凡煎炼薄贴必先炼此油，漉净另贮，则煎成薄贴，有时嫌老，可以此油随意加入，如在
三冬之月天气大冷，薄贴摊在纸上即不粘手，贴于患处极易剥落，亦必以此油稍稍和匀摊贴
，则膏嫩而粘。又此油可调药末，敷诸疮湿烂，比用生麻油为佳。若以此炼成之油如上法调
入黄丹、铅粉即成膏药，亦可贴一切疡患。另加应用药粉，亦可敷衍应酬，但不能及上二方
之速效耳。
生地（四两） 羌活 独活 当归 甘草（各三两） 龟板（八两）
用麻油二十斤，先入龟板后入生地，又后入诸药，煮枯去滓候用。
治眼癣漏睛疮，鼻 、唇疳、乳癣、乳疳、脐疮、脐漏及肛疡诸痔，茎疳、阴蚀等
证，不能用拔毒去腐三仙等丹者。
川古勇连 川柏皮 玄参（各四两） 大生地 生龟板（各六两） 当归全（三两）
以上各切片，用麻油五斤，文火先煎生地、龟板二十分钟，再入诸药煎枯漉滓净，再上
缓火，入黄蜡二十两化匀，密收候用。
【方解】 此膏所治诸证，皆在柔嫩肌肉，既不能用拔毒薄贴，然掺以提毒化腐
则倍当其痛，且致加剧，故制是方清热解毒，亦能去腐生新。但必须时常洗涤，挹干毒水用
之，始有速效。
治顽疮久不收口，脓水浸淫，浮皮湿痒，并不深腐之证。若足胫湿 ，久年不愈者此膏
真象皮（三两，无真者则以驴马剔下之爪甲代之，可用四五两） 当归全 壮年人发（洗
净垢，各二两） 大生地 龟板（各四两） 真麻油（五斤）
先煎生地、龟板、象皮，后入人发，当归熬枯去滓，入黄蜡、白矾各六两，川连汁 制
上炉甘石细末半斤，生石膏细末五两，文火上调匀，弗煎沸，瓷器密收，油纸摊贴，量疮口
大小为度，外以布条轻轻缠之，二日一换。脓水少者；三四日一换。此膏亦可摊于西法之脱
脂棉纱上，较用油纸者易于收湿长肉。
【方解】 多年顽疮，浮皮湿腐以及 疮，皆最不易速效。寻常去毒化腐，生肌
收口之
于粘合。此是朱阆师自制之方，用之四十余年极有奇效。
光绪季年，阆师治一奇证。是苏州乡人，年三十余。初起头顶坚块，渐大渐高、不痒不
痛亦不顽木，相安无事者五年余，乃浮皮渐腐，稍有脓水，亦不甚痛，而眠食起居诸无所苦
。百里内外医家，几于遍试，莫识何证，乃诣苏垣天赐庄美国医生柏乐文处就医。柏谓外虽
腐而内则大坚，若用割法血出必多，且内是脑盖，坚块附着脑盖骨，割之必有流弊，宜以腐
烂之药渐渐渗之，使蚀去坚块方可收功。而西法则无腐化之药。闻中国治疡家有腐蚀恶肉之
法，能不伤好肉，汝可访求中医之长于外科者，请其用药，将满头块硬顽肉渐渐腐脱，则余
当以西法为汝收口。其人乃访得黄墙治疡素有声誉，始孥舟来阆师处。则外形几于头上另有
一头，高逾二寸，径三寸有余，其帽摇摇，不 其发，使登龙山，必效孟生故事。视其腐处
确在浮皮，但有滋水，而无脓无血，按之则坚如石亦不做痛，确不能识是何病，抑必不能言
其病理若何。初亦只用普通化毒之药，无甚进退。后病患述柏医生说，乃掺以枯痔散（此散
即
积半年余，坚硬已尽，露出脑盖完全光滑干燥之骨，四围毫无余硬，直径至四寸余。师谓如此
光滑，无丝毫肉质，虽无变证，饮食起居俱如无病，溃口亦不流血但微有脓水。盖骨中合缝
如犬牙相错者，微微按之稍有稀脓，幸毫不痛痒，脑中亦不觉有病。以脑盖之骨虽不甚浓，
而两面硬骨中夹一层如海绒之质，天然生理，所以保护脑髓者，本极周到，所以外皮蚀尽而
脑不受伤，此证之所以终获安全者亦在此。然收口必难，彼美医柏氏，既谓蚀去之后彼能收
功，姑且令其求治于彼，则西法治外，素以神妙见称，当必视吾家旧学，较易一筹。于是嘱
其再往柏处，以践曩日之约。乃不数日而其人又来，述见柏之后，历叙一路用药之法并陈中
医收口必迟，请其施展妙腕，早竟大功。讵柏一见顽肉果尽，俯首沉思，谓中国医学确有殊
功，汝既遇此能手，则渠既有此术蚀尽恶腐，渠亦必有收口妙药，以成全绩，固无待余之越
俎代庖，此亦君子不夺人功之意云云，所以复来求治于我公。柏医之言，婉转得体，大是善
于辞令。阆师乃即以此膏与之，复于四围接连皮肉处，加用生肌药末。初则渐渐有新肉丝丝
，逐次蔓延骨上，而四旁缓缓收缩，但巅顶光滑之骨如故。积一年许收至阔二寸余，前后尚
三寸许，则常贴此膏，而丝丝之新肉，不复上延。更掺生肌药粉，亦复不应，授以补剂内服
，又隔多时，形仍如故。师乃谓此正顶光骨，历久不收，药力无效，则欲收全绩，殆以难之
。而病者必再四相问是否别有法子，虽费稍巨，尚可勉办。师因忆及古人有天灵盖入药一层
，意此证部位相合，或能收效。乃告以此证有此一法，但扰及枯骨天良说不过去，理所必不
忍为，无已则试以狗骨代之，当能有济。又阅数日，其人竟持片骨来，请以合药。乃烘焦，
以和入生肌末药中，嘱掺在四周，仍以此膏盖之，竟渐以涨满，甫二三月而全功就绪。初则
新肌光滑不能生发，迟至年余，乃新发渐布，不复如牛山之濯濯。此人往来于黄墙村上者，
前后凡三年余，俨如旧友，颐至师处曾三四见之。厥后病愈而岁时馈问不绝。此是大奇之证
，虽不能洞嘱病机，帮助真相，而前后治验确有可传。此膏之效亦可概见。爰为追述始末，
附识简端。可见吾师家法渊源，固自有加人一等者。黄墙医学，洵非浪得虚誉云尔。
凡煎炼薄贴膏药，必须先炼制这种油。将油滤净后单独贮存，这样煎成的薄贴膏药，如果有时觉得质地太硬（老），就可以随意加入这种油来调和。如果在三冬季节天气非常寒冷时，薄贴摊在纸上就不粘手，贴在患处极易剥落，也必须用这种油稍微调和均匀后再摊贴，这样膏药就会变得柔嫩且粘着牢固。另外，这种油还可以用来调制药末，敷治各种疮疡湿烂之症，比使用生麻油效果更好。如果用这种炼制好的油，按照上述方法调入黄丹、铅粉，就能制成膏药，也可以贴敷一切外科疮疡患部。如果再另外添加应用药粉，虽然也能勉强应付治疗，但效果不能达到前面两个方子的迅速见效程度。
生地（四两） 羌活 独活 当归 甘草（各三两） 龟板（八两）
用麻油二十斤，先放入龟板，然后放入生地，之后再放入其他药物，煮至药材枯焦，去除药渣后备用。
主治眼癣、漏睛疮、鼻疳、唇疳、乳癣、乳疳、脐疮、脐漏以及肛疡各类痔疮、茎疳、阴蚀等证候，那些不能使用拔毒去腐类“三仙”丹药的患者。
川古勇连（黄连） 川柏皮（黄柏） 玄参（各四两） 大生地 生龟板（各六两） 当归全（三两）
以上各药切片，用麻油五斤，用文火先煎煮生地、龟板二十分钟，再放入其他药物煎至枯焦，滤净药渣，再用缓火加热，加入黄蜡二十两使其融化均匀，密封收藏备用。
【方解】 此膏所治疗的诸种证候，都发生在柔嫩的肌肉部位，既然不能使用拔毒薄贴，然而如果掺入提毒化腐的药物，则疼痛会加倍剧烈，并且导致病情加剧，所以制定这个方子旨在清热解毒，同时也能够去腐生新。但是必须时常洗涤患处，吸干毒水后使用，才能取得迅速疗效。
主治顽固性疮疡久不愈合，脓水浸淫，表皮湿痒，并没有深层腐烂的证候。如果是足胫部的湿疮，多年不愈的情况，此膏最为适宜。
真象皮（三两，如果没有真象皮，则以驴或马剔下的爪甲代替，可用四五两） 当归全 壮年人发（洗净污垢，各二两） 大生地 龟板（各四两） 真麻油（五斤）
先煎煮生地、龟板、象皮，随后放入人发、当归熬至枯焦，去除药渣，加入黄蜡、白矾各六两，川连汁，以及制过的炉甘石细末半斤、生石膏细末五两，用文火上调匀，不要煎沸，装入瓷器中密封收藏。使用时用油纸摊贴，根据疮口大小决定用量，外面用布条轻轻缠绕固定，两天更换一次。脓水少的患者，三四天更换一次。此膏也可以摊在西法脱脂棉纱上，比用油纸更容易吸收湿气并促进长肉。
【方解】 多年的顽固疮疡，表皮湿腐以及臁疮，都是最不容易迅速见效的。寻常的去毒化腐、生肌收口的方法往往难以粘合。这是朱阆师自制的方子，使用了四十多年，极有奇效。
光绪末年，阆师治疗过一个奇特的病例。是苏州的一位乡人，三十多岁。起初头顶出现坚硬的肿块，逐渐变大变高，不痒不痛也不麻木，相安无事地过了五年多，后来表皮逐渐腐烂，稍有脓水，也不太痛，睡眠饮食起居都没有什么痛苦。百里内的医生几乎都试遍了，没人能识别是什么病，于是前往苏州天赐庄的美国医生柏乐文处就医。柏医生认为外部虽然腐烂但内部很大很坚硬，如果用手术割除法，出血必然很多，而且内部是脑盖骨，坚硬的肿块附着在脑盖骨上，割除必定会有流弊，建议用腐蚀性的药物慢慢渗透，使坚硬的肿块被腐蚀掉才能成功。而西医没有腐蚀性的药物。听说中国治疗外科有腐蚀恶肉的方法，且不伤害好肉，你可以访求擅长外科的中医师，请他们用药，将满头块状硬顽肉渐渐腐蚀脱落，那么我将用西医方法为你收口。此人于是访得黄墙村治疡素有声誉的黄墙先生，才乘船来到阆师处。只见外形几乎头上另长了一个头，高超过二寸，直径有三寸多，帽子摇摇欲坠，头发稀疏，登上龙山，一定像孟敏那样打破瓦罐不顾惜的样子。观察其腐烂处确实在浮皮表面，只有滋水，没有脓也没有血，按压则坚硬如石头也不做痛，确实无法识别是何病，也不能说明其病理如何。起初也只用普通的化毒药物，没有什么进展。后来病患转述柏医生的话，于是掺入枯痔散（此散即……积半年多，坚硬部分已完全消除，露出脑盖完全光滑干燥的骨头，四周毫无剩余硬块，直径达四寸多。老师认为如此光滑，没有丝毫肉质，虽然没有发生变证，饮食起居都像没病一样，溃口也不流血只是微有脓水。因为骨头中的缝隙如犬牙交错，微微按压稍有稀脓，幸好完全不痛不痒，脑中也不觉得有病。因为脑盖骨虽然不是很厚，但在两面硬骨中间夹着一层像海绵一样的物质，这是天然生理结构，用来保护脑髓的，本来就非常周到，所以外皮蚀尽而脑不受损伤，这个病例之所以最终获得安全也在于此。然而收口必然困难，那位美国医生柏氏既然说腐蚀之后他能收功，姑且让他去寻求治疗，那么西医治疗外部，素以神妙著称，应当会比我们家的旧学略胜一筹。于是嘱咐他再去柏医生处，以践行昔日的约定。然而没过几天那人又来了，叙述见柏医生后的经过，历数一路用药的方法并陈述中医收口必慢，请求施展妙手早日完成大功。岂料柏医生一见顽肉果然全部清除，俯首沉思，说中国医学确有特殊功效，你既然遇到这样的能手，那么他既然有此术腐蚀尽恶腐之物，他也必有收口的妙药，以成全功绩，确实无需我越俎代庖，这也是君子不夺人功劳的意思等等，所以又回来求治于我公。柏医生的言语婉转得体，非常善于辞令。阆师于是就把此膏给他，又在四周接连皮肉处，加用生肌药末。起初渐渐有新肉丝丝长出，逐次蔓延到骨上，而四周缓缓收缩，但头顶光滑的骨头依旧。积累了一年左右，收口至宽二寸多，前后尚余三寸许，则常贴此膏，而丝丝的新肉不再向上延伸。更掺入生肌药粉，也不再响应，授以补剂内服，又隔了很长时间，形状仍然如故。老师于是说这正是头顶光骨，历时很久不愈合，药力无效，想要取得全面胜利，恐怕很难了。而病人必再三询问是否有别的方法，虽然费用稍高，还可以勉强办理。老师因此想起古人有天灵盖入药的说法，心想此证部位相符，或许能生效。于是告诉此人此证有此一法，但打扰枯骨的良心上说不过去，情理上必不忍心这样做，不得已则尝试用狗骨代替，应当能有济事。又过了几天，那人竟然拿着一片骨头来，请求合药。于是烘焦，和入生肌末药中，嘱咐掺在四周，仍以此膏覆盖，竟然渐渐涨满，刚过两三个月而全部功成。起初新肌光滑不能生发，迟至一年多，乃新发渐渐布满，不再像牛山那样光秃。这个人往来于黄墙村上，前后总共三年多，俨然如同旧友，拜见老师曾三四次见到他。此后病愈而岁时馈赠问候不绝。这是一个非常奇特的病例，虽然不能透彻知晓病机，帮助真相，但前后的治疗验证确实可以流传。此膏的功效也可以概见。于是追述始末，附记在简端。可见我的老师家法渊源，自然自有高人一等之处。黄墙医学，确实不是徒有虚名罢了。
Whenever decocting and refining plasters (Bo Tie), one must first refine this oil. Filter it cleanly and store it separately. Then, if the prepared plaster is sometimes found to be too hard (lao), this oil can be added at will to adjust its consistency. During the three winter months when the weather is extremely cold, if the plaster spread on paper does not stick to the hand and falls off easily when applied to the affected area, this oil must be used to blend it evenly before spreading and applying. This makes the plaster tender and adhesive. Furthermore, this oil can be used to mix medicinal powders for applying to various sores with wet ulcers, which is superior to using raw sesame oil. If this refined oil is mixed with Minium (Huang Dan) and Lead Powder (Qian Fen) according to the above method, it becomes a plaster that can be applied to all types of surgical lesions. Additionally, applying specific medicinal powders may suffice for general treatment, but it cannot achieve the rapid efficacy of the previous two formulas.
Sheng Di Huang (Rehmanniae Radix Praeparata, 4 liang) Qiang Huo (Notopterygii Rhizoma et Radix) Du Huo (Angelicae Pubescentis Radix) Dang Gui (Angelicae Sinensis Radix) Gan Cao (Glycyrrhizae Radix et Rhizoma, each 3 liang) Gui Ban (Testudinis et Chelonis Carapax et Plastrum, 8 liang)
Use 20 jin of Sesame Oil (Mahu You). First add Gui Ban, then Sheng Di Huang, followed by the other herbs. Boil until the herbs are scorched, remove the dregs, and set aside for use.
Indicated for eye tinea, leaking tear sac abscess (Lou Jing Chuang), nasal chancre (Bi Gan), lip chancre (Chun Gan), breast tinea (Ru Xian), breast chancre (Ru Gan), umbilical ulcer (Qi Chuang), umbilical leakage (Qi Lou), anal fistula, and various hemorrhoids, penile chancre (Jing Gan), and genital erosion (Yin Shi). It is suitable for patients who cannot tolerate toxic-drawing and rot-removing "San Xian" mineral pills.
Chuan Gu Yong Lian (Coptidis Rhizoma / Huang Lian, 4 liang) Chuan Bai Pi (Phellodendri Cortex / Huang Bai, 4 liang) Xuan Shen (Scrophulariae Radix, 4 liang) Da Sheng Di (Rehmanniae Radix, 6 liang) Sheng Gui Ban (Testudinis et Chelonis Carapax et Plastrum, 6 liang) Dang Gui Quan (Angelicae Sinensis Radix, 3 liang)
Slice all the above herbs. Use 5 jin of Sesame Oil (Mahu You). Simmer over gentle fire (Wen Huo) first for 20 minutes with Sheng Di Huang and Gui Ban. Then add the remaining herbs and boil until scorched. Filter out the dregs cleanly. Heat gently again, add 20 liang of Beeswax (Huang La) until fully melted and blended. Seal tightly and store for use.
[Formula Analysis] The conditions treated by this plaster all occur in soft, tender muscle tissue. Since toxic-drawing plasters cannot be used, and adding drugs that draw out toxins and remove necrotic tissue would double the pain and exacerbate the condition, this formula was created to clear heat and detoxify, while also removing necrosis and generating new tissue. However, the affected area must be washed frequently, and the toxic fluids wiped dry before application to achieve rapid results.
Indicated for stubborn sores that fail to heal for a long time, with oozing pus, superficial skin itching due to dampness, and without deep necrosis. It is particularly effective for leg ulcers (Lian Chuang) on the shins that have persisted for many years.
Zhen Xiang Pi (Elephant Skin, 3 liang; if unavailable, substitute with hooves from donkeys or horses, 4-5 liang) Dang Gui Quan (Angelicae Sinensis Radix) Zhuang Nian Ren Fa (Hair of a healthy adult male, cleaned of dirt, each 2 liang) Da Sheng Di (Rehmanniae Radix, 4 liang) Gui Ban (Testudinis et Chelonis Carapax et Plastrum, 4 liang) Zhen Ma You (Pure Sesame Oil, 5 jin)
First decoct Sheng Di Huang, Gui Ban, and Xiang Pi. Then add human hair and Dang Gui, boiling until scorched. Remove dregs. Add 6 liang of Beeswax (Huang La) and 6 liang of Alum (Bai Fan), juice from Coptidis Rhizoma (Chuan Lian), 0.5 jin of fine powder of Calcined Calamine (Zhi Lu Gan Shi), and 5 liang of fine powder of Gypsum Fibrosum (Sheng Shi Gao). Blend over gentle fire without boiling. Store in porcelain vessels sealed tightly. Spread on oil paper according to the size of the sore. Wrap lightly with cloth strips. Change every two days. For those with less pus, change every three to four days. This plaster can also be spread on Western-style absorbent cotton gauze, which absorbs moisture and promotes flesh growth more easily than oil paper.
[Formula Analysis] Stubborn sores lasting many years, with superficial wet necrosis and leg ulcers, are the most difficult to treat rapidly. Conventional methods for drawing out toxins, removing necrosis, and generating muscle to close wounds often fail to adhere effectively. This is a self-made formula by Master Zhu Lang, used for over forty years with remarkable efficacy.
In the late Guangxu reign, Master Lang treated a peculiar case. A villager from Suzhou, in his thirties, initially developed a hard lump on the top of his head. It gradually grew larger and higher, causing no itch, pain, or numbness, remaining uneventful for over five years. Later, the superficial skin began to rot slightly, with some exudate, but little pain. His sleep, diet, and daily activities were unaffected. Physicians within a hundred miles had been consulted, none could identify the disease. He then sought medical attention from Dr. Parker (Bo Lewen) at the American Hospital in Tianci Zhuang, Suzhou. Dr. Parker stated that although the exterior was rotten, the interior was large and hard. Surgical excision would cause significant bleeding. Moreover, since the interior was the cranial vault and the hard mass was attached to the skull bone, cutting it would lead to complications. He recommended using corrosive medicines to slowly penetrate and erode the hard mass. However, Western medicine lacked such corrosive agents. Hearing that Chinese surgeons had methods to corrode foul flesh without harming healthy tissue, he advised seeking a skilled Chinese surgeon to apply medication to gradually corrode and detach the hard masses from the head, after which he would use Western methods to close the wound.
The patient then learned of Mr. Huang Qiang's reputation in treating sores in Huangqiang Village and traveled by boat to Master Lang. The external appearance resembled an extra head on the patient's head, rising over two cun high and having a diameter of over three cun. The hat wobbled precariously, and the hair was sparse. Observing the rotten area, it was indeed only on the superficial skin, with serous exudate but no pus or blood. Pressing it felt as hard as stone and was painless. The pathology was indeterminate. Initially, ordinary detoxifying medicines were used with little progress. After the patient relayed Dr. Parker's comments, "Ku Zhi San" (Hemorrhoid Mummifying Powder) was applied. After accumulating for over half a year, the hardness completely disappeared, revealing the cranial vault bone, which was smooth, dry, and intact. The surrounding area had no residual hardness, with a diameter reaching over four cun. Master Lang noted that since it was so smooth with no fleshy tissue, and despite no adverse changes—with normal diet, sleep, and activity, and the ulcer bleeding only slightly with serous fluid—it was safe because the sutures of the skull bone interlock like dog teeth. Slight pressure yielded thin pus, but there was no pain or itch, and the brain felt unaffected. The cranial bone, though not very thick, has a spongy layer between the hard bones, a natural physiological structure protecting the brain matter. Thus, even if the outer skin is eroded, the brain remains uninjured, ensuring safety. However, wound closure would be difficult. Since Dr. Parker claimed he could manage closure after erosion, Master Lang advised the patient to return to him, noting that Western medicine was renowned for its miraculous external treatments and might be superior to traditional Chinese methods.
The patient returned to Dr. Parker to honor the agreement. However, within a few days, he returned to Master Lang, recounting his visit to Dr. Parker. He listed the medications used along the way and argued that Chinese medicine heals wounds slowly, requesting Master Lang's expertise to complete the work quickly. Upon seeing that the foul flesh was completely removed, Dr. Parker bowed his head in thought and said, "Chinese medicine indeed possesses unique merits. Since you have encountered such a skilled practitioner who can corrode the foul flesh, he must also possess miraculous remedies for wound closure to complete the success. There is no need for me to overstep my bounds. This reflects the gentleman's principle of not stealing others' credit." Thus, the patient returned to Master Lang.
Master Lang gave him this plaster and applied muscle-generating powder to the surrounding healthy skin. Initially, new flesh grew thread-like, spreading over the bone while the sides contracted slowly, leaving the smooth bone on the vertex unchanged. After about a year, the wound narrowed to a width of over two cun, with three cun remaining front-to-back. Continuous application of the plaster stopped further upward growth of the new flesh. Adding muscle-generating powder was ineffective. Internal tonics were administered, but the shape remained unchanged after a long period. Master Lang concluded that the bald vertex bone had failed to heal for so long, indicating the medicine was ineffective. Achieving full closure seemed difficult. The patient repeatedly asked if there were other methods, willing to bear higher costs. Recalling ancient texts mentioning the use of the human skull cap (Tian Ling Gai) in medicine, Master Lang thought this might be applicable due to the location. He informed the patient of this method but expressed moral reluctance to disturb the dead. As a compromise, he suggested using dog bone instead, hoping for a similar effect.
A few days later, the patient brought a piece of bone for the prescription. It was roasted until charred and mixed into the muscle-generating powder, applied to the surroundings, and covered with the plaster. Gradually, the wound filled up. Within two to three months, the wound was fully healed. Initially, the new skin was smooth and hairless. Over a year later, hair gradually grew back, no longer bare like Mount Niu. The patient visited Huangqiang Village for over three years, becoming like an old friend, visiting Master Lang three or four times. After recovery, he continued to send gifts and greetings seasonally. This was a highly unusual case. Although the exact pathology was unclear, the treatment records are worthy of transmission. The efficacy of this plaster is evident. I record these details here to show that my teacher's lineage has its own superior qualities. Huangqiang Medicine is truly not undeservedly famous.