瘭疽者，肉中忽生点子如豆粒，小者如黍粟，极者如梅李。或赤、或黑、或青、或
白，其状不定。有根不浮肿痛，伤之应心，根深至肌，经久便四面悉肿， 黯熟紫黑色，能
烂坏筋骨，若毒散逐脉入脏杀人，南人名为拓着毒。浓肉处即割去之，亦烧铁烙之令焦
如炭。或灸百壮，或饮葵根汁，或饮蓝青汁，若犀角汁及升麻汁、竹沥黄龙汤诸单方治，专
去其热，取瘥。其病喜着十指，故与代指相似，人不识之呼作代指，不急治之，亦逐脉
上入脏杀人。南方人得之皆斩去其指，初指头先作黯 ，后始肿亦黑黯， 痛入心是也。
治瘭疽秘方
射干 甘草 枳实 升麻 干地黄 黄芩（各二两） 麝香（二分） 前胡（三分） 犀角（六分）
大黄（十分）
上十味 咀。以水九升，煮取三升，下大黄一沸，去滓纳麝，分三服瘥止，不限剂
数，此方世所不传，神良。（《外台》无黄芩。深师加黄芩、麻黄、白薇、枳实、升麻、松叶）
射干散 治瘭疽，皮肉中忽生点子如麻豆大，或如桃李，肿痛不可忍。
射干 川升麻 枳实（麸炒） 川大黄（锉，微炒） 甘草（生用，各一两） 麝香（细研，二钱半，）
前胡（去芦，一两半）， 羚羊角屑（七钱半）
上锉碎，入麝香令匀。每服四钱，水一中盏煎至六分，去滓。不拘时温服。
丹砂膏 治瘭疽。
丹砂（细研） 射干 大黄（锉，炒） 犀角屑 前胡（去芦） 升麻 芎 黄芩（去黑心）
沉香 木香（各一两） 生地黄（二两） 麝香（一钱二分半，研） 猪脂（二斤半）
上除丹砂、麝香、猪脂外，锉碎。以醋半升和匀，浸一宿，先熬脂令沸，次下诸药
煎，候地黄赤黑色，以绵绞去滓。入丹砂、麝香末，以柳篦搅匀，瓷盒盛。敷患处，日三
五上；又取枣大，以温酒调，空心日午服。一方，温水调下半匙。
治瘭疽，诸疽，十指头 赤痛痒方。（《千金翼》名猪蹄汤。）
白芷 大黄 芎 黄芩 黄连 甘草 细辛 本 当归 藜芦 莽草（各一两）
上十一味， 咀。以水二斗，先煮猪蹄一具，取一斗煮药。取五升，浸疮即瘥。
又方
灶屋尘 灶突墨 釜下土（各一升）
上三味，合研令匀。以水一斗，煮三沸取汁洗，日三四度。
治瘭疽着手足肩背，忽发累累如赤豆，剥之汁出者方。
鲫鱼（长三寸者，一尾） 乱发（鸡子大） 猪脂（一升）
上三味煎为膏，敷之。
又方 熬芜菁子捣碎，布裹展转，敷上良。
又方 以麻子熬作末，敷上良。
又方 以猪胆，敷之良。
又方 乱发灰，服方寸匕，日三，亦治发背。
又方 煮芸苔菜，取一升服之；并食干熟芸苔数顿，少与盐酱，冬月研子，水和服
之。
又方 枸杞根并葵根叶煮汁，煎令如糖，随意服之。
治疽溃后方
以盐汤洗拭了，烧皂荚灰粉上良。
又方 牛耳中垢，敷之良。
又方 梁上尘，和车 中脂，敷之。
又方 以生麻油滓绵裹，布疮上，虫出。
治疽似痈而小，有异脓如小豆汁，今日去，明日满者方。
芸苔熟捣，湿布袋盛之。埋热灰中更互熨之，不过再三度安瘥，冬用干者。
又方 皂荚煎汤洗疮，拭干。以柏皮为末，敷之，勿令作痂。
治疽卒着五指，筋急不得屈伸者方。
灸踝骨中央，数十壮或至百壮。
Boju (Fengju) refers to dot-like lesions suddenly appearing in the muscle tissue, resembling bean grains. Smaller ones are like millet or broomcorn millet seeds, while severe cases resemble plums or plums and apricots. The color may be red, black, green, or white, with indeterminate shapes. Some have roots but no edema or pain; upon injury, the pain feels as if it pierces the heart. The root is deep, reaching the muscle. After a long time, swelling spreads all around, turning dark purple-black, capable of rotting and destroying bone and tendons. If the toxin disperses and enters the viscera via the meridians, it can be fatal. In southern regions, this is called "Tuozhe Du" (Spreading Toxin). In fleshy areas, the lesion should be excised, or cauterized with a hot iron until charred like charcoal. Alternatively, moxibustion of one hundred cones may be applied, or drinking juice from Abutilon indicum roots, Isatis tinctoria leaves, Rhinoceros horn juice, Cimicifuga rhizome juice, or Zhu Li Huang Long Tang (Bamboo Juice Yellow Dragon Decoction), single prescriptions aimed at clearing heat to achieve recovery. This disease favors the ten fingers, thus resembling Daizhi (Paronychia); people who do not recognize it call it Daizhi. If not treated promptly, the toxin also travels up the meridians into the viscera, causing death. People in the south often amputate the finger upon contracting this. Initially, the fingertip turns dark red, followed by swelling and darkening, with pain piercing the heart.
Secret Recipe for Treating Boju:
Shé Gān (Belamcanda Rhizome), Gan Cao (Licorice Root), Zhi Shi (Immature Bitter Orange), Sheng Ma (Cimicifuga Rhizome), Gan Di Huang (Prepared Rehmannia Root), Huang Qin (Scutellaria Root) (each 2 liang), She Xiang (Musk) (2 fen), Qian Hu (Peucedani Radix) (3 fen), Xi Jiao (Rhinoceros Horn) (6 fen), Da Huang (Rhei Radix et Rhizoma) (10 fen).
The above ten ingredients are cut into small pieces. Decoct in 9 sheng of water to obtain 3 sheng. Add Da Huang and boil briefly once. Strain and add She Xiang. Divide into three doses. Stop when recovered. No limit on dosage. This formula is rarely transmitted in the world but is miraculous and effective. (Wai Tai Mi Yao lacks Huang Qin. Shen Shi Formula adds Huang Qin, Ma Huang, Bai Wei, Zhi Shi, Sheng Ma, Song Ye.)
She Gan San (Belamcanda Powder): Treats Boju, where dot-like lesions suddenly appear in the skin and flesh, size of hemp or bean seeds, or like peaches and plums, with unbearable swelling and pain.
She Gan (Belamcanda Rhizome), Chuan Sheng Ma (Cimicifuga Rhizome), Zhi Shi (Immature Bitter Orange, bran-fried), Chuan Da Huang (Rhei Radix et Rhizoma, crushed, slightly fried), Gan Cao (Licorice Root, raw, each 1 liang), She Xiang (Musk, finely ground, 2 qian 5 fen), Qian Hu (Peucedani Radix, de-rhizome, 1 liang 5 qian), Ling Yang Jiao Xie (Antelope Horn Shavings) (7 qian 5 fen).
Crush the herbs, mix evenly with She Xiang. Take 4 qian per dose. Decoct in one zhong of water until reduced to six parts. Strain. Warm and take at any time.
Dan Sha Gao (Cinnabar Ointment): Treats Boju.
Dan Sha (Cinnabar, finely ground), She Gan (Belamcanda Rhizome), Da Huang (Rhei Radix et Rhizoma, crushed, fried), Xi Jiao Xie (Rhinoceros Horn Shavings), Qian Hu (Peucedani Radix, de-rhizome), Sheng Ma (Cimicifuga Rhizome), Xiong (Ligusticum Chuanxiong Rhizome), Huang Qin (Scutellaria Root, remove black heart), Chen Xiang (Aquilaria Lignum), Mu Xiang (Aucklandiae Radix) (each 1 liang), Sheng Di Huang (Rehmannia Root, 2 liang), She Xiang (Musk, 1 qian 2 fen 5 li, ground), Zhu Zhi (Pork Fat, 2 jin 5 liang).
Except for Dan Sha, She Xiang, and Zhu Zhi, crush the other ingredients. Mix with half sheng of vinegar and soak overnight. First boil the Zhu Zhi until bubbling, then add the herbs and decoct until Sheng Di Huang turns reddish-black. Strain through silk cloth. Add Dan Sha and She Xiang powders, stir evenly with a willow stick, and store in a porcelain box. Apply to the affected area three to five times daily. Alternatively, take a date-sized amount, mixed with warm wine, taken on an empty stomach and at noon. Another method: mix with warm water and take half a spoonful.
Formula for Treating Boju and Various Ju Ulcers, Redness, Pain, and Itching of the Ten Fingertips. (Named Zhu Ti Tang [Pig Trotter Decoction] in Qian Jin Yi Fang.)
Bai Zhi (Angelicae Dahuricae Radix), Da Huang (Rhei Radix et Rhizoma), Xiong (Ligusticum Chuanxiong Rhizome), Huang Qin (Scutellaria Root), Huang Lian (Coptidis Rhizoma), Gan Cao (Licorice Root), Xi Xin (Asari Radix et Rhizoma), Ben Cao (Ligustici Sinensis Rhizome), Dang Gui (Angelicae Sinensis Radix), Li Lu (Veratri Radix), Mang Cao (Artemisia Argyi Herb) (each 1 liang).
The above eleven ingredients are cut into small pieces. Use two dou of water. First decoct one pig trotter to obtain one dou of liquid, then add the herbs. Obtain five sheng. Soak the wound until healed.
Another Formula:
Zao Wu Chen (Dust from Kitchen Roof), Zao Tu Mo (Soot from Chimney Flue), Fu Xia Tu (Earth under Cauldron) (each 1 sheng).
Grind the three ingredients evenly. Decoct in one dou of water for three boils. Use the juice to wash the area three to four times daily.
Formula for Boju Appearing on Hands, Feet, Shoulders, and Back, Sudden Onset of Clusters Resembling Red Beans, Exuding Fluid When Peeled.
Ji Yu (Crucian Carp, 3 cun long, one fish), Luan Fa (Tangle of Hair, size of chicken egg), Zhu Zhi (Pork Fat, 1 sheng).
Decoct the three ingredients into an ointment and apply.
Another Formula: Roast Brasicca rapa var. trilocularis seeds, crush them, wrap in cloth, and roll over the affected area for good effect.
Another Formula: Roast sesame seeds, grind into powder, and apply. Good effect.
Another Formula: Apply pig bile. Good effect.
Another Formula: Consume ash of tangle of hair, one fang cun bi (measure), three times daily. Also treats Fa Bei (Back Carbuncle).
Another Formula: Decoct You Cai (Brassica parachinensis), drink one sheng of the juice; eat several meals of cooked dry You Cai with little salt and soy sauce. In winter, grind the seeds and take with water.
Another Formula: Decoct Gou Qi Gen (Lycii Radix) and Kui Gen (Abutiloni Radix) leaves, boil down to syrup consistency, take as desired.
Formula for Treated After Ju Ulceration:
Wipe clean with salty water, burn Sophora flavescens pod to ash, powder it, and apply. Good effect.
Another Formula: Apply dirt from cow ears. Good effect.
Another Formula: Dust from roof beams, mixed with axle grease, apply.
Another Formula: Wrap residue of raw sesame oil in cotton, place on the sore to expel worms.
Formula for Ju Similar to Yong Abscess but Smaller, With Pus Like Small Bean Juice, Refilling Daily.
Mash ripe You Cai (Brassica parachinensis), place in a wet cloth bag. Bury in hot ashes and alternate compressions. Recovery within two or three applications. Use dried material in winter.
Another Formula: Wash the sore with Sophora flavescens pod decoction, wipe dry. Apply powder of Phellodendri Cortex. Do not allow scabbing.
Formula for Ju Suddenly Affecting Five Fingers, With Tendon Stiffness Preventing Flexion and Extension.
Moxibustion at the center of the ankle bone, dozens of cones or up to one hundred cones.