脉无力而迟者，阴证者，大寒之时者宜之。
托毒散（《鬼遗》） 治痈疽初起，高肿发痛不定，喘息气粗。
附子（一枚，炮去皮尖） 当归 麻黄 甘草 官桂 川芎 羌活 石韦 龙胆草
上九味等分为末。每服二钱，水一大盏，姜三片，盐少许，同煎。
丹溪治一男子，年五十余，形实色黑，背生红肿近胛骨下，痛甚，脉数而洪紧，食亦
呕，正冬月。与麻黄桂枝汤，加酒黄柏、生附子、栝蒌子、甘草节、羌活、青皮、人参、
黄、半夏、生姜，六帖而消，此非内托之意欤。
内疏黄连汤（方见前。）
圣济射干汤 治痈疽发背，诸疮肿痛，脉洪实数者。
射干 犀角 升麻 玄参 黄芩 麦门冬 大黄（各一两） 山栀（半两）
上 咀。每服五钱，加竹叶、芒硝一钱，以利为度。
按∶此足阳明、手太阴经药也。
托里散 治一切恶疮，发背、疔疽、便毒始发，脉洪弦实数，肿甚欲作脓者，三服
消尽。
大黄 牡蛎 栝蒌根 皂角针 朴硝 连翘（各三钱） 当归 金银花（各一两） 赤芍
药黄芩（各二钱）
为粗末，每半两，水酒各半，煎服。
按∶此足厥阴、太阴、阳明经药也。
破棺丹 治诸热肿，一切风热疮症，发热多汗，大渴便秘，谵语，结阳之证。
大黄（二两半，半生半熟） 芒硝 甘草（各二两）
上为末，炼蜜丸如弹子大。每服半丸，病
重一丸至二丸，食后，童便入酒半盏化服，或白汤合酒化服。
按∶此仲景正阳阳明经药也。
泻心汤 治疮毒痈肿，发躁烦渴，脉实洪数者。
大黄（四两） 黄连 山栀 漏芦 泽兰 连翅 黄芩 苏木（各二两） 犀角（一两）
上 咀，每服三五钱，水煎服。
按∶此手少阴、太阴、少阳药也，出足阳明例。
清凉饮 治疮疡，烦躁饮冷， 痛脉实，大便秘结，小便赤涩。
大黄（炒） 赤芍药 当归 甘草（各二钱）
上水煎服。
精要漏芦汤
生黄 连翘 沉香 漏芦（各一两） 粉草（半两） 大黄（一两）
上为细末，每服二钱，姜枣汤调下。
内消升麻汤 治血气壮实，若患痈疽，大小便不通。
升麻 大黄（各二两） 黄芩（一两半） 枳实（麸炒） 当归 芍药 甘草（炙，各一两）
上 咀，水煎，食前服。
孙真人单煮大黄汤（脉实沉而数，膏粱食肉之辈，大腑秘者，详审用之。）
锦文大黄（酒洗，去皮）
上一味，锉如麻豆大，水煮服。
宣毒散 治一切毒疮，其功不可尽述。
大黄（煨） 白芷（各五钱）
作一剂，水二盅，煎一盅，食前服。
〔薛〕 按∶此方乃宣通攻毒之剂，若脉沉实便秘者，乃毒在脏也，宜服之，以绝病
源，其功甚大。或脏腑调和而脉不实，恐不可用。《医林集要》方，大黄一斤，白芷六两，
为末。每服三钱，热酒调下，更用茶清，调搽患处，命名万金散，盖因其功而珍之也，当
以水迭为丸，令可服。吴江，申佥宪兄，背患疽，木闷坚硬，脉沉实，乃毒在内，用一
服，大小便下污物，再服而消，恐患者忽此二药，故以所尝治验者告之。
治背疮 荆芥穗、木鳖子肉、大黄、归头、甘草节，除荆芥穗为君外，余各等分，酒
水各一碗煎至七分，空心向东饮，即下积，与粥便止。若结成者，用川楝子七枚，烧灰酒
下，次与十四枚，又次与二十一枚，三帖后，虽结亦小矣。（陶氏。）
内托散 治诸肿毒恶疮，一服立愈。
大黄 牡蛎（各半两） 栝蒌（二枚） 甘草（三钱）
上锉。每服三钱，水一大碗，煎七分，去滓、温服。
秘传背疮方
大黄（五钱） 甘草节（一钱） 木鳖仁（五枚）
上先将甘草、木鳖锉碎，同酒水各半小碗，砂铫内，文武火熬数沸，后下大黄，煎
至七分，去滓，盛瓷器内，以青布覆之，明星下露一宿，五更温服。打下脓血是验，却
用生料四君子汤，煎服。
漏芦汤（见四卷，股部，附骨疽条。）
车螯散 治痈疽初发肿痛，或少年热盛发背等，急宜宣毒利下，热退为度，大人小
儿，四季皆可服之。
紫背车螯（一双，盐泥固济，火 通红，地上出火毒用） 轻粉 甘草（各二钱） 大黄（五钱） 黄芩
漏芦（去须） 瓜根（各半两）
上为末。每服二钱，薄荷汤下，速利、酒亦可。
内消丸（《宝鉴》） 治疮肿初生，及瘰 结核，热毒郁滞，服之内消。
薄荷叶 皂角（不蛀者，水煮至软，二味各半斤，煎膏） 牵牛（半斤，取头末） 青皮 陈皮（各一
两） 沉香（半两） 广术（炮） 京三棱（炮，各三钱）
上为末，人牵牛头末，用煎膏和丸，如绿豆大。每服三十丸，煎连翘汤送下，食。
神仙解毒万病丸（又名追毒丸，一名玉枢丹。）
治一切毒，及菰子、鼠莽、菌蕈、金石，或吃疫死牛马、河豚等毒，或时行瘟疫、山岚、
瘴疟，急喉闭，缠喉风，脾病、黄肿、赤眼，及冲冒寒暑，热毒上攻，或自缢，或溺水，或
打扑伤损，痈疽发背，疮肿汤火，或蛇、虫、犬、鼠所伤，或中邪狂走，鬼胎鬼气，并宜
服之。居家出入，不可无此药，真济世卫身之宝。毒药如岭南两广最多，若从宦于此，才
觉意思不快，服之即安。彼涧有草，曰胡蔓草，又名断肠草，阴置水中饮之，即死。又
有取毒蛇杀之，以草覆上，以水洒之，数日菌生其上，取为末，酒调以毒入，始亦无患，
再饮酒即发，立死。其或淫妇，多与北人配合，北人回密与药，置食中，乃戒之曰∶子
某年来，若从其言，妇乃以药解之，过期则必死矣，名曰定年药。凡北人至彼方，亦宜
知之，若觉中毒，四大不调，即便服此，况彼下药时，必于鸡豚等肉投之，后再食前物，
必发其毒，急服此一锭，或吐，或利，随手便瘥。昔有一女子，久患劳瘵，为尸虫所噬，
磨一锭服之，一时吐下小虫千余条，后只服苏合香丸半月，遂如常。如牛马、六畜中毒，
亦以此药救之，无不效者。
文蛤（三两，淡红黄色者，捶碎洗净，一名五倍子） 山茨菇（二两） 续随子（去壳研致，以纸包
压去油、再研，一两） 红芽大戟（洗净，一两五钱） 麝香（三钱，研）
上各另为细末，和匀，以糯米粥和合，于木臼中杵千余下，每料分作四十锭，于端午、
重阳、七夕合，如欲急用，辰日亦得。勿令妇人、孝服、不具足人，及鸡犬之类见之，合
宜珍重，否则无效。如痈疽发背未破，用冷水磨涂痛处并服，良久，觉痒立消。阴阳二
毒，伤寒心闷语狂，胸膈壅滞，邪毒未发，及瘟疫、山岚、瘴气，缠喉风，冷水入薄荷一
叶，同研下。急中颠邪，喝叫乱走，鬼胎鬼气，并用暖无灰酒下。自缢或落水死，心头
暖者，及惊死，鬼迷死，未隔宿者，并冷水磨灌下。蛇、犬、蜈蚣伤，并用冷水磨涂伤
处，如腹胀或迷闷者，更宜服之。诸般疟疾，不问新久，临发时，煎桃、柳枝汤下。小儿
急慢惊风，五疳八痢，蜜水、薄荷一叶，同磨下。牙关紧急，磨一锭外涂，内服量大小
用之。牙痛酒磨涂及含少许吞下。汤火伤，东流水磨涂伤处。打扑伤损炒松节酒下。年深
日久，头痛太阳疼，用酒人薄荷磨，纸花贴太阳穴上，并服之。诸般痫疾，口眼歪斜，眼
目制眨，夜多唾涎，言语謇涩，卒中风口噤，牙关紧急，筋脉挛缩，骨节风肿，手脚疼痛，
行步艰难，一应风气疼痛，并用酒磨下，有孕妇人不可服。
〔薛〕 治一妇人，腹内结块，久而不消，又一妇人，月经过期不至，腹内作痛，服破
血行气之剂不效，服此并痊。一妇人，苦头风作晕数年，亦服之，吐痰碗许，遂不再发。
一男子喉闭，水浆难下；一男子，缠喉风，痰涎壅盛；一妇人中风牙关紧急，痰涎涌出，遂
服并愈。一男子，便毒坚硬；一男子，患痔未成脓，苦痛，大便俱难，各进一锭后，去
二次，痛即止，不日而消。一男子，患发背疮头如粟，重如负石，内服外涂后，去三四
次，每去肛门如炙，即日而瘳。三男子剥自死牛，即日遍身患紫泡，不计其数，已而俱
愦，各灌一锭，吐泻而苏。一药不下者遂死。一小儿，昏愦六日不省；一小儿，惊风发搦，
诸药不效，挖口灌之，并苏。一男子，中风，牙关紧急，口出涎水，亦灌之，寻愈。一女
子，为邪所交，腹作痞，服之遂下恶物，其邪仍至，又服半锭，每夜更灸二三锭，使烟
气盈屋，遂不再至。一家，患传尸劳，兄弟五人，已死者三人，有方士，令服此药，遂
各进一锭，一下恶物如脓状；一下死虫如蛾形，俱获生。其人遂以此药，广济尸证，无
不验者。余常用治一切杂病，及疮疽等毒，未成脓者甚效，其已成脓者，亦能杀大势。考
其药品虽不言补，今羸瘦之人服之并效，诚神剂也。然以贾计之，用银三钱，药有七十
锭，可救七十人，有力之家，当合之以济人。近人制此，往往加以原砂、雄黄，考之诸方，
并无此味，余故不用，恐乱其真也，识者当自知之。
郭氏瑞效丸 治肠痈、胃痈内积，兼男
子、妇人积聚证。
当归 京三棱 槟榔 木鳖子 穿山甲（炒，各一两） 牡蛎（为末，炒山甲都用） 连翘 枳
壳（炒，各一两半） 砂（焙） 琥珀（各一两） 巴豆（二十一粒，去油） 麝香（少许）
上为末，酒糊为丸，桐子大。每服十丸至二三十丸，温酒下，临卧再服。如利动脏
腑，减丸数，大小便有脓血出者，却用别药调治之。
万灵夺命丹（郭氏。又名延寿济世膏） 治一切疮肿疔疽，初起脉沉实，及服汗药后，毒
气在里不尽者，宜此下之。
朱砂 盐花（各二钱半） 雄黄 明矾（生用） 枫香（各二钱） 赤石脂 黄丹 琥珀 轻粉
（各一钱半） 麝香 片脑（各一钱） 巴豆（去壳，水煮十沸 蓖麻子（另研，各四十九个）
上为末，用巴豆、蓖麻子膏，和药为丸。如和不就，加炼蜜就成膏，收瓷器内，如用
时旋丸芡实大。每服一丸，井花水下，或汤亦得。忌热物半日，大人、小儿以意加减，与
服。
一粒金丹 治一切恶疮痈肿，无名肿毒。
沉香 木香 乳香（各五分） 巴豆霜（一钱五分）
各为细末，照称分数和匀。用黑肥枣个半，去皮捣烂为丸，如芡实大。每服一丸，量
人虚实，先呷水一口，行一次。胃气壮实者，只可呷水三四口，不可太过。后用水一口，送
药下行，尽数次，以米饮补之。
威灵仙饮
生威灵仙（不拘多少，为末。）
每服一钱。空心温酒调服，逐日微利为度。
戴复庵治痈疽疖毒，并威灵仙饮，微利之。
脉象无力且迟缓的，属于阴证的患者，以及在大寒时节发病的，适宜使用此类辛热解表法。
托毒散（出自《鬼遗科》）：治疗痈疽初起，局部高肿、疼痛不定，伴有喘息气粗的症状。
组成：附子（一枚，炮制后去皮尖）、当归、麻黄、甘草、官桂、川芎、羌活、石韦、龙胆草。
用法：将上述九味药等分为末。每次服用二钱，加水一大盏，生姜三片，少许盐，一同煎煮。
朱丹溪治疗一名五十多岁的男子，形体壮实，肤色黑，背部靠近肩胛骨下方生有红肿，疼痛剧烈，脉象数而洪紧，进食即呕吐，正值冬季。给予麻黄桂枝汤，加酒炒黄柏、生附子、栝蒌子、甘草节、羌活、青皮、人参、黄芪、半夏、生姜，服用六帖后消散。这难道不是内托法的意旨吗？
圣济射干汤：治疗痈疽发背，各种疮疡肿痛，脉象洪实数的患者。
组成：射干、犀角、升麻、玄参、黄芩、麦门冬、大黄（各一两）、山栀（半两）。
用法：将药物切碎。每次服用五钱，加竹叶、芒硝一钱，以大便通畅为度。
按语：这是足阳明经和手太阴经的药物。
托里散：治疗一切恶疮，包括发背、疔疽、便毒初发，脉象洪弦实数，肿胀严重欲化脓者，服用三服即可消除。
组成：大黄、牡蛎、栝蒌根、皂角针、朴硝、连翘（各三钱）、当归、金银花（各一两）、赤芍药、黄芩（各二钱）。
用法：制成粗末，每次取半两，用水和酒各半煎服。
按语：这是足厥阴经、足太阴经、足阳明经的药物。
破棺丹：治疗各种热肿，一切风热疮症，发热多汗，大渴便秘，谵语，结阳之证。
组成：大黄（二两半，一半生用一半熟用）、芒硝、甘草（各二两）。
用法：研为细末，炼蜜制成如弹子大的丸药。每次服用半丸，病重者服用一至二丸，饭后用童便加入半盏酒化开服用，或用白开水加酒化开服用。
按语：这是张仲景治疗正阳阳明经病的药物。
泻心汤：治疗疮毒痈肿，烦躁烦渴，脉象实洪数的患者。
组成：大黄（四两）、黄连、山栀、漏芦、泽兰、连翘、黄芩、苏木（各二两）、犀角（一两）。
用法：切碎，每次服用三至五钱，水煎服。
按语：这是手少阴经、手太阴经、手少阳经的药物，出自足阳明经的范畴。
清凉饮：治疗疮疡，烦躁喜冷饮，疼痛脉实，大便秘结，小便赤涩。
组成：大黄（炒）、赤芍药、当归、甘草（各二钱）。
用法：水煎服。
精要漏芦汤
组成：生黄芪、连翘、沉香、漏芦（各一两）、粉甘草（半两）、大黄（一两）。
用法：研为细末，每次服用二钱，用姜枣汤调服。
内消升麻汤：治疗气血壮实之人，若患痈疽，大小便不通者。
组成：升麻、大黄（各二两）、黄芩（一两半）、枳实（麸炒）、当归、芍药、甘草（炙，各一两）。
用法：切碎，水煎，饭前服用。
孙思邈单煮大黄汤（适用于脉象沉实而数，食用膏粱厚味肉食之人，大肠便秘者，需详细审察后使用。）
组成：锦纹大黄（酒洗，去皮）。
用法：一味药，锉如麻豆大小，水煮服用。
宣毒散：治疗一切毒疮，其功效不可尽述。
组成：大黄（煨）、白芷（各五钱）。
用法：作一剂，用水二盅，煎至一盅，饭前服用。
〔薛己〕按语：此方是宣通攻毒的药剂，如果脉象沉实便秘，说明毒在脏腑，适宜服用，以绝病源，功效很大。如果脏腑调和而脉不实，恐怕不可用。《医林集要》中的方子，大黄一斤，白芷六两，研为末。每次服用三钱，热酒调下，再用茶清调匀搽患处，命名为万金散，大概是因为其功效珍贵而得名。应当用水泛为丸，使其可服用。吴江申佥宪兄长，背部患疽，麻木闷硬，脉象沉实，这是毒在内，服用一剂后，大小便排出污物，再服用后消散。恐怕患者忽视这两种药，所以将我尝试验证的案例告知大家。
治背疮方：荆芥穗、木鳖子肉、大黄、归头、甘草节，除荆芥穗为君药外，其余各等分，酒水各一碗煎至七分，空腹面向东方饮下，随即排出积滞，喝粥即可停止。如果结成硬块者，用川楝子七枚，烧灰酒后送服，接着服用十四枚，再次服用二十一枚，三帖后，即使结成硬块也会变小。（陶氏。）
内托散：治疗诸肿毒恶疮，服用一立愈。
组成：大黄、牡蛎（各半两）、栝蒌（二枚）、甘草（三钱）。
用法：切碎。每次服用三钱，加水一大碗，煎至七分，去渣，温服。
秘传背疮方
组成：大黄（五钱）、甘草节（一钱）、木鳖仁（五枚）。
用法：先将甘草、木鳖锉碎，同酒水各半小碗，在砂铫内，用文武火熬数沸，然后下大黄，煎至七分，去渣，盛在瓷器内，用青布覆盖，在明星下露置一夜，五更时分温服。打下脓血为有效，随后用生料四君子汤煎服。
车螯散：治疗痈疽初发肿痛，或少年热盛发背等，急宜宣毒利下，热退为度，大人小儿，四季皆可服用。
组成：紫背车螯（一双，用盐泥密封固济，火烧通红，地上出火毒用）、轻粉、甘草（各二钱）、大黄（五钱）、黄芩、漏芦（去须）、瓜根（各半两）。
用法：研为末。每次服用二钱，薄荷汤送下，速利；酒亦可。
内消丸（《宝鉴》）：治疗疮肿初生，及瘰疬结核，热毒郁滞，服用后内消。
组成：薄荷叶、皂角（不蛀者，水煮至软，二味各半斤，煎膏）、牵牛（半斤，取头末）、青皮、陈皮（各一两）、沉香（半两）、广术（炮）、京三棱（炮，各三钱）。
用法：研为末，加入牵牛头末，用煎膏和丸，如绿豆大。每次服用三十丸，煎连翘汤送下，食后服。
神仙解毒万病丸（又名追毒丸，一名玉枢丹。）
治疗一切毒，及菰子、鼠莽、菌蕈、金石，或吃疫死牛马、河豚等毒，或时行瘟疫、山岚、瘴疟，急喉闭，缠喉风，脾病、黄肿、赤眼，及冲冒寒暑，热毒上攻，或自缢，或溺水，或打扑伤损，痈疽发背，疮肿汤火，或蛇、虫、犬、鼠所伤，或中邪狂走，鬼胎鬼气，并宜服用。居家出入，不可无此药，真是济世卫身之宝。毒药如岭南两广最多，若从宦于此，才觉意思不快，服用即安。彼涧有草，曰胡蔓草，又名断肠草，阴置水中饮之，即死。又有取毒蛇杀之，以草覆上，以水洒之，数日菌生其上，取为末，酒调以毒入，始亦无患，再饮酒即发，立死。其或淫妇，多与北人配合，北人回密与药，置食中，乃戒之曰∶子某年来，若从其言，妇乃以药解之，过期则必死矣，名曰定年药。凡北人至彼方，亦宜知之，若觉中毒，四大不调，即便服此，况彼下药时，必于鸡豚等肉投之，后再食前物，必发其毒，急服此一锭，或吐，或利，随手便瘥。昔有一女子，久患劳瘵，为尸虫所噬，磨一锭服之，一时吐下小虫千余条，后只服苏合香丸半月，遂如常。如牛马、六畜中毒，亦以此药救之，无不效者。
组成：文蛤（三两，淡红黄色者，捶碎洗净，一名五倍子）、山茨菇（二两）、续随子（去壳研致，以纸包压去油、再研，一两）、红芽大戟（洗净，一两五钱）、麝香（三钱，研）。
用法：各另为细末，和匀，以糯米粥和合，于木臼中杵千余下，每料分作四十锭，于端午、重阳、七夕合，如欲急用，辰日亦得。勿令妇人、孝服、不具足人，及鸡犬之类见之，合宜珍重，否则无效。如痈疽发背未破，用冷水磨涂痛处并服，良久，觉痒立消。阴阳二毒，伤寒心闷语狂，胸膈壅滞，邪毒未发，及瘟疫、山岚、瘴气，缠喉风，冷水入薄荷一叶，同研下。急中颠邪，喝叫乱走，鬼胎鬼气，并用暖无灰酒下。自缢或落水死，心头暖者，及惊死，鬼迷死，未隔宿者，并冷水磨灌下。蛇、犬、蜈蚣伤，并用冷水磨涂伤处，如腹胀或迷闷者，更宜服之。诸般疟疾，不问新久，临发时，煎桃、柳枝汤下。小儿急慢惊风，五疳八痢，蜜水、薄荷一叶，同磨下。牙关紧急，磨一锭外涂，内服量大小用之。牙痛酒磨涂及含少许吞下。汤火伤，东流水磨涂伤处。打扑伤损炒松节酒下。年深日久，头痛太阳疼，用酒人薄荷磨，纸花贴太阳穴上，并服之。诸般痫疾，口眼歪斜，眼目制眨，夜多唾涎，言语謇涩，卒中风口噤，牙关紧急，筋脉挛缩，骨节风肿，手脚疼痛，行步艰难，一应风气疼痛，并用酒磨下，有孕妇人不可服。
〔薛己〕按语：治疗一妇人，腹内结块，久而不消，又一妇人，月经过期不至，腹内作痛，服破血行气之剂不效，服此并痊。一妇人，苦头风作晕数年，亦服之，吐痰碗许，遂不再发。一男子喉闭，水浆难下；一男子，缠喉风，痰涎壅盛；一妇人中风牙关紧急，痰涎涌出，遂服并愈。一男子，便毒坚硬；一男子，患痔未成脓，苦痛，大便俱难，各进一锭后，去二次，痛即止，不日而消。一男子，患发背疮头如粟，重如负石，内服外涂后，去三四次，每去肛门如炙，即日而瘳。三男子剥自死牛，即日遍身患紫泡，不计其数，已而俱愦，各灌一锭，吐泻而苏。一药不下者遂死。一小儿，昏愦六日不省；一小儿，惊风发搦，诸药不效，挖口灌之，并苏。一男子，中风，牙关紧急，口出涎水，亦灌之，寻愈。一女子，为邪所交，腹作痞，服之遂下恶物，其邪仍至，又服半锭，每夜更灸二三锭，使烟气盈屋，遂不再至。一家，患传尸劳，兄弟五人，已死者三人，有方士，令服此药，遂各进一锭，一下恶物如脓状；一下死虫如蛾形，俱获生。其人遂以此药，广济尸证，无不验者。余常用治一切杂病，及疮疽等毒，未成脓者甚效，其已成脓者，亦能杀大势。考其药品虽不言补，今羸瘦之人服之并效，诚神剂也。然以贾计之，用银三钱，药有七十锭，可救七十人，有力之家，当合之以济人。近人制此，往往加以原砂、雄黄，考之诸方，并无此味，余故不用，恐乱其真也，识者当自知之。
郭氏瑞效丸：治疗肠痈、胃痈内积，兼男子、妇人积聚证。
组成：当归、京三棱、槟榔、木鳖子、穿山甲（炒，各一两）、牡蛎（为末，炒山甲都用）、连翘、枳壳（炒，各一两半）、砂（焙）、琥珀（各一两）、巴豆（二十一粒，去油）、麝香（少许）。
用法：研为末，酒糊为丸，桐子大。每次服用十丸至二三十丸，温酒下，临卧再服。如利动脏腑，减丸数，大小便有脓血出者，却用别药调治之。
万灵夺命丹（郭氏。又名延寿济世膏）：治疗一切疮肿疔疽，初起脉沉实，及服汗药后，毒气在里不尽者，宜此下之。
组成：朱砂、盐花（各二钱半）、雄黄、明矾（生用）、枫香（各二钱）、赤石脂、黄丹、琥珀、轻粉（各一钱半）、麝香、片脑（各一钱）、巴豆（去壳，水煮十沸）、蓖麻子（另研，各四十九个）。
用法：研为末，用巴豆、蓖麻子膏，和药为丸。如和不就，加炼蜜就成膏，收瓷器内，如用时旋丸芡实大。每次服用一丸，井花水下，或汤亦得。忌热物半日，大人、小儿以意加减，与服。
一粒金丹：治疗一切恶疮痈肿，无名肿毒。
组成：沉香、木香、乳香（各五分）、巴豆霜（一钱五分）。
用法：各为细末，照称分数和匀。用黑肥枣个半，去皮捣烂为丸，如芡实大。每次服用一丸，量人虚实，先呷水一口，行一次。胃气壮实者，只可呷水三四口，不可太过。后用水一口，送药下行，尽数次，以米饮补之。
When the pulse is weak and slow, indicating a Yin syndrome, or during times of severe cold, this method of releasing the exterior with acrid-warm herbs is appropriate.
Tuodu San (Detoxification-Dispersing Powder) [from *Gui Yi Ke*]: Treats early-stage carbuncles and sores characterized by high swelling, unpredictable pain, panting, and coarse breathing.
Ingredients: Fuzi (Aconiti Lateralis Radix Praeparata, one piece, processed, skin and tip removed), Danggui (Angelicae Sinensis Radix), Mahuang (Ephedrae Herba), Gancao (Glycyrrhizae Radix et Rhizoma), Guigui (Cinnamomi Ramulus), Chuanxiong (Ligustici Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Shiwei (Pyrrosiae Folium), Longdancao (Gentianae Radix et Rhizoma).
Usage: Grind the above nine ingredients into equal parts powder. Take two qian per dose, decoct with one large cup of water, three slices of ginger, and a little salt.
Zhu Danxi treated a man in his fifties who was physically robust with dark complexion. He had red swelling near the lower scapula on his back, severe pain, a rapid, surging, and tight pulse, and vomiting after eating. It was mid-winter. Zhu prescribed Mahuang Guizhi Tang (Ephedra and Cinnamon Twig Decoction) with added Jiuhuangbai (Scutellariae Radix processed with wine), Shengfuzi (Prepared Aconite Root lateralis), Gualouzi (Trichosanthis Semen), Gancaojie (Glycyrrhizae Radix et Rhizoma with nodes), Qianghuo, Qingpi (Citri Reticulatae Pericarpium Viride), Renshen (Ginseng Radix), Huangqi (Astragali Radix), Banxia (Pinelliae Rhizoma), and Shengjiang (Zingiberis Rhizoma Recens). After six doses, the swelling resolved. Was this not the intent of internal support methods?
Neishu Huanglian Tang (Internal-Draining Scutellaria Decoction) [Formula seen previously].
Shengji Shegan Tang (Sagebrush Decoction from Shengji Jing): Treats carbuncles and back infections, various sores with swelling and pain, where the pulse is surging, full, and rapid.
Ingredients: Shegan (Belamcandae Rhizoma), Xijiao (Rhinocerotis Cornu), Shengma (Cimicifugae Rhizoma), Xuanshen (Scrophulariae Radix), Huangqin (Scutellariae Radix), Maimendong (Ophiopogonis Radix), Dahuang (Rhei Radix et Rhizoma, each 1 liang), Shanzhi (Gardeniae Fructus, 0.5 liang).
Usage: Coarsely crush the herbs. Take five qian per dose, add Zhuye (Bambusae Folium) and Mangxiao (Natrii Sulfas, 1 qian), stop when bowel movement is unobstructed.
Note: These are herbs for the Foot-Yangming and Hand-Taiyin meridians.
Tuoli San (Support-Interior Powder): Treats all malignant sores, including back carbuncles, ding sores, and groin abscesses in their initial stage, where the pulse is surging, wiry, full, and rapid, and swelling is severe with impending suppuration. Three doses can eliminate it.
Ingredients: Dahuang (Rhei Radix et Rhizoma), Mumian (Concha Ostreae), Gualougen (Trichosanthis Radix), Zaojiaozhen (Gleditsiae Spina), Puxiao (Natrii Sulfas), Lianqiao (Forsythiae Fructus) (each 3 qian), Danggui, Jinyinhua (Lonicerae Japonicae Flos) (each 1 liang), Chishaoyao (Paeoniae Radix Rubra), Huangqin (Scutellariae Radix) (each 2 qian).
Usage: Make into a coarse powder. Take half a liang per dose, decoct with half water and half wine.
Note: These are herbs for the Foot-Jueyin, Foot-Taiyin, and Foot-Yangming meridians.
Po Guan Dan ( Coffin-Breaking Pill): Treats various heat swellings, all wind-heat sore conditions, fever with profuse sweating, extreme thirst, constipation, delirious speech, and Yang-binding syndromes.
Ingredients: Dahuang (Rhei Radix et Rhizoma, 2.5 liang, half raw half cooked), Mangxiao (Natrii Sulfas), Gancao (Glycyrrhizae Radix et Rhizoma) (each 2 liang).
Usage: Grind into powder, mix with refined honey to form pills the size of a bullet. Take half a pill per dose; for severe cases, take one to two pills. After meals, dissolve in child's urine mixed with half a cup of wine, or dissolve in plain water mixed with wine.
Note: These are herbs from Zhang Zhongjing for treating Zheng-Yang Yangming meridian diseases.
Xie Xin Tang (Drain-Heart Decoction): Treats toxic sores and carbuncles with restlessness, irritability, thirst, and a full, surging, rapid pulse.
Ingredients: Dahuang (Rhei Radix et Rhizoma, 4 liang), Huanglian (Coptidis Rhizoma), Shanzhi (Gardeniae Fructus), Loulu (Alismatis Rhizoma), Zelan (Leonuri Herba), Lianqiao (Forsythiae Fructus), Huangqin (Scutellariae Radix), Sumu (Sappan Lignum) (each 2 liang), Xijiao (Rhinocerotis Cornu, 1 liang).
Usage: Coarsely crush. Take three to five qian per dose, decoct in water.
Note: These are herbs for the Hand-Shaoyin, Hand-Taiyin, and Hand-Shaoyang meridians, derived from the Foot-Yangming category.
Qingliang Yin (Cooling Drink): Treats sores with irritability, desire for cold drinks, painful pulse, constipation, and dark, scanty urination.
Ingredients: Dahuang (Rhei Radix et Rhizoma, stir-fried), Chishaoyao (Paeoniae Radix Rubra), Danggui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (each 2 qian).
Usage: Decoct in water and take.
Jingyao Loulu Tang (Essential Alisma Decoction)
Ingredients: Shenghuangqi (Astragali Radix), Lianqiao (Forsythiae Fructus), Chenxiang (Aquilariae Lignum Resinatum), Loulu (Alismatis Rhizoma) (each 1 liang), Fencao (Glycyrrhizae Radix et Rhizoma, 0.5 liang), Dahuang (Rhei Radix et Rhizoma, 1 liang).
Usage: Grind into fine powder. Take two qian per dose, mix with Ginger and Jujube Decoction.
Neixiao Shengma Tang (Internal-Resolving Cimicifuga Decoction): Treats individuals with strong Qi and Blood who suffer from carbuncles and sores with obstruction of urination and defecation.
Ingredients: Shengma (Cimicifugae Rhizoma), Dahuang (Rhei Radix et Rhizoma) (each 2 liang), Huangqin (Scutellariae Radix, 1.5 liang), Zhishi (Aurantii Fructus Immaturus, bran-fried), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, roasted) (each 1 liang).
Usage: Coarsely crush, decoct in water, take before meals.
Sun Simiao's Single-Ingredient Boiled Dahuang Decoction (For patients with deep, full, and rapid pulses, those who consume rich foods and meats, and severe constipation; use after careful examination.)
Ingredients: Jinwen Dahuang (Rhei Radix et Rhizoma, washed with wine, skin removed).
Usage: One ingredient, cut like hemp seeds, boil in water and take.
Xuandu San (Toxin-Releasing Powder): Treats all toxic sores; its efficacy cannot be fully described.
Ingredients: Dahuang (Rhei Radix et Rhizoma, baked), Baizhi (Angelicae Dahuricae Radix) (each 5 qian).
Usage: One dose, decoct with two cups of water until one cup remains, take before meals.
[Xue Ji] Note: This formula is for promoting circulation and attacking toxins. If the pulse is deep and full with constipation, the toxin is in the zang organs, and this formula is suitable to eliminate the disease source, with great efficacy. If the zang-fu are harmonious and the pulse is not full, it should likely not be used. The formula in *Yi Lin Ji Yao* uses one jin of Dahuang and six liang of Baizhi, ground into powder. Take three qian per dose with hot wine, and also use tea clear to apply topically, named Wanjin San (Ten-Thousand Gold Powder), valued for its efficacy. It should be made into water-habit pills for oral administration. Brother Shen Qianxian from Wujiang suffered from a back carbuncle, numb and hard, with a deep and full pulse, indicating toxin inside. After one dose, foul matter was discharged via stool and urine; after another dose, it resolved. I fear patients might overlook these two medicines, so I share my verified experiences.
Treatment for Back Sores: Jingjie Sui (Schizonepetae Spica), Mugua Zi Rou (Mumordicae Semen Endocarpium), Dahuang (Rhei Radix et Rhizoma), Gui Tou (Angelicae Sinensis Radix head), Gancao Jie (Glycyrrhizae Radix et Rhizoma with nodes). Except for Jingjie Sui as the sovereign herb, the others are in equal proportions. Decoct with one bowl of wine and one bowl of water until seven-tenths remain. Drink empty-stomached facing east to discharge accumulation; stop with porridge. If hardened lumps form, use seven Chuanlianzi (Toosendan Fructus), burn to ash, take with wine, then fourteen, then twenty-one. After three doses, even hardened lumps will shrink. (Tao Shi.)
Neituo San (Internal-Supporting Powder): Treats various swollen toxins and malignant sores; resolves immediately after one dose.
Ingredients: Dahuang (Rhei Radix et Rhizoma), Mumian (Concha Ostreae) (each 0.5 liang), Gualou (Trichosanthis Fructus, two pieces), Gancao (Glycyrrhizae Radix et Rhizoma, 3 qian).
Usage: Cut. Take three qian per dose, decoct with one large bowl of water until seven-tenths remain, remove dregs, take warm.
Secretly Transmitted Back Sore Formula
Ingredients: Dahuang (Rhei Radix et Rhizoma, 5 qian), Gancao Jie (Glycyrrhizae Radix et Rhizoma with nodes, 1 qian), Mugua Ren (Mumordicae Semen, five pieces).
Usage: First, coarsely crush Gancao and Mugua Ren. Add half a small bowl of wine and water, boil briefly in a clay pot over medium-low fire. Then add Dahuang, decoct until seven-tenths remain. Remove dregs, store in porcelain. Cover with blue cloth and dew overnight. Take warm at dawn. Discharging pus and blood indicates efficacy. Subsequently, decoct and take Shengliao Sijunzi Tang (Raw Four Gentlemen Decoction).
Loulu Tang (See Volume 4, Thigh Section, Parosteal Abscess entry.)
Che'ao San (Chambered Nautilus Powder): Treats early-stage carbuncles and sores with swelling and pain, or back infections due to excess heat in youth. Urgently release toxins and promote purgation until heat subsides. Suitable for adults and children in all seasons.
Ingredients: Zi Bei Che'ao (Nautili Concha, purple-backed, sealed with salt mud, fired red-hot, placed on ground to remove fire toxicity), Qingfen (Calomelas), Gancao (Glycyrrhizae Radix et Rhizoma) (each 2 qian), Dahuang (Rhei Radix et Rhizoma, 5 qian), Huangqin (Scutellariae Radix), Loulu (Alismatis Rhizoma, remove roots), Gugen (Puerariae Radix) (each 0.5 liang).
Usage: Grind into powder. Take two qian per dose with Bohe Tang (Menthae Haplocalycis Herba Decoction); quick purgation is desired. Wine is also acceptable.
Neixiao Wan (Internal-Resolving Pills) [*Bao Jian*]: Treats early-stage sores and tumors, scrofula and lymph node tuberculosis, stagnant heat-toxin; resolves internally upon ingestion.
Ingredients: Bohe Ye (Menthae Haplocalycis Herba), Zaojiao (Gleditsiae Fructus, non-worm-eaten, boiled soft, both ingredients 0.5 jin, decocted into paste), Qianniu (Pharbitidis Semen, 0.5 jin, take first-grade powder), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium) (each 1 liang), Chenxiang (Aquilariae Lignum Resinatum, 0.5 liang), Guangzhu (Curcumae Zedoariae Rhizoma, processed), Jingsanleng (Sparganii Rhizoma, processed, each 3 qian).
Usage: Grind into powder, add Qianniu first-grade powder, mix with decocted paste to form pills the size of mung beans. Take thirty pills per dose, send down with Lianqiao Tang (Forsythiae Decoction) after meals.
Shenxian Jiedu Wanbing Wan (Immortal Detoxifying Ten-Thousand-Disease Pill) (Also known as Zhidu Wan, or Yushu Dan.)
Treats all toxins, including Guzi, Shuman, mushrooms, minerals/metals, poisoning from epidemic-dead cattle/horses/pufferfish, seasonal plagues, mountain miasma, malaria, acute throat closure, winding-throat wind, spleen disease, yellow edema, red eyes, exposure to cold/heat, upward attacking heat-toxin, hanging, drowning, blunt trauma, carbuncles and back infections, burns/scalds, snake/insect/dog/rat bites, evil possession/wandering madness, ghost fetus/ghost qi. All are suitable for treatment. Essential for home and travel, a true treasure for saving lives and protecting the body. Poisonous substances are most common in Lingnan and Liangguang. If traveling there, take if feeling unwell to restore peace. There is a grass called Humancao (Stramonium/Strychnos?) or Duanchangcao (Intestine-Cutting Grass); placing it in water and drinking causes death. Also, kill a venomous snake, cover with grass, sprinkle water; fungi grow on it in days. Grind to powder, mix with wine to induce poison; initially harmless, but drinking alcohol afterwards causes immediate death. Or, promiscuous women often pair with northern men; northern men secretly give medicine, place it in food, warning: "If you follow her words next year, she will detoxify you; if overdue, you will die." Called Nianyao (Year-Determining Medicine). Northerners going there should know this. If feeling poisoned, with imbalance of the four elements, take this immediately. Since they likely put poison in chicken/pork meat, eating it later triggers toxicity. Quickly take one tablet; vomiting or diarrhea brings immediate recovery. Once, a woman with chronic consumption eaten by corpse worms ground one tablet and took it, vomiting and defecating over a thousand small worms. Later, taking Suhexiang Wan (Styrax Pill) for half a month restored normalcy. For poisoned cattle/horses/livestock, this medicine saves them effectively.
Ingredients: Wenha (Clam Shell, 3 liang, pale red-yellow, crushed and washed, also known as Wubeizi), Shanzhugu (Paris Polyphyllae Rhizoma, 2 liang), Xuisui Zi (Euphorbiae Lathyridis Semen, shell removed, ground, pressed with paper to remove oil, re-ground, 1 liang), Hongya Daji (Euphorbiae Pekinensis Radix, washed, 1.5 liang), Shexiang (Moschus, 3 qian, ground).
Usage: Grind each separately into fine powder, mix evenly. Combine with glutinous rice porridge, pound over a thousand times in a wooden mortar. Divide each batch into forty tablets. Prepare on Dragon Boat Festival, Double Ninth Festival, or Qixi Festival. For urgent use, Chen day is acceptable. Do not let women, mourners, incomplete persons, or chickens/dogs see the preparation. Handle with care, otherwise ineffective. For unruptured carbuncles/back infections, grind with cold water, apply to pain site and take orally; itching subsides quickly. For Yin-Yang dual toxins, typhoid with chest stuffiness, delirium, stagnation in chest/diaphragm, undischarged evil-toxin, plagues, mountain miasma, winding-throat wind, grind with cold water and one Mentha leaf. For acute madness, shouting, wandering, ghost fetus/qi, take with warm non-ash wine. For hanging or drowning death with warm heart, or fright death, ghost bewitchment death, not yet overnight, grind with cold water and灌 (force-feed). For snake/dog/centipede bites, grind with cold water, apply to wound; if abdominal distension or confusion, take orally. For all types of malaria, new or old, decoct Peach and Willow branch soup to send down before onset. For pediatric acute/chronic convulsions, five wasting disorders, eight dysenteries, grind with honey water and one Mentha leaf. For locked jaw, grind one tablet for external application, take internally according to age. For toothache, grind with wine, apply and swallow a little. For burns/scalds, grind with flowing east water, apply to wound. For blunt trauma, take with fried Pine Node wine. For long-standing headache in Taiyang region, grind with wine and Mentha, apply paper flower to Taiyang acupoint, and take. For all epilepsy, facial deviation, blinking, night salivation, slurred speech, stroke with locked jaw, muscle spasms, joint wind-swelling, limb pain, difficulty walking, all wind-pain, grind with wine and take. Pregnant women must not take.
[Xue Ji] Note: Treated a woman with an abdominal mass persisting for years; another woman with delayed menstruation and abdominal pain, ineffective against blood-breaking and Qi-moving agents, cured by this. A woman suffering from head wind vertigo for years took it, vomited a bowl of phlegm, and never relapsed. A man with throat closure unable to swallow liquids; a man with winding-throat wind and excessive phlegm; a woman with stroke and locked jaw with涌ing phlegm, all cured. A man with hard groin abscess; a man with painful hemorrhoids not yet suppurated and difficult defecation, each took one tablet, discharged twice, pain stopped, resolved in days. A man with back carbuncle head like millet, heavy as carrying a stone, took internally and applied externally, discharged three to four times, anus felt like moxa, healed that day. Three men skinned dead cows, developed countless purple blisters, became confused, each灌ed one tablet, vomited and diarrhea, revived. One who could not take medicine died. A child unconscious for six days; a child with convulsions, other medicines failed, mouth pried open and灌ed, both revived. A man with stroke, locked jaw, salivating, also灌ed, recovered soon. A woman possessed by evil, abdominal bloating, took it, discharged foul matter, evil returned, took half tablet, moxaed two to three tablets nightly filling room with smoke, evil did not return again. A family with consumptive disease, five brothers, three dead, a Daoist advised taking this medicine, each took one tablet, one discharged pus-like foul matter, one discharged dead moth-like insects, all survived. This person subsequently used this medicine widely for corpse diseases, all effective. I often use it for miscellaneous diseases and un-suppurated sores/toxins, very effective; for suppurated ones, it reduces severity. Although ingredients do not mention tonics, emaciated people take it effectively, truly a divine agent. Economically, three qian of silver buys seventy tablets, saving seventy people. Wealthy families should prepare it to help others. Recent preparations often add Yuansha (Realgar?) and Xionghuang (Realgar), but checking other formulas, these are absent. I therefore do not use them, fearing confusion of authenticity. Those who know will understand.
Guoshi Ruixiao Wan (Guoshi Auspicious Efficacy Pills): Treats intestinal and gastric abscesses with internal accumulation, plus masses in men and women.
Ingredients: Danggui (Angelicae Sinensis Radix), Jingsanleng (Sparganii Rhizoma), Binglang (Arecae Semen), Mugua Zi (Mumordicae Semen), Chuanshanjia (Manis Squama, fried, each 1 liang), Mumian (Concha Ostreae, ground, fried Shan Jia used together), Lianqiao (Forsythiae Fructus), Zhike (Aurantii Fructus, fried, each 1.5 liang), Sha (Sand, roasted), Hupo (Electrum, each 1 liang), Badou (Crotonis Fructus, 21 grains, oil removed), Shexiang (Moschus, a little).
Usage: Grind into powder, make pills with wine paste, size of paulownia seeds. Take ten to twenty to thirty pills per dose with warm wine, take again before sleep. If purgation affects viscera, reduce dosage. If pus/blood appears in stool/urine, treat with other medicines.
Wanling Duoming Dan (Myriad Spirits Life-Seizing Pill) (Guoshi. Also known as Yanshou Jishi Gao). Treats all sores, tumors, ding sores, initial stage with deep/full pulse, or after sweating medicine where toxin remains inside; use this to purge.
Ingredients: Zhusha (Cinnabaris), Yanhua (Sal Nitrificum) (each 2.5 qian), Xionghuang (Realgar), Mingfan (Alumen, raw), Fengxiang (Liquidambaris Resina) (each 2 qian), Chishizhi (Halloysit Rubra), Huangdan (Minii Oxidum), Hupo (Electrum), Qingfen (Calomelas) (each 1.5 qian), Shexiang (Moschus), Piannao (Borneolum Syntheticum) (each 1 qian), Badou (Crotonis Fructus, shelled, boiled ten times), Bimazi (Ricini Semen, ground separately, 49 each).
Usage: Grind into powder, mix with Badou and Bimazi paste to form pills. If paste fails, add refined honey to form ointment, store in porcelain. When needed, roll into pills the size of Euryale seed. Take one pill per dose with well-water or decoction. Avoid hot food for half a day. Adjust dosage for adults/children as appropriate.
Yili Jindan (One-Pill Golden Pill): Treats all malignant sores, carbuncles, unnamed swellings/toxins.
Ingredients: Chenxiang (Aquilariae Lignum Resinatum), Muxiang (Aucklandiae Radix), Ruxiang (Olibanum) (each 0.5 fen), Badoushuang (Crotonis Fructus Paste, 1.5 qian).
Usage: Grind each into fine powder, mix evenly according to weight. Use half a black fat date, peel, mash, form pills the size of Euryale seed. Take one pill per dose, assess patient's deficiency/excess. Sip one mouthful of water, walk once. For strong stomach Qi, sip only three to four mouthfuls, do not exceed. Then send down with one mouthful of water. Repeat several times, supplement with rice drink.
Weilingxian Yin (Peony Vine Drink)
Ingredients: Sheng Weilingxian (Clematidis Radix et Rhizoma, any amount, ground into powder).
Usage: Take one qian per dose. Empty stomach, mix with warm wine. Mild purgation daily is the limit.
Dai Fu'an treated carbuncles, sores, and boils with Weilingxian Yin, inducing mild purgation.