（附论）
夫久 者。是诸 连滞。经久不瘥。或暂瘥后复发。或移易三两处。更相应通。故为久
也。
方
五方帛膏（出圣惠方）治积年 疮及一切恶疮救急者。
五方帛（各一分） 乱发（二两洗净） 黄芩（一两） 紫菀（洗去苗土） 莨菪子 假
钓棘针
乳香（各二两） 石盐（一两） 黄蜡（二两） 麝香（一两细研） 黄丹（七两） 胡粉
（二两） 生
麻油（一升） 松脂（一两与乳香着油同捣） 水银（一两并胡粉点少许水研令星尽用） 上
件药
各捣研曝干。将油先入铛中炼烟少出。即下五方帛、乱发。用活火煎。发帛消尽。然后下黄
芩等四味。良久。下松脂、乳香二味。又搅良久。下麝香、黄蜡。又熟搅。次下黄丹、胡粉、
石盐、水银。又微用火急搅。勿住手。取一碗冷水点着硬即收之。每用摊放帛上贴之。日二
三换。
截 散（出外科精要）治年深 疮。
黄连（半两去须） 白蔹 白芨 黄丹（各一两） 轻粉（一钱） 龙脑 麝香（各半
钱别研）
密陀僧（一两） 上为细末和匀。干糁或捻上。以膏贴之。
生肌散（出济生拔粹方）
寒水石（锉） 滑石 乌鱼骨 龙骨（各一两） 定粉 密陀僧 白矾皮 干胭脂（各
半两）
上研为细末。干糁疮口上。
黄 丸 治漏疮连年不瘥。出脓水不止。
黄 （锉） 牡丹皮（各三分） 犀角（镑） 甘草（锉炙各一两） 玄参 恶实（炒）
木通
（锉各一两半） 上为末。炼蜜和丸如梧桐子大。每服二十丸。空心温酒送下。日再服之。
治久 核易三四处。皆生疮孔者。（出圣惠方）
乌蛇（一两半酒浸去皮骨炙令微黄） 蒺藜子（三两） 曲头棘针（半两） 马齿苋（三
分墙
上者佳） 头发（半两烧灰） 雄黄（一分细研） 绯帛（半两烧灰） 上件都捣研为细末。
以酒
调下。内疮中。看干即更着。以瘥为度。
平肌散（出仁斋直指方）治漏疮久不瘥。令露干则可用。
老狗头骨 露蜂房 生发（各存性烧一分） 新桑白皮（半分） 上为细末。入麝香、
轻粉
少许。津唾调敷。干则糁之。
露蜂房散（出仁斋直指方）治年久漏疮。或暂瘥复发。或移于别处。
多孔露蜂房（炙黄三分） 穿山甲（炙焦） 龙骨（各五分） 上为末。入麝香少许。
以腊月
猪脂调敷。湿则干糁。
治久 移易三四五处。皆生疮孔者。（出圣惠方）
蝙蝠粪（一两半） 白僵蚕（半两） 雄蚕蛾（半两） 乳香（半两） 蜀茶末（半两）
上为细
末敷疮上。以瘥为度。
久漏方（出仁斋直指方）
上用九孔蜂房炙黄为末。以腊月猪脂研敷。候收汁。以真龙骨、降真香节细末入。少许
乳香内疮孔中。
又捷效方。（出危氏方）
用信石新瓦上火 过为末。以津液润纸探子蘸少许。推入疮孔内。如疮孔多。不可齐上
药。免使害人。
乌药膏（出圣济总录）治诸 久不瘥。
乌药（二两为末） 猪胆（三枚） 上以胆汁和乌药末令匀。以薄绵裹。内疮口。日三
五度。
神助散（出危氏方）治 疮十余年不瘥。
槟榔 黄连（去须） 上等分为细末。先用活鳝鱼一条。掷于地。候
鳝鱼盘曲。以竹针五七枚贯之。覆疮良久。取视当有白虫数十。如针着鳝上取去。复覆
之。
不一月痊愈。盖老人血气冷。必候艾力以佐阳。而艾性亦能杀虫。洗疮。一月虫喘动。气血
亦随之。故疮不可即合。则结痛难当。实虫所为也。
治 疮多年不瘥。出于胸前或胁筋脚胫间者。无不效方。（出圣惠方）
用江淮多年破船上泥缝脂灰。不限多少。捣罗为末。以鸡子清和作团。用炭火烧令通赤。
待
蜂窠膏。治久 生九孔者。
又方（出圣惠方）
用栀子烧成灰细研。以羊髓调涂之。
治远年漏疮黍叶裹敷疮。日三五度。
又方
用栝蒌根捣罗为末。涂敷疮上。日三五度。
僵蚕涂敷方 治远年漏疮不瘥。
用僵蚕炒捣为末。涂敷疮口。以熟艾作炷灸之。初痒痛。恶脓出后。清血出。便用蚕末
塞疮口内。以帛裹定。
三奇散（出卫生家宝）治漏疮经久不生肌肉。臭烂不止。
麒麟竭 黄连（去须） 白矾（各半两） 上为末。敷于疮上。用膏药宽贴之。
蜣螂丸（出卫生家宝） 治恶漏疮经久不瘥。恶肉内溃。
蜣螂虫（自死者一分烧为灰） 巴豆（一枚去壳烧为灰微存性） 上碾细。以津和丸如
麻子大。内一丸入漏疮孔内。
治漏疮孔成了。脓水淋漓。经时不瘥。用之立验。（出卫生家宝）
降真香（三两） 雄黄（一两有墙壁者研水飞过） 踯躅花（半两） 麝香（少许别研）
上为末。
用纸捻子蘸上药。 疮窍中。觉痛即止。
治漏腮脓水淋漓不止。（出卫生家宝）上用猪蹄壳以盐封泥固济。
烧为灰。研末。以麻油轻粉调涂疮口。三两上即瘥。
[Attached Discussion]
The condition known as "Jiu Lou" (Chronic Fistula) refers to various fistulous diseases that linger and fail to resolve. They may persist for a long time without healing, or temporarily improve only to relapse, or shift between two or three locations, connecting with one another. Hence, it is termed "Jiu Lou" (Chronic Fistula).
Prescriptions
Wufang Bo Gao (Five-Square Silk Ointment) [Source: *Shenghui Fang*]: Treats chronic fistulous sores and all kinds of malignant sores in emergencies.
Ingredients: Wufang Bo (Five-square silk, 1 fen each), Luafa (Tangled hair, 2 liang, washed clean), Huangqin (Scutellariae Radix, 1 liang), Ziwan (Asteris Radix, washed free of seedlings and soil), Langdangzi (Daturae Semen), Jiadaojizhen (Spines of *Rhamnus* species), Xuxiang (Frankincense, 2 liang each), Shiyen (Rock salt, 1 liang), Huangla (Yellow beeswax, 2 liang), Shexiang (Musk, 1 liang, finely ground), Huandan (Red lead, 7 liang), Hufen (Lead carbonate, 2 liang), Sheng Mazhuyou (Raw sesame oil, 1 sheng), Songzhi (Pine resin, 1 liang, pounded together with Xuxiang in oil), Shuiyin (Mercurius, 1 liang, mixed with Hufen and a little water, ground until no metallic stars remain).
Preparation: Each of the above herbs is crushed, ground, and dried in the sun. First, heat the Mazhuyou (Sesame Oil) in a pan until slight smoke appears. Add Wufang Bo and Luafa, and boil over a lively fire until the hair and silk are completely dissolved. Then add the four herbs including Huangqin, and simmer for a considerable time. Next, add Songzhi and Xuxiang, stirring for a while longer. Then add Shexiang and Huangla, and stir thoroughly. Subsequently, add Huandan, Hufen, Shiyen, and Shuiyin, stirring rapidly over a mild fire without stopping. Test by dropping a small amount into a bowl of cold water; if it hardens, remove from heat. Apply the ointment spread on silk to the affected area, changing it two to three times daily.
Jie Lou San (Fistula-Intercepting Powder) [Source: *Waike Jingyao*]: Treats deep-seated fistulous sores.
Ingredients: Huanglian (Coptidis Rhizoma, 0.5 liang, remove stamens), Bailian (Bletillae Rhizoma), Baiji (Bletillae Rhizoma), Huandan (Red lead, 1 liang each), Qingfen (Calomel, 1 qian), Longnao (Borneolum Syntheticum), Shexiang (Musk, 0.5 qian each, separately ground), Miduoseng (Lithargyrus, 1 liang).
Preparation: Grind all ingredients into a fine powder and mix evenly. Sprinkle dry powder onto the sore or roll into sticks for insertion, then cover with an ointment plaster.
Shengji San (Flesh-Generating Powder) [Source: *Jisheng Bachui Fang*]
Ingredients: Hanshuishi (Calcitum), Huashi (Talcum), Wuyuigu (Cuttlefish bone), Longgu (Fossilia Ossis Mastodi et Scapulae, 1 liang each), Dingfen (Minium), Miduoseng (Lithargyrus), Baifanpi (Alumen crust), Ganyanzhi (Dry carmine, 0.5 liang each).
Preparation: Grind into a fine powder. Sprinkle dry powder onto the wound surface.
Huang Wan (Yellow Pill): Treats fistulous sores that have persisted for years without healing, with continuous discharge of pus and fluid.
Ingredients: Huang (likely referring to a specific herb or preparation, cut), Mudanpi (Moutan Cortex, 3 fen each), Xijiao (Rhino horn, shaved), Gancao (Licorice Root, cut and honey-fried, 1 liang each), Xuanshen (Scrophulariae Radix), Eshi (Arctii Fructus, fried), Mutong (Akebiae Caulis, cut, 1.5 liang each).
Preparation: Grind into powder. Mix with refined honey to form pills the size of paulownia seeds. Take 20 pills per dose, swallowed with warm wine on an empty stomach, twice daily.
Treating chronic fistula nodules appearing in three or four locations, all forming ulcerative holes. [Source: *Shenghui Fang*]
Ingredients: Wushe (Natrix natrix, 1.5 liang, soaked in wine, skin and bones removed, roasted until slightly yellow), Jilizi (Tribuli Fructus, 3 liang), Qutoujizhen (Spines of *Rhamnus* species, 0.5 liang), Machixian (Portulacae Herba, 3 fen, preferably from walls), Toufa (Human hair, 0.5 liang, burned to ash), Xionghuang (Realgar, 1 fen, finely ground), Feibo (Red silk, 0.5 liang, burned to ash).
Preparation: Pounded and ground all ingredients into a fine powder. Mix with wine for oral administration, and also apply the powder directly into the sores. Reapply as needed until healed.
Pingji San (Skin-Leveling Powder) [Source: *Renzhai Zhizhi Fang*]: Treats chronic fistulous sores that do not heal. Use only after exposing the sore to air until dry.
Ingredients: Laogoutougu (Old dog skull bone), Lubifang (Vespa nest), Shengfa (Human hair, each preserved nature and burned to 1 fen), Xin Sangbapi (New Mulberry Bark, 0.5 fen).
Preparation: Grind into a fine powder. Add a small amount of Shexiang (Musk) and Qingfen (Calomel). Mix with saliva for topical application. If dry, sprinkle powder.
Lubifang San (Vespa Nest Powder) [Source: *Renzhai Zhizhi Fang*]: Treats chronic fistulous sores lasting many years, which may temporarily heal and relapse, or migrate to other areas.
Ingredients: Duokong Lubifang (Multi-holed Vespa nest, roasted yellow, 3 fen), Chuanshanjia (Manis scales, roasted until scorched), Longgu (Fossilia Ossis Mastodi et Scapulae, 5 fen each).
Preparation: Grind into powder. Add a small amount of Shexiang (Musk). Mix with lard from the twelfth lunar month for topical application. If wet, sprinkle dry powder.
Treating chronic fistulas migrating to three, four, or five locations, all forming ulcerative holes. [Source: *Shenghui Fang*]
Ingredients: Bianbatun (Bat feces, 1.5 liang), Baijiangcan (Bombyx Batryticatus, 0.5 liang), Xiongcan'e (Male silkworm moth, 0.5 liang), Xuxiang (Frankincense, 0.5 liang), Shu Cha Mo (Powdered Shu tea, 0.5 liang).
Preparation: Grind into a fine powder and apply to the sore until healed.
Jiu Lou Fang (Chronic Fistula Prescription) [Source: *Renzhai Zhizhi Fang*]
Take the nine-holed Vespa nest, roast until yellow, and grind into powder. Grind with lard from the twelfth lunar month for application. After exudate dries, add fine powder of Zhen Longgu (True fossilized bone) and Jiangzhengxiang (Aquilaria wood nodes) and a small amount of Xuxiang (Frankincense) into the fistula hole.
Another Rapidly Effective Formula [Source: *Wei Shi Fang*]
Use Xinshi (Arsenic mineral) calcined on a new tile, ground into powder. Moisten a paper probe with saliva, dip into the powder, and insert a small amount into the fistula hole. If there are multiple holes, do not apply medication to all simultaneously to avoid harming the patient.
Wuyao Gao (Wuyao Ointment) [Source: *Shengji Zonglu*]: Treats various fistulas that do not heal for a long time.
Ingredients: Wuyao (Litseae Fructus, 2 liang, ground to powder), Zhu Dan (Pig bile, 3 pieces).
Preparation: Mix Wuyao powder with pig bile until uniform. Wrap in thin cotton, insert into the wound, three to five times daily.
Shenzhu San (Divine Assistance Powder) [Source: *Wei Shi Fang*]: Treats fistulous sores persisting for over ten years.
Ingredients: Binglang (Areca Seed), Huanglian (Coptidis Rhizoma, remove stamens).
Preparation: Equal parts ground into fine powder. Take one live eel, throw it on the ground, wait for it to coil, then pierce it with five to seven bamboo needles. Place the eel over the sore for a prolonged period. Upon removal, dozens of white worms should be found attached like needles. Remove them and repeat. Healing occurs within a month. This is because elderly patients have cold Qi and Blood, requiring Moxa (Ai Ye) to assist Yang; Moxa also kills parasites. Washing the sore causes worms to move after a month, and Qi and Blood follow suit. Thus, the sore cannot close immediately, or scarring will cause severe pain due to the presence of worms.
Effective Prescription for Chronic Fistulas on Chest, Hypochondrium, Tendons, or Calves [Source: *Shenghui Fang*]
Use mud-seal grease from old broken boats in the Jianghuai region, any quantity. Pound and sieve into powder. Mix with egg white to form balls, burn in charcoal until red-hot.
Dai Fengke Gao (Waiting Beehive Ointment): Treats chronic fistulas with nine openings.
Another Formula [Source: *Shenghui Fang*]
Burn Gardeniae Fructus to ash, grind finely, and mix with sheep marrow for application.
For ancient fistulous sores, wrap Shenye (Setaria italica leaves) around the sore for application, three to five times daily.
Another Formula
Grind Trichosanthis Radix into powder and apply to the sore, three to five times daily.
Jiangcan Topical Application Formula: Treats ancient fistulous sores that do not heal.
Stir-fry Bombyx Batryticatus, pound into powder, and apply to the sore. Perform moxibustion with prepared Moxa (Ai Ye). Initially, there is itching and pain; after foul pus discharges and clear blood appears, stuff the silkworm powder into the sore, wrap with silk.
Sanqi San (Three Miracles Powder) [Source: *Weisheng Jiabao*]: Treats chronic fistulas failing to regenerate flesh, with continuous foul decay.
Ingredients: Qilinjie (Dragon's blood), Huanglian (Coptidis Rhizoma, remove stamens), Baifan (Alumen, 0.5 liang each).
Preparation: Grind into powder, apply to the sore, and cover with a wide ointment plaster.
Qianglang Wan (Dung Beetle Pill) [Source: *Weisheng Jiabao*]: Treats malignant chronic fistulas with internal necrosis of foul tissue.
Ingredients: Qianglangchong (Dung beetle, self-dead, 1 fen, burned to ash), Badou (Crotonis Fructus, 1 seed, shell removed, burned to ash, retaining some properties).
Preparation: Grind finely. Mix with saliva to form pills the size of hemp seeds. Insert one pill into the fistula hole.
Immediate Remedy for Chronic Fistulas with Continuous Pus Discharge [Source: *Weisheng Jiabao*]
Ingredients: Jiangzhengxiang (Aquilaria wood nodes, 3 liang), Xionghuang (Realgar, 1 liang, from wall sources, washed and ground), Zhizhu Hua (Daphne flower, 0.5 liang), Shexiang (Musk, a little, separately ground).
Preparation: Grind into powder. Dip a paper twist into the medicine and insert into the fistula opening. Stop when pain is felt.
Treatment for Foul Parotid Abscess with Continuous Pus Discharge [Source: *Weisheng Jiabao*]
Seal pig trotter shells with salt and mud, burn to ash, grind to powder. Mix with Mazhuyou (Sesame Oil) and Qingfen (Calomel) for topical application. Healing occurs in about three days.