一人腹痛。食热则甚。诸药不应。半年后腹加肿胀。面色痿黄。脉不洪滑。非痈也。询
始因渴甚。俯饮涧水。意其误吞水蛭。令取黄泥为丸。空心用水送下百丸。果下蛭而愈。
一儿因跌沟中腹痛。服惊积等药不应。亦根据前症疗之。愈。
一人睡间有虫入耳。痛瞀。将生姜擦猫鼻。其尿自出。取尿滴耳内。虫出。
一人耳内生疮。不时作痛。欲死。痛止如故。脉皆安静。非疮也。话间痛忽作。予意有
虫入耳。急取猫尿滴耳。
果出一臭虫。不复痛。 或用麻油滴之。则虫死难出。
或炒脂麻枕之。则虫亦出。但不及猫尿速也。
脉浮者。祛风为主。益气佐之。
脉涩者。祛风为主。养血佐之。
脉浮而涩者。祛风养气血。
一妇患此作痒。五心烦热。以逍遥数剂而止。更人参荆芥散二十余剂而愈。
一妇遍身作痒。秋冬尤甚。脉浮数。饮消风散。敷蛇床子散。数月顿愈。
一妇遍身赤色。拨破成疮。脓出不止。以当归饮子及蛇床子散而愈。
一老妇遍身作痒。午前益甚。以四君子加荆。防、芎、归而安。
一妇洗头。致头患肿兼痒。以人参荆芥散数剂而愈。
一妇作痒成疮。久而患处仍痒。搔起白屑。以四生散数服痒止。以人参荆芥散二十
余剂而愈。
一人遍身瘙痒。诸药不应。脉浮。按之而涩。以生血药为主。间以益气。百贴而愈。（
此凭脉也。）
一儿瘾疹。瘙痒发热不安。以消风散治之。
一儿亦患此咳嗽时呕。以葛根橘皮汤并愈。
一妇生风癜似癣。三年不愈。五心烦热。脉洪。按之则涩。此血虚症也。以生血为主。
之。若专攻风毒。则血愈虚而热愈炽。血被煎熬则发瘰 。或为怯症。遂以逍遥散（二三）数
剂。及人参荆芥散（七九）二十余剂而愈。（此凭脉症也。）
一妇遍身瘙痒。秋冬则剧。脉浮数。此风邪客于皮肤。名曰血风疹。饮消风散。及搽蛇
床子散少可。更以四物汤加荆防数剂而愈。（此凭脉症也。）
又一妇患此。夏月尤甚。脉洪大。用何首乌散。（七九）
一妇患赤瘢瘙痒。搔破成疮。出水。久而不愈。内服当归饮。外搽蛇床子散并愈。（此
一妇亦患此。诸药不应。以四生散数服而愈。
大抵妇人体虚。风邪客于皮肤则成白疹。寒湿客于肌肉。郁热而为赤疹。色虽有异。治
同。 凡人汗出不可露卧及浴。经曰。汗出见湿。乃生痤 。雷公云。遍身风疹。酒调生柏
一人每至秋冬。遍身发红点如瘢。作痒。此寒气收敛腠理。阳气不得发越。怫郁内作也
人参败毒散解散表邪。再以补中益气汤实表益气。彼以为热毒。自用凉药。愈盛。复请。仍
用前汤加茯苓、半夏、羌活四剂，更用补中益气汤而愈。（此凭症也。）
河间曰。疮肿因内热外虚。风湿所乘。盖肺主皮毛。脾主肌肉。肺气虚则腠理开。为风
乘。脾气湿而内热。则生疮也。肿者。由寒热毒瓦斯客于经络。使血涩壅结成肿。 风邪内作
者。则无头无根。 血气相抟作者。则有头有根。 赤核肿则风热流会。 疮以痛为实。痒
为虚。虚非为寒。乃热之微甚也。
麦饭石膏治诸般痈疽神效。
麦饭石膏不拘多少。炭火 至红。以好米醋淬之。如此 淬十数次。研为末。重罗去粗
取细末。入乳钵。数人更递研五七日。如面极细为妙。 白蔹（研为细末） 鹿角（不用自蜕
者。须择带脑顶骨全者。却是生取之角。截作二三寸长。炭火烧令烟尽。研罗如末。再入乳
钵。更递研令极细。）
上用麦饭石膏细末二两。白蔹末二两。鹿角灰四两。最要研得极细。方有效。粗则反致
。细则大能止痛。收口排脓（精粗之异如此。）和合量药末多寡。用经年好米醋入银石器内。
熬令鱼眼沸。却旋。又入药末。用竹篾子不住手搅。熬一二时久。令稀稠得所。提出以瓷器
盛之。候冷。以纸盖覆。勿令着尘。用时先以猪蹄汤洗去脓血。以故帛挹干。鹅翎蘸膏涂敷
四围。凡有赤处尽涂之。但留中心一口如钱大。未溃能令内消。已溃则排脓如湍水。逐日疮
口收敛。疮久肌肉腐烂。筋骨出露。用旧布片涂药贴疮。但内膜不穿。亦能取安。洗疮勿可
手触嫩肉。亦不可口气吹着。合药亦忌腋气之人。及月经有孕妇人见之。再可熬好米醋一大
碗。收瓷器内。候逐日用药于疮上。久则药干。以鹅翎点醋拂湿其药。勿令绷也。初则一日
一洗一换药。十日后。两日一换。 古方云。麦饭石颜色黄白类麦饭。曾作磨者尤佳。按麦
饭石不可作磨。状如麦饭团生粒点。如无此石。可以旧面家磨近齿处石代之。取其有麦性故
也。或溪中寻白石如豆如米大者。即是也。其石大小不等。或如拳。如鹅卵。略如握聚一
古之吕西华秘传此方。虽在至亲。亦不可得。裴员外啖之以名第。河南尹胁之以重刑。
守死不传。君子责其存心虽隘。尚可恕也。近世医者。每见已效之方。设为诡诈之术。使人
勿复用之。其罪不容诛矣。常有赵尹来宰龙泉。速于赴任。单骑兼程。到任未几。鼻衄大
作。日出血数升。有医教服藕汁地黄膏。赵曰。往年因劳感热而骤得此。寻叩名医。服药
愈。临分袂时。医者属云。疾若再作。不可轻信医者服生地黄藕汁。冰冷脾胃。无复可疗。因
此半月间易数医无效。前医遂密制藕汁地黄膏进之。即愈。赵问。蒙惠药。与吾初衄时所服
之药。气味相似。得非方同乎。医曰。即日前所献藕汁地黄膏也。赵惊叹曰。医乃诡谋以误
我耶。早信此方。不受苦许久。
有一个患者腹痛，进食热食后疼痛加剧，服用各种药物均无效。半年后腹部更加肿胀，面色萎黄，脉象不洪大滑利，并非痈肿。询问病史，得知起初因极度口渴，俯身饮用山涧水，推测是误吞了水蛭。于是让人取黄泥做成丸药，空腹用水送服一百丸，果然排出水蛭而痊愈。
另一个小孩因跌入沟中导致腹痛，服用惊积等药物无效，也按照上述方法治疗，痊愈。
有一个人在睡眠中有虫子进入耳朵，感到疼痛且头晕目眩。将生姜擦拭猫鼻子，猫的尿液自然流出，取猫尿滴入耳内，虫子便出来了。
另有一人耳内生疮，不时剧烈疼痛，痛欲死，痛止后如常。脉象皆安静平和，并非疮疡。谈话间疼痛突然发作，我推测是有虫进入耳朵，急忙取猫尿滴入耳内，果然排出一只臭虫，疼痛不再发作。或者用麻油滴入，则虫子死亡难以排出。或者炒香脂麻（芝麻）枕在头下，虫子也能出来，但速度不及猫尿快。
脉象浮的，以祛风为主，辅以益气。
脉象涩的，以祛风为主，辅以养血。
脉象浮而涩的，祛风兼养气血。
有一位妇女患此病瘙痒，五心烦热，服用逍遥散数剂后症状停止，再服用人参荆芥散二十余剂而痊愈。
有一位妇女遍身瘙痒，秋冬季节尤其严重，脉象浮数，服用消风散，外敷蛇床子散，数月后顿然痊愈。
有一位妇女遍身皮肤发红，抓破成疮，脓液不止，服用当归饮子及外敷蛇床子散而痊愈。
有一位老妇遍身瘙痒，午前加重，服用四君子汤加荆芥、防风、川芎、当归而安定。
有一位妇女洗头后，导致头部肿胀兼有瘙痒，服用人参荆芥散数剂而痊愈。
有一位妇女瘙痒成疮，久治患处仍痒，搔抓起白屑，服用四生散数服后瘙痒停止，再服用人参荆芥散二十余剂而痊愈。
有一位患者遍身瘙痒，诸药无效，脉象浮，重按则涩，以生血药为主，间或辅以益气，服药百余帖而痊愈。（这是凭脉诊断。）
一个小孩也患此病，伴有咳嗽和时常呕吐，用葛根橘皮汤一并治愈。
有一位妇女患风癜似癣，三年不愈，五心烦热，脉象洪大，重按则涩，这是血虚证。以生血为主进行治疗。如果专攻风毒，则血更虚而热更炽盛，血液被煎熬则发为瘰疬，或成为怯症。于是服用逍遥散数剂，及人参荆芥散二十余剂而痊愈。（这是凭脉症诊断。）
有一位妇女遍身瘙痒，秋冬则加剧，脉象浮数，这是风邪客于皮肤，名叫血风疹。服用消风散，及搽抹蛇床子散稍有好转，再用四物汤加荆芥、防风数剂而痊愈。（这是凭脉症诊断。）
又有一位妇女患此病，夏季尤其严重，脉象洪大，使用何首乌散。
有一位妇女患赤瘢瘙痒，抓破成疮，出水，久治不愈，内服当归饮，外搽蛇床子散并痊愈。（此处原文似乎有缺漏，结合上下文应为“此凭脉症也”或类似总结，但依原文仅提取实体）。
有一位妇女也患此病，诸药无效，服用四生散数服而痊愈。
大抵妇女体质虚弱，风邪客于皮肤则成白疹，寒湿客于肌肉，郁热而成赤疹，颜色虽有不同，治疗方法相同。凡出汗时不可露卧及洗澡。经书说：汗出见湿，乃生痤痱。雷公说：遍身风疹，酒调生柏...（原文此处中断）。
一个人每到秋冬，遍身发红点如瘢痕，作痒，这是寒气收敛腠理，阳气不得发越，怫郁在内发作。用人参败毒散解散表邪，再以补中益气汤实表益气。他认为这是热毒，自行服用凉药，病情反而加重，再次请医，仍用前汤加茯苓、半夏、羌活四剂，再用补中益气汤而痊愈。（这是凭症诊断。）
河间刘完素说：疮肿因内热外虚，风湿所乘。肺主皮毛，脾主肌肉，肺气虚则腠理开，为风邪所乘；脾气湿而内热，则生疮。肿者，由寒热毒瓦斯客于经络，使血涩壅结成肿。风邪内作者，则无头无根；血气相搏作者，则有头有根。赤核肿则是风热流注汇聚。疮以痛为实证，痒为虚证，虚并非指寒，而是指热的微甚程度。
麦饭石膏不拘多少，用炭火烧至通红，用好米醋淬之，如此反复淬十几次，研为细末，过筛去粗取细末。放入乳钵，多人轮流研磨五七日，像面粉一样极细为妙。白蔹（研为细末），鹿角（不用自然脱落的，须选择带脑顶骨完整的，却是新生取的角，截作二三寸长，炭火烧令烟尽，研罗如末，再入乳钵，轮流研磨令极细）。
以上用麦饭石膏细末二两，白蔹末二两，鹿角灰四两，最重要的是研磨得极细，才有效。粗则反而致害，细则大能止痛、收口、排脓（精粗的差异如此）。调和药末多寡，用陈年好米醋放入银石器内，熬至鱼眼沸，随即旋入药末，用竹篾子不停手搅拌，熬一二时辰，令稀稠适中，提出用瓷器盛放，候冷，用纸覆盖，勿令着尘。用时先用猪蹄汤洗去脓血，用旧布擦干，鹅翎蘸膏涂敷四周，凡有红色处都涂上，只留中心一口如铜钱大，未溃烂能令内消，已溃烂则排脓如湍急之水，逐日疮口收敛。疮久肌肉腐烂，筋骨出露，用旧布片涂药贴疮，只要内膜不穿破，也能取安。洗疮不可用手触摸嫩肉，也不可用口气吹着。合药也忌讳腋下有气味的人，以及月经期孕妇看见。再可熬好米醋一大碗，收在瓷器内，候逐日用药于疮上，久则药干，用鹅翎点醋拂湿其药，勿令绷裂。初则一日一洗一换药，十日后，两日一换。古方说：麦饭石颜色黄白类麦饭，曾作磨用的更佳。按麦饭石不可作磨，状如麦饭团生粒点。如无此石，可以用旧面家磨近齿处石代之，取其有麦性故也。或在溪中寻找白石如豆如米大者，即是也。其石大小不等，或如拳，如鹅卵，略如握聚一团。
古代吕西华秘传此方，虽在至亲，也不可得到。裴员外用名第贿赂，河南尹用重刑胁迫，守死不传。君子责备其存心虽狭隘，尚可宽恕。近世医者，每见已效之方，设为诡诈之术，使人勿复用之，其罪不容诛矣。常有赵尹来宰龙泉，急于赴任，单骑兼程，到任不久，鼻衄大作，日出血数升。有医教服藕汁地黄膏。赵曰：往年因劳感热而骤得此，寻叩名医，服药愈。临分袂时，医者嘱咐说：疾若再作，不可轻信医者服生地黄藕汁，冰冷脾胃，无复可疗。因此半月间易数医无效，前医遂密制藕汁地黄膏进之，即愈。赵问：蒙惠药，与吾初衄时所服之药，气味相似，得非方同乎？医曰：即日前所献藕汁地黄膏也。赵惊叹曰：医乃诡谋以误我耶？早信此方，不受苦许久。
A patient suffered from abdominal pain, which worsened after eating hot food. Various medicines were ineffective. Half a year later, the abdomen became more swollen, the complexion was sallow and withered, and the pulse was neither surging nor slippery; it was not an abscess (Yong). Upon inquiry, it was learned that initially, due to extreme thirst, he bent down to drink stream water, and it was suspected that he had accidentally swallowed a leech (Shuizhi). He was instructed to take yellow mud pills, administered with water on an empty stomach, one hundred pills at a time. Indeed, leeches were discharged, and he recovered.
Another child suffered from abdominal pain after falling into a ditch. Medicines for fright and accumulation were ineffective. He was also treated according to the previous method and recovered.
A person had insects enter his ear during sleep, causing pain and dizziness (Mao). Ginger was rubbed against a cat's nose, causing its urine to flow naturally. The cat urine was dripped into the ear, and the insect came out.
Another person had sores growing in the ear, causing intermittent severe pain, almost to death, but returning to normal when the pain ceased. The pulse was calm and peaceful, indicating it was not a sore. During conversation, the pain suddenly flared up. I suspected an insect had entered the ear and urgently dripped cat urine into the ear. Indeed, a stink bug was discharged, and the pain ceased. Alternatively, dripping sesame oil would kill the insect but make it difficult to remove. Or, sleeping on roasted sesame seeds (Zhimazhima) could also expel the insect, but not as quickly as cat urine.
If the pulse is floating (Fu), dispelling wind is the primary treatment, supplemented by tonifying Qi.
If the pulse is choppy (Se), dispelling wind is the primary treatment, supplemented by nourishing Blood.
If the pulse is both floating and choppy, dispel wind while nourishing Qi and Blood.
A woman suffered from itching of this condition, with five-center heat (Wuxin Fanre). After several doses of Xiaoyao San (Free and Easy Wanderer Powder), the symptoms stopped. She then took Renshen Jingjie San (Ginseng and Schizonepeta Powder) for over twenty doses and recovered.
A woman had whole-body itching, worse in autumn and winter. Her pulse was floating and rapid. She drank Xiaofeng San (Wind-Dispersing Powder) and applied Shexiangzi San (Cnidium Powder) externally. After several months, she recovered completely.
A woman had redness all over her body. Scratching caused sores with continuous pus discharge. She recovered using Danggui Yinzi (Angelica Decoction) and external application of Shexiangzi San.
An elderly woman had whole-body itching, worsening before noon. She was stabilized using Sijunzi Tang (Four Gentlemen Decoction) added with Jingjie (Schizonepeta), Fangfeng (Saposhnikovia), Chuanxiong (Ligusticum), and Danggui (Angelica).
A woman developed head swelling and itching after washing her hair. She recovered after several doses of Renshen Jingjie San.
A woman developed sores from itching. Even after a long time, the affected area remained itchy, scratching produced white scales. After several doses of Sisheng San (Four Living Substances Powder), the itching stopped. She then took Renshen Jingjie San for over twenty doses and recovered.
A man had whole-body itching, unresponsive to various medicines. His pulse was floating, and deep pressure revealed a choppy quality. Treatment focused on generating Blood, interspersed with tonifying Qi. After over a hundred doses, he recovered. (This diagnosis relied on the pulse.)
A child suffered from urticaria (Yinzhen), with itching, fever, and restlessness. Treated with Xiaofeng San.
Another child suffered from the same condition, accompanied by cough and frequent vomiting. Recovered using Gegen Jupi Tang (Pueraria and Tangerine Peel Decoction).
A woman suffered from wind wheals resembling tinea for three years without recovery. She had five-center heat, a surging pulse that became choppy upon deep pressure. This is a Blood deficiency syndrome. Treatment focused on generating Blood. If one solely attacks wind toxicity, Blood becomes more deficient and Heat more blazing. The Blood being scorched leads to scrofula (Luoli) or consumptive disease (Qiezheng). Thus, she took Xiaoyao San for several doses, and Renshen Jingjie San for over twenty doses, recovering. (This diagnosis relied on pulse and symptoms.)
A woman had whole-body itching, worsening in autumn and winter. Her pulse was floating and rapid. This is Wind pathogen lodging in the skin, named Xuefeng Zhen (Blood Wind Rash). She drank Xiaofeng San and applied Shexiangzi San externally for slight relief, then took Siwu Tang (Four Substances Decoction) added with Jingjie and Fangfeng for several doses, recovering. (This diagnosis relied on pulse and symptoms.)
Another woman suffered from this condition, worse in summer. Her pulse was surging and large. She used Heshouwu San (Polygonum Multiflorum Powder).
A woman suffered from red scars with itching. Scratching broke the skin into sores with fluid discharge, lasting a long time without healing. Internal use of Danggui Yin and external application of Shexiangzi San led to recovery.
Another woman suffered from this condition, unresponsive to various medicines. She recovered after several doses of Sisheng San.
Generally, women have weak constitutions. When Wind pathogen lodges in the skin, white rashes form. When Cold-Dampness lodges in muscles, constrained Heat forms red rashes. Although the colors differ, the treatment is the same. One must not lie exposed or bathe when sweating. The Classic states: "Sweating exposed to dampness generates acne and prickly heat." Leigong said: "For whole-body wind rash, mix raw cypress [bark/wood] with wine..." (Text cuts off here).
A man, every autumn and winter, develops red spots like scars all over the body, causing itching. This is because Cold Qi constricts the interstices (Couli), preventing Yang Qi from venting, leading to internal stagnation and agitation. Ren Shen Bai Du San (Ginseng and Imperata Powder) was used to disperse exterior pathogens, followed by Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to secure the exterior and tonify Qi. He believed it was Heat toxicity and self-medicated with cold medicines, worsening the condition. Upon reconsultation, the previous decoction was used again with Fuling (Poria), Banxia (Pinellia), and Qianghuo (Notopterygium) for four doses, followed by Buzhong Yiqi Tang, leading to recovery. (This diagnosis relied on symptoms.)
Hejian (Liu Wansu) stated: Sores and swellings arise from internal Heat and external deficiency, attacked by Wind-Dampness. The Lung governs skin and hair; the Spleen governs muscles. Lung Qi deficiency opens the interstices, allowing Wind invasion. Spleen Dampness with internal Heat generates sores. Swellings are caused by Cold-Heat toxic factors lodging in meridians, causing Blood stasis and congestion forming swellings. Those caused by internal Wind action have no head or root. Those caused by contending Qi and Blood have a head and root. Red nodular swellings result from Wind-Heat flowing and gathering. Sores with pain indicate Excess; itching indicates Deficiency. Deficiency does not mean Cold, but rather the degree of Heat intensity.
Maifan Shi Gao (Maifan Stone Gypsum) is miraculous for treating various carbuncles and ulcers.
Maifan Shi Gao, regardless of quantity, is fired in charcoal fire until red-hot, then quenched in good rice vinegar. Repeat quenching ten or more times, grind into powder, sieve to remove coarse particles and keep fine powder. Place in a mortar. Several people take turns grinding for five to seven days until extremely fine, like flour. Bailian (Belamcanda Rhizome) is ground into fine powder. Lujiao (Deer Antler) should not be shed naturally; select fresh antlers with the brain cap bone intact, cut into 2-3 inch lengths, burn in charcoal until smoke ceases, grind into powder, place in mortar, and grind thoroughly until very fine.
Take two taels of fine Maifan Shi Gao powder, two taels of Bailian powder, and four taels of Lujiao Hui (Deer Antler Ash). It is crucial to grind them extremely fine for efficacy. Coarseness causes harm; fineness greatly relieves pain, promotes wound closure, and drains pus. Mix appropriate amounts of medicine. Use aged rice vinegar in a silver or ceramic vessel, boil until bubbles resemble fish eyes, then gradually add the powder. Stir constantly with a bamboo stick for one to two hours until the consistency is appropriate. Remove and store in a ceramic jar. Cover with paper when cool to prevent dust. Before use, wash the wound with pig trotter soup to remove pus and blood, dry with old cloth, and apply the ointment around the wound with a goose feather, covering all red areas except a central spot the size of a coin. If unruptured, it promotes internal resolution; if ruptured, it drains pus like rushing water. The wound closes daily. For chronic sores with rotting muscle and exposed bone, apply medicine-soaked old cloth patches. As long as the inner membrane is not perforated, safety can be achieved. Do not touch tender flesh with hands when washing, nor blow on it with breath. Avoid people with axillary odor or menstruating/pregnant women seeing the preparation process. Boil another bowl of good rice vinegar, store in a ceramic jar. Apply medicine to the wound daily; if the medicine dries, moisten it with vinegar using a goose feather to prevent cracking. Initially, wash and change medicine once daily; after ten days, change every two days. Ancient texts state: Maifan Shi is yellow-white like rice balls, those used as millstones are best. Note: Maifan Shi should not be used as a millstone; it resembles rice balls with raw grains. If unavailable, stones near the teeth of old millstones can substitute, as they possess wheat properties. White stones found in streams, sized like beans or rice grains, are also suitable. Stones vary in size, some fist-sized, some goose-egg-sized, roughly gathered in hand.
This formula was secretly transmitted by Lü Xihua in ancient times. Even close relatives could not obtain it. Pei Yuanwai bribed with official rank, and the Henan Prefect threatened with heavy punishment, yet he died without transmitting it. Gentlemen criticize his narrow-mindedness but find it forgivable. Modern physicians often devise deceptive schemes to hide effective formulas, preventing their reuse, a crime beyond forgiveness. Zhao Yin, magistrate of Longquan, traveled swiftly on horseback. Shortly after taking office, he suffered severe epistaxis (Bixue), losing several sheng of blood daily. A physician advised drinking lotus root juice and Rehmannia paste. Zhao said: Last year, due to fatigue and heat contraction, I suffered this. I consulted famous doctors, took medicine, and recovered. Before parting, the doctor warned: If it recurs, do not trust doctors prescribing raw Rehmannia and lotus root juice, as they chill the Spleen and Stomach, making it incurable. Therefore, for half a month, multiple doctors failed. The former physician secretly prepared the lotus root juice and Rehmannia paste, which cured him immediately. Zhao asked: Thank you for the gift. Its taste is similar to what I took initially. Is it the same formula? The physician replied: It is the same lotus root juice and Rehmannia paste offered previously. Zhao exclaimed: Did the physician deceive me with a trick? Had I believed this formula earlier, I would have spared myself much suffering.