薛立斋治一男子，孟冬，火伤臂作痛，喘咳发热，此火毒刑肺金之症。用人参平肺散治之，喘咳
乃止。因劳，又恶寒发热，此气血虚也。以八珍汤加枳、梗、白芷，治之而退。再加薄桂三分，以助
药势，温气血，坏肉溃之而愈。如若初起 赤作痛，用神效当归膏敷之，轻者自愈，重者自腐生肌，
神效。或用侧柏叶末，蜡油调敷亦效。若发热作渴，小便赤色，其脉洪数而实者，用四物、茯苓、木
通、生甘草、炒黄连。脉虽洪数而虚者，用八珍。若患处不溃，而色黯者，四君、芎、归、黄 之类。
若死肉已溃而不生肌者，用四君、黄 、当归、炮姜。若愈后而恶寒，阳气未复也，急用十全大补汤，
切勿用寒凉，反伤脾胃。
一男子因醉被汤伤腿，溃烂发热，作渴饮水，脉洪数而有力，此火毒为患。用生地、当归、芩、
连、木通、葛根、甘草，十余剂，诸症渐退。却用参、 、术、草、芎、归、芍药、白芷、木瓜，新
肉将完。因劳，忽寒热，此气血虚而然也。仍用参、 之药，加五味、枣仁而安。又月余而疮敛。
一男子火伤，两臂 痛，大小便不利，此火毒传于下焦。用生地、当归、白芍、黄连、木通、山
栀、赤苓、甘草，一帖，二便清利，其痛亦止。乃以四物、参、 、白芷、甘草而坏肉去，又数剂而
新肉生。
一妇人汤伤胸，大溃，两月不敛，脉大而无力，口干发热，日晡益甚，此阴血虚，火毒乘之而为
患耳。用
四物汤加柴胡、丹皮，热退身凉。更用逍遥散加陈皮，以养阴血，壮脾胃，腐肉去而新肉生。
凡汤烫火烧，痛不可忍，或溃烂，或恶疮，用松树皮剥下，阴干，为细末，入轻粉少许，生油调
稀敷。如敷不住，纱绢帛缚定，即生痂，神妙不可言。然宜预先合下，以备急。自剥落而薄者尤妙。
李莫安抚方，用牛皮胶，入少汤于火上溶稠，狗毛剪碎，以胶和毛，摊软帛封之，直至痂脱不痛。吴
内翰家婢，夜炊米，釜翻伤腿膝，以夜不敢曰，比晓，已溃烂，用此治之而愈。（《百乙方》）
立斋治冯氏子，患火疮，骤用凉药敷贴，更加腹胀不食。以人参败毒散加木通、山栀治之，外用
柏叶炒为末，麻油调搽，渐愈。尝用煮犬汁上浮脂，调银朱涂之更效。若用凉药，逼火毒入内，多致
不救。
王洪绪治一妇小腿经烫，医用冰片研雪水敷之，不一刻，腿肿如斗，痛极难忍。曰∶幸在小腿，
若腰腹间，遏毒入内，难挽回矣。以地榆研细，调油拂上，半刻痛止，再拂数次全愈。
一使女，炭火烫足，背烂一孔，以伏龙肝散，乳调敷，不三日而愈。
一孩被滚汤浇腹，因痛，抓破皮，麻油拂上一次，痛止。以地榆末干糁破处，次日肌生，未破者
全愈。
钱国宾曰∶余欲之遂昌，宿旅次，闻隔房人呼痛，夜不安枕。次日问店主，对曰∶小价提滚水一
桶上楼与客洗面，其子拿盆后上，旧桶底脱，滚水灌子之头，今肿如斗，面目皆平，七日不食矣。余
即往视，满室皆臭，用夏枯草一斤为末，以香油调肿处，浓浓敷上，实时止痛止臭，三日消肿，八日
痂落，切忌食酱料。面有黑斑，店主如言药治而愈。后余回，其子叩谢。
Xue Lizhai treated a man who, in early winter, suffered a burn on his arm causing pain, accompanied by wheezing, coughing, and fever. This was a syndrome of fire-toxin attacking the Lung Metal (Lung organ system). He used Renshen Pingfei San (Ginseng Lung-Pacifying Powder) to treat it, after which the wheezing and coughing ceased. Due to overexertion, he subsequently experienced aversion to cold and fever, indicating Qi and Blood deficiency. He was treated with Bazhen Tang (Eight-Treasure Decoction) augmented with Zhike (Aurantium Fructus), Jiegeng (Platycodon Radix), and Baizhi (Angelicae Dahuricae Radix), which resolved the symptoms. An additional 3 fen of Rougui (Cinnamomi Cortex) was added to assist the medicinal action, warming the Qi and Blood, allowing necrotic tissue to slough off and healing to occur. If the injury initially presented with redness and pain, Shenxiao Danggui Gao (Miraculous Efficacy Angelica Ointment) should be applied externally; mild cases would heal spontaneously, while severe cases would undergo necrosis followed by granulation, showing miraculous efficacy. Alternatively, Cebaiye End (Biota Tops Powder) mixed with beeswax oil for external application is also effective. If fever and thirst are present with dark urine, and the pulse is surging, rapid, and full, Siwu Tang (Four-Substance Decoction) combined with Fuling (Poria), Mutong (Akebia Caulis), raw Gancao (Licorice Root), and stir-fried Huanglian (Coptidis Rhizoma) should be used. If the pulse is surging and rapid but deficient, Bazhen Tang (Eight-Treasure Decoction) is indicated. If the lesion does not ulcerate and appears dark, Sijunzi Tang (Four-Gentlemen Decoction) combined with Chuanxiong (Ligusticum Rhizome), Danggui (Angelicae Sinensis Radix), and Huangqi (Astragali Radix) should be used. If necrotic tissue has ulcerated but new flesh fails to grow, Sijunzi Tang (Four-Gentlemen Decoction) combined with Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), and Paojiang (Prepared Ginger) is appropriate. If aversion to cold persists after healing, it indicates Yang Qi has not yet recovered; Shiquan Dabu Tang (Complete Great Tonifying Decoction) should be urgently administered. Cold-natured medicines must be strictly avoided to prevent further damage to the Spleen and Stomach.
Another man, intoxicated, suffered a scald on his leg from hot water, resulting in ulceration, fever, and thirst with desire to drink. His pulse was surging, rapid, and forceful, indicating pathology caused by fire-toxin. He was prescribed Dihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Mutong (Akebia Caulis), Gegen (Puerariae Radix), and Gancao (Licorice Root). After more than ten doses, all symptoms gradually subsided. Subsequently, Ren (Ginseng), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Licorice Root), Chuanxiong (Ligusticum Rhizome), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Baizhi (Angelicae Dahuricae Radix), and Mugua (Chaenomelis Fructus) were used as new tissue nearly completed. Due to exertion, sudden chills and fever occurred, attributed to Qi and Blood deficiency. Medicines containing Ren (Ginseng) and Huangqi (Astragali Radix) were continued, supplemented with Wuweizi (Schisandrae Fructus) and Zaoren (Ziziphi Spinosae Semen), stabilizing the condition. The wound closed after another month.
A man burned by fire suffered pain in both arms and difficulty urinating and defecating, indicating fire-toxin transmitted to the Lower Jiao (Lower Burner). Dihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Huanglian (Coptidis Rhizoma), Mutong (Akebia Caulis), Shanzhi (Gardeniae Fructus), Chifuling (Polyporus with Hostwood), and Gancao (Licorice Root) were administered. After one dose, urination and defecation became clear and unobstructed, and pain ceased. Thereafter, Siwu Tang (Four-Substance Decoction) combined with Ren (Ginseng), Huangqi (Astragali Radix), Baizhi (Angelicae Dahuricae Radix), and Gancao (Licorice Root) removed necrotic tissue, and after several more doses, new flesh grew.
A woman suffered a scald on her chest, resulting in severe ulceration that failed to heal for two months. Her pulse was large but powerless, with dry mouth, fever worsening in the late afternoon. This indicated Yin-Blood deficiency with fire-toxin taking advantage of the weakness. Siwu Tang (Four-Substance Decoction) augmented with Chaihu (Bupleuri Radix) and Danpi (Moutan Cortex) reduced the fever and cooled the body. Xiaoyao San (Free and Easy Wanderer Powder) augmented with Chenpi (Citri Reticulatae Pericarpium) was then used to nourish Yin-Blood and strengthen the Spleen and Stomach, leading to the removal of necrotic tissue and growth of new flesh.
For any scald or burn causing unbearable pain, or resulting in ulceration or malignant sores, pine bark can be peeled off, dried in the shade, ground into fine powder, mixed with a small amount of Qingfen (Calomel), and diluted with raw sesame oil for external application. If the paste does not adhere, secure it with gauze or silk fabric; scabs will form with miraculous results. It is advisable to prepare this beforehand for emergencies. Naturally shed, thin bark is particularly effective.
The formula of Li Mo Anfu uses Niujiaojiao (Asini Corii Colla) melted with a little water over fire until thick. Dog hair is cut into pieces and mixed with the glue, spread on soft cloth, and applied until the scab falls off without pain. A maid in the household of Hanlin Academician Wu scalded her legs and knees when a rice pot overturned at night. Unable to cry out due to darkness, she discovered ulceration by morning. Treatment with this method resulted in recovery. (From *Baibian Fang*)
Xue Lizhai treated the son of the Feng family suffering from a fire sore. The sudden application of cold medicines externally exacerbated abdominal distension and loss of appetite. Ren Shen Bai Du San (Ginseng Detoxification-Decoction Powder) augmented with Mutong (Akebia Caulis) and Shanzhi (Gardeniae Fructus) was used internally. Externally, Cebaiye (Biota Tops) was stir-fried into powder and applied with sesame oil, leading to gradual recovery. He once used the floating fat from boiled dog broth mixed with Yinzhu (Vermilion) for topical application, which proved even more effective. Using cold medicines forces fire-toxin inward, often leading to untreatable conditions.
Wang Hongxu treated a woman whose lower leg was scalded. A physician applied ice flakes crushed in snow water. Within moments, the leg swelled to the size of a bucket, with excruciating pain. Wang remarked: Fortunately, it is on the lower leg; if it were on the waist or abdomen, the toxin would be trapped inward, making rescue difficult. Diyu (Sanguisorbae Radix) was finely ground and mixed with oil, applied to the area. Pain ceased within half an hour, and repeated applications led to complete recovery.
A maidservant had her foot scalded by charcoal fire, resulting in a hole of rotting flesh on her back. Fulonggan San (Dragon Sitting Earth Powder) mixed with milk was applied externally, curing her in less than three days.
A child’s abdomen was scalded by boiling water. Due to pain, the skin was scratched open. A single application of sesame oil stopped the pain. Dry powder of Diyu (Sanguisorbae Radix) was sprinkled on the broken skin; muscle regeneration began the next day, and unbroken areas healed completely.
Qian Guobin stated: I was staying at an inn en route to Suichang when I heard someone crying out in pain from the next room, unable to sleep. The next day, I asked the innkeeper, who replied: A servant carried a bucket of boiling water upstairs for guests to wash. The servant's son followed with a basin. The bottom of the old bucket gave way, pouring boiling water over the child's head. Now swollen like a bucket with flattened features, the child has not eaten for seven days. I examined him immediately; the room smelled foul. One jin (approx. 500g) of Xiakucao (Prunella Spica) was ground into powder, mixed with sesame oil, and applied thickly to the swelling. Pain and odor ceased instantly. Swelling subsided in three days, and scabs fell off in eight. Consumption of soy sauce products is strictly forbidden. Facial black spots were treated successfully according to this prescription. Later, upon my return, the child's family came to express gratitude.