TCM Prescriptions for Treating Carbuncles

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Fairy Decoction for Treating Cutaneous Infections
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Source: Jiaozhu Furen Liangfang ( The Revised Complete Effective Prescriptions for Diseasses of Women ).
  
Ingredients :
No. 1 Baizhi (Radix Angelicae Dahuricae ) 3 g;
No. 2 Beimu (Bulbus Fritillariae) 3 g;
No. 3 Fangfeng (Radix Ledebouriellae) 3 g;
No. 4 Chishaoyao ( Radix Paeoniae Rubra) 3 g
No. 5 Dangguiwei ( tail of RadixAngelicae Sinensis)3g;
No. 6 Gancao (Radix Glycyrrhizae) 3 g;
No. 7 Chaozaojiaoci (Spina Gleditsiae) (parched) 3 g;0.8 Zhichuanshanjia (Squama Manitis Praeparatae)3g;
No. 9 Tianhuafen (Radix Trichosanthis) 3 g;
No. 10 Ruxiang (Olibanum) 3 g;
No. 11 Moyao (Myrrha) 3 g;
No. 12 Jinyinhua (Flos Lonicerae) 9 g;
No. 13 Jupi ( Pericarpium Citri Reticulatae ) 9 g.

Administration:
Decoct the above drugs in water or in the mixture of water and wine with equal amount for oral application. The residue can be smashed for external application.

Actions:
Clearing away heat and toxins, subduing swelling and disintegrating mass, promoting the circulation of blood and relieving pain.
  
Clinical Application:
This recipe is indicated for carbuncles in the early stage, marked by local redness, swelling, pyrexia and pain, pus being not yet formed or formed already, or feverish body with slight aversion to cold, thin whitish or thin yellowish fur, rapid and forceful pulse. It is applicable to such diseases with purulent inflammations as phlegmon, suppurative tonsillitis, mastadenitis, impetigo herpetifomis, furuncle, deep abscess, and others, which pertain to yang syndrome and excess syndrome. In case of severe heat-toxin and local redness and swelling, add Pugongying (Herba Taraxaci), Lianqiao (Fructus Forsythiae ) , Zihuadiding ( Herba Violae ) and Yejuhua (Flos Chrysanthemi Indici ) to strengthen

Elucidation:
The syndrome is caused by excessive accumulation of heat and toxins inside, leading to qi stagnation, blood stasis and stagnation of phlegm. This should be treated by clearing away heat and toxins, subduing swelling and resolving mass, promoting blood circulation and relieving pain. Because of the effect of eliminating heat and toxins as well as subduing swelling, No. 12 was thus named holy herb for carbuncles by our forefathers and functions as monarch drug in this recipe. No. 5, No. 4, No. 10, No. 11 and No. 13 have the function of promoting the flow of qi, removing obstruction from the meridians, promoting blood circulation and resolving stasis so as to subdue swelling, all playing the role of minister drugs.

No. 1 and No. 3 can expel wind and heat, No. 8 and No. 7 can ensure smooth flow of qi in the meridians and collaterals, promote pus discharge and resolve mass. No.9 and No. 2 possess the function of clearing away heat, removing phlegm, resolving mass and subduing swelling so that pus is resolved before it can be formed. These six ingredients act as adjuvant drugs together. No. 6 is the guiding drug with the action of clearing away heat and toxins as well as mediating drug properties.

The wine is meant to enhance the potency of the recipe so that all ingredients will quickly take effect at the affected part because wine can ensure smooth circulation of blood in the vessels. the effect of clearing away heat and removing toxins. In case of constipation, add Dahuang (Radix et Rhizoma Rhei) to purge away fire and relax bowels as well as to lead heat downward. In addition, guiding herbs could be added in accordance with the location of carbuncles so as to cause the drugs to take effect directly at the affected part.

Cautions:
Cold in nature and drastic in the effect of expelling pathogenic factors, this recipe should be contraindicated for patients with healed carbuncles. It should also be used with caution for those with usual weakness of the spleen and stomach as well as deficiency of both qi and blood.



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