外疡既溃，脓毒既泄，其势已衰，用药之法为清其余毒、化其余肿而已。其尤要者，则
扶持胃气，清养胃阴，使纳谷旺而正气自充。虽有大疡，生新甚速。盖当脓毒未决之先，痛
苦备尝，其气已惫，胃纳必呆。一旦决之使溃，痛定体轻，如释重负。果有余毒未尽，仍以
清理为先。如其毒急焰已衰，必以养胃为主。无论如何大证，但得胃气一调，转机立见。纵
其溃烂綦剧，亦可指日收功。但不可惑于俗书，早投蛮补。须知大势乍平，火焰虽息而余烬
未泯，一得补益则炉中添炭，未有不死灰复燃者。即曰脓泄已多，正气须顾，要之精神已馁
，浓腻必所不胜，碍胃减食尤多变幻。彼治伤寒大病善后之法，知能清养和胃者必是伤寒名
家；而治疡科溃后调理之时，能守轻清养胃者，亦是疡医老手。惟脓去痛定之后，余肿渐消
，胃气既旺，则鲜猪白肉在所不禁。以猪为水畜，味本咸寒，亦有化热化毒功用。炖取清汤
可养胃阴，以助津液。血肉有情，竹破竹补正是疡家应需妙品，不比伤寒初越，嫌其腻滞，
未可遽食也。
治疡之有丸散尚矣。《千金外台》已开其例，有举莫废，至今沿之，盖取其服法简易，
用以治寻常之证，可代煎剂之繁琐耳。然既为普通性质，则泛治百病，必不能丝丝入扣。惟
大旨以行气通络，活血解毒为主，要亦不背于理。近今俗尚所通行者，以王氏《外科全生集
》之醒消丸、小金丹等为最着，而苏沪市肆之六神丸尤为赫赫有名，几为妇孺咸知，莫不以
为外疡必需之要药。实则王林屋所用之方，已是呆笨不灵，实效甚鲜；若所谓六神丸者，则
汇集重价之品一陶同治，其值兼金非不宝贵，然试按之性情效力，亦可尝有切合之影响。纵
曰珠黄解毒，脑麝宣通，意亦犹是，究竟一金之值买得几何。少服则力量甚微，多服则可破
中人之产。费而不惠，最是可嗤。
寿颐治疡，禀承先师朱氏家学，既以煎剂为之主，本无取于秘制丸散欺人炫世。惟轻浅
之病授以丸子，亦可有功，则简而易行，尚不失利物济人之志；而大证用作辅佐，又可以助
煎剂之不逮，交相为用自不可少。兹录习用之品，公之同好，固各有其实在之效力，非市上
之泛而不切者所可等视。惟病情既随时而变迁，则服法亦必与为推移，量度轻重。必谓制成
丸散，呆守板法而可以无投不利，则固理之所必无者也。
外疡溃破之后，脓毒已经排出，病势已经衰退，用药的原则是清除剩余的毒素、化解剩余的肿胀罢了。其中尤为重要的是，扶持胃气，清养胃阴，使食欲旺盛而正气自然充足。即使是大疮疡，生肌长肉也会非常迅速。大概因为在脓毒未溃之前，患者饱受痛苦折磨，元气已经疲惫，胃纳必然呆滞。一旦溃破排脓，疼痛停止身体轻松，如同卸下重担。如果确实有余毒未尽，仍然以清理为先。如果毒势急焰已经衰退，必须以养胃为主。无论病情多么严重，只要胃气得以调和，转机立刻显现。纵然溃烂极其严重，也可以指日可待地取得疗效。只是不可被世俗书籍迷惑，过早投用蛮补之药。须知大势刚刚平定，火焰虽然熄灭但余烬未完全消失，一旦得到补益就如同炉中添炭，没有不使死灰复燃的。即便说脓液排泄已多，需要顾护正气，然而精神已经衰弱，浓腻的药物必定难以承受，阻碍胃气减少进食的情况更多变复杂。那些治疗伤寒大病善后之法，懂得清养和胃的人一定是伤寒名家；而在治疗疡科溃后调理之时，能够坚守轻清养胃原则的，也是疡医老手。只有在脓去痛定之后，余肿逐渐消退，胃气既已旺盛，那么鲜猪白肉就在所不禁了。因为猪是水畜，味道本咸寒，也有化热化毒的功效。炖取清汤可以养胃阴，以助津液。血肉有情之品，竹破竹补正是疡家应需的妙品，不像伤寒初愈时，嫌弃其腻滞，不可以立即食用。
治疗疡科使用丸散由来已久。《千金方》和《外台秘要》已经开了先例，无人废弃，至今沿袭，大概是取其服用方法简易，用来治疗寻常病症，可以替代煎剂的繁琐罢了。既然具有普通性质，那么泛治百病，必然不能丝丝入扣。只是大旨以行气通络，活血解毒为主，也不违背医理。近来世俗风尚所通行的，以王氏《外科全生集》中的醒消丸、小金丹等最为著名，而苏沪市肆的六神丸尤其赫赫有名，几乎妇孺皆知，没有人不认为它是外疡必需的要药。实际上王林屋所用的方剂，已经是呆笨不灵，实效很少；至于所谓的六神丸，则是汇集贵重药材一同炮制，其价值兼金并非不宝贵，然而试按其药性效力，也可以尝试是否有切合的影响。纵然说是珍珠牛黄解毒，冰片麝香宣通，意思也差不多，究竟一金的价值能买到多少药效？少服则力量很微弱，多服则可以破费中等人家的产业。费而不惠，最是可笑。
寿颐（张山雷自号）治疗疡科，禀承先师朱氏的家学，既然以煎剂为主，本来不需要依靠秘制丸散来欺人炫世。只是轻浅的疾病授予丸子，也可以有功，这样简便易行，尚不失利物济人的志向；而重症用作辅助，又可以弥补煎剂的不足，相互为用自然不可缺少。这里记录习用的品种，公之于同好，固然各有其实际的效力，不是市面上泛泛而不切实际的药物可以同等看待的。只是病情既然随时变迁，那么服法也必须随之推移，量度轻重。必定说制成丸散，死守板法就可以无往不利，这确实是道理上必然没有的事情。
After the external ulcer has ruptured and the pus and toxins have been discharged, with the pathogenic force already subsided, the principle of medication is merely to clear the residual toxins and resolve the residual swelling. Of particular importance is supporting the Stomach Qi (Stomach Energy), clearing and nourishing the Stomach Yin, so that appetite becomes robust and the Righteous Qi (Vital Energy) naturally replenishes itself. Even with a large ulcer, the generation of new tissue will be very rapid. This is because before the pus and toxins rupture, the patient has endured great suffering, exhausting their Qi, leading to a dull and poor appetite. Once it ruptures and drains, pain ceases and the body feels light, as if a heavy burden has been lifted. If there is indeed residual toxin remaining, clearing it should still take precedence. However, if the fierce fire of the toxin has subsided, nourishing the Stomach must be the primary focus. Regardless of how severe the condition, once the Stomach Qi is harmonized, a turning point appears immediately. Even if the ulceration is extremely severe, success can be expected in a few days. One must not be confused by vulgar books and administer harsh tonics too early. It must be understood that when the major trend has just stabilized, although the flames have extinguished, the embers are not yet gone; adding tonification at this stage is like adding charcoal to the furnace, inevitably causing the dead ashes to reignite. Although it may be said that much pus has been discharged and the Righteous Qi needs care, since the spirit is already weakened, thick and cloying medicines will certainly be unbearable, often hindering the Stomach and reducing food intake, leading to more complex variations. Those who treat the convalescence of severe Shanghan (Cold Damage) diseases and understand how to clear and nourish the Stomach are undoubtedly masters of Shanghan; similarly, those who adhere to the principle of light and clear Stomach-nourishing methods during the post-ulceration regulation of surgical diseases are veteran surgeons. Only after the pus is gone, pain settles, residual swelling gradually disappears, and the Stomach Qi becomes vigorous, is fresh lean pork permissible. Since the pig is an aquatic animal, its flavor is naturally salty and cold, possessing functions to transform heat and detoxify. Simmering to obtain clear soup can nourish Stomach Yin and assist in generating fluids. These "sentient flesh and blood" substances follow the principle of "repairing broken bamboo with bamboo," making them excellent items suited for surgical cases, unlike in the initial recovery from Shanghan where one avoids them due to their cloying nature preventing immediate consumption.
The use of pills and powders in treating surgical diseases has a long history. *Qianjin Waifang* (Essential Prescriptions Worth a Thousand Gold for Emergencies) and *Waitai Miyao* (Secret Essentials of the Outer Court) had already set examples, which were never abandoned and continue to this day, largely because they offer simple administration methods, serving as a substitute for the complexity of decoctions in treating common conditions. However, given their general nature, treating a hundred diseases broadly cannot be perfectly precise. Their main purport lies in promoting Qi circulation and unblocking collaterals, invigorating blood and resolving toxins, which does not contradict medical principles. In recent popular practice, Wang Linwu’s *Waike Quansheng Ji* (Complete Life Preservation in Surgery) formulas, such as Xingxiao Wan (Awakening Elimination Pill) and Xiaojin Dan (Little Gold Pellet), are most famous, while Liushen Wan (Six Divine Pills) sold in Shanghai and Suzhou markets is particularly renowned, known to women and children alike, and universally regarded as an essential medicine for external ulcers. In reality, the formula used by Wang Linwu is already rigid and ineffective, with little actual efficacy; as for the so-called Liushen Wan, it gathers expensive ingredients processed together, and while its value is precious, testing its properties and effects reveals whether it truly has a fitting impact. Even if it claims pearl and rhino horn (or musk substitute) to resolve toxins, and borneol and musk to promote circulation, the intent is similar, but ultimately, what amount of medicinal power does one unit of gold purchase? Taken in small doses, the power is minimal; taken in large doses, it can bankrupt a middle-class family. Expensive yet unbeneficial, it is most laughable.
Shouyi (Zhang Shanlei's pseudonym), in treating surgical diseases, inherited the family learning of his late master Mr. Zhu. Since he prioritizes decoctions, he originally had no need for secret pill and powder recipes to deceive people or dazzle the world. However, for mild and superficial diseases, providing pills can also be effective, being simple and easy to execute, thus not losing the ambition to benefit things and save people; and for severe conditions used as adjuvants, they can supplement the shortcomings of decoctions, making their mutual use indispensable. Here I record commonly used preparations, sharing them with enthusiasts, which indeed possess real efficacy, unlike the generic and unfocused products on the market. Since disease conditions change with time, dosage methods must also shift accordingly, weighing severity. To claim that prepared pills and powders, adhering rigidly to fixed rules, can ensure success in every application is logically impossible.