夫灸之法。中病则止。病已则疮瘥。若病势未除。或中风冷。故久不瘥也。
治灸疮久不瘥。宜用止痛生肌。解火毒方。
上先以黑豆半升。水五升。煮成浓汁。去豆放温。以绵裹指头。款款洗疮四面。令极净
。候疮中脓出。疮痂自落之时。便掺止痛生肌散。
止痛生肌散方。
石膏（一分烧过者） 牡蛎（半两烧过者） 滑石（一分）
上件药。捣罗为末。凡用之时。切护爪甲。勿令中风。仍须洗疮令净。然后掺之。薄薄
令遍。以软绵帛系之。候肌生。渐可用柏皮膏。
治灸疮久不瘥。宜涂柏皮膏方。
柏树白皮末（四两） 猪脂（半斤炼为油） 伏龙肝末（四两）
上件药。同熬成膏。滤去滓。入瓷器中收。每用时。薄薄涂之。上以油单隔。软帛裹。
治灸疮久不瘥。疼痛方。
当归（一两） 甘草（一两） 胡粉（一两半） 羊脂〔三（二）两半〕
上件药。捣细罗为散。用脂煎数沸。去火瓷盒中盛。每日。一两度涂贴。
治灸疮。脓坏久不瘥方。
腊月猪脂（一斤） 胡粉（一两） 薤白（一握）
上件药。先用脂煎薤白令黄。去滓。倾入瓷盒中。入胡粉搅令匀。每取故帛上涂贴。再
易之。
又方。
白蜜（一两炼过） 乌贼鱼骨（一分末）
上件药相和。涂于疮上。
治灸疮久不瘥。且疼痛。生肌膏方。
防风（一分去芦头） 白蔹（一分） 赤芍药（一分） 当归（一分） 芎 （一分） 桑
根白皮
（一分） 杏仁
洗令净）
黄丹（五两）
上件药。捣香二味。捣罗为末。余并细锉。以酒（油）浸一宿。慢火熬令柳枝色黄黑。
绵
滤去滓。澄清。拭铛令净。慢火熬药油。入黄丹。用柳木篦不住手搅。令丹色稍黑。取少许
滴于水内。捻看得所。入香末。又搅令匀。倾于不津器中盛。每用。看灸疮大小。以纸上匀
摊贴之。每日三两度换。仍煎柳枝汤洗。勿令伤风。
治灸疮经久不瘥。薤白膏方。
薤白（一握切） 生地黄（三两拍碎） 栀子仁（一两） 杏仁（一两捶碎微炒） 胡
粉（三两）
白
上件药。以脂酥微火煎薤白等。候白芷色赤。以绵滤去滓。用不津器盛。下胡粉搅令匀
。涂帛上贴之。日三两遍换。以瘥为度。
治灸疮久不瘥。烂痛。宜服此方。
密陀僧（捣细研） 白矾（烧熟细研）
上件药等分。都研令匀。先煎莲子草汁洗疮。去痂后敷之。
又方。
上以车 脂敷之。
治灸疮久不瘥。血出疼痛方。
上取人粪烧灰细研。先以莲子草汁洗疮。后敷之。
治灸疮久不瘥方。
上取桃胶和水银霜。研涂之。
治灸疮中风冷。肿痛久不瘥方。
但向火灸之。疮得热则易效。如痛。逐日六七度灸愈。
治灸疮久不瘥。血不止方。
上以蜣螂末和猪脂涂之。即愈。
凡灸疮不瘥者。别灸上六十壮自愈。
治灸疮多时不瘥。痒痛出黄水。立效方。
上取楸叶或根皮。捣罗为末。敷疮上即瘥。
The principle of moxibustion therapy is to stop when the disease is addressed. Once the illness is cured, the sore will heal naturally. If the pathogenic factors are not fully eliminated, or if exposed to wind-cold, the sore may fail to heal for a prolonged period.
For moxa sores that fail to heal for a long time, it is advisable to use formulas that relieve pain, promote tissue regeneration, and resolve fire-toxicity.
First, take half a sheng (approx. 2 liters) of black soybeans (Soybean Seed), add five sheng of water, and boil into a thick decoction. Remove the beans, let it cool to a warm temperature, wrap cotton around the finger, and gently wash the four sides of the sore until very clean. When pus drains from the sore and the scab falls off naturally, sprinkle with Zhitong Shengji San (Pain-Relieving and Tissue-Regenerating Powder).
Zhitong Shengji San Formula:
Gypsum Fibrosum (Shi Gao, 1 fen, calcined)
Ostreae Concha (Mu Li, 0.5 liang, calcined)
Talcum (Hua Shi, 1 fen)
Grind the above ingredients into fine powder. When using, protect fingernails carefully and avoid exposure to wind. Ensure the sore is washed clean before application. Sprinkle a thin, even layer over the area and bind with soft cotton cloth. As new tissue grows, gradually switch to Baipi Gao (Cypress Bark Ointment).
Formula for Applying Baipi Gao for Moxa Sores That Fail to Heal:
Bark of White Cypress Tree (Bo Bai Pi, 4 liang, powdered)
Porcine Fat (Zhu Zhi, 0.5 jin, refined into oil)
Longgu Fossilized Earth (Fu Long Gan, 4 liang, powdered)
Simmer the above ingredients together until they form an ointment. Filter out the dregs and store in a ceramic vessel. Apply a thin layer to the affected area each time, cover with oiled paper, and wrap with soft cloth.
Formula for Painful Moxa Sores That Fail to Heal:
Angelica Sinensis Radix (Dang Gui, 1 liang)
Licorice Root (Gan Cao, 1 liang)
Lead Carbonate (Hu Fen, 1.5 liang)
Mutton Fat (Yang Zhi, 3.5 liang)
Grind the above ingredients into a fine powder. Boil briefly in mutton fat, then store in a ceramic box. Apply once or twice daily.
Formula for Suppurative Moxa Sores That Fail to Heal:
Porcine Fat from the Twelfth Lunar Month (Layue Zhu Zhi, 1 jin)
Lead Carbonate (Hu Fen, 1 liang)
Allium Macrostemon Bulb (Xie Bai, 1 handful)
Fry the Allium Macrostemon Bulb in porcine fat until yellow. Strain and pour into a ceramic container. Add Lead Carbonate and mix well. Apply to old cloth strips and dress the wound; replace as needed.
Another Formula:
White Honey (Bai Mi, 1 liang, refined)
Cuttlefish Bone (Wuzhe Yu Gu, 1 fen, powdered)
Mix the ingredients and apply to the sore.
Ointment for Regenerating Tissue in Chronic, Painful Moxa Sores:
Saposhnikovia Root (Fang Feng, 1 fen, rhizome removed)
Ampelopsis Radix (Bai Lian, 1 fen)
Red Peony Root (Chi Shao Yao, 1 fen)
Angelica Sinensis Radix (Dang Gui, 1 fen)
Ligusticum Chuanxiong Rhizome (Chuan Xiong, 1 fen)
Mulberry Root Bark (Sang Gen Bai Pi, 1 fen)
Apricot Seed (Xing Ren, cleaned)
Minium (Huang Dan, 5 liang)
Grind Agarwood (Chen Xiang) and Ampelopsis Radix separately into fine powder. Finely chop the remaining herbs. Soak overnight in wine or oil. Simmer over low heat until the mixture turns dark yellow like willow branches. Strain through cotton cloth to clarify the oil. Clean the pot thoroughly. Reheat the clarified oil over low heat, add Minium, and stir continuously with a willow wood spatula until the color darkens slightly. Test consistency by dropping a small amount into water and kneading. Add the agarwood powder, mix well, and pour into a non-porous container. For use, spread evenly on paper according to the size of the sore and apply as a patch. Change 3-4 times daily. Wash the sore with Willow Branch Decoction and avoid wind exposure.
Xie Bai Gao Formula for Chronic Moxa Sores:
Allium Macrostemon Bulb (Xie Bai, 1 handful, chopped)
Rehmannia Root (Sheng Di Huang, 3 liang, crushed)
Gardenia Fruit (Zhi Zi Ren, 1 liang)
Apricot Seed (Xing Ren, 1 liang, crushed and lightly fried)
Lead Carbonate (Hu Fen, 3 liang)
Angelica Dahurica Root (Bai Zhi, appropriate amount)
Simmer the Allium Macrostemon Bulb and other herbs in porcine fat and butter over low heat until Angelica Dahurica Root turns red. Strain through cotton cloth and store in a non-porous container. Add Lead Carbonate and mix well. Apply to cloth strips and dress the wound. Change 3-4 times daily until healed.
Internal Formula for Ulcerated, Painful Moxa Sores That Fail to Heal:
Litharge (Mi Tuo Seng, finely ground)
Alumen (Bai Fan, roasted and finely ground)
Mix equal parts of both ingredients thoroughly. First, wash the sore with decoction of Eclipta Prostrata Herba (Lian Zi Cao), remove the scab, and then apply the powder.
Another Formula:
Apply Plantago Asiatica Leaf Juice (Che Qian Zhi) to the area.
Formula for Bleeding and Painful Moxa Sores That Fail to Heal:
Burn human feces to ash, grind finely. First wash the sore with Eclipta Prostrata Herba juice, then apply the ash.
Formula for Moxa Sores That Fail to Heal:
Take Peach Gum (Tao Jiao) and Mercury Frost (Shui Yin Shuang), grind and apply.
Formula for Moxa Sores Affected by Wind-Cold, Causing Swelling, Pain, and Non-Healing:
Perform moxibustion near a fire source. Heat facilitates healing. If painful, perform moxibustion 6-7 times daily until cured.
Formula for Moxa Sores That Fail to Heal with Unstoppable Bleeding:
Mix Powdered Dung Beetle (Qiang Lang) with Porcine Fat and apply. It will cure immediately.
For any moxa sore that does not heal, performing 60 moxa cones directly on the sore will lead to self-healing.
Immediate Effect Formula for Moxa Sores Not Healing After Many Days, With Itching, Pain, and Yellow Discharge:
Grind Paulownia Leaves (Qiu Ye) or Root Bark into powder and apply to the sore. It will heal.