程山龄曰∶凡痈疽最难收口者，皆由瘀肉夹杂，瘀脓不尽所致。庸工不识，妄
用补涩之剂，勉强收口，恐他日内毒复发，更甚于日前。惟将海浮散、玉螺散敷上，堪
称至宝，瘀血自脱，不必用刀，新肉自生，又不藏毒，万举万当。大法先用防风汤洗
之，或猪蹄汤，若是痔疮，用无花果叶煎汤洗之，再上末药，洗时须避风为主。书
云∶频将汤洗，切忌风吹。是以更有体虚不能收口者，须内服补药以助之。（《十法》）
李东垣曰∶若脓血未尽，便用生肌敛疮之剂，务其早愈，殊不知恶肉不尽，其
疮早合，后必再发，不可不慎。（《十法》）
冯鲁瞻曰∶痈疽将敛，宜用膏贴，如毒未尽，不可遽用生肌等剂。（《锦囊》）
又曰∶痈疽将安，宜补气血，肌肉易生，若进寒凉，便难长满。
生肌散（《锦囊》） 生肌长肉，神效。
珍珠（生研） 大冰片（各二分） 象皮（切框，瓦灰拌，炒珠） 上白蜡（各一钱） 乳香
（箬上烘燥） 瓜儿竭 没药（箬上烘燥） 铅粉（各五分） 轻粉（真扫盆者，四分） 儿茶（三分）
共乳极细，先用猪蹄汤或浓茶洗尽，用少许掺之。
生肌散
人参 西牛黄 珍珠 琥珀 熊胆 乳香（去油） 没药（去油，各二两） 芦甘石（ ） 海
螵蛸 龙骨 石膏（ ） 轻粉（各五钱） 杭粉（二两）
共乳极细，入冰片五分，再乳千下，瓷瓶密贮，每用少许，收口如神。
八宝丹
珍珠（布包，入豆腐内煮一伏时研细。如治颠顶，十手指尖，十足指尖，龟头，此二十一处，非圆滚珍珠
合药，不能包裹还原，若治痈疽一切疮疡，即饮块珍珠，皆可用也。一钱） 牛黄（五分） 象皮（切片）
琥珀（灯心同乳） 龙骨（ ） 轻粉（各一钱五分） 冰片（三分） 芦甘石（银罐内 红，研细，三钱）
共乳极细，瓷瓶贮，每用少许，生肌长肉，收口如神。
神妙生肌散（龚敏中）
乳香（去油） 赤石脂 儿茶 海螵蛸 血竭 鳖甲 黑铅（各一钱） 硼砂（生肌全在此味）
没药（各二钱。初起加黄柏一钱，作痒加白芷一钱。）
先将黑铅加水银一钱同煎化，再将前药研细入于铅汞内，研极细掺之。
生肌散
红升丹（一钱） 血竭 海螵蛸 象皮（焙焦） 黄丹 轻粉（各三钱） 赤石脂 儿茶
紫河车（ ，各五钱） 乳香（去油） 没药（去油，各二钱。疮口红热加珍珠二钱，疮口寒白加肉桂一钱，
疮口虚陷加人参二钱）
共乳极细末，掺上膏贴。
珍珠十宝膏 治痈疽大毒，及刀伤斧砍，咬伤杖疮，生肌定痛，百发百中。
珍珠（一钱，豆腐包煮） 轻粉 杭粉（各五钱） 潮脑（四钱） 乳香（去油） 没药（去油，各
二钱） 白蜡（八钱） 琥珀（八分） 冰片（三分）
先将猪板油四两，入锅熬化去渣，再入白蜡化尽，离火，入研细珠、轻、杭、乳、没五末，将凝始
下冰片、琥珀、潮脑，和匀，冷定收贮，用时以净手心抿脚挑放掌心，溶化涂之，再贴膏药。
生肌玉红膏（《正宗》） 专治痈疽发背，诸般溃烂等疮，用在已溃流脓时，先
用甘草汤，甚者用猪蹄汤，药汤淋洗患上，软绢挹净，用抿脚挑膏于手掌中，捺化遍
搽新腐肉上，外以太乙膏盖之，大疮早晚洗换二次，内兼服大补脾胃暖药，其腐肉
易脱，新肉即生，疮口自敛，此乃外科收敛药中之神药也。
白蜡 当归身（各二两） 白芷（五钱） 瓜儿竭 轻粉（各四钱） 紫草（二钱） 甘草（一两
二钱） 真麻油（一斤）
先将白芷、甘草、当归、紫草四味，入油内，浸三日，大杓内慢火熬药枯色。（若熬
太枯，其油则黑。）细绢滤清，将油复入杓内煎滚，下整块血竭化尽，次下白蜡，微火化
尽，先用茶盅四双，预顿水中，将膏分作四处，倾入盅内，候片时，方下研细轻粉，
每盅投和一钱搅匀，候至一伏时取起，绵纸复好，勿犯灰尘，本方不得加减，致取不效。
太素膏（《说约》） 凡疮久不收口，是元气虚极，急投大补汤剂内托，外用此法。
轻粉（三钱） 冰片（五分）
乳细，用猪脊髓调匀，摊绢帛粘贴必效。
猪脑膏（广城黎医士） 公猪脑子一个，放锅内，好陈醋泡透，文武火煮成膏药样
取出，细布摊，随疮大小贴之，先将小米泔水洗净疮上，贴膏二三日，揭看内生肉
芽，再用小米泔煎洗，又贴三五日，肌肉长平，忌房劳、怒气、发物。
玉容膏 诸恶疮久不收口，以及 疮。
败龟版（一两） 胎发 猪毛 羊毛 鹅毛 鸡毛（各四两） 牛油 猪板油 桐油（各二两）
飞黄丹（八两炒） 麻油（一斤）
同熬枯，滤清，以丹收之摊贴。
白玉膏 雄猪油半斤入锅内熬去渣，复入锅内熬滚，投白蜡、黄蜡各二钱
化尽，再入铅粉五钱，轻粉、儿茶各一钱五分，乳香、没药去油各一钱，搅匀摊贴。
贴久不收口诸疮膏 猪板油一两熬化，入白蜡五钱，黄蜡八钱化尽。再入乳
香、没药、轻粉末各一钱，成膏搽之。
玉液膏 发背痈疽溃烂用此生肌止痛。 香油二两，黄蜡一两，化开，入黄
丹、寒水石 各一两，研细熔化为膏，摊贴。
当归膏 生肌止痛，补血续筋。
当归身 生地（各一两） 白蜡 黄蜡（各一钱） 麻油（六两）
入锅内，先将归地熬枯去渣，复熬投二蜡溶化，待温搅成膏。
生肌散 多年朝东土墙上的白螺蛳壳，取来清水浸透，淘去泥沙，务须洁净，
放倾银罐内，炭火 红冷定，研细如霜，加冰片掺上，膏贴收口。
生肌散
轻粉（一钱） 血竭 儿茶（各一钱） 自死螺蛳（连泥者十个， ）
研极细加冰片一分收贮，每用少许，男用女乳，女用男乳，调搽三次全愈。
久不收口者 用人参净口，嚼烂掩疮口上，自敛。
收口 鲜白荷花瓣夹在书页内，（每日移夹一页，不然要烂。）凡痈疽 疮上生肌药收
口时，以此贴之，敛口甚速。如冻疮破烂，贴之亦效。
生肌散
鲜鹿腿骨（纸包，灰火内煨至黄脆为度，如焦黑则无用矣。）
研极细掺疮上，生肌甚速。
诸疮毒久不收口。
生铅（二分，敲成薄片，剪如香茶样）
每日用铅一分，同核桃细嚼，好酒吞下，三日服完，大便出毒物，其口即收。
Cheng Shanling stated: In cases of carbuncles and sores that are most difficult to heal, it is invariably due to the intermingling of stagnant blood and necrotic flesh, and the incomplete discharge of pus. Unskilled physicians, failing to recognize this, recklessly use astringent and tonifying agents to force wound closure, fearing that internal toxins may recur internally in the future, becoming more severe than before. Only by applying Haifu San (Sea Floating Powder) and Yuluo San (Jade Snail Powder) to the affected area can it be considered a supreme treasure; the stagnant blood will naturally detach without the need for surgical incision, new flesh will grow spontaneously, and toxins will not be retained, ensuring absolute success. The general principle is to first wash the area with Fangfeng Tang (Saposhnikovia Decoction) or Zhuti Tang (Pig Trotter Decoction); if it is a hemorrhoid, wash with a decoction of Wuhuaguo Ye (Fig Leaf), then apply the powdered medicine. During washing, avoiding wind exposure is paramount. As the texts state: frequently wash with decoctions, strictly avoid wind drafts. Therefore, for those whose constitutions are too weak to achieve closure, internal administration of tonifying medicines is required to assist. (*Shifa*)
Li Dongyuan stated: If pus and blood have not been completely discharged, and one immediately uses agents for generating flesh and closing ulcers in pursuit of early healing, little do they know that if evil flesh (necrotic tissue) is not fully removed, the ulcer will close prematurely and inevitably recur later. One must not be careless. (*Shifa*)
Feng Luzhan stated: When carbuncles and sores are about to contract, it is appropriate to use plaster patches. If the pathogenic toxin has not yet cleared, one should not hastily use agents for generating flesh. (*Jinnang*)
He also stated: When carbuncles and sores are nearing resolution, it is appropriate to tonify Qi and Blood, facilitating muscle growth; if cold-cooling agents are administered, full regeneration becomes difficult.
**Shengji San (Generating Flesh Powder)** (*Jinnang*): Generates flesh and promotes tissue growth, with miraculous efficacy.
Zhenzhu (Pearl, raw ground) - 2 fen; Bingpian (Borneolum Syntheticum) - 2 fen; Xiangpi (Elephant Skin, cut into frames, mixed with tile ash and stir-fried into pearls) - 1 qian; Shangbaila (Superior White Beeswax) - 1 qian; Ruxiang (Frankincense, dried on bamboo leaf) - 5 fen; Ercha (Catechu) - 5 fen; Moyao (Myrrh, dried on bamboo leaf) - 5 fen; Qianfen (Lead Carbonate) - 5 fen; Qingfen (Calomel, truly collected from the basin bottom) - 4 fen; Ercha (Catechu) - 3 fen.
Grind all ingredients to an extremely fine powder. First, wash the lesion with Zhuti Tang (Pig Trotter Decoction) or strong tea, then sprinkle a small amount of the powder onto the wound.
**Shengji San (Generating Flesh Powder)**
Renshen (Ginseng Root); Xiniuhuang (Indian Buffalo Calculus); Zhenzhu (Pearl); Hupo (Amber); Xiongdan (Bear Bile); Ruxiang (Frankincense, oil removed); Moyao (Myrrh, oil removed) - each 2 liang; Luganshi (Calamina, calcined); Haipiaoxiao (Cuttlebone); Longgu (Fossilized Bone); Shigao (Gypsum Fibrosum, calcined); Qingfen (Calomel) - each 5 qian; Hangfen (Starch from Hangzhou) - 2 liang.
Grind all to an extremely fine powder, add Bingpian (Borneolum Syntheticum, 5 fen), and grind a thousand times more. Store tightly in a porcelain bottle. Apply a small amount to each use; wound closure is miraculous.
**Babao Dan (Eight-Treasure Pill)**
Zhenzhu (Pearl, wrapped in cloth and boiled in tofu for one shichen [2 hours], then ground finely. For treating twenty-one specific areas—vertex, ten finger tips, ten toe tips, and glans penis—round pearls are essential for proper encapsulation and restoration; for other carbuncles and sores, broken pearl pieces may be used. Dosage: 1 qian); Niuhuang (Calculus Bovis) - 5 fen; Xiangpi (Elephant Skin, sliced); Hupo (Amber, ground with Centelli Herba stem); Longgu (Fossilized Bone, calcined); Qingfen (Calomel) - each 1.5 qian; Bingpian (Borneolum Syntheticum) - 3 fen; Luganshi (Calamina, calcined red in a silver jar, ground finely) - 3 qian.
Grind all to an extremely fine powder. Store in a porcelain bottle. Apply a small amount per use; generates flesh and closes wounds miraculously.
**Shenmiao Shengji San (Divine Wonder Generating Flesh Powder)** (by Gong Minzhong)
Ruxiang (Frankincense, oil removed); Chishizhi (Red Kaolin); Ercha (Catechu); Haipiaoxiao (Cuttlebone); Xuexie (Dragon's Blood); Biejia (Tartar Testudinis); Heiqian (Black Lead) - each 1 qian; Pengsha (Borax, the key ingredient for generating flesh); Moyao (Myrrh) - each 2 qian. (Add Huangbai (Phellodendron Bark) 1 qian at onset; add Baizhi (Angelica Dahurica) 1 qian if itching occurs.)
First, melt Heiqian (Black Lead) with 1 qian of Shuiyin (Mercury) by heating. Then, incorporate the finely ground previous herbs into the lead-mercury mixture and grind until extremely fine before sprinkling.
**Shengji San (Generating Flesh Powder)**
Hongshengdan (Red Sublimated Cinnabar Paste) - 1 qian; Xuexie (Dragon's Blood); Haipiaoxiao (Cuttlebone); Xiangpi (Elephant Skin, roasted until scorched); Huangdan (Litharge); Qingfen (Calomel) - each 3 qian; Chishizhi (Red Kaolin); Ercha (Catechu); Ziheche (Placenta Humanus, calcined) - each 5 qian; Ruxiang (Frankincense, oil removed); Moyao (Myrrh, oil removed) - each 2 qian. (Add Zhenzhu (Pearl) 2 qian if the wound is red and hot; add Rougui (Cinnamon Bark) 1 qian if the wound is cold and pale; add Renshen (Ginseng Root) 2 qian if the wound is sunken and deficient.)
Grind to an extremely fine powder, sprinkle on the wound, and cover with a plaster.
**Zhenzhu Shibao Gao (Pearl Ten-Treasure Plaster)**: Treats severe toxicity of carbuncles and sores, as well as knife cuts, axe wounds, bites, and beatings; generates flesh and relieves pain with 100% efficacy.
Zhenzhu (Pearl, boiled in tofu) - 1 qian; Qingfen (Calomel); Hangfen (Starch) - each 5 qian; Chaonao (Borneol) - 4 qian; Ruxiang (Frankincense, oil removed); Moyao (Myrrh, oil removed) - each 2 qian; Baila (White Beeswax) - 8 qian; Hupo (Amber) - 8 fen; Bingpian (Borneolum Syntheticum) - 3 fen.
First, render 4 liang of Zhu Banyou (Pork Back Fat) in a pot, removing dregs. Add Baila (White Beeswax) and melt completely. Remove from heat. Add the five finely ground powders (Pearl, Calomel, Starch, Frankincense, Myrrh). When the mixture begins to congeal, add Bingpian (Borneolum Syntheticum), Hupo (Amber), and Chaonao (Borneol). Mix evenly, allow to cool and solidify, then store. To use, pick up a small amount with clean fingers, place in the palm to melt, spread over the area, and cover with a plaster.
**Shengji Yuhong Gao (Generating Flesh Jade Red Ointment)** (*Zhengzong*): Specifically treats carbuncles, back boils, and various ulcerating sores. Use when the sore has ulcerated and is discharging pus. First, wash the affected area with Gancao Tang (Licorice Decoction), or Zhuti Tang (Pig Trotter Decoction) for severe cases. Pat dry with soft silk. Pick up the ointment with fingers, melt in the palm, and spread evenly over the new and necrotic flesh. Cover externally with Taiyi Gao (Taiyi Plaster). For large sores, wash and change twice daily (morning and evening). Internally, concurrently administer warm, major tonifying formulas for Spleen and Stomach. This facilitates detachment of necrotic tissue, generation of new flesh, and spontaneous contraction of the wound. It is the divine medicine among external surgical astringents.
Baila (White Beeswax); Dangguishen (Radix Angelicae Sinensis, root body) - each 2 liang; Baizhi (Angelicae Dahuricae Radix) - 5 qian; Ercha (Catechu); Qingfen (Calomel) - each 4 qian; Zicao (Arnebiae Radix) - 2 qian; Gancao (Glycyrrhizae Radix et Rhizoma) - 1.2 liang; Zhenmayou (True Sesame Oil) - 1 jin.
First, soak Baizhi, Gancao, Dangguishen, and Zicao in the oil for three days. Slowly boil in a large ladle until the herbs are withered and colored. (If boiled too long, the oil turns black.) Filter through fine silk. Return the oil to the ladle and bring to a boil. Add whole Xuexie (Dragon's Blood) and melt completely. Next, add Baila (White Beeswax) and melt over low fire. Prepare four teacups by pre-soaking them in water. Divide the ointment into four portions and pour into the cups. Wait a moment, then add finely ground Qingfen (Calomel), 1 qian per cup, stirring evenly. Let stand for one shichen [2 hours], then remove. Seal well with cotton paper, keeping away from dust. Do not modify this formula, or efficacy will be lost.
**Taisu Gao (Taisu Plaster)** (*Shuoyue*): For chronic non-healing ulcers caused by extreme deficiency of Yuan Qi (Original Qi), urgently administer major tonifying decoctions for internal support, and use this method externally.
Qingfen (Calomel) - 3 qian; Bingpian (Borneolum Syntheticum) - 5 fen.
Grind finely, mix with Zhu Jingsui (Porcine Spinal Cord), spread on silk, and apply. Highly effective.
**Zhunao Gao (Pig Brain Plaster)** (by Physician Li of Guangcheng): Take one male pig brain, soak thoroughly in good aged vinegar in a pot, and cook over medium-low heat until it resembles a plasters consistency. Remove, spread on fine cloth, and apply according to the size of the sore. First, wash the sore with millet rinse water. Apply the plaster for 2-3 days. Upon removal, observe the granulation tissue growing inside. Wash again with millet rinse decoction, and reapply for 3-5 days until muscles level out. Avoid sexual exertion, anger, and stimulating foods.
**Yurong Gao**: Treats various malignant sores that fail to heal for a long time, and phlegmonous sores.
Baiguiban (Testudinis Carapax et Plastrum, decayed) - 1 liang; Taifa (Human Fetus Hair); Zhu Mao (Pig Hair); Yang Mao (Sheep Hair); E Mao (Goose Hair); Ji Mao (Chicken Hair) - each 4 liang; Niuyou (Beef Tallow); Zhu Banyou (Pork Back Fat); Tongyou (Tung Oil) - each 2 liang; Fei Huangdan (Yellow Sublimated Cinnabar, stir-fried) - 8 liang; Mayou (Sesame Oil) - 1 jin.
Boil together until withered, filter clear, and use the cinnabar to consolidate the ointment for spreading and application.
**Baiyu Gao**: Melt 0.5 jin of male pig fat in a pot, remove dregs, return to pot and boil. Add Baila (White Beeswax) and Huangla (Yellow Beeswax), 2 qian each, until melted. Add Qianfen (Lead Carbonate) 5 qian, Qingfen (Calomel) and Ercha (Catechu) 1.5 qian each, and Ruxiang (Frankincense) and Moyao (Myrrh, oil removed) 1 qian each. Stir evenly and spread for application.
**Tie Jiu Bu Shoukou Zhuchuang Gao (Plaster for Sores Not Healing After Long Application)**: Melt 1 liang of Zhu Banyou (Pork Back Fat). Add Baila (White Beeswax) 5 qian and Huangla (Yellow Beeswax) 8 qian until melted. Add Ruxiang (Frankincense), Moyao (Myrrh), and Qingfen (Calomel) powders, 1 qian each. Form into an ointment and apply.
**Yuye Gao**: Used for back boils and carbuncles that have ulcerated, to generate flesh and relieve pain. Melt 2 liang of Xiangyou (Sesame Oil) and 1 liang of Huangla (Yellow Beeswax). Add Huangdan (Litharge) and Hanshuishi (Aqua Marina/Halloysite), 1 liang each, grind finely, melt into an ointment, spread and apply.
**Danggui Gao**: Generates flesh, relieves pain, tonifies blood, and reconnects tendons.
Dangguishen (Radix Angelicae Sinensis, root body); Shengdi (Rehmanniae Radix) - each 1 liang; Baila (White Beeswax); Huangla (Yellow Beeswax) - each 1 qian; Mayou (Sesame Oil) - 6 liang.
Place in a pot. Boil Danggui and Shengdi until withered, remove dregs. Re-boil and add the two waxes until melted. Stir while warm to form an ointment.
**Shengji San (Generating Flesh Powder)**: Collect white snail shells from earthen walls facing east for many years. Soak in clear water until permeated, wash away mud and sand until perfectly clean. Place in an inverted silver jar, calcine over charcoal fire until red, allow to cool, and grind into a fine frost-like powder. Add Bingpian (Borneolum Syntheticum), sprinkle on the wound, and cover with a plaster for closure.
**Shengji San (Generating Flesh Powder)**
Qingfen (Calomel) - 1 qian; Xuexie (Dragon's Blood); Ercha (Catechu) - each 1 qian; Zisi Luosi (Dead Snails, with mud, 10 pieces, calcined).
Grind extremely finely, add 1 fen of Bingpian (Borneolum Syntheticum), and store. Use a small amount per application. For males, mix with female breast milk; for females, mix with male breast milk. Rub on three times for complete cure.
**For Chronic Non-Healing Wounds**: Take pure Renshen (Ginseng Root), chew thoroughly, and apply the paste directly to the wound opening; it will contract spontaneously.
**For Closure**: Place fresh white lotus petals between book pages (change pages daily, otherwise they will rot). When using generating flesh medicines for carbuncles and sores to close wounds, apply these petals; closure is very rapid. Also effective for cracked frostbite.
**Shengji San (Generating Flesh Powder)**
Xian Lutuigu (Fresh Deer Leg Bone, wrapped in paper, baked in ash fire until yellow and crisp; if charred black, it is useless).
Grind extremely finely and sprinkle on the sore; generates flesh very rapidly.
**For Various Toxic Sores Not Healing for a Long Time**
Shengqian (Raw Lead, 2 fen, hammered into thin sheets and cut like incense tea).
Use 1 fen of lead daily, chew finely with walnuts, and swallow with good wine. Complete within three days. Toxic matter will be excreted in stool, and the wound will close.