疮疡治法，予非专科，然其大意，不可不知。经云∶营气逆于肉里，则生痈疽。又云∶
膏粱
之变，足（能也）生大疔。夫营气逆者，必有郁火，久不得泄，则发为痈疽。如范亚夫不合于
项王，至彭城疽发于背是也。膏粱之变，曾见一钱姓者，爱食市脯中之猪首肉，每食百钱无
虚日，豕肉已能发风生痰，况其首乎？久之宜发于背而莫救焉。相传一西商在苏州贸易，每
食猪首，近邻一人善治背疽，因商挟重赀，料其久必毒发，欲居为奇，直待其归，尚无影响
。乃买舟随之，将及渡河，乃问其随人，尔主肉食无厌，更啖何物？答云∶每饱肥浓，辄饮
浓点松萝茶一碗，其人闻之，太息而返。盖谓松萝能消肉毒故也。治疮疡莫妙消磨于未成，
如梅花点舌丹，药精制虔，可致奇效。更有蒜熨一法，无论一切无名肿毒，疔疮发背，初起
者治之立散。用大囊蒜切片，如开元钱浓，置患处，艾绒灸，以不痛至痛，痛至不甚痛为度
，大约七壮左右。如发背初起，难辨毒结何处，须将湿纸一张，平贴背上，验何处先燥，即
是疮顶。用墨笔点定，去纸而后隔蒜灸之，随处可灸，惟面上忌灸，若灸而不散，毒瓦斯亦已
归拢，易溃易痊，最便最妙之法也。更有一方，亦治一切诸疮，未成可散，已成易溃。药用
白甘菊、丹皮、赤芍、银花、地丁、草归尾、乳香、没药、连翘、陈皮、细生地、甘草节，
水煎服，外用角针煎汤洗。予治一妇，患三阴疟未解，忽周身发疮，皆大如钱，三三两两，
不
下百十，而疟顿住。此伏邪走泄为疮，三阴则无疾矣。诸专科疗治，用黄连、黄芩寒凉之药
，脓水淋漓更甚，纳食减矣，就予求治，药用生黄 、西党参、炒白术、银花、白芷、茯苓
皮、广皮、生苡仁、炙草，三服纳增，疮无脓水；去白芷，加生地、归身、黄 ，蜜水炒，
四服结痂，又四服痊愈。
疮疡的治疗方法，我并非专科医生，但其大致原则，是不可不知道的。《内经》说：营气在肌肉中逆行，就会发生痈疽。又说：饮食肥甘厚味的变化，能够导致严重的疔疮。所谓营气逆行，必然伴有郁结之火，长久不能宣泄，就会发作成痈疽。就像范增（亚夫）不被项羽所容，最终在彭城背部发疽而死一样。饮食肥甘厚味导致的病变，我曾见过一个姓钱的人，喜爱吃市场上卖的猪头肉，每天花费一百钱吃这种肉，没有一天间断。猪肉本身就能引发风邪、生痰，何况是猪头呢？时间久了，适宜在背部发作而无法救治了。相传有一个西方商人在苏州经商，每次吃猪头肉，邻居中有一个人擅长治疗背疽，因为商人携带重金，那人料定他日久必定毒发，想借此机会牟取暴利，一直等到他回去，还没有看到发病的迹象。于是买船跟随他，快要渡河时，问他的随从：“你们主人吃肉没有满足的时候，还吃什么别的？”随从回答说：“每次吃饱了肥腻浓厚的食物，就喝一碗浓泡的松萝茶。”那个人听了，叹息着回去了。大概是因为松萝茶能消除肉食毒素的缘故吧。治疗疮疡，没有比在未形成脓肿之前进行消散更巧妙的了，比如梅花点舌丹，药物精制虔诚，可以收到奇效。更有蒜熨这一方法，无论一切无名肿毒、疔疮或发背，初起时治疗，立刻消散。用大蒜切成片，厚度像开元通宝铜钱那样，放在患处，用艾绒灸，以从不觉痛到感到痛，再从感到痛到疼痛减轻为标准，大约灸七壮左右。如果发背初起，难以辨别毒结在哪里，需要用一张湿纸，平贴在背上，验证哪里先干燥，那就是疮顶。用墨笔点标记，去掉纸后隔蒜灸之，随处都可以灸，只有面部忌讳灸。如果灸了还不消散，毒气也已经归拢，容易溃破也容易痊愈，这是最方便最妙的方法。还有一个方子，也治疗各种疮疡，未形成时可消散，已形成时易溃破。药用白菊花、牡丹皮、赤芍药、金银花、紫花地丁、当归尾、乳香、没药、连翘、陈皮、细生地、甘草节，水煎服，外用角针草煎汤清洗。我治疗过一个妇人，患三阴疟疾未愈，忽然全身发出疮疡，都大如铜钱，三三两两，不下百十个，而疟疾顿时停止。这是伏留的邪气外泄变成疮疡，三阴经就没有疾病了。各位专科医生治疗，使用黄连、黄芩等寒凉药物，脓水流淌更加严重，食欲减退，就来找我治疗。药用生黄芪、西党参、炒白术、金银花、白芷、茯苓皮、广陈皮、生薏苡仁、炙甘草，服用三剂后食欲增加，疮疡没有脓水；去掉白芷，加生地黄、当归身、黄芪，用蜜水炒制，服用四剂后结痂，又服用四剂后痊愈。
The treatment methods for sores and ulcers, I am not a specialist in this field, but their general principles cannot be unknown. The Classics state: When Ying Qi (nutritive energy) reverses within the flesh, carbuncles and malignant sores arise. It also states: Changes caused by rich and sweet foods can lead to severe Ding Chuang (hard, deep-seated boils). Reversal of Ying Qi necessarily involves stagnant fire; if it remains unresolved for a long time, it erupts as carbuncles or malignant sores. For instance, Fan Zeng (courtesy name Yafu), who was at odds with King Xiang Yu, died from a back carbuncle in Pengcheng. Regarding changes due to rich foods, I once observed a man surnamed Qian who loved eating pig head meat sold in markets, spending one hundred cash daily without fail. Pig meat itself can generate wind pathogens and phlegm, let alone the pig head. After a long period, it is likely to erupt on the back, becoming incurable. There is a legend about a Western merchant trading in Suzhou who ate pig heads frequently. A neighbor nearby was skilled in treating back carbuncles. Knowing the merchant carried substantial wealth, the neighbor anticipated that the toxins would eventually erupt and hoped to monopolize the treatment fees. He waited until the merchant returned, but there were no signs of illness. So he bought a boat to follow him. As they approached crossing the river, he asked the merchant's attendant, "Your master has an insatiable appetite for meat; what else does he eat?" The attendant replied, "After every meal of rich and fatty food, he drinks a bowl of strong Songluo tea." Hearing this, the neighbor sighed and returned. This implies that Songluo tea can resolve meat toxins. In treating sores and ulcers, nothing is more exquisite than dissipating them before they form. For example, Meihua Dianshe Dan (Plum Blossom Pointing Tongue Pill), with its refined and sincere preparation, can achieve miraculous effects. Furthermore, there is the method of garlic moxibustion. Regardless of any unnamed swelling and toxicity, Ding Chuang, or Back Carbuncle, if treated at the initial stage, it will dissipate immediately. Slice large cloves of garlic to the thickness of Kaiyuan Tongbao coins, place them on the affected area, and perform moxibustion with mugwort wool. The degree is appropriate when sensation shifts from painless to painful, and then from painful to less painful, approximately seven moxa cones. If a back carbuncle is in its early stages and it is difficult to identify where the toxin is concentrated, paste a wet piece of paper flat on the back. Observe which part dries first; this indicates the apex of the sore. Mark it with an ink pen, remove the paper, and then perform garlic-interposed moxibustion. Moxibustion can be applied anywhere, except on the face. If the condition does not dissipate after moxibustion, the toxic qi has already gathered, making it easier to ulcerate and heal. This is the most convenient and excellent method. Another prescription treats all kinds of sores; it can dissipate lesions before they form and facilitate ulceration once formed. The ingredients include White Chrysanthemum Flower (Bai Juhua), Tree Peony Root Bark (Dan Pi), Red Peony Root (Chi Shao), Honeysuckle Flower (Jin Yin Hua), Purple Violet Herb (Di Ding), Angelica Sinensis Tail (Gui Wei), Frankincense (Ru Xiang), Myrrh (Mo Yao), Forsythia Fruit (Lian Qiao), Tangerine Peel (Chen Pi), Rehmannia Root (Xi Sheng Di), and Licorice Root Nodes (Gan Cao Jie). Decoct in water and take orally. Externally, wash with a decoction of Cornus officinalis branches (Jiao Zhen). I treated a woman suffering from San Yin Malaria (Three-Yin Malaria) that had not resolved. Suddenly, she developed sores all over her body, each the size of a coin, numbering over a hundred in clusters, while the malaria ceased abruptly. This was latent pathogenic factors venting out as sores, thus clearing the Three Yin meridians. Specialists treated her using cold and cooling herbs such as Coptis Rhizome (Huang Lian) and Scutellaria Root (Huang Qin), resulting in profuse pus discharge and reduced appetite. She sought my treatment. The prescription consisted of Raw Astragalus Root (Sheng Huang Qi), Codonopsis Root (Xi Dang Shen), Stir-fried Atractylodes Macrocephala Rhizome (Chao Bai Zhu), Honeysuckle Flower (Yin Hua), Angelica Dahurica Root (Bai Zhi), Poria Skin (Fu Ling Pi), Broad-leaved Citrus Peel (Guang Pi), Raw Coix Seed (Sheng Yi Ren), and Honey-roasted Licorice Root (Zhi Cao). After three doses, her appetite increased, and the sores stopped discharging pus. Removing Bai Zhi, adding Raw Rehmannia Root (Sheng Di), Angelica Sinensis Body (Gui Shen), and Astragalus Root (Huang Qi) stir-fried with honey, after four doses, scabs formed. After another four doses, she recovered completely.