伍氏曰∶凡疮家皆宜宣去其毒，荡涤陈 ，宜用神仙追毒丸、六味车螯散、五香连翘
汤、千金漏芦汤，更当详辨禀赋强弱，临时加减。大抵治疮要法，须脏腑坚而不秘，通而不
泄，真气不耗，邪无所留。如秘结，神效麻仁丸。凡疮溃后，尚觉虚热，可与五香汤加大
黄、朴硝。且如治疮温药，先用桂以通血脉，宣导百药、冷药，必用地黄补不足，益气填
髓。近用乳香散。乳香消毒，绿豆清热，真良药也。
愚按∶大肠秘结，果因血燥，胃气不虚，最宜前药。若因精血枯涸，用八珍、桃仁、麻
仁。其溃后发热，若因气虚，用四君、黄 、当归；血虚用四物、白术、茯苓；气血俱虚，
用八珍、黄 ；若大便秘，小便赤，用四物、麦门、五味；如不应，急用加减八味丸或六味
丸；若下后元气伤而发热，用六君当归，胃气虚而发热，用补中益气汤。大凡二便，肝肾主
之。经云∶肾主五液，开窍于二阴。若津液滋润，大便通利；若津液不足，必因脾气亏损，
当培养化源。
附治验
儒者顾大有，年几六旬，仲冬背疽初起入房，患处黑死五寸许，黯晕尺余，漫肿坚硬，
背如负石，发热作渴，小便频数，两耳重听，扬手露体，神思昏愦，脉沉而细，右手为甚，
便秘二十七日，计进饮食百余碗，腹内如常。众欲通之，余曰∶所喜者此耳，急用大剂六
君加姜、附、肉桂，三剂疮始 痛。自后空心用前药，午后以六味丸加参、 、归、术五
剂，复用活命饮二剂，针出黑血甚多，瘀脓少许，背即轻软。仍用前药，便亦通利。余他往
四日，神思复昏，疮仍黑陷，脓水淋漓，饮食不进，急以归、术各一两，炮附子五钱，姜、
桂各三钱服之，即索饮食，并鸭子二枚，自后日进前药二剂，肉腐脓溃而愈。锦衣傅允承
母，年逾七十，腰生一 ，作痒异常，脉浮数而反恶寒。余曰∶此疮疽之症也，未溃而先
弱，何以收敛，况大便不通，则其气已竭，治之无功。其子恳请，不得已，用六君加藿香、
神曲，数剂，饮食渐进，大便始通。更用峻补之剂，溃而脓清，作渴，再用参、 、当归、
麦门、五味、熟地而渴止。允承喜曰∶吾母可无虞矣！余曰∶尚难收敛，先日之言也。彼
疑，遂速他医，卒致不起。
伍氏说：凡是患有疮疡的人，都应当宣散去除体内的毒邪，荡涤陈旧积滞，适宜使用神仙追毒丸、六味车螯散、五香连翘汤、千金漏芦汤，同时更应当详细辨别患者体质的强弱，根据具体情况临时增减药量。大抵治疗疮疡的要法，必须使脏腑坚实而不秘结，通畅而不泄泻，真气不耗损，邪气无处留存。如果出现便秘，可用神效麻仁丸。凡是疮疡溃破后，如果还觉得有虚热，可以在五香汤中加入大黄、朴硝。况且如治疗疮疡用温性药物，先用桂枝来通利血脉，宣导各种药物；用冷性药物时，必定用地黄来补益不足，益气填髓。近来常用乳香散。乳香能消毒，绿豆能清热，确实是良药。
我按语认为：大肠便秘，如果确实是因为血燥，且胃气不虚，最适合用前面的药物。如果是因精血枯竭干涸，应用八珍汤、桃仁、麻仁。疮疡溃破后发热，如果是因气虚，用四君子汤加黄芪、当归；血虚用四物汤、白术、茯苓；气血俱虚，用八珍汤加黄芪；如果大便秘结，小便赤涩，用四物汤、麦门冬、五味子；如果无效，急用加减八味丸或六味丸；如果攻下后元气受伤而发热，用六君子汤加当归；胃气虚而发热，用补中益气汤。大凡大小便，由肝肾主管。经书说：肾主管五种津液，开窍于前后二阴。如果津液滋润，大便通利；如果津液不足，必定是因为脾气亏损，应当培养化源（脾胃）。
附治疗验案
儒生顾大有，年龄接近六十岁，仲冬时节背疽初起时行房事，患处黑死约五寸，暗色晕圈有一尺多，漫肿坚硬，背部沉重如负石，发热口渴，小便频数，两耳重听，扬手露体，神志昏沉迷糊，脉象沉而细，右手更为明显，便秘二十七天，共计进食百余碗，腹部内里如常。众人想要通便，我说：庆幸的是这种情况，急忙用大剂量六君子汤加生姜、附子、肉桂，三剂后疮疡才开始疼痛。此后空腹服用前面的药物，午后用六味丸加人参、黄芪、当归、白术，五剂后，再用仙方活命饮二剂，针刺放出大量黑血，少许瘀脓，背部随即轻软。仍然用前面的药物，大便也通利了。我外出四天，神志再次昏沉，疮疡仍然黑陷，脓水淋漓，饮食不进，急忙用当归、白术各一两，炮附子五钱，生姜、肉桂各三钱服用，立即索要饮食，并吃了两只鸭子，此后每天进服前面药物两剂，肌肉腐烂排脓而痊愈。锦衣卫傅允承的母亲，年龄超过七十岁，腰部生了一个痈疽，异常瘙痒，脉象浮数却反而恶寒。我说：这是疮疽的症状，未溃破而先虚弱，如何收敛？何况大便不通，说明其气已竭，治疗不会有功效。他的儿子恳请，不得已，用六君子汤加藿香、神曲，几剂后，饮食逐渐进步，大便才通。再用峻补的药剂，溃破后脓液清稀，感到口渴，再用人参、黄芪、当归、麦门冬、五味子、熟地黄而口渴停止。傅允承高兴地说：我母亲可以没有忧虑了！我说：还难以收敛，这是我之前的话。他怀疑，于是催促其他医生，最终导致死亡。
Wu stated: For all patients with sores and ulcers, it is appropriate to disperse and eliminate toxins from the body and cleanse away stale accumulation. It is suitable to use Shenxian Zhuidu Wan (Immortal Pill for Pursuing Toxin), Liuwei Che'ao San (Six-Ingredient Chiton Powder), Wuxiang Lianqiao Tang (Five-Aromatic Forsythia Decoction), or Qianjin Loulu Tang (Thousand-Gold Rhapontic Decoction). Furthermore, one must carefully distinguish the strength or weakness of the patient's constitution and adjust the prescription accordingly at the time. Generally speaking, the essential method for treating sores requires that the Zang-Fu organs be firm but not constipated, unobstructed but not incontinence, so that the True Qi is not depleted and pathogenic factors have no place to remain. If constipation occurs, Shenxiao Maren Wan (Miraculous Hemp Seed Pill) can be used. After a sore has ulcerated, if deficiency heat is still felt, Dahuang (Rhubarb Root) and Poxiao (Mirabilite) can be added to Wuxiang Tang. Moreover, when using warm-natured herbs to treat sores, Guizhi (Cinnamon Twig) should be used first to promote blood circulation and guide various other herbs; when using cold-natured herbs, Dihuang (Rehmannia Root) must be used to tonify deficiencies, benefit Qi, and fill the marrow. Recently, Ruixiang San (Frankincense Powder) has been commonly used. Ruixiang (Frankincense Resin) detoxifies, and Ludou (Mung Bean) clears heat; these are indeed good medicines.
My commentary: Large intestine constipation, if indeed caused by Blood dryness and with non-deficient Stomach Qi, is most suitable for the aforementioned prescriptions. However, if it is due to the exhaustion of Essence and Blood, Bazhen Tang (Eight-Treasure Decoction), Taoren (Peach Kernel), and Maren (Hemp Seed) should be used. Regarding fever after ulceration, if caused by Qi deficiency, Sijunzi Tang (Four Gentlemen Decoction) with Huangqi (Astragalus Root) and Danggui (Angelica Sinensis Root) should be used; if caused by Blood deficiency, Siwu Tang (Four Substances Decoction) with Baizhu (Atractylodes Macrocephala Rhizome) and Fuling (Poria) should be used; if both Qi and Blood are deficient, Bazhen Tang with Huangqi should be used; if there is large intestine constipation and reddish urine, Siwu Tang with Maidong (Ophiopogon Tuber) and Wuweizi (Schisandra Fruit) should be used; if ineffective, Jiajian Bawei Wan (Modified Eight-Ingredient Pill) or Liuwang Wan (Six-Ingredient Pill) should be urgently employed; if fever occurs after purgation due to injury of Yuan Qi, Liujunzi Tang (Six Gentlemen Decoction) with Danggui should be used; if fever occurs due to Stomach Qi deficiency, Buzhong Yiqi Tang (Decoction for Boosting the Middle and Augmenting Qi) should be used. Generally, urination and defecation are governed by the Liver and Kidney. The Classics state: "The Kidney governs the five fluids and opens into the two lower orifices." If body fluids are moistening, defecation will be smooth; if body fluids are insufficient, it is necessarily due to Spleen Qi damage, and the source of transformation (Spleen/Stomach) should be cultivated.
Attached Treatment Case
The scholar Gu Dayou, nearly sixty years old, engaged in sexual intercourse when his back carbuncle initially appeared in mid-winter. The affected area was black and necrotic for about five cun, with a dark halo extending over a chi. The swelling was diffuse, hard, and solid, making his back feel as heavy as carrying a stone. He had fever, thirst, frequent urination, bilateral hearing loss, restlessness with exposed body, confused mental state, and a deep, fine pulse, more pronounced on the right hand. He had been constipated for twenty-seven days, having consumed over a hundred bowls of food, while his abdomen remained normal internally. The colleagues wished to induce bowel movement, but I said: "What is fortunate is this condition." I urgently prescribed a large dose of Liujunzi Tang (Six Gentlemen Decoction) with Shengjiang (Fresh Ginger), Fuzi (Prepared Aconite Root), and Rougui (Cinnamon Bark). After three doses, the sore began to hurt. Thereafter, he took the aforementioned medicine on an empty stomach. In the afternoon, he took Liuwei Wan (Six-Ingredient Pill) with Renshen (Ginseng Root), Huangqi, Danggui, and Baizhu for five doses. Then, Xianfang Huoming Yin (Immortal Life-Deciding Decoction) was taken for two doses. Pricking released a large amount of black blood and a small amount of stasis pus, and his back immediately became soft. He continued taking the previous medicine, and his bowels also became smooth. I went away for four days, during which his mental state became confused again, the sore remained black and sunken, pus and water flowed continuously, and he lost his appetite. I urgently administered Danggui and Baizhu, each 1 liang, Paofuzi (Prepared Aconite Root) 5 qian, and Shengjiang and Rougui, each 3 qian. He immediately asked for food and ate two ducks. Thereafter, he took two doses of the previous medicine daily. As the flesh rotted and pus discharged, he recovered.
Fu Yongcheng, whose family held the rank of Jin Yi Wei (Embroidered Uniform Guard), had a mother over seventy years old who developed a carbuncle on her waist with abnormal itching. Her pulse was floating and rapid, yet she paradoxically felt aversion to cold. I said: "This is a symptom of a carbuncle or deep abscess. Without ulceration, the condition is already weak; how can it heal? Moreover, since the bowels are unblocked, her Qi is exhausted, and treatment will be futile." His son pleaded, and reluctantly, I prescribed Liujunzi Tang with Huoxiang (Patchouli Herb) and Shenqu (Medicated Leaven). After several doses, her diet gradually improved, and her bowels finally moved. Strongly tonifying agents were then used. After ulceration, the pus was clear, and she felt thirsty. Ren Shen, Huangqi, Danggui, Maidong, Wuweizi, and Shudihuang (Prepared Rehmannia Root) were used to stop the thirst. Fu Yongcheng happily said: "My mother is safe!" I replied: "Contraction is still difficult, as I previously stated." He doubted me and hurriedly sought another physician, ultimately resulting in her death.