【歌】十三疔毒要精通，麻子盐肤牛狗同。水洗刀镰三
十六，浮沤蛇眼及雌雄。更兼石烂皆其数，体弱因令暴 钟。手足初生黄泡起，或时紫黑热寒攻。眼中流火心
惊惕，痒痛无时呕逆凶。初见病时当速疗，勿教稍慢致疲癃。
【论】古方所载疔毒十三种，曰麻子疔，曰石疔，曰雄疔，曰雌疔，曰火疔，曰烂疔，曰三十六疔，曰蛇
眼疔，曰盐肤疔，曰水洗疔，曰刀镰疔，曰浮沤疔，曰牛狗疔者是也，皆缘感天地暴 而生。然阴阳二气互相
击怒，必成暴气，如卒然大风、大雾、大暑、大寒，遇之袭于皮肤，入于四体，传注经脉，腠理壅隔，荣卫不
得通行，发为痈疽疔毒之患。或开死兽，钟其毒瓦斯尤甚。经云∶膏粱之变，足生大疔。恣食辛辣浓味，炙爆荤
腥，蕴毒于中故也。然疮之始发也，必先痒而后痛，先寒而后热，热定则多寒，四肢沉重，头痛心惊，眼花见
火，甚则呕逆者，多危。其麻子疔者，始末皆痒，不得触犯，触犯即难治。众疔之中，惟三十六疔可畏，其状
头黑浮起，形如黑豆，四畔赤色，初生一个，日增一个，若满至三十六个，则药所不治，急疗之得生。若石疔、
火疔、烂疔、蛇眼疔、水洗疔、刀镰疔、雄、雌疔、盐肤疔之类，皆因形象而名者，不急治，亦危殆也。独浮
沤、牛狗二疔，虽不疗，亦不杀人也。凡疔不可触犯，若瘠强痛极，不可忍者，是触之候也。
疔疮外治法
凡疔疮，先以针刺四围及中，然后用雄、雌二黄末醋调涂之，或紫金散敷，不过二次愈。
疔毒内治法
疔疮初见憎寒壮热，赤芍药汤。毒瓦斯入里，烦闷不已，食不下，或紫黑内陷，飞龙夺命丹。疔始发，脉洪
弦、洪实，肿甚欲作脓，托里汤。重者飞龙夺命丹、返魂丹。取疔用紫
金丹。
紫金散
外敷之药。
信石（一钱） 雄黄（一钱五分） 硼砂（炒，一钱五分）
末之，拨开疮口敷之，不过二次瘥。
赤芍药汤
内服之剂。
金银花（三钱） 赤芍药（三钱） 大黄（四钱） 栝蒌（一个） 当归（一钱五分） 甘草（一钱五分）
枳壳（一钱五分）
分作二帖，每一帖，水、酒各一盏，煎，不拘时服。
飞龙夺命丹
大南星（一钱） 雄黄（一钱） 巴豆（一钱） 砂（一钱） 黄丹（半钱） 信石（半钱） 乳香（半钱）
斑蝥（十六个，去翅、足） 麝香（少许）
末之，取蟾酥和丸如黍米大，每服十一、二丸或十四、五丸，看疮大小、上下，食后好酒送下。
圣济托里汤
乳香（明者，一两） 真绿豆粉（四两）
末之，和匀，每服一两，甘草汤调下。
返魂丹
治十三种疔疮。
朱砂（五钱） 胆矾（五钱） 血竭（一两） 铜绿（一两） 蜗牛（一两） 雄黄（二两） 枯白矾（二两）
轻粉（五钱） 没药（五钱） 蟾酥（五钱） 麝香（少许）
末之，和捣蜗牛、蟾酥极烂，如芡实大，每服一丸，令病患先嚼葱白三寸，吐在手心，将药丸裹在葱白
中，用热酒吞下，如重车行五里许，有汗出即瘥。
紫金丹
治疔疮毒瓦斯入里，烦闷不已。兼治痈疽发背恶疮神效。
即返魂丹无蜗牛、麝香、没药和丸。
如前服法。
【歌诀】十三种疔毒必须精通掌握，包括麻子疔、盐肤疔、牛狗疔。还有水洗疔、刀镰疔共三十六种，以及浮沤疔、蛇眼疔和雌雄疔。再加上石烂疔都在其列，身体虚弱的人容易突然发病。手足初起时出现黄色水泡，有时呈现紫黑色并伴有寒热交替。眼中感觉如火燃烧，心中惊悸警惕，瘙痒疼痛无定时，呕吐逆气为凶兆。初见病时应迅速治疗，不要稍加迟缓导致病情恶化成废疾。
【论述】古方中记载的十三种疔毒，分别是：麻子疔、石疔、雄疔、雌疔、火疔、烂疔、三十六疔、蛇眼疔、盐肤疔、水洗疔、刀镰疔、浮沤疔、牛狗疔。这些病症都是由于感受天地间的暴戾之气而发生的。阴阳二气相互冲撞激怒，必然形成暴烈之气，就像突然遭遇大风、大雾、酷暑、严寒一样，邪气侵袭皮肤，进入四肢，传注于经脉，导致腠理（皮肤纹理及汗孔）壅塞阻隔，营卫之气不得通行，从而引发痈疽疔毒等病患。如果是剖开死兽，沾染其毒瓦斯，危害尤为严重。《内经》说：“膏粱之变，足生大疔。”这是因为恣意食用辛辣浓厚味道、炙烤爆炒的荤腥食物，使毒素蕴积在体内所致。然而疮疡刚开始发作时，必定先痒后痛，先寒后热，热势稳定后则多表现为寒象，四肢沉重，头痛心慌，眼花见火，甚至出现呕吐逆气的，大多危险。其中麻子疔，从头到尾都感到瘙痒，不可触碰，一旦触碰就难以治愈。在众疔之中，只有三十六疔最令人畏惧，其症状是头部黑且浮起，形状像黑豆，四周呈红色，初生一个，每天增加一个，如果满至三十六个，药物就无法治疗了，急需治疗才有生机。至于石疔、火疔、烂疔、蛇眼疔、水洗疔、刀镰疔、雄疔、雌疔、盐肤疔等，都是因为形象而得名，如果不及时治疗，也会危及生命。唯独浮沤疔、牛狗疔两种，即使不治疗，也不会致死。凡是疔疮不可触碰，如果感到极度强直疼痛，无法忍受，这就是被触碰的迹象。
疔疮外治法
凡是疔疮，先用针刺破周围及中央部位，然后用雄黄、雌黄粉末用醋调匀涂抹，或者敷上紫金散，不超过两次即可痊愈。
疔毒内治法
疔疮初见憎寒壮热（恶寒高热），使用赤芍药汤。毒瓦斯入里，烦闷不止，饮食不下，或者颜色紫黑内陷，使用飞龙夺命丹。疔疮刚发作，脉象洪弦或洪实，肿胀严重欲化脓，使用托里汤。重症者使用飞龙夺命丹、返魂丹。取除疔头使用紫金丹。
紫金散
外用敷贴的药物。
信石（一钱） 雄黄（一钱五分） 硼砂（炒制，一钱五分）
研成细末，拨开疮口敷上，不超过两次即愈。
赤芍药汤
内服药剂。
金银花（三钱） 赤芍药（三钱） 大黄（四钱） 栝蒌（一个） 当归（一钱五分） 甘草（一钱五分） 枳壳（一钱五分）
分为两帖，每一帖用水、酒各一盏，煎煮，不拘时间服用。
飞龙夺命丹
大南星（一钱） 雄黄（一钱） 巴豆（一钱） 砂（一钱） 黄丹（半钱） 信石（半钱） 乳香（半钱） 斑蝥（十六个，去翅、足） 麝香（少许）
研成细末，取蟾酥调和制成如黍米大小的丸药，每次服用十一、二丸或十四、五丸，根据疮的大小、位置，饭后用好酒送服。
圣济托里汤
乳香（优质的，一两） 真绿豆粉（四两）
研成细末，混合均匀，每次服用一两，用甘草汤调服。
返魂丹
治疗十三种疔疮。
朱砂（五钱） 胆矾（五钱） 血竭（一两） 铜绿（一两） 蜗牛（一两） 雄黄（二两） 枯白矾（二两） 轻粉（五钱） 没药（五钱） 蟾酥（五钱） 麝香（少许）
研成细末，将蜗牛、蟾酥捣烂至极，制成如芡实大小的丸药，每次服用一丸，让病人先嚼三寸长的葱白，吐在手心，将药丸包裹在葱白中，用热酒吞下，大约行走五里的路程，如果有汗出，疾病即愈。
[Song] The thirteen types of Ding poison (carbuncles/furuncles) must be thoroughly mastered: Mazideng (Hemp-seed Carbuncle), Yankufeng (Salt-skin Carbuncle), Niugoudeng (Ox-Dog Carbuncle). Also included are Shuixideng (Water-wash Carbuncle), Daolian Ding (Sickle Carbuncle) totaling thirty-six, as well as Foudeng (Floating Bubble Carbuncle), Shanyandeng (Snake-eye Carbuncle), and Xiongci Deng (Male-Female Carbuncles). Additionally, Shimandeng (Stone-rot Carbuncle) falls into this category. Those with weak constitutions may suffer sudden onset. Initially, yellow blisters appear on the hands and feet; sometimes they turn purple-black accompanied by alternating chills and fever. A sensation of fire flowing in the eyes, heart palpitations, and vigilance are signs; itching and pain without fixed timing, along with vomiting and regurgitation, indicate a ominous prognosis. When the disease is first observed, immediate treatment is required; do not delay even slightly, lest it progress to chronic debility or disability.
[Discussion] Ancient formulas record thirteen types of Ding poison: Mazideng (Hemp-seed Carbuncle), Shiding (Stone Carbuncle), Xiongdeng (Male Carbuncle), Cideng (Female Carbuncle), Huoding (Fire Carbuncle), Landeng (Rotting Carbuncle), Sanshiliudeng (Thirty-Six Carbuncle), Shanyandeng (Snake-eye Carbuncle), Yankufeng (Salt-skin Carbuncle), Shuixideng (Water-wash Carbuncle), Daolian Ding (Sickle Carbuncle), Foudeng (Floating Bubble Carbuncle), and Niugoudeng (Ox-Dog Carbuncle). These conditions arise from exposure to violent atmospheric qi generated by heaven and earth. When yin and yang qi clash violently, they form explosive pathogenic qi, similar to sudden gales, heavy fog, extreme heat, or severe cold. This pathogen invades the skin, enters the four limbs, transmits through the meridians, causing obstruction at the couli (skin pores and interstices), preventing the smooth circulation of Ying (Nutrient) and Wei (Defensive) qi, thereby manifesting as carbuncles, sores, or Ding poison. Handling dead beasts can expose one to their toxic vapors, which is particularly harmful. As stated in the Classics: "Changes from rich and greasy foods can generate large Ding." This is due to indulging in spicy, strong-flavored, roasted, or fried meat and fish, leading to toxin accumulation within. However, when a sore first appears, it typically itches before hurting, feels cold before becoming hot, and after the heat stabilizes, chills often predominate. Symptoms include heaviness in the limbs, headache, heart palpitations, visual disturbances seeing fire, and potentially vomiting and regurgitation, all indicating a critical condition. Among them, Mazideng itches throughout its course; it must not be touched, for touching makes it difficult to treat. Of all Ding types, Sanshiliudeng (Thirty-Six Carbuncle) is the most feared. Its appearance features a black, raised head resembling a black bean, with redness around the periphery. It starts as one lesion, increasing by one daily; if it reaches thirty-six, it becomes untreatable by medicine. Urgent treatment offers a chance of survival. For Shiding, Huoding, Landeng, Shanyandeng, Shuixideng, Daolian Ding, Xiongdeng, Cideng, and Yankufeng, named according to their shapes, failure to treat promptly also leads to danger. Only Foudeng and Niugoudeng are benign; even without treatment, they are not fatal. Generally, Ding sores must not be touched. If there is extreme stiffness and unbearable pain, it indicates that the area has been touched.
External Treatment for Ding Sores
For any Ding sore, first prick the surrounding area and center with a needle. Then apply a paste made from Xionghuang (Realgar) and Cihuang (Orpiment) mixed with vinegar, or apply Zijin San (Purple Gold Powder). Healing occurs in no more than two applications.
Internal Treatment for Ding Poison
When Ding sores initially present with aversion to cold and high fever, use Chishao Yao Tang (Red Peony Root Decoction). If toxic vapors enter the interior causing incessant restlessness, inability to eat, or if the lesion turns purple-black and sinks inward, use Feilong Duoming Dan (Flying Dragon Life-Taking Pill). At the onset of Ding, if the pulse is surging and wiry or surging and solid, and swelling is severe suggesting pus formation, use Tuoli Tang (Support-the-Interior Decoction). For severe cases, use Feilong Duoming Dan or Fanhun Dan (Soul-Returning Pill). To extract the Ding head, use Zijin Dan (Purple Gold Pill).
Zijin San (Purple Gold Powder)
An external application powder.
Xinshi (Arsenolite, 1 qian), Xionghuang (Realgar, 1.5 qian), Pengsha (Borax, stir-fried, 1.5 qian).
Grind into fine powder, open the sore slightly, and apply the powder. It heals in no more than two applications.
Chishao Yao Tang (Red Peony Root Decoction)
An internal preparation.
Jinyinhua (Honeysuckle Flower, 3 qian), Chishao Yao (Red Peony Root, 3 qian), Dahuang (Rhubarb Root, 4 qian), Gualou (Trichosanthes Fruit, 1 piece), Danggui (Angelica Sinensis Root, 1.5 qian), Gancao (Licorice Root, 1.5 qian), Zhiqiao (Aurantium Fruit, 1.5 qian).
Divide into two doses. For each dose, decoct with one cup of water and one cup of wine. Take at any time.
Feilong Duoming Dan (Flying Dragon Life-Taking Pill)
Da Nanxing (Arisaema Rhizome, 1 qian), Xionghuang (Realgar, 1 qian), Badou (Croton Seed, 1 qian), Sha (Sandarac/Ammonium Chloride?, 1 qian), Huangdan (Lead Tetroxide, 0.5 qian), Xinshi (Arsenolite, 0.5 qian), Ruxiang (Frankincense, 0.5 qian), Banmao (Mylabris Beetle, 16 pieces, wings and legs removed), Shexiang (Musk, a small amount).
Grind into powder, mix with Chan Su (Toad Venom) to form pills the size of millet seeds. Take 11-12 or 14-15 pills per dose, depending on the size and location of the sore, taken with good wine after meals.
Shengji Tuoli Tang (Holy Relief Support-the-Interior Decoction)
Ruxiang (High-quality Frankincense, 1 liang), Zhen Lüdou Fen (True Mung Bean Starch, 4 liang).
Grind into powder, mix evenly. Take 1 liang per dose, administered with Gancao Tang (Licorice Decoction).
Fanhun Dan (Soul-Returning Pill)
Treats the thirteen types of Ding sores.
Zhusha (Cinnabar, 5 qian), Danfan (Chalcanthite, 5 qian), Xuexie (Dragon's Blood, 1 liang), Tonglv (Malachite, 1 liang), Wo Niu (Snail, 1 liang), Xionghuang (Realgar, 2 liang), Ku Baifan (Calcined Alum, 2 liang), Qingfen (Calomel, 5 qian), Moyao (Myrrh, 5 qian), Chan Su (Toad Venom, 5 qian), Shexiang (Musk, a small amount).
Grind into powder. Pounded snails and toad venom are mixed extremely well to form pills the size of a Chinese quince seed. Take one pill per dose. The patient should first chew 3 cun of scallion white, spit it into the palm, wrap the pill in the scallion, and swallow with hot wine. After walking about five li, if sweating occurs, the disease will heal.
Zijin Dan (Purple Gold Pill)
Treats Ding poison where toxic vapors have entered the interior, causing incessant restlessness. Also miraculously effective for treating carbuncles, back sores, and malignant ulcers.
This is identical to Fanhun Dan but without snail, musk, and myrrh.
Administer as described above.