治阴发大证，形巨肿坚，酸痛彻骨，皮肉如故者；或但骨节酸楚，尚无形块者，及肚痈
肠痈，坚块深邃等证。凡闪伤、跌扑，风寒湿邪三气痹着，肢节酸痈，举动不利等证皆效。
急性子（五两） 大南星（三两） 川乌 草乌 干姜 羌活 独活（各二两）
以上各切片，用真麻油十五斤煎沸，先入凤仙茎熬二十分钟，俟不暴，再入生地。又熬
十余分钟，乃入诸药煎枯漉净，另入净锅，文火熬沸，入筛净广丹、筛细定粉约一斤半，柳
木棍不住手搅极匀，滴入水中试老嫩。如上法膏成离火，预研细麝香五钱，乳香、没药去油
各三两，上安桂末丁香末各二两调匀，入水成团，藏如上法。
溃疡多宜清凉，如元气虚寒，溃久不收之证，亦宜用此膏摊贴。如治跌扑损伤筋骨疼痛
及寒湿痹着之证，则另加四温丹和匀摊贴。市肆中有通行万应膏尚不及此。搓成丸子捏如饼
，亦贴风寒头痛。如治阴疽大证，亦宜再加四温丹和匀，摊浓膏药贴之。
【方解】 唐人已有薄贴之名，知膏药之发明已久。疡证半多湿热，不宜于温，
阴寒凝结之证，则清凉正在所忌。而杂病之经络筋骨肢节间证，亦有宜于外治者，此温煦一
法，正不可少。疡科家有加味太乙膏一方，虽可通外疡，惟于阴寒大证尚不贴切。敝师门朱
氏自定此方，专为虚寒及杂病立法，既可宣络活血，亦能消肿软坚，适用处正复不少。欲治
疡科亦是不可不备之药。
治疗阴疽重症，表现为形体巨大肿胀且坚硬，酸痛直达骨髓，但皮肤表面颜色形态如常的；或者仅有关节酸楚疼痛，尚无明显肿块形成的；以及肚痈、肠痈，肿块坚硬且位置深邃等证候。凡是闪挫损伤、跌打撞击，风寒湿三气痹阻留滞，导致肢体关节酸痛、活动不利的各种证候，此方均有效。
急性子（五两） 大南星（三两） 川乌 草乌 干姜 羌活 独活（各二两）
将以上药材切片，用真麻油十五斤煎至沸腾，先放入凤仙花茎熬煮二十分钟，待其不再剧烈沸腾后，再放入生地黄。继续熬煮十余分钟，然后加入其余药物，煎至药枯焦，滤去药渣，倒入干净的锅中，用文火煮沸，加入筛过的广丹和筛细的定粉约一斤半，用柳木棍不停搅拌直至极其均匀，滴入水中测试膏药的稠度老嫩。如果按照上述方法制成膏药并离火，预先研磨细麝香五钱，乳香、没药去油后各三两，上安桂末、丁香末各二两，调匀，放入水中搓成团块，储存方法同上。
溃疡大多适宜使用清凉性质的药物，但如果元气虚寒，溃烂日久不能愈合的证候，也适宜使用此膏摊贴。如果是治疗跌打损伤导致的筋骨疼痛，以及寒湿痹阻留滞的证候，则另外加入四温丹混合均匀后摊贴。市面上通行的万应膏尚不及此方。搓成丸子捏成饼状，也可贴敷治疗风寒头痛。如果是治疗阴疽重症，也适宜再加四温丹混合均匀，摊涂较厚的膏药贴敷。
【方解】 唐代人已有“薄贴”这一名称，可知膏药的发明由来已久。外科证候多半属于湿热，不宜使用温热药物；而阴寒凝结的证候，则清凉药物正是所禁忌的。然而杂病中经络、筋骨、肢节间的证候，也有适宜外治法的，这种温煦的方法，正是不可缺少的。疡科医生家有加味太乙膏一方，虽然可以通治外部疮疡，但对于阴寒重症尚不够贴切。我的师门朱氏自定此方，专门针对虚寒及杂病确立法则，既能疏通经络、活血化瘀，又能消肿、软化坚块，适用的情况确实不少。想要治疗疡科疾病，也是不可不备的药物。
For the treatment of severe Yin abscesses (Yin Ju, a type of chronic, deep-seated, cold-type abscess), characterized by massive swelling and hardness, pain extending to the bone, yet with normal skin appearance; or cases presenting only with joint soreness without palpable masses; as well as abdominal carbuncles (Du Yong), intestinal abscesses (Chang Yong), and other conditions involving hard, deep-seated masses. This formula is also effective for sprains, contusions, and bi-syndrome (Bi Zheng, obstruction syndrome caused by wind-cold-dampness) due to the invasion of wind, cold, and dampness pathogens, manifesting as limb and joint soreness/pain and limited mobility.
* Ji Xing Zi (Cardiospermum Halicacabum Seed) – 5 liang
* Da Nan Xing (Arisaema Cum Bile) – 3 liang
* Chuan Wu (Aconitum Carmichaelii Debx. Radix)
* Cao Wu (Aconitum Kusnezoffii Reichb. Radix)
* Gan Jiang (Zingiberis Rhizoma)
* Qiang Huo (Notopterygii Rhizoma et Radix)
* Du Huo (Angelicae Pubescentis Radix) – 2 liang each
Slice all the above ingredients. Boil in 15 jin of pure sesame oil. First, add stems of *Impatiens balsamina* (Feng Xian Hua Jing) and simmer for 20 minutes until the vigorous boiling subsides. Then, add Sheng Di Huang (Rehmanniae Radix). Simmer for another ten-plus minutes. Subsequently, add the remaining herbs and fry until charred. Strain the liquid thoroughly. Transfer the filtrate to a clean pot, boil over gentle fire, and add approximately 1.5 jin of sieved Guang Dan (Litharge) and finely sieved Ding Fen (Minium). Stir continuously with a willow wood stick until perfectly uniform. Test the consistency by dropping the paste into water. Once the plaster is formed according to the above method and removed from heat, mix in pre-ground fine She Xiang (Moschus) – 5 qian, Ru Xiang (Olibanum) and Mo Yao (Myrrha) (de-oiled) – 3 liang each, Shang An Gui (Cinnamomi Cortex) powder and Ding Xiang (Eugeniae Flos) powder – 2 liang each. Blend evenly, form into balls by dipping in water, and store as described previously.
Ulcers generally favor cooling treatments. However, for cases of Yuan Qi deficiency and cold, where ulcers fail to heal after a long duration, this plaster is also suitable for application. For treating pain in bones and tendons due to contusions, or bi-syndrome due to cold-dampness obstruction, Si Wen Dan (Four Warming Pellets) should be added and mixed evenly before application. Commercially available Wan Ying Gao (Ten Thousand Remedies Plaster) is inferior to this formula. It can be rolled into pills, shaped like cakes, and applied for headaches due to wind-cold. For severe Yin abscesses, Si Wen Dan should additionally be added and mixed evenly, then applied as a thick layer of plaster.
[Formula Analysis] The term "Bo Tie" (thin plaster) was already used in the Tang Dynasty, indicating that the invention of plasters has a long history. Surgical conditions are mostly due to damp-heat and are not suitable for warming therapies; conversely, for conditions of Yin-cold coagulation, cooling agents are contraindicated. However, for miscellaneous diseases affecting meridians, sinews, bones, and joints, external therapy is sometimes appropriate. Therefore, the method of warming and nourishing is indispensable. Surgeons often use Jia Wei Tai Yi Gao (Modified Tai Yi Plaster), which can treat general external sores but is not precise enough for severe Yin-cold conditions. My master's school, the Zhu family, formulated this prescription specifically for deficiency-cold and miscellaneous diseases. It can unblock collaterals and invigorate blood circulation, while also reducing swelling and softening hardness. Its indications are quite extensive. It is an essential preparation for treating surgical conditions.