以人髭烧灰。敷疮立愈。唐李绩尝疾。医治之须得须灰服之方止。太宗遂自剪须烧灰赐
服之。故白乐天云。煎须烧药赐功臣。
消痈肿（本草）
用见肿消生苗叶。烂捣贴。
治痈肿无头（本草）
杵蜀葵末。敷之。
主痈肿疮疹脚疼（本草）
以螺厣草捣敷之。亦煮汤洗肿处。
疗痈肿（本草）
用苦茄子其子。以醋摩敷痈肿。根亦作浴汤。
治诸疮痈肿不散者（本草）
取生白药根。烂捣敷贴。干则易之。无生者用末。水调涂之亦可。
治一切恶疮痈肿（本草）
以风延莓煮。服之。
治痈一切肿未成脓拔毒（方见蛎粉散）
治痈疮肿毒（本草）
以芋叶和盐研细。敷之。
去皮肤风热。流注骨节。痈肿疼痛。
用火炭母草叶捣烂。于 器中。以盐酒炒。敷肿处。经宿一易。
治痈肿发数处（方见二圣散）
治痈肿未有头必穴方
以醋摩黄药。涂之。
治痈肿
用升麻水煎。绵沾拭疮上。亦治豌豆疮。
又方
用齿 和黑虱研。涂之。
又方
用东向厕溺坑中黑泥水调。服之。未脓即散。有脓溃之。
治生痈毒未成头。赤肿疼痛。不可忍。
上以竹片为圈子。看肿大小。作圈置肿上。取马蝗三五条置圈中。令咂去毒血。即消。
（附论）
夫痈发于外。人可得见者。犹为危急之疾。况隐伏肠间。痛无定处。又不可得而见者乎。
盖痈疽五发。在外则为发背、发脑、发眉、发须、发颐。在内则为肠痈、心痈、肾痈、肺痈、
脐痈等患。治之得法。尚庶几焉。一着小差。枰棋去矣。何则。肠痈为病。身皮甲错。腹皮
紧急。如肿之状。而按之濡。体无哄热。腹无积聚者。此积阴冷之所致也。当以湿药调之。
发汗无汗。洒淅恶寒。小腹肿强。而按之痛。小便涩数。其候如淋者。此内结热之所致也。
当以凉剂利之。其脉迟紧。脓未成者可下。其脉洪数。脓已成者不可下。甚者腹肚胀大。转
侧闻有水声。或绕脐生疮。脓汁穿出。或脐中常常出脓。或大便屡下脓血。凡此皆为恶证。
其间寒热气急。烦渴悸惊。呕恶唾脓。咳嗽痰涎。自汗自利。如寻常发痈之状。亦类有此。
妇人尤多得之。内经有曰。息贲病、有人得之二三年。遍身微肿。其后大便与脐俱出脓血。
遂至不救。此亦肠痈之类。
寸口脉滑则为实。数则为热。滑则为营。数则为卫。卫下降。营上升。遇热则营卫相干。
血为浊败。小腹痞满。小便或难汗出。或复恶寒。脓为已成。设脉迟紧。聚为瘀血。血下则
愈。脓成引日。又诸浮数脉当发热。而反洒淅恶寒。若有痛处者。当积有脓。脉滑涩者小肠
痈出血者也。千金方云。官羽林妇病。医何以知林妇腹中有脓。为下之即愈。答曰。寸口脉
滑而数。滑则为实。数则为热。滑则为营。数则为卫。卫数下降。营滑上升。营卫相干。血
为腹满痞坚。小便或涩或复汗出。或复恶寒。脓为已成。设脉迟紧。即为瘀血。下则愈。
方
当归煎（出圣惠方）治肠内生痈肿。令人心隔间气滞。急痛、壮热、呕逆。小
便黄赤 。腹表发肿。肿中夜间如汤沸声。速须救疗。
当归（一两） 没药（三分） 麝香（半两细研） 乳香（半两） 桂心（半两） 朱
砂（半两细
研） 黄 （三分） 漏芦 自然铜 丁香（各半两） 木香（三分） 芎 （各半两） 麒
麟竭（二
分） 槟榔 云母粉 沉香 甘草 白蔹 白芷 密陀僧（各半两） 赤芍药（三分） 野
驼脂
（三两） 黄犬脂 （三两） 生地黄（半斤绞取汁） 上药除脂外为末。银锅内用好酒五
升。
慢火煎去二升。即下地黄汁。更煎渐脓。次入野驼脂。不住手以柳木篦搅如膏。即下药末。
更搅令匀。以瓷盒盛。每日空心。午晚间以甘草酒下一弹丸大。取涂贴患处。亦良。
木通散（出直指方）治肠痈热证。腹痛而强。发热恶寒。小便似淋。脓未成者
用此。
薏苡仁 木通 葶苈（炒） 甘草（炙） 川升麻 桔梗 桃仁（浸去皮炒） 赤茯苓 牡
丹
皮（各一两） 生干地黄 甜瓜子 败酱 赤芍药（各一两半） 大黄（半两） 朴硝（一
分） 上
为散。每服三钱。井水一盏半。姜五片。煎服。
犀角丸（出圣济总录）治肠痈。并一切痈疽、发背、肿毒。
犀角屑（一两半） 巴豆（十粒去皮心炒研去油） 大黄（三分蒸三度锉） 蜀椒（去
目并闭
口者炒去汗半两） 黄芩（去黑心） 防风（去叉） 人参 当归（切焙） 黄 （细锉） 藜
芦（去
芦头） 山栀子（去皮） 黄连（去须） 甘草（炙锉） 升麻（各半两） 上为末。炼蜜
丸如梧桐
子大。每服三丸。空心米饮下。加至四五丸。利下黄水为度。
牡丹散（出直指方）治肠痈冷证。腹濡而痛。时时利脓。
人参 牡丹皮 白茯苓 天麻 黄 木香 当归 川芎 辣桂（各三分） 白芷 薏
苡
仁甘草（炙各二分） 桃仁（浸去皮炒三分） 上为末。每服三钱。井水煎。食前服。
木通散（出圣惠方）治肠痈小便不利似淋。腹中苦痛。寒热汗出。时时利脓。
木通（锉） 薏苡仁（各一两） 生干地黄（二两） 甘草（炙微赤锉） 桔梗（去芦
头各一两）
丹参（二两） 麦门冬（一两去心） 赤芍药（一两半） 赤茯苓（一两） 败酱（二两） 牡
丹（一
两） 黄 （一两锉） 上为粗散。每服四钱。水一中盏。入生姜半分。煎至六分。去滓。
不
计时候温服。以小便利为度。
内补散（出医方集成）治诸发已溃。去旧生新。老人血气虚弱。宜补之。此溃
后服至愈而止。一名护壁都尉。及治肠痈冷证。痈疽等患。
人参 当归 川芎 浓朴（姜制） 防风 白茯苓 桔梗（焙） 白芷 辣桂 黄 （炙）
甘草（炙各等分） 上为末。每服三钱。温酒调下。如不饮酒。楠木香煎汤下。诸痈热证。
黄
栝蒌煎汤下。一方无白茯苓。
牡丹汤（出千金方）治肠痈。
牡丹皮（一两） 芍药 丹参 生干地黄（切焙各二两） 桔梗（锉炒） 麦门冬（去
心焙各
一两半） 甘草（炙） 赤茯苓（去黑皮） 败酱（各一两） 上粗捣筛。每服五钱。水二
盏。入
生姜五片。煎至一盏。去滓。空心日晚温服。
甜瓜子散 治肠痈肿痛妨闷。气欲绝。
甜瓜子（二两） 桃仁（浸去皮尖双仁麸炒微黄） 牡丹皮（各一两） 川大黄（一两
半锉微
炒） 川朴硝（一两） 薏苡仁（一两） 败酱（一两） 当归（半两） 槟榔（三分） 上
为散。每
服四钱。水一中盏。煎至六分。去滓。不计时候温服。
牡丹散（出圣惠方）治肠痈未成脓中。痛不可忍。
牡丹（二分） 川大黄（二两锉微炒） 木香 桃仁（汤浸去皮尖双仁麸炒微黄三分） 川
硝
（一两） 赤芍药（三分） 败酱 甜瓜子（各三分） 上为散。每服四钱。水一中盏。煎
至六
分。去滓。食前服。以利下脓血为度。
伏梁丸（出外科精要）治环脐肿痛。胃疮疽。
浓朴（姜汁制） 茯苓 枳壳（麸炒去瓤） 白术 人参 京三棱（炮） 半夏（汤洗
七次各
一两） 上为细末。面糊为丸。如小豆大。每服三十丸。食前米汤下。
梅仁汤（出圣济总录）治肠痈里急隐痛。大便闭塞。
梅核仁（四十九个去皮尖） 大黄（三两） 牡丹皮（一两三分） 冬瓜仁（四两） 犀
角（镑
一两半） 芒硝（二两半） 上 咀。如麻豆大。每服五钱。水二盏。煎一盏。去滓温服。
以
下脓血三两行为度。
赤茯苓散（出圣惠方）治肠痈小腹牢强。按之痛。小便不利。时有汗出。恶寒
脉迟。未成脓。
赤茯苓（一两） 甜瓜子（二两） 川大黄（二两锉碎微炒） 川芒硝（半两） 桃仁
（一两浸
去皮尖双仁麸炒微黄） 牡丹（一两半） 上为粗散。每服四钱。水一中盏。煎至六分。去
滓
温服。日三四服之。
大黄汤（出圣济总录）治肠痈。小腹坚肿。大如掌而热。按之则痛。其上色或
赤或白。小便稠数。汗出憎寒。其脉迟紧者未成脓。如脉数则脓已成。
大黄（锉炒） 牡丹皮 硝石（研） 桃仁（浸去皮双仁麸炒） 芥子（各半两） 上
粗捣筛。
每服五钱。水二盏。煎至一盏。去滓。空心温服。以利下脓血为度。未利再服。
牡丹汤（一名瓜子汤出千金方）治肠痈。小腹肿痞。按之即痛如淋。小便自调
。时时发热。自汗出恶寒。其脉迟紧者。浓未成。可下之。当有血。洪数者脓已成。不
可下。
大黄（蒸） 桃仁（去皮尖各十两） 牡丹皮（一钱一字） 栝蒌子（三分一作瓜子） 芒
硝
（二钱） 上锉散。以水三盏。煎八分。去滓。入芒硝再煎沸。不拘时顿服。一方用冬瓜子
一升。无栝蒌子。未效用败毒散。删繁方用芒硝半合。瓜子五合。刘涓子用硝石三合。云、
肠痈之病。小腹痞坚。或偏在膀胱左右。其色或白。坚大如掌热。小便自调。时欲汗出。其
脉迟坚者未成脓。可下之。当有血。脉数脓成。不复可下。
姜黄散 治内毒。
干姜（一两） 大黄（一两） 生姜（一两） 皂角刺（九个） 上用酒一碗。水一碗。
同煎至
一半。去滓温服。滓、酒水各一碗。再煎温服。须用瓦器煎。
四圣散（一名神效瓜姜散出直指方）治肠痈痈疽。生于脑、髭、背、腋、乳、
便毒。神效。
生黄栝蒌（一枚去皮） 粉草末（四钱） 没药末（三钱） 乳香末（一钱） 上用好
红酒二大
碗。慢火煎至一碗。分作两服。两日服尽。大便顺下恶物妙。若干栝蒌则用两枚。一方若病
在上食后服。病在下食前服。毒已结成。即脓化为水。毒未成即于小便中出。疾甚再合服。
以退为妙。
薏苡仁汤（一名瓜子汤出千金方）治肠痈。
薏苡仁（一升） 牡丹皮 桃仁（各三两） 瓜瓣仁（二升） 上 咀。以水六升。煮
取二升。
分再服。姚氏不用桃仁用杏仁。崔氏有芒硝二两。云、腹中疼痛。烦毒不安。或胀满不思饮
食。小便涩。此病多是肠痈。人多不识。妇人产后虚热者。多成此病。纵非痈疽。疑是便服
此汤。
瓜子汁（出圣惠方）治肠痈壮热恶寒。微汗气急。小腹痛。小便涩。或大便如
刀锥刺痛。或有浓。腹中已成脓。
瓜子仁（三合与水六协议研绞取汁） 当归（切焙一两捣未） 蛇蜕（一条烧灰研） 上
将二
味末和匀。分作二服。用瓜子汁调下。空心日午服。下脓血瘥。
薏苡仁附子败酱散（出鲍氏方）治脉数身无热。腹无积聚。按之濡。此为肠痈
。及治腹痈有脓者。
薏苡仁（二两半） 附子（炮半两） 败酱（一两一分） 上为锉散。每服四钱。水一
盏半。
煎七分。去滓。空心服。小便利为效。一方入生姜半分同煎。
鸡毛散（出千金方）治肠痈。
雄鸡顶上毛（烧灰） 雄鸡屎（烧灰各一两） 上为细散。每用温酒二合。空心调下一
钱。
日晚再服。
烧枣散（出直指方）治肠痈。
干枣（连枝烧存性） 川百药煎（研细等分） 上为末。每服一钱。米饮调下。
治肠痈腹胀皮急。微汗。小腹重强。按之即痛。小便数似淋。未有脓方。（出圣
惠方）
牛蒡根（汁五合） 川芒硝（一两） 上药相和。煎一二沸。分为二服。空心及晚食前
温服。
治肠痈（出千金方）
用截取檐头尖少许烧灰。水和服。当作孔出脓血愈。
拔毒散（出千金方）凡肠痈其状。两耳叶纹理甲错。初患腹中苦痛。或绕脐有
疮如粟皮。热便脓血出。似赤白下。
用马蹄灰以鸡子白和涂。即拔气。不过再。
又方（出千金方）
用瓜子三升捣末。以水二升。煮取一升五合。分三服。
又方（出千金方）
用死人冢上土作泥。涂之
治内痈未作头者方（出千金方）
取伏鸡屎服之。即瘥。
又方（出千金方）
用马牙灰和鸡子涂之。干则易。
治肠痈腹脏瘀血运扑损。用大蓟叶生研。酒并小便任服。恶疮疥癣盐研。名四音
。又名刺蓟。山牛旁散。
治小肠痈毒皮软。疖不作头。（本草）
以茅针浓煎。和酒服。
木占斯散（一名内补散）治肠痈病在上当吐。病在下当下脓血。此谓肠痈之
属。其痈肿即服。诸疽痔若疮已溃。便早愈。发背无有不疗。不觉肿去。时常服去败
酱。多治妇人诸产。症瘕益良。\x（方见内补散）
Use human beard hair, burn it to ash, and apply it to the sore; it will heal immediately. Li Ji of the Tang Dynasty once fell ill, and his physician stated that treatment would only cease upon ingestion of beard ash. Emperor Taizong therefore personally cut off his own beard, burned it to ash, and bestowed it for him to ingest. Hence, Bai Juyi wrote: "Boiling beards into medicine, bestowing them upon meritorious officials."
Eliminate carbuncles and swelling (from *Bencao*)
Use the fresh leaves of *Jianzhongxiao* (Swelling-Disappearing Herb), crush them thoroughly, and apply as a poultice.
Treat carbuncles and swellings without heads (from *Bencao*)
Grind *Shuhui* (Malva verticillata) into powder and apply topically.
Mainly treat carbuncles, sores, rashes, and foot pain (from *Bencao*)
Crush *Luoyancao* (Convolvulus tricolor) and apply topically; alternatively, decoct it in water to wash the swollen area.
Treat carbuncles and swelling (from *Bencao*)
Use seeds of bitter eggplant (*Kuqiezi*), grind with vinegar, and apply to the carbuncle. The root can also be decocted for bathing.
Treat various sores and carbuncles that do not dissipate (from *Bencao*)
Take fresh *Baiyaogen* (Radix Bletillae), crush thoroughly, and apply. Replace when dry. If fresh roots are unavailable, use powder mixed with water for topical application.
Treat all malignant sores and carbuncles (from *Bencao*)
Decoct *Fengyanmei* (Rubus chingii) and ingest orally.
Treat various carbuncles and swellings before suppuration to draw out toxins (Formula see *Lifen San*)
Treat carbuncle sores and toxic swelling (from *Bencao*)
Grind taro leaves (*Yuye*) with salt until fine, and apply topically.
Expel wind-heat from the skin, and treat carbuncles and painful swelling flowing into the joints.
Crush leaves of *Huotanmucao* (Euphorbia humifusa), stir-fry in a vessel with salt and wine, and apply to the swollen area. Change once every night.
Treat carbuncles appearing in multiple locations (Formula see *Ersheng San*)
Method for treating carbuncles without heads requiring incision
Grind *Huangyao* (Dioscorea bulbifera) with vinegar and apply.
Treat carbuncles and swelling
Decoct *Shengma* (Cimicifuga rhizome), moisten cotton with the decoction, and wipe the sore. Also treats smallpox-like eruptions.
Another prescription
Grind dental plaque (*Chi Xi*) and black lice together, and apply.
Another prescription
Mix with black mud water from an east-facing latrine pit and ingest. Unsuppurated cases will dissipate; suppurated cases will rupture.
Treat emerging toxic carbuncles without heads, presenting with unbearable redness, swelling, and pain.
First, fashion a ring from bamboo strips sized to the swelling. Place the ring on the swollen area. Introduce three to five leeches (*Mahuang*) into the ring to suck out toxic blood; the swelling will subside immediately.
(Attached Discussion)
Carbuncles manifesting externally are visible to humans and are still considered critical ailments. How much more dangerous are those hidden within the intestines, causing pain in unpredictable locations and remaining invisible?
Generally, carbuncles and ulcers arise in five primary sites. Externally, they present as back carbuncles (*Fabei*), brain carbuncles (*Fanao*), eyebrow carbuncles (*Famei*), beard carbuncles (*Faxu*), and cheek carbuncles (*Fayi*). Internally, they present as intestinal carbuncles (*Changyong*), heart carbuncles (*Xinyong*), kidney carbuncles (*Shenyong*), lung carbuncles (*Feiyong*), and umbilical carbuncles (*Qiyong*). With proper treatment, there is hope; a slight error leads to total collapse. Why? In intestinal carbuncles, the patient's skin becomes rough like fish scales, the abdominal wall is tense resembling swelling, yet feels soft upon palpation. There is no high fever, and no masses in the abdomen. This results from the accumulation of yin-cold. It should be treated with damp-warming herbs. If there is no sweat, shivering, and aversion to cold, accompanied by a hard, swollen lower abdomen that is painful to touch, and frequent, difficult urination resembling strangury, this indicates internal heat binding. Cool purgatives should be used. A slow, tight pulse indicates unsuppurated stage where purgation is appropriate; a rapid, surging pulse indicates suppuration where purgation is contraindicated. Severe cases involve abdominal distension, audible fluid sounds when turning, sores around the navel discharging pus, chronic pus discharge from the umbilicus, or frequent passage of pus and blood in stool. These are all malignant signs. Symptoms such as alternating chills and fever, shortness of breath, irritability, thirst, palpitations,惊惧 (fright), vomiting, expectoration of pus, coughing with phlegm, spontaneous sweating, and diarrhea mirror common carbuncle symptoms and are similarly present in intestinal carbuncles. Women are particularly susceptible. The *Neijing* states: In *Xiben* disease, patients may suffer for two or three years with mild generalized edema, eventually passing pus and blood from both the bowels and the umbilicus, leading to death. This too belongs to the category of intestinal carbuncles.
A slippery pulse at the cunkou position indicates excess; a rapid pulse indicates heat. Slippery relates to Ying (Nutritive Qi); rapid relates to Wei (Defensive Qi). When Wei descends and Ying ascends, encountering heat causes them to conflict, turbidifying the blood. This leads to lower abdominal fullness, difficulty urinating or sweating, or recurrent aversion to cold, indicating suppuration has formed. If the pulse is slow and tight, stasis of blood is aggregated; downward movement of blood brings cure. Delay in suppuration prolongs the illness. Furthermore, floating-rapid pulses usually indicate fever; if instead there is shivering and aversion to cold with localized pain, pus is accumulating. Slippery-rough pulses indicate bleeding from small intestine carbuncles. The *Qianjin Fang* records: An official’s wife fell ill. How did the physician know there was pus in her abdomen? She was cured by purgation. He replied: The cunkou pulse was slippery and rapid. Slippy indicates excess; rapid indicates heat. Slippy is Ying; rapid is Wei. Rapid Wei descends, slippery Ying ascends. Their conflict causes abdominal fullness and hardness, urinary difficulty or sweating, or recurrent aversion to cold, confirming suppuration. If the pulse were slow and tight, it would be blood stasis, cured by purgation.
Formulas:
*Danggui Jian* (Angelica Decoction, from *Shenghui Fang*): Treats intestinal carbuncles causing qi stagnation in the chest and diaphragm, acute pain, high fever, vomiting, yellow-red urine, external swelling, and nocturnal bubbling sounds within the swelling. Requires urgent treatment.
Ingredients: Danggui (1 liang), Moyao (3 fen), Shexiang (0.5 liang, finely ground), Ruxiang (0.5 liang), Guixin (0.5 liang), Zhusha (0.5 liang, finely ground), Huangqi (3 fen), Loulu, Ziran Tong, Dingxiang (0.5 liang each), Muxiang (3 fen), Xiong (0.5 liang each), Qilinjie (2 fen), Binglang, Yunmu Fen, Chenxiang, Gancao, Bailian, Baizhi, Mituseng (0.5 liang each), Chishao Yao (3 fen), Ye Tuozhi (3 liang), Huang Quan Zhi (3 liang), Sheng Dihuang (0.5 jin, juice extracted). All ingredients except fats are powdered. Add 5 sheng of good wine to a silver pot, simmer slowly until reduced to 2 sheng. Add Dihuang juice, continue simmering until thick like pus. Add Ye Tuozhi, stirring constantly with a willow spatula until paste-like. Add the powdered ingredients, mix well, and store in a porcelain box. Take one pill-sized dose (size of a bean) with Gancao wine on an empty stomach at noon and evening. Can also be applied topically. Effective.
*Mutong San* (Akebia Powder, from *Zhizhi Fang*): Treats intestinal carbuncle heat syndrome, abdominal pain with rigidity, fever with aversion to cold, and strangury-like urination. For unsuppurated stages.
Ingredients: Yiyiren, Mutong, Tingli (stir-fried), Gancao (honey-fried), Chuan Shengma, Jiegeng, Tao Ren (soaked, peeled, stir-fried), Chi Fuling, Mudan Pi (1 liang each), Sheng Gan Dihuang, Tian Gua Zi, Baijiang, Chishao Yao (1.5 liang each), Dahuang (0.5 liang), Puxiao (1 fen). Powdered. Take 3 qian per dose with 1.5 zhan of well water and 5 slices of ginger. Decoct and drink.
*Xijiao Wan* (Rhinoceros Horn Pill, from *Shengji Zonglu*): Treats intestinal carbuncles, all carbuncles/ulcers, back carbuncles, and toxic swellings.
Ingredients: Xijiao Xie (1.5 liang), Badou (10 grains, peeled, core removed, stir-fried, ground, oil removed), Dahuang (3 fen, steamed three times, crushed), Shujiao (half liang, remove eyes and closed ones, stir-fried to remove sweat), Huangqin (remove black heart), Fangfeng (remove forks), Renshen, Danggui (cut and baked), Huangqi (finely crushed), Lilu (remove root head), Shanzhizi (peeled), Huanglian (remove threads), Gancao (honey-fried, crushed), Shengma (0.5 liang each). Powdered, honey-pilled to size of paulownia seeds. Take 3 pills on an empty stomach with rice water. Increase to 4-5 pills. Stop when yellow fluid is discharged.
*Mudan San* (Peony Powder, from *Zhizhi Fang*): Treats intestinal carbuncle cold syndrome, soft but painful abdomen, frequent passage of pus.
Ingredients: Renshen, Mudan Pi, Bai Fuling, Tianma, Huangqi, Muxiang, Danggui, Chuanxiong, Lagui (3 fen each), Baizhi, Yiyiren, Gancao (honey-fried, 2 fen each), Tao Ren (soaked, peeled, stir-fried, 3 fen). Powdered. Take 3 qian per dose with well water. Take before meals.
*Mutong San* (Akebia Powder, from *Shenghui Fang*): Treats intestinal carbuncle with difficult urination resembling strangury, severe abdominal pain, chills/fever, sweating, and frequent pus discharge.
Ingredients: Mutong (crushed), Yiyiren (1 liang each), Sheng Gan Dihuang (2 liang), Gancao (honey-fried, slightly red, crushed), Jiegeng (remove root head, 1 liang each), Danshen (2 liang), Maidong (1 liang, remove heart), Chishao Yao (1.5 liang), Chi Fuling (1 liang), Baijiang (2 liang), Mudan (1 liang), Huangqi (1 liang, crushed). Coarse powder. Take 4 qian per dose with 1 zhan of water and half a slice of ginger. Decoct to 0.6 zhan, strain. Drink warm anytime. Stop when urination normalizes.
*Neibu San* (Internal Tonification Powder, from *Yifang Jicheng*): Treats ruptured carbuncles, removing old tissue and generating new. Suitable for elderly with weak qi and blood. Take until healed. Also known as Hubi Duwei. Treats intestinal carbuncle cold syndrome, carbuncles, etc.
Ingredients: Renshen, Danggui, Chuanxiong, Nongpu (ginger-processed), Fangfeng, Bai Fuling, Jiegeng (baked), Baizhi, Lagui, Huangqi (honey-fried), Gancao (honey-fried, equal parts). Powdered. Take 3 qian per dose with warm wine. If unable to drink wine, use Nanmuxiang decoction. For heat syndromes, use Huanggua Lou decoction. One version lacks Bai Fuling.
*Mudan Tang* (Peony Decoction, from *Qianjin Fang*): Treats intestinal carbuncles.
Ingredients: Mudan Pi (1 liang), Shaoyao, Danshen, Sheng Gan Dihuang (cut and baked, 2 liang each), Jiegeng (crushed, stir-fried), Maidong (remove heart, bake, 1.5 liang each), Gancao (honey-fried), Chi Fuling (remove black skin), Baijiang (1 liang each). Coarsely crushed and sieved. Take 5 qian per dose with 2 zhan of water and 5 slices of ginger. Decoct to 1 zhan, strain. Drink warm on an empty stomach and in the evening.
*Tian Guazi San* (Sweet Melon Seed Powder): Treats intestinal carbuncle with painful swelling and stifling sensation, near-death gasping.
Ingredients: Tian Guazi (2 liang), Tao Ren (soaked, peeled, pointed end removed, double kernel, bran-stir-fried until light yellow), Mudan Pi (1 liang each), Chuan Dahuang (1.5 liang, crushed, lightly stir-fried), Chuan Puxiao (1 liang), Yiyiren (1 liang), Baijiang (1 liang), Danggui (0.5 liang), Binglang (3 fen). Powdered. Take 4 qian per dose with 1 zhan of water. Decoct to 0.6 zhan, strain. Drink warm anytime.
*Mudan San* (Peony Powder, from *Shenghui Fang*): Treats intestinal carbuncle before suppuration, unbearable pain.
Ingredients: Mudan (2 fen), Chuan Dahuang (2 liang, crushed, lightly stir-fried), Muxiang, Tao Ren (hot water soaked, peeled, pointed end removed, double kernel, bran-stir-fried until light yellow, 3 fen), Chuan Xiao (1 liang), Chishao Yao (3 fen), Baijiang, Tian Guazi (3 fen each). Powdered. Take 4 qian per dose with 1 zhan of water. Decoct to 0.6 zhan, strain. Take before meals. Stop when pus and blood are discharged.
*Fuliang Wan* (Beam Pill, from *Waike Jingyao*): Treats peri-umbilical swelling and pain, gastric carbuncle/ulcer.
Ingredients: Nongpu (ginger juice processed), Fuling, Zhike (bran-stir-fried, pulp removed), Baizhu, Renshen, Jing Sanleng (roasted), Banxia (water-boiled seven times, 1 liang each). Fine powder, paste-pilled to size of small beans. Take 30 pills before meals with rice soup.
*Meiren Tang* (Plum Kernel Decoction, from *Shengji Zonglu*): Treats intestinal carbuncle with tenesmus and dull pain, fecal obstruction.
Ingredients: Meiheren (49 kernels, peeled and pointed ends removed), Dahuang (3 liang), Mudan Pi (1.3 liang), Dongguaren (4 liang), Xijiao (shaved, 1.5 liang), Mangxiao (2.5 liang). Cut into hemp-seed sizes. Take 5 qian per dose with 2 zhan of water. Decoct to 1 zhan, strain, drink warm. Stop when 2-3 bouts of pus/blood are passed.
*Chifuling San* (Red Poria Powder, from *Shenghui Fang*): Treats intestinal carbuncle with firm lower abdomen, pain on pressure, difficult urination, occasional sweating, aversion to cold, slow pulse, unsuppurated.
Ingredients: Chifuling (1 liang), Tian Guazi (2 liang), Chuan Dahuang (2 liang, crushed, lightly stir-fried), Chuan Mangxiao (0.5 liang), Tao Ren (1 liang, soaked, peeled, pointed end removed, double kernel, bran-stir-fried until light yellow), Mudan (1.5 liang). Coarse powder. Take 4 qian per dose with 1 zhan of water. Decoct to 0.6 zhan, strain, drink warm. Take 3-4 times daily.
*Dahuang Tang* (Rhubarb Decoction, from *Shengji Zonglu*): Treats intestinal carbuncle. Hard, swollen lower abdomen, palm-sized and hot, painful on pressure, skin color red or white, thick frequent urination, sweating with aversion to cold. Slow-tight pulse indicates unsuppurated; rapid pulse indicates suppuration.
Ingredients: Dahuang (crushed, stir-fried), Mudan Pi, Xiaoshi (ground), Tao Ren (soaked, peeled, double kernel, bran-stir-fried), Zijie (0.5 liang each). Coarsely crushed and sieved. Take 5 qian per dose with 2 zhan of water. Decoct to 1 zhan, strain. Drink warm on empty stomach. Stop when pus/blood discharged. Repeat if not discharged.
*Mudan Tang* (aka Guazi Tang, from *Qianjin Fang*): Treats intestinal carbuncle. Swollen lower abdomen, painful on pressure like strangury, normal urination, intermittent fever, spontaneous sweating with aversion to cold. Slow-tight pulse: unsuppurated, purgation indicated, blood expected. Surging-rapid pulse: suppuration, purgation contraindicated.
Ingredients: Dahuang (steamed), Tao Ren (peeled, pointed ends removed, 10 liang each), Mudan Pi (1 qian 1 zi), Gualouzi (3 fen, substitute Guazi), Mangxiao (2 qian). Crushed. Decoct 3 zhan water to 0.8 zhan, strain, add Mangxiao, boil again. Drink at any time. Another version uses 1 sheng winter melon seed, no Gualouzi. For unverified efficacy, use Baidu San. Shanfan Fang uses 0.5 he Mangxiao, 0.5 he Guazi. Liu Juanzi uses 0.3 he Xiaoshi. Note: Intestinal carbuncle presents with hard lower abdomen, possibly lateral to bladder, white color, palm-sized heat, normal urination, desire to sweat. Slow-hard pulse: unsuppurated, purgation indicated, blood expected. Rapid pulse: suppuration, no further purgation.
*Jianghuang San* (Turmeric Powder): Treats internal toxins.
Ingredients: Ganjiang (1 liang), Dahuang (1 liang), Shengjiang (1 liang), Zaojiaoci (9 spikes). Decoct 1 bowl wine + 1 bowl water to half volume, strain, drink warm. Residue add 1 bowl wine + 1 bowl water, decoct again, drink warm. Must use clay pot.
*Sisheng San* (Four Sages Powder, aka Shenxiao Guajiang San, from *Zhizhi Fang*): Treats intestinal carbuncles/ulcers arising in head, beard, back, axilla, breast, groin. Highly effective.
Ingredients: Sheng Huang Gualou (1 fruit, peeled), Fencamo (4 qian), Moyao mo (3 qian), Ruxiang mo (1 qian). Decoct in 2 large bowls of good red wine over low heat to 1 bowl. Divide into two doses, finish over two days. Ideal if foul matter passes via bowels. Use 2 fruits if dried. Another version: take after meals for upper body diseases, before meals for lower body. If toxin consolidated, pus turns to water; if not consolidated, exits via urine. Repeat if severe. Best to retreat gradually.
*Yiyiren Tang* (Coix Seed Decoction, aka Guazi Tang, from *Qianjin Fang*): Treats intestinal carbuncles.
Ingredients: Yiyiren (1 sheng), Mudan Pi, Tao Ren (3 liang each), Guanbanren (2 sheng). Cut up. Decoct 6 sheng water to 2 sheng. Divide into two doses. Yao Shi uses Xingren instead of Tao Ren. Cui Shi adds 2 liang Mangxiao, noting: abdominal pain, restlessness, distension, loss of appetite, difficult urination. Often intestinal carbuncle, often unrecognized. Postpartum women with deficiency-heat often develop this. Even if not carbuncle, suspect and try this decoction.
*Guazi Zhi* (Melon Seed Juice, from *Shenghui Fang*): Treats intestinal carbuncle with high fever, aversion to cold, slight sweating, shortness of breath, lower abdominal pain, difficult urination, or stabbing bowel pain like knife/cone, or existing pus/suppuration.
Ingredients: Guazi Ren (3 he, ground with 6 yi water, squeezed for juice), Danggui (cut, baked, 1 liang, powdered), Shetui (1 strip, burnt to ash, ground). Mix powders, divide into two doses. Mix with Guazi juice. Take on empty stomach and at midday. Cure when pus/blood discharged.
*Yiyiren Fuzi Baijiang San* (Coix Seed, Aconite, and Patrinia Powder, from *Baoshi Fang*): Treats rapid pulse, no body heat, no abdominal mass, soft on pressure, indicating intestinal carbuncle. Also treats abdominal carbuncles with pus.
Ingredients: Yiyiren (2.5 liang), Fuzi (roasted, 0.5 liang), Baijiang (1.1 liang). Coarse powder. Take 4 qian per dose with 1.5 zhan water. Decoct to 0.7 zhan, strain. Take on empty stomach. Effective when urination increases. Another version adds half a slice of ginger.
*Jimao San* (Chicken Feather Powder, from *Qianjin Fang*): Treats intestinal carbuncles.
Ingredients: Xiongji Ding Shang Mao (ash, 1 liang), Xiongji Shi (ash, 1 liang). Fine powder. Take 1 qian with 2 he warm wine on empty stomach. Repeat in evening.
*Shaozao San* (Burnt Date Powder, from *Zhizhi Fang*): Treats intestinal carbuncles.
Ingredients: Ganzao (burnt with branches to retain nature), Chuan Baiyaojian (finely ground, equal parts). Powdered. Take 1 qian per dose with rice water.
Treatment for intestinal carbuncle with abdominal distension, tight skin, slight sweating, heavy/hard lower abdomen, pain on pressure, frequent strangury-like urination, unsuppurated (from *Shenghui Fang*)
Ingredients: Niubanggen juice (5 he), Chuan Mangxiao (1 liang). Mix, boil briefly, divide into two doses. Drink warm on empty stomach and before evening meal.
Treatment for intestinal carbuncle (from *Qianjin Fang*)
Take a small amount of eaves tip, burn to ash, mix with water, ingest. Should form a hole discharging pus/blood for cure.
*Badu San* (Toxin-Drawing Powder, from *Qianjin Fang*): Signs of intestinal carbuncle include rough texture on earlobes, initial severe abdominal pain, or sores around navel like millet husk, heat followed by pus/blood discharge resembling dysentery.
Use horse hoof ash mixed with egg white for topical application to draw out qi. Apply twice.
Another prescription (from *Qianjin Fang*)
Grind 3 sheng melon seeds into powder, decoct in 2 sheng water to obtain 1.5 he. Divide into three doses.
Another prescription (from *Qianjin Fang*)
Apply mud made from soil from a grave mound.
Treatment for internal carbuncles without heads (from *Qianjin Fang*)
Ingest hen manure kept under a brooding hen. Cures immediately.
Another prescription (from *Qianjin Fang*)
Mix horse tooth ash with egg white for topical application. Change when dry.
Treatment for intestinal carbuncle with abdominal organ blood stasis from trauma/falls: Crush fresh Dachijiye (Great Thistle leaf) raw, ingest with wine or urine as preferred. For malignant sores/scabies/lichen, grind with salt. Known as Siyin, Ci Ji, or Shanniupang San.
Treatment for small intestine carbuncle toxicity with soft skin, boils without heads (from *Bencao*)
Decoct Maozhen (bamboo shoots) strongly, mix with wine, ingest.
*Muzhansi San* (aka Neibu San): Treats intestinal carbuncle. Disease above induces vomiting; disease below induces pus/blood discharge. This category includes intestinal carbuncles. Take for swelling. For ulcers/hemorrhoids/sores already ruptured, promotes early healing. Back carbuncles always treatable. Reduces swelling unnoticed. Long-term use removes Baijiang. Particularly good for women’s postpartum conditions and masses. (See Neibu San formula).