〔总论〕 外科最重者莫如痈疽。最急者莫如喉风疔肿。患之者生死立见。痈者壅也。
大而高起属乎阳。其发红肿广大者痈也。（痛而实者为热。痛而痒者为寒。） 发于六腑易治
而难瘥。（浅而大者为痈。深而恶者为疽。） 疽者沮也。平而内发属乎阴。其发猛恶。其初
发也。形如黍粟粒大。白色焦枯。触之而痛应心者疽也。最不可轻忽。难治而易痊。如其不
痛。更为恶症。所发之处。最忌发背。发脑。发鬓。发眉。发颐。初生之时。便觉壮热恶寒。
拘急头痛。精神不宁。烦躁饮冷者。其疮必重。若得起居平和。饮食如故。便利调匀者。为
易治。一寸以上曰痈疽。一寸以下曰疮疖。（发热于皮肤之间。浮肿根小。即大亦疮疖。） 大
抵痈属热宜凉药。（已溃勿服。） 疽属寒宜温补之药。
〔背疽〕 初起之时。不拘日期。阴阳肿痛。即用独头大蒜。（切片如二三钱浓。）安于
疮头上。用大艾炷灸之。（三壮一换蒜片。不论数十百壮。） 大痛者灸至不痛。麻木不痛者。
灸至痛时方止。最宜早觉早灸。过七日则无效。 如背疽赤热肿痛。莫辨其头者。但以湿纸
覆于背上。立候视之。其纸上有先干处。即是疮头。如十数头作一处生者。即用大蒜捣成膏。
作饼铺头上。聚艾于蒜饼上烧之。亦能活也。盖艾火能使毒瓦斯随火而散。（凡毒初起皆可灸。
惟头顶以上属阳明。断不可灸。） 若失之于初。疮势以成。又当审其虚实寒热。实热则清
之。虚寒则温之。得毒散脓溃。方为可治之症。（痒极者。用针刺破。挤出恶血。数次得痒
止即易治。）
〔托里护心丸〕 灸后即宜多服白矾。（一两二钱）黄蜡。（一两）雄黄。（一两二钱）
朱砂。
（六钱水飞）琥珀。（一钱）俱为细末。先将黄蜡化开。入药末和匀。须众手为丸。桐子大。
每
服三十丸。白滚水下。日三服。可免口舌生疮黑烂等症。凡痈疽毒症。多进数服。已成者最
能止痛。未破者即能内消。不问阴阳老少。皆可服。（原方用白矾末一两。黄蜡七钱。化蜡
众手为丸。每服三十丸多服神效仙方也。）
〔一切痈疽发背对口〕 不论阴阳平肿。无名肿毒皆治。大虾蟆。（一个。毒大者。二
三个。生于住屋檐下者佳。冬天为乱石下。或河沿口石缝中。）入明矾二三钱。连肠肚同捣
烂。浓涂四围。中留一孔。毒重者一二时后即臭。再取捣换。以好为度。至重昏沉不知疼痛
者。更换十余次。再无不效。是能收提散毒至稳方也。
〔发背肿硬痛深〕 槐米。（五两鲜者更佳）炒黄微。乘热入酒二碗。煎十余沸。去渣
热
服。取汗即愈。未成者二三服即消。已成者三四服即减轻。渣捣敷患处。惟胃寒者不连服。
甚神效。 肿硬脉实。邪在内者。用大黄。（不拘多少。一半火煨。一半生用。）生甘草节等
分为末。每服一二钱。空心温酒调下二三次。以疏利为度。
〔阴疽外势平而不起色黑黯〕 艾叶。（一斤）硫黄。雄黄。（各五钱）以水同煮半日。
捣
烂候温敷上。冷则再煮。易十余次不痛者知痛。如痛在肉里者。肿痛出外可生。 猪胆汁。
（炒
〔痈疽半阴半阳〕 肿不甚高。积日不消。白芷。石菖蒲。赤芍药。（炒各二两） 紫
荆
皮。（炒五两）独活。（去节炒一两）俱为末。葱头煎浓汤。调涂四围。即肿出高起易治。
〔一切痈疽发背〕 由七情内郁而生。蕴热在内。热气逼人。服之极验。并治乳痈乳疖
尤效。远志。（米泔浸洗去心）焙燥为末。每服三钱。酒一杯。煎数沸。澄清饮。渣敷患处。
以好为度。
〔蟾酥丸〕 治一切痈疽发背疔毒恶症。此药服之。不痛者即痛。如痛者即止。昏愦者
即醒。呕吐者即解。未成者即消。已成者即溃。真有回生之功。乃恶证之至宝也。宜备施之。
蟾酥。（生取晒干二钱用时烧酒化开）轻粉。（五分）枯矾。铜绿。胆矾。寒水石。乳香。（箬
上炙去油）没药。（箬上炙去油）麝香。（各一钱）蜗牛。（二十一个）朱砂。（三钱）上药俱
为细
末。照合太乙丹法。于端午七夕静室中。先将蜗牛研烂。再同蟾酥和匀。方入群药。共捣极
匀。丸如绿豆大。每服（轻者三粒。重者五粒。）用葱白五寸。患者自嚼。吐于男左女右手
心。
包
〔仙方活命饮〕 治一切痈疽。无名肿毒。未成脓者内消。已成者即溃。此止痛消毒通
用之神方也。不论虚实老幼皆可服。穿山甲。（炮黄）白芷。防风。天花粉。赤芍药。归尾。
贝母。皂角刺。生甘草。乳香。（去油）没药。（去油各一钱重者加重。）金银花。陈皮。（各
三钱） 在背俞用角刺为君。如在胸次。加栝蒌仁三钱。在四肢金银花为君。如疔毒。加草
河车根三钱。将各药水酒各半煎浓。再将乳没研细。入药调服。日进二服。侧睡片时即效。
如阴毒平而不起者。去花粉。银花。 如热甚脉实。大小便秘者。加疏利之药。
〔七厘散〕 治一切无名恶毒。诸药不效者。赤练蛇。（ 灰存性） 研细末。米糊为
丸。
如芥菜子大。每服七粒。症重者加至十四粒。好酒下四五服全消。此方甚效。孕妇忌服。
〔大归汤〕 治一切痈肿大毒。初起者立消。已溃者止痛收功。服下立效。大全当归。
（一两切片）生黄 。金银花。（各五钱）生甘草。（二钱）水酒各半煎浓温服。重者日二服。
上
部
藤。
（五两。用木槌微捣不可碎。）甘草节一两。水二碗。入瓦罐内慢火煎至一碗。加生酒一碗。
再煎十数沸。分二次一日服尽。得两便通利即效。如不利再服。（此方神效。）
〔一切痈疽肿毒围药〕 不拘部位。红肿高起者。用野苎麻根。（取白嫩者。） 赤小豆。
（
痛。
如大痛者可以止痛。 大虾蟆一个取皮。包四围。中留一孔。二三次其效甚速。不论阴阳皆
治。 活蜗牛。（不拘个数。） 入银朱二钱。同捣烂敷四围。 活蜗牛百个。以井水一钟同
入净瓶内。自晚封闭至晓。其水如涎。调真蛤粉涂四围。治发背效。 葱白捣烂。和蜜调匀
。涂四围。轻者即效。端午日取苍耳草。（根叶风干。研细。或烧存性。） 重阳日采芙蓉叶
。风干为末。等分和匀。蜜水调涂四围。即消。 芙蓉叶捣汁。和生白酒服。将渣敷上即消
。或用芙蓉根切片煎酒服。随量饮更效。 黄瓜放在滴卤内。发背初发时。将黄瓜切薄片贴
上。一周时一换即消。 发久破烂不住。用花椒煎汤。或甘草汤洗去烂肉。亦用黄瓜粘贴。
一日一换。二三日内可收口。 发背诸药不效。芭蕉根捣烂敷之。效。
〔秘方托里散〕 治一切疮毒。始终常服。不致内陷。至效仙方也。栝蒌。（大者一个
捣碎）当归。（酒拌炒）黄 。（盐水炒）白芍。生甘草。（各一两五钱）熟地。天花粉。金
银花。
皂角刺。（切片炒各一两）每用五两。以无灰酒五茶杯入瓷器内。浓纸封口。再以油纸重封。
置汤锅内盖煮至药香。取出。每日分服。直至疮愈为止。（此方药品平易。消毒之功甚大。
且不动脏腑。不伤血气。不问阴阳肿溃。屡用屡效之妙。）凡治背疽脑疽。势甚者。先用蒜
法灸之。若脉实大小便秘者。先用疏通而后用此。其功甚捷。若火毒已退。不作脓不溃者。
更宜托里。如溃而不敛脓清者。又宜峻补。如十全大补汤之类。
〔定痛散〕 一切肿毒发背痛不可忍。服之即止。白芷。（未溃五钱已溃二钱五分）贝
母。（未溃二钱五分已溃五钱）水酒各半煎浓服。 外用鲜山药。（一两）白糖霜。大黄。（各
四钱）
俱研细。
甚者。用赤
练蛇。（火 存性。研末。不犯铁器。） 加姜黄。藤黄。各研细。米醋调敷。即能止痛。
〔透骨丹〕 治一切痈疽肿毒。坚硬不溃。此药立能溃脓。蟾酥。硼砂。轻粉。巴豆。
（各五钱）蜗牛。（二个）麝香（一分）先将巴豆研如泥。次入蜗牛麝香再研。后入各药研
极细。
以瓷瓶收藏。每用少许。以乳汁化开。先用银针轻轻拨破。挑药米粒许纳于疮口。外用清凉
膏贴之。即溃。 凡疮未破。先湿热脓水淋漓不得卧者。用菖蒲晒干为末涂之。鲜用亦可。
〔替针散〕 一切肿毒。不出头。不穿破。用蛾口茧。（出过蚕蛾者一枚烧灰。） 酒调
服自出头。切不可多服。二三枚即出二三头。 雄麻雀粪。（头尖挺直者是也。）同赤小豆为
末调敷之。自破。 痒肿无头。用皂角刺烧灰。酒下三钱。嚼黄蜀葵花子三五粒即穿。
〔透脓散〕 一切痈疽肿毒。内脓已成不穿破者。生黄 。（四钱）穿山甲。（炒末一钱）
川芎。当归。（各二钱）皂角刺。（一钱五分）水二碗。煎一碗。随病前后服。入酒一杯同服。
即出毒。
〔猪蹄汤〕 洗一切痈疽杖疮溃烂。去恶肉。黄芩。白芷。赤芍药。当归。羌活。甘草。
露蜂房。（有蜂儿者佳各等分）看毒之大小。每用两许。先用猪前蹄二只。（重一斤许者）并
水
六碗。煮蹄软为度。去油只取清汁。入前药两许。再前十数沸。去渣。以旧 片温洗。恶肉
随手而下。宜避风。忌人口气吹之。并忌月妇孝服。及猫犬入病患房。次用抿脚挑玉红膏于
掌中捺化。遍搽新腐肉上。外以黑膏贴护。早晚洗换两次。内兼服大补脾胃暖药。腐肉自脱。
新肉即生。洗疽之方甚多。惟此方为最效。然轻者仍用生甘草煎浓洗。
〔玉红膏〕 白芷。（五钱）归身。（二两）紫草。（二钱）甘草。（一两二钱）血竭。轻
粉。
（各四钱）白蜡。（二两）真麻油一斤。先以前四味入油内浸三日。大勺内慢火熬药微枯色。
细
绢滤去渣。将药再煎滚。下血竭化尽。次下白蜡亦化。遂倾入碗内顿冷水中。候少顷。将研
细轻粉投下搅匀。收口生肌。长肉。诚外科收敛药中之神品也。（凡用收敛收口药。须看疮
内新肉淡红色糁入。好后无患。紫色者尚须提毒。）
〔治一切腐肉〕 巴豆。（二十粒去壳及细皮炒黑存性）雄黄二分共研极细。取少许糁
腐
肉上。一日夜即去。（麻油调涂亦可。即乌金膏。去腐生新之宝也。）
〔肿毒烂不住者〕 白盐梅同皂角烧灰存性为末。四围箍之。 发背烂见五脏。用大鲫
鱼一个。去肠。入羯羊粪其中。烘焙焦黑为细末。糁之疮口自收。昔有人溃烂将死。人传是
方。用之即效。后屡试皆验。须脓少生肌时用之。
〔治 肉瘀突〕 南硼砂。（黄色者一钱）入冰片少许研细。灯草蘸药点之。 如恶疮
死
肉不消成紫黑突出高起。乌梅肉捣烂。入蜜少许。摊纸贴之。恶肉即收。永无后患。
〔治一切痈疽不收口〕 红粉霜。（四钱即三仙丹）乳香。（二钱炙去油）没药（二钱炙
去
油）儿茶。（二钱）珍珠。（一钱入豆腐蒸过布包捶碎研细）俱为细末。先用甘草汁洗净。棉
花
拭干。将药末糁上。外用膏药贴之。一日一洗。此药能提毒生肌。脓未尽时即可用。 或只
用乳香。没药。（俱炙去
〔制红粉霜法〕 水银一两。焰硝一两。明矾一两。俱研细。与水银拌匀。入铁锅内。
用浓瓷碗覆之。盐泥封碗口。晒干。不令些微透气。用石一块压之。文武火烧三炷香。常看
泥干有缝。即以湿衣补之。忌孝服月妇鸡犬见。候冷升在碗上者即三仙丹。能治一切肿毒。
及刀伤跌破成脓者。皆用少许糁入疮口。上以膏药盖之。未溃者能化脓。已溃者能提毒收口。
不须换药。如加入朱砂雄黄。（各水飞三钱）同升。即五仙丹。利于收口。凡升就一年后。
用
入疮不痛。急用者以井水飞之。
〔一切痈疽痔漏恶血不止〕 琥珀。（二三分） 研极细末糁上。即能止血收口。脓水
不
干。用黄蜀葵花煎汤洗。 如多年不瘥。及翻花疮。用马齿苋捣烂敷上。多次即效。
〔一切肿毒脓尽虚不收口〕 鳖甲。（ 存性） 研极细末。糁入疮口即效。 地鳖虫。
（新瓦上焙焦）研极细末。掺上即效。并治刀斧伤久不收口。 如年久不收口成管者。用不
见
天
以膏盖之。即愈。
〔多年恶疮肉顽不收口〕 久年锻石研末。鸡蛋清和成块。 过。再研姜汁调敷即敛。 蜣
螂一个。 焦研极细。糁入即敛。漏疮皆治。 上好松萝茶一撮。先用水漱口。将茶叶嚼烂
敷在疮上一夜。次日揭下。再用人参末拌油胭脂涂在疮上。二三日即收口。
〔诸疮成管〕 大蒜梗烧灰存性搽患处。其管即退。
〔诸疮久溃〕 丝瓜老根熬水洗之。数次即愈。
〔豆豉饼〕 治一切肿毒硬而不溃。溃而不敛。及顽恶年久不敛。用江西豆豉研末。唾
津和饼。如三钱浓。一钱大。置患处。以艾壮于饼上灸之。干则再易。如背疮以漱口水调饼
铺患处。以艾铺饼上灸之。如未成者即消。已成者亦杀其大毒。不问阴阳至稳之方也。如有
不效。必气血虚败也。
〔溃后煎方〕 凡疮毒已溃之后。不生肌而色赤甚者。乃血热也。四物汤。（熟地当归
【总论】外科疾病中，最重要的是痈和疽。最紧急的是喉风疔肿。患病者生死立见。痈，意思是壅塞。体积大且高起属于阳证。发病时红肿范围大的就是痈。（疼痛而坚实的是热证；疼痛而瘙痒的是寒证。）发于六腑的容易治疗但难以彻底痊愈。（浅表且面积大的是痈；深在且凶险的是疽。）疽，意思是阻塞。平坦且向内发展的属于阴证。其发病猛烈凶险。初起时，形状像黍米或粟粒那么大，颜色白色焦枯，触碰时疼痛放射到心脏的就是疽。最不可轻视疏忽，难治但也容易痊愈。如果完全不痛，则是更恶劣的症状。发病的部位，最忌讳发背、发脑、发鬓、发眉、发颐。初生之时，便觉得壮热恶寒，拘急头痛，精神不宁，烦躁想喝冷饮的，其疮必重。如果能起居平和，饮食如常，大小便调匀的，为易治。直径一寸以上的称为痈疽，一寸以下的称为疮疖。（发热在皮肤之间，浮肿根部小，即使大也是疮疖。）大抵痈属于热证，适宜用凉药（已溃破者勿服）。疽属于寒证，适宜用温补药。
【背疽】初起之时，不拘泥于日期，无论阴阳肿痛，立即使用独头大蒜。（切成二三钱厚的片。）放在疮头上，用大艾炷灸之。（每三壮更换一次蒜片，不论灸数十百壮。）大痛的，灸到不痛为止；麻木不痛的，灸到有痛感时才停止。最适合早发现早施灸，过了七天就无效了。如果背疽赤热肿痛，无法辨别疮头的，只用湿纸覆盖在背上，立刻观察。纸上先变干的地方，就是疮头。如果有十多个头长在一处的，就用大蒜捣成膏，做成饼铺在疮头上，聚拢艾绒在蒜饼上烧灼，也能救活。因为艾火能使毒气随火而散。（凡毒初起皆可灸，惟头顶以上属阳明经，绝对不可灸。）如果起初失治，疮势已成，又应当审察其虚实寒热。实热则清解之，虚寒则温补之。等到毒散脓溃，才是可治之症。（痒得极厉害的，用针刺破，挤出恶血，几次后痒止就容易治了。）
【托里护心丸】灸后应立即多服白矾。（一两二钱）黄蜡。（一两）雄黄。（一两二钱）朱砂。（六钱水飞）琥珀。（一钱）都研为细末。先将黄蜡熔化，加入药末和匀，须众人合力搓丸，如梧桐子大。每次服用三十丸，白开水送下，每日三次。可以避免口舌生疮黑烂等症状。凡是痈疽毒症，多进服几剂，已成脓的最能止痛，未破溃的即能内消。不问阴阳老少，都可以服用。（原方用白矾末一两，黄蜡七钱，化蜡后众人搓丸，每次服用三十丸，多服神效仙方也。）
【一切痈疽发背对口】不论阴阳平肿，无名肿毒皆治。大虾蟆。（一个，毒性大的，用两三个。生长在屋檐下的最好，冬天在乱石下，或河沿口石缝中的。）放入明矾二三钱，连同肠肚一起捣烂，浓涂四周，中间留一个孔。毒性重的，一二小时后就会发臭，再取新捣的换上，以好转为度。到了严重昏沉不知疼痛的，更换十余次，没有无效的。这是能收提散毒的稳妥方剂。
【发背肿硬痛深】槐米。（五两，新鲜的更好）炒黄微焦，趁热加入酒二碗，煎煮十余沸，去渣热服。出汗即愈。未成脓的，二三服即消；已成脓的，三四服即减轻。药渣捣敷患处，只有胃寒者不连续服用。非常神效。肿硬脉实，邪气在内部的，用大黄。（不拘多少，一半火煨，一半生用。）生甘草节等分为末，每次服用一二钱，空腹温酒调下二三次，以通利为度。
【阴疽外势平而不起色黑黯】艾叶。（一斤）硫黄、雄黄。（各五钱）用水同煮半天，捣烂候温敷上，冷了就再煮，更换十余次，不痛的知痛，如果痛在肉里的，肿痛出外可以生肌。猪胆汁。（炒...此处原文似有缺漏，依语境推测为外用或内服辅助，但根据下文“炒”字及格式，可能指炮制方法，暂译为：猪胆汁，经炒制处理... 注：原文此处标点混乱，“炒”字后直接接下一段标题，结合上下文“猪胆汁”通常外用或内服，此处保留原文结构，意为猪胆汁经炒制... 实际上原文可能是“猪胆汁（炒...）”被截断或排版错误，根据常规中医用法，猪胆汁多外用或内服清热，此处依原文字面翻译：猪胆汁，炒制...）
【痈疽半阴半阳】肿不甚高，积日不消。白芷、石菖蒲、赤芍药。（炒各二两）紫荆皮。（炒五两）独活。（去节炒一两）都研为末，葱头煎浓汤，调涂四周，即肿出高起易治。
【一切痈疽发背】由七情内郁而生，蕴热在内，热气逼人，服之极验。并治乳痈乳疖尤效。远志。（米泔浸洗去心）焙燥为末，每次服用三钱，酒一杯，煎数沸，澄清饮用，药渣敷患处，以好转为度。
【蟾酥丸】治一切痈疽发背疔毒恶症。此药服之，不痛的即痛，如痛的即止，昏愦的即醒，呕吐的即解，未成的即消，已成的即溃，真有回生之功，是恶证的至宝。宜备施之。蟾酥。（生取晒干二钱，用时烧酒化开）轻粉。（五分）枯矾、铜绿、胆矾、寒水石、乳香。（箬上炙去油）、没药。（箬上炙去油）、麝香。（各一钱）蜗牛。（二十一个）朱砂。（三钱）上药都研为细末，照合太乙丹法，在端午七夕静室中，先将蜗牛研烂，再同蟾酥和匀，方入群药，共捣极匀，丸如绿豆大。每次服用（轻者三粒，重者五粒），用葱白五寸，患者自嚼，吐于男左女右手心，包...（原文此处中断，推测为包裹吞服或外用，依前文逻辑多为内服或特定用法，此处仅翻译可见部分：用葱白五寸，患者自己咀嚼，吐在男性左手或女性右手的掌心，包...）
【仙方活命饮】治一切痈疽，无名肿毒，未成脓者内消，已成者即溃。此止痛消毒通用的神方。不论虚实老幼皆可服。穿山甲。（炮黄）白芷、防风、天花粉、赤芍药、归尾、贝母、皂角刺、生甘草、乳香。（去油）、没药。（去油各一钱，重者加重。）金银花、陈皮。（各三钱）在背俞部位用角刺为君药，如在胸次，加栝蒌仁三钱，在四肢金银花为君药，如疔毒，加草河车根三钱，将各药水酒各半煎浓，再将乳没研细，入药调服，每日进二服，侧睡片刻即效。如阴毒平而不起的，去掉花粉、银花。如热甚脉实，大小便秘的，加疏利之药。
【七厘散】治一切无名恶毒，诸药不效的。赤练蛇。（灰存性）研细末，米糊为丸，如芥菜子大。每次服用七粒，症重者加至十四粒，好酒送下，四五服全消。此方甚效，孕妇忌服。
【大归汤】治一切痈肿大毒，初起的立消，已溃的止痛收功，服下立效。大全当归。（一两切片）生黄芪、金银花。（各五钱）生甘草。（二钱）水酒各半煎浓温服，重者日二服。上部藤。（五两，用木槌微捣不可碎。）甘草节一两，水二碗，入瓦罐内慢火煎至一碗，加生酒一碗，再煎十数沸，分二次一日服尽，得两便通利即效，如不利再服。（此方神效。）
【一切痈疽肿毒围药】不拘部位，红肿高起的，用野苎麻根。（取白嫩者。）赤小豆。（痛...此处原文可能有误或截断，结合下文“如大痛者可以止痛”，推测赤小豆用于止痛或消肿。依原文翻译：赤小豆。（疼痛...）如大痛者可以止痛。大虾蟆一个取皮，包四围，中间留一孔，二三次其效甚速，不论阴阳皆治。活蜗牛。（不拘个数。）入银朱二钱，同捣烂敷四围。活蜗牛百个，以井水一钟同入净瓶内，自晚封闭至晓，其水如涎，调真蛤粉涂四围，治发背效。葱白捣烂，和蜜调匀，涂四围，轻者即效。端午日取苍耳草。（根叶风干，研细，或烧存性。）重阳日采芙蓉叶，风干为末，等分和匀，蜜水调涂四围，即消。芙蓉叶捣汁，和生白酒服，将渣敷上即消。或用芙蓉根切片煎酒服，随量饮更效。黄瓜放在滴卤内，发背初发时，将黄瓜切薄片贴上，一周时一换即消。发久破烂不住，用花椒煎汤，或甘草汤洗去烂肉，亦用黄瓜粘贴，一日一换，二三日内可收口。发背诸药不效，芭蕉根捣烂敷之，效。
【秘方托里散】治一切疮毒，始终常服，不致内陷，至效仙方。栝蒌。（大者一个捣碎）当归。（酒拌炒）黄芪。（盐水炒）白芍、生甘草。（各一两五钱）熟地、天花粉、金银花、皂角刺。（切片炒各一两）每用五两，以无灰酒五茶杯入瓷器内，浓纸封口，再以油纸重封，置汤锅内盖煮至药香，取出，每日分服，直至疮愈为止。（此方药品平易，消毒之功甚大，且不动脏腑，不伤血气，不问阴阳肿溃，屡用屡效之妙。）凡治背疽脑疽，势甚者，先用蒜法灸之，若脉实大小便秘的，先用疏通而后用此，其功甚捷。若火毒已退，不作脓不溃的，更宜托里。如溃而不敛脓清的，又宜峻补，如十全大补汤之类。
【定痛散】一切肿毒发背痛不可忍，服之即止。白芷。（未溃五钱已溃二钱五分）贝母。（未溃二钱五分已溃五钱）水酒各半煎浓服。外用鲜山药。（一两）白糖霜、大黄。（各四钱）都研细。甚者的，用赤练蛇。（火...存性，研末，不犯铁器。）加姜黄、藤黄，各研细，米醋调敷，即能止痛。
【透骨丹】治一切痈疽肿毒，坚硬不溃，此药立能溃脓。蟾酥、硼砂、轻粉、巴豆。（各五钱）蜗牛。（二个）麝香（一分）先将巴豆研如泥，次入蜗牛麝香再研，后入各药研极细，以瓷瓶收藏。每用少许，以乳汁化开，先用银针轻轻拨破，挑药米粒许纳于疮口，外用清凉膏贴之，即溃。凡疮未破，先湿热脓水淋漓不得卧的，用菖蒲晒干为末涂之，鲜用亦可。
【替针散】一切肿毒，不出头，不穿破，用蛾口茧。（出过蚕蛾者一枚烧灰。）酒调服自出头，切不可多服，二三枚即出二三头。雄麻雀粪。（头尖挺直者是也。）同赤小豆为末调敷之，自破。痒肿无头，用皂角刺烧灰，酒下三钱，嚼黄蜀葵花子三五粒即穿。
【透脓散】一切痈疽肿毒，内脓已成不穿破的，生黄芪。（四钱）穿山甲。（炒末一钱）川芎、当归。（各二钱）皂角刺。（一钱五分）水二碗，煎一碗，随病前后服，入酒一杯同服，即出毒。
【猪蹄汤】洗一切痈疽杖疮溃烂，去恶肉。黄芩、白芷、赤芍药、当归、羌活、甘草、露蜂房。（有蜂儿者佳各等分）看毒之大小，每用两许，先用猪前蹄二只。（重一斤许者）并水六碗，煮蹄软为度，去油只取清汁，入前药两许，再前十数沸，去渣，以旧...片温洗，恶肉随手而下，宜避风，忌人口气吹之，并忌月妇孝服，及猫犬入病患房。次用抿脚挑玉红膏于掌中捺化，遍搽新腐肉上，外以黑膏贴护，早晚洗换两次，内兼服大补脾胃暖药，腐肉自脱，新肉即生。洗疽之方甚多，惟此方为最效。然轻者仍用生甘草煎浓洗。
【玉红膏】白芷。（五钱）归身。（二两）紫草。（二钱）甘草。（一两二钱）血竭、轻粉。（各四钱）白蜡。（二两）真麻油一斤。先以前四味入油内浸三日，大勺内慢火熬药微枯色，细绢滤去渣，将药再煎滚，下血竭化尽，次下白蜡亦化，遂倾入碗内顿冷水中，候少顷，将研细轻粉投下搅匀，收口生肌，长肉，诚外科收敛药中之神品也。（凡用收敛收口药，须看疮内新肉淡红色糁入，好后无患，紫色者尚须提毒。）
【治一切腐肉】巴豆。（二十粒去壳及细皮炒黑存性）雄黄二分共研极细，取少许糁腐肉上，一日夜即去。（麻油调涂亦可，即乌金膏，去腐生新之宝也。）
【肿毒烂不住者】白盐梅同皂角烧灰存性为末，四围箍之。发背烂见五脏，用大鲫鱼一个，去肠，入羯羊粪其中，烘焙焦黑为细末，糁之疮口自收。昔有人溃烂将死，人传是方，用之即效，后屡试皆验，须脓少生肌时用之。
【治...肉瘀突】南硼砂。（黄色者一钱）入冰片少许研细，灯草蘸药点之。如恶疮死肉不消成紫黑突出高起，乌梅肉捣烂，入蜜少许，摊纸贴之，恶肉即收，永无后患。
【治一切痈疽不收口】红粉霜。（四钱即三仙丹）乳香。（二钱炙去油）没药（二钱炙去油）儿茶。（二钱）珍珠。（一钱入豆腐蒸过布包捶碎研细）都研为细末，先用甘草汁洗净，棉花拭干，将药末糁上，外用膏药贴之，一日一洗，此药能提毒生肌，脓未尽时即可用。或只用乳香、没药。（俱炙去...原文中断）
【制红粉霜法】水银一两，焰硝一两，明矾一两，都研细，与水银拌匀，入铁锅内，用浓瓷碗覆之，盐泥封碗口，晒干，不令些微透气，用石一块压之，文武火烧三炷香，常看泥干有缝，即以湿衣补之，忌孝服月妇鸡犬见，候冷升在碗上者即三仙丹，能治一切肿毒，及刀伤跌破成脓者，皆用少许糁入疮口，上以膏药盖之，未溃者能化脓，已溃者能提毒收口，不须换药。如加入朱砂雄黄。（各水飞三钱）同升，即五仙丹，利于收口。凡升就一年后，用...入疮不痛，急用者以井水飞之。
【一切痈疽痔漏恶血不止】琥珀。（二三分）研极细末糁上，即能止血收口。脓水不干，用黄蜀葵花煎汤洗。如多年不瘥，及翻花疮，用马齿苋捣烂敷上，多次即效。
【一切肿毒脓尽虚不收口】鳖甲。（...存性）研极细末，糁入疮口即效。地鳖虫。（新瓦上焙焦）研极细末，掺上即效，并治刀斧伤久不收口。如年久不收口成管的，用不见天...以膏盖之，即愈。
【多年恶疮肉顽不收口】久年锻石研末，鸡蛋清和成块...过，再研姜汁调敷即敛。蜣螂一个...焦研极细，糁入即敛，漏疮皆治。上好松萝茶一撮，先用水漱口，将茶叶嚼烂敷在疮上一夜，次日揭下，再用人参末拌油胭脂涂在疮上，二三日即收口。
【诸疮成管】大蒜梗烧灰存性搽患处，其管即退。
【诸疮久溃】丝瓜老根熬水洗之，数次即愈。
【豆豉饼】治一切肿毒硬而不溃，溃而不敛，及顽恶年久不敛，用江西豆豉研末，唾津和饼，如三钱厚，一钱大，置患处，以艾壮于饼上灸之，干则再易。如背疮以漱口水调饼铺患处，以艾铺饼上灸之，如未成的即消，已成的亦杀其大毒，不问阴阳至稳之方也。如有不效，必气血虚败也。
【溃后煎方】凡疮毒已溃之后，不生肌而色赤甚的，乃血热也。四物汤。（熟地当归...原文中断）
[General Discussion] Among surgical diseases, the most important are carbuncles (Yong) and sores (Ju). The most urgent are throat wind (Houfeng) and hard sores (Dingzhong). Those afflicted face life or death immediately. "Yong" means obstruction. Large and elevated lesions belong to Yang syndrome. Lesions that appear red, swollen, and extensive are Yong. (Painful and solid indicates Heat; painful and itchy indicates Cold.) Lesions occurring in the Six Fu Organs are easy to treat but difficult to completely heal. (Superficial and large is Yong; deep and malignant is Ju.) "Ju" means blockage. Flat and inward-developing lesions belong to Yin syndrome. Their onset is fierce and malignant. Initially, they resemble millet grains, white and scorched in appearance. Touching them causes pain radiating to the heart; these are Ju. They must not be neglected. Although difficult to treat, they can recover easily. If there is no pain at all, it is a more malignant condition. The sites of occurrence are most忌讳 (taboo/avoided) for Fa Bei (Back Carbuncle), Fa Nao (Head Carbuncle), Fa Bin (Temple Carbuncle), Fa Mei (Eyebrow Carbuncle), and Fa Yi (Cheek Carbuncle). At the initial stage, if one feels high fever with aversion to cold, stiffness and headache, mental restlessness, irritability, and desire for cold drinks, the sore will be severe. If daily activities are peaceful, diet is normal, and bowel/bladder functions are regular, it is easy to treat. Diameter above one cun is called Yong-Ju; below one cun is called Chuang-Jie. (Fever on the skin surface, swelling with a small root, even if large, is still Chuang-Jie.) Generally, Yong belongs to Heat and should be treated with cooling medicines (do not use after ulceration). Ju belongs to Cold and should be treated with warming and tonifying medicines.
[Back Carbuncle] At the initial stage, regardless of the date, whether Yin or Yang with swelling and pain, immediately use single-clove garlic. (Slice to a thickness of two or three qian.) Place on the sore head, and moxa with large moxa cones. (Replace garlic slice every three moxa burns, regardless of dozens or hundreds of burns.) For severe pain, moxa until pain stops; for numbness without pain, moxa until pain appears, then stop. Early detection and early moxibustion are best; after seven days, it is ineffective. If the back carbuncle is red, hot, swollen, and painful, making the head indistinguishable, simply cover the back with wet paper and observe immediately. The place where the paper dries first is the sore head. If ten or more heads grow together, crush garlic into a paste, make a cake, place it on the heads, and burn gathered moxa on the garlic cake. This can also save lives. Moxa fire can disperse toxic qi through heat. (All initial toxins can be moxa-ed, except those on the top of the head which belong to the Yangming channel and absolutely must not be moxa-ed.) If treatment is missed initially and the sore becomes established, one must examine deficiency/excess and cold/heat. Excess-Heat requires clearing; Deficiency-Cold requires warming. Only when the toxin disperses and pus erupts is it treatable. (If extremely itchy, prick with a needle, squeeze out bad blood; after several times when itching stops, it is easy to treat.)
[Tuoli Huxin Pill] After moxibustion, take Bait Fan (Alum) frequently. (1 liang 2 qian) Huang La (Yellow Beeswax) (1 liang) Xiong Huang (Realgar) (1 liang 2 qian) Zhusha (Cinnabar) (6 qian water-ground) Hupo (Amber) (1 qian). All ground into fine powder. First melt the yellow beeswax, mix in the medicine powder evenly. Must be rolled by multiple hands into pills the size of tung tree seeds. Take 30 pills each time, washed down with plain boiled water, three times a day. This can prevent symptoms such as mouth and tongue ulcers turning black and rotting. For all Yong-Ju toxic diseases, taking several doses is beneficial. For established cases, it relieves pain best; for unbroken cases, it eliminates internally. Suitable for all regardless of Yin/Yang, age, or sex. (Original formula uses 1 liang Alum powder, 7 qian yellow beeswax, melt wax and roll by multiple hands. Take 30 pills each time; taking more yields miraculous effects.)
[All Carbuncles, Back Carbuncles, and Opposite Sores] Treats all regardless of Yin/Yang flat/swollen, and nameless swellings/toxins. Large toad. (One; for severe toxicity, two or three. Best if grown under eaves; in winter, under loose stones or in riverbank crevices.) Add 2-3 qian Ming Fan (Alum), crush together with intestines and stomach until smooth. Apply thickly around the perimeter, leaving a hole in the center. For heavy toxicity, it will smell foul after 1-2 hours; replace with freshly crushed mixture. Continue until improvement. For severe cases with coma and loss of pain sensation, change over ten times; no case will fail. This is a stable prescription for drawing out and dispersing toxins.
[Back Carbuncle Swelling, Hardness, Deep Pain] Huai Mi (Sophora Flower Bud). (5 liang, fresh is better) Stir-fry until slightly yellow/brown. While hot, add 2 bowls of wine, boil for over ten boils. Strain and drink hot. Sweating leads to cure. Unsuppurated cases resolve in 2-3 doses; suppurated cases reduce in 3-4 doses. Crush residue and apply to affected area. Do not take continuously for those with Stomach Cold. Very effective. For swelling, hardness, and solid pulse indicating pathogen inside, use Da Huang (Rhubarb Root and Rhizome). (Amount不限, half fire-roasted, half raw) Sheng Gan Cao Jie (Raw Licorice Joint) equal parts ground to powder. Take 1-2 qian each time, mixed with warm wine on an empty stomach, 2-3 times, until purgation occurs.
[Yin Ju with Flat External Appearance, No Elevation, Dark Color] Ai Ye (Mugwort Leaf). (1 jin) Liu Huang (Sulfur), Xiong Huang (Realgar). (Each 5 qian) Boil together in water for half a day. Crush until smooth, wait for warmth, and apply. Re-boil if cool. Change over ten times. Non-painful areas become painful; if pain is deep in flesh, swelling and pain moving outward indicates regeneration. Zhu Dan Zhi (Pig Gallbladder Juice). (Stir-fried...) [Note: Text fragmentary].
[Yong-Ju Half-Yin Half-Yang] Swelling not very high, persisting for days without resolving. Bai Zhi (Angelica Dahurica), Shi Chang Pu (Acorus Tatarinowii), Chi Shao Yao (Red Peony Root). (Stir-fry each 2 liang) Zi Jing Pi (Bark of Wisteria Sinensis). (Stir-fry 5 liang) Du Huo (Angelica Pubescens). (Remove joints, stir-fry 1 liang) All ground to powder. Decoct Cong Tou (Green Onion Head) in strong soup, mix with powder, apply around perimeter. Swelling rises and becomes easy to treat.
[All Carbuncles and Back Carbuncles] Arises from internal stagnation of Seven Emotions, accumulating Heat internally, pressing with hot qi. Extremely effective. Also especially effective for Ru Yong (Breast Carbuncle) and Ru Jie (Breast Abscess). Yuan Zhi (Polygala Root). (Soak in rice wash water, remove heart) Dry by roasting, grind to powder. Take 3 qian each time, with one cup of wine, boil for several boils, filter clear liquid and drink. Apply residue to affected area, continue until healed.
[Chan Su Pill] Treats all carbuncles, back carbuncles, ding toxins, and malignant conditions. Taking this medicine makes non-painful areas painful, stops existing pain, awakens confused patients, resolves vomiting, eliminates unformed toxins, and ruptures formed toxins. It truly has the power to revive the dead and is the supreme treasure for malignant conditions. Should be prepared and administered. Chan Su (Toad Venom). (Freshly taken, sun-dried 2 qian, dissolve in burning wine when using) Qing Fen (Calomel) (5 fen) Ku Fan (Burnt Alum), Tong Lv (Chlorocrysocolla), Dan Fan (Chalcanthite), Han Shui Shi (Halloysitum). Ru Xiang (Frankincense). (Roast on bamboo leaf to remove oil) Mo Yao (Myrrh). (Roast on bamboo leaf to remove oil) She Xiang (Musk). (Each 1 qian) Wo Niu (Garden Snail). (21 pieces) Zhusha (Cinnabar) (3 qian). All medicines ground to fine powder. Follow the method of combining Taiyi Dan. In a quiet room on Dragon Boat Festival or Qixi Festival, first crush snails, then mix with Chan Su, finally add other medicines, pound extremely evenly. Roll into pills the size of mung beans. Each dose (mild cases 3 pills, severe cases 5 pills). Use 5 cun of scallion white, chew by patient, spit into left hand of male or right hand of female, wrap... [Text cuts off].
[Xian Fang Huo Ming Yin] Treats all carbuncles, nameless swellings/toxins. Eliminates internally if pus not formed; ruptures immediately if pus formed. This is a divine formula for pain relief and detoxification. Suitable for all regardless of deficiency/excess, age. Chuan Shan Jia (Pangolin Scale). (Panned yellow) Bai Zhi (Angelica Dahurica), Fang Feng (Saposhnikovia Root), Tian Hua Fen (Trichosanthes Root), Chi Shao Yao (Red Peony Root), Gui Wei (Tail of Angelica Sinensis), Bei Mu (Fritillaria Bulb), Zao Jiao Ci (Gleditsia Spine), Sheng Gan Cao (Raw Licorice), Ru Xiang (Frankincense). (Remove oil) Mo Yao (Myrrh). (Remove oil, each 1 qian, increase for severe cases) Jin Yin Hua (Honeysuckle Flower), Chen Pi (Tangerine Peel). (Each 3 qian) For lesions on the back Shu points, use Zao Jiao Ci as the sovereign herb. For chest lesions, add Gua Lou Ren (Trichosanthes Seed) 3 qian. For limbs, use Jin Yin Hua as sovereign. For Ding toxins, add Cao He Che Gen (Paris Polyphylla Root) 3 qian. Decoct herbs in half water and half wine until concentrated. Grind Ru Xiang and Mo Yao finely, mix with decoction and take. Two doses per day. Lie on side for a moment for effect. For Yin toxins that are flat and do not rise, remove Tian Hua Fen and Jin Yin Hua. For severe Heat with solid pulse and constipation, add purgative herbs.
[Qi Li San] Treats all nameless malignant toxins unresponsive to other medicines. Chi Lian She (Red-banded Snake). (Ashed, retain nature) Grind to fine powder, bind with rice paste into pills the size of mustard seeds. Take 7 pills each time, increase to 14 for severe cases. Wash down with good wine. Four to five doses eliminate completely. This formula is very effective. Contraindicated in pregnancy.
[Da Gui Tang] Treats all carbuncles, large swellings, and toxins. Eliminates immediately if newly formed; relieves pain and promotes healing if ulcerated. Effective immediately upon ingestion. Da Quan Dang Gui (Large Chinese Angelica Root). (1 liang sliced) Sheng Huang Qi (Raw Astragalus Root), Jin Yin Hua (Honeysuckle Flower). (Each 5 qian) Sheng Gan Cao (Raw Licorice Root). (2 qian) Decoct in half water and half wine until concentrated, drink warm. Severe cases twice a day. Shang Bu Teng (Upper Vine). (5 liang, lightly pounded with wooden mallet, do not break) Gan Cao Jie (Licorice Joint) 1 liang. Two bowls of water, slow boil in clay pot to one bowl. Add one bowl of raw wine, boil ten more times. Divide into two doses, finish in one day. Effective when bowels and bladder are unobstructed. If not unobstructed, take again. (This formula is miraculous.)
[Encircling Medicine for All Carbuncles, Sores, and Toxins] Regardless of location, for red, swollen, elevated lesions, use Ye Zhu Ma Gen (Wild Ramie Root). (Take white and tender parts) Chi Xiao Dou (Adzuki Bean). (For pain... [Text fragmented]). For severe pain, it can relieve pain. Take skin of one large toad, wrap around perimeter, leave center hole. Two to three applications yield rapid results. Treats all regardless of Yin/Yang. Live snails. (Any number.) Add 2 qian Yin Zhu (Vermilion), crush together, apply around perimeter. 100 live snails, put in clean bottle with one cup well water, seal from evening to morning. Water becomes like saliva, mix with Zhen Ge Fen (True Clam Powder), apply around perimeter. Effective for back carbuncles. Crush scallion white, mix with honey, apply around perimeter. Mild cases effective immediately. On Dragon Boat Festival, take Cang Er Cao (Xanthium Herb). (Roots and leaves air-dried, ground fine, or ashed). On Double Ninth Festival, collect Fu Rong Ye (Hibiscus Leaf), air-dry, grind to powder. Mix equally, blend with honey water, apply around perimeter. Resolves immediately. Crush Fu Rong Ye juice, mix with raw white wine, drink. Apply residue. Or slice Fu Rong Gen (Hibiscus Root), decoct in wine, drink according to capacity for better effect. Place cucumber in brine drip. At initial stage of back carbuncle, apply thin cucumber slices. Change once a week to resolve. For long-standing, unhealing ulcers, decoct Hua Jiao (Sichuan Pepper) or Gan Cao (Licorice) to wash away rotten meat. Also apply cucumber slices. Change once daily. Can close wound in 2-3 days. If all medicines for back carbuncle fail, crush Ba Jiao Gen (Banana Root) and apply. Effective.
[Mi Fang Tuoli San] Treats all sore toxins. Take consistently from start to finish to prevent internal sinking. A highly effective divine formula. Gua Lou (Trichosanthes Fruit). (One large, crushed) Dang Gui (Chinese Angelica Root). (Mixed with wine, stir-fried) Huang Qi (Astragalus Root). (Stir-fried with salt water) Bai Shao (White Peony Root), Sheng Gan Cao (Raw Licorice Root). (Each 1 liang 5 qian) Shu Di (Prepared Rehmannia Root), Tian Hua Fen (Trichosanthes Root), Jin Yin Hua (Honeysuckle Flower), Zao Jiao Ci (Gleditsia Spine). (Sliced, stir-fried, each 1 liang) Use 5 liang each time. Put in porcelain vessel with 5 tea cups of pure wine. Seal tightly with thick paper, then oil paper. Cover-boil in soup pot until medicinal aroma emerges. Remove. Divide and take daily until sore heals. (This formula uses mild ingredients, has great detoxification power, does not disturb Zang-Fu organs or damage Qi-Blood. Effective repeatedly for all Yin/Yang, swollen/ulcerated cases.) For severe Back Carbuncle or Brain Carbuncle, first use garlic moxibustion. If pulse is solid and bowels/bladder are blocked, first use purgatives, then this formula. Its effect is swift. If Fire-Toxin has subsided, no pus forms, does not rupture, further Tuoli (supporting interior) is needed. If ulcerated but not closing with clear pus, strong tonification is needed, such as Shi Quan Da Bu Tang (Ten Significant Tonifying Decoction).
[Ding Tong San] For all swellings/toxins, back/carbuncle pain unbearable. Stops pain upon ingestion. Bai Zhi (Angelica Dahurica). (5 qian unruptured, 2.5 qian ruptured) Bei Mu (Fritillaria Bulb). (2.5 qian unruptured, 5 qian ruptured) Decoct in half water and half wine until concentrated, take. Externally: Fresh Shan Yao (Chinese Yam). (1 liang) Bai Tang Shuang (White Sugar Frost), Da Huang (Rhubarb Root and Rhizome). (Each 4 qian) All grind fine. For severe cases, use Chi Lian She (Red-banded Snake). (Fire-ashed, retain nature, grind powder, avoid iron). Add Jiang Huang (Turmeric), Teng Huang (Melastoma Rhizome), each grind fine. Mix with rice vinegar, apply. Relieves pain immediately.
[Tou Gu Dan] Treats all carbuncles, sores, swellings, toxins. Hard and unruptured. This medicine causes immediate suppuration. Chan Su (Toad Venom), Peng Sha (Borax), Qing Fen (Calomel), Ba Dou (Croton Seed). (Each 5 qian) Wo Niu (Garden Snail). (2 pieces) She Xiang (Musk) (1 fen) First grind Ba Dou into mud. Then add snail and musk, grind again. Finally add other medicines, grind extremely fine. Store in porcelain bottle. Use a small amount, dissolve in milk. Gently puncture with silver needle first. Insert pill-sized amount into sore opening. Apply Qing Liang Gao (Cooling Ointment) externally. Ruptures immediately. For unbroken sores with damp-heat, dripping pus, unable to sleep, dry Chang Pu (Acorus) to powder, apply. Fresh can also be used.
[Ti Zhen San] For all swellings/toxins, not protruding, not breaking. Use E Kou Jian (Silkworm Cocoon Mouth). (One from emerged moth, ashed). Mixed with wine, taken orally, will self-protrude. Do not take too much. Two or three doses produce two or three heads. Xiong Ma Que Fen (Male Sparrow Feces). (Those with pointed, straight tips). Mixed with Chi Xiao Dou (Adzuki Bean) powder, apply. Breaks spontaneously. For itchy swelling without head, burn Zao Jiao Ci (Gleditsia Spine) to ash, take 3 qian with wine. Chew 3-5 Huang Shu Kui Hua Zi (Yellow Hibiscus Flower Seeds) to penetrate.
[Tou Nong San] For all carbuncles, sores, swellings, toxins. Internal pus formed but not rupturing. Sheng Huang Qi (Raw Astragalus Root). (4 qian) Chuan Shan Jia (Pangolin Scale). (Stir-fried powder 1 qian) Chuan Xiong (Ligusticum Rhizome), Dang Gui (Chinese Angelica Root). (Each 2 qian) Zao Jiao Ci (Gleditsia Spine). (1.5 qian) Two bowls of water, decoct to one bowl. Take before/after illness as appropriate. Add one cup of wine, take together. Expels toxin immediately.
[Zhu Ti Tang] Washes all carbuncles, sores,杖疮 (cane-wound sores), ulcerations. Removes bad flesh. Huang Qin (Scutellaria Root), Bai Zhi (Angelica Dahurica), Chi Shao Yao (Red Peony Root), Dang Gui (Chinese Angelica Root), Qiang Huo (Notopterygium Rhizome), Gan Cao (Licorice Root), Lu Feng Fang (Honeycomb). (Best if containing bee larvae, equal parts) Depending on toxin size, use approx. 1 liang. First boil two front pig trotters (approx. 1 jin) in six bowls of water until soft. Remove fat, take only clear juice. Add previous medicines (approx. 1 liang), boil ten more times. Strain. Wash with old... piece warm. Bad flesh falls off easily. Avoid wind. Do not let people blow breath on it. Avoid menstruating women, mourners, cats, and dogs entering patient's room. Next, take Yu Hong Gao (Jade Red Ointment) with brush, melt in palm, smear evenly on new/flesh tissue. Cover externally with Hei Gao (Black Plaster). Wash and change twice morning and evening. Internally take large Spleen/Stomach tonifying warm medicines. Dead flesh sheds naturally, new flesh grows. Many formulas for washing sores exist, but this is the most effective. However, for mild cases, still use raw Gan Cao decocted strongly for washing.
[Yu Hong Gao] Bai Zhi (Angelica Dahurica). (5 qian) Gui Shen (Angelica Sinensis Root Body). (2 liang) Zi Cao (Arnebia Root). (2 qian) Gan Cao (Licorice Root). (1 liang 2 qian) Xue Jie (Dragon's Blood), Qing Fen (Calomel). (Each 4 qian) Bai La (White Beeswax). (2 liang) Zhen Ma You (True Sesame Oil) 1 jin. First soak first four ingredients in oil for three days. Slowly boil in large spoon until slightly charred color. Filter through fine silk to remove residue. Boil medicine again until rolling. Add Xue Jie, melt completely. Then add Bai La, melt. Pour into bowl, set in cold water. Wait a moment. Throw in finely ground Qing Fen, stir evenly. Closes wounds, generates muscle, grows flesh. Truly a divine product among external surgery astringent medicines. (When using astringent/closing medicines, check if new flesh in sore is pale red before applying; no harm after healing. If purple, still need to draw out toxin.)
[Treat All Rotten Flesh] Ba Dou (Croton Seed). (20 kernels, remove shell and thin skin, stir-fry black, retain nature) Xiong Huang (Realgar) 2 fen. Grind extremely fine. Take small amount, sprinkle on rotten flesh. Removes within one day/night. (Can also mix with sesame oil, i.e., Wu Jin Gao, treasure for removing rot and generating new tissue.)
[Sore Toxin Unstopping Ulceration] Bai Yan Mei (White Salted Plum) same as Zao Jiao (Gleditsia Fruit) ashed, retain nature, grind to powder. Bind around perimeter. For back carbuncle ulcerated exposing viscera, use one large crucian carp. Remove intestines, insert sheep manure inside. Bake until charred black, grind to fine powder. Sprinkle on sore opening, closes spontaneously. Once someone was dying from ulceration, transmitted this formula, used it with effect. Later tested repeatedly, verified. Use when pus is scant and muscle generation begins.
[Treat ... Flesh Stasis Protrusion] Nan Peng Sha (Southern Borax). (Yellow variety 1 qian) Add small amount of Bing Pian (Borneol), grind fine. Dip rush light stick in medicine, dot on lesion. For malignant sore, dead flesh not resolving, turning purple-black, protruding high, crush Wu Mei Rou (Dark Plum Flesh), add small amount of honey, spread on paper, apply. Dead flesh retracts, no future trouble forever.
[Treat All Carbuncles/Sores Not Closing] Hong Fen Shuang (Red Powder Frost). (4 qian, i.e., San Xian Dan) Ru Xiang (Frankincense). (2 qian roasted, remove oil) Mo Yao (Myrrh) (2 qian roasted, remove oil) Er Cha (Camelia Leaf Tea) (2 qian) Zhen Zhu (Pearl). (1 qian steamed in tofu, wrapped in cloth, pounded fine, ground) All grind to fine powder. First wash with Gan Cao (Licorice) juice, wipe dry with cotton. Sprinkle medicine powder on. Cover externally with plaster. Wash once daily. This medicine draws out toxin, generates muscle. Can be used even if pus is not fully exhausted. Or only use Ru Xiang, Mo Yao. (Both roasted, remove oil... [Text cuts off])
[Method for Making Hong Fen Shuang] Shui Yin (Mercury) 1 liang, Yan Xiao (Saltpeter) 1 liang, Ming Fan (Alum) 1 liang. All grind fine, mix evenly with mercury. Put in iron pot. Cover with thick porcelain bowl. Seal bowl mouth with salt mud. Sun-dry. Prevent any air leakage. Press with stone. Roast with civil/martial fire for three incense sticks. Frequently check if mud cracks; patch with wet cloth if so. Avoid mourners, menstruating women, chickens, dogs seeing it. When cool, the substance rising on the bowl is San Xian Dan. Treats all swellings/toxins, knife injuries broken down forming pus. Use small amount, sprinkle into sore. Cover with plaster. Unruptured cases convert to pus; ruptured cases draw out toxin and close wound. No need to change medicine. If adding Zhusha (Cinnabar) and Xiong Huang (Realgar). (Each 3 qian water-ground) sublimate together, it is Wu Xian Dan, beneficial for closing wounds. After sublimation for one year, use... enters sore without pain. For urgent use, water-grind with well water.
[All Carbuncles, Sores, Hemorrhoids/Fistulas, Malignant Bleeding Not Stopping] Hu Po (Amber). (2-3 fen) Grind extremely fine, sprinkle on. Stops bleeding and closes wound immediately. For non-drying pus/water, decoct Huang Shu Kui Hua (Yellow Hibiscus Flower) in water to wash. For chronic non-healing cases and Fan Hua Chuang (Reflowering Sore), crush Ma Chi Xian (Purslane) and apply. Multiple times effective.
[All Swellings/Toxons Pus Exhausted, Deficiency Not Closing] Bie Jia (Turtle Shell). (...retain nature) Grind extremely fine, sprinkle into sore opening. Effective immediately. Di Bie Chong (Eupolyphaga Steleophaga). (Roast焦 on new tile) Grind extremely fine, sprinkle on. Effective immediately. Also treats knife/axe wounds not closing for long. For years not closing forming tubes, use Bu Jian Tian... cover with plaster. Heals immediately.
[Chronic Malignant Sore, Tough Flesh Not Closing] Old Duan Shi (Hammer Scale) grind to powder. Mix with egg white into lump... pass... grind again, mix with Ginger Juice, apply. Closes immediately. Qiang Lang (Dung Beetle) one. Roast焦, grind extremely fine, sprinkle in. Closes immediately. Treats fistulas. Good quality Song Luo Cha (Tea) a pinch. Rinse mouth with water first. Chew tea leaves thoroughly, apply to sore overnight. Remove next day. Then mix Ren Shen (Ginseng) powder with oil and rouge, smear on sore. Closes in 2-3 days.
[All Sores Forming Tubes] Da Suan Geng (Garlic Stem) ashed, retain nature. Rub on affected area. Tube recedes.
[All Sores Long-Term Ulceration] Boil old Si Gua Gen (Luffa Root) to wash. Several times cures.
[Dou Chi Bing] Treats all swellings/toxins hard but unruptured, ruptured but not closing, and tough malignant chronic non-closing. Use Jiangxi Dou Chi (Fermented Soybean) grind to powder. Mix with saliva into cake. Thickness 3 qian, size 1 qian. Place on affected area. Moxa cone on cake. Replace when dry. For back sores, mix cake with mouthwash, place on area. Moxa on cake. Unformed cases resolve; formed cases kill major toxin. Stable formula regardless of Yin/Yang. If ineffective, must be Qi-Blood deficiency/exhaustion.
[Post-Ulceration Decoction] After sore toxin ulcerates, if no muscle generation and color is very red, it is Blood Heat. Si Wu Tang (Four Substances Decoction). (Shu Di Dang Gui... [Text cuts off])