护膜蜡矾丸 白明矾(四两。研细) 黄蜡(二两) 辰砂(六钱。水飞) 或加葱花四两更炒。先将黄蜡熔化。
待稍冷。入矾末、辰砂不住手搅匀。加炼白蜜七八钱和匀。众手丸如梧子。如蜡凝不能丸。以滚水炖之。凡护膜防毒内
攻。如未破即消。已破即合。每服三四十丸。白汤送下。或酒送亦可。一日之中。服一百粒方有功。始终如一。服过半
斤。必万全矣。病已愈。服之亦佳。
琥珀蜡矾丸 黄蜡(一两) 明矾(一两二钱) 雄黄(二钱二分) 琥珀(一钱) 辰砂(一钱) 一方加白蜜。
先将葡萄肉十枚。同蜡打如泥。加诸药末捣和为丸。珀末、辰砂为衣。凡护膜化毒。每服一钱。食后白汤下。
护心散 生绿豆衣(一两五钱) 甘草节(一两) 琥珀同灯心研。乳香 辰砂 雄黄(各一钱) 共为末。凡预
防毒瓦斯内陷。每服一钱。空心酒下。
无敌丹 桑柴灰汁 茄杆灰汁 矿灰汁(各一斗) 三汁熬调和匀。名三仙膏。亦可点痈疽之稍轻者。再用碱水熬
膏一两。加入后开各药末。则成全方。每三仙丹五两。配蟾酥(三钱五分。酒化) 明矾 火硝(各三钱) 牛黄 麝
香(各一钱) 冰片 珍珠 硼砂 雄黄 轻粉 乳香(各一钱) 人乳浸铜绿 朱砂(各一钱五分) 各研极细末和
匀再碾数千下。将前膏加入搅得极匀。收瓷罐内。罐须小口。以乌金纸塞口。封以黄蜡。勿令一毫泄气。遇毒取少许。
搽其顶。干则以米醋和蜜少许润之。其血黑色。或毒水爆出。实时松解。切不可着好肉上。或用荞麦面调。若遇疔疮加
铁锈一分。研如飞尘和入。多搽其正顶。过宿其根烂出。内服紫金锭。若是痈疽。再服蜡矾丸。及托里解毒之剂。此药
痈疽对口。疔疮发背。一切无名肿毒。有夺命之功。难以尽述。
恶疮锭子 白砒(一钱) 麝香(五分) 归尾(五分) 五味(五分) 蟾酥(一钱) 草乌(一钱) 轻粉(二
钱) 川乌(一钱) 月石(五分) 血竭(一钱) 全蝎(二只) 硼砂(一钱) 铜绿(五分) 银朱(五分) 雄
黄(五分) 共为极细末。用人乳化蟾酥拌成锭子。如大麦冬样。
一分锭作两段。治二人。将疮用针刺破见血。纳入药粒。用纸粘贴。内成脓去药。洗净为度。
万应针头丸 麝香(二钱) 血竭(三钱) 轻粉(三钱) 蟾酥(三钱) 硼砂(三钱) 大梅片(一钱) 金
头赤足蜈蚣(一条) 共为末炼蜜丸。凡一切痈疽。生于胸背。毒大欲死。向其头上用针撬破去血。以药一黍米大。放
疮口内。用纸花吐津周遭湿之。贴疮罨定。顷刻可愈。
化腐紫霞膏 轻粉(三钱) 蓖麻仁(三钱研) 血竭(二钱) 巴豆霜(五钱) 金顶砒(五钱) 螺蛳肉水(二
钱) 潮脑(一钱) 共研匀
罐贮。凡发背已成。瘀肉不腐。及不作脓者。又诸疮内有脓。外不穿者。俱用此膏。不腐烂者自腐。不溃者自溃。其功
甚于乌金膏。及碧霞锭子。临用以麻油调搽顽硬肉上。以绵纸盖之。或以膏药贴之亦可。
元珠膏 本鳖子肉(十四个) 斑蝥(八十个) 柳枝(四十九寸) 驴蹄甲片(三钱) 草乌(一钱) 麻油(二
两) 上药浸油内七日。
用文火炸枯去渣。入巴豆仁三个煎至黑。倾于钵内研如泥。加麝香一分。搅匀。入罐内。凡肿疡将溃。搽之脓从毛孔
吸出。已开刀者。用指护送孔内。脓腐立刻能化。
隔皮取脓法 驴蹄皮(一两)。炒为末。砂炒荞麦面(一两) 草乌(四钱。刮去皮。研末) 食盐(五钱) 共研
细。水糊作薄饼
丸。上炙微黄。再研细。以醋摊白纸上贴患处。其脓水从毛孔而出。盖以粗纸。掺湿再换。水尽纸燥肿即消。或患毒深
远。刀难直取。并患者惧开刀。候脓熟时。用此法最宜。如不从毛窍出者。其擦药之处。剩一洞。自为出脓。
护膜蜡矾丸:白明矾(四两,研成细粉)、黄蜡(二两)、辰砂(六钱,水飞法处理)。也可以加入葱花四两一起炒制。先将黄蜡熔化,待稍微冷却后,加入明矾末和辰砂,不停地搅拌均匀。再加入炼过的白蜜七八钱调和均匀。众人搓制成梧桐子大小的药丸。如果蜡凝固导致无法制丸,可以用滚水炖化后再制。凡是用于保护黏膜、防止毒邪内攻的情况,如疮疡未破溃即可消散,已破溃即可愈合。每次服用三四十丸,用白开水送服,或者用酒送服也可以。一天之内,服用一百粒才有效,要始终如一地坚持服用。累计服用过半斤,必定能完全治愈。即使病已经痊愈,继续服用也有好处。
琥珀蜡矾丸:黄蜡(一两)、明矾(一两二钱)、雄黄(二钱二分)、琥珀(一钱)、辰砂(一钱)。另一种配方加入白蜜。先将十枚葡萄肉与黄蜡一同捣烂如泥状,加入各种药末捣和制成药丸。用琥珀末和辰砂作为药衣。凡是用于保护黏膜、化解毒邪的情况,每次服用一钱,饭后用白开水送服。
护心散:生绿豆衣(一两五钱)、甘草节(一两)、琥珀(同灯心草一起研磨)、乳香、辰砂、雄黄(各一钱)。共同研成细末。凡是预先防止毒瓦斯内陷的情况,每次服用一钱,空腹时用酒送服。
无敌丹:桑柴灰汁、茄杆灰汁、矿灰汁(各一斗)。将三种汁液熬制并调和均匀,称为“三仙膏”。也可以用来点涂症状较轻的痈疽。再用碱水熬制一两膏,加入后面列出的各味药末,即成为完整方剂。每取三仙丹五两,配伍蟾酥(三钱五分,用酒化开)、明矾、火硝(各三钱)、牛黄、麝香(各一钱)、冰片、珍珠、硼砂、雄黄、轻粉、乳香(各一钱)、人乳浸铜绿、朱砂(各一钱五分)。将所有药材研成极细粉末并混合均匀,再碾数千次。将前面的膏加入其中搅拌得极其均匀,装入瓷罐中。罐口必须小,用乌金纸塞住口,用黄蜡密封,不让丝毫气体泄漏。遇到毒疮时,取少许药涂抹在疮顶。如果药干了,就用少许米醋和蜂蜜润湿。此时流出黑色血液,或者毒水爆出,病情随即缓解解除。切不可涂在健康皮肤上。也可以用荞麦面调和使用。如果遇到疔疮,加入一分铁锈,研得像飞尘一样混入药中,多涂抹在疮的正中心。过一夜后,疮根腐烂脱落。内服紫金锭。如果是痈疽,再服用蜡矾丸以及托里解毒的药物。此药对于痈疽对口、疔疮发背以及一切无名肿毒,有夺命救急的功效,难以详尽叙述。
恶疮锭子:白砒(一钱)、麝香(五分)、当归尾(五分)、五味子(五分)、蟾酥(一钱)、草乌(一钱)、轻粉(二钱)、川乌(一钱)、月石(五分)、血竭(一钱)、全蝎(两只)、硼砂(一钱)、铜绿(五分)、银朱(五分)、雄黄(五分)。共同研成极细粉末。用人乳将蟾酥拌和,制成锭子,形状像大麦冬那么大。一个锭子切成两段,可供两人使用。将疮疡用针刺破见血,纳入药粒,用纸粘贴固定。等到内部化成脓液后去掉药物,洗净患处为止。
万应针头丸:麝香(二钱)、血竭(三钱)、轻粉(三钱)、蟾酥(三钱)、硼砂(三钱)、大梅片(一钱)、金头赤足蜈蚣(一条)。共同研成粉末,用炼蜜制成药丸。凡是治疗一切痈疽,生于胸背部,毒势猛烈危及生命的情况,用针撬破疮头去血,取一粒黍米大小的药放入疮口内,用纸花蘸唾液湿润周围,贴在疮上固定。顷刻之间即可痊愈。
化腐紫霞膏:轻粉(三钱)、蓖麻仁(三钱,研碎)、血竭(二钱)、巴豆霜(五钱)、金顶砒(五钱)、螺蛳肉水(二钱)、潮脑(一钱)。共同研磨均匀,储存在罐中。凡是发背已经形成,瘀肉不腐烂,以及不能化脓的情况,还有诸疮内部有脓但外部未穿破的,都使用此膏。不腐烂的会自行腐烂,不溃破的会自行溃破。其功效优于乌金膏及碧霞锭子。临用时用麻油调匀涂抹在顽固坚硬的肉上,盖上绵纸,或者用膏药贴敷也可以。
元珠膏:本鳖子肉(十四个)、斑蝥(八十个)、柳枝(四十九寸)、驴蹄甲片(三钱)、草乌(一钱)、麻油(二两)。上述药物浸泡在油中七天。用文火炸至枯黄后去除药渣,加入三个巴豆仁煎至黑色,倒入钵中研磨如泥状。加入一分麝香,搅拌均匀,装入罐中。凡是肿疡即将溃破时,涂抹它,脓液会从毛孔被吸出。已经开刀者,用手指护送药进入孔内,脓腐立刻能够化解。
隔皮取脓法:驴蹄皮(一两),炒成粉末;砂炒荞麦面(一两);草乌(四钱,刮去皮,研成粉末);食盐(五钱)。共同研细,用水糊做成薄饼丸。上面烤至微黄,再研细。用醋摊在白纸上,贴在患处。脓水从毛孔排出,盖上粗纸,湿了再换。水排尽、纸干燥后,肿胀即消。如果患毒深远,刀具难以直接取出,并且患者害怕开刀,等待脓成熟时,使用此法最为适宜。如果脓不从毛窍排出,擦药的地方会剩下一个洞,自然成为排脓通道。
Huma Lafan Wan (Membrane-Protecting Wax and Alum Pill): Bai Mingfan (Alum, 4 liang, ground into fine powder), Huangla (Yellow Beeswax, 2 liang), Chensha (Cinnabar, 6 qian, processed by water flotation). Alternatively, add 4 liang of scallion flowers and stir-fry together. First, melt the yellow beeswax. When it cools slightly, add the alum powder and cinnabar, stirring continuously until evenly mixed. Add 7–8 qian of refined white honey and blend uniformly. Roll into pills the size of a Chinese quince seed (Wuzi). If the wax solidifies and prevents rolling, warm in boiling water before shaping. This formula is used to protect mucous membranes and prevent pathogenic toxins from invading internally. For sores not yet ulcerated, it promotes resolution; for those already ulcerated, it promotes healing. Take 30–40 pills per dose, swallowed with plain water or wine. To be effective, consume 100 pills daily, maintaining consistency throughout the course. A cumulative intake of over half a jin (approx. 500g) ensures complete recovery. Even after cure, continued administration is beneficial.
Hupo Lafan Wan (Amber Wax and Alum Pill): Huangla (Yellow Beeswax, 1 liang), Mingfan (Alum, 1 liang 2 qian), Xionghuang (Realgar, 2 qian 2 fen), Hupo (Amber, 1 qian), Chensha (Cinnabar, 1 qian). Another variant adds white honey. First, mash ten grape meats with the beeswax into a paste. Mix in the powdered herbs and form pills. Coat the pills with powder of Amber and Cinnabar. Indicated for protecting membranes and resolving toxins. Take 1 qian per dose, administered after meals with plain water.
Huxin San (Heart-Protecting Powder): Sheng Lvdouyi (Raw Mung Bean Seed Coats, 1 liang 5 qian), Gancao Jie (Licorice Root Nodes, 1 liang), Hupo (Amber) ground together with Dengxincao (Juncus Effusus Stem), Ruxiang (Frankincense), Chensha (Cinnabar), Xionghuang (Realgar) (each 1 qian). Grind all into fine powder. Used prophylactically to prevent toxic vapors from sinking inward. Take 1 qian per dose, administered on an empty stomach with wine.
Wudi Dan (Invincible Pill): Sangcha Hui Zhi (Ash Juice from Mulberry Wood Charcoal), Qiagao Hui Zhi (Ash Juice from Eggplant Stalks), Kuanghui Zhi (Mineral Ash Juice) (each 1 dou). Boil and mix these three juices to create Sanxian Gao (Three Immortals Paste). This paste can also be applied to mild cases of carbuncles and sores. Further process 1 liang of this paste with alkali water solution, then add the following powdered herbs to complete the formula: Chan Su (Toad Venom, 3 qian 5 fen, dissolved in wine), Mingfan (Alum, 3 qian), Huoxiao (Saltpeter/Niter, 3 qian), Niuhuang (Calculus Bovis, 1 qian), Shexiang (Moschus/Musk, 1 qian), Bingpian (Borneol, 1 qian), Zhenzhu (Pearl, 1 qian), Pengsha (Borax, 1 qian), Xionghuang (Realgar, 1 qian), Qingfen (Calomel, 1 qian), Ruxiang (Frankincense, 1 qian), Tonglv soaked in human milk (1 qian 5 fen), Zhusha (Cinnabar, 1 qian 5 fen). Grind all ingredients to an extremely fine powder and mix thoroughly, milling thousands of times. Incorporate the prepared paste, stirring until perfectly homogeneous. Store in a small-mouthed porcelain jar, sealed with Wujin paper and yellow beeswax to ensure absolute airtightness. For toxic sores, apply a small amount to the apex of the lesion. If the medication dries, moisten with a mixture of rice vinegar and honey. Black blood or toxic fluid will emerge, providing immediate relief. Do not apply to healthy skin. Can also be mixed with buckwheat flour. For Ding Chuang (Carbuncle/Furuncle), add 1 fen of iron rust, ground to dust-like fineness, and apply heavily to the center. After one night, the root will necrose and detach. Internally administer Zijin Ding (Purple Gold锭). For Yong Ju (Abscess/Carbuncle), additionally take Huma Lafan Wan and formulas that support the interior and resolve toxicity. This formula possesses life-saving efficacy for Yong Ju Dui Kou (Opposing Carbuncles at the Neck), Ding Chuang Fa Bei (Back Carbuncles), and all unnamed swellings and toxins. Its effects are too numerous to describe fully.
Echuang Dingzi (Malignant Sore锭): Baiti (White Arsenic, 1 qian), Shexiang (Moschus/Musk, 5 fen), Guiwei (Angelica Sinensis Tail, 5 fen), Wuwei (Schisandra Chinensis Fruit, 5 fen), Chan Su (Toad Venom, 1 qian), Caowu (Aconitum Kusnezoffii Root, 1 qian), Qingfen (Calomel, 2 qian), Chuanwu (Aconitum Carmichaelii Root, 1 qian), Yueshi (Mirabilite, 5 fen), Xuexie (Dragon's Blood, 1 qian), Quanxie (Scorpion, 2 pieces), Pengsha (Borax, 1 qian), Tonglv (Verdigris, 5 fen), Yinzhu (Vermilion/Cinnabar substitute, 5 fen), Xionghuang (Realgar, 5 fen). Grind all to an extremely fine powder. Mix Chan Su with human milk to form锭 (pills/cakes) the size of large Ophiopogon tuber. One锭 is divided into two portions for two patients. Puncture the sore with a needle until bleeding occurs, insert the medicated piece, and cover with paper. Remove the medicine once pus forms, and clean the area thoroughly.
Wanying Zhentou Wan (Universal Needle-Head Pill): Shexiang (Moschus/Musk, 2 qian), Xuexie (Dragon's Blood, 3 qian), Qingfen (Calomel, 3 qian), Chan Su (Toad Venom, 3 qian), Pengsha (Borax, 3 qian), Dameipian (Borneol, 1 qian), Jintou Chizu Wugong (Centipede with golden head and red legs, 1 piece). Grind into powder and form pills with refined honey. Indicated for all Yong Ju (abscesses/carbuncles) occurring on the chest or back where toxicity is severe and life-threatening. Puncture the head of the sore with a needle to drain blood. Place a pill-sized grain (size of a millet seed) into the wound. Moisten surrounding tissue with saliva-wetted paper flower and secure with a dressing. Healing occurs almost instantly.
Huafu Zixia Gao (Rotting-Tissue Purple Cloud Ointment): Qingfen (Calomel, 3 qian), Bamaren (Castor Bean Seed, 3 qian, crushed), Xuexie (Dragon's Blood, 2 qian), Badoushuang (Croton Seed Frost/Paste, 5 qian), Jindingpi (Golden-Topped Arsenic, 5 qian), Luosirou Shui (Water from Snail Meat, 2 qian), Chaonao (Camphor, 1 qian). Grind uniformly and store in a jar. Indicated for established Fabei (Back Carbuncle) with non-necrotic stagnant flesh or failure to suppurate, and for other sores containing internal pus but lacking external rupture. It induces necrosis in non-necrotic tissue and rupture in unruptured lesions. Its efficacy surpasses that of Wujin Gao and Bixia Dingzi. Apply externally using sesame oil on hard, stubborn flesh, covering with cotton paper or a plaster.
Yuanzhu Gao (Pearl Pearl Ointment): Benbiezi Rou (Meat of Trionyx Sinensis Egg, 14 pieces), Banmao (Mylabris Beetle, 80 pieces), Liuzhi (Willow Twig, 49 cun), Lvtijia Pian (Donkey Hoof Plate, 3 qian), Caowu (Aconitum Kusnezoffii Root, 1 qian), Mayou (Sesame Oil, 2 liang). Soak the above herbs in oil for seven days. Fry gently over low heat until browned, remove residues, add three Croton seeds, and boil until black. Pour into a mortar and grind into a paste. Add 1 fen of Shexiang (Moschus/Musk), mix well, and store in a jar. Applied when a swelling is about to suppurate; it draws pus out through the pores. For incised wounds, guide the ointment into the cavity with a finger to rapidly dissolve necrotic pus.
Gepi Qunong Fa (Method of Extracting Pus Through Intact Skin): Lvtpi (Donkey Hoof Skin, 1 liang), stir-fried and powdered; Shaqiao Qiaomai Mian (Sand-roasted Buckwheat Flour, 1 liang); Caowu (Aconitum Kusnezoffii Root, 4 qian, peeled and powdered); Yan Shi (Salt, 5 qian). Grind finely, bind with water paste to form thin cake pills. Roast until lightly yellow, grind again. Spread with vinegar on white paper and apply to the affected area. Pus drains through the pores. Cover with coarse paper and replace when wet. Once drainage ceases and the paper dries, swelling subsides. This method is ideal for deep-seated infections where direct surgical incision is difficult or the patient fears surgery, provided the pus is mature. If pus does not exit via pores, the application site will naturally form a fistula for drainage.