验方（《种福堂》）
杏仁（三十粒，去皮、尖） 雄黄（一钱五分） 轻粉（一钱）
研末。洗净以猪胆汁调上，二三日即愈。百发百中。
当归蒺藜煎（张景岳）。治痈疽疮疹，血气不足，邪毒不化，内无实热而痛淋漓
者，悉宜用之，此与芍药蒺藜相为奇正者。当酌其详。
当归 熟地 芍药（酒炒） 何首乌（各二钱） 荆芥穗 炙甘草 防风 川芎 白芷（各一
钱） 白蒺藜（炒，捣碎，五钱）
或酒或水煎服。然水不如酒以行药力。阳虚不能化毒者，加桂枝，再加干姜、附
子；气虚不能化毒者加人参、黄 ；毒陷不能外达者，加山甲、皂针。
芍药蒺藜煎 治通身湿热疮疹，及下部红肿热痛诸疮。
黄芩 龙胆草 木通 山栀 泽泻（各一钱五分） 生地 芍药（各二钱） 白蒺藜（连刺捶
碎，五钱，甚者一两）
白水煎服。如火不甚者，宜去龙胆草、山栀。
一切恶疮不愈，白蜜敷之，必效。
诸肿毒疮，疼痛不安，人所不识者。取独头蒜三四颗捣烂，入麻油和研，浓敷肿处，干再易之。
又方 初起即用赤小豆，井水调敷立消。
丹毒恶疮 马齿苋捣敷。
陈远公曰∶人久生恶疮，或手足、头面、胸背。经年累月不愈，臭腐不堪，百
药无效，人所谓顽疮者，言其冥顽，医功无所施力也，然亦治之不得法耳。人身气
血和，必不生疮，即间生疮，旬日速愈，是生疮者乃气血不和也。其不和者或因湿浸，
或因热盛，或湿热寒邪交至，以致气结不宣，血滞不散，结于皮而皮生疮，结于肉
而肉生疮。久则脓血不净，因而生虫，人又用杀虫之药伤其皮肉，则气血更虚，力
难兼到，弃皮肉于膜外而罔顾，则成疮矣。故治疮必以行气活血为主，而虫与毒不必
计也；然行气活血亦不易也，非补气血不可，盖气得补而气自行一身，血得补而血
自活于遍体也。救顽汤∶当归、白术、黄 、熟地、麦冬各一两，山萸、茯苓各五
钱，生甘草三钱，柴胡、防风、连翘各一钱，熟附子一片，半夏二钱。水煎服。二
剂疮口必肿，此乃药助气血与疮战也，乃
速愈之兆；又二剂不疼而痒矣；又二剂不再发。（《冰鉴》）此方单去行气活血，得补之
力也，气行血活，虫将安寄，故不必杀虫，顽疮自愈矣。
又曰∶有内股生疮，敛如豆许，翻出肉一块，宛如菌状，人以为虫蚀外翻也，谁
知肝经风热血燥之故乎！夫肝热则生风，风乃内风而非外风也；外风清凉，内风蕴热，
故外风宜散，内风宜清。然清其风而不补血，则热不能解而风不能疏也，必于养血
之中，益以清热之味，则燥者不燥，热退则风自静也。清风汤∶白芍一两，人参、当
归各五钱，白术、黑栀、丹皮、沙参、花粉各三钱，川芎二钱，柴胡、连翘、甘草
各一钱。水煎服。数剂疮口自敛。此方滋血以养肝，非消肉以化毒，何以敛疮而愈？
盖疮成于肝木之旺，平肝而血无过燥之虞，自然风散而热无炎灼之患，苟不平肝而内
用降火之品，外用追蚀之法，则蚀而又翻，翻而又蚀，其肉愈大，其气益虚，变出非常，恐难援救耳。
验方（出自《种福堂》）
杏仁（三十粒，去皮和尖） 雄黄（一钱五分） 轻粉（一钱）
研成粉末。洗净患处后，用猪胆汁调和药末敷上，两三天即可痊愈。效果确切，百发百中。
当归蒺藜煎（张景岳创制）。治疗痈疽疮疹，因血气不足、邪毒无法化解，体内没有实热但疼痛淋漓不止的情况，都适宜使用此方。此方与芍药蒺藜煎互为奇正配合。应当斟酌其详细用法。
当归 熟地黄 芍药（酒炒） 何首乌（各二钱） 荆芥穗 炙甘草 防风 川芎 白芷（各一钱） 白蒺藜（炒，捣碎，五钱）
或用酒煎服，或用水煎服。然而用水煎不如用酒煎，因为酒能行药力。若是阳虚不能化解毒邪的，加桂枝，再加干姜、附子；若是气虚不能化解毒邪的，加人参、黄芪；若是毒邪内陷不能外达的，加穿山甲、皂角刺。
芍药蒺藜煎 治疗全身湿热疮疹，以及下部红肿热痛的各种疮疡。
黄芩 龙胆草 木通 山栀 泽泻（各一钱五分） 生地 芍药（各二钱） 白蒺藜（连刺捶碎，五钱，严重的用一两）
用清水煎服。如果火气不重的，应当去掉龙胆草、山栀。
一切恶疮久治不愈，用白蜜敷贴，必定有效。
各种肿毒疮疡，疼痛不安，人们不认识病情的。取独头蒜三四颗捣烂，加入麻油研磨均匀，浓敷在肿胀处，干了再更换。
又一方：初起时即用赤小豆，井水调敷，立刻消散。
丹毒恶疮：马齿苋捣烂敷贴。
陈远公说：人长期生恶疮，或在手足、头面、胸背。经年累月不愈合，臭腐不堪，各种药物无效，这就是人们所说的顽疮，意思是它冥顽不灵，医生的功夫无处施展，但这也是因为治疗不得法罢了。人身气血调和，一定不生疮，即使偶尔生疮，十天左右也能迅速痊愈，所以生疮是因为气血不和。气血不和的原因，有的因为湿邪浸渍，有的因为热盛，或者湿热寒邪交错而至，导致气机郁结不能宣通，血液停滞不能散开，结于皮肤则皮肤生疮，结于肌肉则肌肉生疮。时间久了脓血不干净，因而滋生虫类，人们又用杀虫的药物损伤皮肉，那么气血更加虚弱，力量难以兼顾，抛弃皮肉于膜外而不顾惜，就形成了疮疡。所以治疗疮疡必须以行气活血为主，而虫与毒不必特意计较；然而行气活血也不容易，必须补益气血，因为气得到补益就能自行运行于全身，血得到补益就能自然活跃于遍体。救顽汤：当归、白术、黄芪、熟地、麦冬各一两，山萸肉、茯苓各五钱，生甘草三钱，柴胡、防风、连翘各一钱，熟附子一片，半夏二钱。水煎服。服用两剂后疮口必然肿胀，这是药物助长气血与疮毒交战的表现，是迅速痊愈的征兆；再服两剂后就不疼而发痒了；再服两剂后就不再发作。（出自《冰鉴》）这个方子单纯依靠行气活血的力量不够，必须借助补益之力。气行血活，虫类将依附何处？所以不必杀虫，顽疮自然痊愈。
又说：有大腿内侧生疮，收敛如豆子大小，翻出一块肉，宛如菌状，人们以为是虫蚀外翻，谁知道这是肝经风热血燥的缘故呢！肝热则生风，风属于内风而不是外风；外风宜清凉疏散，内风蕴藏热邪，所以外风适宜发散，内风适宜清解。然而只清其风而不补血，则热不能解除而风不能疏泄，必须在养血之中，增加清热之味，那么燥者不再燥，热退则风自然静止。清风汤：白芍一两，人参、当归各五钱，白术、黑栀子、丹皮、沙参、天花粉各三钱，川芎二钱，柴胡、连翘、甘草各一钱。水煎服。数剂后疮口自然收敛。这个方子滋血以养肝，不是通过消除肉芽来化解毒邪，怎么能收敛疮口而痊愈呢？盖因疮疡形成于肝木过旺，平抑肝木则血无过于燥的忧虑，自然风散而热无炎灼的祸患，如果不平抑肝木而内部使用降火的药物，外部使用追蚀的方法，那么腐蚀后又翻出，翻出后又腐蚀，那块肉会越来越大，人的气更加虚弱，变出非常之症，恐怕难以挽救了。
Prescription (from *Zhongfu Tang*)
*Prunus armeniaca* Seed (30 grains, skin and tip removed) *Realgar* (1.5 qian) *Calomelas* (1 qian)
Grind into powder. Clean the affected area, mix with *Porcine Bile*, apply topically. It will heal in two to three days. Highly effective.
*Danggui Jili Decoction* (created by Zhang Jingyue). Treats carbuncles, sores, and rashes caused by deficiency of blood and qi, where pathogenic toxins cannot be resolved, and although there is no excess heat internally, pain is profuse and unceasing. This formula is suitable for such cases and works in conjunction with *Shaoyao Jili Decoction* as complementary strategies. Detailed usage should be considered carefully.
*Radix Angelicae Sinensis* (*Danggui*), *Rehmanniae Radix Praeparata* (*Shudi*), *Radix Paeoniae Alba* (*Shaoyao*, wine-fried), *Polygoni Multiflori Radix* (*Heshouwu*) (each 2 qian); *Schizonepetae Spica* (*Jingjie Sui*), *Glycyrrhizae Radix et Rhizoma Preparatum cum Melle* (*Zhi Gancao*), *Saposhnikoviae Radix* (*Fangfeng*), *Rhizoma Chuanxiong* (*Chuanxiong*), *Angelicae Dahuricae Radix* (*Baizhi*) (each 1 qian); *Tribuli Fructus* (*Baijili*, fried, crushed, 5 qian)
Decoct with either wine or water and take orally. However, decocting with wine is superior as it promotes the action of the herbs. For cases of Yang deficiency failing to resolve toxins, add *Ramulus Cinnamomi* (*Guizhi*), along with *Zingiberis Rhizoma* (*Ganjiang*) and *Aconiti Lateralis Radix Preparata* (*Fuzi*); for Qi deficiency failing to resolve toxins, add *Ginseng Radix* (*Renshen*) and *Astragali Radix* (*Huangqi*); for toxins sinking inward failing to reach the exterior, add *Manis Squama* (*Shanjia*) and *Gleditsiae Sinensis Spina* (*Zaoren*).
*Shaoyao Jili Decoction*. Treats damp-heat rashes all over the body, and various sores characterized by redness, swelling, heat, and pain in the lower body.
*Scutellariae Radix* (*Huangqin*), *Gentianae Radix* (*Longdancao*), *Akebiae Caulis* (*Mutong*), *Gardeniae Fructus* (*Shanzhi*), *Alismatis Rhizoma* (*Zexie*) (each 1.5 qian); *Rehmanniae Radix* (*Shengdi*), *Radix Paeoniae Alba* (*Shaoyao*) (each 2 qian); *Tribuli Fructus* (*Baijili*, with spines, crushed, 5 qian; severe cases use 1 liang)
Decoct with plain water and take orally. If the fire-heat is not severe, remove *Gentianae Radix* (*Longdancao*) and *Gardeniae Fructus* (*Shanzhi*).
For all malignant sores that do not heal, apply white honey. It will surely be effective.
For various swollen toxic sores causing pain and discomfort, which are unrecognized by people: Take 3-4 bulbs of *Allium cepa* (single-clove garlic), crush them, mix with sesame oil until uniform, and apply thickly to the swollen area. Replace when dry.
Another prescription: At the initial stage, apply *Phaseoli Semen Rubrum* (*Chixiaodou*) mixed well-water. It dissipates immediately.
Erysipelas and malignant sores: Apply crushed *Portulacae Herba* (*Machixian*).
Chen Yuan Gong said: When a person suffers from malignant sores for a long time, on the limbs, head, face, chest, or back, lasting for years without healing, becoming foul and rotting, and resisting all medicines, this is called "stubborn sore" (Wanchuang). It implies its obstinacy, making medical efforts seem futile. However, this is merely due to improper treatment methods. When the body's Qi and Blood are harmonious, sores do not arise; if they do appear occasionally, they heal quickly within ten days. Thus, sores arise from disharmony of Qi and Blood. This disharmony may be caused by dampness infiltration, excessive heat, or an interplay of damp-heat and cold pathogens, leading to Qi stagnation and failure to circulate, and Blood stasis failing to disperse. When these bind in the skin, skin sores form; when they bind in the flesh, flesh sores form. Over time, pus and blood remain impure, leading to the generation of parasites. People then use parasiticidal drugs that damage the skin and flesh further, causing Qi and Blood to become even more deficient. Unable to sustain the tissues, the body neglects the skin and flesh, resulting in chronic ulcers. Therefore, treating sores must focus primarily on promoting Qi circulation and activating Blood, while disregarding parasites and toxins; however, promoting Qi and activating Blood is difficult without first tonifying Qi and Blood. Tonified Qi circulates freely throughout the body, and tonified Blood flows actively everywhere.
*Jiuwan Tang*: *Radix Angelicae Sinensis* (*Danggui*), *Atractylodis Macrocephalae Rhizoma* (*Baizhu*), *Astragali Radix* (*Huangqi*), *Rehmanniae Radix Praeparata* (*Shudi*), *Ophiopogonis Radix* (*Maidong*) (each 1 liang); *Corni Fructus* (*Shanyu*), *Poria* (*Fuling*) (each 5 qian); *Glycyrrhizae Radix et Rhizoma* (*Sheng Gancao*) (3 qian); *Bupleuri Radix* (*Chaihu*), *Saposhnikoviae Radix* (*Fangfeng*), *forsythiae Fructus* (*Lianqiao*) (each 1 qian); one slice of *Aconiti Lateralis Radix Preparata* (*Shu Fuzi*), *Pinelliae Rhizoma* (*Banxia*) (2 qian). Decoct with water and take orally. After two doses, the sore opening will swell; this indicates the medicine is assisting Qi and Blood to battle the sore, a sign of rapid healing. After another two doses, pain will cease and itching will begin. After another two doses, recurrence will stop. (From *Bingjian*) This formula relies on the power of tonification to facilitate Qi movement and Blood activation. Once Qi moves and Blood activates, where can parasites reside? Thus, parasiticides are unnecessary, and stubborn sores heal naturally.
He also said: There are cases of sores on the inner thigh, contracting to the size of a bean, but protruding a piece of flesh resembling a mushroom. People assume it is flesh turned outward due to parasite erosion. Who would know it is actually due to Wind-Heat and Blood Dryness in the Liver Meridian! Liver Heat generates Wind; this is internal Wind, not external Wind. External Wind is cleared with cooling and dispersing methods, while internal Wind harbors heat and requires clearing. However, clearing Wind without nourishing Blood means Heat cannot be resolved and Wind cannot be dispersed. One must add heat-clearing ingredients to blood-nourishing formulas. Then dryness resolves, Heat retreats, and Wind calms naturally.
*Qingfeng Tang*: *Radix Paeoniae Alba* (*Baishao*) (1 liang); *Ginseng Radix* (*Renshen*), *Radix Angelicae Sinensis* (*Danggui*) (each 5 qian); *Atractylodis Macrocephalae Rhizoma* (*Baizhu*), *Gardeniae Fructus* (*Heizhi*), *Moutan Cortex* (*Danpi*), *Glehniae Radix* (*Shashen*), *Trichosanthis Radix* (*Huafen*) (each 3 qian); *Rhizoma Chuanxiong* (*Chuanxiong*) (2 qian); *Bupleuri Radix* (*Chaihu*), *Forsythiae Fructus* (*Lianqiao*), *Glycyrrhizae Radix et Rhizoma* (*Gancao*) (each 1 qian). Decoct with water and take orally. After several doses, the sore will naturally contract and heal. This formula nourishes Blood to support the Liver, rather than eliminating flesh to detoxify. How else could it heal the sore? Sores arise from hyperactive Liver Wood. Calming the Liver prevents Blood from becoming overly dry; naturally, Wind disperses and Heat does not cause burning inflammation. If one fails to calm the Liver and instead uses internal fire-descending agents and external corrosive/cauterizing methods, the tissue will erode and protrude repeatedly. The flesh grows larger, Qi becomes weaker, and unusual complications may arise, making rescue difficult.