凡痈疽溃后，腐肉渐尽，患口大者，尚流浓黄脓，碍动患底之肉，即流鲜血，口小孔深
者，必插药捻，插至见红血者，以及日久漏管，既经提拔，脓管已去，后插生肌药，亦觉肌生
血见者，俱可收功于迟早。以上各症，或溃淌稀脓污黑汁，或流黄水白浆者，是气血早伤，
肌肉腐败，阴阳之机，不能鼓荡，其生发无功，于无中为有。安望敛肌完口，可指日而待哉？
素来湿盛热炽者，或嗜酒生湿，或喜食辛辣之物热结脏腑之内，日久皆能 伏生虫，流
入大肠，盘踞肛门，奇痒异常。虽服煎药，外施熏洗，终不见功。今有验方列下。
杏仁（二钱） 轻粉（一钱） 黄连（二钱） 芜荑（一钱） 蛇床子（二钱） 花椒（一钱） 朝脑
（一钱） 枯矾（一钱） 黄柏（三钱）
共研细末，用黑枣肉同捣烂，做如笔杆粗，约长寸许，晒干，外裹丝棉，以棉线一根，
系紧药条端打结，插入肛门内，留线拖于外。一日一换，数日除根。
人受湿邪内困，肢体便觉顽重，无寒无热，面色不泽，精神委顿，一见饮食，心中即泛
泛欲呕，不饥不食，日久难退，此当专责之于脾，不关于胃。盖脾喜香燥，燥脾则湿去，犹之
地上湿润，一得日照风吹，其湿立干。非比胃经湿热，宜渗宜润。至湿滞于脾，尤不可用补
腻，以窒闷中宫者也。治方附后。
炒焦 赤苓（三钱） 焦苡米（三钱） 焦神曲（三钱） 焦扁豆皮（三钱） 焦泽泻（一钱）
焦冬瓜子（三钱） 焦茵陈（钱半） 焦车前子（三钱）
引用焦陈米一酒杯，布包煨。
凡痈疽溃破之后，腐肉逐渐排尽，若疮口较大，仍流出黄稠脓液，触动疮底肌肉时即流出鲜血；若疮口小且深，必须插入药捻，插至见红血者；以及日久形成漏管，经过提拔处理后，脓管已去除，后续插入生肌药物，也感觉肌肉生长、血液渗出者，这些情况无论迟早，都可以收功愈合。以上各种症状，如果溃破后流淌稀薄脓液或污黑汁液，或者流出黄水白浆的，这是气血早期受损，肌肉腐败，阴阳之气不能鼓动激发，其生发功能无效，在虚无中难以化为实有。哪里还指望收敛肌肉、使疮口愈合，能指日可待呢？
素来湿气盛而热邪炽盛的人，或者嗜好饮酒导致体内生湿，或者喜欢食用辛辣之物使热结聚于脏腑内部，日久都能潜伏生出虫体，流入大肠，盘踞在肛门处，奇痒异常。虽然服用煎剂中药，外用熏洗疗法，最终不见疗效。现在有验证过的方剂列在下面：
杏仁（二钱） 轻粉（一钱） 黄连（二钱） 芜荑（一钱） 蛇床子（二钱） 花椒（一钱） 冰片（一钱） 枯矾（一钱） 黄柏（三钱）
共同研成细末，用黑枣肉一同捣烂，做成如笔杆粗细，长约一寸左右，晒干，外面包裹丝棉，用一根棉线系紧药条端打结，插入肛门内，留线拖在外面。一天更换一次，数日即可除根。
人受到湿邪内困，肢体便觉得沉重僵硬，没有恶寒也没有发热，面色无光泽，精神萎靡不振，一见饮食，心中就泛泛欲呕，不饥饿不想进食，日久难以消退，这应当专门归责于脾脏，与胃无关。因为脾脏喜欢香燥之性，燥化脾土则湿气去除，就像地上湿润，一旦得到日照风吹，湿气立刻变干。这不比胃经湿热，适宜渗利和滋润。至于湿邪停滞于脾，尤其不可使用滋补腻滞的药物，以免窒闷中焦脾胃。治疗方剂附在后面。
炒焦赤茯苓（三钱） 炒焦薏苡仁（三钱） 炒焦神曲（三钱） 炒焦扁豆皮（三钱） 炒焦泽泻（一钱） 炒焦冬瓜子（三钱） 炒焦茵陈（钱半） 炒焦车前子（三钱）
引用炒焦陈米一杯，布包煨煮。
Whenever a carbuncle or ulcer has ulcerated and the necrotic flesh is gradually exhausted, if the wound opening is large but still exudes yellow thick pus, and touching the muscle at the bottom of the wound causes fresh blood to flow; or if the wound opening is small and deep, requiring the insertion of a medicated wick until red blood appears; as well as cases where a sinus tract formed over a long period, which after being elevated and removed, subsequent insertion of tissue-regenerating medicines also feels like muscle growth and blood seepage—these conditions can achieve healing regardless of whether it happens early or late. For the above various symptoms, if upon ulceration there flows thin pus or dirty black fluid, or yellow water and white serum, this indicates early injury to Qi and Blood, corruption of muscles, and an inability of Yin and Yang mechanisms to stimulate and drive regeneration. Their regenerative function is ineffective, failing to create substance from nothing. How can one expect to gather the muscles and close the wound, expecting it to heal in a few days?
Those who naturally have abundant Dampness and blazing Heat, or who indulge in alcohol leading to internal Dampness generation, or who prefer spicy foods causing Heat to knot within the Zang-Fu organs, over time can all harbor parasites that breed internally, flow into the Large Intestine, and lodge in the anus, causing extreme itching. Although taking decocted herbal medicines and applying external fumigation and washing therapies ultimately show no effect. Now, a verified prescription is listed below:
Almond (2 qian) Calomelas (1 qian) Coptidis Rhizoma (2 qian) Chukwania Fruit (1 qian) Cnidii Fructus (2 qian) Zanthoxypi Pericarpium (1 qian) Borneolum Syntheticum (1 qian) Alum (1 qian) Phellodendri Cortex (3 qian)
Grind together into fine powder, mash with black date pulp, form into strips about as thick as a pen and roughly one cun long, dry them, wrap externally in silk cotton, tie a cotton thread tightly around one end of the medicinal strip to form a knot, insert into the anus, leaving the thread hanging outside. Change once a day, and the root cause will be eliminated in a few days.
When a person is constrained internally by Dampness pathogen, the limbs feel heavy and stiff, without aversion to cold or fever, the complexion lacks luster, and spirit is listless. Upon seeing food, one feels nauseous, lacks appetite, and does not wish to eat; if prolonged, it is difficult to resolve. This should be specifically attributed to the Spleen, not related to the Stomach. The Spleen favors aromatic and drying properties; drying the Spleen eliminates Dampness, just as wet ground dries instantly upon exposure to sunlight and wind. This differs from Damp-Heat in the Stomach Meridian, which is suitable for leaching and moistening. Regarding Dampness stagnating in the Spleen, one must especially avoid using tonifying and cloying substances, which would obstruct the Middle Jiao. The treatment formula is attached below.
Scorched Red Poria (3 qian) Scorched Coix Seed (3 qian) Scorched Medicated Leaven (3 qian) Scorched Broad Bean Peel (3 qian) Scorched Alisma Rhizome (1 qian) Scorched Benincasa Seed (3 qian) Scorched Artemisiae Capillariae Herba (1.5 qian) Scorched Plantaginis Seed (3 qian)
Use scorched aged rice as a guide, one wine cup, wrapped in cloth and simmered.