《外科十法》者，予归宗普陀时所作也。余自普陀生长天都，五十有三载，业医者凡三
十年。爰着《医学心悟》一书，详言内证，梓行于世，而外科有未及。壬子冬，还归普陀修
行。适逢圣祖仁皇帝广发帑金，修葺我菩萨行宫。前后寺僧及任务人等，不下数千人。其中
病患不一，予为调治悉痊。复有患背疽者，有患广疮疥癣者，投以膏散，不半月而收功。因
思予在天都时，仅着内科，而未及外科，亦一时之阙略也。乃复聚精会神，参悟外科旨要，
约以十法，而施治之道，似无余蕴。言简而赅，方约而效，以之问世，庶几其有小补乎。将
见《十法》一书，与《医学心悟》并行于天壤间也。
天都普明子程国彭钟龄着
内消者，肿毒初起，随用药消散也。凡病痈疽、发背、对口、疔毒，其初起憎寒壮热，
有似伤寒，而痛偏一处，饮食如常者，蓄积有脓也。当初起时，脓尚未成，不过气血乖违，
逆于肉理耳。外敷以远志膏，或贴普救万全膏。内服银花甘草汤，实时消散。若系疔疮，急
宜刺破。或艾灸肿处，涂上蟾蜍饼，贴以万全膏，内服菊花甘草汤，随即平伏。菊花连根带
叶，皆治疔疮之圣药也。其中亦有挟风寒而发者，宜先用芎芷香苏散以散之，随服菊花、银
花等药，即可内消。须及早下手，不可迟滞。
《外科十法》这本书，是我在归宗普陀山时撰写的。我自从在普陀山出生并成长于天都，至今五十三年，行医已有三十年。于是撰写了《医学心悟》一书，详细论述内科病症，刊印流传于世，但对外科方面有所遗漏。壬子年冬天，我回到普陀山修行。恰逢圣祖仁皇帝广泛拨出国库资金，修缮我们的菩萨行宫。前后寺院的僧侣及承担任务的人员等，不下数千人。其中病患种类繁多，我为他们调治，全都痊愈。又有患背疽的，患广疮、疥癣的，投用膏药和散剂，不到半个月就取得了疗效。因此想到我在天都时，只写了内科，而未涉及外科，也是一时的疏漏。于是重新聚精会神，参悟外科的要旨，概括为十种方法，治疗之道，似乎没有遗漏了。言语简练而全面，方剂简约而有效，以此问世，或许能有一点补益吧。将看到《十法》这本书，与《医学心悟》并行于天地之间。
天都普明子程国彭钟龄 著
内消法，是指肿毒初起时，随即用药使其消散的方法。凡是患有痈疽（体表化脓性感染）、发背（背部急性化脓性疾病）、对口疔（生于颈后正中线的疔疮）、疔毒（一种发病迅速且危险性较大的急性感染），在初起时出现怕冷高热，症状类似伤寒（外感热病），但疼痛集中在某一处，饮食正常的，说明体内正在蓄积脓液。在初起阶段，脓尚未形成，不过是气血失调，逆乱于肌肉纹理之间罢了。外用远志膏，或贴敷普救万全膏。内服银花甘草汤，即时即可消散。如果是疔疮，急需刺破排脓。或者艾灸肿胀部位，涂上蟾蜍饼，贴敷万全膏，内服菊花甘草汤，随即平复。菊花连根带叶，都是治疗疔疮的神效药物。其中也有夹杂风寒而发作的，宜先用芎芷香苏散来疏散风寒，随后服用菊花、金银花等药物，即可实现内消。必须及早下手，不可拖延。
The book *Waike Shifa* (Ten Methods of Surgery) was written by me when I returned to Mount Putuo. Having been born and raised at Mount Putuo in Tiandu, I have lived there for fifty-three years and practiced medicine for thirty years. I subsequently authored the book *Yixue Xinwu* (Medical Insights), which detailed internal medicine conditions and was printed for public distribution, yet it omitted surgery. In the winter of the Renzi year, I returned to Mount Putuo for cultivation. Coincidentally, Emperor Kangxi generously allocated treasury funds to repair our Bodhisattva's palace. The monks of the temple before and after, along with those assigned tasks, numbered no less than several thousand. Among them were patients with various ailments; I treated them all, and they recovered completely. There were also cases of back carbuncle (back abscess), widespread sores, scabies, and tinea; applying ointments and powders yielded results within half a month. Reflecting on this, I realized that while in Tiandu, I had only written about internal medicine and neglected surgery, which was a temporary omission. Thus, I gathered my spirit and mind, contemplated the essentials of surgery, summarized them into ten methods, and found that the way of treatment seemed comprehensive. The language is concise yet exhaustive, the prescriptions simple yet effective. Offering this to the world, it may provide some minor benefit. It is anticipated that the book *Shifa* will run parallel with *Yixue Xinwu* throughout the universe.
Written by Cheng Guopeng, courtesy name Zhongling, known as Tian Du Pu Ming Zi.
Internal resolution refers to the method of using medication to dissipate swelling and toxins at their initial stage. For any condition involving yongju (skin abscesses), fabei (acute suppurative disease of the back), duikou ding (carbuncle located at the center of the nape), or dingdu (acute infection with rapid onset and high danger), the initial stage presents with aversion to cold and high fever, resembling shanghan (exogenous febrile diseases), but with pain localized to one area and normal appetite, indicating the accumulation of pus. At the very beginning, the pus has not yet formed; it is merely a disorder of qi and blood, reversing within the muscle tissues. Externally apply Yuanzhi Gao (Polygala Ointment) or paste Pujiu Wanquan Gao (Universal Salvation Ointment). Internally administer Yinhua Gancao Tang (Honeysuckle and Licorice Decoction), which dissipates the swelling immediately. If it is a dingchuang (carbuncle), it should be pricked open urgently. Alternatively, moxa can be applied to the swollen area, Chan Yu Bing (Toad Venom Cake) applied topically, Wanquan Gao pasted over it, and Juhua Gancao Tang (Chrysanthemum and Licorice Decoction) taken internally, leading to immediate subsidence. Chrysanthemum, including roots and leaves, is a miraculous herb for treating dingchuang. Some cases may arise complicated by wind-cold; in such instances, Xiongzhi Xiangsu San (Ligusticum, Chrysanthemum, Aromatic Perilla Powder) should first be used to disperse the pathogen, followed by the administration of herbs such as chrysanthemum and honeysuckle, achieving internal resolution. Early intervention is necessary; do not delay.