（附论）
夫发痈虚热者。由寒客于经络。使血气痞涩。及结肿成痈。热气壅结。则血化为脓。脓
溃既瘥之后。余热未尽。而血气已虚。其人翕翕苦热。 虚乏。故谓之虚热也。
方
熟地黄散（出圣惠方）治痈发后。脓溃不止。肌体虚热。口干少食。
熟干地黄 黄 （锉） 麦门冬（去心各一两） 黄芩（半两） 人参（一两去芦头） 石
膏
（二两） 芎 当归（各半两） 白茯苓（一两） 甘草（半两生用） 上为散。每服四
钱。水
一中盏。煎至六分。去滓。不拘时温服。
黄 散（出圣惠方） 治痈脓溃。数日不止。致体虚烦热。头目昏闷。
黄 （锉） 防风（去芦头） 川升麻 羚羊角屑（各一两） 芎 （三分） 甘草（半
分） 人
参（一两去芦头） 地骨皮（半两） 白茯苓 石膏（各一两） 上为散。每服四钱。水一
中盏。
煎至六分。去滓。不拘时温服。
沉香散（出圣惠方）治痈脓溃已绝。肌肉内虚。尚余热不退。
沉香（一两锉） 黄芩 甘草（生锉各半两） 熟干地黄（二两） 柴胡（一两去苗） 栝
蒌根
（半两） 白术（三分） 麦门冬（一两去心） 黄 （一两锉） 上为粗散。每服四钱。
水一中
盏。入竹叶二七片。小麦五十粒。煎至六分。去滓。不拘时温服。
人参散（出圣惠方）治痈穴后。脓水过多。致内虚热。\x
人参（一两去芦头） 白术（三分） 麦门冬（一两去心） 地骨皮（半两） 熟干地
黄黄
（锉） 白茯苓（各一两） 甘草（半两生锉） 上为散。每服四钱。水一盏。煎至六分。
去滓。
不拘时温服。
【附论】
所谓痈疽溃后出现虚热的症状，是因为寒邪侵袭经络，导致气血阻滞不畅，进而凝结肿胀形成痈疽。热气壅滞郁结，使血液化为脓液。在脓液溃破、伤口初步愈合之后，残余的热邪尚未清除干净，而人体的气血已经虚弱。患者感到阵阵发热且痛苦，身体虚弱乏力，因此称之为“虚热”。
方剂：
熟地黄散（出自《圣惠方》）：治疗痈疽发作后，脓液溃破不止，肌肤肢体虚热，口干，食欲减退。
处方组成：熟干地黄、黄芪（锉碎）、麦门冬（去心），各一两；黄芩，半两；人参（一两，去芦头）；石膏，二两；川芎、当归，各半两；白茯苓，一两；甘草（生用），半两。
用法：将上述药材研为散剂。每次服用四钱，加水一中盏，煎煮至六分，滤去药渣，不限时间，温服。
黄芪散（出自《圣惠方》）：治疗痈疽脓液溃破，数日不止，导致身体虚弱烦热，头晕目眩昏闷。
处方组成：黄芪（锉碎）、防风（去芦头）、川升麻、羚羊角屑，各一两；川芎，三分；甘草，半分；人参（一两，去芦头）；地骨皮，半两；白茯苓、石膏，各一两。
用法：将上述药材研为散剂。每次服用四钱，加水一中盏，煎煮至六分，滤去药渣，不限时间，温服。
沉香散（出自《圣惠方》）：治疗痈疽脓液溃破已止，肌肉内部空虚，仍有余热不退。
处方组成：沉香（一两，锉碎）、黄芩、甘草（生锉），各半两；熟干地黄，二两；柴胡（一两，去苗）；栝楼根，半两；白术，三分；麦门冬（一两，去心）；黄芪（一两，锉碎）。
用法：将上述药材研为粗散剂。每次服用四钱，加水一中盏，加入竹叶十四片、小麦五十粒，煎煮至六分，滤去药渣，不限时间，温服。
人参散（出自《圣惠方》）：治疗痈疽疮口处，脓水过多，导致体内虚热。
处方组成：人参（一两，去芦头）、白术，三分；麦门冬（一两，去心）；地骨皮，半两；熟干地黄、黄芪（锉碎）、白茯苓，各一两；甘草（生锉），半两。
用法：将上述药材研为散剂。每次服用四钱，加水一盏，煎煮至六分，滤去药渣，不限时间，温服。
[Attached Discussion]
The condition of deficiency-heat following the onset of a carbuncle (furuncle) arises from cold pathogens invading the meridians, causing stagnation and obstruction of Qi and blood, which then condenses into swelling and forms a carbuncle. When heat qi becomes congested and knotted, blood transforms into pus. After the pus has ruptured and the wound has initially healed, residual heat remains未尽 (not yet cleared), while Qi and blood have become deficient. The patient suffers from intermittent fever and weakness, hence it is termed "deficiency-heat."
Formulas:
Shudihuang San (Rehmanniae Radix Preparata Powder) [from *Shenghui Fang*]: Treats carbuncles after onset, where pus continues to drain incessantly, accompanied by deficiency-heat in the skin and limbs, dry mouth, and poor appetite.
Ingredients: Shu Gan Dihuang (Prepared Rehmanniae Radix), Huangqi (Astragali Radix, sliced), Maimendong (Ophiopogonis Radix, heart removed), each 1 liang; Huangqin (Scutellariae Radix), 0.5 liang; Renshen (Ginseng Radix, 1 liang, radix removed); Shigao (Gypsum Fibrosum), 2 liang; Xiong (Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), each 0.5 liang; Baifuling (Poria), 1 liang; Gancao (Glycyrrhizae Radix et Rhizoma, raw), 0.5 liang.
Usage: Grind the above ingredients into a powder. Take 4 qian per dose, add 1 zhong zhan of water, decoct until reduced to 6 fen, filter out the dregs, and take warm at any time.
Huangqi San (Astragali Radix Powder) [from *Shenghui Fang*]: Treats carbuncles where pus drains for several days without stopping, leading to bodily deficiency, vexatious heat, dizziness, and mental cloudiness.
Ingredients: Huangqi (Astragali Radix, sliced), Fangfeng (Saposhnikoviae Radix, radix removed), Chuan Shengma (Cimicifugae Rhizoma), Lingyangjiaoxie (Antelopi Cornu, shaved), each 1 liang; Xiong (Chuanxiong Rhizoma), 3 fen; Gancao (Glycyrrhizae Radix et Rhizoma), 0.5 fen; Renshen (Ginseng Radix, 1 liang, radix removed); Digupi (Lycii Cortex), 0.5 liang; Baifuling (Poria), Shigao (Gypsum Fibrosum), each 1 liang.
Usage: Grind the above ingredients into a powder. Take 4 qian per dose, add 1 zhong zhan of water, decoct until reduced to 6 fen, filter out the dregs, and take warm at any time.
Chenxiang San (Aquilariae Lignum Resinatum Powder) [from *Shenghui Fang*]: Treats carbuncles where pus drainage has ceased, but internal muscle deficiency persists with lingering residual heat.
Ingredients: Chenxiang (Aquilariae Lignum Resinatum, 1 liang, sliced), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, raw sliced), each 0.5 liang; Shu Gan Dihuang (Prepared Rehmanniae Radix), 2 liang; Chaihu (Bupleuri Radix, 1 liang, radix removed); Gualougen (Trichosanthis Radix), 0.5 liang; Baizhu (Atractylodis Macrocephalae Rhizoma), 3 fen; Maimendong (Ophiopogonis Radix, 1 liang, heart removed); Huangqi (Astragali Radix, 1 liang, sliced).
Usage: Grind the above ingredients into a coarse powder. Take 4 qian per dose, add 1 zhong zhan of water, include 14 leaves of Zhuye (Bambusae Folium) and 50 grains of Xiaomai (Tritici Fructus), decoct until reduced to 6 fen, filter out the dregs, and take warm at any time.
Renshen San (Ginseng Radix Powder) [from *Shenghui Fang*]: Treats carbuncle sores where excessive purulent discharge leads to internal deficiency-heat.
Ingredients: Renshen (Ginseng Radix, 1 liang, radix removed), Baizhu (Atractylodis Macrocephalae Rhizoma), 3 fen; Maimendong (Ophiopogonis Radix, 1 liang, heart removed); Digupi (Lycii Cortex), 0.5 liang; Shu Gan Dihuang (Prepared Rehmanniae Radix), Huangqi (Astragali Radix, sliced), Baifuling (Poria), each 1 liang; Gancao (Glycyrrhizae Radix et Rhizoma, raw sliced), 0.5 liang.
Usage: Grind the above ingredients into a powder. Take 4 qian per dose, add 1 zhan of water, decoct until reduced to 6 fen, filter out the dregs, and take warm at any time.