止痛清心，行气活血如神。
草乌（去皮尖，生用） 乳香（火熨） 没药（火熨） 五灵脂（各三两） 生麝香（少
许）
上为末，酒糊丸如指头大，朱砂五钱研为衣。每服一丸，薄荷、生姜研汁磨化，痛止。
人之一身，血气周流则平。若冷热不调，喜怒不常，饮食不节，稍有壅聚，则随所发现。
痈
疖
觉
者，其脓深，小按即痛者，其脓浅。按之软而复者有脓，按之强而不复者无脓。 赤肿高者
为实，软慢冷肿者为虚，初作宜宣热拔毒，外以洗涤、角敷，以敛其痕瘢，是大要法也。已
溃则排脓止痛，朝夕亦洗涤，以舒其毒瓦斯，脓尽则生肌敷痂。次第施治，不可怆惶失序，亦
不可拘一，酌量轻重形证逆顺，寒则温之，热则清之，虚则补之，实则泄之。导以针石，灼
以
肉
一恶
溃，
不治
不止
难
病
病
病深
破
身
坏
附骨疽证。心痈者，乃心经有热，或好饮酒，或嗜热物，积聚成热，久而不散，熏发于皮
之外，气血不流，凝滞而生，虽曰原道颇险，而实可治。宜用托里活血之剂，攻出外来，肿
高不陷，可保无虞。若陷入里，亦不可恃。如不饮食，急须扶脾；能食，疮已破穿见肉膜，
亦未为害，但要洗涤净洁，以生肉药掺四畔，自然而愈。肾痈乃与内肾相对，皆由肾气衰败
而成。突起皮赤者易安，陷入皮黑者难瘥。如精神清爽，颜色红润，饮食不减，多起少卧，
此为善美也。颜色黑黄，饮食全减，斯为可忧，惟须详审速疗。肺痈乃将理失宜，劳伤气血
，风寒之气乘间而入，内舍于肺，及挟邪热，其气结聚，或作寒热，脉数而实是也。肠痈乃
荣卫相干，气为败浊，小腹如肿，大小便或涩，或复汗出，或复寒热是也。若腹皮急，按之
濡，身无热，乃阴冷所成；小腹坚痞，按之痛，身有热，乃结热所成。脉数，脓已成，不可
下；脉迟紧，脓未成，或下瘀血而愈。附骨疽痛深，按之无益，着骨而生，脓水腐溃，碎骨
出尽方愈。治之宣热去毒，又当温肾，未可专用凉剂。更在针烙其病，务详浅深，刺拔其根
则易愈。不尔，则顺脉流走，遍体洪肿，卒致不救，惜哉！至于所患之时，犹或多于外证，
未溃已前发渴，乃脏腑焦燥；痢下乃引饮无度；已溃而渴，则脓血去多，津液中干；或复肠
胃暴虚，遂成下痢；体虚受寒，则嗽声不息；气逆挟热，则痰盛于胸；热毒不泄，为二便秘
涩；毒瓦斯迫心，为呕哕惊悸；阴阳交争，血气不和，寒热并作；脏腑伤败，便血迸出；毒瓦斯
攻外，烦躁异常，惟须大方科药同治可也。至于诸疮，犹当举其大略∶丁疮，含蓄毒瓦斯，疮
头黑硬如钉，四畔带赤如火，瘢痕突起，痛痒异常，随变焦黑，未几肿大而光，转为湿烂，
深孔透肌，如大穿针之状；外证心惊，头疼，拘急，恶寒，四肢痛强，或寒热交作，颊舌间
赤黑，点点如珠；若毒入腹心，则烦闷呕逆，恍惚痴眠，其毙可立而待。治之当清心行血，
破毒拔疔，则或愈矣。瘰 生于项腋之间，凡人少小以来，动即蓄怒，或忧思惊恐，抑郁不
伸，遂致结核，日积月累，风热毒瓦斯聚焉，于是肿湿开疮，起伏无已，甚则牵连腋下，延蔓
心胸；外证寒热往来，或痛或不痛。治之须用斑蝥、地胆，使其根从小便中出，或如粉片，
或如块血，或如烂肉，皆其验也。治疗不早，则无及矣。漏疮之由，多发于项腋僻肛门之间
，治之失时，即生寒热。凡痈疽诸发，随所在处，苟有宿脓、败肉、朽骨停蓄其间，皆为之
漏。治法，温散风冷，收水生肌，用窒寒之药，必得痊平，惟须戒房事耳。瘾疹为病，风热
在表，天时炎暄，而燥气乘之，则为赤疹；天时寒凉，冷气折之，则为白疹。治之须疏风行
气，气行则消矣。其有疥癣等疮，各自不同，浸淫不已，皆由脾肺风热，或心肾久虚所致。
热则平血解毒，冷则清心温肾，又何患其不瘳矣。
止痛并清心，行气活血功效如神。
草乌（去皮尖，生用） 乳香（火熨） 没药（火熨） 五灵脂（各三两） 生麝香（少许）
以上药物研为细末，用酒调糊制成如手指头大小的丸剂，用朱砂五钱研成粉末作为包衣。每次服用一丸，用薄荷、生姜研汁磨化后送服，疼痛即可停止。
人的全身，气血周流运行则身体平和。如果冷热不调和，喜怒无常，饮食不节制，稍有壅滞积聚，就会随着病邪显现的部位而发病。
痈疖（皮肤浅表化脓性感染）感觉深部的，轻轻按压就痛；感觉浅部的，重按才痛。按之柔软且回弹慢的有脓，按之坚硬且不回弹的无脓。红肿高突的是实证，软漫冷肿的是虚证，初起时宜宣散热毒，外用洗涤、角敷法，以收敛疤痕，这是主要治法。已经溃破则排脓止痛，早晚也要洗涤，以疏通毒气，脓液排尽则生肌结痂。依次施治，不可惊慌失措失去次序，也不可拘泥于一种方法，要斟酌病情的轻重、形态和证候的顺逆，寒证则温之，热证则清之，虚证则补之，实证则泄之。用针石引导，用艾灸灼烧。
附骨疽（深部脓肿）。心痈，是心经有热，或者喜欢饮酒，或者嗜食热物，积聚成热，久而不散，熏蒸发于皮外，气血不流通，凝滞而生，虽然原道颇为险恶，但实际可治。宜用托里活血的药剂，攻出外来邪气，肿高不凹陷，可以保全无忧。如果陷入体内，也不可依赖。如不能饮食，急须扶助脾胃；能进食，疮已破穿见肉膜，也未为害处，只要洗涤干净，用生肉药掺在四周，自然痊愈。肾痈乃与内肾相对，皆由肾气衰败而成。突起皮赤的容易安愈，陷入皮黑的难治愈。如精神清爽，颜色红润，饮食不减，多起少卧，这是善美的征象。颜色黑黄，饮食全减，这就值得忧虑，只须详细审察迅速治疗。肺痈乃调理失当，劳伤气血，风寒之气乘隙而入，内舍于肺，及挟带邪热，其气结聚，或作寒热，脉数而实就是这种情况。肠痈乃营卫相干，气为败浊，小腹如肿，大小便或涩滞，或又汗出，或又寒热就是这种情况。如果腹皮紧急，按之濡软，身无热，乃阴冷所成；小腹坚痞，按之痛，身有热，乃结热所成。脉数，脓已成，不可攻下；脉迟紧，脓未成，或攻下瘀血而愈。附骨疽痛深，按之无益，着骨而生，脓水腐溃，碎骨出尽方愈。治疗宜宣热去毒，又当温肾，未可专用凉剂。更在于针烙其病，务必详查深浅，刺拔其根则易愈。不然，则顺着经脉流走，遍体洪肿，突然致死，可惜啊！至于患病之时，往往多于外证，未溃之前发渴，乃脏腑焦燥；痢下乃引饮无度；已溃而渴，则脓血去多，津液中干；或又肠胃暴虚，遂成下痢；体虚受寒，则咳嗽声不息；气逆挟热，则痰盛于胸；热毒不泄，为二便秘涩；毒瓦斯迫心，为呕哕惊悸；阴阳交争，血气不和，寒热并作；脏腑伤败，便血迸出；毒瓦斯攻外，烦躁异常，只须大方科药物同治才可以。至于各种疮疡，还应当举其大略：疔疮，含蓄毒瓦斯，疮头黑硬如钉，四畔带赤如火，瘢痕突起，痛痒异常，随即变焦黑，不久肿大而光，转为湿烂，深孔透肌，如大穿针之状；外证心惊，头疼，拘急，恶寒，四肢痛强，或寒热交作，颊舌间赤黑，点点如珠；若毒入腹心，则烦闷呕逆，恍惚痴眠，其毙可立而待。治疗当清心行血，破毒拔疔，则或许痊愈了。瘰疬生于项腋之间，凡人从小以来，动不动就蓄怒，或忧思惊恐，抑郁不伸，遂致结核，日积月累，风热毒瓦斯聚焉，于是肿湿开疮，起伏无已，甚则牵连腋下，延蔓心胸；外证寒热往来，或痛或不痛。治疗须用斑蝥、地胆，使其根从小便中排出，或如粉片，或如块血，或如烂肉，都是验证。治疗不早，就来不及了。漏疮的由来，多发于项腋僻肛门之间，治疗失时，即生寒热。凡痈疽诸发，随所在处，如果有宿脓、败肉、朽骨停蓄其间，都成为漏。治法，温散风冷，收水生肌，用窒寒的药物，必定痊愈，只须戒房事罢了。瘾疹为病，风热在表，天时炎热，而燥气乘之，则为赤疹；天时寒凉，冷气折之，则为白疹。治疗须疏风行气，气行则消矣。其有疥癣等疮，各自不同，浸淫不已，皆由脾肺风热，或心肾久虚所致。热则平血解毒，冷则清心温肾，又有什么担忧其不痊愈了呢。
Pain relief and heart-clearing, promoting Qi circulation and blood activation are as miraculous as divine.
Caowu (Aconiti Kusnezoffii Radix, peeled tip, raw) Xuruxiang (Frankincense, fire-roasted) Moyao (Myrrh, fire-roasted) Wulingzhi (Trogopteri Dung, three taels each) Shengmoxiang (Musk, a small amount)
The above ingredients are ground into powder, mixed with wine paste to form pills the size of a finger joint, coated with five qian of cinnabar powder. Take one pill per dose, grind it in mint and fresh ginger juice, and the pain will cease.
In the human body, when Qi and blood circulate smoothly, health is maintained. If there is disharmony between cold and heat, irregular emotions, or unregulated diet, even slight stagnation and accumulation can manifest according to the affected area.
Yong and Jie (superficial skin abscesses): deep ones cause pain upon light palpation; superficial ones require firm pressure to elicit pain. Softness with slow rebound indicates pus presence; hardness without rebound indicates no pus. Redness, swelling, and elevation signify excess patterns; softness, flaccidity, and cold swelling indicate deficiency patterns. In the initial stage, it is appropriate to disperse heat and extract toxins, using external washing and horn application to heal scars, which is a primary method. Once ulcerated, drain pus and relieve pain, wash morning and evening to vent toxic vapors, and apply agents to promote tissue regeneration and scabbing after pus is exhausted. Treat sequentially without panic or disorder, nor be rigid; assess severity, morphology, and prognosis. For cold patterns, warm them; for heat patterns, clear them; for deficiency patterns, tonify them; for excess patterns, drain them. Guide with acupuncture and moxibustion.
Fuguju (deep bone abscess). Xinyong (heart abscess) arises from heat in the Heart Meridian, often due to excessive alcohol consumption or preference for hot foods, leading to accumulated heat that persists and steams outward, causing Qi and blood stagnation. Though seemingly dangerous, it is treatable. Use formulas that support the interior and invigorate blood to expel external pathogens. If swelling is elevated and not depressed, recovery is assured. If it sinks inward, do not rely solely on this. If appetite is lost, urgently strengthen the Spleen; if appetite remains and the wound exposes fascia, it is not harmful provided it is kept clean and topical agents promoting flesh growth are applied around the edges for natural healing. Shenyong (kidney abscess) corresponds to the internal Kidney, resulting from Kidney Qi decline. Protruding red skin is easy to heal; sinking black skin is difficult. Clear spirit, ruddy complexion, normal diet, and frequent rising with little sleep are good signs. Dark yellow complexion and loss of appetite are worrying; careful and rapid treatment is needed. Feiyong (lung abscess) results from improper care, Qi and blood injury, and invasion of Wind-Cold, lodging in the Lung, accompanied by pathogenic heat, causing Qi aggregation, chills and fever, and a rapid, full pulse. Changyong (intestinal abscess) involves conflict between Ying and Wei, turbid Qi, lower abdominal swelling, dysuria or constipation, sweating, or chills and fever. Tight abdominal skin with soft palpation and no fever indicates Yin-cold; hard lower abdomen with pain upon palpation and fever indicates Heat binding. Rapid pulse indicates formed pus, contraindicating purgation; slow-tight pulse indicates unformed pus, where purging blood stasis may lead to cure. Fuguju causes deep pain unrelieved by palpation, adhering to bone, with rotting pus and bone fragments; healing occurs only when all debris is expelled. Treatment requires dispersing heat, removing toxins, and warming the Kidney, avoiding pure cooling agents. Acupuncture and cauterization should be used carefully based on depth; extracting the root facilitates healing. Otherwise, toxins spread along meridians, causing generalized edema and sudden death—regrettable! During illness, symptoms often exceed external signs: thirst before ulceration indicates organ dryness; diarrhea with excessive drinking indicates fluid loss; thirst after ulceration indicates loss of fluids via pus and blood; sudden Spleen-Stomach deficiency leads to diarrhea; body weakness with Cold causes persistent cough; rebellious Qi with Heat causes chest phlegm; unvented Heat toxin causes constipation; toxic vapors pressing on the Heart cause vomiting, hiccups, and palpitations; Yin-Yang conflict causes Qi-blood disharmony and alternating chills/fever; organ damage causes hematochezia; external toxin attack causes extreme restlessness. Large-formula herbal treatments are required. Regarding various sores: Dingchuang (hard carbuncle) contains toxic vapors, with a black, hard head like a nail, red borders like fire, raised scars, severe itching/pain, turning black, then swelling, becoming wet and rotten, penetrating deep into muscle like a needle hole; external signs include heart fright, headache, stiffness, aversion to cold, limb pain, alternating chills/fever, dark red/black spots on cheeks/tongue; if toxin enters the heart, causing irritability, vomiting, confusion, and lethargy, death is imminent. Treatment requires clearing the Heart, moving blood, breaking toxicity, and extracting the carbuncle for potential cure. Luoli (scrofula) occurs between the neck and axilla, caused by childhood anger, worry, fear, or depression leading to nodules, accumulating Wind-Heat toxin, causing swelling, weeping, and recurrence, spreading to axilla/chest; external signs include alternating chills/fever, pain or no pain. Treatment uses Blatta orientalis and Euphorbia kansui to expel roots via urine (as powder, blood clots, or rotting meat), verifying efficacy. Delayed treatment is futile. Louchuang (fistula) often occurs in neck, axilla, or anus; delayed treatment causes chills/fever. Any abscess with retained pus, necrotic flesh, or dead bone becomes a fistula. Treatment warms and disperses Wind-Cold, consolidates fluids, generates tissue, avoids cold-astringent drugs, ensures recovery, and requires abstinence from sexual activity. Yinzhen (urticaria) involves Wind-Heat at the exterior; hot weather with Dryness causes red rash; cold weather with Cold causes white rash. Treatment promotes Qi movement to resolve it. Scabies and tinea vary but result from Spleen-Lung Wind-Heat or chronic Heart-Kidney deficiency. Heat patterns require cooling blood and detoxifying; cold patterns require clearing the Heart and warming the Kidney, ensuring recovery.