忍冬酒，治痈疽发背，初发时盒饭服此，不问疽发何处，或妇人乳痈，皆有奇效。如或
处乡落贫家，服此亦便且效。仍兼以麦饭石膏，及神异膏贴之，甚效。
一园丁，患发背甚危，令取金银藤五六两捣烂，入热酒一钟，绞取酒汁温服，相罨患
处，四五服而平。彼用此药治疮，足以养身成家，遂弃园业。诸书云∶金银花治疮疡未成者
即散，已成者即溃，有回生之功。
一男子患脑痈，其头数多，痛不可忍，先服消毒药不应，更以忍冬酒服之，即酣睡觉，
而势去六七，再四剂而消。又一男子所患尤甚，亦令服之，肿痛顿退，但不能平。加以黄
、当归、栝蒌仁、白芷、甘草书、桔梗，数剂而愈。
一男子被鬼击身，有青痕作痛，以金银花煎汤，饮之即愈。《本草》谓此药大治五种飞
尸，此其验也。
立斋曰∶肿高 痛脉浮者，邪在表也，宜托之。肿硬痛深脉沉者，邪在里也，宜下之
。外无 肿，内则便利调和，邪在经络也，当调营卫。 肿烦躁，或咽干作渴者，宜降
火。 肿发热，或拘急，或头痛者，邪在表也，宜散之。大痛或不痛者，邪气实也，隔蒜
灸之，更用解毒。烦躁饮冷， 痛脉数者，邪在上也，宜清之。恶寒而不溃者，气虚而兼
寒邪也，宜宣而补之。 痛发热，汗多大渴，便结谵语者，结阳证也，宜下之。不作脓，
或熟而不溃者，虚也，宜补之。
又曰∶大抵痈肿之证，不可专泥于火为患，况禀有虚实，及老弱不同，岂可概用寒凉之
药。设若毒始聚，势不盛者，庶可消散。尤当推其病因，别其虚实。若概用凉药，必致误事
。如脓将成，邪盛气实者，用消毒之剂先杀其毒，虽作脓不为大苦，溃亦不甚。若就用托里
，必益其势。如脓将成不成，及不溃者，方用托里。脓成势盛者，针之，脓一出，诸证悉退矣。
丹溪曰∶肿疡内外皆壅，宜以托里表散为主，如欲用大黄，宁无孟浪之非。溃疡内
外皆虚，宜以补接为主，如欲用香散，未免虚虚之失。
愚意，前论肿疡，有云忌补宜下者，有云禁用大黄者，此其为说若异，而亦以证有不同
耳。盖忌补者，忌邪之实也。畏攻者，畏气之虚也。即如肿疡多实，溃疡多虚，此其常也
。然肿疡亦多不足，则有宜补不宜泻者，溃疡亦或有余，则有宜泻不宜补者，此其变也。或
宜补或宜泻，总在虚实二字。然虚实二字，最多疑似，贵有定见。如火盛者，宜清者也。气
滞者，宜行者也。既热且壅，宜下者也。无滞无壅，则不宜妄用攻下，此用攻之宜禁者也
。至若用补之法，亦但察此二者。凡气道壅滞者，不宜补火。邪炽盛者，不宜温。若气道无
滞，火邪不甚，或饮食二便清利如常，而患有危险可畏者，此虽未见虚证，或肿疡未溃，亦
宜即从托补。何也。盖恐困苦日久，无损自虚。若能预固元气，则毒必易化，脓必易溃，口
必易敛，即大羸大溃，犹可望生。若必待虚证叠出，或既溃不能收敛，而后勉力支持，则轻
者必重，重者必危，能无晚乎。此肿疡之有不足也，所系非细不可不察。
向予长男生，在癸丑及乙卯五月，甫及二周，而患背疽。初起时，背中忽见微肿。数日
后，按之则根深渐阔，其大如碗，而皮色不变，亦不甚痛。至十余日，身有微热，其势滋甚
，因谋之疡医。或云背疽，或云痰气，咸曰荤腥温补一毫不可入口。乃投以解毒之药一剂，
而身反大热，神气愈困，饮食不进矣。予危惧之甚，因思丹溪有云∶痈疽因积毒在脏腑，当
先助胃气为主，使根本坚固，而以行经活血佐之。又曰∶但见肿痛，参之脉证，虚弱便与滋
补，气血无亏，可保终吉。是诚确论也。因却前医，而专固元气，以内托其毒。遂用人参三
钱，制附子一钱，佐以当归、熟地、炙甘草、肉桂之属，一剂而饮食顿进，再剂而神彩如旧
，抑何神也。由是弛其口腹，药食并进，十剂而脓成。以其根深皮浓，复用针出脓甚多，调
理月余而愈。向使倾信庸流，绝忌温补滋味，专意解毒，则胃气日竭，毒瓦斯日陷，饮食不进
，尚致透隔内溃，则万万不保矣。且此儿素无虚病，何敢乃尔。盖以其既属阴证，又无实邪
见有确真，故敢峻补脾肾，方保万全。呜呼。医之关系，皆是类也。因录此按，用告将来，
以见肿疡溃疡，凡虚证未见而但无实热壅滞可据者，便宜托补如此，则其受益于不识不知，
有非可以言语形容者。（新按）
忍冬酒，治疗痈疽发背（背部发生的严重疮疡），在初发时应当服用此方，不论疮毒发于身体何处，或是妇女的乳痈（乳房急性化脓性疾病），都有奇效。如果身处乡间贫寒之家，服用此药也方便且有效。同时配合使用麦饭石膏（一种外用矿物药）及神异膏贴敷患处，效果更佳。
有一位园丁，患严重的发背，病情危急。让他取金银藤五六两捣烂，加入热酒一杯，绞取汁液温服，并用残渣热敷患处，服用四五次后病情平复。此人用此药治疗疮疡，足以养家糊口，于是放弃了园艺工作改行行医。各种医书说：金银花治疗未成形的疮疡即可消散，已成形的疮疡即可溃破，有起死回生之功。
有一位男子患脑痈（头部疮疡），头上有多个肿核，疼痛难忍。先服用消毒药无效，改用忍冬酒服用，随即酣睡醒来，病势去除了六七成，再服四剂后完全消除。又有一位男子患病更重，也让他服用此药，肿痛顿时减退，但未能完全平复。在此基础上加入黄芪、当归、瓜蒌仁、白芷、甘草、桔梗等药，数剂后痊愈。
有一位男子被“鬼击”（中医指突受邪气侵袭所致的一种急症，此处表现为体表青痕疼痛），身上有青色痕迹并疼痛，用金银花煎汤饮用，随即痊愈。《本草》记载此药大治五种飞尸（古代对某些突发急症的称呼），这就是验证。
薛立斋说：肿胀高突、疼痛、脉浮的，是邪气在表，宜用托法（托毒外出）。肿胀坚硬、疼痛深在、脉沉的，是邪气在里，宜用下法（攻下积滞）。外表无红肿，内部二便调和通畅，是邪气在经络，应当调和营卫。肿胀伴有烦躁，或咽干口渴的，宜降火。肿胀发热，或拘急抽搐，或头痛的，是邪气在表，宜发散。疼痛剧烈或不痛的，是邪气实盛，可用隔蒜灸法，并配合解毒药。烦躁喜冷饮，局部跳痛、脉数的，是邪气在上，宜清解。恶寒且不溃破的，是气虚兼感寒邪，宜宣通并补益。肿胀发热，汗多极度口渴，大便干结、胡言乱语的，是结阳证（阳热内结），宜攻下。不化脓，或熟透但不溃破的，是虚证，宜补益。
又说：大抵痈肿之证，不可单纯拘泥于火毒为患，况且人体禀赋有虚实之分，老人与弱者体质不同，岂能一概使用寒凉药物？如果毒邪刚开始聚集，势态不盛，或许可以消散。尤其应当推究病因，辨别虚实。如果一概使用凉药，必定导致误事。如脓将成，邪盛气实的，用消毒药剂先杀灭毒邪，即使化脓也不会太痛苦，溃破也不严重。如果此时直接用托里药，必定助长邪势。如脓将成不成，以及不溃破的，才用托里药。脓已成且势盛的，用针切开，脓液一出，诸证悉退。
丹溪说：肿疡（未溃破的疮疡）内外皆壅塞，宜以托里表散为主，如果想用大黄，恐怕有孟浪（轻率）之非。溃疡（已溃破的疮疡）内外皆虚，宜以补接（补益接续正气）为主，如果想用香燥发散药，未免有虚其虚（使虚者更虚）的失误。
我的意见是，前论肿疡，有的说忌补宜下，有的说禁用大黄，这些说法看似不同，其实是因为证候不同罢了。所谓忌补，是忌讳邪气实盛；所谓畏攻，是畏惧正气虚弱。就像肿疡多实证，溃疡多虚证，这是常理。然而肿疡也有多不足的，则有宜补不宜泻的情况；溃疡也有有余的，则有宜泻不宜补的情况，这是变通。或者宜补或者宜泻，关键在于虚实二字。然而虚实二字，最容易混淆，贵在要有坚定的见解。如火盛者，宜清热；气滞者，宜行气。既热且壅，宜攻下；无滞无壅，则不宜妄用攻下，这是使用攻法应当禁忌的情况。至于使用补法，也只考察这两点。凡是气道壅滞的，不宜补火；邪气炽盛的，不宜温补。若气道无滞，火邪不甚，或饮食二便清利如常，而患有危险可畏的病证，这虽然未见明显的虚证，或肿疡未溃破，也应当立即从托补之法。为什么呢？因为担心困苦日久，正气自损而虚。如果能预先固护元气，那么毒邪必易化解，脓液必易溃破，疮口必易收敛，即使是大虚大溃，仍然有望生存。如果一定要等到虚证叠出，或既溃破不能收敛，而后勉力支持，那么轻病必重，重病必危，难道不早了吗？这就是肿疡中存在的不足之证，关系重大，不可不察。
以前我的长子，在癸丑年和乙卯年的五月，刚满两周岁，患了背疽。初起时，背中部忽然出现微肿。数日后，按压则根深渐阔，大小如碗，皮色不变，也不怎么痛。到十余日，身体有微热，病势加重，因此咨询外科医生。有人说背疽，有人说痰气，都说荤腥温补一毫不可入口。于是投予解毒药一剂，反而身体大热，神气更加困倦，饮食不进。我非常恐惧，想起丹溪说过：“痈疽因积毒在脏腑，当先助胃气为主，使根本坚固，而以行经活血佐之。”又说：“但见肿痛，参之脉证，虚弱便与滋补，气血无亏，可保终吉。”这确实是确切的论述。于是我拒绝前医的方案，专门固护元气，以内托法透毒外出。遂用人参三钱，制附子一钱，佐以当归、熟地、炙甘草、肉桂等药，一剂后饮食顿进，两剂后神采如旧，多么神奇啊！从此放宽饮食禁忌，药食并进，十剂后脓成。因其根深皮厚，再次用针放出大量脓液，调理月余而愈。假使完全相信庸医，绝忌温补滋味，专意解毒，那么胃气日渐枯竭，毒瓦斯日渐内陷，饮食不进，甚至会导致穿透膈膜内溃，那就万万保不住了。况且这孩子平时没有虚病，怎敢如此大胆？只因为他既属阴证，又没有实邪可见，确有真凭实据，所以敢峻补脾肾，方能保全万全。唉！医学的关系，都是这类情况。因此记录此按语，用以告知后来者，以此说明肿疡溃疡，凡虚证未见而但无实热壅滞可据者，便宜托补如此，那么患者受益之大，有非言语所能形容的。（新按）
Rendong Jiu (Honeysuckle Wine) is used to treat yong ju (carbuncles and sores) and fa bei (severe back carbuncle). It should be taken at the initial stage of onset. Regardless of where the sore appears, or in cases of ru yong (acute suppurative mastitis in women), it has miraculous effects. If one lives in a remote village or poor household, taking this medicine is also convenient and effective. It should be combined with the application of Maifan Shi Gao (Wheat Meal Stone Paste) and Shenyi Gao (Miraculous Ointment) to the affected area for even better results.
A gardener suffered from a severe back carbuncle, and his condition was critical. He was instructed to take five or six taels of Jin Yin Teng (Lonicerae Japonicae Caulis), crush it, add one cup of hot wine, squeeze out the juice, and drink it warm. The residue was applied as a compress to the affected area. After four or five doses, the condition subsided. This person used this remedy to treat sores, which was sufficient to support his family, so he abandoned his gardening work and became a practitioner. Various medical texts state: Jin Yin Hua (Lonicerae Japonicae Flos) can dissipate sores that have not yet formed and promote suppuration of those that have formed, possessing the power to revive the dying.
A man suffered from nao yong (brain carbuncle/head abscess), with multiple nodules on his head, unbearable pain. He first took detoxifying medicines without effect. Then he took Rendong Jiu, after which he slept soundly and woke up; the severity of the disease decreased by sixty or seventy percent. After four more doses, it resolved completely. Another man had an even more severe case and was also prescribed this medicine. His swelling and pain immediately receded, but did not fully resolve. Huang Qi (Astragali Radix), Dang Gui (Angelicae Sinensis Radix), Gua Lou Ren (Trichosanthis Semen), Bai Zhi (Angelicae Dahuricae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), and Jie Geng (Platycodonis Radix) were added. After several doses, he recovered.
A man was struck by "Gui Ji" (a sudden attack by pathogenic factors causing bruising and pain), presenting with blue marks on the body and pain. He drank a decoction of Jin Yin Hua, and healed immediately. Ben Cao (Materia Medica) states that this herb effectively treats the "Five Types of Fei Shi" (ancient term for certain sudden acute conditions); this is the verification.
Xue Lizhai said: When there is high swelling, pain, and a floating pulse, the pathogen is in the exterior; Tu Fa (supporting method to expel toxins) should be used. When there is hard swelling, deep pain, and a deep pulse, the pathogen is in the interior; Xia Fa (purgative method) should be used. When there is no external redness or swelling, but internal bowel movements and urination are smooth and harmonious, the pathogen is in the meridians; Ying Wei (Nutritive and Defensive Qi) should be regulated. When swelling is accompanied by irritability, dry throat, or thirst, Fire should be descended. When swelling is accompanied by fever, stiffness, or headache, the pathogen is in the exterior; San Fa (dispersing method) should be used. When pain is severe or absent, the pathogenic factor is excess; Suan Jiu (Garlic Moxibustion) should be applied, along with detoxification. When there is irritability, preference for cold drinks, throbbing pain, and a rapid pulse, the pathogen is in the upper part; Qing Fa (clearing method) should be used. When there is aversion to cold and no suppuration, it is Qi deficiency combined with Cold pathogen; Xuan Bu (venting and tonifying) should be used. When swelling, fever, profuse sweating, extreme thirst, constipation, and delirium occur, it is Jie Yang Zheng (Yang knot syndrome); Xia Fa (purgative method) should be used. When pus does not form, or forms but does not rupture, it is deficiency; Bu Fa (tonifying method) should be used.
He further stated: Generally speaking, the syndrome of yong zhong (carbuncles and swellings) should not be solely attributed to Fire toxicity. Moreover, constitutions vary between deficiency and excess, and the elderly and weak differ in constitution. How can one uniformly use cold and cool medicines? If the toxin has just gathered and the momentum is not strong, it might be dissipated. One must investigate the cause and distinguish between deficiency and excess. If cold medicines are used indiscriminately, errors will surely occur. If pus is about to form, and the pathogen is excess while Qi is strong, detoxifying agents should be used first to kill the toxin. Even if pus forms, it will not cause great suffering, and rupture will not be severe. If Tu Li (interior-supporting) methods are used directly at this stage, they will only increase the pathogen's strength. Only when pus is about to form but hasn't, or when it fails to rupture, should Tu Li methods be used. If pus has formed and the momentum is strong, needle drainage should be performed; once the pus drains, all symptoms will retreat.
Danxi said: In Yong Yang (unruptured sores), both interior and exterior are congested; Tu Li Biao San (interior-supporting and exterior-dispersing) should be the main approach. If Da Huang (Rhei Radix et Rhizoma) is desired, it may be considered rash. In Ku Yang (ruptured sores), both interior and exterior are deficient; Bu Jie (tonifying and supporting) should be the main approach. If Xiang San (aromatic dispersing) herbs are used, it inevitably leads to the error of making deficiency worse.
My opinion is that previous discussions on Yong Yang mention avoiding tonification and preferring purgation, while others forbid Da Huang. These seemingly different views arise because the syndromes differ. Avoiding tonification is due to fearing excess pathogen; fearing purgation is due to fearing Qi deficiency. As a general rule, Yong Yang tends toward excess, and Ku Yang tends toward deficiency; this is the norm. However, Yong Yang can also present with insufficiency, requiring tonification rather than purgation; Ku Yang can also present with excess, requiring purgation rather than tonification; this is the variation. Whether to tonify or purge depends entirely on the concepts of Xu Shi (deficiency and excess). However, deficiency and excess are often confusing, requiring firm judgment. For example, if Fire is excessive, clearing is appropriate; if Qi is stagnant, moving is appropriate. If there is heat and congestion, purgation is appropriate; if there is no stagnation or congestion, aggressive purgation should not be used recklessly; this is when attacking methods are contraindicated. Regarding tonification, one must also examine these two aspects. If Qi pathways are congested, warming tonification is unsuitable. If pathogens are blazing, warm tonification is unsuitable. If Qi pathways are unobstructed, Fire pathogen is not severe, and diet and excretions are normal, yet the disease is dangerous and fearful, even if obvious deficiency signs are not yet visible, or if the Yong Yang has not ruptured, immediate Tu Bu (supporting and tonifying) should be adopted. Why? Because prolonged hardship naturally depletes Qi. If Yuan Qi (Original Qi) is secured in advance, the toxin will easily transform, pus will easily rupture, and the wound will easily close. Even in cases of severe emaciation and extensive rupture, survival is still possible. If one waits until deficiency signs accumulate, or until the ruptured wound fails to heal, before attempting support, mild cases will become severe, and severe cases will become critical. Is this not too late? This refers to the insufficiency found in Yong Yang, which is significant and cannot be overlooked.
Previously, my eldest son, in the fifth month of the Guichou year and the Yimao year, just turned two years old, and developed a back carbuncle. Initially, a slight swelling appeared suddenly on his back. After a few days, pressing revealed a deep root spreading wider, the size of a bowl, with unchanged skin color and little pain. By the tenth day, he had a slight fever, and the condition worsened. We consulted a surgeon. Some diagnosed back carbuncle, others phlegm-qi, all agreeing that meat, fish, and warm-tonifying foods must be strictly avoided. A dose of detoxifying medicine was administered, but his fever increased significantly, his spirit became more exhausted, and he refused food. I was extremely fearful and recalled Danxi's words: "Yong Ju (carbuncles and sores) result from accumulated toxins in the Zang-Fu organs; one must first assist Stomach Qi to strengthen the foundation, assisted by blood-invigorating and meridian-regulating herbs." He also said: "When seeing swelling and pain, consult the pulse and symptoms; if deficient, provide nourishment and tonification. If Qi and Blood are not depleted, auspicious outcomes can be ensured." This is indeed a correct theory. Therefore, I rejected the previous doctor's plan and focused solely on securing Original Qi, using Nei Tuo (internal support to expel toxins). I used Ren Shen (Ginseng Radix) 3 qian, Zhi Fu Zi (Prepared Aconiti Lateralis Radix) 1 qian, assisted by Dang Gui, Shu Di Huang (Rehmanniae Radix Praeparata), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Rou Gui (Cinnamomi Cortex), etc. After one dose, his appetite returned instantly; after two doses, his spirit was restored. How miraculous! From then on, dietary restrictions were relaxed, combining medicine and food. After ten doses, pus formed. Due to the deep root and thick skin, needles were used again to drain a large amount of pus. After over a month of regulation, he recovered. Had we blindly trusted mediocre doctors, strictly avoided warm-tonifying flavors, and focused solely on detoxification, our Stomach Qi would have been depleted daily, toxins would have sunk deeper, food intake would cease, and it could have led to perforation through the diaphragm and internal rupture, making survival impossible. Furthermore, this child had no chronic deficiency diseases; how dare we act thus? Only because it was a Yin syndrome, with no visible excess pathogens, and the diagnosis was confirmed, did we dare to strongly tonify Spleen and Kidney to ensure complete safety. Alas! The responsibilities of medicine are all like this. I record this commentary to inform future generations, showing that for Yong Yang and Ku Yang, when deficiency signs are not yet evident but there is no evidence of excess heat or congestion, immediate Tu Bu (supporting and tonifying) is appropriate. The benefit to the patient, though unrecognized by them, is beyond description. (New Commentary)