漏疮，先须服补药生气血，用参、术、 、芎、归为主，大剂服之。外以附子末
，津唾和作饼子，如钱浓，以艾灸，漏大炷大，漏小炷小。但灸令微热，不可使痛。干则
之，则再研如末，作饼再灸。如困则止，来日再灸，直至肉平为效。亦有用附片灸，仍用
补剂作膏贴之，尤妙。痔漏，凉大肠，宽大肠，用枳壳去穣，入巴豆，铁线缠，煮透去巴豆
，入药用，丸子则烂捣，用煎药，干用宽肠。涩窍用赤石脂
、白石脂、枯矾、黄丹、脑子。漏窍，外塞用童子小便 炉甘石、牡蛎粉。
入方
黄连散 元有痔漏，又于肛门边生一块，皮浓肿痛作脓，就在痔孔出，作食积注下治。
黄连 阿魏 神曲 山楂 桃仁 连翘 槐角 犀角（等分）
上为末。以少许置掌心，时时舐之，津液咽下，如消三分之二，止后服。
〔附录〕漏者，诸痿之溃漏也，野狼痿、鼠痿、蝼痿、蛄 、蜂 、蚍蜉 、蛴螬 、浮蛆 、
是尔。析而言之，三十六种，其名目又不同焉。大抵外伤四气，内
窘七情，与夫饮食乖常，染触蠢动含灵之毒，未有不变为 疮。穿孔一深，脓汁不尽，得冷
而风邪并之，于是涓涓而成漏矣。然有近年漏者，有久年
漏者，近则带淡红，或微肿，或小核；久则上而槁白，内而黑烂，淫虫恶臭生焉。
附方
猪肾丸 通行漏疮中，恶水自大肠中出。
黑牵牛碾细末二钱半，入猪肾中，以线扎，青竹叶包，
慢火煨熟。空心温酒嚼下。
乳香丸 治冷漏。
乳香（二钱半） 牡蛎粉（一钱二分半）
上为末，雪糕糊丸麻子大。每服三十丸，姜汤空心。
生地黄膏 治漏疮通用。
露蜂房（炙） 五倍子 木香（三钱） 乳香（一钱） 轻粉（一字）
上为末，用生地黄一握，捣细，和为膏。摊生绢上贴。
蛇蜕散 治漏疮血水不止。
蛇皮（焙焦） 五倍子 龙骨（各二钱半） 续断（五钱）
上为末。入麝香少许，津唾调敷。
熏漏疮方
艾叶 五倍子 白胶香 苦楝根（等分）
上锉碎烧香。法置长桶内，坐熏疮处。
洗漏疮方 治漏疮孔中多有恶秽，常须避风洗净。
露蜂房、白芷煎汤洗，或大腹皮、苦参煎汤洗。
上洗毕，候水出拭干，先用东向石榴皮晒为末，干掺以杀淫虫，少顷，敷药。
久痿方
九孔蜂房（炙黄）
上为末，腊月独脂研敷，候收汁，以龙骨降香节末入些乳香硬疮。
漏疮，或腿足，先是积热所注，久则为寒。
附子破作两片，用人唾浸透，初成片，安漏孔上，艾灸。
又方
川芎（半两） 细辛 白芷梢（一钱半）
上为末。每日作汤服之。病在下，食前服；在上，食后服。看疮大小，讨隔年黄麻根，
刮去皮，捻成绳子，入孔中，至入不去则止，疮外膏药贴之。
Loushuang (Sinus/Fistula), one must first take tonifying medicines to generate Qi and Blood, using Ren Shen (Ginseng), Bai Zhu (Atractylodes Macrocephala Rhizome), [missing character, likely Fu Ling or Gan Cao], Chuan Xiong (Sichuan Lovage Rhizome), and Dang Gui (Angelica Sinensis) as the main ingredients, taken in large doses. Externally, use Fu Zi (Aconite Lateralis Radix Preparata) powder, mixed with saliva to form cakes, about the thickness of a coin, and apply moxibustion. If the sinus is large, use a large moxa cone; if small, use a small cone. Moxa until it feels slightly warm, do not cause pain. If it dries, re-grind into powder, make a cake, and moxa again. If the patient feels fatigued, stop and resume the next day, continuing until the flesh levels out, which indicates efficacy. Some also use Fu Zi slices for moxibustion, still applying tonifying medicated plasters, which is particularly excellent. Zhilou (Hemorrhoidal Fistula), cool the Large Intestine, widen the Large Intestine Qi mechanism. Use Zhi Qiao (Aurantii Fructus) removing the pith, inserting Ba Dou (Crotonis Fructus), binding with iron wire, boiling thoroughly, removing Ba Dou, and using the Zhi Qiao for medicine. For pills, mash thoroughly; for decoctions, use dried material to widen the bowel. To astringe orifices, use Chi Shi Zhi (Halloysitum Rubrum), Bai Shi Zhi (Halloysitum Album), Ku Fan (Alumen), Huang Dan (Minium), and Bing Pian (Borneolum Syntheticum). For fistulous tracts, externally plug with Tong Zi Xiao Bian (Child's Urine)-soaked Lu Gan Shi (Calamina) and Mu Li Fen (Ostreae Shell).
Formula: Huang Lian San (Coptis Powder). Originally suffering from Zhilou, a mass appeared beside the anus, with thick skin, swelling, pain, and pus formation, discharging from the hemorrhoidal pore. Treat as Food Stagnation descending. Huang Lian (Coptidis Rhizoma), A Wei (Ferulae Resina), Shen Qu (Massa Medicata Fermentata), Shan Zha (Crataegi Fructus), Tao Ren (Persicae Semen), Lian Qiao (Forsythiae Fructus), Huai Jiao (Gleditsiae Sinensis Fructus), Xi Jiao (Rhinocerotis Cornu) (equal parts). Grind all into fine powder. Take a small amount, place on the palm, lick occasionally, and swallow the saliva. If symptoms resolve by two-thirds, stop taking further doses.
[Appendix] Loushuang (Sinus/Fistula) is the ulceration and leakage of various Wei syndromes (Wasting-Thirst/Atrophy Syndromes). There are Ye Lang Wei (Wild Wolf Atrophy), Shu Wei (Mouse Atrophy), Lou Wei (Mole Atrophy), Lou Gu (Mole), Feng Lou (Bee Fistula), Pi Fu Lou (Ant Fistula), Si Cao Lou (Grub Fistula), Fu Qu Lou (Fly Larva Fistula), etc., all of this category. Analyzed in detail, there are thirty-six types, with different names. Generally, external injury from the Four Qi (Four Climatic Factors), internal distress from the Seven Emotions, irregular diet, and infection/toxicity from insects and animals, all transform into Chuang (Sores/Ulcers). Once the perforation is deep, pus does not drain completely, cold combines with Wind pathogen, thus dripping continuously to form Loushuang. However, some Loushuang are recent, some are long-standing. Recent ones appear pale red, slightly swollen, or with small nodules; long-standing ones appear dry and white above, black and rotting inside, with parasitic worms and foul odor.
Attached Formulas: Zhu Shen Wan (Pig Kidney Pill). Used for Loushuang where foul fluid exits from the Large Intestine. Hei Qian Niu (Pharbitidis Semen) ground to fine powder 2.5 qian, placed in a pig kidney, tied with thread, wrapped in green bamboo leaves, slow-cooked until ripe. Chew and take with warm wine on an empty stomach. Ru Xiang Wan (Frankincense Pill). Treats Cold Loushuang. Ru Xiang (Boswelliae Resina) 2.5 qian, Mu Li Fen (Ostreae Concha) 1.25 qian. Grind to powder, bind with snow-ice paste into pills the size of hemp seeds. Take 30 pills each time, with ginger tea on an empty stomach. Sheng Di Huang Gao (Rehmannia Paste). General treatment for Loushuang. Lu Feng Fang (Vespa Nest) roasted, Wu Bei Zi (Gallae Chinensis), Mu Xiang (Aucklandiae Radix) 3 qian, Ru Xiang (Boswelliae Resina) 1 qian, Qing Fen (Calomelas) 1 zi. Grind to powder, take a handful of fresh Sheng Di Huang (Rehmanniae Radix), mash finely, mix into paste. Spread on raw silk and apply. She Tui San (Snake Slough Powder). Treats Loushuang with unceasing blood and water discharge. She Pi (Serpentis Skin) roasted until charred, Wu Bei Zi (Gallae Chinensis), Long Gu (Fossilia Ossis Mastodi et Hirte) 2.5 qian each, Xu Duan (Dipsaci Radix) 5 qian. Grind to powder. Add a little She Xiang (Moschus), mix with saliva for topical application. Fumigation Formula for Loushuang: Ai Ye (Artemisiae Argyi Folium), Wu Bei Zi (Gallae Chinensis), Bai Jiao Xiang (Dammar), Ku Lian Gen (Meliae Cortex) (equal parts). Chop and burn as incense. Place in a long barrel, sit over the fumigation site. Washing Formula for Loushuang: Treats foul matter in fistulous tracts; always keep wind away and wash clean. Wash with decoction of Lu Feng Fang (Vespa Nest) and Bai Zhi (Angelicae Dahuricae Radix), or Da Fu Pi (Arecae Pericarpium) and Ku Shen (Sophorae Flavescentis Radix). After washing, wait for water to drain and wipe dry. First, use Shi Liu Pi (Punicae Granati Cortex) grown facing east, dried and powdered, sprinkle dry to kill parasites, then after a while, apply medicine. Ji Wei Formula (For Chronic Atrophy): Jiu Kong Feng Fang (Nine-Holed Vespa Nest) roasted yellow. Grind to powder, mix with Du Zhi (Suillii Grease) from December, rub onto the area. When juices absorb, add Long Gu (Fossilia Ossis Mastodi et Hirte) and Jiang Xiang Jie (Aquilariae Lignum Resinatum) powder with a little Ru Xiang (Boswelliae Resina) to harden the sore. Loushuang, whether on legs or feet, initially stems from accumulated Heat, but becomes Cold over time. Break Fu Zi (Aconite Lateralis Radix Preparata) into two pieces, soak in human saliva until saturated, form into a piece, place on the fistula, and apply moxibustion. Another Formula: Chuan Xiong (Ligustici Chuanxiong Rhizoma) 0.5 liang, Xi Xin (Asari Radix et Rhizoma), Bai Zhi Shao (Angelicae Dahuricae Radix tip) 1.5 qian. Grind to powder. Take as decoction daily. If disease is below, take before meals; if above, take after meals. Depending on the sore size, find Huang Ma Gen (Hemp Root) from the previous year, scrape off skin, twist into rope, insert into hole until resistance is met, apply plaster externally.