脚拐毒生于脚筋骨之上，因湿侵骨，风伤皮，或因刑挟棒所伤，或因物伤，经久不愈，亦成此毒。宜贴万灵
膏，彻尽脓血，再以椒茶盐汤洗可愈。
\r瘤症图形十一症\p04-a57a8.bmp\r
1．粉瘤（可治） 2．中粉瘤（不可治） 3．筋瘤（不可治） 4．肩瘤（不可治） 5．肘瘤（可治）
6．胁瘤（不可治） 7．乳瘤（可治） 8．发瘤（可治） 9．腰瘤（可治） 10．腿瘤（可治） 11．拐瘤
（可治）
或问曰，子云∶外症分门类治，其立意勤矣，用心仁矣。古之外症，又有所谓瘤者，不知从何而起，从何而
成，未尝有痛痒苦楚，无寒热脓血之灾，突然而生，如有物伏于其中，大便于人者，是何而然也？答曰∶瘤者，
流而积，积而聚，聚而成也。乃人身之滞气，浊血结聚而成也。如李如桃，而形状不同，如瓜如瓠，而名色不一。
古称有六∶曰骨瘤，曰脂瘤，曰脓瘤，曰血瘤，曰筋瘤，曰石瘤，以其瘤之中有此物，故指其实而名之也。今原
图形一十三症，证其所生之处而言之也，其瘤中所伏之物，亦不过六者之聚而已。或又曰∶子云，是矣，治之亦
有方乎？答曰∶百病皆自内发于外，古人治病用膏药以攻内，针灸以攻外，皆祛也。今瘤之所生，由滞气浊血所
成，岂无药以祛之？内服汤药，外贴膏药，内外交攻，表里并治，瘤可愈矣。切不可妄用针刀勾割，恐脓血崩溃，
多致夭亡。慎之！慎之！
十七味大流气饮
治诸般瘤症，无论头面胸背手足，通用皆效。
人参、黄 、当归、川芎、肉桂、浓朴、白芷、甘草、桔梗、防风、乌药、槟榔、白芍、枳壳、木香、紫苏、
青皮。姜枣引。
瘤在上食后服，在下食前服。
七味昆布散
海藻、昆布（俱用酒）、海石（飞过）、海粉、白芷、青黛、浮麦，加海马。
共为末，掌上咽之，或蜜丸如杏核大，食后以酒咽一丸。
二味白芷膏
锻石（如铜钱大）一块，糯米十四粒。
二味俱用盐水化开，入辰砂末，澄片时用此点之。
四味梅花片散
片脑、血蝎、黄丹、寒水石。
共为末，搽于瘤上。
十二味龙珠膏
此膏治诸瘤颇效，宜量势而用，若眼上、喉下、乳下，宜斟酌之。
龙芽草三两，棘枣根五钱，海藻五钱，苏木五钱。共为末，水二十碗，煎至十碗，去渣。又用桑柴灰二碗，
面灰一碗，苍耳子草灰二碗，用草纸放罗底上，用前药水煎热，淋取灰汁十碗，澄清入锅内，微火熬成膏，用巴
豆霜、白丁香、寸香、轻粉搅匀，瓷器收贮，每取敷瘤，去旧药敷新药，如此敷数次，其瘤自溃，用万灵膏彻尽
脓水，上生肌散而愈。
治瘿瘤方
即气颈也。
昆布、海藻、海带、海马（米泔水浸涨）各二两，穿甲（土炒）、石燕（醋煮七次）、黄药（烧净土焙干）
各二钱。
共为末，蜜（少加面）为丸，如黄豆大，每服五至十丸，以木香磨水吞之。
又方
螵蛸、昆布、海金砂、冬花、木香、水晶石、海带、夏枯草各五钱，海马一个，石燕一两。
共为末，再用黄药引，酒送下。
又方
海藻一两，昆布一两，海马三个，石膏三钱，螵蛸一钱八分，木香三钱，陈皮三钱，黄药子二两。
共研末，黄药汤送下，忌生冷盐。
又方
昆布、螵蛸、海带各四两，黄药二两，小茴五钱，小草五钱，木香三钱。
共为末，饭后连送下三茶匙。
又方
昆布半斤，用米泔水洗海藻一斤，醋制海马一对，醋 石燕一对，火烧向醋中 之，自然榨细，海螵蛸三钱，
夏枯草子一两（即紫背天衢子是也）醋炒，一人只用五钱。研末，酒送下。
脚拐毒生长在脚部的筋骨之上，是由于湿气侵入骨骼、风邪损伤皮肤，或者因为遭受刑杖棒打等外伤，或因其他物体伤害，经久不愈，最终形成这种毒疮。适宜贴敷万灵膏，彻底排尽脓血后，再用花椒、茶叶和盐煮的水清洗即可痊愈。
瘤症图形十一症
1．粉瘤（可治愈） 2．中粉瘤（不可治愈） 3．筋瘤（不可治愈） 4．肩瘤（不可治愈） 5．肘瘤（可治愈）
6．胁瘤（不可治愈） 7．乳瘤（可治愈） 8．发瘤（可治愈） 9．腰瘤（可治愈） 10．腿瘤（可治愈） 11．拐瘤（可治愈）
有人问道：您说外部病症分门别类治疗，立意勤勉，用心仁爱。古代的外部病症中，还有所谓“瘤”的，不知道它从何而起，因何而成？它不曾有痛痒苦楚，也没有寒热脓血的灾难，突然而生，好像有东西潜伏在体内，对人有影响，这是为什么呢？回答说：瘤，是气流流动而积聚，积聚而聚拢，聚拢而形成。它是人身体的滞气、浊血结聚而成的。就像李子和桃子，形状不同；像瓜和葫芦，名称颜色不一。古时候称为六种：叫骨瘤，叫脂瘤，叫脓瘤，叫血瘤，叫筋瘤，叫石瘤，因为瘤中包含这些实质物质，所以指着其实质来命名。现在依据图形列出的十三种症状，是根据它们生长的部位来说明的，瘤中所潜伏的物质，也不过是那六类的聚集罢了。又问：您说得对，治疗它也有方法吗？回答说：百病都是从内部发于外部的，古人治病用膏药攻治内部，用针灸攻治外部，都是祛除病邪。现在瘤的产生，是由滞气和浊血形成的，难道没有药物可以祛除它吗？内服汤药，外贴膏药，内外同时攻治，表里一起治疗，瘤就可以痊愈了。千万不要胡乱使用针刀勾割，恐怕导致脓血崩溃，多会导致早亡。谨慎啊！谨慎啊！
十七味大流气饮
治疗各种各样的瘤症，无论长在头面、胸背、手足，通用都有效。
人参、黄芪、当归、川芎、肉桂、厚朴、白芷、甘草、桔梗、防风、乌药、槟榔、白芍、枳壳、木香、紫苏、青皮。用生姜、大枣作为引子。
瘤生在身体上部者饭后服用，生在身体下部者饭前服用。
七味昆布散
海藻、昆布（都用酒浸泡）、海浮石（飞过，即水飞法处理）、海粉、白芷、青黛、浮小麦，加海马。
共研为细末，放在手掌上咽下，或者做成蜜丸如杏核大小，饭后用酒送服一丸。
二味白芷膏
煅石膏（如铜钱大小）一块，糯米十四粒。
两味都用盐水化开，加入辰砂末，澄清取片状时用此点涂患处。
四味梅花片散
冰片、血竭、黄丹、寒水石。
共研为细末，搽涂在瘤上。
十二味龙珠膏
此膏治疗各种瘤颇为有效，应当根据病情轻重斟酌使用，如果长在眼睛上、喉咙下、乳房下，宜仔细斟酌。
龙芽草三两，棘枣根五钱，海藻五钱，苏木五钱。共研为细末，用水二十碗，煎至十碗，去渣。再用桑柴灰二碗，面灰一碗，苍耳子草灰二碗，用草纸放在筛底上，用前面的药水煎热，淋取灰汁十碗，澄清倒入锅内，用微火熬成膏，加入巴豆霜、白丁香、麝香、轻粉搅匀，用瓷器收贮，每次取药敷在瘤上，去掉旧药敷上新药，这样敷几次，瘤自然会溃破，再用万灵膏彻底排尽脓水，涂上生肌散即可痊愈。
治疗瘿瘤方
就是气颈（甲状腺肿大类疾病）。
昆布、海藻、海带、海马（用米泔水浸泡涨发）各二两，穿山甲（土炒）、石燕（醋煮七次）、黄药子（烧去泥土焙干）各二钱。
共研为细末，蜂蜜（少加面粉）做成丸，如黄豆大小，每次服用五到十丸，用木香磨水吞服。
又一方
海螵蛸、昆布、海金沙、款冬花、木香、水晶石、海带、夏枯草各五钱，海马一个，石燕一两。
共研为细末，再用黄药子做引子，用酒送下。
又一方
海藻一两，昆布一两，海马三个，石膏三钱，海螵蛸一钱八分，木香三钱，陈皮三钱，黄药子二两。
共研为细末，用黄药子汤送下，忌食生冷和盐。
又一方
昆布、海螵蛸、海带各四两，黄药子二两，小茴香五钱，小草五钱，木香三钱。
共研为细末，饭后连送下三茶匙。
又一方
昆布半斤，用米泔水洗海藻一斤，醋制海马一对，醋制石燕一对，火烧后浸入醋中，自然榨细，海螵蛸三钱，夏枯草子一两（即紫背天名精子是也）醋炒，一人只用五钱。研为细末，用酒送下。
Jiaoguai Du (Toxic Swelling of the Foot Ankle) arises on the tendons and bones of the foot. It is caused by dampness invading the bone, wind damaging the skin, or injuries from corporal punishment such as beating with sticks, or other physical trauma. If left untreated for a long time, it may develop into this type of toxic swelling. It is advisable to apply Wanling Gao (Ten Thousand Spirits Ointment) to thoroughly drain the pus and blood, followed by washing with a decoction of Sichuan pepper, tea leaves, and salt to achieve a cure.
Eleven Types of Tumors Illustrated in Diagrams
1. Fen Liu (Powder Tumor) [Curable]
2. Zhong Fen Liu (Intermediate Powder Tumor) [Incurable]
3. Jin Liu (Sinew Tumor) [Incurable]
4. Jian Liu (Shoulder Tumor) [Incurable]
5. Zhou Liu (Elbow Tumor) [Curable]
6. Xie Liu (Flank Tumor) [Incurable]
7. Ru Liu (Breast Tumor) [Curable]
8. Fa Liu (Hair Tumor) [Curable]
9. Yao Liu (Waist Tumor) [Curable]
10. Tui Liu (Leg Tumor) [Curable]
11. Guai Liu (Ankle Tumor) [Curable]
A question was posed: "You state that external diseases are treated according to categories, showing diligent intent and benevolent care. In ancient texts regarding external diseases, there is mention of 'Liu' (Tumors). It is unknown where they originate or how they form. They do not present with pain, itching, or suffering, nor do they involve disasters of cold, heat, pus, or blood. They appear suddenly, as if an object were lodged within, causing inconvenience to the person. What causes this?" The answer is: "Liu refers to the flow, accumulation, gathering, and eventual formation of pathogenic factors. It is formed by the stagnation of Qi and the coagulation of turbid blood within the body. Just as plums and peaches differ in shape, and melons and gourds vary in name and color, tumors also vary. Ancient texts classify them into six types: Gu Liu (Bone Tumor), Zhi Liu (Fat Tumor), Nong Liu (Pus Tumor), Xue Liu (Blood Tumor), Jin Liu (Sinew Tumor), and Shi Liu (Stone Tumor). These names are derived from the specific material nature found within the tumor. The current thirteen types illustrated are categorized by their location of origin; the substances lodged within these tumors are merely aggregations of the aforementioned six types."
Another question arose: "You are correct. Is there a method to treat them?" The answer is: "All diseases originate internally and manifest externally. In ancient times, physicians used ointments to treat internal origins and acupuncture/moxibustion to treat external manifestations, both aiming to expel pathogens. Since tumors are formed by stagnant Qi and turbid blood, surely there are medicines to dispel them? By administering herbal decoctions internally and applying ointments externally, attacking from both inside and out, and treating both interior and exterior simultaneously, the tumor can be cured. One must absolutely avoid reckless use of needles, knives, hooks, or cutting, lest the pus and blood collapse uncontrollably, leading to premature death. Be cautious! Be cautious!"
Shiqiwei Da Liuqi Yin (Seventeen-Ingredient Great Flowing Qi Decoction)
Indicated for all kinds of tumors, regardless of whether they occur on the head, face, chest, back, hands, or feet; it is generally effective.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Rougui (Cinnamomi Cortex), Houpo (Magnoliae Officinalis Cortex), Baizhi (Angelicae Dahuricae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix), Fangfeng (Saposhnikoviae Radix), Wuyao (Linderae Radix), Binglang (Arecae Semen), Baishao (Paeoniae Radix Alba), Zhike (Aurantii Fructus Immaturus), Muxiang (Aucklandiae Radix), Zisu (Perillae Folium), Qingpi (Citri Reticulatae Pericarpium Viride). Use Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus) as guides.
Administration: For tumors located in the upper body, take after meals; for tumors in the lower body, take before meals.
Qiwei Kunbu San (Seven-Ingredient Kelp Powder)
Ingredients: Haizao (Sargassum Herba), Kunbu (Laminariae Thallus) [both soaked in wine], Haishi (Calcitrum), Haifen (Calcariae Concha), Baizhi (Angelicae Dahuricae Radix), Qingdai (Indigo Naturalis), Fumai (Triticum aestivum Emendatum), plus Haima (Hippocampus).
Preparation: Grind all ingredients into a fine powder. Place on the palm and swallow, or mix with honey to form pills the size of apricot kernels. Take one pill after meals with wine.
Erwei Baizhi Gao (Two-Ingredient Angelica Ointment)
Ingredients: Duanshi (Calcined Gypsum) [size of a copper coin], one piece; Nuomi (Oryza sativa Glutinosa), fourteen grains.
Preparation: Dissolve both ingredients in salt water. Add Chen Sha (Cinnabar) powder. Clarify the mixture and apply the sediment/paste to the affected area.
Siwei Meihua Pian San (Four-Ingredient Plum Blossom Tablet Powder)
Ingredients: Pian Nao (Borneolum Syntheticum), Xuexie (Draconis Sanguis), Huangdan (Minium), Hanshuishi (Aqua Calcitris).
Preparation: Grind into a fine powder and apply topically to the tumor.
Shierwei Longzhu Gao (Twelve-Ingredient Dragon Pearl Ointment)
This ointment is quite effective for various tumors. Dosage should be adjusted according to the condition. Caution is advised when applying near the eyes, throat, or breasts.
Ingredients: Longyacao (Agrimoniae Herba), three liang; Jizao Gen (Ziziphi Spinosae Radix), five qian; Haizao (Sargassum Herba), five qian; Sumu (Sappan Lignum), five qian.
Preparation: Grind into powder. Decoct in twenty bowls of water until reduced to ten bowls, then strain. Prepare ash from Sang Chai Hui (Mori Ramulus Ash), two bowls; Mian Hui (Wheat Bran Ash), one bowl; Cang'erzi Cao Hui (Xanthii Cacumen Ash), two bowls. Place grass paper over a sieve, pour the hot herbal decoction over the ashes to leach out ten bowls of ash juice. Clarify the juice, add to a pot, and simmer gently over low heat until it forms an ointment. Stir in Badou Shuang (Crotonis Semen Extractum), Baixiangding (Streptopeliae Fermentum), Cunxiang (Moschus), and Qingfen (Calomelas). Store in porcelain vessels. Apply to the tumor, replacing old medication with new each time. After several applications, the tumor will naturally ulcerate. Subsequently, apply Wanling Gao to thoroughly drain pus, then apply Shengji San (Flesh-Regenerating Powder) to complete the cure.
Formula for Treating Ying Liu (Goiter/Tumor of the Neck)
Also known as Qi Jing (Qi Neck).
Ingredients: Kunbu (Laminariae Thallus), Haizao (Sargassum Herba), Haidai (Eckloniae Thallus), Haima (Hippocampus) [soaked in rice wash water until swollen], each two liang; Chuanjia (Manis Squama) [stir-fried with soil], Shiyan (Fossilia Osseum), Huangyaozi (Dioscoreophylli Rhizoma) [burned to remove soil and dried], each two qian.
Preparation: Grind into powder. Mix with honey (adding a small amount of flour) to form pills the size of soybeans. Take five to ten pills per dose, swallowed with water prepared from grinding Muxiang (Aucklandiae Radix).
Another Formula
Ingredients: Piaoxiao (Sepiae Endoconcha), Kunbu (Laminariae Thallus), Haijinsha (Lygodii Spora), Donghua (Dendranthemi Flos), Muxiang (Aucklandiae Radix), Shuijingshi (Quartzum), Haidai (Eckloniae Thallus), Xiakucao (Prunellae Spica), each five qian; Haima (Hippocampus), one; Shiyan (Fossilia Osseum), one liang.
Preparation: Grind into powder. Use Huangyaozi (Dioscoreophylli Rhizoma) as a guide, taken with wine.
Another Formula
Ingredients: Haizao (Sargassum Herba), one liang; Kunbu (Laminariae Thallus), one liang; Haima (Hippocampus), three; Shigao (Gypsum Fibrosum), three qian; Piaoxiao (Sepiae Endoconcha), one qian eight fen; Muxiang (Aucklandiae Radix), three qian; Chenpi (Citri Reticulatae Pericarpium), three qian; Huangyaozi (Dioscoreophylli Rhizoma), two liang.
Preparation: Grind into powder. Take with decoction of Huangyaozi (Dioscoreophylli Rhizoma). Avoid raw/cold foods and salt.
Another Formula
Ingredients: Kunbu (Laminariae Thallus), Piaoxiao (Sepiae Endoconcha), Haidai (Eckloniae Thallus), each four liang; Huangyaozi (Dioscoreophylli Rhizoma), two liang; Xiaohui (Foeniculi Fructus), five qian; Xiaocao (Agropyri Rhizoma), five qian; Muxiang (Aucklandiae Radix), three qian.
Preparation: Grind into powder. Take three tea spoons consecutively after meals.
Another Formula
Ingredients: Kunbu (Laminariae Thallus), half jin; Haizao (Sargassum Herba), one jin [washed with rice wash water]; Haima (Hippocampus), one pair [prepared with vinegar]; Shiyan (Fossilia Osseum), one pair [prepared with vinegar, heated and soaked in vinegar, then ground finely]; Piaoxiao (Sepiae Endoconcha), three qian; Xiakucao Zi (Prunellae Spica), one liang [also known as Zitianmingzi, stir-fried with vinegar]. Note: Individual dosage is five qian.
Preparation: Grind into powder. Take with wine.