李氏云∶背疽之方虽多，得效者殊少，今择用验者录之，庶不致误人。如护心散，凡有
疽疾，早进数服，使毒瓦斯外出，而无呕吐之患。否则咽喉口舌生疮，或黑烂如菌。若疮发四
五日之后，宜间用别药治之。
愚按∶护心散乃解金石发疽之药，若发热 肿作渴，饮冷而呕者，宜用；若发热 肿作
渴，饮汤而呕者，不宜用。若脾虚停痰，或寒邪内侵，或痛伤脾胃，宜用六君子汤。若喉舌
生疮，或口干作渴，或小便频数，宜用六味丸。大凡诸疮作呕，若饮冷便秘，是热毒也，黄
连消毒散解之。饮冷便和，是胃火也，竹叶石膏汤清之。懒食饮汤，是胃虚也，补中益气汤
以补之。大便不实，喜饮热汤，是脾胃虚寒也，六君加炮姜以温之。常见脾胃虚弱者，用前
散反心间阴冷，无不致呕。其喉舌生疮，乃肾水枯涸，虚火炎上，其证甚恶，急用加减八味
丸，亦有得生者。
附治验
通府张廷仪，背患疽，作呕 痛，大便秘结，口干作渴，此内蕴热毒。用竹叶石膏汤二
剂，诸症顿退。用托里消毒散，四畔肿消。用仙方活命饮，疮亦寻愈。
上舍李通甫，腿患疮，作痛，少食作呕，恶寒。余以为痛伤胃气，用六君子汤加当归四
剂，疼痛少止，饮食加进。又以十宣散加白术、茯苓、陈皮数剂，脓成，针而出之。又以前
散去防风、白芷，数剂而痊。
举人边云衢，腋下患毒，呕逆不食，肠鸣切痛，四肢厥冷，脉沉而细。余谓中气不足，
寒邪内淫，用托里温中汤，一剂顿愈。更以香砂六君子治之。彼谓肿疡时呕，当作毒瓦斯攻心
治之，溃疡时呕，当作阴虚补之。余曰∶此丹溪大概之言也，即诸痛痒疮皆属心火之意。假
如赤肿痛甚，烦躁脉实而呕，为有余，法当下之。肿硬不痛不溃，脉弱而呕，为不足，法当
补之。亦有痛伤胃气，或感寒邪秽气而作呕者，虽肿疡尤当助胃壮气。彼执不信，用攻伐之
药，病愈甚。复请诊，其脉微细而发热。余谓热而脉静，脱血脉实，汗后脉躁者，皆难治，
后果殁。
护心散
绿豆末（一两） 明乳香（研半两）
上煎生甘草汤调，时时与呷，使药常在膈间。
五香连翘汤
乳香 木香 沉香 丁香 连翘 射干 升麻 黄 木通 独活 桑寄生 甘草（各三分）
上水煎服。
愚按∶是方，说见前论。
凡痈疽，不可用生肌敛口之药，合用麦饭石膏，疮口自敛。或因毒药，或为刀割，重
者，兼服沉麝汤。
愚按∶前云凡疮不可用收口药者，恐毒瓦斯未尽，反助其恶。盖肌肉，脾之所主，但托里
健脾，则余毒自解，疮口自合。若毒发于外，气血无亏，麦饭石膏亦可倚仗。若元气亏损，
必当补助其脾，禁用刀针，说见第四十三。
沉麝汤
木香 麝香 沉香 藿香 乳香 连翘（各等分）
上每服二钱，水煎。
五香去大黄加人参黄 犀角汤
木香 沉香 乳丁香（各五钱） 粉草 人参（各四钱） 黄 （一两） 犀角末（二钱）
麝香（一钱）
上每服四钱，水煎。
漏芦汤
黄 甘草 连翘 沉香 漏芦（各五钱） 大黄（一两微炒）
上每服二钱，姜枣水煎。
愚按∶三方详见首论，其敛口之法，附见第三十三。
柞木饮子 治一切痈疽，未成自消，已成自溃，甚效。
干柞叶（四两） 萱草根 荷叶蒂 甘草节 地榆（各一两）
上每服五钱，水煎，一碗作二服，早晚进。
愚按∶荷叶蒂去恶血，萱草解毒，柞叶善祛逐，地榆、甘草节清血消毒。
阿胶饮子 治一切痈疽疖毒。
牛胶（锉蛤粉炒如珠） 粉草（各一两） 橘红（五钱）
上作三剂，水煎服。
牛胶饮 截治痈疽，毒不内攻，不传恶症，有益无损。
牛皮胶（用明者四两）
上用酒一碗，重汤煮化服，加酒至醉，不能饮，加白汤。
愚按∶二饮消毒，殊有良验。
神仙黄矾丸 服至一两以上，最止疼痛，不动脏腑。
白矾（一两明亮者研） 黄蜡（五钱黄色者溶开一方用七钱）
上丸桐子大，每服十丸，渐加至二十丸，熟水或温酒送下，未破内消，已破自合。如服
金石所致，更用矾末一两，徐以温酒送下。有人遍身生疮，其状如蛇头，服此即效，但日服
百粒，方能御毒，不致内攻。又治蛇咬，熔矾热滴伤处，痛即止，毒即出。
愚按∶前法果有良验，余常以白矾三钱为末，糊丸，以葱汤连进二服，其功尤速，故名
千金化毒汤。本用矾末，葱汤调下，因末难服，故作为丸。此药解金石，固脏腑，有益无
损，用力少而成功多。偏僻之处，不可不知。
国老膏 治一切痈疽，预服消肿逐毒，其功不能尽述。
粉草
上以河水浸二宿，揉取汁，砂器煎膏，服一二匙，无灰酒或白汤下，最解丹毒。
愚按∶前方诚为解毒之剂，但元气虚弱者，当深戒之。
万金散 治一切痈疽已溃未溃者。
栝蒌（一个杵细） 大甘草节（二钱） 没药（一钱研末）
上用酒二碗，煎一碗，去 ，入没药服。
愚按∶前散有消毒破血之功，无腐溃生肌之力。
远志酒 治一切痈疽，因忧怒气滞所致。
远志（米泔浸洗去土去心）
上为末，每服三钱，酒一盏调和澄清饮之， 敷患处。
愚按∶远志酒诚有解郁消毒之功，而无托里补益之效。
忍冬酒 治一切痈疽甚效，仍以麦饭、神异二膏敷贴。
忍冬藤（生取五两） 大甘草节（一两）
上用水二碗煎一碗，入无灰好酒一碗，再煎数沸去 ，分三服，一昼夜用尽，病重昼夜
两剂，至大小便通利为度。另用忍冬藤一把烂研，入酒少许，敷四围。
又水莲四十九片，去毛，研细，酒解温服，其功与忍冬草同。
又龙鳞薜荔一握，细研，以酒解汁温服，利恶物为妙。
\r第四图\p04-a45a4.bmp\r
红内消用水砂器煎熟，入酒与药相半，再煎数沸去 ，时时服之， 焙为末，酒糊丸桐
子大，每服三十丸，空心温酒下，为常服之，盖力轻故也。药产建昌者良。
愚按∶前三药，因其简易，解毒而用之，略无内托之功也。若毒既去而真气虚者，必须
补托，以收全功。
李氏说：治疗背疽的方剂虽然很多，但见效的却很少。现在挑选经过验证有效的记录下来，以免误人。比如护心散，凡是患有疽病的人，早期服用几剂，使毒邪向外发散，就不会出现呕吐的祸患。否则咽喉和口舌会长疮，或者黑烂像菌类一样。如果疮发出来四五天之后，应该间歇使用其他药物来治疗。
我按语：护心散是解除金石类药物引发的疽病的药物。如果出现发热、肿胀、口渴，喝冷水却呕吐的情况，适宜使用；如果出现发热、肿胀、口渴，喝热汤却呕吐的情况，不适宜使用。如果是脾虚导致痰湿停滞，或者寒邪侵入体内，或者因疼痛损伤了脾胃，适宜使用六君子汤。如果咽喉和舌头长疮，或者口干口渴，或者小便频繁，适宜使用六味丸。大凡各种疮疡出现呕吐，如果喝冷水且大便便秘，这是热毒，用黄连消毒散来解除。如果喝冷水但大便正常，这是胃火，用竹叶石膏汤来清解。如果懒得进食喝热汤，这是胃虚，用补中益气汤来补益。如果大便不成形，喜欢喝热汤，这是脾胃虚寒，用六君子汤加炮姜来温补。常见脾胃虚弱的人，使用前文提到的护心散反而会导致心间阴冷，没有不引起呕吐的。那些咽喉舌头长疮的情况，是由于肾水枯竭，虚火上炎，病情很严重，急需使用加减八味丸，也有因此得救的。
附治验案例
通府张廷仪，背部患疽，呕吐疼痛，大便秘结，口干口渴，这是体内蕴藏热毒。用了两剂竹叶石膏汤，所有症状立刻消退。用了托里消毒散，四周的肿胀消退。用了仙方活命饮，疮疡也很快痊愈。
上舍李通甫，腿部患疮，疼痛，吃得少就呕吐，怕冷。我认为这是疼痛损伤了胃气，用了六君子汤加当归，服四剂后，疼痛稍微停止，饮食增加。又用十宣散加白术、茯苓，服数剂后，脓液形成，针刺排脓。然后又用前药去掉防风、白芷，服数剂后痊愈。
举人边云衢，腋下患毒，呕吐逆气不能进食，肠鸣剧烈疼痛，四肢冰冷，脉象沉而细。我认为这是中气不足，寒邪内侵，用了托里温中汤，一剂就立刻痊愈。随后用香砂六君子汤调理。那人说肿疡时期的呕吐，应当当作毒瓦斯攻心来治，溃疡时期的呕吐，应当当作阴虚来补。我说：这是朱丹溪的大概说法，即“诸痛痒疮皆属于心火”的意思。假如红肿疼痛厉害，烦躁，脉实且呕吐，属于有余（实证），法度上应当泻下。假如肿胀坚硬不痛且不溃破，脉弱且呕吐，属于不足（虚证），法度上应当补益。也有因疼痛损伤胃气，或感受寒邪秽气而导致呕吐的，即使是肿疡时期也应当助胃壮气。那人固执不信，用了攻伐的药物，病情更加严重。再次请我诊治，他的脉微细且发热。我说：发热而脉静，脱血而脉实，发汗后脉躁动的，都难治，后来果然死亡。
护心散
绿豆末（一两） 明乳香（研成半两）
以上煎煮生甘草汤调服，时时让患者呷饮，使药物常停留在膈间。
五香连翘汤
乳香 木香 沉香 丁香 连翘 射干 升麻 黄芩 木通 独活 桑寄生 甘草（各三分）
以上用水煎服。
我按语：这个方子，说法见前面的论述。
凡是痈疽，不可使用生肌敛口的药物，应当合用麦饭石膏，疮口自然会收敛。或者因为毒药，或者被刀割伤，严重的，兼服沉麝汤。
我按语：前面说凡是疮疡不可用收口药，是担心毒邪未尽，反而助长其恶毒。肌肉是由脾所主，只要托里健脾，余毒自然解除，疮口自然愈合。如果毒邪发于外部，气血没有亏损，麦饭石膏也可以依靠。如果元气亏损，必须补助脾脏，禁用刀针，说法见第四十三篇。
沉麝汤
木香 麝香 沉香 藿香 乳香 连翘（各等分）
以上每次服用二钱，用水煎服。
五香去大黄加人参黄芪犀角汤
木香 沉香 乳香 丁香（各五钱） 粉草 人参（各四钱） 黄芪（一两） 犀角末（二钱） 麝香（一钱）
以上每次服用四钱，用水煎服。
漏芦汤
黄芪 甘草 连翘 沉香 漏芦（各五钱） 大黄（一两微炒）
以上每次服用二钱，用姜枣水煎服。
我按语：这三个方子详见首论，其敛口的方法，附见于第三十三篇。
柞木饮子 治疗一切痈疽，未形成的自行消散，已形成的自行溃破，非常有效。
干柞叶（四两） 萱草根 荷叶蒂 甘草节 地榆（各一两）
以上每次服用五钱，用水煎服，一碗分成两次服用，早晚进服。
我按语：荷叶蒂去除恶血，萱草解毒，柞叶善于祛逐毒邪，地榆、甘草节清血消毒。
阿胶饮子 治疗一切痈疽疖毒。
牛胶（锉碎后用蛤粉炒如珠状） 粉草（各一两） 橘红（五钱）
以上做成三剂，用水煎服。
牛胶饮 截断治疗痈疽，防止毒邪内攻，不传变为恶症，有益无损。
牛皮胶（选用透明的四两）
以上用酒一碗，隔水加热煮化后服用，加酒至醉，如果不能饮酒，加白水。
我按语：这两个饮子消毒，确实有极好的疗效。
神仙黄矾丸 服用到一两以上，最能止痛，不损伤脏腑。
白矾（一两明亮者研细） 黄蜡（五钱黄色者溶开，一方用七钱）
以上制成梧桐子大小的丸药，每次服用十丸，逐渐增加到二十丸，用熟水或温酒送下，未破溃的内部消散，已破溃的自然愈合。如果是服用金石类药物引起的，再用矾末一两，慢慢用温酒送下。有人遍身生疮，形状像蛇头，服用此药即见效，但每天服用百粒，才能抵御毒邪，不致内攻。又治疗蛇咬伤，熔化矾热滴在伤口处，疼痛立即停止，毒邪立即排出。
我按语：前面的方法果然有良效，我经常用白矾三钱为末，糊丸，用葱汤连续服用两剂，功效尤其迅速，所以命名为千金化毒汤。原本是用矾末，葱汤调下，因为粉末难以下咽，所以做成丸药。此药解除金石毒性，固护脏腑，有益无损，用力少而成功多。偏僻的地方，不可不知道。
国老膏 治疗一切痈疽，预先服用可消肿逐毒，其功效不能尽述。
粉草
以上用河水浸泡两个晚上，揉取汁液，用砂锅煎成膏，服用一二匙，用无灰酒或白水送下，最解丹毒。
我按语：前面的方子确实是解毒之剂，但元气虚弱的人，应当深深戒忌。
万金散 治疗一切痈疽已溃或未溃者。
栝蒌（一个杵碎） 大甘草节（二钱） 没药（一钱研末）
以上用酒二碗，煎成一碗，去渣，加入没药服用。
远志酒 治疗一切痈疽，因忧怒气滞所致。
远志（米泔水浸洗去土去心）
以上为末，每次服用三钱，用一盏酒调和澄清后饮用，渣滓敷在患处。
忍冬酒 治疗一切痈疽非常有效，仍以麦饭、神异二膏敷贴。
忍冬藤（新鲜采摘五两） 大甘草节（一两）
以上用水二碗煎成一碗，加入无灰好酒一碗，再煎几沸去渣，分三次服用，一昼夜用完，病重的一昼夜两剂，直到大小便通利为止。另外用忍冬藤一把烂研，加入少许酒，敷在四周。
又有水莲四十九片，去毛，研细，用酒调和温服，其功效与忍冬草相同。
又有龙鳞薜荔一握，细研，用酒调和汁液温服，以利出恶物为妙。
第四图 p04-a45a.bmp
红内消用水砂器煎熟，加入酒与药各一半，再煎几沸去渣，时时服用，渣滓焙干为末，用酒糊丸成梧桐子大小，每次服用三十丸，空腹温酒送下，作为常服，因为药力轻的缘故。产自建昌的药较好。
Li stated: Although there are many prescriptions for treating back carbuncles (back abscesses), few are effective. I have now selected those that have been verified and recorded them, to avoid misleading people. For example, Huxin San (Heart-Protecting Powder): for any person suffering from carbuncle diseases, taking a few doses early on allows the toxic pathogenic factors to disperse outward, preventing the misfortune of vomiting. Otherwise, sores may appear in the throat and tongue, or they may turn black and rot like fungi. If the sore appears after four or five days, other medicines should be used intermittently for treatment.
My commentary: Huxin San is a medicine for resolving carbuncles caused by mineral drugs. It is suitable if there is fever, swelling, thirst, drinking cold water but vomiting; it is not suitable if there is fever, swelling, thirst, drinking hot water but vomiting. If it is due to Spleen deficiency with phlegm retention, or invasion of cold pathogens internally, or damage to the Spleen and Stomach caused by pain, Liujunzi Tang (Six Gentlemen Decoction) is suitable. If sores appear in the throat and tongue, or there is dry mouth and thirst, or frequent urination, Liuwei Wan (Six-Ingredient Pill with Rehmannia) is suitable. Generally, when various sores present with vomiting: if drinking cold water and constipation occur, this is heat toxicity, resolved by Huanglian Xiaodu San (Coptis Detoxification Powder); if drinking cold water but stool is normal, this is Stomach fire, cleared by Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction); if there is reluctance to eat and preference for hot drinks, this is Stomach deficiency, supplemented by Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction); if stool is unformed and there is a preference for hot drinks, this is Spleen and Stomach deficiency-cold, warmed by Liujunzi Tang plus Pao Jiang (Roasted Ginger). I often see that people with weak Spleen and Stomach, using the aforementioned powder, instead suffer from coldness in the heart region, leading inevitably to vomiting. Those cases where sores appear in the throat and tongue are due to exhaustion of Kidney Water with deficient fire flaming upward; the condition is very severe, requiring urgent use of Jiaban Bawei Wan (Modified Eight-Ingredient Pill), and some have survived.
Attached Treatment Cases
Zhang Tingyi, a Tongfu official, suffered from a back carbuncle, with vomiting, pain, constipation, dry mouth, and thirst. This indicated internal accumulation of heat toxicity. Two doses of Zhuye Shigao Tang were administered, and all symptoms subsided immediately. Tuoli Xiaodu San (Support the Interior and Detoxify Powder) was used, and swelling around the periphery subsided. Xianfang Huoming Yin (Immortal Formula for Life Preservation Decoction) was used, and the sore healed quickly.
Li Tongfu, a Shangshe scholar, suffered from a sore on his leg, with pain, reduced appetite leading to vomiting, and aversion to cold. I considered this to be damage to Stomach Qi caused by pain. Six doses of Liujunzi Tang plus Danggui (Angelicae Sinensis Radix) were given; pain decreased slightly, and food intake increased. Then, Shixuan San (Ten Acupoints Powder) plus Baizhu (Atractylodis Macrocephalae Rhizoma) and Fuling (Poria) was administered for several doses until pus formed, which was then drained via needle puncture. Subsequently, the previous formula minus Fangfeng (Saposhnikoviae Radix) and Baizhi (Angelicae Dahuricae Radix) was taken for several doses, resulting in recovery.
Bian Yunqu, a Juren degree holder, suffered from toxicity in the axilla, with retching, inability to eat, loud borborygmus with severe pain, cold limbs, and a deep, fine pulse. I diagnosed insufficient Middle Qi and internal invasion of cold pathogens. Tuoli Wenzhong Tang (Support the Interior and Warm the Middle Decoction) was administered, resulting in immediate recovery after one dose. He was then treated with Xiangsha Liujunzi Tang (Amomum and Aucklandia Six Gentlemen Decoction). The patient claimed that vomiting during the swelling stage should be treated as toxic factors attacking the Heart, and vomiting during the ulceration stage should be treated as Yin deficiency. I said: This is Danxi’s general statement, meaning "all pain, itching, and sores belong to Heart Fire." For instance, if redness, swelling, and severe pain accompany irritability, a full pulse, and vomiting, it is excess (Shi syndrome), and purgation is indicated. If swelling is hard, painless, non-ulcerated, accompanied by a weak pulse and vomiting, it is deficiency (Xu syndrome), and tonification is indicated. There are also cases where vomiting is caused by pain damaging Stomach Qi or by contracting cold pathogens and foul air; even in the swelling stage, strengthening the Stomach and Qi is necessary. The patient stubbornly refused to believe this, used attacking/draining medicines, and the condition worsened. Upon re-examination, his pulse was faint and fine, accompanied by fever. I said: Fever with a quiet pulse, blood loss with a full pulse, and agitation with a rapid pulse after sweating are all difficult to treat. He subsequently died.
Huxin San (Heart-Protecting Powder)
Lüdou Mo (Mung Bean Powder, 1 liang) Ming Ruxiang (Clear Frankincense, ground to 0.5 liang)
Boil Sheng Gancao (Raw Licorice Root) decoction to mix with the powder. Have the patient sip frequently, keeping the medicine constantly in the diaphragm area.
Wuxiang Liaoqiao Tang (Five-Aromatics and Forsythia Decoction)
Ruxiang (Frankincense) Muxiang (Aucklandia) Chenxiang (Agarwood) Dingxiang (Clove) Liaoqiao (Forsythia) Shegan (Belamcanda) Shengma (Cimicifuga) Huangqin (Scutellaria) Mutong (Akebia) Duhuo (Angelica Pubescens) Sangjisheng (Taxillus) Gancao (Licorice) (each 3 fen)
Decoct in water and take orally.
My commentary: Regarding this prescription, see the discussion in the preceding section.
For all carbuncles and ulcers, do not use medicines that generate flesh and close wounds. Instead, use Maifan Shi (Maifan Stone); the wound will close naturally. Or, if caused by toxic drugs or knife cuts, for severe cases, concurrently administer Chenxie Tang (Agarwood and Musk Decoction).
My commentary: Previously, it was stated that wound-closing medicines should not be used for all sores, fearing that if toxic factors are not fully expelled, they might exacerbate the malignancy. Flesh is governed by the Spleen; by supporting the interior and strengthening the Spleen, residual toxins will resolve naturally, and the wound will heal. If the toxin manifests externally and Qi and Blood are not depleted, Maifan Shi can be relied upon. If Yuanqi (Primary Qi) is damaged, the Spleen must be supplemented, and needles/knives are contraindicated; see Chapter 43.
Chenxie Tang (Agarwood and Musk Decoction)
Muxiang (Aucklandia) Shexiang (Musk) Chenxiang (Agarwood) Huoxiang (Patchouli) Ruxiang (Frankincense) Liaoqiao (Forsythia) (equal parts)
Take 2 qian each time, decoct in water.
Wuxiang Qu Dahuang Jia Renshen Huangqi Xijiao Tang (Five-Aromatics Formula without Rhubarb, Added Ginseng, Astragalus, and Rhino Horn Decoction)
Muxiang (Aucklandia) Chenxiang (Agarwood) Ruxiang (Frankincense) Dingxiang (Clove) (each 5 qian) Fencao (Refined Licorice) Renshen (Ginseng) (each 4 qian) Huangqi (Astragalus, 1 liang) Xijiao Mo (Rhino Horn Powder, 2 qian) Shexiang (Musk, 1 qian)
Take 4 qian each time, decoct in water.
Loulu Tang (Rhynchosia Decoction)
Huangqi (Astragalus) Gancao (Licorice) Liaoqiao (Forsythia) Chenxiang (Agarwood) Loulu (Rhynchosia) (each 5 qian) Dahuang (Rhubarb, 1 liang, lightly stir-fried)
Take 2 qian each time, decoct in water with fresh ginger and jujubes.
My commentary: These three formulas are detailed in the first chapter; their methods for closing wounds are attached to Chapter 33.
Zhamu Yinzi (Oak Wood Infusion) Treats all carbuncles and ulcers; unformed ones dissipate spontaneously, formed ones ulcerate spontaneously. Very effective.
Gan Zha Ye (Dried Oak Leaves, 4 liang) Xuancao Gen (Daylily Root) Heye Di (Lotus Leaf Stalk Base) Gancao Jie (Licorice Joint) Diyú (Sanguisorba) (each 1 liang)
Take 5 qian each time, decoct in water. Divide one bowl into two doses, taken morning and evening.
My commentary: Lotus leaf stalk base removes bad blood; daylily detoxifies; oak leaves effectively expel pathogens; Sanguisorba and licorice joints clear blood and detoxify.
E'jiao Yinzi (Donkey-Hide Gelatin Infusion) Treats all carbuncles, ulcers, and furuncles.
Niu Jiao (Donkey-Hide Gelatin, cut and stir-fried with Ge Fen [Clam Shell Powder] until pearl-like) Fencao (Refined Licorice) (each 1 liang) Juhong (Tangerine Peel, 5 qian)
Prepare as three doses, decoct in water and take.
Niu Jiao Yin (Donkey-Hide Gelatin Infusion) Intercepts the progression of carbuncles and ulcers, prevents internal attack of toxins, stops transmission to malignant conditions, beneficial without harm.
Niu Pi Jiao (Donkey-Hide Gelatin, transparent grade, 4 liang)
Heat one bowl of wine in a double boiler until the gelatin melts, then take. Add more wine until drunk; if unable to drink alcohol, add plain water.
My commentary: These two infusions for detoxification have proven highly effective.
Shenxian Huangfan Wan (Immortal Yellow Alum Pill) Taking over 1 liang most effectively stops pain without damaging the Zang-Fu organs.
Bai Fan (White Alum, 1 liang, bright quality, ground) Huang La (Yellow Beeswax, 5 qian yellow quality, melted; another source uses 7 qian)
Form pills the size of paulownia seeds. Take 10 pills initially, gradually increasing to 20 pills, swallowed with cooked water or warm wine. Unruptured lesions will dissolve internally; ruptured ones will heal naturally. If caused by mineral drug ingestion, take an additional 1 liang of alum powder, slowly swallowed with warm wine. Someone with widespread sores resembling snake heads found this effective, but required 100 pills daily to resist the toxin and prevent internal attack. It also treats snake bites: melt alum, apply hot drops to the wound; pain stops immediately, and toxin exits.
My commentary: The previous method indeed has good effects. I often use 3 qian of Bai Fan (White Alum) as powder, made into pills with paste, taken consecutively for two doses with Scallion Decoction, achieving particularly rapid results; hence named Qianjin Huadu Tang (Thousand-Gold Toxin-Resolving Decoction). Originally, alum powder was mixed with scallion water, but because powder is hard to swallow, it was made into pills. This medicine resolves mineral toxicity, stabilizes the Zang-Fu organs, is beneficial without harm, requires little effort but yields great success. It is essential knowledge for remote areas.
Guolao Gao (State Elder Paste) Treats all carbuncles and ulcers; pre-administration reduces swelling and expels toxins; its merits cannot be fully described.
Fencao (Refined Licorice)
Soak in river water for two nights, knead to extract juice, boil into paste in a clay pot. Take 1-2 spoons, washed down with non-grain wine or plain water. Most effective for resolving Dan Du (erysipelas/toxic heat).
My commentary: The previous formula is indeed a detoxifying agent, but those with weak Yuanqi (Primary Qi) should strictly avoid it.
Wanjīn San (Ten-Thousand-Gold Powder) Treats all carbuncles and ulcers, whether ulcerated or not.
Gualou (Trichosanthes Fruit, one fruit, crushed finely) Da Gancao Jie (Large Licorice Joint, 2 qian) Moyao (Myrrh, 1 qian, ground to powder)
Use two bowls of wine, decoct to one bowl, remove dregs, add Myrrh powder and take.
My commentary: The previous powder has the power to detoxify and break blood stasis, but lacks the power to putrefy necrotic tissue and generate flesh.
Yuanzhi Jiu (Polygala Wine) Treats all carbuncles and ulcers caused by worry, anger, and Qi stagnation.
Yuanzhi (Polygala Root, soaked in rice wash water, cleaned of soil and core removed)
Grind to powder. Take 3 qian each time, mix with one cup of wine, let settle, drink the clear liquid, and apply the dregs to the affected area.
My commentary: Yuanzhi Jiu indeed has the effect of resolving depression and detoxifying, but lacks the effect of supporting the interior and tonifying.
Rendong Jiu (Honeysuckle Vine Wine) Very effective for all carbuncles and ulcers; additionally apply Maifan Gao (Maifan Stone Paste) and Shenyi Gao (Miraculous Efficacy Paste).
Rendong Teng (Fresh Honeysuckle Vine, 5 liang) Da Gancao Jie (Large Licorice Joint, 1 liang)
Decoct two bowls of water to one bowl. Add one bowl of good non-grain wine, boil a few more times, remove dregs. Divide into three doses, consumed within 24 hours. For severe cases, two doses per day, until bowel and bladder movements are smooth. Additionally, take a handful of fresh Rendong Teng, mash thoroughly, add a little wine, and apply to the surrounding area.
Also, 49 pieces of Shuilian (Water Lotus/Nymphaea), remove hairs, grind finely, mix with wine, take warm. Its efficacy is the same as Rendong Cao (Honeysuckle Herb).
Also, one handful of Longlin Bili (Ficus pumila var. awkeotsang), grind finely, mix with wine, take juice warm. Promoting the discharge of evil substances is ideal.
[Image: Figure 4]
Hong Neixiao (Red Internal Resolution) Decoct in a water-sand vessel until ripe. Mix with wine equally with the medicine. Boil a few more times, remove dregs. Take frequently. Bake dregs into powder, form pills with wine paste to the size of paulownia seeds. Take 30 pills each time, with warm wine on an empty stomach, as a regular maintenance dose, because the potency is light. Medicine produced in Jianchang is superior.
My commentary: The previous three medicines are used for their simplicity and detoxifying properties, lacking any interior-supporting effect. If the toxin is gone but True Qi is deficient, tonification and support are necessary to achieve complete recovery.