汤火之症，若发热作渴，小便赤涩者，内热也，用四物加山栀、连翘、甘草。若肉未死而作痛者，热毒也，用四君
加芎、归、山栀、连翘。若肉已死而不溃者，气血虚也，用四君加当归、黄 ；外敷当归膏，或柏叶末蜡油调搽，至白
色其肉自生。若因烟熏将死者，以生萝卜汁灌之即苏。若饮食后被汤火所伤，发热腹胀，恶食发搐，变症者，当参食积
惊搐门治之。
一小儿火伤，两臂 痛，大便不利，小便赤涩，此火毒蓄于下焦也，用生地黄、当归、芍药、木通、山栀、赤茯
苓、生甘草，一剂二便调和而痛止；更以四物加山栀、参、 、白芷、甘草，而坏肉腐，又数剂而新肉生。
一小儿火伤足胫，专用败毒之剂，脓水淋漓，日晡肿胀，此脾虚下陷也，用补中益气汤及八珍汤而愈。
一女子沸汤伤胸，两月不敛，脉洪大而虚，发热作渴，此阴虚火毒所乘，用四物加柴胡、丹皮，热渴顿止，用加味
逍遥散，腐肉去而新肉生。
一女子被烟熏，痰气上壅，不省人事，用萝卜汁灌之而苏，但体倦欲睡，仍令噙萝卜汁，乃服六君子汤加桔梗、山
栀而安。伤轻者萝卜捣汁，饮之亦可。
一小儿火伤臀间，误用生肌散，阴囊溃脱，久而不愈，此助其药毒而然也，余用当归膏及四君子加芎、归，旬余肉
生而痊。
一小儿火伤其足，用冷水浸之，肿痛益甚，服败毒药，肉死不溃，此脾胃气伤而血滞也，用六君子加芎、归而愈。
后因劳役寒热，以八珍散加升麻、柴胡、白芷而痊。
一小儿火伤腿，用寒凉之药，久不愈，腿细筋挛，食少晡热，此因生肌药助其邪，寒凉损其胃也，用益气汤、当归
膏，不月而敛。
一小儿热汤伤足，久不愈，脓水清稀，口干足热，患处肿黯，晡热盗汗，肢体骨立，此禀肾气虚弱，寒药伤脾而
然，用益气汤、地黄丸三月余，佐以托里散、如圣饼而愈。
一小儿沸汤伤腿，搽药结痂，难于屈伸，痛不可忍，用四物加白术、茯苓，及当归膏而愈。
一小儿沸汤所伤，胸腹皆溃，久而不愈，喜脉弱按之而有力，盖脾主肌肉，当调补脾胃为主，外敷之药当缓。不
信，恪用敷贴之而殁。
一小儿汤伤胫溃而色赤如赭，日晡热甚，右关脉浮而数，按之则弦，此肝木乘脾土血虚而然耳，乃外敷内服，皆
于攻毒后果殁。
神效当归膏 治汤火等疮，不问已溃未溃，肉虽伤而未坏者，用之自愈，肉已死者，用之自溃，新肉易生，搽
至肉色渐白，其毒始尽，生肌最速。盖当归、生地黄、麻油、二蜡，皆主生肌止痛，补血续筋，与新肉相宜。此方余已
刊行，治者多验。
当归 生地黄（各一两） 麻油（四两） 黄蜡（一两，如白者止用五钱）
上先将当归、地黄入油煎枯，去渣，将蜡熔化，候冷搅匀即成膏矣。用涂患处，将细纸盖之。发背痈疽，杖疮溃
烂，用之尤效。凡死肉溃烂将脱，止有些须相连者，宜用利刀剪去。盖死肉有毒，去迟则伤新肉矣，死肉去尽，尤宜速
贴。盖新肉最畏风寒，不可忽也。
乳香定痛散 治伤损及一切疮疡，溃烂疼痛。
乳香 没药（各五钱） 滑石（一两） 冰片（一钱）
上为细末，搽患处痛即止，甚效。
猪蹄汤 治一切痈疽，杖疮溃烂，消肿毒，去恶肉，润疮口。
白芷 黄芩 当归 羌活 赤芍药 蜂房（多蜂儿者为佳） 生甘草（各五钱）
上用猪蹄一只，水四五碗煮熟，去油渣取清汤，入前药煎数沸，去渣温洗，随用膏药贴之。
四物汤（方见胁痈）
六君子汤（方见腹痈）
如圣饼（方见流注）
The condition caused by scalds and burns, if accompanied by fever, thirst, and scanty, dark, and difficult urination, indicates internal heat. Use Siwu Tang (Four Substances Decoction) with added Zhizi (Gardeniae Fructus), Lianqiao (Forsythiae Fructus), and Gancao (Licorice Root). If the flesh is not yet necrotic but painful, it indicates heat-toxin accumulation. Use Sijunzi Tang (Four Gentlemen Decoction) with added Xiong (Ligustici Chuanxiong Rhizoma), Gui (Angelicae Sinensis Radix), Zhizi, and Lianqiao. If the flesh is already necrotic and does not ulcerate, it indicates deficiency of Qi and Blood. Use Sijunzi Tang with added Danggui (Angelicae Sinensis Radix) and Huangqi (Astragali Radix); externally apply Danggui Gao (Angelica Ointment), or mix Baiye Mo (Cacumen Platycladi Powder) with beeswax oil for application. When the tissue turns white, new flesh will grow naturally. If nearly suffocated due to smoke inhalation, instill raw radish juice to restore consciousness. If injured by scalds or burns after eating, presenting with fever, abdominal distension, anorexia, and convulsions, this is a complicated syndrome; treat according to the "Food Accumulation and Convulsion" chapter.
A child suffered burns on both arms, experiencing pain, constipation, and scanty, dark, difficult urination. This indicates fire-toxin accumulating in the Lower Jiao (Lower Burner). Use Shengdihuang (Rehmanniae Radix), Danggui, Shaoyao (Paeoniae Radix), Mutong (Akebiae Caulis), Zhizi, Chifuling (Poria with Red Hosta), and Shenggancao (Raw Licorice Root). After one dose, bowel movements and urination normalized, and pain ceased. Subsequently, use Siwu Tang with added Zhizi, Renshen (Ginseng Radix et Rhizoma), Huangqi, Baizhi (Angelicae Dahuricae Radix), and Gancao. The necrotic tissue sloughed off, and after several doses, new flesh grew.
A child burned the lower leg and exclusively used detoxifying herbs, resulting in profuse purulent discharge and worsening swelling at dusk. This indicates Spleen Qi sinking due to deficiency. Use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Bazhen Tang (Eight Treasures Decoction) for recovery.
A woman was scalded on the chest by boiling water. The wound did not heal for two months. The pulse was large and forceful at the surface but empty upon pressure, accompanied by fever and thirst. This indicates Yin deficiency allowing fire-toxin to invade. Use Siwu Tang with added Chaihu (Bupleuri Radix) and Danpi (Moutan Cortex). Fever and thirst stopped immediately. Then use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). Necrotic tissue was removed, and new flesh grew.
A woman was smoky-inhaled, causing phlegm and Qi to obstruct upward, leading to unconsciousness. Instill radish juice to restore consciousness. Although she felt fatigued and sleepy, continue having her hold radish juice in the mouth, then administer Liujunzi Tang (Six Gentlemen Decoction) with added Jiegeng (Platycodonis Radix) and Zhizi to stabilize the condition. For mild injuries, chewing raw radish juice is also effective.
A child burned the buttocks and mistakenly applied Shengji San (Flesh-Generating Powder), causing the scrotum to ulcerate and detach, failing to heal for a long time. This was due to the drug's toxicity exacerbating the condition. I used Danggui Gao and Sijunzi Tang with added Xiong and Gui. New flesh grew within ten days, and the patient recovered.
A child burned the foot and soaked it in cold water, worsening swelling and pain. Taking detoxifying herbs caused necrotic flesh to fail to ulcerate. This indicates injury to Spleen and Stomach Qi leading to blood stasis. Use Liujunzi Tang with added Xiong and Gui for recovery. Later, due to overwork and alternating chills and fever, use Bazhen San with added Shengma (Cimicifugae Rhizoma), Chaihu, and Baizhi for recovery.
A child burned the leg and used cold-natured drugs, resulting in non-healing, muscle atrophy, tendon contraction, reduced appetite, and evening fever. This was because flesh-generating drugs aided the pathogen, and cold drugs damaged the Stomach. Use Yiqi Tang (Qi-Tonifying Decoction) and Danggui Gao. The wound healed within a month.
A child scalded the foot with hot water. The wound did not heal for a long time, with clear and thin pus, dry mouth, hot feet, swollen and dark lesions, evening fever, night sweats, and emaciation resembling skeletal limbs. This indicates congenital Kidney Qi weakness, exacerbated by cold drugs damaging the Spleen. Use Yiqi Tang and Dihuang Wan (Rehmannia Pill) for over three months, assisted by Tuoli San (Support the Interior Powder) and Rusheng Bing (Like-Sage Cake) for recovery.
A child scalded the leg with boiling water. Medication application formed a scab, making flexion and extension difficult and causing unbearable pain. Use Siwu Tang with added Baizhu (Atractylodis Macrocephalae Rhizoma) and Fuling (Poria), along with Danggui Gao, for recovery.
A child scalded by boiling water had ulcers on the chest and abdomen that failed to heal for a long time. The pulse was weak but firm upon pressure. Since the Spleen governs muscles, treatment should primarily focus on tonifying and regulating the Spleen and Stomach, and external applications should be gentle. The patient did not believe this and insisted on using irritating poultices, resulting in death.
A child burned the lower leg. The ulcerated area was red like ochre, with severe evening fever. The Right Guan pulse was floating and rapid, becoming wiry upon pressure. This indicates Liver Wood overacting on Spleen Earth due to blood deficiency. Both internal and external treatments focused too heavily on attacking toxins, resulting in death.
Shenxiao Danggui Gao (Miraculous Efficacy Angelica Ointment): Treats scalds, burns, and other sores. Whether ulcerated or not, if flesh is injured but not completely necrotic, it promotes self-healing. If flesh is necrotic, it promotes sloughing of dead tissue and easy growth of new flesh. Apply until the tissue color gradually turns white, ensuring toxins are fully eliminated. It generates flesh most rapidly. Danggui, Shengdihuang, Sesame Oil, and Beeswax all promote flesh generation, relieve pain, nourish blood, and reinforce tendons, harmonizing with new flesh growth. This formula has been published, and many practitioners have verified its efficacy.
Ingredients: Danggui, Shengdihuang (each 1 liang), Sesame Oil (4 liang), Huangla (Beeswax, 1 liang; if white, use only 0.5 liang).
Preparation: First, fry Danggui and Dihuang in the oil until browned, remove dregs. Melt the wax, let cool, and stir evenly to form the ointment. Apply to the affected area and cover with fine paper. For back carbuncles, abscesses, and whip-crack ulcers, this is particularly effective. For necrotic tissue about to detach but still slightly connected, cut it off with a sharp knife. Necrotic tissue is toxic; delaying removal harms new flesh. Once necrotic tissue is completely removed, apply promptly. New flesh fears wind and cold greatly; do not neglect this.
Ruxiang Dingtong San (Frankincense Pain-Calming Powder): Treats trauma and all types of sores with ulceration and pain.
Ingredients: Ruxiang (Boswelliae Resina), Moyao (Commiphora Resina) (each 5 qian), Huashi (Talcum), Bingpian (Borneolum Syntheticum) (1 qian).
Preparation: Grind into fine powder. Apply to the affected area to stop pain immediately. Highly effective.
Zhuti Tang (Pig Trotter Decoction): Treats all carbuncles, abscesses, whip-crack ulcers, reduces swelling and toxicity, removes foul flesh, and moistens sore edges.
Ingredients: Baizhi, Huangqin (Scutellariae Radix), Danggui, Qianghuo (Notopterygii Rhizoma et Radix), Chishaoyao (Red Paeoniae Radix), Fengfang (Vespa Nidus) (preferably those with many larvae), Shenggancao (each 5 qian).
Preparation: Boil one pig trotter in 4-5 bowls of water until cooked. Remove oil and dregs, take the clear broth. Add the aforementioned herbs and boil briefly. Remove dregs. Wash the affected area with warm liquid, then apply ointment.
Siwu Tang (See formula under Rib Abscess)
Liujunzi Tang (See formula under Abdominal Abscess)
Rusheng Bing (See formula under Flowing Abscess)