木香 肿汤 治痈疽始发肿 ,憎寒热痛。
地黄汁(五合,如无,用生地黄五两以代之) 犀角 木香 升麻 射干 栀子仁 大黄
黄柏 黄芩 黄连 白蔹 炙甘草 朴硝 紫檀 羚羊角(各一两)
切碎和匀,每用药五两,水一斗,煎七升,入麝香五分,净帛蘸药,热 肿上,
日两三度,冷即更换。
升麻 肿汤
升麻 黄 防风 生地黄 川芎 细辛(各等分)
咀,用药二两,水二升,煎十沸,稍热淋 ,内消如神。
肿升麻汤(《总录》)
升麻 漏芦 栀子仁 蒴 芒硝 黄芩(各等分)
每用二两,水三升,煎十沸,帛蘸药 溃肿处。
猪蹄汤(《圣惠方》)
升麻 甘草 芍药 蒴 (各等分)
每用四两,水一斗,猪蹄一对,煮蹄软取出,次下药,再煎十沸,帛蘸淋之。
肿汤
木香 犀角 升麻 大黄 黄芩 黄连 射干 黄柏 白蔹 甘草 朴硝 檀香 山栀 生地
羚羊角(各等分)
每用五两,以水一斗,煎七升,入麝香一钱,净绵蘸药,热 肿上,一日两三
度,冷则再换。
澄曰∶痈疽发背,初起已成,有用熏法,可令未成即消,已成自溃,溃而易敛,
秘而不传,留心访求,始获其方,用之颇验。
千金神草熏药方(袁圣伯) 发背对口已成,肿痛势甚,或未溃已溃。
千金草(一握,按千金草六月间高二三尺,叶似桃叶,顶上开紫花一丛,如紫瑞香花一般)
捣烂,入小口砂锅内熬滚,将病患仰卧于有洞板门上,毒露洞中,以砂锅对洞
熏之,少倾疮口毒水如涎流出,病患快意为度,即将搽敷患处缚住,次日另熬又熏,
三次毒水流尽自愈。
神验熏药方(吴羹相)
如意草(即犁头草) 金银花(各五钱) 桑叶(三钱) 三角峰(又名爬壁蜈蚣,系枫树上藤,其藤
系三个叶儿。一两)
上入大砂锅内,入水煎滚,纸封罐口,以棉花将病患好肉包盖,再取门板量毒大
小上下,开一洞,对毒熏之,药气直透毒内,自有恶水流出必多,如此三熏,毒散
自愈。如未愈,再熏一次;如已溃烂,亦宜此法熏之。若攻出数头,以葱头煎洗,有
腐肉或疮口燥,用猪蹄汤洗之,以膏盖之。此乃奇效之法,秘之。
Muxiang Xiaozhong Decoction (Wood Fragrance Swelling-Reducing Decoction): Treats carbuncles and sores (Yongju, 痈疽) at the initial stage of swelling onset, accompanied by aversion to cold, fever, and pain.
Di Huang Zhi (Rehmannia Root Juice, 5 he), if unavailable, substitute with Sheng Di Huang (Fresh Rehmannia Root, 5 liang); Xi Jiao (Rhinoceros Horn); Mu Xiang (Aucklandiae Radix); Sheng Ma (Cimicifugae Rhizoma); She Gan (Belamcandae Rhizoma); Zhi Zi Ren (Gardeniae Semen); Da Huang (Rhei Radix et Rhizoma); Huang Bo (Phellodendri Cortex); Huang Qin (Scutellariae Radix); Huang Lian (Coptidis Rhizoma); Bai Lian (Trollii Radix); Zhi Gan Cao (Prepared Licorice Root); Pu Xiao (Natrii Sulfas); Zi Tan (Pterocarpi Santalinus Lignum); Ling Yang Jiao (Saiga Tatarica Cornu) (each 1 liang).
Chop finely and mix evenly. For each dose, use 5 liang of herbs, add 1 dou of water, decoct until 7 sheng remain. Add 5 fen of She Xiang (Moschus). Dip a clean cloth in the hot medicine and apply it to the swollen area. Apply two to three times daily; replace when cool.
Shengma Xiaozhong Decoction (Cimicifuga Swelling-Reducing Decoction)
Sheng Ma (Cimicifugae Rhizoma); Huang (Ephedrae Herba, likely referring to Gui Zhi Tang context or specific local usage, but literally "Huang" usually implies Huang Qi or similar, here listed as distinct herb); Fang Feng (Saposhnikoviae Radix); Sheng Di Huang (Rehmanniae Radix); Chuan Xiong (Ligustici Chuanxiong Rhizoma); Xi Xin (Asari Radix et Rhizoma) (equal parts).
Chop coarsely. Use 2 liang of herbs, add 2 sheng of water, boil ten times. While slightly warm, wash/irrigate the area. Internal resolution is miraculous.
Xiaozhong Shengma Decoction (from *Zonglu*)
Sheng Ma (Cimicifugae Rhizoma); Lou Lu (Euphorbiae Humifusae Herba); Zhi Zi Ren (Gardeniae Semen); Shuo Bie (Polygoni Multiflori Caulis); Mang Xiao (Natrii Sulfas); Huang Qin (Scutellariae Radix) (equal parts).
Use 2 liang per dose, add 3 sheng of water, boil ten times. Dip a cloth in the medicine and apply to the ulcerated and swollen area.
Zhuti Tang (Pig Trotter Decoction, from *Shenghui Fang*)
Sheng Ma (Cimicifugae Rhizoma); Gan Cao (Glycyrrhizae Radix et Rhizoma); Shao Yao (Paeoniae Radix); Shuo Bie (Polygoni Multiflori Caulis) (equal parts).
Use 4 liang of herbs, add 1 dou of water, and one pair of pig trotters. Boil the trotters until soft, remove them, then add the herbs and boil ten times. Dip a cloth in the liquid and wash/irrigate the area.
Xiaozhong Decoction (Swelling-Reducing Decoction)
Mu Xiang (Aucklandiae Radix); Xi Jiao (Rhinoceros Horn); Sheng Ma (Cimicifugae Rhizoma); Da Huang (Rhei Radix et Rhizoma); Huang Qin (Scutellariae Radix); Huang Lian (Coptidis Rhizoma); She Gan (Belamcandae Rhizoma); Huang Bo (Phellodendri Cortex); Bai Lian (Trollii Radix); Gan Cao (Glycyrrhizae Radix et Rhizoma); Pu Xiao (Natrii Sulfas); Tan Xiang (Santalum Album Lignum); Shan Zhi (Gardeniae Fructus); Sheng Di (Rehmanniae Radix); Ling Yang Jiao (Saiga Tatarica Cornu) (equal parts).
Use 5 liang per dose, add 1 dou of water, decoct until 7 sheng remain. Add 1 qian of She Xiang (Moschus). Dip clean cotton in the medicine and apply hot to the swollen area, two to three times a day. Replace when cool.
Gu Shicheng states: For back carbuncles (Fa Bei, 发背) that have initially formed, fumigation methods can be used. This allows unformed abscesses to dissipate, formed ones to naturally ulcerate, and ulcers to heal easily. This method was kept secret and not passed down. Through diligent inquiry, I obtained this prescription, which has proven quite effective.
Qianjin Shencao Fumigation Prescription (Yuan Shengbo): For Fa Bei or Duikou sores that have formed, with severe swelling and pain, whether unulcerated or already ulcerated.
Qianjin Cao (One handful; note: Qianjin Cao grows two to three chi high in June, leaves resemble peach leaves, with a cluster of purple flowers on top resembling Purple Daphne flowers).
Pound into a paste, place in a small-mouthed clay pot, and bring to a boil. Have the patient lie supine on a wooden board with a hole, positioning the sore over the hole. Hold the clay pot against the hole to fumigate. After a short while, toxic fluid resembling saliva will flow from the sore. Continue until the patient feels comfortable. Then apply topical ointment/poultice to the affected area and bandage it. Prepare fresh medicine for fumigation the next day. After three fumigations, when all toxic fluid has drained, the condition will heal spontaneously.
Shenyan Fumigation Prescription (Wu Gengxiang)
Ruyi Cao (Ploughshare Grass, i.e., *Patrinia scabiosifolia*); Jin Yin Hua (Lonicerae Japonicae Flos) (each 5 qian); Sang Ye (Mori Folium) (3 qian); San Jiao Feng (also known as Pa Bi Wu Gong, a vine on maple trees with clusters of three leaves) (1 liang).
Place the above ingredients in a large clay pot, add water, and bring to a boil. Seal the mouth of the jar with paper. Wrap the healthy skin around the sore with cotton. Take a doorboard, cut a hole corresponding to the size of the toxic sore, and position it for fumigation. The medicinal vapor penetrates directly into the toxin, causing significant discharge of foul fluid. Perform this fumigation three times; the toxin will dissipate and the patient will heal. If not healed, fumigate once more. If already ulcerated, this method is also suitable. If multiple heads of pus erupt, wash with decoction of green onion bulbs. If there is necrotic tissue or the sore is dry, wash with Zhuti Tang (Pig Trotter Decoction) and cover with plaster. This is a miraculous method; keep it secret.