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Attribute: In cases where the pathogenic toxin is severe and the ulcer is extensive, if internal toxins have not been fully cleared, applying flesh-regenerating (Shengji) astringents prematurely will result in apparent external healing while internal decay continues. In severe cases, this forces the toxin to attack inwardly; in mild cases, it exacerbates the ulceration. Even if the wound temporarily closes, large carbuncles may reappear in surrounding areas. Therefore, it is known that when toxins are not exhausted, flesh-regenerating medicines should not be used hastily. One should only apply Beiye Gao (Shell Leaf Plaster), changing it frequently, until granulation tissue (resembling pearls) appears, at which point flesh-regenerating medicines can be used. If the patient's Yuanqi (Vital Energy) is weak, major tonification is required to cultivate and secure the Yuanqi.

Formula: Shengji Dingtong San (Flesh-Regulating and Pain-Stabilizing Powder)
Indications: This powder treats ulcers with redness, heat, swelling, pain, and putrid matter; it is used to resolve putrid matter, stabilize pain, and generate flesh.
Composition: Sheng Shigao (Raw Gypsum Fibrosum, ground into powder, refined five to seven times using Gancao Tang [Licorice Decoction], 1 liang); Chensha (Cinnabar, 3 qian); Bingpian (Borneol, 2 fen); Pengsha (Borax, 5 qian).
The above four ingredients are collectively ground into fine powder and sprinkled on the affected area.
[Prescription Verse] Shengji Dingtong treats ulceration, suitable for swelling, pain, redness, and heat; use refined Shigao and Chensha, mix with Bingpian and Pengsha, sprinkle finely.

Another Formula: Qingru Shengji San (Light Resin Flesh-Regulating Powder)
Indications: This powder treats ulcers with redness, heat, swelling, pain, and falling-off of putrid matter; it is used to stabilize pain and generate flesh.
Composition: Shigao (Calcined, 1 liang); Xuejie (Dragon's Blood, 5 qian); Ruxiang (Olibanum, 5 qian); Qingfen (Calomel, 5 qian); Bingpian (Borneol, 1 qian).
Grind the above into powder and sprinkle on the affected area. If there is exudate, add Longgu (Fossilized Bones, calcined) and Baizhi (Angelicae Dahuricae Radix), 1 qian each. If the wound fails to close, add Zhiji Neijin (Gallus Gallus Domesticus Vermiculus Exsiccatus, roasted), 1 qian.
[Prescription Verse] Qingru Shengji treats falling putrid matter; Shigao, Xuejie, Ruxiang, Qingfen, and Bingpian; if exudate exists, add Longgu and Baizhi; to close the wound, add Zhiji Neijin.

Another Formula: Jiangfan San (Ginger-Alum Powder)
Indications: This powder treats itching in various sores; sprinkling it is very effective.
Composition: Kufan (Alumen Ustums); Ganjiang (Zingiberis Rhizoma).
Equal parts of the above are ground into fine powder. First, wash the affected area with a decoction of fine tea and salt, then sprinkle this powder on the area. For cold ulcers that fail to close, use Ganjiang alone ground into powder, sprinkled on the affected area; a sensation of warmth like baking occurs, and it is very effective in generating flesh.
[Prescription Verse] Jiangfan best treats itching in various sores; first wash with salt and tea decoction; if cold ulcers fail to close, sprinkle single Ganjiang to generate flesh.

Another Formula: Fujin Shengji San (Putridity-Exhausted Flesh-Regulating Powder)
Indications: This powder treats all kinds of carbuncles and sores caused by toxic pathogens, and any broken wounds that do not heal; application leads to immediate cure.
Composition: Ercha (Catechu); Ruxiang (Olibanum); Moyao (Myrrha, 3 qian each); Bingpian (Borneol, 1 qian); Shexiang (Musk, 2 fen); Xuejie (Dragon's Blood, 3 qian); Han Sanqi (Notoginseng Root, 3 qian).
Grind the above into fine powder and sprinkle on the affected area.
If there is exudate, add Calcined Longgu (Fossilized Bones), 1 qian. To accelerate wound closure, add Zhenzhu (Pearl), 1 liang, and Xiehuang (Crab Yellow, obtained from steamed female crabs, dried, 2 qian).
Alternatively, use Zhu Zhiyou (Porcine Fat, filtered), half a jin, plus Huangla (Yellow Beeswax), 1 liang, melted and poured into a bowl. When slightly warm, add the aforementioned seven ingredients to form a plaster, spread and applied to carbuncles and broken sores. For whip injuries, double the amount of Han Sanqi.
Another method uses fresh deer leg bones, wrapped in paper and baked in ashes until yellow and crisp. If black and charred, it is useless. Grind into fine powder and sprinkle on the affected area; it generates flesh very rapidly.
[Prescription Verse] Fujin Shengji treats non-healing sores; Ercha, Ruxiang, Moyao, Bingpian, Shexiang; Xuejie and Sanqi, add bone for exudate; Pearl and Crab Yellow for closure. Or melt pig fat with beeswax, mix the seven ingredients, apply well. One method bakes deer leg bones, grinds to powder, long-lasting efficacy in generating flesh.

Another Formula: Yuebai Zhenzhu San (Moon-White Pearl Powder)
Indications: This powder treats various sores where new flesh is full but skin does not grow, as well as burns and scalds, and painful rotting of chancre (Xigan).
Composition: Qingganghua (Indigo Naturalis Flower, 5 fen); Qingfen (Calomel, 1 liang); Zhenzhu (Pearl, 1 qian).
Grind the above into fine powder and sprinkle on the affected area.
For rotting chancre, mix with Pig Spinal Cord (Zhui Suij) and apply.
Another method uses Ji Zi Qing (Egg White) poured onto a tile, dried, ground into powder, and sprinkled on the affected area.
[Prescription Verse] Yuebai Zhenzhu treats lack of skin growth, also treats burns and chancre; Qinggang, Qingfen, and Pearl together; Pig Marrow application is excellent; one method pours egg white on tile, dries, grinds, and sprinkles for good effect.

Another Formula: Wuse Lingyao (Five-Color Spiritual Medicine)
Indications: This Five-Color Spiritual Medicine treats carbuncles and various sores that have ulcerated, with residual putrid matter not cleared and new flesh not growing; sprinkling it is most effective.
Composition: Yan Shi (Rock Salt, 5 qian); Hei Qian (Black Lead, 6 qian); Ku Bai Fan (Calcined Alum); Ku Zao Fan (Calcined Chalcanthite); Shuiyin (Mercury); Huoxiao (Saltpeter, 2 liang each).
First, melt the salt and lead, add mercury to form sand-like grains, then add the two alums and saltpeter, stir-fry until dry, grind finely, add lead and mercury, and grind again until no star-like particles are visible. Place in a jar, seal tightly with mud, and refine for the duration of three incense sticks; the heat must not be too strong or too weak. After one night, take out and observe; if white as snow, weighing about 2 liang, it is the spiritual medicine with balanced heat.
To make it purple, add Liuhuang (Sulfur), 5 qian. To make it yellow, add Xionghuang (Realgar), 5 qian. To make it red, use Hei Qian (Black Lead), 9 qian; Shuiyin (Mercury), 1 liang; Ku Bai Fan (Calcined Alum), 2 liang; Huoxiao (Saltpeter), 3 liang; Chensha (Cinnabar), 4 qian; Xionghuang (Realgar), 3 qian. The refining heat follows the previous method.
When sublimating spiritual medicine, saltpeter must be stir-fried dry, and alum must be calcined.
One formula uses Sha Jiu (Baijiu) to boil dry, stir-fry dry, then grind and enter the jar. Another method adds double the amount of Shigao (Gypsum Fibrosum) to the produced spiritual medicine, mixes evenly, puts it back in a new jar, and refines for one incense stick; it causes no pain upon use.
[Prescription Verse] Five-Color Spiritual Medicine white uses salt, black lead, saltpeter, mercury, and calcined alum; to become purple add sulfur; yellow add Realgar 5 qian; red remove alum and salt, use more lead; Cinnabar must be refined and added.

Another Formula: Shengji Yuhong Gao (Flesh-Regulating Jade Red Ointment)
Indications: This ointment treats carbuncles, back abscesses, various ulcerations, and stick-poison sores; it is used when they have ulcerated and are discharging pus. First wash with Gancao Tang (Licorice Decoction); for severe cases, wash with Zhu Ti Tang (Pig Trotter Decoction), wipe dry with light silk, pick up the ointment with a spatula, melt in the palm, and smear evenly over the new flesh. Cover externally with Taiyi Gao (Great Unity Plaster). For large sores, wash and change twice daily. Internally, concurrently administer medicines that greatly tonify Qi and Blood; new flesh will grow, and the wound will naturally contract. This is a divine medicine among external surgical astringents.
Composition: Danggui (Angelicae Sinensis Radix, 2 liang); Baizhi (Angelicae Dahuricae Radix, 5 qian); Baila (Beeswax, 2 liang); Qingfen (Calomel, 4 qian); Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang 2 qian); Zicao (Arnebiae Radix seu Lithospermi Radix, 2 qian); Gua'er Xuejie (Dragon's Blood, 4 qian); Mayou (Sesame Oil, 1 jin).
Soak Danggui, Baizhi, Zicao, and Gancao in oil for three days. Slowly simmer in a large ladle until slightly browned, filter through fine silk; return the oil to the ladle, boil, add Xuejie until fully dissolved; then add Baila, melt with low fire. Prepare four tea cups placed in water beforehand. Divide the ointment into four parts, pour into the cups. Wait a moment, then add finely ground Qingfen, 1 qian per cup, mix well. Wait for one day and night before use for optimal effect.
[Prescription Verse] Shengji Yuhong Gao is best, ulcerated sores contract upon application; Danggui, Baizhi, Wax, Qingfen, Gancao, Zicao; Gua'er Xuejie and Sesame Oil.

Another Formula: Yingzhu Gao (Crystal Pearl Ointment)
Indications: This ointment treats ulcers, removes putrid matter, stabilizes pain, generates flesh, and treats Yángméi Chuāng (Syphilitic Chancre), whip injuries, Héngxuān Chuāng (Bubo), and Xiágān (Chancre).
Composition: Baila (Beeswax, 3 liang); Zhu Zhiyou (Porcine Fat, 10 liang); Qingfen (Calomel, powdered, 1 liang 5 qian); Zhangbing (Camphor, powdered, 1 liang 5 qian).
First, melt Baila and Zhu Zhiyou, remove from heat until slightly warm, add Qingfen and Zhangbing, mix well, wait until slightly solidified; then add Bingpian (Borneol) powder, 1 qian, mix well to form ointment, store in jar for use. Before use, decoct Gancao and Kushen (Sophorae Flavescentis Radix), 3 qian each, in water, wash the affected area clean, then apply the ointment.
For whip injuries, spread thinly on Jingchuan paper, apply; change if hot; the stasis dissipates, and pain stops immediately. For Yángméi Chuāng, add Hongfen (Red Mercury Oxide), 2 qian. For stubborn sores and Rúyán (Breast Cancer), add Yinzhu (Cinnabar), 1 liang. For Héngxuān Chuāng, add Shui Longgu (Fossilized Bones), 3 qian, or Longgu, 4 qian.
[Prescription Verse] Yingzhu Gao treats ulcerated sores, strong power in stabilizing pain and generating flesh; Baila, Pig Fat, Camphor, Calomel; Yangmei, stubborn, breast, whip, and bubo sores.

Another Formula: Lüzu Yizhi Mei (Master Lü's One Branch Plum)
Indications: This medicine treats various new and old diseases in men, women, adults, and children. In critical situations where life and death are uncertain, apply a cake-sized piece of Qianshi (Euryales Semen) to the Yintang acupoint. Light one official incense stick; when the incense burns out, remove the medicine. After about an hour, observe if the applied area shows red spots or halos, swelling, and spreading, termed "Red Clouds Embracing the Sun"; although the disease is critical, the patient will survive. If after an hour the applied area does not swell or turn red, and the skin and flesh remain unchanged, termed "White Clouds Covering the Wilderness," although the disease seems mild, the patient will ultimately die. It can also be applied to pediatric acute and chronic convulsions, and dysentery in all ages.
Using this method for any disease allows one to predict life and death in advance.
Composition: Xionghuang (Realgar, 5 qian); Badou Ren (Crotonis Fructus Seed, uncured, 5 qian); Zhusha (Cinnabar, 3 fen); Wulingzhi (Trogopterori Faeces, 3 qian); Yinzhu (Cinnabar, 1 qian 5 fen); Bimaren (Ricini Semen, 5 fen); Shexiang (Musk, 3 fen).
Grind each ingredient finely. On the Dragon Boat Festival (Duanwu), in a clean room at noon, grind them together. Add You Yanzhi (Oil-based Rouge) to form a paste. Store in a porcelain box; avoid contact with women's hands. Before use, pinch a bean-sized round cake and apply to the Yintang acupoint. The effect is immediate. Dispose of the used cake by throwing it into a river.
[Prescription Verse] Lüzu Yizhi Mei verifies illness, determines life and death at Yintang; red swelling is auspicious, no swelling or red means death ends. Medicinal ingredients: Wulingzhi, Ricinus, Cinnabar, Silver, Croton, Musk, Realgar.