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Ankylosis without a name (swelling and toxicity of unknown origin) refers to conditions not limited to the head, face, hands, feet, chest, or abdomen, characterized by redness, swelling, hardness, nodular masses, and pain. It is also known as "Zhong Yang" (Swelling Ulcer) or "Xu Yang" (Deficiency Ulcer). Any swelling lacking a distinct head or clear boundary falls into this category. If the swelling is severe, puncture with a triangular needle to evacuate evil blood; absolutely do not use fire needles for cauterization. If accompanied by aversion to cold and fever, headache, or limb stiffness, employ exterior-releasing and dispersing methods using Jingfang Baidu San (Aster and Saposhnikovia Decoction to Overcome Toxicity). If the swelling is severe and both exterior and interior patterns are excess, use Zhuding Tuoming Tang (Decoction to Pursue Carbuncles and Snatch Life). If there are no exterior or interior symptoms but the swelling is severe, use Liangmian Gui San (Two-Sided Turtle Powder). If sudden onset of redness and swelling occurs, absolutely do not puncture with needles; instead, wash the area with Xizhong Fang (Washing Swelling Formula) and apply external medications such as Baxian Gao (Eight Immortals Ointment) or Jiedu Wan (Detoxifying Pills). In urgent cases, grind Jinnaoxiang Ye (Golden Brain Fragrant Leaves) and Tiancha Ju (Field Tea Chrysanthemum), mix with warm wine for oral administration, apply the dregs to the affected area, and brush the juice onto the lesion. Toxic nodules at the tail and bone joints, resembling plums or peaches in size, red, hot, painful, and limiting movement, are named "Bing [Character Missing]" (Disease [Name]). Crush Furong Ye (Hibiscus Leaf), stir-fry with wine, and bind to the area; if ulcerated, calcinate Wei Ke (Tail Shell) until charred externally but raw internally, powder it, mix with sesame oil, and apply for cure. For Ziyou Xu Yang (Purple Wandering Deficiency Ulcer), decoct Yubaozi Gen (Fish Brood Root) and mix with wine for drinking; additionally, crush Shuili Hua Ye (Water Lily Flower Leaf) and Chizi Ye (Red Child Leaf) and brush on the area. If heat signs are present, add Jishizi (Chicken Droppings) and Jiju Gen (Chicken Spur Root) to Zhuding Tuoming Tang. Swelling of the dorsum of hands and feet with red streaks resembling shrimp is named "Bing Xia Zheng" (Disease Shrimp Syndrome). Stir-fry salted brine with oil until fragrant, quench in hot water to make a decoction, and wash the area while hot to reduce swelling; simultaneously administer Feiyang Yao (Callosity Ulcer Medicine). Nodular swelling and pain near the crease inside the knee, where the nodule is elongated like a fish, is named "Shang Shui Yu" (Upper Water Turtle). Puncture randomly with a triangular needle to evacuate evil blood; bind with Ku (Withered material/Herb), Leiting Teng (Thunder Vine), and Shanzhang Zi Ye (Mountain Camphor Seed Leaf) crushed with bran and stir-fried. Another formula uses Shanleiting Teng (Mountain Thunder Vine), Chiniuxi (Red Achyranthes), Shansumu (Mountain Sappanwood), and Ku crushed with salted bran and stir-fried. Another method uses Leiteng (Thunder Vine), Bie Niao (Turtle Urine), and Tenggen Pi (Vine Root Bark) crushed with bran and stir-fried. Another method uses Yubaozi (Fish Brood) and Ku crushed with bran and stir-fried. Another method uses Shanleiting Genpi (Mountain Thunder Vine Root Bark) and Ku crushed with bran and stir-fried, combined with external application of Qisheng Gao (Seven Sages Ointment) and internal administration of Jiujin Lima San (Nine Gold Six Horse Powder). Generalized rash resembling urticaria, scabies, or erysipelas, white in color, non-painful but itchy, raising white scales upon scratching, is named "Sheshi" (Snake Lice). Decoct Youhui Tianfeizhu (Oil Filth Field Fertilizer Plant), Shanzhang Zi Ye (Mountain Camphor Seed Leaf), Zhangshu Ye (Camphor Tree Leaf), and Baiye (Cypress Leaf), add vinegar, and wash. Another method uses only Ye (Leaf) decocted for washing for faster results; concurrently administer Kushen Wan (Sophora Pill), Lafan Wan (Beeswax Alum Pill), or Jinyin Zaojiao Wan (Silver Acacia Pill). Unbearable swelling and pain of the dorsum of the foot or toes: elevate the leg to relieve pain; lowering the leg causes unbearable pain, named "Daoba Zhongyang" (Inverted Pull Swelling Ulcer). First, decoct Liangmian Gui (Two-Sided Turtle) in wine and drink; then take Liangmian Gui San. If ineffective, grind Sheshu (Snake Yam) in wine and drink for great effect. Unbearable ear pain is named "Naoli Xu Yang" (Brain Interior Deficiency Ulcer). Grind Jinnaoxiang Gen or Ye (Golden Brain Fragrant Root or Leaf), mix with well water, filter, add Pian Nao (Borneol), and drip into the ear. Alternatively, grind root in mint decoction, mix with wine, and drink. Alternatively, grind Jinjishé (Golden Chicken Tongue), Kushen (Sophora), Qingmuxiang (Green Aromatic), and Jinfengwei (Golden Phoenix Tail) in water, add Borneol, filter, and drip into the ear. Concurrently take Liangmian Gui San and decoct Shuitangzi Gen (Water Pond Root) with wine. For Ziyou Feng (Purple Wandering Wind), grind Zitagenpi (Purple Tea Root Bark) in water and brush. Another formula adds Hongxin Wugong (Red Heart Centipede), Xiao Jinqian Doubancao (Small Coin Bean Grass), and Maticao (Horse Hoof Grass), grind Jinying Yewei (Golden Oriole Leaf Tip) in water, add vinegar, warm, and brush.

Attached Formulas

Liangmian Gui San (Two-Sided Turtle Powder): Treats all types of red swelling ulcers and painful toxic swellings of unknown origin.
Ingredients: Liangmian Gui, Jishizi, JikT Gen, Zhasi Zi, Zhenzhumei, Shandoudou, Zijinpi, Tuoketeng, Yutong Gen, Shandanchi, Lianchadaqing, YandijiKT.
Usage: Decoct ingredients in water, mix with wine and drink. For fever, add Shuitang Gen and Jimianxiao. For deep bone pain, add Zijinteng, Matijin, and Tiema Bian. Another variation adds Choumu Dai Gen, Shanfurong Gen, and Shanzhu Gen.

Jishizi San (Chicken Dropping Powder): Treats deficiency ulcers.
Ingredients: Jishizi, Zhasi Zi, Dongqing Gen, Yangxiang Gen.
Usage: Decoct in water, mix with wine and drink.

Retu Xiaodu San (Heat-Reducing Detoxification Powder): Treats toxic swellings of unknown origin with fever.
Ingredients: Jishizi, JikT Gen, Shuitang Gen, Choumu Dai, Baigenzi, Shandoudou, Kuhuazi, Zijinteng, Jinnaxiang, Jimianxiao, Lianchadaqing, Luoyagua Teng, Dayeqingxia, Guoshanlong Geng, Dayejinliangsan.
Usage: Decoct with Bohe (Mint) and drink.

Tianhua Gadu San (Trichosanthes Scraping-Toxin Powder): Treats all swellings with redness and pain.
Ingredients: Tianhuafen, Huangbai (3 liang each), Nanxing, Chishaoyao, Jianghuang (1 liang each).
Usage: Powder, mix with well water. Add vinegar, warm, and brush on the lesion. Cold brushing is acceptable in summer.

Tuizhong Xiaohe San (Swelling-Reducing Nodule-Dissolving Powder): Treats all toxic swellings of unknown origin and nodular red swelling.
Ingredients: Genjiaogen (4 liang), Zijinpi, Zhangliugen (1 liang each).
Usage: Powder. Select 2-3 herbs from Maoshiti Ye, Shengdihuang, Kubohé, Jinnaxiang, Jinfengwei, Dimohé, Chizi, Kaoshi Ye. Crush leaves in rice wash water, add vinegar, warm, and brush. Another method: Use only Genjiaogen powder, grind with Shengchizhangliugen in rice wash water and apply for better effect.

Xiaozhong Jiedu San (Swelling-Reducing Toxin-Seizing Powder): Treats all toxic swellings of unknown origin and deficiency ulcers.
Ingredients: Maoshiti Ye (7 fen), Jishizi Ye (3 fen).
Usage: Powder. Mix with warm rice wash water and brush.
Another method: Powder Shengzhangliugen (Fresh Camphor Willow Root), mix with warm rice wash water and brush; or combine with Maoshiti Ye for brushing.

[Dan] Sudden swelling with severe pain. Pound large Yuanqing Gen (Cantharis Root), mix with Kujiu (Vinegar) to form mud, boil three times, wrap in cloth, and apply. (Ge Shi)
Wind-toxic swelling lasting three years. Boil Congbai (Scallion White) thickly with vinegar, wrap in cloth, and apply heat compress to swelling. (Waitai Miyao)
Treat all heat-toxic swellings. Apply Shanglu Gen (Phytolacca Root) mixed with a little salt. Change twice daily. (Sun Taoren's Food Taboos)
Treat all toxic swellings with unbearable pain. Crush Bimaren (Castor Bean Kernel) and apply for immediate effect. (Zhouhou Fang)
Treat swelling. Roast 1 sheng of Jilizi (Tribulus Fruit) until yellow, pound fine, mix with sesame oil to form mud, roast until charred, spread on old cloth according to swelling size, and apply without piercing the top. (Waitai Miyao)
Treat malignant thorns and fox-thorn toxic swelling. Apply white juice of Pugongying Gen (Dandelion Root) generously for quick recovery. I scratched my left middle finger back against a garden tree on the night of July 15th; after ten days, the wound deepened and raised, causing excruciating pain. This remedy brought relief. (Sun Fang)

[Jing] For heat swelling, grind Shandou Gen (Toona Sinensis Root/Bark) in water to extract thick juice, apply, and reapply when dry.

[Yan] In December, fill a new clay pot with hot water, add 2 sheng of Xiaoshaoshi (Mirabilite), dissolve, hang under the north eaves, collect the efflorescence that seeps out, mix half a cup with human breast milk, and sweep over wind-heat toxin attacks on eyes/face or swelling/pain on head/face/extremities. Highly effective.

[Shan] For swollen/toxic or painful areas, powder Chi Xiaodou (Adzuki Bean), mix with water, apply frequently. Or use Xiangbaizhi (Angelica Dahurica), mix with water, apply for superior effect. Another method: Dry Furong Ye (Hibiscus Leaf), powder with Zaojiao (Gleditsia Fruit), mix with water, and apply.

[Dan] For deep-seated pain in skin/flesh anywhere, powder Heshouwu (Polygonum Multiflorum), mix with Ginger Juice to form paste, wrap in cloth, and apply heat compress using a roasted leather shoe sole. Excellent. (Experience Formula)
Treat all red swelling where carbuncle toxins have condensed but not yet suppurated; these can be resolved.
Grind Huangshukui Huazi (Yellow Hibiscus Flower Seeds) finely. Add water to achieve proper consistency, wrap in silk, squeeze out remaining juice, and pat around the four sides of the swelling several times.

Xijiao Yin (Rhinoceros Horn Drink): Treats various wind-induced swellings.
Ingredients: Xijiao (1 qian, shaved), Xuanshen, Lianqiao, Chaihu (deveined, 0.5 liang each), Shengma, Mutong (0.75 qian each), Mangxiao (raw), Maimendong (decored, 1 liang each), Chenxiang, Tanxiang, Shegan, Gancao (roasted, 0.25 qian each).
Usage: Chop coarsely. Take 5 qian-bi per dose, decoct in 1.5 cups of water until 0.8 cup remains, strain. Warm drink after meals and after evening meal. Reduce dose if diarrhea occurs. Also known as Xijiao Tang, without Tanxiang.

Yifeng San (Wind-Dispersing Compress Powder): Treats sores/swelling caused by wind.
Ingredients: Qianghuo, Fangfeng, Baizhi, Wuzhuyu, Xixin, Danggui, Shaoyao, Yuanhua, Guanzi (equal parts).
Usage: Coarse powder, one dose. Finely chop 0.5 jin of Chipi Cong (Red Skin Scallion with roots), mix with strong vinegar, stir-fry until very hot, wrap in cloth, and apply heat compress to sore. Replace with fresh hot mixture when cool until pain stops.

Cansha Yi Fang (Silkworm Sand Compress Formula): Treats wind swelling.
Ingredients: Wancangsha (Silkworm Frass), Salt (any amount).
Usage: Stir-fry together, wrap in cloth, and apply heat compress. Reheat when cool; adding a little vinegar is beneficial.

Shuicheng Gao (Water-Clearing Ointment): Highly effective for heat-induced swelling and pain.
Ingredients: Dahuang, Huangbai, Yujin, Tiannanxing, Baiji, Xiaoshaoshi, Huangshukui Hua (1 liang each).
Usage: Fine powder. Mix 2 qian powder with 1.5 cups of fresh water, stir evenly, let settle, discard floating water. Spread on paper flower-shaped patches and apply to swelling. Moisten with saliva if dry. Extremely effective for clearing heat-toxin and reducing swelling. Do not use on white skin.