医家内外科实相表里,惟小儿为难治,故谓之“哑科”。虽疮疡为有形之症,然亦必先
审乎
赋,移于所感,是故人有老少强弱之等,而脉亦有盛衰虚实之异。故疗病治疮疡者,皆当先
辨其有余、不足,而为主客、缓急之施则善矣。其见于东垣、丹溪、河间、仲景之论,可考
而知也。吾切叹夫世之庸医,未尝读书明理,以疮疡试方药,而遂误人者,不少也。尝见南
京判院薛君《外科心法》,精当切要,可传,而许其有扶困起废之仁。一日,持是编以告余
先君,子欲以随治验方萃以成编,庶克济人,且以自验其力。余承先意,乃今分症异,欲而
录其既验者,尤致详于有余不足之辨,而为虚实主客之宜。欲锓诸梓以传,庶有便于穷乡下
邑之无名医者,不独自验而已也。少宰蒲汀李公尝见之,标曰∶《立斋外科发挥》,子盍叙
之。余惟君子不忘乎亲,不私其有。夫不忘其亲之谓孝,不私其有之谓仁,孝则仁,仁则公
,公则溥。君之是编,其真君子之用心哉!吾儒以推己及物求仁,而欲措天下于仁寿之域。
是编之行,于人必大有济,故为之叙,以推展而传之。
嘉靖戊子秋孟月朔,南京刑部员外郎前进士郡人张淮叙。
肿高 痛脉浮者,邪在表也,宜托之;肿硬痛深脉沉者,邪在内也,宜下之;外无 肿
,内
拘急,或头痛者,邪在表也,宜散之;大痛,或不痛者,邪气实也,隔蒜灸之,更用解毒;
烦躁饮冷, 痛脉数者,邪在上也,宜清之;恶寒而不溃者,气实兼寒邪也;宜宣而补之;
痛发热,汗多大渴,便秘谵语者,结阳证也,宜下之;不作脓,或熟而不溃者,虚也,宜
补之。
一男子胸患痈,肿高 痛,脉浮而紧,以内托复煎散二剂,表证悉减;以托里消毒散,
四剂而消。
一男子腹患痈,肿硬愈闷,烦热便秘,脉数而实。以黄连内疏汤,一剂少愈;以黄连解
毒汤,二剂顿退;更以金银花散四剂,出水而消。
一男子患腿痛而不 肿,内亦便利调和,用托里荣卫汤数剂而消。
一妇人项患毒, 痛发寒热。以荆防败毒散,二剂少愈;以小柴胡汤,加连翘、牛蒡子
、桔梗,四剂而消。
一男子肩患毒, 痛饮冷,烦躁便秘,脉数而实。以清凉饮二剂少愈;以金银花散四剂
悉退;又以十宣散,去桂加天花粉、金银花,数剂,疮头溃而痊。
一妇人臂患肿,恶寒不作脓。以十宣散六剂而溃;以托里散数剂而瘳。
一男子患痈,肿硬疼痛,发热烦躁,饮冷,脉沉实,大便秘,乃邪在脏也。用内疏黄连
汤疏
,四剂而消。
一男子内股患毒,肿硬痛甚,不作脓。隔蒜灸五十余壮,势退七八;以仙方活命饮,四
剂而脓成;用十宣散,六剂脓溃而愈。凡疮大痛,或不痛麻木,灸最良。
一妇人臂肿,未成脓,饮食少思,遇劳作痛发热。以补中益气汤二剂,痛少止;以补
气血健脾胃药而消。
一男子素弱,胸患痈,饮食少而倦。以六君子汤加芎、归、黄 ,脓成,针之;更以托
里药而愈。
一妇人胁患痈,未成脓,恶寒脉紧。以十宣散加柴胡二剂,表证悉退;更以托里散数剂
,脓溃而愈。
一妇人臂患毒肿硬,咽喉壅塞,四肢逆冷,发寒热。以五香连翘汤二剂,顿愈;以疮科
流气饮四剂而消。
一男子臂患痈,脉弦紧有力。以白芷升麻汤二剂顿退;又二剂而消。
一妇人肩下患毒,脉弦紧。以白芷升麻汤二剂,表证已退;更以托里药溃之而愈。
一男子臂患痈,不作脓。灸以豆豉饼,及饮托里药三十余剂而溃,又月余而瘳。
一男子脓熟不溃,予欲针之,补以托里。彼不信,乃服攻毒药,及致恶心少食,始悟而
用针
。更以六君子汤,加藿香、当归四剂,稍可;再以加味十全大补汤,数剂而敛。凡疮脓熟,
不行针刺,脓毒侵蚀,轻者难疗,重者不治。老弱之人,或偏僻之处,及紧要之所,若一有
脓,宜急针之,更以托里,庶无变证。
一男子患毒作痛。服寒凉药,痛虽止而食愈少,疮亦不溃。以六君子汤而食进,再以托
里药
者,以温热之剂散之。因风而痛者,除其风。因湿而痛者,导其湿。燥而痛者润之。塞而痛
者通之。虚而痛者补之。实而痛者泻之。脓郁而闭者开之。恶肉侵蚀者去之。阴阳不和者调
之。经络秘涩者利之。慎勿概用寒凉之药。况血脉喜温而恶寒,若冷气入里,血即凝滞,反
为难瘥之证矣。
一男子素弱,肘患肿。欲内消,服凉药,反致作泻少食。以二神丸及香砂六君子汤加肉
豆蔻
木坚固。次以行经活血药佐之,参以经络时令,使毒瓦斯外发,施治之早,可以内消。此内托
之意也。又云∶肿疡内外皆壅,宜以托里表散为主。如欲用大黄,宁无孟浪之非?溃疡内外
皆虚,宜以补接为主。如欲用香散,未免虚虚之失。大抵痈肿之证,不可专泥于火为患。经
云∶营气不从,逆于肉理,乃生痈肿。又云∶形伤痛,气伤肿,六淫七情,皆能致之。况禀
有虚实,及老弱不同,岂可概用寒凉之药?设若毒始聚,脓未作,势不盛,庶可消。尤当推
其病因,别其虚实,若概用寒凉药,必致误事。如脓将成,邪盛气实,用消毒之剂,先杀其
毒,虽作脓不为大苦,溃亦不甚。若就用托里,必益其势。如脓将成不成及不溃,方用托里
。脓成势盛者针之,脓一出,诸证悉退矣。
附方
内托复煎散 治疮疡肿 在外,其脉多浮。邪气胜,必侵内,宜用此药托之。
地骨皮 黄芩(炒) 茯苓 白芍药(炒) 人参 黄 (盐水拌炒) 白术(炒) 桂皮 甘
草(炙) 防己(酒拌) 当归(酒拌,各一钱) 防风(二钱)
咀,先以苍术一升,水五升,煎。去术,入药,再煎至二升,终日饮之。苍术渣外,再煎
服。
托里消毒散 治疮疽已攻发不消者,宜服此药,未成即消,已成即溃,腐肉易去
,新肉易生。如有疮口,宜贴膏药。敛即不用,切不可用生肌之药。
人参 黄 (盐水拌炒) 当归(酒拌) 川芎 芍药(炒) 白术(炒) 茯苓(各一钱) 白
芷
内疏黄连汤(一名黄连内疏汤) 治疮疡肿硬,发热作呕,大便秘涩,烦躁饮冷,
呕心烦,脉沉实。此邪在脏也。急服以内除之,使邪不得犯经络。
黄连 山栀 当归(酒拌) 芍药 木香 槟榔 黄芩 薄荷 桔梗 甘草(各一钱) 连
翘大黄(炒,各二钱) 作一剂,水二钟,煎八分,食前服。
黄连解毒汤(方见疮疡作呕门)
荆防败毒散(方见疔疮门)
隔蒜灸法
仙方活命饮
清凉饮
十宣散(四方见发背门)
香砂六君子汤(方见作呕门)
破棺丹(方见发背门)
托里散 治疮疡饮食少思,或不腐,不收敛。
人参 黄 (盐水拌炒) 当归(酒拌) 川芎 白术(炒) 茯苓 芍药(各一钱) 浓朴(
姜制) 白芷 甘草(各五分) 作一剂,水二钟,煎八分服。
代针膏 治疮疡脓熟不溃。
乳香(二分) 白丁香(细直者是) 巴豆(去壳炒焦) 碱(各五分) 为末,热水调,点疮
头上,常以碱水润之,勿令干也。
托里荣卫汤 治疮疡外无 肿,内亦便利调和,乃邪在经络,宜用此药调理。
黄 (炒) 红花(各一钱) 桂枝(七分) 苍术(米泔浸炒) 柴胡 连翘 羌活 防风
当
金银花散(方见作呕门)
小柴胡汤(方见瘰 门)
黄连消毒散(方见脑疽门)
补中益气汤(方见溃疡发热门)
六君子汤(方见作呕门)
十全大补汤(方见溃疡发热门)
五香连翘汤 治诸疮初觉,一二日便厥逆,咽喉塞,寒热。
沉香 木香 麝香 连翘 射干 升麻 丁香 独活 桑寄生 甘草(炙,各一钱) 大
黄木通 乳香(各一钱五分) 每服五钱,水一钟,煎八分,温服,取利。
疮科流气饮(方见流注门)
白芷升麻汤 治手臂患痈,左右手脉皆短,中按之俱弦,按下洪缓有力,此得之
八风之变也。
白芷(一钱五分) 升麻 桔梗(各一钱) 生黄芩(二钱) 红花 甘草(炙,各五分) 酒
黄芩 黄 (各一钱) 作一剂,水一钟半,煎八分,食远服。
豆豉饼(方见臀痈门)
二神丸(方见作呕门)
[Background Information]
Book: *Lizhai Waikke Fahui* (Elaboration on Surgery by Lizhai)
Author: Xue Ji (Ming Dynasty)
Chapter: Preface / Swollen Ulcer (referring to sores/ulcers before suppuration)
Category: Surgery
[English Translation]
Internal and external medicine practiced by physicians are actually interconnected as interior and exterior. Pediatrics is particularly difficult to treat because infants cannot articulate their symptoms, hence it is called the "Mute Department." Although sores and ulcers are visible, tangible conditions, one must first examine the patient's innate constitution and subsequent exposure to pathogenic factors. Therefore, people vary in age and strength, and pulse presentations differ in excess or deficiency, fullness or emptiness. Thus, when treating diseases and sores/ulcers, one must first distinguish between excess (Shi) and deficiency (Xu), and apply treatment principles according to the primary-secondary relationship and urgency. These principles can be verified in the discussions of Dong Yuan, Dan Xi, He Jian, and Zhong Jing. I deeply lament that many mediocre physicians today have not studied books to understand principles, experimenting with prescriptions for sores/ulcers and thereby harming patients, a situation that is not uncommon. I once saw Mr. Xue, Judge of Nanjing, authored *Waike Xinfa* (Essentials of External Medicine), which is precise and essential, worthy of transmission, demonstrating his benevolence in aiding the distressed and reviving the critical. One day, he presented this manuscript to my father, saying, "I wish to compile verified prescriptions from my clinical cases into a book, hoping to benefit others and verify my own skills." Following my father's intent, I categorized the symptoms, intending to record those proven effective, paying special attention to distinguishing excess from deficiency and determining appropriate treatments for primary-secondary and excess-deficiency patterns. I plan to have it printed for dissemination, hoping to assist unnamed physicians in remote villages, not merely for self-verification. Mr. Li Puting, Vice Minister, had seen this work and titled it *Lizhai Waikke Fahui*. Why do you not write a preface? I believe a gentleman does not forget his parents nor hoard benefits privately. Not forgetting parents is filial piety; not hoarding privately is benevolence. Filial piety leads to benevolence, benevolence leads to impartiality, and impartiality leads to universality. Mr. Xue's compilation truly reflects the heart of a gentleman! We Confucian scholars extend ourselves to all things to seek benevolence, aiming to place the world in a realm of benevolence and longevity. The publication of this book will surely greatly benefit humanity; therefore, I wrote this preface to promote and spread it.
On the first day of the first month of autumn in the Wuzi year of the Jiajing era, Zhang Huai, Former Jinshi, Member of the Court of Judicature and Revision in Nanjing, and fellow townsman, wrote the preface.
If swelling is high, painful, and the pulse is floating, the pathogen is at the exterior; use the supporting method (Tuo). If swelling is hard, pain is deep, and the pulse is sinking, the pathogen is internal; use the purgative method (Xia). If there is no external swelling but internal tension/pain or headache, the pathogen is at the exterior; use the dispersing method (San). If pain is severe or absent, the pathogen is excessive; use garlic-separated moxibustion and further employ detoxifying agents. If there is irritability, desire for cold drinks, burning pain, and a rapid pulse, the pathogen is in the upper jiao; use the clearing method (Qing). If there is aversion to cold and the sore does not ulcerate, it is excess qi combined with cold pathogen; use venting and tonifying methods. If there is pain, fever, profuse sweating, extreme thirst, constipation, and delirium, it is a Yang-binding syndrome; use the purgative method. If pus does not form, or if it is ripe but does not ulcerate, it is deficiency; use tonification.
A man suffered from a carbuncle on the chest, with high swelling, pain, and a floating-tight pulse. After two doses of Neituo Fujian San (Internal Supporting Double-Decoction Powder), the exterior symptoms subsided completely. Four doses of Tuoli Xiaodu San (Supporting Interior and Detoxifying Powder) caused the swelling to dissipate.
A man suffered from an abscess on the abdomen, with hard swelling, increasing oppression, irritability, fever, constipation, and a rapid-excess pulse. After one dose of Huanglian Neishu Tang (Coptis Internal-Draining Decoction), he improved slightly; two doses of Huanglian Jiedu Tang (Coptis Detoxifying Decoction) caused immediate relief. Four doses of Jinyinhua San (Honeysuckle Powder) led to drainage and resolution.
A man suffered from leg pain without swelling, with normal bowel and bladder functions. Several doses of Tuoli Rongwei Tang (Supporting Interior and Regulating Ying-Wei Decoction) resolved the condition.
A woman suffered from a toxic swelling on the neck, with local pain and alternating chills and fever. Two doses of Jingfang Baidu San (Schizonepeta and Saposhnikovia Detoxifying Powder) brought slight improvement. Four doses of Xiao Chaihu Tang (Minor Bupleurum Decoction) added with Lqiaoqiao (Forsythia), Niubangzi (Arctii Fructus), and Jiegeng (Platycodon) resolved the condition.
A man suffered from a toxic swelling on the shoulder, with local pain, desire for cold drinks, irritability, constipation, and a rapid-excess pulse. Two doses of Qingliang Yin (Cooling Drink) brought slight improvement. Four doses of Jinyinhua San caused complete resolution. Another prescription, Shixuan San (Ten Acupoints Powder), with Gui Zhi (Cinnamon Twig) removed and Tianhuafen (Trichosanthes Root) and Jinyinhua added, taken for several doses, led to ulceration of the sore head and recovery.
A woman suffered from arm swelling, with aversion to cold and failure to suppurate. Six doses of Shixuan San led to ulceration; several doses of Tuoli San (Supporting Interior Powder) led to cure.
A man suffered from a carbuncle, with hard swollen pain, fever, irritability, desire for cold drinks, a sinking-excess pulse, and constipation. This indicated pathogen in the zang organs. Neishu Huanglian Tang (Internal Draining Coptis Decoction) was used to drain, resolving the condition in four doses.
A man suffered from a toxic swelling on the inner thigh, with hard swollen severe pain and failure to suppurate. Garlic-separated moxibustion for over fifty moxa cones reduced the severity by seven or eight tenths. Four doses of Xianfang Huoming Yin (Immortal Formula for Saving Lives Decoction) led to suppuration. Six doses of Shixuan San led to ulceration and cure. For sores with severe pain or numbness, moxibustion is most beneficial.
A woman suffered from arm swelling, pre-suppurative stage, with poor appetite and pain/fever upon exertion. Two doses of Buzhong Yiqi Tang (Middle-Boosting Qi-Supplementing Decoction) stopped the pain slightly. Subsequent treatment with herbs tonifying qi and blood and strengthening the spleen and stomach resolved the condition.
A man with a weak constitution suffered from a chest carbuncle, with poor appetite and fatigue. Liu Jun Zi Tang (Six Gentlemen Decoction) added with Xiong (Ligusticum), Gui (Angelica), and Huang Qi (Astragalus) led to suppuration, followed by needle drainage. Further treatment with supporting interior herbs led to recovery.
A woman suffered from a carbuncle on the hypochondrium, pre-suppurative, with aversion to cold and tight pulse. Two doses of Shixuan San added with Chai Hu (Bupleurum) resolved all exterior symptoms. Several doses of Tuoli San led to ulceration and recovery.
A woman suffered from a toxic swelling on the arm, hard and swollen, with throat obstruction, cold limbs, and alternating chills and fever. Two doses of Wuxiang Liaoqiao Tang (Five Fragrances and Forsythia Decoction) brought immediate cure. Four doses of Chuake Liuyin (Surgery Qi-Regulating Decoction) resolved the condition.
A man suffered from an arm carbuncle, with a string-tight forceful pulse. Two doses of Baizhi Shengma Tang (Angelica Dahurica and Cimicifuga Decoction) caused immediate decline. Two more doses led to resolution.
A woman suffered from a toxic swelling below the shoulder, with a string-tight pulse. Two doses of Baizhi Shengma Tang resolved exterior symptoms. Further treatment with supporting interior herbs led to ulceration and recovery.
A man suffered from an arm carbuncle, failing to suppurate. Moxibustion with Dou Chi Bing (Fermented Soybean Cake) and drinking supporting interior herbs for over thirty doses led to ulceration. Recovery took another month.
A man had a ripe abscess that did not ulcerate. I intended to needle it and support the interior. He disbelieved, instead taking attacking/toxic drugs, resulting in nausea and poor appetite. Only then did he realize his error and accept needling. Liu Jun Zi Tang added with Huo Xiang (Patchouli) and Dang Gui (Angelica) for four doses brought slight improvement. Jiawei Shiquan Dabu Tang (Modified Ten Complete Great Tonifying Decoction) for several doses led to wound closure. For ripe abscesses, failure to needle allows pus toxin to erode tissue; mild cases are hard to treat, severe cases incurable. For the elderly and weak, or in remote areas, or vital locations, once pus forms, urgent needling is required, followed by supporting interior therapy, to avoid complications.
A man suffered from toxic pain. Taking cold-natured herbs stopped the pain but reduced appetite further and prevented ulceration. Liu Jun Zi Tang improved appetite; subsequent supporting interior herbs... (Text implies continuation of principle): For pain due to wind-cold-damp, use warm-dispersing agents. For wind-induced pain, dispel wind. For damp-induced pain, guide out dampness. For dryness-induced pain, moisten. For blockage-induced pain, unblock. For deficiency-induced pain, tonify. For excess-induced pain, purge. For blocked pus, open it. For foul flesh erosion, remove it. For yin-yang disharmony, harmonize. For meridian obstruction/stagnation, promote flow. Do not indiscriminately use cold-natured drugs. Blood vessels prefer warmth and dislike cold; if cold qi enters internally, blood stagnates, leading to difficult-to-heal conditions.
A man with a weak constitution suffered from elbow swelling. Seeking internal resolution, he took cold herbs, causing diarrhea and poor appetite. Er Shen Wan (Two Divine Pills) and Xiangsha Liu Jun Zi Tang (Aromatic Cardamom Six Gentlemen Decoction) added with Rou Dou Kou (Nutmeg) strengthened the spleen and stomach. Subsequently, blood-invigorating and meridian-regulating herbs were used adjunctively, considering meridians and seasons, to allow toxin to manifest externally. Early treatment could lead to internal resolution. This is the meaning of internal support. It is also said: For swollen ulcers with internal and external stagnation, prioritize supporting interior and releasing exterior. Using Da Huang (Rhubarb) might be rash. For ulcerated sores with internal and external deficiency, prioritize tonification and connection. Using aromatic dispersants would worsen deficiency. Generally, carbuncles/swellings should not be solely attributed to fire. The Classic states: When Ying Qi does not follow its course and reverses into muscle tissue, carbuncles/swellings arise. Also: Shape injury causes pain, Qi injury causes swelling; six excesses and seven emotions can all cause them. Given individual constitutional excess/deficiency and differences in age/weakness, how can one indiscriminately use cold herbs? If toxin just gathers, pus not formed, and momentum not strong, resolution might be possible. One must investigate etiology and distinguish excess/deficiency. Indiscriminate cold herbs will surely cause errors. If pus is about to form, with excess pathogen and strong qi, using detoxifying agents kills the toxin first; even if pus forms, suffering is less, and ulceration is mild. Using supporting interior herbs now would increase the pathogen's momentum. Use supporting interior therapy only when pus is about to form but doesn't, or fails to ulcerate. For formed pus with strong momentum, needle it. Once pus drains, all symptoms subside.
Attached Formulas
Neituo Fujian San (Internal Supporting Double-Decoction Powder)
Indications: Sores/ulcers with external swelling, pulse mostly floating. Pathogen is strong, invading internally; use this to support.
Ingredients: Digupi (Phellodendri Cortex), Huang Qin (Scutellariae Radix, stir-fried), Fu Ling (Poria), Shaoyao (Paeoniae Radix Alba, stir-fried), Renshen (Ginseng Radix), Huang Qi (Astragali Radix, salt-water stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Guipi (Cinnamomi Cortex), Gancao (Licorice Radix, honey-fried), Fangji (Stephaniae Radix, wine-stirred), Danggui (Angelicae Sinensis Radix, wine-stirred, each 1 qian), Fangfeng (Saposhnikoviae Radix, 2 qian).
Preparation: Coarsely powder. First decoct Cangzhu (Atractylodis Rhizoma) 1 sheng in 5 sheng water. Remove Cangzhu, add other herbs, decoct to 2 sheng. Drink throughout the day. Decoct Cangzhu residue separately and drink.
Tuoli Xiaodu San (Supporting Interior and Detoxifying Powder)
Indications: Carbuncles/festering sores that have erupted but not dissipated. Take this to resolve if unformed, ulcerate if formed, facilitate removal of necrotic tissue, and promote new flesh growth. If wound exists, apply plaster. Stop after healing; do not use flesh-generating drugs.
Ingredients: Renshen, Huang Qi (salt-water stir-fried), Danggui (wine-stirred), Chuanxiong, Shaoyao (stir-fried), Baizhu (stir-fried), Fuling (each 1 qian), Baizhi...
Neishu Huanglian Tang (One name: Huanglian Neishu Tang)
Indications: Sores/ulcers with hard swelling, fever, vomiting, constipation, irritability, desire for cold drinks, vomiting,心烦 (heart vexation), sinking-excess pulse. Pathogen in zang organs. Take urgently to drain internally, preventing pathogen from affecting meridians.
Ingredients: Huanglian (Coptidis Rhizoma), Shanzhi (Gardeniae Fructus), Danggui (wine-stirred), Shaoyao, Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), Huang Qin, Bohe (Menthae Haplocalycis Herba), Jiegeng (Platycodonis Radix), Gancao (each 1 qian), Lianqiao (Forsythiae Fructus), Dahuang (Rhei Radix et Rhizoma, stir-fried, each 2 qian).
Preparation: One dose. Water 2 zhong, decoct to 8 fen. Take before meals.
Huanglian Jiedu Tang (See Section on Vomiting in Sores/Ulcers)
Jingfang Baidu San (See Section on Ding Chuang/Thorn Sores)
Gelian Jiu Fa (Garlic-Separated Moxibustion Method)
Xianfang Huoming Yin (Immortal Formula for Saving Lives Decoction)
Qingliang Yin (Cooling Drink)
Shixuan San (Four formulas see Section on Back Carbuncle)
Xiangsha Liu Jun Zi Tang (See Section on Vomiting)
Po Guan Dan (See Section on Back Carbuncle)
Tuoli San (Supporting Interior Powder)
Indications: Sores/ulcers with poor appetite, non-suppurating, non-contracting.
Ingredients: Renshen, Huang Qi (salt-water stir-fried), Danggui (wine-stirred), Chuanxiong, Baizhu (stir-fried), Fuling, Shaoyao (each 1 qian), Houpo (Magnoliae Officinalis Cortex, ginger-processed), Baizhi, Gancao (each 5 fen).
Preparation: One dose. Water 2 zhong, decoct to 8 fen. Take.
Daizhen Gao (Needle-Replacing Plaster)
Indications: Sores/ulcers with ripe pus but no ulceration.
Ingredients: Ruxiang (Olibanum, 2 fen), Baixingding (Streptopelia turtur droppings, fine and straight, 5 fen), Badou (Crotonis Fructus, shelled, stir-fried until scorched, 5 fen), Jian (Alkali, 5 fen).
Preparation: Powder. Mix with hot water, apply to sore head. Keep moist with alkali water, do not let dry.
Tuoli Rongwei Tang (Supporting Interior and Regulating Ying-Wei Decoction)
Indications: Sores/ulcers with no external swelling, normal internal bowels/bladder, pathogen in meridians. Use to regulate.
Ingredients: Huang Qi (stir-fried), Honghua (Carthami Flos, each 1 qian), Guizhi (Cinnamomi Ramulus, 7 fen), Cangzhu (millet-brine soaked, stir-fried), Chaihu (Bupleuri Radix), Lianqiao, Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng, Danggui...
Jinyinhua San (See Section on Vomiting)
Xiao Chaihu Tang (See Section on Luoli/Lymphatic Tuberculosis)
Huanglian Xiaodu San (See Section on Naoju/Brain Carbuncle)
Buzhong Yiqi Tang (See Section on Ulcer Fever)
Liu Jun Zi Tang (See Section on Vomiting)
Shiquan Dabu Tang (See Section on Ulcer Fever)
Wuxiang Liaoqiao Tang (Five Fragrances and Forsythia Decoction)
Indications: Initial stage of various sores, within 1-2 days presenting with cold limbs, throat obstruction, chills/fever.
Ingredients: Chenxiang (Aquilariae Lignum Resinatum), Muxiang (Aucklandiae Radix), Shexiang (Moschus), Lianqiao, Shegan (Belamcandae Rhizoma), Shengma (Cimicifugae Rhizoma), Dingxiang (Eugenii Flos), Duhuo (Angelicae Pubescentis Radix), Sangjisheng (Taxilli Fructus), Gancao (honey-fried, each 1 qian), Dahuang, Mutong (Akebiae Caulis), Ruxiang (each 1.5 qian).
Preparation: Take 5 qian per dose. Water 1 zhong, decoct to 8 fen. Take warm, aim for purgation.
Chuake Liuyin (See Section on Liuzhu/Metastatic Abscess)
Baizhi Shengma Tang (Angelica Dahurica and Cimicifuga Decoction)
Indications: Arm carbuncle. Pulse short on both hands, string-tight on middle press, flooding-slow-forceful on deep press. Caused by variation of Eight Winds.
Ingredients: Baizhi (1.5 qian), Shengma, Jiegeng (each 1 qian), Sheng Huang Qin (Raw Scutellariae Radix, 2 qian), Honghua, Gancao (honey-fried, each 5 fen), Jiu Huang Qin (Wine Scutellariae Radix), Huang Qi (each 1 qian).
Preparation: One dose. Water 1.5 zhong, decoct to 8 fen. Take long after meals.
Dou Chi Bing (See Section on Buttock Carbuncle)
Er Shen Wan (See Section on Vomiting)