一人火疮。骤用凉药敷贴。更加腹胀不食。予以人参败毒散。（四六）加木通、山栀。外
用柏叶。炒为末。麻油调搽。渐愈。
尝用煮大汁上浮脂调银朱。更效。若用凉药逼火毒入内。多致不救。 汤火疮以淋了第
二次灰渣敷患处。
又方 以腊月猪胆涂黄柏。炙干为末。敷。
热油汤火伤皮烂肉大痛冷霜散 牡蛎（ ）寒水石（生） 明朴硝 青黛（各一两） 轻粉（
一钱）
。掺上新水。或油调湿则干贴。痛立止。
一人漆疮作呕。由中气弱。漆毒侵之。以六君子加砂仁、藿香、酒炒芍药。彼不为然。
服连翘消毒散。呕果盛。复邀治。以前药。外以香油调铁锈末涂之而愈。
脉浮发热。或拘急者。发散表邪。
脉沉发热便秘者。解表攻里。
发热小便赤涩者。分利消毒。
一小儿患此。 痛发热。脉浮数。挑去毒水。以黄柏、滑石末敷之。更饮荆防败毒散（
七）二剂而愈。（此凭症也。）
一人 痛发热。服祛风清热药愈炽。其脉沉实。乃邪在内也。用防风通圣散（六）一剂顿
退。又荆防败毒散（七）二剂而安。（此凭症脉也。）
此症为风热。当审表里。治无误矣。
一儿 赤发热。以黄柏、滑石末敷之。饮大连翘汤（七一）二剂少愈。更以金银花散（百
七十）二剂而痊。（此凭症也。）
一儿十余岁。背侧患水泡数颗。发热脉数。此肺胃风热所致。名曰天泡疮。以荆防败毒
散（七）加芩、连。外去毒水。以金黄散（六六）敷之。又四剂而愈。（此凭症也。）
一有腹患此。延及腰背。 痛饮冷。脉数。按之愈大。乃表里俱实也。用防风通圣散（
六）一剂。更敷前药。势减大半。再以荆防败毒散（七）二剂而愈。
A patient with a scald (burn) suddenly applied cooling medicines externally, which exacerbated abdominal distension and loss of appetite. I prescribed Renshen Baidu San (Ginseng Decoction for Resolving Toxins) (46) with Mutong (Akebiae Caulis) and Shanzhi (Gardeniae Fructus). Externally, Baiye (Platycladi Cacumen) was stir-fried into powder, mixed with Sesame Oil, and applied, leading to gradual recovery.
I once used the floating fat from boiled Da Zhi (likely referring to a specific oil or resin preparation) mixed with Yinzhu (Cinnabar) for better efficacy. If cooling medicines are used to force fire toxins inward, it often leads to untreatable conditions. For scalds and burns, ash residue from the second leaching process can be applied to the affected area.
Another prescription: Coat Huangbai (Phellodendri Cortex) with pig bile from the twelfth lunar month, dry by roasting, grind into powder, and apply externally.
Lengshuang San (Cold Frost Powder) for Scalds and Burns Causing Skin Ulceration and Severe Pain: Muli (Ostreae Concha), Hanshui Shi (Calcitum, raw), Ming Puxiao (Natrii Sulfas), Qingdai (Indigo Naturalis) (each 1 liang), Qingfen (Calomelas) (1 qian). Mix with fresh water, or blend with oil; if wet, apply dry patches. Pain stops immediately.
Another patient suffered from lacquer dermatitis accompanied by vomiting due to weak middle qi invaded by lacquer toxin. I treated him with Liujunzi Tang (Six Gentlemen Decoction) plus Sharen (Amomi Fructus Rotundus), Huoxiang (Agastaches Herba), and Shaoyao (Paeoniae Radix Alba) fried with wine. He did not follow my advice but took Lianqiao Xiaodu San (Forsythia Detoxification Powder), causing severe vomiting. Upon re-consultation, I used the previous prescription and applied Tie Xiu Mo (Iron Rust Powder) mixed with Sesame Oil externally, resulting in recovery.
If the pulse is floating with fever or spasms, disperse exterior pathogens.
If the pulse is sunken with fever and constipation, release the exterior and purge the interior.
If there is fever with red and scanty urination, promote diuresis and detoxify.
A child suffered from this condition with pain, fever, and a floating-rapid pulse. Toxic fluid was drained, and Huangbai (Phellodendri Cortex) and Huashi (Talcum) powder was applied. The child drank Jingfang Baidu San (Schizonepeta and Saposhnikovia Decoction for Resolving Toxins) (7) for two doses and recovered. (This diagnosis relied on symptoms.)
Another patient had pain and fever, which worsened after taking wind-dispelling and heat-clearing medicines. The pulse was sunken and solid, indicating internal pathogens. Fangfeng Tongsheng San (Saposhnikovia Universal Relief Powder) (6) was administered for one dose, leading to rapid symptom reduction. Subsequently, Jingfang Baidu San (Schizonepeta and Saposhnikovia Decoction for Resolving Toxins) (7) for two doses brought stability. (This diagnosis relied on symptoms and pulse.)
This condition is caused by wind-heat; examining the exterior and interior ensures correct treatment.
A child presented with redness, fever, and skin lesions. Huangbai (Phellodendri Cortex) and Huashi (Talcum) powder was applied. Dalianqiao Tang (Large Forsythia Decoction) (71) was given for two doses, showing slight improvement, followed by Jinyinhua San (Honeysuckle Powder) (170) for two doses until full recovery. (This diagnosis relied on symptoms.)
A child over ten years old developed several blisters on the side of the back, with fever and a rapid pulse. This was caused by lung and stomach wind-heat, named Tianpao Chuang (Heavenly Blister Disease). Jingfang Baidu San (Schizonepeta and Saposhnikovia Decoction for Resolving Toxins) (7) with Qin (Scutellariae Radix) and Lian (Isodontiae Rhizoma) was prescribed. Externally, toxic fluid was removed, and Jinhuang San (Golden Yellow Powder) (66) was applied. Recovery occurred after four doses. (This diagnosis relied on symptoms.)
Another patient had lesions on the abdomen spreading to the lower back, with pain, preference for cold drinks, rapid pulse, and an even stronger pulse upon palpation, indicating excess in both exterior and interior. Fangfeng Tongsheng San (Sapothnikovia Universal Relief Powder) (6) was given for one dose, along with external application of the previous remedy, reducing the severity by more than half. Jingfang Baidu San (Schizonepeta and Saposhnikovia Decoction for Resolving Toxins) (7) for two doses led to complete recovery.