当归 白芍 大黄 甘草 水煎服。
胭脂涂法 治黑痘良方。
先用升麻一味，煎浓汁去渣，将胭脂于汤内揉汁，就以本绵蘸汤于痘上试之。
喜泰顺曰∶夫疔者，乃毒火郁结，腠理秘密。发热之后，先着其疔，或三五粒，
或一两点独大，色赤平扁而阔，出来必贯黄浆，次日即行收靥。见必烦躁狂乱，辨
认得真，即宜银针挑破，口含清水，吸去恶血，外以鸡冠血点之，或以拔毒散敷之，
大用清凉发表之剂，痘方得出。书云∶冷疔先见，诸痘不敢彰形，若不早刺，则毒
火郁结，久则走黄，遍身发肿，痘来隐隐，不能出窍，束手待毙，悔无及矣。医者慎之。
陈实功曰∶痘毒升发未尽，留毒心肝二经，发为痘疔。初生紫点，次日变黑，浮
高而润者毒浅，深陷而焦者毒深。其发多在七朝上下将靥之际，生于臀腿手足。身
温疤润声清者吉；发在肚腹腰肾，身热色枯聋哑者凶。凡遇此证，急用针刺疔根，插
入蟾酥条，候四边裂缝，疔摇者用刀割去，搓玉红膏收口，如针刺无血，插药干枯不
变脓者，终为不吉。但此证属有余，首尾但宜加减鼠粘子汤主之。（《正宗》）
加减鼠粘子汤
鼠粘子 知母 天花粉 山栀 荆芥（各六分） 甘草（三分）
竹叶、灯心各二十四件，水煎服。
拔毒散 专治痘疔及贼痘等证如神。
透明雄黄不拘多少，研细，再将滚水泡棉胭脂取浓汁，调点疔头上。
四圣丹 专点痘疔 即刻回生。
牛黄（一钱二分） 儿茶（一钱七分） 朱砂（八分） 珍珠（二分）
乳细，用口嚼胭脂调匀，点之。
珍珠膏 治痘不发，必有痘疔，黑而大臭者，宜急点之。
珍珠（五颗） 豌豆（四十九粒） 发灰（一钱）
乳细，用胭脂汁调膏，拨疔点之，黑疔即变红活矣。
痘疔 甘蔗渣晒干，真香油点灯烧成灰，以津唾调匀，银簪挑破点上，立效。
又方 珍珠研末，油胭脂调搓，神效。
胭脂涂法：治疗黑痘的良方。
先用升麻一味药，煎煮成浓汁并滤去药渣，将胭脂放入汤中揉搓出汁，用本绵蘸取药汤点在痘上试用。
喜泰顺说：所谓疔，是毒火郁结，腠理闭塞。发热之后，先出现疔疮，或三五粒，或一两点特别大，颜色赤红、平坦宽阔，出来时一定带有黄浆，第二天就开始收靥（结痂）。见到此症必伴有烦躁狂乱，若能辨认准确，应立即用银针挑破，口中含清水，吸去恶血，外用鸡冠血点涂，或用拔毒散敷贴，大量使用清凉发表的药物，痘疹才能发出。书上说：冷疔先出现，其他痘疹不敢显露形态，如果不早点刺破，则毒火郁结，时间久了会走黄（毒邪内陷），遍身浮肿，痘疹隐隐约约，不能透出窍穴，束手待毙，后悔莫及。医生们务必谨慎。
陈实功说：痘毒升发未尽，留毒在心肝二经，发为痘疔。初生时为紫点，第二天变黑，浮高而润泽的是毒浅，深陷而焦枯的是毒深。这种病多在第七天左右即将收靥之际发生，生于臀部、腿部、手足。身体温和、痘疱润泽、声音清亮的是吉兆；发在肚腹腰肾，身体发热、面色枯槁、耳聋失语的是凶兆。凡是遇到此证，急用针刺疔根，插入蟾酥条，等候四周裂缝，疔体松动时用刀割去，搓玉红膏收口，如果针刺无血，插入药物干枯不变脓的，最终是不吉利的。但这种证候属于有余（实证），从头到尾都适宜加减鼠粘子汤为主治疗。（《外科正宗》）
加减鼠粘子汤
牛蒡子、知母、天花粉、山栀、荆芥（各六分），甘草（三分）
竹叶、灯心草各二十四件，加水煎煮后服用。
拔毒散：专门治疗痘疔及贼痘等证，效果如神。
透明雄黄不拘多少，研细，再用滚水泡棉胭脂取浓汁，调和后点涂在疔头上。
四圣丹：专门点涂痘疔，即刻回生。
牛黄（一钱二分）、儿茶（一钱七分）、朱砂（八分）、珍珠（二分）
研磨细腻，用口嚼胭脂调匀，点涂患处。
珍珠膏：治疗痘不发，必有痘疔，黑而大且臭者，宜急点涂。
珍珠（五颗）、豌豆（四十九粒）、发灰（一钱）
研磨细腻，用胭脂汁调成膏，拨开疔头点涂，黑疔即变为红活。
Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao), Rheum Palmatum Rhizoma et Radix (Dahuang), and Glycyrrhizae Radix et Rhizoma (Gancao) are decocted in water and taken orally.
Yanzhi Tu Fa (Carmine Application Method): A good prescription for treating black acne (Heidou).
First, decoct a single herb, Cimicifugae Rhizoma (Shengma), to make a concentrated juice and filter out the dregs. Put carmine into the liquid and rub it to extract the juice. Dip a piece of cotton into this liquid and test it by applying it to the acne lesions.
Xi Taishun said: "Lingding" (acne carbuncle) is caused by the stagnation and accumulation of toxic fire, with closed interstices (Couli). After fever occurs, the lingding appears first, either as three to five grains or one or two distinct large spots. They are red, flat, broad, and must exude yellow pus upon emergence, crusting over (shouye) the next day. Patients will inevitably exhibit restlessness and mania. If accurately identified, they should be promptly punctured with a silver needle. The patient should hold clear water in their mouth while the practitioner sucks out the bad blood. Externally, apply rooster comb blood or Baidu San (Poison-Extracting Powder). Administer copious amounts of cooling and diaphoretic formulas so that the acne can erupt. It is stated in texts: "If cold lingding appears first, other acne eruptions dare not manifest their form." If not pricked early, toxic fire stagnates; prolonged stagnation leads to Zouhuang (toxicity spreading internally), causing generalized swelling. The acne remains hidden and fails to emerge through the pores, leaving the patient helpless and awaiting death, which is irretrievable regret. Physicians must exercise caution.
Chen Shigong said: "When the eruption of acne toxin is incomplete, residual toxin remains in the Heart and Liver meridians, manifesting as Doulingding (Acne Carbuncle)." Initially presenting as purple spots, they turn black the next day. Those that are elevated and moist indicate shallow toxicity; those that are deeply sunken and scorched indicate deep toxicity. This condition typically occurs around the seventh day, just before crusting. It arises on the buttocks, legs, hands, and feet. If the body temperature is mild, the acne is moist, and the voice is clear, it is auspicious. If it occurs on the abdomen, waist, and kidneys, accompanied by high fever, withered complexion, deafness, and muteness, it is ominous. Whenever encountering this syndrome, urgently prick the root of the lingding with a needle, insert a Chan Su strip (Toad Venom Strip). Wait until the surrounding area cracks and the lesion becomes loose, then excise it with a knife. Apply Yuhong Gao (Jade Red Ointment) to promote healing. If pricking yields no blood, or if inserted medication remains dry without suppurating, the prognosis is ultimately unfavorable. However, since this syndrome belongs to excess (Youyu), treatment throughout should primarily focus on Jiajian Niuniangzi Tang (Modified Burdock Seed Decoction). (From *Zhengzong*)
Jiajian Niuniangzi Tang (Modified Burdock Seed Decoction)
Arctii Fructus (Niuniangzi), Anemarrhenae Rhizoma (Zhimu), Trichosanthis Radix (Tianhuafen), Gardeniae Fructus (Shanzhi), Schizonepetae Herba (Jingjie) (each 6 fen); Glycyrrhizae Radix et Rhizoma (Gancao) (3 fen).
With 24 pieces each of Lophatheri Herba (Zhuye) and Junci Medulla (Dengxin), decoct in water and take orally.
Baidu San (Poison-Extracting Powder): Specifically treats Doulingding and Zeidou (rogue acne) with miraculous efficacy.
Transparent Realgar (Xionghuang) in any quantity, finely ground. Then, soak cotton carmine in boiling water to extract a concentrated juice. Mix with the powder and apply/dot onto the head of the lingding.
Sisheng Dan (Four Sages Pill): Specifically dots Doulingding, instantly restoring life.
Calculus Bovis (Niuhuang) (1.2 qian), Camelliae Semen (Ercha) (1.7 qian), Cinnabaris (Zhusha) (0.8 qian), Margarita (Zhenzhu) (0.2 fen).
Grind finely. Chew carmine in the mouth to create a mixture, blend well, and apply/dot.
Zhenzhu Gao (Pearl Ointment): Treats cases where acne fails to erupt, specifically when there is a Doulingding that is black, large, and foul-smelling. Urgent application is required.
Five pearls, 49 garden peas (Wandou), one qian of hair ash (Fahui).
Grind finely. Mix with carmine juice to form an ointment. Part the lingding and dot it on; the black lingding will immediately turn red and vibrant.
Doulingding (Acne Carbuncle): Dry sugarcane residue, burn it to ash using pure sesame oil in a lamp. Mix the ash with saliva. Puncture with a silver hairpin and apply the paste; immediate effect is expected.
Another prescription: Grind pearl into powder, mix with oily carmine, rub, and apply; miraculous effect.