Chapter 18 Formulas for treating carbuncles (Yong Yang) 痈疡剂
仙方活命饮Xian Fang Huo Ming Yin
Ingredients:
Jin Yin Hua (Flos Lonecerae Japonicae)…9g
Dang Gui (Radix Angelicae Sinensis)…12g
Chi Shao (Radix Paeoniae Rubrae)…3g
Ru Xiang (Gummi Olibanum)…3g
Mo Yao (Myrrha)…3g
Chen Pi (pericarpium citri reticulatae)…9g
Fang Feng (Radix Ledebouriellae Divaricatae)…3g
Bai Zhi (Radix angelicae dahuricae)…3g
Chuan Shan Jia (squama manitis pentadactylae)…3g
Zao Jiao Ci (spina gleditsiae sinensis)…3g
Zhe Bei Mu (Bulbus Fritillariae Thunbergii)…3g
Tian Hua Fen (Radix Trichosanthis Kirilowii)…3g
Gan Cao (Radix Glycyrrhizae Uralensis)…3g
Actions: clears Heat, resolve toxicity, reduces swelling, promotes the discharge of pus, invigorates blood, relieves pain
Indications: early stage sores and carbuncles with red swollen hot painful skin lesions, usually accompanied by fever, mild chills, headache, thin tongue coat (white or yellow), rapid forceful pulse.
五味消毒饮Wu Wei Xiao Du Yin
Ingredients:
Jin Yin Hua (flos lonicerae japonicae)…9g
Pu Gong Ying (herba taraxaci mongolici cum radice)…6g
Zi Hua Di Ding (herba cum radice violae yedoensitis)…6g
Ye Ju Hua (flos chrysanthemi indici)…6g
Zi Bei Tian Kuei (herba begoniae fimbristipulatae)…6g
Actions: clears Heat, detoxifies, cools blood, reduces swelling
Indications: all types of boils and carbuncles with localized erythema, swelling, heat and pain with fever chills, red tongue with yellow coat, rapid pulse.
Used for deep rooted and hard lesions which resemble nails or chestnuts.
阳和汤Yang He Tang
Wai Ke Zheng Zhi Quan Sheng Ji 《外科证治全生集》
Ingredients:
Shu Di Huang (radix rehmanniae glutinosae conquitae)…30g
Lu Jiao Jiao (colla cornu cervi)…9g
Rou Gui (cortex cinnamomi)…3g
Pao Jiang (quick fried rhizoma zingiberis officinalis)…2g
Bai Jie Zi (semen sinapis albae)…6g
Ma Huang (herba ephedrae)…2g
Gan Cao (radix glycyrrhizae uralinsis)…3g
Actions: warms Yang, tonifies blood, expels Cold, unblocks stagnation
Indications: Yin type carbuncles manifested as localized painful swellings without heads that blend into the surrounding tissue and do not affect the texture or colour of the skin, not hot to the touch, no thirst, pale tongue, deep thin forceless pulse.
苇茎汤Wei Jing Tang
Ingredients:
Lu Gen (rhizoma phragnitis communis)…30g
Yi Yi Ren (semen coicis lachryma-jobi)…30g
Dong Gua Ren (semen benincasae hispidae)…24g
Tao Ren (semen persicae)…9g
Actions: clears Lung Heat, transforms Phlegm, moves Blood, discharges pus
Indications: Lung abscess---cough with foul smelling sputum that may be streaked with blood, slight fever, mild chest pain, dry scaly skin, red tongue with greasy yellow coat, slippery rapid pulse.
大黄牡丹皮汤 Da Huang Mu Dan Pi Tang
Ingredients:
Da Huang (radix and rhizoma rhei)…12g
Mang Xiao (mirabilitum0…9g [dissolve in strained decoction]
Mu Dan Pi (cortex moutan radicis)…9g
Tao Ren (semen persica)…9g
Dong Gua Ren (semen benincasae hispidae)…30g
Actions: drains Heat, breaks up Blood Stasis, disperses clumping, reduces swelling
Indications: intestinal abscess-lower right abdominal distension and pain that increases with pressure, very tender, yellow tongue coat, slippery rapid pulse.
薏苡附子败酱散 Yi Yi Fu Zi Bai Jiang San
Ingredients:
Yi Yi Ren (semen coicis lachryma-jobi)…30g
Fu Zi (radix lateralis aconite carmichaeli praeparata)…6g
Bai Jiang Cao (herba baijiangcao)…15g
Actions: expels pus & reduces swelling
Indications: fully formed intestinal abscess without fever, scaly skin due to internal constraint leading to stagnation of the Ying Qi which results in dry blood on the surface, taut skin around the abdomen that is soft to the touch, rapid pulse.
Ingredients:
Jin Yin Hua (Flos Lonecerae Japonicae)…9g
Dang Gui (Radix Angelicae Sinensis)…12g
Chi Shao (Radix Paeoniae Rubrae)…3g
Ru Xiang (Gummi Olibanum)…3g
Mo Yao (Myrrha)…3g
Chen Pi (pericarpium citri reticulatae)…9g
Fang Feng (Radix Ledebouriellae Divaricatae)…3g
Bai Zhi (Radix angelicae dahuricae)…3g
Chuan Shan Jia (squama manitis pentadactylae)…3g
Zao Jiao Ci (spina gleditsiae sinensis)…3g
Zhe Bei Mu (Bulbus Fritillariae Thunbergii)…3g
Tian Hua Fen (Radix Trichosanthis Kirilowii)…3g
Gan Cao (Radix Glycyrrhizae Uralensis)…3g
Actions: clears Heat, resolve toxicity, reduces swelling, promotes the discharge of pus, invigorates blood, relieves pain
Indications: early stage sores and carbuncles with red swollen hot painful skin lesions, usually accompanied by fever, mild chills, headache, thin tongue coat (white or yellow), rapid forceful pulse.
五味消毒饮Wu Wei Xiao Du Yin
Ingredients:
Jin Yin Hua (flos lonicerae japonicae)…9g
Pu Gong Ying (herba taraxaci mongolici cum radice)…6g
Zi Hua Di Ding (herba cum radice violae yedoensitis)…6g
Ye Ju Hua (flos chrysanthemi indici)…6g
Zi Bei Tian Kuei (herba begoniae fimbristipulatae)…6g
Actions: clears Heat, detoxifies, cools blood, reduces swelling
Indications: all types of boils and carbuncles with localized erythema, swelling, heat and pain with fever chills, red tongue with yellow coat, rapid pulse.
Used for deep rooted and hard lesions which resemble nails or chestnuts.
阳和汤Yang He Tang
Wai Ke Zheng Zhi Quan Sheng Ji 《外科证治全生集》
Ingredients:
Shu Di Huang (radix rehmanniae glutinosae conquitae)…30g
Lu Jiao Jiao (colla cornu cervi)…9g
Rou Gui (cortex cinnamomi)…3g
Pao Jiang (quick fried rhizoma zingiberis officinalis)…2g
Bai Jie Zi (semen sinapis albae)…6g
Ma Huang (herba ephedrae)…2g
Gan Cao (radix glycyrrhizae uralinsis)…3g
Actions: warms Yang, tonifies blood, expels Cold, unblocks stagnation
Indications: Yin type carbuncles manifested as localized painful swellings without heads that blend into the surrounding tissue and do not affect the texture or colour of the skin, not hot to the touch, no thirst, pale tongue, deep thin forceless pulse.
苇茎汤Wei Jing Tang
Ingredients:
Lu Gen (rhizoma phragnitis communis)…30g
Yi Yi Ren (semen coicis lachryma-jobi)…30g
Dong Gua Ren (semen benincasae hispidae)…24g
Tao Ren (semen persicae)…9g
Actions: clears Lung Heat, transforms Phlegm, moves Blood, discharges pus
Indications: Lung abscess---cough with foul smelling sputum that may be streaked with blood, slight fever, mild chest pain, dry scaly skin, red tongue with greasy yellow coat, slippery rapid pulse.
大黄牡丹皮汤 Da Huang Mu Dan Pi Tang
Ingredients:
Da Huang (radix and rhizoma rhei)…12g
Mang Xiao (mirabilitum0…9g [dissolve in strained decoction]
Mu Dan Pi (cortex moutan radicis)…9g
Tao Ren (semen persica)…9g
Dong Gua Ren (semen benincasae hispidae)…30g
Actions: drains Heat, breaks up Blood Stasis, disperses clumping, reduces swelling
Indications: intestinal abscess-lower right abdominal distension and pain that increases with pressure, very tender, yellow tongue coat, slippery rapid pulse.
薏苡附子败酱散 Yi Yi Fu Zi Bai Jiang San
Ingredients:
Yi Yi Ren (semen coicis lachryma-jobi)…30g
Fu Zi (radix lateralis aconite carmichaeli praeparata)…6g
Bai Jiang Cao (herba baijiangcao)…15g
Actions: expels pus & reduces swelling
Indications: fully formed intestinal abscess without fever, scaly skin due to internal constraint leading to stagnation of the Ying Qi which results in dry blood on the surface, taut skin around the abdomen that is soft to the touch, rapid pulse.