（附论）
夫痈肿若寒多及毒深。外证虽结聚KT 硬不消。疼痛难住。未能腐化。或已穿穴。经
久不瘥。在外者须以药蚀。在里者须以药托。令毒瓦斯发泄。荣卫流通。则痈疽得瘥矣。所以
着追引蚀痈之方。
方
覆煎散 治诸般痈疽、肿毒、疖毒。
归梢（一钱） 归身（二钱） 防风梢（一钱） 风身（一钱） 苏木（半钱） 黄柏
（二钱） 甘
草（二钱半） 全蝎（一钱） 陈皮（一钱） 羌活（一钱） 人参（五分） 黄芩（一钱）
防己（五
分） 连翘（三分） 本（一钱） 黄 （一钱） 桔梗（二钱） 泽泻（五分） 知母
（五分） 生
地黄（五分） 芍药（一钱） 上为粗散。只作一服。煎先用井水浸药一个时辰。再用长流
水一
大碗。煎七分。又用好酒数十滴入药内。作一服。温饮。看病上下食前后。
治发背、脑疽、疔疮、恶肿。
发背疔疮与脑疽 麝香没药乳当归 腻粉官粉各等分 一对蜈蚣尤焙枯 粉霜砒信各半
字一钱脑子细罗酥 蟾汁振尖加菜子 通针深送入疮疽 半热半痛过半日 管取医教命再
苏
千金漏芦汤 治肿痈疖无名肿毒。皆可服。
生大黄 白蔹 甘草 赤芍药 黄芩 白芨 升麻 麻黄 枳壳 山栀子 当归须（各
等分） 上 咀。水一盏半。煎七分。去滓。空心服。
丁香散 治痈疽发背。热毒攻 。肌肉赤色。疼痛欲成脓。令速溃。
丁香 赤小豆（各半两） 寒水石（一两） 羊桃根 硝石（研） 大黄（各一两） 木
香白
蔹榆皮（锉） 防己（各三分） 上捣罗为散。先以雄雀屎七粒。乳香一块。细研。以醋
调和。
涂疮头上。以醋调药末如糊。摊故帛上。贴之。干则易。
龙射破棺散 治一切痈疽、发背、肿恶。
藿香 地丁 栝蒌 红藤 甘草 紫草（各一两） 黄 （五钱） 当归（五钱） 上
为细
末。每服二钱。水调下。
通关散 治一切痈疽、无头肿痛。宜通立愈。
大黄（一两） 牡蛎（半两烧） 山栀子（三钱） 地龙（二钱） 甘草（三钱炒） 上
为末。每
服五钱。水一盏。煎至六分。去滓温服。以利为度。
乳香拔毒散 治一切痈肿疮疖。消毒止痛。
黄柏（去粗皮） 黄芩（去肉各二两） 地骨皮（一两） 乳香（另研三钱） 没药（另
研三钱）
上为末。井水调作膏子。摊在纸花上。贴于疮处。
追毒丸 治痈疽已溃。蚀恶肉。
巴豆（去皮心膜十四枚） 白丁香（二十一枚） 豆豉（二十一粒） 屁盘虫（七枚） 上
同研
细。滴水丸捻如雀粪大。 疮内。追汁尽即止。
搜脓散（出外科精要）治年深不瘥。恶疮有脓。不能自出。
芎 （二两） 白芷（二两） 白芍药（三两） 轻粉（二钱） 上为细末。每用干掺
疮口上。
疮口
搜脓散（出御药院方）治诸疽疮脓汁不绝。腐肉未尽。
黄 白芍药 香白芷（各等分） 上为细末。干掺患处，只可少许。却用膏药敷贴。
日
一换。
透肌丸 治痈疽肿未有头。疼痛不可忍。
硼砂（研） 斑蝥（去翅足米炒） 乌头尖 上等分。捣研为末。醋煮面糊丸如小豆大。
捻
令匾。贴在疮上。却用膏药花子盖透为度。如恶物出尽。次用后方合疮口。
生肌散
白矾（烧令升尽一两） 黄连末（一分） 轻粉（一分） 上同研细。不拘多少。掺疮
口上。
候生肉满。脓水尽。疮口干即止。为效。
追脓散 治痈肿疖毒。出脓疼痛。
湿生虫（五十枚瓦上焙干） 小麦（五十粒） 麝香（研半钱） 上捣研为末。每用一
字。
在疮内
通关膏 治疮疖痈疽等无头者。
乳香 轻粉（各等分） 上研匀。津唾调。涂肿处。以纸贴之。
败毒丸 治一切痈疮未破。
巴豆（去皮心膜三枚） 铅丹（少许） 上同研。入生面少许。再研匀。丸麻子大。每
以一
丸安疮口。外以膏药贴之。脓即出。
栝蒌酒 治痈疖多日不熟。无头者。
栝蒌（一枚） 甘草（三寸） 上锉碎。用酒一盏。量人虚实。入腻粉少许。煎三五沸。
去
滓。临卧温服。夜半疏动一行。其疮自消。
葱香涂敷方 治肿毒及痈疖不穴。
煨葱（一茎） 乳香（如枣核大一枚） 上烂研。涂肿上即溃。
治无名肿毒、发背、脑疽。皆可治之。
炒黄柏粉（五分） 炒半夏末（一分将黄下灯草末同炒要研草法阳手送阴手接下盆细研）
上研细。无根水调。敷之甚效。
治脓溃后疮不合方（出千金方）
用烧鼠皮一枚为末。敷疮孔中。
又方（出千金方）
熟嚼大豆。以敷之。
又方（出千金方）
炒乌麻令黑。熟捣以敷之。
又方（出千金方）
以牛屎敷之。干即易。
又方（出千金方）
烧破蒲席灰。腊月猪脂和。纳孔中。
治肿毒未成头热痛方
以蛴螬不计多少。生研细。入少面并醋三两。滴调纸花子上摊。剪一眼子。时以水润。
觉药力尽。再用。候痒揭去。自然脓出为效。
治痈未有头。使必穴方。
取茅针一枚。尖正同具者。以水煎十数沸。服之立溃。若两茎即生两孔。或断折一锥为
二。亦两孔。
咽葵子方 治痈疖无头。
取葵子一合。以津咽三五枚。多咽即头出多。假令咽一粒。穿一穴也。随痈疖大小。不
可过多。
雀粪涂敷方 治痈肿。速穿溃。
以雄雀粪二十一枚。用醋研和如糊。涂敷肿上。脓便出。未穴再涂即破。
地黄膏涂贴方 治热痈肿。结热振 。欲作脓。
以生地三斤。细切捣汁。用麻布绞其汁出。于铜器内慢火煎。搅成膏。取敷肿处。以故
帛涂贴之亦得。日三五次易。其痈即溃。
治痈疖诸肿难穿者。
用已出未变全生蜂儿。瓦上焙干。研末一分。生虾肉擂碎二分。合和。敷患处四边。留
中心。须臾、或穿或散极妙。
治背痈搭背。无名肿、毒疮。
用葡萄根捣碎敷患处。先用齑水洗净。后敷上葡萄根。野者妙。
又方
以捻拈草用粳米醋调。敷患处良。
治诸般背疽。无名肿毒。
用水一碗。熬至四分后。用好锻石少加七家锅煤。同下水内调匀。用瓷器内盛收。点患
处。有头无头皆可点之。神效。
(Attached Discussion)
If carbuncles and swellings present with excessive cold pathogens and deep-seated toxicity, although external symptoms show induration that does not dissipate and pain is unbearable without suppuration, or if perforation has occurred but healing is delayed for a long time. For those on the exterior, medicinal erosion is required; for those in the interior, medicinal support (pushing out toxins) is necessary. This allows the release of toxic qi and the circulation of Ying (Nutritive) and Wei (Defensive) Qi, thereby curing the carbuncle and gangrene. Therefore, these formulas for drawing out and eroding carbuncles are presented.
Formulas:
Fu Jian San (Decoction of Double Boiling) treats various carbuncles, gangrenes, swelling-toxins, and furuncles.
Danggui Shao (Radix Angelicae Sinensis Cauda, 1 qian), Danggui Shen (Radix Angelicae Sinensis Body, 2 qian), Fangfeng Shao (Saposhnikoviae Radix Cauda, 1 qian), Fangfeng Shen (Saposhnikoviae Radix Body, 1 qian), Sumu (Lignum Santali Rubrum, 0.5 qian), Huangbai (Cortex Phellodendri, 2 qian), Gancao (Radix Glycyrrhizae, 2.5 qian), Quanxie (Scorpio, 1 qian), Chenpi (Pericarpium Citri Reticulatae, 1 qian), Qianghuo (Notopterygii Rhizoma et Radix, 1 qian), Renshen (Radix Ginseng, 0.5 qian), Huangqin (Radix Scutellariae, 1 qian), Fangji (Stephaniae Tetrandrae Radix, 0.5 qian), Lianqiao (Fructus Forsythiae, 0.3 qian), Bencao (Ligustici Chuanxiong Rhizoma, 1 qian), Huangqi (Radix Astragali, 1 qian), Jiegeng (Radix Platycodonis, 2 qian), Zexie (Rhizoma Alismatis, 0.5 qian), Zhimu (Rhizoma Anemarrhenae, 0.5 qian), Shengdihuang (Radix Rehmanniae Preparata, 0.5 qian), Shaoyao (Radix Paeoniae Alba, 1 qian). Grind the above into a coarse powder. Prepare as a single dose. Soak the herbs in well water for one shichen (two hours) before decocting. Add one large bowl of running water and decoct until three-tenths remain. Add dozens of drops of good wine to the liquid. Take warm as a single dose. Adjust timing based on disease location (upper/lower) and relation to meals.
Treats back carbuncles (Fabei), brain gangrene (Naoju), ding sores (Dingchuang), and malignant swellings.
Formula for Fabei Dingchuang and Naoju:
Shexiang (Moschus), Moyao (Olibanum), Rushi (Resina Burserae), Danggui (Radix Angelicae Sinensis), Nifen (Calomelas), Guanfen (Plumbum Subacetatum) in equal parts. One centipede, specially roasted until dry. Qingfen (Hydrargyri Oxydum Rubrum), Pishuang (Arsenici Trioxidum), Xixin (Stibniti Sulphuretum) each half zi (approx. 1 qian). Bingpian (Borneolum Syntheticum), sifted finely. Su (Butyrum Bufonis) for mixing. ChanZhi (Secretio Toadis) added with a few rapeseed oils. Insert deeply into the sore with a needle. If half-hot and half-painful occurs, after half a day, life can be saved.
Qianjin Loulu Tang (Thousand Gold Decoction of Rhizoma Euphorbiae Humifusae) treats swelling carbuncles, furuncles, and unnamed swelling-toxins. Suitable for all.
Sheng Dahuang (Radix et Rhizoma Rhei Preparata), Bailian (Bulbus Iridis Tectorii), Gancao (Radix Glycyrrhizae), Chi Shaoyao (Radix Paeoniae Rubra), Huangqin (Radix Scutellariae), Baiji (Bulbus Coicis), Shengma (Rhizoma Cimicifugae), Mahuang (Herba Ephedrae), Zhike (Fructus Aurantii Immaturus), Shanzhizi (Fructus Gardeniae), Danggui Xu (Radix Angelicae Sinensis Cauda) in equal parts. Cut the herbs. Add one and a half bowls of water, decoct until seven-tenths remain. Strain. Take on an empty stomach.
Dingxiang San (Powder of Caryophylli Flos) treats carbuncle gangrene and back carbuncles. Heat-toxin attacks, muscles are red, painful and suppurating. Promotes rapid ulceration.
Dingxiang (Caryophylli Flos), Chixiaodou (Semini Phaseoli Angularis) each half liang. Hanshuishi (Gypsum Fibrosum, 1 liang). Yangtaogen (Radix Actinidia Polystachyae), Xiaoshi (Natrii Nitras), Dahuang (Radix et Rhizoma Rhei) each 1 liang. Muxiang (Radix Aucklandiae), Bailian (Bulbus Iridis Tectorii), Yupi (Cortex Ulmi) cut. Fangji (Stephaniae Tetrandrae Radix) each 3 fen. Grind and sieve into powder. First, grind seven male sparrow droppings and a piece of Rushi (Resina Burserae) finely. Mix with vinegar. Apply to the top of the sore. Mix the powder with vinegar to form a paste. Spread on old cloth and apply. Change when dry.
Long She Po Guan San (Dragon Shoots Breaking Coffin Powder) treats all carbuncles, gangrenes, back carbuncles, and malignant swellings.
Huoxiang (Agastaches Herba), Diding (Herba Siegesbeckiae), Gualou (Fructus Trichosanthis), Hongteng (Caulis Sargentodoxae), Gancao (Radix Glycyrrhizae), Zicao (Radix Arnebiae) each 1 liang. Huangqi (Radix Astragali, 5 qian), Danggui (Radix Angelicae Sinensis, 5 qian). Grind into fine powder. Take 2 qian per dose, mixed with water.
Tongguan San (Passing Through Obstruction Powder) treats all carbuncles, gangrenes, and headless swelling-pain. Promoting unblocking leads to immediate cure.
Dahuang (Radix et Rhizoma Rhei, 1 liang), Muli (Concha Ostreae, half liang, calcined), Shanzhizi (Fructus Gardeniae, 3 qian), Dilong (Pheretima, 2 qian), Gancao (Radix Glycyrrhizae, 3 qian, stir-fried). Grind into powder. Take 5 qian per dose. Add one bowl of water, decoct until six-tenths remain. Strain and take warm. Stop when bowel movement occurs.
Rushi Badu San (Olibanum Pulling Out Toxin Powder) treats all carbuncles, swellings, sores, and furuncles. Disinfects and relieves pain.
Huangbai (Cortex Phellodendri, remove rough bark), Huangqin (Radix Scutellariae, remove woody part) each 2 liang. Digupi (Cortex Lycii, 1 liang). Rushi (Resina Burserae, separately ground, 3 qian), Moyao (Olibanum, separately ground, 3 qian). Grind into powder. Mix with well water to form a paste. Spread on paper flowers. Apply to the sore.
Zhui Du Wan (Chasing Toxin Pill) treats carbuncles and gangrenes that have ulcerated, eroding foul flesh.
Badou (Semen Crotonis, remove skin, heart, and membrane, 14 seeds). Baidingxiang (Excrement Passeris Domesticis Masculini, 21 pieces). Douchi (Semen Sojae Preparatum, 21 grains). Pipanchong (Excrement Blatta Orientalis, 7 pieces). Grind together finely. Add drops of water to make pills the size of sparrow droppings. Place inside the sore. Stop when pus flows completely.
Sou Nong San (Searching Pus Powder, from *Waike Jingyao*) treats chronic non-healing ulcers with pus that cannot discharge spontaneously.
Xiong (Radix Ligustici Chuanxiong, 2 liang), Baizhi (Radix Angelicae Dahuricae, 2 liang), Baishaoyao (Radix Paeoniae Alba, 3 liang), Qingfen (Hydrargyri Chloridum Corrosivum, 2 qian). Grind into fine powder. Dry-dust onto the wound opening.
Sou Nong San (Searching Pus Powder, from *Yuyao Yuanfang*) treats various gangrene sores with continuous pus discharge and incomplete removal of necrotic tissue.
Huangqi (Radix Astragali), Baishaoyao (Radix Paeoniae Alba), Xiang Baizhi (Radix Angelicae Dahuricae) in equal parts. Grind into fine powder. Dry-dust sparingly on the affected area. Cover with ointment plaster. Change once daily.
Tou Ji Wan (Penetrating Muscle Pill) treats carbuncles and gangrenes with swelling but no head, unbearable pain.
Pengsha (Borax, ground), Banmao (Mylabris, remove wings and feet, stir-fried with rice), Wutoujian (Radix Aconiti Lateralis Preparata Apice) in equal parts. Grind into powder. Make pills with vinegar and wheat starch paste, size of small beans. Flatten and apply to the sore. Cover with ointment flower paste until penetration is achieved. If foul matter discharges completely, use the following formula next to close the wound.
Shengji San (Generating Flesh Powder)
Baifan (Alumen, calcined until sublimation complete, 1 liang), Huanglianmo (Rhizoma Coptidis powder, 1 fen), Qingfen (Hydrargyri Chloridum Corrosivum, 1 fen). Grind finely together. Dust onto the wound opening as needed.
Stop when new flesh fills the wound, pus water is exhausted, and the wound becomes dry. This indicates efficacy.
Zhui Nong San (Chasing Pus Powder) treats carbuncles, swellings, and furuncle toxins causing pain upon pus discharge.
Shishengchong (Insect larvae, 50 pieces, roasted on tile), Xiaomai (Triticum aestivum grain, 50 grains), Shexiang (Moschus, ground, 0.5 qian). Grind into powder. Use one zi amount per dose. Place inside the sore.
Tongguan Gao (Passing Through Obstruction Ointment) treats headless sores, furuncles, carbuncles, and gangrenes.
Rushi (Resina Burserae), Qingfen (Hydrargyri Chloridum Corrosivum) in equal parts. Grind uniformly. Mix with saliva. Apply to the swollen area. Cover with paper.
Baidu Wan (Defeating Toxin Pill) treats all carbuncles and sores not yet broken.
Badou (Semen Crotonis, remove skin, heart, and membrane, 3 seeds), Qiandan (Minium, a little). Grind together. Add a little raw flour, grind uniformly. Make pills the size of sesame seeds. Place one pill in the sore opening. Cover externally with ointment plaster. Pus will discharge.
Gualou Jiu (Trichosanthes Wine) treats carbuncles and furuncles that have persisted for days without ripening and have no head.
Gualou (Fructus Trichosanthis, 1 fruit), Gancao (Radix Glycyrrhizae, 3 cun). Cut into pieces. Use one bowl of wine. Adjust according to patient's deficiency or excess. Add a little Nifen (Calomelas). Boil for three to five boils. Strain. Take warm before sleep. Bowel movement will occur at midnight. The sore will resolve naturally.
Congxiang Tufu Fang (Green Onion and Fragrance Topical Application Formula) treats swelling toxins and carbuncles/furuncles without perforation.
Wei Cong (Roasted green onion, 1 stalk), Rushi (Resina Burserae, size of a jujube pit, 1 piece). Grind thoroughly. Apply to the swelling to induce ulceration.
Treats unnamed swelling toxins, back carbuncles, and brain gangrenes. All can be treated.
Chao Huangbo Fen (Stir-fried Cortex Phellodendri powder, 5 fen), Chao Banxia Mo (Stir-fried Rhizoma Pinelliae powder, 1 fen, stir-fried with Dengcao end along with Huangxia, requires specific grinding technique). Grind finely. Mix with rootless water. Apply. Very effective.
Formula for Non-healing Wounds After Pus Discharge (from *Qianjin Fang*)
Use one burned mouse skin, ground into powder. Apply into the wound hole.
Another Formula (from *Qianjin Fang*)
Chew cooked soybeans thoroughly. Apply to the wound.
Another Formula (from *Qianjin Fang*)
Stir-fry black sesame until black. Cook and pound. Apply to the wound.
Another Formula (from *Qianjin Fang*)
Apply cow dung. Change when dry.
Another Formula (from *Qianjin Fang*)
Burn broken rush mat ash. Mix with pig fat from the twelfth lunar month. Insert into the hole.
Formula for Swelling Toxin Not Yet Formed Head, Hot and Painful
Use any number of wireworms (Qujialuo). Grind fresh finely. Add a little flour and three liang of vinegar. Mix to spread on paper flowers. Cut an eyelet. Keep moist with water. Reapply when drug power fades. Remove when itching occurs. Natural pus discharge indicates efficacy.
Formula to Ensure Perforation of Carbuncles Without Head
Take one thatch spike (Maozhen). Choose one with a straight tip. Decoct in water for ten to fifteen boils. Ingest. Ulceration occurs immediately. If two spikes, two holes form. Or break one cone into two, also forming two holes.
Swallowing Kuaizi Formula for Treating Headless Carbuncles/Furuncles
Take one he of kuaizi (Abelmoschus manihot seeds). Swallow three to five grains with saliva. Swallowing more results in more heads appearing. Swallowing one grain pierces one hole. Adjust according to the size of the carbuncle/furuncle. Do not overdose.
Sparrow Dropping Topical Formula for Treating Carbuncles/Swellings for Rapid Ulceration
Use twenty-one male sparrow droppings. Grind with vinegar to form a paste. Apply to the swelling. Pus will discharge. If not perforated, reapplying causes rupture.
Rehmannia Paste Topical Formula for Treating Heat Carbuncles/Swellings with Clamped Heat and Chills, Suppurating
Use three jin of Shengdihuang (Radix Rehmanniae Preparata). Cut finely and crush to extract juice. Squeeze juice through hemp cloth. Slow-fire decoct in a copper vessel, stirring into a paste. Apply to the swelling. Cover with old cloth. Change three to five times daily. The carbuncle will ulcerate.
Treating Difficult-to-Puncture Carbuncles, Furuncles, and Other Swellings
Use fully formed but untransformed live bee larvae. Roast on a tile until dry. Grind into powder (1 fen). Crush raw shrimp meat (2 fen). Mix and apply to the four sides of the affected area, leaving the center open. Soon, it will either puncture or dissipate, which is excellent.
Treating Back Carbuncles, Connecting Back, Unnamed Swellings, and Toxic Sores
Crush grape roots and apply to the affected area. First wash with brine water. Then apply grape roots. Wild ones are best.
Another Formula
Mix Nianniancao (Grass) with glutinous rice vinegar. Apply to the affected area. Good.
Treating Various Back Gangrenes and Unnamed Swelling-Toxins
Use one bowl of water. Boil down to four-tenths. Add a little high-quality Duan Shi (Calcined Alum) and coal dust from seven households' stoves. Mix evenly in the water. Store in a porcelain container. Dot onto the affected area. Effective whether there is a head or not. Divine efficacy.