倘有血紫坚凝毒流于肾胃，则口内生疳，牙龈腐烂，甚生穿
腮落牙，渐入喉咙，名为走马疳，最恶症也。宜用忍冬解毒散加减服之，外敷消疳散。
忍冬解毒散加减∶
忍冬石膏芩木通，力子桑皮玄二冬，
甘桔豆根银花贝，荆菊连翘地丁同。
外敷消疳散∶
消疳散用连儿茶，人中花粉甘硼砂，
青黛石膏冰片入，共为研细牙龈搽。
《经》曰∶毒流于头项，头乃诸阳之首，倘毒入阳会而溃烂生蛆时，值炎天臭不可闻，急以清凉攻毒汤
治之外，以金银花洗之。又用金盖散即牛粪晒干为末，少加冰片、青黛合研掺之，则
愈矣。
清凉攻毒饮∶（即泻黄散。）
清凉攻毒用大黄，川连石膏犀角镑，
荆力木通鲜生地，丹皮地丁合成方。
若毒流于肺，津液遂不能上行，则咽喉干燥，音哑发呛，以清金饮主之。若毒锁喉咙者，则不治之症也。
清金饮加减∶
清金甘桔与玄参，大力麦冬花粉荆，
前胡枳翘姜虫炒，豆根石膏天冬芩。
《经》曰∶时值隆冬，表邪未尽，风邪与热毒抑郁于皮毛，发一身沸子，宜清肌散毒饮主之。
清肌散毒饮加减∶
清肌散毒薄荆风，前葛蝉衣力子芎，
桔梗姜虫生甘草，无汗还加麻黄通。
《经》曰∶肺主皮毛，脾胃主肌肉，故用石膏清胃火，黄芩泻肺火，则皮毛开而肌肉平矣。宜服∶
知柏石膏麦门冬，生栀六一芩木通，
百部枳实白百合，车泽赤苓贝杏仁，
昆布海藻桑白皮，金银葶苈与天冬，
麻黄香薷荷鼻立，瓜蒂牙根紫菀茸，
榆白皮煎蔓荆子，萝卜子与灯草逢。
If the blood heat is purple and dark, firm and coagulated, and toxic pathogens flow into the Kidney and Stomach, sores (Gan) will grow in the mouth, and the gums will rot. In severe cases, it may lead to cheek perforation and tooth loss, gradually invading the throat. This disease is called "Zou Ma Gan" (Running Horse Gangrene), which is the most malignant condition. It is appropriate to use Ren Dong Jie Du San (Honeysuckle Detoxification Decoction) with modifications for internal administration, and apply Xiao Gan San (Sores Resolving Powder) externally.
Ren Dong Jie Du San (Honeysuckle Detoxification Decoction) with modifications:
Jin Yin Hua (Lonicerae Japonicae Flos), Shi Gao (Gypsum Fibrosum), Huang Qin (Scutellariae Radix), Mu Tong (Akebiae Caulis), Niu Bang Zi (Arctii Fructus), Sang Bai Pi (Mori Cortex), Xuan Shen (Scrophulariae Radix), Tian Dong (Asparagi Radix), Mai Dong (Ophiopogonis Radix).
Gan Cao (Glycyrrhizae Radix et Rhizoma), Jie Geng (Platycodonis Radix), Dou Gen (Smilacis Glabrae Rhizoma), Yin Hua (Lonicerae Japonicae Flos), Bei Mu (Fritillariae Bulbus), Jing Jie (Schizonepetae Spica), Ju Hua (Chrysanthemi Flos), Lian Qiao (Forsythiae Fructus), Di Ding (Violaris Herba) are used together.
External application Xiao Gan San (Sores Resolving Powder):
Xiao Gan San consists of Er Cha (Catechu), Ren Zhong Bai (Natrii Uras), Hua Fen (Trichosanthis Radix), Gan Peng Sha (Borax).
Qing Dai (Indigo Naturalis), Shi Gao (Gypsum Fibrosum), Bing Pian (Borneolum Syntheticum) are added. All ingredients are ground into fine powder and applied to the gums.
The *Classic* states: When toxic pathogens flow to the head and neck, the head is the summit of all Yang meridians. If the toxic pathogens enter the Yang convergence points causing ulceration and maggot infestation, especially during hot summer days when the odor is unbearable, one should urgently treat with Qing Liang Gong Du Tang (Cooling and Detoxifying Decoction) externally, and wash the area with Jin Yin Hua (Lonicerae Japonicae Flos) decoction. Additionally, apply Jin Gai San (Golden Cover Powder), which is made by drying cow dung, grinding it into powder, adding a small amount of Bing Pian (Borneolum Syntheticum) and Qing Dai (Indigo Naturalis), mixing them well, and sprinkling the mixture on the lesion; then the disease will heal.
Qing Liang Gong Du Yin (Cooling and Detoxifying Drink): (This is identical to Xie Huang San.)
Qing Liang Gong Du Tang uses Da Huang (Rhei Radix et Rhizoma), Chuan Lian (Coptidis Rhizoma), Shi Gao (Gypsum Fibrosum), Xi Jiao (Rhino Ceratis Cornu - sliced).
Jing Jie (Schizonepetae Spica), Niu Li (Arctii Fructus), Mu Tong (Akebiae Caulis), Xian Sheng Di (Rehmanniae Radix Recens), Dan Pi (Moutan Cortex), Di Ding (Violaris Herba) are combined to form the prescription.
If toxic pathogens flow into the Lung, body fluids cannot ascend, leading to dryness of the throat, hoarseness, and choking coughs. The primary treatment is Qing Jin Yin (Clearing Metal Drink). If the toxic pathogens lock the throat, it is an incurable condition.
Qing Jin Yin (Clearing Metal Drink) with modifications:
Qing Jin Yin contains Gan Cao (Glycyrrhizae Radix et Rhizoma), Jie Geng (Platycodonis Radix), Xuan Shen (Scrophulariae Radix), Da Li (Arctii Fructus), Mai Dong (Ophiopogonis Radix), Hua Fen (Trichosanthis Radix), Jing Jie (Schizonepetae Spica).
Qian Hu (Peucedani Radix), Zhi Qiao (Aurantii Fructus), Lian Qiao (Forsythiae Fructus), Chao Jiang Chong (Bombyx Batryticatus stir-fried), Dou Gen (Smilacis Glabrae Rhizoma), Shi Gao (Gypsum Fibrosum), Tian Dong (Asparagi Radix), Huang Qin (Scutellariae Radix).
The *Classic* states: During mid-winter, if exterior pathogens are not fully resolved, Wind pathogens and Heat toxins stagnate in the skin and hair, causing fever and rash over the whole body. The primary treatment is Qing Ji San Du Yin (Clearing Muscle and Resolving Toxin Drink).
Qing Ji San Du Yin (Clearing Muscle and Resolving Toxin Drink) with modifications:
Qing Ji San Du Yin contains Bo He (Menthae Haplocalycis Herba), Jing Jie (Schizonepetae Spica), Feng Fang (Saposhnikoviae Radix), Qian Hu (Peucedani Radix), Ge Gen (Puerariae Lobatae Radix), Chan Yi (Bombyx Cicadae), Niu Li (Arctii Fructus), Xiong (Chuanxiong Rhizoma).
Jie Geng (Platycodonis Radix), Jiang Chong (Bombyx Batryticatus), Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma raw). If there is no sweating, add Ma Huang (Ephedrae Herba) to promote circulation and induce sweating.
The *Classic* states: The Lung governs the skin and hair, while the Spleen and Stomach govern the muscles. Therefore, using Shi Gao (Gypsum Fibrosum) to clear Stomach Fire and Huang Qin (Scutellariae Radix) to drain Lung Fire will open the skin and hair and calm the muscles. It is appropriate to take the following prescription:
Zhi Mu (Anemarrhenae Rhizoma), Bai Zhu (not mentioned, likely Bai Fu or similar, but text says Bai Po? Text says "Zhi Bai", likely Zhi Mu and Huang Bai), Huang Bai (Phellodendri Cortex), Shi Gao (Gypsum Fibrosum), Mai Men Dong (Ophiopogonis Radix), Sheng Zhi Zi (Gardeniae Fructus), Liu Yi San (Six-to-One Powder), Huang Qin (Scutellariae Radix), Mu Tong (Akebiae Caulis).
Bai Bu (Stemonae Radix), Zhi Shi (Aurantii Fructus Immaturus), Bai Bai He (Lilii Bulbus), Che Qian Zi (Plantaginis Semen), Ze Xie (Alismatis Rhizoma), Chi Ling (Poria cum Rosa), Bei Mu (Fritillariae Bulbus), Xing Ren (Armeniacae Semen Amarum).
Kun Bu (Sargassum), Hai Zao (Sargassum), Sang Bai Pi (Mori Cortex), Jin Yin Hua (Lonicerae Japonicae Flos), Ting Li Zi (Lepidii Fructus), Tian Dong (Asparagi Radix).
Ma Huang (Ephedrae Herba), Xiang Ru (Moslae Herba), He Ye (Nelumbinis Folium), Bi Li (likely Xin Yi or similar nasal herb, translated as Nasal-opening herb), Gua Di (Melonis Fructus), Ya Gen (likely a specific root, translated as Root of Tooth-plant), Zi Wan (Asteris Radix).
Yu Bai Pi (Ulmus Cortex), Jian (decocted), Man Jing Zi (Vittariae Fructus), Luo Bo Zi (Raphani Semen), Deng Cao (Junci Medulla) meet together.