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(Attached Discussion)
Various sores and carbuncles are caused by the struggle between wind-dampness and blood-qì. The stagnation of blood-qì generates heat, forming sores within the muscles. If not healed for a long time, "evil flesh" (necrotic tissue) often grows. The skin around the sore rises, while healthy flesh fails to regenerate. This is due to the incomplete clearance of toxic heat, the blockage of meridians, and the failure of blood-qì to reach the area.

After a carbuncle or ulcer has ruptured, if healthy flesh does not grow for a long time, it is because the blood-qì has not yet stabilized, and the evil flesh hinders its growth. Although evil flesh arises from external wind-pathogens struggling with the body, it is also due to residual toxins remaining, causing necrosis and corruption that erode healthy flesh. Treatment should involve using medication to cauterize and remove it.

For evil flesh appearing after the rupture of a carbuncle, first wash away impurities with Pig Trotter Decoction, then apply Flesh-Eating Ointment Powder. Once the evil flesh is completely removed, apply Flesh-Regenerating Ointment Powder, and massage the surrounding areas to promote rapid regeneration of healthy flesh. At this time, sexual intercourse must be strictly avoided, and one must guard against wind-cold and physical/mental fatigue. Only after the tendons and vessels have recovered can normal activities resume. Otherwise, new flesh is easily injured; once injured, severe ulceration recurs, leading to disaster. Be extremely cautious.

Formulas

Snake-Containing Flesh-Regenerating Ointment: Treats carbuncles, ulcers, and traumatic wounds with tissue corruption.
Ingredients: *Ophiopogonis Radix* (Shetian), *Angelicae Sinensis Radix* (Danggui) (each 6 fen), *Rehmanniae Radix Preparata* (Gan Dihuang) (3 liang), *Coptidis Rhizoma* (Huanglian), *Scutellariae Radix* (Huangqin), *Phellodendri Cortex* (Huangbai), *Rhei Radix et Rhizoma* (Dahuang), *Dipsaci Radix* (Xuduan), *Zanthoxyli Pericarpium* (Shujiao), *Paeoniae Radix Alba* (Shaoyao), *Bletillae Rhizoma* (Baiji), *Ligustici Chuanxiong Rhizoma* (Chuanxiong), *Angelicae Dahuricae Radix* (Baizhi), *Glycyrrhizae Radix et Rhizoma* (Gancao).
Preparation: Use 7 jin of lard collected in the twelfth lunar month. Boil three times ("three up, three down"), add vinegar until exhausted, then add the herbal powder. Strain and apply. Apply twice daily and once at night. Cui Shi's version includes *Euphorbiae Pekinensis Radix* (Daji) and *Angelicae Pubescentis Radix* (Duhuo) (each 1 liang); it lacks *Rehmanniae Radix*, *Coptidis Rhizoma*, *Phellodendri Cortex*, *Dipsaci Radix*, *Bletillae Rhizoma*, *Ligustici Chuanxiong Rhizoma*, *Angelicae Dahuricae Radix*, and *Glycyrrhizae Radix*.

Fresh Rehmannia Flesh-Regenerating Ointment: Treats carbuncles and ulcers with tissue corruption to promote flesh regeneration; also treats back carbuncles.
Ingredients: *Rehmanniae Radix Recens* (Sheng Dihuang) (4 liang), *Magnoliae Flos* (Xinyi), *Angelicae Pubescentis Radix* (Duhuo) (deprived of rhizome head), *Angelicae Sinensis Radix* (Danggui) (cut and roasted), *Rhei Radix et Rhizoma* (Dahuang), *Ligustici Chuanxiong Rhizoma* (Chuanxiong), *Phellodendri Cortex* (Huangbai), *Angelicae Dahuricae Radix* (Baizhi), *Paeoniae Radix Alba* (Shaoyao), *Scutellariae Radix* (Huangqin) (deprived of black heart, each half liang), *Dipsaci Radix* (Xuduan) (1 liang), Lard (2 jin), *Allii Macrostemonis Bulbus* (Xiebai) (14 stems).
Preparation: Except for lard, chop the other herbs finely. First boil the lard until bubbling, then add the herbs. Simmer until *Angelicae Dahuricae Radix* turns dark red/black. Strain through cotton cloth, store in a porcelain box. Apply to the sore two to three times daily.

Phellodendron Ointment: Treats carbuncles and ulcers with rupture and bleeding, promoting flesh regeneration.
Ingredients: *Phellodendri Cortex* (Huangbai), *Paeoniae Radix Alba* (Shaoyao), *Angelicae Sinensis Radix* (Danggui), *Rhei Radix et Rhizoma* (Dahuang), *Ligustici Chuanxiong Rhizoma* (Chuanxiong), *Angelicae Pubescentis Radix* (Duhuo), *Angelicae Dahuricae Radix* (Baizhi), *Allii Macrostemonis Bulbus* (Xiebai), *Rehmanniae Radix Recens* (Sheng Dihuang) (each 1 liang).
Preparation: Chop 2.5 sheng of pork fat. Boil three times ("three up, three down"). When the ointment is ready, strain off dregs. Apply into sharp wounds, massaging left and right, three times daily.

Marsdenia Ointment: Treats carbuncles and ulcers with tissue corruption to promote flesh regeneration.
Ingredients: *Radix Marsdeniae Officinalis* (Mangcao), *Angelicae Sinensis Radix* (Danggui), *Allii Macrostemonis Bulbus* (Xiebai), *Scutellariae Radix* (Huangqin) (deprived of black heart), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Angelicae Dahuricae Radix* (Baizhi), *Rhei Radix et Rhizoma* (Dahuang), *Dipsaci Radix* (Xuduan) (each 1 liang), Lard (2 jin).
Preparation: Except for lard, chop the other herbs finely. First boil the lard until bubbling, then add the herbs. Simmer until *Angelicae Dahuricae Radix* turns dark red/black. Strain through cotton cloth, store in a porcelain box. Apply to the sore three times daily.

Paeonia Ointment: Treats carbuncle evil flesh; promotes muscle regeneration after ulcer erosion is complete.
Ingredients: *Paeoniae Radix Alba* (Shaoyao), *Rhei Radix et Rhizoma* (Dahuang), *Phellodendri Cortex* (Huangbai), *Angelicae Pubescentis Radix* (Duhuo) (deprived of rhizome head), *Angelicae Dahuricae Radix* (Baizhi), *Angelicae Sinensis Radix* (Danggui) (each 1 liang), *Allii Macrostemonis Bulbus* (Xiebai) (3 liang), *Rehmanniae Radix Recens* (Sheng Dihuang) (1.5 liang, crushed), Lard (1.5 liang).
Preparation: Chop the eight ingredients finely. First boil the lard until bubbling, then add the herbs. Simmer until *Angelicae Dahuricae Radix* turns dark red/black. Filter through cotton cloth. Take a small amount and apply to the sore three to five times daily.

Sulfur Powder: Treats carbuncle sores, cauterizing evil flesh.
Ingredients: *Sulfur* (Liuhuang) (ground), *Portulacae Herba* (Machixian) (ground), *Veratri Radix* (Lulu) (powdered), *Cinnabaris* (Dansha) (ground, each half liang), *Moschus* (Shexiang) (ground, 1 qian), *Realgar* (Xionghuang) (ground), *Orpiment* (Ci Huang) (ground), *Alumen* (Baifan) (ground, each half liang).
Preparation: Mix and grind evenly. Apply a small amount to the sore two to three times daily, until the evil flesh is gone. *Qianjin Yifang* lacks Alumen and Orpiment but includes Veratri Ointment for combined application. It also treats carbuncles without Cinnabar. *Guangji Fang* treats carbuncle swelling with pus rupture where purple flesh remains unabsorbed; use this powder mixed internally or applied to cauterize it.

Veratri Powder: Treats carbuncles, cauterizing evil flesh.
Ingredients: *Veratri Radix* (Lulu), *Margarita* (Zhenzhu Mo) (each half liang), *Sulfur* (Liuhuang) (finely ground), *Portulacae Herba* (Machixian) (burned until juice is gone, each 3 fen), *Realgar* (Xionghuang) (3 fen, finely ground), *Moschus* (Shexiang) (1 fen, finely ground), *Veratri Radix* (Lulu) (1 liang).
Preparation: Make into a fine powder. Apply two to three times daily, taking a small amount to apply to the sore. Another method excludes Pearl.

Liu Juanzi treats carbuncles and ulcers by first applying Rhubarb Flesh-Eating Ointment. *Qianjin Fang* first uses Evil-Flesh-Eating Powder, then applies a formula with Rhubarb, Aconite, and ten other items; this is a secondary mixing ointment formula.
Ingredients: *Angelicae Sinensis Radix* (Danggui), *Ligustici Chuanxiong Rhizoma* (Chuanxiong), *Angelicae Dahuricae Radix* (Baizhi) (each 2 liang), *Aconiti Radix* (Wutou) (1 liang), *Pini Resina* (Songzhi) (2 liang), *Crotonis Fructus* (Badou) (20 seeds, peeled), Lard (2 sheng).
Preparation: Chop coarsely, place in ointment, and simmer over low fire for three boils. Add Pine Resin until melted and integrated. Strain through cotton cloth. Apply the ointment on cotton wadding to probe the wound head. Even deep large wounds will drain pus upon probing. Once probing is complete, healthy flesh regenerates. For shallow wounds, probing is insufficient; apply directly to the sore three times daily. Stop when evil flesh is gone.

Willow Ointment Formula: Treats post-healing scars and polyps that have not resolved, as well as scrofula and wind-nodules, suitable for patching.
Ingredients: Willow White Bark (Liu Bai Pi) (5 jin), Catalpa Bark (Qiu Pi) (5 jin), *Tetrapanacis Medulla* (Mutong) (1 jin), *Aurantii Fructus Immaturus* (Zhi Ke) (half jin), Gleditsia Sinensis Fruit (Zao Jia) (1 jin), *Costi Rhizoma* (Muxiang) powder (3 liang).
Preparation: Finely chop herbs. Boil in 8 dou of water until reduced to 1 dou of juice. Strain. Transfer to a small pot, add Costi Rhizoma powder, and simmer to 7 sheng. Strain again. Transfer to a small pot and simmer slowly, stirring constantly. Refine until like maltose syrup, able to form a ball when pinched. Store wrapped in oiled silk. Apply daily on silk patches. Continue until healed.

Caustic Powder: Eliminates/cauterizes evil flesh, parasites, and rotten bone. First use a wound-washing formula, then apply this.
Ingredients: Alum (Mingfan) (calcined in silver pot with tile cover until nature is exhausted, 1 liang), Calcined Alum (Jian Fan) (cooked), Realgar (Xionghuang), Frankincense (Ruxiang), Good Red Ochre (Hao Yanzhi), *Polygala Tenuifolia Radix* (Yuanzhi) (soaked in water, meat taken and roasted, each 2 qian).
Preparation: Make into fine powder. Grind with honey-water into a paste. Apply to evil flesh. Mixing with sesame oil is also acceptable.

Alum Powder: Treats back carbuncles and ulcers, and malignant sores failing to generate muscle, with corruption and black color, cauterizing evil flesh.
Ingredients: Alum (Baifan) (ground, half liang), *Veratri Radix* (Lulu) (powder, 1 liang), Calomelas (Nifen) (ground, 1 fen), Realgar (Xionghuang) (ground), *Angelicae Sinensis Radix* powder (Danggui Mo) (each 1 liang).
Preparation: Mix and grind evenly. Take a small amount and apply to the sore three times daily.

Mulberry Bark Powder: Treats sores with heat attacking and causing pain, red rot, and discharging foul fluid.
Ingredients: Mulberry Root Bark (Sangbaipi) (fresh, 1 liang), *Sophorae Flavescentis Radix* (Kushen), Sophora Flower (Huaihua), *Trichosanthis Radix* (Tianhuafen) (sun-dried, each half liang).
Preparation: Make into fine powder and sprinkle dry. Also decoct *Sophorae Flavescentis Radix* and Mulberry Root Bark soup to wash. For itching, add Areca Seed (Binglang) and Calomelas (Qingfen).

Moschus Ointment: Treats back carbuncles and ulcers, and various malignant sores generating evil flesh.
Ingredients: *Moschus* (Shexiang) (ground), Realgar (Xionghuang) (ground), Pearl Zhenzhu (Zhenzhu) (ground, each 1 liang), Lard (appropriate amount).
Preparation: Grind evenly, melt lard and mix into a paste. Apply to evil flesh twice daily.

Veratri Powder: Treats carbuncle and ulcer corruption.
Ingredients: *Veratri Radix* (Lulu) (with lac head), Alum Stone (Fanshi) (each 2 fen, calcined), Realgar (Xionghuang) (ground), Sulfur (Liuhuang) (each 2 fen).
Preparation: Make into powder. Insert into the sore mouth. Stop when evil flesh is gone. Do not let it damage healthy flesh.

Caustic Formula
Pig Manure (collected in 12th month, burned to retain nature, 1 liang), Realgar (Xionghuang) (ground), Chicken-heart Areca Seed (Jixin Binglang) (each 2 qian).
Preparation: Make into fine powder. Sprinkle directly if wet; if dry, mix with sesame oil and Calomelas (Qingfen) to smear. Adding *Veratri Radix* (Lulu) enhances cauterization of evil flesh.

Areca Seed Powder (also known as Costi Powder): Treats carbuncles, ulcers, and boils after pus rupture, exposed to external wind-cold, resulting in hard swelling, thin purulent discharge that persists, empty pores, foul-smelling bad juices, tight dry sore edges, and failure of healthy muscle to grow. Also treats phlegm-fire malignant sores that linger and do not heal, lower genital sores invading and ulcerating without closing. Mix with sesame oil for application. (Also known as Flesh-Generating Powder).
Ingredients: Areca Seed (Binglang), *Coptidis Rhizoma* (Huanglian) (deprived of threads and cut), *Costi Rhizoma* (Muxiang) (equal parts).
Preparation: Make into fine powder. Each time, apply dry to the sore. If the sore is ulcerated, after application, cover with common plaster or Cloud Mother Ointment, allowing pus to drain naturally. If the sore mouth does not close after using this medicine, mix *Bletillae Rhizoma* powder (Baiji) and Calomelas (Qingfen) slightly, blend evenly, and apply for rapid effect. (If the sore mouth does not close for a long time, add 1 qian of *Angelicae Sinensis Radix* and apply).

Treating Carbuncles and Ulcers to Cauterize Evil Flesh.
Ingredients: Realgar (Xionghuang), Alum Stone (Fanshi) (burned until juice is gone), *Veratri Radix* (Lulu) (each 1 liang).
Preparation: Make into fine powder. Apply two to three times daily to the sore.

Another Carbuncle Formula
Ingredients: *Angelicae Dahuricae Radix* (Baizhi), Mulberry Root Bark (Sangbaipi).
Preparation: Decoct soup to wash. Sprinkling Mulberry Root Bark powder is effective.

Formula for Carbuncle Swelling with Incomplete Removal of Evil Flesh.
Ingredients: *Ipomoea Pes-tigris* (Shuobi) (also called ash), Calcined Lime (Duanshi) (*Zhouhou* makes white charcoal ash).
Preparation: Leach juice from each, combine and simmer into an ointment for application. Eats evil flesh, also removes black spots.

Medicine for Sloughing Dead Flesh
Cooked Rice Tip (San Deng, each half liang). One portion of half liang enters 2 Croton Seeds; one portion of half liang enters 3 Croton Seeds; one portion of half liang enters 5 Croton Seeds. Roll each into white pellets. First insert the pellet with 2 Croton Seeds into the sore; if not draining, insert the one with 3; if still not draining, insert the one with 5. Then use Cinnabar (Dansha) fried red, sprinkle into the sore mouth to draw out clear water. If evil flesh is not gone, continue until red water appears, indicating evil flesh is gone. Then apply Three-Saints Powder paste and cover with ointment.

Medicine for Killing Maggots
Apply sublimated Alum (Zaofan) flown through dry powder; the worms die immediately.

Realgar Powder: Treats sores with evil flesh that cannot be removed.
Ingredients: Realgar (Xionghuang) (1 qian, ground), Croton Seed (Badou) (1 seed not peeled ground, half seed peeled ground = 0.5 qian).
Preparation: Grind together again into mud. Add small amounts of Frankincense (Ruxiang) and Myrrh (Moyao), grind evenly and finely. Apply sparingly; evil flesh will fall off naturally.

Treating Carbuncle Swelling with Incomplete Removal of Evil Flesh.
Ingredients: Fresh Rehmannia Juice (Sheng Dihuang Zhi).
Preparation: Simmer into glue, make into cakes, and apply four to five times daily.

Carbuncles and Ulcers Generating Smelly Evil Flesh.
Apply White Veratri Powder. Stop when flesh is gone. Apply various ointments. If flesh does not grow, apply Phellodendron Powder. Veratri and Phellodendron stop all evil flesh. If still not gone, use seven-head red-bark Veratri as powder, take half qian bi, mix with 3 qian bi of White Veratri Powder, and apply.
If evil flesh is not gone, eat it with flesh-eating medicine, then apply ointment to heal. Flesh-Eating Formula
Take equal parts white charcoal ash and reed ash. Simmer into an ointment. This should not be prepared in advance; it spoils in ten days. It can also remove black spots.

Flesh-Eating Ointment: Treats carbuncles, back carbuncles, and various malignant sores; removes evil flesh.
Ingredients: *Rhei Radix et Rhizoma* (Dahuang), *Ligustici Chuanxiong Rhizoma* (Chuanxiong), *Radix Marsdeniae Officinalis* (Mangcao), Pearl (Zhenzhu), Orpiment (Ci Huang), *Aconiti Lateralis Radix Preparata* (Fuzi) (raw, each 1 liang), *Ampelopsis Radix* (Bailian), Alum Stone (Fanshi), *Scutellariae Radix* (Huangqin), *Veratri Radix* (Lulu) (each 2 liang), Realgar (Xionghuang) (half liang).
Preparation: Chop coarsely. With 1 sheng of lard, boil 5-6 times. Strain. Add *Veratri Radix* and Alum Stone powder, stir and apply. Stop when evil flesh in the sore is gone.

Treating Sores with Polyps Like Snakes Extending Several Inches.
Use 1 liang of Sulfur (Liuhuang), finely ground. Thinly smear on the flesh; it will immediately retract.

Trichosanthes Powder
*Astragali Membranacei Radix* (Huangqi) (4 liang), Gleditsia Sinensis Thorn (Zaojiaoci) (8 liang, red ones smashed), *Glycyrrhizae Radix et Rhizoma* (Gancao) (6 liang), *Achyranthis Bidentatae Radix* (Niuxi) (2 liang), *Trichosanthis Fructus* (Gualou) (10 fruits).
Preparation: Use 1 jin of honey, add gradually to the pan, fry until purple, brittle when blown by wind, then make into powder. Fry residues again into powder. Take 2 qian with wine.