溃后一经梦遗走泄，即成漏管。如其素有此疾，则先以加减六味丸（通用四十六。）愈之
，再治其漏，法用附子饼、豆豉饼（俱见通用灸法。）随患大小灸之，令微热不可令痛，干则易之
。每灸二、三十壮，灸后以消管锭（通用六十四。）或针头散（通用六十五。） 入管内化之。
如未知内之深浅，可先以猪鬃探之，然后用绵纸卷药为拈，量其大小深浅塞入，日易日塞，
至愈乃止。
无论老少皆生，多在牙床、颏下、手、足腿、膊等处。因溃久毒瓦斯流连，外被寒邪袭入
，与
吹过周时无骨出，则知内无多骨也。大进温补消痰之剂，不致复生多骨。
一小儿初生，身肉之中，按之有如脆骨，由受胎时精血交错所致。迨其人长大后，其脆
骨处
破则取之。治法皆同。
凡大疮毒瓦斯内攻，多由药误，乃受降药毒，定致神昏烦躁，恶心呕吐等证。急用生甘草
一两
消丸（通用四十七。）以平其势。
破伤风者，因跌扑金刃伤破皮肉，及新久诸疮未合口，失于调护，风邪乘虚袭入经络，
宜亟
，皆莫救矣。要在初受风时，其证发热恶风，筋脉拘急，牙关噤急，伤口锈涩肿胀，或四围
起粟作痒。此风热尚郁在表，急取玉真散（通用四十。）二钱，温酒调服，盖被暧卧一时许，
即可消散。如入里势甚，舌强口噤，项背反张，口吐涎沫，不省人事，四肢抽搐，无有宁时
者，取玉真散三钱，用童便调服，虽有瘀血亦愈。至于昏死，心腹尚温，速进玉真散二服，
亦可保全。其患口以热童便洗净，生南星为末渗之，或以水调涂之，出水方妙。待风邪势平
，接进荣养气血之剂八珍汤（通用二十五。）为宜。
溃破之后，一旦因梦遗而精气外泄，就会形成漏管。如果患者素来患有此病，则先用加减六味丸（通用方剂第四十六）治愈它，然后再治疗其漏管，方法是用附子饼、豆豉饼（均见于通用灸法部分）根据患处的大小进行艾灸，使局部微热但不可疼痛，药饼干了就更换。每次灸二三十壮，灸后使用消管锭（通用方剂第六十四）或针头散（通用方剂第六十五）放入管内以腐蚀化脓。如果不知道内部的深浅，可以先用猪鬃探路，然后用绵纸卷药做成捻子，根据大小深浅塞入，每天更换并塞入，直到痊愈为止。
无论老少都会发生，多在牙床、下巴下、手、脚腿、胳膊等处。因为溃烂日久毒气流连，外部被寒邪侵袭，与吹过一周时无骨头排出，就知道内部没有多骨了。大进温补消痰的药剂，不会导致再生多骨。
一个小孩刚出生，身体肉中，按之有像脆骨的东西，由受胎时精血交错所致。等到这个人长大后，其脆骨处破了就取出来。治疗方法都一样。
凡是大的疮毒气内攻，多由药物误治，乃是受到降药毒性，定致神昏烦躁，恶心呕吐等症状。急用生甘草一两消丸（通用方剂第四十七）以平抑其势头。
破伤风者，是因为跌打金刃伤破皮肉，以及新久各种疮口未愈合，失于调护，风邪乘虚侵袭经络，应当紧急处理，否则都救不回来了。关键在于初受风时，症状为发热恶风，筋脉拘急，牙关紧闭，伤口锈涩肿胀，或者四周起粟粒状瘙痒。此时风热尚郁结在表，急取玉真散（通用方剂第四十）二钱，用温酒调服，盖被子暖睡一时许，即可消散。如入里势甚，舌强口噤，项背反张，口吐涎沫，不省人事，四肢抽搐，无有宁时的，取玉真散三钱，用童便调服，虽然有瘀血也能治愈。至于昏死，心腹尚温，速进玉真散两服，也可以保全。其患口以热童便洗净，生南星研末撒在上面，或者用水调涂，出水才妙。待风邪势头平息，接着进补养气血的八珍汤（通用方剂第二十五）为宜。
After ulceration, if nocturnal emission occurs leading to the loss of essence, a sinus tract (a chronic draining channel) will form. If the patient has had this condition previously, first cure it with Jiawei Liuwei Wan (Modified Six-Ingredient Rehmannia Pill) [General Formula 46], and then treat the sinus tract. The method involves using moxibustion with Aconite Cake or Fermented Soybean Cake (both see General Moxibustion Methods) according to the size of the lesion, applying heat until slightly warm but not painful, replacing the cake when dry. Apply 20–30 moxa cones per session. After moxibustion, insert Xiaoguan Ding (Sinus-Clearing Stick) [General Formula 64] or Zhentou San (Needle-Head Powder) [General Formula 65] into the tract to dissolve necrotic tissue. If the depth is unknown, probe first with a pig bristle, then roll medicinal powder in cotton paper to make a medicated wick, inserting it according to size and depth, changing and reinserting daily until healed.
This condition can occur in people of any age, mostly on the gums, under the chin, hands, feet, legs, and arms. Because prolonged ulceration allows toxic factors to linger, and external cold pathogens invade due to lack of protection, if no bone fragments are expelled after one week of exposure to wind, it indicates there are no deep bone sequestra. Administer strong warming and tonifying agents that resolve phlegm to prevent recurrence.
In infants, hard-like structures resembling brittle bones may be felt within the flesh, caused by the intermingling of essence and blood during conception. When the individual grows up, if these areas break open, remove them. The treatment methods are the same.
When severe sores allow toxic factors to attack internally, it is often due to medication errors, specifically poisoning from purgative drugs, leading to symptoms such as coma, restlessness, nausea, and vomiting. Immediately use Sheng Gancao Yi Xiao Wan (Raw Licorice One-Reduction Pill) [General Formula 47] to suppress the severity.
Wind-stroke following trauma (Po Shang Feng) results from skin and flesh injuries caused by falls or metal blades, or from old and new ulcers failing to close due to inadequate care, allowing wind pathogens to invade the meridians through deficiency. Urgent action is required; otherwise, rescue is impossible. Key is early intervention: initial symptoms include fever, aversion to wind, muscle spasms, trismus (lockjaw), rustiness and swelling at the wound site, or millet-grain-like itching around the area. This indicates wind-heat still stagnating in the exterior. Immediately administer Yuzhen San (Jade True Powder) [General Formula 40], two qian, mixed with warm wine, cover with blankets, and sleep for about an hour to dissipate the pathogen. If the pathogen penetrates deeply, presenting with stiff tongue, locked jaw, opisthotonos (arching of the back), foaming at the mouth, unconsciousness, and continuous limb convulsions, take three qian of Yuzhen San mixed with child’s urine (Tong Bian). Even with blood stasis, it will heal. In cases of apparent death where the heart and abdomen remain warm, quickly administer two doses of Yuzhen San to preserve life. Clean the wound with hot child’s urine, apply powdered raw Tian Nan Xing (Arisaema Rhizome) topically or mixed with water; discharge of fluid is ideal. Once the wind-pathogen subsides, proceed with Bazhen Tang (Eight-Treasure Decoction) [General Formula 25] to nourish qi and blood.