黄 当归 首乌 苡仁 花粉 丹皮 绿豆
肾俞发，漫肿不能转侧，呼吸作痛，湿气化痰。
乌药 五灵脂 半夏 延胡 赤芍 当归 桂枝 独活 秦艽 桑枝 好黄酒
少腹痈症有气血凝滞者，有湿热流注小肠者，有寒湿郁结而成者。恙起去夏，少腹梗
硬，攻冲作痛。少腹乃广肠部位，肝脉游行之所，肝气拂郁，寒邪乘之，肠胃之气火失利，血
随气阻，日久正虚邪凝愈甚。自冬及春，愈形高肿，色红而软，内脓已成，定须外溃。然肠膜
受伤，恐粪秽并出，且饮食少进，溲出便闭，内热舌干，脉数，阴伤热郁，倘大脓后胃气不苏，
元气不续，深为可虑。若论疡科治法，当补托毒之剂，然虚不受补，清则碍脾，治当舍外而
从内。议调胃育阴，阴充便自通，胃和而食自进矣！
生首乌 淮药 柏子仁 茯苓 谷芽 北沙参 广皮 当归 玉竹 毛燕
肠痈外溃，已得微脓，且秽从孔出，浊气外泄，大非所宜，脉象难和，食难渐进，惟虑正
气与浊气并出，有上下交脱之虑。急当原方加白芍、参须、熟地。
腑气已通，原方加党参、石斛，去柏子仁、生首乌。
肠痈溃后，脓少气多，肿平一半，脉静身凉，一夜神安熟寐，是属佳兆。黎明之际，外患
复增，肿痛，卯时气虚滞于大肠，邪正交攻肠膜，损伤恐难完固。当阴阳并补，兼以护膜，保无更变乃佳。
潞党参 怀山药 炙甘草 象牙屑 茯苓 广皮 当归 玉竹 大熟地 白芍 参须 黄丝绢
肠痈一月，少腹内硬，拘挛作痛，小溲混浊如脓。宜化瘀利湿。
萆 茯苓 淮膝 赤芍 泽泻 车前 黄柏 延胡 归尾 杏仁 蒌仁 藕节
气血凝滞，少腹硬痛，小溲不爽，寒热，势成肠痈，急为流气化痰。
归尾 桃仁 延胡索 青皮 山楂肉 枳壳 乌药 五灵脂
肠痈一年，内膜已伤，形衰脉弱，难治之证。
十全大补丸，又服琥珀蜡矾丸。
肠痈外溃，秽从孔出，肠膜穿破，极难收口。宜十全大补加味主之。加木香、萸肉、黄丝绢。
肠痈内硬较松，脓亦较清，尚宜前法加减。
当归 鹿角胶 淮牛膝 泽泻 萆 甘草 蒲公英 肉桂 苡仁 赤苓
Huang (Astragali Radix)
Danggui (Angelicae Sinensis Radix), Shouwu (Polygoni Multiflori Radix), Yiren (Coicis Semen), Huafen (Trichosanthis Radix), Danpi (Moutan Cortex), Lüdou (Phaseoli Radiatus Semen)
Kidney Shu Abscess (Ren Shu Fa), presenting with diffuse swelling (man zhong) preventing turning of the body, pain upon respiration, caused by dampness transforming into phlegm.
Wuyao (Linderae Radix), Wulingzhi (Trogopterori Faeces), Banxia (Pinelliae Rhizoma), Yanhu (Corydalisis Rhizoma), Chishao (Paeoniae Radix Rubra), Danggui (Angelicae Sinensis Radix), Guizhi (Cinnamomi Ramulus), Duhuo (Angelicae Pubescentis Radix), Qinjiao (Gentianae Macrophyllae Radix), Sangzhi (Mori Ramulus), Good Yellow Rice Wine.
Lower abdominal carbuncle (Shaofu Yong) syndromes include those caused by Qi and Blood stagnation (Qi xue ning zhi), those where Damp-Heat flows into the Small Intestine (Shi re liu zhu Xiao chang), and those formed by Cold-Dampness constraint (Han shi yu jie). The illness began last summer; the lower abdomen was stiff and hard, with attacking and rushing pain. The lower abdomen is the region of the Large Intestine (Guang chang) and the pathway of the Liver Meridian circulation. Liver Qi depression combined with Cold Evil invasion causes the Qi and Fire of the Stomach and Intestines to malfunction. Blood obstruction follows Qi stagnation; over time, deficiency of Healthy Qi (Zheng Qi) and condensation of Pathogenic factors worsen. From winter to spring, the swelling became higher and more pronounced, red in color and soft, indicating internal pus formation, necessitating external rupture. However, since the intestinal membrane is injured, there is fear of fecal matter discharging alongside pus. Furthermore, poor dietary intake, urination without defecation, internal heat with a dry tongue, and a rapid pulse indicate Yin injury with Heat constraint. If, after draining large amounts of pus, Stomach Qi fails to recover and Yuan Qi (Original Qi) cannot sustain itself, this is deeply concerning. Regarding surgical treatment principles, one should typically use tonifying and expelling-toxin formulas. However, in cases of extreme deficiency, tonification is poorly tolerated, and clearing Heat may hinder the Spleen. Therefore, treatment should abandon external approaches and focus on internal regulation. The proposal is to regulate the Stomach and nourish Yin; once Yin is sufficient, bowel movements will naturally unblock, and when the Stomach harmonizes, appetite will return.
Raw Shouwu (Polygoni Multiflori Radix), Huaiyao (Dioscoreae Oppositae Rhizoma), Baiziren (Biotae Semen), Fuling (Poria), Guya (Oriza Sativa Germ), Beishashen (Glehniae Radix), Guangpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), Yuzhu (Polygonati Odorati Rhizoma), Mao Yan (Nidus Collocaliae Edibilis).
The intestinal carbuncle has ruptured externally, yielding slight pus, and foul matter is discharging from the orifice, allowing Turbid Qi to escape externally. This is highly inappropriate. The pulse is difficult to harmonize, and food intake is difficult to gradually increase. The primary concern is the simultaneous discharge of Healthy Qi and Turbid Qi, risking a collapse of the upper and lower Jiao. Urgently, add Baishao (Paeoniae Radix Alba), Renshen Xu (Ginseng Radix et Rhizoma Filum), and Shudi (Rehmanniae Radix Preparata) to the original formula.
Fu Qi (Intestinal Qi) has now unblocked. Add Dangshen (Codonopsis Radix) and Shihu (Dendrobii Caulis) to the original formula, and remove Baiziren and Raw Shouwu.
After the intestinal carbuncle rupture, pus is scanty while Qi is exhausted. Swelling has reduced by half, the pulse is calm, the body is cool, and the patient slept peacefully through the night; this is a favorable sign. At dawn, however, external symptoms worsened with swelling and pain. At Mao hour (5–7 AM), Qi deficiency leads to stagnation in the Large Intestine. Pathogenic factors and Healthy Qi clash at the intestinal membrane, making complete healing difficult. Treatment should tonify both Yin and Yang and simultaneously protect the membrane to prevent further deterioration.
Lu Dangshen (Codonopsis Radix), Huai Shanyao (Dioscoreae Oppositae Rhizoma), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle), Xiangya Xie (Elephantis Dentis Fragmentum), Fuling (Poria), Guangpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), Yuzhu (Polygonati Odorati Rhizoma), Da Shudi (Rehmanniae Radix Preparata), Baishao (Paeoniae Radix Alba), Renshen Xu (Ginseng Radix et Rhizoma Filum), Huang Sijuan (Serici Flavus Fibra).
One month into the intestinal carbuncle, the lower abdomen remains internally hard with cramping pain, and urine is turbid like pus. The approach should be to resolve stasis and promote dampness removal.
Bixie (Dioscoreae Hypoglaucae Rhizoma), Fuling (Poria), Huai Xi (Achyranthis Bidentatae Radix), Chishao (Paeoniae Radix Rubra), Zexie (Alismatis Rhizoma), Cheqian (Plantaginis Semen), Huangbai (Phellodendri Cortex), Yanhu (Corydalisis Rhizoma), Guiwei (Angelicae Sinensis Radix Cauda), Xingren (Armeniacae Semen Amarum), Louren (Trichosanthis Semen), Oujie (Nelumbinis Rhizomatis Nodus).
Qi and Blood stagnation causes lower abdominal hardness and pain, difficult urination, chills, and fever, trending toward an intestinal carbuncle. Urgent treatment should move Qi and transform phlegm.
Guiwei (Angelicae Sinensis Radix Cauda), Taoren (Persicae Semen), Yanhusuo (Corydalisis Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Shanzha Rou (Crataegi Fructus Pulpa), Zhiqiao (Aurantii Fructus), Wuyao (Linderae Radix), Wulingzhi (Trogopterori Faeces).
One year of intestinal carbuncle: the inner membrane is injured, the constitution is emaciated, and the pulse is weak; this is a difficult-to-treat syndrome.
Administer Shiquan Dabu Wan (Decem Totorum Tonifying Pills), and also administer Hupo Lafan Wan (Ambari et Vitrioli Pilula).
The intestinal carbuncle has ruptured externally, foul matter discharges from the orifice, and the intestinal membrane is perforated; wound closure is extremely difficult. Use modified Shiquan Dabu as the main treatment. Add Muxiang (Aucklandiae Radix), Yurou (Corni Fructus), and Huang Sijuan (Serici Flavus Fibra).
The internal hardness of the intestinal carbuncle has loosened, and the pus is clearer. Continue modifying the previous method.
Danggui (Angelicae Sinensis Radix), Lujiao Jiao (Colla Cornus Cervi), Huai Niuxi (Achyranthis Bidentatae Radix), Zexie (Alismatis Rhizoma), Bixie (Dioscoreae Hypoglaucae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Gongying (Taraxaci Herba), Rougui (Cinnamomi Cortex), Yiren (Coicis Semen), Chiling (Poria cum Ligno Rubro).