千金漏芦汤治积热丹毒无名恶肿脉洪实弦滑发热烦热者
漏芦 麻黄 升麻 赤芍 黄芩 甘草 白蔹 白芨 枳壳(各四两) 大黄(十二两)
上 咀每服一两入姜煎
按此出阳明例药也驱积热蕴于表里之剂
防风通圣散
方见中风门
按此表里气血之药也治一切风毒积热疮肿脉候弦洪实数浮紧气血盛实有不可缺此见近有
秘传
外科家方以是药加人参赤茯苓黄 苍术金银花名消肿托里散虽以参 为主复云人参无亦可盖
使人不能无疑而难用也且临证加减须较表里之法如表证多者当从此方以辛甘为主散之也里证
多者方可从变故此分辛温辛平辛凉之异
机要内托复煎散托里健胃
地骨皮 黄芩 茯苓 白芍 人参 黄 白术 桂 甘草 防己 当归(各一两) 防
风
上 咀先以苍术一斤水五升煎至三升去术入前十二味再煎至三四盏取清汁分三四次终日
饮之又煎苍术查为汤去渣根据前又煎前十二味渣分饮之
五香汤治毒瓦斯入腹托里若有异证于内加减
丁香 木香 沉香 乳香(各一两) 麝(三钱)
上为末水煎空心服若呕者去麝加藿香一两渴者加参一两
按丹溪曰或问内托之法古人有行之者乎曰河间治肿 于外根盘不深形证在表其脉多浮病
在皮
肉非气盛则必侵于内急须内托以救其里宜复煎散除湿散郁使胃气和平如或未已再煎半料饮之
如大便秘及烦热少服黄连汤如微利及烦热已退却与复煎散半两如此使荣卫俱行邪气不能内伤
也然世俗多用十补散论已见前
圣济托里汤治诸疔肿发背曾经汗下毒瓦斯投心迷闷呕吐而痛可服二三次又名内托散
乳香(明者一两) 真绿豆粉(四两一方止用二两)
上二味合匀每服一钱或二钱甘草煎汤调下
按丹溪曰精要谓内托散一日至三日之内进十数服防毒瓦斯攻冲脏腑名护心散切详绿豆解丹
毒又
言治石毒味甘入阳明性寒能补为君以乳香去恶肿入少阴性温善窜为佐甘草性缓解五金八石及
百药毒为使想此方专为服丹石而发疽者设不因丹石而发疽恐非必用之剂又次与五香连翘汤射
干散散结气消瘀血夫善于驱逐以五般香窜佐之与漏芦汤相间大黄为佐虽各有黄 漏芦甘草之
补果能免驱逐之祸乎况大黄入阳明太阳性走而不守泻诸实热以其峻捷有将军之名痈疽因积毒
在脏腑非一朝夕今发于外宜以标重为治当先助气壮胃使根本坚固而行经活血为佐参以经络时
令使毒瓦斯外发此正仲景解表用麻黄桂枝之意治施之早可以内消此乃内托之本意与夫年老者病深
者证备者体虚者绿豆虽补将有不胜重任之患矣尝治一妇人年将七十形实性急而好酒脑生疽方
五日脉紧急且涩急用大黄酒煨细切酒拌炒为末又酒拌人参炒入姜煎调一钱重又两时再
与得睡而上半身汗睡觉病已失此亦内托之意又一男子年五十余形实色黑背生红肿及胛骨下痛
其脉浮数而洪紧食亦呕正冬月与麻黄桂枝汤加酒黄柏生附栝蒌子甘草节羌活青皮人参黄芩半
夏生姜六帖而消此非内托之意欤如此者非一不敢悉具郭氏定疼托里散治一切疮肿疼痛不可忍
如少壮气实先用疏利后服此药
粟壳(去蒂炒三两) 当归 白芍 川芎(各半两) 乳香 没药 桂(各三钱)
上 咀每服五钱水煎
乳香止痛散治一切疮肿疼痛不止
粟壳(六两制) 白芷(三两) 炙甘草 陈皮(各二两) 乳香 没药(各一两) 丁香(半
两)
上 咀每服三钱水一盏半煎
按丹溪曰精要第十三论云初觉则宣热拔毒既溃则排脓止痛岂疮之初作无痛耶已溃之后痛
又甚
耶每见疮之作也先发为肿气血郁积蒸肉为脓故其痛多少疮之始作时也脓溃之后肿退肌宽痛必
渐减而反痛者此为虚也宜补之亦有秽气所触者宜和解之亦有风寒逼者宜温散之审此则以上二
方因有所取择矣
东垣黄 人参汤治诸疮破后食少无睡及有虚热并秽气所触者
人参 麦门冬 陈皮 白术 苍术(各半钱) 黄 (一钱) 黄柏(四分炒) 升麻(六分)
当归身(半钱) 炒曲(三分) 炙甘草(半钱) 五味子(九个)
上 咀作一服水煎
按此手足太阴例药也
圣济竹叶黄 汤通治疔肿诸疮发热而渴
淡竹叶(二两) 生地黄(八两) 麦门冬 黄 当归 川芎 甘草 黄芩 芍药 人参
半夏 石膏(各二两)
上 咀每服一两水煎
按此于少阴太阴足阳明药也
托里黄 汤治诸疮发渴脉虚
绵黄 (一两) 炙甘草(一钱)
上 咀水煎
东垣圣愈汤治诸疮血出多而心烦不安不得眠睡此亡血也
熟地黄 生地黄 川芎 人参(各半钱) 当归身 黄 (各一钱)
上 咀水煎
按以上二方手足太阴之剂一气分一血分药也
内补黄 汤治诸疮肿发背已破后虚弱无力体倦懒言语食无味少睡脉涩自汗口干并宜服之
黄 麦门冬(各一两) 熟地黄 人参 茯苓 炙甘草(各三钱) 白芍 川芎 官桂
远志 当归(各半两)
上 咀或为末每服三钱入姜枣煎
按此手太阴例药也补气血滋阴助阳之剂
圣济透脓散治诸般痈疮及贴骨痈不破者宜此不用针刀
大蚕茧儿一个烧灰酒调服即透切不可用两三个恐疮口亦作两三孔也
按疮肿有于皮肉浓处发者此法恐不能及用者审之
千金漏芦汤：治疗积热、丹毒、无名恶肿，脉象洪实弦滑，伴有发热、烦热的病症。
药材：漏芦、麻黄、升麻、赤芍、黄芩、甘草、白蔹、白芨、枳壳（各四两），大黄（十二两）。
制法与服法：将药材切碎，每次服用一两，加入生姜煎煮。
按语：此方出自阳明经例药范畴，是驱除蕴结于表里的积热的方剂。
防风通圣散
方剂详情见中风门章节。
按语：此方为调和表里气血的药物。治疗一切风毒、积热引起的疮肿，脉象表现为弦、洪、实、数、浮紧，气血盛实者不可缺此方。此处可见近世有秘传版本。
外科医生使用此方时，加入人参、赤茯苓、黄耆、苍术、金银花，命名为“消肿托里散”。虽然以人参为主药，却又说“人参无亦可”，这让人产生疑虑而难以使用。况且临证加减必须比较表里治法的原则：如表证多者，应当从此方出发，以辛甘为主进行发散；里证多者，才可以改变法则，从而区分辛温、辛平、辛凉的差异。
机要内托复煎散：用于托里健胃。
药材：地骨皮、黄芩、茯苓、白芍、人参、黄耆、白术、桂枝、甘草、防己、当归（各一两），防风。
制法与服法：先将苍术一斤，用水五升，煎至三升，去掉苍术渣，再加入前述十二味药，继续煎至三四盏，取清汁，分三四次在一天内饮完。另外，再次煎煮苍术渣作为汤剂，去渣后，根据前法再次煎煮前述十二味药的药渣，分次饮用。
五香汤：治疗毒瓦斯入腹，起到托里作用，若有其他症状可在内部加减。
药材：丁香、木香、沉香、乳香（各一两），麝香（三钱）。
制法与服法：研为细末，水煎，空腹服用。若呕吐，去掉麝香，加藿香一两；若口渴，加人参一两。
按语：朱丹溪说：有人问内托之法，古人有过施行吗？回答说：河间先生治疗肿疡在外，根盘不深，形证在表，其脉多浮，病在皮肉，若非气盛则必侵于内，急需内托以救其里。宜用复煎散除湿散郁，使胃气平和。如果病情未止，再煎半料服用。如大便秘结及烦热，少服黄连汤；如轻微腹泻及烦热已退，则给予复煎散半两。如此可使营卫俱行，邪气不能内伤。然而世俗多用十补散，论述已见于前文。
圣济托里汤：治疗各种疔肿、发背，曾经经过发汗或攻下，毒瓦斯攻心导致迷闷、呕吐且疼痛者，可服用二三次。又名内托散。
药材：乳香（明净者一两），真绿豆粉（四两，一方只用二两）。
制法与服法：将两味药混合均匀，每次服用一钱或二钱，用甘草煎汤调服。
按语：朱丹溪说：《精要》称内托散在发病一至三天内进服十余次，以防毒瓦斯攻冲脏腑，名为护心散。仔细详查，绿豆能解丹毒，又说治疗石毒，味甘入阳明经，性寒能补，作为君药；乳香能去恶肿，入少阴经，性温善于走窜，作为佐药；甘草性缓，能解五金八石及百药之毒，作为使药。想此方专为因服用丹石而引发疽症的人设立。如果不是因丹石而发疽，恐怕不是必用的方剂。其次配合五香连翘汤、射干散来散结气、消瘀血，善于驱逐邪气，以五种香窜之品辅助，与漏芦汤相间使用，大黄为佐。虽然各有黄耆、漏芦、甘草的补益作用，果真能免除驱逐带来的祸患吗？况且大黄入阳明、太阳经，性走而不守，泻诸实热，因其峻捷而有将军之名。痈疽因积毒在脏腑，非一日一夕形成，如今发于外，应以标重为治，应当先助气壮胃，使根本坚固，而行经活血作为辅助，参酌经络时令，使毒瓦斯外发。这正是仲景解表用麻黄、桂枝的意思。施治得早可以内消，这才是内托的本意。对于年老、病深、证备、体虚的人，虽然绿豆有补益作用，但将有不胜重任的隐患。我曾治疗一位将近七十岁的妇人，形体实壮，性格急躁且好酒，脑部生疽，刚五日，脉象紧急且涩，急用大黄，酒煨细切，酒拌炒为末，又用酒拌人参炒，加入生姜煎煮，调服一钱重，两个时辰后再给一次，患者入睡后上半身出汗，醒来病已消失。这也是内托之意。又有一男子五十多岁，形体实壮，肤色黑，背部生红肿及胛骨下痛，其脉浮数而洪紧，饮食亦呕吐，正值冬月，给予麻黄桂枝汤加酒黄柏、生附子、栝蒌子、甘草节、羌活、青皮、人参、黄耆、黄芩、半夏、生姜，六帖而消。这难道不是内托之意吗？像这样的情况不止一例，不敢全部列出。
郭氏定疼托里散：治疗一切疮肿疼痛不可忍受。如年少强壮、气实者，先用疏利药，后服此药。
药材：粟壳（去蒂炒三两）、当归、白芍、川芎（各半两），乳香、没药、桂枝（各三钱）。
制法与服法：切碎，每次服用五钱，水煎。
乳香止痛散：治疗一切疮肿疼痛不止。
药材：粟壳（六两，制过）、白芷（三两），炙甘草、陈皮（各二两），乳香、没药（各一两），丁香（半两）。
制法与服法：切碎，每次服用三钱，用水一盏半煎煮。
按语：朱丹溪说：《精要》第十三论云：初觉则宣热拔毒，既溃则排脓止痛。难道疮之初作无痛吗？已溃之后痛又甚吗？每见疮之作也，先发为肿，气血郁积，蒸肉为脓，故其痛多少是疮之始作时的表现。脓溃之后，肿退肌宽，痛必渐减。而反痛者，此为虚也，宜补之。亦有秽气所触者，宜和解之。亦有风寒逼者，宜温散之。审察这些情况，则以上二方可有所选择矣。
东垣黄耆人参汤：治疗诸疮破后食少、无睡及有虚热，并秽气所触者。
药材：人参、麦门冬、陈皮、白术、苍术（各半钱），黄耆（一钱），黄柏（四分，炒），升麻（六分），当归身（半钱），炒曲（三分），炙甘草（半钱），五味子（九个）。
制法与服法：切碎，作一服，水煎。
按语：此方属于手足太阴经例药。
圣济竹叶黄耆汤：通治疔肿诸疮发热而渴。
药材：淡竹叶（二两），生地黄（八两），麦门冬、黄耆、当归、川芎、甘草、黄芩、芍药、人参、半夏、石膏（各二两）。
制法与服法：切碎，每次服用一两，水煎。
按语：此方涉及少阴、太阴及足阳明经药物。
托里黄耆汤：治疗诸疮发渴，脉虚。
药材：绵黄耆（一两），炙甘草（一钱）。
制法与服法：切碎，水煎。
东垣圣愈汤：治疗诸疮血出多而心烦不安、不得眠睡，此为亡血。
药材：熟地黄、生地黄、川芎、人参（各半钱），当归身、黄耆（各一钱）。
制法与服法：切碎，水煎。
按语：以上二方为手足太阴之剂，一气分药，一血分药。
内补黄耆汤：治疗诸疮肿、发背已破后虚弱无力、体倦懒言语、食无味、少睡、脉涩、自汗、口干，并宜服之。
药材：黄耆、麦门冬（各一两），熟地黄、人参、茯苓、炙甘草（各三钱），白芍、川芎、官桂、远志、当归（各半两）。
制法与服法：切碎或为末，每次服用三钱，加入姜枣煎煮。
按语：此方属于手太阴经例药，是补气血、滋阴助阳的方剂。
圣济透脓散：治疗诸般痈疮及贴骨痈不破者，宜用此方，不用针刀。
药材：大蚕茧儿一个，烧灰，酒调服即透。切不可用两三个，恐疮口亦作两三孔也。
按语：疮肿有于皮肉浓处发者，此法恐不能及，用者审之。
Qianjin Loulu Decoction (Thousand Gold Decoction of Rhapontic Rhizome): Treats accumulated heat, erysipelas (acute febrile disease characterized by red, swollen skin), unnamed malignant swellings, with a pulse that is surging, solid, wiry, and slippery, accompanied by fever and irritability.
Herbs: Rhapontici Rhizoma (Loulu, 漏芦), Ephedrae Herba (Mahuang, 麻黄), Cimicifugae Rhizoma (Shengma, 升麻), Paeoniae Radix Rubra (Chishao, 赤芍), Scutellariae Radix (Huangqin, 黄芩), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Ampelopsis Rhizoma (Bailian, 白蔹), Bletillae Rhizoma (Baiji, 白芨), Aurantii Fructus Immaturus (Zhiqiao, 枳壳) (each 4 liang), Rheum Palmatum Radix et Rhizoma (Dahuang, 大黄) (12 liang).
Preparation and Administration: Cut the herbs into small pieces. For each dose, take 1 liang, add fresh ginger, and decoct in water.
Commentary: This formula belongs to the category of Yangming channel formulas. It is an agent that expels accumulated heat retained in both the exterior and interior.
Fangfeng Tongsheng San (Saposhnikovia Powder for Unblocking the Heroic)
See the Stroke section for the formula details.
Commentary: This is a formula that harmonizes the exterior and interior, as well as Qi and Blood. It treats all wind-toxins and accumulated heat causing sores and swellings, where the pulse is wiry, surging, solid, rapid, or floating-tight, indicating abundant Qi and Blood. Such cases cannot lack this formula. A secret transmission version exists in recent times.
Surgeons modify this formula by adding Ginseng Radix et Rhizoma (Renshen, 人参), Red Poria Cocos (Chifuling, 赤茯苓), Astragali Radix (Huangqi, 黄耆), Atractylodis Rhizoma (Cangzhu, 苍术), and Lonicerae Japonicae Flos (Jinyinhua, 金银花), naming it "Xiaozhong Tuoli San" (Swelling-Reducing Interior-Supporting Powder). Although Ginseng is the chief herb, it states "Ginseng may be omitted," which causes doubt and difficulty in usage. Moreover, clinical modifications must compare the principles of treating the exterior and interior: if exterior syndromes predominate, one should follow this formula, using pungent and sweet properties primarily to disperse; if interior syndromes predominate, one may alter the method, thereby distinguishing between pungent-warm, pungent-neutral, and pungent-cool differences.
Jiyao Neituo Fujian San (Essential Interior-Supporting Double-Decoction Powder): Used to support the interior and strengthen the Stomach.
Herbs: Cortex Lycii (Digupi, 地骨皮), Scutellariae Radix (Huangqin, 黄芩), Poria Cocos (Fuling, 茯苓), Paeoniae Radix Alba (Baishao, 白芍), Ginseng Radix et Rhizoma (Renshen, 人参), Astragali Radix (Huangqi, 黄耆), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Cinnamomi Ramulus (Guizhi, 桂), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Stephaniae Tetrandrae Radix (Fangji, 防己), Angelicae Sinensis Radix (Danggui, 当归) (each 1 liang), Saposhnikoviae Radix (Fangfeng, 防风).
Preparation and Administration: First, decoct 1 jin of Atractylodis Rhizoma (Cangzhu, 苍术) in 5 sheng of water until reduced to 3 sheng. Remove the Cangzhu residue. Add the aforementioned twelve herbs and continue decocting until reduced to three or four zhan. Strain to obtain the clear juice. Divide into three or four doses and drink throughout the day. Additionally, decoct the Cangzhu residue again as a tea. Remove the dregs, and according to the previous method, decoct the residue of the twelve herbs again. Divide and drink.
Wuxiang Tang (Five Fragrances Decoction): Treats toxic vapors entering the abdomen, providing interior support. Modifications can be made internally if other symptoms arise.
Herbs: Caryophylli Flos (Dingxiang, 丁香), Aquilariae Lignum Resinatum (Muxiang, 木香), Aquilariae Lignum (Chenxiang, 沉香), Boswelliae Resina (Ruxiang, 乳香) (each 1 liang), Moschus (Shexiang, 麝香) (3 qian).
Preparation and Administration: Grind into fine powder. Decoct in water and take on an empty stomach. If vomiting occurs, remove Moschus and add Agastaches Herba (Huoxiang, 藿香) 1 liang. If thirst occurs, add Ginseng Radix et Rhizoma (Renshen, 人参) 1 liang.
Commentary: Zhu Danxi said: Someone asked if the ancients practiced the method of supporting the interior. The reply was: Hejian treated external abscesses where the root base was not deep and the manifestations were on the exterior, with a mostly floating pulse, indicating the disease was in the skin and flesh. Unless Qi is abundant, it will inevitably invade the interior, requiring urgent interior support to save the interior. One should use Fujian San to dampness-dispel and depression-scatter, making the Stomach Qi peaceful. If the condition persists, decoct half a dose and drink. If there is constipation and irritability, take a small amount of Huanglian Tang (Coptis Decoction); if there is slight diarrhea and irritability has subsided, then give half a liang of Fujian San. This allows Ying and Wei to circulate together, preventing pathogenic factors from injuring the interior. However, the secular world often uses Shibu San (Ten Tonics Powder), discussed previously.
Shengji Tuoli Tang (Holy Efficiency Interior-Supporting Decoction): Treats various ding sores (hard, painful nodules) and back carbuncles, after sweating or purging have been used, where toxic vapors attack the Heart causing confusion, vomiting, and pain. Can be taken two or three times. Also known as Neituo San (Interior-Supporting Powder).
Herbs: Boswelliae Resina (Ruxiang, 乳香) (clear quality, 1 liang), Mung Bean Powder (Zhenvdoufen, 真绿豆粉) (4 liang; one prescription uses only 2 liang).
Preparation and Administration: Mix the two ingredients evenly. Take 1 qian or 2 qian per dose, mixed with Gancao Decoction (Licorice Decoction).
Commentary: Zhu Danxi said: *Jingyao* states that Neituo San should be taken ten or more times within one to three days to prevent toxic vapors from attacking the Zang-Fu organs, named Huxin San (Heart-Protecting Powder). Carefully examining, Mung Bean resolves dan-toxin and treats stone-toxin; its sweet flavor enters the Yangming channel, its cold nature tonifies, serving as the Sovereign herb. Ruxiang removes malignant swellings, enters the Shaoyin channel, its warm nature facilitates penetration, serving as the Assistant herb. Gancao’s mild nature resolves toxins of metals, stones, and hundred medicines, serving as the Envoy herb. This formula seems specifically designed for those who develop carbuncles after taking mineral pills (Dan-Shi). For those developing carbuncles not due to mineral pills, it may not be an essential formula. Secondly, combine with Wuxiang Lianqiao Tang (Five Fragrances Forsythia Decoction) and Shegan San (Belamcanda Powder) to scatter knotting Qi and eliminate blood stasis, excelling at driving out pathogens, assisted by five fragrant penetrating substances, alternating with Loulu Tang (Rhapontic Rhizome Decoction), with Dahuang (Rhubarb) as assistant. Although there are tonifying effects from Huangqi (Astragalus), Loulu, and Gancao, can they truly avoid the disaster of expulsion? Moreover, Dahuang enters the Yangming and Taiyang channels, its nature moves without staying, purging excess heat, earning the name "General" due to its swift and fierce action. Carbuncles and sores result from accumulated toxins in the Zang-Fu, formed over days and nights. Now manifesting externally, treat the branch severity first. Assist Qi and strengthen the Stomach to solidify the root, promote meridian circulation and blood movement as assistants, consider meridians and seasons to allow toxic vapors to emerge externally. This aligns with Zhang Zhongjing’s intent of using Mahuang (Ephedra) and Guizhi (Cinnamon Twig) to release the exterior. Early application can resolve internally, which is the true meaning of interior support. For the elderly, deeply ill, fully manifested, or weak constitution, although Mung Bean is tonifying, it may bear the burden inadequately. I once treated a woman nearly seventy years old, robust in form, irritable temperament, fond of wine, who developed a brain carbuncle. After five days, her pulse was urgent and choppy. Urgently, I used Dahuang (Rhubarb), wine-steamed, finely cut, wine-fried into powder, combined with wine-fried Ginseng, added fresh ginger, decocted, and administered 1 qian heavy dose. Two hours later, another dose was given. She slept, sweated on the upper body, and upon waking, the illness had vanished. This is also the meaning of interior support. Another case: a man over fifty, robust form, dark complexion, red swelling on the back and pain under the scapula. His pulse was floating, rapid, surging, and tight. He vomited even when eating. In mid-winter, I gave Mahuang Guizhi Tang (Ephedra and Cinnamon Twig Decoction) plus wine-processed Huangbai (Phellodendron), raw Fuzi (Aconite), Gualouzi (Trichosanthes Seed), Gancaojie (Licorice Joint), Qianghuo (Notopterygium), Qingpi (Tangerine Peel), Renshen (Ginseng), Huangqi (Astragalus), Huangqin (Scutellaria), Banxia (Pinellia), and fresh ginger. Six doses resolved it. Is this not the meaning of interior support? There are many such cases, but I dare not list them all.
Guoshi Dingteng Tuoli San (Guo’s Pain-Calming Interior-Supporting Powder): Treats all sore swellings with unbearable pain. For young, strong individuals with abundant Qi, use laxatives first, then this medicine.
Herbs: Papaveris Pericarpium (Suke, 粟壳 - Poppy Shell) (remove stalk, stir-fry, 3 liang), Angelicae Sinensis Radix (Danggui, 当归), Paeoniae Radix Alba (Baishao, 白芍), Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎) (each half liang), Boswelliae Resina (Ruxiang, 乳香), Myrrha (Moyao, 没药), Cinnamomi Ramulus (Guizhi, 桂) (each 3 qian).
Preparation and Administration: Cut into pieces. Take 5 qian per dose, decoct in water.
Ruxiang Zhitong San (Frankincense Pain-Stopping Powder): Treats all sore swellings with unceasing pain.
Herbs: Papaveris Pericarpium (Suke, 粟壳) (6 liang, processed), Angelicae Dahuricae Radix (Baizhi, 白芷) (3 liang), Roasted Glycyrrhizae Radix et Rhizoma (Zhi Gancao, 炙甘草), Citri Reticulatae Pericarpium (Chenpi, 陈皮) (each 2 liang), Boswelliae Resina (Ruxiang, 乳香), Myrrha (Moyao, 没药) (each 1 liang), Caryophylli Flos (Dingxiang, 丁香) (half liang).
Preparation and Administration: Cut into pieces. Take 3 qian per dose, decoct in 1.5 zhan of water.
Commentary: Zhu Danxi said: *Jingyao* Volume 13 discusses: At the initial stage, vent heat and extract toxin; once ulcerated, drain pus and stop pain. Was there no pain at the initial stage of a sore? Is the pain worse after ulceration? Every time a sore appears, it first swells; Qi and Blood stagnate, steaming flesh into pus. Thus, the degree of pain reflects the initial stage. After pus drains, swelling recedes, muscles relax, and pain must gradually decrease. If pain persists, it indicates deficiency, suitable for tonification. If touched by foul qi, suitable for harmonization. If forced by wind-cold, suitable for warming dispersion. Examining these aspects allows selection between the above two formulas.
Dongyuan Huangqi Renshen Tang (Dongyuan Astragalus and Ginseng Decoction): Treats various sores after rupture, with poor appetite, insomnia, deficient heat, and exposure to foul qi.
Herbs: Ginseng Radix et Rhizoma (Renshen, 人参), Ophiopogonis Tuber (Maidong, 麦门冬), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Atractylodis Rhizoma (Cangzhu, 苍术) (each half qian), Astragali Radix (Huangqi, 黄耆) (1 qian), Phellodendri Cortex (Huangbai, 黄柏) (4 fen, fried), Cimicifugae Rhizoma (Shengma, 升麻) (6 fen), Angelicae Sinensis Radix (Dangguishen, 当归身) (half qian), Stir-fried Medicated Leaven (Chao Qu, 炒曲) (3 fen), Roasted Glycyrrhizae Radix et Rhizoma (Zhi Gancao, 炙甘草) (half qian), Schisandrae Fructus (Wuweizi, 五味子) (9 berries).
Preparation and Administration: Cut into pieces. Prepare as one dose, decoct in water.
Commentary: This formula belongs to the Hand and Foot Taiyin channel examples.
Shengji Zhuye Huangqi Tang (Holy Efficiency Bamboo Leaf and Astragalus Decoction): Universally treats ding sores and various sores with fever and thirst.
Herbs: Lophatheri Herba (Danzhuye, 淡竹叶) (2 liang), Rehmanniae Radix Recens (Shengdihuang, 生地黄) (8 liang), Ophiopogonis Tuber (Maidong, 麦门冬), Astragali Radix (Huangqi, 黄耆), Angelicae Sinensis Radix (Danggui, 当归), Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Scutellariae Radix (Huangqin, 黄芩), Paeoniae Radix (Shaoyao, 芍药), Ginseng Radix et Rhizoma (Renshen, 人参), Pinelliae Tuber (Banxia, 半夏), Gypsum Fibrosum (Shigao, 石膏) (each 2 liang).
Preparation and Administration: Cut into pieces. Take 1 liang per dose, decoct in water.
Commentary: This formula involves Shaoyin, Taiyin, and Foot Yangming channel herbs.
Tuoli Huangqi Tang (Interior-Supporting Astragalus Decoction): Treats various sores with thirst and a deficient pulse.
Herbs: Mian Huangqi (Cotton Astragalus Root) (1 liang), Roasted Glycyrrhizae Radix et Rhizoma (Zhi Gancao, 炙甘草) (1 qian).
Preparation and Administration: Cut into pieces, decoct in water.
Dongyuan Shengyu Tang (Dongyuan Holy Recovery Decoction): Treats various sores with excessive bleeding, leading to mental restlessness and insomnia, indicating loss of Blood.
Herbs: Rehmanniae Radix Praeparata (Shudihuang, 熟地黄), Rehmanniae Radix Recens (Shengdihuang, 生地黄), Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎), Ginseng Radix et Rhizoma (Renshen, 人参) (each half qian), Angelicae Sinensis Radix (Dangguishen, 当归身), Astragali Radix (Huangqi, 黄耆) (each 1 qian).
Preparation and Administration: Cut into pieces, decoct in water.
Commentary: The above two formulas are Hand and Foot Taiyin agents: one acts on the Qi level, the other on the Blood level.
Neibu Huangqi Tang (Internal Tonification Astragalus Decoction): Treats weakness, fatigue, reluctance to speak, loss of taste, insomnia, choppy pulse, spontaneous sweating, and dry mouth after various sore swellings and back carbuncles have ruptured. Suitable for all such cases.
Herbs: Astragali Radix (Huangqi, 黄耆), Ophiopogonis Tuber (Maidong, 麦门冬) (each 1 liang), Rehmanniae Radix Praeparata (Shudihuang, 熟地黄), Ginseng Radix et Rhizoma (Renshen, 人参), Poria Cocos (Fuling, 茯苓), Roasted Glycyrrhizae Radix et Rhizoma (Zhi Gancao, 炙甘草) (each 3 qian), Paeoniae Radix Alba (Baishao, 白芍), Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎), Cinnamomi Cortex (Guixin, 官桂), Polygalae Radix (Yuanzhi, 远志), Angelicae Sinensis Radix (Danggui, 当归) (each half liang).
Preparation and Administration: Cut into pieces or grind into powder. Take 3 qian per dose, decoct with fresh ginger and Jujube.
Commentary: This formula belongs to the Hand Taiyin channel example. It is a formula that tonifies Qi and Blood, nourishes Yin, and assists Yang.
Shengji Tou Nong San (Holy Efficiency Pus-Penetrating Powder): Treats various types of carbuncles and sores, including subcutaneous abscesses that have not ruptured. Use this instead of needles or knives.
Herbs: One large silkworm cocoon, burned to ash, mixed with wine and taken. It will penetrate immediately. Do not use two or three cocoons, lest the sore opening split into multiple holes.
Commentary: For sores arising in thick flesh and skin areas, this method may not reach. Users should exercise caution.