凡大毒溃烂，内毒未尽，若骤用生肌，则外实内溃，重者逼毒内攻，轻者反增溃烂。虽
即收口，其于旁处，复生大疽，是知毒未尽，不可骤用生肌药也。只以贝叶膏贴之，频换，
俟生肉珠时，方用生肌药。如元气弱者，须当大补，以培元气。
生肌定痛散 此散治溃烂红热，肿痛有腐者；用此化腐、定痛、生肌。
生石膏（为末，用甘草汤飞五、七次，一两） 辰砂（三钱） 冰片（二分） 硼砂（五钱）
上四味共为末，撒患处。
【方歌】生肌定痛治溃烂，肿疼红热实相宜，石膏飞过辰砂用，共入冰硼细撒之。
轻乳生肌散 此散治溃烂红热，肿痛腐脱者，用此定痛生肌。
石膏（ ，一两） 血竭（五钱） 乳香（五钱） 轻粉（五钱） 冰片（一钱）
有水加龙骨、白芷各一钱，不收口加鸡内金（炙）一钱。
上为末撒之。
【方歌】轻乳生肌治腐脱，石膏血竭乳轻冰，若然有水加龙芷，收口须添鸡内金。
姜矾散 此散治一切诸疮发痒者，用此撒之甚效。
枯矾 干姜
上等分为末，先用细茶、食盐煎汤洗之，后用此散撒之。
冷疮不收口者，用干姜一味为末，撒患处，觉热如烘，生肌甚效。
【方歌】姜矾最治诸疮痒，先用盐茶煎洗之，若是冷疮不收口，干姜一味撒生肌。
腐尽生肌散 此散治一切痈疽等毒。诸疮破烂不敛者，撒上即愈。
儿茶 乳香 没药（各三钱） 冰片（一钱） 麝香（二分） 血竭（三钱） 旱三七（三钱）
上为末撒之。
有水加龙骨（ ）一钱。欲速收口加珍珠一两，蟹黄（法取团脐蟹，蒸熟取黄，晒
干取用）二钱。或用猪脂油（去渣）半斤，加黄蜡一两，溶化倾碗内。稍温加前七味调成
膏，摊贴痈疽破烂等证。若杖伤则旱三七倍之。一用鲜鹿腿骨，纸包灰内煨之，以黄脆
为度。如黑焦色则无用矣。为细末撒之，生肌甚速。
【方歌】腐尽生肌疮不敛，儿茶乳没冰麝香，血竭三七水加骨，收口珍珠共蟹黄。或
用猪油溶黄蜡，调前七味贴之良，一用火煨鹿腿骨，为散生肌效甚长。
月白珍珠散 此散治诸疮新肉已满，不能生皮，及汤火伤痛，并下疳腐痛等证。
青缸花（五分） 轻粉（一两） 珍珠（一钱）
上为末撒之。下疳腐烂，用猪脊髓调搽。一用鸡子清倾瓦上，晒干取清，为末撒之。
【方歌】月白珍珠皮不长，并医汤火下疳疮。青缸轻粉珍珠共，猪髓调搽真妙方，一
用鸡清倾瓦上，晒干为末撒之良。
五色灵药 此五色灵药，治痈疽诸疮已溃，余腐不尽，新肉不生，撒之最效。
食盐（五钱） 黑铅（六钱） 枯白矾 枯皂矾 水银 火硝（各二两）
先将盐、铅熔化，入水银结成砂子，再入二矾、火硝同炒干，研细入铅、汞再研，以
不见星为度。入罐内泥固济，封口打三柱香，不可太过不及。一宿取出视之，其白如雪，约
有二两，为火候得中之灵药。
如要色紫者，加硫黄五钱。要黄色者，加明雄黄五钱。要色红者，用黑铅九钱，水银
一两，枯白矾二两，火硝三两，辰砂四钱，明雄黄三钱。升炼火候，俱如前法。
凡升打灵药，硝要炒燥，矾要 枯。
一方用烧酒煮干，炒燥，方研入罐。一法凡打出灵药，倍加石膏和匀，复入新罐内
打一枝香，用之不痛。
【方歌】五色灵药白用盐，黑铅硝汞皂桔矾，欲成紫色硫黄入，黄者雄黄加五钱，红
去皂盐铅重用，朱砂飞尽必须添。
生肌玉红膏 此膏治痈疽发背，诸般溃烂，棒毒等疮，用在已溃流脓时。先用甘草
汤，甚者用猪蹄汤淋洗患上，软绢挹净，用抿 挑膏于掌中捺化，遍搽新肉上，外以太乙
膏盖之，大疮洗换二次，内兼服大补气血之药，新肉即生，疮口自敛，此外科收敛药中
之神药也。
当归（二两） 白芷（五钱） 白蜡（二两） 轻粉（四钱） 甘草（一两二钱） 紫草（二钱） 瓜儿血竭（四
钱） 麻油（一斤）
上将当归、白芷、紫草、甘草四味，入油内浸三日，大杓内慢火熬微枯色，细绢滤
清；将油复入杓内煎滚，入血竭化尽；次下白蜡，微火亦化，用茶盅四个，预放水中，将
膏分作四处，倾入盅内，候片时方下研极细轻粉各投一钱，搅匀，候至一日夜用之极效。
【方歌】生肌玉红膏最善，溃烂诸疮搽即收，归芷蜡轻甘紫草，瓜儿血竭共麻油。
莹珠膏 此膏治溃疡，去腐、定痛、生肌，并杨梅疮、杖、 疮、下疳等证。
白蜡（三两） 猪脂油（十两） 轻粉（末，一两五钱） 樟冰（末，一两五钱）
先将白蜡脂油溶化，离火候温，入轻粉樟冰搅匀候稍凝；再入冰片末一钱，搅匀成
膏，罐收听用。凡用先将甘草、苦参各三钱，水煎，洗净患处，贴膏。
杖疮用荆川纸摊极薄贴之，热则易之，其疔瘀即散，疼痛立止。杨梅疮加红粉二钱。顽
疮、乳岩，加银朱一两。 疮，加水龙骨三钱，或龙骨四钱。
【方歌】莹珠膏用治溃疮，定痛生肌功效强，白蜡猪脂樟冰粉，杨顽乳杖并 疮。
吕祖一枝梅 此药治男、妇、大人、小儿新久诸病。生死难定之间，用芡实大一饼，
贴印堂之中，点官香一枝，香尽去药。以后一时许，视贴药处有红斑晕色，肿起飞散，谓
之红霞捧日，病虽危笃，其人不死；如贴药处，一时后，不肿不红，皮肉照旧不变，谓
之白云漫野，病虽轻浅，终归冥路。小儿急、慢惊风，一切老幼痢疾，俱可贴之。凡病用
之，皆可预知生死也。
雄黄（五钱） 巴豆仁（不去油，五钱） 朱砂（三分）
五灵脂（三钱） 银朱（一钱五分） 蓖麻仁（五分） 麝香（三分）
上各研细，于端午日净室中，午时共研，加油燕脂为膏，瓷盒收藏，勿经妇人之手。临
用豆大一丸捏饼贴印堂中，其功立见，用过饼送入河中。
【方歌】吕祖一枝梅验病，定人生死印堂中，红斑肿起斯为吉，无肿无红命必终。药
用五灵蓖麻子，砂银巴豆麝香雄。
When there is severe ulceration due to toxic pathogens, if internal toxins are not yet fully cleared and muscle-regenerating medicines are applied hastily, it will result in external solidity but internal continued ulceration. In severe cases, this forces the toxins to attack inward; in mild cases, it merely increases the extent of ulceration. Even if the wound temporarily closes, large carbuncles may reappear around the area. Thus, it is known that when toxins are not exhausted, muscle-regenerating medicines should not be used hastily. Only apply Beiye Gao (Shell Leaf Plaster), changing it frequently, until granulation tissue (muscle pearls) begins to form, at which point muscle-regenerating medicines can be used. For those with weak Yuan Qi (Original Vital Energy), substantial tonification is required to nourish and consolidate the Yuan Qi.
Shengji Dingtong San (Muscle-Regulating and Pain-Stopping Powder): This powder treats ulcerations with redness, heat, swelling, pain, and putrid flesh; it is used to resolve putrid flesh, stop pain, and promote muscle growth.
Shigao (Calcined Gypsum, ground into powder, flown five to seven times using 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; Fly the gypsum, use Cinnabar, Mix Borneol and Borax finely and sprinkle.
Qingru Shengji San (Light Milk Muscle-Regulating Powder): This powder treats ulcerations with redness, heat, swelling, pain, and shedding of putrid flesh; it is used to stop pain and promote muscle growth.
Shigao (Calcined Gypsum, 1 liang) Xuexie (Dragon's Blood, 5 qian) Ruxiang (Frankincense, 5 qian) Qingfen (Calomel, 5 qian) Bingpian (Borneol, 1 qian)
If there is exudate, add Longgu (Fossilized Bones, 1 qian) and Baizhi (Angelica Dahurica, 1 qian). If the wound fails to close, add Ji Neijin (Chicken Gizzard Lining, roasted, 1 qian).
Grind the above into powder and sprinkle on the affected area.
[Prescription Verse] Qingru Shengji treats shedding of putrid flesh, Gypsum, Dragon's Blood, Frankincense, Calomel, and Borneol; If there is water, add Fossilized Bones and Angelica, To close the wound, add Chicken Gizzard Lining.
Jiangfan San (Ginger-Alum Powder): This powder treats itching in all kinds of sores; sprinkling it is very effective.
Kufan (Calcined Alum) Ganjiang (Dried Ginger)
The above are divided equally and 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-type sores that fail to heal, use only Ganjiang (Dried Ginger) ground into powder and sprinkled on the affected area; a sensation of heat like baking occurs, and it is very effective for promoting muscle growth.
[Prescription Verse] Jiangfan best treats sore itching, First wash with salt and tea decoction; If it is a cold sore failing to close, Sprinkle Dried Ginger alone to generate muscle.
Fujin Shengji San (Putrid-Resolved Muscle-Regulating Powder): This powder treats all kinds of carbuncles and sores caused by toxic pathogens. It promotes immediate healing when sprinkled on broken, non-healing sores.
Ercha (Catechu) Ruxiang (Frankincense) Moyao (Myrrh) (each 3 qian) Bingpian (Borneol, 1 qian) Shexiang (Musk, 2 fen) Xuexie (Dragon's Blood, 3 qian) Han Sanqi (Notoginseng, 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 Roe, prepared by steaming female crabs, extracting roe, and drying, 2 qian). Alternatively, use Zhu Zhiyou (Pork Fat Oil, filtered, half jin) mixed with Huangla (Yellow Beeswax, 1 liang), melted and poured into a bowl. When slightly warm, mix in the previous seven ingredients to form a plaster, and apply to carbuncles and broken sores. For beating injuries, double the amount of Han Sanqi (Notoginseng). Another method uses fresh deer leg bones, wrapped in paper and baked in ashes until yellow and brittle. If blackened or charred, it is useless. Grind into fine powder and sprinkle; it generates muscle very rapidly.
[Prescription Verse] Fujin Shengji heals non-closing sores, Catechu, Frankincense, Myrrh, Borneol, and Musk; Dragon's Blood and Notoginseng add bone for water, Pearl and Crab Roe help close the wound. Or melt pork fat with beeswax, Mix the first seven ingredients to apply well; One method bakes deer leg bones, The powder generates muscle with long-lasting effect.
Yuebai Zhenzhu San (Moon-White Pearl Powder): This powder treats sores where new flesh has filled the wound but skin cannot regenerate, as well as burns/scalds pain and chancre ulceration pain.
Qinganghua (Indigo Plant Flower, 5 fen) Qingfen (Calomel, 1 liang) Zhenzhu (Pearl, 1 qian)
Grind the above into fine powder and sprinkle on the affected area. For chancre ulceration, mix with Pig Spinal Cord and apply. Another method pours Egg White onto a tile, dries it in the sun, takes the clear part, grinds it into powder, and sprinkles it.
[Prescription Verse] Yuebai Zhenzhu helps skin regrowth, Also treats burns and chancre sores. Indigo flower, Calomel, and Pearl together, Pig marrow application is truly excellent; Pour egg white on a tile, Dry and grind for sprinkling is good.
Wuse Lingyao (Five-Color Spirit Medicine): This Five-Color Spirit Medicine is most effective when sprinkled on carbuncles and sores that have ulcerated, with residual putrid flesh remaining and no new flesh growing.
Yan (Salt, 5 qian) Heiqian (Black Lead, 6 qian) Ku Bai Fan (Calcined White Alum) Ku Zao Fan (Calcined Green Vitriol) Shuiyin (Mercury) Huoxiao (Saltpeter/Niter, each 2 liang)
First, melt the salt and lead, add mercury to form sand-like grains, then add the two alums and saltpeter, stir-fry until dry, and grind finely. Add lead and mercury, grind again until no star-like particles are visible. Place in a jar, seal tightly with mud, and fire for the duration of three incense sticks; do not overheat or underheat. Remove after one night; the substance should be white as snow, weighing approximately 2 liang. This is the spirit medicine obtained with proper firing.
To make it purple, add Liuhuang (Sulfur, 5 qian). To make it yellow, add Ming Xionghuang (Realgar, 5 qian). To make it red, use Heiqian (Black Lead, 9 qian), Shuiyin (Mercury, 1 liang), Ku Bai Fan (Calcined White Alum, 2 liang), Huoxiao (Saltpeter, 3 liang), Chensha (Cinnabar, 4 qian), and Ming Xionghuang (Realgar, 3 qian). The firing process is the same as before.
In all sublimation processes for Spirit Medicine, Niter must be fried dry, and Alum must be calcined.
One method boils in rice wine until dry, fries until dry, then grinds and puts in the jar. Another method adds double the amount of Shigao (Gypsum) to the produced Spirit Medicine, mixes evenly, puts it back in a new jar, and fires for the duration of one incense stick; this makes it painless to use.
[Prescription Verse] Wuse Lingyao white uses salt, Black lead, Niter, Mercury, Green Vitriol, Alum; To become purple, add Sulfur, Yellow uses Realgar added five qian, Red removes Green Vitriol and Salt, uses more Lead, Must add refined Cinnabar.
Shengji Yuhong Gao (Muscle-Regulating Jade Red Ointment): This ointment treats carbuncles, back carbuncles, various ulcerations, and baton-poison sores; it is used when they have ulcerated and are discharging pus. First, wash the affected area with Licorice Decoction, or Pork Trotter Decoction for severe cases, and blot dry with soft silk. Smear the ointment in the palm to melt it, then apply evenly over the new flesh. Cover externally with Taiyi Gao (Great One Plaster). Change large sores twice daily. Internally, take medicines that substantially tonify Qi and Blood. New flesh will grow, and the wound will naturally close. This is the divine medicine among external surgical astringents.
Danggui (Angelica Sinensis, 2 liang) Baizhi (Angelica Dahurica, 5 qian) Baila (Beeswax, 2 liang) Qingfen (Calomel, 4 qian) Gancao (Licorice Root, 1 liang 2 qian) Zicao (Arnebia/Echium Root, 2 qian) Gua'er Xuexie (Gua'er Dragon's Blood, 4 qian) Mayou (Hemp Seed Oil, 1 jin)
Soak Danggui, Baizhi, Zicao, and Gancao in the oil for three days. Slowly boil in a large ladle until slightly charred, filter through fine silk; return the oil to the ladle, bring to a boil, and dissolve the Dragon's Blood completely. Then add Beeswax, melting it over low heat. Prepare four tea cups pre-placed in water. Divide the ointment into four parts, pour into the cups. Wait a moment, then add finely ground Qingfen (Calomel), one qian per cup, mix evenly. Let stand for one day and night before use for optimal effect.
[Prescription Verse] Shengji Yuhong Gao is best, Ulcerated sores heal upon application; Angelica, Angelica root, Wax, Calomel, Licorice, Arnebia, Gua'er Dragon's Blood and Hemp Oil.
Yingzhu Gao (Crystal Pearl Ointment): This ointment treats ulcers, resolving putrid flesh, stopping pain, and promoting muscle growth; it also treats yaws, beating injuries, carbuncles, and chancres.
Baila (Beeswax, 3 liang) Zhuzhiyou (Pork Fat Oil, 10 liang) Qingfen (Calomel, powder, 1 liang 5 qian) Zhangbing (Camphor, powder, 1 liang 5 qian)
First, melt the Beeswax and Pork Fat Oil. When off the heat and warm, add Calomel and Camphor, mix evenly, and wait until slightly solidified. Then add Bingpian (Borneol) powder, 1 qian, mix evenly to form the ointment, and store in a jar for use. Before applying, decoct Gancao (Licorice Root) and Kushen (Sophora Root), each 3 qian, in water, wash the affected area clean, then apply the ointment.
For beating injuries, spread thinly on Jingchuan paper and apply; change if hot. The toxin and stasis will dissipate, and pain will stop immediately. For yaws, add Hongfen (Red Mercuric Oxide, 2 qian). For stubborn sores and breast cancer (Ru Yan), add Yinzhu (Vermilion, 1 liang). For carbuncles, add Shui Longgu (Water Fossilized Bone, 3 qian) or Longgu (Fossilized Bone, 4 qian).
[Prescription Verse] Yingzhu Gao treats ulcerated sores, Strong efficacy in stopping pain and generating muscle; Beeswax, Pork Fat, Camphor, Calomel, Yaws, Stubborn sores, Breast cancer, and Carbuncles.
Luzu Yizhi Mei (Master Lu's One Branch Plum): This medicine treats 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 (Euryale Seed) to the center of Yintang (between the eyebrows). Light one stick of official incense; remove the medicine when the incense burns out. After about an hour, observe if the application site shows red spots, halos, swelling, and spreading, called "Red Clouds Embracing the Sun"; even if the disease is critical, the patient will survive. If after an hour the site is neither swollen nor red, and the skin/flesh remains unchanged, called "White Clouds Covering the Field," even if the disease seems mild, the patient will ultimately die. It can be applied to pediatric acute/chronic convulsions and dysentery in all ages. Using it for any illness allows prediction of survival.
Xionghuang (Realgar, 5 qian) Badou Ren (Croton Seed Kernel, un-oiled, 5 qian) Zhusha (Cinnabar, 3 fen)
Wulingzhi (Trogopterus Dung, 3 qian) Yinzhu (Vermilion, 1 qian 5 fen) Bimaren (Castor Bean Kernel, 5 fen) Shexiang (Musk, 3 fen)
Grind each ingredient finely separately. On the fifth day of the fifth lunar month, 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, take a pill size of a bean, shape into a cake, and apply to the center of Yintang. Its efficacy is immediate. Dispose of the used cake by throwing it into a river.
[Prescription Verse] Luzu Yizhi Mei diagnoses illness, Determining life and death at Yintang; Red spots and swelling are auspicious, No swelling or red means certain end. Medicines include Trogopterus Dung, Castor Beans, Cinnabar, Vermilion, Croton, Musk, and Realgar.