论统治诸疮
天师曰∶中治者，或胸前生疮，乳上生疮，两胁、两背、两手生疮是也。然而疮疡别有专门，
此不必再赘。既已立门，存一治法，统治中焦部位之疮，无不神效。方用金银花一两，元参一两，生甘
草五钱，白矾二钱，有病则病受之也，当归一两，白芍一两，炒栀子三钱，荆芥三钱，连翘二钱，白芥
子二钱，水煎服。（〔批〕散邪败毒至神丹。）一服知，二剂全消，破溃者四剂愈。如阴疮，方中去栀
子，加肉桂一钱。此方统治中焦诸疮俱效。妙在用散邪败毒之品于补药之内，转足以消毒而去火也。此中
治之法。
张公曰∶岐真人统治疮疡之方妙甚，然余更有奇方。用生甘草一两，当归一两，蒲公英一两，黄芩
一钱，金银花二两，乳香一钱，为末。先将前药用水五碗，煎一碗，将乳香末调饮之，神效，亦足附前方
之功也。（〔批〕散毒仙丹。）一身上下，俱可治之，乃统治之法。
华君曰∶余同传，无可语。
孙真君曰∶予亦有一方，统治诸疮。方用天花粉三钱，生甘草一两，金银花一两，蒲公英五钱，水
煎服。一剂轻，二剂全愈。此方消毒实有奇功，下治诸痈，可统治之也。
论腿痈 多骨痈 囊痈 骑马痈 鹤膝风 脚胫烂疮
天师曰∶下治者，乃生腿痈，多骨痈，囊痈，骑马痈，
鹤膝风，两脚烂疮，脚疽等项是也。囊痈、骑马痈最难治。此皆少年人不保重，或串花街柳巷，或贪倚
翠偎红，忍精而战，耐饥而守，或将泄而提其气，或已走而再返其阳，或人方泄精，而我又入其户，皆
足以生此恶毒也。方用金银花四两，蒲公英二两，人参一两，当归一两，生甘草一两，大黄五钱，天花粉
二钱，水煎服，一剂即消，二剂全愈，溃者三剂愈。盖此毒乃乘虚而入，必大补其血，而佐以逐邪之品，
则病去如失。否则婉转流连，祸不旋踵。与其毒势弥漫，到后来发散，何不乘其初起，正气未哀，一剂而
大加祛逐之为快哉。方中妙在金银花，而以当归补血为君，人参为佐，大黄为使，重轻多寡之得宜也。
鹤膝风治法，则又不然。此又因湿而战，立而行房，水气袭之，故成此疾。方用黄 八两，肉桂三钱，
薏仁四两，茯苓二两，白术二两，防风五钱，水十余碗，煎二碗，分作二服。上午一服，临睡一服，服后
以浓被盖之，必出大汗，不可轻去其被，令其汗自干则愈。一服可也，不必再服。此方妙在用黄 以补
气，盖两足之所以能动而举步者，气以行之也，今鹤膝之病，则人之气虚不能周到，行步自然艰难，今用
黄半斤，则气旺极矣。又佐之肉桂以通其气，又佐之防风以散其邪，始相恶而相济。又佐之白术、薏
仁，以去其寒湿之气。邪气去则正气自固，此功之所以速成也。若以为人不能受，畏而不用，则反害之矣。
多骨疽乃生于大腿之中，多生一骨者是，乃湿热而生者也。治之得法，则易易耳，否则变生可畏。方
用当归一两，金银花一两，白芍一两，柴胡一钱，茵陈三钱，龙胆草二钱，白术三钱，生甘草三钱，水煎
服即愈。（〔批〕化骨至神丹。）苟或失治，即长一骨，横插于皮间作痛，必须取出此骨始愈。以铁
铗钳出之，外用前生肌方药膏贴之，两个即愈。此方妙在用白芍。盖白芍能平肝木，又能活筋。多骨疽
者，非骨也，筋变为骨，似骨而非骨也。白芍不特平肝木之火，兼能散肝木之邪，邪去则筋舒，筋舒则
似骨非骨者尽化、又加金银花原能去毒，此二味之所以相济也。
足疽亦湿热也。方用金银花一两，蒲公英一两，生甘草三钱，当归一两，薏仁二两，水煎服。一剂
即愈。（〔批〕祛湿消邪散。）盖此方妙在用薏仁为君，盖湿气必下受，而水流必下行，薏仁去湿而利关
节之气，金银花去火毒之邪，助之以生甘草，则邪易散而湿易退矣。然而血虚则水气易侵，湿邪易入。今
用当归以补其血，血足水无所侵，而湿难以入，故用之合宜，而病可速效也。
脚胫之生烂疮，亦湿热也。往往两腿腐烂，臭气难闻。若止以汤药治之，未易奏效。先以葱汤温洗，
后以白蜡一两，黄丹二两，韭菜地上蚯蚓粪二两，炒干一两五钱，冰片五分，潮脑三钱，麝香五分，血竭五
钱，铅粉一两，炒松香三钱，乳香去油三钱，没药三钱，铜绿三分，轻粉一钱，儿茶三钱，各为绝细末。乘
葱汤洗湿之时，渗在疮口之上，必然痒不可当，但不可用手抓其痒。少顷必流黄水，如金汁者数碗，再
用葱汤洗之，又渗又流又渗，如是者三次，则水渐少而痛渐止矣。（〔批〕分湿消毒至神丹。）明日用前
膏药，以浓皮摊膏，仍入此末药，加入二钱贴之，任其水出。倘痒之极，外以鹤翎扫之即不痒，贴二膏
即止水而愈。腿痈即照多骨治法，不再立方。脚胫烂疮，内服汤药。金银花一两，薏仁二两，茯苓一两，
生甘草五钱，牛膝五钱，萆 五钱，半夏五钱，肉桂五分，水煎服。（〔批〕分湿内化丹。）自贴膏药，
连用此方，二
剂即愈。此方妙在薏仁为君，金银花、萆 为臣，茯苓为佐使。盖薏仁去两足之湿，茯苓能分消脾胃
中之湿气，生甘草、金银花能解郁热之毒，而萆 又善走足，且能祛湿健胫，又加之牛膝以助其筋力，
则烂湿之疮，有不去之如失者乎，此下治之最妙者也。
张公曰∶下治法尽于此矣，余欲尚赞高深。多骨之生也，虽生于湿热，而成之不由湿热也，必有
人喜饮凉水，好食果品而成之。初生多骨疽之时，即用大黄一两，芙蓉叶晒干为末一两，麝香三分，冰
片三分，五倍子一两，藤黄三钱，生矾三钱，各为末，米醋调成如浓糊一样。涂于多骨疽之左右四周，
以药围其皮肉，中留一头如豆大，以醋用鹅翎不时扫之，若不扫，任其干围，则无益也，一日夜即内
消。（〔批〕消毒散。）疽生于环跳之间，不用此围药，多成多骨疽。故疽一生，无论其有骨无骨，即以
此药敷之，神效。其余痈疽疖毒，亦以此药敷之，无不神效。
华君曰∶予无可论。
雷公曰∶我亦有治多骨之方，用内消之法最奇效。大凡毒至于环跳之穴者，即多骨疽也。用人参三
钱，大黄五钱。蒲公英一两，金银花二两，天花粉三钱，薏仁三两，先用水六碗，煎薏仁取汤三碗。煎前
药三碗。分作二次服，二日服两剂即消，神方也。若已溃，用天师方法治之。（〔批〕天师云∶方神奇
之甚，胜吾方也。）
（鹤膝风古多用大防风汤，内气血药并用，以病在下焦阴分故也。此除去血药，想用宜于初起之时。如
病久，古方恐不可废，李子永识。）
On the General Treatment of Various Sores and Ulcers
The Heavenly Master said: "The treatment of the Middle Jiao refers to sores arising on the chest, on the breasts, on both hypochondriac regions, on both backs, and on both hands. However, sores and ulcers have their own specialized disciplines, so there is no need to elaborate further here. Since a category has been established, retaining one general treatment method can effectively manage sores in the Middle Jiao region with miraculous efficacy. The prescription consists of Lonicerae Japonicae Flos (Jinyinhua) 1 liang, Scrophulariae Radix (Yuanshen) 1 liang, Glycyrrhizae Radix et Rhizoma Preparata (Sheng Gancao) 5 qian, and Alum (Baifan) 2 qian; this embodies the principle that 'when there is disease, the medicine targets the disease.' Additionally, use Angelicae Sinensis Radix (Danggui) 1 liang, Paeoniae Radix Alba (Baishao) 1 liang, Gardeniae Fructus Praeparatus (Chao Zhizi) 3 qian, Schizonepetae Spica (Jingjie) 3 qian, Forsythiae Fructum (Lianqiao) 2 qian, and Brassicae Semen Album (Baijiezi) 2 qian. Decoct in water and take orally. [Commentary: A divine pill for dispersing pathogens and eliminating toxins.] One dose brings relief, two doses result in complete resolution, and for ulcerated cases, four doses lead to healing. For yin-type sores, remove Zhizi from the formula and add Cinnamomi Cortex (Rougui) 1 qian. This formula is effective for all types of sores in the Middle Jiao. Its brilliance lies in incorporating herbs that disperse pathogens and eliminate toxins within tonifying herbs, thereby enhancing detoxification and clearing heat. This is the method for treating the Middle Jiao."
Lord Zhang said: "The formula by Zhi Zhenren for managing sores and ulcers is exquisite, but I have an even more extraordinary prescription. Use Glycyrrhizae Radix et Rhizoma Preparata (Sheng Gancao) 1 liang, Angelicae Sinensis Radix (Danggui) 1 liang, Taraxaci Herba (Pugongying) 1 liang, Scutellariae Radix (Huangqin) 1 qian, Lonicerae Japonicae Flos (Jinyinhua) 2 liang, and Boswelliae Resina (Ruxiang) 1 qian, grind into fine powder. First, decoct the first five herbs in five bowls of water until reduced to one bowl. Mix with the Ruxiang powder and drink. It yields miraculous results and complements the efficacy of the previous formula. [Commentary: An immortal pill for dispersing toxins.] It can treat conditions throughout the entire body, serving as a general management method."
Lord Hua said: "I have nothing to add."
Sun Zhenjun said: "I also have a formula for managing various sores. Use Trichosanthis Radix (Tianhuafen) 3 qian, Glycyrrhizae Radix et Rhizoma Preparata (Sheng Gancao) 1 liang, Lonicerae Japonicae Flos (Jinyinhua) 1 liang, and Taraxaci Herba (Pugongying) 5 qian. Decoct in water and take orally. One dose alleviates symptoms, and two doses result in complete recovery. This formula has remarkable power in detoxification and can also manage various abscesses in the Lower Jiao."
On Leg Abscess, Multi-bone Abscess, Scrotal Abscess, Straddle Abscess, Crane-Knee Wind, and Crural Ulcers
The Heavenly Master said: "The treatment of the Lower Jiao refers to leg abscesses, multi-bone abscesses, scrotal abscesses, straddle abscesses, Crane-Knee Wind, crural ulcers, and foot gangrene. Among these, scrotal abscesses and straddle abscesses are the most difficult to treat. These conditions arise because young men neglect their health, frequenting brothels or indulging in sexual pleasures, suppressing ejaculation during intercourse, enduring hunger while maintaining arousal, forcibly holding back qi at the moment of ejaculation, or forcing erection after emission. Engaging in intercourse while another person is ejaculating also generates such malignant toxins. The prescription uses Lonicerae Japonicae Flos (Jinyinhua) 4 liang, Taraxaci Herba (Pugongying) 2 liang, Ginseng Radix et Rhizoma (Renshen) 1 liang, Angelicae Sinensis Radix (Danggui) 1 liang, Glycyrrhizae Radix et Rhizoma Preparata (Sheng Gancao) 1 liang, Rheii Radix et Rhizoma (Dahuang) 5 qian, and Trichosanthis Radix (Tianhuafen) 2 qian. Decoct in water and take orally. One dose reduces swelling, two doses cure it completely, and for ulcerated cases, three doses suffice. This toxin enters through deficiency; therefore, one must strongly tonify blood and assist with herbs that expel pathogens, causing the disease to vanish like loss. Otherwise, the condition lingers, and disaster follows swiftly. Rather than allowing the toxic pathogen to spread and then attempting to disperse it later, is it not better to vigorously expel it with one dose while the healthy qi is still strong? The brilliance of this formula lies in Lonicerae Japonicae Flos, with Angelicae Sinensis Radix as the sovereign herb for tonifying blood, Ginseng Radix et Rhizoma as the minister herb, and Rheii Radix et Rhizoma as the guide herb, achieving proper balance in dosage and weight.
"The treatment for Crane-Knee Wind differs. This condition arises from dampness combined with sexual activity while standing, where water-dampness invades the body. The prescription uses Astragali Membranacei Radix (Huangqi) 8 liang, Cinnamomi Cortex (Rougui) 3 qian, Coicis Semen (Yiren) 4 liang, Poria (Fuling) 2 liang, Atractylodis Macrocephalae Rhizoma (Baizhu) 2 liang, and Saposhnikoviae Radix (Fangfeng) 5 qian. Decoct in over ten bowls of water until reduced to two bowls. Divide into two doses: take one in the morning and one before sleep. Cover with thick blankets after taking the medicine to induce heavy sweating. Do not remove the blankets lightly; allow the sweat to dry naturally for healing. One dose is sufficient; re-administration is unnecessary. The brilliance of this formula lies in using Huangqi to tonify qi, as movement of the legs depends on qi circulation. In Crane-Knee Wind, qi deficiency prevents adequate circulation, making walking difficult. Using half a jin of Huangqi greatly strengthens qi. Rougui assists in unblocking qi, and Fangfeng disperses pathogens; though seemingly opposing, they complement each other. Baizhu and Yiren eliminate cold-dampness. Once pathogens are removed, healthy qi solidifies, leading to rapid recovery. If one fears the patient cannot tolerate it and avoids using it, harm will result.
"Multi-bone gangrene arises in the middle of the thigh, characterized by extra bone growth, caused by damp-heat. With proper treatment, it is easy to cure; otherwise, terrifying changes may occur. The prescription uses Angelicae Sinensis Radix (Danggui) 1 liang, Lonicerae Japonicae Flos (Jinyinhua) 1 liang, Paeoniae Radix Alba (Baishao) 1 liang, Bupleuri Radix (Chaihu) 1 qian, Artemisiae Scopariae Herba (Yinchen) 3 qian, Gentianae Radix (Longdancao) 2 qian, Atractylodis Macrocephalae Rhizoma (Baizhu) 3 qian, and Glycyrrhizae Radix et Rhizoma Preparata (Sheng Gancao) 3 qian. Decoct in water and take orally for immediate cure. [Commentary: Divine pill for transforming bone.] If neglected, a bone grows and inserts horizontally between the skin, causing pain; it must be extracted for healing. Remove the bone with iron forceps and apply the previous flesh-regenerating ointment externally. Two treatments lead to recovery. The brilliance lies in Baishao, which pacifies Liver Wood and activates tendons. Multi-bone gangrene is not true bone but tendon transformed into bone-like tissue. Baishao not only clears Liver fire but also disperses Liver pathogens. Once pathogens are gone, tendons relax, and the bone-like tissue dissolves. Combined with Jinyinhua's detoxifying properties, these two herbs work synergistically.
"Foot gangrene is also caused by damp-heat. The prescription uses Lonicerae Japonicae Flos (Jinyinhua) 1 liang, Taraxaci Herba (Pugongying) 1 liang, Glycyrrhizae Radix et Rhizoma Preparata (Sheng Gancao) 3 qian, Angelicae Sinensis Radix (Danggui) 1 liang, and Coicis Semen (Yiren) 2 liang. Decoct in water and take orally. One dose cures it. [Commentary: Dispelling dampness and eliminating pathogen powder.] The brilliance lies in using Yiren as the sovereign herb, as dampness typically affects the lower body, and water flows downward. Yiren removes dampness and benefits joint qi, while Jinyinhua clears fire-toxin. Assisted by Sheng Gancao, pathogens disperse easily and dampness retreats. Blood deficiency allows water-dampness to invade easily. Danggui tonifies blood; when blood is sufficient, water cannot invade, and dampness cannot enter, ensuring appropriate usage and rapid effect.
"Crural ulcers are also caused by damp-heat, often resulting in rotting legs with foul odor. Herbal decoctions alone are ineffective. First wash with green onion soup. Then prepare: White Wax (Baila) 1 liang, Red Lead (Huandan) 2 liang, Earthworm excrement from leek fields (Qiucai Di Shang Erchong Fen) 2 liang, dried by frying to 1.5 liang, Borneolum Syntheticum (Bingpian) 5 fen, Camphora (Chaonao) 3 qian, Moschus (Shexiang) 5 fen, Daemonorops Fructum (Xuejie) 5 qian, Plumbum Carbonicum (Qianfen) 1 liang, Fried Rosin (Chao Songxiang) 3 qian, Ruxiang defatted 3 qian, Myrrha (Moyao) 3 qian, Viriditas Cupri (Tonglv) 3 fen, Calomelas (Qingfen) 1 qian, and Terminalia Chebulae Retartulum (Ercha) 3 qian. Grind each into extremely fine powder. While the wound is wet from the onion wash, sprinkle the powder onto the ulcer. It will cause unbearable itching, but do not scratch. Soon, yellow fluid resembling golden juice will flow out in several bowls. Wash again with onion soup, repeat sprinkling and flowing three times. Fluid will decrease and pain will stop. [Commentary: Divine pill for separating dampness and detoxifying.] The next day, apply the previous ointment on thick leather, adding 2 qian of this powder, and let fluid drain. If itching is extreme, stroke with crane feathers to relieve itching. Apply two patches to stop fluid and heal. Leg abscesses follow the multi-bone treatment method; no new formula is needed. For crural ulcers, take internal decoction: Lonicerae Japonicae Flos (Jinyinhua) 1 liang, Coicis Semen (Yiren) 2 liang, Poria (Fuling) 1 liang, Glycyrrhizae Radix et Rhizoma Preparata (Sheng Gancao) 5 qian, Achyranthis Bidentatae Radix (Niuxi) 5 qian, Dioscoreae Hypoglaucae Rhizoma (Bixie) 5 qian, Pinelliae Rhizoma Preparatum (Banxia) 5 qian, and Cinnamomi Cortex (Rougui) 5 fen. Decoct in water and take orally. [Commentary: Internal transformation pill for separating dampness.] Combine with external ointment application. Using this formula continuously, two doses cure it. The brilliance lies in Yiren as sovereign, Jinyinhua and Bixie as ministers, and Fuling as assistant-guide. Yiren removes dampness from feet, Fuling drains dampness from Spleen and Stomach, Sheng Gancao and Jinyinhua resolve stagnant heat-toxin, Bixie travels to the lower limbs, dispels dampness, and strengthens shins, assisted by Niuxi to support tendons. Thus, rotting damp ulcers vanish effortlessly. This is the finest aspect of Lower Jiao treatment."
Lord Zhang said: "Lower Jiao treatment ends here, but I wish to elaborate further. Multi-bone formation, though originating from damp-heat, is not solely formed by it; it often results from a preference for cold water and fruit consumption. At the onset of multi-bone gangrene, use Rheii Radix et Rhizoma (Dahuang) 1 liang, Hibisci Mutabilis Folium (Furong Ye) dried and powdered 1 liang, Moschus (Shexiang) 3 fen, Borneolum Syntheticum (Bingpian) 3 fen, Myrobalanus Chebulae Fructus (Wubeizi) 1 liang, Garcinia Hanburyi Resina (Tenghuang) 3 qian, and Alum (Sheng Fan) 3 qian. Grind into powder, mix with rice vinegar to form a thick paste. Apply around the multi-bone gangrene, enclosing the skin and flesh, leaving a bean-sized opening in the center. Frequently sweep the opening with vinegar using a goose feather. If not swept and allowed to dry enclose, it is useless. Internal resolution occurs within one day and night. [Commentary: Detoxifying powder.] Gangrene arising between the Huantiao acupoints often becomes multi-bone gangrene if this encircling medicine is not used. Therefore, once gangrene appears, regardless of bone presence, apply this medicine immediately for miraculous effect. It is equally effective for other carbuncles, sores, and boils.
Lord Hua said: "I have nothing to discuss."
Lei Gong said: "I also have a formula for treating multi-bone conditions, using internal resolution methods with remarkable efficacy. Any toxin reaching the Huantiao acupoint constitutes multi-bone gangrene. Use Ginseng Radix et Rhizoma (Renshen) 3 qian, Rheii Radix et Rhizoma (Dahuang) 5 qian, Taraxaci Herba (Pugongying) 1 liang, Lonicerae Japonicae Flos (Jinyinhua) 2 liang, Trichosanthis Radix (Tianhuafen) 3 qian, and Coicis Semen (Yiren) 3 liang. First, decoct Yiren in six bowls of water to obtain three bowls of liquid. Then decoct the remaining five herbs to obtain three bowls. Divide into two doses. Taking two doses over two days resolves the condition. It is a divine formula. If already ulcerated, use the Heavenly Master's method. [Commentary: The Heavenly Master said: The formula is very magical, surpassing mine.]
(Note: Ancient texts often used Da Fangfeng Tang for Crane-Knee Wind, combining Qi and Blood tonics, as the disease is in the Lower Jiao Yin level. This formula excludes Blood tonics, suitable for early stages. For chronic cases, ancient formulas should not be discarded. Recorded by Li Ziyong.)