen area. Reapply when dry, until the swelling subsides.
Huangbai Gao (Phellodendron Ointment), from *Sheng Hui Fang*, treats Huan Ju.
Ingredients: Huangbai (Phellodendri Cortex) (coarsely crushed), Tongye (Toona Leaf) (cut, each 1.5 liang), Longgu (Fossilia Ossis Mastodi et Scapulae) (1 liang), Huanglian (Coptidis Rhizoma) (1.5 liang, remove stamens), Baigui (Testudo Carapax et Plastrum) (fist-sized, burned to ash and finely ground), Shexiang (Moschus) (1 liang, finely ground).
Usage: Use 2 jin of Zhu Zhi (Porcine Adipose) to decoct the first four ingredients for more than ten boils. Filter through cloth to remove dregs, clean the pot, return the liquid to the pot, add the remaining five ingredients, decoct again, and stir evenly. Store in a non-leaking container. Apply evenly on old silk cloth to the affected area.
Muxiang San (Costus Root Powder), from *Sheng Hui Fang*, treats wind-toxic qi stagnation and obstruction of Ying and Wei Qi, aiming to prevent the formation of Huan Ju and promote internal resolution via external application.
Ingredients: Muxiang (Aucklandiae Radix) (1.5 liang), Guixin (Cinnamomi Cortex) (2 liang), Bailian (Ampelopsis Radix) (1.5 liang), Chixiaodou (Phaseoli Semen Rubrum) (1 he), Mangcao (Artemisiae Anomale Herba) (1.5 liang), Fuzi (Aconiti Lateralis Radix Preparata) (1 liang, remove skin and umbilicus), Banxia (Pinelliae Rhizoma) (1.5 liang), Yangtao Gen (Actinidia Polystachya Root) (2 liang).
Usage: Grind the above ingredients into a fine powder. Mix with sour plum water to a suitable consistency. Apply to old soft cloth or raw silk fabric and patch onto the affected area. Change when dry, until the swelling subsides.
Ru Gao (Asarum Ointment), from *Sheng Hui Fang*, treats Huan Ju with swelling, pain, and internal hardness resembling ox neck skin. First puncture and cauterize dry, then use Shengjiang (Zingiberis Rhizoma Recens). Due to the sinking and stagnant nature of the pathogenic qi, Ganjiang (Zingiberis Rhizoma) is pungent; pungency can disperse qi and relieve pain, and it effectively guides pus discharge and dissolves necrotic tissue. Wrap ginger pieces in cotton and insert deeply into the wound, changing two to three times daily, until the swelling recedes, eroding out necrotic tissue.
Ingredients: Ru (Asari Radix et Rhizoma) (3 fen), Lilü (Veratri Rhizoma) (0.5 liang, remove root crown), Zhenzhu Mo (Margarita Pulvis) (3 fen), Liuhuang (Sulfur) (finely ground, 1 liang).
Usage: Finely grind and mix uniformly. If necrotic tissue in the wound is deep, wrap the powder in cotton and insert into the wound. Once necrotic tissue is dissolved, apply Shengji Gao (Regenerate Flesh Ointment) until healed.
Shaoyao Tang (Peony Decoction), from *Sheng Hui Fang*, treats Huan Ju.
Ingredients: Shaoyao (Paeoniae Radix), Danggui (Angelicae Sinensis Radix) (each 1 liang), Huangqi (Astragali Radix) (coarsely crushed), Sheng Gan Dihuang (Dried Rehmanniae Radix) (baked), Chi Fuling (Poria with Red Host) (remove black skin, each 0.5 liang), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (stir-fried with honey, each 3 fen).
Usage: Coarsely crush and sieve. Take 5 qian per dose. Add 1.5 zhan of water, 0.5 fen of Shengjiang (Zingiberis Rhizoma Recens) (beaten), and 2 Dazao (Jujubae Fructus) (split). Decoct until 0.8 zhan remains, filter dregs, and take warm on an empty stomach. Repeat in the evening.
Shechuang San (Cnidium Seed Powder), from *Sheng Hui Fang*, treats Huan Ju.
Ingredients: Shechuangzi (Cnidii Fructus) (1 fen, ground), Xingren (Pruni Semen) (soaked in hot water, remove skin and tips, double-kernel, finely ground), Huanglian (Coptidis Rhizoma) (remove stamens, pounded to powder), Ruxiang (Olibanum) (finely ground, each 0.5 liang), Yan (Sal) (1 fen, ground), Manjing Gen (Viticis Radix) (3 liang, cut, pounded).
Usage: Mix Manjing Gen with the powdered medicines, grind finely and evenly, and apply to the swollen area. Change when dry.
Xionghuang San (Realgar Powder), from *Sheng Hui Fang*, treats Huan Ju after Fei Huang San has completely corroded necrotic tissue, used for fumigation.
Ingredients: Xionghuang (Realgar), Gan Jizi Bai (Dried Egg White), Lilü (Veratri Rhizoma) (remove root crown), Dansha (Cinnabaris) (finely ground), Gan Manli Yu (Dried Moray Eel) (roasted until scorched, each 1 liang).
Usage: Grind the above ingredients into powder. Wrap in green cloth, place in a small earth stove, and smoke the affected area. Smoke for three days, then stop. Afterwards, apply Huang San (Powder of Huang) according to standard methods. Another version uses Shehan Gao (Snake Containing Ointment) for massage.
Huang San (Powder of Huang), from *Sheng Hui Fang*, treats Huan Ju.
Usage: Use 2 liang of Huangqi (Astragali Radix), coarsely crush, pound and sieve into powder, and apply to the sore. Another version: take 2 qian bing with warm water at any time.
Treatment for Huan Ju, from *Sheng Hui Fang*.
Usage: Use 1 liang of Ru (Asari Radix et Rhizoma), pound into powder, take 2 qian with warm wine at any time. Another version: use 2 liang as powder for external application.