凡患色红疼痛，根盘寸余者痈也。毒发三、四日，尚未成脓，以抑阳散（通用五十七。）
围患外，内以醒消丸（通用四十七。）热陈酒送服三钱，其痛即止，夜间得睡，次日患皮起皱，再
一服全消。如过四、五日，患将作脓，亦以醒消丸与服，消其四围肿硬，痛息毒散，此以大
变小之法。有脓之患，顶取咬头膏（通用六十一。）贴，加以代刀散（通用三十九。）三钱，酒
服穿之，或以针刺分许穿之，以洞天膏（通用七十六。）贴，不几日收功。如患盘数寸者，或
居背心、脑后、腰肚、胸、腋、阴囊等险穴处，则用五通丸（通用五十。）三钱，醒消丸三钱
，早晚以败毒汤（通用二。）轮服，皮皱痛止，再服至愈。倘溃，即用内托散（通用三十八。）
醒消丸，亦早晚轮服。
一、初起兼发热恶寒，肢体拘急者，散消饮（通用十一。）主之。待表证退，再按前
法治之。
一、溃后忽见恶寒发热等表证者，托邪饮（通用十二。）主之，待表退，按前治法。
一、大便干燥秘涩，虽数日不解，宜润之，不可下也，润肠煎（通用十三。）主之。如有
表证，只宜解表，表解而里自通，设仍不通，投以润肠煎。
一、大痈不论已溃未溃，但发热而不恶寒者，此热胜血也，败毒汤加四物汤（通用二
十三。）主之。
一、妊妇患痈，不可与醒消丸，以丸内有麝香故也，宜以仙方活命饮（通用一。）去山甲
愈之。如即溃余毒未尽，肿硬不消，治以内托散，去川芎加乳香、没药。
一、醒消丸内麝香价贵，如有家贫不能服者，以仙方活命饮代之，然不及醒消丸速效。
凡是患处颜色红赤、疼痛，且根部范围有一寸多宽的，就是痈。毒邪发作三到四天，脓液尚未形成时，用抑阳散（通用方第五十七号）围敷在患处外部，内部服用醒消丸（通用方第四十七号），用温热的陈年黄酒送服三钱，疼痛立刻停止，夜间能够入睡，第二天患处的皮肤起皱，再服用一次即可完全消散。如果过了四五天，患处即将化脓，也服用醒消丸，以消除四周的肿胀和硬结，使疼痛平息、毒邪消散，这是将大病变小的方法。对于已经有脓的患处，顶部贴咬头膏（通用方第六十一号），外加代刀散（通用方第三十九号）三钱，用酒送服以穿透排脓，或者用针刺少许深度穿透排脓，然后贴洞天膏（通用方第七十六号），不出几天就能痊愈。如果患处直径有几寸大，或者位于背心、脑后、腰部腹部、胸部、腋下、阴囊等危险穴位处，则服用五通丸（通用方第五十号）三钱，以及醒消丸三钱，早晚交替服用败毒汤（通用方第二号），直到皮肤起皱、疼痛停止，继续服用直至痊愈。如果已经溃破，立即使用内托散（通用方第三十八号）配合醒消丸，也是早晚交替服用。
第一，初起时兼有发热、恶寒、肢体拘急不舒的症状，由散消饮（通用方第十一号）主治。待表证消退后，再按照前面的方法治疗。
第二，溃破后突然又出现恶寒、发热等表证，由托邪饮（通用方第十二号）主治，待表证消退后，按前面的治法处理。
第三，大便干燥秘涩，虽然好几天不解，应当润肠通便，不可攻下，由润肠煎（通用方第十三号）主治。如果有表证，只宜解表，表证解除后里气自然通畅，如果仍然不通，再投用润肠煎。
第四，大痈不论是否已经溃破，只要发热而不恶寒，这是热邪胜过血分所致，由败毒汤加四物汤（通用方第二十三号）主治。
第五，孕妇患痈，不可服用醒消丸，因为丸药中含有麝香，适宜用仙方活命饮（通用方第一号）去掉穿山甲来治愈。如果已经溃破但余毒未尽，肿胀硬结不消，用内托散治疗，去掉川芎，加入乳香、没药。
Any lesion that is red, painful, and has a base diameter of approximately one cun constitutes a carbuncle (Yong). If the pathogenic toxin has manifested for three to four days but pus has not yet formed, apply Yi Yang San (Suppressing Yang Powder) externally around the lesion. Internally, administer Xing Xiao Wan (Awakening and Eliminating Pill) taken with warm, aged yellow wine, three qian per dose; this will immediately cease pain, allow sleep at night, and cause the skin of the lesion to wrinkle on the following day. A subsequent dose will lead to complete resolution. If four or five days have passed and the lesion is about to suppurate, Xing Xiao Wan should still be administered to reduce swelling and induration in the surrounding areas, thereby alleviating pain and dispersing toxicity; this method transforms a large lesion into a smaller one. For lesions containing pus, apply Yao Tou Gao (Bite-Head Paste) to the apex, and administer Dai Dao San (Knife-Replacement Powder), three qian, with wine to facilitate penetration. Alternatively, puncture slightly with a needle to drain, then apply Dong Tian Gao (Cave Heaven Paste); healing will occur within a few days. For lesions several inches in diameter, or those located in dangerous areas such as the back, nape of the neck, waist, abdomen, chest, axilla, or scrotum, administer Wu Tong Wan (Five-Passage Pill), three qian, and Xing Xiao Wan, three qian, alternating morning and evening with Bai Du Tang (Toxin-Resolving Decoction). Continue until the skin wrinkles and pain ceases, then continue administration until recovery. If the lesion has ulcerated, immediately use Nei Tuo San (Interior-Supporting Powder) combined with Xing Xiao Wan, also administered alternately morning and evening.
First, if early-stage symptoms include fever, aversion to cold, and limb stiffness, San Xiao Yin (Scattering and Eliminating Infusion) is indicated. After the exterior syndrome resolves, treat according to the aforementioned methods.
Second, if exterior symptoms such as aversion to cold and fever suddenly appear after ulceration, Tuo Xie Yin (Evil-Expelling Infusion) is indicated. After the exterior syndrome resolves, follow the previous treatment protocols.
Third, if stool is dry and constipated despite several days without passage, moisten the intestines rather than purging. Run Chang Jian (Intestine-Moistening Decoction) is indicated. If an exterior syndrome exists, only resolve the exterior; once the exterior is resolved, the interior will naturally become unobstructed. If obstruction persists, administer Run Chang Jian.
Fourth, for major carbuncles, whether ulcerated or not, if there is fever without aversion to cold, this indicates heat prevailing over blood. Bai Du Tang combined with Si Wu Tang (Four Substances Decoction) is indicated.
Fifth, pregnant women suffering from carbuncles must not take Xing Xiao Wan because it contains Moschus (She Xiang). Instead, cure them with Xian Fang Huo Ming Yin (Immortal Formula for Preserving Life) modified by removing Panax Notoginseng Radix et Rhizoma (Shan Jia). If the lesion has ulcerated but residual toxin remains, causing swelling and induration, treat with Nei Tuo San, removing Chuanxiong Rhizoma (Chuan Xiong) and adding Boswellia Carterii Resin (Ru Xiang) and Myrrha Resin (Mo Yao).
Sixth, Moschus in Xing Xiao Wan is expensive. For those too poor to afford it, Xian Fang Huo Ming Yin may be used as a substitute, although its efficacy is not as rapid as that of Xing Xiao Wan.