拣净金银花（五两） 甘草（二两） 醇酒（一升） 重汤煮出味。如疡色平硬，加黄 三两，酒不足可量添入。
大小疡毒初见，进此酒。金银花寒能清热，甘能疗虚，芬芳能醒脾。甘草化毒和中，虚实无忌。均属外科圣
药。煮酒一壶，昼夜徐徐饮尽，药力到矣。到则以前方先后煎服，病许顿灭。量不胜者，亦须拚醉毋辞。
黄蜡（四两） 白冬蜜（二两） 白明矾（二两） 琥珀 明雄黄 珍珠（各一两） 如无珠，用朱砂亦得。
先将四药碾极细，用铜杓熔蜡与蜜，离火俟少凝，入前末搅匀，众手急丸赤小豆大。每下三十丸，病甚者日
进三服，乃得。
凡痈疽及恶蛇、疯狗伤，毒盛且急，不能外出，必致内攻。先进兹丸护心，贞吉无咎。盖人心清虚中正，邪
不易受，亦不敢令邪犯。以故痈疡内陷，蛇犬外伤，毒瓦斯攻入寸中，命必倾矣。是方蜡、蜜甘温润燥，矾石酸涩
祛汗，护膜托里，推此居最。再有气味辛厉之雄黄，辟邪而杀百毒。性质向导之珠珀，镇火以定惊魂。毒纵盛纵
急，无能为害。徐对症度量处方，计日可决痊期。
诗曰∶银花草酝屠苏酒，加 阴毒化无有，护心古制蜡矾丸，珠珀雄黄新方好，缺珠丹砂尽可充，蜜丸金衣
真活宝。
肉桂 当归 黄 人参 忍冬花（各一两） 芎 没药 天花粉 白芷各五钱 乳香 桔梗 甘草（各七钱）
芍药 防风（各三钱）
恶疮未成不消，已成不溃，此方主之。
疮之恶者多矣，未能枚举。不消不溃，乃精血大虚，不能作气成脓。切莫纯用凉药，致肌肉冰寒，益难收局。
须甘
温补而兼和之品，助气活血，以速其新顶溃脓，庶无变症。上方人参、黄 、甘草、乳香，补气者也，且以健脾
生津。当归、肉桂、没药、芎 ，理血者也，更能益荣行瘀。忍冬花、天花粉、桔梗专主解毒排脓，脓出则少用。
白芷、防风、芍药允足除湿敛口，湿去可勿施。用屠苏酒调者，亦虚不厌补、补不嫌多之意。语云∶方在灵不在
多，医在圆通不在信守，其斯之谓欤。
诗曰∶千金内托尚参 ，桂草天花桔芷归，再入忍冬芎芍乳，宁防没药病难驱。
痈疽之患，盖由情欲戕贼真元。真元损，则眉宇纵可观，身子空空如也。凡百乖厉客气，易于感召。感召之
际，较他人另深。是以毒作。丹溪谓阴阳相滞而生，理不外是。但滞字未得病情，当谓阴阳互相牵累，积郁而致。
如邪中气分，津液稠浊，为痰为饮，积久渗入脉中，血为之倭，此阳累于阴也。邪郁血分，隧道淹沮，或溢或结，
积久渗出脉外，气为之乱，此阴累于阳也。其毒大小浅深，随人之禀赋感召以为轻重。初见用活命饮，继用卫生
汤。俟成症知名，验看顶高，根活，色赤， 肿，疼痛，皮光薄，势欲溃，及溃，脓浓，鲜黄不臭，进托里消毒
饮，腐肉自托， 肿随消。倘顶平根散色黯，不热不疼肿，虽坚不作脓，不溃腐或腐溃肿痛仍不消减，脓水清稀，
新肉弗长，形恶气奇秽，须内托千金散，再则十全养荣、八物回生等汤，大补气血，稍逆转为顺，渐次略带消解，
十亦可愈五六。必曰死、曰不治，听渠坠败，大失作医之道。
隔蒜灸法∶凡毒现形，取大蒜切片置顶中，艾丸子灸三壮一换，不拘数目，以痛灸至不痛，不痛灸至痛乃止。
无蒜时，切生姜亦可。倘阴毒及 肿不见顶，用湿纸涮上，先干
处即是。笔识之，再铺纸，干如前，不问一处、二三处，无妨总灸，灸毕，根据次服药准效。此疮科起手第一要着。
经曰∶知其要者，一言而终。学人免诸。
外科以膏药为首务，汤剂丹丸次之。揆其因有三∶曰便、曰醒、曰捷。便者，非要即有，毒初萌，凉其蕴热，
祛其游风，潜伏而内消之谓也。醒者，非教病家警觉，毒即见，遏抑势焰，静观转应，得以驱除之谓也。捷者，
非使人乐从，毒方炽，明知善恶，防其变迁，急拔而出之谓也。故便而方药两劣，则痛不少减，而红肿弥加。醒
而不详审究，则祸烈而溃腐无期。捷而听其至上，则病变多端，而败坏莫测。三者兼备，庶从事有济，厥方于以
知名。如太乙膏、玉红膏，诸书具载，远近遍传。是已考其药，太乙之元地、肉桂、当归、乳香、没药行血止痛。
白芷、元参、大黄、赤芍、黄丹清火散风，再润以麻油，毒从中化。玉红之当归、血竭、紫草、轻粉去瘀生新，
白芷、甘草、白蜡、麻油理肌敛口，自然肉好如初。其他万灵、万应，品汇纵多，总不外个中消息，吾徒欲兼精
是道。尽有名言，无妨博搜远采。
拣选干净的金银花（五两）、甘草（二两）、优质酒（一升），隔水加热煮出药味。如果疮疡颜色平塌且质地坚硬，加入黄芪（三两），若酒量不足可酌情添加。
在大小疮毒初发时，服用此酒。金银花性寒能清热，味甘能疗虚损，气味芬芳能醒脾；甘草能化解毒素、调和脾胃，无论虚证实证皆可无忌地服用。它们都属于外科的圣药。煮好一壶药酒，昼夜慢慢饮尽，药力即可到达病所。药力到达后，再按前面的方剂先后煎服，疾病或许能立刻消除。对于酒量不胜任的人，也必须拼醉喝下不要推辞。
黄蜡（四两）、白冬蜜（二两）、白明矾（二两）、琥珀、明雄黄、珍珠（各一两）。如果没有珍珠，用朱砂也可以。
先将这四种药碾成极细的粉末，用铜勺熔化黄蜡和蜂蜜，离火后等待稍微凝固，加入前面的药粉搅拌均匀，众人迅速搓成赤小豆大小的丸药。每次服用三十丸，病情严重的每天进服三次，这样才能见效。
凡是痈疽以及被恶蛇、疯狗咬伤，毒气旺盛且急迫，不能向外发散，必然会导致毒气内攻。先服用这种丸药以保护心脏，结果吉祥没有灾祸。因为人心清虚中正，邪气不容易侵入，也不敢让邪气侵犯。所以痈疡内陷，蛇犬外伤，毒瓦斯攻入心中，生命必定危险。这个方子中，黄蜡、蜂蜜甘温润燥，明矾酸涩祛湿，保护心膜、托毒外出，居首要地位。再加上气味辛烈的大雄黄，辟除邪气并杀灭百毒。性质具有向导作用的珍珠、琥珀，镇降火邪以安定惊魂。即使毒气再旺盛急迫，也无法造成危害。随后根据症状斟酌处方，计算日子可以决定痊愈期限。
诗曰：银花草酿制屠苏酒，加黄芪阴毒化解无有；护心古法制蜡矾丸，珠珀雄黄新方真好，缺珍珠丹砂尽可充当，蜜丸金衣真是活宝。
肉桂、当归、黄芪、人参、忍冬花（各一两）、川芎、没药、天花粉、白芷各五钱、乳香、桔梗、甘草（各七钱）、芍药、防风（各三钱）。
治疗恶疮未成脓不能消散，已成脓不能溃破的情况，此方为主治。
疮疡中恶劣的有很多，未能一一列举。不消不溃，是因为精血大虚，不能化生气血形成脓液。千万不要单纯使用凉药，导致肌肉冰寒，更加难以收口治愈。必须用甘温补益兼调和的药物，助气活血，以加速新肉生长和溃脓，这样才没有变症。上方中人参、黄芪、甘草、乳香，是补气药，并且能健脾生津。当归、肉桂、没药、川芎，是理血药，更能益营血行瘀血。忍冬花、天花粉、桔梗专门主治解毒排脓，脓出后可少用。白芷、防风、芍药足以除湿敛口，湿气去除后可不再施用。用屠苏酒调服，也是虚证不厌补、补益不嫌多的意思。俗话说：方剂贵在灵验不在多，医生贵在圆通灵活不在死守教条，说的就是这个道理吧。
诗曰：千金内托汤尚需人参，桂草天花桔芷归，再入忍冬芎芍乳，宁防没药病难驱。
痈疽的祸患，大概是由情欲伤害真元所致。真元受损，则眉宇间纵然可观，身体内部却空空如也。各种乖戾的客气，容易感召入侵。感召的时候，比他人更深重。因此毒气发作。丹溪说阴阳相滞而生，道理不外乎如此。但“滞”字未能准确描述病情，应当说是阴阳互相牵累，积郁而致。如邪气侵入气分，津液稠浊，成为痰饮，积久渗入脉中，血液为之淤阻，这是阳累于阴。邪气郁结在血分，经络阻滞，或溢出或凝结，积久渗出脉外，气机为之紊乱，这是阴累于阳。其毒气的大小浅深，随着人的禀赋和感召程度而有轻重之分。初见时用活命饮，继用卫生汤。等到症状明确，观察见顶部高起，根部活跃，颜色红赤，肿胀，疼痛，皮肤光亮薄嫩，势欲溃破，及至溃破，脓液浓稠，鲜黄不臭，进服托里消毒饮，腐肉自然脱落，肿胀随之消退。倘若顶部平塌、根部散漫、颜色黯黑，不热不痛肿胀，虽然坚硬但不作脓，不溃破腐烂或者腐烂溃破后肿痛仍不消减，脓水清稀，新肉不长，形态恶劣气味奇秽，须用内托千金散，再则用十全养荣、八物回生等汤，大补气血，使稍逆转为顺，渐次略带消解，十分之中也可治愈五六。一定要说死、说不治，听任其坠落败坏，大大失掉了做医生的道义。
隔蒜灸法：凡毒气显现形状，取大蒜切片置顶部中间，艾丸子灸三壮换一个，不拘数量，以痛处灸到不痛，不痛处灸到痛为止。没有大蒜时，切生姜也可以。如果是阴毒以及漫肿不见顶，用湿纸涮在上面，先干的地方即是病灶所在。笔识记录之，再铺纸，干了如同之前，不问是一处还是二三处，不妨都灸，灸毕，接着服药准有效。这是疮科起手的第一要着。
经曰：知道要领的人，一句话就能终结（问题）。学习者免除这些困惑吧。
外科以膏药为首务，汤剂、丹丸次之。考察其原因有三：曰便、曰醒、曰捷。便者，并非非要不可，而是有毒初萌，凉其蕴热，祛其游风，潜伏而内消之谓也。醒者，并非教病人警觉，而是毒即见，遏抑势焰，静观转应，得以驱除之谓也。捷者，并非使人乐从，而是毒方炽，明知善恶，防其变迁，急拔而出之谓也。所以便而方药两劣，则痛不少减，而红肿弥加。醒而不详审究，则祸烈而溃腐无期。捷而听其至上，则病变多端，而败坏莫测。三者兼备，庶从事有济，厥方于以知名。如太乙膏、玉红膏，诸书具载，远近遍传。已考其药，太乙之元地、肉桂、当归、乳香、没药行血止痛。白芷、元参、大黄、赤芍、黄丹清火散风，再润以麻油，毒从中化。玉红之当归、血竭、紫草、轻粉去瘀生新，白芷、甘草、白蜡、麻油理肌敛口，自然肉好如初。其他万灵、万应，品汇纵多，总不外个中消息，吾徒欲兼精是道。尽有名言，无妨博搜远采。
Select clean Honeysuckle Flower (Jinyinhua, 5 liang), Licorice Root (Gancao, 2 liang), and pure wine (1 sheng). Heat them in a double boiler until the medicinal flavor is extracted. If the ulcer appears flat and hard, add Astragalus Root (Huangqi, 3 liang); if the wine amount is insufficient, add more as needed.
Administer this wine when large or small sores and toxins first appear. Honeysuckle Flower is cold to clear heat, sweet to treat deficiency, and fragrant to awaken the Spleen. Licorice Root resolves toxins and harmonizes the Middle Jiao; it can be used without fear in both deficiency and excess patterns. Both are considered sacred medicines for surgery. Boil one pot of medicinal wine and drink it slowly throughout day and night until the medicinal power reaches the disease site. Once the power arrives, decoct and administer the previous formulas sequentially; the disease may be instantly eliminated. Even those who cannot tolerate alcohol must drink to intoxication without refusal.
Beeswax (4 liang), White Winter Honey (2 liang), White Alum (Baimingfan, 2 liang), Amber (Hupo), Realgar (Xionghuang), and Pearl (Zhenzhu) (each 1 liang). If pearls are unavailable, Cinnabar (Zhusha) may be used instead.
First, grind the four herbs into an extremely fine powder. Melt the beeswax and honey in a copper spoon. Remove from fire and wait until slightly solidified, then mix in the powdered herbs evenly. Quickly roll the mixture into pills the size of Adzuki beans by hand. Take 30 pills per dose. For severe cases, take three doses daily to achieve efficacy.
For any carbuncle, furuncle, or injuries from venomous snakes or mad dogs, where the toxin is abundant and urgent, preventing external discharge and leading to internal attack, administer these pills first to protect the Heart. This ensures auspiciousness and no blame. The human heart is clear, empty, upright, and central; evil pathogens find it difficult to invade and dare not offend it. Therefore, if a carbuncle sinks inward, or due to snake/dog bites, toxic vapors attack the center, life will be endangered. In this formula, beeswax and honey are sweet, warm, moistening, and dry-damp-resolving; alum is sour and astringent, dispelling sweat, protecting membranes, and pushing toxins outward, taking the primary role. Additionally, Realgar has a pungent and fierce aroma, repelling evil and killing hundred toxins. Pearl and Amber have guiding properties, calming fire and stabilizing the soul. No matter how abundant or urgent the toxin, it cannot cause harm. Subsequently, prescribe according to symptoms, and calculate the days to determine the recovery period.
Poem: Honeysuckle brews Tusu Wine, adding Astragalus dissolves Yin toxins without trace; Ancient Heart-Protecting Wax-Alum Pill, Pearl-Amber-Realgar new formula is good; lacking Pearl, Cinnabar suffices, honey pills with gold coating are true living treasures.
Cinnamon Bark (Rougui), Angelica Sinensis (Danggui), Astragalus Root (Huangqi), Ginseng Root (Renshen), Honeysuckle Flower (Rendonghua) (each 1 liang), Ligusticum Wallichii (Chuanxiong), Myrrh (Moyao), Trichosanthes Root (Tianhuafen), Angelica Dahurica (Baizhi) (each 5 qian), Frankincense (Ruxiang), Platycodon Root (Jiegeng), Licorice Root (Gancao) (each 7 qian), Peony Root (Shaoyao), Saposhnikovia Root (Fangfeng) (each 3 qian).
This formula primarily treats malignant sores that have not formed pus and cannot dissipate, or have formed pus but cannot ulcerate.
There are many types of malignant sores, too numerous to list. Failure to dissipate or ulcerate is due to severe deficiency of Essence and Blood, unable to generate Qi to form pus. Do not purely use cooling medicines, which would make muscles icy cold and harder to heal. One must use sweet-warm tonifying and harmonizing agents to assist Qi and invigorate Blood, accelerating new tissue growth and pus formation, thus avoiding complications. In the above formula, Ginseng Root, Astragalus Root, Licorice Root, and Frankincense are Qi-tonifying herbs that also strengthen the Spleen and generate fluids. Angelica Sinensis, Cinnamon Bark, Myrrh, and Ligusticum Wallichii regulate Blood, further benefiting Ying (Nutritive) level and moving stasis. Honeysuckle Flower, Trichosanthes Root, and Platycodon Root specifically resolve toxins and drain pus; reduce dosage once pus is discharged. Angelica Dahurica, Saposhnikovia Root, and Peony Root sufficiently eliminate dampness and close wounds; discontinue once dampness is gone. Using Tusu Wine for administration reflects the principle that deficiency does not tire of tonification, and tonification does not dislike abundance. As the saying goes: A formula's value lies in its efficacy, not its quantity; a physician's skill lies in flexibility, not rigid adherence. This is what is meant.
Poem: Thousand-Gold Internal Support relies on Ginseng, Cinnamon, Licorice, Trichosanthes, Platycodon, Angelica Dahurica, and Angelica Sinensis; add Honeysuckle, Ligusticum, Peony, and Frankincense; beware Myrrh if the disease is hard to drive away.
The affliction of carbuncles and furuncles generally arises from desires damaging the True Yuan (Original Qi). When True Yuan is damaged, although the brow area may look fine, the body interior is empty. Various adverse pathogenic factors easily attract and invade. During such attraction, the impact is deeper than in others. Thus, toxicity manifests. Danxi stated that stagnation of Yin and Yang generates disease; the principle is not outside this. However, the term "stagnation" does not accurately describe the pathology; it should be said that Yin and Yang mutually burden each other, leading to accumulation and depression. If evil enters the Qi level, body fluids become thick and turbid, forming Phlegm and Fluid Retention; over time, they seep into the vessels, causing blood to stagnate; this is Yang burdening Yin. If evil depresses in the Blood level, meridians are blocked, overflowing or knotting; over time, they seep out of vessels, causing Qi to become chaotic; this is Yin burdening Yang. The magnitude and depth of toxicity depend on individual constitution and susceptibility. Initially, use Huoming Yin (Life-Saving Decoction), followed by Weisheng Tang (Health-Preserving Decoction). Wait for symptoms to clarify; observe if the top is high, root active, color red, swelling present, painful, skin thin and shiny, indicating impending ulceration. Upon ulceration, if pus is thick, fresh yellow, and odorless, administer Tuoli Xiaodu Yin (Support Interior and Resolve Toxin Decoction). Rotting flesh will naturally detach, and swelling will subside. If the top is flat, root scattered, color dark, non-hot, non-painful swelling, hard but no pus formation, or if after ulceration pain and swelling do not decrease, pus is thin and watery, new flesh does not grow, morphology is ugly, and odor is foul, use Qianjin Neituo San (Thousand-Gold Internal Support Powder). Then use Shiquang Rong Decoction or Bawu Huisheng Decoction to greatly tonify Qi and Blood, turning slight reversal into smooth progression, gradually incorporating resolution. Six out of ten cases may heal. To declare death or untreatability, letting patients fall into ruin, is a great loss of medical ethics.
Garlic-Separated Moxibustion Method: When a sore manifests, place a slice of garlic on the center of the lesion. Apply moxa cones, burning three Zhu (units of moxa consumption) before replacing. The number of applications is unrestricted. Stop when pain ceases upon application to a painful area, or when pain returns upon application to a painless area. If garlic is unavailable, sliced ginger may be used. For Yin-type toxins or diffuse swelling without a distinct head, apply wet paper to the surface; the first spot to dry indicates the focal point. Record this, apply another layer of paper; where it dries first again, regardless of whether it is one or multiple spots, moxibustion should be applied everywhere. After moxibustion, immediately administer medicine for assured efficacy. This is the first essential step in surgical dermatology.
The Classic states: He who knows the essentials needs only one word to conclude. Students should avoid these pitfalls.
In surgery, plasters are the priority, followed by decoctions, pills, and powders. The reasons are three: Convenience (Bian), Awakening (Xing), and Speed (Jie). Convenience means having materials readily available; when toxins first emerge, cool the accumulated heat, dispel wandering wind, allowing them to submerge and internally dissipate. Awakening means alerting the patient; when toxins appear, suppress their momentum, calmly observe the transformation, and facilitate expulsion. Speed means enabling quick action; when toxins are rampant, discern good and evil, prevent changes, and urgently extract them. If using convenient methods with inferior prescriptions, pain will not decrease, and redness/swelling will increase. If awakening without detailed investigation, disaster will intensify, and ulceration/putrefaction will be delayed indefinitely. If relying solely on speed without control, diseases will change in many ways, and deterioration will be unpredictable. Possessing all three allows for successful practice, making the formula renowned. Examples include Taiyi Plaster and Yuhong Plaster, recorded in various books and widely circulated. Examining their ingredients: Taiyi Plaster contains Rehmannia Root (Di Huang), Cinnamon Bark, Angelica Sinensis, Frankincense, and Myrrh to move Blood and stop pain; Angelica Dahurica, Scrophularia Root (Xuanshen), Rhubarb (Dahuang), Red Peony Root (Chishao), and Lead Oxide (Huandan) clear fire and disperse wind; lubricated with Sesame Oil, toxins transform from within. Yuhong Plaster contains Angelica Sinensis, Dragon's Blood (Xuejie), Lithospermum Root (Zicao), and Calomelas (Qingfen) to remove stasis and generate new tissue; Angelica Dahurica, Licorice Root, Beeswax, and Sesame Oil regulate skin and close wounds, naturally restoring healthy flesh. Other remedies like Wanling and Wanying, though numerous, ultimately revolve around these principles. My disciples wishing to master this path should thoroughly search and collect famous sayings and methods.