有一患者，发热烦躁，用四物、黄芩、红花、软柴、山栀、花粉，烦热已清，瘀血深
蓄，欲针出之，不从。忽牙关紧急，患处作痛，始针去脓血，即安。用托里养血，新肉
渐长。忽患处瘙痒，此风热也，用祛风消毒之剂而痊。
有一患者，臀腿胀痛，发热烦躁，刺去死血，胀痛少宽，热躁愈甚，此血脱，邪火
旺而然也，急用独参汤补之，少愈。又以健脾胃养气血药治之，腐肉渐溃遂愈。大抵此
症，宜预调补以顾收敛，切不可伐其气血，不行补益，以至不能收敛矣。
凡汤火伤，急向火炙，虽极痛强忍一时，即不痛。慎勿以冷物塌之，及井底泥敷之，使
热气不出，烂入肌肉。
〔丹〕 火烧，以好酒洗之；又以盐敷其上。如皮塌者，以酒熬牛皮胶敷之。如汤伤，
以淋过第二次灰渣敷，立安。热酒伤，糯米粉炒黑末，酒调敷之。治汤火灼，未成疮者，
用艾白根烧灰，鸡子黄和敷之，如成疮，用白蜜封之，以竹中膜粘贴，日三。
〔世〕 治汤火疮，麸皮炒黑灰。为末敷上神妙。此方有补性，始终皆可用。治汤火
疮，取旧烹银炉中，烧过焦黄土，研细如粉，以生姜调于帛上，贴之痛止。一方，用溶银
锅子细末，油调敷佳。
〔千〕 治火疮未起，栀子仁烧灰，麻油和封之，浓乃佳。已成疮，烧白糖灰粉敷之，
燥即瘥。（用白糖，葛氏方。）
治汤火烧方
上用荞麦面，炒黄色，蜜水调敷如神。
保生救苦散 治火烧热油所损，或至肌肉亦脱，一切犬啮损伤，并刀斧所伤。
用生寒水石不计多少，为极细末，调涂之。或干上，然不如油调，其痛立止，并不
作脓，无分毫厘苦楚，日近完复。永无破伤
风证。
水霜散 治火烧，皮烂大痛。
寒水石（生） 牡蛎（烧） 朴硝 青黛 轻粉（各等分）
上为细末。新水或小油调涂，立止。
治汤火所伤，赤烂热痛。
赤石脂 寒水石 大黄（各等分）
上为末。以新汲水调涂伤处。
治火烧
桐油 水银（各等分）
上二件，以柳条不住手搅成膏。再入大黄末、石膏末，和以牛皮胶，入少水溶开，外
用猫儿肚底毛，细剪掺上贴之。
绿白散 治汤熨、火烧疼痛。
用苦参，不拘多少为细末。每用以小油调搽。
凡被伤热油，痛不可忍，取厕下黑淤泥，量伤大小，斟酌多少；次以老姜汁、麻油十
分之一，共研令匀，搽伤处立愈。以青黛敷之，亦妙。
治汤火伤
大黄 黄芩 黄连 山栀子 黄柏 知母 贝母 密陀僧 乳香 没药 轻粉 甘草（各等分）
上为细末。用鸡子清加蜜调，不住手时时扫之。
清凉膏 治汤泼火烧，此药止痛解毒，润肌生肉。
栀子仁 黄连（去须） 白芷（各二钱半） 生地黄（二两） 葱白（十茎，擘） 黄蜡（半两） 清
麻油（四两）
上细锉，于油铛中，煎地黄焦黑色，绵滤去滓，澄清。却于铛内入蜡，慢火熬，候
蜡消，倾于瓷盒内。用时以鸡羽 少许，涂疮上，以瘥为度。
麻子膏 治火烧人肉烂坏。
麻子（一合，取仁，碎） 白皮 柳白皮 山栀子（碎） 白芷 甘草（各二两）
上锉细，以猪脂一斤煎，三上三下去滓。以涂疮上，日三。
黄柏散 治汤火伤。
黄柏 大黄 朴硝 鸡子壳 寒水石（各等分）
上为细末，用水调涂，极效。
柏叶散 治汤火伤。
柏叶 栀子仁（各一两） 胡粉（研，半两）
上为细末，以羊髓五大合，熔化和药，以木椎研三五百遍，一日三次，涂之瘥。
蛤粉散 治汤火伤。
上以蛤蜊壳，不拘多少，炙焦黄色，捣为细末。用生油调如膏，敷之如冰，仍无痕。
一方，以蜜水调敷之，疼立止，不脓不瘕。吴内翰，居乡中，邻家釜翻，一小儿自头至踵
皆伤，急以敷之，啼立止，遂无恙。唯才伤随手用即效，少缓即不及，当须先合以备用
耳。
治汤火烧疮
上以侧柏叶，入臼中湿捣，令极烂如泥，冷水调作膏。敷伤处，以帛子系定三二日，疮
当敛，仍灭瘢。 一方，烧灰存性为末，以鸡子清调敷，如干再上，或蜜调亦可，或捣末，
以脂调涂疮上，干即易。一方，以山柏子叶，烂捣涂敷。
治人向火，生火斑成疮有汁，及治火气入疮。
上用黄柏、薄荷为末，干掺之即愈。一方，用黄柏皮为末，掺之立愈；薄荷煎涂，亦
可。
治火疮败坏，用云母粉同生羊髓，和涂之。
〔经〕 治汤火疮至妙，用刘寄奴为末，先以糯米浆，鸡翎扫伤处，后搽药末在上，并
不痛亦无痕。大凡汤伤，先用盐末掺之，护肉不坏，然后敷药。又方，以榆白皮末，猪
脂油涂疮愈。
〔世〕 治火汤疮，先以酒洗；次以杨梅树皮为末，香油调敷。治汤火疮，用发一束
香油煎，以发尽为度，放冷，搽患处验。
〔精〕 治中热油及火烧，除外痛。以丹参八两细锉，以水微调，取羊脂二斤，煎三
上三下，以敷疮上愈。
止痛膏 治灸疮及汤火伤，日夜啼呼，此药止痛灭瘢。
松脂 羊脂 猪膏 黄蜡（各一分）
上取松脂破铫中，切脂嚼蜡着松明上，少顷，铫内烧诸物皆消，以杯盛汁敷之，松明
是肥松节也。
神效当归膏 治汤火疮，初起瘭浆，热毒侵展， 赤痛，毒瓦斯壅盛，腐化成脓，此
药效口生肌，拔热毒，止疼痛。
当归 黄蜡（各一两） 麻油（四两）
上将当归入油煎，令焦黑去滓；次入黄蜡急搅化，放冷，以瓷盒盛。用时以故帛子
摊贴。一方，用白蜡。
紫雪 治汤荡火烧，疼不可忍，或溃烂成恶疮。
上用松树皮，烧灰二钱，沥青一分，研为细末。清油调敷，湿则干掺，忌冷水洗，日
三。一方，不用沥青，以松树皮阴干为细末，入轻粉少许，生油调敷，如敷不住，绢帛缚
定，即生痂。
治汤火伤
上用霜后芙蓉叶、桑叶等分，阴干，研为细末。用蜜调涂敷之，湿则干掺。
鸡黄油 治汤火伤。
上用鸡子煮熟，去白用黄，于银石锅内炒干，再炒直待都化作油，去火毒，毛翎扫
下，入韶粉、夜明砂为末，香油调敷，湿则干掺之。
〔灸疮〕
止痛生肌散 治灸疮。
牡蛎（半两， 研） 寒水石（ 研） 滑石（研，各一分）
上为细末。凡用之时，切护爪甲，勿令中风，仍须洗疮令净，然后掺药，薄薄令遍，
以软绵帛系之，候肌生渐用柏皮膏。
柏皮膏 治灸疮久不瘥。
柏树白皮 伏龙肝（各四两） 猪脂（半斤，炼为油）
上同熬成膏，滤去滓，入瓷器中。每用时薄薄涂之。上以油纸隔，软帛裹。
绿云散 治灸疮，止痛。
柏叶 芙蓉叶（并端午日午时采，不拘多少，阴干）
上为细末。每遇灸疮，黑盖子脱了，即用水调少许如膏药，摊楮纸上贴之，养脓更
无痛楚。
四时贴护方
治灸疮未着痂，及出脓久不合者。
春以柳絮 夏以竹膜 秋以新绵 冬以兔毛
上各随时贴疮上。
内托黄 丸 治针灸伤经络，流脓不止。
黄 （八两） 当归（洗，三两） 肉桂（去皮） 木香 乳香（另研） 沉香（各一两） 绿豆粉
（四两）
上为细末，生姜汁煮糊为丸，如梧桐子大。每服五十丸，不拘时，白汤送下。
A patient presented with fever and irritability. The physician administered Siwu Tang (Four Substances Decoction), Huangqin (Scutellariae Radix), Honghua (Carthami Flos), Ruan Chaihu (Bupleuri Radix), Shanzhi (Gardeniae Fructus), and Huafen (Trichosanthis Radix). The vexation and heat were cleared, but deep-seated blood stasis remained. The physician suggested puncturing to drain the stasis, but the patient refused. Suddenly, trismus (lockjaw) occurred, and the affected area became painful. Only then was puncture performed, draining pus and blood, after which the patient immediately felt relieved. Tuoli Yangxue (Supporting Interior and Nourishing Blood) methods were used, and new flesh gradually grew. Suddenly, pruritus (itching) occurred at the affected site, indicating wind-heat pathogen. The patient recovered after using wind-dispelling and detoxifying agents.
Another patient suffered from distending pain in the buttocks and thighs, accompanied by fever and irritability. Puncture was used to release dead blood (stasis), which slightly alleviated the distending pain, but the fever and irritability worsened. This was due to blood loss leading to deficiency, while the evil fire was flourishing. Urgent treatment with Dushen Tang (Single Ginseng Decoction) for tonification was required, resulting in slight improvement. Subsequently, herbs that strengthen the spleen and stomach and nourish qi and blood were used. As the necrotic tissue gradually sloughed off, the patient healed. Generally, for such conditions, preventive regulation and tonification should be employed to support convergence; one must not attack the qi and blood or fail to tonify, lest healing be prevented.
For any scald or burn injury, one should immediately approach a fire source to warm the area. Although this causes extreme pain requiring endurance for a moment, it prevents subsequent pain. Do not cover with cold objects or apply mud from the bottom of a well, as this traps heat, causing rot to penetrate into the muscles.
[Dan] For burns caused by fire, wash with good wine; then apply salt on top. If the skin is collapsed, apply cowhide gelatin boiled in wine. For scalds by hot water, apply dregs of ash filtered twice; this brings immediate relief. For scalds by hot wine, stir-fried black rice flour mixed with wine should be applied. To treat scalds and burns before ulceration forms, burn the white root of Artemisia argyi (Aiye) to ash, mix with egg yolk, and apply. If an ulcer has formed, seal with white honey and paste bamboo membrane over it, three times daily.
[Shi] To treat scald burns, stir-fry bran until black and charred, grind into powder, and apply; this is miraculous. This formula has tonifying properties and can be used throughout the course of treatment. To treat scald burns, take yellow earth from old silver-smelting furnaces that has been scorched, grind finely like powder, mix with fresh ginger juice, apply on cloth, and the pain stops. Another method: use fine powder from the bottom of a silver-melting pot, mixed with oil for application, which is excellent.
[Qian] For fire blisters not yet raised, burn Gardeniae fructus (Zhizi) kernels to ash, seal with sesame oil (Mahu); higher concentration is better. For established ulcers, burn white sugar to ash/powder and apply; dryness indicates cure. (Using white sugar is from Ge's Formula.)
Formula for Treating Scalds and Burns:
Take buckwheat flour above, stir-fry until yellow, mix with honey water, and apply; effect is divine.
Baosheng Jiuku San (Preserve Life and Save Suffering Powder): Treats damage from fire burns and hot oil, even if muscles are exposed, and all dog bites, knife, or axe wounds.
Use raw Hanshui Shi (Calcitum) in any amount, grind to extremely fine powder, mix and apply. Or apply dry, but mixing with oil is superior; pain stops immediately, no suppuration occurs, no suffering remains, and healing progresses daily. There will never be tetanus.
Shuishuang San (Water Frost Powder): Treats burns where skin is rotten and severely painful.
Hanshui Shi (Raw), Muli (Calcined), Puxiao (Natrii Sulfas), Qingdai (Indici Folium), Qingfen (Calomelas) (equal parts)
Grind all to fine powder. Mix with fresh water or small amount of oil and apply; pain stops immediately.
Treating redness, rot, heat, and pain from scalds/burns:
Chishi Zhi (Halloysitum Rubrum), Hanshui Shi, Dahuang (Rhei Radix et Rhizoma) (equal parts)
Grind to powder. Mix with fresh drawn water and apply to the wound.
Treating burns:
Tongyou (Verniciae Fructus Oleum), Shuiyin (Hydrargyrum) (equal parts)
Stir these two ingredients continuously with a willow twig until they form a paste. Add Dahuang powder and Shigao (Gypsum Fibrosum) powder, mix with cowhide gelatin, dissolve with a little water. Apply externally with cat belly hair, finely cut and sprinkled onto the paste.
Lvbai San (Green and White Powder): Treats pain from scalds and burns.
Use Kushen (Sophorae Flavescentis Radix) in any amount, grind to fine powder. Each time, mix with small amount of oil and rub on.
For severe pain from hot oil burns, take black silt from under the toilet, adjust quantity according to wound size; mix with old ginger juice and one-tenth part sesame oil, grind evenly, and rub on the wound for immediate cure. Applying Qingdai is also excellent.
Treating scalds and burns:
Dahuang, Huangqin, Huanglian (Coptidis Rhizoma), Shanzhizi, Huangbai (Phellodendri Cortex), Zhimu (Anemarrhenae Rhizoma), Beimu (Fritillariae Cirrhosae Bulbus), Mituosen (Lithargyri Pulvis), Rushiang (Olibanum), Moyao (Myrrha), Qingfen, Gancao (Glycyrrhizae Radix et Rhizoma) (equal parts)
Grind to fine powder. Mix with egg white and honey, and constantly sweep/apply to the wound.
Qingliang Gao (Cooling Ointment): Treats scalds and burns from hot water/fire. This ointment stops pain, detoxifies, moistens skin, and promotes flesh growth.
Zhizi Ren (Gardeniae Fructus Semen), Huanglian (devoid of fibers), Baizhi (Angelicae Dahuricae Radix) (each 2.5 qian), Sheng Dihuang (Rehmanniae Radix) (2 liang), Congbai (Allii Fistulosi Bulbus) (10 stems, broken), Huangla (Cera Flava) (0.5 liang), Qing Mayou (Sesamum Oil) (4 liang)
Finely chop, fry in oil pan until Dihuang is charred black, filter through cotton cloth to remove dregs, clarify. Then add wax to the pan, simmer slowly until wax melts, pour into porcelain box. When using, dip chicken feather slightly, apply to ulcer, continue until healed.
Mazi Gao (Hemp Seed Ointment): Treats burnt human flesh decay.
Mazi (Cannabis Fructus) (1 he, take kernel, crush), Baipi (Celtis Cortex), Liubaipi (Salix Alba Cortex), Shanzhizi (crushed), Baizhi, Gancao (each 2 liang)
Chop finely, decoct in 1 jin of Zhu Zhi (Porcine Adipose Tissue), boil up and down three times, remove dregs. Apply to ulcer, three times daily.
Huangbai San: Treats scalds and burns.
Huangbai, Dahuang, Puxiao, Jizi Qiao (Eggshell), Hanshui Shi (equal parts)
Grind to fine powder, mix with water and apply; extremely effective.
Baiye San: Treats scalds and burns.
Baiye (Platycladi Cacumen), Zhizi Ren (each 1 liang), Hufen (Lead Carbonate) (ground, 0.5 liang)
Grind to fine powder, melt 5 he of Yang Sui (Ovis Medullary Fat), mix with medicine, grind with wooden pestle 300-500 times, apply three times daily for cure.
Ge Fen San (Clam Powder): Treats scalds and burns.
Take clam shells (Gebei), any amount, roast until yellow and charred, grind to fine powder. Mix with raw oil to form paste, apply; feels like ice, leaves no scar. Another method: mix with honey water, apply; pain stops immediately, no suppuration, no deformity. Wu Neihan, living in his hometown, had a neighbor's pot overturn, scalding a child from head to toe. He urgently applied this; crying stopped immediately, and the child was unharmed. It is only effective if applied immediately upon injury; delay makes it ineffective. One must prepare it in advance for emergency use.
Treating scald/burn sores:
Take Ce Baiye (Platycladi Cacumen), wet-grind in mortar until mushy, mix with cold water to form paste. Apply to wound, bind with cloth for 2-3 days; sore will heal and scar disappear. Another method: burn to ash retaining nature, grind to powder, mix with egg white for application; reapply if dry, or mix with honey. Or grind to powder, mix with fat/lard for application; change when dry. Another method: smash Shanbaiziye (Mountain Cypress leaf) and apply.
Treating fire spots forming sores with exudate from proximity to fire, and treating fire qi entering sores:
Use Huangbai and Bohe (Menthae Haplocalycis Herba) ground to powder, sprinkle dry; cures immediately. Another method: use Huangbipi (Phellodendri Cortex) powder, sprinkle; cures immediately. Bohe decoction for washing/application is also acceptable.
For ruined fire sores, use Yunmu Fen (Muscovite Powder) mixed with raw sheep marrow, and apply.
[Jing] Excellent treatment for scald/burn sores: Use Liu Jinu (Artemisiae Annuae Herba) powder. First, sweep the wound with sticky rice paste using a chicken feather, then apply the herb powder. No pain, no scar. Generally for scalds, first sprinkle salt powder to protect flesh from necrosis, then apply medicine. Another method: Yu Baipi (Ulmus Cortex) powder mixed with pig fat oil heals sores.
[Shi] For fire/scald sores, first wash with wine; then apply Yangmei Shupi (Myrica Rubra Bark) powder mixed with sesame oil. For scald burns, fry a bundle of hair in sesame oil until completely charred, cool, and rub on affected area; verified effective.
[Jing] For hot oil and fire burns, removing pain: Finely chop Danshen (Salviae Miltiorrhizae Radix et Rhizoma) 8 liang, moisten slightly with water, take 2 jin of Yang Zhi (Sheep Fat), decoct up and down three times, apply to sore for cure.
Zhitong Gao (Pain-Stopping Ointment): Treats moxibustion sores and scalds/burns, relieving day-and-night crying. Stops pain and eliminates scars.
Songzhi (Pini Resina), Yang Zhi, Zhugao (Suill Adipis), Huangla (each 1 fen)
Break Songzhi, place in broken ding (cauldron). Chew fat/wax and place on Songming (pine knot/resin). After a short while, all materials in the ding melt. Collect liquid in cup and apply. Songming refers to fatty pine knots.
Shenxiao Danggui Gao (Miraculous Angelica Ointment): Treats scald/burn sores, initial blisters, spreading heat toxin, redness and pain, accumulation of toxic qi, putrefaction into pus. This ointment generates flesh, extracts heat toxin, and stops pain.
Danggui (Angelicae Sinensis Radix), Huangla (each 1 liang), Mayou (Sesamum Oil) (4 liang)
Fry Danggui in oil until charred black, remove dregs. Quickly add Huangla, stir to melt, cool, store in porcelain box. When using, spread on old cloth and apply. Another method: use white wax.
Zixue (Purple Snow): Treats severe burns/scalds causing unbearable pain, or ulcerating into malignant sores.
Burn Pine tree bark to ash (2 qian), Asphaltum (Qingli) (1 fen), grind to fine powder. Mix with clear oil for application; if wet, sprinkle dry powder. Avoid cold water washing. Three times daily. Another method: omit asphaltum, dry pine bark powder in shade, add small amount of Qingfen, mix with raw oil. If it doesn't stick, bind with silk cloth to form scab.
Treating scalds/burns:
Take Hibiscus leaves (Furong Ye) and Mulberry leaves (Sang Ye) after frost, equal parts, dry in shade, grind to powder. Mix with honey for application; if wet, sprinkle dry powder.
Jihuang You (Chicken Yellow Oil): Treats scalds/burns.
Boil eggs, remove whites, keep yolks. Stir-fry in silver stone pot until dry, continue frying until fully melted into oil, remove fire toxicity. Sweep down with feather, add Shaofen (Kaolin) and Yeming Sha (Felis Catus Faeces) ground to powder, mix with sesame oil. Apply; if wet, sprinkle dry powder.
[Moxibustion Sores]
Zhitong Shengji San (Pain-Stopping Flesh-Generating Powder): Treats moxibustion sores.
Muli (0.5 liang, ground), Hanshui Shi (ground), Huashi (Talcum) (ground, each 1 fen)
Grind to fine powder. When using, protect fingernails, prevent wind invasion. Wash sore clean, then sprinkle medicine thinly and evenly. Bind with soft cotton cloth. Once flesh grows, gradually switch to Bapi Gao.
Bapi Gao (Cypress Bark Ointment): Treats chronic non-healing moxibustion sores.
Baishu Baipi (Celtis Cortex), Fulonggan (Dragon's Liver) (each 4 liang), Zhu Zhi (1 jin, refined to oil)
Simmer together into ointment, filter dregs, store in porcelain. Apply thinly each time. Cover with oil paper, wrap in soft cloth.
Lvyun San (Green Cloud Powder): Treats moxibustion sores, stops pain.
Baiye, Furong Ye (Harvest on Dragon Boat Festival noon, any amount, dry in shade)
Grind to fine powder. When moxibustion sore crust falls off, mix small amount with water to form paste, spread on Zhi paper and apply. Nourishes pus without pain.
Four Seasons Patching Method:
For moxibustion sores not yet crusted, or suppurating long-term without healing.
Spring: Willow catkins (Liuxu). Summer: Bamboo membrane (Zhumo). Autumn: New cotton (Xinmian). Winter: Rabbit fur (Maotao).
Apply respective material to sore according to season.
Neituo Huangqi Wan (Internal Support Astragalus Pill): Treats meridian injury from acupuncture/moxibustion with continuous suppuration.
Huangqi (Astragali Radix) (8 liang), Danggui (Washed, 3 liang), Rougui (Cinnamomi Cortex), Muxiang (Aucklandiae Radix), Rushiang (Olibanum, separately ground), Chenxiang (Aquilariae Lignum Resinatum) (each 1 liang), Lv Dou Fen (Phaseoli Volubilis Semen Farina) (4 liang)
Grind to powder, make pills with ginger juice paste, size of wutong seeds. Take 50 pills each time, anytime, swallow with white tea water.