脉浮数者，散之；脉沉实者，下之。表里俱实者，解表攻里。麻痒，或大痛，及不痛者
，并灸之，更兼攻毒。
一男子足患作痒，恶心呕吐，时发昏乱，脉浮数。明灸二十余壮，始痛。以夺命丹一服
，肿始起。更用神异膏，及荆防败毒散而愈。
一老妇足大趾患之，甚痛。令灸之，彼不从，专服败毒药，致真气虚而邪气愈实，竟至
不救
概而用之耶。且至阴之下，药力在所难到，专假药力，则缓不及事，不若灸之为良。故下部
患疮，皆宜隔蒜灸之。痛则灸至不痛，不痛则灸至痛，若灸之而不痛者，宜明灸之，及针疔
四畔去恶血。以夺命丹一粒，入疮头孔内，仍以膏药贴之。若针之不痛，或无血者，以针烧
赤
红丝攻心腹者，就于丝尽处，刺去恶血，宜服荆防败毒散。若丝近心腹者，宜挑破疮头，去
恶水，亦以膏药贴之。如麻木者，服夺命丹，如牙关紧急，或喉内患者，并宜噙一二丸。凡
人暴死，多是疔毒。用灯照看遍身，若有小疮，即是。宜急灸之，俟醒，更服败毒药，或夺
命丹。人污入肉，食之则生疔疮，不可不慎。
附方
荆防败毒散 即人参败毒散加荆芥、防风（方见溃疡发热门。）
夺命丹 治疔疮发背，及恶证不痛，或麻木，或呕吐，重者昏愦。此药服之，不
起发者
回生之功，乃恶证之中至宝也。
蟾酥（干者酒化） 轻粉（各半钱） 白矾（枯） 寒水石（ ） 铜绿 乳香 没药 麝香（
各一
丸，如绿豆大。如丸不就，入酒糊些小，每服一二丸，用生葱白三五寸，病者自嚼烂，吐于
手心，男左女右，包药在内，用热酒和葱送下。如人行五七里，汗出为效，重者再服一二丸
。
清凉饮
隔蒜灸法（二方见发背门）
神异膏（方见杨梅疮门）
If the pulse is floating and rapid, disperse [the pathogen]; if the pulse is deep and solid, purge [the interior]. If both exterior and interior are excess patterns, resolve the exterior and attack the interior. For lesions presenting with numbness and itching, or severe pain, or no pain at all, apply moxibustion, combined with detoxifying therapies.
A male patient suffered from a carbuncle on his foot, experiencing itching, nausea, vomiting, and occasional confusion. His pulse was floating and rapid. After applying direct moxibustion for more than twenty moxa cones (zhuang), he began to feel pain. He took one dose of Duoming Dan (Life-Restoring Pill), after which the swelling subsided/rised. He then applied Shenyi Gao (Miraculous Ointment) externally and took Jingfang Baidu San (Schizonepeta and Saposhnikovia Decoction) internally, resulting in recovery.
An elderly female patient suffered from this condition on her big toe, with severe pain. She was advised to undergo moxibustion but refused, instead exclusively taking detoxifying herbs. This led to deficiency of True Qi (Zheng Qi) and exacerbation of Evil Qi (Xie Qi), ultimately resulting in death.
Generally speaking, should one apply these methods indiscriminately? Moreover, since the lower limbs are located in the "Extreme Yin" region, medicinal efficacy is difficult to reach there. Relying solely on oral medication may result in slow action that fails to address the urgency; therefore, moxibustion is superior. Thus, sores on the lower body should generally be treated with Garlic-Separator Moxibustion (Gesan Jiu). If painful, moxa until the pain ceases; if not painful, moxa until pain arises. If there is still no sensation after moxibustion, apply direct moxibustion and prick the four sides of the carbuncle to release evil blood. Place one pill of Duoming Dan into the pore of the carbuncle head, and cover it with an ointment patch. If pricking yields no pain or no blood, heat the needle red... [Text fragment]. If red threads extend towards the heart and abdomen, prick the end of the thread to release evil blood, and take Jingfang Baidu San. If the red thread is close to the heart and abdomen, puncture the carbuncle head to drain evil fluids, and apply an ointment patch. For cases with numbness, take Duoming Dan. For trismus (lockjaw) or lesions in the throat, hold one or two pills in the mouth. Sudden death in humans is often caused by carbuncle toxicity. Use a lamp to inspect the whole body; if small sores are found, they are carbuncles. Apply urgent moxibustion. Once conscious, administer detoxifying herbs or Duoming Dan. Ingestion of contaminated food entering the flesh can generate carbuncles; caution is essential.
Attached Formulas:
Jingfang Baidu San (Schizonepeta and Saposhnikovia Decoction): Same as Ren Shen Baidu San (Ginseng Decoction to Overcome Toxins) plus Jingjie (Schizonepetae Herba) and Fangfeng (Saposhnikoviae Radix). (Formula seen in Ulcer Fever Chapter.)
Duoming Dan (Life-Restoring Pill): Treats carbuncles, back carbuncles (Fabei), and malignant syndromes characterized by lack of pain, numbness, vomiting, or severe coma. This medicine promotes the emergence of pus in cases where it does not rise... [Text fragment]. It possesses the power to restore life and is the supreme treasure among treatments for malignant syndromes.
Chan Su (Toad Venom, dried and dissolved in wine) Qing Fen (Calomelas) Bai Fan (Alumen, calcined) Han Shui Shi (Aqua Marina) Tong Lv (Chalcanthite) Ru Xiang (Olibanum) Mo Yao (Myrrha) She Xiang (Moschus) [Dosages implied as equal parts], formed into pills the size of mung beans. If the pills do not form easily, add a little wine paste. Take one or two pills per dose. Chew three to five cun of raw white onion thoroughly, spit into the palm of the hand, place the medicine inside, wrapped by the onion (left side for males, right side for females), and swallow with hot wine mixed with onion. Sweating after walking five to seven li indicates efficacy. For severe cases, take one or two additional pills.
Qingliang Yin (Cooling Drink)
Gesuan Jiu Fa (Garlic-Separator Moxibustion Method) [Two formulas seen in Back Carbuncle Chapter.]
Shenyi Gao (Miraculous Ointment) [Formula seen in Chancre Chapter.]