雄黄 朱砂 血竭 没药（各一钱） 麝香（等分） 共研，掺绵纸十四条作燃润麻油点，
照疮毒，离半寸，自外而内周遭照药气熏毒令热，先三条起，渐消用敷药。车前草、 草、五
龙草、金银花（俱鲜者）同捣细，加陈年小粉、飞盐少许，又捣如糊，频敷，中留头。早可散，
迟略溃。诸草缺鲜者，取根或干者为末，加陈醋调，内兼服败毒散、护心散、活命饮、十宣散尤
效，忌凉药。
凡疮疡日久成漏者，非止一端。有因生于虚软卑下之处，其气脉下行而难于收口；或气血亏
伤，迁延不收；或患疮毒未平复，因犯房室成漏，小孔出水不已，渐成不救之患。用大附子一个
，重一两者气足，为末，津唾调作饼。如漏孔大，三文钱浓，用艾炷于饼上灸；内服大剂十全大
补汤助之，至孔合为度。如无附子，用淡豆豉捣作薄饼灸。或犹在穿溃时，难于生肌，疽毒根深
，水从内出，用硫黄为末，和入白面，以大蒜捣捻成饼。如孔大，浓三分艾灸，勿令痛，要令大
热，至二十一壮，每壮一换。隔五
日，用翠云锭、信效锭子，以些许用入疮口，歹肉去，好肉生。次上生肌散，内服大补托之药。
疮疡用针为贵。有肉已溃，脓不出，必宜针之，惟审浅深。若皮薄针深，恐伤良肉；肉浓针
浅，脓毒不出。如先见血、后见脓，绵纸条捻塞口。若附骨疽、气毒流注，及其经久不消内溃者
，用针开之。若治咽喉，宜用三棱针。及痈 痛而四畔赤肿如灼，用瓷锋砭破，皂角刺亦可（毒
破脓出，重者即轻，切勿见风。）痈若皮薄，而多有椒眼、蜂窠之状、脓血不出者，用针横直裂
之。凡疮不起可托，不脓可补，脓成不出，及时针之，但不宜早。如在虚处近筋骨，未可针，若
畏痛而不针则误矣。恐伤良肉则惑矣。疮发于肉薄之处，肿高寸许，针入二分；发背高三、四寸
，针入寸许（附骨疽同）。况患处肉已腐，何痛之有？怯弱人，及附骨疽不破，迁延日久，脓变
臭水而透内膜，必致大溃而死。
雄黄、朱砂、血竭、没药（各一钱），麝香（等量），共同研磨成粉。取十四条绵纸，蘸润湿的麻油点燃，照射疮毒部位，距离皮肤半寸，从外向内环绕照射，使药气熏蒸患处令其发热。先用三条纸捻照射，待症状逐渐消退后，改用敷药。车前草、[某]草、五龙草、金银花（均为新鲜者）一同捣碎成细末，加入陈年的小粉和少许飞盐，再次捣烂如糊状，频繁敷于患处，中间留出疮头。早用可消散，迟用则略微溃破。如果这些草药缺少新鲜的，可以取根部或干燥者研为粉末，加陈醋调匀，同时内服败毒散、护心散、活命饮、十宣散效果更佳，忌用寒凉药物。
凡是疮疡日久形成瘘管的，原因不止一种。有的因为生于虚弱柔软且位置低下的地方，气血脉向下行而难以收口；或者气血亏损受伤，拖延不愈；或者患疮毒未平复时，因房事不慎导致成漏，小孔不断出水，逐渐演变成无法挽救的祸患。使用一个大附子（重一两且质地坚实有力的），研成粉末，用唾液调制成饼状。如果漏孔较大，厚度约三文钱厚，将艾炷放在饼上进行艾灸；内服大剂量的十全大补汤以辅助治疗，直到孔洞愈合为止。如果没有附子，可用淡豆豉捣成薄饼进行艾灸。如果仍处于穿溃阶段，难以生肌，疽毒根深蒂固，脓水从内部流出，可用硫黄研末，混合白面，用大蒜捣烂捏成饼状。如果孔洞较大，厚度三分，用艾灸法，不要让其感到疼痛，但要令其产生强烈的热感，灸二十一壮，每壮更换一次药饼。间隔五日，使用翠云锭、信效锭子，取少量放入疮口，去除腐肉，促进新肉生长。随后外敷生肌散，内服大补托毒的药物。
疮疡治疗中针刺最为珍贵。如果有肉已溃破但脓液不出，必须适宜地针刺，关键在于审察深浅。如果皮薄而针深，恐怕损伤好肉；如果肌肉厚实而针浅，脓毒排不出来。如果先见血、后见脓，用绵纸条捻塞住创口。如果是附骨疽、气毒流注，以及经久不消导致内部溃破的，用针刺开。如果治疗咽喉疾病，宜用三棱针。还有痈痛且四周红肿如火烧般的，用瓷锋砭石刺破，皂角刺也可以（毒破脓出，重症即变轻症，切勿受风）。痈若皮薄，且多有椒眼、蜂窠之状，脓血出不来的，用针横直切开。凡是疮疡不起发不可托举，无脓不可补益，脓已成却排不出，应及时针刺，但不宜过早。如果在虚处靠近筋骨的地方，不可针刺；如果因畏惧疼痛而不针刺则是错误的。担心损伤好肉而犹豫不决也是迷惑的。疮发于肌肉薄弱之处，肿胀高约一寸，针刺入二分；发背肿胀高三四寸，针刺入一寸左右（附骨疽同理）。况且患处肌肉已经腐烂，哪里还有什么疼痛？怯弱之人，以及附骨疽不破溃，拖延日久，脓液变成臭水并穿透内膜，必定导致大面积溃烂而死。
Realgar (Xionghuang), Cinnabar (Zhusha), Dragon's Blood (Xuexie), Myrrh (Moyao) (each 1 qian), Musk (Shexiang) (equal parts), are ground together into powder. Take fourteen strips of cotton paper, dip them in lubricated sesame oil, ignite them, and use the flame to irradiate the sore/poison area. Keep the distance half a cun from the skin, irradiating around from the outside inward, allowing the medicinal vapor to fumigate the affected area until it feels hot. Start with three paper strips; once symptoms gradually subside, switch to applying medicated plasters. Plantago seed herb (Cheqiancao), [missing name] grass, Wulong grass, and Honeysuckle flower (Jinyinhua) (all fresh) are pounded finely together. Add aged small starch and a little refined salt, pound again into a paste, and apply frequently to the lesion, leaving the head of the sore open. Early application can resolve the swelling; late application may lead to slight ulceration. If fresh herbs are unavailable, take the roots or dried forms, grind into powder, mix with aged vinegar, and concurrently administer Baidu San (Poison-Resolving Powder), Huxin San (Heart-Protecting Powder), Huoming Yin (Life-Saving Decoction), or Shixuan San (Ten-Acupoint Resolving Powder) for better efficacy. Avoid cold/cool natured medicines.
For sores that have persisted for a long time and formed fistulas (Lou), the causes are manifold. Some arise in areas that are weak, soft, and low-lying, where Qi and blood vessels flow downward, making healing difficult; or due to deficiency and injury of Qi and blood, leading to prolonged non-healing; or because sexual intercourse was engaged in while the sore poison had not yet resolved, resulting in a fistula where a small hole continuously discharges fluid, gradually becoming an incurable condition. Use one large Aconite root (Fuzi), weighing one liang and possessing strong Qi, grind it into powder, and mix with saliva to form a cake. If the fistula opening is large, make the cake about thickness of three cash coins. Place moxa cones on the cake for moxibustion; internally administer a large dose of Shiquan Dabu Tang (Complete Great Tonifying Decoction) to assist, continuing until the hole closes. If Aconite is unavailable, use fermented soybean (Danshidouchi) pounded into a thin cake for moxibustion. If still in the stage of perforation and ulceration, with difficulty in generating flesh, and the carbuncle poison is deep-rooted with water discharging from within, use Sulfur (Liuhuang) ground into powder, mixed with wheat flour, and kneaded with crushed garlic into a cake. If the hole is large, make it three fen thick, apply moxibustion without causing pain, but ensure intense heat, totaling twenty-one moxa cones (zhuang), replacing the cake with each cone. After five days, use Cuiyun Ding (Emerald Cloud Pill) or Xinxiao Ding, inserting a small amount into the wound to remove foul flesh and promote healthy flesh growth. Then apply Shengji San (Flesh-Generating Powder) externally, and internally administer great tonifying and supporting medicines.
Acupuncture is highly valued in treating sores. If flesh has ulcerated but pus does not discharge, acupuncture is necessary, provided the depth is carefully assessed. If the skin is thin and the needle inserted too deeply, good flesh may be damaged; if the muscle is thick and the needle inserted too shallowly, pus and poison will not emerge. If blood appears first followed by pus, plug the opening with twisted cotton strips. For Osteomyelitis (Fugu Ju), Qi-toxic flowing accumulation, or internal ulceration that persists without resolving, use needles to open the area. For treating throat conditions, a triangular needle (Sanleng Zhen) should be used. For carbuncles painful with surrounding redness and swelling resembling burning, pierce with a porcelain blade (Bianshi); Gleditsia sinensis spine (Zaogao Ci) can also be used (once poison breaks and pus exits, severe cases become mild; avoid exposure to wind). For carbuncles with thin skin presenting as pepper holes or honeycomb structures, where pus and blood do not discharge, use needles to lacerate horizontally and vertically. Whenever a sore fails to rise/carry toxin, lacks pus for tonification, or has formed pus but fails to discharge, timely acupuncture is indicated, though it should not be done too early. In deficient areas near bones and tendons, acupuncture is contraindicated; however, avoiding acupuncture due to fear of pain is erroneous. Hesitating due to fear of damaging good flesh is also misguided. For sores arising in thin flesh areas with swelling about one cun high, insert the needle two fen deep; for Back Carbuncle (Fabai) swelling three to four cun high, insert the needle about one cun deep (same for Osteomyelitis). Moreover, since the flesh at the affected site is already necrotic, where is the pain? For frail individuals, or for Osteomyelitis that does not break, if delayed for a long time, pus turns into foul water and penetrates the inner membrane, inevitably leading to massive ulceration and death.