(谓痈疽肿硬如石,久不作脓者是也。)
犀角汤 治石痈热毒瓦斯盛,肿硬疼痛,口
干烦闷。
犀角(镑) 木香(各七钱半) 连翘 栀子仁 射干 当归(切焙) 升麻 赤芍药 玄参
枳壳(麸炒) 甘草(生,各一两) 大黄(炒,二两)
上锉碎,每服三钱,水一盏煎至六分,去滓。不拘时温服。
黄连散 治石痈结硬发热,紫赤色,毒瓦斯攻冲未定,日夜疼痛。宜用此消肿化毒止
痛。
黄连 川大黄(生) 白蔹 马牙硝 黄柏(各一两) 麒麟竭 青盐(各半两) 赤小豆(半合,
炒熟) 杏仁(四十丸粒。汤浸去皮尖,研)
上为细末。蜜水调涂,干即易之。
大黄散 治石痈肿硬疼痛,心腹烦闷不得宣畅。
川大黄(一两,炒) 川芒硝 黑豆皮 枳壳(去穣,麸炒,各半两) 牛蒡子(微炒) 当归 芎
(各二钱半) 甘草(生锉,半两)
上锉碎,分作三服。每服水一盏煎至五分,去滓。不拘时温服,以利为度。
治石痈坚如石,未作脓者。
上用生商陆根,不拘多少,熟捣敷之,干即易,取软为度及治湿漏诸疮疖。羊城人用
此方取效者多。
沉香汤 治石疽肿毒结硬,口干烦热,四肢拘急不得卧。
沉香 防风(去叉) 木香(各七钱半) 麦门冬(去心) 当归(切、焙) 枳壳(麸炒) 独活(去
芦) 羚羊角(屑) 升麻 玄参 地骨皮 赤芍药 甘草(生,锉,各一两) 大黄(锉,炒,
二两)
上锉碎。每服四钱,水一盏半煎至七分,去滓。不拘时温服。
(Referring to carbuncles and sores that are hard as stone and fail to suppurate over a long period.)
Xijiao Tang (Rhinoceros Horn Decoction): Treats Shi Yong (Stone Carbuncle) with excessive heat-toxin, characterized by swollen, hard, painful masses, dry mouth, and irritability.
Xi Jiao (Rhinoceros Cornu, sliced) 7.5 qian, Mu Xiang (Aucklandiae Radix, each 7.5 qian), Lian Qiao (Forsythiae Fructus), Zhi Zi Ren (Gardeniae Semen), She Gan (Belamcandae Rhizoma), Dang Gui (Angelicae Sinensis Radix, sliced and dried), Sheng Ma (Bupleuri Radix), Chi Shao Yao (Paeoniae Radix Rubra), Xuan Shen (Scrophulariae Radix), Zhi Ke (Aurantii Fructus Pericarpium, bran-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, raw, each 1 liang), Da Huang (Rhei Radix et Rhizoma, fried, 2 liang).
Crush the ingredients. Take 3 qian per dose, decoct in one sheng of water until reduced to six-tenths, remove the dregs. Take warm at any time.
Huanglian San (Coptis Powder): Treats Shi Yong (Stone Carbuncle) presenting as hard, hot nodules with purple-red coloration, unstable toxic qi attacks, and pain day and night. This formula is suitable for reducing swelling, resolving toxicity, and relieving pain.
Huang Lian (Coptidis Rhizoma), Chuan Da Huang (Rhei Radix et Rhizoma, raw), Bai Lian (Ampelopsis Radix), Ma Ya Xiao (Natrii Sulfas), Huang Bo (Phellodendri Cortex, each 1 liang), Qi Lin Jie (Dragon's Blood), Qing Yan (Halitum), Chi Xiao Dou (Phaseoli Semen Rubrum, half he, roasted熟), Xing Ren (Armeniacae Semen Amarum, 40 grains, soaked in water, skin and tip removed, ground).
Grind into fine powder. Mix with honey-water and apply topically; change when dry.
Dahuang San (Rhubarb Powder): Treats Shi Yong (Stone Carbuncle) with swollen, hard, painful masses, and stifling oppression in the heart and abdomen lacking smooth flow.
Chuan Da Huang (Rhei Radix et Rhizoma, 1 liang, fried), Chuan Mang Xiao (Natrii Sulfas), Hei Dou Pi (Sojae Semen Nigrum Pericarpium), Zhi Ke (Aurantii Fructus Pericarpium, pith removed, bran-fried, each half liang), Niu Bang Zi (Arctii Fructus, slightly fried), Dang Gui (Angelicae Sinensis Radix), Xiong (Ligustici Chuanxiong Rhizoma, each 2.5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, raw and crushed, half liang).
Crush the ingredients and divide into three doses. For each dose, decoct in one sheng of water until reduced to five-tenths, remove the dregs. Take warm at any time, stopping when bowel movement is achieved.
For treating Shi Yong (Stone Carbuncle) hard as stone without suppuration:
Use fresh Shang Lu Gen (Phytolaccae Radix) in any quantity, mash thoroughly, and apply externally. Change when dry, continuing until the mass softens. Also treats wet leakage and various boils. Many people in Guangzhou have found this formula effective.
Chenxiang Tang (Aquilaria Decoction): Treats Shi Ju (Stone Abscess) with swollen, toxic, hard nodules, dry mouth, irritability, and spasmodic stiffness of the four limbs preventing lying down.
Chen Xiang (Aquilariae Lignum Resinatum), Fang Feng (Saposhnikoviae Radix, twigs removed), Mu Xiang (Aucklandiae Radix, each 7.5 qian), Mai Men Dong (Ophiopogonis Tuber, core removed), Dang Gui (Angelicae Sinensis Radix, sliced and dried), Zhi Ke (Aurantii Fructus Pericarpium, bran-fried), Du Huo (Angelicae Pubescentis Radix, rhizome removed), Ling Yang Jiao (Saiga Tataricae Cornu, powdered), Sheng Ma (Bupleuri Radix), Xuan Shen (Scrophulariae Radix), Di Gu Pi (Lycii Cortex), Chi Shao Yao (Paeoniae Radix Rubra), Gan Cao (Glycyrrhizae Radix et Rhizoma, raw, crushed, each 1 liang), Da Huang (Rhei Radix et Rhizoma, crushed, fried, 2 liang).
Crush the ingredients. Take 4 qian per dose, decoct in one and a half sheng of water until reduced to seven-tenths, remove the dregs. Take warm at any time.