小儿暑月头额生疖，亦可用。
生水蛭（一名马蟥蜞。取数枚，置碗水中，用讫纵之。冬月蛰于积水边，或田塍水道边
，掘土取之。）
上用薄纸一片，剪丸如疮大；仍看疮脓头有几个，其纸对脓头作小眼，搭在疮上。将水
蛭着在纸眼处，每一脓头用一水蛭，要得先咂去脓，其痛立止。如无脓头，即以手指按之，
觉最热处是也。或用茶末，以水调涂疮上，看先干处即点记，如不能辨，即着在中间。如脓
头只一个，而赤晕稍大，即近中处加用水蛭。如脓血咂尽，痛定肿退，可用膏药贴之。
绍兴中汀州黄守（武），疽发肩背之间，医药不瘥，用水蛭立效。因就寝盖被稍暖，睡
觉
衣被皆湿，以烛视之，乃疮口自出血也。（水蛭咂尽恶血，不曾贴膏药，身暖，好血随路而
出。）急令取池中藕，将藕节处泥抹疮口，其血立止。按本草云，水蛭攻痈肿毒肿，取十余
枚病处，取皮皱肉白，无不瘥。冬月中无水蛭虫，地中掘取，暖水中养之，令动。先洗去
人皮咸，以竹筒盛蛭，缀之，须臾便咬，血满自脱，更用饥者。（张仲钦运使传云，绍兴壬
申岁，沿檄至汀，亲目其事。）
平补真元，益养脾肾，固精壮气，暖胃思食。（督府王翰林方。丞相兄旧苦香港脚，自服
此药，十余年不作。）
鹿茸（一两，先用草烧去毛，切作片子，用酥炙，令香熟为度） 苁蓉（四两，酒浸一
宿
，切作片子，焙干） 菟丝子（六两，酒浸两宿，炒令半干，捣作饼子，焙） 牛膝（二两，
酒
浸一宿，切，焙） 熟干地黄（二两，炒，焙） 真乌药（一两） 川五味子（一两） 附
子（一两，
炮，去皮脐） 白术（一两） 天麻（一两） 补骨脂（一两，炒） 葫芦巴（一两，炒） 茴
香（一
两，炒） 干淡木瓜（一两） 沉香（一分） 木香（一钱，面煨） 丁香（二钱，不见火）
上件捣罗为细末，酒糊为丸，如梧桐子大；每服三五十丸，空心临卧，米饮、温酒、盐
汤下。
取水蛭（又名马蟥蜞。取数枚，放入盛有清水的碗中，使用完毕后将其放归自然。冬季时水蛭蛰伏在积水旁或田埂水道边，挖掘泥土即可取得。）
用一片薄纸剪成与疮口大小相仿的圆片；观察疮口脓头有几个，在纸上对应脓头的位置剪出小孔，将纸片敷在疮上。将水蛭放置在纸孔处，每个脓头放置一只水蛭，目的是先吸吮排出脓液，疼痛随即停止。如果没有明显的脓头，就用手指按压，感觉最热的地方就是病灶所在。或者用茶末加水调匀涂抹在疮上，观察哪部分先变干并做标记；如果无法辨别，就贴在中间。如果脓头只有一个但周围红晕较大，就在靠近中心的地方增加水蛭的数量。如果脓血被吸尽，疼痛停止、肿胀消退，可以使用膏药贴敷。
宋高宗绍兴年间，汀州知州黄武，肩背之间发生疽病，药物治疗无效，使用水蛭疗法立刻见效。因为睡觉时盖被稍暖，醒来时发现衣服和被子都湿了，用蜡烛照看，发现是疮口自行出血。（这是因为水蛭吸尽了恶血，没有贴膏药，身体温暖，好血顺着路径流出。）急忙让人取来池塘中的莲藕，用藕节处的泥巴涂抹疮口，出血立刻停止。据《本草》记载，水蛭能攻治痈肿毒肿，取十余枚置于患处，待皮肤起皱、肌肉发白，无不治愈。冬季水中无水蛭虫时，从地下挖掘取出，放在温水中饲养使其活动。先洗去人体皮肤的咸味，用竹筒盛放水蛭，悬挂起来，片刻后便会咬住吸血，血满自脱，再换饥饿的水蛭。（张仲钦运使传述：绍兴壬申年，他奉命巡视至汀州，亲眼目睹了此事。）
平补真元，益养脾肾，固精壮气，暖胃增进食欲。（出自督府王翰林方。丞相的兄长长期苦于香港脚，自从服用此药，十多年未再发作。）
鹿茸（一两，先用草烧去毛，切成片，用酥油炙烤，直到香气熟透为止） 肉苁蓉（四两，酒浸一夜，切成片，焙干） 菟丝子（六两，酒浸两夜，炒至半干，捣碎做成饼状，焙干） 牛膝（二两，酒浸一夜，切片，焙干） 熟干地黄（二两，炒，焙干） 真乌药（一两） 川五味子（一两） 附子（一两，炮制，去皮脐） 白术（一两） 天麻（一两） 补骨脂（一两，炒） 葫芦巴（一两，炒） 茴香（一两，炒） 干淡木瓜（一两） 沉香（一分） 木香（一钱，面粉煨） 丁香（二钱，不经过火烤）
以上药材捣碎过筛成细粉，用酒糊制作成丸药，大小如梧桐子；每次服用三五十丸，空腹或睡前，用米汤、温酒或盐汤送服。
For children developing boils on the forehead during the summer months, this method can also be used.
Freshwater leeches (also known as *Ma Huang Qi*. Take several, place them in a bowl of water, and release them after use. In winter, they hibernate near stagnant water or field ditches; dig up the soil to retrieve them.)
Cut a piece of thin paper into a circle the size of the sore; observe how many pus heads are present, and cut small holes in the paper corresponding to each pus head. Place the paper over the sore. Position the freshwater leeches on the holes in the paper, using one leech per pus head, to first suck out the pus, which will immediately stop the pain. If there is no obvious pus head, press with fingers; the hottest spot indicates the lesion. Alternatively, mix tea powder with water and apply it to the sore; mark where it dries first. If indistinguishable, apply to the center. If there is only one pus head but a slightly larger area of redness, add more leeches closer to the center. Once the pus and blood are fully sucked out, pain subsides, and swelling recedes, apply a medicated plaster.
During the Shaoxing era of Emperor Gaozong's reign, Huang Wu, the Prefect of Tingzhou, developed a carbuncle between his shoulder and back. Medical treatments were ineffective, but treatment with freshwater leeches yielded immediate results. Because he slept under a slightly warm quilt, he woke up to find his clothes and bedding soaked. Upon inspection by candlelight, it was found that the wound had spontaneously bled. (This occurred because the leeches had sucked out all the foul blood; without the application of a plaster and due to body warmth, healthy blood flowed out along the path.) He urgently ordered lotus roots from the pond to be fetched, and mud from the lotus root joints was applied to the wound, stopping the bleeding immediately. According to the *Bencao* (Materia Medica), freshwater leeches attack and treat carbuncles and toxic swellings. Placing about ten leeches on the affected area until the skin wrinkles and the flesh turns white ensures recovery. In winter, when freshwater leeches are not available in water, they can be dug from the ground and kept in warm water to stimulate activity. First, wash away the saltiness from human skin, store the leeches in a bamboo tube, suspend them; within moments, they will bite and suck blood, detaching themselves when full. Use hungry leeches subsequently. (Zhang Zhongqin, the Transport Commissioner, recounted: In the Ren-Shen year of Shaoxing, while inspecting Tingzhou, I witnessed this personally.)
Tonifies the True Yuan (Original Qi) evenly, benefits and nourishes the Spleen and Kidneys, secures Essence and strengthens Qi, warms the Stomach, and promotes appetite. (Prescription from Imperial Physician Wang of the Directorate of Imperial Academy. The Prime Minister's brother suffered from Hong Kong Foot [Tinea Pedis] for years; since taking this medicine, he has been free of it for over ten years.)
Deer Antler Velvet (*Lurong*, 1 liang): First burn off hair with grass, slice, and roast with butter until fragrant and thoroughly cooked.
Cistanche (*Congrong*, 4 liang): Soak in wine overnight, slice, and dry-roast.
Dodder Seed (*Tusizi*, 6 liang): Soak in wine for two nights, stir-fry until half-dry, pound into cakes, and dry-roast.
Achyranthes Root (*Niuxi*, 2 liang): Soak in wine overnight, slice, and dry-roast.
Prepared Rehmannia Root (*Shu Dihuang*, 2 liang): Stir-fry and dry-roast.
True Lindera Root (*Zhen Wuyao*, 1 liang).
Sichuan Schisandra Berry (*Chuan Wuweizi*, 1 liang).
Prepared Aconite Root (*Fuzi*, 1 liang): Processed, peel and remove the navel.
Atractylodes Rhizome (*Baizhu*, 1 liang).
Gastrodia Tuber (*Tianma*, 1 liang).
Psoralea Fruit (*Buguzhi*, 1 liang): Stir-fry.
Fenugreek Seed (*Huluba*, 1 liang): Stir-fry.
Fennel Fruit (*Huixiang*, 1 liang): Stir-fry.
Dried Quince (*Gan Dan Mugua*, 1 liang).
Agarwood (*Chenxiang*, 1 fen).
Costus Root (*Muxiang*, 1 qian): Roasted in flour.
Cloves (*Dingxiang*, 2 qian): Do not expose to direct fire.
Pound all ingredients into a fine powder. Make pills using wine paste, sized like wutong tree seeds. Take 30-50 pills at a time, either on an empty stomach or before bed, swallowed with rice gruel, warm wine, or salted water.