五脏之尊，心为之主，以肾过用，肾水下亏，水不火，心阳扰动，营不内守，则腰痛咯
红，继患井疽。外溃已久，不时嘈杂，气馁中虚，当营卫并倍，兼以养心。
当参 茯苓 参须 远志 牡蛎 甜冬术 怀药 归身 白芍 陈皮 柏子仁 生地 红花
肝气夹痰凝滞，蔽骨发为痰疽，已溃，一头肿硬不消，又将破溃，脉来两尺弦数，荣血
已亏，阳明痰气不清。宜养荣和卫，兼化痰软坚之治。
当归 清半夏 陈皮 茯苓 栝蒌仁 广郁金 大贝 左牡蛎 苏根 佛手 敷海浮
蔽骨疽肿硬较松，脓亦较浓，仍和荣化坚。
前方去苏根，加泽兰、连翘、藕节。
蔽骨痰疽，脓成将溃，当以清托。
南沙参 大贝 陈皮 连翘 甘草 川石斛 当归 茯苓 蒌仁 藕节
石疽乃气血冰凝成此恶疾，起自左腋结硬，渐次硬及乳房、肩臂颈项，木肿，日夜掣
痛，气血俱虚，难治之症。姑念远来，勉方冀幸。
党参 大熟地 上肉桂 焦白术 大白芍 全当归 川芎 茯苓 香附 炙甘草 桑皮 红枣头
抑郁伤肝，思虑伤脾，肝脾荣损，气动于中，木火夹痰上升，少阳经气郁结颈左，发为
石疽。硬坚如石，肩项酸胀，牙紧喉痹，脉细神羸，已入沉 ，势难挽救。姑念远来，拟方回府调理。
党参 冬术 当归 川芎 白芍 香附 大贝 清半夏 陈皮 茯苓 甘草 煨姜 红枣
心肝抑郁不遂，气化为火，火与痰升，颈左发为石疽。坚肿色红，势将外溃，溃则难愈。
姑拟养荣清肝化坚。
北沙参 川芎 白芍 元参 香附 清半夏 大贝 当归 连翘 中生地 左牡蛎 橘叶
肝脾郁结，气与痰滞，石疽坚肿，咽肿喉痹，牙紧颈酸，项胀，厥少不和，经络壅塞，七
情至伤之病，治调非易。脾胃又薄，便溏，食入作呕吐，慎防脾败。姑拟扶土和中，冀其纳谷为幸。
焦白冬术（枳实二分同炒） 佩兰 木香 枳壳 砂仁 陈皮 潞党参（藿香炒） 半夏 郁金 谷芽
炙甘草 茯苓 金橘叶
治虚劳呕吐方。
呕吐已止，饮食加增，石疽肿亦较退，似有转机。但牙紧未松，喉痹未舒，脉沉弦涩，阴
伤木郁，痰气凝痹。上尚在险途，恐未为可恃。姑从原法治之。
党参 冬术 川芎 当归 半夏 砂仁 陈皮 枳壳 佩兰 广郁金 白芍 橘叶
石疽肿硬稍松，七情至伤之病究难消散，因日来饮食加增，精神稍复。姑拟原方进治。
党参 当归 清半夏 佩兰 冬术 白芍 陈皮 炙草 川芎 茯苓 大贝 老姜 橘叶
日来精神饮食倍增，石疽坚肿亦见收束，是万亿之幸也。宜香贝养荣汤主之。
党参 当归 白芍 陈皮 白术 川芎 茯苓 清半夏 大贝 香附 炙甘草 牡蛎 红枣 橘叶
恙势日见起色，宗前法治。
生地 蒲黄炒 当归 陈皮 大贝 白芍 潞党参 川芎 茯苓 香附 清半夏 牡蛎 远志 金菊叶 红枣 姜
石疽肿势稍加，且作胀痛，肝火复升，宜和荣化坚，兼舒肝郁。
前方去生地、远志，加夏枯草。
石疽复肿，又复作吐，心胸懊 ，肝胃气逆，极虚之体，攻补两难。属在险途。姑拟香
砂六君汤加味主之。
当参 冬术 当归 佩兰 广皮 茯苓 谷芽 木香 砂仁 清半夏 炙草 郁金 生姜 枣
痰气血积于肝络，少腹两旁，石疽坚肿，木不知痛。姑拟温消，冀其不溃乃吉。
当归 赤芍 桃仁 茯苓 肉桂 清半夏 陈皮 甘草 延胡 楞子 生姜
湿瘀凝滞经络，委阳穴石疽坚肿，色紫 ，及内侧足肚木肿，夜分热痛。将来难于收敛，急为利湿化凝，以冀收束
为要。
生首乌 归尾 甘草 没药 连翘 川萆 赤芍 桃仁 黄柏 泽兰 淮牛膝 广皮 桑枝
郁怒伤肝，气滞于络，络血因之留阻，胸胁作痛，继之乳根坚肿，石疽大症，脉来弦强，
动劳喘气，自汗盗汗，肝阴伤，肾气不摄，症势极重。拟育阴柔肝，以化坚结。
北沙参 牡蛎 当归 大贝 白芍 远志肉 泽兰 茯神 丹参 广皮 橘叶 栝蒌子 藕节
Among the five zang organs, the Heart serves as the sovereign. Due to excessive use of Kidney Qi, Kidney Water is depleted, failing to nourish Fire; consequently, Heart Yang is disturbed, and Ying (Nutritive) Blood fails to remain within. This leads to lower back pain and hemoptysis, followed by the onset of Jing Ju (Well Carbuncle). The external ulceration has persisted for a long time, accompanied by frequent epigastric discomfort. Zheng (Upright) Qi is depleted, and the Middle Jiao is deficient. Treatment should double the efforts to harmonize Ying and Wei (Defensive) Qi, while simultaneously nourishing the Heart.
Prescription: Codonopsis Radix (Dangshen), Poria Cocos (Fuling), Codonopsis Radix Tendril (Renshu), Polygala Tenuifolia Rhizome (Yuanzhi), Ostreae Concha (Muli), Atractylodis Macrocephalae Rhizoma (Tianzhushu), Dioscoreae Hypoglaucae Rhizoma (Huaiyao), Angelicae Sinensis Radix (Guishen), Paeoniae Radix Alba (Baishao), Citri Reticulatae Pericarpium (Chenpi), Biota Semen (Baiziren), Rehmanniae Radix Recens (Shengdi), Carthami Flos (Honghua).
Liver Qi,夹杂着 Phlegm, stagnates, manifesting as Tan Ju (Phlegm Carbuncle) at the Bingu area (sternum/xiphoid process). It has already ulcerated, but one end remains swollen and hard without resolving, and is about to break open again. The pulse at both Chi positions is Wiry and Rapid, indicating that Ying Blood is depleted, and Phlegm-Qi in the Yangming Meridian is not yet cleared. The treatment should nourish Ying and harmonize Wei, while simultaneously resolving Phlegm and softening hardness.
Prescription: Angelicae Sinensis Radix (Danggui), Pinelliae Rhizoma Preparatum (Qingbanxia), Citri Reticulatae Pericarpium (Chenpi), Poria Cocos (Fuling), Trichosanthis Semen (Gualouren), Curcumae Radix (Guangyujin), Fritillariae Thunbergii Bulbus (Dabei), Ostreae Concha (Zuomuli), Imperatae Rhizoma (Sugen), Bergamot Fruit (Foshou); externally apply Haifushi (Magmatic Rock/Scoria).
The swelling and hardness of the Bingu carbuncle have loosened slightly, and the pus is thicker. Continue with the method of harmonizing Ying and dissolving hardness.
Remove Sugen from the previous prescription, add Ze Lan (Lycopus Herba), Lianqiao (Forsythiae Fructus), and Ou Jie (Nymphaeae Nelumbinis Rhizomatis Nodus).
For the Tan Ju at Bingu, where pus has formed and is about to ulcerate, the treatment should clear heat and promote suppuration/drainage.
Prescription: Adenophorae Radix (Nanshashen), Fritillariae Thunbergii Bulbus (Dabei), Citri Reticulatae Pericarpium (Chenpi), Forsythiae Fructus (Lianqiao), Glycyrrhizae Radix et Rhizoma (Gancao), Dendrobii Caulis (Chuanshihu), Angelicae Sinensis Radix (Danggui), Poria Cocos (Fuling), Trichosanthis Semen (Gualouren), Nymphaeae Nelumbinis Rhizomatis Nodus (Ou Jie).
Shi Ju (Stone Carbuncle) is a malignant disease caused by the freezing coagulation of Qi and Blood. It begins as a hard nodule in the left axilla, gradually spreading to the breast, shoulder, arm, neck, and nape. The area is numb and swollen, with pulling pain day and night. With both Qi and Blood severely deficient, it is a difficult-to-treat condition. Considering the patient traveled from afar, a prescription is tentatively provided hoping for a chance of recovery.
Prescription: Codonopsis Radix (Dangshen), Rehmanniae Radix Preparata (Dashudi), Cinnamomi Cortex (Shangrougui), Atractylodis Macrocephalae Rhizoma (Jiaobaizhu), Paeoniae Radix Alba (Dabaishao), Angelicae Sinensis Radix (Quandanggui), Ligustici Chuanxiong Rhizoma (Chuanxiong), Poria Cocos (Fuling), Cyperi Rhizoma (Xiangfu), Glycyrrhizae Radix et Rhizoma (Zhigancao), Mori Cortex (Sangpi), Red Date (Hongzaotou).
Depression injures the Liver, and overthinking injures the Spleen, damaging the Ying of the Liver and Spleen. Qi moves turbulently within, and Wood-Fire carries Phlegm upward. Shaoyang Meridian Qi stagnates in the left neck, manifesting as Shi Ju. The mass is hard as stone, accompanied by soreness and distension in the shoulders and neck, trismus (lockjaw), and throat obstruction. The pulse is fine, and the spirit is emaciated. The disease has sunk deep, making rescue difficult. Considering the patient traveled from afar, a prescription is provided for home conditioning.
Prescription: Codonopsis Radix (Dangshen), Atractylodis Macrocephalae Rhizoma (Dongzhu), Angelicae Sinensis Radix (Danggui), Ligustici Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishao), Cyperi Rhizoma (Xiangfu), Fritillariae Thunbergii Bulbus (Dabei), Pinelliae Rhizoma Preparatum (Qingbanxia), Citri Reticulatae Pericarpium (Chenpi), Poria Cocos (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao), Zingiberis Rhizoma Preparatum (Weijiang), Red Date (Hongzao).
Heart and Liver Qi are depressed and unfulfilled, transforming into Fire. Fire rises with Phlegm, causing Shi Ju in the left neck. The mass is hard, swollen, and red, and is likely to ulcerate externally; if it does, healing will be difficult. Tentatively prescribe nourishing Ying and clearing Liver to dissolve hardness.
Prescription: Glehniae Radix (Beishashen), Ligustici Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishao), Scrophulariae Radix (Yuanshen), Cyperi Rhizoma (Xiangfu), Pinelliae Rhizoma Preparatum (Qingbanxia), Fritillariae Thunbergii Bulbus (Dabei), Angelicae Sinensis Radix (Danggui), Forsythiae Fructus (Lianqiao), Rehmanniae Radix Recens (Zhongshengdi), Ostreae Concha (Zuomuli), Citrus Reticulata 'Chachi' Pericarpium (Juye).
Liver and Spleen depression causes Qi and Phlegm stagnation, forming Shi Ju with hard swelling. Symptoms include swollen throat, throat obstruction, trismus, neck soreness, and neck distension. Jueyin and Shaoyin are disharmonious, and meridians are blocked. This is a disease caused by severe emotional injury, and regulation/treatment is not easy. The Spleen and Stomach are weak, with loose stools and vomiting after eating. One must guard against Spleen failure. Tentatively prescribe strengthening Earth and harmonizing the Middle, hoping for normal appetite as a sign of luck.
Prescription: Atractylodis Macrocephalae Rhizoma (Jiaobaidongzhu, stir-fried with 2 fen of Immature Bitter Orange/Zhishi), Euphorbiae Humifusa Herba (Peilan), Aucklandiae Radix (Muxiang), Aurantii Fructus Immaturus (Zhiqiao), Amomi Fructus (Sharen), Citri Reticulatae Pericarpium (Chenpi), Codonopsis Radix (Lu Dangshen, stir-fried with Pogostemonis Herba/Huoxiang), Pinelliae Rhizoma (Banxia), Curcumae Radix (Yujin), Hordeum Vulgare Sprout (Guyagen), Glycyrrhizae Radix et Rhizoma (Zhigancao), Poria Cocos (Fuling), Citrus Nobilis Pericarpium (Jinyej).
This is a formula for treating vomiting due to deficiency consumption.
Vomiting has stopped, diet has increased, and Shi Ju swelling has receded somewhat, showing signs of turning around. However, trismus has not loosened, throat obstruction has not relieved, and the pulse is Deep, Wiry, and Choppy, indicating Yin injury, Liver depression, and Phlegm-Qi coagulation and blockage. The upper body is still in a dangerous state, so reliance on this may not be secure. Tentatively continue with the original method.
Prescription: Codonopsis Radix (Dangshen), Atractylodis Macrocephalae Rhizoma (Dongzhu), Ligustici Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Pinelliae Rhizoma (Banxia), Amomi Fructus (Sharen), Citri Reticulatae Pericarpium (Chenpi), Aurantii Fructus Immaturus (Zhiqiao), Euphorbiae Humifusa Herba (Peilan), Curcumae Radix (Guangyujin), Paeoniae Radix Alba (Baishao), Citrus Reticulata 'Chachi' Pericarpium (Juye).
Shi Ju swelling and hardness have slightly loosened. Diseases caused by severe emotional injury are ultimately difficult to dissipate. However, since diet has increased and spirit has slightly recovered recently, tentatively continue with the original prescription.
Prescription: Codonopsis Radix (Dangshen), Angelicae Sinensis Radix (Danggui), Pinelliae Rhizoma Preparatum (Qingbanxia), Euphorbiae Humifusa Herba (Peilan), Atractylodis Macrocephalae Rhizoma (Dongzhu), Paeoniae Radix Alba (Baishao), Citri Reticulatae Pericarpium (Chenpi), Glycyrrhizae Radix et Rhizoma (Zhicao), Ligustici Chuanxiong Rhizoma (Chuanxiong), Poria Cocos (Fuling), Fritillariae Thunbergii Bulbus (Dabei), Old Ginger (Laojiang), Citrus Reticulata 'Chachi' Pericarpium (Juye).
Spirit and diet have doubled recently, and Shi Ju hardness and swelling are also contracting, which is a great fortune. Xiangbei Yangrong Tang should be the main prescription.
Prescription: Codonopsis Radix (Dangshen), Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao), Citri Reticulatae Pericarpium (Chenpi), Atractylodis Macrocephalae Rhizoma (Baizhu), Ligustici Chuanxiong Rhizoma (Chuanxiong), Poria Cocos (Fuling), Pinelliae Rhizoma Preparatum (Qingbanxia), Fritillariae Thunbergii Bulbus (Dabei), Cyperi Rhizoma (Xiangfu), Glycyrrhizae Radix et Rhizoma (Zhigancao), Ostreae Concha (Muli), Red Date (Hongzao), Citrus Reticulata 'Chachi' Pericarpium (Juye).
The illness shows daily improvement; follow the previous method.
Prescription: Rehmanniae Radix Recens (Stir-fried with Polygoni Multiflori Folii Pulvis/Puhuang), Angelicae Sinensis Radix (Danggui), Citri Reticulatae Pericarpium (Chenpi), Fritillariae Thunbergii Bulbus (Dabei), Paeoniae Radix Alba (Baishao), Codonopsis Radix (Lu Dangshen), Ligustici Chuanxiong Rhizoma (Chuanxiong), Poria Cocos (Fuling), Cyperi Rhizoma (Xiangfu), Pinelliae Rhizoma Preparatum (Qingbanxia), Ostreae Concha (Muli), Polygala Tenuifolia Rhizome (Yuanzhi), Chrysanthemi Indici Flos (Jinyej), Red Date (Hongzao), Ginger (Jiang).
Shi Ju swelling increases slightly with distending pain, indicating Liver Fire rising again. Harmonize Ying and dissolve hardness, while soothing Liver depression.
Remove Shengdi and Yuanzhi from the previous prescription, add Prunellae Spica (Xiakucao).
Shi Ju swells again, accompanied by vomiting. The chest and heart feel stifled and restless, with Liver and Stomach Qi rebelling upward. In a body of extreme deficiency, attacking and tonifying are both difficult. The condition is in a dangerous state. Tentatively prescribe Xiangsha Liujun Tang with modifications as the main prescription.
Prescription: Codonopsis Radix (Dangshen), Atractylodis Macrocephalae Rhizoma (Dongzhu), Angelicae Sinensis Radix (Danggui), Euphorbiae Humifusa Herba (Peilan), Citri Reticulatae Pericarpium (Guangpi), Poria Cocos (Fuling), Hordeum Vulgare Sprout (Guyagen), Aucklandiae Radix (Muxiang), Amomi Fructus (Sharen), Pinelliae Rhizoma Preparatum (Qingbanxia), Glycyrrhizae Radix et Rhizoma (Zhigancao), Curcumae Radix (Yujin), Fresh Ginger (Shengjiang), Jujube (Zao).
Phlegm, Qi, and Blood accumulate in the Liver collaterals, located on both sides of the lower abdomen, forming Shi Ju with hard swelling. Wood Qi loses sensation/pain perception. Tentatively prescribe warming and dissipating methods, hoping it does not ulcerate, which would be auspicious.
Prescription: Angelicae Sinensis Radix (Danggui), Paeoniae Radix Rubra (Chishao), Persicae Semen (Taoren), Poria Cocos (Fuling), Cinnamomi Cortex (Rougui), Pinelliae Rhizoma Preparatum (Qingbanxia), Citri Reticulatae Pericarpium (Chenpi), Glycyrrhizae Radix et Rhizoma (Gancao), Corydalis Rhizoma (Yanhusu), Uncaria Rhynchophylla/Galbulus (Lengzi - note: context suggests a specific local herb or typo for another, kept as literal translation), Fresh Ginger (Shengjiang).
Dampness and Blood stasis coagulate in the meridians. At Weiyang Acupoint, Shi Ju is hard and swollen, purple in color, and the inner calf is numb and swollen. There is fever and pain at night. Convergence will be difficult later; urgently resolve dampness and dissolve coagulation to aim for contraction.
Prescription: Polygoni Multiflori Preparati Radix (Shengshouwu), Angelicae Sinensis Radix Cauda (Guiwei), Glycyrrhizae Radix et Rhizoma (Gancao), Myrrha (Meyao), Forsythiae Fructus (Lianqiao), Dioscoreae Hypoglaucae Rhizoma (Chuanbi), Paeoniae Radix Rubra (Chishao), Persicae Semen (Taoren), Phellodendri Cortex (Huangbai), Lycopus Herba (Zelan), Achyranthis Bidentatae Radix (Huainiuxi), Citri Reticulatae Pericarpium (Guangpi), Mori Ramulus (Sangzhi).
Depression and anger injure the Liver, causing Qi stagnation in the collaterals, leading to collateral blood stasis. Chest and hypochondrium hurt, followed by hard swelling at Rugen, manifesting as a major Shi Ju. The pulse is Wiry and Strong. Movement causes panting, spontaneous sweating, and night sweats. Liver Yin is injured, and Kidney Qi fails to consolidate. The symptoms are extremely severe. Prescribe nourishing Yin and softening the Liver to dissolve hard knots.
Prescription: Glehniae Radix (Beishashen), Ostreae Concha (Muli), Angelicae Sinensis Radix (Danggui), Fritillariae Thunbergii Bulbus (Dabei), Paeoniae Radix Alba (Baishao), Polygala Tenuifolia Flesh (Yuanzirou), Lycopus Herba (Zelan), Poria Cum Pachyrama Stem (Fushen), Salviae Miltiorrhizae Radix (Danshen), Citri Reticulatae Pericarpium (Guangpi), Citrus Reticulata 'Chachi' Pericarpium (Juye), Trichosanthis Fructus (Gualouzi), Nymphaeae Nelumbinis Rhizomatis Nodus (Ou Jie).