其奇中大略也。照法日每一次，初次用捻三根或四根，次日用四根或五根，再次渐至六七根
止，大率看疮轻重，酌捻多寡。重者不过六七日，腐肉尽化为脓，从疮口中陆续涌出，新肉如
石榴子累累而生，此时不必再照。围药终始如一，随疮势大小，渐渐收入。照围后不可听
医用膏药贴盖，以致毒瓦斯怫郁，止剖葱叶量疮口贴之。凡照时先须用猪蹄煎汤，澄清洗去围药。
如法熏照，待疮势大愈，肉生将满，始可用生肌散，或护以太乙膏，平复后膏药犹不可离，此
其始末细微也。内服者，大要不出十宣散、护心散等方，最忌寒凉，恐伤胃气。此疮由恼
怒郁结浓味所致，受病以年计，愈久则愈甚也。调摄之法，非惩忿窒欲，清散托里，治以前方，
即卢扁复生有望而走耳。又前方初止治背疽，其后一切肿毒无不牧功，盖法无定则，医贵变通，
神而明之，存乎其人耳。余不佞善病，故留心方术，然未经累验，不轻授人。此一方初验于
化南，再验于陈大参景山，及范中翰舍初，其他证亦曾用以推展，皆应手取效，辄赘其详于此。
其传则道人孙氏，今大播广陵，余先慈赖以保安者廿年云。
池阳来阳伯云∶王孝廉良甫为余言，广陵人有善神灯照者，疗渠发背神良，已求得其
禁方矣，余识之。已西岁余客广陵，偶 肿比于股，招所谓善疗者照之，不脓得愈。又馆友
胡含素患发背，大如覆盂，神懵
懵愦矣，延疡医至，束手，待肉腐糜方可用膏，徐长肌肉。问其术曰至此，问其候曰百日。
果如其说，则含素将成乌有矣。遂急同弟辈求得前方刻本，按法治之。一日痛止，二三日神清，
如脱桎梏，释重负，肉肿如盂者日缩而小，并未尝腐糜也。不月余脓尽，爽然起矣。奇矣哉！
不表而汗，不针而溃，不灸而陷举，不补而实，不下而毒尽，凡医人之针刺不必用也。至理
归于易简，大道本在目前，所谓不可不思议者也。古今道术入妙者皆如此类，兹重刻之，故为
此叙。
曲梁聂云翰云∶戊戌春暮，余病疽京邸，疽据背中，前与心对，初发微若黍粒，搔之痛痒
关心，寒热交作，甫十日大若升，再十日大若斗，食逆便结，匝月目不一瞬，医方所载诸死候业已十犯八九，
两绝复苏，自分无生，手条后事。偶从杨楚璞得李肖衡所传异人指授仙方，如法熏敷，越二日
毒渐解，乃有起色，不易方而竟就痊，距初发浃廿旬。归家出以试人，经仅逾月，重亦不出百日，
靡不起者，盖余所感毒极重，势极大，又治极迟，即二三内外科名家皆束手失色，以为从所未
闻未见，及试人则取验更捷，盖感有轻重，治有迟早也。顾念非此异方，不能起余必死异证，
非余起死回生，不能白此方之神异，余以此方活，安忍天下人以此证危。因虑此方莫获广沛于
天下，又虑天下忽视此方而不加笃信，或乱于耻功不已出之医口，疑似转盼间，致误大事而悔
无及也，因赘数语以为此方之引。
咸林王维英云∶丙午端阳日，余左臂患疽，其大如拳，用骑竹马法，灸之百十壮， 起如
铜钱，四围肿觉退。笋中蓄此仙方，命制药料，欲俟破后熏之，不识其初亦可熏也。客有备言
可熏者，因于当日即熏十条，疮顶高收，四围色自，夜间毒肉从边化为稠脓，徐徐内溃，粘
同胶鳔。每日如法熏照洗贴，五六日，中尖毒肉脱落一条，共有十三孔，疮外一指许旁串三孔，
且痛且痒，即极力照之，初出黄水，次出稠脓，后流清浆，瞬息口牧，并未再串。其原载敷药，
长安中若不产 、五龙二草，止用金银花三色敷之。干则觉痛，
即去之不敷，并未用生肌散，惟护以太乙膏，月余尽痊。当此疮将愈，左臂又患一疽，正对
无二，即照捻十条，敷以麸炒醋调文蛤膏，一日数更。次日五条，三日顶破脓出，不痛不痒，其
毒尽散。同时有患别疮者，余付此药熏之，随熏即散，并未成形。乃知是方也，真仙方哉！
真仙方哉！持此疗疮，天下无疮矣余恐世人但知疮破后可照，不识照初发者尤易散；又恐因敷
药不全，并弃前方，不识敷药不用亦可也，故备述终始，以神此方之用。
洗药神效散（一二三） 洗阴湿诸疮。
蛇床子（二两） 朴硝（一两）
上每用一两，水一一碗，煎数沸，洗疮拭干，掺生肌药。
雄黄解毒散（一二四） 治一切痈肿溃烂。毒势甚者，先用此药二三次，以后用猪蹄汤。
雄黄（一两） 白矾（四两） 寒水石（ ，一两半）
上俱为末，用滚汤二三碗，乘热入药末一两洗患处，以太乙膏或神异膏贴之。
猪蹄汤（一二五） 治一切痈疽杖疮溃烂，去恶肉，润疮口，止痛。
白芷 黄芩 当归 赤芍药 独活 生甘草 露蜂房（连子者佳，各五钱）
用猪蹄一只，水四五碗，煮熟去油 ，取清汤，入前药一两许，煎十数沸，去 温洗，
恶肉随洗而下，随用膏药贴之。按∶此汤不必用黄芩，或以白矾易之更佳。
集香散（一二六） 洗痈疽溃烂。
白芷 藿香 茅香 香附 防风（各三钱） 木香 甘草（各钱）
上用水三碗，煎数沸，去 ，淋洗患处。
立斋曰∶此乃馨香之剂也，血气闻香则行，得臭则逆也，凡疮毒将尽未尽宜用之。
若有瘀肉，宜先用雄黄解毒散解之，后用此方，洗后须即用膏药贴护，勿使风入肌肉易生，
直至收口为度。最忌用生肌之药
敷药方（一二七）
车前草 草 金银花 五爪龙草
上四味，鲜草，一处捣烂，加多年陈米粉，即常用糨衣者，初起时仍加飞盐少许，共调
为稠糊敷疮上，中留一顶拔脓出。若冬时无鲜者，用干叶为末，陈醋调敷亦可。或五龙草一
时难得，即单用四味亦能奏功，不必拘执也。阳伯曰∶疮毒初起毒盛者，须内服败毒药数剂；
其有气血薄弱者，亦须用托里药数剂，则万全之计耳。
《秘传》围药铁井栏（一二八）敷一切恶毒，即收敛消肿，神效。
牛粪灰（晒干烧灰，用新瓷罐盛之，干处加倍用） 铁线草 草乌 文蛤 白芨
白蔹 贝母心 陈小粉（炒极黄色，各等分）
上为末，用高醋熬热调药如糊敷疮，四围中留钱孔以出毒瓦斯，干则易之。疮势恶甚者，
用飞龙夺命丹等药，出汗，无不效。
大黄揭毒散（一二九）敷热壅肿毒。
大黄（一两半） 白芨（一两） 朴硝（二两）
上为末，井水调搽，干则润之。
草乌揭毒散（百三十）治一切痈疽肿毒。
草乌 贝母 天花粉 南星 芙蓉叶（等分）
上为末，用醋调搽四围，中留头出毒，如干，用醋润之。
抑阴散（一三一）治疮疡元气虚寒， 肿不消，或不溃敛，或筋挛骨痛，一切冷证。
草乌（二两） 南星（煨） 赤芍药（炒） 白芷（各一两） 肉桂（五钱）
上为末，葱汤调涂，热酒亦可。
抑阳散（一三二）一名洪宝丹。治疮属纯阳，肿痛发热。
天花粉（三两） 姜黄 白芷 赤芍药（各一两）
上为末，茶汤调搽患处。
阴阳散（一三三）治疮属半阴半阳。
紫荆皮（炒，五两） 独活（去节，炒，一两） 赤芍药（炒） 白芷 石菖蒲（各二两）
上为末，葱酒调搽。
神功散（一三四） 诸发背痈疽，及诸疮，不问肿溃皆效。
黄柏（炒） 草乌（炒，各一两）
上为末，用漱口水调入香油少许搽患处，如干，仍用水润之。
清凉救苦散（一三五） 治大头瘟肿甚者，以此药敷之。
芙蓉叶 霜桑叶 白蔹 白芨 大黄 黄连 黄柏 白芷 雄黄 芒硝 山茨茹 赤小豆
南星 金线重楼
上等分为末，蜜水调敷肿处，以翎频扫之。
二黄膏（一三六） 敷一切肿毒，热浮在外，或时气热壅者。
黄柏 大黄（各等分）
上为末，用醋调敷，如干，用水润之。
回阳玉龙膏（一三七）治阴疽发背，寒邪流注，风湿冷痹，诸香港脚冷痛无红赤者，及跌
扑所伤为敷凉药，或人元气虚寒，肿不消散，或不溃敛，及痈肿坚硬，肉色不变，久而不溃，
溃而不敛，或鼓椎风筋挛骨痛，一切阴寒冷证第一药也。
草乌 肉桂（各五钱） 姜黄（炒） 南星（煨） 白芷 赤芍药（炒，各一两）
上为末，葱汤或热酒调涂。
冲和膏（一三八）治一切疮肿，不甚 热，积日不消。
紫荆皮（炒，五两） 独活（去节，炒，三两） 赤芍药（炒，二两） 白芷 菖蒲（各一两）
上为末，葱头煎汤调搽。
麦饭石膏（一三九）治疮疽初起，先以麦饭石膏涂之，俟疮根渐收，即敷神异膏敛之。
但麦饭石膏难于修合，用神异膏亦效。
白麦饭石（炭火 ，醋淬数次，研极细二两。据《本草》所载，凡石如饭团，粒粒粘结
成块者即是，皆可用也） 鹿角（生取带脑骨者，断之，用炭火烧烟尽，研极细四两）
上用米醋调和，入砂器煎，以竹片不住手搅熬成膏。先用猪蹄汤洗患处，以鹅翎拂涂四围，
干则以醋润之，若腐烂者，用布帛摊贴之。李氏曰∶麦饭石膏治发背痈疽神妙，惜世罕知。
有患痈不溃而危者，全用此膏，一夕顿溃。凡疽得脓，其毒始解，或有不溃者，须用此膏，
故录之俾精择修合，以取十全之功也。尝见世间医者，每有妙方，秘而不传，或更改以惑人，
诚可恶也。余思西华麦饭石膏守死不传，其立心私刻，君子鄙之矣。
黑末子（百四十）治疖毒。
用羊角连内骨烧存性，为末。酒调三钱，分上下服之，疮可散。立斋曰∶此方未尝用，
盖秘方也。尝治面上或身卒得赤斑，或痒或瘭毒，此而不治，亦乃杀人。以 羊角烧存性，研
为极细末，以鸡子清调涂之，甚效。本草亦云然。
乳香定痛散（一四一）治疮疡溃烂，疼痛不可忍，诸药不效者。
乳香 没药（各二钱） 寒水石（ ） 滑石（各四钱） 冰片（一分）
为细末，搽敷患处，痛即止。此方乳、没性温，佐以寒剂制之，故寒热之痛皆妙。
乌金膏（一四一）治发背中央肉死，涂之即腐；未死，涂之即生。若初起肿痛，用点数
处，则解毒顿消，若瘀肉腐黑，涂之即溃。若恶疮顽疮，元气无亏，久不收敛者，内有毒根，
以纸捻醮 其内。有等发背因元气虚弱，或因克伐，元气亏损，毒瓦斯散漫，中黯外赤，不腐
不溃，须服大补之剂，中涂三四寸许，至五六日间，赤黯之界自有裂纹如刀划之状，中央渐溃
渐脱，内用纯阳之药以接其元气，庶能收敛。若妄用刀针。去肉出血，则阳随阴散，元
气愈伤，或涂凉药则毒瓦斯不解，气血愈虚，非徒无益，适以害之矣。其方用巴豆去壳炒黑，
研为膏，点肿处，或涂瘀肉上，则自消化，或加乳香少许亦可。如涂疮内，或加香油少许调稀
可用。若余毒不敛者，以此 之，不致成痛。
透骨丹（一四三） 此溃脓药，外科不可缺。
蟾酥 硼砂 轻粉 巴豆（各五钱） 蜗牛（二个） 麝香（一分）
上先将巴豆研如泥，次入蜗牛、麝香再研，后入各药研极细，以小瓷瓶收藏。每用少许
以乳汁化开，先用铁轻轻拨破毒头，挑药米粒许纳于疮口，外用清凉膏贴之。
针头散（一四四）治一切顽疮，内有脓管瘀肉，或瘰 结核不化，疮口不合，宜此药追
蚀腐之。
赤石脂（五钱） 轻粉 麝香（各五分） 乳香 白丁香（各三钱） 生砒 黄丹（各一钱）
蜈蚣（一条，炙干）
上为末，搽瘀肉上，其肉自化。若疮口小或痔疮，用糯米糊和作细条，阴干 入，外以
膏药贴之。凡疮口久不合者，内有脓管，必须用此腐之，内服托里之药。
代针膏（一四五）治疮疡脓熟不溃。
乳香（二分） 白丁香（真者是） 巴豆（炒焦） 碱（各五分）
上为末，热水调点疮头上，常以碱水润之，勿令其干。
替针丸（一四六）治脓成不溃者。
白丁香 砂（另研） 真没药 乳香（各一匙）
糯米四十粒，先以矿灰拳大一块，置瓷碗内，量入井水，待热气将息，以米排入灰中，
良久候米如水
晶状，取出用之，如米未就，再用灰制。
上各另为末，然后和匀收贮。用时以饭丸麦粒大，每用一粒，水湿粘疮头上，其脓自出。
凡疮疡血气壮实，脓成不溃者，宜用此药以泄其毒，则肌肉易生，疮口易敛。若气血亏损者，
须用甘温之剂以培根本，否则不惟不溃，且难收敛。若附骨疽及紧要之地，当及时针砭出之
为善。
三合散（一四七） 治痈疽不肯作脓。
新巴豆肉 明砒 斑蝥（等分）
上为细末， 疮内，恶肉自化。
立斋曰∶此方药性太毒，果有恶毒之证，宜用腐之，取其以毒攻毒也。若以阳气虚，不能
腐化成脓者，宜用大补之剂，及桑木灸之。丹溪云∶气血壮实，脓自涌出。大抵疮之溃敛迟速，
总由血气之盛衰使然也。
藜芦膏（一四八）治一切疮疽 肉突出，不问大小长短，用藜芦一味为末，以生猪脂
和研如膏涂患处，周日易之。
生肌散（一四九）治疮口不合。
木香 轻粉（各二钱） 黄丹 枯矾（各五钱）
上为细末，用猪胆汁拌匀晒干，再研细，掺患处。
This is roughly the general principle. According to this method, apply once daily. For the first application, use three or four moxa cones; on the second day, use four or five; subsequently increase gradually until reaching six or seven cones. Generally, the number of cones should be adjusted according to the severity of the sore. For severe cases, within six or seven days, the necrotic tissue will completely transform into pus and discharge continuously from the wound. New flesh will grow like pomegranate seeds. At this stage, moxibustion is no longer necessary. The application of the surrounding paste (Wei Yao) should remain consistent throughout. As the swelling subsides, the paste should be applied progressively inward. After moxibustion and applying the surrounding paste, do not allow physicians to cover the wound with plaster, which may cause toxic heat to stagnate. Instead, cut open a scallion leaf and place it over the wound opening according to its size. Before moxibustion, boil pig trotters in water, clarify the broth, and wash away the surrounding paste. Follow the moxibustion method. Once the condition improves significantly and granulation tissue nearly fills the wound, Shengji San (Flesh-Generating Powder) can be used, or protect the area with Taiyi Gao (Great One Plaster). Even after recovery, the plaster should not be removed immediately. This details the beginning and end of the treatment. Regarding internal medication, the formulas generally include Shixuan San (Ten-Acclamation Powder) and Huxin San (Heart-Protecting Powder). Cold-natured herbs are strictly contraindicated to avoid damaging Stomach Qi. This disease is caused by anger, depression, and rich dietary intake. The illness develops over years; the longer it persists, the more severe it becomes. The regulation method requires restraining anger and desires, combined with clearing, dispersing, and supporting interior treatments. If only the previous formulas are used, even if Lu Ren (Bian Que) were reborn, there would be little hope for recovery. Initially, the previous formula was used only for back carbuncles, but later it was found effective for all types of swelling and toxicity. Treatment methods have no fixed rules; physicians must be flexible. Proficiency depends on the individual. I am inept and prone to illness, so I pay attention to medical arts. However, without repeated verification, I dare not easily teach others. This formula was first verified in Hunan, then verified again at the residence of Chen Dashan Jing Shan, and Fan Zhonghan She Chu. It has been used for other conditions with immediate effect. Therefore, I detail it here. The transmission comes from Daoist Sun, who now widely spreads it in Guangling. My late mother relied on it for twenty years of safety.
Lai Yangbo from Chiyang said: Wang Xiaolian Liangfu told me that there is a person in Guangling skilled in Shen Deng Zhao (Divine Lamp Moxibustion), who treated his back carbuncle effectively. I have obtained his secret formula and remember it. In late Jiyu year, while staying in Guangling, I accidentally developed a swelling on my thigh. I invited the skilled practitioner to treat it with the lamp, and it healed without suppuration. Another friend, Hu Hansu, suffered from a back carbuncle as large as an inverted bowl. He was mentally confused and lethargic. The surgeon was helpless, stating that one must wait for the flesh to rot before applying plaster to promote healing. When asked about the technique, he said it was too late; when asked about the prognosis, he said it would take a hundred days. Indeed, as he predicted, Hu Hansu would likely die. Thus, I urgently sought the printed version of the aforementioned formula from my brothers and treated him according to the method. Pain stopped on the first day; clarity of mind returned in two to three days, feeling like liberation from shackles. The swelling decreased daily without rotting. Within a month, pus discharged completely, and he recovered vigorously. How miraculous! The pathogen resolved without sweating, suppuration occurred without needling, depression lifted without moxibustion, vitality strengthened without tonification, and toxins cleared without purgation. Physicians need not use needles. The profound truth lies in simplicity; the Great Dao is right before us. This is truly inconceivable. Ancient and modern masters of the Dao achieved subtlety in such ways. I reprint this text and write this preface.
Nie Yunhan from Quliang said: In late spring of Wuxu year, I suffered from a carbuncle in my capital residence. The carbuncle was located on the middle of the back, directly opposite the heart. Initially, it was as small as a millet grain; scratching it caused pain and itching related to the heart. Chills and fever alternated. Within ten days, it grew as large as a sheng (unit of volume); after another ten days, as large as a dou. Appetite was reversed, and stool was constipated. For a whole month, I did not blink my eyes. I had already exhibited eight or nine of the fatal signs recorded in medical texts. I experienced clinical death twice and revived. Believing I would not survive, I arranged my affairs.偶然ly, I obtained an immortal prescription transmitted by Li Xiaoheng via Yang Chupu. Following the method of fumigation and application, the toxin gradually resolved after two days, and improvement began. Without changing the prescription, I fully recovered within twenty days from onset. Upon returning home, I tested it on others. Within just over a month, even severe cases recovered within a hundred days. Perhaps because my toxin was extremely heavy, the situation was severe, and treatment was delayed. Even renowned surgeons were helpless, claiming they had never seen such a case. Yet, when tested on others, results were faster. This is due to differences in toxin severity and timing of treatment. I reflect that without this extraordinary prescription, I could not have survived my critical condition. Without my recovery, the miracle of this prescription could not be revealed. Since I survived by this prescription, how can I bear to let others die from this condition? I worry this prescription will not spread widely, and people may ignore it or doubt it due to pride. Suspicions may arise instantly, causing irreversible mistakes. Thus, I add these words as an introduction.
Wang Weiying from Xianlin said: On Duanwu Festival of Bingwu year, I developed a carbuncle on my left arm, as large as a fist. Using the Qizhuma (Riding Bamboo Horse) method, I performed over a hundred moxa burns. The swelling rose like a copper coin, and surrounding edema receded. I kept this immortal prescription in my bamboo slip collection and ordered medicine preparation, intending to fumigate after rupture, unaware it could be used at the onset. A guest recommended fumigation. On that day, I fumigated ten times. The wound apex elevated, and surrounding color normalized. At night, toxic necrotic tissue transformed into thick pus from the edges, slowly ulcerating internally, sticky like glue. Daily fumigation, washing, and dressing followed the method. After five to six days, the central necrotic tissue detached in a strip. There were thirteen holes in total, with three additional holes串连 (connected) about one finger-width outside the main wound. It was painful and itchy. I intensified the fumigation. Initially, yellow fluid discharged, then thick pus, finally clear serum. The mouth closed instantly without further spreading. The original prescription mentions using specific herbs. If unavailable in Chang'an, use only three flowers of Jin Yin Hua (Honeysuckle). If dry and painful, remove and do not reapply. Do not use Shengji San; only protect with Taiyi Gao. Recovered completely in over a month. While this wound was healing, another carbuncle appeared on the left arm, identical in position. I fumigated ten times and applied Wen Ge Gao (Clam Shell Plaster) mixed with bran and vinegar, changing several times a day. On the second day, five strips; on the third day, the apex ruptured with pus discharge, painless and itch-free. Toxin dispersed. Others with different sores also benefited; the swelling dispersed upon fumigation without forming. This confirms the prescription is truly divine. Taking this to treat sores, no sore remains untreatable. I worry people only know to fumigate after rupture, not realizing early fumigation is easier to resolve. I worry incomplete herbal application leads to discarding the formula, not knowing application is optional. Thus, I detail the process to demonstrate efficacy.
Xiyao Shenxiao San (Washing Divine Efficacy Powder) (123): Washes various yin-damp sores.
She Chuang Zi (Cnidium Fruit, 2 liang) Pu Xiao (Mirabilite, 1 liang).
Take 1 liang per dose, boil in 1 bowl of water for a few boils. Wash the sore, dry it, and sprinkle Shengji San.
Xionghuang Jiedu San (Realgar Detoxification Powder) (124): Treats all abscesses and ulcers. For severe toxicity, use this 2-3 times first, then Pig Trotter Soup.
Xionghuang (Realgar, 1 liang) Bai Fan (Alum, 4 liang) Hanshui Shi (Calcitrite, 1.5 liang).
Grind all to powder. Use 1 liang of powder in 2-3 bowls of boiling water. Wash the affected area while hot, then apply Taiyi Gao or Shenyi Gao.
Zhuti Tang (Pig Trotter Decoction) (125): Treats all abscesses, cane-wound ulcers, removes necrotic tissue, moistens wound edges, relieves pain.
Bai Zhi (Angelica Dahurica), Huang Qin (Scutellaria Root), Dang Gui (Angelica Sinensis), Chi Shao Yao (Red Peony Root), Du Huo (Angelica Pubescens), Sheng Gan Cao (Raw Licorice), Lu Feng Fang (Honeycomb, preferably with larvae, each 5 qian).
Boil 1 pig trotter in 4-5 bowls of water. Remove oil, take clear soup. Add 1 liang of the above herbs, boil 10+ times. Strain and wash warm. Necrotic tissue falls off with washing. Apply plaster afterwards. Note: Huang Qin is not necessary; substituting with Bai Fan is better.
Jixiang San (Aromatic Gathering Powder) (126): Washes abscess ulcers.
Bai Zhi, Huo Xiang (Patchouli), Mao Xiang (Agarwood-like herb), Xiang Fu (Cyperus Rhizome), Fang Feng (Saposhnikovia Root, each 3 qian). Mu Xiang (Costus Root), Gan Cao (Licorice, each 1 qian).
Boil in 3 bowls of water for a few boils. Strain and pour over the affected area.
Lizhai said: This is an aromatic preparation. Qi and Blood move with fragrance and reverse with foul odors. Suitable when toxin is nearly exhausted.
If necrotic tissue exists, use Xionghuang Jiedu San first, then this formula. After washing, immediately apply plaster to prevent wind invasion until closure. Strictly avoid flesh-generating drugs.
Fu Yao Fang (Application Formula) (127):
Che Qian Cao (Plantago Herb), [Missing Character] Cao, Jin Yin Hua (Honeysuckle Flower), Wu Zhao Long Cao (Solomon's Seal Vine?).
Mash the four fresh herbs together. Add aged rice flour (used for paste). For early stages, add a little Fei Yan (sublimated salt). Mix into a thick paste and apply to the sore, leaving the center open to drain pus. In winter, use dried leaves powdered and mixed with aged vinegar. If Wu Zhao Long Cao is unavailable, the other four are sufficient. Do not be rigid. Yangbo said: For severe early-stage toxin, take Baidu (Detoxifying) herbs for several doses. For weak Qi and Blood, take Toli (Supporting Interior) herbs. This ensures complete safety.
Mi Chuan Wei Yao Tie Jing Lan (Secret Transmission Surrounding Medicine Iron Well Fence) (128): Applies to all malignant toxins,收敛 (astringes) and reduces swelling, divine efficacy.
Niu Fen Hui (Cow Dung Ash, sun-dried and burned, stored in new porcelain jar, double amount in dry places), Tie Xian Cao (Lygodium Spore), Cao Wu (Aconite Root), Wen Ge (Clam Shell), Bai Ji (Bletilla Rhizome).
Bai Lian (Ampelopsis Rhizome), Bei Mu Xin (Fritillaria Heart), Chen Xiao Fen (Starch, fried yellow, equal parts).
Grind to powder. Heat high-quality vinegar, mix with powder to paste. Apply around the sore, leaving a coin-sized hole in the center for toxin discharge. Change when dry. For severe cases, use Feilong Duoming Dan (Flying Dragon Life-Taking Pill) to induce sweating. Effective.
Da Huang Jiedu San (Rhubarb Toxin-Revealing Powder) (129): Applies to heat-stagnation swelling.
Da Huang (Rhubarb Root, 1.5 liang) Bai Ji (Bletilla Rhizome, 1 liang) Pu Xiao (Mirabilite, 2 liang).
Grind to powder. Mix with well water and apply. Moisten if dry.
Cao Wu Jiedu San (Aconite Toxin-Revealing Powder) (130): Treats all abscesses and swellings.
Cao Wu (Aconite Root), Bei Mu (Fritillaria Bulb), Tian Hua Fen (Trichosanthes Root), Nan Xing (Arisaema Rhizome), Fu Rong Ye (Hibiscus Leaf, equal parts).
Grind to powder. Mix with vinegar and apply around the perimeter, leaving the center open. Moisten with vinegar if dry.
Yi Yin San (Yin-Suppressing Powder) (131): Treats sores with deficient-cold Yuan Qi, swelling without resolution, non-suppurating/non-healing, tendon spasms, bone pain, all cold syndromes.
Cao Wu (Aconite Root, 2 liang) Nan Xing (Arisaema Rhizome, roasted) Chi Shao Yao (Red Peony Root, fried) Bai Zhi (Angelica Dahurica, each 1 liang) Rou Gui (Cinnamon Bark, 5 qian).
Grind to powder. Mix with Scallion Soup or warm wine for application.
Yi Yang San (Yang-Suppressing Powder) (132): Also known as Hongbao Dan. Treats pure-Yang sores with swelling, pain, and fever.
Tian Hua Fen (Trichosanthes Root, 3 liang) Jiang Huang (Turmeric), Bai Zhi, Chi Shao Yao (each 1 liang).
Grind to powder. Mix with tea water and apply.
Yin Yang San (Yin-Yang Powder) (133): Treats half-Yin half-Yang sores.
Zi Jing Pi (Bauhinia Bark, fried, 5 liang) Du Huo (Angelica Pubescens, de-jointed, fried, 1 liang) Chi Shao Yao (Red Peony Root, fried) Bai Zhi Angelica Dahurica) Shi Chang Pu (Acorus Rhizome, each 2 liang).
Grind to powder. Mix with Scallion Wine and apply.
Shen Gong San (Divine Merit Powder) (134): Effective for all back carbuncles and sores, whether swollen or ulcerated.
Huang Bo (Phellodendron Bark, fried) Cao Wu (Aconite Root, fried, each 1 liang).
Grind to powder. Mix with mouthwash and a little Sesame Oil. Apply. Moisten with water if dry.
Qingliang Jiuku San (Cooling Salvation Powder) (135): Treats severe Head-Wen (Epidemic Swelling). Apply this powder.
Fu Rong Ye (Hibiscus Leaf), Shuang Sang Ye (Frost Mulberry Leaf), Bai Lian (Ampelopsis Rhizome), Bai Ji (Bletilla Rhizome), Da Huang (Rhubarb Root), Huang Lian (Coptis Rhizome), Huang Bo (Phellodendron Bark), Bai Zhi (Angelica Dahurica), Xionghuang (Realgar), Mang Xiao (Mirabilite), Shan Ci Ru (Gentiana Macrophylla Bulb), Chi Xiao Dou (Adzuki Bean).
Nan Xing (Arisaema Rhizome), Jin Xian Chong Lou (Paris Polyphylla Rhizome).
Grind equal parts to powder. Mix with Honey Water and apply to swelling. Sweep frequently with feathers.
Er Huang Gao (Two-Yellow Plaster) (136): Applies to all swellings where heat floats externally or during epidemic heat stagnation.
Huang Bo (Phellodendron Bark) Da Huang (Rhubarb Root, equal parts).
Grind to powder. Mix with vinegar and apply. Moisten with water if dry.
Huiyang Yulong Gao (Return-Yade Jade Dragon Plaster) (137): Treats Yin-abscesses, back carbuncles, Cold-Evil migration, Wind-Damp cold bi, Hong Kong Foot (tinea pedis) cold pain without redness, injuries from falls mistakenly treated with cold medicines, or patients with deficient-cold Yuan Qi, swelling without resolution, non-suppurating/non-healing, hard abscesses with unchanged skin color, long-term non-ulceration, or ulceration without healing, drum-beating wind, tendon spasms, bone pain. First choice for all Yin-Cold conditions.
Cao Wu (Aconite Root) Rou Gui (Cinnamon Bark, each 5 qian) Jiang Huang (Turmeric, fried) Nan Xing (Arisaema Rhizome, roasted) Bai Zhi (Angelica Dahurica) Chi Shao Yao (Red Peony Root, fried, each 1 liang).
Grind to powder. Mix with Scallion Soup or warm wine for application.
Chonghe Gao (Harmony Plaster) (138): Treats all sores not very hot, persisting for days without resolving.
Zi Jing Pi (Bauhinia Bark, fried, 5 liang) Du Huo (Angelica Pubescens, de-jointed, fried, 3 liang) Chi Shao Yao (Red Peony Root, fried, 2 liang) Bai Zhi (Angelica Dahurica) Chang Pu (Acorus Rhizome, each 1 liang).
Grind to powder. Mix with Scallion Head Decoction and apply.
Maifan Shi Gao (Maifan Stone Plaster) (139): Treats initial carbuncles. Apply Maifan Stone Plaster first. When the root recedes, apply Shenyi Gao to heal.
Maifan Stone Plaster is difficult to prepare; Shenyi Gao is also effective.
Bai Maifan Shi (White Maifan Stone, calcined in charcoal fire, quenched with vinegar several times, ground extremely fine, 2 liang. Per Bencao, stones resembling rice balls, clumped together, are suitable). Lu Jiao (Deer Horn, fresh with brain bone, broken, burned in charcoal until smoke ceases, ground extremely fine, 4 liang).
Mix with Rice Vinegar. Simmer in a clay pot, stirring constantly with a bamboo stick until paste forms. Wash affected area with Pig Trotter Soup first. Apply around the perimeter with a goose feather. Moisten with vinegar if dry. For rotten areas, apply with cloth. Li said: Maifan Stone Plaster is miraculous for back carbuncles, yet rarely known. Cases of abscesses failing to suppurate critically were cured overnight with this plaster. Suppuration resolves toxin. Record this for careful preparation to ensure perfection. I despise doctors who hide good prescriptions or alter them to confuse people. Xi Hua Maifan Stone was kept secret until death; such selfishness is scorned by gentlemen.
Hei Mo Zi (Black Powder) (140): Treats furuncles.
Burn Sheep Horn with internal bone to preserve nature. Grind to powder. Mix 3 qian with Wine. Take divided doses. Sores may disperse. Lizhai said: I have not used this secret formula. I once treated sudden red spots on face or body, itching or toxic furuncles. Untreated, it can be fatal. Burn sheep horn to preserve nature, grind fine. Mix with Egg White and apply. Very effective. Bencao agrees.
Ruxiang Ding Tong San (Frankincense Pain-Stopping Powder) (141): Treats ulcerated sores with unbearable pain unresponsive to other drugs.
Ruxiang (Frankincense) Moyao (Myrrh, each 2 qian) Hanshui Shi (Calcitrite) Huashi (Talcum, each 4 qian) Bing Pian (Borneol, 1 fen).
Grind to fine powder. Apply to affected area. Pain stops immediately. Frankincense and Myrrh are warm; balanced with cold agents, effective for both cold and hot pain.
Wujin Gao (Black Gold Plaster) (141): Treats dead flesh in the center of back carbuncles. Applied to dead flesh, it causes putrefaction; applied to living flesh, it promotes growth. For initial swelling/pain, dot a few points to resolve toxin instantly. For necrotic black flesh, it causes ulceration. For stubborn sores with intact Yuan Qi but slow healing due to deep toxin roots, soak paper wicks in the medicine and insert inside. For back carbuncles due to weak Yuan Qi or over-treatment, where toxin scatters (dark center, red edge, non-suppurating), take major tonics. Apply plaster 3-4 cun wide. In 5-6 days, cracks appear at the boundary. Center gradually ulcerates. Use Pure-Yang internal medicine to support Yuan Qi for healing. Do not use knives/needles to bleed, as Yang dissipates with Yin, worsening Qi. Cold medicines fail to resolve toxin and weaken Qi/Blood. Prescription: Remove shells from Ba Dou (Croton Seed), fry black, grind to paste. Dot on swelling or apply to necrotic flesh to digest. Add a little Ruxiang if needed. For internal application, thin with Sesame Oil. For residual toxin non-healing, apply to prevent pain.
Tougou Dan (Bone-Penetrating Pill) (143): A suppuration-promoting drug, essential in surgery.
Chan Su (Toad Venom) Peng Sha (Borax) Qing Fen (Calomel) Ba Dou (Croton Seed, each 5 qian) Wo Niu (Snail, 2) She Xiang (Musk, 1 fen).
First grind Ba Dou to mud. Add Snail and Musk, grind again. Add remaining drugs, grind extremely fine. Store in small porcelain bottle. Use a small amount dissolved in Milk. Gently pierce the head of the toxin with an iron needle. Insert a grain-sized amount of medicine into the wound. Cover externally with Qingliang Gao.
Zhen Tou San (Needle-Head Powder) (144): Treats all stubborn sores with sinus tracts/necrotic tissue, or scrofula nodules not resolving, or wounds not closing. Promotes erosion of necrotic tissue.
Chi Shi Zhi (Red Halloysite, 5 qian) Qing Fen (Calomel) She Xiang (Musk, each 5 fen) Ruxiang (Frankincense) Bai Ding Xiang (White Starling Dropping, each 3 qian) Sheng Pi (Arsenic Trioxide) Huang Dan (Lead Monoxide, each 1 qian).
Wu Gong (Centipede, 1 piece, dried by roasting).
Grind to powder. Apply to necrotic tissue to dissolve it. For small wounds or hemorrhoids, mix with Rice Paste into thin strips, dry in shade, insert, and cover with plaster. For chronic non-healing wounds with sinuses, must use this to erode. Internally take Toli (Supporting Interior) medicine.
Dai Zhen Gao (Needle-Replacing Plaster) (145): Treats mature pus not ulcerating.
Ruxiang (Frankincense, 2 fen) Bai Ding Xiang (White Starling Dropping, authentic) Ba Dou (Croton Seed, fried scorched) Jian (Alkali, each 5 fen).
Grind to powder. Mix with hot water and dot on the wound head. Keep moist with Alkali water; do not let it dry.
Ti Zhen Wan (Needle-Replacing Pill) (146): Treats mature pus not ulcerating.
Bai Ding Xiang (White Starling Dropping) Nao Sha (Ammonium Chloride, separately ground) Zhen Moyao (True Myrrh) Ruxiang (Frankincense, each 1 spoon).
40 Glutinous Rice grains. Place fist-sized piece of Mineral Ash in porcelain bowl. Add well water. When heat subsides, place rice grains into ash. Wait until rice resembles crystal. Remove and use. If not ready, repeat ash treatment.
Grind ingredients separately, then mix and store. Form pills the size of wheat grains using Rice Paste. Use one pill, moisten with water, attach to wound head. Pus will discharge spontaneously.
For robust Qi/Blood with mature non-ulcerating pus, use this to drain toxin, promoting flesh growth and healing. For deficient Qi/Blood, use Sweet-Warm tonics. Otherwise, it will not ulcerate nor heal. For deep bone abscesses or critical areas, timely acupuncture/drainage is best.
San He San (Three-Harmony Powder) (147): Treats abscesses failing to form pus.
Xin Ba Dou Rou (Fresh Croton Seed Flesh) Ming Pi (Refined Arsenic) Ban Mao (Mustard Beetle, equal parts).
Grind to fine powder. Fill into the wound. Necrotic tissue dissolves.
Lizhai said: This formula is highly toxic. Use only for malignant toxin to attack poison with poison. For deficiency of Yang Qi unable to transform into pus, use major tonics and Moxibustion with Mulberry wood. Danxi said: Robust Qi/Blood leads to spontaneous pus discharge. Generally, speed of ulceration/healing depends on Qi/Blood strength.
Lilu Gao (Veratrum Plaster) (148): Treats all sores/carbuncles with protruding flesh, regardless of size/length. Use Veratrum alone, ground to powder. Mix with raw Pig Fat to make paste. Apply to affected area. Change weekly.
Shengji San (Flesh-Generating Powder) (149): Treats wounds not closing.
Mu Xiang (Costus Root) Qing Fen (Calomel, each 2 qian) Huang Dan (Lead Monoxide) Ku Fan (Alum, fried, each 5 qian).
Grind to fine powder. Mix with Pig Gallbladder Juice, dry in sun, grind fine again. Sprinkle on affected area.