Library

For lesions in the initial stage, whether it is Ding Chuang (malignant furuncle), Ju Bing (deep-seated abscess), or Fa Bei (carbuncle on the back), fumigation should be applied immediately. If the pathogenic toxin sinks inward, other formulas for Nei Tuo (internal support/expelling toxin) can be used.

Regarding inducing sweating to release the exterior: For lesions on the back, Qiang Huo (Notopterygii Rhizoma et Radix) is the main herb; on the face, Bai Zhi (Angelicae Dahuricae Radix); on the shoulders and flanks, Chai Hu (Bupleuri Radix); on the chest and abdomen, Bai Zhi (Angelicae Dahuricae Radix) and Sheng Ma (Cimicifugae Rhizoma). Li Dongyuan's prescriptions are most excellent: if the pulse is rapid, slippery, floating, and large, Li Dongyuan's Xiao Du San (Detoxification Powder) is suitable; if the pulse is deep and fine, Shi Bu San (Ten-Tonifying Powder) is used; if the pulse is slippery and rapid with sores located lower down, Dang Gui Nian Tong Tang (Tang-kuei Decoction for Relieving Pain) is suitable.

Regarding fumigation: Use slices of garlic, or powder Bai Zhi (Angelicae Dahuricae Radix) and Mu Bie Zi (Strychni Semen) together, mix with honey to form cakes for use. For chronic cold sores, use slices of Fu Zi (Aconiti Lateralis Radix Praeparata).

Regarding purging: If the pulse is excess, with swollen sores and constipation, Nei Shu Huang Lian Tang (Internal-Draining Coptis Decoction) is suitable. If there is profuse sweating, a large pulse, and delirium, Po Guan Dan (Breaking Coffin Pill) is used.

Regarding Cong Zhi (following treatment/reverse therapy): There are cases where sores and swelling arise from consuming various toxic foods or dead donkey/horse meat, or caused by damp-toxin, etc., which are suitable for the following medicines.

Fei Long Duo Ming Dan (Flying Dragon Seizing Life Pill): Treats all kinds of Ding Chuang (malignant furuncles), malignant swellings, and initial stages of Yong Ju (boils and carbuncles), or cases where the disease has sunk inward. If heat-toxin is vigorous and the pulse is full, the following Yin Zi (Infusion) is suitable.

Ingredients: Tian Nan Xing (Arisaematis Rhizoma), Xiong Huang (Realgar), Ba Dou (Crotonis Fructus) (each 1 qian), Nao Sha (Sal Ammoniac), Huang Dan (Lithargyrum), Xin Shi (Arsenolite), Ru Xiang (Olibanum) (each 0.5 qian), Ban Mao (Mylabris), Hu Gu (Pantheris Os) (16 pieces, remove wings, skin, and bone surface), She Xiang (Moschus) (a small amount).

Grind the above into powder, take Chan Su (Toad Venom) to bind into pills the size of yellow millet seeds. Take 11-12 or 14-15 pills per dose. Depending on the location of the sore (upper or lower) and timing relative to meals, swallow with good wine. Avoid all meats and greasy foods for seven days. Another version includes Fan (Alumen) (1 qian) and Ban Xia (Pinelliae Rhizoma) (1 qian), without Xiong Huang.

Li Dongyuan Huang Lian Xiao Du Yin (Coptis Detoxification Infusion): Treats Yong Ju (boils and carbuncles) occurring on the crown of the head or back, with swelling spreading outward, heat-toxin erupting, numbness, and lack of pain; moxibustion is suitable.

Ingredients: Huang Lian (Coptidis Rhizoma) (wine-fried), Qiang Huo (Notopterygii Rhizoma et Radix) (each 1 qian), Huang Qin (Scutellariae Radix), Huang Bo (Phellodendri Cortex) (each 0.5 qian, wine-fried), Sheng Di Huang (Rehmanniae Radix), Zhi Mu (Anemarrhenae Rhizoma) (fried), Du Huo (Angelicae Pubescentis Radix), Fang Feng (Saposhnikoviae Radix), Gui Wei (Angelicae Sinensis Radix tip) (each 4 qian), Lian Qiao (Forsythiae Fructus) (4 qian), Gao Ben (Ligustici Rhizoma et Radix), Fang Ji (Stephaniae Tetrandrae Radix), Jie Geng (Platycodonis Radix) (each 0.5 qian), Huang Qi (Astragali Radix), Su Mu (Sappan Lignum), Chen Pi (Citri Reticulatae Pericarpium), Ze Xie (Alismatis Rhizoma) (each 2 qian), Ren Shen (Ginseng Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 3 qian).

Cut into slices, prepare as one dose, decoct in water and drink. If the swelling has subsided, use the following Fu Jian San (Re-decoction Powder):

Ingredients: Di Gu Pi (Lycii Cortex), Qin (Scutellariae Radix), Ling (Poria), Shen (Ginseng Radix et Rhizoma), Shao (Paeoniae Radix Alba), Zhu (Atractylodis Macrocephalae Rhizoma), Gui (Cinnamomi Ramulus), Gan Cao (Glycyrrhizae Radix et Rhizoma), Fang Ji (Stephaniae Tetrandrae Radix), Dang Gui (Angelicae Sinensis Radix) (each 1 qian), Fang Feng (Saposhnikoviae Radix) (3 qian). Prepare as one dose, first decoct Xian Zhu (Atractylodis Rhizoma) 3 qian, then add water and decoct.

Regarding moxibustion: Luo Li (scrofula) and sores require moxibustion. Select two points: Jian Jing (GB21) and the anterior bony end of Qu Chi (LI11). Internally, take San Zhong Kui Jian Wan (Swelling-Reducing and Hardness-Resolving Pills) for one to two doses.

Regarding Shuang Jie (simultaneous resolution of interior and exterior): For limb reversal, throat obstruction, aversion to cold, and alternating fever, use Wu Xiang Lian Qiao Tang (Five-Aroma Forsythia Decoction). For wind-heat, use Fang Feng Tong Sheng San (Saposhnikovia Universal Guardian Powder). For Dan Du (erysipelas) with an excess pulse, use Qian Jin Lou Lu Tang (Thousand-Gold Desmodorus Decoction).

Regarding Nei Tuo (internal support): For deficiency pulse combined with stomach heat, use Fu Jian San (Re-decoction Powder), Sheng Ji Tuo Li Tang (Holy Relief Supporting Interior Decoction), Li Dongyuan Huang Qi Ren Shen Tang (Astragalus and Ginseng Decoction), or Huang Qi Tang (Astragalus Decoction).

Regarding external treatment: If there is pus, incise and drain; for chronic sores with cold flesh, apply fumigation. For topical application, in the initial stage, use fresh Shan Yao (Dioscoreae Rhizoma), add a little Mu Bie Zi (Strychni Semen) and Bi Ma (Ricini Semen), pound and apply to reduce swelling. For Fan Rou (flesh-eating ulcers), select Qing Jin Ding Zi (Green Gold Ingot). For damp sores below, use Wen Ge San (Clam Shell Powder). Guo Shi Shui Cheng Gao (Guo’s Water-Clear Paste) is applied to red, hot, painful, infiltrating sores.

Regarding acupuncture: For lip sores, evil blood must be removed; the same applies to sores descending from the upper body.