治流注及一切恚怒气结肿作痛。或胸膈痞闷。或风寒湿毒。抟于经络。致气血不和。结
成肿块。肉色不变。或漫肿木闷。无头。（即疮科流气饮）
桔梗（炒） 人参 当归（酒拌） 官桂 甘草（炙） 黄 （盐汤浸炒） 浓朴（姜制） 防风
紫苏 芍药 乌药 枳壳（各七分） 槟榔 木香 川芎 白芷（各五分）
水二钟。煎八分。食远服。
治溃疡。气血虚极。恶寒或发热。或失血之证。葛可久血脱补气。即此方也。
人参（一两） 水二钟。枣十枚。煎一钟。徐服。若煎至稠浓。即为膏。
巴戟（去心） 山药 补骨脂（炒） 小茴香（炒） 牡丹皮（各五钱） 清盐（二钱半后入）
肉苁蓉（酒洗一两） 枸杞子（一两）
上为末。蜜丸梧桐子大。每服五十丸。空心盐汤下。
治骨蒸。潮热。自汗。咳吐腥秽稠痰。
人参 地骨皮 生地黄（各钱半） 白茯苓 柴胡 黄 （炙） 知母（炒） 石膏（ 各一
水二钟。煎八分。食远服。
治喉闭。缠喉风。痰涎壅塞。甚者水浆难下。
焰硝（一两五钱） 鹏砂（五钱） 脑子（一字） 雄黄（二钱） 白僵蚕（一钱）
各研为末。和匀。以竹管吹患处。痰涎即出。如痰出喉仍不消。急针患处。去恶血。
治 未成脓自消。已溃者自敛。如核未去。更以针头散腐之。若气血虚者。先服益气养
荣汤数剂。然后服此散。服而 毒以下。再服前汤数剂。
南鹏砂（二钱半） 轻粉（一钱） 斑蝥（四十个糯米同炒熟去翅及头） 麝香（五分） 巴豆
（五粒去壳心膜） 白槟榔（一个）
上为末。每服一钱。壮实者钱半。五更滚汤调下。小水涩滞。或微痛。此 欲下也。进
散一服。其毒即下。斑蝥、巴豆似为峻利。然巴豆能解斑蝥之毒。用者勿畏。尝遇富商项有
痕颇大。询之。彼云因怒而致。困苦二年。百法不应。方与药一服。即退二三。再服顿退
。四服而平。旬日而痊。以重礼求之。乃是必效散。一老媪亦治此症。索重价始肯治。其方
乃是中品锭子 疮内。以膏药贴之。其根自腐。未尽再用。去尽更搽生肌药。数日即愈。
予见血气不虚者果验。血气虚者溃去亦不愈。丹溪亦云。必效散与神效栝蒌散相兼服之。有
神效。常以二药兼补剂用之。效。按锭子虽峻利。盖结核坚硬。非此未见易腐。必效散虽有
斑蝥峻利。然 毒深者。非此莫能易解。又有巴豆解毒。但有气血虚者。用之恐有误。一道
人治此症。用鸡子七个。每个入斑蝥一枚。饭上蒸熟。每日空心服一枚。求者甚多。然气血
虚者恐亦不能治也。
治疗流注以及一切因愤怒情绪郁结导致的肿胀疼痛。或者胸膈部痞塞闷胀。或者是风寒湿毒。凝聚在经络中。导致气血不和。结成肿块。皮肤颜色没有变化。或者漫肿且麻木闷痛。没有脓头。（这就是外科用的流气饮）
桔梗（炒制） 人参 当归（用酒拌润） 官桂 甘草（炙烤） 黄芪（用盐汤浸泡后炒制） 厚朴（姜汁制） 防风
紫苏 芍药 乌药 枳壳（各七分） 槟榔 木香 川芎 白芷（各五分）
水两钟。煎煮至八分。饭后远时服用。
治疗溃疡。气血极度虚弱。恶寒或者发热。或者失血的症状。葛可久提出的“血脱补气”法。就是这个方子。
人参（一两） 水两钟。大枣十枚。煎煮成一钟。慢慢服用。如果煎煮到浓稠状。就成为膏剂。
巴戟天（去除心） 山药 补骨脂（炒制） 小茴香（炒制） 牡丹皮（各五钱） 清盐（二钱半，后放入）
肉苁蓉（酒洗一两） 枸杞子（一两）
以上药材研为细末。蜂蜜炼丸如梧桐子大小。每次服用五十丸。空腹时用盐汤送服。
治疗骨蒸（阴虚发热）。潮热。自汗。咳嗽吐出的痰液腥臭且粘稠。
人参 地骨皮 生地黄（各一钱半） 白茯苓 柴胡 黄芪（炙烤） 知母（炒制） 石膏（各一钱）
水两钟。煎煮至八分。饭后远时服用。
治疗喉闭。缠喉风。痰涎壅塞咽喉。严重的连水浆都难以下咽。
焰硝（一两五钱） 硼砂（五钱） 冰片（一字） 雄黄（二钱） 白僵蚕（一钱）
分别研为细末。混合均匀。用竹管吹入患处。痰涎就会排出。如果痰出后喉咙仍然不消肿。紧急针刺患处。放出恶血。
治疗痈疽未成脓时使其自行消散。已经溃破的使其自行收敛。如果核块未去除。再用针头散来腐蚀腐肉。如果气血虚弱的人。先服用益气养荣汤几剂。然后再服用这个散剂。服药后毒邪随大便排出。再服用前面的汤药几剂。
南鹏砂（即轻粉或类似矿物药，此处指代特定炮制品，二钱半） 轻粉（一钱） 斑蝥（四十个，与糯米同炒熟，去翅及头） 麝香（五分） 巴豆
（五粒，去壳、心、膜） 白槟榔（一个）
以上药材研为细末。每次服用一钱。身体壮实者服用一钱半。五更天时用滚开水调服。小便涩滞。或者轻微疼痛。这是毒邪欲排出的征兆。再进服一剂散剂。其毒邪即可排出。斑蝥、巴豆看似峻烈攻下。然而巴豆能解斑蝥之毒。使用者不要畏惧。曾经遇到一位富商颈部有瘢痕颇大。询问原因。他说因为愤怒所致。痛苦了两年。各种方法都不见效。才给他用药一服。症状立即消退二三。再服一次完全消退。服用四次后平复。十天痊愈。他带着重礼来求药。原来是必效散。还有一位老妇人也是治疗此症。索要高价才肯治。她的方子是中品锭子纳入疮内。用膏药贴敷。根部自然腐烂。未尽再用。去尽后再搽生肌药。数日即愈。
我见到气血不虚的人果然有效。气血虚的人即使溃破也不能治愈。丹溪也说。必效散与神效栝蒌散配合服用。有神效。常将这两种药配合补益剂使用。效果显著。按：锭子虽然峻利。大概是因为结核坚硬。不用此药难以看到容易腐烂的效果。必效散虽然有斑蝥峻利。然而毒邪深重的。不用此药不能轻易化解。又有巴豆解毒。但是气血虚弱的人。使用恐怕有误。一道人治疗此症。用鸡蛋七个。每个放入斑蝥一枚。饭上蒸熟。每天空腹吃一枚。求治的人很多。然而气血虚弱的人恐怕也不能治愈。
[Background Information]
Book Title: Wai Ke Li Li (Principles and Cases of External Medicine) Author: Wang Ji Dynasty: Ming, 2nd Year of Jiajing Reign Chapter/Section: Liuqi Yin / ... / Bixiao San (6 sections in total) Category: External Medicine
[Text to be Processed]
For treating liuzhu (multiple abscesses deep in the muscles) and all swellings and pains caused by anger and qi stagnation. Or for oppression and fullness in the chest and diaphragm. Or when wind, cold, and dampness toxins contend within the channels and collaterals, leading to disharmony of qi and blood, which congeal to form masses. The skin and flesh color over the mass remains unchanged. Or there is diffuse swelling with wooden hardness and dull pain, without a distinct pus head. (This is the Liuqi Yin formula used in sore/ulcer medicine.)
Jiegeng (Platycodonis Radix, stir-fried) Renshen (Ginseng Radix et Rhizoma) Danggui (Angelicae Sinensis Radix, mixed with wine) Guangui (Cinnamomi Cortex) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Huangqi (Astragali Radix, soaked in salt water and then stir-fried) Houpo (Magnoliae Officinalis Cortex, processed with ginger) Fangfeng (Saposhnikoviae Radix) Zisu (Perillae Folium) Shaoyao (Paeoniae Radix Alba) Wuyao (Linderae Radix) Zhiqiao (Aurantii Fructus) (each 0.7 qian) Binglang (Arecae Semen) Muxiang (Aucklandiae Radix) Chuanxiong (Chuanxiong Rhizoma) Baizhi (Angelicae Dahuricae Radix) (each 0.5 qian)
Decoct with two zhong of water until eight fen remain. Take on an empty stomach, far from meals.
For treating ulcers. When qi and blood are extremely deficient. With aversion to cold or fever. Or signs of blood loss. Ge Kejiu (Ge Gansun) treated blood collapse by supplementing qi, using precisely this formula.
Renshen (Ginseng Radix et Rhizoma, 1 liang) Decoct with two zhong of water and ten pieces of Da Zao (Jujubae Fructus) until one zhong remains. Take slowly. If decocted until thick and concentrated, it becomes a paste/electuary.
Bajitian (Morindae Officinalis Radix, core removed) Shanyao (Dioscoreae Rhizoma) Buguzhi (Psoraleae Fructus, stir-fried) Xiaohuixiang (Foeniculi Fructus, stir-fried) Mudanpi (Moutan Cortex) (each 5 qian) Qingyan (refined salt, 2.5 qian, added last) Roucongrong (Cistanches Herba, washed with wine, 1 liang) Gouqizi (Lycii Fructus, 1 liang)
Grind the above ingredients into fine powder. Make into honey pills the size of wutongzi (Firmianae Semen). Take 50 pills each time, swallowed with salt water on an empty stomach.
For treating bone-steaming (a manifestation of yin deficiency with internal heat). Tidal fever. Spontaneous sweating. Coughing up foul-smelling, thick, and sticky phlegm.
Renshen (Ginseng Radix et Rhizoma) Digupi (Lycii Cortex) Shengdihuang (Rehmanniae Radix) (each 1.5 qian) Baifuling (Poria) Chaihu (Bupleuri Radix) Huangqi (Astragali Radix, honey-fried) Zhimu (Anemarrhenae Rhizoma, stir-fried) Shigao (Gypsum Fibrosum, calcined) (each 1 qian)
Decoct with two zhong of water until eight fen remain. Take on an empty stomach, far from meals.
For treating throat obstruction (sore throat with obstruction), chanhoufeng (acute throat inflammation with swelling and pain extending to the neck). Phlegm and saliva congesting the throat. In severe cases, even water and gruel are difficult to swallow.
Yanxiao (Potassium Nitrate, 1.5 liang) Pengsha (Borax, 5 qian) Naozi (Borneolum Syntheticum, 1 zi) Xionghuang (Realgar, 2 qian) Baijiangcan (Bombyx Batryticatus, 1 qian)
Grind each ingredient separately into fine powder and mix well. Blow the powder onto the affected area using a bamboo tube. Phlegm and saliva will then be expelled. If the throat swelling does not subside after phlegm is expelled, promptly needle the affected area to release foul blood.
For treating scrofula (cervical lymph node tuberculosis). It causes self-resolution if not yet suppurated, and self-contraction if already ulcerated. If the tubercle/nodule has not been removed, further apply Zhentou San (Needle-tip Powder) to erode it. If the patient's qi and blood are deficient, first take several doses of Yiqi Yangrong Tang (Qi-Benefiting and Nourishing Decoction). Then take this powder. After taking it, the scrofula toxin will be expelled downward (via stool). Then take several more doses of the aforementioned decoction.
Nan Pengsha (Borax, 2.5 qian) Qingfen (Calomelas, 1 qian) Banmao (Mylabris, 40 pieces, stir-fried with glutinous rice until cooked, wings and heads removed) Shexiang (Moschus, 5 fen) Badou (Crotonis Fructus, 5 grains, shell, heart, and membrane removed) Bai Binglang (Arecae Semen, 1 piece)
Grind the above ingredients into fine powder. Take 1 qian each time; for robust individuals, take 1.5 qian. Take at the fifth watch (around 3-5 am) mixed with boiling water. If difficult urination or slight pain occurs afterward, this indicates the scrofula toxin is about to be expelled. Administer another dose of the powder, and the toxin will be expelled. Banmao and Badou seem potent and drastic, but Badou can counteract the toxicity of Banmao. Users should not fear. I once encountered a wealthy merchant with a very large scrofula scar on his neck. Upon inquiry, he said it was caused by anger. He suffered for two years, and no method was effective. Only then was he given this medicine. After one dose, it receded by twenty to thirty percent. After a second dose, it receded markedly. After four doses, it flattened. Within ten days, he recovered. He sought the formula with generous gifts, and it turned out to be Bixiao San. An old woman also treated this condition, demanding a high price before agreeing to treat. Her formula involved inserting a medium-grade Dingzi (medicated cone/nail) into the sore, covering it with a plaster. The root would then rot away by itself. If not completely rotted, use it again. After complete removal, apply shengji (flesh-generating) medicine. Recovery occurred within days. I have observed that it is indeed effective for those whose qi and blood are not deficient. For those with deficient qi and blood, even if ulceration is induced, it may not heal. Zhu Danxi also said that taking Bixiao San together with Shenxiao Gualou San (Miraculous Trichosanthes Powder) has miraculous effects. Often, using these two medicines combined with supplementing formulas is effective. Note: Although Dingzi is potent and drastic, it is likely because the tubercles are hard; without this, they are not easily eroded. Although Bixiao San contains the potent Banmao, for deep-seated scrofula toxin, nothing else may easily resolve it. Moreover, Badou counteracts the toxicity. However, for those with deficient qi and blood, using it might be mistaken. A Daoist priest treated this condition using seven chicken eggs, placing one Banmao into each egg, steaming them cooked over rice. Take one egg on an empty stomach daily. Many sought his treatment. However, for those with deficient qi and blood, this method probably cannot cure it either.