清心汤（八四） 治疮疡肿痛，发热饮冷，脉沉实，睡语不宁。上方即防风通圣散，每
料加黄连五钱，每剂用一两，水煎服。方在攻阵十六。
济阴汤（八五）治疡毒纯阳，肿痛发热。
连翘（二钱） 山栀（炒） 黄芩（炒） 黄连（炒） 甘草（各一钱） 芍药（一钱半） 牡丹皮（一钱二分）
金银花（三钱）
水煎服。大便若秘，量加大黄。
地骨皮散（八六） 治疮疡气虚内热，烦渴不宁。
人参 黄 生地黄 地骨皮 柴胡（各一钱半） 白茯苓 石膏（ ） 知母（各一钱）
水、姜、煎服。
一味苦参丸（八七）治一切痈疽毒疮， 肿作痛，或烦躁。
苦参不拘多少为末。
上用水糊丸，桐子大。每服二三钱，温酒下。
（陈氏）苦参丸（八八）治遍身瘙痒，癣疥疮疡。
苦参（四两） 玄参 黄连 大黄 独活 枳壳 防风（各二两） 黄芩 栀子 菊花（各一两）
上为末，炼蜜丸，桐子大。食后茶酒任下三四十丸，日三服。
五利大黄汤（八九）治时毒 肿赤痛，烦渴便秘，脉实而数。
大黄（煨） 黄芩 升麻（各二钱） 芒硝 栀子（各一钱半）
水一钟半，煎六分。空心热服。
清凉饮（九十） 治痈疡热毒炽盛，大便秘结。此即前连翘消毒散。
连翘（一两） 大黄 山栀子 薄叶 黄芩（各五钱） 甘草（一两半） 朴硝（二钱半）
上每服一两，水煎服。
宣毒散（九一）治一切痈毒，其功不可尽述。
大黄（煨） 白芷（各五钱）
水二钟，煎一钟。食前服。
立斋曰∶此方乃宣通攻毒之剂，若脉沉实，便秘者，毒在脏也，宜服之，其功甚大。若
脏腑调和，脉不实者不可用。《医林集要》方用大黄一斤，白芷六两，为末，每服三钱，
热酒调下，更用茶清调搽患处，名曰万金散。盖因其功而珍之也。或用水跌为丸，以便于服亦
可。吴江申佥宪兄患背疽坚硬，脉沉实，乃毒在内，用一服，大小便下污物，再服而消。
恐患者忽此二药，故以此尝验者告之。
拔毒散（九二） 治一切痈疽肿毒，其功不可尽述。
乳香 没药 当归 穿山甲（炮） 木鳖子 连翘（各一钱） 甘草（炙，五分） 栝蒌仁（八分）
牙皂（炒） 贝母（各七分） 忍冬藤（二钱） 大黄（生熟各一钱半）
上水、酒各一钟，煎一钟。食前服。此方攻毒止痛化脓之良剂也，屡用屡验。若脓成或已溃
者，大黄可不用，恐泄其真气，则脓者难溃，溃者难敛也。亦有脓虽溃，脉仍洪数，或沉实，
喜冷者，火邪尚在，又所宜用。
内疏黄连汤（九三） 治疮疡发热而呕，大便秘结，脉洪而实。
黄连 芍药 当归 槟榔 木香 黄芩 栀子 薄荷 桔梗 甘草（各一钱） 连翘
大黄（各一钱半）
姜、水煎，仍量虚实治之。
桃仁汤（九四）逐瘀血。
桃仁 苏木（各一两） 生地黄（五钱） 虻虫（去足翅，炒） 水蛭（炒，各三十个）
上每服三钱，水一盏，煎六分。空心服。
漏芦汤（九五） 治脑疽、痈疽毒盛实者。
漏芦 黄 甘草 连翘 沉香（各五钱） 大黄（一两，微炒）
上每服四五钱，姜、枣、水煎服。
千金漏芦汤（九六） 治痈疽发背，丹疹时行热毒，赤肿 痛。
漏芦 黄芩 白蔹 连翘 枳壳（麸炒） 升麻 粉草 麻黄（去节） 大黄（湿纸裹煨）
朴硝（各一两）
上每服五六钱，姜、水煎，去 。空心服。下恶物为妙。
漏芦升麻汤（九七）治时毒头面红肿，咽嗌堵塞，水药不下，若脏腑素有积热，发
为肿毒疙瘩，一切红肿恶毒。
漏芦（二钱） 升麻（一钱半） 黄芩（酒洗） 生甘草 玄参 牛蒡子（炒研） 苦梗
连翘（各一钱） 蓝叶（如无，用青黛） 大黄（酒浸，量轻重用之）
水煎服。大利之结者，加芒硝。
润肠丸（九八）治脾胃伏火，大肠干燥，或风热血结，宜用此丸通之。若结在直肠，
宜用猪胆汁导之。盖肾主五液，开窍于二阴，若津液滋润，则大便通调，若津液不足，脾气
亏损，必当培补，乃忌此药。
桃仁（去皮尖） 麻子仁（各一两） 羌活 归尾 大黄（煨） 皂刺 秦艽（各五钱）
上各另研为末，炼蜜或猪胆汁丸桐子大。每服三四十丸，白汤下。若用猪胆汁导而粪
不结燥者，须急补元气。
没药丸（九九）善逐滞血。
当归（一两） 桂心 芍药（各半两） 桃仁（去皮尖，研） 没药（各三钱） 虻虫（去足翅）
水蛭（炒，各三十个）
上为末，醋糊丸，桐子大。每服三五丸，空心醋汤下。
当归丸（百）行血，利水，通大便。
当归（半两） 大黄 桂心（各三钱） 赤芍药 葶苈（各二钱） 人参 甘遂（面裹煨，半钱）
炼蜜丸，如弹子大。空心米饮化下一丸。
破棺丹（百一）治疮疡热极汗多，大渴便秘，谵语发狂。
大黄（二两半，半生半熟） 芒硝 甘草（各二两）
上为末，炼蜜丸，弹子大。每服一丸，童便、酒化下，白汤亦可。
忍冬酒（百二） 解诸痈毒。
忍冬藤（鲜者四五两，若干者，止用一两，捣） 大甘草节（一两，生用）
二味入砂锅内，以水二钟，煎至一钟，再入无灰酒一钟，又煎数沸，去 ，分三服，病
重者昼夜两剂，至大小便通利为度，另用忍冬藤研烂，入酒少许罨患处。
金银花酒（百三） 治一切痈疽发背，疔疮喉痹等证。
用金银花藤叶捣烂，取汁半钟，和热酒半钟温服，甚者不过三五服，可保无虞。
槐花酒（百四） 治痈疡热毒最妙。
用槐花四五两炒微黄，乘热入酒二钟，煎十余滚，去 热服，未成者二三服，已成者一二
服，但察其有热毒未清者皆可用。槐花治湿热之功最为神速，惟胃寒者不宜服。大抵肿毒非
用蒜炙及槐花酒先去其势，虽用托里诸药，其效未必甚速。
蒲公英酒（百五）治乳痈吹乳，不问已成未成皆可用。
用蒲公英一握，捣烂，入酒半钟，取酒温服， 贴患处，甚者不过三五服即愈。
远志酒（百六） 能托散诸毒，治女人乳痈尤效。
远志（不拘多少，用米泔浸洗，捶去心）
上为末。每服三钱，用好酒一钟调，迟少顷，澄清饮之，以滓敷患处。
牛膝酒（百七）治杨梅风毒，腰痛。
牛膝 川芎 羌活 五加皮 杜仲 甘草 地骨皮 薏仁（各一两） 生地黄（十两）
海桐皮（二两）
上 咀，用帛裹入无灰酒浸二七日，夏月三五月。每服一杯，日三五次。
消瘿酒（百八）
昆布（三钱） 海藻（五钱） 沉香 雄黄（各一钱，研末） 海螵蛸（二钱）
上为咀，用好酒一升汤煮。任意每服一二钟，或浸十余日亦可饮。
桑枝煎（百九）大治口渴。
取嫩桑枝细切一升炒，以水三升，煎一升。日服三五剂，更多尤妙。《抱朴子》云∶疗风
痹干燥，臂痛香港脚，四肢拘挛，上气眩晕。久服补肺消食，利小便，轻身，耳目聪明，令人光
泽，其功不能尽述。
神仙截法（百十）治痈疽发背、一切恶疮，预服则毒瓦斯不入内。
真麻油 一斤，银器内熬十数沸，候冷。
上用酒两碗，入油五盏。通口热服，一日用尽，缓则数日服之。吴安世云∶吾家三世用之，
无有不效。又闻猎者云∶凡中药箭，急饮麻油，药毒即消，屡用甚 。按∶上方凡大便秘
结而毒蓄于内者，最宜用之以疏通其毒。若阴毒及大便不实者，乃非所宜。
砭法（百十一）治丹毒疔疮红丝走散，或时毒瘀血壅盛。用细瓷器击碎，取有锋 者一
块，以箸一根，劈开头尖夹之，用线缚定，两手指轻撮筋尾，令瓷 正对患处，约悬寸许，
再另用箸一根频击箸头，令毒血遇刺皆出，毒自减退。若毒瓦斯入腹膨胀者难治。
刺少商穴（百十二） 治咽喉急痛。
穴在手大指内侧去瓜甲角如韭叶，刺入二分许，以手自臂勒至刺处，出血即消。若重而脓
成者，必须针患处，否则难治。
洪丞相蜞针法（百十三） 凡痈疡势 毒盛，血凝不散者，宜用此法以杀其势。
治痈初作，先以笔管一个，入大蚂蝗一条，以管口对疮头使蜞吮，恶血得去其毒即散。
如疮大，须换三四条。若吮正穴，蜞必死矣，屡试屡效。若血不止，以藕节上泥涂之即止。若
疮头未明，以井边泥涂上，先干
处即是。
骑竹马灸法（百十四）治一切疮疡，无有不愈。
其法令病患以手肘凭几而坐，男左女右，将手臂竖起要直，乃用竹篾一条，自臂腕中
曲处横纹间量起，贴肉直上至中指尖尽处截断为则，不量指甲。另用竹扛一条，令病患脱衣
正身骑定，前后用两人扛起，令病者脚不着地，仍使人扶定，勿令伛偻，却将前量臂篾从竹扛
上尾 骨坐处，直贴脊背量至蔑尽处记之，此取中之处，非灸穴也。又用薄篾量男左女右手
中指节两横绞处，截为同身寸法，将此寸蔑即安前脊中点记处，两边各开一寸，尽处即是
灸穴，各灸五七壮。疽发于左则灸右，疽发于右则灸左，两边俱甚则左右皆灸。盖此穴乃心脉
所过之处，凡痈疽皆心火之留滞，灸此则心火流通而毒自散矣，有起死回生之功，屡试屡验。
神仙隔蒜灸法（百十五）治一切痈疽疮毒大痛，或不痛，或麻木，及治痘疔毒瓦斯炽盛，
使诸痘不能起发，已起发者不能灌脓，已灌脓者不能收靥等证。如痛者灸至不痛，不痛者灸
至痛，其毒随火而散，此攻散郁毒从治之法也，大有回生之功。其法用大蒜头去皮切三分浓，
按疮头上，用艾炷于蒜上灸之，五壮换蒜复灸，或三十壮，或一二百壮，愈多愈妙。未成者
即消，已成者亦杀其大势，不能为害。如疮大用蒜捣烂摊患处，将艾铺上烧之，蒜败再换。
或阴毒紫白色，不起发，不痛，不作脓者，尤宜多灸，仍服托里之剂。如灸后仍不痛，或不
作脓，不起发者不治，此气血虚极也。
附子饼（百十六）治溃疡气血俱虚，不能收敛，或风寒袭之，以致血气不能营运，皆令
不敛。用炮附子去皮脐研末，以唾津和为饼，置疮口上，将艾炷于饼上灸之，每日灸数壮，
但令微热，勿令痛，如饼干，再用唾津调和，务以疮口活润为度。
豆豉饼（百十七） 治疮疡肿毒硬而不溃，及溃而不敛，并一切顽疮恶疮。用江西
豆豉饼为末，唾津和作饼子，如钱
大，浓如三文钱，置患处，以艾炷于饼上灸之，干则再易。如灸背疮，用漱口水调饼覆患处，
以艾铺饼上灸之。如未成者即消，已成者亦杀其大毒。如有不效，必气血虚败也。
木香饼（百十八）治一切气滞结肿或痛，或闪肭，及风寒所伤作痛，并效。
木香（五钱） 生地黄（一两）
上以木香为末，生地黄杵膏和匀，量患处大小作饼，置肿处，以热熨斗熨之。
香附饼（百十九）治瘰 流注肿块，或风寒袭于经络，结肿或痛。
用香附为末，酒和量疮毒大小作饼，覆患处，以热熨斗熨之。未成者内消，已成者自溃。
若风寒湿毒，宜用姜汁作饼。
神效桑枝灸（百二十）治发背不起，或瘀肉不溃，此阳气虚弱。用桑枝燃着，吹熄其焰，
用火灸患处片时，日三五次，以助肿溃。若腐肉已去，新肉生迟，宜灸四畔。其阴疮瘰 ，流注
疮，恶疮久不愈者，亦宜用之。大抵此法，未溃则解热毒，止疼痛，消瘀肿，已溃则补阳气，
散余毒，生肌肉。若阳证肿痛，甚或重如负石，初起用此法，出毒水即内消；其日久者用之，
虽溃亦浅，且无苦楚。惜患者不知有此，治者亦不肯用此也。
神效葱熨法（一二一）治流注结核，骨痈鹤膝，肢体肿块，或痛或不痛。或风寒袭于
经铬，流注肢体，筋挛骨痛。或跌扑损伤，止痛散血消肿之良法。或先用隔蒜灸法而余肿未消，
最宜用熨，以助气血而行壅滞，其功甚大。用葱头钿切，杵烂炒热敷患处，冷即易之，再或热
熨数次，肿痛即止，其效如神。或用葱煎汤，熏洗伤处亦妙。或用葱一大把，束其数节，切为
薄饼置患处，用热物熨之，或铺艾灸之亦可，必易饼多熨为妙。
神仙熏照方（一二二）
雄黄 朱砂 血竭（真者） 没药（各一钱） 麝（二分）
上五味，研细末，用棉纸卷为粗捻，约长尺许，每捻中入药三分裹定，以真麻油润透，
点灼疮上。须离疮
半寸许，自红晕外圈周遭徐徐照之，以渐将捻收入疮口上，所谓?外而内也。更须将捻猛
向外提，以引毒瓦斯，此是手法。此药气从火头上出，内透疮中，则毒随气散，自不内侵脏腑。初
用三条，渐加至五七条，疮势渐消，可渐减之，熏罢随用后敷药。
广陵李杜云∶背疮所患，惟内攻与外溃耳。证属火毒，酝酿斯成，不能外散，势必内攻，
不能中出，势必旁溃。医者往往以凉药围解，多罹此二患。又阴疮不起发者，止有隔蒜灸一法，
然亦未见凿凿取效。此方初用药捻熏照，以火引火，毒瓦斯外散，后用药敷围，追脓止痛，毒从
孔窍及疮顶中出，可免旁溃矣。阴疮一照，即起红晕，状如蒸饼，变为阳证，可保无虞，此
Qingxin Decoction (No. 84): Treats sores and ulcers with swelling and pain, fever with a desire for cold drinks, deep and solid pulse, and restlessness with muttering in sleep. This formula is Fangfeng Tongsheng San (Saposhnikovia Decoction to Unblock the Intestines) with the addition of five qian of Huanglian (Coptidis Rhizoma) per portion, using one liang per dose, decocted in water and taken orally. See Section 16 under "Gongzhen" (Attacking Formations).
Jiyin Decoction (No. 85): Treats pure Yang toxic sores, presenting with swelling, pain, and fever.
Ingredients: Lianqiao (Forsythiae Fructum) 2 qian; Zhizi (Gardeniae Fructus), stir-fried, 1 qian; Huangqin (Scutellariae Radix), stir-fried, 1 qian; Huanglian (Coptidis Rhizoma), stir-fried, 1 qian; Gancao (Glycyrrhizae Radix et Rhizoma) 1 qian; Shaoyao (Paeoniae Radix) 1.5 qian; Mudanpi (Moutan Cortex) 1.2 qian; Jinyinhua (Lonicerae Japonicae Flos) 3 qian.
Usage: Decoct in water and take orally. If constipation occurs, increase the dosage of Dahuang (Rhei Radix et Rhizoma) as appropriate.
Digupi San (No. 86): Treats internal heat due to Qi deficiency in sores and ulcers, accompanied by irritability, thirst, and restlessness.
Ingredients: Renshen (Ginseng Radix), Huangqi (Astragali Radix), Shengdihuang (Rehmanniae Radix), Digupi (Lycii Cortex), Chaihu (Bupleuri Radix) each 1.5 qian; Baifuling (Poria), Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma) each 1 qian.
Usage: Decoct in water with fresh ginger and take orally.
Yiwei Kushen Wan (No. 87): Treats all types of carbuncles, furuncles, and toxic sores, with local swelling and pain, or irritability.
Ingredients: Kushen (Sophorae Flavescentis Radix) in sufficient quantity, ground into powder.
Usage: Mix with water paste to form pills the size of paulownia seeds. Take 2-3 qian per dose, washed down with warm wine.
(Chen's) Kushen Wan (No. 88): Treats generalized itching, tinea, scabies, and sores.
Ingredients: Kushen (Sophorae Flavescentis Radix) 4 liang; Xuanshen (Scrophulariae Radix), Huanglian (Coptidis Rhizoma), Dahuang (Rhei Radix et Rhizoma), Duohuo (Angelicae Pubescentis Radix), Zhike (Aurantii Fructus), Fangfeng (Saposhnikoviae Radix) each 2 liang; Huangqin (Scutellariae Radix), Zhizi (Gardeniae Fructus), Juhua (Chrysanthemi Flos) each 1 liang.
Usage: Grind into powder, mix with refined honey to form pills the size of paulownia seeds. Take 30-40 pills after meals, washed down with tea or wine, three times daily.
Wuli Dahuang Tang (No. 89): Treats epidemic toxins causing red, swollen, and painful areas, accompanied by irritability, thirst, constipation, and a rapid, full pulse.
Ingredients: Dahuang (Rhei Radix et Rhizoma), roasted; Huangqin (Scutellariae Radix); Shengma (Cimicifugae Rhizoma) each 2 qian; Mangxiao (Natrii Sulfas); Zhizi (Gardeniae Fructus) each 1.5 qian.
Usage: Decoct 1.5 zhong of water to 0.6 zhong. Take hot on an empty stomach.
Qingliang Yin (No. 90): Treats severe heat-toxin in abscesses and sores with constipation. This is the same as the previously mentioned Lianqiao Xiaodu San (Forsythia Detoxification Powder).
Ingredients: Lianqiao (Forsythiae Fructum) 1 liang; Dahuang (Rhei Radix et Rhizoma); Shanzhizi (Gardeniae Fructus); Boheye (Menthae Haplocalycis Herba); Huangqin (Scutellariae Radix) each 5 qian; Gancao (Glycyrrhizae Radix et Rhizoma) 1.5 liang; Puxiao (Natrii Sulfas) 2.5 qian.
Usage: Take 1 liang per dose, decoct in water and take orally.
Xuandu San (No. 91): Treats all kinds of carbuncle toxins; its efficacy cannot be fully described.
Ingredients: Dahuang (Rhei Radix et Rhizoma), roasted; Baizhi (Angelicae Dahuricae Radix) each 5 qian.
Usage: Decoct 2 zhong of water to 1 zhong. Take before meals.
Li Chan stated: This formula is an agent for promoting circulation and attacking toxins. If the pulse is deep and solid and there is constipation, the toxin is in the zang organs, and it is suitable to take this formula, which has great efficacy. If the zang and fu organs are harmonious and the pulse is not full, it should not be used. The formula in *Yilin Jiyao* uses 1 jin of Dahuang (Rhei Radix et Rhizoma) and 6 liang of Baizhi (Angelicae Dahuricae Radix), ground into powder. Take 3 qian per dose, mixed with hot wine, and apply the residue mixed with tea water to the affected area, named Wanjīn San (Ten Thousand Gold Powder). It is cherished for its efficacy. It can also be made into water-pellets for convenience. Brother Shen Qianxian from Wujiang suffered from a hard carbuncle on his back with a deep and solid pulse, indicating toxin inside. After one dose, foul matter was discharged from stool and urine; after another dose, it resolved. Fearing patients might overlook these two medicines, I share this verified experience.
Badu San (No. 92): Treats all kinds of carbuncles, furuncles, swelling, and toxins; its efficacy cannot be fully described.
Ingredients: Ruxiang (Olibanum), Moyao (Myrrhae Resina), Danggui (Angelicae Sinensis Radix), Chuanshanjia (Manis Squama), roasted; Muguezi (Semen Strychnos); Lianqiao (Forsythiae Fructum) each 1 qian; Gancao (Glycyrrhizae Radix et Rhizoma), roasted, 5 fen; Gualouren (Trichosanthis Semen) 8 fen; Yazao (Gleditsiae Spina), roasted; Beimu (Fritillariae Bulbus) each 7 fen; Rendongteng (Lonicerae Japonicae Caulis) 2 qian; Dahuang (Rhei Radix et Rhizoma), raw and cooked half-and-half, 1.5 qian.
Usage: Decoct in 1 zhong of water and 1 zhong of wine to 1 zhong. Take before meals. This is an excellent formula for attacking toxins, relieving pain, and resolving pus; it has been repeatedly effective. If pus has formed or ulcerated, Dahuang (Rhei Radix et Rhizoma) may be omitted to avoid draining true Qi, which would hinder pus discharge or healing. However, if pus has drained but the pulse remains flooding and rapid or deep and solid, and the patient prefers cold drinks, fire pathogen remains, and use is indicated.
Neishu Huanglian Tang (No. 93): Treats sores and ulcers with fever and vomiting, constipation, and a flooding and full pulse.
Ingredients: Huanglian (Coptidis Rhizoma); Shaoyao (Paeoniae Radix); Danggui (Angelicae Sinensis Radix); Binglang (Arecae Semen); Muxiang (Aucklandiae Radix); Huangqin (Scutellariae Radix); Zhizi (Gardeniae Fructum); Bohe (Menthae Haplocalycis Herba); Jiegeng (Platycodonis Radix); Gancao (Glycyrrhizae Radix et Rhizoma) each 1 qian; Lianqiao (Forsythiae Fructum); Dahuang (Rhei Radix et Rhizoma) each 1.5 qian.
Usage: Decoct with ginger and water, adjusting treatment according to deficiency and excess.
Taoren Tang (No. 94): Drives out blood stasis.
Ingredients: Taoren (Persicae Semen); Sumu (Sappan Lignum) each 1 liang; Shengdihuang (Rehmanniae Radix) 5 qian; Mengchong (Blattidae Insecta), feet and wings removed, stir-fried; Shengzhi (Hirudo), stir-fried, each 30 pieces.
Usage: Take 3 qian per dose, decoct in 1 cup of water to 0.6 cup. Take on an empty stomach.
Loulu Tang (No. 95): Treats brain carbuncles and severe excess-type carbuncles and furuncles.
Ingredients: Loulu (Euphorbiae Humifusae Herba); Huangqi (Astragali Radix); Gancao (Glycyrrhizae Radix et Rhizoma); Lianqiao (Forsythiae Fructum); Chenxiang (Aquilariae Lignum Resinatum) each 5 qian; Dahuang (Rhei Radix et Rhizoma) 1 liang, lightly stir-fried.
Usage: Take 4-5 qian per dose, decoct with ginger and jujube in water.
Qianjin Loulu Tang (No. 96): Treats carbuncles on the back, erysipelas, and epidemic heat-toxins, with redness, swelling, and pain.
Ingredients: Loulu (Euphorbiae Humifusae Herba); Huangqin (Scutellariae Radix); Bailian (Trollii Radix); Lianqiao (Forsythiae Fructum); Zhike (Aurantii Fructus), bran-fried; Shengma (Cimicifugae Rhizoma); Fencǎo (Glycyrrhizae Radix et Rhizoma); Mahuang (Ephedrae Herba), nodes removed; Dahuang (Rhei Radix et Rhizoma), wrapped in wet paper and roasted; Puxiao (Natrii Sulfas) each 1 liang.
Usage: Take 5-6 qian per dose, decoct with ginger and water, strain, and take on an empty stomach. Discharging foul matter is ideal.
Loulu Shengma Tang (No. 97): Treats epidemic toxins causing redness and swelling of the head and face, throat blockage, and inability to swallow water or medicine. Also treats swellings and toxic lumps caused by accumulated heat in the zang and fu organs, and all red, swollen, and malignant toxins.
Ingredients: Loulu (Euphorbiae Humifusae Herba) 2 qian; Shengma (Cimicifugae Rhizoma) 1.5 qian; Huangqin (Scutellariae Radix), wine-washed; Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma); Xuanshen (Scrophulariae Radix); Niubangzi (Arctii Fructus), stir-fried and crushed; Jiegeng (Platycodonis Radix); Lianqiao (Forsythiae Fructum) each 1 qian; Lanye (Isatidis Folium; if unavailable, use Qingdai (Indigo Naturalis)); Dahuang (Rhei Radix et Rhizoma), wine-soaked, dosage adjusted to severity.
Usage: Decoct in water and take orally. For severe constipation, add Mangxiao (Natrii Sulfas).
Runchang Wan (No. 98): Treats latent fire in the spleen and stomach, dryness of the large intestine, or wind-blood binding, suitable for this pill to unblock bowels. If impaction is in the rectum, pig bile suppository is indicated. The kidney governs the five fluids and opens into the two yin orifices; if fluids are moistening, bowel movements are smooth. If fluids are insufficient and spleen Qi is damaged, tonification is required, and this medicine is contraindicated.
Ingredients: Taoren (Persicae Semen), peeled and split; Huomaren (Cannabis Semen) each 1 liang; Qianghuo (Notopterygii Rhizoma et Radix); Guiwei (Angelicae Sinensis Radix tail); Dahuang (Rhei Radix et Rhizoma), roasted; Zaocì (Gleditsiae Spina); Qinjiao (Gentianae Macrophyllae Radix) each 5 qian.
Usage: Grind each separately into powder, mix with refined honey or pig bile to form pills the size of paulownia seeds. Take 30-40 pills washed down with plain boiled water. If pig bile is used for suppositories and stools are not dry, urgently tonify Yuan Qi.
Moyao Wan (No. 99): Excellent for driving away stagnant blood.
Ingredients: Danggui (Angelicae Sinensis Radix) 1 liang; Guixin (Cinnamomi Ramulus); Shaoyao (Paeoniae Radix) each 0.5 liang; Taoren (Persicae Semen), peeled and split, crushed; Moyao (Myrrhae Resina) each 3 qian; Mengchong (Blattidae Insecta), feet and wings removed; Shengzhi (Hirudo), stir-fried, each 30 pieces.
Usage: Grind into powder, mix with vinegar paste to form pills the size of paulownia seeds. Take 3-5 pills on an empty stomach, washed down with vinegar water.
Danggui Wan (No. 100): Promotes blood circulation, promotes urination, and unblocks bowels.
Ingredients: Danggui (Angelicae Sinensis Radix) 0.5 liang; Dahuang (Rhei Radix et Rhizoma); Guixin (Cinnamomi Ramulus) each 3 qian; Chishaoyao (Red Paeoniae Radix); Tingli (Semen Lepidii seu Descurainiae) each 2 qian; Renshen (Ginseng Radix); Gansui (Kansui Radix), wrapped in flour and roasted, 0.5 qian.
Usage: Mix with refined honey to form pills the size of quail eggs. Dissolve one pill in rice drink on an empty stomach.
Po Guan Dan (No. 101): Treats extreme heat in sores with profuse sweating, extreme thirst, constipation, delirium, and madness.
Ingredients: Dahuang (Rhei Radix et Rhizoma) 2.5 liang (half raw, half cooked); Mangxiao (Natrii Sulfas); Gancao (Glycyrrhizae Radix et Rhizoma) each 2 liang.
Usage: Grind into powder, mix with refined honey to form pills the size of quail eggs. Take one pill per dose, dissolved in child's urine and wine, or plain boiled water.
Rendong Jiu (No. 102): Resolves various carbuncle toxins.
Ingredients: Fresh Rendongteng (Lonicerae Japonicae Caulis) 4-5 liang (if dried, use only 1 liang), crushed; Da Gancaojie (Large Licorice Joint) 1 liang, raw.
Usage: Place both ingredients in a clay pot, add 2 zhong of water, decoct to 1 zhong. Add 1 zhong of non-fermented wine, boil briefly, strain, and divide into three doses. For severe cases, take two doses day and night until urination and defecation are free. Additionally, crush fresh Rendongteng (Lonicerae Japonicae Caulis), add a little wine, and apply to the affected area.
Jinyinhua Jiu (No. 103): Treats all carbuncles, furuncles, back carbuncles, carbuncles of the throat, and sore throat.
Usage: Crush Jin Yin Hua Teng Ye (Lonicerae Japonicae Caulis et Flos), extract juice (0.5 zhong), mix with hot wine (0.5 zhong), and take warm. Severe cases resolve within 3-5 doses.
Huaihua Jiu (No. 104): Most excellent for treating heat-toxin in sores.
Usage: Stir-fry 4-5 liang of Huaihua (Stemonae Radix? Note: Context implies Sophora Flower, i.e., Sophorae Flos) until slightly yellow. While hot, add 2 zhong of wine, boil over ten times, strain, and take hot. Unformed sores: 2-3 doses; formed sores: 1-2 doses. Applicable whenever heat-toxin is not cleared. Huaihua (Sophorae Flos) acts swiftly on damp-heat; it is unsuitable for those with stomach cold. Generally, unless the momentum of swelling/toxin is reduced by garlic moxibustion and Huaihua (Sophorae Flos) wine first, even with tonifying interior medicines, efficacy may not be rapid.
Pugongying Jiu (No. 105): Treats breast carbuncles and milk stasis, applicable whether formed or unformed.
Usage: Take a handful of Pugongying (Taraxaci Herba), crush, add 0.5 zhong of wine, take the wine warm, and apply the dregs to the affected area. Severe cases resolve within 3-5 doses.
Yuanzhi Jiu (No. 106): Can expel and dissipate toxins; particularly effective for female breast carbuncles.
Ingredients: Yuanzhi (Polygalae Radix) in sufficient quantity, soaked in rice wash water, pounded to remove the woody core.
Usage: Grind into powder. Take 3 qian per dose, mixed with 1 zhong of good wine. Wait a moment, let settle, drink the clear liquid, and apply the residue to the affected area.
Niuxi Jiu (No. 107): Treats yaws (yangmei fengdu) and lower back pain.
Ingredients: Niuxi (Achyranthis Bidentatae Radix); Chuanxiong (Ligustici Chuanxiong Rhizoma); Qianghuo (Notopterygii Rhizoma et Radix); Wujia Pi (Acanthopanacis Cortex); Duzhong (Eucommiae Cortex); Gancao (Glycyrrhizae Radix et Rhizoma); Digupi (Lycii Cortex); Yiren (Coicis Semen) each 1 liang; Shengdihuang (Rehmanniae Radix) 10 liang; Haitongpi (Sapii Cortex) 2 liang.
Usage: Coarsely chop, wrap in cloth, soak in non-fermented wine for 27 days (3-5 months in summer). Take one cup per dose, 3-5 times daily.
Xiaoying Jiu (No. 108):
Ingredients: Kunbu (Laminariae Thallus) 3 qian; Haizao (Sargassum Thallus) 5 qian; Chenxiang (Aquilariae Lignum Resinatum); Xionghuang (Realgar) each 1 qian, crushed; Haipiaoxiao (Sepiae Endoconcha) 2 qian.
Usage: Coarsely chop, boil in 1 sheng of good wine. Take 1-2 zhong at will, or soak for over 10 days and drink.
Sangzhi Jian (No. 109): Primarily treats thirst.
Usage: Take young Sangzhi (Mori Ramulus), finely cut 1 sheng, stir-fry. Add 3 sheng of water, decoct to 1 sheng. Take 3-5 doses daily; more is better. *Baopuzi* states: Treats wind-bi dryness, arm pain, beriberi, limb spasms, rising qi, and vertigo. Long-term use tonifies lungs, aids digestion, promotes urination, lightens the body, clarifies ears and eyes, improves complexion, and its benefits cannot be fully enumerated.
Shenxian Jie Fa (No. 110): Treats carbuncles, furuncles, back carbuncles, and all malignant sores; pre-administration prevents toxin from entering the interior.
Ingredients: True Sesame Oil 1 jin, boiled in a silver vessel for over ten boils, then cooled.
Usage: Take 2 bowls of wine, add 5 cups of oil. Drink hot through the mouth, finish within one day, or spread over several days. Wu Anshi said: My family has used this for three generations without failure. Hunters also say: If poisoned by an arrow, drink sesame oil immediately to eliminate poison; it is highly effective. Note: This formula is most suitable for constipation with toxin accumulation internally to unblock and drain toxin. It is unsuitable for Yin toxins or loose stools.
Bian Fa (No. 111): Treats erysipelas, carbuncles with spreading red threads, or epidemic toxins with excessive blood stasis. Break fine porcelain ware, take a sharp piece, clamp it between the split tip of a chopstick, tie securely. Pinch the tendon ends with fingers, align the porcelain shard with the affected area, suspend about one cun away, and frequently tap the chopstick handle with another stick to cause bleeding and release toxin. If toxin enters the abdomen causing distension, it is difficult to treat.
Pricking Shaoshang Acupoint (No. 112): Treats acute sore throat.
Location: On the radial side of the thumb, approximately the width of a leek leaf from the corner of the nail. Prick about 2 fen deep. Press from the arm towards the pricking point to induce bleeding, which resolves symptoms. If severe with pus formation, must needle the affected area, otherwise difficult to treat.
Prime Minister Hong's Leech Method (No. 113): For severe, toxic sores with congealed blood that does not disperse, use this method to curb the condition.
Usage: At the onset of a sore, place a large leech inside a pen tube, align the tube opening with the sore head to allow the leech to suck. Removing evil blood disperses the toxin. For larger sores, replace 3-4 leeches. If a leech sucks a major acupoint, it will die; this method is repeatedly effective. If bleeding does not stop, apply mud from lotus root joints to stop it. If the sore head is unclear, apply well-side mud; the first spot to dry indicates the head.
Riding Bamboo Horse Moxibustion (No. 114): Treats all sores and ulcers, invariably curative.
Method: Have the patient sit with elbows on a table, left arm for men, right for women, raising the arm straight. Measure from the wrist crease to the tip of the middle finger using a bamboo strip (excluding nail). Have the patient straddle a bamboo pole held by two people, feet off the ground, supported to prevent bending. Place the measured strip along the spine from the coccyx to mark the midpoint (not an acupoint). Measure the transverse creases of the middle finger joint to define a "same-body inch". Place this measure on the spinal mark, extending one cun to each side; these endpoints are the moxa points. Apply 5-7 moxa cones to each. If the carbuncle is on the left, moxa the right; if on the right, moxa the left; if bilateral, moxa both. This point lies on the Heart meridian; carbuncles result from stagnation of Heart Fire. Moxibustion here circulates Heart Fire and disperses toxin, having life-saving efficacy.
Shenxian Garlic-Separated Moxibustion (No. 115): Treats severe pain, numbness, or lack of sensation in carbuncles and sores; also treats severe toxin in smallpox preventing eruption, suppuration, or crusting. Moxa until pain ceases or begins; toxin disperses with fire. This is a treating-from-the-same approach to dissipate stagnant toxin, with great life-saving potential.
Method: Peel garlic, slice 3 fen thick, place on the sore. Apply moxa cone on the garlic. Replace garlic every 5 cones, or apply 30 to hundreds of cones; more is better. Unformed sores resolve; formed sores have their momentum checked. For large sores, crush garlic, apply to site, cover with moxa, replace when burnt. For Yin toxins (purple/white, non-erupting, painless, non-suppurating), extensive moxibustion is especially suitable, combined with interior-tonifying formulas. If still painless/non-suppurating/non-erupting after moxa, it indicates extreme Qi and Blood deficiency and is untreatable.
Fuzi Cake (No. 116): Treats ulcerated sores with Qi and Blood deficiency failing to heal, or wind-cold invasion impairing circulation, leading to non-healing.
Method: Use processed Fuzi (Aconiti Lateralis Radix Praeparata), peel and remove navel, grind to powder. Mix with saliva to form a cake, place on the wound, apply moxa cone on the cake. Moxa several cones daily until mildly warm, not painful. If cake dries, re-moisten with saliva. Continue until the wound bed is lively and moist.
Douchi Cake (No. 117): Treats hard, non-ulcerated sores; ulcerated but non-healing sores; and stubborn malignant sores.
Method: Grind Jiangxi Douchi (Fermented Soybean) into powder, mix with saliva to form cakes the size of a coin, thickness of three coins. Place on affected area, apply moxa cone on cake. Replace when dry. For back sores, mix with mouthwash to form cake, apply, cover with moxa. Unformed sores resolve; formed sores have toxin checked. If ineffective, it indicates severe Qi and Blood deficiency.
Muxiang Cake (No. 118): Treats Qi stagnation with swelling/pain, sprains, and wind-cold injury pain.
Ingredients: Muxiang (Aucklandiae Radix) 5 qian; Shengdihuang (Rehmanniae Radix) 1 liang.
Usage: Grind Muxiang (Aucklandiae Radix) into powder, mash Shengdihuang (Rehmanniae Radix) into paste, mix evenly. Form cake to fit affected area, place on swelling, and iron with a hot ironing tool.
Xiangfu Cake (No. 119): Treats scrofula, flowing nodules, masses, or wind-cold in meridians causing swelling/pain.
Usage: Grind Xiangfu (Cyperi Rhizoma) into powder, mix with wine to form cake fitting the sore size. Place on affected area, iron with hot tool. Unformed sores resolve internally; formed sores ulcerate spontaneously. For wind-cold-damp toxin, use ginger juice to form cake.
Shenxiao Sangzhi Moxibustion (No. 120): Treats back carbuncles failing to erupt or necrotic tissue failing to slough, due to Yang Qi deficiency.
Usage: Ignite Sangzhi (Mori Ramulus), blow out flame, use residual heat to moxa affected area for a short time, 3-5 times daily, to aid rupture. If necrotic tissue is gone but new flesh grows slowly, moxa the four sides. Also suitable for Yin sores, scrofula, flowing nodules, and chronic malignant sores. Generally, before ulceration, it clears heat-toxin, stops pain, reduces swelling; after ulceration, it tonifies Yang Qi, disperses residual toxin, generates flesh. For Yang syndrome swelling/pain, heavy as carrying stone, early use drains toxic fluid and resolves internally; late use results in shallow ulceration without suffering. Regrettably, patients do not know of this, and practitioners are reluctant to use it.
Shenxiao Scallion-Ironing Method (No. 121): Treats flowing nodules, bone abscesses, knee deformities, limb masses, painful or painless. Wind-cold in meridians causing spasms/bone pain. Trauma, stopping pain, dispersing blood, reducing swelling. Best after garlic moxa if residual swelling persists, to assist Qi/Blood and move stagnation.
Usage: Chop scallion heads, pound, stir-fry hot, apply to affected area. Replace when cool. Repeat ironing until pain/swelling stops. Alternatively, decoct scallions for fumigation/washing. Or bundle scallions, slice into thin cakes, place on site, iron with hot object or cover with moxa. Frequent replacement and ironing are best.
Shenxian Fumigation and Illumination Formula (No. 122):
Ingredients: Xionghuang (Realgar); Zhusha (Cinnabaris); Xuexie (Sanguinis Draconis); Moyao (Myrrhae Resina) each 1 qian; Shexiang (Moschus) 2 fen.
Usage: Grind five ingredients into fine powder. Roll cotton paper into thick wicks, approx. 1 chi long. Wrap 3 fen of medicine in each wick, soak in true sesame oil. Ignite and hold near the sore, about half a cun away. Start from the outer edge of the red halo, gradually moving inward toward the sore center ("from outside to inside"). Vigorously pull the wick outward to draw out toxin gas. This technique allows medicinal vapor to penetrate deeply, dispersing toxin without invading zang/fu organs. Start with three wicks, increase to 5-7 as condition improves, then decrease. After fumigation, apply subsequent topical medicine.
Li Du of Guangling stated: Back carbuncles either attack inward or ulcerate externally. Due to fire-toxin fermentation, if unable to disperse externally, they attack inward; if unable to exit centrally, they ulcerate laterally. Physicians often use cooling herbs to surround and resolve, often falling victim to these two complications. For non-erupting Yin sores, only garlic-separated moxa is available, yet efficacy is inconsistent. This formula uses medicated wicks for fumigation, using fire to attract fire, dispersing toxin externally. Subsequent topical application draws out pus, stops pain, and allows toxin to exit via pores and sore apex, avoiding lateral ulceration. One illumination of Yin sores produces a red halo like steamed buns, transforming into a Yang syndrome, ensuring safety.