伍氏曰∶气血闻香则行，闻臭则逆。大抵疮疡多因营气不从，逆于肉理，郁聚为脓，得
香味，则气血流行。故当多服五香连翘汤、万金散、金粉散。凡疮本腥秽，又闻臭触则愈
甚，若毒入胃则咳逆，古人用之，可谓有理。且如饮食调令香美以益脾土，养其真元，可保无虞矣。
愚按∶前症说见第十八、十九。
李氏云∶病疽之人，当戒酒面炙爆腌腊法酒、生冷油腻鸡鹅鱼腥之类，起居七情，尤当
深戒。卧室洁净馨香，使气血流畅，仍忌僧道孝子、产妇经妇、鸡犬猫畜。若背疽难于隐
几，宜用绿豆十斗作一袋，隐伏其上，解毒凉心也。
愚按∶前论，慎起居，薄滋味，恐病者好动四体，甘嗜性热性寒之物，使火益炽而胃气
益衰，则所患淹滞不愈，又谁咎哉？不若预为之防，当以古人之言为戒。如绿豆性寒，主丹
毒烦热风疹，或金石所发，实热烦渴，饮食如常，症属纯阳者宜用，否则不可用也。
李氏云∶常见世间医者，每有妙方，秘而不传，或更改以惑人，诚可恶也。余思西华麦
饭石膏，守死不传，其立心私刻，君子责之矣。昔赵公宣教，字季修，来宰龙泉，兼程而
进，患鼻衄，日出数升，时家兄教以服藕汁地黄膏。赵叩诸医云，此为戒服之剂，乃数易医
无效。家兄阴馈前汁，服三日而疾愈。兄曰∶此即前所献之方。赵惊叹曰∶向非医者谲计以
惑我，早信此方，岂久受困耶。今以屡试屡验，不可易者，如因热毒冲心而呕，用内托散
（一名万全散）；因脾胃虚弱而呕，嘉禾散；热毒肿痛，麦饭石膏；阴虚作渴，加减八味丸。
此四方屡为医人眩惑，使人勿用，深悯患者之受苦，故举赵公之事以例之。
愚窃以为方者，仿也，仿病因以立方，非谓《内经》无方也。若执古方以治今疾，犹拆旧
宇以对新宇，其长短大小，岂有舍匠氏之手，而能合者乎？设或有合，以为亘古不易之方，
此又先王普济之神术，奚必秘而私之耶。余观太无先生，治滇南一僧，远游江浙，思亲成
疾；先生惠之以饮食药饵，复赠金一镒以资其归，此固我医道之当然也。今之医者，或泥
古，或吝秘，或嗜利以惑人，其得罪于名教多矣。
神仙追毒丸（一名圣后丹，一名玉枢丹，又名解毒丹，又名万病丸，又名紫金锭。）
治症见后。
文蛤（即五倍子槌破洗焙末三钱） 山茨菇（去皮净末二两） 麝香（三钱另研） 千金子（一
名续随子去壳研去油取霜一两） 红牙大戟（去芦焙干末一两半）
上用糯米煮浓饮为丸，分为四十粒，每服一粒，用井花水或薄荷汤磨服，利一二次，用
粥止之。合时用端午、七夕、重阳，或天德月德日，须净室焚香修置，效验不可尽述。凡人
出入，不可无此药。两广山谷间有草曰胡梦，又曰断肠，亦有感蛇毒致生恶菌，名为定年
药。有淫妇与北人交好者，别时阴以药置饮食中，仍戒之曰∶子必某时来。若根据期而至，彼
复以药解之，若过期不往必死，故谓之定年药。如服前药一粒，其病即瘥。昔有一女，久病
痨瘵，为尸虫所噬，磨服一粒，吐下小虫甚众，更服苏合香丸，遂愈。如菌蕈菰子、砒石毒
药、死牛马、河 鱼，及时行温疫、山岚瘴气、喉闭喉风、自缢、溺水、扑死，但心头微
温，未隔宿者，生姜蜜水磨灌一粒即苏。痈疽恶疮汤火蛇虫犬兽所伤，东流水磨涂并服，颠
邪鬼气鬼胎，暖酒磨服，无不效者。愚意此药果能有积毒中毒，毒虫缠滞深固，诚有神效。
若病自内出者，尤当审其虚实而用之。
转毒散 治一切痈疽，利去毒根，以免传变之症。
车螫（紫背光浓者以盐泥固济 赤净末一两） 轻粉（五分） 甘草（一分）
上每服四钱，栝蒌一枚杵细煎酒，五更初调服，下恶物为度，未应，再服。功在五香连
翘之上，缓用五香连翘汤，急用神仙截法。
愚按∶前二方，果积毒于内，元气不虚，宜用。仍当审之。
孙真人单煮大黄汤 宣热拔毒，治大便秘结，热毒蓄于内。
锦纹大黄（酒浸去皮）
上水煎服，此快利要法也。
愚按∶前方，寒凉祛毒之剂，仍审元气虚实，症属内外而用之。
附治验
佥宪申天益兄，背患疽，脉沉而实，肿硬木闷，大便秘结，此毒蓄于内。用大黄、白
芷，名万全散，一服，去瘀血，疮顿消。
邝进士，患痈将痊，大便秘结，服大黄等药，反废饮食。余用补气血之剂加桃仁、麻
仁，未效，更以猪胆汁深纳谷道，续以养血气而愈。
神仙截法 治痈疽发背，一切恶疮，预服，则毒瓦斯不入内。
真麻油（一斤银石器内煎熬十数沸候冷）
上用酒两碗，入油五盏，通口热服，一日用尽，缓则数日服之。吴安世云∶吾家三世用
之，无有不验。又闻猎者云∶凡中药箭，急饮麻油，药毒即消。郑学谕德甫，屡用之甚验。
愚按∶麻油下三焦热毒，通大小肠滞气，若疮疡初起，毒蓄于内，大便秘结者，用之以
通其毒，诚为良法。若大便不实，三焦虚热，恐非所宜，用者审之。
秘传连翘汤
连翘 升麻 朴硝（各一两） 玄参 芍药 白蔹 防风 射干（各八分） 大黄（一
两二钱） 甘草（炙五钱） 杏仁（八十个去皮尖同面炒黄另研）
上每服四钱，水煎服，下恶物后，服内托散之类。
漏芦汤 治痈疽发背，丹 ，时行热毒，赤肿 痛。
漏芦 白芨 黄芩 麻黄（去节） 白薇 枳壳（麸皮炒） 升麻 芍药 粉草（炙各二两）
大黄（炙三两）
上每服四钱，水煎服，以利为度，若实热而便秘倍加之。
千金漏芦汤
漏芦 黄芩 白蔹 连翘 枳壳（去穣麸炒） 升麻 粉草 麻黄（去节） 大黄（湿纸包煨）
朴硝（各一两）
上每服五钱，姜水煎，去 ，空心服，下恶物为妙。
愚按∶三方发表攻里行气解毒之剂，想当时因有是症而用是药也。
六味车螫散
车螫（四个黄泥固济火 ） 灯心（三十茎） 甘草节（二钱） 栝蒌（一个杵）
上用酒二盏，煎八分，入蜜一匙，车螫二钱，腻粉少许，空心服，下恶血为妙。
愚按∶前方，疮疡积毒于内，大便秘结，元气充实者宜用。
止痛灵宝散
鬼系腰（生于阴湿竹篱石岸络石而生者，其藤柔细两叶相对形生三角用藤叶一两洗净晒干）
皂角刺（一两锉新瓦
上炒黄） 栝蒌（大者一个杵炒用仁） 甘草节（五分） 没药 明乳香（各三钱另研）
上每服一两，水酒各半煎。
愚按∶前方治肿疡毒瓦斯凝聚作痛之药，溃后慎之。鬼系腰即薜萝也，又名络石。
神效麻仁丸
火麻仁（研细） 大黄（煨三钱） 人参（二钱） 诃子（煨肉一两）
上为末，入麻仁炼蜜丸桐子大，每服三十丸，滚水送下。
愚按∶前方润大肠结燥之药，血液枯涸者，不可用，虽有人参、诃子，亦难倚仗。
清心内固金粉散（一名金花散）
辰砂（另研） 白茯苓 人参 甘草（各三钱） 绿豆（四两） 雄黄（一钱）
朴硝（另研） 豆蔻仁（各五钱） 脑子 麝香（另研各一钱）
上为末，每服一钱半，蜜汤调。
愚按∶前方若热 肿痛，饮食如常者，乃可用之。
猪蹄汤 治一切溃疡，消热毒，去恶肉，解秽恶，甚效。
白芷 甘草 羌活 露蜂房（有蜂儿者） 赤芍药 当归（各等分）
上先将猪蹄一双，以水五碗，煎取清汤，入前药三五两，煎数沸，去 洗患处。
洗药神效散
蛇床子（二两） 朴硝（一两）
上每用五钱，水二碗煎数沸，洗净拭干，糁后散。
圣效散
黄柏（炒黑） 穿山甲（炒黄一两） 槟榔 木香 鸡内金（二枚）
上为末，每用少许，搽疮口内，日五七次，方效。
愚按∶前方若毒瓦斯已尽宜用之，否则反益其邪，用当归膏为善。
神秘陷脉散
黄 人参 川芎 当归（酒洗） 赤芍药 粉草 地骨皮 五加皮 忍冬叶 橘红（各一两）
乳香 没药（各五钱）
上每服五七钱，水酒各半煎，连进五七服，甚效。
愚按∶前方乃托里消毒行气破血之剂也，若曰补益之功实少焉。
骑竹马灸法图 沉麝汤
内托散 五香汤
五香连翘汤 漏芦汤
柞木饮 国老膏
阿胶饮 万金散
牛胶饮 远志酒
黄矾丸 以上方见上卷
伍氏说：气血闻到香味就会运行通畅，闻到臭味就会逆乱。大抵疮疡大多因为营气不顺，在肌肉纹理中逆乱，郁结积聚而成脓液，得到香味后，气血就能流通。所以应当多服用五香连翘汤、万金散、金粉散。凡是疮本身体味腥臭，又闻到臭味刺激则病情会更加严重，如果毒气进入胃里导致咳嗽气逆，古人使用这些方法，可以说是很有道理的。况且通过饮食调理使其味道香美以补益脾土，养护真元，就可以保证没有忧患了。
我按语：上述病症的论述见第十八、十九篇。
李氏说：患有疽病的人，应当戒除酒、面食、烤炸腌制腊味、法酒（一种药酒）、生冷油腻以及鸡肉鹅肉鱼腥等食物，起居和七情（喜、怒、忧、思、悲、恐、惊），尤其应当深深警惕。卧室要洁净芳香，使气血流畅，仍然要忌讳僧人道士、孝子、产妇和月经期妇女，以及鸡犬猫畜。如果背疽难以倚靠几案休息，宜用十斗绿豆做一个袋子，伏卧在上面，以解毒凉心。
我按语：前面的论述提到，谨慎起居，清淡饮食，恐怕是因为病人喜欢活动四肢，甘甜嗜好性热或性寒的食物，使火邪更加炽盛而胃气更加衰弱，那么所患疾病就会拖延不愈，这又能怪罪谁呢？不如预先加以防范，应当以古人的话作为警戒。如绿豆性寒，主治丹毒、烦热、风疹，或因金石药物引发的实热烦渴，饮食正常，症状属于纯阳证的适宜使用，否则不可使用。
李氏说：常见世间的医生，往往有妙方，却秘而不传，或者更改方剂来迷惑人，确实令人厌恶。我想到西华麦饭石膏，有人坚守不传，其用心私刻，被君子所责备。从前赵宣教，字季修，来担任龙泉县令，兼程赶路，患了鼻衄（鼻出血），每天日出时流出数升血，当时我的兄长教他服用藕汁地黄膏。赵询问其他医生，他们说这是禁止服用的药剂，于是多次更换医生都无效。我的兄长暗中赠送前一种汁液，服用三天后疾病痊愈。兄长说：“这就是之前献上的方子。”赵惊叹道：“如果不是医生用诡计迷惑我，早相信这个方子，怎么会长久受困呢。”现在根据屡次试验屡验有效、不可更改的方子，如因热毒冲心而呕吐，用内托散（一名万全散）；因脾胃虚弱而呕吐，用嘉禾散；热毒肿痛，用麦饭石膏；阴虚口渴，用加减八味丸。这四个方子屡次被医生迷惑，使人不用，深深怜悯患者受苦，所以举赵公的事例来说明。
我私下认为，方剂是仿效的意思，仿效病因来制定方剂，并非说《内经》没有方剂。如果拘执古方来治疗今天的疾病，就像拆旧房子来建新房子，其长短大小，除了工匠之手，怎么能吻合呢？假设如果有吻合的，认为是亘古不变的方剂，这又是先王普救众生的神术，何必秘藏而私有呢。我观察太无先生，治疗滇南的一位僧人，远游江浙，思念亲人而成疾；先生给予饮食药物，又赠一金镒（二十两）资助他回家，这固然是我们医道的当然之举。现在的医生，有的拘泥古法，有的吝啬秘藏，有的贪嗜利益来迷惑人，他们得罪于名教的太多了。
神仙追毒丸（一名圣后丹，一名玉枢丹，又名解毒丹，又名万病丸，又名紫金锭。）
治疗症状见后文。
文蛤（即五倍子，捶破洗净焙干研末三钱） 山茨菇（去皮净研末二两） 麝香（三钱另研） 千金子（一名续随子，去壳研去油取霜一两） 红牙大戟（去芦焙干研末一两半）
以上用糯米煮浓汁为丸，分为四十粒，每服一粒，用井花水或薄荷汤磨服，大便通利一两次后，用粥止住。配制时要选端午、七夕、重阳，或天德月德日，必须在净室焚香制作，疗效无法尽述。凡人出入，不可没有此药。两广山谷间有一种草叫胡梦，又叫断肠，也有因感蛇毒而生恶菌，名为定年药。有淫妇与北方人交好者，分别时在饮食中暗放药物，并告诫他说：“你必定在某时到来。”如果如期而至，她再用药物解之，如果过期不去必死，所以叫定年药。如果服用前药一粒，其病即愈。昔有一女子，久患痨瘵，被尸虫噬咬，磨服一粒，吐下小虫很多，再服苏合香丸，于是痊愈。如菌蕈菰子、砒石毒药、死牛马、河鱼，以及时行温疫、山岚瘴气、喉闭喉风、自缢、溺水、扑死，只要心头微温，未过一夜的，用生姜蜜水磨灌一粒即可苏醒。痈疽恶疮、汤火、蛇虫犬兽所伤，用东流水磨涂并服用，癫邪鬼气鬼胎，用暖酒磨服，无不有效。我意此药果能有积毒中毒，毒虫缠滞深固，确实有神效。若病从内生出的，尤其应当审察虚实而使用。
转毒散 治疗一切痈疽，利去毒根，以免传变症状。
车螫（紫背光浓者，以盐泥固济煅烧赤净研末一两） 轻粉（五分） 甘草（一分）
以上每服四钱，栝蒌一枚捣细煎酒，五更初调服，以下出恶物为度，未见效，再服。功效在五香连翘汤之上，缓用五香连翘汤，急用神仙截法。
我按语：前两个方子，果真是积毒在内，元气不虚，适宜使用。仍当审察。
孙真人单煮大黄汤 宣发热毒，治疗大便秘结，热毒蓄积于内。
锦纹大黄（酒浸去皮）
以上用水煎服，这是快利的重要方法。
我按语：前方，是寒凉祛毒的药剂，仍要审察元气虚实，症状属内外而使用。
附治验
佥宪申天益兄，背部患疽，脉沉而实，肿硬木闷，大便秘结，这是毒气蓄积于内。用大黄、白芷，名为万全散，一服，去瘀血，疮顿消。
邝进士，患痈即将痊愈，大便秘结，服用大黄等药，反而废寝忘食。我用补气血的药剂加桃仁、麻仁，未见效，又以猪胆汁深入肛门，随后养血气而痊愈。
神仙截法 治疗痈疽发背，一切恶疮，预先服用，则毒瓦斯不入内。
真麻油（一斤，在银石器内煎熬十余沸候冷）
以上用酒两碗，入油五盏，通口热服，一日用尽，缓则数日服之。吴安世说：“我家三世使用它，无不灵验。”又听猎人说：“凡是被毒箭射中，急饮麻油，药毒即消。”郑学谕德甫，屡次使用很灵验。
我按语：麻油下行三焦热毒，通大小肠滞气，若疮疡初起，毒蓄于内，大便秘结者，用它来通其毒，确实是良法。若大便不实，三焦虚热，恐怕不适宜，使用者要审察。
秘传连翘汤
连翘 升麻 朴硝（各一两） 玄参 芍药 白蔹 防风 射干（各八分） 大黄（一两二钱） 甘草（炙五钱） 杏仁（八十枚去皮尖同面炒黄另研）
以上每服四钱，水煎服，下出恶物后，服内托散之类。
漏芦汤 治疗痈疽发背，丹毒，时行热毒，赤肿疼痛。
漏芦 白芨 黄芩 麻黄（去节） 白薇 枳壳（麸皮炒） 升麻 芍药 粉草（炙各二两） 大黄（炙三两）
以上每服四钱，水煎服，以利为度，若实热而便秘加倍加入。
千金漏芦汤
漏芦 黄芩 白蔹 连翘 枳壳（去穣麸炒） 升麻 粉草 麻黄（去节） 大黄（湿纸包煨） 朴硝（各一两）
以上每服五钱，姜水煎，去渣，空心服，以下出恶物为妙。
我按语：这三个方子是发表攻里行气解毒的药剂，想当时因为有这些症状而使用这些药。
六味车螫散
车螫（四个，黄泥固济火煅） 灯心（三十茎） 甘草节（二钱） 栝蒌（一个捣碎）
以上用酒二盏，煎至八分，入蜜一匙，车螫二钱，腻粉少许，空心服，以下出恶血为妙。
我按语：前方，疮疡积毒于内，大便秘结，元气充实者适宜使用。
止痛灵宝散
鬼系腰（生于阴湿竹篱石岸络石而生者，其藤柔细两叶相对形生三角，用藤叶一两洗净晒干） 皂角刺（一两锉新瓦上炒黄） 栝蒌（大者一个捣炒用仁） 甘草节（五分） 没药 明乳香（各三钱另研）
以上每服一两，水酒各半煎。
我按语：前方治疗肿疡毒瓦斯凝聚作痛的药，溃后慎用。鬼系腰即薜萝也，又名络石。
神效麻仁丸
火麻仁（研细） 大黄（煨三钱） 人参（二钱） 诃子（煨肉一两）
以上为末，入麻仁炼蜜丸桐子大，每服三十丸，滚水送下。
我按语：前方是润大肠结燥的药，血液枯涸者，不可用，虽有人参、诃子，也难倚仗。
清心内固金粉散（一名金花散）
辰砂（另研） 白茯苓 人参 甘草（各三钱） 绿豆（四两） 雄黄（一钱） 朴硝（另研） 豆蔻仁（各五钱） 脑子 麝香（另研各一钱）
以上为末，每服一钱半，蜜汤调。
我按语：前方若热毒肿痛，饮食如常者，乃可用之。
猪蹄汤 治疗一切溃疡，消热毒，去恶肉，解秽恶，甚效。
白芷 甘草 羌活 露蜂房（有蜂儿者） 赤芍药 当归（各等分）
以上先将猪蹄一双，以水五碗，煎取清汤，入前药三五两，煎数沸，去渣洗患处。
洗药神效散
蛇床子（二两） 朴硝（一两）
以上每用五钱，水二碗煎数沸，洗净拭干，糁后散。
圣效散
黄柏（炒黑） 穿山甲（炒黄一两） 槟榔 木香 鸡内金（二枚）
以上为末，每用少许，搽疮口内，日五七次，方效。
我按语：前方若毒瓦斯已尽宜用之，否则反益其邪，用当归膏为善。
神秘陷脉散
黄芪 人参 川芎 当归（酒洗） 赤芍药 粉草 地骨皮 五加皮 忍冬叶 橘红（各一两） 乳香 没药（各五钱）
以上每服五七钱，水酒各半煎，连进五七服，甚效。
我按语：前方乃托里消毒行气破血之剂也，若曰补益之功实少焉。
Wu stated: Qi and blood flow smoothly when exposed to fragrant odors, but move in reverse when exposed to foul odors. Generally speaking, sores and ulcers often arise because Ying (nutritive) Qi fails to circulate properly, becoming reversed within the muscle tissue, stagnating and accumulating into pus. Upon exposure to fragrant scents, Qi and blood can flow freely. Therefore, one should frequently administer Wuxiang Liaoqiao Tang (Five-Spice Forsythia Decoction), Wanjin San (Ten-Thousand-Gold Powder), and Jinfen San (Gold-Dust Powder). Any sore that inherently has a fishy or foul odor will worsen if exposed to such smells; if the toxin enters the stomach causing coughing and counterflow of Qi, the ancients' use of these methods was indeed reasonable. Furthermore, by adjusting the diet to be fragrant and delicious to benefit the Spleen Earth and nourish the True Yuan (Original Essence), one can ensure safety from worry.
My commentary: The discussion on the aforementioned symptoms can be found in chapters eighteen and nineteen.
Li stated: Patients suffering from Ju (deep-seated abscesses) must abstain from alcohol, wheat products, roasted/fried foods, cured meats, Fa Jiu (medicinal wine), cold/raw items, greasy foods, as well as chicken, goose, and fishy seafood. Regarding daily life and the Seven Emotions (Joy, Anger, Worry, Thought, Sadness, Fear, Fright), extreme caution is required. The bedroom should be clean and fragrant to promote smooth Qi and blood circulation. One must also avoid contact with monks, Taoist priests, mourners, postpartum women, menstruating women, and animals such as chickens, dogs, and cats. If a back carbuncle makes it difficult to lean on a table for rest, it is advisable to use ten dou of mung beans made into a bag and lie upon it to detoxify and cool the Heart.
My commentary: The previous discussion emphasized careful living habits and bland diets, likely because patients tend to overexert their limbs and crave foods that are either too hot or too cold in nature. This exacerbates Fire pathogens and weakens Stomach Qi, leading to prolonged illness. Who could blame them? It is better to prevent this in advance and heed the words of the ancients. For instance, Mung Bean is cold in nature and treats Dan Du (erysipelas), irritability, heat, wind-rashes, or real-heat irritability and thirst caused by mineral drugs, where appetite remains normal and the syndrome belongs to Pure Yang. It should not be used otherwise.
Li stated: I often see physicians in the world who possess excellent prescriptions but keep them secret, or alter them to confuse people, which is truly despicable. I recall that someone kept the formula for Xihua Maifan Shigao (Xihua Wheat-Bread Stone Plaster) secret until death, a selfish attitude criticized by gentlemen. In the past, Zhao Jiaoxuan, courtesy name Jixiu, came to serve as the magistrate of Longquan. Traveling at full speed, he suffered from Bi Nu (epistaxis/nosebleed), losing several sheng of blood daily at sunrise. My elder brother instructed him to take Ou Zhi Dihuang Gao (Lotus Root Juice and Rehmannia Paste). Zhao asked other doctors, who claimed it was a forbidden remedy. He changed doctors multiple times without effect. My elder brother secretly provided the juice, and after three days, the illness resolved. My brother said, "This is the prescription previously offered." Zhao exclaimed in amazement, "If not for the doctor's deceptive tactics confusing me, had I believed this prescription earlier, how could I have suffered so long?" Now, based on formulas that have proven effective repeatedly and should not be changed: for vomiting due to Heat Toxin rushing to the Heart, use Nituo San (Internal Support Powder, also known as Wanquan San); for vomiting due to Spleen-Stomach deficiency, use Jiahe San; for Heat Toxin swelling and pain, use Maifan Shigao; for Yin deficiency causing thirst, use Jiawei Bawei Wan (Modified Eight-Ingredient Pill). These four formulas were often obscured by physicians, preventing their use. Deeply pitying the suffering of patients, I cite Mr. Zhao's case as an example.
I privately believe that a "formula" implies imitation—imitating the cause of disease to create a prescription. It does not mean the *Neijing* lacks formulas. If one rigidly adheres to ancient formulas to treat modern diseases, it is like dismantling an old house to build a new one; the dimensions would hardly fit without a carpenter's skill. Even if they fit, claiming them as unchangeable eternal formulas suggests they are divine arts for universal salvation by the former kings, why keep them secret or private? I observed Master Taiwu treating a monk from Southern Yunnan who traveled far through Jiangsu and Zhejiang, falling ill from homesickness. Master Taiwu provided food and medicine, and gifted a yi (twenty taels) of gold to fund his return. This is naturally what our medical profession should do. Today's physicians are either stuck in the past, stingy with secrets, or greedy for profit, offending moral principles greatly.
Shenxian Zhuidu Wan (Immortal Poison-Chasing Pill, also known as Shenghou Dan, Yushu Dan, Jiedu Dan, Wanbing Wan, Zijin Ding.)
Indications are listed below.
Wenge (i.e., Wu Beizi/Galla Chinensis, crushed, washed, dried, and powdered, 3 qian) Shancigu (Colchicum autumnale, peeled, cleaned, and powdered, 2 liang) Shexiang (Musk, 3 qian, ground separately) Qianjinzijie (Semen Crotonis Tiglii, also known as Xuisui Zi, husked, ground, oil removed to leave the residue/paste, 1 liang) Hongya Daji (Euphorbia pekinensis, rhizome removed, dried, and powdered, 1.5 liang)
Mix the above with thick rice gruel to form pills, divided into forty grains. Take one pill per dose, ground with well water or Mint Decoction. Stop with congee after one or two bowel movements. Prepare during Dragon Boat Festival, Qixi, Double Ninth, or auspicious days (Tiande/Yuede). Must be prepared in a clean room with incense burned. Efficacy cannot be fully described. Everyone should carry this medicine. In the valleys of Liangguang, there is a grass called Humeng or Duanchang (Heartbreak). Some contract snake venom and develop malignant tumors called Niannian Yao (Year-Fixing Medicine). An adulteress favored by a northern man placed poison in her food before parting, warning him, "You must come at a specific time." If he arrived on time, she would provide an antidote; if he missed the date, he would die. Hence, Year-Fixing Medicine. Taking one pill of the aforementioned medicine cures the condition. Once, a woman suffered from chronic consumption (Laozai) eaten by corpse-worms. She took one pill, vomited and defecated many small worms, then took Suhexiang Wan (Styrax Pill) and recovered. For toxins from mushrooms, arsenic, dead cattle/horses, river fish, epidemic fevers, mountain miasma, throat closure/wind, hanging, drowning, or blunt trauma, if the heart is still slightly warm and less than one night has passed, grinding one pill with Ginger-Honey Water and administering it restores consciousness. For carbuncles, ulcers, burns, snake/insect/dog/beast bites, grind with flowing eastward water for topical application and ingestion. For mania, ghost qi, or ghost pregnancy, grind with warm wine. All are effective. In my opinion, this medicine truly has miraculous effects for accumulated toxins, poisoning, and deep-rooted entanglement by toxic insects. However, for diseases arising internally, one must carefully assess deficiency and excess before use.
Zhuan Du San (Transform-Toxin Powder)
Treats all carbuncles and sores, promoting the expulsion of the toxin root to prevent progression.
Cheshi (Tridacna gigas, purple-backed and thick ones are best, fixed with salt mud, calcined until red, cleaned, and powdered, 1 liang) Qingfen (Calomel, 5 fen) Gancao (Licorice Root, 1 fen)
Take 4 qian per dose. Grind one Trichosanthes fruit (Gualou) finely, decoct in wine, and take at dawn (Wugeng). Continue until foul matter is expelled. If ineffective, repeat. Its efficacy surpasses Wuxiang Liaoqiao Tang. Use Wuxiang Liaoqiao Tang for slow cases, and Shenxian Jie Fa (Immortal Interception Method) for urgent cases.
My commentary: The previous two formulas are suitable only when toxins are accumulated internally and Yuan Qi is not deficient. Careful assessment is necessary.
Sun Simiao's Single Boiled Dahuang Tang (Rhubarb Decoction)
Disperses heat and extracts toxins, treating constipation due to internal accumulation of Heat Toxin.
Jinwen Dahuang (Rhubarb Radix et Rhizoma, soaked in wine and peeled)
Decoct in water and take. This is a crucial method for rapid purgation.
My commentary: The previous formula is a cold-cooling detoxifying agent. Assess Yuan Qi deficiency/excess and whether the syndrome is interior or exterior before use.
Attached Case Records
Brother of Commissioner Shen Tianyi suffered from a back carbuncle. Pulse was deep and excess. Swelling was hard and numb, with constipation. This indicated toxin accumulation internally. Used Dahuang and Baizhi, named Wanquan San. After one dose, stasis was expelled, and the sore instantly subsided.
Official Kuang suffered from a boil nearing cure but had constipation. After taking Dahuang and other drugs, he lost his appetite. I used Qi and Blood tonics plus Taoren and Mahong, without effect. Then inserted pig bile deeply into the rectum, followed by nourishing Qi and Blood, resulting in recovery.
Shenxian Jie Fa (Immortal Interception Method)
Treats carbuncles, back infections, and all malignant sores. Taken prophylactically to prevent toxin penetration inward.
Zhen Mayou (True Sesame Oil, 1 jin, boiled in silver/copper vessel for ten boils, cooled)
Take 2 bowls of wine mixed with 5 cups of oil, drink hot through the mouth. Consume within one day, or spread over several days for slower cases. Wu Anshi said, "My family has used it for three generations without failure." Hunters also say that for poisoned arrow wounds, drinking sesame oil quickly eliminates the poison. Zheng Xueyu Defu used it repeatedly with great success.
My commentary: Sesame oil directs downward Heat Toxin from the Triple Burner and unblocks stagnation in the Large and Small Intestines. For early-stage sores with internal toxin accumulation and constipation, using it to unblock the toxin is indeed a good method. However, if stools are loose or there is Empty Heat in the Triple Burner, it is unsuitable. Users must assess carefully.
Secretly Transmitted Liaoqiao Tang
Liaoqiao Forsythiae Fructus Shengma Cimicifugae Rhizoma Poxiao Natrii Sulfas Xuanshen Scrophulariae Radix Shaoyao Paeoniae Radix Baijian Akebiae Caulis Fangfeng Saposhnikoviae Radix Sheye Belamcandae Rhizoma Dahuang Rheum Radix et Rhizoma Gancao Glycyrrhizae Radix et Rhizoma Xingren Prunus Semen (each 1 liang except Sheye, Shaoyao, Baijian, Fangfeng, Sheye at 8 fen; Dahuang at 1.2 liang; Gancao honey-fried at 5 qian; Xingren 80 seeds, peeled, tip removed, stir-fried with flour until yellow, ground separately)
Take 4 qian per dose, decoct in water. After expelling foul matter, take Nituo San or similar.
Loulu Tang
Loulu Rhapontici Radix Baiji Bletillae Rhizoma Huangqin Scutellariae Radix Mahuang Ephedrae Herba (nodes removed) Baiwei Cynanchi Atrati Radix Zhike Aurantii Fructus Immaturus (stir-fried with bran) Shengma Paeoniae Radix Alba Fencao Glycyrrhizae Radix et Rhizoma (honey-fried, each 2 liang) Dahuang Rheum Radix et Rhizoma (honey-fried, 3 liang)
Take 4 qian per dose, decoct in water. Stop when bowels loosen. Increase dosage if real heat and constipation are present.
Qianjin Loulu Tang
Loulu Rhapontici Radix Huangqin Scutellariae Radix Baijian Akebiae Caulis Liaoqiao Forsythiae Fructus Zhike Aurantii Fructus Immaturus (pith removed, stir-fried with bran) Shengma Cimicifugae Rhizoma Fencao Glycyrrhizae Radix et Rhizoma Mahuang Ephedrae Herba (nodes removed) Dahuang Rheum Radix et Rhizoma (wrapped in wet paper and baked) Poxiao Natrii Sulfas (each 1 liang)
Take 5 qian per dose, decoct with ginger water. Strain and take on an empty stomach. Expulsion of foul matter is ideal.
My commentary: These three formulas are exterior-releasing, interior-purgative, Qi-moving, and detoxifying agents. They were likely used at the time according to specific syndromes.
Liuli Cheshi San (Six-Ingredient Tridacna Powder)
Cheshi Tridacna Gigas (four shells, fixed with yellow mud and calcined) Dengxin Junci Medulla Gancao Jie Glycyrrhizae Radix et Rhizoma (2 qian) Gualou Trichosanthis Fructus (one fruit, crushed)
Decoct two cups of wine to reduce to 80%. Add one spoon of honey, 2 qian of Cheshi powder, and a little Nifen (Calomel). Take on an empty stomach. Expulsion of evil blood is ideal.
My commentary: The previous formula is suitable for sores with internal toxin accumulation, constipation, and sufficient Yuan Qi.
Zhitong Lingbao San (Pain-Relieving Spiritual Treasure Powder)
Guixiyao (Ficus pumila stem/leaf, growing on shady bamboo fences or stone banks near Parthenocissus, vines soft and thin with opposite triangular leaves, 1 liang cleaned and dried) Zaojiaoci Spina Gleditsiae Sinensis Guazhou Trichosanthis Fructus (large one, crushed and stir-fried, use kernel) Gancao Jie Glycyrrhizae Radix et Rhizoma (5 fen) Moyo Myrrha Ming Ruxiang Olibanum (each 3 qian, ground separately)
Take 1 liang per dose, decoct with half water and half wine.
My commentary: The previous formula treats pain caused by aggregation of toxin vapor in swelling sores. Use with caution after ulceration. Guixiyao is also known as Biluo or Luoshi (Parthenocissus tricuspidata).
Shenxiao Mahong Wan (Spiritually Effective Hemp Seed Pill)
Huomaren Cannabis Fructus (finely ground) Dahuang Rheum Radix et Rhizoma (baked, 3 qian) Renshen Ginseng Radix et Rhizoma (2 qian) Hezi Terminalia Chebula Retusa Fruit (baked flesh, 1 liang)
Grind into powder, mix with Huomaren and refined honey to form pills the size of paulownia seeds. Take 30 pills per dose with boiling water.
My commentary: The previous formula moistens dryness in the Large Intestine. It should not be used for those with depleted blood and fluids. Even with Renshen and Hezi, reliance is difficult.
Qingxin Neigu Jinfen San (Clear-Heart Internal-Solidifying Gold-Dust Powder, also known as Jinhua San)
Chensha Cinnabaris (ground separately) Baifuling Poria Cum Mycelium Renshen Ginseng Radix et Rhizoma Gancao Glycyrrhizae Radix et Rhizoma (each 3 qian) Lvdou Vigna Angularis Seed (4 liang) Xionghuang Realgar (1 qian) Poxiao Natrii Sulfas (ground separately) Doukourén Amomi Fructus Rotundus (each 5 qian) Naobing Borneolum Syntheticum Shexiang Moschus (ground separately, each 1 qian)
Grind into powder. Take 1.5 qian per dose, mixed with honey water.
My commentary: The previous formula is usable if there is heat-toxin swelling and pain with normal appetite.
Zhuti Tang (Pig Trotter Decoction)
Treats all ulcers, clears heat-toxin, removes necrotic tissue, and resolves foulness. Highly effective.
Baizhi Angelicae Dahuricae Radix Gancao Glycyrrhizae Radix et Rhizoma Qianghuo Notopterygii Rhizoma et Radix Lufengfang Vespa Nidus (with bees inside) Chishaoyao Paeoniae Radix Rubra Danggui Angelicae Sinensis Radix (equal parts)
First, boil two pig trotters in five bowls of water to extract clear broth. Add 3-5 liang of the above herbs, boil briefly, strain, and wash the affected area.
Xiyao Shenxiao San (Washing Spiritually Effective Powder)
Shechuangzi Cnidii Fructus (2 liang) Poxiao Natrii Sulfas (1 liang)
Use 5 qian per dose, decoct in two bowls of water for a few boils. Wash clean, dry, and apply subsequent powders.
Shengxiao San (Holy Effect Powder)
Huangbai Phellodendri Cortex (charred black) Chuanshanji Pangolin Scale (stir-fried yellow, 1 liang) Binglang Arecae Semen Muxiang Aucklandiae Radix Jineijin Gallus Gallus Gigerium Endothelium Corneum (two pieces)
Grind into powder. Apply a small amount inside the wound 5-7 times daily for effect.
My commentary: The previous formula should be used only when toxin vapor is exhausted; otherwise, it may aggravate evil. Using Danggui Gao (Angelica Ointment) is better.
Shenmi Xianmai San (Divine Mystery Collapsing-Vessel Powder)
Huangqi Astragali Radix Renshen Ginseng Radix et Rhizoma Chuanxiong Ligustici Chuanxiong Rhizoma Danggui Angelicae Sinensis Radix (wine-washed) Chishaoyao Paeoniae Radix Rubra Fencao Glycyrrhizae Radix et Rhizoma Digupi Lycii Cortex Wujia皮 Acanthopanacis Cortex Rendongye Lonicerae Japonicae Folium Juhong Citri Reticulatae Pericarpium Rubrum (each 1 liang) Ruxiang Olibanum Moyho Myrrha (each 5 qian)
Take 5-7 qian per dose, decoct with half water and half wine. Take continuously for 5-7 doses. Highly effective.
My commentary: The previous formula supports the interior, detoxifies, moves Qi, and breaks blood stasis. Its tonifying effect is actually minimal.
Qizhuma Jiu Fa Tu (Bamboo-Riding Moxibustion Method Diagram) Chenxi Tang (Chenxi Decoction)
Nituo San (Internal Support Powder) Wuxiang Tang (Five-Spice Decoction)
Wuxiang Liaoqiao Tang (Five-Spice Forsythia Decoction) Loulu Tang (Rhaphontic Decoction)
Zhamu Yin (Oak Wood Drink) Guolao Gao (Old Man's Paste)
Ejiao Yin (Donkey-Hide Gelatin Drink) Wanjin San (Ten-Thousand-Gold Powder)
Niu Jiao Yin (Ox-Horn Gelatin Drink) Yuanzhi Jiu (Polygala Wine)
Huangfan Wan (Yellow Alum Pill) Above formulas see upper volume.