夫 疮者，皆由肾脏虚寒，风邪毒瓦斯外攻三里之旁，灌于阴交之侧，风热毒瓦斯流注两脚
，生疮肿烂，疼痛臭秽，步履艰难。此疮生于 骨为重，以其骨上肉少皮薄，故难愈。至有
多年无巳，疮口开阔，皮烂肉现，臭秽可畏。治法，当先取虫，然后敷药如隔纸膏、麝香轻
粉散之类皆可，仍宜内服黄 丸及神仙蜡矾丸之类。须翘足端坐，勿多行履，庶可痊愈矣。
隔纸膏
治内外 疮。
当归 白芷 黄连 五倍子 雄黄 没药 血竭 海螵蛸 白芨 白蔹 黄柏 浓朴（
以上各半两） 黄丹（六钱） 乳香（二钱半，研） 轻粉（一钱）
上为细末研匀，用清油调成膏。用油纸贴药，敷疮上，绢帛缚定，有脓水解开，刮去不
洁，再贴药，如此数次即愈。须先用烧盐汤洗净，片帛拭干，待片时水气干，然后贴药。
治 疮久不愈
龙骨（二钱半） 轻粉（少许） 槟榔（半两） 乳香 没药（各一钱） 干猪粪（半两，烧存
上为细末，先以烧盐汤洗疮，以软绢帛拭干，清油调敷，疮湿则掺之。
治 疮下注
白石脂 龙骨（各半两） 白矾（一两，枯） 五倍子（二两，烧存性） 黄丹（三钱，飞）
雄黄（少许）
上为细末，先将葱盐汤洗疮见赤肉，然后将前药敷疮上，用药如法。浓者却用帛子包缚
着不要动，直候干自脱去疮皮。
治 疮方
白芨 白蔹 黄柏 黄丹（另研，各等分）
上为极细末，入轻粉些少研匀。以炼蜜和成剂，捏作饼贴疮上，深者填满，以帛片包扎
，一日一换。后来疮渐干或有裂处，只须掺，以瘥为度。
翠玉膏
治 疮。
沥青（一两） 铜绿（研） 黄蜡（各二钱） 乳香（研） 没药（研，各三钱）
上将铜绿以油调匀，将沥蜡火上熔开，下绿搅匀，次入乳没末，仍搅匀，倾在河水盆内
拌匀，以油纸裹，口嚼。旋捏作饼子贴疮，以绯绢包，直候疮好，其药自脱。
治 疮方
冬青叶 腊猪胆 百草霜（二味，和匀）
上将冬青叶与本人嚼烂，先以葱椒汤洗净疮口，以胆霜敷后却敷嚼药在上，三四次即可
奇妙栀子散
治远年日久内外 疮。
山栀子（不拘多少，烧作灰，研为细末） 乳香（另研，各半钱） 轻粉（少许）
上研匀，以瓷器盛。每用时先以葱白花椒煎汤洗净疮，稍歇再以温浆水又洗一次，候恶
水去尽，再将白术煎百沸，候温再洗。但疮口无脓水血丝，清水各尽，又用粉帛片拭干，然
后敷药。如干者香油调敷，湿者干掺，但将疮口实满，软绢帛护之。坚硬不作脓者，未可用
；肿如软有脓者；根据前法再洗，后敷贴之，三二次即愈。乃一药二洗之功也。
粉麝散
治外 疮臭烂，数十年不愈者。
生龟一个（乌者打死去肉取壳，酸醋一碗炙醋尽为度，仍 令白烟尽存性，用碗盖地上
上为末，入轻粉麝香拌匀，临用先以葱水洗，干方用药。
秘传隔纸膏
治年月深久， 疮不愈者。
老松香 樟脑 黄丹（炒） 水龙骨（即旧船锻石） 轻粉
不愈加白芷 川芎 海螵蛸总为细末。熔化松香加少清油和之，以油纸随疮大小糊袋盛
药夹之。用水洗净，其药缚在疮口上，二日至四日一换。若单用白芷川芎螵蛸三味，煎汤洗
之立效。
Chuang (sores/ulcers) are all caused by deficiency-cold of the Kidney, where wind-pathogenic toxic qi attacks externally from beside the Zusanli (ST36) acupoint, pouring into the side of the Yinjiao (RN7) acupoint. The wind-heat toxic qi flows and accumulates in both legs, generating sores that swell, ulcerate, become painful, foul-smelling, and make walking difficult. Sores located near the bone are considered severe because there is little muscle and thin skin over the bone, making them difficult to heal. Some may persist for years without cessation, with open sore mouths, rotting skin and exposed flesh, and a terrifyingly foul odor. The treatment method should first involve removing insects/worms, followed by applying topical medications such as Gezhi Gao (Paper-Separating Ointment) or Shexiang Qingfen San (Musk and Calomel Powder). It is also advisable to take internal formulas such as Huang Wan (Yellow Pill) and Shenxian Lafan Wan (Immortal's Beeswax and Alum Pill). One must sit upright with feet elevated, avoiding excessive walking, so that full recovery can be achieved.
Gezhi Gao (Paper-Separating Ointment)
Treats various internal and external Chuang (sores/ulcers).
Danggui Radix Angelicae Sinensis (Donggui), Baizhi Rhizoma Ligustici Chuanxiong (Baizhi), Huanglian Rhizoma Coptidis (Huanglian), Wubeizi Galla Chinensis (Wubeizi), Xionghuang Realgar (Xionghuang), Moyao Resina Olibani (Moyao), Xuexie Sanguis Draconis (Xuexie), Haipiaoxiao Os Sepiae (Haipiaoxiao), Baiji Rhizoma Bletillae (Baiji), Bailian Bulbus Lilii (Bailian), Huangbai Cortex Phellodendri (Huangbai), Houpo Cortex Magnoliae Officinalis (Nongpu) (each half tael above); Huangdan Lithargyrum (Litharge) (six qian); Ruxiang Resina Olibani (Ruxiang) (two and a half qian, ground); Qingfen Calomelas (Qingfen) (one qian).
Grind the above into fine powder and mix evenly. Blend with clear sesame oil to form an ointment. Apply the medication using oil paper, cover the sore, and bind securely with silk gauze. If pus or exudate appears, remove the dressing, scrape away impurities, and reapply the medication. Repeat this several times until healed. First, wash the sore thoroughly with boiled salt water, wipe dry with a cloth piece, wait for the moisture to evaporate, and then apply the medicine.
Treatment for chronic non-healing sores
Longgu Os Draconis et Mammutis (Longgu) (two and a half qian), Qingfen Calomelas (a small amount), Binglang Semen Arecae (Binglang) (half tael), Ruxiang Resina Olibani (Ruxiang), Moyao Resina Olibani (Moyao) (each one qian), Gan Zhufen Dried Pig Feces (Gan Zhufen) (half tael, charred to retain properties).
Grind into fine powder. First wash the sore with boiled salt water, wipe dry with soft silk gauze, blend with clear sesame oil for application; if the sore is wet, sprinkle the powder directly.
Treatment for sores with downward flow
Baishizhi Halloysitum Rubrum (Baishizhi), Longgu Os Draconis et Mammutis (Longgu) (each half tael), Baifan Alumen (Baifan) (one tael, calcined), Wubeizi Galla Chinensis (Wubeizi) (two taels, charred to retain properties), Huangdan Lithargyrum (Huangdan) (three qian, purified), Xionghuang Realgar (Xionghuang) (a small amount).
Grind into fine powder. First wash the sore with scallion and salt water until red muscle tissue is visible, then apply the aforementioned medication. If the sore is thick, wrap it tightly with cloth and keep it immobile until it dries and the necrotic skin falls off naturally.
Formula for treating sores
Baiji Rhizoma Bletillae (Baiji), Bailian Bulbus Lilii (Bailian), Huangbai Cortex Phellodendri (Huangbai), Huangdan Lithargyrum (Huangdan) (separately ground, equal parts).
Grind into extremely fine powder, add a small amount of Qingfen Calomelas (Qingfen) and mix evenly. Blend with refined honey to form a paste, shape into cakes, and apply to the sore. Fill deep sores completely, wrap with cloth pieces, and change once daily. As the sore gradually dries or cracks, simply sprinkle powder until healed.
Cuiyu Gao (Jade Green Ointment)
Treats sores.
Qingli Ashphaltum Bituminis (Qingli), Tonglv Cupri Acetas Viridis (Tonglv) (ground), Huangla Beeswax (Huangla) (each two qian), Ruxiang Resina Olibani (Ruxiang) (ground), Moyao Resina Olibani (Moyao) (ground, each three qian).
First blend Tonglv Cupri Acetas Viridis (Tonglv) with oil. Melt Qingli Ashphaltum Bituminis (Qingli) and Huangla Beeswax (Huangla) over fire, add the green powder and stir evenly. Then add the powdered Ruxiang Resina Olibani (Ruxiang) and Moyao Resina Olibani (Moyao), stirring until uniform. Pour into a basin of river water and mix well. Wrap in oil paper and chew to soften. Shape into cakes and apply to the sore, wrapping with red silk gauze. Keep until the sore heals and the medication falls off naturally.
Formula for treating sores
Dongqingye Folium Ilicis Hainanensis (Dongqingye), La Zhudan Porcine Gallbladder (La Zhudan), Baicaoshang Carbonis Herbae (Baicaoshang) (mix these two ingredients evenly).
Chew Dongqingye Folium Ilicis Hainanensis (Dongqingye) together with the patient until mashed. First wash the sore with scallion and pepper water, apply the pig gallbladder mixture, and then apply the chewed herb. Three to four applications will yield wonderful results.
Qiymiao Zhizi San (Wonderful Gardenia Powder)
Treats long-standing internal and external sores.
Shanzhizi Fructus Gardeniae (Shanzhizi) (any amount, burned to ash, ground to fine powder), Ruxiang Resina Olibani (Ruxiang) (separately ground, half qian each), Qingfen Calomelas (Qingfen) (a small amount).
Mix evenly and store in a porcelain container. When using, first wash the sore with a decoction of scallion white and Sichuan pepper. After resting, wash again with warm fermented rice water. Once foul discharge is removed, boil Baizhu Rhizoma Atractylodis Macrocephalae (Baizhu) in water for a hundred boils, let it cool to a suitable temperature, and wash again. Ensure no pus or blood streaks remain in the sore mouth, and that clear fluids are gone. Wipe dry with a cotton cloth piece, then apply medication. For dry sores, blend with sesame oil; for wet sores, sprinkle powder directly, filling the sore mouth completely, and protect with soft silk gauze. Do not use if the area is hard and does not suppurate; if swollen and soft indicating pus, follow the previous washing method, then apply and bandage. Two to three treatments will result in healing. This demonstrates the efficacy of one medication combined with two washings.
Fenshe San (Powder and Musk Powder)
Treats external sores with foul odor and ulceration that have persisted for decades.
Sheng Gui Tortoise Shell (Sheng Gui) (one live black tortoise, kill, remove meat, take shell. Roast in one bowl of vinegar until vinegar is consumed, ensuring white smoke dissipates to preserve properties, cover with a bowl and place on ground).
Grind into powder, mix evenly with Qingfen Calomelas (Qingfen) and Shexiang Moschus (Shexiang). Before use, wash with scallion water, ensure dryness, then apply medication.
Secretly Transmitted Gezhi Gao (Paper-Separating Ointment)
Treats sores that have persisted for many years and do not heal.
Lao Songxiang Pinus Resin (Lao Songxiang), Zhangnao Camphora (Zhangnao), Huangdan Lithargyrum (Huangdan) (stir-fried), Shuiguolong Halloysitum (Shuiguolong, i.e., old ship ironstone), Qingfen Calomelas (Qingfen).
If adding Baizhi Rhizoma Ligustici Chuanxiong (Baizhi), Chuanxiong Rhizoma Chuanxiong (Chuanxiong), and Haipiaoxiao Os Sepiae (Haipiaoxiao), grind all into fine powder. Melt Lao Songxiang Pinus Resin (Lao Songxiang), add a little clear sesame oil and mix. Use oil paper to form bags according to the size of the sore, fill with medication, and sandwich/bandage. Wash with water, bind the medication to the sore mouth, and change every two to four days. If using only Baizhi Rhizoma Ligustici Chuanxiong (Baizhi), Chuanxiong Rhizoma Chuanxiong (Chuanxiong), and Haipiaoxiao Os Sepiae (Haipiaoxiao) alone, decoct in water for washing yields immediate effect.