经曰∶膏粱之变，足生大疔。此证因于肥甘浓味，煎爆热毒，醇酒房室，以致邪秽蕴蓄而成
此患。亦有误食死牛、马肉，及夏月烹调肉食， 人汗滴肉中；或造豆腐者汗滴；或人家水缸中
饭糁堕于缸底，数日泛起，水煮饮食，人偶食此糁（水缸置有须、贯众，免此患），多发头面、
额眉、唇吻、四肢臂膝。初生虽肿，而形小头凹，赤黄紫黑，常无定色。或如黄泡，中有黑水，
但如小疮，按之内硬，或麻或痒，先寒后热，心胸烦闷，头疼拘急，呕吐眩运，神思昏愦，遍身
麻木，四肢沉重，甚则心悸眼花等证，是其候也。急取生豆嚼之不腥，生矾嚼之不涩，为的是无
疑。速宜调治。疮毒致害，莫此为甚。慢疔七日，急疔三日
而死。人不早觉者，因形小而无大痛，故常忽之（初起不觉，复犯腥、酒、房室者，速死。）此
证虽有多种，为治则一。仓卒无药，则取蒜灸。不痛，去蒜明灸；数十壮不痛，用肥针箸，炭火
烧赤烙之如焦炭，取痛为度。四边用针刺令出血，更看疮边有红丝。如疮在唇口，入于喉；生手
者，入于心；生足者，入于腹即死。细寻红丝尽处，针刺出毒血，以蟾酥少许，酒研化涂入。尤
宜疮头用银簪脚拨破，入酒化蟾酥。得四围肿起，或有细疮，名护场，易治；不起难治。内服加
减败毒散及漏芦汤取微汗，随服追疔夺命汤，兼真人活命饮，万病紫金锭及诸方法急治。药力少
缓，毒攻心，患人眼黑，如见火光，必不可救矣。
主方 （追疔夺命汤） 羌活 何首乌 黄连（各一钱） 甘草节（一钱） 僵蚕（一钱）
北细辛 防风（各八分） 金银花 青皮（各七分） 草河车（即金线重楼） 赤芍（各六分）
泽兰（五分） 蝉蜕（四分） 加紫花地丁、藕节（各一钱） 尤可。
上锉，首服倍金银花一两、泽兰一两，葱头三个，生姜五片，同捣烂，好酒镞热泡之，去渣
热服。
不饮酒者，用水、酒各一半，或水煎生姜十片，热服。出汗病减，后再加大黄三钱，弱人减
半。同煎热服，利数次去余毒。若有脓，加何首乌、白芷梢；在脚，加木瓜、槟榔；要通利，加
大黄、栀子、黑丑、青皮、木香。
圣功丸 一切痈疽、疔毒、发背初起，小儿痘疮黑陷、喉闭、蛊毒、破伤风等证。
血竭（二钱） 蟾酥（真者，一钱） 雄黄 朱砂 冰片 乳香 没药（各五分） 轻粉（
三分） 真麝香（二分）
上为末，用人乳研化，蟾酥为丸如黄豆大。每服一丸，嚼化，好酒咽下。
神仙解毒丸 （妙方见前）
八宝散 疔如白泡轻。黄黑根紫，胀痛，头疼，寒热烦呕，指冷，狂躁，胸满，危急将死
，服。戒谷味。
牛黄 珍珠、琥珀、朱砂、雄黄、犀角、金箔、麝香 冰片（研极细） 金与银煎汤调下。
二活散 （与夺命汤间服）
羌活 独活 当归 乌药 连翘 金银花（酒洗） 赤芍 天花粉 甘草节（各五钱） 白
芷（五钱） 红花 苏木 荆芥 蝉蜕 干葛（各三钱） 檀香（二钱）
上共为细末，每服三钱，煎苍耳汤调下。
赛夺命丹 治瘫疽、发背、疔疮、乳痈、便毒及一切无名肿毒。
蟾酥 辰砂 雄黄 胆矾 血竭 乳香 没药（各三钱） 蜈蚣 麝香（各五分） 细辛
全蜴 蝉蜕 穿山甲 僵蚕 牙皂（各六钱） 片脑 白矾（各五分，用信少许同枯）
上为末，端午日酒糊丸绿豆大。每三丸，葱酒一小钟吞下。衣覆取汗，或汗或不汗，再进一
服，后吃白粥。忌黄瓜、水茄。
内托连翘散 治疔疮初发，色不变，不痛，身发寒热者，看有黄泡处，即是疮头。用针刺
出恶血，服此药内托。
生地黄 赤芍药 连翘 白芷（各一两） 大黄（五钱） 黄芩（五钱） 栀子 薄荷（各
七钱） 朴硝（二两） 甘草（一两五钱）
上研，每服一两，加竹叶、灯心煎。大病只三、四服愈。如喘加人参少许（硝泡化。）
治疔方 用 油树叶捣烂，绞汁二碗，顿服，得大泻愈。冬月取枝捣，水顿温服，泻为度。
又 千头子（即扫帚子） 槐花子、紫花地丁。水煎服，加蟾酥少许。
又 古文钱一个，核桃仁同嚼细，黄酒送下，至死不过二服愈。
围毒散 （疔痈诸毒）
川乌 草乌 苍术 细辛 白芷 薄荷 防风 甘草各等分为末，鸡子清调，留头。
又 经霜芙蓉叶 白芨（各四两） 儿茶（二钱） 乳香 没药 血竭 青木香 广木香（各
一钱）
上为细末，用生蜜、米醋调涂患处，绵纸贴之，数次消。
又 用针刺破葱白，捣烂，敷上，手帕系住，人行五里，其疔白出，热醋洗。
又 歇铁石为细末，醋调敷，疔出加巴豆（半粒）研，葱涎、蜜捣敷尤妙。
又 玉簪花根、粟根，各捣，绞汁。首用二汁共半碗，取甘草（二钱），绿豆一撮，水八分，煎半
碗，合前汁饮。次二汁共半碗，取甘草、绿豆，加麻黄一两，水二钟，煎八分，合前汁服。盖汗
出。未愈，再用前二汁半碗，取甘草、绿豆，加大黄一两煎，和服愈。
简便方 治疔毒。
莴苣捣汁敷，冬用苗为末，水调。
又∶ 核桃壳半个，入鸡溏粪合疮上，壳外灸。便毒等皆效。
又 苍耳草或子，同白梅捣敷，疔出。根叶捣，加童便绞汁饮。
又 僵蚕、蝉蜕为末，醋调涂四围，疔出去之，再涂。
又 疔毒垂死。
菊花叶捣汁一碗，入口即活。
The medical classics state: "Consumption of rich and greasy food can lead to the development of a major Ding (carbuncle/furuncle)." This condition arises from excessive intake of fatty, sweet, and strong-flavored foods, heat toxins generated by frying and roasting, as well as alcohol abuse and sexual indiscretion, causing evil filth to accumulate and condense. It may also result from accidentally eating dead cattle or horse meat, or during summer cooking of meat when human sweat drips into the meat; or when sweat drops from tofu makers; or when rice grains sink to the bottom of a water vat, rise after several days, and are boiled for consumption, which people occasionally eat (placing certain herbs like Xu Zhong in the water vat can prevent this). These lesions commonly occur on the head, face, forehead, eyebrows, lips, and limbs (arms and knees). Initially, although swollen, the shape is small with a depressed center, and the color varies between red, yellow, purple, and black. Some resemble yellow blisters containing black fluid, looking like minor sores but feeling hard upon pressure, accompanied by numbness or itching. Symptoms include initial chills followed by fever, chest distress, headache with stiffness, vomiting, dizziness, mental confusion, generalized numbness, heaviness in the limbs, and even palpitations and blurred vision. These are the signs. One should immediately chew raw soybeans; if they do not taste fishy, or chew raw alum; if it does not taste astringent, the diagnosis of Ding is confirmed without doubt. Prompt treatment is essential. The harm caused by sore toxins is unparalleled. Chronic Ding may kill within seven days, while acute Ding may kill within three days. People often fail to detect it early because it is small and lacks severe pain, leading to neglect (if neglected initially and one continues to consume fishy/alcoholic foods or engages in sexual activity, death will be rapid). Although this condition has various manifestations, the treatment principle remains consistent. In emergencies without medicine, apply garlic moxibustion. If there is no pain, remove the garlic and perform direct moxibustion; if still no pain after dozens of moxa cones, use a thick needle or chopstick heated red-hot over charcoal to cauterize the area until pain is felt. Prick the surrounding area with needles to bleed, and observe if red threads extend from the sore. If the sore is on the lips/mouth, the toxin enters the throat; if on the hand, it enters the heart; if on the foot, it enters the abdomen and causes death. Carefully locate the end of the red thread, prick it with a needle to release toxic blood, and apply a small amount of Chansu (Toad Venom) dissolved in wine. It is particularly advisable to pierce the Ding head with a silver hairpin tip and pour in wine-dissolved Chansu. If swelling occurs around the perimeter or small sores appear, known as "Huchang" (Protective Field), it is easy to treat; if no swelling occurs, it is difficult. Internally administer Jiajian Baidu San (Modified Toxin-Resolving Powder) and Loulu Tang (Loulu Decoction) to induce mild sweating, followed by Zhuoding Dueming Tang (Chasing Ding Life-Snatching Decoction), along with Zhenren Huoming Yin (True Person's Life-Saving Decoction), Wanbing Zijin Ding (Ten Thousand Diseases Purple Gold Pill), and other urgent methods. If drug action is too slow, the toxin attacks the heart, the patient sees darkness or firelight, and recovery becomes impossible.
Main Formula (Zhuoding Dueming Tang): Qianghuo (Notopterygii Rhizoma et Radix), Heshouwu (Polygoni Multiflori Radix), Huanglian (Coptidis Rhizoma) (each 1 qian), Gancao Jie (Glycyrrhizae Radix et Rhizoma joint) (1 qian), Jiangcan (Bombyx Batryticatus) (1 qian), Beixixin (Asari Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix) (each 8 fen), Jinyinhua (Lonicerae Japonicae Flos), Qingpi (Citri Reticulatae Pericarpium Viride) (each 7 fen), Caoheche (Paridis Rhizoma, i.e., Jin Xian Chong Lou), Chishao (Paeoniae Radix Rubra) (each 6 fen), Zelan (Lycopus Lucidus Herba) (5 fen), Chantui (Cicadae Periostracum) (4 fen). Adding Zihua Diding (Viola Yedoensis Herba) and Ou Jie (Nelumbinis Nodus) (each 1 qian) is beneficial.
Crush the herbs. For the first dose, double the amount of Jinyinhua (1 liang) and Zelan (1 liang), add three scallion heads and five slices of Shengjiang (Zingiberis Rhizoma Recens), pound them together, soak in good wine while hot, strain, and drink hot.
For those who do not drink alcohol, use half water and half wine, or decoct ten slices of Shengjiang in water and drink hot. When sweating occurs and symptoms improve, add Dahuang (Rhei Radix et Rhizoma) 3 qian (half for weak persons). Decoct together, drink hot, and pass stool several times to eliminate residual toxins. If pus is present, add Heshouwu and Baizhi Shao (Angelicae Dahuricae Radix tip); if on the feet, add Mugua (Chaenomelis Fructus) and Binglang (Arecae Semen); for purgation, add Dahuang, Zhizi (Gardeniae Fructus), Heiqiu (Bruciae Semen), Qingpi, and Muxiang (Aucklandiae Radix).
Shenggong Wan: For all carbuncles, Ding toxins, back abscesses in early stages, pediatric variola nigra, throat obstruction, gu poison, and tetanus.
Formula: Xuejie (Draconis Sanguis) (2 qian), Chansu (Bufo Toxin, authentic) (1 qian), Xionghuang (Realgar), Zhusha (Cinnabaris), Bingpian (Borneolum Syntheticum), Ruxiang (Olibanum), Moyao (Myrrha) (each 5 fen), Qingfen (Calomelas) (3 fen), Zhen Shexiang (Moschus) (2 fen).
Grind into powder, dissolve in human milk, form pills the size of soybeans. Take one pill per dose, chew thoroughly, and swallow with good wine.
Shenxian Jiedu Wan: (See previous text for the excellent formula.)
Babao San: For Ding resembling white blisters (mild), or roots yellow/black/purple with distending pain, headache, chills/fever, irritability/vomiting, cold fingers, mania, chest fullness, critical condition near death. Grain diet should be avoided.
Formula: Niuhuang (Bovis Calculus), Zhenzhu (Margarita), Hupo (Amber), Zhusha, Xionghuang, Xijiao (Rhinocerotis Cornu), Jinbo (Folium Aureum), Shexiang, Bingpian (grind extremely fine). Administer with decoction of Jinbo and Yinbo (Folium Argenti).
Ersan San: (Alternate with Dueming Tang.)
Formula: Qianghuo, Duhuo (Angelicae Pubescentis Radix), Danggui (Angelicae Sinensis Radix), Wuyao (Linderae Radix), Lianqiao (Forsythiae Fructus), Jinyinhua (washed with wine), Chishao, Tianhuafen (Trichosanthis Radix), Gancao Jie (each 5 qian), Baizhi (5 qian), Honghua (Carthami Flos), Sumu (Pterocarpi Santalinus Lignum), Jingjie (Schizonepetae Spica), Chantui, Genge (Puerariae Radix) (each 3 qian), Tanxiang (Santalum Album Lignum) (2 qian).
Grind into fine powder. Take 3 qian per dose, mix with Chen'er Tang (Xanthii Folium Decoction).
Sai Duoming Dan: Treats tanju (paralytic carbuncle), fabei (back abscess), dingchuang (Ding sores), ruyong (breast abscess), biandu (inguinal abscess), and all unnamed swellings/toxins.
Formula: Chansu, Chensha (Cinnabaris), Xionghuang, Danfan (Melanterium), Xuejie, Ruxiang, Moyao (each 3 qian), Wugong (Centipeda), Shexiang (each 5 fen), Xixin, Quanxie (Scorpio), Chantui, Chuanshanjia (Manis Squama), Jiangcan, Yazao (Gleditsiae Sinensis Spina) (each 6 qian), Piannao (Borneolum Syntheticum), Baijian (Alumen) (each 5 fen, with a little Xinshi [Arsenolite] calcined together).
Grind into powder. On Dragon Boat Festival day, make pills with wine paste the size of mung beans. Take 3 pills at a time, swallow with a small cup of scallion-wine. Cover with clothes to induce sweating. Whether sweating occurs or not, take another dose, then eat plain congee. Avoid cucumber and eggplant.
Neituo Lianqiao San: For early-stage Ding where color hasn't changed, no pain, and body has chills/fever. Locate the yellow blister, which is the Ding head. Prick to release foul blood, then take this medicine to support the interior and expel toxins.
Formula: Sheng Dihuang (Rehmanniae Radix Recens), Chishaoyao (Paeoniae Radix Rubra), Lianqiao, Baizhi (each 1 liang), Dahuang (5 qian), Huangqin (Scutellariae Radix) (5 qian), Zhizi, Bohe (Menthae Haplocalycis Herba) (each 7 qian), Poxiao (Natrii Sulfas) (2 liang), Gancao (Licorice Root) (1.5 liang).
Grind. Take 1 liang per dose, add Zhuye (Phyllostachys Folium) and Dengxincao (Junci Medullae) and decoct. Severe cases heal in 3-4 doses. If wheezing, add a small amount of Renshen (Ginseng Radix et Rhizoma) (dissolve Poxiao separately).
Treat Ding Formulas:
1. Pound Youye Shu (Oil Leaf Tree leaves), squeeze out two bowls of juice, drink at once. Cure follows heavy diarrhea. In winter, pound branches, warm water, drink at once until diarrhea occurs.
2. Qiántóuzǐ (Broom seeds), Huāhuāzǐ (Sophora japonica seeds), Zihuā Diding. Decoct in water, add a little Chansu.
3. One ancient copper coin, chew finely with Walnut Kernel, swallow with yellow wine. Even in fatal cases, cures within two doses.
Weidu San: (For Ding, carbuncles, and various toxins.)
Formula: Chuanwu, Caowu, Cangzhu, Xixin, Baizhi, Bohe, Fangfeng, Gancao (equal parts). Grind to powder, mix with Egg White (Jizi Qing), leave the head uncovered.
Another: Frost-frosted Furong Ye (Hibiscus Mutabilis Leaf), Baiji (Bletillae Rhizoma) (each 4 liang), Ercha (Catechu) (2 qian), Ruxiang, Moyao, Xuejie, Qingmuxiang, Guangmuxiang (each 1 qian). Grind to powder, mix with raw honey and rice vinegar, apply to affected area, cover with cotton paper. Eliminate after several applications.
Another: Pierce green onion white with a needle, pound, apply, tie with handkerchief. Walk five li, the Ding will emerge with a white head, wash with hot vinegar.
Another: Powdered Xietyishi (Iron stone), mix with vinegar, apply. When Ding emerges, add Ban Dou (Seminar Crotonis Tiglii, half grain) powder, mix with onion juice and honey, apply. Excellent.
Another: Yuzanhua Gen (Hemerocallis esculenta root), Sugener (Corn root), pound separately, squeeze juice. First dose: mix half bowl of both juices with Gancao (2 qian), a pinch of Moutou (mung bean), 0.8 portion water, decoct to half bowl, mix with juices. Second dose: mix half bowl of juices with Gancao, Moutou, add Mahuang (Ephedrae Herba) 1 liang, 2 portions water, decoct to 0.8 portion, mix with juices. Goal is sweating. If not cured, third dose: half bowl of juices with Gancao, Moutou, add Dahuang 1 liang, decoct, mix and drink.
Simple Methods for Treating Ding Toxins:
1. Pound Lettuce, apply juice. In winter, use seedlings powdered, mixed with water.
2. Half Walnut Shell, fill with Chicken Droppings, place on sore, moxa on outside of shell. Effective for biandu etc.
3. Canger Cao (Xanthium herb) or seeds, pound with White Plum, apply to bring out Ding. Roots/leaves pounded, add Tongbian (children's urine), squeeze juice, drink.
4. Jiangcan, Chantui powdered, mix with vinegar, apply around perimeter. Remove when Ding exits, reapply.
5. For Ding in critical condition: Pound Chrysanthemum leaves, squeeze one bowl of juice. Drink, immediate revival.