（附论）
夫瘭疽为病。毒发疾转。不旋踵而害人。故其字从票音。同于飘风之飘。治之不可稍缓
也。古人谓人受恶风。入于肌脉。变成斯病。盖厉风蕴伏。初未知觉。毒郁既发。则若火炽
烈不可响迩。是以其伏隐少而深。实黯黑而不明。其痛复应于心。毒瓦斯已深。故其证如此。
瘭疽者。肉中忽生点子如豆粒。小者如黍粟。剧者如梅李。或赤或黑。或青或白。其状
不定。有根不浮肿。痛伤之应心。根深至肌。经久便四面悉肿。 黯熟紫黑色。能坏烂筋骨。
若毒散逐脉。入脏杀人。南人名为拓着。毒浓肉处。即割去之。亦烧铁烙之。令焦如炭。或
灸百壮。或饮葵根汁。或饮蓝青汁。若犀角汁。及升麻汁。竹沥黄龙汤等。诸单方治。专去
其热取瘥。其病喜着十指。故与代指相似。人不识之。呼作代指。不急治之。亦逐脉上入脏
杀人。南方人得之。皆斩其指。初指头先作黯 。后始肿赤黑黯。 痛入心是也。
复有恶肉者。身上忽有肉如黑豆粒。突出便长。推出如牛马乳。上如鸡冠状。不治自长
出不止。亦不痛痒。此由春冬之时。受恶风入肌脉中。变成此疾。治之宜服漏芦汤。外烧铁
烙之。日日为之。令焦尽。即以升麻膏敷上。积日乃瘥。
其发赤黑青白。色变不常。或臂或臀。或口齿。或肚脐。发无定处。大概多见于手指之
间。根深入肌走臂逆肿。毒血流注。贯串筋脉。烂肉见骨出血。及多令人串痛狂言。痛入于
心即死。突起出于外肾者亦死。此疮最虑引风。治法宣毒行血。尤当于心肾焉。盖心为万病
之门。败血郁滞。烦燥嗳闷。皆毒瓦斯攻心之故也。心家为毒所攻。若于小便利之。又恐外肾
虚怯。易至伤风。势得宣毒于大便。如栝蒌酒之入没药、五灵脂、皂荚刺。带生灰是也。是
虽大便引导毒瓦斯。然清心行血。去风邪之剂。如何为废。心清血行。风邪解散。庶乎有瘳矣。
经云。在指则截。在肉则割。盖虑毒瓦斯随风走肌。随脉入腹。倏忽害人。此疾初因感受恶风。
入于脉理。或伤寒瘴疟之后。毒变所生。凡痈疽发开一寸。则一寸引风。非必风入于中。虚
处自引风也。惟风邪袭虚。则溃烂透骨。恶血横流（天南星、生半夏、白芷梢散。能去风。
可以频敷。其疮疗理推展。疽痈发度行之）。
瘭疽一名蛇瘴。南地多有蛇毒。吐毒于蛮烟瘴雨之乡。人有伏水土风气感而触之者。数
月以还。未有不发为蛇瘴也。惟赤蜈蚣。伏蛇最为上药。雄黄、白芷次之。诸蛇药亦可以制
其毒矣（雄黄有毒烂肌。但宜和蛇药用）。
胸中痛少气。急入暗中。以手掩左眼。若右眼视见光者。胸中结痈也。若不见光。瘭疽
内发。若吐脓血。此不疗之疾。宜以灰掩脓血上。不尔、着旁人也。又齿间臭热血出。是瘭
疽也。七日死。疗所不瘥。宜以灰掩地血。
方
麝香摩膏（出圣惠方）治瘭疽散毒瓦斯。
麝香（半两细研） 莽草（二两） 川升麻（三两） 寒水石 黄芩（各二两） 羚羊
角屑 射
干（各三两） 丹砂（细研） 芎 （各二两） 川大黄（三两） 鸡舌香（二两） 生地
黄（二升）
羊脂（一斤） 木香（二两） 上药细锉。以猪脂二斤。入地黄汁羊脂诸药。煎候黄芩黑色。
绵
滤去滓。入麝香、丹砂末搅令匀。收瓷盒中。频频以摩疮上。
丹砂膏（出圣惠方）治瘭疽。
丹砂（细研） 犀角屑 射干 大黄（锉炒） 芎 黄芩（去黑心） 升麻 前胡（去
芦头） 沉香 木香（各一两） 猪脂（二斤半） 生地黄（二两） 麝香（半分研） 上
除丹砂、麝香、
猪脂外。锉碎。以醋半升和匀。浸一宿。先熬脂令沸。次下诸药煎。候地黄赤黑色。以绞去
滓。入丹砂、麝香末。以柳篦搅匀。瓷盒盛。敷患处。日三五上。又取二匙。以温酒调。空
心日午服。一方温水调下半匙。
犀角丸（出圣济总录）治瘭疽初觉。宜速取利。
犀角屑（一两半） 大黄（锉炒） 黄芩（去黑心各二分） 防风 人参 当归（切焙）
黄 栀子仁 黄连（去须） 干盐 甘草（炙锉各半两） 巴豆（十二粒去皮心） 上除
巴豆外。捣
罗为末。研入巴豆令匀。炼蜜丸如桐子大。每日空心米饮下三丸。如未利。加五七丸。以利
为度。
猪蹄汤（出千金方）治瘭疽诸疸。十指头 赤痛痒。
白芷 大黄 芎 黄芩 黄连 甘草（各一两） 细辛 本 当归 藜芦 莽草（各
一两） 上 咀。以水二斗。先煮猪蹄一具。取一斗。煮药取五升浸疮。即瘥。一方无藜芦。
枳实汤（出千金方）治瘭疽。
射干 甘草 枳实 升麻 干地黄 黄芩（各二两） 麝香（二分） 前胡（三分） 犀
角
（六分） 大黄（一分） 上 咀。以水九升。煮取三升。下大黄沸。去滓。内麝香。分三
服
瘥。一方无大黄、升麻。加黄芩、麻黄、白薇、枳实、升麻、松叶。忌海藻。
漏芦汤 治瘭疽。
漏芦（去芦头） 白蔹 黄芩（去黑心） 麻黄（去根节） 白薇 枳实（炒） 升麻 芍
药
甘草（炙锉） 大黄（锉炒各一两） 上粗捣筛。每服五钱。水二盏。煎至一盏。去滓。空
心温
服。日三服。一方无白薇。
射干散 治瘭疽皮肉中忽生点子如麻豆大。或如桃李。肿痛不可忍。
射干 升麻 枳实（麸炒微黄） 川大黄（各一两锉碎微炒） 麝香（一分细研） 前
胡（一
两去芦头） 犀角屑（三分） 羚羊角屑（三分） 甘草（一两生锉） 上为粗散。入麝香
令匀。
每服四钱。水一中盏。煎至六分。去滓。不拘时温服。
款冬花膏 治瘭疽手足累累如米起。白色。刮之汁出。愈后复发。
款冬花（半两） 黄 （锉一两半） 升麻（一两） 赤小豆 附子（炮去皮脐） 苦
参（各一
两一分） 上为散。每服一钱。空心温酒调服。日再。加至二钱。
消毒散 治瘭疽炽甚。
藜芦 大黄（锉炒） 黄柏 黄连 当归 甘草（各一两） 上 咀如麻豆。以水一斗。
煮
至五升。去滓。浸淋疮处。即瘥。
薄拓汤（一名甘草汤）主瘭疽浸淫。欲作未成。如桃李核。或如鸡子。赤 方
。
甘草（炙） 黄芩 大黄 黄连 当归 芒硝（各一两） 上切。以水一斗。煮取三升。
绞
去滓。铛中下芒硝。一沸搅之。贴布帛中。以拓肿上数百遍。
青木香散 治瘭疽着手中肩背。累累如米起色白。刮之汁出。瘥后复发。
青木香 滑石 龙骨（各三两） 胡粉（一两） 米粉（一斤） 上为末。以粉病上。
日三。
黄连散 治瘭疽浸淫多汁。日渐大。
黄连（二两） 胡粉 甘草 茹（各二分） 上制下筛。以粉疮上。日三四度。（肘
后名
报粉散）
瘭方
生发（烧存性） 皂荚刺（烧带生各二分） 赤蜈蚣（半烧） 浓黄柏（各一分） 上
为细末。
用雄猪胆汁调敷。
又方
鸡内金 生发（各烧存性） 天南星 半夏（各等分生） 上为末。干掺之。
洗汤瘭疽方
荆芥穗 白芷 汉椒（去目） 葱白连根（各等分） 上用井水煎入盐候温。自手背上
荡下。日三次。瘭疽毒瓦斯走背肿。所至处紧系之。
又方 治瘭疽着手足肩臂。累累如米起白色。刮之汁出。瘥后复发。
灶屋尘 釜下土（各一升） 上合研令匀。以水一斗。煮三沸。取汁洗。日三四度。
鱼发膏 治如前。
鲫鱼（长三寸者） 乱发（鸡子大） 猪脂（一斤） 上煎为膏。敷。
又方 治瘭疽。
皂荚刺（烧带生） 白芨（少许） 上为细末。掺诸疮用。
黄连散 治卒得瘭疽。一名烂疮。
黄连（去须捣末） 胡粉（各一两） 上药相和。研令匀细。以油调涂之。此疮初起作
瘾疹。
疼痛 赤。宜用生铁烧赤。二七遍入水中。日二三度。以洗之。
治瘭疽无头脑出。在指甲上。
独头蒜（一两） 杏仁（一两去皮尖汤浸） 上药烂研相和。炒令热。敷疮上。以软帛
系之。
数易。
治瘭疽着手肩背。累累如米起色白。刮之汁出。瘥后复发。（出千金方）
用虎屎白者。以马屎和。曝干。烧为灰。粉之良。一方用马屎和之。亦可。
又方（出千金方）
用麻子熬作末。摩上良。
又方（出千金方）
用酒和面。敷之。
又方（出千金方）
以猪胆敷之良。
又方（出千金方）
剥去疮痂。温醋干泔清洗之。以胡燕窠和百日男孩屎如膏。敷之。用煮芸苔菜取汁一升
服之。并食干熟芸苔数顿。少与盐酱。冬月研子。水和服之。
又方（出千金方）
用枸杞子根并葵根煮汁。煎如糖。随意服之。
又方（出千金方）
用腊月糖。昼夜连浸。数日乃愈。
瘭方（出千金方）
用生发烧灰。存性为末。米汤调服。兼敷漏疮。一方治发背。宜服之。
治卒得瘭疽。一名烂疮。（出圣惠方）
用烧牛粪作灰。细研。用油调敷之。
治瘭疽着手足。累累如米豆。刮之汁出。（出圣惠方）
用蔓荆子二两。炒熟为细散。以猪脂和敷其上。一方无猪脂。绵裹敷之。
治瘭方（出直指方）
用燕巢和百雀儿粪研膏。敷之。
治瘰疽彻骨痒者（出本草）
以狗屎烧灰。敷疽疮。勿令病者知。
治时行热 疮\x
用羊胆以醋和。服之良。
（附论）
瘭疽这种病，毒邪发作迅速，转瞬之间就会危害生命。所以它的字从“票”音，如同飘风之“飘”。治疗时不可稍有迟缓。古人认为人受恶风侵袭，进入肌肉血脉，从而变成这种病。大概是厉风蕴藏潜伏，起初并未察觉，毒邪郁结一旦发作，就像烈火炽烈一样不可靠近。因此它潜伏隐蔽且深在，颜色实而黯黑不明。疼痛又应合于心，因为毒气已经深入，所以症状如此。
瘭疽，是肉中忽然生出像豆粒大小的点状物，小的像黍粟，严重的像梅李。颜色或红或黑，或青或白，形状不定。有根基但不浮肿，触碰疼痛感应到心脏，根深达于肌肉，时间久了便向四周全部肿胀，呈暗熟紫黑色，能腐蚀烂坏筋骨。如果毒邪散开沿经脉内传，入脏则杀人。南方人称之为“拓着”，毒液浓聚在肉处，就割除它，也用烧红的铁器烙烫，使其焦黑如炭。或者灸百壮，或者饮用葵根汁、蓝青汁、犀角汁、升麻汁、竹沥、黄龙汤等单方治疗，专门去除热邪以求痊愈。此病喜欢长在十指上，所以与代指相似，人们不认识它，呼作代指。如果不及时治疗，也会沿经脉向上入脏杀人。南方人得了这个病，都斩断手指。初起时指头先变暗，然后才肿赤黑黯，痛入心就是这种情况。
又有恶肉者，身上忽然长出像黑豆粒一样的肉，突出后便生长，推出来像牛马乳房，上面像鸡冠状，不治疗就会自行生长不止，也不痛不痒。这是由于春冬之时，受恶风侵入肌脉中，变成此疾。治疗适宜服用漏芦汤，外用烧红的铁器烙烫，每天这样做，使其焦尽，然后用升麻膏敷在上面，积累时日才能痊愈。
其发病颜色赤黑青白，色变无常。或在手臂，或在臀部，或在口齿，或在肚脐，发作没有固定位置。大概多见于手指之间，根深入肌肉走向手臂逆向肿胀，毒血流注，贯穿筋脉，烂肉见骨出血，以及多使人串痛狂言，痛入于心即死。突起出于外肾的也死。此疮最担心引动风邪，治法宜宣通毒邪、行血，尤其应当顾护心肾。因为心是万病的门户，败血郁滞，烦躁嗳闷，都是毒邪攻心的缘故。心家被毒邪所攻，如果通过小便利导，又恐怕外肾虚怯，容易遭受风邪，势必要通过大便引导毒邪，比如栝蒌酒加入没药、五灵脂、皂荚刺（带生灰）。这虽然是通过大便引导毒邪，然而清心行血、去风邪的药剂，怎么能废弃呢？心清血行，风邪解散，或许就能痊愈了。经书说：在指则截肢，在肉则割除。大概是担心毒邪随风走窜肌肉，随脉入腹，倏忽间害人。此疾初起因感受恶风，进入脉理，或在伤寒瘴疟之后，毒变所生。凡是痈疽发开一寸，则一寸引风，并非一定是风进入其中，而是虚处自引风邪。只有风邪袭击虚处，才会溃烂透骨，恶血横流（天南星、生半夏、白芷梢散，能去风，可以频繁敷用，其疮疗理推展，疽痈发度行之）。
瘭疽一名蛇瘴。南方多地有蛇毒，吐毒于蛮烟瘴雨之乡，人有伏水土风气感而触之者，数月以后，无不发为蛇瘴。只有赤蜈蚣，伏蛇最为上药，雄黄、白芷次之。诸蛇药也可以制约其毒（雄黄有毒烂肌，但宜和蛇药用）。
胸中痛少气，急入暗中，以手掩左眼，若右眼视见光者，胸中结痈也。若不见光，瘭疽内发。若吐脓血，此不疗之疾，宜以灰掩脓血上，不尔、着旁人也。又齿间臭热血出，是瘭疽也。七日死，疗所不瘥，宜以灰掩地血。
方
麝香摩膏（出自《圣惠方》），治瘭疽散毒瓦斯。
麝香（半两细研） 莽草（二两） 川升麻（三两） 寒水石 黄芩（各二两） 羚羊角屑 射干（各三两） 丹砂（细研） 川芎（各二两） 川大黄（三两） 鸡舌香（二两） 生地黄（二升） 羊脂（一斤） 木香（二两）。上药细锉，以猪脂二斤，入地黄汁羊脂诸药，煎候黄芩黑色，绵滤去滓，入麝香、丹砂末搅令匀，收瓷盒中，频频以摩疮上。
丹砂膏（出自《圣惠方》），治瘭疽。
丹砂（细研） 犀角屑 射干 大黄（锉炒） 川芎 黄芩（去黑心） 升麻 前胡（去芦头） 沉香 木香（各一两） 猪脂（二斤半） 生地黄（二两） 麝香（半分研）。上除丹砂、麝香、猪脂外，锉碎，以醋半升和匀，浸一宿，先熬脂令沸，次下诸药煎，候地黄赤黑色，以绞去滓，入丹砂、麝香末，以柳篦搅匀，瓷盒盛，敷患处，日三五上。又取二匙，以温酒调，空心日午服。一方温水调下半匙。
犀角丸（出自《圣济总录》），治瘭疽初觉，宜速取利。
犀角屑（一两半） 大黄（锉炒） 黄芩（去黑心各二分） 防风 人参 当归（切焙） 黄芪 栀子仁 黄连（去须） 干盐 甘草（炙锉各半两） 巴豆（十二粒去皮心）。上除巴豆外，捣罗为末，研入巴豆令匀，炼蜜丸如桐子大，每日空心米饮下三丸，如未利，加五七丸，以利为度。
猪蹄汤（出自《千金方》），治瘭疽诸疸，十指头赤痛痒。
白芷 大黄 川芎 黄芩 黄连 甘草（各一两） 细辛 藁本 当归 藜芦 莽草（各一两）。上咀，以水二斗，先煮猪蹄一具，取一斗，煮药取五升浸疮，即瘥。一方无藜芦。
枳实汤（出自《千金方》），治瘭疽。
射干 甘草 枳实 升麻 干地黄 黄芩（各二两） 麝香（二分） 前胡（三分） 犀角（六分） 大黄（一分）。上咀，以水九升，煮取三升，下大黄沸，去滓，内麝香，分三服瘥。一方无大黄、升麻，加黄芩、麻黄、白薇、枳实、升麻、松叶，忌海藻。
漏芦汤，治瘭疽。
漏芦（去芦头） 白蔹 黄芩（去黑心） 麻黄（去根节） 白薇 枳实（炒） 升麻 芍药 甘草（炙锉） 大黄（锉炒各一两）。上粗捣筛，每服五钱，水二盏，煎至一盏，去滓，空心温服，日三服。一方无白薇。
射干散，治瘭疽皮肉中忽生点子如麻豆大，或如桃李，肿痛不可忍。
射干 升麻 枳实（麸炒微黄） 川大黄（各一两锉碎微炒） 麝香（一分细研） 前胡（一两去芦头） 犀角屑（三分） 羚羊角屑（三分） 甘草（一两生锉）。上为粗散，入麝香令匀，每服四钱，水一中盏，煎至六分，去滓，不拘时温服。
款冬花膏，治瘭疽手足累累如米起，白色，刮之汁出，愈后复发。
款冬花（半两） 黄芪（锉一两半） 升麻（一两） 赤小豆 附子（炮去皮脐） 苦参（各一两一分）。上为散，每服一钱，空心温酒调服，日再，加至二钱。
消毒散，治瘭疽炽甚。
藜芦 大黄（锉炒） 黄柏 黄连 当归 甘草（各一两）。上咀如麻豆，以水一斗，煮至五升，去滓，浸淋疮处，即瘥。
薄拓汤（一名甘草汤），主瘭疽浸淫，欲作未成，如桃李核，或如鸡子，赤[此处原文缺字，推测为赤色]方。
甘草（炙） 黄芩 大黄 黄连 当归 芒硝（各一两）。上切，以水一斗，煮取三升，绞去滓，铛中下芒硝，一沸搅之，贴布帛中，以拓肿上数百遍。
青木香散，治瘭疽着手中肩背，累累如米起色白，刮之汁出，瘥后复发。
青木香 滑石 龙骨（各三两） 胡粉（一两） 米粉（一斤）。上为末，以粉病上，日三。
黄连散，治瘭疽浸淫多汁，日渐大。
黄连（二两） 胡粉 甘草 茹（各二分）。上制下筛，以粉疮上，日三四度。（《肘后方》名报粉散）
瘭方
生发（烧存性） 皂荚刺（烧带生各二分） 赤蜈蚣（半烧） 浓黄柏（各一分）。上为细末，用雄猪胆汁调敷。
又方
鸡内金 生发（各烧存性） 天南星 半夏（各等分生）。上为末，干掺之。
洗汤瘭疽方
荆芥穗 白芷 汉椒（去目） 葱白连根（各等分）。上用井水煎入盐候温，自手背上荡下，日三次。瘭疽毒瓦斯走背肿，所至处紧系之。
又方，治瘭疽着手足肩臂，累累如米起白色，刮之汁出，瘥后复发。
灶屋尘 釜下土（各一升）。上合研令匀，以水一斗，煮三沸，取汁洗，日三四度。
鱼发膏，治如前。
鲫鱼（长三寸者） 乱发（鸡子大） 猪脂（一斤）。上煎为膏，敷。
又方，治瘭疽。
皂荚刺（烧带生） 白芨（少许）。上为细末，掺诸疮用。
黄连散，治卒得瘭疽，一名烂疮。
黄连（去须捣末） 胡粉（各一两）。上药相和，研令匀细，以油调涂之。此疮初起作瘾疹，疼痛赤，宜用生铁烧赤，二七遍入水中，日二三度，以洗之。
治瘭疽无头脑出，在指甲上。
独头蒜（一两） 杏仁（一两去皮尖汤浸）。上药烂研相和，炒令热，敷疮上，以软帛系之，数易。
治瘭疽着手肩背，累累如米起色白，刮之汁出，瘥后复发。（出自《千金方》）
用虎屎白者，以马屎和，曝干，烧为灰，粉之良。一方用马屎和之，亦可。
又方（出自《千金方》）
用麻子熬作末，摩上良。
又方（出自《千金方》）
用酒和面，敷之。
又方（出自《千金方》）
以猪胆敷之良。
又方（出自《千金方》）
剥去疮痂，温醋干泔清洗之，以胡燕窠和百日男孩屎如膏，敷之。用煮芸苔菜取汁一升服之，并食干熟芸苔数顿，少与盐酱。冬月研子，水和服之。
又方（出自《千金方》）
用枸杞子根并葵根煮汁，煎如糖，随意服之。
瘭方（出自《千金方》）
用生发烧灰，存性为末，米汤调服，兼敷漏疮。一方治发背，宜服之。
治卒得瘭疽，一名烂疮。（出自《圣惠方》）
用烧牛粪作灰，细研，用油调敷之。
治瘭疽着手足，累累如米豆，刮之汁出。（出自《圣惠方》）
用蔓荆子二两，炒熟为细散，以猪脂和敷其上。一方无猪脂，绵裹敷之。
治瘰疽彻骨痒者（出自《本草》）
以狗屎烧灰，敷疽疮，勿令病者知。
治时行热[疮]
用羊胆以醋和，服之良。
(Attached Discussion)
Biao Ju (Biao Abscess), as a disease, has toxic pathogens that erupt rapidly, harming people within the blink of an eye. Therefore, its character is pronounced from "Piao" (fleeing), similar to the drifting of a gusty wind. Treatment must not be delayed in the slightest. The ancients stated that humans are afflicted by evil winds entering the muscles and vessels, transforming into this disease. It is likely that severe wind pathogens lie dormant and hidden, initially imperceptible; once the toxic qi stagnates and erupts, it becomes fierce like raging fire, unbearable to approach. Thus, its concealment is deep, appearing solid, dark, and obscure. The pain corresponds to the Heart, as the toxic qi has penetrated deeply, hence such symptoms.
Biao Ju manifests as sudden nodules in the flesh, sized like bean grains, small ones like millet seeds, severe cases like plums or peaches. Colors may be red, black, green, or white, with indeterminate shapes. They have roots but do not swell edematically; touching them causes pain that resonates with the Heart. The root extends deep into the muscle; after a long time, swelling spreads in all directions, turning dark purple-black, capable of destroying bones and tendons. If the toxin scatters along the meridians and enters the Zang organs, it kills. People in the South call it "Tuo Zhuo." Where the toxin concentrates in the flesh, it is surgically excised, or cauterized with a hot iron until charred like charcoal. Alternatively, moxibustion of one hundred burns is applied, or decoctions of Abelmoschus esculentus root juice, Indigofera tinctoria juice, Rhinoceros Horn juice, Cimicifuga foetida juice, Phyllostachys heterocycle bamboo sap, or Huanglong Tang are drunk. These single-herb treatments focus on clearing heat to achieve recovery. This disease favors the ten fingers, resembling Dai Zhi (Paronychia); because people do not recognize it, they call it Dai Zhi. If not treated urgently, it travels up the meridians into the Zang organs, killing. Southerners who contract this often amputate the finger. Initially, the fingertip turns dark, then swells red, black, and dark; pain piercing the Heart indicates this condition.
There is also a type called "E Rou" (Malignant Flesh), where flesh suddenly grows on the body like black bean grains, protruding and elongating, resembling cow or horse teats, with a top like a rooster's comb. Untreated, it grows continuously without pain or itching. This results from evil winds invading the muscles and vessels during spring and winter. Treatment should involve taking Loulu Tang externally cauterized with a hot iron daily until charred, then applying Shengma Ointment. Recovery takes accumulated days.
The eruption colors—red, black, green, white—change unpredictably. It may appear on arms, buttocks, mouth/teeth, or umbilicus, with no fixed location. Generally, it is more common between fingers. Roots penetrate deep into muscles, swelling inversely towards the arm; toxic blood flows and injects, penetrating sinews and vessels, rotting flesh to expose bone and bleeding. It often causes radiating pain, delirious speech, and death if pain pierces the Heart. Protrusions on the external genitalia also result in death. This sore most fears attracting Wind pathogens. Treatment methods should promote detoxification and blood circulation, paying special attention to the Heart and Kidney. The Heart is the gateway for all diseases; stagnant敗 blood, irritability, and chest oppression are due to toxic qi attacking the Heart. When the Heart is attacked by toxins, promoting urination might weaken the external genitalia and make one susceptible to wind; thus, it is necessary to guide toxins out through the stool, such as using Gualou Wine with Myrrha, Trogopterus Dung, and Gleditsia Sinensis thorn (with ash). Although this guides toxins via the stool, formulas that clear the Heart, circulate blood, and dispel wind cannot be discarded. With a clear Heart and circulating blood, wind pathogens disperse, leading to potential recovery. Classics state: if on the finger, amputate; if in the flesh, excise. This is to fear toxins traveling with wind through muscles and entering the abdomen via meridians, harming people suddenly. This disease initially arises from contracting evil winds entering the vessel network, or following Typhoid fever/Miasmic Malaria, generated by toxic transformation. For every inch an abscess opens, wind is drawn in; it is not necessarily that wind enters, but deficient areas naturally attract wind. Only when wind pathogens attack deficiency does ulceration penetrate bone and malignant blood flow freely (Arisaema cum Bile, Pinellia Ternata, Angelica Dahurica tip powder can dispel wind and be frequently applied; the therapeutic principle expands, applicable to carbuncles and sores).
Biao Ju is also known as She Zhang (Snake Miasma). In southern regions, snake venom is prevalent, excreted in misty, miasmic lands. Humans exposed to water, soil, and wind patterns may contract it; months later, it invariably develops into Snake Miasma. Red Centipede is the best herb for subduing snakes; Realgar and Angelica Dahurica are secondary. Various snake antidotes can also control its toxicity (Realgar is toxic and damages flesh, but should be used with snake herbs).
Chest pain with shortness of breath, rushing into darkness, covering the left eye with hand; if light is seen with the right eye, it is a chest carbuncle. If no light is seen, Biao Ju erupts internally. If pus and blood are vomited, it is incurable; ashes should cover the pus/blood, otherwise, it infects others. Also, foul-smelling bloody discharge from teeth indicates Biao Ju. Death occurs in seven days; if treatment fails, cover ground blood with ashes.
Formulas
Shexiang Mo Gao (from *Shenghui Fang*), treats Biao Ju by dispersing toxic qi.
Moschus (half liang, finely ground) Caoyu Herb (two liang) Cimicifuga Foetida Rhizome (three liang) Calcitum (two liang) Scutellaria Baicalensis Root (two liang) Antelope Cornu (two liang) Belamcanda Chinensis Rhizome (three liang) Cinnabaris (finely ground) Ligusticum Chuanxiong Rhizome (two liang) Rheum Palmatum Rhizome (three liang) Litsea Cubeba Fruit (two liang) Rehmannia Glutinosa Root (two sheng) Mutton Fat (one jin) Costus Root (two liang). Finely chop the above herbs. Add two jin of lard, Rehmannia juice, mutton fat, and other herbs. Decoct until Scutellaria turns black. Strain through silk, remove dregs. Add Moschus and Cinnabaris powder, mix evenly. Store in a porcelain box. Frequently rub onto the sore.
Dansha Gao (from *Shenghui Fang*), treats Biao Ju.
Cinnabaris (finely ground) Rhinoceros Cornu (powdered) Belamcanda Chinensis Rhizome Rheum Palmatum Rhizome (chopped and stir-fried) Ligusticum Chuanxiong Rhizome Scutellaria Baicalensis Root (remove black heart) Cimicifuga Foetida Rhizome Peucedanum Praecox Root (remove radicle) Aquilaria Sinalis Wood (each one liang) Porcine Fat (two jin half liang) Rehmannia Glutinosa Root (two liang) Moschus (half fen, ground). Except for Cinnabaris, Moschus, and Porcine Fat, chop the rest finely. Mix with half sheng of vinegar, soak overnight. First boil the fat until bubbling, then add other herbs. Decoct until Rehmannia turns red-black. Strain, remove dregs. Add Cinnabaris and Moschus powder, mix evenly with a willow stick. Store in a porcelain box. Apply to affected area three to five times daily. Also take two chi, dissolve in warm wine, take on an empty stomach at noon. Another method: dissolve half chi in warm water.
Xijiao Wan (from *Shengji Zonglu*), treats early stage Biao Ju; induce purgation quickly.
Rhinoceros Cornu (one liang half) Rheum Palmatum Rhizome (chopped and stir-fried) Scutellaria Baicalensis Root (remove black heart, each two qian) Saposhnikovia Divaricata Root Ginseng Radix Angelica Sinensis Radix (cut and baked) Astragalus Membranaceus Root Gardeniae Jasminoides Seed Coptis Chinensis Rhizome (remove stamens) Dry Salt Licorice Root (roasted and chopped, each half liang) Croton Tiglium Seed (twelve grains, peel and remove heart). Except for Croton Tiglium Seed, grind into powder. Grind in Croton Tiglium Seed until uniform. Refine honey, make pills like Wisteria seeds. Take three pills with rice water on an empty stomach daily. If no purgation, increase by five to seven pills. Stop when purged.
Zhuti Tang (from *Qianjin Fang*), treats various jaundices of Biao Ju, red painful/itchy fingertips.
Angelica Dahurica Rhizome Rheum Palmatum Rhizome Ligusticum Chuanxiong Rhizome Scutellaria Baicalensis Root Coptis Chinensis Rhizome Licorice Root (each one liang) Asarum Europaeum Radix et Rhizoma Levisticum Officinale Root Angelica Sinensis Radix Veratrum Nigrum Rhizome Caoyu Herb (each one liang). Coarsely chop. Add two dou of water. First decoct one pig trotter, obtain one dou. Then decoct herbs to obtain five sheng. Soak the sore. Recover immediately. Another formula omits Veratrum Nigrum Rhizome.
Zhishi Tang (from *Qianjin Fang*), treats Biao Ju.
Belamcanda Chinensis Rhizome Licorice Root Immature Tangerine Fruit Cimicifuga Foetida Rhizome Dry Rehmannia Glutinosa Root Scutellaria Baicalensis Root (each two liang) Moschus (two qian) Peucedanum Praecox Root (three qian) Rhinoceros Cornu (six qian) Rheum Palmatum Rhizome (one qian). Coarsely chop. Add nine sheng of water, decoct to three sheng. Add Rheum Palmatum Rhizome, bring to boil. Strain, remove dregs. Add Moschus. Divide into three doses for recovery. Another formula omits Rheum Palmatum Rhizome and Cimicifuga Foetida Rhizome, adds Scutellaria Baicalensis Root, Ephedra Sinica Stem, Anemarrhena Asphodeloides Rhizome, Immature Tangerine Fruit, Cimicifuga Foetida Rhizome, Pine Needle. Avoid Algae.
Loulu Tang, treats Biao Ju.
Imperata Cylindrica Rhizome (remove radicle) Ampelopsis Japonica Root Scutellaria Baicalensis Root (remove black heart) Ephedra Sinica Stem (remove root joints) Anemarrhena Asphodeloides Rhizome Immature Tangerine Fruit (stir-fried) Cimicifuga Foetida Rhizome Paeonia Lactiflora Root Licorice Root (roasted and chopped) Rheum Palmatum Rhizome (chopped and stir-fried, each one liang). Coarsely sieve. Each dose five qian. Add two zhan of water, decoct to one zhan. Strain, remove dregs. Take warm on an empty stomach. Three times daily. Another formula omits Anemarrhena Asphodeloides Rhizome.
Shegan San, treats Biao Ju where spots suddenly appear in skin/flesh like hemp/millet seeds or plums/peaches, intolerable swelling/pain.
Belamcanda Chinensis Rhizome Cimicifuga Foetida Rhizome Immature Tangerine Fruit (bran-stir-fried slightly yellow) Rheum Palmatum Rhizome (each one liang, chopped, slightly stir-fried) Moschus (one qian, finely ground) Peucedanum Praecox Root (one liang, remove radicle) Rhinoceros Cornu (three qian) Antelope Cornu (three qian) Licorice Root (one liang, raw chopped). Make coarse powder. Add Moschus, mix evenly. Each dose four qian. Add one zhong zhan of water, decoct to six parts. Strain, remove dregs. Take warm anytime.
Kuantonghua Gao, treats Biao Ju where hands/feet have accumulations like rice grains, white color, scraping yields fluid, recurs after healing.
Adenophora Stricta Flower (half liang) Astragalus Membranaceus Root (chopped one liang half) Cimicifuga Foetida Rhizome (one liang) Vigna Angularis Seed Aconitum Carmichaelii Lateral Root (processed, peel and remove navel) Sophora Flavescens Root (each one liang one fen). Make powder. Each dose one qian, take with warm wine on empty stomach. Twice daily. Increase to two qian.
Xiaodu San, treats severe Biao Ju.
Veratrum Nigrum Rhizome Rheum Palmatum Rhizome (chopped and stir-fried) Phellodendron Amurense Bark Coptis Chinensis Rhizome Angelica Sinensis Radix Licorice Root (each one liang). Coarsely chop like hemp/millet seeds. Add one dou of water, decoct to five sheng. Strain, remove dregs. Soak/wash the sore. Recover immediately.
Botuo Tang (also named Gancao Tang), main treatment for spreading Biao Ju, forming but not yet mature, like plum/peach pits or eggs, red [missing character] formula.
Licorice Root (roasted) Scutellaria Baicalensis Root Rheum Palmatum Rhizome Coptis Chinensis Rhizome Angelica Sinensis Radix Mirabilite (each one liang). Cut. Add one dou of water, decoct to three sheng. Strain, remove dregs. Add Mirabilite to the pan, boil once, stir. Wrap in cloth, press/swell the swollen area hundreds of times.
Qingmuxiang San, treats Biao Ju affecting hands/shoulders/back, accumulations like rice grains, white color, scraping yields fluid, recurs after healing.
Aucklandia Root Talcum Dragon Bone (each three liang) Lead Powder (one liang) Rice Flour (one jin). Make powder. Dust on the disease site. Three times daily.
Huanglian San, treats spreading Biao Ju with much fluid, gradually enlarging.
Coptis Chinensis Rhizome (two liang) Lead Powder Licorice Root Ginger (each two qian). Process and sieve. Dust on the sore. Three to four times daily. (*Zhouhou Fang* names it Baofen San).
Biao Formula
Fresh Hair (burnt to retain nature) Gleditsia Sinensis Thorn (burnt with ash, each two qian) Red Centipede (half burnt) Concentrated Phellodendron Amurense Bark (each one qian). Make fine powder. Mix with male pig bile, apply.
Another Formula
Gallus Gallus Domesticus Internal Membrane Fresh Hair (both burnt to retain nature) Arisaema Cum Bile Pinellia Ternata (equal parts, raw). Make powder. Apply dry.
Washing Soup for Biao Ju
Schizonepeta Spike Angelica Dahurica Rhizome Sichuan Pepper (remove eyes) Scallion White with roots (equal parts). Decoct well water with salt until warm. Pour down from back of hand. Three times daily. Tie tightly where Biao Ju toxic qi travels to back swelling.
Another Formula, treats Biao Ju affecting hands/feet/shoulders/arms, accumulations like rice grains, white, scraping yields fluid, recurs after healing.
Household Dust Soil under Cauldron (each one sheng). Grind together uniformly. Add one dou of water, boil three times. Take juice to wash. Three to four times daily.
Yufa Gao, treats as above.
Crucian Carp (three cun long) Loose Hair (size of chicken egg) Pig Fat (one jin). Decoct into ointment. Apply.
Another Formula, treats Biao Ju.
Gleditsia Sinensis Thorn (burnt with ash) Bletilla Striata Tuber (small amount). Make fine powder. Sprinkle on sores.
Huanglian San, treats sudden onset Biao Ju, also named Lan Chuang (Rotting Sore).
Coptis Chinensis Rhizome (remove stamens, grind to powder) Lead Powder (each one liang). Mix herbs, grind fine. Mix with oil, apply. This sore starts like hives, painful/red. Use raw iron, heat red, quench in water twenty-eight times. Wash two to three times daily.
Treats Biao Ju without head/pus emerging, on fingernail.
Single-head Garlic (one liang) Apricot Kernel (one liang, peel/remove tips, soak in boiling water). Mash and mix herbs. Stir-fry until hot. Apply to sore. Tie with soft cloth. Change frequently.
Treats Biao Ju affecting shoulders/back, accumulations like rice grains, white, scraping yields fluid, recurs after healing. (From *Qianjin Fang*)
Use white tiger feces mixed with horse manure, sun-dry, burn to ash, dust. Good. Another method uses horse manure mixed, also acceptable.
Another Formula (From *Qianjin Fang*)
Toast sesame seeds, make powder, rub on. Good.
Another Formula (From *Qianjin Fang*)
Mix wine and flour, apply.
Another Formula (From *Qianjin Fang*)
Apply pig bile. Good.
Another Formula (From *Qianjin Fang*)
Peel off crust. Wash with warm vinegar/dry rice water. Mix swallow nest with hundred-day-old boy feces into paste, apply. Decoct Rapeseed vegetable, take one sheng juice orally. Eat dried cooked Rapeseed several meals. Add little salt/soy sauce. In winter, grind seeds, mix with water, take.
Another Formula (From *Qianjin Fang*)
Decoct Goji Root and Abelmoschus esculentus root, decoct until sugar-like. Take as desired.
Another Formula (From *Qianjin Fang*)
Use December Sugar, soak day and night. Recover in several days.
Biao Formula (From *Qianjin Fang*)
Burn fresh hair to ash, retain nature, make powder. Mix with rice water to take. Also apply to leaking sores. Another formula treats Back Carbuncle, suitable to take.
Treats sudden Biao Ju, named Lan Chuang. (From *Shenghui Fang*)
Burn cow dung to ash, grind fine. Mix with oil, apply.
Treats Biao Ju affecting hands/feet, accumulations like millet/beans, scraping yields fluid. (From *Shenghui Fang*)
Vitex Agnus-Castus Fruit two liang, stir-fry熟, make fine powder. Mix with pig fat, apply. Another formula omits pig fat, wrap in silk, apply.
Treats Biao Formula (From *Zhizhi Fang*)
Swallow nest and hundred sparrow droppings, grind into paste, apply.
Treats Luo Ju penetrating bone with itching. (From *Bencao*)
Burn dog feces to ash, apply to sore. Do not let patient know.
Treats Epidemic Heat [Sore]
Sheep Gallbladder mixed with vinegar, take. Good.