（附∶人面疮、翻花疮）
经曰∶诸痛痒疮疡，皆属心火；诸湿肿满，皆属脾土。心主血，脾主肉。血热肉湿，湿热相
搏，溃散肌肤，浸淫不休，不可定名，故曰恶疮。然亦有辩焉。如气血郁于皮肤腠理，可以表而
散者，如疥、
癣、疡、疹之类是也。汗之，疮即已。若气血郁于肌肉之分，外连皮肤，作寒发热而生脓；或七
情所招，或膏粱所致，皆宜内托，不宜发汗，汗之则发 证。故疮成于皮肤之间，则因其轻而扬
之，故汗之，用杀虫润燥药敷之。若疮成于肌肉之内，当因其重而减之，泻经络之热，清凉气血
，外以化脓生肌膏 之。疮在头巅，则升而取之，用酒制寒凉药，更以风药升而上之，外以杀虫
解热药敷之。明此三者，其于治疡，思过半矣。
主方 连翘 当归 栝蒌根 生地 荆芥 黄芩 赤芍 麦冬 牛蒡子 瞿麦 木通 栀
子防风 川芎 甘草（各等分）为粗末，每四钱，水煎服。
敷方 （一切恶疮） 白矾（一钱） 乳香（七分） 轻粉（三分） 没药（三分） 上
研匀敷。
洗方 （一切恶疮） 贯众 川芎 茵陈 地骨皮 荆芥 独活 防风 蓄 当归 甘草
上水煎洗。
地丁散 （恶疮肿痛）
地丁 当归 大黄 赤芍 金银花 甘草（减半）上用水煎服。
(Note: Human-faced ulcer, everted-flower ulcer)
The *Classic of Internal Medicine* states: All pain, itching, and sores/ulcers belong to Heart Fire; all swelling and fullness caused by dampness belong to Spleen Earth. The Heart governs Blood, and the Spleen governs Flesh. When Heat in the Blood and Dampness in the Flesh interact, they cause the skin and muscles to ulcerate and disperse, oozing incessantly without a fixed name, thus termed "Erythema Ulcer" (Evil Ulcer). However, differentiation is necessary. For instance, if Qi and Blood are stagnant in the skin and interstices (the spaces between skin and muscle), it can be dispersed through the exterior via sweating, such as in cases of Scabies, Tinea, Sores, and Rash. Sweating will cure the ulcer. If, however, Qi and Blood are stagnant within the layers of the flesh, extending externally to connect with the skin, presenting with aversion to cold, fever, and pus formation; or if caused by emotional disturbances or rich/greasy diet, internal support (Nei Tuo) should be used rather than sweating. Sweating would lead to complications. Therefore, for ulcers formed between the skin, one should treat them according to their lightness by dispersing them upward; hence, sweating is indicated, accompanied by topical application of insecticidal and moisturizing herbs. For ulcers formed deep within the muscle, one should treat them according to their heaviness by reducing them; clearing heat from the meridians, cooling the Qi and Blood, and applying topical poultices that promote pus discharge and tissue regeneration externally. For ulcers located on the vertex of the head, one should lift and extract them using ascending methods; employing wine-processed cooling herbs, combined with wind-dispelling herbs to ascend upwards, and applying topical insecticidal and heat-clearing herbs externally. Understanding these three principles covers more than half of the knowledge required for treating sores and ulcers.
Main Formula: Forsythia Fruit (Lianqiao), Angelica Sinensis Root (Danggui), Trichosanthes Root (Gualou Gen), Rehmannia Root (Shengdi), Schizonepeta Spike (Jingjie), Scutellaria Root (Huangqin), Red Peony Root (Chishao), Ophiopogon Tuber (Maidong), Arctium Seed (Niubangzi), Dianthus Herb (Qumai), Akebia Stem (Mutong), Gardenia Fruit (Zhizi), Saposhnikovia Root (Fangfeng), Ligusticum Rhizome (Chuanxiong), Licorice Root (Gancao) (all in equal parts). Grind into coarse powder. Take 4 qian per dose, decoct in water, and take orally.
Topical Application Formula (For all evil ulcers): Alum (Bai Fan, 1 qian), Frankincense (Ruxiang, 7 fen), Calomel (Qingfen, 3 fen), Myrrh (Moyao, 3 fen). Grind uniformly and apply topically.
Washing Formula (For all evil ulcers): Cyathula Root (Guanzhong), Ligusticum Rhizome (Chuanxiong), Yinchen Artemisia, Phellodendron Bark (Digupi), Schizonepeta Spike (Jingjie), Angelica Pubescens Root (Duhuo), Saposhnikovia Root (Fangfeng), Knotgrass Herb (Xumicao), Angelica Sinensis Root (Danggui), Licorice Root (Gancao). Decoct in water and wash the affected area.
Dideng Powder (For evil ulcers with swelling and pain):
Prunella Vulgaris Herb (Diding), Angelica Sinensis Root (Danggui), Rhubarb Root (Dahuang), Red Peony Root (Chishao), Lonicera Flower (Jinyinhua), Licorice Root (Gancao) (dose halved). Decoct in water and take orally.