罗谦甫云∶丙午岁予居 城，人多患疔疮。县尹董公谓予曰，今岁患疔疮者极多，贫民无力医治，
近于史侯处得数方，用之者无不效，官给药钱，君当舍手治之。遂诺其语，董公榜示通衢，命予施药，
如此一年，全活甚众。其用保生锭子、《千金》托里散、神圣膏药、破棺丹，凡四方。保生锭∶金脚
信二钱，雄黄三钱，
轻粉二钱， 砂三钱，麝香一钱半，巴豆四十九粒，蟾酥一钱。为细末，用黄蜡五钱溶开，将药和成
锭子，冷水浸少时，取出捏作饼子如钱眼大。将疮头拨开，每用一饼，次用神圣膏，后用托里散。若
疮气入腹危者，服破棺丹。（世传疔疮必有一条红线，可针红线所至之处出毒血，乃敷药。）
神圣膏药∶当归 本（各半两） 乳香 没药（各二钱） 白芨 琥珀（各二钱半） 黄丹
（二两） 白胶香（三两） 黄蜡（二两） 粉霜（一钱） 木鳖子（五十个，去皮） 巴豆（十五
粒，去油） 清油槐 柳枝（各百二十枝） 胆矾（一钱）
先将槐、柳枝下在油内熬焦取出，复下余药，熬勿至焦滤出。待油澄清，下黄丹再熬成膏，用绯
帛摊之。（立有神效。）
托里散∶ （一两五钱） 朴 芎 防（各二两） 桔 芷 翘（各二两二钱） 芍 桂 草
参（各一两） 归 木香 乳香 没药（各半两）
细末，每服三钱，酒一大盏，煎二三沸，和渣温服。
破棺丹∶大黄（二两，半生半熟） 甘草 芒硝（各一两）
细末，蜜丸弹子大。每服半丸，食后温酒化下，或童便半盏研化之，忌冷水。
薛立斋治上林陈静涵，面患疔，脉洪数有力，属邪气蕴结，用清热消毒散二剂未应。或用黄 、
玉桂等药二剂，反益其势，致耳、目、唇、口俱肿闭，头面如斗，由邪气外实也。前脉按之无力，由
元气内虚也。连进托里消毒之药，及数砭患处，出黑血碗许，已而脓与腐肉并溃而出。复用托里之药，
疮势渐愈。七日后，复因调护失宜，以致烦渴不食，两尺脉如丝欲绝，急用八味丸料煎服，其脉顿复，
手足自温。使非砭以泄其外，托里散以补其内，八味丸以回其阳，则治之失宜，必致不救。慎之，慎
之。
长洲庠苏子忠，鼻梁患疔，症属表邪，但气血俱虚，不胜发散，遂以补中益气为主，佐以防风、
白芷而愈。
张所望治理安寺一僧，患水疔走黄，绝水谷者已三日，众莫能治。延所望，入视曰∶毒已入内奈
何，须下一针方可。因向疮顶刺入寸余，始闻痛声，曰∶生矣。随以膏涂之，复投丹药数粒，拔其疔
根寸许，坚黑如铁，遂愈。（《钱塘县志》）
立斋治一男子，足患疔，作痒，恶心呕吐，时发昏乱，脉浮数，明灸二十余壮，始痛。以夺命丹
一服，肿起，更以荆防败毒散而愈。
一男子患疔，发热烦躁，脉实。以清凉饮下之而愈。
一男子胸患疔，遍身麻木，脉数而实。急针出恶血，更明灸数壮始痛。服防风通圣散，得利而愈。
一男子左手背患疔，是日一臂麻木，次日半体皆然，神思昏溃，遂明灸至二十余壮，尚不知痛，
又三十余壮始不麻，至百壮始痛。以夺命丹一服，肿始起，更用神异膏及荆防败毒散而愈。
一老妇足大趾患疔，甚痛，令灸之，彼不从，专服败毒药，致真气虚而邪气愈实，竟至不救。盖
败毒散虽能表散疮毒，然而感有表里，所发有轻重，体段有上下，所禀有虚实，岂可一概而用之耶？
且至阴之下，药力之所难到，专假药力，则缓不及事，不若灸之为良，故下部患疮，皆宜隔蒜灸之，
痛则灸至不痛，不痛则灸至痛。若灸之而不痛者，宜明灸之，及针疔四畔去恶血，以夺命丹一粒入疮
头孔内，仍以膏药贴之。若针之不痛，或无血者，以针烧赤，频烙患处，以痛为度。或不痛，眼黑如
见火光者，此毒瓦斯入脏腑也，不治。若患在手足，红丝攻心腹者，就于丝尽处刺去恶血，宜服荆防败
毒散。若丝近心腹者，宜挑破疮头去恶水，亦以膏药贴之。如麻木者，服夺命丹。如牙关紧急，或喉
内患者，并宜噙一二丸。凡人暴死，多是疔毒，用灯照看遍身，若有小疮即是，宜急灸之。俟醒，更
服败毒药，或夺命丹。人汗入肉食之，则生疔疮，不可不慎。
刘禹锡纂柳州救三死方云∶元和十一年得疔疮，凡十四日益笃，善药敷之皆莫知。长乐贾方伯教
用蜣螂肉，一夕而百苦皆已。明年正月，食羊肉，又大作，再用亦如神效。其法一味贴疮，半日许，
可再易，血尽根出遂
愈。蜣螂心腹下度取之，其肉稍白是也。所以云，食羊肉又大作者，盖蜣螂食羊肉故耳。用时便禁食
羊肉，其法盖出葛洪《肘后方》也。（本草）
韩光治疔肿人也。贞观初，卫州徐使君访得此方，用艾蒿一担烧作灰，入竹筒中，淋取汁一二合，
和锻石如面浆，以针刺疮中至痛即点之，点三遍其根自拔，亦大神验。贞观中用治三十余人得瘥，故
录之。（《千金方》∶绣坡公曰∶疔疮全看部位，如部位不佳者，甚为难治。观其毒将走之症，用针
破其四围，插入拔疔之药，其浮肿处用针刺之，出其恶血，此法甚妙。）
缪仲淳治顾博士伯钦内人，左耳患疔，时方孕，令先以白药子末，鸡子清调涂腹上，护胎，次以
夏枯草、甘菊、贝母、忍冬、地丁之属，大剂饮之，一服痛止，疔立拔，胎亦无恙。白药子疗马病者。
（《广笔记》）
马铭鞠治顾圣符幼弟，患髭疔。医者先用火针围肿，肿胀至目与鼻俱隐入肉，牙关紧急。用患者
耳垢、齿垢，刮手指甲屑和匀如豆大，于茶匙内，灯火上灸少许。取作丸，令洗净围药，将银簪挑开
疔头抹入，外用棉纸一层，津湿覆之，痛立止。半日，肿半消，目可开。次日服仙方活命饮，二剂愈。
此法兼可治红丝疔。长洲华承溪指节间患之，得此而痊。又云可治面白疔，未试也。此方传自道人。
（《广笔记》）
《广笔记》云∶用陈年露天铁锈，碾如飞面，将金簪脚挑破毒处一孔，纳铁锈末于内，仍将皮盖
好。少倾黑水流尽，中有白丝如细线，慢慢抽尽，此疔根也，尽即立愈。又方用甘菊花并根叶捣汁，
以酒下之立消。（二方俱神效，屡试屡验。）
立斋治刘贯卿，脚面生疔，形虽如粟，其毒甚大，宜峻利之药攻之。因其怯弱，以隔蒜灸五十余
壮，痒遂止。再灸片时，乃知痛。更用膏药封贴，再以人参败毒散，一服渐愈。夫至阴之下，道远位
僻。且怯弱之人，用峻利之药，则药力未到，胃气先伤，虚脱之祸，有所不免，不如灸之为宜。
松江诸大尹唇生一疔，已五日，肿硬，脉数，烦躁喜冷，此胃经积热所致。先以凉膈散一服，热
去五六。更与夺命丹二粒，肿退二三。再与荆防败毒散，四剂而愈。
杨锦衣唇下生疔，脉症俱实而不下，反用托里，致口鼻流脓而死，是谓实实之祸。
马氏室忽恶寒作呕，肩臂麻木，手心瘙痒，遂瞀闷，不自知其故，（与卒然暴厥者不同。）但手
有一泡，此乃患疔毒也。令急灸患处，至五十余壮知痛，投以荆防败毒散而愈。古人谓暴死多是疔毒，
急用灯照遍身，若有小疮，即是此毒，宜急灸其疮。但是胸腹温者，可灸。先君云∶有人因剥死牛瞀
闷，令看遍身，俱有紫泡，便急灸泡处，良久遂苏，更以败毒药而愈。
张都宪夫人面生疔，肿 痛甚，数日不溃，脉症俱实，以荆防败毒散加芩、连治之，稍愈。彼以
为缓，乃服托里一剂，其势愈甚，痛极始悟。再用凉膈散二剂，痛减肿溃。又与连翘消毒散，十余剂
而愈。
郑氏举家生疔在四肢，皆由食死牛肉所致。刺去黑血，更以紫金丹服之，悉愈。
王捡讨汝和感痘毒，面生疔十余枚，肿痛脉数，以荆防败毒散治之，虽小愈，尚可畏。更以夺命
丹，一服而痊。
陆宣子，山东名医也，言京师李公子某，指甲中生肉管，赤色，倾刻长三尺余，垂至地能动，动
则血眯欲死，诸医束手。公子乃取酒痛饮，引刀自断之，出血数斗，良久复生如初，自分死矣。有乞
儿自言能治，召之，肩大蛇至，顾骂诸医者曰∶公子蛇头疔也，其管通四肢百骸，绝则又出，若辈何
能为？盖乞儿初饶于财，尝患此，破家求医不可得。遇一丐，命其妻纳大蛇 中，穴 出蛇首握之，
与肉管相向，蛇以气吸之，不移时而消，蛇则红丝百道，僵死矣。及如其法治之，公子亦愈。竟分其
产之半与乞儿云。（蒋湘帆）
治疔疮方∶松香（二十两） 白蜡（二两） 乳香（三两，去油研细） 黄蜡（十两） 铜绿（五
两，研细） 麻油（六两） 没药（三两，去油研细） 百草霜（五两，须山庄人家净烧草者佳）
先将麻油煎滚，次下松香，三下白蜡，四下黄蜡，五下乳香，六下没药，七下铜绿，八下百草霜。
滚过数次，或倾砖地，或即在锅内冷透，搓成条子。用时以圆眼核大丸，呵软捏扁贴患处，是疔即粘，
否则不粘。
如粘片时，即可止痛，次日消肿，少出黄水即愈。忌荤腥生冷辛辣，每丸约重四分。
又方∶白菊花四两，甘草四钱，水煎服，不过二剂即消。一切消疔之药，皆不及此。盖菊花全身
皆治，疔之圣药也。
罗谦甫说：丙午年我居住在真定府，当地很多人患疔疮。县尹董公对我说：“今年患疔疮的人极多，贫苦百姓无力医治，最近我在史侯处得到几个方子，使用的人没有不有效的，官府提供药费，您应当免费为他们治疗。”于是我答应了他。董公在交通要道张贴告示，命令我施药，这样持续了一年，救活了很多性命。所用的方子有保生锭子、《千金方》托里散、神圣膏药、破棺丹，共四方。
保生锭子配方：金脚信（砒霜的一种）二钱，雄黄三钱，轻粉二钱，硇砂三钱，麝香一钱半，巴豆四十九粒，蟾酥一钱。将这些药研成细末，用五钱黄蜡熔化，将药物混合制成锭子，在冷水中浸泡片刻，取出捏成如铜钱眼大小的饼状。将疮头挑开，每次用一块饼敷上，随后敷上神圣膏，最后内服托里散。如果疔毒之气攻入腹部导致病情危重者，服用破棺丹。（民间流传的说法是：疔疮必有一条红线，可以用针刺破红线所到之处放出毒血，然后再敷药。）
神圣膏药配方：当归、藁本（各半两），乳香、没药（各二钱），白芨、琥珀（各二钱半），黄丹（二两），白胶香（三两），黄蜡（二两），粉霜（一钱），木鳖子（五十个，去皮），巴豆（十五粒，去油），清油槐枝、柳枝（各一百二十枝），胆矾（一钱）。先将槐枝和柳枝放入油中熬至焦黑后取出，再放入其余药物，熬制时注意不要熬焦，过滤出药油。待油澄清后，加入黄丹继续熬制成膏，涂在红色丝帛上备用。（此法立有神效。）
托里散配方：人参（一两五钱），厚朴、川芎、防风（各二两），桔梗、白芷、连翘（各二两二钱），白芍、肉桂、甘草、人参（此处原文重复或指党参/人参，依文意应为另一味参或笔误，通常指人参或党参，结合上下文“参”字单独列出，暂译为参）、当归、木香、乳香、没药（各半两）。研成细末，每次服用三钱，用一大盏酒，煎煮二三沸，连同药渣一起温服。
破棺丹配方：大黄（二两，一半生用一半熟用），甘草、芒硝（各一两）。研成细末，用蜂蜜制成如弹子大小的丸剂。每次服用半丸，饭后用温酒送服化开，或者用童子尿半盏研磨化开，忌食冷水。
薛立斋治疗上林人陈静涵，面部患疔，脉象洪数有力，属于邪气蕴结，用了清热消毒散两剂未见效。有人用了黄芪、肉桂等药两剂，反而使病情加重，导致耳、目、唇、口全部肿胀闭合，头面肿大如斗，这是由于邪气在外壅实所致。前面的脉象按之无力，是因为元气内部虚弱。于是连续进服托里消毒的药物，并在患处多次进行砭石放血，流出约一碗黑血，随后脓液与腐肉一同溃排而出。再次使用托里药物，疮势逐渐好转。七日后，又因调养护理不当，导致烦渴不能进食，双侧尺脉细如发丝几乎断绝，紧急使用八味丸料煎服，脉象顿时恢复，手足自然温暖。如果不是通过砭刺来泄除体表的邪气，用托里散来补益体内正气，用八味丸来回阳救逆，那么治疗失当，必定会导致死亡。务必谨慎，务必谨慎。
长洲庠生苏子忠，鼻梁患疔，证候属于表邪，但气血俱虚，不能耐受发散疗法，于是以补中益气汤为主，佐以防风、白芷而治愈。
张所望治理安寺一位僧人，患水疔走黄（疔毒扩散），已经三天禁绝水谷饮食，众医无法治疗。请张所望去诊治，进去查看后说：“毒气已经入内，怎么办？必须下针才能救治。”于是在疮顶刺入一寸多深，才听到痛呼声，说：“有生机了。”随即涂上膏药，又投喂丹药几粒，拔出了长约寸许的疔根，坚硬漆黑如铁，于是痊愈。（出自《钱塘县志》）
薛立斋治疗一名男子，足部患疔，感觉瘙痒，恶心呕吐，时常昏乱，脉象浮数，用明火灸法灸了二十多壮，才开始感到疼痛。服用一服夺命丹，肿势消退，再用荆防败毒散而治愈。
一名男子胸部患疔，全身麻木，脉象数而实。紧急针刺放出恶血，再用明火灸法灸了几壮才开始感到疼痛。服用防风通圣散，得利后而治愈。
一名男子左手背患疔，当天整条手臂麻木，第二天半身都如此，神志昏沉溃乱，于是明火灸至二十多壮，仍然不知疼痛，又灸三十多壮才不麻木，直到灸了一百壮才开始感到疼痛。服用一服夺命丹，肿势才起，再用神异膏及荆防败毒散而治愈。
一名老妇人大脚趾患疔，非常疼痛，让人灸治，她不肯听从，专门服用败毒药，导致真气虚弱而邪气更加壅实，最终致死。大概败毒散虽然能表散疮毒，然而感受病邪有表里之分，发病有轻重之别，部位有上下之异，体质有虚实之不同，岂可一概而论地使用呢？况且足部位于人体最阴之下，药力难以到达，单纯依靠药力，则缓不济急，不如灸法为好，所以下部患疮，都适宜隔蒜灸，痛的就灸到不痛为止，不痛的灸到痛为止。如果灸了还是不痛，应该用明火灸，并针刺疔疮四周放出恶血，将一粒夺命丹放入疮头孔内，仍用膏药贴敷。如果针刺后不痛，或者没有血流出，就用烧红的针，频繁烙烫患处，以感到疼痛为度。如果不痛，眼前发黑如同看见火光，这是毒瓦斯进入脏腑的表现，无法治愈。如果患处在手足，红丝向心腹蔓延，就在红丝尽头处刺破放出恶血，适宜服用荆防败毒散。如果红丝靠近心腹，适宜挑破疮头放出恶水，也用膏药贴敷。如果出现麻木，服用夺命丹。如果出现牙关紧闭，或者咽喉内部患病，都适宜含服一二丸。凡是突然死亡的人，多是疔毒所致，用灯照看遍全身，如果有小疮就是，应当紧急灸治。等到苏醒后，再服用败毒药，或者夺命丹。人汗进入肉食中食用，就会生疔疮，不可不谨慎。
刘禹锡编纂柳州救三死方记载：元和十一年患疔疮，十四天病情日益加重，用好药敷贴都不知道用什么。长乐贾方伯教用蜣螂（屎壳郎）的肉，一夜之间百苦皆消。第二年正月，吃羊肉，疔疮又大发作，再用蜣螂肉也如神效。其方法是单味药贴于疮上，半个时辰左右，可以再更换一次，血尽根出遂愈。取蜣螂心腹下的部分，其肉稍白即是。之所以说吃羊肉会大发作，大概是因为蜣螂吃羊肉的缘故。使用时便禁止吃羊肉，此法出自葛洪《肘后方》。（出自《本草纲目》引文）
韩光治疗疔肿患者。贞观初年，卫州徐使君访得此方，用艾蒿一担烧成灰，装入竹筒中，淋取汁液一二合，和锻石（硫酸亚铁类矿物）调成面浆状，用针刺入疮中至痛即点涂，点涂三遍其根自落，也非常灵验。贞观年间用此法治愈三十余人，故记录在此。（《千金方》绣坡公曰：疔疮全看部位，如部位不佳者，很难治疗。观察其毒气将走的症状，用针刺破其四周，插入拔疔的药，其浮肿处用针刺破，放出恶血，此法甚妙。）
缪仲淳治疗顾博士伯钦的妻子，左耳患疔，当时正怀孕，令先用白药子末，用鸡蛋清调和涂在腹部，保护胎儿，其次用夏枯草、甘菊、贝母、忍冬、地丁之类，大剂量内服，一服后疼痛停止，疔疮立即拔出，胎儿也无恙。白药子是用来治疗马病的。（出自《广笔记》）
马铭鞠治疗顾圣符的弟弟，患髭疔（胡须部位的疔疮）。医生先用火针围住肿胀处，肿胀至眼睛和鼻子都隐入肉中，牙关紧闭。用患者的耳垢、齿垢，刮取手指甲屑混合均匀如豆大，放在茶匙内，在灯火上灸少许。取作丸剂，令患者洗净周围的药，用银簪挑开疔头抹入，外用棉纸一层，用唾液湿润覆盖，疼痛立即停止。半天后，肿势减半，眼睛可以睁开。次日服用仙方活命饮，两剂而愈。此法兼可治红丝疔。长洲华承溪指节间患此病，得此方而痊愈。又说可治面白疔，未曾尝试。此方传自道人。（出自《广笔记》）
《广笔记》记载：用陈年露天铁锈，碾成飞面粉状，用金簪脚挑破毒处一个孔，纳入铁锈末于内，仍将皮盖好。一会儿黑水流尽，中有白丝如细线，慢慢抽尽，这就是疔根，抽尽即立刻痊愈。又一方法：用甘菊花及其根叶捣汁，用酒送服，立刻消散。（两个方子都神效，屡试屡验。）
薛立斋治疗刘贯卿，脚面生疔，形状虽如粟米，但其毒很大，宜用峻利之药攻伐。因其身体怯弱，用隔蒜灸五十多壮，痒感随即停止。再灸片刻，才知道疼痛。再用膏药封贴，又以人参败毒散，一服后逐渐好转。足部位于至阴之下，路途遥远位置偏僻。且对于怯弱之人，使用峻利之药，则药力未到，胃气先伤，虚脱之祸，在所难免，不如灸法为宜。
松江诸大尹嘴唇生一疔，已五天，肿硬，脉数，烦躁喜冷，这是胃经积热所致。先用凉膈散一服，热势去五六成。再给夺命丹二粒，肿势退二三成。再给荆防败毒散，四剂而愈。
杨锦衣唇下生疔，脉症俱实却不用攻下法，反而用托里法，导致口鼻流脓而死，这叫实实之祸（实证用补法，使实者更实）。
马氏妻子忽然恶寒作呕，肩臂麻木，手心瘙痒，随即昏闷，不知其原因，（这与卒然暴厥者不同。）但手上有水泡，这是患疔毒的表现。令其紧急灸患处，灸至五十多壮知痛，投以荆防败毒散而愈。古人说突然死亡多是疔毒，紧急用灯照遍全身，如果有小疮，就是此毒，应紧急灸其疮。只要是胸腹温暖的，就可以灸。先父曾说：有人因剥死牛而昏闷，让人看遍全身，都有紫泡，便紧急灸泡处，良久遂苏醒，再用败毒药而愈。
张都宪夫人面部生疔，肿痛严重，数日不溃，脉症俱实，用荆防败毒散加黄芩、黄连治疗，稍有好转。她以为药效太慢，乃服用托里药一剂，其势更甚，痛极才醒悟。再用凉膈散二剂，痛减肿溃。又与连翘消毒散，十余剂而愈。
郑氏全家生疔在四肢，都是由吃死牛肉所致。刺去黑血，再以紫金丹服用，全部痊愈。
王捡讨汝和感染痘毒，面部生疔十余枚，肿痛脉数，用荆防败毒散治疗，虽小有好转，但仍令人畏惧。再用夺命丹，一服而痊。
陆宣子是山东名医，他说京师李公子某，指甲中生肉管，赤色，顷刻长三尺余，垂至地能动，动则血迷欲死，诸医束手无策。公子于是取酒痛饮，引刀自断之，出血数斗，良久复生如初，自己认为必死无疑。有乞丐自称能治，召之，肩上扛着大蛇来到，回头骂诸医生说：“公子这是蛇头疔，其管通四肢百骸，断了又会生出，你们这些人能做什么？”原来乞丐起初富有，曾患此病，破产求医不可得。遇到一乞丐，命其妻将大蛇吞入，穴出蛇首握住，与肉管相对，蛇以气吸之，不移时而消，蛇则红丝百道，僵死矣。及如其法治之，公子亦愈。竟分其产之半与乞儿云。（蒋湘帆记）
治疔疮方：松香（二十两），白蜡（二两），乳香（三两，去油研细），黄蜡（十两），铜绿（五两，研细），麻油（六两），没药（三两，去油研细），百草霜（五两，须山庄人家净烧草者佳）。先将麻油煎滚，次下松香，三下白蜡，四下黄蜡，五下乳香，六下没药，七下铜绿，八下百草霜。滚过数次，或倾砖地，或即在锅内冷透，搓成条子。用时以圆眼核大丸，呵软捏扁贴患处，是疔即粘，否则不粘。如粘片时，即可止痛，次日消肿，少出黄水即愈。忌荤腥生冷辛辣，每丸约重四分。
又一方法：白菊花四两，甘草四钱，水煎服，不过二剂即消。一切消疔之药，皆不及此。盖菊花全身皆治，疔之圣药也。
Luo Qianfu stated: In the Bingwu year, while residing in Zhending Prefecture, many people suffered from ding sores (malignant skin ulcers). The County Magistrate, Mr. Dong, said to me, "This year, there are extremely many cases of ding sores. Poor people lack the means for treatment. Recently, I obtained several prescriptions from Marquis Shi; those who used them were all effective. The government will provide funds for the medicine. You should treat them free of charge." I agreed. Magistrate Dong posted notices on main thoroughfares, ordering me to distribute medicine. This continued for a year, saving many lives. The prescriptions used included Bao Sheng Ding Zi (Preservation-Protecting Pellets), Tuoli San (Support-the-Interior Powder) from *Qianjin Fang*, Shensheng Gao Yao (Divine Holy Plaster), and Po Guan Dan (Coffin-Breaking Pill), totaling four formulas.
Bao Sheng Ding Zi Formula: Arsenic trioxide variant (Jinjiaoxin) 2 qian, Realgar 3 qian, Calomel 2 qian, Ammonium chloride (Naosha) 3 qian, Musk 1.5 qian, Croton seed 49 grains, Toad venom 1 qian. Grind these medicines into fine powder, melt 5 qian of yellow beeswax, mix the medicine with the melted wax to form pellets. Soak in cold water briefly, take out, and mold into cakes the size of a copper coin's hole. Puncture the sore head, apply one cake each time, then apply Shensheng Gao Yao, followed by internal administration of Tuoli San. If the pathogenic qi of the ding enters the abdomen causing critical illness, administer Po Guan Dan. (Folklore states that ding sores must have a red thread; one can puncture the area where the red thread ends to release toxic blood, then apply medicine.)
Shensheng Gao Yao Formula: Angelica dahurica (Danggui) and Ligusticum wallichii (Gaoben) (each 0.5 liang), Frankincense (Ruxiang) and Myrrh (Moyao) (each 2 qian), Bletilla striata (Baiji) and Amber (Hupo) (each 2.5 qian), Lead monoxide (Huandan) 2 liang, White rosin (Baijiaoxiang) 3 liang, Yellow beeswax 2 liang, Sublimated arsenic trioxide (Fenshuang) 1 qian, Momordica charantia seed (Mubiezi) 50 pieces (peeled), Croton seed 15 grains (oil removed), Clear oil, Sapium sebiferum branches (Huai Zhi) and Salix babylonica branches (Liu Zhi) (each 120 branches), Chalcanthite (Danfan) 1 qian. First, boil Huai and Liu branches in oil until scorched, then remove. Add remaining herbs, boil without scorching, and filter. Once the oil is clear, add Huandan and continue boiling to form the plaster. Spread onto red silk fabric. (This method has immediate miraculous effects.)
Tuoli San Formula: Ginseng root (Renshen) 1.5 liang, Magnolia bark (Houpo), Bupleurum root (Chuanxiong - *Note: Text says Pu Xiong, likely typo for Chuanxiong or Peony, but context implies aromatic/moving herbs, usually Chuanxiong/Fangfeng group*), Saposhnikovia root (Fangfeng) (each 2 liang), Platycodon root (Jiegeng), Angelica dahurica (Baizhi), Forsythia fruit (Lianqiao) (each 2.2 liang), White peony root (Shaoyao), Cinnamon twig (Guizhi), Licorice root (Gancao), Codonopsis/Ginseng (Shen) [Text repeats Shen], Angelica sinensis (Danggui), Aucklandia root (Muxiang), Frankincense (Ruxiang), Myrrh (Moyao) (each 0.5 liang). Grind into fine powder. Take 3 qian per dose, decoct with one large cup of wine for two or three boils, and drink warm including the dregs.
Po Guan Dan Formula: Rhubarb (Dahuang) 2 liang (half raw, half cooked), Licorice root (Gancao), Mirabilite (Mangxiao) (each 1 liang). Grind into powder, make pills the size of mustard seeds using honey. Take half a pill per dose, dissolve in warm wine after meals, or grind with half a cup of child's urine. Avoid cold water.
Xue Lizhai treated Chen Jinghan from Shanglin, who had a ding sore on his face. His pulse was surging, rapid, and forceful, indicating pathogenic qi accumulation. He took Er Ji doses of Qingre Xiaodu San (Clear Heat and Detoxify Powder) without effect. Someone else administered Huangqi (Astragalus) and Rougui (Cinnamon Bark) for two doses, which exacerbated the condition, causing swelling and closure of the ears, eyes, lips, and mouth, making the head and face swollen as large as a beanbag. This was due to external pathogenic excess. The previous pulse felt weak upon pressure, indicating internal deficiency of Yuan Qi (Original Qi). Consequently, he continuously administered Tuoli Xiaodu medicines and underwent multiple phlebotomy treatments (Bianshi) at the lesion site, releasing approximately one bowl of dark blood. Pus and necrotic tissue subsequently drained. Re-administration of interior-supporting medicines gradually improved the sore. Seven days later, due to improper nursing, he developed irritability, thirst, and anorexia. Both Chi pulses became thread-like and nearly imperceptible. Emergency administration of Siwei Wan (Eight-Treasure Pill) decoction restored the pulse immediately, and his hands and feet warmed naturally. Had it not been for phlebotomy to drain exterior pathogens, Tuoli San to tonify the interior, and Siwei Wan to restore Yang, improper treatment would surely have led to death. Caution is essential.
Su Zizhong, a scholar from Changzhou, had a ding sore on his nasal bridge. The syndrome belonged to exterior pathogens, but both Qi and Blood were deficient, making him intolerant to dispersing therapies. Treatment focused on Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), supplemented with Fangfeng (Saposhnikovia) and Baizhi (Angelica dahurica), resulting in recovery.
Zhang Suowang treated a monk at Li'an Temple suffering from Shui Ding (Water Ding) with Zouhuang (spreading toxin). The patient had abstained from food and water for three days, and other physicians could not treat him. Upon examination, Zhang said, "The toxin has entered the interior. What can be done? A needle insertion is necessary." He inserted a needle more than one cun into the top of the sore. Only then did the patient cry out in pain. Zhang said, "There is life." He applied plaster and administered several pills of Danyao, extracting a ding root about one cun long, which was hard and black like iron. The patient recovered. (From *Qiantang County Annals*)
Xue Lizhai treated a man with a ding sore on his foot, accompanied by itching, nausea, vomiting, and occasional confusion. The pulse was floating and rapid. After moxibustion (ming jiu) for over twenty moxa cones, pain began. One dose of Duoming Dan (Life-Restoring Pill) reduced swelling, and Jingfang Baidu San (Schizonepeta and Saposhnikovia Detoxifying Powder) cured him.
A man with a ding sore presented with fever, irritability, and a full pulse. He was cured by administering Qingliang Yin (Cooling Drink) to purge heat.
A man with a chest ding sore experienced whole-body numbness and a rapid, full pulse. Emergency phlebotomy released bad blood, followed by moxibustion until pain was felt. He took Fangfeng Tongsheng San (Schizonepeta and Sage Universal Victory Powder) and recovered after having a bowel movement.
A man with a ding sore on the back of his left hand experienced arm numbness on the first day and hemibody numbness the next, with mental confusion. Moxibustion continued for over twenty cones without pain sensation, another thirty cones stopped the numbness, and only after one hundred cones was pain felt. One dose of Duoming Dan raised the swelling, and Shenyi Gao (Miraculous Unique Plaster) combined with Jingfang Baidu San cured him.
An elderly woman had a painful ding sore on her big toe. She refused moxibustion and exclusively took Baidu medicines (detoxifying purgatives), leading to deficiency of True Qi and excess of pathogenic qi, resulting in death. Although Baidu San can disperse surface toxins, one must consider the location (exterior/interior), severity, body region (upper/lower), and constitution (deficiency/excess). Can they be used uniformly? Moreover, the lower limbs are the most Yin part of the body, where medicinal power rarely reaches. Relying solely on medicine is too slow; moxibustion is superior. Therefore, sores on the lower body should be treated with Garlic-Separated Moxibustion. For painful sores, moxa until pain ceases; for non-painful sores, moxa until pain appears. If still painless after moxibustion, use bright moxibustion and needle the four sides of the ding to release bad blood. Insert one grain of Duoming Dan into the sore opening and cover with plaster. If needling yields no pain or blood, use a red-hot needle to frequently cauterize the site until pain is achieved. If there is no pain and vision darkens as if seeing firelight, the toxin has entered the Zang-Fu organs; this is untreatable. If the sore is on the extremities and red threads attack the heart and abdomen, puncture the end of the thread to release bad blood and take Jingfang Baidu San. If the thread is near the heart/abdomen, puncture the sore head to release bad water and apply plaster. If numbness occurs, take Duoming Dan. If trismus or throat involvement occurs, hold one or two pills in the mouth. Sudden death is often caused by ding toxin; illuminate the body with a lamp to find small sores and moxa urgently. After regaining consciousness, take Baidu medicine or Duoming Dan. Consuming meat contaminated with human sweat can cause ding sores; caution is required.
Liu Yuxi compiled the Liuzhou Three-Deaths Rescue Prescription: In the 11th year of Yuanhe, he suffered from a ding sore that worsened over fourteen days. Unknown remedies failed. Jia Fangbo of Changle taught him to use dung beetle (Qiángláng) flesh. Overnight, all suffering ceased. In January of the following year, eating mutton caused a severe recurrence; using the beetle again was miraculous. The method is to apply the single herb to the sore, changing every half hour until blood stops and the root emerges, curing the disease. Take the flesh from under the heart and abdomen of the beetle, which is slightly white. Eating mutton exacerbates the condition because beetles eat mutton. Mutton should be avoided during treatment. This method originates from Ge Hong's *Zhouhou Beiji Fang*. (Cited in *Bencao*)
Han Guang treated ding swellings. In the early Zhenguan era, Xu Shijun of Weizhou obtained this prescription: Burn one dan (a unit of weight) of mugwort to ash, place in a bamboo tube, and leach with water to obtain 1-2 he of juice. Mix with vitriol (Duanshi) to the consistency of flour paste. Prick the sore with a needle until pain, then apply the paste. Applying three times causes the root to fall off spontaneously. It is very effective. Used to cure over thirty people in the Zhenguan era. (From *Qianjin Fang*: Xiupo Gong stated: Ding sores depend entirely on location. If the location is unfavorable, it is difficult to treat. Observe signs of spreading toxin. Prick the four sides with a needle, insert pulling-toxin medicine, and prick swollen areas to release bad blood. This method is excellent.)
Miao Zhongchun treated the wife of Dr. Gu Boqin, who had a ding sore on her left ear while pregnant. He instructed applying Baiyaizi (Stemona tubera) powder mixed with egg white to the abdomen to protect the fetus, followed by a large dose of internal decoction containing Xiakucao (Prunella), Ganju (Chrysanthemum), Beimu (Fritillaria), Rendong (Honeysuckle), and Dideng (Viola). Pain stopped after one dose, the ding was expelled, and the fetus remained safe. Baiyaizi is typically used for equine diseases. (From *Guang Biji*)
Ma Mingju treated the younger brother of Gu Shengfu, who had a Zhi Ding (beard ding). The physician initially used fire needles around the swelling, which spread to obscure the eyes and nose, accompanied by trismus. Ma used the patient's earwax and tooth tartar, mixed with fingernail clippings to the size of a bean. This mixture was lightly moxaed on a tea spoon over a lamp flame. Formed into a pill, the surrounding medicine was washed off, the ding head opened with a silver hairpin, and the pill inserted. Covered with moistened cotton paper, pain stopped immediately. Swelling halved in half a day, eyes opened. The next day, Xianfang Huoming Yin (Immortal Recipe Life-Saving Decoction) was taken for two doses, resulting in recovery. This method also treats Red Thread Ding. Hua Chengxi from Changzhou cured his finger joint ding with this method. It is also said to treat White Face Ding, though untested. This formula was passed down from a Daoist priest. (From *Guang Biji*)
*Guang Biji* records: Use aged iron rust exposed to rain, ground to fine powder. Puncture the toxic area with a gold hairpin, insert the rust powder, and cover the skin. Soon, black fluid drains, revealing white threads like fine lines. Slowly extract these threads, which are the ding root. Removal leads to immediate cure. Another method: Crush fresh Chrysanthemum flowers, roots, and leaves, extract juice, and take with wine for immediate resolution. (Both methods are miraculous and verified.)
Xue Lizhai treated Liu Guanqing, who had a ding sore on the dorsum of his foot. Though small like millet, the toxin was severe, requiring strong purgative medicine. Due to his frailty, Garlic-Separated Moxibustion was applied for over fifty cones, stopping the itch. After further moxibustion, pain was felt. Plaster was applied, followed by Ren Shen Bai Du San (Ginseng and Detoxifying Powder), resulting in gradual improvement. The lower limbs are the most Yin region, distant and remote. For frail individuals, strong medicines may damage Stomach Qi before reaching the site, leading to collapse. Moxibustion is preferable.
Zhu Dayin of Songjiang had a ding on his lip for five days, swollen and hard, with a rapid pulse, irritability, and preference for cold. This was caused by accumulated heat in the Stomach Meridian. One dose of Liangge San (Cool the Chest Powder) reduced heat by 50-60%. Two pills of Duoming Dan reduced swelling by 20-30%. Four doses of Jingfang Baidu San cured him.
Yang Jinyi had a ding below the lip. With full pulse and symptoms, he should have been purged but was instead given interior-supporting medicine, leading to pus discharge from mouth and nose and death. This is the disaster of "reinforcing excess" (Shi Shi).
Madam Ma suddenly experienced chills, vomiting, shoulder/arm numbness, palm itching, and fainting. There was a blister on her hand, indicating ding toxin. Urgent moxibustion (50+ cones) induced pain, and Jingfang Baidu San cured her. Ancients say sudden death is often due to ding toxin; illuminate the body to find small sores and moxa urgently. If the chest and abdomen are warm, moxibustion is suitable. My father said: Someone fainted after slaughtering a dead cow. Inspection revealed purple blisters all over. Urgent moxibustion revived him, and Baidu medicine cured him.
Madam of Grand Secretary Zhang had a facial ding, severely swollen and painful, not ulcerating after several days. Pulse and symptoms were full. Treated with Jingfang Baidu San plus Huangqin (Scutellaria) and Lianqiao (Forsythia), improving slightly. Believing the effect was slow, she took one dose of interior-supporting medicine, worsening the condition. Pain intensified before she realized her error. Two doses of Liangge San reduced pain and promoted ulceration. Ten-plus doses of Liaoqiao Xiaodu San cured her.
The Zheng family had limb ding sores caused by eating dead beef. Phlebotomy released black blood, and Zijin Dan (Purple Gold Pill) cured them.
Wang Jian'tao Ruhe contracted smallpox toxin, developing over ten facial ding sores with swelling, pain, and rapid pulse. Jingfang Baidu San provided slight relief but fear remained. Duoming Dan cured him in one dose.
Lu Xuanzi, a famous physician from Shandong, recounted that Li Gongzi of Beijing had a fleshy tube growing from his fingernail, red in color, growing three chi in an instant, touching the ground and moving, causing blood loss and near-death. Physicians were helpless. Li drank heavily, cut the tube, lost much blood, and it regenerated. He accepted death. A beggar claimed he could cure it, bringing a large snake. The beggar scolded the doctors, saying, "This is Snake Head Ding. The tube connects to all limbs and bones; cutting it regenerates. What can you do?" The beggar had once suffered this, bankrupting himself seeking a cure. A mendicant taught him to swallow a large snake, pierce its head, and press it against the fleshy tube. The snake absorbed the toxin via Qi, dissolving the growth while the snake died with red threads. Li recovered and gave the beggar half his wealth. (Recorded by Jiang Xiangfan)
Ding Sore Treatment Formula: Pine resin (Songxiang) 20 liang, White beeswax (Baila) 2 liang, Frankincense (Ruxiang) 3 liang (de-oiled, finely ground), Yellow beeswax (Huangla) 10 liang, Verdigris (Tonglv) 5 liang (finely ground), Sesame oil (Mayou) 6 liang, Myrrh (Moyao) 3 liang (de-oiled, finely ground), Hundred Grass Frost (Baicaoshuang) 5 liang (best from clean burning of grass in mountain villages). Boil sesame oil, add pine resin, then white beeswax, yellow beeswax, frankincense, myrrh, verdigris, and finally Baicaoshuang. Boil several times, pour onto brick ground or cool in the pot, roll into strips. Form pills the size of longan seeds, soften with breath, flatten, and apply to the sore. If it is a ding, it sticks; otherwise, it does not. If it sticks for a moment, pain stops. Swelling subsides the next day, slight yellow discharge indicates cure. Avoid meat, raw/cold foods, and spicy foods. Each pill weighs approx. 4 fen.
Another Method: White Chrysanthemum 4 liang, Licorice 4 qian. Decoct in water and take. Resolution within two doses. All other ding-resolving medicines cannot compare. Chrysanthemum treats the whole body and is the sacred medicine for ding sores.