夫人之一身，血脉贯通，似河海周流而无丝毫阻滞，设一旦有邪毒窜入五脏、六腑，或风湿中入皮肤肌腠之间，便
血脉不行，而患斯作矣。但毒之所发，变应万千，有中于脏者，有中于腑者，有中于阳分、阴分、气分、血分者，种种
原因，不一而足。发于阳者，则红肿高硕而痛甚，发于阴者，则低塌平伏以灰白，或则日轻夜重，或则昼重夜轻，其呈
象颇不一致。症之初起，以草药愈者有之，而久治不效者亦有之，迁延日久，遂有成茧及不收口之诸般坏象矣。吾门在
此万般困难、诸医束手时，而有四味异药、十三奇方以济之，此种困难遂迎刃而解，医尽世间奇症，从未轻授外人，得
之者可坐获浓利，救济群生，此中至药，虽南面王不易也，吾子孙当世代遵守，是所至嘱！
又据黄承昊折肱漫录第七卷，肿毒条有云∶“凡患毒者，多服十三方及仙方活命饮以败毒，但老弱之人不能堪此，故
薛立斋以托里败毒散易之。”又医药编有云∶“一人患疟，久不愈，以金蚣丸投之，疟止”云云。黄氏为明季万历丙辰进
士，折肱漫录成于崇祯乙亥，是外科十三方之来，当不始自清代矣。
侬等着论总提纲，阴阳内外悉分张，痈疽发处分赤白，疮疖起时别暗光，满腹仁恩留赤子，一腔慈爱着青囊，百骸
中毒分表里，三关直透识阴阳，回生妙术传釜水，救死奇方着蜀疆，且看杏林多秀色，须知橘井有泉香，愚民莫负侬医
惠，转盼乾坤乐更长。
大凡人的全身，血脉贯通，如同河海周流一样没有丝毫阻滞。假如一旦有邪毒窜入五脏、六腑，或者风湿侵入皮肤肌腠之间，就会导致血脉运行不畅，从而引发疾病。但是毒邪发作，变化万千，有的中于脏，有的中于腑，有的中于阳分、阴分、气分、血分，种种成因，不一而足。发于阳分的，则红肿高突且疼痛剧烈；发于阴分的，则低塌平伏呈灰白色，或者白天轻晚上重，或者白天重晚上轻，其表现形态很不一致。病症初起时，有用草药治愈的，也有久治不效的，拖延日久，于是出现结成硬茧及伤口不愈合等各种坏象。我们门派在此万般困难、众医束手无策之时，凭借四味异药、十三种奇方来救治患者，这种困难便迎刃而解。医生能治愈世间各种疑难杂症，（这些秘方）从未轻易传授给外人，得到它的人可以获得丰厚利润，救济众生，其中的珍贵药物，即使是面南称王的君主也不愿交换。我的子孙应当世代遵守，这是最恳切的嘱咐！
另外根据黄承昊《折肱漫录》第七卷，肿毒条中有记载：“凡是患毒疮的人，多服用十三方及仙方活命饮以败毒，但年老体弱之人不能承受此药力，所以薛立斋用托里败毒散替代它。”又有《医药编》记载：“一人患疟疾，久治不愈，投以金蚣丸后，疟疾停止”等等。黄氏是明代万历丙辰年的进士，《折肱漫录》成书于崇祯乙亥年，可见外科十三方的来源，应当不是始于清代了。
我等着撰写论说的总提纲，阴阳内外全部分辨清楚，痈疽发生部位区分赤白，疮疖兴起时辨别暗光，满怀仁恩留给百姓，一腔慈爱寄托于医家，百骸中毒分辨表里，三关直透认识阴阳，回生妙术传承如釜底抽薪之水，救死奇方显耀于蜀地疆域，且看杏林多有秀色，须知橘井自有泉香，愚民不要辜负我的医惠，转眼乾坤快乐更长。
The human body is characterized by unobstructed blood vessels and meridians, circulating like rivers and seas without any blockage. However, if pathogenic toxins suddenly invade the five Zang organs or six Fu organs, or if wind-dampness penetrates the skin and muscle layers (Ji-Cou), blood circulation will be impeded, leading to the onset of disease. The manifestations of toxin development are myriad; toxins may affect the Zang organs, the Fu organs, the Yang aspects, the Yin aspects, the Qi level, or the Blood level. There are numerous causes, too many to list. When manifesting in the Yang aspect, symptoms include redness, swelling, elevation, and severe pain. When manifesting in the Yin aspect, symptoms present as low, flat, grayish-white lesions, with variations such as being lighter during the day and heavier at night, or vice versa; their presentations are quite inconsistent. At the initial stage of the disease, some cases are cured with herbal remedies, while others remain unresponsive to prolonged treatment. If left unchecked for a long time, various adverse outcomes arise, such as the formation of calluses or non-healing wounds. In our school, when faced with such difficulties where conventional physicians are at a loss, we employ four unique herbs and thirteen miraculous formulas to resolve these issues. Physicians who can treat the world's rare diseases have never lightly transmitted these secrets to outsiders. Those who obtain them can reap substantial profits and benefit all living beings. These precious medicines are so valuable that even a king sitting on the throne would not exchange them for them. My descendants must observe this rule generation after generation; this is my earnest instruction!
Furthermore, according to Volume 7 of Huang Chenghao's *Zhe Gong Man Lu* (Casual Records of Broken Limbs), under the section on swellings and toxins: "For those suffering from toxic sores, it is common to administer the Thirteen Formulas or Xian Fang Huo Ming Yin (Immortal Formula for Saving Life) to eliminate toxins. However, elderly and weak individuals cannot tolerate this strong action, so Xue Lizhai substituted Tuo Li Bai Du San (Support Interior and Eliminate Toxin Powder)." Additionally, *Yi Yao Bian* records: "A person suffered from malaria that did not heal for a long time; after administering Jin Gong Wan (Golden Centipede Pill), the malaria ceased." Huang was a Jinshi degree holder in the Bingchen year of the Wanli era in the Ming Dynasty, and *Zhe Gong Man Lu* was completed in the Yihai year of the Chongzhen era. Thus, the origin of the External Surgery Thirteen Formulas likely did not begin in the Qing Dynasty.
I await writing the general outline of the treatise, clearly distinguishing Yin and Yang, interior and exterior. For carbuncles and sores, distinguish between red and white at the site of eruption; for boils and folliculitis, discern dark and light signs upon onset. Fill your belly with benevolence to leave kindness for the common people; invest your heart with compassion into the medical profession (Qing-Nang). For poisoning throughout the hundred bones, differentiate between surface and interior; penetrate the three barriers directly to understand Yin and Yang. Pass down the miraculous art of restoring life like water from the cauldron; let the miraculous formulas for saving lives shine in the Shu region. Behold the beauty of the Apricot Grove (symbolizing the medical field); know that the Orange Well has fragrant spring water. Do not let the ignorant people fail my medical grace; look forward to the enduring joy of heaven and earth.