夫体虚受风热湿毒之气。则生疮。痒痛 肿多汁。壮热。谓之恶疮。而湿毒瓦斯盛。体外
虚内热。其疮渐增。经久不瘥。故为久恶疮也。
治久患疮不瘥者。牛角散方。
黄牛角（一分烧灰） 麋角屑（一分） 白蔹（一分炙令微黄） 麝香（半分细研） 密
陀僧（
半分微炒）
灵脾（一
两） 干地龙
上件药。捣细罗为散。每于食前。以温酒调下二钱。
治恶疮人不识。多年不瘥者。赤小豆散方。
赤小豆（炒熟） 糯米（微炒） 吴茱萸（炒熟） 黄连（去须） 黄柏（锉） 干姜 蛇
床子（
以上各半两）
上件药。捣细罗为散。以生油和如面脂。每用时。先煎槐枝汤洗疮令净。然后涂药。日
再用之。
治久患恶疮。常出脓水。降真散方。
降真香（半两） 芜荑（半两微炒） 白蔹（半两） 白芷（半两） 白芨（半两）
上件药。捣细罗为散。先煎浆水放温。淋洗疮上。拭干。以散敷之。
又方。
铅丹（二两半炒令紫） 松脂（二分） 麒麟竭（一两半细研） 乱发灰（一分细研） 绯
帛灰
（一分细研）
上件药。先用清油四两。于猛火上熬令烟出。即下松脂铅丹等。煎令色黑。下乱发绯帛
灰麒麟竭末等。和令匀。膏成。涂故帛上贴。日二易之。
治久恶疮。砒霜膏方。
砒霜（一分细研） 附子（一分末） 苦参（一分末） 硫黄（一分细研） 黄蜡（一
分）
上件药。用麻油二两煎。油熟下蜡。次下药末。和令匀成膏。每用。先以蒴 柳枝煎汤
洗疮。拭干。日二涂之。
治久恶疮。白膏方。
油（二两） 白蜡（一两） 腻粉（一分） 南粉（一分细研） 密陀僧（一分细研） 乳
香（一
分细研） 杏仁（三七枚汤浸去皮尖双仁细研）
上件药。先于铫子内先炼油熟。下蜡令消。入诸药末。和匀成膏。日二三上涂之。
治久恶疮。黄水出流。松脂膏方。
松脂（一两半） 薰陆香（一两半） 白羊脂（三分） 乱发灰（半两细研） 生地黄
汁（五合）
石盐（半两细研）
上件药。先煎羊脂松脂薰陆香等烊。次下地黄汁煎令稠。即入发灰并盐。和令匀成膏。
日二涂之。
治积年诸疮不瘥方。
上用鼠粘草根。细切熟捣。和腊月猪膏封之。日二换之。
治恶疮十年不瘥。似癞者方。
蛇蜕皮（一条）
上烧之研令细。以猪脂和敷之良。
又方。
苦瓜（一枚）
上以水煮汁。日三度洗之良。
治一切久恶疮不瘥。宜服柏叶散方。
寒食收柏叶〔烧灰一斤（两）〕 露蜂窠（半两微炙） 蜣螂（五枚烧灰） 密陀僧（半
两） 腻
粉（一钱） 锻石
上件药。捣细罗为散。浓煎浆水。淋洗疮后。用鸡子清调贴之。
治久恶疮疼痛。诸药未效。宜涂黄柏散方。
黄柏（一分微炒） 黄丹（一分炒令紫色） 密陀僧（一分） 白狗粪（半两烧灰） 腻
粉（半
两） 麝香〔二（一）钱细研〕 麒麟竭（三钱）
上件药。捣细罗为散。都研令匀。先用甘草汤洗疮口。后用津唾调涂之。
治恶疮多年不瘥。浸淫入骨。或成骨疽。宜用此方。
上取七叶子捣令烂。以生油调。先洗疮。 干。然后用敷之。初敷极痒。切不得触之。
又方。
上用刺 胆。湿即用胆汁涂之。如胆干。即研末掺在疮上。如疮口不合。只去尽脓。中
心研一瓣乳香在疮内。即效。
治恶疮积年不瘥不痛。只入心痒方。
枯骨（多年者）
上件药。捣罗为末。以酥涂疮口。内外上掺此药。不过三五度。疮虫便死。其疮即瘥。
治一切久恶疮。马齿苋膏方。
马齿苋（一两末） 白矾（一两末） 皂荚（一两末）
上件药。用好酥一升。慢火煎为膏。贴之。
治一切恶疮。年多不瘥者。宜用此方。
绿矾末（一两） 水银（半两）
上件药。以纸一张。安绿矾在上。入水银于中间。裹定。用盐泥封裹。候干。以文火养
一宿。去泥及纸细研。入麝香末半分。和令匀。如疮干油调涂。湿即干贴之。
When the body is deficient and susceptible to pathogenic factors such as wind, heat, dampness, and toxicity, sores will arise. These present with itching, pain, swelling, and copious discharge, accompanied by high fever; this condition is termed E Chuang (severe ulcer). If damp-toxicity is abundant, causing exterior deficiency and interior heat, the sores gradually increase and fail to heal for a long time, thus being called Jiu E Chuang (chronic severe ulcer).
Formula for Cow Horn Powder (Niujiao San) to treat chronic ulcers that do not heal:
Huang Niu Jiao (Ox Horn, 1 fen, calcined to ash) Mi Jiao (Elk Horn shavings, 1 fen) Bai Lian (Ampelopsis Radix, 1 fen, stir-fried until slightly yellow) She Xiang (Musk, 0.5 fen, finely ground) Miduo Seng (Litharge, 0.5 fen, lightly stir-fried) Yin Yang Huo (Epimedium Herba, 1 liang) Gan Di Long (Pheretima, dried earthworm)
Crush the above ingredients and sieve them into a fine powder. Before meals, take 2 qian mixed with warm wine.
Formula for Red Adzuki Bean Powder (Chixiaodou San) for patients with severe ulcers who are unfamiliar with the condition and have had it for years without healing:
Chi Xiao Dou (Red Adzuki Bean, stir-fried until cooked) Nuomi (Glutinous Rice, lightly stir-fried) Wu Zhu Yu (Evodia Fruit, stir-fried until cooked) Huang Lian (Coptis Rhizome, remove stamens) Huang Bo (Phellodendron Bark, sliced) Gan Jiang (Dried Ginger) She Chuang Zi (Cnidium Fruit, each of the above 0.5 liang)
Crush the above ingredients and sieve them into a fine powder. Mix with raw sesame oil to form a paste like facial cream. When applying, first wash the ulcer clean with decoction from locust tree branches, then apply the medicine. Use twice daily.
Formula for Jiangzhen Powder (Jiangzhen San) for chronic severe ulcers with constant pus and fluid discharge:
Jiang Zhen Xiang (Dalbergia Odorifera Lignum, 0.5 liang) Wang Yi (Myristica Seed, 0.5 liang, lightly stir-fried) Bai Lian (Ampelopsis Radix, 0.5 liang) Bai Zhi (Angelica Dahurica Radix, 0.5 liang) Bai Ji (Bletilla Rhizome, 0.5 liang)
Crush the above ingredients and sieve them into a fine powder. First, prepare warm water fermented with rice (Jiangshui), pour over the ulcer to wash, wipe dry, and then apply the powder.
Another formula:
Qian Dan (Lead Tetroxide, 2.5 liang, stir-fried until purple) Song Zhi (Pinus Rosin, 2 fen) Qilin Jie (Dragon's Blood Resin, 1.5 liang, finely ground) Luan Fa Hui (Ash of tangled hair, 1 fen, finely ground) Fei Bo Hui (Ash of red silk fabric, 1 fen, finely ground)
First, heat 4 liang of clear sesame oil over strong fire until smoke rises. Add Song Zhi and Qian Dan, etc., and boil until the color turns black. Then add Luan Fa Hui, Fei Bo Hui, and Qilin Jie powder, mixing evenly. Once the ointment is formed, spread it on old cloth and apply as a plaster. Change twice daily.
Formula for Arsenic Ointment (Pishuang Gao) for chronic severe ulcers:
Pi Shuang (Arsenic Trioxide, 1 fen, finely ground) Fu Zi (Prepared Aconite Root, 1 fen, powdered) Ku Shen (Sophora Flavescens Root, 1 fen, powdered) Liu Huang (Sulfur, 1 fen, finely ground) Huang La (Yellow Beeswax, 1 fen)
Boil the above ingredients in 2 liang of hemp seed oil. When the oil is hot, add the beeswax, then add the powders, mixing evenly to form an ointment. When using, first wash the ulcer with decoction from Suo Liu branches, wipe dry, and apply twice daily.
Formula for White Ointment (Baigao) for chronic severe ulcers:
You (Vegetable Oil, 2 liang) Bai La (White Beeswax, 1 liang) Ni Fen (Calomel, 1 fen) Nan Fen (Nanfen, 1 fen, finely ground) Miduo Seng (Litharge, 1 fen, finely ground) Ru Xiang (Frankincense, 1 fen, finely ground) Xing Ren (Apricot Kernel, 3-7 seeds, soaked in hot water, peeled, removed of tips and double kernels, finely ground)
First, heat the oil in a crucible until hot. Add the white beeswax to melt, then add all the powders, mixing evenly to form an ointment. Apply two to three times daily.
Formula for Pinus Rosin Ointment (Songzhi Gao) for chronic severe ulcers with flowing yellow fluid:
Song Zhi (Pinus Rosin, 1.5 liang) Xun Lu Xiang (Frankincense, 1.5 liang) Bai Yang Zhi (White Goat Fat, 3 fen) Luan Fa Hui (Ash of tangled hair, 0.5 liang, finely ground) Sheng Di Huang Zhi (Fresh Rehmannia Juice, 5 he) Shi Yan (Rock Salt, 0.5 liang, finely ground)
First, melt the goat fat, pinus rosin, and frankincense. Then add the Rehmannia juice and boil until thick. Add the hair ash and salt, mixing evenly to form an ointment. Apply twice daily.
Formula for treating various ulcers persisting for many years:
Take the root of Niu Bang Zi (Arctium Lappa), cut finely, cook and pound thoroughly. Mix with lard collected in the twelfth lunar month to seal the area. Change twice daily.
Formula for severe ulcers persisting for ten years, resembling leprosy:
She Tui Pi (Snake Slough, one strip)
Burn it, grind finely, and mix with lard for application. This is effective.
Another formula:
Ku Gua (Bitter Melon, one fruit)
Boil in water to extract the juice. Wash the affected area three times daily. This is effective.
For all chronic severe ulcers that do not heal, it is suitable to take Bai Ye San (Cypress Leaf Powder):
Han Shi Bai Ye (Cypress Leaves collected during Cold Food Festival, burned to ash, 1 jin) Lu Feng Ke (Exposed Beehive, 0.5 liang, lightly roasted) Qiang Lang (Dung Beetle, five pieces, burned to ash) Miduo Seng (Litharge, 0.5 liang) Ni Fen (Calomel, 1 qian) Duan Shi (Calcined Alumen)
Crush the above ingredients and sieve into a fine powder. Prepare a strong decoction of Jiangshui (fermented rice water), wash the ulcer, and then apply using egg white to mix and adhere.
For chronic severe ulcers with pain unresponsive to other medicines, it is suitable to apply Huang Bo San (Phellodendron Powder):
Huang Bo (Phellodendron Bark, 1 fen, lightly stir-fried) Huang Dan (Lead Tetroxide, 1 fen, stir-fried until purple) Miduo Seng (Litharge, 1 fen) Bai Gou Fen (White Dog Feces, 0.5 liang, burned to ash) Ni Fen (Calomel, 0.5 liang) She Xiang (Musk, 1-2 qian, finely ground) Qilin Jie (Dragon's Blood Resin, 3 qian)
Crush the above ingredients and sieve into a fine powder, grinding thoroughly to mix evenly. First, wash the ulcer with Licorice decoction, then use saliva to moisten and apply the powder.
For severe ulcers persisting for many years, penetrating into the bone, or forming Gu Ju (bone abscess), use this formula:
Take Qi Ye Zi (Seven-leaved plant leaves), pound until mushy, and mix with raw oil. First wash the ulcer, dry it, then apply. Initial application causes intense itching; do not touch it.
Another formula:
Use Ci Wei Dan (Hedgehog bile). If wet, apply directly. If dry, grind into powder and sprinkle on the ulcer. If the wound does not close, remove all pus first, then crush one piece of Ru Xiang (Frankincense) and place it in the center of the wound. This is effective.
For severe ulcers persisting for years, painless but causing deep internal itching:
Gu Gu (Old Bones)
Grind these ingredients into powder. Apply Su (clarified butter) to the wound, then sprinkle the powder inside and out. Within three to five applications, the "ulcer worms" will die, and the ulcer will heal.
Formula for Ma Chi Xian Gao (Portulaca Ointment) for all chronic severe ulcers:
Ma Chi Xian (Portulaca Oleracea, 1 liang, powdered) Bai Fan (Alum, 1 liang, powdered) Zao Jia (Tamarind Pod, 1 liang, powdered)
Cook the above ingredients in 1 sheng of good clarified butter over slow fire to form an ointment. Apply externally.
For all severe ulcers persisting for many years, use this formula:
Lv Fan Mo (Green Vitriol Powder, 1 liang) Shui Yin (Mercury, 0.5 liang)
Place Lv Fan on a sheet of paper, put Mercury in the middle, wrap tightly, and seal with salt mud. When dry, simmer over gentle fire overnight. Remove the mud and paper, grind finely, add 0.5 fen of Musk powder, and mix evenly. If the ulcer is dry, mix with oil for application; if wet, apply dry powder directly.