论肺痈 论肝痈 论肠痈
天师曰∶内治者，言人有病在脏腑而治之也。人有肺痈。肠痈、肝痈者，必须从内消之也。然
而治法不同。肺痈方∶用元参三两，麦冬三两，生甘草五钱；金银花十两，先用水
十碗，煎汤四碗，取二碗浸前药，加水二碗，又煎之，煎一碗服之，二剂即愈。其余汤二碗，再煎
二煎。（〔批〕救肺败毒至圣丹，妙。）
肝痈方。用白芍三两，当归三两，炒栀子三钱，生甘草三钱；金银花十两，
水十碗，煎取四碗∶分二碗泡前药，再加水二碗同煎；渣又加水二碗，同金银花汁两碗，煎一碗服二剂
愈。（〔批〕救肝败毒至圣丹，妙。）
肠痈方∶用金银花八两，煎水二碗，当归三两，地榆一两，薏仁五钱，水十五
碗，煎二碗，分作二服。上午一服。临睡一服，二剂愈。（〔批〕救肠败毒至圣丹，妙。）盖痈生胸腹之
内，无不生于火与邪，若外用末药调敷，则相隔甚遥，必须内消为得。然痈势甚急甚大，一怀水何能救车
薪之火。故必大剂煎饮，而火邪自散，而痈疡自消。倘日以敷药调治于皮肤之外，或以小剂而求散于汤饵
之中，吾见其必死而已矣。
张公曰∶疮疡之疾，发于火邪之盛，其由来非一日矣。欲消其火邪，岂是寻常细小之药所能去乎。故
必多用重药以劫治之。然而散邪之药俱耗真阴，多用重用皆能取败。惟金银花败毒而又不伤气，去火而
又能补阴，故必须此品为君。但此品性纯而正，乃正人君子也。譬如正人君子，必同群攻击于群小之中，
始不至偾事而召祸。所以必多加至十两或
一斤，始可取胜于眉睫。然徒籍此一味，又觉势单力薄。或用麦冬以滋肺，或用芍药、当归以润肝，或
用地榆以凉大肠、或用甘草以泻火、或用栀子以清热，或加薏仁以去湿；相助成功，各有妙理，非泛然
而用之者也。
华君曰∶是传余文，然余更有说。肺痈初起，可用此方；倘已成形，必须外治。用刀刺其肺出脓血，
而后以神膏敷其口则愈，否则有性命之忧也。想天师后必传方，兹不赘耳。后无传，予当传子。肝痈不
可用刺法，须用内消内散。
肠痈之症，此方最妙，但亦治初起之病也。久则内必出毒，更当另用奇方，以助其溃脓。方用生
甘草三钱，金银花二两，地榆一两，当归二两，牛膝一两，乳香三钱，没
药三钱。水先煎甘草五味，取一碗，调乳香、没药末三钱饮之；渣水再煎一碗，又调乳香、
没药末三钱饮之。大约早服头煎晚服二煎，二剂必全好矣。（〔批〕清肠消毒丹）。此天师传予而未传子
也，意者留以待予耶，不然，何各以尽言，独此方尚未传完耶。
岐天师曰∶是留之以待华君传子也。
天师说：所谓内治法，是指病邪位于脏腑内部而采用内服药物进行治疗的方法。患有肺痈、肠痈、肝痈的患者，必须通过内部消散的方法来治疗。然而，针对这三种病症的治疗方法各不相同。
治疗肺痈的方剂：使用元参三两，麦冬三两，生甘草五钱；金银花十两，先用水十碗，煎煮成汤液四碗，取出二碗用来浸泡前面的药材（元参、麦冬、生甘草），再加入水二碗，继续煎煮，最终煎出一碗药液服用，服用两剂即可痊愈。剩下的两碗药汤，再次煎煮进行第二煎。（批注：救肺败毒至圣丹，妙。）
治疗肝痈的方剂：使用白芍三两，当归三两，炒栀子三钱，生甘草三钱；金银花十两，用水十碗，煎煮取四碗药汁；分两碗用来浸泡前面的药材，再加水二碗共同煎煮；药渣又加水二碗，与金银花汁两碗一起煎煮，煎出一碗药液服用，两剂即可痊愈。（批注：救肝败毒至圣丹，妙。）
治疗肠痈的方剂：使用金银花八两，煎水二碗，当归三两，地榆一两，薏仁五钱，用水十五碗，煎煮成两碗药液，分作两次服用。上午服用一次，临睡前服用一次，两剂即可痊愈。（批注：救肠败毒至圣丹，妙。）大概痈肿生于胸腹之内，无不是由火邪和邪气所致，如果使用外用粉末调敷，则距离病灶太远，必须通过内部消散才是正确的治疗方法。然而，如果痈肿势头非常急迫且体积很大，一杯水怎么能扑灭车薪之火呢？所以必须使用大剂量的煎剂饮用，这样火邪自然消散，痈疡自然消除。如果每天只在皮肤表面用药物调治，或者用小剂量的汤药来寻求消散，我看他必然死亡罢了。
张公说：疮疡这类疾病，是由于火邪旺盛引发的，其形成由来已久。想要消除火邪，难道是寻常细小的药物所能去除的吗？所以必须多用重药来强力控制病情。然而，疏散邪气的药物都会耗损真阴，多用重用都会导致失败。只有金银花能败毒而不伤正气，去火又能补阴，所以必须以这味药为君药。但这味药性质纯正无邪，就像正人君子一样。譬如正人君子，必须在众多小人之中联合群体力量进行攻击，才不至于坏事并招致祸患。所以必须多加到十两甚至一斤，才能在危急时刻取胜。但如果仅仅依靠这一味药，又觉得势单力薄。或者用麦冬来滋养肺脏，或者用芍药、当归来滋润肝脏，或者用地榆来凉血清热大肠、或者用甘草来泻火、或者用栀子来清热，或者加薏仁来祛湿；相互辅助以取得成功，各有精妙的道理，并不是随意使用的。
华君说：这是天师传授给我的文章，但我还有补充之说。肺痈在初起阶段，可以使用这个方子；如果已经成形化脓，必须配合外治法。用刀刺破肺部排出脓血，然后用神膏敷在伤口上才能痊愈，否则会有性命之忧。想天师后来必定会传授其他方子，这里就不赘述了。后来没有再传，我应当传授给儿子。肝痈不能使用刺法，必须使用内消内散的方法。
肠痈的症状，这个方子最妙，但也只适用于初起的病症。时间久了，内部必然要排出毒素，更应当另外使用奇方，以帮助溃脓。方剂使用生甘草三钱，金银花二两，地榆一两，当归二两，牛膝一两，乳香三钱，没药三钱。先单独煎煮甘草五味（此处原文可能有误，通常指甘草或泛指前药，结合语境理解为先煎甘草或主药），取一碗药液，调和乳香、没药末三钱服用；药渣和水再煎出一碗，又调和乳香、没药末三钱服用。大约早上服用头煎，晚上服用二煎，两剂必定完全康复。（批注：清肠消毒丹）。这是天师传授给我但未传授给他的儿子的方子，大概是留待我传授给他的儿子吧，不然，为什么各人都倾囊相授，唯独这个方子还没有传完呢？
On Lung Abscess, On Liver Abscess, On Intestinal Abscess
The Heavenly Master said: The term "internal treatment" refers to treating diseases located within the Zang-Fu organs using internal medication. Patients suffering from lung abscess (Fei Yong), intestinal abscess (Chang Yong), or liver abscess (Gan Yong) must be treated by resolving the condition from within. However, the treatment methods differ for each.
For the lung abscess formula: Use 3 liang of Scrophulariae Radix (Yuanshen), 3 liang of Ophiopogonis Tuber (Maidong), and 5 qian of Raw Licorice Root (Sheng Gancao); use 10 liang of Honeysuckle Flower (Jinyinhua). First, decoct the Honeysuckle in 10 bowls of water until reduced to 4 bowls of liquid. Take 2 bowls of this liquid to soak the previous herbs (Scrophularia, Ophiopogon, Licorice). Add 2 more bowls of water and continue decocting until 1 bowl remains. Drink this decoction; two doses will result in a cure. The remaining 2 bowls of liquid should be decocted again for a second extraction. (Comment: Ji Fei Bai Du Zhi Sheng Dan [Supreme Holy Pill to Save the Lungs and Eliminate Toxicity], excellent.)
For the liver abscess formula: Use 3 liang of White Peony Root (Baishao), 3 liang of Angelica Sinensis Radix (Danggui), 3 qian of Stir-fried Gardenia Fruit (Chao Zhizi), and 3 qian of Raw Licorice Root (Sheng Gancao); use 10 liang of Honeysuckle Flower (Jinyinhua). Decoct the Honeysuckle in 10 bowls of water to obtain 4 bowls of liquid. Divide this into two portions: use one portion to soak the previous herbs, add 2 bowls of water, and decoct together. For the dregs, add 2 bowls of water, combine with 2 bowls of the Honeysuckle juice, and decoct until 1 bowl remains. Drink this; two doses will result in a cure. (Comment: Ji Gan Bai Du Zhi Sheng Dan [Supreme Holy Pill to Save the Liver and Eliminate Toxicity], excellent.)
For the intestinal abscess formula: Use 8 liang of Honeysuckle Flower (Jinyinhua), decoct in water to obtain 2 bowls of liquid. Use 3 liang of Angelica Sinensis Radix (Danggui), 1 liang of Sanguisorbae Radix (Diyu), and 5 qian of Coix Seed (Yiren). Decoct these in 15 bowls of water until 2 bowls remain. Divide into two doses. Take one dose in the morning and one dose before sleep; two doses will result in a cure. (Comment: Ji Chang Bai Du Zhi Sheng Dan [Supreme Holy Pill to Save the Intestines and Eliminate Toxicity], excellent.) Generally, abscesses arising within the chest and abdomen are caused by fire pathogenic factors and evil qi. If external powders are mixed and applied topically, the distance to the lesion is too great; internal resolution is the correct approach. However, if the abscess is extremely urgent and large, how can a cup of water extinguish the fire of a cartload of firewood? Therefore, large-dose decoctions must be ingested so that the fire pathogen dissipates naturally and the ulcer resolves. If one only treats the skin surface daily with topical applications, or seeks resolution through small-dose oral medications, I see only death ahead.
Master Zhang said: Diseases such as sores and ulcers arise from excessive fire pathogenic factors and have been developing for some time. To eliminate such fire pathogens, can ordinary, minor herbs suffice? Thus, heavy dosages of potent herbs must be used to subdue the condition. However, herbs that disperse pathogens tend to consume True Yin, and their frequent or heavy use often leads to failure. Only Honeysuckle Flower (Jinyinhua) eliminates toxicity without damaging Qi, clears heat/fire while nourishing Yin; therefore, it must serve as the Sovereign herb. This herb possesses pure and upright nature, akin to a gentleman. Just as a gentleman must unite with others to attack a group of petty people to avoid disaster, this herb requires high dosage—up to 10 liang or even 1 jin—to achieve victory in critical moments. Relying solely on this single herb seems weak. One may add Ophiopogon (Maidong) to nourish the lungs, or Baishao and Danggui to moisten the liver, or Diyu to cool the Large Intestine, or Licorice (Gancao) to purge fire, or Zhizi to clear heat, or Yiren to remove dampness; they assist each other to succeed, each having its own profound rationale, rather than being used arbitrarily.
Master Hua said: This is the text passed down by the Heavenly Master, but I have further remarks. In the early stage of lung abscess, this formula can be used; however, once the abscess has formed and suppuration has occurred, external treatment is necessary. One must puncture the lung with a knife to drain pus and blood, then apply Shen Gao (Divine Paste) to the wound to achieve a cure; otherwise, there is a risk to life. I assume the Heavenly Master would later transmit additional formulas, so I do not elaborate here. Since no further transmission occurred, I shall pass this on to my son. Liver abscess cannot be treated with puncture methods; internal resolution and dispersion are required.
Regarding intestinal abscess symptoms, this formula is most effective, but it applies only to early-stage disease. If the condition persists for a long time, toxins must be expelled internally, requiring another unique formula to aid suppuration and drainage. The formula uses 3 qian of Raw Licorice Root (Sheng Gancao), 2 liang of Honeysuckle Flower (Jinyinhua), 1 liang of Sanguisorbae Radix (Diyu), 2 liang of Angelica Sinensis Radix (Danggui), 1 liang of Achyranthes Bidentatae Radix (Niuxi), 3 qian of Frankincense (Ruxiang), and 3 qian of Myrrh (Moyao). First, decoct the Licorice separately to obtain 1 bowl of liquid, mix with 3 qian of powdered Frankincense and Myrrh, and drink. Decoct the dregs and water again to obtain another bowl, mix with another 3 qian of powdered Frankincense and Myrrh, and drink. Generally, take the first decoction in the morning and the second in the evening; two doses will ensure complete recovery. (Comment: Qing Chang Xiao Du Dan [Intestine-Clearing and Detoxifying Pill]). This formula was transmitted by the Heavenly Master to me but not to his son. Perhaps he left it for me to pass to his son? Otherwise, why did everyone reveal everything except this formula, which remains incomplete?
Heavenly Master Qi said: This was reserved for Master Hua to transmit to his son.