Source: Waike Zhengzong (Orthodix Treatis on surgical Diseases).
 
Ingredients:
No. 1 Shenghuangqi ( Radix Astragali seu Hedysari ) 12g;
No. 2 Danggui (Radix Angelicae Sinensis ) 6 g;
No. 3 Chaochuanshanjia ( Squama Manitis) (parched) 3g;
No. 4 Zaojiaoci ( Spina Gteditsiae ) 5 g;
No. 5 Chuanxiong (Rhizoma Ligustici Chuanxiong ) 9 g.

Administration: Decoct the above drugs in water for oral application.

Actions: Expelling toxin and promoting pus discharge.
 
Clinical Application:
This recipe is indicated for swelling and pain from carbuncles and inability to drain pus because of deficiency of vital-qi, marked by pus inside which can hardly break, diffuse swelling, or soreness,distending sensation, pyrexia and pain. It is applicable to various purulent inflammations occurring on the surface of  body, which are manifested as unrelieved carbuncle and swelling, not easy to form pus and unfit for being cut open. In case of severe local redness and swelling, add Jinyinhua ( Flos Lonicerae ) and Liangqiao ( Fructus Forsythiae ) to clear away heat and toxins so as to relieve carbuncle. In case of hardness of carbuncle when pressed with severe pain, add Ruxiang (Olibanum) and Moyao (Myrrha) to promote blood circulation, subdue swelling and relieve pain.
 
Elucidation:
The syndrome is caused by unexpelled toxic substances due to deficiency of vital-qi, leading to formation of pus, which is hard to break. This should be treated by promoting pus discharge. No. 1 is capable of replenishing qi and expelling toxins, while No. 3 promoting pus discharge and resolving mass, both acting as monarch drugs. No. 2 and No. 5 possess the function of enriching and promoting the circulation of blood, which not only promote No. 1 in its effect of building up vital-qi but also relieve swelling and pain, both used as minister drugs. No. 4 functions as adjuvant drug, which is capable of subsiding swelling to dissipate indurated mass and expelling toxin and helps No. 3 in resolving mass and draining pus. All ingredients together involve expelling pathogenic factors and building up healthy qi simultaneously so that toxins are removed with pus and tissue regeneration follows.

Cautions:
This recipe belongs to those for promoting pus discharge and thus it is contraindicated for the initial stage of carbuncles without formation of pus.