夫痈内虚者。由体虚受寒。寒客于经络。血脉不涩。热气蕴积。结聚。或痈结热不散。
热气内迫于心。故心虚热。则惊不定也。
治痈内虚不定。脓水不绝。四肢乏弱。不能饮食。久不瘥。必为内漏。宜服黄 散
方。
黄 （一两锉） 山茱萸（半两） 五味子（半两） 白茯苓（三分） 当归（半两锉
碎微炒）
附子（一两炮裂去皮脐） 石斛（三分去皮） 地脉（半两） 远志〔二（一）两去心〕 巴
戟（一
两） 肉苁蓉（一两酒浸一宿锉去皱皮炙令干） 人参（三分去芦头） 菟丝子（半两酒浸
三日曝
干别捣为末） 麦门冬（一两去心） 石斛（半两去心） 白芍药（三分） 芎 （半两） 熟
干地
黄（一两） 甘草（三分炙微赤锉
上件药。捣细罗为散。每服。以荆芥汤调下二钱。日三四服。
治痈疽内虚不足。人参散方。
人参（一两去芦头） 黄 （二两锉） 甘草（半两炙微赤锉） 当归（半两锉碎微炒）
白芍
药（半两） 熟干地黄（二两） 白茯苓（一两） 桂心（半两） 枸杞子（一两） 白术
（一两）
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。枣三枚。
煎至六分。去滓。不计时候温服。
治痈疽发背发乳。大去脓血后。内虚少气。熟地黄散方。
熟干地黄（一两） 黄 （一两锉） 人参（一两去芦头） 当归（半两锉碎微炒） 芎
（二
两）
（一两去
心）
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
温服。日三四服。
治痈疽溃散。脓出太多。内虚少力。不食。宜服内补散方。
黄 （一两锉） 麦门冬（一两去心） 芎 （一两） 白茯苓（一两） 桂心（半两）
远志（
半
两）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。枣三枚。
煎至六分。去滓。不计时候温服。
治大疮热已退。脓血不止。疮中肉虚疼痛。防风散方。
防风（一两去芦头） 白茯苓（一两） 白芷（一两） 桔梗（一两去芦头） 远志（半
两去心）
甘草（半两炙微赤锉） 人参（一两去芦头） 芎 （一两） 当归（一两锉微炒） 黄
（一两
锉）
涂生姜汁
炙令
上件药。捣细罗为散。每服。以黄 汤调下二钱。日三四服。
治痈发背。脓血不止。内虚。宜服排脓生肌散方。
当归（半两锉微炒） 黄 （半两锉） 人参（一两去芦头） 芎 （半两） 浓朴（一
两去粗
皮涂生姜汁炙令香熟） 防风（半两去芦头） 白芷（半两） 桔梗（半两去芦头） 甘草
（半两炙
微赤
上件药。捣细罗为散。每服。以木香汤调下二钱。日三四服。
治痈。脓血至甚。不生肌肉。内补五香丸方。
沉香（一两） 薰陆香（一两） 木香（一两） 藿香（一两） 丁香（一两） 续断
（一两） 熟
干地黄（二两） 白芍
两半去粗
皮涂生姜汁炙令香熟）
两）
虎胫骨（二两涂酥炙令
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以黄 汤下三十丸。
治痈经年不瘥。脓血出过多不止。宜服补虚。肉苁蓉散方。
肉苁蓉〔一（二）两酒浸一宿刮去皱皮炙令干〕 干姜（半两炮裂锉） 地脉（三分） 菟
丝
子（三分酒浸三日曝干则别捣为末） 巴戟（一两） 远志（一两去心） 人参（一两去芦
头） 甘
草（一两炙微赤锉） 麦门冬（一两去心） 石苇（一两去心） 白芍药（一两） 桂心（一
两） 芎
（一两） 熟干地黄〔二（一）两〕 山茱萸（一两） 五味子（一两） 当归（一两锉
微炒） 附
子（半两炮裂去皮脐） 白
上件药。捣细罗为散。每于食前。以荆芥汤调下二钱。
凡是痈疽内部虚损的病症，是由于体质虚弱感受寒邪，寒气客居在经络之中，导致血脉运行不畅（注：原文“不涩”在此语境下结合“热气蕴积”及中医病机，通常指气血凝滞或运行受阻，此处依文意译为运行不畅/凝滞），热气蕴结积聚。或者痈疽局部热毒不散，热气向内逼迫心脏，导致心气虚而有热，从而出现心神惊悸不安的症状。
治疗痈疽内虚、心神不定、脓水淋漓不尽、四肢乏力软弱、无法进食、久治不愈，必然发展为内漏（指疮疡向体内深部溃烂）的病症，适宜服用黄芪散方。
黄芪（一两，锉碎）、山茱萸（半两）、五味子（半两）、白茯苓（三分）、当归（半两，锉碎后微炒）、附子（一两，炮裂，去皮脐）、石斛（三分，去皮）、地骨皮（半两，原文作“地脉”，据《太平圣惠方》常例及药性推测为地骨皮或地榆，此处保留原名并备注，通常指地骨皮）、远志（二两，去心）、巴戟天（一两）、肉苁蓉（一两，酒浸一夜，锉去皱皮，炙干）、人参（三分，去芦头）、菟丝子（半两，酒浸三日，晒干后另捣为末）、麦门冬（一两，去心）、石斛（半两，去心）、白芍药（三分）、川芎（半两）、熟干地黄（一两）、甘草（三分，炙至微赤，锉碎）。
以上药材，捣细过罗制成散剂。每次服用二钱，用荆芥汤调服，每日三到四次。
人参（一两，去芦头）、黄芪（二两，锉碎）、甘草（半两，炙至微赤，锉碎）、当归（半两，锉碎后微炒）、白芍药（半两）、熟干地黄（二两）、白茯苓（一两）、桂心（半两）、枸杞子（一两）、白术（一两）。
以上药材，捣筛制成散剂。每次服用四钱，用水一中盏，加入生姜半分、大枣三枚，煎煮至六分，去渣滓，不拘时候温服。
治疗痈疽发背、发乳，在大量排出脓血之后，出现内部虚损、气息短少的症状，适宜服用熟地黄散方。
熟干地黄（一两）、黄芪（一两，锉碎）、人参（一两，去芦头）、当归（半两，锉碎后微炒）、川芎（二两）、远志（一两，去心）。
以上药材，捣筛制成散剂。每次服用四钱，用水一中盏，加入生姜半分、大枣三枚，煎煮至六分，去渣滓，温服，每日三到四次。
治疗痈疽溃破扩散，脓液流出过多，导致内部虚损、力气不足、不能饮食的病症，适宜服用内补散方。
黄芪（一两，锉碎）、麦门冬（一两，去心）、川芎（一两）、白茯苓（一两）、桂心（半两）、远志（半两）。
以上药材，捣粗罗制成散剂。每次服用四钱，用水一中盏，加入生姜半分、大枣三枚，煎煮至六分，去渣滓，不拘时候温服。
治疗大疮热势已退，但脓血不止，疮口肌肉虚损疼痛的病症，适宜服用防风散方。
防风（一两，去芦头）、白茯苓（一两）、白芷（一两）、桔梗（一两，去芦头）、远志（半两，去心）、甘草（半两，炙至微赤，锉碎）、人参（一两，去芦头）、川芎（一两）、当归（一两，锉碎后微炒）、黄芪（一两，锉碎，涂生姜汁炙令香熟）。
以上药材，捣细过罗制成散剂。每次服用二钱，用黄芪汤调服，每日三到四次。
治疗痈疽发背，脓血不止，内部虚损的病症，适宜服用排脓生肌散方。
当归（半两，锉碎后微炒）、黄芪（半两，锉碎）、人参（一两，去芦头）、川芎（半两）、浓朴（一两，去粗皮，涂生姜汁炙至香熟）、防风（半两，去芦头）、白芷（半两）、桔梗（半两，去芦头）、甘草（半两，炙至微赤）。
以上药材，捣细过罗制成散剂。每次服用二钱，用木香汤调服，每日三到四次。
治疗痈疽，脓血极多，肌肉不生，内部虚损的病症，适宜服用内补五香丸方。
沉香（一两）、薰陆香（即乳香，一两）、木香（一两）、藿香（一两）、丁香（一两）、续断（一两）、熟干地黄（二两）、白芍药（一两半，去粗皮，涂生姜汁炙至香熟）、虎胫骨（二两，涂酥炙令焦黄）。
以上药材，捣罗制成粉末，用炼蜜调和，捣三二百杵，制成梧桐子大小的丸药。每次在饭前，用黄芪汤送服三十丸。
治疗痈疽经年不愈，脓血流出过多不止，适宜服用补虚的肉苁蓉散方。
肉苁蓉（二两，酒浸一夜，刮去皱皮，炙干）、干姜（半两，炮裂，锉碎）、地骨皮（三分）、菟丝子（三分，酒浸三日，晒干后另捣为末）、巴戟天（一两）、远志（一两，去心）、人参（一两，去芦头）、甘草（一两，炙至微赤，锉碎）、麦门冬（一两，去心）、石苇（一两，去心）、白芍药（一两）、桂心（一两）、川芎（一两）、熟干地黄（一两）、山茱萸（一两）、五味子（一两）、当归（一两，锉碎后微炒）、附子（半两，炮裂，去皮脐）、白茯苓（一两）。
以上药材，捣细过罗制成散剂。每次在饭前，用荆芥汤调服二钱。
For carbuncles with internal deficiency, the etiology lies in a constitutionally weak body contracting cold pathogens. The cold lodges in the meridians and collaterals, causing blood vessels to become stagnant (原文“不涩”在此语境下指气血凝滞). Heat qi accumulates and knots together. Alternatively, if the heat toxin of the carbuncle does not dissipate, the heat qi forces inward upon the Heart, resulting in Heart Qi deficiency with heat, manifesting as palpitations and restlessness.
To treat carbuncles with internal deficiency, restlessness, continuous discharge of pus and water, weakness of the four limbs, inability to eat, chronic non-healing which inevitably progresses to internal fistula (internal leakage), Huang San Powder is indicated.
Huangqi (Astragali Radix, 1 liang, crushed), Shanzhuyu (Corni Fructus, 0.5 liang), Wuweizi (Schisandrae Fructus, 0.5 liang), Baifuling (Poria, 3 qian), Danggui (Angelicae Sinensis Radix, 0.5 liang, crushed and lightly stir-fried), Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, processed until cracked, peel and umbilicus removed), Shihu (Dendrobii Caulis, 3 qian, peel removed), Digupi (Cortex Lycii Radicis, 0.5 liang; note: text says "Dimai", likely referring to Cortex Lycii Radicis or similar based on context), Yuanzhi (Polygalae Radix, 2 liang, heart removed), Bajitian (Morindae Officinalis Radix, 1 liang), Rongcroung (Cynomorii Herba, 1 liang, soaked in wine overnight, crushed, wrinkled skin removed, dried by roasting), Renshen (Ginseng Radix, 3 qian, rhizome removed), Tusizi (Cuscutae Semen, 0.5 liang, soaked in wine for three days, sun-dried, separately pounded into powder), Maimendong (Ophiopogonis Tuber, 1 liang, heart removed), Shihu (Dendrobii Caulis, 0.5 liang, heart removed), Baishaoyao (Paeoniae Radix Alba, 3 qian), Xiongnu (Ligustici Chuanxiong Rhizoma, 0.5 liang), Shudihuang (Rehmanniae Radix Praeparata, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 3 qian, roasted until slightly reddish, crushed).
The above herbs are finely pounded and sieved to make a powder. Each dose consists of 2 qian, taken with Jingjie Decoction (Schizonepetae Herba Decoction) for mixing, three to four times daily.
Ren Shen San Formula for treating carbuncles and sores with internal deficiency and insufficiency.
Renshen (Ginseng Radix, 1 liang, rhizome removed), Huangqi (Astragali Radix, 2 liang, crushed), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, roasted until slightly reddish, crushed), Danggui (Angelicae Sinensis Radix, 0.5 liang, crushed and lightly stir-fried), Baishaoyao (Paeoniae Radix Alba, 0.5 liang), Shudihuang (Rehmanniae Radix Praeparata, 2 liang), Baifuling (Poria, 1 liang), Guixin (Cinnamomi Ramulus, 0.5 liang), Gouqizi (Lycii Fructus, 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang).
The above herbs are pounded and sieved to make a powder. Each dose consists of 4 qian. Add one zhong of water, half a fen of fresh ginger, and three dates. Decoct until reduced to six parts, remove the dregs, and take warm at any time.
Shu Dihuang San Formula for treating back carbuncles (Fa Bei) and breast carbuncles (Fa Ru) after significant discharge of pus and blood, presenting with internal deficiency and shortness of breath.
Shudihuang (Rehmanniae Radix Praeparata, 1 liang), Huangqi (Astragali Radix, 1 liang, crushed), Renshen (Ginseng Radix, 1 liang, rhizome removed), Danggui (Angelicae Sinensis Radix, 0.5 liang, crushed and lightly stir-fried), Xiongnu (Ligustici Chuanxiong Rhizoma, 2 liang), Yuanzhi (Polygalae Radix, 1 liang, heart removed).
The above herbs are pounded and sieved to make a powder. Each dose consists of 4 qian. Add one zhong of water, half a fen of fresh ginger, and three dates. Decoct until reduced to six parts, remove the dregs, take warm, three to four times daily.
Nei Bu San Formula for treating ulcerated and spreading carbuncles and sores with excessive pus discharge, leading to internal deficiency, lack of strength, and anorexia.
Huangqi (Astragali Radix, 1 liang, crushed), Maimendong (Ophiopogonis Tuber, 1 liang, heart removed), Xiongnu (Ligustici Chuanxiong Rhizoma, 1 liang), Baifuling (Poria, 1 liang), Guixin (Cinnamomi Ramulus, 0.5 liang), Yuanzhi (Polygalae Radix, 0.5 liang).
The above herbs are coarsely pounded and sieved to make a powder. Each dose consists of 4 qian. Add one zhong of water, half a fen of fresh ginger, and three dates. Decoct until reduced to six parts, remove the dregs, and take warm at any time.
Fang Feng San Formula for treating large sores where heat has subsided but pus and blood continue to flow, with deficient and painful flesh in the wound.
Fangfeng (Saposhnikoviae Radix, 1 liang, rhizome removed), Baifuling (Poria, 1 liang), Baizhi (Angelicae Dahuricae Radix, 1 liang), Jiegeng (Platycodonis Radix, 1 liang, rhizome removed), Yuanzhi (Polygalae Radix, 0.5 liang, heart removed), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, roasted until slightly reddish, crushed), Renshen (Ginseng Radix, 1 liang, rhizome removed), Xiongnu (Ligustici Chuanxiong Rhizoma, 1 liang), Danggui (Angelicae Sinensis Radix, 1 liang, crushed and lightly stir-fried), Huangqi (Astragali Radix, 1 liang, crushed, coated with fresh ginger juice and roasted until fragrant).
The above herbs are finely pounded and sieved to make a powder. Each dose consists of 2 qian, taken with Huangqi Decoction for mixing, three to four times daily.
Pai Nong Sheng Ji San Formula for treating back carbuncles with continuous pus and blood discharge and internal deficiency.
Danggui (Angelicae Sinensis Radix, 0.5 liang, crushed and lightly stir-fried), Huangqi (Astragali Radix, 0.5 liang, crushed), Renshen (Ginseng Radix, 1 liang, rhizome removed), Xiongnu (Ligustici Chuanxiong Rhizoma, 0.5 liang), Houpo (Magnoliae Officinalis Cortex, 1 liang, coarse bark removed, coated with fresh ginger juice and roasted until fragrant), Fangfeng (Saposhnikoviae Radix, 0.5 liang, rhizome removed), Baizhi (Angelicae Dahuricae Radix, 0.5 liang), Jiegeng (Platycodonis Radix, 0.5 liang, rhizome removed), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, roasted until slightly reddish).
The above herbs are finely pounded and sieved to make a powder. Each dose consists of 2 qian, taken with Muxiang Decoction (Aucklandiae Radix Decoction) for mixing, three to four times daily.
Nei Bu Wu Xiang Wan Formula for treating carbuncles with severe pus and blood loss, failure of muscle regeneration, and internal deficiency.
Chenxiang (Aquilariae Lignum Resinatum, 1 liang), Xunluxiang (Olibanum, 1 liang), Muxiang (Aucklandiae Radix, 1 liang), Huoxiang (Pogostemonis Herba, 1 liang), Dingxiang (Caryophylli Flos, 1 liang), Xuduan (Dipsaci Radix, 1 liang), Shudihuang (Rehmanniae Radix Praeparata, 2 liang), Baishaoyao (Paeoniae Radix Alba, 1.5 liang, coarse bark removed, coated with fresh ginger juice and roasted until fragrant), Hu Jinggu (Tigris Ossis [Note: Modern usage substitutes this due to conservation laws]), 2 liang, coated with butter and roasted until yellow).
The above herbs are pounded into powder, mixed with refined honey, and pounded 300-200 times. Form pills the size of paulownia seeds. Take 30 pills before meals with Huangqi Decoction.
Rongcroung San Formula for treating carbuncles that have not healed for years, with excessive and continuous pus and blood discharge, indicating a need to tonify deficiency.
Rongcroung (Cynomorii Herba, 2 liang, soaked in wine overnight, wrinkled skin scraped off, dried by roasting), Ganjiang (Zingiberis Rhizoma, 0.5 liang, processed until cracked, crushed), Digupi (Cortex Lycii Radicis, 3 qian), Tusizi (Cuscutae Semen, 3 qian, soaked in wine for three days, sun-dried, separately pounded into powder), Bajitian (Morindae Officinalis Radix, 1 liang), Yuanzhi (Polygalae Radix, 1 liang, heart removed), Renshen (Ginseng Radix, 1 liang, rhizome removed), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, roasted until slightly reddish, crushed), Maimendong (Ophiopogonis Tuber, 1 liang, heart removed), Shiwei (Pyri Folium, 1 liang, heart removed), Baishaoyao (Paeoniae Radix Alba, 1 liang), Guixin (Cinnamomi Ramulus, 1 liang), Xiongnu (Ligustici Chuanxiong Rhizoma, 1 liang), Shudihuang (Rehmanniae Radix Praeparata, 1 liang), Shanzhuyu (Corni Fructus, 1 liang), Wuweizi (Schisandrae Fructus, 1 liang), Danggui (Angelicae Sinensis Radix, 1 liang, crushed and lightly stir-fried), Fuzi (Aconiti Lateralis Radix Praeparata, 0.5 liang, processed until cracked, peel and umbilicus removed), Baifuling (Poria, 1 liang).
The above herbs are finely pounded and sieved to make a powder. Each dose consists of 2 qian, taken before meals with Jingjie Decoction (Schizonepetae Herba Decoction) for mixing.