疮口努出如蛇头者有四，着风、着水、着怒、着手挤，皆能致之。风邪乘袭者，补中
益气汤，加防风天麻。风寒凝滞者，十宣散，加羌活天麻。肝火血燥生风者，加味逍遥散，
加羌活天麻。如小儿其母肝火生风者，加味小柴胡汤，次用加味逍遥散，加漏芦天麻，更
外兼熨法，或用乌梅 存性，加轻粉少许掺之，即收。有翻花如石榴者，用银针于珠上
刺去黑血，三五次即收平复。
顽疮、疔疮、 疮、杖疮。久不生肌者，疮有膜也。用玉簪花根于石臼内杵烂敷之，扎
紧。三日一换，五七次而愈。
疮不收口，因于虚者，须大补之。外用人参珍珠等分为末，掺之即痂。凡生肌药必
用人参汤浸过晒干，再用人乳浸过，其功始捷。
疮虽收口而皮嫩，外恶风寒者，用小米煮饭，乘热盛碗内，以绢帛罩之，敷于患处蒸之，三五次愈。
疮溃时，误入毒水，或误入刺至骨。肿痛者，用皂角子七个，大干虾蟆一个，胡椒
十五粒，入锅内瓦盖，文火 ，烟尽取出为末，先用温水洗净，拭干掺之，膏盖良久，毒
水尽出，有刺者自见。一用黄丹蛤粉等分，炒变色掺之。误入一切毒水，及皂角水驴马尿
粪，以致疼痛者，用糯米粉砂糖各三两，生甘草一分，为膏贴之，毒水自出。
马汗入疮肿痛者，用马鞭子，取手执处，烧灰存性为末，和诸膏涂之，或猪脂和涂，或
用冬瓜皮阴干为末敷之。
张景岳云∶凡痈毒 肿，赤痛甚者，虽内治之法已具，然煎剂功缓，而急痛难当者，
必须外用敷药，既欲止其痛，又欲散其毒，则无如降痈散之神妙也。
降痈散（景岳新方） 治痈疽诸毒，消肿止痛散毒，未成者即消，已成者敛毒速溃可愈。
若阳毒炽盛而疼痛，势凶者宜先用此方，其解毒散毒之功，神效最速。若坚顽深固者，宜用后方。
薄荷（辛者佳用叶） 野菊花（连根叶各一握） 土贝母（半握） 茅根（一握）
上干者可为末，鲜者可捣烂，同贝母研匀，外将茅根煎浓汤，去渣用，调前末，乘
热敷患处，仍留前剩汤顿暖，不时润于药上，但不可用冷汤，冷则不散不行，反能为痛约
敷半日，即宜换之，真妙方也。后方，凡疽毒坚顽深固，及结核痰滞，宜用此方。
薄荷（倍用） 半南星 土贝母 朴硝（各等分） 锻石（风化者亦倍用，或倍倍用之。）
上同为末，用盐醋调杵稠粘，敷患处，经宿干即易之，不必留头。若脓成者，留头亦
可。或炒热摊绢上，隔绢贴之亦可。或用麻
油调，或用热茅根汤调亦可。若欲止痛速效，加麝香或冰片少许，更妙。
芹洲氏云∶古方治疔疮，俱用野菊花，余每治类疔毒疮，单用野菊花，内服外敷甚效。
阴寒症忌之。益母膏，活血散瘀效。
疮口突起如蛇头状的，有四种原因：感受风邪、接触水湿、情绪愤怒、以及用手挤压，这些都能导致这种情况。若是风邪侵袭所致，用补中益气汤，加防风、天麻。若是风寒凝滞所致，用十宣散，加羌活、天麻。若是肝火旺盛、血虚生风所致，用加味逍遥散，加羌活、天麻。如果是小儿因母亲肝火生风所致，先用加味小柴胡汤，随后用加味逍遥散，加漏芦、天麻，同时配合外熨法，或者用乌梅（烧存性）加少许轻粉撒在患处，即可收敛愈合。如果有翻花状像石榴一样的肉芽，用银针在突起处刺破排出黑血，三五次后即可平复愈合。
对于顽疮、疔疮、瘘疮、杖疮等，长期不长肌肉的，是因为疮面有膜覆盖。用玉簪花根在石臼中捣烂敷在患处，扎紧固定。三天换一次药，经过五到七次治疗即可痊愈。
疮口不愈合，是由于正气虚弱引起的，必须大补元气。外用将人参、珍珠按相等比例研成细末，撒在疮口上即可结痂。凡是生肌的药物，必须用人参汤浸泡后晒干，再用人乳浸泡，其功效才能迅速显现。
疮口虽然愈合但皮肤娇嫩，对外界风寒感到不适的，用小米煮饭，趁热盛在碗里，上面罩上绢帛，敷在患处进行蒸疗，经过三到五次即可痊愈。
疮疡溃破时，误入毒水，或误入刺物伤及骨骼，导致肿痛。用皂角子七个，大干蟾蜍一个，胡椒十五粒，放入锅内用瓦片盖住，用文火煅烧，直到烟尽取出研成细末。先用温水洗净患处，擦干后撒上药末，盖上膏药良久，毒水就会全部流出，若有刺物也会自行显露。另一种方法是用黄丹、蛤粉按相等比例，炒至变色后撒在患处。若是误入各种毒水，以及皂角水、驴马尿粪等导致疼痛的，用糯米粉、砂糖各三两，生甘草一分，制成膏药贴敷，毒水自然会排出。
马汗进入疮口导致肿痛的，用马鞭子，取手握持的部分，烧成灰保留药性，研成细末，调和各种膏药涂抹，或者用猪脂调和涂抹，或者用冬瓜皮阴干研成细末敷在患处。
张景岳说：凡是痈毒肿胀，红肿疼痛剧烈的，虽然内治的方法已经具备，但是煎剂药效缓慢，而急痛难以忍受时，必须使用外敷药，既要止痛又要解毒，没有比降痈散更神妙的了。
降痈散（景岳新方）治疗痈疽各种毒症，消肿止痛散毒，未形成的肿块即能消散，已形成的肿块能迅速敛毒溃破而愈。若是阳毒炽盛且疼痛剧烈，病情凶险的，适宜先用此方，其解毒散毒的功效，神效最快。若是坚硬顽固、深固难解的，适宜用后方。
薄荷（辛味者佳，用叶子）、野菊花（连根叶各一握）、土贝母（半握）、茅根（一握）。
以上干燥药材可研成细末，新鲜药材可捣烂，同贝母研匀。外用茅根煎浓汤，去渣后用此汤调和前药末，趁热敷在患处，仍保留剩下的汤使其保持温热，不时润湿药物表面，但不可用冷汤，冷则药力不散不行，反而会增加疼痛。约敷半小时，就应更换，真是妙方。后方，凡疽毒坚硬顽固深固，以及结核痰滞，适宜用此方。
薄荷（加倍使用）、半南星、土贝母、朴硝（各等分）、锻石（风化者也可加倍使用，或加倍再加倍使用）。
以上一同研成细末，用盐醋调拌捣成稠粘状，敷在患处，过夜干了就更换，不必留头。若脓已形成，留头也可以。或者炒热摊在绢布上，隔着绢布贴敷也可以。或者用麻油调和，或用热茅根汤调和也可以。若想止痛见效快，加少许麝香或冰片，更加奇妙。
芹洲氏说：古方治疗疔疮，都用野菊花，我每次治疗类似疔毒的疮疡，单用野菊花，内服外敷非常有效。阴寒证忌用。益母膏，活血散瘀效果显著。
There are four causes for the protrusion of wound edges resembling a snake's head: exposure to wind, contact with water, emotional anger, and manual squeezing. All can lead to this condition. If caused by wind pathogen invasion, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Fangfeng (Saposhnikovia Root) and Tianma (Gastrodia Rhizome). If caused by cold-wind stagnation, use Shixuan San (Ten Acupoints Powder) with Qianghuo (Notopterygium Rhizome) and Tianma (Gastrodia Rhizome). If caused by liver fire and blood dryness generating wind, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) with Qianghuo (Notopterygium Rhizome) and Tianma (Gastrodia Rhizome). If in children it is due to the mother's liver fire generating wind, first use Jiawei Xiao Chai Hu Tang (Modified Minor Bupleurum Decoction), followed by Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) with Loulu (Euphorbia Root) and Tianma (Gastrodia Rhizome), combined externally with moxibustion or warming therapy. Alternatively, use Wumei (Mume Fruit) charred to retain its properties, mixed with a small amount of Qingfen (Calomel), applied to the wound, which will promote healing. If there are fungating granulations resembling a pomegranate, puncture the black blood from the nodule with a silver needle; after three to five applications, it will flatten and heal.
For stubborn sores, Ding Chuang (Furuncle/Carbuncle), Fistula sores, and beating wounds that fail to regenerate tissue over a long period, it is because a membrane covers the wound. Use Yuzanhua Gen (Ursulina Radix) pounded into a paste in a stone mortar and applied to the site, secured tightly. Change the dressing every three days; healing occurs after five to seven treatments.
If a wound fails to close due to deficiency, substantial tonification is required. Externally, apply equal parts of Ren Shen (Ginseng Radix) and Zhen Zhu (Pearl) powdered together to promote scabbing. All tissue-regenerating medicines must be soaked in Ren Shen (Ginseng Radix) decoction, dried, then soaked in human milk before use to ensure rapid efficacy.
Although the wound has closed, if the skin remains tender and sensitive to external wind-cold, cook millet rice, place it hot in a bowl, cover with silk gauze, and steam the affected area. Healing occurs after three to five sessions.
When an ulcer is mistaken exposure to toxic water or penetrated by thorns reaching the bone, causing swelling and pain, use seven seeds of Zaojiao Zi (Gleditsia Sinensis Spina), one large dried Toad (Chan Su), and fifteen grains of Hu Jiao (Pepper). Place them in a pot, cover with a tile, and roast over gentle heat until smoke ceases. Grind into powder. First wash the area with warm water and dry it, then sprinkle the powder, cover with ointment for a while. Toxic water will drain out, and any thorns will become visible. Another method uses Huang Dan (Red Lead) and Ge Fen (Concha Meretricis) in equal parts, stir-fried until color changes, then applied. For pain caused by accidental entry of various toxic waters, soap pod water, donkey/horse urine/feces, mix Nuomi Fen (Rice Flour) and Bai Sha Tang (White Rock Sugar) each 1.5 taels, with Sheng Gan Cao (Raw Licorice Root) 0.1 tael, make into a paste and apply. Toxic water will naturally discharge.
For swelling and pain caused by horse sweat entering a wound, take the handle part of a horse whip, burn to ash retaining its properties, grind into powder, and mix with various ointments for application, or mix with pig lard, or apply powder made from sun-dried winter melon peel.
Zhang Jingyue stated: For all carbuncles and toxins with severe redness and pain, although internal treatment methods exist, decoctions act slowly. When acute pain is unbearable, external poultices are necessary to stop pain and dissipate toxicity. Nothing is more miraculous than Jiang Yong San (Reduce Carbuncle Powder).
Jiang Yong San (Jingyue New Formula) treats various carbuncles, ulcers, and toxins, reducing swelling, stopping pain, and dissipating toxicity. It eliminates unformed lesions quickly and promotes rapid drainage and healing of formed ones. For fierce Yang toxicity with intense pain, use this formula first for its rapid detoxifying and dissipating effects. For hard, stubborn, and deep-seated lesions, use the following formula.
Bohe (Menthae Haplocalycis Herba, leaves preferred), Ye Ju Hua (Chrysanthemi Indici Flos, including roots and leaves, one handful), Tu Bei Mu (Fritillaria Thunbergii Bulbus, half handful), Mao Gen (Imperatae Rhizoma, one handful).
Dry herbs may be powdered; fresh herbs may be pounded. Mix evenly with Tu Bei Mu (Fritillaria Thunbergii Bulbus). Decoct Mao Gen (Imperatae Rhizoma) to make a strong decoction, strain, and use this liquid to mix with the powder. Apply warm to the affected area. Keep the remaining decoction warm and periodically moisten the medicine. Do not use cold decoction, as cold prevents dispersion and movement, potentially increasing pain. Replace after approximately half a day. This is a truly excellent formula. The following formula is suitable for hard, stubborn, deep-seated carbuncle toxins, as well as nodules and phlegm stagnation.
Bohe (Menthae Haplocalycis Herba, double dose), Ban Nan Xing (Arisaema Cum Bile), Tu Bei Mu (Fritillaria Thunbergii Bulbus), Piao Xiao (Natrii Sulfas), Duan Shi (Lapis Fulguritis, weathered form also doubled or quadrupled).
Grind all into powder. Mix with salt and vinegar to form a thick paste. Apply to the affected area. Replace when dry overnight; no need to leave a center. If pus has formed, leaving a center is acceptable. Alternatively, heat and spread on silk gauze for application. Can also be mixed with Ma You (Sesame Oil) or hot Mao Gen (Imperatae Rhizoma) decoction. For rapid pain relief, add a small amount of She Xiang (Moschus) or Bing Pian (Borneolum Syntheticum) for better effect.
Qinzhou Shi stated: Ancient formulas for treating Ding Chuang (Furuncle/Carbuncle) all use Ye Ju Hua (Chrysanthemi Indici Flos). I treat similar toxin-sores using only Ye Ju Hua (Chrysanthemi Indici Flos), both internally and externally, with great efficacy. Contraindicated in Yin-Cold syndromes. Yi Mu Gao (Leonurus Ointment) effectively invigorates blood and disperses stasis.