〔薛〕便痈因肝火、肝疳，或禀肝经热毒。若初起肿硬作痛者，先用龙胆泻肝汤一
二剂。肿痛不减，用仙方活命饮二剂。五七日不减，肿尚硬，亦用前二药各一剂。
如不消，或更痛，欲成脓也，用活命饮一剂，却用托里消毒散加柴胡、山栀，一二
剂。若脓已成而不溃者，血气虚也，用托里消毒散一二剂。脓已溃而痛不止者，
毒瓦斯不解也，用活命饮一剂。若脓已出而反痛者，血气虚也，用内补黄 汤。脓已
溃而发热烦躁者，气虚血脱也，用当归补血汤。脓已溃而恶寒发热者，血气俱虚也，
用十全大补汤。脓已溃而恶寒者，元气虚也，用补中益气汤。脓已溃而不生肌者，
脾气虚也，用六君子汤。若禀赋怯弱，或因饮食劳倦而为患者，恒用补中益气汤加
射干自消。设使不分经络，不别虚实，概行攻伐，亏损气血，则轻者难治，重者必
变瘵证，甚至不起。
龙胆泻肝汤（疝） 仙方活命饮（见前） 托里消毒散（见前）
内补黄 汤（薛制） 治溃疡脓水出多，或过服败毒之剂，致气虚血弱，发热无寐，或
兼盗汗内热，或不生肌。
黄 （炒，二钱） 人参 白术（炒） 茯苓 陈皮 当归（各一钱半） 酸枣仁（炒，一钱） 五味子（杵）
甘草（炒。各五分）
上，水煎，徐徐服。
当归补血汤（虚热） 清心莲子饮（淋） 补中益气汤（虚热） 十全大补汤（汗）
【薛己】便痈是由于肝火、肝疳，或者禀受肝经热毒所致。如果初起时肿块坚硬且疼痛，先用龙胆泻肝汤（清泻肝胆实火的方剂）服用一两剂。如果肿痛不减轻，改用仙方活命饮（清热解毒、消肿溃坚的方剂）服用两剂。经过五到七天症状仍不减轻，肿块依然坚硬，也使用前面两种药物各一剂。如果肿块仍未消退，或者疼痛加剧，说明即将化脓，此时用仙方活命饮一剂，随后改用托里消毒散（扶正祛邪、托毒排脓的方剂）加柴胡、山栀，服用一两剂。如果脓液已经形成但未能破溃，这是气血虚弱的表现，使用托里消毒散服用一两剂。脓液已经破溃但疼痛不止，是毒邪未解的表现，使用仙方活命饮一剂。如果脓液已排出反而疼痛，是气血虚弱的表现，使用内补黄芪汤（补益气血、生肌敛疮的方剂）。脓液已破溃且出现发热烦躁，是气虚血脱的表现，使用当归补血汤（补气生血的方剂）。脓液已破溃且出现恶寒发热，是气血俱虚的表现，使用十全大补汤（温补气血的方剂）。脓液已破溃且仅见恶寒，是元气虚弱的表现，使用补中益气汤（补中益气、升阳举陷的方剂）。脓液已破溃且伤口不生肌肉，是脾气虚弱的表现，使用六君子汤（益气健脾、燥湿化痰的方剂）。如果是先天禀赋怯弱，或者因饮食劳倦致病者，常常使用补中益气汤加射干即可自行消散。假使不分经络，不辨别虚实，一概采用攻伐之法，导致气血亏损，那么轻症难以治愈，重症必然转变为虚劳病证（瘵证），甚至导致死亡。
龙胆泻肝汤（治疗疝气） 仙方活命饮（见前文） 托里消毒散（见前文）
内补黄芪汤（薛己制方） 治疗溃疡脓水流出过多，或过服败毒药物，导致气虚血弱，发热失眠，或者兼有盗汗和内热，或者伤口不生肌肉。
黄芪（炒，二钱） 人参 白术（炒） 茯苓 陈皮 当归（各一钱半） 酸枣仁（炒，一钱） 五味子（捣碎） 甘草（炒，各五分）
以上药材，加水煎煮，慢慢服用。
当归补血汤（治疗虚热） 清心莲子饮（治疗淋证） 补中益气汤（治疗虚热） 十全大补汤（治疗汗证）
[Xue Ji] Bian Yong (abscess in the genital/perineal region) is caused by Liver Fire, Gan Gan (liver-related parasitic or wasting disease), or congenital Heat-Toxin in the Liver Meridian. If at the initial stage the swelling is hard and painful, first administer Long Dan Xie Gan Tang (Gentian Decoction to Drain the Liver) for one or two doses. If the swelling and pain do not subside, use Xian Fang Huo Ming Yin (Immortal Life-Rescuing Powder) for two doses. If after five to seven days there is no improvement and the swelling remains hard, also use the aforementioned two medicines, one dose each. If the swelling does not resolve, or if pain increases indicating suppuration is about to occur, use one dose of Xian Fang Huo Ming Yin, followed by Tuo Li Xiao Du San (Supporting the Interior and Detoxifying Powder) with added Chai Hu (Bupleuri Radix) and Shan Zhi (Gardeniae Fructus), for one or two doses. If pus has formed but has not ulcerated, this indicates deficiency of Blood and Qi; use Tuo Li Xiao Du San for one or two doses. If the abscess has ulcerated but pain persists, this indicates that the Toxin-Wa (pathogenic factors) has not been resolved; use one dose of Xian Fang Huo Ming Yin. If pain occurs after pus discharge, this indicates deficiency of Blood and Qi; use Nei Bu Huang Qi Tang (Internal Nourishing Astragalus Decoction). If fever and irritability occur after ulceration, this indicates Qi deficiency and Blood depletion; use Dang Gui Bu Xue Tang (Astragalus and Angelica Decoction for Tonifying Blood). If chills and fever occur after ulceration, this indicates deficiency of both Blood and Qi; use Shi Quan Da Bu Tang (Great Tonifying Decoction of Ten Ingredients). If only chills occur after ulceration, this indicates deficiency of Yuan Qi (Original Qi); use Bu Zhong Yi Qi Tang (Decoction to Supplement the Middle and Augment the Qi). If granulation tissue fails to grow after ulceration, this indicates Spleen Qi deficiency; use Liu Jun Zi Tang (Six Gentlemen Decoction). For those with innate frailty, or who suffer from illness due to dietary irregularities and overwork, Bu Zhong Yi Qi Tang with She Gan (Belamcandae Rhizoma) can often cause spontaneous resolution. If one fails to distinguish meridians and does not differentiate between excess and deficiency, applying indiscriminate attacking methods, thereby damaging Qi and Blood, then mild cases will be difficult to treat, and severe cases will inevitably transform into Zhai Zheng (consumptive disease/tuberculosis-like syndrome), potentially leading to death.
Long Dan Xie Gan Tang (for Hernia) Xian Fang Huo Ming Yin (see previous) Tuo Li Xiao Du San (see previous)
Nei Bu Huang Qi Tang (formulated by Xue Ji) Treats ulcers with excessive purulent discharge, or following overuse of detoxifying agents causing Qi deficiency and Blood weakness, fever with insomnia, or accompanied by night sweats and internal heat, or failure of granulation.
Huang Qi (Astragali Radix, stir-fried, 2 qian) Ren Shen (Ginseng Radix) Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried) Fu Ling (Poria) Chen Pi (Citri Reticulatae Pericarpium) Dang Gui (Angelicae Sinensis Radix) (each 1.5 qian) Suan Zao Ren (Ziziphi Spinosae Semen, stir-fried, 1 qian) Wu Wei Zi (Schisandrae Chinensis Fructus, pounded) Gan Cao (Liquiritiae Radix et Rhizoma, stir-fried, each 0.5 qian)
The above ingredients are decocted in water and taken slowly.
Dang Gui Bu Xue Tang (for Deficient Heat) Qing Xin Lian Zi Yin (for Lin Syndrome) Bu Zhong Yi Qi Tang (for Deficient Heat) Shi Quan Da Bu Tang (for Sweating)