脉浮发热，或拘急者，发散表邪。脉沉发热便秘者，解表攻里。发热小便赤涩者，分利
消毒。
一小儿患此， 痛发热，脉浮数，挑去毒水，以黄柏、滑石末敷之；更饮荆防败毒散，
二剂而愈。
一男子 痛发热，服祛风清热药愈炽，诊其脉沉实，乃邪在内也，用防风通圣散一剂，
顿愈；又荆防败毒散，二剂而安。夫此证虽属风热，当审在表里，治无误。
一小儿 赤发热，以黄柏、滑石末敷之，饮大连翘汤二剂，稍愈；更以金银花散而痊。
附方
荆防败毒散（方见溃疡发热门）
防风通圣散 治一切风热积毒，疮肿发热，便秘，表里俱实。
芍药（炒） 芒硝 滑石（ ） 川芎 当归（酒拌） 桔梗 石膏（ ） 荆芥 麻黄（各四
分半）
剂，水一钟，煎八分服。
大连翘饮 治 疹丹毒瘙痒，或作痛，及大人小儿，风邪热毒 痛；或作痒，小
便涩。
连翘 瞿麦 荆芥 木通 芍药 当归（酒拌） 蝉蜕 甘草 防风 柴胡 滑石（ ）
山栀
金银花散（方见作渴门）
(近时称。从咽喉患起者，仍见咽喉门)
湿胜者宜先导湿。表实者宜先解表。里实者宜先疏内。表里俱实者，解表攻里。表虚者
补气。里虚者补血。表里俱虚者补气血。
一男子玉茎患之，肿痛，先以导水丸、龙胆泻肝汤各四服，稍愈；再以小柴胡汤加黄柏
、苍术，五十余剂而平。
一男子玉茎肿溃，小便赤色，肝木弦数，以小柴胡汤，加木通、青皮、龙胆草四剂；又
龙胆泻肝汤，数剂而愈。
一童子玉茎患之，延及小腹数枚作痛，发热，以小柴胡汤吞芦荟丸，更贴神异膏，月余
而安。
一男子遍身皆患，左手脉浮而数，以荆防败毒散治之，表证乃退；以仙方活命饮六剂，
疮渐愈，兼饮萆 汤，月余而愈。
一妇人 痛，便秘作渴，脉沉实，以内疏黄连汤二剂，里证已退；以龙胆泻肝汤数剂，
疮毒顿退，间服萆 汤，月余而愈。
一男子患之，发热便秘，作渴，两手脉实，以防风通圣散治之而退；以荆防败毒散兼龙
胆泻肝汤，而痊。
一男子愈后，腿肿一块，久而溃烂不敛，以蒜捣烂，敷患处，用艾隔蒜灸之；更贴神异
膏，及服黑丸子并托里药，两月而愈。
一妇人燃轻粉药，于被中熏之，致遍身皮塌，脓水淋漓，不能起居，以滑石、黄柏、绿
豆粉末等分，铺席上，令可卧，更饮金银花散，月余而痊。
一男子皆愈，但背肿一块甚硬，肉色不变，年余方溃，出水三载不愈，气血俱虚，饮食
少思，以六君子汤加当归、藿香，三十余剂稍愈；更饮萆 汤，两月余而愈。
一男子患之势炽，兼脾胃气血皆虚，亦服前药而瘥。
一妇人患之，皆愈，惟两腿两 各烂一块如掌，兼筋挛骨痛，三载不愈，诸药不应，日
晡热
汤，加牛膝、杜仲、木瓜，三十余剂而痊。
附方
导水丸（方见便痈门）
龙胆泻肝汤（方见下疳门）
荆防败毒散（方见溃疡发热门）
内疏黄连汤（方见肿疡门）
仙方活命饮（方见发背门）
防风通圣散（方见天泡疮门）
隔蒜灸法（方见发背门）
八珍汤（方见溃疡发热门）
黑丸子（方见流注门）
金银花散（方见作渴门）
小柴胡汤（方见瘰 门）
神异膏 治痈疽疮毒甚效，此疮疡中第一药也。
露蜂房（儿多者，一两） 蛇蜕（盐水洗、焙，半两） 玄参（半两） 黄 （三钱） 男子发
（洗如鸡子一团） 杏仁（去皮尖，一两） 黄丹（十二两） 真麻油（二斤） 先以玄参、杏仁、黄
入油，煎至将
，滴，水捻至软硬得中，即成膏矣。
萆 汤 治杨梅疮，不问新旧溃烂，或筋骨作痛，并效。用川萆 （俗呼土茯苓
，）每
气血等症者，以此一味为主，而加以兼症之剂。）
芦荟丸（方见下疳门）
又捷法 治杨梅疮不同新旧并效，不过旬日。用胆矾、白矾末并水银各三钱半，
入香油、
仍前再擦，用药尽即卧，汗出或大便去垢，口出秽涎为验。连擦三日，煎通圣散澡洗；更服
内疏黄连汤或败毒散。愈后服萆 汤，有热加芩、连，气虚参、 ，血虚四物之类。
Pulse floating with fever, or accompanied by muscle stiffness and spasms, should be treated by dispersing exterior pathogens. Pulse deep with fever and constipation requires resolving the exterior and purging the interior. Fever with red and scanty urine requires separating fluids to drain dampness and detoxifying.
A child suffered from this condition, with painful and hot lesions, and a floating, rapid pulse. The toxic fluid was drained by pricking, followed by topical application of powder made from Phellodendri Cortex (Huangbai) and Talcum (Huashi). Subsequently, Jingfang Baidu San was administered orally; after two doses, the patient recovered.
A male patient experienced painful and hot lesions. After taking wind-dispelling and heat-clearing herbs, symptoms worsened. His pulse was deep and solid, indicating pathogenic factors within. One dose of Fangfeng Tongsheng San resulted in immediate recovery; subsequently, Jingfang Baidu San was given for two doses to stabilize the condition. Although this disease belongs to wind-heat, one must examine whether the pathogen is in the exterior or interior to avoid treatment errors.
A child presented with red, hot lesions. Topical application of Huangbai and Huashi powder was used, followed by oral administration of Dalianqiao Tang for two doses, which slightly alleviated symptoms. Finally, Jinyinhua San was used to achieve complete recovery.
Attached Formulas:
Jingfang Baidu San (See "Ulceration with Fever" section)
Fangfeng Tongsheng San treats various accumulations of wind-heat and toxins causing swelling, fever, constipation, and excess conditions in both the exterior and interior.
Shao Yao (Stir-fried), Mang Xiao, Huashi, Chuanxiong, Dang Gui (stirred with wine), Jiegeng, Shigao, Jingjie, Mahuang (each 4.5 fen). Decoct with one cup of water until reduced to 0.8 cup, then take.
Dalianqiao Yin treats measles, erysipelas, itching, or pain, as well as pain caused by wind-pathogens and heat-toxins in adults and children; or itching with scanty, difficult urination.
Lianqiao, Qumai, Jingjie, Mutong, Shaoyao, Dang Gui (stirred with wine), Chantui, Gancao, Fangfeng, Chaihu, Huashi, Zhizi.
Jinyinhua San (See "Thirst" section)
(Note: In recent times called Yangmei Chuang [Syphilis/Kaposi's varicelliform eruption]. Cases starting from the throat are still found in the "Throat" section.)
For dampness predominance, guide out dampness first. For exterior excess, resolve the exterior first. For interior excess, unblock the interior first. For excess in both exterior and interior, resolve the exterior and purge the interior. For exterior deficiency, tonify Qi. For interior deficiency, tonify Blood. For deficiency in both, tonify Qi and Blood.
A male patient had lesions on the penis, with swelling and pain. First, Daoshui Wan and Longdan Xiegan Tang were taken four times each, resulting in slight improvement. Then, Xiaochaihu Tang added with Huangbai and Cangzhu was taken for over fifty doses to resolve the condition.
A male patient had swollen and ulcerated penis with red urine. The liver meridian pulse was wiry and rapid. Xiaochaihu Tang added with Mutong, Qingpi, and Longdancao was taken for four doses; followed by Longdan Xiegan Tang for several doses, leading to recovery.
A young boy had lesions on the penis extending to several painful spots on the lower abdomen, with fever. Xiaochaihu Tang was taken with Lulu Wan swallowed, and Shenyi Gao was applied externally. After more than a month, the condition stabilized.
A male patient had lesions all over the body. The left hand pulse was floating and rapid. Jingfang Baidu San was used to treat it, resolving the exterior syndrome. Six doses of Xianfang Huoming Yin gradually healed the sores. Combined with Bixie Tang, full recovery took over a month.
A female patient had painful lesions, constipation, and thirst. The pulse was deep and solid. Neishu Huanglian Tang was taken for two doses, resolving the interior syndrome. Longdan Xiegan Tang was taken for several doses, rapidly reducing toxin-related sores. Intermittent use of Bixie Tang led to recovery after over a month.
A male patient had fever, constipation, and thirst. Both hands' pulses were solid. Fangfeng Tongsheng San was used to reduce symptoms. Jingfang Baidu San combined with Longdan Xiegan Tang led to recovery.
After recovery, a male patient had a hard swelling on the leg that did not ulcerate or heal for a long time. Mashed garlic was applied topically, and moxibustion with garlic partition was performed. Shenyi Gao was applied, and Heiwanzi along with interior-supporting herbs were taken. Recovery took two months.
A female patient burned Qingfen (calomel) medicine and fumigated herself under blankets, causing widespread skin collapse and dripping pus, making movement impossible. Equal parts of Huashi, Huangbai, and Luzhudou powder were spread on the mat for her to lie on. Jinyinhua San was administered orally, leading to recovery after over a month.
A male patient recovered but had a very hard swelling on the back that did not ulcerate for over a year. It eventually ulcerated, discharging pus for three years without healing. With Qi and Blood deficiency and poor appetite, Liujunzi Tang added with Dang Gui and Huoxiang was taken for over thirty doses, showing slight improvement. Bixie Tang was then drunk for over two months until recovery.
A male patient had severe disease progression with concurrent Spleen and Stomach Qi and Blood deficiency. Taking the previous formulas also led to recovery.
A female patient recovered except for palm-sized ulcers on both thighs and groins, accompanied by tendon contraction and bone pain. Unhealed for three years and unresponsive to various medicines, she experienced afternoon fever. Bazhen Tang added with Niuxi, Duzhong, and Mugua was taken for over thirty doses, leading to recovery.
Attached Formulas:
Daoshui Wan (See "Perineal Abscess" section)
Longdan Xiegan Tang (See "Chancre" section)
Jingfang Baidu San (See "Ulceration with Fever" section)
Neishu Huanglian Tang (See "Abscess" section)
Xianfang Huoming Yin (See "Back Carbuncle" section)
Fangfeng Tongsheng San (See "Blister Disease" section)
Garlic-Partitioned Moxibustion Method (See "Back Carbuncle" section)
Bazhen Tang (See "Ulceration with Fever" section)
Heiwanzi (See "Flowing Abscess" section)
Jinyinhua San (See "Thirst" section)
Xiaochaihu Tang (See "Scrofula" section)
Shenyi Gao is highly effective for treating carbuncles, sores, and toxins; it is the premier remedy for ulcerative diseases.
Lufengfang (1 liang, preferably with many larvae), Shetui (washed in salt water and dried, 0.5 liang), Xuanshen (0.5 liang), Huangqi (3 qian), Nanrenfa (washed, amount equal to an egg), Xingren (de-skinned and de-seeded, 1 liang), Huangdan (12 liang), Zhenmayou (2 jin). First, decoct Xuanshen, Xingren, and Huangqi in oil. When nearly ready, drop into water and knead until the consistency is medium-hard to form the plaster.
Bixie Tang treats Yangmei Chuang regardless of new or old ulcers, or bone/joint pain. Use Chuanbixie (commonly known as Tufuling)... (For cases involving Qi and Blood issues, this single herb serves as the main component, supplemented by formulas addressing concurrent symptoms.)
Lulu Wan (See "Chancre" section)
Another Rapid Method: Treats Yangmei Chuang effectively regardless of stage, within ten days. Use Danfan, Baifan powder, and Shuiyin (mercury), each 3.5 qian. Mix with Xiangyou... Apply again as before. After finishing the medication, lie down. Sweating, passage of foul stool, or expulsion of foul saliva indicates efficacy. Apply for three consecutive days, then bathe with decoction of Tongsheng San. Take Neishu Huanglian Tang or Baidu San afterwards. After recovery, take Bixie Tang; add Huangqin and Huanglian for heat, Renshen and Huangqi for Qi deficiency, and Siwu Tang for Blood deficiency.