（附论）
夫野狼 者。由寒暑不调。饮食有毒。或大怒气上不下之所生也。始发之时。在于颈项。
有根出缺盆。上转连耳本。其根在肝也。
方
神效 皮散 治野狼 出脓水不绝。寒热肢节烦疼。
皮（一枚炙黄） 川椒（三分去目及合口者微炒出汁） 附子（三分炮制去皮脐） 当
归
（三分锉微炒） 露蜂房（三分微炒） 地榆（三分锉） 木通（三分锉） 苦参（一两锉）
斑蝥
（半两去头足翅以糯米拌炒米黄为度） 鲮鲤甲（四枚炙令甲黄） 桂心（半两） 细辛（半
两）
樗鸡（三分炙黄） 川大黄（一两锉碎微炒） 蜈蚣（一两微炒） 雄黄（一两半研细） 蛇
床子
（一两） 蛇蜕（半两烧灰） 蜥蜴（一枚炙黄） 薏苡仁（三分） 茹（一两） 牡丹
（三分）
龙胆（三分去芦头） 鸡骨（一两炙黄） 土瓜根（三分） 芦（三分） 白蒺藜（三分
微炒去刺）
上为细末。每于食前以温酒调下一钱。以瘥为度。
空青商陆散 治野狼 始发于颈。肿无头有根。起于缺盆之上。连延耳根肿大。此得
之忧恚。
气上不得下。其根在肝。一作在肺。空青主之。商陆为之佐。空青 脑（各三分）
肝（一具干之） 芎 （半分） 独活 黄芩 鳖甲 妇人蓐草 商陆 斑蝥 干姜 地胆 当
归茴香 矾石（各一分） 川椒（三十粒） 上捣筛为末。酒下方寸匕。日三服。十五日
服之。
外台秘要为商陆丸。
空青散 治野狼 发于颈耳。疼痛出脓水。
空青（半两炙过细研） 脑（半两） 肝（一具微炙） 芎 （半两） 独活（三
分） 黄芩
（半两） 干姜（一分炮锉） 当归（半两微锉炒） 斑蝥（一分去头足翅糯米拌炒以黄为
度）
鳖甲（三分涂醋炙令黄去裙 ） 川椒（五十粒去目及闭口者微炒出汗） 香子（一分） 白
矾
（一两烧灰） 上为细末。每服一钱。食前温酒调下。
空青丸。
空青（烧过细研） 商陆 知母 狸骨（炙黄） 桔梗（去芦头） 矾石（泥裹烧半日
细研）
防风（去芦头） 荏子 白矾（烧令汁尽） 蛇蜕皮（烧炙） 白芷 赤芍药 斑蝥（以上
各等分
斑蝥去头足翅糯米拌炒令米黄为度） 上为细末。炼蜜和丸如桐子大。每日空心以醋汤下三
丸。
芫青丸 治野狼 。
芫青（二十枚去头足翅糯米拌炒令黄色） 地胆（十枚去头足翅糯米拌炒令黄色） 斑
蝥
（十枚去头足翅糯米拌炒令黄色） 生犀角屑（如枣大） 黑豆黄（五十枚炒熟） 牛黄（如
枣大
研细） 蜈蚣（一枚去足大者炙令焦黄） 上前件六味为末。入牛黄研令匀。炼蜜和丸如桐
子大。和服药隔夜少食。每日空心以温酒下二丸。须臾可煮醋浆水薄粥。稍稍饮之。其 有
形
状皆从小便中出。至心甚虚闷。可煮蔓荆菜羹食之。少壮人隔日一服。弱人隔两三日一服。
服药后疮瘥虫尽为度。若瘥。将息一月。药欲其尽。须预合。勿使断绝药气。
鲮鲤甲散（出圣惠方）治野狼 。
鲮鲤（一两） 鹘鸟嘴（半两） 皮（一枚） 犬牙（一分） 蜈蚣（一枚） 上件
药入瓦炉
子内。烧烟绝。便以盆合之。勿令成灰。候冷。研令细。以腊月猪脂炼过。调敷疮上。日二
换之。
(Attached Discussion)
Ye Lang Chuang (Wild Wolf Ulcer) arises from the disharmony of cold and heat, ingestion of toxic food, or qi rebellion due to excessive anger that fails to descend. Initially, the lesion appears on the neck and nape.
The swelling has a root, protruding from the Quepen area (acupoint CV15), extending upward to connect with the base of the ear. Its pathological root lies in the Liver.
Formula 1: Shenxiao Pi San (Miraculous Efficacy Cortex Powder)
Indications: Ye Lang Chuang with continuous purulent discharge, accompanied by alternating chills and fever, and vexing pain in the limbs and joints.
Ingredients:
Diguopi (Cortex Lycii, one piece, roasted until yellow) Chuanjiao (Sichuan Pepper, 3 fen, remove eyes and closed ones, lightly stir-fried until oil exudes) Fuzi (Prepared Aconite Root, 3 fen, processed, peel and navel removed) Danggui (Radix Angelicae Sinensis, 3 fen, sliced and lightly stir-fried) Lufengfang (Nidus Vespae, 3 fen, lightly stir-fried) Diyuyu (Radix Sanguisorbae, 3 fen, sliced) Mutong (Caulis Akebiae, 3 fen, sliced) Kushen (Radix Sophorae Flavescentis, 1 liang, sliced) Banmao (Mylabris, half liang, remove head, feet, and wings, stir-fry with glutinous rice until rice turns yellow) Linglijia (Scutellum Manis, four pieces, roasted until scales turn yellow) Guixin (Cortex Cinnamomi, half liang) Xixin (Radix Asari, half liang) Chuji (Drynaria Rhizome, 3 fen, roasted until yellow) Chuan Dahuang (Radix et Rhizoma Rhei, 1 liang, sliced and lightly stir-fried) Wugong (Scolopendra, 1 liang, lightly stir-fried) Xionghuang (Realgar, 1.5 liang, finely ground) Shechuangzi (Fructus Cnidii, 1 liang) Tuie (Ophidian Skin, half liang, burnt to ash) Xiyi (Lizard, one piece, roasted until yellow) Yiyiren (Semen Coicis, 3 fen) Rucao (Herba Rubiae, 1 liang) Mudanpi (Cortex Moutan, 3 fen) Longdan (Radix Gentianae, 3 fen, remove rhizome) Jigu (Chicken Bone, 1 liang, roasted until yellow) Tugua Gen (Radix Pseudostellariae, 3 fen) Lugeng (Rhizoma Phragmitis, 3 fen) Baijili (Fructus Tribuli, 3 fen, lightly stir-fried and thorns removed).
Process all ingredients into a fine powder. Before meals, take 1 qian mixed with warm wine. Continue until cured.
Formula 2: Kongqing Shanglu San (Azurite and Phytolacca Powder)
Indications: Ye Lang Chuang initially appearing on the neck, swollen without a head but with a root, arising above the Quepen area and spreading to cause swelling at the ear root. This condition results from worry and indignation causing qi to rise and fail to descend; its root is in the Liver (alternatively stated as Lung). The principal herb is Kongqing (Azurite), assisted by Shanglu (Phytolacca).
Ingredients:
Kongqingnao (Azurite Brain, each 3 fen) Gan (Pig Liver, one piece, dried) Xiong (Radix Ligustici Chuanxiong, half fen) Duhuo (Radix Angelicae Pubescentis) Huangqin (Radix Scutellariae) Biejia (Carapax et Plastrum Testudinis) Funren Rushicao (Herba Artemisiae Argyi - postpartum residue herb) Shanglu (Radix Phytolaccae) Banmao (Mylabris) Ganjiang (Rhizoma Zingiberis Recens) Di'dan (Blatta Orientalis) Danggui (Radix Angelicae Sinensis) Huixiang (Fructus Foeniculi) Fanshi (Alumen, each 1 fen) Chuanjiao (Sichuan Pepper, 30 grains).
Process all ingredients into a powder. Take 1 fangcunbi (a measure approx. 1-2 grams) with wine, three times daily, for fifteen days.
*Wai Tai Mi Yao* records this formula as Shanglu Wan.
Formula 3: Kongqing San (Azurite Powder)
Indications: Ye Lang Chuang occurring on the neck and ears, painful with purulent discharge.
Ingredients:
Kongqing (Azurite, half liang, roasted and finely ground) Kongqingnao (Azurite Brain, half liang) Gan (Pig Liver, one piece, lightly roasted) Xiong (Radix Ligustici Chuanxiong, half liang) Duhuo (Radix Angelicae Pubescentis, 3 fen) Huangqin (Radix Scutellariae, half liang) Ganjiang (Rhizoma Zingiberis Recens, 1 fen, processed and sliced) Danggui (Radix Angelicae Sinensis, half liang, slightly sliced and fried) Banmao (Mylabris, 1 fen, remove head, feet, wings, stir-fry with glutinous rice until yellow) Biejia (Carapax et Plastrum Testudinis, 3 fen, coated with vinegar, roasted until yellow, remove skirt edge) Chuanjiao (Sichuan Pepper, 50 grains, remove eyes and closed ones, lightly stir-fried until moisture appears) Xiangzi (Seed of Litsea/Cibotium? Context implies aromatic seed, 1 fen) Baifan (White Alum, 1 liang, burnt to ash).
Process all ingredients into a fine powder. Take 1 qian before meals, mixed with warm wine.
Formula 4: Kongqing Wan (Azurite Pill)
Ingredients:
Kongqing (Azurite, burnt and finely ground) Shanglu (Radix Phytolaccae) Zhimu (Rhizoma Anemarrhenae) Liguj (Fox Bone, roasted until yellow) Jiegeng (Radix Platycodonis, remove rhizome) Fanshi (Alumen, wrapped in mud and roasted for half a day, finely ground) Fangfeng (Radix Saposhnikoviae, remove rhizome) Renzi (Perilla Seed) Baifan (White Alum, burnt until liquid evaporates) Tuipipi (Ophidian Skin, burnt and roasted) Baizhi (Radix Angelicae Dahuricae) Chishaoyao (Radix Paeoniae Rubra) Banmao (Mylabris, equal parts of all above; Banmao must have head, feet, and wings removed, stir-fried with glutinous rice until rice turns yellow).
Process all ingredients into a fine powder. Mix with refined honey to form pills the size of tung seeds. Take three pills daily on an empty stomach with vinegar water.
Formula 5: Yuanqing Wan (Mylabris/Pithana Pill)
Indications: Ye Lang Chuang.
Ingredients:
Yuanqing (Mylabris/Pithana, 20 pieces, remove head, feet, wings, stir-fry with glutinous rice until yellow) Di'dan (Blatta Orientalis, 10 pieces, remove head, feet, wings, stir-fry with glutinous rice until yellow) Banmao (Mylabris, 10 pieces, remove head, feet, wings, stir-fry with glutinous rice until yellow) Sheng Xijiao Xie (Raw Rhinoceros Horn Chips, date-sized) Heidouhuang (Black Soybean, 50 pieces, cooked) Niuhuang (Calculus Bovis, date-sized, finely ground) Wugong (Scolopendra, one large piece, remove feet, roast until scorched yellow).
Grind the first six ingredients into powder, add Niuhuang, and grind uniformly. Mix with refined honey to form pills the size of tung seeds. Reduce food intake the night before taking the medicine. Take two pills daily on an empty stomach with warm wine. Shortly after, drink thin porridge made with vinegar water slowly. Toxic matter will be expelled via urine. If feeling extreme weakness and oppression, eat Mugwort/Mandarin Orange leaf soup. Strong individuals take every other day; weak individuals take every two to three days. Continue until ulcers heal and parasites are expelled. If healed, rest for one month. Ensure the medication supply is continuous; do not let the medicinal energy break. Pre-compound the medicine.
Formula 6: Lingli Jia San (Manis Scale Powder) (From *Sheng Hui Fang*)
Indications: Ye Lang Chuang.
Ingredients:
Lingli (Manis Scale, 1 liang) Hubingzui (Hawk Beak, half liang) Diguopi (Cortex Lycii, one piece) Gouya (Dog Tooth, 1 fen) Wugong (Scolopendra, one piece).
Place all ingredients in a clay furnace. Burn until smoke ceases. Immediately cover with a basin to prevent turning to ash. Once cooled, grind into a fine powder. Mix with rendered lard from the twelfth lunar month. Apply topically to the ulcer, changing twice daily.