仙方活命饮(一)治一切疮疡,不成脓者内消,已成脓者即溃,此止痛消毒之圣药也。
穿山甲(蛤粉炒黄) 白芷 防风 天花粉 赤芍药 归尾 乳香 没药 贝母 皂刺
甘草(各二钱) 金银花 陈皮(各三钱)
酒一碗,煎数沸。温服。
托里消毒散(二)治疮疽元气虚弱,或行攻伐不能溃散,服之未成即消,已成即溃,
腐肉即去,新肉即生。若腐肉既溃而新肉不能收敛,属气虚者,四君子汤为主;属血虚者,
四物汤为主;气血俱虚者,十全大补汤为主,并忌寒凉消毒之剂。
人参(随证增减) 黄 (盐水拌炒) 当归 川芎 芍药(炒) 白术(炒) 茯苓(各一钱)
金银花 白芷(各七分) 甘草 连翘(各五分)
上水煎服。陈氏托里消毒散内多陈皮。方在痘疮。
秘方托里散(三)治一切疮毒,始终常服,不致内陷。
栝蒌(大者一个,杵) 当归(酒拌) 黄 (盐水炒) 白芍药 甘草(各一两半)
熟地 天花粉 金银花 皂刺(炒,各一两)
上每用药五两,以无灰酒五茶钟,入瓷器内,浓纸封口,再用油纸重封,置汤锅内盖煮,
至药香取出分服,直至疮愈。立斋曰∶此方药品平易,消毒之功甚大,且不动脏腑,不伤血气,
不问阴阳肿溃,屡用屡效,真仙方也。常治发背脑疽势盛者,更用隔蒜灸之。若脉沉实,大小
便秘者,先用疏通而后用此,其功甚捷。若火毒已退,不作脓,或不溃者,更宜托里;溃而不
敛,及脓清者,用峻补。
神功托里散(四)一名金银花散。治痈疽发背,肠痈乳痈,及一切肿毒,或 痛,憎寒壮热。
金银花 黄 当归 甘草(等分)
上用酒水各一钟,煎至一钟。分病上下,食前食后服之,少顷,再服一剂, 敷息处。不
问老少虚实皆可服。若为末,酒调服尢妙。
参 托里散(五)治疮疡气血俱虚,不能起发,或腐溃不能收敛,及恶寒发热者。
人参(气虚多用之) 黄 (炒) 白术(炒) 当归 熟地 芍药(酒炒) 茯苓 陈皮(各一钱)
上水煎服。
参 内托散(六)方在痘疹七。治痈疽脓毒不化,及溃后作痛。
托里养营汤(七)治瘰 流注,及一切痈疽不足之证,不作脓,或不溃,或溃后发热,
或恶寒,肌肉消瘦,饮食不思,睡卧不宁,盗汗不止。
人参 黄 (炙) 当归(酒拌) 川芎 芍药(炒) 白术(炒,各一钱) 熟地(二钱)
五味子(炒研) 麦冬 甘草(各二分)
水二钟,姜三片,枣一枚,煎七分。食远服。
托里黄 汤(八)治痈疽气虚作渴甚效。
黄 (蜜炒,六钱) 甘草 天花粉(各一钱)
水二钟,煎八分。频服之。加人参一钱亦可。若气血俱虚,脓血大泄而作渴,或兼发
热者,宜用托里养营汤。
内补黄 汤(九)治痈毒内虚,毒不起化,及溃后诸虚迭见。
黄 (炙) 麦冬(各一两) 人参 熟地 茯苓 甘草(炙,各七分) 白芍药 当归
川芎 远志 官桂(各五分)
上每服一两,姜、枣、水煎服。
托里当归汤(十)治溃疡气血俱虚,或晡热内热,寒热往来,或妇人诸疮,经候不调,
小便频数,大便不实等证,
但疮疡气血虚而发热者,皆宜服之,久服亦收敛疮口。
人参 黄 当归 熟地 川芎 芍药(各一钱) 柴胡 甘草(各五分)
上水煎服。
托里健中汤(十二)治疮疡元气素虚,或因凉药伤胃,饮食少思,或作呕泻等证。
人参 白术 茯苓(各二钱) 半夏 炮姜(各一钱) 黄 (一钱半) 炙甘草(五分) 肉桂(三分)
上姜、枣、水煎服。
托里温中汤(十二) 治疮疡脓溃,元气虚寒,或因克伐,胃气脱陷,肠鸣腹痛,
大便溏泄,神思昏愦,此寒变内陷,缓则不治。
附子(炮,去皮脐,二钱) 干姜(炒,三钱) 益志 丁香 羌活 沉香 木香 茴香
陈皮(各一钱) 炙甘草(二钱)
上姜、水煎服。
托里益中汤(十三) 治中气虚弱,饮食少思,或疮不消散,或溃而不敛。
人参 白术 茯苓 炮姜 陈皮 半夏(各一钱) 木香 炙甘草(各五分)
上姜、枣、水煎服。
托里温经汤(十四)治疮疡寒覆皮毛,郁遏经络,不得伸越,热伏营中,聚结赤肿作
痛,恶寒发热,或痛引肢体。若头面肿痛 甚,仍宜砭之。
麻黄 升麻 防风 干葛 白芷 人参 当归 芍药 甘草 苍术(各一钱)
上水二钟,煎一钟服。卧暖处,得汗乃散。或加柴胡。
托里益黄汤(十五)治脾土虚寒,水反侮土,以致饮食少思,或呕吐泄泻等证。
人参 白术 茯苓 陈皮 半夏(各一钱) 炮姜 丁香 炙甘草(各五分)
上姜、枣水煎服。
托里清中汤(十六)治脾胃虚弱,痰气不清,饮食少思等证。
人参 白术 茯苓 陈皮(各一钱) 半夏(八分) 桔梗(七分) 甘草(五分)
上姜、枣、水煎服。
托里抑青汤(十七)治肝木侮脾,脾土虚弱,以致饮食少思,或胸膈不利等证。
人参 白术 茯苓 半夏 陈皮(各一钱) 芍药 柴胡 甘草(各五分)
上姜、枣、水煎服。
托里营卫汤(十八)治疮疡外无 肿,内便调和,乃邪在经铬也,宜用此药。
人参 黄 当归 甘草(炙) 红花 柴胡 连翘 苍术(米泔浸,炒) 羌活
防风 黄芩(各一钱) 桂枝(七分)
上酒、水煎服。
托里越鞠汤(十九)治六郁所伤,脾胄虚弱,饮食少思等证。
人参 白术(各二钱) 陈皮 半夏(各一钱) 山栀 川芎 香附 苍术(各七分)
炙甘草(五分)
上姜、枣、水煎服。
定痛托里散(二十)治疮疡血虚疼痛之圣药也。
粟壳(去蒂,炒,二钱) 当归(酒拌) 白芍药(炒) 川芎(各一钱半) 乳香
没药 肉桂(各一钱)
上姜、枣、水煎服。
内托复煎散(二一) 治疮疡 肿在外,其脉多浮,邪胜必侵于内,宜用此托之。
人参 白术(炒) 当归 黄 (盐水炒) 芍药(炒) 茯苓 甘草(炙) 地骨皮
肉桂 防己(酒炒) 黄芩(各一钱) 防风(二钱)
上先以苍术一升,水五升煎,去术入药,再煎至二升。终日饮之。
内托羌活汤(二二)治臀痈坚硬肿痛,两尺脉紧无力。
羌活 黄柏(各一钱) 防风 当归尾 本 肉桂(各一钱) 连翘 苍术(米泔浸,炒)
陈皮(各五分) 黄 (盐水炒,一钱半)
上水、酒各一钟,煎八分。食前服。
内塞散(二三) 治阴虚阳邪凑袭患肿,或溃而不敛,或风寒袭于患处,血气不能
营运,久不能愈,遂成漏证。
附子(童便浸,炮) 肉桂(去皮) 赤小豆 甘草 炙黄 (盐水炒) 当归(酒拌)
茯苓 白芷 桔梗(炒) 川芎 人参 远志(去骨) 浓朴(制,各一两) 防风(四钱)
上为末。每服二钱,空心温酒下。或酒糊丸,盐汤下。或炼蜜为丸亦可。
冲和汤(二四) 治疮属半阴半阳,似溃非溃,似肿非肿,此因元气虚弱,失于补
托所致。
人参 陈皮(各二钱) 黄 白术 当归 白芷(各一钱半) 茯苓 川芎 皂角刺(炒)
乳香 没药 金银花 甘草节(各一钱)
上水、酒各半煎服。
神效酒煎散(二五) 治一切疮疡,能托毒散毒,其效如神。
人参 没药(另研) 当归尾(各一两) 甘草(三钱) 栝蒌(一个,半生半炒)
上以酒三碗,煎二碗,分四服。或以为末,酒糊丸,桐子大。每服五十丸,用酒下。
善消毒活血。
人参黄 汤(二六)治溃疡饮食少思,无睡发热。
人参 白术 苍术 麦冬 陈皮 当归 升麻(各五分) 黄 (一钱) 黄柏(炒,四分)
上水煎服。
黄 人参汤(二七) 治溃疡虚热,无睡少食,或秽气所触作痛。
黄 (盐水炒,二钱) 人参 白术 苍术(米泔浸,炒) 当归(酒拌) 麦门冬
五味子(炒,敲,各一钱) 甘草(炙) 升麻 神曲(炒) 陈皮(各五分) 黄柏(酒炒,三分)
水两钟,姜三片,枣一枚,煎服。
黄 建中汤(二八) 内托痈疽诸毒。
黄 (蜜炙) 肉桂(各三两) 甘草(炙,二两) 白芍药(六两)
上每服一两,姜、枣、水煎服。
参术补脾汤(二九) 治肺疽脾气亏损,久咳吐脓,或中满不食,必服此药,补脾土以
生肺金,否则不治。
人参 白术(各二钱) 黄 (二钱半) 茯苓 当归 陈皮(各一钱) 麦冬(七分)
北五味(四分) 桔梗(六分) 炙甘草(五分)
上姜、枣、水煎服。
参 补肺汤(三十)治肺证咳喘短气,或肾水不足,虚火上炎,痰涎壅盛,或吐脓血,
发热作渴,小便短涩。
人参 黄 白术 当归 陈皮 茯苓(各一钱) 山药 山茱萸(各二钱) 五味子
炙甘草(各五分) 熟地黄(一钱半) 麦门冬 牡丹皮(各八分)
上姜、枣、水煎服。
益气养营汤(三一)治怀抱抑郁,或气血损伤,四肢颈项等处患肿,不问软硬,赤白
肿痛,或日晡发热,或溃而不敛。
人参 黄 (盐水炒) 当归 川芎 熟地 芍药(炒) 贝母 香附 茯苓 陈皮(各一钱)
白术(二钱) 柴胡(六分) 甘草 桔梗(各五分)
上姜、水煎服。口干加五味子、麦门冬;往来寒热加软柴胡、地骨皮;脓清加人参、黄 ;
脓多加川芎、当归;脓不止加人参、黄 、当归;肌肉迟生加白蔹、官桂。
补阴八珍汤(三二)治瘰 等疮,足三阴虚者。
人参 白术 茯苓 甘草 当归 川芎 熟地 芍药 黄柏(酒炒) 知母(酒炒,各七分)
上水煎服。
参术姜附汤(三三) 治疮疡真阳亏损,或误行汗下,或脓血出多,失于补托,以致
上气喘急,自汗盗汗,气短头
晕泄泻。
人参 附子(炮,去皮脐,各一两) 干姜 白术(各五钱)
上作二剂,水煎服。
附子理中汤(三四) 治疮疡脾胃虚寒,或误行攻伐,手足厥冷,饮食不入,或肠鸣
腹痛,呕逆吐泻。
附子 人参 白茯苓 白芍药(各三钱) 白术(四钱)
上水煎服。
六物附子汤(三五)治四气流注于足太阴经,骨节烦疼,四肢拘急,自汗短气,小便
不利,或手足浮肿。
附子(制) 防己 桂枝(各四钱) 炙甘草(二钱) 白术 茯苓(各三钱)
上作二剂,水一钟半,姜三片,煎一钟。食远服。
附子八物汤(三六)治疮疡阳气脱陷,呕吐畏寒,泄泻厥逆。
附子(炮) 干姜(炮) 芍药(炒) 人参 炙甘草 茯苓(各一钱) 肉桂(一钱)
白术(二钱)
上水煎,食远服。
回阳汤(三七)治脾肾虚寒,疮属纯阴,或药损元气,不肿痛,不腐溃,或腹痛泄泻,
呕吐厥逆,及阳气脱陷等证。
人参 白术 黄 (各三钱) 干姜(炮) 附子(炮) 甘草(炙) 陈皮 当归(各二钱)
柴胡 升麻(各五分)
上酒、水煎服。如不应,倍加姜、附。
(薛氏)加减八味丸(三八)治疮疡痊后及将痊,口干渴甚,或舌上生黄,或未患先渴。
此皆肾水枯竭,不能上
润,以致心火上炎,水火不能相济,故烦躁作渴,小便频数,或白浊阴痿,饮食不多,肌肤渐消,
或腿肿脚先瘦。服此以降心火,滋肾水,则诸证顿止。及治口舌生疮不绝。
熟地(八两,酒蒸捣膏) 山茱萸(酒浸,杵膏) 山药(各四两) 泽泻(蒸,焙)
白茯苓 牡丹皮(各三两) 桂心(一两) 北五味(四两半,炒)
上为细末,入二膏加炼蜜少许丸,桐子大。每服六七十丸,五更初、言语前,或空心用盐
汤送下。此即陈氏加减八味丸也,方在补阵一二三。
加味地黄丸(三九)治肝肾阴虚,疮毒,或耳内痒痛出水,或眼昏,痰气喘嗽,
或作渴发热,小便赤涩等证。
熟地 山药 山茱萸 白茯苓 泽泻 牡丹皮 柴胡 北五味(各为末,等分)
上将地黄掐碎,酒拌湿蒸烂杵膏,入诸药和匀,加炼蜜为丸,桐子大。每服百丸,空心白
汤送下。如不应,用加减八味丸。
当归川芎散(四十)治手、足少阳经血虚疮证,或风热耳内痒痛,生疮出水,或头
目不情,寒热少食,或妇女经水不调,胸膈不利,胁腹痞痛。
当归 川芎 柴胡 白术 芍药(各一钱) 山栀(炒,一钱二分) 牡丹皮 茯苓(各八分)
蔓荆子 甘草(各五分)
上水煎服。
加味败毒散(四一) 治足二阳经热毒流于脚根, 赤肿痛,寒热如疟,自汗短气,大
小便不利,或无汗恶寒,表里邪实者宜之。
羌活 独活 前胡 柴胡 桔梗 人参 茯苓 枳壳 甘草 川芎 大黄 苍术(各一钱)
水二钟,姜三片,煎服。
九味羌活汤(四二) 方在散阵四四。治疮疡风热郁遏, 肿作痛,或遍身作痛,或拘急
不利,及头痛恶寒脊强,脉浮紧。
加味羌活汤(四三) 即前汤加金银花、连翘,用解疮毒。
Xianfang Huoming Yin (Immortal Efficacy Decoction for Living Wounds) (1) Treats all kinds of sores and ulcers. For those without pus, it promotes internal resolution; for those with pus, it promotes immediate ulceration. It is a divine medicine for relieving pain and detoxifying.
Schizolobium Paradoxum Scale (Panax Notoginseng Radix et Rhizoma processed with clam powder until yellow), Angelica Dahurica Root (Baizhi), Saposhnikovia Divaricata Root (Fangfeng), Trichosanthes Root (Tianhuafen), Red Peony Root (Chishao), Caudex of Angelica Sinensis (Guiwei), Frankincense (Ruxiang), Myrrh (Moyao), Fritillaria Bulb (Beimu), Gleditsia Spine (Zaoci), Licorice Root (Gancao) (each 2 qian), Honeysuckle Flower (Jinyinhua), Tangerine Peel (Chenpi) (each 3 qian).
Decoct one bowl of wine, boil for a few times. Take warm.
Tuoli Xiaodu San (Supporting Interior and Detoxifying Powder) (2) Treats carbuncles and furuncles where the primordial qi is weak, or after aggressive treatments that fail to resolve them. After taking this, those without pus will dissipate, those with pus will ulcerate, necrotic flesh will be removed, and new flesh will grow. If the necrotic flesh has ulcerated but new flesh fails to converge, indicating Qi deficiency, Si Jun Zi Tang (Four Gentlemen Decoction) is the primary formula; if indicating Blood deficiency, Si Wu Tang (Four Substances Decoction) is the primary formula; if both Qi and Blood are deficient, Shi Quan Da Bu Tang (Ten Significant Tonifying Decoction) is the primary formula. Cold-natured detoxifying agents should be avoided.
Ginseng Radix (Ren Shen) (dose adjusted according to syndrome), Astragalus Membranaceus Root (Huangqi) (stir-fried with salt water), Angelica Sinensis Root (Danggui), Szechuan Lovage Rhizome (Chuanxiong), Peony Root (Shaoyao) (stir-fried), Atractylodes Macrocephala Rhizome (Baizhu) (stir-fried), Poria (Fuling) (each 1 qian), Honeysuckle Flower (Jinyinhua), Angelica Dahurica Root (Baizhi) (each 7 fen), Licorice Root (Gancao), Forsythia Fruit (Lianqiao) (each 5 fen).
Decoct in water and take orally. Chen's Tuoli Xiaodu San contains more Tangerine Peel (Chenpi). The formula is in the section on smallpox.
Mifang Tuoli San (Secret Formula Supporting Interior Powder) (3) Treats all kinds of toxic sores. Taking it continuously from start to finish prevents the toxin from sinking inward.
Trichosanthes Fruit (Gualou) (one large fruit, crushed), Angelica Sinensis Root (Danggui) (mixed with wine), Astragalus Membranaceus Root (Huangqi) (stir-fried with salt water), White Peony Root (Baishaoyao), Licorice Root (Gancao) (each 1.5 liang), Prepared Rehmannia Root (Shudihuang), Trichosanthes Root (Tianhuafen), Honeysuckle Flower (Jinyinhua), Gleditsia Spine (Zaoci) (stir-fried, each 1 liang).
Take 5 liang of herbs each time, add five tea cups of pure wine, seal in a porcelain vessel with thick paper, then re-seal with oil paper. Steam in a pot of boiling water until the herbal aroma emerges. Remove, divide into doses, and take until the sore heals. Lizhai said: This formula uses mild herbs, has great detoxifying power, does not damage the zang-fu organs or blood and qi, and is effective repeatedly regardless of yin/yang nature or ulceration status. It is truly an immortal formula. It is commonly used for severe cases of back carbuncle and brain abscess, combined with garlic-separated moxibustion. If the pulse is deep and solid, with constipation of both bowels and bladder, use unblocking methods first, then this formula, which works very swiftly. If fire toxin has subsided, no pus forms, or it does not ulcerate, interior-supporting methods are more suitable; if it ulcerates but does not heal, or the pus is clear/thin, use strong tonification.
Shengong Tuoli San (Divine Merit Supporting Interior Powder) (4) Also known as Jinyinhua San. Treats carbuncles, back eruptions, intestinal abscesses, mammary abscesses, and all kinds of swelling toxins, accompanied by pain, aversion to cold, and high fever.
Honeysuckle Flower (Jinyinhua), Astragalus Membranaceus Root (Huangqi), Angelica Sinensis Root (Danggui), Licorice Root (Gancao) (equal parts).
Decoct one cup of wine and one cup of water until reduced to one cup. Take before or after meals depending on the location of the disease. Shortly after, take another dose. Apply externally to the affected area. Suitable for all ages and constitutions (deficiency/excess). If made into powder, taken with wine, it is especially excellent.
Shenqi Tuoli San (Ginseng and Astragalus Supporting Interior Powder) (5) Treats sores and ulcers where both Qi and Blood are deficient, unable to rise and develop, or where necrotic tissue ulcerates but cannot heal, accompanied by aversion to cold and fever.
Ginseng Radix (Ren Shen) (use more for Qi deficiency), Astragalus Membranaceus Root (Huangqi) (stir-fried), Atractylodes Macrocephala Rhizome (Baizhu) (stir-fried), Angelica Sinensis Root (Danggui), Prepared Rehmannia Root (Shudihuang), Peony Root (Shaoyao) (stir-fried with wine), Poria (Fuling), Tangerine Peel (Chenpi) (each 1 qian).
Decoct in water and take orally.
Shenqi Neituo San (Ginseng and Astragalus Internal Supporting Powder) (6) The formula is in Smallpox/Rash Chapter 7. Treats carbuncles and ulcers where pus/toxin does not transform, and pain after ulceration.
Tuoli Yangying Tang (Supporting Interior Nourishing Camp Decoction) (7) Treats scrofula and flowing deposits, and all kinds of insufficiency syndromes of carbuncles and ulcers: failure to form pus, failure to ulcerate, fever after ulceration, aversion to cold, muscle emaciation, loss of appetite, restless sleep, and continuous night sweats.
Ginseng Radix (Ren Shen), Astragalus Membranaceus Root (Huangqi) (honey-roasted), Angelica Sinensis Root (Danggui) (mixed with wine), Szechuan Lovage Rhizome (Chuanxiong), Peony Root (Shaoyao) (stir-fried), Atractylodes Macrocephala Rhizome (Baizhu) (stir-fried, each 1 qian), Prepared Rehmannia Root (Shudihuang) (2 qian), Schisandra Berry (Wuweizi) (stir-fried and ground), Ophiopogon Tuber (Maidong), Licorice Root (Gancao) (each 2 fen).
Decoct two cups of water with three slices of ginger and one jujube until reduced to seven-tenths. Take far from meals.
Tuoli Huangqi Tang (Supporting Interior Astragalus Decoction) (8) Highly effective for carbuncles and ulcers causing thirst due to Qi deficiency.
Astragalus Membranaceus Root (Huangqi) (honey-stir-fried, 6 qian), Licorice Root (Gancao), Trichosanthes Root (Tianhuafen) (each 1 qian).
Decoct two cups of water until reduced to eight-tenths. Take frequently. Adding 1 qian of Ginseng Radix (Ren Shen) is also acceptable. If both Qi and Blood are deficient, with massive discharge of pus and blood causing thirst, or accompanied by fever, Tuoli Yangying Tang (Supporting Interior Nourishing Camp Decoction) is appropriate.
Neibu Huangqi Tang (Internal Supplementing Astragalus Decoction) (9) Treats internal deficiency from toxic sores, failure of toxin to transform, and various deficiency manifestations appearing sequentially after ulceration.
Astragalus Membranaceus Root (Huangqi) (roasted), Ophiopogon Tuber (Maidong) (each 1 liang), Ginseng Radix (Ren Shen), Prepared Rehmannia Root (Shudihuang), Poria (Fuling), Licorice Root (Gancao) (roasted, each 7 fen), White Peony Root (Baishaoyao), Angelica Sinensis Root (Danggui), Szechuan Lovage Rhizome (Chuanxiong), Polygala Root (Yuanzhi), Cinnamon Twig (Guangui) (each 5 fen).
Take 1 liang each time, decoct with ginger, jujube, and water.
Tuoli Danggui Tang (Supporting Interior Angelica Decoction) (10) Treats ulcers with deficiency of both Qi and Blood, afternoon tidal heat/internal heat, alternating chills and fever, or various sores in women with irregular menstruation, frequent urination, and loose stools.
For any sore/ulcer with Qi/Blood deficiency causing fever, this is suitable. Long-term use also helps close the wound.
Ginseng Radix (Ren Shen), Astragalus Membranaceus Root (Huangqi), Angelica Sinensis Root (Danggui), Prepared Rehmannia Root (Shudihuang), Szechuan Lovage Rhizome (Chuanxiong), Peony Root (Shaoyao) (each 1 qian), Bupleurum Root (Chaihu), Licorice Root (Gancao) (each 5 fen).
Decoct in water and take orally.
Tuoli Jianzhong Tang (Supporting Interior Strengthening Middle Decoction) (12) Treats sores/ulcers in patients with inherently weak primordial qi, or stomach injury from cold-natured drugs leading to poor appetite, vomiting, or diarrhea.
Ginseng Radix (Ren Shen), Atractylodes Macrocephala Rhizome (Baizhu), Poria (Fuling) (each 2 qian), Pinellia Tuber (Banxia), Processed Ginger (Paojiang) (each 1 qian), Astragalus Membranaceus Root (Huangqi) (1.5 qian), Honey-processed Licorice Root (Zhigancao) (5 fen), Cinnamon Bark (Rougui) (3 fen).
Decoct with ginger, jujube, and water.
Tuoli Wenzhong Tang (Supporting Interior Warming Middle Decoction) (12) Treats sores/ulcers after pus discharge, where primordial qi is deficient and cold, or due to harsh purging causing stomach qi collapse. Symptoms include borborygmus, abdominal pain, loose stools, mental confusion. This is cold transformation sinking inward; if slow to treat, it becomes incurable.
Aconite Root (Fu Zi) (processed, skin and umbilicus removed, 2 qian), Dried Ginger (Ganjiang) (stir-fried, 3 qian), Alpinia Oxyphylla Fruit (Yizhi), Clove (Dingxiang), Notopterygium Rhizome (Qianghuo), Agarwood (Chenxiang), Aucklandia Root (Muxiang), Fennel Seed (Huixiang), Tangerine Peel (Chenpi) (each 1 qian), Honey-processed Licorice Root (Zhigancao) (2 qian).
Decoct with ginger and water.
Tuoli Yizhong Tang (Supporting Interior Benefiting Middle Decoction) (13) Treats middle Qi weakness, poor appetite, sores that do not dissipate, or ulcerate but do not heal.
Ginseng Radix (Ren Shen), Atractylodes Macrocephala Rhizome (Baizhu), Poria (Fuling), Processed Ginger (Paojiang), Tangerine Peel (Chenpi), Pinellia Tuber (Banxia) (each 1 qian), Aucklandia Root (Muxiang), Honey-processed Licorice Root (Zhigancao) (each 5 fen).
Decoct with ginger, jujube, and water.
Tuoli Wenjing Tang (Supporting Interior Warming Channels Decoction) (14) Treats sores/ulcers where cold covers skin/hair, obstructing meridians, preventing extension. Heat hides in Ying level, gathering into red swelling and pain, with aversion to cold and fever, or pain radiating to limbs. If head/face swelling/pain is severe, pricking therapy (Bian) is still appropriate.
Ephedra Stem (Mahuang), Cimicifuga Rhizome (Shengma), Saposhnikovia Divaricata Root (Fangfeng), Kudzu Root (Gange), Angelica Dahurica Root (Baizhi), Ginseng Radix (Ren Shen), Angelica Sinensis Root (Danggui), Peony Root (Shaoyao), Licorice Root (Gancao), Atractylodes Lancea Rhizome (Cangzhu) (each 1 qian).
Decoct two cups of water until reduced to one cup. Take. Lie in a warm place until sweating occurs, then the pathogen disperses. Add Bupleurum Root (Chaihu) if needed.
Tuoli Yihuang Tang (Supporting Interior Enriching Earth Decoction) (15) Treats Spleen Earth deficiency-cold, where Water insults Earth, leading to poor appetite, vomiting, or diarrhea.
Ginseng Radix (Ren Shen), Atractylodes Macrocephala Rhizome (Baizhu), Poria (Fuling), Tangerine Peel (Chenpi), Pinellia Tuber (Banxia) (each 1 qian), Processed Ginger (Paojiang), Clove (Dingxiang), Honey-processed Licorice Root (Zhigancao) (each 5 fen).
Decoct with ginger, jujube, and water.
Tuoli Qingzhong Tang (Supporting Interior Clearing Middle Decoction) (16) Treats Spleen/Stomach weakness, unclear phlegm-Qi, poor appetite, etc.
Ginseng Radix (Ren Shen), Atractylodes Macrocephala Rhizome (Baizhu), Poria (Fuling), Tangerine Peel (Chenpi) (each 1 qian), Pinellia Tuber (Banxia) (8 fen), Platycodon Root (Jiegeng) (7 fen), Licorice Root (Gancao) (5 fen).
Decoct with ginger, jujube, and water.
Tuoli Yiqing Tang (Supporting Interior Suppressing Green Decoction) (17) Treats Liver Wood insulting Spleen, Spleen Earth weakness, leading to poor appetite or chest/diaphragm discomfort.
Ginseng Radix (Ren Shen), Atractylodes Macrocephala Rhizome (Baizhu), Poria (Fuling), Pinellia Tuber (Banxia), Tangerine Peel (Chenpi) (each 1 qian), Peony Root (Shaoyao), Bupleurum Root (Chaihu), Licorice Root (Gancao) (each 5 fen).
Decoct with ginger, jujube, and water.
Tuoli Yingwei Tang (Supporting Interior Ying and Wei Decoction) (18) Treats sores/ulcers with no external swelling/redness, internal harmony maintained, indicating pathogen in meridians/channels. Use this formula.
Ginseng Radix (Ren Shen), Astragalus Membranaceus Root (Huangqi), Angelica Sinensis Root (Danggui), Licorice Root (Gancao) (roasted), Safflower Flower (Honghua), Bupleurum Root (Chaihu), Forsythia Fruit (Lianqiao), Atractylodes Lancea Rhizome (Cangzhu) (soaked in rice wash, stir-fried), Notopterygium Rhizome (Qianghuo), Saposhnikovia Divaricata Root (Fangfeng), Scutellaria Root (Huangqin) (each 1 qian), Cinnamon Twig (Guizhi) (7 fen).
Decoct with wine and water.
Tuoli Yueju Tang (Supporting Interior Resolving Stagnation Decoction) (19) Treats damage from Six Stagnations, Spleen/Stomach weakness, poor appetite, etc.
Ginseng Radix (Ren Shen), Atractylodes Macrocephala Rhizome (Baizhu) (each 2 qian), Tangerine Peel (Chenpi), Pinellia Tuber (Banxia) (each 1 qian), Gardenia Fruit (Shanzhi), Szechuan Lovage Rhizome (Chuanxiong), Cyperus Rhizome (Xiangfu), Atractylodes Lancea Rhizome (Cangzhu) (each 7 fen), Honey-processed Licorice Root (Zhigancao) (5 fen).
Decoct with ginger, jujube, and water.
Dingtong Tuoli San (Pain-Calming Supporting Interior Powder) (20) A divine medicine for pain due to Blood deficiency in sores/ulcers.
Poppy Capsule (Suke) (remove stem, stir-fried, 2 qian), Angelica Sinensis Root (Danggui) (mixed with wine), White Peony Root (Baishaoyao) (stir-fried), Szechuan Lovage Rhizome (Chuanxiong) (each 1.5 qian), Frankincense (Ruxiang), Myrrh (Moyao), Cinnamon Bark (Rougui) (each 1 qian).
Decoct with ginger, jujube, and water.
Neituo Fujian San (Internal Supporting Double-Decoction Powder) (21) Treats sores/ulcers with swelling/redness outside, pulse mostly floating. Excess pathogen must invade internally; use this to support internally.
Ginseng Radix (Ren Shen), Atractylodes Macrocephala Rhizome (Baizhu) (stir-fried), Angelica Sinensis Root (Danggui), Astragalus Membranaceus Root (Huangqi) (stir-fried with salt water), Peony Root (Shaoyao) (stir-fried), Poria (Fuling), Licorice Root (Gancao) (roasted), Groundcherry Root (Digupi), Cinnamon Bark (Rougui), Stephania Tetrandra Root (Fangji) (stir-fried with wine), Scutellaria Root (Huangqin) (each 1 qian), Saposhnikovia Divaricata Root (Fangfeng) (2 qian).
First decoct 1 sheng of Atractylodes Lancea Rhizome (Cangzhu) in 5 sheng of water, remove Cangzhu, add other herbs, decoct again until 2 sheng remain. Drink throughout the day.
Neituo Qianghuo Tang (Internal Supporting Notopterygium Decoction) (22) Treats buttock carbuncle with hard swelling/pain, tight and powerless radial pulses at both chi positions.
Notopterygium Rhizome (Qianghuo), Phellodendron Bark (Huangbai) (each 1 qian), Saposhnikovia Divaricata Root (Fangfeng), Caudex of Angelica Sinensis (Dangguiwei), Ligusticum Rhizome (Ben), Cinnamon Bark (Rougui) (each 1 qian), Forsythia Fruit (Lianqiao), Atractylodes Lancea Rhizome (Cangzhu) (soaked in rice wash, stir-fried), Tangerine Peel (Chenpi) (each 5 fen), Astragalus Membranaceus Root (Huangqi) (stir-fried with salt water, 1.5 qian).
Decoct one cup of water and one cup of wine until reduced to eight-tenths. Take before meals.
Naise San (Internal Blocking Powder) (23) Treats swelling caused by Yin deficiency with Yang pathogen intrusion, or ulceration without healing, or wind-cold attacking the site causing Qi/Blood stagnation, chronic non-healing leading to fistula.
Aconite Root (Fu Zi) (soaked in child's urine, processed), Cinnamon Bark (Rougui) (remove bark), Adzuki Bean (Chixiaodou), Licorice Root (Gancao), Honey-processed Astragalus Membranaceus Root (Zhuhuangqi) (stir-fried with salt water), Angelica Sinensis Root (Danggui) (mixed with wine), Poria (Fuling), Angelica Dahurica Root (Baizhi), Platycodon Root (Jiegeng) (stir-fried), Szechuan Lovage Rhizome (Chuanxiong), Ginseng Radix (Ren Shen), Polygala Root (Yuanzhi) (remove bone), Magnolia Bark (Nanpu) (processed) (each 1 liang), Saposhnikovia Divaricata Root (Fangfeng) (4 qian).
Grind into powder. Take 2 qian each time with warm wine on an empty stomach. Or make pills with wine paste, taken with salt water. Or make pills with refined honey.
Chonghe Tang (Harmony Decoction) (24) Treats sores of half-Yin half-Yang nature, resembling ulceration but not fully, resembling swelling but not fully. Caused by weak primordial qi and lack of supportive tonification.
Ginseng Radix (Ren Shen), Tangerine Peel (Chenpi) (each 2 qian), Astragalus Membranaceus Root (Huangqi), Atractylodes Macrocephala Rhizome (Baizhu), Angelica Sinensis Root (Danggui), Angelica Dahurica Root (Baizhi) (each 1.5 qian), Poria (Fuling), Szechuan Lovage Rhizome (Chuanxiong), Gleditsia Spine (Zaoci) (stir-fried), Frankincense (Ruxiang), Myrrh (Moyao), Honeysuckle Flower (Jinyinhua), Licorice Node (Ganjie) (each 1 qian).
Decoct half water and half wine.
Shenxiao Jiujian San (Divine Efficacy Wine-Decoction Powder) (25) Treats all sores/ulcers, capable of supporting and dispersing toxins with divine efficacy.
Ginseng Radix (Ren Shen), Myrrh (Moyao) (separately ground), Caudex of Angelica Sinensis (Dangguiwei) (each 1 liang), Licorice Root (Gancao) (3 qian), Trichosanthes Fruit (Gualou) (one, half raw half stir-fried).
Decoct three bowls of wine until reduced to two bowls. Divide into four doses. Or make into powder, pills with wine paste, size of wisteria seeds. Take 50 pills with wine. Good at detoxifying and invigorating blood.
Renshen Huangqi Tang (Ginseng and Astragalus Decoction) (26) Treats ulcers with poor appetite, insomnia, and fever.
Ginseng Radix (Ren Shen), Atractylodes Macrocephala Rhizome (Baizhu), Atractylodes Lancea Rhizome (Cangzhu), Ophiopogon Tuber (Maidong), Tangerine Peel (Chenpi), Angelica Sinensis Root (Danggui), Cimicifuga Rhizome (Shengma) (each 5 fen), Astragalus Membranaceus Root (Huangqi) (1 qian), Phellodendron Bark (Huangbai) (stir-fried, 4 fen).
Decoct in water.
Huangqi Renshen Tang (Astragalus and Ginseng Decoction) (27) Treats ulcer deficiency-heat, insomnia, poor appetite, or pain triggered by foul odors.
Astragalus Membranaceus Root (Huangqi) (stir-fried with salt water, 2 qian), Ginseng Radix (Ren Shen), Atractylodes Macrocephala Rhizome (Baizhu), Atractylodes Lancea Rhizome (Cangzhu) (soaked in rice wash, stir-fried), Angelica Sinensis Root (Danggui) (mixed with wine), Ophiopogon Tuber (Maimendong), Schisandra Berry (Wuweizi) (stir-fried, cracked, each 1 qian), Licorice Root (Gancao) (roasted), Cimicifuga Rhizome (Shengma), Medicated Leaven (Shenqu) (stir-fried), Tangerine Peel (Chenpi) (each 5 fen), Phellodendron Bark (Huangbai) (stir-fried with wine, 3 fen).
Decoct two cups of water with three slices of ginger and one jujube.
Huangqi Jianzhong Tang (Astragalus Strengthening Middle Decoction) (28) Internally supports against carbuncles, ulcers, and various toxins.
Astragalus Membranaceus Root (Huangqi) (honey-roasted), Cinnamon Bark (Rougui) (each 3 liang), Licorice Root (Gancao) (roasted, 2 liang), White Peony Root (Baishaoyao) (6 liang).
Take 1 liang each time, decoct with ginger, jujube, and water.
Shenzhu Bipi Tang (Ginseng and Atractylodes Spleen-Supplementing Decoction) (29) Treats lung abscess with Spleen Qi damage, chronic cough with pus expectoration, or abdominal fullness/anorexia. Must take this to tonify Spleen Earth to generate Lung Metal, otherwise incurable.
Ginseng Radix (Ren Shen), Atractylodes Macrocephala Rhizome (Baizhu) (each 2 qian), Astragalus Membranaceus Root (Huangqi) (2.5 qian), Poria (Fuling), Angelica Sinensis Root (Danggui), Tangerine Peel (Chenpi) (each 1 qian), Ophiopogon Tuber (Maidong) (7 fen), Northern Schisandra (Bei Wuwei) (4 fen), Platycodon Root (Jiegeng) (6 fen), Honey-processed Licorice Root (Zhigancao) (5 fen).
Decoct with ginger, jujube, and water.
Shenqi Bufei Tang (Ginseng and Astragalus Lung-Supplementing Decoction) (30) Treats lung syndromes with cough/wheeze/shortness of breath, or Kidney Water insufficiency with deficient fire flaming upward, copious phlegm/saliva, expectoration of pus/blood, fever/thirst, scanty dark urine.
Ginseng Radix (Ren Shen), Astragalus Membranaceus Root (Huangqi), Atractylodes Macrocephala Rhizome (Baizhu), Angelica Sinensis Root (Danggui), Tangerine Peel (Chenpi), Poria (Fuling) (each 1 qian), Chinese Yam (Shanyao), Cornelian Cherry Fruit (Shanzhuyu) (each 2 qian), Schisandra Berry (Wuweizi), Honey-processed Licorice Root (Zhigancao) (each 5 fen), Prepared Rehmannia Root (Shudihuang) (1.5 qian), Ophiopogon Tuber (Maimendong), Moutan Cortex (Mudanpi) (each 8 fen).
Decoct with ginger, jujube, and water.
Yiqi Yangying Tang (Benefiting Qi and Nourishing Camp Decoction) (31) Treats depression, or Qi/Blood damage causing swelling in limbs/neck, regardless of hardness, red/white swelling/pain, afternoon fever, or ulceration without healing.
Ginseng Radix (Ren Shen), Astragalus Membranaceus Root (Huangqi) (stir-fried with salt water), Angelica Sinensis Root (Danggui), Szechuan Lovage Rhizome (Chuanxiong), Prepared Rehmannia Root (Shudihuang), Peony Root (Shaoyao) (stir-fried), Fritillaria Bulb (Beimu), Cyperus Rhizome (Xiangfu), Poria (Fuling), Tangerine Peel (Chenpi) (each 1 qian), Atractylodes Macrocephala Rhizome (Baizhu) (2 qian), Bupleurum Root (Chaihu) (6 fen), Licorice Root (Gancao), Platycodon Root (Jiegeng) (each 5 fen).
Decoct with ginger and water. Add Schisandra Berry (Wuweizi) and Ophiopogon Tuber (Maidong) for dry mouth; add soft Bupleurum Root (Chaihu) and Groundcherry Root (Digupi) for alternating chills/fever; add Ginseng Radix (Ren Shen) and Astragalus Membranaceus Root (Huangqi) for clear pus; add Szechuan Lovage Rhizome (Chuanxiong) and Angelica Sinensis Root (Danggui) for excessive pus; add Ginseng Radix (Ren Shen), Astragalus Membranaceus Root (Huangqi), and Angelica Sinensis Root (Danggui) for non-stop pus; add Ampelopsis Rhizome (Bailian) and Cinnamon Twig (Guangui) for slow muscle growth.
Buyin Bazhen Tang (Nourishing Yin Eight Treasures Decoction) (32) Treats scrofula and similar sores with deficiency of the three Foot Yin meridians.
Ginseng Radix (Ren Shen), Atractylodes Macrocephala Rhizome (Baizhu), Poria (Fuling), Licorice Root (Gancao), Angelica Sinensis Root (Danggui), Szechuan Lovage Rhizome (Chuanxiong), Prepared Rehmannia Root (Shudihuang), Peony Root (Shaoyao), Phellodendron Bark (Huangbai) (stir-fried with wine), Anemarrhena Rhizome (Zhimu) (stir-fried with wine, each 7 fen).
Decoct in water.
Shenzhu Jiangfu Tang (Ginseng, Atractylodes, Ginger, and Aconite Decoction) (33) Treats true Yang depletion in sores/ulcers, or mistaken sweating/purging, or excessive pus/blood loss leading to failure to support internally, resulting in panting, spontaneous/night sweats, shortness of breath, dizziness, and diarrhea.
Ginseng Radix (Ren Shen), Aconite Root (Fu Zi) (processed, skin/umbilicus removed, each 1 liang), Dried Ginger (Ganjiang), Atractylodes Macrocephala Rhizome (Baizhu) (each 5 qian).
Make two doses, decoct in water.
Fuzi Lizhong Tang (Aconite Regulating Middle Decoction) (34) Treats sores/ulcers with Spleen/Stomach deficiency-cold, or mistaken aggressive treatment causing cold extremities, inability to eat, borborygmus, abdominal pain, vomiting, and diarrhea.
Aconite Root (Fu Zi), Ginseng Radix (Ren Shen), White Poria (Bai Fuling), White Peony Root (Baishaoyao) (each 3 qian), Atractylodes Macrocephala Rhizome (Baizhu) (4 qian).
Decoct in water.
Liufu Fuzi Tang (Six Ingredients Aconite Decoction) (35) Treats Four Qi flowing into the Foot Taiyin Meridian, causing joint pain, limb stiffness, spontaneous sweating, shortness of breath, difficult urination, or edema of hands/feet.
Prepared Aconite Root (Fuzhi), Stephania Tetrandra Root (Fangji), Cinnamon Twig (Guizhi) (each 4 qian), Honey-processed Licorice Root (Zhigancao) (2 qian), Atractylodes Macrocephala Rhizome (Baizhu), Poria (Fuling) (each 3 qian).
Make two doses, decoct 1.5 cups of water with three slices of ginger until reduced to one cup. Take far from meals.
Fuzi Baye Tang (Aconite Eight Ingredients Decoction) (36) Treats sores/ulcers with Yang Qi collapse, vomiting, aversion to cold, diarrhea, and cold extremities.
Processed Aconite Root (Fu Zi), Processed Dried Ginger (Pao Ganjiang), Stir-fried Peony Root (Chao Shaoyao), Ginseng Radix (Ren Shen), Honey-processed Licorice Root (Zhigancao), Poria (Fuling) (each 1 qian), Cinnamon Bark (Rougui) (1 qian), Atractylodes Macrocephala Rhizome (Baizhu) (2 qian).
Decoct in water, take far from meals.
Huiyang Tang (Returning Yang Decoction) (37) Treats Spleen/Kidney deficiency-cold, purely Yin sores, or drug-damaged primordial qi causing no swelling/pain, no necrosis/ulceration, or abdominal pain/diarrhea, vomiting/cold extremities, and Yang Qi collapse.
Ginseng Radix (Ren Shen), Atractylodes Macrocephala Rhizome (Baizhu), Astragalus Membranaceus Root (Huangqi) (each 3 qian), Processed Dried Ginger (Pao Ganjiang), Processed Aconite Root (Pao Fu Zi), Honey-processed Licorice Root (Zhigancao), Tangerine Peel (Chenpi), Angelica Sinensis Root (Danggui) (each 2 qian), Bupleurum Root (Chaihu), Cimicifuga Rhizome (Shengma) (each 5 fen).
Decoct with wine and water. If ineffective, double the dosage of Ginger and Aconite.
(Xue's) Jiawei Bawei Wan (Modified Eight-Ingredient Pill) (38) Treats post-recovery or near-recovery from sores/ulcers with extreme dry mouth/thirst, yellow tongue coating, or pre-existing thirst. These indicate Kidney Water exhaustion failing to moisten upper areas, causing Heart Fire flaming upward, imbalance of Water/Fire, leading to irritability/thirst, frequent urination, white turbidity/impotence, poor appetite, gradual muscle wasting, or leg swelling with thin feet. Taking this lowers Heart Fire, nourishes Kidney Water, stopping symptoms. Also treats persistent mouth/tongue ulcers.
Prepared Rehmannia Root (Shudihuang) (8 liang, steamed in wine, pounded into paste), Cornelian Cherry Fruit (Shanzhuyu) (soaked in wine, pounded into paste), Chinese Yam (Shanyao) (each 4 liang), Alisma Rhizome (Zexie) (steamed, dried), White Poria (Bai Fuling), Moutan Cortex (Mudanpi) (each 3 liang), Cassia Bark (Guixin) (1 liang), Northern Schisandra (Bei Wuwei) (4.5 liang, stir-fried).
Grind into fine powder, mix with the two pastes and a little refined honey to make pills, size of wisteria seeds. Take 60-70 pills early in the morning before speaking, or on an empty stomach with salt water. This is Chen's Modified Eight-Ingredient Pill, found in Supplement Section 1-3.
Jiawei Dihuang Wan (Modified Rehmannia Pill) (39) Treats Liver/Kidney Yin deficiency, toxic sores, ear itching/pain with discharge, blurred vision, phlegm/wheezing/cough, thirst/fever, red/scanty urination.
Prepared Rehmannia Root (Shudihuang), Chinese Yam (Shanyao), Cornelian Cherry Fruit (Shanzhuyu), White Poria (Bai Fuling), Alisma Rhizome (Zexie), Moutan Cortex (Mudanpi), Bupleurum Root (Chaihu), Northern Schisandra (Bei Wuwei) (grind into powder, equal parts).
Crush Rehmannia, moisten with wine, steam until soft, pound into paste. Mix with other powders, add refined honey to make pills, size of wisteria seeds. Take 100 pills on an empty stomach with plain water. If ineffective, use Jiawei Bawei Wan (Modified Eight-Ingredient Pill).
Danggui Chuanxiong San (Angelica and Szechuan Lovage Powder) (40) Treats Hand/Foot Shaoyang meridian Blood deficiency sores, or wind-heat causing ear itching/pain, sores with discharge, blurry eyes/head, chills/fever, poor appetite, or women's irregular menstruation, chest discomfort, hypochondriac/abdominal distension/pain.
Angelica Sinensis Root (Danggui), Szechuan Lovage Rhizome (Chuanxiong), Bupleurum Root (Chaihu), Atractylodes Macrocephala Rhizome (Baizhu), Peony Root (Shaoyao) (each 1 qian), Gardenia Fruit (Shanzhi) (stir-fried, 1.2 qian), Moutan Cortex (Mudanpi), Poria (Fuling) (each 8 fen), Vitex Fruit (Manjingzi), Licorice Root (Gancao) (each 5 fen).
Decoct in water.
Jiawei Baidu San (Modified Detoxifying Powder) (41) Treats heat-toxin from Foot Yangming/Taiyang meridians flowing to heels, causing red/swollen/painful heels, chills/fever like malaria, spontaneous sweating/shortness of breath, difficult urination/defecation, or anhidrosis/aversion to cold. Suitable for excess pathogens in exterior/interior.
Notopterygium Rhizome (Qianghuo), Angelica Pubescens Root (Duhuo), Peucedanum Root (Qianhu), Bupleurum Root (Chaihu), Platycodon Root (Jiegeng), Ginseng Radix (Ren Shen), Poria (Fuling), Bitter Orange (Zhiqiao), Licorice Root (Gancao), Szechuan Lovage Rhizome (Chuanxiong), Rhubarb (Dahuang), Atractylodes Lancea Rhizome (Cangzhu) (each 1 qian).
Decoct two cups of water with three slices of ginger.
Jiuwei Qianghuo Tang (Nine-Ingredient Notopterygium Decoction) (42) Found in Scatter Section 44. Treats sores/ulcers with wind-heat obstruction, red/swollen painful sores, body-wide pain, stiffness/impaired movement, headache, aversion to cold, stiff spine, floating-tight pulse.
Jiawei Qianghuo Tang (Modified Notopterygium Decoction) (43) Same as previous formula plus Honeysuckle Flower (Jinyinhua) and Forsythia Fruit (Lianqiao) to resolve toxic sores.