春取柳飞花如鹅毛者，夏用竹膜，秋用新绵，冬用兔毛，取腹上白细腻者，蝥儿眼上者更佳。
治发背脑疽，肠痈牙痈，四肢下部一切痈疽、疔疮、鱼脐、鬼箭、瘭疽等，或胸腹不测，风
瘅肿瘤，紧硬赤肿，恶核瘰 发奶之属。先令病患凭几曲手男左女右，看臂腕节中间有一
偃孔，令把臂相对者以朱点定了（有图在后第
一），次用挺直其臂，如持弓之直，却见先来用朱点定偃孔处正在臂节横纹上，就以篾自横
纹贴肉量至中指肉尖而止，不过指爪（有图在后第二）。次用屈中指，侧看中节有两斜横缝，
就用篾压定截断，此是一寸，须量横纹各一则，乃各一寸也（有图在后第三）。次用竹扛一
条两卓子前后阁起，以毡褥被帛等藉定令稳，令病患脱去衣，解开衬裤带，骑定竹扛，用身
壁直靠，尾闾骨坐于竹扛上，两足悬虚，俱不要着地，悬身正直，要两人左右扶定，勿斜侧
僵曲，要以尾闾骨正贴在竹扛上，却就竹扛上用初头自臂腕量至中指肉尖，竹篾子自尾闾
骨量上背脊之心，尽其所压之篾而止。却用前所压横纹二寸则子横安篾尽处，用朱点定两
头是穴，相去各一寸也（有图在后第四），各灸五壮或七壮，艾炷及三分阔，以纸轴艾作炷，
十分紧实方可用。壮数不可灸多，不问痈生何处，已破未破，并用此法灸之，无不安愈。盖
此二穴心脉所起（忽遇点穴近疮，或正在疮上，不问远近，只要根据法灸之，切莫生疑），凡
痈疽只缘心火流滞而生，灸此二穴，心火实时流通，不过三日可以安愈，可谓起死救危，有
非常之功，屡施屡验。盖《素问》云∶诸疮痛痒，皆属于心。又云∶荣血不调，逆于肉理而生痈
肿，灸此二穴，心火调畅，血脉自然流通，胜于服药多矣。灸罢谨口味，戒房事，根据法将理，根据
前法一灸七壮了，经半日许灸，疮内流水甚多，觉火气游走，周遍一身，蒸蒸而热。再视正
疮舋肿已消减五六分矣，至第二日五更，艾火盛行，咽喉焦枯，口舌干燥，小便颇涩，四肢微
汗，略觉烦躁，当是艾火流通使然。遂投乳香绿豆托里散（方在后）。良久，诸证渐渐释去，
视其疮舋已消，第三日果安愈矣。俱灸，疮舋发异常，如虫行状，流清水，四五日方定，此诚
可谓活人良法也。仍服五香连翘汤（方在后），此以疏散郁毒之气，甚则转毒散（方在后），或
凡黄元，以防毒内攻（方在后）。更在识轻重缓急，分阴分阳而服药。或胶醋熨散，或膏药涂
贴，如外科常法治之（醋熨法在后）。
先曲手看臂腕节中间，有一偃孔便是。臂节横纹端的中心，令对坐，把臂之人以朱点定。
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次用挺直其臂，如持弓之直，却见先来用朱点定偃孔处，正在臂节横纹上。就以竹篾自
横纹贴肉，量上至中指肉尖而止，不过指爪。
次用屈中指侧看中节屈处，有两斜纹，此是量寸法所用。两头各一寸之则以薄篾量二寸折断篾。
次解衣裤等，用身壁直靠尾闾骨，坐于竹扛上，两足悬虚，俱不着地，要两人扶坐，以尾
闾骨正贴在竹扛上，却就尾闾骨上用初头竹篾子量上脊背之心。盖所量之篾而止用朱点
定了，却用前所量二寸，则子横安点处，两头是穴。
次用纸轴艾令实切为艾炷，身壁直坐，即安艾炷，难安时微用津唾占粘之。略才曲身，
其穴便差，切不可曲身。
江西传得元本云∶余既躬获异效，深愿家家自晓，人人自理，不陷枉亡，亦仁人之用心
也。每恨婴此疾者，轻委庸人，束手待毙。余
目睹耳闻，不知其几人矣。此灸法流传数十载，但人每意其浅近而忽之，且以其灸法之
难，或疑而已之。今亲获异效，寻穷其原，如秦缓视晋侯之疾，确然知其在肓之上膏之下。然
攻达之难，药石所不至，寥寥千载，至唐而孙真人出焉，始洞彻表里，垂法万世，以膏肓穴
起人之羸疾，世皆称验。惟痈疽之酷，方论甚多，皆不保其全活。今予发明骑竹马灸法之
良，其殆孙真人发明秦缓膏肓之绝学，庶几脱人于虎口之危而奔人之急，当如拯溺救焚也。
膏肓之灸，固为良法，痈疽之灸，尤为效验。膏肓但能灸背穴于未危之先，而骑竹马灸实能
脱人之危于将死之际，故不得不委曲而备论之。盖此二穴正在夹脊双关，流注之所。凡人
荣卫周流，如环无端，一呼脉行三寸，一吸脉行三寸，呼吸定息，脉行六寸，一日一夜一万
三千五百息，昼夜流行，无有休息，故一日一夜脉行周身，共计八百一十丈。此即平人常经
之数，唯痈疽之疾，血气流滞，失其常经，况人一身荣卫循度，如河水之流，其夹脊双关乃流
注之总路，如河之正道也。皆自尾闾穴过，又复通彻百骸九窍大络，布达肤腠，无所不周。
灸法云∶凡痈疽只缘心火留滞。《素问》云∶诸痛痒疮，皆属于心。又云∶荣血不调，逆于肉理
则生痈肿。今此二穴所以为效者，使心火通流，周遍一身。盖妙在悬一身骑于竹扛之上，
则尾闾双关，流注不得。俟灸罢二穴，移下竹扛，其艾火即随流注先至尾闾，其热如蒸，又
透两外肾，俱觉蒸热，移时复流足涌泉穴，自下而上，渐渐周遍一身，奇功异效盖原于此
也。且遍搜百家议论，皆以痈疽发背之患为最惨，如治法则专以当头灼艾为先尝，一日二日
三四五日灼艾者尚不保其全活，至十日以后，虽当头灸之无及也。然此法似未尽善，惟骑竹
马灸法，虽经日危甚，不问痈生何处，已破未破，一例灸之，无不全愈。此法最为简易，而效
验异常，真神仙垂世、无穷之惠也，但恨得之
之晚，慨念平昔观其长往者哽然在念，今遇此良法，躬获大验，岂收私秘，欲广其传，冀同志
之士，见而勿叹。或好生君子，转以济人，其幸尤甚。
又云∶余三十余年，每见患痈疽发背之疾甚多，十中仅得一二活者，惟是着灸早则犹有
可治之理。倘始末不能灼灸，则疮势引蠹，内攻脏腑，甚则数日而至于不救。要之富贵骄奢
之人动辄惧痛，闻说火艾，嗔怒叱去，是盖自暴自弃之甚者。苟不避人神，能忍一顷之灸，
便有再生之理，自当坚壮此心，向前取活以全肤体，不致枉夭，岂不诚大丈夫欤。
又云∶痈疽发背，要须精加度疗之于示危之先，庶收万全之效。勿以势缓而忽视，勿以
势急而怆惶。其势既见，不问其他，便先要隔蒜当头灸之，使毒发越于外，则不致内攻杀人
之速也。其患处当头得灸，便成疮口，良久火艾既透，则疮口滋润，或出恶水，痛势亦定，兼
服五香连翘汤。纵使未能顿减，其势亦少缓矣。更以骑竹马法灸之，则随即见效。若得疾
已过七日，则不须用蒜当头灸之，只用骑竹马法灸之，仍服五香连翘汤，甚则转毒散，立见
功效。此所谓要识轻重缓急也。
又云∶余亲以灸法灸人甚多，皆获奇效。如遇灸穴在所发之疽相近，则其灸罢良久便
觉艾火流注，先到灸处，其效尤速。若离所发疽边，则不甚觉其火气流注，灸疮亦发迟。然
痈疽在左则左边灸疮先发，在右则右边灸疮先发。盖艾火随流注行于经络使然也。灸者
宜预知此意，不须疑惑，但要根据法灸之，使毒散越，不致内攻，便有向安之望。
又云∶尝究痈疽之作，皆积微而至着。及其热之骤也，如山源之水一夕暴涨，不能小
决，使导乃筑塞之势则大决，伤人必多矣。势既奔冲，治之宜急，苟徒以猛烈之药外涂肌
肉，闭塞毛窍，使毒瓦斯无所从出，是谓闭门捕贼，必有伤主之害也。法当自外以火艾，引泄
毒瓦斯，然后分阴阳而服药可也。分阴阳服药说，备载绍兴官库所刊李迅与兴明州医家所
刊李世英痈疽方论。
绿豆乳香托里散方（托毒瓦斯不入心）
绿豆粉（一两） 乳香（半两）
上为末，和匀，生甘草水调下。
国老膏方（使毒瓦斯不入内）
甘草（大者，二两，细锉，长流水浸一宿，揉令浆汁浓，去尽筋滓，再用绢滤过，银石器内慢火熬成膏，
以瓷器收贮）
每服一二匙，和酒调服，白汤调下亦得，微利为度。
五香连翘汤方（疏散郁毒之气）
木香（三分，不见火） 沉香（三分，不见火） 连翘（全者，去蒂，三分） 射干（三分） 升麻（三
分） 木通（三分，去节） 黄 （三分） 楝（无叉附者，生用） 丁香（半两，拣去枝，不见火） 乳香
（半两，别研） 大黄（微炒，半两，锉） 甘草（半两，生用） 麝（真者，一钱半，别研） 独活（三
分，买老羌活用） 桑寄生（三分，难得真者，缺之亦可）
上十四味为粉末，和匀，每服三大钱，水一盏，煎至七分，去滓服。并滓煎，用银器煎
药，入银一片同煎亦得。
转毒散方（利去病根不动元气）
车螯（紫背光浓者，以盐泥固济， 通红，候冷净取末，一两） 甘草（一两，生用） 轻粉（半钱）
上一处为细末，每服四钱匕，浓煎栝蒌一个，去皮，煎酒一碗调下，五更服，甚者不过二服。
矾黄丸方（专托毒不攻内）
白矾（一两，为末） 黄蜡（半两，溶开和白矾末）
上旋为丸，如绿豆大，每服五十元，用温酒和些煎熟麻油送下，不以时候醋熨法（未成
脓熨之则散，已成脓熨之则出）。
牛皮胶铫中略入水溶释，摊刷皮纸上，中心开一圆窍，如此作数片，却以胶纸贴疮上，
就以窍子出了疮头，以出毒瓦斯。用好酽醋以小锅煮在面前，令沸，用软布手巾段两条蘸醋，
更互熨之（用竹夹子夹上）。须乘热蒸熨数百度，就胶纸上团团熨，不住手，纸破再换。如痒
愈熨，切不可以痒而止。如有脓从窍中流，更熨勿歇，落熨三五日，不妨临时歇熨，时更以
好拔毒膏药贴之，仍出窍。子以泄毒瓦斯，其熨
时直候疮有血水来，痒止痛止，然后住熨，或要住熨而胶粘于背，可煎贯众汤洗之，即脱一
面熨了，一面看阴阳证随证用药，此法甚简而功甚大，委有神验，切不可忽。酽醋，即米醋也。
鹭鸶藤酒
李氏方云∶病痈疽人适有僻居村 ，及无钱收买高贵药材，只得急服鹭鸶藤酒。不问已
灸未灸，连服数剂，并用 法（方在后），候其疽破，即以神异膏（方在李氏集验背疽方论）
贴之。亦屡用取效应。发眉发颐发背，但是肿发，尽量多服，无不取效，前后用此医，田夫野老，百发百中。
《苏沈良方》云∶鹭鸶藤一名忍冬草，叶尖圆，蔓生，叶背有毛，田野篱落处处有之。两叶
对生，春夏开，叶梢尖，面色柔，绿叶微薄，秋冬即坚浓色深而圆，得霜则叶卷而色紫，开花
极芬芳，香闻数步。初开色白，数日则变黄，每枝黄白相间，故一名金银花。花间曳蕊数茎如
丝，故一名老翁须，一名金银股。冬间叶圆，浓似薜荔，故一名大薜荔。花气可爱，似末利、瑞
香辈。古人但以为补药，今以治疽奇验。
鹭鸶藤 嫩苗叶（五两，不得犯铁器，用木捶碎） 甘草（一两，生锉为粉末）
上二味同入瓦器内，用水二碗，文武火缓缓煎至一碗，入好无灰黄酒一大碗，同煎十数
沸，滤去滓，分为三服，微温，连进一日一夜，吃尽。病势重者连进数剂。既云可作补药，必
然无虑伤脾，服至大小肠通利为度。
鹭鸶藤圆形，又名甜藤
散痈疽法
鹭鸶藤取叶不拘多少，入砂盆内，烂碾，入无灰黄酒少许，调和稀稠得所，涂 患处四
围，中心留一大穴，以泄毒瓦斯，早晚换 ，不可间断。
治头脑上痈肿，川芎通气散
天花粉（洗净为细末） 川芎（不见火，为细末） 穿山甲（头项上甲，炒为细末）
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上等分，每服五钱，重用栝蒌一个，取子
并肉研细，入无灰黄酒一碗， 之，滤去滓，重汤煎熟，却将此酒来调药食后，稍空服，连进
数剂，并用前方鹭鸶藤酒每碗加川芎末三钱，重调下，与通气散更互服之。及急，剃去发用
前方 法。大凡痈疽服药，须是作急，连进方能救疗。
选取春天柳絮如鹅毛般轻柔的，夏天竹膜，秋天新棉，冬天兔毛，要取腹部白色细腻的，蝥儿眼上的更好。
治疗发背、脑疽、肠痈、牙痈，四肢下部各种痈疽、疔疮、鱼脐、鬼箭、瘭疽等，或者胸腹间不明原因的，风瘅肿瘤，紧硬红肿，恶核瘰疬、发奶之类的病症。先让病人靠着几案弯曲手臂，男性左臂，女性右臂，查看手臂腕关节中间有一个凹陷的孔穴，让协助的人握住手臂相对的位置，用朱砂点定标记（有图在后面第一张），接着伸直手臂，像拉弓一样直，这时会发现先前用朱砂点定的凹陷处正好在手臂关节的横纹上，就用竹篾从横纹贴着肉量到中指指尖的肉端为止，不超过指甲盖（有图在后面第二张）。接着弯曲中指，侧视中节有两个斜向的横缝，就用竹篾压住截断，这一寸的长度，必须量横纹各一寸，就是两寸长（有图在后面第三张）。接着用一根竹杠，两头架起两个桌子，用毡褥被帛等垫好固定使其平稳，让病人脱去衣服，解开衬裤带，骑在竹杠上，身体笔直靠住，尾闾骨坐在竹杠上，双脚悬空，都不着地，身体正直，需要两个人左右扶住，不要倾斜僵硬弯曲，要让尾闾骨正贴在竹杠上，就在竹杠上用刚才从手臂腕量到中指指尖的竹篾，从尾闾骨量到背部脊柱的中心，以竹篾所压到的长度为止。再用之前量的两寸长的竹篾，横向放在点定标记的两头作为穴位，相距各一寸（有图在后面第四张），每个穴位灸五壮或七壮，艾炷直径三分宽，用纸卷艾绒做成艾炷，非常紧实才可使用。壮数不可灸太多，不管痈生在何处，已破或未破，都用此法灸治，没有不安愈的。因为这两个穴位是心脉所起之处（如果遇到点穴靠近疮口，或者正在疮上，不管远近，只要根据方法灸治，千万不要怀疑），凡是痈疽都是因为心火流滞而生，灸这两个穴位，心火即时流通，不过三天就可以安愈，可以说是起死回生，有非凡的功效，屡次使用屡次见效。正如《素问》所说：各种疮疡痛痒，都归属于心。又说：营血不调，逆乱于肌肉纹理而生痈肿，灸这两个穴位，心火调畅，血脉自然流通，胜过服药多矣。灸完后注意饮食口味，戒除房事，根据方法调养，按照前面的方法一灸七壮后，经过半天左右，灸疮内流水很多，感觉火气游走，遍布全身，蒸蒸发热。再看原来的疮口肿胀已经消减五六分了，到了第二天五更天，艾火盛行，咽喉焦枯，口舌干燥，小便颇涩，四肢微汗，略感烦躁，这应该是艾火流通使然。于是服用乳香绿豆托里散（方子在后面）。过了很久，各种症状渐渐消除，看其疮口已经消退，第三天果然安愈了。如果两边都灸，疮口反应异常，像虫行状，流清水，四五天才稳定，这确实可以说是救人的良法。仍然服用五香连翘汤（方子在后面），这是为了疏散郁结的毒气，严重的用转毒散（方子在后面），或者凡黄元，以防毒气内攻（方子在后面）。更要识别病情的轻重缓急，分辨阴阳而服药。或者用胶醋熨散，或者膏药涂贴，像外科常规方法治疗（醋熨法在后面）。
先弯曲手臂查看腕关节中间，有一个凹陷的孔穴就是了。手臂关节横纹的正中心，让对面坐着，协助的人用朱砂点定。
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接着伸直手臂，像拉弓一样直，这时会发现先前用朱砂点定的凹陷处，正好在手臂关节横纹上。就用竹篾从横纹贴着肉，量上去直到中指指尖的肉端为止，不超过指甲盖。
接着弯曲中指侧视中节屈处，有两道斜纹，这是量寸法所用的。两头各一寸，则用薄竹篾量两寸折断。
接着解开衣裤等，身体笔直靠住尾闾骨，坐在竹杠上，双脚悬空，都不着地，要两人扶坐，让尾闾骨正贴在竹杠上，就在尾闾骨上用刚才的竹篾量到脊背的中心。以所量的竹篾长度为止，用朱砂点定，再用之前量的两寸竹篾，横向放在点定处，两头是穴位。
接着用纸卷艾绒令其实切为艾炷，身体笔直坐好，就安放艾炷，难安放时稍微用唾液沾粘一下。稍微曲身，穴位就会偏差，切不可曲身。
江西传得的原本说：我既亲身获得奇异的效果，深深希望家家户户自己知晓，人人自己料理，不陷入枉死，这也是仁人的用心啊。常常遗憾患这种病的人，轻视委托庸医，束手待毙。我亲眼目睹耳闻，不知有多少人了。这个灸法流传了几十年，但人们往往认为它浅近而忽视它，并且因为其灸法难度大，有人怀疑而放弃。如今亲自获得奇异效果，寻究其根源，就像秦缓诊断晋侯的疾病，确切知道病在肓之上膏之下。然而攻治的难度，药物无法到达，寥寥千年，到了唐代孙真人出现，才开始透彻表里，留下法则万世，用膏肓穴治愈人的羸弱疾病，世人都称有效。只有痈疽的残酷，方论很多，都不能保全性命。现在我阐明骑竹马灸法的优良，大概也是孙真人阐发秦缓膏肓的绝学，几乎能使人脱离虎口之危并奔赴人之急难，应当像拯救溺水和火灾一样。膏肓的灸法，固然是良法，痈疽的灸法，尤其有效验。膏肓只能灸背部的穴位在未危急之前，而骑竹马灸法实际上能在将死之际使人脱离危险，所以不得不详尽论述。因为这两个穴位正在夹脊双关，是气血流注的地方。凡人的营卫周流，如环无端，一呼脉行三寸，一吸脉行三寸，呼吸定息，脉行六寸，一日一夜一万三千五百息，昼夜流行，没有休息，所以一日一夜脉行周身，共计八百一十丈。这就是平人常经的数量，只有痈疽的疾病，血气流滞，失去常经，况且人身营卫循行度数，如河水之流，其夹脊双关乃是流注的总路，如河的正道也。都自尾闾穴经过，又通彻百骸九窍大络，布达肤腠，无所不周。
灸法说：凡是痈疽只缘心火留滞。《素问》说：诸痛痒疮，皆属于心。又说：营血不调，逆于肉理则生痈肿。现在这两个穴位之所以有效，是因为使心火通流，遍一身。妙在悬一身骑于竹杠之上，则尾闾双关，流注不得。等到灸完两个穴位，移下竹杠，其艾火即随流注先到尾闾，其热如蒸，又透两外肾，都觉蒸热，过一会儿又流足涌泉穴，自下而上，渐渐遍一身，奇功异效大概源于此。且遍搜百家议论，都以痈疽发背的祸患为最惨，如果治法专门以当头灼艾为先尝，一日二日三四五日灼艾的尚不能保全性命，到十日以后，虽然当头灸也没用了。然而这个方法似乎未尽善，只有骑竹马灸法，即使经过多天病情危重，不问痈生在何处，已破未破，一律灸之，无不痊愈。这个方法最为简易，而效验异常，真是神仙垂世、无穷之惠啊，只是遗憾得之晚，感慨怀念过去看着长者离去哽然在念，如今遇到这个良法，亲身获得大验，岂能私藏秘密，想要广泛传播，希望志同道合之士，见到不要叹息。或者好生君子，转而以此济人，那幸运尤其大。
又说：我三十多年，每见患痈疽发背的疾病很多，十人中仅得一二人存活，只有尽早施灸还有可治的道理。如果始终不能灼灸，则疮势引蠹，内攻脏腑，甚至数日以至于不救。总之富贵骄奢之人动辄怕痛，听说火艾，嗔怒叱退，这是自暴自弃得很严重的人。如果不避人神，能忍受一时的灸痛，便有再生的道理，自然应当坚壮此心，向前求活以保全肌肤形体，不致枉夭折，难道不是真正的大丈夫吗？
又说：痈疽发背，必须精心度量治疗于示危之前，才能收万全之效。不要因为形势缓和而忽视，不要因为形势紧急而惊慌失措。其形势既然显现，不问其他，便先要隔蒜当头灸之，使毒发散越于外，则不致内攻杀人之速也。患处当头得到灸治，便成疮口，良久火艾既透，则疮口滋润，或出恶水，痛势亦定，兼服五香连翘汤。纵使未能顿减，其势亦少缓矣。再用骑竹马法灸之，则随即见效。如果得病已过七日，则不需要用蒜当头灸之，只用骑竹马法灸之，仍服五香连翘汤，严重的用转毒散，立见功效。这就是所谓要识别轻重缓急。
又说：我亲自用灸法灸人很多，都获得奇效。如果遇到灸穴在所发的疽相近，则其灸罢良久便觉得艾火流注，先到灸处，其效尤速。若离所发疽边远，则不甚觉得其火气流注，灸疮也发迟。然而痈疽在左则左边灸疮先发，在右则右边灸疮先发。因为艾火随流注行于经络使然。灸者宜预先知晓此意，不必疑惑，只要根据方法灸之，使毒散越，不致内攻，便有向安之望。
又说：曾经研究痈疽之作，都是积微而至着。当其热势骤增时，如山源之水一夕暴涨，不能小决，使导乃筑塞之势则大决，伤人必多矣。势既奔冲，治之宜急，如果徒以猛烈之药外涂肌肉，闭塞毛窍，使毒瓦斯无所从出，是谓闭门捕贼，必有伤主之害也。法当自外以火艾，引泄毒瓦斯，然后分阴阳而服药可也。分阴阳服药说，备载绍兴官库所刊李迅与兴明州医家所刊李世英痈疽方论。
绿豆乳香托里散方（托毒瓦斯不入心）
绿豆粉（一两） 乳香（半两）
以上研为末，和匀，生甘草水调下。
国老膏方（使毒瓦斯不入内）
甘草（大的，二两，细锉，长流水浸一宿，揉令浆汁浓，去尽筋滓，再用绢滤过，银石器内慢火熬成膏，以瓷器收贮）
每次服一二匙，和酒调服，白汤调下也可以，微利为度。
五香连翘汤方（疏散郁毒之气）
木香（三分，不见火） 沉香（三分，不见火） 连翘（全者，去蒂，三分） 射干（三分） 升麻（三分） 木通（三分，去节） 黄芩（三分） 楝树（无叉附者，生用） 丁香（半两，拣去枝，不见火） 乳香（半两，别研） 大黄（微炒，半两，锉） 甘草（半两，生用） 麝香（真者，一钱半，别研） 独活（三分，买老羌活用） 桑寄生（三分，难得真者，缺之亦可）
以上十四味为粉末，和匀，每次服三大钱，水一盏，煎至七分，去滓服。连同滓一起煎，用银器煎药，入银一片同煎也可以。
转毒散方（利去病根不动元气）
车螯（紫背光浓者，以盐泥固济，烧通红，候冷净取末，一两） 甘草（一两，生用） 轻粉（半钱）
以上一处为细末，每次服四钱匕，浓煎栝蒌一个，去皮，煎酒一碗调下，五更服，严重的不过二服。
矾黄丸方（专托毒不攻内）
白矾（一两，为末） 黄蜡（半两，溶开和白矾末）
以上旋为丸，如绿豆大，每次服五十丸，用温酒和些煎熟麻油送下，不以时候。
醋熨法（未成脓熨之则散，已成脓熨之则出）。
牛皮胶铫中略入水溶释，摊刷皮纸上，中心开一圆窍，如此作数片，却以胶纸贴疮上，就以窍子出了疮头，以出毒瓦斯。用好酽醋以小锅煮在面前，令沸，用软布手巾段两条蘸醋，更互熨之（用竹夹子夹上）。须乘热蒸熨数百次，就胶纸上团团熨，不住手，纸破再换。如痒愈熨，切不可以痒而止。如有脓从窍中流，更熨勿歇，落熨三五日，不妨临时歇熨，时更以好拔毒膏药贴之，仍出窍。子以泄毒瓦斯，其熨时直候疮有血水来，痒止痛止，然后住熨，或要住熨而胶粘于背，可煎贯众汤洗之，即脱一面熨了，一面看阴阳证随证用药，此法甚简而功甚大，委有神验，切不可忽。酽醋，即米醋也。
鹭鸶藤酒
李氏方说：患痈疽的人恰好住在偏僻乡村，及无钱收买高贵药材，只得急服鹭鸶藤酒。不问已灸未灸，连服数剂，并用本法（方子在后面），候其疽破，即以神异膏（方在李氏集验背疽方论）贴之。也屡用取效应。发眉发颐发背，但是肿发，尽量多服，无不取效，前后用此医，田夫野老，百发百中。
《苏沈良方》说：鹭鸶藤一名忍冬草，叶尖圆，蔓生，叶背有毛，田野篱落处处有之。两叶对生，春夏开，叶梢尖，面色柔，绿叶微薄，秋冬即坚浓色深而圆，得霜则叶卷而色紫，开花极芬芳，香闻数步。初开色白，数日则变黄，每枝黄白相间，故一名金银花。花间曳蕊数茎如丝，故一名老翁须，一名金银股。冬间叶圆，浓似薜荔，故一名大薜荔。花气可爱，似末利、瑞香辈。古人但以为补药，今以治疽奇验。
鹭鸶藤 嫩苗叶（五两，不得犯铁器，用木捶碎） 甘草（一两，生锉为粉末）
以上两味同入瓦器内，用水二碗，文武火缓缓煎至一碗，入好无灰黄酒一大碗，同煎十数沸，滤去滓，分为三服，微温，连进一日一夜，吃尽。病势重者连进数剂。既云可作补药，必然无虑伤脾，服至大小肠通利为度。
鹭鸶藤圆形，又名甜藤
散痈疽法
鹭鸶藤取叶不拘多少，入砂盆内，烂碾，入无灰黄酒少许，调和稀稠得所，涂患处四周，中心留一大穴，以泄毒瓦斯，早晚换，不可间断。
治头脑上痈肿，川芎通气散
天花粉（洗净为细末） 川芎（不见火，为细末） 穿山甲（头项上甲，炒为细末）
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以上等分，每次服五钱，重用栝蒌一个，取子并肉研细，入无灰黄酒一碗，煮之，滤去滓，重汤煎熟，却将此酒来调药食后，稍空服，连进数剂，并用前方鹭鸶藤酒每碗加川芎末三钱，重调下，与通气散更互服之。及急，剃去发用前方本法。大凡痈疽服药，须是作急，连进方能救疗。
Select willow catkins in spring that are as soft as goose feathers, bamboo membrane in summer, new cotton in autumn, and rabbit fur in winter. Choose the white and fine ones from the abdomen; those from the eyes of "Mao'er" (a type of insect) are even better.
Treat back carbuncles (Fa Bei), brain abscesses (Nao Ju), intestinal abscesses (Chang Yong), dental abscesses (Ya Yong), and all kinds of carbuncles, ding sores (Ding Chuang), fish-umbilicus sores (Yu Qi), ghost-arrow sores (Gui Jian), phlegmonous abscesses (Biao Ju) on the lower limbs, or unexplained tumors in the chest and abdomen, wind-dampness tumors (Feng Dan Zhong Liu) that are tight, hard, red, and swollen, malignant lymph nodes (E He Luo Li), and breast abscesses (Fa Nai). First, have the patient lean on a table and bend their arm: left arm for males, right arm for females. Examine the middle of the wrist joint for a sunken hole. Have an assistant hold the arms opposite each other and mark this point with cinnabar (see Figure 1 later). Then straighten the arm as if drawing a bow. You will see that the previously marked sunken point lies exactly on the transverse crease of the arm joint. Use a thin bamboo strip to measure from this crease along the flesh to the tip of the middle finger's nail bed, not exceeding the nail (see Figure 2 later). Next, flex the middle finger and view the middle segment from the side to find two oblique transverse fissures. Press the bamboo strip against these fissures and break it off; this length constitutes one cun. Measure one cun from each end of the transverse crease, totaling two cun (see Figure 3 later). Take a bamboo pole and prop it up on two tables at both ends. Pad it securely with felt, mattresses, quilts, or silk to ensure stability. Have the patient remove their clothes and untie their underpants, then straddle the bamboo pole. The body should be upright, leaning against support, with the coccyx (Wei Lian Gu) resting on the pole. Both feet should hang in the air without touching the ground. The body must be straight; two people should support the patient on both sides to prevent tilting, stiffness, or curvature. Ensure the coccyx is flat against the pole. Using the bamboo strip previously measured from the wrist to the middle finger tip, measure from the coccyx up to the center of the spinal column on the back, stopping where the strip ends. Take the two-cun bamboo strip determined earlier and place it horizontally across the marked points to identify the two acupuncture points, each one cun apart (see Figure 4 later). Moxibustion of five or seven moxa cones (Zhuang) is applied to each point. The moxa cone should be three fen wide. Make the cones from paper-wrapped mugwort, ensuring they are very compact before use. Do not apply too many cones. Regardless of where the carbuncle is located, whether broken or unbroken, apply this method, and recovery is assured. These two points originate from the Heart Meridian (if the point is near the sore or directly on it, regardless of distance, follow the method strictly without doubt). Carbuncles arise solely from stagnation of Heart Fire. Moxibustion on these two points allows Heart Fire to circulate immediately. Recovery can occur within three days. This method has extraordinary power to save lives in critical conditions and has proven effective repeatedly. As stated in *Su Wen*: "All pain, itching, and sores belong to the Heart." It also states: "When Ying Blood is disordered and flows counter to the muscle texture, carbuncles and swellings arise." Moxibustion on these two points regulates Heart Fire, allowing blood vessels to flow naturally, which is far superior to taking medicine. After moxibustion, observe dietary restrictions and abstain from sexual activity. Follow the care instructions. About half a day after applying seven cones, the moxa sore will exude much fluid, and you may feel heat circulating throughout the body, causing a steaming sensation. The original sore's swelling will have reduced by five or six parts. By the fifth watch of the second day, the moxa fire will be intense, causing dry throat, parched mouth and tongue, difficult urination, slight sweating on the limbs, and mild irritability. This is due to the circulation of moxa heat. Administer Ruxiang Lüdou Tuoli San (Milky Frankincense and Mung Bean Interior-Supporting Powder - formula follows). After some time, symptoms will gradually subside, and the sore will heal by the third day. If both sides are treated, the sores may react unusually, resembling insect crawling, flowing clear fluid, stabilizing after four to five days. This is indeed a life-saving excellent method. Continue administering Wuxiang Lianqiao Tang (Five-Aromatic Forsythia Decoction - formula follows) to dissipate stagnant toxic qi. For severe cases, use Zhuandu San (Toxin-Transforming Powder - formula follows) or Fan Huang Yuan to prevent internal attack of toxins. Recognize the severity and urgency, differentiate Yin and Yang patterns, and administer medicine accordingly. Alternatively, use vinegar-moxa warming paste or apply medicated plasters, treating as per standard surgical methods (Vinegar-Moxa Method follows).
First, bend the arm to find the sunken hole in the middle of the wrist joint. With the patient sitting opposite, the assistant marks the center of the transverse crease with cinnabar.
[Figure 1]
[Figure 2]
[Figure 3]
[Figure 4]
Straighten the arm as if drawing a bow. The previously marked sunken point aligns with the transverse crease. Measure from the crease along the flesh to the tip of the middle finger's nail bed, not exceeding the nail.
Flex the middle finger and view the middle segment's flexure; two oblique lines indicate the measurement reference. Two inches total are measured using a thin bamboo strip.
Remove clothes and pants. Sit upright with the coccyx on the bamboo pole, feet suspended. Two assistants support the patient. Measure from the coccyx to the center of the spine using the initial bamboo strip. Mark the points with cinnabar. Place the two-inch strip horizontally across the marks to define the two acupuncture points.
Prepare compact moxa cones from paper-wrapped mugwort. Sit upright to place the cones. If difficult to place, moisten slightly with saliva. Do not bend the body, as this shifts the points.
The Jiangxi transmitted original text states: I have personally experienced miraculous effects and deeply wish for every household to understand and manage this themselves, avoiding unnecessary death. This reflects the compassion of benevolent people. I often lament that patients suffering from this disease entrust themselves to mediocre physicians and wait helplessly for death. I have witnessed and heard of countless such cases. This moxibustion method has been circulated for decades, but people often dismiss it as trivial due to its perceived simplicity or difficulty, leading to doubt and abandonment. Now, having personally verified its efficacy and traced its origins, it is like Qin Huan diagnosing the Duke of Jin's illness, precisely locating the disease between the diaphragm and heart. However, treatment is difficult, and medicines cannot reach the site. For a thousand years, until Sun Simiao appeared in the Tang Dynasty, who thoroughly understood interior and exterior patterns and established lasting methods, using the Gao Huang points to cure wasting diseases, which were widely praised. While there are many theories on carbuncles, few guarantee survival. I now elucidate the excellence of the Riding Bamboo Horse Moxibustion, likely inheriting Sun Simiao's mastery of Qin Huan's lost knowledge. It rescues people from peril and addresses emergencies, akin to saving drowning victims or extinguishing fires. While Gao Huang moxibustion is excellent for preventing crisis, Riding Bamboo Horse Moxibustion truly saves lives at the brink of death, warranting detailed explanation. These two points lie at the Jiaji and Shuangguan areas, key pathways for Qi and Blood circulation. In healthy individuals, Wei Qi and Ying Blood circulate endlessly. Pulse travels three cun per breath, six cun per respiratory cycle. Over 13,500 cycles daily, the pulse travels 810 zhang around the body. This is the normal physiological state. In carbuncle disease, Qi and Blood stagnate, deviating from normal pathways. The Jiaji and Shuangguan areas are like the main channel of a river. All flow passes through the Weiluan point, connecting to the hundred bones, nine orifices, and large collaterals, permeating the skin and muscles.
Moxibustion theory states: Carbuncles arise from stagnation of Heart Fire. *Su Wen* says: "All pain, itching, and sores belong to the Heart." And: "Disordered Ying Blood counter-flowing in muscle texture causes carbuncles." These two points are effective because they promote the free flow of Heart Fire throughout the body. The妙 (wonder) lies in suspending the body on the bamboo pole, blocking the flow at the Weiluan and Shuangguan. After moxibustion, when the patient descends, the moxa heat follows the flow to the Weiluan, feeling like steaming, penetrating the external kidneys, causing warmth, then flowing to the Yongquan points on the feet, rising upwards to circulate the whole body. This explains its miraculous efficacy. Searching various texts, treating back carbuncles is considered most severe. Early cauterization is crucial. Even with early treatment, survival is not guaranteed. After ten days, cauterization is ineffective. This method seems incomplete. Only Riding Bamboo Horse Moxibustion works regardless of duration, location, or whether the sore is broken, ensuring recovery. It is simple yet extraordinarily effective, a gift from immortals. I regret discovering it late, mourning those who passed away. Having experienced its great efficacy, I do not keep it secret but wish to spread it, hoping like-minded scholars will share it, and benevolent gentlemen will use it to help others.
Furthermore: In thirty years, I have seen many cases of back carbuncles, with only one or two survivors out of ten. Early moxibustion offers hope. Without it, toxins invade the organs, leading to death within days. Wealthy and arrogant people fear pain and reject moxibustion, showing self-destruction. Enduring temporary pain brings regeneration. One must be resolute to preserve life and health, demonstrating true manhood.
Moreover: Carbuncles must be treated carefully before crisis to ensure complete recovery. Do not ignore mild cases or panic in severe ones. Once symptoms appear, first apply garlic-separated moxibustion to the head of the sore to vent toxins externally, preventing rapid internal invasion. The sore will form an ulcer, become moist, exude foul fluid, and pain will stabilize. Combine with Wuxiang Lianqiao Tang. Even if not instantly cured, progress slows. Then apply Riding Bamboo Horse Moxibustion for immediate effect. If more than seven days have passed, skip garlic moxibustion and use only Riding Bamboo Horse Moxibustion with Wuxiang Lianqiao Tang. Severe cases add Zhuandu San for quick results. This emphasizes recognizing severity and urgency.
Furthermore: I have successfully treated many with this method. If the moxa point is close to the sore, heat circulation is felt quickly, enhancing efficacy. If distant, reaction is slower. Left-sided sores cause left-side sores to appear first, and vice versa, due to meridian flow. Practitioners should understand this to avoid doubt. Following the method vents toxins and prevents internal invasion, offering hope for recovery.
Furthermore: Carbuncles develop from minor accumulations becoming severe. Sudden heat surge is like a mountain stream flooding overnight. Blocking it causes massive rupture and harm. Rapid progression requires urgent treatment. Applying harsh topical medicines closes pores, trapping toxins ("locking the door to catch thieves"), harming the host. Instead, use moxa externally to draw out toxins, then administer internal medicine based on Yin-Yang differentiation. This principle is detailed in Li Xun's and Shi Yiying's carbuncle treatises published in Shaoxing.
**Ruxiang Lüdou Tuoli San Formula** (Supports interior, prevents toxin from entering Heart)
Lüdou Fen (Mung Bean Powder, 1 liang)
Ruxiang (Frankincense, 0.5 liang)
Grind into powder, mix well, and take with raw Licorice root water.
**Guolao Gao Formula** (Prevents toxin from entering interior)
Gancao (Licorice Root, large pieces, 2 liang, finely sliced, soaked overnight in running water, kneaded until thick juice forms, strained through silk, simmered slowly in silver/copper vessel to make paste, stored in porcelain).
Take 1-2 teaspoons, mixed with wine or warm water. Mild purgation is acceptable.
**Wuxiang Lianqiao Tang Formula** (Dissipates stagnant toxic Qi)
Muxiang (Costus Root, 3 fen, not roasted)
Chenxiang (Agarwood, 3 fen, not roasted)
Lianqiao (Forsythia Fruit, whole, stalk removed, 3 fen)
Shegan (Belamcanda Rhizome, 3 fen)
Shengma (Cimicifuga Rhizome, 3 fen)
Mutong (Akebia Stem, 3 fen, nodes removed)
Huangqin (Scutellaria Root, 3 fen)
Lian (Melia Tree, fresh, no branches, 3 fen)
Dingxiang (Clove, 0.5 liang, stems removed, not roasted)
Ruxiang (Frankincense, 0.5 liang, separately ground)
Dahuang (Rhubarb Root, lightly fried, 0.5 liang, sliced)
Gancao (Licorice Root, 0.5 liang, raw)
Shexiang (Musk, genuine, 1.5 qian, separately ground)
Duohuo (Angelica Pubescens Root, 3 fen, old Qianghuo preferred)
Sangjisheng (Taxillus Branch, 3 fen, genuine preferred, substitute allowed)
Grind fourteen ingredients into powder. Take 3 qian per dose. Add 1 cup water, decoct to 0.7 cup, strain, and drink. Can decoct residue again. Use silver vessel; adding a silver piece during decoction is acceptable.
**Zhuan Du San Formula** (Eliminates pathogen root without damaging Yuan Qi)
Che'ao (Tridacna Shell, purple-backed, calcined in salt mud until red, cooled, powdered, 1 liang)
Gancao (Licorice Root, 1 liang, raw)
Qingfen (Calomel, 0.5 qian)
Grind into fine powder. Take 4 qian per dose. Decoct one Trichosanthes fruit (peeled) in strong wine (1 cup), mix with powder, take at the fifth watch. Severe cases may require two doses.
**Fan Huang Wan Formula** (Specifically supports toxin expulsion without attacking interior)
Baifan (Alum, 1 liang, powdered)
Huangla (Yellow Beeswax, 0.5 liang, melted and mixed with Alum powder)
Roll into pills size of mung beans. Take 50 pills per dose with warm wine and cooked sesame oil. Timing is flexible.
**Vinegar-Moxa Method** (Disperses if unripe, expels pus if ripe)
Melt cowhide glue with a little water in a crucible. Spread on leather paper, cut a central hole. Apply several layers over the sore, aligning the hole with the sore head to vent toxins. Boil strong rice vinegar in a small pot. Dip two soft cloth strips in hot vinegar, alternately pressing onto the sore (using bamboo tongs). Steam and press hundreds of times continuously over the glue paper. Replace paper when torn. If itching increases, continue pressing; do not stop due to itching. If pus flows from the hole, continue pressing. Pause for 3-5 days if necessary, reapplying potent detoxifying plasters. Wait until bloody fluid appears, itching and pain cease, then stop. If glue adheres to the back, wash with Guanzhong Decoction to remove. Treat Yin/Yang patterns with appropriate herbs. This method is simple yet highly effective and divine; do not neglect it. Strong vinegar refers to rice vinegar.
**Lusi Teng Wine**
Li's Formula states: For carbuncle patients in remote villages lacking expensive herbs, urgently administer Lusi Teng Wine. Whether moxibusted or not, take several doses. Apply the following method (formula follows). When the carbuncle breaks, apply Shenyi Gao (Divine Plaster - formula in Li's Collected Experiences for Back Carbuncles). Repeated use yields good results. Effective for facial, parotid, and back carbuncles. Swelling resolves with ample intake. Used successfully on farmers and elders.
*Su Shen Liang Fang* states: Lusi Teng, also known as Hengdong Cao (Honeysuckle Vine), has pointed-round leaves, climbing habit, hairy undersides, found everywhere in fields and fences. Leaves grow oppositely. Blooms in spring/summer. Tips are sharp, leaves soft and thin. In autumn/winter, leaves become thick, dark green, round, turning purple and curling after frost. Flowers are fragrant, white initially, turning yellow after days, appearing gold-and-silver striped, hence names Jinyinhua (Gold-Silver Flower), Laoweng Xu (Old Man's Beard), Jinyin Gu. Winter leaves resemble Ficus pumila, hence Dabi Li. Fragrance resembles Jasmine and Daphne. Ancients used it as a tonic; now proven miraculous for carbuncles.
**Lusi Teng Tender Shoots and Leaves** (5 liang, avoid iron, crush with wooden pestle)
**Gancao** (Licorice Root, 1 liang, raw, sliced into powder)
Decoct two ingredients in 2 cups water in a clay pot over gentle fire until 1 cup remains. Add 1 cup good non-ashy yellow wine. Boil ten times. Strain. Divide into three doses. Drink warm continuously over one day and night. Heavy cases take multiple doses. As a tonic, it does not harm the spleen. Continue until bowel movements normalize.
Lusi Teng is circular, also called Sweet Vine.
**Dispelling Carbuncle Method**
Take unspecified amount of Lusi Teng leaves, grind in a mortar, add a little non-ashy yellow wine to adjust consistency. Apply around the sore, leaving a large central hole to vent toxins. Change morning and evening; do not interrupt.
**Chuanxiong Tongqi San for Head Carbuncles**
Tianguafen (Trichosanthes Root, washed and powdered)
Chuanxiong (Ligusticum Rhizome, not roasted, powdered)
Chuanshanjia (Pangolin Scale, from head/neck, roasted and powdered)
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Equal parts. Take 5 qian per dose. Use one large Trichosanthes fruit, crush seed and flesh, add 1 cup non-ashy yellow wine, boil, strain, decoct again in hot water. Mix medicine with this wine. Take after meals on an empty stomach. Take several doses. Also take Lusi Teng Wine (add 3 qian Chuanxiong powder per cup) alternating with Tongqi San. In emergencies, shave hair and apply previous method. Carbuncle treatment requires urgent, continuous medication to save lives.