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When the pulse is weak and slow, indicating a Yin syndrome, or during times of severe cold, this method of releasing the exterior with acrid-warm herbs is appropriate.

Tuodu San (Detoxification-Dispersing Powder) [from *Gui Yi Ke*]: Treats early-stage carbuncles and sores characterized by high swelling, unpredictable pain, panting, and coarse breathing.
Ingredients: Fuzi (Aconiti Lateralis Radix Praeparata, one piece, processed, skin and tip removed), Danggui (Angelicae Sinensis Radix), Mahuang (Ephedrae Herba), Gancao (Glycyrrhizae Radix et Rhizoma), Guigui (Cinnamomi Ramulus), Chuanxiong (Ligustici Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Shiwei (Pyrrosiae Folium), Longdancao (Gentianae Radix et Rhizoma).
Usage: Grind the above nine ingredients into equal parts powder. Take two qian per dose, decoct with one large cup of water, three slices of ginger, and a little salt.

Zhu Danxi treated a man in his fifties who was physically robust with dark complexion. He had red swelling near the lower scapula on his back, severe pain, a rapid, surging, and tight pulse, and vomiting after eating. It was mid-winter. Zhu prescribed Mahuang Guizhi Tang (Ephedra and Cinnamon Twig Decoction) with added Jiuhuangbai (Scutellariae Radix processed with wine), Shengfuzi (Prepared Aconite Root lateralis), Gualouzi (Trichosanthis Semen), Gancaojie (Glycyrrhizae Radix et Rhizoma with nodes), Qianghuo, Qingpi (Citri Reticulatae Pericarpium Viride), Renshen (Ginseng Radix), Huangqi (Astragali Radix), Banxia (Pinelliae Rhizoma), and Shengjiang (Zingiberis Rhizoma Recens). After six doses, the swelling resolved. Was this not the intent of internal support methods?

Neishu Huanglian Tang (Internal-Draining Scutellaria Decoction) [Formula seen previously].

Shengji Shegan Tang (Sagebrush Decoction from Shengji Jing): Treats carbuncles and back infections, various sores with swelling and pain, where the pulse is surging, full, and rapid.
Ingredients: Shegan (Belamcandae Rhizoma), Xijiao (Rhinocerotis Cornu), Shengma (Cimicifugae Rhizoma), Xuanshen (Scrophulariae Radix), Huangqin (Scutellariae Radix), Maimendong (Ophiopogonis Radix), Dahuang (Rhei Radix et Rhizoma, each 1 liang), Shanzhi (Gardeniae Fructus, 0.5 liang).
Usage: Coarsely crush the herbs. Take five qian per dose, add Zhuye (Bambusae Folium) and Mangxiao (Natrii Sulfas, 1 qian), stop when bowel movement is unobstructed.
Note: These are herbs for the Foot-Yangming and Hand-Taiyin meridians.

Tuoli San (Support-Interior Powder): Treats all malignant sores, including back carbuncles, ding sores, and groin abscesses in their initial stage, where the pulse is surging, wiry, full, and rapid, and swelling is severe with impending suppuration. Three doses can eliminate it.
Ingredients: Dahuang (Rhei Radix et Rhizoma), Mumian (Concha Ostreae), Gualougen (Trichosanthis Radix), Zaojiaozhen (Gleditsiae Spina), Puxiao (Natrii Sulfas), Lianqiao (Forsythiae Fructus) (each 3 qian), Danggui, Jinyinhua (Lonicerae Japonicae Flos) (each 1 liang), Chishaoyao (Paeoniae Radix Rubra), Huangqin (Scutellariae Radix) (each 2 qian).
Usage: Make into a coarse powder. Take half a liang per dose, decoct with half water and half wine.
Note: These are herbs for the Foot-Jueyin, Foot-Taiyin, and Foot-Yangming meridians.

Po Guan Dan ( Coffin-Breaking Pill): Treats various heat swellings, all wind-heat sore conditions, fever with profuse sweating, extreme thirst, constipation, delirious speech, and Yang-binding syndromes.
Ingredients: Dahuang (Rhei Radix et Rhizoma, 2.5 liang, half raw half cooked), Mangxiao (Natrii Sulfas), Gancao (Glycyrrhizae Radix et Rhizoma) (each 2 liang).
Usage: Grind into powder, mix with refined honey to form pills the size of a bullet. Take half a pill per dose; for severe cases, take one to two pills. After meals, dissolve in child's urine mixed with half a cup of wine, or dissolve in plain water mixed with wine.
Note: These are herbs from Zhang Zhongjing for treating Zheng-Yang Yangming meridian diseases.

Xie Xin Tang (Drain-Heart Decoction): Treats toxic sores and carbuncles with restlessness, irritability, thirst, and a full, surging, rapid pulse.
Ingredients: Dahuang (Rhei Radix et Rhizoma, 4 liang), Huanglian (Coptidis Rhizoma), Shanzhi (Gardeniae Fructus), Loulu (Alismatis Rhizoma), Zelan (Leonuri Herba), Lianqiao (Forsythiae Fructus), Huangqin (Scutellariae Radix), Sumu (Sappan Lignum) (each 2 liang), Xijiao (Rhinocerotis Cornu, 1 liang).
Usage: Coarsely crush. Take three to five qian per dose, decoct in water.
Note: These are herbs for the Hand-Shaoyin, Hand-Taiyin, and Hand-Shaoyang meridians, derived from the Foot-Yangming category.

Qingliang Yin (Cooling Drink): Treats sores with irritability, desire for cold drinks, painful pulse, constipation, and dark, scanty urination.
Ingredients: Dahuang (Rhei Radix et Rhizoma, stir-fried), Chishaoyao (Paeoniae Radix Rubra), Danggui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (each 2 qian).
Usage: Decoct in water and take.

Jingyao Loulu Tang (Essential Alisma Decoction)
Ingredients: Shenghuangqi (Astragali Radix), Lianqiao (Forsythiae Fructus), Chenxiang (Aquilariae Lignum Resinatum), Loulu (Alismatis Rhizoma) (each 1 liang), Fencao (Glycyrrhizae Radix et Rhizoma, 0.5 liang), Dahuang (Rhei Radix et Rhizoma, 1 liang).
Usage: Grind into fine powder. Take two qian per dose, mix with Ginger and Jujube Decoction.

Neixiao Shengma Tang (Internal-Resolving Cimicifuga Decoction): Treats individuals with strong Qi and Blood who suffer from carbuncles and sores with obstruction of urination and defecation.
Ingredients: Shengma (Cimicifugae Rhizoma), Dahuang (Rhei Radix et Rhizoma) (each 2 liang), Huangqin (Scutellariae Radix, 1.5 liang), Zhishi (Aurantii Fructus Immaturus, bran-fried), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, roasted) (each 1 liang).
Usage: Coarsely crush, decoct in water, take before meals.

Sun Simiao's Single-Ingredient Boiled Dahuang Decoction (For patients with deep, full, and rapid pulses, those who consume rich foods and meats, and severe constipation; use after careful examination.)
Ingredients: Jinwen Dahuang (Rhei Radix et Rhizoma, washed with wine, skin removed).
Usage: One ingredient, cut like hemp seeds, boil in water and take.

Xuandu San (Toxin-Releasing Powder): Treats all toxic sores; its efficacy cannot be fully described.
Ingredients: Dahuang (Rhei Radix et Rhizoma, baked), Baizhi (Angelicae Dahuricae Radix) (each 5 qian).
Usage: One dose, decoct with two cups of water until one cup remains, take before meals.
[Xue Ji] Note: This formula is for promoting circulation and attacking toxins. If the pulse is deep and full with constipation, the toxin is in the zang organs, and this formula is suitable to eliminate the disease source, with great efficacy. If the zang-fu are harmonious and the pulse is not full, it should likely not be used. The formula in *Yi Lin Ji Yao* uses one jin of Dahuang and six liang of Baizhi, ground into powder. Take three qian per dose with hot wine, and also use tea clear to apply topically, named Wanjin San (Ten-Thousand Gold Powder), valued for its efficacy. It should be made into water-habit pills for oral administration. Brother Shen Qianxian from Wujiang suffered from a back carbuncle, numb and hard, with a deep and full pulse, indicating toxin inside. After one dose, foul matter was discharged via stool and urine; after another dose, it resolved. I fear patients might overlook these two medicines, so I share my verified experiences.

Treatment for Back Sores: Jingjie Sui (Schizonepetae Spica), Mugua Zi Rou (Mumordicae Semen Endocarpium), Dahuang (Rhei Radix et Rhizoma), Gui Tou (Angelicae Sinensis Radix head), Gancao Jie (Glycyrrhizae Radix et Rhizoma with nodes). Except for Jingjie Sui as the sovereign herb, the others are in equal proportions. Decoct with one bowl of wine and one bowl of water until seven-tenths remain. Drink empty-stomached facing east to discharge accumulation; stop with porridge. If hardened lumps form, use seven Chuanlianzi (Toosendan Fructus), burn to ash, take with wine, then fourteen, then twenty-one. After three doses, even hardened lumps will shrink. (Tao Shi.)

Neituo San (Internal-Supporting Powder): Treats various swollen toxins and malignant sores; resolves immediately after one dose.
Ingredients: Dahuang (Rhei Radix et Rhizoma), Mumian (Concha Ostreae) (each 0.5 liang), Gualou (Trichosanthis Fructus, two pieces), Gancao (Glycyrrhizae Radix et Rhizoma, 3 qian).
Usage: Cut. Take three qian per dose, decoct with one large bowl of water until seven-tenths remain, remove dregs, take warm.

Secretly Transmitted Back Sore Formula
Ingredients: Dahuang (Rhei Radix et Rhizoma, 5 qian), Gancao Jie (Glycyrrhizae Radix et Rhizoma with nodes, 1 qian), Mugua Ren (Mumordicae Semen, five pieces).
Usage: First, coarsely crush Gancao and Mugua Ren. Add half a small bowl of wine and water, boil briefly in a clay pot over medium-low fire. Then add Dahuang, decoct until seven-tenths remain. Remove dregs, store in porcelain. Cover with blue cloth and dew overnight. Take warm at dawn. Discharging pus and blood indicates efficacy. Subsequently, decoct and take Shengliao Sijunzi Tang (Raw Four Gentlemen Decoction).

Loulu Tang (See Volume 4, Thigh Section, Parosteal Abscess entry.)

Che'ao San (Chambered Nautilus Powder): Treats early-stage carbuncles and sores with swelling and pain, or back infections due to excess heat in youth. Urgently release toxins and promote purgation until heat subsides. Suitable for adults and children in all seasons.
Ingredients: Zi Bei Che'ao (Nautili Concha, purple-backed, sealed with salt mud, fired red-hot, placed on ground to remove fire toxicity), Qingfen (Calomelas), Gancao (Glycyrrhizae Radix et Rhizoma) (each 2 qian), Dahuang (Rhei Radix et Rhizoma, 5 qian), Huangqin (Scutellariae Radix), Loulu (Alismatis Rhizoma, remove roots), Gugen (Puerariae Radix) (each 0.5 liang).
Usage: Grind into powder. Take two qian per dose with Bohe Tang (Menthae Haplocalycis Herba Decoction); quick purgation is desired. Wine is also acceptable.

Neixiao Wan (Internal-Resolving Pills) [*Bao Jian*]: Treats early-stage sores and tumors, scrofula and lymph node tuberculosis, stagnant heat-toxin; resolves internally upon ingestion.
Ingredients: Bohe Ye (Menthae Haplocalycis Herba), Zaojiao (Gleditsiae Fructus, non-worm-eaten, boiled soft, both ingredients 0.5 jin, decocted into paste), Qianniu (Pharbitidis Semen, 0.5 jin, take first-grade powder), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium) (each 1 liang), Chenxiang (Aquilariae Lignum Resinatum, 0.5 liang), Guangzhu (Curcumae Zedoariae Rhizoma, processed), Jingsanleng (Sparganii Rhizoma, processed, each 3 qian).
Usage: Grind into powder, add Qianniu first-grade powder, mix with decocted paste to form pills the size of mung beans. Take thirty pills per dose, send down with Lianqiao Tang (Forsythiae Decoction) after meals.

Shenxian Jiedu Wanbing Wan (Immortal Detoxifying Ten-Thousand-Disease Pill) (Also known as Zhidu Wan, or Yushu Dan.)
Treats all toxins, including Guzi, Shuman, mushrooms, minerals/metals, poisoning from epidemic-dead cattle/horses/pufferfish, seasonal plagues, mountain miasma, malaria, acute throat closure, winding-throat wind, spleen disease, yellow edema, red eyes, exposure to cold/heat, upward attacking heat-toxin, hanging, drowning, blunt trauma, carbuncles and back infections, burns/scalds, snake/insect/dog/rat bites, evil possession/wandering madness, ghost fetus/ghost qi. All are suitable for treatment. Essential for home and travel, a true treasure for saving lives and protecting the body. Poisonous substances are most common in Lingnan and Liangguang. If traveling there, take if feeling unwell to restore peace. There is a grass called Humancao (Stramonium/Strychnos?) or Duanchangcao (Intestine-Cutting Grass); placing it in water and drinking causes death. Also, kill a venomous snake, cover with grass, sprinkle water; fungi grow on it in days. Grind to powder, mix with wine to induce poison; initially harmless, but drinking alcohol afterwards causes immediate death. Or, promiscuous women often pair with northern men; northern men secretly give medicine, place it in food, warning: "If you follow her words next year, she will detoxify you; if overdue, you will die." Called Nianyao (Year-Determining Medicine). Northerners going there should know this. If feeling poisoned, with imbalance of the four elements, take this immediately. Since they likely put poison in chicken/pork meat, eating it later triggers toxicity. Quickly take one tablet; vomiting or diarrhea brings immediate recovery. Once, a woman with chronic consumption eaten by corpse worms ground one tablet and took it, vomiting and defecating over a thousand small worms. Later, taking Suhexiang Wan (Styrax Pill) for half a month restored normalcy. For poisoned cattle/horses/livestock, this medicine saves them effectively.
Ingredients: Wenha (Clam Shell, 3 liang, pale red-yellow, crushed and washed, also known as Wubeizi), Shanzhugu (Paris Polyphyllae Rhizoma, 2 liang), Xuisui Zi (Euphorbiae Lathyridis Semen, shell removed, ground, pressed with paper to remove oil, re-ground, 1 liang), Hongya Daji (Euphorbiae Pekinensis Radix, washed, 1.5 liang), Shexiang (Moschus, 3 qian, ground).
Usage: Grind each separately into fine powder, mix evenly. Combine with glutinous rice porridge, pound over a thousand times in a wooden mortar. Divide each batch into forty tablets. Prepare on Dragon Boat Festival, Double Ninth Festival, or Qixi Festival. For urgent use, Chen day is acceptable. Do not let women, mourners, incomplete persons, or chickens/dogs see the preparation. Handle with care, otherwise ineffective. For unruptured carbuncles/back infections, grind with cold water, apply to pain site and take orally; itching subsides quickly. For Yin-Yang dual toxins, typhoid with chest stuffiness, delirium, stagnation in chest/diaphragm, undischarged evil-toxin, plagues, mountain miasma, winding-throat wind, grind with cold water and one Mentha leaf. For acute madness, shouting, wandering, ghost fetus/qi, take with warm non-ash wine. For hanging or drowning death with warm heart, or fright death, ghost bewitchment death, not yet overnight, grind with cold water and灌 (force-feed). For snake/dog/centipede bites, grind with cold water, apply to wound; if abdominal distension or confusion, take orally. For all types of malaria, new or old, decoct Peach and Willow branch soup to send down before onset. For pediatric acute/chronic convulsions, five wasting disorders, eight dysenteries, grind with honey water and one Mentha leaf. For locked jaw, grind one tablet for external application, take internally according to age. For toothache, grind with wine, apply and swallow a little. For burns/scalds, grind with flowing east water, apply to wound. For blunt trauma, take with fried Pine Node wine. For long-standing headache in Taiyang region, grind with wine and Mentha, apply paper flower to Taiyang acupoint, and take. For all epilepsy, facial deviation, blinking, night salivation, slurred speech, stroke with locked jaw, muscle spasms, joint wind-swelling, limb pain, difficulty walking, all wind-pain, grind with wine and take. Pregnant women must not take.
[Xue Ji] Note: Treated a woman with an abdominal mass persisting for years; another woman with delayed menstruation and abdominal pain, ineffective against blood-breaking and Qi-moving agents, cured by this. A woman suffering from head wind vertigo for years took it, vomited a bowl of phlegm, and never relapsed. A man with throat closure unable to swallow liquids; a man with winding-throat wind and excessive phlegm; a woman with stroke and locked jaw with涌ing phlegm, all cured. A man with hard groin abscess; a man with painful hemorrhoids not yet suppurated and difficult defecation, each took one tablet, discharged twice, pain stopped, resolved in days. A man with back carbuncle head like millet, heavy as carrying a stone, took internally and applied externally, discharged three to four times, anus felt like moxa, healed that day. Three men skinned dead cows, developed countless purple blisters, became confused, each灌ed one tablet, vomited and diarrhea, revived. One who could not take medicine died. A child unconscious for six days; a child with convulsions, other medicines failed, mouth pried open and灌ed, both revived. A man with stroke, locked jaw, salivating, also灌ed, recovered soon. A woman possessed by evil, abdominal bloating, took it, discharged foul matter, evil returned, took half tablet, moxaed two to three tablets nightly filling room with smoke, evil did not return again. A family with consumptive disease, five brothers, three dead, a Daoist advised taking this medicine, each took one tablet, one discharged pus-like foul matter, one discharged dead moth-like insects, all survived. This person subsequently used this medicine widely for corpse diseases, all effective. I often use it for miscellaneous diseases and un-suppurated sores/toxins, very effective; for suppurated ones, it reduces severity. Although ingredients do not mention tonics, emaciated people take it effectively, truly a divine agent. Economically, three qian of silver buys seventy tablets, saving seventy people. Wealthy families should prepare it to help others. Recent preparations often add Yuansha (Realgar?) and Xionghuang (Realgar), but checking other formulas, these are absent. I therefore do not use them, fearing confusion of authenticity. Those who know will understand.

Guoshi Ruixiao Wan (Guoshi Auspicious Efficacy Pills): Treats intestinal and gastric abscesses with internal accumulation, plus masses in men and women.
Ingredients: Danggui (Angelicae Sinensis Radix), Jingsanleng (Sparganii Rhizoma), Binglang (Arecae Semen), Mugua Zi (Mumordicae Semen), Chuanshanjia (Manis Squama, fried, each 1 liang), Mumian (Concha Ostreae, ground, fried Shan Jia used together), Lianqiao (Forsythiae Fructus), Zhike (Aurantii Fructus, fried, each 1.5 liang), Sha (Sand, roasted), Hupo (Electrum, each 1 liang), Badou (Crotonis Fructus, 21 grains, oil removed), Shexiang (Moschus, a little).
Usage: Grind into powder, make pills with wine paste, size of paulownia seeds. Take ten to twenty to thirty pills per dose with warm wine, take again before sleep. If purgation affects viscera, reduce dosage. If pus/blood appears in stool/urine, treat with other medicines.

Wanling Duoming Dan (Myriad Spirits Life-Seizing Pill) (Guoshi. Also known as Yanshou Jishi Gao). Treats all sores, tumors, ding sores, initial stage with deep/full pulse, or after sweating medicine where toxin remains inside; use this to purge.
Ingredients: Zhusha (Cinnabaris), Yanhua (Sal Nitrificum) (each 2.5 qian), Xionghuang (Realgar), Mingfan (Alumen, raw), Fengxiang (Liquidambaris Resina) (each 2 qian), Chishizhi (Halloysit Rubra), Huangdan (Minii Oxidum), Hupo (Electrum), Qingfen (Calomelas) (each 1.5 qian), Shexiang (Moschus), Piannao (Borneolum Syntheticum) (each 1 qian), Badou (Crotonis Fructus, shelled, boiled ten times), Bimazi (Ricini Semen, ground separately, 49 each).
Usage: Grind into powder, mix with Badou and Bimazi paste to form pills. If paste fails, add refined honey to form ointment, store in porcelain. When needed, roll into pills the size of Euryale seed. Take one pill per dose with well-water or decoction. Avoid hot food for half a day. Adjust dosage for adults/children as appropriate.

Yili Jindan (One-Pill Golden Pill): Treats all malignant sores, carbuncles, unnamed swellings/toxins.
Ingredients: Chenxiang (Aquilariae Lignum Resinatum), Muxiang (Aucklandiae Radix), Ruxiang (Olibanum) (each 0.5 fen), Badoushuang (Crotonis Fructus Paste, 1.5 qian).
Usage: Grind each into fine powder, mix evenly according to weight. Use half a black fat date, peel, mash, form pills the size of Euryale seed. Take one pill per dose, assess patient's deficiency/excess. Sip one mouthful of water, walk once. For strong stomach Qi, sip only three to four mouthfuls, do not exceed. Then send down with one mouthful of water. Repeat several times, supplement with rice drink.

Weilingxian Yin (Peony Vine Drink)
Ingredients: Sheng Weilingxian (Clematidis Radix et Rhizoma, any amount, ground into powder).
Usage: Take one qian per dose. Empty stomach, mix with warm wine. Mild purgation daily is the limit.

Dai Fu'an treated carbuncles, sores, and boils with Weilingxian Yin, inducing mild purgation.