李氏云∶疽疾将安，每日当服十全大补汤，以补气血，宜与排脓内补十宣散相间服。
愚按∶前云溃疡属气血俱虚，固在所当补；若患肿疡而气血虚弱者，尤宜预补，否则虽
溃而不敛矣。凡大病之后，气血未复，多致再发；若不调补，必变为他症而危。成误以为疮
毒复发，反行攻伐，速其不起，深可为戒也（详见附录用药关键）。
李氏云∶凡患疮疽而肾脉虚者，急服补药。尚恐有误，如鹿茸、附子之药，是犹抱薪救
火，反益其势，而平补之药，亦难奏功。有一贵人，苦疽，诸药无效。愚谓服山药丸，于五
更初，物欲未接之际，肾门未开之时，如法服三日，脉症平复。若肾经沉寒痼冷，鹿茸、附
子之药，斯可用矣。
愚按∶前方诚有回生之功，治法见前论。
加味十全汤 治痈疽溃后，补气血，进饮食。
人参 黄 （盐水炒） 熟地黄（自制） 当归身（酒洗） 茯苓（各一钱） 川芎（七分）
粉草（五分） 桂心（三分） 橘红（一钱） 乌药（五分） 白芍药（一钱） 白术（炒一钱五分）
五味子（五分）
上水煎服。
愚按∶前方若肿疡溃疡、气血虚弱者，用之有效。更审经络时令尤善。
人参内补散
芍药（炒） 黄芩（炒） 茯苓（各一两） 粉草（炙一两） 桂心 人参（各一两） 麦门冬
当归（酒浸炒） 熟地黄（自制） 木香（各二两）
上每服五钱，姜枣水煎。
愚按∶前方若气血虚弱，固宜用之，但黄芩泻肺，麦门寒中，木香行气，须有是病而后
用是药可也。
神效托里散 治一切痈疽发背肠痈。
忍冬叶 黄 （盐水炙） 当归（各五钱） 粉草（二钱）
上酒煎服， 敷患处。
愚按∶前方乃托里消毒之良剂也。若欲发表攻里，各有主方。
排脓内补十宣散 （一名十奇散，一名内补散，治疮伤未成速散，已成速溃，脓毒自去，
其效如神。）
人参 当归 粉甘草（炒） 川芎 黄 （盐水炒各二两） 防风 浓朴（姜制） 桔梗（焙各
一两） 香白芷（五钱） 官桂（三钱）
上为末，每服三钱，无灰酒下。日夜数服，愈后再服，以杜后患。木香汤亦可。
愚按∶前症若阳气阴弱，风寒郁滞，而不能溃散，宜用此方。若热毒壅结而不能溃散，
宜用托里消毒散。若气血虚弱而不能溃散，宜用参 托里散。
李氏说：疽病即将痊愈时，每天应当服用十全大补汤，以补益气血，适宜与排脓内补十宣散交替服用。
我按语：前文提到溃疡属于气血俱虚，本来就在应当补益的范围；如果患有肿疡而气血虚弱的人，尤其应当预先补益，否则即使溃破也不会愈合。凡是患过大病之后，气血尚未恢复，多会导致疾病复发；如果不进行调补，必定转变为其他病症而导致危险。有人误以为疮毒复发，反而使用攻伐之法，加速了病情恶化无法治愈，这深为值得警戒（详见附录用药关键）。
李氏说：凡是患疮疽且肾脉虚弱的人，急服补药。还担心有误，比如鹿茸、附子这类药物，就像是抱着柴草去救火，反而助长火势，而平和补益的药物，也难以奏效。有一位贵人，苦于疽病，各种药物都无效。我认为服用山药丸，在五更初，食物还未入口之际，肾门未开之时，依法服用三天，脉象和症状便平复正常。如果是肾经沉寒痼冷，鹿茸、附子这类药物，这才可以使用。
我按语：前面的方子确实有起死回生的功效，治法见前文论述。
加味十全汤 治疗痈疽溃破后，补益气血，增进饮食。
人参、黄芪（用盐水炒）、熟地黄（自制）、当归身（用酒洗）、茯苓（各一钱）、川芎（七分）、粉甘草（五分）、桂心（三分）、橘红（一钱）、乌药（五分）、白芍药（一钱）、白术（炒一钱五分）、五味子（五分）。
以上用水煎服。
我按语：前面的方子如果用于肿疡或溃疡、气血虚弱者，使用有效。再仔细辨别经络和时令则更好。
人参内补散
芍药（炒）、黄芩（炒）、茯苓（各一两）、粉甘草（炙一两）、桂心、人参（各一两）、麦门冬、当归（用酒浸炒）、熟地黄（自制）、木香（各二两）。
以上每次服用五钱，用姜枣水煎服。
我按语：前面的方子如果用于气血虚弱，固然适宜使用，但黄芩泻肺，麦门冬寒中，木香行气，必须有相应的病症然后才使用相应的药物才行。
神效托里散 治疗一切痈疽发背肠痈。
忍冬叶、黄芪（用盐水炙）、当归（各五钱）、粉甘草（二钱）。
以上用酒煎服，并外敷患处。
我按语：前面的方子是托里消毒的良剂。如果想要发表攻里，各有主方。
排脓内补十宣散 （又名十奇散，又名内补散，治疗疮伤未成速散，已成速溃，脓毒自去，其效如神。）
人参、当归、粉甘草（炒）、川芎、黄芪（用盐水炒各二两）、防风、浓朴（姜制）、桔梗（焙各一两）、香白芷（五钱）、官桂（三钱）。
以上研为末，每次服用三钱，用无灰酒送下。日夜数次服用，痊愈后再服用，以杜绝后患。木香汤也可以。
我按语：前面的病症如果是阳气阴弱，风寒郁滞，而不能溃散，适宜使用此方。如果是热毒壅结而不能溃散，适宜使用托里消毒散。如果是气血虚弱而不能溃散，适宜使用参芪托里散。
Li stated: When a carbuncle (ju) is about to heal, one should take Shiquan Dabu Tang (Ten Complete Tonifying Decoction) daily to tonify Qi and Blood. It is advisable to alternate its administration with Painong Neibu Shixuan San (Decoction for Discharging Pus and Internal Tonification).
My commentary: As mentioned previously, ulcers belong to the category of deficiency of both Qi and Blood, so tonification is indeed indicated; however, in cases where swelling lesions (zhongyang) present with weak Qi and Blood, preemptive tonification is especially appropriate. Otherwise, even if the lesion ulcerates, it will not heal. After severe illnesses, when Qi and Blood have not yet recovered, recurrence is common; without regulation and tonification, the condition will likely transform into other critical syndromes. Some mistakenly attribute this to the recurrence of toxin from sores and instead use purgative methods, which accelerates the deterioration and prevents recovery; this is a profound warning (see Appendix on Key Points of Medication Use).
Li stated: For those suffering from sores or carbuncles with a deficient Kidney pulse, urgent administration of tonifying medicines is required. However, caution is needed; using herbs like Deer Antler Lu Rong (Cervum Cornu) or Aconite Fu Zi (Aconiti Lateralis Radix Praeparata) is akin to carrying firewood to save a fire, which only exacerbates the condition, while mild tonifying agents may also fail to produce results. There was a nobleman suffering bitterly from a carbuncle who found no relief from various medicines. I advised him to take Shanyao Wan (Dioscorea Pill). Administered according to method at the beginning of the fifth watch (5-7 AM), before food intake and before the "Kidney Gate" opens, taken for three days, his pulse and symptoms returned to normal. Only in cases of deep-seated cold and chronic chill in the Kidney Meridian are Deer Antler Lu Rong (Cervum Cornu) and Aconite Fu Zi (Aconiti Lateralis Radix Praeparata) applicable.
My commentary: The aforementioned formula indeed possesses the power to revive the dying; the treatment principles are discussed earlier.
Jiawei Shiquan Tang (Modified Ten Complete Tonifying Decoction): Treats post-ulceration of carbuncles and sores, tonifies Qi and Blood, and promotes appetite.
Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix stir-fried with salt water), Shu Di Huang (Prepared Rehmanniae Radix, homemade), Dang Gui Shen (Angelicae Sinensis Radix tip, washed with wine), Fu Ling (Poria, each 1 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 0.7 qian), Fen Cao (Licorice Root, 0.5 qian), Gui Xin (Cinnamomi Cortex, 0.3 qian), Ju Hong (Citri Reticulatae Pericarpium Rubrum, 1 qian), Wu Yao (Linderae Radix, 0.5 qian), Bai Shao Yao (Paeoniae Radix Alba, 1 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried 1.5 qian), Wu Wei Zi (Schisandrae Chinensis Fructus, 0.5 qian).
Decoct in water and take orally.
My commentary: The aforementioned formula is effective for swelling lesions or ulcers presenting with weak Qi and Blood. Further consideration of meridians and seasonal timing yields better results.
Renshen Neibu San (Ginseng Internal Tonification Powder)
Bai Shao Yao (Paeoniae Radix Alba, stir-fried), Huang Qin (Scutellariae Radix, stir-fried), Fu Ling (Poria, each 1 liang), Fen Cao (Licorice Root, honey-roasted 1 liang), Gui Xin (Cinnamomi Cortex), Ren Shen (Ginseng Radix, each 1 liang), Mai Men Dong (Ophiopogonis Tuber), Dang Gui (Angelicae Sinensis Radix, soaked in wine and stir-fried), Shu Di Huang (Prepared Rehmanniae Radix, homemade), Mu Xiang (Aucklandiae Radix, each 2 liang).
Take 5 qian per dose, decoct with fresh ginger and jujube in water.
My commentary: The aforementioned formula is suitable for Qi and Blood deficiency. However, since Huang Qin (Scutellariae Radix) drains Lung heat, Mai Men Dong (Ophiopogonis Tuber) is cooling to the Middle Jiao, and Mu Xiang (Aucklandiae Radix) moves Qi, these herbs should only be used when corresponding pathologies exist.
Shenxiao Tuoli San (Miraculous Interior-Supporting Powder): Treats all types of carbuncles, back carbuncles, and intestinal abscesses.
Jin Yin Ye (Lonicerae Japonicae Folium), Huang Qi (Astragali Radix, stir-fried with salt water), Dang Gui (Angelicae Sinensis Radix, each 5 qian), Fen Cao (Licorice Root, 2 qian).
Decoct in wine for oral administration, and apply externally to the affected area.
My commentary: The aforementioned formula is an excellent agent for supporting the interior and dispelling toxins. If exterior-releasing or interior-purgative treatments are desired, there are specific primary formulas for each.
Paionong Neibu Shixuan San (Decoction for Discharging Pus and Internal Tonification, also known as Shiqi San or Neibu San): Treats sores that have not yet formed pus (disperses quickly) or have already formed pus (promotes rapid ulceration), allowing pus and toxins to exit naturally, with miraculous efficacy.
Ren Shen (Ginseng Radix), Dang Gui (Angelicae Sinensis Radix), Fen Gan Cao (Licorice Root, stir-fried), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Huang Qi (Astragali Radix, stir-fried with salt water, each 2 liang), Fang Feng (Saposhnikoviae Radix), Hou Po (Magnoliae Officinalis Cortex, processed with ginger), Jie Geng (Platycodonis Radix, baked, each 1 liang), Xiang Bai Zhi (Angelicae Dahuricae Radix, 5 qian), Guan Gui (Cinnamomi Cortex, 3 qian).
Grind into powder. Take 3 qian per dose, administered with pure wine (without ash). Take several times day and night. Continue taking after recovery to prevent recurrence. Muxiang Tang (Aucklandiae Decoction) can also be used.
My commentary: For conditions characterized by weak Yang and Yin, with stagnation due to Wind-Cold preventing ulceration, this formula is appropriate. For conditions where Heat-Toxin accumulation prevents ulceration, Tuoli Xiaodu San (Interior-Supporting and Toxin-Dispersing Powder) is appropriate. For conditions where weak Qi and Blood prevent ulceration, Shenqi Tuoli San (Ginseng and Astragalus Interior-Supporting Powder) is appropriate.