〔薛〕汤火之证，若发热作渴，小便赤涩者，内热也，用四物加山栀、连翘、甘
草。若肉未死而作痛者，热毒也，用四君加芎、归、山栀、连翘。若肉已死而不溃
者，气血虚也，用四君加当归、黄 ，外敷当归膏，或柏叶末蜡油调搽至白色，其
肉自生。若因烟熏将死者，以生萝卜汁灌之即苏。若饮食后被汤火所伤，发热腹胀，
恶食发搐变证者，当参食积惊搐门治之。
神效当归膏 治汤火等疮，不问已溃未溃，肉虽伤而未坏者，用之自愈，肉已死者，
用之自溃，新肉易生，搽至肉色渐白，其毒始尽，生肌最速。盖当归、生地黄、
麻油、二蜡，皆主生肌止痛，补血续筋，与新肉相宜。
当归 生地黄（各一两） 麻油（四两） 黄蜡（一两，白者，止用五钱）
上，先将当归、地黄、入油煎枯，去滓，将蜡溶化，候冷搅匀，即成膏矣。用
涂患处，将细纸盖之。发背痈疽杖疮溃烂，用之尤效。凡死肉溃烂将脱，止有些
须相连者，宜用利刀剪去，盖死肉有毒，去迟则伤新肉，死肉去尽，尤宜速贴，
盖新肉最畏风寒，不可忽也。
乳香定痛散 治伤损，一切疮疡溃烂疼痛。
乳香 没药（各五钱） 滑石（一两） 冰片（一钱）
上为细末。搽患处，痛即止。
猪蹄汤 治一切痈疽、杖疮溃烂，消肿毒，去恶肉，润疮口。
白芷 黄芩 当归 蜂房（蜂儿多者、为佳） 羌活 赤芍药 生甘草（各五钱）
上，用猪蹄一只，水四五碗，煮熟，去油 ，取清汤入前药煎数沸，去滓，温
洗，随用膏药贴之。
治汤火所伤方
用黄蜀葵花浸油内，以油敷患处。或收黄蜀葵花晒干碾末，香油调敷亦可。
又方
用定粉碾极细末， 月猪脂调敷患处。
又方
上，用蓖麻子肉碾烂，入蛤粉等分，如干，再入香油些少，调搽患处。
【薛己】汤火烫伤的病症，如果出现发热、口渴、小便短赤涩痛的症状，这是内热所致，使用四物汤加入山栀、连翘、甘草。如果肌肉尚未坏死但感到疼痛，这是热毒蕴结，使用四君子汤加入川芎、当归、山栀、连翘。如果肌肉已经坏死但没有溃烂，这是气血虚弱，使用四君子汤加入当归、黄芪，外用当归膏涂抹，或者用柏叶末加蜡油调和后搽涂，直到患处呈现白色，新肉自然生长。如果是因烟熏导致几乎死亡的情况，灌服生萝卜汁即可苏醒。如果在饮食之后被汤火所伤，出现发热、腹胀、厌恶食物、抽搐等变证，应当参考食积惊搐门的方法进行治疗。
神效当归膏：治疗汤火等疮疡，不论是否已经溃烂，只要肌肉虽然受伤但未完全败坏，使用此药可自行痊愈；如果肌肉已经坏死，使用此药可使死肉自行溃脱，新肉容易生长，搽涂至肉色逐渐变白，毒素才能排尽，生肌速度最快。因为当归、生地黄、麻油、蜂蜡，都具有生肌止痛、补血续筋的功效，与新肉生长相适应。
配方：当归、生地黄（各一两），麻油（四两），黄蜡（一两，白色的，只用五钱）。
制法：先将当归、生地黄放入油中煎至枯黄，滤去药渣，将蜡融化，待冷却后搅拌均匀，即成膏状。使用时涂抹于患处，覆盖细纸。对于发背痈疽、杖疮溃烂，使用此药尤为有效。凡是死肉溃烂即将脱落，仅存少许相连的情况，适宜用刀剪去，因为死肉有毒，去除过迟会伤害新肉；死肉去尽后，尤其应迅速贴敷，因为新肉最畏惧风寒，不可忽视。
乳香定痛散：治疗损伤，以及一切疮疡溃烂引起的疼痛。
配方：乳香、没药（各五钱），滑石（一两），冰片（一钱）。
制法：研为细末。搽涂于患处，疼痛立即停止。
猪蹄汤：治疗一切痈疽、杖疮溃烂，消肿毒，去除恶肉，润泽疮口。
配方：白芷、黄芩、当归、蜂房（蜂儿多的为佳）、羌活、赤芍药、生甘草（各五钱）。
制法：用一只猪蹄，加水四五碗，煮熟，撇去浮油，取清汤加入上述药物煎煮数沸，滤去药渣，温洗患处，随后贴上膏药。
治疗汤火所伤的方剂：
使用黄蜀葵花浸泡在油中，用该油敷涂患处。或者收集黄蜀葵花晒干碾成粉末，用香油调和敷涂也可以。
又一方：
使用定粉（铅粉）碾成极细粉末，用腊月猪脂调和敷涂患处。
[Xue Ji] For burns and scalds, if fever, thirst, and scanty, dark, or painful urination occur, this indicates internal heat; use Siwu Tang (Four Substances Decoction) with added Gardenia Fruit (Zhizi), Forsythia Fruit (Lianqiao), and Licorice Root (Gancao). If the flesh is not yet necrotic but painful, this indicates heat-toxin accumulation; use Sijunzi Tang (Four Gentlemen Decoction) with added Ligusticum Rhizome (Chuanxiong), Angelica Sinensis Root (Danggui), Gardenia Fruit (Zhizi), and Forsythia Fruit (Lianqiao). If the flesh is already necrotic but has not ulcerated, this indicates deficiency of qi and blood; use Sijunzi Tang (Four Gentlemen Decoction) with added Angelica Sinensis Root (Danggui) and Astragalus Root (Huangqi), applied externally with Danggui Ointment, or a mixture of Cinnabar Leaf Powder (Baiye Mo) and beeswax oil rubbed until the area turns white, at which point new flesh will naturally grow. In cases of near-death due to smoke inhalation, administering raw radish juice will restore consciousness. If injured by burns or scalds after eating, presenting with fever, abdominal distension, anorexia, and convulsions as complications, treatment should refer to the section on Food Stagnation and Convulsions.
Shenxiao Danggui Gao (Miraculous Angelica Ointment): Treats burns, scalds, and other sores. Regardless of whether the sore has ulcerated, if the flesh is injured but not yet gangrenous, application leads to spontaneous healing; if the flesh is already necrotic, application causes the dead tissue to slough off spontaneously, facilitating rapid growth of new flesh. Rubbing until the flesh color gradually becomes white ensures complete elimination of toxins and fastest regeneration. This is because Angelica Sinensis Root (Danggui), Rehmannia Root (Sheng Dihuang), Sesame Oil (Mayou), and Beeswax (Er La) all promote flesh regeneration, relieve pain, nourish blood, and repair tendons, harmonizing well with new tissue growth.
Ingredients: Angelica Sinensis Root (Danggui) and Rehmannia Root (Sheng Dihuang) (each 1 liang), Sesame Oil (Mayou) (4 liang), Yellow Beeswax (Huangla) (1 liang, white variety preferred, use only 0.5 liang).
Preparation: First, fry the Angelica Sinensis Root and Rehmannia Root in the oil until browned, then filter out the dregs. Melt the beeswax, allow it to cool slightly, stir uniformly, and the ointment is ready. Apply to the affected area and cover with fine paper. It is particularly effective for back carbuncles, abscesses, and lacerations from beating that have ulcerated. When necrotic flesh is about to detach but remains slightly attached, it is advisable to cut it away with a sharp knife, as necrotic tissue contains toxins; delaying removal harms new flesh. Once all necrotic tissue is removed, prompt application is crucial, as new flesh is highly susceptible to wind and cold, which must not be neglected.
Ruxiang Dingtong San (Frankincense Pain-Relieving Powder): Treats injuries and pain from any ulcerating sores.
Ingredients: Frankincense (Ruxiang) and Myrrh (Moyao) (each 0.5 liang), Talcum (Huashi) (1 liang), Borneol (Bingpian) (0.1 qian).
Preparation: Grind into a fine powder. Apply to the affected area; pain ceases immediately.
Zhu Ti Tang (Pig Trotter Decoction): Treats all carbuncles, abscesses, and lacerations from beating that have ulcerated; reduces swelling and toxicity, removes foul tissue, and moistens the wound edges.
Ingredients: Angelica Dahurica Root (Baizhi), Scutellaria Root (Huangqin), Angelica Sinensis Root (Danggui), Honeycomb (Fengfang - those with many larvae are best), Notopterygium Rhizome (Qianghuo), Red Peony Root (Chishaoyao), Raw Licorice Root (Sheng Gancao) (each 0.5 liang).
Preparation: Use one pig trotter, add 4-5 bowls of water, boil until cooked, skim off the fat, take the clear broth, add the aforementioned herbs, boil briefly, filter out the dregs, and wash the area with the warm liquid, followed by applying plaster.
Formulas for Burns and Scalds:
Soak Abutilon Flower (Huang Shu Kui Hua) in oil and apply the oil to the affected area. Alternatively, dry Abutilon Flowers, grind them into powder, and mix with sesame oil for topical application.
Another Formula:
Grind Lead Carbonate (Dingfen) into an extremely fine powder, mix with lard from the twelfth lunar month, and apply to the affected area.
Another Formula:
Mash Castor Bean Flesh (Bimazi Rou), mix with equal parts Clam Shell Powder (Ge Fen); if too dry, add a small amount of sesame oil, blend, and apply to the affected area.