夫疳疮有数种，有血疳、风疳、牙疳、下疳之类。血疳者，乃脏中虚怯，邪热相侵，外
乘分肉之间，发于肌肤之上。初如紫芥，破时血出，遍身行处成疮，气血损伤，破肉虚痒，
久不愈或成疳 。风疳者，乃足阳明胃经或受风邪热毒，客于然谷之间，注在承山之侧。初
生如疥癣，破时黄水浸淫成疮，风湿相搏，毒瓦斯聚攻，渐生遍体。或生小儿耳边，黄水疮亦
谓之疳疮。牙疳者，皆由幼年好食甘甜煎爆辛热之物，以致阳明胃经蕴积邪热，上牙齿之间
，或在牙根之内发成肿痛，或成腐肉败血来侵，溃烂牙槽，臭秽难近，以致牙齿脱落，日久
不愈遂成大患。下疳者，乃男子玉茎生疮，此病皆由所欲不遂，或交接不洁，以致邪毒浸渍
，发成疮毒，日久不愈或成便毒，或损烂阳物，甚不可轻，易多致不救。以上诸疳，治法不
同，具方于下。
应效散
治气 疳蚀疮，多年不效者。
地骨皮（不以多少，冬月自取，只要皮阴干）
上杵为细末，每用纸捻蘸 疮口内，频用，自然生肉。更用米饮调二钱，无时日进三服
，又名托里散。
博金散
治下疳蚀，臭烂肿痛。
白矾（与密陀僧同为末，相和于沙锅内，火上炮汗尽） 密陀僧（以上各五钱） 白垩（二
钱） 黄丹 轻粉（以上各一钱） 乳香（五分） 麝香（一字）
上为细末，先须另用槐枝、葱白、盐、甘草熬汤淋 洗一二时，挹干，掺上项药。每用
药先须洗浴，然后掺药，甚者三五次瘥。
乌金散
治疳 恶疮。
麝香 蟾酥（以上各一字） 粉霜 砂 轻粉（以上各一钱） 铜绿 砒霜 白干姜 草
乌头 天南星 舶上硫黄（以上各五钱）
上为细末，纸捻 之，或汤浸蒸饼和为锭子， 疮口内，上以膏贴之。
截疳散
治年深疳 疮，大效。
密陀僧 白蔹 白芨 黄丹（以上各一两） 黄连（半两） 轻粉（一钱） 脑子 麝香（以
上各五分）
上前四味为细末，后四味另研极细和匀为散。每用或掺或 疮口中，以膏贴之。
麝香轻粉散
治血疳疮，阴蚀疮，耳疳疮，一切恶疮皆治。
麝香 轻粉（各五分） 乳香 没药 白矾（飞过，各一两）
上为细末，量疮干贴。
七宝槟榔散
治下元玉茎上或阴头上有疳疮，渐至蚀透，久不愈者。
槟榔 雄黄 轻粉 密陀僧 黄连 黄柏 朴硝（各等分）
上为细末和匀，先以葱白浆水洗净，软帛挹干，如疮湿干掺，如干小油调涂。
玉粉散
治下阴疮疼不止。
滑石 密陀僧 寒水石（煨，各半两） 腻粉 麝香（各少许）
上为细末，油调敷或干贴患处。
甘石散
治下部疳疮。
炉甘石 密陀僧（各一钱半） 轻粉（一分） 龙骨（五分） 麝香（少许） 橡斗子（烧灰存
性，三钱。）
上为细末，先用荆芥、杜仲、川椒煎汤，放温浴洗罢，然后用药一捻干贴。
金银花散
治下疳疮。
金银花 荆芥 朴硝 蛇床子 甘松 白芷 槟榔（各一两）
上 咀，每用五钱，水五碗，加葱白二根，同煎数沸，盆盛水，先熏后洗却上药。
治下疳疮
孩儿茶
上研为细末，先洗净，干则小油调敷，湿则干掺之，神效。
如圣膏
治风疳癣，或痒或痛，经年不可，一切恶疮并宜治之。
清油（半斤） 巴豆（三钱，去皮） 当归（五钱） 轻粉（一钱） 黄蜡（三两）
上先将油慢火熬，次下巴豆、当归，熬黑色，滤去不用，入轻粉黄蜡，量疮搽之。
青金膏
治走马牙疳、蚀损腐烂者。
人言（一钱） 轻粉（半钱） 粉霜（半钱） 青黛（一钱） 麝香（少许）
上为细末，小油调，新笔写在纸上荫干，每用少许在疳蚀处，白纸封之。
鸦HT 散
专治疳疮。
老鸦头（一个，烧灰） 轻粉（五分） 黄丹（五分） 枯矾（五分） 麝香（少许）
上为细末，先用温水洗净后搽药，妙。
乳香荜茇散
专治牙痛骨槽风。
天麻 防风 细辛 红豆（各一钱） 荆芥穗 乳香 没药 官桂（各半钱） 当归 薄荷
叶（各二钱） 川乌 盆硝（各一钱） 麝香（少许） 荜茇（一钱）
上为细末，每用一字或半钱，口含水，鼻嗅之，任左右。
牢牙散
治牙断绽肉，牙疳肿疼，牙齿动摇欲落，牙黄口臭。
升麻（四钱） 羊胫骨灰 羌活（各一两） 草龙胆（一两半，酒制）
上为细末，每用少许贴牙断疼处，噙良久，有涎吐去。
麝胆散
治走马牙疳危恶候。
麝香（少许） 胆矾（一钱） 铜绿（半两） 白矾（生用，一分）
上为细末研匀，上擦牙蚀处。
三矾散
治牙根急疳。
青矾 黄矾（各半两） 白矾（枯，一分） 麝香（一钱）
上为细末研匀，每用些少敷于疮上，有涎吐之。
青金散
治走马牙疳，蚀损唇舌，肉腐牙落臭烂，其效如神。
铜绿，砒（各等分，制）
上研细，每用些少敷于患处。
Gan sores (ulcers associated with malnutrition or specific infections) include several types, such as Xue Gan (Blood Gan), Feng Gan (Wind Gan), Ya Gan (Dental Gan), and Xia Gan (Genital Gan). Xue Gan arises from deficiency and weakness of the internal organs, where pathogenic heat invades mutually. Externally, it penetrates between the muscle layers and manifests on the skin surface. Initially resembling purple mustard seeds, upon rupture blood flows out, and ulcers form wherever the pathogen travels across the body. This damages Qi and Blood, causing broken flesh to feel empty and itchy; if prolonged without healing, it may evolve into a Gan condition. Feng Gan occurs when the Foot-Yangming Stomach Meridian is invaded by wind pathogens and hot toxins. The pathogen lodges near the Ran Gu acupoint and flows to the side of the Cheng Shan acupoint. It initially appears like scabies or tinea; upon rupture, yellow fluid oozes and forms ulcers. Wind and dampness struggle against each other, and toxic gases accumulate and attack, gradually spreading over the whole body. Some cases occur behind the ears of children; this type of yellow fluid sore is also called Gan sore. Ya Gan is caused by a childhood preference for sweet, fried, roasted, and pungent-hot foods, leading to the accumulation of pathogenic heat in the Foot-Yangming Stomach Meridian. It manifests as swelling and pain between the upper teeth or within the tooth roots, forming rotting flesh and corrupting blood that invade further. This leads to the ulceration of the alveolar bone, foul odor making proximity difficult, eventual tooth loss, and if left untreated for a long time, becomes a major affliction. Xia Gan refers to sores developing on the male penis. This disease results from unfulfilled desires or unclean sexual intercourse, causing pathogenic toxins to soak and penetrate, forming toxic sores. If not healed for a long time, it may become a "Bian Du" (lymphadenitis of the groin) or corrode and damage the genitalia. The condition is severe and should not be taken lightly; it often leads to untreatable outcomes. The treatment methods for the above various Gan sores differ; the specific formulas are listed below.
Ying Xiao San (Effective Powder)
Treats Qi Gan erosive sores that have been ineffective for many years.
Digupi (Cortex Lycii, amount unspecified, collected in winter, dried in shade)
Pound the material into a fine powder. Dip paper twists into the powder and apply them frequently into the sore cavity; flesh will naturally regenerate. Additionally, mix two qian with rice water and take three doses daily at any time. Also known as Tuo Li San.
Bo Jin San (Gold-Extending Powder)
Treats Xia Gan corrosion, foul decay, swelling, and pain.
Baifan (Alumen, calcined together with Miduoseng until sweat is exhausted) Miduoseng (Litharge, five qian each) Bai'e (Kaolin, two qian) Huangdan (Minium, one qian each) Qingfen (Calomel, one qian each) Ruxiang (Frankincense, five fen) Shexiang (Musk, one zi)
Grind all materials into a fine powder. Before application, wash the area with a decoction of Huai Zhi (Locust branch), Congbai (Scallion white), salt, and Gancao (Licorice) for one to two hours, then wipe dry before applying the powder. Wash before each medication application; severe cases may heal in three to five applications.
Wu Jin San (Black-Gold Powder)
Treats Gan malignant sores.
Shexiang (Musk, one zi each) Chansu (Toad venom, one zi each) Fenshuang (White precipitate, one qian each) Sha (Realgar, one qian each) Qingfen (Calomel, one qian each) Tonglv (Malachite, five qian each) Pishuang (Arsenic trioxide, five qian each) Baiganjiang (Dried ginger, five qian each) Caowutou (Aconitum carmichaelii root, five qian each) Tiannanxing (Arisaema rhizome, five qian each) Boshang liuhuang (Sulfur, five qian each)
Grind into a fine powder. Apply using paper twists dipped in the powder, or mix with steamed dough soaked in broth to form pellets, insert into the sore, and cover with an ointment plaster.
Jie Gan San (Gan-Cutting Powder)
Treats chronic Gan sores with great efficacy.
Miduoseng (Litharge, one liang each) Bailian (Ampelopsis radix, one liang each) Baiji (Bletilla rhizome, one liang each) Huangdan (Minium, one liang each) Huanglian (Coptis chinensis rhizome, half liang) Qingfen (Calomel, one qian) Naonao (Camphor, five fen each) Shexiang (Musk, five fen each)
Grind the first four ingredients into a fine powder. Grind the last four ingredients separately into an extremely fine powder and mix evenly. Apply by sprinkling or inserting into the sore, then cover with an ointment plaster.
Shexiang Qingfen San (Musk and Calomel Powder)
Treats Xue Gan sores, Yin erosion sores, Er Gan sores, and all kinds of malignant sores.
Shexiang (Musk, five fen each) Qingfen (Calomel, five fen each) Ruxiang (Frankincense, one liang each) Moyao (Myrrh, one liang each) Baifan (Alumen, refined, one liang each)
Grind into a fine powder. Apply according to whether the sore is dry or moist.
Qi Bao Binglang San (Seven-Treasure Betel Nut Powder)
Treats Gan sores on the lower genitals, penis, or glans that gradually erode through and fail to heal for a long time.
Binglang (Areca nut, equal parts) Xionghuang (Realgar, equal parts) Qingfen (Calomel, equal parts) Miduoseng (Litharge, equal parts) Huanglian (Coptis chinensis rhizome, equal parts) Huangbai (Phellodendron bark, equal parts) Puxiao (Mirabilite, equal parts)
Grind into a fine powder and mix evenly. Wash with Congbai (Scallion white) and Jiangshui (fermented rice water), wipe dry with soft cloth. Sprinkle dry powder if the sore is wet; mix with small amounts of oil if dry.
Yu Fen San (Jade Powder)
Treats persistent pain in lower yin sores.
Huashi (Talcum, half liang each) Miduoseng (Litharge, half liang each) Hanshuishi (Calcite, roasted, half liang each) Nifen (Calomel, a little) Shexiang (Musk, a little)
Grind into a fine powder. Apply mixed with oil or dry on the affected area.
Gan Shi San (Gan Stone Powder)
Treats lower body Gan sores.
Luganshi (Hematite calcined, one qian half each) Miduoseng (Litharge, one qian half each) Qingfen (Calomel, one fen) Longgu (Fossilized bones, five fen) Shexiang (Musk, a little) Xiangdouzi (Oak gall, burned to ash retaining nature, three qian)
Grind into a fine powder. First, wash with a decoction of Jingjie (Schizonepeta), Duzhong (Eucommia bark), and Chuanjiao (Sichuan pepper), let cool to warm temperature, bathe, then pinch a small amount of powder to apply.
Jinyinhua San (Honeysuckle Powder)
Treats Xia Gan sores.
Jinyinhua (Lonicera japonica flower, one liang each) Jingjie (Schizonepeta, one liang each) Puxiao (Mirabilite, one liang each) Shechuangzi (Cnidium fruit, one liang each) Gansong (Nardostachys root, one liang each) Baizhi (Angelica dahurica root, one liang each) Binglang (Areca nut, one liang each)
Cut into pieces. Use five qian per dose, add five bowls of water and two scallion whites, boil briefly. Pour into a basin, fumigate first, then wash, and finally apply medicine.
Treating Xia Gan Sores
Haiercha (Child's Tea / Catechu)
Grind into a fine powder. Wash first; if dry, mix with small amount of oil and apply; if wet, sprinkle dry powder. Divine efficacy.
Ru Sheng Gao (Like-Sage Ointment)
Treats Feng Gan tinea, itching or pain lasting years; suitable for all malignant sores.
Qingyou (Pure sesame oil, half jin) Badou (Croton seed, three qian, peeled) Danggui (Angelica sinensis root, five qian) Qingfen (Calomel, one qian) Huangla (Yellow beeswax, three liang)
Slowly boil the oil, add Badou and Danggui, boil until black, filter out residues. Add Qingfen and Huangla, apply to sores as needed.
Qing Jin Gao (Blue-Gold Ointment)
Treats Zouma Ya Gan (Rapidly progressing dental gan), erosion, damage, and rot.
Renyan (Arsenic trioxide, one qian) Qingfen (Calomel, half qian) Fenshuang (White precipitate, half qian) Qingdai (Indigo naturalis, one qian) Shexiang (Musk, a little)
Grind into a fine powder, mix with small amount of oil. Write onto paper with a new brush and dry in shade. Apply a small amount to the eroded area and seal with white paper.
Ya Tou San (Crow Head Powder)
Specifically treats Gan sores.
Laoyatou (Old crow head, burned to ash, one piece) Qingfen (Calomel, five fen) Huangdan (Minium, five fen) Kufan (Burnt alum, five fen) Shexiang (Musk, a little)
Grind into a fine powder. Wash with warm water first, then apply. Excellent results.
Ruxiang Bibie San (Frankincense and Piper Longum Powder)
Specifically treats toothache and Gu Cao Feng (bone槽 wind/osteomyelitis).
Tianma (Gastrodia elata tuber, one qian each) Fangfeng (Saposhnikovia root, one qian each) Xixin (Asarum root, one qian each) Hongdou (Adenanthera pavonina seed, one qian each) Jingjisui (Schizonepeta flower spike, half qian each) Ruxiang (Frankincense, half qian each) Moyao (Myrrh, half qian each) Guanzi Gui (Cinnamomum cassia bark, half qian each) Danggui (Angelica sinensis root, two qian each) Boheye (Mint leaf, two qian each) Chuanwu (Aconitum carmichaelii lateral root, one qian each) Penxiao (Mirabilite, one qian each) Shexiang (Musk, a little) Bibie (Piper longum fruit, one qian)
Grind into a fine powder. Use one zi or half qian per dose, hold water in mouth, sniff into nose, applicable to either side.
Lao Ya San (Tooth-Firming Powder)
Treats broken teeth with protruding flesh, swollen and painful Ya Gan, loose teeth about to fall, yellow teeth, and bad breath.
Shengma (Cimicifuga rhizome, four qian) Yangjingguhui (Sheep shin bone ash, one liang each) Qianghuo (Notopterygium root, one liang each) Caolongdan (Gentiana scabra root, one and a half liang, wine-processed)
Grind into a fine powder. Apply a small amount to the broken/painful tooth area, hold in mouth for a long time, spit out saliva.
She Dan San (Musk and Gallbladder Powder)
Treats critical conditions of Zouma Ya Gan.
Shexiang (Musk, a little) Danfan (Chalcanthite, one qian) Tonglv (Malachite, half liang) Baifan (Alumen, raw use, one fen)
Grind evenly, rub onto eroded tooth areas.
San Fan San (Three Alum Powder)
Treats acute Gan of tooth roots.
Qingfan (Green vitriol, half liang each) Huangfan (Yellow vitriol, half liang each) Baifan (Alumen, calcined, one fen) Shexiang (Musk, one qian)
Grind evenly, apply a small amount to the sore, spit out saliva if produced.
Qing Jin San (Blue-Gold Powder)
Treats Zouma Ya Gan, erosion of lips and tongue, rotting flesh, falling teeth, and foul odor; efficacy is divine.
Tonglv (Malachite, equal parts) Pi (Arsenic, equal parts, processed)
Grind finely, apply a small amount to the affected area.