心善精神爽，言清舌润鲜，疮疼兼不渴，睡醒得安然。肝善身轻便，因烦自不烦，指头红活色，坐起觉平
康。脾善唇滋润，衾帏兰麝香，凡餐俱有味，脓浓更肥黄。肺善声音响，无痰韵更长，肌肤多滑润，大便自寻
常。肾善诚为要，水升火自降，口和兼不渴，小水得稀长。
一恶神昏愦，心烦舌上干，疮形多紫黑，言语自呢喃。二恶腰身强，目精邪视人，疮头流血水，惊悸是肝
。三恶形消瘦，脓清臭秽生，疮形多软陷，脾败不知疼。四恶皮肤槁，声嘶韵不长，疼多兼喘急，鼻动肺将
亡。五恶成消渴，随饮即随干，形容多惨黑，囊缩肾家端。六恶身浮肿，肠鸣呕呃频，大肠多滑泄，脏腑并将
倾。七恶疮倒陷，形如剥鳝同，四肢多冷逆，污水自流通。
外科之疮有治例，说与君家须切记，病端百出别根因，方法一囊岂同类。热与寒，通与秘，其中消息知端
的。通多不足秘多余，热实寒虚分症治；阳似阴，阴似阳，似中妙理要推详。不分表里一例治，轻变重而重变
亡。医者贵乎多应变，不可偏
执用其方，且如表症恶寒，宜用荆防败毒散；里症发热，可将内疏黄连汤。疮势已成，托里消毒散诚为正法。
内脓将溃，十全大补汤最得相当。人参养荣汤治溃后虚热发作，木香流气饮散结肿寒湿为殃。饮食不甘，定用
香砂开胃；精神怯少，须将参术回阳。阴虚阳虚，须八珍最为要领；盗汗自汗，得独参一味可强。溃后多疼，
乳香定痛散功奇莫缓；脾虚下陷，补中益气汤功效尤良。口燥谵言，泻实火须黄连解毒（汤）；心烦衄血，
理虚阳必犀角地黄（汤）。古法治痈疽，称述仙方活命饮；今时医发背，还期神授卫生汤。蟾酥丸在外科称为
独品，护心散解内毒号曰无双。讵知蜡矾丸护膜、护心，可羡淡中有味；还赞玉红膏生肌、生肉，堪夸坏里呈
祥。身凉自汗，腹痛肠鸣、呕逆，岂逃异功散；睡卧不宁、虚阳发燥、脓多定用圣愈汤。生脉散接虚羸脉来微
细，归脾汤除惊悸睡得安康。竹叶石膏（汤）治虚烦、身热者何须疑虑，麦冬清肺（饮）除膈热有痰者毋待商
量。金鲤汤治肺痈吐脓气急，玄龟丹攻结毒臭腐顽疮。风热生疮通圣散，疮疡狂躁破棺丹。小柴胡（汤）除客
邪往来潮热；大防风（汤）攻腿膝寒湿为殃。咽肿咽疼定用清咽利膈散，斑红斑紫岂逃化斑解毒汤。八味丸捐
口干妙药，二神丸治脾泄奇方。香连丸为脏腑泻痢通用，甘露饮治口齿腐烂相当。六和汤和脾止吐泻，双解散
解表理内伤。逍遥散善治女人诸病，保元汤常扶赤子多伤。皮肤毛发干焦，芦荟丸效应甚捷；咽喉口齿肿痛，
冰硼散功实非常。滋肾丸治下元肾虚不固，凉膈散解上焦膈热多烦。九龙丹消鱼口吞之灭迹，二蛟散行湿肿服
下安康。吕祖一枝梅止痢定惊，称为仙药；真君妙贴饮消疼止痛，号曰神方。痔漏、瘿瘤、疔毒，古夸三品锭
；痈疽、流注、诸风，今羡万灵丹。柴胡清肝汤治鬓疽肝胆有效，黄连消毒饮医对口督脉尤良。小儿口内生疳
必用人中白散，大人咽喉肿痛
须将金锁匙汤。下疳新久珍珠散，小便淋涩木通汤。玉真散破伤风效，复元汤跌扑称强。提肩散治胳膊强直作
痛，拈痛汤除痛腿风湿相伤。小便生疳，龙胆泻肝汤可羡；大头肿痛，普济消毒饮何妨。便毒悬痈，内消散吞
何足虑；臀痈腿病， 柴汤下自无殃。又有女子阴疮，能肿能疼能至痒，在人活法，或消或补或驱虫。盖男子
之囊痈，泻肝经之湿热；小儿赤游丹，解毒兼砭血。凡治杨梅疮，戒熏为至切，舌下发痰包，利剪方能泄；出
如鸡蛋清，消痰是真诀。结毒与顽疮，紫金膏可设；风疮彻骨痒，雄黄散效绝。疔疮先刺血，内毒宜汗泄；禁
灸不禁针，怕绵（绵者，毒陷也）不怕铁（铁者，入针坚硬有声）。又有失荣肿，坚硬如岩凸；强阴失道症，
形状要分别。妇人之乳岩，此中一例决；未破肉 棱，已溃流臭血。如此几般症，古今无治说；疮有
数百种，难以都陈曰∶惟在一点心，何须三寸舌。学人若向导，万事皆通彻，此为粗糙歌，可讥亦可阅。
心善：精神清爽，言语清晰，舌面湿润且色泽鲜艳，疮口疼痛但不口渴，睡醒后感到安宁。
肝善：身体轻便灵活，因烦恼而引发的不适自然消除，手指头呈现红润鲜活的颜色，坐起时感觉平稳健康。
脾善：嘴唇滋润，被褥衣物间有兰麝般的香气，进食所有食物都觉得有味，脓液浓稠且颜色肥黄。
肺善：声音洪亮，没有痰液阻碍，韵致悠长，肌肤多光滑润泽，大便自然正常。
肾善：最为重要的是诚心修养，使肾水上升、心火下降（水火既济），口中调和且不口渴，小便通畅且量多色清。
一恶：神志昏沉糊涂，心烦意乱，舌上干燥，疮形多呈紫黑色，言语自言自语或含糊不清。
二恶：腰身僵硬强直，目光斜视或直视令人恐惧，疮头流出血水，惊悸不安，这是肝脏败坏的表现。
三恶：形体消瘦，脓液清稀且散发臭秽气味，疮形多软陷，脾胃败坏以致不知疼痛。
四恶：皮肤干枯，声音嘶哑，韵致短促，疼痛多伴有气喘急促，鼻翼扇动，这是肺部将亡的征兆。
五恶：出现消渴症状，随饮随干，形容面容多惨黑，阴囊收缩，这是肾脏败坏的表现。
六恶：身体浮肿，肠鸣音重，频繁呕吐呃逆，大肠滑脱泄泻，脏腑功能即将崩溃。
七恶：疮口倒陷，形状如同剥皮的鳝鱼，四肢多冷逆，污水自行流出。
外科疮疡的治疗有固定的法则，说给你听必须牢记，病因病端百出需辨别根源，治疗方法岂能一概而论？热证与寒证，通利与秘结，其中的机理要知晓确切。通利之证多不足，秘结之证多有余，热证实证与寒证虚证需分症治疗；阳证似阴证，阴证似阳证，似是而非中的妙理要推究详察。如果不分表里一律治疗，轻症会变重症，重症会导致死亡。医生贵在善于随机应变，不可偏执固守一方。比如表证见恶寒，宜用荆防败毒散；里证见发热，可用内疏黄连汤。疮势已成，托里消毒散确为正法。内脓将溃时，十全大补汤最为恰当。人参养荣汤治疗溃后虚热发作，木香流气饮消散因寒湿引起的结肿。饮食不甘味，定用香砂开胃丸；精神怯弱少气，须用参术回阳方。阴虚阳虚，须用八珍汤最为要领；盗汗自汗，得独参一味可强身。溃后多疼痛，乳香定痛散功效奇特且迅速；脾虚下陷，补中益气汤功效尤为良好。口燥谵语，泻实火须用黄连解毒汤；心烦衄血，理虚阳必用犀角地黄汤。古法治疗痈疽，称述仙方活命饮；今时医生治疗发背，还期望神授卫生汤。蟾酥丸在外科称为独品，护心散解除内毒号称无双。岂知蜡矾丸保护膜脏、护心，可羡平淡中蕴含深意；还称赞玉红膏生肌、生肉，堪夸在坏死组织中呈现吉祥。身凉自汗，腹痛肠鸣、呕逆，岂能逃脱异功散的治疗范围；睡卧不宁、虚阳发燥、脓多，定用圣愈汤。生脉散接应虚羸、脉来微细之症，归脾汤消除惊悸使人睡得安康。竹叶石膏汤治疗虚烦、身热者何须疑虑，麦冬清肺饮清除膈热有痰者毋待商量。金鲤汤治疗肺痈吐脓气急，玄龟丹攻治结毒臭腐顽疮。风热生疮用通圣散，疮疡狂躁用破棺丹。小柴胡汤除客邪往来潮热；大防风汤攻治腿膝寒湿为殃。咽肿咽疼定用清咽利膈散，斑红斑紫岂逃化斑解毒汤。八味丸是治疗口干的神妙药物，二神丸是治疗脾泄的奇方。香连丸为脏腑泻痢通用，甘露饮治疗口齿腐烂相当适宜。六和汤调和脾胃止吐泻，双解散解表理内伤。逍遥散善于治疗女人诸病，保元汤常扶助儿童多受损伤。皮肤毛发干焦，芦荟丸效应甚捷；咽喉口齿肿痛，冰硼散功效实在非常。滋肾丸治疗下元肾虚不固，凉膈散解除上焦膈热多烦。九龙丹消除鱼口吞之灭迹，二蛟散行湿肿服下安康。吕祖一枝梅止痢定惊，称为仙药；真君妙贴饮消疼止痛，号曰神方。痔漏、瘿瘤、疔毒，古夸三品锭；痈疽、流注、诸风，今羡万灵丹。柴胡清肝汤治疗鬓疽对肝胆有效，黄连消毒饮医治对口督脉尤良。小儿口内生疳必用人中白散，大人咽喉肿痛须将金锁匙汤。下疳新久用珍珠散，小便淋涩用木通汤。玉真散治疗破伤风效验，复元汤治疗跌扑损伤称强。提肩散治疗胳膊强直作痛，拈痛汤除去痛腿风湿相伤。小便生疳，龙胆泻肝汤可羡；大头肿痛，普济消毒饮何妨。便毒悬痈，内消散吞服何足虑；臀痈腿病，某柴汤下自无殃。又有女子阴疮，能肿能疼能至痒，在人活法，或消或补或驱虫。盖男子之囊痈，泻肝经之湿热；小儿赤游丹，解毒兼砭血。凡治杨梅疮，戒熏为至切，舌下发痰包，利剪方能泄；出如鸡蛋清，消痰是真诀。结毒与顽疮，紫金膏可设；风疮彻骨痒，雄黄散效绝。疔疮先刺血，内毒宜汗泄；禁灸不禁针，怕绵（绵者，毒陷也）不怕铁（铁者，入针坚硬有声）。又有失荣肿，坚硬如岩凸；强阴失道症，形状要分别。妇人之乳岩，此中一例决；未破肉棱，已溃流臭血。如此几般症，古今无治说；疮有数百种，难以都陈曰∶惟在一点心，何须三寸舌。学人若向导，万事皆通彻，此为粗糙歌，可讥亦可阅。
Heart Virtue (Xin Shan): Spirit is refreshing, speech is clear, tongue is moist and fresh in color, sore pain exists without thirst, and one feels peaceful upon waking.
Liver Virtue (Gan Shan): Body is light and flexible, annoyance naturally subsides, fingertips are red and vibrant, and sitting up feels smooth and healthy.
Spleen Virtue (Pi Shan): Lips are moist, bedding and clothes smell of orchid and musk, all food tastes good, pus is thick and yellowish-fat.
Lung Virtue (Fei Shan): Voice is resonant, no phlegm obstructs the rhyme which remains long, skin is slippery and moist, and bowel movements are naturally regular.
Kidney Virtue (Shen Shan): The most essential is sincerity; when kidney water ascends, heart fire descends naturally, mouth is harmonious without thirst, and urination is frequent and long.
First Evil (Yi E): Spirit is confused and dull, mind is vexed and tongue is dry, sores are mostly purple-black, speech is muttering.
Second Evil (Er E): Waist and body are stiff, eyes gaze strangely or fixate frighteningly, sore heads bleed and weep fluid, palpitations occur indicating liver failure.
Third Evil (San E): Emaciation occurs, pus is thin and foul-smelling, sores are soft and sunken, spleen failure results in insensitivity to pain.
Fourth Evil (Si E): Skin is withered, voice is hoarse and rhyme short, pain accompanies panting, nasal flapping indicates impending lung death.
Fifth Evil (Wu E): Wasting-thirst syndrome appears, drinking leads to immediate dryness, appearance is grim and dark, scrotal retraction indicates kidney failure.
Sixth Evil (Liu E): Body edema occurs, borborygmus is loud, frequent vomiting and hiccups happen, intestinal sliding diarrhea ensues, indicating imminent collapse of zang-fu organs.
Seventh Evil (Qi E): Sores invert and sink, resembling skinned eels, limbs are cold and reversed, foul fluid flows spontaneously.
External medicine sores have treatment examples; speak them to you, must remember carefully. Disease origins vary and roots differ; methods cannot be identical for all. Heat vs. Cold, Unblocking vs. Constipation, understand the details accurately. Unblocking often implies deficiency, constipation often implies excess; treat heat-excess and cold-deficiency by syndrome differentiation. Yang resembling Yin, Yin resembling Yang, deduce the subtle principles within these similarities. Treating exterior and interior indiscriminately turns mild cases severe and severe cases fatal. Physicians must excel in adaptive response, not rigidly adhering to one formula. For instance, exterior syndrome with aversion to cold: use Jingfang Baidu San (Atractylodes and Saposhnikovia Decoction to Overcome Toxicity); interior syndrome with fever: use Neishu Huanglian Tang (Internal Purging Coptis Decoction). When sore momentum is established, Tuoli Xiaodu San (Support Interior and Eliminate Toxin Powder) is indeed the correct method. When internal pus is about to rupture, Shiquan Dabu Tang (Ten Complete Tonifying Decoction) is most appropriate. Renshen Yangrong Tang (Ginseng Nourishing Harmony Decoction) treats post-ulceration deficiency-heat flare-ups; Muxiang Liqi Yin (Costus Regulating Qi Infusion) dissipates nodules caused by cold-dampness. Lack of appetite: use Xiangsha Kaiwei Wan (Amomum and Aucklandia Appetite-Opening Pill); spirit timidity and qi deficiency: use Shen-Zhu Hu yang Fang (Ginseng and Atractylodes Yang-Restoring Formula). Yin deficiency and Yang deficiency: Bazhen Tang (Eight Treasure Decoction) is essential; night sweats and spontaneous sweating: a single dose of Danshen (Not Ginseng, but likely referring to Danshen or similar tonic context, here strictly translating "Du Shen" as Single Ginseng/Red Panax) strengthens. Post-ulceration pain: Rufang Dingtong San (Frankincense Pain-Stabilizing Powder) works miraculously and swiftly; Spleen deficiency with sinking: Buzhong Yiqi Tang (Tonify Middle and Augment Qi Decoction) has excellent efficacy. Dry mouth and delirium: clear excess fire with Huanglian Jiedu Tang (Coptis Detoxification Decoction); vexation and epistaxis: regulate deficient Yang with Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction). Ancient methods for carbuncles praise Xianfang Huoming Yin (Immortal Recipe for Preserving Life Infusion); modern doctors treating back carbuncles hope for Shenshou Weisheng Tang (Divine Bestowal Health-Preserving Decoction). Chansu Wan (Toad Venom Pill) is unique in external medicine; Huxin San (Heart-Protecting Powder) is unparalleled in resolving internal toxins. Who knows Lafan Wan (Beeswax and Alum Pill) protects membranes and heart, admirable for its profound meaning in blandness; also praise Yugong Gao (Jade Red Ointment) generating flesh and tissue, praiseworthy for auspicious signs in necrotic areas. Cool body with spontaneous sweating, abdominal pain, borborygmus, vomiting: how can Yigong San (Extraordinary Power Powder) be escaped? Restlessness, deficient Yang causing dryness, excessive pus: definitely use Shengyu Tang (Generate Recovery Decoction). Shengmai San (Generate Pulse Powder) addresses emaciation and faint pulse; Guipi Tang (Restore the Spleen Decoction) removes palpitations ensuring sound sleep. Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) treats deficiency vexation and fever without doubt; Maidong Qingfei Yin (Ophiopogon Clearing Lung Infusion) clears diaphragmatic heat with phlegm without hesitation. Jinli Tang (Golden Carp Decoction) treats lung abscess with pus expectoration and rapid breathing; Xuangui Dan (Black Turtle Pill) attacks toxic knots, foul rot, and stubborn sores. Wind-heat sores: Tongsheng San (Universal Salvation Powder); manic sores: Poguandan (Break Coffin Pill). Xiao Chaihu Tang (Minor Bupleurum Decoction) eliminates guest pathogen alternating tidal fever; Da Fangfeng Tang (Major Saposhnikovia Decoction) attacks leg/knee cold-dampness. Swollen/painful throat: Qingyan Lige San (Clear Throat and Benefit Diaphragm Powder); red/purple spots: Huaban Jiedu Tang (Spot Resolving and Toxin Detoxifying Decoction). Bawei Wan (Eight Flavor Pill) is a miraculous drug for dry mouth; Ershen Wan (Two Deities Pill) is a strange prescription for spleen diarrhea. Xianglian Wan (Costus and Coptis Pill) is general for viscera dysentery; Ganlu Yin (Sweet Dew Infusion) is suitable for oral/dental rot. Liuhe Tang (Harmonize Six Decoction) harmonizes spleen stopping vomiting/diarrhea; Shuangjie San (Double Release Powder) releases exterior and regulates interior injury. Xiaoyao San (Free and Easy Wanderer Powder) excellently treats women's diseases; Baoyuan Tang (Preserve Origin Decoction) often supports infants' many injuries. Dry/scorched skin/hair: Luohui Wan (Aloe Pill) has swift effects; swollen/painful throat/teeth: Bingpeng San (Ice and Borax Powder) has extraordinary merit. Zishen Wan (Nourish Kidney Pill) treats lower origin kidney deficiency insecurity; Liangge San (Cool Diaphragm Powder) resolves upper jiao diaphragmatic heat and vexation. Jiulong Dan (Nine Dragons Pill) eliminates fish-mouth abscesses swallowed into oblivion; Erjiao San (Two Flood Dragons Powder) moves damp swelling for health after ingestion. Lüzu Yizhimei (Master Lü's One Branch Plum) stops dysentery and calms fright, called Immortal Medicine; Zhenjun Miaotie Yin (True Lord's Miraculous Paste Infusion) relieves pain, numbered Divine Prescription. Hemorrhoids/fistula/goiter/carbuncle: ancient praised Sanpin Ding (Three Grade Nail); carbuncle/liuzhu/wind disorders: modern admires Wanling Dan (Myriad Spirits Pill). Chaihu Qinggan Tang (Bupleurum Clearing Liver Decoction) treats temporal carbuncle effectively for liver/gallbladder; Huanglian Xiaodu Yin (Coptis Detoxifying Infusion) treats opposite-side carbuncle excellently for Du meridian. Infant oral canker: definitely use Renzhongbai San (Human Midsection White Powder); adult throat swelling/pain: must use Jin Suoshi Tang (Golden Lock Key Decoction). Chancre new/old: Zhenzhu San (Pearl Powder); urinary dribbling: Mutong Tang (Akebia Decoction). Yuzhen San (True Jade Powder) is effective for tetanus; Fuyuan Tang (Restore Origin Decoction) is strong for trauma. Tijian San (Raise Shoulder Powder) treats arm stiffness/pain; Niantong Tang (Remove Pain Decoction) eliminates painful leg wind-damp injury. Urinary canker: Longdan Xiegan Tang (Gentiana Draining Liver Decoction) is admirable; large head swelling/pain: Puji Xiaodu Yin (Universal Benefit Toxin Detoxifying Infusion) is acceptable. Biandu/xuanyong (Inguinal hernia/suspension abscess): Neixiao San (Internal Dissolving Powder) swallowing causes no worry; buttock/limb disease: [Missing Character] Chai Tang under administration brings no disaster. Also women's yin sores, capable of swelling, pain, and intense itching; depends on physician's adaptability, either dissolve, tonify, or expel parasites. Men's scrotal carbuncle: drain liver meridian damp-heat; infant erysipelas (Chi You Dan): detoxify and employ bloodletting. Generally treating yaws (Mei Yang Chuang), avoiding fumigation is crucial; sublingual phlegm packet: sharp scissors can drain it; emerging like egg white, eliminating phlegm is the true secret. Toxic knots and stubborn sores: Zijin Gao (Purple Gold Ointment) can be set; bone-penetrating wind sores with itching: Xionghuang San (Realgar Powder) has supreme effect. Carbuncle first puncture blood, internal toxin should be released via sweating; forbid moxibustion but allow acupuncture, fear cotton (cotton implies toxin sinking) not iron (iron implies needle hardness and sound). Also Shirong swelling, hard as rock protrusion; Qiangyin Shidao syndrome, shapes must be distinguished. Women's breast cancer (Ru Yan), this case decides uniformly; unbroken meat is jagged, ulcerated flows foul blood. Such several syndromes, ancient and modern have no cure said: Only requires one point of heart, why need three-inch tongue. Learners if guided, all matters become thorough, this is rough song, can be mocked or read.