《医门方》云∶扁鹊曰∶痈肿疖疽风肿恶毒肿等，当其头上灸之数千壮，无不瘥者；四
畔亦灸三二百壮。此是医家秘法。小者灸五六处，大者灸七八处。疗痈疽肿一二日未成脓，
取伏龙肝下筛，醋和如泥，涂烂布上，贴肿，燥即易，无不消。（今按∶《葛氏方》和鸡子中
黄涂。）
《刘涓子方》云∶痈疽之甚，未发之兆，饥渴为始，始发之始，或发白疽似若小疖，或
复大痛，皆是微候，宜善察之。欲知是非，重按其处，是便隐痛，复按四边，比方得失。审
定之后即灸，第一便灸其上二三百壮，又灸四边一二百壮。少者灸四边，中者灸六处，大者
灸八处，壮数、处所不患多也。灸应即贴即薄，令得即消，内服补暖汤、散。不已，服冷导
外即冷薄。不已，用热薄帖贴之法，当开其口，泄热气也。
治痈疽始作肿不赤而热长甚速、非薄帖所制犀角拓汤方∶
犀角（三两） 大黄（三两） 升麻（三两） 黄芩（三两） 栀子（三两） 黄连（三
两） 甘草（三两）
上七物，切，以水一斗二升煮取六升，使极冷，以故练两重入汤中，拓肿处，小燥易，
恒令湿，一日，一夜数百过。
治痈肿黄 帖治痈肿瘰 及欲发背觉痛方∶
黄 （一两） 黄芩（一两） 芎 （一两） 当归（一两） 黄连（一两） 白蔹（一
两） 夕药（一两） 防风（一两）
上八物，捣筛，以鸡子白和涂故布上，以贴肿上，燥复易。患热者加白蔹，患痛者加当
归各一两。
《千金方》云∶凡痈疽始发，或从小疖，或复大痛，或复小痛，或发米粒大白脓子，此
皆微候，宜善察之。见有少异，即须大惊忙，急治之。及断口味，速服诸汤，下去热毒。若
无医药处，即灸当头百炷，其大重者，灸四面及头二三百壮，壮数不必多也，复薄冷药帖。
种种救疗，必瘥速也。亦当头以大针，针入四分即瘥。
凡诸异肿种种不同者，无问久近，皆服五香汤，刺去血，小豆薄敷之，其间数数以针刺
去血。若失治已溃烂者，犹服五香及漏芦汤下之，以升麻汤拓洗熨之，摩升麻膏。若生息肉
者，白芦茹散敷之，青黑肉去尽即停之。好肉生，敷升麻膏；肌不生，敷一物黄 散。若敷
白芦茹，青黑恶肉不尽者可以柒头、 茹半钱和三钱白 茹散稍敷。（今按∶五香汤在丁肿
方，漏芦汤、升麻汤、升麻膏在治丹之方；黄 散、 茹散在缓疽之方。）
内消散 凡是痈疽皆宜服之，方∶
赤小豆（一升，熬，纳酢中，往还七返） 人参（二两） 甘草（二两） 瞿麦（二两）
白蔹（三两） 当归（二两） 黄芩（二两） 猪苓（二两） 防风（一两） 黄 （三两）
薏苡仁（三两） 升麻（四两）
十二味，酒服方寸匕，日三夜二，长服取瘥。（今按∶《广济方》同之。但《范汪方》云∶
内消散治痈肿不溃∶
白芷十分 白薇十分 芎 七分 夕药十分 椒七合 干姜七分 当归七分 草七分
凡八物，冶合，以酒服五分匕，日再。
又《令李方》内消散治痈肿不溃方用∶
白芷十分 夕药十分 蜀椒七合 芒硝十分 芎 十分 当归七分 干姜七分
七物，下筛，酒服五分匕，日二。一方有白蔹一分。）
治痈肿痛烦困方∶
生楸叶十重贴之，以布帛裹，缓勿令急，日二易。止痛消肿，食脓胜于众帖，冬以先干
者，临时盐汤泼润用之。（《葛氏方》、《刘涓子方》同之。）
广济犀角丸 治一切毒肿痈乳发背，服之止痛化脓为水，遂大小便出神效方∶
犀角（十二分） 升麻（一两） 大黄（五分） 黄芩（五分） 防风（一两） 当归
（一分） 黄 栀子仁 干姜 黄连 人参 甘草（各一两） 巴豆（二十三枚，去心、
皮，熬）
凡十三物，冶下筛，以蜜和丸如梧子大，空腹以饮服十丸，取二三行快利，常服为微痢。
（忌生菜、热曲、酢蒜、海藻、猪肉、笋、粘食。）
《效验方》治卒痈肿白蔹帖方∶
大黄（三分） 黄芩（三分） 夕药（二分） 白蔹（三分） 赤石脂（一分）
凡五物，冶合下筛，以鸡子白和如泥，涂纸以薄肿上，燥易之。
《录验方》治痈肿运赤痛及已溃松脂帖方∶
成练松脂（一斤） 蜡蜜（半斤） 猪脂（四斤） 当归（二两） 黄连（一两） 黄
柏（一两）
凡六物， 咀三物，尽合，煎三沸三下，候帖色变微紫色者药成，绞去滓。若初肿未有
脓者涂纸贴肿上，日三易，夜再。若以溃有口者，穿纸出疮口，贴四边，令脓聚食旁肉速瘥。
（今按∶诸方松脂帖已多，但《刘涓子方》松脂二斤，黄连一两，附子一两，黄芩一两，夕
药一两，细辛一两，石膏二两也。又《效验方》杏仁一两，腊蜜一两，松脂一两，浓朴一两
也。）
（今按∶以下宇治本注也。）
千疮万病霜膏 治金木疮，痈疽恶疮，若始得痈，摩肿上五百过即消。若以溃者着疮中
食脓云云，具在本方。
《短剧方》云∶经言寒气客于经络之中，则血气凝（李亢反）涩不行，壅结则为痈疽也。
不言热之所作。其成痈，久寒化为热，热盛则肉腐烂为脓也。依经诊候之由，人体中有热，
被寒冷搏之，血脉凝涩不行，热气壅结则为痈疽也。是以治痈疽方，有灸法者治其始，其始
中寒未成热时也。其用冷薄帖者治其热已成，以消热，使不成脓也。今人多不悟其始，不用
温治及灸法也。今出要方以治其成形者耳。赤色肿有尖头者根广一寸，以还名为疖，其广一
寸以上者便为小痈也，其如豆粒大为 。
治作痈令消方∶
取鹿角就磨刀石上水摩之，以汁涂燥，复涂则消也；内宜服连翘汤下。
又方∶生舂小豆下筛，鸡子白和如泥，涂之。
治始作痈正赤热痛方∶
单烧鹿角作末，苦酒和薄之，干复涂之自消。
又方∶单捣大黄，苦酒和薄之，温则易。
治痈及疖始结肿赤热方∶
水摩半夏，涂之燥，更涂得皱，使消也。山草中自可掘取生半夏乃佳，神效。
《葛氏方》治诸痈疽背及乳房初起， 赤急痛，不早治杀人，使速消方∶
但灸其上百壮。
又方∶釜底土，捣，以鸡子中黄和涂之。
又方∶捣苎根薄之。
又方∶捣黄柏下筛，以鸡子白和，浓涂，干复易，立愈。
治痈发背腹阴处通身有数十方∶
取干牛矢，烧，捣细，重绢筛下，以鸡子白和涂，干复易。秘方。
《范汪方》治痈肿初肿痛急方∶
以冷铁熨温辄易。
又方∶取粢粉，熬令正黑，末作屑，以鸡子白和之。以涂练上敷肿上，小穿练上作小口
以泄气，痈毒便消。当数易之，此药神秘方。（今按∶《葛氏方》∶治诸痈疽发背及乳房初起
赤急痛，使速消。《尔雅》云菜□也。和名∶支美乃毛知。）
《本草拾遗》云∶水蛭（音质），人患赤白游疹及痈肿毒肿，取十余枚令KT 病处，取
人皮皱肉白，无不瘥者。冷月无蛭，泥中掘取暖汤养令动，先洗人皮，咸以竹筒盛啜之，须
臾咬血满，自脱，更用饥者。（今按∶《经心方》云∶以水蛭食去恶血。）
《僧深方》治痈方∶
梁上尘、烧葵末分等，苦酒和敷之，燥复敷。治乳痈亦愈。
《医门方》记载：扁鹊说：对于痈、肿、疖、疽、风肿、恶毒肿等病症，应当在患处顶部施灸数千壮，没有不痊愈的；四周也施灸三二百壮。这是医家的秘法。小的病灶灸五六个部位，大的病灶灸七八个部位。治疗痈疽肿胀一两天尚未化脓时，取伏龙肝（灶心土）过筛，用醋调和成泥状，涂在烂布上，贴敷于肿胀处，干了就更换，没有不消退的。（按语：《葛氏方》用鸡蛋黄涂抹。）
《刘涓子方》记载：严重的痈疽，在未发作前的征兆是，以饥渴为开始。刚发病时，有的像小疖子的白疽，或者剧烈疼痛，这些都是微小的征兆，应当仔细察辨。想要知道是否准确，用力按压患处，如果有隐痛，再按压四周，比较得失。确定之后立即施灸，首先灸顶部二三百壮，又灸四周一二百壮。少的灸四周，中的灸六处，大的灸八处，壮数和部位不怕多。灸后应立即贴敷药薄，使其迅速消退，内服补暖汤或散剂。如果无效，外敷冷导药薄。如果还无效，用热药薄帖敷的方法，应当打开疮口，泄出热气。
治疗痈疽刚开始肿胀，颜色不红但发热生长极快，非普通药薄能控制的犀角拓汤方：
犀角（三两） 大黄（三两） 升麻（三两） 黄芩（三两） 栀子（三两） 黄连（三两） 甘草（三两）
以上七味药，切碎，用水一斗二升煮取六升，使药液极冷，将两层旧绢放入药液中，拓敷肿胀处，稍干就更换，保持湿润，一天一夜更换数百次。
治疗痈肿黄水、痈肿瘰疬以及欲发背疽觉痛的药帖方：
黄柏（一两） 黄芩（一两） 川芎（一两） 当归（一两） 黄连（一两） 白蔹（一两） 芍药（一两） 防风（一两）
以上八味药，捣碎过筛，用蛋清调和涂在旧布上，贴敷于肿胀处，干了就更换。患热症者加白蔹一两，患痛症者加当归一两。
《千金方》记载：凡是痈疽刚开始发作，有的从小疖子开始，或者剧烈疼痛，或者轻微疼痛，或者长出米粒大小的白脓头，这些都是微小征兆，应当仔细察辨。见到有一点异常，就要大惊忙，紧急治疗。等到饮食口味改变，速服各种汤剂，清除热毒。如果没有医药的地方，就灸头顶一百炷，病情重的大概，灸四面及头顶二三百壮，壮数不必太多，再贴敷冷药薄。种种救疗，必定快速痊愈。也可以在头顶用大针，刺入四分深即愈。
凡是各种异样的肿胀，情况各不相同的，无论病程长短，都服用五香汤，刺破放血，用小豆粉调成的药薄敷之，期间多次用针刺去血。如果失治已经溃烂的，仍然服用五香汤和漏芦汤泻下，用升麻汤拓洗熨烫，按摩升麻膏。如果生息肉的，用白芦茹散敷之，青黑色的腐肉去尽就停止。好肉生长，敷升麻膏；肌肉不生，敷一味黄柏散。如果敷白芦茹，青黑恶肉不尽的可以用柒头、茹半钱和三钱白茹散稍微敷之。（按语：五香汤在丁肿方中，漏芦汤、升麻汤、升麻膏在治丹毒方中；黄柏散、茹散在缓疽方中。）
内消散方：凡是痈疽都适宜服用，方剂如下：
赤小豆（一升，炒熟，纳入醋中，反复七次） 人参（二两） 甘草（二两） 瞿麦（二两） 白蔹（三两） 当归（二两） 黄芩（二两） 猪苓（二两） 防风（一两） 黄柏（三两） 薏苡仁（三两） 升麻（四两）
十二味药，用酒送服方寸匕，每天三次，夜间两次，长期服用以求痊愈。（按语：《广济方》与此相同。但《范汪方》说：内消散治疗痈肿不溃破：
白芷十分 白薇十分 川芎七分 芍药十分 花椒七合 干姜七分 当归七分 草果七分
共八味药，研磨混合，用酒送服五分匕，每天两次。
另外《令李方》内消散治疗痈肿不溃破方用：
白芷十分 芍药十分 蜀椒七合 芒硝十分 川芎十分 当归七分 干姜七分
七味药，过筛，用酒送服五分匕，每天两次。一方加白蔹一分。）
治疗痈肿痛烦困方：
生楸叶十层贴敷，用布帛包裹，松紧适度不要勒得太紧，每天更换两次。止痛消肿，排脓效果优于其他药帖，冬天用预先晒干的，临时用盐水泼湿使用。（《葛氏方》、《刘涓子方》与此相同。）
广济犀角丸：治疗一切毒肿、痈、乳发、背疽，服用后止痛，化脓为水，随大小便排出，神效方：
犀角（十二分） 升麻（一两） 大黄（五分） 黄芩（五分） 防风（一两） 当归（一分） 黄柏 栀子仁 干姜 黄连 人参 甘草（各一两） 巴豆（二十三枚，去心、皮，炒）
共十三味药，研磨过筛，用蜂蜜和丸如梧桐子大，空腹用温水送服十丸，取二三行通畅腹泻，常服以微痢为宜。（忌食生菜、热曲、醋蒜、海藻、猪肉、笋、粘食。）
《效验方》治疗突发痈肿白蔹帖方：
大黄（三分） 黄芩（三分） 芍药（二分） 白蔹（三分） 赤石脂（一分）
共五味药，研磨混合过筛，用蛋清调和成泥状，涂在纸上，薄贴于肿胀处，干了就更换。
《录验方》治疗痈肿晕赤痛及已溃破的松脂帖方：
成练松脂（一斤） 蜡蜜（半斤） 猪脂（四斤） 当归（二两） 黄连（一两） 黄柏（一两）
共六味药，切碎前三味药，全部混合，煎煮三沸，每次下药，候药色变为微紫色即成药，绞去渣滓。如果初起肿胀未有脓的，涂在纸上贴敷肿胀处，每天更换三次，夜间两次。如果已经溃破有疮口的，穿纸露出疮口，贴敷四周，使脓液聚集，旁边的肉快速痊愈。（按语：各方中松脂帖已很多，但《刘涓子方》松脂二斤，黄连一两，附子一两，黄芩一两，芍药一两，细辛一两，石膏二两。另外《效验方》杏仁一两，腊蜜一两，松脂一两，厚朴一两。）
（按语：以下是宇治本注。）
千疮万病霜膏：治疗金木疮、痈疽恶疮，如果刚开始得痈，按摩肿胀处五百遍即可消退。如果已经溃破，塞入疮口中排脓等等，详见本方。
《短剧方》记载：经书说寒气客居在经络之中，则血气凝涩不行，壅结就成为痈疽。没说热邪所作。其形成痈，久寒化为热，热盛则肉腐烂为脓。依据经书诊候的原因，人体中有热，被寒冷搏击，血脉凝涩不行，热气壅结就成为痈疽。所以治疗痈疽的方剂，有灸法的治疗初期，初期中寒未成热的时候。用冷药薄帖敷的治疗热已成，以消热，使不成脓。现在的人多不明白初期，不用温治及灸法。现在列出要方来治疗已成形的痈疽。赤色肿胀有尖头的，根部宽一寸，回转名为疖，其广一寸以上的就是小痈，其如豆粒大小的就是……
治疗制作痈令消退方：
取鹿角就在磨刀石上用水磨，用汁液涂抹干燥，再涂抹就会消退；内服宜服连翘汤下。
治疗刚开始作痈正赤热痛方：
单烧鹿角作末，用醋调和薄贴，干了再涂自己会消退。
治疗痈及疖刚开始结肿赤热方：
用水磨半夏，涂抹干燥，再涂得到皱纹，使其消退。山草中自可挖掘取生半夏乃佳，神效。
《葛氏方》治疗诸痈疽背及乳房初起，赤急痛，不早治杀人，使快速消退方：
只灸其上百壮。
又一方：釜底土，捣碎，用鸡蛋黄调和涂抹。
又一方：捣苎根薄贴。
治疗痈发背腹阴处通身有数十方：
取干牛粪，烧，捣细，用双层绢筛下，用蛋清调和涂抹，干了再换。秘方。
又一方：取粢粉，炒至正黑，末作屑，用蛋清调和。涂在练丝上敷肿胀处，在练丝上穿小口以泄气，痈毒便消。应当多次更换，此药神秘方。（按语：《葛氏方》：治疗诸痈疽发背及乳房初起赤急痛，使快速消退。《尔雅》云菜□也。和名：支美乃毛知。）
《本草拾遗》记载：水蛭（音质），人患赤白游疹及痈肿毒肿，取十余枚令咬病处，取人皮皱肉白，没有不痊愈的。冷月无蛭，泥中掘取暖汤养令动，先洗人皮，咸以竹筒盛啜之，须臾咬血满，自脱，更用饥者。（按语：《经心方》说：用水蛭食去恶血。）
*Yimen Fang* records: Bian Que said: For conditions such as carbuncle (Yong), swelling, boil (Jie), ulcer (Ju), wind-swelling, and malignant toxic swelling, moxibustion should be applied to the top of the lesion for thousands of burns; the surrounding areas should also receive three to two hundred burns. This is a secret method of physicians. For small lesions, moxibustion is applied to five or six points; for large lesions, seven or eight points. To treat carbuncles and ulcers that have swollen for one or two days without suppuration, take fulonggan (Fossilized Soil from the Center of the Stove), sift it, mix with vinegar into a paste, apply to old cloth, and patch onto the swelling. Replace when dry; there will be no case that does not resolve. (Note: *Ge Shi Fang* uses egg yolk for application.)
*Liu Juanzi Fang* records: In severe cases of carbuncles and ulcers, the premonitory signs before onset begin with hunger and thirst. At the initial stage, some present as white ulcers resembling small boils, or with severe pain. These are subtle signs that require careful observation. To verify, press firmly on the affected area; if there is dull pain, then press the periphery to compare findings. After confirmation, immediately apply moxibustion: first, two to three hundred burns on the apex, followed by one to two hundred burns on the periphery. For minor cases, moxibustion on the periphery; for moderate cases, six points; for major cases, eight points. The number of burns and points should not be limited. After moxibustion, immediately apply a cold plaster to promote rapid resolution. Internally administer Buan Tang (Tonifying Warmth Decoction) or San (Powder). If ineffective, apply a cold external plaster. If still ineffective, use a hot plaster method, opening the orifice to vent heat.
Xi Jiao Tuo Tang Formula (Rhinoceros Horn Compress Decoction) for treating early-stage carbuncles and ulcers that are swollen, non-erythematous but rapidly growing and hot, which cannot be controlled by ordinary plasters:
Xi Jiao (Rhinoceros Horn, 3 liang) Da Huang (Rhubarb Root and Rhizome, 3 liang) Sheng Ma (Cimicifugae Rhizoma, 3 liang) Huang Qin (Scutellariae Radix, 3 liang) Zhi Zi (Gardeniae Fructus, 3 liang) Huang Lian (Coptidis Rhizoma, 3 liang) Gan Cao (Licorice Root and Rhizome, 3 liang)
Cut the above seven herbs, decoct in 12 sheng of water to obtain 6 sheng. Cool the liquid thoroughly. Dip double-layered old silk into the cold decoction and compress the swollen area. Replace frequently to keep it moist, changing hundreds of times over day and night.
Huang Bo Tie Formula (Phellodendron Plaster) for treating carbuncle swelling with yellow discharge, scrofula, and impending back carbuncle with pain sensation:
Huang Bo (Phellodendri Cortex, 1 liang) Huang Qin (Scutellariae Radix, 1 liang) Xiong Qiong (Ligusticum Chuanxiong Rhizoma, 1 liang) Dang Gui (Angelicae Sinensis Radix, 1 liang) Huang Lian (Coptidis Rhizoma, 1 liang) Bai Lian (Ampelopsis Radix, 1 liang) Chi Shao (Paeoniae Radix Rubra, 1 liang) Fang Feng (Saposhnikoviae Radix, 1 liang)
Pulverize the above eight herbs. Mix with egg white and apply to old cloth. Patch onto the swelling. Replace when dry. For heat-predominant cases, add an additional 1 liang of Bai Lian; for pain-predominant cases, add an additional 1 liang of Dang Gui.
*Qianjin Fang* records: Whenever carbuncles and ulcers first appear, whether starting as small boils, causing severe pain, mild pain, or producing millet-grain-sized white pus heads, these are all subtle signs requiring careful observation. Upon noticing any anomaly, act with urgency and treat immediately. Once dietary taste changes, quickly administer various decoctions to purge heat toxins. If medical resources are unavailable, apply one hundred moxa cones to the head. For severe cases, apply two to three hundred burns to the four sides and head; the number of burns need not be excessive. Additionally, apply cold medicinal plasters. Through various rescue treatments, rapid recovery is assured. Alternatively, insert a large needle into the head to a depth of four fen for cure.
For various atypical swellings differing in nature, regardless of duration, administer Wu Xiang Tang (Five Fragrances Decoction), puncture to bleed, and apply a adzuki bean powder plaster. Puncture repeatedly to remove blood. If neglected until ulceration occurs, continue administering Wu Xiang Tang and Lou Lu Tang (Euphorbiae Humifusae Herba Decoction) to purge, wash and fumigate with Sheng Ma Tang (Cimicifugae Rhizoma Decoction), and massage with Sheng Ma Gao (Cimicifugae Rhizoma Ointment). For polyps, apply Bai Lu Ru San (White Reed Root Powder); stop once green-black necrotic tissue is removed. When healthy flesh grows, apply Sheng Ma Gao; if muscle fails to regenerate, apply Yi Wu Huang Bo San (Single Herb Phellodendron Powder). If using Bai Lu Ru and green-black necrotic tissue remains, mix half a qian of Qi Tou and Ru with three qian of Bai Ru San for slight application. (Note: Wu Xiang Tang is found in formulas for Ding Zhong; Lou Lu Tang, Sheng Ma Tang, and Sheng Ma Gao are in formulas for Dan Du; Huang Bo San and Ru San are in formulas for Huan Ju.)
Nei Xiao San Formula (Internal Dissolving Powder): Suitable for all carbuncles and ulcers.
Chi Xiao Dou (Adzuki Bean, 1 sheng, roasted, soaked in vinegar, repeated seven times) Ren Shen (Ginseng Radix et Rhizoma, 2 liang) Gan Cao (Licorice Root and Rhizome, 2 liang) Qu Mai (Polygoni Avicularis Herba, 2 liang) Bai Lian (Ampelopsis Radix, 3 liang) Dang Gui (Angelicae Sinensis Radix, 2 liang) Huang Qin (Scutellariae Radix, 2 liang) Zhu Ling (Polyporus, 2 liang) Fang Feng (Saposhnikoviae Radix, 1 liang) Huang Bo (Phellodendri Cortex, 3 liang) Yi Yi Ren (Coicis Semen, 3 liang) Sheng Ma (Cimicifugae Rhizoma, 4 liang)
Twelve ingredients. Take one fang cun bi with wine, three times daily and twice at night. Long-term use leads to cure. (Note: *Guangji Fang* is identical. However, *Fan Wang Fang* states Nei Xiao San treats non-ulcerating carbuncle swelling: Bai Zhi (Angelicae Dahuricae Radix, 10 parts) Bai Wei (Cynanchi Atrati Radix, 10 parts) Xiong Qiong (Ligusticum Chuanxiong Rhizoma, 7 parts) Chi Shao (Paeoniae Radix Rubra, 10 parts) Jiao (Zanthoxyli Pericarpium, 7 he) Gan Jiang (Zingiberis Rhizoma, 7 parts) Dang Gui (Angelicae Sinensis Radix, 7 parts) Cao Guo (Tsaoko Fructus, 7 parts). Eight ingredients total. Grind and mix. Take half a fang cun bi with wine, twice daily. Another version, *Ling Li Fang*, for non-ulcerating carbuncle swelling: Bai Zhi (10 parts) Chi Shao (10 parts) Shu Jiao (Zanthoxyllum Bungeanum Pericarpium, 7 he) Mang Xiao (Natrii Sulfas, 10 parts) Xiong Qiong (7 parts) Dang Gui (7 parts) Gan Jiang (7 parts). Seven ingredients. Sift. Take half a fang cun bi with wine, twice daily. One version adds Bai Lian (1 part).)
Formula for Carbuncle Swelling Pain, Irritation, and Exhaustion:
Apply ten layers of fresh Qiu Ye (Paulownia Leaf). Wrap with cloth, ensuring it is loose, not tight. Change twice daily. It stops pain, reduces swelling, and promotes pus discharge better than other plasters. In winter, use pre-dried leaves, moistening them with salt water before use. (*Ge Shi Fang* and *Liu Juanzi Fang* agree.)
Guangji Xi Jiao Wan (Guangji Rhinoceros Horn Pill): Treats all toxic swellings, carbuncles, breast abscesses, and back carbuncles. Ingestion relieves pain, liquefies pus into fluid, and expels it via urination and defecation. Highly effective formula:
Xi Jiao (Rhinoceros Horn, 12 fen) Sheng Ma (Cimicifugae Rhizoma, 1 liang) Da Huang (Rhubarb Root and Rhizome, 5 fen) Huang Qin (Scutellariae Radix, 5 fen) Fang Feng (Saposhnikoviae Radix, 1 liang) Dang Gui (Angelicae Sinensis Radix, 1 fen) Huang Bo (Phellodendri Cortex, 1 liang) Zhi Zi Ren (Gardeniae Fructus, 1 liang) Gan Jiang (Zingiberis Rhizoma, 1 liang) Huang Lian (Coptidis Rhizoma, 1 liang) Ren Shen (Ginseng Radix et Rhizoma, 1 liang) Gan Cao (Licorice Root and Rhizome, 1 liang) Ba Dou (Crotonis Fructus, 23 seeds, dehearted, depelted, roasted)
Thirteen ingredients. Grind and sift. Mix with honey to form pills the size of wu zi (catalpa seeds). Take ten pills on an empty stomach with warm water, aiming for two to three loose stools. For maintenance, aim for mild diarrhea. (Avoid raw vegetables, fermented yeast, garlic with vinegar, kelp, pork, bamboo shoots, and sticky foods.)
*Xiaoyan Fang* Bai Lian Tie Formula (Bai Lian Plaster) for sudden carbuncle swelling:
Da Huang (Rhubarb Root and Rhizome, 3 fen) Huang Qin (Scutellariae Radix, 3 fen) Chi Shao (Paeoniae Radix Rubra, 2 fen) Bai Lian (Ampelopsis Radix, 3 fen) Chi Shi Zhi (Halloysit Rubrum, 1 fen)
Five ingredients. Grind and sift. Mix with egg white into a paste. Apply thinly to paper and patch onto swelling. Replace when dry.
*Luyuan Fang* Song Zhi Tie Formula (Pine Resin Plaster) for carbuncle swelling with redness/pain and already ulcerated cases:
Cheng Lian Song Zhi (Processed Pine Resin, 1 jin) La Mi (Beeswax, 0.5 jin) Zhu Zhi (Pork Fat, 4 jin) Dang Gui (Angelicae Sinensis Radix, 2 liang) Huang Lian (Coptidis Rhizoma, 1 liang) Huang Bo (Phellodendri Cortex, 1 liang)
Six ingredients. Cut the first three herbs. Combine all. Boil three times, adding ingredients each time. When the color turns slightly purple, the medicine is ready. Strain off dregs. For initial swelling without pus, apply to paper and patch onto swelling, changing three times daily and twice nightly. For ulcerated cases with an opening, pierce the paper at the wound site, patching the surrounding area to concentrate pus and accelerate healing of adjacent flesh. (Note: Many formulas use pine resin plasters. *Liu Juanzi Fang* uses: Song Zhi 2 jin, Huang Lian 1 liang, Fu Zi 1 liang, Huang Qin 1 liang, Chi Shao 1 liang, Xi Xin 1 liang, Shi Gao 2 liang. *Xiaoyan Fang* uses: Xing Ren 1 liang, La Mi 1 liang, Song Zhi 1 liang, Hou Po 1 liang.)
(Note: Below is the annotation from the Uji edition.)
Qian Chuang Wan Bing Shuang Gao (Thousand Wounds Ten Thousand Diseases Frost Ointment): Treats metal/wood injuries, carbuncles, ulcers, and malignant sores. If applied at the very beginning of a carbuncle, rubbing the swelling five hundred times will cause it to resolve. If already ulcerated, insert into the wound to drain pus, etc. See the main formula for details.
*Duanju Fang* records: Classics state that when cold qi lodges in the meridians, blood and qi become stagnant and obstructed, leading to carbuncles and ulcers. It does not attribute this solely to heat. The formation of a carbuncle involves long-standing cold transforming into heat; excessive heat causes flesh to rot into pus. According to classical diagnostics, the cause is internal heat combated by external cold, causing blood vessel stagnation and heat accumulation. Therefore, treatment formulas include moxibustion for the initial stage (when cold has not yet transformed into heat) and cold plasters for later stages (to clear heat and prevent suppuration). Modern practitioners often fail to recognize the initial stage and neglect warming treatments and moxibustion. The following essential formulas are provided for treating established forms. Erythematous swelling with a pointed head and a base width of one cun is called a "Jie" (boil); wider than one cun is a small "Yong" (carbuncle); the size of a bean grain is...
Formula to Resolve Forming Carbuncles:
Take deer horn and grind it with water on a whetstone. Apply the juice to the dry area; reapplication resolves it. Internally, administer Lian Qiao Tang (Forsythiae Decoction).
Another Formula:
Grind fresh adzuki beans into powder. Mix with egg white into a paste and apply.
Formula for Early Carbuncle with Redness, Heat, and Pain:
Burn deer horn alone to ash. Mix with vinegar for topical application. Reapply when dry; it will resolve spontaneously.
Another Formula:
Grind Da Huang (Rhubarb Root and Rhizome) alone. Mix with vinegar for topical application. Replace when warm.
Formula for Early Carbuncle and Boil with Swelling, Redness, and Heat:
Grind Ban Xia (Pinelliae Rhizoma) with water. Apply. When dry, reapply to induce wrinkling and resolution. Fresh Ban Xia dug from mountain grasses is best; highly effective.
*Ge Shi Fang* for early-stage back and breast carbuncles with acute redness and pain, which can be fatal if untreated, to promote rapid resolution:
Apply only one hundred moxa burns.
Another Formula:
Use soil from the bottom of a cauldron. Grind and mix with egg yolk for application.
Another Formula:
Grind Zhu Gen (Boehmeriae Caulis) for topical application.
Another Formula:
Grind Huang Bo (Phellodendri Cortex) and sift. Mix with egg white. Apply thickly. Replace when dry; immediate cure.
Dozens of formulas for carbuncles affecting the back, abdomen, and genitals:
Use dried cow dung. Burn, grind finely, and sift through double-layered silk. Mix with egg white for application. Replace when dry. Secret recipe.
*Fan Wang Fang* for early-stage carbuncle swelling and acute pain:
Iron a cold iron until warm, then replace.
Another Formula:
Take rice flour, roast until completely black, grind into powder. Mix with egg white. Apply to silk gauze and patch onto swelling. Pierce a small hole in the gauze to vent gas; the carbuncle toxin will dissipate. Replace frequently. This is a mysterious prescription. (Note: *Ge Shi Fang*: Treats early-stage back and breast carbuncles with acute redness/pain for rapid resolution. *Erya* refers to a vegetable. Japanese name: Shiminaoke.)
*Bencao Shiyi* records: Shui Zhi (Leech). For patients with erysipelas or carbuncle/toxic swelling, take ten-plus leeches and let them bite the affected area until the skin wrinkles and flesh turns white; they will invariably cure. In cold months when leeches are scarce, dig them up from mud, keep them active in warm water. Wash the patient's skin, place leeches in a bamboo tube to suck blood. They will fill with blood and detach naturally. Use hungry leeches again. (Note: *Jingxin Fang* states: Use leeches to consume bad blood.)
*Seng Shen Fang* for Carbuncles:
Dust from roof beams and burnt sesame leaf powder in equal parts. Mix with vinegar for application. Reapply when dry. Also cures breast abscesses.