夫附骨疽者。由当风露卧。风入骨髓与热气相搏。复遇冷湿。或秋夏露卧。为冷所折。
风热伏结壅遏。附骨成疽。喜着大节解间。及额头 膝上。婴孩亦着 肘背脊也。其大人患
急者
即啼
悟是
治附骨疽。肿痛有脓久不瘥。天灵盖散方。
天灵盖（一两烧灰） 狗头骨（半两烧灰） 白矾（半两烧灰汁尽） 麝香（一钱细研）
黄连
（一分去须） 黄柏（一分）
上件药。捣细罗为散。研入麝香令匀。每使。先煎甘草汤洗。拭干。用生油调涂之。
治附骨疽。及一切恶疮。宜 药方。
牛黄（一分细研） 麝香（一分细研） 木香（一分） 丁香（一分） 香子（一分）
乳香（
一分细研） 朱砂（一分细研） 雄黄（一分细研） 黄丹（一分） 黄柏（一分锉） 苦
参（一分
锉）
上件药。捣细罗为散。入研了药。同研令匀。剪单纸条子。看疮眼子大小。每一条子纸
。用
依前
眼大
治附骨疽及冷 。一切恶疮等方。
蜣螂（烧灰一两） 巴豆（半两去皮心研纸裹压去油）
上件药。同研为细散。用敷疮上。日一换之。多时患者。不过三上效。
治附骨疽久不瘥。瘥后复发。骨从疮孔中出方。
上用猪胆和楸叶。烂捣封之。
又方。
上以枸杞自然汁。以慢火熬成煎。后入炼过白矾。团令坚实阴干。捣罗为末。先以甘草
水洗之。拭干。以唾涂疮。将药末周匝敷之。
治附骨疽肿痛。皂荚膏方。
皂荚（十挺蘼芜融者细研） 吴茱萸（二两末） 杏仁（一两汤浸去皮炙研如泥） 水
银（一
两以李枣瓤同研令星尽）
上件药。以醋三升。煎皂荚取一升五合。滤去滓。下茱萸杏仁。以文火熬成膏。次下水
银和匀。置不津器中。于故帛上涂贴于患处。
治附骨疽。多年不瘥方。
多年油脚（一两） 猪 骨髓（一两） 麝香（一钱细研）
上件药。都研为膏。涂于疮上。
治附骨疽。及鱼眼疮方。
杏仁（五十枚烧为灰） 乱发灰（一两） 腻粉（一分）
上件药。同研令细。入油三合。蜡半两。煎搅令匀。入瓷盒盛。净洗贴之。
又方。
上以蜣螂七枚。和大麦面。烂捣封之。
又方。
上以狗头烧烟熏之。
又方。
上用鸡子五枚。煮熟。去白取黄。于铫子内。以慢火炒令黑。候自然为膏。沥于盏。纳
黄丹腻粉各三钱。拌和令匀。每用时。先用米泔煎汤洗患处。拭干。用药敷之妙。
又方。
蜣螂（干者）
上捣细罗为散。先以乌鸡脂涂疮口上。以散敷之。
治附骨疽不愈。愈而复发。骨皆从疮孔中出者。宜用此方。
一岁乌雌鸡骨（一两烧灰） 三家桐材（棺）屑（一两烧灰） 三家炊草（一两烧灰）
上件药。都研令细。每用少许。纳于疮中。碎骨当出即愈。
Fu Gu Ju (Bone-Attaching Carbuncle) is caused by sleeping exposed to wind, allowing wind pathogens to penetrate into the bone marrow and contend with internal heat. When further exposed to cold and dampness, or when sleeping outdoors during autumn and summer, the body is injured by cold. This causes wind-heat to lie dormant, condense, stagnate, and obstruct, attaching to the bones to form a carbuncle. It tends to occur in the spaces between large joints, as well as on the forehead and above the knees. Infants may also develop it on the elbows, back, and spine.
For adults suffering from acute Fu Gu Ju, characterized by crying out in pain:
To treat Fu Gu Ju with swelling, pain, pus formation, and chronic non-healing, use Tian Ling Gai San (Heavenly Skull Powder).
Tian Ling Gai (Human Cranium, 1 liang, calcined to ash)
Gou Tou Gu (Dog Skull Bone, 0.5 liang, calcined to ash)
Bai Fan (Alum, 0.5 liang, calcined until ash remains and juices are exhausted)
She Xiang (Musk, 1 qian, finely ground)
Huang Lian (Coptidis Rhizoma, 1 fen, remove rootlets)
Huang Bo (Phellodendri Cortex, 1 fen)
Process the above herbs by pounding them into a fine powder through a silk sieve. Mix in the finely ground She Xiang evenly. For each application, first wash the affected area with a decoction of Gan Cao (Licorice Root), dry it thoroughly, then mix the powder with raw sesame oil and apply topically.
To treat Fu Gu Ju and all types of malignant sores, use the following prescription:
Niu Huang (Calculus Bovis, 1 fen, finely ground)
She Xiang (Musk, 1 fen, finely ground)
Mu Xiang (Aucklandiae Radix, 1 fen)
Ding Xiang (Caryophylli Flos, 1 fen)
Xiang Zi (Lepidii Semen, 1 fen)
Ru Xiang (Olibanum, 1 fen, finely ground)
Zhu Sha (Cinnabaris, 1 fen, finely ground)
Xiong Huang (Realgar, 1 fen, finely ground)
Huang Dan (Minium, 1 fen)
Huang Bo (Phellodendri Cortex, 1 fen, sliced)
Ku Shen (Sophorae Flavescentis Radix, 1 fen, sliced)
Process the above herbs by pounding them into a fine powder through a silk sieve. Add the pre-ground ingredients and grind together until uniform. Cut single-layer paper strips according to the size of the sore... [text fragment missing] ...apply the medicine onto the paper strip.
To treat Fu Gu Ju and cold-toxic sores, as well as all malignant sores:
Qiang Lang (Dung Beetle, 1 liang, calcined to ash)
Ba Dou (Crotonis Fructus, 0.5 liang, peel and remove heart, grind and press between paper to remove oil)
Grind the above ingredients together into a fine powder and apply to the sore. Change once daily. For long-standing cases, efficacy is usually achieved within three applications.
For chronic non-healing Fu Gu Ju that recurs after healing, with bone extrusion from the sore opening:
Mix Zhu Dan (Porcine Bile) with Qiu Ye (Firmiana Leaf), pound into a paste, and apply as a poultice.
Another prescription:
Use natural juice of Gou Qi Zi (Lycii Fructus), simmer slowly over low heat until it becomes a concentrated syrup. Add refined Bai Fan (Alum), shape into firm pills, and dry in the shade. Pound into powder. First wash the wound with Gan Cao (Licorice Root) water, dry it, moisten the sore with saliva, and apply the powder evenly around the lesion.
To treat swollen and painful Fu Gu Ju, use Zao Jia Gao (Ziziphus Spinosae Fruit Ointment):
Zao Jia (Ziziphi Spinosae Fructus, 10 pods, processed with Mi Wu [Pimpinellae Radix] until melted, finely ground)
Wu Zhu Yu (Evodiae Fructus, 2 liang, powdered)
Xing Ren (Armeniacae Semen Amarum, 1 liang, soaked in hot water, peeled, roasted, and ground into a paste)
Shui Yin (Hydrargyrum, 1 liang, ground with Li Zao Reng [Jujube Pulp] until the mercury stars disappear)
Boil the above ingredients in 3 sheng of vinegar, reducing the Zao Jia decoction to 1.5 sheng. Filter out the dregs. Add Wu Zhu Yu and Xing Ren, and simmer over gentle heat until an ointment forms. Then add Shui Yin (Hydrargyrum) and mix uniformly. Store in a watertight container. Apply the ointment spread on old cloth to the affected area.
For Fu Gu Ju that has not healed for many years:
Nian You Jiao (Old Greasy Foot Residue/Fat, 1 liang)
Zhu Gui Sui (Porcine Marrow, 1 liang)
She Xiang (Musk, 1 qian, finely ground)
Grind all ingredients into an ointment and apply to the sore.
To treat Fu Gu Ju and Yu Yan Chuang (Fish-Eye Sore):
Xing Ren (Armeniacae Semen Amarum, 50 seeds, calcined to ash)
Luan Fa Hui (Ash of Tangled Hair, 1 liang)
Ni Fen (Calomel, 1 fen)
Grind the above ingredients finely. Add 3 he of oil and 0.5 liang of beeswax. Heat and stir until uniform. Store in a porcelain box. Clean the area before application.
Another prescription:
Use 7 Qiang Lang (Dung Beetles), mix with Da Mai Mian (Barley Flour), pound into a paste, and apply as a poultice.
Another prescription:
Burn a dog head and fumigate the affected area with the smoke.
Another prescription:
Use 5 Ji Zi (Chicken Eggs). Boil until cooked, separate the yolk from the white. Stir-fry the yolks in a ding pot over low heat until blackened. Allow to naturally transform into an ointment. Pour into a cup. Add 3 qian of Huang Dan (Minium) and Ni Fen (Calomel), and mix uniformly. Before each use, wash the affected area with rice washing water (Mi Tan), dry it, and apply the medicine. This method is highly effective.
Another prescription:
Qiang Lang (Dung Beetle, dried)
Pound into a fine powder through a silk sieve. First apply Wu Ji Zhi (Fat of Black Hen) to the sore opening, then dust with the powder.
For Fu Gu Ju that does not heal, recurs, and involves bone extrusion from the sore opening, use this prescription:
Yi Sui Wu Ci Ji Gu (Bone of one-year-old female black chicken, 1 liang, calcined to ash)
San Jia Tong Cai Jian (Wood chips from paulownia trees of three different households [specifically coffin wood], 1 liang, calcined to ash)
San Jia Chui Cao Jian (Cooking grass/straw from three different households, 1 liang, calcined to ash)
Grind all ingredients finely. Take a small amount and insert it into the sore. Once the fragmented bone is expelled, the condition will heal.