夫疔疮者。由四时迭更。阴阳交变。此二气互相激怒。必成暴气。然暴气卒然。大风大
雾。
大寒大热。若不能避。而遇袭于皮肤。入于四体。传注经络。遂使腠理结满。阴阳二气。不
得宣通。遂成疔毒。但疔毒之名有十三种。必发于手足间。生黄泡。其中或紫色。有一带红
线道直入者。用针于线处刺去毒血水。针时以知痛出血为妙。否则红线入腹攻心。必致危困
凡治疔毒。先以面浆水饮之。吐则是。不吐则非也。大抵脉洪而数者。难愈也。
一治疔疮恶毒神效。飞龙夺命丹。（方见诸疮）
一治疔肿及无名疮毒。掐头去白水。以葱头捣敷。神效。
一治无名肿毒疔疮。手指无故生蛇头。指肿痛不可忍。有红筋入心者。
蜈蚣（二钱） 雄黄（一钱） 归尾 土赤芍 白芷梢（各二钱）
上锉为末。头生酒煨服。神效。
一论一切恶毒疔疮。诸般无名肿毒。及四时伤风伤寒憎寒壮热无汗。初觉者
赵府小灵丹
乳香 没药 轻粉 血竭 朱砂 川乌尖 草乌尖 细辛 巴豆霜 蟾酥 麝香（减半）
上为细末。糯米糊为丸。如黄米大。雄黄为衣。每服十三丸。小儿五七丸。用葱白三根
劈开。入丸在内。细嚼。好酒送下。以被盖出汗。避风。妇人有孕不可服。
一论一切疔疮恶毒肿痛神方。
类圣散
川乌 草乌 苍术 细辛 白芷 薄荷 防风 甘草（各五钱）
为上细末。蛋清调涂患处。留顶。
一凡患疔疮痈疽疖毒。此药能令内消去毒。化为黑水。从小便出。万无一失。不可轻视
知母 贝母 白芨 半夏 天花粉 皂角刺 金银花 穿山甲（炒） 乳香（各一钱）
上锉一剂。用无灰酒一碗。煎至一半。去渣。只作一服。温服。不得加减。再将渣捣烂
加
过秋芙蓉叶一两。捣烂。用蜜调井花水。和敷疮口上。如干。再用蜜水润湿。过一宿。自然
消。不必用第二服药也。忌发物。
一人脚面生疔。形虽如粟。其毒甚大。宜峻利之药攻之。因其怯弱。以隔蒜灸五十余壮
痒
遂止。再灸片时乃知痛。更用膏药封贴。再以人参败毒散渐愈。夫至阴之下。道远位僻。且
怯弱之人。用峻利之剂。则药力未到。胃气先伤。虚虚之祸。有所不免。不如灸之为宜。
疔疮，是由于四季更替、阴阳变化，这两种气互相激荡，必然形成暴戾之气。然而这种暴戾之气突然发作，若遇到大风、大雾、大寒、大热而不能躲避，邪气侵袭皮肤，进入四肢，传注于经络，致使腠理（皮肤纹理及汗孔）闭塞充满，阴阳二气不得宣通，从而形成疔毒。
但疔毒的名称有十三种，必定发于手足之间，生出黄色水泡，其中有的呈紫色，有一条红线直通入内者，需用针在红线处刺破，排出毒血水。针刺时以感到疼痛并出血为妙。否则红线深入腹部攻心，必致危重困顿。
凡治疗疔毒，先让患者饮用面浆水，能吐出则为对症，不能吐出则不对症。大体上脉象洪大而数者，难以治愈。
一方：治疗疔肿及无名疮毒。掐去疮头，去除白水，用葱头捣烂敷贴，神效。
一方：治疗无名肿毒疔疮。手指无故生出如蛇头般的肿胀，指部肿痛不可忍受，且有红筋通向心脏者。
药材：蜈蚣（二钱）、雄黄（一钱）、当归尾、赤芍药、白芷梢（各二钱）。
制法：以上药材切碎研为细末。头部生疮者用酒煨后服用，神效。
一方：论述一切恶毒疔疮、各种无名肿毒，以及四季伤风伤寒引起的憎寒壮热无汗等症状，初起觉知者适用赵府小灵丹。
药材：乳香、没药、轻粉、血竭、朱砂、川乌尖、草乌尖、细辛、巴豆霜、蟾酥、麝香（减半用量）。
制法：以上药材研为细末，用糯米糊制成丸药，大小如黄米。以雄黄为衣。每次服用十三丸，小儿服用五至七丸。用三根葱白劈开，将丸药放入其中，细细咀嚼，用好酒送下。服后用被子盖住出汗，注意避风。孕妇不可服用。
一方：论述一切疔疮恶毒肿痛的神方类圣散。
药材：川乌、草乌、苍术、细辛、白芷、薄荷、防风、甘草（各五钱）。
制法：以上药材研为细末，用蛋清调匀涂敷患处，留出疮顶。
一方：凡患疔疮、痈疽、疖毒者，此药能使毒邪从内部消散，化为黑水，从小便排出，万无一失，不可轻视。
药材：知母、贝母、白芨、半夏、天花粉、皂角刺、金银花、穿山甲（炒制）、乳香（各一钱）。
制法：以上药材切碎为一剂，用一碗无灰酒，煎至一半量，去渣，仅作为一次服用，温服。不得随意加减剂量。再将药渣捣烂，加入过秋的芙蓉叶一两，捣烂，用蜂蜜调和井花水，敷于疮口上。如果干了，再用蜂蜜水润湿。过一夜，自然消退，不必再服用第二服药。忌食发物。
有一人脚面生疔，形状虽如粟米，但其毒性很大，宜用峻烈通利之药攻伐。因其体质怯弱，采用隔蒜灸五十多壮，瘙痒随即停止。再灸片刻后才感到疼痛。随后又用膏药封贴，再以人参败毒散逐渐痊愈。足部位于人体最阴之下，路途遥远且位置偏僻，加上患者体质怯弱，若使用峻烈通利的药剂，则药力未到，胃气先伤，造成虚上加虚的祸害，在所难免。不如采用灸法为宜。
Carbuncle (Ding Chuang) arises from the succession of the four seasons and the transformation of Yin and Yang. When these two Qi mutually agitate, violent Qi inevitably forms. However, when this violent Qi suddenly occurs, if one encounters strong wind, heavy fog, extreme cold, or intense heat without being able to avoid them, the pathogenic factors invade the skin, enter the four limbs, and transmit through the meridians. This causes the Cou Li (skin texture and pores) to become blocked and full, preventing the smooth circulation of Yin and Yang Qi, thereby forming Carbuncle toxin.
There are thirteen types of Carbuncle toxins, which invariably appear on the hands and feet, presenting as yellow blisters. Some may appear purple with a red line extending straight inward. In such cases, a needle should be used to prick the area along the red line to drain toxic blood and fluid. The pricking is considered effective when pain is felt and bleeding occurs. Otherwise, if the red line penetrates into the abdomen and attacks the Heart, it will inevitably lead to critical danger.
In treating Carbuncle toxins, one should first have the patient drink wheat gruel water. If vomiting occurs, the treatment is appropriate; if not, it is not. Generally, if the pulse is surging and rapid, recovery is difficult.
One prescription: Feilong Duoming Dan (Flying Dragon Life-Stealing Pill) for malignant carbuncles with miraculous efficacy. (See the "Various Sores" chapter for the formula.)
One prescription: For carbuncle swelling and unnamed sore toxins. Pinch off the head of the sore, remove the clear fluid, and apply mashed green onion bulb. Miraculous efficacy.
One prescription: For unnamed swelling toxins and carbuncles. If the finger spontaneously develops a snake-head-like swelling, with unbearable pain and swelling, and red veins extending toward the heart:
Herbs: Centipede (Wugong, 2 qian), Realgar (Xionghuang, 1 qian), Angelicae Sinensis Radix Tail (Guiwei), Paeoniae Rubra Radix (Chishao), Angelicae Dahuricae Radix Tip (Baizhi Shao) (each 2 qian).
Preparation: Crush and grind the above herbs into powder. For sores on the head, take with wine after roasting. Miraculous efficacy.
One discussion: Zhao Fu Xiaoling Dan (Zhao Mansion Little Spirit Pill) for all malignant carbuncles, various unnamed swellings, and initial stages of wind-cold or cold-damage in the four seasons characterized by aversion to cold, high fever, and anhidrosis.
Herbs: Frankincense (Ruxiang), Myrrh (Moyao), Calomelas (Qingfen), Dragon's Blood (Xuexue), Cinnabar (Zhusha), Aconitum Carmichaelii Lateral Root Process (Chuanwu Jian), Aconitum Kusnezoffii Lateral Root Process (Caowu Jian), Asarum (Xixin), Croton Seed Frost (Badoushuang), Toad Venom (Chansu), Musk (Shexiang, halved dosage).
Preparation: Grind the above herbs into fine powder. Form pills using rice paste, sized like millet seeds. Coat with Realgar. Take 13 pills per dose; children take 5–7 pills. Split three stalks of white scallion, insert the pill inside, chew thoroughly, and swallow with good wine. Cover with a blanket to induce sweating and avoid wind. Contraindicated for pregnant women.
One discussion: Shenfang Leisheng San (Miracle Formula Class-Saint Powder) for all carbuncles, malignant toxins, swelling, and pain.
Herbs: Aconitum Carmichaelii Lateral Root (Chuanwu), Aconitum Kusnezoffii Lateral Root (Caowu), Atractylodes Rhizome (Cangzhu), Asarum (Xixin), Angelicae Dahuricae Radix (Baizhi), Mint (Bohe), Saposhnikovia Root (Fangfeng), Licorice Root (Gancao) (each 5 qian).
Preparation: Grind the above herbs into fine powder. Mix with egg white and apply to the affected area, leaving the top exposed.
One note: For patients suffering from carbuncles, abscesses, furuncles, and toxins, this medicine can resolve the toxicity internally, transforming it into black water that exits via urination. It is foolproof and should not be underestimated.
Herbs: Anemarrhenae Rhizoma (Zhimu), Fritillaria Bulb (Beimu), Bletilla Tuber (Baiji), Pinellia Tuber (Banxia), Trichosanthes Root (Tianhuafen), Gleditsia Sinensis Thorn (Zaojiaoci), Honeysuckle Flower (Jinyinhua), Pangolin Scales (Chuanshanjia, stir-fried), Frankincense (Ruxiang) (each 1 qian).
Preparation: Cut the above herbs into pieces for one dose. Decoct in one bowl of pure wine until half remains. Strain and take as a single dose, warm. Do not modify the dosage. Mash the dregs, add one liang of Hibiscus Mutabilis Leaf harvested after autumn, mash again, mix with honey and well water, and apply to the sore. If dry, re-moisten with honey. After one night, it will naturally subside. No second dose is needed. Avoid stimulating foods.
A case: A person developed a carbuncle on the dorsum of the foot. Although small like a millet grain, the toxicity was severe, requiring harsh purgative medicines to attack it. Due to his weak constitution, moxibustion with garlic partition was applied for over fifty moxa cones. The itching stopped immediately. After a short while more moxibustion, pain was felt. Subsequently, medicinal plaster was applied, and the condition gradually improved using Renshen Baidu San (Ginseng Detoxifying Decoction). The foot is located at the lowest Yin part of the body, distant and remote. For a weak individual, using harsh purgatives would damage the Stomach Qi before the medicinal power reaches the lesion, leading to the disaster of deficiency exacerbating deficiency. Therefore, moxibustion is more suitable.