薛立斋治一男子，孟冬，火伤臂作痛，喘咳发热，此火毒刑肺金之症。用人参平肺散治之，喘咳
乃止。因劳，又恶寒发热，此气血虚也。以八珍汤加枳、梗、白芷，治之而退。再加薄桂三分，以助
药势，温气血，坏肉溃之而愈。如若初起 赤作痛，用神效当归膏敷之，轻者自愈，重者自腐生肌，
神效。或用侧柏叶末，蜡油调敷亦效。若发热作渴，小便赤色，其脉洪数而实者，用四物、茯苓、木
通、生甘草、炒黄连。脉虽洪数而虚者，用八珍。若患处不溃，而色黯者，四君、芎、归、黄 之类。
若死肉已溃而不生肌者，用四君、黄 、当归、炮姜。若愈后而恶寒，阳气未复也，急用十全大补汤，
切勿用寒凉，反伤脾胃。
一男子因醉被汤伤腿，溃烂发热，作渴饮水，脉洪数而有力，此火毒为患。用生地、当归、芩、
连、木通、葛根、甘草，十余剂，诸症渐退。却用参、 、术、草、芎、归、芍药、白芷、木瓜，新
肉将完。因劳，忽寒热，此气血虚而然也。仍用参、 之药，加五味、枣仁而安。又月余而疮敛。
一男子火伤，两臂 痛，大小便不利，此火毒传于下焦。用生地、当归、白芍、黄连、木通、山
栀、赤苓、甘草，一帖，二便清利，其痛亦止。乃以四物、参、 、白芷、甘草而坏肉去，又数剂而
新肉生。
一妇人汤伤胸，大溃，两月不敛，脉大而无力，口干发热，日晡益甚，此阴血虚，火毒乘之而为
患耳。用
四物汤加柴胡、丹皮，热退身凉。更用逍遥散加陈皮，以养阴血，壮脾胃，腐肉去而新肉生。
凡汤烫火烧，痛不可忍，或溃烂，或恶疮，用松树皮剥下，阴干，为细末，入轻粉少许，生油调
稀敷。如敷不住，纱绢帛缚定，即生痂，神妙不可言。然宜预先合下，以备急。自剥落而薄者尤妙。
李莫安抚方，用牛皮胶，入少汤于火上溶稠，狗毛剪碎，以胶和毛，摊软帛封之，直至痂脱不痛。吴
内翰家婢，夜炊米，釜翻伤腿膝，以夜不敢曰，比晓，已溃烂，用此治之而愈。（《百乙方》）
立斋治冯氏子，患火疮，骤用凉药敷贴，更加腹胀不食。以人参败毒散加木通、山栀治之，外用
柏叶炒为末，麻油调搽，渐愈。尝用煮犬汁上浮脂，调银朱涂之更效。若用凉药，逼火毒入内，多致
不救。
王洪绪治一妇小腿经烫，医用冰片研雪水敷之，不一刻，腿肿如斗，痛极难忍。曰∶幸在小腿，
若腰腹间，遏毒入内，难挽回矣。以地榆研细，调油拂上，半刻痛止，再拂数次全愈。
一使女，炭火烫足，背烂一孔，以伏龙肝散，乳调敷，不三日而愈。
一孩被滚汤浇腹，因痛，抓破皮，麻油拂上一次，痛止。以地榆末干糁破处，次日肌生，未破者
全愈。
钱国宾曰∶余欲之遂昌，宿旅次，闻隔房人呼痛，夜不安枕。次日问店主，对曰∶小价提滚水一
桶上楼与客洗面，其子拿盆后上，旧桶底脱，滚水灌子之头，今肿如斗，面目皆平，七日不食矣。余
即往视，满室皆臭，用夏枯草一斤为末，以香油调肿处，浓浓敷上，实时止痛止臭，三日消肿，八日
痂落，切忌食酱料。面有黑斑，店主如言药治而愈。后余回，其子叩谢。
薛立斋治疗一名男子，正值孟冬时节，手臂被火烫伤而疼痛，伴有气喘咳嗽、发热，这是火毒刑克肺金的病症。使用人参平肺散治疗，气喘咳嗽于是停止。因为劳累，又出现恶寒发热，这是气血虚弱的表现。用八珍汤加枳壳、桔梗、白芷治疗，症状消退。再加桂心三分，以助药势，温补气血，使坏死组织溃排而痊愈。如果初起时患处发红作痛，用神效当归膏外敷，轻者自愈，重者自行腐去生肌，效果神奇。或者用侧柏叶末，用蜡油调匀后外敷也有效。若出现发热口渴，小便颜色深红，脉象洪大、数且有力者，用四物汤、茯苓、木通、生甘草、炒黄连。脉象虽洪大数但虚弱者，用八珍汤。如果患处不溃烂，而颜色暗滞者，用四君子汤、川芎、当归、黄芪之类。如果死肉已溃烂但不长新肉者，用四君子汤、黄芪、当归、炮姜。如果愈合后仍恶寒，是阳气未恢复，急用十全大补汤，切勿使用寒凉药物，以免反伤脾胃。
另一男子因醉酒被热水烫伤腿部，溃烂发热，口渴想喝水，脉象洪大数且有力，这是火毒为患。用地黄、当归、黄芩、黄连、木通、葛根、甘草，服用十余剂，各种症状逐渐消退。随后改用参、芪、术、草、川芎、当归、芍药、白芷、木瓜，新肉即将长全。因为劳累，突然发冷发热，这是气血虚弱所致。仍然使用参、芪类药物，加五味子、酸枣仁而安定。又过月余疮口收敛。
一男子被火烫伤，双臂疼痛，大小便不通利，这是火毒传入下焦。用地黄、当归、白芍、黄连、木通、山栀、赤茯苓、甘草，服用一帖，二便通畅清利，疼痛也停止。接着用四物汤、参、芪、白芷、甘草使坏死组织去除，又服数剂而新肉生长。
一妇人被热水烫伤胸部，严重溃烂，两个月不愈合，脉象大而无力，口干发热，傍晚时分加重，这是阴血虚弱，火毒乘虚而入造成的危害。用四物汤加柴胡、丹皮，热退身凉。再用逍遥散加陈皮，以滋养阴血，强壮脾胃，腐肉去除而新肉生长。
凡是汤烫火烧，疼痛难忍，或溃烂，或成恶疮，用松树皮剥下，阴干，研为细末，加入少许轻粉，用生油调稀后外敷。如果敷不住，用纱绢帛绑紧固定，就会结痂，效果神奇不可言喻。然而应当预先配制好，以备紧急之需。自然脱落且较薄的树皮尤其妙用。
李莫安抚的方子，用牛皮胶，加少量水在火上溶化至稠，将狗毛剪碎，用胶和毛混合，摊在软帛上封贴，直到痂皮脱落且不痛为止。吴内翰家的婢女，晚上煮米时，锅翻倒烫伤腿膝，因为天黑不敢声张，等到天亮，已经溃烂，用此法治疗而痊愈。（《百乙方》）
薛立斋治疗冯氏的儿子，患火疮，骤然使用凉药敷贴，导致更加腹胀不进食。用人参败毒散加木通、山栀治疗，外用柏叶炒为末，麻油调匀搽涂，逐渐痊愈。曾经用煮狗汁上浮起的油脂，调银朱涂抹，效果更好。如果使用凉药，逼迫火毒入内，多导致无法救治。
王洪绪治疗一名妇女小腿被烫伤，医生用冰片研碎后配雪水外敷，不一会儿，腿肿得像斗一样大，疼痛极度难以忍受。他说：幸好是在小腿，如果在腰腹部，遏制毒气入内，就难以挽回了。用地榆研细，调油拂拭在上面，半刻钟疼痛停止，再拂拭数次完全痊愈。
一名侍女，被炭火烫伤脚部，背部烂了一个孔，用伏龙肝散，乳汁调匀后外敷，不到三天而痊愈。
一个孩子被滚汤浇到腹部，因为疼痛，抓破了皮肤，用麻油拂拭一次，疼痛停止。用地榆末干粉撒在破处，第二天肌肉生长，未破的地方完全痊愈。
钱国宾说：我打算去遂昌，住在旅馆里，听到隔壁房间的人呼喊疼痛，夜里不能安枕。第二天问店主，回答说：小仆提一桶滚水上楼给客人洗脸，他的儿子拿着盆跟在后面上楼，旧桶底脱落，滚水灌到孩子头上，现在肿得像斗一样大，面目都平了，七天没吃东西了。我立即前往查看，满屋子都是臭味，用夏枯草一斤研为末，用香油调匀敷在肿胀处，厚厚地敷上，实时止痛止臭，三天消肿，八天痂落，切忌吃酱料。脸上有黑斑，店主照药方治疗而痊愈。后来我回来，孩子叩头谢恩。
Xue Lizhai treated a man who, in early winter, suffered a burn on his arm causing pain, accompanied by wheezing, coughing, and fever. This was a syndrome of fire-toxin attacking the Lung Metal (Lung organ system). He used Renshen Pingfei San (Ginseng Lung-Pacifying Powder) to treat it, after which the wheezing and coughing ceased. Due to overexertion, he subsequently experienced aversion to cold and fever, indicating Qi and Blood deficiency. He was treated with Bazhen Tang (Eight-Treasure Decoction) augmented with Zhike (Aurantium Fructus), Jiegeng (Platycodon Radix), and Baizhi (Angelicae Dahuricae Radix), which resolved the symptoms. An additional 3 fen of Rougui (Cinnamomi Cortex) was added to assist the medicinal action, warming the Qi and Blood, allowing necrotic tissue to slough off and healing to occur. If the injury initially presented with redness and pain, Shenxiao Danggui Gao (Miraculous Efficacy Angelica Ointment) should be applied externally; mild cases would heal spontaneously, while severe cases would undergo necrosis followed by granulation, showing miraculous efficacy. Alternatively, Cebaiye End (Biota Tops Powder) mixed with beeswax oil for external application is also effective. If fever and thirst are present with dark urine, and the pulse is surging, rapid, and full, Siwu Tang (Four-Substance Decoction) combined with Fuling (Poria), Mutong (Akebia Caulis), raw Gancao (Licorice Root), and stir-fried Huanglian (Coptidis Rhizoma) should be used. If the pulse is surging and rapid but deficient, Bazhen Tang (Eight-Treasure Decoction) is indicated. If the lesion does not ulcerate and appears dark, Sijunzi Tang (Four-Gentlemen Decoction) combined with Chuanxiong (Ligusticum Rhizome), Danggui (Angelicae Sinensis Radix), and Huangqi (Astragali Radix) should be used. If necrotic tissue has ulcerated but new flesh fails to grow, Sijunzi Tang (Four-Gentlemen Decoction) combined with Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), and Paojiang (Prepared Ginger) is appropriate. If aversion to cold persists after healing, it indicates Yang Qi has not yet recovered; Shiquan Dabu Tang (Complete Great Tonifying Decoction) should be urgently administered. Cold-natured medicines must be strictly avoided to prevent further damage to the Spleen and Stomach.
Another man, intoxicated, suffered a scald on his leg from hot water, resulting in ulceration, fever, and thirst with desire to drink. His pulse was surging, rapid, and forceful, indicating pathology caused by fire-toxin. He was prescribed Dihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Mutong (Akebia Caulis), Gegen (Puerariae Radix), and Gancao (Licorice Root). After more than ten doses, all symptoms gradually subsided. Subsequently, Ren (Ginseng), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Licorice Root), Chuanxiong (Ligusticum Rhizome), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Baizhi (Angelicae Dahuricae Radix), and Mugua (Chaenomelis Fructus) were used as new tissue nearly completed. Due to exertion, sudden chills and fever occurred, attributed to Qi and Blood deficiency. Medicines containing Ren (Ginseng) and Huangqi (Astragali Radix) were continued, supplemented with Wuweizi (Schisandrae Fructus) and Zaoren (Ziziphi Spinosae Semen), stabilizing the condition. The wound closed after another month.
A man burned by fire suffered pain in both arms and difficulty urinating and defecating, indicating fire-toxin transmitted to the Lower Jiao (Lower Burner). Dihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Huanglian (Coptidis Rhizoma), Mutong (Akebia Caulis), Shanzhi (Gardeniae Fructus), Chifuling (Polyporus with Hostwood), and Gancao (Licorice Root) were administered. After one dose, urination and defecation became clear and unobstructed, and pain ceased. Thereafter, Siwu Tang (Four-Substance Decoction) combined with Ren (Ginseng), Huangqi (Astragali Radix), Baizhi (Angelicae Dahuricae Radix), and Gancao (Licorice Root) removed necrotic tissue, and after several more doses, new flesh grew.
A woman suffered a scald on her chest, resulting in severe ulceration that failed to heal for two months. Her pulse was large but powerless, with dry mouth, fever worsening in the late afternoon. This indicated Yin-Blood deficiency with fire-toxin taking advantage of the weakness. Siwu Tang (Four-Substance Decoction) augmented with Chaihu (Bupleuri Radix) and Danpi (Moutan Cortex) reduced the fever and cooled the body. Xiaoyao San (Free and Easy Wanderer Powder) augmented with Chenpi (Citri Reticulatae Pericarpium) was then used to nourish Yin-Blood and strengthen the Spleen and Stomach, leading to the removal of necrotic tissue and growth of new flesh.
For any scald or burn causing unbearable pain, or resulting in ulceration or malignant sores, pine bark can be peeled off, dried in the shade, ground into fine powder, mixed with a small amount of Qingfen (Calomel), and diluted with raw sesame oil for external application. If the paste does not adhere, secure it with gauze or silk fabric; scabs will form with miraculous results. It is advisable to prepare this beforehand for emergencies. Naturally shed, thin bark is particularly effective.
The formula of Li Mo Anfu uses Niujiaojiao (Asini Corii Colla) melted with a little water over fire until thick. Dog hair is cut into pieces and mixed with the glue, spread on soft cloth, and applied until the scab falls off without pain. A maid in the household of Hanlin Academician Wu scalded her legs and knees when a rice pot overturned at night. Unable to cry out due to darkness, she discovered ulceration by morning. Treatment with this method resulted in recovery. (From *Baibian Fang*)
Xue Lizhai treated the son of the Feng family suffering from a fire sore. The sudden application of cold medicines externally exacerbated abdominal distension and loss of appetite. Ren Shen Bai Du San (Ginseng Detoxification-Decoction Powder) augmented with Mutong (Akebia Caulis) and Shanzhi (Gardeniae Fructus) was used internally. Externally, Cebaiye (Biota Tops) was stir-fried into powder and applied with sesame oil, leading to gradual recovery. He once used the floating fat from boiled dog broth mixed with Yinzhu (Vermilion) for topical application, which proved even more effective. Using cold medicines forces fire-toxin inward, often leading to untreatable conditions.
Wang Hongxu treated a woman whose lower leg was scalded. A physician applied ice flakes crushed in snow water. Within moments, the leg swelled to the size of a bucket, with excruciating pain. Wang remarked: Fortunately, it is on the lower leg; if it were on the waist or abdomen, the toxin would be trapped inward, making rescue difficult. Diyu (Sanguisorbae Radix) was finely ground and mixed with oil, applied to the area. Pain ceased within half an hour, and repeated applications led to complete recovery.
A maidservant had her foot scalded by charcoal fire, resulting in a hole of rotting flesh on her back. Fulonggan San (Dragon Sitting Earth Powder) mixed with milk was applied externally, curing her in less than three days.
A child’s abdomen was scalded by boiling water. Due to pain, the skin was scratched open. A single application of sesame oil stopped the pain. Dry powder of Diyu (Sanguisorbae Radix) was sprinkled on the broken skin; muscle regeneration began the next day, and unbroken areas healed completely.
Qian Guobin stated: I was staying at an inn en route to Suichang when I heard someone crying out in pain from the next room, unable to sleep. The next day, I asked the innkeeper, who replied: A servant carried a bucket of boiling water upstairs for guests to wash. The servant's son followed with a basin. The bottom of the old bucket gave way, pouring boiling water over the child's head. Now swollen like a bucket with flattened features, the child has not eaten for seven days. I examined him immediately; the room smelled foul. One jin (approx. 500g) of Xiakucao (Prunella Spica) was ground into powder, mixed with sesame oil, and applied thickly to the swelling. Pain and odor ceased instantly. Swelling subsided in three days, and scabs fell off in eight. Consumption of soy sauce products is strictly forbidden. Facial black spots were treated successfully according to this prescription. Later, upon my return, the child's family came to express gratitude.