论曰∶痈疽已溃，久而良肉不生者，由气血未平，恶肉有以害之也。恶肉虽得于风气外
搏，亦以余毒未尽，故死肌败坏，侵蚀良肉，治宜以药蚀去之。
治发背痈疽，及诸恶疮生恶肉。麝香膏方
麝香（研） 雄黄（研） 真珠（研各一两） 猪脂（量用）
上四味研匀，猪脂调如糊，涂敷恶肉上，日再。
治痈疽诸疮恶肉。藜芦散方
藜芦（去芦头） 茹（各半两） 马齿矾（研） 石硫黄（研） 雄黄（研） 麝香
（研各三分）
上六味，除研者外，捣罗为散，再和匀，每用少许敷疮，日三五次，以恶肉尽为度。
治痈疽疮。大黄蚀肉膏方
大黄 附子（炮裂去皮脐） 莽草 芎 雄黄 雌黄（研） 真珠（研） 白蔹 白
矾（研）
黄芩（去黑心） 茹（各一两） 猪脂（二斤）
上十二味，除研者并猪脂外，锉碎，先熬脂令沸，下诸药，煎候赤黑色，绵滤去滓，下
研者药搅匀，倾出瓷器盛，每日涂疮，日三五次，以恶肉尽为度。
治发背痈疽，及恶疮，不生肌，肉败坏，其色黑，蚀恶肉。白矾散方
白矾（研半两） 茹（末一两） 腻粉（研一分） 雄黄（研） 当归（末各一两）
上五味，合研匀，取少许敷疮，日三次。
治痈疽疮，蚀恶肉。硫黄散方
硫黄（研） 马齿矾（研） 茹末 丹砂（研各半两） 麝香（研一钱） 雄黄（研）
雌黄（
研） 白矾（研各半两）
上八味，合研匀，每用少许敷疮，日三两次，以恶肉尽为度。
治痈疽败坏生肉。生地黄膏方
生地黄（四两） 辛夷 独活（去芦头） 当归（切焙） 大黄 芎 黄 白芷 芍
药
黄芩（去黑心各半两） 续断（一两） 猪脂（二斤） 薤白（二七茎）
上十三味，除猪脂外，并锉碎，先熬脂令沸，下诸药，煎候白芷赤黑色，以绵绞去滓，
瓷合盛，涂疮日三两次。
治痈疽始作便坏，热毒发疮。羊髓膏方
羊髓（一两） 甘草 胡粉（各二两） 大黄（一两半） 猪脂（一斤）
上五味，除羊髓猪脂胡粉外，锉碎，先熬羊髓猪脂令沸，下甘草大黄，煎令赤黑色，绵
滤去滓，下胡粉搅令匀，瓷合盛，每用涂敷疮，日三四次。
治痈疽败坏生肉。莽草膏方
莽草 当归 薤白 黄芩（去黑心） 甘草 白芷 大黄 续断（各一两） 猪脂（二
斤）
上九味，除猪脂外，锉碎，先熬脂令沸，下诸药，煎候白芷赤黑色，以绵绞去滓，瓷合
盛，涂疮日三次。
治痈疽恶肉疮，蚀尽生肌。芍药膏方
芍药 大黄 黄 独活（去芦头） 白芷 当归（各一两） 薤白（三两） 生地黄
（一两
半椎碎） 猪脂（一斤半）
上九味，将八味锉碎，先熬脂令沸，下诸药，煎候白芷赤黑色，绵滤去滓，每取少许，
涂敷疮，日三五度。
治痈疽发背后。生肉膏方
生地黄（一斤） 辛夷（二两） 独活（去芦头） 当归（焙） 大黄（炒） 黄 （锉）
芎
白芷 芍药 黄芩（去黑心） 续断（各一两） 薤白（五两）
上十二味 咀，以腊月猪脂煎膏，敷疮立瘥。
治痈疽发背，去恶肉。麝香膏方
麝香（研） 雄黄（研） 白矾（烧汁枯研） 茹（各一两）
上四味，捣研细罗为末，以猪蹄煎膏，调如泥敷之，恶肉尽为止。
Discussion states: When a carbuncle or ulcer (Yong Ju, 痈疽) has ulcerated but healthy flesh fails to regenerate over a long period, it is due to the imbalance of Qi and Blood (Qi Xue, 气血), with necrotic tissue (E Rou, 恶肉) obstructing the process. Although necrotic tissue arises from external invasion by Wind and Cold pathogens, it is also caused by residual toxins that have not yet cleared, leading to the decay of dead muscle and the erosion of healthy flesh. The treatment should employ medicinal agents to cauterize and remove the necrotic tissue.
Formula for Musk Ointment (Shexiang Gao, 麝香膏) to treat back carbuncles/ulcers and various malignant sores producing necrotic tissue.
Musk (ground) [Moschi Fermentum]
Realgar (ground) [Realgar]
Pearl (ground) [Concha Margaritifera] (each 1 liang)
Pig fat (appropriate amount) [Suis Fat]
Grind the above four ingredients evenly. Mix with pig fat to form a paste. Apply to the necrotic tissue twice daily.
Formula for Cuscuta Powder (Lilu San, 藜芦散) to treat necrotic tissue in various sores of carbuncles and ulcers.
Veratrum nigrum (remove rhizome head) [Veratri Nigri Rhizoma]
Rou (likely referring to another herb, contextually often associated with Veratrum or similar acrid herbs, here kept as 'Rou' or potentially 'Ru' if typo for Ru Suan, but strictly transliterated as 'Rou' based on text) [Herba] (each 0.5 liang)
Arsenic Alum (ground) [Arsenical Alum]
Stone Sulfur (ground) [Sulfur]
Realgar (ground) [Realgar]
Musk (ground) [Moschi Fermentum] (each 3 fen)
Take the above six ingredients. Except for those to be ground, pound and sieve into a powder. Mix evenly. Apply a small amount to the sore three to five times daily, until all necrotic tissue is removed.
Formula for Rhubarb Flesh-Corrosive Ointment (Dahuang Shirou Gao, 大黄蚀肉膏) to treat carbuncle and ulcer sores.
Rhubarb [Rhei Radix et Rhizoma]
Aconite root (processed, cracked, peel and umbilicus removed) [Aconiti Lateralis Radix Praeparata]
Marsilea quadrifolia [Marsiliae Herba]
Sichuan Lovage Rhizome [Chuanxiong Rhizoma]
Realgar [Realgar]
Orpiment (ground) [Orpimentum]
Pearl (ground) [Concha Margaritifera]
White Peony Root [Ampelopsis Radix]
Alum (ground) [Alumen]
Scutellaria root (remove black heart) [Scutellariae Radix]
Rou [Herba] (each 1 liang)
Pig fat (2 jin) [Suis Fat]
Take the above twelve ingredients. Except for the ground ones and pig fat, chop finely. First boil the pig fat until bubbling. Add the herbs. Decoct until the mixture turns reddish-black. Filter through silk cloth to remove dregs. Add the ground medicines and stir evenly. Pour into a porcelain container. Apply to the sore three to five times daily, until all necrotic tissue is removed.
Formula for White Alum Powder (Bai Fan San, 白矾散) to treat back carbuncles/ulcers and malignant sores where new flesh does not grow, muscle decays, color turns black, and necrotic tissue needs corrosion.
White Alum (ground, 0.5 liang) [Alumen]
Rou (powder, 1 liang) [Herba]
Calomel (ground, 1 fen) [Hydrargyri Chloridum Venenum]
Realgar (ground) [Realgar]
Angelica sinensis (powder, 1 liang) [Angelicae Sinensis Radix]
Mix the above five ingredients evenly and grind. Apply a small amount to the sore three times daily.
Formula for Sulfur Powder (Liuhuang San, 硫黄散) to treat carbuncle and ulcer sores, corroding necrotic tissue.
Sulfur (ground) [Sulfur]
Arsenic Alum (ground) [Arsenical Alum]
Rou powder [Herba]
Cinnabar (ground, each 0.5 liang) [Cinnabaris]
Musk (ground, 1 qian) [Moschi Fermentum]
Realgar (ground) [Realgar]
Orpiment (ground) [Orpimentum]
White Alum (ground, each 0.5 liang) [Alumen]
Mix the above eight ingredients evenly and grind. Apply a small amount to the sore two to three times daily, until all necrotic tissue is removed.
Formula for Fresh Rehmannia Ointment (Sheng Dihuang Gao, 生地黄膏) to promote flesh regeneration after decay in carbuncles and ulcers.
Fresh Rehmannia root (4 liang) [Rehmanniae Radix Nova]
Magnolia flower [Magnoliae Flos]
Angelica pubescens (remove rhizome head) [Pubescent Angelica Root]
Angelica sinensis (slice and roast) [Angelicae Sinensis Radix]
Rhubarb [Rhei Radix et Rhizoma]
Sichuan Lovage Rhizome [Chuanxiong Rhizoma]
Ginseng [Panacis Ginseng Radix]
Angelica dahurica [Dahurica Root]
White Peony Root [Paeoniae Radix Alba]
Scutellaria root (remove black heart, each 0.5 liang) [Scutellariae Radix]
Dipsacus root (1 liang) [Dipsaci Radix]
Pig fat (2 jin) [Suis Fat]
Leek white (14 stalks) [Allii Tuberosi Bulbus]
Take the above thirteen ingredients. Except for pig fat, chop finely. First boil the pig fat until bubbling. Add the herbs. Decoct until Angelica dahurica turns reddish-black. Squeeze out liquid through silk cloth to remove dregs. Store in a porcelain jar. Apply to the sore two to three times daily.
Formula for Sheep Marrow Ointment (Yangsui Gao, 羊髓膏) to treat carbuncles and ulcers that decay immediately upon onset, caused by heat toxin generating sores.
Sheep marrow (1 liang) [Ovis Medulla]
Licorice root (2 liang) [Glycyrrhizae Radix et Rhizoma]
Lead carbonate (2 liang) [Plumbi Carbonas]
Rhubarb (1.5 liang) [Rhei Radix et Rhizoma]
Pig fat (1 jin) [Suis Fat]
Take the above five ingredients. Except for sheep marrow, pig fat, and lead carbonate, chop finely. First boil sheep marrow and pig fat until bubbling. Add licorice root and rhubarb. Decoct until reddish-black. Filter through silk cloth to remove dregs. Add lead carbonate and stir evenly. Store in a porcelain jar. Apply to the sore three to four times daily.
Formula for Marsilea Ointment (Mangcao Gao, 莽草膏) to promote flesh regeneration after decay in carbuncles and ulcers.
Marsilea quadrifolia [Marsiliae Herba]
Angelica sinensis [Angelicae Sinensis Radix]
Leek white [Allii Tuberosi Bulbus]
Scutellaria root (remove black heart) [Scutellariae Radix]
Licorice root [Glycyrrhizae Radix et Rhizoma]
Angelica dahurica [Dahurica Root]
Rhubarb [Rhei Radix et Rhizoma]
Dipsacus root (each 1 liang) [Dipsaci Radix]
Pig fat (2 jin) [Suis Fat]
Take the above nine ingredients. Except for pig fat, chop finely. First boil the pig fat until bubbling. Add the herbs. Decoct until Angelica dahurica turns reddish-black. Squeeze out liquid through silk cloth to remove dregs. Store in a porcelain jar. Apply to the sore three times daily.
Formula for White Peony Ointment (Shaoyao Gao, 芍药膏) to treat malignant sores of carbuncles and ulcers, corroding necrotic tissue completely to generate new flesh.
White Peony Root [Paeoniae Radix Alba]
Rhubarb [Rhei Radix et Rhizoma]
Ginseng [Panacis Ginseng Radix]
Angelica pubescens (remove rhizome head) [Pubescent Angelica Root]
Angelica dahurica [Dahurica Root]
Angelica sinensis (each 1 liang) [Angelicae Sinensis Radix]
Leek white (3 liang) [Allii Tuberosi Bulbus]
Fresh Rehmannia root (1.5 liang, crushed) [Rehmanniae Radix Nova]
Pig fat (1.5 jin) [Suis Fat]
Take the above nine ingredients. Chop the first eight finely. First boil the pig fat until bubbling. Add the herbs. Decoct until Angelica dahurica turns reddish-black. Filter through silk cloth to remove dregs. Apply a small amount to the sore three to five times daily.
Formula for Flesh-Regenerating Ointment (Shengrou Gao, 生肉膏) to treat back carbuncles/ulcers.
Fresh Rehmannia root (1 jin) [Rehmanniae Radix Nova]
Magnolia flower (2 liang) [Magnoliae Flos]
Angelica pubescens (remove rhizome head) [Pubescent Angelica Root]
Angelica sinensis (roasted) [Angelicae Sinensis Radix]
Rhubarb (stir-fried) [Rhei Radix et Rhizoma]
Ginseng (chopped) [Panacis Ginseng Radix]
Sichuan Lovage Rhizome [Chuanxiong Rhizoma]
Angelica dahurica [Dahurica Root]
White Peony Root [Paeoniae Radix Alba]
Scutellaria root (remove black heart) [Scutellariae Radix]
Dipsacus root (each 1 liang) [Dipsaci Radix]
Leek white (5 liang) [Allii Tuberosi Bulbus]
Take the above twelve ingredients, chop them. Decoct in pig fat rendered in the twelfth lunar month to make an ointment. Apply to the sore; healing will occur immediately.
Formula for Musk Ointment (Shexiang Gao, 麝香膏) to treat back carbuncles/ulcers and remove necrotic tissue.
Musk (ground) [Moschi Fermentum]
Realgar (ground) [Realgar]
White Alum (calcined until dry, ground) [Alumen]
Rou (each 1 liang) [Herba]
Pound and grind the above four ingredients finely and sieve into powder. Mix with ointment made from pork trotters to form a mud-like consistency. Apply to the area. Stop when all necrotic tissue is removed.