子，以解毒，或蟾肝丸。有表邪不敢汗者，补中益气汤加防风、白芷；里证不敢下者，蜂蛇散。肿痛欲作脓者，
托里散、内托十宣散；不能溃者，大料参、 、归、术补之，或补中益气汤合生脉散，以防毒陷。豁心气者，
疔毒入心，则神昏、口干烦闷、恍惚似醉、呕吐不定，危证也。实者，用万病解毒丹，以黄连、当归煎汤化下；
虚者，用古芎归汤加茯苓、茯神、远志，莲肉清之。毒上攻心，呕者，护心散。有因服赛命丹吐者，亦宜此解
之。恍惚闷乱、坐卧不宁、烦渴身痛、便秘者，漏芦饮子；烦躁作渴者，竹叶黄 汤。外治∶轻者，单蟾酥为末，
以白面和黄丹搜作丸，如麦米大。用针挑破疔头，以一粒纳入，效；重者，赛金丹；危笃者，提疔锭子。
暴死灸法可回阳。
凡暴死者，多是疔毒，急用灯照遍身，若有小疮，宜急灸之，并服赛命丹，亦有复醒者。如偏僻之处，药
难导达，惟灸有回生之功。若专疏利、表散者，危。
多骨疽由疮久溃，气血不能营患处；久则腐烂骨脱出，只补脾胃壮元气。
十全大补汤、肾气丸主之。外以附子饼炙，或葱熨法，祛散寒邪，补接荣气，则骨自脱，疮自敛。若肾气
亏损，其骨渐肿，荏苒岁月，溃脓出骨，亦当用葱熨法。若投以克伐，则真气益虚，邪气益甚，鲜不有误。有上
肿硬，年余方溃，半载未愈，内热体倦作渴，用补中益气汤、肾气丸，元气渐复，出骨一块，仍服前药而愈。
有足背肿落一骨者，有手背肿落一骨者。
翻花疮因疮将敛，
元气虚弱，肝火血燥生风。
翻出一肉突如菌；
大小长短不一，或如蛇形，长数寸者，用雄黄末敷之。
内服补养脾胃药，
十全大补汤，或八物汤倍参、 、归、术。出血，乃肝不能藏、脾不能约也，补中益气汤加五味子、
麦门冬，或肾气丸。有怒火者，八味逍遥散。若用风药，速其亡也，汗多必然发 ，危哉！
外涂藜芦膏要匀。
藜芦一味为末，猪油调涂，周日一易。须候元气渐复，脓毒将尽时涂之，则 肉自入，不然，虽入复出。
若误用针刀蚀灸，其势益甚，或出血如注、寒热呕吐等证，急补脾胃为善。
流注肿块非等闲，内伤外感湿痰干；跌扑闪挫并产后，气流血注四肢关。
流者，行也；注者，住也。或结块，或慢肿，皆原素有痰火，或外感风寒，邪气流行，至其痰注之处而发；或
内伤郁怒，以致痰火骤发；或内伤房室，阴虚阳气凑袭，逆于肉理而成；或内伤劳役、饮食搏动而发；或跌扑
闪挫，一时气逆血凝而成；或产后恶露未净，复被感伤凝注。多生四肢，或胸、腹、腰、臀关节之处。初起，宜
葱熨法；实者，十六味流气饮、败毒散；痰痛便秘者，古半硝丸；虚者，二陈四物汤、托里益气汤、不换金正
气散、六君子汤加芎、归，补中益气汤加木香、枳壳，选用。令其自溃、自消。若溃久不敛者，纵有表邪，只
托里为主，十全大补汤、人参养荣汤、补中益气汤、托里抑青汤、托里益气汤、八味丸，更佐以豆豉饼、琥珀
膏，祛散寒邪，补接阳气。脓成，以火针破之；内有脓管，以药线腐之。若过用寒凉者，不治。
瘭大如梅小如粟，多生手指及臀足；色变不常深入肌，串筋见骨痛至极；
瘭疽，一名蛇瘴，烟瘴地面多有之。先作点而后露肉，四畔若牛唇黑硬，小者如粟如豆，剧者如梅如李。
发无定处，或臂或臀，或口齿，或肚脐，多见手、足指间。赤、黑、青、白，色变不常。根深入肌，走臂游肿，
毒血流注，贯串筋脉，烂肉见骨，出血极多，令人串痛、狂言。痛入于心即死，突出于外肾者，亦死。
恶风积毒血热成，烦躁嗳闷入心腹。
原因感受恶风，入于脉理，或烟瘴地面，伤寒疟后，及感触蛇毒所致。二十以后，四十以前者，皆积伤之
毒入胃，壅聚而成；四十以后，六十以前，乃血闭不行，壅热积血得之。治宜宣毒行血，用栝蒌根酒煎，入乳
香、没药、五灵脂、皂刺等分，以下其毒，次用清心行血之剂。如系蛇毒，赤足蜈蚣最妙，雄黄、白芷次之；
或蜡矾丸，冷酒入麝香送下。外用荆芥、白芷、川椒、葱白煎汤，入盐，俟汤温，自手臂上烫下，日三次。瘭疽
毒瓦斯走肿所至处，宜紧系之。自手发者，毒走至心；自足发者，毒走至肾，不救。各有小红筋，寻其筋之住处，
灸三炷即瘥。经云，在指则截，在肉则割。恐毒瓦斯入心入腹，令人烦躁、呕嗳、昏闷，或疮出青水秽汁者，肾
虚极也，死人至速。此疮极虑引风。凡痈疽开一寸，则一寸引风，非必风入于其中。风邪袭虚，则肉烂透骨，
恶血横流，宜南星、半夏、白芷梢，最能去风，可以频敷。其诸疗理，推展痈疽法度行之。
痼发手足或掌心，或腰或臀毒何深；无头无面愈又发，色带淡红防泻侵。
凡疮气血相搏，有头有面；风邪内作，无头无面。痼无头面，瞰里开疮，低贴肌肉，走注牵连，生于手
足，或掌心，或腰腿，或臀下伸缩之处。初起浑身壮热，手足不遂，憎寒头痛，虚渴多汗，呕逆，四肢沉重，
较之诸发，烦渴为甚。或肿毒已平，数月后，复于他处大发，但作肉色微带淡红，终不能救。大要∶培养内气
以防滑泻，治与痈疽类推。外用神应膏贴之。如疮出米泔汁者，必死。
小小诸疮风毒滞，
诸般小疮，皆因心肾不交，饮食不节，肠胃停留，以致风热寒湿之毒，与气血相搏，凝滞肌肉之间而发露
也。
暑痱冻裂手足皲。
夏暑心神郁躁，热逼汗渍成疮，遍身或出脓血，赤烂如火，用南星、半夏、黄连、黄柏各一钱，五倍子、
黄丹各五分，为末干糁。如痒加枯矾、雄黄。常服黄连阿胶丸以清心。热汗浸渍成疮，痒痛不止，用黄 、当
归、防风、荆芥穗、地骨皮、木通各二钱，白矾一两，为末，每药一两，水三大碗，煎五六沸，滤去渣，稍热淋
洗患处，拭干避风，少时立效。轻者，只用腊雪水和蛤粉敷之。痱痤疮，因汗出见湿而生，轻者状如撒粟，
用青蒿煎汤洗之，或枣叶亦好；重者热汗浸渍，匝匝成疮，用绿豆、滑石各五钱为末，绵蘸扑之，摩破成疮，
加黄柏、枣叶各五钱，片脑少许。冬月下虚，身触寒冷，血涩生疮，顽滞不知痛痒，内服升麻和气饮去大黄，
外用木香、槟榔、硫黄、吴萸、姜黄、麝香为末，麻油调搽。冻疮先痒后痛，然后肿破出血，黄水不止，用雄
雉鸡脑一枚，捣烂，黄蜡各等分，清油减半，同于慢火上熬成膏，去渣涂之，久不愈者亦效。又方∶用生附子
为末，面调涂之。手足折裂作痛，用清油五钱，慢火煎沸，入黄蜡一块，再熬溶，入水粉、五倍末各少许，熬
紫色为度。先以热水泡手足，火上烘干，后用药敷，以纸贴之。其痛立止，入水亦不落。或桐油膏涂之亦好。
手足皲，先用百沸汤泡洗，皮软拭干，然后用沥清二两，黄蜡一两，共熬匀敷之，或用五倍子为末，牛骨髓调，
瓷罐收贮，埋地中七日，取出填皲中即愈。或黄蜡膏、云母膏俱好补塞。
蜗HT 侵淫白蛇缠，
蜗疮，生手足间，相对如新茱萸，痒痛折裂，搔则黄汁淋沥，有孔如蜗，久而生虫。用杏仁、乳香各三
钱，硫黄、轻粉各一钱半，为末，用麻油三钱，入黄蜡五钱溶化，入前末煎搅成膏，去火毒，瓷器收用。又方∶
用燕窠取抱子处土，为末干糁。先用白芷、大腹皮煎汤洗净，然后敷药。走皮HT 疮，生满颊项，发如豆梅，痒
而多汁，延蔓两耳内外湿烂，如浸淫疮之状。先用桑寄生、桑根皮各一握，白芷、黄连各少许，煎汤以绵蘸洗，候
恶血出尽拭干，次用皂荚、麻竹箨，俱烧存性，黄柏、黄连、樟叶、白芷各等分为末，麻油调搽，神效。忌醋。
手HT 疮，用皂角、枯矾、轻粉、黄柏、黄连为末敷之。小儿胎HT ，头生红饼疮，先用生艾、白芷、大腹皮、葱
白煎汤洗净拭干，次用生蓝叶、生艾叶，入蜜捣膏敷之。亦治恶疮。侵淫疮，初生甚小，先痒后痛，汁出侵淫，
湿烂肌肉，延至遍身。若从口发出，流散四肢者轻；从四肢发生，然后入口者重。用苦楝根晒干，烧存性为末，
猪脂调敷，湿则干糁；先用苦参、大腹皮煎汤洗之。白蛇缠疮，有头尾，俨似蛇形。初起宜隔蒜于七寸上灸之；
仍用雄黄为末，醋调敷之；仍以酒调服之。或万病解毒丹、蜡矾丸，外涂内服。
汤火肥疣漆刺身。
汤泡火烧疮，初时宜强忍痛，急向火炙，慎勿以冷物熨之，使热不能出，烂入筋骨。后用寒水石七两，
黄柏、黄连、黄芩、山栀、大黄、赤石脂各一两，甚者加冰片少许，为末，酒调或鸭子清调敷，或阵王丹亦好。
小儿肥疮，用松香为末，以纸卷成条，香油浸燃之，滴油搽，或用猪爪烧灰，麻油调搽。疣疮，如鱼鳞痣、
千日疮一样，多生手足，又名悔气疮。宜艾灸初起者，则余者皆落，神效。漆疮，因见生漆中毒，面痒而肿，
绕眼微赤，痒处搔之随起 ，重者遍身如豆如杏，脓 作痛。用生蟹取黄，随疮大小遍敷之，或腊茶为末，
麻油调搽，或柳叶（冬，用皮）煎汤洗之。竹木刺入肉不出，单糯米膏贴之，或头垢，或蛴螬虫捣烂，敷之，
效。或象牙为末糁之。
折伤先问出血否，
折伤有损身体，或坠跌打扑、倒压闪挫，气血郁逆而皮不破，或金刃伤皮出血。外损筋骨者，可治；内
损脏腑里膜，及破阴子、耳后者，不治。
未出攻之出则守；
未出血者，宜苏木祛瘀，黄连降火，白术和中，三味用童便入酒煎服。在上者，宜韭汁和粥吃；在下者，
可下。血冷则凝，不可饮冷水，引血入心即死。消瘀∶难鸣散、花蕊石散。顺气∶木香匀气散加童便、红曲或
红酒。已出血者，急用阵王丹止血，先服补托药，而后消瘀，虚甚者亦不敢下。血虚者，四物汤加穿山甲；
气虚者，用苏木、参、 、当归、陈皮、甘草服半月，脉散渐收，方敢以煎药调下自然铜末
一味，空心服之。如骨不碎折者，忌用。素虚损甚者，紫河车丹去麝香。但损伤妙在补气血，或被寒冷者，
先宜起寒。
腹胁胀痛增热寒，
折伤专主血论，非如六淫、七情，有在气在血之分。然肝主血，不问何经所伤，恶血必归于肝，流于胁，郁
于腹而作胀痛，或增寒热。实者，下之；虚者，当归须散、复元活血汤调之，或十全大补汤加香附、陈皮、贝
母等分水煎服。
最嫌呕吐血退场门；
凡损伤疮口忽干，毒攻腹内，恍惚烦闷，呕吐及已出血多，而又呕血不止者，难治。初起呕吐者，用
平胃散为末内服，外用姜汁调敷。破伤风浮肿者亦宜。初起吐血，用苏木煎汤，调古乌附汤、或古蚌霜散。如
恶血入肠胃，下血浊如瘀血者，用百草霜为末，酒调服。如伤外肾，小便出血不通者，五苓散。
贴敷定痛脉须和，
如命门脉和缓，关脉实者，纵伤重不死，命门虚促而脱者，虽伤浅难治。凡血未出者，脉宜洪大，已
出血者，脉忌洪大，此折伤脉要也。敷药∶单糯米膏、小曲散。定痛∶乳香定痛散、夹骨法。折伤后，为四气
所侵，手足疼痛者，应痛丸。
接骨何人是妙手？
接骨须经络穴法，骨髓明透，而又有传授，故古以危氏为善。接骨紫荆丹、接骨丹。
破伤（证似）中风有四因，
四因，百病皆然。不因气动者二∶卒暴损破风袭；或诸疮汤洗艾灸，逼毒妄行。有因气动者二∶疮口不合，
贴膏留孔风袭；或热郁遍身白痂，疮口闭塞，气难通泄，传播经络，烧烁真气，是以寒热间作，甚则发 ，
口噤，角弓反张，须臾欲死。用蝎梢饼，或三生饮加天麻为末，每一钱，用黑豆淋酒调服，化痰开关。风盛
者，二乌丸；风痰俱盛者，古星风散；风痰虚者，乌蛇散；血凝心神，昏闷者，单鹅翎烧灰存性，为末，酒调
服一钱。服后，饮酒一二盏，以助药势。如血多痛甚者，如圣散；手足战掉者，朱砂指甲散、蛴螬酒。如头目
青黑，额汗不流，眼小目瞪，身汗如油者，四逆不治。
治同伤寒表里法∶
风热燥甚，怫郁在表，善伸数欠，筋脉拘急，或时恶寒，或筋惕搐搦，宜辛热治风，佐以辛寒，如伤寒
麻桂加黄芩、石膏、知母是也。若表不已，渐传入里在肌肉者，宜退风热，开结滞，辛寒之药，或佐以辛热调
之，犹伤寒半表里而用小柴胡也。若里热已甚，而舌强口噤，项背反张，惊搐惕搦，涎唾稠粘，胸腹满塞，便
溺秘结，或时汗出，宜祛风散结，寒药下之，后复以清热开结之药调之。又云，破伤风同伤寒坏证，治看在何
经，而用本经药祛之。
太阳宜汗少阳和，
表证，古防风汤去甘草，加川芎、独活等分，水煎服，或调蜈蚣散。或九味羌活汤，少用细辛，加归、
芍等分，水煎服。便秘加大黄，缓缓通之。或用古龙虎丹发汗亦妙。半表里证，羌麻汤。
阳明下之工中甲。
若服表药过多，脏腑和而自汗者，白术防风汤；大汗不止，搐搦者，升麻葛根汤加白术、黄芩。如脏腑闭，
小便赤，自汗者，先用小芎黄汤二三服，后用大芎黄汤速下之。或江鳔丸。气弱者只用蜜导法。
本是血疾易入阴，
Zi (a type of toxin), use detoxification methods, or Chan Gan Wan (Toad Liver Pill). If there is exterior pathogen but sweating is contraindicated, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Fangfeng (Saposhnikovia Root) and Baizhi (Angelica Dahurica); if there is interior syndrome but purgation is contraindicated, use Fengshe San (Hornet and Snake Powder). If swelling and pain are about to suppurate, use Tuoli San (Support the Interior Powder) or Neituo Shixuan San (Interior-Supporting Ten-Aperture Powder); if it cannot ulcerate, tonify with large doses of Renshen (Ginseng), [Huangqi (Astragalus)], Danggui (Angelica Sinensis), and Baizhu (Atractylodes Macrocephala), or combine Buzhong Yiqi Tang with Shengmai San (Generate the Pulse Powder) to prevent toxin sinking inward. Huoxin Qi (Opening the Heart Qi - referring to symptoms of toxin attacking the heart): when Ding Du (Ding Toxin) enters the heart, there is coma, dry mouth, irritability and oppression, mental confusion resembling drunkenness, and irregular vomiting; this is a critical condition. For excess patterns, use Wanbing Jiedu Dan (Ten-Thousand Disease Detoxifying Pill), taken with decoction of Huanglian (Coptis Rhizome) and Danggui (Angelica Sinensis); for deficiency patterns, use Gu Xionggui Tang (Ancient Ligusticum and Angelica Decoction) plus Fuling (Poria), Fushen (Poria with Hostwood), Yuanzhi (Polygala Root), and Lianrou (Lotus Seed Flesh) to clear. If toxin attacks upward to the heart with vomiting, use Huxin San (Heart-Protecting Powder). If vomiting occurs due to taking Saiming Dan (Life-Saving Pill), this powder is also suitable to resolve it. For mental confusion, restlessness, inability to sit or lie comfortably, irritability, thirst, body pain, and constipation, use Loulu Yinzi (Rhaponticum Decoction); for irritability and thirst, use Zhuye Huang[Tai] Tang (Bamboo Leaf and [Astragalus] Decoction). External treatment: for mild cases, use single Chansu (Toad Venom) powdered, kneaded with white flour and Huangdan (Lead Monoxide) into pills the size of wheat grains. Puncture the head of the Ding with a needle and insert one pill; effective. For severe cases, use Saijindan (Gold-Competing Pill); for critical cases, use Tiding Dingzi (Ding-Lifting Stick). Sudden death can be reversed by moxibustion.
Any sudden death is mostly due to Ding Du (Ding Toxin); urgently illuminate the whole body with a lamp. If small sores are found, urgently apply moxibustion and administer Saiming Dan (Life-Saving Pill); some may regain consciousness. In remote areas where medicines are hard to deliver, only moxibustion has the power to revive. If one relies solely on draining or dispersing methods, it is dangerous.
Duogu Ju (Multiple Bone Abscess) results from long-standing ulceration where Qi and Blood fail to nourish the affected area; over time, tissue rots and bone detaches. Treatment focuses on tonifying the Spleen and Stomach and strengthening Yuan Qi (Original Qi). Treat with Shiquan Dabu Tang (Comprehensive Great Tonifying Decoction) or Shenqi Wan (Kidney Qi Pill). Externally, apply Moxibustion with Aizi Bing (Aconite Cake) or Congyi Fa (Scallion-Ironing Method) to dispel cold pathogens and replenish Ying Qi (Nutritive Qi), then the bone will naturally detach and the sore heal. If Kidney Qi is deficient, the bone gradually swells; after dragging on for years, pus erupts with bone; the Scallion-Ironing Method should also be used here. If harsh reducing herbs are administered, Zheng Qi (True Qi) becomes more deficient and evil Qi more severe, leading to error. Some present with upper swelling and hardness, ulcerating only after a year, not healing for half a year, with internal heat, fatigue, and thirst; treat with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Shenqi Wan (Kidney Qi Pill). As Yuan Qi (Original Qi) recovers, a piece of bone is expelled, and continuing the previous medication leads to recovery. Some have a piece of bone falling from the dorsum of the foot; some from the dorsum of the hand.
Fanhuachu (Flower-Flipping Sore) occurs when a sore is about to heal but Yuan Qi (Original Qi) is weak, causing Liver Fire and Blood Dryness generating Wind. A piece of flesh flips out like a mushroom; sizes and lengths vary, some snake-like and several inches long. Apply Xionghuang Powder (Realgar Powder) externally. Internally, take herbs that tonify and nourish the Spleen and Stomach, such as Shiquan Dabu Tang (Comprehensive Great Tonifying Decoction), or Bawu Tang (Eight Substance Decoction) with doubled Renshen (Ginseng), [Huangqi (Astragalus)], Danggui (Angelica Sinensis), and Baizhu (Atractylodes Macrocephala). Bleeding indicates the Liver fails to store blood and the Spleen fails to control it; treat with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) plus Wuweizi (Schisandra Berry) and Maidong (Ophiopogon Tuber), or Shenqi Wan (Kidney Qi Pill). For anger-fire, use Bawei Xiaoyao San (Eight-Ingredient Free and Easy Wanderer Powder). Using Wind-dispersing herbs accelerates death; excessive sweating inevitably leads to [Jing] (Spasm/Cramp), which is dangerous! Apply Licilu Gao (Veratrum Ointment) evenly externally. Licilu (Veratrum Nigrum) powdered alone, mixed with lard for application, changed once a week. Apply only when Yuan Qi (Original Qi) has gradually recovered and pus/toxin is nearly exhausted, so necrotic flesh falls off naturally; otherwise, it may fall off and grow back. If needles, knives, or cauterization are mistakenly used, the condition worsens, possibly with profuse bleeding, chills/fever, and vomiting; urgently tonify the Spleen and Stomach.
Liuzhu (Flowing Note) lumps are no ordinary matter, caused by internal injury and external contraction of damp-phlegm; contusions, sprains, and postpartum conditions lead to Qi stagnation and Blood stasis in the limbs' joints. "Liu" means moving; "Zhu" means staying. It presents as nodules or slow swelling, originating from pre-existing Phlegm-Fire or external contraction of Wind-Cold, where evil Qi flows and settles in phlegm-stagnant areas to manifest; or from internal injury due to suppressed anger causing sudden Phlegm-Fire eruption; or from internal injury due to sexual indulgence, where Yin deficiency allows Yang Qi to invade, reversing in the muscle layers; or from labor/dietary factors; or from contusions/sprains causing sudden Qi reversal and Blood coagulation; or from postpartum lochia not clearing, compounded by external contraction and stagnation. It often occurs in the limbs, or at joints of the chest, abdomen, waist, and buttocks. At onset, use the Scallion-Ironing Method; for excess patterns, use Shi Liuwei Liuqi Yin (Sixteen-Ingredient Flowing Qi Decoction) or Baidu San (Defeat Poison Powder); for phlegm-pain with constipation, use Gu Banxiao Wan (Ancient Half-Pepper Pill); for deficiency patterns, choose from Erchen Siwu Tang (Two-Aged Four-Substance Decoction), Tuoli Yiqi Tang (Support Interior and Augment Qi Decoction), Buhuanjin Zhengqi San (Non-Changing Golden Upright Qi Powder), Liujunzi Tang (Six Gentlemen Decoction) plus Chuanxiong (Ligusticum) and Danggui (Angelica Sinensis), or Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) plus Muxiang (Aucklandia) and Zhike (Bitter Orange). Allow it to ulcerate and dissipate spontaneously. If it ulcerates and fails to heal for a long time, even if exterior pathogens exist, focus on supporting the interior with Shiquan Dabu Tang (Comprehensive Great Tonifying Decoction), Renshen Yangrong Tang (Ginseng Nourishing the Spirit Decoction), Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), Tuoli Yiqing Tang (Support Interior and Suppress Green/Liver Decoction), Tuoli Yiqi Tang (Support Interior and Augment Qi Decoction), or Bawei Wan (Eight-Ingredient Pill), aided by Douchi Bing (Fermented Soybean Cake) and Hupo Gao (Amber Ointment) to dispel cold and replenish Yang Qi. When pus forms, puncture with fire needle; if sinus tracts exist, use medicated thread for debridement. Overuse of cold-cooling herbs renders it incurable.
Biao Ju (Bubonic Abscess) ranges from plum-sized to millet-sized, often on fingers, buttocks, and feet; color changes unpredictably, penetrating deep into muscles, involving sinews and bones with extreme pain. Biao Ju, also called She Zhang (Snake Miasma), is common in miasma-prone regions. It starts as a dot then exposes flesh, with edges black and hard like an ox's lip; small ones like millet or beans, severe ones like plums or peaches. Onset location is不定 (variable), arms, buttocks, mouth/teeth, or navel, often between fingers/toes. Colors change unpredictably among red, black, green, white. Roots penetrate deep, swelling travels along arms, toxic blood flows, penetrating sinews, rotting flesh exposing bones, massive bleeding, causing radiating pain and delirium. Pain entering the heart causes death; protrusion onto the external genitalia also causes death. Caused by惡风 (Evil Wind) accumulating toxin and Blood Heat, leading to irritability and oppression entering the heart/abdomen. Etiology: contraction of Evil Wind entering vessel channels, or miasma regions, post-Warm Pathogen/Malaria, or Snake venom contact. Ages 20-40: accumulated injury toxins enter the Stomach and accumulate; ages 40-60: Blood closure/stagnation, accumulated heat and Blood stasis. Treatment: promote detoxification and move Blood, using Gualou Gen (Trichosanthes Root) decocted in wine, plus Rushxiang (Frankincense), Moyao (Myrrh), Wulingzhi (Trogopterus Dung), and Zaocis (Hedgehog Spine) in equal parts to purge toxin, followed by formulas clearing Heart and moving Blood. For snake venom, Chi Zu Wu Gong (Red-footed Centipede) is best, followed by Xionghuang (Realgar) and Baizhi (Angelica Dahurica); or Lafan Wan (Wax-Alum Pill) taken with cold wine and Shexiang (Musk). Externally, decoct Jingjie (Schizonepeta), Baizhi (Angelica Dahurica), Chuanjiao (Sichuan Pepper), and Congbai (Scallion White) with salt; while warm, pour/scald from arm downwards, three times daily. Tighten binding above the spreading swelling of Biao Ju. Hand-originating spreads to Heart; foot-originating spreads to Kidney, both incurable. Look for small red veins; moxa three cones at the vein's location for cure. Classics state: amputate if on finger, cut if on flesh. Fear toxin entering Heart/Abdomen causing irritability, belching, coma, or green foul fluid from sore indicating extreme Kidney Deficiency, leading to rapid death. This sore easily attracts Wind. For every inch of open abscess, wind attraction increases; not necessarily wind entering inside, but Wind Evil attacking deficiency causes flesh rot through bone and evil blood flowing freely. Use Nanxing (Arisaema), Banxia (Pinellia), Baizhi Cao (Angelica Dahurica tip) to dispel wind, applying frequently. Other treatments follow general Abscess protocols.
Gu Fa (Stubborn Eruption) on hands/feet/palms/waist/buttocks, how deep is the toxin? No head or face, recurring after healing, pale red color warns of diarrhea invasion. All sores involve Qi-Blood conflict; those with head/face indicate Wind Evil acting internally without head/face. Gu lacks head/face, opens inward, lies flat on muscle, spreads and connects, occurring on hands/feet, palms, waist/legs, or buttock flexures. Onset: high fever, limb immobility, aversion to cold/headache, deficiency-thirst/sweating, vomiting, heavy limbs, worse thirst than other eruptions. If swelling subsides but re-emerges months later elsewhere as pale red flesh, it is incurable. Key: cultivate internal Qi to prevent loose stools; treatment follows Abscess logic. Apply Shenyin Gao (Miraculous Response Ointment) externally. Rice-water discharge from sore indicates death.
Small sores involve Wind-Toxin stagnation. Various minor sores result from Heart-Kidney non-interaction, irregular diet, retention in intestines/stomach, causing Wind-Heat-Cold-Damp toxins to conflict with Qi/Blood, stagnating in muscles. Summer heat prickles and frost cracks hands/feet. Summer heat causes Heart-Mind agitation, heat forces sweat causing sores, oozing pus/blood, red/raw like fire. Use Nanxing (Arisaema), Banxia (Pinellia), Huanglian (Coptis), Huangbai (Phellodendron) each 1 qian, Wubeizi (Chinese Gall) and Huangdan (Lead Monoxide) each 5 fen, powdered and dusted dry. Add Kufan (Alum calcined) and Xionghuang (Realgar) if itchy. Take Huanglian Ejiao Wan (Coptis and Donkey-hide Gelatin Pill) regularly to clear Heart. Heat-sweat maceration causing sores with unceasing itch/pain: use Huang[Tai] (Astragalus), Danggui (Angelica Sinensis), Fangfeng (Saposhnikovia), Jingjie Sui (Schizonepeta Tip), Digupi (Dogwood Bark), Mutong (Akebia) each 2 qian, Bai Fan (Alum) 1 liang, powdered. One liang medicine per three bowls water, boil 5-6 times, strain, wash lesion while slightly hot, dry and avoid wind, immediate effect. Mild cases: snow water and Ge Fen (Clam Shell Powder). Prickly heat acne arises from sweat meeting damp; mild like scattered millet, wash with Qinghao (Artemisia Annua) decoction or Zao Ye (Jujube Leaf); severe macerated by sweat, use Lv Dou (Mung Bean) and Huashi (Talc) each 5 qian, powdered, applied with cotton; if rubbed into sores, add Huangbai (Phellodendron) and Zao Ye (Jujube Leaf) each 5 qian, Pian Nao (Borneol)少许. Winter deficiency-cold causing stiff skin sores with numbness: internally take Shengma Heqi Yin (Cimicifuga Harmonizing Qi Decoction) minus Dahuang (Rhubarb); externally mix Muxiang (Aucklandia), Binglang (Areca Nut), Liuhuang (Sulfur), Wuyu (Evodia), Jianghuang (Turmeric), Shexiang (Musk) in powder, apply with Sesame Oil. Frostbite itches then pains, swells, breaks, bleeds, weeps yellow fluid: use Male Partridge Brain 1, mashed with equal Huangla (Yellow Wax) and half Qingyou (Clear Oil), simmered into ointment, strained and applied; effective for chronic cases. Another formula: Sheng Fuzi (Raw Aconite) powdered, mixed with flour. Hand/foot fissures painful: boil 5 qian Qingyou (Clear Oil), add Huangla (Yellow Wax), melt, add Shufen (Powdered Lead) and Wubei powder少许, boil until purple. Soak hands/feet in hot water, dry over fire, apply medicine, cover with paper. Pain stops immediately, withstands water immersion. Tung oil ointment also works. Hand/foot cracks: soak in boiling water, soften skin, dry, then apply Liquing (Bitumen) 2 liang and Huangla (Yellow Wax) 1 liang melted together; or Wubeizi (Chinese Gall) powder mixed with Ox Marrow, stored in porcelain jar buried 7 days, apply to cracks. Yellow Wax Ointment or Yunmu Gao (Mica Ointment) also good.
Wo Chuang (Snail Sore), Invasive Sore, White Snake Wrap. Wo Chuang grows between hands/feet, opposite like new Zhu Yu (Cornel fruit), itchy/painful/fissured, scratching yields yellow fluid, holes like snails, worms generate over time. Use Xingren (Apricot Kernel), Rushxiang (Frankincense) each 3 qian, Liuhuang (Sulfur), Qingfen (Calomel) each 1.5 qian, powdered. Mix with 3 qian Sesame Oil and 5 qian Huangla (Yellow Wax) melted, stir into ointment, remove fire toxicity, store in porcelain. Another method: soil from swallow nest where eggs are laid, powdered and dusted. Wash with Baizhi (Angelica Dahurica) and Dafupi (Areca Peel) decoction first. Zou Pi Chuang (Skin-Traversing Sore) fills cheeks/neck, emerges like bean/plum, itchy with discharge, spreads to ear内外 (inside/outside) wetly like invasive sore. Wash with Sangjisheng (Mistletoe), Sanggenpi (Mulberry Root Bark) handfuls, Baizhi (Angelica Dahurica), Huanglian (Coptis)少许 decoction, wipe dry after evil blood exits. Then burn Zaojiao (Soap Pod) and Mazhutuo (Bamboo Husk) to char, mix with Huangbai (Phellodendron), Huanglian (Coptis), Zhangye (Camphor Leaf), Baizhi (Angelica Dahurica) equal parts, apply with Sesame Oil; miraculous. Avoid vinegar. Hand Sore: apply Zaojiao (Soap Pod), Kufan (Alum Calcined), Qingfen (Calomel), Huangbai (Phellodendron), Huanglian (Coptis) powder. Infant胎Chuang (Fetal Sore): red cake sore on head, wash with Sheng Ai (Mugwort), Baizhi (Angelica Dahurica), Dafupi (Areca Peel), Congbai (Scallion White) decoction, dry, apply Sheng Lan Ye (Isatis Leaf), Sheng Ai Ye (Mugwort Leaf) mashed with honey; treats malignant sores too. Jinyin Chuang (Invasive Sore) starts small, itches then pains, weeping invades moistens flesh, spreads bodywide. Mouth-to-limbs is mild; limbs-to-mouth is severe. Use Kudigen (Kudzu Root) dried, charred, powdered, mixed with Pig Fat; if wet, dust dry; wash with Kushen (Sophora) and Dafupi (Areca Peel) decoction first. Bai She Chan Chuang (White Snake Wrap Sore) has head/tail like snake. Onset: moxa through Garlic at 7 cun; apply Xionghuang (Realgar) powder mixed with vinegar; drink vinegar-mixed preparation. Or Wanbing Jiedu Dan (Ten-Thousand Disease Detoxifying Pill), Lafan Wan (Wax-Alum Pill), external/internal.
Soup/Fire Burns, Fatty Warts, Lacquer Thorns. Soup/Fire burns: endure pain initially, urgently roast near fire, do NOT use cold compresses to trap heat rotting into bone/sinew. Later use Hanshuishi (Calcite) 7 liang, Huangbai (Phellodendron), Huanglian (Coptis), Huangqin (Scutellaria), Shanzhi (Gardenia), Dahuang (Rhubarb), Chishizhi (Red Halloysite) each 1 liang, severe cases add Bingpian (Borneol)少许, powdered, mixed with Wine or Duck Egg White for application; Zhenwang Dan (Array King Pill) also good. Infant fatty sore: Songxiang (Rosin) powdered, rolled in paper, ignited in Sesame Oil, drip oil to apply; or Pig Trotter ash mixed with Sesame Oil. Wart sore: like fish-scale nevus or Thousand-Day Sore, often on hands/feet, also called Regret Sore. Moxa early stage for miraculous shedding of others. Lacquer sore: poisoning from raw lacquer, facial itch/swelling, eye redness, scratching raises [Zhen] (Rash), severe cases body-wide bean/almond sized pustules painful. Apply raw Crab Yellow broadly; or Lacquer Tea powdered with Sesame Oil; or Willow Leaf (Winter bark) decoction wash. Bamboo/Wood splinters stuck: apply Single Glutinous Rice Paste, or Head Grease, or Qicao (Caterpillar) mashed paste; or Ivory powder dusted.
Fractures: Ask about bleeding first. Fractures damage body via falls/hits/crushes/sprains, Qi/Blood stagnation without skin break, or metal blade wounds with bleeding. External bone/tendon injury treatable; internal organ/membrane damage or injury to Yin organs/ears incurable. Unbleeding: attack; Bleeding: defend. Unbleeding: use Sumu (Dalbergia) to remove stasis, Huanglian (Coptis) to descend fire, Baizhu (Atractylodes) to harmonize middle, decocted with Child Urine and Wine. Upper lesions: Leek juice with porridge; lower lesions: purge. Cold blood coagulates, do not drink cold water or blood enters Heart causing death. Remove stasis: Nanming San (Hard Cry Powder), Huaruishi San (Orpiment Stone Powder). Smooth Qi: Muxiang Yunqi San (Aucklandia Smoothing Qi Powder) plus Child Urine, Hongqu (Red Yeast Rice) or Red Wine. Bleeding: urgently use Zhenwang Dan (Array King Pill) to stop bleeding, first take tonifying/supporting herbs, then remove stasis; severe deficiency avoids purging. Blood deficiency: Siwu Tang (Four Substance Decoction) plus Chuanshanjia (Pangolin Scale); Qi deficiency: Sumu (Dalbergia), Renshen (Ginseng), [Huangqi (Astragalus)], Danggui (Angelica Sinensis), Chenpi (Tangerine Peel), Gancao (Licorice) for half month, until pulse gathers, then take Ziran Tong (Natural Copper) powder with decoction on empty stomach. Contraindicated if bone not fractured. Severe constitutional deficiency: Ziheche Dan (Placenta Pill) minus Shexiang (Musk). Injury treatment excels in tonifying Qi/Blood; if cold-exposed, first warm.
Abdominal/Hypochondriac distension/pain with chills/fever. Fracture theory focuses on Blood, unlike Six Evils/Seven Emotions having Qi/Blood distinctions. Liver governs Blood; regardless of meridian injured, evil blood returns to Liver, flows to hypochondrium, stagnates in abdomen causing distension/pain, or chills/fever. Excess: purge; Deficiency: Dangguixu San (Angelica Tail Powder), Fuyuan Huoxue Tang (Restore Origin Invigorating Blood Decoction), or Shiquan Dabu Tang (Comprehensive Great Tonifying Decoction) plus Xiangfu (Cyperus), Chenpi (Tangerine Peel), Beimu (Fritillaria) equal parts decocted. Vomit/Blood exit door: most dreaded. If wound suddenly dries, toxin attacks abdomen, mental confusion/oppression, vomiting, or excessive bleeding with continuous hematemesis, difficult to treat. Initial vomiting: Pingwei San (Peace the Stomach Powder) internally, Ginger Juice externally. Broken Wind edema also suitable. Initial hematemesis: Sumu (Dalbergia) decoction mixing Gu Wufu Tang (Ancient Aconitus Decoction) or Gu Bangshuang San (Ancient Clam Frost Powder). If evil blood enters intestines/stomach, passing turbid bloody stool: Baicaoshuang (Herb Ash) powder with Wine. External kidney injury with hematuria/obstruction: Wuling San (Five Ling Powder).
Application/Pain relief requires harmonious pulse. Mingmen pulse relaxed, Guan pulse solid: even severe injury not fatal; Mingmen pulse weak/rushing/depleted: even shallow injury hard to treat. Unbleeding: pulse should be洪大 (Surging Large); Bleeding: pulse forbids Surging Large. Application: Single Glutinous Rice Paste, Xiaoqu San (Small Yeast Powder). Pain relief: Rushxiang Dingtong San (Frankincense Pain-Stopping Powder), Jiagu Fa (Bone-Clamping Method). Post-fracture invaded by Four Qi causing limb pain: Yingtong Wan (Responding Pain Pill).
Who is skilled in setting bones? Setting bones requires understanding meridians/acupoints and marrow, with transmission; ancient masters praised Wei Shi. Jiegu Zijin Dan (Bone-Setting Purple Jade Pill), Jiegu Dan (Bone-Setting Pill).
Broken Wind (Symptoms resemble Stroke) has four causes, common to all diseases. Two not due to Qi movement: sudden trauma Wind invasion; or washing/cauterizing sores forcing toxin to wander. Two due to Qi movement: open sores with plaster pores allowing Wind; or heat trapping white scabs closing sores, blocking Qi release, spreading through meridians, burning True Qi, causing alternating chills/fever, [Jing] (Spasm), trismus, opisthotonos, imminent death. Use Xieshao Bing (Scorpion Tip Cake) or Sansheng Yin (Three Lives Decoction) plus Tianma (Gastrodia) powdered, 1 qian with Black Bean soaked Wine to transform phlegm/open orifice. Wind excess: Erwu Wan (Two Aconites Pill); Wind-Phlegm excess: Gu Xingfeng San (Ancient Star Wind Powder); Wind-Phlegm deficiency: Wushe San (Black Snake Powder); Blood congealing Heart-Mind confusion: Goose Feather burned to ash, powdered, Wine 1 qian. Drink 1-2 cups Wine after to boost efficacy. Heavy blood/storm pain: Rusheng San (Like Sage Powder); Trembling limbs: Zhusha Zhijia San (Cinnabar Nail Powder), Qicao Jiu (Caterpillar Wine). Cyan/black eyes, forehead sweat not flowing, small pupils staring, oily body sweat: Sini (Reverse Cold) incurable.
Treatment same as Shanghan (Cold Damage) Exterior/Interior methods. Wind-Heat-Dryness oppressive in Exterior: stretching/yawning, tendon spasm, occasional chills, tremors; use Acrid-Warm Wind herbs assisted by Acrid-Cold, e.g., Shanghan Ma Gui (Ephedra Cinnamon Twig) plus Huangqin (Scutellaria), Shigao (Gypsum), Zhimu (Anemarrhena). If Exterior unresolved, transmitting to Muscle layer: retreat Wind-Heat, open stagnation, Acrid-Cold herbs assisted by Acrid-Warm, like Shaoyang Half-Exterior/Interior using Xiao Chaihu Tang (Minor Bupleurum Decoction). Interior Heat severe: stiff tongue/trismus, opisthotonos, convulsions, thick saliva, chest/abdominal fullness, constipation, occasional sweating: dispel Wind/resolve stagnation, purge with Cold herbs, then regulate with Clearing Heat/Open Stagnation herbs. Also: Broken Wind similar to Shanghan Ruined Syndrome, treat based on affected meridian using its herbs.
Taiyang (Greater Yang) needs Sweating; Shaoyang (Lesser Yang) needs Harmonizing. Exterior syndrome: Gu Fangfeng Tang (Ancient Saposhnikovia Decoction) minus Gancao (Licorice), plus Chuanxiong (Ligusticum), Duhuo (Angelica Pubescens) equal parts decocted, or tune Wugong San (Centipede Powder). Or Jiawei Qianghuo Tang (Nine-Ingredient Notopterygium Decoction), less Xixin (Asarum), plus Danggui (Angelica Sinensis), Shaoyao (Peony) equal parts decocted. Constipation add Dahuang (Rhubarb) to slowly purge. Or Gu Longhu Dan (Ancient Dragon-Tiger Pill) for sweating. Half-Exterior/Interior: Qiangma Tang (Notopterygium-Ginger Decoction).
Yangming (Bright Yang) Purging Skillfully Hits Center-Jia. If too many exterior herbs taken, organs harmonize with spontaneous sweating: Baizhu Fangfeng Tang (Atractylodes Saposhnikovia Decoction); excessive sweating with spasms: Shengma Gegen Tang (Cimicifuga Kudzu Decoction) plus Baizhu (Atractylodes), Huangqin (Scutellaria). If organs blocked, red urine, spontaneous sweating: first Xiaoxionghuang Tang (Minor Ligusticum-Rhubarb Decoction) 2-3 doses, then Da Xionghuang Tang (Major Ligusticum-Rhubarb Decoction) to purge quickly. Or Jiangtao Wan (Fish Bladder Pill). Qi weakness: only Honey Suppository. Originally Blood disease easily enters Yin,