（附烂腿）
薛立斋治一妇人，患 疮，因步履劳动，复恶寒发热，倦怠懒食，而疮出血。此元气虚，而不能
摄血归经也，用补中益气汤而愈。
陶九成曰∶辛酉夏，余足疡发于外 ，初甚微，其后浸淫涉秋徂冬，不良于行。凡敷膏濯之剂，
尝试略尽，痛痒杂作，大妨应酬。一日，友人俞和父过见，怪其蹒跚，举以告之。和父笑曰∶吾能三
日已此疾，法当先以淡齑水涤疮口， 干，次用《局方》驻车丸研极细，加乳香少许，干糁之，无不
立效。如其说用之，数日良愈。盖驻车丸本治血痢滞下，而此疮亦由气血凝滞所成也。（《齐东野语》）
张子和治小渠袁三，因被盗受惊仆，伤其两 外 ，作疮，数年不已，脓水常涓涓然，但饮冷则
疮间冷水浸淫而出，延为湿疮。张曰∶尔中焦当有绿水二三升，涎数掬。袁曰∶何也？曰∶当被盗时
感惊气入腹，惊则胆伤，足少阳经也，兼两外 皆少阳之部。此胆之甲木受邪，甲木色青，当有绿水。
少阳在中焦如沤，既伏惊，涎在中焦，饮冷水，咽为惊涎所阻，水随经而旁入疮中，故饮水则疮中水
出。乃上涌寒痰，汗如流水，次下绿水，果二三升，一夕而痂干矣。
薛立斋治一室女，年十七，腿外 忽肿起一红点，作痒，搔破，日日鲜血如注，及飞出小虫甚多。
审其由，每先寒热，两耳下或结核，盖外 耳下，俱属胆经。胆为肝之腑，肝主风热生虫，血得风而
妄行，肝火旺而血出，其肝胆阴阳俱虚矣。凡病虚则补其母，用六味丸，滋肾水以生肝木，四物加柴
胡、山栀、钩藤，生肝血以抑风热而痊。
陈湖陆懋诚，素因阴虚，过饮入房，发热腿痛似 疮。用发表之剂，两腿肿黯，热气如雾，欲发
痉，脉皆洪数，两尺尤大。此属足三阴虚，酒湿所乘，元气损而邪益甚耳。用十全大补加山药、山萸、
附子，一剂脉症顿退。去附子，又二剂全愈。
李绛记武元衡相国在西川，且苦胫疮， 痛不可堪，百医无效。及到京城，呼供奉石礞等数人疗
治，无益。有厅吏上此方，用之便瘥。其方云∶疗多年恶疮，百方不瘥，或痛 走注不已者，并烂捣
马齿苋敷上，不过三两度愈。（李绛兵部手集）
章宇泰传治 疮方，六郎乳母试之神效。松香一两，轻粉三钱，乳香五钱，细茶五钱，四味共打
成膏。先将葱头、花椒煎汤，熏洗净，用布摊膏，浓贴患处，以绢缚定，黄水流尽，烂肉生肌。（《广
笔记》）
陈仪部年逾五十，两 生疮，日久不愈，饮食失节，或劳苦，或服渗利消毒之剂，愈甚。脾脉大
而无力，此脾虚而无湿热也。以补中益气汤，数剂少愈。更以六君子汤加苍术、升麻、神曲，治之而
愈。尝治下部生疮 痛，或发寒热，或香港脚肿痛，以人参败毒散加槟榔、苏木、苍术、黄柏并效。久
不愈者，以四生散治之。愈后，以补肾丸补之，庶不再发矣。
王洪绪治马悠也，右足背连小腿转弯处，初因汤毒而成烂腿，三十余年，其肿如斗，孔可容拳，
有时出血，以布团填塞，否则空痛。时年七十有四，令以老蟾破腹，身刺数孔，以肚杂填患孔，蟾身
覆之。早晚煎葱椒汤，温洗一次，以蟾易贴。用醒消丸，早晚二服。三日后取地丁、大力鲜草，捣烂
填孔，外贴乌金膏，日服醒消丸。其四围硬块出水处，以嫩膏加五味散敷。其发痒者，以白花膏贴。
内有硬块如石者，以生商陆捣烂涂孔内。出
血时，先以参三七末糁之，然后填药。如此二十余日，肿退痒止，块平，黑肉渐红活，孔亦收浅，止
以草填，日以五宝散糁，仍贴乌金膏。因老人精神不衰，饮食不减，始终不用补而收功。
蒋仲芳治胡明甫，年五十余，患 疮三载，沿皮瘙痒，微肿，色紫黑，用膏药盖之，则流水，鞋
袜尽湿，去膏药即又燥烈，痒痛难忍。此湿热下流也，人但知燥湿清热解毒，而不知湿热之原，从脾
家下陷耳。遂用补中益气汤升举其气，更加黄柏清热，苍术燥湿，茯苓、泽泻利水。盖治湿不利小便，
非其治也。外用陈锻石调侧柏汁，以燥湿散瘀清热，稍加火酒为从治。敷之，明日疮干，数日而愈。
（外治法妙）
(Attached: Ulcerated Leg)
Xue Lizhai treated a woman suffering from sores. After walking and exerting herself, she developed aversion to cold, fever, fatigue, anorexia, and bleeding from the sores. This was due to deficiency of Yuan Qi (Primordial Qi), which failed to control blood within the vessels. She was cured using Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).
Tao Jiu Cheng stated: "In the summer of Xinyou year, an ulcer developed on my foot. Initially slight, it gradually spread through autumn into winter, impairing my gait. I tried nearly all ointments and washes, but pain and itching alternated, severely hindering social engagements. One day, my friend Yu Hefu visited, noticed my limping, and I told him of my ailment. He smiled and said, 'I can cure this in three days. First, wash the sore with weak salt water. Once dry, grind Zhuche Wan (Stop Dysentery Pill) from *Jufang* (Formulas of the Imperial Pharmacy) into a fine powder, add a little Ruxiang (Frankincense), and sprinkle it dry onto the wound; it will be effective immediately.' Following his advice, I recovered well in a few days. Zhuche Wan is originally used for bloody dysentery and tenesmus; this sore was also caused by stagnation of Qi and Blood." (*Qidong Yeyu*)
Zhang Zihe treated Yuan San from Xiaoqu Village, who, after being robbed and frightened into falling, injured the lateral aspect of both feet, resulting in sores that did not heal for years. Pus and fluid dripped constantly. Drinking cold water caused cold fluid to seep from the sores, eventually developing into damp sores. Zhang Zihe said, "You likely have two or three sheng [approx. 2-3 liters] of green fluid and several handfuls of saliva/phlegm in your Middle Jiao." Yuan San asked why. Zhang replied, "When frightened by the robbery, the shock qi entered the abdomen. Fright injures the Gallbladder, which corresponds to the Foot Shaoyang channel. Additionally, the lateral aspects of both feet are areas of the Shaoyang channel. The Jia Wood of the Gallbladder has been invaded by pathogenic factors. Since Jia Wood is associated with the color green, there is green fluid. The Shaoyang in the Middle Jiao acts like fermentation. Having harbored shock qi, phlegm resides in the Middle Jiao. When drinking cold water, the swallowed water is blocked by the shock-phlegm, and the water follows the channels laterally into the sores. Hence, drinking causes water to exit the sores." He then induced vomiting to expel cold phlegm, sweating profusely, followed by the discharge of green fluid, totaling two or three sheng. By that night, the sores had scabbed over.
Xue Lizhai treated a seventeen-year-old maiden whose lateral leg suddenly swelled with a red spot causing itching. Upon scratching, fresh blood flowed heavily, and many small insects flew out. Investigating the cause, she experienced chills and fever beforehand, with nodules sometimes appearing below both ears. Both the lateral leg and area below the ears belong to the Gallbladder channel. The Gallbladder is the Fu organ of the Liver; the Liver governs wind-heat and generates parasites. Blood flows recklessly when exposed to wind; excessive Liver fire causes bleeding, indicating deficiency of both Yin and Yang in the Liver and Gallbladder. For deficiency diseases, tonify the mother organ. He used Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) to nourish Kidney Water to generate Liver Wood, combined with Siwu Tang (Four Substance Decoction) plus Chaihu (Bupleurum), Shanzhi (Gardenia), and Gouteng (Uncaria) to nourish Liver blood, suppress wind-heat, and achieve recovery.
Lu Maocheng from Chenhu, constitutionally Yin-deficient, indulged in sexual activity and alcohol, developing fever and leg pain resembling sores. Physicians used diaphoretic (releasing the exterior) agents, causing both legs to swell and darken, with heat rising like fog, approaching spasms. The pulse was surging and rapid, especially at the Chi positions (Kidney pulse). This indicated deficiency of the Three Yin channels of the Foot, exacerbated by dampness from alcohol, damaging Yuan Qi while pathogens intensified. He prescribed Shiquan Dabu Tang (Ten Significant Tonifying Decoction) plus Shanyao (Dioscorea), Shanyuzhizi (Cornus), and Fuzi (Aconite). After one dose, symptoms and pulse subsided significantly. Removing Fuzi, he administered two more doses, resulting in complete recovery.
Li Jiang recorded that Chancellor Wu Yuanheng, stationed in Xichuan, suffered from shin sores with unbearable pain, unresponsive to many physicians. Upon arriving in the capital, imperial attendants Shi Meng and others were summoned but provided no benefit. A hall clerk presented a prescription, which cured him. The formula stated: "For chronic malignant sores unresponsive to hundreds of remedies, or those with wandering pain, or ulcerated legs, crush fresh Machixian (Purslane) and apply externally. It heals in two or three applications." (*Li Jiang Bingbu Shouji*)
Zhang Yutai transmitted a prescription for sores, tested effectively by the wet nurse of Sixth Lang. Songxiang (Rosin) 1 liang, Qingfen (Calomel) 3 qian, Ruxiang (Frankincense) 5 qian, Xicha (Fine Tea) 5 qian. These four ingredients are processed into an ointment. First, decoct Congtou (Green Onion Bulb) and Huajiao (Sichuan Pepper), fumigate and wash the sore clean. Spread the ointment thickly on cloth, apply to the affected area, bind with silk, drain yellow fluid until new flesh grows. (*Guang Biji*)
Minister Chen, over fifty, had sores on both legs that persisted for a long time. Irregular diet, labor, or use of draining/detoxifying agents worsened the condition. The Spleen pulse was large but forceless, indicating Spleen deficiency without damp-heat. He used Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction); after several doses, slight improvement occurred. Then, Liujunzi Tang (Six Gentlemen Decoction) plus Cangzhu (Atractylodes), Shengma (Cimicifuga), and Shenqu (Medicated Leaven) was used to cure him. He also treated lower body sores with pain, chills/fever, or Hongjiaojiao (Charley Horse/Foot Rot) swelling using Renshen Baidu San (Ginseng Detoxification Powder) plus Binglang (Areca Seed), Sumu (Sappan Wood), Cangzhu, and Huangbai (Phellodendron), all effective. For chronic cases, Six Raw Ingredients Powder (Sisheng San) was used. Post-recovery, Bushen Wan (Tonify Kidney Pill) was taken to prevent recurrence.
Wang Hongxu treated Ma Youye, whose right dorsum of the foot connected to the calf bend had become an ulcerated leg due to scalding, persisting for thirty years. Swelling was bowl-sized, with a hole large enough for a fist, occasionally bleeding, requiring cloth packing to avoid empty pain. At seventy-four, he instructed opening an old toad's belly, piercing its body, filling the wound hole with toad viscera, and covering it with the toad's body. Morning and evening, wash with warm Scallion and Pepper decoction once, replacing the toad. Take Xingxiao Wan (Awaken Elimination Pill) twice daily. After three days, apply crushed fresh Dideng (Viola) and Dali (Arctium) herbs into the hole, externally paste Wujin Gao (Black Gold Ointment), continue Xingxiao Wan. For hard masses weeping around the periphery, apply Nengao (Young Ointment) plus Wuwei San (Five Spice Powder). For itching, apply Baihua Gao (White Flower Ointment). For stone-hard internal masses, apply raw Shanglu (Morphoea) crushed into the hole. When bleeding, first dust with Sanqifen (Notoginseng powder), then pack medicine. After twenty-plus days, swelling receded, itching stopped, masses flattened, black flesh turned reddish, and the hole shallowed. Only grass was used for packing, dusted daily with Wubao San (Five Treasures Powder), still pasting Wujin Gao. Because the elderly patient retained spirit and appetite, no tonics were used throughout, yet success was achieved.
Jiang Zhongfang treated Hu Mingfu, over fifty, suffering from sores for three years. Itching along the skin, slight swelling, purple-black color. Covering with plaster caused weeping, soaking shoes and socks; removing the plaster caused dryness and intense itching/pain. This was downward flow of damp-heat. People only know to dry dampness and clear heat/toxicity, unaware that the source of damp-heat sinks from the Spleen. Thus, Buzhong Yiqi Tang was used to raise Qi, plus Huangbai (Phellodendron) to clear heat, Cangzhu (Atractylodes) to dry dampness, Fuling (Poria) and Zexie (Alisma) to promote urination. Treating dampness without promoting urination is incorrect. Externally, Duanshi (Calcined Oyster Shell) mixed with Cebaiye juice (Biota Tops) was applied to dry dampness, dissipate stasis, and clear heat, with a little Huojiu (Burnt Wine) as a guiding agent. Applied, the sore dried the next day and healed in several days. (Excellent External Treatment Methods)