〔薛〕 一童子，腋下患痈不敛，脓清，脉大，倦怠懒食，少寐，自汗口干，以内补
黄汤，及豆豉饼灸之两月而愈，凡疮脓溃而清，或疮口不合，或聚肿不赤，肌寒肉冷，
自汗色脱者，皆气血俱虚也，非补不可。一男子，腰患毒，脓熟不溃，针之脓大泄反加
烦躁，以圣愈汤四剂而宁，更以人参养荣汤，加麦门冬、五味子，两月而愈。此人后患湿
气遂为痼疾。凡疮脓血去多，疮口虽合，尤当补益。务使气血平复，否则更患他证，必
难治疗，慎之。一妇人，患臂痈，疮口紫陷，脓清不敛，彼以为毒未尽，欲服攻毒之剂，予
谓∶疮疡之证，肿起坚硬，脓稠者实也，肿下软慢，脓稀者虚也，遂用附子饼灸之，及
饮十全大补汤百剂，始愈。一妇人，患附骨痈，久而不敛，致腿细短软，脉来迟缓，以
十全大补汤加牛膝、杜仲及附子饼，灸之两月余而愈。凡脓溃之后，脉涩迟缓者易愈，以
其有胃气故也，脉来细而沉，时直者，里虚而欲变证也，若烦痛尚未痊也，洪滑粗散者
难疗。以其正气虚而邪气实也。一男子，腰中患此，发而不溃；其气血止能发起，不能
培养为脓也，投大补药数剂而溃，又数剂脓出尚清，乃服参 归术膏斤余，脓少稠；数
斤脓渐稠，肌肉顿生。大凡痈疽藉气血为主，若患而不起，或溃而不腐，或不收敛及脓少
或清，皆气血之虚也，宜大补之，最忌攻伐之剂。亦有脓反多者，乃气血虚而不能禁止
也；若溃后发热作渴，脉大而脓愈多，属真气虚而邪气实也，俱不治。常见气血充实之
人，患疮皆肿高色赤，易腐溃而脓且稠，又易于收敛。怯弱之人，多不起发不腐溃，及
难于收敛，若不审察而妄投攻剂，虚虚之祸不免矣。及患后当调养，若瘰 、流注之证，
尤当补益，否则更患他证，必难措置，慎之。一上舍，年逾四十，因怒胁内作痛不止。数
日后，外结一块，三寸许，漫肿色不赤，按之微痛，予谓∶怒气伤肝，致血伤气郁为患，
以小柴胡汤对四物，倍用芎归、黄 、贝母、肉桂治之。彼谓∶丹溪云，肿疡内外皆壅，宜
托里表散为主。又云，凡疮未破，毒攻脏腑，一毫热药断不可用。况此证为气血凝滞，乃
服流气饮愈虚，始信而复求治。视之虚证并臻，诊之胃气更虚，彼欲服予前药。予谓∶急
者先治，遂以四君子汤加酒炒芍药、炮干姜，四剂少得；更加当归又四剂，胃气渐醒，乃
去干姜，又加黄 、肉桂、芎归数剂，疮色少赤，并微作痛，又二十余剂而脓成，针之
却与十全大补汤，喜其谨疾，又两月余而瘳。夫气血凝滞，多因营卫之气弱，不能运散，岂
可复用流气饮以益其虚，况各经气血多寡不同，心包络、膀胱、小肠，肝经多血少气，三
焦、胆、肾、心、脾、肺少血多气。然前证正属胆经少血之脏，人年四十以上，阴血日
衰，且脉证俱属不足，肿疡内外皆壅，宜托里表散为主，乃补气血药而加之以行散之剂，
非专攻之谓也。若肿 痛甚烦躁脉大，辛热之剂，不但肿疡不可用，虽溃疡亦不可用也。
凡患者须分经络气血，地部远近，年岁老幼，禀气虚实，及七情所感，时令所宜而治之。常
见以流气、十宣二药，概治结肿之证，以致取败者多矣。
〔赵〕 无锡华氏，年六十，患背疮溃发，大如旋盘而色赤，想是平日多服金石药毒发
所致，问之果然。因令侵晨饮羊血三五升，始用退热解毒、生气血之剂， 以生肌膏，半
月后肌生脓少，予因归，令服此药百余帖，方可安全。一月后，复来招往视，其疮皮肉已
坚浓如常，但食少无力，因问前日之药服几何？曰∶疮将平，遂止不服，脉之沉微甚，因
知其气血，止可供给疮平而已，于真气则已竭，不可治，即古人所谓死于疮结痂之后，果
不出半月而死，不独此脓出后之虚，若因虚而发痈疽者亦然，若以常法攻之，则气血不
胜药力之散而愈虚，邪得以乘机入内，多成不救。
加味十全汤 治痈疽溃后，补气血，进饮食。
黄 （蒸） 地黄（蒸） 当归 川芎 人参 茯苓 芍药（炒） 白术 陈皮（各一两） 粉草（炙）
桂心 五味子（各半两） 乌药（七钱）
上 咀。每服一两，用水一碗，生姜五片，枣二枚，同煎，分作二服，留渣晒干为
末，服之。丹溪云∶加味十全汤，须看年之老壮，资之强弱，症之缓急，时之寒热，加
减用之。
丹溪云∶加味十全汤治痈疽后，补气血，进饮食，实为切要。盖脓血出多，阴阳两虚，
非此药何以回生起死，惜其不分经络，不载时令，又在识者触类而长之。今之外科，于
疮疡肿平痛宽，遂以为安，漫不加省，往往于结痂后，两三月或半年，虚证乃见，医者
不察，病者不悟，无补接调养之功，因而转成他病者，惜哉。予治一士夫，因脚弱求诊，
两手俱浮洪稍鼓，饮食如常，惟言问不答，肌上起白屑如麸片，时在冬月，予作极虚处治。
询其弟，乃知半年前，曾于臂、背、腿三处，自夏至秋冬，节次生疽，率用五香连翘汤、十
宣散与之，今结痂久矣。予为作参 白术当归膏，以二陈汤化饮之，三日后尽药一斤，白
屑没者大半，病者自喜呼吸有力，补药应效以渐，而病家反怨药不速应，自作风病论治，
炼青礞石二钱半，以青州白丸子作料，煎饮子顿服之，予谏之不听，因而不救书以为警
云。
补中益气汤 治疮疡之人，元气不足，四肢倦怠，口干发热，饮食无味，或饮食失节，
或劳倦身热，脉洪大而无力，或头痛或恶寒自汗，或气高而喘，身热而烦。
黄 （炙，一钱五分） 甘草（炙） 人参 当归（酒拌） 白术（炒，各一钱） 升麻 柴胡 陈皮（各
三分）
作一剂。水二盅，姜三片，枣二枚，煎一盅，空心服。
人参养荣汤 治溃疡发热或恶寒，或四肢倦怠，肌肉消瘦，面色痿黄，吸吸短气，饮
食无味，不能收敛，或气血原不足，不能收敛，若大疮愈后，多服之，不变他病。
白芍药（一钱半） 人参 陈皮 黄 （蜜炙） 桂心 当归（酒拌） 白术 甘草（炙，各一钱）
熟地黄（酒拌） 五味子（炒，杵） 茯苓（各七分半） 远志（去心，炒，五分）
作一剂，水二盅，姜三片，枣一枚。煎八分，食前服。
四君子汤 治脾胃虚弱，或因克伐，肿痛不散，溃敛不能，宜用此以补脾胃，诸症
自愈。若误用攻毒，七恶随至，脾胃虚弱，饮食少思，或食而难化，或欲作呕，或大便不
实，若脾胃气虚，疮口出血，吐血便血，尤宜用之，盖气能摄血故也。凡气血俱虚之证，
宜于前汤，但加当归，脾胃既旺，饮食自进，阴血自生。若用四物沉阴之剂，脾胃复伤，诸
症蜂起。若命门火衰而脾土虚寒，必用八味丸，以补土母。
人参 茯苓 白术（各二钱） 甘草（炙，一钱）
上姜枣，水煎服。
六君子汤 治脾胃虚弱，或寒凉克伐，肿痛不消，或不溃敛，宜服此汤以壮营气，诸
症自愈。即前方加陈皮半夏。
异功散 治脾胃虚弱，饮食少思。即四君子汤加陈皮。
四物汤 治血虚发热，或因失血，或因克伐，或因溃后致晡热内热，烦躁不安，皆
宜服之。经云∶血生于脾，若脾虚不能生血者，宜用四君子汤加当归、酒炒白术，以补
脾。
熟地黄 当归（各三钱） 芍药（二钱） 川芎（一钱五分）
上水煎服。
八珍汤 调和荣卫，顺理阴阳，滋养血气，进美饮食，退虚热，此气血虚之大药也。
当归（酒拌） 川芎 芍药（炒） 熟地黄（酒拌） 人参 白术（炒） 茯苓（各一钱） 甘草（炒，五
分）
作一剂。水二盅，姜三片，枣二枚，煎八分。食前服。
十全大补汤 治溃疡发热，或恶寒，或作痛，或脓多或清，或自汗盗汗及流注、瘰
、便毒，久不作脓，或脓成不溃，溃而不敛。若血气不足之人，结肿未成脓者，宜加
枳壳、香附、连翘，服之自消。
人参 肉桂 地黄（酒洗，蒸焙） 川芎 白芍药（炒） 茯苓 白术（炒） 黄 （盐水拌炒） 当
归（酒拌，各一钱） 甘草（炙，五分）
作一剂。用水二盅，姜枣煎服。
归脾汤 治忧思伤脾，血虚发热，食少体倦，或脾不能摄血以致妄行吐下。或健忘
怔忡，惊悸少寐。或心脾作痛，自汗盗汗。或肢体肿痛，大便不调。或妇人经候不准，晡
热内热。或唇疮流注等症，不能消散溃敛。
白术 白茯苓 黄 （炒） 当归 龙眼肉
远志肉 酸枣仁（炒，各一钱） 木香（五分） 甘草（炙，三分） 人参（一钱）
上姜枣，水煎服。
黄 人参汤 治诸疮破后，食少无睡，及有虚热秽气所触者。
黄 （二钱） 人参 白术 麦门冬 苍术 陈皮 升麻 五味子 当归身 甘草（各一
钱） 黄柏（炒，四分） 炒曲（五分）
上作一服，水二盅，煎至一盅，食远服。
托里当归汤 治溃疡气血俱虚，疮口不敛。或晡热内热，寒热往来。或妇人诸疮，经
候不调，小便频数，大便不实等症。
当归 黄 人参 熟地黄 川芎 芍药（各一钱） 柴胡 甘草（各五分）
上水煎服。
内补黄 汤（见痈疽兼症，痛条。）
人参散 治痈疽，内虚不足。
人参 白术 白茯苓 枸杞子（各一两） 熟地黄 黄 （锉，各二两） 桂心 白芍药 当
归（微炒） 甘草（炙，各半两）
上锉碎。每服四钱，水一中盏，入生姜半分，枣三枚，煎至六分，去滓，不拘时温
服。
麦门冬汤 治痈疽溃后，脓水不绝。
麦门冬（去心） 黄 （锉） 五味子（炒） 白茯苓（去黑皮） 人参（去芦） 官桂（去粗皮）
当归（切，焙） 远志（去心） 芎 （各一两） 甘草（炙，七钱半）
上 咀。每服五钱，水一盏半，入生姜半分，擘碎，大枣二枚，擘破，同煎至一盏，去滓，空心温服。
护壁都尉 治诸发已溃，去旧生新，老人气血虚弱，宜补之。此溃后服至愈而止。
防风（去芦） 浓朴（去粗皮，姜汁炒） 苦梗 白芷 黄 （炙，各半两） 川芎 甘草 柳桂
当归（各三钱） 人参（二钱）
上为末。每服二钱，空心，温盐、酒调服。至疮口合后更服为佳。不饮酒，木香汤、
兼服降气汤，尤妙。
六味丸（一名六味地黄丸） 此壮水之剂。夫人之生，以肾为主，凡病皆由肾虚而致，此
方乃天一生水之剂，无有不可用者，世所罕知。若肾虚发热作渴，小便淋秘，痰气壅盛，
咳嗽吐血，头目眩晕，小便短少，眼花耳聋，咽喉燥痛，口舌疮裂，齿不坚固，腰腿痿软，
五脏齐损，肝经不足之症，尤当用之，水能生木故也。若肾虚发热，自汗盗汗，诸血失
血，失喑水泛为痰之圣药，血虚发热之神剂也。
熟地黄（生者，自制，八两） 山茱萸肉 山药（各四两） 白茯苓 牡丹皮 泽泻（各三两）
上地黄杵膏，余为末，蜜和丸桐子大。每服七八十丸，滚汤下。
八味丸 治命门火衰不能生土，以致脾土虚寒而患流注、鹤膝等症，不能消溃收敛，
或饮食少思，或食而不化，脐腹疼痛，夜多漩溺，即前方加肉桂、附子各一两。经云∶益
火之源，以消阴翳。即此方也。
加减八味丸 治症同前。即六味丸加肉桂、五味子各一两。
东垣痈疽用药加减法∶如发背疔肿，脓溃前后，虚而头痛者，托里药内加五味子。恍
惚不宁，加人参、茯神。虚而发热者，加地黄，栝蒌根。潮热者，加柴胡、地骨皮。渴
不止者，加知母、赤小豆。虚烦者，加枸杞、天门冬。自利者，加浓朴。脓多者，加当归、
川芎。痛甚者，加芍药、乳香。肌肉迟生者，加白蔹、官桂。有风邪者，加独活、防风。心
惊悸者，加丹砂。口目 动者，加羌活、细辛。呕逆者，加丁香。藿叶。痰多者，加半
夏、陈皮。
【薛己】有一个少年，腋下患痈疽，久不愈合，脓液清稀，脉象大，身体倦怠，食欲不振，睡眠少，自汗，口干，用内补黄汤治疗，并用豆豉饼灸患处，两个月后痊愈。凡是疮疡脓液溃破后清稀，或疮口不合拢，或肿胀聚集但不红赤，肌肉寒冷，自汗，面色苍白脱色的，都是气血俱虚的表现，必须用补法治疗。一个男子，腰部患毒疮，脓已成熟但未溃破，针刺后脓液大量流出，反而更加烦躁，服用圣愈汤四剂后平静下来，接着用人参养荣汤，加入麦门冬、五味子，两个月后痊愈。这个人后来又患湿气，于是成为顽固性疾病。凡是疮疡脓血流失过多，虽然疮口合拢，尤其应当补益。务必使气血平复，否则再患其他病证，一定难以治疗，要谨慎。一个妇人，手臂患痈，疮口紫暗凹陷，脓液清稀不愈合，她认为毒气未尽，想要服用攻毒的药物，我说：疮疡的病症，肿起坚硬，脓液稠厚的是实证；肿下软慢，脓液稀薄的是虚证，于是用附子饼灸患处，并饮用十全大补汤一百剂，才痊愈。一个妇人，患附骨痈，长久不愈合，导致腿细短软弱，脉来迟缓，用十全大补汤加牛膝、杜仲及附子饼，灸患处两个多月后痊愈。凡是脓液溃破之后，脉涩迟缓的容易痊愈，因为还有胃气的原因；脉来细而沉，直而不柔的，是里虚且将要发生变证；如果烦痛尚未痊愈，脉洪滑粗散的难治。因为正气虚而邪气实。一个男子，腰部患此病，发作但不能溃破；他的气血只能发起（红肿），不能培养化为脓液，投以大补药几剂后溃破，又几剂脓出仍然清稀，于是服用人参、当归、白术膏一斤多，脓液变少且稠厚；服了几斤后脓液逐渐稠厚，肌肉顿时生长。大凡痈疽依靠气血作为根本，如果患疮不起发，或溃破后不腐溃，或不收敛以及脓液少或清稀，都是气血的虚弱，应当大补，最忌讳使用攻伐的药物。也有脓液反而多的，是气血虚而不能固摄；如果溃破后发热口渴，脉大而脓液更多，属于真气虚而邪气实，都不治。常见气血充实的人，患疮都肿高色赤，容易腐溃且脓液稠厚，又易于收敛。怯弱的人，多不起发不腐溃，及难于收敛，如果不审察而妄投攻剂，造成虚上加虚的祸害是不能避免的。等到患病后应当调养，如果是瘰疬、流注的病证，尤其应当补益，否则再患其他病证，一定难以处置，要谨慎。一个上舍生，年龄超过四十岁，因为愤怒胁肋内部疼痛不止。几天后，外部结出一块，约三寸大小，漫肿颜色不红，按压微痛，我说：怒气伤肝，导致血伤气郁为患，用小柴胡汤合四物汤，加倍使用川芎、当归、黄芪、贝母、肉桂治疗。他认为：丹溪说，肿疡内外皆壅塞，宜以托里表散为主。又说，凡是疮未破，毒攻脏腑，一点热药断不可用。况且这个病证是气血凝滞，于是服用流气饮导致更虚，才相信我的话又来求治。看他虚证并至，诊其胃气更虚，他想服用我之前的药。我说：急症先治，于是用四君子汤加酒炒芍药、炮干姜，四剂后稍有好转；再加当归又四剂，胃气渐渐苏醒，于是去掉干姜，再加黄芪、肉桂、川芎、当归几剂，疮色稍红，并微作痛，又二十多剂后脓成，针刺排脓，却继续给予十全大补汤，庆幸他谨慎治病，又两个多月后痊愈。气血凝滞，多因营卫之气弱，不能运化消散，岂可再用流气饮来增加其虚损，况且各经气血多少不同，心包络、膀胱、小肠，肝经多血少气，三焦、胆、肾、心、脾、肺少血多气。然而前证正属于胆经少血的脏，人年四十以上，阴血日渐衰退，且脉证都属于不足，肿疡内外皆壅塞，宜以托里表散为主，这是补气血药加上行散之剂，不是专攻的意思。如果肿痛甚、烦躁、脉大，辛热之剂，不但肿疡不可用，即使溃疡也不可用。凡是患者须分经络气血，部位远近，年龄老幼，禀赋虚实，及七情所感，时令适宜而治疗。常见用流气、十宣二药，一概治疗结肿的病证，以致失败者很多了。
【赵】无锡华氏，六十岁，患背疮溃破发作，大如旋盘且色赤，想必是平日多服金石药物毒发所致，询问果然如此。于是令他在清晨喝羊血三五升，开始用退热解毒、生气血的药剂，外敷生肌膏，半个月后肌肉生长脓少，我因此回家，令他服用此药百余帖，方可安全。一个月后，他又来招我去看，其疮皮肉已坚厚如常，但食少无力，于是问那天的药服了多少？回答说：疮将平复，就停止不服了，诊脉沉微甚，因此知道他的气血，只够供给疮平复而已，于真气已经枯竭，不可治，就是古人所说的死于疮结痂之后，果然不出半月而死，不仅这脓出后的虚证，如果因虚而发痈疽也是这样，如果用常法攻之，则气血不胜药力之散而更虚，邪气得以乘机入内，多成不治。
加味十全汤 治疗痈疽溃破后，补气血，增进饮食。
黄芪（蒸） 地黄（蒸） 当归 川芎 人参 茯苓 芍药（炒） 白术 陈皮（各一两） 粉草（炙）
桂心 五味子（各半两） 乌药（七钱）
以上锉碎。每服一两，用水一碗，生姜五片，枣二枚，同煎，分作两次服用，留药渣晒干为末，服用。丹溪说：加味十全汤，须看年龄的老壮，体质的强弱，病证的缓急，时令的寒热，加减使用。
丹溪说：加味十全汤治疗痈疽后，补气血，增进饮食，确实切中要害。大概脓血出得多，阴阳两虚，不用这药怎么能回生起死，可惜它不分经络，不载时令，又在识者触类旁通加以运用。现在的外科医生，在疮疡肿平痛宽，就以为平安，漫不加省察，往往在结痂后，两三个月或半年，虚证才出现，医者不察，病者不悟，没有补接调养的功效，因而转成他病的，可惜啊。我治疗一个士大夫，因为脚弱求诊，两手脉都浮洪稍鼓，饮食如常，只是问话不答，肌肤上起白屑如麸片，当时在冬天，我当作极虚处治。询问他的弟弟，才知道半年前，曾在臂、背、腿三处，从夏至秋冬，依次生疽，都用五香连翘汤、十宣散给他，现在结痂很久了。我为他制作参、术、当归膏，用二陈汤化痰饮，三天后吃完一斤药，白屑消失大半，病人自己高兴呼吸有力，补药应效以渐，而病家反而抱怨药不速效，自作主张作风病论治，炼制青礞石二钱半，以青州白丸子作料，煎饮子顿服，我劝谏不听，因此不治。写此文以为警戒。
补中益气汤 治疗疮疡之人，元气不足，四肢倦怠，口干发热，饮食无味，或饮食失节，或劳倦身热，脉洪大而无力，或头痛或恶寒自汗，或气高而喘，身热而烦。
黄芪（炙，一钱五分） 甘草（炙） 人参 当归（酒拌） 白术（炒，各一钱） 升麻 柴胡 陈皮（各三分）
作一剂。水二盅，姜三片，枣二枚，煎一盅，空腹服。
人参养荣汤 治疗溃疡发热或恶寒，或四肢倦怠，肌肉消瘦，面色萎黄，吸吸短气，饮食无味，不能收敛，或气血原不足，不能收敛，若大疮愈后，多服之，不变他病。
白芍药（一钱半） 人参 陈皮 黄芪（蜜炙） 桂心 当归（酒拌） 白术 甘草（炙，各一钱）
熟地黄（酒拌） 五味子（炒，杵） 茯苓（各七分半） 远志（去心，炒，五分）
作一剂，水二盅，姜三片，枣一枚。煎八分，食前服。
四君子汤 治疗脾胃虚弱，或因克伐，肿痛不散，溃敛不能，宜用此以补脾胃，诸症自愈。若误用攻毒，七恶随至，脾胃虚弱，饮食少思，或食而难化，或欲作呕，或大便不实，若脾胃气虚，疮口出血，吐血便血，尤宜用之，盖气能摄血故也。凡气血俱虚之证，宜于前汤，但加当归，脾胃既旺，饮食自进，阴血自生。若用四物沉阴之剂，脾胃复伤，诸症蜂起。若命门火衰而脾土虚寒，必用八味丸，以补土母。
人参 茯苓 白术（各二钱） 甘草（炙，一钱）
以上姜枣，水煎服。
六君子汤 治疗脾胃虚弱，或寒凉克伐，肿痛不消，或不溃敛，宜服此汤以壮营气，诸症自愈。即前方加陈皮半夏。
四物汤 治疗血虚发热，或因失血，或因克伐，或因溃后致晡热内热，烦躁不安，皆宜服之。经云：血生于脾，若脾虚不能生血者，宜用四君子汤加当归、酒炒白术，以补脾。
熟地黄 当归（各三钱） 芍药（二钱） 川芎（一钱五分）
以上水煎服。
八珍汤 调和营卫，顺理阴阳，滋养血气，进美饮食，退虚热，此气血虚之大药也。
当归（酒拌） 川芎 芍药（炒） 熟地黄（酒拌） 人参 白术（炒） 茯苓（各一钱） 甘草（炒，五分）
作一剂。水二盅，姜三片，枣二枚，煎八分。食前服。
十全大补汤 治疗溃疡发热，或恶寒，或作痛，或脓多或清，或自汗盗汗及流注、瘰疬、便毒，久不作脓，或脓成不溃，溃而不敛。若血气不足之人，结肿未成脓者，宜加枳壳、香附、连翘，服之自消。
人参 肉桂 地黄（酒洗，蒸焙） 川芎 白芍药（炒） 茯苓 白术（炒） 黄芪（盐水拌炒） 当归（酒拌，各一钱） 甘草（炙，五分）
作一剂。用水二盅，姜枣煎服。
归脾汤 治疗忧思伤脾，血虚发热，食少体倦，或脾不能摄血以致妄行吐下。或健忘怔忡，惊悸少寐。或心脾作痛，自汗盗汗。或肢体肿痛，大便不调。或妇人经候不准，晡热内热。或唇疮流注等症，不能消散溃敛。
白术 白茯苓 黄芪（炒） 当归 龙眼肉
远志肉 酸枣仁（炒，各一钱） 木香（五分） 甘草（炙，三分） 人参（一钱）
以上姜枣，水煎服。
黄芪人参汤 治疗诸疮破后，食少无睡，及有虚热秽气所触者。
黄芪（二钱） 人参 白术 麦门冬 苍术 陈皮 升麻 五味子 当归身 甘草（各一钱） 黄柏（炒，四分） 炒曲（五分）
以上作一服，水二盅，煎至一盅，食远服。
托里当归汤 治疗溃疡气血俱虚，疮口不敛。或晡热内热，寒热往来。或妇人诸疮，经候不调，小便频数，大便不实等症。
当归 黄芪 人参 熟地黄 川芎 芍药（各一钱） 柴胡 甘草（各五分）
以上水煎服。
人参散 治疗痈疽，内虚不足。
人参 白术 白茯苓 枸杞子（各一两） 熟地黄 黄芪（锉，各二两） 桂心 白芍药 当归（微炒） 甘草（炙，各半两）
以上锉碎。每服四钱，水一中盏，入生姜半分，枣三枚，煎至六分，去滓，不拘时温服。
麦门冬汤 治疗痈疽溃后，脓水不绝。
麦门冬（去心） 黄芪（锉） 五味子（炒） 白茯苓（去黑皮） 人参（去芦） 官桂（去粗皮）
当归（切，焙） 远志（去心） 川芎（各一两） 甘草（炙，七钱半）
以上锉碎。每服五钱，水一盏半，入生姜半分，擘碎，大枣二枚，擘破，同煎至一盏，去滓，空心温服。
护壁都尉 治疗诸发已溃，去旧生新，老人气血虚弱，宜补之。此溃后服至愈而止。
防风（去芦） 浓朴（去粗皮，姜汁炒） 苦梗 白芷 黄芪（炙，各半两） 川芎 甘草 柳桂
当归（各三钱） 人参（二钱）
以上为末。每服二钱，空腹，温盐、酒调服。至疮口合后更服为佳。不饮酒，木香汤、兼服降气汤，尤妙。
六味丸（一名六味地黄丸） 这是壮水之剂。人的生存，以肾为主，凡病皆由肾虚而致，此方乃天一生水之剂，无有不可用者，世所罕知。若肾虚发热作渴，小便淋秘，痰气壅盛，咳嗽吐血，头目眩晕，小便短少，眼花耳聋，咽喉燥痛，口舌疮裂，齿不坚固，腰腿痿软，五脏齐损，肝经不足之症，尤当用之，水能生木故也。若肾虚发热，自汗盗汗，诸血失血，失喑水泛为痰之圣药，血虚发热之神剂也。
熟地黄（生者，自制，八两） 山茱萸肉 山药（各四两） 白茯苓 牡丹皮 泽泻（各三两）
以上地黄杵膏，余为末，蜜和丸桐子大。每服七八十丸，滚汤下。
八味丸 治疗命门火衰不能生土，以致脾土虚寒而患流注、鹤膝等症，不能消溃收敛，或饮食少思，或食而不化，脐腹疼痛，夜多漩溺，即前方加肉桂、附子各一两。经云：益火之源，以消阴翳。即此方也。
东垣痈疽用药加减法：如发背疔肿，脓溃前后，虚而头痛者，托里药内加五味子。恍惚不宁，加人参、茯神。虚而发热者，加地黄，栝蒌根。潮热者，加柴胡、地骨皮。渴不止者，加知母、赤小豆。虚烦者，加枸杞、天门冬。自利者，加厚朴。脓多者，加当归、川芎。痛甚者，加芍药、乳香。肌肉迟生者，加白蔹、官桂。有风邪者，加独活、防风。心惊悸者，加丹砂。口目动者，加羌活、细辛。呕逆者，加丁香、藿叶。痰多者，加半夏、陈皮。
[Xue] A young boy suffered from a carbuncle in the axilla that failed to heal, with thin pus, a large pulse, fatigue, poor appetite, insomnia, spontaneous sweating, and dry mouth. He was treated with Neibu Huang Tang (Internal Nourishing Decoction) and moxibustion using fermented soybean cakes on the affected area for two months until he recovered. Generally, when pus from a sore is thin after rupture, or the wound does not close, or swelling gathers without redness, muscles are cold, there is spontaneous sweating, and the complexion is pale and depleted, these are all signs of deficiency of both Qi and Blood. Tonification is indispensable. A man suffered from a toxic sore on his waist. The pus was mature but had not ruptured. After puncturing, a large amount of pus drained out, and he became even more irritable. After taking Shengyu Tang (Sage's Rescue Decoction) for four doses, he calmed down. Then, Ren Shen Yang Rong Tang (Ginseng Nourishing Qi and Blood Decoction) was administered with added Ophiopogonis Radix (Maidong) and Schisandrae Fructus (Wuweizi), and he recovered after two months. This patient later contracted dampness, which became a chronic ailment. Generally, when pus and blood are lost excessively from a sore, even if the wound closes, tonification is particularly necessary. One must ensure that Qi and Blood return to balance; otherwise, other syndromes may arise, making treatment difficult. Be cautious. A woman suffered from an arm carbuncle. The wound was purple and depressed, with thin pus that failed to heal. She believed the toxin was not fully cleared and wanted to take detoxifying agents. I said: In sores and ulcers, if the swelling is hard and raised with thick pus, it is excess; if the swelling is soft and slow with thin pus, it is deficiency. Thus, moxibustion with Aconite cakes was applied, and she drank Shiquan Dabu Tang (Complete Great Tonifying Decoction) for one hundred doses before recovering. Another woman suffered from a deep bone carbuncle that failed to heal for a long time, resulting in thin, short, and weak legs. Her pulse was slow and delayed. She was treated with Shiquan Dabu Tang added with Achyranthis Bidentatae Radix (Niuxi) and Eucommiae Cortex (Duzhong), along with moxibustion using Aconite cakes, and recovered after more than two months. Generally, after pus rupture, a choppy and slow pulse indicates easy recovery because Stomach Qi remains. A fine, deep, and rigid pulse indicates interior deficiency and impending transformation of the syndrome. If irritability and pain persist, a surging, slippery, and coarse pulse indicates difficult treatment due to deficiency of healthy Qi and excess of pathogenic factors. A man suffered from this condition in his waist. It erupted but did not suppurate; his Qi and Blood were only capable of causing swelling but not of nourishing and forming pus. After administering several doses of major tonics, it ruptured. After another few doses, the pus remained thin. He then took over a catty of Ginseng, Angelica, and Atractylodes paste. The pus decreased and became thicker. After taking several catties, the pus gradually thickened, and muscle tissue regenerated rapidly. Generally, carbuncles and sores rely on Qi and Blood as their foundation. If a sore fails to erupt, or after rupture fails to slough, or fails to heal, or if pus is scanty or thin, these are all signs of Qi and Blood deficiency. Major tonification is indicated, and attacking/depleting agents are strictly contraindicated. There are cases where pus increases excessively; this is due to deficiency of Qi and Blood failing to consolidate. If fever and thirst occur after rupture, and the pulse is large with increasing pus, this belongs to deficiency of True Qi and excess of pathogenic factors, and is untreatable. It is common to see that people with sufficient Qi and Blood suffer from sores that are swollen, high, and red, easily slough and suppurate with thick pus, and heal quickly. Weak individuals often fail to erupt or slough and find healing difficult. If one fails to examine carefully and recklessly administers attacking agents, the disaster of "deficiency adding to deficiency" is inevitable. After illness, proper recuperation is required. For conditions like scrofula (Luoli) and flowing abscesses (Liuzu), tonification is especially important; otherwise, other syndromes may arise, making management difficult. Be cautious. An Shangshe student, over forty years old, suffered from unceasing pain in the hypochondrium due to anger. Several days later, a mass about three inches in size appeared externally, diffuse swelling without redness, and slight pain upon pressure. I said: Anger injures the Liver, causing blood injury and Qi stagnation. Xiao Chai Hu Tang (Minor Bupleurum Decoction) combined with Si Wu Tang (Four Substances Decoction) was used, with doubled amounts of Ligustici Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Astragali Membranacei Radix (Huangqi), and Fritillariae Thunbergii Bulbus (Beimu), plus Cinnamomi Cortex (Rougui). He argued: Danxi stated that for external swellings with internal and external obstruction, the main treatment should be supporting the interior and releasing the exterior. He also said that for any sore not yet broken, if toxin attacks the Zang-Fu organs, hot herbs must absolutely not be used. Moreover, this condition is caused by Qi and Blood stagnation. He had previously taken Liuqi Yin (Flowing Qi Decoction), which made him weaker, and only then believed me and sought treatment again. His deficiency syndromes were evident, and his Stomach Qi was even more deficient. He wished to take my previous prescription. I said: Treat acute conditions first. Thus, Sijunzi Tang (Four Gentlemen Decoction) with wine-fried Paeoniae Radix Alba (Shaoyao) and roasted Zingiberis Rhizoma (Ganjiang) was given. After four doses, there was slight improvement. Danggui was added for another four doses, and Stomach Qi gradually revived. Ganjiang was then removed, and Huangqi, Rougui, Chuanxiong, and Danggui were added for several doses. The sore became slightly red and painful. After twenty-plus doses, pus formed. After puncturing, he continued with Shiquan Dabu Tang. Fortunately, he was careful with his health, and he recovered after another two months. Qi and Blood stagnation is often due to weakness of Ying and Wei Qi, unable to circulate and disperse. How can Liuqi Yin be used again to increase deficiency? Furthermore, the amount of Qi and Blood varies among meridians. The Pericardium, Bladder, and Small Intestine meridians have abundant blood and little Qi; the San Jiao, Gallbladder, Kidney, Heart, Spleen, and Lung meridians have little blood and abundant Qi. However, the previous case belonged to the Gallbladder meridian, which has little blood. After age forty, Yin blood declines daily. Since the pulse and symptoms indicate insufficiency, although external swellings with internal and external obstruction suggest supporting the interior and releasing the exterior as the main principle, this involves adding dispersing agents to tonifying Qi and Blood formulas, not purely attacking methods. If swelling and pain are severe with irritability and a large pulse, acrid-hot agents are contraindicated not only for external swellings but also for ulcers. Patients must be treated according to the meridians and Qi/Blood, location depth, age, constitutional strength/weakness, emotional influences, and seasonal appropriateness. It is common to see failure when Liuqi Yin and Shixuan San are indiscriminately used for all nodular swellings.
[Zhao] Mr. Hua from Wuxi, aged sixty, suffered from a back ulcer that erupted, large as a spinning plate and red. This was likely caused by toxicity from long-term ingestion of mineral medicines, which was confirmed. He was instructed to drink three to five sheng of sheep blood early in the morning, followed by heat-clearing, detoxifying, and Qi/Blood-generating herbal decoctions, and topical application of Shengji Gao (Flesh-Generating Paste). After half a month, flesh grew and pus was scant. I returned home, instructing him to take over a hundred doses of this medicine to ensure safety. One month later, he invited me to visit again. The skin and flesh of the sore were firm and thick as normal, but he had poor appetite and weakness. I asked how much medicine he had taken. He replied: When the sore was nearly healed, I stopped taking it. His pulse was deep and faint. I knew his Qi and Blood were only sufficient to heal the sore, but his True Qi was exhausted. It was untreatable, just as the ancients said, dying after the sore forms a scab. Indeed, he died within half a month. Not only is post-pus discharge deficiency dangerous, but so is developing carbuncles due to deficiency. If treated with standard attacking methods, Qi and Blood cannot withstand the dispersing power of the drugs, becoming more deficient, allowing pathogens to enter internally, leading to untreatable conditions.
Jiawei Shiquan Tang (Modified Complete Great Tonifying Decoction) treats post-ulceration of carbuncles and sores, tonifying Qi and Blood and promoting appetite.
Astragali Membranacei Radix (Huangqi, steamed), Rehmanniae Radix (Dihuang, steamed), Angelicae Sinensis Radix (Danggui), Ligustici Chuanxiong Rhizoma (Chuanxiong), Ginseng Radix et Rhizoma (Renshen), Poria (Fuling), Paeoniae Radix Alba (Shaoyao, fried), Atractylodis Macrocephalae Rhizoma (Baizhu), Citri Reticulatae Pericarpium (Chenpi) (each 1 liang), Glycyrrhizae Radix et Rhizoma (Gancao, roasted).
Cinnamomi Cortex (Guixin), Schisandrae Fructus (Wuweizi) (each 0.5 liang), Linderae Fructus (Wuyao) (7 qian).
Crush into pieces. Take 1 liang per dose, boil with one bowl of water, five slices of Zingiberis Rhizoma Recens (Shengjiang), and two Jujubae Fructus (Zao), divide into two doses. Dry the residue, grind into powder, and take. Danxi said: Jiawei Shiquan Tang must be adjusted based on age, constitution, urgency of symptoms, and seasonal temperature.
Danxi said: Jiawei Shiquan Tang is essential for treating post-carbuncle/ulcer conditions by tonifying Qi and Blood and promoting appetite. Since excessive loss of pus and blood causes dual deficiency of Yin and Yang, no other medicine can revive life as effectively. Regrettably, it does not differentiate meridians or account for seasons, requiring practitioners to apply it flexibly. Modern surgeons often consider a sore safe once swelling subsides and pain decreases, neglecting follow-up. Deficiency syndromes often appear two to three months or even half a year after scabbing. Physicians fail to observe, patients do not realize, and lack of tonification leads to other diseases. What a pity. I treated a scholar who sought diagnosis for weak legs. Both wrists had floating, surging, and slightly distended pulses. Diet was normal, but he did not respond to questions. White scales like bran appeared on his skin in winter. I treated him for extreme deficiency. His brother told me that six months prior, from summer to autumn/winter, he had developed carbuncles on his arm, back, and legs. He was given Wuxiang Lianqiao Tang and Shixuan San. Scabs had formed long ago. I prepared a paste of Ginseng, Atractylodes, and Angelica, combined with Erchen Tang to resolve phlegm-fluids. After three days, consuming one catty of medicine, most white scales disappeared. The patient felt stronger breathing and gradual efficacy of tonics. However, his family complained of slow action, diagnosed it as wind-stroke themselves, refined Qingmengshi (Malachite) and administered Qingzhou Baiwanzi (White Pill of Qingzhou) decoction. I advised against it, but they did not listen, and he died. I write this as a warning.
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) treats carbuncle/ulcer patients with insufficient Yuan Qi, limb fatigue, dry mouth, fever, tasteless diet, irregular eating, fatigue-induced fever, surging but forceless pulse, headache, aversion to cold, spontaneous sweating, rapid breathing with panting, body heat with irritability.
Astragali Membranacei Radix (Huangqi, roasted, 1.5 qian), Glycyrrhizae Radix et Rhizoma (Gancao, roasted), Ginseng Radix et Rhizoma (Renshen), Angelicae Sinensis Radix (Danggui, wine-soaked), Atractylodis Macrocephalae Rhizoma (Baizhu, fried, each 1 qian), Cimicifugae Rhizoma (Shengma), Bupleuri Radix (Chaihu), Citri Reticulatae Pericarpium (Chenpi) (each 0.3 qian).
One dose. Boil with two cups of water, three slices of ginger, and two dates, reduce to one cup, take on an empty stomach.
Renshen Yangrong Tang (Ginseng Nourishing Qi and Blood Decoction) treats ulcers with fever or aversion to cold, limb fatigue, muscle wasting, sallow complexion, shortness of breath, tasteless diet, inability to heal, or congenital Qi/Blood deficiency preventing healing. Useful after major sores to prevent other diseases.
Paeoniae Radix Alba (Shaoyao, 1.5 qian), Ginseng Radix et Rhizoma (Renshen), Citri Reticulatae Pericarpium (Chenpi), Astragali Membranacei Radix (Huangqi, honey-roasted), Cinnamomi Cortex (Guixin), Angelicae Sinensis Radix (Danggui, wine-soaked), Atractylodis Macrocephalae Rhizoma (Baizhu), Glycyrrhizae Radix et Rhizoma (Gancao, roasted, each 1 qian).
Rehmanniae Radix Preparata (Shudihuang, wine-soaked), Schisandrae Fructus (Wuweizi, fried and pounded), Poria (Fuling) (each 0.75 qian), Polygalae Radix (Yuanzhi, heart removed, fried, 0.5 qian).
One dose. Boil with two cups of water, three slices of ginger, and one date, reduce to 0.8 cup, take before meals.
Sijunzi Tang (Four Gentlemen Decoction) treats Spleen/Stomach weakness, or swelling/pain from over-treatment that fails to dissipate, or inability to ulcerate/heal. Use this to tonify Spleen/Stomach for self-healing. Misuse of detoxifying agents leads to Seven Evils. For Spleen/Stomach weakness with poor appetite, difficulty digesting, nausea, or loose stools, use this. For Spleen Qi deficiency causing bleeding from wounds, hematemesis, or melena, it is especially suitable because Qi controls Blood. For dual Qi/Blood deficiency, add Danggui to the previous formula. Once Spleen/Stomach is strong, diet improves, and Yin Blood generates naturally. Using Siwu Tang's heavy/yin nature damages Spleen/Stomach further. If Mingmen Fire declines causing Spleen Earth coldness, Bayi Wan (Eight-Ingredient Pill) is needed to tonify the Mother of Earth.
Ginseng Radix et Rhizoma (Renshen), Poria (Fuling), Atractylodis Macrocephalae Rhizoma (Baizhu) (each 2 qian), Glycyrrhizae Radix et Rhizoma (Gancao, roasted, 1 qian).
Boil with ginger and dates in water.
Liu Junzi Tang (Six Gentlemen Decoction) treats Spleen/Stomach weakness or damage from cold/cooling agents, persistent swelling/pain, or failure to ulcerate/heal. Tonifies Ying Qi for self-healing. This is Sijunzi Tang plus Chenpi and Banxia.
Yigong San (Extraordinary Power Powder) treats Spleen/Stomach weakness and poor appetite. This is Sijunzi Tang plus Chenpi.
Siwu Tang (Four Substances Decoction) treats blood-deficiency fever, or fever after blood loss, over-treatment, or post-ulceration afternoon fever/internal heat with irritability. The Classics state: Blood is generated by the Spleen. If Spleen deficiency prevents blood generation, use Sijunzi Tang plus Danggui and wine-fried Baizhu to tonify the Spleen.
Rehmanniae Radix (Dihuang), Angelicae Sinensis Radix (Danggui) (each 3 qian), Paeoniae Radix (Shaoyao, 2 qian), Ligustici Chuanxiong Rhizoma (Chuanxiong, 1.5 qian).
Boil in water and take.
Bazhen Tang (Eight Treasures Decoction) harmonizes Ying and Wei, regulates Yin and Yang, nourishes Qi and Blood, promotes appetite, and clears deficiency heat. It is a major tonic for Qi/Blood deficiency.
Angelicae Sinensis Radix (Danggui, wine-soaked), Ligustici Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix (Shaoyao, fried), Rehmanniae Radix Preparata (Shudihuang, wine-soaked), Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu, fried), Poria (Fuling) (each 1 qian), Glycyrrhizae Radix et Rhizoma (Gancao, fried, 0.5 qian).
One dose. Boil with two cups of water, three slices of ginger, and two dates, reduce to 0.8 cup. Take before meals.
Shiquan Dabu Tang (Complete Great Tonifying Decoction) treats ulcers with fever, aversion to cold, pain, excessive or thin pus, spontaneous or night sweating, flowing abscesses, scrofula, or groin sores. For long-standing non-suppuration, mature non-rupture, or post-rupture non-healing. For those with insufficient Qi/Blood and nodules not yet suppurring, add Aurantii Fructus (Zhiqiao), Cyperi Rhizoma (Xiangfu), and Forsythiae Fructus (Lianqiao) to dissolve spontaneously.
Ginseng Radix et Rhizoma (Renshen), Cinnamomi Ramulus (Rougui), Rehmanniae Radix (Dihuang, wine-washed, steamed/dried), Ligustici Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Shaoyao, fried), Poria (Fuling), Atractylodis Macrocephalae Rhizoma (Baizhu, fried), Astragali Membranacei Radix (Huangqi, salt-water fried), Angelicae Sinensis Radix (Danggui, wine-soaked) (each 1 qian), Glycyrrhizae Radix et Rhizoma (Gancao, roasted, 0.5 qian).
One dose. Boil with two cups of water, ginger, and dates.
Guipi Tang (Restore the Spleen Decoction) treats worry/thought injuring the Spleen, blood-deficiency fever, poor appetite, fatigue, or Spleen failing to control blood causing vomiting/hematochezia. Also for forgetfulness, palpitations, fright, insomnia, heart/Spleen pain, sweating, limb swelling/pain, irregular bowel movements, irregular menstruation, afternoon fever, or lip sores/flowing abscesses failing to resolve/suppurate/heal.
Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), Astragali Membranacei Radix (Huangqi, fried), Angelicae Sinensis Radix (Danggui), Longan Arillus (Longyanrou).
Polygalae Radix (Yuanzhi), Ziziphi Spinosae Semen (Suanzaoren, fried, each 1 qian), Aucklandiae Radix (Muxiang, 0.5 qian), Glycyrrhizae Radix et Rhizoma (Gancao, roasted, 0.3 qian), Ginseng Radix et Rhizoma (Renshen, 1 qian).
Boil with ginger and dates in water.
Huangqi Renshen Tang (Astragalus and Ginseng Decoction) treats post-rupture sores with poor appetite, insomnia, and contact with deficiency heat/foul qi.
Astragali Membranacei Radix (Huangqi, 2 qian), Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Ophiopogonis Radix (Maidong), Atractylodis Rhizoma (Cangzhu), Citri Reticulatae Pericarpium (Chenpi), Cimicifugae Rhizoma (Shengma), Schisandrae Fructus (Wuweizi), Angelicae Sinensis Radix (Danggui), Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 qian), Phellodendri Cortex (Huangbai, fried, 0.4 qian), Fried Qu (Chaoqu, 0.5 qian).
One dose. Boil with two cups of water, reduce to one cup, take far from meals.
Tuoli Danggui Tang (Support Interior Angelica Decoction) treats ulcers with dual Qi/Blood deficiency and non-healing wounds. Also for afternoon fever/internal heat, alternating chills/fever, or women's sores with irregular menstruation, frequent urination, loose stools.
Angelicae Sinensis Radix (Danggui), Astragali Membranacei Radix (Huangqi), Ginseng Radix et Rhizoma (Renshen), Rehmanniae Radix Preparata (Shudihuang), Ligustici Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix (Shaoyao) (each 1 qian), Bupleuri Radix (Chaihu), Glycyrrhizae Radix et Rhizoma (Gancao) (each 0.5 qian).
Boil in water and take.
Neibu Huangqi Tang (Internal Nourishing Astragalus Decoction) (See Carbuncle/Ulcer Complications, Pain Section).
Renshen San (Ginseng Powder) treats carbuncles/ulcers with internal deficiency.
Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), Lycii Fructus (Gouqizi) (each 1 liang), Rehmanniae Radix Preparata (Shudihuang), Astragali Membranacei Radix (Huangqi, crushed) (each 2 liang), Cinnamomi Cortex (Guixin), Paeoniae Radix Alba (Shaoyao), Angelicae Sinensis Radix (Danggui, lightly fried), Glycyrrhizae Radix et Rhizoma (Gancao, roasted) (each 0.5 liang).
Crush. Take 4 qian per dose, boil with one lamp of water, half slice of ginger, and three dates, reduce to 0.6 cup, strain, take warm anytime.
Maidong Tang (Ophiopogon Decoction) treats continuous pus discharge after ulceration of carbuncles/ulcers.
Ophiopogonis Radix (Maidong, heart removed), Astragali Membranacei Radix (Huangqi, crushed), Schisandrae Fructus (Wuweizi, fried), Poria (Fuling, black skin removed), Ginseng Radix et Rhizoma (Renshen, rhizome removed), Cinnamomi Ramulus (Guanyi, rough bark removed), Angelicae Sinensis Radix (Danggui, sliced/dried), Polygalae Radix (Yuanzhi, heart removed), Ligustici Chuanxiong Rhizoma (Chuanxiong) (each 1 liang), Glycyrrhizae Radix et Rhizoma (Gancao, roasted, 0.75 liang).
Crush. Take 5 qian per dose, boil with 1.5 cups of water, half slice of ginger (crushed), two dates (crushed), reduce to one cup, strain, take warm on an empty stomach.
Hubi Duwei (Guard Wall General) treats erupted sores, removing old tissue and generating new. Suitable for elderly with weak Qi/Blood. Take until healed.
Saposhnikoviae Radix (Fangfeng, rhizome removed), Magnoliae Officinalis Cortex (Houpo, rough bark removed, fried with ginger juice), Platycodonis Radix (Jiegeng), Angelicae Dahuricae Radix (Baizhu), Astragali Membranacei Radix (Huangqi, roasted) (each 0.5 liang), Ligustici Chuanxiong Rhizoma (Chuanxiong), Glycyrrhizae Radix et Rhizoma (Gancao), Cinnamomi Ramulus (Liugui), Angelicae Sinensis Radix (Danggui) (each 3 qian), Ginseng Radix et Rhizoma (Renshen, 2 qian).
Grind into powder. Take 2 qian on an empty stomach, mixed with warm salt water or wine. Best taken after wound closure. Non-drinkers can use Muxiang Tang or combine with Jiangqi Tang.
Liuwei Wan (Six-Ingredient Pill, aka Liuhuang Dihuang Wan) is a fluid-nourishing agent. Life depends on the Kidney; all diseases stem from Kidney deficiency. This formula represents "Heaven generates Water," universally applicable but rarely understood. Indicated for Kidney deficiency fever/thirst, dysuria/phlegm-qi congestion, cough/hemoptysis, dizziness, scanty urine, blurred vision/deafness, dry throat/mouth ulcers, loose teeth, weak lower back/legs, five Zang damage, and Liver meridian insufficiency (Water generates Wood). It is a holy medicine for Kidney deficiency fever, sweating, blood loss, aphonia, water overflowing as phlegm, and a divine agent for blood-deficiency fever.
Rehmanniae Radix (Dihuang, raw/homemade, 8 liang), Corni Fructus (Shanzhuyu), Dioscoreae Rhizoma (Shanyao) (each 4 liang), Poria (Fuling), Paeoniae Moutan Cortex (Mudanpi), Alismatis Rhizoma (Zexie) (each 3 liang).
Pound Dihuang into paste, grind others into powder, mix with honey to make pills the size of paulownia seeds. Take 70-80 pills with boiling water.
Bayi Wan (Eight-Ingredient Pill) treats Mingmen Fire decline failing to generate Earth, causing Spleen Earth coldness leading to flowing abscesses, crab-knee knee, failure to resolve/suppurate/heal, poor appetite, indigestion, umbilical/abdominal pain, nocturnal polyuria. Add Cinnamomi Ramulus (Rougui) and Aconiti Lateralis Radix Preparata (Fuzi) (each 1 liang) to the previous formula. The Classics say: "Augment the source of Fire to eliminate Yin shadows." This is that formula.
Jiajian Bayi Wan (Modified Eight-Ingredient Pill) treats same symptoms as above. This is Liuwei Wan plus Rougui and Wuweizi (each 1 liang).
Dongyuan's Adjustment Method for Carbuncle/Ulcer Medications: For back carbuncles/boils, before/after pus rupture, if deficient with headache, add Wuweizi to interior-supporting meds. For restlessness, add Renshen and Fushen. For deficiency fever, add Dihuang and Trichosanthis Radix (Gualougen). For tidal fever, add Chaihu and Lycii Cortex (Digupi). For unquenchable thirst, add Anemarrhenae Rhizoma (Zhimu) and Vigna Angularis (Chixiaodou). For deficiency irritability, add Gouqizi and Asparagi Radix (Tianmendong). For spontaneous diarrhea, add Houpo. For excessive pus, add Danggui and Chuanxiong. For severe pain, add Shaoyao and Frankincense (Ruxiang). For slow muscle growth, add Ampelopsis Radix (Bailian) and Guixin. For wind-pathogens, add Angelicae Pubescentis Radix (Duohuo) and Fangfeng. For palpitations, add Cinnabar (Dansha). For twitching mouth/eyes, add Notopterygii Rhizoma et Radix (Qianghuo) and Asari Radix et Rhizoma (Xixin). For vomiting/reversal, add丁香 (Dingxiang) and Agastache Herba (Huoye). For excessive phlegm, add Banxia and Chenpi.