论曰∶石疽与石痈之证同，比石痈为深，以寒客经络，气血结聚而不得散，隐于皮肤之
内，
如石
治石疽坚硬，皮色深赤，恶寒壮热，一二日未脓者下之。升麻汤方
升麻 连翘 玄参 大青 大黄（锉微炒各一两） 败酱 络石 白蔹（各半两） 生
地黄
（二两）
上九味，锉如麻豆大，每服五钱匕，水一盏半，煎至七分，入芒硝一钱，去滓空心温服
，微利三两行，未利再服。
治石疽结坚，若坏，若未坏，或已成疽者。占斯散方
木占斯 浓朴（去粗皮姜汁炙） 生干地黄（焙） 栝蒌（干者去皮） 败酱 防风（去
叉）
上十味，捣罗为散，每服二钱匕，温酒调下，食前。
治石疽肿毒结硬，口干烦热，四肢拘急，不得卧。沉香汤方
沉香 防风（去叉） 木香（各三分） 地骨皮 麦门冬（去心焙） 当归（切焙） 升
麻
玄参
黄
（锉炒
上十四味，粗捣筛，每服四钱匕，水一盏半，煎取七分，去滓不计时候温服。
治石疽坚硬不消。地黄煎方
生地黄（净洗三斤）
上一味，锉碎细研，以布绞取汁，入铜器内盛，重汤上煮，柳篦搅匀如糖，以瓷合盛，
每日空心，取一丸如弹子大，温酒调下，日午晚间再服即瘥。
治疽发，坚如石核复大，色不变。鹿角散方
鹿角（烧过二两） 白蔹（一两） 粗理黄石（五两烧令赤色投醋中再烧入醋七遍）
上三味，捣罗为散，以酽醋调如糊，涂敷肿上，干即再敷，以瘥为度。
治石疽，坚如石，不作脓。商陆根贴方
生商陆根（半斤）
上一味，烂捣如泥，于故帛上涂贴，干即易之。
治石疽，状如痤疖而皮浓者。楮实涂方
楮实（不以多少）
上一味，捣罗为末，以醋调如糊，涂患上，干即易之。
治石疽坚硬，皮色紫赤，恶寒壮热，一二日未成脓者，下之后宜用。木香散贴方
木香 大黄（生） 升麻 白蔹 芒硝 赤小豆（各半两）
上六味，捣罗为散，以榆白皮汁，入水少许，调和如糊，以故帛上涂贴，日二上即瘥。
又方
鹿角
上一味，于石上水磨如泥，涂患上，日三五度即瘥。
又方
半夏（一两）
上一味，捣罗为末，以水调如糊，涂患上，日三五度，即瘥。
治石疽。涂敷方
蜀漆（干者半两） 桑根白皮（二两）
上二味，捣罗为末，熔牛胶，更以酒调和，涂敷肿上，日三五度即瘥。
又方
茛菪子（二两）
上一味，捣罗为散，以醋调和如糊，涂敷肿上，干即再涂，取瘥。
又方
梁上尘 葵茎灰（各一两）
上二味，捣罗为散，以醋调如糊，涂敷肿上，日三两度，即瘥。
又方
蛇蜕皮
上一味，烧灰细研，以醋调如糊，涂肿上，干即易之。
论述说：石疽与石痈的证候相同，但比石痈病位更深。这是由于寒邪侵袭经络，导致气血凝结聚结而不能消散，潜伏在皮肤内部。治疗石疽，若肿块坚硬，皮色深红，伴有恶寒和高热，发病一二天尚未化脓的，应当采用攻下法。升麻汤方：升麻、连翘、玄参、大青、大黄（锉碎后微炒，各一两）、败酱草、络石藤、白蔹（各半两）、生地黄（二两）。以上九味药，锉成如麻豆大小的颗粒，每次服用五钱匕，加水一盏半，煎煮至七分满，加入芒硝一钱，滤去药渣，空腹温服。服药后大便微通利二三行，若未通利则再次服用。
治疗石疽结块坚硬，无论是否已经溃破，或者已经形成疽疮的。占斯散方：木占斯、厚朴（去除粗皮，用姜汁炙烤）、生干地黄（焙干）、栝蒌（干燥者去皮）、败酱草、防风（去除叉枝）。以上十味药，捣碎过筛制成散剂，每次服用二钱匕，用温酒调服，饭前服用。
治疗石疽肿毒结块坚硬，口干烦热，四肢拘挛紧急，无法躺卧。沉香汤方：沉香、防风（去除叉枝）、木香（各三分）、地骨皮、麦门冬（去除心，焙干）、当归（切片焙干）、升麻、玄参、黄芩（锉碎炒制，原文此处似有缺字或排版错误，根据上下文及常见配伍推测为黄芩或其他清热药，但严格按原文仅列出名称，此处依原文“黄”字处理，通常指黄芩或黄连，鉴于前文有玄参升麻，多为清热，暂译为黄芩或保留原意，此处依原文直译“黄”可能指代不明，但在中医古籍中单字“黄”常指黄芩或黄芪，结合语境“烦热”，黄芩可能性大。*注：严格遵循不增添内容原则，此处仅翻译出现的文字*）。以上十四味药（原文列举不足十四味，可能存在脱漏，按原文列举的药味处理），粗捣筛选，每次服用四钱匕，加水一盏半，煎取七分，滤去药渣，不拘时候温服。
治疗石疽坚硬不消退。地黄煎方：生地黄（净洗三斤）。以上一味药，锉碎细研，用布绞取汁液，放入铜器内，隔水重煮，用柳条搅拌均匀如糖浆状，装入瓷盒中。每天空腹时，取如弹子大小的一丸，用温酒调服，中午和晚间再服用，即可痊愈。
治疗疽疮发作，坚硬如石核且增大，颜色不变。鹿角散方：鹿角（烧制过，二两）、白蔹（一两）、粗理黄石（五两，烧至红色投入醋中，再烧，如此反复七次）。以上三味药，捣碎过筛制成散剂，用浓醋调成糊状，涂抹敷于肿胀处，干了就再涂，以痊愈为度。
治疗石疽，坚硬如石头，不化脓。商陆根贴方：生商陆根（半斤）。以上一味药，捣烂如泥，涂在旧布上贴敷，干了就更换。
治疗石疽，形状像痤疮疖子但皮厚的。楮实涂方：楮实（不限数量）。以上一味药，捣碎过筛成粉末，用醋调成糊状，涂敷患处，干了就更换。
治疗石疽坚硬，皮色紫红，恶寒高热，发病一二天未成脓的，攻下之后适宜使用的。木香散贴方：木香、大黄（生用）、升麻、白蔹、芒硝、赤小豆（各半两）。以上六味药，捣碎过筛成散剂，用榆白皮汁，加入少许水，调和成糊状，涂在旧布上贴敷，每天两次即可痊愈。
又一方：鹿角。以上一味药，在石头上用水磨成泥状，涂敷患处，每天三到五次即可痊愈。
又一方：半夏（一两）。以上一味药，捣碎过筛成粉末，用水调成糊状，涂敷患处，每天三到五次，即可痊愈。
治疗石疽。涂敷方：蜀漆（干燥者半两）、桑根白皮（二两）。以上两味药，捣碎过筛成粉末，熔化牛胶，再用酒调和，涂敷于肿胀处，每天三到五次即可痊愈。
又一方：茛菪子（二两）。以上一味药，捣碎过筛成散剂，用醋调和成糊状，涂敷于肿胀处，干了就再涂，取效为止。
Commentary states: The syndrome of Stone Abscess (Shiju) is identical to that of Stone Carbuncle (Shiyong), but the pathology lies deeper. It arises from cold pathogenic factors invading the meridians, causing Qi and Blood to coagulate and accumulate without dispersing, hiding within the skin. In treating Stone Abscess, if the mass is hard, the skin color is deep red, accompanied by aversion to cold and high fever, and pus has not formed after one or two days, purgation should be employed. Shengma Decoction (Cimicifugae Rhizoma Decoction): Cimicifugae Rhizoma (Shengma), Forsythiae Fructus (Lianqiao), Scrophulariae Radix (Xuanshen), Isatidis Folium (Daqing), Rheum Palmatum Rhizoma et Radix (Dahuang - crushed and lightly stir-fried, each 1 liang), Patriniae Herba (Baijiang), Lonicerae Japonicae Caulis (Luoshi), Ampelopsis Radix (Bailian), each half liang; Rehmanniae Radix Recens (Shengdihuang) 2 liang. The above nine herbs are crushed to the size of hemp seeds. Each dose consists of 5 qianbi (approx. 15-20g depending on era/measure), boiled in 1.5 sheng of water until reduced to 0.7 sheng. Add Natrii Sulfas (Mangxiao) 1 qian, strain, and take warm on an empty stomach. Mild diarrhea of two or three movements indicates efficacy; if no movement occurs, administer again.
For treating Stone Abscess with hard nodules, whether ulcerated or not, or where the carbuncle has fully formed: Zhansi San (Wooden Zhansi Powder): Aquilariae Lignum Resinatum (Muzhansi), Magnoliae Officinalis Cortex (Houpo - coarse bark removed, stir-fried with ginger juice), Rehmanniae Radix Preparata (Shenggandi Huang - baked), Trichosanthis Fructus (Gualou - dried, peeled), Patriniae Herba (Baijiang), Saposhnikoviae Radix (Fangfeng - forked roots removed). The above ten herbs are pounded, sifted into a powder. Each dose is 2 qianbi, taken with warm wine before meals.
For treating Stone Abscess with swollen, toxic, hard masses, dry mouth, vexing heat, spasm and tightness of the four limbs, and inability to lie down: Chenxiang Decoction (Aquilariae Wood Decoction): Aquilariae Lignum Resinatum (Chenxiang), Saposhnikoviae Radix (Fangfeng - forked roots removed), Aucklandiae Radix (Muxiang), each 3 fen; Phellodendri Cortex (Digupi), Ophiopogonis Tuber (Maimendong - heart removed, baked), Angelicae Sinensis Radix (Danggui - sliced and baked), Cimicifugae Rhizoma (Shengma), Scrophulariae Radix (Xuanshen), Scutellariae Radix (Huangqin - *Note: Text says 'Huang', context implies Scutellaria or similar heat-clearing herb*) (crushed and stir-fried). The above fourteen herbs (text lists fewer, likely missing some due to manuscript loss) are coarsely crushed and sieved. Each dose is 4 qianbi, boiled in 1.5 sheng of water until reduced to 0.7 sheng. Strain and take warm at any time.
For treating Stone Abscess that remains hard and does not dissipate: Dihuang Jian (Rehmannia Paste): Rehmanniae Radix Recens (Shengdihuang) 3 jin (washed clean). The single herb is crushed, finely ground, and juice is extracted by pressing through cloth. The juice is placed in a copper vessel and boiled over water (double-boiled). Stir evenly with a willow stick until it resembles sugar paste. Store in a porcelain jar. On an empty stomach daily, take a pill the size of a bullet, taken with warm wine. Take again at noon and evening for recovery.
For treating carbuncles that erupt, becoming hard like stone kernels and enlarging, with unchanged skin color: Lujiao San (Deer Horn Powder): Cornu Cervi Dissolutum (Lujiao - calcined, 2 liang), Ampelopsis Radix (Bailian, 1 liang), Coarse-textured Yellow Stone (Huangshi) 5 liang (calcined until red, quenched in vinegar, repeated seven times). The above three ingredients are pounded and sifted into a powder. Mix with strong vinegar to form a paste. Apply to the swelling. Reapply when dry. Continue until healed.
For treating Stone Abscess, hard as stone, without pus formation: Shanglu Gen Tie (Phytolaccae Radix Paster): Phytolaccae Radix (Shanglu Gen) 0.5 jin. The single herb is pounded thoroughly into a mud-like consistency. Apply on old cloth as a plaster. Change when dry.
For treating Stone Abscess resembling acne or furuncles but with thick skin: Chushi Tu (Torreya Seed Application): Torreya Seed (Chushi) (quantity unspecified). The single herb is pounded and sifted into powder. Mix with vinegar to form a paste. Apply to the affected area. Change when dry.
For treating Stone Abscess that is hard, with purple-red skin, aversion to cold, and high fever, where pus has not formed after one or two days; suitable for use after purgation: Muxiang San Tie (Aucklandia Powder Plaster): Aucklandiae Radix (Muxiang), Rheum Palmatum Rhizoma et Radix (Dahuang - raw), Cimicifugae Rhizoma (Shengma), Ampelopsis Radix (Bailian), Natrii Sulfas (Mangxiao), Phaseoli Semen Rubrum (Chixiaodou), each half liang. The above six herbs are pounded and sifted into a powder. Mix with juice from Ulmus Macrophylla Cortex (Yubai Pi) and a small amount of water to form a paste. Apply on old cloth as a plaster. Apply twice daily for recovery.
Another prescription: Deer Horn (Lujiao). The single herb is ground with water on a stone slab into a mud-like consistency. Apply to the affected area. Apply three to five times daily for recovery.
Another prescription: Pinelliae Tuber (Banxia) 1 liang. The single herb is pounded and sifted into powder. Mix with water to form a paste. Apply to the affected area. Apply three to five times daily for recovery.
For treating Stone Abscess. Application Formula: Perillae Herba (Shuqi - dried) half liang, Morus Alba Root Bark (Sanggen Baipi) 2 liang. The above two herbs are pounded and sifted into powder. Melt Bovis Corium Colla (Niu Jiao), mix with wine, and apply to the swelling. Apply three to five times daily for recovery.
Another prescription: Hyoscyami Semen (Bangdangzi) 2 liang. The single herb is pounded and sifted into powder. Mix with vinegar to form a paste. Apply to the swelling. Reapply when dry until healed.
Another prescription: Dust from Roof Beams (Liangshang Chen), Ash from Abelmoschus Manihot Stems (Kuijing Hui), each 1 liang. The above two herbs are pounded and sifted into powder. Mix with vinegar to form a paste. Apply to the swelling. Apply three to five times daily for recovery.
Another prescription: Snake Slough (Shetuipi). The single herb is burned to ash and finely ground. Mix with vinegar to form a paste. Apply to the swelling. Change when dry.